Category Archives: General Cynicism

American Healthcare isn’t About Care. Hint: Deep Throat’s Tip to Woodstein

But the hospital never sent her bills to Medicaid, which would have paid for the care in full, and the hospital refused requests to do so. Instead, it pursued an amount five times higher from Ms. Smith directly by placing a lien on her accident settlement.”

“Parkview is among scores of wealthy hospitals that have quietly used century-old hospital lien laws to increase revenue, often at the expense of low-income people like Ms. Smith. By using liens — a claim on an asset, such as a home or a settlement payment, to make sure someone repays a debt — hospitals can collect on money that otherwise would have gone to the patient to compensate for pain and suffering.”

Medicynical Note: No surprises here, to understand the core values of American healthcare providers just follow the money and observe the trickery used to maximize revenue……which of course discourages service. Charging the least able to pay the most is a long-standing American hospital tradition.

The Endless Morass of Religious Persecution

It opens a window onto a deeply misogynistic culture in Ireland over several decades, with serious and systematic discrimination against women, especially those who gave birth outside of marriage,” he said. “We did this to ourselves as a society.”

“Survivors of the homes say urgent action by the state is needed, and many say the Roman Catholic church, which ran the homes, needs to be held more fully accountable.”

And the Catholic Church features itself as an arbiter of morality.

Medicynical Note: Nothing new here the church has abused and persecuted people on every continent for hundreds of years. Children and women have been their victims–the most vulnerable in societies. It continues today.

But somehow this flawed institution persists. It self-righteously tries to be the arbiter of morality and as such continues to abuse the rights of women and children.

I have no doubt there are good “moral” well meaning people in this organization but its roots are rotten and corrupt. As such it should be discounted as a arbiter of morality.

Black Voters Matter

“A Republican congressional ally of President Trump solicited more than 100 of his fellow GOP lawmakers to sign on to a brief with the Supreme Court in support of a long-shot lawsuit filed by Texas seeking to delay certification of presidential electors in four battleground states won by President-elect Joe Biden.”

Medicynical note: let’s be clear, just as the reaction to recent police shootings says black lives don’t matter, the legal action by republicans against Biden’s election is saying, very loudly, that black voters don’t matter. It’s not subtle.

COVID: More U.S. Deaths than in WWII

I’ve been following the COVID epidemic watching as the death toll rose from zero in January to over 290,000 today. For perspective these are the U.S. deaths in WWII.

Deaths in WWII–Combat deaths, Other Deaths, Total deaths

Medicynical note: While Republican political hacks have been minimalizing and denying the impact of covid, the deaths have inexorably risen. Today they will exceed the U.S. battle deaths in WWII (291,557). This was an unbelievable (till now) failure of government. The focus of Trump was almost solely on money, not citizens. Billionaires have done well while wage earners were exposed to the virus and many have died.

Trump denied, obstructed, provided misinformation and largely ignored the deaths and suffering. He’s soon to be gone while the aftereffects of his gross incompetence will linger on.

More deaths than in WWII, unF#@kingbelievable.

The Uniquely Trumpian Response to COVID– Stupidity

Mad magazine could not have satirized libertarian/Republican hypocrisy better. Its just American Exceptionalism….again and again. Approaching 250,000 dead and these people wants more.

Medicynical note: Ignoring common sense, a politically corrupt Dr. Mengele clone arrives on the scene.

And the so-called Hoover Institution……..awaiting this guy’s dismissal.

Trump’s Failures

The COVID pandemic is raging in the U.S. and Trump thinks he handled it perfectly. His low standards is literally killing us.

Medicynical Note: Benign neglect is Trump’s approach and it has resulted in thousands of deaths. His fear of failure, his remarkably short attention span and his obvious intellectual shortcomings have contributed to the fiasco.

Trump’s Pre-existing Illness NON-PROMISE

“The Trump administration touched off another politically charged battle over the future of Obamacare with its latest maneuver to dismantle the law amid a pandemic — a move that Democrats immediately weaponized for competitive campaigns this fall and few Republicans defended.”

“The 82-page brief filed late Thursday to the Supreme Court in a high-profile case brought by GOP state attorneys general undercuts President Trump’s repeated pledges to ensure coverage for people with preexisting conditions as his administration and the broader Republican Party seek to wipe away that protection.”

“Trump vowed as recently as last weekend, at a campaign rally in Tulsa, that he would “always protect patients with preexisting conditions, always, always.” But his own administration’s position in court is that the 2010 Affordable Care Act’s individual mandate is unconstitutional, and therefore so is the entire law — even its most popular provisions, such as coverage for those with preexisting conditions.”

Medicynical Note:  And now the fine print on Trump’s pre-existing illness non-guarantee. 

Trump’s promise to protect patients with pre-existing illnesses does not guarantee affordable pricing.  Insurers can and will charge people with pre-existing problems more, much much more. 

And if the patient can’t afford the insurers price for coverage,  republicans then usually propose to put them into high risk pools and charge for subsidized insurance based on income (an ability to pay test).  The problems with such pools is that they are underfunded (run out of funds to pay for care) and still too expensive for most people to afford.

The president’s promise also does nothing to limit deductibles and co-pays for people with pre-existing illnesses.  And these extra charges can also be based on  income and assets. 

Remember Trump is a health care ignoramus.  He knows nothing about health insurance or funding it.  He really can’t be bothered with details and has no understanding that health insurers  have primary fiduciary responsibility to stock holders not patients.  They really have limited to no interest in caring for very sick people. 

