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From Inside the Medical Gulag

It’s already started, bulldogging, and long ago.  It’s a widely known prison term, and is far more ubiquitous than that topic of perverse fascination from the outside community, prison sex – a more popular but less frequent problem in prisons.

Bulldogging.  Repetitive coercion of a convict perceived as weaker, in order to obtain something of value.  It’s seen in the form of bullying in other subjected populations, like in grammar school and high school.  As in education, bulldogging is ignored by the controlling authorities, as it generally produces strife and disunion within the subject population.

Bulldogging, like snitching, is a method of control which is condoned by the prison authorities.  It divides and subjugates the population, preventing that which is really feared – that the subjugated population forms an effective community.  Prison authorities much prefer predatory gangs in prison – they can deal with such entities.  A true independent and reasoning association of prisoners is met with fear and hostility.

Bulldogging is the cause of the “prescription opiate problem.”  No sane and decent doctor likes to prescribe controlled substances.  The few on the fringes who run “pill mills” deserve the criticism and punishment that they merit.

Often, the doctors prescribe controlled substances subject to latent coercion and pressure from the patients, especially the criminal types who loiter on the fringes of medical practices.  Those types traffic illicit substances, and they see doctors as vulnerable players who can be coerced to write for their livelihood.

Modern American Retail Medicine has washed away the ability of a physician to say “No.”  The heritage of medical professionalism states that the doctor must remain autonomous to her or his experience, and treat only in a manner which he or her consents to.

There is no safe word.

Independent-mindedness is a common obstacle to be removed from the practice of American medicine.  It is not far from happening.

If a physician says “no” to controlled substance prescribing, who will support them against the predators?  Who, the police?  The courts?  The Medical Corporation that owns them?

It hardly merits discussion that when a group of professional designees – cops, doctors, judges – are placed into conflict with a group that is predominantly composed of psychopaths – ASPD, narcissists, what-have-you – then the preponderance of trust be placed with the professionals.

Police forces, prison institutions, doctors and judges can turn bad.  It is a necessity of the civilization that these groups be monitored for corruption and indecency.  This is different entirely that what we are doing now.  Lapel cameras are on the cops – when do they go on the doctors?

Writing in fear

I sent a patient whom I fear somewhat, to a pain management specialty, which politely turfed the narcotic management of chronic pain back to the primary care doctor.  They did not wish to endure the risk, and the threat which this patient poses.  No doubt this patient will return to my practice with a claim of mandate from the pain management experts, that he be treated as HE sees fit with narcotics.

Of course, these things should be known publicly to all interested persons, how much bulldogging permeates the medical world.  But I realize that I am writing this as though a sort of postmortem narrative, as it were.  If one of these predatory patients should kill me in the clinic, I should at least memorialize the truth, that it might speak on for me after I am gone.