Obesity is a perfect example that ties to the AAMC and pharma. STAT covered this story back in 2023 but for the longest, obesity was a lifestyle choice. However, medical schools began to see obesity as a disease, not lifestyle, so that drugs, GLPs, could be used for this disease: https://unorthodoxy.substack.com/p/the-hidden-struggle-in-health-care
MAHA has brought this expose to light and that was just year one. Hoping this continues for the next three years to complete upend this “open‑ended ideological governance over medicine itself.”
My old physician was completely candid with me ( ex-marine btw). And echos your statement perfectly. The teachers unions are similarly corrupt unfortunately.
Robert Malone you are fearless! Power resists change and will continue to its attempts to cancel you. Hang in there, we need you, MAHA needs you and our physical health and mental health benefit greatly from these truths.
Manipulation and Greed can be such a destructive force. When you give up all integrity for instant fortune and control, you will lose all of the trust people once had in you and eventually the riches you gained by your deceptions.
A Simple Fable to many have forgotten.
There once was a man who owned a wonderful goose.
Every morning, the goose laid for him a big, beautiful
egg — an egg made of pure, shiny, solid gold. Every
morning, the man collected golden eggs. And little by
little, egg by egg, he began to grow rich. But the man wanted
more. “My goose has all those golden eggs insider her,” he kept
thinking. “Why not get them all at once?” One day he couldn’t
wait any longer. He grabbed the goose and killed her. But there
were no eggs inside her! “Why did I do that?” the man cried!
Sometimes the simplest fables are the most potent. Jesus spoke in parables for the same reason; if you don't "grok" it , it can fly over the heads of the masses. Contemplation is a gift.
I spent over a year in pain with a bad hip just so I could find the best surgeon to perform my surgery. We had just moved to a new state and I had no knowledge of the medical quality in the area. I certainly was NOT looking for the correct race or nationality of my surgeon, but the MOST QUALIFIED AND RECOMMENDED there was to offer here. YOU DO NOT GET THAT WITH DEI! Never assume the quality of your physician. You don’t know if they graduated at the top of their class, or the bottom. Research and ask prior patients if they are satisfied with their surgical results. I was very careful as previous friends had severe problems with their replacement hips…wrong size….dislocations, etc. I was so pleased with my surgeon that I sent him, and his staff, thank you notes after the surgery! God Bless them! That was over two years ago and I have had no problems with my hip.
Maybe it's time to start asking supposedly "conservative" red state governors why they haven't taken control of the licensing for doctors, nurses, pharmacists, and hospitals to counter this.
In January of 2025, I had a routine physical with routine lab work. The practitioner mentioned that my weight at 162, was considered to be boarder line obese. I was 81yrs old and about 5'5'. The next time I visited, in mid-August, I was having some stress issues. There was a fire in my garage, that caused enough smoke damage throughout the house to kill my two beloved cats. Then two weeks after this event, my older sister also died. (the first of four other siblings)....so the practitioner said my new labs showed I was using too musc calcium in my supplement routine. She NEVER MENTIONED anything about my 40 Pound weight-loss since my last visit (Now at 122#) or inquired how I achieved this. Also my BP way higher than at my last visit. Stress... never mentioned...(she has never agreed to my vitamin/supplement routine- (humm I take No-Rx medicine) Just wanted me to start statins. I have not been back. I now see a alternative practitioner, who starts our visits with "Can I pray for you"
As always, thank you Dr Malone for your helpfulness in shedding the light on our dismal health system. May you and RFK, Jr and all, continue to fix OUR HEALH/MEDICAL SYSTEM.
Doc, you have been blessed with slaying so many dragons, I don't know how you find time to plant a seed or walk a goose to its roost. I pray that God keep strong to the end of your earthly journey. Keep your sword sharp.
This is a great post. I have the privilege of holding teaching appointment at both a medical school as well as a dental school. I am of the same “vintage” as the good Dr. Malone. We were all taught that no matter what OUR political or religious leanings, we looked at a PATIENT as a PATIENT…independent of what political or religious z leanings the patient espouses.
