Sunday, July 15, 2018

Liberals Attack Brett Kavanaugh and Trash the Neighborhood


We live in frustrating and angry times here in America.  If you are not aware of this reality, then you are:
  • a newborn
  • a plant or an invertebrate
  • in heaven
  • comatose
  • on a deserted island sans electronic devices or wifi
  • living outside of the Milky Way
Peruse the front page of any newspaper or turn on any cable news channel.   You will read and hear about conflicts, outrage, investigations, accusations, threats and denials because this is what we desire and demand.  If we rejected such partisan and inflammatory reportage, the media would modify their content.   I do not accept that the media simply reports what is truly newsworthy; they produce their product to appeal to market forces.  Is Stormy Daniel's news value proportionate to the coverage she has received?  The reason that rags like the National Enquirer are successful is because we read them.

Beyond our collective appetite for darker and salacious content, we are also participants in the various tribal and cultural conflicts that are ongoing with no resolution in sight.  In other words, it's not all the media's fault.  For many interest groups and organizations, the mission is not to compromise or accommodate, but to vanquish and prevail.  Issues are viewed as a series of zero sum games – if you win, then I lose.   Of course, this is absurd. 

Ruth Bader Ginsburg was confirmed in a 96-3 vote in the Senate in 1993.   She was a known liberal, but Republicans properly supported her confirmation as she was qualified to serve.  Liberal presidents nominate jurists who are aligned with their philosophies.  Indeed, this should be a major consideration of voters when casting ballots in presidential elections.  Qualified nominees should be confirmed.  President Obama’s 2 Supreme Court Justices received Republican support, as they deserved.  Recently, Judge Brett Kavanaugh was nominated to assume Justice Anthony Kennedy’s seat.   Although his qualifications and temperament are unassailable, he has been vilified as if he is the anti-Christ.  Just because the Republicans inexcusably deprived Judge Merrick Garland of a hearing, does not justify perpetuating the dishonorable misdeed.  I wonder had President Trump nominated Moses, King Solomon or Jesus, if they would be similarly and summarily rejected by political opponents.


Moses - Clearly not Judge Material

Let me offer readers an oasis, albeit a brief one, from the chaos and the depressing morass that surrounds us.

Go and see Won’t You Be My Neighbor, a film that chronicles the life and work of one of our nation’s treasures, Fred Rogers.   He was an extraordinary human being, who inspired us with his deep humanity, compassion and love.   I found myself near tears during several moments of the film, and I continue to reflect on him his weeks later.  He was an antidote to hate and intolerance.  He made a difference.  We need him now more than ever.  See the film and you will also yearn to join his neighborhood.  

In today's era, if Fred Rogers needed Senate confirmation, could he achieve it?

Sunday, July 8, 2018

Insurance Companies Protect Patients or Profits?

A patient came to see me with lower abdominal pain.  Was she interested in my medical opinion?  Not really.  She was advised to see me by her gynecologist who had advised that the patient undergo a hysterectomy.  Was this physician seeking my medical advice?  Not really.   Was this patient coming to see me as her day was boring and she was bored and needed an activity?  Not really. After the visit with me, was the patient planning to return for further discussion of her medical status?  Not really.

So, what was going on here.  What had occurred that day was the result of an insurance company practice that I had thought had been properly interred years ago. 

The Insurance Reform Hammer - Locked and Loaded.


The woman had pelvic pain and consulted with her gynecologist.  An ultrasound found a lesion within her uterus.  A hysterectomy was advised.  The insurance company directed that a 2nd opinion be solicited.  A second gynecologist concurred with the first specialist.  The patient advised me that the insurance company wanted an opinion from a gastroenterologist that there was no gastrointestinal explanation for her pain.  In other words, they did not want to pay for a hysterectomy that they deemed to be unnecessary.
  • We should applaud the insurance company for its diligence to protect the patient from an unneeded surgery.
  • We should recognize that the insurance company is focused only on promoting medical quality with no concern for saving the company money.
  • We should cite the insurance company for industry excellence for facilitating smooth and efficient medical care.
  • We should tell the obvious truth about what is actually going on here.
This woman’s treatment plan, as recommended by two gynecologists, was halted by a bureaucrat who likely had less medical training than they did.  I surmise that not enough ‘boxes were checked’ on the submitted paperwork to permit the recommended surgery to proceed.   The insurance companies, of course, claim fidelity to a medical quality mi$$ion.  How would they like to be subjected to the same absurd level of scrutiny and oversight that they wield over us?  When the reform hammer comes down on the insurance companies,  my patient might be holding up a sign or a pitchfork, but it won't be to stand up for them.

Sunday, July 1, 2018

Happy Fourth of July


Let's pause for a few moments, amidst the chaos and cacophony of a society tearing at each other, when we shout more than we listen, when we foment more than we forgive and when we hate more than we heal to recall the promise of a nation that was founded with noble ideals as it journeys to form a more perfect union. 
The Whistleblower 




”I am apt to believe that it will be celebrated, by succeeding Generations, as the great anniversary Festival. It ought to be commemorated, as the Day of Deliverance by solemn Acts of Devotion to God Almighty. It ought to be solemnized with Pomp and Parade, with Shews, Games, Sports, Guns, Bells, Bonfires and Illuminations from one End of this Continent to the other from this Time forward forever more.”

John Adams

Add this