American Healthcare continues to go backward

Through mid-2025 almost 14 billion doses of covid vaccine have been given, covering almost 6 billion people. The US accounts for about 700 million doses to date. Contrast that with about 500 million doses of all other vaccines (including influenza) being given in the US from 2020. This was the most massive public health vaccination campaign of all time, beating even the 1967 smallpox vaccination campaign. There are four things at work here, and if the physician in the video had half a brain he would realize it, but he is thinking with his political (lizard) brain and not his scientific brain:

Politicization - covid vaccination became a political issue, smallpox did not. And as we've seen, how you view events depends entirely on your political affiliation.
Recency bias - the physician in the video doesn't remember the smallpox campaign because it wasn't yesterday like the covid campaign.
Post hoc ergo propter hoc - "I got the stab and two weeks later ran over my left foot with a lawn mower because of it."
Solipsism - the world is bigger than the people he knows.

Adverse effects of the smallpox vaccine
View attachment 12842
Yes, we are in an incredible time when physicians in government positions are able to make official statements that are pure medical misinformation.

And sadly, because of this misinformation campaign, the pro-vaccine side starts using its political brain and makes misinformed statements the other way. It is pretty obvious that the elderly and sick benefit greatly from vaccination, and boosters. It gets more murky for other age and health groups. To counter the misinformation that these vaccines are pure poison, I feel they went "Hey, they are wonderful for just about everyone!" I think a more balanced approach would have been more honest and validated people's concerns.

It is conceptually similar to statins. The internet is full of garbage about statins being poison that kill mitochondria and gives you diabetes. But, when providers just look at an LDL and if it is more than 100 say "You must take a statin forever" and if it is less than 100 say "You are fine" they are missing the boat and losing patients to their "research." People want to hear exactly their own risk, how cholesterol plays into the overall picture, and what benefit they would get versus the "harm" of taking a pill every day. And, there is some harm to it, at least mentally.
 
Yes, we are in an incredible time when physicians in government positions are able to make official statements that are pure medical misinformation.

And sadly, because of this misinformation campaign, the pro-vaccine side starts using its political brain and makes misinformed statements the other way. It is pretty obvious that the elderly and sick benefit greatly from vaccination, and boosters. It gets more murky for other age and health groups. To counter the misinformation that these vaccines are pure poison, I feel they went "Hey, they are wonderful for just about everyone!" I think a more balanced approach would have been more honest and validated people's concerns.

It is conceptually similar to statins. The internet is full of garbage about statins being poison that kill mitochondria and gives you diabetes. But, when providers just look at an LDL and if it is more than 100 say "You must take a statin forever" and if it is less than 100 say "You are fine" they are missing the boat and losing patients to their "research." People want to hear exactly their own risk, how cholesterol plays into the overall picture, and what benefit they would get versus the "harm" of taking a pill every day. And, there is some harm to it, at least mentally.
One of my performance measures is “percentage of diabetic patients on statins.” But I am ALWAYS going to under-perform in that measure because I’m in the survivalist part of Michigan and “I don’t trust big pharma.” They trust big tobacco somehow…

Tea Gossip GIF
 
One of my performance measures is “percentage of diabetic patients on statins.” But I am ALWAYS going to under-perform in that measure because I’m in the survivalist part of Michigan and “I don’t trust big pharma.” They trust big tobacco somehow…

Tea Gossip GIF
And that is exceedingly unfair to you.

What should be your performance measure is that you had an honest risk-benefit discussion with your patients.

I'd love to see a long term study of those two performance measures side by side because I would not be surprised if over time more patients did not end up on appropriate therapy if they did not get the impression the provider was forced or paid to do it but was sincerely recommending it.
 
And that is exceedingly unfair to you.

What should be your performance measure is that you had an honest risk-benefit discussion with your patients.

I'd love to see a long term study of those two performance measures side by side because I would not be surprised if over time more patients did not end up on appropriate therapy if they did not get the impression the provider was forced or paid to do it but was sincerely recommending it.
I have that discussion about risks and benefits, but it often starts with "It doesn't matter what you say, I don't want to be on a statin." Or they have muscle cramps if you even mention lipid lowering meds. Had a patient a couple of weeks ago claim to get muscle cramps on colestipol, which isn't absorbed from the GI tract. I very nearly said "bullsh*t" to him.
 
