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David Zigmond - What's New


ARTICLES

 

[98] If we fast-track primary care, what do we lose? (2017)
Speedier access, diagnosis, treatment and despatch may seem like undeniable progress for our healthcare. Yet such benefits may come with a large, though less obvious, sacrifice.
(11 pp)

 [99] Prevention must always be better than cure, surely? The potential perfidy of our expanding pre-emptive regulation (2017)
To effectively forestall trouble we often need prescience, strength and boldness. Yet greater wisdom and probity sometimes comes, instead, from nuance, discrimination and restraint. A current example from healthcare and an elderly yet prophetic science fiction classic show us how and why.

(14pp)


[100] Collectivising the Personal. Seminal lessons from Bolshevism (2018)
There is a time-honoured principle and skill involved in all medical practice: we must be vigilant to those times when our interventions are making people ill, or iller. Ignoring this in public policy can cause exponential damage. Unlikely co-examples? The USSR ninety years ago and our contemporary NHS governance.
(11pp)

[100] Collectivising the Personal. Seminal lessons from Bolshevism (2018)
There is a time-honoured principle and skill involved in all medical practice: we must be vigilant to those times when our interventions are making people ill, or iller. Ignoring this in public policy can cause exponential damage. Unlikely co-examples? The USSR ninety years ago and our contemporary NHS governance.
(11pp)

[101] Pornography in High Places. Reflections on sex, calumny and human nature (2018)
Sometimes public accusations tell us, implicitly, more about the numerous accusers than the solitary accused. What does that mean? Here is one recent example, explored.

(9pp)

[102] When is deviation perversion? How do we assess real harm? Legality is often easier to define than wisdom (2018)
The unexpected often alerts us to the potentially malign. Defensive responses follow, often then blinding us to other possibilities. Here is a surgeon who stepped out of line. How did we respond? What did it mean?
(6pp)

 


[103] The Price We Pay for ‘Certainty’. An unseemly tale (2018)
Living in a world of ever-greater knowledge can bring us expectations that burden more than benefit us. There is always a price for dividends.
(4 pp)


[104] We Are Not Alone. The healing shadow of the other   (2018)
Apart from what we may do in healthcare, why and how else are we important for one another? Accounts from a recent illness and a colleagueial exchange explore.

(6 pp)

 

[105] Shame: healthcare’s unmeasurable undertows (2018)
Medical and mental healthcare have become increasingly transmitted by notions and language of the explicit, the designatory and the measurable. What happens to the rest of our humanity? Three vignettes from different decades illustrate.
(10pp)

[106] When nostalgia becomes prophecy: an omened vignette (2018)
Sometimes ‘minor’ historic observations tell us of very major changes we have undergone but not yet apprehended. Here is one.
(2pp)

[107] Industrialised HumanityHow may we best care for one another?
A dialogue between the Centre for Welfare Reform and Dr David Zigmond
(2018)
Massive advances in our technology – particularly IT – have made possible new forms of ‘evidence-based’ corporate management and industrialisation. These have frequently been linked to marketisation.

But such ‘advances’ are paralleled by growing distress and demoralisation throughout our welfare services. Why? What can we do about it?
(15pp)







LETTERS



[80] Our failing GP services need human sense as much as money
Letter to the Metro, March 2018

[79] The more regulations,the less intelligent sense
Letter to The Times, February 2018

[78] Safeguarding and the CQC
Letter to The Social Care Workforce, February 2018

[77] Medical neglect at Liverpool prison: what can we expect from marketised healthcare?
Letter to the Guardian, December 2017

[76]Goals and targets are rarely the best way to a better society
Letter to Daily Mail, December 2017

[75] NHS growing staffing problems: what about the rot and wastage?
Letter to the Independent, December 2017




Version: 10th September 2018


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