Tag Archives: Obamacare

The “Health Care Industry” is Sick

THOUGHTS ON THE HEALTH SCARE-SNARE RACKET

Saturday, March 25, 2017—Trumpcare, the Republicans’ answer to Obamacare, failed this week.  Predictions abound about what the government will do next.  It appears Obamacare is imploding, and the media expects it to be saved or replaced.  My right-wing conservative friends declare government control of health care is unconstitutional.  My left-wing friends believe Obamacare needs to be fixed, not replaced.

I’ve been opposed to government and insurance-controlled medicine since graduating from medical school and psychiatry residency.  Back then, it was Hillarycare, which was trounced initially.  During Bill Clinton’s presidency, Hillarycare began being implemented piecemeal through bureaucracy.

For me, the issue then and now was freedom, including freedom of choice about everything from practitioners to types of treatment.  Government-controlled health care translates into a guaranteed captive market for insurance companies, in which the healthy subsidize everyone else, especially the “industry” itself.  Doctors and patients must kowtow to government and insurance rules.  Out the window go confidentiality, honesty, and compassion, since symptoms must fit a diagnosis code to insure payment for treatment.  In psychiatry, this means the psychiatrist must come up with a diagnosis which goes forever on the patient’s record and can interfere with everything from self-esteem to employment.

AND, SEVEN YEARS AGO THIS MONTH . . .

CURRENT EVENTS:  OBAMACARE

Wednesday, March 24, 2010—Everyone is talking about Obamacare, which passed over the weekend.  Everyone knew it would, but nobody knows what it means except more taxes.  The boat is sinking, but we’re afraid to rock it.

VIGNETTE:  OBAMACARE

Friday, March 26, 2010—I met a 35ish guy in line at Starbucks yesterday.  I was standing at the cash register when Sean mentioned something about Obamacare.  I said Dr.Obama needs to write his own prescriptions.  The guy behind me, a big, burly fella with motorcycle helmet and a completely tattooed right arm but untouched left arm, thick dark hair two-three inches long, eyes brown and intense, said something about economics, bankers, the Fed, or a related subject that tipped me off.

I realized he is an awakened soul, sees things as I do, and so we stood there agreeing with each other until both got coffee and moved out of the way.

Tee hee.  I had told the boyfriends the other day there is no gold in Fort Knox, and the levels of security exist to protect the void.  My new friend, whose name I didn’t ask, agrees there’s no gold in Fort Knox, but for fools’ gold, hahaha.  I told him his generation is much smarter than my generation and got a laugh out of someone behind me in line.

On the way out, my new friend mentioned the book, Creature from Jekyll Island, and said he learned on the net that the US has been selling gold-plated tungsten bars to China and I think France as if they were gold, and the deception has recently been discovered.  Apparently it began during the Clinton years, and the cost was something like $50,000 per bar to produce.

Later, Sean said we were two peas in a pod, an unlikely pair, the two of us, but what the hey.  These younger folks are expected to cater to all these old coots who were gullible enough to trust the Woodrow Wilsons, FDRs, Lyndon Johnsons, and other paternalistic exploiters, and I don’t blame the younger set if they believe Boomers are dispensable.  Why should they support us?  I told my friend he is under no obligation to make good on the government’s promises.

TEN YEARS AGO THIS MONTH:

MEDICAL SCHOOL ATTITUDES

Monday, March 26, 2007 – I’ve been thinking about my medical career.  Starting in medical school, I was appalled by the attitudes, and they got worse in the hospital in our third year.  M. was a good study companion the first two years, but his old girlfriend and the vicious, cut-throat, warfare in the hospital in our third year edged me out.  He played the politics and kissed up to the residents, but he also loved doing the procedures, and was like the rest of them, eager to compete for opportunities to do lumbar punctures, draw blood, drain fluid from lungs and peritoneal cavities, deliver babies, run codes.  While I wanted the experience, too, I wasn’t willing to elbow my way into the situations that offered them, and the rush-rush mentality rattled my confidence and made me afraid to touch the patients.

