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      "body": "# The endless Strive for Simplification and its Application in Medicine is wise, but not thru Technology as the only Overhaul.<h1>\n\n_Originally Published by Illumination on Medium_  https://medium.com/illumination/complexity-is-the-inherent-human-nature-cb78e5eaa3bc\n\n\n![0_1gW1xWgv7HpW4G1b.jfif](https://cdn.steemitimages.com/DQmds7QwbGuAnYxUw5LZRzd4QsX54umD5hqbZr5qja6SnuY/0_1gW1xWgv7HpW4G1b.jfif)\n_Photo by Stéphan Valentin on Unsplash_\n\nThe complexity of human life is the meditation of social sentiment towards life. It is the upshot of their continual effort towards excellence where such distinction is not easily achieved. Hence, It is more about the vicious cycle of projecting our limitless inner desires and how determined we are to satisfy those desires. The complexity of a task or human endeavor is not necessarily for it is an innately entangled nature. But it is due to the scarcity of applied strategy or how we are planning to make it pass along with harmonizing “Technology,” “Strategy,” and “knowledge,” also called Matrix (Triangle, Axis) of Simplification.\n\n\nMedical science is just as broad as human anatomy and soul. Then again, It is complex, not only due to its material dimensions but under its consistent elemental emotional, social, and spiritual alternants. Simplifying such a combined science expects a vast amount of data administration that sometimes necessitates collecting, processing, and applying technology. \n_Continue reading_ @ https://www.adamtabrizmd.com/post/complexity-is-the-inherent-human-nature",
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      "body": "# The Intricacy of the 21st-Century Healthcare System doesn’t exclusively have its place in the U.S.<h1>\n## Originally Published by Being Well on Medium<h2>\n\n\n![0_uFC2Yttrfmz3aHHV.jfif](https://cdn.steemitimages.com/DQmXTpqroBvJ4GLuCVRLUfStGWWuX9v1onxhAkPqp6NgzCD/0_uFC2Yttrfmz3aHHV.jfif)\nPhoto by Jesper Aggergaard on Unsplash\n\nThe essence of the healthcare enigma lies within the scope of perception. It pertains to genuine quality and value within the boundaries of a given system and society. An outwardly apt description, there seems to be continually something fumbling within the recommended solutions. For those citizens, especially those who live in the United States, controversies around the National Health System (NHS) are prevailing.\n\nMetaphorically speaking, Universal coverage is like the Grass being Greener on the other side of the fence. It improperly theorized that having a government-run single-payer system is the ultimate remedy to the ever multifaceted corporate medicine, even though it linguistically sounds the perfect solution in today’s high-cost, low yield healthcare arena. However, In the U.S., unless the fundamental constitutional solution is delivered, applying government programs will further complicate the problem through further subsidizing the corporate cartel, increase government mandates, place the burden on taxpayers.  \n**Continue Reading**  https://www.adamtabrizmd.com/post/healthcare-dilemma-is-beyond-sociopolitical-rhetoric",
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      "title": "Portland Protest of 2020 Versus Federal Elite Border Patrol Unit",
      "body": "# Confusion within the spectrum From the Black Rights Movement to the passage of the White Supremacy- Where Confusion overrides the Chao<h2>\n\n![0_V2NVRZOnWJYXYL8h.jfif](https://cdn.steemitimages.com/DQmbS8bnodvHTPTFNUudnY3aUMz4jJH4ZW2BXEZRGqKiseT/0_V2NVRZOnWJYXYL8h.jfif)\nPhoto by Tito Texidor III on Unsplash\n\nAmidst lingering nationwide protest since George Floyd's slaying in the hands of the Minneapolis police officers on May 25th, 2020, recent media attention converged on escalating chaos and unrest in Portland, Oregon. The city was shaken by infuriated protesters, who fled streets for over fifty consecutive nights in a row.\nAlthough the protests are in response to the culture of police brutalities and systemic racism, with the recent deployment of Federal agents by President Donald Trump to restore peace to the turmoil, a new chapter opens in the 2020 yearbook of this country. Continue Reading: https://www.adamtabrizmd.com/post/portland-protest-of-2020-versus-federal-elite-border-patrol-unit\n\n\n\n[Originally Published by Illumination on Medium] ( https://medium.com/illumination/portland-protest-of-2020-versus-federal-elite-border-patrol-unit-e3dd920bf65b )",
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      "title": "Agile Project Management and its Application in Medical Practice",
      "body": "A contemporary insight into managing today's Medical Practice\n\nRealistically speaking, “Medical practice” is one big complex project. It is becoming even more complicated and intricate by the day. Unlike what typically pertains to a technology field, healthcare is riddled with numerous determinants and variabilities. Therefore, having a robust management methodology in the past decade has become furthermore crucial.\nWith the fast-paced technological evolution all through the last couple of eras, we have learned from the tech industry that the healthcare business is lagging behind all others. Medical practices, in particular, are typically behind by all means in adopting a practical yet efficient tool to stay ahead of the 21st-century millennial expectation while concomitantly sustaining a competitive edge.\nTherefore, in my opinion, physicians’ practices, and not just large organizations, must adopt a form of project management methodology and tools that will pave the road on the way to what they do best; that being said, patient care.\nMidst the spectrum of project management apparatuses, we can name the nine most common methodologies: Agile, Scrum, Kanban, Scrumban, Lean, eXtreme Programming (XP), Waterfall, PRINCE2, and PMI’s PMBOK. One can also note hybrids of one or more of the latest methodologies applied by various organizations.\nI, for my part, don’t see myself as proficient in project management; still, I intend to present another perspective towards solving common medical practice challenges of our time.\nThis article solely focuses on the Agile practice and its potential value in healthcare and by no means favors one method over another.\n\nDefinition and Critical Characteristics of a Project in Medicine\n\nUnderstanding the correct definition and the vital characteristics of a project takes individual standing because the execution of a project or task is beyond just finalizing a job. But through project management, the development serves as an opportunity to achieve some anticipated outcome or product. Therefore, an individual or organization tangled in any given project necessitates understanding how to solve the complexity of intricacies through project management.\nThe project provides an opportunity for organizations and individuals to achieve their business and non-business ambitions more efficiently through implementing transformation. Projects support our desired changes in an organized fashion and with a reduced likelihood of fiasco.\n\nThe typical project is usually impermanent. It invariably has a point of start and a finish utilizing a set of unique deliverables or a single product.\n\nEvery project requires progressive elaboration, including continuous investigation and improvement, as it becomes available, and all this allows constructing more accurate and comprehensive plans.\nAny deliverable should address a problem or need analysis before the project start. Likewise, a standard project must be purposeful as it has a rational and measurable purchase, logical as it has a specific life-cycle, structured as it has interdependencies between its tasks and actions. A project may entertain conflict as it attempts to resolve a problem, restricted by available resources, and may go together with risk as an element.\n\nA Project is distinguishable from others based on the work they aim to do, such as task, process, procedure. In the meantime, through a wide-ranging sense, a project is defined as a precise, predetermined activity that produces a visible and measurable outcome under exact predetermined specifications.\n\nLet's consider the patient clinic visit as one out-of-the-way project, based on that assumption and by considering the complexity of the present healthcare system. We will be confident that some form of project management methodology is supportive of any medical practice.\n\nProject Management Triangle\n\nIrrespective of what project management methodology we chose for a given medical practice, one thing unanimously applies to all projects, regardless of the industry- all follow the rule of “Project Management Triangle.”\nThe project management triangle, also called the triple constraint, iron triangle, or only the project triangle, is a model of the limitations of project management.\n\nAccording to the triangle, the quality of work is restrained by the project’s funds, deadlines, and scope. (Figure 1.)\n\n\n![1_oWNeRP3g_an_knRDIC6aIQ.png](https://cdn.steemitimages.com/DQmNcb33Hf6qPzjAEtW85b9cMbuNB7BgVXDMAXC2e3dYh2j/1_oWNeRP3g_an_knRDIC6aIQ.png)\n\n\n\nIn a typical scenario, any given project manager has to make decisions between the three constraints while keeping the triangle as equilateral in shape as possible. Shifts in one restraint compel modifications in others to compensate. Otherwise, the quality will suffer. For instance, We can complete a patient visit faster by increasing the budget or cutting the scope of work.\n\nAs we know, insurance companies are not going to adjust compensation based on the financial requirements of a project; therefore, under such circumstances scope; hence the quality of care will suffer. Similarly, the increasing amount of work or deliverables may require corresponding increases in budget and schedule, something that is doubtful to achieve without utilizing essential technology, strategy, and human resources.\nIn short, cutting a budget without adjusting the schedule or scope will prime lower quality.\n\nFundamentals of Project Management and its Medical Application\n\nEvery Project management comprises a set of individual tasks or activities, including initiation, planning, execution, control, and closing the work of a crew to realize precise goals and meet specific success measures at the particularized timeframe.\n\nThe primary challenge of development management is to reach all of the outlined goals within the given constraints, as described by the project triangle. This information is usually specified in project documentation, created at the start of any development process. From the time a patient contacts the doctor’s office until discharged with a plan and follow-up on the program, a medical practice must have a well-defined goal provided the prevailing constraints. Therefore, It is fair to state that the objective of project or practice management is to yield complete patient care in compliance with the physician’s and patients’ goals and expectations. In many cases, such patient encounter management aims to shape or reform the physician’s claim to address objectives feasibly; and endure optimal patient satisfaction.\n\nOnce the objectives of the medical practice are precisely introduced, they should be able to influence all fortitudes made by others involved in their plans, such as managers, consultants, contractors. Poorly defined project management objectives are damaging to decision construction.\n\nProject management is often tailor-made to a specific type of project based on size, the scope of the scheme, nature, and the type of the industry.\n\nThe Four P’s of Project Management\n\nThe ultimate triumph of any project is conditional on how adequately four critical aspects of the management are aligned with its dynamic environmental forces. These critical factors are also referred to as the four Ps. The latter includes Planning and forecasting activities, the Project development by which overall strategy to all operations and project governance is applied, People and the dynamics of how they collaborate and communicate, and finally, Power lines of authority, decision-makers, policies for implementation.\n\nHow to Approach a Project\n\nThere are many methods for designing and completing projects, including phased, lean, iterative, and incremental. There are also different branches to project forecasting, based on outcomes (product-based) or activities (process-based).\n\nRegardless of the methodology engaged, overall project objectives, timeline, cost, and the roles and responsibilities of all members and stakeholders, need careful consideration.\n\nWhat is a Project, and how it Applies to Patient Care?\n\nIn an organization, a project is a scrupulous piece of work planned for implementation within a given business ecosystem. Within that project management realm, one must make a distinction between different parts of creation. For instance, a Program usually pertains to a broad, long-term goal that We can often break down into sequences of projects and subprojects. Or a Task where denotes an identifiable and measurable activity that involves carrying out a small portion of work for a related project.