To a Fighter of Giants, The Measure of a Life…. By GARDIE CORA FISHER

Dr. Ibsen, do you see,
The lives you’ve saved, the legacy?
Not just survival, but life anew,
A gift they’d never have without you.
They try to silence, to push you down,
But only the great ones wear the crown.
They don’t resist the quiet voice;
They fight the ones who give us life.
Think of Rosa, who took her stand,
And Martin, with dreams that spanned the land.
They, too, faced storms that raged and roared,
Yet changed the world by staying the course.
You’re among them, standing tall,
Answering the unheard’s desperate call.
For the lives you’ve touched, the truth you defend,
Your fight is noble; your work that seems to never end.
So let them push, let them try—
Your legacy’s written in the sky.
You’ve already won; the proof is clear—
Hope lives on because you’re here.
Dr. Ibsen, do you realize this?
The lives you’ve touched, the hope you’ve kissed?
Not just a healer, but a giver of flame,
Lighting the path for those drowning in pain.
They wouldn’t fight if you didn’t inspire,
Your work, your empathy, is the light of the fire.
The silence they seek is the mark of your might,
For only the brave face shadows to fight.
Think of the giants who stood in the storm,
Who shaped the world, who broke the norm.
They, too, were met with walls and disdain,
Yet history remembers the weight of their names.
You are among them, one of the few,
Carving a path where no path was due.
Your work is a legacy, a gift, a decree—
A promise of life where none thought it could be.
So stand tall in the face of their doubt,
For the lives you’ve saved will forever shout:
He gave us hope, he gave us breath,
He showed us light in the shadow of death.

The Battle For The Soul of Medicine vs. The Mind of the Machine

“Thou shalt not make a machine in the likeness of a human mind.” -Butlerian Jihad, DUNE

In the shadowed peripheries of American healthcare, a non-kinetic civil war unfolds. It is not waged with scalpels, stethoscopes, or syringes but with artificial intelligence databases, black-box algorithms, and predictive metrics. The enemy is an invisible empire built not from armies, but from machine learning models and actuarial formulas that promises safety, efficiency, optimization, and a new utopia.  Patient advocates argue that healthcare artificial intelligence is delivering control, punishment, erasure, suicide, and cesspools of death.  The casualties of this new artificial intelligence driven regime are not just statistics, they are the chronically ill, the poor, the elderly, and the disabled. They are “pain refugees,” cast from care for failing to conform to Government healthcare protocols they never agreed to and no human ever explained.

And like all empires drunk on certainty, it may have met its resistance.  That resistance found a frontline in Montana, and a reluctant healing prophet in Dr. Mark Ibsen.  Dr. Ibsen did not set out to lead a revolution. A graduate of Washington University School of Medicine, an emergency room veteran, and a former Iditarod musher, he was a man familiar with endurance. His clinic, Urgent Care Plus in Helena, Montana, became an unexpected sanctuary. It was a last outpost for people whose suffering had been algorithmically dismissed—those deemed too complex, too risky, or simply unprofitable to treat. He treated them anyway.

Dr. Ibsen saw the human person with a consciousness, not a spreadsheet. The athlete with failed back surgery. The schoolteacher in tears from migraines. The grandfather whose golden years had been taken by neuropathy. Dr. Ibsen listened. He believed them. He prescribed, sometimes cautiously, sometimes courageously. In doing so, he violated the first commandment of the new healthcare algorithmic empire: “Thou shalt not deviate.”

For this, he was targeted by the Government.  In 2016, the Montana Board of Medical Examiners suspended his license for “unprofessional conduct.” No overdose deaths. No illegal prescriptions. Just too many algorithmic deviations. His medical practice was shuttered. His name publicly tarnished. The message was clear, medicine is no longer a covenant, it is Government compliance.

