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Archive for the ‘The Media’ Category

Travel Ban is Revealing ––––but Does Not Threaten American Medicine

Sunday, February 12th, 2017

This essay is a response to the hand wringing of many academic and corporate medical workers lamenting the potential effect of the recent travel ban, which was blocked in a most absurd and unconstitutional manner by           a 3-judge panel of the 9th circuit court of appeals.

 

Travel Ban is Revealing ––––but Does Not Threaten American Medicine

 

Jane Orient, M.D.

2/9/2017

 

A 90-day ban on travel from seven countries has sparked tremendous outpourings of “worry” or outright opposition by some 33 medical organizations.

 

“The community is reeling over the order, fearing that it will have devastating repercussions for research and advances in science and medicine,” states an article in Modern Healthcare.

 

Certainly the order is disrupting the lives of individual physicians who have won coveted positions in American medical institutions and were not already in the U.S. when the order was issued. Also their employers have a gap in the work schedule to fill. War tears people’s lives apart, however innocent they may be. And countries that sponsor terrorism have effectively declared war on the U.S.

 

But is American medicine so fragile that it can’t survive a 90-day delay in the arrival of physicians, most of them trainees, from Iran, Iraq, Libya, Syria, Yemen, Somalia, and Sudan? After all, every year more than a thousand seniors in U.S. medical schools do not land a position in a post-graduate training program through the annual computerized “Match” of graduates with internships. After another chance through the Supplemental Offer and Acceptance Program, or SOAP, hundreds of seniors are still without a job. This means that they cannot get a license to practice in the U.S., however desperate rural communities or inner-city hospitals are to find a physician, and their four years of rigorous, costly post-college education are wasted. Yet James Madara, CEO of the American Medical Association (AMA), is worried about vacant residency slots, according to a Feb 3 article in MedScape by Robert Lowes.

Entry to medical school is highly competitive, so presumably all the students are well-qualified. Can it be that graduates from Sudan are better trained? Does the U.S. have so few young people capable of and interested in a medical career that we have to depend on a brain drain from countries that are themselves desperately short of physicians?

 

For all the emphasis on “cultural competence” in American medical schools, and onerous regulations regarding interpreters for non-English speakers, what about familiarity with American culture and ability to communicate effectively with American English speakers? Some foreign-born graduates are doubtless excellent, but many American patients do complain about a communication gap. So why do some big institutions seem to prefer foreigners? Could it be that they want cheap, and above all compliant labor? Physicians here on an employment-related visa dare not object to hospital policy.

 

Whatever the reasons for them, here are some facts about the American medical work force:

  • One-fourth of practicing physicians in this country are international medical graduates (IMGs), who are more likely to work in underserved areas, especially in primary care, according to Madara.
  • According to the Accreditation Council for Graduate Medical Education (ACGME), 10,000 IMGs licensed in the United States graduated from medical schools in the seven countries affected by the ban.
  • Immigrants account for 28% of U.S. physicians and surgeons, 40% of medical scientists in manufacturing research and development, and 15% of registered nurses, according to the Institute for Immigration Research at George Mason University. More than 60,000 of the 14 million workers in health-related fields were from the seven countries affected by the ban.

Is medicine, like agriculture, now filled with “jobs that Americans won’t do”? Actually, we have more than enough Americans who love medical work. But some of best doctors are being driven out by endless bureaucratic requirements, including costly “Maintenance of Certification™” programs that line the pockets of self-accredited “experts” but contribute nothing to patient care. They are being replaced (substituted for) by “mid-levels” with far less training. Then there are thousands of independent physicians having to retire or become employees because they can’t afford the regulatory requirements—soon to be greatly worsened by MACRA, the new Medicare payment system. Physician “burnout” is becoming so bad that we lose up to 400 physicians—the equivalent of a large medical school class—to suicide every year.

