Rajjpuut like most thinking people in this country found himself greatly UNDERwhelmed by Barak Obama’s ridiculous speech to congress and the American people supporting his unneeded Obamacare bill. 

1.                       While much “newness” was feigned at, there was not one bona fide new approach to the “problem” that he sees (which he has severely misdiagnosed, more later) it was just more of the same with a few more lies thrown in to make it seem more palatable to Republicans and Independents and Conservative Democrats.

B.     Bi-partisanship agreement was repeatedly suggested as obvious and true. What is obvious and true is that no Republican initiatives originally involved (such as complying with the Haynes act to prevent federal funding of abortion; such as complying with the “freedom of conscience provisions” that would NOT require a doctor to perform an abortion his conscience opposed; such as provisions requiring proof of citizenship and insisting that illegal aliens could not receive services; and most importantly Republican suggestions that HSA options for self-insurance be allowed and honored) . . . no Republican initiatives, not one of them, has been retained: all these crucial amendments have been removed by the Democratic majority in the various committees. 

E.      The ludicrous proposition that “prior conditions” can be mandated for coverage and private insurers can still survive . . . since this is a definite losing proposition under any conceivable actuarial conditions . . . this would guarantee the destruction of private insurance and the supremacy of the public option that Obama insists is “no big deal.”

F.      The biggest lie of all about Obamacare itself: “this is not a government takeover.” 1200 pages of new law is about to descend upon the people and their doctors . . . how much control and interference is needed, before someone calls it a “government takeover”? 

G.     The biggest omissions of all about Obamacare: its multiple "evil" purposes . . . to give much more control over health care to the liberal supporters of all things government spending boondoggle-wise;  and to obscure the fact that all five of the worst government spending and government interference boondoggles (GSBs and GIBs) created by the liberal left wing of the Democratic Party  brought us to the current mess:

1)      Medicare now is obligated for $34 TRillion it can never hope to repay and it will officially go bankrupt in 2016.  Obviously if these two simple facts can be brought to permeate the public consciousness . . . the likelihood of future GSBs and GIBs such as Obamacare itself will be dramatically reduced and much more limited government would result.

2)     Medicaid is functionally bankrupt

3)     Even though the bankruptcy date for Social Security is officially 2037, it too is functionally bankrupt . . . Obamacare is trying to do for Medicare what recent legislation did for Social Security    . . . push its day of reckoning so far into the future that connection to the liberal congresses that created these bills is never made

4)     Jimmy Carter’s 1977 mortgage-guarantee legislation led the nation to 19% inflation in 1980 and ACORN lawyer Barak Obama sued and extorted banks in 1995 and 1996 into making loans in line with the bill which, while required by law were utterly senseless and fiscally irresponsible.

5)     Bill Clinton’s 1998 mortgage-guarantee law combined with the ’77 laws put the country’s financial collapse on steroids.  By the way when the Bush administration sought to eliminate the weakest portions of the two weak bills, in January 2005, the Democrats outvoted them to allow the fledgling crisis to grow beyond control.

H.    The faulty assumption that the problem with Americans’ health and the present health care system is caused by people NOT having health insurance.  

1)      American physicians uniformly state that the problem actually lies with not being able to get health care to patients. For example, in the past doctors could give free care to the poor; or accept payment in kind from farm patients (over time eggs, vegetables, meat, etc.) but not this is forbidden in most cases. If a person of Medicare age is to be treated, all the paperwork must be filled out regardless and the Medicare laws must be followed even if they don’t apply or even interfere with doctor charity.

2)     Ex health-educator Rajjpuut, in his 26 blog series “A Far Better Health Care Alternative” has listed 44 factors that are far more important than health insurance:

For example . . .

a)     his #1 factor is elimination of the FDA totally, a corrupt government agency which rains pain, suffering and death upon American patients as described in his 16 Anti-FDA blog series

b)     42 other factors Rajjpuut mentions are not considered by Obamacare at all

c)      The only factor Rajjpuut and Obamacare did agree upon is “infant mortality.” 

However, Obamacare treats this factor as totally a problem with lack of health care or insufficient health care . . . Rajjpuut names 14 factors (health care is NOT mentioned but the fact that modern American women lead the world in smoking, drinking, using drugs, obesity, etc.  definitely are crucial) that contribute and then describes a cluster of social factors that trace the history of the problem to the breakdown in the American family (predominance of unwed mothers; predominance of single-parent families; predominance of families with no husband ever in attendance to help the mother; predominance of families without a second parent living below the poverty line; etc. which all arose as the altogether laudable women’s movement  was taken over and radicalized by the feminist movement.   In making his analysis, of the historical deterioration of the American family as the root cause of high infant mortality. Problems that didn’t exist in 1960 when America had one of the highest ranked health care systems in the world and infant mortality and life expectancy were the envy of most of the world suddenly became real and huge problems as America’s women changed their perspectives egged on by unenlightened radical feminism.

