Kunstler: Send Out the Clowns.
In this decade of maximum peril, a prankish God delivers two maximally detested candidates to lead the faltering nation as events run ahead of all the convenient narratives. For instance: the idea that Republican “insiders” can block Trump’s path to the nomination. The insiders may be phantoms after all. For instance, the loathsome Koch brothers have already made their move onto Hillary’s side of the game-board. Trump won’t miss their campaign contributions for a New York minute (while Hillary might find a way to stuff the cash into some Cayman Islands lock-box of the Clinton Foundation).
Events played right into Trump’s smallish hands last week when protesters outside a Donald rally in Costa Mesa, CA, waved Mexican flags and placards calling for the reestablishment of Aztlán del Norte. Kind of proves his point about illegal immigration, don’t it? Trump also supposedly blundered in saying that Hillary had only “the women’s card” left to play in her donkey trot to the election. I’m not so sure he’s wrong about that — though the indignometer needle danced through the red-line after he said it.
Has it come to this? The women’s party against the men’s party? What kind of idiot psychodrama is this country acting out? Mom and dad mud-wrestling in an election year hog-wallow? A Reality TV show writ large from sea to shining sea? Are there no better ways of understanding the difficulties we face?
Lately Hillary has been boasting of her ability to bring Wall Street to heel, theoretically after Wall Street installs her in the White House. Voters (especially women) might want to pay attention to Hillary’s lavish praise for President Obama’s handling of the banking turpitudes still unresolved seven years after the crack-up of 2008. What did the Dodd-Frank Act (signed by “O” in 2010) accomplish except to provide more lucrative work-arounds, by Too-Complex-To-Comprehend legalese, for Too-Big-To-Fail banks. It was written by bank lobbyists and lawyers and was about 2,270 pages longer than the old Glass Steagall Act that Bill Clinton vaporized in 1999. Do you suppose that Bill and Hill might have talked about the repeal of Glass Steagall back then? Do you wonder what she thought about it at the time… being a lawyer and all?
This week attention is fixed on the Indiana primary where Devil Bat Ted Cruz desperately makes his last stand against the Trump juggernaut. It seems that former House Speaker John Boehner actually succeeded in driving a wooden stake through Cruz’s hypothetical heart by casually remarking that he was “the most miserable sonofabitch I ever worked with.” Kind of hard to explain that one away, though Ted tried by sending out his new attack dog Carly Fiorina and claiming that he never worked with the Speaker of the House — a risible claim for a national legislator in the same party.
All of this would be amusing if the USA wasn’t sliding into the twilight of what many people call “modernity” — which is code for the techno-industrial hyper-complexity we’ve been enjoying lately as a species. We have yet to comprehend the diminishing returns of heaping more complexity on what is already too complex. Exhibit A for most of the common folk must be the Affordable Care Act (also signed by “O” in 2010). Whereas the shrewd stylings of Dodd-Frank surely mystify the public, most full-functioning adults understand what it means when their health insurance premiums go up by 20 percent and the new deductible makes it unthinkable to even consider going to the emergency room.
The sad truth may be that rackets of this kind are unreformable, and that we can’t begin to do things differently until they collapse. It should be obvious, for instance, that American health care needs to move in the opposite direction from where it has been going — from giantism, as epitomized by colossal merged mega-hospital corporations, back to some kind of local clinic care in which doctors and their subalterns are not burdened by an oppressive matrix of Charge-Master grift. There may be less razzle-dazzle technology in that future model, but much more hands-on care, plus an end to the kind of financial pillage that bankrupts households for relatively routine illnesses (the $90,000 appendectomy).
Likewise in virtually all other areas of American life, the real trend as yet un-discussed in this election campaign, will be unwinding and downscaling of the onerous, toxic hyper-complexity of the age now passing and finding our way to a workable re-set of what used to be known as political-economy.
In the meantime: a clown show.
Showing posts with label Affordable Care Act. Show all posts
Showing posts with label Affordable Care Act. Show all posts
Monday, May 02, 2016
Monday, November 11, 2013
Kunstler: The Turning
Kunstler: The Turning
In these northern climes, this turning into the year’s final quarter feels written in the blood, or at least into the legacy code of culture. The leaves skitter across the streets in an early twilight, chill winds daunt man and dog, the landscape buttons itself up for the long sleep, and human activity moves indoors — including the arduous festivities around the spooky solstice. We take the comfort that we can in all that. But a strange torpor of event attends this year’s turning. In the year’s final happenings, nothing seems to happen, and what little does happen seems not to matter. The world sits with frayed nerves and hears a distant noise, which is the cosmic screw of history turning.