 

The U.S. should be a beacon to attract the best and brightest, and it should welcome those who want to become Americans. Unfortunately, the lives of Americans, as well as the opportunities of aspiring foreign-born doctors, are threatened by those who desire to kill Americans and destroy our culture. These must be screened out.

Meanwhile, the reaction of organized medical groups to the travel ban is spotlighting serious problems in American medicine.

 

 

Jane M. Orient, M.D.obtained her undergraduate degrees in chemistry and mathematics from the University of Arizona in Tucson, and her M.D. from Columbia University College of Physicians and Surgeons in 1974. She completed an internal medicine residency at Parkland Memorial Hospital and University of Arizona Affiliated Hospitals and then became an Instructor at the University of Arizona College of Medicine and a staff physician at the Tucson Veterans Administration Hospital. She has been in solo private practice since 1981 and has served as Executive Director of the Association of American Physicians and Surgeons (AAPS) since 1989.  Dr. Orient is the 2017 recipient of The Edward Annis award for medical leadership.

Obama’s Medal

Sunday, January 15th, 2017

Another unforgettable moment in the almost 8 years of President Barack Hussain Obama

Vision to America News

Obama Awards Himself with Distinguished Public Service Medal

January 5, 2017

By: Joe Newby

On Wednesday, Warner Todd Huston reported at Breitbart.com that President Obama added another medal to his collection when he had Defense Secretary Ash Carter award him with the Department of Defense Medal for Distinguished Public Service.

According to Huston:

Secretary Carter awarded his boss with the medal on January 4 during the Armed Forces Full Honor Farewell Review for the President held at Conmy Hall, Joint Base Myer-Henderson Hall in Virginia.

Carter insisted that the medal was a token of appreciation for Obama’s service as commander in chief, the Associated Press reported.

After spending the last few weeks throwing roadblocks in the path of President-elect Donald Trump and his transition team, Obama nonetheless claimed in his remarks to the members of the military in attendance that “We’ve got to make sure that during this transition period that there is a seamless passing of the baton, that there’s continuity.”

“Thus, President Obama officially declares himself the greatest public servant during his own tenure,” a post at Conservative Treehouse said.

Defense Secy Carter presents Pres Obama with Dept of Defense Medal for Distinguished Public Service. — Mark Knoller (@markknoller) January 4, 2017

The Political Follies Continue

Monday, December 12th, 2016

As I and many others predicted, the election of either Trump or Clinton would produce chaos in our country. Well, here are a few present and future issues to provide headaches and headlines over the next four years.
After President Obama and Hillary Clinton definitively stated that the election was fair and absent of any significant corruption in November, the administration, the New York Times, Washington Post, and all the other left wing media outlets are indicating that the Russians intervened in the 2016 election to help Donald Trump win the presidency, rather than just undermine the confidence in the electoral system. The CIA is indicating that the Russians provided Wikileaks with thousands of hacked e-mails from the Democratic National Committee and others, and further alleged that this was part of a wider Russian operation to boost Trump and hurt Clinton’s chances.
So, could all this proceed in the following manner: Democrats declare the election should be nullified, putting pressure on the Electors to change their votes and deny Trump the 270 electoral votes required to win, throwing the election into the House of Representatives where either the Republican House votes to elect Trump (thus allowing Democrats to proclaim that the Republicans have elected an illegitimate president) or with enough votes from Republicans abandoning Trump in the House giving the election to Hillary. Well, folks, is that enough chaos for you? I hope my predictions are wrong. But hold on, the voyage might be rough in the next few months.
/But, in the meantime, I am going to add a few posts, which are not political, but might be interesting to some of the very few who visit my site.

