USA Now Has MORE COVID-19 Coronavirus Cases Than China Ever Did

I can hear it now –– the chants of the Faux Noize talking head dingbats saying loudly in unison… “We’re number 1! We’re number 1!”

According to information as of 0600 CST DST Friday, 27 March 2020, provided through Johns Hopkins University Dashboard, the United States has 85,991 active and confirmed COVID-19 coronavirus cases, while China – which has 1 BILLION MORE PEOPLE, has NOT reported any additional, or new cases – experienced 81,894 such cases.

So, let’s put this in perspective, shall we?

The United States Census Bureau reports that American Population is estimated be very nearly 330,000,000 – 330 million.

Chinese Population is estimated to be 1,389,618,778 – that’s 1 BILLION, 389 million, 618 thousand, 778.

India’s Population is estimated to be 1,311,559,204.

The US Population is only 23.7475% that of China.

Or, expressed another way, China has 321.0965% MORE people than the United States.

So… WHY is it that the United States has 5.0028% MORE COVID-19 infection cases than China?

Seriously…

WHY!?!

WHAT has been done, or what has happend which has led us to this point?

Well… that’s an EXCELLENT question!

The POTUS – that’s Donald John Trump – has killed, slashed and burned, many biosecurity programs which would have helped protect American Public Health.

Here’s what Forensic News wrote:

“On his second full day in office President Trump instituted a federal hiring freeze that stayed in place for nearly 90 days. In the weeks after the freeze was lifted, nearly 700 positions sat vacant at the Centers for Disease Control and Prevention (CDC). According to researchers and officials interviewed in May 2017, the freeze affected “programs supporting local and state public health emergency readiness, infectious disease control, and chronic disease prevention.

“Many of the unfilled jobs are high-level positions, at least GS-12 and above… Several positions are in the Office of Public Health Preparedness and Response, which regulates some of the world’s most dangerous bacteria and viruses and manages the nation’s stockpile of emergency medical countermeasures. Others include positions in the director’s office, infectious disease offices and the office for noncommunicable diseases, injury and environmental health.

”To make matters worse, the Trump administration took months to fill numerous senior positions that are critical to responding to an outbreak. A permanent Director of the CDC was not appointed until July 2017, six months after taking office, and the top position at the U.S. Agency for International Development (USAID) remained empty for nearly eight months. Second-in-command positions also remained empty across health-related agencies: Within the Department of Health and Human Services (HHS), there was no Assistant Secretary for Health for over a year, no Assistant Secretary for Preparedness and Response for eight months, and no Director of the Office of Global Affairs for five months. USAID just received its first permanent deputy administrator last year, in 2019!

“In addition to the dissolution of global health security units, the NSC has experienced unprecedented turnover during Trump’s administration. There have been four National Security Advisors (in addition to two acting NSAs) in Trump’s three years in office. This is compared to Barack Obama’s three NSAs in eight years and two in George W. Bush’s eight years. Trump has had five Deputy National Security Advisors in 3 years, while Obama had four in eight years and W. Bush had three in eight years. Trump has had four Homeland Security Advisors (plus one acting HSA) in three years compared to two in Obama’s eight years and four in W. Bush’s eight years. “

But WAIT!
THAT’S NOT ALL!

Yeah… you guessed it.

It’s POS45’s fault.

The BUCK STOPS with him.

Or… does it?

“Yeah, no, I don’t take responsibility at all, because we were given a set of circumstances and we were given rules, regulations, and specifications from a different time. It wasn’t meant for this kind of an event with the kind of numbers that we’re talking about.”
–– POTUS Donald John Trump, Friday, 13 March 2020, White House Rose Garden news conference

POTUS Harry Truman succeeded to the Office of the President upon the death of POTUS Franklin Delano Roosevelt, who died in his FOURTH term in office.

“The President is merely the most important among a large number of public servants. He should be supported or opposed exactly to the degree which is warranted by his good conduct or bad conduct, his efficiency or inefficiency in rendering loyal, able, and disinterested service to the nation as a whole. Therefore it is absolutely necessary that there should be full liberty to tell the truth about his acts, and this means that it is exactly necessary to blame him when he does wrong as to praise him when he does right. Any other attitude in an American citizen is

RNs Being Begged to Work in COVID-19 States With Little PPE. Trade Money for Your Life?

COVID-19 novel Coronavirus is no laughing matter, and is rapidly overwhelming hospitals nationwide, especially in New York City, which has become the practical epicenter of the global pandemic in the United States.

In response, physicians are being requested to come out of retirement to assist states where the effects of the almost instantaneous demand for licensed healthcare professionals are being experienced the worst. Some for love, others for money.

And, as one might expect, Registered Nurses are in great demand as well, the shortage of which is being keenly and acutely felt. As a result, Travel Nurse agencies are placing calls nation-wide for RNs to assist in localities hardest hit, which include Washington state, California, and New York City.

The compensation packages which are being offered in response are nothing less than eye-popping, with almost “stupid money” being paid for RNs to work – however briefly – in hospitals where needs exist.

An unexpected problem has arisen, however, and that is an acute shortage of Personal Protective Equipment (PPE), which includes gowns, gloves, nose/mouth masks (especially N95 respirators), and eye shields. If the healthcare providers do NOT have the proper equipment to care for patients, their lives will be placed at risk, as well.

In essence, one is being asked to risk their life for money – and unnecessarily. Already, there are widely circulated national news reports of some staff in some facilities reusing such PPE, which is designed for ONE USE ONLY, which is also required by law and/or regulation for the health and safety of staff and patients.

Examples of how, and where they’re being recruited (including internationally), and the compensation packages include:

Questions & Answers About Cannabis

Updated Sunday, 22 March 2020

While the intended audience for these Qs & As is meant primarily for medical, and healthcare science professionals, they may still be of some interest, or use, by others –– particularly for those who do not know that there is legitimate science behind the use, and recommendation of cannabis in various therapies.

So in that light, enjoy!

From Franz Eugen Köhler’s Medizinal-Pflantzen. Published and copyrighted by Gera-Untermhaus, FE Köhler in 1887 (1883–1914). Hemp plant. A flowering male and B seed-bearing female plant, actual size; 1 male flower, enlarged detail; 2 and 3 pollen sac of same from various angles; 4 pollen grain of same; 5 female flower with cover petal; 6 female flower, cover petal removed; 7 female fruit cluster, longitudinal section; 8 fruit with cover petal; 9 same without cover petal; 10 same; 11 same in cross-section; 12 same in longitudinal section; 13 seed without hull.

––//––

QUESTION: Based on data from the 2016 to 2017 National Survey on Drug Use and Health and the U.S. Department of Health and Human Services, do more people in the US smoke marijuana or tobacco cigarettes.
Answer

ANSWER: According to the 2016 to 2017 National Survey on Drug Use and Health, more than 39 million people smoke marijuana, and according to data from the U.S. Department of Health and Human Services, 34.3 million people smoke tobacco cigarettes. Recent trends show that the number of marijuana smokers is rising while the number of cigarette smokers is declining.

—

QUESTION: CB1 receptors are located on neurons in the CNS and PNS. Are CB1 receptors also located on cardiomyocytes?

ANSWER: Yes. CB1 receptors are located in cardiomyocytes, vascular endothelial cells as well as smooth muscle cells. Activation of these CB1 receptors may lead to oxidative stress, inflammation, fibrosis, vasodilation, and negative inotropy.

—

QUESTION: Smoking and vaporizing marijuana may induce an increase in heart rate. Is smoking marijuana associated with other cardiac electrical effects?

ANSWER: Yes. THC may increase catecholamine levels and therefore may theoretically increase the likelihood of arrhythmias. Various cardiac electrical effects have been described in observational studies. Atrial fibrillation was one of the more commonly reported arrhythmias. Other marijuana-associated arrhythmias reported include atrial flutter, atrioventricular block/asystole, sick sinus syndrome, ventricular tachycardia, and Brugada pattern.

—

QUESTION: Some cannabinoid-based medicines are used to treat chemotherapy-induced n/v. Have cannabinoid-based medicines been shown to be effective in the treatment of post-op n/v?

ANSWER: The results of studies indicate that neither nabilone or intravenous THC is effective for post-op n/v. Even premedication with nabilone was ineffective at treating post-op n/v.

—

QUESTION: Do cannabinoid-based medicines have a higher NNT (number needed to treat) than opioids for pain relief? Than pregabalin? Than tricyclic antidepressant (TCA) agents?

ANSWER: According to recent systematic reviews and meta-analyses (from 2016-2018), cannabinoid -based medicines have a higher NNT than opioids, pregabalin and TCAs. It was also noted that there was a higher risk of adverse events associated with cannabinoid-based medicines compared to opioids, pregabalin and TCAs.

—

QUESTION: The 2017 National Academies of Sciences, Engineering and Medicine’s (NASEM)review on the health effects of cannabinoid-based medicines concluded that there was conclusive or substantial evidence for the use cannabis or cannabinoids for the treatment of pain in adults. Do other national regulatory bodies have similar conclusions to the NASEM’s conclusion?

ANSWER: Actually, no. The Health Products Regulatory Authority of Ireland does not support the use of cannabinoid-based medicines for the treatment of chronic pain. Also, the European Pain Federation’s recent position paper recommended cannabinoid-based medicines be considered for chronic neuropathic pain only as a third line agent. Furthermore, the European Pain Federation found that the results of the studies examining chronic non-cancer pain indicated that there was insufficient evidence for the use of cannabinoid-based medicines for the treatment of non-neuropathic chronic non-cancer pain.

