The levels of medical preparedness

I was reading on another site about Tier 1, Tier 2, Tier 3, etc, and it got me to thinking about levels of preparedness.


I think it’s a good idea to not only define what we are preparing for, but also what level we are preparing to.  After some thought, here’s what I came up:


Level (Tier 1) — you want to reduce your visits to the doctor, increase your overall health, and be able to handle minor emergencies at home without having to run to the drugstore.  Medical services are fully operational and accessible.  Anything even remotely serious will be dealt with by your friendly doctor.  Mixing your own IV antibiotics at home?  Are you crazy?   Books:  American Medical Association Family Medical Guide, a family herbal


Level (Tier) 2 — Medical services are harder to come by.  Emergency services may be hours or days away.  Transport to a higher level of care is possible but difficult and/or expensive.  Doctor’s appointments may be weeks to months or longer.  Anything that can be handled at home, is, but serious problems are still sent out.  Think socialized medicine or no insurance.  Mixing your own IV antibiotics at home?  Um, no.  Serious problems still can be well handled by the hospitals, even though it may take awhile to get there.  Books:  Where there is no doctor


Level (Tier 3) — Medical services are scarce, and transport out, though possible, is very difficult and reserved for only the most serious cases.   Total economic collapse, EMP, civil war, pandemic.   Mixing your own IV antibiotics?  Probably not.  If he needs IV antibiotics, you’re still going to try to get him to a hospital.  Book:  Village Medical Manual


Level 4:  There is no transport out.  If you can’t do it at home or within your group, it doesn’t get done.  TEOTWAWKI.  Mixing your own IV antibiotics?  Well, he’s going to die without them, so if he’s important enough, you have enough of the supplies, and you are reasonably sure he will recover if he gets them, what’s there to lose?  Books:  Primary Surgery vols 1 & 2.  Primary Anasthesia.  War Surgery.


I think everyone should prep to at least Level 1.   People who call themselves prepping should be shooting for Level 2 or higher.


Writing it down like this has helped me to clarify things for myself.  I want to be fully prepped for one level and maybe starting on another, but not skipping randomly to Level 4 if I’m still working on Level 2, kwim?   I can better prioritize my preps this way, too.  It’s easy for me to get sucked into wanting the biggest, baddest tools and supplies I can get, but reality is that we will use Level 1 every year, Level 2 occasionally, and hopefully never be require to use Levels 3 & 4.  It makes sense, then, to begin prepping with the lower levels and move up only as there the lower levels are completed.


This is not to mean that you should spend a year prepping at each level, though that is certainly possible.  What I plan to do, is each month assess what I already have and what I would like to have.  Go in order of Level 1, Level 2, etc, until the budgeted money runs out.  There is no reason for me to have surgical implements if I don’t have means to get through the stomach flu, right?


About Marjorie Lang

I am co-creator of Wildwood Curriculum and passionate about making a Charlotte Mason homeschool accessible to everyone, regardless of religious or cultural beliefs. Follow me at
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