Now we have Dr. Oz and of course RFK "on deck" for CMS and HHS, respectively.

There are many changes that must be made but let me highlight one that must be made on an administrative basis on the first day and then coded into Statute through Congress so it can never be changed in any government-funded medical or health program again by any future adminsitration.

No payment can ever be made on an "incentive" basis except for documented, measurable and quantified success, irrespective of circumstances.

Specifically, what was done during Covid where hospitals were paid for procedures rather than results must be absolutely barred as this perversion almost-certainly led to hundreds of thousands of deaths, specifically by paying hospitals for ICU use, ventilator use, Remdesivir use and finally, a bonus for those who died which is ethically identical to paying someone who commits homicide.

In addition those "incentive payments" were a monstrous budgetary boondoggle while at the same time wildly enriching many hospitals, including the one in my county which cashed in to the tune of millions beyond their ordinary and customary charges for treating persons in those programs.

There is no way to "protect Medicare and Medicaid", as Senator Fetterman says is his condition for supporting Dr. Oz as the head of CMS, other than by collapsing the cost of medical care generally.  It simply cannot be done any other way because roughly four dollars in five spent in that program are not backed by a tax receipt and there no reasonable way to expect that expanding taxation for those programs by a factor of five could be sustained either politically or economically.

I have for more than a decade, and indeed all the way back to when I was running MCSNet in the 1990s, identified that the expansion of CMS as a percentage of GDP, in that the programs were established with the premise of about a 4% overall health care spend in the economy that has now reached 20%, simply cannot continue.

But additional cost-shifting into the private sector, which is rampant in Medicaid and is exploited among Medicare providers, cannot be sustained either.  This is choking the economy and driving uneconomic acts across the board including deficit spending, bubbles in the economy all over the place and inflation that cannot be hidden any longer or sustained.

Fixing that is not (directly) within the purview of either HHS or CMS except as relates to both agency's mandate, under statute generally, to not permit criminal acts of those it contracts with to be ignored.  Specifically, in the context of both Medicare and Medicaid payments made from firms for "compliance" with vaccine and other schedules are, legally, a kickback, explicitly barred under law and such conduct carries felony criminal penalties.  All such acts, including any other act constituting a kickback either form or substance must be prosecuted.

CMS can materially impact cost by, for example, paying bonuses for those people who successfully bring their blood sugar and body mass under control through the use of non-pharmaceutical approaches such as, for example, getting both seed oils and fast carbohydrates out of one's diet.  Objective proof in the form of lack of prescription drug use and documented metabolic results in the form of body mass reduction, glucose control, fasting insulin, hsCRP and blood pressure are all trivially and, with the exception of minor blood draws or finger-sticks for testing able to be shown on a non-intrusive and near-zero-cost basis.

Surprisingly Fox has come out with an article by a physician who echoes much of this.  Where he's wrong is on the statins; the lipid hypothesis has, at this point, been disproved and his adherence to that "religion" is likely why he has insulin resistance problems.  Simply put the problem is systemic inflammation, not cholesterol.  Getting seed oils out of what you eat makes a huge difference -- if you think not pay $200 for a Garmin Instinct that can do overnight HRV and check the impact on HRV yourself when you eat or do not eat them.  Note that it is basically impossible to avoid them in a restaurant so to do this test you must cook at home or be extremely careful if eating out; you can, for example, eat a steak but you cannot have a salad with dressing, virtually any bread or breaded thing or any sort of "butter", fried or grilled anything other than a fatty meat because all restaurants will use these oils rather than tallow, lard or butter for baking and cooking purposes because they're cheaper.  For the huge percentage of people, perhaps everyone, the amount you can consume of these substances without serious negative impact is zero and, incidentally, yes that includes infants and if you really want to freak out look at any bottle of packaged infant formula.  Enfamil and Similac, two common brands by means of example both have listed as their third ingredient seed oils; the amount that an infant, absent their use, would consume and that any mammal has consumed through history other than by our intervention is in fact ZERO.

Further, if drug use is permitted as a means of mitigation then all expense as a consequence of adverse events that have a legitimate risk in the use of said drugs and all costs occasioned by them including the drug itself and all expense due to adverse events or monitoring for same must be directly counted against any such results.  If this was done then statins, for example, would almost-certainly be off the recommendation list because they are a known cause of Type II diabetes and the cost of that, if and when it occurs, is more than the rather-dubious (known at this point) "benefit" from their use.  While punishing a provider for prescribing them is likely unwise if the provider is incented to do whatever works, where "works" is defined objectively both in terms of outcomes AND COST, said providers now have a reason to find and promote that which is cheaper and works rather than simply be paid to "do things."

