Implementing health care takes time

04/11/2014 7:04 PM

04/07/2014 10:34 AM

Re "Does wealth equal health?" (The Conversation, April 6): As a physician, I was surprised to read Daniel Weintraub 's belief that "health care can patch us up, but it can't really keep us healthy."

Continuing with the analogy of an automobile, I wonder what Weintraub would say to the auto enthusiast who invests in regular maintenance and care of a 50-year-old classic? It is common knowledge that the un(der)insured do not practice preventive care, and many delay care with catastrophic consequences. You cannot achieve primary care without insurance, and this is exactly what the Affordable Care Act is trying to accomplish.

The problem is not who gets primary care, but how it is used. Implementation takes time. We certainly cannot affect the impact of chronic illness in just two years. We can all use a little less stress, but a 20 percent improvement in health is a good start.

-- Charles DeCarli, Sacramento

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