I nostri sistemi sanitari non funzionano. I medici sono in grado di somministrare cure straordinarie (e costose), ma stanno perdendo di vista l’obiettivo principale: curare la gente. Il medico e scrittore Atul Gawande suggerisce di fare un passo indietro e guardare a nuovi modi di fare medicina, con meno “cowboy” solitari che fanno tutto da sé e più squadre coordinate.
Atul Gawande: A general and endocrine surgeon at Brigham and Women’s Hospital in Boston, Atul Gawande is also a staff writer at The New Yorker who’s changing the way we think about best practices in medicine (and, necessarily, about the state of the US healthcare system). In 1996 Gawande wrote his first piece for Slate, an analysis of the then-controversial illness known as Gulf War Syndrome. At The New Yorker, he turned in a shocking June 2009 piece, “The Cost Conundrum,” about McAllen, Texas, the town with the second most expensive health-care market in the U.S., taking on America’s high-cost low-quality healthcare system. (The piece was cited by President Obama during his campaign for healthcare reform.)
Gawande approaches medicine with a personal outlook, emphasizing the importance of a doctor’s intention and reliability, and urging doctors to make small changes to improve performance. In his most recent book, The Checklist Manifesto, Gawande shows how even a simple five-point checklist can decrease up to two-thirds of ICU infections. He suggests that as modern medicine — and indeed, the modern world — becomes increasingly complex, we should respond with ever-simpler measures.