Health Services as a Monopoly, like Organized Crime.

Reality: On the Run Commercial Treasury.
A Politically Sanctioned Monopoly, Organized Crime in Disguise.
Alberta Health Services is a Provincial politically sanctioned healthcare monopoly.
It shares many features with Monopolies and Organized Crime Syndicates:

M (Monopoly) Index

Profit: Promote to the Audience (Needy).
Profit: Manage Supply with Exclusive Contracts.
Profit: Closely confine the actions of Associates/Doctors.
Profit: Control Communications between team members.
Profit: Destroy all Competition, by Force/Regulations.
Profit: Deliver Quick to the Simple; Seldom to the Complex.
Profit: Provide Hidden Support for all Members (doctors) by minimizing Risk.
Profit: Reward Obedience, Loyalty; Penalize Curiosity & Innovation.
Profit: Limit Expenses with inadequate budgets.
Profit: Have Target (Client/Patient) surrender Choice/Rights.

Promote to the Audience (Needy). M Index
With the American marketing desperation (euphemistically referred to as "competition") beginning in the 1950's, the field of and findings of psychology research and theory were subverted to be used AGAINST humans for the benefit of Corporations and their shareholders, executives, and stock market manipulators. Research was conducted to determine what the public, or specific sectors of the marketplace, regarded as important Values on which they would accelerate (buy before needed) and stimulate their purchasing decisions. Individuals would become millionaires, and later billionaires, by telling their prospects what they were confident the prospect wanted in a particular device ... even though they would know that their product or service could not yet provide those features in a dependable way, or at all. This was all about selling the "Sizzle" of fantasy rather than the specifics of Reality. With market success, over stimulated economy, over indebted economic slavery, and, exaggerated Profits for the few ... the Ethic of Greed, Fraud, and Deception has been promoted as the ONLY way to succeed in business.
For those who make the effort to determine and become aware of what the Reality is about Healthcare Services and products, there has been a similar progression from offering what one can deliver, and, telling the public what you are confident they want to hear regarding the services that are available and that they can easily receive. With very few exceptions, individuals who have been denied, abused, deceived, injured, or "euthenized" through neglect by a provincial medical system seldom receive attention by the media or courts encouraging the weaknesses, and inefficiencies of such systems to remain hidden, accepted as a norm, and, promoted through management and staff levels ... "Everybody does it!" For the politicians who grand the budgets, which encourage the setting of irrelevant standards and practices to "Save" money, the Goal is to deliver to the vote providing public what they want: Low or lower taxes for a perceived to be Quality system of services. Again, it is all about the MONEY, not the legitimacy (truth, honesty, accuracy, relevancy) of the service.

Manage Supply with Exclusive Contracts. M Index
Organized Crime requires a Stable supply of products or service agents if they are going to Control the market. An unstable supply invites customers to seek their addiction fix from an alternate supplier who will be a competitor. That provider may offer special services or pricing which encourages the user-customer to return to the new source in the future. This is devastating for the monopolist if they are ordering product to serve what they consider a predictable market ... return customers. Now transactions threaten to become unstable and erratic for the monopolist. For them, supply must be stable, and for that to happen they must be careful in their selection of supplier. For long-term dependability and presence, the supplier must NOT be desperate.
Desperate persons make short-term decisions and promises that they often cannot replicate into the longer future. The monopolist must fully understand the full extent of the supply line and must be capable and willing to support a potentially loyal and productive supplier with the capital, technology, training, and protection required, if that becomes necessary. That also means paying bribes, threatening middle-of-the-line agents if same become demanding and slow in their functions. You are either in full support of the operations of the syndicate, or, you are a weak link, obstructionist, selfish, troublemaker.

The Provincial Health Services bureaucracy, both in Alberta and many other provinces, from the experience of myself and others, works much the same. Their Budget, once set by politicians and administered by bureaucrats, must be adhered to. There is little flexibility after an annual political budget is agreed to, for change. Changes are made but they take the form, often, of restricting some services availability in favor of providing more of others. If only so many CT scans are budgeted for the year and the number is approaching the limit, one strategy is to extend the Waiting times for certain surgeries, or even for access-appointments to Specialists. Another strategy to to change the threshold of what is considered to be a treatable or danger level for a blood or other test and its multiple test outcomes.
If someone decides to allow fewer Gastroenterology surgeries done, simply extend the appointment times to the Specialist. If more patient die before anything can be done, there is less Demand, and, costs go down. Another strategy I have seen used is to only have the Specialist work 1 or 2 days a week, and be on emergency standby for 4 or 5 days. Appointment times must become longer as the doctor can only handle so many patients in one shift. Another strategy is to selfishly rationalize WHY a surgery cannot be done. I have a neighbour who had to wait for 5 years to have hip surgery. The rationale was that if she had the surgery before retirement she would just wear it out and only have 1 additional surgery left in the lifetime limit of 2 surgeries. So, she had to work and live in agony until she was so disabled that she was forced to retire. Then, she immediately became a candidate for surgery. Of course, if she had received the surgery sooner, she could have remained working longer, helping more people, financially supporting herself and paying taxes, and, having a much better life until she possibly died within 5 years after retirement. Cost, NOW, comes first, then the patient. There are many similar strategies of DELAY, DENIAL, and, ABUSE.

