The Patient Comes First

November 25th, 2016 by Tom Vaillancourt Leave a reply »

Patrick Wagner, MD

Four simple little words summarize the Hippocratic Oath, the guiding light of the medical profession.  Those words are…”The patient comes first”.

The American people, by peacefully electing Donald J. Trump as the 45th President, have made that statement, namely…”The patient comes first”.  President-elect Trump hears the people and has forwarded the message.  Obamacare has been delivered a death blow in favor of a system called fee for service private practice medicine.

This whole thing is all about contracts, and living up to the required performance and timeliness of that performance, and the quality of the product and affordability of that product, and about goodwill.

When my youngest son, who is now in medical school was in grammar school, the teachers devised a clever system of reward called duck-bucks, along with reading, writing and arithmetic.  The kids loved it.  My boy would come home and add more and more duck bucks to the shoe box in his room.  It looked like money, but had ducks in the place of presidents and founders.

In the end, when it came time to cash in the duck-bucks and go out and buy something, he forgot all about that shoebox full of duck-bucks.  What a great kind and now young man he turned out to be!  His mom and I are proud of him and his amazing brother and sister as well.

Our government has issued duck-bucks for a long time now, a kind of an “unfunded promise” or unfunded liability.  Old Uncle Sam is trying to pay docs with duck-bucks, and duck-bucks don’t work.  They aren’t worth the paper they are printed on.

So our dear doctor friends at the Association of American Physicians and Surgeons ( have been hard at it in developing a system of medical care called private practice.  Their motto is…”The patient comes first”.  The important thing to note here is that the means of exchange is U.S. currency.  Real dollars for real service.  It’s called cash.

What does cash deliver?  It delivers Compassion.  It delivers Affordability.  It delivers Safety.  It delivers Honor (C-A-S-H).  All you have to do is set the fee, and operate as a Free Enterprise Establishment (F-E-E).  Indeed, it’s what the doctor has wanted all along…”The patient comes first”.

With this system, there is no fear, because there is no unfunded promise.  It’s simple, because cash delivers, and there isn’t any scheme to steal the profit from doctor and patient.

Get used to it folks, the American people have spoken, and as promised by President-elect Donald J. Trump, just watch what free enterprise is going to do for the amazing people of America.  God Bless!  And thank Holy God for Americans!


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