Archive for the ‘corruption’ Category

Obama’s “Amnesty.”

Saturday, November 22nd, 2014

I am not happy about Obama making his speech about amnesty and defying the GOP newly elected Congress to do anything about it. However, there is less here than it seems.

First: And to those members of Congress who question my authority to make our immigration system work better or question the wisdom of me acting where Congress has failed, I have one answer: Pass a bill. I want to work with both parties to pass a more permanent legislative solution. And the day I sign that bill into law, the actions I take will no longer be necessary.

king obama

I don’t believe him but the GOP could do worse than assume this is true. The next steps would be to take actions assuming he was not lying.

Obama clearly wanted to make himself look like the compassionate actor in this debate, and Republicans the heartless, cruel nativists. Instead of trying to fight that battle, make Obama own it and bypass it for the real battle the GOP wants to win on border security. Make Democrats vote against a border security bill, and make Obama veto one while his own amnesty remains in place.

Not everybody is willing to accept this as a phony gesture which I think it is.

When President Obama announces that he will be suspending laws to bless the illegal presence of millions of foreigners in the United States, he will have adopted the most basic philosophy of John C. Calhoun: some laws can be tossed aside because his ends justify the lawlessness.

I don’t trust Obama’s intent but I think he is a fool and did not plan this correctly, or else chickened out. There is more interesting comment at Powerline today.

Procedurally what happens is an undocumented person applies for ‘deferred action’ and then after receiving this ‘quasi-status’ – he/she is eligible for work authorization.

See the last paragraph on page 4 of this key memo: “Applicants must file the requisite applications for deferred action pursuant to the new criteria described above. Applicants must also submit biometrics for USCIS to conduct background checks similar to the background check that is required for DACA applicants. Each person who applies for deferred action pursuant to the criteria above shall also be eligible to apply for work authorization for the period of deferred action, pursuant to my authority to grant such authorization reflected in section 274A(h)(3) of the Immigration and Nationality Act.”

I still think the Republicans can trump this with real reform. Then they can send a bipartisan bill to Obama and see if he vetoes it. That Powerline post also emphasizes that Silicone Valley is pushing this and that explains their support of Obama.

How many Senate Democrats would be willing to sustain that veto before the 2016 election? I’m betting not too many. But Republicans have a perfect opportunity to turn the debate in that direction now and force Obama and his shrinking number of allies on Capitol Hill to go on the record.

(more…)

Election Day

Tuesday, November 4th, 2014

Election Day in California is pretty dull because California is a one party state with Democrats and their illegal alien voters running things.

ya vote

“We don’t need no stinkin’ voter IDs !”

Elsewhere there is excitement. Voting machines in multiple states are changing GOP votes to Democrat.

The Cook County Board of Elections Deputy Communications Director Jim Scalzitti said the machine’s failure was “a calibration error of the touch-screen on the machine,” and that Moynihan’s votes were not actually registered. Scalzitti said that voters are always asked to double-check their votes before they’re counted.

The same “error” is occurring in North Carolina and Maryland, the latter a state where the Democrat governor is in trouble with a GOP challenger close in polls.

Naturally, that is where voting machine “errors” will cluster.

(more…)

New developments at Mission Hospital

Wednesday, October 15th, 2014

A few months ago, I described the hospital where I used to practice and what was happening there recently.

Now, we have some new developments.

A couple more years went by and I learned that the hospital had laid off the low wage “environmental services” workers who cleaned the operating rooms between cases. Nurses, who made three or four times the hourly wage of the cleaning staff were now expected to clean rooms between cases in addition to their other duties.

That practice continued and now has caused severe problems. Last week, I learned that the Joint Commission on Accreditation of Hospitals had visited the hospital and had withdrawn the accreditation from Surgery, Labor and Delivery and Cardiology services. These are the heart of the acute care hospital. The reason ? Let’s read the paper.

From todays Orange County Register.

All elective surgeries at Mission Hospital, the third-largest hospital in Orange County, are on hold after four patients who underwent orthopedic operations developed infections.

The hospital opted to close its 14 operating rooms in Mission Viejo and Laguna Beach last week after a major accrediting agency, The Joint Commission, intervened and found, among other problems, high temperatures and humidity in some of the rooms, according to Chief Medical Officer Dr. Linda Sieglen.

If those infections were in patients undergoing total joint replacements, they are disasters for those patients. The cost of laying off those room cleaners has finally come home.

