The smallest minority on earth is the individual. Those who deny individual rights cannot claim to be defenders of minorities. - Ayn Rand
Liberty is an inherently offensive lifestyle. Living in a free society guarantees that each one of us will see our most cherished principles and beliefs questioned and in some cases mocked. That psychic discomfort is the price we pay for basic civic peace. It's worth it. It's a pragmatic principle. Defend everyone else's rights, because if you don't there is no one to defend yours. - MaxedOutMama
I don't just want gun rights... I want individual liberty, a culture of self-reliance....I want the whole bloody thing.Kim du Toit
INVITATION: If you have never shot a firearm, regardless of your position on the right to arms, and if you live near or visit the Tucson, AZ metropolitan area, I invite you to go shooting for a day.
I will provide the arms, ammunition, targets, safety equipment, range fees and instruction.
All you have to do is show up. 6 Takers
To Date
DO YOU LIVE SOMEWHERE ELSE
and want to try shooting? Click HERE
Proud Gun-blogging member of the Pajamahadeen since May, 2003!
Here's a chart that shows how they get that number (click to embiggen):
Anderson says in his piece:
As the CBO analysis indicates, the bill's real 10-year costs would start in 2014. And in its true first decade (2014 to 2023), the CBO projects the bill's costs to be $1.8 trillion -- double the price Reid is advertising.
And that's even though the CBO optimistically assumes the government-run "public option" wouldn't cost a cent.
Over this same 10-year span, the bill would hike taxes and fines by $892 billion -- more than the alleged price of the bill.
On top of this, Anderson expands:
Just as problematic are the bill's effects on entitlement spending and deficits. Medicare is already teetering on the edge of insolvency. This year's Medicare Trustees Report (signed by Health and Human Services Secretary Kathleen Sebelius) warns that the Medicare Hospital Trust Fund -- the main funding channel for the largest part of Medicare -- will become insolvent in 2017.
Worse, nearly four people are now paying into Medicare for every beneficiary. But with the baby boomers' retirement fast approaching, that number will drop over the next 20 years to about 2½. Fewer and fewer people will be paying higher and higher costs.
Yet, as the CBO notes, in its real first decade, the bill would siphon $802 billion from Medicare to spend elsewhere. With its financial outlook already beyond bleak, Medicare is the last place to look to for "free" money.
Among the $802 billion that Reid would divert from Medicare is $431 billion in cuts in doctors' pay (far more than the misleading figure for 2010-19). The bill says it would cut payments to doctors for services to Medicare patients by 23 percent in 2011 -- and never raise them back up, ever.
No one who's been in Washington for more than five minutes actually expects this reduction to occur -- and if it doesn't, then the Senate health bill would increase our deficits by $286 billion in its true first decade, according to CBO projections.
(W)hy does the government want to get into health care? Several answers suggest themselves. With Medicare, Medicaid, S-Chip and state run health care, they already are fairly involved. But what is their motivation for this current push for historic legislation?
"Historic." Yeah, there's an appropriate adjective. "Little Boy" was an historic bomb in the same way this legislation is "historic." I want to attribute good intentions to our elected overseers, I really do. But if you wanted to destroy the American health care system and the American economy, I find it difficult to believe that you wouldn't see this bill as a means to that end. Same for Cap and Trade.
Once is happenstance. Twice is coincidence. Three times is enemy action.
Today, there is a name for the political doctrine that rejoices in scarcity of everything except government. The name is environmentalism. - George F. Will, Awash in Fossil Fuels, 11/22/09
S. Fred Singer, professor emeritus of environmental sciences at the University of Virginia, a distinguished research professor at George Mason University, and president of the Science and Environmental Policy Project, gave a speech at Hillsdale College in August of 2007. Printed in their periodical Imprimus (with some rather irritating misplaced hypens in the on-line version), I strongly recommend it to you. It's on the topic of Anthropogenic Global Warming, or the lack thereof, and entitled Global Warming: Man-Made or Natural? Excerpt:
What about the fact—as cited by, among others, those who produced the IPCC report—that every major greenhouse computer model (there are two dozen or so) shows a large temperature increase due to human burning of fossil fuels? Fortunately, there is a scientific way of testing these models to see whether current warming is due to a man-made greenhouse effect. It involves comparing the actual or observed pattern of warming with the warming pattern predicted by or calculated from the models. Essentially, we try to see if the "fingerprints" match—"fingerprints" meaning the rates of warming at different latitudes and altitudes.
