Medical knowledge is limited to our own personal experiences, the perspectives of others who have told us what they think reality is, as well as hard data that has been recorded over lengths of time. Consider this unsettling hypothetical: What if all forms of medical knowledge suddenly disappeared? What would we do to rebuild our knowledge banks?

We would probably do what medicine has always done. Break our understanding of the world into pieces, form conclusions, and test them. We would, in essence, make models of the world; small insights of predictability that represent a working knowledge. And this is exactly what we do today. We work with medical models – not reality.

Some of today’s models seem to sensibly represent the world. They appear efficacious for the most part. Other models, however, make little sense. They survive because the political clout which birthed them continues to fight for their existence today.

We must be careful about what we believe. The history of science is filled with preposterous “truths” that stood lifetimes – even centuries – to be finally discarded as rubbish. Certainly, some of today’s most cherished medical beliefs will meet a similar fate. “Why?” you might ask. For the same reason those others were discarded: they are not tenable. Once the political and financial matrix that holds them in place disintegrates, they will lose support. Other models with more efficacy will nibble at their edges, then devour them. Old models will be replaced by new models; which will, hopefully, be more workable mechanisms of thought. However, if stronger political or financial incentives arise that support less workable models, they may replace their predecessors instead. When this happens, medicine, in a sense, steps backward.

Medicine is constantly marching. It may take two steps forward, one step back, then a step to the side. This is not a march to reality, but rather from one vague point in the past to another vague point in the future. Surely, some aspects of medicine will improve, while others will actually become more harmful. Many models and treatments will change neither for better nor for worse. Technology continues to improve, yet breast cancer is increasing. Bubonic plague may no longer be a threat, but AIDS is a pandemic. Tuberculosis was well-controlled twenty years ago, but more and more resistant strains are developing around the world. Although immunizations have saved millions of lives, only one disease has been completely eradicated.

Many of our twentieth century victories may be hollow. They may not even be victories at all. Instead, they may be no more than a natural or technological reprieve from the onslaught of future ills.

. . . .

Stephen Typaldos, D.O.
July 1994

Auto Warranty

Health insurance is more like a car’s warranty than auto insurance. Third party liability, as exists in auto insurance, is not envisioned in health insurance. It offers only the equivalent of “collision” coverage, which covers damage to your own vehicle in an accident without regard to fault; plus a warranty covering damage to parts and systems during normal use.

There are two types of car warranties: powertrain and bumper-to-bumper. Powertrain warranties cover the engine, transmission, and drivetrain – the components necessary to “power” your car. Bumper-to-bumper warranties cover almost everything, including the powertrain.

Powertrain Health Insurance

When discussing health insurance, it would be useful to differentiate between “powertrain”-type health insurance and full “bumper-to-bumper” health coverage. Here are definitions of the terms:

Definition of Powertrain healthcare: insurance covering treatment to a person’s vital organs and systems if it is necessary to maintain the person’s life and basic functions.

Definition of Bumper-to-bumper healthcare: insurance covering the full spectrum of non-elective treatments that are reasonably expected to improve a person’s quality of life.

Details can be worked out. We may want to include treatments for Type I diabetes but not Type II, for example, in powertrain coverage. For the broader purposes of this article, the category of treatments now considered “medically necessary” is being split into two categories, vital and non-vital. These definitions disregard whether a condition is an emergency. This means regular ECGs are more likely to be covered than a fractured ankle under a powertrain plan.

Role of the Federal Government

Powertrain issues – heart problems, cancer, stroke, Alzheimer’s – destroy lives, put people out of work, and bankrupt families. This area is where Americans need help from their government. Limitations on treatments for life-threatening and disabling conditions are more often a product of availability than price. Therefore, the quality of care has little to do with who pays.

The U.S. government should provide powertrain coverage for all Americans. However, it should leave additional bumper-to-bumper coverage to businesses and individuals if they so choose. It should also make self-insurance for bumper-to-bumper conditions a viable alternative.

Big Government versus Small Government

Here is an enduring debate between fiscal liberals and conservatives. Each side would love to savor the taste of victory. Unfortunately for both sides – and perhaps fortunately for our nation – this debate is unwinnable.

