- DOCTORS WITHIN BORDERS -

 VERSION FRANCOPHONE

 

SUMMARY OF LEARNERS       INTRO & VOCAB

 

“Should medicine ever fulfill its great ends, it must enter into the larger political and social life of our time, it must indicate the barriers which obstruct the normal completion of the life cycle and remove them.  Should this ever come to pass, medicine, whatever it may then be, will become the common good of all.”  Rudolph Virchow quote in The World Encyclopedia of Peace, Volume III, p. 362.

 

We should have a thousand times more medics.

The first but least obvious benefit of this expansion of medical personnel will become apparent when the next infectious pandemic strikes the population of Earth.  Instead of collapsing, once a third or more of health care professionals fall sick, this service could rapidly ramp up to the surge numbers of hospital beds we would require, recruiting newly trained health care providers to replace losses among ordinary hospital staff.  Otherwise, we may expect to face this Twenty-First Century challenge with Nineteenth Century levels of health care and corresponding casualties.

Learners of healing should treat a spectrum of human conditions, most of which are ignored these days.  These treatments would range from internal factors (psychic and physical) to those external (social and environmental).  Proper reverence should be paid to every aspect. 

Robust public health promotes human genius.  Failure to promote the best public health reduces this civilization’s IQ and multiplies other problems.  Excellent public health would reduce those problems to a fraction of their current bulk, in direct proportion to that excellence.

Learners will demand the constitutional guarantee of quality medical care in order to advance medical progress.  They will organize a universal health care system to fulfill that mandate.  Privileged corporations, (insurance, pharmaceutical, teaching, nursing homes, etc.) will be stripped of health care profits.  Those profit centers will become public utilities.  Psychic and other forms of alternate healing will be researched much more thoroughly.

These days, only a shrinking third of America’s doctors belong to the American Medical Association.  Its innate conservatism spells its doom and it is gradually fading as we speak.  In truth, its membership could rise once again, based on recent waves of American doctors bound for perpetual warfare.  I may be too optimistic about this shrinkage.  By hook or by crook, fat-head right wingers seem to be sweeping every tasty morsel off the American smorgasbord.  Reactionary chic is all the rage these days: complete with useless wars, at-home ineptitude and disaster, ambidextrous handouts to the well-connected and fraud on every level of government.  Is there any crime and misdemeanor these gentlemen haven’t gotten away with?  No one could serve as better poster boys for their ideological worthlessness.  They keep insisting government must be incompetent; man, have they confirmed their own assertion!

The AMA recruited its first adherents from military surgeons in bloody aprons who got their weapons catechism during the American Civil War in the 1860s.  Allied with embryonic drug companies, the AMA suppressed its sibling medical discipline, homeopathy.

During the early 1800’s, Samuel Hannemann reinvented the idea of administering minute doses of drugs that would induce specific symptoms and thus cure ailments with similar symptoms.  Despite homeopathy’s early success, the AMA championed allopathy, which used drugs in massive doses (just below toxic levels; and let’s not even talk about the interactive toxicity of drug combinations!) strictly to suppress symptoms.  Even though homeopathic hospitals and colleges flourished during the nineteenth century, the AMA and allied drug companies hounded most of them out of existence by World War II.

Like weapon religion, AMA conservatism has exhausted any usefulness it could claim.  Today, the primary goal of AMA conservatives is to boost their profit margins by denying the advantages of single-payer health care to all but the rich and the military.

Weapon medicine contends with disease and trauma inflicted on purpose.  Soldiers in the field suffer like mistreated farm animals; out in the weather and layered in filth, they devour whatever garbage they can loot, dig up or drag from the rear.  In combat, hordes of agonized casualties, pandemic infection, exhaustion, lack of sleep, exposure, malnutrition, sorrow, frustration, fear, rage, separation anxiety and psychiatric emergencies make up the daily routine.  In addition, seniority and combat survival dictate promotion among military leaders.  Therefore, orthodox medicos attempt to suppress symptoms of illness, trauma and old age as well most emotional reactions. 