I was horrified at the frenzy of my classmates when it came to procedures, and the careless disregard for the patients they were so eager to practice on.  I wasn’t willing to follow residents around, hoping for chances to draw blood or run errands or otherwise do their bidding.  They perceived my attitude as insolence, and the OB-gyn boys took it more personally than the others. No one ever told me directly, so I was flabbergasted when Dr. S said they complained and almost failed me for the OB rotation.  I only remembered they wouldn’t let us do much, because they wanted to do it, and they kept medical students in a room together entire afternoons while they saw the patients alone.  I spent my time studying, so made the highest grade in the class on the written test.  I thought the OB-gyn material was the easiest.  Everyone else was bragging about how many babies they were “catching,” as if it were a disease.  I only “caught” one baby, that the chief OB resident helped me with, but he was the first baby with congenital syphilis the attending physicians had seen in ten years.

THE MD ROLE

Monday, March 26, 2007 – My no-frills trappings and simple, ascetic life – which it is – runs counter to the doctor stereotype, into which other doctors pour money and pride.  I’ve never felt comfortable in the doctor role.  It belongs to someone else, a non-being, a stereotype formed by others’ expectations, divorced from my self-perceived style.

But I’m good at it, among the best I know, which makes it all the stranger, because it comes so easily.  That I don’t put much faith in the pills I prescribe, the system I represent, the beliefs believed “normal” by today’s standards, ekes out in passing references.

No, I don’t believe in war, competition, health care insurance, the federal government, marriage, or that churches should be property tax-exempt, unless everyone is property tax-exempt.  If I pray directly to god, without need for a priest or rabbi to intercede, why should I pay property taxes when they don’t?  Who’s to say god listens more to them than me, and why should that give them a material advantage?

DRUG AND ALCOHOL LAWS

Saturday, March 3, 2007 – Drug and alcohol laws represent a major human rights violation–as the 1794 Whiskey Rebellion foretold–and should be abolished.  No one has the right to restrict another’s access to her own body.  The key to better health is better education and a free range of choices.  No one feels my pain like I do.

I believe drug laws set the frame for the sadomasochistic power struggles we call addiction. Drug laws are a means by which government seeks control over taxpayers.  Laws put government in a moralistic, paternalistic, top-dog position over the taxpayers who pay its way.

Laws and other social engineering tactics restrict the productivity of the very individuals who support them, and the entire society loses.

CHILD AND ADOLESCENT PRESCRIPTIONS

Monday, March 12, 2007 – Doing child and adolescent psychiatry means prescribing drugs I don’t approve of, because the teachers dictate medical care for unruly kids.

No, we won’t give them physical education, home economics, shop, or any incentive to behave, nothing that will interest them during the long hours they must sit, while some harried, bored, and boring teacher parrots an agenda designed to stifle curiosity and make children hate education.

No, we will diagnose them as Attention Deficit Hyperactivity Disorder (ADHD), and put them on amphetamines to control their behavior, because what we’re really doing is cultivating the next generation of slave labor for the imperialists who formerly were industrialists but no longer even produce meaningful industry.  They produce paperwork, insurance, stocks, cash, and debt, using their forebears’ reputations as collateral, generating paper profits on Wall Street, while product quality and workplace safety plummet.

 

The Medicare Myth

bkshealth022417

Introduction:  Friday, February 24, 2017–Back in 2005, when I cared about the health scare/snare racket from a practitioner’s point of view, I began research for a book.  The Medicare Myth  proposed a national health care system that would by-pass insurance and pharmaceutical companies to provide access directly to all comers.

Now I care from a patient’s point of view.  My original idea has grown and thrived under Obamacare.  In 2017, as Congressional Republicans move to re-configure Obamacare, the nation grits its teeth and bites its fingernails, contributing to stress and bad outcomes.  It doesn’t have to be this hard.