Usually, when two sides are deadlocked or engaged in a back-and-forth over long time periods, it is because neither side is addressing the real issue. The question to ask in this debate is how big does government need to be to fulfill its role effectively? The size our government needs to be is the inverse of the private sector’s effectiveness plus the square of its corruption, written in the formula: Size of Government = (Size of Overall Economy – Private Sector Effectiveness) + (Private Sector Corruption)².

Corruption is squared because as it increases, it is seen as more acceptable; and there is less will within the private sector itself to discourage and expose corruption. Of course, this formula applies to government involvement in the economy only, not in social or foreign policy matters.

Problems with National Health Coverage

What turn off many Americans are anecdotal complaints from citizens of nations having a form of national healthcare. Most of these complaints center on two problems, rationing and lack of choice. The problem of rationing is really a blessing in disguise. When people think that if they become ill they can have access to quality healthcare, they are not as inclined to care for their bodies. This concept is no doubt unpopular, but it is established truth in the insurance industry. Rationing is therefore desirable in a national health plan.

Lest anyone think rationing healthcare is totally unacceptable in a modern society, understand that if we do not control rationing, the system will ration itself – and it may not be in a way that we would prefer. Healthcare’s growth as a percentage of GDP is unsustainable. Soon society, including the federal government, will no longer be able to pay, and services will diminish. And even now, the idea that Americans with health insurance have ready access to quality care is a myth. Many Americans hold onto this myth until they or a family member becomes ill. It is then that the reality of healthcare’s limitations becomes apparent; and oftentimes, prevention offers no second chance.

A Pro-Choice Policy

Perhaps the most important healthcare choices are vital in nature. However, on a practical level, the choices Americans really care about are in non-vital matters, such as who their family doctor is and whether they get access to new medications. Life and death matters requiring procedures such as kidney dialysis, appendix removal, and insulin injections are not what they think of when asking for more healthcare choices.

This proposal preserves these choices by limiting government-sponsored healthcare to matters of vital importance, where there is general agreement about proper methods. This broad outline leaves room, as well, for building choices into a government insurance plan.

Perfection is out of reach

While it is utterly impossible to develop a system that satisfies the desires of all Americans and interest groups – so long as corporations profit from bad care, and Americans live dangerously unhealthy lifestyles – it is still quite easy to create a system better than the one we have now. Therefore, you should view this proposal as a new perspective; a different, and perhaps better, way of seeing the issues. This is not a quick fix. Anyone who tells you they have found a quick fix to healthcare is lying. There are just too many factors to consider.

The foremost factor in healthcare reform is the false, illogical theories upon which the medical profession is based. Until medical theory and practice are reformed, tinkering with the financial and business aspects of healthcare will accomplish little. This does not mean we should replace “conventional” medicine with “alternative” medicine. Nor does this mean we should take the best of both schools and form hybrid practices. Rare is the person who does not subscribe to one of those two camps. Alternative or “complementary” medicine is no longer a catch-all category for rejected methods. Instead, it has become a defined, competing branch of medicine; sadly, with illogicality similar in degree to that of conventional medicine.

Instead, what this means is that we should set aside ambiguous studies and marketing claims, and go through the evidence – studies, patient testimonies, physicians’ observations – with an eye for correlations among facts. Patterns of correlations can be used to theorize. Then we test those theories, not only with double-blinded placebo-controlled studies, but by logical, rational, and reasonable analysis. Are patients responding the way we would expect them to? Are there any symptoms that cannot be explained by our theories?

Tested theories are truth. They do not become truth because truth was present already; it was found, if you will. Various truths can be placed within a framework and cohered. When there are enough truths known in a particular branch of medicine for them to present as a mental image, they can be intellectualized into working models. Such are a physician’s most valuable assets. Technology, formal education, facilities, and skill are dwarfed in significance when compared to reliable medical models that explain why patients get sick and suggest what needs to be done to help. Penicillin would have been useless without the germ theory; or never discovered in the first place.

Many of the treatments in both conventional and alternative medicine are working for reasons other than the ones physicians think. Conversely, treatments physicians claim will work do not for reasons they cannot explain. This indicates, to those who are analyzing evidence logically, rationally, and reasonably, that their models are incorrect. All this talk about truths and models might appear abstract and even irrelevant. However, the Fascial Distortion Model reveals that once physicians correctly understand disease and injury processes, successful treatments will naturally follow. Models, theories, and philosophies ought to be discussed and debated openly, for they are the gems of healthcare reform. Financing is the gold in which they are set.