For weapon medics, reducing stress to promote health is absurd.  Instead, warrior societies practice social triage, ostracism of patients and post-insult, high-stress invasive treatments.  No post-insult medical system can maintain the health of a population undergoing greater and greater stress.  As overall health deteriorates, medical expenses skyrocket.  After all, no ‘rear area’ remains towards which casualties may be evacuated for more civilized treatment.  Hospitals become repositories of every infection known and unknown to mankind, and kill off as many people as they save.

Western trauma medicine evolved just off the battlefield.  Alexander the Gross brought surgeons along with his much-lauded pincushion phalanx.  Western medics didn’t investigate Chinese acupuncture until after French military surgeons followed their Army into Indochina.  The American Army didn’t establish a semi-adequate ‘Golden Hour’ helicopter emergency response until the Vietnam War.  As a crude gesture of mercy, Napoleon’s chief surgeons equipped horse-drawn ambulances with sprung axles.  Previously, those special vehicles were reserved for delicate noble behinds. 

Space-age ambulances continue to bounce screaming and/or dope-zombied casualties along too many bullet-swept and crash-crowded highways.  Our highways kill more people than our wars.  And far too many wars occur overseas.  Every war on this planet, every insurrection, every duplicate massacre of innocents, every suicide bomb and car wreck is one more ‘too many.’  And largely avoidable despite everything we've been told.

Today, the medical community hasn't quite decided whether to keep shock victims warm under blankets or pump their chests with a freezing cocktail of lifesaving fluids.  Flash-cooled trauma and drowning victims appear to have longer survival timelines, slower bleeding rates, greater resistance to infection and extended immunity from brain death while they await delayed but vitally needed care from doctors out of reach.

Victorian tropical medicine and insect eradication programs protected white colonial garrisons, not aboriginal peoples.  Yellow fever and other tropical infections were finally conquered for this reason alone.  This racist neglect continues today.  It engenders, among other abuses, the mass genocide of Aids that has engulfed Africa and all the poorest corners of the Third World.  Predictably, Aids has spread to every poor nation—just like terrorism will.  Presumably, once all those Third World babies, child parents and teenage grandparents die from AIDS, mass terror or mere malnutrition, they won’t require so much pesky international aid.

Sooner or later, such conclusions will bring the same plagues down on our heads.  The best public health is that deployed far away from the richest nations. If you can guarantee that someone living at the antipodes of your world gets a better public health care system than your own, yours will grow proportionately.  

Today, more money is spent to research cures for trivial complaints of rich societies (baldness, geriatric impotence, foot fungus and pet neuroses) than on cures for lethal tropical diseases.  The underlying source of most of these diseases, chronic malnutrition, is carefully ignored and even fostered.  This global famine is largely caused by corporate export monocultures that satisfy luxury consumption demands.  Almost every civil war since the Cold War had this in common.  Almost all of them involved some country’s restricted commodity export: diamonds, timber, oil or some unique monoculture.  Simple agricultural self-sufficiency in those countries would have blunted most of those wars. 

I can hear officials of the World Bank and the International Monetary Fund scream bloody murder rather than let this happen.  Learners will suggest to them politely that they change their mind—with speed and enthusiasm.  They will discover, tardily but indisputably, that more profits accrue from this policy.  Practical charity will provide ten times higher returns than ornate swindles currently worshipped.  Who knew?

Weapon medicine took off during the Great Paroxysm (World War I) when almost every doctor on Earth rotated through years of combat internship.  If not World War I, then WWII.  If not those, every war since.  As a result, general practitioners vanished, most physicians became specialists, home visits were cut short, every health service became a hospital routine and preventive health care was dismissed as irrelevant. 

This recession to the militarist mean is not hard to understand.  On a battlefield, honest preventive caregivers would instruct their patients to throw away their weapons and go home.  Weapon elites are not amused by these instructions unless their enemies adopt them unilaterally.

I’m counting on everyone to adopt them.  Then let’s see what global health improvements we could achieve.  I understand quality health care could be delivered to everyone on Earth for something like the price of a year of Bush’s war in Iraq.

Instead, we expose ourselves to the paradoxical, hypocritical, ruinous and disease-inducing medical industry so familiar to our WeaponWorld of today.