I have that discussion about risks and benefits, but it often starts with "It doesn't matter what you say, I don't want to be on a statin." Or they have muscle cramps if you even mention lipid lowering meds. Had a patient a couple of weeks ago claim to get muscle cramps on colestipol, which isn't absorbed from the GI tract. I very nearly said "bullsh*t" to him.
Yep. And there are definitely those who are so far gone that you will not win. But, I can tell you I have many that were refusers that over time became low-does accepters by discussing things instead of forcing them.
 
Less schooling, more income.

I have NEVER been given a 41% pay raise by an employer in health care. Not even close.

BTW, this is a "Non-profit" hospital system so pays administrators $3-6 million a year (who knows for the CEO) and pays no tax.

Atrium Health executives get hefty pay raises amid record revenues


The hospital’s 2024 executive compensation report reveals 41 percent average pay increases, but CEO Eugene Woods’ salary was not disclosed.


A hospital building in Charlotte which says Atrium.
Atrium Health's top executives got big pay raises in 2023 as revenues soared. Photo credit: Atrium Health.


By Michelle Crouch

The Charlotte Ledger

The total compensation of Atrium Health’s top executives soared by an average of 41 percent last year, according to newly released data from the hospital system, but information about the salary of Eugene Woods, CEO of Atrium parent Advocate Health, was not included in the release.

The executive compensation report from the Charlotte-Mecklenburg Hospital Authority, which does business as Atrium Health, shows double-digit raises across much of Atrium’s senior leadership, with several executives seeing their compensation jump by more than 50 percent.

The four highest paid executives were:

  • Ken Haynes, president of Advocate Health’s southeast region, received $5.07 million in 2024, up 56.6 percent from $3.24 million in 2023.
  • Scott Rissmiller, executive vice president and chief physician executive, had compensation of $4.03 million, up 54.3 percent.
  • Brett Denton, the system’s top legal officer, saw a 68.5 percent pay increase to $3.87 million.
  • Carol Lovin, chief integration officer and chief of staff, earned $3.6 million, up 57.4 percent.
 
Last edited:
Less schooling, more income.

I have NEVER been given a 41% pay raise by an employer in health care. Not even close.

BTW, this is a "Non-profit" hospital system so pays administrators $3-6 million a year (who knows for the CEO) and pays no tax.

Atrium Health executives get hefty pay raises amid record revenues


The hospital’s 2024 executive compensation report reveals 41 percent average pay increases, but CEO Eugene Woods’ salary was not disclosed.


A hospital building in Charlotte which says Atrium.
Atrium Health's top executives got big pay raises in 2023 as revenues soared. Photo credit: Atrium Health.


By Michelle Crouch

The Charlotte Ledger

The total compensation of Atrium Health’s top executives soared by an average of 41 percent last year, according to newly released data from the hospital system, but information about the salary of Eugene Woods, CEO of Atrium parent Advocate Health, was not included in the release.

The executive compensation report from the Charlotte-Mecklenburg Hospital Authority, which does business as Atrium Health, shows double-digit raises across much of Atrium’s senior leadership, with several executives seeing their compensation jump by more than 50 percent.

The four highest paid executives were:

  • Ken Haynes, president of Advocate Health’s southeast region, received $5.07 million in 2024, up 56.6 percent from $3.24 million in 2023.
  • Scott Rissmiller, executive vice president and chief physician executive, had compensation of $4.03 million, up 54.3 percent.
  • Brett Denton, the system’s top legal officer, saw a 68.5 percent pay increase to $3.87 million.
  • Carol Lovin, chief integration officer and chief of staff, earned $3.6 million, up 57.4 percent.
The only way I have ever gotten a double digit pay increase, 10% or higher, was by changing jobs and moving across country, with all the expenses of moving. And that has only happened once, at the time when the entry level Pharm.D. was new and there was a nationwide pharmacist shortage.

