Tag: incompetence

We Are SOOOO F*cked

We Are SOOOO F*cked

If you live in America, as I do, and you feel like the bottom monkey in that photo, no one would blame you. That might be true in some other countries right now, too, but I’m relating it mostly to my own country.

Watching the latest missteps, blunders, malfeasance, general incompetence, obvious dementia, and shameless dishonesty of what passes for our current Administration, there is not a day nor night that goes by that I don’t hold my hands to my head and say, “We are SOOOO fucked.”

Usually multiple times. It’s so bad sometimes I have to cover my eyes, unable to witness the latest travesty to waltz across the tube. And this from someone with a pretty strong stomach when it comes to horror scenes. Unfortunately, these horror scenes aren’t cinematic, but are Washington’s version of reality.

One has to wonder how what is supposed to be the most powerful country on earth has allowed itself to sink to this level. Actually, it can all be explained, and if you read my last post (which, if you haven’t, you need to now), you’ll understand precisely how it happened, just as you would if you’ve been reading my posts over the past several years.

No, it’s not a conspiracy theory (for which I have exceedingly little patience) to say it’s all part of a huge and far-ranging plot. No, it’s all been documented. And the plotters are already warming up for the next scene in their grand scheme to once more pull a fast one on the American public. One can hope we’re now inoculated to their schemes, perhaps more than we’re inoculated to the virus that is the single biggest thing the Democratic Party has going for it, but the cynic in me is not encouraged, despite the pundits’ blather to the contrary.

Now it is true that most American voters don’t believe the senile Jell-O Joe Biden is in charge in the White House, or anywhere else outside his self-delusional imagination, and that majority has to have grown even more watching some of his latest, if rare, and excruciatingly embarrassing, public performances. Anyone who has had an even passing brush with dementia in a loved one or otherwise knows what they’re witnessing. Of course, we should all be concerned that the country is being run by a shadow government, but the even bigger concern should be how that shadow government is driving the ship of state straight for the rocks, full speed ahead.

Their intent was pretty clear even before Jan. 20, and the evidence of what it consisted of was plainly manifest when, in one day, Jell-O Joe, at the direction of his handlers, whoever they are — and I do have some theories — undid four years of progress. Now, six months and a week and some into this horror show, it’s hard to even decide on an order for listing the most egregious elements which cross all fronts, domestic and foreign. So let’s just look at some of them, not in any kind of strict order.

The Border

Whose name is on those t-shirts? Can you spell Biden?

For me, it’s a toss up, which is more concerning, our troubled foreign policy, the huge upsurge in violent crime, or the catastrophe at our southwest border. In terms of immediate impact on the country and its inherent barbarity and inhumanity, I’ll go with the border. Jell-O Joe made it clear that our border would be open to anyone who goes to the trouble of crossing it, regardless of legal right to do so, and the hordes of border crashers — about a million in the first six months of this year alone, and heading to a new all-time record of 2 million by the end of the year — have been sure to quote him as having personally issued their invitation. And along with them has come a flood of illegal drugs, including enough deadly fentanyl sufficient to kill a large percentage of the country, illegal weapons, women and children being sex trafficked, violent criminals, and a wave of tens of thousands of new COVID infections. The Mexican cartels smuggling all those illegals have profited hugely, in the billions of dollars, from this free-for-all, and they didn’t even have to contribute to the Democratic Party or be a son of the President to cash in on this bonanza.

All the elements of what the Democratic Party seeks — a flood of future new illegal voters, augmentation of the permanent underclass on which the party depends for its very existence, and a wave of new COVID infections on which to build fear and set the stage for stealing the 2022 mid-term elections as it did in 2020 — are there, in plain sight. Well, plain sight, if the mass media cared to show what actually is going on along the border, especially along the lower Rio Grande. But of course, unless you’re watching Fox News, you may not have seen the mass of humanity, from more than 100 countries all over the world, pouring across our non-existent border every day since Jan. 20. And if you think this is only a border problem, consider that the Administration has been secretly busing and even using the military to fly illegal aliens all over the country.

To put things in perspective, consider that a million people is more population than six states. It would be the population of the 12th largest city in the country, between San Jose and Fort Worth. By the end of the year, at the current rate, two million people will be more than the population of 14 states and it would be equivalent to the fifth largest city, between Houston and Phoenix. Add the new numbers to illegals already in the country, and you’re looking at outnumbering all except the top few biggest states. Do the math, and you’ll see why this utter mockery of U.S. law is being allowed, oaths to faithfully execute the laws be damned. Adding insult to injury, you appoint a feckless Vice President who couldn’t care less about the border as the Border Czar, and a Homeland Security Secretary whose last concern seems to be security of the homeland, and who has no problem blatantly lying about what is going on at the border.