A peace-oriented medical community would train many more deliverers of basic first aid and cardio-pulmonary resuscitation (CPR).  There should be another word for this in English: a surchange of health care and home health providers: personal aids, masseurs, acupuncturists, physical therapists, emergency medical technicians, hospice care-givers, pharmacists, nurses, physicians’ assistants, chiropractors, naturopaths, homeopaths, shamans, healers, herbalists and other specialists. 

Couldn’t we expect a healthier society, given so many new care givers of this kind?  Many of them are in training today.  Yet this training timetable is incoherent and chaotic.  It demonstrates reductive and fragmentary attempts by maturing WeaponWorld to apply holistic PeaceWorld solutions to its problems as they worsen.  Those fixes must inevitably fail since they are too parochial, reductive and fragmentary.  The pragmatic holism required by PeaceWorld is forbidden on WeaponWorld, except for its weapons endeavor.

Learners of healing will practice in their own neighborhood, up to but not beyond their level of expertise.  Competence levels will determine which of an incremental pharmacopoeia of remedies and treatments these successors of ‘barefoot doctors’ can administer; and who will practice serious, in-depth diagnosis involving many more consultations and referrals. 

Particular attention will be paid to powerful placebo effects, reinforced by a multitude of healing rituals of extraordinary psychological precision. 

The stipulation of "having to ask for a second opinion" will become ridiculous since the system will demand multiple opinions for every significant diagnosis.  Since everyone will earn a comfortable living anyway (in multiples of the minimum income necessary to escape poverty), expert cooperation and free referrals will replace competition for patients.  They will eliminate the insular “figure it out for yourself” attitude of present-day medicine that promotes selective technical incompetence and a growing number of errors.  We should apply deliberate redundancy to reduce error rates!  The perfection of personal medical mastery was never that important—enormously reduced error rates are.  It might be preferable if each patient were seen by a partnership of two doctors, or some larger medical team, in order to confirm their diagnoses and treatments.

Malpractice would draw immediate demotion to lower levels of public health care responsibility and accelerated remedial courses.  Word would go out: “If his medical competence is suspect, seek treatment among other replacements far better qualified, while we retrain this one.”

Learners of Healing will saturate neighborhoods with basic nutrition and hygiene education.  They will sponsor preventive and elementary public health measures in each household, office and school.  The self-care wisdom that takes us a lifetime of disease and suffering to pick up by trial and error, Learners will pick up effortlessly during their childhood.

Doctors with advanced training will be freed to deliver home health visits.  Sophisticated nursing services can also be delivered there.  Primary health care healers would practice preventive medicine and long term nursing care in the home.   Rarely visited hospitals would only house the most demanding operative tasks of emergency care, teaching, research and disaster response.  While they reorganize the medical community, Learners will introduce conception-to-expiration, single-source holistic health care on a global scale. 

This may involve more ablutions of prayer, washing of strangers’ feet (especially those of enemies) restful sleep and hydration.  I am convinced that a majority of today’s chronic ailments stem from these deficiencies.  Obeying Mohammed’s dictum, everyone will wash their hands at least five times a day or feel ritually unclean otherwise.  This simple habit would interrupt the easiest transmission route of most infectious diseases.  It seems that bacteria may not mutate their way around the simple physics of soap and hot water—unlike complicated antibiotics that seem designed to foil in the long run.  Also, new masks will block airborne pandemics; (using powerful glues or static electricity?  How do nose hairs block germs?).

Public health overwatch, pollution control, good nutrition, more exercise, health education (and no cars) would improve general health dramatically; much faster than any number of research grants funding the torture of laboratory animals.  Accurate, cheap and preemptive diagnoses – both medical and psychological – will replace the medical guesswork of today. 

 

The following matter cannot be emphasized often enough.  Universal psychological testing and lifelong monitoring will become critical for the survival of human civilization. 

Modern weapon technologies encourage ephemeralization.  In plain English, that means it is becoming easier to make and deploy biological and nanotech weapons that may induce mass casualties and destruction.  By “easier,” I mean cheaper, less complicated, more accessible and easier to hide by individuals otherwise trivially powerful.  Read “lone gunmen” and marginal terrorist groups along with their psychopathic supporters in numbers too small to count.

