Most days I feel like a dinosaur. I am faced with all of the chaos developing in every aspect of our lives. This includes the transformation of medical practice into a tyrannical system controlled by the government, insurance companies, big tech companies and hospital systems. All of these entities appear to be coordinating the transition like a ballet. They form a force previously not contemplated by most people in a country described as the “land of the free and the home of the brave.”
We are not free now and we need to find out who is truly to brave in America.
When I began medical school almost four decades ago, Health Maintenance Organizations (HMOs) were introduced as well as Diagnosis Related Groups (DRGs). HMO is the worst acronym because its purpose is to limit care and reduce expenditures. It has nothing to do with maintaining health. Together, HMOs and DRGs became the basis for payments to hospitals.
This led to a single pricing strategy for conditions rather than paying for the services rendered during a hospital stay. This allowed the insurance companies and the government to pay a set amount for conditions like pneumonia. The problem is that in some cases, this results in an overpayment if a patient has uncomplicated pneumonia and is released from the hospital in a few days. It results in an underpayment if the patient has a complicated course and requires a longer hospital stay. This opened the door for government and insurance companies to start controlling the system.
This control then moved to the private practice of medicine by requiring the use of codes to record every condition to justify the ordering of tests and the performance of procedures. Complimenting this system is the evaluation and management codes that justify the charge for the care given by doctors in their offices.
I feel that we are now seeing the end result of the progression of the codes, rules, regulations, and requirements to the point I hardly recognize what the practice of medicine compared to when I started all those decades ago.
I am a dinosaur because I know that the practice of medicine encompasses compassion, knowledge, problem-solving, constant learning, relationships, and caring for others. I don’t need all of the controls to practice medicine. My duty is to the patient, not the other entities controlling the system. No single physician or group of physicians definitely knows what is best for all. My opinion is that if you care about your patients and give them the risks and benefits of the known treatments for a condition or problem, you can then come up with a plan for that particular patient. This, by definition, requires that you consider different treatments for different patients. One size does not fit all.
Medical tyranny is currently spreading like wildfire with the control being exerted by the entities noted above via the lockdowns, social distancing, masks and Covid-19 jab mandates. The reason for the success is suppression of information and meaningful communication among physicians, censure, and coming soon, persecution for contradicting the narrative put forth to control us.
Even though we reside in a “free state,” the controls mentioned above are here. The federation of state medical boards is the association that each state’s medical board belongs to and the federation promotes policies to the member states for adoption to try to harmonize (read: eventually federalize) the individual state board rules. The federation has proposed a policy that if you are deemed by them to be a Covid-19 misinformation doctor, your license should be immediately revoked! This policy change was sent to all licensed physicians in Oklahoma. This means our board here must consider it a “good idea.”
Most doctors are board-certified by a specialty board by finishing specialty training and periodically taking a comprehensive test and taking continuing medical education courses. I currently belong to the American Board of Family Medicine (A.B.F.M.). This is separate from my license to practice medicine issued by the state. It is not a requirement to have a board certification to practice medicine, but hospital privileges and medical malpractice insurance coverage vary with board certifications.
I received an email from the A.B.F.M. two weeks ago that was signed by the president of the A.B.F.M. as well as the presidents of the American Board of Pediatrics and the American Board of Internal Medicine. The email echoed the federation’s policy regarding Covid misinformation and pointed out that if you are deemed by the new policy to indeed be a Covid-19 misinformation doctor, you will also lose your board certification.
These threats, as well as the fact that the majority of physicians are employed by hospitals and big physician groups that are beholden to the government, are the reason why most doctors are prohibited or afraid to speak out against tyranny. As a result of these fears and intimidation, people are not getting the care they need or the information to make informed consent decisions about their care. The safe alternatives and early outpatient treatments are not offered to the patients by the majority of physicians.
Back when I started my medical practice, the one area that was absolutely forbidden was using pregnant women for drug studies, as it was considered unethical. My how things have changed! Now the pressure is on to “vaccinate” pregnant women with a shot that does not have animal studies, only short-term human studies, and now appears to have very significant side effects in non-pregnant adults.
I have used a type of prescribing for patients called off-label use of medications. An example of how it works is: the FDA deems a drug safe for human use for Condition X. After it goes on the market, the medical community figures out that it also works for Condition Y. We doctors then prescribe it “off label” for Condition Y. This makes sense because if the medications are not safe then the FDA should never have approved them for ANY CONDITION. My position is if they are safe for use in condition X then they should also be safe for treating condition Y. Choosing the specific treatment for a condition in a specific patient IS THE PRACTICE OF MEDICINE.
Off-label use of medications has been used by every physician I know and it was never a problem before Covid 19. Now, because off-label use is the way the physicians who are treating Covid-19 use the safe medications, it is now required to have a fully detailed informed consent form for off-label use. Too bad they don’t scrutinize relatively untested “vaccines” the same way!
The tyranny the medical community is experiencing is the same tyranny occurring in every aspect of our lives today. For what it is worth, my opinion is that the only way to defeat tyranny is to make a stand and say “NO!” to the tyrants. If enough of us will do this and unify in that action, while we turn back to God and pray for His salvation, we may still be able to save our constitutional republic. My approach is to keep practicing as I always have, despite the threats to my license as that is part of my way of saying NO. I am not doing anything wrong and I have been practicing this way for a long time. Everyone is supposed to use their abilities and talents to serve God and others. To not do so is to dishonor God.
New is not always better. I will just be content to be a dinosaur and hope I am not extinct anytime soon.
– Dr. David Jayne, M.D.
Note: I will be giving a Covid-19 Q&A at :
Logan County GOP Meeting
Monday, October 11, 2021.
The meeting will be at 6:00 p.m. and is open to the public.
409 W. Oklahoma Ave.,
Guthrie, OK 73044.