For instance, theoretically, greenhouse warming in the tropics should register at increasingly high rates as one moves from the surface of the earth up into the atmosphere, peaking at about six miles above the earth's surface. At that point, the level should be greater than at the surface by about a factor of three and quite pronounced, according to all the computer models. In reality, however, there is no increase at all. In fact, the data from balloon-borne radiosondes show the very opposite: a slight decrease in warming over the equator.
The fact that the observed and predicted patterns of warming don’t match indicates that the man-made greenhouse contribution to current temperature change is insignificant. This fact emerges from data and graphs collected in the Climate Change Science Program Re-port 1.1, published by the federal government in April 2006 (see www.climatescience.gov/Library/sap/sap1-1/finalreport/default.htm). It is remarkable and puzzling that few have noticed this disparity between observed and predicted patterns of warming and drawn the obvious scientific conclusion.
And this:
You will note that this has been a rational discussion. We asked the important question of whether there is appreciable man-made warming today. We presented evidence that indicates there is not, thereby suggesting that attempts by governments to control green-house-gas emissions are pointless and unwise. Nevertheless, we have state governors calling for CO2 emissions limits on cars; we have city mayors calling for mandatory CO2 controls; we have the Supreme Court declaring CO2 a pollutant that may have to be regulated; we have every industrialized nation (with the exception of the U.S. and Australia) signed on to the Kyoto Protocol; and we have ongoing international demands for even more stringent controls when Kyoto expires in 2012. What's going on here?
Since the 1997 international accord to fight global warming, climate change has worsened and accelerated — beyond some of the grimmest of warnings made back then.
As the world has talked for a dozen years about what to do next, new ship passages opened through the once frozen summer sea ice of the Arctic. In Greenland and Antarctica, ice sheets have lost trillions of tons of ice. Mountain glaciers in Europe, South America, Asia and Africa are shrinking faster than before.
And it's not just the frozen parts of the world that have felt the heat in the dozen years leading up to next month's climate summit in Copenhagen:
_The world's oceans have risen by about an inch and a half.
_Droughts and wildfires have turned more severe worldwide, from the U.S. West to Australia to the Sahel desert of North Africa.
_Species now in trouble because of changing climate include, not just the lumbering polar bear which has become a symbol of global warming, but also fragile butterflies, colorful frogs and entire stands of North American pine forests.
_Temperatures over the past 12 years are 0.4 of a degree warmer than the dozen years leading up to 1997.
Even the gloomiest climate models back in the 1990s didn't forecast results quite this bad so fast.
Global warming appears to have stalled. Climatologists are puzzled as to why average global temperatureshave stopped rising over the last 10 years. Some attribute the trend to a lack of sunspots, while others explain it through ocean currents.
At least the weather in Copenhagen is likely to be cooperating. The Danish Meteorological Institute predicts that temperatures in December, when the city will host the United Nations Climate Change Conference, will be one degree above the long-term average.
Otherwise, however, not much is happening with global warming at the moment. The Earth's average temperatures have stopped climbing since the beginning of the millennium, and it even looks as though global warming could come to a standstill this year.
--
The planet's temperature curve rose sharply for almost 30 years, as global temperatures increased by an average of 0.7 degrees Celsius (1.25 degrees Fahrenheit) from the 1970s to the late 1990s. "At present, however, the warming is taking a break," confirms meteorologist Mojib Latif of the Leibniz Institute of Marine Sciences in the northern German city of Kiel. Latif, one of Germany's best-known climatologists, says that the temperature curve has reached a plateau. "There can be no argument about that," he says. "We have to face that fact."
And from the emails and files hacked from the Warmistas, they acknowledge the lack of warming over the last decade and one despairs: "The fact is that we can’t account for the lack of warming at the moment and it is a travesty that we can’t."
