Our Future in Healthcare?

Anyone who thinks that centralized, socialized healthcare is a great thing only needs to turn on the television set and look to the United Kingdom with regard to their current healthcare problems.

Anyone who thinks that centralized, socialized healthcare is a panacea that will solve our problems only needs to watch Prime Minister’s questions as their parliament debates healthcare in the United Kingdom.

It’s not a bowl of cherries.

It’s not a bed of roses.

They haven’t discovered the holy grail to healthcare.

People in the UK are not uniformly happy with the healthcare they’re getting.

What’s going on over there now is that nurses are going on strike.

They want more pay.

It’s creating quite the controversy.

Operations are being delayed.

People are upset.

What are they to do?

Well, you can’t have your cake and eat it too.

You can’t have centralized healthcare run by the government and not have countrywide strikes.

Big government invites big business and big labor.

There are no two ways about it.

If you don’t want countrywide strikes you have to decentralize your healthcare.

You have to break up the big corporations who are benefiting off healthcare.

Because big corporations siphon off huge amounts of dollars by virtue of the fact that they are buddies with their friends in the government there is huge waste of money in their healthcare system. Ours too.

That leaves less money for the workers.

It also means that services have to be cut back.

What ensues is a penny-pinching system for the poor and middle class, but a bonanza for the rich money grubbing corporations.

That’s our future here in the United States.

It used to be in the United States that healthcare and its attendant services were readily available.

You could get an operation at any time. You could get an MRI at anytime. You could get lab at any time.

That’s not the way it is now.

Increasingly it is becoming more difficult to get healthcare in the United States as insurers make patients jump through hoops to get their services.

That’s not what we want. We don’t want to become the UK.

We want the government to have less control when it comes to financing healthcare.

We want the government to do what it does best: regulate (and I don’t mean phony regulation designed to stamp out the small guy).

We want the government to stop doing what it does worst: financing.

Our solution is their solution.

They need to break up their large pharmaceutical corporations in order to drive pharmacy costs down.

They need to break up their large hospital system into a series of independent hospitals that compete with each other for healthcare services.

They need to limit the size of their hospitals while allowing the free market to create more of them.

They need to limit the size of all the corporations that are involved in healthcare.

Healthcare is not a place to get rich.

Healthcare is not the same as the Ford Motor Company.

Healthcare is a place where you can make a nice amount of money.

There is no place for Warren Buffett in healthcare.

There is no place for any billionaire in healthcare.

There is no place for crony capitalists in healthcare.

There is no place for poorly educated Wharton School graduates in healthcare.

There is no place for ignorant CEOs who say things like this: “At Iroquois Foods, we have a saying: If you don’t grow, you go.”

Nor is there a place for the ignorant, stupid Harvard Business School graduate, who says: “The purpose of a business is to make money.”

Veto, veto, veto, you big idiot.

Healthcare is different than other businesses.

You can’t possibly equate healthcare and the auto industry.

Your car dealer is only too happy to sell you the most expensive car. Whether you can afford it or not is your problem.

Healthcare is different.

Our job in healthcare is to get the patient better.

A patent’s financial condition is part of their health. For that reason, we have to be cognizant of providing inexpensive, affordable and accessible healthcare for people.

That means we can’t rape the people financially as the large corporations do.

We can’t put them out on the street with expensive healthcare costs.

We also can’t ration healthcare.

Nor can we strike across the country whenever it suits our fancy.

The only way to do that is to decentralize healthcare under sensible controls set by the federal government.

It’s not the government’s job to make crony capitalists rich.

It’s the governments job to create a level, competitive playing field which provides affordable and accessible healthcare for all.

That doesn’t exist in the United States.

Nor does it exist in the United Kingdom.

And if you don’t believe me, turn on Prime Minister’s questions.

What you see is going on there is our future unless we make sensible changes right now.


Archer Crosley

Copyright 2022 Archer Crosley All Rights Reserved

Bye Bye Miss American Pie

Our beautiful federal government has offered a sweet deal for rural hospitals.

Are you ready for this?

Shut down your inpatient services and we will give you a pile of cash.

Patients living in the rural area who need inpatient services will be ferried, I presume by helicopter, to larger cities.

The federal government’s rationale is that costly inpatient services are draining the amount of money that could be spent on outpatient services.

What do you think of that?

Rural hospitals are somewhat nervous about accepting this deal.

They should be.

It’s a thinly veiled attempt at establishing and furthering a national health service.

It’s also a euthanasia service in disguise.

Rural hospitals are worried that larger hospitals in the city will be unwilling to accept their patients.

They fear that the larger hospitals will become packed to the gills during various pandemics.

They are right.

Not only that, our federal government, true to its nature, will put in all sorts of regulations and requirements that will delay or deny such transfers.

As I say, it’s a disguised euthanasia service.

Thousands upon thousands of elderly people will die through neglect, but not before the crony capitalist pigs who control the corporations have siphoned every last dollar out of them.

After all, these rural elderly aren’t human beings to them. Instead, they are product – raw material whose value must be maximized. Does this sound remotely like Robert McNamara and his approach to the Vietnam war – a war that was never meant to end, a war that existed to make money? It should, because many of the people who run our country today are disciples of Robert McNamara. They love the guy.

And they were trained at the same fascist business schools.

Eventually, the elderly and other rural patients will be transported, but of course, in a more weakened state. This will, of course, allow the hospitals to put them in the intensive care unit for a greater number of days so as to maximize profits.

Naturally, of course they will die in greater numbers.