Many of these changes can -- and must -- be made administratively but they then must also be codified into Statute so that physicians, hospitals and pharmaceutical companies cannot lobby this or a future administration to reverse these rules and screw people for money as occurred in size, and which put into stark relief exactly how prevalent and death-causing it was during Covid.

Yeah, fraud.

Not mistake.

Birx said the White House’s messaging surrounding the COVID-19 vaccine did not help matters.

"I think what has confused people is we weren't clear about what COVID vaccines do and don't," she said. "And so now people are questioning, well, what are my childhood vaccines do and don't. And they don't understand that some of the vaccines that their children are getting protect them from both disease and create herd immunity. And some of them that they get are just for their child, like H Flu and pneumovax to prevent their child from getting very serious illness."

No, actually Deborah, you and the rest of so-called "public health" have deliberately and maliciously lied about many of these shots.

What's worse, you not only lied you used those lies to support mandates that have no foundation in law or the principles of public health whatsoever.  And finally, and the reason all of you should hang by the neck until dead (after judgment and conviction, of course) is that those lies in fact put others at increased risk.

A thing is not a vaccine if it fails to induce sterile immunity.  That is, it not only makes you unable to become ill it prevents you from being infected in the first place and by doing so it also prevents you from unwittingly (before you know you're seriously sick) infecting other people.

A non-sterilizing shot or other preparation is not a vaccine because it does not prevent you from infecting other people.  It would at first blush appear to be exactly identical from the standpoint of a man in the choice to wear a condom during sex -- it reduces the risk of transmission of sexual diseases in both directions to and from his penis during the time it is worn and reduces the risk of him impregnating that specific woman during that specific act of sexual intercourse but it does nothing to prevent the woman from becoming pregnant by other than that individual sexual act with that individual man nor does it prevent any sort of transmission of a disease to or from anyone else or at any time and in any orifice other than during the specific time and for the specific act of sex.

Unfortunately a non-sterilizing shot is much worse than a condom, which is neutral in terms of risk to anyone else or at any other time, because it inevitably makes infecting others with said disease more-likely because if you can get and pass on the infection but do not get sick you have no idea that you are at risk of infecting others.  Since you have no idea you actually have and are capable of passing on the infectious agent you are MORE LIKELY to screw someone else -- up to and including killing them.

Birx knows damn well this is true and her refusal to honestly disclose same with regard to the covid shots meant that many people who were at higher risk were exposed to being killed, and some were killed, by a person who thought they were safe when in fact they were not only infected they were giving the virus to others.

Deborah both personally and deliberately, through multiple appearances in front of the microphone as the "helpful lady doctor", did not correct the record at any time, most-particularly when the shots were being "mandated."  She knew damn well that there was no legal or moral justification for any sort of mandate because, as she has admitted, she knew there was never any evidence the covid shots actually produced "immunity" of any sort; in fact the "trials" were deliberately designed so as not to test that capacity (and if they had been they would have failed said trial, which we now know conclusively.)

This is profoundly evil conduct that is worthy of capital punishment.

But more to the point of the Fox article and your little "conversation" in same is the fact that this fraudulent edifice is used to extort conduct from parents for the purpose of money in the doctor's offices as has been conclusively shown by "vaccine bonus" schedules from insurers, conduct that is both a kickback (and thus arguably illegal under federal and insurance law -- specifically in the context of Medicare and Medicaid 42 USC 1320a-7b(b)) and is absolutely illegal under 15 USC Chapter 1 as it is an attempt to force a tied sale (the shot, which you do not want) to get something you do want (access to a pediatrician for your kid.)  That has been illegal for over 100 years and carries felony criminal penalties -- specifically, 10 years in the slammer for each and every person so-involved, no matter the type or character of their involvement.

Whether that is or is not the cause for the meteoric rise in autism rates is a separate issue.  If that turns out to be true then everyone involved deserves to be summarily executed as the collective harm served up on Americans via this conduct is arguably worse than what the Nazis did during WWII and damn well ought to draw the same response.  But that's a separate discussion; the conduct is a felony on multiple grounds under long-standing federal law even if harmless medically due to its coercive nature and the monetary gains stolen by same.

