Gun Control Kills

What would have happened on 9/11 if this were truly the Land Of the Free.

What would have happened on 9/11 if this were truly the Land Of the Free.

For sixteen long years, libertarians have maintained that 9/11 would not have occurred if individuals weren’t Unconstitutionally denied their right to protect themselves.

Even if there were only one armed individual on each aircraft, they’d stand a good chance of killing a terrorist. The terrorist would be facing an unknown enemy from an unknown direction. Eventually the shooter would bring him down.

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“Airport Security” Is Impossible

“Airport Security” Is Impossible
Ohio Scientific C8P-DF

Ohio Scientific Model C8P-DF

As a boy, when my friends and I played Star Trek in the back yard, I was always Spock.  The character held an “A7 computer expert” rating.  When questioned about his qualifications during Kirk‘s court-martial, he testified simply:  “I know all about them.”  He was an expert with a Tricorder, able to extend its functionality using primitive technology.

In 1979 (I was 14 years old), my father purchased his first business computer.  It was a state-of-the-art Ohio Scientific C8P-DF, notable for its dual 8″ floppy drives capable of storing a massive 275K.

I was hooked.

The first computer I owned was the venerable Commodore 64.  Even today, it remains the best-selling personal computer of all time.  It sold over 17 million units and boasted over 10,000 software titles.

Motorola Droid Tricorder App

Android Tricorder App

My current computer of choice is the Motorola Droid.  Aside from scanning for life forms, it embodies all the functions of the Tricorder — and considerably more.

I eventually made my career in computing.  I have touched IBM mainframes, AS/400s, servers, PCs, Macs, laptops, netbooks, blades, virtual machines, iPod/Phone/Pads, Androids, routers, switches, load-balancers, mass storage devices, and firewalls.

With a career in computing comes degrees (I hold both an Associate and Bachelor of Science in Computer Science) and certifications.

One of these is the CISSP or “Certified Information Systems Security Professional.”  I obtained this in the year 2000 — before the tragic events of 9/11.  I might also add that it is the single most difficult exam I’ve ever taken.  No college exam in any subject, nor any other certification, comes close to the difficulty of the CISSP exam.

A typical data center

A typical data center.

While the CISSP is devoted to security as it relates to information systems, a major part deals with physical security as it relates to data centers.  This is important, as today’s data center can hold exabytes of data.

An exabyte is a million terabytes: roughly one million times the amount of data found on modern commercial hard drives.  Indeed, it’s estimated that Google alone processes about 24 petabytes of data every day (only a thousand times the size of commercial hard drives).

Information stored in modern data centers can include everything from your financial and medical history to the blog you’re reading now.  Obviously, one of the jobs of a qualified CISSP is to make sure that no one can simply walk into a data center and access the data storage hardware.

It was while studying the physical security section of the CISSP that I realized that what’s called “airport security” is nothing of the kind.  In fact, “airport security” is simply impossible.

The concept of “airport security” is actually Access Control.  “Access Control” is a catch-all concept that basically boils down to the idea of controlling who can get into a particular area and who can’t.

The reason that access control is impossible in an airport is very, very simple.  The underpinning of all access control is this concept:

Deny access to everyone but a few individuals.

“Airport security” attempts the reverse:

Allow access to everyone but a few individuals.

This is flatly impossible.

No individual, company, military, or government has ever devised a method to allow everyone in but keep a few out.  Every single individual, company, military, or government in existence implements access control by denying access to everyone but a select few.

Imagine, for a moment, that the Secret Service were to emulate “airport security” as regards access control to the President of the United States.  Starting tomorrow, anyone who wanted access to the President could have it and the Secret Service would concentrate on screening out those individuals bent on doing him harm.

The President could count his life expectancy in hours — perhaps only minutes.

The Secret Service handles access control the only way possible:  by establishing a perimeter around the President.  This perimeter denies access to everyone and only allows through a select few that were screened.

Maintaining this perimeter when the President is in public is what causes Secret Service agents to have nightmares.  It’s why entire freeways close when his motorcade passes.  It’s why Air Force One exists instead of the President flying via commercial jet.

Access control in a public place (such as an airport) is by definition impossible.

I’m rather naturally prone to a certain level of paranoia.  It’s part of what makes me good at information security:  I’m willing to imagine that which the average individual will not.  It’s why I’ve engaged in a now 15-year-long series of mental exercises regarding “airport security.”

TSA Porn

This is not “security”.

Since the Oklahoma City Bombing, every time I’ve been in line at “airport security,” I have amused myself imagining ways to subvert it.  Nothing — I repeat, nothing — the Transportation Security Agency has ever put in place would deter me from causing death and destruction if I so desired.  This includes their most recent institution of invasive X-Ray machines and “pat-downs” that would qualify as sexual assault were it to occur anywhere other than airports.

