Gratitude, Psychiatry and World Politics

Well I’ve made it to another weekend. I haven’t been fired by the extreme left wing government. I haven’t been arrested (yet) on any of the new anti speech legislation.  I’ve not been notified by the authorities that some one has complained ‘anonymously’ about me.  I’ve survived the zero tolerance that’s now in place for being masculine. I’ve read the article in the news this week about why it’s okay to hate men.  I’ve tried desperately to be as boyish and girlish as I can be and it seems to be working.  I’m staying under the radar. In Canada the tall poppy gets cut.  The left makes themselves look taller by cutting off the heads of the right.

I’ve not been raped in Canada ( known the world over as an infamous world rape centre.).  I’ve not been shot at.   I’ve not been bombed. I’ve not been attacked on the street by rabid crowds of Trump Haters who lump anyone whose not a card carrying Pravda spouting Marxist as a Trump fan.  I’ve continued to say I’m a Christian and only been persecuted in covert ways.  It’s still not quite acceptable to persecute Christians in Canada overtly. The Jews are taking a beating there. Since Trudeau came to reign it has been open season on Christians and Jews but I’ve got through the week without being attacked or arrested. I think it helps that I’m not a very good Christian.  I hear that the finest Christians and Jews and even Sikhs and Buddhists I know are feeling the heat much more than me. It’s always indirect though. The enemies of freedom don’t feel strong enough to do more than send the Antifida Nazi Bullies to shut down speakers.

I watched the Munk Debate on Political Correctness and Steven Fry gave me hope.  I enjoyed Red Sparrow and the exposure of the thinking in the State spy schools.  It’s a way of believing. It’s all about ends and means and power. But I’ve not been assasinated or attacked in the newspapers by the big money Bud Inc Goebbels with their lies and marketting. Big tobacco and the Liberal money are so behind the marijuana legislation passing in Canada, money, money and more money.  If I was still smoking marijuana I’d see freedom to grow my own plants as an advance and not notice that freedom of speech has been stepped back decades.  Tit for tat.  Politics.  It’s somehow not affected me directly. It’s a bit removed.

The tax grab carbon tax and all the lies and corruption associated with that has affected me. I am paying double to drive and commute.  I can’t afford to live in Vancouver, the money laundering real estate and casino capital of the world.  I increasingly question whether it’s worth the commute.  It certainly wouldn’t be if I had to drive my truck. But this week I’ve been riding my motorcycle and as dangerous as that is in Vancouver where so many bad drivers reside it’s been really enjoyable and cheap.  So I’m thankful that these things in general have not been in my face.

I’ve watched the Lindsay Shepherd tapes and am so glad that these back room sociopathic administrators are being exposed. I’ve been involved in several of the those kangaroo court quasi legal affairs with exactly the same personality and lines right out of the same ‘playbook’.  It probably had something to do with the nightmares I had several times this week.  Being interrogated in a room with swaggering men and women intent on silencing opposition to their rule and gaining more power for their aberrant ideological position.  It’s been terrible watching the palace revolt and going along with it because I felt so alone.  

Yet here is my heroine Lindsay Shepherd suing Wilfred Laurier University for it’s nepotism.  It took me back to my correcting this administrator, pointing out their error, quoting and referencing the true facts only to be told “I don’t care what the facts are . This is the way it’s going to be and I don’t care what you think. Either you do as you’re told or you’re out.”  By then I’d learned to tow the line, not
question, do as I was told, collect my pay cheque and thank God I wasn’t the other guy who was getting shook down and robbed.  At times like this I’m back on the playground surrounded by the tough boys and their girlfriends having the boots put to me and getting knifed knowing all I can do is



be defensive protect my head and hope the abuse is over soon. Because if I fight back the whole legion comes forward. I’ve stopped the killing and negligence so many times but it’s just ended in pay back.  But there’s  Lindsay Shepherd standing up to these low brow knuckle dragging thugs.  It gives me hope. I am so thankful for seeing that this week.

I was thankful too for the Christian baker going free but saddened that Trinity Western College couldn’t graduate law students because the aetheist hegemony in the Canadian law society has yet again dominated the administration.  I can’t wait till the pendulum swings back to the middle and the extreme left wing Supreme Court of Canada gets a compass.  CBC news propaganda persisted so I was happy that I resisted the fried foods of journalism and listened to audio tapes this week instead.  Campbell’s series on Neurology was terrific.  I liked best the interview with the writer of Neurology for Dummies.  My gay neurologist southern friend did a great job of an addiction medicine series that I so enjoyed. His humor was infectious.  

It’s so easy to get into tunnel vision and miss the really good in the world. I loved the blossoms and taking pictures of the first black berries of the year. I loved walking with Gilbert along the river and seeing the glorious green foliage.  The winter is over and spring and summer are on us. The sunshine and heat have been so life giving. I ve enjoyed being outside. More walks for Gilbert.  Motorcycling and cycling.  It’s really wonderful to be in the green of Burnaby. I love the green of Burnaby.  It’s just that I can get in my head and miss what’s around me. I remember my sponsor Scotty telling me 20 years ago that his sponsor told him to get a wildflower book and pay attention to the surroundings. I did then and I’ve done it again.  I’ve got the app, Plant Snap and am so enjoying getting an idea of the names of the wonderful inhabitants of forest and garden. 

I think maybe the grief is lifting.  Losing my brother, my best friend and another really good friend and Gilbert losing his eyes was all so sad and tragic. I hate that any weakness brings out the attack in the hostile toxic workplace. I’ve only shown weakness a few times in my life and each time the authorities have played their ‘we’re only helping, we’re not the enemy smiling attack’. Any imperfection and you’re struck down while they’re utterly grandiose and incompetent and only
survive by being above the law that the rest of us play by.  It’s equally true that I’ve not been focussed because my hearts been broken again. When my mother died it was the same.  Get back to work and don’t pause , 2 weeks for grief and any longer and we’re kick you out. Bean counter Stalin’s . I see it done routinely in my work and do everything I can to protect the grieving. 

I’m thankful for the week I trained with Elizabeth Kubla Ross.  I didn’t know the society was so cruel then when she spoke of advocacy but I know it first hand now.  I’ve been blessed to be there helping so many parents who have lost their children and their childless bosses have been incorrigible.  I’m thankful I still have empathy. I found myself again wishing I had more psychopathic traits to deal with the authorities but I know that to be like that you have to see the world in a unidimensional way. I’m thankful for Piaget and his teachings of development and the capacity for abstraction. There’s a capacity for ‘empathy’ which is a developmental process.  The minds that jack step and fill little

boxes and do exactly as they’re told suffer the banality that was Neuremburg. 

I don’t have that ‘missing bit’.  I do judge too much and have a false idealization of authority as a Canadian. My immigrant doctor friends laugh at me because they say coming from the corrupt
countries they came from they don’t expect the management to be anything but corrupt so are more often impressed than I am who expect the beurocrats and leaders to just do their jobs without all the favouritism and nepotism and influence peddling.

I’m grateful that I know these great docs who give me perspective. I’m really blessed to be in Canad and must resist the old man thinking of ‘the way it was.’  I’ve lived with more ‘acceptance’ this week, with reality, living ‘life on life’s terms’.  I was at more meetings too. I was honoured to be asked to give a friend a cake.  It was a wonderful return to a place where I had so many years of friends and saw some of them again this night.

I am blessed to have Laura as a friend.  It’s sad there are so many lonely people, so many alienated, frightened souls, all the Elinor Rigbys of all the  genders. It’s fun to have friends’ like Kevin and Anna and the God Kids and to go to church and join wit  the other hopeful positive members of society. 

I tried to tell a ground burrowing person an air and sea story. I suspect it’s like the Air Force guys and Navy guys experience talking to the mud jumpers in the Army. I was telling them about a famous psychiatrist, now dead, one of my earliest mentors, author of dozens of books, world renowned. He had been praying at funerals for the dead to resurrect.  It’s not something he broadcast.  I heard about it from a world renowned minister and another psychiatrist.  The minister was worried for the great man’s ‘reputation’ whereas the other psychiatrist, a close friend had told me he’d begun doing the same. The latter said it helped keep him humble. Neither he or the great man had resurrected anyone. He believed however that Jesus  could resurrect a person and said that we could do what he did if we believed.

We’d all seen unexplainable miracles in our practices and we knew the great man’s idea about mind over matter and spirit over mind. He believed that the world was a collective idea, like Dr. Owen Barfield, one of the Inklings in Oxford and Dr. Carl Jung’s “Collective Unconscious’.   Like Dr. Eben Alexander, the Harvard Neurosurgeon, son of a Neurosurgeon and father of a Neurosurgeon, explained in “Proof of Heaven’ he believed that the “person idea’ , the ‘soul ‘ as it were ,continued and that perhaps it was possible to communicate with this ‘person’ despite their death.  Lazarus was by far just one of thousands of cases and Dr. Moody another psychiatrist had taken the time to study
the Near Death Experiences. 

 I was trying to explain ‘gently’ this idea in terms of the ‘information packet’ and the computer,servers , nodes and the internet. I’ve always been interested in fractals and communication but I could tell I was ‘upsetting’ this person.  Like a lot of people even the word ‘death’ upsets them It was obvious she wasn’t a psychiatrist and hadn’t read the classic text “Denial of Death’ which so informs the work of a psychiatrists communication like the other classic “the Discovery of the Unconscious’ or even “Man’s Search for Meaning.”  

She thought the ‘great man’ was ‘crazy’ and said ‘he’s wrong’. And I knew she was a ‘judgemental’
on the Meyers Briggs scale, that this was her character and that the ‘great man’ by contrast was the
opposite, a “Potential” , truly open minded sort.  I was ‘both’ and so often wished for that closed mindedness that couldn’t see the ‘possibility ‘ in people. In my work in psychotherapy I have ‘believed’ in my patients. I’ve seen the IQ increase 10 and 20 points in therapy and I’ve watched the 
become rich and the psychosomatic heal. Over and over again I see people overcome addictions and it’s always a joy to be part of this process.  If anything I know to my very bones the possibilities of people and have been so glad to see the work on ‘resilience’ catch up with our clinical observations. 

But this ‘ground person’ didn’t ‘believe’ and was even angry that the great man with no illusion persisted in trying to see the dead resurrect. I thought of the Wright Brothers and their plane. This woman would never fly no matter how important she was in her own eyes and the eyes of the Army but I love the ‘creative’. I loved reviewing Dr. Valiant , head of Harvard Psychiatry’s book on Creativity and Psychotherapy and Communication.  I was taught I must believe because the patient has given up hope.  Yet I’ve also been taught that I can help an individual who wants help and I can even according to Prochaska move their motivation along from contemplation to determination but that I must consider always the very essence of ‘triage’.  

