Among the Mafia and some other groups, there's a strong cultural
drive to stay silent and never admit wrongdoing. This is part of a more
general reaction against organized authority and strong allegiance to
the group. In many cases, allegiance to smaller units is actually the
better way to organize. Often the large centralized organizations are
remote and uncaring, lacking local knowledge and with little commitment
to serving the community. The usual loyalty is to teams within the
central organization without direct interest in promoting service
standards. In the healthcare industry, we see this in the building of
large and impressive hospitals. The staff who work in these shining
towers of excellence are paid the highest salaries, they have the best
working conditions, and their status is supreme. In such a hierarchy, no
one wants to work in the community where the pay is significantly less
and the work of dealing with actual patients is far more demanding.
In other countries, the emphasis is on primary care in the community
with local groups of nurses and support staff led by dedicated teams of
general practitioners. Wherever possible, people are treated in their
homes. This avoids the need to build massive central hospitals. It also
treats the patients with individual dignity, strengthens the family
support networks, and helps maintain quality of life. Shipping every
patient off to a hospital strips them of their independence and turns
them from a person into a file number.
Yet there does remain a core problem. For all doctors and nurses
develop better relationships with the patients and their families, there
are still medical problems people prefer not to admit. Erectile dysfunction falls within the code of silence. This is ironic.
Cialis is a convenient and
effective treatment. More importantly, restoration of sexual activity
has a strongly beneficial effect on the quality of life within families.
Yet unless people ask for help, it cannot be given. The Cialis sits in
its bottle or blister pack, a victim of shame and embarrassment. The
only hope is for the men to buy online. That does maintain their
privacy.