Indeed, I’m absolutely certain that I could smuggle a small-frame revolver onto any aircraft I liked.  I’ll not go into details unless asked, but there is absolutely no barrier to a determined individual doing so if they wish.

Were airports to institute true access control, their makeup would change radically — and in the process violate every one of the Bill of Rights.

The precepts of physical access control rest on three pillars:

  1. Something you have
  2. Something you are
  3. Something you know

Something you have is usually a magnetic key card issued solely to you.  If lost or stolen, it is immediately reported so that it will invalidated and a new one issued.  Magnetic key cards are swiped or held against a scanner that then checks with a computer database to ensure that this key has access to the area being controlled.

Something you are is biometric data, usually hand or fingerprints (though retinal and other biometric information is becoming more common).  The user places their hand on a scanner which then checks it against a computer database to ensure that this hand/fingerprint has access to the area being controlled.  It’s cross-referenced against the key card to ensure that the individual associated with the key card is also the individual associated with the hand/fingerprint.

Something you know is usually a password or PIN that the user changes at regular intervals.  Password rules are typically enforced as well, so as to prevent the user from choosing one that is easily deduced.  This password is also checked against a database and cross-referenced with both the key card and hand/fingerprint to assure that all three are assigned to the same individual.

Let’s imagine an airport where true access control is implemented:

Firstly, freedom of movement would be restricted.  Anyone who wished to travel by air would be required to undergo an extensive background investigation of the kind usually associated with government security clearances.  This is at best a multi-month process involving reams of paperwork in which the passenger would be required to report everything from their blood type to their credit history.

A handprint.

If the individual passed the background investigation, they would then be issued a permanent air access pass.  Their fingerprints, hand prints, and other biometric information would be collected by the TSA and held permanently.  They would be establish a secure password, which they would be required to change every few weeks, regardless of whether they’ve traveled by air or not.

A "secure" airport

A truly secure airport.

Physically, airports would resemble prisons.  At the least they would be surrounded with high fences (optimally concrete) topped with barbed wire.  Optimally, they would be entirely enclosed, save for jetways, aircraft parking slots, and runways.

Passengers would not have access via car, limousine, or public transportation.  Commercial vehicles of any kind would be restricted to parking areas well outside the airport.

A passenger wishing to enter would swipe their permanently issued pass key, place their palm on a hand-reader, and enter their password.  This would allow them physical access to the airport facility, but not allow access to any boarding area or flight.

Diagram of a Man-Trap

Diagram of a man-trap.

The passenger would then enter a man-trap.  This is a hallway containing two doors.  Only one door will open at a time: the entry door are closed before the exit door open.  The interior consists of concrete walls, floor, and ceiling.

At this point, the passenger would be required to surrender their baggage by leaving it in the man-trap.  There would be no carry-on baggage.  It would be placed on a stand resting in front of the only other exit from the man-trap:  a suitcase-sized 6″-thick steel sliding door operated remotely.

Utilizing the pass-key/handprint/password again, the passenger would leave the man-trap.

Baggage Search

Mandatory baggage search.

An operator would then open the baggage door and baggage would be transported via conveyor to inspectors.  The inspectors would then subject it to a rigorous manual search prior to tagging it with a radio sensor for tracking and appropriate routing.

Meanwhile, the passenger would proceed to the boarding area for their flight, again utilizing the key card, hand/fingerprint, and password to enter the boarding area.  The system would allow entry only to the boarding area of the flight for which the passenger is booked.

When boarding the flight, the passenger would enter the jetway via the same method.  The jetway, however, would be another man-trap, allowing only a single passenger at a time.  Entry to the aircraft would be accomplished using the key card, hand/fingerprint and password.

The same methods would then be used at the passenger’s destination, in reverse.

That would be airport security.

Understand that anyone with training in access control knows that it is impossible to secure a public place.  Every officer in every military in every country knows it.  Every Secret Service agent knows it.  Every FBI or CIA agent knows it.

Every TSA agent knows it.

What is occurring now, with naked x-rays and pat-down-rapes provides absolutely no barrier to terrorists.  Every single individual who has ever had experience with true access control knows this, and that includes every President, Vice-President, Speaker of the House, Congressman, and Senator.

What, then, is the purpose of “airport security” if not to provide a barrier to terrorists?

It’s two-fold:

Firstly, the overwhelming majority of individuals in the United States has no experience with true access control.  Their experience is limited to their workplace, which may issue a magnetic key card.  By itself, a key card offers very limited security, but in the workplace, it’s typically adequate.