—

QUESTION: Does ketamine interact with the endocannabinoid system?

ANSWER: Yes. Ketamine induces the release of endocannabinoids.

—

QUESTION: Do CB1 and CB2 agonists facilitate endogenous opioid signaling?

ANSWER: Yes. In fact, CB1 and CB2 agonists increase the concentrations of endogenous opioids.

—

QUESTION: Do opioid antagonists impact the effects of cannabinoids?

ANSWER: Yes. For example, it has been shown that

Trump Budget Slashing Gutted Coronavirus Emergency Response

Trump’s hated of “everything Obama” has already harmed America.

Now, it’s harming Public Health.

That man is a genuine threat to the security of the United States. He simply has NO understanding of the complexity of the matters placed before him on the platter of the Presidency. He is utterly out of his league.

Consider this sampling of inane things he’s said about coronavirus (COVID-19):

First, it was, “We have it all under control.”

Followed closely by, “It’s very small problem in this country.”

And on its heels was, “The Coronavirus is very much under control in the USA.”

Which was later accompanied by, “We have it totally under control. It’s going to be fine.”

As things progressed, and it because clear that it was only a matter of time before Americans were affected, he said in Davos, Switzerland that, “We do have a plan, and we think it’s going to be handled very well.”

Now that the fecal matter has started to hit the fan, he decided to make a rare, live, emergency telecast to address the nation, and said that, “I have decided to take several strong but necessary actions to protect the health and well-being of all Americans.”

He also said in that emergency live telecast address to the nation that, “We declared a public health emergency and issued the highest level of travel warning.”

In the same breath, he said, “To keep new cases from entering our shores, we will be suspending all travel from Europe to the United States for the next 30 days.”

Just last year, he:
• Cut the budgets of the Centers for Disease Control, and other Public Health-related budgets,
• Firing the government’s entire pandemic response chain of command, including those of the
––National Security Agency,
––National Security Council,
––Health and Human Services,
––Department of Homeland Security,
• Gutting the entire management infrastructure of the White House, and
• Killing the Complex Crises Fund

…DESPITE all that budget bloodshed like Sweeney Todd, The Demon Barber of Fleet Street, he had the unmitigated gall and audacity to say that, “We are at a critical time in the fight against the virus.”

And sadly, it’s highly doubtful that anyone truly believes him when he said, “I will always put the well-being of America first.”

It’s not as if anyone believes him now, anyway. Members of the Cabinet are in fear of him, that they’ll lose their jobs being fired by Tweet, so they simply turn into jelly, and keep their ideas to themselves… since he knows how to run everything, anyway. So what difference does it truly make?

The next thing is to GET HIM OUT OF OFFICE!

But, moreover, this article goes in-depth to show and explain the things he’s done which have had a horrific effect upon Public Health -and- National Security.

That is NOT how to “Make America Great Again.”

Come November, you know what to do.

VOTE HIM OUT!!!

Trump Has Sabotaged America’s Coronavirus Response

By Laurie Garrett
January 31, 2010
https://foreignpolicy.com/2020/01/31/coronavirus-china-trump-united-states-public-health-emergency-response/

When Tedros Adhanom Ghebreyesus, the director-general of the World Health Organization (WHO), declared the Wuhan coronavirus a public health emergency of international concern on Thursday, he praised China for taking “unprecedented” steps to control the deadly virus. “I have never seen for myself this kind of mobilization,” he noted. “China is actually setting a new standard for outbreak response.”

The epidemic control efforts unfolding today in China—including placing some 100 million citizens on lockdown, shutting down a national holiday, building enormous quarantine hospitals in days’ time, and ramping up 24-hour manufacturing of medical equipment—are indeed gargantuan. It’s impossible to watch them without wondering, “What would we do? How would my government respond if this virus spread across my country?”

For the United States, the answers are especially worrying because the government has intentionally rendered itself incapable. In 2018, the Trump administration fired the government’s entire pandemic response chain of command, including the White House management infrastructure. In numerous phone calls and emails with key agencies across the U.S. government, the only consistent response I encountered was distressed confusion. If the United States still has a clear chain of command for pandemic response, the White House urgently needs to clarify what it is

If the United States still has a clear chain of command for pandemic response,
the White House urgently needs to clarify what it is – not just for the public but for the government itself,
which largely finds itself in the dark.

When Ebola broke out in West Africa in 2014, President Barack Obama recognized that responding to the outbreak overseas, while also protecting Americans at home, involved multiple U.S. government departments and agencies,

Would You Visit A Cuban Beach?

Suppose that one day, you were on the beach in Varadero Beach, which is slightly EAST of Havana, Cuba, or in some other scenically tropical locale in that Caribbean island nation.

And on that day, suppose that it was a lovely sunny day, with pretty puffy white clouds floating around, the temperature was a balmy 82ºF, and a gentle breeze was blowing across the Gulf of Mexico onto the beach where you were located.

You’d probably say that it’d be an idyllic setting, for sure. Maybe even a picture perfect day on a lovely sandy-white beach!

Agree?

Now, suppose that you returned home and you said to your friends, “Wow! What a beautiful day it was on the beach in Cuba! It was a wonderfully lovely sunny day, clear skies, with a mild breeze, and 82ºF. It was absolutely PERFECT!”

And then… just as the words left your mouth, your friends started to call you a “communist sympathizer” simply because you told them how beautiful and perfect a day it was while you were on the beach in Cuba.

It’d be absurd, wouldn’t it?

And you’d think they were at least two bricks shy of a load – right?

In essence, that’s what some are doing to Bernie Sanders.

Simply because

What is Democratic Socialism?

Bernie Sanders has continually explained and made the case why he calls himself a democratic socialist, and corrects those who decry his self-described identity as a democratic socialist. Opponents from within, and without the party have viciously maligned him for that.

Vermont Senator Bernie Sanders – I , official portrait

In essence, it’s caring for your fellow citizen just like they’re your family. And that includes being humanitarian, and caring for others, treating them with the dignity, honor, and respect inherently and rightly due every human being.

Listening to him speak of the principles he addresses, for those with a Christian, or religious knowledge, or background, it reminds me of the principles mentioned following Judeo-Christian Scripture verses. Oh, for those who consider Jews as God’s special, or chosen people… Bernie is a Jew. Could his voice be that of a prophet, of one crying in the wilderness?

“Where there is no vision, the people perish.”¹

“The laborer is worthy of their hire.”²

“Do not muzzle the ox that treads the grain.”³

“‘Administer true justice. Do not oppress the widow or the fatherless, the foreigner or the poor. Do not plot evil against each other.'”⁴

“You must not oppress, or defraud your neighbor nor rob him. The wages due a hired hand must not remain with you until morning.”⁵

“Do not oppress a hired worker who is poor and needy, whether he is a brother or a foreigner residing in one of your towns.”⁶

“Now if your countryman becomes destitute and cannot support himself among you, then you are to help him as you would a foreigner or stranger, so that he can continue to live among you.”⁷

“You must not exploit or oppress a foreign resident, for you yourselves were foreigners in the land of Egypt. You must not mistreat any widow or orphan.”⁸

“He defends the cause of the fatherless and the widow, and loves the foreigner residing among you, giving them food and clothing.”⁹

“But I will be merciful only if you stop your evil thoughts and deeds and start treating each other with justice; only if you stop exploiting foreigners, orphans, and widows; only if you stop your murdering; and only if you stop harming yourselves by worshiping idols.”¹⁰

¹Proverbs 29:18
²1 Timothy 5:18
³Deuteronomy 25:4
⁴ Zechariah 7:9,10
⁵ Leviticus 19:3
⁶ Deuteronomy 24:14
⁷ Leviticus 25:35
⁸ Exodus 22:21,22
⁹ Deuteronomy 10:18
¹⁰Jeremiah 7:5

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Bernie Sanders fires back at Trump over socialism
CNN Sanders Town Hall
Feb 25, 2019
During a CNN town hall, Democratic presidential candidate Bernie Sanders explains the programs he’d like to implement if he were elected president, which have been criticized by President Trump as akin to socialism.
https://youtu.be/tJ9j_JT9Lhg

In response to a question asked by an audience member, Bernie Sanders said in part…

“We have political rights… freedom of religion – and all of that is enormously important. But you know what we don’t have? We don’t have guarantees regarding economic rights. And way back in 1944, and in a little-known, little-publicized State of The Union speech, Franklin Delano Roosevelt said something, and – I’m paraphrasing him – but he said, ‘you know, when we talk about human freedom, and rights, we’ve got to understand that everybody needs a decent-paying job, that people need healthcare, that people need education.’

Will You Release Your Medical Records?

Just in the case you may not know it, there’s a law in our United States called HIPAA, which is the acronym for the Health Insurance Portability and Accountability Act.

Signed into law in 1996 by then-POTUS Bill Clinton, the long title is “An Act To amend the Internal Revenue Code of 1996 to improve portability and continuity of health insurance coverage in the group and individual markets, to combat waste, fraud, and abuse in health insurance and health care delivery, to promote the use of medical savings accounts, to improve access to long-term care services and coverage, to simplify the administration of health insurance, and for other purposes.”

The biggest takeaway from the bill for most people is the privacy it mandates for patient’s medical records, care, and treatment. With fines/penalties for violation starting at $250,000 per violation, an entire industry has grown up around HIPAA.