Obamacare is the talk of every town these days.  I refuse to call this the “Affordable Care Act,” because it is the opposite.  It steals from the poor to pay the rich–the pharmaceutical industry, the insurance industry, and the government–using criminally abusive scare tactics against a naïve and gullible public.

Sadly, the Republicans are hard-pressed to come up with a workable alternative.  Up to the plate I come, to offer a point of view others may appreciate.  Here we have an opportunity to guide the government toward win-win solutions, and no party can claim credit.

Where better to seek solutions than from the “private sector,” of which I consider myself a member?  I also have insider knowledge of how the system works, having been the daughter of a public health doctor as well as a psychiatrist myself, working in the public mental health system, including five VA facilities, in my time.

Consider this:  We already have public sector infrastructure for a comprehensive public health network.  For outpatient services, community public health departments already provide STD screenings, TB skin tests, birth and death certificates, and other services that benefit the community as a whole.  Accessibility is a huge advantage, otherwise not easily available except through emergency departments.  Another advantage is that direct patient care saves paperwork, time, and insurance costs.  It reduces overhead and restores quality to health care.

The Veteran’s Administration Hospital and outpatient system is already in place for vets, and I’ve enjoyed my time working at VAs.  However, I believe the families suffer as much as or more than the vets, as they are primary caretakers.  Why aren’t families covered in the VA system?  And, while we’re at it, why aren’t we all covered?  We all pay for war, one way or the other.

The slave-owner mentality of our mandated Western medical care paradigm is laughable.  While detractors want to blame Barack Obama for this travesty, let’s all remember that GW Bush-appointed John G. Roberts, Chief Justice of the Supreme Court, cast the deciding vote on Obamacare, declaring the mandate a “tax.”  So, this is bipartisan stupidity at work.

For one thing, I think it’s healthier to get an acupuncture treatment or massage, go dancing or bowling, than sit in doctor’s offices.  Yet, insurance steals money from truly healthy activities to feed the asset plunderers in Washington and money churners on Wall Street.

 

 

 

THE MEDICARE MYTH
Health Care Insurance, Not Health Care
by Katharine C. Otto,  MD
October, 2005

 PREMISE

Medicare was never intended to provide medical care.  It is a government-controlled insurance subsidy.  It guarantees income to insurance companies whether patients are served or not.  This allows for sweetheart deals between government and insurance companies.  Insurance companies profit by delaying and denying treatment.

With the new prescription drug benefit, the stage is set for sweetheart deals between government, insurance, and pharmaceutical companies.  Under these arrangements the aggressively intrusive middlemen profit by collecting payment before treatment and doing everything they can to keep the money.

He who holds the money calls the shots.

Government feeds off taxpayer productivity, exacting payment in advance for services it no longer has incentive to provide.  Are taxpayers getting value for their money?

The government/insurance scam exploits taxpayers under the guise of helping them.  This results in the de facto inaccessibility of timely diagnosis and treatment.

This proposal recommends scrapping the entire Medicare system in favor of public health departments and public hospitals under the Veteran’s Administration Hospital model.  The difference between this and socialized medicine is that it should be easily accessible to all, but voluntary.  Taxpayers are already subsidizing huge investments in Medicare and Medicaid insurance.  Why not spend those same dollars on diagnosis and treatment in a timely and direct manner?

As a citizen and taxpayer, I believe I have an obligation to help care for the community, and I’m happy to support public health, public works, public education, including public libraries, the public mail system, and public transportation.  These are legitimate government functions that provide the nuts and bolts of a smoothly functioning civilization.

America is ripe for the growth of the self-employed, the independent contractor, the small business owner, and those who provide basic, local services that no one can outsource.  The independent contractor could afford health care if he didn’t have to subsidize an insurance-controlled system that shifts costs to those who can least afford them.  A restructured public health system could provide basic accessibility to all and more efficient use of our tax dollars.

