Tag Archives: Healthcare

Healthcare and Some Big Questions

We are busy in the United States discussing and struggling to formulate the proper healthcare policy. The country may spend a trillion dollars supercharging our medical infrastructure and building a very powerful bureaucracy to try to oversee it all. I have proposed here and elsewhere that  we create really independent National Wellness Agency that will also work with “sort of” supervise and support a web of community clinics which would exist under a variety of charters and receive funds and directions from a mix of familial, corporate, municipal and other sources.

One of those sources is the community that sort of ends up being the members of the American Medical Association. At Dr. Hebert’s wake Friday night I noticed how many physicains and close relatives of physicians were there. Not nearly all of them were of Dr. Hebert’s generation. My proposal would create incentives for them to evolve into better directions. It would not replace their community entirely with an artificial structure.

Dr. Charles Boustany is my representative for whom I have voted repeatedly and “Bobby” Jindal is my Governor elected from a primary for whom I have never voted who has a background in administering medicine and government in their connectivities. They are sort of making my own home area a center of Republican thought on healthcare. So I see that they are pushing for a different approach than that proposed by the Obama administration. However, it has taken quite some time for them to formulate and put forth a plan that is comparable to the Obama plan in its ambition.

I propose that the National Wellness Agency would help our national ambitions and the ambitions of humanity worldwide to come to fruition. Those ambitions that include creating new islands using waste that is made secure, a real space colonization policy,   opening biocorridors and supporting eco-friendly high population farming all address issues of health, cost, population and environment. We need health policy that can help us to create the big new possibilities that we really need to create but are unlikely to create effectively unless we begin to make big changes in the way we think and the players that we involve. Healthcare has to be an effective part of our overall vision of the future. If it is not it will surely be a hindrance to any sane and decent future.

Healthcare and a Doctor’s Death

This evening I plan to go the wake and rosary for Dr. Ardley Hebert. He has been retired for some time and was quite old and very sick. He practiced in my hometown of Abbeville. I knew Dr. Ardley all my life but did not know him very well really. He was once Chief of Staff at Abbeville General Hospital. Abbeville would be a county seat if Louisiana had counties. Instead Louisiana has parishes so Abbeville is the seat of Vermilion Parish. Vermilion Parish is a rural and mostly agrarian parish with a big oil and gas sector and some shipping interests and several small towns and Abbeville is a quaint place and sometimes a fairly prosperous one. Dr. Ardley was the Coroner of Vermilion Parish at one time. He was a political figure in that position.

He was a surgeon but like many of our surgeons he had an office where maybe if you were a best friend of a third cousin’s  ex-wife’s gardener between insurance policies he might give you primary care at a minimal charge when he had slow load on his schedule. If you were close friend he might do whatever was needed to keep you from falling apart physicaly and financialy when you were in need.

The Heberts in the broad clannish sense are a prominent local Acadian family. Dr. Hebert enjoyed  boating, fishing, drinking and visiting. He could limit all of those things very substantialy when they interfed or might with the practice of medicine.  He married and reared  his children in the Catholic Church, divorced remarried a young divorced beauty and reared her child as his own. He is  being buried from a Catholic funeral but not at a Catholic Church building and then will be buried at a local Catholic Cemetary. We all kind of knew he was a Catholic all his life without discussing it much.

Dr. Hebert was our guy. Was he a good man? I really did not know him well enough to tell. But he was  the kind of man who helps keep a civilization going. He could make a goos living and support local businesses. He could give free and cheap help often enough that it was knon and still keep his profits and earnings afloat. He could be his own man and respect religious and local cultural sensibilities.  He could ne friendly and make the medical profession and his family name a source of pride and distinction. He helped me once when I was in terrible pain and could not sleep doing some trvial care on his own for next to nothing and I heard of other people he helped like that.

What did Ardley Hebert M.D. think of healthcare reform? I did not know him well enough to know. But I think that his life had something to say to us all about these things and issues we are debating.

Healthcare and the Human Body….

