What’s Wrong With U.S. Health Care

The picture worth thousands of words is from down town U.S.A. and when I was in training this person would be immediately adm by a roving ci t izen to an acute care facility, a spotless one I might add.

This outcome of a life of potentially happy, joyous and free is grossly lost by a pursuit that has Sooo wrong the cure must come from the devil that created it.

The U.S. health care system is widely characterized by a “high cost, low performance” paradox, where it spends more per capita than any other wealthy nation yet achieves some of the worst health outcomes. As of early 2026, major systemic issues include severe affordability barriers, administrative waste, and deep inequities in access. 

Core Systemic Failures

  • Extreme Costs with Poor Outcomes: The U.S. spends approximately 18% of its GDP on health care—nearly double the average of other wealthy nations—yet ranks last among peer countries in life expectancy, infant mortality, and maternal mortality.
  • Affordability & Debt: Nearly half of U.S. adults report difficulty affording health care costs. Medical debt is the leading cause of personal bankruptcy in the U.S., affecting roughly 41% of adults as of 2026.
  • Administrative Waste: Approximately 25% of all U.S. health care spending is wasted on administrative complexity, billing inefficiencies, and “private-sector bloat”. The U.S. spends five times more per person on administrative costs than its wealthy peers.
  • Corporate Consolidation: Large insurers and private equity firms increasingly control clinical resources, often prioritizing shareholder profits over patient care. For example, UnitedHealth Group is now the largest employer of physicians in the U.S.
  • Access and Equity Gaps
  • Coverage Insecurity: Over 28 million Americans remain uninsured, a number expected to rise as federal subsidies for the Affordable Care Act (ACA) lapse and significant cuts to Medicaid are implemented.
  • Racial & Geographic Disparities: Black, Hispanic, and rural populations face significantly higher barriers to care and worse mortality rates for treatable conditions like diabetes and heart disease.
  • Workforce Burnout: A critical shortage of primary care physicians is worsening as providers retire early or leave the profession due to “moral injury” and excessive administrative burdens. National Institutes of Health (.gov)National Institutes of Health (.gov) +3

Current Market Impact (Insurance Sector)

Recent policy shifts, including effectively unchanged Medicare rates for 2026, have significantly impacted the financial health of major insurers. 

In 2024, the United States spent an estimated $14,885 per person on healthcare — the highest healthcare costs per capita across similar countries. For comparison, Switzerland was the second highest-spending country with $9,963 in healthcare costs per capita, while the average for wealthy OECD countries, excluding the United States, was $7,371 per person. Such comparisons indicate that the United States spends a disproportionate amount on healthcare.

The United States has worse healthcare outcomes compared to other wealthy countries

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Safety During
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Unmanaged
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Manual E. Gonzales AZBN The Mystery That Isn’t A Mystery For AZBN

What can be said for the missing nurse Gonzales files 2020 AZBN Summary Suspension National Council files that appeared to be the best evidence for just plain arrogance and fraud. The story of witness nurse Bette Rogers against Manual Gonzales for aggravated assault for which she can not testify to as she has ‘brain damage’, and can not remember. The solicitor general AKA as Beth A. Campbell direct examination told of a four year story of harassment x4 years until culminating to being strangled from behind by nurse Gonzales. This file was posted on NCSBN prior to an appeal by Gonzales in Superior which the court overturned AZBN revocation of Gonzales License. Once the court through out the AZBN ruling all files of the Gonzales case go missing. The Board of Arizona Nursing ignored the Superior court decision and never issued the license or retry the case. Subsequent posts on Gonzales x2 reveal different rulings but all with the same date?? This appears for about a year until everything on Gonzales goes missing. Including Elizabeth A. Campbell. Her last case. Of course its no mystery that the Board has no rules they follow, especially if written by AZ Legislature. I wish I was making it up.

