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Is Healthcare a National Security issue?  For over a decade, I have suspected that Mrs. Clinton equates the two.  The best and brightest in American Government will visualize bold answers to pressing problems.

HilPngUnfortunately, they consider that they have some sort of advanced skills and intelligence that sets them apart, ahead and afar from the average American. It is unreconstructed post-WWII arrogance, that the torch had been passed to a new generation, one unbenighted with pellagra and all the brain-stunting stuff of the Great Depression.

This arrogance, integrated over the scope of a lifetime, describes the Baby Boom generation, who acted largely as a trusted bunch of hucksters, shaking down the rubes for Centers of Advanced Intelligence.

Don’t you owe it to society to achieve a better class of citizens than YOU?

The Reagan Democrats, like the Tea Party Republicans, got a bellyful of this message, and wanted out.  And  since it’s a message cloaking power and influence, it inevitably turns towards the expansion of power and influence by the powerful and influential.
Reagan’s cabal picked him up after the fine details of his thought became threadbare from progressive dementia, and instituted awful Executive Games that were broadly at variance from where the Reagan Democrats had meant to go. They never meant to have ‘crush the unions, offshore the jobs‘ as their operational plan living in the Rust Belt. They never planned on ingraining Taylorism – the same Taylorism that wrecked Soviet industry – into their own jobs.

Meth (methamphetamine) has always been a symptom of the decline of a workingman’s job.  You can work a double shift after you get the kids to bed.  When the jobs at the plant have dropped from $20 per hour union wage, to $7.00 per hour ‘independent contractor,’ you have to work a lot of doubles.

The Clinton Foundation’s overarching structural unity is that of advancing American civilization, I’m sure.  But when the butler’s dog eats off of nicer plates than you, it’s hard to remain idealistic.

Healthcare – the Nation’s Security.

I can smell that coming like the water on the wind that’s blowing in rain.  The lethal hubris of the Best and the Brightest is that nothing can be acceptable or tolerable unless it is understood and analyzed and signed off on by the Wise.  The blithering Boomers of the 60’s missed the central tenet of the problem.  Bad ideas, bad concepts, bad plans belong to all the citizens, no matter how long their hair is, or how fashionably funky they might appear.  Spitting on the troops serves nothing; commending them  or their service does nothing.  Keeping the troops out of harm’s way, that’s what decent citizens do.

Now, in 2016, we still remain oblivious to the humble truth that there are things we just can’t do, wars that we can’t win and wishes that are not achievable – at least not within the span of our mortal years.

Killing all the people who aren’t nice and don’t like us and mean us harm – hasn’t worked.  It’s not an absurd sentiment, merely a sublimely arrogant one.

We are deeply embedded in the myth of doing business, that the American Way, Taylorism and Fordism, is part of the future, and is a rational way to organized development.   It’s actually a set of concepts in history that have been trampled mercilessly by reality.  You know how cruel Reality has been to the scientific progressivism of Marx?  All those well-thought-out polemics and manifestos and political and economic analyses?  All those papers? Marxism is properly allowed to mourn the promise of scientific progressivism.  They are not worthy of a trial yet again of the system without addressing the fundamental mistakes in the conceptual base – flaws that are fatal.

As in Vietnam and Iraq, we will attempt to push forward on our intellectual foundation of American Healthcare – an intellectual foundation which, like those two wars, is widely separated from reality.

I am reading the history of the Vietnam War.  One of the great failings in military intelligence is the co-opting of fact by political purpose.  The flow of facts up from the jungle came in, to a degree and breadth, that reassured the leadership that we were on a good mission, planning carefully and executing the plans.  However, the war itself was unwinnable, and it was politically humiliating to admit that wars could be unwinnable.

A well-educated person should be trained in the military arts to a degree not seen in the American civilian world. Bevin Alexander’s How Great Generals Win
is a sterling read. One of the reasons that America did so well in the 40’s and 50’s in business may have been from the experience brought in from the World War from former enlisted and low-ranking officers. That is the group more affected by Reality, and more likely to understand pragmatism.

Vietnam cannot be understood without reading about Dien Bien Phu. That debacle – perhaps even more than the crushing of France by the Nazi’s – has left France and the world with the uncomfortable suspicion that the French are militarily hopeless.
Recall that when it was founded, the US Military Academy at West Point was theoretically based upon Jomini and his analysis of Napoleon. That was war, modern warfare, intelligent warfare. Clausewitz was given a weak pat of approval at the time.  Interestingly, the Jominian attitude persists a bit in the the civilian world of optimism – that the future can be laid out and analyzed intelligently.  Clausewitz was a bit less romantic, more pragmatic and skeptical about the metaphysics of war.  What happens is what happens, Clausewitz might say.

Since our first great superstition, that all things can be organized on a Corporate Retail model, is blowing out when applied to healthcare over the last twenty-some years, we will likely reach to an offshoot – the model of the Best and the Brightest, e.g. Vietnam.  American healthcare will be pressed by well-meaning, well-read and insightful thinkers in Government to shake out and have a system of order installed – that system of order being a paramilitary one.

The uniformed branch of the US Uniformed Public Health Service is a faintly amusing cluster of pseudo-military order that will be used as an embarrassing template for the New Healthcare.  The Public Health Service is a uniformed entity – the same as its for-real colleagues, the United States Army, Marine Corps, Navy, Air Force and Coast Guard. There are also commissioned weathermen, the National Oceanic and Atmospheric Administration Commissioned Officer Corps, although Bob Dylan questions their mission.


A regular Navy submarine captain, Michael Bernacchi

I suspect that there will be soon a mandate for a Federal License to Practice Medicine, contingent upon the States at first.  There already is a Federal License anyhow; it just needs to be made mandatory for all physicians and equivalents.

Next, to bill Medicare or Medicaid, one must be a member of the Public Health Service, first as an auxiliary and then formally as a card-carrying Public Health Service affiliate.

Of course, like in any bureaucracy, the mere swabbies and paint-monkeys like physicians and such who see patients will be gathered into the enlisted ranks – no ice cream suits for you, Doc.  The important PHS personnel – the bureau chief division executive officers and MBA’s and such, will still be the suits – but what beautiful suits they will be!

The ranks used are the same as Navy ranks.  For comparison, here’s the former Navy sub commander at Groton, Connecticut whose command responsibilities included the submarines USS Springfield, Hartford, Virginia, New Hampshire, New Mexico, Missouri, California and Mississippi, most/all being nuclear-powered fast attack submarines.


VAdm Murthy

Looking up the ranks of officers to the stars of the general staff, there’s our Surgeon-General (who’s an admiral) and is at the rank of Bernacchi’s boss’s boss’s boss.  Regular sub captains have to do a WHOLE lot of saluting when they meet the S.G., that’s for sure.

What better way to paper over this year’s crisis, than by military rank and uniform!?  The US Military is one of the few elements of government that’s respected – why not co-opt it into healthcare?

Having a military discipline should help us reign in those ever-independent, ever-disobedient doctors!  If you don’t follow the rules, you don’t get a Federal License, you fool.  Or you can go off to Fairbanks to deliver obstetric services to the Inuit, you bum.  Your choice.  Orders is orders.