Category Archives: Health Care

Business unusual.

1-2-3 ALL TOGETHER NOW…

If you live in a “progressive” state or commonwealth with an equally soft governor, you may have heard a proclamation concerning deadly coronavirus, that ended something like this: “We can get through this.  When times have been tough in the past Americans have pulled together and that is what will get us through this today… together.  We are all in this, together.”

Governor Baker, in crisis mode, looks either deeply concerned or very disappointed.

What was being meant, in fact, was everything including the next-to-the-last “together.”  The last sentence really wasn’t “we” are all in this together – it was “YOU are all in this together.”  You know what you thought you heard, but that’s because you haven’t recognized until right now, that when a state official, or even a minor state functionary, says “we,” he or she means “YOU,” the person with the target on your back.  So it is with coronavirus and the ‘stay at home’ and business-cessation directives.  There’s an “us” and “them” equation at work.  If you’re a state official, or a political hack who works for the state, or a unionized state employee, or the otherwise unemployable cousin of a judge or court clerk, “us” means yourself and every other person on the state payroll or receiving a generous state pension, and includes every welfare recipient and illegal entrant.  That’s who “us” is.

“Them” is you, me and every other tax-paying zhlub who actually, in reality, DOES work for the state, supporting every paycheck that “us” cashes.  See how it works?  Only people in the dreaded private sector are hurt – possibly destroyed financially – due to the absolutely essential shutdowns and lay-offs.  We are “them,” vis a’ vis the state.  We are not the people who don’t lose a penny of pay, benefits or pension; we are the ONLY people in all this togetherness who DO lose a lot, if not everything.  “You are all in this together, you saps.”  (Okay, okay, I added the “saps” part.)

Massachusetts is one of those squishy, “progressive” states with a soft, “progressive” Governor.  These kinds of states are typically one-party ruled, not Republican, although that line is blurry.  An observer can spot the squishiness thanks to a few shared qualities of how those states are governed.  Payroll is a big one.  State employees are comparatively highly paid compared to private-sector employees, sometimes egregiously so.  Massachusetts, an obvious example, has 930 or more employees making over $200,000 per year, a large number making $200K to $900K, and two who make over $1 Million per year.  Despite being on salary, many earn overtime which gets paid at a much higher rate, especially for state police officers, for whom total pay can easily exceed $300,000.  Of course, unlike the dreaded private sector (DPS), there are automatic raises for “public” employees.  All one need do is avoid murdering someone to see steady increases.

Recently a host of state police officers were “convicted” (admin slap on the wrist) of defrauding the state and its taxpayers, by claiming overtime hours not worked.  The amounts were in the thousands and tens of thousands of dollars, and the fraudulent activities extended to supervisors with higher ranks.  All of those found out were making a lot more than the average income of the citizens they are “sworn” to protect.  They lost their jobs but – and here you’ll want to hang on to the arms of your chair – they didn’t lose their pensions!  Our beneficent, democratically elected governors, and THE governor, who purports to be a Republican, and the shadowy boards and commissions they have placed between justice and state-employed criminals over many years, decided to not actually punish the criminals who have stolen from their ostensible bosses (pesky private sector taxpayers), unlike what the consequences would be if any of those civilian citizens had similarly defrauded the state or other citizens.

“You’re all in this together,” the Governor meant to say.  “You have to stay home; you can’t gather in groups, even with family; you can’t go to the movies, to a barber, or to the gym; you’ll have to stop working in most industries and occupations; you’ll have to file for unemployment.  Even though your customers will stop buying from you or mailing you checks for past work performed or products delivered, you will just have to suffer economic ruin even though you committed no crime except to be susceptible to a disease you only recently heard of.  Have a nice day.  Hunker down and we’ll (you’ll) get through this together.  We in state government will, at the same time, look very concerned while sacrificing none of our pay or benefits and enforcing the statewide shutdown on you, our beloved supporters.”

“(You’re) all in this together.”

COPING WITH THREATS

The freedom of the United States and the stability of worldwide political intercourse, depends on the role of the Dollar.
The greatest threat to dollar stability.

Prudence will be served best by a rational analysis of how and why the COVID-19 strain of “coronavirus” so dramatically upset governance, liberty and economics, compared to other flu-like illnesses that infect huge numbers of Americans every year.  This essay is beginning at the height – or the depth – of the national economic shutdowns and of the extraordinary fears that have everyone suspicious of every other warm, breathing human.  It wasn’t going to be published until we were at the other end of this national economic threat, which will, it seems Prudent to say, going to arrive.  But it cannot wait.  What can this new virus be compared to?

Annually, more than 30 MILLION U. S. residents make hospital visits due to the 4 common flu viruses.  And hospitals are busier because of them: there are some 200,000 hospitalizations.  This happens with no enforced shutdowns of business and trade, or restrictions on movement of legal residents.  If someone tells you they may have the “flu,” you back away, say “don’t give it to me,” smile and recommend your favorite home remedy: “Hot water with lemon.  Make sure it’s fresh lemon, squeeze it so you get all the juice.”  Then you carry on your daily activity, sure that you have cured someone.

Television advertising reminds everyone of the wonderful “flu” medications for sale that, in fact, suppress symptoms, enabling customers to feel good enough to go to work!  But, did you know that in the 2017 – 2018 “flu season” that there were 900,000 hospitalizations?  You didn’t hear about that then?  Weren’t the media keeping us up to the second with every new case, and in which county and city it appeared?  You weren’t afraid to leave the house?  Why not?  EIGHTY THOUSAND people died from flu that year, and in just a few months!  Ye Gods!  We should have been cowering, waiting for the federal government to rescue the entire country and we failed – we failed – to pay attention.  Thank God we survived that crisis.

The 2017 – 2018 season was 4 TIMES worse than the year before and our virtuous political leaders were asleep at the switch.  How was it that they didn’t whip us into a frenzy of prevention, segregation and economic dependency?