After 9/11, passengers realized that airports could be accessed by terrorists and demanded the Federal Government “do something.”  Since there is no way to implement access control at a public place, those in power chose to use the event to establish procedures that offer no barrier to terrorists — but that are mistaken as such by the general public.

Over the next decade, these procedures became increasingly draconian, to the point where we are today:  airports that afford easy access to terrorists while only violating the rights of all passengers in the process.

The second (perhaps unintentional) purpose of “airport security” is far more dangerous and sinister than simply making passengers feel safer:

It has conditioned almost an entire generation of Americans that their rights are taken from them any time government claims it’s for the “common good.”

In short:  it has conditioned us to be sheep.

Is there a solution to the problem of terrorists having access to aircraft?  Indeed there is, and it can be implemented without resorting to the means described above.  It costs nothing, and in fact will allow the TSA to be disbanded and all “airport security” to be torn down.

The Bill of Rights

The Bill of Rights

The solution is simple:  enforce the Bill of Rights on aircraft.

That is, instead of making sure that every passenger is disarmed, degraded, and treated like criminals, simply allow the Second Amendment to be exercised by anyone who cares to do so.

There is, after all, no wording in the Second Amendment that says “unless the Federal Government says otherwise.”

I’m sure there are readers who will find this an alarming solution, but consider:

Until 1978, any passenger could board any aircraft in America with any form of firearm.

You read that right:  from 1903 until 1978 — a period of 74 years — any American could board any aircraft carrying any weapon of his/her choice.  Knives, handguns, and rifles were permitted; either concealed, carried openly, or packed in a briefcase.

For almost a three-quarters of a century, not a single individual was shot, nor a single cabin depressurized by a stray bullet, nor a single aircraft flown into a building.

It’s true that aircraft were occasionally hijacked.  It should be noted that their success depended on the Federal Aviation Administration’s policy of complying with a hijacker’s demands.

In a post-9/11 world, no would-be terrorist would successfully hijack a plane filled with armed passengers.  They would simply overwhelm the terrorist, even if it meant injury or death to some passengers in the process.

The alternative — another 9/11 or worse — would be unthinkable to armed passengers.

Indeed, there is ample evidence that were aircraft filled with individuals capable of defending themselves with lethal force, a would-be terrorist wouldn’t even make the attempt.

Since a picture is worth a thousand words, I’ll leave you with the immortal contribution to this subject by the fantastic Scott Beiser.  Even if you place guns in the hands of the would-be terrorists, it makes no difference.

Scott Bieser September 11 Cartoon

What might have happened on 9/11 if this were truly the “Land of the Free”

U.S. Police State?

Facts indeed.

The relevant portion of the text:

There is a lot of disinformation about health insurance reform out there, spanning from control of personal finances to end of life care. These rumors often travel just below the surface via chain emails or through casual conversation. Since we can’t keep track of all of them here at the White House, we’re asking for your help. If you get an email or see something on the web about health insurance reform that seems fishy, send it to


Department Of Homeland Security

Department Of Homeland Security

In my essay, “The Phantom Menace”, I predicted that Saddam Hussein — and indeed, virtually all of the “terrorists” that government has paraded before us — would turn out to be absolutely no threat whatsoever. I pointed out that the FedGov’s stated reasons for starting a war with Iraq were mutually exclusive.

History is now bearing out my assertion. The Weapons of Mass Destruction™ that the FedGov shrieked were in imminent danger of being used against Americans have disappeared. In fact, Bush Administration officials are now claiming that it is unlikely that any are to be found.

This is in direct contradiction to what Dubyuh and his cronies claimed immediately prior to the invasion. At that time, the story was that the FedGov’s spy satellites had conclusive proof of the WMDs’ location, and that the only reason the FedGov wouldn’t release this data to UN weapons inspectors was to maintain the anonymity of US intelligence sources.

Now that the war is all but over and US troops are crawling all over the place, the WMDs have somehow become impossible to locate.

There are three possibilities to account for this:

  1. There never were any WMDs. The Bush Administration deliberately lied, using the occasion to gain effective control of an enormous oil reserve.
  2. US intelligence is incredibly faulty — so faulty that a war was started on the basis of items that never existed. If intelligence was so poor on an item this critical, it calls into question every single piece of intelligence gathered before or since. None of it should be trusted.
  3. The WMDs were smuggled out of Iraq prior to the war and are now in the clutches of some other evil madman.

There is no way to know which of these is true. However, last week, when a caller confronted leading Republican whore Rush Limbaugh with this very idea, Dubyuh’s next move in the War on Freedom (nee War on Drugs, nee War on Poverty, nee Great Society, nee New Deal) was unwittingly telegraphed.