All on federal property and nobody knows, oddly Bd’s obsession with falsefying legal documents, no.matter what the high court rules is the graile in stone for future nurses to view criminal acts back to back, to make the first criminal act fly. I imagine the federal law machine has another crime performed on a citizen to view and understand clearly why health care staffing shortages exist.

A good review of Superior Courts dismissal the real meat is nurse Bette Rogers’ testimony. The one where she couldn’t remember as she had brain damage caused by Gonzales.

It can be so easy to conclude that the agency has failed many ethical events which are well known to working and informed nurses, and let’s be sure that information our colleagues have can help them to know the Museums of Nurse Failures.

Click below for superiors courts ruling overturning Revocational decision. Doesn’t matter nurse still looses.

https://www.google.com/url?sa=i&source=web&rct=j&url=https://caselaw.findlaw.com/court/az-court-of-appeals/2196760.html%23:~:text%3DFACTS%2520AND%2520PROCEDURAL%2520BACKGROUND,him%2520on%2520such%2520short%2520notice.&ved=2ahUKEwj9wuW50_SSAxWwLUQIHZXZMC8QmL8OegYIAQgHEAI&opi=89978449&cd&psig=AOvVaw1KYONUw02e9wLxUebzd9Am&ust=1772109228561000

The Anesthesia Physicians

Daily writing prompt
Who are your favorite people to be around?
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So often they focus quickly on the needs of people who need their help..Their experiences marvel leadership of teams of professionals surrounding them. Their calmness is power to others absorb the same air. Never met an anesthesiologist that was not as described as a near perfect colleague to work with.

Nitrogen Narcosis

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If there were a biography about you, what would the title be?
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Very early in my life I was obsessed w/scuba diving, long before laws requiring professional training before buying equipment. I learned breathing atmospheric air at depths over 100 ft produced text book symptoms of ‘rupture of the deep’. An alleged aray of confusing neurological afflictions causing severe diver safety issues. Jacques Cousteau and myself learned not so, rapture of the deep, aka nitrogen narcosis is the accumulation of nitrogen held w/in the intravascular system by the extra pressure found below 100ft. It is an initial feeling of a warm an generous narcotics glow that isn’t a narcotic..I could so often find refuge sitting there at a 120ft shit eating grin and all knowing there was a place to go for that so called drink and forget the world above.

In Memory of Tristin Tate Smith Ohio Nurse

Tristin Kate Smith 28 y.o. E.R. nurse who took her own life b/c nursing was her and she was nursing..Her suicide note had singled out nursing and the health care systems as the main culprits of her depressive state that nursing wouldn’t allow for treatment offset by regulatory monitoring….yeah the same system tortured nursing w/massive staffing shortages in recent years which continue today. With so many staffing in nurse administration and regulations one would want to move nurse labor where it does some good, as today’s nursing market needs help…and lots of it.

https://www.daytondailynews.com/local/death-of-local-nurse-shines-a-light-on-the-emotional-physical-toll-of-the-profession/Y5LM7VY73FC5NC4UUVP4G2RNU4/

May Tristin R.I.P.

The Dedicated Heart is Nursing Needs AZBN

The view of the nurse whilst in the working field wants to see the nurse as somebody to be trustworthy. The nurse gets very close sometimes to patients and often becomes aware of their own motives to help the ill..How can the nurse stay trusted w/peoples’ lives and so many other personal issues w/o falling prey to one’s own short comings? To answer the need for gross integrity who must have a conscious monitor whose lead is a power and training of quality higher than said inspector. The nurse resume in time w/success defines dedication…but not seen enough.

How willing is the nurse to put patients needs and comforts? Those nurses who worked and worked long hours while doing their best? Yes many cried all the way to the bank. Will capitalism kill nursing. How can you be sure that those missing morphine medications are simply an operational error in the counting? That license and resume’ can that be true? The failures of nurse integrity is repeating lying in question w/many major crimes directly r/t physical damaged to population. The Nicole Linton r.n. case shivers the timbers of nurses wanting more love for self promotion of moral character. How can moral character jump upon the nurse political realm where the bd lives? As a nurse do you lie and say you don’t.?