 Rajjpuut also debunked one of Obama’s crucial factors (America’s comparatively low life expectancy) and showed that the two factors (infant mortality and low life expectancy) because of the way the statistics are misused are really the same factor looked at twice . . . the implication is that when America solves its infant mortality crisis, life expectancy will jump markedly.

A Synopsis of Rajjpuut’s

Far Better Health Care

Alternative Blogs I-XX

Why is it a better alternative?

            Besides running three marathons and appearing and performing much younger than his age, Rajjpuut is a health educator with experience in the health insurance industry and is intimately in tune with the real factors in human health and with cost-containment.   Barak Obama and his cronies are politicos without the ghost of an idea about what’s best for the American health care systems. It is utterly damning that none or virtually none of the points brought up in the previous 20 blogs in this series has ever been mentioned, much less been considered a crucial factor in reforming the health care mess in this country. Which brings up another factor: the word “mess” is a technical term from Rajjpuut’s experience with Kepner-Tregoe management systems: the most effective in the world. Rajjpuut highly doubts that more than 1% of the politicians working on the health care initiatives have any effective management training.

What are the Major Planks?

2.    Elevation and expansion of the Center for Disease Control (CDC) (and its budget) by making it

a.    responsible for all aspects of health education in the country

b.    responsible for reduction in chronic death patterns in the country as well as its current emphasis on acute disease

c.     responsible for eliminating 80% of iatrogenic diseases

e.    responsible for dissemination of the “Seven Golden Rules of Health” throughout the educational system; and disseminating the Harvard study on exercise benefits to high schools, colleges and adult-education classes.

f.     Responsible for motivating adults and especially older adults to adopt healthier lifestyles and dramatically reduce the numbers and percentages of morbidly-obese; obese; pre-diabetics; and adult-onset diabetics in the nation

g.    Responsible for educating the public to recognize “emergency medical conditions” quickly; also responsible for doubling the number of CPR qualified and first-aid qualified people in the country over the next 15 years

h.    Creation of a new “basic food groups” paradigm (sorry but dairy doesn’t belong in adult diets except yogurt and occasional cheese) based upon significant research findings

3.    Establish an alternate national health insurance that is a “major-medical” plan which allows one physical exam and follow-up; one (every three years) health education conference with an NHF based up physical exam results . . . and provides lower deductibles to people who follow the Seven Golden Rules of Health and are not obese, pre-diabetic, etc.

a.     A psychological/psychiatric mental health resource

b.    A psycho-somatic mental health resource of apparent physical ills or physical limitations associated with underlying psychological factors

c.     A strictly medical health resource

6.     Eliminate the term “auto-immune” disease from the legal descriptives for all diseases and health insurance

7.    Eliminate virtually all palliative medicines

8.    Require all drug companies to add the phrase “First do NO harm” to their annual statement of mission objectives.

9.    So long as prices are reasonable, double the effective patent protection time for all new products that actually “CURE” something.

10. Allow 1/3 the present patent protection period for any medicine that is remotely “palliative”

11. Create a new agency (Nutrition?) whose primary function is to review studies of vitamins, minerals, nutrients and whole foods as disease preventatives

12.  Allow drug companies patent protection equal to the present law’s limits:  on combinations of two or more natural ingredients which have been shown to either effectively reduce disease contraction or to increase health measurably (e.g. lower blood pressure in older hypertensives, etc.

13.Require all medical schools to inititiate programs emphasizing health, prevention and health education and intervening earlier (at the first stage)in the process to head off disease and other problems rather than later when the process is more expensive and less effective (fourth stage) when, for example, chronic unhealthy conditions have lead to adult onset diabetes.

14.Require all medical schools to have programs of medical ethics where the sole emphasis is on “First do NO harm.”

15.Require all medical schools to have programs on iatrogenic diseases emphasizing

a.    Drug interactions

b.    Malpractice

c.     Defensible doctor mistakes that still could have been eliminated

16.Require all medical schools to have programs on proper nutrition and on the Seven Golden Rules of Health.

17.Require all medical schools to have programs in “bedside manner” and understanding malpractice

18.In so far as possible eliminate the practice of labeling diseases “incurable” and then putting patients upon a road of lifelong subscription to expensive, dangerous medicines that cannot cure them.

19.Provide pilot program money for groups like “Cancer Centers of America” and “Gerson programs” to expand their operations into other chronic disease problem areas.

20.Eliminate ALL practice of administering antibiotics unless the physician is 100% sure that NO viral condition exists.

21.Eliminate all presently dangerous drugs which either  kill on the one hand an/or don’t really help CURE anything on the other: the list could stretch out to 60-70 names but Ritalin; Avandia, statins, PPI’s etc. would be on the list.

22.Eliminate drug advertising from medical journals

23.Limit physicians to 44 patient contacts maximum per day.

