- 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.

 

There should be a thousand times more medics.

The first but least apparent benefit of this reinforcement of medical personnel may become apparent during the next pandemic.  Instead of collapsing once a third or more of healthcare professionals fall sick, this service could ramp up rapidly to serve the required number of hospital beds by recruiting healthcare providers newly trained to replace losses among everyday hospital staff.  Otherwise, we can expect to face this 21st century challenge with 19th century levels of care and corresponding casualties.

 

Learners of healing should treat a broad spectrum of human conditions, most of which are ignored these days.  These treatments would range from internal factors (psychic and physical) to external ones (social and environmental).  Every aspect would receive due reverence. 

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

Learners will legislate a constitutional guarantee of quality care and organize a universal healthcare system to fulfill that mandate.  Privileged corporations, (insurance, pharmaceutical, teaching, nursing care, etc.) will be stripped of healthcare profits and converted into public utilities.  Psychic and other forms of alternate healing will be researched much more thoroughly, especially studies in the preventive benefits of sleep and hydration.

 

These days, only a shrinking third of American 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 increase once again, based on waves of American doctors recently recruited for perpetual warfare. 

I may have been too optimistic about this decline.  By hook or by crook, right wingers seem to have swept every morsel off the American smorgasbord.  Reactionary chic has become all the rage these days: complete with useless wars, homegrown ineptitude and disaster, ambidextrous handouts to the rich, and fraud at every level of government.  Is there any crime or misdemeanor these good people haven’t gotten away with?  They keep insisting that government must be incompetent; man, have they confirmed their claim to ineptitude!  No-one could better serve as a poster children of ideology-driven incompetence. 

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

During the early 1800’s, Samuel Hannemann brought back the idea that administering minute doses of drugs induced specific symptoms and thus cured ailments with similar symptoms. 

Despite homeopathy’s early success, the AMA championed allopathy, which prescribed drugs in massive doses (at or just below toxic levels; and let’s not mention toxic drug interactions!) strictly to suppress symptoms.  Even though homeopathic hospitals and colleges had flourished until then, the AMA and allied drug companies hounded most of them out of existence by World War II.

Like our weapon religions, AMA conservatism has exhausted any usefulness it could once claim.  Today, the primary goal of AMA conservatives is to boost their profit margin, by denying the advantages of universal healthcare to all but the rich and the military.

Weapon medicine contends with disease and trauma deliberately inflicted.  Soldiers in the field suffer like abused farm animals.  Out in the weather and layered in filth, they are forced to devour whatever garbage they can loot, dig up or drag from the rear.  In combat, hordes of agonizing casualties, pandemic infection, exhaustion, sleep deprivation, exposure, malnutrition, sorrow, frustration, fear, rage, separation anxiety and psychiatric emergencies make up the daily routine.  In addition, seniority and combat survival determine promotion among military leaders.  Therefore, orthodox medicos attempt as best they can 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 such medical system can maintain the health of a population undergoing greater and greater stress.  As overall health deteriorates, medical expenses skyrocket.  After all, there is no ‘rear area’ to which casualties may be evacuated for more civilized treatment.  Hospitals become repositories of every infection known and unknown to mankind, and kill as many people as they save.

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

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

Even 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 a longer survival interval, reduced bleed-out rates, greater resistance to infection and extended immunity from brain death, while awaiting delayed but crucial care from doctors out of reach.  This was seriously documented by British combat doctors among their wounded patients during the Falklands War, also by army doctors during the invasion of Murmansk by allied forces in 1918.

Victorian era tropical medicine and insect eradication programs protected white colonial garrisons, only aboriginal peoples as an afterthought (and many of them not even today.)  Yellow fever and other tropical infections were finally conquered for the first reason alone.  This racist neglect continues today.  It engenders, among other abuses, the mass genocide of Aids that engulfed Africa and the poorest corners of the Third World.  Aids spread predictably into every poor district—just like terrorism will.  Presumably, once all those Third World babies, child parents and twenty-something grandparents die from AIDS, mass terror or mere malnutrition, they won’t require so much pesky international aid.