Btw, we’re about to have another pharmacist shortage. Schools are having a difficult time attracting students and there is going to be some schools closing. And what is being admitted now are a bunch of warm bodies, so not only will there be a shortage, the pharmacists available will be crap. The proposals are for most positions to require residency training. But that adds to the cost of education and, as a career educator, it is offensive to me to use residency as a remediation for our schools turning out garbage.

But wtf do I know. I’m just a lone voice literally out in the wilderness.
 

Prominent US anti-vaxxer claims he caught measles while visiting Texas based Anti Vax Dr. for an interview who also had measles. "So Cool" he responds to getting measles.​


One of the most prominent anti-vaccine activists in the US says he caught measles in west Texas and traveled back home – but he seems not to have alerted local authorities of his illness, which means the highly transmissible virus may have spread onward.

Measles is a threat to people who are unvaccinated or immune-compromised. In anti-vaccine communities, it may quickly find a foothold and spread largely under the radar before ballooning into an outbreak.


Brian Hooker, chief scientific officer of Children’s Health Defense, filmed an interview in west Texas in March with the parents of the six-year-old child who died from measles – the first measles death in the US in a decade.

The video promoted several dangerous myths about the measles, mumps, and rubella (MMR) vaccine. Two doses of the vaccine are 97% effective at preventing measles, a virus that can be deadly and can cause lifelong harm.

Hooker and Polly Tommey, an anti-vaccine film-maker with Children’s Health Defense, also interviewed other Mennonite families in west Texas. And they visited the medical office of Ben Edwards while patients and Edwards himself had symptomatic measles, they said.

Hooker then traveled home to Redding, California, and developed measles symptoms, he said.

“Full disclosure, 18 days after visiting Seminole, Texas, sitting in a measles clinic and being exposed to Doctor Ben with the measles, I got the measles. So cool,” Hooker said.


Hooker, Tommey, and Edwards spoke on a podcast hosted by anti-vaccine activist Steve Kirsch on May 22. This news has not been previously reported by other outlets. Children’s Health Defense did not respond to the Guardian’s inquiry for this story.

Hooker doesn’t appear to have sought healthcare or testing to confirm his symptoms were measles and not another infection. Other viral and bacterial infections may cause rashes, which is why medical providers need to conduct tests to confirm measles cases.

Without confirmation of his illness being measles, Hooker may spread misinformation about the illness – including what helps to treat it.

Hooker says he turned to the alternative treatments hailed by anti-vaccine activists. Edwards had given him cod liver oil and vitamin C supplements in Gaines county, Hooker said, noting: “I stuck them in my luggage, and that’s what I did.”


And if this case was measles, by not seeking confirmation testing and notifying officials, Hooker may have contributed to onward spread.

It’s not clear if his first symptoms appeared after 18 days, or if he developed other symptoms – runny nose, cough, fever, watery eyes – and then a rash after 18 days.

After a person is exposed to measles, the virus usually incubates for 11 to 12 days before respiratory symptoms appear, followed by a rash two to four days later. A person is considered infectious four days before the rash appears and remains infectious until four days after it fades.

If Hooker’s illness was measles, “it sounds like my worst nightmare as an infectious disease doc,” said Peter Chin-Hong, professor of medicine and infectious disease specialist at University of California San Francisco. “For all we know, there’s a trail of measles, like bread crumbs in Hansel and Gretel.”


“For all we know, there’s a trail of measles, like bread crumbs in Hansel and Gretel.”

In areas with no known cases, health providers might not immediately suspect measles, he said: “Many people probably didn’t know they had it. There could have been people who were ill with pneumonia, who went into the hospital and no one diagnosed it. It’s very, very hard to diagnose because we haven’t seen that much of it. But of course, we’re seeing a lot more of it now.”

There are other indications that the actual number of cases from the Texas outbreak is higher than the official count, Chin-Hong said – with three confirmed deaths, experts might expect a case count closer to 3,000, instead of the 762 cases in Texas and 95 cases in New Mexico.

Typically, medical providers alert local or state health officials when a patient tests positive for measles. Health officials then conduct contact tracing to notify anyone who came into contact with the patient, including other travelers.


A representative for the Shasta county health department, serving the area where Hooker says he lives, said there have been no confirmed cases of measles reported this year.