 Thanks to ex-President and dementia sufferer Ronald Reagan, (since glorified by his demented supporters), the richest nation on Earth institutionalized homelessness: a national disgrace.  Today, we let people run loose unsupervised who hear voices in their heads.  Thus we risk the occasional axe murder and massacre of a restaurant- or classroom-full of innocent victims.  In the near future, these psychopathic crimes may turn into city and sub-continent sterilizing attacks.  Therefore, all such homicidal maniacs, (especially the borderline, the latent and the most brilliant among them), will have to be watched very carefully throughout their lifetime.  We might as well survey everyone as a matter of routine, and iron out more neuroses while they are tender and easier to treat.

 

No longer would we restrict doctor visits to crisis situations once something had gone seriously wrong.  Medical visits will become easier to schedule and more reliable than today's purchases of self-administered, over-the-counter palliatives.  Four yearly doctor’s visits will become the norm, if only to chat for awhile about routine health matters.  Local Learners of Healing will dispense cheaper remedies (for the most part, placebo); they will diagnose anything wrong, targeting serious problems for extensive referral and consultation from a much larger, better trained and more accessible medical community.

The therapeutic laying on of hands will be studied systematically and practiced intensively.  Anyone who demonstrates such talents will be recruited into the medical community as a child and dedicated to the highest levels of healing.

Many cost-effective treatments are not available to us.  This dearth satisfies weapon requirements for medical rationing, profit and privilege.  The media applaud spectacular feats of life-support, surgical virtuosity and extraordinary intensive care.  They rarely report such care’s hyper-inflated expense.

It’s amazing.  In John Dos Passos’ trilogy, USA, he describes several hard-working families who lost everything they worked so hard for, to illness, lost business and medical bills.  He wrote this story almost a century ago.  Here we are, a century later, and the worst dread most people face is that the expenses of chronic illness and old age helplessness will ruin them and their children. 

This perfectly reasonable fear justifies habits of social and economic elitism, otherwise inexcusable, so that a few manipulative individuals may shield themselves from it.  Everyone else is a co-conspirator in this travesty, hoping that they and their loved ones may attain that unreachable plateau of medical security through their selfish, lose-lose efforts.  The institutional termination of this dread by providing free birth-to-death health care, would promote greater social wisdom.

Drug companies base their research and development decisions on “what the market will bear” rather than “what the population needs today.”  Such wasteful practices will soon price themselves beyond the reach of everyone except millionaires.  Self-serving medical care corporations would be replaced by more thoughtful and civic-minded public utilities.

Patients who need absurd levels of care should be allowed to die with dignity, free of pain and with a clear awareness of their option to reincarnate in Jesus and be saved.  The beatific epiphany many near-death survivors experience, confirms my suspicion that a merciful God ministers even unto our death.  If this phenomenon is merely a chemical imbalance in the brain induced by the agonies of death, so be it; drug companies should synthesize it and medics should administer it to everyone during their death throws.  Less pain and fear, more mercy and no harm in that, per Hippocrates.

Medical spending should be reprioritized.  We should reduce overpopulation, neonate mortality, pandemics, the ill effects of mental illness, obesity, undiagnosed criminality, family neglect and abuse—we should stop working so hard to retain life signs in the undead.  The grim project of extending the life span of privileged people beyond the statistical norm should be shelved.  More pressing needs need to be addressed first. 

Once every neonate enjoys a cherished and healthy childhood through adolescence – and only then – extending the decrepitude of the rich may cease to be obscene vampirism.  The miracle of very old age and concurrent good health may become easier to achieve without so many betrayals of ordinary morality.

Abortion is a great source of distress for everyone.  This ghastly procedure cannot be eliminated, however, until the above measures have been fully implemented.   If you insist on banning abortion, you should insist on all these other items, first.  It is not realistic to criminalize the actions of desperate parents from above.  It would be more realistic to reduce their desperation and then let them decide what to do with their child.  Every child on Earth should be guaranteed a secure and beloved upbringing. 

This grim decision should be delegated to each mother, and only to her, once she has been objectively instructed by her chosen physicians.  God help her make such a devastating choice.

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