The Dreadful November 8 Quandary

Tuesday, November 1st, 2016

Well, mercifully, we are at the end –– the end of the most awful presidential election of our time and really since the early 19th century involving Andrew Jackson and John Quincy Adams. What is worse this time, is that the Republican candidate, Donald Trump, is awful. He is vulgar, disreputable, a womanizer, a poorly educated lout. A disgrace to even imagine him as president. And his Democratic opponent, Hillary Clinton (and her equally corrupt husband, former President Bill Clinton), is a dreadful, dishonest, lying, elitist traitor. Her resume is long in politics so there is more evidence to review of her 30-40 years in the spotlight. Thus, I ask you to please see how Ayn Rand’s past words and Victor Davis Hanson’s present words all fit to describe her. To vote for him is an enormous risk and embarrassment.To vote for her is to turn our government into an even greater slimy hell hole than it is today. What is one to do?

“When you see that in order to produce, you need to obtain permission from men who produce nothing –– When you see that money is flowing to those who deal, not in goods, but in favors –– When you see that men get richer by graft and by pull than by work, and your laws don’t protect you against them, but protect them against you –– When you see corruption being rewarded and honesty being self-sacrificed –– You may know that your society is doomed.”

Ayn Rand
Atlas Shrugged, 1957
NATIONAL REVIEW

Victor Davis Hanson
November 1, 2016

Epic greed, power, and pride: Where’s the bottom? With Bill and Hillary, there’s no telling. What was the Clinton telos? The end point, the aim of all their lying, cheating, criminality, dishonor, and degradation? Given the latest Weiner scandals coming on top of the latest WikiLeaks scandals, we wonder, what did the Clintons really wish to end up as — and why? Are they Goethe’s Faust or tortured souls crushed by the weight of their money bags in Dante’s Fourth Circle of Hell? For a few criminals, remorse comes with old age; but for the Clintons, near-70 was to be the capstone, the last chance to trump all their prior shenanigans. They were artists of amorality, and the election of 2016 was to be their magnum opus. Collate the FBI reopened investigation, WikiLeaks Podesta trove, revelations about the Clinton Foundation, the e-mail–server scandal, the DNC disclosures, and the various off-the-cuff campaign remarks of Bill and Hillary Clinton, and one then ponders what was the point of the Clinton shakedowns, the loss of reputation, the crude lawbreaking, as they neared their seventh decade. To paraphrase Barack Obama, in his progressive sermonizing on making enough money, did the two ever think they had enough money, enough honors, enough power already? The Hillary/Bill fortune — generated by pay-for-play influence peddling on the proposition that Bill would return to the White House under Hillary’s aegis and reward friends while punishing enemies — hit a reported $150 million some time ago, a fortune built not on farming, mining, insurance, finance, high-tech, or manufacturing, but on skimming off money. The Clintons are simply grifters whose insider access to government gave them the power to make rich people richer. Long gone was the Scrooge-like need to write off used underwear as charitable tax deductions or to play 4-trillion-to-one odds in rigging a $100,000 cattle-futures profit on a $1,000 “investment,” or Hillary’s decade-and-a-half as a corporate lawyer masquerading as a children’s advocate. How pathetic the minor league Whitewater cons must seem now to the multimillionaire Clintons — such a tawdry ancient example of amateurish shakedowns when compared with the sophistication of real profiteering through the humanitarian-sounding, high-brow, corrupt Clinton Foundation. So the Clintons finally got their millions and what such millions can ensure for their separate lifestyles. They have at last beautiful gated estates, tasteful and secluded from hoi polloi, light years away from Arkansas and the Rose Law Firm. Progressive Chelsea married a multimillionaire hedge-fund operator whose father served five years in federal prison for bank fraud, mail fraud, and wire fraud. Her parents’ profiteering can allow Chelsea to announce, perhaps even sincerely, that she is not interested in money. Why should she be, given her own reported $15 million net worth from maternal spin-off