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  • Free Markets are Destroyed by Congress, Not Created January 30, 2015
    By Jane M. Orient, M.D. When people clamor for Congress to pass a “free-market health plan,” they are forgetting two things: Congress only does laws, which restrict freedom. We need fewer laws, not more. And the free market is by …
  • Ralph Weber Talks MediCrats with FreedomWorks – Part 3 January 26, 2015
    MediBid is the free market answer to rising healthcare costs. Employer-sponsored plans, as well as self-insured individuals, make up most of MediBid’s customers. On MediBid, a patient makes a procedure request which gets sent out to physicians and facilities around …
  • Medical Debt Still a Problem for Those With Health Insurance January 23, 2015
    by Adrienne Snavely Medical debt can affect anyone of any age in any state in any income bracket. Medical debts account for more than half of debt collections on credit reports. One in three Americans struggle to pay medical bills, …
  • Q&A with Direct Pay Physicians January 22, 2015
    Direct pay physicians answer colleagues’ questions about third-party-free medical practice. From January 9, 2015, New Orleans AAPS workshop.
  • Ralph Weber Talks MediCrats with FreedomWorks – Part 2 January 21, 2015
    The pitfalls of Obamacare are that it makes healthcare affordable to the employee, yet unaffordable to dependents. Some plans cover children, but not spouses. This means less options for families. The independent physicians are being bought out by hospitals and …
  • Cash and out-of-network: good for medicine as free agency is for sports January 21, 2015
    Andrew Schlafly, J.D., General Counsel, AAPS, opens the 21st Thrive, Not Just Survive workshop held Jan. 9, 2015 in New Orleans, LA.
  • Opting Out of Medicare January 20, 2015
    Lawrence Huntoon, MD, PhD, presents via Skype at the AAPS 21st Thrive Not Just Survive Workshop on Third Party Free Practice, January 9, 2015
  • Say Goodbye to 3rd Party Medical Payments January 19, 2015
    Obamacare is increasing costs, restricting access to care, and putting Medicrats in charge. Out of this adversity comes innovative physicians who are changing the world of medical care. Doctors know what is best for their patients, so they must be …
  • My Direct Pay Practice January 19, 2015
    Brenda Arnett, MD http://arnettmd.com, talks about why and how she launched a third-party-free internal medicine practice. From January 9, 2015.
  • AtlasMD: Direct Pay Primary Care better for patients and physicians January 18, 2015
    Dr. Josh Umbehr, founder of http://atlas.md speaks at AAPS XXI Thrive Not Just Survive Workshop, January 9, 2015 in New Orleans, LA.
  • Epiphany Health, Affordable, high-quality direct primary care January 17, 2015
    Lee Gross, MD, Founder, Epiphany Health http://www.epiphanyhealth.net & President, Docs 4 Patient Care Foundation http://www.d4pcfoundation.org addresses the AAPS Thrive Not Just Survive XXI conference, January 9, 2015, in New Orleans, Louisiana.
  • Ralph Weber Talks MediCrats with FreedomWorks – Part 1 January 16, 2015
    Wayne Brough of FreedomWorks interviews MediBid’s CEO, Ralph Weber, about Obamacare and Weber’s book MediCrats. Weber has found innovative ways to bring the free market to healthcare. MediCrats, by definition, are medical bureaucrats who add administrative burdens and increase costs. …
  • Third Party Free Specialty Practice January 16, 2015
    Gerard J. Gianoli, M.D., F.A.C.S. of The Ear and Balance Institute, Covington, Louisiana, http://EarAndBalance.net speaks at the AAPS Thrive, Not Just Survive workshop held January 9, 2015 in New Orleans.
  • Stop the Interstate Licensing Compact January 15, 2015
    Dr. Ken Christman explains how the FSMB’s proposed compact is a backdoor for MOC and MOL. January 9, 2015, New Orleans, LA.
  • Update on AAPS Legal Initiatives in War on Doctors and Patients January 15, 2015
    Andrew Schlafly wraps up Thrive XXI with a look at ongoing and future AAPS legal initiatives to protect patients and their physicians.
  • The Answer to American Medicine is NOT Coming from DC January 15, 2015
    … it is coming from physicians who are kicking ObamaCare and insurance OUT and working directly with their patients, explains AAPS Executive Director, Jane M. Orient, MD. From AAPS Thrive, Not Just Survive XXI, Jan. 9, 2015, New Orleans, LA.
  • The End of the 10-Minute Doctor’s Appointment January 14, 2015
    The patient-physician relationship should be balanced, not one-sided with physicians skimping on visit time and not allowing patients to ask enough questions or explain their symptoms well. Eighteen seconds is the average time a patient is allowed to talk before …
  • The Physicians Declaration of Independence in 2015 January 14, 2015
    We need a critical mass of truly independent doctors and core who will pass along the art of medicine to the next generation, explains AAPS President Richard Amerling, MD on January 9, 2015 at talk to colleagues in New Orleans, …
  • Physicians & Patients: Take Your Power Back January 14, 2015
    Dr. Elaina George explains that it is crucial for patients and physicians to work together outside of ObamaCare and insurance-dominated system. She discusses alternatives to ObamaCare such as health care sharing programs like Liberty HealthShare: http://LibertyOnCall.com
  • Self-Funded Awareness & The Movie “Dune” January 7, 2015
    by G. Keith Smith, MD “The sleeper has awakened.” Anyone who has seen the movie “Dune” knows the scene where Paul Atreides proclaims his new awareness. Having recently attended the annual meeting of the Self-Insurance Institute of America I was …

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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