So Seth Borenstein of the AP cranks up the OH MY GOD WE'RE ALL GONNA DIE! rhetoric? I think you're seeing the beginnings of media pushback against the release of that 100+MB of hacked data. So long as the majority of the population never hears about the "how do we hide the data" emails, they'll keep believing in the AGW story.
Like most, I was shocked when the news broke that author Michael Crichton had died of cancer just over a year ago. I've read all of his novels and quite a bit of his other writing (essays, speeches, etc.) I was glad to hear that there would be one more novel published after his death, and it is out now: Pirate Latitudes.
My current "to read" stack is a teetering tower, but I think I'm going to have to add that one to it.
WILLOWS (CA) -- The Willows Unified School District board of trustees has expelled a 16-year-old for having unloaded shotguns in his pickup parked just off the Willows High School campus.
(My emphasis.) OFF campus. Not ON campus.
So what's next? Home inspections and expulsion of students with firearms in their homes?
Last week, the body of Chicago school board president Michael Scott was found in the Chicago River with a single bullet wound in his head. The big story was that this powerful, well-connected public official had, according to the county medical examiner, committed suicide. The less-noticed story was that he did it with an illegal weapon.
--
Unlike most Chicagoans, Scott could have been a legal handgun owner. Because he had it before the ban was enacted, he was allowed to register and keep it. But the police department says he never did. By having it in the city, Scott was guilty of an offense that could have gotten him jail time.
Amazingly enough, he was not the first local public official to take the view that firearms restrictions are something for other, ordinary people to observe.
Amid the centuries-old castles of the ancient city of Ferrara is a doctor who has come upon an entirely new idea about how to treat multiple sclerosis, one that may profoundly change the lives of patients.
Dr. Paolo Zamboni, a former vascular surgeon and professor at the University of Ferrara in northern Italy, began asking questions about the debilitating condition a decade ago, when his wife Elena, now 51, was diagnosed with MS.
Watching his wife Elena struggle with the fatigue, muscle weakness and visual problems of MS led Zamboni to begin an intense personal search for the cause of her disease. He found that scientists who had studied the brains of MS patients had noticed higher levels of iron in their brain, not accounted for by age. The iron deposits had a unique pattern, often forming in the core of the brain, clustered around the veins that normally drain blood from the head. No one had ever fully explained this phenomenon, considering the excess iron a toxic byproduct of the MS itself.
Dr. Zamboni wondered if the iron came from blood improperly collecting in the brain. Using Doppler ultrasound, he began examining the necks of MS patients and made an extraordinary finding. Almost 100 per cent of the patients had a narrowing, twisting or outright blockage of the veins that are supposed to flush blood from the brain. He then checked these veins in healthy people, and found none of these malformations. Nor did he find these blockages in those with other neurological conditions.
"In my mind, this was unbelievable evidence that further study was necessary to understand the link between venous function and iron deposits on the other," Zamboni told W5 from his research lab in Ferrara.
What was equally astounding, was that not only was the blood not flowing out of the brain, it was "refluxing" reversing and flowing back upwards. Zamboni believes that as the blood moves into the brain, pressure builds in the veins, forcing blood into the brain's grey matter where it sets off a host of reactions, possibly explaining the symptoms of MS.
"For me, it was really unbelievable to understand that iron deposits in MS were exactly around the veins. So probably, it is a dysfunction of drainage of the veins," Zamboni said.
"This is very important, because iron is very dangerous, because it produces free radicals, and free radicals are killers for cells. So we need to eliminate iron accumulation."
Zamboni dubbed the vein disorder he discovered CCSVI, or Chronic Cerebrospinal Venous Insufficiency, and began publishing his preliminary research in neurology journals.
He soon found that the severity of the vein blockages were located corresponded to the severity of the patient's symptoms. Patients with only one vein blocked usually had milder forms of the disease; those with two or more damaged veins had more severe illness.
Zamboni found blockages not only in the veins in the neck directly beneath the brain -- the jugular veins --but in a central drainage vein, the azygos vein, which flushes blood down from the brain along the spine. Blockages here, he found were associated with the most severe form of MS, primary progressive, in which patients rapidly deteriorate. For this form of MS, there currently is no effective treatment.
Read the whole thing, there's much more. There's video, too.