But what about the INSIDE ... the employees, physicians, specialists, support staff?
There may be an employees union yet it has no awareness of the HIDDEN behavioral policies or unspoken ethics.
Members have accepted the Routines of what is deemed necessary and acceptable, so it is all "Normal" for them. If they want the job, they know that you do what management expects. The nail that stands out above the others is the one that gets hit. So, professionalism and doing one's best are out the door. One becomes a technician, following lists of Accepted test sequences, questions to patients, and provision of services. Personal integrity and self-esteem are gone; you become a clone, or, you are gone for some minor infraction of the rules. And after all, every one of your teammates and support staff mirror the ethic of "Just do what is necessary." It is a predictable, safe, and stress reduced life if one cares only about the deadlines and practice guidelines, and, NOT about the patient as more than a PASSING thing. When there is nowhere else to ply your hard earned training than ONE employer, most people follow orders, implied or not.
Politics, or rather the degradation of politics from negotiation to bribery, unfortunately in the human rule whenever the numbers of persons exceed a certain number, and especially when the political representative can extend their position longer than ONE term. As soon as one can lobby for multiple terms of Power, a large part of their efforts becomes devoted to raising monies for campaigns for re-election, receiving bribes from lobbyists, and giving bribes for consideration. Bribes are not just money. They frequently take the form of deciding which way a person votes. Deciding who receives a bid, what unnecessary charges and extras are included in a government contract, deciding WHO is appointed or hired into government employment, and, deciding who is going to provide sexual or home construction service ... can all become bribes. If you are going to maintain your position as an administrator, support person, or doctor ... you had better make the system work. And, that means staying within budget, often at the expense of patience and Quality of Service.

Closely confine the actions of Associates/Doctors. M Index
In organized crime, the "workers" are given very specific responsibilities and are not informed about or asked to participate in other skill areas. A Pusher is not asked to violently threaten the customer; a Murderer is not tasked with supervising prostitutes. This segregation of duties and responsibilities safeguards the overall organization of and wide range of contacts from the knowledge of any non-executive, and, no "worker" need be challenged ethically with knowledge about areas and operations of some part of the business they are in that they might be tempted to sabotage.
In my experience, almost every doctor I have contacted regarding anything more complicated than a cut, burn, broken bone ... has either ignored the concern (look away, ask if there are any other concerns), offered a reactive superstitious prescription option, or noted that it is not their area of expertise, AND, almost never consider or offer a referral to a Specialist or other doctor or modality. In the few times that I have been referred to a Specialist, it is most often their limitation that any consideration of anything beyond the narrowest interpretation of their field is, and they also express that they do not want to know about it, or, that it is not their field. As ONE example, a Dermatologist was totally uninterested in the possibility that a possible small intestine cancer, or a systemic parasite, might be the cause for dark red skin blotches that no suggested pharmaceutical had had ANY influence on for the previous 18 months.

Control Communications between team members. M Index
Organized crime is a clear example of Authoritarian Structure, often at its simplest.
Responsibility AND Authority is placed within each LEVEL of Command with there being no overlap between levels.
There is NO Confusion between the POWER of a Father, Don, Boss, Commander, Chief, Master, Kingpin, and,
their Lieutenant, Murderer, Robber, Dealer, Terrorist, Profeesional,
or their Soldier, Ruffian, Persuader, Hires, delivery person.
The further up the ladder of Power, the more Absolute are your requests and preferences ... which are understood by all of lesser power to be Commands, delegated Tasks, and Actions that you will be judged on. NO, to any perceived request means a loss of membership. Loss of membership is equaled to loss of loyalty and lead to Termination (of Life), or Penalty (injury to self or others valued, threat to enforce secrecy, torture, ...)
Persons at different levels of authority and complexity of task are expected to only be concerned with and to accentuate their skill in the level they exist at organizationally. Knowing how everything dovetails into a working whole is both unnecessary for their performance responsibilities, and, DANGEROUS to those with greater levels of Power. If I know how the whole organization works, yet, I am at a low level of task and authority, I may elect to start my own Competing Organization, sell the "confidential" details to law enforcers or competitors for personal benefit, or, begin exerting "moral or ethical" constraints, confusion, doubt, delay, or frustrations amongst other workers and at the expense and growing WEAKNESS of the Organization. Such LEAKS are plugged. Others become aware of it. If you don't want to be "Plugged" you learn to keep to yourself and ignore, deny, or doubt the REALITY of what others are doing.

