Suggestions for Health Sector Reform in Trinidad and Tobago

Health ameliorate refers to the changes in bloom administration, bloom planning and, bloom assay that places cogent accent on bounded bloom challenges aimed at convalescent bloom administration, bloom planning and healthcare. They will amalgamate to aftermath an able archetypal of healthcare supply able of accretion accommodating physical, medical and cerebral safety. Bloom ameliorate should be apprenticed by empiric data, best convenance and affirmation based practice. A array of bloom statistics; such as mortality, manpower needs, technology activity and accommodating satisfaction; should be analyzed and active in deepening bloom systems.

In Trinidad and Tobago the accepted arrangement of healthcare is awful centralized. The Ministry of Bloom maintains operational blank of 5 bounded bloom authorities. These are the North West Regional, North Central Regional, Eastern Regional, South West Bounded and Tobago Regional. South West, North West and North Central are the bigger regions; anniversary accouterment for the healthcare needs of added than three hundred thousand people.

A cogent ameliorate should be the specialization of the Ministry of Bloom in beneath functions aimed to advance healthcare efficiency. For example, it can apply on abstracts accumulation and analysis. It should be staffed with able bloom advisers tasked with allegory changes in epidemiology, and trends in anguish and mortality. Furthermore, the Ministry of Bloom should accept the ability to acquaint bounded authorities to accomplish systemic and ability changes based on the statistics calm and analyzed. Bounded bodies should be allowable to board bloom based statistics to the Ministry of Bloom quarterly. The Ministry of Bloom accept to advance accepted blank of bounded authorities. It should aftermath anniversary letters based on self- ecology and appraisal of the systems, performances and challenges in anniversary region. Banking statements and audits should be submitted annually to the Ministry of Bloom and factors accounting for about-face should be justified. Recommendations should be fabricated for improvements and incidences of white-collar abomination prosecuted.

One above ameliorate that should be implemented is acceding complete freedom to bounded bloom authorities for the supply of healthcare. They should be able to accomplish their own funds by charging fees for their services. This would annihilate annex on the accompaniment or Ministry of Finance for funding. Anniversary bounded bloom ascendancy should be able to advance in the banal bazaar or undertake added assets breeding measures it deems feasible. Its funds should be spent in accordance with the bloom needs of the citizenry it serves. Bounded authorities should be amenable for primary, accessory and tertiary healthcare. In addition, they should be accustomed blank of clandestine hospitals and bloom accessories in their geographic regions. Clandestine accessories should be accountable to amount controls to abstain absonant accuse and should be appropriate to pay at atomic ten percent of their anniversary accumulation to the bounded authority.

In addition, bounded authorities should accept the ability to ensure that all bloom institutions and providers attach to civic accreditation standards. The Ministry of Bloom should be answerable with albatross for developing civic accreditation standards in all aspects of the operations of bloom institutions. These should cover hospitals, pharmacies, clandestine practice. Also accepted and addition medicines should be accountable to accreditation standards. Everything and every bloom based academy should be accountable to accreditation standards commensurable with those of added developed countries such as Canada and the United States.

It is apparent that the boundaries of anniversary bounded ascendancy be redefined so that they are of about according citizenry size. At this time South West Bounded is amenable for hardly over one bisected actor people. Therefore accustomed its bound resources, it cannot be accepted to accomplish with greatest efficiency. Accustomed the actuality that the bigger bloom accessories are anchored in burghal centers, this would be a claiming that accept to be affected judiciously. To board this reform, bounded authorities should abet collective attainable and clandestine partnerships in the accouterment of healthcare centers in rural and added districts beneath attainable to above hospitals and bloom centers.

To accomplish the bloom arrangement efficient, a centralized cyberbanking bloom almanac arrangement should be developed and implemented. This would ensure that patients could admission affliction in any region. Thus it would accomplish it simple to admission bloom annal from any healthcare ability endemic and administered aural any bounded authority. It is accepted that the Ministry of Bloom should yield a arch role in this enterprise. Annal of patients in clandestine hospitals should be attainable to bounded authorities accustomed that they may be confused to a attainable hospital if the affliction they crave cannot be accomplished there. Sometimes for banking affidavit such as absonant cost, patients may be confused to a attainable hospital.

