Category Archives: Ethics

Pope Donald and the Pedophile

Forgive my comparison but the Trump administration is a little like the Catholic Church which spent years trying to bury it’s pedophilia problem. First irate denials, then pay off the victims and hide the perp(s) —Epstein to jail and alleged suicide, Maxwell to jail. And then rope-a-dope legal maneuvers to protect Epsteins’s very close friends. And of course then try to change the subject and forget about it, though the church doing the same arguably lost a pope in fallout from the scandal.

One would wonder whether the so very religious (sic) evangelical leaders and our politically bent legal system has room for a dear friend (at one time) of a well known pedophile as our supreme leader was/is or will they do the right thing. Don’t hold your breath waiting for guys like Franklin Graham, they really don’t care about anything but money and power. They have a lot in common with you know who.

Medicynical Note: The Republican Party as such no longer exists so expect nothing from them. Our once independent Department of Justice is under the close scrutiny of Epstein’s friend and led by a sad excuse of an Attorney General.

I’d get out the popcorn but the situation is too fraught with risk to our democracy and the lives of law abiding citizens to get much pleasure out of the chaos.

American Rules: Heads I win Tails you lose–All Supreme Court Approved–Illegals and African Americans

American capitalism exploits, whether it’s power over a group of people or an advantage over a competitor, the bottom line is gaining value (power or wealth). We like to say we need competition in order for capitalism to work and for progress to occur, but deep down the goal of every capitalist is monopoly. We see it in businesses, and we see it in our social hierarchy and we see it in politicians. What’s his name, the current President, for example, in his quest for political monopoly sensed that America’s racial history could be used to an advantage and in his psychopath’s mind, rules and civility don’t apply.

It’s a fact that what’s his name has had racist views all his adult life. And in his quest for power he hasn’t hesitated to use them to divide America. Historically, white America, a very very law abiding country, used laws to legalize slavery, Jim Crow, segregation, and even ignore lynchings to give the majority white population preference and advantage in every aspect of American life. White preference was law for 350 years dominating education, housing, property ownership, policing, wealth…almost everything. It was all legal and Supreme Court approved. It was the law of the land.

Then, when a Supreme Court, not the current one of course, declared the inequities illegal those same Americans ironically posited that any preference given disadvantaged African-Americans is illegal because after all we are all equal under the law and any racial preference is racism. It’s a little like running a 350 year marathon with one group carrying 25 lb weights on their back. At the end when that group is way behind in every measurable aspect of life, those in the lead make believe that it was a fair race.

Our President and the very very legalistic no-longer-Supreme……. Court declared that suddenly like magic, all is good, no need to equalize the race(ers)–no affirmative action, erase the history of slavery and segregation because it might make white people feel bad about what they did in the past. All traces gone. Think of it as a melding of American racism to capitalism. Monopoly is good but only if it’s all white.

In a similar vein for the last 100 years or so America allowed and in many areas encouraged immigrants to enter the country legally and illegally. Jobs were provided; children born of these immigrants became citizens; education was provided and almost all became welcome members of their communities. Businesses benefited. These so-called illegals did the hard work of harvesting crops, working in the construction industry and doing some of the dirty work of American businesses. Laws were ignored because, you know, money. It was all legal…..ish.

Then quite suddenly America decided the purity of it’s European ancestry was threatened by all of these off-white illegals and a President was elected whose life-long hatred of non-white people extended his hatred to immigrants. His hate filled description of them as criminals, murderers and as people who eat the pets of real Americans was one key to his election. He promised to remove the several million “illegals” from our shores. In his hatred he refused to recognize asylum seekers, due process, families that have lived here for generations, rights for children brought here as infants and small children, or even the rights of citizenship for those born here.

He maintains we must follow the law as he interprets it. These immigrants came in illegally and despite our (wink wink) use of their labor and the generations of living here they must go. He maintains they broke our laws (albeit with the tacit approval of our government) and must be punished by being forced to leave. All because you know we are so very concerned about legality.

Medicynic Note: In America it’s heads I win tails you lose. No matter how the law was interpreted or implemented in the past whether manipulated to deny rights to minority populations or to facilitate the hiring and use of “illegal” immigrants for generations, all it takes is a flip of the Supreme Court or the mood of a madman and white socio-economic supremacy is assured. And of course we cannot offer any compensatory means to access legalized status on one hand or education, wealth, property and power on the other.

