Showing posts with label medicine. Show all posts
Showing posts with label medicine. Show all posts
Thursday, March 29, 2018
Tuesday, July 18, 2017
Leeches
One of my Russian host mothers (back in 2005) treated herself with leeches. Why? "Catherine the Great did, and she was a very smart woman."
— Christopher Stroop (@C_Stroop) July 17, 2017
On leech therapy.
Friday, June 23, 2017
Kunstler: Rain Dance. (Plus, McCain.)
Kunstler: Rain Dance.
Think of the ObamaCare reform debate now playing in the US Senate as the final gurglings of polity that knows it is whirling around the drain. They’re pretending to attempt to fix a racket that comprises eight percent of the American economy. Yikes! How did that happen? At the beginning of the 20th century it was one-quarter of one percent (.25 percent) of the economy.
...
The standard explanation is that, first, Medicare jacked up overall healthcare activity in the 1960s, hauling in a customer-base of old folks who previously received no special treatment and were, generally, less well than non-old folk. Secondarily, technological innovation opened up so many new methods of disease control for everybody, young and old, that we’re able to treat more sickness in more complicated ways — and that drove costs up way further.
The greater part of the story remains neatly concealed within the matrix of rackets erected around the money-flows since the big cost bump-up in the 1960s, and these involve insurance companies, Big Pharma, corporatized doctors’ practices, hospital monopolies, and, of course, politicians on-the-take dividing amongst each other a colossal pool of grift that exists mainly for one simple reason: the cost of everything is hidden from public view.
Nobody has any idea what anything costs. Certainly not the patients, sometimes called “customers” or “consumers” — but really hostages. If you go into the hospital for a stent in the left descending coronary artery, nobody will tell you what it costs, starting with the doctors who have performed the procedure a thousand times. They can’t even estimate the cost (or won’t), though they could probably give you a pretty good ballpark number for the cost-and-installation of a new fuel pump on their BMW-28i.
Charges for medical care are never discussed with the patient. Doctors especially pretend to regard such a proposition as beneath the dignity of their profession, rather like British aristocrats regarded all questions pertaining to money in the Downton Abby scheme of things — a filthy business better left to the servants, like disposing of the table-scraps. Of course the “servants” in the hospital scheme of things are a fantastic hierarchy of dangerously overfed clerks overwhelmed by the anomie of spending countless hours typing fictitious numbers into their work stations. A more pointless life can hardly be conceived. If you ask the ones who “interface” with you at the check-out counter how your bill was toted up exactly, you will receive nothing more than a pitiless stare of contempt — which is actually aimed inward at their own existential quandaries, a pathological dynamic that perhaps deserves attention from the research funding troughs.
The cost of everything medical is worked out in a private rain-dance between the aforementioned manifold concerned parties on the basis of what they think they can get away with in any particular case. In hospitals, this is enabled by the notorious ChargeMaster system which, to put it as simply as possible, allows hospitals to just make shit up.
More here.
-------
Edit: And might I say that I've never cared for McCain, not even in 2000, when the media was chattering about him as an alternative to George Bush. This is just another reason why. #mccaintheweathervane
Think of the ObamaCare reform debate now playing in the US Senate as the final gurglings of polity that knows it is whirling around the drain. They’re pretending to attempt to fix a racket that comprises eight percent of the American economy. Yikes! How did that happen? At the beginning of the 20th century it was one-quarter of one percent (.25 percent) of the economy.
...
The standard explanation is that, first, Medicare jacked up overall healthcare activity in the 1960s, hauling in a customer-base of old folks who previously received no special treatment and were, generally, less well than non-old folk. Secondarily, technological innovation opened up so many new methods of disease control for everybody, young and old, that we’re able to treat more sickness in more complicated ways — and that drove costs up way further.
The greater part of the story remains neatly concealed within the matrix of rackets erected around the money-flows since the big cost bump-up in the 1960s, and these involve insurance companies, Big Pharma, corporatized doctors’ practices, hospital monopolies, and, of course, politicians on-the-take dividing amongst each other a colossal pool of grift that exists mainly for one simple reason: the cost of everything is hidden from public view.
Nobody has any idea what anything costs. Certainly not the patients, sometimes called “customers” or “consumers” — but really hostages. If you go into the hospital for a stent in the left descending coronary artery, nobody will tell you what it costs, starting with the doctors who have performed the procedure a thousand times. They can’t even estimate the cost (or won’t), though they could probably give you a pretty good ballpark number for the cost-and-installation of a new fuel pump on their BMW-28i.
