Tuesday, August 25, 2009



There is a world of difference between the concept of American Health Care Reform and the larger concept of American Medical Architecture.

Within the parameters of health care reform exists the arena of financial and legal experts who are seemingly qualified to look at the management of an existing American medical system and apply new managerial vision to existing managerial principles.

Those that are involved in this arena of managerial vision have credential after credential to justify the application of their new managerial vision to existing managerial principles. As they have lived and worked in the American healthcare industry all of their lives, they are in many ways, fully capable of understanding the complexity of issues surrounding the concept of universal American health care and within that capability, can easily draw professional conclusions regarding the future affordability potential implied when terms such as universal American healthcare are discussed.

These people surround themselves with truly humanitarian and compassionate financial and legal friends who are truly committed if not altogether obsessed with finding a solution to a national problem that has vexed our collective American social consciousness for several decades. Within their ranks, within their professional surroundings and collective legalistic and financial backdrop however is not necessarily a unifying industrial blueprint that fully integrates America’s medical industries with the rest of the industries in our United States that must in all certainty be included into this discussion before any form of universal American health care can ever even begin to be realized. While these folks are making a truly sound humanitarian point and in turn benchmarking that point with legal framework and financial architecture, in the process of doing so, they are most certainly not defining the broader and much more inclusive industrial architecture that must also be included.

As I have entitled this essay “American Medical Architecture”, I have done so quite deliberately. While the word “American” in this title implies our larger national need for universal medical coverage and the word “Medical” acknowledges the fact that each and every one of us as Americans must have the care only medical professionals can give us, the term “Architecture” implies that if universal medical care is to be realized, a universal American architectural paradigm as opposed to an isolated legal or financial medical paradigm must first be established.

In other words, as much as virtually every one of us in our America here in 2009 are deeply concerned with the assurance that our medical needs are met by the medical industry we rely upon, the complexity of those concerns spills over into the much greater concern we as Americans have to fully reindustrialize and re-capitalize our nation. In as much as our nation’s remarkably brilliant and compassionate army of medical care givers are truly and honestly over tasking themselves to death for the singular purpose of telling their patients that they understand the complexity of both their medical and financial needs, the old adage of “no man is an island” most certainly applies.

Simply put, a doctor is a doctor. Within the complexity of our nation’s emerging 21st century green industrial economy however, a doctor could just as easily be a master chef or a master electrician or an inventor of new technological procedures that take place within the chef’s kitchen or the electricians main control panel with the end result being the sustainable enhancement of the physical lives of patients who seek out doctors for their medical as well as industrial expertise. Within this complexity therefore, lies the blueprint for diversifying our medical industry while at the same time diversifying virtually every other industry that employs forward thinking, well educated craftsmen and women.

Having said this, within an American Medical Architectural paradigm is the much larger paradigm of building homes for people who if they lived in medically sustainable personal environments, would not have to go to the doctor’s office or the hospital for treatment of environmentally inflicted illnesses. If they were not heading to doctor’s offices and hospitals for medical treatment, what would be the point of having doctor’s offices and hospitals any longer?

An architectural paradigm is identical to a medical paradigm as these are both identical to a financial paradigm. If a culture changes due to the collective absorption of new information, all institutions must also change to reflect that absorption.

The collective failure we in America are experiencing today is therefore, a direct result of the fact that we have failed to absorb.


We as Americans simply have a job to do in our 21st green industrial century. We are not going to have national health care until we have national consciousness. We are not going to have national employment until we have national re-industrialization. We are not going to have sustainable personal investment portfolios if we cannot go into our doctor’s office and listen to the man or woman with the stethoscope hung loosely around his or hers truly human and loving neck talk to us not only about our heartbeat, but our nutritional needs and the designs of our kitchens and gardens, solar collectors and wind turbines, our rain barrels, organic water filtration technologies and our personal hand held showers.

When we as Americans truly cut to the chase and realize the actual potential we have to define a true and accurate 21st century American Medical Architectural Paradigm, perhaps things will change. Until then or before that change can take place health care must be taken out of the “Golden Institutionalized Realm Of Arrogance” it has placed itself in. Within this new paradigm our medical community will have the freedom to reestablish itself or realign itself with its’ historic purpose and function. Plain and simple, the function of doctoring exists solely in the realm and consciousness of a service industry and not at all in the realm of a self ordained, self-protected financial and legal empire that is closed to the very people who need doctoring

Keep a smile!

But talk to your doctor before you do so. As he’s probably a nice guy and she’s probably a nice gal, it might be in your best interest to ask them if they know how to cook before you ask them about your hunger pains.

And, don’t forget to leave a tip. A zucchini would suffice as would a basket of organically grown tomatoes.

M. Patrick Dahlke

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