Friday, July 25, 2008

McCain's Hypocritical Swipe At Obama

Unless you have been living under a rock, you are aware of Senator Barack Obama's overseas trip to Afghanistan, Iraq, Jordan, Israel, Germany, France, and Great Britain. Traveling with Obama on this trip are Nebraska Republican Senator Chuck Hagel and Rhode Island Democratic Senator Jack Reed.

Before he left on the trip, Obama reaffirmed his positions on the wars in Afghanistan and Iraq. At that time, Senator John McCain made a valid criticism. In essence, he said that Obama should have waited until the trip was over before making position statements on the Iraq and Afghanistan wars, as his past views may be altered by the facts he would gather on the trip. That made sense to me. Then,

#1: On July 17,McCain stated that he "... believes Democrat Barack Obama's upcoming trip to Europe is tantamount to holding political rallies abroad."

#2: On July 24, the Chicago Tribune reported that McCain said, ""I'd love to give a speech in Germany. But I'd much prefer to do it as president of the United States rather than as a candidate for president,"

- How can McCain criticize Obama for not waiting until his trip is over before stating his war positions, when McCain prejudged what Obama's trip would be?

- McCain also conveniently forgot his own trips to Canada, Great Britain and France.

- McCain also conveniently forgot his own trips to Columbia and Mexico.

Senator McCain's hypocritical blast at Obama is beneath him. It will diminish his stature and cost him votes.

Friday, July 18, 2008

Poor Electrical Work Puts USA Troops At Risk In Iraq

The 07-18-08 New York Times carried an article entitled, "Electrical Risks at Iraq Bases Are Worse Than Said." The first paragraphs state:

"Shoddy electrical work by private contractors on United States military bases in Iraq is widespread and dangerous, causing more deaths and injuries from fires and shocks than the Pentagon has acknowledged, according to internal Army documents.

During just one six-month period — August 2006 through January 2007 — at least 283 electrical fires destroyed or damaged American military facilities in Iraq, including the military’s largest dining hall in the country, documents obtained by The New York Times show. Two soldiers died in an electrical fire at their base near Tikrit in 2006, the records note, while another was injured while jumping from a burning guard tower in May 2007.

And while the Pentagon has previously reported that 13 Americans have been electrocuted in Iraq, many more have been injured, some seriously, by shocks, according to the documents. A log compiled earlier this year at one building complex in Baghdad disclosed that soldiers complained of receiving electrical shocks in their living quarters on an almost daily basis.

Electrical problems were the most urgent noncombat safety hazard for soldiers in Iraq, according to an Army survey issued in February 2007. It noted “a safety threat theaterwide created by the poor-quality electrical fixtures procured and installed, sometimes incorrectly, thus resulting in a significant number of fires.”

it is bad enough that our troops are at risk from snipers, suicide bombers, and improvised explosive devices. Must they also worry about being electrocuted while taking a shower? In January, 2008, Green Beret Staff Sgt. Ryan D. Maseth was electrocuted while showering. His death was caused by faulty electrical grounding.

The article also notes that "Since the United States invaded Iraq in 2003, tens of thousands of American troops have been housed in Iraqi buildings that date from the Saddam Hussein era." Private contractors were hired to, amongst other duties, upgrade electrical systems before U.S. troops took up residence.

One issue is, why private contractors instead of armed forces trained electricians? Several people I know who served in the Navy, Air Force, Army, or Coast Guard praised the high quality of training they received in diverse trades. If, for whatever reason, private contractors had to be used, why wasn't their work checked and verified by our own trained military personnel before these buildings were used to house our troops?

The primary conntractor cited in this article is KBR (Kellogg Brown & Root LLC), based in Houston, which is a former subsidiary of Halliburton. KBR's official website notes that its Mission, Vision, and Values include:

- Uncompromising commitment to Health, Safety and Environment

- Best in class Risk Awareness

- Integrity in all we do

Does KBR make a concerted effort to live by these values, or are they mere platitudes trotted out on a web page because they look good?

Friday, July 11, 2008

Death In An Emergency Room: A Symptom That The Public Health 'Care' System Is In Code Blue Status

In medical parlance, Code Blue generally refers to a patient in cardiopulmonary arrest, requiring a team of health care providers to rush to the specific location and begin immediate resuscitative efforts. With an estimated 47 million people in the USA without health care insurance, public hospital emergency rooms are usually the place where these folks go when they require health care. For one victim of what may be criminal neglect, the end came much too soon.

On June 19, 2008 a tragic and unnecessary death occurred in the emergency room (ER) of New York City's Kings County Hospital psychiatric ward.

