The intersection of medicine’s pseudo-reform and government tyranny

American medicine will suffer untold losses of quality because we let power-hungry bureaucrats practice medicine without a degree. Photo: Thomas Jefferson

“The contest is not between Us and Them, but between Good and Evil,
and if those who would fight Evil adopt the ways of Evil, Evil wins.”

–        Thomas Jefferson

SAN DIEGO, February 15, 2013 – American medicine will suffer untold losses of quality and many will die unnecessarily, not because we did not care but because we let power-hungry bureaucrats practice medicine without a degree. Nowhere is this more evident than in the ‘Affordable Care Act’ health care reform legislation.

In this column’s 2012 piece, Obamacare and the Federal Abuse of Power, the following points are made:

“At its premise, Obamacare claims that ‘universal insurance’ = universal access, but we know that this is not true. Obamacare further claims that the widespread use of ‘preventative care’ will translate into better health. However, as reported recently in the Wall Street Journal and elsewhere, the huge Cochrane study of over 180,000 patients (in nine separate research venues/studies) revealed that there was no benefit from routine, across the board, screening and exams.

Obamacare will dump millions into Medicaid. Government subsidies will translate into government approved ‘coverage’ and, after about a decade, most people in America will actually end up in some form of government-sponsored insurance plan. But, even in this grand new era of national health coverage, millions of Americans will remain uninsured and millions will lose their employer-based health plans altogether. Will Medicaid actually deliver on good medical care?

It is an accepted fact that, under Obamacare, premiums will rise. Medicaid roles will increase by an estimated 17 million people, and yet the money to support Medicaid (and doctors to see these patients) will not be adequate.”

Facts about Obamacare:

1.  Obamacare assesses 18 new taxes and penalties for a total of $836 billion in additional fees to consumers through the year 2022. Note that 70% of those paying the Obamacare individual mandate tax will actually earn less than the 400% FPL (Federal Poverty Level) and 10% of those paying the individual mandate will be below the poverty line.

2.  Cuts to Medicare from 2013 through 2022 will total 716 billion. These are comprised of a $269 billion cut to hospital services, $156 billion in cuts to Medicare Advantage programs, $145 billion to DHS payments and other Medicare provisions, $66 billion to home health services, $39 billion in cuts to ‘other services’, and $17 billion to hospice services.

3.  Beginning in 2014, there will be $106 billion in new costs to employer-mandated coverage; $102 billion in annual fees on health insurance providers, $55 billion in the actual individual mandate to buy health insurance; and in 2018 an additional $111 billion in excise taxes for ‘Cadillac’ employer health plans. From 2013 to 2022, 13 other taxes will add an additional $144 billion in taxes to consumers.

“Find out just what the people will submit to and you have found out the exact amount of injustice and wrong which will be imposed upon them; and these will continue until they are resisted with either words or blows, or with both. The limits of tyrants are prescribed by the endurance of those whom they oppress.”
— Frederick Douglass, civil rights activist, Aug. 4, 1857

At, the following definition is offered for ‘usurpation’:

Usurpation is the exercise of powers by an agent which have not been delegated to him by the principal. In a constitutional republic like the United States of America, acts by officials are legitimate only if they are consistent with and based on a constitution, a body of laws which are superior to all subsequent statutes and other acts of officials, which embodies all delegations of power, and which may recognize certain rights to further define the limits on the powers delegated.

In an August, 2012 Forbes article, Grace-Marie Turner makes the following comment about the reliance of Obamacare on the questionably safe (or practical) expansion on Medicaid to care for the poor:

“Many states that plan to expand Medicaid under ObamaCare are those with low Medicaid reimbursement rates.  In California, for example, up to 1.6 million residents are expected to gain coverage under the state’s Medicaid program, called Medi-Cal, but fewer than 60 percent of providers accept new patients in the program.  That’s largely because California reimburses doctors 38 cents for every dollar private insurance pays.  New York, which is anxious to further expand its Medicaid rolls, pays doctors only 29 cents on the dollar.”

At the end of the day, our government has slowly eroded freedoms granted to us, as U.S. citizens, in the name of expansive ‘benevolent’ government. We are told that government controlled healthcare will improve our lives, but each new facet of the new health care reform law that is revealed demonstrates a different motive by those in power altogether—namely more control over the lives of American citizens.

The government has thrown enormous amounts of money at institutions and individuals and charged them with certain job-related duties, many of which have little if anything to do with the stated goal of their agency or department. Self-aggrandizement and personal career promotion many times have trumped decency, liberty and freedom.

The problems with Obamacare have just begun. They began by ignoring the will of a democratic majority, are now progressing to the phase of trampling on the rights of individuals who speak out or threaten the perception that the government knows what it is doing, and will end in a serious abrogation of personal, human, and civil rights.

“The spread of evil is the symptom of a vacuum. Whenever evil wins, it is only by default: by the moral failure of those who evade the fact that there can be no compromise on basic principles.” - Ayn Rand

Doctor Adam Dorin is a private physician practicing in Southern California. His non-profit America’s Medical Society is dedicated to bridging the gap between government-sponsored ‘top-down’ dictates on health care politics and the common sense practice of medicine at the bedside. As a result of his outspoken activities and writings on healthcare safety and security, medical politics, and healthcare reform, Doctor Dorin has himself been the subject of government harassment and politically-motivated abuse. 





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Adam Frederic Dorin, M.D., MBA

Doctor Dorin is a Hopkins-trained, board-certified anesthesiologist, practicing in a large group in San Diego. He is a small business owner, a Commander in the US Navy Reserves, and the Founder/President of America's Medical Society, Inc., (AMS) a non-profit corporation created to serve and educate physicians and the general public in matters of national health-care reform and medical politics

Contact Adam Frederic Dorin, M.D., MBA


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