Advantages:

  • Public health departments deliver preventive medicine and health maintenance education to local communities. General responsibilities include screening for communicable diseases, providing school outreach, insuring sanitary conditions in public works, public facilities, restaurants, and other places where public health safety may be threatened.  Health departments also provide childhood immunizations, as well as other inoculations.
  • Veterans Administration hospitals already provide direct care to vets. The structure is in place.  VA hospitals are training grounds and essentially supervised apprenticeship programs for students in all health care professions.
  • Peer review and supervision are built into the system. Multiple layers of care provide a clear chain of command and accountability.
  • Reduction of bureaucracy and paperwork. Bureaucrats can be re-trained to serve practical services, like lifting, turning, bathing, and transporting patients.
  • These services could be made available to all but forced on no one. If it’s a good system, everyone wins.  Those who must go beyond what the public systems provide will have easier access to more specialized health care services.
  • Taxpaying citizens deserve better care for the money we spend. Super-inflated costs indicate the health snare system is hopelessly caught in its own trap.  As it increasingly cuts services to swell profits, it becomes even less accessible, more costly, and ultimately less relevant to those who support it.

 

The books pictured above:

  1. Medicare’s Midlife Crisis, Sue A. Blevins, Cato Institute publishers. 2001.
  2. Bellevue Literary Review. BLReview.org.  A literary magazine affiliated with the NYU Langone Medical Center, NYC.  Specializes in medical topics, memoirs, stories, etc.
  3. Two Days That Ruined Your Health Care (And How You Can Provide the Cure), William C. Waters III, MD, MACP, No pub date or copyright.
  4. Rats, Lice, and History: The Biography of a Bacillus. Hans Zinsser, 1934.  A charming story about how the microbes win every war, written before the widespread use of penicillin.  This book is a particular favorite of mine by the original author of medical microbiology texts still used today.
  5. Overdosed America: The Broken Promise of American Medicine.  “How the pharmaceutical companies are corrupting science, misleading doctors, and threatening your health.” John Abramson, MD, 2004.  This Harvard MD begins opening the can of worms about the sleazy pharmaceutical industry that thrives on patents.
  6. The Truth About the Drug Companies: How they Deceive Us and What To Do About It, Marcia Angell, MD, 2004, 2005.  This former editor of the New England Journal of Medicine  gives another perspective on the pill-pushing mentality of the health snare racket.
  7. (Not pictured)  Patient Power:  A Free-Enterprise Alternative to Clinton’s Health Plan.  John cv. Goodman and Gerald L. Musgrave,   The Cato Institute, publishers, 1994.  Remember in the 1990s, when Hillarycare was soundly rejected by the public?  Then First Lady Hillary Clinton implemented its main features through bureaucracy.  The updated and re-configured version eventually morphed into Obamacare.

 

US Constitution, Article 2, Section 1

capitol

The capitol city had not been built when the US Constitution was signed in Philadelphia September 17, 1787, but this is the most relevant photo I have.

For those who have not read the US Constitution recently, I’d like to quote the 5th paragraph of Article 2, Section 1, which delineates the necessary qualifications for the President of the United States.

“No Person except a natural born Citizen, or a Citizen of the United States, at the time of the Adoption of this Constitution, shall be eligible to the Office of President; neither shall any Person be eligible to that Office who shall not have attained to the Age of thirty five Years, and been fourteen Years a Resident within the United States.”

I interpret this to mean that the “natural born citizen” qualification was specifically intended to keep Alexander Hamilton out (as the writerswithoutmoney bloggers have noted), but after that, it was an open field for those 35 or older, who had lived here at least 14 years.  But I’m not a lawyer.

Article 3, Section 1, defining the Supreme Court, is even more vague:  “The judicial Power of the United States, shall be vested in one supreme Court, and in such inferior Courts as the Congress may from time to time ordain and establish.  The Judges, both of the supreme and inferior Courts, shall hold their Offices during good behavior, and shall, at stated Times, receive for their Services, a Compensation, which shall not be diminished during their Continuance in Office.”