Keeping half his brain tied firmly behind is back (just to make sure he didn’t accidentally come to a rational conclusion), Rush stated that he simply couldn’t believe that the Bush Administration would lie about the existence of the WMDs. Similarly, Republican-run intelligence couldn’t possibly be that faulty, particularly given its success during the war. Therefore, the WMDs must have been spirited out of Iraq prior to the war.

“I would be in favor of taking Syria apart to find them,” Limbaugh opined.

This, then, will be the next logical step in the War on Freedom:

  1. Use the Weapons of Mass Destruction(TM) that were smuggled out of Iraq as justification for further draconian domestic policies. Continue to terrify Americans with ghost stories about non-existent domestic terrorists as a means to assume additional power.
  2. Claim that the Weapons of Mass Destruction(TM) were smuggled into [INSERT NAME OF POLITICALLY INCONVENIENT COUNTRY WITH LARGE OIL RESERVES HERE] as justification for invading other countries.
  3. Don’t do the one thing that would actually reduce the likelihood of terrorism on American soil.

It’s quite clear (echoed by Rush Limbaugh) that the Bush Administration considers American control of the Middle East imperative. The rationale for this will be fighting terrorism or liberating oppressed peoples: the honest truth, of course, is that Bush believes America to be inextricably bound to Middle Eastern oil. It’s time, in Dubyuh’s mind, to “bring civilization to the Darkies,” and he doesn’t care what lies he has to spew in order to do it.

“But Bill,” the Republican apologists will whimper, “the military isn’t going to stay in Iraq. As soon as Iraq has democracy and a free country, they’ll leave.”

If this is so, will Iraqi oil companies be free to sell oil at double the current prices if that’s what the market will bear?

Of course not. The FedGov will forevermore exert at least enough political control over the country to maintain cheap oil prices. This is all the FedGov has ever been interested in and all it will ever be interested in.

“Freedom,” “liberation,” “Weapons of Mass Destruction(TM)” … these are all just sounds to those in the FedGov, noises to be made when attempting to garner public support. To Dubyuh and his ilk, these words have no meaning beyond how they may be used to inflame the emotions of those who vote.

Noise, that’s all: just noise. If Klingonese would serve to stir up emotions, Dubyuh would be be ranting, “batlh da Qawlu’ taH! Qa’pla!”

If you still can’t conceive of the notion that this is entirely a con game constructed by individuals expert at manipulating your emotions, consider this:

There is one thing — one simple, completely free thing — the FedGov could do to reduce the likelihood of terrorism on American soil to nil. It could be implemented with the stroke of a pen, unilaterally, and not require any input by Congress.

The President could enforce the Second Amendment to the United States Constitution. He could declare all 20,000 gun laws on the books both Unconstitutional and immoral, instruct the Attorney General to prosecute anyone who attempts to enforce a victim disarmament law, and issue pardons to anyone convicted of a gun crime involving no violence.

The day after this occurred, crime would plummet and domestic terrorists would stop planning any of their nefarious activities. The September 11 terrorists would never have attempted their hijackings had there been some likelihood that they were surrounded by armed individuals who would never let their day be interrupted in that fashion.

That Dubyuh isn’t even considering such an action is proof positive of his intentions. He doesn’t want free individuals capable of defending themselves and those around them from terrorists. He wants ready victims dependent on government to do it for them.

At the opening of another fictional war, Obi-Wan Kenobi remarked that they would not have carried a victory but for the intervention of the clones. To paraphrase Yoda’s response:

“Victory? Victory, you say? Not victory — a defeat it was. Begun, the Freedom War has!”

Medical Care For Free Individuals

red_cross_logo-1022x1024Much to my surprise, I discovered that America actually has a health care problem.

I’ve known for years that health care was much too expensive, for reasons that are obvious to any non-Statist. What really surprised me is exactly how bad the health care problem is.

Its solution, of course, has nothing to do what the Statists in Washington and their sycophants the “free” press would have you believe.

As a teenager, I noticed that the left side of my nose stuck out a little farther than my right. I bemoaned this fact in terms of it being a deficit to attracting girls, but gave it no more thought.

In the ensuing twenty years, I experienced persistent sinus problems. In 1997, I spent eight months with sinus infections. Last year, it was close to six months.

However, in 2000 – by virtue of living in a small town in South Dakota as opposed to Chicago – I saw the same general practitioner at each doctor’s visit. In short order, she discovered that her usual course of treatment wasn’t working and sent me to the hospital for a CT scan. At this point the details of my unusual sinus physiology – and their impact on my health – became obvious, and corrective surgery was scheduled.

I’d never had surgery previously. With the exception of my daughters’ births, I’ve never been in a hospital except as a visitor. The experience was such that I’m inclined to take really good care of myself so that I need never see the inside of a hospital again. The experience was appalling, from beginning to end.