Automotive Safeguards

Here in Michigan and in other states too, auto repair shops are required to present a written estimate of repair costs. This law prevents an awkward scenario where a car owner discovers, to his dismay, that charges are far higher than he expected. A similar law would be nice in the healthcare industry. Granted states do have laws requiring doctors to post their office visit fee schedules, but this applies primarily to out-patient care.

When it comes to emergency and in-patient care – and prescription medications – patients can do little more than cross their fingers, hoping the hospital bill is not as bad as their reason for the visit. The argument for “surprise billing,” presumably, is that the patient’s health is more urgent and important than financial matters in a crisis. This may be true, but anyone who has gone to the Emergency Room with anything less than an immediate, life-threatening condition will tell you they always find time beforehand to check your insurance.

It is a principle that systems operating behind closed doors are easily subject to corruption. In the healthcare industry, openness is compromised not only by entrenched interest groups, but by the system’s sheer complexity. It is well nigh impossible for any single entity other than the federal government to oversee it. This is not to say the government is unsusceptible to similar corrupting forces. Therefore, a form of national healthcare such as powertrain coverage should be seen as merely the beginning of reform; logical, rational, and reasonable medical models as the end.

Alexander Typaldos

If drugs, radiation, and surgery are the weapons, cancer is the enemy, and physicians are the generals, then what is the patient in this war? The patient’s body is the battlefield! What does a battlefield look like after the fighting is over? Not so good.

Yet again, medical philosophy bottlenecks medical science. As long as physicians possess a war mentality, they will continue blasting cancer with steadily increasing firepower and success. Eventually, they will discover that the easiest way to kill cancer is to kill the patient. It will cease growing immediately!

Cure for Cancer

Is this possible? The answer is no. Cancer doesn’t work that way. It is not a foreign invader we need to fight; it is our own cells gone bad. Genetic material in numerous types of cells becomes corrupted through various means – chemicals, pathogens, radiation – and these cells grow out-of-control, damaging healthy tissues.

Medicine can cure tuberculosis; it can cure smallpox. Medicine cannot cure different cell types in different parts of the body from failing to replicate properly in different ways and for different reasons. Physicians should recognize that diseases like cancer require a different approach.

The important thing to remember is that while certain causes of cancer come from outside our bodies, the cancer itself is a part of us. Because of this fact, the only safe, sustainable solution is to make sure the cellular reproduction mechanism continues to function as it should. And to do this, we need to understand what causes it to malfunction.

Practical, Workable Solutions

I hate this awe, reverence, and almost magical hope that many Americans hold, believing that scientists and doctors will some-day find a cure for cancer. This mystical hope wreaks havoc on logical, rational, and reasonable thought that is directed toward practical, workable solutions to clearly-defined problems.

What I love is good common sense and a balanced, realistic outlook. It is not glamorous, but it is very powerful. This is one thing I loved about my father. Unlike his peers, who were obsessed with their status of being able to prescribe medications, my father approached injuries more like an engineer approaches his projects. He knew what the problem was and what he needed to do to fix it, and he did not think twice about shopping at Home Depot to find the right equipment.

No hype, no self-promotion; just concrete, measurable, reproducible results.

Balanced Hope

Americans are starting to get what needs to be done to fix the cancer problem. Live a healthy lifestyle, avoid carcinogens like the ones in cigarette smoke, and keep your immune system in good shape. The public may be catching onto this idea faster than physicians, who apparently prefer their reactive, combative approach, whether or not it works.

The medical profession’s idea of cancer prevention is regular screenings. What to screen for depends on statistical risk factors, such as age and sex. In this case, statistics are misleading. One man’s risk of prostate cancer may be 100 percent; another man in his same demographic may have a risk factor of 0. It is incompetent and lazy for doctors to tell them they both have a risk factor of, say, 2 percent, as if cancer is random.

Do you think that if only the American Cancer Society had more money it would have found a cure by now?

Alexander Typaldos

Medicine underwent a period of growth, reform, and cohesion in the latter part of the nineteenth century that formed the medical profession of today. Newly transformed, during the first half of the twentieth century medicine used advances in technology and industry to cure infections and injuries that had been previously untreatable.