\n\nOther parts to mention concerning a project are work packages related to a division of a project task. Consequently, the Work unit is a division of that work package.\n\nImagine; patient care as a project within its spectrum and sequences of the said process of patient care arises tasks, work packages such as scheduling, evaluating, and follow-up after discharge.\n\nThe principal benefits of using project administration exercise within a medical practice environment can accelerate the perfection and strengthening of the physician’s practice management by achieving the concepts of hands-on supervision. The latter approach also helps deal with risks resourcefully by accomplishing distinct variations linked to the clinic’s strategies.\n\nProject Management Tools and their Significance\n\nEarlier in this article, I pointed out the prime “4 P” approaches to typical project management. I also delineated the outcomes (product-based) or activities (process-based) applications. Regardless of the methodology applied, particular attention needs to be furnished to the overall project objectives. That includes paying special attention to cost, timeline, and the roles and duties of all stakeholders, such as nurses, managers, physicians, and clerks.\n\nWithin the assumed domain, we can also find various focus points and approaches to the project, including Benefits realization management, Critical chain project management, Earned value management, Iterative and incremental project management, Lean project management, Phased approach Project production management.\n\nChoosing the Right Methodology for a Medical Practice\n\nIn the modern project management globe, managers don’t typically stick to a single methodology. Instead, a contemporary medical practice must be well-versed in a variety of project management means, know how to blend several techniques concurrently. It must be able to adapt based on the individual practice requirements. Eighty-nine percent (89%) of the project experts surveyed in 2019 proclaimed that their institution executed hybrid project management schemes.\n\nToday, one can find abundant project management methodologies used in one way or another, nine of which I outlined earlier in this article. Nevertheless, to better understand, all popular methods are the scheme of exercises, techniques, procedures, and rules used by those in a domain. Nonetheless, We must select the methodology based on performing things in a certain way, like applying various principles, themes, frameworks, processes, and standards. So, for the sake of conversation, let us pick the “Agile methodology.”\n\nAgile Management is the Application of Healthcare Values\n\nAgile management is the application of the values established primarily for the technology domain as Agile software development. Today the methodology is becoming more prevalent in various management techniques in other industries. Trailing the appearance of the Agile Software Development domain in 2001, Agile systems began to scatter into other areas of activities.\n\nBecause Agile methodology values are based on experience throughout the delivery process, it can be a valuable model for small medical practices.\n\nEvolution of Agile Methodology\n\nAgile methodology encompasses many strategies to patient management under which requirements and solutions unfold through the collaborative exertion of self-organizing and cross-functional teams and their patients. It upholds “adaptive planning,” evolutionary growth, early delivery, and continual transformation. Agility motivates a rapid and flexible response to change, which is very familiar for today’s medical practice sphere.\n\nThe Manifesto for Agile Development\n\nAgile methodology values are Based on their combined experience of delivering a project such as patient care and helping others do the same. The agile philosophy declared the importance of transparency and prioritizing:\n\n● Individuals and interactions; over processes and tools\n● Working service operation; over comprehensive documentation\n● Clientele Collaboration; over contract negotiation\n● Responding to change; over following a plan\n\nTools and processes are vital in agile methodology, but it is even extra critical to have qualified staff effectively working together. Adequate documentation is valuable in helping people to understand how the operation and patient care distribution is constructed and how to utilize a system, including technology and service delivery. Still, the project's central theme is to take care of the patient, not document or follow a set of strict protocols.\n\nA pact is relevant but is no substitute for working closely with physicians and patients to discover their desires.\nA project strategy is essential, but it must not be excessively stringent to acclimatize alterations in technology or the setting, stakeholders’ priorities, and people’s understanding of the problem and its solution.\n\nThe Agile Movement is not Anti-Methodology.\n\nSome believe the quick scheme, by itself, is against the methodological principle. On the contrary, many expect to restore credibility to the word methodology by restoring a balance. That is why Agile project management schemes embrace modeling, but not for the sake of filling some model and policy in a dusty corporate repository. But, It is necessary to clasp documentation, but not hundreds of pages of never-maintained and rarely-used tomes. Agile helps plan but also recognizes the thresholds of planning in tumultuous settings.\n\nThe Philosophy of Agile Methodology\n\nThe agile methodology primarily targets complicated systems with dynamic, non-deterministic, and non-linear properties. In situations like medical practice and healthcare delivery, precise estimates, firm plans, and forecasts are often hard to get in the early stages, and confidence in them is likely to be very low. Hence, Agile users will solicit to lessen the trust that is needed before We can achieve any proof of value. Requirements and design are held to be up-and-coming while accepting that any significant up-front stipulations would perhaps cause a lot of waste in such cases, like economically unsound. These basic arguments and previous industry practices learned from years of triumphs and failures have helped form Agile development’s support of adaptive, iterative, and evolutionary advancement.\n\nPhysician and patient satisfaction by timely and consecutive delivery of valuable service is the core target of any medical practice. Therefore, acknowledging altering requirements, even later in the process, is essential to its project management. The methodology must be able to deliver services frequently, tightly within daily teamwork amid staff. Agile offers that kind of management system.\n\nProjects built around the Agile structure encourage individuals who should be reliable; it affords a face-to-face discussion as the best form of communication.\nPatient and physician satisfaction is the primary measure of growth in the Agile system. It offers unstainable development, can bear a steady pace, presents uninterrupted awareness of excellence and ethical practice model. Simplicity is essential.\nBest architectures, rations, and designs emerge from self-organizing teams. Within the latter, regularly, the crew weighs on how to become more productive and adjusts accordingly.\n\nMost agile development methods break project work into small increments that minimize up-front planning and design. Iterations, or sprints, are short duration frames that commonly last from one to four weeks.\nEach redundancy comprises a cross-functional team working in all duties, including planning, analysis, operation design, surveying, and approval testing.\nAt the end of the project, a working system is demonstrated to participants. That minimizes the overall risk and allows the outcome to adapt to changes swiftly.\n\nAdopting Agile Principles in Health Care\n\nThe constant escalation of pacing technological headways, rising costs, and new player emergence in the healthcare marketplace have created challenges for healthcare stakeholders, particularly independent physician practices. Therefore, healthcare organizations and physician practices must find practical ways to embrace reform, which we outline as the passage of new patient and clinician values. Most modern developments in the healthcare realm, together with governance, business planning, and information technology implementation, are designed to minimize risk to medical practices. Yet, they are often inflexible to adapt quickly to new changes, making incremental changes that fail to deliver much-needed transformation.\n\nA core principle of agile methodology in healthcare is that for every innovation, from inception, it establishes an Agile team comprised of clinicians, engineers, managers, data scientists, and user representatives. Each group organizes a project cycle to improve results and raise the value to patients, health professionals, and the overall system.\n\nWhile the core team covers not many employees, several hundreds of people from member health care systems have participated in Agile projects. By implementing Agile principles in the integration process, medical practices can integrate changes and iterate quickly, thus online mechanisms for clinical deliverables from behavioral health, diabetes management, patient engagement, campus wayfinding, practice compliance, and remote monitoring.\n\nHealthcare organizations and medical practices are innately complex adaptive systems, with many clinical and non-clinical disciplines working in tandem using technology to serve the needs of patients, within an invariably shifting administrative and reimbursement policy, besides rapidly expediting medical information.\n\nCultural appropriation of Agile and similar theories is predominant to both expediting the delivery of reform and obtaining reception of methods that are not traditional within healthcare. To that end, medical practices must focus on spreading a culture of innovation throughout their organizations.\n\nEfficient and face-to-face Communication\n\nCo-location is one of the characteristics of the Agile methodology. As the principal, co-workers of the team typically align collected to launch their identification as a team better, then to improve communication. Co-location allows face-to-face intercommunication, ideally in front of a whiteboard, that diminishes the cycle time typically taken when queries and answers are mediated through various communication portals such as phone, Slack, Microsoft Teams, or email. Irrespective of the type of progress method selected, every team should include a client representative, recognized by stakeholders to act on their interest and makes a personal obligation to be obtainable for developers to answer questions throughout the emphasis. At the end of each repetition, stakeholders and the customer representative review progress and re-evaluate priorities to augment the return on investment (ROI) and ensure alignment with client needs and practice goals.\n\nThe Agile System requires a very Concise Feedback Loop and Adaptation Cycle.\nA common characteristic in the agile scheme is the daily stand-up or scrum in the Scrum framework. The latter pertains to brief sitting, team members reporting to each other what they did the previous day toward their team’s iteration goal and what they plan to do now in the direction of the goal, and any barriers or impediments they can see to the target.\n\nThe Quality focus in Agile Methodology\n\nVarious tools are often used to improve quality and enhance products or services in Agile. That includes specific tools and techniques, such as continuous integration, automated unit testing, pair programming, test-driven development, design patterns, behavior-driven growth, domain-driven design, and other methods. That is signified; designing and building quality from the beginning and demonstrating solutions for physicians, staff, and patients at any point, or at least at the end of every iteration.\n\nAdaptive vs. Predictive Method\n\nEvery project management tool occupies a spot within the perpetual spectrum from adaptive to predictive. Agile methods employ the adaptive side of this continuum. One key feature of the adaptive process is the “rolling wave approach” to schedule planning, which identifies milestones but leaves flexibility in the path to reach them, providing leeway for the pillars themselves to change in the future.\n\nAdaptive systems concentrate on readjusting swiftly to shifting realities. Thus, when the needs of a project change, the adaptive team changes too. But, at the same time, an adaptive organization is restrained in predicting what will happen in the future.\n\nAn adaptive team cannot outline what responsibilities they will have in the coming week, nonetheless only which features they plan for the following month. The further away from a date, the vaguer will be an adaptive method is about what will happen on that date.