Chris The Anarchangel Byrne emailed me last week and invited me along to a dinner with Monster Hunter International author Larry Correia and Servant of a Dark God author John Brown. Of course, I leaped at the chance. A total of ten of us (at first) met up at the Famous Dave's BBQ in Mesa, next to the Bass Pro at 7:00 PM, and had an entertaining evening listening to (and telling) stories. Two more joined us a bit later on. John Brown's not a gunnie, but Larry has promised to give him a thorough introduction. (I would like to point out, John, that it is not a prerequisite to be an obese early-middle-aged white male to get a CCW! - But it apparently helps, at least in Arizona.)
A pleasant time was had by all, I got to meet two pretty damned interesting authors and several more interesting people, and Larry gave me an M.H.I. patch.
Reader Phil B., the UK Expat now living in New Zealand who recently left a long comment that I turned into a post has done it again. This time in an email:
It has been a slow day at work over the last 2 days and I've used up a couple of lunch breaks to reply to your posting regarding "From a 'Primary Source'!" about healthcare.
When I did a word count on the thing, it would use up three postings in the comments section.
I've attached it as a word document - if you think it is on topic and fit to post, please do so - if you think it is garbage print it out and use it in the restroom ... If you want me to edit it before you post it, to either correct stuff which isn't clear or might not translate into American well, let me know and I'll do the necessary.
As an aside, a 1200 page piece of legislation does not get written overnight. I have a mental picture of Obama walking into the Oval Office on day one, dropping his briefcase on the desk, opening it and lifting out the bill and saying "Now THIS is what we are going to do first ...".
No - it has been a long time in the making and cunningly written to mean anything you want it to mean. All he will have to do is appoint a few handpicked Judges to creatively interpret it to mean what he means it to mean. Oh, wait ... !!!!
Very "Alice in Wonderland" (quote below)
'When I use a word,' Humpty Dumpty said, in a rather scornful tone, 'it means just what I choose it to mean, neither more nor less.'
'The question is,' said Alice, 'whether you can make words mean so many different things.'
'The question is,' said Humpty Dumpty, 'which is to be master – that's all.'
I've used that same Humpty-Dumpty quote myself a couple of times, for similar reasons.
Drudge's headline linking to The Hill states that the Senate will have "10 hours of debate" on their 2,047-page version of the Health Care Reform bill before voting on it Saturday night.
"Fierce urgency" again, I suppose.
Anyway, here is Phil's Überpost, from a man who's seen it - up close (too close) and personal:
I would agree with the conclusion of Dr. Flier and can describe the situation in the British National Health System (NHS) which will indicate the direction, if not the exact end result of the reforms being proposed for the American healthcare system.
I will give a brief history of the development of the NHS and then describe how it operates now. The baleful influence of politicians will be outlined and the effects this has.
William Beveredge (a dyed in the wool “Socialist”, strongly influenced by the Fabian Society – a left wing “think Tank” which included Karl Marx as one of its founding members so draw your own conclusions - and firmly committed to centralist planning and control) set up the framework for the NHS during the Second World War. He was the head of the Ministry of Labour (where his central planning and control tendencies were used to direct the war effort) and was tasked at looking at the shape of Britain post war, including how a universal National Insurance system could be introduced and how it should operate.
He produced a report which envisaged a complex array of universal benefits paid for by a compulsory “National Insurance” levy on wages and employers. The benefits would include unemployment payments and the setting up of the NHS where ALL treatment was to be free at the point of use. The report was accepted (as far as I can discover) in its entirety and on 5 July 1948, the system came into being.
The basis of the universal insurance concept was that there would be zero unemployment (defined as under 3%) and to kick start it, the wholesale requisitioning of property (i.e. theft) including community owned and private hospitals, residential nursing homes and institutions was mandated without compensation.
Almost immediately the problems which would plague the system became evident. After the war, due to the reduction in wartime activities, the unemployment rate increased, leading to a reduction in contributions or revenue. Other services were included (dentistry, opticians and "free" spectacles etc.) were an immediate and ongoing cost which placed a strain on the system from the word go. It has never been self-financing and general taxation was used to make up the shortfall.