Four of the ISIS killers Trudeau says can be ‘cured’ with ‘counselling’ have gone ‘missing’ in Canada. The veterans who fought fanatic Muslims in the Middle East think Trudeau is a dangerous fool. I just talked to one who was wounded overseas and they’ve had increasing nightmares since it was reported that this murderers were lose in Canada. Apparently there are now hundreds of them. 

Dr. Milton Erickson believed that people could be healed and changed with hypnosis but he knew that ‘time’ was a factor.  Even with millions of dollars worth of psychotherapy many hours weekly and years there were those sociopaths who simply could not be changed any more than school can teach all students to read and write let alone work computers.  A Canadian ISIS returnee has been bragging in the American papers about killing allies and raping women. Trudeau didn’t ask psychiatrists about the ‘limits of counselling ‘ and didn’t even respect the scientific, medical and public health communities concerns about the ‘legalization’ of marijuana. We have all considered ‘decriminalization’ but the Liberals and in the south the Democrats have always been keen on manipulating language.

I just learned their are 32 recognized pronouns in New York. I pity the immigrant trying to learn English.  I’ve always liked the idea of the three , masculine, feminine and other, as this idea is actually present in a lot of languages. In English it was subsumed under the ‘plural’.  He , She , They.
 No need for ‘new’ pronouns and further obfuscation just a little creative intelligence, solely lacking in law and government.  Think of all the law makers who can write 32 versions of the same law charging $300 an hour. It’s that simple really, sadly, but a major factor.  In Canada the label companies were a major proponent of the two languages because all the tomato cans in Canada needed new labels and these Quebec sign makers overnight became millionaires. 

The trouble is this all doesn’t contribute to the whole. I’m thankful though I’ve the eyes to see this and haven’t been praying for stupidity as I once did. I’m blessed with intelligence and heart and family and friends.

I can see the silliness and down right insanity without being hysterical and also know that none of
this really affected me this week. I had a good week. I had a place to stay. I had great food. I even tried SKIP this week and we had a meal delivered other than Chinese or Pizza.  The possibility and advances in home improvement are so easily overlooked. I love the Grocery Store and London Drugs. I love the city with everything available so easily. I also love Amazon. I order Kindle books and physical books. Niall Ferguson’s The Square and the Tower and Barbara Ehrenreich’s Natural CAuses. They are here  on my desk being read slowly and savoured ,thanks to Amazon.  I ‘ve even got an item I’d normally have got at a hardware store but ordered on line and got it rather than waiting till I remembered to get it in some ‘specialist store’. This is amazing.  

I love that Gilbert and George are such good friends. Dogs and cats can get along so it remains possible that people will likely muddle along as they have for at least 80,000 years. 

I love that Anita and Ganesh have married and loved so long and their family is so amazing. It’s great seeing these people like seeing the cranes on top of buildings. Naomi and Dereck and Faith are just so precious. Whenever I feel down and hope fades I just look up and see the cranes which show so many people believe in the future, just like the fabulous women having babies.  I love these ‘signs’ like the spring flowers and the first berries I tasted.

God is good.  I love jokes and animal pictures on Facebook.  I seem to be helping more than 90% of those I’m with. It takes me back to being a straight A student.  I’m still getting A and even A plus in my life and work and yet the expectation is always perfection. Increasingly the society we live in demands 100%, with words like Zero Tolerance bandied about in the workplace and the mess of social life despite every engineer in the real world understanding the true nature of ‘tolerance’ . I do think Social Justice Warriors need to be required to run a dangerous machine for a few hours to learn the importance of oil and ‘tolerance’.  

But then Professor Fiamengo from the u tube  Fiamengo Files out of the University of Ottawo so graciously acknowledged the contribution of men even if the media so discriminates against the work of men.  I’m thankful I her You Tube  and saw that the ‘worker’ and the ‘doers’ were acknowledged. I never lose sight of the importance of the ‘builders’ .  I love my refrigerator and the plumbing and freshwater. I love the contributions of science and would never denigrate them or their workers. I appreciate art and culture but know even a hair dresser with her scissors depended upon a miner, a metallurgist and an inventor to be able to have the finely honed blades.

I”m thankful for today.  I see some blue sky. That’s heavenly.  So much is perspective and I am so thankful that I know that a bad attitude just makes things worse.  I loved learning the saying this week, that ‘worrying is praying for bad things to come.”  Paradoxical but true. I am thankful for the daily learning and that while there are so many struggles I am able to rise above them and see things truly.  I loved reading the history of the Crimean War with the politics of the day and Florence Nightingale and the spread of the telegraph. It was hilarious hearing how angry the Generals were to have the politicians suddenly with telegraphy trying to ‘micromanage’ the battlefields from their armchairs.  

 So much of today’s politics remain the same, what one person called ‘monkeys in space ships’.  Cannons versus rocket launchers. But the same bickering and the same childish debates.  Lots of saber rattling. Let’s hope North Korea continues to move forward into the 21st century and I can only hope that the religious fanatics in Iran will stop their supporting attacks on Israel. Yet locally my own concern is that our city council stops increasing the city congestion and pollution with more bike lanes.  Now there’s a reminder on perspective. Things really have been good this week even if I have been unsupported in work and saddened by the ravage of the Fentanyl crisis.  

I loved the  best joke this week, “I hope they don’t find life on another plant so Justin Trudeau doesn’t start given them our tax dollars and pensions.” 

I’m so grateful when I see the humor in this place. I’m thankful for the laughter.  God really must have a great sense of humor.  Thank God for comedians.  

Shit Country as translated by Justin Trudeau

As the master of ‘bafflegab’, ‘legalese’, ‘beurocratese’, Justen Trudeau, known the world over for his dramatic selfies and unctuous flare for double speak, avoiding direct questions, blaming others but mostly his endless platitudes, was recently asked , what he understood Donald Trump, ‘master of plain speak’ meant when he called a country a ‘shit Country’.;
“That would be a country that was financially challenged, poorly administered, with massive corruption, lacking respect for diversity, dominated by cronyism, lacking law and order, abusing theLGBT community, abusing women and children, with high rates of crime, and general disrespect for law and order.”
Everyone understands “Plain Speak”.  Everyone understands President Trump.  Even Justin Trudeau knows what he means , but that’s the problem.
Justin Trudeau and the other globalist elites want to speak in a language which excludes the majority of people.  They want the focus the attention on the  ‘fashion’ , not the “ substance “of conversation.  It’s called ‘court speak’.  It’s the ‘fashion language of the day’. It’s so old it was referred to by Shakespeare was referred to by King Lear. It’s not new, this politically correct ‘court speech’.
“And hear poor rogues talk of court news, and we’ll talk with them too — who loses and who wins, who’s in, who’s out.”
 It’s a rapidly transforming language that only those in the know know.
It’s the language that can get a paper published in the university.
The word ‘sustainability’ was necessary for funding. It didn’t matter what was ‘sustainable’ but if the application for the grant used the ‘code word’ sustainable it got to the right ears and was automatically got funding. The same was true for ‘diversity’.  These terms are called ‘virtue signalling’.
They are the true substance of Justin Trudeau’s speech and reflect the ‘brain washing’ that has been done by CBC, tv and various other communication venues.  They are the essence of brain washing.
 I first learned to use these when I trained in hypnosis and did surgery on people after hypnotizing them. They were called ‘post hypnotic’ suggestions.
Justin Trudeau lulls his listeners by pouring out this verbal Valium whenever there’s a tough moment.
It works.  Especially on young people. And even better on people smoking marijuana.
The trouble with Plain Speak is it’s jarring.  Shit is real. Shit is not easily both black and white at the same time.
Plain speak is what I as a doctor was taught to do because its best for a patient to know exactly what is wrong with them so that they have the greatest chance of addressing the problem and surviving.  If I tell you you have cancer then you can wake up and address the problem with the seriousness it deserves. Whenas if I say you just have a little ‘lump’ it’s easy for you to be lulled into denial.
 When a person knows the truth they can deal with it and can cure the problem. When it’s sugar coated they can continue to lie to themselves or be lied to.
All the studies in medicine have confirmed that ‘plain speak’ is in the best interest of the patient whereas ‘double speak’ serves administration.
I hope this helps people understand a bit better the ‘shit’ that is going on. I’ve personally  been advised that it’s better that I say ‘merde’ if I want to get funding in Canada today.  Doctors in general are being told that they must no longer say ‘shit’ but rather use the word ‘faeces’. Henceforth doctors, if they want to continue to keep their licenses to practice medicine in Canada under present administrations, would be advised to say that the Canadian Health Care System is going to faeces under Justin Trudeau.
My favourite study of this phenomena was done by separating elementary school classes formerly named by merit, A, B, and C classes  into turtles, dogs and penguins.  At the end of the year the young  students all said they didn’t want to be penguins because penguins were slow and stupid.
But that’s okay.
In Canada as Justin Trudeau destroys freedom of speech and democracy , we can still say ‘merde’ and  even ‘faeces’. No shit.

Political Correctness, Lord Love a Duck!