But the Government machine made one fatal miscalculation. It underestimated the man it tried to silence.  Dr. Ibsen did not return fire with fury. He answered with reason, with law, with story. His fight for reinstatement became a trial not just of a physician, but a battle for the soul of medicine itself.  In 2018, a district court judge reversed the board’s suspension, citing violations of due process and a total failure to prove that Dr. Ibsen had harmed anyone. The Government’s algorithmic machine had broken its own rules in the rush to make an example of a healer.  But for Dr. Ibsen, vindication was not enough. He had stared into the abyss and what he saw terrified him more than professional exile. He saw a future in which medicine itself would be devoured by an artificial intelligence machine that could not weep, could not wonder, and could not care.

Earthseed in the Electronic Health Record (EHR) Era

The real story begins by a breathtaking “achievement” of late-stage capitalism, the Healthcare Fraud Prevention Partnership (HFPP), a gleaming alliance of federal agencies and private insurers, that mastered the art of weaponizing health “fraud” detection not to protect patients, but to amplify and juice stock returns. While the HFPP publicly touts victories over minor billing errors, footbaths and clerical miscodes, the real story unfolds in boardrooms where Palantir’s powerful analytics platforms, integrated seamlessly into HFPP infrastructure, enable insurers to sift through troves of patient data to justify mass denials of patient care. This is not health fraud prevention, it is profit extraction by artificial intelligence algorithm.

From 2005 to 2023, the six largest insurers in the HFPP saw their stock values surge by over 1,000%, buoyed by Affordable Care Act (ACA) subsidies and data-driven tactics that turned life-saving treatments into red-flagged expenses. Prior authorizations became choke points. Medical appeals turned into dead ends. And behind every “optimization,” there was a patient, often elderly, disabled, or chronically ill left to suffer. Palantir’s Foundry doesn’t just find fraud, it helps manufacture a digital kill chain of care denial. This isn’t accidental it’s philosophical. Palantir CEO Alex Karp has publicly declared his approach is to “humiliate your enemy and make them poor,” a chilling ethos now embedded in the guts of America’s healthcare bureaucracy.  In this dystopian synergy, a slow, data-driven genocide is unfolding, not with bullets or bombs, but with spreadsheets and healthcare denial algorithms. And Wall Street is applauding every step of the way.

By 2025, America’s liberal dream had calcified into an algorithmic nightmare. Government artificial intelligence systems originally designed to prevent fraud and flag dangerous prescribing habits, like NarxCare and Palantir’s Gotham/Foundry, had become tools of mass medical surveillance. Over 4,000 American doctors were arrested many languishing in prisons for decades, not for harming patients, but for showing too much discretion. Deviating from “standard prescribing practices” had become not just a regulatory issue, but a criminal one.

The architects of this transhumanistic transformation called themselves Palantirians. At Palantir Technologies, they envisioned a world of “total data fusion”, where medical records, insurance claims, IRS files, Social Security records, medical claims, immigration histories, and even social media activity could be merged into a single portrait of risk.  With a single keystroke, Palantir’s data fusion platforms (Foundry and Gotham) could target, freeze, flag, or delete a human life. Palantir’s machines, integrated into the government’s deepest veins, purport to predict who might commit a crime, which doctors might be “outliers”, and which American citizens had become too expensive to keep alive.

Predictive artificial intelligence governance is now becoming totalitarianism without uniforms.  Thousands of American physicians, many from immigrant or minority backgrounds, have already been imprisoned by a Government system trained to equate medical discretion with statistical deviance. The Government’s accusation? Practicing medicine outside the AI algorithm’s invisible boundary. The real reason? To help juice profits for the HFPP health insurance colossus. Every American doctor jailed became a data point of HFPP compliance. Every American clinic shuttered became a triumph of actuarial fascism.

The Palantirians call it 5th Generation Warfare, healthcare fraud prevention, national security enhancement, and smart immigration control. But to those humans on the receiving end, disabled, sick, Black, Brown, and poor, it felt like a digital genocide, the extermination of human autonomy conducted through mathematical artificial intelligence sorcery.