The nation gets over everything without resolving anything — fiscal cliffs, debt ceilings, health care implosions, domestic spying outrages, taper talk jukes, banking turpitudes, the Syria bluster, the Iran nuke deal fake-out. It’s dangerous to live as though there was no such thing as consequence. Societies have a way of reaching a consensus about something without ever stating it outright. The American public has silently agreed to sit on its hands though one more Christmas and after that things shake loose.
What happens, for instance, in the limbo months of ObamaCare ahead, when people either won’t sign in for health insurance, or can’t because of the stupidity of the website design, and the failure of its work-arounds, and the number rises of people falling seriously ill without insurance, and the ludicrously extortionate hospital bills start rolling in and the machinery of bankruptcy and re-po turns the screws on tens of thousands of families — while the insurance company executives spend their 2013 bonus money on Beemers and McMansion additions? There must be some threshold for criticality there, some breaking point that prompts a swindled population to break out its fabled arsenals. Say, somewhere in America a child tragically dies after being hit by a car and three unsuccessful surgeries to try to fix the damage, and thirty days after the funeral, the uninsured dad gets a bill for $416,000? I doubt a society can withstand many insults like that.
Above all, this big nation has failed to reckon the central quandary of our time: the fatal hypertrophy of finance. This ghastly engine of rackets and swindles is the enlarged heart of a dying body politic, and all we know how to do is feed it more monetary Cheez Doodles. This has been going on far longer than the doctors and the witch doctors thought possible, and there is a foolish hope among the credulous that the larger organism of the economy must therefore be immortal. But the reality-based minority stoically awaits the final congestive infarction.
Everything points to 2014 as the moment the pretending stops and things get real. Nobody believes anymore that the Federal Reserve can replace an economy of authentic transactions with promissory notes. There is only one final thing that can happen with the Fed, and that is losing all control over rising interest rates. Janet Yellen is being set up as one of the epic chumps of history, and proof of her academic fecklessness is the mere fact that she accepted the post as Fed chair. She will preside over a fabulous disappearance of wealth in America. The blame for it will be epic, too, but it will not represent any genuine understanding of what happened.
Much is being made of the loneliness of Barack Obama these days. He also occupies a rather tragic niche in history — or the arc of his story at least points that way these days. Right now, it is very hard to tell whether he has been a hostage or a fool. He could have moved to break up the big banks in January of 2009, and any time since then he could have sent a memo to the Department of Justice instructing the prosecutions of financial crime to begin in earnest (or replaced the Attorney General). Didn’t happen. Was he being blackmailed by the likes of Jamie Dimon and Lloyd Blankfein, or did he just not know what was at stake?
The history of Barack Obama will be one long record of omissions to act, not just overt failures. He is the Bartleby the Scrivener of our politics. He “prefers not to….” Hence, the powerful lure of the charismatic figure who is sure to act. Adolf Hitler was very clear about his proposed program in the early 1920s, a decade before he came to power. He spelled it out unmistakably in his speeches and his political testament, Mein Kampf: do away with pain-in-the-ass democracy and destroy the Jews. He couldn’t have put it more plainly. The residual admiration for Hitler among the extreme right-wingers of today derives mainly from the simple fact that the man actually did what he said he would do. You can’t overstate the potential hunger for that sort of thing. The current climate of US politics being Weimar-on-steroids, I’m sure that an American corn-pone Hitler would have huge appeal for a beaten-down citizenry.
The means for such a coup of the zeitgeist are rather frightful now: drone aircraft, computer surveillance, militarized police, a puppet press. It makes thoughtful folks queasy. My bet, though, is that a fascist takeover of the US would end up being as inept and ineffectual as ObamaCare. It is one of the great hidden blessings of our time, actually, that anything organized on the massive scale is doomed to failure. But it is likewise the great mission of our time to prepare to get local and smaller, something we’re not really ready for and certainly not interested in. The intertwining of these dynamics will be the story in the year to come.