24.Create a new malpractice category: iatrogenic deaths due to drug interactions and allow NO cap on malpractice by drug companies

25. Label any drug with a history of deaths or serious injury or illness resulting from use as (potentially dangerous) and allow NO cap on malpractice suits against doctors prescribing these drugs

26.Create a new malpractice law listing criminal penalties for “failure to inform” and allowing NO cap for failure to inform and “failure to diagnose” malpractice

27.Create a new malpractice law listing four categories of medical practice: 

a.    faultless and compassionate treatment

b.    defensible and mitigated malpractice

c.     defensible malpractice but inferior treatment (either lacking compassion or physically errant)

d.    indefensible malpractice.

28.Create a cap on “defensible and mitigated” malpractice

29.Create a higher cap on “defensible but inferior” malpractice

30.Allow NO cap on “indefensible” malpractice

31.After one malpractice suit, do not allow malpractice insurers to raise premiums for defensible and mitigated malpractice; and only 10% for defensible malpractice but inferior treatment.

32.Allow insurers to raise premiums as needed after a second successful malpractice suit has been brought against a doctor for category “c” malpractice.

33.Allow insurers to raise premiums as needed after a third successful malpractice suit has been brought against a doctor for category “b” malpractice.

34.Reestablish DDT as the mosquito killer of choice in this country and allow its manufacture again

35.  The following understanding be taught in medical schools:

           Five things should ALWAYS be kept in mind when dealing with patients and illnesses or other medical conditions: 

A. A certain percentage of patients, even left absolutely alone, will be healed: the body is a wise physician and works wonders on its own when not interfered with

B. A sugar pill or prayer or just having a doctor listen to them or touch them will suffice to cure others: this is the well-known "placebo effect" and rather than being something to laugh at or joke about . . . implies that healing is a mental/

psychological/spiritual and holistic phenomenon as well as corporeal

C. The elimination of pain is NOT the same as eliminating the underlying medical situation in 95% of instances. Pain, per se, is a good thing:   warning of problems . . . while eliminating or minimizing pain is a responsibility of the physician, item D (below next) is the crucial physician's charge. 

D. Because ot the truth of ABC above and the great wisdom that they imply, the physician's noblest commandment is the first one: "First Do No Harm" (the Hippocratic Oath) because anything that takes the patient further from conditions A and B above is taking the patient further from eventual wellness.

E. By necessity, medical benefit comes in varying "flavors."

1.The best medicine is preventative, keeping the patient healthy and avoiding conditions that would take the patient away from health. The most effective medicines in the world are still fresh air, good healthy food and drink, proper exercise, sleep and other rest, good eating habits and avoiding intake of destructive items like drugs, tobacco, alcohol and highly processed foods**.

2. The second best medicine is interruptive, catching negative conditions slightly before, or at, or near their onset when treatment is the cheapest, easiest, fastest and surest. 

3. The third best medicine is discovering sickness or debilitation in patients and then curing them. 

4. Setting the body in such condition that phenomena A and B above  and E1 immediately above can follow naturally, is the purpose of most of what is good and great in medicine. When the physician's surgical intervention returns the patient's body to a place where the body's resources can tak over, all has been done that medicine, per se, can ask.

5. Palliative medicine (masking syptoms without curing) is quackery which is not only below contempt, but very dangerous.

Ya’all live long, strong and ornery,

Rajjpuut’s Health Service Oath:

(For ALL)  First, know I do no harm.

(for first responders; EMT’s; ER Personnel; those learning CPR or other first aid; other emergency personnel)

If it is possible to remove a patient from harm or a dangerous situation without doing serious harm, do so.

If it is possible to examine a patient without doing harm, do so.

If it is necessary to administer first aid for a life-threatening emergency (such as severe bleeding; no pulse; blocked airway; poisoning; electric or other shock; drug reaction; etc., etc.) and I am trained to do so, I will do so . . . in any case I will contact emergency medical assistance personnel as soon as possible. Unless I am trained I will not risk harming the patient.

If it is possible to transport a patient without doing harm to a place of further medical assistance, I will do so.

First do no harm.

Second, help prevent disease, injuries and accidents.

Third, anticipate and detect injuries and illnesses.

            Perhaps 1-3% of the palliatives are worth using, mostly however, they are in large part what the American Medical Association and Food and Drug Administration were originally created to stop. Some palliatives don’t even relieve pain, they should be eliminated from usage. Some palliatives relieve pain but do so ineffectively, they should be eliminated from usage. Some palliatives relieve pain but have potentially harmful but lighter side effects, all but one in a hundred of these should be eliminated from usage. Some palliatives relieve pain but have absolutely horrendous side effects, they must all be eliminated from usage. Most of the modern pain relievers (not even talking about medicines which are palliative but which do something else besides relieving pain) are no more effective than old fashioned pain relievers that carry fewer and milder side effects). Medicines need to cure conditions, to heal bodies and minds not to sugar-coat situations. If over the next twenty years the FDA did nothing but operate in concord with this paragraph and review all currently available medicines . . . they would immediately become a 2000% more effective agency and the American health care system would, by comparison to today, thrive as a result.