“There are no cases of measles in Shasta county, and we have had no notice of any confirmed cases of measles this year,” said Jules Howard, community education specialist with the Shasta County Health & Human Services Agency.

It’s important to know when a region has even a single case so resources can be diverted to the area to stop transmission, Chin-Hong said.

The most important part of those efforts is contact tracing and vaccinating anyone who is vulnerable – especially infants, pregnant people, and immune-compromised people, he said.

Hooker is a prominent figure in the anti-vaccine community. He testified on Tuesday before a US Senate committee in its first-ever “vaccine injury” hearing, attempting to link MMR vaccination to autism – despite several studies showing no relationship.


Hooker said he became sick with measles despite being vaccinated as a child. But because he was born before 1989, he probably only received one dose of the MMR vaccine, which is 93% effective at stopping illness. Vaccination may also make breakthrough illness milder.

When anti-vaccine messages keep parents from getting their children vaccinated, “I think the damage is immediate,” Chin-Hong said, before adding that it “goes beyond the measles outbreak”.

Other vaccine-preventable illnesses like whooping cough and the flu are also surging.

“Measles is like the poster child, but it’s about a way of life that we’ve taken for granted in the last few decades that is threatened,” Chin-Hong said. “The fact that [they] are questioning it on a public stage means that a lot more people who might have trusted their clinicians are questioning it more now.”

The US eliminated measles in 2000, but the nation could lose that status if there is sustained transmission for more than a year.

“We’re going back in time,” Chin-Hong said. “We have to relearn all of these diseases.”
 
In The Republic, Plato explores how different forms of government arise, develop, and decay. In Book VIII, he describes a political cycle that leads from aristocracy to timocracy, then to oligarchy, then democracy, and finally to tyranny. The transition from democracy to tyranny is where the demagogue—a manipulative leader who gains power by appealing to the masses—emerges.

📜 What Plato Says (Summary from The Republic, Book VIII):
  1. Democracy’s Weaknesses:
    • Plato criticizes democracy for excessive freedom and equality, which eventually lead to disorder.
    • In such a society, people begin to reject all forms of authority, including that of parents, teachers, and laws.
  2. Rise of the Demagogue:
    • Amidst the chaos and individualism of a decaying democracy, a charismatic leader appears who claims to represent the people.
    • This leader starts by attacking the rich and elite, winning favor by promising to protect the common people.
    • Plato says this leader will often “stir up the people against the wealthy”, portraying himself as the people’s champion.
  3. From Defender to Tyrant:
    • Once in power, the demagogue uses fear, division, and force to eliminate opposition and centralize authority.
    • Eventually, he turns into a tyrant, silencing dissent, punishing critics, and demanding absolute loyalty.
“The people have always some champion whom they set over them and nurse into greatness… This and no other is the root from which a tyrant springs; when he first appears, he is a protector.”

— Plato, The Republic, Book VIII (trans. Benjamin Jowett)

🧠 Plato’s View in Context:

Plato viewed democracy skeptically. He thought that when unchecked, freedom could devolve into anarchy, which in turn creates the conditions for tyranny. The demagogue is the instrument of that downfall—a person who exploits the freedom and frustrations of the masses for personal power.

Would you like this idea compared to a real-world figure or movement?
 
No offense, but I'm going to assume you don't understand what any of this actually means if you posted this in the healthcare thread. It is not a health and safety issue.

Neither the EPA nor any courts have banned dicamba outright because it is unsafe. They only banned (actually pulled it's registration) for certain applications (more specifically over the top applications of cotton and soybeans). Dicamba is and still widely used all the time (probably by your lawn guy).

The problem with dicamba is that it can be prone to drift if not handled correctly. Therefore, if you plant dicamba resistant soybeans, but your neighbor plants 2, 4-D resistant soybeans, when you spray your beans, if a drift occurs you are going to smoke your neighbors beans and vice versa.

Like I said it is not a health and safety issue. Pesticides are a necessary and essential tool for farmers. While organic farming for all might sound nice to those that aren't actively involved in agriculture (and I'm not opposed to organic as a niche market), if every farmer in America was forced to go organic, we would all starve to death.
 
Back
Top