The Strangulation of Competency
September 26th, 2009 :: Collectivism, Altruism, Health Care, Medicine, SocialMed, PeikoffI found noteworthy this passage from Leonard Peikoff’s chapter ‘Medicine: The Death of a Profession’ in The Voice Of Reason:
“The DRG administrator will raise hell if I operate, but the malpractice attorney will have a field day if I don’t—and my rival down the street, who heads the local PRO, favors a CAT scan in these cases, I can’t afford to antagonize him, but the CON boys disagree and they won’t authorize a CAT scanner for our hospital—and besides the FDA prohibits the drug I should be prescribing, even though it is widely used in Europe, and the IRS might not allow the patient a tax deduction for it, anyhow, and I can’t get a specialist’s advice because the latest Medicare rules prohibit a consultation with this diagnosis, and maybe I shouldn’t even take this patient, he’s so sick—after all, some doctors are manipulating their slate of patients, they accept only the healthiest ones, so their average costs are coming in lower than mine, and it looks bad for my staff privileges…”
Meanwhile, the patient (maybe you or your loved one) dies…
This hypothetical, but factually warranted, scenario was from a lecture given back in 1985, so imagine if we adjust the cognitive and ethical nightmare presented above to accommodate an additional 25 years of cancerous government involvement. Consider how much worse it will be when the few remaining slivers of freedom are completely ground into the muck of full government control.
Keep in mind the scenario portrayed above, along with the highlighted acronyms, when you next hear some righteous idiot condemn the “free” health care market.
In a free market of healthcare, the only relevant decisions are amongst the physician and the patient to determine the most appropriate course of action available in accordance with the rational judgment and financial means of both parties. Freedom, efficiency, objectivity and justice are the guiding principles one needs when his life is on the line, not subjective deliberation, bureaucratic pandering, systemic injustice and economic dysfunction.
