Stanley Feld M.D., FACP, MACE Menu


“It Is De Ja Vue All Over Again.” Yogi Berra

Stanley Feld M.D.,FACP,MACE

 Economic downturns and upswings occur over and over again. Economists believe both downturns and upswings can be managed. However, economists continue to make the same policy mistakes. The mistakes result in an increase in depth and frequency of the economic swings.

Businesses both large and small and consumers are frustrated and angry about the present economic downturn and its prolonged continuation.

President Obama thinks his ideology is correct. However, his philosophy is flaming the fires of racial and economic divisions and unrest. His ideology is prolonging and increasing the depth of this economic downturn.

Before I present a systemized solution to the dysfunction of the healthcare system, I feel compelled to put the economic, political and social crisis in into a systems error perspective.

The national deficit is exploding because of excessive government spending. None of President Obama’s economic stimuli have worked.

The healthcare system and the medical care system are about to implode. There is a serious healthcare system crisis in America.

Economic uncertainty is increasing as a result of the unintended consequences created by the thousands of new regulations produced by the Obama administration’s bureaucracies. The regulations are written at the discretion of  non-elected government officials.

American businesses and the American people mistrust government more and more. Powerful vested interests influence government policy to their advantage.

 Congress and the President were elected “by the people for the people.” The government has gotten too large.  The government does not seem to be working in the interest of the people who voted for them.

The lunacy of government described by Ayn Rand’s in Atlas Shrugged seems to be occurring today.

In 1957 Ayn Rand having experienced a totalitarian government in her native Russia was upset by the trend in America. This resulted in her writing Atlas Shrugged.

 Right now President Obama’s ever-increasing bureaucracy and government control over every aspect of our lives is reminiscent of “Atlas Shrugged.”

Stephen Moore senior economic writer for the Wall Street Journal put together a summary PowerPoint presentation outlining the similarities of today with by President Obama and the lunacy that occurred in Atlas Shrugged.



Milton Freidman pointed out that Keynsian economics does not work. All the World’s societies run on greed. The trick is to harness greed for the common good.


 Big government generates large bureaucratic structures. Large bureaucratic structures do not fix anything. They make systems more complex and more difficult to manage.

 This is what is happening with the bureaucratic structures being formed by Obamacare. More departments are created. People running these departments have independent power. Multiple independent departments lead to multiple contradictions. The contradictions lead to greater costs to the system and added dysfunction.

 The Department of Human Services and CMS is such a system. It has become a  monster bureaucracy with the enactment of Obamacare.

  Healthcare organizaional system


Look at the names of some of the agencies created. They are right out of "Atlas Shrugged."

I recall President Reagan’s famous statement, “I am from the government and I am here to help.” 

The opinions expressed in the blog “Repairing The Healthcare System” are, mine and mine alone.

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