A big item that was elaborated on at some length was the cost of medical care would be made burdensomely high. Medical care would be connected very closely with one’s work but also would be made very, very high in cost so that it would simply be unavailable to people beyond a certain time. Unless they had a remarkably rich, supporting family, they would just have to do without care. And the idea was that if everybody says, “Enough! What a burden it is on the young to try to maintain the old people,” then the young would become agreeable to helping Mom and Dad along the way, provided this was done humanely and with dignity. Then the example was – there could be a nice, farewell party, a real celebration. Mom and Dad had done a good job. Then after the party’s over they take the ‘demise pill’.
PLANNING THE CONTROL OVER MEDICINE
The next topic is Medicine. There would be profound changes in the practice of medicine. Overall, medicine would be much more tightly controlled. The observation that was made in 1969 that, “Congress is not going to go along with national health insurance, is now, abundantly evident. But it’s not necessary, we have other ways to control health care”. These would come about more gradually, but all health care delivery would come under tight control. Medical care would be closely connected to work. If you don’t work or can’t work, you won’t have access to medical care. The days of hospitals giving away free care would gradually wind down, to where it was virtually non-existent. Costs would be forced up so that people won’t be able to afford to go without insurance. People pay for it, you’re entitled to it. It was only subsequently that I began to realise the extent to which you would not be paying for it. Your medical care would be paid for by others. Therefore, you would gratefully accept, on bended knee, what was offered to you as a privilege. Your role being responsible for your own care would be diminished. As an aside here, this is not something that was developed at that time; I didn’t understand it at the time that it was an aside.
The way this works, everybody has made dependent on insurance and if you don’t have insurance then you pay directly; the cost of your care is enormous. The insurance company, however, paying for your care, does not pay that same amount. If you are charged, say, $600 for the use of an operating room, the insurance company does not pay $600; they only pay $300 or $400. That differential in billing has the desired effect: It enables the insurance company to pay for that which you could never pay for. They get a discount that’s unavailable to you. When you see your bill you’re grateful that the insurance company could do that. And in this way you are dependent, and virtually required to have insurance. The whole billing is fraudulent. Access to hospitals would be tightly controlled and identification would be needed to get into the building. The security in and around hospitals would be established and gradually increased so that nobody without identification could get in or move around inside the building. Theft of hospital equipment, things like typewriters and microscopes and so forth would be ‘allowed’ and exaggerated; reports of it would be exaggerated so that this would be the excuse needed to establish the need for strict security until people got used to it. Anybody moving about the hospital would be required to wear an identification badge with a photograph and telling why he was there, employee or lab technician or visitor or whatever. This is to be brought in gradually, getting everybody used to the idea of identifying themselves – until it was just accepted. This need for ID to move about would start in small ways: hospitals, some businesses, but gradually expand to include everybody in all places! It was observed that hospitals can be used to confine people and for the treatment of criminals. This did not mean, necessarily, medical treatment. At that time I did not know the term ‘Psycho-Prison’ they are in the Soviet Union, but, without trying to recall all the details, basically, he was describing the use of hospitals both for treating the sick, and for confinement of criminals for reasons other than the medical well-being of the criminal. The definition of criminal was not given.
ELIMINATION OF PRIVATE DOCTORS
The image of the doctor would change. No longer would he be seen as an individual professional in service to individual patients. But the doctor would be gradually recognized as a highly skilled technician – and his job would change. The job is to include things like executions by lethal injection. The image of the doctor being a powerful, independent person would have to be changed. He went on to say, “Doctors are making entirely too much money. They should advertise like any other product.” Lawyers would be advertising too. Keep in mind, this was an audience of doctors; being addressed by a doctor. And it was interesting that he would make some rather insulting statements to his audience without fear of antagonizing us. The solo practitioner would become a thing of the past. A few die-hards might try to hold out, but most doctors would be employed by an institution of one kind or another. Group practice would be encouraged, corporations would be encouraged, and then once the corporate image of medical care gradually became more and more acceptable, doctors would more and more become employees rather than independent contractors. Along with that, of course, unstated but necessary, is the employee serves his employer, not his patient. So we’ve already seen quite a lot of that in the last 20 years. And apparently more on the horizon. The term HMO was not used at that time, but as you look at HMO’s you see this is the way that medical care is being taken over since the National Health Insurance approach did not get through the Congress. A few die-hard doctors may try to make a go of it, remaining in solo practice, remaining independent, which, parenthetically, is me but they would suffer a great loss of income. They’d be able to scrape by, maybe, but never really live comfortably as would those who were willing to become employees of the system. Ultimately, there would be no room at all for the solo practitioner after the system is entrenched.
NEW DIFFICULT TO DIAGNOSE AND UNTREATABLE DISEASES
The next heading to talk about is Health and Disease. He said there would be new diseases to appear which had not ever been seen before. Would be very difficult to diagnose and be untreatable – at least for along time. No elaboration was made on this, but I remember, not long after hearing this presentation, when I had a puzzling diagnosis to make, I would be wondering, “Is this a case of what he was talking about?” Some years later AIDS developed. I think AIDS was at least one example of what he was talking about. I now think that AIDS probably was a manufactured disease.