Political correctness is the false belief that one can pick up a tourd by the clean end.
Freedom of speech is essential so that doctors can tell patients that they have cancer. Once a thing is correctly named there is a possibility of cure.  However if we are denied the right to speak truly of the disease then of course the poor will die.
Language is important  despite the fact that today ‘marketting’ prevails. Recently the spin doctors of the Liberal government called the ‘immigrants’ ‘refugees’.  The common Canadian, especially the most uneducated and inexperienced who were attracted to the Satanic appeal of Justin Trudeau and the Trudeau charm, did not know that there is a vast and critical difference between a ‘refugee’ and a ‘migrant’.
A migrant can indeed be an ‘invader’ and many of the ‘migrants’ in the recent refugee scandals have indeed been invaders, a fifth column of the Islam Caliphate.  Many also have been the adult children of wealthy families using the ‘refugee’ route to immigration to by pass and jump the queue of the conventional ‘immigration’ systems.
A refugee is a person who goes to the first country of escape.  The Harper Conservative government resettled millions of Vietnamese becaus not only were these people refugees but they had been the allies of the American and Canadians in the war between Capitalism and Democracy and Freedom versus the Communism and Slavery.  The Vietnam war was won by the soldiers on the ground but lost by Hollywood, Hanoi Jane and the ‘marketting” media which effectively undermined the war effort at home.  Drugs, sex, and rock and roll , love in’s, and peace rallies were offered and funded by the communists in America while American soldiers were betrayed and killed overseas. All efforts to further peace in Communist countries by contrast were met with Gulag and death squads.  The very freedom that democracy offered resulted in its own demise.
Not until Reagan did the Communist system die.  Margaret Thatcher said, "Socialism fails because it runs out of other peoples money .” The halcyon cry of socialism is not 'steal from the rich and give to the poor" but rather "steal from the worker and give to the idle".   Even today Trudeau has squandered for his own nefarious purposes the nest eggs gathered by Canadians under conservative governments for their children and children’s children. Just as Pierre Trudeau did Justin Trudeau is selling the country into massive debt.
To maintain the momentum he is also pushing drugs.  "Give them cake" Marie Antoinette cried.  Trudeau says, "Give them pot".
The fall of Russia occurred because of rampant alcoholism. Of the western world only Russia had a rising infant mortality due to fetal alcohol syndrome. The products of their factories were further flawed such that in the competition of arms , the "Dessert Storm Arms Bazaar," "American made and "NATO pushed" won out over Communist made products. Communist workers drunk and under paid produced weapons that misfired. American workers well rewarded made weapons that were reliable.  The genius of design was further rewarded in the west compared to the east where the best dachaus always went to the bureaucrats and administrators.
Communism , now Cultural Communism,  in the west is Aetheism. It’s a godless regime devoted to Dictatorship.  Lenin, a mass murderer, with the assistance of Wall Street set up USSR system of central authority and the 5 year plans with hundreds of millions killed and mass starvation due to poor administration and corrupt beurocracy.  As Arendt had found in her study of Nuremberg the key to appreciating the demonic dynasties of mass murder was not in looking at the character of their leaders but rather the lack of character of their followers.
Arendt’s term was ‘banality of evil’.  The whole of the Nazi (National Socialist system to separate it from International Socialism or Communist system ) system was dependent upon the followers
Buffy St Marie, the female Canadian aboriginal folk singer, wrote the most provocative song “Universal soldier’ saying that war dependent on one man’s decision.  There is obviously much truth in it but Arendt’s life work showed that “Universal Beurocrat” or “Universal Administrator” was more likely the better explanation for the deaths of millions than ‘blaming the victim’ , 'unknown soldier.
The civil service noted for  its cowardice and it's pretence of civility is distinct from the active military service noted for it's bravery and rawness.  Soldier's live by their decisions whereas beurocrats get others killed. Lawyers and judges are all like Monday morning quarterbacks, pretentious critics who stay as far from the front as possible, making as much money as possible on the suffering of others and their real decisions. They are at least superior to journalists and Hollywood who get rich off the spectacle of war.
Buffy St. Marie, because of her gender's identification with the civil service and tendency to be protected from real combat, disparaged the actual real 'victim' of war, the soldier.    In contrast to WWII which was a rich and poor man's war, Vietnam was merely a poor man's war, the sons of the wealthy and eliteall using 'loopholes'  to  stay  home to participate in the party with the 'free sex' girls of the 'women's movement".
The individual soldier is no different than a slave, a tool created for good or evil and rarely much more.  He and now she are the pawns of the rich and powerful forces.  The army today is little different from the mercenaries in the army  of the British empire and    Ottoman  empire and Roman Empire before that.  The largest army of the world, the Chinese army, retains some ideological basis.  While patriotism is under attack like the white history in America, in China  the superiority of the racism inherent to the  Chinese is fuelled by communism's megalomaniac world domination goals.  The UN Islamic army of Bangladesh is fueled by religion like the Christian and Muslim army of yore.  The Crusaders were a defensive army against the mass murderer Mohammed who transformed the Middle east from Christian and Zorastrian to present day Islam.  
A Romanian, asked what it was like under communism before the fall of communism, essentially at the time fall of the Berlin Wall said, “Everyone was poor. Everyone was depressed.  You couldn’t complain because if you did they put you in jail. The leaders called themselves communists.”  After the fall?  “Everyone was poor. Everyone was depressed. You could complain now and they didn’t put you in jail. The leaders were the same people but they called themselves businessmen now.”
Bob Dylan, one of the world’s greatest plagiarists and writers of original material paraphrased Dr. Johnson by saying “Steal a little and they put you in jail, steal a lot and they make you king.”  Karen Armstrong in Fields of Blood , like Jared Diamond in Guns, Germs and Steel showed that the agricultural revolution was immediately followed by the empires of robbers and pirates.  The world overall was changed rapidly from the farmer providing for his family and communities needs, and as Marx would say ‘owning the land, the means of production’  became the property of the STRONG MAN.  All land and all means of production became the STATE’s as the Kingdom only changed in name under communism moving from one form of dictatorship to another.  At least in the monarchies  the Magna Carta and such advances for benefits of individuals had occurred, while in Communism the very design of the system attempted to circumnavigate the difficulty of Magna Carta.
The STRONG MAN, the gang leader, took power and then agriculture allowed him and his band of merry follower to have workers/farmers/slaves producing food and arms while the military went to the next valley to conquer, i.e. steal and rape.

1. The “Military Industrial Complex” isn’t an American made product of the post Industrial Age as Social Communist propaganda would say but in fact dates back to the dawn of civilization. UR in ancient middle east, birthplace of Abraham, was the one of the  first of the Western Civilizations “military Industrial complexes”.  In the day Chariots were made and copper swords, before bronze swords and steel swords gave way to todays  AK47’s and Cruise Missiles.  All were made by peasants but today's peasants have better hair styles ,watch CNN and listen to CBC news. 
2. The United Nations is a war lord construct.  The penultimate tribal gang is todays MAFIA.  It’s the basic unit of Civilization.  The blood related 'tribe' of traditional society, the north American Indians (not Nations as they would have you believe but rather tribes, language counts) has given way to the Hell's Angels a non blood related tribal construct. 
3. The first dynasties were family and blood related.  To this day they remain mired in this materialistic eugenics model with the dynastic rule of Kennedies after the business mogul liquor running father, then the Bush father and son oil producers for the military machine, with their business connection to oil the elixir of war.   Justin Trudeau the dynastic son of Pierre Trudeau, the same communist pairing as Korean’s Kim Jong un and his father despite ideological differences revert to the primordial favourite like some kind of modern day  parent child, the favourite of religous iconography.  At least Canada dynamic communist duo dress better than their counterparts.   
4. A leader is never just one man, at least not since the days of the hunter gatherers.  Today’s leaders are more like sports ‘coaches’ or ‘movie producers’ with a core ‘nest’ of merry men, much like the medieval lords around the King.  The administrators are by strict contrast no more such political leaders than soldiers are. They have the same peasant mentality though they wield enormous power.  They are without the talent of political leaders whose skills at diplomacy, compromise and capacity to mould and lead are evidenced by their success. The pompous men of Brussels EU  are in strict contrast to the genius of political leaders like Bill Clinton and Donald Trump. The latter are dependent on their extraordinary ability to choose the right people and  fashion alliances. Ataturk of Turkey was one of the greatest leaders of all time similar to Churchill in these gifts. Bill Clinton was a genius to marry Hillary despite his obvious failure to satisfy Monica.   Hillary made the grievous error of depending on the abject losers Robby Mook as her campaign manager.   By Contrast Donald Trump chose the brilliant  extraordinary Kellyanne Conway as his Campaign Manager.  Conway Trumped Book!!! It was reminiscent of games with Goretsky controlling the ice in hockey. Indeed American men study sports especially football as a training in the nuances and understanding of politics. Sadly women such as Hillary Clinton's Huma Abedin, while they obviously knew about sex given the marriage to Weaner and money given their ties to the Saudi purse appeared utterly ignorant of any team sport which would have prepared them better from the campaign.  Administration and Soldiering are based solely, not on the acquisition of power, but rather on the distribution of power.  This explains why military dictatorships so rapidly devolve into fear based entities because they lack the appeal of character which the likes of  Clinton and Trump bring to office. Administrations and administrators necessarily appeal to the socialist minded as socialism is so dependent on legalism and dictatorships. It's no surprise that the UN , the greatest socialistic entity on the planet after Communist China, should put out AGENDA 21 encouraging Beurocrats and Administrators the world over to rise up and take power. It's call to world domination and control is little different than the original Lenin cry 'worker rise up'  Rise up so we can eventually win the world and be dictators to you as we are today still dictators say this communist leaders like China's STRONG MAN Stalinesque figure Xi Jinping.   Get rid of the Magna Carta, the French Revolution and the American Constitution and skip  right to the Emperor  Dictator bits say all these socialist communist liars and philanderers.  
5. The failure of communism was its inability to competitively create wealth. Capitalism with it’s inherent reward of the worker individually, ie capitalism, has been in direct competition with system of distribution of rewards of the worker by the Communist STATE whereby the most meritorious gain little while the least meritorious gain a lot.  
6. The trick of political correctness and ‘marketting’ is to deny individuals ‘real’ power and wealth by giving them the appearances of ‘power’ and ‘wealth’.  This is seen in ‘badges’ and ‘ranks’ and ‘influence pedalling.’  