THAT is NOT the case today. The emphasis on “DEI” is resulting in young doctors being social justice warriors (SJW’s) and they execute their political and religious leanings above their ethical responsibilities to be “blind” and just treat a patient as a human being created in the image of God, all of us being equal in God’s eyes…whom ever or what ever one may believe “God” is.
There is no “Diversity” in these schools today. There is no “Equity” in these schools today. And there is no “Inclusion” in these schools. The administrations are afraid of standing up to the “customers” that are supposed to be “students”. Lord help you if you practice “tough love” to a student or resident….you will get written up. And perhaps fired.
This does not bode well for American medicine.
Take good care of this current generation of older docs like Dr. Malone…we are the last generation to blindly care for you no matter who you are…
Larry, there will always be those beacons of shining light; this generation will need to know to be more discerning. The other "last" generations also need to be discerning, we have been duped since the middle ages and before...
I graduated medical school in 1978 and so much has changed in the practice of medicine since then…. And not all for the better. While the technological advances have been impressive in imaging, robotics, artificial joints and less invasive surgeries the quality of the doctor- patient encounter has in many cases deteriorated. It is shorter, driven by various association approved guidelines and the physical exam is becoming extinct.
I graduated when med schools still turned out doctors who after an internship were competent to be general practitioners. From what I have heard from colleagues who haven’t retired yet that same graduated intern these days would be like a deer in the headlights if they had to start a practice. Something has changed, the quality has deteriorated. There is lip service to evidence based medicine with no thought of questioning the studies that produced that “evidence”, determining their quality or looking into who funded them. It saddens me.
Why do we need this? As a Virginian, I am opposed to the application of my tax dollars to this wasteful governmental hierarchy. As a physician, I support Do No Harm wholeheartedly.
Based on this I get the idea that osteopathic training, being largely independent of the AMA, avoids much of the d.e.i. crap you describe here in educating new MDs. Thus they might well prove to be the foundation of physicians to go to as a core structure for a revitalized med culture.
"The AACOM (the American Association of Colleges of Osteopathic Medicine) officially endorses and integrates DEI (Diversity, Equity, and Inclusion) principles into its admissions and application processes, though implementation is less centralized and less prescriptive than the AAMC’s system for M.D. schools.
1. What AACOM Actually Controls
AACOM is a membership organization (like the AAMC) that:
Oversees the AACOMAS application service (the D.O. equivalent of AAMC’s AMCAS),
Sets guidelines for admissions practices and professional competencies,
Advocates for osteopathic programs before Congress, HHS, and accrediting bodies,
Publishes national data and educational frameworks for the osteopathic community.
D.O. schools are accredited not by AACOM itself, but by the Commission on Osteopathic College Accreditation (COCA) — which draws its philosophical cues from AACOM, just like LCME does from AAMC.
AACOM’s Official Position on DEI
AACOM’s public documents make their stance unambiguous:
In 2021 and again in 2023, AACOM released statements reaffirming its “commitment to dismantling systemic racism in medical education.”
Its “Diversity, Equity, and Inclusion in Osteopathic Medical Education” framework directs schools to:
“Increase representation of underrepresented minorities in medicine (URM) through targeted recruitment and admissions initiatives,”
“Prioritize holistic review of applicants considering background, lived experience, and identity,”
“Integrate antiracism and equity into curriculum and patient care competencies.”
The AACOMAS primary application added optional identity questions and a “diversity essay” section, encouraging applicants to describe how their “unique background and experiences contribute to diversity in medicine.”
In other words: DEI is formally woven into the admissions process, not just an optional overlay."
I have had the impression that the osteopaths as a group were less invested in some of the harmful policies that the AMA has embraced, but I checked just now and found that one of the lobbying priorities for the American Osteopathic Association for 2026 is to promote gender affirming care. Which always sounds nice, but research has shown it is not actually helping the patient's mental health - if they are depressed and they think mutilating surgery will cure their depression, they find out too late that it does not. But this is something that the AOA has decided to promote, like the AMA, and clearly they have an integrated system to enforce their decision about what constitutes "treatment" and what public policy should be as far as funding for gender affirming care. This whole integrated system within medicine, including the osteopathic stream of medicine, operates not only to enforce DEI or pandemic nonsense - but whatever policies they adopt. I do think it's possible that this is less fully entrenched within the osteopathic system, at least on some issues, but clearly the fully integrated system is there the same as with the AMA etc. and they are the same on both trans treatment and on DEI, and perhaps within the hierarchy they are the same, though possibly the total lockstep thing among individual physicians is not fully 100%. But given that the system is as it is, given the DEI being woven into the admissions process etc. - system wide, it's going to be very similar to AMA system.
