Kleptocracy means dishonesty usually on an intellectual and therefore frequently hidden level. These economies are easily dominated by credit creation and wish fulfillment, resulting in high rates of drug use, sex abuse and gambling with super profits accruing to those who control laws used to secure control of these lucrative sectors. As these are social ills there will be a commensurate distortion in medecine with strong comtrol either for fantasy treatments based on placebo and unskilled practitioners, or on drugs, poisons that do not cure but palliate symptoms only.