Zero Disease

скачать книгу бесплатно

Zero Disease
Angelo Barbato

Angelo Barbato

ZERO DESEASE

Original title: Malattia zero

Translated by: Clarissa Cassels

Publisher: Tektime

ZERO DISEASE

The birth of the health collaborative model (Commons).

The birth of digital networks for health (Health Smart Grid Digital).

Author: Angelo Barbato MD angelo.barbato@gmail.com

Doctor of Hygiene and Preventive Medicine Specialist and Specializing in Cardiology. Expert in Public and Private Health. He has worked in the Health Management of Italian health organizations, military and civil covering clinical positions, Chief of Health Director of Public Hospital, Chief of Health Director in Local Health Authority, Chief of DATA Management and Chief of ICT Management. He is coordinator of the Technical Board "Disease Zero and Sustainable Health" of CETRI-TIRES Third Industrial Revolution European Society, inspired by the economic ideas of Jeremy Rifkin.

Index

Presentation 1 (#ulink_94e3bba2-13a1-55b2-ad20-0fd6216e89f5)

Contributions 3 (#ulink_972049a8-6de5-572f-b8c0-f8d8c08a107c)

Foreword by Angelo Consoli – The Health Communities 7 (#ulink_b94cf9b4-d17c-5d16-b93c-d7b15ed1d1b0)

1. The wellness and health management in the ideological framework of Jeremy Rifkin 13 (#ulink_347d9fe5-8872-59e5-8f3e-25ec54c64919)

2. Historical evolution of healthcare assistance 27 (#ulink_4a808647-ddb0-596d-9325-b832dd29215c)

2.1 From Hippocrates to the discovery of antibiotics 27 (#ulink_b0b9a157-c0b9-550b-b985-8fe766273bb2)

2.2. The healthcare systems: public (welfare state and Beveridge) and private (Bismark) 33 (#ulink_af10ac5e-1c5d-5568-b775-4fba58fde241)

2.3 The metaphor of the pendulum 47 (#litres_trial_promo)

2.4 Donald Trump and “deregulation” even in health 51 (#litres_trial_promo)

2.5 A new model on the horizon: the Commons of health 53 (#litres_trial_promo)

3. The medicine initiative in the territory: prevention and chronicity 57 (#litres_trial_promo)

4. The acute ill and first aid 61 (#litres_trial_promo)

5. Prevention 67 (#litres_trial_promo)

5.1 Introduction 67 (#litres_trial_promo)

5.2 The determinants of health 71 (#litres_trial_promo)

5.3 The determinants of social and economic integration and social welfare 75 (#litres_trial_promo)

5.4 Lifestyles 79 (#litres_trial_promo)

5.5 Physical activity 81 (#litres_trial_promo)

5.6 The prevention of chronic degenerative diseases through nutrition 87 (#litres_trial_promo)

5.7 Cardiovascular and oncological risks 105 (#litres_trial_promo)

5.8 Psychiatric Risk 109 (#litres_trial_promo)

5.9 Genetic Risk 111 (#litres_trial_promo)

5.10 Dentistry risk and zero cavity 117 (#litres_trial_promo)

6. The paradigm of communication and doctor Google 123 (#litres_trial_promo)

7. New communication frontiers in health 129 (#litres_trial_promo)

7.1 Fitness bracelets and wearable devices 129 (#litres_trial_promo)

7.2 Telemedicine 135 (#litres_trial_promo)

8. Health care orientated by the patient 137 (#litres_trial_promo)

9. The democratization of health 145 (#litres_trial_promo)

10. The new community care in Italian public 151 (#litres_trial_promo)

11. Digital technology in surgery 171 (#litres_trial_promo)

12. The new paradigm in health care: the health Commons and crowdfunding 175 (#litres_trial_promo)

13. Goals and indicators of Zero Disease 181 (#litres_trial_promo)

14. From Rifkin’s 3 paradigms to Zero Disease 3 paradigms 187 (#litres_trial_promo)

Presentation

The book stems from the desire of the authors to disseminate tools and transformation of models in health care, inspired by Jeremy Rifkin’s theory 'Zero Marginal Cost'.

