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Conceptual Framework

For many centuries, the intellectual leaders of the burgeoning global society, Nicolo Machiavelli, Adam Smith and Max Weber to name just a few, have seen democracy and all of its systems, from finance to healthcare, in economic terms: as a continuous, sometimes brutal competition between self-interested groups. The image is both frightening and appealing. We are frightened by its power – and the ability of the individual to lose his place within the system – and attracted by its possibility – the ability of the individual to win a new and better place within that same system.

But can a civilized society in an era of rapid and constant change allow one of its core systems, namely healthcare, to operate without any constant and shared reevaluation of its evolution and expect that system to continue to operate smoothly and efficiently? If yes, then how, at a time when the scientific understanding of the way that nature works and humankind is fabricated, is there also a crisis of massive proportions in the way we as humans deliver and use what we have invented?

The healthcare crisis is in delivery and not creativity; it is in manmade systems which, despite endless qualifications, reservations, and disclaimers to the contrary by the creators and regulators of those systems, are in many cases counter-productive to delivering high-quality and affordable healthcare.

Without the required sector-wide evaluation, the “self-interested group” within the healthcare continuum, precisely because it sees itself as only that, will fail to see the broader faults within that system and therefore will not be able to contribute to its long-term preservation. In summary, if the current health system continues without a fundamental reevaluation of its structures, it will collapse or be radically reorganized along non-market principles in the coming decades.

It is therefore essential that all parties within the healthcare continuum understand what the other participants are up to and what they are thinking; it is in the interest of all sectors to understand the nature of the problem at hand. This does not however mean the abandonment of advocacy positions. Rather, it suggests that participants must mingle together with driven, but open minds.

GMF III presented solutions to the impending crisis from each of the major sectors’ viewpoints. While what is broken in the Western developed world is vastly different from that which afflicts the least developed countries, it would be dangerous to believe that healthcare and social problems are not globally linked together and that the successful resolution of medical problems in the developed world will not profoundly affect for the better the less fortunate of this world and vice-versa.

       
GMF III
 



From 22 to 24 March 2004, the Global Medical Forum Foundation met at the Centre for Global Dialogue in Zurich, Switzerland to discuss the healthcare crisis. 200 attendees from 31 countries attended.

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Day One, Morning
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