favors? She lives in a $10 million Manhattan residence, so her parents had no motivation to get more in order to “provide” for their offspring. Instead, was bringing Chelsea down to Bill and Hillary’s level as a Foundation fixer a way to leave her a post mortem primer on how to get even richer? In sum, there was certainly no need for Hillary to even have considered flying to the Moroccan autocracy on the eve of announcing her presidential candida to leverage a $12 million speaking “fee” from a cut-throat Moroccan mining company, Why the drive to pile profits on top of profits on top of profits? Or, as Hillary’s top aide, Huma Abedin, put it of the quid pro quo fee (i.e., the mining company felt that it had gotten from the Clinton-run State Department a U.S.-financed Export-Import Bank loan of $92 million): This was HRC’s idea, our office approached the Moroccans and they 100 percent believe they are doing this at her request. Translated: A President Hillary Clinton would probably have no regret that dozens of heads of state, the majority of them dictatorial and not especially friendly to the U.S., would feel that they had done business with Hillary and Bill — and she, as a recipient of their largess, would owe them commensurate attention. Why did multimillionaire Hillary charge UCLA, in the era of thousands of indebted students, $300,000 (rather than, say, $149,999.99) for a brief, platitudinous speech? Why did multimillionaire Bill need more than $17 million for being honorary “chancellor” of the financially for-profit but tottering Laureate University (whose spin-off associate organization was a recipient of State Department largesse)? Did he think the extra millions were worth the embarrassment of being the highest-paid and least-busy college executive in U.S. history? Apparently, the good life did not drive the Clintons so much as the quest for the supposed best life. Even though they had finally “made it” among the multimillionaire set, the Clintons always saw others (no doubt, deemed by them less deserving) with far, far more — whether Jeffery Epstein, with his ability to jet wherever and with whomever he pleased, or green half-a-billionaire Al Gore, who ran even more successful cons, such as rapidly selling a worthless cable TV station to beat impending capital-gains taxes, and selling it to none other than the anti-Semitic Al Jazeera, whose carbon-generated profits come from autocratic Qatar. (The media never audited Gore’s attempt to become a cable mogul, unlike their current concerns about a potential Trump media outlet). The rich did not pressure the Clintons for paid favors as much as they sought out the Clintons as targets for graft. They certainly understand and smile at Hillary’s boilerplate promise of “making the rich pay their fair share” — the mantra of those who are worth over $100 million and immune from the impact of any tax hikes, or, for that matter, immune from any consequences whatsoever of their own ideology. The Clintons suffer from greed, as defined by Aristotle: endless acquisition solely for the benefit of self. With their insatiable appetites, they resented the limits that multimillionaire status put on them, boundaries they could bypass only by accumulating ever greater riches. The billion-dollar foundation squared the circle of progressive politicians profiting from the public purse by offering a veneer of “doing good” while offering free luxury travel commensurate with the style of the global rich, by offering sinecures for their loyal but otherwise unemployable cronies, and by spinning off lobbying and speaking fees (the original font of their $100-million-plus personal fortune and the likely reason for Secretary of State Hillary Clinton’s decision to put all her communications, mercantile included, on a private server safe from government scrutiny). Acquiring money to the extent that money would become superfluous was certainly a Clinton telos — and the subtext of the entire Podesta trove and the disclosures about the Clinton Foundation. Power and pride were the other catalyst for Clinton criminality. I don’t think progressive politics mattered much to the Clintons, at least compared with what drives the more sincere Bernie Sanders and Elizabeth Warren. Hillary, like Bill, has no real political beliefs — though she doesn’t hesitate to pursue a mostly opportunistic progressive political agenda. By temperament and background, the Clintons are