The scandal, and that is what it should be, is deeper than that story suggests. Surgeries are being shifted to other hospitals and doctors are going to have to make changes in their practices. Relationships may change permanently.

It is frustrating and infuriating to see the great hospital we built up in the 1970s, reduced to a news story about poor care as the result of ignorant and corrupt administrators.

The policeman’s story from Ferguson Mo is out.

Tuesday, October 14th, 2014

A caller to a radio show has described officer Darren Wilson’s version of the attack by Michael Brown. It pretty much follows what we know now.

CNN said it verified with its police department sources that the story Josie told on the radio was the same as Wilson’s version of events. CNN called the stories an exact match.

First, we know that Brown had robbed a convenience store and manhandled the clerk shortly before the shooting.

Second, we know that the Holder DoJ tried to suppress the video.

Next we know about the race hustlers coming to town and stirring up racism by many outsiders.

The crowd was “peaceful and jovial” the Post-Dispatch informs us, and dotted with people who had traveled long distances. “Antonio Cuffee, 30, drove 13 hours from Baltimore with six others to join in the protests,” we are told. “‘We felt we had to come out here to be part of change,’ Cuffee, a policy worker, said. ‘It’s a shame so many black people are getting killed by police,’ he said. ‘Just by the nature of being black we are targeted, we are suspect.’”

This, of course, is nonsense as most murders of black men are by other black men.

The story told by the officer’s friend is as follows.

Wilson said 18-year-old Michael Brown and his friend Dorian Johnson were walking in the middle of the street, so Wilson pulled up in his patrol car and told them, “Come on guys, get out of the street,” but they refused, saying they were almost at their destination.

He kept rolling beside them and they cursed at him. He finally pulled over, at which point Josie said she believes he called for backup.

“He pulled up ahead of them. And he was watching them, and then he got a call-in that there was a strong-arm robbery,” she said. That was the convenience-store robbery shown on surveillance tapes of Brown grabbing a handful of cigars and pushing a clerk away when Brown and Johnson left without paying.

The pair matched the description of the robbers, and also appeared to be holding cigars.

This was the moment when the event began to spin out of control.

“So he goes in reverse back to them. Tries to get out of his car. They slam his door shut violently. I think he said Michael did,” Josie said. “And then he opened his car again. He tries to get out. And as he stands up, Michael just bum-rushes him, just shoves him back into his car, punches him in the face. And then Darren grabs for his gun. Michael grabs the gun, at one point he’s got the gun turned totally against his hip. And Darren shoves it away, and the gun goes off.”

Brown and Johnson then ran, Josie said, and got about 35 feet away.

“Darren’s first protocol is to pursue. So, he stands up and yells, ‘Freeze!’ Michael and his friend turn around. And Michael starts taunting him, ‘Oh, what are you going to do about it? You’re not going to shoot me.’ And then he said all the sudden he just started to bum-rush him. He just started coming at him full speed. And so he just started shooting. And he just kept coming. So, he really thinks he was on something because he just kept coming.”

This sounds reasonable to me. The rest of the story is at the link.

Why the virulent racism and riots by blacks ?

(more…)

An interesting comparison: Obama and Commodus.

Sunday, October 12th, 2014

Today, there is an interesting piece in The American Interest.
Obama and Commodus , the son of Marcus Aurelius.

Unlike the preceding Emperors Trajan, Hadrian, Antoninus Pius and Marcus Aurelius, he seems to have had little interest in the business of administration and tended throughout his reign to leave the practical running of the state to a succession of favourites, beginning with Saoterus, a freedman from Nicomedia who had become his chamberlain.

Sound familiar ? Also:

the evidence suggests that he remained popular with the army and the common people for much of his reign, not least because of his lavish shows of largesse (recorded on his coinage) and because he staged and took part in spectacular gladiatorial combats.

One of the ways he paid for his donatives and mass entertainments was to tax the senatorial order

But enough of his biography. Why does he resemble Obama?

Obama’s rapid withdrawal from Iraq and disengagement from the Middle East in general is therefore understandable, even though it’s a justified target for criticism in the recent memoirs by former officials of his administration. The allure of proclaiming peace and the appeal of focusing on domestic undertakings trumps the unrewarding slog of negotiating with allies and chasing barbaric groups in distant valleys. But the risks are big and, now, they are on the front pages.