The Department of Health and Human Services summarizes, in part, the law’s privacy provisions:

“The Health Insurance Portability and Accountability Act of 1996 (HIPAA) required the Secretary of the U.S. Department of Health and Human Services (HHS) to develop regulations protecting the privacy and security of certain health information.¹ To fulfill this requirement, HHS published what are commonly known as the HIPAA Privacy Rule and the HIPAA Security Rule. The Privacy Rule, or Standards for Privacy of Individually Identifiable Health Information, establishes national standards for the protection of certain health information. The Security Standards for the Protection of Electronic Protected Health Information (the Security Rule) establish a national set of security standards for protecting certain health information that is held or transferred in electronic form. The Security Rule operationalizes the protections contained in the Privacy Rule by addressing the technical and non-technical safeguards that organizations called “covered entities” must put in place to secure individuals’ “electronic protected health information” (e-PHI). Within HHS, the Office for Civil Rights (OCR) has responsibility for enforcing the Privacy and Security Rules with voluntary compliance activities and civil money penalties.”

POTUS Bill Clinton Signing HIPAA

Before the HIPAA existed, there were no security standards nor requirements to protect patients’ health information or patients privacy in the entire health care industry. In reality, physicians, or anyone with access to the record – including the janitor and housekeeping crew – could simply access and divulge a patient’s entire medical record to the press, or to anyone, without any legal recourse for the victim. Now, it’s a violation of the law to even discuss any Personal Health Information, or Personally Identifying Information about the patient outside of a clinical setting, and that includes on elevators in hospitals. The law is so strict, that anyone who is not involved in the patient’s care cannot access the patient’s record without violating the law.

There have been cases where renown individuals, or those with celebrity status, including politicians, have had their records accessed by those within the healthcare system in violation of the law, ostensibly to satisfy their 24karat curiosity, or for other nefarious purposes, such as to gossip about the patient, or to divulge the information they found to the press. Healthcare organizations, especially large ones, are particularly sensitive to such violations of the HIPAA, and many, if not most, have policy in place to censure, or most often, dismiss for cause (fire) any employee who examines a record of a patient whom they’re not treating, or caring for.

In short, the law safeguards and protects patients’ right to privacy of their healthcare information in ways the average patient cannot imagine, including transmission of such information electronically, such as via facsimile or Internet.

The law also provides authorization for a patient to request a healthcare organization voluntarily release select portions of, or their entire medical records, to individuals whom they specify, such as to attorneys who may be representing their interests in a matter of law, including to the patients themselves, personally.

What many may not know about the law, is that it was a bipartisan bill sponsored by

Poll: Americans Unhappy With Abortion Laws

New polling released by Gallup shows that “Fifty-eight percent of Americans say they are dissatisfied with the nation’s policies on abortion, marking a seven-percentage-point increase from one year ago and a new high in Gallup’s trend.”

Gallup released the findings of their research from a

The GOP Hopes That You Keep Sleeping

America has become like the proverbial frog in a pot of water, which has slowly, but steadily, increased in temperature to the point that it is boiled alive without realizing it.

As the story goes, if the frog were dumped into boiling water, it would immediately jump out.

But, since the water’s temperature was initially comfortable, even pleasant, and only slowly increased, the frog gradually became acclimated to it, and therefore was, in effect, desensitized to the inevitable, impending danger, and died slowly.

For the past nearly 50 years or so, and more specifically, within the last 38, America has swooned under the siren song led by the GOP, which in part started off with the not-so-oblique condemnation that, “In this present crisis, government is not the solution to our problem; government is the problem.” (As Brian Gurney, a private citizen from California, noted: “You can’t govern if you don’t believe in government.” But set up a straw man, and beat it to a pulp – demonize the Constitutional effigy.) And to sweeten the deal, and help matters along, a little bit of “They’re individuals and families whose taxes support the government and whose voluntary gifts support church, charity, culture, art, and education. Their patriotism is quiet, but deep. Their values sustain our national life,” was thrown in for good measure (“a spoonful of sugar helps the medicine go down,” you know).

In order to facilitate that destruction, first was an appetizer of dessert – across-the-board personal income tax rates were cut 23%, which made the majority of working-class Americans and families very happy.

But then, calling them “job creators,” (veritable sacred cows which should be left alone to wander about in traffic and poop anywhere they desire) another round of personal income tax cuts came around, this time for the elites, and personal income tax rates upon the very wealthiest Americans was dramatically slashed to less than half the former rate – from 70% to 28%.

And then, there came cries and demands for liberty, and freedom from the tyranny of genuine governmental slavery in the form of, “Mr. Gorbachev, tear down this wall!” And truly, who could disagree? But that was quickly transformed into efforts to squelch personal liberty as healthcare decision-making in the most intimate of, and deeply personal matters involving reproduction, by providing opportunity for nosy neighbors (government) to tell others how they ought to run their lives according to the dictates of others’ religious convictions, all under the auspices of government.

Dissatisfied with that aspect of control, they sought to again meddle into the private lives of others – despite the fact that their private liberties were not encroached upon – and the sanction of committed legal relationships in the civil sector were forbidden to select individuals… just like it once was with ethnic minorities. And when in indignation they invited the SCOTUS to step in and rule (hopefully to their advantage, though contrary to their own religious writings), which ruled against their religiously-motivated (no religious test), publicly-sanctioned governmental discrimination (equal protection under law), they loudly cried ‘FOUL!’

And then, when more of their hand-picked, fair-haired children ruled against them, that rights were not absolute (D.C. v Heller), that not just anyone had a right to own, possess, or brandish any firearm, anywhere, at any time, they couldn’t stand it any more, and falsely accused the SCOTUS of partiality and of siding with their opponents whom they continuously maligned, despite the fact that they were ruled against by one of their own most staunch hard-liners.

Feeling emboldened, their most powerful, yet little-known instigator went public and said in part that,

In Praise of Regulation

It’s said that “power corrupts, and absolute power corrupts absolutely.”

Though Lord Acton (John Emerich Edward Dalberg Acton (1834–1902), the first Baron Acton) is often attributed with originating that phrase in an 1887 letter to Bishop Mandell Creighton, the idea itself was not new to him, and was known to have been expressed in 1770 by in a speech to the UK House of Lords by William Pitt the Elder, Earl of Chatham, who was British Prime Minister 1766–1778.

Our nation’s Founders understood that principle quite well, as evidenced by the systems of oversight, and the establishment of three separate, co-equal branches of government which they established via the Constitution – which was ratified June 21, 1788.

Absolute power, in a market sense, is about money and corrupting influence that almost always accompanies unchecked concentrated power. In this era, we see it commonly as a desire to abolish rules, regulations, and laws designed to protect the people.

That’s but one underlying reason why the GOP wants to abolish “ObamaCare” – so that power (and money) may be concentrated in the hands of the already-powerful.

We the people have the final say-so, because

Economic Fundamental

California United States Senator Kamala Harris

There is something FUNDAMENTALLY WRONG in a nation when its largest supermarket chain by revenue – which is also the second-largest general retailer and the eighteenth largest company in the nation – finds it necessary, and plans to

Alabama To Join Nursing License Compact

Hooray for Alabama!

Their legislature can always be counted upon to do the right thing… only after they’ve exhausted every other possibility.

Alabama State Representative April Weaver, a Republican from House District 49, representing parts of Bibb, Chilton, and Shelby counties, has introduced HB44, which “would allow the Board of Nursing to enter into the Enhanced Nurse Licensure Compact as a means of providing uniformity in licensing requirements and interstate practice throughout party states. This bill would also amend existing law to make technical corrections relating to the multistate licensure of nurses.”

For those unfamiliar with the eNLC, think of it like a Driver License.

Your license to drive is valid in 49 other states. And if you’re driving in another state and are given a traffic citation by any Law Enforcement Officer for a moving violation such as

Healthcare, Marijuana, Medicare For All, Voting Rights, And More

This prospective legislation (linked below) is “…an indication of the overall appetite for progressive policies in the 2020 Democratic primary race.”

And, it’s about damn time!

Vermont Senator Bernie Sanders -I

I’m sick & tired of hearing folks say that there’s not a nickel’s worth of difference between the Democrats and the Republicans. And face it… if it weren’t for Bernie leading the way last General Election cycle, we very likely wouldn’t be hearing this kind of talk. Seriously.

 

And, while Sen. Kamala Harris exceeded Bernie’s 2016 fundraising “haul” by raising $1.5M in the first 24 hours following announcement of candidacy, Bernie outdid himself this time by raising $6M in 24 hours. THAT is SIGNIFICANT! And, it says that the number of those who believed in him last time, have increased. Plus, he already has the campaign people and mechanisms in place, whereas others – including Harris – do not.

California Senator Kamala Harris -D

I think it’ll be interesting to see how all this shakes out.

Of course, Joe Biden’s likely to be tossed into the mix, but while polls show he has “favorable” ratings with many, including Republicans,

How the Sackler family, private owners of OxyContin maker Purdue Pharma, became America’s BIGGEST drug pushers.

NPR, along with a few other news reporting agencies, has today published a story detailing how the Sackler family – with an estimated net worth of $13 Billion and listed by Forbes as the 19th wealthiest family in the United States – whose privately-held Purdue Pharma falsified, neglected, and purposely withheld information, and aggressively peddled their habit-forming narcotic medication branded as “OxyContin” to physicians, hospitals, and medical colleges as an acceptable, even benign medication for pain relief, despite overwhelming evidence to the contrary.