Now, a normal person and a normal doctor would say: an ounce of prevention is worth a pound of cure. They would recommend treating the patient as expeditiously as possible in the rural area. They would also recommend breaking up the large corporations that are profiteering off healthcare, those being in the hospital and pharmaceutical industry, so as to create more competition and bring costs down. This would allow rural hospitals to survive and thrive as they did for many, many decades before the “smart guys” in the Harvard Cabal put their death grip upon America.

A normal person and a normal doctor would see this as a better solution. They would think this because their goal is to enrich and prolong human life.

But of course, this will not happen, and so many many people will die.

In the future, politicians will wail: Nobody knew.

Well, I’m telling you now.

The Third Reich never died. It was merely transported over to the United States of America.

What you have in charge of this country is a corrupt and elitist Harvard Cabal, greedy fascists to the core, who think of themselves as the smartest guys in the room.

They and their Ministry of Health and Central Planning will now make decisions for you.

Part of their plan is to cull the human population of less productive people.

That means the elderly. They are a drain, don’t you know.

Our leaders in the Harvard Cabal are a little bit more sophisticated than Adolf Hitler though.

They’re not going to send them to the gas chambers.

No, they’re going to invent viruses and pandemics that will wipe them out.

And, they will come up with crazy ideas like having rural hospitals shut down their inpatient services.

That’s what central planners do.

It’s done in the name of profits.

And, of course, the public good.



Archer Crosley

Copyright 2022 Archer Crosley All Rights Reserved

Evidence-Based Lies

As I’ve stated many times before, Harvard University is the enemy of our liberty and freedom.

It is also a threat to any reasonable quality of life. Examples are boundless. Today I will talk about evidence-based medicine.

Recently an article appeared in the British Medical Journal entitled: The Illusion of Evidence Based Medicine.

In a nutshell the authors argue that corporations have corrupted the professors and in turn their studies that evidence-based medicine promotes as truth.

As a pediatrician this is not surprising to me.

About a decade ago, cold medicines were being promoted by insurance companies, and the supporters of evidence-based medicine, as being useless to children.

Evidence-based medicine, the insurance companies claimed, proved that the cold medicines were not really working.

There was no shortage of puppets in academia who went along with this.

I found this confusing because moms had been telling me for decades that certain cold medicines worked. They would make comments like this: “Well, the medicine worked for a few days, then wore off.” This made sense to me as the body will in many cases acclimate to a medicine. Moreover, it told me that the medicine initially did have effectiveness.

Additionally, I had tried out many of these medicines myself over several decades. So I knew from first-hand experience that the medicines worked.

Nevertheless there was no shortage of academic puppets who were telling us that these cold medicines weren’t working in children.

Well, I asked myself, why wouldn’t they work? These cold medicines are working on basic cell receptors which are essential to life itself.

It would be inconceivable that babies would be born without these receptors.

I reluctantly concluded that evidence-based medicine was a sham that was being used by insurance companies in order to justify not paying for medicines. After all if the insurance company doesn’t have to pay for a medicine, it makes more money for itself and its executives.

To be honest, I never liked the term evidence-based medicine in the first place.

This term came into being more commonly in the 1990s after I had finished my training.

I took offense to it.

I asked myself: “What were we practicing before? Fantasy based medicine?”

Yes, it’s true there was a lot of quackery in the field of healthcare, but I did not notice much of this coming from regular doctors.

Even back in my training I remember doctors questioning many of the quack medicines that were being put out by Corporate America.

It seemed to me that the quackery was coming from Corporate America.

Medicines like Baby Percy should have been eliminated from supermarket shelves decades ago.

Yet, evidence-based medicine was not used at all to remove these products from being sold.

Evidence-based medicine was being used to remove valid medicines from the doctors prescribing arsenal.

What does that tell you?

Enter David Sackett.

David Sackett was a physician, Harvard trained, who was a prominent early pioneer of evidence-based medicine.

This is not surprising to me that he was trained at Harvard.

You wouldn’t have heard of the name David Sackett if he hadn’t gone to Harvard.

David Sackett wasn’t the pioneer of evidence-based medicine; Harvard University was the pioneer of evidence-based medicine.

David Sackett was merely the vehicle that Harvard University used.

If David Sackett was a small time doctor, non-Harvard trained, sitting out in the middle of nowhere, writing articles calling for the elimination of quack medicines on supermarket shelves, you would’ve never heard of him.

He would be like me, unheard of, not permitted to speak.

But he was permitted to speak. And that should tell you volumes.

Harvard is first and foremost an agent of the empire.

Harvard exists to promote the domination of the corporate wealthy elite over the world’s population.

That’s why Harvard exists.

Harvard accomplishes this by training and promoting the officers of Corporate America.

Implicit in this training is that such officers will promote corporate interests.

Perhaps David Sackett had good intentions when he attended Harvard.

Perhaps you have good intentions as you attend Harvard.

Well, let me tell you something, Mister. You aren’t going to change Harvard; Harvard is going to change you.

Whatever good idea or good intention you may have, Harvard will find a way to twist that and use it to further corporate interests.

This is the problem we face today.

We now live on Mr. Darcy’s slave plantation.

Mr. Darcy, Mr. Darcy, Mr. Darcy.

Fuck Mr. Darcy.

Harvard works to promote corporate interests that work against us, our health and our welfare.

The university must be destroyed.

Debunking evidence-based medicine is a good start.


Archer Crosley

Copyright 2022 Archer Crosley All Rights Reserved

CalCare: DOA

Will CalCare work?


CalCare is Governor Gavin Newsome’s ambitious plan to cover healthcare for all Californians.