Obama is not the first one to have withdrawn from a fight. Commodus did it before him. As recounted by Herodian in his Roman history , Commodus, Roman Emperor in the second half of the 2nd century AD, inherited a war with the barbarians along the Danube River from his father, the prudent Marcus Aurelius.

Marcus Aurelius was noted as an educated and benign emperor but he was also concerned with defending the empire.

He ruled with Lucius Verus as co-emperor from 161 until Verus’ death in 169. He was the last of the Five Good Emperors, and is also considered one of the most important Stoic philosophers.

During his reign, the Empire defeated a revitalized Parthian Empire in the East; Aurelius’ general Avidius Cassius sacked the capital Ctesiphon in 164. In central Europe, Aurelius fought the Marcomanni, Quadi, and Sarmatians with success during the Marcomannic Wars, with the threat of the Germanic tribes beginning to represent a troubling reality for the Empire. A revolt in the East led by Avidius Cassius failed to gain momentum and was suppressed immediately.

He is also revered as a scholar and philosopher.

Marcus Aurelius’ Stoic tome Meditations, written in Greek while on campaign between 170 and 180, is still revered as a literary monument to a philosophy of service and duty, describing how to find and preserve equanimity in the midst of conflict by following nature as a source of guidance and inspiration.

How did Commodus do ?

two groups of advisers competed for Commodus’s ear. On the one hand, sycophantic courtesans, “who gauge their pleasure by their bellies and something a little lower,” kept dangling in front of Commodus the attractions of a return to Rome. Life was easier, more pleasant there; the new Emperor would be celebrated and praised by the populace, and he could enjoy there the excitement of intellectual conversations at well appointed tables of influential men (perhaps the Roman equivalent of a “2006 Brunello, grilled rib-eye and three pasta dishes—cacio e pepe, all’arrabbiata and Bolognese” and a conversation about “the importance of understanding science, the future of the universe, how sports brings people together, and many other things,” as recounted in a New York Times article describing Obama’s attraction to such meetings). How preferable this vision must have been to the grinding details of frontier warfare! Moreover, were he to return to Rome and to a direct control over domestic affairs, the Emperor could perhaps also keep an eye on his political opponents, quickly criticizing them or bringing them to his court to coopt them.

Commodus was eventually assassinated by his sister’s lovers. Before that, he was a disappointment.

Michael Grant, in The Climax of Rome (1968), writes of Commodus:

The youth turned out to be very erratic or at least so anti-traditional that disaster was inevitable. But whether or not Marcus ought to have known this to be so, the rejections of his son’s claims in favour of someone else would almost certainly involved one of the civil wars which were to proliferate so disastrous around future successions.

We shall see how Obama turns out.

On the frontier, the Emperor decided to let others fight the war. He left the war “in the hands of leaders he deemed capable and trustworthy.” And they chose to avoid a fight. It was easier to buy the barbarians off, even though they sold “peace at a huge price.” But this approach was preferable to Commodus too: he “bargained for release from care and gave the barbarians everything they demanded.”

We shall see what happens after Obama.

Now we know why Foley wasn’t rescued.

Monday, August 25th, 2014

The Delta Force raid on the Syrian ISIS camp failed to rescue any hostages. They had been moved. Now we know why.

Anthony Shaffer, a former lieutenant-colonel in US military intelligence who worked on covert operations, said: “I’m told it was almost a 30-day delay from when they said they wanted to go to when he finally gave the green light. They were ready to go in June to grab the guy [Foley] and they weren’t permitted.”

This is a reflex reaction of Obama to any call for action. He delays and thinks and worries about the politics. It has been reported that Obama delayed the bin Laden raid three times.

President Barack Obama — at the urging of senior adviser Valerie Jarrett — canceled the operation to kill Osama bin Laden three times before finally approving the May 2, 2011, Navy SEAL mission, according to a book scheduled to be released next month.

In “Leading From Behind: The Reluctant President and the Advisors who Decide for Him,” Richard Miniter writes that Obama canceled the mission in January 2011, again in February, and a third time in March, The Daily Caller reports

It isn’t just the conservative press but Hillary Clinton even says so.

Through weeks of sometimes heated White House debate in 2011, Clinton was alone among the president’s topmost cabinet officers to back it. Vice President Biden, a potential political rival for Clinton in 2016, opposed it. So did then-Defense Secretary Robert M. Gates.

