Why I am for a single party payor system.

As I have been watching this thing unfold, my opinion on having a public options is changing.  Let me explain.

As a health care provider and a STRONG advocate of personal responsibility you would think I would be an aponent of a government run health insurance right?

Over the past 20 years, I have witnessed first hand the problems with the currrent disease care system.

Depending on a third party payor system always increases costs to the consumer without adding to the quality of goods, all in the name of being prepared in case “something bad” happens.

Since human beings are like water in that they will predictably flow towards the path of least resistence.  Providing safety nets allow for, and indeed encourage, irresponsible management of the one thing of true value in this life, namely your fleshy body.

Maintaining the well being of your fleshy body is a full time job, that frankly most Americans are too busy trying to pay the bills to keep up.  This is a problem with priorities.

But, if you do not spend some of your time and talent maintaining your fleshy body it will get sick, and you will be needing expensive intervention at some point.  Diabetes, cancer, and heart disease are very good demonstrations of this phenomena.

So when you apply the above knowledge of human behavior to the situation created by eliminating the unneccesary health insurance middle man and increasing the required effort to obtain help from the “system” you will see a behavioral adjustment towards the easier route of just taking care of yourself.

This will drastically reduce the cost of health care in this county allowing more of the wealth generated on the backs of the good people of this land to be channeled directly to the bankers.

Thoughts?

DrD

A Declaration of Separation

A Declaration of Separation (Anonymous)

To The Governments & People of Earth:

We claim the right to exist, and we will defend it. We do not seek to overthrow anything. We do not seek to control anything. We merely wish to be left alone. All we ever wanted was to live in peace with our friends and neighbors. For a long, long time we bore insults to our liberty; we took blows, we did what we could to avoid injury and we worked through the system to get the offenses to stop. That has now changed. We no longer see any benefit in working through the world’s systems. At some point, working within a system becomes cowardly and immoral; for us, that point has arrived. Regardless of the parties in power, their governments have continued to restrict, restrain and punish us. We hereby reject them all. We hereby withdraw from them all. We hold the ruling states of this world and all that appertains to them to be self-serving and opposed to humanity. We now withdraw our obedience and reclaim the right to strike back when struck. We will not initiate force, but we do reserve the right to answer it. We did not choose this – it was forced upon us.

To The Governments of Earth:

You are building cages for all that is human. In the name of protection, you have intruded into all areas of human life, far exceeding the reach of any Caesar. You claim ultimate control of our property and our decisions, of our travels and even our identities. You claim ownership of humanity far beyond the dreams of any Emperor of any previous era. Understand clearly: We reject your authority and we reject your legitimacy. We do not believe that you have any right to do the things you do. You have massive power, but no right to impose it upon us and no legitimacy. We have forsaken you. We are no longer your citizens or your subjects. Your systems are inherently anti-human, even if all their operators are not. We are not merely angry young people. We are fathers and mothers; aunts, uncles and grandparents; we are business owners and trusted employees; we are mechanics and engineers and farmers. We are nurses and accountants and students and executives. We are on every continent. This is not a burst of outrage; this is a sober declaration that we no longer accept unearned suffering as our role in life. For long decades we sat quietly, hoping that things would turn around. We took no actions; we suffered along with everyone else. But after having our limits pushed back again and again, we have given up on your systems. If our fellow inhabitants of this planet wish to accept your rule, they are free to do so. We will not try to stop them. We, however, will no longer accept your constraints upon us. – From now on, when you hurt us, we will bite back. If you leave us alone we will leave you alone and you can continue to rule your subjects. We are happy to live quietly. But if you come after us, there will be consequences. You caused this because of your fetish for control and power. The chief men and women among you are pathologically driven to control everyone and everything that moves upon this planet. You have made yourselves the judge of every human activity. No god-king of the ancient world ever had the power that your systems do. You have created a world where only the neutered are safe and where only outlaws are free.

To The People of Earth:

We seek nothing from you. We do not want to rule you and we do not want to control you. All we wish is to live on earth in peace. As always, we will be helpful neighbors and generous acquaintances. We will remain honest business partners and trustworthy employees. We will continue to be loving parents and respectful children. We will not, however, be sacrificial animals. We reject the idea that others have a right to our lives and our property. We will not demand anything from you, and we will no longer acquiesce to any demands upon us. We have left that game. We reject all obligations to any person or organization beyond honesty, fair dealing and a respect for human life. We will shortly explain what we believe, but we are not demanding that you agree with us. All we ask is that you do not try to stop us. Continue to play the game if you wish; we will not try to disrupt it. We have merely walked away from it. We wish you peace.

