Category Archives: Ethics

Franklin Graham is right…..in the wrong way

Pardon my cynicism, but a few nights ago on 60 minutes Franklin Graham posited that “faith in God” did more to shape the United States than any other force. And I guess I sort of agree with him but not in the way he thinks.

Religions and their fanatic, in many ways, amoral leaders always seem to find a way to justify the worst behavior. Many Jews whose families were once victimized today support the slaughter of Palestinians. Iranian true believers in Islam slaughter those they consider infidels and innocents. Hindus look for and at times make up excuses to victimize their Muslim and Sikh neighbors and vice versa. They all do it in the name of a “god” which is theirs alone and presumably supportive of their crimes against humanity.

Here in America many Christians and their leaders self-righteously tolerate Trump’s racism, homophobia, misogyny and violence just as they once tolerated slavery, segregation, Jim Crow and all that went along with it. And all of it, then and now, was/is Supreme Court approved.

And so while the traditions may be often beautiful and peaceful, Graham’s religious belief is a little like the opening scenes in the movie Blue Velvet with facade of a beautiful peaceful oh so very very legalistic place, with worms (apologies to worms) lurking just beneath the surface.

Heads I win Tails You Lose: It’s the American Way

America’s history of racism is long and clear and manifest in our history and laws.

It was legal of course to take the lands from native Americans because our early government surveys showed there was no record of land ownership so it was all right to just take the land, no questions asked. It was the American way, nice and legal—like.

But of course everything we do is always nice and legal, and Supreme Court approved. It was legal for 350 years, for example, to discriminate against African Americans. In every aspect of life there was discrimination. And now of course there is nothing legal that can be done to correct the disparities of those 350 years, also Supreme Court approved. It’s even illegal in some areas to teach the history of slavery, JIm Crow, segregation and the exclusion of African Americans from access to education, healthcare, property ownership, wealth. It’s also “illegal” for universities to give any slight advantage and diversify their student body by including some of these disadvantaged people–but providing advantage to legacy scions of the wealthy at universities is legal……It’s the American way.

And of course we now have all these illegal immigrants living here. Many of these folks have been here for generations. Many married to “real” citizens, many with American “citizen” children, all paying taxes and almost all working. Some, came here seeking asylum and have been following all the rules. Some came here after Afghanistan, they were people who supported our troops during that war and would be under threat by the Taliban if they stayed. Others maybe a majority, have been trying to adjust their status and become full citizens and have been jumping through the obscure hoops and weird road to citizenship and are obeying all the laws, appearing when asked at immigration courts. But now on the whim of an addled racist old man they all have been arbitrarily declared illegal and undesirable and violently attacked on our streets and disappeared without recourse.

And it’s all legal with the Supreme Court seal of approval because, it’s the American way.

In America for some it’s heads I win tails you lose. It’s the American way.

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My Advice to Tom Homan: A Modest Proposal

I hear Tom Homan is trying to relieve the tensions in Minnesota.

I have some advice:

Medicynic Note: Hey Tom. It’s really easy. Don’t be racist or hire racists. Discipline employees who use excessive force. Don’t disappear anyone. Don’t use concentration camps. Follow the established laws. Don’t break into houses, don’t break car windows and drag people out, don’t grab children from schools and school yards or anywhere (particularly 5 year olds),don’t grab people outside of immigration courts as they report as required for adjudication. Simply be humane to these human beings many married to citizens or with children who are citizens. And, oh yeah, don’t shoot and kill observers.

Meanwhile congress do something. Provide guidance and a path to citizenship for many of these emigres.

And John Roberts and colleagues. Let the lower courts continue to do the job that you have abdicated, i.e. bringing a semblance of law and order to an out of control executive branch.

And Mr. President, go away, we no longer expect anything from you.

It was Murder in Minneapolis: And Trump…Lies

Not need to comment. The video from the BBC tells the story.

.https://bbc.com/news/videos/cp372pqq2rlo

Medicynical Note: Government Sanctioned Murder, for the world to see. Of the same order of horror as Khashoggi’s by the Saudis, this time here in the once United States of America.

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.