57 It will be much better for you if you had limited, simple, healthy, regular food every day for a whole year. Or better imagine that you are growing a palm tree in the desert that needs a regular water supply. Drop by drop, every day for many years to come it will slowly grow…
For neuronal connections to grow in the brain it is the same story. Exercises and stimulation are like drops of water. Given regularly and for a long time, they will bring fruits. Short-term flash flooding is not a good strategy. To find this optimum is especially difficult for private, for-profit healthcare businesses that sometimes treat patients with healthy financial resources. And again, it is not bad will on their side. They are simply trying to survive economically. And it is so difficult to say – we are not going to give you this therapy because it will not help you, if you (or someone else) is willing to pay for it anyway. So you will see therapy being given a long time after any real possibility to improve any function is already lost. And sometimes you will even find studies defying common sense, supporting this practice using the smoke-and-mirrors of statistical magical trickery. For the public non-profit sector, there is another important non-medical factor motivating delivery of unclearly justified interventions and activities. It is a political demand for jobs creation in a public healthcare system in rich countries with high unemployment rates. This factor might even increase with the advent of the Fourth Industrial Revolution. Nobody can really have many objections against it unless he finds some better solution. Rehabilitation of our less fortunate impaired fellow human beings is actually a great idea for spending time and resources, especially if one accounts for the spiritual benefits of this business. This is actually a reasonable way to find a useful occupation for people who may otherwise be idle. But again, certain restraints are needed. In fact, lesser demand for human work in other economic sectors will be balanced by increasing demand for healthcare services due to aging global populations in the future. So let’s expect that even in the future we will work in healthcare with limited resources and staffing and that’s why we have to avoid unnecessary treatment as much as we can. We will be wasting around 20% of our work anyway due to misjudgments and mistakes. It’s tricky and difficult to predict the variable natural history of a patient’s recovery and inevitable influence of strange natural laws as is the Pareto_principle 41 100% effect of any human activity is impossible to find anywhere and healthcare is no exception.