noqreport--2020-05-13--ObamaGate: Hope for arrests, but plan on making it an election issue

If you ’ ve followed the ObamaGate scandal , you know a lot of people did a lot of things wrong in the investigation of former National Security Advisor Michael Flynn .
Those people include President Obama and former Vice President Joe Biden .
But many others are in the crosshairs as well .
Patriots are expecting Attorney General William Barr and U.S. Attorney John Durham to catch at least some of the bad guys and , charge them , arrest them , and prosecute them .
Unfortunately , we shouldn ’ t expect that to happen .
In fact @ @ @ @ @ @ @ assumption that if anything good is going to come from this , it will be patriots spreading this information around and using it as an election issue .
The truth needs to get out there , and the Department of Justice is simply unlikely to do much more than they have already .
JD and Tammy discussed all of this and more in their podcast today .
This is us versus a combination of the Deep State and the Democrats .
If William Barr and John Durham are able to make a case @ @ @ @ @ @ @ let ’ s assume they won ’ t , in which case justice must come in the form of election victories in November .
Check out the NEW NOQ Report Podcast .
Join fellow patriots as we form a grassroots movement to advance the cause of conservatism .
The coronavirus crisis has prompted many , even some conservatives , to promote authoritarianism .
It ’ s understandable to some extent now , but it must not be allowed to embed itself in American life .
We currently have 8000+ patriots with us in @ @ @ @ @ @ @ are interested , please join us to receive updates .

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If you’ve followed the ObamaGate scandal, you know a lot of people did a lot of things wrong in the investigation of former National Security Advisor Michael Flynn. Those people include President Obama and former Vice President Joe Biden. But many others are in the crosshairs as well. Patriots are expecting Attorney General William Barr and U.S. Attorney John Durham to catch at least some of the bad guys and, charge them, arrest them, and prosecute them.
Unfortunately, we shouldn’t expect that to happen. In fact, we should go forward with the assumption that if anything good is going to come from this, it will be patriots spreading this information around and using it as an election issue. The truth needs to get out there, and the Department of Justice is simply unlikely to do much more than they have already. JD and Tammy discussed all of this and more in their podcast today.
This is us versus a combination of the Deep State and the Democrats. If William Barr and John Durham are able to make a case out of it, great. But let’s assume they won’t, in which case justice must come in the form of election victories in November.
Check out the NEW NOQ Report Podcast.
Join fellow patriots as we form a grassroots movement to advance the cause of conservatism. The coronavirus crisis has prompted many, even some conservatives, to promote authoritarianism. It’s understandable to some extent now, but it must not be allowed to embed itself in American life. We currently have 8000+ patriots with us in a very short time. If you are interested, please join us to receive updates.
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noqreport--2020-05-14--Dr Fauci, Kawasaki Syndrome, and H.R. 6666: How the left will drive their authoritarian future

Fear .
It has been the driving force behind the coronavirus lockdown and all of the draconian measures that have been imposed upon Americans in cities and states across the country .
We were supposed to fear millions of deaths at the start .
When that was clearly wrong , we were supposed to fear the hospitals getting overrun .
As the curve was flattened , the narrative turned to fears over killing grandma , which happened to be accurate but not compelling enough to shut patriots down who looked at the data and realized the efforts weren ’ t @ @ @ @ @ @ @ is turning to children in the form of Kawasaki Syndrome .
This push from leftist mainstream media and Dr. Anthony Fauci from the COVID-19 Task Force to suddenly promote another boogeyman about children started late last week .
Fauci invoked it yesterday during his Senate testimony .
Google has been burying information about it beneath breathless news reports about it being the next big thing pertaining to the coronavirus .
All of this ties back into H.R .
6666 , the TRACE Act , which is in the process of being inserted into @ @ @ @ @ @ @ coming from the desk of Speaker of the House Nancy Pelosi .
It pushes contact tracing , in-home testing , and child quarantines .
None of that would be easy to promote without a fear pertaining to children .
Now , they have it .
This is going to be hammered at us for the foreseeable future .
As Tammy and I discussed in the latest episode of the NOQ Report Podcast , these three elements—Dr .
Fauci , Kawasaki Syndrome , and H.R .
6666—are intertwined into a master plan that nobody @ @ @ @ @ @ @ at least not yet .
Strange things are afoot , and we intend to keep digging until we can reveal the full truth .
In the meantime , we discussed everything we ’ ve found so far in the podcast .
Keep your eyes and ears open , folks , and stay skeptical .
They ’ re pushing an agenda that is much bigger than what they ’ re revealing right now .
It ’ s a dangerous proposition , one based on fear .
We have to bring the whole truth to @ @ @ @ @ @ @ Report Podcast .
Join fellow patriots as we form a grassroots movement to advance the cause of conservatism .
The coronavirus crisis has prompted many , even some conservatives , to promote authoritarianism .
It ’ s understandable to some extent now , but it must not be allowed to embed itself in American life .
We currently have 8000+ patriots with us in a very short time .
If you are interested , please join us to receive updates .

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Fear. It has been the driving force behind the coronavirus lockdown and all of the draconian measures that have been imposed upon Americans in cities and states across the country. We were supposed to fear millions of deaths at the start. When that was clearly wrong, we were supposed to fear the hospitals getting overrun. As the curve was flattened, the narrative turned to fears over killing grandma, which happened to be accurate but not compelling enough to shut patriots down who looked at the data and realized the efforts weren’t effective.
Now, the fear narrative is turning to children in the form of Kawasaki Syndrome. This push from leftist mainstream media and Dr. Anthony Fauci from the COVID-19 Task Force to suddenly promote another boogeyman about children started late last week. Fauci invoked it yesterday during his Senate testimony. Google has been burying information about it beneath breathless news reports about it being the next big thing pertaining to the coronavirus.
All of this ties back into H.R. 6666, the TRACE Act, which is in the process of being inserted into the $3 trillion coronavirus relief bill coming from the desk of Speaker of the House Nancy Pelosi. It pushes contact tracing, in-home testing, and child quarantines. None of that would be easy to promote without a fear pertaining to children. Now, they have it.
This is going to be hammered at us for the foreseeable future. As Tammy and I discussed in the latest episode of the NOQ Report Podcast, these three elements—Dr. Fauci, Kawasaki Syndrome, and H.R. 6666—are intertwined into a master plan that nobody really has a grasp about fully, at least not yet. Strange things are afoot, and we intend to keep digging until we can reveal the full truth. In the meantime, we discussed everything we’ve found so far in the podcast.
Keep your eyes and ears open, folks, and stay skeptical. They’re pushing an agenda that is much bigger than what they’re revealing right now. It’s a dangerous proposition, one based on fear. We have to bring the whole truth to light.
Check out the NEW NOQ Report Podcast.
Join fellow patriots as we form a grassroots movement to advance the cause of conservatism. The coronavirus crisis has prompted many, even some conservatives, to promote authoritarianism. It’s understandable to some extent now, but it must not be allowed to embed itself in American life. We currently have 8000+ patriots with us in a very short time. If you are interested, please join us to receive updates.
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noqreport--2020-05-13--Report: Research into the genetic sequencing of COVID-19 relied on a People’s Liberation Army lab

According to the Daily Telegraph , the China ’ s People ’ s Liberation Army has been involved with the research into the origins of the virus that is the cause of COVID-19 .
This research was co-funded by the Australian government and has been published in esteemed medical journals .
In an explosive revelation , a study co-funded by the Australian Research Council and the Chinese government , and trumpeted by The University of Sydney as helping to solve the puzzle of how COVID-19 transferred from animals to humans , relied on a key laboratory in an institute in @ @ @ @ @ @ @ s Academy of Military Medical Sciences to conduct its “ genetic sequencing ” and “ virus isolation ” .
The director of the microbiology institute , Professor Wu-Chan Cao , who is thanked in the paper ’ s acknowledgments for his “ substantial contribution ” , has the rank of colonel and is a Wuhan Institute of Virology board member in a clear conflict of interest .
The study on the virus was entitled : “ Identifying SARS-CoV-2 related coronaviruses in Malayan pangolins ” With the authors listed as : The report also @ @ @ @ @ @ @ in the acknowledgements portion of the paper : Acknowledgements We thank Prof. Wu-Chun Cao , Dr. Na Jia , Dr. Ya-Wei Zhang , Dr. Jia-Fu Jiang , Dr. Bao-Gui Jiang , and their team in State Key Laboratory of Pathogen and Biosecurity , Beijing Institute of Microbiology and Epidemiology , Beijing for their substantial contributions to this study , including coordinating among research parties , conducting virus isolation , qPCR and sequencing .
The Daily Telegraph reported that Prof. Wu-Chun Cao has the rank of colonel and is a Wuhan Institute of Virology @ @ @ @ @ @ @ interest .
In addition , it was reported that one of the study ’ s co-authors Yi-Gang Tong began working in the same PLA-run microbiology institute in 2005 .
According to Research gate , both are at the Beijing Institute of Microbiology and Epidemiology , collaborating with the Academy of Military Medical Sciences .
Our latest episode of the NOQ Report Podcast ...
Check out the NEW NOQ Report Podcast .
Join fellow patriots as we form a grassroots movement to advance the cause of conservatism .
The coronavirus crisis has prompted many @ @ @ @ @ @ @ authoritarianism .
It ’ s understandable to some extent now , but it must not be allowed to embed itself in American life .
We currently have 8000+ patriots with us in a very short time .
If you are interested , please join us to receive updates .

