The Libertarians (L)- "Let the Market Sort It Out"So, which are you?Characteristics of this psychologic construct include:
- Free market sunny optimism
- Faith in human nature, against all odds
- Competition will assure price controls
- Complete denial of the human frailty and greed
- Cynical about humanitarianism
Fairy Tale Believers (F)- "I'm not comfortable with anyone going without anything"Distrustful (D) - "No stick is big enough"
- Insist on fear-based appeasement: if you don't give them what they want, the peasants will come knocking at your door.
- Secret elitist belief that I'll get what I want anyway
- Infantile inflexibility to alternatives from their beliefs
- I'll-hold-my-breath-until-you-cry-uncle form of debate
- Discomfort with their own aggression or shadow side
- Politically activeCharacteristics of this psychologic construct include:Alfred E. Neumann (A) - "What Me Worry?"
- Aggrieved, victim mentality
- Some history of real inequities or being disenfranchised which colors all perceptions
- Safety first - no quality control will ever be enough
- Doctors are greedy and will work best a pernicious, punitive environment
- Group oversight is superior to individual oversight
- There can never be enough bean-counters
- Politically active - often protest marchersThis group never has health care issues until they do. Characteristics include:
- Immature, emotionally unmodulated
- Extreme anxiety/neediness in the hospital but complete denial when they hit the exit door.
- Discussions of doctor availability are of no relevance until they are pressing the nurse call button
- Politically inactive, rarely vote
To date, many doctors have lived in our own fairy land when it comes to health care policy. We have preferred to insist that human beings will think in a fair-minded, scientific, data-based manner. Who would have known that we should have had a psychology or marketing degree? Perhaps this is why the debate has become so divisive.
Unless we address these powerful, subliminal psychologies head-on, our influence on the larger social policies influencing health care delivery in the future will remain limited.