But a human resistance was forming. And it had its own prophets.

The Rise of the Butlerians 

One of the prophets of this medical resistance is science fiction author, Octavia E. Butler. Though she died in 2006, her prescient vision has burned brighter than ever in the age of data tyranny. Her parables of systemic control read like science fiction prophecy. Her fictional gospel, Earthseed, began to circulate among human healthcare warriors  that call themselves Butlerians. They are Hackers, Healers, and  Poets battling healthcare artificial intelligence.

When Dr. Ibsen applied for licensure in another state and was again denied, despite his legal vindication, it confirmed what the Butlerians feared. The Government’s machine did not forgive human deviation, but only remembered the pattern.  But Dr. Ibsen’s legacy had already outlived the Government machine’s sentence.  Dr. Ibsen’s story and journey became legend.  His book, Doctor Bison’s Fables: An Allegory of the American Pain Refugee Crisis, a whimsical, allegorical account of medical exile, became required reading in the human rights movement. Dr. Ibsen lectured at the Cato Institute, not as a victim, but as a physician soldier whose mission was simple, to stop thinking AI machines from ending a human patient’s story.  Dr. Ibsen’s human journey is proof that a Government AI algorithm can be resisted.

Ultimately this American healthcare civil war continues to affect thousands of exiled American physicians like Dr. Mark Ibsen, who are human Mentats, trained not in obedience but in human resistance.  Dr. Ibsen now serves as an inspiration for this ongoing rebellion in American healthcare.  It should be noted that these American physician “Mentats” are not Luddites.  Many of these exiled physicians have created small, humane clinics where human suffering is met with compassion, and not with artificial intelligence flagging systems and fear.  These social justice warriors often use technology and artificial intelligence as a force multiplier but refuse to worship it. These “Butlerian” physicians believe that human stories and journeys are more valuable than computerized algorithmic scorecards.

Due Process Versus the Government AI Machine

In 2014, Palantir Technologies filed a patent (GB 2514239 A) for a system designed to detect healthcare fraud by integrating massive datasets from providers, insurers, pharmacies, and public sources into a structured ontology. The system uses graph-based visualizations to map relationships and identify anomalies, relying on algorithmic triggers, such as unusual prescription patterns or outlier billing behaviors, to generate investigative leads. Its interface enables real-time interaction and lead prioritization, effectively transforming human discretion into machine-guided suspicion. In essence, it codifies a Government logic where statistical deviation becomes probable cause.  But cracks were forming. Some Palantirians began defecting. They had seen cancer and pain specialists arrested for compassionate care. They had seen children lose parents to “compliance failures.” They had begun to read Octavia Butler’s words in encrypted chatrooms:

“God is Change.
Shape God.
Shape Self.”

A Butlerian underground grew. They didn’t have killer drones. But they had firewalls. And human fables. And human memory. They scratched Earthseed into prison walls that whispered Butler’s verses.  In the end, Dr. Mark Ibsen’s Butlerian Jihad is not about destroying technology, but is about restoring medicine.  His life journey is a testament by his refusal to reduce human healing to a math problem.  Dr. Ibsen’s battle is about the sacred relationship between doctor and patient, something no artificial intelligence model could simulate, no dashboard could display.

Dr. Ibsen life has lit a signal fire for humanity.  He has proved that one human life, lived with courage and conviction, can expose the cruelty behind the computer code. He reminded an American nation that the heart of medicine is not found in algorithms or analytics, but in human presence and consciousness, in listening, in the simple act of believing someone who is suffering from disease.  Dr. Ibsen reminded us that the future is not predicted, it is made. And in that simple truth lies the only resistance that has ever mattered.

“All that you touch You Change.
All that you Change Changes you.
The only lasting truth is Change.
God is Change.”
— Parable of the Sower, Earthseed: The Books of the Living