See all the latest videos and articles patriots need to watch and read at Discern.tv.
According to the Daily Telegraph, the China’s People’s Liberation Army has been involved with the research into the origins of the virus that is the cause of COVID-19. This research was co-funded by the Australian government and has been published in esteemed medical journals.
In an explosive revelation, a study co-funded by the Australian Research Council and the Chinese government, and trumpeted by The University of Sydney as helping to solve the puzzle of how COVID-19 transferred from animals to humans, relied on a key laboratory in an institute in the People’s Liberation Army’s Academy of Military Medical Sciences to conduct its “genetic sequencing” and “virus isolation”.
The director of the microbiology institute, Professor Wu-Chan Cao, who is thanked in the paper’s acknowledgments for his “substantial contribution”, has the rank of colonel and is a Wuhan Institute of Virology board member in a clear conflict of interest.
The study on the virus was entitled: “Identifying SARS-CoV-2 related coronaviruses in Malayan pangolins”
With the authors listed as:
Tommy Tsan-Yuk Lam, Marcus Ho-Hin Shum, Hua-Chen Zhu, Yi-Gang Tong, Xue-Bing Ni, Yun-Shi Liao, Wei Wei, William Yiu-Man Cheung, Wen-Juan Li, Lian-Feng Li, Gabriel M. Leung, Edward C. Holmes, Yan-Ling Hu & Yi Guan
The report also pointed out a key piece of information in the acknowledgements portion of the paper:
Acknowledgements We thank Prof. Wu-Chun Cao, Dr. Na Jia, Dr. Ya-Wei Zhang, Dr. Jia-Fu Jiang, Dr. Bao-Gui Jiang, and their team in State Key Laboratory of Pathogen and Biosecurity, Beijing Institute of Microbiology and Epidemiology, Beijing for their substantial contributions to this study, including coordinating among research parties, conducting virus isolation, qPCR and sequencing.
The Daily Telegraph reported that Prof. Wu-Chun Cao has the rank of colonel and is a Wuhan Institute of Virology board member in a clear conflict of interest. In addition, it was reported that one of the study’s co-authors Yi-Gang Tong began working in the same PLA-run microbiology institute in 2005.
According to Research gate, both are at the Beijing Institute of Microbiology and Epidemiology, collaborating with the Academy of Military Medical Sciences.
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Check out the NEW NOQ Report Podcast.
Join fellow patriots as we form a grassroots movement to advance the cause of conservatism. The coronavirus crisis has prompted many, even some conservatives, to promote authoritarianism. It’s understandable to some extent now, but it must not be allowed to embed itself in American life. We currently have 8000+ patriots with us in a very short time. If you are interested, please join us to receive updates.
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noqreport--2020-05-13--Leftist media silent as Joe Biden appears on list of those who unmasked Michael Flynn

Joe Biden lied .
He has been lying from the start .
He ’ s been known to lie for his entire four-decade political career and one of his biggest lies is now coming to light as he said as recently as Sunday that he wasn ’ t even aware of the Flynn investigation… before changing his mind a minute and a half later .
Most in mainstream media are completely silent on the development .
Acting Director of National Intelligence Richard Grenell revealed last week he had declassified documents pertaining to the investigation of former National Security Advisor Michael @ @ @ @ @ @ @ those involved in his “ unmasking , ” an event that led to Flynn ’ s criminal investigation and prosecution .
The documents were unveiled today .
List Of Obama Officials Involved In ‘ Unmasking ’ Michael Flynn Revealed .
The List Includes Joe Biden .
The list includes the usual suspects involved in the Russia-collusion narrative , such as former U.S .
Ambassador to the United Nations Samantha Power , former Director for National Intelligence James Clapper , former Director of the CIA John Brennan , and former FBI Director James Comey @ @ @ @ @ @ @ , however , raises some eyebrows .
It appears former vice president and de facto Democratic presidential nominee Joe Biden had requested the information .
To be clear , this information does not suggest these people were behind the investigation into Flynn , as they merely requested the identity of a then-unknown individual .
Biden ’ s inclusion on the list will certainly raise questions for the candidate , however , as he recently claimed President Donald Trump was using Flynn as a “ diversion ” to hide his allegedly poor handling of @ @ @ @ @ @ @ not be trusted with telling the truth about something as basic as knowing about an investigation into General Michael Flynn , can he really be trusted with the highest office in the land ?
No .
Check out the NEW NOQ Report Podcast .
Join fellow patriots as we form a grassroots movement to advance the cause of conservatism .
The coronavirus crisis has prompted many , even some conservatives , to promote authoritarianism .
It ’ s understandable to some extent now , but it must not be allowed to embed itself @ @ @ @ @ @ @ 8000+ patriots with us in a very short time .
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Joe Biden lied. He has been lying from the start. He’s been known to lie for his entire four-decade political career and one of his biggest lies is now coming to light as he said as recently as Sunday that he wasn’t even aware of the Flynn investigation… before changing his mind a minute and a half later. Most in mainstream media are completely silent on the development.
Acting Director of National Intelligence Richard Grenell revealed last week he had declassified documents pertaining to the investigation of former National Security Advisor Michael Flynn that would reveal the names of those involved in his “unmasking,” an event that led to Flynn’s criminal investigation and prosecution. The documents were unveiled today.
The list includes the usual suspects involved in the Russia-collusion narrative, such as former U.S. Ambassador to the United Nations Samantha Power, former Director for National Intelligence James Clapper, former Director of the CIA John Brennan, and former FBI Director James Comey.
The last entry on the list, however, raises some eyebrows. It appears former vice president and de facto Democratic presidential nominee Joe Biden had requested the information.
To be clear, this information does not suggest these people were behind the investigation into Flynn, as they merely requested the identity of a then-unknown individual. Biden’s inclusion on the list will certainly raise questions for the candidate, however, as he recently claimed President Donald Trump was using Flynn as a “diversion” to hide his allegedly poor handling of the coronavirus.
SCOOP @CBSNews obtains @RichardGrenell notification to congress declassified “unmasking list” Flynn between late 2016 and January 2017 – Read 3 pages provided by NSA here pic.twitter.com/NozVpQlRn2 — Catherine Herridge (@CBS_Herridge) May 13, 2020
If Joe Biden cannot be trusted with telling the truth about something as basic as knowing about an investigation into General Michael Flynn, can he really be trusted with the highest office in the land? No.
Check out the NEW NOQ Report Podcast.
Join fellow patriots as we form a grassroots movement to advance the cause of conservatism. The coronavirus crisis has prompted many, even some conservatives, to promote authoritarianism. It’s understandable to some extent now, but it must not be allowed to embed itself in American life. We currently have 8000+ patriots with us in a very short time. If you are interested, please join us to receive updates.
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noqreport--2020-05-13--American Conservative Movement launches the ACM Podcast

When the concept of the American Conservative Movement first popped in my head over a decade ago , I knew this would be a mostly digital movement .
Everything was already moving online at the time .
Smart phones were quickly emerging .
Mobile operations were becoming more prevalent in political campaigns .
It seemed like a natural fit .
Oddly enough , I was doing a popular weekly podcast at the time that had nothing to do with politics .
For whatever reason , I didn ’ t put two and two together .
It didn ’ t make @ @ @ @ @ @ @ a medium that , at the time , was dominated by often-frivolous commentaries and apolitical mentalities .
It was a bias I had for certain aspects of digital media that made me think , “ I won ’ t find conservatives there.
” I was wrong .
There were plenty of conservatives listening to podcasts a decade ago and there are many , many more listening to podcasts today .
In fact , I ’ ve seen a surge in the number of right-leaning podcasts popping up on the top-show charts that is @ @ @ @ @ @ @ with more of them .
Now that the American Conservative Movement is blossoming so quickly with two successful Saving America Conferences already under our belt , it makes sense to get the ACM Podcast launched .
We recorded our first official episode yesterday on Facebook live .
It ’ s obviously raw , as Facebook Live shows often are , but that adds to both the urgency and realism of the dilemma America faces today .
We don ’ t have time to follow the same old scripts or engage in business-as-usual .
@ @ @ @ @ @ @ authoritarianism coming together for the perfect story , America can use more raw truth , and that ’ s what the ACM Podcast plans to deliver .
Here ’ s the two-minute “ trailer ” that ACM co-founder and resident podcast guru Jeff Dornik put together .
Many organizations put out podcasts that discuss themselves more than anything else .
As you ’ ll hear in the first ACM Podcast about H.R .
6666 , our focus is on America .
That ’ s how it should be .
Check out the NEW @ @ @ @ @ @ @ as we form a grassroots movement to advance the cause of conservatism .
The coronavirus crisis has prompted many , even some conservatives , to promote authoritarianism .
It ’ s understandable to some extent now , but it must not be allowed to embed itself in American life .
We currently have 8000+ patriots with us in a very short time .
If you are interested , please join us to receive updates .

