Medicina sostenible

Apenas existe un país desarrollado en el que la reforma de la asistencia sanitaria no haya pasado a ser como una enfermedad crónica de la medicina moderna: tan pronto como se aplican algunas reformas, suena la campana y comienza otro asalto. Los costos siguen aumentando, pero nada parece contener su aumento durante mucho tiempo.

¿Por qué? No cabe duda de que la política desempeña un papel al respecto, pero una razón más esencial es la propia naturaleza de la medicina moderna. La mayoría de los países desarrollados tienen un número y una proporción en aumento de personas de edad. Como los costos de la atención sanitaria a los mayores de 65 años son cuatro veces mayores, aproximadamente, que los de la prestada a los menores de 65 años, las sociedades envejecidas recurren en masa a los recursos médicos.

Esa situación se agrava con la constante introducción de nuevas (y, por lo general, más caras) tecnologías, junto con una demanda en aumento de atención sanitaria de la mayor calidad. Queremos más, esperamos más y expresamos quejas más airadas, si no lo obtenemos. Cuando sí que lo obtenemos, no tardamos en elevar el listón, al querer aún más.

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