Unfortunately, the medical profession failed to adapt itself to a new wave of epidemics surfacing during the second half of the twentieth century. It had served the profession well to use drugs as weapons against a deadly array of pathogenic infections. However, medicine did not change its tactics to meet recent challenges of lifestyle- and pollutant-related illnesses.

One might wonder why a profession that prides itself on being modern has stubbornly resisted change. The answer is that there is no good reason why physicians abandoned rational thought and adaptability, but there are reasons:

1. Self-preservation. Physicians fear that fundamental changes in the practice of medicine could limit their viability, jeopardize their livelihood, and require further educational pursuits.

2. Self-esteem. Too many physicians have sacrificed their families, friends, and identities for the sake of their practices. Having failed in every other area of life, emotionally it is unthinkable they have also failed in the practice of medicine.

3. Indoctrination. Strange though this sounds to the outsider, a cult-like mentality prevails within the medical profession. Members are expected to believe the tenets of medical philosophy and not think for themselves. Most American physicians are competitive, ambitious professionals who long for approbation and acceptance. Only a rigid framework of universally-held “doctrine” provides them with a concrete measurement of their achievement.

4. Unholy alliance. Why do physicians willingly cater to the business interests of pharmaceutical corporations by prescribing expensive and unnecessary medications? Drug companies ensure physicians keep their niche as gatekeepers of the medicine cabinet (see reason 1, above); drug representatives are readily available as buddies to physicians on a personal level (see reason 2, above); and drug companies determine the “standard” in medical care (see reason 3, above).

What is notable is that all these reasons have to do with the physician and none have to do with the patient. Physicians have subordinated patient results to their own interests, including their desire to feel like they are helping patients.

The profession has become so corrupt and ineffective that there is a trend toward marginalizing physicians – replacing them with nurse practitioners, physician assistants, physical therapists, nurse anesthetists, and online pharmacies. Healthcare’s rotten core must be either repaired or replaced. In other words, to reform healthcare we must also reform medicine.

Alexander Typaldos, JD

So you turn the knob to halfway and begin washing your hands. However, the water heats up faster than you expected and reaches an uncomfortable temperature. This new evidence conflicts with your model, and you are faced with two choices. The first is to continue believing that at half a turn water is ideal for hand washing. You would thus wash your hands in scalding water and convince yourself that something other than the water’s temperature is causing your pain.

Your second choice is to carve an exception into your model: Turn the knob halfway and the temperature is usually pleasant, but is sometimes too hot. When you make this choice you are adjusting your model to the evidence. And this gives you mental freedom to turn the knob until the water is at a more pleasant temperature.

Tomorrow, you find that the halfway mark is still too hot for comfort. In fact, every time you use the sink for the next month, a half turn is uncomfortably warm and one third turn is ideal. Either there has been a permanent change in the plumbing, or the original model was incorrect.

Regardless, it would probably be a good idea to change your model. If you do not, the following routine will ensue repeatedly: you turn the knob halfway until the water burns your hands. Then you apply the aforementioned exception and lower the knob to one third turn.

A very unsexy truth

The answer to America’s healthcare problems, and the catalyst for a medical revolution, will not be found in politics, technology, or economics. The answer lies in mental thought processes and philosophies. At its heart, this means better education and training. Let me clarify that better is not added years of formal education and a more rigorous curriculum. It means doctors must be taught how to adjust and refine their models and methods by what they see in practice.

Alexander Typaldos, JD

But what enabled Dr. Typaldos to discover this model and develop manual treatments to correct fascial distortions envisioned in the model? It was his way of thinking. His thought processes were superior to the prevailing philosophies in medicine. And he was thus able to single-handedly make advancements that large organizations like the American Heart Association can only dream of.

This should not surprise you. Historically, individuals who were able to view things in a new, better way have made enormous contributions to science and medicine. The inventions of Ben Franklin, Thomas Edison, and Leonardo da Vinci put the developments of multinational corporations like GE to shame. Actually, tech companies have a different role in our economy. They take inventions and convert them into usable designs, but rarely do giant corporations make fundamental changes or advancements.

Dr. Typaldos first broke with orthodoxy when he concluded that his medical training was in the form of models and theories – rather than undeniable truths – and they were subject to change in the face of new, conflicting information. Next, he critiqued the models and theories to determine whether they were consistent with what he saw in practice.

