Medicine in the matrix
Why do good clinicians remain loyal to the system?
by GRAHAM ATKINSON
A LARGE majority of patients have been educated to believe that healthcare is concerned with health. Why would anyone think differently? In reality, healthcare is a business and all businesses need customers. There is no money in healthy or dead patients, so the best business model is to have the largest number of unwell patients.
During their training, medical students are worked extremely hard and soon learn to reproduce what they have been taught and not to challenge the system
Once an individual has surrendered the management of their health to a clinician, they have become disempowered and are dependent on the system. They keep coming back to the system expecting solutions to the problems that are increasingly being created by the system.
Why do so many clinicians in the healthcare system seem unable to see what is obvious to many people who are outside the healthcare system? The truth is that healthcare is a designed system. A system where the truth can be hidden in plain sight, and individuals can be controlled whilst believing they are free. To understand the behaviours of the clinicians in the healthcare system, we need take a broader view of human behaviour in The Matrix:
“You have to understand, most of these people are not ready to be unplugged. And many of them are so inured, so hopelessly dependent on the system, that they will fight to protect it.” - Morpheus, The Matrix movie (Wachowski brothers, 1999)
It was once generally perceived that everyone always acted in the best interests of society and for the greater good of humanity. However the healthcare system frequently disappointed . Idealism was never going to be a match for the system and the healthcare system has been very carefully designed for the benefit of those that designed it, and not for the benefit of patients.
Almost all clinicians join the healthcare system to help patients. The majority of clinicians think they are providing high-quality evidence-based services for patients. Sadly, this is not the case today, as few healthcare systems are capable of demonstrating that they are achieving good outcomes for their patients. There are many reasons why good clinicians remain in a system that can be easily shown to be adversely affecting a significant proportion of patients over the last two years.
The Western allopathic healthcare system thrives on the division of the practice of medicine into specialisms and sub-specialisms. Whilst this may seem logical, as humans are very complex biological organisms, the result is often the management of illness as a dysfunction of a single organ or tissue, with little attention being paid to the whole human.
Models of healthcare that have evolved over thousands of years that take a more holistic and environmental approach to managing illness are often described as quackery by allopathic doctors. This is a learned response, often coming from a position of little or no knowledge of alternative treatments, and quickly closes the door to therapies which may be effective but do not involve a drug.
Doctors are trained to diagnose illness, but few invest their time in trying to address the behavioural or other factors that are causing the illnesses in their patients. The system is designed to produce clinical diagnosis codes that match the symptoms the doctor has observed. The next step is usually to prescribe a drug, or refer a patient to hospital for further investigations that can result in surgery and other interventional procedures, such as radiotherapy.
The medical education system is very effective at producing individuals who believe what they are taught and do not challenge what they are taught. By the time doctors qualify and start treating patients, they have been very effectively conditioned to perform as intended by the system. Medical education also seems to be very effective at removing the ability of intelligent people to think for themselves.
During their training, medical students are worked extremely hard and soon learn to reproduce what they have been taught, and not to challenge the system. Heavy workloads and an intolerance of challenges to authority produces doctors that are too busy or not inclined to do their own research. Most practicing doctors believe the information they are provided with by health authorities, and follow the guidance that they have been given.
Status, power and money are corrupting influences on clinicians. The fear of losing them certainly has a very strong influence on clinical behaviour. Even when an individual clinician wants to follow a different treatment course, the system often makes this difficult or even impossible. Individuals learn to conform with the clinical practice of their colleagues and conform with the system. There is a very strong human survival instinct to conform with your tribe, even when you may have a different belief.
Fear itself has a very powerful influence on behaviour, and reduces, or even removes, objective thought and critical thinking amongst clinicians. This has been particularly evident during the recent ‘pandemic’, where the fear of death has become very real for clinicians of all ages.
When doctors are busy and stressed, they come to rely on pattern recognition to decide how to manage patients. A collection of symptoms and test results that fit a previously observed pattern can be used to diagnose an illness and then prescribe the appropriate treatment. In a busy healthcare environment, pattern recognition can lead to an incomplete understanding of the condition of the patient, and can result in harm or much worse.
So, where do we go from here? Sadly, experience has taught us that the existing healthcare system cannot be changed into one which is designed to put patients first.
It is now time to stop conforming and to start reforming.
We must place our energies and actions into building a true healthcare system that is designed within our communities. The future of health lies outside the system - beyond the matrix!
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