{"id":76341,"date":"2022-09-10T03:00:26","date_gmt":"2022-09-10T07:00:26","guid":{"rendered":"https:\/\/quotulatiousness.ca\/blog\/?p=76341"},"modified":"2022-09-09T13:40:04","modified_gmt":"2022-09-09T17:40:04","slug":"things-have-gone-horribly-wrong-in-american-medicine-for-example-physicians-are-sharing-ideas","status":"publish","type":"post","link":"https:\/\/quotulatiousness.ca\/blog\/2022\/09\/10\/things-have-gone-horribly-wrong-in-american-medicine-for-example-physicians-are-sharing-ideas\/","title":{"rendered":"&#8220;Things have gone horribly wrong in American medicine; for example, &#8216;physicians are sharing ideas'&#8221;"},"content":{"rendered":"<p><a href=\"https:\/\/chrisbray.substack.com\/p\/science-is-compliance?utm_source=substack&#038;utm_medium=email\" rel=\"noopener\" target=\"_blank\">Chris Bray<\/a> on the American healthcare system&#8217;s descent into not just &#8220;rule by experts&#8221; &mdash; which you rather expect for a field like medicine &mdash; but the far worse &#8220;rule by <em>government<\/em>-approved experts&#8221;:<\/p>\n<blockquote><p>Our $3.7 trillion medical system is characterized by its <em>fragility<\/em>, the narrative says, with patients who can&#8217;t get treatment and doctors who can&#8217;t learn. So what&#8217;s gone wrong? Here&#8217;s the headline, with a whole universe of silly assumptions baked into every word:<\/p>\n<p><a href=\"https:\/\/quotulatiousness.ca\/blog\/wp-content\/uploads\/2022\/09\/Screenshot-2022-09-10-at-13-30-43-Science-is-Compliance.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/quotulatiousness.ca\/blog\/wp-content\/uploads\/2022\/09\/Screenshot-2022-09-10-at-13-30-43-Science-is-Compliance.png\" alt=\"\" width=\"728\" height=\"747\" class=\"aligncenter size-full wp-image-76342\" srcset=\"https:\/\/quotulatiousness.ca\/blog\/wp-content\/uploads\/2022\/09\/Screenshot-2022-09-10-at-13-30-43-Science-is-Compliance.png 728w, https:\/\/quotulatiousness.ca\/blog\/wp-content\/uploads\/2022\/09\/Screenshot-2022-09-10-at-13-30-43-Science-is-Compliance-480x493.png 480w, https:\/\/quotulatiousness.ca\/blog\/wp-content\/uploads\/2022\/09\/Screenshot-2022-09-10-at-13-30-43-Science-is-Compliance-624x640.png 624w, https:\/\/quotulatiousness.ca\/blog\/wp-content\/uploads\/2022\/09\/Screenshot-2022-09-10-at-13-30-43-Science-is-Compliance-146x150.png 146w, https:\/\/quotulatiousness.ca\/blog\/wp-content\/uploads\/2022\/09\/Screenshot-2022-09-10-at-13-30-43-Science-is-Compliance-50x50.png 50w\" sizes=\"auto, (max-width: 728px) 100vw, 728px\" \/><\/a><\/p>\n<p>Things have gone horribly wrong in American medicine; for example, &#8220;physicians are sharing ideas&#8221;.<\/p>\n<p>I&#8217;m just taking a moment to stare at my own sentence. Be right back.<\/p>\n<p>Anyway, medicine is broken \u2014 doctors are <em>thinking<\/em>. Sick people show up to see them, and they try to <em>figure it out themselves<\/em> by using, like, evidence and diagnostic practice and their medical knowledge. Lacking government directives, physicians are living with a horrible system in which they have to assess sick people and come up with their own answers about their illnesses and the best course of treatment. And so, <em>Politico<\/em> reports, networks of doctors are gathering to share data and work collaboratively, a sure sign that things have gone horribly wrong:<\/p>\n<ul>\n<p><em>While the network is helping patients and doctors navigate the disease&#8217;s uncharted waters, long Covid doctors say there&#8217;s only so much they can do on their own. The federal government should be doing more, they say, to provide resources, coordinate information sharing and put out best practices. Without that, the doctors involved fear the condition, which has kept many of those afflicted out of the workforce, threatens to spiral.