Crime

On the chance you haven’t been on an extended underwater cruise aboard a nuclear submarine or getting your news from CNN or MSNBC, you’ve been aware of surging violent crime around the country. Consider, if you will, these numbers which compare 2021 rates with 2020 rates, which already had surged in many cities compared with 2019:

Atlanta – Homicides are up 58% and shootings are up 40%

Portland, Oregon – Homicides are up 533% and shootings are up 126%

New York City – Homicides are up 13% and shootings are up 64%

Los Angeles – Homicides are up 22% and shootings are up 51%

Chicago – Homicides are up 5% and shootings are up 18%

Philadelphia – Homicides are up 37% and shootings are up 27%

Overall, 37 cities with available data saw an average increase in murders of 18% in the first three months of this year, compared with 2020. In Austin, murders are up 79%, rising from 19 to 34 in the first five months, year-to-year.

Police cars line up in Baltimore, one of the few big cities run by Democrats for decades where the murder rate hasn’t surged in 2021. Of course, the FBI already ranks it second in the nation — only St. Louis outranks it — with a higher murder rate than El Salvador, Guatemala, and Honduras, from whence so many of those illegal migrants allegedly are fleeing crime.

Blacks are victims of these homicides and shootings to a disproportionate degree. While last summer’s widespread violence and lawlessness and the insane call to “defund the police” certainly set the stage for this surge, legislative, judicial, and prosecutorial abandonment of cash bail and releasing known and accused criminals to roam the streets have played no small role in the surge in violent crime, including aggravated assault, in dozens of cities across the country, from New York to Philadelphia to St. Louis to Los Angeles. A sane person would say more, not fewer, police were needed — including the 81 percent of black Americans who want the same level of, or more, policing — and would think a prosecutor’s job is to (speak of radical ideas) prosecute criminals, and not release them out on the streets to victimize more innocent citizens. Instead, George Soros financially backs these renegade prosecutors, the Dems blame it all on Donald Trump, and Jell-O Joe blames it on legal gun ownership instead of looking at their own incompetence and failed policies. This band of inveterate liars even had the chutzpah to say it was Republicans who wanted to defund the police. But, of course, we were talking about sane people, weren’t we?

Foreign Affairs

It’s called the Twenty-Fifth Amendment. But have you seen who is next in line?

If the worst thing about our current shift in foreign policy was a return of the apology tour that began under Barack Obama, things in this arena wouldn’t be too bad. But when we are berated by China for our alleged human rights abuses, and we just sit there and take it, and say nothing when Beijing mows under the rights of Hong Kongers and threatens Taiwan and Japan, that’s a more serious issue. And what can you say when the Commander in Chief has to resort to index cards to explain U.S. policy toward North Korea, or when the same said CiC keeps mixing up Syria and Libya on an international stage? What I’d say is that we’re in the proverbial deep doo-doo.

Biden restored $235 million in aid, frozen by the Trump Administration, to the Palestinians, and within weeks Hamas rockets were launched by the thousands onto Israel. For their good behavior and peaceful attitude, he added another $38.5 million to sweeten the pot and ostensibly pay for more rockets, which Hamas buys from the Iranians and other sources.

Of course, that’s just chump change compared with the $3 billion in funds that Biden unfroze so they could be returned to Iran. All part of the Administration’s plan to revive the disastrous nuclear agreement with that country. After all, the world’s leading state sponsor of terrorism which has vowed death to America and to Israel wouldn’t dream of using all that money for any nefarious purposes. Would it?

We’re pulling out of Afghanistan, which might not be the worst idea were we do to it in a controlled and honorable way. Instead it’s like we just discovered we passed our stop on the Metro and need to jump off the train and call an Uber at the next station. Never mind the carnage that many Afghans, who stood by us and supported us through the 20 years of this seemingly endless engagement, already are facing, or the abandonment of perhaps the best government the Afghans have had, ever.

Now no discussion of our misadventures in foreign affairs would be complete without mention of Secretary of State Antony Blinken inviting the UN, that bastion of human rights, to investigate “the scourge of racism, racial discrimination, and xenophobia” in the U.S. After all, the UN’s Human Rights Council includes such bastions of human rights as China, Cuba, Libya, Eritrea, Algeria, Russia, and Saudi Arabia. And let’s not forget Mauritania, where slavery is actively practiced to this day. Don’t you feel all fresh and clean, confessing your sins to these paradigms of liberty and justice? What? You don’t? You MUST be a racist!