leftists and will follow a leftist vision, sort of, but one predicated on doing so within the constraints of obtaining and keeping power. Trade deals? Hillary is flexible given the fickle public mood. Fracking? It depends on where the money is. The Keystone Pipeline? What are the pros and cons in key swing states? Wall Street criminality? One has to distinguish a wink-and-nod political façade from a private flexibility. Gay marriage? She can reluctantly “evolve” under pressure. Immigration? It hinges on Latino demography in swing states, and how bothersome, as their aides put it, “needy” Latinos and “brown” op-ed writers become. Black Lives Matter? Had the black vote not won Obama the 2008 and 2012 elections, Hillary would probably have persisted in Bill’s 1990’s mode (when he condemned rap singer Sister Soulja for her racism and her anti-white rhetoric) and in her own critique of black “super predators,” as she called gang members in 1996. For the Clintons, power is the narcotic of being sought out, of being surrounded by retainers, of bringing enemies to heel and enticing sycophants with benefits. Liberalism and progressivism are mere social and cultural furniture. For the Clintons, power is the narcotic of being sought out, of being surrounded by retainers, of bringing enemies to heel and enticing sycophants with benefits. Liberalism and progressivism are mere social and cultural furniture, the “correct” politics of their background that one mouths and exploits to obtain and maintain political clout — and to get really, really rich without guilt or apology. As in the quest for lucre, the Clintons’ appetite for high-profile authority is endless. Just as $150 million seemed as nothing compared with the billions and billions raked in by their friends and associates, so too eight years in the White House, tenure as governor, senator, or secretary of state were never enough. In between such tenures, the Clintons suffered droughts when they were not on center stage and in no position to wield absolute power, as they watched less deserving folk (the Obamas perhaps in particular) gain inordinate attention. A Hillary presidency would give the Clintons unprecedented Peronist-like power, in a manner unlike any couple in American history. Of course, the Clintons are not only corrupt but cynical as well. They accept that the progressive media, the foundations, the universities, the bureaucracies, Hollywood, and Silicon Valley honor power more than trendy left-wing politics; they well understand that their fans will, for them, make the necessary adjustments to contextualize Clinton criminality or amorality. Sexual predations, the demonization of women, graft, and unequal protection under the law are also of no consequence to the inbred, conflicted, and morally challenged media – who will always check in with the Clinton team, like errant dogs who scratch the backdoor of their master after a periodic runaway. The Clintons have contempt for the media precisely because the media are so obsequious. They smile, that, like themselves, the media are easily manipulated and compromised — to the extent of offering their articles, before publication, for Clinton approval (as the New York Times’ Mark Leibovich did; leaking debate questions to the Clinton campaign (as Donna Brazile did); or saying (as Politico’s chief political correspondent did), “I have become a hack. . . . Please don’t share or tell anyone I did this Tell me if I f**ked up anything.” The Clintons view such sycophants not with affection, but with disdain, given that they are moochers no better than the Clintons, with the same base desires, albeit better camouflaged by their pretense of objectivity. To paraphrase Demosthenes’s warning of the impending arrival of the war-scarred and half-blind Philip II, the Clintons have devoted their lives, their health, their very bodies and souls to get where they are. And their visible scars prove it. They have long ago lost any sense of shame — Bill is hourly caricatured as a sexual predator, and the best that can be said of Hillary’s character is that the bankrupt Left shrugs, “She may be a crook, but she’s our crook.” In Dorian Gray fashion, their sins are now imprinted on their faces and visible in their tremors. They were and are capable of any and everything. And one wonders whether, in fleeting seconds here at the end of things, they still believe that it was all worth what they have become. —

