I was thinking about the dynamics of pharmaceutical companies, mental institutions, insurance companies, prisons and marijuana legalization. Mental institutions, they have a fairly consistent business model, a convention that has emerged based on the requirements of running a profitable business and providing mental health services. As you know the best treatment is not always profitable so usually there is some synthesis, not the best treatment but the best profitable treatment. From my experience of only two, a dedicated for-profit organization versus a non-profit hospital. Both seem to fairly similar except for cultural differences within the staff, such as the non-profit being more nonchalant and the for-profit being more patronizing. Both had models that did a ten minute entrance interview and immediately placed you on a medication. The day was basically, sleep, wake up, take a shower, eat breakfast, go to a group therapy session which was optional, eat lunch, another group session, eat dinner, another group session, some free time in between and then sleep. The non-profit was not peer pressuring people to attend or participate while the for-profit would give you the cold-shoulder and make subtle threats about the consequences of not at least attending the deducible minimum. If you failed a drug test or not, they will keep you there for at least a week. Attempting to get released sooner is next to impossible, even if you tested clean, perfectly sane and admitted yourself. They will place you on a medication and you may speak to a psychiatrist every other day for just a few minutes which usually results in an increase in dosage. In both cases there was no one-on-one therapy, the entrance interview wasn’t very thorough and the group therapy sessions were mostly just people sitting in a room watching TV. The non-profit culture of nonchalance was a little more conducive to sharing in group therapy sessions but all-in-all there was very little difference between the conventions used by the for-profit and non-profit. One thing that stood out at the for-profit was an abundance of pamphlets from privately owned research institutions, such as the dangers of marijuana. I read the marijuana pamphlet and found that it was extremely biased and not an objective interpretation of the data. It was based on truths, it just exaggerated the negatives to create a distorted perception and implied false truths. I have read about the prison industry lobbying and even bribing Judges to get more prisoners sent their way, such as the three Pennsylvania Judges sentenced to several decades a piece for sending 5,000 first timers to prison. Since the war on drugs began in the 70s, the prison population has exploded and prisons have been privatized and experienced significant growth. Lately though, growth has leveled off and the general population has began to come around to realizing the truth, as the result of the policy becomes more and more obvious. Judges are less willing to send first time offenders, victimless criminals to prisons and are instead opting out for a less severe punishment, mental rehabilitation. I feel the same is happening with mental health, that it’s business model, like much of our economy isn’t based on curing the disease and in fact goes out of it’s way to prevent the curing of diseases in favor of the more profitable treatment of symptoms. Have you seen commercials marketing medications for mental health issues and recommending that you ask your doctor about them? It’s a new market and that means new customers and new products being sold, increasing the number of markups, the profit margin. Mental institutions are pharmaceutical’s biggest customers in their new and fast growing market so the possibility of mental institutions becoming politically aligned against the legalization of drugs like marijuana is high. They personally profit off the legalization of marijuana as they pull growth away from private prisons in a more humane punishment and pharmaceuticals depend on their business and on top of that, marijuana has the potential to wipe out that entire new market. I get a bit confused when I think about insurance companies and their role in this complex interdependent interaction. They have to pay mental institutions for their services and products, including the medications; wouldn’t they be incentivized to keep mental institutions honest and prevent them from milking their cow? If you consider the cost of medications a patient will be on for the rest of their life, assuming they obey their psychiatrist and the cost of being housed and fed at a mental institution for a seemingly mandatory one week then take into consideration that the business model is unlikely to cure a patient; it makes you wonder what pharmaceuticals and mental institutions have on insurance. A preventative approach might cost more upfront but would prevent the insurance companies from having to pay medications for the rest of a person’s naturally life. One-on-one therapist and life coaches using investigate therapy and engineering new experiences for graduated exposure therapy, to retrain disorderly defense mechanisms is a cure to the disease instead of the “correcting an undetectable chemical imbalance”. You know, you can sweep the problem under the rug, milk insurance companies and thus the patient’s employers or you could cure the disease, get the right neurons firing to correct it’s own damn neurotransmitter balance. Makes me wonder if there is a subtle black operations cold war on, between prisons and mental institutions.
In my humble mentally ill mind derived opinion, family doctors should be a medical doctor, nutritionist, psychologist and life coach(s). Insurance should pay for gym memberships and even multi-vitamins. Insurance should incentivized preventative medicine, for example, having a table requiring patients to achieve a healthy BMI and other metrics within a specific time frame or risk being dropped to a higher premium. They would have more checkups covered during that time period.
The Delaware Plutocracy finally converted me to their way of thinking, they are going to pass a law making it required for all tax filings to be delivered by a certified courier. I will be getting an armored truck and will be personally driving all over Delaware, picking up tax forms and delivering them to Dover. $2 per business, noice.