Hello. Dr. Keith Smith with you. Surgery Center of Oklahoma. Thank you for joining me.

I’d like to talk briefly about a propaganda tool that I’ve seen used increasingly – inevitability. Inevitability means that someone characterizes the future that they would impose on another group as unavoidable. This is very effective in generating, not fear so much, as surrender. This has been used effectively on physicians and many others for a very long time. In the early 1990s, many physicians, I believe, signed on to manage care plans they otherwise never would have signed on had it not been for the Clinton Healthcare Plan that was characterized, at the time, as inevitable. It was anything but inevitable.

Later, I think, many physicians succumb to hospital employment under the specter of an inevitable, complete takeover of healthcare in the industry we call Obamacare. Many of the teeth of this horrible legislation have been removed and many of the worst features of this were not inevitable, after all.

Inevitability is being used, I believe, to generate and manufacture surrender of physicians and, some of the little hope that many of them have left, with Medicare for All, Universal Healthcare, single-payer, and many physicians indeed see the specter of this disaster as inevitable. I think the first thing we all need to do is acknowledge this is a propaganda tool that is being used and that this bleak future is anything but inevitable.

I cannot count the number of times that the failure of the Surgery Center of Oklahoma has been characterized as inevitable, and I’ve begun to recognize this tool that is used to stamp out what hope that many people have, who would otherwise be very optimistic and even entrepreneurial, were they not subject to this very effective propaganda tool – inevitability.

Watch for it. I think you’ll see it more and more often, and I think it will be easier to recognize once we all acknowledge that it’s being used in this way.

Thank you for joining me. We’ll see you next time.