Prior to 1947, there was an inexpensive private insurance scheme for basic healthcare (almost always referred to as a "Penny Policy" but more correctly as the provident Associations Insurance scheme) which was operated as a non profit scheme by insurance companies long before the NHS was considered. Everyone except the destitute and the feckless subscribed to this privately run insurance scheme. Since Doctors were self-employed (on the whole) they either claimed the costs of the treatment from the insurance company or, they could decide the fees they charged depending on the patients' ability to pay. Many operated a charitable form of healthcare and either allowed the people to pay a small amount every week or waived the fee as well as working in surgeries in the poorer parts of the town voluntarily and without pay. Following the introduction of the NHS, the Doctors and charities naturally stopped doing this – there was no need, the Government would provide everything.
So very, very few people were denied healthcare by the system and there were many local charities which would step in to finance healthcare as a last resort. The monies the insurance companies held from premiums could not be retained (it was a non-profit scheme) so the British United Provident Association (BUPA) was set up with the funds to build new hospitals and continue on with privately funded health care. BUPA still exists to this day and there are other private insurance health schemes but are paradoxically only for the wealthy.
It must be borne in mind that the standard of healthcare available to even the wealthy was not as good as today. It is difficult to appreciate the advances in Medical Science, pharmaceuticals, surgical procedures (many driven by the impetus of the war) since 1947 and the accompanying increase in costs to provide these new treatments. So to claim that people were poorly cared for in comparison with today must be qualified by this. EVERYONE did not have the potential level healthcare of today – whether you were Duke or labourer.
There were immediate problems with personnel – up till then, all Doctors were self employed or, if a hospital consultant, were working under negotiated contracts which allowed them about half their time to see private patients (the normal hospital patients paid via the insurances they held). However, at the strike of a pen, they became Civil Servants – every one of them from the cleaners to the most highly skilled surgeon were working under the umbrella of the NHS. Today, the NHS is the third largest employer in the World – behind the Chinese Peoples Liberation Army and the India State National Railway. A grand total of 1.37 Million people are employed by the NHS as of March 2009 (courtesy of the Tax Payers Alliance).
Private Patients were, and still are, are a lucrative source of income for the consultants and they took the attitude that if they were not going to be paid for the work they would do during the time they would normally be seeing private patients, they would play golf (or whatever they enjoyed doing) or still see their private patients but in the BUPA hospitals or the NHS hospitals if necessary.
Immediately, there was a reduction in the numbers of patients being treated - who could have predicted this? – and to ensure that everyone was seen in turn, a queuing system was devised. The infamous waiting lists for hospital treatment were instigated and are a major problem today. The urgency of your condition did not matter – strict “first come, first served” prevailed and the delays in seeing a specialist naturally resulted in people either dying before they could be treated or due to their condition worsening, what could have been a treatable and recoverable condition became far too advanced to do anything but stabilise the problem and no full recovery was possible.
Still, not to worry. At least it was FAIR, and if someone was left permanently disabled due to the delay in treatment and unable to work, there was the National Insurance disability payment to ensure they could survive.
This lead to another "unforeseen" problem – if you could be declared permanently disabled and unable to work, then you would not have to work again for the rest of your life. The state would provide you with income which today, due to the distortions of the taxation system, means that although the actual benefit paid is apparently a modest amount, due the additional non cash benefits (rent and local taxes paid for, mobility allowance which can be used to purchase a car and its running expenses, free medicines, no contributions to the pension you will receive, additional benefits based on the number of children you have, free school meals for those children etc. and so forth ad infinitum – Google "Citizens Advice Bureau" and see what benefits are available if you are classified as disabled) it is financially more lucrative to claim benefits than work. People coming off disability allowance and working 40 hours a week are financially worse off.
So lots of people with “bad backs” and other difficult to prove conditions became effectively retired and lived on State provided benefits.
An additional problem was that the Civil Service was increased to deal with this new system. There is a Tax Office (Inland Revenue) which taxes pay at source ("Pay As You Earn" PAYE) as well as company profits etc. and a second, new department set up called the Department of Health and Social Security (or DHSS as it was termed then) which recorded the National Insurance Contributions you had paid during your working life. The concept was that, you had to have a "full" contribution record to receive the Full State Pension when you retired. It would not be "fair" for everyone to receive the same pension if they did not contribute – but if you did NOT receive a full pension, you can claim a top up benefit to make up the difference which, surprise surprise, is administered by a different Department and funded from general taxation. Unemployed people who registered with the Department of Employment received credits for the contributions they could not pay so that they receive a full pension too.