Today there is a mix of central or socialist State power and decentralized or capitalist power.
Many would argue that the control of wealth and power in the world is limited to handfuls of families. The Rothschild’s are the most often identified by the conspiracy crowd but the Italians were the leading family at one time, starting the back rooms banker traditions in the 15 th century and others before.  One could almost guess that each of the controlling families was the last remnant of the former empires, hence the Italian bankers are what’s left of the original Roman Empire but before them were the Greeks magates left over from the Greek empires, the Mexican Billionaire a product of the Spanish Conquest,  the Egyptian billionaire family a product of  Alexander’s spoils.  In the far east the spoils of the Moghuls stand behind much of the leadership that exists centuries later. Definitely Mecca , the Eastern Disney mandatory tourist franchise was created by  Mohammed who stole all the wealth of the Christians, Jews and Zoroastrian throughout the Middle East to gain his power, best represented today in the glory of Dubai.
Capitalism has reigned since these early war lords. The two latest groups of wealth gathers were the leaders of the French and American Revolutions coupled with the Communist Revolutionaries in West and East.
 “Steal a little and they put you in jail, steal a lot and they make you King”.  Or Czar. Or Caliph. Or President. Or Prime Minister.
If I today were to get the local poor of Vancouver's DTES ghetto to rise up and throw off it’s beurocratic masters  marching  through Kitsilano,  Shaughnassey and West Vancouver, taking the wealth of the rich elite we’d likely have enough swag to party for a few dozen years. That’s about as long as Communist Countries last. The traditional capitalist decentralized distribution of wealth is simply to date superior to the left liberal or progressive rape of resources and pillage and then central redistribution.  Communist distribution is necessarily corrupt giving rise to the obvious corruption inherent in dynastic leaders like Trudeau and son, such an obvious throw back without any suggestion of meritocracy.
The success of empire is a much more complex thing. It’s fundamental to the study of English cricket, American Football, European Soccer and Canadian Hockey.  Basketball, developed by Canadians, might well have been a major contributor to Obama's successful campaign.
The Mainstream Media, now called the Fake Media would have us believe differently. They would deceitfully argue that they are ‘free’ and giving us ‘news’ but simply are no longer reporting ‘facts’ without ‘opinion’ as was once the case. But then before we understood Marshal McCluhan’s the “Medium is the Message’ that was true. Now the age of rationalism and age of intellectualism of man has given way to the age of emotion and age of emotionalism of women.  Cognitive behavioural therapy says that emotion is merely downstream construct of thought.  "I think therefore I am of modernism became  “I feel therefore I am" of so called ‘Post modernism’ which is probably better called  ‘ultra modernism’.  Neither represent "enlightment"  The clever and emotional are not wise.  Wisdom has been limited rather than expanded by the intersectionality of their social or cultural communism. History gave us dickheads who were followed by Vagina heads. The biggest hats are seen in the Eastern block.
Truth is what is lost with political correctness. Politics is a choice of the least bad alternative.
The Security Council of the United Nations is simply the principal arms dealers of the planet. They were put in place to maintain the status quo.  Not to end all wars. What would be the benefit in that to the Military Industrial Complex, ie Civilization as we know it.
As Camus and Kaffka showed so elegantly and the movie Clockwork Orange did as well, the struggle is between the Individual and the State. This was best depicted in recent years by the communist construct of the BORG versus the Federalist construct of Captain Picard in the Star Trek television series.   ‘
In the military the double speak became “the best defence is an offence’.  So in political correctness, ‘black is white’.  This was the ‘peace missile’ and the politician saying ‘trust me I’m a politician’.  Whenever Justin Trudeau speaks, with his endless stream of distracting platitudes, his forked tongue flicks.  While Canadians see Justin Trudeau as the greatest liar of all times so the Koreans see Kim  as their greatest liar.   Neither is.   The competition is for the biggest lie. That's the only truth in the great deceit of political correctness. The system  is fundamentally based on deceit.
The big brain of man, the sociobiological construct is that we not only evolved as ‘tool makers’ but we developed ‘political correctness’ and created the lies of the ‘emperor’s new clothes’ and all the myths that maintain a few in power over the many, whether they be the committee of communist murderers or the dynastic rulers of the Bush and Trudeau families.
What is ironic today is just as Mugabe has been deposed because his wife Grace wanted to use him to gain the throne as Hillary attempted to use Bill,  both  lost all.  There remains a  stronger eugenic belief that blood trumps sperm.  Even Dan Brown’s materialistic Da Vinci Code sought the ‘blood’ of Jesus hoping for a ‘DNA” combination. So marriage more rarely that progeny transmits royalty, ironically even in Communist Countries.
No wonder Marx and Engles set out to destroy the family to place all power in the head of state.
Proxy wars are the thing today.  Real life competitions between the military hardware of various families and nations.  Argentina buys missiles from the French and these compete with Missiles from British factories.  In truth France served both England and Argentina. Just as the Rothschild banked for Britain and France at Waterloo the backers of war bet on both sides to spread their likelihood of winning. George Soros as Satan's man destroys everything in hope of making a profit on the resulting wars.
Normally wars are wet and dry, in jungle or dessert with hard ware and men competing in opposing environments. The Falklands was as close to an arctic war as we’ve seen since the demise of the German army in the Russian winter.  No one is quick to put their machine against cold, water and heat yes, but not so much cold. Oil freezes, tanks and planes perform poorly.
A Scandanavian researcher showed that the working class of Israel and Palestine , soldiers, scientists and more were involved in war while the administrative class that much more deceitful and politically correct lot were involved in failed peace talks. If peace came to the Middle East there would simply be no economy and mass starvation would follow.
Despite the feminist outcries and forced participation and lingerie and sex and all manner of marketting ‘women fighting’ or even ‘pornography’ doesn’t make as much money as ‘War’.
Today abortion pays more than birth.
Euthanasia supersedes healing.
Death culture.
There is life and death.  Yes and No.  Leonard Cohen summed it up by saying “there is a war between the odd and the even”.
The proposition ‘all’s fair in love and War’ simply underwrites that war might lead to sex but it was seriously frowned on when sex lead to war. Domestic violence was one thing but the Rape of the Sabines was sticky business from a marketing perspective. The ISIS marketing  of war is an opportunity for  ‘sex slaves" certainly was the attraction for Canadian men to leave political correct and sexually rigid Canada for the potential promiscuity of Arabian nights. The pornography of the millions of Chinese male soldiers is mostly white American girls.  The ‘spoils’ of war has been Sex and that's unlikely to change any time soon despite increasing numbers of women and gays in the military. Women may well be attracted more by swag.  The 60’s Wood stock communist sale was ‘free sex’.
The lie is always in the world prepositioned by the word  ‘free’. The marketting campaign of the navy is ‘free travel’. And of course a girl in every port.
Political Correctness is lying.  It’s putting a wrapping on a dirty thing. It’s deodorizer. It’s that Pine fragrance in the cigar smoker’s car. it’s the deodorant put on the dirty arm pits. It’s all these ‘lies’.  It’s a big brain thing. It’s fake news.
It’s demonic if you believe Satan is the source of all lies. That is the Christian position. There is Satan and there is Jesus. That’s the dichotomy of religion. Us and them.  Good and Bad. Patriotic and Unpatriotic.
The communists moved this to ‘clean energy’ or ‘holy energy’ and ‘evil energy’ . The irony is that coal and nuclear power were creating the electricity to power the  apparently clean ‘electric cars’ which the silly consumers were buying them  for their ‘cachet’ value. The long term pollution of solar panels is only now being exposed.  Political correctness is solely fashion. It's the latest see through bikini.  It's the sexy niquab and the exposed ankle of Victorian era. When it's not outright deceit it's the tantalizing tease.  Politically correctness is akin to bestiality and pedophilia put forth as true love. Marketing. Marketing. Marketing. Big brains.
It’s the pink paint on the cruise missile
I don’t know why it bothers me but I prefer the Truth. So when the Judge calls me a liar , I’m resentful and offended and must spend years praying for him because I know he’s identified with the criminal whose dirty money has paid for the lawyer who has contributed to the sacrifice of the near virgin girl who suicides when she can not protect her child. There’s a chivalry in the truth. The the White Knight hang up. There’s all that coupled with the Pirate and the Clint Eastwood Dirty Harry appeal to the rebel. Today’s the rebels are without a cause cause and call themselves ‘activists’. Their song is  Mila Cyress  “Wrecking Balls”.   The Angry Young Woman is a caricature of the Angry Young Man. As I grow older I realize that those who have died before have done so because of the soul destroying boredom of government and Hollywood myth productions.  Nothing is new. All is Vanity says Ecclisastaces.
The Reformer is the Enemy of anyone who benefits from the status quo.
So year in year out the politicians offer ‘change’ but do the same old, same old and when a politician is real and is new then the whole industry of "has been" wars against the ‘change’ for the manufacturer of ‘no change’ is a very lucrative business.  Eventually the ripples go and calm settles and the revolution goes back to everyone is poor.   Everyone is depressed. The pendulum only swings between todays era of political correctness and everyone who complains is fined or goes to jail and 60's and 70's when everyone could complain and no one went to jail.
They would lock us up if we complain. Dr. Jordan Peterson is denied freedom of speech while Wilfred Laurier is the new Hitler High.
Soon beurocratic interventions, gag orders, political correctness,  Islamaphobia, Hate laws and such make it possible to put us all back in jail. The ones that most need jailing today are the pesky pro life sort who simply stand outside abortion clinics, gandhiesque.
Jesus swore in his day. He had a potty mouth they said. The more an administrator focuses on the alignment of the writing of the page and the quality of the paper the less they focus on the content on the page. Political correctness is all about form without substance.  General Patton swore and Queen Victoria swore. All journalists and Christian leaders and Muslims and Jews and Buddhists have at times had potty mouths.  Expletives are ‘natural’.  Artifice is the life of the politically correct. In the church the emphasis on swear words, especially sexual references is social communism and not Christian. Blaspheming is taking the Lord’s name in vain. Jesus said 'shit!".  It’s not chauvinist feminism ‘protecting the little ladies delicate ears’. All of the statues and law to ‘protect the ladies’ is touted as ‘feminism’ and women in the west are surrounded by ideological burkha’s while they pride themselves on being powerful and free in their poverty.

Political correctness is ‘they lock us up if we complain’ . That’s how you know Canada is communist. Justin Trudeau is a liar and he says he’s for the poor and weak and business. He’s not.  But if he stays in power he’ll probably call himself a businessman and we’ll be able to complain again.

As a doctor I have taken an oath to save the life of Justin Trudeau or Donald Trump or Kim or Adolf or even HIllary Clinton, Lord love a duck.
But yes, Buffy St. Marie, I am the ‘Universal Doctor’ as you are the “Universal Artist”.

We’re all guilty as innocence in the land of the politically correct.

Lord love a duck.

Political Phobias and Politician Denial

DSMV is the diagnostic and statistical manual of the American Psychiatric Association.

There is no psychiatric condition called "Islamaphobia".  There is also no psychiatric condition or disorder of Climate Change Denial.

Yet in both cases the politically motivated are using 'pseudoscience' terms to create validity by association for their spurious idealogies.

Phobias that are acknowledged by the DSMV include social phobia, agaraphobia, phobia of flying, seeing blood, receiving an injection, animals, heights as examples.

It is critical to understand that while just about any 'thing' or even 'person'  can be a source of 'phobia' such as Trumpphobia or Jesusphobia or Clintonphobia or Buddhaphobia these have not been clinically investigated as such because the diagnosis contains a specific 'exclusion' criteria.

It says that the disturbance is not better explained by the symptons of another mental disorder. Mania especially Megalomania are however recognised by DSMV. Indeed this condition with associated grandiose delusions and extreme entitlement and various other accompanying behaviours has been recognised since the 19th century.  Kraepelin described the diagnosis.