It’s the American way.

Came across this: https://chicagounbound.uchicago.edu/cgi/viewcontent.cgi?article=6085&context=uclrev

Health Care in America: An Expensive Shell Game

Only in America would a company working to cut payments for health care not benefit the patient. The NY Time describes the scam. “The firm, MultiPlan, and the insurance companies it serves often collect larger fees when payments to medical providers are far lower than the amount billed.”

“The Times investigation found that MultiPlan had encouraged some insurers to use its most aggressive pricing tools, leaving medical providers with slashed compensation and employers with high fees — in some instances higher than the medical care payment itself. And left some “patients with unexpectedly high bills as they were asked to pick up what their plans did not cover.”

Medicynical Note: Everyone wins…… except the patient.

The health insurer pays less for care and makes more money. Multiplan makes money because it gets a fee and piece of the “savings.” Providers including hospitals and their health care groups, lest you worry about them, have their own ways of increasing billings and get paid one way or another. Check out the salaries of health care company CEO’s and execs if you doubt me. And guess who gets pay for it all.

These scams are a little like the shell game. The money keeps moving and the last concern is value, access, and affordability of health care. As a result of games like these and there are many, we spend more for healthcare than anywhere else by a wide margin. We are the only place in the world where people go bankrupt from health care costs.

America doesn’t have a healthcare system. Instead it has a sophisticated revenue generating system that does healthcare. In In it, income generation takes precedence over patient outcomes.

Another American Tragedy: Officer Down

A police officer was shot and killed in N.Y. Another funeral for another American killed in part by our gun fetish. Sad for the family, sad for the NYPD, sad for America.

But in America thousands die from gunshot wounds each year. People doing good, people behaving badly, people making a mistake, mass shootings, school shootings. Each a family tragedy. Each in a way preventable. (Compare our gun deaths with other industrialized countries if you doubt this)

Medicynical Note: You would think from the funeral service, the mass mourning of this good man, the attendance of dignitaries that all of these folks would be looking to find a way to decrease gun violence. You would be wrong. That’s America.

A Lawless Country: The U.S.A.

The attempted US coup of 6 January 2021, never ended, according to a watchdog report, since the same Donald Trump allies behind that insurrection are now leading a sham impeachment effort against Joe Biden.”

Medicynical Note: Congress is the tip of the iceberg. Our political system is influenced by rules that legalize corruption. The notion that money=“free” speech has made bribery legal by giving influence and access to large campaign donors. We also have a politicized radical Supreme Court. It too is compromised by a lack of ethical standards and the will to follow them.

The apex of our government corruption was the attempted coup on January 6, 2001, which is continuing. A group of Trump’s January 6th supporters, current members of congress, are trying to impeach Biden who is by all accounts only guilty of beating Donald Trump by several million votes in the last presidential election.

Trump refused to accept those results. From November to January of that year he encouraged and it is alleged participated in the scheme to interfere with the electoral vote on January 6th. On that date on TV he encouraged an unruly mob to attack congress and prevent the electoral college vote.

And now three years later Trump remains free while many of the perpetrators with the exception of those who are in congress, are in jail. It is these alleged unindicted congressional co-conspirators who are attempting to impeach Biden.

That’s America today. A shadow of itself with mass shootings everyday; a lawless candidate for president who led a failed coup attempt still running free and a congress (House of Representatives) that allows a fringe group to continue an attempt to overthrow our government. Lawless and ugly, American politics today.

Healthcare: Deceptive Pricing

I recently had an outpatient medical ultrasound procedure. It took all of 30 minutes and was performed by a skilled technician. The bill came to something like $3900.

I don’t know how to value such a procedure but apparently my insurer does.

Below is the accounting of payments and “adjustments” to the price.:

Medicynical Note: Pricing of healthcare in the U.S. is more opaque and difficult to understand than the pricing at a new or used car lot. My sincere apology to car salesmen for the comparison.

Actually, hospital pricing makes the car dealers look good. But, unlike a car purchase, healthcare is not a discretionary expense and when needed, shopping for the best “price” is impossible because of time constraints and because the bottom line price is obscured.