To Those Who Will Condemn Us:

We will ignore you. We welcome and seek the verdict of a just God, before whom we are willing to expose our innermost thoughts. Are you similarly willing? We would stand openly before all mankind if it were not suicidal. Perhaps some day we will have to accept slaughter for our crime of independence, but not yet. Your criticism and your malice are much deeper than mere disagreements of strategy or philosophy. You do not oppose our philosophy, you oppose our existence. Our presence in the world means that your precious ideals are false. Some of you would rather kill us than face the loss of your ideologies, just as those like you have either hated or killed every sufficiently independent human. You present yourselves to the world as compassionate, tolerant and enlightened, but we know that your smooth words are costumes. Oh yes, we know you, servant of the state; don’t forget, we were raised with you. We played with you in the schoolyard, we sat next to you in the classroom. Some of us studied at the same elite universities. We watched as you had your first tastes of power. We were the boys and girls standing next to you. Some of us were your first victims. We are not fooled by your carefully crafted public image.

What We Believe

#1: Many humans resent the responsibilities that are implied by consciousness. We accept those responsibilities and we embrace consciousness. Rather than letting things happen to us (avoiding consciousness), we accept consciousness and choose to act in our own interest. We do not seek the refuge of blaming others, neither do we take refuge in crowds. We are willing to act on our personal judgment, and we are willing to accept the consequences thereof.

#2: We believe in negative rights for all: That all humans should be free to do whatever they wish, as long as they do not intrude upon others; that no man has a right to the life, liberty or property of another; that we oppose aggression, fraud and coercion.

#3: We do not believe that our way of life, or any other, will make life perfect or trouble-free. We expect crime and disagreements and ugliness, and we are prepared to deal with them. We do not seek a strongman to step in and solve problems for us. We agree to see to them ourselves.

#4: We believe in free and unhindered commerce. So long as exchanges are voluntary and honest, no other party has a right to intervene – before, during or after.

#5: We believe that all individuals should keep their agreements.

#6: We believe that honestly obtained property is fully legitimate and absolute.

#7: We believe that some humans are evil and that they must be faced and dealt with. We accept the fact that this is a difficult area of life.

#8: We believe that humans can self-organize effectively. We expect them to cooperate. We reject impositions of hierarchy and organization.

#9: We believe that all humans are to be held as equals in all matters regarding justice.

#10: We believe that the more a man or woman cares about right and wrong, the more of a threat he or she is perceived to be by governments.

#11: We believe that there are only two true classes of human beings: Those who wish to exercise power upon others – either directly or through intermediaries – and those who have no such desires.

#12: Large organizations and centralization are inherently anti-human. They must rely upon rules rather than principles, treating humans within the organization as obedient tools.

Our Plans:

We are building our own society. We will supplement traditional tools with networking, cryptography, sound money, digital currency and anonymous messaging. Our society will not be centrally controlled. It will rely solely on voluntary arrangements. We welcome others to join us. We are looking for people who are independent creators of value, people who act more than talk, and people who do the right thing because it is the right thing. We will develop our own methods of dealing with injustice, built on the principles of negative rights, restitution, integrity and equal justice. We do not forbid anyone from having one foot in each realm – ours and the old realm – although we demand that they do no damage to our realm. We are fully opposed to any use of our realm to facilitate crime in the old realm, such as the hiding of criminal proceeds. We expect to be loudly condemned, libeled and slandered by the authorities of the old regime. We expect them to defend their power and their image of legitimacy with all means available to them. We expect that many gullible and servile people will believe these lies, at least at first. We will consider traps laid for us to be criminal offenses. Any who wish to join us are encouraged to distribute this declaration, to act in furtherance of our new society, to voluntarily excel in virtues and to communicate and cooperate with other members of the new society.

Free, unashamed men cannot be ruled.

We are The Free and The Unashamed.

Restore proper hierarchy – God then man then gov then corp

Restore proper hierarchy – God then man then gov then corp

This is what happens when this gets reversed to:

corp control gov

gov control man

man dismiss god

Black’s Law Dictionary, Sixth Edition page 697 –

Government de facto. A government of fact. A government actually exercising power and control, as opposed to the true and lawful government; a government not established according to the constitution of the nation, or not lawfully entitled to recognition or supremacy, but which has nevertheless supplanted or displaced the government de jure. A government deemed unlawful, or deemed wrongful or unjust, which, nevertheless, receives presently habitual obedience from the bulk of the community.

There are several degrees of what is called “de facto government.” Such a government, in its highest degree, assumes a character very closely resembling that of a lawful government. This is when the usurping government expels the regular authorities from their customary seats and functions, and establishes itself in their place, and so becomes the actual government of a country. The distinguishing characteristic of such a government is that adherents to it in war against the government de jure do not incur the penalties of treason; and, under certain limitations, obligations assumed by it in behalf of the country or otherwise will, in general, be respected by the government de jure when restored. Such a government might be more aptly denominated a “government of paramount force,” being maintained by active military power against the rightful authority of an established and lawful government; and obeyed in civil matters by private citizens. They are usually administered directly by military authority, but they may be administered, also, by civil authority, supported more or less by military force. Thorington v. Smith, 75 U.S. (8 Wall.) 1, 19 L.Ed. 361.