See all the latest videos and articles patriots need to watch and read at Discern.tv.
When the concept of the American Conservative Movement first popped in my head over a decade ago, I knew this would be a mostly digital movement. Everything was already moving online at the time. Smart phones were quickly emerging. Mobile operations were becoming more prevalent in political campaigns. It seemed like a natural fit.
Oddly enough, I was doing a popular weekly podcast at the time that had nothing to do with politics. For whatever reason, I didn’t put two and two together. It didn’t make sense to me to push conservatism through a medium that, at the time, was dominated by often-frivolous commentaries and apolitical mentalities. It was a bias I had for certain aspects of digital media that made me think, “I won’t find conservatives there.”
I was wrong. There were plenty of conservatives listening to podcasts a decade ago and there are many, many more listening to podcasts today. In fact, I’ve seen a surge in the number of right-leaning podcasts popping up on the top-show charts that is thrilling, especially as I involve myself with more of them. Now that the American Conservative Movement is blossoming so quickly with two successful Saving America Conferences already under our belt, it makes sense to get the ACM Podcast launched.
We recorded our first official episode yesterday on Facebook live. It’s obviously raw, as Facebook Live shows often are, but that adds to both the urgency and realism of the dilemma America faces today. We don’t have time to follow the same old scripts or engage in business-as-usual. Between the coronavirus crisis and rising leftist authoritarianism coming together for the perfect story, America can use more raw truth, and that’s what the ACM Podcast plans to deliver.
Here’s the two-minute “trailer” that ACM co-founder and resident podcast guru Jeff Dornik put together.
Many organizations put out podcasts that discuss themselves more than anything else. As you’ll hear in the first ACM Podcast about H.R. 6666, our focus is on America. That’s how it should be.
Check out the NEW NOQ Report Podcast.
Join fellow patriots as we form a grassroots movement to advance the cause of conservatism. The coronavirus crisis has prompted many, even some conservatives, to promote authoritarianism. It’s understandable to some extent now, but it must not be allowed to embed itself in American life. We currently have 8000+ patriots with us in a very short time. If you are interested, please join us to receive updates.
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noqreport--2020-05-14--The tired state of healthcare and socialism that only a doctor can fix