The ambitious attempt to make an accessible and usable participative model of health, illness and treatment, meets the need of the human being to recover the relationship with himself and with the world around him. The environmental, economic, social and technological should be geared towards preserving the human being and the environment he lives in. The inevitable repercussions on health will become increasingly avoidable using the new paradigm of communication, through conscientious choices and the essential support of the internet. The transition from a Hierarchical and Structured Medicine to a Capillary and Distributed one sees the human being involved in the role of being responsible for himself. The health-oriented community will be the arrival point, not only a start, and a social duty prior to being a fundamental right.

This probably represents a visionary shift which, in the words of our intellectual reference "It's Already Happening".

Contributions

Thank you to the following professionals for their contribution:

➔ Bruno Corda, MD

Doctor, Specialized in Emergency and First Aid Surgery, Hygiene and Preventive Medicine. Already a Family Doctor, Director of Prevention Department, Director of Public Hygiene and Health Service. President of the Italian Society of Hygiene- Lazio Section. Master Degree CORGESAN and EMMAS in Health Management. Technical Table “Zero Disease and Sustainable Health” of CETRI-TIRES - Third Industrial Revolution European Society, inspired by the economic ideas of Jeremy Rifkin. bruno_corda@alice.it (mailto:bruno_corda@alice.it)

A special thanks to Bruno Corda for having introduced me to the studies of Jeremy Rifkin.

Angelo Barbato

➔ Angela Meggiolaro, MD

Specialized Doctor in the Department of Hygiene and Infectious Disease Department of Sapienza, University of Rome. Epidemiologic and Health Economy Field experience. Author of textbooks and Scientific Publications in the Field of Public Health and Medicine of the Territory. Technical Table “Zero Disease and Sustainable Health” of CETRI-TIRES - Third Industrial Revolution European Society, inspired by the economic ideas of Jeremy Rifkin. angela.meggiolaro@gmail.com (mailto:angela.meggiolaro@gmail.com)

➔ Dr. Angelo Consoli

Director of the European Office of Jeremy Rifkin

President of CETRI-TIRES (Third Industrial Revolution European Society)

Co-Author with Livio de Santoli of the Manifesto-book “Zero Zone”.

➔ Francesca Mirabelli, MD Ph.D

Specialist in Cardiology

Ph.D in Biomedical technology in clinical medicine

Second level Master Degree in Imaging diagnostic cardiology

ASL Rome 1. francesca.mirabelli78@gmail.com

➔ Alessandro Anselmo, MD Ph.D

Specialist in General Surgery

Ph.D in Surgical pathophysiology

Ph.D in Organ Transplants

Second level Master Degree in Organ Transplants

Fellow of the European Board of Surgery

Medical Executive - UOC Transplant Surgery - PTV Foundation- Rome

➔ Antonio Magi, MD

Doctor Specialist in Radiology

Health Past-Director IV District ASL Rome A

➔ Dr. Roberto Del Gaudio

Personal Trainer Master 3° level federal FIPE CONI and Jurist

roberto.del.gaudio2@gmail.com

➔ Dr. Antonina Fazio

Biologist-Nutritionist Specialized in Clinical Pathology afazio2002@hotmail.com

➔ Dr. Eloisa Fioravanti

Degree in Arts and Dentistry fioravelo@gmail.com

Translated by Clarissa A. Cassels

Degree in European Studies at Maastricht University

Translator and interpreter, massage therapist and travel blogger on www.piglinaround.com (http://www.piglinaround.com/)

Foreword by Angelo Consoli – The Health Communities

The Third Industrial Revolution is not only a change from a centralized, top-down energy/economic model towards a distributive and interactive one.

