Archive | March, 2017

100. Basic Causes of Greatest Concern

10 Mar

In my 100 blogs to date, I have tried to cover important governmental, social, medical, and related issues, that profoundly affect our way of life. In this, my 100th blog, I will list some of our most significant current issues, and maybe some possible solutions. I know that my blogs are sometimes imperfect and not very original, but my purpose is to increase the number of voices urging important changes and understanding. So here is a list of ideas to emphasize:

Our American founding fathers when creating the Constitution and other rules, were afraid of the kind of populism that we see today. So they tried to move important decisions away from the ordinary citizens and towards more responsible and intelligent leaders. Here are two examples supporting this lack of trust:
1. The establishment of an electoral college, to prevent direct citizen voting.
2. Until 1913, senators were elected by state legislatures, and not the people.
The founding fathers were afraid that ordinary people could be scammed by unscrupulous politicians. They anticipated someone like our current President.

Societies that over emphasize capitalism and the importance of financial success, foster corruption so that clever manipulators accumulate vast wealth, much of which belongs to the people. It is apparent that anyone (or party) in office for a long time will drift away from the people’s needs and develop methods for increasing their wealth. These methods include donating to Congressmen who will legislate tax loopholes and unfair subsidies.

An age requirement for U.S. President is not enough. Tax returns must be required and other financial and business details provided. It is too easy for very rich people, once in office, to make decisions best for their businesses and not for the country. A notable example is the transport minister for Azerbaijan, formerly a part of the Soviet Union. His covert construction contracting, participation in money laundering schemes, and wide-ranging contacts made him extremely rich at the expense of the citizens.

Corruption and unjustified accumulation of wealth, is not limited to politicians. Almost every vital service needed by the people, such as healthcare, education, and insurance, has cheated the citizens and made administrators (and others) hugely wealthy. Many of these rich people donate to Congress and through resulting legislation, make themselves even richer. Donations to congressmen has shifted vast amounts of money away from ordinary citizens, to undeserving administrators (making many millions of dollars). For example, median total compensation for ceos of major teaching non-profit hospitals is 1.35 million. Many make much more. Is it right that many millions of dollars are given to hospital administrators while poor people are being rejected (even die) for lack of insurance? Important services should be provided by the government at little or no cost. I feel that administrators and certain others should be allowed to become somewhat rich, but not extremely so.

Clarification: All “Western” or developed countries are a combination of capitalism with some socialistic features. Pure capitalism allows the unlimited accumulation of wealth with no financial protections for the citizens. Pure socialism is an economy totally controlled and owned by the state. In the USA (and many other major countries) capitalism is primary, and there are “social programs” in areas such as healthcare, education, and supporting the poor. Shifting some funds from the very rich to the very poor through taxation changes and programs like Medicaid is not “socialism,” it is simply the addition of a “social program.”

Last but not least, is the unethical and self-serving practices of many doctors, dentists, and other healthcare practitioners. Diagnoses and treatments are often are more determined by cash-flow than by what is most beneficial for the patient. Here are some examples. In the area of severe back-pain, diagnosis is usually a defect in the spine, and the possibility of simple excessive muscle strain and tension is ignored. Procedures for spinal defects are very expensive whereas procedures for muscle tension simply involve (at no cost) frequent muscle stretching. Here is an example from dentistry. Several years ago, my teeth would develop a dark blue hue, which could be removed by a professional teeth cleaning. Two dentists I went to urged me to double my teeth cleaning sessions, and spent little effort in trying to determine the cause. Fortunately, I was able to figure this out myself, and saved a lot of expense. The blue colored mouthwash I was using, dyed the teeth, and there was even a warning on the label. I could provide a lot of other personal examples, and many are described in previous blogs. An excellent book on this subject is “Confessions of a Medical Heretic”, 1979, by Robert Mendelsohn, MD. This is an old book, but still very applicable to many current physicians (but definitely not all).

Is there a quick fix for all of the forementioned issues? No, but major efforts to improve education could be transformative. Knowledge is important, but developing an ability to reason and research is even more relevant. Still, I have a sneaking suspicion that our current administration would fear a well-informed electorate.

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99. Change Yes, Trump No

4 Mar

I think our country needs some radical changes to preserve it, and make it exemplary again. Forget Trump’s “great  again”, let’s make it admirable, honorable, and respectable. This blog is “BasicCauses” and I want to look at some of the fundamentals of our system.

I am going to make some major criticisms so I want to make it clear in advance, that I am happy to be an American, vote every election, served in the U.S. Army, and enjoy free enterprise, having created two successful businesses. I generally support the fundamental features of our current governmental system, but believe we need some significant basic changes. The arrival of Donald Trump as our country’s leader, emphasizes the need for  re-thinking.   Please consider the following:

1. The Primary Process and Voting does not yield the best leaders. This is hard to fix, and probably the best solution, better education, may not be effective for a long time. Many poorly educated voters do not have the reasoning and research skills to make the best judgments. Long held and obsolete beliefs are barriers to better choices.

2. Congress is organized so as to promote gridlock. Our current system has too many barriers to completing legislation. There are many different changes that could speed up law making. One thought that I have had is to have one large legislative body and require 52% of votes to pass a bill. Filibustering would not be allowed, but short speeches from many would be allowed.  The quality of legislation could be improved by adding to this body,  various specialists such as University representatives. A major reorganization will not occur in my lifetime, but starting to think about it is important and I may discuss it more in future blogs.

3. The “fourth branch of government”, the press, is being oppressed. It appears now that we need to pass laws or find other means of protecting the press and allowing them to criticize without recrimination. Also, the citizens should clearly support freedom of the press.

4. Rich donors should not have powerful control of our government. I suggest a maximum donation of $100 for all citizens and no donations allowed from corporations or other organizations. Let’s abolish the super pacs and have a true democracy.

5. Our middle-class is not benefiting enough from our nation’s success. We need to abolish tax-loopholes and increase rates for the very rich.  Many wealthy corporations and individuals pay no tax at all because of loopholes.  Even the Pope has criticized “trickle-down” approaches, which rarely work, but are advocated by the GOP.  (“Trickle-down” means: give lots of money to wealthy businesses and simply hope that some will trickle-down to the rest of us.)

6. Congress should not police and regulate itself. An independent body should do this. (The same goes for all Healthcare organizations and many other service areas.) Unfortunately, with today’s polarization, it is not easy to find truly independent persons.

7. A potential problem is “privatizing.” This means moving a function run by the government, to a private, for profit company. A consequence is that some rich person (and staff) will make huge amounts of money and emphasize profits over proper services. In most cases, the benefits of competition do not make up for all the money lost to over-paid executives. For example, privatizing prisons was a failure and was abolished. Politicians sometimes threaten Social Security and Medicare with privatization, which would decrease benefits.  I have said more about this in previous blogs.