SUPPRESSING CANCER CURES AS A MEANS OF POPULATION CONTROL
Cancer. He said. “We can cure almost every cancer right now. Information is on file in the Rockefeller Institute, if it’s ever decided that it should be released. But consider – if people stop dying of cancer, how rapidly we would become overpopulated. You may as well die of cancer as of something else.” Efforts at cancer treatment would be geared more toward comfort than toward cure. There was some statement that ultimately the cancer cures which were being hidden in the Rockefeller Institute would come to light because independent researchers might bring them out, despite these efforts to suppress them. But at least for the time being, letting people die of cancer was a good thing to do because it would slow down the problem of overpopulation.
INDUCING HEART ATTACKS AS A FORM OF ASSASSINATION
Another very interesting thing was heart attacks. He said, “There is now a way to simulate a real heart attack. It can be used as a means of assassination.” Only a very skilled pathologist who knew exactly what to look for at an autopsy, could distinguish this from the real thing. I thought that was a very surprising and shocking thing to hear from this particular man at that particular time. This, and the business of the cancer cure, really still stand out sharply in my memory, because they were so shocking and, at that time, seemed to me out of character. He then went on to talk about nutrition and exercise sort of in the same framework. People would have to eat right and exercise right to live as long as before. Most won’t. This in the connection of nutrition, there was no specific statement that I can recall as to particular nutrients that would be either inadequate or in excess. In retrospect, I tend to think he meant high salt diets and high fat diets would predispose toward high blood pressure and premature arteriosclerotic heart disease. And that if people who were too dumb or too lazy to exercise as they should then their circulating fats go up and predispose to disease. He also said something about diet information would be widely available, but most people, particularly stupid people, who had no right to continue living anyway, would ignore the advice and just go on and eat what was convenient and tasted good. There were some other unpleasant things said about food. I just can’t recall what they were. But I do remember having reflections about wanting to plant a garden in the backyard to get around whatever these contaminated foods would be. I regret I don’t remember the details about nutrition and hazardous nutrition.
With regard to exercise, he went on to say that more people would be exercising more, especially running, because everybody can run. You don’t need any special equipment or place. You can run wherever you are. As he put it. “people will be running all over the place.” And in this vein, he pointed out how supply produces demand. And this was in reference to athletic clothing and equipment. As this would be made more widely available and glamorised, particularly as regards running shoes, this would stimulate people to develop an interest in running as part of a whole sort of public propaganda campaign. People would be encouraged then to buy the attractive sports equipment and to get into exercise. In connection with nutrition he also mentioned that public eating places would rapidly increase. That this had a connection with the family too. As more and more people eat out, eating at home would become less important. People would be less dependent on their kitchens at home. And then this also connected to convenience foods being made widely available – things like you could pop into the microwave. Whole meals would be available pre-fixed. And of course we’ve now seen this. But this whole different approach to eating out and to previously prepared meals being eaten in the home was predicted at that time to be brought about. The convenience foods would be part of the hazards. Anybody who was lazy enough to want the convenience foods rather than fixing his own also had better be energetic enough to exercise. Because if he was too lazy to exercise and too lazy to fix his own food, then he didn’t deserve to live very long. This was all presented as sort of a moral judgement about people and what they should do with their energies. People who are smart, who would learn about nutrition, and who are disciplined enough to eat right and exercise right are better people – and the kind you want to live longer.
THE ENCOURAGEMENT OF DRUG ABUSE TO CREATE A JUNGLE ATMOSPHERE
Drug use would he increased. Alcohol use would be increased. Law enforcement efforts against drugs would be increased. On first hearing that it sounded like a contradiction. Why increase drug abuse and simultaneously increase law enforcement against drug abuse? But the idea is that, in part, the increased availability of drugs would provide a sort of law of the jungle whereby the weak and the unfit would be selected out. There was a statement made at the time: “Before the earth was overpopulated, there was a law of the jungle where only the fittest survived. You had to be able to protect yourself against the elements and wild animals and disease, but if you were fit you survived. But now we’ve become so civilised – we’re over civilised – and the unfit are enabled to survive only at the expense of those who are more fit.” The abuse of drugs would restore, in a certain sense, the law of the jungle and selection of the fittest for survival. News about drug abuse and law enforcement efforts would tend to keep drugs in the public consciousness. And would also tend to reduce this unwarranted American complacency that the world is a safe place, and a nice place.