Healthcare remains one of the most controversial , and highly politicized commentaries with a significant up-tick in political debates during recent decades .
In standard diatribe , a circular disarray has emerged with the right professing free-market enterprise and the left adhering to socialistic models of universal and single-payer healthcare .
While each model has its merits , the majority of Americans do not possess the background knowledge or the history of healthcare to best determine the most beneficial policies .
It is almost inconceivable that the vast technological advancements , and the procurement of scientific invention has caused such @ @ @ @ @ @ @ “ funding , ” and fiscal relativism .
While the United States possesses futuristic medicines , it is oft cited as being exponentially more cost-deleterious that our counterparts who have a single-payer practice and universal healthcare .
How is this possible ?
The answer is not as obscure as some would think .
It can be summed up in a single word , “ regulation.
” The unfortunate reality is that healthcare as a fiscal entity has seen significant legislation over the past few decades which has escalated prices above standard inflation rate @ @ @ @ @ @ @ I predict future happiness for Americans , if they can prevent the government from wasting the labors of the people under the pretense of taking care of them.
” Under the veiled guise of patient protection , legislation has been repeatedly passed that clearly favors corporations and lobbyists but hinders physicians and healthcare workers .
Over the past several decades , three major policies were implemented that have brought us to the breaking point with a pending fourth and fifth .
The first legislation passed which directly affected healthcare was the Health Maintenance @ @ @ @ @ @ @ a false belief exists that issues arose with HMO Act of 1973 that led to insurers seeking for-profit status and resulted in corporate greed .
In true partisan form , a meme has begun to circulate that President Nixon signed the act into place specifically to allow Kaiser-Permanente to alter their business model from “ non-profit , ” to “ for-profit.
” The reality actually goes back to World War II .
As Elizabeth Rosenthal describes in a Stanford article in 2017 : “ When the National War Labor Board froze salaries during @ @ @ @ @ @ @ facing severe labor shortages discovered that they could attract workers by offering health insurance instead .
To encourage the trend , the federal government ruled that money paid for employees ’ health benefits would not be taxed .
This strategy was a win-win in the short term , but in the long term has had some very losing implications … Within a decade , the model spread across the country .
Three million people had signed up by 1939 and the concept had been given a name : Blue Cross Plans .
The @ @ @ @ @ @ @ but to protect patient savings and keep hospitals — and the charitable religious groups that funded them — afloat .
Blue Cross Plans were then not-for-profit .
For-profit insurance companies moved in , unencumbered by the Blues ’ charitable mission .
They accepted only younger , healthier patients on whom they could make a profit .
They charged different rates , depending on factors like age , as they had long done with life insurance .
And they produced different types of policies , for different amounts of money , which provided different @ @ @ @ @ @ @ were both offering major medical coverage by 1951 .
With aggressive marketing and closer ties to business than to health care , these for-profit plans slowly gained market share through the 1970s and 1980s .
It was difficult for the Blues to compete .
From a market perspective , the poor Blues still had to worry about their mission of “ providing high-quality , affordable health care for all.
” In 1994 , after state directors rebelled , the Blues ’ board relented and allowed member plans to become for-profit insurers .
Their @ @ @ @ @ @ @ more , but to gain access to the stock market to raise some quick cash to erase deficits .
This was the final nail in the coffin of old-fashioned noble-minded health insurance.
” The reality of the HMO act was that Richard Nixon was actually concerned about the ballooning costs of health care , and it was passed in an effort to quell the rising Medicare and Medicaid costs which went from 4.1 % ( 1961 ) to 11.3 % ( 1973 ) of the federal budget .
Interestingly , Kaiser-Permanente did not @ @ @ @ @ @ @ 4 years after its implementation .
For-profit insurers existed decades before its passage .
The difficulty with for-profit arises in the non-clinical portion of medicine .
While physicians and nurses provide the care , the majority of money actually does not go to them .
As we will discuss later , the rising tide of healthcare costs are actually a direct result of an increase in administrative personnel .
Case in point , in 2017 Excellus of Western NY projected a 100-million-dollar profit .
In 2018 , it became 150 million .
This @ @ @ @ @ @ @ the top-executives in Syracuse , NY to 2.9 million per year ( a 23 % raise ) .
The top three executives of Excellus in Syracuse alone took home more than 4.5 million in 2019 .
The rising profit margins to insurance companies never did trickle down to physicians , nurses or hospital systems .
While physician compensation from 2004-2013 increased by a paltry 4.1 % , standard inflation rates actually increased by 28.1 % , implying that physician pay actually went down .
The second major legislation that affected healthcare was passed @ @ @ @ @ @ @ education reform .
At the time the government believed two-fold , that an education was something every American was entitled to and that if students borrowed money from the federal government , it should be readily available , and it should be paid back .
While initially college was reserved for the wealthy , many students in middle- and lower-class brackets could not afford higher level education , and so were referred to trade schools .
Gradually , the federal government asked the banks to open up their reserve allowing unprotected loans for @ @ @ @ @ @ @ noble in intent , the net result was actually several fold .
First , students saw an opportunity to go to school to obtain higher education , but also bypassing trade positions .
This ultimately led to a slow decline in trade enrollment which has threatens to cause a crisis in skilled laborers 30 years later .
Additionally , more student enrollment also necessitated more staff and infrastructure .
This was not just professors but ancillary staff .
The perfunctory rising cost of education was only then matched by the skyrocketing tuition costs @ @ @ @ @ @ @ of tuition increased over 260 % in 30 years .
Medical school took these numbers and stratified them exponentially .
In 1980 , the average debt of a medical student was $ 22,000 .
Today , the average debt far exceeds $ 200k .
Once again , inflation alone can not account for this number .
If taken into consideration , $ 22K adjusted to inflation would be equal to $ 69k today .
This implies a 3-4 fold increase in tuition costs and debts for those entering the medical career .
As @ @ @ @ @ @ @ asking for more money in order to be able to pay off those debts , however , as you will recall physician reimbursement itself has not mirrored standard inflation rates .
As a result , on a per capita basis doctors are actually making less relative to debt to income ratios now than they did in the 1980s .
The average physician also completes training in their early 30 ’ s , which causes a net lag in fiscal propriety by an average of 5-10 years In response to the increased reimbursement requests @ @ @ @ @ @ @ putting the sole onus on the patients ( aka the consumers ) .
Despite the increased premiums , the money never actually went to physicians .
If taken as above , the price of healthcare has also not merely tripled since 1980 to account for physicians .
In fact , the cost of insurance has gone up 740 % since 1984 ( Consumer Expenditure Survey conducted by Clever ) .
This number may be an underestimate as it does not take into consideration people whose employers cover the full cost of healthcare .
@ @ @ @ @ @ @ arose for non-clinically based businesspersons to increase their costs and tag them to physician payments .
Our latest episode of the NOQ Report Podcast ... C ) Hitech and HiPAA Act of 2009 and the Affordable Care Act As part of the generalized attempt to improve healthcare , access to medical records , and maintain privacy , the government passed the Hitech Act of 2009 .
Part of this mandated implementation of electronic medical records ( EMR ’ s ) .
Access to an EMR was meant to calibrate a patient ’ s @ @ @ @ @ @ @ .
For example , if a patient went to see a cardiologist , they would have access to the internists note , and vice versa .
Additionally , privacy would be maintained through adaptive technological advancements , for better security .
A streamlined electronic health system was meant to improve clinical outcomes , adherence to medications , compliance , and overall access .
As always , the tenet was noteworthy , however the execution entirely lacking .
While it has facilitated access to medical history and medication usage , the cost has escalated @ @ @ @ @ @ @ are now even more limited temporally by computer time .
30 years ago , the average doctor spent the majority of a patient interview looking at and diagnosing the patient .
Today , 90 % of their time is spent looking at a screen .
To curb costs to healthcare systems , the government began a grant system to offset the high associated costs .
With an average cost of 15,000- 70,000 per provider , often hospitals pay in the vicinity of millions for complete staff coverage .
In lieu of this CMS @ @ @ @ @ @ @ since implementation of an EMR , with approximately $ 50 billion paid out in incentives to date .
Perhaps the more disturbing trend however , was watching companies vie for a piece of the electronic pie and push their software through .
An article published in Healthcare IT News showed the average cost that each EMR company spent on lobbying to achieve this goal .
They are noted below .
Invariably , these additional costs were also offset to the consumer via higher taxes .
• Allscripts : $ 140,400 , the same @ @ @ @ @ @ @ , down from $ 600,000 in 2016 • Cerner : $ 290,000 , up from $ 200,000 in 2016 • Epic Systems : $ 108,000 , down from $ 144,000 in 2016 • McKesson : $ 1,012,000 , down from 1,235,000 in 2016 Recent studies have shown that healthcare accounts for approximately 3.6 trillion dollars yearly ( 2018 ) .
For perspective , healthcare accounts for 18 % of the US GDP ( 2018 ) compared to 12 % in Canada .
In 1980 , healthcare accounted for 9.4 % of the GDP @ @ @ @ @ @ @ public funds .
At that time , the total bill was in the vicinity of $ 240 billion dollars with 18.9 % of the costs going to physicians .
In 2017 , physicians accounted for 15.6 % of spending ( taken from AMA based on CMS data ) .
As a consumer , I have seen our insurance premiums increase by 10-15 % yearly which has been coupled with high deductibles and copays , placing an exorbitant encumbrance on the consumer , effectively making adequate healthcare untenable .
In today ’ s market @ @ @ @ @ @ @ not uncommon to see a consumer pay in excess of 25,000 dollars yearly between premiums and out of pocket expenses .
Over the course of 30 years , this amounts to roughly 750,000 dollars spent on premiums and potential out of pocket bills .
When taking into consideration income taxes paid towards Medicare and Medicaid , the cost rises even more .
Despite and in lieu of these trends , the federal government placed a individual mandate on the consumer in 2010 to obtain insurance under the Affordable Care Act ( ACA ) @ @ @ @ @ @ @ coverage is noble , the implementation process resulted in escalating costs for all consumers , higher premiums , lower quality healthcare ( by the addition of untrained personnel to curb costs ) , and a failing infrastructure .
Over time a new entity emerged in the form of physician employed corporations ( eg .
Mednax ) .
These corporations bought out physician practices for large sums of money with guarantees of several years of work and began to develop corporate models of physician staffing .
They developed strict marketing patterns and elimination of @ @ @ @ @ @ @ monopolization of healthcare with lower reimbursements to physicians and huge margins of profits to the owners .
In lieu of this , many physicians have decided to pursue self-employment but are struggling to fight the ever-present tsunami of employment over ownership .
Interestingly , the Affordable Care Act of 2010 , section 6001 was passed limiting a physician ’ s ability to own a healthcare system or hospital .
Notably , it is also illegal for physicians to unionize , being cited as a violation of the Hippocratic oath .
Despite this , @ @ @ @ @ @ @ is equally important to curb healthcare costs .
Of all countries , the US sits atop the pedestal for malpractice .
For reference , the average physician paid 4k dollars towards malpractice premiums in 1983 .
Today , surgeons may pay upwards of $ 30-50k yearly .
As Americans age and become sicker , litigation has seen a sharp rise with no mention of tort reform .
Principally , this is because those who have legislated policies into being , have more interest in maintaining their ability to litigate ( lawyers backing lawyers @ @ @ @ @ @ @ patients .
This has been hidden under the guise of “ holding physicians accountable for their mistakes to protect the patients.
” An article published in JAMA in 2017 clearly demonstrated a decrease in the number of claims brought against physicians , but a substantial increase in the amount of money payments ( JAMA Intern Med 2017 May , Rates and Characteristics of Paid Malpractice Claims Among US Physicians by Speciality , 1992-2014 ; Schaffer , et al. )
.
A large part of this may be attributable to “ defensive medicine.
” @ @ @ @ @ @ @ testing to avoid potentially missing a diagnosis that could result in untoward outcomes .
Often times , the breadth of testing is so wide that it lacks pertinence to the actual disease process .
In some rare instances , it actually leads to over-diagnosing .
The major culprit is no longer physicians , however .
Despite fear of litigation physicians have maintained a semblance of structure , but “ advanced practice providers , ” ( APP ) have taken it even a step further .
Studies have recently demonstrated that APP ’ s @ @ @ @ @ @ @ than they potentially save by ordering infinite diagnostics for simple diseases .
Advanced practice providers include Nurse Practitioners , Physicians Assistants and Certified Registered Nurse Anesthetists ( CRNA ’ s ) .
APP ’ s were originally devised to facilitate healthcare in rural areas that lacked adequate physician coverage .
Over time , and with an increasing need , their numbers have seen a significant influx .
In the interim , physician numbers remain relatively stable .
For background , in 2010 , the total number of NPs was 56,000 and PA ’ @ @ @ @ @ @ @ of NP ’ s swelled to over 270,000 and PA ’ s number 118,800 in 2018 .
Typical education pathways begin with nursing , or straight from high school , meaning little to no healthcare background .
Obtaining an advanced practice degree has become one of the most streamlined methods to obtain a health degree with online classes actually becoming a preferred method for NP ’ s .
Unfortunately , this has led to a lack of satisfactory clinical time .
This is in contrast to the hundreds and thousands of hours spent @ @ @ @ @ @ @ .
Allied and systemic organization for APP ’ s have recently advocated for independent practice , and for advanced providers to be removed from the coordination and supervision of physicians despite their lack of training and knowledge ( especially in regard to the fundamentals of pathophysiology ) .
Their institutions refer dogmatically to the tenet of “ under served areas , ” ignoring the fact that the majority actually practice in large cities , institutions and universities .
An article published by CMS attempted to push the agenda further by decrying the cost @ @ @ @ @ @ @ article itself was flawed and contained antiquated information .
Worse still , it looked at outcomes of APP ’ s that were actually being supervised at the time under the direct care of physicians .
Imagine saying that a para-legal knew law just as well as a lawyer ?
Or that an airline hostess was just as capable of flying a plane as a pilot ?
Take it a step further and publish a paper wherein the hostess was being supervised and landed without a problem because the pilot was there .
The @ @ @ @ @ @ @ safe as pilots , ” is nonsensical .
Worse still , most studies are conducted on young healthy patients .
With an aging population , co-morbidities are on the rise and the validity of any claims diminishes gratuitously .
To add to the confusion of healthcare “ providers , ” it is also now possible to obtain an online “ Doctorate of Nurse Practice , ” ( DNP ) , which allows advanced providers to refer to themselves as “ doctor ” .
The American Association of Nurse Anesthetists ( AANA ) have @ @ @ @ @ @ @ that the phrase “ Anesthesiologist , ” does not only pertain to physicians , as “ ologist , ” implies an expertise in a specific science .
They believe that the physician expertise , garnered and branded through years of research , study , clinical time , training , and sleepless nights is matched by their own .
Caveat emptor to all patients .
Enter the surprise bill act .
In December of 2019 , the government began the process of introducing a new policy to ensure that patients are not “ surprised @ @ @ @ @ @ @ ” The premise of this bill that patients should not seek medical care , and subsequently be presented with a large bill that their insurance did not cover because the physician did not accept that particular insurance .
Unfortunately , it is fundamentally flawed and favors the insurer more than the patient or physician .
The reality has always been that patients seen by out of network physicians have the option to forward their bills to their insurer , who then would typically pay the bill much the same as if they were @ @ @ @ @ @ @ , an arbitration process could take place between the practice and the payer .
For background , the only method of contract negotiation between physicians and insurers in the past was via a method referred to as “ non-participation.
” Insurers are mandated to keep a certain number of local physicians within network .
To appeal to their constituents , they will do whatever is in their power to hold on to those physicians , going so far as to offer hospitals kickbacks in the form of “ bonuses , ” to keep @ @ @ @ @ @ @ network .
Since physicians are not allowed to unionize , unlike standard business relations the only opportunity to help cover costs and payback debt was re-negotiation with third party payers .
The surprise bill act eliminates the only negotiating tactic with insurers that keeps their greed in check .
The act obligates physicians to accept any dollar sign the insurer says , including a lower than community standard .
The reality of the surprise bill act is the lack of protection for patients and guarantee of financial sovereignty for insurers .
This will @ @ @ @ @ @ @ higher bonuses and salaries for insurance company C ’ levels and will further threaten to limit access to good healthcare by lowering the number of physicians over the next several years .
To be frank , why go to medical school and accrue insurmountable debt , only to receive minimal reimbursement ?
United HealthCare in New Jersey took it a step further .
United is one of the newest insurance companies to practice “ vertical consolidation.
” In an effort to “ curb costs , ” but secretly and dramatically increase profits , @ @ @ @ @ @ @ network ( except for Medicare subsidized components ) and telling their customers to use , “ in-network physicians.
” These physicians have a separate contract with the insurers and allow the insurer to shift patients to their sister companies .
In the game of chess , a player anticipates movement in an attempt to counter to their advantage .
Using this as a metaphor , imagine that the payers are dropping physicians out of their network and forcing their clients to go to their subsidiaries .
Effectively , this drives their cost down @ @ @ @ @ @ @ This resets the parity level of reimbursement to a much lower rate .
In today ’ s market , physicians can still use the arbitration process to ensure adequate compensation .
Once the surprise bill act passes , however , the new baseline is set so low that payments become untenable .
And yet , the payers go unchecked .
The Doctor is not in house , but the CEO will see you now… .
The culmination of all the legislation that have been passed , and those pending is a monetary sustenance @ @ @ @ @ @ @ actually care for the patients .
To be clear , our story unfolds as follows… Physicians gave up .
As the government became more intrusive on healthcare increasing regulations , bypassing consumer relations and forcing agendas based on PAC ’ s and lobbyists , physicians looked for a way out of administrative work .
Their primary focus has always been on the patient , not the nuances of ensuring appropriate paperwork .
While the number of administrators has increased , greed has pushed them to dip into the funds .
What normally would @ @ @ @ @ @ @ being spent on regulatory bodies .
Take the joint commission for example .
In preparation for a visit , a hospital may spend in excess of 30-50K dollars .
These are preparatory only .
Once they arrive , the joint commissions sole objective seems to find minuscule errors and threaten citations .
While , technically , they are entirely unable to cite a hospital , they can remove their accreditation .
Once that happens , the government refuses to reimburse CMS costs .
These preparatory steps have therefore become mandatory to ensure government-based @ @ @ @ @ @ @ the same system that is being advocated for complete control .
A recent study conducted by Harvard Business Review has demonstrated an increase in healthcare workforce by 75 % since 1990 .
95 % of the new hires were not physicians .
In fact , it appears that there are now 10 administrators per 1 doctor .
The net result has been a dramatic increase in cost to offset administrative work , with frequent CEO ’ s , CMO ’ s et al making in the several million per year .
These funds @ @ @ @ @ @ @ physicians and nurses .
Rest assured that the non-clinical component of medicine accounts for a large part of the fiscal component of health care ( estimated at 73 % in 2018 ) .
This extends to not only hospitals , but administrators of health insurance and pharmaceutical companies as well .
In order to offset their large bonuses , companies raise costs .
These costs get translated to the consumer .
A recent example was the escalation in epi-pen and insulin costs .
Actual revenues are a matter of public interest and can @ @ @ @ @ @ @ for the “ not for profit , ” facilities .
The terrible tragedy of 2020 continues with the Covid pandemic .
The latest casualty to the virus is also physician reimbursement .
Once more , almost as if tempting the herculean efforts of yore , insurers have begun a process to cut back on payments for doctors ’ work .
The greatest casualty will not be the disease itself , but the prolonged effects on a healthcare system stricken with the cancer of greed .
Fundamentally , the truth is that America and @ @ @ @ @ @ @ all paying exorbitant amounts to salaries for non-clinical politicians and businessmen .
We have been successfully duped and dysregulated to the point that we feel that giving the government complete control is our only option .
Simply put , Medicare-For-All is not the answer .
Removal of red-tape is the only logical outcome to save our dying field .
Physicians need to take hold of it again .
We are so fond of decrying Canada ’ s model as being superior , yet many Canadians seek healthcare here because of the delays in @ @ @ @ @ @ @ benefit in Canada is the lack of red-tape .
Removal of administrators and massive corporate payouts can not only curb costs , but restore a truth in order .
Why do we give control and power to people with no background and no experience in the field ?
The same applies more fervently to the government .
Of all the politicians , how many physicians are present to help make decisions about healthcare ?
The insanity of the situation is complete .
We keep attempting to same thing expecting different results .
Healthcare @ @ @ @ @ @ @ have spent time in the field , who know the nuances , and who can regulate appropriately and definitively to ensure the profiteering diminishes and the patients ( aka consumers to non-clinicians ) do not suffer .
Check out the NEW NOQ Report Podcast .
Join fellow patriots as we form a grassroots movement to advance the cause of conservatism .
The coronavirus crisis has prompted many , even some conservatives , to promote authoritarianism .
It ’ s understandable to some extent now , but it must not be allowed to embed @ @ @ @ @ @ @ have 8000+ patriots with us in a very short time .
If you are interested , please join us to receive updates .

