Tag: healthcare

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crime and punishment national politics & policies social media

Morbid Meme Mania

insurance, healthcare, laugh emoji, assassination

Last week’s murder — assassination — of UnitedHealthcare CEO Brian Thompson on the streets of Manhattan has inspired something more than a mere resurgence of gallows humor. The proliferation, online, of laughter emoji reactions to the story is unsettling, to say the least. 

Then there are the hardcore “memes” scorning Mr. Thompson’s medical insurance company and mocking his death — what are we supposed to make of it all?

Well, the virtuous response is to condemn the schadenfreude and mean-spiritedness.

But some of the jesting is indeed pointedly funny. 

“All jokes aside,” runs the best of them (from BlueSky, the left’s alternative to X), “it’s really fucked up to see so many people on here celebrating murder. No one here is the judge of who deserves to live or die. That’s the job of the AI algorithm the insurance company designed to maximize profits on your health and no one else.”

Which brings us to the nib of it. 

As the prospective Trump Administration puts its ducks in a row to hit the ground running in January, the “health issue” that RFKj and others have pointed to is the heavily regulated and subsidized food and drug industries, which are making us sick. The question of paying for medical care was supposed to have been solved by “Obamacare” a decade ago, but prices have only risen … and resentments along with them. 

The author of that BlueSky tweet and virtually all Democrats today, think the answer to the insanity of our government-​regulated “private” health insurance system is full-​bore socialized medicine.

Our money-​grubbing leaders know that would be a disaster, but they have only kicked the chaos we’ve inherited from the terrible policy choices of yesteryear down the road.

I’m left with nothing funny to say about that.

This is Common Sense. I’m Paul Jacob.

Note: As this episode was put to bed, the biggest update to the story was the announcement of a suspect, or “person of interest”: Luigi Mangione. Make of that what you will.

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free trade & free markets general freedom too much government

Doctoring Malady

medicine, healthcare, medical care, hospital, doctors

There is a doctor shortage. Economists who study such issues project that the shortfall will continue to grow.

That is, the pool of available professionals for advanced and general practice medicine is shrinking relative to demand.

A report last year at Definitive Healthcare provides a list of reasons:

  1. Shifts in physician and patient populations
  2. Most healthcare workers prefer not to work in rural hospitals 
  3. Medical school and residency programs are limited 
  4. Healthcare workers are burnt out 

What wasn’t mentioned? The COVID response debacle. When an elephant makes a deposit on the waiting room floor, don’t ignore it.

But, instead, the list of causes and cures was predictable: “too many administrative tasks” (need more assistants, or at least AI?); “poor work-​life balance” (but that’s always been the case); “insufficient salary” (you could see that one coming a mile away, right?).

A study published in March, “The Complexities of Physician Supply and Demand: Projections From 2021 to 2036,” prepared for the Association of American Medical Colleges, dips its timid toes in that topic, but says little of significance. 

And as I scrolled through a report on the study, I thought: this is none of my business. Just as it’s none of my business to fret much about the supply and demand for toilet tissue or garbage trucks. This is all supposed to be taken care of by “the market.” 

Trouble is, we do not have a free market in medical care. We have an over-​regulated, vastly subsidized healthcare system.

The key to the future supply of doctors is getting the government out of doctors’ business. Hesitating to turn that key, or saying that government “must do more,” merely makes the malady worse.

This is Common Sense. I’m Paul Jacob.

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general freedom individual achievement voluntary cooperation

Paralyzed Man Moves

brain, paralysis, medicine, science, magic

After falling on ice, a 46-​year-​old Swiss man became paralyzed, losing all mobility.

Now he is beginning to move again thanks to a brain implant that enables what the Dutch firm Onward, its inventor, calls “thought-​driven movement.”

The implant interprets neural impulses that are triggered when the patient intends to move. A second implant in his abdomen then stimulates parts of the body so that he can move them as he wishes.

Onward says that although its results are preliminary, “the technology works as expected and appears to successfully reanimate his paralyzed arms, hands, and fingers.”

This astonishing work is not without precedent. Over a decade ago, French neuroscientist Gregoire Courtine conceived of the possibility of a digital bridge between brain and body to help such patients.