Now, for the people who are reading this who are not very intelligent, I must point out that there are effectively TWO armies of Civil Servants recording the fact that you are working and paying into the system - The Tax Office and the DHSS. These two departments record essentially the same information. Civil Servant pay levels are good and, having worked at the DHSS for a while, I can confirm that the work is not arduous and the real art is not simply being able to do the work but in making the Job last all day.
The resultant increase in bureaucracy did two things – it mopped up the unemployed people who were out of work due to the cancellation of wartime contracts for armaments, returning veterans etc. and increased the power of the state and its hold on the Country. This was all in line with the centralised planning beliefs of Beveredge and set up a client voter base who would not vote themselves out of a job. The Unions were quick to see the potential too in so many of the newly created civil servants.
But, everyone will argue, at least universal healthcare is available and the people working in the NHS were dedicated and caring people. Surely they would ensure that the very best of treatment was provided?
One major snag – the Politicians had promised a utopian, unlimited benefits available free to all at the point of use. So if someone decided that their "entitlement" was not being provided, they would see their local politician (Member of Parliament or MP) and demand their "rights." This was slow to start (people were inured to wartime conditions and shortages and unlikely to complain) but gradually, over time, the concept that they were entitled to the healthcare became entrenched.
Hospital managers no longer answered to their patients but to their political masters. It was the politicians who decided how much funds would be allocated to health spending, how much their increase in salary was going to be this year, now many new treatments were to be funded, new hospitals built etc. The politicians effectively micromanage the system in knee jerk response to complaints from voters, newspaper reports and pressure groups according to the prevailing latest scandal or horror story.
So the NHS Managers concentrate on pleasing the politicians – nowadays the politicians demand and get reports and tick lists on the status of waiting lists, bed occupancy (the higher the better – an empty bed means that someone isn’t being treated), costs of drugs etc. A growing and specialist bureaucracy in the NHS caters to this demand so much so that there are SIX Bureaucrats for every five "beds" (i.e. hospital places) in the NHS (this number does NOT include doctors and nurses but ONLY pen pushers).
This is a consequence of political meddling and as the paymasters are the Politicians, then the success of the hospital is measured not by patients treated but by form filling and compiling statistics to prove the hospital is run according to the centralised instructions passed down from Government. Innovative methods are dreamed up to comply with the arbitrary rules and regulations.
Two examples will suffice to illustrate this:
First, a patient in an emergency department must be allocated a bed within 4 hours of admission. It is trivially easy to rig the definition of "admission" to be "when a bed is found." Hence the target is achieved but this results in patients being left in hospital corridors on stretchers or gurneys for prolonged periods or refused admission to the hospital and kept in an ambulance until they can be dealt with or simply told "No room - take them to another hospital." This can be miles away and there is no guarantee that a casualty would be admitted to the second hospital either. But the target is met. THAT is the important point.
Waiting lists – this is a BIG problem in that people have to wait months for the privilege of seeing a consultant or specialist. They need to see their family doctor first who will write to the Local hospital describing what they believe to be the problem. The consultant will acknowledge the letter and the patient's details are put on a waiting list. When their name comes to the top, they will be seen and a decision made on their condition. They will then be placed on a second waiting list to await treatment. Waiting a further two or three years for a "non urgent" operation such as a hip replacement after the initial consultation is not unusual. More urgent treatments (such as for cancer) can take 3 to 6 months. This is one of the targets that has been dictated must be reduced (and rightly so).
Inevitably this results in rationing and delays in treatment with the attendant suffering and misery, loss of useful productive work and potentially a treatable condition becoming a crippling illness or death.
Solution – you create a waiting list to go onto the waiting list. The second waiting list can be as short as necessary to comply with the "must see a specialist within 3 months" BUT the waiting list to go onto the waiting list is not submitted to the government – only the one which meets the target. As there are two waiting lists (one to see the consultant, one to receive the treatment), then it is infinitely adjustable to meet whatever target is set but does not attack the basic problem.