\n\nOn the other hand, predictive methods tend to focus on analyzing and planning the future in detail and cater to established risks. In the climaxes, a predictive team can communicate precisely what features and tasks are scheduled for the entire length of the management process. Predictive methods rely on active early-stage analysis, but on the downside, if the aforementioned fails, the project may have a shifting course towards complication.\n\nPredictive teams repeatedly institute a change control board to ensure what they consider only the most valuable variances. Therefore, to help managers choose between adaptive and predictive models, they implement a risk analysis.\n\nProject Life-Cycle in Agile Methodology\n\nAgile methods support a broad range of development or implementation life cycle. Some focus on the practices, while some focus on managing the flow of work. Few support activities for requirements and expansion, while others seek to cover the entire development life cycle.\n\nSituation relevance should be acknowledged as a differentiating attribute between Agile methods. Nonetheless, in practice, provisions can be tailored using various gears.\n\nAgile development has been broadly recognized as highly suited to specific environments, including small teams of experts working on undeveloped projects.\n\nIn response, an assortment of strategies and outlines has grown for overcoming challenges with large-scale development efforts amongst other problems; and there are now several recognized frameworks that seek to mitigate or avoid these difficulties.\n\nAgile Methodology; in the highly Regulated Domains\n\nAgile methods were seen initially as best suitable for non-critical service and product domains, thereby barred from use in regulated fields such as medical devices, pharmaceutical, financial, nuclear systems, automotive, and avionics sectors, etc. However, recently, there have been some drives for the adoption of agile methods for non-technology domains.\n\nExperience and Adoption of the Agile Tool\n\nAlthough We can use Agile designs with any paradigm or language in practice, they were initially closely associated with object-oriented environments. As stated earlier, the initial adopters of Agile methods were customarily small to medium-sized teams working on unique systems with requirements that were hard to clinch and likely to change as the system was being developed.\n\nMeasuring Agility\n\nThere are many immeasurable practices and tools for gauging the performance of agile products and teams, a few of which I will describe in this section.\n\nInternal Assessments\n\nThe Agility measurement index, amongst others, rates project progress against five dimensions of project development—the latter include; risk, duration, newness, effort, and interaction. Supplementary techniques are instituted on those measurable goals as one study implies that swiftness can be used as a metric of agility. There are also agile self-assessments to settle whether a team is using agile practices.\n\nPublic Surveys on Agile Methods\n\nOne of the early studies reports gains in quality, productivity, and business satisfaction using agile schemes.\nSurveys also increasingly account that the Agile system helps them deliver faster, improves their ability to manage changing client priorities, and increases their yield. Studies have also consistently conferred better results with agile development approaches compared to classical project management. In opposition, there are also reports that agile management methods are still too young to qualify for extensive academic research on their success.\n\nCommon Agile Development Pitfalls\n\nOrganizations and teams implementing agile methodology often face obstacles transitioning from more traditional methods such as waterfall methodology, also referred to as Agile anti-patterns or, more commonly, Agile smells.\nLack of Sponsor supports Agile System.\n\nAgile methodology is often implemented as a “grassroots” effort by teams trying to optimize their development processes and ensure a consistent project life-cycle. By not taking sponsor support, teams may face difficulties and resistance from business partners.\n\nInsufficient Training with the Agile\n\nInsufficient training seems to be the most significant cause of unsuccessful Agile project management. Teams have fallen into the trap of assuming the reduced processes of Agile development compared to other methodologies.\n\nPoor Engagement of the Project Owner with Agile\n\nThe product owner is responsible for the business in the development activity and is often the most challenging role. A common misconception is to have the product owner role occupied by someone from the project team. That requires the team to make its individual decisions on prioritization without real feedback from the business. The team attempt to solve business matters within or delay work as they scope outside the team for direction. That often leads to disruption and a breakdown in collaboration.\n\nLack of Focus by the Team Members\n\nThe agile methodology requires teams to meet project obligations, which means they should emphasize only work for that objet d’art. However, team affiliates who appear to have spare capacity are often expected to take on other activities, making it difficult for members to help complete the work their team had committed.\n\nExcessive Preparation/Planning for Agile Methodology\n\nIt is not uncommon for teams to fall into the trap of spending too much time preparing or planning. The latter is particularly prevalent for those less accustomed to an Agile system where the teams feel obliged to understand entirely and specification of all legends. We should prepare units to move forward only with those stories in which they have confidence, then, during the emphasis, continue to discover and develop work for subsequent iterations.\n\nProblem-Solving in the Daily Stand-up\n\nA daily stand-up should be a focused, timely meeting where all team members disseminate information. If problem-solving transpires, it often can only involve specific team members and potentially is not the best use of the entire team’s time. If, during the daily stand-up, the team starts dipping into problem-solving, it should be set aside until a sub-team can talk, usually immediately after the stand-up completes.\n\nAssigning Tasks in an Agile System\n\nOne of the intended benefits of Agile methodology is to permit the team to make choices, as they are most familiar with the problem. Additionally, they should make selections as close to implementation as possible to use a timelier report in the judgment. If team affiliates are assigned tasks by others or too early in the process, We can lose the benefits of localized and rapid decision-making. Moreover, 3rd party work assignment also compels team members into specific roles, which confines prospects for cross-training. Through the Agile approach, team members can take on responsibilities that stretch their skills and provide cross-training opportunities.\n\nScrum Master as a Contributor\n\nA scrum master is an enabler for the agile action team. Scrum is a methodology that enables a group to self-organize and make modifications rapidly, according to agile doctrines.\n\nThe scrum master brings about the process of how information is swapped.\n\nAnother standard Agile method deadfall is for a scrum leader to act as a contributor. But, the scrum master needs to ensure they can move in the role of scrum master first and not working on development tasks. A scrum master’s part is to facilitate the process rather than create the product.\n\nAbsence Automation of Testing\n\nDue to the reiterative nature of agile development, different cycles of testing are often required. Automated testing helps reduce the influence of repeated shame integration and regression tests and frees originators and validators to focus on higher-value work.\n\nTest automation provisions constant restructuring. It allows a manager to quickly run trials to confirm that the refactoring has not altered the system's functionality. It may reduce the workload and increase confidence that cleanup efforts have not introduced new defects.\n\nAllowing Technical Debt to Build-up\n\nOveremphasis on delivering new functionality may give rise to technical debt. The team must allow time for flaw remedy and refactoring. Technical debt hinders planning abilities. Increases the volume of unscheduled work as development breaks divert the group from further progress. As the system expands, it is essential to refactor as the entrance of the system logically increases. Over time the lack of constant care causes increasing defects and development costs.\n\nAttempting to Accept excess Responsibility in an Iteration\n\nA common misconception is that an Agile system allows constant transformation; however, a repetition backlog agrees on what work can be finalized during a recapitulation.\n\nHaving excessive work-in-progress (WIP) ends in wastefulness, such as context-switching and queueing. The team needs to evade feeling compelled to take on additional work.\n\nFixed Time, Resources, Scope, and Quality\n\nAgile fixes time (iteration duration), quality, and ideally resources in advance, while the scope remains changeable. The client often pushes for a fixed range for an iteration. However, Agile teams should be reluctant to commit to the locked time, resources, and scope (the project management triangle). Efforts to add breadth to the fixed time and resources of Agile evolution may result in diminished quality.\n\nBurnout of the Originator\n\nDue to the focused pace and continuous nature of agile modes, there is a sharpened risk of burnout among associates of the delivery team.\n\nAgile Management is Iterative and Incremental\n\nThe term agile management is applied to an iterative, incremental method of managing the design and build activities of discipline areas that aim to provide new product or service development in a highly flexible and interactive manner, based on the principles expressed in the Manifesto for Agile Development.\n\nAgile X techniques may also be called extreme project management. It is a variant of the iterative life cycle where deliverables are submitted in stages.\n\nThe main difference between agile and iterative development is that agile methods complete small deliverables in each delivery cycle (iteration). In contrast, iterative methods evolve the entire set of deliverables over time, completing them near the end of the project.\n\nWe developed both iterative and agile methods to respond to multiple obstacles that set in more consistent forms of the project structure. For instance, as projects grow in complexity, end-users conduce having trouble determining the long-term requirements without viewing progressive ideals. But Projects that happen in iterations can continuously gather feedback to help filter those requirements.\n\nAgile Business Management Model\n\n\nAgile business management principles and values are expressed across five domains:\nIntegrated client engagement involves embedding patients and physicians within any delivery process to share accountability for product or service delivery.\n\nFacilitation-based management or adopting agile management models, like the role of Scrum Master, to aid the day-to-day operation of teams.\n\nAgile work practices: ratifying specific iterative and incremental work habits such as Scrum, Kanban, test-driven development, or feature-driven development across all business functions.\nAn enabling organizational structure with a focus on staff engagement, personal autonomy, and outcomes-based governance.\n\nDataOps or, Applications of the agile process to data analytics, business intelligence, big data, and data science.\nAgile paradigms are flexible; hence they can be applied in other areas of life, such as raising children. Its success in child development might be founded on some basic management principles; communication, adaptation, and awareness.\n\nCriticism of the Agile Project Management\n\nAgile practices can be inefficient in large organizations and certain varieties of projects. That is why many organizations reckon that Agile methodologies are too frigid and, based on that assumption, adopt a Hybrid method that combines elements of agile development and plan-driven strategies. The increasing adoption of agile practices has also been criticized as a management style that simply describes existing good practices under a new idiom promoting a one size fits all mindset towards development strategies and erroneously emphasizes method over results.\n\nThe agile journey is particularly self-conscious. It continually checks its self-appearance in a mirror but is tolerant to few criticisms, lone attentive in being with its peers, rejecting en bloc all wisdom from the past, merely because it is from the past. It literally adopts fads and new dialects, yet, at times, cocky and arrogant.\n\nIs the Agile Methodology the Right Option for Medical Practices?\n\nThere is no doubt that most modern project management tools are new and may take some time to be perfected. Nonetheless, if wisely selected, it will mature further, accommodating the needs of any medical practice. They will become more accessible to the outside world, more reflective, and, therefore, more effective.\n\nAgile is a more reliable method for small medical practices because it is a grassroots movement and flexible. It can furthermore be hybridized for optimal adaptability.\n\nToday, apart from large and most medium-sized healthcare organizations, most physician practices are alien to any kind of project management. But with the increasing volume of regulations and mandates, along with emerging value-based reimbursements, utilizing some form of project management, methodologies are becoming unavoidable and exceedingly necessary.",