The result is a better way of evaluating medical theories and practices. I have “codified” Dr. Typaldos’s greatest discovery of all into Triggerband’s theme: A logical, rational, reasonable approach to medicine. Now let us look at how to apply these analyses to real models:

Chiropractic spinal adjustments. Is it logical to think that by adjusting the spinal column a doctor can make changes throughout the body? Yes, because the adjustments are said to affect the spinal cord itself, and the nerves from the spinal cord regulate functioning everywhere in the body.

Next we can ask, is it rational to say that these adjustments to the spinal column can help cure nearly every disease? Possibly. On one hand, impulses carried by the nerves from the spinal cord do have the ability to bring dramatic changes in every system. On the other hand, however, it is doubtful that merely “adjusting” the spinal column is able to meaningfully alter the functioning of the spinal cord and the peripheral nervous system.

Finally, is it reasonable to claim that spinal adjustments can cure almost any disease? No, this point is where the theory falls flat. Even if adjustments were able to enhance functioning of the spinal cord, it would be impossible to make the minute, complex changes necessary to resolve specific conditions. And if the central nervous system has the power to cure all these diseases, why does it wait until a chiropractor adjusts the spine?

Orthopedic surgery for worn knee cartilage. Orthopedics is a complex specialty, so I chose one specific condition. Is it logical to treat knee pain by replacing cartilage that is worn out? No, it is not, actually. Cause and effect has not been established. Very often, patients who suffer from knee pain in one knee have worn cartilage in both knees. The logical conclusion is that something other than worn cartilage is causing their pain.

For the sake of analysis, let us ask the remaining questions. Is this treatment approach rational? Yes, if the worn cartilage were causing the pain, a knee replacement would probably help. Is it reasonable to believe that this type of treatment can cure a patient’s disability? Yes, a knee replacement is a major anatomical change in the exact region affected.

Hopefully, these examples are giving you a glimpse into how much can be accomplished and reformed without a single new device. And I want to emphasize that Dr. Typaldos was no more intelligent than other physicians. What he had was better mental software. This means that anyone who has enough intelligence to become a skilled healthcare professional can learn to think the way he did.

Alexander Typaldos, JD

You probably expect me to take sides; but I’m not going to. I am logical, rational, and reasonable, and it would be unreasonable to take either extreme position. Drugs have their place, and so do herbs. Thus, I advocate a tiered approach.

The first tier is a healthy lifestyle and sanitation. Once disease takes its toll on the human body, rarely will health return a full 100 percent. Furthermore, prevention is the least costly of all remedies. As the saying goes, an ounce of prevention is worth a pound of cure. And a doctor who is a friend of mine said, “If you can’t find time to exercise, you will have to find time to be sick.”

Tier two is herbs and natural remedies. Healthcare practitioners emphasize remedies you can take by mouth, such as nutritional supplements and herbal teas. However, I include in this category mechanical treatments such as physical therapy, hydrotherapy, and manual therapy.

Natural remedies are definitely preferable to medications if they can get the same result. But I will tell you from experience that even supplements and hydrotherapy can wear out the body over time. So be rational and use common sense when approaching tier two options.

Only when natural remedies fail, or are clearly insufficient, should healthcare practitioners move on to drugs and surgery. These remedies are powerful but risky, abounding in side effects and long recovery times.

And there is another reason to save drugs for last. They rarely resolve the underlying condition. Pain medication, insulin, hormones – these are patches that allow patients with debilitating illnesses to live normal lives until things resolve on their own. If a condition never resolves, then a lifetime of medication is all tier three has to offer.

This tiered system does combine standard and complementary medicine, but does not fall into another extreme, that of all-inclusiveness. Too many healthcare practitioners turn continuing education into a show-and-tell for new treatments. We need to be discerning, rather than ideological or frivolous. This is not a game. Millions of people are living in continual pain and disability. They need mature, honest, compassionate physicians who will take ownership of their cases.

And, yes, they need doctors who are logical, rational, and reasonable. If these qualities sound out-of-place in medicine, it’s because they are. Shotgun techniques and religious adherence to the tenets of one’s healing philosophy – practices that would never be tolerated in a field such as engineering – are commonplace in medicine.

Granted, the human body is enormously complex and dynamic, which makes the practice of medicine art as well as science. However, this very fact demands that doctors be even more logical, rational, and reasonable, not less so.

Alexander Typaldos, JD