Assuming it does pass, it will work poorly, escalate healthcare costs, and cause a further widening of the wealth gap between rich and poor.

That it will do so is a mathematical certainty.

It will do so because in a government run healthcare system decisions are often made not in the best interest of the patient but in the best interest of the politician’s friend.

You can expect cavernous clinics in the middle of nowhere that sit empty.

You can expect a massive surplus in hospital supplies that are unnecessary.

You can expect programs and projects within CalCare to teeter on the edge of bankruptcy.

The fraud and waste will be incredible.

Complaints, emergency meetings and stopgap funding will become the norm.

Expect the likes of the London ambulance company and its 45 minute response times.

It can’t be anything but this.

Ultimately single payer in California will pass.

It will pass not because its time has come, as the politicians will crow.

Nor will it pass because it’s the best thing for the people.

It will pass because the wealthy thug elite will have already laid out a plan to rape the system bare.

Fraud will be in the cards.

It’ll be a done deal.

That’s the future we face in the United States today.

It doesn’t have to be that way.

If California truly wants to provide affordable and accessible healthcare for everybody, all it needs to do is to create a competitive healthcare marketplace.

This would entail breaking up the large healthcare monopolies and insurers.

It would mean breaking up large pharmaceutical conglomerates.

These current corporations are bloated, ossified dinosaurs that make an aged and overweight Elvis look like a ripped stud with a chiseled six pack.

Competition works!

Only with true competition can you get better quality of care at a cheaper cost.

Currently we don’t have that.

Thus far politicians have been unwilling to spend the political capital to take on the large corporations.

Indeed, they are puppets of the large corporations.

That’s the way it is.

And that’s why CalCare will fail.


Archer Crosley

Copyright 2022 Archer Crosley All Rights Reserved

Mother’s Medicine

My mother wants to tell you something.

She wasn’t a doctor, but that shouldn’t matter.

She should’ve been.

She could’ve been.

She could’ve taught those “fine” professors at the Mecca how to treat their students.

Had she been in charge, the first thing she would’ve done was tell many of them to go away.

Mom: If you can’t treat people nicely, why should you even be here?

She would have put a stop to their unwarranted and unsolicited condemnations.

Too many professors there believe in the whip.

Cruelty with a purpose. That’s what Trevor Howard, the ultimate British villain, the benchmark of British villains, playing Captain Bligh in the film Mutiny on the Bounty, said.

Those misguided professors believe that George S. Patton was correct in slapping that soldier in Italy around.

They really do. They believe that their humiliations and debasements will inspire their students to do better.

They are wrong.

My mom didn’t value smarts and know-it-all-ism as much as she did congeniality.

That is sadly missing in American healthcare today.

Indeed the current day Mecca drums the niceness out of doctors.

My mom must have understood on a certain level that arrogant doctors who scream and yell are often the doctors who make the most mistakes.

That’s what I noticed in my career.

I found that to be true in just about any field.

So if somebody treats me poorly, I walk away from that individual no matter how talented they are touted to be.

You have to treat people with respect.

Next in line would be hard work and diligence.

A doctor has to be thorough, diligent and hard working.

This is not valued in the Mecca today. Natural talent bums who wow the professors with esoteric facts are prized.

Worse than this, doctors who play Machiavellian tricks often win the day.

The professors value what they call roundsmanship.

Conniving gamesmanship would be a better term for it.

Students and residents are pitted against each other.

It’s a cockfight, and some professors revel in the bloodbath.

Style defeats substance. The professor, who is often buried within his research lab, can’t tell the difference between the bullshitters and the hard workers.

Or maybe he or she can.

The bullshitters come out ahead because they understand that rounds are a game. Plus they know how to answer questions that put themselves in the best possible light.

When I trained I had one fellow intern who would never say that he didn’t know. He was very clever. He would answer: I can’t answer that.

Isn’t that brilliant? He’s not saying that he doesn’t know. Yet at the time we all knew that he didn’t.

My mother believes, as I do, in hard work and honesty.

She wasn’t big on style.

Through her son she believes that rounds should be working rounds. In other words, jettison the beautiful presentation in favor of a working man’s approach to solving the days problems.

This is the true recapitulation of how a doctor works in the real world.

Get rid of group rounds which sets people up for humiliation and embarrassment. Very few students are learning from group rounds. They are too terrified.

You have to be fair to people also. That means you have to go the extra mile in putting your emotions aside when evaluating people.

Do the professors in academia do that today?

I’m not sure.

Many professors aren’t properly trained to do their jobs. Worse, there are a lot of part-time professors who don’t know a thing about education or evaluating people.

In fact, it is these part time professors who are the most dangerous.

You can’t wear two hats in life. You can’t be a practicing doctor and a good teacher at the same time. Nor can you be a researcher and a good teacher at the same time.

It’s not possible.

Let me be fair though. There are many good people there at the Mecca.

When I was in my first months of clinical rotation at University of Kansas I was having some difficulty in adjusting.

I had recently moved back to the United States and was having a difficult time coping.

It’s called culture shock in reverse. If you think going to a different country is tough, try coming back.

It’s difficult to return to the pristine nicety of the United States when you see how the other half of the world lives.

The experience transforms you.

One professor had given me what I thought was an unfair evaluation. It seemed to me that I wasn’t going to be able to pass the semester with that low grade. She had made it low enough so that it would be difficult for me to recover.

I was traumatized, so I decided to suspend my medical education for a bit.

Before I did though, I was able to talk to the acting Dean, James Lohman. I recounted my circumstances and what had transpired and my request to suspend my studies.