Consequently those who cry "Islamaphobia' are more likely suffering Megalomania because they are by these psychiatric diagnosis of others who disagree with them presuming arrogantly and smugly that the world as a whole made  them God Psychiatrist.

As a humble psychiatrist, I would simply point out that there is no Islamaphobia.  If there were Christanophobia would be the more frightening condition since Christians are the most persecuted group in the history of the world.

Climate Change Denier is a ludicrous expression.  It's hate speech inherrent. Because everyone knows the weather 'changes'.  What it is meat to represent is 'global warming' predominantly by human endeavour.  Again those who cite it are far more likely to be suffering megalomania becaue they put their enemies as more powerful than the Sun.  The Sun is the principle heat source.

If the government and others continue to use psychiatric terminology would they kindly seek psychiatric help themselves. I'm not sure we have sufficient asylums to accommodate them but really they should consider what nonsense they speak and at least study science before speaking about something they are obviously wholly ignorant of.

Political Correctness, Silencing Opposition and Disinformation

"If you forget history, you are doomed to repeat it."
I'm feeling that we have forgotten history.
All the great civilizations have fallen because of betrayal from within.
1)Political Correctness is just such a poison.
- As a result of political correctness, freedom of speech has been destroyed. Freedom of speech just happens to be one of the pillars of a democracy, In fact it's the pillar of civilization.  Today though thanks to political correctness, the attempt to not offend anyone by one's speech and the idea that one can actually speak in such a way as to not offend someone is utterly ludicrous. But that's political correctness,
- a form of political correctness is today to limit terms like 'slave' to 'blacks' whereas people of every colour have been enslaved at some time or other.  Political correctness has been summarized as the attempt to 'hold a turd by the clean end'.  So today's students' strapped with immense debt from student loans are slaves as much as indentured servants were and as much as the sex slaves of arabia are.  The distinction between 'chattel slaves' and 'addicted drug slaves' is political correct 'hair splitting. Similarly 'political correctness' limits sexual abuse to female gender and is extremely sexist since there are countless boys sexually abused but they are 'politically incorrect'.  It goes on like this, as the 'language of truth and freedom' is perverted to become a 'language of war'.  Political correctness is indeed one of the tenets of social communism which was a wedding of the schools of sociology of Freud and Marx.


2) Silencing the Opposition
-  Dictatorships have long liked killing their opposition.  The left wing aetheist (socialists) communists buried hundreds of millions, often in unmarked mass graves . The right wing pagan fascists, (National Socialists) gassed their opponents but also used mass graves.  Pol Pot was a particularly adept recent specialist in mass murder. Rwanda was genocidal and now ISIS continues the Muslim beheading practiced by the war lord and prophet Mohammed and taught in the Koran as the correct way to 'silence opposition'.  (A friend says the zombie movies are teaching the children how to practice the eventual 'one religion'.  "We are the zombies', he says.  One of the persecuted Christians, the greatest persecuted religious of today. The Jews held that position in the past.  
- Assasination has always been a favourite way of removing opposition and recently was developed with immense finesse by the Columbian drug lords who murdered anyone who opposed them.
-The other technique when outright killing wasn't an option was 'disappearing'.  The right wing Argentinian military dictatorship was especially good at this but Stalin and Hitler had pretty much fine tuned this technique long before the Argentians.  China is now a master.  I remember people from the cold war USSR days telling me of the KGB coming in the night and dragging off a political member of the family and they'd simply disappear.  Since the fall of the Wall there continues attempts to find what happened to countless thousands but not only were the individuals 'dissappeared' but in the remarkably corrupt beaurocracy of communist countries so were the files purged too.
- Jails - are the other great way of 'silencing the opposition'.  Mandela is the famous prisoner of our time who freed, literally changed the consciousness of the world. The others were the survivors of Auschwitz and the survivors of the USSR's Gulag.  

3) Disinformation - the first casualty of war is the 'truth'.  As a politically correct black , liberal leader once said of the racial war, "We've got you honky white guys so corralled you don't even know what to call us."
-Everyone knows that all German's weren't Nazis, just as all Americans aren't obese.  Naziism was epidemic in Germany but now exists mostly in Moslem countries whereas obesity really is epidemic in America which has a whole lot more communists than it does nazis.  Nazis mostly fled to South America.  The fact is no one got angry if someone made a mistake not differentiating the average german from the average nazi from the particularly bad SS.  Today though if a person says "Islamic Terrorist" they are at fault for not designating that the terrorist is a Sunni Islamic Terrorist versus a Shia Islamic Terrorists, Sufi Islamists not having involved themselves in terrorism for probably centuries.
-Disinformation is stating outright lies like "Islam is a religon of peace".  This is as false as saying Germany is a country of peace.
-Disinformation is obscuring the specificity of the assailant.  Recently when Justin Trudeau , the Prime Minister of Canada physically grabbed an opposition leader there was a 'marketting orgasms of disinformation' even though Justin, caught on camera, could only 'apologize' contritely for an act of physical violation which had never before been seen in the House of Parliament.  It was a wonderful 'example' of 'spin doctoring' and 'damage control' and 'disinformation' which is usually recognised in Third World Countries and commonly what is seen normally in the UN.
-The UNITED NATIONS has two parts.  One the Security Council which is made up of the chief arms dealers in the world and the principle winners of WWII. It's power exists by threat of mutual destruction of each other but it lives by perpetual war. The second part of the United Nations is the general council. Canada for instance belongs to this though. The general council has dictators, military leaders and a true 'cast of usual suspects". It's portrayed by popular disinformation as some sort of "Star Trek" federation but it's more akin to a PIRATE Den or a Mafia Family Dinner given how many 'civil rights' abuses are done by the council. Two of the greatest Civil Rights abusers of all time China,which sits on the Executive Branch, or so called 'Security Council" and Saudi Arabia that sits in the general council.  These are relatively civilized though heinous countries that routinely kill and imprison members for anything but 'truthfully justifiable reasons'. The leadership are at times considered outright paranoid and consider anything question or threat to them 'justifiable'.  Meanwhile African leaders who condone sex slavery in general and killing homosexuals in particular sit on the general council. The beaurocrats in the UN are commonly immensely corrupt simply because corruption is the norm for much of the world.  What we in the 'west' consider the 'dark ages' persists in many countries as official policy.  So Disinformation is standard, regarding the United Nations and it's individual states and especially the security council or executive, China, Russia, France, Great Britain and the US.  NATO by comparison is a rather civilized body which shares mostly used to share ideas of civil liberty, democracy, freedom of speech etc.
- marketting is a specialized form of disinformation - 'if you tell a lie enough times most people will believe it."
-It's amazing the consolidation in power of the rich given G8 is simply the richest countries, with economic ministers meeting regular, all behind closed doors. Then there's G20 with greater influence but still top down.  The consolidation of power in a few is the aim of the existing power brokers.  These are increasingly beyond 'nation' states and more 'medieval corporate structures'.  A truism is that the 'reformer is an enemy of anyone who benefits from the status quo'.  So given that the UN was created in 1945 and the following structures added to it, the likely monetary aim of all these structures is to consolidate and control power and progress to the goals of a very few.
- Disinformation is associated with the claim, like Lenin that he needed 'dictatorship of the proletariat' for a temporary time.  Common disinformation was Hitler saying he was invading a country to 'save them".  There has a been an exponential increase of lawyers in a variety of areas where laws were enacted to 'save children', 'save women', save marginalized',  "Save whales'.  Now it's obvious that all these are 'good causes' but the basic 'con' is 'let me do all this for a fee'.  Increasingly government and 'advocates' are being paid masses of money which rarely reach the 'said project'.  It therefore is a truism that each person is principally 'self serving' and that the basic tenet of capitalisim , which is selfishness, is fundamental. The socialist/communist twist is that individuals are 'selfish on others behalf."  Consequently American and Canada have been described as increasing 'caregivers' and 'victims'.
The fundamental disinformation of today is the excessive use of Rhetoric masquerading as Logic.  To this end the Left are forever using 'ad hominem as their 'weapon of choice'.  "Ad hominem" is 'agaisnt the man'.....therefore we say 'John is an idiot therefore whatever he says about Climate Change is false." ...  John is a Christian so whatever he says about Climate Change is false.  What John is doesn't have any relevance to the validity of Climate Change.  An argument is considered 'fallacious' because it is so full of 'fallacies' (ad hominem is a fallacy).  Rhetoric is so common in marketting circles that people joke, "how do you know a politician is lying? Their lips are moving."  Another fallacy is 'appeal to authority'.  So the IPCC Climate Change Cult claimed to have a 'consensus' of 'scientists' and that the subject of climate change was 'closed'.  Indeed these dangerous UN nutbars actually attempted to legal silence scientists  from the study and refutation of their false claims.  This is big time 'silencing' and the 'methodology of silencing' is so 'unscientific' as to cause any real scientist to realize this is a totalitarian political organization with religous cult delusions and no scientific validity.  Their 'appeal to authority' was further weakened when their 'consensus' of 'scientists' included frauds, journalists, specialists in fruit fly fucking' and so many most unusual scientists with questionable credetionals.  The original IPCC had scientific validity but like lots of good organizations it veered of course as radically as Greenpeace and other such organizations.  S

 So Conspiracy Theories of the Individual against the State aren't that much a 'conspiracy'.  There clearly is motive.  Throughout history there are builders and stealers.  In the Bible there is the description of the building of the temple. Every time the builders picked up building tools the neighbours attacked. As a result they had to divide the builders into builders and protectors, half with swords in their hands and the other half with saws and hammers.

Historically, the king claimed that he needed more and more taxes to protect the peasants from invaders. Clearly when the Moslem Invaders were like ISIS even the money given to mount the defensive crusades was well spent.  Today the threats are of 'terrorists' and now 'climate change'. The world is ending so 'give me all your money'.  In addition taxes to the government with it's wealth and priviledge are already maximized.  Indeed a study at McGill university showed that once taxes were 50 per cent or more the 'risk' against doing crime was reduced sufficiently to warrant the present day development of the Black Market.  In Japan the 'Black Market' became so successful that the Yakusa, or Criminal Leadership are incorporated into government decisions makeing.  One indeed has to ask with the corruption in Canada as evidence by the multi billion dollar drug trade in BC and the Charbonneau Enquiry in Quebec showing the city ruled by mafia and biker gangs.

One has the sense with the level of disinformation in the main stream media and the conflicting opinons on the internet that really all one can hope to know is how many fingers and toes one has.  The rest is literally above one's pay grade.

