The Economics of Pain Management & the Business of Healthcare

The Economics of Pain Management & the Business of Healthcare - Blog Feature Image

Healing, by definition, is the natural process of the body improving its own health. Scientific advances and the need to speed up or circumvent natural processes have created an economic windfall for chemical healing.

Dr. Sal Martingano

Inflation & The Consumer Price Index

Inflation and the Consumer Price Index have negatively impacted healthcare and our economy. This is not a politically motivated statement, but the Biden Administration has put our economy in a tailspin, with ALL prices rising during his tenure. The cumulative effect of inflation has led to an overall increase in prices, affecting purchasing power. For Instance, $100 in 2021 is equivalent to $115.26 in today’s purchasing power, reflecting a 14.52% cumulative price increase. https://www.in2013dollars.com/us/inflation/2021?amount=1

  • cost of living since Covid, up 17.1%
  • consumer items like gas, new vehicles and insurance costs, up 13.2%
  • healthcare costs are up 13%
  •  food prices up 25%, energy prices up 26%  https://www.bls.gov/cpi/latest-numbers.htm

The U.S. spends about $11,072 on healthcare per person each year, the highest of all developed nations, yet ranks LAST in overall health. https://www.finder.com/health-insurance/healthcare-costs-by-country https://www.cnn.com/2021/08/04/health/us-health-care-rankings/index.html

The U.S. has many problems in healthcare; from a large share of the population still uninsured to one of the lowest life expectancies in the developed world. We cannot guarantee adequate access to medical care because we cannot figure out our priorities or how to pay for it.

There is a clear theory for explaining high medical spending in the US

Why are healthcare costs in the U.S. so high?

The US spends about $3.5 trillion on healthcare per year.  If the United States cut every pharmaceutical price in half and eliminated all profits on health insurance, the gap between U.S. medical spending and that of all the other developed countries would fall by less than 25%. https://www.harvardmagazine.com/2020/04/feature-forum-costliest-health-care

The three driving forces behind U.S. high healthcare costs

  • administrative expenses
  • corporate greed and price gouging
  • higher utilization of costly medical technology

Healthcare Administration: The largest component of higher U.S. healthcare spending is the cost of healthcare administration. About 25% of US healthcare dollars pay for administration. Entire healthcare occupations exist within the U.S. healthcare system; from medical record coding to claim submission specialists to insurance administration. Other developed nations spend a fraction as much. https://jamanetwork.com/journals/jama/fullarticle/2785479

Greed and Gouging: The list price for insulin in the U.S. for example, is 10 times higher than that in other countries. Corporate hospitals charge 3 to 4 times more fees than private or community hospitals. The reason why pharmaceutical prices are higher in the United States than in other countries is that there is nowhere else to go.  Federal law prohibits bulk importation of the exact same drugs from other countries, thus fueling the “greed and gouging.”  Generic drugs or naturopathic products are not prescribed or not covered by healthcare insurance. 

We now know that during the Covid pandemic, Ivermectin, Hydroxychloroquine and Sweet Wormwood along with high doses of Vit D. worked better and safer to use than medically prescribed “expensive” pharmaceutical drugs, at a fraction of the cost, yet were not allowed to be prescribed by MD’s.

Higher Utilization: The United States has the most technologically sophisticated medical system of any country and it shows up in our healthcare spending.  The U.S. has four times the number of MRI units and scanning technology per capita as any other country and three times the number of surgeons, physicians’ assistants, and RNs than any other country.  Americans don’t see the doctor any more often than citizens of other countries do and are not hospitalized any more frequently. When Americans do interact with the healthcare system, it is much more intensive, technology-filled and expensive.

Misplaced Priorities

  • Over-utilization allows corporate hospitals and individual medical centers to purchase multiple MRI units and other testing technology in each facility, literally duplicating what is already available elsewhere.
  • In 1986, President Reagan signed into law the “National Childhood Vaccine Injury Act”, which provided exemption to vaccine manufacturers against vaccine injury claims. As a result, the required vaccines and dose schedules have grown exponentially, regardless of need.  https://en.wikipedia.org/wiki/National_Childhood_Vaccine_Injury_Act  Recent vaccine additions are for diseases with less than a 0.0002% mortality rate.  The latest W.H.O. ranks the U.S. infant mortality rate in the 50th percentile worldwide.
  • Senator Rand Paul states: Dr. Fauci and 15 federal agencies were involved In ‘The Great Covid Cover-Up’ that took place in China, yet no one has been held accountable despite millions of unnecessary deaths.  https://www.msn.com/en-in/news/world/sen-rand-paul-alleges-fauci-15-agencies-involved-in-the-great-covid-cover-up/ar-BB1llPT7  

Healthcare and Pain Management

Over the years, pain has become the unintended mainstay of the medical profession.  Pain is not an illness or disease yet with the ever-increasing ‘direct to consumer’ TV advertising by pharmaceutical companies exploiting pain, the resulting windfall of pain medications has made pawns out of medical physicians because of their prescription pads, since pharmaceutical companies cannot write scripts. https://www.physiciansweekly.com/pain-5th-vital-sign/

Today, pain drugs have two main sources: the prescription drug industry, and on the streets by Mexican drug cartels. The Mexican immigration issue in human trafficking pales in comparison to the Fentanyl smuggling into the U.S.   http://interactive.fusion.net/death-by-fentanyl/intro.html  On a personal note, a close friend and his wife lost both their children to a Fentanyl overdose; a far cry from “getting high”. https://seekingalpha.com/article/3977917-revenues-opioids-drying-pharmaceuticals   

We are in a “time warp” where right and wrong somehow have no meaning because of the numerous “shades of gray” in healthcare. We can’t seem to move toward the logical direction of a non-chemical approach to healing nor the dictatorial principles of a single-payer government-run healthcare system.

My Purpose

My purpose is not to disparage or discredit what has been accomplished in medicine over the years but to instead demonstrate the intentional enhancement or misrepresentation of the medical model and products to enrich the ‘business’ of healthcare.

Note: more on this topic can be found in my new book, “America’s Democracy Betrayed”, ….Healthcare and the Medicine Man 

Chapter 2 will blow your mind!

Share This :

Leave a comment

Your email address will not be published. Required fields are marked *

Request an Appointment

To request an appointment, fill out the form below and a team member will reach out to schedule your appointment.