Is it Prudent to offer a couple of predictions?  One is that a relative handful of economic powers, some or all at least partially financial powers, will emerge with MORE economic power than they had prior to COVID-19.  Why does this seem likely?  Because those are they who know how to profit from crises, whether military or medical.

Want another?  The crisis we believe coronavirus has created, will be extended in many aspects, into the Fall, possibly through the beginning of November.  It’s possible that enough economic damage will have been done by mid-April for this to happen regardless of politics, but if not, political considerations will make it last for two valid reasons: 1) Democrats believe they can damage Trump into non-re-electability if things get “bad enough;”  2) Republicans believe that managing a terrible crisis with signs of steady improvement, will keep the nation from “changing horses in mid-stream.”  It would be more Prudent to put the whole thing to bed, so to speak, before the middle of April.  Let’s hope this prediction doesn’t pan out.

Based on the tawdry quibbling over how many non-virus-related hands will get greased by the, perhaps, $2 Trillion dollar rescue, bailout, support, small-business/ big-business load the Congress is “debating,” many socialist dreams could get realized thanks to the Chinese coronavirus.  Rational residents of our once-great nation should be shaking their heads at the crude nature of most of those august men and women, but we’re afraid to spread the virus ourselves.  Evidently, the House under Speaker Pelosi, has tried to include a dozen or more components of the leftist agenda in the “emergency” legislation.  One has to wonder.

Another prediction involves the health-care industry/system.  They are moving public policy at every level of government while struggling to meet the sudden pressures of a contagious disease.  It’s a disease that needs lots of products for just protection of care-givers – more than anyone had in stock.  It also requires lots of specialized equipment for treating those infected – more than anyone had in stock.  COVID-19 also requires lots of decisions about how to both remove the shortages of stuff, and to “prevent” the continued spread of infection – there is an oversupply of those: politician-provided.  And, unlike gloves, masks and ventilators, the proper operation of decisions is very difficult to measure or evaluate.

By definition decisions are made in advance.  Decisions made about the past are notoriously ineffective.  Real decisions lay courses of action, often without knowing which of the potential consequences will actually manifest.  There is always a hope that the one consequence a decision-maker prefers will be the one that happens, but once a decision is made, it’s a bit of a crap-shoot.  There are too many moving parts to control which consequence will be true tomorrow, or the next day, or a week or so from decision time.  In this current matter, the decision was to keep people from congregating, even down to groups as small as, well… two!  This has a corollary that says most businesses must close, especially those that operate with congregations of people – like restaurants, churches, schools, public transportation, planes and on… and on… and on.  It means no weddings or funerals, no court sessions, no legislative gatherings, no business meetings, book clubs or sales leads groups.  Very few business activities will be “allowed” to happen.  Meanwhile, millions of people are not paid, millions of transactions are unconsummated, billions of dollars of commerce are unrealized, and trillions of dollars of wealth are vaporized in a few days.

Was this damage a decision or an unfortunate consequence?  Who could possibly benefit from this consequence?  Some will, unfortunately.  As this shakes out – hopefully with the United States still an independent nation (this is relative) – the new economic patterns will emerge and we’ll see the beneficiaries.  China will have something to do with them.

Odd, it seems, that the paralysis of the West has coincided with the miraculous cessation of reported cases in China.  Clearly China has manipulated its stories about coronavirus, its reports about coronavirus, its claims about who started the virus’ infections (the U. S.), its denials of anything wrong having ever been done by China regarding coronavirus or regarding the punishment of doctors attempting to warn the government of China about its uncontrollable spread, and now, about the incredible end of new infections.  Is there any reason to believe that this disease was not released to have precisely the effect it has had on America and Europe?  Or, to believe that the West has reacted in the only ways most favorable to China?

Keep an open mind.  Question EVERYthing.

WOO, WOO, WUHAN

We have enough to worry about... I'm not going to worry about toilet paper on top of everything else.

You may have heard of this new virus, COVID-19?  Many have.  It’s not as widespread as “the flu” or hemorrhoids, but it’s becoming a popular meme.  The Chinese provided the best possible environment for the rapid spread of “Coronavirus,” but they are quite reluctant to take full credit for their successes with this new flu virus.  Funny, that, for the progressive and benign inventors of virtually everything, starting with justice for all.

People and governments, businesses and schools and other institutions, have reacted in some ways foolishly.  Again, the Chinese were world leaders, although they have started to forcibly push that honor onto the United States, displaying their progressive generosity, to the point of claiming the highest honor of all: being the victims of COVID-19, rather than the originators.  How friendly is that?

There are numerous “corona” viruses, 7 at least.  Some of them haven’t “sold” as well due, possibly, from their not having been granted cool, mysterious names.  Right now, COVID-19 is hot, and everyone seems to want it… or, at least, wants to worry about it.  229E (alpha coronavirus), NL63 (alpha coronavirus), OC43 (beta coronavirus), and HKU1 (beta coronavirus), all gain customers every year but are never celebrated as much as SARS, MERS or the king, COVID-19.  I mean, who the Hell would want people to know he or she were suffering from “NL63?”  No one, that’s who.

“Coronavirus,” however, or COVID-19, clearly carries a certain élan, some people are so excited about it they are posting their symptoms and difficulties for all to envy and, perhaps, copy, if they’re lucky.

Admittedly, your correspondent, who has never caught SARS, MERS, 229E, NL63, OC43, or HKU1, and not even the 2009 Swine Flu, and whose ability to get within 6 feet of COVID-19 is equally in doubt, still shares your desire for victimhood and all the benefits that go with it.  President Trump and Congress have cooperated to pump air into our virus-deflating economy.  They call the air, “money,” so-called “billions” of dollars’ worth.  It, and many regulatory changes may prove valuable in the limiting of COVID-19’s popularity, so those of you who have gotten hold of some will be even more famous as the weeks and years go by.

