Nazi Germany Re-Run and the Third
Worldization of American Health Care
Reality Check. It was
the big Foundations - Carnegie, Rockefeller and Harriman Foundations that
provided funding for the Eugenics Movement that led to the eugenics programs in
Edwin Black :
Eugenics and the Nazis -- the California
Eugenics would have been so much bizarre
parlor talk had it not been for extensive financing by corporate
philanthropies, specifically the Carnegie Institution, the
Rockefeller Foundation and the Harriman railroad fortune. They
were all in league with some of America's most respected
scientists from such prestigious universities as Stanford, Yale,
Harvard and Princeton. These academicians espoused race theory
and race science, and then faked and twisted data to serve
eugenics' racist aims.
In 1904, the Carnegie Institution
established a laboratory complex at Cold Spring Harbor on Long
Island that stockpiled millions of index cards on ordinary
Americans, as researchers carefully plotted the removal of
families, bloodlines and whole peoples. From Cold Spring Harbor,
eugenics advocates agitated in the legislatures of America, as
well as the nation's social service agencies and associations.
The Harriman railroad fortune paid local
charities, such as the New York Bureau of Industries and
Immigration, to seek out Jewish, Italian and other immigrants in
New York and other crowded cities and subject them to
deportation, confinement or forced sterilization.
The Rockefeller Foundation helped found
the German eugenics program and even funded the program that
Josef Mengele worked in before he went to Auschwitz.
Last night, I received a
the legislative proposals of one of Idaho's "good Christian" legislators, Steve Thayn. Excerpts from it
using a search on the term Community Health:
Let me point out a few problems with this argument. First,
there is another way to take care of those in need without
expanding Medicaid. An alternative to Medicaid expansion is
explained in this report (expand Community Health Centers and
reallocate the state CAT fund).
If the legislature and the governor can agree to work toward
alternatives to ObamaCare that empower the people, then
other marvelous opportunities open up; opportunities that
will truly bless the lives of all Idahoans. They include:
Medicaid reform, CAT fund restructuring, expansion of Community
Health Centers, and county indigent fund reform.
A. Repeal the Idaho Catastrophic Indigent Fund (CAT Fund)
($40 - $50 million) B. Take the funds from the CAT Fund and use
them to help set up Community Health Centers (CHCs). The funds
could be used for start-up monies, buy equipment, and provide a
cost-share program for pharmaceuticals.
C. Repeal or greatly reduce county indigent funds. The key
to self-fund Medicaid is to reduce medical costs by 50 percent
by creating a cash market using HSAs, DPC, etc
C. Initiate a program to replace Medicaid with private
charity Community Health Centers with the goal of
self-funding the Medicaid program within 5 years.
Bill #3: The goal of this bill is to eventually self-fund
Medicaid. Its immediate consequences are more concrete.
First, the State Catastrophic Indigent Fund would be
eliminated. The funds ($40 -$50 million) would be used for three
purposes: seed money to set up Community Health Centers; provide
funds to buy medical equipment, and to fund medical drugs on a
Second, facilitate growth of Community Health Centers (CHC).
The goal is to re-create the
private charity model of care that
existed before 1965 where doctors and nurses voluntarily gave a
Obama had nothing to do with "ObamaCare". The Affordable Care Act was
actually several pieces of legislation put in a single package that had been
sitting and waiting for an opportunity to get them passed. And those
pieces of legislation were part of an on-going, step by step plan to redesign
the American health care system by members of a group called the Jackson Hole
The Nation; Looking Back
At Jackson Hole
New York Times, March 22, 1998
"The unadulterated Jackson
Hole plan was simple, at least in theory. Called managed competition, it
envisioned a Government-guided system of private health plans and insurance
companies that would compete to enroll large regional pools of workers and
other groups. Vigorous competition to win contracts with employers would
drive down the cost of care. The savings would then be used to extend health
care to the uninsured. Plans that enrolled disproportionately high numbers
of young, healthy
workers would subsidize plans with older and sicker workers."
Hillary Clinton's Potent
Brain Trust on Health Reform
New York Times, February 28, 1993
Managed competition is still,
as Mr. Clinton's political adviser James Carville puts it, a term that "no
person has ever heard of, only intellectual forces." And it has its critics,
including those who call it a kind of Insurance Industry Preservation Act
and those who question whether it alone will truly control medical costs.
But it has gained a wide following in recent years.
In theory, it would band employers and individuals into large cooperatives
to purchase health insurance, giving small businesses and individuals the
same bargaining power as big companies. On the other end, it would force
doctors, hospitals and insurers to form partnerships that would compete for
the cooperatives' business, each trying to offer the highest-quality but
least-expensive health plan....
Two of the principal advocates of managed competition are Alain C.