In these northern climes, this turning into the year’s final quarter feels written in the blood, or at least into the legacy code of culture. The leaves skitter across the streets in an early twilight, chill winds daunt man and dog, the landscape buttons itself up for the long sleep, and human activity moves indoors — including the arduous festivities around the spooky solstice. We take the comfort that we can in all that. But a strange torpor of event attends this year’s turning. In the year’s final happenings, nothing seems to happen, and what little does happen seems not to matter. The world sits with frayed nerves and hears a distant noise, which is the cosmic screw of history turning.
The nation gets over everything without resolving anything — fiscal cliffs, debt ceilings, health care implosions, domestic spying outrages, taper talk jukes, banking turpitudes, the Syria bluster, the Iran nuke deal fake-out. It’s dangerous to live as though there was no such thing as consequence. Societies have a way of reaching a consensus about something without ever stating it outright. The American public has silently agreed to sit on its hands though one more Christmas and after that things shake loose.
What happens, for instance, in the limbo months of ObamaCare ahead, when people either won’t sign in for health insurance, or can’t because of the stupidity of the website design, and the failure of its work-arounds, and the number rises of people falling seriously ill without insurance, and the ludicrously extortionate hospital bills start rolling in and the machinery of bankruptcy and re-po turns the screws on tens of thousands of families — while the insurance company executives spend their 2013 bonus money on Beemers and McMansion additions? There must be some threshold for criticality there, some breaking point that prompts a swindled population to break out its fabled arsenals. Say, somewhere in America a child tragically dies after being hit by a car and three unsuccessful surgeries to try to fix the damage, and thirty days after the funeral, the uninsured dad gets a bill for $416,000? I doubt a society can withstand many insults like that.
Above all, this big nation has failed to reckon the central quandary of our time: the fatal hypertrophy of finance. This ghastly engine of rackets and swindles is the enlarged heart of a dying body politic, and all we know how to do is feed it more monetary Cheez Doodles. This has been going on far longer than the doctors and the witch doctors thought possible, and there is a foolish hope among the credulous that the larger organism of the economy must therefore be immortal. But the reality-based minority stoically awaits the final congestive infarction.
Everything points to 2014 as the moment the pretending stops and things get real. Nobody believes anymore that the Federal Reserve can replace an economy of authentic transactions with promissory notes. There is only one final thing that can happen with the Fed, and that is losing all control over rising interest rates. Janet Yellen is being set up as one of the epic chumps of history, and proof of her academic fecklessness is the mere fact that she accepted the post as Fed chair. She will preside over a fabulous disappearance of wealth in America. The blame for it will be epic, too, but it will not represent any genuine understanding of what happened.
Much is being made of the loneliness of Barack Obama these days. He also occupies a rather tragic niche in history — or the arc of his story at least points that way these days. Right now, it is very hard to tell whether he has been a hostage or a fool. He could have moved to break up the big banks in January of 2009, and any time since then he could have sent a memo to the Department of Justice instructing the prosecutions of financial crime to begin in earnest (or replaced the Attorney General). Didn’t happen. Was he being blackmailed by the likes of Jamie Dimon and Lloyd Blankfein, or did he just not know what was at stake?
The history of Barack Obama will be one long record of omissions to act, not just overt failures. He is the Bartleby the Scrivener of our politics. He “prefers not to….” Hence, the powerful lure of the charismatic figure who is sure to act. Adolf Hitler was very clear about his proposed program in the early 1920s, a decade before he came to power. He spelled it out unmistakably in his speeches and his political testament, Mein Kampf: do away with pain-in-the-ass democracy and destroy the Jews. He couldn’t have put it more plainly. The residual admiration for Hitler among the extreme right-wingers of today derives mainly from the simple fact that the man actually did what he said he would do. You can’t overstate the potential hunger for that sort of thing. The current climate of US politics being Weimar-on-steroids, I’m sure that an American corn-pone Hitler would have huge appeal for a beaten-down citizenry.
The means for such a coup of the zeitgeist are rather frightful now: drone aircraft, computer surveillance, militarized police, a puppet press. It makes thoughtful folks queasy. My bet, though, is that a fascist takeover of the US would end up being as inept and ineffectual as ObamaCare. It is one of the great hidden blessings of our time, actually, that anything organized on the massive scale is doomed to failure. But it is likewise the great mission of our time to prepare to get local and smaller, something we’re not really ready for and certainly not interested in. The intertwining of these dynamics will be the story in the year to come.