After carefully listening to me, he looked at me and asked one question: What is your support system here in Kansas City?

I wasn’t sure what he meant, so I asked him to clarify his question.

Well, he continued, do you have family here? Where are you living?

Since I had just transferred into the school, I told him I was living at the Holiday Inn. I told him that I didn’t have anybody here. I had no family here.

He didn’t have to make a comment after that.

With one incisive question he not only revealed to me what was going on but everything I needed to know to become a quality doctor.

This is the kind of doctor my mother would have approved of.

I knew surely as I speak these words now that there wasn’t anything that the University of Kansas could teach me that was more valuable than what he taught me that day.

To be a quality physician, you have to be empathetic, and you have to ask the right questions.

Knowing all the details and statistics about alpha-1 anti-trypsin deficiency and other esoteric diseases would have to take a backseat.

That was true then, and it is true today.

You can have all the facts and still miss the boat.

If we want to improve healthcare in the United States today we have to start with the medical schools and the kinds of people who are permitted to attend.

Currently the GPA and the MCAT score are used to measure the potential of a future doctor, but that in itself may be a poor measure.

What about empathy?

What about being a regular person who people can relate to?

Placing a premium upon GPA and MCAT score favors the malicious grade hound who will do anything to get a higher grade.

It also favors brainiacs and mathematicians, who may be over-represented in healthcare.

I tend to trust people who have studied biology and the life sciences.

Biology is a messy science. It’s an imprecise science. It’s filled with blood and guts. Biologists aren’t afraid of getting dirty. They aren’t afraid of imprecision either.

The field of medicine is too heavily weighted down by analytics, mathematics, P values, and Cox regression analysis. The people who embrace these methodologies tend to not like people. These are the kind of people who were running Sobibor.

My mother was a regular person. She was not a snob or an elitist. And she certainly did not instill in me any love for formality and pretense.

Formality and pretense are the hallmark of corrupt institutions.

Crooked people dress up to compensate for their crookedness. The mob dresses in a suit; Congress dresses in a suit; Wall Street dresses in a suit.

So do the officers of the Mecca.

They equate professionalism with fine dress.

My mother does not define professionalism by how well you dress.

Professionalism is better defined by how well you attend to your patients; how well you follow through; how well you listen to your patients.

The Mecca also believes in a formalistic, hierarchical methodology to teaching, learning and diagnosis.

Carol Linnaeus is their Jesus.

St. Carol the Dangerous codifies diseases into rigid categories; and these diseases in order to be diagnosed must be approached according to rules.

One, all symptoms and signs must be condensed according to Occam’s Razor or the Law of Parsimony. It’s impossible, according to orthodoxy, for people to have two things at the same time.

Two, you have to know precisely what you are looking for in order to order a test. No fishing around or hunches are permitted.

Three, a massive time-wasting differential diagnosis must be developed before proceeding to diagnose. According to orthodoxy you won’t consider all the available options in any other way but this way.

Four, diseases must be taught and diagnosed from the top down according to this bizarre classification scheme as pumped out by St. Carol and his successors.

This is not what my mother teaches. Of course my mother is not a physician, but she did inspire me.

Here is what my mother teaches:

Diseases, not classification schemes, come first.

Diseases do whatever the hell they want to do. They don’t follow any rules, and they haven’t read any books. They do what they do. They don’t even know who Carol Linnaeus is. Nor do they care. They consider him a loser and a third-rate piker.

People certainly do get two things or even three things at the same time.

It’s impossible to know everything that you are looking for in order to order a test. You’ll never be smart enough to figure everything out. The world is too vast. Diseases are too large in scope.

Skip the massive differential.

Diagnose from the bottom up, not the top down.

How do we do that?

By thinking practically, and by asking what tests will add value to our thinking or plan.

What do we want to know?

I used to call this a chef’s soup approach to diagnosis, but in honor of my mother who passed away yesterday, I am going to call it Mother’s Chicken Noodle Soup approach to diagnosis.

What will make Mom’s little boy or little girl better?

What will help Mom?

This seems to be a more humanistic way of diagnosing.

Yes, you are right, it lacks the precision that is taught at Harvard and MIT.

Since my mother does not approve of swearing, I will not say: So fucking what? I will say: So what?

MIT and Harvard are wrong, dead wrong.

Let’s start from the beginning. Suppose you see a rash on a patient’s face. Other than asking a basic routine history and physical, what would you do?

Would it be to your benefit to construct a massive differential diagnosis?

Do you have to know exactly what’s going in order to order anything?

The geniuses at Johns Hopkins think so.

Suppose you had no idea at all what was going on, what would you do?

Well, what did you do as a baby?

You cried for mommy.

That’s precisely what you need to do here. You need to call for help. In fact, the first thing that any medical student or resident needs to learn how to do is to call for help.

Indeed a medical student or a resident shouldn’t be allowed to write one single order unless they first make a phone call to a specialist for help.

That should be the first thing that a young doctor should learn.

Call for help.

This is ridiculed at the Mecca. If you wake that professor up he’s likely to chew you out or say: I would expect someone at your level to know this.

Nevertheless, the proper response is to call for help.

In this manner the young doctor learns that the fall back pitch is to call for help.

You don’t need to construct a massive differential in order to do that.

Let’s suppose though that you do know a few things. What would be the next step?

I don’t want to get too technical here, but let’s say that the rash is a pinpoint rash that does not blanch when you press on it. Let’s say that it looks like petechiae. Let’s say that it’s confined to the face.