 Last night I listened to President Barry Soetero — Barak Hussein Obama present his address to the Joint Session of Congress gathered to hear him adress the need and his pertinent plans for healthcare reform.  I also listened to Representative Charles Boustany M.D. who delivered the Republican response.  It was a worthwhile way to spend a little time as they left me more informed than I was before. I certainly have a clearer idea of what the parties are out to achieve and what they are   most opposed to at this time.
Representative Boustany is the member of Congress for my own Seventh Louisiana Congressional District. We do not really know eachother but we also have several close indirect personal connections. I think he is a fairly good and serious man.  He did discuss wellness and health which is very important in my proposal. The values of wellness and health have not gotten much attention in many other plans. Not in my view anyway.
I think an understanding of the body as more than a vehicle for disease and medical bills is essential to formulating good policy. So I am attaching an old Facebook post on the subject.  
This post first appeared on my Facebook page on
Wednesday, April 15, 2009 at 3:52pm
My physical health this week has been pretty bad while not being too bad for me to write a Facebook Note. It is probably mostly because of this kind of physical illness that I am writing about the body. My parents have each had some kind of cancer scare recently. I have no health insurance. A life time of adventures leaves my body mapped with scars and if I look around I can find lots of reasons to wonder how long my body will hold together. I worry too about others and take an interest both in sports and in many other forms of physical activity. So I am writing a rambling and incomplete note about the body.

Humanity and the human body have been discussed at very great length by a very great number of writers. I am writing this series of Facebook notes not so much becuase I am confident that my doing so will add greatly to the total dialog or body of knowledge but more because I must do all I can for reasons not always easy to explain. Although 44 is hardly ancient, I have reached a stopping place in a very long and arduous journey. This is drawing upon a year of writing these Facebook notes. About the time my birthday rolls around it will be a good time to have completed this series of My Thoughts about a good number of topics. In one year one can map out a good bit of one’s mental and spiritual landscape. My own journey through this year has been aided by writing these notes which have been more personal than anything else which I have treated as much like a publication.

One aspect of the human body which is among the most important I have addressed a bit in an earlier note adressing the subject of Manhood. I hope that I am soon able to address the subject of Womanhood in another note similarly devoted to the subject. It seems abundantly clear to me that among the most important things about the human body is that it comes in two types we call sexes which cut across or organize all other types very significantly. We call this pair of types the sexes. But in this note I am dealing with sexual differentiation only very incidentaly.

The human body is of course at the very personal level of things one can discuss. The problems and concerns of society are more removed from our most personal concerns and feelings. Life impinges upon us very distinctly when it is made physical. Most people, if they are honest even with themselves find rape a much more certain and definable crime than sexual harassment. They find battery more easily pictured and more likely to be fairly punished than “intentional infliction of emotional distress”. The fabulous wedding ceremony and public anouncement are all well and good but it is sexual intercourse that consumates a marriage in most societies. Sickness is recognized as an excuse for absence from work far more often than most excuses not involving bodily impairment. We live in an age of movies, the internet, telephones, faceless bureaucracies and corporations that deal with hundreds of millions of strangers and we still recognize how real things become when they affect our bodies. It seems very likely that people living through all of the many other human generations were far more tied to the significance of the body than most of us are today.

Any experienced proclaimer of the Christian faith knows that– while many Christians disagree on how to express what Christ was doing in the Crucifixion, why he was doing what he did and what it meant to God and Man– all are agreed that it is intrinsic and essential to the story that Jesus was in great physical pain and that he laid down his bodily life and was executed after being sentenced to death. Both death and a very physical suffering are essential to the redemptive mystery of Jesus Christ. Jesus who fed and healed so many bodies in the course of his ministry of teaching and preaching was subjected to the grim arts and sciences of those devoted to destroying bodily health and integrity. Had Jesus simply been humanely poisoned like Socrates then Christianity would be very different indeed. Perhaps it would be nearly unrecognizable.The horrific violence of his death and his ministry of peace and healing are so poetic a contrast that they can be somehow distorted and exagerated. We can and indeed have lost sight of the other violence on Jesus’s side of the picture and the violence of third parties. But the physical violence he suffered is indeed essential to the whole story.

