I posted a comment about this, but I think it's worthy of a post. I will summarize very briefly.
In 1973, David Rosenhan, a psychologist, published a study of mental institutions that basically went viral. In "On Being Sane in Insane Places" Rosenhan claimed to have sent 12 average people to voluntarily be assessed by different mental institutions. He catalogued the diagnoses they received and how long they spent institutionalized. This study was shocking in purporting to show how poorly diagnoses work and in exposing flaws in treatment. His claims, followed in 1975 by the famous movie One Flew Over the Cuckoo's Nest essentially killed off institutionalization in the United States and around the world. Those who supported chemically treatments, as opposed to psychotherapy and hospitalization, won a resounding victory, and that's the world we live in today.
The only problem is, Rosenhan's paper was a complete work of fiction, and he lied repeatedly about the experiment, about the results of the experiment, even about the people in the experiment. Rosenhan, himself was one of the participants, and the alleged experimental protocols that participants were supposed to follow simply did not exist. When experiences didn't match what he was looking for, he simply dismissed and ignored them, and made up 'alternative facts' instead.
Investigative reporter Susannah Calahan and history of psychiatry professor Andrew Scull have thoroughly destroyed Rosenhan's paper and results, and yet it is still the most formative and influential piece of work in the field in at least the last 75 years.
Andrew Scull's lengthy article. I highly recommend reading it all:
https://gwern.net/doc/psychiatry/schizophrenia/rosenhan/2023-scull.pdf
Archive: https://archive.is/fqt8z
This needs to be more widely known. Along with the perverted Kinsey (enough said) and the fraudster Ancel Keys, of the Minnesota Starvation Experiment, whose work lead directly to the false belief that "all fat is bad" and who is personally responsible for the high-carb low-fat diet trends of the 1960s on that have killed hundreds of millions, it shows the power that corrupt, fraudulent, and narrative-driven activist scientists can have on reshaping society around us.
No, we should NOT "trust the science," and to say otherwise is distinctly anti-scientific.
Hospitals are just government in a skin suit anymore. There’s no real discernible difference and they pay 2 billion a year in admin costs just to keep current on government regulations. Most “primary care” are NPs or PAs anymore as since 2022 all are allowed to prescribe medication. It’s an intentional downgrade to lower “cost” while government regulations rape hospitals, forcing more conglomerate hospital mergers to share costs.
Conglomerates are also an issue. I've brought it up before, but people think that it doesn't matter due to the topic.
Catholic hospital brands are buying up locations in states that protects women's reproductive health, and then using freedom of religion to bypass voted laws. Companies need to loose personhood status, but entities with no intention of following local laws shouldn't be able to buy facilities en mass.
No way for that to be an accident.
Conglomerates are a byproduct of regulation cancer. It was far cheaper to run a private practice than work under a hospital 30 years ago, it became costly under Bush’s Medicare and more expensive under Obama. The political trend of doctors followed as such since they could only afford to practice under the conglomerate they now vote for democrats who give them the most government funding versus doctors being overwhelmingly conservative during the private practice era.
Conglomerates are a byproduct of Regulation cancer?
Would your please elaborate this? My first response is to point out that two of the largest companies in America are the Mormon Church, and the Catholic Church. I would argue these are examples of greed, not putting money back into the company. Shareholders cause the same issue.
My personal experience was that digital records ruined everything in the medical industry. We are both aware that medical bilking, and coding requires an entire department of people with degrees. If it can't be billed, it didn't happen. I had chicken pox as an adult. I was vaxxed as a child, and my records showed I had it as a child as well. The dr said it wasn't supposed to be possible, and the computer wouldn't let her input it. She didn't know what to do.
That's exactly how I got it. These magic words, " I may or may not have chicken pox. That's not supposed to be possible". Luckily we're weirdos with a sense of humor. I got it, that meant the other person had it!
The current rush to conglomerate hospitals to cover costs is due to government costs through regulations, even the digital medical records would not be an extreme cost if hipaa wasn’t so convoluted. Hospital profit is what, millions at best per system? United makes more in a year than the entire hospital network in the US.
You're not aware of how regulations push larger organizations at the expense of small one, and your evidence against that fact is to site two organizations with perhaps the most regulatory protection that it is possible to have?
Wat