The Stifled Doctor and Freedom of Medical Enterprise

When poverty comes in at the door, love flies out at the window.

                                                     —    German proverb

Why are doctors quiet?  This is a great question, and the answer is becoming more and more evident.  From my perspective, as an average retired physician, there appears to be decreasing trust in doctors, and that’s because doctors continue to trust you less and less.  This is manifested in the quantity and quality of “care and competence” you are experiencing.  Let me tell you that it is the same sentiment most doctors are experiencing about you!

The preeminent cause of this mutual distrust stems from an engineered and effective break in communication between the doctor and patient. Both are victims of the toxic and lethal abuse of our progressive tyrannical bureaucratic government and its bond with multiple monopolies. Indeed, the players from both of those out-of-control sectors intermingle and venture into each other’s domain such that it’s them against us!  This synergistic bond is highly profitable for them and crushingly costly for us.

So, in effect, both doctors and patients have become captives of bureaucracy and at odds with each other. The Stockholm Syndrome is a believable way to describe the circumstances we face. Both doctors and patients become sympathetic to this evil monster simply because it is the source of the money needed for their basic survival. They become blind to the presence and plight of their previous partner in the business of medicine. They become selfish.  

But it doesn’t stop there. Fear of not obeying the tyrant by cutting costs at the expense of safety and ethical treatment of each other is another consequence of this horrifying destruction of our freedom of medical enterprise. Yes, I said safety.  Cutting corners and omitting and committing dangerous procedures on human beings is indefensible and potentially lethal.  To consider patients unworthy  of saving because they serve no purpose for the tyrant is murder.    Many dangerous things are going on around you, as exemplified in this latest demonstration of government run healthcare via Covid.   It’s been going on for a long time.   We might change the introductory proverb to this paper to ….”When abject incompetence comes in at the door, caring flies out at the window”.

The eventual punishment for not complying with bureaucracy is far greater than you can imagine. How do you think Stalin’s or Hitler’s victims felt as they were herded into gulags and concentration camps? I sure can and urge you to do so as well. These are harsh realities of recent history.

Disability is also a powerful tool utilized by the bureaucracy as it further weakens the doctor- patient bond. Both doctors and patients are encouraged to take it easy, rest more, and devote more time to living life.  And this is opposed  to the grind of work ethic, discipline of earning a living, and competition instilled in us from the basic family unit and from our Faith, from which we pay our bills.  

Thus, paid time off, benefits, family time, travel, and selfish motives replace empathy for those you are supposed to be serving and doing a good job for. This is a frightening, extremely dangerous, and disgraceful way for both doctors and patients to treat each other. Idle time gives rise to idol thoughts and actions. All at the will of the greedy, hateful, gluttonous bureaucracy which grooms and promotes this insensitivity. It’s a slow and covert process, like termites silently gnawing away at the studs in a wood framed house. And the more disabled and weak people are, the easier it is to control them and herd them about. 

Doctors assign time off, prescription drugs, psychotherapy, free healthcare, exorbitant workman’s compensation benefits, and so on.  People assume the role of wokeness and knowingly reap the benefits of accepting welfare they know they shouldn’t be seeking.  No more hustle, no more drive.  But after all, it’s dog eat dog and there’s lots of hate and ill will to go around.  So, we hide out, isolated from each other.   The bureaucratic bribe is a hard temptation to avoid, and not all can do it.

Advertisers of the greedy and unhealthy monopoly feed us highly processed foods, “feel good” medications, easy weight loss programs, effortless shopping, virtual exercise, grandstander betting and participation in athletic events, no effort dating apps, kids playing video games in a dark room as opposed to riding bikes on a sunny day, and on and on. Where’s the effort, the self-gratification, the competitive spirit, the love of work, the goodwill and the selfless service to others over ourselves? In the gutter. 

As you can see, President Trump and MAGA are in the process of repairing medicine and every other profitable enterprise in our wonderful country. This is by exposing all the fraud, waste, corruption, and imaginary disability presently bottoming out our now anemic economy and any remaining productive potential.  It’s such an abusive and toxic relationship, and the good news is we are changing it! That’s what we voted for, and that’s where the tone of this talk becomes upbeat.

As we steadily strengthen and relearn good trade interactions in our freedom of  medical enterprise, we must ask ourselves several questions and negotiate a bullet proof game plan.  This will protect our strong bond and prevent the bureaucracy from doing the damage they caused this cycle as we move forward.

