But It’s Free

One thing that I hear all of the time from patients and even fellow heath care workers is how the US health care system is broken because it is expensive, yet my fellow workers all say that we are underpaid for what we do.

Medical care is a finite resource. Therefore, you cannot give everyone all of the care that they desire or need. There has to be a way to ration care. In the US, we do that through cost. If you want more or better care, you pay more for it. In many other countries, the oes with so-called “free care,” they ration it by allowing government officials to decide who gets care when. That’s how a woman in the UK with a mass on her ovaries is forced to wait 9 months to have it removed, only to discover that it has become cancerous, which results in a complete hysterectomy and a long course of chemotherapy.

Heath care isn’t cheap, especially when you demand that the people performing it have to be flawless in its execution. Everyone involved in the delivery of care from the janitor, to the nurse, the technicians, and the doctor have to have high levels of training. That raises costs. Starting nurses are making $75k a year in my area, and yet there is still a shortage. With 5 or more years’ experience, nurses in certain specialties are making more than $100k. Florida has pushed a lot of people to go to nursing school and even subsidized people in attending school, yet all this has accomplished is to increase the failure rate of the nursing exam.

Pay is set by market forces- employers pay for good employees. When demand is higher than supply, market forces cause a bidding war for the product- in this case, nurses and other highly skilled workers, which causes pay to rise. We are seeing that here in Florida, and have been since COVID. Nurse pay is rapidly increasing. My employer recently announced a 20% increase in shift differentials and a 5% raise in base pay for nurses.

Your only other choices are:

  • Lower standards. This will allow you to pay less, and also allow the hiring of more workers, albeit at a lower skill level. The cost is more accidents and medical mistakes.
  • Ration care through waiting lists. This is the path that many nations like Canada and the UK have followed. The cost here is people dying while on the waiting list.

There is no such thing as a free lunch. There is a bill to be paid, the only question is how it will be paid. No matter what, someone is going to pay these workers. The patient can pay for healthcare at the point of sale, or everyone can pay for it when it is deducted from your paycheck, but we are going to pay for it regardless.

Grift

Emily Brown is a government contractor. For the past 18 years, she has made a living working part time, billing the government $3700 a month. For 2025, she had three contracts lined up that would have totaled $63,000. What does she do for them?

Her contracts have her traveling to Albania and Ghana to “conduct research on the barriers that girls, women, persons with disabilities, and others face in accessing secondary education in Timor Leste and Gambia.” In other words, she was performing bullshit make-work.

We have entire school districts here in the US where not one student demonstrates reading comprehension. Reading comprehension and literacy in the US is at an all time low. There is no need to go to other countries to study that phenomenon.

This entire article is supposed to make us feel sorry for her and angry at Trump for putting a stop to the wasted tax dollars like this. This is what I voted for, to stop this stupid bullshit.

Liars

I read this story about a former firefighter in the Keys who has been accused of making bombs. The cops found him with what they called an unregistered short barreled rifle. I don’t trust cops to know a machine gun from a shoestring, so there is that. Maybe it was a pistol AR with a brace. Because they could see part of the rifle in his backseat, they arrested him for open carry. So much for the incidental exposure part of the law, eh?

They used the short barreled rifle as an example of a threat to the public to get a red flag order, which they they used to get a search warrant for his house. Inside, they found “dozens of firearms” and more than 10,000 rounds of ammunition. They also claim to have found bombmaking materials.

This sort of breathless fearmongering sets off my bullshit detector. We all know the ATF lies to make headlines. Read about this Navy guy who got 20 years for possessing unregistered NFA items when the ATF was able to replace the firing mechanism for some replica devices with the firing mechanism from real devices, which enabled them to fire them.

Now ask yourself if someone could take all of the items in your house and spin a tale of you being a danger to society. Do you have lamp timers? Pipe? Gunpowder? Fertilizer? Constructive possession, in the eyes of the ATF.

