Contributor & author: Jane M. Orient, M.D., Executive Director of Association of American Physicians and Surgeons
Preview: So how would government-funded primary care have prevented the diseases my patients have had? Heart failure? (Statin drugs probably make it worse.) Heart attacks? (When the patient has one, it is too late to prevent it.) Stroke? (Preventive aspirin is now criticized because of the bleeding it may cause.) Osteoarthritis? (We have great joint replacements but are much better at blocking access to surgery than at curing the arthritis.) Gall bladder disease, cancer, pneumonia, blood clots, thyroid disease, cataracts, arrhythmias such as atrial fibrillation, herniated disks, asthma, endocarditis from drug abuse, on and on. If we put all the doctors to work pretending to keep people healthy, who would treat disease and injury?
Healing the sick is what medicine is about. The politicians who promise to “fix healthcare” can only destroy medicine—while bankrupting the country.
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June 11th, 2019
by: Jane M. Orient, M.D.
“Healthcare” is supposed to be the big election issue, and politicians promise to give people universal and equal “healthcare,” or prevent the bad guys from taking it away.
Everyone of course wants to be healthy, and a $3 trillion industry wants to keep the money flowing.
So, I have a confession to make as a doctor: I don’t think I have ever kept anybody healthy. If someone comes to me asking for “health maintenance,” I don’t have a shot of “health” to give, or a prescription for “health” to be filled at your neighborhood Walgreens, CVS, or Rite-Aid.
And as a patient, I can’t recall any ways in which doctors kept me healthy, although they did save my life by taking out my appendix, and they treated some illnesses and injuries. I am very grateful to them, and whatever I paid them seemed reasonable and well worth it.
To my mind, a healthy person is one who does not have to see a “healthcare provider” regularly or take medicine every day, and who can go to work, take care of family, and generally lead an active life.
We hear endless complaints about how we spend too much money treating sickness instead of preventing it. If only we had the government take all the money, plus trillions more, and “invest” it in health, we wouldn’t have to spend so much, and everyone would be healthier—so they say.
This was the rationale for the National Health Service in Britain. Once the NHS took care of the backlog of untreated illnesses, much of the need for it would melt away. This did not happen. Expenditures kept rising and were never enough. The backlogs and waiting lists grew. Ambulances circle emergency departments, and patients are crammed into hallways and storage rooms.
Suppose you go for your government-funded, “value-based” health maintenance visit. Details of your once-private life will be entered into a very expensive electronic health record. (For most people, it will be their own data, but occasionally someone else’s will be cut-and-pasted in, causing endless trouble.) You will be checked for diabetes or pre-diabetes, hypertension or pre-hypertension, tobacco use, cholesterol, in many cases gun ownership, body mass index, and other government-mandated items. You will get educated about the evils of tobacco (in case you have been on Mars and hadn’t heard). You’ll be lectured about obesity if your BMI is too high. You’ll very likely get a prescription to lower your blood pressure or cholesterol, and you may get vaccinated for something.
Your provider will likely get a bonus for checking all the right boxes and for “keeping you healthy,” and will get penalized if your “numbers” don’t improve or you get sick. Since I don’t think others are any better than I am at creating health, there is a huge incentive to “manage the case mix” to discourage unhealthy or non-compliant patients from joining the practice.
People on drugs for blood pressure or cholesterol may feel worse rather than better, but are supposed to be less likely to have a heart attack or stroke decades later. Studies with huge numbers of patients, who may be very different from you, have shown a decrease in such events with treatment. So far, a decrease in expenditures has not been shown, in view of the cost of all the drugs and side effects.
Of course, as an internist I treat high blood pressure and diabetes, but I consider this to be disease management. Would better diet prevent these things? Possibly, but what diet? I recommended low-fat diets for years. This government-approved advice is now questioned.
So how would government-funded primary care have prevented the diseases my patients have had? Heart failure? (Statin drugs probably make it worse.) Heart attacks? (When the patient has one, it is too late to prevent it.) Stroke? (Preventive aspirin is now criticized because of the bleeding it may cause.) Osteoarthritis? (We have great joint replacements but are much better at blocking access to surgery than at curing the arthritis.) Gall bladder disease, cancer, pneumonia, blood clots, thyroid disease, cataracts, arrhythmias such as atrial fibrillation, herniated disks, asthma, endocarditis from drug abuse, on and on. If we put all the doctors to work pretending to keep people healthy, who would treat disease and injury?
Healing the sick is what medicine is about. The politicians who promise to “fix healthcare” can only destroy medicine—while bankrupting the country.
