Add: Make a medically accurate TV show about a doctor treating patients. All episodes are about the most common problems that can be solved with home treatment, including anything an ER doctor would do that could technically be done without needing advanced training.
Add: Babysitting for hospitalization for children, disabled people (caregiving), (I think for people there should be a wing in the hospital, with driving babysitters for appointments, especially to prevent abuse) pets, and farm animals.
Individual solution: If a doctor doesn’t want to do something, have them write in the chart that they did not want to do it. This usually changes their mind.
Information Resource:
Copy, paste to each goal, and fill out. Make a new one for each country:
Country:
Current Knowledge (& sources):
Stocks
Flows
Systems & Archetypes
Current numbers
Current buffers
Current stock-and-flow structures
Current delays
Current information flows
Current feedback loops
Current system traps
Current rules
Current goals
Current paradigms
Vocabulary (not already covered)
Concepts (not already covered)
Potential Organizations (These are people that could collaborate in the future after vetting)
Potential Source Outlets (Organizations that regularly make or show content on a specific issue)
Resources (things anyone can access, no requirements)
Potential Solutions Labels (add type of solution in front, ex. Educational campaign for)
Individual-Level
Project-Level
Government-Level (This category includes massive projects)
To-Do List item (This is something to add to the list in the future)
cccc
Solutions, in order of importance:
Transcending Paradigms
Paradigms
Goals
Self organization
Rules
Information Flows
Reinforcing feedback loops
Balancing feedback loops
Delays
Stock-and-flow structures
Buffers
Numbers
RESOURCES
Sex Education- TV show on Netflix. It would be great if there was a Youtube playlist of all the educational Youtube clips of the show.
Abortion Resource List:
Tactical Combat Casualty Care (Medical)
3.1 By 2030, reduce the global maternal mortality ratio to less than 70 per 100,000 live births
Can’t read it sad face but looked like a good article: https://hbr.org/2023/04/what-employers-can-do-to-make-childbirth-safer-in-the-u-s
US:
60 million over 5 years to fund state maternal mortality review committees
Preventing Maternal Deaths Act of 2018 creates uniform federal infrastructure for this data.
13 states have a perinatal quality collaborative (they develop initiatives based on findings)
The health resources and services administration addresses care in rural and underserved areas
Legislation to check the status of, says it hasn’t passed yet:
MOMMA’s Act
MOMMIES Act
MOMs ACt
Maternal CARE ACt
Roe V Wade
Abortion Policy
Maternal Mortality, originates with slavery
Battling Over Birth: Black Women and the Maternal Health Care Crisis
By Julia Chinyere Oparah (Author), Helen Arega (Author), Dantia Hudson (Author), Linda Jones (Author), Talita Oseguera (Author)
**This both explains the problem and offers solutions. ChatGPT a book summary. There’s a book review that says it give recommendations at the end of each chapter on what people can do.**
Potential Solutions:
Individual-level: Barefoot Doctor Book. It’s a book that has the most medical information available without getting an actual medical degree. Make an online version using info available online. Wikipedia could be a start.
Organization-Level: Provide birthing kits to communities and expecting mothers that don’t have healthcare access
Government-Level: (Generic Solution) Essential life products and services markup restrictions.
Government-Level: (Generic Solution): Professional Witnesses
Protocol:
3.2 By 2030, end preventable deaths of newborns and children under 5 years of age, with all countries aiming to reduce neonatal mortality to at least as low as 12 per 1,000 live births and under-5 mortality to at least as low as 25 per 1,000 live births
This is a lecture from 2012, haven’t watched it:
-Teach all infants how to float. Free classes provided at recreation centers, with incentives.
-Teach all children how to swim. Free classes provided at recreation centers, with incentives.
