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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