Popular and social media, along with other “influencers,” have managed to whip up a pretty good frenzy over “coronavirus.”  In response, every business that typically attracts crowds of people to its products, from Wal-Mart to the NBA, major league baseball, the NHL and various marathons and fun-raisers, have cancelled or postponed their events, at great economic loss.  Individual star-players have stepped forward to financially support the hundreds of ancillary employees and businesses that function to operate sporting events and to serve their attendees.  Real generosity, as compared to the “federal” type.  A lot of the lost or displaced economic activity will never be restored or replaced.

Some businesses, naturally, will benefit mightily… paper-goods manufacturers, for example and any store or supermarket that sells them.  Bottled-water purveyors and those same stores, again.  Company’s that make hand sanitizer, antiseptic surface wipes and face-masks, among other goods, are doing nicely as sheeple attack their supplies to obtain extra quantities of those items that no one and no family, certainly, could bear to do without.

Toilet paper is a big item as the perceived threat of worldwide pestilence rears its empty head.  Dozens of rolls.  If the supply chain for toilet paper gets severed, people are calculating, their family is not going to suffer the absence of toilet paper until the very last possible minute.  This is perfectly logical, possibly even Prudent, although neither quality can be judged on real merits.  Faced with a frightening disease, the natural reaction is to stock up on toilet paper.  Clearly adherents of this philosophy have not thought things through: if conditions deteriorate to the complete cessation of toilet-paper production, there likely won’t be any food to eat, either, and wiping one’s butt will mean less and less in the grand scheme of things, until we are all smothered by the final, rapid descent of what’s left of the sky, bonking us all on our heads, rendering us senseless.  No shit?

Basically, coronavirus, COVID-19, is a new strain of an old friend, causing a variant of the seasonal flu.  AS WITH ALL “FLU” VIRUSES, elderly, especially elderly nursing-home residents are at the greatest risk, as are those with other respiratory diseases or weaknesses, smokers and those otherwise immune-compromised.  Without strong immune systems, infected victims will find it hard to conquer the virus, and in those, the virus will replicate at its fastest, causing fluid build-up in the lungs and death from pneumonia or, in effect, drowning.  No one wishes such an end on anyone.

The “flu,” we have observed, tends to decline in the spring and virtually disappear in the summer.  Why would that be so, if it’s so virulent?  Why are some people able to fend it off easily in its “high” season, mid to late winter?  Why are carefully-tended nursing home residents so susceptible?  It’s all dependent upon individuals.  It is our habits, our practices, our health and nutrition and our good sense that enables a virus like COVID-19 to succeed or fail.

Why do flu viruses infect more people in the winter?  In large part it is because humans tend to have more bronchial and rhinopharyngial inflammations in cold weather.  We cough, our sinuses produce more fluids and mucus, we blow our nose, and our bronchial tubes collect mucus and fluids.  We work hard to get rid of these intruders and enflame these sensitive linings.  Both bacteria and viruses find welcoming environments and it’s off to the races.  Over the period of a couple of weeks to a month our bodies fight off the infections and our immune systems are invigorated.  Fairly soon there are fewer and fewer people who are contagious and the season passes into spring and summer, and another factor kicks in: sunshine.

Vitamin D is essential in all sorts of organic functions, including strengthening our immune systems.  We are likely to be a little healthier in warm weather because we get more sunlight and our skin creates more vitamin D.  It’s not just that simple, but it’s not a lot more complicated, either.  Nursing-home residents don’t get as much sunshine, for one thing, rarely consume really good meals, don’t get to take supplements, and are kept away from viruses to a great extent, thus rarely exercising their immunities, leaving them more vulnerable than just age alone would make them.

With flu warnings hammering us every “flu season,” we also modify our habits, cover our coughs and sneezes more diligently, stay away from others when we’re feeling ill, take our vitamins more diligently, wash our hands more often, things like that.  And, we survive the flu, kind-of like the way we are surviving the new “coronavirus” this year, too.  There aren’t many MORE ways to have reacted badly to COVID-19 than the ones we have and are trying, starting with the Chinese in particular.  If we had simply described this virus as an especially aggressive flu bug and blasted the airwaves with how to protect ourselves and what to do if our symptoms are one way or another, we’d be acting extra carefully and still going about our daily and business activities.  There’d be more absenteeism, but no mania, the cost of which we can hardly estimate.

COVID-19s is a nasty bug.  It has a more severe effect on lungs than other coronaviruses, making breathing difficult and stressing hearts.  The death rate is higher, too, and, like other coronaviruses, mainly for senior citizens, rates spike with age and certain pre-existing conditions.  Number-one is heart disease.  Another big one is diabetes, which is its own epidemic in overweight America.  If your health is already under attack, please protect yourself.  For age groups over 60 the risks are higher.  Compared to other well-known flu’s – the ones that come back every winter – the death rates spike higher with this new one for these at-risk, older groups.  Use good sense: don’t snuggle with anyone exhibiting ANY flu symptoms.

In the United States, hyper-politicized and divided into sets of enemies, we have allowed the entry of the latest coronavirus to modify our governance and our economic relationships, citizens and federal government, and states and federal government.  It’s dangerous.

COVID-19 is a serious disease, mainly because it is more easily transferred than other flu’s.  It doesn’t mean we’re all doomed to catch it, nor that every senior citizen is going to die if he or she is infected.  The speed of its spread has tripped up health systems, but now that it is better understood, the natural anxiety caused by the rate of infection can be set aside and replaced with best practices to help people recover, AS MOST OF THE INFECTED ARE GOING TO DO.  Reactive mania, while politically irresistible, is not particularly helpful beyond the shortest of terms.  The concerns about testing rates have more to do with getting the infection statistics right than with specific treatments for those infected.  One of the reasons South Korea has relatively low infection and death rates is its widespread testing.  That data keeps panic at bay.  With cleaner air nationwide, and lower smoking rates than Asian nations, Americans are in some ways healthier and somewhat less at risk.