Enthoven, a professor of economics at Stanford University, who began
formulating these ideas back in the 1970's, and Dr. Paul M. Ellwood,
a pediatric neurologist from Minnesota who is widely considered a father
of health maintenance organizations.
Dr. Ellwood, who practiced medicine for 17 years, has been advising and
consulting on health policy and planning for many years through the research
group he founded, called InterStudy. Mr. Enthoven, a former economist
with the Rand Corporation and an assistant Secretary of Defense under
President Johnson, has also consulted and written extensively on health
issues. Along with Lynn M. Etheredge, a Washington-based
health-care consultant, those two are considered the principal architects
of the Jackson Hole initiative.
Fortune, October 10, 1988
(Page 2) ''What HMOs haven't
done, which I had hoped, is manage the content of medical care,'' Ellwood
says. Why not? ''HMO doctors are ignorant, just like all doctors.'' Having
shaken up the medical system once, Ellwood seeks to do it again. He wants
the records of millions of encounters between doctor and patient, whether in
HMOs or in the traditional fee-for-service system, recorded in computers
and the results of treatment routinely monitored through follow-up
questionnaires to patients. ''When we're spending a half trillion dollars a
year on health care,'' Ellwood says, ''we ought to know what works.'' Dr.
Arnold S. Relman, editor of the influential New England Journal of Medicine,
says that ''assessments'' and the general concern about quality are ''the
third revolution in medical care,'' the first being the spread of health
insurance and the second the revolt of the payers. Physicians must be in
charge of the third revolution, Relman says, for only they have the
The project to redesign our health
care system was initiated by George H.W. Bush. The first move by a member
of Congress on the initiative was in 1990 when
Senator John Glenn asked the GAO to do a study on the potential benefits of
automation of medical records. But in fact, the Department of Energy and
NIH had already signed a
Memorandum of Understanding in 1988 "to foster interagency cooperation that
will enhance the human genome research capabilities of both agencies".
Community Health Centers -
Charity Care. First world implementation of third world health care
- for a purpose.
The new president of the World
Dr. Jim Yong Kim. Mr. Kim is the former Director of the HIV/AIDS
initiative of the World Health Organization and a Co-Founder of Partners in
Founders of Partners in Health
Paul Farmer - background
Jim Yong Kim - background
What is a Community Health
Center? Watch the 8 minute video to find out.
Johns Hopkins Grant - Community Health
That's the intro. Now we go back to the third world
storyline to see what Jim Yong Kim was up to in Peru.
PBS - Global Health Champions
From multidrug-resistant tuberculosis to the HIV/AIDS
pandemic, Dr. Jim Yong Kim has taken on some of the most
difficult challenges of global health and found innovative ways to make
progress. "I like to change people's sense of what's possible," he told
Newsweek in December 2003 after receiving a MacArthur Foundation genius
grant. "Now I have a chance to do it on a global scale."
... Scroll down
This shed some light on the clusters of patients the Partners In Health
doctors were seeing who were taking their drugs but not getting better.
Treating patients with multidrug-resistant TB was not only expensive;
it was dangerous. "Our own health workers," Kim recalls, "asked us questions
like, 'You're asking us to take care of these patients, and we're scared.
Aren't you scared?' And I'll never forget the answer that Paul [Farmer] gave
was, 'Yeah, I'm scared. Everyone's scared. But look — it's here, it's in the
community, and the only way to deal with this is to take it head-on and
begin to treat the patients.' You've got to treat people with MDR-TB to
prevent it from spreading to others."
Along with Farmer, Kim designed elaborate cocktails of rare drugs for
their patients in Peru. Their means of getting the drugs to South
America were unconventional, to say the least, bringing drugs in their
personal luggage from Boston and into Peru. With these drugs come
unpleasant side effects — nausea, fatigue, depression, joint pain — and
patients were required to take them for two whole years. "We had to go and
stand by them and convince them: 'Please, you need to continue taking your
medicines, because if you don't, you're going to die,'" Kim remembers.
Doubts lingered as to whether the treatment would work, but it was crucial
that the effort be made to treat these patients, not only for their own
sake, but to prevent the strain of tuberculosis from spreading more widely
throughout the community and the world.
Partners In Health developed powerful alliances with the local community,
training health workers to visit patients in their homes and encourage them
to take their medicines.
Look at the set up. In Peru, they
trained community health workers that were illiterate. In the United States,
they won't be much more than that because they are being "produced" at the
Let's go back to the World
News videos on Community Health. The video on the front page is titled
Training at the Front Lines of Community Health. It's a video produced
by the University of Chicago on Common Core. Dr. Kohar Jones
Training at the Front Lines
of Community Health Do pay close attention to her
speech. She's highly trained in "Nurse Ratchet" voice modulation.
She slips up on the word "after" though... she is just a little to breathy
making her training discernable. Also note that ABDC - Asset Based Community Development is mentioned.