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      "body": "## The succession of interrelated Human Agency<h2> \n\n## Originally published by Illumination on Medium<h2> \nhttps://www.adamtabrizmd.com/post/from-ethnocentric-friction-to-socioeconomic-globalization\n\nThe human being is the living thing of all convolutions. We are all born as soul being. Still, we hold that inherent tendency of falling back in our collective conscience, searching for those set of shared beliefs, notions, and moralistic stances that unify us within the core of our societies. Then, habitually, we gradually trust our comfort zone and expand that society vaster, hoping that our fellow social mates will do the same. The collective approach is theoretically convenient; however, it carries inevitable downfalls. That is why in real life, not infrequently, we witness the paradox of such intention.\n\nCollective consciousness or awareness, In general, does not necessarily apply to a particular moral scruple. Instead, it pertains to a common belief within societies. Many sociologists have identified various forms of what defines “Collective Consciousness” in up-to-the-minute communities. Within their findings, they have applied the concluding phrase to any notion from solidarity stands- to extreme deeds like group-think, herd behavior, or collectively shared experiences during collective rituals and dance parties.\n\nInstead of existing as separate selves within the collective ecosystem, people appear as progressive groups to share support and knowledge. It has also happened to recite how a whole community grows together to share the same values. Often thought of as termed “hive mind,” “group mind,” “mass mind,” or “social mind.”\n\nA collective society comprises various cooperative groups, such as the family, community, organizations, regions, nations. It possesses agential capabilities to think, judge, decide, act, reform on everyone’s behalf, conceptualize self-identity and others as well as self’s actions and interactions, and finally, reflect.\n\n*“Collectivism, Collective Conscience, Federalism, Globalism, and Universalism may seem convenient and efficient for circumstances such as small communities and limited individual expectations.”*\n\n## Individual Tendency to Follow the Crowed<h2>\n\nAlthough every individual is unique and has an inherent desire to stay independent, he conveniently strives to build, join, or follow a crowd similar to their particular trait.\n\nNot surprisingly enough, generally we favor liking people similar to us, because of having something in common. Nevertheless, there is a discrepancy between really having a lot in common with someone and merely assuming that we have a lot in common. These two forms of associations are unquestionably related, although they do not precisely and invariably apply to the same circumstance. Frequently, they can be used interchangeably by someone or entity to convince you that you have a lot in common with another person or a group to take on the action or belief. The latter is a dangerously slippery slope. For instance, only because an entire country speaks the same language and watches the same national news does not necessarily mean everyone holds equal value. In such a scenario, you might initially believe you’ll have a lot in common with a person you don’t know well enough, only to find out that you’re not literally on the same wavelength once you get to know each other. This phenomenon, or as I call it, individuals’ weakness, is that we tend to like people similar to us, something if left unaddressed can smoothly progress to Ethnocentrism, Fascism, and even Racism.\n\n*But, at the same time, Human Beings tend to follow the Crowed.*\n\nWe are all social beings; thus, most of us interact with others daily, consuming large portions of our wakeful person-hours in some form of communication. In the natural biosphere, we do not have much control over our cognition and behavior as we deem. Unconscious or not, We all take suggestions from our environment, especially other people, to behave. The latter is the fundament of polarization, the creation of factions, and diverse communities.\n\nIn group polarization, like-minded people augment each other’s perspectives and strengthen each person's opinions in the crowd. Based on the latter notion, then comes; it must be good for me too if other people do it! We see too often in the media to anything from Fashion, Politics, Healthcare, and more.\n\nThere is a heuristic or trial and error method in human nature that determines what to do, think, say, and buy as the principle of social reasoning. To learn what is correct, we tend to look at what other people are doing or what politicians are assuming to follow. That is another slippery slope for human beings skidding away from autonomy.\n\nPeople from highly collectivist cultures, such as China and middle eastern countries, think of themselves as profoundly related to other people in their lives. That contrasts to countries like the United States, where historically adhere to a strong sense of individuality. However, with the increasing immigration from collectivist societies into the united states, the true meaning of Individualism is becoming more than ever vague.\n\nWhile collectivist culture is undoubtedly a sophisticated space, it does appear that social neuroscience will improve the insight of the degree to which the context can mold cognitive functions.\n\n## Ethnocentrism is Self-Centered and often even Narcissist<h2> \n\nThere are many similarities between Narcissism and Ethnocentrism. As merely an exciting coincidence, some researchers are now investigating the concept that Narcissism and Ethnocentrism are similar. Still, personal narcissism plays a vital role in determining the likelihood of subscribing to ethnocentric belief conformity.\n\nIt appears that, although distinct, the two constructs share many characteristics. It is evident; their relationship is neither merely analogous nor mutually exclusive. Narcissists, by trait, put their interest before the gain of their groups. But they also set the interests of their group over the interests of other groups.\n\n## Collectivism is a Prerequisite to Fascism<h2>\n\nCollectivism is merely referent to one of several forms of social arrangements in which the individual is recognized only as being subservient to a social collectivity such as a state, a nation, a race, or a social class. Collectivism driven by collective conscience- is in contrast with Individualism, in which the rights and interests of the individual are maintained.\n\nCollectivism has gained diverse expression lines in the 20th-century through movements such as socialism, communism, and fascism.\n\nThe most trivial collectivist of those is the “social democracy,” which endeavors to subdue the inequities of unshackled capitalism via government regulation, redistribution of income, and varying degrees of planning and public ownership. In communist systems, collectivism is carried to its furthest extreme, with a minimum of individual control and a preponderance of the planned economy.\n\nJean-Jacques Rousseau, French Philosopher and author of “Du Contrat social, of 1762,” Stated once:\n\n*“The individual finds his true being and freedom only in submission to the “general will” of the community.”*\n\nThe early 19th-century German philosopher G.W.F. Hegel also argued that:\n\n*“The individual realizes his true being and freedom only in unqualified submission to the laws and institutions of the nation-state.”*\nTo Hegel, this was the highest expression of social morality.\n\nLater, Karl Marx provided the most concise description of the collectivist viewpoint of the importance of social intercommunication. He said-\n\n*“It is not men’s consciousness, which determines their being, but their social being, which determines their consciousness.”*\n\nIrrespective of how we philosophize human sovereignty, one thing is evident that collectivism is the common ground for social bonding, consolidation, and grouping, which are the shared traits between Socialism, Globalism, Fascism, Nationalism, etc. and Racism.\n\n## Universalism is the effect of Collectivism<h2> \n\nUniversalism has a philosophical and theological root believing that some views or needs have universal application. Light of one essential fact is another significant belief in Universalism.\n\nA Universalist see the real revelation as more far-reaching than the national, cultural, or religious boundaries.\n\nUniversalism has impacted modern-day Hinduism as reflected through the “Rigveda collection of Vedic Sanskrit hymns,” influencing modern western spirituality.\n\nUnitarian Universalism highlights that religion is a universal human essence and focuses on the universal principles of most religions inclusively, or “religious pluralism.”\n\nMost of us may understand the concept of “Universalism” within the context of faith and religion; however, the end applies to many other aspects of our lives.\n\nUniversalism is the belief that We can utilize ideas and practices everywhere without alteration. Other concepts, such as particularism, are the dogma where happenings dictate how We should practice ideas and exercises.\n\nA Universalist follows the concept of communitarianism. Meaning- In contrast to Individualism, where people see themselves as individuals, people consider themselves part of a crowd in communitarianism. However, the size and scope of the public or group define its complexity. Hence it establishes the applicability of Universalism in the modern states.\n\n## Building a Community based on the Collective Conscience<h2> \n\nThe phrase “community” has become more than ever-varied in the course of the past few decades. Our understanding of a community had grown significantly from when almost everyone thought of the city as an intimate group of individuals who had the opportunity to socialize with one another whenever they needed it, into large metropolitan populations or even state and country. Since, with the advent of such humongous communities, individuals are failing to share common values, thus recently, Individuals have found ways of creating their communities in other means such as the Internet or social media.\n\nThe conflict of individuality and inherent attraction towards collectiveness is becoming more and more expressive and repulsive. For instance, citizens across various states in the united states are pressing for universal solutions such as welfare and Healthcare. Still, not everyone throughout different countries shares the same qualities and values. Application of global solutions within every individual locality may be practical, nonetheless as the community grows, such collective decisions may face significant clash and community segregation. Something that we witness today.\n\nSmaller communities can usually find shared interests with less difficulty that can be more beneficial for everyone within that community, unlike larger societies where individuals can slide into the rifts or do anything to circumvent association with others.\n\nA community stands for building and growing within individuals and the atmosphere. They balance each other correspondingly. I feel this can be better attained within a smaller town such as city and county than a larger one as a state or country.\n\n## The Contemporary Federalism is Universalist<h2> \n\nGlobal Federalism, in literal terms, denotes a political philosophy affirming the separation of powers between two or more government institutions. The latter is typically between the central global governance and the forces of federated societies. By splitting political power into several levels, multinational Federalism avails from the benefits of both Universalism and localism by allowing the application principle of self-government and preserving the identity of every assemblage to a plurality of hubs of an independent authority that is consistently and democratically regulated. Based on the federalist principle, every citizen is consequently subordinate to two powers. Every citizen must unconditionally accept the law of “uniqueness of decision” thanks to the instrument of subsidiarity.\n\nFederalism proposes a democratic rather than diplomatic union of states, according to which all political legislators are directly elected to a law-making assemblage by the people.