Skip to main content

Voting for Gridlock in Washington: First, Do No Harm

Inauguration Day

Presidential election seasons are always exciting times for Americans. Read the newspaper any day for a reminder of how much we take for granted here. Every four years we have the opportunity to hire, rehire and fire a commander-in-chief. Of course, our system is not perfect, and is often downright maddening. But, most of us would not trade our system for another.

The presidential election year is especially exciting when you can share it with your kids. I cannot calculate or even recall how many dinnertime discussions we had where all of us would debate the issues and evaluate the candidates. It was great fun to watch the kids engage in the electoral process. While I lean toward the political right, I tried to be a fair (and balanced) moderator during these dinnertime debates. My prediction is that 3 of the 5 will be Democrats, 1 will be a Republican (but doesn’t know it yet) and the 5th kid could go either way.

As we know, one’s political affiliations tend to change as one’s life and circumstances change. Folks tend to protect their own interests, and these interests change as they enter different phases of life. College kids, taxpaying parents raising children and senior citizens likely have different political and economic interests and may vote differently. While some folks, such as presidential candidate Ron Paul, have maintained their political views throughout their lives, most of us modify our views over time.

Remember the joke that a conservative is a liberal who’s been mugged?

The 4 remaining GOP presidential candidates all profess to be true conservatives. One is mocked as being a moderate, as if this is a scarlet letter shaming the former Massachusetts governor. Wouldn’t most of us want a president to be moderate? One is accused of espousing a dangerous nihilistic foreign policy. One is referred to as an erratic time bomb. And one is labeled as not ready for prime time.

All four compete as to who would repeal Obamacare the fastest.

“When I take the solemn oath at the Capitol, I will place my left hand on the bible and raise my right hand. And, in that right hand I will be clutching a pen so that the moment after my swearing-in, I can sign the repeal as the Chief Justice who upheld Obamacare looks on.”

Which candidate made this pronouncement?  Don’t bother Googling. I made it up.

The Supreme Court will hear arguments challenging the constitutionality of Obamacare next month. Most of us expect that the core of the plan – the individual mandate – to slip through. However, just because something is legal, doesn’t mean it’s a good idea.

While Romney wants us to accept the inevitability of his nomination, he hasn’t closed the deal. Anything can happen. Who would have predicted that a one term senator from Illinois would prevail over the Hillary Clinton machine to become the Democratic nominee for president?

If President Obama is reelected, which I expect, then brace yourself for Obamacare on steroids. The hope of those like me who think that Obamacare is bad medicine is that the GOP maintains control of Congress. Why would I actively support gridlock? Because as a physician, I subscribe to the principle, Primum non nocere, First, do no harm.

Comments

  1. Good post, keep on going.

    Thanks!
    Prakash
    http://medicalinformationforyou.blogspot.com/

    ReplyDelete

Post a Comment

Popular posts from this blog

Stop Medical Malpractice: The White Coat Wall of Silence

Photo Credit Leisure Guy, one of my most faithful commenters, opines that I am omitting an important aspect of the tort reform argument. He has implored me repeatedly to read a particular book that I suspect buttresses his views, but this worthy pursuit is simply not near the top of my priority pyramid. Since he’s retired, he enjoys the luxury of burrowing deeply into the base of his priority pyramid. With 4 tuitions to go, retirement is a distant mirage for me. I’m can be a ‘leisure guy’, but only in my dreams. I have written throughout this blog and elsewhere that there are too many frivolous lawsuits against physicians. I have admitted that caps on non-economic damages are not ideal, because they deny some worthy plaintiffs of complete compensation, but I support them because I believe they serve the greater good. I have ranted that there is no effective filter to screen out physicians who should never be invited to the litigation party in the first place. I believe that the...

When Should Doctors Retire?

I am asked with some regularity whether I am aiming to retire in the near term.  Years ago, I never received such inquiries.  Why now?   Might it be because my coiffure and goatee – although finely-manicured – has long entered the gray area?  Could it be because many other even younger physicians have given up their stethoscopes for lives of leisure? (Hopefully, my inquiring patients are not suspecting me of professional performance lapses!) Interestingly, a nurse in my office recently approached me and asked me sotto voce that she heard I was retiring.    “Interesting,” I remarked.   Since I was unaware of this retirement news, I asked her when would be my last day at work.   I have no idea where this erroneous rumor originated from.   I requested that my nurse-friend contact her flawed intel source and set him or her straight.   Retirement might seem tempting to me as I have so many other interests.   Indeed, reading and ...

Prostate Cancer Screening: Stop The PSA Train!

About 10 years ago, my dad was to see his general internist. I have always refrained from giving medical advice to my family, for all of the reasons why doctors should not treat or advise their relatives. But, on this occasion, I did give Dad some unsolicited advice, particularly as I knew that his physician fired the diagnostic testing trigger readily. “Dad, please make sure that he doesn’t check the PSA (prostate specific antigen) test.” Dad indicated that he would convey my concern to his doctor, who ran the test on him anyway. Apparently, he includes the PSA test as a matter of routine on all men over a certain age. Twenty-five years ago as a curious, but skeptical medical student, I learned about prostate cancer. I learned that every man will develop it if he lives long enough. I learned that most cases of prostate cancer remain silent and never interfere with the individual’s life. I learned that the treatment for these cancers involves either major surgery or radiation, both of ...