The World — Socio-economically and politically: What you need to know

 by James I. Ausman, MD, PhD

Surgical Neurology International
Article Type: 
Published Date: 
Thursday, October 10, 2013


The gravest challenge facing the USA and the nations of the world is the coming economic crisis of the world economies, if present policies are pursued. Few are aware or believe that this event could happen. The spread of centralized government control of the economies, the growth of the welfare state worldwide, the expenditures on entitlements beyond what any nation or even most states can afford, the cost of wars, the rapidly climbing debt of the USA and other countries and their inability to pay for these excessive expenses, the actions of many countries to print "fiat" (false) money to pay for their debts, the raising of taxes to pay for these debts, the rise in immigration to developed countries from the undeveloped world, the associated costs to their societies of this immigration, the promises made by politicians to get elected that cannot be fulfilled, and the desire of the public to have what they want, now, paid for by credit cards (debt), are all contributing to the coming economic crisis.

The unfunded promised benefits to the citizens of the USA in Medicare, Medicaid, Social Security, and pensions plus the USA debt amount to about $140 trillion. The total value of all the assets of all the people in the USA is $99 trillion dollars. So, one can see that the people of the USA do not have the resources to pay their expenses. Besides, these entitlements, the rest of the expenses are paid for with borrowed or printed (fiat) money that has little chance of being repaid unless perhaps by subsequent generations or by increases in taxes. Efforts to correct this coming economic crisis by austerity and sacrifice have been rejected by the public and the politicians worldwide. Governments and the press have participated in deception of the public about these issues in order to maintain their positions of power, for the truth would destroy them. No solution is in sight except more spending and valueless money printing. This unchecked desire for more of everything, without the responsibility to work or pay for these entitlements, has touched many countries and people with a few exceptions. This problem is the result of a worldwide breakdown of ethics and morality in society and a desire of the few for centralized control and power over the people. No country has instituted a solution to these problems that results in reducing expenditures or the growing debts. As many have stated in this paper, this policy cannot be sustained.

The result of this scenario will be a worldwide economic crisis. Fundamental to this impending economic crisis is the failure of centrally controlled economies and socialistic programs. Those selected groups, who benefit from having control, are the politicians, bankers, some selected industry leaders, and socialist planners, who will stop at nothing to maintain power and control over the people. Liberty of the people is in jeopardy worldwide. Read the evidence presented and decide if this summary is correct. The troubling question is, "What will happen if the world economy collapses?" Will this crisis be a time for the few to take more control of the people through fear, crisis decisions, misinformation, prevention of the public from protecting themselves with guns, and pervasive spying technology on each citizen or will more democratic governments arise from the failure of centralized control, the welfare state, and the loss of liberty? Such crises have been repeated throughout 4000 years of recorded history. What happened in those past times? Read the quotations of Vladimir Lenin, developer of Marxism-Leninism, the foundation of Communism and judge what you have read from his statements.

An alternative to this dismal scenario is little discussed also in the press. Why not? In the past 150 years, the alternative has happened with a rapid growth in democracy, communications technology, and life expectancy from advances in science and medicine. To unleash this huge human potential, at this time, will require individual freedom to create and innovate with the opportunity for risk and reward in an environment aided by unrestrictive governments even at the community and organizational levels. History records the success of the alternatives in the great leadership and creativity of humankind. The USA and the world are at the critical choice for their futures. We are experiencing the results of centrally controlling governments worldwide that are not working. Is it time for an alternative option? Read the evidence in this paper and decide for yourself. Reading this article will take you time, but you will not read all of this information elsewhere. It is key to your future. Decide for yourself what you should do after reading it. The URLs of many of the references are included so that you can read further about the many subjects presented.

James I. Ausman, MD, PhD
Editor-in-Chief, Surgical Neurology International

Note to the Reader from Miguel A. Faria, Jr., MD:

Dr. James I. Ausman, Editor-in-Chief of Surgical Neurology International (SNI), has provided a great service to the readers of SNI and the world with this tour de force comprehensive review of the world economic situation and the future of medicine. "The World — Socio-economically and politically: What you need to know" outlines where we have been and where we are headed in the realm of global economics and international politics in general, and medical socio-economics in particular. In a way this review article responds to (and elaborates on) the previous concerns expressed by neurosurgeons in a previous editorial drafted by Dr. Ausman and published in SNI in April 2013 (i.e., Ausman JI. What are the three major changes/challenges in your life? Surg Neurol Int 2013;4:53).

Nevertheless, this article pertains not just to physicians and scientists but to concerned citizens everywhere, including Americans. China has just today surpassed the U.S. as the greatest oil importer in the world. If you need to read one socioeconomic treatise to plan for the future of your professional life and your family, this is it! I suggest you click on the link to the article in SNI, print out the PDF version and then, at your leisure — peruse it carefully!

Read the entire article: Ausman JI. The World — Socio-economically and politically: What you need to know. Surg Neurol Int. 2013 [cited 2013 Oct 10];4:139.

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Comments on this post

Dr. Ausman's excellent article!

