Reducing Health Care Costs

 1) Open the US market to imported medications. These should undergo lab testing for purity, then stamped with a label of approval. 

2) Put all medications that are not addictive and that have the same LD50 as acetaminophen over the counter. Patients have access to AI. It is superior to experienced specialists at diagnosis and at treatment. 

3) If a party fully investigates and remedies an adverse event, all that evidence should be exempted from litigation. Ruinous litigation causes defensive medicine, stiffles bold innovation, and induces a cover up of the factors that caused a catastrophic failure. The lawyers are scoring a $50 billion pay. The defensive medicine they induce is insurance fraud being not medically necessary, but legally necessary. That cost is $500 billion. Prosecute instances of defensive medicine as medical fraud.  

Letter: Consent for Gender Transitioning with Puberty Blockers of Children before the End of Tanner Stage 2

Dear Doctors: As you know, the Medical Practice Act makes you and me mandated reporters of professional misconduct. I request that you identify all practices in Pennsylvania engaged in gender affirming care of children prior to Tanner Stage 2. You must then read their written informed consent. It should state the finding of Dr. Marci Bowers that the development of adult genitalia is required to experience a sexual climax. Puberty blockers permanently prevent sexual climax. At a recent talk at Duke University on "Trans & Gender Diverse Policies, Care, Practices, & Wellbeing," surgeon and "trans affirming" Doctor Marci Bowers, who transitioned at the age of 38, admitted that children who undergo transition before puberty will never have adult sexual function or experience orgasm. "An observation that I had," said Bowers, "every single child who was, or adolescent, who was truly blocked at Tanner stage 2," which is the beginning of physical development, when hormones begin their work of advancing a child to adulthood, "has never experienced orgasm. I mean, it's really about zero." 

Then you must request that each practitioner repeat to the investigator the speech they give to children and to parents, explaining the idea of a sexual climax, its value, and the implications of not being able to experience it. In males, it is required, not just for gratification, but also for reproduction. 

I request overall numbers that you have found, how many providers discuss this result in their informed consent, and the specific language used to explain it to children. 

If you only act on specific complaints, this is a complaint against all transitioning practitioners who fail to inform children and their parents of this effect. Do not become accomplices in this misconduct by covering up their failures. 

Defendant Tactics to Survive a Lawsuit

The overwhelming majority of lawsuits have no merit and are ridiculous. Even if a person slipped on an oil spill in a supermarket, it is 100% their fault. The video will show that 99% of people walk around it. It will show that 99% of people who fall from it, get up and have no damage. That leaves the plaintiff who was too stupid or inattentive to walk aroun it. The defendant is being asked to pay for the pre-existing disease and frailty from aging that was the real cause of the damage. The lawsuit industry is a lawyer scam. Everyone pays for their scam in the form of higher prices. 

In the case of medicine, add 10% of costs for defensive medicine, procedures that are not medically necessary, but legally necessary. An example is taking people to the ER to assess a small injury, where most  bills are are $1000 an hour. The USA health care bill is $5 trillion, so $500 billion is to prevent malpractice litigation. This is also fraud because of the lack of medical necessity. Medical necessity means benefits the patient. When it benefits the provider by preventing law lawsuits, it is fraud. However, providers have a duty to survive financially, and litigation is a threat to that survival.  Tort litigation was designed to replace long cycles of violent revenge. It substituted money payments to the damaged person for violent retribution. It has turned into a scam by lawyers and providers. When we say, defensive medicine costs $500 billion, that goes to the doctors and providers. It far exceeds the cost of litigation, around $50 billion. That explains why organized provider groups  do little to crush the lawyer scheme. 

The lawyer claims the contigency fee  provides greater acces to the courts and to justice for poor people. It developed as plaintiffs got compensation and refused to pay their lawyers. By agreement, the plaintiff lawyer gets the payment, subtracts all expenses, takes a contingency fee, and pays the plaintiff the remaining crumbs. Contingency fees are a collection tool, not greater access to justice.

1) It should be a subject of discovery. Did the plaintiff lawyer inform the plaintiff that in the absence of a physical injury, the entire amount of the settlement is taxable as income? That is reviewed by the IRS here. That means, paying the income tax on the full $million verdict. That is true even though the lawyer deducted expenses and his contingency fee. Not only may the plaintiff end up with nothing, but may have to borrow money to pay the tax on the verdict. 

2) If the lawsuit is covered by insurance, the company will provide a lawyer. The defendant must hire a lawyer malpractice lawyer to terrorize the insurance company defense lawyer. That lawyer is paid very little. He has to go to trial to make more. His loyalty is to the employer, so he can be hired again. His economic interest is to put the defendant through a trial.  Professional responsibility rules require his entire duty be to the defendants. He is also required to provide zealous representation. Zealous means to assert every legal right, including motions to dismiss a case without merit at the outset. Don’t count on professional responsibility overcoming economic self interest of the defense lawyer. 

3) The litigation privilege precludes reporting or litigating any content of the lawsuit. What people say in a lawsuit is protected from liability. That includes reports, depositions, various communications about the lawsuit matter. The litigation privilege is reviewed here. However, there are remedies inside the trial, by the judge. For example, an expert says, he reviewed these records prior to forming an opinion. He has not reviewed these records. He has perjured himself. Move that the judge  declare a mistrial and assess all legal costs to the assets of the expert. Submitted resumes are part of sworn statements. If there are inaccuracies, they should be treated as perjury as well, before the judge. The defendant has a lot of knowledge that the defense lawyer may not have. He should go through the statements carefully, ask for motion that wrong statements be treated as perjury by the judge. 