See all the latest videos and articles patriots need to watch and read at Discern.tv.
Healthcare remains one of the most controversial, and highly politicized commentaries with a significant up-tick in political debates during recent decades. In standard diatribe, a circular disarray has emerged with the right professing free-market enterprise and the left adhering to socialistic models of universal and single-payer healthcare. While each model has its merits, the majority of Americans do not possess the background knowledge or the history of healthcare to best determine the most beneficial policies. It is almost inconceivable that the vast technological advancements, and the procurement of scientific invention has caused such a dichotomy with this principle evil being “funding,” and fiscal relativism.
While the United States possesses futuristic medicines, it is oft cited as being exponentially more cost-deleterious that our counterparts who have a single-payer practice and universal healthcare. How is this possible? The answer is not as obscure as some would think. It can be summed up in a single word, “regulation.” The unfortunate reality is that healthcare as a fiscal entity has seen significant legislation over the past few decades which has escalated prices above standard inflation rate.
Thomas Jefferson once said, “I predict future happiness for Americans, if they can prevent the government from wasting the labors of the people under the pretense of taking care of them.” Under the veiled guise of patient protection, legislation has been repeatedly passed that clearly favors corporations and lobbyists but hinders physicians and healthcare workers. Over the past several decades, three major policies were implemented that have brought us to the breaking point with a pending fourth and fifth.
A) HMO Act of 1973
The first legislation passed which directly affected healthcare was the Health Maintenance Organization act of 1973. Conceptually, a false belief exists that issues arose with HMO Act of 1973 that led to insurers seeking for-profit status and resulted in corporate greed. In true partisan form, a meme has begun to circulate that President Nixon signed the act into place specifically to allow Kaiser-Permanente to alter their business model from “non-profit,” to “for-profit.” The reality actually goes back to World War II. As Elizabeth Rosenthal describes in a Stanford article in 2017:
“When the National War Labor Board froze salaries during and after World War II, companies facing severe labor shortages discovered that they could attract workers by offering health insurance instead. To encourage the trend, the federal government ruled that money paid for employees’ health benefits would not be taxed. This strategy was a win-win in the short term, but in the long term has had some very losing implications … Within a decade, the model spread across the country. Three million people had signed up by 1939 and the concept had been given a name: Blue Cross Plans. The goal was not to make money, but to protect patient savings and keep hospitals — and the charitable religious groups that funded them — afloat. Blue Cross Plans were then not-for-profit. For-profit insurance companies moved in, unencumbered by the Blues’ charitable mission. They accepted only younger, healthier patients on whom they could make a profit. They charged different rates, depending on factors like age, as they had long done with life insurance. And they produced different types of policies, for different amounts of money, which provided different levels of protection. Aetna and Cigna were both offering major medical coverage by 1951. With aggressive marketing and closer ties to business than to health care, these for-profit plans slowly gained market share through the 1970s and 1980s. It was difficult for the Blues to compete. From a market perspective, the poor Blues still had to worry about their mission of “providing high-quality, affordable health care for all.” In 1994, after state directors rebelled, the Blues’ board relented and allowed member plans to become for-profit insurers. Their primary motivation was not to charge patients more, but to gain access to the stock market to raise some quick cash to erase deficits. This was the final nail in the coffin of old-fashioned noble-minded health insurance.”
The reality of the HMO act was that Richard Nixon was actually concerned about the ballooning costs of health care, and it was passed in an effort to quell the rising Medicare and Medicaid costs which went from 4.1% (1961) to 11.3% (1973) of the federal budget. Interestingly, Kaiser-Permanente did not even benefit from the HMO act until 4 years after its implementation. For-profit insurers existed decades before its passage.
The difficulty with for-profit arises in the non-clinical portion of medicine. While physicians and nurses provide the care, the majority of money actually does not go to them. As we will discuss later, the rising tide of healthcare costs are actually a direct result of an increase in administrative personnel. Case in point, in 2017 Excellus of Western NY projected a 100-million-dollar profit. In 2018, it became 150 million. This resulted in an increase in salary for the top-executives in Syracuse, NY to 2.9 million per year (a 23% raise). The top three executives of Excellus in Syracuse alone took home more than 4.5 million in 2019. The rising profit margins to insurance companies never did trickle down to physicians, nurses or hospital systems. While physician compensation from 2004-2013 increased by a paltry 4.1%, standard inflation rates actually increased by 28.1%, implying that physician pay actually went down.
B) Education Reform
The second major legislation that affected healthcare was passed around the mid-late 1980’s as education reform. At the time the government believed two-fold, that an education was something every American was entitled to and that if students borrowed money from the federal government, it should be readily available, and it should be paid back. While initially college was reserved for the wealthy, many students in middle- and lower-class brackets could not afford higher level education, and so were referred to trade schools.
Gradually, the federal government asked the banks to open up their reserve allowing unprotected loans for students across all socio-economic divides. While noble in intent, the net result was actually several fold. First, students saw an opportunity to go to school to obtain higher education, but also bypassing trade positions. This ultimately led to a slow decline in trade enrollment which has threatens to cause a crisis in skilled laborers 30 years later. Additionally, more student enrollment also necessitated more staff and infrastructure. This was not just professors but ancillary staff. The perfunctory rising cost of education was only then matched by the skyrocketing tuition costs. In fact, the average amount of tuition increased over 260% in 30 years.
Medical school took these numbers and stratified them exponentially. In 1980, the average debt of a medical student was $22,000. Today, the average debt far exceeds $200k. Once again, inflation alone cannot account for this number. If taken into consideration, $22K adjusted to inflation would be equal to $69k today. This implies a 3-4 fold increase in tuition costs and debts for those entering the medical career. As medical school costs increased, physicians began asking for more money in order to be able to pay off those debts, however, as you will recall physician reimbursement itself has not mirrored standard inflation rates. As a result, on a per capita basis doctors are actually making less relative to debt to income ratios now than they did in the 1980s. The average physician also completes training in their early 30’s, which causes a net lag in fiscal propriety by an average of 5-10 years
In response to the increased reimbursement requests, insurance companies increased their premiums, putting the sole onus on the patients (aka the consumers). Despite the increased premiums, the money never actually went to physicians. If taken as above, the price of healthcare has also not merely tripled since 1980 to account for physicians. In fact, the cost of insurance has gone up 740% since 1984 (Consumer Expenditure Survey conducted by Clever). This number may be an underestimate as it does not take into consideration people whose employers cover the full cost of healthcare. This is reflective of an opportunity which arose for non-clinically based businesspersons to increase their costs and tag them to physician payments.
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C) Hitech and HiPAA Act of 2009 and the Affordable Care Act
As part of the generalized attempt to improve healthcare, access to medical records, and maintain privacy, the government passed the Hitech Act of 2009. Part of this mandated implementation of electronic medical records (EMR’s). Access to an EMR was meant to calibrate a patient’s care by maintaining consistent knowledge across specialties. For example, if a patient went to see a cardiologist, they would have access to the internists note, and vice versa. Additionally, privacy would be maintained through adaptive technological advancements, for better security.
A streamlined electronic health system was meant to improve clinical outcomes, adherence to medications, compliance, and overall access. As always, the tenet was noteworthy, however the execution entirely lacking. While it has facilitated access to medical history and medication usage, the cost has escalated into the billions, and patient encounters are now even more limited temporally by computer time. 30 years ago, the average doctor spent the majority of a patient interview looking at and diagnosing the patient. Today, 90% of their time is spent looking at a screen.
To curb costs to healthcare systems, the government began a grant system to offset the high associated costs. With an average cost of 15,000- 70,000 per provider, often hospitals pay in the vicinity of millions for complete staff coverage. In lieu of this CMS has seen a large increase in costs since implementation of an EMR, with approximately $50 billion paid out in incentives to date.
Perhaps the more disturbing trend however, was watching companies vie for a piece of the electronic pie and push their software through. An article published in Healthcare IT News showed the average cost that each EMR company spent on lobbying to achieve this goal. They are noted below. Invariably, these additional costs were also offset to the consumer via higher taxes.
Allscripts: $140,400, the same as 2016
Athenahealth: $550,000, down from $600,000 in 2016
Cerner: $290,000, up from $200,000 in 2016
Epic Systems: $108,000, down from $144,000 in 2016
McKesson: $1,012,000, down from 1,235,000 in 2016
The cost trend:
Recent studies have shown that healthcare accounts for approximately 3.6 trillion dollars yearly (2018). For perspective, healthcare accounts for 18% of the US GDP (2018) compared to 12% in Canada. In 1980, healthcare accounted for 9.4% of the GDP, with an estimated 42.2% from public funds. At that time, the total bill was in the vicinity of $240 billion dollars with 18.9% of the costs going to physicians.
In 2017, physicians accounted for 15.6% of spending (taken from AMA based on CMS data). As a consumer, I have seen our insurance premiums increase by 10-15% yearly which has been coupled with high deductibles and copays, placing an exorbitant encumbrance on the consumer, effectively making adequate healthcare untenable. In today’s market of high deductible insurances, it is not uncommon to see a consumer pay in excess of 25,000 dollars yearly between premiums and out of pocket expenses.
Over the course of 30 years, this amounts to roughly 750,000 dollars spent on premiums and potential out of pocket bills. When taking into consideration income taxes paid towards Medicare and Medicaid, the cost rises even more. Despite and in lieu of these trends, the federal government placed a individual mandate on the consumer in 2010 to obtain insurance under the Affordable Care Act (ACA). While the fundamental tenet of universal coverage is noble, the implementation process resulted in escalating costs for all consumers, higher premiums, lower quality healthcare (by the addition of untrained personnel to curb costs), and a failing infrastructure.
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Over time a new entity emerged in the form of physician employed corporations (eg. Mednax). These corporations bought out physician practices for large sums of money with guarantees of several years of work and began to develop corporate models of physician staffing. They developed strict marketing patterns and elimination of private practice competition at an attempt at monopolization of healthcare with lower reimbursements to physicians and huge margins of profits to the owners. In lieu of this, many physicians have decided to pursue self-employment but are struggling to fight the ever-present tsunami of employment over ownership. Interestingly, the Affordable Care Act of 2010, section 6001 was passed limiting a physician’s ability to own a healthcare system or hospital. Notably, it is also illegal for physicians to unionize, being cited as a violation of the Hippocratic oath.
Despite this, the government continues to ignore legislation that is equally important to curb healthcare costs. Of all countries, the US sits atop the pedestal for malpractice. For reference, the average physician paid 4k dollars towards malpractice premiums in 1983. Today, surgeons may pay upwards of $30-50k yearly. As Americans age and become sicker, litigation has seen a sharp rise with no mention of tort reform. Principally, this is because those who have legislated policies into being, have more interest in maintaining their ability to litigate (lawyers backing lawyers), then actually worrying about the patients.
This has been hidden under the guise of “holding physicians accountable for their mistakes to protect the patients.” An article published in JAMA in 2017 clearly demonstrated a decrease in the number of claims brought against physicians, but a substantial increase in the amount of money payments (JAMA Intern Med 2017 May, Rates and Characteristics of Paid Malpractice Claims Among US Physicians by Speciality, 1992-2014; Schaffer, et al.).
A large part of this may be attributable to “defensive medicine.” Defensive medicine is the practice of extensive testing to avoid potentially missing a diagnosis that could result in untoward outcomes. Often times, the breadth of testing is so wide that it lacks pertinence to the actual disease process. In some rare instances, it actually leads to over-diagnosing. The major culprit is no longer physicians, however. Despite fear of litigation physicians have maintained a semblance of structure, but “advanced practice providers,” (APP) have taken it even a step further. Studies have recently demonstrated that APP’s are actually costing the system even more than they potentially save by ordering infinite diagnostics for simple diseases.
D) Independent Practice for non-Physicians
Advanced practice providers include Nurse Practitioners, Physicians Assistants and Certified Registered Nurse Anesthetists (CRNA’s). APP’s were originally devised to facilitate healthcare in rural areas that lacked adequate physician coverage. Over time, and with an increasing need, their numbers have seen a significant influx. In the interim, physician numbers remain relatively stable.
For background, in 2010, the total number of NPs was 56,000 and PA’s 30,000. In 2019 the number of NP’s swelled to over 270,000 and PA’s number 118,800 in 2018. Typical education pathways begin with nursing, or straight from high school, meaning little to no healthcare background. Obtaining an advanced practice degree has become one of the most streamlined methods to obtain a health degree with online classes actually becoming a preferred method for NP’s. Unfortunately, this has led to a lack of satisfactory clinical time. This is in contrast to the hundreds and thousands of hours spent in medical school to become a physician.
Allied and systemic organization for APP’s have recently advocated for independent practice, and for advanced providers to be removed from the coordination and supervision of physicians despite their lack of training and knowledge (especially in regard to the fundamentals of pathophysiology). Their institutions refer dogmatically to the tenet of “under served areas,” ignoring the fact that the majority actually practice in large cities, institutions and universities.
An article published by CMS attempted to push the agenda further by decrying the cost value, citing cost savings. The article itself was flawed and contained antiquated information. Worse still, it looked at outcomes of APP’s that were actually being supervised at the time under the direct care of physicians. Imagine saying that a para-legal knew law just as well as a lawyer? Or that an airline hostess was just as capable of flying a plane as a pilot? Take it a step further and publish a paper wherein the hostess was being supervised and landed without a problem because the pilot was there. The conclusion that “hostesses are just as safe as pilots,” is nonsensical.
Worse still, most studies are conducted on young healthy patients. With an aging population, co-morbidities are on the rise and the validity of any claims diminishes gratuitously. To add to the confusion of healthcare “providers,” it is also now possible to obtain an online “Doctorate of Nurse Practice,” (DNP), which allows advanced providers to refer to themselves as “doctor”. The American Association of Nurse Anesthetists (AANA) have also taken it upon themselves to determine that the phrase “Anesthesiologist,” does not only pertain to physicians, as “ologist,” implies an expertise in a specific science. They believe that the physician expertise, garnered and branded through years of research, study, clinical time, training, and sleepless nights is matched by their own. Caveat emptor to all patients.
E) The Surprise Bill Act of 2019
Enter the surprise bill act. In December of 2019, the government began the process of introducing a new policy to ensure that patients are not “surprised by bills from out of network doctors.” The premise of this bill that patients should not seek medical care, and subsequently be presented with a large bill that their insurance did not cover because the physician did not accept that particular insurance. Unfortunately, it is fundamentally flawed and favors the insurer more than the patient or physician.
The reality has always been that patients seen by out of network physicians have the option to forward their bills to their insurer, who then would typically pay the bill much the same as if they were in network. If the insurer refused, an arbitration process could take place between the practice and the payer. For background, the only method of contract negotiation between physicians and insurers in the past was via a method referred to as “non-participation.” Insurers are mandated to keep a certain number of local physicians within network. To appeal to their constituents, they will do whatever is in their power to hold on to those physicians, going so far as to offer hospitals kickbacks in the form of “bonuses,” to keep a certain number of contracted physicians within network.
Since physicians are not allowed to unionize, unlike standard business relations the only opportunity to help cover costs and payback debt was re-negotiation with third party payers. The surprise bill act eliminates the only negotiating tactic with insurers that keeps their greed in check. The act obligates physicians to accept any dollar sign the insurer says, including a lower than community standard. The reality of the surprise bill act is the lack of protection for patients and guarantee of financial sovereignty for insurers. This will translate to lower payments to doctors, higher bonuses and salaries for insurance company C’ levels and will further threaten to limit access to good healthcare by lowering the number of physicians over the next several years. To be frank, why go to medical school and accrue insurmountable debt, only to receive minimal reimbursement?
United HealthCare in New Jersey took it a step further. United is one of the newest insurance companies to practice “vertical consolidation.” In an effort to “curb costs,” but secretly and dramatically increase profits, insurers themselves are removing physicians from their network (except for Medicare subsidized components) and telling their customers to use, “in-network physicians.” These physicians have a separate contract with the insurers and allow the insurer to shift patients to their sister companies.
In the game of chess, a player anticipates movement in an attempt to counter to their advantage. Using this as a metaphor, imagine that the payers are dropping physicians out of their network and forcing their clients to go to their subsidiaries. Effectively, this drives their cost down, but more importantly their reimbursement. This resets the parity level of reimbursement to a much lower rate. In today’s market, physicians can still use the arbitration process to ensure adequate compensation. Once the surprise bill act passes, however, the new baseline is set so low that payments become untenable. And yet, the payers go unchecked.
The Doctor is not in house, but the CEO will see you now….
The culmination of all the legislation that have been passed, and those pending is a monetary sustenance not provided to physicians or nurses who actually care for the patients.
To be clear, our story unfolds as follows… Physicians gave up. As the government became more intrusive on healthcare increasing regulations, bypassing consumer relations and forcing agendas based on PAC’s and lobbyists, physicians looked for a way out of administrative work. Their primary focus has always been on the patient, not the nuances of ensuring appropriate paperwork. While the number of administrators has increased, greed has pushed them to dip into the funds. What normally would have gone towards physician reimbursement is now being spent on regulatory bodies.
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Take the joint commission for example. In preparation for a visit, a hospital may spend in excess of 30-50K dollars. These are preparatory only. Once they arrive, the joint commissions sole objective seems to find minuscule errors and threaten citations. While, technically, they are entirely unable to cite a hospital, they can remove their accreditation. Once that happens, the government refuses to reimburse CMS costs. These preparatory steps have therefore become mandatory to ensure government-based Medicaid and Medicare payments. This is the same system that is being advocated for complete control.
A recent study conducted by Harvard Business Review has demonstrated an increase in healthcare workforce by 75% since 1990. 95% of the new hires were not physicians. In fact, it appears that there are now 10 administrators per 1 doctor. The net result has been a dramatic increase in cost to offset administrative work, with frequent CEO’s, CMO’s et al making in the several million per year. These funds come directly from the work provided by physicians and nurses. Rest assured that the non-clinical component of medicine accounts for a large part of the fiscal component of health care (estimated at 73% in 2018). This extends to not only hospitals, but administrators of health insurance and pharmaceutical companies as well.
In order to offset their large bonuses, companies raise costs. These costs get translated to the consumer. A recent example was the escalation in epi-pen and insulin costs. Actual revenues are a matter of public interest and can be found online and in tax returns for the “not for profit,” facilities.
The terrible tragedy of 2020 continues with the Covid pandemic. The latest casualty to the virus is also physician reimbursement. Once more, almost as if tempting the herculean efforts of yore, insurers have begun a process to cut back on payments for doctors’ work. The greatest casualty will not be the disease itself, but the prolonged effects on a healthcare system stricken with the cancer of greed.
Fundamentally, the truth is that America and Americans are being had. We are all paying exorbitant amounts to salaries for non-clinical politicians and businessmen. We have been successfully duped and dysregulated to the point that we feel that giving the government complete control is our only option.
Simply put, Medicare-For-All is not the answer. Removal of red-tape is the only logical outcome to save our dying field. Physicians need to take hold of it again. We are so fond of decrying Canada’s model as being superior, yet many Canadians seek healthcare here because of the delays in their own country. The one major benefit in Canada is the lack of red-tape. Removal of administrators and massive corporate payouts can not only curb costs, but restore a truth in order.
Why do we give control and power to people with no background and no experience in the field? The same applies more fervently to the government. Of all the politicians, how many physicians are present to help make decisions about healthcare? The insanity of the situation is complete. We keep attempting to same thing expecting different results. Healthcare can only be reformed by folks who have spent time in the field, who know the nuances, and who can regulate appropriately and definitively to ensure the profiteering diminishes and the patients (aka consumers to non-clinicians) do not suffer.
Check out the NEW NOQ Report Podcast.
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noqreport--2020-05-15--Judge Sullivan is a case study for the need of judicial accountability