It took a while to realize his dream. But this year, Courtine and Swiss neurosurgeon Jocelyne Bloch installed implants in a Dutch man, Gert-​Jan Oskam, to restore his ability to walk after he lost the use of his legs in a biking accident.

One unexpected benefit of their procedure is neural regeneration.

“What we discover,” says Courtine, “is that when using this system for a long period of time, through training, nerve fibers start growing again.… That was like the dream, regenerative medicine!”

Onward CEO Dave Marver says that the next step for its own implant technology is small trials, then a larger one, then “hopefully get FDA approval and make it available.”

What a wonderful world.

This is Common Sense. I’m Paul Jacob.

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crime and punishment First Amendment rights ideological culture

The California Non-Consensus

censorship, authoritarianism, speech, 1st Amendment

A judge has given California doctors a reprieve from an anti-​medical-​speech law produced by lawmakers and Governor Newsom. The judge has blocked the law until a lawsuit challenging it on First Amendment grounds can be resolved.

AB 2098 says that it “shall constitute unprofessional conduct” for doctors to spread “false or misleading information” about the COVID-​19 virus, how to prevent and treat it, and the efficacy of alleged vaccines. (By using the word “alleged,” I’ve lost my medical license right there.)

What constitutes “misinformation”? 

Government-​empowered medical boards would make these judgments in light of “contemporary scientific consensus.”

Why is “scientific consensus” so sacred? Does it never err? Aren’t facts and logic, which discourse helps to establish and convey, the proper arbiters, not a designated “consensus”? How does one actually arrive at a “scientific consensus” of any legitimate value? By divine revelation?

And if there are doctors, scientists and other researchers who dissent, especially in great number, doesn’t that make “consensus” entirely mythical, non-​existent? The word misapplied? 

Of course, despite the issuance of government-​approved dogmas and revised dogmas about these matters, every aspect of the pandemic has been the subject of intensive investigation and controversy for over three years.

As Judge William Shubb notes, “COVID-​19 is a quickly evolving area of science that in many aspects eludes consensus.”

It’s a shame Shubb couldn’t simply have shut down the law permanently. Do we really need a lengthy legal process while California doctors wait to learn whether they may still fully participate in professional discussions?

But it seems that the agents of repression must have their day in court too.

This is Common Sense. I’m Paul Jacob.

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crime and punishment First Amendment rights general freedom

Minority Medical Opinion Squelched

covid, censorship, wrong think

The Bill of Rights was originally understood as curbing the power only of the federal government.

This began to change with the Fourteenth Amendment, which prohibits states from depriving persons “of life, liberty, or property, without due process of law.” Thanks to the “incorporation doctrine” interpretation of this amendment, provisions like the First Amendment now apply as much to state and local governments as to the federal government.

Except that many officials, disdaining these protections, simply ignore them.

So although obliged to make no law “abridging the freedom of speech,” California’s government is abridging the freedom of speech of doctors. A new law authorizes state medical boards to penalize doctors who utter speech contradicting “contemporary scientific consensus” about COVID-19.

Doctors are suing the Newsom administration to block the law from taking effect. According to their complaint, this anti-“misinformation” law would impede their ability to communicate with patients.

The doctors argue that the First Amendment protection of freedom of speech applies to expression of minority views as well as majority views; indeed, that minority views “particularly need protection from government censorship.”

Also that nobody can ever know “the ‘consensus’ of doctors and scientists on various matters related to prevention and treatment of COVID-19.”

Of course, free speech rights should protect even persons who say the moon is made of green cheese, let alone of those who disagree with official pronouncements about a vexing new virus and what to do about it.

This is Common Sense. I’m Paul Jacob.

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Four of Five Doctors Disagree

Salem Witch Trial

“Thank goodness I don’t live in X,” we may say as we follow the news.

Billions live in Russia, Ukraine, China, Xinjiang, Tibet, Hong Kong, Cuba, New York, Chicago, Seattle, California, Canada, and other statist hellholes. The rest of us live elsewhere. Perhaps we congratulate ourselves on our wise choices of birth location and/​or subsequent residencies.