In much of Corporate, and in all of Currency-driven organized business, an Authoritarian Structure is also present. It can be more flexible in practice than the criminal one, yet, the unconscious or unspoken beliefs involved almost always highly suggest a similar level of Power, if the individual chooses to utilize it.
Confusion can develop between levels of Authority, but these are often an extension of political, prejudicial, compromising, personality, abusive, co-dependency, or ambitious influences of individuals in relationships. A Confident secretary or assistant may engage others with more authority than their boss because the boss is inadequate in their skill level, commmunication style, sociability, setting of limits, or other management abilities to Effectively and Efficiently perform their tasks without the input of the Support Person. They work as a Team in practice, though their stated degree of position power, and income, differ widely. This dynamic, when present, is usually tactfully expressed such that individuals in other positions only take note of WHAT is accomplished and give the credit to the person who is Believed to be the Leader. Direct, explosive, aggressive, or "public" expression of any disagreements between such co-dependent PAIRS often results in the dismissal of the one who holds the lower level of task responsibility.

In the Provincial Health Services business, there is a realization that those who set and control the BUDGET determine all levels of Quantity and Quality of service, in principle, through the entire organization. Where money is the MAIN consideration, everything is converted into NUMBERS at the senior decision making levels of Authority. Often, a second level authority delegated bureaucrat will periodically assess how many CT Scans, hip replacements,and some form of specific lab test can be ALLOWED within the annual budget. Staff become aware of these numbers. If they request too many, there may be NONE left for later in the cycle, or, for someone they find more in need of, yet have arrived too late. If and when such happens, and depending upon how Persuasive the lower level (only a doctor or surgeon) is, numbers may be subtracted from some other process to build up the deficient one. Then, look out for the disgust flows downhill.
If a budget has been challenged in how it was itemized, the negativity is reflected back upon the Medical community as to WHO has been wasting the tests, operations, or other items? Everyone eventually knows that the feelers are out to find anyone who is requesting a test or surgery too often ... on presumably less than meritorous reasons. Yet, what if the reasons ARE justified and the physician is simply being PROFESSIONAL and sincere in their caring. Forget that, if you are going to stay on the team, you will follow the established culture and become a TECHNICIAN ... going through the motions and checklists that someone senior to you have told you is regular and efficient Practice. Or, do you want to work elsewhere ... when the only other ELSEWHERE is another province, or, country.

Members of Parliament, Ministry Leader, bureaucratic support staff, Association Heads, Managers, and Directors all hold the top posts in the Provincial Medical Services hierarchy. And, most have never trained or worked in the health care services industry at ANY level of participation. They just do a good job of promoting themselves, integrating busuness principles derived from larger countries with even LOWER quality health services, and, following the established interaction patterns of their team colleagues in terms of talking, rationalizing, excusing, complaining, talking, justifying, dramatizing, negotiating, instituting, talking, reforming, demanding, organizing, presenting, and, more talking. Seldom are they in contact with any medical RESEARCH, front line medical EXPERIENCE, or, true Statistics.
The bottom feeders, technicians, physicians, nurses, non-medical therapist and alternative health enhancement providers are the scapgoats who the media (TV, radio, movies, magazine, newspapers) push forward as the poster children of health for the citizen public. Most of the public (taxpayers) actually think that this level of participation and authority are the ones with the power. This is like the American "War on Drugs" making the street corner pusher the target of their billions of dollars "catch-and-imprison" strategy which yielded the highest NATIONAL level of incarcerations worldwide, a continually expanding narcotics blackmarket, a continually HIGH level of the population being treated for Depression, and the greatest bribery industry known. There would have been much earlier and more stable success in minimizing this CRIMINAL industry if the CITIZEN had been given some HOPE for their lives through Justice, Civil Rights, Individual Worth, and, Poverty reduction ... but that just upsets the AUTHORITY structure that mandates that PRIVELEGE sets the Rules for the Credit-Slaves.

Destroy all Competition, by Force/Regulations. M Index
Organized Crime uses the FORCE of threat, brutality, abandonment, addiction, extortion, and murder to enforce their monopoly. Governments use the FORCE of regulation to Deny competition while restricting those who work for it to practice in unethical, yet Commercially relevant ways ... if you only assess by Short-term results.
A criminal organization sets enforceable boundaries on its "turf."
It will provide illegal services and products within this area and Vertical (single service) market.
Concentration of prospects within an area enables a more effective and controlled presentation to the prospects available as well as a more consistent and more dependable INCOME from the area. If six solicitors-hustlers-pimps manage 30 prostitutes in a turf region then the PROFITS from this industry are divided. They are also minimized by the presence of 5 alternate desperate competitors who may offer service discounts, accessory products such as drugs, and, pander to customers in return for repeat business. Cut out the competition and one can take ALL the Profits from an area, control pricing, manipulate customers, abuse service agents, and, deceive prospects ... and NEVER have any Complications with their business.
If you CONTROL all of a particular business (paid for) service or product (drugs, alcohol, cigarettes, etc) it is easier to internally control the sources and even to obtain source services and products at a mass purchase savings ... which means greater Profits, and, even less chance of any competition arriving or considering to participate in the market. If such adversaries should be so aggressive, and desperate or greedy to attempt an incursion then the "Syndicate" simply uses violence to "teach" the newcomers who is the boss ... who sets the Rules and Boundaries. These principles are mirrored in the Provincial Medical Services market in many Canadian provinces.