First came the predictable delays. My surgery was scheduled for 9:15am, and I was asked to arrive at 7:45am. I wasn’t called to have my intravenous drip inserted until 9:00am – meaning there was no chance of making the 9:15 surgery.

Those in the medical profession don’t really seem to understand the effect that delays have on a patient. Let me put this as succinctly and clearly as possible:

Surgery scares us. Even relatively simply outpatient sinusoidal surgery is frightening. If you’re a normal human being, the notion of being unconscious while someone sticks a tube down your throat so you can breathe, breaks your nose, and threads mechanical devices into your head should scare you.

Sitting in a waiting room watching weekday morning TV while wondering what’s taking so long does not make you feel better. All it does is give your imagination time to run wild.

When I was taken to have my IV drip inserted, I was led to what amounts to a large room with beds, separated by thin curtains. I was then invited to strip off my clothes and put on the dreaded “hospital gown.”

I’ll grant the medical profession this: since my last daughter’s birth, patient care has advanced to the point where if you know how to tie the gown correctly, it will cover your behind.

I don’t know who thinks that these conditions represent anything like privacy. Certainly no one outside the medical profession.

At this point, I experienced another delay of approximately an hour and a half. This time, my imagination was fueled by an elderly man ten feet away from me who was awaiting a triple bypass operation. I know all the details of his case: he received teary-eyed visits from all his relatives. A couple of cotton curtains do not qualify as soundproofing.

While I was intellectually capable of saying to myself, “Well, at least I’m not having heart surgery,” listening to the personal lives of an old man and his grandchildren does not have a positive impact on your mood.

By the time I was finally transferred to a wheelchair and taken to pre-op, I had experienced not only the old man and his family, but the victims of an automobile accident who were wheeled past. Again, this is not conducive to a positive mental attitude.

Then things really got awful. I suffered yet another two-hour delay, during which time I was treated to the most appalling examples of bedside manner that it’s ever been my misfortune to witness. Indeed, it reminded me of a triage scene from M*A*S*H.

At one point, an elderly lady was brought in complaining of chest pains and difficulty breathing. When the surgeon on duty examined her, there was a pause and then he asked if she’d ever been told she had heart problems. She replied that in 1991, she’d been told about a heart murmur. In a tone of voice more appropriate to discussing the autopsy of the one of the accident victims I’d seen previously, he said:

“Well, ma’am, from listening to your heart, it sounds like one of your ventricles isn’t functioning at all. You’ve got a very serious problem. We’ll give it a shot, but it’s really bad.”

I couldn’t believe my ears. The doctor was essentially telling the woman her days were numbered, but his choice of words and tone of voice were likely to frighten his patient into shock.

I wish I could say that was the worst of what I witnessed. Appallingly, it was not.

Shortly afterward, a nurse brought in a 35-year-old woman who was morbidly obese (she gave her weight as 350 pounds) and suffering from lung and heart problems.

The first thing that happened was that the nurse who delivered the patient was thoroughly chewed-out by the pre-op nurse. It seems that the pre-op nurse didn’t feel the job of transferring the patient to a bed should lie with her. Three strapping orderlies were located. In a manner more consistent with moving a piano than a pathetically infirmed human being, the orderlies transferred the patient to a bed.

It didn’t stop there, either. This poor woman’s horror story was only just beginning.

The doctor arrived, examined her, and suggested that they would need to insert something into an artery in her neck. The doctor said to the patient (again, in that callous tone of voice):

“Ma’am, we’ve got to get this thing inserted, but you’re really heavy and have a lot of fat in your neck. I don’t know if I’ll be able to find an artery. I’ll give it a shot, but I can’t promise anything.”

He then proceeded to spend a lot of time poking, prodding, and pushing. He ultimately had to call an orderly to roll the patient over a couple of times, all the while complaining about the difficulty finding the artery.

When he finally did locate it, he let out a surprised gasp and said, “Dammit – that’s a lot of blood – can we get somebody here to clean this mess up?”

Finally, just to add insult to insult (as they had already added insult to injury), as the surgeon put away his instruments, the nurse said to him:

“That took quite some skill, Doctor, to even find the artery.”

“Skill? No – that was just dumb luck. I had no idea I was going to find anything. I think I probably went completely through the artery a couple of times and didn’t know it because of all the fat.”

Keep in mind that while I never saw the patient in question, the only thing separating us was a thin cotton curtain. And in any event, they made these comments in front of the patient.

While this was absolutely the worst example of a doctor’s behavior during my surgical experience, there were a number of examples of extraordinarily bad design and planning that resulted in what can only be termed callous treatment – if not outright mis-treatment.