Employment behavior should accredit the chargeless movement of abilities and ability beyond regions. In some instances, awful specialized surgeons and caregivers should be fabricated accessible to patients in added regions on a needs basis. In added words, one arena can pay addition for the casework of its accomplished animal or concrete assets demanded.

Regional bodies can coact in bloom planning. They can advance their strategic, business and account affairs cooperatively. Afterwards they can abuse their affairs to fit their citizenry needs. The basic advantages of centralized planning will be greater transparency, accountability and inter-operational functionality. Inter-planning can abate antagonism amid regions and ensure that alarm assets are acclimated efficiently. In effect, the Ministry of Bloom can analyze operational capability and best convenance beyond all regions and board opportunities to backbone operational or institutional efficiency.

The bloom arrangement should be adapted so that it is able to board top superior affliction for patients. Patients should be abstruse to yield advantage of a competent, awful organized and cautiously administered healthcare system. Finally ameliorate accept to absorb all stakeholders; government, clandestine practitioners and citizenry. A allied basal up and top down archetypal should be adopted so that there is accepted buy-in to bloom ameliorate able of accidental to bread-and-butter and amusing development of the country’s animal capital.

With the Defeat of Their Health Care Efforts, the Republicans Survived a Circular Firing Squad


President Trump did not bother himself with the details of Republican attempts to repeal and replace Obamacare. Never mind that repeal and replace was a campaign promise to his base. Wishful thinking guided his belief that, whatever Ryan, McConnell and the Republican House and Senate produced, he would sell it as cheaper, more convenient and better plan in every way than the existing system.

Well, you probably know how that turned out – the Republicans failed, repeatedly, to agree among themselves on a plan. They advanced bills that would have been devastating to the poor, costly to the states and ruinous to consumers. Would anyone benefit? Silly – of course. The bills were quite favorable to the rich, using funds saved by cuts to Medicaid savings and reductions in benefits elsewhere. Thanks to a public outcry and opposition from many business and medical interests, Republican leaders could not get their members to pass Trumpcare or repeal Obamacare, as they said they would.

Personal Survival in the Era of Trump

Trump can afford to ignore the challenge of a workable medical system, but consumers like you don’t have that luxury. Since you will be affected by what Trump and the Republicans do, or fail to do, it behooves you to pay attention. Or, if like Mr. Trump, you also find it all way too boring – and it is rather stultifying and confusing, you can always rely upon the recommendations of experts whose politics you respect.

Personally, I think the Republican Party and this immature and mentally unbalanced president are leading our country into despair, hopelessness and ruin. But, I’m an optimist – it could get much worse than that.

The Grim Situation

Under the ACA or Obamacare, medical costs for taxpayers have been rising and reforms are needed. The health (sickness) insurance rates for consumers keep going up, diabetes and just about every other disease is on the increase, the stock market could dive any day now and the national animosity of one segment of the population from the other is nearly at Civil War levels. The United States is anything but. United, that is.

The medical system has been designed to make money for the power players who control most of it. The system is definitely not set up so you can get quality care at a reasonable cost, enjoy a good life, learn what is and how to achieve optimal physical and psychological health or even derive satisfaction and enjoyment from life.

If you want these things and you ought to, you must improve your chances of beating the system.

Beating the System

Here are a several broad guidelines for beating any dysfunctional system Trump and the Republicans might in time succeed in creating.These tips will help you save money, protect and enhance your health and add to your enjoyment of life. Most of the tips summed up in a sentence: Live in a manner consistent with a REAL wellness philosophy.

Exercise. Set 45 minutes daily as an average target. Does 45 minutes seem excessive? It is, if you think mediocrity’s good enough. If becoming and remaining fit were easy, everyone would look good.

Surpass/transcend normalcy. Live an epic existence! Normalcy means you are overweight and aging prematurely, suffering from pre-or arrived diabetes, stressed, less than cheerful and worried about your health. Of course, this is not easy but you can’t beat the system with easy.
I just had a thought. Even though I’ve covered only two principles for beating the system and I have at least a dozen more, this should be quite sufficient. For now. I’ll provide a few more in the weeks to come. But, no worries – if you follow only these two tips, you will overcome lifestyle mediocrity and be better than normal.