Teens

A pair of 19 year old high school freshmen – read that again- 19 year old high school freshmen decided that they didn’t like something that their teacher told them and decided to ambush and beat him.

It happened in Broward county, which is one of the most left leaning counties in Florida, the site of a lot of election shenanigans. Of course it was the usual suspects, Amish Norwegian teens, in a Democrat stronghold, demonstrating that you can’t stop certain demographics from doing what they do.

When his defense attempted to ask for a reduced bond because McClover was on track to graduate and his mother would be unable to afford his bond, the judge had some harsh words.

“Counsel, he and another individual, without any provocation, walked up and started punching a teacher in the face, beating him,” the judge said. “He’s a danger to the community. $15,000 bond. Have a good day.”

Conversations

I recently had in depth conversations with a couple of my patients. They were quite topical. The first one was a conversation that I had with a retired Army Warrant Officer whose job it was to fly Blackhawk helicopters. One of his postings was to the same unit that the helicopter that was involved in the recent collision between an Army helicopter and a civilian airliner.

His thoughts were that the crew was wearing NODs while flying the aircraft. If you have ever worn those devices, you know two things- you lose depth perception, and any lights you see tend to look like any other lights that you see. This area, according to him, is very busy airspace with a lot of things going on, lots of lights on the ground, and lots of aircraft with lights flying around. The helicopter was flying higher than it was supposed to, and for these reasons, the oncoming airliner’s lights likely blended into the background.

My thoughts on this, is that if this airspace is that dangerous, the military either needs to no longer be permitted to fly in that area, or if it is determined that national security requires them to still fly there, then the airport needs to be shut down so civilians no longer fly in the area. It’s the only way to be sure this won’t happen again.

The second person I spoke with is a poultry farmer from Kentucky who told me that he hasn’t had any problems with avian flu. He has over 20,000 egg laying birds, and not one case of any sickness.

My opinion here is that this was a problem created by the outgoing Biden administration to screw with Trump. This is another fake pandemic.

Rent

When I got divorced in 1997, I was making $1000 every two weeks. I lost $280 in taxes, leaving me $720 every two weeks. Following the state law formula, the court ordered that I pay $348 to my ex wife, nominally for child support, leaving me with $720 per month to live on ($372 every two weeks). The support was taken from my check before I even saw it so I wouldn’t be a ‘deadbeat dad.’ The rent on my apartment was $600 for a small one bedroom, making my rent more than 80 percent of my take home pay.  I was soon homeless and without a car, moving from couch to couch at the homes of friends. 

I understand feeling down when this happens:

The difference is that I didn’t stand in my kitchen, filming myself crying before posting it to social media. Instead, I did what a man does- I figured out a way to deal with it. In this guy’s case, he set up the camera, set the scene, then cried on cue. This isn’t genuine emotion, this is a man child looking for someone else to come and take care of his problems.

I got a second job, picking up garbage after the Shamu show at Sea World. I walked, rode a bike, and took the bus. I wouldn’t eat for several days at a time. I lost 30 pounds that summer. Two months later, I bought a car at a “buy here, pay here” place. I wound up living in that car for another few months. I was eventually able to get an apartment by moving in with several roommates.

There are different ways to deal with disappointment. You can sit around and cry about it while asking daddy government to come and fix it, or you can fix it yourself. It’s OK to bitch and complain a bit, but at the end of the day, your problems are yours to fix.

Most of us were poor at some point. Get roommates. Get a second job. Get a cheaper apartment.

What Could Go Wrong?

Take 6 black men, a Muslim, a Black woman, and Asian woman, and a white woman. Put them in an isolated research station on Antarctica. What could go wrong?

That’s right- violent crime is up 100% across the entire continent. The only white woman within thousands of miles has been raped and is calling for help that can’t arrive for another six months. There have been assaults, death threats, and there is even a report that someone’s bike has been stolen. (OK, maybe not the last one.)