Over the last century, there has been a quiet medical revolution. Go back to the early 1900s and the doctor was the main source of treatment. They needed to earn enough to live on, so you were always required to pay your way. But, there may be some truth in Sue Lowden's story about chickens. As you may remember, she was one of the Republican Senate candidates standing in Nevada. She hit the headlines for reminding people that, in the rural areas, people would offer the doctor a chicken or to paint his house. Whether barter was generally accepted does not matter. Everyone relied on their local doctor and the growing hospitals for whatever medical care was available.
So, what's the problem? Well, there's no doubt some drugs are very effective but the problems come through the way they are used. Let's take pain relief as an example. There are some remarkable drugs across the range of treatment, from minor injuries to the most severe problems causing agonizing pain. For whatever you need, you pay the asking price and the pain is reduced or goes away completely. This sounds like a good deal but it overlooks one problem. Painkillers have a good name. It describes accurately what they do. But it also shows their limitation. They may kill the pain but they do nothing to treat or cure the cause of the pain. Let's say someone shoots you, leaving the bullet inside your body. You could take painkillers but the long-term solution is having a surgeon open you up and remove the bullet before you get an infection and risk death.