Michel Foucault, who was among other things a French Philiospher and cultural critic of some note, has given us a number of books which show the bodily aspect of social and cultural development and of political history. One of his books “Sex, Power and the Politics of Identity” focuses on how sexual understandings of the person and the body create a set of connections between political power and sexuality. Two of the other books are “Discipline and Punish” and “Madness and Civilization”. Foucault takes care to show how power over bodies is a vital part of the development of all real power structures. I think that I am aware of my own body slipping away from its maximum and best capacities and uses in very many ways. I am just so very far from feeling good even at times when I do not feel bad. But I do relish the times and ways in which I do feel well. For me and for many of us the body provides a sort of counter which like an odometer in a car records the mileage put on the vehicle. On the other hand, like a counter to a space launch it counts down minutes of vitality. We may have fortunate times when we are not so aware of trhe aging process but mostly we are aware of it. Life gets harder and less comfortable and the potential for doing any good dimiishes. This is not everyone’s experience. Although all who survive age, not all perceive it the same way. “Life is hell” may be a sincere exclamation for many but certainly not all. If one is happy in other ways the small inconveniences of aging are not such serious detriments. If one is fully engaged then life seems to go on tolerably apace.

I am wrting part of this having no room that is an office of my own and lying across the bed in a room which has ankle braces, a variety of nonprescription medication, reading glasses and other things remind me of how much goes into the small and somewhat shabby production that is getting me into each day and through its list of demands. I am grateful for these helps and for the decent mattress which is better than some I have had over the years. I would love to live near a practically swimmable body of water every day (and if the water is right then swimming is more or less the only exercise I can do daily). But I do some walking on the days when my feet are not excessively swollen or otherwise out of form. Of course the more I am able to walk and do so the fewer times these feet are out of commission. With ear canals damaged by years of altitude changes, firearms, infections, loud music and loud cities I cannot swim in our fish pond. Only the salt seas and swimming pools will work for me.

I have felt a lot better than I do today. Today I am in a good amount of pain. When I can, I often take Glucosamine for my joints, saw palmetto for my prostate, at least one decongestant, sometimes cough syrup, aspirin and ibuprofen for pain, an herbal mix for weight loss, a coenzyme for cardio-vascular health and a mutli-vitamin. This routine of pill taking joins with my ankle braces and reading glasses as a daily reminder of how much I am struggling to maintain what is not a great level of health and fitness in the first place. I have had years when I was in better condition and years when I was in worse condition. However, the function and development and idea of the human body have long been of interest to me. I am much better for the time I devoted to athletic and fitness pursuits. However, I am not even average in a variety of ways. working out for me has always been something that produced mixed results. One of the fascinating things about having some distinct physical limitations throughout one’s life is that one is able to see the world through a separate lense.

I will probably mess up the classic formulation, but in China a scholar was expected to be able to play chess, master calligraphy, create brush drawings of hard to reach sites and master the martial arts. While such a classic Imperial formulation may have been cruel to those genuinely gifted in some areas but challenged in others it did produce a great deal of the beauty, balance and productivity of several of China’s golden ages. As with the Western Renaissance I think we need to re awaken those balanced forces as values. There have been times when I at least approached these ideals — perversely as I write this bit of advocacy I am very far from such wholeness. My body is on the whole a bit run down and it has never met everyone’s standards although it has proiven satisfactory to me and many others on many occasions and in various measures.

When Jesus healed people it is mentioned sevderal times that those around him asked whether the person was sick or injured because of the injured person’s own sin or because of the sin of their parents. It seems to have been one of Jesus’s principal preoccupations as a teacher to distinguish physical infirmity from moral turpitude. Jesus’s own stance and examle is scandalous at times to a world which in so many ways is medically defined and dominated. He did order people to receieve the certified medical examoinations, did encourage exercise, warmth and full stomachs for many who would not have had them. However, there is no doubt that the historical Jesus was aware and a bit defensive about the fact that in someways he encouraged lower standards of hygiene than other religious leaders in his tradition. Despite exigent circumstances this is the one part of his legacy where I in good conscience have found something to agree with in the claims and criticisms of his critics and even enemies. I believe Jesus brought a lot of clean order to a messy world but he also exposed many to meesy and filthy parts of the world they might otherwise have been able to avoid. Jesus was far beyond almost anyone else’s courage and engagement with the wastes of the world in many senses. He must be portrayed as someone who rejoiced in and understood the body. He lived a life in the world of feasts, the desert, the seashore, grain felds, capentry, fishing boats, The Great Temple, woman and children. His body was engaged in his life, work, thought and ministry. It was not by turning off the body and the brain that he would find his way to heaven and lead his flock to heaven. Rather he said to those living active lives, the kingdom of heaven is within you.

