Healthcare in America: Income over Outcomes!

America has a system of revenue generation that it calls healthcare. Many of it’s “healthcare” corporations work more diligently to improve revenue and income than on improving patient access, affordability and outcomes. That’s American private healthcare even if the company involved is supposedly “non-profit.” This article documents some of the actions of a large non-profit church run hospital system. In reality it is a cash cow that launders hospital income into huge privately held investments.

As noted in the article “But The Times this year has documented how large chains of nonprofit hospitals have moved away from their charitable missions.”

“Some have skimped on free care for the poor, illegally saddling tens of thousands of patients with debts. Others have plowed resources into affluent suburbs while siphoning money from poorer areas.’

And: “Today, Ascension operates in 19 states, mostly in the South and the Midwest. It serves about six million patients.”

“By many measures, Ascension is rich.”

“In addition to its billions in cash, it runs an investment company that manages more than $41 billion. Last year it paid its chief executive, Joseph Impicciche, $13 million.”

“Because of its nonprofit status, Ascension avoids more than $1 billion a year in federal, state and local taxes, according to the Lown Institute, a health care think tank.”

Medicynical Note: In large areas of the country, because of the tax advantage from their non-profit and church related status, hospitals like Ascensions’ have become the only provider of health care, dominating both inpatient and outpatient services. Besides scrimping on staffing and services to maximize return they also enforce health care religious proscriptions on their non-practicing patients and staff.

In the end America has a revenue generating rather than a health generating system of care. It’s interest is more in income than outcomes. Sad but true.

Voting on Gay and Inter-racial Marriage— America’s Disgrace in Full View

There is not country in the world where people have to vote to assure the right of an inter-racial couple to marry……except in the good old U.S. of A.

Similarly, in most enlightened areas of the world gay marriage is an accepted reality as part of “freedom”. The exceptions are largely theocracies whose citizens are held to two thousand or year old credos.

In the U.S. our orthodox religionists (christian mainly) hold to the notion they should have unlimited “freedom” to dictate the rules of society according to their “beliefs.” As such they attempt to attach religious dictates to civil rule. Our Supreme Court has a majority of these dinosaurs and is inflicting untold damage on our democracy. Separation of Church and State is not in their vocabulary.

Of course no one forces any so-called true believer into gay marriage, or use of birth control, abortion or racial intermarriage.

Medicynical Note: The racist roots of our constitution is showing. Glad the bill passed but disappointed that it was necessary.

US Religious Police Emerge……as Iran Abolishes it’s….

With some irony it should be noted that Iran under public pressure is deemphasizing and maybe abolishing it’s religious police. Meanwhile in the U.S. our Supreme Court appears to be moving to enforce religious orthodoxy by declaring unlimited rights for believers at the expense of others freedoms.

Medicynical Note: Religious freedom used to include the freedom from religion. Now every “devout” person can be offended by the simple fact of non-believers and discriminate against them. This “right” seemingly has infinite applicability. Next up will be a suit against having to serve those of a different faith; different color; different national origin; who knows?

Sadly a the arbiters of this suit will be a reactionary Supreme Court majority. A majority that follow the beliefs of a religion that in many locales has bankrupted itself paying off victims of it’s priests’ immoral behavior. Ironic? Or Tragic?

Everything, Everyone……… for Sale

In a country that values money as speech and in which every elected representative is, arguably, for sale this comes as no surprise.

Medicynical Note: Given the politicization of the military it’s only a matter of time before we learn of active duty types being compromised by monied political types…… it may have happened already given the sordid Retired General Flynn’s track record.

Each of these generals has a retirement package from their thankful government that is better than that available for 99.9% of the U.S. public. They do not need the money. But in America it appears that everything and every one ……. is for sale. Including our feckless Supreme Court who made it all possible and is destroying America one ruling at a time.

Lying Huckster Can Invoke Bankruptcy Protection…. Federal Student Borrowers Can’t

Alex Jones after tormenting the victims of the Sandy Hook massacre was sued for defamation and calling the school shooting (26 victims) a hoax. He owes over a billion dollars.

He apparently can and has filed for bankruptcy debt relief (after allegedly hiding assets). Meanwhile students deeply in debt from college loans, some having been scammed by for profit “institutions” (sic) are barred from this way of satisfying overwhelming debt. Ironic, maybe, but that’s America.

Medicynical Comment: I’m speechless.

Election Fraud: Set a Thief to Catch a Thief?

Those paragon’s of virtue, Republican governors who spent the first two years of the 2020’s trying to game redistricting, spent millions of dollars this cycle on trying to find really real election fraud.

Medicynical Note: Since the Supreme Court, yes the conservative dominated one, abdicated on the oversight of fairness in elections, republican states have worked diligently to suppress the vote of and redistrict democratic opponents. These fraudulent democracy advocates are the so-called “fair”elections guys out there looking for voter fraud. Ironic…..or just tragic?