Do you need to do a massive differential at this point? No.

You might be thinking that this rash is due to pressure from screaming. So you ask the patient whether they have been screaming, because when you ask a question, you are really ordering a test in a different form. It’s all information. Mom wants to know. Mom does not want you wasting your time and brain energy on nonsense.

The patient says: No.

The patient has also already said no to a basic set of questions that you have preliminarily asked in your history.

You might also ask whether there was any trauma, or whether they had put a band around their face or neck.

Maybe they were goofing around with a toy.

Assuming, that they were not, you might order a CBC to check for their platelet count.

Do you need a massive differential at this point? Not at all.

You don’t even need to know specifically what is going on.

Let’s say, though, that the platelets come back at 15,000. What are you going to do then?

What would I do?

I would order a different sort of test: I would go over my basic questions again, and I would redo the physical. I would check the spleen and the liver, I would check for lymph nodes, I would go over their medication history. I would carefully re-examine the skin on their body. I would especially want to know if there’s fever or has been fever.

I might even repeat the CBC.

Additionally, I am going to absolutely order another test: my fallback pitch. I’m going to call the hematologist and set up an appointment. I may admit the patient to the hospital.

And yet, I do not know specifically what is going on, nor do I need to know.

When the hematologist gets the patient, or when the hospitalist gets the patient, they will ask the same questions but proceed to a higher level. But they will go through the same steps.

Go away, Johns Hopkins.

Do you see what I am getting at, reader. It’s a colossal waste of time to approach a problem from the top down. Diseases do not follow rules. You cannot approach diagnosis or learning that way. It doesn’t work.

Think of diagnosing as a marble dropping down into a vertical maze of steel spikes sticking outward from a board. The spikes are your questions, physical exam, and tests. The marble will fall down and hit the first spike and move to either the right or the left. It will drop to the next level and hit another spike and again fall to the right or the left. Eventually it will reach the bottom which is where the diagnosis is. Sometimes the spikes repeat themselves at lower levels.

Your focus should be on not achieving a final diagnosis in your brain but in following the marble down to the bottom. Your focus should be on asking questions, doing a physical exam, and ordering tests.

You should not be emotionally invested in a final diagnosis from the beginning.

The traditional way, the academic way puts the cart before the horse. They want you to invest your emotional energy in a diagnosis. It’s very much like a player who focuses on winning the Super Bowl rather than taking the right steps that are required to win a Super Bowl.

Forget about the end result.

Now, this does not mean that you don’t take the time to learn about diseases and the characteristics of those diseases. You certainly do need to know how diseases present. You certainly do need to know the characteristics of various diseases. Knowing these diseases is what is going to allow you to ask the right questions.

Asking questions is important in healthcare.

There is no such thing as a dumb question, although you wouldn’t know it if you were trained in academia today.

Far too many academics laugh at people who ask dumb questions. They grade them down and laugh at them.

They’ll make a joke about the person and humiliate them in front of everyone. They have no tact.

Tact and agreeableness is important in life. You should never make people feel worthless.

That is important when dealing with students. Young students are like young seedlings in a garden. They are are fragile and need to be handled with care.

My mother’s name was Frances Ann Davis.

She could’ve been a doctor.

These are the kinds of things she believed in.

These are the values she taught me.


Archer Crosley

Copyright 2021 Archer Crosley All Rights Reserved

Antimicrobial Resistance

What causes antimicrobial resistance?

Resistance is related to total antibiotic pressure upon available bacteria.

What contributes to total antibiotic pressure?

1.  Antibiotics used in farming and agriculture.

2.  Waste antibiotics released into rivers by Big Pharma.  

3.  Total antibiotics being prescribed by healthcare providers.

4.  Antibiotics that are being sold legally or illegally on the open market without prescription.

In summary, the greater the antibiotic pressure, the greater chance of resistance.

How do resistant bacteria form and propagate?

They mutate.

Once they mutate they can either reproduce or spread the mutated genetic material through plasmid exchange.

A plasmid is a small DNA molecule within a cell that is separated from chromosomal DNA and can replicate independently.

The bacteria come together and form a joining point like a handshake. Then the genetic information is exchanged.

How important is sanitation to Antibiotic Resistance?

There is a doctor from Australia named Peter Calignon, Ph. D. from the Australian National University Medical School.

He and his colleagues feel that contagion is an important factor in spreading antimicrobial resistance.

I agree.

He feels that poor sanitation and overcrowding plays a real and vital role in the spread of resistance.

If we examine where much of the antimicrobial resistance comes from – India, China and others – we can see that he may have a point.

These countries do not have the best sanitation services available for all their people.

It makes sense that if you have more available bacteria for antibiotics to be exposed to, you should get more resistance, especially if the bacteria are more prone to come from infected people.

Of course there are people who do not agree with him.  They feel that overuse of antibiotics is the main cause of resistance.

I am not so sure of that, and I will explain why.


Most of the deaths that arise from antimicrobial resistance come from Asia and Africa.

Is this because healthcare is sub-standard there?

Or is it because there are more resistant bacteria being generated there?

There are maps available.

I can go all day with these maps, but you can play with them yourselves by searching the web for CDDEP Resistance Map.

You will see that MOST of resistance is coming from India, China, Russia, Mexico, Argentina and Venezuela.  

Most of the resistance is NOT coming from the United States.

Assuming that antimicrobial resistance is coming primarily from these parts of the world, why would that be?

Here are some potential reasons.

1.  Poor oversight of Big Pharma allowing corporations to dump effluent into the rivers.

2.  Poor sanitation and overcrowding.

3.  Open pharmacy whereby antibiotics can be obtained without a prescription.


Let’s turn the question upside down.

