In college, I took a Latin American Politics and Development class. When discussing Latin American medical care, Professor Eldon Kenworthy presented a deeply countercultural idea. Echoing a journal article by the scholar, Robert Ayres, Kenworthy maintained that building hospitals there costs lives. If, instead of erecting, equipping and staffing gleaming medical centers, this same money and human effort were devoted to providing clean water, good food and sanitation, the public health yield would be much greater.
United States medical history bears out Ayres’s paradox. The biggest increases in US life expectancy occurred early in the Twentieth Century, when people had increasing access to calories and protein, better water and sanitation. Lives lengthened sharply decades before vaccines, antibiotics or nearly any drugs were available, and a century before hospitals merged into corporate Systems.
Incremental American life span increases during the past fifty years reflect far less smoking, safer cars and jobs, cleaner air and less lethal wars more than they reflect medical advances. Books like Ivan Illich’s Medical Nemesis and Daniel Callahan’s Taming the Beloved Beast echo Ayres’s critique. But PBS, CNN, B & N, the NYT, et al. censor such views.
The American medical landscape has changed radically in the forty years since I learned of Ayres’ observation. America spends three times as much, as a percentage of GDP, on medical treatments as it did in the 1960s.
By 2020, America devoted 18% of its GDP to medicine. (By comparison, about 5% goes to the military). Adding the mega-costs of mass testing and vaccines etc., medical expenditures might now approach 20%. Although the US spends more than twice per capita what any other nation spends on medical care, American ranks 46th in life expectancy. US life expectancy has flatlined, despite growing medical spending and broadened medical access via the vaunted Affordable Care Act.
Though medicine’s high-cost and relatively low yield are right in front of anyone who thinks about their medical experiences and those of people they know, most never connect the dots; more medical treatments and spending are continually advocated and applauded. There’s a regressive “if it saves—or even slightly extends—one life” medical zeitgeist/ethic.
As most medical insurance is employer-based, most people don’t notice annual premium increases. Nor do they see the growing slice of tax revenues used to subsidize Med/Pharma. Thus, they continually demand more stuff, like IVF, extremely high-cost drugs, sex changes or psychotherapy, as if these were their right, and free. To say nothing of these treatments’ limited effectiveness.
As all are required to medically insure and to pay taxes, one can’t simply opt out or buy only those medical services that one thinks justify their costs. With massive, guaranteed funding sources, aggregate medical revenues will continue to climb.
Thus, Medical-Industrial-Government Complex has become a Black Hole for today’s wealth. With great money comes great power. The Med/Pharma juggernaut rules the airwaves. Nonexistent until the 1990s, hospital System and drug ads now dominate advertising. By being such big advertisers, Med/Pharma dictates news content. Analysts who point out that lavish medical expenditures don’t yield commensurate public health benefit have small audiences. Med/Pharma critics can’t afford ads.
Medicine has fed Coronamania. The TV news I’ve seen during the past 27 months painted a very skewed picture of reality. The virus has been misrepresented—by the media and government, and by MDs, like Fauci, often posing in white jackets— as a runaway train that’s indiscriminately decimating the American populace. Instead of putting into perspective the virus’s clear demographic risk profile and the very favorable survival odds—even without treatment, at all ages, or promoting various forms of contra-Covid self-care, including weight loss—the media and medical establishment incited universal panic, and promoted counterproductive mass isolation, mass masking, mass testing, and treatment with ventilators and expensive, often harmful anti-virals.
Later, mass injections were added to the “Covid-crushing” armamentarium. While the shots created many billionaires, and greatly enriched other Pfizer and Moderna stockholders, they failed, as Biden and many others had promised, to stop either infection or the spread. All of the many whom I know who have been infected in the past six months were vaxxed.
Many—whose voices are suppressed by mainstream media—observe that the shots have worsened outcomes, by driving the development of variants, weakening or confusing immune systems, and causing serious near-term injuries.
Further, people blindly, ardently believed in the shots simply because they were marketed as “vaccines” by bureaucrats wearing medical garb. Despite the shots’ failure and the failure of other “mitigation” measures like lockdowns, masking and testing, many refuse to concede that Med/Pharma has had much—overwhelmingly negative— influence over the society and economy and public health during Coronamania. Nonetheless, many billions of dollars have been—and are still being—spent to advertise shots that most people don’t want.
The Covid overreaction has to some extent also piggy-backed on TV programs that have, for decades, glorified medicine in TV shows like Dr. Kildare, Marcus Welby, M.D., Medical Center, MASH, Gray’s Anatomy and House. Wearing white coats connotes virtue, just as did wearing white hats in Western movies.
Given the cumulative PR onslaught of the ads and shows, medicine is widely seen as more effective than it is in real life. A few years ago, I heard some woman-in-the-street say, during a TV news clip, “If they make me change my doctor, it will be like losing my right arm.”