In most, if not all, Canadian Provinces, ONLY government provided Medical services are legal.
Any direct competition is ILLEGAL. For those, including government leaders and bureaucracy officials, who have the MONEY, desperation, and access ... it has been the practice, for decades, to travel to and stay long enough in another country where one can BUY the services which can effect the surgeries, tests, drugs, medical treatments that are either NOT available in one's home province or country, or, which they will have to wait for until after they likely Die. In one of numerous Personal experiences, I was assessed from my dramatic Medical symptoms by a well-respected Family Physician in Scarborough, Ontario, about 1998, to have FAST-progressing testicular cancer. She advised that the Specialist regulated to treat such cases would have an appointment backlog of 9 MONTHS for Emergencies! She also noted that Fast progressing cancers of this type usually resolved in Death in about 6 months or much sooner. Longer-term cancers were often fatal in 9 to 14 months. Even if I saw the Urologist, after 9 months, an emergency surgery would likely involve a further 6 MONTHS. Her advice: If I could find some other health enhancement non-medical modality, that Might address it, go for it! So, I researched, went for it, and recovered in about 3 MONTHS.
I've been in Lethbridge, Alberta from June, 2017.
I have sought a Medical resolution to a complex Medical problem from the week I arrived.
I have provided detailed description of the problems, reviewed and simplified relevant research findings, requested tests that could confirm what the research HIGHLY suggested or deny same and redirect elsewhere, encouraged physicians-doctors-surgeons-specialists to CONSIDER the most OBVIOUS options, and chosen to follow relevant alternative modalities that benefited controlling and recovering from the ADDITIONAL medical problems I contacted due to my weakened immune system. There has yet to be ANY involvement by government paid and controlled medical staff and service ... with the exception of a Family Physician I could first meet December 31, 2020, and, a Gastroenterologist whom I had a introductory telephone appointment with on April 7th. Clearly, by the restrictions on the physicians and the ensuing culture of the medical community, the INTENT is for me to DIE before anyone becomes ensnared in actually assisting me to Recover and lead a less daily stressed life and help others with my work. I cannot afford to go to other countries for a stay and complex surgery. There ARE Private healthcare services which if ALLOWED to practice in Alberta, and other provinces, might have helped me recover in 2016, when I could have possibly afforded their services.

Deliver Quick to the Simple; Seldom to the Complex. M Index
In the world of Organized crime, the mandate is to deliver a service or product with as little complication and paperwork possible. If someone is going to sell you a contraband gun, they are not going to have you show them that you have completed a safe use of firearms course as mandated by many legal sources under the requirements of the government agency responsible for the Safe/legal use of same. There will be no registration of serial numbers, no sales taxes, no receipt for payment, no background check ... just a transfer of product for MONEY. The same is true if the prospect is going to pay for sex, drugs, contraband.
In my experience, especially highlighted in my visit to an Emergency Department in a major hospital in Alberta in later 2020, Emergency management eventually confirmed to me directly that because of my age, the pharmaceuticals which doctors had prescribed for me, and, the COMPLEXITY of the health problems I was exhibiting ... they would NOT be providing a surgery they had been preparing me for during the previous HOURS, and, their Purpose was LIMITED to addressing acute, singular, and straightforward medical problems. In addition, they were NOT capable of or mandated to Diagnose medical problems. They could request and run extensive and even expensive tests, yet, they only looked for Significant, Singular, and Dramatic results from such tests and NEVER examined the test results for the Quality of detail that would be, and could be, used to effect a Diagnosis. Their Quick Look-See-Jump approach was dominated by a mandate to do as LITTLE as possible, as QUICKLY as possible, with the least EXPENSE as possible.
More complicated realities were to be referred back to a Family Physician to be assessed in 10 MINUTES, with either NO test results, or, with the same LOW sophistication of test assessment taken at the Emergency Department. If one were supremely fortunate, a Humble (almost never) physician might refer you to one or more Specialists ... who might take 30 MINUTES, after MONTHS of delay to remain almost as inefficient, unhelpful, even more destructive to ones health and self-esteem. That is if you survived! If you truly had a Complex Life Threatening set of RELATED Medical problems, you would likely DIE before seeing the Specialist. Problem solved. The patient is "Cured" ... no longer in distress, the system is saved Money, Time, and Error, and the Public never know the Reality.