This is very scary information regarding the DEI agenda and the change via semantics to keep this as the status quo!
I began my nursing career in 1976 in a very busy local ER… well before CT scans, Ultrasound, paramedics and helicopter transport to Trauma Centers. I worked with older doctors who relied on the patient’s history and a full medical exam. I learned so much from those docs!
I ended my ER career working with younger doctors who barely listened to a patient, ordered test via an algorithm tied to their complaint. So many unnecessary tests and procedures were ordered ( many jut to CYA). I really missed my older docs that had to use their brains and experience to care for patients individually!!
Once identity is favored over rigorous clinical training and practice, the plot is lost and the value of this behemoth is shattered. Branching into ideology and climate as pillars are signs that upholding sound medicine practice is no longer the mission; rather, the AAMC's purpose is to now control the vertical medical apparatus. This apparatus has truly become a racket with no hyperbole necessary to describe its current state. Dangerous and ineffective for improving public health, it's going to take a massive effort to neutralize and correct.
Obesity is a perfect example that ties to the AAMC and pharma. STAT covered this story back in 2023 but for the longest, obesity was a lifestyle choice. However, medical schools began to see obesity as a disease, not lifestyle, so that drugs, GLPs, could be used for this disease: https://unorthodoxy.substack.com/p/the-hidden-struggle-in-health-care
MAHA has brought this expose to light and that was just year one. Hoping this continues for the next three years to complete upend this “open‑ended ideological governance over medicine itself.”
My old physician was completely candid with me ( ex-marine btw). And echos your statement perfectly. The teachers unions are similarly corrupt unfortunately.
Attorneys have the exact same problem with the American Bar Association.
Roger that
This too must change!!🇺🇸🇺🇸🩷🩷🙏🏻🙏🏻
Robert Malone you are fearless! Power resists change and will continue to its attempts to cancel you. Hang in there, we need you, MAHA needs you and our physical health and mental health benefit greatly from these truths.
Manipulation and Greed can be such a destructive force. When you give up all integrity for instant fortune and control, you will lose all of the trust people once had in you and eventually the riches you gained by your deceptions.
A Simple Fable to many have forgotten.
There once was a man who owned a wonderful goose.
Every morning, the goose laid for him a big, beautiful
egg — an egg made of pure, shiny, solid gold. Every
morning, the man collected golden eggs. And little by
little, egg by egg, he began to grow rich. But the man wanted
more. “My goose has all those golden eggs insider her,” he kept
thinking. “Why not get them all at once?” One day he couldn’t
wait any longer. He grabbed the goose and killed her. But there
were no eggs inside her! “Why did I do that?” the man cried!
“Now there will be no more golden eggs.”
HAPPY NEW YEAR EVERYONE!!!
Sometimes the simplest fables are the most potent. Jesus spoke in parables for the same reason; if you don't "grok" it , it can fly over the heads of the masses. Contemplation is a gift.
I spent over a year in pain with a bad hip just so I could find the best surgeon to perform my surgery. We had just moved to a new state and I had no knowledge of the medical quality in the area. I certainly was NOT looking for the correct race or nationality of my surgeon, but the MOST QUALIFIED AND RECOMMENDED there was to offer here. YOU DO NOT GET THAT WITH DEI! Never assume the quality of your physician. You don’t know if they graduated at the top of their class, or the bottom. Research and ask prior patients if they are satisfied with their surgical results. I was very careful as previous friends had severe problems with their replacement hips…wrong size….dislocations, etc. I was so pleased with my surgeon that I sent him, and his staff, thank you notes after the surgery! God Bless them! That was over two years ago and I have had no problems with my hip.