When Government Plays Doctor

This week, concerns about swine flu have dominated the media and many government officials.  While the American people should be made aware of infectious diseases and common sense preventative measures, much of the hysterical reaction from government only serves to remind us how detrimental to your health it can be when government plays doctor.

As a physician, I have yet to see any evidence that justifies the current level of alarm.  Influenza typically kills around 36,000 people every year in this country and hospitalizes a couple hundred thousand.  So far there are only a handful of confirmed deaths attributable to this strain, and most of those sickened have or will fully recover.  Every death is tragic, but I see no reason to deal with this flu outbreak any differently than we typically deal with any other flu season.  Instead, government in its infinite wisdom is performing even more invasive screening at airports, closing down schools and sporting events, and causing general panic.

We had a similar outbreak in 1976, with only 1 death from the flu, but mandatory vaccinations killed at least 25 before the program was abandoned.

When government gets involved in healthcare decisions, the cure is so often worse than the illness.  And yet, this administration will likely consolidate the government’s power over your health with sweeping new reforms that are already being discussed in the Senate.

Government has not improved healthcare, and has not made it cheaper.  Quite the opposite; costs have skyrocketed, and quality has gone down in many ways.  Gone are the days of the country doctor making house calls, or of voluntarily giving away medical services at charity hospitals.  The bureaucratization of healthcare these past 45 years has made things worse.  It saddens me as a doctor that physicians are less and less accountable to patients, but more and more accountable to government red tape, insurance companies and attorneys.  It seems so perverse to me that important medical decisions that will directly affect the lives of all or nearly all Americans are being hashed out behind closed doors in Washington rather than between doctors and patients.

There is perhaps nothing more valuable to a human being than his or her health, which is why I’ve always considered the practice of medicine so crucial to our well-being.  Any intrusion by government into the privacy and trust between doctor and patient is detrimental to the art of medicine.  It distorts the whole dynamic of who the client really is when doctors must answer more to government or insurance companies than to their patients.  The best solutions to improving quality and lowering costs of healthcare would be measures that put decisions back into the hands of patients and doctors, where they rightfully belong.  I have introduced HR 1495 The Comprehensive Healthcare Reform Act, which promotes health savings accounts and tax deductibility of healthcare costs as an important step in this direction.

The unfortunate reality of this recent health crisis, as with any crisis, is that it presents opportunities that the unscrupulous will take advantage of, while the fearful become more compliant.

The Hardest Part of Parenting and Governing in a Free Society

I’m sure anyone who has raised chilren will agree with me when I say, the hardest part of all, is backing off and letting them be responsible for themselves.  Sometimes I catch myself cleaning up after the kids because it really is easier to just do it myself than discussing the mess, and who should be cleaning it up,  with them for 10 minutes.

With the best intentions, when we coddle our children we are interfering with their ability to achieve self reliance.  Self reliance cannot be educated into them.  It is only achieved through a trial – error- change – trail – succeed behavior model.  The internal feed back of this model creates a problem solving, enthusiastic, and productive person.

This is taken away by our good intentions, and we end up with the guilt of introducing a generation of spoiled, irresponsible brats into our society, god save us.

The same can be said for a government that is too coddling to its inhabitants.  When government (mom and dad) are always there to save us, we can never learn to be self reliant.   You cannot be FREE until you live without nets. Nets lead to risky behavior, leads to dependency, leads to slavery.

So, maybe some people don’t want to be free.  I understand.  Americans live the good life.  Better the guilded cage than the wilderness!  There is always food in the grocery store.  Who cares where it comes from!  A couple of cars in the drive, convenient stores on every corner.  As good as it gets, right?  Ever heard me say, everything happens in cycles?  This high cannot last.  A couple of generations of the good life and the society whithers.

Government dependency programs harvest votes for the ego maniac leaders to continue the pilliaging of a once free people.

Click my heels three times

Someone please make it stop! Everyday is filled with new government programs to save us! None of which can possibly help. More and more people are waking up to the fact that government by its very nature cannot produce anything. The act of producing something means turning a low value resource into a higher value product useful to society. If the actions taken on a resource cost society the same or more than the value they create for societies future use, then this is consumption. The opposite of production. All government programs are financed through taxation of the society they serve. This takes resources away from the people who produced them reducing their ability to produce marketable products and wealth. All government programs require layers of oversight which increases costs BEFORE final product is put into society. A government program always takes from the producers to give to consumers with extra costs added to the middle. This process decreases net wealth of the society while creating a dependency on the government or.. A government takes from one to give to another enslaving them both in the process. Comments???