Despite my resolution to reduce medical blogging, it's hard to do. You see, I see my previous profession as being deliberately denigrated, belittled and manipulated by a regiment of obtuse politicians and administrators who know little about medicine but think they should be able to dictate to those who provide health care, not just how to organize medicine but how to practice it. They call their new bill. Bill 41 and it is designed to remove all power in health care from the people who provide it, to the administridiots. Not only do they want to dictate how medicine is practiced, they want to be the arbiters of what is moral and ethical in the practice of medicine. It is difficult to think of a group less fit to do this, since many of them seem to be utterly lacking in both morals and ethics. As they have taken over admissions to medical school they have eroded the personal and ethical values of the candidates in the interests of social engineering. I know, I spent many years on admissions committees and have seen many excellent candidates excluded. Unfortunately, most of the candidates had to lie to get into medical school and tell the admissions body what they wanted to hear. The ones who were honest often didn't get in because despite being appropriate candidates they didn't tell the committee what they wanted to hear. Some of them learned by the following year!
I spend a good deal of time thinking about how the influence of the administridiots can be diminished and other than very major action, I don't think it can be done.
Medical students and physicians need to be guided by Rudyard Kipling's poem "If". Read it if you're not familiar with it and particularly pay attention to the following few lines which sums up the situation so well:
If you can bear to
hear the truth you've spoken
Twisted by knaves to make a trap for
Or watch the things you gave your life to, broken,
And stoop and
build 'em up with worn-out tools:
I'm glad I'm not a doctor anymore!
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