Over-Regulation Has Criminalized The Practice Of Medicine

Tyler Durden's picture

Submitted by Charles Hugh-Smith via OfTwoMinds blog,

This criminalization of everyday life is not just insanely costly and insanely counter-productive--it's insanely punitive.

The average person has little exposure to the criminalization of everyday enterprise in America via over-regulation and outsized penalties for even accidental violations of rules and regulations. One field that continues to be burdened with excessive/counter-productive regulations and outsized penalties is the practice of medicine.

I received the following email from a physician correspondent:

"As you will see, physicians have to deal with the federal government's increasingly crazy and copious rules (like which patients they can screen for disease and how often).

 

The following is an email ad I received for an expensive service that provides no benefit to the ill and injured of America. It's bureaucratic nonsense."

 

Here is the email ad:

 

Can you afford a $1.1 million penalty and a 50-year exclusion from Medicare? That's what one New Jersey provider is facing. And he's not alone. In the last couple of months a facility in Utah is now under a 30-year exclusion, and a New York physician is now excluded from Medicare for five years.

 

These penalties and exclusions not only affect those providers that are intentionally fraudulent. Even an innocent mistake can land you in serious legal and financial hot water. Being tagged as "excluded" by the Office of the Inspector General (OIG) can crush your practice -- especially considering the new guidelines that went into effect just a couple of days ago (on Feb. 13th).

 

Tomorrow, a leading healthcare attorney will walk you through the new exclusionary rules that just took effect so that you can really understand what will keep you off of the OIG's hit list.

 

Here are just a few of the practical, easy-to-implement tactics you'll receive by attending this 60-minute online training:

--Determine specifically who you should screen (individuals and entities) and how often

--Avoid being placed on the list for lack of compliance if there is a match on your team

--Find out what other legal actions can have collateral damage resulting in exclusion

--Learn how to get reinstated onto Medicare after an exclusion period expires

--Head off the top "flags" that lead to exclusions

--Master documentation requirements making your files audit-proof

--And so much more...

 

To make matters worse, if you employ an excluded employee (even accidentally), any funds paid to them must be paid back to Medicare/Medicaid promptly, and if you don't take action quickly enough your entire practice could be at risk. Are you really ready to lose serious revenue by getting thrown out of Medicare and your other private insurers?

 

Don't take the chance. Invest just 60 minutes of your time and attend this step-by-step, plain-English online training session that will provide you with the tools you need to protect yourself, your staff and your practice. Don't wait, sign up today.

This is just the tip of the iceberg of healthcare compliance costs and penalties that are far more punishing that the "crimes." If you wonder why America pays the highest cost per person for uneven healthcare coverage and care, take a look at this chart of the administrative system that has mushroomed into an incredibly costly bureaucratic monster that provides zero care.

Add layer after layer after layer of new complex regulations to the practice of medicine, and soon enough you need millions of paper-pushing employees to monitor compliance, enforce compliance, pursue administrative and criminal charges of non-compliance, file claims and counter-claims, defend the innocent from false accusations, write hundreds of pages of new regulations, and so on.

Yes, there is a place for common-sense regulations, and procedures to vet caregivers and track standards of care, etc.

But the system is now so onerous and out of control that the practice of medicine now requires far more attorneys and compliance-regulatory-paper-pushers than it does doctors and nurses.

This is but one example of America's obsessive penchant for criminalizing and over-regulating everyday life. No wonder America has over 20 million people with felony convictions, many for drug-related offenses that should have been treated as medical conditions (such as addiction).

In America, every "crime" deserves a heavy and often-life-destroying penalty--even non-compliance "crimes" committed by overworked innocents.

This criminalization of everyday life is not just insanely costly and insanely counter-productive--it's insanely punitive. It is the output of a sick society, a sick culture and a sickness-unto-death system of governance.

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Muddy1's picture

But, but, but, Obamacare was the answer to all of our medical problems.  Gasp. sputter, puke.

Erek's picture

The PRICE of medicine/medical care is what is truly criminal.

NumNutt's picture

And why do you think the price of medicine/medical care is so high?  My wife is part of the medical community and I can tell you the overhead cost are like any other product in that it is passed onto the consumer. Next time you are with a doctor ask him how much malpractice insurrance he must carry? How much paper work is required for every insurance claim, or every ACA claim? How many people he employs to handle the paper work? All of that cost large sums of money, you think people get to sue the hell out of doctors and there isn't any blowback? Someone has to pay for all that shit. As for the medicine I don't have any personal insight into their cost, but I do know that there are usually years of research, and trials before a drug can be brought to market, so the companies need to make that money back. I agree at some point they break even and should be able to pass that cost savings on to the consumer, and they don't. Some even go so far as to jack prices up when they are the only option for a certain drug, that is criminal in my book...