After a strong few weeks for General Michael Flynn that culminated in his exoneration by the Department of Justice , Judge Emmet Sullivan chose to dampen the mood by calling for an amicus curiae , retired judge John Gleeson , to argue against the government ’ s position .
This sent shockwaves through the nation , particularly among Flynn supporters who have been waiting three long years for his exoneration .
This is unambiguous abuse of power .
The problem is , there ’ s really nothing anyone can do about it .
Not Flynn .
Not his legal team @ @ @ @ @ @ @ Not the people .
The only person who can somewhat blunt the effects of what we an assume will be a denial of the Department of Justice ’ s motion to dismiss is the President who could pardon Flynn .
But a pardon is not an exoneration .
Pardons are for people who are guilty of a crime .
General Flynn is not .
JD and Tammy discussed the problem with all of this in the latest episode of the NOQ Report Podcast .
Something must be done to restrain activist judges from @ @ @ @ @ @ @ every day in courts across America , yet nobody is doing what is necessary to rein in judicial supremacy .
Check out the NEW NOQ Report Podcast .
Join fellow patriots as we form a grassroots movement to advance the cause of conservatism .
The coronavirus crisis has prompted many , even some conservatives , to promote authoritarianism .
It ’ s understandable to some extent now , but it must not be allowed to embed itself in American life .
We currently have 8000+ patriots with us in a very short time @ @ @ @ @ @ @ join us to receive updates .

