The end of the clinic

With all due respect to those among the healthcare workers who are fighting with integrity against the coercive platformization: they have lost the main battle. And if they do not realize as soon as possible what this battle was and why they lost it, they will definitively lose the war too.

Foucault showed us with brilliant clarity the processes and conditions of the birth of the clinic, at the end of the 18th and especially at the beginning of the 19th century. Now we are living the end of the clinic – and we must get through it on our own.

This is not about some kind of “sudden” death! The process (the “process” they used to call it) has been underway for many years. In the first phase, there was a shift in the center of gravity from clinical medicine, the medicine of recognizing symptoms and diagnosing through them, to laboratory medicine. To the medicine of tests – tests – tests… This shift was a first wave of mechanization. Not simply, just because “tests” means machines. But mainly because this “machines” means a limited number of capitalist companies that in many cases define the norms of “normal values” – and their corresponding “pathological” ones. “Machines” that essentially shape the first and last word of the diagnosis: this already means very complex robotic systems, chemical reagents and highly sensitive (or unstable…) materials, as well as capitalist capitalization not only of treatment but also of diagnosis.

The clinical doctor, the doctor who drew conclusions from symptoms (based on his experience and knowledge), is now definitively obsolete. Nowadays, “health assessment” is done through the combination of test measurements and representations. However, this work (which, we assure you, can be performed by experienced lab technicians in diagnostic laboratories to 90%, without having ever accidentally stepped outside a medical school…) does not require a “doctor”. This work of “evaluating tests” (i.e., diagnosis) can be done by a machine properly equipped with a large database and artificial intelligence algorithms. And it is already being done: IBM’s Watson is not a future expectation. It exists and operates in various hospitals around the planet. Consequently, a series of medical specialties related to diagnoses are heading toward disappearance much faster than they think, or, in the best-case scenario, toward rapid depreciation. The same applies to various categories of surgeons: “smart” robots can already perform impressively precise surgeries, perhaps with the assistance of a semi-specialized operator.

The sanitarian terror campaign “struck” the “medical body” precisely at the historic moment of the violent acceleration / restructuring of the health industry in the western capitalist world. And it struck it in the “heart.” By banning pharmaceutical treatment of any real problems due to sars-cov-2, the bioinformatics-security complex pushed a large part of this traditional “medical body” to two extremes. Either to the extreme of the examiner (especially these useless or even dangerous PCR tests…) or to the other extreme of the “switchman” towards intensive care units, where little could be done beyond intubations. By violently abolishing the clinical / therapeutic process which was essential to the identity of medicine in the 19th and 20th centuries, the complex essentially moved to the second phase of abolishing clinical practice, that is, the mass hospital…

We know that what we support will inevitably be considered invalid in summary… However, pay attention: at the moment when someone who has a fever and cough (: symptoms…) is afraid they have caught the virus and, with fear, picks up the phone to dial the “emergency number” provided by the state for exactly this situation (: tele-primary health care…), seeking advice and guidance (: diagnosis…), and on the other end of the line, a doctor or even a nurse does not respond, but rather a simple telephone operator / a simple telephone operator who has in front of them, on the computer screen, a “table” based on which they respond, at that moment clinical medicine has definitively ended! No death certificate is needed: de-specialization (: telephone operator) combined with mechanization (: a computer) has abolished the general practitioner, and nobody made a sound!

This was done to saturation in our parts, especially before the generalization of “tests”, which constructed a kind of automation-in-diagnosis. When, moreover, through the so-called “self tests” this automation was done at home (regardless of how many actually did these self tests…) the test was completed at a higher level.

These are some of the basic, tangible elements of the “transition,” and therefore of the battle that was lost without even being fought. Elsewhere (we have in mind Italy and the USA, possibly also France) many hundreds of clinicians understood the “trick” of eradication, not only of their own but also of healthcare, and reacted with practical success “at the heart” of the matter (more on this another time…). In Hellas-tan, no. They surrendered, thinking that the “applause” on their balconies honors them…

Wrong! Tragic mistake! If now, a part of these doctors, nurses and paramedics, who before were considered “heroes” are treated as “enemies of the people” – in our opinion – it is exactly for this reason: they utterly failed to redefine and reassert their position and their real therapeutic independence and social significance within the heart of the sanitarian terror campaign and against its norms! The applause was stadium-style, and so was the disgrace: bravo my player – oust the traitor! (Now even the platformed will be considered “suspected of forgery” – who? The “heroes”!!! As if they were dogs: they should have clips on their ears…)

Consequently, for every Karagiozis* to come out and shout at them that at 11:59 they were doing their job perfectly fine without platforms, but at 12:01 they are dangerous to public health if they don’t give in, strikes precisely at this: their long-standing real, technical, and political disqualification as doctors – and their demotion to “case managers” constructed by some (the industries of tests and “analysts”) and exploited by others (the terrorist demagogues of pharmaceutical cartels) in favor of genetic engineering. Which, as anyone can understand, is an entirely different Paradigm of handling “health” compared to medicine. In the end, using a syringe doesn’t make you a doctor… Even a child can manage that…

This is the battle they did not fight: for clinical medicine and its autonomy.

We know why they didn’t give it to her – do they know?

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