Watching Congress and the current person who occupies the White House is a lesson in schizophrenia. The financial meltdown was caused by the rules, regulations and laws passed by the Democrat Congress. The black ghettos were the result of welfare and Aid to Families with Dependent Children, (AFDC) passed by a Democrat Congress. The production of fatherless children in the ghetto was the result of AFDC. The tripling of the cost of health care in the USA was the result of Medicare, Medicaid, increases in medical school enrollment, increased fees to medical schools for similar care in community hospitals and the government mandated billing systems which arose from the Relative Value Units (RVU) and Current Procedure Terminology (CPT) manuals. This was also passed by the Democrat Congress.
In 1996 the Nobel prize winning economist, Milton Friedman, published an article in the Wall Street Journal. It compared private medical practice as described by Alexander Solzhenitsyn with the “universal free, public health service”. The relationship between doctor and patient was consensual and both were free to choose prior to “free” health care. The Doctor Oreschenkov in Solzhenitsyn’s The Cancer Ward is in conversation with Lyudmila Afanasyevna, herself a doctor in the cancer ward. They look at the world differently. Dr. O sees the warmth, intimacy and trust between doctor and patient as most important. Dr. A agrees. But Dr. A sees the “free” aspect of the medical care as a great triumph. Dr. O explains it is not free. Treatment is paid out of the state. The money taxed from workers is acquired by the state and redistributed. Medical care is depersonalized. Dr. O. asks, “What do patients come to the doctor for? For a certificate to be absent from work, for sick leave, for certification of an invalid’s pension; and the doctor’s job is to catch the frauds, Doctor and patient as enemies – is that medicine?”
The doctor no longer works for the patient. The doctor works for the state, which pays his salary. The doctor works for the HMO, which pays his salary. When the patient paid the doctor, there was no question of conflict of interest. Doctors, who are willing to remain in the post-health-care-reform-universe, are subject to fines if they provide “too much health care”. The conflict of interest is obvious, even to a socialist. According to many of the legislative restrictions in the Congressional bills, the 10% of doctors who refer “too often” to specialists or provide “too much” care will be fined. A physician who would practice under these circumstances is violating his oath and his duty to the patient. Physicians who are willing to practice under these circumstances should have their licenses revoked.
All will suffer who are not the elite. The elite will leave the USA to find competent care in India, or Israel or Thailand or the Grand Cayman Islands. Yes, Barack, Indian private-for-profit-health-care Narayana Hrudalaya is building a major hospital in the Cayman Islands to care for the Americans and Canadians. Initially the hospital will have 500 beds then scale up to 2000 beds. Americans and Canadians are anticipated to leave the northern hemisphere to escape the Inevitable Incompetence of government health care. Narayana plans to be accredited by the Joint Commission. Early morning discounted flights will bring patients to the Narayana hospital. No visa is required. Patients used to come to the USA for health care. They brought millions of dollars in foreign currency to the USA. Obamanation will destroy another export industry, weaken innovative medical and surgical advances and inhibit excellence in health care. It may be Congress and the president are just stupid but more likely schizophrenic.
The Congress and Obamanation want more of the above. If that does not fulfill the diagnosis of insanity, what does? This country is on the road to bankruptcy. History tells us that the best medicine for joblessness is business incentives. What does Congress the Obamanation do? They raise taxes, they penalize business, they create more entitlements and they increase the scope and size of government. One does not have to be a psychiatrist to make the proper diagnosis.
To accomplish the destruction of the American society Congress and the Obamanation have bribed, stolen, lied, fabricated, corrupted and practiced self-delusion. The diagnosis is clear. The treatment is removal of the irritants. No pill can stop the spread of this disease, only radical surgery is curative. A complete transformation of governments will help. The government must be reduced by half. Freedom must be restored. A kind of revolution must take place to restore sanity and freedom. Maybe the 15% of the population who pay more than 70% of the taxes in this country will either leave or refuse to pay anymore to the governments that have run amok.
Alternatively the USA will succumb to the same fate as the USSR. Starvation, alcoholism, rising infant mortality, bribery, diminished life expectancy, declining standard of living, gulags, murder and endless corruption were the result of the USSR. Are we on the way to USSA? One prays that does not happen here. History does not lie. Politicians do.
Milton Friedman, “A Way Out of Soviet-Style Health Care”, The Wall Street Journal, March 20-21, 2010, p A15
Jayashree Nandi, TNN, “Indian healthcare a part of the American Dream?” The Times of India, November 23, 2009 http://timesofindia.indiatimes.com/articleshow/5258425.cms
Saul William Seidman, MD, FACS, Inevitable Incompetence, Soaring Medical Costs, Dangerous Medical Care, available amazon.com
Saul William Seidman, MD, FACS, Trillion Dollar Scam, Exploding Health Care Fraud, available amazon.com