Purdue Pharma President Richard Sackler, and wife Beverly are the biggest narco-traffickers in the United States.

In a 274 page filing, the Massachusetts Attorney General, Maura Healey, carefully detailed how the Sackler family carefully and deliberately manipulated, and crafted opportunities with Massachusetts’ legislators, regulators, and others, to sell increasing volumes of the narcotic medicine.

The documents state that in a 2-15-2011 email, after one week of prescriptions doubled the company’s profit forecasts, Richard Sackler wrote to the sales staff that “I had hoped for better results.”

Massachussetts Attorney General’s Office pre-hearing memo & exhibits

https://d279m997dpfwgl.cloudfront.net/wp/2019/01/Mass_AGO_Pre-Hearing_Memo_and_Exhibits.pdf

But here’s where an otherwise LEGAL pharmaceutical firm became complicit with international narco-traffickers and street-level drug pushers, rapidly escalated America’s Opioid Crisis, and in the process became equals with terrorists like al Qaeda and the Taliban.

The Massachusetts Attorney General Pre-Hearing memorandum cited a

Can I ask you a question?

Here’s but one story from my storied career.

—//—

Once, upon a time, I worked in a CVICU (CardioVascular Intensive Care Unit) in Greenville, MS – a predominately Black populated area, with high poverty, and all the problems that come along for that ride.

A patient came to us from a SNF (Skilled Nursing Facility, i.e., Nursing Home), and was refusing to communicate/talk with staff. I became his Nurse. He was a Black gent, and I cared for him just like I would for anyone else – with dignity, and empowering them to make decisions regarding their care.

I was working

A Guide To Increasing Company Value

Almost everyone who has worked in sales has heard the mantras “the customer is always right,” and “the customer is your most important person.”

And as anyone who has worked in healthcare can attest, neither of those statements are true.

For example, consider the patient who, arriving at the ED (Emergency Department) said to the physician, “My doc says my sugar is high so he gave me this medicine for diabetes.”

Naturally, the physician asked, “Do you take it?”

The patient replied saying, “No, ’cause I don’t have diabetes, just high sugar.”

And then, another Physician who explained to the patient’s mother her child’s diagnosis and therapeutic interventions saying, “She has a concussion, she needs to rest in bed in a quiet dark room until she is better.”

The mother then asked, “Can she go to the fair?”

Conventional wisdom often monikered as “common sense,” sometimes follows the pithy axiom that “common sense isn’t so common anymore.”

For years, I’ve maintained that the customer is NOT “always right,” nor are they the “most important person” in any business.

Instead, the most important person in any business are the employees.

Some CEOs have gotten a bad rap, often justifiably, because while seeking to return corporate profit and shareholder return, they’ve cut resources and employees. Like the abusive Pharaoh of the Exodus account in the Old Testament, they demand to “make more bricks with less hay.” Of course, we know how that story ended – not well.

So naturally, it delighted me to read some time ago that Sir Richard Branson, a renown entrepreneur and philanthropist, has similarly long held that thought and said, “Put your staff first, customers second, and shareholders third.”

In a 2014 interview with Inc. magazine, Sir Richard said,

I’m Thinking About Suicide

Ever thought about suicide?

Many have.

And not all of them are depressed.

Some are epidemiologists – folks whose business it is to think about the source, causes, and prevention of disease. And then, other health professionals such as physicians, Nurses, psychologists, social workers, and others think about suicide – again, not as means to end their own lives, but for the sake of others. And yet Nurses and physicians also personally think about suicide, and often at rates greater than the average population.

I’ve thought about suicide.

I’ve thought about suicide many times.

In fact, I’m thinking about suicide as I write this entry.

But I’m not thinking about suicide as a means to end my own life.

I’m thinking about suicide because…

Apple Appeals to the “Help! I’ve fallen and I can’t get up!” Crowd

With it’s new Watch Series 4, Apple Computer of Cupertino, CA has signaled its intent to capitalize upon integrating electronics, health informatics, and aging.

With one fell swoop, Apple has exemplified and cemented the “Help! I’ve fallen and I can’t get up!” era.

Long thought of as a popular cultural icon, the phrase “I’ve fallen and I can’t get up!” entered American vernacular in 1989 and quickly became a comedic touchstone which endures to this day.

The LifeCall company advertised their medical alarm product on television, which was shown being worn as a pendant or brooch (primarily marketed toward women), and which could be activated by pushing a single button on the device which in turn, called the firm’s 24-7/365 operators in the event of the wearer’s immobility… presuming, of course, that they were fully alert, and capable of pressing a button.

By October 1990, LifeCall had patented the phrase “I’ve fallen and I can’t get up!” and with various minor modifications, as time progressed, by 2007, the phrase had become their legally official trademark.

Falls, of course, result many causes, not the least of which may be

Why does America need a Single Payer Healthcare option?

America and American industry, its entrepreneurship and ingenuity, needs a Single Payer Healthcare option for the same reason America’s military service members -and- their families have 100% all-expenses paid healthcare.

Why is that?

Because a sick military service member can neither train, nor fight, nor perform their mission (work/do their job), neither can they work/train if they’re worrying about their family – who’ll care for them, how they’ll get well, if they can pay for the care/treatment, etc.

Furthermore, it’s also a matter of National Security to provide 100% of all healthcare services at no cost to them because if they’re wondering how they’ll pay for healthcare, they might think of looking elsewhere for money, and thereby could become tempted to compromise security by divulging secrets, or working for an enemy.

Already, America is NOT the “healthiest” nation in the world, neither do we have the best healthcare nor healthcare system in the world. In fact, the overall performance or level of Americans’ national level of health, according to the latest research published in

Trump: Who Voted For, And Supports Him?

Formerly titled, “With Trump WYSIWYG: Who Voted For, And Supports Him?”

African leopard, Panthera pardus pardus, near Lake Panic, Kruger National Park, South Africa, 31 December 2013
Attribution 2.0 Generic (CC BY 2.0), Derek Keats, https://www.flickr.com/photos/93242958@N00/19448654130M

One either loves, or loathes, Donald Trump.

One does not simply “tolerate” him.

He is a divisive political figure.

He is starkly contrasted to former POTUS George W. Bush, who in a May 6, 1999 interview with David Horowitz of Salon magazine, famously said, “I’m a uniter, not a divider.”

Trump is a divider, not a uniter.

For Trump, e pluribus unum means nothing, even though we are the United States of America.

And for those who voted for him thinking he’d change, that he was merely spouting hollow campaign rhetoric, they might as well have asked a leopard to change it’s spots.

With Trump, WYSIWYG.

Specifically, I mean to refer to him in his executive Presidential capacity.

And yet, strangely enough, he has coalesced support from diverse, divergent sub-groups within, and without the GOP. The importance of that feat cannot, and should not be underestimated, glossed over, or minimized, because understanding it is key to political success, especially for

11 Year Study Finds Opioid Deaths Down In Medical #Marijuana States

In an article entitled “Medical Cannabis Laws and Opioid Analgesic Overdose Mortality in the United States, 1999-2010” published August 25, 2014 in the Journal of the American Medical Association, researcher and primary author, Dr. Marcus A. Bachhuber, MD, with the Center for Health Equity Research and Promotion, Philadelphia Veterans Affairs Medical Center, 423 Guardian Dr, 1303-A Blockley Hall, Philadelphia, PA 19104 (marcus.bachhuber@gmail.com), and others concluded that, “The present study provides evidence that medical cannabis laws are associated with

#ALpolitics could STILL $ave money if they were to #ExpandMedicaid

Alabama, among other states, should have expanded Medicaid when they had the opportunity to do so, and with SIGNIFICANT REWARD! In other words, at the very first. Now, if any state decides to expand Medicaid, there’s little, if any, incentive, except that there will be some savings to the state, and benefit to their citizens, by having access to healthcare.

A sick workforce can’t survive.

The Centers for Disease Control and Prevention (CDC) continually tell America that the sickest, the fattest, the most diabetic, the most smokers, and cancer-ridden, are in the Southeast… which largely voted for Trump, and has been predominately GOP-voting for at least the past 25+/- years. And I write of Alabama in particular.

In a November 2012 brief entitled “An Economic Evaluation of Medicaid Expansion In Alabama under the Affordable Care Act” by Professors Drs. David J.Becker, Ph.D.and Michael A. Morrisey, Ph.D of the University of Alabama at Birmingham School of Public Health, Lister Hill Center for Health Policy, they presented the case for the numerous potential benefits of expanding Medicaid in Alabama, which was not merely an improvement in the overall quality of life for Alabamians, but significant economic benefit to the entire state.

Drs. Morrisey and Becker are Professor and Director, and Assistant Professor, respectively, at the University of Alabama at Birmingham School of Public Health, Lister Hill Center for Health Policy, and have researched and written extensively the subject. The University of Alabama at Birmingham is one of three independent, autonomous universities in the UofA System.

Then-Governor Dr. Robert Bentley, MD, a Republican, was forced to resign in shame in the midst of his second term after pleading guilty to charges of corruption and ethics violations, and refused to expand Medicaid in “Sweet Home.”

The Bureau of Labor Statistics has most recently shown that employment in the Healthcare sector is thriving nationwide. The figures below are from the BLS’ most recent report “THE EMPLOYMENT SITUATION — MARCH 2018,” and is expressed in thousands. The columns in order, are: Not Seasonally Adjusted, March 2017, January, February, March 2018, and Seasonally Adjusted for the same times, respectively. (ESTABLISHMENT DATA Table B-1. Employees on nonfarm payrolls by industry sector and selected industry detail)

Drs. Morrisey and Becker identified that had then-Governor Bentley expanded Medicaid, a Federal/State program that pays healthcare costs for the impoverished, the state could have not merely eked it’s way out of recession, but it would have propelled itself in rocket-like fashion, to a position of economic strength and stamina.