4) Some licensed defendants are mandated reporters of professional misconduct and problems by licensed professionals. If the a plaintiff expert is over the age of 60, it is still appropriate to ask a licensing board to review the cognitive ability of the expert and any other impairment affecting the ability to practice. Intemperate statements may result from mood disorders, substance abuse, including caffeinism. The defense expert should be questioned about these brain health habits. Report one at a time to keep the plaintiff expert and other licensed plaintiff participants and witnesses under investigation. This reporting is mandatory under the licensing act of the state, and legally protected. Any agreement to not disclose or to not disparage the plaintiff side does not absolve the defendant of this reporting requirement. It is a matter of policy that agreements may not violate a law. Failure to report by the defendant may result in big fines and other sanctions. 

5) Lawyers are mandated reporters of lawyer misconduct (Rule 8.3). Partners in a law firm must stop misconduct ( Rule 5.1). If a plaintiff lawyer engaged in any violation of the Rules of Conduct, report the lawyer to the Disciplinary Counsel of that jurisdiction. Cite the number of the Rule. Then report every partner of the law firm for failure to stop the misconduct. Report every associate of the firm for failure to report the misconduct. Report the judge for failure to report the lawyer misconduct. Report any evidence of impairment of the judge to the Judicial Review Board. Request an assessment of the impairment. These regulatory bodies dismiss almost all reports, however extreme they may be. They themselves are a scam, The lawyer and judge regulators  should be reported for taking tax money and not doing any work for it to the local federal prosecutor  (honest service fraud, a federal crime). If a defendant has a license, there isa mandated durty to report professional misconduct. 

6) Try to get dropped from the case if another defendant has decided to settle. If a defendant party decides to settle to avoid a trial, the other defendants may force them to go to trial anyway. That should be done by the defense lawyer. If they refuse to communicate with the other defense lawyers about keeping them in the case, and forcing them to go to trial the defendant may communicate with the other defendants. This is against all advice of the defense lawyer. If the lawyer is adamant, tell him to do it himself or else he is providing inadequate representation. This is from a rule of civil procedure, "A release by the injured person of one joint tort feasor, whether before or after judgment, does not discharge the other tort-feasors unless the release so provides, but reduces the claim against the other tort-feasors in the amount of the consideration paid for the release or in any amount or proportion by which the release provides that the total claim shall be reduced if greater than the consideration paid." Then, " The conduct of all defendants against whom the case is proven must be considered in order for comparative fault to be assessed and apportioned." The plaintiff wants the big money. The other defendant wants out of the case. The way that can happen is drop the defendant from the case. 

Adult at 14: Introduction

I.  Nature defines adulthood as reaching an age with the ability to reproduce, for example, an adult plant is one capable of reproduction. 

II. The adulthood rituals of mainstream religions are around that age.

III. For 10,000 years of human civilization, people learned their trade before 14, and left the family of origin around that age. 

IV. Brain and physical function peak around that age, and deteriorate after 18. You get a fat ass and a poorer memory ability. The vaunted decrease of older age in risk taking is from the dementing process of losing dopamine neurons at 10% a decade of life. 

V. Maturity is acquired from responsibility and from painful experience, not from the passage of time. 

VI. The slow progression of legal adulthood to ever older ages is a lawyer delusion and rent seeking scheme. It is to excuse the criminal conduct of their clients, and to earn defense income. They want adulthood for criminal responsibility to be at age 25. This is the age when the frontal lobes are fully myelinated, and the brain stops developing. Of course, this quackery promotes an impairment, not a strength. 

VII. High school is a rent seeking, government make work scam that should be ended. Education should be accelerated by 2 years up to the 8th grade. Everyone should finish school with what is now a 10th grade education, including average and low performing students. It should include relationship skills, financial sophistication, a habit of daily physical exercise, knowledge of fallacies and of critical thinking, etiquette, hygiene,  and manners. Learn from Asian schools where students study from 6 AM to 10 PM. They are not learning by rote, but they are learning creative problem solving. 

VIII. Students entering the 9th grade at 15 should be learning their vocations. These include the professions, such as medicine. If one insists on 80 hours a week of memorizing 2000 page books every 12 weeks, the 16 to 18 year old is better at that than the deteriorated 22 year old. 

IX. Do not waste the superior ability of the young adult on playing. End playing at age 10. This will provide an upgrade in knowledge, innovation, and getting things done in all vocations. The ability of young adults and even of children is being intentionally underestimated for nefarious lawyer purposes. 

X. The pace of change will have an accelerating acceleration. It will require people with far more agility, ability, and willingness to take productive risks. Young people take more risk. It should be in well informed venture capital investing, in business startups,  not in a speeding car. To have people at the peak of ability sitting in a baby sitting in high school, achieving nothing, is self defeating. 

XI. If people age 16 will have a vocation, and adult responsibilities, they should have the legal rights of adulthood, contract making, marriage, voting, drinking, legal drug use. They should also have full adult criminal and civil liabilities, military draft.  

XII. Economics. The cost of high school. The cost of not working for 4 years. The cost of the delay in skill acquisition if 10000 hours are reequired to get good at something. The cost of a delay in family formation after economic adequacy.