At the hospital: (used this source:https://www.nejm.org/doi/full/10.1056/NEJMsr1804754 )
-Screen children for heart problems (I remember my school had a free screening but don’t remember what type of heart problems it was for)
-Educate parents on prevention of suffocation
-Educate parents on the dangers of unsecured firearms in the home
-Provide domestic violence resources (but don’t until domestic violence resources actually exist)
-Educate parents on the importance of vaccinations, and provide information to combat anti-vaccine propaganda
-Educate parents of most common illnesses that result in death, how to prevent it and when to go to the ER
-Educate parents on vehicle safety for children (ex. hot car death prevention techniques, seat belts and securing car seats)
-Educate parents on the dangers of bed-sharing
-Educate parents on the dangers of resource guarding in dogs
-Educate parents on the dangers of unsecured firearms in the home
Potential Solutions:
Individual-level: Barefoot Doctor Book
Organization-level: Provide newborn kits both in the hospital (and outside hospital for accessibility)
Child Welfare Services Reform:
Childcare Facilities Reform:
3.3
By 2030, end the epidemics of AIDS, tuberculosis, malaria and neglected tropical diseases and combat hepatitis, water-borne diseases and other communicable diseases
Resource: Prep
Address homelessness: (see goals ___, __, ___, and ___)
3.4 By 2030, reduce by one third premature mortality from non-communicable diseases through prevention and treatment and promote mental health and well-being
Current Knowledge:
Mental injury
Reality Model in Psychology
Healing Health
Non-Monetary Health Poverty:
Potential Solutions:
Organization-Level: Community Care Takers
Multi-level: Action Research
Organization-Level: Integrated Maintenance Practice
Multi-level: Eastern medicine integrated into hospitals. And Eastern medicine hospitals.
Organization-Level: Have 24-hour urgent care clinics in the same place as emergency rooms. (Potentially have just one staff member during night hours)
Changing Attitudes to Prevent Death
Palliative care to prevent hospitalization
All doctors and services are required to have mobile services to provide home visits, in order to reduce hospitalization
Medication care-takers. They are caregivers, but only and specifically for medication. They coordinate prescriptions, appointments, do pharmacy runs, pick it up and give it to the client depending on the dose. (ex. daily) There can also be an on-demand, as needed service for pain medication. This is an optional program for pain patients to reduce addiction.
Encourage those with chronic illnesses to track their symptoms and give them resources to do so.
Have chronic-illness diagnoses searches where people can input their symptoms to help determine what they should get tested for.
United States food is absolutely terrible and killing us. Identify what these ingredients are and ban them.
End pollution. See environmental goals ___,___, and ___.
Maintain alternative medicine treatments by ending climate change. See climate action goal.
Normalize wearing a mask when sick, at least in progressive areas. Find a way for people to stop freaking out about their “rights”. Disability rights matter.
Make being healthy a lifestyle that is an integral part of US culture, especially reducing meat consumption. Find a way for people to stop seeing meat consumption as a way to “own” liberals.
Make it easier for people to reduce their exposure to carcinogens. Legally remove chemicals and chemical use that isn’t 100% necessary.
Make it easier for people to follow medical diets by organizing foods in the grocery store according to common medical diets. Make a point to leave a disclaimer for people to double check the ingredients, the point is to make it less time consuming, it’s not a safety measure.
In K-12, teach guys how to avoid accidents and not die. Also let people know about conditions that make them vulnerable to injury, such as ADHD.
3.5 Strengthen the prevention and treatment of substance abuse, including narcotic drug abuse and harmful use of alcohol
Location: USA
Current Knowledge:
Concepts:
Life worth living- People reach for substances when forgetting is more valuable than remembering.
Rat Park Experiment
Average Baseline Psychology
Potential Solutions:
Intentional Community for families at risk of CWS involvement ONLY because of neglect due to mental illness, disability, parent hospitalization, or poverty.
