Tag: medicine

Categories
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.

PDF for printing

Illustration created with PicFinder and Firefly

—

See all recent commentary
(simplified and organized)

See recent popular posts

Categories
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.

PDF for printing

Illustration created with PicFinder​.ai

—

See all recent commentary
(simplified and organized)

See recent popular posts

Categories
First Amendment rights general freedom local leaders

De- and Re-certified

doctor, medicine, association, group think, censorship

“Around the country, a slew of doctors had board certifications removed and licensure threatened for sharing their COVID-​related opinions,” explains The Epoch Times, in an article devoted to one of those persecuted, Dr. John Littell of Florida.

Early in the pandemic, “Dr. Littell, a longtime family physician in Ocala and a medical school professor, began posting videos sharing his thoughts about COVID-​19 testing, treatments, and vaccines early in the pandemic,” Natasha Holt’s Epoch Times article narrates. “He was frustrated to find his content often was pulled down from his YouTube channel.” 

But the establishment’s efforts didn’t stop there. “[I]n January 2022 and again five months later, he received warning letters from the American Board of Family Medicine (ABFM), the organization that issued his certification for his medical specialty.”

His videos on YouTube and then the safe, free-​speech haven Rumble, spread “medical misinformation,” the board charged, warning that he could lose certification. But these were warnings. The board got a bit more serious and physical when they removed Littell from a public meeting, giving him the bum’s rush.

And then the board de-​certified him.

It’s a long story, but appears to have a happy ending, with Littell re-​certified and organizing a support group for medical professionals’ free speech rights, and the basic need to practice independent, patient-​centered medicine, and to disagree with the gimcrack “consensus” policies that establishment organizations impose.

While there are multiple medical certification boards in America, these are not free-​market concerns competing for customers. The government is heavily involved at every level. And the policies and “science” that Dr. Littell and others ran up against were not only political, but wrong — medically and morally. 

As we are increasingly discovering.

Which makes medical freedom more important than ever.

This is Common Sense. I’m Paul Jacob.

PDF for printing

Illustration created with PicFinder​.ai

—

See all recent commentary
(simplified and organized)

See recent popular posts

Categories
crime and punishment First Amendment rights too much government

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.

PDF for printing

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

—

See all recent commentary
(simplified and organized)

See recent popular posts

Categories
Internet controversy media and media people

This Is Just Huge

Dr. John Campbell, covid, treatments

“Why isn’t this in the newspapers?” 

That’s what Dr. John Campbell asked on his YouTube channel yesterday, reviewing several studies of ivermectin as an agent in the fight against COVID-​19 — but directly regarding the results of research out of Brazil. It was an impressive large-​number study, in which the researchers invited the whole population of Itajaí to participate, with 159,561 included in the analysis: 113,845 regular users of ivermectin and 45,716 non-users. 

“Seventy percent reduction in mortality in this study” of those who took a very “tiny dosage of ivermectin every fortnight, acting as a prophylaxis” over those did not. “I mean, this is just huge!”

Dr. Campbell, who has been a voice of calm science during the pandemic, goes on to say that “It’s almost as if information has been deliberately suppressed throughout the pandemic, to be quite honest.” With a wry look, he went on to say “No one’s saying that’s true, of course, but it’s almost like that.” 

Droll.

But non-​ironically, he insists the evidence is “powerful, present, and overwhelming.” 

“Seventy percent,” he marvels, “how do you argue with a number like that? It’s a very, very high number.”

And the decrease in hospitalization was 67 percent.

All in all, the study found less infection, fewer hospitalizations, and an astoundingly lower death rate in the ivermectin group.

Earlier in the video, the doctor considered another study, comparing the cheap anti-​parasitic to the far more expensive remdesivir, a Fauci-​pushed Gilead Sciences anti-​viral, with similar results.

It’s “almost as if” the expert class that spurned ivermectin doesn’t care if people die.

No one’s saying that, but.…

This is Common Sense. I’m Paul Jacob.

The studies:

Kerr L, Cadegiani F A, Baldi F, et al. (January 15, 2022) “Ivermectin Prophylaxis Used for COVID-​19: A Citywide, Prospective, Observational Study of 223,128 Subjects Using Propensity Score Matching.” Cureus 14(1): e21272. doi:10.7759/cureus.21272.

I. Efimenko, S. Nackeeran, S. Jabori, J.A. Gonzalez Zamora, S. Danker, D.Singh, “Treatment with Ivermectin Is Associated with Decreased Mortality in COVID-​19 Patients: Analysis of a National Federated Database.” International Journal of Infectious Diseases 116 (2022) S1 – S130.

PDF for printing

Categories
education and schooling First Amendment rights social media

Our Authoritarian Moment

Youtube, censorship

Was it something I said?

Yesterday, YouTube removed the video of my latest episode of This Week in Common Sense. Why? The platform claims I violated its “terms of service” and “community standards” by providing “medical misinformation.”

Funny, YouTube did not specify which statement in the video was incorrect, much less provide any citation to back up its “misinformation” claim.

This sort of authoritarianism is quite common these days. We’re just supposed to take the Authority’s word that It Possesses the Whole Truth.

No debate. No dissent.

There is not even a reference or consult.

Which is what Dr. Byram W. Bridle, PhD, Associate Professor of Viral Immunology Department of Pathobiology at the University of Guelph discovered.

He refused to provide evidence of vaccination. So his Canadian university “banned” him “from campus for at least a year.” And sat by while colleagues and students abused him for being “anti-​science.”

Thing is, as he points out in his Open Letter to the academic institution, not one of the tenured immunologists of the University of Guelph thinks there should be mandatory vaccination. All are very concerned about the goal of universal vaccination. Since not one of the available vaccines appears effective enough to produce sufficient immunity in recipients “herd immunity,” the goal must be mere “herd vaccination.” 

Dr. Bridle is especially annoyed that the university does not allow him to demonstrate his natural immunity to the disease, which simply does not interest the pro-​vaccination bureaucrats.

Worse yet, at no point in the university’s deliberations over the vaccine mandate did administrators consult their own immunology department!

That’s not “following the science.”

Like at YouTube, it’s a political campaign: science not required.

This is Common Sense. I’m Paul Jacob.

Note: I first heard about both stories from my podcasting sparring partner, who produced two stories on his website regarding Dr. Bridle and tipped the hat to historian Tom Woods.

PDF for printing

—

See all recent commentary
(simplified and organized)

See recent popular posts