Americans have learned, on a sudden, how quickly their freedoms may be curtailed by a handful of press conferences and an executive declaration of a “state of emergency.”  Families can be disrupted with school closings and by “woke” corporations changing job descriptions without notice.  Whole businesses may be shut down by arbitrary event-attendee limitations, mostly by state authorities.  It seems unreal, yet the expansion of economic, social and religious displacements is evident with every hourly newscast.  It seems imPrudent.

Take your vitamins, extra C, as much as 3,000 IU’s of vitamin D, eat fresh fruits and veggies, and an orange every day.  It makes a lot more sense to stock up on oranges, lemons and limes than toilet paper.  Don’t smoke… anything.  Get plenty of sleep.  Don’t frequent venues where people are packed tightly together; stay away from others if you feel sick, have a tough cough or are sneezy.  Pray – praying for those who are sick is always recommended.  While you’re at it, ask God to protect our hapless United States of America.

THE PRINCESS AND THE P

Lyon Hospital, Department of urology. Sex reassignment surgery, transgender Female to Male, hystero-ovariectomy under laparoscopy. Operation which precedes the phalloplasty, hysterectomy, ovariectomy, vaginectomy, (Photo By BSIP/Universal Images Group via Getty Images)

“Male and female created He them.”  For hundreds, thousands, millions of years, this truth was not a burden on humanity.  Many would rather ignore the whole statement because they don’t – or don’t want to – accept the “He” portion.  Somehow, and religious teachers must bear some blame, “we” have, over just a couple of decades, tried to undo the essential facts of biology: male and female.  Being called a female or male, amazingly, collides with thousands of people’s beliefs.  Why has this phenomenon crept out of counselors’ offices and parents’ concern?  Who are they who work so tirelessly to force the sexual variant of Jonestown on the rest of society?

Because lives are definitely lost amongst this new belief structure.

Transgender-ism  is a belief structure.  It is not supported by biological fact in any but the rarest of anomalies.  It is a belief, usually quite temporary, that one’s body is the “wrong” one.  This is a strange thing to believe… strange only if other humans were interested in discovering the source of the belief, itself.  But, strange becomes “normal” and deserving of societal respect if – and only if – the individual’s feelings  have been elevated to the level of truth: truth in the absence of evidence, a new faith.

Non-evidenced “truths” are now receiving legal  status as craven legislators bend over as far as possible to pander to the new faith.  Sadly, there are craven doctors, too.

And craven educators.

Public schools are not merely tolerating and preventing overt discrimination or bullying against children pretending to be their opposite gender, but they are encouraging  transgenderism among those children who are, for the moment, envious  of the opposite sex.  Parents, and professionals, ought to be helping children to be comfortable with their bodies, not to be revolting against them.  At the same time, adults should all be trying to find the source of childrens’ “gender dysphoria.”

The resolution of this heretofor rare condition, is something adults should pursue, even if it means a full social transition.  Few people will need to know that an individual was not born as he or she appears.  Whether full surgical mutilation is called for, is quite another question.

In the past decade the number of dysphoric youth has grown 1,500% to 5,000% and even more in some countries, with the ratio of girls to boys flipping dramatically.  Why?  Transgenderism “advocates” would say that only now are trans youth enjoying the freedom to express their “true” identities, thus accounting for the explosive growth.  Critics of the trend might see a frightening desire, like a virus from the bowels of China, that infects female and male alike, however disproportionately, with the desire to escape the responsibilities of their sex. 

There are unnumbered ways to achieve sexual release, alone, in pairs or even groups, and none require total denial of self, or bodily mutilation, so there is something else at work, beyond the sexual.  Perhaps it is more Prudent to consider a virus that infects not those who reflect its torment but their parents, schools, and social institutions, like unbalanced feminism, which, with other failures of freedom, convince late-term, newborn, toddlers and pre-schoolers (which age socialists and fascists would have include all of the earlier mentioned) to distrust, if not hate, the prospects of womanhood and manhood.  Despite our access to Instagram and Twitter, Panera, Chick Fil-A, Starbucks and weed, our twisted norms create a society in which children don’t want to be, well… who they are.

The result is not true gender dysphoria for most of its claimants, but a hatred for life, itself.  Prior to actual suicide (the end-game for many who attempt to change their sex) these, now, tens of thousands try to kill their personal realities.

For those who are dysphoric, one’s heart must fill with sympathy, and great care should be shown them, and tolerance and kindness.  For most of the new residents of Jonestown, however, new beliefs, alone, can save them however that counseling can be accomplished.  Doctors and clinics that press them with chemical and surgical confirmation of unreality, are but licensed charlatans.  Their parents, worse.

Shame on religious institutions.  From old, old texts, replete with truths eternal, they have made difficult lessons and philosophies not more clear, but softer and “more inclusive,” practically rejecting realities in order to fill pews.  The elegance and majesty of womanhood should be the easiest clay to work into gracefulness and motherhood, but they’ve largely failed to enhance those values.  The responsibilities and required wisdom that men are obligated to accept and to achieve, are trivialized and even derogated, as boys are drugged into submission and global communications portray men not as leaders but as fools.

The institutions of our culture and nationhood, almost as though coordinated by some evil puppeteer, are all reinforcing the concepts of unreality and hyper-sexualization.  Websites produce and provide pornography 24/7 for free, perhaps the most insidious attack on men, marriage and mental health.  Congress after congress ignore this corrosion without even discussing ways to restrict and limit global pornographics.  Why?  Money?  Is this addiction different from opioids, gambling or tobacco?  Or does it simply expose the flaws within males that all “woke” geniuses knew were there all along?

In a thousand ways we have made life, itself, unattractive.  Why would thousands of young people, even youngsters, refuse to the point of embarrassment and mutilation, to be who each actually is?  Is it because so many are born with the “wrong” body?  All of a sudden?  Doubtful.   Birth is not the issue, Prudence believes, but influences, even before birth.  We are teaching boys that being male is a sort of disease; and teaching girls that life is a system of oppressions, including motherhood.

