The Standard of Care in Medicine

Proverbs 22:16  He who gains by oppressing the poor or by bribing the rich shall end in poverty.

Back when I was a surgeon in practice, physicians assessed their own independent performance and compared it to the “standard of care for the community of Sacramento.” And that was a pretty high standard. In those days collegiality was a powerful and valuable weapon against disease and a special ingredient of successful treatment.

At the same time, the patients we served demanded the highest standard of care possible. It’s common sense. If you go to a surgeon and he or she does a bad job, you are going to sue him or her for malpractice, correct? And that doctor’s good reputation going into the procedure is now irrelevant after the fact.

The standard is artificially elevated by the sensationalism of medical tort.  The job of the ambulance chasing malpractice lawyer is made easy by the highly paid crook physician called an “expert witness.” These pseudo-physicians, which are bottom feeders, and who don’t really like patients (otherwise they would be treating patients), are paid very well for their Judas type work. It’s a highly profitable business for the thief lawyer, the turncoat MD, and the toxic news outlet that gets the word out there.

Some time ago I ran across a simple definition for the word character that really pays off when one pursues a career in anything, especially in medicine and surgery.  Character is doing the right thing even when nobody is watching. I would add to that, especially when nobody is watching. A person can get into big trouble. One’s conscience can be brutal at a time when nobody is watching, and that deflates the ego of the physician and his or her self-confidence, making them resentful, spiteful, and bitter. Conscience is an inherent quality in ethical physicians, and patients rapidly pick up on perturbations of this fundamental trait. 

The reward for a surgeon is two-pronged. One reward is monetary, and the other is Spiritual or gratifying and is also called goodwill. Both are exceedingly important for the success of the thriving doctor, and both are strongly motivating. If either is lacking, the doctor becomes a dud. If both are lacking, the doctor is a zero. A cheerful and good doctor makes a good living doing something he or she loves to do, which is helping save lives and optimizing medical health for those they serve.  It’s serious, highly ethical, and great business.

Most people don’t believe me when I say that doctors have been “progressively” docked in their income for many years now by the payer of their wages in the world of socialized medicine. They say that doctors drive nice cars, are arrogant, and get paid off by ordering expensive tests, operations, and drugs that pad their bank accounts. Doctors are quacks!

But the truth is that monetary reward for the physician is wholly unsatisfactory. I am proof positive. I stopped being a surgeon because I couldn’t afford to pay my bills and properly save for my retirement any longer. I wasn’t and am not an extravagant spender. It forced me to go into another vocation which I didn’t love nearly as much but continues to pay the bills. Land lording is that vocation and I have remained competent and content in that profession since. Because of success, my slang title was “price gouging” doctor and has become slumlord. Both names are the result of envy in the hearts of those who don’t understand free enterprise business and success, but they are teachable!  

As an aside, both vocations, which make up 80% of the industrial capacity of America (also known as the gross domestic product or GDP) are strongly influenced negatively  by bloated government and the deep state now.

When discovering the difference in attitude between different kinds of doctors working in the downtown hospitals in Sacramento, I mentioned to a pathologist who happened to be the chief medical officer of one of the hospital systems at that time, that surgeons were receiving lousy and unsustainable payment by the government and their tightly affiliated insurance companies. He quickly warned me that to speak to patients about that fact would be “political suicide.” In retrospect, if surgeons and internists would have discussed these issues with their patients, we would never have abandoned private practice medicine in the first place.  Note that pathologists and radiologists DO NOT have much interaction with patients. The need for informed consent is generally not necessary for those “no hands on” specialties, and if they do occasion that responsibility it isn’t very caring. 

Doctors are kind people. They are not confrontational. They are not fighters against anything but disease. They are sheepish, asleep and stuporous sheep when it comes to the business of medicine, and they are the perfect pawn of the deep state.

Stockholm syndrome is the most accurate definition I can come up with when it comes to the doctor-government, crony monopoly medical complex relationship.  It’s the exact same for patients!  Neither captive gripes at the oppressor, but indeed both sympathize with the oppressor. It’s a very unhealthy bond by design and desperately needs discernment and healing. 

Some time ago, I learned that when it comes to a person’s financial health, all you really must do when considering giving them advice, is to have them show you their checkbook and assets to find out if they are frugal and smart, or radical spendthrifts. If that person is in debt and has no assets, you know exactly why. If on the other hand that guy has assets, a retirement package, owns a house without a mortgage, and owes nobody anything, you know exactly why. 

My undergraduate professor of organic and biochemistry was one of the most amazing mentors I ever had, including both academic and common-sense education. He went all out and kept me focused on becoming a surgeon. From time to time, he said …”It all comes out in the wash”.

The standard of care for both doctor and patient is directly proportional to the strength of the contract between the two! If the standard goes down, there is fission. If the standard goes up, there is fusion. It’s that simple. It was amusing to hear Elon Musk define the critical nature of the media of late, and it made him feel as if he were getting a proctology exam.  

DARK MAGA, MAHA-Raji, MAGA is about to investigate Medicare/Medicaid.My prediction is that the standard of medical care is going to skyrocket very soon!We are going to find out exactly who the rats are and get American medicine back on track.It’s simple common sense.

Where is all the money? We WILL find out via a thorough and simple proctology exam, a.k.a. a comprehensive audit.