For example, as I was trying to recover from the shock of overhearing the trials of the poor woman next to me, I heard the unmistakable sound of a defibrillator charging and then being discharged.

Now, it may be that they were only testing the equipment – or it may be that some poor soul within my hearing experienced a coronary arrest. Perhaps it was the elderly gentleman from the IV insertion area. I don’t really know, but by that time, my mind was working overtime imagining the worst possible things that could happen to me.

Then they wheeled in an accident victim with a broken arm. Again, the doctors treated her utterly callously, and again I heard the phrase, “I’ll give it a shot.”

Let me give the doctors among my readership a tip: “I’ll give it a shot,” is not something a patient should ever hear out of your mouth. It doesn’t matter if you think that what you’re doing has no chance of working, you should never say it.

A patient does not want to hear that their condition is permanent – or worse, terminal. They’re probably afraid for their lives already. What a patient needs to hear is the gentle, firm conviction that the treatment you’re about to give is correct and will at least alleviate – if not eliminate – the problem.

In a classic example of extraordinarily poor architectural design, the surgery pre-op area adjoined the recovery area. It was literally on the other side of a couple of inches of drywall behind me. There were no doors separating the area, just a fifteen foot wall/partition.

Unfortunately, some poor infant was in the recovery area.

I can’t speak for other parents, but since the birth of my daughters, I can’t stand to listen to a child in any kind of pain. I can’t watch movies where awful things happen to children. I can’t bear to watch coverage of the Andrea Yates trial – and she’s really lucky I wasn’t on her jury. Before I had children, I used to like dead baby jokes; now I can’t stand them. Anything that involves pain or cruelty to a child simultaneously sickens and enrages me.

The poor infant on the other side of the partition wailing its lungs out very nearly sent me over the edge.

After what seemed like an interminable delay, the anesthesiologist from my surgery stopped by to explain his role. When he was done, he asked, “Do you have any questions?”

While I was by no means eager to get into surgery at this point, I was nevertheless desperate to get out of pre-op. I told the doctor:

“Well, you know, Doctor, sitting here the last hour or so, I’ve come to the conclusion that I made the right career choice when I went into computers. So can you tell me when they’ll be ready to take me into the operating room?”

I got a quizzical look. “I don’t understand.”

“Well … I’m saying that sitting here, listening to everything, I’ve discovered that I just don’t have the … constitution … to deal with the sorts of things you guys deal with all the time. So I’m kind of interested in getting into the O.R.”

He stared at me like I’d suddenly sprouted two heads. “I’m sorry, what … ?”

I began gesturing at the partitions around me, then pointed to my ear and mouthed the phrase, “I really don’t like hearing all this.” What was he going to do, make me come right out and say that these pathetic cases were driving me nuts and I’d rather be under the knife than listen to them?

Again, he gave me a deer-in-the-headlights look. I realized that he was so appallingly inured to the callous treatment of patients that he really had no conception of its effect on both the patients and the witnesses to it.

“Forget it, doc – I’m just curious when I’m going in, is all.”

So he helpfully went to ask, returned, and told me it would be about half an hour. It was, naturally, double that.

When they finally came for me, I was a nervous wreck, due entirely to the surroundings into which I’d been thrust. In reality, my surgery was fairly minor – noninvasive even, since they do all the work through the nose without incisions. But after a morning spent in the horrors of pre-op one would need a stronger constitution than I to not be scared out of their mind.

From the moment I entered the O.R., I decided that I’d do my level best to not be a part of the problem. I recounted the incident with the obese woman next to me to my surgeon, who was – again – so inured to callous patient treatment that he didn’t understand my objections.

In an effort to be upbeat, I said, “Well, at least I don’t have to worry. I mean, it’s not like you’ve ever lost someone to sinus surgery, right?”

There was a long, silent pause. Had I not been fasting and recently visited the restroom, I would have soiled my hospital gown. Finally, the anesthesiologist said, “Well, we try.”

Another tip for the doctors in my readership: if a patient asks such a question, the correct answer is, “No, sir, we’re never lost anyone to sinus surgery.”

They administered my general anesthetic, and as I was starting to get woozy, I could hear the anesthesiologist asking me questions about how I felt. I murmured something non-committal, and then, as loud as I could say through the haze descending on my mind, I called out:

I see dead people!

There was general laughter, and I lost consciousness. Always leave ’em laughing!

When I came around in the recovery room, I made a distinct effort to sound upbeat, happy, and positive. I made jokes, repeated the “I see dead people,” line when asked by a nurse how I felt, and generally tried to put on a good show for the benefit of anyone listening in pre-op.

I wish that I could say this experience took place in some inner-city hell-hole. I wish I could write it off as an unusual aberration. I wish I could, but I can’t. It occurred in a hospital with an excellent reputation in Sioux City, Iowa. If it’s that bad in Sioux City, it’s probably that bad everywhere. Or worse.

