Comments of Chapter 9: Socioeconomic implications

Vignette: How it could be


Laura felt very pleased during the ceremony in which she handed the reins of the Ministry of Health and Wellbeing to her successor. She could not believe that so much had changed in just under a decade in the job. As a seasoned politician, economist and general practitioner, she was particularly proud to report how the joint effort of tens of thousands of committed people from all over the country and the world, had resulted in the elimination of most of the problems associated with the management of polypathologies, which had remained intractable for generations. She could remember with great satisfaction the day when the daring and detailed plan that she and her team had prepared was met with unconditional support from the head of state, legislators, the media, corporations, academic organizations and community agencies. With their support, it was dream-like to witness how bold policies and swift reallocation of internal resources had led to the implementation of a comprehensive and generous system of incentives that aligned the interests of all groups of stakeholders with the health needs of people living with multiple chronic diseases. Exceeding all of her own expectations, she had seen how this collective effort resulted in a significant improvement in all health indicators at a progressively lower cost! It was particularly joyful to remember the extraordinary support given by other members of cabinet to tackling disparities in health determinants; the enthusiasm with which the public had promoted the implementation of evidence-based secondary, tertiary and quaternary preventive interventions; how all the media and academic institutions had made patient education and self-management programs available to all those who needed them; how frontline clinicians, managers and caregivers had proposed, developed and introduced new health services; how clinicians with such a diverse background had embraced that now made supportive and palliative care services available to anyone, anywhere. With over 99% of health care services provided to those with multiple chronic diseases in the community, her country had become a beacon for others to follow.

Laura was now ready to embark on the next phase of her career. She had accepted an offer from the World Health  rganization to head a global task force supported by her existing network of collaborators, and leading political, academic, clinical, community and corporate organizations, to promote the transformation of the  management of multiple chronic diseases in all inhabited continents of the globe.

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