Dietrich Bonhoeffer Quotes

“Destruction of the embryo in the mother’s womb is a violation of the right to live which God has bestowed upon this nascent life. To raise the question whether we are here concerned already with a human being or not is merely to confuse the issue. The simple fact is that God certainly intended to create a human being and that this nascent human being has been deliberately deprived of his life. And that is nothing but murder.”

“There are things for which an uncompromising stand is worthwhile.”

“We are not to simply bandage the wounds of victims beneath the wheels of injustice, we are to drive a spoke into the wheel itself.”

“In the New Testament our enemies are those who harbour hostility against us, not those against whom we cherish hostility, for Jesus refuses to reckon with such a possibility.”

“When all is said and done, the life of faith is nothing if not an unending struggle of the spirit with every available weapon against the flesh.”

“Silence in the face of evil is itself evil: God will not hold us guiltless. Not to speak is to speak. Not to act is to act.”

“As high as God is above man, so high are the sanctity, the rights, and the promise of marriage above the sanctity, the rights, and the promise of love. It is not your love that sustains the marriage, but from now on, the marriage that sustains your love. God makes your marriage indissoluble.”

“It is much easier for me to imagine a praying murderer, a praying prostitute, than a vain person praying. Nothing is so at odds with prayer as vanity.”

“Primum non Nocere” and the Affordable Care Act

A typical physician begins her career as a thirty-year-old with six figures of debt. While her peers have spent the last decade accumulating income and work experience, she’s been pulling all-nighters in the library – living on coffee, Ramen noodles, and student loans. She enjoys what she does, but the hours are brutal. After 8+ years of post-secondary education (plus another 3-6 years of residency) and tremendous personal and financial sacrifice, she has finally scaled the summit. She’s a doctor. In the meantime, changes in the U.S. healthcare system leave her feeling more like a glorified bureaucrat – trying to navigate the mountains of paperwork and ever-changing federal guidelines that stand between herself and her patients.

Most of the medical students and young physicians that I interact with are growing increasingly disillusioned with the future of our profession. The outlook is especially bleak for those considering primary care – the dwindling supply of “front line” doctors expected to accommodate an exploding demand for office visits. In their great wisdom, the architects of Obamacare sought to extend health insurance to 32 million new Americans without taking any steps to increase the number of practicing physicians.

I'm no economist, but this doesn't look like a recipe for "affordable healthcare".

I’m no economist, but this doesn’t look like a recipe for “affordable healthcare”.

Supporters of the Affordable Care Act are quick to point out that the law was endorsed by the American Medical Association. What they won’t tell you is that only 15% of America’s physicians are members of the AMA (compared with 85% of American’s dentists who belong to the ADA). In fact, individual physicians oppose the Affordable Care Act by a wide margin, and believe it will ultimately increase the cost of healthcare.

In a recent interview with MSNBC host Chris Matthews (may the thrill run ever up his leg), the president characteristically deflected blame for the Obamacare website debacle. Yet along with the usual finger-pointing at House Republicans, he actually suggested that the problem might lie with overly bloated government agencies, “some of which are outdated, some of which are not designed properly.”

"If you like your health care plan..."

“If you like your health care plan…”

This kind of schizophrenic assessment – blaming, in the same breath, both government bureaucracy and those who opposed the law’s reliance on government bureaucracy – seems strangely befitting. The Affordable Care Act is a stamp collection of such paradoxes.

Most of us in the medical field aren’t policy wonks. Our primary interest is fixing sick people – preferably with as little interference from third parties as possible. There are, however, a number of sensible and liberty-minded proposals that receive widespread head-bobbing in hospital break rooms. Physicians are generally receptive to the very solutions that were conspicuously absent from the ACA: tort reform, health savings accounts, conscience protections for healthcare providers, and market-based reforms to Medicare and Medicaid. John Mackey, CEO of Whole Foods, proposed some very workable (but largely ignored) reforms back in 2009.

Returning control of medical decisions to patients and their doctors would go a long way toward controlling costs and reversing the damage done by the ACA. The U.S. healthcare system has a fever, and the only prescription is less government.