I might call this a love letter to what's good about medicine but like every institution, it needs to wake up to its own arrogance instead of assuming its ways are the best there is.
Medical training in its entrenched hierarchy is built like a cult. Cult members are not trained to think. They're spoonfed with they need to know, trained to regurgitate what they know, and make decisions based on the sources of knowledge the cult deems legitimate while believing they are elite, critical thinkers with sound judgement. Many can develop practice wisdom as they opt to learn from their patients and examine their relationships with patients in addition to examining patients to discover that there's too much interference in the doctor-patient relationship.
Many talented Drs have fled mainstream medicine to pursue a humanising medicine beyond the cult because they held unorthodox perspectives and were shunned for them. Medicine needs an overhaul of its priorities, including its hubris, paternalism, damaging hidden curriculum and its God complex because it will continue to haemorrhage excellent physicians and train a demanding, entitled, holier than thou, communal narcissist/activist workforce to replace them.
“Cult members are not trained to think”. In a world of too much information (and misinformation) this is strategy in many fields, not just medicine, to maximize productivity. I suspect it’s worse in medicine with the added weight of the “insurance protocol” which removes the need to think and assure payment. But you’d might be surprised to know it even applies to industries you’d think would value creativity.
How could they "learn to listen" if they have no intention of telling the truth in the fist place? (the quote, "I hope medicine learns to listen.", comes towrds the end)
So true words. I retired from nursing after 45 years. I watched as BigPharma and "me too" drugs exploded. I questioned all the vaccines we give our children now compared to the past, yet they are unhealthier. Than Covid happened. I read JFK's book on Fauci, and that answered a lot. I've decided medicine is mostly good for emergencies, like gun-shot wounds. Thank you for your hard work and ethics. Your articles are excellent.
You write fundamental truths. The question is how do we correct the medical community? That would be a major undertaking. Trying to redirect the Leviathan it is. In many ways, it is akin to redirecting the entire nation away from Marxist ideology. JMHO.
Modern medicine can effectively treat only about 10% of human diseases, yet doctors are respected as highly scientific minds, endure rigorous training, and earn significantly higher incomes than average. However, they are often among the least creative groups. Yes, medicine needs to change.
I agree Kevin. Your interview by Tucker Carlson will bring this to the attention of many physicians and patients. We can make the change one person at a time. Our defects are entrenched in the system by leaders.
Very true. But unfortunately, it won't listen and it won't change. Medicine is firmly entrenched in the Military and Pharmaceutical Industrial Complex. It will simply crush both internal and external critics. Cancelling a few dozen gadflies now and then is just par for the course. It happened to me and it happened to you. But you don't seem to get it. You are a little fish to them. Completely irrelevant.
I suspect the vast majority of Physicians and Physician-scientists are in agreements with both your sentiments, and empathize with your trials.
But "Medicine" is hierarchical. What goes out for public communication and public consumption is tightly manicured and regulated.
It is not clear to me whether overturning this hierarchy will require an external force (economics, different regulatory mandates, public outcry etc...), or a mass internal insurgency.
"The medical establishment is right to be concerned about human rights and public health--these must be pivotal concerns of the medical and public health communities..."
"Health" or timely, affordable, and effective medical services? I'm responsible for my health and gathering the resources to protect and ensure it; the medical establishment is responsible for making available to me the diagnostic and treatment services I may require from time to time to do so.
I might call this a love letter to what's good about medicine but like every institution, it needs to wake up to its own arrogance instead of assuming its ways are the best there is.
Medical training in its entrenched hierarchy is built like a cult. Cult members are not trained to think. They're spoonfed with they need to know, trained to regurgitate what they know, and make decisions based on the sources of knowledge the cult deems legitimate while believing they are elite, critical thinkers with sound judgement. Many can develop practice wisdom as they opt to learn from their patients and examine their relationships with patients in addition to examining patients to discover that there's too much interference in the doctor-patient relationship.
Many talented Drs have fled mainstream medicine to pursue a humanising medicine beyond the cult because they held unorthodox perspectives and were shunned for them. Medicine needs an overhaul of its priorities, including its hubris, paternalism, damaging hidden curriculum and its God complex because it will continue to haemorrhage excellent physicians and train a demanding, entitled, holier than thou, communal narcissist/activist workforce to replace them.
“Cult members are not trained to think”. In a world of too much information (and misinformation) this is strategy in many fields, not just medicine, to maximize productivity. I suspect it’s worse in medicine with the added weight of the “insurance protocol” which removes the need to think and assure payment. But you’d might be surprised to know it even applies to industries you’d think would value creativity.
How could they "learn to listen" if they have no intention of telling the truth in the fist place? (the quote, "I hope medicine learns to listen.", comes towrds the end)
So true words. I retired from nursing after 45 years. I watched as BigPharma and "me too" drugs exploded. I questioned all the vaccines we give our children now compared to the past, yet they are unhealthier. Than Covid happened. I read JFK's book on Fauci, and that answered a lot. I've decided medicine is mostly good for emergencies, like gun-shot wounds. Thank you for your hard work and ethics. Your articles are excellent.
You write fundamental truths. The question is how do we correct the medical community? That would be a major undertaking. Trying to redirect the Leviathan it is. In many ways, it is akin to redirecting the entire nation away from Marxist ideology. JMHO.
Modern medicine can effectively treat only about 10% of human diseases, yet doctors are respected as highly scientific minds, endure rigorous training, and earn significantly higher incomes than average. However, they are often among the least creative groups. Yes, medicine needs to change.
I agree Kevin. Your interview by Tucker Carlson will bring this to the attention of many physicians and patients. We can make the change one person at a time. Our defects are entrenched in the system by leaders.
Very true. But unfortunately, it won't listen and it won't change. Medicine is firmly entrenched in the Military and Pharmaceutical Industrial Complex. It will simply crush both internal and external critics. Cancelling a few dozen gadflies now and then is just par for the course. It happened to me and it happened to you. But you don't seem to get it. You are a little fish to them. Completely irrelevant.
Kevin;
I suspect the vast majority of Physicians and Physician-scientists are in agreements with both your sentiments, and empathize with your trials.
But "Medicine" is hierarchical. What goes out for public communication and public consumption is tightly manicured and regulated.
It is not clear to me whether overturning this hierarchy will require an external force (economics, different regulatory mandates, public outcry etc...), or a mass internal insurgency.
Lead the way...I will support.
"The medical establishment is right to be concerned about human rights and public health--these must be pivotal concerns of the medical and public health communities..."
Your fundamental error in thinking comes early.
You cannot have health without human rights.
"Health" or timely, affordable, and effective medical services? I'm responsible for my health and gathering the resources to protect and ensure it; the medical establishment is responsible for making available to me the diagnostic and treatment services I may require from time to time to do so.
Agreed, but how?
It needs to change, but it won't.