We are Health Information Specialists, Consumer and Patient Advocates.   Since July of 2001, California Council of Service Advocates, Inc., is a grass-roots community-centered non-profit social welfare organization; organized under section 501(c)(4) of the Internal Revenue Code.  We have been on the front lines representing the disabled, elderly, working class, including professional individuals and their families, before State Agencies, Social Security Administration, including school Boards.

What we have learned about the health care delivery system and bureaucracy over the past 13 plus years, we wish to share some sobering insights that could one day save yours or your loved one's life, or quality of life.

As a consumer, certainly, there are so many goods and services that have literally "flooded the world market-place."  We find ourselves sifting through an ocean of products; many are "emotional driven" purchases.  However, when it comes to health care goods and services, we tend to "trust" the "system," and its army of professional workers to show or tell us what is necessary and what you can do without.  

Yet, we are  15 years into the twenty-first century.  Most of us, age 50 + are experiencing difficulty in keeping up with advancements in science, medicine and technology and the era of Big Data.  And the majority of us, in some or the other, is benefiting from technology advancements.  We are living longer.  But, living longer comes at a very big price.
Generally, at this juncture around age 50, chronic diseases begin to affect us to one degree or another. However,  with the advances in science and medicine, early detection, treatment and disease management, we are living longer.    

Growing and compounding problems on the horizon.  As a changing global society, commerce and people are constantly on the move.  People and commerce are almost free flowing about the globe;  importing and exporting goods, services, including global workers.  Diseases, pests, animals, and micro-organisms are being carried by its people (hosts), transport vehicles, ships and various carrier containers.

A great challenge to the U.S. health care system.    The ecological and public health effects of global trade comes with "hidden realities."  It happened in the 1980's; when greed soaked the Medicare - Medicaid fee-for-service,  reimbursement system.  Hospitals, physicians, Durable Medical Equipment providers (DME)  and professional ancillaries defrauded Medicare-Medicaid program.  Hospital corporations, doctors, and other providers paid big fines, and a select few went to prison.  Many of these criminal entities either closed down, went under a new name.  

Less money is being made.   All medical, hospital and ancillary services are more scrutinized by the government and private insurers.  Professional and Hospital Corporation's overhead costs are soaring.  So, these multinational corporations and USA based Professional and Hospital Corporations, have decided, to survive and thrive in an era of lean budgetary constraints; yet, increasing demand for services, they must, and they do, gobble up smaller regional and local Professional and Hospital Corporations.  With fewer facilities and treatment resources, and a greater demand for services, it does not take a "Robert Reich" or an "Adam Smith" to figure the result is a critical shortage,  of crisis proportion, is quickly looming upon us all, as a society; but, most importantly, the poor, lower-middle and middle class will be impacted far greater than  upper-middle-class people.   

The greatest demand for health care services:    "Baby Boomers."  Boomers born between 1948 - 1965, comprises the largest population group in the United States.   Physician Shortages, reaching a critical stage.  Medical Schools across the United States cannot meet the replacement demand, due to attrition of retired and soon-to-be-retiring physicians.  This is why, unless you are financially well-to-do, seven times out 10, your primary care practitioner will likely be a Nurse Practitioner, Physician Assistant, or if you are lucky, a Doctor of Osteopathic Medicine (D.O.), or a Foreign Medical Graduate (FMG). 

If you are working-class, middle-class, and even professional class, socially and economically, your choices of Physicians, Psychiatry, Psychology, other Professional Ancillary Services, out-patient care clinics and hospitals are perpetually shrinking.  This writer will "go- out-on- the -limb" and state, all we need in the  (U.S.) is another hurricane of   "Katrina-Rita" magnitude, followed by a nation-wide disease or virus pandemic will "implode" the U.S. Healthcare delivery system, as we know it, today.   Moreover, all economic indicators suggest that it could take nearly a decade to rebuild and recover the U.S. healthcare system to the pre-2014 level of inter-operability.

Simple planning and preparation tools; can and will,  positively impact how well you survive an automobile accident, medical treatment errors, quality of life when challenged by a chronic medical condition, interstate travel and abroad, and the fury of a natural or man-made disaster.

A Simple, but highly effective tool we are offering is the Travelers' Emergency Electronic Health Record. 

  1.  It comes with a (7) form pre-loaded health history template, stored on an USB flash drive media. 
  2. The device features a privacy sensitive, user-friendly instruction guided tutorial. 
  3. You record, update, save and retrieve only your essential health information and emergency contacts, without fully disclosing non-medical sensitive data about you.
  4. Your information is preserved on (.pdf) Portable Document File, which is universally recognized, and a pdf reader is downloadable and free from adobe.com.
  5. No passwords to store or remember, because your forms only ask for partial personal identifiers.
  6. The wearable device comes stamped with a "medical emergency alert" symbol on it; that's universally recognized by Emergency First Responders and health care personnel.

 STOP depending, relying upon and trusting health care facilities, doctors, insurers and governmental agencies with ensuring that your personal and family medical history is accurate, complete and immediately available when you will need it the most.  Because 8 times out of 10, it won't  be!