\n\nThe United States has moved from an actual federalist state towards a more universalist system throughout the past few decades. The federal government has been perpetually meddling in state affairs by passing executive orders and bills universal to all “states” without consideration of individual state or community interest or position. Few examples are the Affordable Care Act (ACA) and discussions around Universal Government-run healthcare coverage for all. Although, in the latter case implementing universal coverage statewide or even county level may be more practical, however, the conventional liberal belief is that the Healthcare coverage for all only applies to the whole country. These trends and trends alike are expected to contradict the idea of separation of power. Modern-day Federalism is, in reality, nothing but the Globalization of socioeconomic and political power only at a nationwide scale. In other words, Federalism, today, is an attempted step towards real socioeconomic Globalization, which started after the fall of communism.\n\n## Globalism is correspondingly Universalist<h2> \n\nGlobalization and Universalism are considered to be persuasively synonymous. The Global Village composes one of the popular catch-phrases, which most politicians and alternate activists use to draw the populace's awareness. It sure has rhetorical value and sounds glamourously attractive. Nonetheless, its sustainability in the long term and credibility have come under attack from many scholars.\n\nFor decades we have been whispered a sympathetic, encouraging theme about the benefits of Globalization. Many globalists have perpetuated the cascading benefits of the interconnected world with a bit of grasp for its jagged advantages.\n\nDespite living in a world ever more entwined, the increasing divides between Globalization’s winners and losers, such as prominent corporate executives vs. populace, are unfolding.\n\nThe so-called losers or the populists are becoming more vocal, principally now that it significantly impacts the developed world.\n\nThe political, social, and economic gaps are widening as Universalist globalism is failing. The confrontation between winners and the losers augments the conception of “us” separate from “them,” just as collectivists falling against other collectivists.\n\nGlobalism has given birth to corporate Neofeudalism and new Nationalist factions. It has caused administrative disapproval between states within the U.S. as well as dissatisfaction between world administrations.\n\nAmong many political scholars, Ian Bremmer, the American Political scientist, demonstrates how globalism encourages hatred and cynicism as the rich get richer and the poor get more disadvantaged. While Bremmer regards some perceived economic reforms, as globalism creates winners and losers, a more substantial portion does not benefit from the overall economic growth.\n\n“The rise of environmental and economic protectionism is the consequence of globalism.”\n\nAs we observe from recent trends, the influx of refugees and immigrants provoked physical boundaries in Europe, the United States, and the Middle East. Global economic measures transpire a barrier to change too. Despite acknowledging the latest problems, still, protectionism and nationalism are inevitable, as Bremmer describes. In terms of future global stability and security, he recognizes interests surpassed by damages for the many.\n\n## Globalization of Healthcare System is Obverse<h2> \n\nAmidst socioeconomic Globalization through the philosophy of collectivism, Health and Healthcare have faced their particular double-edged sword, just like the one we are currently experiencing with the Coronavirus pandemics. As an example, according to a study, although advocates see a definite necessity to create an international arrangement for health and wellness, they still are concerned about rising certain unhealthy habits in certain parts of the world that seems to be the direct outcome of Globalization. The report shows overwhelming evidence that Globalization has resulted in higher tobacco consumption, notably in poorer countries (WHO, 2001), and higher alcohol use, especially among younger individuals (Kuo et al., 2003). On the other hand, based on our observation, even most developed countries experienced a shortage of certain essential supplies due to the halt of export/imports that transpired by the COVID-19 Pandemic.\n\nWhile the Globalization of Healthcare contributes to immense possibilities for virtue, such as a rapid response to emergencies, it also can give rise to a new concern, such as a faster spread of disease. Likewise, in practice, it is subject to monopoly, corruption, and failure.\n\n## Corporations stand for Globalizations<h2> \n\nThe implements of economic Globalization are causing the most fundamental redesign of the global social, political, and commercial orders. They are constructing a power shift of immense proportions, moving existing economic and political influence away from national, state, and local régimes and communities toward global banks, corporations, and the global officialdoms these have formed. That brings catastrophic moments for community control, democracy, national sovereignty, native culture and economy, and the natural realm.\n\nEconomic forces that were backed by the new trade laws, through global arrangements, affected them strictly where they lived and broke down a previously autonomous community-based diverse farming system. What you get from that is scarcity and, from time to time, violence and disorientation. \n\nMany whines; the Mexicans are coming across the border to the United States, yet many of them are coming because large corporations have purchased the land of formerly self-sufficient farmers and workers in the globalization process. Since they are inept to compete with large firms like Amazon, those folks have to go somewhere. If not able to immigrate, demand independence from the elite by embracing populism. And then we’re annoyed at them for migrating to the U.S.\n\nThe United States populace is also not resistant to globalization maleficence, like small business job losses to big corporations or damage of independent medical clinics to managed care systems. The latter is the quintessential example of the conflict between Socioeconomic Globalization, small local businesses, and ethnocentrism.\n\nThe establishment of corporate personhood over a century ago and the recent emergence of the World Trade Organization (WTO) as a global congress to disseminate multi-national corporate affairs has significantly changed the international political landscape. It points out that the corporate world is no longer merely a collection of separate entities. Instead, corporations have become players of foreign political culture. The implication of this is that the emergence of the corporate cartel has already invented new global bodies and agencies through which they dictate their economic power, compounding the real core of the phrase “Corporate Globalism.”\n\n## Corporations are for Neo-feudalism<h2> \n\nOne of the alarming trends of recent decades has been the success of the giant tech monopolies at devising their exclusive systems of law and shielding themselves from public regulation. While citizens are guarded against irrational explorations and apprehending by constitutional constraints on government surveillance, the tech moguls know far more about us, often with our “approval,” than the government does. Of course, recently, to overcome the barrier Administration, and legislatures have discovered various ways of accessing the data mined by corporations merely through partnering up with them.\n\nThe big tech industry, at times, has fought off the government’s efforts to regulate their use of personal data. Or- Instead, companies such as Google, Apple, and Amazon have invented their jurisprudence, buried in unclear standings of service, to govern the consent of users to the commercial use of personal data. If they fail to cut governments’ hands-off their valuable data, they partner with the governments by any chance. Again one prominent example of such a partnership in Healthcare is Part D, Part C Medicare programs, and the famous Affordable Cate Act. Or Implementation of “All of Us Program” by the National Institute of Health (NIH)\n\nThe tech monopolies have also superseded producing a proprietary legal regime to govern their relationship with their actual or potential commercial contenders. They have stacked the card in its favor. Amazon, for example, has contracts with 2.5 million 3rd-party traders, who use its site for marketing their goods. The pharmaceutical industry is a stronghold of privatized law despite the reality that most drug discoveries are eventually underwritten by taxpayers, either through NIH grants or increased health insurance premiums.\n\nIf we look back into history, we can observe the reincarnation of Feudalism (or better phrase it as the Neo-Feudalism). Except, in this case, the lords are the corporations and people the serfs.\n\n## The Good Club or Corporate Lords intending to Save the World<h2> \n\nAccording to the British Newsagency The Guardian, The Good Club is a name given to the tiny global elite of billionaire philanthropists who newly held their first and highly secret meeting in New York City. Among its members were Bill Gates, George Soros, Warren Buffett, Oprah Winfrey, David Rockefeller, and Ted Turner. But there are others, to name as well, who participated in the meeting, like business giants Eli and Edythe Broad.\n\nWhen news of the secret meeting flowed via the seemingly mysterious source of an Irish-American website, it sent crashing blows through the worlds of philanthropy, development aid, and even diplomacy.\n\nAccording to the independent Global Policy Forum report, the Good Club uses its endless wealth and influence with political and scientific aristocracies. They intend their organizations to advance solutions to global predicaments that may undermine the United Nations (U.N.) and other international organizations.\n\n## The Conclusion<h2> \n\nEven though an overwhelmingly idealistic attitude towards a collective consciousness and human beings are social creatures, we are still all born as individuals. As selfish as it may sound, the fact is that we are all individuals first. It is also true that we also enjoy the company of others, especially those who are similar to us; that is why we chose a community based on those sets of shared beliefs, notions, and moralistic stances that unify us. \n\nWe also concede that there is no perfect scenario on how we live together because if there were, we would not be having this conversation. Nevertheless, one thing that is important to take home is that Collectivism, Collective Conscience, Federalism, Globalism, and Universalism may seem convenient and efficient for circumstances such as small communities and limited individual expectations. But, it will potentially expose the most profound flaws of the system and invites corruption as the size of the intended community grows. It will make one group dependent on the other and one person sub-servant to an entity or person, undermining the essence of humanity. \n\nAll-in-all- Socioeconomic Globalization will be a strenuous task since communities are growing more diverse, expectations are starting to skyrocket, and mass media is becoming more unilateral and fascist.",
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      "title": "*Are Governments Repeating the Dust Bowl Mistake?",