3.6 By 2020, halve the number of global deaths and injuries from road traffic accidents
Potential Solution:
Vision Zero Movement
3.7 By 2030, ensure universal access to sexual and reproductive health-care services, including for family planning, information and education, and the integration of reproductive health into national strategies and programmes
Anti-Abortion Movement:
Potential Solutions:
Individual-Level: Make a directory of free, online sex ed resources
Individual-Level: Barefoot Doctor Book
How to get an abortion:
Anti-Abortion Movement:
3.8
Achieve universal health coverage, including financial risk protection, access to quality essential health-care services and access to safe, effective, quality and affordable essential medicines and vaccines for all
Paradigm: the healthcare system is a safety net and an ally, not an industrial complex that must be fought with uncertain levels of support regarding survival.
Current Knowledge (with sources):
Vocabulary
Concepts
Medicaid
Medicare
Affordable Care Act
Potential source, haven’t watched it yet:
Different Charts:
Industrial Complex: (This one does a pretty bad job at explaining why things are on the chart and what it means.)
Stocks:
Medical school
Residencies
Certificates
Doctors
Nurses
CNAs/RNAs
Other medical staff (ex. technicians, PTs, etc.)
Other staff
Hospitals
Emergency Room
Waiting Room
Beds
Rooms
Urgent care
Outpatient (ex. regular appointments)
General Practitioner
Specialist
Appointments
Referrals
Prescriptions
Patients
Bedside manner
Compassion
Job satisfaction
Burnout
Departments:
Pharmacy
Management
Billing
HR
Food
Medical Records
Flows
Systems
Feedback loops
System Traps
People are not going to medical school because of high costs of education/avoid student loan debt.
People who graduate from medical school can’t get residencies. https://www.vox.com/22989930/residency-match-physician-doctor-shortage-pandemic-medical-school
There is high turnover because of toxic workplaces.
Doctors are leaving the field because of toxic workplaces.
People are not choosing careers in medicine because of toxic workplaces.
Toxic people are attracted to the medical field because of the reputation and power imbalance between doctors and patients.
Patients are dying because:
-staff shortages, caused by toxic workplaces/poor working conditions & ?low pay?
-long emergency room wait times
-accusations of faking or exaggerating symptoms
-discrimination
-misdiagnoses
-medical abuse
-medical neglect
-can’t afford copays
-can’t afford their medication
-gaps in prescription renewal
It is difficult for doctors to open up their own practices.
Drug pricing
Potential Solutions (add type of solution in front, ex. Educational campaign for)
Individual-Level
Project-Level
Government-Level (This category includes massive projects)
Potential Organizations
Potential Source Outlets
Resources
Government-Level: Essential Markup Policy (Essential goods and services can not have a profit markup above a certain percentage)
Universal healthcare
Universal Healthcare that covers:
-dental
-mental health care
-ALL disability services, including but not limited to: caregiving, palliative care, accomodations
-rent, if the person’s health problems are caused by their environment (ex. Homelessness, abuse, DV, slumlord neglect)
-lgbt care
Solutions, in order of importance:
Transcending Paradigms
Paradigms
Goals
Self organization
Rules
Information Flows
Reinforcing feedback loops
Balancing feedback loops
Delays
Stock-and-flow structures
Buffers
Numbers
Services that would reduce costs by preventing hospitalization:
Palliative care
Doctor home visits
Integrated maintenance practice
Medication caretakers
Information Resource:
3.a
Strengthen the implementation of the World Health Organization Framework Convention on Tobacco Control in all countries, as appropriate
3.b
Support the research and development of vaccines and medicines for the communicable and non-communicable diseases that primarily affect developing countries, provide access to affordable essential medicines and vaccines, in accordance with the Doha Declaration on the TRIPS Agreement and Public Health, which affirms the right of developing countries to use to the full the provisions in the Agreement on Trade-Related Aspects of Intellectual Property Rights regarding flexibilities to protect public health, and, in particular, provide access to medicines for all
3.c
Substantially increase health financing and the recruitment, development, training and retention of the health workforce in developing countries, especially in least developed countries and small island developing States
3.d
Strengthen the capacity of all countries, in particular developing countries, for early warning, risk reduction and management of national and global health risks
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