The Third Industrial Revolution is also and mostly a paradigmatic shift for the human race.

An epical passage from an individualistic and utilitarian lifestyle to a biospheric and empathic one. In a society in which the marginal cost of production and distribution of goods and services is closer and closer to zero, where information, objects, ideas, services and people travel at infinitesimal costs compared to a hundred years ago, and in timeframes then unimaginable; the human genre is emerging from an economy of scarcity, entering a sustainable system of abundance. An economy in which its activity will no longer develop according to the canons and standards of the traditional market economy based on profit, but according to canons and standards of a social economy based on collaborative Commons.

Jeremy Rifkin lucidly describes Energy Commons as composed of millions of prosumers (both producers and consumers) able to generate almost all their green energy needs at a marginal cost close to nothing , the Commons of Logistics able to project, print and distribute goods and services at almost null marginal costs, and the Commons of Health, Education and Culture able to guarantee scholastic, health and cultural services of same condition; or Mobility Commons for the movement of humans in increasingly sustainable, efficient and economic ways.

The new generations are projected beyond the capitalist market and the centralized, hierarchical, closed, patriarchal, property-tied model towards a distributed model, which is collaborative, open, transparent, equal and empathic.

It is what Rifkin calls power on a lateral scale, or “Lateral Power”.

Today’s youth, linked together in a virtual sphere (by social networks through which information travels with abundance and freely) and in a physical space (thanks to low cost flights, unimaginable ten years ago, or faster and more efficient metropolitan transport lines), “are rapidly getting rid of the remaining ideological cultural and commercial ties that have long been separating the “mine” from the “yours”, in the frame of a capitalistic system characterized by relationships of private property, market exchanges and national borders. “Open Source” has become the mantra of a generation that sees power relations in a completely new way compared to their parents and grandparents who have lived in a world dominated by geopolitics.” (cit. Jeremy Rifkin, Society at Zero Marginal Cost, pag. 429-430)

In a new empathic civilization profoundly integrated in the biosphere community, all our natural resources will become shared patrimony and the way that they are used will become everyone’s business.Even the planning of urban spaces, be it industrial or rural, will not be an exception to this rule.

The construction of large industrial and infrastructure installation networks of the third millennium and the third industrial revolution cannot therefore continue to proceed according to the dissipative and unsustainable canons of the fossil era. Networks were built in disregard of the principles of efficiency, space optimization of urban and rural spaces were ravaged repeatedly and savagely for the construction of tens of thousands of power lines, pipelines, cable ducts, aqueducts, road infrastructure, electronic networks and lighting networks.

In the collaborative Commons idea, the internet of things offers new and unreleased possibilities of “doing more with less” (the principle of energetic efficiency affirmed by the European Union) taking advantage of the existing networks and enriching them with new functions, useful to expand the sharing economy and empathy among human beings.

The collaborative Commons is based on the idea that the thermodynamic laws cannot be ignored, minimized, avoided or violated. The first law of thermodynamics clearly tells us that nothing is destroyed but everything is transformed. Therefore, burning an object to close the waste cycle does not at all entail its elimination or freedom from it, but simply having changed its state, from solid to gas and making it even more dangerous not only for the environment but also for human health. All the energy of the second industrial revolution is based on the violation of the laws of thermodynamics. The combustion of a fuel to bring about propulsion or the turning of turbines is a thermodynamic folly with lethal consequences to human health. Changing the paradigm from the fossil cycle to the solar cycle, therefore entails activating a new, less harmful economy, consequently more in line with an illness prevention policy and closer to the objective of zero disease.

The Third Industrial Revolution is creating healthier and cleaner societies, an agriculture without pesticides or genetically modified organisms (GMO), a distributed industry instead of one centralized on very reduced emissions. On the contrary, continuing with the vertical logic will inevitably produce health pollution as an effect of soil, water and waste landfills contamination and the poisoning of air by incinerators.