Friday, July 16, 2010

Berwick: "He loved Big Brother"

That sums a lot of it up:

Dr. Berwick's passion eerily evokes the final four words of George Orwell's 1984, a short sentence dubbed by some the epitaph for our western world founded on individual autonomy, freedom of association and capitalism: "He loved Big Brother." For President Obama, at least, Berwick is just the right choice to carry out his leftist agenda.


Michael Kirsch, M.D. said...

I envy his job. Every decision he makes will make millions of people angry.

Virginia Doc said...

Wow, looking back over the past few days of posts, and you seem to have developed an unhealthy obsession with Dr. Berwick. So the man said that the NHS is "basically sensible." And you turn that into a love-affair with socialized medicine.

I love your blog, and learn a lot, but most of us come here to learn--not to have somebody vent their hatred for Dr. Berwick on us. Your hatred is well noted. I ask that you consider sticking with what we all started reading your blog for. I recognize you can post whatever you want--but I think there is plenty of venom and propaganda out there on the Internet. This sort of stuff seems beneath the standard you have historically set.

R. W. Donnell said...

Virginia Doc,
Thanks for expressing your concerns. Actually Berwick really did say he was "romantic" about the NHS and that to achieve excellence in health care we "must, must redistribute."

It concerns me that someone would interpret my views as hatred for Dr. Berwick--I guess I need to watch my choice of words. For me it isn't personal with Berwick. I do not hate Berwick. It's Berwick with an iron fist that concerns me deeply. Berwick is brilliant but has flaky, over the top ideas. Although I always disagreed with them they were quite alright for the head of a think tank. Head of IHI was a great position for him.

What drives my anger and disappointment right now is not Berwick personally. It's the arrogance of the Obama administration in depriving us of public debate on Berwick's views as well as the utter credulity of some of my professional colleagues concerning his appointment. He's a potential enemy of organized medicine---why doesn't the profession get that?

Finally, be assured that I consider clinical hospital medicine as the principal focus of this blog. It may not seem so now as public policy issues in this, perhaps the most interesting and concerning political season in my professional lifetime, have increasingly caught my attention.

There will be plenty more clinical content and I hope you will continue reading even if you feel you need to skip over the political content.