This is an absolutely brilliant analysis. I knew it was bad, but I didn’t know it was this bad!
Maybe it's time to start asking supposedly "conservative" red state governors why they haven't taken control of the licensing for doctors, nurses, pharmacists, and hospitals to counter this.
In January of 2025, I had a routine physical with routine lab work. The practitioner mentioned that my weight at 162, was considered to be boarder line obese. I was 81yrs old and about 5'5'. The next time I visited, in mid-August, I was having some stress issues. There was a fire in my garage, that caused enough smoke damage throughout the house to kill my two beloved cats. Then two weeks after this event, my older sister also died. (the first of four other siblings)....so the practitioner said my new labs showed I was using too musc calcium in my supplement routine. She NEVER MENTIONED anything about my 40 Pound weight-loss since my last visit (Now at 122#) or inquired how I achieved this. Also my BP way higher than at my last visit. Stress... never mentioned...(she has never agreed to my vitamin/supplement routine- (humm I take No-Rx medicine) Just wanted me to start statins. I have not been back. I now see a alternative practitioner, who starts our visits with "Can I pray for you"
As always, thank you Dr Malone for your helpfulness in shedding the light on our dismal health system. May you and RFK, Jr and all, continue to fix OUR HEALH/MEDICAL SYSTEM.
Paging Senator Cassidy. Senator Cassidy, have you seen this report? Senator Cassidy, do you have a comment on this report? Paging Senator Cassidy...
Doc, you have been blessed with slaying so many dragons, I don't know how you find time to plant a seed or walk a goose to its roost. I pray that God keep strong to the end of your earthly journey. Keep your sword sharp.
This is a great post. I have the privilege of holding teaching appointment at both a medical school as well as a dental school. I am of the same “vintage” as the good Dr. Malone. We were all taught that no matter what OUR political or religious leanings, we looked at a PATIENT as a PATIENT…independent of what political or religious z leanings the patient espouses.
THAT is NOT the case today. The emphasis on “DEI” is resulting in young doctors being social justice warriors (SJW’s) and they execute their political and religious leanings above their ethical responsibilities to be “blind” and just treat a patient as a human being created in the image of God, all of us being equal in God’s eyes…whom ever or what ever one may believe “God” is.
There is no “Diversity” in these schools today. There is no “Equity” in these schools today. And there is no “Inclusion” in these schools. The administrations are afraid of standing up to the “customers” that are supposed to be “students”. Lord help you if you practice “tough love” to a student or resident….you will get written up. And perhaps fired.
This does not bode well for American medicine.
Take good care of this current generation of older docs like Dr. Malone…we are the last generation to blindly care for you no matter who you are…
Happy New Year!
Larry, there will always be those beacons of shining light; this generation will need to know to be more discerning. The other "last" generations also need to be discerning, we have been duped since the middle ages and before...
I graduated medical school in 1978 and so much has changed in the practice of medicine since then…. And not all for the better. While the technological advances have been impressive in imaging, robotics, artificial joints and less invasive surgeries the quality of the doctor- patient encounter has in many cases deteriorated. It is shorter, driven by various association approved guidelines and the physical exam is becoming extinct.
I graduated when med schools still turned out doctors who after an internship were competent to be general practitioners. From what I have heard from colleagues who haven’t retired yet that same graduated intern these days would be like a deer in the headlights if they had to start a practice. Something has changed, the quality has deteriorated. There is lip service to evidence based medicine with no thought of questioning the studies that produced that “evidence”, determining their quality or looking into who funded them. It saddens me.
And this is why Do No Harm is growing and fighting relentlessly against these destructive forces.
www.donoharmmedicine.org
Dr. Malone and I live in a state (actually a Commonwealth) that has just seen the appointment of a new "Chief Diversity Officer."
https://spanbergertransition.com/news/governor-elect-spanberger-announces-chief-diversity-officer-appointment/
Why do we need this? As a Virginian, I am opposed to the application of my tax dollars to this wasteful governmental hierarchy. As a physician, I support Do No Harm wholeheartedly.