Here is an article written by Dr. Kohar Jones:
Health Care Shouldn't Start in the Emergency Room
Chicago Sun-Times November 2, 2012
The purpose of a
health-care system should be to keep people well,
with emergency rooms reserved for back-up care when
health fails.... I practice in the Chicago Family
Health Center, a community health center that is
affiliated with the University of Chicago Medicine
through the South Side Healthcare Collaborative.
When patients go to the emergency room for care that
is better handled in a community health center,
patient advocates let them know about the
possibility to make my health center their medical
We have the social
workers, psychologists, nutritionists, case managers
and health educators that patients need for a
comprehensive approach to staying healthy.
Now... this woman Dr. Kohar Jones is supposedly also a bioethicist.
The Ethics of Student Run Free Clinics
In my role as Director of
Community Health and Service Learning at the University of Chicago’s
Pritzker School of Medicine, I helped facilitate a discussion for first
year medical students about the ethics of student run free clinics. This
got me thinking about their future.
Student run free clinics are society’s stop-gap measure for the
uninsured, a place for those without the means to see a doctor to
connect with a physician via the intermediary of a student.
Providing acceptable-quality care to the patients who receive their care
through student run free clinics will include providing information on
how to sign up for health insurance through the exchanges. Ethical care
will be connecting patients to the medical homes they need.
What will happen to student run free clinics when there are no more
uninsured may be those most likely to use the clinics now, and those
most likely to be covered by Medicaid’s expansion in the states where
Medicaid is expanding in the future. Is it fair for people who could be
connected to a medical home, to instead be seen in a student clinic with
a rotating cast of provider-learners? Ethical practices would need to
have volunteers signing up eligible patients for health insurance
through Medicaid or the exchanges.
That's the bait and switch... dumping Medicaid patients into the hands
of medical students with the "health care" provided including medical
research - personalized medications, applied genetics research, etc.
This is even worse than I
originally thought. I thought that at least they would provide Nurse
Practitioners and Physician's Assistants. Looks like Medicaid and the
poor won't even get that - which is all the better for genetics researchers
working in the background and through the fiber optic cable of the Internet.
When things go wrong and if it's discovered, local officials won't want to
admit what they allowed to be set up and the student will take rap with no
consequences because they are students.
But if you happen to have
medical insurance and your own doctor, don't be too smug because the above
is the model for the new American system of non-health care. It's so
much cheaper to provide the illusion of health care without providing
anything except a way to finance a large scale applied genetics research
project on an unsuspecting population.
Forbes, December 5, 2011
...[Jim Yong Kim] Not the type
to do anything halfway, he’s now, with increasing crescendo, trying to forge
a market-driven solution to the nation’s unsustainable health care costs and
using Dartmouth as a laboratory to do so. “My goodness,” he exclaims,
“somebody needs to stand up and say, here’s a better way to do it.”
There’s never been a more
critical moment. The Affordable Care Act, better known as ObamaCare,
provides for universal coverage but is proving anything but affordable. Yes,
there are billions projected in cost savings from modernizing our health
system, but the law provides little framework for getting that done, just
lots of money to study it.
“We’re trying to create a
field here–it’s not a single discipline–where heads of hospitals,
physicians, nurses, pharmacists, engineers and business specialists are all
talking together about how to do health care better.”
Much of those costs–up to
30%–are unnecessary. Kim comes from the camp, based on two decades of
Dartmouth research, that believes this waste can be eliminated by rewarding
health care providers for better patient outcomes rather than more
procedures. The trick is navigating a system of dizzying complexity:
coordinating treatment across physicians and health systems, using universal
medical records to avoid duplicative testing, employing
Excedrin-level headache than any type of results.
But Kim has a tool that can potentially provide answers to the cost issues
ObamaCare simply raises. This fall he launched the Center for Health Care
Delivery Science. On paper it’s a master’s program. In reality it’s a grand
experiment that mixes disciplines (management and systems engineering,
economics, insurance, as well as medicine and health policy) and
personalities (researchers and practitioners are paired). Four dozen of the
best minds in their fields–the average age is 45, and most with two decades
of top-flight experience–will meet weekly, usually virtually and sometimes
in Hanover, N.H., for the next 18 months to participate in what Kim terms
a “fundamental revolution in the way we think about health care.”
Global Health Delivery Project
The Global Health Delivery
Project, a joint initiative of the Brigham and Women's Hospital, Harvard
Business School and Harvard Medical School, is launched by World Bank Group
President Dr. Jim Yong Kim, Dr. Paul Farmer, and Professor Michael Porter.
Dr. Rebecca Weintraub is Faculty Director.
Who they Are
I'll end with this loop around -
connecting the dots.
Trojan Triangles - Michael Porter
January 6, 2014