Monday, October 28, 2013
Kunstler: "Two Forces and Three Bears"
"Two Forces and Three Bears"
In these climax years of industrial technocratic society, two opposing forces shape the destiny of government: the desperate effort to control everything versus the decline of the ability to carry out that effort. The result will be the loss of legitimacy and the collapse of government from the highest levels, moving downward until the real power to make anything work re-sets at a feasible and appropriate level — probably very local. This dynamic is seen very clearly in three spectacles du jour: the “national security” (spying) mess, government-sponsored accounting fraud in finance, and the ObamaCare rollout.
As history develops, people do things for the simple reason that it seems like a good idea at the time. Computer tech made it possible for bureaucrats and military apparatchiks to invade the privacy of everybody, but in the end it only had the effect of embarrassing the perpetrators and eroding a big chunk of the US government’s legitimacy. The attempt at maximum control will eventually lead to maximum resistance and, quite possibly, some sort of political revolution, perhaps starting with the death of the two dominant political parties. When political disruption finally occurs, it will manifest quickly, as criticality thresholds are breached. It has the potential of taking this society in very undesirable directions including civil war, theocracy, and war against other peoples.
The diminishing returns of computer technology applied to intelligence gathering are that it produces more mountains of data than any team of professionals can make sense of, and it prompts said professionals to make mischief with the information that is easiest to sort out: the financial records of ordinary citizens. Nothing will create political resistance more surely than messing with people’s money. The NSA apparatus is now a self-reinforcing monster that will strive for ever more control ineffectively, creating a debris path of ever more embarrassment and resentment. A lone true patriot like Snowden does more to oppose this monster than all the “freedom” and “liberty” spouting, flag-lapel-pin-wearing cowards in either political party.
The pervasive accounting fraud in the attempt to prop up an unsound banking system is even closer to criticality. A society that produces tradable goods needs sound money which functions as 1) a medium of exchange, 2) a store of value 3) a unit of account for establishing prices. The combined accounting frauds in Federal Reserve policy, private banking and securities markets, and government fiscal management is destroying all these functions. The more abstracted finance gets from real productive activity, the more fragile the system becomes. We are doing nothing now except adding more complexity and abstraction to it, causing the system to become more detached from reality. In effect, we’re opting to forego an economy based on goods in favor of one based on empty promises and paper swindles. The potential and probable consequent destruction of nominal wealth would be an event that advanced technocratic society likely will not recover from — in the sense that today’s standard of living could be preserved for billions of people worldwide. That destruction would herald a new dark age, this time without any prospect of recovery via the exploitation of natural resources, which will have been depleted.
The ObamaCare piece of the picture is a mere pathetic soap opera compared to the first two quandaries. The 2000-page law did nothing to address the core tragedy of medicine in America — namely, that it has evolved into a hideous hostage racket. You go to a hospital with a terrifying illness and you are susceptible to fleecing by the so-called “care-givers” for the promise that you may get to live. No prices for treatment are [n]ever discussed. They are presumed to be astronomical — but who cares if you end up dead, and if you do get to live, you’ll figure that out later. If you hold an insurance policy, these charges will be subject to a fake negotiation between grifting insurance companies and grifting hospitals, physicians, and drug companies. The price “settlements” are only slightly less a joke than the actual charges, and are obfuscated in documents designed to bewilder even well-educated policy-holders.
Even if you are insured, the charges may bankrupt you. A typical one-day charge for “room and board” in a non-specialized hospital in-patient bed runs $23,000 at my local hospital. For what? Half a dozen blood-pressure checks and three bad meals? You can be sure that ever-fewer families will be able to fork over $12,000-a-year for basic coverage. The ObamaCare legislation and its laughable rollout of a useless website is just a punctuation mark at the end of the soap opera script. The result eventually will be the complete implosion of the medical racket and a return to a very primitive clinic system, with payment in chickens or cords of stove-wood. The smaller number of surviving humans will surely enjoy better health, and greater p[eace] of mind, when this monster racket expires of inertia, bad faith, and deceit.
These efforts to manage runaway hyper-complexity with more complexity are guaranteed to fail. Our prime task at this moment in history is managing contraction, and the means for doing that would be simplifying, not adding layers of complication larded with fraud, pretense, and mendacity.