Once when working overseas I could feel secure in the legitimacy of American elections. But since the money=speech decision and the Supreme Court’s stepwise dismantling of the historic voting rights act, everything is open to question.

Incompetent Policing: Colorado Springs Slaughter

“But the law that allows guns to be removed from people deemed dangerous to themselves or others has seldom been used in the state, particularly in El Paso County, home to Colorado Springs, where the 22-year-old Aldrich allegedly went into Club Q with a long gun just before midnight and opened fire before he was subdued by patrons.’

“”If the justice system had followed through with something, anything … he wouldn’t likely have had access to be able to get a weapon and five people wouldn’t have died,” Bowman said.”

Medicynical Note: Given the dereliction of duty by the Chief of Police and his office I would hope the victims of this preventable massacre force the firing of the chief and obtain massive compensation from the city and county for their loss.

This only happens in the U.S. where guns are cheap and available to anyone; where our police forget the protect part of their duty while cashing their paychecks; where children in school live in fear; where innocents are regularly slaughtered (over 600 mass shootings this year). This happens rarely if ever elsewhere. That’s a fact.

It’s not that we have more mental health problems than elsewhere, it’s not the doors; it’s not the founders (they’d be appalled); in most cases it’s not police incompetence; ITS THE GUNS.

Catholicism: No Shame

As they have done in the past these folks seem unable to show contrition. To them it appears to be simply a matter of saying they have sinned and all is forgiven.

Medicynical note: As an organization the Catholic Church has harbored more abusers of women and children than almost any other currently active organization. It would seem to lack credibly on moral issues.

This is not just ancient history. During WWII while there were heroic individuals, the church seemed to tolerate Nazis and ignored the holocaust both in Italy and elsewhere. Later in the 20th century they aided and abetted atrocities against indigenous peoples on almost every continent (not Antarctica), they shielded abusive priests in the U.S., and to their everlasting shame participated in the atrocities of the dictators in Argentina, Chile and Franco’s Spain.

Now while still paying off previous victims they offer advice on morality.

Addendum: And this on November 18 2022. Our Supreme Court is dominated by this group’s “theology.” Unbelievable.

America’s Carnage…. Continues. It’s the guns.

“At least 68 shootings have unfolded this year on US school grounds, including 15 on college campuses, CNN data shows.”

Medicynical Note: America’s so called “freedom” is killing us. Yesterday’s school shootings involved two Universities, why? Because it’s so easy. (See here and here). (See below for correction)

America leads the industrialized world in school shootings, shootings of individuals by police officers (often unarmed and innocent), shootings of police officers, mass shootings, gun involved murders, gun involved suicides, and accidental shootings. It’s not close.

It’s not mental health, it’s not the doors at the schools, it’s not increased lawlessness in America, it’s the guns. Thoughts and prayers don’t help. To think otherwise is stupid

Meanwhile the folks who made this slaughter possible sit in their protected enclave in fear of peaceful unarmed protesters. They piously offer clever quips about their actions. Extending the world of 240 years ago to the modern day, selling out to campaign contributions of an amoral industry, and supporting a “freedom” based in part on support of slavery is not, to me, a good idea. We simply make it easier to kill. America the not so beautiful.

Addendum: Just announced (afternoon Nov. 15) that the U of Idaho killings were with a “bladed” weapon. Amended the above to refer only to the UVA shootings.

The Laugher (Laffer) Curve….Still a joke

How can an economic theory that has never worked still be treated as gospel?

“Laffer “plays a kind of P.T. Barnum of economics,” said Robert Reich, President Bill Clinton’s labor secretary. “Washington loves big personalities with wild ideas that save rich people money.””

““A charlatan who claims to be an economist,” is how former Reagan budget adviser David Stockman described Laffer in a 2013 CSPAN interview.”

“A “preposterous theory,” Steven Rattner, a former Treasury official under President Barack Obama, wrote in a 2019 New York Times essay, referring to Laffer’s idea that cutting taxes increases revenue.”

Medicynical Note: Why does this ridiculous concept still exist? Why did this clown get a presidential medal (sic degraded because it was from Trump)? Because…… Laffer’s plan conforms to republican orthodoxy in that it supports tax cuts for the wealthy. Fox News has been on board since the beginning because……well you know……facts don’t exist there.

The fact that deficits always grow after Laffer tax cuts is overlooked and blamed, you know, on the other guys.

We’ve been a country running on propaganda and lies since the Reagan era. It’s happening again and those predicting disaster may well be right as Republicans look ready to return to majorities (I hope I’m wrong) in congress. Vance Packard is turning over in his grave.