Sooner or later, these prejudices will bring similar plagues down on our heads.  The best public health is that deployed at great distance from the richest nations.  If you can guarantee that someone living at the antipodes from your world benefits from public healthcare as good as your own, yours would improve proportionately. 

Today, much more research money is devoted to finding cures for the trivial complaints of rich societies (baldness, geriatric impotence, foot fungus and pet neuroses) than on cures for lethal tropical diseases. 

The underlying causes of most of these diseases – chronic malnutrition and bad water – are carefully ignored or even fostered.  This global neglect is largely caused by corporate investment in export monocultures to satisfy luxury consumption demands.  The revenue from such enterprise is unpredictable and incapable of addressing these causes once and for all. 

Almost every civil war since the Cold War has had this in common.  It involved some country’s restricted export: diamonds, timber, oil or some other monoculture or mining activity.  Elementary autarky 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 allow this to happen.  Learners will suggest that they change their mind—with speed and enthusiasm.  They will discover, tardily but beyond dispute, that more profits accrue from this policy.  Practical charity can provide ten times more return than the ornate swindles they venerate these days.  Who knew?

 

Weapon medicine took off during the Great Paroxysm (World War I) when most doctors had to rotate through years of combat internship.  If not World War I, then WWII; and if not those, wars 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 healthcare was dismissed as irrelevant. 

This recession to the militarist mean is not hard to understand.  On a battlefield, honest caregivers would instruct their patients to throw their weapons away 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 to what extent global health would improve!  It is my understanding that quality healthcare could be delivered to everyone on Earth for something like the price of a year of Bush the Lesser’s war in Iraq.  Instead, we are exposed to the paradoxical, hypocritical, ruinous and disease-aggravating medical industry so familiar to WeaponWorld.

 

A peace-oriented medical community would train many more deliverers of basic first aid and cardio-pulmonary resuscitation (CPR).  There should be another expression for this in English: a surchange of healthcare 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 more caregivers of this kind?  Many of them are in training today, yet their education is incoherent and chaotic.  It reveals reductive and fragmentary attempts by decadent WeaponWorld to apply holistic, PeaceWorld solutions to its problems, even as they worsen.  Those fixes will fail inevitably, since they are too parochial, reductive and fragmentary.  The pragmatic holism that PeaceWorld requires, is forbidden on WeaponWorld, except for its weapons undertakings.

Learners of healing will practice in their own neighborhood, up to but not beyond their level of expertise.  Those levels will determine which of an incremental pharmacopoeia of remedies and treatments these successors of ‘barefoot doctors’ may 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 healing rituals of heightened psychological impact. 

The need "to seek a second opinion" will become ridiculous, since this medical system will demand several opinions for every significant diagnosis.  Since comfortable incomes will be routine anyway (in multiples of the minimum income necessary to escape poverty), expert cooperation and free referrals will replace competition for patients.  It will eliminate the insular, “figure it out for yourself” attitude of present-day medicine, that promotes selective technical incompetence and a growing incidence of errors.  We should make use of deliberate redundancy to reduce these errors!  The perfection of personal medical mastery (that WeaponWorld insists upon) was never that important—the dropoff of error rates is.  It might be preferable if each patient were seen by a partnership of doctors or some more extensive medical team to confirm their diagnoses and treatments.

Malpractice would draw immediate demotion to lower levels of healthcare responsibility and accelerated remedial coursework.  Word would go out: “If your medical competence is suspect, we will seek treatment among better qualified replacements while you retrain and recertify yourself.”

Learners of Healing will saturate neighborhoods with basic education in nutrition and hygiene; they will teach preventive and elementary public health measures in every household, office and school. 

Doctors with advanced training will be freed for home health visits.  Sophisticated nursing services can also be delivered there.  Primary healthcare providers would practice preventive medicine and long-term nursing care in the home.  Rarely visited hospitals would only house the most demanding tasks of emergency and surgical care, teaching, research and disaster response. 

While they reorganize the medical community, Learners will introduce conception-to-expiration, single-source holistic healthcare on a global scale. 

