Healthcare's Future Population-Based Medicine

Alva W. Whitehead, MD

Date: September 20, 2024.
Subject: Population Cell (Unit 1984) Negative Balance Resource Utilization/Productivity.
Recommendation: Immediate Termination.
Analysis: Unit 1984 has had a negative resource utilization balance for two consecutive study periods. All efforts to rectify the situation have failed.
By authority of Law 1.1.2020 immediate termination is required. Unit 1984 will have all assets transferred to Unit 2001 which will divide its population base for replication purposes. Unit 2001 has been the most productive for the past two consecutive study periods. Signed: D. N. O'Mann, President of the USA

Some historical facts are necessary for the readers to understand the above executive order. In the year 1997, it was very apparent that the health care had to move from the patient-based care model to a population-based care model so outcomes could be measured more accurately as the health care industry rapidly evolved. It was realized by influencing health habits in individuals death could be "prevented" and health care dollars saved. President H.M. Optimist rapidly expanded this program through Medicare and Medicaid (and allied managed care networks) as its funding had rapidly diminished and would be insolvent within five years. Health care reform transferred responsibility of good health and healthy lifestyles to providers (previously known as doctors and hospitals) to further squeeze life into the process.

By the year 2010, it was apparent to President U. Liv Longer that death has been postponed, however new infectious diseases were emerging which were untreatable, the "baby boomer" population had rapidly increasing disease processes due to aging, and medical science gave birth to more technology to postpone death. Resource consumption began to rise again with an even larger population of recipients at an accelerated rate. In addition the second wave was even more overwhelming than the first as the number of members of society working had dramatically decreased. The tax burden had increased commensurate to this so that 50 percent of the gross national product went to health care and assistance programs. The health care industry imploded at this time. Centralization of health care was mandated by President Wally N. Debt.

In the year 2012 under the leadership of President U. R. Broke, a population-based utilization review system was established to divide the United States into 3,000 mandated population units that would further compete for a fixed reduced amount of health care dollars. Physician economists would act as advisors to these individual units in achieving reduced consumption for survival of the unit. These units represented demographically homogenous democratic entities with the ability to direct their future. Decisions such as euthanasia, compulsory sterilization, abortion, cancer treatment were decided by a method of electronic town meeting.

In the year 2020, it became apparent to President Hindsight that not only was resource consumption a problem but we needed to factor into the equation the unit's contribution to society, as measured by their percentage of contribution to the gross national product. Technology allowed a tracking with credit/debit cards in a seamless, paperless society. Purchase orders and production capabilities of individual units were easily followed. This was reviewed on a quarterly basis.

In the year 2022, it was apparent that some units were highly contributing to society whereas other units were "bleeding" society's lifeblood through uncorrected problems of birth defects, old age, insufficient abortions, low rates of compulsory sterilization, and decreased productivity.

In the year 2023, President D. N. O'Mann with congressional approval enacted the Society Preservation Act Demographically Experimented (SPADE). In that act any unit that had two consecutive negative balances would be eliminated. Highly productive units would be rewarded with the assets as these units were likely to lead the future. In 2024, the first termination order was issued in Dade County, Florida. This first act represents a great step forward to a productive future. Five hundred other units are currently under analysis for termination.

Dr. Whitehead practices medicine in Florence, South Carolina.

Originally published in the Medical Sentinel 1999;4(4):146. Copyright ©1999 Association of American Physicians and Surgeons (AAPS).