These mandates must all be dropped and EVERY medical office and insurer who participate in any such "payment" scheme prosecuted to the fullest extent of the law, including not just fines but prison sentences.  Beyond being quite-clearly illegal these acts are utterly indefensible in a nation where access to these shots is essentially universal and, in addition, the type and character of each must be disclosed, those that do not produce sterile immunity or for which that cannot be proved must not be called what they are not ("vaccines") and those which are intended to or do eliminate, in some or all persons, symptoms while not preventing transmission must be fairly disclosed as increasing the risk of you giving a disease unwittingly to others.

I appreciate you coming clean about this, but that you've only done so now rather than in late 2020, even though you knew all of this at the time, certainly looks like little more than attempt to save yourself from a quite-literal risk of prosecution.

Fuck that; into the dock you must go.

All three.

House, Senate and Presidency.

There is thus no blocking of agendas.  No bogus impeachments.  No games.

Either tear down the medical monopolists and illegal invader problem -- all of it -- using existing statutory authority in 15 USC Chapter 1 and 8 USC 1324 and do it within the first few months or, by the time the House and Senate midterms start to be contested which is in the spring of 2026 Trump loses both.

The inflation monster is going to roar back on the field.  It matters not if you were responsible or not; if you're in the left seat when the plane crashes its your fault whether you put the water in the fuel or the idiot on the ramp did it.

15 USC Chapter 1 has been litigated to the Supreme Court in the context of medical care and insurance and found valid.  The defenses were attempted and failed.  I've pointed this out for more than two decades now but nobody wants to take it on.  You don't seek fines you indict and imprison doctors, pharmaceutical company executives, hospital CEOs and insurance firm officers, directors and executives.  Every person seeking medical procedure, drug or device must pay the same price for the same thing irrespective of their "insurance" or who is paying the bill, "insurance" companies may not interfere in any way in pricing or otherwise (but may set their own reimbursements after you got the bill) and you must consent whenever it is physically possible for you to do so before you incur the expense.  Read here; its all there.

On illegal immigration 8 USC 1324 is clear: Any entity or person harboring or assisting an illegal alien is subject to 10 or more years in prison.  No fines, no games, you do it you are indicted and go to prison with no exceptions.  I don't care what the excuse is -- its invalid.  Do it and do it now.  You do this and the entire problem is solved immediately because all the employers, landlords and state governments handing out gibs will stop as none of them are going to deal with a 10 year prison sentence and no, State government officials are not exempt from Federal Law.

There is plenty more but these two must be done immediately.  The collapse of pricing -- cost of living -- has to happen.  There is no way to catch up through wages which is irrelevant to anyone on fixed income anyway as the government cannot, and does not, actually index for (as an example) the doubling in food prices that has already happened in Social Security payouts.  Further medical cost is wildly in excess of anything Medicare can receive from taxes and Medicaid is a pure give-away.

The math is clear; real world inflation hasn't been 20% over the last three years and change it has been closer to 50% and in many things you must buy like groceries it has been a clean double.

But let's assume its just 25% -- a few points above the government's official claim.

2% "Fed Inflation" - 2% productivity growth (long-term average reasonable expectation) - 3% real wage increases (that's 5% in "current dollars" given a 2% inflation rate) = 3% per year "catch-up" so you won't for eight years assuming that the real inflation rate is in fact 2%.  If its 3% then the "catch up" time is 50% longer or 12 years.  If the real inflation was not 25% but in fact is 50%, and it is, then you'll either be nearing retirement if you're in your 20s today or dead, and that assumes that over that entire period of time there are no more inflationary bursts from any cause whatsoever.

In other words that's not only not going to happen it is inevitably going to financially destroy Americans in size and lead to a revolt of some sort -- whether peaceful or quite-possibly not, particularly when the cost of borrowing is going to continue to increase for the next couple of decades so if you, as an average American, are "charging it" you're going to financially blow up with absolute certainty long before you catch up.

Either we collapse the cost-of-living and accept what comes from that in the asset markets (and yeah, it will be serious) or in the midterms the Republicans lose both houses and that's the end of the show because the Democrats will not take those steps.  The root of the problem lies in these two places; there are plenty of others to be addressed but if these two are not done the rest doesn't matter.