Charges for medical care are never discussed with the patient. Doctors especially pretend to regard such a proposition as beneath the dignity of their profession, rather like British aristocrats regarded all questions pertaining to money in the Downton Abby scheme of things — a filthy business better left to the servants, like disposing of the table-scraps. Of course the “servants” in the hospital scheme of things are a fantastic hierarchy of dangerously overfed clerks overwhelmed by the anomie of spending countless hours typing fictitious numbers into their work stations. A more pointless life can hardly be conceived. If you ask the ones who “interface” with you at the check-out counter how your bill was toted up exactly, you will receive nothing more than a pitiless stare of contempt — which is actually aimed inward at their own existential quandaries, a pathological dynamic that perhaps deserves attention from the research funding troughs.
The cost of everything medical is worked out in a private rain-dance between the aforementioned manifold concerned parties on the basis of what they think they can get away with in any particular case. In hospitals, this is enabled by the notorious ChargeMaster system which, to put it as simply as possible, allows hospitals to just make shit up.
More here.
-------
Edit: And might I say that I've never cared for McCain, not even in 2000, when the media was chattering about him as an alternative to George Bush. This is just another reason why. #mccaintheweathervane
John McCain's political career, summed up in two tweets pic.twitter.com/PboQiaKTTn
— Hussain (@Chemzes) June 22, 2017
Friday, March 31, 2017
Kunstler: Racket of Rackets.
Kunstler: Racket of Rackets.
More at the above link.
----
Friday bonus: The Big Contraction: An Interview With James Howard Kunstler.
If you thought banking in our time was a miserable racket — which it is, of course, and by “racket” I mean a criminal enterprise — then so-called health care has it beat by a country mile, with an added layer of sadism and cruelty built into its operations. Lots of people willingly sign onto mortgages and car loans they wouldn’t qualify for in an ethically sound society, but the interest rates and payments are generally spelled out on paper. They know what they’re signing on for, even if the contract is reckless and stupid on the parts of both borrower and lender. Pension funds and insurance companies foolishly bought bundled mortgage bonds of this crap concocted in the housing bubble. They did it out of greed and desperation, but a little due diligence would have clued them into the fraud being served up by the likes of Goldman Sachs.
Medicine is utterly opaque cost-wise, and that is the heart of the issue. Nobody in the system will say what anything costs and nobody wants to because it would break the spell that they work in an honest, legit business. There is no rational scheme for the cost of any service from one “provider” to the next or even one patient to the next. Anyway, the costs are obscenely inflated and concealed in so many deliberately deceptive coding schemes that even actuaries and professors of economics are confounded by their bills. The services are provided when the customer is under the utmost duress, often life-threatening, and the outcome even in a successful recovery from illness is financial ruin that leaves a lot of people better off dead.
It is a hostage racket, in plain English, a disgrace to the profession that has adopted it, and an insult to the nation. All the idiotic negotiations in congress around the role of insurance companies are a grand dodge to avoid acknowledging the essential racketeering of the “providers” — doctors and hospitals. We are never going to reform it in its current incarnation. For all his personality deformities, President Trump is right in saying that ObamaCare is going to implode. It is only a carbuncle on the gangrenous body of the US medical establishment. The whole system will go down with it.
More at the above link.
----
Friday bonus: The Big Contraction: An Interview With James Howard Kunstler.
Wednesday, March 11, 2015
Health Care Costs
A subject I'll be considering more here.
http://en.wikipedia.org/wiki/Health_care_costs
http://en.wikipedia.org/wiki/Health_care_costs
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, March 18, 2013
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.
Saturday, January 21, 2012
Health After Oil
http://healthafteroil.wordpress.com/
Introduction
Introduction
Welcome to Health after Oil (HAO), a place for news, opinion, research, discussion, networking, planning and action in response to the unprecedented and sweeping challenges peak oil, energy decline, and population pressures poses to human health and the institutions whose purpose it is to protect and promote human health. We invite submissions -original content and links- about energy and health and related fiscal/economic and environmental and ecological issues. We note in particular that: 1) Climate change and peak oil are indivisible threats, both stemming from reliance on fossil fuels; and 2) The fiscal and economic crisis now enveloping world economies are intertwined with population growth, energy decline and resource depletion. Infinite growth cannot continue on a finite planet.
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