Why do we see less resistance coming from the more developed countries?

The United States and the West.

Here are some potential factors.

1.  Better oversight of Big Pharma.

2.  Better sanitation.

3.  Closed pharmacy.  You can not buy antibiotics at the supermarket.


This is my opinion.

Maybe we are being too hard on ourselves in thinking that over-prescription of antibiotics is a major cause of antimicrobial resistance.

Maybe we are doing more harm by overly cutting back on our prescription of antibiotics.

If we can nip an infection in the bud, we can prevent much morbidity.  Morbidity is like a forest fire – catch it early and you can prevent a massive conflagration.

A massive conflagration of bacterial infection can paradoxically cause more antibiotic use.

Maybe what we should be more aggressive with antibiotics.

Some people argue that doctors prescribe too many antibiotics.

But it isn’t as if doctors are handing out antibiotics on the street corner.

We have a controlled process in the United States.

We have a closed pharmacy.

We are already doing enough to control resistance.

But by cutting back on antibiotic use for people WHO ARE SICK, we are effectively increasing contagion by allowing more people to get sick.

Let us define contagion in the following way:

Contagion = Number of Sick People x Overcrowding x Poor Sanitation.


By badgering doctors to stop prescribing antibiotics we will increase the number of sick people and cause more antimicrobial resistance.

Thus we will validate the contagion theory that this doctor from Australia, Peter Colignon, was talking about.


The solution is to develop new classes of antibiotics.

There are many areas worth investigating.

If we think we have developed all the ways to kill a bacteria, that is surely a testament to our arrogance.

Indeed, there are many exciting areas to explore.

Why, just the other day, I was cuddling up next to the fireplace with the latest issue of Molecular Cell, a lively, witty magazine.

I was looking at this article: Inhibiting the Evolution of Antibiotic Resistance. Molecular Cell. Volume 73.  Issue 1.

Surely this made the NY Times bestseller list.

In this particular article the authors, Ragheb, et. al, discuss a mutagenesis factor in the bacteria which if shut down could inhibit bacteria from mutating.

Now, this is an avenue, among many, that should be explored.

Yes, it may be a blind alley. Or, it may not even be advisable to shut down the mutability of bacteria.

That’s not the point.

The point is that Big Pharma should be aggressively investigating these avenues.

Are they?

Many say they are not.

Why not?


They don’t have to care anymore.

They’re too big to care.

There has simply been too much consolidation within the healthcare industry.

Big Pharma is too big.

Their only concern now is profits.

The leaders of their firms are financial guys, not pharmaceutical guys.

One of their false gods is precise cost accounting.

They believe that every single drug must be justified on its own merits.

If they can’t see the profits in it, they don’t go down that road.

This isn’t like the old days where the leader of the firm would take a chance on an idea.

Furthermore, the antibiotics that they have currently are already making them enough money.

They are not thinking ahead to the day when the new antibiotics might be necessary.

There are no profits in that.

They are not statesman; they are profiteers.

But that is not the only reason why they do not innovate.

There is an even darker reason.


Do you believe in the New World Order?

You better.

Although Big Pharma loves nothing more than profits, sometimes their profits have to take a back seat to a larger concern.


Big Pharma is now controlled fully by the elites.

The elites look at medicines as a weapon they can you use to control you.

Antibiotics are a major part of that arsenal.

By depriving you of antibiotics, the elites can keep you a little more sick and dependent upon them.

You see, the elites view antibiotics as medicines for them, not you.

Why, what would happen if the commoners kept using antibiotics, they ask themselves.

Pretty soon, they answer, we won’t have useful antibiotics for ourselves.

That just won’t do, they conclude.

So rather than spend money that can be better used for their new yacht, they convince you that antibiotics don’t work.

They enlist their academics to convince you.

But you know better.

You know that antibiotics work.

Antibiotics put out fires and keep you out of the hospital.

That is precisely the point.

If you get sick as an outpatient and can’t get timely medicines, you are more likely to enter the hospital.

This is a bad thing for you.

But it is a good thing for Corporate America.

They make more money this way.

That improves their bottom line.

Is this too dark for you?

Think again, Pollyanna.

In Pennsylvania not too long ago, a judge was sent to prison because he was sending children to juvenile detention in exchange for kickbacks.

Men are evil and will game the system any way they can.

The days are gone when Big Pharma engages in innovation unless there is an extreme profit motive.  They don’t have to care.

Big Pharma is a quasi governmental entity], entrenched with elites.  They are ossified.

We won’t see innovation like we used to.

Their CEOs aren’t emotionally invested in their company.

This is a bd thing because we need new antibiotics.

Antibiotics work.

I know it with my patients and with me.

Patients have figured it out also.

That’s why bodegas sell antibiotics over the counter.

People in the 3rd World have figured it out.

And we need antibiotics even though the academics say we have don’t.

Academics don’t understand how infections begin.

How do infections begin?

Most respiratory infections begin as viral infections.

After a few days, the bacteria set in and what you get as a mixed infection.

By the time you visit your doctor, you probably have a mixed infection. There are probably bacteria in there.

This is why antibiotics work. The antibiotics work against the bacteria that are in the mixed infection., Now, your academic will tell you that your infection is either pure viral or pure bacterial. This is not true.

The majority of infections are mixed.

By aggressively treating with antibiotics we can get people better faster.

Not only will we be decreasing morbidity and mortality, we will also be decreasing contagiousness.