Incidentally, if you want further evidence of the inflationary impact and how close the impending detonation is, and why it must be taken care of right now and criminal indictments must come in size, right now -- no excuses -- the single-month deficit spending was outrageous in October; last month CMS spending was up over 50% compared with the same month last year.  The internals were even more-ridiculous; benefit payments under the supplemental trust fund were 243% last year's levels -- almost 2-1/2 times and hospital payouts were at 209% last year's figures for the same month.

Last chance folks, and it literally has to begin with no excuses -- and plenty of felony indictments -- on January 20th at 12:01 PM.

Specifically, so-called "medicine."

There is only one proper set of roles for people in medicine and those consuming it as a service: Consultant and customer.

Why?

Because its your ass, not anyone else's, and nobody else can be held responsible for it other than by executing them when they get it wrong, which we're not willing to do.

Fixing this requires several changes in law and regulation.  The FDA's "enabling legislation" and its amendments (FDCA of 1906, Durham-Humphrey Amendment of 1951 and them the FDAMA of 1997) all are responsible for the interplay and segregation of drugs into two broad categories (OTC and Prescription) and, within the latter, there are scheduling issues in the Controlled Substances Act (which most people are aware of when it comes opioids and similar.)

In addition there is a body of civil legal constraint that has grown up around the current improper assignment of roles -- that is, physicians are assigned the duty of telling you what is good and what is bad but they bear only civil responsibility and only if they go outside of what some group calls "consensus."  The problems with this should be apparent but you can't fix one without the other as no physician is going to accept being a consultant with no authority and yet be saddled with legal liability, civil or otherwise.

As this has expanded beyond its original remit pharmacists have wound up with the capacity to refuse to fill a drug order they disagree with and this can be by extension; that is, it can be corporate policy of a pharmacy chain, not the pharmacists individual opinion, that they are then able to enforce.  Witness refusals to fill Ivermectin prescriptions written by a licensed doctor if, in the pharmacy's view, it was for a "wrong" purpose despite the fact that one prescription in five today is in fact "off-label" -- that is, for some purpose other than which the drug was originally approved.

This all has to change but it must change all at once, because again no physician is going to accept liability without some measure of control, so at the same time the control is removed so must the liability for other than affirmative acts.  That requires Congress to act; the Executive cannot fix this misallocation of roles and the deliberate perversion that came from it which is killing people by the hundreds of thousands a year.

We must keep, for example, liability for cutting off the wrong finger, toe, removing the wrong organ and similar acts.  In fact that should be in each and every case a criminal act, not merely a licensure or lawsuit matter, yet today it is not.

At the same time we the people must reclaim our agency, as adults, to direct our health status as we wish and accept the liability for same.  With the possible exception of habit-forming medications you must be free to both obtain them for no other consideration than money and to obtain, for no other consideration than money, any testing necessary and appropriate in your view to do so safely.  Further, irrespective of how you pay for it -- cash, credit or "insurance" -- the price charged by a given provider for a particular good or service must be the same.

This decoupling will instantly drive a stake through the heart of the physician monopoly networks and insurance companies that all conspire to tell everyone what must be done for any given person and condition.  It also will instantly stop the monetary and care blackmail which many have had experience with -- "take this set of shots or you're fired as patient", for example.  Allowing that and gatekeeping means collusion becomes force for you to do as some physician demands and that is already illegal under 15 USC Ch 1 as a force-tied sale so there is a huge cudgel (10 years in the slammer for your doctor) the Executive can wield to demand compliance.

Finally when it comes to various things sold under the FDA's licensing scheme the Food, Drug and Cosmetic Act must be amended to require that all ingredients in a given medication must be individually, through controlled trial, certified as to their adverse event risk at the expected exposure over the person's lifetime and on the recommended schedule in combination with all other recommended things and, in that context, be fairly and fully disclosed.  For example we have "vaccines" on the market today that use "adjuvants", or "immune stimulating boosters" (many containing aluminum) that have never been individually certified as to their long-term effects in the amounts of typical exposure over a typical childhood.  That something is safe in very tiny quantities does not mean it is safe when you multiply that same exposure by five, ten or FIFTY.  The current schedule includes fifteen different vaccines and all of them require multiple doses.  The raw count of "number" of vaccines has doubled since the mid 1980s and today's schedule requires FIFTY individual shots.

DTaP, for example, is a series of five doses and HiB requires four.  The adjuvants in any of those may be safe in one dose but are they safe at nine times that total exposure and thirty to fifty times when all other recommended doses are added in?