They cited a provision in the Patient Protection and Affordable Care Act (ACA) which provided incentive to states to expand Medicaid by offering a one-time bonus of paying for 100% of all costs in 2014, followed by nominal reductions each year thereafter. And if states chose to expand Medicaid, they would have paid LESS (a smaller percentage) even after all incentives expired. Medicaid is a Federal-State sharing program in which the states bear a certain portion, while the Federal Government picks up the remaining share.

They wrote in part, that “Under the ACA, Alabama would receive a significantly higher Federal Matching Assistance Percentage (FMAP) for the expansion population than the 68.5% it currently receives for the non ‐ expansion population. The ACA provides for a uniform FMAP to all states of 100% in 2014 ‐ 2016, 95% in 2017, 94% in 2018, 93% in 2019 and 90% in all years thereafter.”

Presently, because Alabama has chosen to NOT expand Medicaid under the provisions of the ACA, they are STILL paying MORE for Medicaid than if they would have expanded it… even now, in 2018. That’s because the OLD law, under which the state labors, requires Alabama (and other states that did not expand Medicaid) to pay 31.5%. If Alabama would EXPAND Medicaid even now, in 2018, they would pay only 10%.

Governess Kay Ivey, also a Republican, who as Lt. Gov. assumed office following Bentley’s resignation after pleading guilty to corruption and ethics violation charges, has similarly expressed her reticence to expand Medicaid.

In 2016, Alabama spent $5,461,151,125 for Medicaid.

Noting that their “analysis does not consider potential savings from reduced spending on uncompensated care, mental health care and other services currently provided to the expansion population,” assuming the state expanded Medicaid and would pay “6.2% of program costs through 2020,” Drs. Morrisey and Becker projected three scenarios of a high, moderate, and low “take-up,” meaning enrollment into the program, and wrote that, “we estimate that the state of Alabama would be responsible for $771 million (6.2%) of the estimated $12.5 billion in new Medicaid program costs over the 2014 ‐ 2020 period,” and noted specifically, that “If more previously uninsured or privately insured individuals elect to enroll in Medicaid costs to the state and Federal government would rise. If take ‐ up were lower, the costs to the state and Federal government would fall.”

If Alabama had chosen to expand Medicaid in 2016 – the last year the Federal Government paid 100% of ALL COSTS of expansion – the state would have SAVED $5,461,151,125… the TOTAL cost of Medicaid. If Alabama were to expand Medicaid in 2018 (this year), they would pay only 6.2% of the costs, while the Federal Government would pay 93.8%. Using a high “take-up” scenario for 2018, Drs. Morrisey and Becker projected the state would pay $243,000,000… about 77.5% LESS than what it paid in 2016. A low “take-up” scenario for 2018 would be 46.48% lowered costs to the state.

The state has a peculiar and non-standard practice of having TWO budgets, the Education Trust Fund and General Fund budgets. Medicaid is paid from the General Fund budget, which is the smaller of the two, and receives “Taxes from over 40 sources are deposited into the GF, with the largest sources being the insurance company premium tax, interest on the Alabama Trust Fund and state deposits, oil and gas lease and production tax, cigarette tax, ad valorem tax, and Alabama Alcoholic Beverage Control Board profits,” and pays for and “supports state programs such as child development and protection, criminal justice, conservation efforts, economic development, public health and safety, mental health, Medicaid, legislative activities, and the court system.”

The much larger Education Trust Fund, receives revenue from “Ten tax sources are allocated to the ETF, the largest of which are the individual and corporate income tax, sales tax, utility tax, and use tax.” Revenues from the Education Trust Fund “support, maintenance and development of public education in Alabama, debt service and capital improvements relating to educational facilities, and other functions related to educating the state’s citizens. Programs and agencies supported by the ETF include K-12 education, public library services, performing and fine arts, various scholarship programs, the state’s education regulatory departments, and two- and four-year colleges and universities. Funding from the ETF is also provided to non-state agencies that provide educational services to the people of Alabama, including the arts, disease counseling and education, and youth development.”

Medicaid requires states to cover:
• Pregnant women up to at least 138% of the Federal Poverty Level (FPL) ($16,643 for an individual, $33,948 for a family of four in 2017)

• Preschool-age children up to at least 138% of the FPL ($16,643 for an individual, $33,948 for a family of four in 2017)

• School-age children up to at least 100% of the FPL ($12,060 for an individual, $24,600 for a family of four in 2017)

• Elderly and disabled individuals up to at least 75% of the FPL ($9,045 for an individual, $18,450 for a family of four in 2017)

• Working parents up to at least 28% of the FPL ($3,376 for an individual, $6,888 for a family of four in 2017)

Moreover, however, Alabama could have improved its economy by expanding Medicaid. In that same report, Drs. Morrisey and Becker considered three possible scenarios also based upon a high, moderate, and low “take-up” rate which showed that Alabama could have benefited between $2.331 billion and $33.529 billion in additional value added to the state’s economy from 2014-2020 (Low-to-High, inclusively and respectively).

They concluded that, using the intermediate, or moderate “take-up” scenario, “we project that a coverage expansion would reduce the state’s uninsured population by approximately 232,000 individuals while generating $20 billion in new economic activity and a $935 million increase in net state tax revenues.”

Again, that does NOT include the savings from eliminating uncompensated care.

Bottom line?

It would STILL be exceedingly wise for Alabama to expand Medicaid.

Why I Advocate 100% Marijuana Legalization

Let there be NO MISTAKE: Based upon a preponderance of scientific evidence, logic, reason, and numerous substantiating rationales, I openly advocate for, and am a proponent of the 100% full and total legalization of marijuana (aka cannabis) for adult recreational, and medical use.

And as a triple-degree, BSN-prepared Registered Nurse, Nationally Certified EMT, State Certified Volunteer Firefighter, and First Responder, I am a long-time Licensed Healthcare Professional, and presently possess, and have possessed unblemished active licenses to practice in numerous states, and internationally.

While I have “worn other hats” in Nursing, the bulk of my professional healthcare career has been in Critical Care. Working in Critical Care is the type of stressful job in which one keeps the Grim Reaper at bay by the hour. And I have been fortunate to have worked at some of the nation’s, and world’s premiere, and leading healthcare research institutions. It is research that drives much of such care, to ensure the best possible outcomes for the individuals for whom we care. Thus, keeping abreast of current research findings on many topics within, and without Critical Care, healthcare, and public policy related to healthcare in general, is a special interest and forté of mine.

As well, I am also a United States

National Academies #Marijuana Findings @theNASEM

Many have heard or read about United States Attorney General Jeff Sessions’ ignorant remark about marijuana, and many of us have heard or read numerous claims about cannabis, ranging from “it cures cancer” to “it makes you hungry,” and almost everything between. But if you want to make an effective argument for or against anything, you need facts. And the following information from the National Academies of Sciences, Engineering, and Medicine is THE MOST authoritative, up-to-date volume on the subject of cannabis. You would be wise to cite this research when you lobby your local, state or national legislator to legalize (or not) marijuana. (I am a legalization proponent & advocate for the 100% legalization, regulation, and taxation of adult recreational & prescriptive medical use of marijuana.)

Now, with the 2017 release of “The Health Effects of Cannabis and Cannabinoids: The Current State of Evidence and Recommendations for Research” by the Committee on the Health Effects of Marijuana: An Evidence Review and Research Agenda, Board on Population Health and Public Health Practice Health and Medicine Division, A Report of the National Academies of Science, we have one of THE MOST to-date conclusive pieces of EVIDENCE for/against cannabis consumption, either medically, and/or recreationally. It is AUTHORITATIVE, and unbiased. Bear in mind, this is findings of SCIENTIFIC MEDICAL RESEARCH.

An independent examination of the report was carried out in accordance with institutional procedures and all review comments were carefully considered. A committee of experts was convened to conduct a comprehensive review of the literature regarding the health effects of using cannabis and/or its constituents that had appeared since the publication of the 1999 IOM (Institute of Medicine) report.

From their review, the committee arrived at nearly 100 different research conclusions related to cannabis or cannabinoid use and health.

Committee members formulated four recommendations to address research gaps, improve research quality, improve surveillance capacity, and address research barriers.

Categories, including subtopics, are as follows:

Therapeutic effects
• Chronic pain; cancer, chemotherapy-induced nausea/vomiting; anorexia and weight loss; irritable bowel syndrome; epilepsy; spasticity related to multiple sclerosis or spinal cord injury; Tourette syndrome; amyotrophic lateral sclerosis; Huntington’s disease; Parkinson’s disease; dystonia; dementia; glaucoma; traumatic brain injury; addiction; anxiety; depression; sleep disorders; post-traumatic stress disorder; schizophrenia and other psychoses

Cancer
• Lung cancer; head and neck cancer; testicular cancer; esophageal cancer; other cancer

Cardiometabolic risk
• Acute myocardial infarction; stroke; metabolic dysregulation, metabolic syndrome, prediabetes, and diabetes mellitus

Respiratory disease
• Pulmonary function; chronic obstructive pulmonary disorder; respiratory symptoms (including chronic bronchitis); asthma

Immunity
• Immune function; infectious disease

Injury and death
• All-cause mortality; occupational injury; motor vehicle crash; overdose injury and death

Prenatal, perinatal, and postnatal exposure to cannabis
• Pregnancy complications for the mother; fetal growth and development; neonatal conditions; later outcomes for the infant

Psychosocial
• Cognition (learning, memory, attention, intelligence); academic achievement and educational outcomes; employment and income; social relation- ships and other social roles

Mental health
• Schizophrenia and other psychoses; bipolar disorders, depression; suicide; anxiety; post-traumatic stress disorder

Problem cannabis use
• Cannabis use disorder

Cannabis use and abuse of other substances
• Abuse of other substances

Weight Of Evidence Categories for Conclusions are ranked High-to-Low-and-None as Substantial, Moderate, Limited Evidence, and No or Insufficient Evidence to Support the Association for therapeutic effects, and other health effects.