Provide Hidden Support for all Members (doctors) by minimizing Risk. M Index
LINK: W5, Stacked Odds, March 12, 2021.
https://omny.fm/shows/w5-podcast/stacked-odds-taking-on-doctors-who-make-medical-er

LINK 2: https://w5.ctvnews.ca

LINK 3: https://www.ctvnews.ca/w5/how-a-powerful-organization...1.5341894
How a powerful organization protects doctors from medical error claims.
Sandie Rinaldo, Anchor, CTV National News Weekend & Reporter, W5
Published Saturday, March 13, 2021
w5@bellmedia.ca
LINK 4: https://search.cpsa.ca/PhysicianProfile

In Organized crime many policies and procedures and tasks are made abundantly simple.
Do as you are told or penalties will be dealt out, often immediately, often dramatically.
You learn quick, often from observing what happens to others who thwart Authority, or, you may die.
At the same time, soldiers (service providers) who don't follow orders don't get many chances for forgiveness. Any error or shortcoming to what has been expected of them often comes with the demand that they do something RISKY to re-earn acceptance. Forget trust. That may only come after one has risked their own life or freedom for the Organization by committing even greater crimes than were originally assigned to them. This is the REALITY that the more criminal acts you commit, the more difficult it will be for you to reverse the trend or avoid legal penalties. Commitment, not trust, is cemented. Soon, you will do ANYTHING to remain a member, and Protected, than to be terminated.
And how similar are we to many provincial Health Services and their policies for membership?
Do what is necessary to save MONEy and keep the system simple. Ignore and deny complex problems and shuffle them around until the patient dies, or commits suicide. And, the longer you stay in and go along with the restrictions of the System, the more they seem NORMAL, justified, enough. Patients are not allowed to speak angrily or demanding to you ... because that is impolite and disrespectful. That garners them the attention of a Security Guard, ambulance to a psych ward and mind numbing drugs, denial of physician attention, and the concerned looks of those who are ignorant of the REALITY of your Pain. So, doctors faced with complexity that can't be resolved in 10 or 20 minutes are encouraged to Walk Away. And those who are more Sincere about HELPING their Patient risk the backlash treatment from peers and employer ... You are costing us too much; You are making OUR tasks more demanding ... than just doing the minimal.

The CMPA (Canadian Medical Protective Association) was founded in 1901 by the Canadian Federal Government.
It has no limitations on how much legal assistance it provides to members to defend them against legal suits for medical injuries or malpractice. The goal is not to go to court and to establish if negligence has been done. Each Provincial Medical Association negotiates rebates for doctors. $225M paid out each year for the past 5 years for settlements.

By the policies of Alberta Health Services (and likely most other provincial health services) of the practices of Canadian physicians and surgeons, they need a LOT of protection. I wanted to know something about a surgeon I had been directed to by my Family Physician before I let him carve me open and potentially muck up my health worse than it had already been allowed to become. Yes, in the more than 75 years I have remained alive, and quite active and productive for much of, I have had about 11 surgeries ranging from what most people would consider minor to others which could be considered significant. HALF of those left me WORSE off, or at least with what are often considered to be permanent disabling health consequences. Only in the first surgery, for a crushed finger at the age of 8, did the Physician-Surgeon express any regrets or offer any corrective actions. Only one! The others denied the blatant result, ignored it, and, were never cautioned or receive any encouragement to IMPROVE by their health services employer or hospital. It was business as usual.
I called 1-780-423-4764, Selection #2: New Doctor/Personal Records and was directed me to the main College of Physicians & Surgeons of Alberta website at http://www.cpsa.ca. There I could use the SEARCH box to request public records on any Alberta doctor by Surname. Each profile was SHORT. Frequently, I could determine the full name, practice address, phone & fax number, surgical discipline, language, qualifications/certificates, association memberships, Practice Interests (usually NONE), disciplinary actions (always NONE). There was NO record of how many surguries they had performed, how many of their surguries had resulted in complications, how many of their patients had died within 48 hours of a surgery. The implied suggestion was that ALL doctors were PERFECT, never made any errors, and, never LEARNED anything new, nor, had any interest in doing so. Not the best of recommendations.

