"If you can’t permanently sterilize a child or two, what is the point of becoming a pediatrician? Watching young children grow up into happy, healthy, thriving adults, who then have adorable children of their own to bring to you? Poppycock! It’s all about the castration."
Medicine was lost as a profession when the private practice doctors' groups came under the functional control of the hospitals. As the hospital chains merged the industry became an oligopoly; the doctors became relatively weak since they were composed of small groups. Hospital credentialling became a potential cudgel. The large corporate hospitals pushed algorithmic treatment protocols saying it was more efficient and "evidence based" (lol). Doctors had already faced a long struggle to practice as they saw fit since payments were controlled by third party payers, but this was the final straw. Now they're just corporate cuckolds as we saw clearly during the Covid debacle. They even receive bonus payments like any other sales force for meeting certain targets in distributing vaccines.
I'm 75 and when I was a child, doctors were in private practices, did house calls, and made payment arrangements if one was unable to pay at the time of their visit. I can't remember exactly when insurance companies became the middleman between the doctor and patient but that was the beginning of the end of the ability of doctors to actually practice medicine and use their training and common sense to treat each patient individually.
Perhaps the reason students do not want to go into pediatrics is because the compensation is a fraction of that in other specialties and they are leaving medical school with crushing debt. Just spitballing here...
Several of my friends from undergrad became doctors, and they all went in to lucrative specialties. My one friend who did become a pediatrician specialized in Emergency Medicine so works peds ER.
And what you didn't say is how much the government wants to take by force those religious hospitals so that they aren't religious anymore.
So that your tax-dollars instead of your tithe-dollars will pay for the poor. And the sterilizations. Wait didn't we outlaw that a while ago when we found out that doctors were sterilizing minorities and that was racist? I thought we realized that was an abomination *last* century..... Some things never change.....
It was the Catholic Church that began to build hospitals.
St. Fabiola was responsible for establishing the first hospital in the Western Roman Empire, built in Rome around 400AD. St. Fabiola’s original building is no longer around, but there are many ancient hospitals that have survived into the modern era. These include Europe’s longest-lasting hospital building, Santa Maria della Scala in Siena, Italy. It’s a museum now, having been an essential place of healthcare for 500 years.
This is one I'll be rereading and sharing, so thank you!
The local state degree mill in my Maryland City just dumped "diversity, equity and inclusion". Except, all they dumped was the title. Now they call it "inclusion, access and belonging". Belonging. (Like a bunch of 7th grade girls.) Someone had better inform JAMA that they're behind the times with their DEI baloney.
My thought is that the reason there is a shortage of aspiring pediatricians is because the young, well brought up and well educated believe that pro-choice is a woman’s right. So therefore how can you be a pediatrician and support abortion?
Six of us (3 couples) went to MW’s film and 4 of us gave it a meh — a big let down from his excellent previous film.
We did not find it laugh out aloud funny. In fact, we were very uncomfortable with the “counseling circle” episode. I think Walsh wanted to “send up” over earnest DEI whites but it doesn’t work well and just makes him look like a jerk and the DEI leader look patient and reasonable given his antics. By contrast the segment when he interviews (in character) the author of Hoax was uniformly appreciated in our group.
The Dinner for Karens was potentially the most powerful exposés, but it was spoiled by Walsh “pranking it” our group thought. All of us were wondering “how was he allowed to film that?”
He did pivot to a good juxtaposition with “normies” black and white, but it could have been stronger if the “DEI Karen” — who with little to no self awareness seem to let the ACTUAL black women co-presenter NOT say much — would have been uninterrupted in her hate speech.
Having said that, one person in our group did appreciate Walsh forcing a prominent white DEI grifter to do an *individual act* of “anti-racism” challenging that person not to hide behind their “systemic” excuse.
Breath of fresh air this morning! I’m actually surprised that “black humor” and “White House”, by the way, haven’t been deemed racist and change demanded by DEI freaks! That aside, it’s amazing what JAMA has become. Perhaps amazing is the wrong word. Sad. Yes. Sad. We are in an interesting time and I hope we are going to get through it.
There's big money in genital-mutilation surgery these days. That's why JAMA is so impressed by it. I think any MD that can make money mangling people and turning them into parodies of the opposite sex is a sicko.
"If you can’t permanently sterilize a child or two, what is the point of becoming a pediatrician? Watching young children grow up into happy, healthy, thriving adults, who then have adorable children of their own to bring to you? Poppycock! It’s all about the castration."
Brutal.
Great essay, sir
Thank you!
I whole heartedly agree, great essay.