The optics and the political fallout were most of his concerns. In the case of Captain Phillips of the ship hijacked by Somali pirates, reports have circulated that Obama delayed the SEALS raid several times as he agonized over the decision.

(more…)

New developments at the hospital where I used to practice.

Friday, June 27th, 2014

When I moved to Orange County in 1972, I joined a friend from my surgery residency in practice at a new hospital that had opened a year before. It was called “Mission Community Hospital,” and was owned by a group of doctors with one of the partners an owner of the new development of Mission Viejo. His name was Richard O’Neill and his family had developed Mission Viejo from part of their huge ranch.

The hospital was small with 110 beds total and the staff was made up of young doctors who had recently finished their training like me. The owners were mostly older doctors and practiced in another area of the county. Some of them we would not have allowed on the staff if they had applied. They largely left us alone and over a period of a few years we developed what we thought was the best hospital in Orange County.

Mission Hospital in 1975.

Mission Hospital in 1975.

This is what the hospital looked like in 1975. The swallows used to nest in that entry area. To the right of the entry, there was a doctors’ parking lot and, for a while, the hospital paid a kid to wash our cars. Tom and I always tipped him extra. The food in the doctors’ dining room was free and good and I got a bit pudgy. The hospital went to considerable trouble to make it friendly to doctors and we responded.

(more…)

Iraq Collapses

Friday, June 13th, 2014

The Iraqi collapse we are seeing on TV has been predictable and is related to the Obama decision to leave with no residual US presence. The reasons why the Iraqi army is dissolving are well known.

iraq humvee

An Iraqi Hummvee.

A retired US general tells the story.

The day the U.S. forces left – because of the desire of our people and our politicians, but also because Prime Minister Nouri al-Maliki refused to sign a required and critically protective Status of Forces Agreement – the Iraqi Army began to deteriorate.

There were myriad reasons for this, besides our departure. Even before the U.S. forces left, American-trained leaders were being replaced with more and more “favored” officers from sects, tribes or families linked to the government. They weren’t chosen for their competency, a big mistake.

This is the history of Arab armies.

In my final tour, between 2007 and 2008, our soldiers did a great job reducing attacks in the north. I was able to observe and compare the capabilities of the four divisions of the Iraqi Army with the many units of the Kurdish pesh merga.

While both groups were becoming increasingly professional and capable, the connection between the pesh merga and the Kurdish government officials and Kurdish population was positive and vibrant. The same cannot be said of the Iraqi triad.

Beyond that, I also had the chance to engage with government officials, police, academics and doctors, lawyers, and women’s groups. The people we met were unfailingly professional and kind. And, almost universally, the Arab Iraqis and the Kurdish Iraqis were vocal in their frustration with the lack of action by “those in Baghdad” to attend to the matters of government: security, economic growth, services.

The attempt to “build a nation” in Iraq was possibly a worthwhile effort but it was abandoned too soon and cannot be revived.

Afghanistan will be even worse as it is far from the sea and evacuation will be much harder for the last US forces to leave.

Lord Elphinstone learned just how difficult it could be.

The Afghans launched numerous attacks against the column as it made slow progress through the winter snows of the Hindu Kush. In total the British army lost 4,500 troops, along with 12,000 mainly Indian camp-followers. The final stand was made just outside a village called Gandamak on 13 January.[3]

Out of more than 16,000 people from the column commanded by Elphinstone, only one European (Assistant Surgeon William Brydon) and a few Indian sepoys reached Jalalabad.

We have airplanes now but the distance to the sea is still intimidating Pakistan is no friend and Russia has no incentive to help. They lost nearly a thousand soldiers retreating to their border.

Medicaid for all.

Thursday, June 5th, 2014

Obamacare has had its problems in implementation but the real problem is the fact that it has severely distorted the health care market by forcing people into narrow high cost markets that do not reflect the real situation in American health care. I have previously expressed my opinion on how to do health reform.

American health care has been distorted by the type of “insurance” that was brought into effect by employer-based insurance. That is prepaid care, not insurance as we know it in every other market.

The history of American health insurance is greatly distorted.

Now we have this latest iteration of the failure of the Obamacare method and the alternatives.

I have believed for some time that what we see is a system of Medicaid for all. The benefits are skewed by politics and the market mechanisms are crippled. Now we see the situation is even worse.