Many hold such polar views. Medicine is the new American religion. Given such fervent belief in medicine’s importance and the sense of entitlement regarding expanding medical treatments, government and insurance money is relentlessly overallocated to medicine.
Do these expenditures improve human outcomes? During the first Scrubs episode, resident J.D. complains to his mentor that being a doctor was different than he had envisioned; most of his patients were “old and kind of checked out.” His mentor responds, “That’s Modern Medicine: advances that keep people alive who should have died a long time ago, back when they lost what made them human.”
This largely describes those said to have died with Covid. Most people have disregarded that nearly all who died during the pandemic were old and/or in poor health. Most deaths have always occurred among the old and ill. Occasionally, sitcoms keep it realer than real people do.
Aside from not helping much and misspending resources, and extending misery, medicine can be iatrogenic, i.e., it can cause illness or death. Hospital errors are said to cause from 250,000 to 400,000 American deaths annually. Perhaps medical personnel try to do a good job. but when the bodies of old, sick people are cut open or dosed with strong medicine, stuff happens. Even well-executed surgeries and many medications can worsen health.
Further, though few know it, a brew of excreted medications and diagnostic radionuclides daily pours down drains across the US and world and ends up in streams and rivers. For example, the hormones in widely-prescribed birth control pills feminize and disrupt aquatic creatures’ reproduction. There are books about all of this, too, though such authors never appear on Good Morning America.
Faith in medical interventions also lessens individual and institutional efforts to maintain or improve health. If people didn’t abuse substances, ate better and moved their bodies more, there would be much less demand for medical interventions. And if people spent less time working to pay for medical insurance, they could spend more time taking care of themselves and others. Overall, America could spend a fraction of what it spends on allopathic medicine and yet, be much healthier. There are also plenty of books about this.
Given its place at the center of American life for 27 months, and counting, Covid has been—and will be—used to further intensify the medicalization of individual lives, the economy, and society. By exploiting and building an irrational fear of death, the Medical Industrial Complex will promote the notion that we should double—or triple—down on medical and social interventions and investments that might marginally extend the lives of a small slice of the population. Or, in many instances, shorten lives.
But most people who live sensibly are intrinsically healthy for many years. Given enough nutritious food, clean water and a decent place to sleep, most people will live a long time, with little or no medical treatment. While intensive medical interventions can marginally extend the lives of some old, sick people, medicine can’t reverse aging and it seldom restores vitality.
If the media were honest brokers, the Covid mania would never have taken hold. The media should have repeatedly pointed out that the virus only threatened a small, identifiable segment of a very large population. Instead, captive to its Med/Pharma sponsors, the media went full-frontal fearmonger and promoted intensive, society-wide intervention. Social, psychological and economic catastrophe ensued.
Additionally, many doctors who could have spoken against the Covid craziness stayed silent so as not to jeopardize their licenses, hospital privileges or favored status with Pharma, or just because they were schooled in allopathic orthodoxy and hold fast to that faith. Props to those courageous few who broke ranks.
The Med/Pharma/Gov establishment, including the NIH and CDC, hasn’t saved America during 2020-22. To the contrary, Covid interventions have worsened overall societal outcomes. These net harms should have inflicted—and, depending on longer-term vaxx effects, may yet inflict—a big black eye on the Medical Industrial Complex.
If so, Med/Pharma will spend tens of billions of PR money to distort what’s happened for the past 27 months, and to portray well-paid medical personnel, administrators and bureaucrats as selfless heroes. Many gullible Americans will buy this slick revisionism, including its portrayals of healthy-looking people walking in slow motion on beaches or across meadows in golden light, accompanied by a contemplative solo piano soundtrack.
About the Author
Mark Oshinskie is an attorney, athlete, artist, agricultor, and advocate.
Article cross-posted from Brownstone Institute.
Two Storms, One Harvest
Every food crisis in living memory has been a one-shock event. The 2008 price spike was a commodity bubble. The 2020 shortages were a logistics failure. The 2022 grain scare was a war on one exporter’s ports. Each time, the system bent, adjusted, and recovered, and each time the experts assured us afterward that global markets are simply too big and too diversified to fail.
What nobody in Washington seems eager to discuss is that 2026 is shaping up to be something the modern food system has never actually faced. Two independent shocks, one climatic and one geopolitical, are converging on the same harvest cycle at the same time. Not sequentially. Simultaneously.
Start with the weather. The Pacific Ocean is currently building toward what forecasters now openly call a record event. NOAA’s Climate Prediction Center puts the odds of at least a strong El Niño near 88 percent, with roughly two in three odds it reaches “very strong” status, the tier reserved for perhaps three or four events in the entire satellite era. Every major global model now projects a median peak in Super El Niño territory, and most of them project it exceeding the 2015-16 event, which until now held the modern record. Sea surface anomalies were already brushing the super threshold in mid-July, months before these events normally peak. The atmosphere has already shifted into El Niño mode, and the event is forecast to crest in late fall and early winter.