The destruction of social roles and values is reaping its foul rewards with great efficiency.  The end-game is social dissolution, loss of nation-hood, economic stratification and, worse, institutionalized unreality.  What shall we teach our children when lies have gained legal status?

Corona, corona

Corona beer comes from yeast, not a virus.
there is no connection whatsoever…

There are people who believe that the latest health threat to emanate from China is caused or somehow made contagious by Corona Beer, a well-known health threat from Mexico.  It is on this canvas that the gloppy acrylics of impeachment, economics, presidential politics, petro-dollar monetary policy, Antifa, Hezbollah, North Korea, opioid deaths and suicides, and the real threat of coronavirus must create a picture that is both truthful and meaningful to majorities in dozens of countries including our own.  Whew!  There are 15 national leaders whose views and beliefs about these and other issues, will define the next ten years and beyond: Donald Trump, Boris Johnson, Angela Merkel, Vladimir Putin, Benjamin Netanyahu, Ali Khamenei, Kim Jung Un, Xi Jinping, Ram Nath Kovind, Recep Tayyip Erdoğan, Andrés Manuel López Obrador, Salman bin Abdulaziz Al Saud, Volodymyr Zelensky (who at least has a sense of humor), Arif Alvi (who doesn’t), and both last and least, Nicolás Maduro, who is an idiot.

Mixed up in all of their opinions is the existence of American constitutionalism, our ostensible structure of rights and freedoms, and our unbalanced, imperial economy.  Our primary concern must be the survival of the United States and freedom itself.  What presidential politics does every four years is stir us enough to reflect on our beliefs about our nation and our country, not the same things.

Democrat hotheads, committed to control of… well, everything, have impeached Trump to no good end, although his acquittal was never in real doubt.  No good end, certainly, but the disinformation value of, first Mueller, and then impeachment itself, must appear to elected Democrat leaders as a worthy end nevertheless.  Those who now shy away from bottled Corona most assuredly cling to bottled hatreds, known and unknown, but felt viscerally.  So there is the worthiness of relentless hatred of the aforementioned Mr. Trump.

There should be little disagreement with the proposition that hatred is the worst basis for political competition, yet hatred is everywhere employed in the United States, of all places.  Hatred doesn’t develop automatically.  Fear does: it’s pure ethnocentrism, even “racism,” per se.  But racism and fear of difference are not hatred.  Hatred is a visceral desire to kill or destroy the “other.”  To fear or to mistrust a stranger – or a strange “culture” – is instinctive and need not be taught.  To HATE  that person or group requires coaching, teaching, explanation and mythology.  It’s a long-term, methodical process to convert fear to hatred.  Who does crap like that?

Here and there are parents who were, themselves, taught to hate certain others and to varying degrees manage to convince their children to also hate them.  But it’s not as easy to do in the modern era, as public schools, ostensibly, fight the urge to bully or to gang-up on the unusual or most defenseless kids.  To some degree, children receiving messages of hatred at home are going to hear enough lessons countering that prejudice, that fewer and fewer reach early adulthood with firm hatreds.

Yet, now we have a split electorate, fueled by the sweet lies of socialists (people complain about Trump’s looseness with the truth but never a peep about the absolute and historical bullshit spread in the name of socialism).  A virtual communist is at or near the front of the pack in the ostensible “Democrat” party’s campaign for nomination to the presidency, and giddy polls regularly trumpet the acceptance of “socialism” by millenials.  There are reasons to fear Bernie Sanders’ cry for “transformation” of the United States, just as there were for the stated intentions of Barack Obama to “fundamentally transform” the United States.

Consider just the “ACA,” Affordable Care Act, which was not “affordable,” whatever that was hoped to mean, and it wasn’t about “care,” particularly: it was about coverage, the perpetual stumbling bloc to health care.  The nature of every “coverage” entity, whether “insurance” companies and HMO’s or governmental agencies that both regulate and directly pay actual care providers, is to reduce costs.  The main difficulties inherent in the ACA-expanded coverage industry were made worse and more expensive, nearly removing people from decision-making while nearly removing physicians and others from caring about their customers.

These sorts of change ought to be anathema to citizens of a nation with the heritage of the United States.  Our mythos is founded in individualism, self-made success, pioneering advancement into unexplored territories, and homesteads created even where the only building material was prairie turf.  Somehow the steady erosion of socialist promises of “free” safety and comfort have weakened the resolve of Americans to take control of their lives and circumstances, and to do so responsibly.

(See:
http://www.prudenceleadbetter.com/2017/01/16/health-care-fairness-and-free-enterprise/

Obama also made substantial changes to our foreign relations and to our ability to control events to our benefit, rather to enhance the influence and strength of Muslim regimes.  Fundamental transformation.  Here in 2020 these same intentions are voiced repeatedly by Bernie Sanders and others whose vision is not to improve or “perfect” our union, but to replace our form of government by altering Constitutional institutions and original rights.  The “new” goals are not comprised of strengthening liberty, but to “set” everyone’s standard of living so that no one is “above” his fellow residents: ultimate “fairness,” a new form of political organization that removes the interference in individual beliefs by churches, and in which every sort of human pleasure-seeking will be permitted… by benign elites, and, perhaps, taught in public schools.

The struggle of socialism is never-ending.  While “we” in the American, Judeo-Christian traditions of individual liberty and responsibility tend to assume our battle for freedom is won… and done, globalist socialism never rests on its continuum of undermining and destroying liberty and faithfulness.  It is a continuum that extends back to the “Garden of Eden.” 

“What?” you say, “nothing Prudent about that silly claim.”