Energy and Inflation

Under Trump, America became energy independent for the first time in 62 years. It felt pretty good knowing it wasn’t Saudi princes or Russian oligarchs profiting when I filled up at the pump. But that couldn’t be allowed to persist under Biden, and one of his first acts was canceling the Keystone XL Pipeline, keeping the oil it would have carried from Canada on less environmentally sound trains and trucks, and XTing as many as 11,000 good paying union jobs (which he likes to blather so much about). Now while America and its close ally Canada doesn’t need a pipeline, in Biden’s world, Putin, Russia, and Germany do, so he greenlighted Russia’s Nord Stream 2 Pipeline by waiving sanctions against the company building it, Nord Stream 2 AG, and its German CEO, Matthias Warnig. Oh, did we mention that Warnig is a close ally of Putin, is a former East German Stasi intel officer, and has served on the supervisory boards of major Russian companies? Now who is Putin’s puppy?

Homelessness isn’t just hidden away any more.

You may have noticed, as I have, how it’s costing you nearly 60 percent more at the pump than it was a year ago, and in some places, like California, gasoline is approaching $6 a gallon, more than in many European countries. Also rising are electric rates, up more than 20 percent in my case, and it’s not all due to the rising cost of petroleum. And if you miss those wild wonderful Jimmy Carter years, we’ve even experienced fuel shortages and lines at the pumps.

Rising energy costs are just one factor fueling inflation, which is surging at rates not seen in 13 years and, in some categories, in 30 years. Along with fuel, consumers are seeing increases in categories as diverse as food, vehicles, home purchases, and construction materials. Record federal debt — currently standing at $28.5 trillion, and climbing — and gratuitous federal payments that make it more attractive for many workers to stay home than go back to work add to the upward pressure on prices. We’ve — by “we,” I’m referring to our illustrious Congress, which the American public holds in even lower esteem than it does the mass media — now come to talk about trillions like they’re rounding errors. Can anyone spell Weimar Republic?

COVID

Finally, in this round-up, we come to what has been the national obsession of the past 18 months, COVID-19. If one wants to be generous, the best one can conclude is that the Biden Administration has succeeded — and that “success” lies in sending out incredibly mixed and confusing signals. If one looks closer at the facts, little of the twisting and turning public pronouncements make any sense, and both the hypocrisy of the Administration’s positions as well as their real purpose come into focus. While bleating about wanting more people to get vaccinated, the Administration comes out with new “guidelines” telling vaccinated people to again wear masks under certain circumstances. Never mind that a fully vaccinated American has a higher chance of being hit by lightning or bitten by a shark than contracting COVID-19, much less dying from it. By the CDC’s own numbers, breakthrough infections — not deaths, just infections — occur in one of 10,000 people. That’s .01%. Deaths from COVID in fully vaccinated individuals are even more rare. Yet we’re supposed to change our behaviors once more over this supposed new threat.

Much hoopla is made of the Delta variant of the virus, but what isn’t being said is the fact that this variant, while more contagious than initial variants, is less deadly. Far less, for vaccinated individuals. Those in power don’t want you to know that, but even in Britain, where this variant took off after its introduction from India, they’re acknowledging this fact.

If you’re expecting consistency from the likes of CDC Director Rochelle Walensky — who seems to have roughly the intelligence of your average chihuahua and kowtows to the party line, whether it comes from the White House or the powerful American Federation of Teachers — you’re not going to get it. Any more than you’ll get it from the Exalted Poobah Anthony Fauci who, among a litany of flip-flops that could occupy an entire piece, lies to Congress about the NIH’s possible role in creating COVID-19 in the first place.

Meanwhile, while studies show that having contracted COVID-19 conveys natural immunity in most cases, we have absolutely no information on how long the immunity granted by vaccination lasts or whether booster shots will be needed. One would think that finding some evidence addressing these questions would be a top priority.

Some people feel you just can’t be safe enough. That’s how the Administration wants you to be.

If you’re confused by the messaging coming out of the White House and its own version of Baghdad Bob, spokesbabbler Jen Psaki — who tells you to follow the guidance just because they told you to — look behind the scenes to see what people in power do. This might reveal their true motivation. Remember what I said up above about all those infected illegals being allowed in and then shipped all over the country? And how they’re indicative of how the Administration really isn’t serious about limiting spread of COVID and is a key piece in the Dem plan to create the nationwide fear and panic to steal the 2022 mid-term elections, like they did the Presidential election of 2020? If you have the bad habit, as I do, of applying logic to what people do, it’s hard to avoid coming to this conclusion.