In these climax years of industrial technocratic society, two opposing forces shape the destiny of government: the desperate effort to control everything versus the decline of the ability to carry out that effort. The result will be the loss of legitimacy and the collapse of government from the highest levels, moving downward until the real power to make anything work re-sets at a feasible and appropriate level — probably very local. This dynamic is seen very clearly in three spectacles du jour: the “national security” (spying) mess, government-sponsored accounting fraud in finance, and the ObamaCare rollout.
As history develops, people do things for the simple reason that it seems like a good idea at the time. Computer tech made it possible for bureaucrats and military apparatchiks to invade the privacy of everybody, but in the end it only had the effect of embarrassing the perpetrators and eroding a big chunk of the US government’s legitimacy. The attempt at maximum control will eventually lead to maximum resistance and, quite possibly, some sort of political revolution, perhaps starting with the death of the two dominant political parties. When political disruption finally occurs, it will manifest quickly, as criticality thresholds are breached. It has the potential of taking this society in very undesirable directions including civil war, theocracy, and war against other peoples.
The diminishing returns of computer technology applied to intelligence gathering are that it produces more mountains of data than any team of professionals can make sense of, and it prompts said professionals to make mischief with the information that is easiest to sort out: the financial records of ordinary citizens. Nothing will create political resistance more surely than messing with people’s money. The NSA apparatus is now a self-reinforcing monster that will strive for ever more control ineffectively, creating a debris path of ever more embarrassment and resentment. A lone true patriot like Snowden does more to oppose this monster than all the “freedom” and “liberty” spouting, flag-lapel-pin-wearing cowards in either political party.
The pervasive accounting fraud in the attempt to prop up an unsound banking system is even closer to criticality. A society that produces tradable goods needs sound money which functions as 1) a medium of exchange, 2) a store of value 3) a unit of account for establishing prices. The combined accounting frauds in Federal Reserve policy, private banking and securities markets, and government fiscal management is destroying all these functions. The more abstracted finance gets from real productive activity, the more fragile the system becomes. We are doing nothing now except adding more complexity and abstraction to it, causing the system to become more detached from reality. In effect, we’re opting to forego an economy based on goods in favor of one based on empty promises and paper swindles. The potential and probable consequent destruction of nominal wealth would be an event that advanced technocratic society likely will not recover from — in the sense that today’s standard of living could be preserved for billions of people worldwide. That destruction would herald a new dark age, this time without any prospect of recovery via the exploitation of natural resources, which will have been depleted.
The ObamaCare piece of the picture is a mere pathetic soap opera compared to the first two quandaries. The 2000-page law did nothing to address the core tragedy of medicine in America — namely, that it has evolved into a hideous hostage racket. You go to a hospital with a terrifying illness and you are susceptible to fleecing by the so-called “care-givers” for the promise that you may get to live. No prices for treatment are [n]ever discussed. They are presumed to be astronomical — but who cares if you end up dead, and if you do get to live, you’ll figure that out later. If you hold an insurance policy, these charges will be subject to a fake negotiation between grifting insurance companies and grifting hospitals, physicians, and drug companies. The price “settlements” are only slightly less a joke than the actual charges, and are obfuscated in documents designed to bewilder even well-educated policy-holders.
Even if you are insured, the charges may bankrupt you. A typical one-day charge for “room and board” in a non-specialized hospital in-patient bed runs $23,000 at my local hospital. For what? Half a dozen blood-pressure checks and three bad meals? You can be sure that ever-fewer families will be able to fork over $12,000-a-year for basic coverage. The ObamaCare legislation and its laughable rollout of a useless website is just a punctuation mark at the end of the soap opera script. The result eventually will be the complete implosion of the medical racket and a return to a very primitive clinic system, with payment in chickens or cords of stove-wood. The smaller number of surviving humans will surely enjoy better health, and greater p[eace] of mind, when this monster racket expires of inertia, bad faith, and deceit.
These efforts to manage runaway hyper-complexity with more complexity are guaranteed to fail. Our prime task at this moment in history is managing contraction, and the means for doing that would be simplifying, not adding layers of complication larded with fraud, pretense, and mendacity.
