SUMMARY Every nation should determine the future and the goals of public health inn protecting its population. As Western nations such as tobacco companies of the United States, Britain and others, are improving their gross national products, they are instead exporting a major public health burden to the Emerging nations�.mostly various kinds of cancer, especially �lung cancer� which has had a high toll of mortality to the populations of different nations of the world. The World Health Organization after decades and billions of dollars later lost the fight against Malaria. The world has surrendered to the disease. Nothing left in the world except old wives tales type of pseudo-preventative measures that does nothing except put the population in a form of false security. The fight not only lost, but the enemy has actually become stronger, and we have nothing to further combat it. it is a raging fire that onsumes without mercy. For many years, the drug of choice was Chloroquine or quinine. During the Korean war in the 1950�s, many troops of an African or Mediterranean ethnic origin have exhibited severe allergic reaction to quinine. There it was discontinued and only Chloroquine was used. After many decades of Chloroquine use and misuse of Chloroquine resistant strain of Malaria made its appearance on the scientific scene in Southeast Asia and later the African continent. To date there is no medication available for the resistant Malaria. The best we have is a prophylactic dose of Chloroquine prior to traveling to an endemic area. This is still an effective measure only in the Americas where the Malaria is still sensitive to chloroquine. The resistant stain has a very wide range. It has been observed as far east as Afghanistan and Kazakhstan, and as west as West Africa. The death rate is very high becauses of several common denominators. Most of these countries are over-populated, poor health care programs, no preventative programs, mostly illiterate population and most importantly, very poor economic status. These countries mostly rely on outside help from the industrialized nations or the United Nation health care arm (WHO). Consistent factors of all outside aid program, they are very costly, usually without previous careful long-rang impact studies, in most cases are very short lived. The result in most cases is disastrous; the needy country usually is left with a white elephant health care program that is a failure and cannot afford to maintain on their own either from a technical standpoint or form a financial shortage. For a long time we believed that more is bigger and better and the rest is history. Malnutrition further complicates the picture complicates the picture. In economically poor counties their people are not able to take the proper nutrients to sustain good status of health. The malnourishment affects the immune system which, as a result, renders the population of the endemic areas with higher propensity to contract Malaria and other diseases as well. These conditions combined results in the outcome of increased incidence of the disease and shorter life expectancy of the patients. Furthermore, the disease�s vector (Mosquito) has become more resistant to eradication efforts, and as a result, its range has become increasingly greater every year. For many years the spray methods of wetlands, stagnant pools, and slow flowing steams have proven useless. Yet these methods continue. Why? The answer is very simple; it is cheap, available, easily applied, and most importantly politically conveinient. But the reality is that these methods are a dismal failure; one only has to look at the numbers (increased incidence of Malaria and the increased range of the vector). Poor sanitary practice due to lack of education and the financial means to build water treatment facilities or even the ability to supply fresh clean water have contributed to the spread of the most preventable of diseases, Cholera disease caused by contamination of water sources by raw sewage. Yet in many third world counties, cholera is increasing in incidence and claiming more lives. It is clear that careful planning, research, and most of all, education are our best weapons against these deadly diseases. These measures are indeed slow in development, yet less costly, and in the long run are more effective.

SUMMARY Every nation should determine the future and the goals of public health inn protecting its population. As Western nations such as tobacco companies of the United States, Britain and others, are improving their gross national products, they are instead exporting a major public health burden to the Emerging nations�.mostly various kinds of cancer, especially �lung cancer� which has had a high toll of mortality to the populations of different nations of the world. The World Health Organization after decades and billions of dollars later lost the fight against Malaria. The world has surrendered to the disease. Nothing left in the world except old wives tales type of pseudo-preventative measures that does nothing except put the population in a form of false security. The fight not only lost, but the enemy has actually become stronger, and we have nothing to further combat it. it is a raging fire that onsumes without mercy. For many years, the drug of choice was Chloroquine or quinine. During the Korean war in the 1950�s, many troops of an African or Mediterranean ethnic origin have exhibited severe allergic reaction to quinine. There it was discontinued and only Chloroquine was used. After many decades of Chloroquine use and misuse of Chloroquine resistant strain of Malaria made its appearance on the scientific scene in Southeast Asia and later the African continent. To date there is no medication available for the resistant Malaria. The best we have is a prophylactic dose of Chloroquine prior to traveling to an endemic area. This is still an effective measure only in the Americas where the Malaria is still sensitive to chloroquine. The resistant stain has a very wide range. It has been observed as far east as Afghanistan and Kazakhstan, and as west as West Africa. The death rate is very high becauses of several common denominators. Most of these countries are over-populated, poor health care programs, no preventative programs, mostly illiterate population and most importantly, very poor economic status. These countries mostly rely on outside help from the industrialized nations or the United Nation health care arm (WHO). Consistent factors of all outside aid program, they are very costly, usually without previous careful long-rang impact studies, in most cases are very short lived. The result in most cases is disastrous; the needy country usually is left with a white elephant health care program that is a failure and cannot afford to maintain on their own either from a technical standpoint or form a financial shortage. For a long time we believed that more is bigger and better and the rest is history. Malnutrition further complicates the picture complicates the picture. In economically poor counties their people are not able to take the proper nutrients to sustain good status of health. The malnourishment affects the immune system which, as a result, renders the population of the endemic areas with higher propensity to contract Malaria and other diseases as well. These conditions combined results in the outcome of increased incidence of the disease and shorter life expectancy of the patients. Furthermore, the disease�s vector (Mosquito) has become more resistant to eradication efforts, and as a result, its range has become increasingly greater every year. For many years the spray methods of wetlands, stagnant pools, and slow flowing steams have proven useless. Yet these methods continue. Why? The answer is very simple; it is cheap, available, easily applied, and most importantly politically conveinient. But the reality is that these methods are a dismal failure; one only has to look at the numbers (increased incidence of Malaria and the increased range of the vector). Poor sanitary practice due to lack of education and the financial means to build water treatment facilities or even the ability to supply fresh clean water have contributed to the spread of the most preventable of diseases, Cholera disease caused by contamination of water sources by raw sewage. Yet in many third world counties, cholera is increasing in incidence and claiming more lives. It is clear that careful planning, research, and most of all, education are our best weapons against these deadly diseases. These measures are indeed slow in development, yet less costly, and in the long run are more effective.

