Monica Hughes recently gave an excellent talk on, “The Transformation of American Healthcare: Lessons from the Veterans Administration and Existing FDA Standards of Care” to Liberty On The Rocks at Flatirons.

 

Her talk is now available on YouTube (3 parts).

Part 1

Part 2

Part 3

Disclaimer and synopsis:

DISCLAIMER: The speaker is not a medical doctor or health care practitioner. The ideas in this video are not intended as a substitute for the advice of a trained health professional. All matters regarding your health require medical supervision. Consult your physician and/or health care professional before adopting any nutritional, exercise, or medical protocol, as well as about any condition that may require diagnosis or medical attention. In addition, statements regarding certain products and services represent the views of the speaker alone and do not constitute a recommendation or endorsement or any product or service.

Synopsis: In January 2014, Robb was diagnosed with glioblastoma multiforme (GBM), one of the deadliest brain cancers in existence. Nicknamed “The Terminator” the median survival time is around 11 months. Robb had brain surgery on January 16, which was performed by a team of surgeons while Robb was awake. The surgery was a success.

Monica’s research into the post-surgery treatments that worked best for other survivors showed that they were not approved by the Food and Drug Administration, so they’d have to go to a cancer center that sprouted up in Tijuana, Mexico for treatment which included a 100 year-old immune system booster called Coley’s Vaccine.

Bio: Monica Hughes has bachelor’s, master’s, and PhD degrees in biology and has taught college biology since 2006. Previously, Monica served as a medical writer for National Jewish Health, a premier research hospital for respiratory and immune disorders, and is now a patient advocate specializing in literature research.

Robb LeChevalier has served in the Air Force and has a bachelor’s degree in electrical engineering. He designed his own home situated in the foothills outside of Denver, and currently develops high speed electronics for his own company, Astronix Research. He has been an Objectivist for 40 years.

More: Robb was given 2 months to live without surgery, a maximum of 6 months to live with surgery only, and an unspecified amount of time with additional therapy due to the unusually aggressive nature of his particular tumor. He and his wife Monica faced seemingly insurmountable hurdles by the Veterans Administration along the way, including timely care from the VA and a delay of emergency surgery that could have cost Robb his life had they not pushed for a special dispensation from a panel of VA doctors within the 48 hours leading up to his scheduled surgery. They are currently contesting 58 claims denials by the VA totaling nearly $250,000 in unpaid medical bills.

In the days following Robb’s surgery, they discovered that immunotherapy held the best chance of long-term and quality survival for this cancer. Historical 3 year survival with FDA-approved standard of care for GBM is around 7%. 3-5 year survival for some GBM patients in clinical trials using cancer vaccines is between 20%-50%, depending on the vaccine. Yet they discovered that due to FDA regulations, it is impossible to enter these clinical trials without first or concurrently undergoing FDA-approved standard of care, and that such care would greatly reduce his likelihood of responding to immunotherapy, if he was lucky enough to meet the criteria for the study and be placed in the treatment arm of such a trial.

Given these poor odds, Robb chose to forego all standard of care therapy after surgery, and opted for an immunotherapy protocol abroad that, according to current MRI results, has left him without evidence of disease. As of June 10, 2014, their new low deductible PPO health insurance policy, purchased on the Obamacare exchange, has not paid out a single penny of reimbursement for Robb’s cancer treatment.

(Note: I also discussed their case in my 5/28/2014 Forbes piece, “VA Denies Coverage For US Air Force Veteran With Malignant Brain Tumor“.)

Jun 172014
 

These confessions of an ex-TSA agent — Dear America, I Saw You Naked — are well worth reading. For example:

We knew the full-body scanners didn’t work before they were even installed. Not long after the Underwear Bomber incident, all TSA officers at O’Hare were informed that training for the Rapiscan Systems full-body scanners would soon begin. The machines cost about $150,000 a pop.

Our instructor was a balding middle-aged man who shrugged his shoulders after everything he said, as though in apology. At the conclusion of our crash course, one of the officers in our class asked him to tell us, off the record, what he really thought about the machines.

“They’re shit,” he said, shrugging. He said we wouldn’t be able to distinguish plastic explosives from body fat and that guns were practically invisible if they were turned sideways in a pocket.

We quickly found out the trainer was not kidding: Officers discovered that the machines were good at detecting just about everything besides cleverly hidden explosives and guns. The only thing more absurd than how poorly the full-body scanners performed was the incredible amount of time the machines wasted for everyone.