This may involve more ablutions of prayer, washing strangers’ feet (especially those of enemies), more restful sleep and hydration.  I am convinced that many of today’s chronic ailments stem (at least in part) from these deficiencies.  Obeying Mohammed’s dictum, everyone will wash their hands at least five times a day, or else feel ritually unclean.  This simple habit would block the easiest transmission route of most infectious diseases.  It seems that bacteria may not mutate their way past the simple physics of soap and diligent scrubbing flushed by water (its temperature irrelevant except for your comfort; water hot enough to kill microorganisms would blister your hands)—unlike complicated antibiotics that they seem genetically designed to neutralize 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 much more dramatically than any amount of research grants funding the serial torture of laboratory animals.  Accurate, cheap and preemptive diagnoses – both medical and psychological – will replace the medical guesswork of today. 

I have also discovered, all on my own and without a doctor’s confirmation, that my chronic back pain and digestive disorders were the result of eating tomatoes and other acidic foods and drinks (no more Coca Cola for me, ever!), and nothing else.  How many millions of people suffer from similar complaints, undiagnosed and treated at best symptomatically, instead of receiving an accurate diagnosis and permanent cure of their primary ailment?

The self-care wisdom that takes us a lifetime of disease and suffering to more or less pick up by trial and error, Learners will succeed at it effortlessly during childhood.

 

What follows cannot be emphasized 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 capable of inducing mass casualties and destruction.  By “easier,” I mean cheaper, less technically complicated, more accessible and easier to hide by individuals and groups not all that powerful otherwise.  Read “lone gunmen” and marginal terrorist groups, along with their sociopathic supporters in numbers too small to count.

 Thanks to ex-President and dementia sufferer Ronald Reagan (since glorified by his equally demented supporters), the richest nation on Earth has institutionalized homelessness: a national disgrace.  These days, we let people run loose unsupervised who listen to voices in their head.  Thus we risk the occasional axe murder and massacre of a restaurant- or classroom-full of innocent victims.  In the future, these psychopathic crimes may become city and sub-continent sterilizing attacks. 

Therefore, all such homicidal maniacs, (especially the borderline, the latent, late bloomers and the most brilliant among them), will have to be watched very carefully over the course of their lifetime.  We might as well survey everyone as a matter of routine, and iron out more neuroses while they were tender and easier to fix; or even before, by means of prenatal genetic engineering.

 

No longer would we restrict doctor’s visits to crisis situations, once something had gone seriously wrong.  Medical visits will become easier to schedule and more reliable than today's purchase of self-administered, over-the-counter palliatives.  Four doctor’s visits per year will become the norm, if only to chat for a while 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 referrals and consultations 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 a talent of that kind 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: a dearth that goes a long way to satisfy weapon requirements for medical rationing, profit and privilege.  The media applaud spectacular feats of life-support, surgical virtuosity and extraordinary intensive care; but they rarely report the hyper-inflated expense this type of care.

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

This perfectly reasonable fear justifies a level social and economic elitism that would be inexcusable otherwise, so that a few scheming individuals might shield themselves from it.  Everyone else conspires with this travesty, hoping that they and their loved ones may attain some unreachable plateau of medical security through selfish, lose-lose efforts.  A superior form of social wisdom would result from the institutional termination of this dread by providing free, birth-to-death healthcare.

Drug companies base their research and development plans 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 will see themselves replaced by more thoughtful, civic-minded public utilities.

Patients who require 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 experienced by many near-death survivors, confirms my suspicion that a merciful God ministers even unto our death.  If this phenomenon is just an imbalance in brain chemistry induced by the agony 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 priorities should be revised to 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 lifespan of privileged people beyond the statistical norm should be shelved.  More pressing priorities 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 surprisingly easier to achieve, without so many betrayals of ordinary morality.

Abortion is a source of distress for everyone involved.  This ghastly procedure cannot be eliminated, however, until the above measures have been fulfilled.  If you insist on banning abortion, you should insist on these other items, first.  It is not realistic to criminalize the actions of desperate parents from above; it would be more so to relieve their sense of despair and let them decide what to do with their child.  Every child on conceived Earth should be afforded a secure and beloved upbringing. 

This grim decision should be delegated to each mother and only to her, once she has been instructed by her chosen physicians without government prompting.  God help her make such a devastating choice.

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