Here are: 
Conclusions—Therapeutic Effects of Cannabis and Cannabinoids

There is conclusive or substantial evidence that cannabis or cannabinoids are effective:
• For

Members of Congress: Virtual American Royalty… At Taxpayer Expense

Members of Congress as virtual royalty,
have raised their pay 9 times over 9 years,
but raised Minimum Wage only 3 times in 18 years.
While Congress now pays themselves almost
3x the Median Household Income,
since 2000,
Inflation has totaled 37.4%.
And with 72% subsidies, Employer Contributions,
and other
luxurious perks unavailable to the Average Citizen,
including full Retirement Vestment after 5 years,
and 72% subsidy for Healthcare Insurance in Retirement,
their Healthcare is practically free.
And you’re paying for it.
But yours is not.
And you’re paying for it, too!

Members first received $6 a day in 1789, today they get $174,000 annually, in addition to phenomenal perks, health insurance, and retirement… all at taxpayer expense.

Presently, Congress also gets:

Why All Christians Should Support Abortion Rights

I support abortion rights for women. Here’s why.

Freedom, Liberty, and Independence.

And, I’m Catholic.

I have a cousin who

Charles Manson And Mental Health

“The murders were probably the most bizarre in the recorded annals of American crime. I’ve often said that if these murders had never happened and someone had written a novel, with the same set of facts and circumstances, you’d probably put it down after a couple of pages. Because to be good fiction, as I understand it — unless it’s science fiction — it’s got to be somewhat believable, and this is just too far out.”

– Vincent Bugliosi (1934-2015), Los Angeles County District Attorney, Chief Prosecutor in the Charles Manson trial, to NPR in 2009

Some years ago, during Mental Health Clinical Rotations, I was impressed with the insidious nature of severe mental health problems, which often masquerade as mere quirks, eccentricities, or peculiarities of character. In that sense, I think Southerners are more adept at denial of mental health problems than others in regions throughout the United States. We often laugh and joke about “Old Spinster Miss So-And-So,” “the Crazy Cat Lady,” or “Old Man Mozz” who for years has lived by himself.

And yet sometimes, we’re shocked at what we do NOT see, which when given opportunities to see “behind the scenes,” observation provides confirmation and undeniable proof-positive of mental health problems.

I recall in particular some time ago in which a friend and his wife had

How To Resolve Gun Sickness & Disease

Firearm fascination has gotten to the point of ridiculousness, to the extent that it’s much like a paraphilia. It’s no longer merely “disturbing,” its downright dangerous, and blatantly irresponsible. As Healthcare professionals, we research & examine the scope, extent, and exact nature of the problem, then make a diagnosis, and formulate a plan of treatment to either ameliorate the symptoms, or cure the disease. It presumes, of course, that the patient will cooperate with the plan, and follow the course of treatment.

In this present “gun nut” scenario in which we find ourselves suffering, the NRA has bent over backwards to

Here’s Why, Despite Seeming Political Appearances, We Are Closer To Single Payer #Healthcare Than Many Imagine

In a recent exchange online dialogue with friends – some, whom to the casual observer would be diametrically opposed on many policy ideas – I was, once again, pleased to note that, despite the SEEMING APPEARANCE of differences, we share SIGNIFICANT common ground.

In fact, I have found that to be quite true with many, that when we move past the vitriolic venomous sport of castigating political candidates, and speak in respectful tones, patiently explaining the whys and wherefores of potential policy, we share many common bonds, and similar ideas.

For example, in response to a recent post of the story published by Pro Publica – Pressure Mounts on Insurance Companies to Consider Their Role in Opioid Epidemic – (https://www.propublica.org/article/pressure-mounts-on-insurance-companies-to-consider-their-role-in-opioid-epidemic) written by Charles Ornstein Oct. 19, 6:47 p.m. EDT – I enjoyed reading the following remarks, made toward the conclusion of the online dialogue:

Person A (Physician): “It is a shame our country can’t have

Helping Comes First

 When Saint Pius of Pietrelcina (1887-1968) — Padre Pio as he’s widely known — decided he wanted to build a free hospital for the poor up the road from his friary, he started with a piece of land and a few friends and supporters. Four years later, in 1956, he had one of the most modern hospitals in Europe. Since the padre’s death in 1968, the facility, which

Can American Health Insurance Be Repaired?

Naysayers to the “public option,” or “single payer” health insurance plan claim that it’s “socialized medicine.” You know… much like what Military Service Members  – and their families – in the Army, Air Force, Navy and Marines have access to. And to be certain, the health insurance “money grab” came through Richard Nixon‘s signature on a bill written by  Massachusetts’ U.S. Senator Edward Kennedy… the Health Maintenance Organization Act of 1973.

Before that law was passed, it was ILLEGAL to profit from delivery of healthcare services. Now, we have avariciously rapacious Wall-Street masters slave driving the people for more and more and more and more profit. The greedy, never-ending quest for profits has quickly deteriorated the American healthcare delivery system, which was once a marvel of the world. Now, according to the World Health Organization 2000 report of its 191 member nations health systems, the United States ranked 37th in efficiency worldwide, while France, Italy, San Marino, Andorra, and Malta round out the top five most efficient nations for delivery of healthcare services. Japan ranks 10th, while the United Kingdom is 18th, and Canada is 30th. The United States is sandwiched in between Costa Rica, and Slovenia, respectively.

Truth be told – and it’s sad to say – there are probably as many corrupt Democrats as there are corrupt Republicans, neither of whom have the people’s best interests at heart, or in mind. Such ones’ solitary concern is with their own wallet, and how they can profit privately at taxpayer expense. That includes graft through directing contracts and business toward friends’ business interests.

Look at

Advice For Lovers Everywhere

Have you ever, in a passionate moment, had your ear gently kissed by the lips of your lover? The sensation of tenderly soft and warm skin brushed up against the lobe of your ear, or even a light flicker of the tip of the tongue anywhere on the ear is to many, sensuously delightful, and highly erotic.

For some, it’s enough to send shivers down your spine! Your entire body quivers with passionate delight!

Of course, such a moment is nothing like

A Common Calling To Care

St. Louis King of France with a Page, El Greco

 Two men quite unlike each other, both saints, and both revered for similar reasons: Their concrete love for the poor. In the mid-13th century, Saint Louis (1214–1270) embraced the way of Saint Francis of Assisi and cared for the poor even as King Louis IX of France. It is said that Louis had over 100 guests from among the poor to eat with him daily. He also established hospitals and houses of healing for lepers and the sick. Saint Joseph Calasanz (1557–1648) in the mid-16th century saw that the need to educate poor children was so important that he gave up a career in

Government–Mandated Waste Drives Up Prescription Drug Co$t$

 

Just Like Food “Expiration” Dates, Drug “Expiration” Dates Are Also Fake… And It’s Co$ting You BIGTIME

Hospitals and pharmacies are required to toss expired drugs, no matter how expensive or vital. Meanwhile the FDA has long known that many remain safe and potent for years longer.

The box of prescription drugs had been forgotten in a back closet of a retail pharmacy for so long that some of the pills predated the 1969 moon landing. Most were 30 to 40 years past their expiration dates – possibly toxic, probably worthless.
But to Lee Cantrell, who helps run the California Poison Control System, the cache was an opportunity to answer an enduring question about the actual shelf life of drugs: Could these drugs from the bell-bottom era still be potent?

Cantrell called Roy Gerona, a University of California, San Francisco, researcher who specializes in analyzing chemicals. Gerona had grown up in the Philippines, and had seen people recover from sickness by taking expired drugs with no apparent ill effects.

“This was very cool,” Gerona says. “Who gets the chance of analyzing drugs that have been in storage for more than 30 years?”

Pharmacist and Toxicologist Lee Cantrell tested medicines that had been “expired” for decades. Most of them were still potent enough to be on shelves today. (Lee Huffaker for ProPublica)

The age of the drugs might have been bizarre, but the question the researchers wanted to answer wasn’t.

Pharmacies across the country in major medical centers and in neighborhood strip malls routinely toss out tons of scarce and potentially valuable prescription drugs when they hit their expiration dates.

Gerona and Cantrell, a pharmacist and toxicologist, knew that the term “expiration date” was a misnomer. The dates on drug labels are simply

Your Child May Not Truly Be Allergic To Penicillin

Reported penicillin allergies in children usually inconsistent with true allergy

Jul 3, 2017

Clinical Essentials from Pediatrics

Takeaway
• Parent-reported penicillin allergy symptoms in children presenting to the emergency department (ED) are likely inconsistent with true, immunoglobulin E-mediated allergy when evaluated by the 3-tier penicillin allergy questionnaire.

