``So, where do you go from here? Give up on medicine? Or reform it? If the latter, criticisms had better be concrete & discriminating -- instead of abstract & all-encompassing -- with suggestions for better practices...'' Yoshie
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The direct answer is you recruit doctors and para-medical professions into community based projects run for and by whatever people identify themselves as forming that particular community: disabled, mentally ill, ex-offenders, whatever.
They all have medical needs that are specific to their own self-identified community and many of these are particularly under-represented, poorly known, badly taught or completely ignored in medical school curriculums and by the medical community at large.
This doesn't mean re-defining already well defined communities, back into some medical model or therapeutic regime, i.e. curing them of their condition. It means servicing whatever medical needs are identified as such by the particular community.
This is the whole point to forming community based services organizations who will carry out their own agendas in the first place. That is, the community itself identifies its own needs and solutions and then advocates for the necessary resources to do so.
Chuck Grimes