Vive la ligne Maginot! Long live the Maginot line that protected France from Nazi Germany!  It stood proudly – until it was bypassed.

Riddle me this – CMS has released about 20 MILLION dollars to EACH of 16 healthcare corporations to enhance quality. “CMS awards $347 million to continue progress toward a safer health care system (Link) to continue patient safety improvement efforts started under the Partnership for Patients initiative.”  That’s a buck a head for every American.  This is to enact all the quality improvements which couldn’t be started due to lack of money.

What will happen from this brilliant effort?

  • Mandates will be set.
  • Quality algorithms will be developed.
  • More quality hoops will be generated for the point of care.
  • More care providers will have more of their time eaten up by unproven mandates.
  • The corporations which receive the money will become even more solidified into the mass of the Medical-Industrial-Government complex.
  • The measures will largely fail, because the auditors need to find failure to justify their existence.
  • Urgent reforms will be needed after the first round of catastrophe is quantified.
  • More money will slush into the detached managerial and corporate institutions to “grow more quality.”
  • More quality-based employees will be hired to assure quality in the next round of audits.
  • The “auditors” and the “quality assurance” job market will boom. 

Except for the “American medicine turning into Third World crap,” this is beautiful.

I’m thinking about getting my Mexican license to practice.

How does this rewrite from one of our greatest American generals sound?

A vital element in keeping the health peace is our medical military establishment. Our health arms must be mighty, ready for instant action, so that no potential disease aggressor may be occurring tempted to risk his own destruction. . . . American makers of plowshares could, with time and as required, make swords as well. But now we can no longer risk emergency improvisation of national defense health; we have been compelled to create a permanent health armaments industry of vast proportions. . . . This conjunction of an immense military Federal health establishment and a large corporate health arms industry is new in the American experience. . . .Yet we must not fail to comprehend its grave implications. . . . In the councils of government, we must guard against the acquisition of unwarranted influence, whether sought or unsought, by the health militaryindustrial complex. The potential for the disastrous rise of misplaced power exists and will persist.”

“Healthcare is a National Security Issue.”