Another indication of how little the Administration really cares about your well-being is the recent decision by the Justice Department to drop its investigation into the 15,000 COVID nursing home deaths in New York, or similar huge death counts in other Dem-controlled states, like Pennsylvania and Michigan, while limiting its investigation in New Jersey. Anyone who felt sorry for Attorney General Merrick Garland not making it to the Supreme Court can drop their regrets now that we see he’s just one more hard-left Dem apparatchik. So much for justice, even for the dead or their families.

Me, I’m happy to live in the free state of Florida and to have a governor not subject to the whims and wishes of the White House and the Democratic Party. I just hope all those people fleeing here from the unfree states don’t bring their stupid political ideas with them. As a country we might be like that bottom monkey in the photo, but here we’re hanging on as long as we can, trying not to be screwed any more than we are, anyway.

And make no mistake: We all are.

Photo credits: Featured photo by cottonbro on Pexels; used with permission. Biden Let Us In by Washington Examiner; used under Fair Use. Baltimore Police Cars by Bruce Emmerling on Pixabay; used with permission. Historic political cartoon, source unknown; used under Fair Use. Downtown Tent by Adam Thomas on Unsplash; used with permission. Masked Couple by Obi Onyeador on Unsplash; used with permission.

Beginning with this post, I’ll also be posting on Substack in my new community there, Issues That Matter. Follow me here, and there.

Physician, Heal Thyself!

Physician, Heal Thyself!

No, this isn’t about drugs or addiction or ODing, or any of those things. It is about frustration, though. Frustration with the medical profession. Frustration in trying to create sense where sense seems not to exist. Frustration that can lead to scenes such as in the image. Fall down on the floor, tear out your hair, rend your garments sort of frustration.

To be perfectly clear, this posting is based on a personal incident – drama is more like it – playing out now with certain elements of the medical profession. To protect both the innocent and the guilty, I’m not going to name any names. Now. But if I continue to be stymied, that decision might change. Watch this space.

If you’ve read my piece on The Biggest Shell Game in the World, which you should before reading on here, you know how I feel about the so-called “healthcare system” we have in this country. You’ll also see I elaborated on some specific actions that might help ease the growth in the cost of healthcare. That posting focuses on the macro dynamic of the system. This posting focuses on the micro dynamic, the one on the doctor level.

It’s no longer a laughing matter – it never was a joke – to say that much of the medical profession is still anchored, not just in the last century, but maybe even the one before it.

When I lived in Montana some dozen years ago, my physician – an author of the reputed Helena Heart Study, so no slouch – presented himself as advanced because he took his notes on a laptop. Why that should have been considered advanced when small computers had been in fairly wide business use for a quarter century already is a good question to ask, if you’re inclined to ask questions. Now, all the doctors I go to use laptops for their notetaking and recordkeeping. Of course, it is, at last count, 2017.

The one thing my Montana doctor did that really stood out was to communicate by email. Quick, easy, asynchronous. Email. One would think this also would be pretty standard now. That’s what I thought. I mean, I run a global business and communicate with clients all over the world at close to 100% by email. So picture my surprise to be out of Montana and in a southeastern state that also shall remain nameless (besides, I often reverse the “d” and the “i” in the name, which is embarrassing) and to find that email does not play a role in typical doctor-patient communication.

Does one even have to wonder why calling a doctor’s office often leads to more frustration, lengthy stays on hold listening to dreadful “hold” music and self-serving promotions, being asked, finally when you get past the official hold, “Can you hold, please?” (Okay, at that I’m tempted to fire back, what are my options here?)

Again, how can almost any organization in 2017 function without email? It’s not only a fast and easy means of communication, but it also can be used as a system of sending health information to patients and even, if one is allowed a bit of crassness, as a marketing device. But, no, this seems to be beyond the understanding of most doctors.

Then there are those doctors’ portals. Potentially great idea, completely mutilated, misused, and just plain not used, in execution and practice. First, they’re all clunky in that clunky way that special-purpose software (like used in lawyer and, yes, doctor offices) always is. I don’t know, maybe it’s me, but I’ve had a litany of problems with the portals of several doctors and healthcare groups. Sometimes I’d have to enter a new password each time I signed in. Sometimes things I’d want to see, like reports, are there. Sometimes not. One portal doesn’t even tell me my next appointment, which would seem pretty basic. I’ve yet to be able to get a prescription refill put through based on a request posted on a portal site. And, perhaps the biggest issue I’ve encountered, often doctors’ front offices don’t mind the sites, so sending a message to the office through the portal is like throwing a quarter down a deep well. “Pathetic” is too kind a word.

