Skip to main content

Sequestration Closes the White House

Fortunately, the sequester did not incinerate Caribou Coffee, where I suck down several hot chocolates each week.  Luckily, Cleveland hasn’t passed a Big Government Big Edict against Big Beverages, as Mayor Michael Bloomberg rammed through last year in New York City.  Recently, a New York state judge refused to drink the mayor’s Kool Aid and ruled against the absurd, loophole-ridden government intrusion.  

Sorry, Mike.  I suggest that you console yourself with a beer, which apparently is much safer than soda since no restrictions were placed on sizes of alcoholic beverages that may be sold.     

I will try to crank out at a blog post now, but my heart is ponderous as I contemplate the plight of our nation’s children.   The barricades have been erected at 1600 Pennsylvania Ave.  White House tours have been cancelled, yet another apocalyptic consequence of sequestration.  It’s not clear to me who was responsible for this.  The White House?  The Secret Service?  Personally, I think it must be George Bush’s fault and expect that Harry Reid and Nancy Pelosi will soon declare this publicly. 

Sorry kids.

The Obama administration faults the GOP for failing to ‘compromise’ on what they describe as a balanced approach to our nation’s fiscal situation.  Let me elucidate the meaning of the word compromise.  It means surrender and cave.  The Dems want more revenue, aka taxes, although the GOP just consented to a gazillion or so dollars of tax increases on the wealthy, which took effect on January 1st.  Wasn’t that a compromise?  If the GOP cave again now, or should I say compromise, does any breathing American believe that they won’t be asked to do again and again?

One thing is for sure.  Both sides have only one issue on their minds – the 2014 midterm elections.  I predict that the GOP will retain the House and that the intransigence will persist.  Then, for the next 2 years, both sides will calculate every uttered syllable and act toward prevailing in the upcoming presidential election.  Remind me, why is the world laughing at us?  There’s something to be said for benevolent dictatorships.

Who can help to diffuse the hyperpartisanship and tamp down the political hyperventilating?   Who can cut through the Machiavellian maelstrom to bring sanity to chaos?  There is a singularly gifted individual has the requisite diplomatic skills to triumph in this mission impossible.  America needs Dennis Rodman now more than ever. 

Who’s going to break the news to our kids that the White House is off limits?  We may need to recruit professional counselors to manage their grief, but there may be a dearth of therapists who have been decimated by the sequester.  A spoonful of Haagen Dazs can help ease the bitter medicine down our youngsters' gullets.  (I mention the word gullet so I can justify this rant in a medical blog.)   Let’s give each of our neglected kids a milkshake to calm and comfort them, while this beverage is still legal.


Popular posts from this blog

Why Most Doctors Choose Employment

Increasingly, physicians today are employed and most of them willingly so.  The advantages of this employment model, which I will highlight below, appeal to the current and emerging generations of physicians and medical professionals.  In addition, the alternatives to direct employment are scarce, although they do exist.  Private practice gastroenterology practices in Cleveland, for example, are increasingly rare sightings.  Another practice model is gaining ground rapidly on the medical landscape.   Private equity (PE) firms have   been purchasing medical practices who are in need of capital and management oversight.   PE can provide services efficiently as they may be serving multiple practices and have economies of scale.   While these physicians technically have authority over all medical decisions, the PE partners can exert behavioral influences on physicians which can be ethically problematic. For example, if the PE folks reduce non-medical overhead, this may very directly affe

Should Doctors Wear White Coats?

Many professions can be easily identified by their uniforms or state of dress. Consider how easy it is for us to identify a policeman, a judge, a baseball player, a housekeeper, a chef, or a soldier.  There must be a reason why so many professions require a uniform.  Presumably, it is to create team spirit among colleagues and to communicate a message to the clientele.  It certainly doesn’t enhance professional performance.  For instance, do we think if a judge ditches the robe and is wearing jeans and a T-shirt, that he or she cannot issue sage rulings?  If members of a baseball team showed up dressed in comfortable street clothes, would they commit more errors or achieve fewer hits?  The medical profession for most of its existence has had its own uniform.   Male doctors donned a shirt and tie and all doctors wore the iconic white coat.   The stated reason was that this created an aura of professionalism that inspired confidence in patients and their families.   Indeed, even today

Electronic Medical Records vs Physicians: Not a Fair Fight!

Each work day, I enter the chamber of horrors also known as the electronic medical record (EMR).  I’ve endured several versions of this torture over the years, monstrosities that were designed more to appeal to the needs of billers and coders than physicians. Make sense? I will admit that my current EMR, called Epic, is more physician-friendly than prior competitors, but it remains a formidable adversary.  And it’s not a fair fight.  You might be a great chess player, but odds are that you will not vanquish a computer adversary armed with artificial intelligence. I have a competitive advantage over many other physician contestants in the battle of Man vs Machine.   I can type well and can do so while maintaining eye contact with the patient.   You must think I am a magician or a savant.   While this may be true, the birth of my advanced digital skills started decades ago.   (As an aside, digital competence is essential for gastroenterologists.) During college, I worked as a secretary