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  • Few Patients Use Quality, Price Information To Make Health Decisions April 24, 2015
    by Jordan Rau, Kaiser Health News Despite the government’s push to make health information more available, few people use concrete information about doctors or hospitals to obtain better care at lower prices, according to a poll released Tuesday. Prices for …
  • Shopping Tools Save Patients Cash on Medical Care April 22, 2015
    Vicki Burns of New Mexico needed a total hip replacement in 2012, but could not afford the hospital’s non-negotiable cash estimate of $79,000. Within two days of placing a patient request on MediBid, she received two bids. She chose a …
  • Hysteria’s History Episode 3 April 21, 2015
  • 20th Century Experiment Attempts to Turn Back Time April 20, 2015
    Ellen Langer, a Harvard psychologist, conducted a radical experiment in 1979 – the results of which were never published. Last fall, this study was featured in the New York Times. The study examined how aging’s effects could be altered or …
  • https://youtube.com/devicesupport April 17, 2015
  • Make Spring Cleaning a Workout April 17, 2015
    Chores you do around the house and garden can burn calories and stretch and tone muscles if done correctly. Short episodes of mild exercise can improve your fitness level if done with intensity and speed. Adding 30 minutes of chores …
  • Provisioning for the Opt Out Journey April 17, 2015
    Ophthalmologist David Richardson, MD on how to prepare for opting out of Medicare. From AAPS 70th Annual Meeting, September 2013, Denver, Colorado.
  • What America’s Decline in Economic Freedom Means for Entrepreneurship and Prosperity April 16, 2015
    The United States was once considered the land of opportunity where entrepreneurs such as Henry Ford, Ray Kroc and Steve Jobs contributed to a flourishing economy by providing new products and services at prices people were happy to pay.Today America’s …
  • Obamacare Fines Debut This Tax Season April 15, 2015
    Taxes for 2014 are due this week, and your tax bill could be affected by your health insurance. If you had insurance during the entire calendar year of 2014 through an employer, a state exchange, or Medicare Part A, you …
  • Blood Transfusions: Less is More April 13, 2015
    The most common inpatient medical procedure in 2011 was the blood transfusion, with 12% of all hospitalized patients receiving one. The accrediting nonprofit Joint Commission reports transfusions as one of the five most overused hospital procedures. Now, there is a …
  • Health “Coverage” is Just a Distraction April 10, 2015
    by G. Keith Smith, MD I think it is good to be alert to any discussions that are “downstream of a flawed premise.” Let me explain. When I hear, for instance, that the “flat tax” is preferable to the current income …
  • Text Neck – Your Phone is Causing You Pain April 8, 2015
    In the last few years, more and more young people have come in for chiropractic care with symptoms of neck pain, headaches, shoulder pain, or numbness and tingling in their arms. This condition has been named “text neck”. A study …
  • Fat-Burning Foods Help with Weight Loss April 3, 2015
    Many people include losing weight as one of their personal goals. The benefits of losing weight go beyond the outward appearance. Fat-burning foods can help you lose weight, reverse diabetes and risk of obesity, and boost energy levels. Certain foods …
  • Monitoring Patient Compliance with Mobile Devices April 1, 2015
    Company iGetBetter hopes that remote patient monitoring with phone apps and wearables will reduce hospital admissions and increase patient compliance after procedures. The platform allows patients to access post-op directions on a mobile device, ask questions, and send data directly …
  • Americans Can’t Afford to Use Insurance They Own March 30, 2015
    One in three Americans have delayed medical treatment for themselves or a family member because of cost. Many patients, 25% of the non-elderly, don’t have enough cash to cover a mid-range deductible of $1,200-$2,400. These patients need to shop around …
  • 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 …

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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