Clinteastwood's picture

Don't forget the costs associated with the electronic medical record, mandated by the feds, the same pencil pushers who use as it their main tool to monitor/penalize doctors and expand their employment/influence at every opportunity. It adds nothing, zilch, nada to the care of patients.

Also, don't forget.....if you like your doctor you can keep your doctor.....that is....until he gets fed up enough to retire.

Joe Davola's picture

It'll all be cheaper and better once all medical diagnosis, paperwork, insurance determinations, etc are handled by Watson.  Hell, it can even audit itself for compliance since no one else would be qualified.

archon's picture

Living will be a criminal activity if these commie rat bastards ever gain full control of the reins of power. 

Heavy's picture

government should be making sure people can get health care before they get to conduct multi-war for corporate whore masters

seek's picture

I've had three different docs retire on me in the past 8 years. I bet there's another chart out there showing the brain drain from docs bailing out of this insanity.

I don't blame them, but finding a new one that doesn't suck is a pain every time it happens.

Muddy1's picture

Yep, it is a pain to find one. Friends moved to Grand Junction, Colorado. It took them MONTHS to find a doctor to accept them as patients because they are on Medicare and doctor's arent tking Medicare patients, or they have maxed ut their Medicare patient load.  They had to go thrugh interviews in order to be considered as a patient. They finally got a doctor that would accept them. I think I'll hold on to my private insurance as that is the key to being accepted as a new patient.

Zorba's idea's picture

Two of mine did just that...early in fact. My Urologist's last words at my last annual checkup...FUCK Obama and that hag Pelosi.

Antifaschistische's picture

this entire subject makes me sick.  I have a few "skills" shall I say picked up though a few life experiences.   I have the ability to perform a level of wound care, which I now do with family and a few friends if they need it.   I have a real job...and medicine isn't one of them and never will be, but if I actually cross a line and provide treatment to someone I am violating a law and "practicing" medicine.   What the AMA has done to monopolize "healthcare" is criminal.  And if there was anything groups like BLM should be complaining about its education and healthcare constraints.  

I have long advocated that a few retired paramedics ought to be able to open a clinic for wound treatment.   The same with x-emergency room nurses.  But NOOOOOO...that would be illegal!!!

 

Muddy1's picture

You have inspired me to go to the local community college and complete the EMT training.  In some countries that is about all of the training a doctor has.  Heck, a good veterinarian would be ok for me.

Croesus's picture

@ Antifastische:

I used to stock-up on antibiotics at the local Mom&Pop pet supply...different brand names, but they were the EXACT same products (e.g. Azithromycin 250mg), aka "Zithromax".

Of course, antibiotics have a limited shelf life, and unless you have experience with titration, I'd abide by the dates, but that's just me.

In a SHTF scenario, painkillers & antibiotics would be the main 2 things to have, at least in my family's case.

Zithromax-brand, prescribed by a doctor: $30-$50, w/o insurance...for 6 pills. I used to be able to get 36 pills, for $30, at the pet supply...no prescription necessary.

Now of course, Veterinary medicine has gotten just as bad with everything requiring a prescription.

My advice to anyone stocking supplies:

If you're taking a trip out of the country, take EVERY prescription bottle you own, with you, and try to get refills overseas. Some prescription-only things are OTC elsewhere, or loosely-controlled & easily prescribed.

Mexico and Eastern Europe used to be pretty easy for this, but it may have changed since I was last there.

@ Muddy1:

Get it, buddy! It's well-worth having the skills, even if you never have to use them. Mine's lapsed, but I still remember everything, and have my equipment & books. The life you save...

Ignatius's picture

We are awash in rackets and perverse incentives.

Eliminate those and we're home, but such is the world we live in.

kentek's picture

Chicken or the Egg?

TruthHunter's picture

Another thing that's criminal is regulators practicing medicine without a license.

GUS100CORRINA's picture

OBAMACARE is the poster child of over regulation.

It was a PROGRESSIVE LIBERAL creation derived from the PIT OF HELL meant to enslave the people. 

Dave Whiteman's picture

you mean the socialists lied about their true objectives?

GunnerySgtHartman's picture

Show me something that over-regulation DIDN'T screw up.