Well, a few terms we don’t think about enough: Thesis – The Word of God, or the first premise; Antithesis – Direct opposition to the Word of God; Synthesis – Human-generated, pretended, compromise position with the Word of God.  The synthesis becomes the new Premise, no longer the Word of God, something less.  Is this not exactly what the “Serpent” offered to Eve, assuring her that God’s threat to not eat of the tree in the midst (center) of the Garden, or touch it “…,lest thou die.” would not come true.  “thou shalt not surely die.” the serpent told her.  God issued the thesis to Not eat of the tree; Serpent offered the antithesis  that the punishment would not be death (at least not right away) and the rewards of knowledge were worth the chance.  Is this process any more or less than the Hegelian dialectic?  Thesis – Antithesis – Synthesis.  Abortion is no longer murder; socialism will create a better America than God did.

FOR THE HEALTH OF IT

A patients view of the doctors, just before going into surgery.

Few topics or “matters” matter as much or generate as much discussion and political malfeasance as health care, and not really “care,” but coverage.  Coverage is where the “easy” money is.  “Coverage” is like a giant public works construction project: easy to skim from.  It’s virtually impossible to get any graft – or campaign contributions – from individual medical procedures, but insurance conglomerates and hospital corporations and the pharmaceutical industry are deep wells for craven politicians.  Consequently, those same politicians are willing to expose the federal budget and debt creation to the medical “field” to the benefit of all, and even of patients sometimes.

Money, money, money.  About one-sixth of the U. S. economy is tied to “health care,” but a much smaller fraction is tied to CARE, itself.  These are huge industries with gigantic advertising, promotion and bribery budgets.  The ever-pure United States calls those filthy bribes  campaign contributions… or, they might be “donations” to colleges and universities for research and production of new doctors who, coincidentally, will be fully committed to pharmaceuticals, chemotherapies, surgery and maintenance for life – or death.  It’s all expensive.

Cancer is one of the cash cows of medicine: the big shibboleth in human caring and willingness to help others.  People fear it, and rightly so.  Breast cancer is a powerful subset, and so is pediatric cancer.  We love kids and care about their health more than for any older group.  Kids are helpless and pathetic; humans feel these things and sacrifice to raise them from complete dependency, to minimal independence, to experimental independence, to sports and education and personality development and, one day, separation into adult-hood.  We hate any interruption to these things and sacrifice to facilitate the stages of normal childhood.  Cancer is a Hell of an interrupter and we want to pay to stop it.  And we do.

Billions of dollars have been raised by the American Cancer Society, for example, and they claim a 79% rate of actual cancer expenditures: mostly for research, but a large amount is for “soft” expenses that help those who are in treatment and their families, and other non-care, non-research uses.  A big pile goes to run the Society, of course.  To its credit, A.C.S. does a lot of good along the paths it sees fit, and it’s much more efficient than the federal government, a low bar.  Sadly, despite its widespread use of children to raise its millions (Relay for Life, anyone?), only a small percentage of ACS dollars are employed to solve pediatric cancers.

In one case Prudence knows well, a 6-year-old girl survived neuroblastoma after much chemo, operations, stem-cell harvests and replacements only to fight through it again 4 years later, with more of many of the same poisons that forced the cancer to retreat the first time.  Five years later, more chemotherapy to force a third retreat.  “A miracle,” her family declared.  3 years later osteosarcoma attacked her right tibia, part of which was removed with cadaver bone up to the knee.  More chemo – same crap as earlier times, same poison to push the cancer back.  College and Masters degrees completed, 6 years later the fifth attack and fifth battle with cancer, now in the thoracic cavity pressing on the lung.  The bone cancer was a not rare reaction to earlier treatments; the chest problem a recurrence of the bone cancer, by genus.  Same poisons prescribed and administered, except she was unable to tolerate any more of it.  Twenty years of treatment, constant news about this and that breakthrough therapy, DNA, customized immunology, yada, yada, yada… same attempts to kill the cancer a little faster than the patient.

When the young woman with the lengthy, miraculous, cancer survival history heard what kind of poisons they were planning to pump directly into her bloodstream, she naturally pointed out that it was the same crap she’d received the last time!  Was there nothing better?  Newer?  Apparently not.  Bring us your sick children and we will poison them for you in the hope that the cancer cells will die first and we can hold your child back from the brink of death.

Medical students arrive at medical school with science knowledge
–at least biology, maybe chemistry – ready to be taught some skills, mostly about using and understanding the data produced by wonderful diagnostic electronics, and about the latest in pharmacological weapons to counteract natural biological weaknesses, failures, breakdowns, related pains and mental/emotional discords and incongruities.  There is a lot to learn.  If surgery is the interest, there is a lot of practice.  Students develop likes and dislikes that lead them to one specialty or another, or, for many, general health and well-being such as “family” doctors ought to know.   Some of these general practitioners are really “internists” who understand “internal medicine” as distinct from “external medicine,” one supposes.

In any case, new doctors are taught according to fairly rigid protocols and traditions by people whose adherence to standards is well known… and respected.  Indeed, it is only by proving one’s own adherence to those standards that a doctor will be licensed or safe when sued.  “Recognized” standards, “current” protocols, “best” practices – those are the only defense a doctor has.  Where is the profit for leaving medical orthodoxy?

Does this mean that “doctors” or “big pharma” are blocking the introduction of miracle cures that an obscure researcher somewhere has developed because traditional medicine would not?  Well, “yes,” and “no.”  I think, or at least hope fervently, that the answer is “yes” although there is no intent to do so; and that the answer is “no” because there is no intent to do so.  But, the inhibition of new ideas is almost inevitable.  Thankfully it is not impossible and progress does get made, inventions are developed and made marketable – and trustworthy – and new drugs are eventually approved.  So, what’s the problem?

The problem is that the new drugs are rarely giant steps – sometimes they are, but not  often.  This is because most research is built on previous success and lines of inquiry and wide departure from the reservation is not very likely – it doesn’t get funded.  Pharmaceutical manufacturers are looking for sure things.  Often the greatest advances are side-effects of drugs, new and old, that coincidentally prove beneficial elsewhere.  More power to them.

