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  • Third Party Free Medical Practice Case Studies March 28, 2015
    Dr. Kathy Brown, Jack Brown, and Dr. Keith Smith speak at the 69th Annual Meeting of AAPS, September 2013. http://www.oregonderm.com/ & http://surgerycenterok.com
  • A Tale of 2 Prices…or 3?‏ March 27, 2015
    by Ralph Weber About a year and a half ago, Perry Hunt needed a hip replacement. He had been in constant pain for years and owned a construction company, and could not afford to take the 6 months off that …
  • Tisha Casida interviews Ralph Weber: Free Market Solutions to Healthcare March 25, 2015
    Tisha Casida with Rebellion.life interviews CEO of MediBid, Ralph Weber, about his work educating the public and the government about common sense health care solutions. MediBid is an online marketplace with true transparency, listing not only prices, but qualities and …
  • Small Business Coverage Uncertain Future with Association Health Plans March 23, 2015
    For the last 20 years, small businesses in Washington state have relied heavily on associations and trusts to provide healthcare insurance for their workers at lower cost than in the open market. The system is popular and works well, a …
  • Outpatient Surgery Saves Patients Time and Money March 20, 2015
    The death of Joan Rivers after a routine procedure has some asking about the safety of outpatient surgical centers. First off, it is important to make sure to know if you are a good candidate for surgery and what to …
  • Study Finds Hormones Can Help Younger Women Through Menopause March 18, 2015
    Hormone replacement therapy used to only be given to women who had completed menopause, relieving hot flashes, sleeplessness, and other symptoms. In 2009, about 8 million women used HRT, most over the age of 60. A recent Cochrane review finds …
  • Retail Health Care Clinics Multiply with Increasing Demand March 16, 2015
    Integrated care facilities offer primary care, specialty services, labs, and diagnostics all under one roof. These clinics follow a model common in Latin America. This consumer-focused type of providing medical care is gaining in popularity and increasing in number since …
  • Avoiding Caregiver Burnout March 13, 2015
    Over 43.5 million Americans care for older parents, grandparents, spouses, or other loved ones. Most family caregivers are spouses or children. The demands of caregiving can be overwhelming and can take a toll on your health, relationships, and sanity – …
  • It is Safe to Assume They Lie March 11, 2015
    by G. Keith Smith, MD I laugh every time I see headlines bragging about the number of people enrolled in “Obamacare.”  What choice to people have, after all?  ”Buy this crappy insurance plan (that you wouldn’t buy unless you were …
  • FinalHayes1 March 11, 2015
  • Physician Burnout – What To Do March 9, 2015
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  • Increasing Wait Times for Hip Surgery Ruin Patients’ Lives March 6, 2015
    Frustrated patients in British Columbia are in constant pain as their wait times for hip replacement surgeries increase. Wait times for joint replacements have increased in most Canadian provinces despite promises from the government to address the problem. B.C. is …
  • Staying Physically Active: How Much Exercise is Right for You? March 4, 2015
    by Adrienne Snavely Everyone knows that the key to keeping a healthy body is a combination of a healthy diet and regular physical activity. What is considered “regular” differs from person to person. The Dietary Guidelines for America (DGA) first …
  • Supreme Court to Hear New Obamacare Case This Week March 2, 2015
    Later this week, the Supreme Court will hear arguments in King v. Burwell, the results of which could affect the future of Obamacare. This case addresses if consumers who buy health insurance at HealthCare.gov are eligible to receive tax credits …
  • How to Fight and Prevent Sugar Cravings February 27, 2015
    The average American consumes about 16 teaspoons more sugar per day than what is recommended. Sugar causes the brain to release serotonin, creating a natural high, and the endorphins leave us wanting more. Kicking a sugar addiction can be tough, …
  • Hospital Closures Bring “New Day” in Healthcare February 25, 2015
    Hospitals are operating with fewer beds or closing, as patients seek more affordable medical care at clinics and outpatient surgery centers. A low occupancy rate makes for a high-priced facility, which is not competitive. These closures are due to the …
  • Do Your Part to Protect Your Heart – February Special February 23, 2015
    February is Heart month. Protect the health of your heart, preventing heart disease and stroke, with a simple blood test. Below are the February specials from DirectLabs. Lipid Profile – $19 (Regular Price $29, $98 Retail) Test includes: Cholesterol, Total …
  • The Various Dimensions of Mammogram Screening February 20, 2015
    by Adrienne Snavely Every year, over 200,000 women in the U.S. are diagnosed with breast cancer and about 40,000 will die from it. When breast cancer is detected early, it is easier to treat. Forty million mammograms are performed each …
  • Crashing the Free Market Party February 16, 2015
    by G. Keith Smith MD Riding in to rescue the victims of Obamacare and other government healthcare schemes are guess who? The legislators? The regulators? Don’t make me laugh. It is the growing group of healthcare free marketeers. The celebration …
  • Dark Chocolate is Good For You and Your Valentine February 13, 2015
    Dark chocolate is loaded with nutrients, one of the best sources of antioxidants, and can improve health and lower risk of heart disease. Dark chocolate is very nutritious. It contains a fair amount of soluble fiber and is full of …