His cousin John he often praised and John may well have spent some of his life as an Essene Monk. These wouldbe among the very few Jewish Monks in the history of Judaism. Jesus himself would often slip off alone to pray. But just as Jesus does manifest some of the qualities and experiences of the type of king who lives all his life in a palace and yet he is nothing like them in many ways so it is with monasticism. Jesus is the monk-like seeker of prayer and solitude who endures fasting. But Jesus integrates this with much more of his life’s many assets and aspects. He is in the world but not of it. But he is no less in the world. Jesus is no libertine but is sometimes thought to be one, he is very much one committed to living his life through physical experience. I myself was once very attracted to the life of Christian monasticism and I respect many teachings learned from Buddhist monks. The great Kung Fu and Zen traditions of Buudhist Monks in China and Japan respectively are powerful examples of the Body being magnificently developed even as it is constrained and disciplined.

When I taught in China I often tried to discuss the connections, contrasts and similarities between China’s ancient martial arts regimes and the Olympic Games which had just been played in Greece and would next be played in China. Watching the Olympics in Beijing was a powerful eperience even though I watched on television from the United States. I saw China struggling to find the fullness of what it can be in the future drawing on what it has been and what it can see as possible. I still love the Olympic tradition. As much as I enjoyed the recent NCAA Men’s basketball championships we call March Madness the Olympics is so much more. Amid so many idealistic and varied stroies we are bound to find one that inspires us.

Today my foot pain and fatigue and the last edges of some respiratory illness nag at me. I wonder if the nails, dog’s teeth, exotic insects, snake’s venomed fangs or crushing wheels which have injured my already imperfect feet during my life have left some additional microbial or neurological injuries or conditions which are going to show forth in new and mysterious ways. Few people succumb to rare diseases picked up long ago and forgotten but if one were to create a likely candidate for such a death it would be I. From world record setting drmant rabies, to tetanus to parasites with long and obscure names I could always be surprised within the realm of medical possibility. What is certain is that I hurt and feel poorly now. So I seek in memory and in other places for Olympic types of inspiration. Whatever shall be shall be. I may not be Michael Phelps but I can rush out to meet whatever challenges my life holds. At least I hope that I can.

Christians are the only existing great religious community whose sacred scriptures refer repeatedly to the Olympics. The Olympics celebrate all of humanity  human nature but do so through celbrating the body. China’s recent olympics connected with its monastic martial arts tradition but saw the body celebrated openly and publicly in a different Olympics tradition. The New Testament discusses winning prizes, racing, boxing, the training of athletes in themselves and more strongly as metaphors for the spitiual life. Today I drag my body along a bit. Sometimes my body fuels my race through life. I wish all of you good and appreciated health.

The End

Society, Mental Health and Relationships

I think we have quite a few people who voted for Barak Hussein Obama because they were very upset. I think that we have a lot of people yelling at town hall meetings because they are very upset. These two groups of people also wanted to change things but they are certainly upset and the emotional baggage is just as important as the ideas andvalues that they would like to see expressed.

We also live in a world where increasingly large numbers of people take medicines to relieve symptoms of emotional discomfort if they have access to them. I do not object to people taking medicines that relieve emotional symptoms and I also am able to accept the expression of emotion in politics.  However, I think we as a human race have a need for emotional bonding in communities and families. I think we have a need to be able to call on emotional reserves to sacrifice in our striving for greatness in may challenges we face. Sadly but certainly peoples and nations need to have healthy agressive emotions to fight for their defense, integrity and survival.

Because I think that all these energies are important I cannot accept the idea that emotional states are sort of irelevant. Nor do I think that people should be governed simply and purely by their emotions. So as I think about all this I return to a post from last summer. It reminds me that emotional health can be seen as part of a larger social architecture.  

The following post was originaly posted on my page on Facebook on July 12, 2008.

Most of all my life I have had the sense that “things” were generally very bad. I have usually felt that that there was a sort of waking nightmare that had taken over the world. There is no doubt that I also had many dreams come true and many moments of joy. But I was forced to confront both the possibility that I was defectively attuned to bad things going on and also the possibility that the overall tone of things on Earth in my time was not very good.