But people are copycats.

As producers, we are often inspired by great achievements and seek to emulate them. The destroyers among us, somewhat similarly, are eager to adopt the latest in fashionable assault on what the producers are doing.

So we don’t necessarily escape if, say, California prohibits physicians from discussing things medical whenever their judgment conflicts with state-​approved doctrine. Because next thing you know, lawmakers in Tennessee or Virginia will be saying, “Gee, that’s right, gag the doctors. Why didn’t I think of that?”

Legislative masterminds in California now want to harass doctors who recommend a non-​government-​approved treatment for COVID-​19. If AB 2098 is passed, it would authorize California medical boards to discipline doctors for “dissemination of misinformation” related to COVID-19.

The bill implies that no doctor can legitimately disagree with another about a particular case. (Yeah? See the history of medicine.)

When I say that this legislation assaults truth and truth-​seeking — which requires freedom of speech as a necessary corollary of freedom of thought in medicine or in any field — I speak for Californian doctors and California patients.

I speak also for us all.

This is Common Sense. I’m Paul Jacob.

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The Witch Trial of George Jacobs by Thompkins. H. Matteson

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international affairs media and media people

The Man the Media Missed

Wuhan, Covid

Searching for the world’s most compromised scientist? Look past über-​bureaucrat Anthony Fauci. Get a load of Peter Daszak of EcoHealth Alliance. He’s in the thick of it.

The “it” being the lies peddled by China’s totalitarian state, the World Health Organization (WHO), important parts of the government-​funded American science establishment and — last but not least! — the vast majority of U.S. media. 

The Lancet printed and the media reported the infamous open letter from scientists declaring a lab-​leak origin of the virus to be unlikely, either without saying or without knowing that the scientist leading the effort to gather the 27 scientists’ signatures was the bag-​man taking U.S. taxpayer money and re-​gifting it to the actual Wuhan lab in question. 

Yes, Dr. Peter Daszak.

The good doctor also managed to secure a spot on the WHO’s much-​ballyhooed on-​site China probe — as the sole American investigator — to look (fecklessly) for COVID’s origin. Still, Daszak and company enthusiastically declared a lab-​leak “unlikely,” which the media mindlessly echoed … until even the WHO’s director-​general backed away from it.

The problem is not confined merely to one or two rogue papers or cable channels: it’s also endemic to social media. Facebook, which blocked coverage and silenced those of us trying to speak and learn about the origin of COVID-​19, turns out to have actually used — you guessed it! — Daszak as its go-​to expert to advise them on what info to block.

How did our news hounds miss this trifecta?

Even now — after Dr. Fauci and others agree we need an investigation into the origins of the CCP virus, and as several major articles present additional evidence that the virus may have come from Wuhan gain-​of-​function “research” — the news-​media response to its own obvious failures is to continue to blame … Trump.

The idea seems to be that the Sheer Awfulness of Trump somehow provides valid excuse to ignore China’s horrible behavior around the origin of COVID — silencing doctors, destroying important evidence and lying to the world — enabling its subsequent spread to pandemic level. 

Is this really all the result of mere incompetence?

If you believe that, I’ve a wet market to sell you.

This is Common Sense. I’m Paul Jacob.

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NowhereCare

Elizabeth Warren, healthcare, taxes,

Even people who get their information only from major network news know that, in their mad rush to promise free health care, Democratic presidential hopefuls would raise taxes for nearly everybody including the “hard-​working middle class.”

How do they know?

Because at least one of the eager promisers won’t give a straight answer.

Her name is Senator Elizabeth Warren. 

Like Bernie Sanders (but not Amy Klobuchar and Joe Biden) she is offering “Medicare for All,” which Fox’s Tucker Carlson calls straight-​up socialism.*

George Stephanopoulos, Chris Matthews, and “other strident Democratic partisans” have been pressing her on the tax hike issue, and at the recent, fourth national primary debate, Warren continued to evade. Even Sleepy Joe knows that universal single-​payer health care spending would require more taxes than can be squeezed out of the very rich and the big corporations (which Warren, Sanders, and other Democrats incessantly push). But Warren just will not say the words: yes, your taxes will go up. She continually feints to her follow-​up argument, that since overall health care costs would [according to plan] go down, we would all come out ahead.