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After a strong few weeks for General Michael Flynn that culminated in his exoneration by the Department of Justice, Judge Emmet Sullivan chose to dampen the mood by calling for an amicus curiae, retired judge John Gleeson, to argue against the government’s position. This sent shockwaves through the nation, particularly among Flynn supporters who have been waiting three long years for his exoneration.
New Flynn Filing – Judge Sullivan appoints retired Judge John Gleeson as amicus "to present arguments in opposition to the govt's motion to dismiss" Sullivan – also orders Gleeson to address whether the Court should hold Flynn in contempt for perjury. pic.twitter.com/hAedW6BrSP — Techno Fog (@Techno_Fog) May 13, 2020
This is unambiguous abuse of power. The problem is, there’s really nothing anyone can do about it. Not Flynn. Not his legal team. Not the Department of Justice. Not the people. The only person who can somewhat blunt the effects of what we an assume will be a denial of the Department of Justice’s motion to dismiss is the President who could pardon Flynn. But a pardon is not an exoneration. Pardons are for people who are guilty of a crime. General Flynn is not. JD and Tammy discussed the problem with all of this in the latest episode of the NOQ Report Podcast.
Something must be done to restrain activist judges from abusing their immense power. It happens every day in courts across America, yet nobody is doing what is necessary to rein in judicial supremacy.
Check out the NEW NOQ Report Podcast.
Join fellow patriots as we form a grassroots movement to advance the cause of conservatism. The coronavirus crisis has prompted many, even some conservatives, to promote authoritarianism. It’s understandable to some extent now, but it must not be allowed to embed itself in American life. We currently have 8000+ patriots with us in a very short time. If you are interested, please join us to receive updates.
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noqreport--2020-05-15--The utter lunacy of waiting for a cure

The utter lunacy of waiting for a cure

Los Angeles Mayor Eric Garcetti is an idiot .
As much as I hate insulting people , even Democrats , his latest calls to keep the lockdown going essentially indefinitely really rubbed us the wrong way .
As Tammy and I discuss in this latest episode of the NOQ Report Podcast , saying that Los Angeles is waiting for a cure before opening back up is like saying the people of Los Angeles are destined to suffer a slow and painful death .
Poverty , homelessness , and mental illness are in store , and that ’ s for the @ @ @ @ @ @ @ normal lives before this whole coronavirus crisis started .
We can not wait for a cure .
There may be no cure any time in the near future .
There may be no vaccine on the way , and even if there is , chances are it won ’ t be effective enough for the leftists to relent on their draconian mandates .
That ’ s the nature of the left .
It ’ s their nature of tyranny that drives them with this “ opportunity ” the coronavirus has presented them .
@ @ @ @ @ @ @ Judge Sullivan ’ s vindictive attempt to keep General Michael Flynn from being exonerated , NBC News ’ attempt to smear Google ( and we hate having to defend Google ) , Wisconsin opening back up thanks to a proper ruling from their Supreme Court , and President Trump going against Dr. Fauci in regards to opening schools back up .
• None Judge Sullivan is a case study for the need of judicial accountability • None Wisconsin demonstrates that when protests fail to curb authoritarianism , turn to the courts At this @ @ @ @ @ @ @ to those paying attention that the left is determined to prolong the lockdown as long as possible , not for the sake of saving lives but to achieve their political goals .
Check out the NEW NOQ Report Podcast .
Join fellow patriots as we form a grassroots movement to advance the cause of conservatism .
The coronavirus crisis has prompted many , even some conservatives , to promote authoritarianism .
It ’ s understandable to some extent now , but it must not be allowed to embed itself in American life .
@ @ @ @ @ @ @ in a very short time .
If you are interested , please join us to receive updates .

