Tag: healthcare

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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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