There are, of course, ratemd websites at which happy and displeased patients can record their enthusiastic comments. Judging from the number of entries, FEW patients ever make it to these sites. Those who do express comments which are often more telling about the patient than the doctor. Everybody has difficult days in which they are not feeling well themselves, have heard some distressing news about someone they deeply care about, have experienced highly combative and disturbing communication from a previous patient or staff member, have had their vehicle break down, experienced or seen criminal behavior, or, any number of other disturbing influences. Their ability to listen carefully, or even care about the patient in front of them is minimized. They would be far more helpful to the patient and for their profession if they were allowed, even encouraged, to take the day or some time away from the clinic to resolve and cope with the current dramatic influences. But, with very few exceptions, the doctor has been taught that they are the god the patient is going to be rescued by, that they have a supreme duty during clinic hours to be present for, and, that if they book off ... they may not be paid, and.or, will be viewed by any concerned as somehow DAMAGED goods. So, they will soldier on at everyone's expense.
Alternatively, you have the patient, who likewise has been exposed to or experienced any of the above noted dramatic influences and is REACTING to any word or tone of voice that the physician or surgeon is uttering. Add to this that the Side Effects of many pharmaceuticals make communication WORSE and provide additional symptoms to distract, increase anxiety and forgetfulness, and open the door to impatience and anger ... and Constructive and Clam communication are made that much more remote. So, the doctor may be panned for having a bad day, or, a good doctor can be put down because the patient is having a challenging day and has poor coping skills.
In REALITY, everybody also experiences Fantastic days in which everything seems to be going to their advantage and they have received acknowledgement, accolades, encouragement, rewards, opportunities ... and anything else they feel happy about. Even a most incompetent doctor on those days can seem like a miracle as they propose irrelevant tests or strategies for medical conditions they have completely misunderstood. Add to this that as many as 30,000 health endangering prescriptions are written in Canada every year as doctors GUESS as to what may counter a singular symptom that may indicate any of 16 problems, of which some are opposite to each other, and the REALITY of Worse health can be expected. Add together double negatives (both doctor and patient have distressed days) or even double positives and communication WILL suffer. Better to have BOTH balanced, calm, focused, and open to solutions.

Non Risk documents.
This is where you are going to undergo a test or operation which DOES involve some degree of Risk, so you are asked to sign a document that states CLEARLY that if anything should go wrong and you end up injured, worse in health, or dead ... neither you nor your heirs can hold the doctor, hospital, or health services inductry Legally RESPONSIBLE for ANYTHING. Yes, I have seen extensive documentation assembled and provided by lawyers on behalf of patients who ACQUIRED nosocomal illness in a hospital, suffered injuries from incompent and recless surgeons, or were prescribed drugs which preciptated fatal strokes or heart attacks ... in support of court cases suing for Damages. I worked at one time in a photocopy shop near a hospital and lawyer office boulevard. The cases typically created a lot of legal fees and were usually, eventually, thrown out of court because of the non-responsibility contract the patient had signed. Why would any surgeon seek to improve their skills if they are NEVER held responsibile for their mistakes? And, why would hospitals or health services improve their policies?

Reward Obedience, Loyalty; Penalize Curiosity & Innovation. M Index
The highest form of Reward in Organized Crime is to be ACCEPTED as a member.
This is seemingly like making a great effort, or simply being recognized for your effort ... to become a SLAVE. At best, you may believe that you are being invited or allowed to be a Partner, but when the Boss changes direction, orders your friend to be murdered, or GIVES you the task of beating up the honest shopkeeper to advertise the POWER of the organization ... you really don't have a say. And, at those times, you become aware that you will be treated in like manner if you stray out of line. So you go along with the injustice and become part of it, so you can survive. You may not like it but to withdraw now is to be treated as WORSE than either someone who chose to leave, or, someone who betrayed what was considered a Trust for some selfish IDEAL of helping others with less drama, pain, conflict, and loss. Most people don't have that much STRENGTH; they just want to get by with some sense of Security and Future.
If you are part of the Organized Crime team you will have heard of what happened to others who became too curious. In this cabale, CURIOSITY is just another word for sticking your nose where it does not belong; another word for getting involved beyond your level of Authority. Even there delegated Authority often does not come with the POWER to effect and enforce. You may discover that when you make a decision which you believe will improve the outcome of what you have been told you are Responsible for, and then get humiliated, degraded, and threatened with "dismissal" for acting without the Power you thought you had. Safer not to think outside of the BOX of convention, the known, and the expected.
Innovation is bringing forward options and opportunities that have either not been considered as possible solutions before, or, have been set aside as unworkable because those in charge did not have the skills to carry them off, or, did not understand the wider picture in which they proved to be RELEVANT, constructive, even profitable.