• Data demonstrate that the true incidence of penicillin allergy is 0.004%-0.015%.

Why this matters
• Because of time constraints and invasiveness associated with standard allergy testing, an allergy pediatric questionnaire may optimize first-line penicillin use in children presenting with the ED with parent-reported penicillin allergies.

• Data suggest that the majority of reported pediatric penicillin allergy symptoms (eg, maculopapular rash, hives, vomiting, diarrhea) are actually low risk for true allergy.

Study design
• This study evaluated 597 children between the ages of

Mobile Alabama MD & Medical Practice Settle Medicare, Medicaid & TRICARE Fraud Claims

The Department of Justice, United States Attorney’s Office, Southern District, announced that Mobile, Alabama physician Dr. James Matthew Crumb, MD (AL license number MD.24535, AL Controlled Substances Certificate ACSC.245, National Provider Identifier: 1629079793 ) a Physical Medicine and Rehabilitative physician who currently practices as Mobility Metabolism and Wellness (MMW), and a local neurosurgeon group Coastal Neurological Institute, P.C. (CNI), 3280 Dauphin Street, Suite A, Mobile, AL 36606-4060, (NPI:1740212174), have collectively paid $1.4 million to settle allegations that they violated the False Claims Act (“FCA”) by engaging in fraudulent schemes to maximize payment from the Medicare, Medicaid, and TRICARE health care programs.

In late December 2015, the United States Attorney’s Office filed a civil lawsuit against Defendants CNI, Crumb, and MMW, on behalf of the Department of Health and Human Services and the Department of Defense, alleging that the Defendants knowingly billed federal health care programs for

Does $2.9M Jury Verdict Put Western State Hospital, Lakewood, WA On The Ropes?

For those unaware, with well over 800 beds, Western State Hospital is the largest psychiatric hospital West of the Mississippi River. And unfortunately, it has a pockmarked history, and was in jeopardy of losing over $65M in Federal funding from CMS (Centers for Medicare and Medicaid Services) because of gross negligence at the hospital so severe that it was in jeopardy of losing ALL it’s CMS funding.

With well over 800 beds, Western State Hospital, Lakewood, WA is the largest psychiatric hospital West of the Mississippi River.

Chronic rampant abuse and neglect has ranged from staff sexual abuse of patients, patient-on-patient and patient-on-staff violence,  numerous escapes by criminally violent murderers – which caused the CEO to be fired by the Governor, and “wait-listing” dementia patients which may result in the new CEO’s incarceration. They no longer have national Joint Commission certification. The list of criminal wrong-doing at the facility is extensive, and violence alone has cost millions in hospital bills for staff and patients, including time lost from work, and lawsuits.

As the hospital faced inevitable death from loss of $65M in federal funds, a veritable federal hatchet, the state legislature made last-ditch efforts to salvage a rotten-to-the-core system by hiring hundreds of staff, and approved a TEMPORARY pay increase, with retention bonuses, and made other efforts to put lipstick on a dead pig.

According to one senior staff member

#Trump’s Billionaire Care

“We don’t have it; we can’t afford it, and we don’t make enough to be penalized at the end of the year so either which way it goes we don’t have the money to pay for it,” he said. 

Under the Affordable Care Act, millions more Americans now have insurance through online exchanges and Medicaid. But like the Wallaces, many still lack coverage, especially in states like Tennessee where elected leaders declined to expand Medicaid. 

The Wallaces were camped out on a blanket outside Red Bank High School in Chattanooga on a Friday afternoon, the day before the clinic was set to open Saturday morning.

They said they make too much money for Medicaid, and they looked into an Obamacare exchange plan but couldn’t afford the premiums. 

President Trump has promised to replace the ACA with something better. But the Congressional Budget Office estimates a plan passed by the House of Representatives would leave 23 million more Americans uninsured, and Senate Republicans have yet to reveal the details of their plan. 

Are you over 65 & taking statin meds? Know anyone who is? It may not be worth it.

If you’re a prescriber, consider this research. If you’re a patient, or know someone who is, consider this for your, or their well-being.

—//—

Statins Have No Primary CVD Prevention Benefit To Older Patients

Takeaway
Statins offer no benefit for the primary prevention of cardiovascular disease (CVD) in adult patients aged ≥65 y.

Why this matters
“[S]tatins may be producing untoward effects in the function or health of older adults that could offset any possible cardiovascular benefit,” say the study authors.

Study design
Researchers conducted post hoc secondary data analyses of patient data from a randomized, open-label clinical trial (N=2867; age, ≥65 y; 49.4% women; all without evidence of atherosclerotic cardiovascular disease); patients were assigned to either a treatment group receiving pravastatin sodium 40 mg/d or a usual care (UC) group.
Funding: National Heart, Lung, and Blood Institute; AstraZeneca; Bristol-Myers Squibb; Pfizer; National Center for Advancing Translational Sciences; The Stroke Foundation.

Key results
Hazard ratios for all-cause mortality in the treatment group vs the UC group were

How can you know if you’re in an Emotionally Abusive Relationship?

Just because there’s no physical violence, does that mean a relationship isn’t abusive?

No.

The adage, “can’t see the forest for the trees” is particularly true in emotionally abusive relationships, and it’s not uncommon for men and women in them to be unable to identify the relationship as being abusive.

Why is that?

It goes back to 1973 and an unsuccessful bank robbery in Stockholm, Sweden in which two perpetrators – both repeat offender prisoners – took four hostages, three women and one man. Over the six days they were held, the hostages began to identify and sympathize with their captors.

Hostages in the Norrmalmstorg Kreditbanken bank vault, Stockholm, Sweden. The 1973 robbery gave rise to the term “Stockholm Syndrome” which characterized a scenario in which captives sympathized with their captors.

As the standoff was ending, police called for the hostages to come out first, but the four captives – who protected their abductors to the very end – refused. One female hostage, 23-year old Kristin Enmark, called out, “No, Jan and Clark go first—you’ll gun them down if we do! We want to leave with the robber!”

When police seized the gunmen, two female hostages cried sympathetically, “Don’t hurt them – they didn’t harm us!”

When interviewed by investigators and others following the crisis’ conclusion, the hostages reported fearing Law Enforcement Officers’ rescue effort attempts, and felt their captors were protecting them from harm. The bonds formed during that stand-off had become so strong that there were reports of one female hostage who had been engaged to be married to one of the kidnappers – which was later discovered to be false, though it is true that one hostage developed a Legal Defense Fund to help pay the perpetrators’ criminal defense costs.

Researcher Ian K.Mackenzie wrote
in “Journal For Police Crisis Negotiations”
that Stockholm Syndrome consisted of:
“strong emotional ties that develop between two persons
where one person intermittently harasses, beats, threatens, abuses, or intimidates the other.”

Psychological researchers utilizing the FBI’s Hostage Barricade Database System (HOBAS) – the only entity that compiles national statistics on crisis incidents (hostage, barricade, and/or suicide) which are used in research and decision making – found that

Remember American Nurses: 100 years ago WW I’s first casualties – Edith Ayers & Helen Woods

Mrs. Edith Ayres, Illinois Training School Nurse of the Class of 1913. Mrs. Ayres was the first American female casualty of WWI, and was buried with military honors at her home in Attica, Ohio.

Among the first casualties of World War I were two Army Nurses – US Army Nurse Corps Edith Ayers, of Attica, OH, and USANC Helen Burnett Woods, of Evanston, IL who were attached to Base Hospital 12 aboard the USS Mongolia – a passenger vessel which was converted into an armored troop carrier and hospital for the Army March 1917 – en route to France, and died 20 May 1917. Also wounded was Miss Emma Matzen, of the Illinois Training School, Class of 1913.

Miss Helen Burnett Wood was a Nurse graduate of the Evanston Hospital Training School, and was one of the was the first two casualties of WW I.

At that time, military Nurses held no rank.

Woods was attached to the U.S. Army Base Hospital, No. 12, also known as the Northwestern University Base Hospital, because a majority of its personnel came out of the university. In May 1917, she received her official orders to join the Base Hospital staff on its way to New York where the staff would embark for Europe.

The two women were on the Mongolia’s deck observing various weapons firing and were struck by fragments of the 6-inch gun’s propellant caps which had ricocheted off a stanchion.

Their deaths were so shocking to the nation, especially to their respective communities, that following their accidental, and untimely deaths, a Senate hearing – “Casualties Aboard Steamship “Monogolia”” before the Committee on Naval Affairs – was conducted. {Local file, PDF: Casualties Aboard Steamship Mongolia Hearings}

Mrs. Edith Ayres was a graduate of

Deceit And Treachery Continue In #ALpolitics

In case you’ve been under a rock for the past 4 years or more, Alabama’s two-term Republican Governor Dr. Dr. Robert Bentley, M.D. was forced to resign from office amidst ongoing impeachment proceedings resulting from a sex & corruption scandal in which he significantly abused the power of the office for personal gain, then under pressure, and facing possible felony charges, entered a plea agreement in which he pled guilty to two misdemeanor campaign finance violations, agreed to other court-ordered stipulations including never again to “seek or serve in any public office,” pay fines & court costs, surrender campaign funds, render Community Service as a physician, submitted his resignation, whereupon Republican Lt. Gov. Kay Ivey – formerly State Treasurer – took office as Governess.

It seemed most everybody was happy as a lark.

Until…

Until those damn pesky reporters started snooping around the back door.

Then, it turns out, they found evidence that strongly suggests she isn’t in good health, and so much so to the extent that her ability to govern and think clearly may be called into question.

