CIVIL DEFENSE PERSPECTIVES
May 1996 (vol. 12, #4) 1601 N Tucson Blvd #9, Tucson AZ 85716 c 1996 Physicians for Civil Defense
STEALTH BOMBS
If someone wanted to produce a generation of illiterate, dependent citizens, groomed for serfdom, he would not begin by outlawing schools. The people would rebel.
A more effective strategy would be this: (1) demand universal, compulsory ``education''; (2) set up a massive, voraciously expensive system that devours wealth that might otherwise be used for private schools; (3) create a licensed and credentialed elite with a vested interest; (4) require endless mind-dulling exercises; (5) forbid, discredit, ridicule, or simply omit the teachings that formed the great minds and solid citizens of the past (from phonics and the multiplication tables to the Ten Commandments, the Constitution, and Shakespeare); (6) discourage individual initiative, force students to work in groups, and intensify peer pressure; (7) set up new standards and tests to enforce the goals of the new system and ``prove'' its success.
Suppose that the goal was to destroy independent medical practice and gain control of the means of extending life and reducing pain and disability
-thereby ensuring dependence on government-sponsored agencies. What strategy might work?One would not call for rationing, but for ``universal access''
- through a gatekeeper. One would promote universal prepayment for ever more extensive and expensive ``coverage.'' One would deplore ``fragmentation'' and call for ``vertically integrated networks.'' One would demand increasingly intrusive and repetitive ``credentialling,'' expanding it to include adherence to new, committee-dictated norms. One would require endless ``documentation.'' One would ridicule the Oath of Hippocrates and set up ``Ethics'' Committees to approve what Hippocrates forbade. One would direct physicians to predigested, peer-approved ``practice guidelines'' and discourage independent study of the medical literature. And one would mandate CQI (``Continuous Quality Improvement'') to enforce compliance and ``assure quality.''There are impediments to achieving national ``standards'' for (and federal government control of) education and medicine: private schools, home schools, and private physicians. Most of these have been at least partly coopted because they have taken the bait of government subsidies. But the potential for opting out still exists and is becoming more attractive as government schools degenerate and the atrocities committed by government-favored ``managed care'' plans become known.
Socialists have long recognized the importance of sealing off private escape hatches, through which the more ingenious and productive citizens tend to evade centrally planned rigidity. So far, government has lacked the tools for finding all the refugees. Or for doing anything about the dissidents once they are known
-most of them being conscientious, law-abiding citizens.The problems faced by would-be totalitarians are rather like those faced by a would-be invader: finding the key targets and wiping them out, preferably by methods that appear legitimate or accidental, and with weapons that pass undetected through radar or are unrecognized due to decoys.
The Information Superhighway is a great potential tool for surveillance, once the needed records (educational and medical) are entered into a networked computer. Then one needs tools to gain ``cooperation'': economic coercion, and ultimately the penalties of criminal law.
While news anchors and politicians chatter about decoys (e.g. a 90-cent increase in the minimum wage), two bills sponsored by Senators Kassebaum and Kennedy, which provide for federal control over all education, job placement, and medical insurance in the U.S., have passed. They are stalled in conference, but there is pressure to report them out before too many people learn of their content.
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The ``CAREERS'' bill (H.R. 1617), creates a national computer data base and a ``seamless web of opportunities'' (or lack thereof) on a blueprint authored by Ira Magaziner and Hillary Clinton. All ``human resources,'' even home-schooled students, would have to obtain and periodically renew a certificate documenting proper ``higher order reasoning and work attitudes'' to obtain employment (Blumenfeld Educ Letter 5/96, DeWeese Report 5/96).Ø
Silently slipped into a bill for improving ``insurance portability'' (H.R. 3103), which passed the Senate 100 to 0, were about 100 pages from the defeated Clinton Health Security Act that could criminalize almost any medical act:×
``Administrative simplification'': fines of up to $25,000 per year for failing to enter required medical data in proper computer format....×
Federalization of all ``health care offenses,'' such as incorrect coding on insurance claims or provision of ``medically unnecessary services''....×
Five-year prison terms for anyone making a false statement to a health-care plan, with conviction possibly based on his own medical record....×
Draconian fines, imprisonment for one year, five years, or life for ``federal health care offenses,'' plus forfeiture of assets on conviction, with ``no proof of specific intent'' to defraud required to convict....Under this legislation, private physicians would basically be putting their liberty and everything they own on the line by filing insurance claims. Probably, many would flee to managed-care capitation contracts, where they would simply face the prospect of bankruptcy or ``deselection'' if their practice fell outside the norms. Many would simply retire. (Those tempted to leave the country, take note: tax penalties for expatriates are also tacked onto this ``insurance reform'' bill.)
Could it be that the charges that could destroy the foundations of the American way of life have already been set, without ever triggering an alert from a Distant Early Warning System?
Hitler's propaganda minister once informed him that he didn't need to worry about reports of the concentration camps leaking out: Nobody would believe them.
It may be difficult to believe that legislation such as that described above has passed a Congress that was supposed to roll back the tide of big government. Perhaps both Congressmen and citizens turned their radar off when the Berlin Wall fell.
Technology in the hands of would-be totalitarians is a potent threat. But it also has its uses for defense. Today's civil defenders can start by reading legislation on line, at http:// thomas.loc.gov. And the vigilant now have better ways to sound the alarm than hanging lanterns in the Old North Church.