October 16, 2011
S.L. Baker, NaturalNews.com
[Doctor’s speak out against the ‘Corporation’ business model in medicine.]
Two doctors from Beth Israel Deaconess Medical Center, Harvard’s teaching hospital, have taken an unusual step for the medical profession. These courageous physicians are speaking out about today’s healthcare system which emphasizes money over individualized patient care.
In an article just published in The New England Journal of Medicine, Pamela Hartzband, MD, and Jerome Groopman,MD, are blunt about their frustration with a system that has “reduced medicine to economics.” In fact, they go so far as to say hospitals have been turned into “factories” that reduce clinical encounters between a patient and doctor into simply “economic transactions.”
“Patients are no longer patients, but rather customers or consumers. Doctors and nurses have transmuted into providers,” Pamela Hartzband, MD, and Jerome Groopman MD, wrote. “We are in the midst of an economic crisis and efforts to reform the health care system have centered on controlling spiraling costs. To that end, many economists and policy makers have proposed that patient care should be industrialized and standardized. Hospitals and clinics should be run like modern factories and archaic terms like doctor, nurse and patient must therefore be replaced with terminology that fits this new order.”
One of the problems, according to Dr. Hartzband and Dr. Groopman, is that the knowledge physicians and nurses have and should be able to use to help patients individually is getting lost. Instead, the current “factory” system of medicine values prepackaged, off-the-shelf solutions that substitute “evidence-based practice” for “clinical judgment.”
Simply put, healthcare providers are no longer expected to spend time carefully considering patients as individuals and using their experience to make the best decisions for specific people and their health problems. Instead, doctors and nurses are supposed to offer a cookie cutter approach that moves patients through the system quickly as though they were things to be processed on a conveyor belt, not complex human beings to be treated as individuals.
“Reducing medicine to economics makes a mockery of the bond between the healer and the sick,” the doctors wrote in their article. “For centuries doctors who were mercenary were publicly castigated. Such doctors betrayed their calling. Should we now be celebrating the doctor whose practice, like a successful business, maximizes profits from customers?”
From Fascism in Medicine
[Plan announced in 1969.]
ELIMINATION OF PRIVATE DOCTORS
The image of the doctor would change. No longer would he be seen as an individual professional in service to individual patients.
But the doctor would be gradually recognized as a highly skilled technician — and his job would change. The job is to include things like executions by lethal injection. The image of the doctor being a powerful, independent person would have to be changed. He went on to say, “Doctors are making entirely too much money. They should advertise like any other product.” Lawyers would be advertising too. Keep in mind, this was an audience of doctors; being addressed by a doctor. And it was interesting that he would make some rather insulting statements to his audience without fear of antagonizing us. The solo practitioner would become a thing of the past. A few die-hards might try to hold out, but most doctors would be employed by an institution of one kind or another. Group practice would be encouraged, corporations would be encouraged, and then once the corporate image of medical care gradually became more and more acceptable, doctors would more and more become employees rather than independent contractors.
Ohio State University is an excellent example of Medicine INCORPORATED as are all of the big group clinics around town. The policies at these clinics are established by the corporate administrators and the doctors are merely paid ‘help’. However OSU is now 100% medicine Of the corporation, By the corporation and For the corporation. The patients are no more than ‘customers’ – a source of income for the OSU MED CENTER corporation. Don’t forget should you ever find yourself a patient there that their ‘patient advocates’ are trained to protect The Corporation NOT advocate for the patient.
The Corporation model is now firmly entrenched in all of our society. All stores, universities, physicians offices, veterinarians, lawyers, architects, and even home repair contractors have been educated in this profiteering model. Even government offices use the same deceptive style. The goal: give as little service to the public as possible and charge as much as you can get away with! (Also get as much work from your employees as you can and pay them as little as you can get by with.) Have you noticed how grocery stores now encourage you to check out your own groceries using their automated machines and put your own carts away. Did you see a reduction in your grocery bill when that change occurred?