Similar effects produce medical technology like, for popular example, knee replacements and hip replacements.  Now very reliable and long-lasting, such replacements are commonplace, almost to the exclusion of alternatives.  Could the damage and erosion of joints be prevented?  In most cases.  Are there nutritional preventions that are still regarded as anecdotes, not science?  Absolutely.  Do you suppose that part of every knee replacement is dedicated to learning how to prevent knee replacements?  Well, no.

Americans, and most residents of highly developed countries, eat themselves to death, drink and drug themselves to death, smoke themselves to death, fertilize and pesticide ourselves to death, and so on.  For all of our health clubs, gyms and YMCA’s, Americans tend, on average, to not take very good care of the bodies we are born with and, now that parts can be replaced by our remarkable “repair, replace and maintain” medicine, there seem to be fewer reasons to worry about the consequences of ice cream, sodas and cheese-burgers and lack of basic exercise regimens.  We are told 8 times every half-hour by our flat-screens that we need never suffer from aches, pains, discomforts, anxieties or depressions.  There are pills for each of these maladies.  In fact, there are separate analgesics for shoulder pains, neck pains, knee and foot pains, back pains, headaches, migraines and insufficient sleep.  People who have allowed apnea to intrude on their ability to sleep can get a C-Pap device to counteract it.  What’s to worry?

What do all of these OTC chemicals do to us?  Some of the long-term effects are known, not the least of which is liver damage, but it’s slow, virtually unnoticeable, until it isn’t – kind of like moderate smoking.

Sugar and alcohol also have cumulative effects, if not simple diabetes, then an acidification of body chemistry that weakens the immune response to invaders.  Too much gluten, perhaps?  The American diet is awash in wheat and wheat proteins, right down to canned tunafish (only one brand is clean).  Tunafish?  And lots of other products: vinegar, puddings, many candies, gravies, prepared foods of all kinds include wheat starch, “hydrolyzed vegetable protein” and on and on.  Many people know they are allergic to gluten, far more do not… know, that is.  Skin problems, digestive problems, immune problems and, of course, weight problems, stem in large part from too much wheat in our diets.  The body tends to become allergic in the presence of too much of the same thing – often the food you like the best, as well.  But, that’s no problem!  There are multiple crèmes and pills to fight off the effects of our odd diets, so many, in fact, that they must be profitable enough to purchase TV advertising nationwide.  Do you ever wonder if every prescription for these somewhat dangerous drugs includes a small amount of money to fund prevention of gluten intolerances?  Nahh.  Bread, cake, doughnuts, fried clams, stuffing, ice cream, mayonnaise, salad dressings, sub-rolls, pita, crackers and… and… whatever, are too tasty to forego and, besides, “they” have things for that.

When Dwight Eisenhower left the presidency he warned America about the encroaching power of the “military-industrial complex.”  Rightly so, although that sloppy circle of funding and influence has managed to keep the country fairly safe in an uncontrollable world.  One can almost hear the words of a true outsider warning us against the “medical-industrial complex,” although almost no one would listen.  On the edge of Boston and Brookline there is a street called Longwood Avenue where hospitals have grown into connected proximity.  It’s starting to look like Las Vegas.

The insertion of politics into health care really got moving with the “Great Society” in the mid 1960’s.  It hasn’t been all good despite the public intentions of the socialists who caused the Great Society to be codified.  Today federal funds feed into the insatiable maw of modern medicine, and to help it along, every Congress adds new mandates for care and coverage.  Combined with the primacy of welfare (federalized at the same time) the general interface with patients has trended to impersonal, if not de-personalized, care.  The vision for health care is still greater impersonality, robotics and, again, health orthodoxy that satisfies… umm, well, the federal government, and “averages.”

No one is going to stop the money.  If we have to borrow from our 5th descendent generation, by God, we’ll do it!  No one who needs a new hip, rich or poor, will be denied one!  What?  Do we want to have a society where there is one level of care for the wealthy and another for the poor?  With enough agitation and politics anything that needs a licensed medico to accomplish will be funded.  Trans-gender mutilations?  Where’s the checkbook?  Prudence would advise that there is not enough money, or desks for nameless bureaucrats to sit behind, to provide all the repairs and drugs that are known, to every person who thinks he or she needs them.  Maybe robots will provide more even-handed care and cost less than humans.  Not so far.

How Many Nurses Can Fit…?

We had a disturbing survey call the other night, all about nurses and how many patients each nurse should be caring for at one time. The Massachusetts Nurses Association has obtained enough signatures to place a ballot question for the November, 2018 election.

The gist of the question is whether the Commonwealth of Massachusetts shall create or expand an agency that monitors nursing staffing levels in order to enforce certain ratios of nurses to patients. The mechanism of enforcement would be $25,000 fines for each instance of “failing” to maintain nursing levels that are satisfactory to nurses(!).

Arguments in favor run the gamut of every negative consequence of inadequate nursing levels. Further strictures in the proposed law demand that nurse staffing levels be brought into conformity with the nurse-association-prescribed nurse-patients ratios without reducing other staffing levels as for maintenance or food-service departments. This, naturally, would increase hospital costs per patient-hour and of health care generally. Still, the over-arching deep concern for everything patient-related causes the M. N. A. to forge ahead despite the cost implications.

Some of the nurses’ arguments are valid. Patient outcomes are better with adequate nursing attentiveness. Sometimes this means simple numbers of nurses, but not always. Poor outcomes often result from poor administration or administrative requirements – requirements that sheer numbers won’t correct.

This is essentially a pro-union effort at the ballot box, sponsored by about 25% of nurses, hoping to increase the numbers of nurses (and union dues-paying members), but it threatens exactly what they hope to “improve.” First, if it passes and hospitals are forced to add nurses, the average pay is going to decline. This is not hard to understand. The only alternative to that likely outcome is the threat of nurses’ strikes for higher pay, and this is, like all union initiatives, the fundamental bargain – read: threat.