Monday, July 02, 2012
Kunstler: Hostage Racket
Hostage Racket
By James Howard Kunstler
on July 2, 2012 8:32 AM
Not to put too fine a point on it, but didn't that cunning rogue Chief Justice John Roberts pour a jug of Karo syrup into the gas tank of America's twelve trillion cylinder engine? Or, put another way (forgive the metaphor juke), didn't he just give President Obama enough rope to hang himself? Out to dry, that is. Roberts must know exactly what he is doing: prompting x-million young and/or poor voters to an election year tea party tax revolt. The Obama health care reform will henceforth be defined as a tax against people too economically strapped to buy health insurance - in other words, a gross injustice, courtesy of Obama.
Or call it a poison pill. Obama gets to brag that the heart of his 2700-page reform package stands - at the expense of the very people it was designed to protect. Forget about the niceties regarding the interstate commerce clause and other chatter points. This was all about Chief Justice Roberts interfering in a presidential election in a most mischievous way. He might as well have just heated up a branding iron that spelled out T-A-X and applied it to Mr. Obama's forehead.
Of course, with or without the so-called reform, the American health care system remains a hostage racket. When you are sick, you will do anything to get better, and the system knows it. You will sign onto any agreement to keep yourself alive, even if the health care system ends up taking your house and your children's educations. It is a well-established fact that the chief cause of personal bankruptcy in the USA is unpayable medical bills on the part of people who have health insurance. It is considered bad manners to inquire of a surgeon what his fee might be for a life-saving operation. Anyway, you don't want to know because it will be a figure with no anchor in the reality of hours spent or services rendered. Ditto the folks who run the hospital, where there is no reality-based relationship between things dispensed and prices charged. It's simple racketeering and true health care reform would be the vigorous application of Department of Justice attorneys on the doctors, pharma companies, insurers, hospitals, and HMOs who are engaged in routine, systematic swindling. But the truth is, we don't want to remove the swindle and the grift, we just want to find some way to get the American public to pay for their own shakedown.
Before you get too exercised over the multiple idiocies and injustices of the current American medical situation just reflect for a moment that the whole creaking system cannot possibly survive no matter what the Supreme Court might have ruled or whatever Obama sought to accomplish. The US economic system is about to blow up. The banking sector has been kept technically alive on the life-support of accounting fraud since 2008, but that artful racket is coming to an end because sooner or later the abstraction called "money" must make truthful representations of itself in relation to reality, or else people cease to accept its claims of value. Without a functioning banking system none of the rackets organized into US health care can continue.
The eventual destination of health care, like everything else in society categorically, is a much smaller, more modest, more local scale of operation. We'll be lucky if the people with medical expertise can reorganize the wreckage of the system into something resembling small local clinics with all the costly and pernicious racketeering bureaucracy peeled off it. The insurance companies will be in the elephants' graveyard of failed institutions. Let's hope the doctors and their support staff remember to wash their hands.
A couple of side notes:
Anyone seeking to understand the deplorable physical condition of the general public need only stroll through the supermarket aisles and see the endless stacks of manufactured sugary shit that pretends to be food in this culture. That whole matrix is coming to and end, too, by the way, but probably not soon enough to save the multitudes programmed into metabolic disorder. They will just have a shorter life-span, aggravated by loss of income in a cratering economy and everything that comes with being impoverished. The doctors themselves by and large know almost nothing about nutrition, and make no organized effort to militate against the homicidal processed food industry - which brings me to the second side note.
Namely, that the diminishing returns of extreme bureaucratization and turbo-specialization in medicine has only made the doctors generally stupider and more inept. My own situation is a case in point. For two years I suffered an array of peculiar symptoms ranging from numb hands to supernatural fatigue. My ex-GP showed no interest in investigating the cause. Even my request for a toxicology workup was essentially shrugged off. I had to become my own doctor. For a while I suspected Lyme disease, which is raging in my corner of the country. I went to see a Lyme specialist who didn't accept insurance (because the insurance companies did not recognize his aggressive treatment protocols as falling within the current "standards of practice" - and this because the medical establishment doesn't know its ass from a hole in the ground about Lyme disease).
Anyway, I asked the Lyme specialist to include a test for cobalt levels in my bloodwork because I thought there was an outside chance I had cobalt poisoning. The reason I thought this was because Google searches of my symptoms kept pointing to metal-on-metal hip replacement failure. I had gotten just such a metal-on-metal hip replacement in 2003. The hardware was developed because the orthopedists wanted to give younger patients a longer-lasting implant. That's when the diminishing returns of technology stepped in and kicked everybody's ass, including mine.