Based on this I get the idea that osteopathic training, being largely independent of the AMA, avoids much of the d.e.i. crap you describe here in educating new MDs. Thus they might well prove to be the foundation of physicians to go to as a core structure for a revitalized med culture.
"The AACOM (the American Association of Colleges of Osteopathic Medicine) officially endorses and integrates DEI (Diversity, Equity, and Inclusion) principles into its admissions and application processes, though implementation is less centralized and less prescriptive than the AAMC’s system for M.D. schools.
1. What AACOM Actually Controls
AACOM is a membership organization (like the AAMC) that:
Oversees the AACOMAS application service (the D.O. equivalent of AAMC’s AMCAS),
Sets guidelines for admissions practices and professional competencies,
Advocates for osteopathic programs before Congress, HHS, and accrediting bodies,
Publishes national data and educational frameworks for the osteopathic community.
D.O. schools are accredited not by AACOM itself, but by the Commission on Osteopathic College Accreditation (COCA) — which draws its philosophical cues from AACOM, just like LCME does from AAMC.
AACOM’s Official Position on DEI
AACOM’s public documents make their stance unambiguous:
In 2021 and again in 2023, AACOM released statements reaffirming its “commitment to dismantling systemic racism in medical education.”
Its “Diversity, Equity, and Inclusion in Osteopathic Medical Education” framework directs schools to:
“Increase representation of underrepresented minorities in medicine (URM) through targeted recruitment and admissions initiatives,”
“Prioritize holistic review of applicants considering background, lived experience, and identity,”
“Integrate antiracism and equity into curriculum and patient care competencies.”
The AACOMAS primary application added optional identity questions and a “diversity essay” section, encouraging applicants to describe how their “unique background and experiences contribute to diversity in medicine.”
In other words: DEI is formally woven into the admissions process, not just an optional overlay."
Sad.
I will still take an osteopath over choices in the medical world. Chiropractic too.
Damn! The IMA has several osteopaths. They've not shone such directions or constraints. Does the IMA have any helpful ideas?
I have had the impression that the osteopaths as a group were less invested in some of the harmful policies that the AMA has embraced, but I checked just now and found that one of the lobbying priorities for the American Osteopathic Association for 2026 is to promote gender affirming care. Which always sounds nice, but research has shown it is not actually helping the patient's mental health - if they are depressed and they think mutilating surgery will cure their depression, they find out too late that it does not. But this is something that the AOA has decided to promote, like the AMA, and clearly they have an integrated system to enforce their decision about what constitutes "treatment" and what public policy should be as far as funding for gender affirming care. This whole integrated system within medicine, including the osteopathic stream of medicine, operates not only to enforce DEI or pandemic nonsense - but whatever policies they adopt. I do think it's possible that this is less fully entrenched within the osteopathic system, at least on some issues, but clearly the fully integrated system is there the same as with the AMA etc. and they are the same on both trans treatment and on DEI, and perhaps within the hierarchy they are the same, though possibly the total lockstep thing among individual physicians is not fully 100%. But given that the system is as it is, given the DEI being woven into the admissions process etc. - system wide, it's going to be very similar to AMA system.
This is very scary information regarding the DEI agenda and the change via semantics to keep this as the status quo!
I began my nursing career in 1976 in a very busy local ER… well before CT scans, Ultrasound, paramedics and helicopter transport to Trauma Centers. I worked with older doctors who relied on the patient’s history and a full medical exam. I learned so much from those docs!
I ended my ER career working with younger doctors who barely listened to a patient, ordered test via an algorithm tied to their complaint. So many unnecessary tests and procedures were ordered ( many jut to CYA). I really missed my older docs that had to use their brains and experience to care for patients individually!!
Just*
Once identity is favored over rigorous clinical training and practice, the plot is lost and the value of this behemoth is shattered. Branching into ideology and climate as pillars are signs that upholding sound medicine practice is no longer the mission; rather, the AAMC's purpose is to now control the vertical medical apparatus. This apparatus has truly become a racket with no hyperbole necessary to describe its current state. Dangerous and ineffective for improving public health, it's going to take a massive effort to neutralize and correct.