It is when physicians are bogged down by their incomplete technologies, by the innumerable things they are obliged to do in medicine when they lack a… - Lewis Thomas

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It is when physicians are bogged down by their incomplete technologies, by the innumerable things they are obliged to do in medicine when they lack a clear understanding of disease mechanisms, that the deficiencies of the health-care system are most conspicuous. If I were a policy-maker, interested in saving money for health care over the long haul, I would regard it as an act of high prudence to give high priority to a lot more basic research in biologic science.

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About Lewis Thomas

Lewis Thomas (25 November 1913 - 3 December 1993) was a physician, author, administrator, educator, policy advisor and researcher. He served as a Dean of Yale Medical School, Dean of the New York University School of Medicine and President of Memorial Sloan-Kettering Institute.

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Ants are more like the parts of an animal than entities on their own. They are mobile cells, circulating through a dense connective tissue of other ants in a matrix of twigs. The circuits are so intimately interwoven that the anthill meets all the essential criteria of an organism.

Cells are required to stick precisely to the point. Any ambiguity, any tendency to wander from the matter at hand, will introduce grave hazards for the cells, and even more for the host in which they live. Minor inaccuracies may cause reactions in which neighboring cells are recognized as foreign, and done in. There is a theory that the process of aging may be due to the cumulative effect of imprecision, a gradual degrading of information. It is not a system that allows for deviating.

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It is conceivable that we might be able to provide good medical care for everyone needing it, in a new system designed to assure equity, provided we can restrain ourselves, or our computers, from designing a system in which all 200 million of us are assumed to be in constant peril of failed health every day of our lives. In the same sense that our judicial system presumes us to be innocent until proven guilty, a medical care system may work best if it starts with the presumption that most people are healthy. Left to themselves, computers may try to do it in the opposite way, taking it as given that some sort of direct, continual, professional intervention is required all the time, in order to maintain the health of each citizen, and we will end up spending all our money on nothing but this.

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