Meg Hansen: Reviving the art of medicine — Why aren’t we treating COVID-19?

Editor’s note: This commentary is by Meg Hansen (MBBS, MA), the former executive director of Vermonters for Health Care Freedom, a health policy think tank. She ran for state-level public office in 2020.

Though a medical school graduate possesses the same repository of knowledge as a physician with years of experience, they are poles apart as practitioners. Clinical experience hones information into learned intuition, transforming the practice of medicine from an applied science to an art. The doctor-patient relationship forms the crux of the art of medicine, wherein the patient is not an amalgam of symptoms, signs and abnormal functions, but a fellow human being in need of care and comfort. Medicine as an art prioritizes patient welfare by balancing science with empathy, compassion and ethics. It is rooted in humility that welcomes continual learning and respects patient autonomy.

Meg Hansen

Meg Hansen, former executive director of Vermonters for Health Care Freedom

However, as medical imaging, bioinformatics, robotics and other breakthrough advancements revolutionize modern medicine, technologists and researchers have been increasingly seeing physicians as sources of error. In this shifting paradigm, human dynamism is seen as unpredictability, urgency to help patients as irrational emotionality, and clinical judgment as “witchcraft.” The doctor-patient relationship no longer claims primacy (only large-scale Randomized Control Trials/ RCTs count), and the art of medicine becomes a romanticized and obsolete relic of our analog past.

The objective then is to limit the scope of damage that physicians can unleash by standardizing their activities as per guidelines issued by administrators and regulatory bodies. The resulting bureaucratization of American medicine has been recasting doctors from expert clinicians to paper-pushers with technical know-how bound by top-down orders. In Vermont, the Green Mountain Care Board, the members of which lack medical training but exert comprehensive authority over the state’s healthcare landscape, epitomizes this phenomenon. Another example is OneCare Vermont — an experiment that has failed to achieve its goals to reduce health care costs and improve the overall health of Vermonters, but keeps increasing its yearly multimillion dollar budget to support its flourishing administrative size.

This subserviation of the humanistic approach in medicine to biotechnology and red-tape reached its apogee when the COVID-19 pandemic broke out. Blind adherents of RCTs who maintain a “literal and intellectual distance from the I.C.U.,” and find it hard to believe that sound medical practice can originate at the bedside, discounted the observations and assessments of doctors on the front line. When a group of maverick clinicians applied their expertise, as pulmonologists and I.C.U. specialists, to repurpose existing generic drugs in treating COVID, they were ridiculed. Paul Marik, MD (Chief of Pulmonary and Critical Care Medicine at the Eastern Virginia Medical School) who formed the Front Line COVID-19 Critical Care Alliance (FLCCC) deserves special mention.

Off-patent drugs have been around for decades, carry well-known safety profiles, and are easier and cheaper to produce widely. Yet, neither the government nor pharmaceutical companies have invested in exploring generic drugs for antiviral and virucidal activity against SARS-CoV-2. Why not? Developing and bringing new drugs to market delivers an enormous pay off to multiple stakeholders. For example, Merck has struck a $1.2 billion deal with the US government to develop a coronavirus treatment.

In contrast, existing drugs make no money. As RCTs cost tens of millions, such trials become prohibitive for drugs that have a poor return on investment. By insisting on RCTs as the only acceptable evidence of efficacy, authorities can delay and derail the process of approving repurposed drugs for COVID treatment. Bryant et al. conducted a meta-analysis of fifteen trials to investigate the role of repurposed medicines in reducing mortality caused by SARS-CoV-2 (American Journal of Therapeutics, July-August 2021). They argue that arbitrary and impossibly high standards have been imposed on their effort. One the one hand, global health agencies approved corticosteroids as the standard of care for COVID based on one RCT of dexamethasone, but on the other hand, they have disregarded “two dozen RCTs” in support of low-cost, generic drugs that offer an “equitable and feasible global intervention” against COVID.

Once the focus of health care shifts from healing the patient (who seeks relief and reassurance) to chasing the next blockbuster medicinal product, it follows that financial gain should supersede efforts to eliminate this virus. Not surprisingly, it has been 20 months since SARS-CoV-2 first surfaced in China, and health authorities still cannot recommend any treatment for persons that contract COVID.

In the US alone, the current seven-day moving average of daily new cases is 14,885. According to the CDC and NIH, non-hospitalized patients should avail of supportive care (Tylenol and Motrin), isolate to prevent transmission, and seek medical attention if they turn blue. COVID is not the harmless common cold. Providing no treatment causes needless suffering and is dangerous because it does not prevent patients from developing life-threatening complications and long-term lung injuries. Most hospitalized patients that need ventilators either die or if they survive, become respiratory cripples unable to breathe without the machine.