My cobalt blood test came back off-the-charts high. (My many Lyme tests all came back negative.) Wouldn't you know, though, that the Lyme specialist wanted to treat me for Lyme anyway. He ignored the cobalt numbers and wrote out a prescription for $400 worth of antibiotics. He was the proverbial guy with a hammer to whom everything looked like a nail. I declined that course of treatment and instead went to my new GP for a first appointment and asked for an additional cobalt test, along with one for chromium. (My hip implant is an alloy of titanium, cobalt, and chromium.) They both came back way over the toxic level. Apparently, the rotation of the metal joint has been shedding metal ions into my system for nine years.
Next I went to the orthopedic surgeon who put the implant in. He ordered an MRI and xrays and appeared rather concerned. Eventually I was routed to yet another orthopedic surgeon who specializes in "revising" hip implant failures - in particular ones of the type I have, which have been failing at such a staggering rate that the lawyers have assembled one of the greatest litigation feeding frenzies in history. They are going after the manufacturers of these devices.
I have health insurance but I am quite sure that I will be soaked for many thousands of dollars beyond the coverage to resolve this problem, which will involve at least the changing out of the terminal bearings of my implant - if I am lucky. In the meantime, I have to become exactly the kind of pain-in-the-ass patient who asks too many questions so I don't end up crippled, or dead, or taken for ride like a purloined human ATM machine. I suppose I am also lucky that this happened to me soon enough to even have this kind of remedial surgery. Another year or two and I would have just steadily turned purple and croaked like some poor 19th century foundry worker.
There's an excellent chance that I will be on the operating table at the same moment that another financial crisis erupts, one that will be orders of magnitude worse than the 2008 Lehman collapse. Won't that be something? I hope that the surgeon and the anesthesiologist, and whoever else happens to be on hand, don't all run out of the room at once to call their investment managers while I'm lying there inert, like a boned-out Thanksgiving turkey. Pray for my ass. I'm a hostage in the system.
Today is the official publication of my new book, Too Much Magic, which is largely concerned with the diminishing returns of technology as illustrated above.
By James Howard Kunstler
on July 2, 2012 8:32 AM
Not to put too fine a point on it, but didn't that cunning rogue Chief Justice John Roberts pour a jug of Karo syrup into the gas tank of America's twelve trillion cylinder engine? Or, put another way (forgive the metaphor juke), didn't he just give President Obama enough rope to hang himself? Out to dry, that is. Roberts must know exactly what he is doing: prompting x-million young and/or poor voters to an election year tea party tax revolt. The Obama health care reform will henceforth be defined as a tax against people too economically strapped to buy health insurance - in other words, a gross injustice, courtesy of Obama.
Or call it a poison pill. Obama gets to brag that the heart of his 2700-page reform package stands - at the expense of the very people it was designed to protect. Forget about the niceties regarding the interstate commerce clause and other chatter points. This was all about Chief Justice Roberts interfering in a presidential election in a most mischievous way. He might as well have just heated up a branding iron that spelled out T-A-X and applied it to Mr. Obama's forehead.
Of course, with or without the so-called reform, the American health care system remains a hostage racket. When you are sick, you will do anything to get better, and the system knows it. You will sign onto any agreement to keep yourself alive, even if the health care system ends up taking your house and your children's educations. It is a well-established fact that the chief cause of personal bankruptcy in the USA is unpayable medical bills on the part of people who have health insurance. It is considered bad manners to inquire of a surgeon what his fee might be for a life-saving operation. Anyway, you don't want to know because it will be a figure with no anchor in the reality of hours spent or services rendered. Ditto the folks who run the hospital, where there is no reality-based relationship between things dispensed and prices charged. It's simple racketeering and true health care reform would be the vigorous application of Department of Justice attorneys on the doctors, pharma companies, insurers, hospitals, and HMOs who are engaged in routine, systematic swindling. But the truth is, we don't want to remove the swindle and the grift, we just want to find some way to get the American public to pay for their own shakedown.
Before you get too exercised over the multiple idiocies and injustices of the current American medical situation just reflect for a moment that the whole creaking system cannot possibly survive no matter what the Supreme Court might have ruled or whatever Obama sought to accomplish. The US economic system is about to blow up. The banking sector has been kept technically alive on the life-support of accounting fraud since 2008, but that artful racket is coming to an end because sooner or later the abstraction called "money" must make truthful representations of itself in relation to reality, or else people cease to accept its claims of value. Without a functioning banking system none of the rackets organized into US health care can continue.