Okay, despite all that, that’s not my biggest problem nor the most immediate. Oh, no. I have a far bigger gripe, which we’ll get to now. The one that concerns the Health Insurance Portabliity and Accountabillity Act – HIPAA – and how doctors not only seem not to know much about its requirements but, worse, seem to think it exists to protect them and not the patient. Which is wrong.

I had one doctor earnestly tell me that there is a $50,000 fine attached to a single HIPAA violation. Well, he was part right. Fines can range from $100 to $50,000, or $1.5 million maximum per year for ongoing violations. What puzzled me then, and which irks me now, is that the implication was that the doctor had to protect himself against violations and resultant hefty fines. The point that was completely missed, even inverted, is that denying a patient access to his or her records in whatever way the patient deems suitable seems like a more sure route to a violation than just providing what it is the patient requests, in the form or via the means requested by the patient.

Now that doctor’s office will fax me things like test results. Some will even (horror!) email them. And then there are others, like another one of my doctors, who refuses to provide records or results in any form other than by mail, or picking it up in person. Never mind the inconvenience of the latter choice, I would defy anyone to show me how snail mail is any less prone to pilferage or misdelivery than a fax or email. I even maintain an encrypted email account for highly sensitive information. But all that is irrelevant. The Department of Health and Human Services (HHS), which oversees application of HIPAA, is clear on the subject: A provider should email, fax, or accommodate alternative delivery means as requested by the patient. Look it up. It’s right there, explicitly spelled out by HHS, in the department’s HIPAA FAQs.

That’s really the key issue: Patients have a right to see and receive their own records and results, and HIPAA exists to protect them, not the doctor or other provider. So if a patient wants his or her bloody records emailed or faxed to them, HHS says the provider should accommodate that request. But you’d never know that from the patchwork of restrictions, most of which make little to no sense anyway, that one encounters when requesting one’s records.

Of course, all this assumes that a patient has signed a statement authorizing release of information to the patient and whatever third-party designees, if any, that the patient might include in the release. Now here is a suggestion – a strong one: Why not include a check-off box with a line where the patient authorizes positively (by checking the box) transmittal of records via email or fax? Easy-peasy, and takes care of any misunderstanding. And while you’re at it, how about another line with a check-off box authorizing the same thing for any third-party designees? Two lines, and you can sleep better at night knowing the patient has asked for this and HHS says you should give it to them. And it’s in writing, no less.

All this leads to the source of my current distemperous mood toward doctors and things medical. It’s been four weeks – not hours, not days, not business days, but weeks – that I have been requesting the results of an MRI from a certain specialist. I requested that the doctor or his nurse-practitioner call me before I left on an extended trip so I could at least have a sense of what the MRI revealed. I was told, well, he probably won’t call you. He likes to do things in person.

Well, I like to do things in person, too, when that works. But in this case, it wasn’t even possible to get an appointment in less than a month or more. And I was clear that I was leaving the state and needed the information before I went.

Ha. Fat chance. Four weeks have gone by, I’ve lost count of the number of times I’ve called this doctor’s office, had my primary care physician’s office call him, even the insurance company called the office when I filed a grievance with them over this. And still I can’t get either the doctor or the nurse-practitioner (which would be fine) to speak with me and discuss the test results, much less actually get those results. Now if ever there is a HIPAA violation, it would seem this is it. It will take a formal complaint to HHS, but that is imminent. I now even have my attorney on the case.

The doctor might have his procedures, but there are two parties to the transaction, the other being the patient, and in this case this patient has different procedures. And HIPAA is on his side.

It’s bad enough having to deal with doctors and tests and health issues without having to be put under further stress and duress by providers and offices that just throw more roadblocks and obstacles in the patient’s path.

All this seems very 19th Century to me. Doctors hold themselves up as miniature deities and patients are just supposed to accept whatever inconveniences, incompetence, or affronts that the doctor and doctor’s minions subject them to. And there are others besides those discussed here. Let’s just save my rant on the prescription system for some other time, ‘kay?

If you’ve encountered any of these issues in dealing with doctors, I invite you to tell everyone about it in the comments. And if you have a different and more positive story to tell, by all means post that, too, in the comments. And if you question the premises on which this piece is based, well, fire away with that, too.

Meanwhile, I’m going to fax this piece off to a few doctors I know (I have to fax them since I don’t have their email addresses) and maybe shake a few trees. Or else things will just go on as they always do. And watch this space if I decide it’s necessary to start naming names.

Physician, heal thyself!