The love of Money leads nursing a stray. The principles of the Regulartory Agencies have only political visions which in view of public safety can not be considered unreasonable. The field is today crawling w/Nathan Sougherlands waiting and successfully raping the patient population. Can a group of nurses whose true power to protect gets flushed through a crooked attorney general, and looks so horrible doing it, have real safety stats?The AZBN must build their own Hall of Fame to be accepted in its most Capitalistic State. Their own accountant as a crooked prosecutor is their putrid history. Being of federalism and truth marketing, and being the worst patient ever is my thrill; my biggest bust is not living ten city blocks from this sterile abscess.

The federally heavily held belief that Arizona law houses more Independent Actors than controlled public theives ; to name Ridenour, heir nursing director or the one and only Joe Arpaio…to remember his costs of profiling felony conviction today 275.000..Nursing Board rouges up and eliminates the truthful nurses but they must be horrible tax explanations. Yes the federal involvement could just eliminate many agencies b/c of corrupted independent Actors like Ridenour and Arpaio.

In The Belly of The Beast AZBN

Without any doubt there are different approaches to gathering and investigating information about almost anything. Mother Jones, and I am sure there are some that know about their investigative skills. They took a page from Gonzo journalism and became a part of the system they were investigating. And actually for such a prominent liberal organization their ability to keep an open mind about their discoveries is very conservative; which all boils down to finding the truth and reporting the truth.

Any number of this site’s contributors have lived inside the belly of the beast known politically as AZBN, have found the truth about this governmental bureau of twisted tales and injured patients as well as injured nurses.. This page has posted many posts by nurses who’ve only done one thing wrong and that is to deny that the AZBN is a credible source of evidence produced to be persecuted by the Az Attorney General’s office.  The details of many bogus cases persecuted by the outfit are scattered throughout this page. Making a point now is somewhat irrelevant as the corrupt behaviors of the AZBN and the Az Attorney General’s are well known and in spite of many laws to prevent these immoral species from continuing their lies, it continues. So really what can be done? The administration could be assumed to care as they passed recent laws to control this monster. But to no avail. 

The weakest point exists with perhaps high profile as so many many nurses have been swallowed up by the beast and have studied while at camp. Not really sure whom would intentionally  ignore a state law and think their actions have no consequences. The AZBN owns the courts, attorneys, judges, board members and police. The moat surrounding the AZBN’s castle is filled with money. Is there a weak point? Yes there is. It is none of the former. 

The weak point is discovered with Mother Jones’s mentality and techniques that has the drive to run parallel with the willingness to sacrifice and produce unpredictability at the least expected time. If it sounds complicated it isn’t. The first amendment of all constitutions can be the foundation of this weakest point. That is complicated only because I can not tell you what that precisely is. Spy Rigging is a course of patience as well as endurance; not to mention a confidential outlook.

For the moment, I would like to thank all of you nurses, and many more, who’ve contributed here and our exchange notes in the back room are very well appreciated. Although I believe loose lips sink ships the truth can be bought but never sold and you can continue with the spy rigging and never worry about telling the truth.

Peary Brown, retired R.N. 

Nicole Linton R.N. Murderer or Victim

What You Need To Know

Nicole Lorraine Linton was ordered to remain jailed without bail
Linton’s attorney, Halim Dhanidina, had asked the judge to allow Linton to be released to a mental health treatment facility and be electronically monitored
The prosecutor said the defense’s suggestion that she suffered an “apparent lapse of consciousness” during a mental health crisis in the moments leading up to the crash “defies logic”
Family members of the victims clapped in court upon hearing the judge’s decision

Now being held w/o bail on 6 murder charges in L.A. County’s jail is nurse Nicole Linton whose case remains on the docket w/1/26&27/2026 hearing/conference . She drove her vehicle through a red light at 130mph killing an entire family plus two others in the 4 car pile up.