At a very basic level, there have been many people in human history who have had worse days and seasons than most people reading this note will be having on the day that they first read it. That is almost guaranteed to be true. However, the overall tone of things can be bleak and unpromising and that could still be true.

Let us consider all the things that have been developed to help people make it through the challenge of relating to one another. Obviously we cannot really examine a significant percentage of those methods used for working things out in all cultures throughout the world. Instead we will consider a representative sample of half a dozen technologies for coping with and resolving interpersonal stress.

Lets discuss:
1. Jesus’s directions for dealing with conflict in the Church.
2.Dueling
3. The pracitce of Penance as it existed in the medieval Catholic Church.
4. Freudian Psychoanalysis.
5. That body of disciplines known as Wu Shu, Kung Fu and Tai Chi Chuan.
6. Carnival, Mardi Gras and festivals generally.

While we discuss these six topics in a ridiculously brief note we will also look at some of the other issues and institutions that impinge on our discussion. A sort of main point will be that getting along with other people is a challenge that has often commanded very serious attention. A certain tone of casual informality can be as freakishly wierd as anything else humans have ever done.

1. Jesus’s words are distinctly out of sync with the unbalanced teaching on forgiveness which has dominated much Christian preaching for a long time. In Matthew 18:15-19 is a teaching which is quite in accord with the teaching of Christ Jesus elsewhere during his ministry. The steps are roughly outlined below:
First someone in the church must sin against you. Then you must notice it and decide to act. Then you must confront the Christian privately face-to-face. The person must refuse the remedy you see as just. Then you must select two Christian witnesses (who have also heard a correct doctrine of patience and forgiveness) and tbey must agree to go with you to the offender. Then the three of you must confront the offender. Then the offender must reject the remedy you see as just. Then you as the offended Christian must bring the case before the Church and if the church finds against the offender and he refuses to do the just thing then they shall excommunicate that Christian. This is a very active, formal process which has almost nothing to do with just struggling to internally bear with slings and missiles of outrageous fortune. Forgiveness makes things better because it comes when they are better. Many will not forgive when amends are made, Christians must do so. Very slim evidence in recognized serious Christian thought or Holy Scripture supports a general teaching of the kind of unilateral forgiveness that is preached as the remedy for everything.

2. Skipping right ahead and out of context, there was a vast institution of dueling which made up an enormous force in shaping polite society throughout many countries and during many centuries. Dueling was very common in Louisiana up until the end of the War Between the States, or the the Civil War or the War for Southern Independence or the War of Northern Agression. This custom made it possible for men with large egos and refined sensibilities to get along despite all the evils of a given time and place. It certainly allowed for evils of its own but at its best it was far from a license for wide open bloodletting on a wholesale basis. Some say that in late antebellum Louisiana on in 400 challenges resulted in a homicide. Lots of steps — published challenges, choice of seconds, interviews between seconds, choice of grounds, time and weapons and the hiring of an attending physisican — stood between potentialy mortal offense and mortality. Abolishing duelling has not stopped people killing eachother but it has eliminated a huge and complex infrastructure for working out grievances.

3. While the pracitice of reconciliation as a modern Catholic Christian rite is rooted in our secttion on Jesus’s practice for resolving dispute, and in apostolic words related the “mysterion”, “semaeion” of healing the sickand praying for their healing in the Middle Ages of Europe Penance reached a kind of apogee. It was tied to a culture that understood the Doctrine of the Two Swords. It was tied to well-defined and developed practices of Exorcism and Interdict and it was tied to the rich culture of pilgrimage of which Chaucer’s Canterbury Tales gives us some idea. It was also tied to all the glory, horror and productive dialog of the Crusader and Jihadi. The energy of this vast complex of institutions lagely came from the fact of humans taking offense at the behavior of other humans and taking seriously the need to resolve the conflict and right the wrong.

