
e
water seeds already planted, knowing that they hold future promise."
Archbishop Oscar Romero wasn't referring to medical advances, but he
could have been describing health trends of today and your place in
the exciting world of healthcare. Discoveries from the past ten
years are propelling the world into a new era typified by genetics,
individual patient technology and a better understanding of wellness
and disease.
Big Business
2006 ushered in an impressive level of
healthcare spending. America's healthcare costs were estimated to be
about $6,300 per person in 2004. These expenditures are
projected to rise to about $12,300 per person by 2015. Well over
4 trillion dollars were spent by the middle of 2006 alone. The
U. S. Department of Labor estimates the growth in healthcare jobs will
outpace most others over the next ten years. Many authorities
predict continued shortages in the nursing and allied health workforce
coupled with a deficit in the number of physicians needed in Georgia
and throughout our country. That translates into job security
with remarkable wages and benefits for the future.
An Aging America
At age 50, Americans can
expect to live into their eighties - nine years longer than expected
if born in the year 1900. The U.S. population is rapidly graying
and the chronic health problems occur with aging will require continuing
evaluation, treatment and monitoring. 78 million Baby Boomers will
retire over
the next two decades. These will be medically-sophisticated people
expecting to stay healthier for longer than their parents. This will
create an enormous need for healthcare
workers in any field caring for older adults in America.
Culture
Healthcare
will need to balance the increasing diversity in America and its various
cultural values. Over the coming decade, the healthcare
community will actively
respond to changes in our societal landscape and the cultural needs
of the health system. An understanding of patients' medical
cultural values and multilingualism will be vital for effective and
safe patient communication and treatment. We’ll see Americans being asked to stop using
tobacco, eat better, undergo regular health evaluations and increase their exercise as alternatives to
higher healthcare premiums. Those who avoid lifestyles
contributing to poor health will be rewarded for their choices with
lower premiums and increased health insurance options.
Health Insurance and
Good Health
Approximately 45 million Americans do not
have health insurance. They consult a healthcare provider only when
sick. Many use emergency rooms for their health needs and
do
not have annual screenings like physicals and mammograms to promote
preventative health or find early problems before they become serious.
America is engaging in a fresh dialogue to ask if healthcare is a right
for all people and health policy experts are seeking new ways to provide
healthcare for the uninsured. In the private sector, health plans
are offering many menus and choices. Unlimited healthcare benefits
provided by employers are a thing of the past. How much insurance we
want will be based on what we can afford to pay. Wellness is rapidly
becoming a personal responsibility with a dollar value.
We'll
see Americans asked to stop using tobacco, eat better, undergo regular
health evaluations and increase their exercise as alternatives to higher health
insurance premiums. Those who avoid lifestyles contributing to poor
health will be rewarded for their choices with lower premiums and
increased health insurance options.
Genetic Medicine
Current treatments
are directed toward the treatment of symptoms, but not always by the root
cause of disease and illness. Discoveries from the Human Genome
Project and other explorations of human genetics will fundamentally change
the way medicine is practiced. Personalized treatments will result
from mapping patients' genetic information, permitting disease prevention
and precise choices of the most effective treatments for each individual.
Drugs will be designed to intervene earlier in the course of disease
and harmful drug side effects will be lessened or eliminated.
Genetic analysis of
cancer and detecting early growth will reveal molecular level information
and allow targeted treatment. Drugs will be individualized to the
patient's cancer cells' behavior and genetic makeup. We'll be able
to help our children prevent the emergence of some inherited medical
problems by early education and behavioral changes before they become
adults. The future holds the possibility for stem cell or other gene
treatments to prevent some inherited diseases.
Spirit and Science
Together
New evidence clearly
links the mind and body together. A worried mind has adverse health
effects. Emphasis will be placed on the spiritual aspects of
healthcare and how prayer, meditation and relaxation techniques blend with
traditional medicine. Cancer clinicians have long seen the use of
medicinal herbs, acupuncture, massage and other practices complement
recovery and patient well-being. More and more people will use
complementary and alternative medical approaches to stay healthy and treat
their medical problems.
Technology Drives Health
and Education
Healthcare and
health professions training are experiencing a technological revolution to
rival the discovery of antibiotics. The Internet is equalizing the
understanding of medicine between patients and those in healthcare.
Students around the world simultaneously learn and see distant procedures,
demonstrations or lectures. Consultations with clinicians overseas
will become commonplace via internet-conferencing. Robotic hands
already enhance prostate, heart, brain and other delicate surgeries
through tiny incisions with shorter recovery times and markedly increased
accuracy.
Surgeons can practice a procedure
as many times as needed with virtual reality programs, to assure competence
without the need for live patients. Other programs can simulate
adult and pediatric emergency situations or “flying” views
throughout the colon, brain or heart. The camera in a capsule is a
recent technological innovation. Electronic health records will
revolutionize information sharing and reduce medical errors. Soon
we'll carry cards or small computer chips containing our entire health
history. Say you're rafting down a north Georgia river when you're
knocked unconscious. By accessing your "history on a chip," the
hospital will obtain a list of your current medications, allergies and the
name and phone number of your physician back home.
Here are a few other innovations predicted
for the next several decades:
A new generation
of smart drugs and medical devices will improve our health
and overall physical performance. As an example, diabetics
will have sensors beneath their skin that control implanted
pumps containing insulin to keep blood sugars normal at all
times. Memory and mood will be enhanced with new
medications.
An
artificial pancreas (or other body component) grown outside the body will be implanted
to replicate or replace a failed body part.
Hospital patients will be
attached to sensors that will automatically perform over forty lab tests
without sticking veins repeatedly to collect blood.
Fewer surgeries will
be performed as genetic medicines, vaccines and other treatments
eliminate the need for some operations.
New
imaging technologies will delve deeper into our understanding of the
brain and quicker MRI scanners will allow virtual tours through hollow
body parts formerly reachable only by the insertion of fiber optic
scopes or catheters into the heart, colon and other deep body recesses.
"We water
seeds already planted, knowing that they hold future promise."
No one is as well prepared to take advantage of the changes taking place
in healthcare than you. Colleges and universities are looking for
students excited to explore new patient care models and innovative
technical solutions to the world's health problems. From technicians
and aides to physicians and nurses, there's a job waiting for anyone
interested in the health professions. The following pages are your
map to a satisfying future. Take a few moments and look around!