Tucker Carlson, citing an Urban Institute study, gives the answer the democratic socialists won’t: their promise would require spending 3.4 trillion tax dollars per year — $10 grand per person per year, including every child, retiree, and prison inmate.** Warren expects us to repress our common sense and believe that cramming all health care spending through the federal government will increase efficiency.

U.S. Department of Health and Human Services Secretary Alex Azar has the right word for Medicare for All: utopian. 

Noting that Obamacare failed to live up to its promises, Azar predicts the ultimate result, “Medicare for None.”

This is Common Sense. I’m Paul Jacob.

* And not altogether implausibly, since medicine is a fifth of the American economy and (presumably) since socialism is an economy run by government.

** Tucker’s list.

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Elizabeth Warren, healthcare, taxes,

Illustration from a photo by Gage Skidmore

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Dr. Biden, B.S.

Joe Biden, healthcare, cancer,

“I promise you, if I’m elected president,” Democratic Party frontrunner Joe Biden told an Iowa audience, “you’re going to see the single most important thing that changes America, we’re gonna cure cancer.”

It’s the sort of claim that makes snake-​oil salesmen blush. 

“That is a very, very bold campaign promise to be making,” offered CNN’s Kate Bolduan incredulously. 

“Bold” wasn’t the term that came to my mind, but another word beginning with the letter‑B.

“We have to remember he is a subject matter expert in that area,” responded Rep. Cedric Richmond (D‑La.), a co-​chairman of Biden’s presidential campaign.

This is the expertise for which Washington is so famous. Surprising that more hospitals don’t have a career politician on call, eh?

Nobody questions the former Vice-President’s support for the cause of eradicating cancer, of course; Biden lost his son to the disease in 2015. We must, however, question the veracity of what comes out of his mouth.

Biden’s fib or fantasy — or whatever you call it — reminds me of former Congressman George Nethercutt (R‑Wash.). In 1994, he defeated then-​Speaker of the House Tom Foley by pledging to serve no more than the three terms that Evergreen State voters enacted via a term limits ballot initiative.

“Thousands of people have urged me to run again,” explained Nethercutt, seeking a fourth term years later. “They believe in the work I’m doing to cut taxes, to open foreign markets for our farmers, and to help find cures for diseases like diabetes and cancer.”

Today, defending candidate Biden, Rep. Richmond defines credulity. “If he believes we can do it, I believe him.” 

There may be a sucker born every minute … but it ain’t me.

This is Common Sense. I’m Paul Jacob.

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Joe Biden, healthcare, cancer,

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Just Like That!

socialism, magic wand, economics, healthcare, prescription drugs, drugs,

“We will do that,” he said.

Do what?

“We will look at the average costs of prescription drugs in Canada, the UK, Germany, Japan and France,” says Sen. Bernie Sanders (I/​D‑Vt.), “which are 50 percent lower than they are in the United States,” he told Margaret Brennan on Face the Nation. 

And Sanders promises: “if I am elected president I’m going to cut prescription drug costs in this country by 50 percent so that we are not paying any more than other major countries are paying. Maybe we can do better than that.” 

When Ms. Brennan asked how, he replied as above — looking at “average costs” as directly priced to consumers (patients) —  and then … “we will do that.”

Socialism is so easy!

Why have we waited so long for utopia?

Well, saying is not the same as doing. We must think “beyond Stage One,” as Thomas Sowell advises. For if “Medicare for All” tells a company it will pay only so much for a drug, that company cannot just sell that drug and all others below cost. No wonder that in socialized medicine schemes around the world, not all drugs are even available.

The world prescription drug market is set up … peculiarly. Americans in effect pay more (because of patents and trade agreements) thereby covering development costs. If we pay less, others may have to pay more (which would be an odd thing for a “socialist” to want) and we would all come to get even less.

Bernie is no wizard, and socialism has no magic wand with which to wave away scarcity.

This is Common Sense. I’m Paul Jacob.

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socialism, magic wand, economics, healthcare, prescription drugs, drugs,

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