This is not about “climate change.” It’s about the standard cycles of weather, and the cycle we’re currently in is one that has likely devastated societies in the past. We’re better prepared as a society today, but not all Americans are equally prepared.
Serious households have started doing the quiet math on their own. Grocery bills tell part of the story, and the forecast maps tell the rest, which is why long-term food storage has moved from fringe hobby to mainstream line item in the family budget, with established suppliers like Heaven’s Harvest seeing demand from people who five years ago would have rolled their eyes at the idea. That instinct is not paranoia. It is pattern recognition, and the pattern is worth walking through carefully.
Editor’s Note: Heaven’s Harvest IS a sponsor, but the warnings of this article are real and would be written even if we didn’t have a survival food sponsor. With that said, those who take advantage of what they offer can use promo code “Patriot” for 15% off.
The Fertilizer Clock Is Already Running
While the Pacific warms, the second shock has been unfolding in the Strait of Hormuz. The conflict with Iran turned the world’s most important energy chokepoint into a contested waterway, and the consequences reach far beyond the gas pump. Roughly a third of global fertilizer trade moves through Hormuz, and the disruption sent urea prices up 86 percent year over year by March, with a 53 percent jump in a single month.
The World Bank projects energy prices rising about 24 percent in 2026 and fertilizer about 31 percent. By its own accounting, fertilizer prices ran 35 percent higher in the first five months of this year than the same period last year.
Here is the mechanism the nightly news will not explain. Fertilizer is not a grocery item. It is a time-delayed input. The nitrogen a farmer in Iowa or Punjab could not afford to apply this spring does not show up as a problem this spring. It shows up as a thinner harvest six to twelve months later.
The World Bank’s own food security brief concedes that the effects of reduced applications earlier this season “are likely to become visible only later in harvest outcomes.” Translate that from institutional language into plain English and it means this. The damage is already done, it is already in the ground, and we are simply waiting for it to arrive on the shelf.
Now check the calendar. Six to twelve months from the spring planting season lands us squarely in late 2026 and early 2027. Which is precisely when the strongest El Niño in the instrumental record is forecast to peak, bringing its signature droughts to Southeast Asia, Australia, southern Africa, northern Brazil, and South Asia, the very regions that grow the world’s rice, sugar, and oilseeds.
The World Bank warns openly that a strong El Niño “could disrupt multiple crop belts simultaneously” on top of the conflict-driven input costs. Their baseline projection assumes the Middle East disruptions ease by autumn. What in the last two years of Middle East history suggests that assumption is safe?
The System Has No Slack Left
The comfortable answer is that global markets always adjust. But adjustment requires slack, and the slack is gone. Global cereal production is expected to decline from last year’s records even before El Niño does its work. The UN World Food Programme, hardly a den of right-wing preppers, is calling this the most significant disruption to its supply chains since Covid and the invasion of Ukraine, and its supply chain director put the stakes bluntly.
Today’s supply chain challenges are tomorrow’s hunger crisis.
There is also a political dimension that markets cannot price. When food gets scarce, governments do not behave like economists. They behave like politicians. Export bans, hoarding mandates, and panic buying at the national level turned the modest rice shortfall of 2008 into a global crisis, and analysts are already warning that import-dependent nations are the first dominoes.
The 2015-16 Super El Niño, a far weaker event than what is now forecast, threw tens of millions into food stress across Africa and Asia. This one is projected to be stronger, and it arrives with fertilizer already rationed by price and shipping lanes already contested by missiles.
What Joseph Knew
Scripture does not treat preparation for lean years as faithlessness. It treats it as wisdom delivered in advance to those willing to act on it.
Behold, there come seven years of great plenty throughout all the land of Egypt: And there shall arise after them seven years of famine; and all the plenty shall be forgotten in the land of Egypt.
Joseph did not respond to that warning with a hashtag or a committee. He stored grain during the years of abundance, and when the famine came, Egypt stood while its neighbors begged. The lesson is not that famine is certain. It is that the time to prepare is precisely when preparation still looks optional.
Nobody who filled a pantry in a year of plenty has ever regretted it, and nobody standing in an empty aisle has ever been glad he waited for certainty.
None of this calls for panic, and panic is the enemy of sound judgment anyway. It calls for the same unglamorous prudence our grandparents considered ordinary. Keep some cash margin, know your local growers, and put real food in deep storage while it is cheap and available, because the entire arc of this story is that cheap and available is a closing window.
Families looking for a straightforward place to start can visit Heaven’s Harvest and use promo code Patriot for 15 percent off long-term storable food. The forecasts may yet soften, the strait may yet reopen, and we should pray they do. But hope is a fine thing to hold and a foolish thing to eat.






Covid Exposed the Medical-Pharmaceutical-Government Complex
A slight alteration is required of this headline…
“Fake COVID Exposed the Big Pharma – Government – Jewish Complex”.
A bit tidier, a bit more accurate.