Fachgerechte Pflege: Vorbeugen oder reparieren?

Zur Einstimmung in das Thema Pflegequalität:
DasErste.de (Herbst 2010): Rückschau: Pflege-TÜV
und
Vergibt der MDK-Pflege-TÜV "Kuschelnoten?


Es gibt da ein recht passendes Gedicht, welches ich in den sechziger Jahren zum ersten mal las.
Der Inhalt ist einfach und klar:
Es geht um das Thema vorbeugen oder laufen lassen und später heilen, was man hätte vermeiden können.

Es war eine Klippe, hoch oben am Hügel.
Der Weg dort droben war schön, doch gefährlich.
Ein Herzog fiel dort schon herunter und auch so manch' Bauer.
Die Einen sagten: "Baut einen Zaun!" aber der Dorfrat, ja der war schlauer.
Er postierte eine Ambulanz drunten im Tal zu lindern der Gefall'nen die Qual . . . .

"The Dangerous Cliff."

or

"An Ambulance Down in the Valley."

'Twas a dangerous cliff, as they freely confessed,

though to walk near its crest was so pleasant;

But over its terrible edge there had slipped

a duke and many a peasant.

The people said something would have to be done,

but their projects did not at all tally.

Some said: "Put a fence 'round the edge of the cliff";

Some: "An Ambulance down in the valley."

The lament of the crowd was profound and was loud,

as their hearts overflowed with their pity;

But the cry for the ambulance carried the day

as it spread through the neighboring city.

A collection was made, to accumulate aid,

and the dwellers in highway and alley

gave dollars or cents - not to furnish a fence -

but an ambulance down in the valley.

"For the cliff is all right if you're careful," they said;

"And if folks ever slip and are dropping,

It isn't the slipping that hurts them so much

as the shock down below - when they're stopping."

So for years (we have heard), as these mishaps occurred,

quick forth would the rescuers sally,

to pick up the victims who fell from the cliff,

with the ambulance down in the valley.

Said one, to his peers, "It's a marvel to me

that you'd give so much greater attention

to repairing results than to curing the cause;

You had much better aim at prevention.

For the mischief, of course, should be stopped at its source,

come, neighbors and friends, let us rally.

It is far better sense to rely on a fence

than an ambulance down in the valley."

"He is wrong in his head," the majority said;

"He would end all our earnest endeavor.

He's a man who would shirk his responsible work,

but we will support it forever.

Aren't we picking up all, just as fast as they fall,

and giving them care liberally?

A superfluous fence is of no consequence,

if the ambulance works in the valley.

The story looks queer as we've written it here,

but things oft occur that are stranger;

More humane, we assert, than to succor the hurt

is the plan of removing the danger,

the best possible course is to safeguard the source;

Attend to things rationally.

Yes, build up the fence and let us dispense

with the ambulance down in the valley.

Dieses Gedicht stammt aus dem Jahre 1895 und wird Joseph Malins zugeschrieben.
Es gibt verschiedene Fassungen im Netz und in Büchern.
Die mir bekannte Fassung stammt aus meinem Lehrbuch am El Camino College (1962, Torrance, California).
Das Lehrbuch mit dem Titel "PSYCHOLOGY FOR A BETTER LIVING" wurde von Lyle Tussing geschrieben. 

In der folgenden Fassung sind die beiden letzten Verse stark verändert:
http://www.gw.edu/yfa/pdf/texts/the_ambulance_in_the_valley.pdf
.