Dr. Ausman, one of the sharpest minds examining the economic problems facing the world, has written an important article. Recently, Dr. Ausman sent me a post concerning the DAVOS group an their concerns with the election of President Trump. I read one of the articles that has a coulee of point I found of interest--yet laughable.

The articles you sent about DAVOs --I only looked at one--are laughable at best. Basically, the author is lamenting the assault on global elitism (global fascism) by President Trump's common sense approach to the long list of problems facing the United States. In part, the authors say that the “populists” have forgotten those who have given them so much--this is a worn-out refrain of the collectivists. That is, somehow, the consumers have enriched the owners of businesses and industry out of some sense of benevolence and hence, the owners of these businesses owe the consumers a financial reward for their loyalty and a never ending flow of largess from the state.

Yet, the free market not only does not "forget those who have given them their profits", they have bountifully rewarded these consumers by giving them things they want and need at a reasonable price and of high quality. Socialism, on the other hand, gives them what the elitist rulers think they should have and all within the constraints of an ever-shrinking economy. This is why the author goes on to chastise the "Trump supporters" for trying to avoid taxes—they, the socialist elitists, need the taxes to pay their massive debts required to operate the bloated, clanking, smoke spewing, rattling collectivist machine of state. Their pretense of representing "free trade" is pure hubris. The experiment in a unified Europe, the European Union, inadvertently demonstrated that by using arbitrary regulations, laws and rules, the elite rulers of the EU were acting like despots— it was rapidly becoming totalitarian. Rather than letting the free market operate they wanted to selectively choose who wins and who loses in the economic markets. We see the results of their grandiose plans in such examples as Venezuela, Cuba, Russia and the other basket cases of global collectivism. President Trump terrifies them--because they know, if he succeeds, the United States will once again be a shining example of the power of a truly free market.--- Russell L. Blaylock, M.D.

Millennials & economics after the 2016 election

MAF (nov. 24, 2016): … I’ve read sadly some Millennials followers of Bernie Sanders, after their disappointment with this election, want callously, “the older generation out of the way!” Susan Stamper Brown of GOPUSA suggested the Millennials may end up as “America’s Lost Generation.” She compares them unfavorably with the Depression-era generation, who dealt with massive unemployment and greater fears with more poise and courage, and then lined up to fight World War II!
JIA: Millennials are the largest demographic now with 92 million people. They still have a high unemployment rate and generally, vote less than the Boomers and above. They believe that the Boomers are taking all of their jobs and money and spending money on themselves. Thus, the Millennials are not happy being deprived of the money they think they deserve by their elders. Hence, the attitude you stated above. 

This problem will be a tussle in the future. With the advances in Medicine, heart disease deaths are declining and cancer is becoming a chronic disease. Stroke deaths are also declining.  In the latest statistics from the CDC , drug and alcohol addiction are rising as causes of death. This is self induced death.
Japan and then the European countries are facing a booming population of those over 60, and they do not know what to do with this problem. In China the older used to be cared for by their children but that is harder to achieve now as their children live in the cities and are not taking their parents into their homes. They also have less money to pay for their parents. Japan has gone into debt to fund its older people, and there are not enough young people to take their place or pay for their care. That is why Japan is teetering on the brink of collapse as they cannot pay the decades of debt they have spent to care for the older population. 

The European countries had planned for socialism to cover everyone, cradle to grave, but they are now all near bankrupt and in debt from spending more than they earn or have. There is an imminent collapse of the Italian banks and a referendum on December 4 about whether the people want the present Prime Minister, who supports staying in the EU or the alternative movement M5S ( 5 star movement), which wants Italy to return to the Lira and exit from the EU. All of the  world banks are interrelated, so, if the Italian banks fail, others will be affected. The Deutsche Bank in Germany is leveraged 70X its assets with poor loans and is also basically being propped up temporarily. If it collapses, then the problem becomes even worse.  All of these problems are being compounded by the EU forcing countries to accept the immigrants which Hungary, Austria, and others do not want. Spain also wants out of the EU and so does France. So the EU is in threat of collapse as is the Euro. 

Our dollar is stronger now, as the best of the worst currencies, and has risen because of the Trump effect, which people believe will grow the economy. So, the stock market is up, but nothing has changed in terms of the dismal business performance in the USA. (i.e., low employment, falling corporate profits, lower productivity, less demand for goods and services), which leads to more unemployment and further business failures. It is hard to see how we can escape the collapse as the USA also has 20 trillion in debt it cannot pay and no industrial growth. Trump wants to jump start the economy but is starting from a 20 trillion debt to which his programs are projected to add 5 trillion more in 4 years. The 1 Trillion in spending for the Infrastructure, is basically another stimulus from government that does not have the money to pay for it. 

The economy  would have been worse with Clinton. So, the Millennials concerns will be overwhelmed by macroeconomic changes worldwide that are looming. Thus, it appears that we are facing a worldwide economic collapse as I read about it. When? Every year people have predicted that that collapse would happen, but we seem to avoid it by manipulation of the economy. No one really knows.--- James I. Ausman, MD, PhD,
Editor-in-Chief, Surgical Neurology International