Further, around 25 percent of patients that recover from active COVID infection develop prolonged illness (lasting several months) in its aftermath. This condition is called Post-COVID syndrome or long haul COVID, and presents as a wide spectrum of persisting symptoms including fatigue, cough, shortness of breath, headache, and joint pains. This February, the NIH launched an initiative to study the condition; six months later, no treatment recommendations have been made. The CDC advises healthcare professionals to share information about patient support groups and online forums to “long haulers.”

Abandoning clinical treatment altogether, instead choosing to rely on one form of prevention, amounts to negligence and absolutism – both of which have no place in medicine. Denying alleviation of suffering to tens of thousands with active and long COVID, in spite of access to low-cost, safe drugs that kill this virus (as proven in numerous clinical trials across the world) can only be described as reprehensible.

Images courtesy of Public domain and Meg Hansen

4 thoughts on “Meg Hansen: Reviving the art of medicine — Why aren’t we treating COVID-19?

  1. Before this all started, many were saying the health care system was broken. Obama Care didn’t fix it. Medical malpractice was killing and maiming people every day. Labs were screwing up every day (remember the lab that injected meningitis into unsuspecting patients?) Suddenly, they are all heroes and we must trust them exclusively! If it was broken before, it is a pile of burnt ashes now. I have lost all confidence in that system – it is corrupt and has lost all creditability. Any doctor who is truly interested and committed to healing the sick should open a private practice and get out from under the corrupted system. If a bunch of them got together to do the RIGHT THING – they wouldn’t starve – they would be full of patients in a no time.

  2. Covid-19 is ushering in an era of totalitarian medicine, wherein the only treatment that counts is the one sanctioned by the authorities; all other options are suppressed. Trails are fabricated to give the desired result; the Recovery and Solidarity trials used massive, known-to-be-fatal doses that no clinician was using in order to ‘prove’ that hydroxychloroquine was dangerous. Medical journals got in on the game: the Lancet published a study by the Surgisphere group demonstrating that HCQ was worthless. Only problem was that readers had never heard of any of the numerous trials conducted by Surgisphere: the study was fabricated and had to be withdrawn.

    If the science says something that the authorities don’t want the people to hear, then the authorities have a simple solution: fabricate science that does.

    Now ivermectin is being fought against tooth and nail by the totalitarian controllers, who want nothing to do with a cheap, safe drug that’s shown great promise in preventing and treating Covid-19. How many have died because the authorities are putting a jackboot on ivermectin? Likely many thousands.

    We’re being herded into going the vaccine way and the pressure is ramping up.

    There’s more. According to statisticians, the CDC is using a faulty metric to determine if there are signals from Covid vaccine side effects; the CDC assures us that the vaccines are safe. But the PRR (proportional reporting ratio) they use is blatantly wrong in that it can’t detect a safety signal even in the event of a very large number of specific adverse events. It’s designed that way, either on purpose or through gross incompetence.

    Big tech is in on the game, serving as the authoritarians’ handmaiden and eagerly suppressing information that doesn’t conform to the approved narrative.

    How long until totalitarian medicine morphs into totalitarian government? Necessary restrictions will be justified by the ‘stay safe’ that’s been completely fabricated (does anyone remember Sweden’s success story?) and your vaccine passport, we’ll be told, is the only way to keep us all safe.

  3. This commentary really seems an indictment of today’s health care, and rightfully so. There is so much wrong and immoral about the state and federal reactions to Covid-19, and damn little correct and truthful information. That there are no therapeutics accepted in mainstream medicine today for Covid-19 is a shameful at best- criminal at worst. Invermictin, HCQ and a few other generic drugs along with a cocktail of vitamins and minerals have shown effectiveness, at least anecdotally- because the medical industry and federal and state governments appear to ignore anything other than official dogma. As the public learns about the shortfalls of the “vaccines” and the government obfuscation of relevant facts and information regarding Covid 19, perhaps we will learn that reliance on government isn’t the best way to order our lives. Additionally, as the likely emergence of factual information regarding therapeutics and prophylactics is revealed, we must hold the politicians and their spokespeople responsible for their actions. It seems very likely that government policy, for a virus the government funded caused this pandemic and the death and illness it wrought.
    At the end of this current “pandemic” or “plandemic”, It would be good to reflect and decide if we really want to pursue government run health care. Ms. Hansen has written a whole lot to think hard about, whether you agree or not.

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