Discern Report is the fastest growing America First news aggregator in the nation.
Los Angeles Mayor Eric Garcetti is an idiot. As much as I hate insulting people, even Democrats, his latest calls to keep the lockdown going essentially indefinitely really rubbed us the wrong way. As Tammy and I discuss in this latest episode of the NOQ Report Podcast, saying that Los Angeles is waiting for a cure before opening back up is like saying the people of Los Angeles are destined to suffer a slow and painful death. Poverty, homelessness, and mental illness are in store, and that’s for the people who were gainfully employed and living normal lives before this whole coronavirus crisis started.
We cannot wait for a cure. There may be no cure any time in the near future. There may be no vaccine on the way, and even if there is, chances are it won’t be effective enough for the leftists to relent on their draconian mandates. That’s the nature of the left. It’s their nature of tyranny that drives them with this “opportunity” the coronavirus has presented them.
In this episode, we also discussed Judge Sullivan’s vindictive attempt to keep General Michael Flynn from being exonerated, NBC News’ attempt to smear Google (and we hate having to defend Google), Wisconsin opening back up thanks to a proper ruling from their Supreme Court, and President Trump going against Dr. Fauci in regards to opening schools back up.

Show Notes:
Judge Sullivan is a case study for the need of judicial accountability https://www.breitbart.com/politics/2020/05/13/judge-sullivan-to-consider-criminal-contempt-charge-against-michael-flynn/ https://www.breitbart.com/the-media/2020/05/13/judge-who-will-argue-against-michael-flynn-said-case-reeks-of-improper-political-influence/
Google quietly rolled back diversity programs, spurring hit piece by racial justice proponent at NBC News https://www.nbcnews.com/news/us-news/current-ex-employees-allege-google-drastically-rolled-back-diversity-inclusion-n1206181
Wisconsin demonstrates that when protests fail to curb authoritarianism, turn to the courts https://townhall.com/tipsheet/bethbaumann/2020/05/13/why-a-state-supreme-court-ruled-against-the-governors-stay-at-home-orders-n2568781 https://www.breitbart.com/politics/2020/05/13/wisconsin-supreme-court-strikes-down-governors-stay-at-home-order/
President Trump dismisses Dr. Fauci’s calls to keep schools closed https://www.dailywire.com/news/trump-i-totally-disagree-with-fauci-on-keeping-schools-closed https://www.cnbc.com/2020/05/13/coronavirus-trump-says-faucis-warnings-about-reopening-are-not-acceptable.html
At this point, it’s crystal clear to those paying attention that the left is determined to prolong the lockdown as long as possible, not for the sake of saving lives but to achieve their political goals.
Check out the NEW NOQ Report Podcast.
Join fellow patriots as we form a grassroots movement to advance the cause of conservatism. The coronavirus crisis has prompted many, even some conservatives, to promote authoritarianism. It’s understandable to some extent now, but it must not be allowed to embed itself in American life. We currently have 8000+ patriots with us in a very short time. If you are interested, please join us to receive updates.
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noqreport--2020-05-14--Why is Lyft asking its drivers how they vote?

Conservatives have been complaining about Big Tech censorship for quite a while now .
Whether we get shadow banned or kicked off of the platforms altogether , this attempt to silence our voice is very strategic and is quite effective .
The argument that we hear oftentimes is that they are a private business and can do whatever they want .
Here ’ s the problem with that : When they are working hand-in-hand with the government , as many of them are doing , they are doing the bidding of the government .
Thus , the argument could be @ @ @ @ @ @ @ of Speech IS being infringed upon , even when implemented by a company like Twitter .
Again , the problem is becoming that these super big corporations are censoring views that they disagree with .
That occurs whether you are posting Pro-Trump tweets , making videos questioning the mainstream narrative about COVID-19 or asking whether Epstein really killed himself ( SPOILER ALERT : He didn ’ t ) .
This is dangerous territory when the future of our country is at stake , but only one side of the debate is being heard @ @ @ @ @ @ @ into brand new dangerous territory , with some of these large companies actually targeting conservatives and our ability to earn a living .
Over on The GK , Dustin Faulkner wrote an article sharing how Lyft is now having their drivers tell the company how conservative they are and what Political Party they are registered with .
Dustin writes : “ The survey is apparently intended to help them track cases of COVID-19 within their fleet of contractors .
The questions are not too terribly intrusive when you first enter the survey .
@ @ @ @ @ @ @ feel health-wise and if you are exhibiting any symptoms of COVID-19 .
Other more concerning questions are included such as how you might feel during the lockdowns based on a rating scale .
Yet , those are even less concerning than the final two questions : “ In general , would would you describe your views on most political issues , ” followed by the choices , very conservative , conservative , moderate , liberal , and very liberal .
“ In politics today , do you consider yourself Republican , Democrat , @ @ @ @ @ @ @ choices Republican , Democrat , and Independent.
” Why would a company like Lyft need to know the political beliefs of its drivers ?
Dustin asks these questions : “ Is Lyft the only company asking questions of this magnitude in surveys of contractors and employees ?
Is Lyft leading the charge on shutting down the ability to work by those that don ’ t share their political views or desires to test everyone for COVID-19 ?
Are we now seeing the movement to document those they will eventually take from their homes @ @ @ @ @ @ @ .
6666 ?
” Are we getting to a time where conservatives aren ’ t even going to be able to work for these companies ?
Is this even a legal thing for Lyft to be doing ?
Our latest episode of the NOQ Report Podcast ...
This is definitely something that needs to be discussed , and , as conservatives , we are going to have to stop relying on these big corporations that are almost always progressive and leftist in their ideology .
Let ’ s start pushing back , exposing @ @ @ @ @ @ @ At the same time , let ’ s also stop funding these leftist organizations and come up with conservative , freedom loving alternatives .
Check out the NEW NOQ Report Podcast .
Join fellow patriots as we form a grassroots movement to advance the cause of conservatism .
The coronavirus crisis has prompted many , even some conservatives , to promote authoritarianism .
It ’ s understandable to some extent now , but it must not be allowed to embed itself in American life .
We currently have 8000+ patriots with us in @ @ @ @ @ @ @ are interested , please join us to receive updates .

Discern Report is the fastest growing America First news aggregator in the nation.
Conservatives have been complaining about Big Tech censorship for quite a while now. Whether we get shadow banned or kicked off of the platforms altogether, this attempt to silence our voice is very strategic and is quite effective.
The argument that we hear oftentimes is that they are a private business and can do whatever they want. Here’s the problem with that: When they are working hand-in-hand with the government, as many of them are doing, they are doing the bidding of the government. Thus, the argument could be made that our constitutional right of Freedom of Speech IS being infringed upon, even when implemented by a company like Twitter.
Again, the problem is becoming that these super big corporations are censoring views that they disagree with. That occurs whether you are posting Pro-Trump tweets, making videos questioning the mainstream narrative about COVID-19 or asking whether Epstein really killed himself (SPOILER ALERT: He didn’t). This is dangerous territory when the future of our country is at stake, but only one side of the debate is being heard.
Now, we are potentially heading into brand new dangerous territory, with some of these large companies actually targeting conservatives and our ability to earn a living. Over on The GK, Dustin Faulkner wrote an article sharing how Lyft is now having their drivers tell the company how conservative they are and what Political Party they are registered with. Dustin writes:
“The survey is apparently intended to help them track cases of COVID-19 within their fleet of contractors. The questions are not too terribly intrusive when you first enter the survey. They ask the normal of how you feel health-wise and if you are exhibiting any symptoms of COVID-19. Other more concerning questions are included such as how you might feel during the lockdowns based on a rating scale. Yet, those are even less concerning than the final two questions:
“In general, would would you describe your views on most political issues,” followed by the choices, very conservative, conservative, moderate, liberal, and very liberal.
“In politics today, do you consider yourself Republican, Democrat, or Independent ,” followed by the choices Republican, Democrat, and Independent.”
Why would a company like Lyft need to know the political beliefs of its drivers? Dustin asks these questions:
“Is Lyft the only company asking questions of this magnitude in surveys of contractors and employees? Is Lyft leading the charge on shutting down the ability to work by those that don’t share their political views or desires to test everyone for COVID-19? Are we now seeing the movement to document those they will eventually take from their homes and isolate as set forth in H.R. 6666?”
Are we getting to a time where conservatives aren’t even going to be able to work for these companies? Is this even a legal thing for Lyft to be doing?
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This is definitely something that needs to be discussed, and, as conservatives, we are going to have to stop relying on these big corporations that are almost always progressive and leftist in their ideology. Let’s start pushing back, exposing this type of censorship and targeting. At the same time, let’s also stop funding these leftist organizations and come up with conservative, freedom loving alternatives.
Read Dustin Faulkner’s full exposé here.
Check out the NEW NOQ Report Podcast.
Join fellow patriots as we form a grassroots movement to advance the cause of conservatism. The coronavirus crisis has prompted many, even some conservatives, to promote authoritarianism. It’s understandable to some extent now, but it must not be allowed to embed itself in American life. We currently have 8000+ patriots with us in a very short time. If you are interested, please join us to receive updates.
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