Medicine was lost as a profession when the private practice doctors' groups came under the functional control of the hospitals. As the hospital chains merged the industry became an oligopoly; the doctors became relatively weak since they were composed of small groups. Hospital credentialling became a potential cudgel. The large corporate hospitals pushed algorithmic treatment protocols saying it was more efficient and "evidence based" (lol). Doctors had already faced a long struggle to practice as they saw fit since payments were controlled by third party payers, but this was the final straw. Now they're just corporate cuckolds as we saw clearly during the Covid debacle. They even receive bonus payments like any other sales force for meeting certain targets in distributing vaccines.
I'm 75 and when I was a child, doctors were in private practices, did house calls, and made payment arrangements if one was unable to pay at the time of their visit. I can't remember exactly when insurance companies became the middleman between the doctor and patient but that was the beginning of the end of the ability of doctors to actually practice medicine and use their training and common sense to treat each patient individually.
Perhaps the reason students do not want to go into pediatrics is because the compensation is a fraction of that in other specialties and they are leaving medical school with crushing debt. Just spitballing here...
Several of my friends from undergrad became doctors, and they all went in to lucrative specialties. My one friend who did become a pediatrician specialized in Emergency Medicine so works peds ER.
That and Gerontology
💯💯
And what you didn't say is how much the government wants to take by force those religious hospitals so that they aren't religious anymore.
So that your tax-dollars instead of your tithe-dollars will pay for the poor. And the sterilizations. Wait didn't we outlaw that a while ago when we found out that doctors were sterilizing minorities and that was racist? I thought we realized that was an abomination *last* century..... Some things never change.....
It was the Catholic Church that began to build hospitals.
St. Fabiola was responsible for establishing the first hospital in the Western Roman Empire, built in Rome around 400AD. St. Fabiola’s original building is no longer around, but there are many ancient hospitals that have survived into the modern era. These include Europe’s longest-lasting hospital building, Santa Maria della Scala in Siena, Italy. It’s a museum now, having been an essential place of healthcare for 500 years.
This is one I'll be rereading and sharing, so thank you!
The local state degree mill in my Maryland City just dumped "diversity, equity and inclusion". Except, all they dumped was the title. Now they call it "inclusion, access and belonging". Belonging. (Like a bunch of 7th grade girls.) Someone had better inform JAMA that they're behind the times with their DEI baloney.
Thank you for your wisdom and common sense.
My thought is that the reason there is a shortage of aspiring pediatricians is because the young, well brought up and well educated believe that pro-choice is a woman’s right. So therefore how can you be a pediatrician and support abortion?
Six of us (3 couples) went to MW’s film and 4 of us gave it a meh — a big let down from his excellent previous film.
We did not find it laugh out aloud funny. In fact, we were very uncomfortable with the “counseling circle” episode. I think Walsh wanted to “send up” over earnest DEI whites but it doesn’t work well and just makes him look like a jerk and the DEI leader look patient and reasonable given his antics. By contrast the segment when he interviews (in character) the author of Hoax was uniformly appreciated in our group.
The Dinner for Karens was potentially the most powerful exposés, but it was spoiled by Walsh “pranking it” our group thought. All of us were wondering “how was he allowed to film that?”
He did pivot to a good juxtaposition with “normies” black and white, but it could have been stronger if the “DEI Karen” — who with little to no self awareness seem to let the ACTUAL black women co-presenter NOT say much — would have been uninterrupted in her hate speech.
Having said that, one person in our group did appreciate Walsh forcing a prominent white DEI grifter to do an *individual act* of “anti-racism” challenging that person not to hide behind their “systemic” excuse.
Gotta ask: what film is the Telly Savalas with grease gun and gal from?
The Dirty Dozen https://www.imdb.com/title/tt0061578/fullcredits Savalas is a WWII vet.
Great article and spot on! I loathe the AAP and their “recommendations”. Can’t wait to see the movie either! 👍🏼👍🏼
Breath of fresh air this morning! I’m actually surprised that “black humor” and “White House”, by the way, haven’t been deemed racist and change demanded by DEI freaks! That aside, it’s amazing what JAMA has become. Perhaps amazing is the wrong word. Sad. Yes. Sad. We are in an interesting time and I hope we are going to get through it.
There's big money in genital-mutilation surgery these days. That's why JAMA is so impressed by it. I think any MD that can make money mangling people and turning them into parodies of the opposite sex is a sicko.
Well, we had an entire generation of doctors that had no trouble at all sleeping at night, knowing that they were addicting thousands to opioids.
Just wait a little while.