The eventual destination of health care, like everything else in society categorically, is a much smaller, more modest, more local scale of operation. We'll be lucky if the people with medical expertise can reorganize the wreckage of the system into something resembling small local clinics with all the costly and pernicious racketeering bureaucracy peeled off it. The insurance companies will be in the elephants' graveyard of failed institutions. Let's hope the doctors and their support staff remember to wash their hands.
A couple of side notes:
Anyone seeking to understand the deplorable physical condition of the general public need only stroll through the supermarket aisles and see the endless stacks of manufactured sugary shit that pretends to be food in this culture. That whole matrix is coming to and end, too, by the way, but probably not soon enough to save the multitudes programmed into metabolic disorder. They will just have a shorter life-span, aggravated by loss of income in a cratering economy and everything that comes with being impoverished. The doctors themselves by and large know almost nothing about nutrition, and make no organized effort to militate against the homicidal processed food industry - which brings me to the second side note.
Namely, that the diminishing returns of extreme bureaucratization and turbo-specialization in medicine has only made the doctors generally stupider and more inept. My own situation is a case in point. For two years I suffered an array of peculiar symptoms ranging from numb hands to supernatural fatigue. My ex-GP showed no interest in investigating the cause. Even my request for a toxicology workup was essentially shrugged off. I had to become my own doctor. For a while I suspected Lyme disease, which is raging in my corner of the country. I went to see a Lyme specialist who didn't accept insurance (because the insurance companies did not recognize his aggressive treatment protocols as falling within the current "standards of practice" - and this because the medical establishment doesn't know its ass from a hole in the ground about Lyme disease).
Anyway, I asked the Lyme specialist to include a test for cobalt levels in my bloodwork because I thought there was an outside chance I had cobalt poisoning. The reason I thought this was because Google searches of my symptoms kept pointing to metal-on-metal hip replacement failure. I had gotten just such a metal-on-metal hip replacement in 2003. The hardware was developed because the orthopedists wanted to give younger patients a longer-lasting implant. That's when the diminishing returns of technology stepped in and kicked everybody's ass, including mine.
My cobalt blood test came back off-the-charts high. (My many Lyme tests all came back negative.) Wouldn't you know, though, that the Lyme specialist wanted to treat me for Lyme anyway. He ignored the cobalt numbers and wrote out a prescription for $400 worth of antibiotics. He was the proverbial guy with a hammer to whom everything looked like a nail. I declined that course of treatment and instead went to my new GP for a first appointment and asked for an additional cobalt test, along with one for chromium. (My hip implant is an alloy of titanium, cobalt, and chromium.) They both came back way over the toxic level. Apparently, the rotation of the metal joint has been shedding metal ions into my system for nine years.
Next I went to the orthopedic surgeon who put the implant in. He ordered an MRI and xrays and appeared rather concerned. Eventually I was routed to yet another orthopedic surgeon who specializes in "revising" hip implant failures - in particular ones of the type I have, which have been failing at such a staggering rate that the lawyers have assembled one of the greatest litigation feeding frenzies in history. They are going after the manufacturers of these devices.
I have health insurance but I am quite sure that I will be soaked for many thousands of dollars beyond the coverage to resolve this problem, which will involve at least the changing out of the terminal bearings of my implant - if I am lucky. In the meantime, I have to become exactly the kind of pain-in-the-ass patient who asks too many questions so I don't end up crippled, or dead, or taken for ride like a purloined human ATM machine. I suppose I am also lucky that this happened to me soon enough to even have this kind of remedial surgery. Another year or two and I would have just steadily turned purple and croaked like some poor 19th century foundry worker.
There's an excellent chance that I will be on the operating table at the same moment that another financial crisis erupts, one that will be orders of magnitude worse than the 2008 Lehman collapse. Won't that be something? I hope that the surgeon and the anesthesiologist, and whoever else happens to be on hand, don't all run out of the room at once to call their investment managers while I'm lying there inert, like a boned-out Thanksgiving turkey. Pray for my ass. I'm a hostage in the system.
Today is the official publication of my new book, Too Much Magic, which is largely concerned with the diminishing returns of technology as illustrated above.
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