In other words, there are absolutely no Constitutional requirements for Supreme Court justices, no specified number, and the appointment for life is not written in the Constitution.  This means that the last word on every law in the United States rests on the power of nine unelected but appointed individuals who are notorious for 5-4 splits.

This is not a “democracy.”  It is not a “republic.”  It is an economic engine driven by the “Framers”  and funded by a continent of previously untapped natural resources that they needed taxpayers to exploit.

While ObamaCare is blamed on or credited to Democrats, let’s not forget that the Bush-appointed Chief Justice John Roberts cast the deciding vote.  He weaseled around to the personal insurance mandate by calling it a “tax,” thereby effectively passing the world’s first tax on breathing.

Citizens who are willing to put up with this deserve to be slaves.

 

The Third Party Payer Shuffle

From the Museum of Appalachia, Norris, TN kco0406

From the Museum of Appalachia, Norris, TN kco0406

September, 2015
Introduction by Dr. Kathorkian, an alter ego:  I wrote this prophetic piece in December, 2004, when George W. Bush was president.  But Dr. Obama has surpassed him in making the Third Party Payer Shuffle the national mandatory dance.

As long as Juris Doctors are practicing medicine, they should be personally liable for medical malpractice.

THE THIRD PARTY PAYER SHUFFLE
(Danced to the tune of “Tramplin’ Toes”)

The “Third Party Payer Shuffle” is the latest rage in disco health care. It’s a competitive dance, like a game, which combines the benefits of exercise and team sports. It is absolutely fair, because nobody wins.

The Shuffle requires three dancers, who hang arms over shoulders in a tight group hug. They spin in circles, to music that runs backwards.

Dancers maintain steady eye contact while stomping each other’s feet. This hot-footed light-step keeps dancers on their toes and off-balance, so they lean inward for support.

Tornadoes of whirling shufflers have taken the nation by storm. The dance has embraced governments, universities, schools, corporations, hospitals, special interest groups, businesses, and doctor’s offices nationwide. The demand has led to dangerous overcrowding of shuffle facilities.

The star shufflers dance on broken toes and smashed feet. Prized for their courage and praised for their loyalty, the very best continue to spin long after their soles are crushed and bleeding.

When a dancer’s feet cave in, everyone falls, and the partners lose the dance. To solve this problem, the rules have changed to allow more than three shufflers to form a team. This reduces risk for the group and increases the pool of feet. Economists say this will stimulate the economy and contribute to job growth.

But shuffle critics are becoming more vocal. Some, who have never tried the dance, are said to be clumsy, bad dancers, and bad sports.

A growing cohort of maimed ex-shufflers now crowd the sidelines, taunting dancers with boos and catcalls. These detractors take up so much space that everyone insists more facilities would benefit both groups.

Meanwhile, extremist ex-shufflers are using more dangerous tactics. Last week, they staged a crawl on Washington, begging the President to stop the dance. The Department of Homeland Security, claiming it a terrorist act, arrested over 100 ex-shufflers who were screaming bloody murder.

Despite dissent, the shuffle has become so popular that other dances have been abandoned. Shuffle Fever, a non-profit organization and musical group, is hosting large fetes in DC and lobbying Congress to make it the national mandatory dance.

According to a Associated Press poll, most Americans believe this is our most critical political issue.

While generally supportive, some legislators express concern about the cost. Facilities are so crowded that dancers no longer have room to spin, and so loud that no one can hear the music. The Congressional Budget Office says the cost of adding enough facilities to meet demand could exceed all income forever.

The President, a Master Shuffler, discounts the CBO’s pessimistic outlook. Democrats in Congress have taken a loyal stand for the President. They want to make it mandatory in schools and fund lessons for the underprivileged. Republicans are avid shufflers, too. Considering this vigorous bipartisan support, the shuffle will undoubtedly win unlimited funding for more facilities. Giving dancers more room to spin faster will remove them sooner from the dance. This will keep future costs down.

The President is also considering adding a shin-kick step and a head-bash maneuver. Enthusiasts claim this will also reduce costs.