NRO contributor Victor Davis Hanson is a senior fellow at the Hoover Institution.

Krauthammer on the “New” Trump

Sunday, September 18th, 2016

This is an interesting article by Charles Krauthammer who apparently prefers Trump to Clinton. Apparently, even brilliant individuals do not understand that either as President will be destructive to the USA. Nothing either says can be believed. Both are psychologically damanged and dangerous. Dr. Krauthammer is a psychiatrist! Can’t he see that! Don’t indicate that anything either one says or does should be lauded.

Hillary Sharpens, Trump Softens. He’s Rising, She’s Falling
By Charles Krauthammer
September 16, 2016, 7:14 am

WASHINGTON — If you are the status quo candidate in a change election in which the national mood is sour and two-thirds of the electorate think the country is on the wrong track, what do you do? Attack. Relentlessly. Paint your opponent as extremist, volatile, clueless, unfit, dangerous. Indeed, Hillary Clinton’s latest national ad, featuring major Republican politicians echoing that indictment of Donald Trump, ends thus: “Unfit. Dangerous. Even for Republicans.”

That was the theme of Clinton’s famous open “alt-right” speech and of much of her $100 million worth of ads.

Problem is, it’s not working.

Over the last month, Trump’s new team, led by Kellyanne Conway, has worked single-mindedly to blunt that line of attack on the theory that if he can just cross the threshold of acceptability, he wins. In an act of brazen rebranding, they set out to endow him with stature and empathy.

Stature was acquired in Mexico whose president inexplicably gave Trump the opportunity to stand on the world stage with a national leader and more than hold his own. It’s the same stature booster Sen. Barack Obama pulled off when he stood with the French president at a news conference in Paris in 2008.

That was part one: Trump the statesman. Part two: the kinder gentler Trump.

Nervy. Can you really repackage the boasting, bullying, bombastic, insulting, insensitive Trump into a mellow and caring version? With two months to go? In a digital age in which every past outrage is preserved on imperishable video?

Turns out, yes. How? Deflect and deny — and pretend it never happened. Where are they now — the birtherism, the deportation force, the scorn for teleprompters, the mocking of candidates who take outside money? Down the memory hole.

Orwell was wrong. You don’t need repression. You need only the sensory overload of an age of numbingly ephemeral social media. In this surreal election season, there is no past.

Clinton ads keep showing actual Trump sound bites meant to shock. Yet her numbers are dropping, his rising.

How? Trump never goes on the defensive. He merely creates new Trumps. Hence:

(1) The African-American blitz. It’s a new pose and the novelty shows. Trump is not very familiar with the language. He occasionally slips, for example, into referring to “the blacks.” And his argument that African-Americans inhabit a living hell and therefore have nothing to lose by voting for him hovers somewhere between condescension and insult.

But, as every living commentator has noted, the foray into African-American precincts was not aimed at winning black votes but at countering Trump’s general image as the bigoted candidate of white people.

Result? A curious dynamic in which Clinton keeps upping the accusatory ante just as Trump keeps softening his tone — until she finds herself way over the top, landing in a basket of deplorables, a phrase that will haunt her until Election Day. (Politics 101: Never attack the voter.)

(2) The immigration wobble. A week of nonstop word salad about illegal immigration left everyone confused about what Trump really believes. Genius. The only message to emerge from the rhetorical fog is that he is done talking about deportation and/or legalization. The very discussion is off the table until years down the road.

Case closed. Toxic issue detoxified.

Again, that’s not going to win him the Hispanic vote. But that wasn’t the point. The point was to soften his image in the Philadelphia suburbs, pundit shorthand for white college-educated women that Republicans have to win (and where Trump trails Romney 2012 by 10 points). Which brings us to:

(3) The blockbuster childcare proposal. Unveiled Tuesday, it is liberalism at its best, Big Government at its biggest: tax deductions, tax rebates (i.e. cash), and a federal mandate of six weeks of paid maternity leave. The biggest entitlement since, well, Obamacare.

But wait. Didn’t Trump’s acolytes assure us that he spoke for those betrayed by the sold-out, elitist, GOP establishment that for years refused to stand up to Obama’s overweening mandates, Big Government profligacy and budget-busting entitlements?

No matter. That was yesterday. There is no past. Nor a future — at least for Ivanka-care. It would never get through the GOP House.

Nor is it meant to. It is meant to signal what George H. W. Bush once memorably read off a cue card. “Message: I care.”

And where do you think Trump gave this dish-the-Whigs cradle-to-college entitlement speech? Why, the Philadelphia suburbs!

Can’t get more transparent than that. Or shameless. Or brilliant.

And it’s working.


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