Nobody knows because nobody has ever tested it.  Indeed a newborn now receives close to thirty shots by their second birthday; are these doses of adjuvants and other "stimulants" safe in a newborn to two year old not as one dose but at thirty times the individual dose?

One shot of alcohol, for example, has very little risk of harming you but two fifths of liquor, which is what 30 shots constitutes, is almost-certain to kill you if taken all at once.  Everyone knows that's true for booze so why isn't it imposed on the manufacturers for everything else?

Every physician will tell you that this is "safe" even thought there is zero evidence that at this dose rate it in fact is safe.  What they won't tell you is that the insurance companies bribe them for compliance on a bulk basis with their entire pediatric practice in the form of a kickback for each patient.  This, by the way, is an illegal tied sale and thus a felony as it implicates 15 USC Chapter 1; you must take something you don't want (the shots) to get something you do (a consultation with the pediatrician) and if you refuse you will be fired as a patient.  Everyone involved in that must be told that they stop it right now or they're all going to prison -- no exceptions, no excuses.

Trump has roughly 100 days to get the medical monster under control -- and certainly less than one year because at that point the midterm campaign will begin and if Congress goes Democrat he becomes an immediate lame duck, never mind that the mandate for all new Presidents expires about that time irrespective of the margin unless confirmed in the mid-terms, which there is no guarantee of.

The childhood stuff is just part of it, of course.  Seed oils are another huge issue and again as with all things its a matter of dose.  That it is safe to eat kernels of corn off a cob boiled in water doesn't mean extracting all the oil from a bushel of corn and consuming that in the space of one meal is safe.  Nobody does or could eat an entire bushel of corn at one sitting yet on the math one bushel is about 112 ears of corn which yields about 12 ounces of oil.  One ounce of corn oil (e.g. retained in fried food cooked in it) would require you eat nine ears of corn at one sitting to consume the same amount.  This of course is so wildly beyond the amount you could actually eat at once that there is no possible way to map the safety of one (eating corn) to the other (eating processed corn oil) via indirect means.

I can tell you with absolute certainty that if I consume seed oils in any amount I can see the adverse effects in my Garmin data immediately and that those effects are both dose-dependent and 100% reproduceable.  Nobody has characterized this yet today the technology to do so for you, personally, is a couple hundred bucks on the lower end (the "Instinct 2") and you can prove it to yourself any time you're willing to stop listening to the person in the white coat without challenge to their claims or evidence that they're not full of crap and confront the very real possibility that their only concern is money -- and if you slow-poison yourself and fuck up your metabolic processes they will make a lot more money.

You think not?  Watch this and then tell me that physicians and everyone else involved is interested in anything other than money.  After all giving you cancer makes them a lot of money; that you are likely to die is not of concern to them:

Yes, ladies and gentlemen, that is how far this perversion has gone -- and not just here in America either.  This has to be fixed right here, right now -- it is bankrupting the nation and it has to be taken care of in a way that cannot be evaded -- and if anyone tries to evade it they have to go to prison (or worse.)  The good news is that the law already exists on the books to hammer everyone in the medical field with if they try to refuse.

You may worship men and women in white coats but all they worship, on the data, is money and the more they can nod and "agree" that you should do something that over the longer term will screw you, provided you can't see the adverse event instantly and thus blame them for it the more money they make and the more-miserable and sick you are.

Medicine must be returned to 4%, more or less, of GDP from where it is today which is approximately 20%.  This can only be done by removing all the gatekeeping and other anti-competition "features" in the current system, most of which  can be done without new law as existing law, specifically 15 USC Chapter 1, is sufficient to do a great deal of it if you start arresting and prosecuting on the basis of criminal felonies, not fines.  But make no mistake -- some of this does require legislation and to do so is not going to occur without lots of screaming because along with one dollar in five in the economy comes about one job in five too.

Yes, those jobs will get relocated into other areas of the economy -- but not in a day or a week.  In addition the lobbyists will scream bloody murder and people will of course claim everyone will die without the existing structure.  The pushback to this has to be that they killed your grandmother and either they cut this shit out or you're going to make them stop and you don't much care what has to be done to accomplish that.

Folks, we're out of time on this.  We are now in a generally-rising rate environment and while there will be times that rates go up and down the trend is now upward and will be for the next two to three decades.  This in turn means that debt levels must decrease or the nation will be destroyed.  We can no longer talk about a five or ten year plan, which has been the talk for three decades and has been a lie as everyone can see -- rather, we must do it right now and whether we like it or not this is where the problem is within the federal budget today.

