"Medicine is a business"

I read somewhere in the net where a German physician stating that, in his own words; "Medizin ist ein Geschäft". In plain English, it means that medicine is where a lot of money is and can be made or simply put medicine is a business. Part of me also believe that medicine is some sort of business where medicine can be seen in this business homologous:

Medicine Vs Business

Health system/governance <-> Company

Providers/care giver <-> Worker/human resources

Health care services/drug <-> Products/sales

Financing <-> Money

From this point of view, we actually can medicine can really works as a money with money oriented goal. If all health system in this world operate in such business-oriented mechanism, it will definitely will eliminate all of the true objectives[Tour d'horizon] of health system.  All that matters in business, is money, money and money. All health care services will be based on fee-for-service trade, which will generate even more money. Even in some conspiracy theory think that US are actually withholding cure for cancer to earn money from the pharmaceutical sales of chemotherapy which is used comprehensively in the treatment of most of cancers. Business-oriented health care system jeopardizes all the community health needs and reduces services delivery quality.

Hence, a well-structured and organized health care system need to be governed so that the latter situations will never happened. For this, we need great leadership can lead and governed health care system to reach its aims. It does not matter if a country decides to use either centralized or decentralized health system governance. Both of them have their own pros and cons.

"Decentralization does not mean a lack of accountability in resource management, nor that central government should opt out of planning and monitoring. It should be designed to increase accountability and should give central government and ministries a new role, focusing on overall regulation and monitoring." - Page 91 of The World Health Report 2000, Health System : Improving Performance

Secondly, provider and care givers is also an important input toward definitive health system. Human resources trainings will produces high quality medical and non medical staffs which will define the quality and effectiveness of care services given to the patients. These highly trained and skilled care provider also need to be distributed equally to all regions in order to the delivery of care reaching out to the community. All these can be easily achieved by leadership and well-governance health system.

Lastly, money. Apparently money is not that evil after all, money can be our friend instead of foe if we treat it cautiously.  We need money to run all the policies and technologies needed to achieve our goal. Financial status of a health system greatly determine the smooth running of all that have been mentioned here.