There is no better example that you will find as a case study in corporatism and social engineering than the program I just watched on C-Span:
Medicare Improvements Implementation Panelists considered the implementation and impact of the Medicare Access and CHIP Reauthorization Act (MACRA) and its Quality Payment Program administered by the Centers for Medicare and Medicaid Services (CMS).
“Going Micro with MACRA: The Rule, the Implementation, and the Realities” was a panel of the two day-long 14th annual Washington Health Law Summit.
What I heard was a discussion of a system that is designed to manage the practice of physicians. It is a corporate IT system that has performance and reporting requirements that are designed to restructure and redefine the role of the physician from health practitioner to director of a health care process that focuses on requirements to receive payments.
This is a social engineering system because it gets between the physician and the patient and it re-directs the attention of the physician away from the patient and towards meeting the demands of the IT payment and reporting system. By way of example, here is the scenario:
You’re bleeding out on the floor. The physician arrives and he checks your pulse and gives you an aspirin and he’s done. Why? Because he will receive maximum payment for his services for what he didn’t do. If he does anything else for you, he’ll have to spend several days explaining why he did what he did, he puts his practice and his own life at risk for providing “excess care” over and above what is allowed which in turn puts him at risk for “defrauding Medicare-Medicaid” and ultimately, the payment he gets for the excess services isn’t worth the risk to himself.
That’s an intentional exaggeration of circumstances but it is an accurate description of the mental calculations a physician will do every time he sees a patient. His own interests take precedence over the care of the patient.
The system they describe is designed to extract the money out of the health care system and redirect it to other areas than patient care while still giving the impression that health care is being provided.
Corporations exist to make money. Governments exist to protect people. When government “partners” with corporations and corporate values are adopted, the government becomes evil and psychopathic because the mission to protect people becomes secondary to the mission of making money.