Surveillance video shows how patient Esmin Green, 49, collapsed and fell to the floor at 5:32 AM while waiting in the ER. For the next hour, a number of hospital staff members noticed her lying on the floor but did nothing. Security guards saw her on the floor and did nothing. Over an hour later, at 6:35 AM, another patient brought a nurse to the area. And what was the first thing that nurse, that health 'care' provider, did? Kicked Green with her foot to see if she would respond. She did not respond. She was dead. Oh yeah, Green had already been waiting in the ER for 24 hours when she collapsed. Disgusting. Unforgivable.

Kings County Hospital is a public, not private, facility. It is part of the New York City Health and Hospitals Corporation, the largest municipal hospital and health care system in the country. Why was Esmin ignored in her time of greatest need?

1) Could there possibly be a difference in the quality of care provided at a public not-for-profit hospital versus a private one? If so, why? My answer is yes - because public hospitals must accept all incoming patients regardless of ability to pay, insurance, or immigration status, a patient-to-staff ratio that is too high is created. The answer is MONEY. The USA is the only industrialized nation in the world that does not guarantee health care as a right of citizenship. What we have is a patchwork quilt type of system, where those that can afford it have one level of care, and those that can't afford it go to hospital ERs for care that does not always qualify as an emergency. This overloads ERs, so that even those with health plans sometimes get delayed in getting ER care. The immediate solution is either universal health care coverage, or increased funding to public hospitals so appropriate staffing levels can be maintained. The long term solution is for all Americans to get jobs where employers provide affordable health care coverage.

2) Are employees of public hospitals less qualified? Can't say for sure. The psychiatric ward at Kings County certainly has too many unqualified employees. How many unqualified workers is too many? One.

3) Are there any standard operating procedures that govern the monitoring of ER patients? If so, what are they, and why were they not followed? I was unable to locate specific procedures that would have applied to the ER in question. However, in addition to the Hippocratic Oath, the American Medical Association has developed The Declaration of Professional Responsibility, which I reproduce here:

We, the members of the world community of physicians, solemnly commit ourselves to:
I. Respect human life and the dignity of every individual.
II. Refrain from supporting or committing crimes against humanity and condemn all such acts.
III. Treat the sick and injured with competence and compassion and without prejudice.
IV. Apply our knowledge and skills when needed, though doing so may put us at risk.
V. Protect the privacy and confidentiality of those for whom we care and breach that confidence only when keeping it would seriously threaten their health and safety or that of others.
VI. Work freely with colleagues to discover, develop, and promote advances in medicine and public health that ameliorate suffering and contribute to human well-being.
VII. Educate the public and polity about present and future threats to the health of humanity.
VIII. Advocate for social, economic, educational, and political changes that ameliorate suffering and contribute to human well-being.
IX. Teach and mentor those who follow us for they are the future of our caring profession. We make these promises solemnly, freely, and upon our personal and professional honor.

If these standards had been followed, Esmin would probably be alive today.

Friday, July 4, 2008

July 4th Declaration of Independence Trivia

(1) It's two days late! The 2nd Continental Congress declared independence on July 2, 1776. John Adams wrote to his wife on July 3, "The 2nd day of July, 1776, will be the most memorable...in the history of America. I am apt to believe it will be celebrated by succeeding generations, as the great anniversary Festival." The Declaration of Independence document was basically a written affirmation of the Congress's verbal proclamation. The Declaration signings began on July 4.

(2) When did all the Founding Fathers sign their names to the Declaration of Independence? July 4, 1776? No. Only two, John Hancock and Charles Thomson signed on July 4. On August 2, a majority of delegates signed it. It wasn't until 1781 that the final delegate, Thomas McKean, signed his name. Extra credit: At the time of their signing, John Hancock was the President of the 2nd Continental Congress, and Charles Thomson was its Secretary.

(3) Who wrote the Declaration? Thomas Jefferson, who, at age 33, was the youngest member of the Continental Congress. Extra credit: How long did it take him to complete the original draft? Seventeen days.

(4) How many changes were made to Jefferson's original draft of the Declaration? 86 (Damned editors!)

(5) Slavery would have been abolished in the Declaration of Independence had Jefferson's anti-slavery paragraph not been deleted due to pressure from colonies profiting from this trade in human flesh. It read: "(King George III) has waged cruel war against human nature itself, violating its most sacred rights of life & liberty in the persons of a distant people who never offended him, captivating & carrying them into slavery in another hemisphere, or to incur miserable death in their transportation thither. This piratical warfare, the opprobrium of infidel powers, is the warfare of the CHRISTIAN king of Great Britain. Determined to keep open a market where MEN should be bought & sold, he has prostituted his negative for suppressing every legislative attempt to prohibit or to restrain this execrable commerce: and that this assemblage of horrors might want no fact of distinguished die, he is now exciting those very people to rise in arms among us, and to purchase that liberty of which he has deprived them, & murdering the people upon whom he also obtruded them; thus paying off former crimes committed against the liberties of one people, with crimes which he urges them to commit against the lives of another..."

