Further Developments in 1997
Overview
The FBI and other government agencies were very active during 1997 and a large amount of information became available about Columbia/HCA, Kaiser, SmithKline Beecham, Tenet/NME and many other corporations. This material was supplied to relevant persons and used to drive the arguments against corporate medicine. An attempt was made to analyse the social, corporate and political processes at work as well as to examine the psychology of corporate success. The theses is advanced that the misuse of language to create a false reality is central to corporate dysfunction and that this extends to current political philosophy. Decisions are made within a single paradigm rationalising or denying insights developed within alternate paradigms.
During the second half of 1997, following the US wide raids on Columbia/HCA hospitals a large number of US documents were circulated and a number of documents and letters were written arguing against corporate medicine in Australia. This section contains some of the documents used to lobby the issues. The arrival of Sun Healthcare in Australia lent some urgency to this.
These documents included
News Clippings
1997
A set of Press reports and other documents. These describe subsequent
developments involving Columbia/HCA including the FBI raids in July
1997 and the US reports analysing the processes at work. Tenet/NME's
$100 million settlement with the patients who were the victims of its
practices is descibed. Past patients describe what happened in these
hospitals. The material illuminates court settlements and the conduct
of a variety of other companies including Kaiser, OreNda, SmithKline
Beecham, Aetna, the US Senate Inquiry into aged care and a number of
other matters.
Corporate Medicine -
I told you so
This refers to the revelations about Columbia/HCA and I use it to
show that the assertions I made about corporate health care, and
illustrated using Tenet/NME documents were well founded. The same
practices flourished in Columbia/HCA and other corporations. I draw
attention to similar conduct and psychological profiles in non
medical businesses and their executives in Australia to show how
vulnerable we are.
Hospital licences for
corporations
When Columbia/HCA indicated the changes it was making to its
policies, I used this tacit admission to once again urge changes to
our regulations and the FIRB process. These were the matters I had
been writing about for years. There is additional information
about this in the submission about
Sun healthcare
Corporate Medicine
in Australia
This was written in an attempt to analyse the processes at work
linking what was happening in the USA and Australia to the economic
rationalist ideology of our times and the psychology of corporate
executives. I suggest that a form of dysfunctional Social Darwinism
operates. I suggest that health care exposes all of the deficiencies
in economic rationalist thinking and that it is the rock on which
economic rationalism can be made to founder.
The New World of
medicine - Quotes
The vast volume of material is overpowering. I therefore selected
short segments from corporate documents, the statements of corporate
founders and of stockbrokers, extracts from press reports and then
from US and Australian social critics of our times such as Saul,
Kuttner, Cox and Rees. These are intended to support my arguments and
link the dysfunctional behaviour in health care to the issues and
ideologies of our era.
A call to action by
US health professions
There has been mounting unhappiness among doctors and nurses in the
USA. The call to action reproduced here was signed by over 2000
health professionals and published in the Journal of the American
Medical Association (JAMA) in December 1997. It states very clearly
the concerns which thinking and ethical health care providers have
about what is happening in that country.
Corporate medicine
goes international
This page lists and comments on documents which illustrate the
pressures on corporate medicine in the USA. The response to corporate
pressures is illustrated by articles which describe international
opportunities and the advice of international health care
consultants. These are illuminating of the disturbing corporate
patterns of thought and the way they are applied in health care. We
should carefully consider the implication for trusting sick citizens
should our government allow their care to come under the control of
individuals who think like this.