So far, the surgery’s been a resounding success, correcting everything it was intended to. During the resultant week off for recovery, I had a lot of time to ponder why the experience – indeed, the system itself – is so horribly flawed.

I couldn’t help but contrast current patient care with that common in my grandmother’s day. My grandmother – an elderly pioneer of the American West – occasionally tells of her hospital experiences delivering her five children (well, almost five hospital deliveries – my uncle John didn’t wait until she got to town).

In my grandmother’s day, it was commonplace for a mother and newborn to be in the hospital for a month after delivery.

You read that right: a month.

Today, unless you have extenuating circumstances such as a Cesarean section, you’ll be out in two days. I’m certain the lack of professional care following delivery accounts for many complications in both mother and child. Indeed, my sister and her first son were ejected from the hospital in 24 hours, resulting in my nephew contracting pneumonia a day later.

In my grandmother’s day, house calls were commonplace – even though the nearest town to her ranch was more than an hour’s drive under the best of circumstances. Today, the house call is considered a quaint hallmark of the past – something to be derided and laughed at when you watch “The Brady Bunch.”

However, no one can argue that receiving professional attention for a month after delivery would be beneficial. Nor can one argue that getting out of bed to go sit in a doctor’s waiting room when you’re sick is anything other than awful.

Leaving aside for a moment the element of care, there is the issue of cost to consider:

Prior to WWII, costs were so low that my grandparents – whose lifetime income is less than many individuals’ annual earnings – could easily afford to pay for hospital care for a month.

That’s hospital care for a month for five children.

Think of it. In the early part of the 20th century, dirt-poor cattle ranchers in extremely rural South Dakota – an area that’s still unbelievably remote, undeveloped, and poverty-stricken by modern standards – could afford to pay for hospital care for a month for five children and their mother. Neither did they have medical insurance to draw from: they paid out of their own pocket.

Today, anyone paying out of their pocket for a month of hospital care is either independently wealthy or about to file for bankruptcy.

What happened to this kind of care and affordability?

The answer is simple: government.

Prior to WWII, there was almost no Federal intervention in the health care industry. As such, health care was subject to the same market forces as any other product, and with the same result: lower costs for higher levels of service.

Then the FedGov got into the picture. It put Unconstitutional price controls on medical care. It invented Unconstitutional programs designed not to help the needy but to create whole classes of people who depend on the FedGov for medical care. Insurance companies took advantage of the business opportunity, inserting themselves as a middle-man between the patient and the doctor. Ultimately, insurance companies bribed FedGov officials – sorry, made “campaign contributions” – and got their position solidified by Unconstitutional law.

It’s been downhill ever since.

Partly, too, the problem is due to the doctors’ union – sorry, the American Medical Association.

Prior to the 20th century, there were essentially two classes of medical doctor: the physician and the surgeon.

A physician was an individual who made the rounds of his patients every day, treating common illnesses. A surgeon was an individual at the hospital who actually performed operations. The two classes of doctor didn’t have the same training, because it’s obviously not necessary. A General Practitioner (in today’s parlance) rarely performs surgery. A Specialist is a surgeon in a particular field and never performs GP work.

Via Unconstitutional FedGov intervention, the AMA eliminated the physician. Today, all medical doctors are – needlessly – surgeons.

These factors – driven entirely by Unconstitutional FedGov intervention – act to completely divorce health care from market forces. Further, the primary customer of a medical doctor is not an individual patient, but rather that patient’s insurance company.

Small wonder that patients are treated so callously.

In a free society in which individuals self-govern guided by the Zero Aggression Principle, things will be radically different.

In the first place, the cost of health care will be radically lower because there will be no AMA-induced physician shortages.

Freed from requiring the intestinal fortitude to perform surgery, the job of physician will attract intelligent individuals who presently go into fields like engineering and computer science.

Indeed, were it not for surgery, I might have been inclined to have become a physician. In my college days, I spoke with a number of engineering students who’d have preferred to be doctors but didn’t want to perform surgery.

Contrary to what many of today’s surgeons might claim, there’s really no need for anyone who treats the flu on a daily basis to be a surgeon. Indeed, eight years experience as a father has taught me that a gallon of Amoxycillin syrup in the house would be enough to keep my kids out of the doctor’s office almost entirely.

Imagine it: a free society in which medicine (indeed, all chemicals) are unrestricted consumer goods, the same as TVs, VCRs, and computers.

