by EnergySpin » Tue 05 Jul 2005, 18:16:54
$this->bbcode_second_pass_quote('', 'O')ur public health care already has a crisis of a first order magnitude. Check out Betrayal of Trust: The Collapse of Global Public Health by Laurie Garrett. As we have slipped down the Energy Per Capita slope, we have massively cut spending on public health. Peak Oil will put a nail in the coffin of an already dying system. And given our population size/density and the rise of drug resistant bacteria... Things don't look good.
A simplistic explanation and PO most likely had nothing to do with it ... public health spending was reduced in response to
1) decreasing need for vaccinations and other goodies that were missing when the public health movement started (initiated in England in the mid 19th century). Many of the diseases that fueled the public health movement (i.e. variola and polio) were defeated leading to a decreasing social motive to continue with the movement. BTW variola vaccine and polio vaccine need no oil based input, they are live viruses and that's why the vaccination programs worked in Africa.
To throw an interesting piece of info, ancient Roman and Greek cities (and quite likely Babylon) did have sewage systems AND running water and none of the epidemics indigenous to Western Europe pro-industrial revolution. There was literally shit everywhere

leading to cholera etc
2) Free market apostles perceived it as a threat to another super dupper market. The market of hospitals, designer drugs etc. Note that if public health measures are implemented many of the killer diseases (not just infectious, things like diabetes, hypertension, many types of cancer) will see a drop in their impact in terms of morbility which translates to reduced income for the health care industry
3) Drug resistance does go down ... when antibiotic pressure is relieved. This is the basis of rotating hospital formularies (they work at least marginally which is BIG news when you deal with patients in the Intensive Care Unit). France which in the 80s had been an antibiotic resistance hell (bugs from hell etc) saw a drop in the resistance when they tightened the system. Alas ... when CDC warns us to do the same here ... we fail. My patients when I refuse antibiotics cause it is not necessary simply go the Emergency Department or go the Black Market (btw a pill of augmentin can be more expensive than tylenol #3 in the black market in the midwest)
So ... Peak will hit us ... but not everything under the sun is peak