Not prescribing antibiotics aggressively will cause increased contagiousness which in turn will cause more infections which will paradoxically cause more antibiotics to be prescribed.

The road to hell will be paved with good intentions.


Archer Crosley

Copyright 2021 Archer Crosley All Rights Reserved


Today I read that Republicans think that Afghanistan is equal to Benghazi times ten.

What the news is trying to tell us is that Republicans think that they can use the Afghanistan withdrawal issue to gain enough political capital to win back the Presidency and the Senate.

What’s the point?

Why should anyone vote for the Republicans when they did absolutely nothing when they had the Presidency, the House, and the Senate for two years between 2016 and 2018?

The Republicans didn’t do a damn thing.

My advice to Republicans (and the Democrats) would be to forget the gimmicks and stick to the basics.

The Afghanistan issue is a gimmick.

If you want to win a football game, follow the advice of Vince Lombardi and block and tackle better than your opposition. Forget about the trick plays if you’re not going to take care of the basics.

When it comes to politics the same type of advice is worth heeding. Forget about the gimmicks; stick to the basics and develop a program which will help the American people.

Solve a problem, motherfucker.

America needs substantive healthcare reform to provide affordable healthcare for its citizenry.

The best way to achieve that is to break up the large healthcare corporations into true competitors.

Doing so would give us better products, better hospitals, better insurance plans at a cheaper cost.

That’s not hard to do. It’s not hard to limit the size of corporations. All it takes is political will.

To provide the uninsured insurance, one would need to give a tax credit for healthcare insurance premiums and copays.

For those too destitute to afford any insurance at all, allow me, or a business, or a corporation, or any other individual to purchase healthcare insurance for an uninsured and receive a tax credit for doing so. Allow me a tax credit for paying for their co-pays also.

Overnight everyone in America would be insured.

It’s not difficult to do.

It’s only difficult when you don’t want to do it.

But when you do do it, you have to stick to the basics and quit wasting your time on gimmicks.

Unfortunately the Republican Party and it’s media mouthpieces, people like Sean Hannity, keep the majority of the voters focused on non-productive issues like the Afghanistan withdrawal issue.

It’s a waste of time.

It keeps us from moving forward.

It’s very much like a football team that runs a bunch of trick plays to compensate for its inadequacies.

Hopefully, someday, one of our political parties will get a coach who understands the game.

Right now, we’re on a losing streak.

The fans would like a few wins.


Archer Crosley

Copyright 2021 Archer Crosley All Rights Reserved

Supermarket Doctors

Why are supermarkets giving vaccines?

Well of course these aren’t just any old supermarket; these are supermarkets with pharmacies.

Oh, I see. It all makes sense now. Nothing to see here, keep moving. It’s all legit.

Hey honey, can you pick me up some COVID-19 vaccine on your way home? I also need some broccoli.

The last time I checked, a vaccine was a foreign substance injected into the human body.

Shouldn’t the administration of that vaccine require a physician’s judgment, especially if it’s a substance that has not been subjected to rigorous scrutiny?

It makes sense to me.

Of course, pharmacies have been giving vaccines for years.

But should they?

In the long run, it probably doesn’t matter because most physicians are on board the government’s program when it comes to vaccine administration.

But what if they weren’t?

What if many doctors gave a particular vaccine because they were obligated to do so, but when asked by their patients whether they should take the vaccine they expressed reservations?

Is that something that would be helpful to their patient’s health?

It might be.

Would we be likely to have those reservations expressed at a supermarket pharmacy?

Generally, the pharmacist at these supermarket pharmacies is an employee of a corporation. Consequently I would expect the pharmacist to reflect the opinion of the corporation.

Is that what we want?

There was a time in the state of Texas when the corporate practice of medicine was banned.

It was banned because our wise antecedents desired doctors and other healthcare providers to offer impartial, independent device.

Wise leaders of old didn’t want giant corporations telling healthcare providers how to practice medicine.

This was done in order to put the patient’s interest first, not the corporation’s bottom line.

The problem we have in our society today is that our pharmacies are largely controlled by giant corporations.

The same people who control the giant corporations also control the government.

For the most part they are college chums who frequently meet together in think tanks and corporate boardrooms in Washington, New York, Philadelphia and Boston.

So what we have in the United States is an oligarchy recommending a vaccine to be delivered via a compliant administrative machinery that is also controlled by that oligarchy.

In other words a few people are recommending and delivering a vaccine to you.

This same oligarchy also controls the media who will sell the benefits of the vaccine alongside the risks for not vaccinating.

Fear and hope are powerful motivators.

Used car salesman use this technique all the time. If you don’t buy by Friday, the price goes up.

We humans are the consummate suckers.

I wonder if dogs are this dumb.

A survey I conducted in my office tells me that almost 2/3 of the people will vaccinate with the as yet undelivered and not fully scrutinized COVID-19 vaccine.

Big surprise.

I suspect that the vast majority of these people will get their vaccines at an H-E-B pharmacy in the state of Texas.

My gut tells me that the government will bypass regular physicians – who may express reservations.

I suspect this because I have not been contacted with regard to issuing this new COVID-19 vaccine. I did sign up to deliver the vaccine, but no one has contacted me in a month.

My experience with the influenza vaccine tells me that large corporate pharmacies like Walgreens and H-E-B receive as many flu vaccines as their heart desires while private offices like mine get one chance prior to the flu season to order the vaccine.

What do I think of all this?

I think we are skating on thin ice.

I think that humanity is dumb. We can never seem to learn lessons permanently.

We forget lessons from the past.

