Another medical professional joins the BRS...!

Okay, I joined the BRS many months ago but today I received my board of certification exam results and I passed! Pending the proper paperwork being submitted now (which I did today) I will officially be a Certified Athletic Trainer!

I see my profession as a vital stepping point for the acceptance of minimalism and BFR. Athletic Trainers are the health care professionals that spend the most time with high school, collegiate and professional athletics. They also have a large presence with industrial, military and clinical settings.

I see a lot of athletic trainers stuck in the old "paradigm" and I feel are the ones who pound into the minds of parents and young athletes that they "need" this or that. I hope to be an advocate for BFR and minimalism in my personal, clinical and academic realms of life now! I have been able to influence fellow athletic training students of mine and I hope as I move into the professional world that I can influence or at least open up the view points of others in my profession and the many different health care professions.

(P.S. The last paragraph reminded me of how last week I took a young summer sport camp athlete to the ER and while the nurse was getting some billing information from the athlete she started spewing on an on about the PECH shoes that she was wearing and why she needed them so much...I engaged her in a short debate but I could tell it was already well over her head.)
 
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Now if we could just get some podiatrists on board...

BF_AK can do his job while promoting barefoot activity, he is going to be paid for providing information based on his expertise.
Podiatrists are compensated for the x-rays they take, having orthotics fabricated, and the surgical procedures they perform.
Aside from an examination fee, they do not profit from advice given.
If they DID devote their time with patients towards promoting barefoot activity, not only would they fail to meet their overhead requirements, but they would also slowly be putting themselves out of business.
Compare their predicament to that of dentists.
If dental professionals spent a great deal of time promoting flossing, recommending avoiding sugars (including not just soda, candy, and sweets, but fruit & milk, etc.), and brushing, they still would be busy performing revenue generating procedures............because nobody would listen!
If podiatrists recommended barefoot activity, sport, and life, and were promoting the concept visibly in the mass media, many people would jump at the oportunity!
To a lot of people eating sugery foods is a guilty pleasure, as is going barefoot.
Podiatrists warn against flip flops (but nobody listens), high heels (same thing), pointy narrow footwear (ditto) so they end up making a good living despite the warnings, just the same as the dental analogy.
Imagine how the people would listen if the podiatrist recommended going barefoot!
End of the profession for up to 90% of DPM's.
If brocolli happened to caused 99% of tooth decay, and dentists urged the public to refrain from the green cauliflower,
it would'nt be very long before dentists would have to find a new source of income.....as would Mr. Brocolli.
Maybe his brother could get him a job in the movie production industry...
It's far too easy for people to accept the recommendation to go barefoot, so it will never come from the podiatric community.
O.K., enough, I'm heading back to the pub.
 
Alllllll right!!!!

images.jpg
 
Oh, Precious! :)
 
I have no idea, a cute, little, soft, furry bunny?
 
BF_AK can do his job while promoting barefoot activity, he is going to be paid for providing information based on his expertise.
Podiatrists are compensated for the x-rays they take, having orthotics fabricated, and the surgical procedures they perform.
Aside from an examination fee, they do not profit from advice given.
If they DID devote their time with patients towards promoting barefoot activity, not only would they fail to meet their overhead requirements, but they would also slowly be putting themselves out of business.
Compare their predicament to that of dentists.
If dental professionals spent a great deal of time promoting flossing, recommending avoiding sugars (including not just soda, candy, and sweets, but fruit & milk, etc.), and brushing, they still would be busy performing revenue generating procedures............because nobody would listen!
If podiatrists recommended barefoot activity, sport, and life, and were promoting the concept visibly in the mass media, many people would jump at the oportunity!
To a lot of people eating sugery foods is a guilty pleasure, as is going barefoot.
Podiatrists warn against flip flops (but nobody listens), high heels (same thing), pointy narrow footwear (ditto) so they end up making a good living despite the warnings, just the same as the dental analogy.
Imagine how the people would listen if the podiatrist recommended going barefoot!
End of the profession for up to 90% of DPM's.
If brocolli happened to caused 99% of tooth decay, and dentists urged the public to refrain from the green cauliflower,
it would'nt be very long before dentists would have to find a new source of income.....as would Mr. Brocolli.
Maybe his brother could get him a job in the movie production industry...
It's far too easy for people to accept the recommendation to go barefoot, so it will never come from the podiatric community.
O.K., enough, I'm heading back to the pub.

So basically what you're saying is that we are incentivising health care professionals (in the main) based on identifying failures in the health care system i.e. telling us when we're already sick rather than incentivising them on sucesses i.e. a measure of the wellness they create.

Aside from the acute illnesses/injuries I'd agree. I have the same issue in my profession where people are measured on the negative outcomes i.e. industrial illness/injury rates and number of unintended environmental discharges, rather than on the input measure designed to stop those things happening.

The question is, how do we change the way in which we incentivise health professionals to prevent us getting sick or injured in the first place?
 
The initial premis of the HMO was based on such principles, but the same human nature that allowed traditional health care plans to be exploited by providers and patients alike quickly discovered the $ to be made by undertreating those in need who happened to be enrolled in "capitation" plans.
I practiced on a very large communal farm in the '70's, human nature corrupted the entire membership eventualy despite their original good intentions.
Because people will be people it becomes very important that you educate yourself as best you can in order to survive this world of misinformation and deceit.
Will big Pharma really change at all because of yesterday's decision?
 
I guess it would make an interesting comparison between the health outcomes and cost to the taxpayer (either in taxes or insurance) between the US model and those European models that are decried as being "socialistic".

One of the issues would be trying to prove the link between the input preventive measures and the reactive outcomes, especially over the longer term that some of the effects are felt
 
It gets really complicated. A country can do a good job taking care of it's people for basic preventive care, but what about the poor soul that did everything right and still needs coronary artery bypass graft surgery? That country can then send the patient overseas to the U.S, Europe, or anywhere else that advanced procedures like that are done routinely. But they would never have been able to support surgical training and teams like that without regular use . It was the overtreatment and lack of prevention that allowed those techniques to be perfected from the pioneering days onward, so that was a good thing in a way. Those suckers that smoked, ate, and lazed away their days while being insured by their union's bloated health care plan that eventualy killed the very industries they worked in financed the developement and advancement of the procedures.
Now the $ left over from a healthy population can go towards providing for that person that needs it.
I got no answers.
 
Now there's a nice one. Dr. Drew taking $275,000 for promoting Wellbutrin.
 

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