The True Cost of Medical Malpractice
Government Buyouts Can Save a Fortune of Taxpayer Money While Saving People's Lives
Hospital Buyouts MAHA Tryouts
A New Healthcare Future Begins with Transparency:
In the heart of Portland and Vancouver, a quiet experiment could mark the turning point in American medicine.
The proposal: the U.S. government purchases financially failing hospitals like Legacy Health and reboots them as MAHA hospitals — institutions governed by Mission-Aligned Health Administration principles, prioritizing people over profit. What if we let outcomes, not margins, determine medical success?
Let’s take it further: what if this two-year pilot experiment directly compared the MAHA-run Legacy hospitals to OHSU, Oregon's prestige-laden academic hospital?
The results may reveal what many already suspect: profit-driven healthcare fails where compassionate infrastructure succeeds.
📊 The Legal Iceberg Below the Surface
OHSU currently sets aside over $101.9 million in legal reserves to cover future malpractice claims and legal defense costs. In FY 2023 alone, it carried $45.4 million in anticipated litigation payouts or expenses.[1] Most of this is shielded from the public eye via complex risk pools embedded in the state’s self-funded insurance system.
Meanwhile, Legacy Health, struggling to survive, spent tens of thousands just defending a single employment suit.[2] And OHSU spent more than $5.8 million attempting to merge with Legacy instead of investing in patient care.[3]
But the financial story doesn’t end with malpractice liability. It deepens with the silent actors: CPS, APS, and the Oregon Medical Board.
🚨 Coercion Hidden in Plain Sight
The true cost of covering up medical failure includes weaponizing public agencies:
• APS/CPS Suppression Tactics:
When families resist harmful treatments, Adult or Child Protective Services are mobilized. Patients are labeled noncompliant, incapacitated, or endangered, triggering guardianship or involuntary treatment.
• Medical Board Threats:
Doctors who try to help those escaping institutional malpractice may be reported to the Oregon Medical Board. The chilling effect discourages whistleblowing and second opinions.
• Legal Defense for Harm:
Through state-backed legal funds, taxpayer dollars shield OHSU and similar institutions while families are dragged through hearings, stripped of rights, and misrepresented in court.
🌈 Case Study: The Elderly Man and the “Invisible Cancer”
In 2024, an 82-year-old man in Vancouver offended his OHSU oncologist by questioning the need for further imaging. Within two weeks, APS intervened. The man was deemed “incapacitated” for refusing treatment and was forcibly admitted to a hospital.
Despite no definitive diagnosis of cancer, he was started on toxic chemotherapy and experimental drugs, all documented as compliant with protocol. He pleaded with the state-appointed guardian to see his wife of 50 years, but she too had been deemed mentally unfit for advocating on his behalf. A forced divorce was ordered by a judge who never heard from either spouse directly.
The man’s kidneys failed within a month. He died in isolation, with the hospital retaining his medical power of attorney until death. No autopsy was performed. His records list the cause of death as "complications of disease," though the cancer was never biopsied.
This is not a rare tale. It is a growing pattern.
📉 Cost Analysis: Coercion Economics
Estimated taxpayer spending on suppressing patients and doctors:
Category Estimated Annual Cost APS/CPS Investigations $2M–$5M Threats to Ethical Doctors $2.5M–$5M State-Backed Legal Defense $18M–$27M Total Hidden Cost $22.5M–$37M
Every dollar represents taxpayer money spent suppressing medical truth rather than fostering health equity.
✨ MAHA Trial Proposal: Legacy Health Reimagined
We propose the federal government purchase Legacy hospitals in Portland and Vancouver and implement MAHA governance:
Profit-free structure
Full transparency of treatment protocols and outcomes
No coercive involvement from APS/CPS without judicial review
Protection for doctors offering second opinions
After two years, an independent civilian board will conduct a comparative evaluation with OHSU, measuring:
Patient satisfaction
Readmission rates
Doctor and nurse turnover
Whistleblower activity
Cost transparency
🌟 Conclusion: The Moral Imperative to Try
When hospitals fear patients more than they fear profit loss, society has failed. The MAHA Tryouts are not a radical idea — they’re a return to sanity. Let Legacy hospitals become a beacon. Let transparency replace fear. Let ethics replace coercion.
We have nothing to lose but the chains of institutional silence.
📚 References
[1] Oregon Health & Science University. FY2023 Annual Financial Report. See Note 13: “Liability for Self-Funded Insurance Programs.”
[2] Oregon court records, Legacy Health v. Employee, 2023: attorney sanctions awarded in the amount of $23,683.
[3] Willamette Week, OHSU Spent $5.8 Million Trying to Merge with Legacy. Published March 2024.
[4] Oregon Medical Board Annual Budget 2023: $12.5M per year; disciplinary caseloads accessible via OMB archives.
[5] Insurance Journal, Oregon Tort Cap Ruled Unconstitutional. Actuarial analysis of malpractice costs, 2008.
[6] Oregon DHS APS Budget 2023: $105M; extrapolated estimated 2–5% tied to medical guardianship enforcement.
After two years, conduct a community survey comparing the two hospitals, OHSU and MAHA Legacy.
If AI can improve healthcare in this Gotham City, it can improve the corrupt doctor epidemic at least as much as the Catholic Church cleaned up it's child predator culture from pedo priests.