I've read too many stories now where I was there and know the actual truth of the case and the reporting or monday morning quarter backing is so far off as to be black is white.

I feel often that the Ancients were better in that they had this 'SOAP OPERA" of Gods and Goddesses rampaging and wild sexing in the skies and metaphorically this may be our leadership.

On the other hand maybe the Wall Street leaders are Pillars of Society and my feeling that they are whoring and doing cocaine is caused by Di Capprio, a leftist Hollywood actor with a billion dollar playboy habit.  Look at the silliness of Kardasians and 'Reality Farce" Tv.

Who am I to judge. I pick up a dog's shit each day and watch the tv and read the news.  I just think that there is a 'collective stupidity' that the spiritual called 'sinfulness' in the west and 'maya' in the east.  A world of 'untruth'.  This is because of perception. My knowledge and perspective limit anything that I see. Of course I've this immense mass of formal education and very intensive and extensive experience in the mind, health, thinking, emotionals , biopsychosocial, money, economics, politics, general knowledge, specific knowledge and a whole wealth of learning of advanced physical and mental skills. But at the end of the day I truly believe God loves each individual of the billion or so equally. But in contrast to the nutbars I don't want to have the janitor flying the plane without a license , experience and skills.  I think this latter differentiates me considerably from others. I also don't want the pilot drunk or drugged or belonging to a death cult or going through a divorce.

When I consider the possibilities of what can go wrong I am utterly grateful that I get through a day in a city with so many people with so many problems. The bright side is that most people get by for such a long time.  The glass is full.