Becoming an EMPLOYEE in the trade you have sacrificed time, effort, and financial resources to be accepted in is considered a milestone, an achievement, a form of success. This is especially true if you have been pushed through a form of initiation in which you are expected to work exaggerated hours as an intern, become numb to the death of patients who may have died from your inexperience, and be able to joke about the idiosyncracies of a patient or two because you were so fatigued you were entering a state of reactive giddyness. A little like the state of mania arising from hypothermia when one feels numb to the cold and are becoming so relaxed and happy that they can just keep flowing forward, or even drop into a state of semi-sleep bordering on blackout or coma. You're in! Now, don't blow it. Do whatever is asked of you so you can stay.
Yes, I met and knew many happy and health improved patients who went to MEDICAL Professionals in the province of Ontario who became targetted by the Physicians & Surgeons Association of Ontario, because, they dared to include CHANGES in their practice. A Clinical Ecologist who was 100% effective in assisting his patients to RECOVERY after Physicians and Specialists told them their situation was hopeless and terminal became just too HUMBLING for the Association. They recruited 'spies' to enter the clinic and make efforts to entrap the doctor. Then, they took their manipulated evidence and had the doctor's license suspended while they held him in professional limbo for a year with a legal suit that kept being delayed in resolution. The supporter's of the doctor raised a million dollars over that year, in the mid-1980's, in support of his legal defence fund. In the end he was found innocent of charges of medical malpractice. The damage was done. He went to the USA and became both a popular physician but one who continued to SIGNIFICANTLY help patients for years. Years that Ontario lost his services. I observed as similar 'Penalties' of slander, threat, innuendo, and removal of freedoms was visited upon a Family Physician who was instrumental in assisting her patients fully recover from systemic Candida Albicans and other ailments after other physicians had insisted that such was impossible and had made the same persons worse. There were others. The end result was often the same. The doctors went to another country ... where HELPING others came before making money for oneself and minimizing expenses to the political masters.
Innovation is fine when the MEDICAL services are small and less established and NORMS have not yet been pushed into place. Dr. Wm. Warren Rudd pioneered a Ligature & Cryosurgical approach to RECOVERY from hemorrhoids in the mid-1990s, in Ontario. Previous surgical approaches had resulted in risky, expensive, and hard to recover from surgical approaches that often resulted in weeks of pain after. His procedure could be done in a modified doctor's office with one assistant nurse. Whether for one or 4 hemorrhoids, the surgery could be completed in 15 minutes, with local anaesthetic, with the patient returning to work IMMEDIATELY afterwards. I know. I had the surgery done twice in 18 months in the early 2000's and had no return problems for more than 17 years. His procedure saved the Ontario Health Insurance Program (OHIP) millions of dollars in expense every year, and saved patients pain, disability, and loss of wages. He later attempted to have his procedure adopted in Alberta, British Columbia, and other provinces. Today, Alberta only utilizes HALF of the procedure ... leaving patients in a week or more of needless pain and disability afterwards. Why? Because the specialist involved would have a higher degree of independence, be required to learn ONE more skill, and there would be a MINIMAL added equipment outlay ... than just doing it the CHEAP way. Like in Organized Crime, it is all about CONTROL and POWER, not about what would be best for everyone, even at a lower cost and greater Quality of SERVICE.

Limit Expenses with inadequate budgets. M Index
In Organized Crime the persons with the most POWER and Authority usually determine where the money goes and who receives what for payment. ALWAYS, those at the top of the Power mountain take the MOST and do the LEAST hands-on effort. PROFIT is seldom seen as Surplus and is often considered the well earned benefits of those who put the organization together and manage it. Without them, it is reasoned, there would be nothing ... no employees, no resources, no supply chain, no services offered ... and the clients would be forced to either go without, or, go to other suppliers who, it is reasoned, would not be as dependable at service delivery. In effect, some criminals see themselves as a benefit to society. They are providing the products that alleviate the ills created by the law abiding.
In essence, capitalism is a historically proven failure.
It creates imbalances and injustices through its denial of the influence of disease, injury, death, losses, and environmental changes on persons. It preaches that everyone has the same opportunities to be employed, be paid according to the quantity and quality of their labors, and from their superior performance over the efforts of others ... gain more profit and afford more luxuries. Criminals, in particular, are aware of the hypocracy of this ETHIC. Often, they have been born into poverty that has resulted when a parent became ill and had to spend all their savings to compensate for lost wages or productivity, or, have been helpless as slaves to one or more Addictions which have siphoned away any savings they might have had. Criminals often come from families, who by the influence of Energy Block addictive attitudes and behaviors have experienced physical violence, emotional abuse, and spiritual deadening within their own home. They have often been excluded from educational resources, or, driven into those which someone else determined was best for them because of who they were PERCEIVED to be. They have NOT been EQUAL, and, they see that they will NEVER be regardless of how much they sacrifice to be. THEIR option for success is to fill those COMMERCIAL avenues opened by the deficient monopoly that dependable enriches the already rich, and, the Powerful.
Inadequate budgets to ensure that ALL members of society who want to be accepted and to have an Equal opportunity to contribute mandates that an UNEQUAL part of society WILL exist, and that over time it will GROW in proportion to the whole. With the overexpansion of population came the necessity and attraction to subjugate plants to agricultural industrial production, and, imprison animals in herds for husbandry industrial production. It would only be a matter of time, and population growth, before humans would be organized into competitive religious monopolies and then into egotistical national political monopolies. Professional criminals and terrorists often view themselves as persons attempting to SAVE, or at least allow to cope, the enslaved workers from their money obsessed employers. Intellectually, it would calculate that if everyone was inter=dependent and not co-dependent, self-sufficient and not credit-dependent, confident rather than depressed, and invited rather than excluded ... peace and harmony and joy would dominate. Yet this will NEVER be possible with the current human genome contaminated with Energy Blocks and self-sabotaging social imprinting.