Independent doctors serve as an important independent check on big government, big corporations, media hysteria and irrational exuberance.

We are going to learn that lesson the hard way.


Archer Crosley, MD

Copyright 2020 Archer Crosley All Rights Reserved

How to Fix America in 10 Easy Steps

1. Restore order. Maintaining order is the number one function of government. This is something that Donald Trump has failed to do. It’s embarrassing for me to say that as a conservative. When we have massive, systemic riots in the nation, the President must take command. To do that boots are needed on the ground, and plenty of them. Where will we get those boots? That leads me to point number two.

2. Shut down the wars in Afghanistan and Iraq in their entirety. As long as we are over there, we will never be able over here to fix our problems over here. We don’t belong over there in the first place. Defending democracy begins here at home in the United States of America. The troops can be put to good use here. Of course, discipline and order is only part of the equation. Those are the sticks. To be successful, you need carrots. And that leads me to point number three.

3. Bring the manufacturing back jobs back to the inner city so that poor folk here have real jobs that pay real money. That can’t happen as long as exploitation is our national economic policy. Shut down the sweat shops in Indonesia and Southeast Asia. Poor folk can be making good money making shoes and apparel and all sorts of textiles here in the United States of America. How do we do that? Remember those troops that we brought back from Afghanistan and Iraq. Some are going down to the docks to make sure that not one Nike shoe enters the United States of America from overseas. Too bad, Nike shoes. Too bad, Lebron “Shameless” James. Your golden cash cow is cooked. And that leads me to point four.

4. It’s time to shut down the power of Corporate America and their well-paid celebrity shills. We do that by taking these large corporations and busting them up with a sledgehammer.. That’s what Ida Tarbell did to John D. Rockefeller, and it’s high time we took a page out of her book. We must tolerate no more of these international corporations that only serve to polarize wealth and emaciate the American people. Globalism and the global stars can take a hike. So can the CIA, the thug agency of the wealthy elite. It’s nothing more than a secret police force that engages in dirty tricks against ordinary citizens foreign and domestic.

5. When we get rid of the big corporations, we can jettison these international superstars like LeBron James also. Shameless James works against the black man. He incites riots in the inner cities that destroy black lives’ neighborhoods.

And why is that? Because the name of the game is race and race hustling in America today. Promoting class warfare serves the government and its bedfellow, Corporate America, well. It keeps the black man focused on rage which keeps him from beating his sword into a plowshare. It also ensures chaos in the black community that will ensure the production of black inmates necessary to justify the other cash cow from which Corporate America profits handsomely – the prison system.

All the while, Shameless James makes a fortune by shilling for Nike shoes. When he’s not pitching for Nike shoes he’s investing in Blaze Pizza shops that sell overpriced pizzas to white people in white neighborhoods. Where are the Blaze Pizza shops in Compton, East St. Louis and Algiers? They don’t exist. But you don’t know that, because the main stream media is controlled by a few corporate pigs. And that leaves me to point six.

6. Break up the oversized media companies. Google, Facebook, Apple, Twitter have too much power in the United States. There is no true diversity of opinion. These oversize media companies are really just agents of the federal government. We need diversity of opinion. Moreover we need truth tellers whose principal client is not their ten-million dollar salary. Someone who makes that much money is liable to say anything. Presenters and hosts must not be beholden to a corporation, but to the truth wherever it lies.

7. We must put a premium on honor and process again. We have become a Shark Tank nation focused on making money at any cost as if the size of one’s bank account was the sum total of a man or woman. It is not. A country focused and consumed by money, possessions and toys cannot survive. No system, I repeat, no system can hold up under greed. Healthcare is collapsing because of greed. Rapacious Palo Alto giants are rushing to substitute a human-based care model with a machine-based algorithm. The former relies on intelligence and compassion; the latter relies on AI and money-making efficiency. Which leads me to point eight.

8. We are human beings, and we should remain human beings. We are not machines. Yet we have Elon Musk and Neuralink that have the desire to make us into machines. It’s all part of trans-humanism, don’t you know? If we go down this route, will we be better off? What will we lose? Can our fragile bodies of carbon meet the demands of the mathematicians of the Third Reich of whom our Palo Alto overlords find themselves enamored. Transforming and perfecting humanity is their goal, and that is the vision that they have prosecuted in the United States for many decades now. It must be firmly repulsed.

9. Overthrowing the Fuhrer’s mathematical vision of the future, his dream of a master race begins in our elementary schools where we currently teach children that failure is not an option and that there are no excuses. This is antithetical to Christianity and it must be rejected. Christianity not only preaches that failure is an option, but that it must be an option; for if it is not an option, then there is no need for forgiveness. Never once have I read in the New Testament where Jesus walked up to a sinner and said: No excuses.

No excuses mandates a perfection of humanity that can not be attained.

Other pernicious methodologies must be jettisoned as well. The standardized test and the focus on mathematical scores serve to score and stratify people. People are thus perceived as better because their GPA and SAT scores sit above the 90th percentile. This engenders a sense of entitlement amongst the more intellectually gifted. The so-called best and brightest then set out to fulfill the false prophecy instilled in them that they are destined for great power, wealth and fame.

That people are better and more valuable than others because they were gifted with higher intelligence is antithetical to Christian thought.

10. This does not necessarily mean that Christianity must be the official religion in the United States of America. What it does mean is that Christianity must be a viable participant in the affairs of the United States of America. What we are seeing today are the fruits of a secular world devoid of any religion at all. It does not work.


Archer Crosley, MD

Copyright 2020. Archer Crosley All Rights Reserved