-

RATE YOUR DOCTOR

Every year or two I look at ‘rate your doctor’ and consider retiring. There are such vehemently angry complaints that it’s hard to forget the obvious truisms:
1) You can’t please everyone.  I want to but I don’t need to.  I was actually ‘mr. popularity’ in school. To be ‘popular’ one has to be a ‘people pleaser’  and I can be a very good people pleaser.  However good doctors simply aren’t functioning on the same basis as ‘car salesman’ or ‘government beurocrats’.  Doctors who are no longer clinicians rarely admit to themselves their cowardice and how hard front line work is.  It’s the same with soldiering. Leading from the rear is very popular today. It wasn’t always so. When I was a family physician I was really loved and admired.  As a family physician one is there to ‘serve’ one’s patients and rarely is in conflict with the patient except ,as I found, the ‘psychiatric’ patients or the ‘criminals’.  In ‘physical medicine’ while a ‘diagnosis’ might be unwelcome, like ‘cancer’, it’s not ‘blamed on the doctor’.  By contrast as a psychiatrist I have been spat in the face when I advised a patient of my “diagnosis’ because ‘psychiatric diagnosis’ and especially ‘drug and alcohol abuse’ diagnosis carry stigma and ‘consequence’.
2) You chose psychiatry despite an extensive interview process in which those doctors before you explained that you as a psychiatrist you would be necessarily ‘unliked’ and even ‘vilified’ if you did your job well.  So why I am saddened today when I have such vicious and deceitful attacks on my character and my behaviour 30 years of practices and tens of thousands of patients later?  Probably because I’m increasingly told to treat the patient as a ‘customer’ and give them whatever they want even if it kills them.  Just make sure you ‘record’ what the authorities want to hear and ‘cover your ass’ like they do.
3) The College of Physicians and Surgeons across Canada have had to acknowledge that doctors working in the field of drug and alcohol addiction are the most complained against and those working with criminals are the second most complained against. Indeed there are class action suits against “Rate Your Doctor’ by psychiatrists because our ‘duty’ to society requires us to report people who are dangerous to themselves or others.  I am forever hated by a number of pedophiles I diagnosed in my practice and reported to the authorities or ‘forced’ them to self report.  I am forever despised by a number of people who felt they had the ‘right’ to kill their ex and I reported them to the authorities when they were not open to discussion of alternatives.  I am forever loathed by a number of people who I ‘locked’ up because they were acutely suicidal or extremely psychotic.  They lived and they got sane but they didn’t come back to see me because to them I was part of the ‘bad time’ and they thought I was ‘authoritarian’ and ‘over reacted’ and maybe felt they had the right to say they were going to ‘kill themselves’ and had a gun or planned to jump off a bridge that night.  I am forever hated by the men who I have told the RCMP I believed should not have the ‘right to own a gun’.  One has actually come to my office after learning this and threatened me.  I believe I made the right decision but I saw a very ‘reasonable sounding ‘ Rate Your Doctor ‘complaint’ the next day. I looked because he did say he would hurt me as I hurt him.  Some of the patients I consulted on  told me they were going to kill themselves then ran out of the office leaving me ‘with their bombshell’ and I phoned the police rather than having to live with the consequence if they had killed themselves.  Never as a family physician did I face any of this ‘level ‘ of responsibility or decision making.  As a general psychiatrist and psychotherapist I didn’t either.  But as a consultant psychiatrist working with patients with drug and alcohol problems and specializing in trauma and head injury (with their particularly interesting forms of psychosis and dissociation) I have had immense levels of difficulty that I can’t imagine how I would have handled years past when I only had 12 years of education and experience but a psychiatry specialist degree fresh on the wall.  I liked when I worked in the hospital or university or mental health team because we never had as much work as I do today and always got to sit in committees or consult each other and think about cases and work as ‘team’ so I was never so alone making a decision.
4) Forensic Psychiatry - I’ve worked with a whole lot of criminals, murderers , pedophiles, drug addicts, thieves, institutionalized criminals and not a few ‘jailhouse lawyers’.  Most of my colleagues simply never encounter these folk or avoid them out right. Naturally ‘anti social’ people account for the majority of complaints but rarely tell the truth about what happened including  a key component in their complaint  like ‘dr hay refused to give me valium’ or ‘dr hay refused to give me opiates or oxycontin’ or “dr hay refused to diagnose me add and give me speed," or ‘doctor hay refused to give me medical marijuana (he prescribed it to another guy I know)” or “doctor hay refused to say I was ‘disabled’ for life so I can collect disability for life.”  or ‘dr hay wouldn’t say I couldn’t work ever again because of my depression’ or ‘dr hay refused to take out of his report the part about my doing crack cocaine and heroin’ daily’, or ‘dr hay’s report told my insurance company that I was working two jobs and they cut me off my disability insurance because he fucked me over’ or ‘dr hay said I needed to join some group but he doesn’t understand that I have social phobia or agoraphobia’, “dr hay said I need to join a group if I have drug and alcohol problems and all I wanted to do was see him and talk about how everyone else puts me down’.  “Dr. Hay disagreed with my diagnosis that I read on Google that fits me.”  “Dr. Hay won’t order me an MRI because my lawyer says that would help my case.”  “Dr. Hay told my lawyer I had three previous brain injuries and I didn’t want my lawyer to know that.”  “Dr. Hay told my family physician that I had a half dozen complaints against doctors to human rights and the college and now my family physician won’t see me anymore’.  “Dr. Hay told my family physician that I’d never been in the military and that I hadn’t been wounded and that I was lying to get medications. I was getting oxycontin from this guy for a year but can’t now  because Dr. Hay fucked me over.”
5) Cherry picking - this is the way most doctors run a lucrative and successful practice.  If you avoid a) personality disorders especially ‘cluster b’ or ‘borderline”  b) impoverished c) divorcing people d) people with drug and alcohol history e) ptsd and anger issues f) people with pain disorder and major medical disabilities g) ethnic and aboriginal people with the increased complexity of problems h) LGBT patients with their long histories of discriminations and consequent sensitivities…etc…you can indeed have a very lucrative and successful psychiatric practice. Another way is to see the same people indefinitely at weekly intervals and mother them.  Never say anything that is ‘disagreeable’.  Indeed most ‘counsellors’ and most ‘psychologists’ dependent on the patient as ‘customer’ are very adept at this approach.  However as a psychiatrist I am by contrast ‘consulting to a family physician’ as opposed to just seeing the patient directly. Therefore every patient has another person in the room with them. Further I am held to the highest standard of ‘diagnostic’ and ‘treatment’ protocols which have must have a high association of reducing morbidity and mortality. I can’t do all the shit the homeopathic doctors do for the ‘worried well ‘ and ‘rich’ and ‘get away with it”.  By contrast ‘holistic healers’ are play acting in the real world of medicine without ‘accountability’ and yet have much of the benefits that have been long fought for by physicians.  No wonder we have ‘rug doctors’.  I am accountable to ‘science’ and ‘scientific evidence’ and can lose my license as well as my business as well as be sued and yes I can have complaints against me, if I don't. These complaints, not on ‘rate your doctor’ ,but in other forums routinely cost me $10,000 a piece in time and cost and loss of income. I would gladly avoid them but believe if I did that I would increasingly not be practicing medicine or psychiatry but rather practicing law, bureaucracy or some easier more lucrative thing like say, being a “ drug pusher for the multinationals’ .   If I’m in the ‘business’ of medicine I avoid these hazards routinely by ‘cherry picking’.  I ‘specialized in seeing ‘borderline personality disorders’ for many years as a psychotherapist and moved on to ptsd and then drug and alcohol addictions.  It’s common for me to see a person with a half dozen diagnosis and multiple failed treatments or to be seeing a patient with at least a half dozen other caregivers and often a lawyer or two involved in their care.  Summed up I have concluded that I have chosen over the years to work in the areas of ‘greatest need’.  When I worked as a fly in doctor in the north, the Northern Medicine Unit had advertised for the position I took for 2 years and I went to many Indian reserves that hadn’t seen a doctors in years.
6) Cherry picking - Psychoanalytically trained we all learned that the ‘best’ (safest and most grateful and most responsive) was a YAFFIE.  Young, Attractive, Anxious Financially well off, Fun, Intelligent and insightful and Expressive was the best patient. The psychologists and counsellors have like in every other field of endeavour taken this ‘cream’ of mental health work away from the doctors. It’s the same with obstetricians and midwives. The midwives do the ‘easy’ work and the obstetricians are left doing the tough work.  As doctors we are all now doing the heavy lifting and being paid less than those who are specifically living the life  of O’ Reilly because the minute anything becomes ‘tough’ they ‘refer it’ to the doctor or ‘worse’ , the ‘specialist’.  Being a ‘specialist’ is financially fucked today.  When I began I had a practice of loveable ’neurotics’  (they get under their skin”) and 20 years later I found my practice was mostly ‘personality disorders’ (they get under your skin).  Meanwhile my pay scale had decreased, my job satisfaction had reduced, my psychology colleagues were by contrast richer and everyone enjoyed referring their failures and difficult patients to me because psychiatrists and other specialists are the ‘last resort’.  We are lifes’ ‘garbage dump whereas the lucrative and really happy happy easy work and well paid work has been taken over by the ‘alternative health care’ and “allied health care professionals”.  They system is fucked and doctors are striking in England and working to rule in Ontario. And most of my colleagues at my age with my experience and training are trying find ways to avoid seeing difficult case rather than embracing them as they would if the system wasn’t fucked by the incredibly incompetent, inexperience, overpaid, lazy, entitled unaccountable administration.  
6) A week doesn’t go by that a referring gp asks me to see someone and confesses that as many as 50 other psychiatrists have refused to the see the patient. I turn down 10 consults a week.  Apparently I’ve got the lowest standards.  I routinely hear “ I’m sorry to ask you to see another one of my tough cases. I tried referring this to someone else but I called up 20 psychiatrists and they’ve all refused and I know you would but I feel it’s not fair to ask you again.’  I try to keep a few spots for ‘less complicated’ cases. I’m getting phone calls through the night and weekends and even when I’m out of the country, mostly because. “no one else will listen to me’.
7) I used to have two thirds of my patients as what I called the ‘ferraris  did ‘tune ups’ on while  a third of my practice could be described as ferrraris needing complete overhauls.  Somehow that became flipped and now I’m lucky if I’ve got a tenth of my practice who could be described as more ‘neurotic’ than otherwise. I’m really thankful when I see patients that have jobs.
8)More and more patients want me to ‘collude’ with their being off work or on insurance.  They are not looking for ‘therapy’ they are actually shopping for a ‘diagnosis’ which will suit their ‘work requirements ‘ and ‘insurance concerns’. A week or two doesn’t go by when someone objects to a diagnosis because it could ‘hurt’ them and we are in conflict.  As a result I increasingly am compromised. I record “situational alcohol abuse’ rather than ‘alcoholism’ because the patient threatens me in some overt or covert way.  I can’t know for sure but I’m worn down. I also get to read consults by my university colleagues and they’ve mostly sold out. They don’t even record the personality disorder, or the substance abuse or anything that the patient might be ‘offended’ by.  Meanwhile I’m condemned outright for being patient advocate and going to the supreme court in a pro bono fight for the right of doctors to be the advocate of the patient when the courts and the state want the doctor to work for them. I was with the psychiatrists against political abuse of psychiatry and have defended the most down and out patients repeatedly against the full weight of the ‘system’ and have been smeared by association.
Ian Magrew  summarized my patient as a ‘coke addict’ in the Vancouver Sun and was 180 degrees wrong in his reporting like half the reporting in the news today. Journalists today are so collectively considered ‘bought’ or ‘sold out’ or ‘biased’  or ‘corporate’ that the ‘comments’ on their articles are essentially the equivalent of  ‘rate your journalist’.  CBC closed down feed back because of the incompetence of journalists and how unpopular journalists are for their reporting of stories. They condemned the readers as ‘haters’ never considering that their journalism was the cause of such negative feedback which extends throughout the society.  Increasingly people have to turn to the internet to get the ‘facts’ because mainstream journalism is so ‘corporate’ and ‘biased’ or often just ‘outright wrong”. In the case in point,  I couldn’t even respond at the time to the highly offensive Vancouver Sun article because the case was still in court. So  paid scribblers like Ian Magrew can write the most outrageously erroneous material without fear of rebuttal because in most cases the lawyers advise those involved not to respond to Ian Magrew’s yellow journalism as it would negatively affect their on going cases.  Ian Magrew reduced my patient to ‘coke addict’ despite her being a decade clean and sober. But his stigmatizing the mentally ill and those who suffer from addiction killed her as much as journalists have killed countless with their condescending words and careless reporting.”Loose lips sink ships” They are not held accountable for their bias and irresponsibility and mostly don’t believe in truth which is possible for those who only work in ‘words’ . There was no stigma attached to general practice but there is a hell of a stigma attached to treating the mentally ill, especially those with drug and alcohol abuse and especially those with HIV or Hep C.  The head of the American Psychiatric Association says that Stigma of Mental Illness is shared by the psychiatrists much like no one wanted the “leper doctors’ to come to dinner.  It didn’t matter to Ian Magrew that the patient died or that eventually my lawyers defended me successfully. He had his ‘sensationalism’ and got paid his pieces of silver.   He never mentioned that all the cases he condemned me in were pro bono cases, that my assistance in the court cases was because the people I assisted had been financially ruined and marginalized and I had helped them because I believed they were being bullied and abused because they were mentally ill not because they were wrong. He’s a word smith and a review of his work shows he plays to the rich and to the judges.  He plays it safe and smart.  My friend Dugald Christie who started the Pro Bono Lawyer association said the failure of the courts today is that they no longer serve the lower classes or even the middle classes. I believe Dugald Christie would say the same of  Ian Magrew.The now dead woman had been bankrupted by the courts that have made Ian Magrew a very wealthy man.  That woman’s family  had mortgaged their house and been financially destroyed by the man that Ian Magrew championed.  That man who Ian Magrew chose to champion had in deed lost his license to practice.  The judge took the child from her mother who was ruined defending her and Ian Magrew summarized her as a ‘coke addict’ despite her long and arduous road to recovery. .  Ian Magrew himself hasn’t faced being drug tested.  He can dish it out but certainly can’t take it.  The only one involved in that court who had been drug tested was the poor mother who Ian Magrew continued to stigmatize as a  ‘coke addict’.  10 years clean and sober fighting for her child didn’t count to the sanctimonious Ian Magrew who would never dare to truly offend the courts because they, not their victims, are his bread and butter.  The stigma against the mentally ill and those who have suffered drug and alcohol abuse is very very real and the courts despite the 10 to 20% of judges and lawyers suffering from addiction has been slow to respond.  Journalists collectively have refused drug testing and newspapers, especially Vancouver Newspapers refuse to drug test their journalists en mass despite the rest of Canadians in ’safety sensitive’ industries being subjected to this only to be criticized by actively addicted marijuana, alcohol or heroin users who act out their drug induced aggression against those who have recovered from theirs. Countless research studies in psychiatry have shown that the  Media continues to be as outdated and ignorant as Ian Magrew for they continue to stigmatize and sensationalize the mentally ill the addicted and those who serve them.   If anything Ian Magrew’s writing shows its the continued ignorance of  journalists and the stigma against the mentally ill, the courts bias against the poor, and the terrible need for education and drug testing of journalists. When will a person be ‘good enough’ for Ian Magrew.  If there was a ‘rate your journalist’ I’d rate Ian Magrew as a outright unforgivable ’toadie’, a sensationalist yellow journalist, whose biases are blatant and whose writing is downright stupid.  Half the time reading him  because of his  tangentialism I want to ask what is that man smoking. He seems a terribly spiteful little shit as well so I would guess that few would care to challenge a man who has used words to beat up on the mental ill and those who have recovered from mental illness.  I miss the days when court reporter criticized the judges for their poor decisions and held the court to a higher standard rather than such obvious toadying and politically correct protecting the authorities with the kind of reporting that was celebrated in Pravda but should not be the staple of the Vancouver Sun.  Rather than Paul Simon singing where have you gone Joe DiMaggio we should all be singing ‘where have you gone court reporters’.  Ian Magrew is to court reporting what Kanye West is to music.  Court Toady.  Were there a College of Journalists to revoke his hack license, he’d be kicked out and depend on writing jingles for marijuana for his income.
