The degree to which this was a vote that was directed against the British elite is vital to understand. Politicians, business leaders, and intellectuals were all seen as having lost their right to control the system. The elites had contempt for their values - for the nationalism and their interests. This is not a new phenomenon in Europe, but it is one that the EU had thought it had banished. This is not a British phenomenon by any means. This is something that is sweeping Europe and China. It is also present in the U.S., in the figure of Donald Trump, whose entire strategy is to attack the Democratic and Republican leadership and the elite who have contempt for the nationalism and moral principles of those beneath them. It is the general process the West is undergoing, and it came to London (Thursday).Could what has happened in London parallel what is simultaneously happening to Organized Medicine in the United States? Cracks have formed in the foundation that American physicians have trusted for years: the Accreditation Council on Graduate Medical Education (ACGME), the American Board of Medical Specialties' (ABMS), American Board of Internal Medicine, the American Medial Association, and our many of our specialty societies. Practicing physicians are looking with a new lens at "politicians, business leaders and intellectuals" who were once trusted to protect the practice of medicine and the physician-patient relationship.
George Friedman, Geopolitical Futures
Can our current byzantine system of unelected, unaccountable, non-profit health care organizations "lose their right to control" our health care system - a roughly $3.0 trillion dollar sector or 17% segment of the entire US gross national product? Will they endure under this new level of scrutiny and demand for transparency from those on the front line of health care delivery? How will these structures pivot?
How much tax fraud must occur, how many laws must be broken, how many physician personal liberties must be tossed aside before practicing physicians and their patients demand change?
You can feel the ground shaking.
The silence is deafening.