4. A recent means for dealing with the injuries arising from civilization and its discontents is the psychoanalysis of Freud. This arose from the glorious last gasp of the Hapsburg Empire and its community of elite Jewish intellectuals. Psychoanalysis was often known as “the talking cure” in its early days. Whilre the Austrian, Austro-Hungarian and greater Hapsburg Empires knew many moments of glory in war, exploration, and invention they were a great power built more on diplomacy, marriage and legal procedure. While jews served in the armed forces and had guards they were the largest ethnic group without regimantal status in the Imperial military at any time. Perhaps it is natural that from them should have emerged a man who found talking things out to resolve internal conflict very important. But it must be remembered that Freud sought to free people to live a life more fully in the open and more expressively as themselves. Further his professional, therapeutic and literary edifice built on the sense of human injury was immense.

5. Leaping quickly elsewhere, we come to examine Wu Shu, Kung Fu and Tai Chi Chuan. Internal meditation,physical fitness, religious education, warrior training, and a basis for self-assertion have been developed into a single complex of disciplines in China. From China they have diseminated to the rest of North East Asia ,then evolved and expanded directly from China as well as from Japan and Korea. It seems that this whole complex of knowledge and skill falls neatly into the category of dealing w the interanl causes of conflict and the resolution of actual conflict. A vast amount of very productive effort is spent to gain or create self-mastery and then teach those with self-control to handle the conflicts which arise between them and others. Good health, balance, artistic motion, and deterrent against attack all belong to the practitioner of Kung Fu.

6. Humans have always sort of known that no matter what we do with our serious and formal efforts to organize ourselve and our societies the result will not be totally fair or entirely decent. Therefore wise societies find ways to combine inversion of normal rules and status norms with new kinds of commerce,uninhibited dancing and loosening of moral sensibilities. This behavior occurs at Mardi Gras, carnivals and Festivals. Many people in the modern world seldom experience one of these. Arguably few of us get a reasonable dose of these events. Therefore we live trapped in the full-time observation of our particular social absurdities. I actually am a sincere conservative who values the contribution of the community in Hollywood, New York,  Cinecitta, Ballywood and many other places who bring us carnival like experiences on discs, in film and on the airwaves. Nonetheless, There are values in the mixture of marketing products of hard work to visitors and religious prayer on the one hand with street dancing, sexual naughtiness and  spectacle on the other hand which will never be reproduced on artificial media. The movies and TV can help but festivals and carnivals really do some of the basic work of individual and community healing. Like all these listed techniques there are risks in this one that I may visit in another  post but I do think that this feature of life has real importance. 

What I would say is that lots of folks are miserable because the world they live in is really bad. they are miserable because people feel free to do great harm to them and others all their life without consequence. They are miserable because the means for dealing with problems make them worse and those in charge of normalcy are entirely nuts.

I think it is time for change bigger than most of us can dream of, I really do. But I do not think it likely that I will live to see it. I am not sure it will come at all, only sure that it is needed.

Some thoughts on healthcare….

Today I am coming back from a vacation and after canoeing, swimming, being with family and other things I am feeling a lot more healthy than I have been lately. That has me thinking about healthcare. I think that a lot of other people are probably thinking about the same topic these days.  

This Post which is a bit parable and a bit bad joke was posted  by me on Facebook on my 44th birthday on June 15, 2008.  It is meant to suggest that we take a hard look at healthcare as many are doing. It is not meant suggest any solutions in and of itself. 

It is my conclusion tthat 44 year old today enjoy many of the benefits and opportunities that 42 year old people enjoyed in my parents generation. A booming set of industries in abortion, stolen organs, cut drugs, insurance fraud, nursing home abuse and the pinching of legitimate first response and family care medical people forbodes dire things for some. But after years of careful study I feel that I have proven that because of medicine as it is, a 44 year old oday can live almost the same quality of life which a 42 year old enjoyed when my parents were that age.  As a 44 year old how can I be anything but grateful.

In our hotter world as the idealist rural practitioner finishes his seven hours of paperwork to prepare for half an hour of patient contact, he feels unhappy. Two of last week’s patients  who are admitted to the hospital received a mixture of laxatives and amphetamines when he prescribed antibiotics and the bank is foreclosing on his house. But he is being selfish. The evidence is all around him. His patients are all living people, could they be if modern medicine were not great?