This book was issued, in October 2010, in response to the demands of competent healthcare professionals who are keenly motivated to develop their career. It represents the experience of more than thirty years of practice in healthcare facilities in five middle east and gulf countries. The aim is to provide practical advice, exercise and an assessment tool to improve knowledge and expertise of healthcare professionals in the fascinating field of quality practice. The majority of the information is focused at real subjective situations encountered in every day practice. Every effort has been made to ensure that the information contained in this book is correct, but no liability can be accepted for any inaccuracies or mis-statements of fact contained herein and any feedback is very welcomed. I hope that you will find this book useful and enjoyable as well.

Emad Hammouda,Dipl. (Clin. Research), CPHQ,BCPP,CGP,BCPS,RPh
October, 2010

This book was issued, in October 2010, in response to the demands of competent healthcare professionals who are keenly motivated to develop their career. It represents the experience of more than thirty years of practice in healthcare facilities in five middle east and gulf countries. The aim is to provide practical advice, exercise and an assessment tool to improve knowledge and expertise of healthcare professionals in the fascinating field of quality practice. The majority of the information is focused at real subjective situations encountered in every day practice. Every effort has been made to ensure that the information contained in this book is correct, but no liability can be accepted for any inaccuracies or mis-statements of fact contained herein and any feedback is very welcomed. I hope that you will find this book useful and enjoyable as well.

Emad Hammouda,Dipl. (Clin. Research), CPHQ,BCPP,CGP,BCPS,RPh
October, 2010

Historical Firsts and Innovations in the Development of Healthcare are Presented. An Honest Review and Evaluation of our President’s Healthcare Reform is set forth. “America’s Hospital of the Future” is Presented, Featuring a Green “Healing” Environment Through the Use of Light, Space and Technology. The Huge Growth in the Number of Patients Expected and the Alarming Shortages of Doctors and Nurses are Reviewed and Necessary Expansion of Education Proposed. The Important role and Growth of Physician Assistants and Nurse Practitioners is Highlighted. The Importance of National Tort Reform Along With the Huge Advantages it offers Physicians, Patients, Healthcare and States are underscored. The Outlandish Executive Salaries, Huge Profits and Repeated Fines for Illegal Business Practices and Patient Abuses by Heath Insurance Payers, documented by National News Media and National Organizations Concerned with Healthcare in America are addressed. Alternative Options For Total Healthcare Reform are Proposed, Fulfilling all of our President’s Goals at Less Than Half the $1.083 Trillion Budgeted, While Including the Essential Education and Cost of an additional 91,500 Doctors and 712,000 Nurses by 2020, all with a Less Costly Payer System.

Historical Firsts and Innovations in the Development of Healthcare are Presented. An Honest Review and Evaluation of our President’s Healthcare Reform is set forth. “America’s Hospital of the Future” is Presented, Featuring a Green “Healing” Environment Through the Use of Light, Space and Technology. The Huge Growth in the Number of Patients Expected and the Alarming Shortages of Doctors and Nurses are Reviewed and Necessary Expansion of Education Proposed. The Important role and Growth of Physician Assistants and Nurse Practitioners is Highlighted. The Importance of National Tort Reform Along With the Huge Advantages it offers Physicians, Patients, Healthcare and States are underscored. The Outlandish Executive Salaries, Huge Profits and Repeated Fines for Illegal Business Practices and Patient Abuses by Heath Insurance Payers, documented by National News Media and National Organizations Concerned with Healthcare in America are addressed. Alternative Options For Total Healthcare Reform are Proposed, Fulfilling all of our President’s Goals at Less Than Half the $1.083 Trillion Budgeted, While Including the Essential Education and Cost of an additional 91,500 Doctors and 712,000 Nurses by 2020, all with a Less Costly Payer System.

