Health Care Delivery for Diabetes

To discuss diabetes in the context of the contemporary health-care debate is to invite profound disagreement over the priorities of health-care delivery. This is because diabetes can arise not only on account of organic dysfunction but also on account of a progressive, gradual deterioration of appropriate bodily functions. The nature of diabetes, as a chronic disease with more than one manifestation and course of development, implies that any commitment by a health-care infrastructure to treatment is likely to be complicated. To begin with, there are two types of diabetes. Type 1, as it is designate

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tments of emotion and psychology, not high technology, which rather increases than diminishes the strain. It seems clear that diabetes affects health-care delivery to the patient by the health-care system and in conjunction with individuals associated with the patient. Special problems attend a diagnosis of diabetes, which does not lend itself to the kind of heroic medical interventions associated with car accidents or even heart attacks. Instead, the anticipation of chronic, basically incurable illness as the individual's defining physical condition makes a different category of demands on patient, the patient's close associates, and health-care system alike. In human terms, chronic illness does not demand heroes but as it were concerned citizens who are in the project of delivering health care for the long haul. Such health care delivery belongs to a different exercise from performing, say, an appendectomy, and the results of the medical intervention into diabetes appear to be far less conclusive than for acute cases. Few support options are available either in institutional or community systems to families engaged in caregiving for the chronically ill. Indeed, according to Dittbrenner, a diagnosis of diabetes has the effect of
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Approximate Word count = 1724
Approximate Pages = 7 (250 words per page)

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