9) I’m seeing an increasingly older population with worsening health so my patients have increasing health problems, a half dozen or more right now with major cancer illness, a half dozen or more with severe Crohn’s disease, a dozen or two with unstable diabetes, a dozen or more with severe endocrine disorders, many with heart disease, ex smokers with severe COLD, Hep C, HIV, dozens with major head trauma, I’ve only a half dozen or so conventional schizophrenics and I enjoy them as a ‘break’ from the world of ‘personality disorders’ I’m usually mired in.  Schizophrenia is easier for me to treat than schizoaffective disorder but I have a dozen or so schizoaffectives.  I enjoy the helping the transgendered patients and LGB patients because like my severe PTSD patients they’ve had a whole lot of persecutions.  The torture patients I treat are surprisingly the most grateful.  I’m treating dozens of muslims, christians, catholics, sikhs, hindus, pagans, and atheists, people of every colour. .  It’s complicated.  I am a Christian and I envy my Christian psychiatrist friend whose practice is 90% Christian and white.  I’ve done cross cultural psychiatry for decades but increasingly the ‘cherry picking’ is with a colleague who works with ‘predominantly LGBT” or “women only’  or mostly aboriginals’ and then they have the advantage they can ’skew’ their practice to the ’special needs’.  There was even one psychiatrist in Vancouver who following on the YAFFIE selection only treated ‘doctors’ and was greatly admired.  
9) I ask myself daily if I’m doing a good job. I use the old fashioned criteria that includes 30 years plus of ‘referrals’ and continued referrals from the family physicians I most admire in the city.  I also receive personal referrals from the heads of several university departments and treat people from all walks of life. I’ve treated multimillionaires, many olympic athletes, famous media people, professors, and countless street people. Most colleagues I know have practices with a very narrow focus  in comparison. The family physicians I most admire are as stupid as I am because  they go the extra mile for  patients.  I love them each individually because despite most often not knowing them personally I’ve heard some tidbit about them from the dozens of patients I’ve seen of theirs over the years. Just last week I heard of one of my favourite guys who refers to me making home visits to a patient who didn’t understand how rare that was.  Patients usually don’t realize what they’ve got till it’s gone. I’ve had dozens of patients come back to me and frankly tell me that the other psychiatrists only saw them for 10 minutes and only prescribed medications or didn’t tell them anything about themselves.
10) When I was a conventional psychoanalytic oriented psychiatrist no one knew anything about me and when I was doing strict psychopharmacology no one knew anything about me anymore than they did when I was a city gp. But when I was a country gp everyone knew everything about me, the same as when I was a country psychiatrist.  Further when I began to work in the area of personality disorder, ptsd and addiction I learned that ‘story telling ‘ was one of the most effective therapies whereas if I retained the ‘aloof’ parental position as opposed to the ‘uncle or aunt’ role in therapy I got nowhere. People ‘rejected’ outright what had been told to them ‘directly’ but couldn’t reject what was told to them indirectly. Years of extra advanced training in these forms of psychotherapy, structural, hypnosis, 12 step facilitation, and strategic all contributed to a very high success rate in getting people ‘back to work’ , off drugs and alcohol or healthy and moving on from therapy.  “i want to feel happy’ isn’t what the government is paying psychiatrists to do.  One pays out of ones own pocket for a ‘feel good’ counsellor but my job as a psychiatrists is as the ‘high paid help’ We are expected to judge our therapy on ‘morbidity and mortality’ and by outcome measures such as return to work, community involvement, stopping negative behaviour.
I will never forget when I shared how broken up I was by a patient suiciding at a local conference of psychiatry and one of my colleagues 30 years older at the time, stood up and said condescendingly “I”ve practiced psychiatry for 30 years and never had one patient committ suicide.”  I will forever love Dr. Brown who was Head of Riverview at the time and had the most experience in the city with the most difficult cases, standing up to my defence saying, “I know Dr. Hay is practicing psychiatry but I don’t what the hell you’ve been doing for 30 years.”  As anyone knows that if you are a soldier and hang out in Ottawa you will certainly not shoot anyone or be likely to get wounded. As every surgeon knows if you work in the front lines you will lose a patient or two. Indeed the more ‘risky’ the patients you treat the greater the risk of the patient dying. It’s become a problem in the US with Legal medicine that patients with severe problems not only can’t get insurance for them but can’t get doctors because the doctors can’t afford to take the risk that losing a patient would have on their insurance  coverage.  Canada is rapidly moving in this direction. One of the principal reasons for patients being unable to see doctors or have a doctor under the MSP public health care system is because doctors get paid the least and face the greatest risk seeing patients.  When I worked on salary with a government agency I saw 10 patients a week at most and had countless committee meetings instead.  We all congratulated ourselves too. In Private Practice I see 50 to 100 patients a week as a specialist where as private practice generalists see 200  to 300 patients a week.  A psychologist once told me that she had seen 10 patients with anorexia and considered herself the local ‘authority’.  At the time I ‘d seen some thousand or so patients with eating disorders but consider my colleague the ‘authority’ as he did an extra year of training beyond specialist level and has seen tens of thousands of patients with eating disorders.  It matters.  My gp colleague is delivering the children of the mothers he delivered and knows his patients for decades. I have several patients I’ve seen off and on over 30 years.  I’ve seen all the family of one patient over a 20 year stretch so have an amazing in depth and extended knowledge of this patient.  One visit with me every 5 to 10 years after that first year of therapy saves the health care system tens of thousands of dollars such a case. The horrendous lack of training and competence in health care administration is that there is literally millions of dollars of duplications of services.
Increasingly no one wants to do more than a ‘consult’. Consults get paid more than ongoing therapy but if one focuses on the loyal and happy ‘customer’ then one can indeed have an ‘easy’ practice whereas I’ve always had a combination of ‘consultation’ and therapy. Increasingly the patients who I don’t think would benefit from therapy are angry with me for refusing to accept them because frankly no one is willing to see this person weekly for an hour on the ‘government’ dime and these patients who are most wanting to be in therapy can’t afford counsellors or psychologists.  One of the essential keys to ‘rationing’ scarce resources and to ‘triaging patients’ is to decide if therapy would ‘alter’ the outcome of the patients case. Hence i have some patients I see for psychiatric psychotherapy because I believe I can improve their ‘morbidity’ or ‘mortality’.  I see a patient with heart disease for many years because he was told he would die and we both enjoy seeing him outlive the ‘predictions’.  I see some cancer patients because it improves their longevity.  I further have seen some students who were failing but now have gone on to getting masters and Ph’d’s.  I have enjoyed the ‘external’ criteria for success like using the ‘recovery ‘ and ‘days abstinent’ for assessment of my work.  I also encourage patients to leave my practice when they are well or have made as much progress as I believe they can at this time, while I leave the door open for return.  If I was in a private psychology practice I wouldn’t discourage a paying ‘customer’.  Psychoanalysis started as a year long therapy and because of the lucrative nature and the desire of the satisfied customer went on for 10 or more years. This is fine in a private paying system but in a public health care system I have accepted that I have a responsibility to the group as well as the individual.  One of my colleagues saw the same 40 people for 40 years roughly. If that was in the private pay system it would be good business.If I want to go to the same masseuse once a week for 40 years and pay out of pocket for this service it’s just fine.
However I did two years of community medicine and public health training in addition to psychiatry so I’ve been forever ruined because I think of the health care system and encourage ‘good’ patients who ‘love’ me to leave home without me.  In fact when I’m really looking forward to seeing a patient this is one of my counter transference criteria for raising the question of termination of therapy.  With psychopharmacology in contrast there is a diminishing need to see the patient and from initial assessment period of visits the frequency and length of time of visit can reduce to the standard every 6 month or year visit or transfer back to the general practice.  Mostly patients don’t want to transfer back to the general practitioner and most general practitioners want you to continue to manage the complex medication so the system gets bogged down and waitlists grow.  Also because everyone is trying to avoid upsetting patients because upset patient complain to the college and college complaints cost the practitioner thousand of dollars a lot of ‘dependent personality disorders’ and “hypochondriac’s are seen ad infinitum with no change in their health because they are ‘addicted to their therapist’ like a drug.  I get as many complaints from refusing to continue to see a patient as I do from seeing a patient. It’s like the horror i went through getting patients off benzodiazepines  The withdrawal process was as bad as the disease and the same occurs with ’termination of patients’ in therapy.  It’s so tough that junior doctors avoid it like the plague and everyone colludes to a very expensive tea time rather than doing the work of therapy which involve ‘learning to leave home’.  I am facing a complaint right now because a patient using alcohol and crystal meth wants to talk with me and wants me to diagnose him as being well and without a mental disorder. However I have explained to such patients without giving them a psychiatric diagnosis I can’t get paid. A week doesn’t go by that a patient doesn’t expect or ask me to do something for free but they’d never do this to a lawyer or a mechanic or any other business owner.  They get angry that I won’t do something and yet don’t understand that I do hundreds of hours of pro bono work and give thousands to charity and do all manner of volunteer service but in their eyes “you’re just a selfish uncaring bastard to not do this for me.” Every day my secretaries are asked to do unpaid services for patients who are incredibly entitled.  Often someone  sees the photocopy machine or fax machine and wants the secretary to work for them doing things wholly unrelated to their mental health issues. One patient used my secretary as their answering service having her forward their calls.  I’ve lost several staff because of patients threatening and bullying them.  Only other business owners in my practice understand the whole idea of ‘overhead’ and don’t assume the doctor is a ‘free service’.
I was in charge of the suicide ward at an asylum where the suicde rate was 5 -10 per year with 30 attempts per year. I reduced it to no deaths and less than 10 attempts only to see administration wanting then to cut back the resources because the ‘problem had been solved’.  Administration in psychiatry penalizes good work. The doctors who are most rewarded do not ‘cure’ but rather maintain the illness at a ‘manageable level’.  Hence in addiction right now the doctors most lauded are those introducing ‘safe injection sites’ which do not cause ‘abstinence’ but keep people sick but alive.  It’s probably not intentional but it’s fairly factual.  The Abortionists could make more  than the Obstetricians and I’ve been offered more money to prescribe marijuana than I was ever offered to get people off marijuana.
11) But increasingly I don’t want to justify myself. I’m looking forward to dying because most doctors I know don’t see themselves being able to ‘afford’ to retire.  Further none can find anyone to take over their practices so are even more hated for ‘abandoning’ their patients.  I dreamed of a ‘retirement’ or even ‘cherry picking’ a ‘safe practice’ by avoiding seeing any of those people who are ‘haters’ and ‘complainer’s and ‘liars’. My favourite Rate Your Doctor complaints are the active ‘crack addict’ who worked for me and hurt so many of my patients because she lied so much about her past and was promoted by a minister and some men who subsequently told me were her customers.  I fired her because she hurt a number of my patients but the damage this psychopath did to my patients and practice was amazing. In spite she also wrote a half dozen ‘rate your doctor’ complaints.  My other favourite is the old millionaire alcoholic I saw with a 40 ounce habit a day who wanted to see me for psychotherapy to talk about his ‘stress’ but became incensed that I diagnosed him as having ‘alcohol abuse’ in the first ‘assessment hour’.  As a psychiatrist I am required to make an assessment in 1-2 hours and was criticized by the licensing body when I had not made one in 5 sessions, apparently 3 sessions being some ‘unwritten maximum’ . Our
Royal College Examination requires that we have a diagnosis after 1-2 hours.  I have reviewed dozens of diagnosis from university departments and all of the psychiatrists there would not pass their Royal College exams today for their ‘missing diagnosis’ .  The diagnosis they most often ‘miss’ are ‘drug and alcohol abuse’ and ‘sexual diagnosis’ and anything deemed ‘political incorrect’.  They are “playing the game’ and are not doing their job of setting a high standard but cowardly doing ‘feel good’ psychiatry and avoiding at all costs anything that could be controversial such as a ‘axis II diagnosis’.   So ‘sins of omission’ are rewarded and ‘sins of commission’ condemned.
12) My windows were shot out.  Countless times I’ve had empty bottles smashed at my door step.  My cat was killed. My dog was murdered. My girlfriends car had empty beer bottles smashed on it. My family have been threatened and I have had my life threatened repeatedly.  Right now a man is emailing me telling me he is going to kill my dog.  Every one of these cases has involved a diagnosis of drug or alcohol abuse and in every occasion the person’s job was affected because they were told if they didn’t get ‘treatment’ then they would not have their job, so they have tried in every way possible to ‘kill the messenger’.  If only doctor hay  had not diagnosed them as ‘drug and alcohol abuse’ then all these bad consequences would not be occurring.  I have to date met with very mixed  support from my superiors but continued to do what I was taught and followed the laws and recommendations.  But a day doesn’t go by that I don’t think of retiring or just ‘cherry picking’ is the answer.  On really bad days, I think I’ll completely sell out and become a  court reporter.  I could go into administration and escape the front lines.  The trouble is I don’t think they want truth or experience. The key today is in constructivism and marketing. Propaganda, political correctness and platitudes.  There is physician assisted suicide.  Get in on the ground floor like with early abortions when the extreme cases were being used to sell another of today’s  most lucrative death industries.   Death sells.  Follow the money.  Get with the program.  Do no harm and patient advocacy are clearly ‘on the wrong side of history’.  It is 2016, to quote Trudeau.

Alternatively I could just not read "Rate Your Doctor" until they allow "Rate Your Judge".