In a free society, when one of my daughters complains of an earache, I’ll exercise some judgment and in all probability make a quick run to the drugstore. I’ll plunk down a couple of fractional copper ounces and purchase a bottle of Amoxycillin. There’ll be competing brands, as well – the same as there are fifty different kinds of cough syrups today. I’ll choose the least expensive one I want for the quality I want, take it home, and my daughter won’t see the physician at all.

If I decide that my daughter’s condition warrants a physician’s visit, I’ll call one. The physician will appear on the door, examine my daughter in her bed, and advise me as to what to buy for her condition – and indeed, probably offer me some from the physician’s van or SUV.

Physicians, you see, will compete for my business the same as a plumber or other skilled technician. Under such circumstances, it will be in the physician’s best business interest to come to my house, to treat my family and I with respect and compassion, and to have a supply of common drugs on hand. There probably won’t be much profit in selling the drugs, but as it’s inconvenient to run to the drugstore when one has a sick child, the physician may be able to get away with charging more than a drugstore.

A physician in a free society might will even offer to sell other drugs – probably as a side business. “Anything else I can get you as long as I’m here, Mr. Stone? I just got a new shipment of that West River Gold you like. You need any today?”

In fact, in a free society, it won’t just be the physicians who make house calls. So will the surgeons. Like other technicians, surgeons will compete for my business. In short order, they’ll discover the competitive advantage of offering surgery and recovery services out of patients’ bedrooms.

In an anarcho-capitalist society in which individuals self-govern guided by the Zero Aggression Principle, contrast my sinus problem with that of of my (hypothetical) grandson:

Firstly, my 17-year-old grandson will probably have the same family physician for most of his life. After all, as long as the care is good and the price is right, having the same individual constantly looking after your body makes at least as much sense as having the same individual looking after, say, your computer network at your business.

Further, my grandson’s physician has a good chance of being female. I have a strong preference for female doctors – females have a natural business advantage in terms of bedside manner. Most men have to learn how to appear nurturing.

At the age of 17, during a house call for a persistent cold, my grandson’s physician will notice his deviated septum. She’ll make a quick trip out to her van, SUV, or service truck and drag out the CT scanner.

In a free society, medical technology – unhampered by government restrictions – will advance with at least the speed of the personal computer. It will probably advance faster, since people tend to view prolonging their lives as a higher priority than obtaining a competitive business advantage (though in a free society, there will be individuals that attempt to gain competitive advantage in the business of extending human life). Under such conditions, there will be small, handheld or portable CT scanners that would allow a patient to simply lay on their bed for the procedure.

They’ll run my grandson through the CT scanner and realize that his physiology – left uncorrected – will result in blocked sinuses, persistent infections, and other nasty problems.

Once the CT scanner confirmed that corrective sinus surgery was the only option, the physician will put in a call to a sinusoidal surgeon – a business associate to whom she’ll refer in such cases.

The sinusoidal surgeon will schedule a surgery visit at my daughter and grandson’s convenience – and if their convenience didn’t match the surgeon’s schedule, the physician will call one of the other surgeons competing for my daughter and grandson’s business.

On the day of surgery (in all likelihood the next day), my grandson’s physician will be present. It’s only good business, after all, to assure that your patient feels comfortable with the stranger about to operate on their body. The surgeon will set up a portable surgical environment in my grandson’s bedroom, politely asking my daughter to move certain unsterilizable items out of the room for the duration of surgery.

The room and bed themselves will receive the cleaning of their lives, and a portable, sterile flooring placed over the carpet not covered by the bed and furniture.

The surgeon will ask if my grandson wants music, an Internet multicast, or other diversion. When the environment is comfortable for my grandson, he’ll climb into bed and the surgeon will administer the necessary anesthesia.

When my grandson wakes up, his room will be exactly as it had been before the surgeon started rearranging things for the procedure – albeit immaculately clean for the first and only time in my daughter’s memory. My grandson’s physician will remain unobtrusively present for several hours, to monitor his recovery in case of unforeseen complications.

Total cost to my daughter: a few ounces of gold. A little steep, perhaps, but more than worth it in the long term.

By the time my grandson is old enough to worry about his nose sticking out on one side being a problem with girls, the entire concept of hospitals will have been relegated to historical dramas. People will watch movies about hospital stays in the late 20th and early 21st century with the same kind of natural revulsion we experience when we watch the surgery scenes in the movie Glory.

However, we won’t get there until we stop believing that government can solve the problem. Government is the source of the problem.

Today, we allowing our Federal office-holders and their cronies to violate their oaths of office by passing blatantly Unconstitutional laws. In this case, intervention in the health care industry violates at least the Tenth Amendment – though most of the rest of the Bill of Rights is also impacted.

As long as we allow our elected officials to go unpunished for violating their oath of office, they’ll continue to do so. As long as they continue to do so, patients will continue to be treated like cattle.