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September 16, 2022

In healthcare, Washington currently plays four different roles: tyrant, physician, thief, and lawbreaker.  What role should Washington play?

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“Healthcare” as one word means the system.  As two words, health care refers to a fiduciary, legally protected, voluntary service relationship between one patient and one care provider: physician, nurse, or therapist.

Medical care is the service.  Healthcare is the system.

In the U.S., every adult has (or should have) medical autonomy — the right to choose one’s own medical care.  By its regulatory powers, fiscal controls, and coercive tactics, Washington has taken away Americans’ medical autonomy, replacing it with federal tyranny.

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The vaccination mandate is an obvious example.  Based on recommendations by a non-practicing, bureaucrat M.D., Anthony Fauci, medical tyrant Biden forced Americans to accept injection of an untested, unproven, unsafe mRNA “jab.”  Universal vaccination was imposed despite an extensive list of adverse effects as well as limited efficacy of mRNA vaccines.  Washington’s tyranny suppressed medical freedom.

By its eligibility standards, pre-determined insurance benefits (“benefit” means care), and authorization process for payment, Washington extends its tyranny into specifics of medical care: who gets care and who doesn’t; what care people get, where they get it, and by whom.  These medical decisions are properly made by the patient with advice from a physician, not by a nameless, faceless, unaccountable bureaucrat in a cubicle at CMS (Centers for Medicare and Medicaid Services). 

Washington’s tyranny is not only medical, but also fiscal.  Healthcare is a centrally controlled market.  A free market starts with consumers who decide where and how much money they spend. In healthcare, Washington dictates where consumer dollars go — to its bureaucrats or to providers — bringing to mind the Soviet healthcare system.

Washington bureaucrats are unlicensed physicians engaged in malpractice.  

Government officials can now triage critically ill Americans.  Instead of an E.R. doctor on the scene using his best judgment to decide who gets care first, physicians must obey “crisis standards of care” written by government officials.  In Pennsylvania, crisis standards include a weighted lottery that gives preference to historically underserved minorities.  Thus, a moderately ill Hispanic female would receive care before a white male bleeding out after an automobile accident.

Most patients believe that their doctor chooses medications for them.  Not so.  A PBM (pharmacy benefits management) organization decides medications, not their physicians.