(6) All 13 colonies voted in favor of declaring independence, right? Wrong! The delegates from New York abstained (with the emphasis on "stain")! They claimed that they had not been granted the authority to vote yea or nay on independence. Extra credit: Delaware's delegates, on the issue of independence, had deadlocked 1-1. The third Delaware delegate, Caesar Rodney, a Brigadier General in the Delaware militia, had earlier been forced to return to Delaware to put down a Loyalist riot. Loyalists were those colonists who opposed independence and remained loyal to England and King George III. Upon hearing of the deadlocked vote, he rode 80 miles through a raging thunderstorm to cast the deciding vote in favor of independence, putting Delaware firmly in the pro-independence column.

(7) Where did Jefferson write the Declaration? The home of a Philadelphia brick mason, Jacob Graff. Jefferson had rented the second floor of the three-story brick house. The writing itself, according to Jefferson, was done on a portable mahogany lap writing desk of his own design (the first laptop word processor?). Extra credit: He used a quill pen, which was made from the stiff, flight feathers of a goose. Extra extra credit: According to www.netaxs.com, "Inks were made from berry juice mixed with vinegar and salt, from chimney soot mixed with honey and egg yolk, and from walnut shells or swamp maple bark steeped in boiling water." And you people complain about the inconvenience of changing your printer's ink cartridge!

(8) Where was the first public reading of the Declaration? Philadelphia's Independence Square, on July 8. Extra credit: The second reading was also there, as It was read twice.

(9) Were the colonial army troops inspired by the Declaration? I'd say so. After hearing the Declaration read to them in New York City by George Washington, the troops, along with some citizens, tore down a statue of King George III and melted the lead down to make bullets.

(10) What happened to the original Declaration, how was it transported, and where is it today? Thanks to www.archives.gov (and since it is information disseminated by an official federal agency, we know that it is fair, balanced, and above all, the TRUTH), "The Declaration of Independence spent many years on the road. After the signing ceremony on August 2, it was most likely filed in Philadelphia. On December 12, threatened by the British, Congress adjourned and reconvened 8 days later in Baltimore, MD, where the document remained until its return to Philadelphia in March of 1777. In the years to follow, it traveled widely with the Continental Congress throughout the Northeast, then moving to Washington, DC in 1800. In 1814, again threatened by war, it was moved to an unused gristmill in Virginia for protection. On August 24, as the British burned the White House, it was moved to Leesburg, VA until September, when it returned to the nation's capital. With the exception of a trip to Philadelphia for the Centennial and to Fort Knox during World War II, it has remained there ever since."

"The document has also experienced many modes of travel. Initially, like other parchment documents of the time, the Declaration was probably stored in a rolled format. Each time the document was used, it would have been unrolled and re-rolled. It likely traveled by light wagon and by horseback with the Continental Congress it its early years. When it was first brought to Washington, it traveled by boat, down the Delaware River and Bay, out into the ocean, into the Chesapeake Bay, and up the Potomac to the new capital city. During World War II, it was moved by Pullman train to Louisville, KY and transferred under armed guard to Fort Knox for safety and protection."

Extra credit: According to www.thedeclarationofindependence.org, "Contrary to popular belief, two original July 5th, 1776 (Philadelphia printer John) Dunlap printed broadsides with only Hancock and Thomson's names were the actual documents delivered to King George III notifying him of the resolution to absolve all ties with Great Britain. King George III never received a signed copy with a John Hancock’s signature large enough for him to read without his spectacles. The other names of the signers were not made public until 1777."


The concept of 'Top 10' lists is overused and boring. Let's start an exciting, NEW format, guaranteed to spark controversy and stimulate the reader, entitled 'The Bitter Analysis Top 11 List'. In order to firmly establish this brilliant idea, I humbly submit Number 11, perhaps the most important Declaration of Independence trivia of them all. Will someone please inform the watchdogs of journalistic integrity, 'Showbiz Tonight', 'Larry King Live', and 'FOX & Friends' so they can give Number 11 the publicity it so richly deserves? Also, CC the Pulitzer Prize committee, as it would be unseemly for me to submit it myself.


(11) What well-known actress, alive today, is related to one of the original 56 signers? Reese Witherspoon. She is a direct descendent of John Witherspoon! Extra credit: She is Hollywood's highest paid actress, commanding $15 to $20 million per film!! Extra extra credit: Reese is available again, guys. In 2006, Witherspoon filed for divorce from Ryan Phillippe, citing irreconcilable differences (oh please, Reese darling, give us the juicy details!) On June 12, 2008, Reese and Ryan finalized their divorce!!! One might opine that it was Reese's own Declaration of Independence!!!!