In Politically Dominated (not politically regulated) economies and organizations, the ones in POWER determine WHO receives the biggest rewards in terms of tax holidays, wage subsidies, minimum wage inadequacies, crop and cattle marketing, tariffs, sales taxes, advantageous duty and excise codes, energy supports, and, government supply contracts. They also determine who can be hired into the MEDICAL field, what they will be paid, what duties they are mandated to provide, and, in what order they must carry out their service activities. Once a political budget has been set for the next year, it is the demand of the politicians that the relevant regulation ministry and its attendant health services organization spread their demands across what is available. Since, the SERVICES end has ALWAYS been working with how LITTLE they can provide and make MOST people satisfied, the concepts of Health Empowerment and Prevention and Recovery have all been minimized.
Politicians, in an environment in which they can have their tenure extended by how happy they can persuade their electors to feel, have come to believe that THEIR career future depends upon how much they can CONTROL the taxation load on their voters. After more than a CENTURY of NOT empowering their students and voters with a REALITY about HOW these concepts of Empowerment, Prevention, and Recovery work in practice ... it is just generations too late to now twist the human genome into being self-directed, self-responsible, self-managed, and self-interested in understanding and utilizing these inter-related and potentially subtle and complex concepts. Citizens have been educated and rewarded for leaving HEALTH to the Professionals ... just like they leave their car to the mechanic for repair. Unfortunately, for the citizen, their physicians and surgeons have been kindly coerced into giving up professionalism for technocracy and bureaucracy. Most such SERVICE providers are even unaware that there could be an alternative and improved path. They are just doing what their peers and managers and educators have told them is what MUST be done.

Bureaucracy, unrestricted, has historically ALWAYS proven to become the HUMP that destroyed the camel.
Fundamentally, those managing their bureaucratic departments are unconsciously driven to make themselves valuable and retain their positions by making it seem that more and more policies, reports, presentations, graphs, charts, and statistics make for a higher QUALITY of services which they exert influence over. Their IDEALISM promotes Fantasy onto the ACTUAL delivery of the services over which they have NO experience. Like the professional criminal, they BELIEVE that their hard work will bring a better balance to the delivery of services. In effect, the soldiers delivering the services have NO time to entertain their reports and studies as they don't even look at medical research findings and alerts for their own discipline. Doctors, physicians and surgeons often feel as if they are looking at a steady stream of attackers for whom they have old and flimsy weapons and as a best option must use the SHIELD of denial-distruct-delay-divination. What is the best GUESS for today to ward off this patient?
The self-sabotaging ethics, beliefs, practices, politicies and relationships only becomes enhanced when the population in need of MEDICAL care becomes older. Deprived of a truly citizen concerned political structure, their air, water, food, clothing, workplaces and homes have become sources of heavy metal, toxic chemical, GMO cell modifiers, energy impacting, and social media pollutants ... they continue to aggregate health weaknesses. Devoid of a MEDICAL system which is not allowed to take the time necessary to counter, correct, and eliminate chronic disease conditions ... the drugs they have used to hide, distract, and suppress such conditions has only made them even more complex and difficult not only to diagnose but to treat. In sum, Alberta Health Services (and many other provincial health services) is NOT Saving their patients. They are SIMPLY enabling their patients to become more sick and to die earlier than would happen if they had received RELEVANT health supports.

Have Target (Client/Patient) surrender Choice/Rights. M Index
In organized crime, there is an understanding that if you buy illegal goods (drugs, guns, prostitutes, stolen devices and appliances, secret and military information, etc.) from a criminal supplier that you will accept them as is and not complain about any shortcomings. In addition, it is expected that, for the safety of your life, and possibly of others such as family and relatives, that if you divulge who you got the contraband from to the legal authorities, your life and that of your friends will be in danger.
On the few times that I have entered a hospital to have surgery done, and the many times that I have witnessed others do so ... there has always been a request/demand for the patient to sign a legal form in which the patient NOT to take legal action against the surgeon, any of the medical staff or the hospital itself if there is any form of carelessness, negligence, complication, or, fatality during the surgery. This essentially means that the surgeon and their staff cannot make ANY mistakes ... so, there is nothing for them to learn from a sloppy job, and, if they kill a person, no action, instruction, or caution will be given to the offender.