At least 2.9 million Americans who signed up for Medicaid coverage as part of the health care overhaul have not had their applications processed, with some paperwork sitting in queues since last fall, according to a 50-state survey by CQ Roll Call.

Those delays — due to technological snags with enrollment websites, bureaucratic tangles at state Medicaid programs and a surge of applicants — betray Barack Obama’s promise to expand access to health care for some of the nation’s most vulnerable citizens.

As a result, some low-income people are being prevented from accessing benefits they are legally entitled to receive. Those who face delays may instead put off doctors appointments and lose access to their medicines, complicating their medical conditions and increasing the eventual cost to U.S. taxpayers.

Democratic lawmakers who have promoted the law’s historic coverage expansion are wary of acknowledging problems that hand opponents of the Affordable Care Act another rhetorical weapon, said Robert Blendon, a professor at Harvard University School of Public Health and Kennedy School of Government.

What is going on ?

Meanwhile, Republicans usually eager to criticize the Obama administration or states for implementation problems risk looking hypocritical by showcasing the Medicaid waits. Many oppose expanding the program to people with incomes as high as 138 percent of the federal poverty line, as the law allows states to do, and are loath to demand more efficient enrollment to achieve that goal.

“It’s a total contradiction in terms to spend your public time castigating Medicaid as something that never should have been expanded for poor people and as a broken, problem-riddled system, and then turn around and complain about the length of time to enroll people,” said Sara Rosenbaum, a member of the Medicaid and CHIP Payment and Access Commission, which advises Congress.

Oh OK.

Updated numbers provided by Bataille indicate that the total number of people affected remains about the same as reflected in the document. About 1.2 million have discrepancies related to income; 505,000 have issues with immigration data and 461,000 have conflicts related to citizenship information.

Many years ago, I was still interested in health policy research. I had an office at UC, Irvine and Orange County, where I live, was undergoing a transition from fee-for-service Medicaid (MediCal in California) to a new HMO-based program called Cal OPTIMA. This seemed a good opportunity to study the outcomes in two contrasting systems for the same population. No studies had been done to see how the MediCal Population would repond to the different incentives of fee-for-service and HMO. I developed a proposal to study this transition at a time when databases for both systems were available. The data from the fee-for-service program was still current and the new HMO program would provide the opportunity to see how the MediCal patients fared under the new program. I had obtained the cooperation of the UCI statistics department and had had some experience with this sort of study at Dartmouth where I had recently compacted a Masters Degree program in health policy research.

The Orange County Health Department had hired the recent director of HCFA, the Medicare intermediary. Funding was available from a large endowment fund devoted to the study of low income California residents’ health care. The organization was called “The California Endowment” and was funded when Blue Cross became a for-profit entity and was obliged by the state to donate a large sum to charitable causes.

The proposal is here.

All that was needed was the approval of the Cal OPTIMA program to use their data. All the funding was assured.

They refused. I wonder why ?

Is the United States becoming a corrupt enterprise ?

Thursday, May 22nd, 2014

The activities of the Obama administration have progressed into Mafia territory the past five years. I never thought things could change this fast but it seems I was wrong. The latest example ?

Soon after the US Government sold the last of its stake in General Motors, the company began to announce a huge number of recalls. These safety defects were known for years but unreported until the federal government sold its interests, at a huge loss of course.

Taxpayers, drivers, and investors who assumed the government would never fail to disclose rampant safety problems in a company it owned can rest easy, though. Instead of investigating fatally flawed GM components while the U.S. government was the company’s largest single owner, the NHTSA was busy harassing Toyota — one of GM’s top competitors — for an alleged malfunction that led to “unintended acceleration” in Toyota vehicles. Toyota was fined and eventually bullied into recalling 8 million vehicles over the issue.

Toyota is probably the safest, highest quality auto maker in the world. I drive one and have bought Toyotas for my daughter.

And what was the final result of the NHTSA investigation?

Many drivers may have confused the gas and brake pedals a problem that may account for “the vast majority” of the unintended acceleration incidents the agency investigated, NHTSA deputy administrator Ron Medford said at Tuesday’s NHTSA press briefing.

“What mostly happened was pedal misapplication where the driver stepped on the gas instead of the brake or in addition to the brake,” Medford said.

The Toyota cases were always about driver error, not safety of the auto. Only the trial lawyers and a complacent government permitted this raid on a company to proceed.

Is that the only case ?

(more…)