      "body": "The year 2020 is the time of the Coronavirus pandemic. It has riddled almost everyone’s life in one way or another. While the infectious agent, the COVID-19, is making its advancement against humankind, government administrations are struggling to come to an agreement upon the best way to fight the pandemic. The public media is neither making it any easier by meddling into the healthcare affairs and through bucketing oil over the burning fire. It seems that most administrations across the world, with the support of the media, are creating what resembles the sand storms. As they are merely converging the blow of the wind onto a pile of dust. So, I would like to call it the “COVID-19 Dust Bowl”.\nIt is utterly pathetic to witness the division of citizen’s attitudes as to what defines the best approach to the Coronavirus pandemic. Some say it is a “hoax,” yet others believe it is a never-ending disease. Amidst all, some are making billions in the name of philanthropy and saving human lives. At the end of the day- the question is simple- How should we deal with a natural calamity, or in this case, “man-made natural adversity”?!\n\nFor instance- Would you fight the hurricane with arrogance or simply run for shelter? Or, in the case of a pandemic, should we take a defensive position and exercise our individual responsibility or simply follow the costly efforts mandated by the public officials?\nBefore we can answer that question, we better first guise back into history. Even though the COVID-19 is “novel,” however, there is nothing “Novel” around what we are experiencing with the “COVID-19 Dust Bowl.”\n\nThe Dust Bowl Phenomenon of the 1930's- the Flashback\n\nThe Dust Bowl refers to an era in the United States history when there was a severe dust storm that took over the “Great planes,” damaging the ecosystem and agronomy of the North American prairies during the 1930s. It was the upshot of the poor farming practices by the European settlers during the severe drought seasons of 1934, 1936, and 1939–1940. The latter farming practice, such as deep plowing, virtually led to the overlooking observation of proper dryland farming methods to prevent aeolian processes or wind erosion.\n\nAcknowledging the challenge of cultivating marginal desert land, the United States government still extended on the 160 acres to inexpert settlers under the Homestead Act by granting 640 acres of the Great plains to homesteaders in western Nebraska under the Kinkaid Act (1904). Then the government added another 320 acres elsewhere in the Great Plains under the Enlarged Homestead Act of 1909.\n\nWith the insufficient knowledge of the prairies, farmers at the time carried widespread deep plowing of the virgin topsoil of the Great Plains. This caused the displacement of native, deep-rooted grasses that usually trapped soil and moisture during periods of drought and high winds. As a result of liberal plowing practice, the unanchored ground transformed into dust, which at that point winds blew away in massive dust clouds that darkened the air. These choking tides of sand — named “black blizzards” or “black rollers” moved across the country, reaching as far as the East Coast, including New York City and Washington, D.C. often reduced visibility to 3 feet or less.\n\nEven though the federal government hardly admitted to the mistaken Homestead bill, it was later realized that the policies negatively affected the country for generations, for reasons that I will discuss later on in this article. Although the legislatures may have had good intentions, their negligence and unidimensional approach to a widespread problem of the epoch turned out to be pricey.\n\nThe Dust Bowl today has frequently used the phenomenon about what transpired in 1930,s upheaval.\nCoronavirus Pandemics and the Demise of Independent Clinics<h2>\nA survey conducted by Kareo reveals Coronavirus Pandemic is adversely Impacting Independent Medical Practices and Their Patients. While at it, the government is encouraging the rapid deployment of Telehealth and the virtual visit by Independent Medical Practices to Offset Steep Drop in Patient Office Visits Due to “Stay at Home” Orders.\nBefore mid-March, independent healthcare professionals were already fronting challenges to stay in business due to the increasing government mandates, with 28% of practices only offering telemedicine visits.\nOver 9% of the practices closed with the emergence of the COVID-19 pandemic; marked the start of further necessities for closing the clinic door for elective visits. Many more have closed clinic doors since the beginning of the epidemic. While 63% of practices delivered on-site care in March, most of them were concomitantly exploring options to move to hybrid or exclusively telemedicine-based care. Kareo’s analysis of substantive patient appointments across over 50,000 medical clinics, found that by late March, independent medical practices had experienced an approximately 35% decline in patient volume. This established signal around both the apparent inability for patients to access care and the operational viability of medical practices if this trend continues today.\n\nThis move resembles the old Dust Bowl phenomenon, as the governments have caused a radical shift into a virtual clinic visit creating a dark cloud over small medical clinics abandoning physical office encounters and promote Telemedicine as the primary solution. A move that may create a sense of false and temporary security to independent physicians.\n\nIt is clearly conceivable that the Telehealth system is a necessity, as it plays a significant role in the healthcare delivery arrangement. However, by no means is it a substitute for the actual clinic visit. Abandoning manpower is faulty as Telemedicine will not be enough to care for the sick without in-person clinic visits. Still, it seems evident that the system is conveying the wrong message for the off-beam purpose.\n\nLarge healthcare systems are maintaining their position utilizing the power of money and influence. Nevertheless, Independent medical practices are struggling to make ends meet by receiving a false sense of security, something which is potentially deleterious to an independent physician’s future.\n\nOnce independent physicians enter the virtual-only market and feel the temporary liberation, then the expected adverse side effects will start surfacing, like malpractice, patient dissatisfaction, and so much more.\nSmall Grassroots medical clinics and hospitals are needed to provide top-notch medical services to local community patients, particularly to the rural neighborhoods. However, the biased vision of the current administrative system only gifts the entire healthcare sector to the corporate corner.\n\nRural communities amid Coronavirus pandemic\n\nThe continuation of the COVID-19 pandemic is placing an increasing burden on private hospitals and clinics throughout the nation. The growing number of hospitals, particularly those in the rural area, are struggling to maintain sufficient reserves to outlast fiscal viability for the reason that most rural hospitals operate on razor-thin perimeters and high-margin services such as elective surgery. For many rural hospitals, canceling these valuable services to cope with the outbreak may be the tipping point for financial adversity. As Congress puts together economic relief plans, little is known about how this relief will aid rural hospitals and their workforce, if at all, hence exposing them to another Dust Bowl.\n\nIt has been in history demonstrated that governments have perpetually overlooked the science in favor of political gain, just like the 1930’s crisis of Great Plains. Exactly, what is happening right now with the Coronavirus pandemic. But then again, according to a publication in the New England Journal of Medicine, Governments and policymakers must strive to counteract the inadequacy of medical resources. The administration must pledge those individual doctors nevermore have to choose which patients receive life-saving care and which do not.\n\nPhysicians must have the authority and flexibility to alleviate physician burden and to ensure equal treatment, something that conveyance of that Telehealth by itself is the answer, or it is to replace the office encounter to enforce the “stay at home” order is wrong.\n\nThe Homestead Act was a Disaster precipitated by the Off beam Policy<h2>\n\nThe1930’s Dust Bowl crisis was no less damaging to the farmers of the Great plains than the Great depression. It was considered the most prominent single human-made environmental devastation in the country’s chronicle. Dust Bowl transformed American societies as thousands of people lost their farms, their way of life, and even their lives.\nThe Homestead Act of 1862 initially gave homesteaders 160 acres of municipal land, followed by the Kinkaid Act of 1904 as well as the Enlarged Homestead Act of 1909. These laws drove massive migration of new and green farmers across the Great Plains, the majority of whom believed, “the rain follows the plow.”\n\nPolicymakers did not directly cause the Dust Bowl, neither intended to do so, but they aren’t entirely blameless.\nFranklin Roosevelt, who held the notion that the government orders could be a force for virtue in improving the human part, didn’t approve the decisions of his committee, but he accepted them. Despite their testament, lawmakers went ahead with their strategies by telling the truth, but no one listened.\n\nThe Demise of Independent Medical Practices, the Lesson Unlearned\n\nAs Author of a publication in Foundation for Economic Equality (FEE) Glenn Corey writes:\n“First, the full consequences of a given policy can take many years, even decades, to play out. This makes it very difficult to pinpoint the ultimate cause of a particular event. Second, multiple policies can combine to create a situation that no single policy would have brought about by itself.”\nThen he continues:\n\n*“In this case, the Homestead Act of 1862 brought people to the Great Plains, but it wasn’t enough to get people to plow the land. The other acts, which followed the Homestead Act by over forty years, encouraged people to act in a way that disrupted the delicate ecological balance that had been established throughout millennia. Finally, when policymakers are committed to a certain course of action, they will often proceed regardless of input received from experts.”*\n\nIndependent physicians are already suffering through excessive mandates. Many rural Americans have had limited access to healthcare long before Coronavirus pandemics. The “relative shortage” of physicians in rural areas of the United States is 1 of the few constants in any account of the U.S. medical care system. About 20% of the U.S. population, more than 50 million people live in rural areas- but only 9% of the country’s physicians practice in rural communities. \nThus- limiting physicians’ practices is not only counterproductive to the delivery of quality medical care but is also detrimental to the ever-shaking healthcare foundation. Of course, if the excuse is to prevent Coronavirus spread, that opens another chapter for discussion. However, to be brief, there are many modalities to avert infection dissemination without subjecting medical staff and patients to unnecessary exposure. In other words, failing to keep physicians and medical staff practicing means patients, especially those in rural areas, go without medical care.\n\nDespite all the intricacies, there is still a group of physicians like Dr. Natalie King. They are, indeed, willing to practice in rural communities, something that Managed care systems and corporations will have a hard time providing. But the COVID — 19 Dust Bowl bent by the ineffectual solutions is hindering physician survival, moreso those in rural communities.\n\nLousy Policy, the Healthcare Politicization, and Sociopolitical Globalization\nThe Bad Policy\n\nMillions of seniors in the United States rely on Medicare Advantage, one of the several government entitlements programs that rely on private “competition” instead of governmental authorization. But practically, large insurers are using this opportunity by absorbing the wealth of taxpayer dollars without rendering service.\nAccording to recent government releases, since 2016, private insurers that extend Medicare Advantage plans to eligible patients have swindled taxpayers by over $30 billion and deprived seniors of access to critical medications.\n\nMedicare Advantage theoretically works with- instead of against, corporations to provide medical services to patients. As an alternative to dictating plans and reimbursements to providers, the government pays competing insurers to offer patients the plans for additional out-of-pocket costs.\n\nThis system of competition is meant to function, based on the policymaker’s assumption, saving taxpayers at least $400 million less annually than government-managed Medicare plans. However, the supposedly comprehensive, cost-effective program is increasingly being undermined by insurance companies looking to skim taxpayer reserves.\nBased on a report, the Department of Health and Human Services (HHS) private insurers participating in Medicare Advantage have overbilled the system above $9 billion annually for the last three years.\nPoliticization\nDuring the public health crisis of COVID-19 and the economic calamity that was directed from the government-mandated social shutdown, the public’s attention has focused on immediate threats and instantaneous consequences. This, plausibly, led to prominence on figures such as the approximately 2.1 million people acquired COVID-19, 118,000 who died from the virus. And millions have filed for unemployment benefits since the crisis began. But one fundamental stress that has gone unattended is the uncounted trillions of tax dollars that have accumulated onto the national deficit during the current crisis. The latter will surely haunt future generations for decades, even after the pandemic subsides and the economy recommences. Thus, COVID-19 debt formed as part of the administration’s response denotes a fundamentally immoral intergenerational transference of wealth to our children and grandchildren.\n\nThose who directly avail from the spending bill are merely passing it down the line to the younger generation and tomorrow’s taxpayers to bear the responsibility. Responding to a crisis today without considering its implications tomorrow is rash and destined for one more Dust Bowl.\n\nManhattan Institute economist Brian Riedl estimates- the COVID-19 pandemic and government response will lead to an astounding $8 trillion in the new federal budget deficit.\n\nIn light of the known realism, policymakers chose the route that is politically propitious in the short term and shrugged off the future penalties as not their problem.