It’s a fact that Medicare was first established for that very reason.  Insurers didn’t want to provide coverage for the elderly, after all they might be sick.  As a group they have too many pre-existing illnesses. 

Maybe in a more rational time we’ll come to conclude that Medicare type insurance makes the most sense for everyone in the only industrialized country in the world which has no national health care scheme.  Maybe, who knows?  VOTE

Trump and the WHO: BBC Fact Check

Trump seeks to blame somebody……anybody will do.

“The WHO failed to adequately obtain, vet and share information in a timely and transparent fashion.”

“This has become a regular theme of Mr Trump’s criticism of the WHO, and in his letter to its head Dr Tedros Adhanom Ghebreyesus on 18 May, he renewed this attack saying the WHO “consistently ignored credible reports of the virus spreading in Wuhan in early December 2019 or even earlier”.”

“Mr Trump specifically highlighted reporting by the Lancet medical journal.”

“The editor of the Lancet, Richard Horton, has written a letter in response, saying: “The Lancet did not publish any report in early December 2019 about a virus spreading in Wuhan. The first reports we published were from Chinese scientists on Jan 24, 2020.””

Read the rest of the article……

Screen Shot 2020-05-19 at 9.59.51 AM

Medicynical note:  The article exposes Trump’s unwillingness to accept facts and disarms his accusations against the W.H.O.  Trump denied the seriousness of the epidemic all the way into March.  He blew off intelligence briefings in December; reports of cases and spread in January; and the possibility of a pandemic into March.  As late as February 24 he fired a prominent CDC expert for raising the alarm about covid-19 disease spread.

And when he did his only “early” intervention, the stoppage of flights from China, he did not stop the entry of 40,000 or so U.S. travelers from China.  They received no serious screening on return and were forced to mingle in huge crowds at U.S. customs and immigration.  Trump also did little to nothing to stop the travel of infected citizens from Europe.  And as the W.H.O. predicted this type intervention is not particularly effective…..to whit we have the worst epidemic in the world in the U.S.

His vendetta against W.H.O. reminds me a little of the Korean era when the Russians dropped out of active participation in the U.N. and in doing so allowed the U.S. to put together an international force to oppose North Korea in the Korean conflict. They couldn’t veto an action when they weren’t present.

Abdication means loss of influence, not only in the W.H.O. but in all international multinational bodies.  If loss of influence around the world was Trump’s goal.  He’s succeeded.  Thanks to him, we, the U.S., are perceived as a declining power run by an ignoramus.  Congrats to us.

Relief for Corporations, of Course. People? Let Them Eat Cake

Our feckless president and his Republican Party controlled Senate propose using tax funds to rescue corporations and fashions a rescue that cuts out the lowest earners from financial support. It gets even worse..

“But he also injected new uncertainty into the government’s response, suggesting it was not his responsibility to meet the needs of health care workers on the front lines of combating the disease. A day after he said he would use the Defense Production Act — a Korean War-era law that allows presidents to force American industry to ramp up production of critical equipment and supplies — Mr. Trump told reporters that he would rather rely on states to deliver equipment to health care workers.” (Emphasis medicynic)

“On Capitol Hill, Republicans presented a bill that would offer bridge loans of up to $10 million each to small businesses, extend hundreds of billions of dollars in loans to large corporations in distressed industries and send checks as large as $1,200 per adult to individuals earning less than $99,000 per year. The payments would phase in for earners up to $75,000 — meaning lower earners would get smaller checks — and then phase out again at $99,000. Those who did not earn enough to pay income tax would receive much less: $600.”

“The Senate bill also includes a raft of temporary changes to the tax code that would reduce the tax liability of large corporations, many of them overriding provisions in the 2017 tax overhaul that were meant to raise revenue to offset corporate rate cuts.”

Medicynical note: Where to start. In the chaos of the Trump administration we learn that our leader doesn’t think it his responsibility to assure access to competent care and testing. Where I live the PeaceHealth hospital (a several state multi hospital organization ) is reporting shortages of all types of medical materials as well as test kits. The staff feels extremely vulnerable because of the lack of preparation. This is a microcosm of the nationwide situation. Remember Trump gutted the government’s ability to anticipate and plan for a pandemic after his election. What’s happening was predicted but our guy knew better (sic) he is reaping at the expense of citizens lives and fortunes what he has sowed.

The Senate plan pointedly gives little financial support to the poorest in our society while proposing yet another large tax cut for corporations. The last tax cut, you recall doubled, the federal deficit. Trump, meanwhile, says he’s going to cut social security Medicare and Medicaid because of the large government deficits from his tax cuts to corporations and wealthy. Chutzpah combined with chaos.

So corporations under Trump receive bailouts from tax payer funds from which they want to be excused from paying. While in effect taxing the sick and elderly by cutting their Social Security and access to health care. America, something terrible is happening and his name is……..Trump.

Read Between the lines (Trump vs the Science….again)

Today Anthony Fauci of the NIH said the following about the Coronavirus regarding recommendations to the elderly chronicaly ill. 

“You don’t want to go to war with a president,” he said. “But you got to walk the fine balance of making sure you continue to tell the truth.”

FoxNewsSunday

@FoxNewsSunday

Doctor Anthony Fauci talks about staying away from political spin when addressing the American public about the risks of the coronavirus.

Embedded video

Medicynical Note:  What’s going on here?  Think there might be a conflict between the scientists and the politican?  Trump has called global warming a hoax and recently called the Coronavirus worldwide epidemic bordering on pandemic a hoax as well.  Think he has your best interests in mind?