Neither care quality nor care cost will come in to alignment with patient desires until patients, themselves, return to the position of customer. Customers do some research on what they are going to buy. They are able to check out Consumer Reports, for example, where experts have done the research for them. They can visit different sources for the same products and services before choosing one to buy from.

In truth, people know more about their next car or flat-screen television than they do about their next medical procedure, the likely providers involved or even about their own doctor(!), never mind the amount of nursing attention they might receive. Maybe if patients – or a trusted advisor – knew enough about health providers and institutions to make rational judgments about which provides the best balance of nursing care, cost and outcomes, cost would come down, nurses would not be overworked and patients would be best served.

Asking the government and its politicians to make and enforce more rules about how to make patients well (ostensibly) is not an answer or even a good question. Restore the concept of “customer” to potential patients, in place of “entitled victim.”

As for nurses, the last thing we need is for skilled professionals to be relegated to average “service-unit” status for bargaining purposes, leaving neither room for excellence nor sanctions for failure.

TO LIFE, TO LIFE, L’CHAI’IM

Now that life, itself, is measured only in financial terms, at least for many – mostly young First-Worlders, the shining wisdom of liberal thinkers is becoming clearer… and more frightening. Canada recently completed a study that showed “savings” of nearly $140 Million, Canadian, that might be realized with more accessible “end-of-life” care, as they call it.

Or suicide, for the crudely honest. And that $140 Million could finance, ummm, infrastructure improvements and transportation safety! For those who remain, of course. One hopes that all that protein won’t go to waste – maybe pet food. After all, we’ve been eating animals like forever and they’re only human, too.

This is a side-effect of socialized health care, like those ads for the latest wonder-drug where the disclaimers about side effects like moods of depression or suicide, elevated heart rates, rash, constipation, diarrhea, dry mouth, bad breath, loss of vision and tingling in hands and feet, are three-fourths of the ad. Certain cancers and even death have occurred. If you experience any of these symptoms, speak to… your… doctor. He or she is a caring, white-smocked employee of the Government Accounting Office.

Abortion as a “constitutional right” is the first step to the destruction of not just life, but of freedom. We have been sold on abortion providing “Freedom” of choice for women who are shocked, shocked to find themselves pregnant when a child is too much to cope with… for any number of reasons. Even Planned Parenthood, responding to the outcries of stranded, pregnant, shocked women, has found ways for all that protein to not be wasted, as a market exists for whole, pre-natal organs and tissues. Financial value and loads of freedom for those who remain. They’re a non-profit, you know, so not much help with the infrastructure thing.

Some Planned Parenthood executives have had their own infrastructures improved.

And yet, despite all the excess babies we produce, “scientists” are struggling to clone humans like frogs and sheep, as if there were not enough, already. Maybe we just don’t want to accept the risk of imperfection; let’s replicate a human that “we” like.

We’ve followed the liberals, the socialists, the communists, the progressives and the Democrats down the path to where dollars or other forms of power define the value of life, even as the role of churches, religion, spirituality itself, are cast aside like so much magical mumbo-jumbo, a drag on society and on tax-receipts. We should be taxing all that church-owned property because our collective costs to protect it are born unfairly by non-believers. Abortion, and infrastructure, and voting… that’s real.

Since we can’t keep up with fertility, and since more people born into the last, best hope for freedom is a big public problem, we have got to destroy hopefulness, as they have in Russia, for example, where too few people are being born. Perhaps some terrorism will help spur the youngest, most fertile citizens to fear bringing children into “such” a world… a world where Donald Trump can be elected. Let’s just hook up after lecture hall and if I get pregnant I can get an abortion before mid-terms.

The value of life is primarily spiritual, if there’s any purpose beyond finance and fun, at all. Isn’t that the big question? What is the purpose, the meaning of life? Didn’t you see the movie? Hilarious. No, but honestly, sometimes I get the feeling that there just must be more to it than eating and screwing, don’t you think?

Well, we could help people who are having problems – that always makes me feel good. You should take that job at the clinic and you could help girls with unwanted fetal masses. When I get my promotion at the condom factory we’ll have enough money to maybe donate to Greenpeace or PETA. How would that be?

I’d rather donate to my alma mater where the money could help poor kids get their Masters. Aren’t they a religious school? Oh, they used to be.

Roughly speaking, Americans can choose, now, between the Death Party and the Life Party. The Deathers are pretty firm in their beliefs, while the Lifers are kind-of soft in their defense of Life. The former can state their death wishes as matters of Freedom, and Choice, and purging the country of brown people… except they don’t mention the last part. Lifers are almost afraid to mention their beliefs or their spirituality, yet they somehow won an election the other day. Seemed like spiritual intervention, but with all this warm weather we’ve been having, who can worry about that?

The main thing is to get back on the death track or we’ll never balance the budget. Consumer confidence is high, though. Maybe Christmas sales will cap a really good year, financially.

I hate Christmas, don’t you? It’s so commercial.

“Single-Payer?” Single delusion.

Socialists never learn. Socialism, or Communism, failed in the past because the practitioners weren’t as smart as we are, today. Can you say ‘hubris?’ Can you recognize utter failure to learn from history OR from human nature?

Single-payer health care (they mean single-payer FINANCING) is some people’s answer to the problems governments have created in health-care. This is a pattern for statists: problems can never be solved by freedom or free enterprise (the system that has solved more ‘problems’ than any system ever devised) but only by the benign love of government bureaucrats.

If those bureaucrats have actually made things worse (typically), the solution is ALWAYS, always more money (from taxation) or more bureaucrats who are told to be nicer or to not be stupid, and to be “fair.” Laws are passed to these effects. Oh, what a glorious new morning!

Single-payer is sold to the gullible as THE means to “contain costs” of medical care. Only through coercion, my children, only through coercion. How benign can they get?

You need to read “Health Care, Fairness and Free Enterprise” and I’ll send you a copy if you send a stamped, self-addressed envelope to Prudence Leadbetter, PO Box (tba)