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Redeem Private Practice, Part I

Private practice medicine completely died, and harmful quackery with gross negligence and malice began

By Patrick Wagner, MD, October 1, 2025 3:47 pm

Charlie Kirk’s assassination was a callout to Christians to speak up courageously for what we believe. During my time as a general surgeon in Sacramento which encompassed about 25 years (including training and private practice) as well as four years of medical school beforehand, God was not spoken of!

However, during those post-training years, I personally grew Spiritually in my relationship with God through Jesus, and He watched over my practice and interactions with patients powerfully. Every morning before I walked into the operating room while scrubbing my hands looking through the glass windows and half-glassed closed door separating the scrub sinks from the operating room, with my patient anesthetized and the operating field being prepared, my prayers put it all in God’s hands.  Some days turned out rough, but I always held that “this person, this patient, is all that matters right now, and I am thankful that You gave me the opportunity to do this job, Lord, and I am going to perform it as perfectly as I can, and You are with me every step of the way”.

In the early years of my work with patients, some loved their doctors so much as to describe them as godlike. I believe it went to various doctors’ heads, so much so that they started to act godlike.

It was not appropriate to speak to my colleagues about my faith as a surgeon because many surgeons and internists were selfish, pathologically proud, and completely lacked humility; the ego-maniac. The acronym EGO here signifying Edging God Out.  So, the God dependent surgeon would be considered unfashionable and behind the times. The “standard of care” of the medical profession neglected talk of God and erroneously idolized academic prowess.    

Upon the completion of my ivory tower training (residency) at University of California, Davis (UCDMC) right into the secular private sector of medicine in Sacramento, I would occasionally see various of my prior teachers who were “stuck” at the mecca, and it became clear to me that academia had a big envy problem. They recognized that my income as a private practitioner far exceeded their salaries at UCDMC.  I didn’t lose my appreciation for all they taught me (along with the patients I worked with during my stint as a resident), but somehow envy made me their enemy. Additionally, my means of making a living changed from a salaried position as a resident (or a salaried academic teacher of surgery) to a self-employed entrepreneur as a community physician, an important feature academic physicians still do not recognize.  

Freedom in two aspects of my career rapidly developed. First was the responsibility to utilize what I learned as a resident, now relying on my “gut” in extracting disease out of patients, and second how to use money in real world business. As an independent and free jobber, the buck stops here!   

As time went on, more envy by academia drew more attention from California politicians and then an alliance between the two ensued. What this meant for the solo private practice clinician is that government/academia took full control of my medical license, my skills, and my clinical judgment, and the health insurance and pharma monopolies soon joined up with government/academia, and well, here we are, chaos, corruption, and collapse of our national fiscal discipline! 

Private practice medicine completely died, and harmful quackery with gross negligence and malice (ill-will) began. Ethical California physicians either conformed and joined up with outright evil, or they moved on and found another means of making a living.  By mingling with evil and acquiesce, doctors gave up their caring qualities and freedom, and ended up incompetent and clueless slaves, as you see them today. How well do you trust doctors? I sure don’t, and that should tell you something.

Regarding the bond between academia and big government, it amazes me when I look at and listen to folks like Obama and Governor Newsom and consider their envy for academic physicians and their respective egos!  They can’t get over themselves, reminiscent of the egomaniac godlike physicians described above. It’s highly contagious.

 Just think of how much more powerful Gavin Newsom thinks he is over the entire University of California education system. And that includes not only medicine, but liberal arts, ecology, computer science, political science, you name it.  I don’t think there is anything in this world Gavin Newsom believes isn’t under his control. Accordingly, he just cannot get over himself. He erroneously sees no purpose bigger than himself because he is habitually clueless and proud, and because self-assessment is beneath him. Thus, he is a self-idolized false god!  I believe he is very sick, and that’s not good for our health, is it? He’s just chewing up all our medical resources, and we shelter in place and quiver as he burns California to the ground! 

Based on my prior experience as a solo independent surgical contractor (also known as a small business owner) there is a MUCH BETTER WAY to conduct the business of medicine and surgery than we have now. You the patient and I the doctor are the “sovereign” (supreme power or authority) of our contract, or we should be! Furthermore, we Christians recognize and worship the Sovereign of everything and everyone, namely God. Thus, God truly owns us all!  And our country, the USA, is one nation under God, with many amazing rights endowed by our Magnificent and Matchless God to each one of us, including you. One of those rights is for patients and doctors to meet up and care for each other and affordably, comfortably, and safely get disease out of our bodies……WITHOUT GOVERNOR GAVIN NEWSOM’S GOVERNMENT INTERFERENCE!  Do you agree?

When I think back about the hospitals of not too long ago, I think of places of welcoming hospitality where devoted, kind, and gentle doctors and nurses quietly and calmly received suffering and sick strangers called patients and knew exactly what to do, no matter what the fuss. They offered up peaceful, powerful and affectionate care, and the environment was spic and span, highly professional, and safe. Patients healed up and got back to normal and got BACK TO WORK earning a living at whatever they loved to do. It was truly glorious.

In those days there were adequate numbers of doctors to care for all the patients in any community, including Sacramento. The doctors were highly satisfied with their incomes and loved their jobs. If you are skeptical of what I just said, as Charlie Kirk taught me, “Prove me wrong.”

Did you know that the population of California is close to 40 million? Did you know there are 80 Assembly members distributed over the 58 counties in California? This means that EACH assembly member represents 500,000 people!  There are 40 Senators in our State Legislature. And this means each Senator represents one million constituents! Do you think these worms deserve that amount of responsibility over our lives?  

Have you ever attempted to effect change in the laws of this state as a private citizen? Well, I have, and it is hopeless. Politicians do not care about your needs because it is impossible for them to even know what your needs are. They cannot connect with you. It is preposterous, fake, imitation, artificial “intelligencia.”  Moreover, it’s outright dangerous, because who is looking out for your best interest?  

So, when you recognize that your doctors are scapegoats doing the dirty work of your elected state officials, who themselves are not doctors, but rather quacks in humanitarian disguise, you can see the problems we have in the medical profession, firsthand. If you doubt me, just prove me wrong. Doctors do not care about your medical needs because they work for politicians. Politicians and lawyers lie! It’s their means of income. And that is not OK.

Private practice free enterprise medicine is capitalism; pure and simple.  Marxism (communism) is government run tyrannical enterprise medicine; dirty, complicated, corrupt and collapsing. You know what Charlie Kirk says about this problem? He says, “Big government sucks!”

Private practice doctors work one on one, one patient, one doctor at a time. The process is independent and the participants are very focused on the problem and how to pay for the service. Communist doctors work for politicians, one over many thousands of patients, completely insensitive to your and my medical needs. To put it simply, you live in a third world state, governed by a supermajority of pathetic losers who are not focused on you, but in how suck the Life, the Truth, and the Way completely out you, and it’s time for a change.   

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