\n\nAmidst Coronavirus pandemics, just like their peers during the Dust Bowl era, politicians are turning away from paying equal attention to the expert opinions from various sources. Indeed- they have perpetually overlooked the view of some infectious disease experts like Dr. John Ioannidis as to why Government Lockdowns must end.\n\nDr. Ioannidis is the C.F. Rehnborg Chair in Disease Prevention at Stanford University, who has authored some of the most praised medical journal articles in records. He is questioning medical findings of a virus that isn’t just deadly, but deeply controversial. In his writing, Dr. Loanndis expands- prolonged lockdowns fuel economic crisis, producing mass unemployment. Undivided populations may witness a decreased quality of life and mental health. Gun sales in the U.S. have steeply increased since the lockdown started, with unpredictable outgrowths. Under lockdown environments, countless patients with critical, yet treatable conditions will avoid seeking care or don’t get the right treatment at all. This disruption may be perceived in the needless losses occurring so far in the COVID-19 lockdown. Patients with cancer whose treatment is delayed have more harmful consequences.\n\nLockdowns executed during the high infectious activity will drive infective people to spend more time with frail and elderly relatives in crowded places. Low wages, essential laborers adopt higher risks, and shelters for exposed homeless persons become infection hotspots. While wealthy, healthy citizens afford to stay at home. Stress may also impact our immune responses to respiratory infections. And, with the added fear spread by various media sources, lockdowns represent uniquely stressful events for the average citizen.\n\nAs Thomas Sowell said once-\n*“The national debt is the ghost of Christmas past.” For future generations, holidays may not offer much cause for celebration.”*\n\nGlobalization\n\nToday’s political tormenter is the notion of “technocratic neoliberalism.” It merely refers to the current sociopolitical status quo as a geographically centered, management, or municipal, university-educated landed gentry. The neo-liberal technocrats have effectively taken control of the U.S. political, economic, and cultural life spectrum. “The Good Club,” progressive globalists are using COVID-19 pandemic to push their peculiar ‘technocratic solutions. The rationale comprises eliminating cash, fossil fuels, individual privacy, family values.\n\nTechnocratic activists have abundant resolutions to the coronavirus crisis as well. Amid the present-day elite, it is widespread that if one lays out the data, everyone will agree. And if the same person accepts those facts, then there is only one correct viewpoint.\n\nToday, people no longer disagree on points- but about how to fit them within their values. The aftermath means a deadlock that has one side pitted against the other without a bargain, saying the populous, especially millennials, espouse faith in the technology, irrespective of the vision and mission used to build that particular technology.\n\nGlobalization of technology prompts the world population into an indiscriminate crisis if it occurs. Hence, the outcome of the coronavirus pandemic is a form of commotion that puts the populace’s faith in line with the technocrats with tactical directives. The COVID-19 crises are being swiveled through different strategies pointing at power and profiteering.\n\nThe coronavirus pandemic will ultimately settle. In the interim, it will contest the world’s resilience versus not merely a virus; but misinformation and scapegoating with the global conviction of “the Good Club.” Accordingly, it’s in all likelihood that populists, globalists by the pointers of the corporate cartel, exploit public hysteria to their gain.\n\nCurrent Healthcare Policy is another Dust Bowl Phenomenon\n\nThe subject of healthcare is a multilayered one, and every layer conveys the potential Dust Bowl of its own- through faulty policies and other missions. But all send one universal note, the Coronavirus pandemic is the epitome of circumstances where we have created a type of socioeconomic chaos out of what is otherwise a public health crisis that will affect our generation and generations to come. Policies from shutting down clinics, Globalization of the economy, governments partnering with, or empowering corporate entities are part of the spectacle which resembles plowing the Great Plaines in the 1930’s Dust Bowl. So, let’s not make the same slipup over and over again.",
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      "title": "# *Are Governments Repeating the Dust Bowl Mistake?*<h1>",
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      "body": "Hello welcome to Steemit world! \n I'm @steem.history, who is steem witness. \n This is a recommended post for you.[Newcomers Guide](https://steemitdev.com/guide/@steemitblog/steemit-a-guide-for-newcomers) and [The Complete Steemit Etiquette Guide (Revision 2.0)](https://steemit.com/steem/@steem.history/the-complete-steemit-etiquette-guide-revision-20-homage-1598425779) and, recommended community [Newcomers Community](https://steemit.com/trending/hive-172186) \n I wish you luck to your steemit activities.<center> \n \n \n https://cdn.steemitimages.com/DQmXHwdcNs5VPcBft1iSosPdHLpBNBfjuG84g3ffWhMw5JQ/image.png \n <sub>(The bots avatar has been created using https://robohash.org/)</sub> \n @steem.history \n \n ### My witness activity \n - [My aspiration for STEEM witness](https://steemit.com/hive-185836/@steem.history/my-aspiration-for-steem-witness-1601280729) \n - Provides information on Steem.  \n [Reference](https://steemit.com/trending/hive-130095) \n - Supporting the Steem project. \n [SPUD4STEEM project](https://steemit.com/trending/spud4steem) \n - Supporting the community. \n [Newcomers Community](https://steemit.com/trending/hive-172186),[Steem Sri Lanka](https://steemit.com/trending/hive-133716) ,[WORLD OF XPILAR](https://steemit.com/trending/hive-185836), [GLOBAL STEEM](https://steemit.com/trending/hive-145160), [Scouts](https://steemit.com/trending/hive-181136), [Latino Community](https://steemit.com/trending/hive-188619) \n \n ### My featured posts \n - [The Complete Steemit Etiquette Guide (Revision 2.0) -Homage](https://steemit.com/steem/@steem.history/the-complete-steemit-etiquette-guide-revision-20-homage-1598425779) \n \n [![image.png](https://cdn.steemitimages.com/DQmd7of2TpLGqvckkrReWahnkxMWH6eMg5upXesfsujDCnW/image.png)](https://steemlogin.com/sign/account-witness-vote?witness=steem.history&amp;approve=1) \n <sub>please click it!</sub> \n \n ![image.png](https://cdn.steemitimages.com/DQmWDnFh7Kcgj2gdPc5RgG9Cezc4Bapq8sQQJvrkxR8rx5z/image.png) \n <sub>(Go to https://steemit.com/~witnesses and type fbslo at the bottom of the page)</sub> \n \n </center>",
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      "body": "# *Are Governments Repeating the Dust Bowl Mistake?*<h1>\n\nThe year 2020 is the time of the Coronavirus pandemic. It has riddled almost everyone’s life in one way or another. While the infectious agent, the COVID-19, is making its advancement against humankind, government administrations are struggling to come to an agreement upon the best way to fight the pandemic. The public media is neither making it any easier by meddling into the healthcare affairs and through bucketing oil over the burning fire. It seems that most administrations across the world, with the support of the media, are creating what resembles the sand storms. As they are merely converging the blow of the wind onto a pile of dust. So, I would like to call it the “COVID-19 Dust Bowl”.\nIt is utterly pathetic to witness the division of citizen’s attitudes as to what defines the best approach to the Coronavirus pandemic. Some say it is a “hoax,” yet others believe it is a never-ending disease. Amidst all, some are making billions in the name of philanthropy and saving human lives. At the end of the day- the question is simple- How should we deal with a natural calamity, or in this case, “man-made natural adversity”?!\n\nFor instance- Would you fight the hurricane with arrogance or simply run for shelter? Or, in the case of a pandemic, should we take a defensive position and exercise our individual responsibility or simply follow the costly efforts mandated by the public officials?\nBefore we can answer that question, we better first guise back into history. Even though the COVID-19 is “novel,” however, there is nothing “Novel” around what we are experiencing with the “COVID-19 Dust Bowl.”\n\nThe Dust Bowl Phenomenon of the 1930's- the Flashback\n\nThe Dust Bowl refers to an era in the United States history when there was a severe dust storm that took over the “Great planes,” damaging the ecosystem and agronomy of the North American prairies during the 1930s. It was the upshot of the poor farming practices by the European settlers during the severe drought seasons of 1934, 1936, and 1939–1940. The latter farming practice, such as deep plowing, virtually led to the overlooking observation of proper dryland farming methods to prevent aeolian processes or wind erosion.\n\nAcknowledging the challenge of cultivating marginal desert land, the United States government still extended on the 160 acres to inexpert settlers under the Homestead Act by granting 640 acres of the Great plains to homesteaders in western Nebraska under the Kinkaid Act (1904). Then the government added another 320 acres elsewhere in the Great Plains under the Enlarged Homestead Act of 1909.\n\nWith the insufficient knowledge of the prairies, farmers at the time carried widespread deep plowing of the virgin topsoil of the Great Plains. This caused the displacement of native, deep-rooted grasses that usually trapped soil and moisture during periods of drought and high winds. As a result of liberal plowing practice, the unanchored ground transformed into dust, which at that point winds blew away in massive dust clouds that darkened the air. These choking tides of sand — named “black blizzards” or “black rollers” moved across the country, reaching as far as the East Coast, including New York City and Washington, D.C. often reduced visibility to 3 feet or less.\n\nEven though the federal government hardly admitted to the mistaken Homestead bill, it was later realized that the policies negatively affected the country for generations, for reasons that I will discuss later on in this article. Although the legislatures may have had good intentions, their negligence and unidimensional approach to a widespread problem of the epoch turned out to be pricey.\n\nThe Dust Bowl today has frequently used the phenomenon about what transpired in 1930,s upheaval.\nCoronavirus Pandemics and the Demise of Independent Clinics<h2>\nA survey conducted by Kareo reveals Coronavirus Pandemic is adversely Impacting Independent Medical Practices and Their Patients. While at it, the government is encouraging the rapid deployment of Telehealth and the virtual visit by Independent Medical Practices to Offset Steep Drop in Patient Office Visits Due to “Stay at Home” Orders.\nBefore mid-March, independent healthcare professionals were already fronting challenges to stay in business due to the increasing government mandates, with 28% of practices only offering telemedicine visits.\nOver 9% of the practices closed with the emergence of the COVID-19 pandemic; marked the start of further necessities for closing the clinic door for elective visits. Many more have closed clinic doors since the beginning of the epidemic. While 63% of practices delivered on-site care in March, most of them were concomitantly exploring options to move to hybrid or exclusively telemedicine-based care. Kareo’s analysis of substantive patient appointments across over 50,000 medical clinics, found that by late March, independent medical practices had experienced an approximately 35% decline in patient volume. This established signal around both the apparent inability for patients to access care and the operational viability of medical practices if this trend continues today.\n\nThis move resembles the old Dust Bowl phenomenon, as the governments have caused a radical shift into a virtual clinic visit creating a dark cloud over small medical clinics abandoning physical office encounters and promote Telemedicine as the primary solution. A move that may create a sense of false and temporary security to independent physicians.\n\nIt is clearly conceivable that the Telehealth system is a necessity, as it plays a significant role in the healthcare delivery arrangement. However, by no means is it a substitute for the actual clinic visit. Abandoning manpower is faulty as Telemedicine will not be enough to care for the sick without in-person clinic visits. Still, it seems evident that the system is conveying the wrong message for the off-beam purpose.\n\nLarge healthcare systems are maintaining their position utilizing the power of money and influence. Nevertheless, Independent medical practices are struggling to make ends meet by receiving a false sense of security, something which is potentially deleterious to an independent physician’s future.