In this case my insurer paid a total of around $900. The rest of the balance, something like $3,000 was an adjustment/discount. My total co-pay was $50.

A person without insurance, however, would have been billed the full $3,900 and would have had to pay that total or enter into some type of bargaining. I may be wrong but I doubt that the hospital would offer the same magnitude of discount even if a patient was savvy enough to ask for it.

In this case the medical facility used was one of the Catholic “non-profit” PeaceHealth facilities in the Northwest.

I’ve noted similar huge adjustments to bills ($25,000 bill discounted to $12,000 for example) in the past. These “adjustments” appear to be the standard operating procedure in hospitals in America.

Is an Erroneous Belief Enough to Justify the Overthrow of an Election

John Eastman the former dean of the Chapman School of Law (ranked 109th in the country) maintains to this day that he thinks Trump won the election. This despite over 60 court cases that ruled otherwise.

Medicynical Note: With the conflicts of interest and politicization at every judicial level this guy, a former law school dean, is symbolic of the corruption of America’s legal system and a zealot’s infinite capacity for self delusion. Unless these clowns are convicted, fined and maybe jailed, America’s once proud democracy is likely finished.

Their goal was the overthrow of the government. In other countries they’d be in jail and/or banned from elective office already. Here they are continuing to plot, aided and abetted by a compromised incompetent judiciary.

Tell me I’m I’m wrong.

Guns Everywhere: The Supreme Court’s Vision

There is no safe place in America. This July 4th weekend up to the morning of the fourth, 15 people died. This year between January and May 13,900 people died in gun violence.

“There have been more than 550 mass killings since 2006, according to the AP/US Today database, in which at least 2,900 people have died and at least 2,000 people have been injured.”

Among those events have been shootings at schools, concerts, graduations, super markets, movie theaters, parades, restaurants, night clubs, etc, etc, etc,

The mass shooting numbers don’t include the now legal category of people shooting others because they thought they were being threatened. The other person could be unarmed, without intent to cause harm or threaten but because the shooter felt he was being threatened there was a chance for acquittal of all charges.

You may recall Travon Martin the youth going home from a local store in Florida who was chased and abused by a man following him. When he faced the man and acted to force the guy to stop his abuse, he was shot and the man later cleared of all charges. Legalized murder,

No one is safe.

Medicynical Note: And in all, our erudite scholarly originalist dominated Supreme Court benignly approves of guns everywhere for everyone—except of course the demonstrators near their home. Somehow believing this was what the founders had in mind. And our pathetic congress remains it’s ineffective self, benignly looking elsewhere in hopes of being non-controversial. Not wanting to offend the gun lobby.

We’ve failed.

Supreme Court Returns to its Racist Roots….. Nothing New Here

America according the lyrics by Big Bill Broozy

“What you gonna do about the old Jim Crow?
Now if you was white, should be all right
If you was brown, could stick around
But if you black, whoa brother, git back git back git back”

And so the conservative, oh so pious republican appointees on the Supreme Court affirmed Big Bill’s observation in it’s ruling on Affirmative Action.

The ruling ignored our history of slavery, Jim Crow, segregation and white’s only advantages for 250 years and declared that “magically” America has done away with the lasting multi-generational effects of our history, which they also no longer wish to acknowledge or for that matter include in our history.

Justice Ketanji Jackson Brown’s dissent puts it into the correct historical and legal perspective.

Regulation? Essential for Safety

A tragedy, in part because of resistance to regulation. A couple of years ago Boeing fudged the oversight of the FAA on the construction of a new 737 version, the max. Two of their brand spanking new jets crashed killing hundreds.

And this week, in an industry with even less interest in regulation, 5 people perished in part because of a flaw in a deep sea exploration vessel. One of the innovators of this vessel felt that regulation inhibited innovation— he died with the others on the vessel.

Medicynical Note: Innovation and the need to turn a quick profit without safety rails can be fatal. In deregulated America, safety is apparently a secondary concern, it revenue that counts. But in rushing innovation without oversight mistakes pile up and people die.

Maybe our republican billionaire libertarian friends need to rethink their distain of regulation.