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Jane M. Orient, M.D. obtained her undergraduate degrees in chemistry and mathematics from the University of Arizona in Tucson, and her M.D. from Columbia University College of Physicians and Surgeons in 1974. She completed an internal medicine residency at Parkland Memorial Hospital and University of Arizona Affiliated Hospitals and then became an Instructor at the University of Arizona College of Medicine and a staff physician at the Tucson Veterans Administration Hospital. She has been in solo private practice since 1981 and has served as Executive Director of the Association of American Physicians and Surgeons (AAPS) since 1989. She is currently president of Doctors for Disaster Preparedness. She is the author of YOUR Doctor Is Not In: Healthy Skepticism about National Healthcare, and the second through fifth editions of Sapira’s Art and Science of Bedside Diagnosis published by Wolters Kluwer. She authored books for schoolchildren, Professor Klugimkopf’s Old-Fashioned English Grammar and Professor Klugimkopf’s Spelling Method, published by Robinson Books, and coauthored two novels published as Kindle books, Neomorts and Moonshine. More than 100 of her papers have been published in the scientific and popular literature on a variety of subjects including risk assessment, natural and technological hazards and nonhazards, and medical economics and ethics. She is the editor of AAPS News, the Doctors for Disaster Preparedness Newsletter, and Civil Defense Perspectives, and is the managing editor of the Journal of American Physicians and Surgeons.
Jun 11, 2019 @ 13:44:10
Western Oregon Site of Early Agent Orange Tests!
Wes Carter for Salem-News.com
A disturbing document summarizes world-wide US military use and storage of the wartime defoliant, infamous for its lingering toxic impact.
Agent Orange
(SALEM) – Department of Defense documents recently released detail testings conducted by the Air Force in Eastern Oregon, under the management of Oregon State University. On pages 65-66 of the “The History of the US Department of Defense Programs for the Testing, Evaluation, and Storage of Tactical Herbicides” was a review of the 1973-1974 testing which covered over 300 acres with five drums of concentrate Agent Orange, diluted with kerosene for effective spraying.
The disturbing document was a summary of world-wide US military use and storage of the wartime defoliant, infamous for its lingering toxic impact.
It was generated by contract with Batelle Columbus, which subcontracted for actual research and writing to Dr. Al Young. Young is a retired Air Force colonel with a PhD in Agriculture. He directed much of the post-Vietnam denial posture adopted by both the Department of Veterans Affairs and the Department of Defense.
At various times he seems to also have served as Senior Consultant to the Office of Secretary of Defense, and he continues writing projects about Agent Orange ordered by VA under a long-term contract. In 2010 he happens to had a role in directing that obsolete, desert-stored C-123 transports all be destroyed as toxic waste. He also insists the former Agent Orange spray aircraft were somehow safe.
The OSU effort was led by Professor M. Newton, now Professor Emeritus. Although he later suggested that his research shouldn’t be used relative to exposure claims by C-123 veterans, In 2011 Professor Newton wrote to a military-oriented publication and offered his startling opinion that inhalation of dioxin by veterans is not a concern, surface contact with contaminated surfaces is not a concern, and assured readers that only individuals who’ve actually handled Agent Orange and dioxin might have been in enough contact for the toxin to be harmful. No mention was made in his opinion that he’d been involved himself in spraying military Agent Orange. Neither was mention made that his work on Agent Orange was decades old.
Clearly, the OSU personnel involved in the testing should consider the effects of their dioxin exposure, and the industrial concerns which offered their property for this testing might also investigate. The report will be in the set of data evaluated when the Institute of Medicine, itself under a VA contract, examines the issue of C-123 veterans’ exposures aboard their toxic airplanes.
Wes Carter, Major, USAF Retired
Former McMinnville Resident
Chair, The C-123 Veterans Association
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Jun 11, 2019 @ 13:24:21
BARRELS FOUND AT BOTTOM OF WALLOWA LAKE LIKELY CONTAIN ‘AGENT ORANGE’
STACY LEE
4 Days Ago
Divers descended to the depths of beautiful Wallowa Lake to recover some barrels that were spotted on a previous drive. Turns out the barrels may contain a highly toxic weed killer nearly identical to “Agent Orange.”
Agent Orange is the nickname for a toxic weed killer that was spayed on jungles during the Vietnam War in the 60’s and 70’s to kill foliage where the Viet Cong were hiding. It accidentally sprayed on American troops, who became sick with side effects lasting for years and sometimes permanently.
Twenty-five 55-gallon barrels were recovered and were rusted out so whatever was inside had already evacuated the barrel (presumably in the lake, but hopefully not). Ten-to-twelve 100-gallon barrels contain the toxin and the Environmental Protection Agency has already said it will remove them as soon as possible, which may be September.
https://975kissfm.com/barrels-found-at-bottom-of-wallowa-lake-likely-contain-agent-orange/
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