Ed: If you want to see this column, and future columns, distributed it is on you to post the link to this column around on social media.  So-called "free speech" X has handed me a 7 day suspension for telling the AP to stick their recommendation to get more covid jabs in their own butts, deeming that "violent speech."  This is what "AI" is capable of today -- no more "intelligent" than a two year old, and its no better at driving a car than that either, but this is the world we live in where someone's computer will blackball you with no human review of any sort and no right of appeal (incidentally, you might think about that before riding in or owning a car with that garbage in it as yes, that data IS SOLD to others who will fuck you in the ass with it), so if you want to see these ideas propagated, its on you.  I will be looking at the linkbacks which will tell me whether its worth continuing to write these columns from organic activity, that is people like you, spreading them around.  That which nobody reads there is no reason to write and publish -- I can go ski and drink beer instead this winter, should that be the decision of the polity at large.

Medicine is no longer "medicine"; it has been irredeemably corrupted in the United States.

Only severing, with prejudice, the source of that corruption can resolve this.

Witness this article from 2015:

“A lot of what is published is incorrect.” I’m not allowed to say who made this remark because we were asked to observe Chatham House rules. We were also asked not to take photographs of slides. Those who worked for government agencies pleaded that their comments especially remain unquoted, since the forthcoming UK election meant they were living in “purdah”—a chilling state where severe restrictions on freedom of speech are placed on anyone on the government’s payroll. Why the paranoid concern for secrecy and non-attribution? Because this symposium—on the reproducibility and reliability of biomedical research, held at the Wellcome Trust in London last week—touched on one of the most sensitive issues in science today: the idea that something has gone fundamentally wrong with one of our greatest human creations.

"Something"?

Let's talk about the basic issue: Science is not a result or a statement of fact.

It is a process whereby one first begins with a hypothesis (that is, a belief or theory), one designs one or more experiments, hopefully to try to disprove said theory although attempting to prove it is also acceptable, data is collected and analyzed and then results reported publicly.

You might think that is where it ends.  You're wrong.

Replication by disinterested and even hostile parties is next.  The first experiment means literally nothing from a scientific point of view because there's no proof you didn't tamper with it.  If the hypothesis is proved its even worse if you were the one who stood to benefit from that.  That is, human corruption has to be filtered and the only way to do that is to have disinterested or even hostile parties confirm what you found by repeated running of, and examination of, your experiment.

We don't do this anymore when it comes to "medicine" and we don't even bother attempting it when it comes to other things such as "climate."

As a result trillions is stolen and people die.

Nobody cares about the dying part either -- only the money part.

At the core of this corruption is the money motive and over 120 years ago Congress recognized that men and women would corrupt the various areas of commerce by all sorts of means, every one of them foul, and by doing so ultimately destroy what had driven an incredible burst of progress in this nation called America.  They recognized that the patent and similar laws, passed to incentivize inventing things, could be perverted if you had a way to choke supply and demand so that those "protected" things were perversely required and others deliberately downplayed or overlooked -- or worse, outright prohibited.

They passed 15 USC Chapter 1; the Sherman Act was first, quickly evaded and Clayton followed to make clear that this was not a paper tiger and a line of BS; it was a deadly serious felony for which you'd go to prison.

Robinson-Patman followed stating that in the context of goods buyers of like kind and quantity could not be discriminated against.

These laws have been on the books for over a century.

Virtually every single medical office, every pharmacy, every pharmacist, dentist, hospital and physician violates them every day.

They're 10 year federal felonies, not a jaywalking ticket.

Simply put its illegal to charge different people different amounts of money for the same thing -- like kind and quantity.  As soon as you collude in an attempt to prevent, irrespective of the means, competition on price you've broken the law.  If you obscure the price of a procedure or thing so that it is effectively impossible for a consumer of that thing to shop before purchase, you tie sales together so I have to take (and pay for) something I do not want to get something I do want, or you charge me $2 for something you give to someone else for $1 where we both wanted to buy the same thing under the same set of circumstances you have broken the law; you are a felon.