Why Canadacare is Better than Obamacare

by G. Keith Smith, MD

For all I’ve written about the Canadian healthcare system, I think that all things considered, it is probably better (as awful as it is) than what we know as Obamacare.  I see the two recent candidates as a socialist (the winner) and a fascist (the loser).  The socialist is a wealth redistributionist primarily, but moves in some fascist, public-private partnership circles to fuel his financial needs.  The loser, while giving lip service to “liberty” and “freedom” is primarily a tool of the businesses that serve to benefit from their relationship to gunvernment, that is, primarily a fascist.

The fascist is certainly “pro-business,” pro-business in the sense that this policy results in riches for the businesses, regardless of the effect on the consumer.  Ironically, Paul Ryan actually made this statement during the campaign, imploring everyone to distinguish between “pro-business” and “pro-free market.”  Both candidates claimed that health care was a “right.”

Here is why I think that Obamacare is the lesser of the two evils.  In Canada, everyone is in the same boat.  When the money is gone, the money is gone for everyone.  The only option folks have for getting care is to leave the country and pay out of their pocket.  The only motive to ration is national bankruptcy.  Having already faced this reality, the provinces now receive a certain amount of money like a reckless teenager on a budget, and when it’s gone it’s gone.  The failures of this system are transparent to all, particularly the Canadians, but everyone’s in the same boat, a very socialistic setup.

Paradoxically, Obamacare, bearing the name of a socialist, is fascistic.  ”Private” companies (giant insurance companies) will collect premiums, that by law now, everyone must pay.  The law is written in such a way that only a handful of the insurance companies that now exist will continue to operate, the smoking gun of industry consolidation that has Washington’s fingerprints all over it.  These companies will work very hard (and with little competition to prevent them) to ration care for the sake of their profits and stock price.  Major stockholders will advocate and profit from the rationing of care to those who need it most.

There you have it.  Well-meaning socialist bureaucrats in Canada put their bleeding socialist hearts into prioritizing their fellow citizens’ health needs.  In this country, the companies that the gunvernment has put in charge will pursue rationing and neglect as policies, this approach being in their and their stockholder’s self interest.  Rationing as an unintended consequence vs rationing as a profit-generating policy.

Hayek saw little difference between socialism and fascism, writing famously that the central planning characteristic of both made them basically indistinguishable.  I like to think about fascism as socialism with some of the central planning outsourced to quasi-private corporations.  This allows for the scapegoating of the “businesses” when the gunvernment’s policies fail to satisfy the public.  In this way, fascism innoculates the failed policy from attacks by adversaries, always maintaining a roster of fall-guys.  The totalitarianism is therefore much more difficult to attack, hiding in a way that an overtly socialist policy cannot.

The failures of the Canadian health care system are seen by Canadians as the fault of their government.  The failures of Obamacare will be seen as the fault of the greedy corporations running it, another one standing by to take its place.  This may be the winner’s cruelest secret: that for all his popular socialistic talk, he’s really a fascist underneath.



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