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Parents Storm State Capitals over Vaccines

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by: Jane M. Orient, M.D.

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“Baby shots” used to be a boring subject, and taken for granted. As the number of vaccines grew from seven in the 1980s to 16 requiring 70 doses now, most parents obediently brought their children to the doctor when shots were “due.” The compliance rate was more than 90 percent. Parents who objected for one reason or another just got an exemption from school-attendance mandates and kept quiet. Every state had a medical exemption, most had a religious exemption, and many had easily obtained philosophical or personal-belief exemptions. More

Money Can’t Buy You Health

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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. More

Should We Panic over the Measles Outbreaks?

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by: Jane M. Orient, M.D.

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In general, it is not a good idea to panic about anything. The panic itself often causes more harm than the original threat.

Crisis situations, real or contrived, lead to new intrusive laws that the public would never accept otherwise. We supposedly cherish freedom, but if we believe that the world will end if we don’t act NOW, then we may clamor for the government to save us. Cynical politicians bent on increasing their power never let a crisis go to waste.

Something like the Green New Deal—the end of our comfortable, prosperous lifestyle—takes a truly apocalyptic threat. But to eliminate our freedom to decline a medical treatment, the threat that “millions will die” of measles is evidently enough. Or if not millions (most older people had measles and recovered fully), a few especially vulnerable children, who can’t be vaccinated themselves, might catch measles and die.

There are several hundred cases of measles nationwide, more than in 2014, and bills are being pushed through state legislatures to eliminate all but very narrow exemptions to the 60 shots now mandated for school attendance.

In New York City, people are receiving summonses based on Mayor Bill de Blasio’s emergency order. Everybody, adult or child, who lives in four ZIP code areas must get an MMR shot or prove immunity, or face the prospect of a $1,000 fine ($2,000 if you don’t appear as ordered). Your religious exemption is overridden. The threat of 6 months in prison and the prospect of forcible vaccination were removed before a hearing on a lawsuit brought by five mothers. The judge dismissed the case.

Health Commissioner Oxiris Barbot said that the purpose of the fines is not to punish but to encourage more people to proclaim the message that vaccines are safe and effective. Get it? If you say something to avoid a fine, that makes it true. More

Who Is Your Doctor?

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April 2nd, 2019

Who Is Your Doctor?

by: Jane M. Orient, M.D.

People used to know who their doctor was. His name and phone number were on the wall or the refrigerator next to the telephone. He was there for you and could manage most of your problems.

When I was about 13, my mom took me to our pediatrician for belly pain. He was on his way out the door, but he stopped to take care of me. He diagnosed appendicitis based on history and physical examination. He called his favorite surgeon (“Billy,” a Tucson legend), who came from the golf course to meet me in the emergency room. Within hours, my red-hot appendix was in a jar. My parents paid the hospital bill ($150—10 days’ pay for a construction laborer) as I was discharged a few days later.

Today, the patient with abdominal pain could wait for hours to see the ER provider—possibly a nurse practitioner or physician assistant who had never seen a case of acute appendicitis. She’ll probably get a CT scan, after another wait. Eventually, Dr. On-call may take her to the operating room, hopefully before the appendix ruptures. And the bill will be beyond the means of ordinary people.

I used to be able to direct-admit patients from my office and send them with a set of orders to the hospital admitting office. For years, this has been impossible. The hospital is decidedly unfriendly to independent doctors. There’s now a gatekeeper in the emergency room, and most patients are under the control of a hospitalist. More

What to Do about a Caravan of Rag-tag Migrants

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October 30th, 2018

by: Jane M. Orient, M.D.

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Where is the supply caravan? People are not carrying heavy back packs full of provisions. It is said that an army marches on its stomach. What about these people?

No sanitary facilities are visible. What does the trail look like after the crowd has passed?

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The narrative appears to be that thousands of oppressed peoples spontaneously decided, all at once, to flee a murderous, corrupt government in Central America, and walk to the U.S., in time for election day, to plead for asylum and begin to work hard for a better life in the U.S. (Take note: it is a “caravan” not an “army.”)

We see photos of a mass of walking people, including women, some carrying babies. There are photos of a resting crowd, some tending to infants.

Some are waving flags of the purportedly evil regimes they are fleeing—such as Honduras. Some are receiving cash from men in white T-shirts. Some are reportedly receiving gifts of sandals or food from charitable Mexicans.

But there are some questions that surely have occurred to the Trump Administration, and even to the mainstream media. More

What The Election Means To Your Medical Care

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October 16th, 2018              For Immediate Release!

Contributor & author: Jane M. Orient, M.D., Executive Director of Association of American Physicians and Surgeons

Interview – Contact Dr. Orient directly at (520) 323-3110

Preview: People are marching with “Health Care Voter” signs, and this is generally believed to be one of the most important issues in the 2018 midterm elections. Republicans who got elected on the promise to repeal ObamaCare, and reneged, may now get unelected. Voters who supported them are dissatisfied, and Democrats demand still more government involvement in medicine.

On Twitter, #HealthCareVoter posts warned that the confirmation of Brett Kavanaugh to the U.S. Supreme Court would “rip health care away from people with pre-existing conditions.” This illustrates several profound misunderstandings.

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by: Jane M. Orient, M.D.

People are marching with “Health Care Voter” signs, and this is generally believed to be one of the most important issues in the 2018 midterm elections. Republicans who got elected on the promise to repeal ObamaCare, and reneged, may now get unelected. Voters who supported them are dissatisfied, and Democrats demand still more government involvement in medicine.

On Twitter, #HealthCareVoter posts warned that the confirmation of Brett Kavanaugh to the U.S. Supreme Court would “rip health care away from people with pre-existing conditions.” This illustrates several profound misunderstandings.

By “health care,” most seem to mean health “insurance”—usually a prepaid health plan, which is not at all the same as medical care. The Supreme Court already decided that it is unconstitutional under the Commerce Clause to force people to buy a commercial product. Remember stare decisis? Would it be ok to overturn the ACA decision, just not Roe v. Wade? More

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