According to an investigative report and story by Josh Moon, a Journalist with Alabama Political Reporter, “Gov. Kay Ivey’s office declined to confirm on Thursday that she had been admitted to a Colorado hospital for “stroke-like” issues in April 2015, the Alabama Law Enforcement Agency all but did.

Which Are The Best & Worst States For Registered Nurses?

Like most segments of the economy, the nursing industry is in a state of significant transition under the weight of major socioeconomic dynamics — from the aging U.S. population to the student-loan crisis to concerns about the future of key entitlement programs. But such concerns are not unique among recent graduates, regardless of industry.

More specific to nursing professionals are the various day-to-day demands placed on them, such as mandatory overtime, overstaffing, unionization and allegations of systemic disrespect. Despite those challenges, however, aspiring nurses have much to look forward to upon certification. Nursing occupations are some of the most lucrative careers with the lowest unemployment rates in the U.S. In fact, the industry is expected to grow at more than double the rate of the average occupation through 2024.

With such bright projections, WalletHub’s analysts took stock of the nursing industry to help registered nurses, particularly the newly minted of the bunch, lay down roots in areas that are conducive to both personal and professional success. We did so by comparing the 50 states and the District of Columbia across 18 key metrics that collectively speak to the nursing-job opportunities in each market. Below, you can check out our findings, expert commentary on the state of the nursing industry as well as the methodology we used to conduct this report.

BIG INSURANCE Companies Fear Single Payer For ONE Reason

A friend had shared the opening paragraph, upon which I remarked.

My response follows.

“At the risk of stating the obvious, I feel compelled to note that insurance companies do not exist to provide health care. They exist to make money. Big money. Big money at your time of greatest vulnerability. This happens by raising income as much as possible and limiting “risk” as much as possible. Now go ponder the implications.”

—/—

And that is the single greatest reason why a

LET MY PEOPLE GO!

The Exodus

Frans Francken I. Hans skola: Den rike mannen och Lazarus. NM 429 (Frans Francken I, aka Frans Francken the Elder (1542-1616), His school: The rich man and Lazarus.)

I have seen your religion, and I hate it.
I have heard your doctrine, and I loathe it.
Take away your empty praise songs,
your vacuous worshiptainment.
Your mouth is full of religious words,
but your proverbs are salted manure.

“The sick deserve to be sick.
The poor deserve to be poor.
The rich deserve to be rich.
The imprisoned deserve to be imprisoned.”
Because you never saw him sick, or poor, or in prison.

“If he had followed police instructions,
if he had minded the company he keeps,
he would not have been killed,”
You say in the hearing
of a man hanging on a cross
between two thieves.

“People who live good lives
do not have pre-existing conditions,” you say,
carving these words over the hospital door:
“Who sinned, this man or his parents,
that he was born blind?”

“It is the church’s job, not the government’s,”
say you fat sheep,
defending your fat shepherds,
shoving and butting with shoulders and horns,
while you foul the water,
grass,
and air,
and scatter the hungry sheep.

You watch the melting glaciers and say to the waves of the sea,
“this far shall you come, and no farther,”
as if your will could change the weather,

Money Trumps Life: GOP politicians are the Death Panelists about which Sarah Palin warned.

Calling out EVERY TRUMP VOTER!

Sarah Palin’s “Death Panels” are now Donald Trump & the GOP’s gift to you!

They WILL kill you & your grannies, grandpas, kids, wife, relatives, family, and YOU!

DO NOT BE DECEIVED!

In their world, Money Trumps Life!

—

By Yvonne Foster

“I have atrial fibrillation and arthritis, my husband is pre-diabetic and has had heart surgery, our daughter is asthmatic. None of this is through any fault of our own.

“I have shed tears today not only for my family but millions of others like us. What is going to happen to all these people? Healthcare should not be something available only to the rich.

“I have seen evil before, but I’ve never looked this kind of evil in the eye until I looked at Trump and

Can We #RepealAndReplace #ObamaCare?

The Patient Protection and Affordable Care Act (PPACA, aka ACA, or more often as “ObamaCare”) might be analogized to an onion, insofar as:
1.) It has many layers, and;
2.) Peeling back the layers may cause tears.

Enacted in 2010, it has been decried primarily by Republicans, none of whom voted for the bill’s passage, either in the House, which approved it 219-212 with 34 Democrats voting “NO” – or in the Senate, which approved it 60-39 along party lines, with 1 Republican (Jim Bunning, KY) “Not Voting.”

The Patient Protection and Affordable Care Act contains nine titles, each addressing an essential component of reform:
1.) Quality, Affordable Health Care For All Americans
2.) The Role Of Public Programs
3.) Improving The Quality And Efficiency Of Health Care

4.) Prevention Of Chronic Disease And Improving Public Health
5.) Health Care Workforce
6.) Transparency And Program Integrity

7.) Improving Access To Innovative Medical Therapies
8.) Community Living Assistance Services And Supports
9.) Revenue Provisions

Immediate improvements through reform included:
• Eliminate lifetime and unreasonable annual limits on benefits
• Prohibit rescissions of health insurance policies
• Provide assistance for those who are uninsured because of a pre-existing condition

• Require coverage of preventive services and immunizations
• Extend dependent coverage up to age 26
• Develop uniform coverage documents so consumers can make apples to apples comparisons when shopping for health insurance

• Cap insurance company non-medical, administrative expenditures
• Ensure consumers have access to an effective appeals process and provide consumers a place to turn for assistance navigating the appeals process and accessing their coverage
• Create a temporary re-insurance program to support coverage for early retirees

• Establish an Internet portal to assist Americans in identifying coverage options
• Facilitate administrative simplification to lower health system costs

While no law is perfect – and the ACA is not perfect – there are provisions within it which many think worthy of keeping, notable among them, provisions for guaranteed coverage, prohibiting cancellation, extending dependent’s coverage, removing annual & lifetime limits,

Remembering Alabama OB-GYN Dr. Larry Stutts, MD, DVM

“Men more frequently require to be reminded than informed.”

-Samuel Johnson (1709-1784), Rambler #2 (March 24, 1750)

Dr. Larry Stutts, MD, DVM was elected as a Republican to Alabama State Senate District 6 in 2014 by a 70-vote margin. His 36-year-old patient Rose Church, RN died 10 days after giving birth in 1998 because he refused to order a $5 test, and sent her home from the hospital early.

After narrowly winning election in 2014 by 70 votes in Alabama State Senate District 6, Dr. Larry Stutts, MD, DVM, a Republican, immediately wrote a bill (SB289) to repeal Code of Alabama Title 27-48-2, commonly known as “Rose’s Law,” which unanimously passed the House & Senate and become law in 1999.

“Rose’s Law” was written in response to the death of Stutts’ patient, Rose Church, a 36-year-old Registered Nurse, who died of a heart attack 10 days after giving birth to a girl in 1998 at Helen Keller Hospital in Sheffield. A simple $5 test could have saved her life, but Stutts refused to order the test, and sent her home early.

“Roses Law” gave women in Alabama a legal right to remain in hospital for 48 hours after a normal live birth, 96 hours if the birth was Cesarean or presented a complication, and required health insurers in Alabama to pay for the stay.

Stutts’ bill (SB289) would have repealed “Rose’s Law,” and would have also repealed a State law requiring physicians to

Rethinking Addiction

Perhaps you’ve studied the 12-Step program, or perhaps you’ve practiced it. I have done both. Practicing it was not as a matter of addiction, or any such thing for myself, but instead, was a part of my personal spiritual growth and development.

Over the years, I’ve heard commentary, or news features which interviewed people with divergent perspectives on 12-Step programs, most notably which were skeptical of them, and were thoughtfully seeking answers themselves for the “whys and wherefores” of substance abuse, whether it’s long-term or temporary, and whether it is a genetic fault, or if it is a personality or character flaw in response to external or internal stressors. In other words, it’s the classic “Heredity vs Environment” argument.

As I have come to view it, there is validity for both sides, but I think the stronger case is made for a combination of environment and character flaw, instead of genetic defect.

—/—

“In his recent book, The Sober Truth: Debunking the Bad Science Behind 12-Step Programs and the Rehab Industry, Lance Dodes, a retired psychiatry professor from Harvard Medical School, looked at Alcoholics Anonymous’s retention rates along with studies on sobriety and rates of active involvement (attending meetings regularly and working the program) among AA members. Based on these data, he put AA’s actual success rate somewhere between 5 and 8 percent. That is just a rough estimate, but it’s the most precise one I’ve been able to find.”

https://www.theatlantic.com/magazine/archive/2015/04/the-irrationality-of-alcoholics-anonymous/386255/

The Irrationality of Alcoholics Anonymous
By Gabrielle Glaser, April 2015 Issue
Its faith-based 12-step program dominates treatment in the United States. But researchers have debunked central tenets of AA doctrine and found

#Suicide Surge Has Small Alabama Town And County Talking #ALpolitics

A surge in suicides in a small Alabama town and county has people talking.

With 7 suicides in less than two full months this year (2017), the rate is almost half what it was all last year (2016) – 15.

Unfortunately however, it seems for the greatest part, that’s all they’re doing… talking.

It’s the NIMBY problem in full bloom.

But as Christians, we are called to “bear one another’s burdens and so fulfill the law of Christ.”

When we not only pretend that these, or other human problems – including healthcare – don’t exist, or ignore any potential discussion or solution, we also deny Christ, who said