And:

But the only people who hated the body-scanners more than the public were TSA employees themselves. Many of my co-workers felt uncomfortable even standing next to the radiation-emitting machines we were forcing members of the public to stand inside. Several told me they submitted formal requests for dosimeters, to measure their exposure to radiation. The agency’s stance was that dosimeters were not necessary—the radiation doses from the machines were perfectly acceptable, they told us. We would just have to take their word for it. When concerned passengers—usually pregnant women—asked how much radiation the machines emitted and whether they were safe, we were instructed by our superiors to assure them everything was fine.

“Security Theater” seems like too benign of a term for these absurdities, I think. Now go read the whole article.

Jun 092014
 

Liam Neeson narrated this excellent video in defense of NYC’s horse carriages. (Alas, embedding is disabled.) These people love and care for their horses: the horses live good lives, and they’re treated well.

I’m disappointed — but not surprised — that real estate interests seem to be the driving force here, in alliance with “animal rights” activists. It’s pure Bootleggers and Baptists:

Bootleggers and Baptists is a catch-phrase invented by regulatory economist Bruce Yandle for the observation that regulations are supported by both groups that want the ostensible purpose of the regulation and groups that profit from undermining that purpose.

For much of the 20th century, Baptists and other evangelical Christians were prominent in political activism for Sunday closing laws restricting the sale of alcohol. Bootleggers sold alcohol illegally, and got more business if legal sales were restricted. “Such a coalition makes it easier for politicians to favor both groups. … [T]he Baptists lower the costs of favor-seeking for the bootleggers, because politicians can pose as being motivated purely by the public interest even while they promote the interests of well-funded businesses. … [Baptists] take the moral high ground, while the bootleggers persuade the politicians quietly, behind closed doors.”

The original 1983 article is well worth reading: Bootleggers and Baptists-The Education of a Regulatory Economist.

As the article in Foxhunting Life observed:

If we love foxhunting and are willing to defend our sport against those who would take it away from us, we cannot stand mute and allow our relationships with the horse and the other animals we love be separated from our lives piece by piece (carriage horse, racehorse, hunt horse, trail horse), specie by specie (horse, hound, dog, cat), and location by location (city, town, farm). We’re all connected.

The least we can do is communicate with our fellow citizens about these well-funded campaigns masquerading as animal welfare. The animal rights activists are few in number but have an inordinately loud voice. We who actually live, play, and work with animals are also relatively few in number, and we need to ratchet up the volume of our collective voice. The great majority of citizens have no preconceived opinions of who’s right and who’s wrong. They can only form their opinions based upon what they read and what they hear.

By the way, if you want to quickly judge whether a horse is cared for well, look at its feet: if they’re neatly trimmed (and shod), then the horse is probably in good hands. If they’re a mess, then the horse is probably neglected and maybe abused too.

 

My second Forbes piece in two days again discusses the VA health scandal: “Three Factors That Corrupted VA Health Care And Threaten The Rest of American Medicine“.

Here is the opening:

Veterans Affairs Secretary Eric Shinseki has resigned in the wake of the waiting times scandal. But the problems at the VA go much deeper than a single man. His eventual successor will have his hands full dealing with the toxic combination of problems that fueled the crisis: a shortage of doctors, perverse incentives, and a widespread culture of dishonesty. And these problems could affect the rest of America under ObamaCare…

The first two of the three factors are already in play under the Affordable Care Act (aka “ObamaCare”) and there are troubling early indicators that the third may take root as well.  If this happens, Americans had better watch out.

 

My latest Forbes piece is now up: “VA Denies Coverage For US Air Force Veteran With Malignant Brain Tumor“.

I discuss the bureaucratic hurdles that USAF veteran Robert LeChevalier had to endure when diagnosed with glioblastoma multiforme (a very malignant brain tumor).  Fortunately, he and his wife Monica Hughes have a lot of grit and tenacity.

I’m glad to publicize their open letter to the VA, and I hope it gets some attention!

Monica also posted this photo, which I used in the Forbes article with her permission:  “Here are the 58 claims denials, totaling $250,000 of emergency care, that we have received by the Veteran’s Administration. Excuse? Robb was too healthy. He hadn’t sought any care at the VA in the prior 5 months. Really.

 

Doctors and the Police State

 Posted by on 20 December 2013 at 10:00 am  Alcohol/Drugs, Crime, Drug War, Government, Law
Dec 202013
 

This story — Drug Warriors Kidnap and Sexually Assault a Woman After Getting Permission From a Dog — is appalling in its own right:

In a case eerily similar to David Eckert’s humiliating ordeal at the hands of cops in Deming, New Mexico, a federal lawsuit charges U.S. Border Patrol agents with subjecting a U.S. citizen to six hours of degrading and fruitless body cavity searches based on an alleged alert by a drug-sniffing dog.