The same thing would happen with alcohol. Alcohol abuse would be both promoted and demoted at the same time. The vulnerable and the weak would respond to the promotions and therefore use and abuse more alcohol. Drunk driving would become more of a problem; and stricter rules about driving under the influence would be established so that more and more people would lose their privilege to drive. Again, much more in the way of psychological services would be made available to help those who got hooked on drugs and alcohol. The idea being, that in order to promote this – drug and alcohol are used to screen out some of the unfit – people who otherwise are pretty good would also be subject to getting hooked. And if they were really worth their salt they would have enough sense to seek psychological counselling and to benefit from it. So this was presented as sort of a redeeming value on the part of the planners. It was as if he was saying, “You think we’re bad in promoting these evil things – but look how nice we are – we’re also providing a way out!”
RESTRICTIONS ON TRAVEL
This also had connection with something we’ll get to later about overall restrictions on travel. Not everybody should be free to travel the way they do now in the United States. People don’t have a need to travel that way. It’s a privilege! It was kind of the high-handed the way it was put.
THE NEED FOR MORE JAILS, AND USING HOSPITALS AS JAILS
More jails would be needed. Hospitals could serve as jails. Some new hospital construction would be designed so as to make them adaptable to jail-like use.
NO MORE SECURITY
Nothing is permanent. Streets would be re-routed and renamed. Areas you had not seen in a while would become unfamiliar. Among other things, this would contribute to older people feeling that it was time to move on, they feel they couldn’t even keep up with the changes in areas that were once familiar. Buildings would be allowed to stand empty and deteriorate, and streets would be allowed to deteriorate in certain localities. The purpose of this was to provide the jungle, the depressed atmosphere for the unfit. Somewhere in this same connection he mentioned that buildings and bridges would be made so that they would collapse after a while, there would be more accidents involving aeroplanes and railroads and automobiles. All of this to contribute to the feeling of insecurity, that nothing was safe. Not too long after this presentation, and I think one or two even before in the area where I live, we had a newly constructed bridge break. Another newly constructed bridge defect was discovered before it too broke. I remember reading just scattered incidents around the country where shopping malls would fall in right where they were filled with shoppers. I also remember that one of the shopping malls in our area, the first building I’d ever been in where you could feel this vibration throughout the entire building when there were a lot of people in there. I remember wondering at that time whether this shopping mall was one of the buildings he was talking about. Talking to construction people and architects about it they would say, “Oh no, that’s good when the building vibrates like that, that means it’s flexible not rigid.” Well, maybe so, we’ll wait and see. Other areas there would be well maintained. Not every part of the city would be slums.
CRIME USED TO MANAGE SOCIETY
There would be the created slums and other areas well maintained. Those people able to leave the slums for better areas then would learn to better appreciate the importance of human accomplishment. This meant that if they left the jungle and came to civilisation, so to speak, they could be proud of their own accomplishments that they made it. There was no related sympathy for those who were left behind in the jungle of drugs and deteriorating neighbourhoods. Then a statement that was kind of surprising, “We think we can effectively limit crime to the slum areas, so it won’t be spread heavily into better areas”. I should maybe point out here that these are obviously not word for word quotations after 20 years, but where I say that I am quoting, I am giving the general drift of what was said close to word for word, perhaps not precisely so. I remember wondering, how can he be so confident that the criminal element is going to stay where he wants it to stay? But he went on to say that increased security would be needed in the better areas. That would mean more police, better co-ordinated police efforts. He did not say so, but I wondered at that time about the moves that were afoot to consolidate all the police departments of suburbs around the major cities. I think the John Birch Society was one that was saying “Support your local police, don’t let them be consolidated.” I remember wondering if that was one of the things he had in mind about security. It was not explicitly stated. Anyhow he went on to say there would be a whole new industry of residential security systems to develop with alarms and locks and alarms going into the police department so that people could protect their wealth and their well being. Because some of the criminal activity would spill out of the slums into better, more affluent looking areas that looked like they would be worth burglarizing. And again it was stated like it was a redeeming quality: See we’re generating all this more crime but look how good we are – we’re also generating the means for you to protect yourself against the crime. A sort of repeated thing throughout this presentation was the recognised evil and then the self forgiveness thing, “See we’ve given you a way out.”
CURTAILMENT OF AMERICAN INDUSTRIAL PRE-EMINENCE
American industry came under discussion – it was the first that I’d heard the term global interdependence or that notion. The stated plan was that different parts of the world would be assigned different roles of industry and commerce in a unified global system. The continued pre-eminence of the United States and the relative independence and self-sufficiency of the United States would have to be changed. This was one of the several times that he said in order to create a new structure, you first have to tear down the old, and American industry was one example of that. Our system would have to be curtailed in order to give other countries a chance to build their industries, because otherwise they would not be able to compete against the United States. This was especially true of our heavy industries that would be cut back while the same industries were being developed in other countries, notably Japan. At this point there was some discussion of steel and particularly automobiles – I remember saying that automobiles would be imported from Japan on an equal footing with our own domestically produced automobiles, but the Japanese product would be better. Things would be made so they would break and fall apart, that is in the United States. so that people would tend to prefer the imported variety and this would give a bit of a boost to foreign competitors.