As I wait to see him he is distracted by the news that the blood components he prescribed last week came from people murdered for body parts in a foreign country. However his professional limited partnership group assures him that this only happened because the regular suppy of blood components was contaminated by addicts to a new ilegal recreational drug which in turn was cut with five different poisons coming from the shadows of a new gang — possibly linked to Al Quaeda.  He tries to report his concerns to a government public health line for physicians. After five attempts he hears the voicemail explaining that health is not really public and he should seek a free market solution to his problem.  However he can call back on Tuesdays between 11:00 and 11:09 a.m.  He comes out and looks at my file and talks to the Assistant Sub Vice Advisory Practical Nurse. This country doctor and I are old friends so he actually waves his stethothoscope in my direction. I leave the pink slip to my car with his receptionist and walk to the drug store, hoping the robbery will go well and they won’t notice the name on the prescription and be able to arrest me later. I thank goodness for the advances in medical science and our increased quality of life.

The End

I have suggested a few policy points on Politico’s “Speak to Power”.  These ideas are not being considered seriously so far as I know.  However, I still believe in them and while I am sure this summary will differ from the other summary submitted to Congress it has many of the same ideals and ideas.

So…

A Dozen Policy Points on Healthcare:

1.Medicare and S-CHIP programs should be mostly preserved.  Medicaid should be reformed but not abolished.

2.  Americans should each be allowed to join three  or fewer family associations and pay in one percent of their taxable income tax dedudtibly to each and these should be able to buy health insurance, get loans and make investments in a structure designed by the government to address the Healthcare situation. One investment which would qualify for some Federal support would be a Community Clinic.

3. A National Wellness Agency should be established. One mil of all FICA revenues and  small fee of say $1.00  collected from everyone entering the United States would be devoted exclusively to this NWA. The NWA would have various chartering regimes for Community Clinics being especially generous to those already existing in getting Agency approval.

4. The NWA would have a subagency devoted to collecting, inspecting and dating unused medicines from institutions and deceased persons and would distribute them to Community Clinics.

5. Every physician who received federal financial aid would be required to spend one day for every thousand dollars of Federal loans and five days for every thousand dollars of Federal grants working for an approved Community Clinic after basic medical school graduation and before any extended residency or specialty training. The National Wellness Agency would oversee this program. 

6.  The National Wellness Agency would receive a dedicated tax of one mil of every health and life insurance premium collected in the United States. This money would largely (but not exclusively) pay for a  coordination program linking Community Clinics to  school nurses, fitness centers, foodbanks,  shelters, eldercare and daycare facilitites as well as other community institutions.

7. The Community Clinics would have hours reserved for only those invested in the clinic or owning cheap Community Clinic Insurance which would be available to all including fugitive felons and ilegal aliens on confidential basis. The Community Clinics would also charge a visit fee of five dollars and a file fee of twenty dollars per year to any one able to pay and not insured. Half of one percent of the revenues of each clinic would be paid to the National Wellness Agency. Insurance would be about ten dollars per household per month and would cover clinic fees if current. 

8. The National Wellness Agency would also receive a small dedicated of perhaps one percent on all imported alcohol, tobacco, firearms and high performance recreational vehicles.   These funds would be largely dedicated to the Volunteer Support Program.  Meals and seminars would be provided where possible for Health and Medical Professionals volunteering at  Community Clinics. The Clinics would keep track of hours and the volunteers would receive a check at the end of each year for the federal minimum wage or one fifth of their normal hourly rate of pay — whichever was less.

9. The National Wellness Agency would offer a  lottery for tests, specialists and referals for all those holding  Community Clinic insurance.    The NWA would also interface with research instituions, charity hospitals and other players. These agencies would also be required to dedicate at least one percent of the value of Federal funds received to the network of deserving cases.

10. The National Wellness Agency would train community workers in churches, clubs and sports leagues and sponsor nutrition, hygiene and other programs. This  activity would be paid for in large part by a one mil tax on the wholesale  and a one percent tax on the reatil of all  prescribed pharmaceuticals. These community workers would be trained to transport persons needing care to the Community Clinics. Clinics would work with other nonprofit organizations of all types to create medical transport with donated vehicles and other assets.

11.  Emergency Rooms and Ambulances would be required to give some triage preference to those coming from Community Clinics over those coming from the open street.

12. Corporations which sponsored a Community Clinic would receive a Wellness Program Support Package from the NWA tied to their level of support.