I was shocked to see that the priorities of the American Pharmacists Association have had so little to do with improvement of pharmacists’ working conditions. I was shocked to see that so many drugs have only marginally more effectiveness than a placebo. I was shocked that the placebo effect is such a significant factor in the effectiveness of so many drugs. This focus completely ignores the social, cultural, economic, political, psychological and dietary/nutritional factors that are so important in the causation of human illness.ĥ. I was shocked to see the mechanistic and reductionistic focus of modern medicine on molecules and cells. I was shocked to learn that while disease prevention and health maintenance get plenty of lip service, in the real world our healthcare system is all about disease maintenance: Patients are fodder for the ravening maw of the medical mega-machine.Ĥ. I was shocked to learn that our healthcare system has so little to do with health. Genetic, viral, and radiation factors may cause the rest.” Where is the health in healthcare?ģ. These factors include smoking diet and exposure to sunlight, chemicals, and drugs. 2591-2592) essentially states that up to 90% of cancer is preventable: “ Environmental or nutritional factors probably account for up to 90% of human cancers. I was shocked to see that our healthcare system gives priority to treating cancer rather than preventing it. 984) says that most cases of hypertension and type 2 diabetes are preventable: “Thus weight reduction will lower the BP of most hypertensives, often to normal levels, and will allow 75% of type 2 diabetics to discontinue medication.” Ninety percent of diabetics have diagnoses that fall under the heading of type 2.Ģ. I was shocked to see that our healthcare system prefers to throw pills at people with elevated blood pressure, elevated blood sugar (type 2 diabetes), elevated cholesterol, and other diseases of modern civilization rather than aggressively focus on a diet of whole, nonprocessed foods, lifestyle change, and weight loss. Please write and tell me.) Pills rather than preventionġ. What would yours look like? (This is not a rhetorical question. Here’s my list of what shocked me the most.
What about you? Did you graduate from pharmacy school with noble ideas about promoting health? Did you find yourself becoming more skeptical, the more you experienced the real world? Then, in the real world, they are immediately confronted with the realization that the only thing that matters is how fast they fill prescriptions. How wrong I was! The culture shock between pharmacy school and the real world is mind-boggling.ĭennis Miller, RPhStudents graduate with egos that professors have built to stratospheric levels and with a belief that they are God’s gift to our healthcare system. I assumed that pharmacy school would largely reflect the real world.
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