Number one on this list is to re-kindle the ethical standards of the Hippocratic Oath into our dialog and interactions. No more quiet doctors and patients! Freedom of speech, not bureaucratic censorship of doctor and patient speech by the oppressive bureaucracy is in order. The application of the informed consent is the goal.

And a second aspect of our first amendment rights is to include medicine in the establishment clause thus separating medical economics and ethics from the evil parasitic bureaucracy, just like the church. Tax exempt medical care is highly important.

Regarding payment to doctors and nurses and hospitals and others working in hospitals and clinics, we need to do it on a cash basis! Medical tax-exempt interest-bearing savings accounts will work well. That puts the onus on you and me, and it’s an honorable responsibility and opportunity, just like stocking up on groceries at the local well supplied grocery store and feeling good about your hard-earned dollars going to a good place and providing for your family.  And the variety of goods is amazing. Your grocer will appreciate it too!

Catastrophic medical insurance plans that will absolutely and truthfully pay out for major loss will work well. Think back to the years when fire insurance (low premium, no deductibles) was in effect for your home. It worked until the bureaucracy got involved and made it corrupt, abusive, and cruel.  Consider your body a dwelling place for your soul.  They call it your “Temple” in the Bible.  Catastrophic medical insurance will work for your Temple if you suffer major catastrophe.

We can handle medical tort via a court-martial system as it’s done in the military.  What better way to determine negligence than by a courtroom of your peers. That would be just, ethical, and common-sense litigation. We would rely on the covenants of the Hippocratic Oath over the precedent of ambulance chasing lawyers.   

As regards teaching, the educators of doctors are for the most part communists.  I think it would be imperative that our medical educators were capitalists. In that regard, the monopoly of organized academic physicians would be dismantled, and the professors of medicine and surgery would be required to have a healthy understanding of  fundamental free market strategy. Free medical enterprise does not include interference by bureaucratic government beyond that level of regulation needed to protect the public interest and to keep the economy in balance. Both crushing regulation and horrible debt are the stain of our present situation.  Our out-of-control bureaucratic government has completely abandoned the “rule of law” associated with our Declaration of Independence, our Constitution, and our Bill of Rights and the remainder of the amendments. Privatizing medical education and keeping the communists out of our business will work. Let’s get a lean and mean small and smart government to start protecting our national borders, our property rights, and our personal freedoms and leave the business of medicine to doctors and patients. And let’s keep an eye on them.

 The Health Insurance Portability and Accountability Act, or HIPAA, is a foolish and destructive phrase which means eavesdropping. Eavesdropping is the mechanism of bureaucracy! It is defined as secretly listening in on private conversations or observing private behavior without consent. It is done electronically nowadays. What gives the bureaucracy at the federal, state, county, or city level, the right to interfere with the performance of service or for the payment for service of doctors and patients? What law gives this snake this right?  In fact, it’s this interference, this lack of boundary of the tyrant, that is ruining the bond!  

Medical education is a national process and best serves the American populus in that fashion. Centralized and yet non-government influenced medical education is in order.  This will give us excellent doctors in every inch of America. However, the practice of medicine is a geography-based enterprise, affecting the people in cities and towns. There is no place for the intrusive interference  of local government, let alone at the county, state, and federal levels.

In other words, adherence to the 10th amendment, also known as Federalism or self-governance in the discipline of the freedom of medical enterprise is the way to go. Only then will we provide a healthy, affordable, safe and profitable medical system, better than ever before. This will work well for your doctors and for you.  Simply obliterate HIPAA and Electronic Medical Records and recapture the privacy of the doctor-patient relationship, by ruralizing or rusticating as opposed to urbanizing this very important contract and keep it out of the thieving hands of the bureaucracy.

Hopefully this communication will give you some commonsense ideas about how to relish the opportunity and develop a medical system that brings the best of doctors and patients and dollars and sense and competence and caring  to the table. We are in the process, via DOGE, of exposing the many billions of taxpayer dollars that have fueled Medicare and Obamacare and its disgraceful fraud, waste, and abuse, and a senseless loss of competence and caring as the result. Be relieved! Take a big deep breath. Relax. Everybody is going to be just fine. You are going to know exactly what to do when you see the results of this accounting.  Stable and joyous times are ahead friends. Unity and healing are the prescription. Be sure to speak up and get involved.