NoPension's picture

What two regulations were eliminated?

Dave Whiteman's picture

all regulation violates property rights

 

all regulation is criminal

Akzed's picture
Three Felonies A Day: How the Feds Target the Innocent, Paperback – June 7, 2011 https://www.amazon.com/Three-Felonies-Day-Target-Innocent/dp/1594035229

With all the rules regs and laws impacting medical practice, imagine how many laws a typical doctor breaks each day with no intent or even knowledge of his “offences.”

 

NaturalOnly's picture

That is why it is so dangerous for them. If they stand out, all the "crimes" they did can be prosecuted. They are being blackmailed at that point. They have to stay in line to stay out of jail.

hangemhigh77's picture

Fuck the government.

Dave Whiteman's picture

but but but

 

the government is the people

 

do you want to fuck over the people

 

leave that to the government

 

let the people fuck over the people

 

starts with thought/language corruption in the socialist "schools"

 

what is "government?"  go ask alice

 

about meaning of words

 

AUTHOR: Lewis Carroll (1832–98) QUOTATION: “When I use a word,” Humpty Dumpty said, in rather a scornful tone, “it means just what I choose it to mean—neither more nor less.” “The question is,” said Alice, “whether you can make words mean so many different things.”

pods's picture

Modern medicine is a racket. It is about letting you keep doing what you are doing to keep you alive and producing long enough to accumulate enough of a nest egg so they can steal it all just before you die.

Fuck it all. I will not go into that system. 

Emergency medical care is second to none. The rest is worthless.  

Should be veterinarians treating people, because that is how the system views you anyways.

pods

oddjob's picture

I can get better, more accessible, and more efficient healthcare for my dogs than I can for myself.

Ignatius's picture

Been to a Vet lately?  They're frustrated doctors who act/charge the same where they can.

Buckaroo Banzai's picture

Sometime around 1995, veterinarians stopped being people who loved animals, and charged reasonable fees for their work, and started treating animal owners like marks to be cleaned out. It's no coincidence that "Pet health insurance" became a thing not long after.

 

oddjob's picture

Seriously, TTA surgery is almost magical, dog goes from being crippled to walking again. Best $4500 I ever spent.

Ignatius's picture

Pardon my cynicism.  Glad you had a happy experience.

 

oddjob's picture

For this type of surgery, Vet experience is paramount.

NaturalOnly's picture

I agree with you. I am an acupuncturist/herbalist and never go to medical doctors. There are options for every ailment out there. I don't need toxic drugs.

If everyone figured out that they don't really need medical doctors, there would not be enough acupuncturists to treat them. Acupuncture can treat things and heal them. You don't just keep taking drugs that don't work forever. Migraine headaches are a good example. Most people have those since they were 5 years old. It is easy to fix. You need to do the time and get the necessary treatments, but they are completely curable. So many suffer from those.

NAVIGATOR0832's picture

It is well known that placebo effect can be up to 30%.

skunzie's picture

How much can we charge for this placebo of which you speak?

Sincerely,

The Health Insurance Industry and Big Pharma

pods's picture

Good for you on your profession as a healer!

That is what "doctors" used to do. Not anymore, save from a select few (Dr. Joel Fuhrman for one).

Allopathic medicine is a racket, nothing more.  

I have watched documentaries about how the AMA used the government to force healers out of business. Like people who CURED cancer.  Disgusting.

pods

Buckaroo Banzai's picture

Royal Rife was one of the first victims of the AMA scam. He had cancer cured back in the early 20th century. They destroyed his research and equipment, hounded him out of business, and he died a broken man.

Dave Whiteman's picture

Royal Rife

 

Imagine, for a moment, that you have spent more than two decades in painfully laborious research-- that you have discovered an incredibly simple, electronic approach to curing literally every disease on the planet caused by viruses and bacteria . Indeed, it is a discovery that would end the pain and suffering of countless millions and change life on Earth forever. Certainly, the medical world would rush to embrace you with every imaginable accolade and financial reward imaginable. You would think so, wouldn?t you?
 
Unfortunately, arguably the greatest medical genius in all recorded history suffered a fate literally the opposite of the foregoing logical scenario. In fact, the history of medicine is replete with stories of genius betrayed by backward thought and jealously, but most pathetically, by greed and money.
 
In the nineteenth century, Semmelweiss struggled mightily to convince surgeons that it was a good idea to sterilize their instruments and use sterile surgical procedures. Pasteur was ridiculed for years for his theory that germs could cause disease.
 