Historical Firsts and Innovations in the Development of Healthcare are Presented. An Honest Review and Evaluation of our President’s Healthcare Reform is set forth. “America’s Hospital of the Future” is Presented, Featuring a Green “Healing” Environment Through the Use of Light, Space and Technology. The Huge Growth in the Number of Patients Expected and the Alarming Shortages of Doctors and Nurses are Reviewed and Necessary Expansion of Education Proposed. The Important role and Growth of Physician Assistants and Nurse Practitioners is Highlighted. The Importance of National Tort Reform Along With the Huge Advantages it offers Physicians, Patients, Healthcare and States are underscored. The Outlandish Executive Salaries, Huge Profits and Repeated Fines for Illegal Business Practices and Patient Abuses by Heath Insurance Payers, documented by National News Media and National Organizations Concerned with Healthcare in America are addressed. Alternative Options For Total Healthcare Reform are Proposed, Fulfilling all of our President’s Goals at Less Than Half the $1.083 Trillion Budgeted, While Including the Essential Education and Cost of an additional 91,500 Doctors and 712,000 Nurses by 2020, all with a Less Costly Payer System.

An in depth look at medical care around the world country by country with special emphasis on the players and the organization of health care in this country (us) and emphasis on the future as well as current problems. It discusses the financial as well as the potenti al professional problems associated with a very complicated mixture of a socialized system (medicare and medicaid) and a �for profit� insurance system that are costing the country twice per capita than any other country in the world . The book also reviews possible solutions and models for universal care that have been successfully applied in other countries such as Canada , and the United Kingdom.

An in depth look at medical care around the world country by country with special emphasis on the players and the organization of health care in this country (us) and emphasis on the future as well as current problems. It discusses the financial as well as the potenti al professional problems associated with a very complicated mixture of a socialized system (medicare and medicaid) and a �for profit� insurance system that are costing the country twice per capita than any other country in the world . The book also reviews possible solutions and models for universal care that have been successfully applied in other countries such as Canada , and the United Kingdom.

An in depth look at medical care around the world country by country with special emphasis on the players and the organization of health care in this country (us) and emphasis on the future as well as current problems. It discusses the financial as well as the potenti al professional problems associated with a very complicated mixture of a socialized system (medicare and medicaid) and a �for profit� insurance system that are costing the country twice per capita than any other country in the world . The book also reviews possible solutions and models for universal care that have been successfully applied in other countries such as Canada , and the United Kingdom.

Driven to the end of his rope, with no solution to the health care crisis in sight, Steve Westwood thinks he has found the perfect solution. Unfortunately, the Commonwealth of Virginia takes a different view. It does not think murder is the answer. It should be an open and shut case however Steve's attorney finds a twist. Follow what happens in a world where Sarah Palin is president and corporations call the shots.

Driven to the end of his rope, with no solution to the health care crisis in sight, Steve Westwood thinks he has found the perfect solution. Unfortunately, the Commonwealth of Virginia takes a different view. It does not think murder is the answer. It should be an open and shut case however Steve's attorney finds a twist. Follow what happens in a world where Sarah Palin is president and corporations call the shots.

Driven to the end of his rope, with no solution to the health care crisis in sight, Steve Westwood thinks he has found the perfect solution. Unfortunately, the Commonwealth of Virginia takes a different view. It does not think murder is the answer. It should be an open and shut case however Steve's attorney finds a twist. Follow what happens in a world where Sarah Palin is president and corporations call the shots.

Angel M. Garcia, M.D. gives readers an honest look from the inside into the health care system. Do No Harm: Saving our Health Care System reveals what is truly happening in the US health care system today. Dr. Garcia provides an engaging book that shows how fighting the establishment to defend patient’s rights can cause problems and hardships. The author provides insight and expert advice to patients, physicians, and lawmakers on changes that will enhance patient care, the patient-doctor relationship, and offer a drastic reduction in costs. Do No Harm outlines the problems that physicians and patients encounter, such as conflicts of interest, problems in reimbursements, primary care shortages, and the greed of health insurance companies. The book offers practical and realistic solutions. For more information on this book, log on to www.Xlibris.com.

Angel M. Garcia, M.D. gives readers an honest look from the inside into the health care system. Do No Harm: Saving our Health Care System reveals what is truly happening in the US health care system today. Dr. Garcia provides an engaging book that shows how fighting the establishment to defend patient’s rights can cause problems and hardships. The author provides insight and expert advice to patients, physicians, and lawmakers on changes that will enhance patient care, the patient-doctor relationship, and offer a drastic reduction in costs. Do No Harm outlines the problems that physicians and patients encounter, such as conflicts of interest, problems in reimbursements, primary care shortages, and the greed of health insurance companies. The book offers practical and realistic solutions. For more information on this book, log on to www.Xlibris.com.