However, what’s really noteworthy, I think, is the complicity of the doctors and medical staff:

First the agents strip-searched the plaintiff, examining her anus and vagina with a flashlight. Finding nothing, they took her to the University Medical Center of El Paso, where they forced her to take a laxative and produce a bowel movement in their presence. Again they found no evidence of contraband. At this point one of their accomplices, a physician named Christopher Cabanillas, ordered an X-ray, which likewise found nothing suspicious. Then the plaintiff “endured a forced gynecological exam” and rectal probing at the hands of another doctor, Michael Parsa. Still nothing. Finally, Cabanillas ordered a CT scan of the plaintiff’s abdomen and pelvis, which found no sign of illegal drugs. “After the CT scan,” the complaint says, “a CBP [Customs and Border Patrol] agent presented Ms. Doe with a choice: she could either sign a medical consent form, despite the fact that she had not consented, in which case CBP would pay for the cost of the searches; or if she refused to sign the consent form, she would be billed for the cost of the searches.” She refused, and later the hospital sent her a bill for $5,000, apparently the going rate for sexual assault and gratuitous radiological bombardment.

As the article says, this case “illustrates the appalling complicity of doctors in waging the war on drugs, even when it involves utterly unethical participation in dehumanizing pseudomedical procedures performed on involuntary and audibly protesting ‘patients.’”

In my view, civil damages are an insufficient remedy in such cases. Assuming that the doctors and staff knew that the woman did not consent to these warrantless searches, then they are guilty of the crime of sexual assault. They should be arrested and prosecuted for that. Perhaps then doctors would think twice before passively doing whatever government agents demand.

Alas, that seems unlikely. Hopefully, some justice will be served by this civil suit.

 

Alas, yes:

 

Tonight, I’ll interview Pacific Legal Foundation attorney Timothy Sandefur about occupational licensing — how it works, what it’s supposed to do, and what it’s real-life effects are. We’ll also talk about “Certificates of Need” (CONs) regulations that allow existing businesses to squash any newcomers. I kid you not.

If you’re not familiar with CONs, check out Sandefur’s 2011 article, CON Job: State “certificate of necessity” laws protect firms, not consumers. Here are the open paragraphs:

When St. Louis businessman Michael Munie decided to expand his moving business to operate throughout the state of Missouri, he thought it would be a simple matter of paperwork. After all, he already held a federal license allowing him to move goods across state lines. But when he filed his application, he discovered that, under a 70-year-old state law, officials in Missouri’s Department of Transportation were required to notify all of the state’s existing moving companies and allow them the opportunity to object to his application. When four of them did file objections, department officials offered Munie the choice of withdrawing his application or appearing at a public hearing where he would be required to prove that there was a “public need” for his moving business. The law is not clear on how exactly he would do this — “public need” is not defined, nor are there any rules of evidence or procedure in the statute. And even if he managed to prove a “public need,” the department would take anywhere from six months to a year to make a final decision. In the face of such complications, Munie chose to withdraw his application and ask instead for limited permission to operate within a portion of St. Louis. His competitors had no objection to that, and he was given the restricted license.

Bizarre as this law might seem, it is only one of dozens of such requirements, generally called “certificate of necessity” (CON) laws, that exist across the country, governing a variety of industries, from moving companies and taxicabs to hospitals and car lots. A legacy of the early 20th century, CON laws restrict economic opportunity and raise costs for products and services that consumers need. Unlike traditional occupational licensing rules, they are not intended to protect the public by requiring business owners to demonstrate professional expertise or education. Instead, these laws are explicitly designed to restrict competition and boost the prices that established companies can charge.

Go read the whole article.

Tap It: The NSA Slow Jam

 Posted by on 19 June 2013 at 2:00 pm  Government, Privacy
Jun 192013
 

Tap It: The NSA Slow Jam is just plain brilliant:

Aug 032012
 

My 20-minute lecture on “Milton Friedman and Medical Licensure” has now been posted:

I covered three main subjects:

  • Milton Friedman’s views of medical licensure
  • Licensure and competence
  • Licensing laws and ObamaCare

Towards the end, I cite Dr. Milton Wolf as one of the people promoting some good free-market reforms to move us in the right direction.

Thanks to Amanda Teresi-Muell for organizing this special Liberty On the Rocks event, as part of a commemoration of Milton Friedman’s 100th birthday! And thanks to Ari Armstrong for recording the video and for doing the video editing to intersperse the images of my slides within the footage!

(Note: I don’t agree with Friedman on several issues.  Friedman was not a fully-consistent advocate of free-market economics.  But on the topic of medical and occupational licensure, he was very good, and I wanted to highlight his excellent thinking on this particular topic.)

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