More than forty years ago the Supreme Court ruled (in Royal Drug) that insurance companies are not allowed to "negotiate price" on a differential basis and that McCarran-Ferguson, another law exempting insurance companies from some aspects of anti-trust, did not apply because "purchasing agreements with vendors of a thing" is not the business of insurance.  It is, in fact, nothing more than attempting to negotiate a volume transaction.  That decision was confirmed a few years later in Maricopa County when the medical providers tried once again to circumvent 15 USC claiming that there was some special aspect of it when an insurance company was involved.  They lost the second time as well.

The only way to fix this, short of simply shooting everyone who is financially raping the American public to the tune of trillions a year via these felonious schemes that twice have been ruled illegal at the Supreme Court and which call for 10 years in the federal slammer for each person who commits said offense is to mandate (and start throwing people in jail if they won't do it) that all persons must be charged the same price for the same thing consumed by a single person in the medical and pharmaceutical industry and "insurance" must be prohibited from coupling paying, provision of service and similar.

This is one of the core holdings in the plan I have promoted for over a decade.

Insurance companies can legally set a "payment rate" of $x for some procedure but they can't condition that on you going to a specific provider as that is an illegal restraint of trade and monopolist practice; if the payout rate for an appendectomy is $5,000 then it has to be no matter where you have it done because you are the principal -- not the insurance company.  Likewise the hospital has to publish each and every thing in a way that the ultimate consumer which is you, not an insurance company, can determine the cost of a procedure with certainty before you obtain it.  Charging someone for a thing they did not agree to is void under long-standing consumer protection laws.

Further 15 USC Ch 1 absolutely bans the payment of "incentives" (bribes) by insurance companies to physicians or hospitals on various metrics -- for example, payment for vaccination rates.  That amounts to an illegal force-tied sale that is shoved down the customer's (patient's) throat under penalty of being fired, and a thing they may not want and once again is not "the business of insurance"; and again the Supremes so-ruled in Royal Drug.  This practice, which is near-universal and was extended to covid shots, is illegal and it is a criminal felony carrying 10 years in prison for not just the insurance company executives that put it in place but also every individual physician who complies with and benefits from it.

Medicine has one very specific circumstance that doesn't arise in general with other services: You might be flat on your back and unable to shop or negotiate.  In every other line of work abusing a person of diminished capacity is a further felony -- in medicine its how money is made.  This must change and such an offense must be dealt with through extreme prejudice, including permanent license revocations, prison sentences and forced disgorgement of all assets obtained by such a practice.

This isn't a "radical proposal"; in fact all of it was mandated by the Supreme Court more than forty years ago.

If our government will not enforce the law and by deliberately refusing screws the American people out of trillions of dollars per year there is absolutely no reason for the American people to peacefully permit that to continue for even a single day.

Actuaries compute the value of human lives every day; the medical and "health insurance" system violates those limits  on a wild-eyed basis every single hour and by doing so commits offenses sufficient to call for the imposition of the death penalty.

We cannot fix a system that has designed itself to be corrupt other than by removing those capacities.  Those who have and are profiting from this will, of course, resist such a change and have for decades.

We're no longer in a position to ignore this problem as, at the present time, the entire budget deficit and thus the entire inflationary problem in the United States is driven by CMS, which is in fact Medicare and Medicaid, and further medicine generally has expanded from about one dollar in 20 to one dollar in five over the last several decades, with virtually all of that expansion being stolen.  We are talking about six trillion dollars a year in the United States alone and if there is a monetary theft that is worthy of forcing to stop no matter how or what people must to put a stop to it -- this is it.

This is Trump's first and most-important job because the entire Federal Budget Deficit lies here, there is no other way to fix it than to dismantle the medical monopolies and he can do it without a single new law being passed by prosecuting every single hospital and pharma company that prices on any sort of differential basis and arresting, charging everyone involved with a 10 year in the prison felony, who does not immediately implement 100% level pricing all disclosed up front and with every link to so-called "insurance" severed.

THIS IS THE PATH OUT OF THE MELTDOWN and note the date it was written.  No, we cannot avoid the hit to GDP and unemployment in the short term that fixing this will cause.  It will come but we can avoid the destruction of the medical system entirely and the destruction of the federal government's funding capacity.

IT MUST BE DONE ON TRUMP'S FIRST DAY IN OFFICE AND NOTE THAT NOT ONE NEW LAW IS REQUIRED AND THUS CONGRESS IS NOT ONLY NOT REQUIRED TO DO ANYTHING THEY CAN'T STOP IT EITHER.