<\/em><\/p>\n<\/ul>\n<p>Imagine what doctors will be like after two more generations shaped by the assumption that the federal government is the only proper source of &#8220;best practices&#8221;. The pathologization of socially and institutionally healthy behavior \u2014 professionals, confronted with a new problem, work together to gather evidence so they can analyze and apply it \u2014 speaks to the ruin inflicted by the pandemic, by the federal funding and steering of science, and by the Saint Anthonying of medicine: If government doesn&#8217;t tell you how, you can&#8217;t possibly know how. You expect your doctor to use a lifetime of education and experience to figure out what&#8217;s wrong with you; <em>Politico<\/em> expects your doctor to apply the government guidelines, but finds to its alarm that the government doesn&#8217;t offer any. How can you make a sandwich if the government hasn&#8217;t published a protocol on the application of condiments? <\/p>\n<p>If you&#8217;ve felt rigidity and a lack of productive exchange in your conversations with your own doctor, we may have a suggestion here about the <em>why<\/em> part. I can&#8217;t assert that with total confidence, because the federal government hasn&#8217;t provided me with an analytical framework.<\/p>\n<p>And so the debilitation of people who should have professional knowledge and competence becomes normal and expected. A scientist is someone who gets checks from the NIH, unless the scientist is one of the other kind and gets checks from the NSF, and ideological compliance is <a href=\"https:\/\/chrisbray.substack.com\/p\/the-nsf-trends-toward-woke\" rel=\"noopener\" target=\"_blank\">part of the deal<\/a>. A doctor is someone who applies the government protocols. Federal agencies wear your doctors like a skin suit, and apply their medical solutions through the hands of others. If that&#8217;s <em>not<\/em> how it works \u2014 if your doctor works in creative and thoughtful ways to make sense of an illness and provide an effective treatment \u2014 <em>something has gone wrong<\/em>. <\/p><\/blockquote>\n","protected":false},"excerpt":{"rendered":"<p>Chris Bray on the American healthcare system&#8217;s descent into not just &#8220;rule by experts&#8221; &mdash; which you rather expect for a field like medicine &mdash; but the far worse &#8220;rule by government-approved experts&#8221;: Our $3.7 trillion medical system is characterized by its fragility, the narrative says, with patients who can&#8217;t get treatment and doctors who [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":35193,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[8,84,66,16,13],"tags":[1202,243,244,546,1363],"class_list":["post-76341","post","type-post","status-publish","format-standard","hentry","category-bureaucracy","category-government","category-health-science","category-science","category-usa","tag-epidemic","tag-medicine","tag-publichealth","tag-viewing-with-alarm","tag-wuhancoronavirus"],"jetpack_featured_media_url":"https:\/\/quotulatiousness.ca\/blog\/wp-content\/uploads\/2016\/06\/favicon.png","jetpack_shortlink":"https:\/\/wp.me\/p2hpV6-jRj","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/quotulatiousness.ca\/blog\/wp-json\/wp\/v2\/posts\/76341","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/quotulatiousness.ca\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/quotulatiousness.ca\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/quotulatiousness.ca\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/quotulatiousness.ca\/blog\/wp-json\/wp\/v2\/comments?post=76341"}],"version-history":[{"count":1,"href":"https:\/\/quotulatiousness.ca\/blog\/wp-json\/wp\/v2\/posts\/76341\/revisions"}],"predecessor-version":[{"id":76343,"href":"https:\/\/quotulatiousness.ca\/blog\/wp-json\/wp\/v2\/posts\/76341\/revisions\/76343"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/quotulatiousness.ca\/blog\/wp-json\/wp\/v2\/media\/35193"}],"wp:attachment":[{"href":"https:\/\/quotulatiousness.ca\/blog\/wp-json\/wp\/v2\/media?parent=76341"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/quotulatiousness.ca\/blog\/wp-json\/wp\/v2\/categories?post=76341"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/quotulatiousness.ca\/blog\/wp-json\/wp\/v2\/tags?post=76341"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}