In today’s world we hear a lot of talk about “Democracy”. However, few truly appreciate its function or the consequences of an uninformed electorate voting and then doing so purely based on self-interest. At one time regional governance was based on dictatorial principles where one lucky individual, often said to be chosen by God, made the rules. Our own Country started that way under King George III. With the Revolution that followed because of the tyranny of a non-benevolent ruler we formed the basis of a representative democracy that was led by an educated electorate. This being the case our country was formed more as a Republic. Nonetheless, because of seemingly benevolent intent we have become a Democracy in the sense that everyone gets a vote regardless of being qualified to make general decisions. This is where one of the roots of our problems in healthcare originates.
With the founding of our country the founders were terrified of the “Demos”. Derived from a Greek word meaning the local masses, to our founders it meant “the mob”: Alexander Tytler and Alexis de Tocqueville have been cited as saying, “A democracy is always temporary in nature; it simply cannot exist as a permanent form of government. A democracy will continue to exist up until the time that voters discover that they can vote themselves generous gifts from the public treasury. From that moment on, the majority always votes for the candidates who promise the most benefits from the public treasury , with the result that every democracy will finally collapse due to loose fiscal policy, which is always followed by a dictatorship!” So the fear of complete governance by a mob directed by immediate gain over long term stability threatens the very heart of what our civilized professions stand for. This is why professionals in the Medical Arts need to organize now more than ever!!
Organized Medicine is the defense of our profession from the Barbarians at the Gates. With the wolves of politicians, businessmen, accountants, lawyers, and the entitled sea of humanity setting their sights on more for themselves through entitlement, expect wholesale looting of our profession to continue under the premise of benevolence. The consequences of the voting by the wolves with how to subjugate The House of Medicine under “regulatory capture“ is not hard to see. It is represented by unfunded mandates and continues through prosecution / persecution of our brethren based on technical non-compliance as opposed to willful misconduct. Of course the biased magistrate who governs by the mob is able to not only control the rules by which the game is played but also has the luxury of making up the rules as they go along. The result from this dystopia of democracy is in fact “Three Wolves and a Sheep voting on what is for dinner”. Where the self-interested unopposed majority governs, don’t expect to see Wolf Steaks on the menu anytime soon.
So what is a physician under political and financial house arrest supposed to do? The answer is to become organized and speak up with a unified voice to the legislature to act in defense of the sovereignty of the House of Medicine. Until this happens the mob will have its way with us and expect the status quo to get worse. As that Irish Statesman Edmund Burke once said, “The only thing necessary for the triumph of evil is for good men to do nothing”!! So with this I would encourage all physicians who read this to become engaged and get organized. Without these actions we will be lead like lambs to the slaughter by those wolves who claim the “higher ground” through entitlement and the prostitution of “Democracy”. More powerful entities like Roman civilization, Native American Indian Civilization, European Nations and Cultures have been led to their demise through similar apathy that I now witness among physician groups today. So the question to be asked is will we stand by and allow the Demos to vote us into “lamb chop” or “mutton” status where the only choice left is what sauce will be applied to us before we are consumed?? Or shall we defend our Noble Profession by becoming organized and joining our Medical Societies so that we may all become beneficiaries of the Profession of Medicine. The choice is ours if we speak up. So that being the case please step up and say you will be a member of your local and State Medical Society.
Steven Campau MD