As of 1/27/26 TO a conference hearing and so far Nicole Linton remains held w/o bail and would assume at this point trial date for not guilty plead be set.

Now comes the host of civil claims including TX bd of nursing?? Can’t image this nurse, prosecutors’ claim suicide/murder was her intent. She’d had no impairment violation. The defense, on paper, seizure prior to crash. That plausible episode being carded out of reality by the angriest $$ seekers of many. Blaming licensing agency ?? Wreck still would’ve happened whether Nicole a nurse or not.

The cases of nurses involved in violence causing death is disturbing and maybe the accurate maligned behavior as a result of nursing stress.. The Alex Pretti case points to more nurse violence, or even victims of social psychopathy which may reveal more soon.

Finding blame in this case i think could be very difficult as intentional suicide is a psychological break from sanity which still makes her insane.

The Arizona Board of Nursing The Green Mile

kangaroo-court-1

We Write The Orders That Kill Real Nurses’ Careers

The general consensus in America is that justice is available, not when you are a nurse. The Administrative Law Court on Washington St. in Phoenix, Az. is one of many corporate captured agencies through out the state. A mild way of saying corrupted.

If you are a nurse and have been scheduled to have a hearing by the Adm Law Court chances are you refused any deals the AZBON has offered against your license from a complaint filed. Chances are you refused because its BS and false. Your case moves up the line to the Adm Court AKA ‘The Green Mile’. Its street name is basically because whatever the outcome, and only less than 1 % are dismissed, your nursing career is dead. Electrocuted, and chances are you are there because you probably were human and did the right thing.

Experiencing the Green Mile will be an extension of what you’ve already experienced during your settlement. So you already know about the intimidation, bullying, lying, and unprofessional control. When you enter the Green Mile you enter at an office managed by a constipated cougar secretary sitting in a room filled with stuffed heads of nurses hanging on the wall. If somebody shot this woman upon first meeting they should only be fined for delay.  Being directed to a chamber which will frequently be decorated with an armed guard, that is if youre a real nurse who stepped on a quacks’ money train, a queer psychologist, Banner Health Care, or simply reported poor patient safety concerns. The guard will often approach you with evidence in your case in a manner to let you know he has your number. So you better not step out of line. I say ‘he’ as we don’t know of any female guards; bad for the Mormon image. You’ll sit through an unusually long period, which we assume defines the AZBON reason for getting paid, describing your case and the presentation of witnesses and prosecutor statements that you may in fact have never heard before. The witnesses could be anybody from a defunct cop who beats his wife, a quack surgeon wearing a lopsided wig, a crooked wife,  an antiquated sibling who if she had as many needles sticking out of her as in her, she’d be a porcupine, a convicted felon speaking on a cell phone that nobody can understand. The parade makes gay pride day look like a Hollywood script.  The judge will over rule every objection you have, after he is shaken awake. The prosecutor will advise the judge with either revoked or probation with stipulations specifically over regulated and unrelated to any nurse practice act violation. Welcome to the Green Mile, you are about to be executed, and chances are you are a very good nurse. Why else would you be here? 

History may or may not recognize the writ but it will be viewed. The artificial intelligence will invade nursing history to advance knowledge to the student and perhaps law enforcement.

Turning Point AZBN Documented History

Throughout failure beginnings until their resolution can time give the punished nurse the relief blossomed by time and science. So many times I would wonder that evidence of corruption in nursing administration and management could be trusted to change the, ‘just rope, tie, and brand them’ mindset once the evidence spoke for itself. Slowly science has finally crossed into the fields of nursing to add the miracle of super software to bring the mountain of info, rapidly, w/conclusive opinions. This solves nursing histories storage problem, and open those doors of truth verses AZBN fiction.

Artificial intelligence has branded those who play roles in medicine. Its opinion might not force changes but the common sense return has saved many of those vilified, falsely, by the nursing regulatory crew in Phoenix. Science can win.