\n\nOnce independent physicians enter the virtual-only market and feel the temporary liberation, then the expected adverse side effects will start surfacing, like malpractice, patient dissatisfaction, and so much more.\nSmall Grassroots medical clinics and hospitals are needed to provide top-notch medical services to local community patients, particularly to the rural neighborhoods. However, the biased vision of the current administrative system only gifts the entire healthcare sector to the corporate corner.\n\nRural communities amid Coronavirus pandemic\n\nThe continuation of the COVID-19 pandemic is placing an increasing burden on private hospitals and clinics throughout the nation. The growing number of hospitals, particularly those in the rural area, are struggling to maintain sufficient reserves to outlast fiscal viability for the reason that most rural hospitals operate on razor-thin perimeters and high-margin services such as elective surgery. For many rural hospitals, canceling these valuable services to cope with the outbreak may be the tipping point for financial adversity. As Congress puts together economic relief plans, little is known about how this relief will aid rural hospitals and their workforce, if at all, hence exposing them to another Dust Bowl.\n\nIt has been in history demonstrated that governments have perpetually overlooked the science in favor of political gain, just like the 1930’s crisis of Great Plains. Exactly, what is happening right now with the Coronavirus pandemic. But then again, according to a publication in the New England Journal of Medicine, Governments and policymakers must strive to counteract the inadequacy of medical resources. The administration must pledge those individual doctors nevermore have to choose which patients receive life-saving care and which do not.\n\nPhysicians must have the authority and flexibility to alleviate physician burden and to ensure equal treatment, something that conveyance of that Telehealth by itself is the answer, or it is to replace the office encounter to enforce the “stay at home” order is wrong.\n\nThe Homestead Act was a Disaster precipitated by the Off beam Policy<h2>\n\nThe1930’s Dust Bowl crisis was no less damaging to the farmers of the Great plains than the Great depression. It was considered the most prominent single human-made environmental devastation in the country’s chronicle. Dust Bowl transformed American societies as thousands of people lost their farms, their way of life, and even their lives.\nThe Homestead Act of 1862 initially gave homesteaders 160 acres of municipal land, followed by the Kinkaid Act of 1904 as well as the Enlarged Homestead Act of 1909. These laws drove massive migration of new and green farmers across the Great Plains, the majority of whom believed, “the rain follows the plow.”\n\nPolicymakers did not directly cause the Dust Bowl, neither intended to do so, but they aren’t entirely blameless.\nFranklin Roosevelt, who held the notion that the government orders could be a force for virtue in improving the human part, didn’t approve the decisions of his committee, but he accepted them. Despite their testament, lawmakers went ahead with their strategies by telling the truth, but no one listened.\n\nThe Demise of Independent Medical Practices, the Lesson Unlearned\n\nAs Author of a publication in Foundation for Economic Equality (FEE) Glenn Corey writes:\n“First, the full consequences of a given policy can take many years, even decades, to play out. This makes it very difficult to pinpoint the ultimate cause of a particular event. Second, multiple policies can combine to create a situation that no single policy would have brought about by itself.”\nThen he continues:\n\n*“In this case, the Homestead Act of 1862 brought people to the Great Plains, but it wasn’t enough to get people to plow the land. The other acts, which followed the Homestead Act by over forty years, encouraged people to act in a way that disrupted the delicate ecological balance that had been established throughout millennia. Finally, when policymakers are committed to a certain course of action, they will often proceed regardless of input received from experts.”*\n\nIndependent physicians are already suffering through excessive mandates. Many rural Americans have had limited access to healthcare long before Coronavirus pandemics. The “relative shortage” of physicians in rural areas of the United States is 1 of the few constants in any account of the U.S. medical care system. About 20% of the U.S. population, more than 50 million people live in rural areas- but only 9% of the country’s physicians practice in rural communities. \nThus- limiting physicians’ practices is not only counterproductive to the delivery of quality medical care but is also detrimental to the ever-shaking healthcare foundation. Of course, if the excuse is to prevent Coronavirus spread, that opens another chapter for discussion. However, to be brief, there are many modalities to avert infection dissemination without subjecting medical staff and patients to unnecessary exposure. In other words, failing to keep physicians and medical staff practicing means patients, especially those in rural areas, go without medical care.\n\nDespite all the intricacies, there is still a group of physicians like Dr. Natalie King. They are, indeed, willing to practice in rural communities, something that Managed care systems and corporations will have a hard time providing. But the COVID — 19 Dust Bowl bent by the ineffectual solutions is hindering physician survival, moreso those in rural communities.\n\nLousy Policy, the Healthcare Politicization, and Sociopolitical Globalization\nThe Bad Policy\n\nMillions of seniors in the United States rely on Medicare Advantage, one of the several government entitlements programs that rely on private “competition” instead of governmental authorization. But practically, large insurers are using this opportunity by absorbing the wealth of taxpayer dollars without rendering service.\nAccording to recent government releases, since 2016, private insurers that extend Medicare Advantage plans to eligible patients have swindled taxpayers by over $30 billion and deprived seniors of access to critical medications.\n\nMedicare Advantage theoretically works with- instead of against, corporations to provide medical services to patients. As an alternative to dictating plans and reimbursements to providers, the government pays competing insurers to offer patients the plans for additional out-of-pocket costs.\n\nThis system of competition is meant to function, based on the policymaker’s assumption, saving taxpayers at least $400 million less annually than government-managed Medicare plans. However, the supposedly comprehensive, cost-effective program is increasingly being undermined by insurance companies looking to skim taxpayer reserves.\nBased on a report, the Department of Health and Human Services (HHS) private insurers participating in Medicare Advantage have overbilled the system above $9 billion annually for the last three years.\nPoliticization\nDuring the public health crisis of COVID-19 and the economic calamity that was directed from the government-mandated social shutdown, the public’s attention has focused on immediate threats and instantaneous consequences. This, plausibly, led to prominence on figures such as the approximately 2.1 million people acquired COVID-19, 118,000 who died from the virus. And millions have filed for unemployment benefits since the crisis began. But one fundamental stress that has gone unattended is the uncounted trillions of tax dollars that have accumulated onto the national deficit during the current crisis. The latter will surely haunt future generations for decades, even after the pandemic subsides and the economy recommences. Thus, COVID-19 debt formed as part of the administration’s response denotes a fundamentally immoral intergenerational transference of wealth to our children and grandchildren.\n\nThose who directly avail from the spending bill are merely passing it down the line to the younger generation and tomorrow’s taxpayers to bear the responsibility. Responding to a crisis today without considering its implications tomorrow is rash and destined for one more Dust Bowl.\n\nManhattan Institute economist Brian Riedl estimates- the COVID-19 pandemic and government response will lead to an astounding $8 trillion in the new federal budget deficit.\n\nIn light of the known realism, policymakers chose the route that is politically propitious in the short term and shrugged off the future penalties as not their problem.\n\nAmidst Coronavirus pandemics, just like their peers during the Dust Bowl era, politicians are turning away from paying equal attention to the expert opinions from various sources. Indeed- they have perpetually overlooked the view of some infectious disease experts like Dr. John Ioannidis as to why Government Lockdowns must end.\n\nDr. Ioannidis is the C.F. Rehnborg Chair in Disease Prevention at Stanford University, who has authored some of the most praised medical journal articles in records. He is questioning medical findings of a virus that isn’t just deadly, but deeply controversial. In his writing, Dr. Loanndis expands- prolonged lockdowns fuel economic crisis, producing mass unemployment. Undivided populations may witness a decreased quality of life and mental health. Gun sales in the U.S. have steeply increased since the lockdown started, with unpredictable outgrowths. Under lockdown environments, countless patients with critical, yet treatable conditions will avoid seeking care or don’t get the right treatment at all. This disruption may be perceived in the needless losses occurring so far in the COVID-19 lockdown. Patients with cancer whose treatment is delayed have more harmful consequences.\n\nLockdowns executed during the high infectious activity will drive infective people to spend more time with frail and elderly relatives in crowded places. Low wages, essential laborers adopt higher risks, and shelters for exposed homeless persons become infection hotspots. While wealthy, healthy citizens afford to stay at home. Stress may also impact our immune responses to respiratory infections. And, with the added fear spread by various media sources, lockdowns represent uniquely stressful events for the average citizen.\n\nAs Thomas Sowell said once-\n*“The national debt is the ghost of Christmas past.” For future generations, holidays may not offer much cause for celebration.”*\n\nGlobalization\n\nToday’s political tormenter is the notion of “technocratic neoliberalism.” It merely refers to the current sociopolitical status quo as a geographically centered, management, or municipal, university-educated landed gentry. The neo-liberal technocrats have effectively taken control of the U.S. political, economic, and cultural life spectrum. “The Good Club,” progressive globalists are using COVID-19 pandemic to push their peculiar ‘technocratic solutions. The rationale comprises eliminating cash, fossil fuels, individual privacy, family values.\n\nTechnocratic activists have abundant resolutions to the coronavirus crisis as well. Amid the present-day elite, it is widespread that if one lays out the data, everyone will agree. And if the same person accepts those facts, then there is only one correct viewpoint.\n\nToday, people no longer disagree on points- but about how to fit them within their values. The aftermath means a deadlock that has one side pitted against the other without a bargain, saying the populous, especially millennials, espouse faith in the technology, irrespective of the vision and mission used to build that particular technology.\n\nGlobalization of technology prompts the world population into an indiscriminate crisis if it occurs. Hence, the outcome of the coronavirus pandemic is a form of commotion that puts the populace’s faith in line with the technocrats with tactical directives. The COVID-19 crises are being swiveled through different strategies pointing at power and profiteering.\n\nThe coronavirus pandemic will ultimately settle. In the interim, it will contest the world’s resilience versus not merely a virus; but misinformation and scapegoating with the global conviction of “the Good Club.” Accordingly, it’s in all likelihood that populists, globalists by the pointers of the corporate cartel, exploit public hysteria to their gain.\n\nCurrent Healthcare Policy is another Dust Bowl Phenomenon\n\nThe subject of healthcare is a multilayered one, and every layer conveys the potential Dust Bowl of its own- through faulty policies and other missions. But all send one universal note, the Coronavirus pandemic is the epitome of circumstances where we have created a type of socioeconomic chaos out of what is otherwise a public health crisis that will affect our generation and generations to come. Policies from shutting down clinics, Globalization of the economy, governments partnering with, or empowering corporate entities are part of the spectacle which resembles plowing the Great Plaines in the 1930’s Dust Bowl. So, let’s not make the same slipup over and over again.",
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