For those of you who have read the following story in a previous blog, bear with me.  Years ago, I went on a trip to Washington, D.C., to meet with some other physicians at the Heritage Foundation.  Prior to departure, I discovered that I had enough miles on a credit care to upgrade to first class…whoo hoo!  I wound up sitting next to a professional woman, immaculately dressed.  I asked her what she did.  She said she ran a consulting firm that helped companies address the regulatory burden represented by the Consumer Product Safety Commission.  “How did you get in to that business,” I asked?  “I was director of the Consumer Product Safety Commission,” she said.  Being in first class, I tried to laugh in a classy way, but didn’t pull it off.  She didn’t appreciate my sense of humor, needless to say. 

What a game.  Create the insanity and the crisis, then profit from it.  What a business plan.  I sometimes call this a “manufactured demand.”  Quasi-private companies like this that suck taxpayer blood, just one step removed are also sometimes referred to as “cottage industries.”  They typically work very closely with government agencies to insure that the issuance of new and complex regulations and rules(the interpretation of which would of course be impossible without their expertise…cough…), continues unabated.  This disgusting and fascist arrangment, what many call a “public private partnership” is unethical, immoral and should be illegal, as the property rights violations by these symbiotic parasites are just as real as a big city mugging.  There is not adequate blog space on the internet to list all of these back room relationships.

Whenever someone in the private sector lobbies for more funding for a government agency, that’s a clue that something is up.  Here’s an example:  APIC. Association for Professionals in Infection Control.  Without the CDC (Centers for Disease Control), this outfit has no purpose.  Without APIC, the CDC has no private sector sycophant and cheerleader.  APIC also represents a significant sinecure for former CDC employees.  A recent email alert from APIC has stressed the importance of calling your legislator to increase the CDC’s funding for their NHSN (National Healthcare Safety Network).  They might as well say,”MORE MONEY FOR THE MOTHER SHIP!”  This, of course, increases the supply of blood for APIC to suck out, not unlike a tick demanding the vet transfuse the dog.  Pretty callous to the U.S. government’s looming bankruptcy. Wonder what Paul Ryan’s crew would think of this?  Notice what the beginning of the NHSN website page says: 

The National Healthcare Safety Network (NHSN) is a secure, internet-based surveillance system that integrates and expands legacy patient and healthcare personnel safety surveillance systems managed by the Division of Healthcare Quality Promotion (DHQP) at CDC.

If you follow this blog, the bold above is creepy.  If you’re not bothered by this yet, go to the website of the other division mentioned above, the Division of Healthcare Quality Promotion (DHQP).  Your tax dollars at work, all for your safety and well being, of course.  I want you to notice something on their site. It is a literary disease that I call verb diarrhea, something that is of epidemic proportions in medical literature.  Sometimes, VD (verb diarrhea) is superimposed on alliteration, so you get phrases like ..”develop, detect, determine and delineate.”  These multiple verbs usually follow a single subject and make the sentence meaning incomprehensible, but very official-sounding.  Nurses who no longer care for patients are usually the folks that write this crap, but I’ve seen retired or government doctors fall prey to this horrible disease, as well.  Perhaps we need a joint grant for the CDC and the Department of Education to look into this complex and prevalent problem.  Oh well, I have strayed.

APIC and the CDC by themselves are bad enough.  But  ~ when ~   they kiss……..ooh… The taxpayer is sure to get burned when these two get together, whether lobbying for more loot, or spewing countless regulations, the effect of which is to increase the cost (not the quality) of health care delivery. 

G.Keith Smith, M.D.