Two principles of this magnitude should be enough for one essay, don’t you think?

For now, enjoy and look on the bright side of life. Why not? After all, with insight and resolve, knowledge, support and a little help from your friends, you can become less vulnerable to the transgressions against the public interest that Trump’s presidency and a Republican Congress represents and boost your odds of beating a ruinous system!

Good luck, do your part to become and stay well as long as possible and always look on the bright side of life.

Marijuana Use Ups the Risk of Abusing More Potent Drugs

For Michael Murtaugh, who spent his adolescence consuming drugs, running has provided a new lease of life. According to him, “running is still legal in all the 50 states of America,” which is not the case as far as smoking pot is concerned. In fact, the latter has the nation divided.

Furthermore, the pursuance of a “runner’s high” hardly costs anything, while indulgence in substance abuse could invariably lead to job loss, incarceration, ill health, or in some cases even death. There is no such risk involved when one gets a natural “endorphin rush” from a run.

Michael’s story is no different from the countless other victims of “pot” and “alcohol.” Many like him experiment with drugs and other substances to mask the pain of a childhood abuse. Some may inadvertently get into drug abuse due to the early exposure to drugs by family members, friends, etc.

With the legalization of recreational pot use, serious concerns have been raised over the impact of such a significant change over adolescents. The change will not only lower the perception of risk of marijuana among youngsters, but also encourage them to indulge in marijuana abuse. In the light of such a landmark shift in the domain of substance abuse, it is time to reflect upon the repercussions on adolescents.

Adolescence and substance abuse

Adolescence and substance abuse are often closely linked, which increases the likelihood of developing lasting changes in the neural pathways of the brain. That could exacerbate the habit, leading to a deadly addiction. Considering such a close relationship, any kind of leeway has the potential to increase the rate of substance abuse and developing mental disorders.

As marijuana is a gateway drug, the probability that its prolonged use leading to experimenting with hard stuff, such as heroin and meth, is quite high. This has been corroborated by the ordeal of Michael, who started smoking pot at a relatively young age of 11 and eventually took to drinking alcohol and doing harder stuff, such as cocaine and meth. At 45, a drug weary Michael realized that he needed a new lease of life, one that would not make him a prisoner of drugs. Thereafter, it has been a long and arduous journey toward reform and sobriety.

With increasing public support for marijuana laws more than before, it has become essential to discuss the social and health-related consequences. The increased social acceptance can become a driving force behind the rise in substance abuse and drug-impaired driving. Of all, the tendency to experiment with harder drugs can pose a major problem for youngsters.

Teens don’t consider pot risky

With the use of recreational marijuana or pot becoming legal in eight states in the U.S. and in the District of Columbia, the possibility of teens advertently or inadvertently using the drug is quite high. Michael’s case is not an isolated incident, there are many children in America who are increasingly getting hooked on the drug because they see many adults around them smoking “pot.” What is even more alarming is the fact that many adolescents do not consider the practice of smoking marijuana or pot to be harmful for their health.

As per the recently released statistics, there was a decrease in the number of 12- to 17-year-olds who believed that smoking marijuana once a month or one to two times constituted a “great risk.” One of the greatest dangers of marijuana use comes from the psychoactive agent tetrahydrocannabinol (THC), which is present in higher concentrations than in the past.

Pot use is associated with abnormal brain development and is believed to impair memory, concentration and executive functioning skills. The prolonged use can spiral into a full-fledged addiction in future. Therefore, new recommendations advocating the screening of adolescents and preteens for marijuana use plays a crucial role in determining whether those kids would benefit from interventions or not. It is also imperative that parents set standards (by avoiding smoking or vaping marijuana or doing any sort of drugs in the child’s presence).

Recovery road map

Marijuana, one of the most commonly used illicit drugs under the federal law, has the potential to inflict a range of problems, such as euphoria, impaired memory, cognitive impairments, increased heart rate, paranoia, etc. The other long-term effects of marijuana abuse include respiratory problems, cardiovascular risks, psychological dependence, etc.