Scores of other medical visionaries went through hell for simply challenging the medical status quo of day, including such legends as Roentgen and his X-rays, Morton for promoting the 'absurd' idea of anaesthesia, Harvey for his theory of the circulation of blood, and many others in recent decades including: W.F. Koch, Revici, Burzynski, Naessens, Priore, Livingston-Wheeler, and Hoxsey.
 
(((Orthodox big-money medicine))) resents and seeks to neutralize and/or destroy those who challenge its beliefs. Often, the visionary who challenges it pays a heavy price for his 'heresy.'
 
So, you have just discovered a new therapy which can eradicate any microbial disease but, so far, you and your amazing cure aren't very popular. What do you do next? Well, certainly the research foundations and teaching institutions would welcome news of your astounding discovery. Won't they be thrilled to learn you have a cure for the very same diseases they are receiving hundreds of millions of dollars per year to investigate? Maybe not, if it means the end of the gravy train. These people have mortgages to pay and families to support. On second thought, forget the research foundations.
 
Perhaps you should take your discovery to the pharmaceutical industry; certainly it would be of great interest to those protectors of humanity, right? But remember, you have developed a universal cure which makes drugs obsolete, so the pharmaceutical industry just might be less than thrilled to hear about your work. In fact, the big shots might even make it certain that your human disease-ending technology never sees the light of day, by preventing it from becoming licensed by the regulatory agencies.
[more]  http://www.rense.com/general31/rife.htm
chunga's picture

I spent years studying Royal Rife and it was probably the most fascinating thing I've ever done. I built a few coordinative resonance devices myself, and let me tell ya, the R and D phase of that was really something!

NaturalOnly's picture

I became an acupuncturist because I was in chronic pain and the Medical Deities, MD's, could not help me. I had to figure out how to help myself, or accept a lifetime sentence of pain.

It is super easy to treat and cure pain with acupuncture. The problem is, most people do not believe you. I've been in this 20 years and I see it slowly turning around, but so many people are resistant to anything their Medical Deity does not tell them to do. They do not think for themselves.

They not only forced healers out of business, but they harassed them until they went insane. Cancer doctors especially.

Hohum's picture

Yes, but private insurance overhead is a much greater percentage of health care spending than Medicare.

Secret Weapon's picture

This is why I do not accept Medicare patients.  The risk outweighs the rewards. 

Joe Cool's picture

Idiocracy...Get used to it...MOre to come...News at 11

tstpilot00101's picture

That's why my brother, a gifted surgeon only sees CASH (a.k.a very wealthy) patients and private insurance.  He gave Medicare the boot first (and he's making money hands over fist and plenty of time to play golf).

More doctors need to tell Medicare to F*** Off and take their bullshit regulations with them!

I Write Code's picture

Doctors and Lawyers.  Lawyers and Doctors.  After the revolution, ...

Sid Davis's picture

And this doesn't even address the serious attacks against alternative treatments. There is no choice, just government approved care with anyone outside the mainstream risking jail for their providing alternative treatment. Even licensed MD's can get in trouble if they stray too far from the approved treatment, and even when the approved treatment has a huge failure rate.

And heaven forbid if you decide to self medicate.

We couldn't have a war on drugs if government wasn't in the business of deciding which drugs are allowed and which are not. The Pure Food and Drug Act of 1906 started government involvement with the result that we now have monopoly prices for approved drugs and a multi billion dollar war on unapproved drugs that does far more damage than good. Isn't the free market the actions of willing buyers and sellers making their own decisions, instead of corrupt politicians and lazy bureaucrats making the decision for them? Conclusion is that we are not free.

Regulations are driving physicians away from providing care for anyone on Medicaid and Medicare which is resulting in a two tier system, one for those with government insurance, and one for those who can pay their own way. Can you guess that eventually the medical care for those on Medicaid and Medicare will resemble the care at VA hospitals.

NaturalOnly's picture

It is a huge scam. The entire medical establishment. They extract 50% at least of the money to support the insurance companies. They are in the business of not paying practitioners any chance they get. What happens is that practitioners then bill super high amounts to try to cover the amounts the insurance company refuses to pay. Just to stay afloat. Then they say you did that wrong too.

All of this is stacked against the healthcare provider. They get screwed in the end. The other players get their money.

 

 

TheEndIsNear's picture

I've had doctor's offices tell me they would accept 50% of their normal charges if I paid cash instead of requiring them to bill my medical insurance.