The reality is that the numbers of front line staff is decreasing (Doctors and nurses) and the number of beds (i.e. places in hospital) is reducing too. The overall numbers of people employed is rising and the increase in bureaucracy is the cause.
You will recall (if you have read this far) that a wholesale requisition of property took place back in 1947. These buildings were locally funded and privately financed institutions relying on paying patients and charitable donations. This source of cash ceased in 1947. However there is a legacy of local sentimental attachment to "local" hospitals which are "ours" (as indeed they were).
Now, it can be argued that spending on buildings is not curing people of diseases and injuries. Hence the politicians will not spend cash on hospital infrastructure and over the years the buildings naturally deteriorate.
The Victorian buildings and concepts of healthcare have been superseded by developments in architecture, how people are to be processed through the system and developments in technology, advances in medical care and what people are used to. Large regimented communal wards in high ceilinged Victorian Hospitals were a wonder and cutting edge 100 years ago but nowadays people want privacy.
The NHS spends a large proportion of its cash on maintaining and heating decrepit buildings in prime inner city sites which the politicians will not allow to be demolished. It would make more sense to sell off the land (making a EVIL PROFIT – the first step in privatisation and the destruction of the jewel in the social security crown) and build a new hospital elsewhere. The chance to eliminate the problems of access due to traffic congestion and the risk of people dying stuck in traffic jams and designing a building which addresses the needs of staff and patients alike and cheaper to heat and maintain would be the logical thing to do. However the cost to build and equip a new hospital is high and the old one can be patched up yet again.
A repair or upgrade can always be delayed another year if the cash is needed for something else (and it is inevitably needed for something else) so politicians will arbitrarily refuse budgets for repairs etc. Consequently the buildings deteriorate until they are almost beyond repair – and then a massive amount is spent on them to restore them to a basic state. The cash would be better spent on a new hospital but this is not politically acceptable.
Of the two hospitals I have seen built in the UK, one was single-glazed - the budget was limited at the design and build stage but the heating bills were running costs. This hospital was obsolete before it was complete. The second is too small for the population – the design was accepted without consulting the planners who increased the number of new housing around the hospital. Again due to a limited, politically controlled budget, a larger than necessary hospital, which would have anticipated future needs, would not be authorised to cope with increased demand. The Victorian Hospitals they were intended to replace still exist and are still as inefficient as ever. So no cost savings to be had there.
The politicians will interfere in the planning process and to maintain votes, will vigorously join in the demands that not a single hospital is closed. After all, if it saves a single life …
The end result is that the NHS managers are like the Harem eunuch – all the responsibility, none of the authority to run the system and subject to day-to-day micromanagement by the politicians.
However, the system must be considered an outstanding success – if you want a "fair" system of universal healthcare where everyone (including illegal immigrants and health care tourists who come to the UK specifically to be treated – such as pregnant third world country women arriving at Heathrow and getting a taxi to the nearest maternity Hospital) can demand unlimited access to whatever treatment they want, it is highly successful at delivering this. Also it is NOT making a profit – which would be immoral.
The fact that everyone receives a highly substandard service is irrelevant. It is "free," everyone is treated alike (except politicians of course who are scrupulous in avoiding the system and rely on private healthcare) and paid for by taxation.
Note that treatments include abortions, sex changes, cosmetic surgery due to stress and psychological problems (such as 16 year old girls receiving breast enlargements) and other such procedures never dreamed of in 1947 whereas treatments for cancer, heart conditions etc. are treated with exactly the same urgency.
The elderly are treated particularly badly. Healthcare is naturally rationed – everyone will be treated the same – but clinical judgements are made by NICE (National Institute for health and Clinical Excellence website http://www.nice.org.uk/ ) as to what is "cost effective". Hence cancer drugs that extend the life of sufferers are deemed "not cost effective," an elderly but otherwise fit person will be denied drugs and operational procedures (hip replacements, cataract surgery, hearing aids etc.) as it isn't worth spending cash on them. Surely you must agree that cash should be spent on a young drug addict (a "victim") who may at some point in the future, if they don't kill themselves first, "contribute to society" is far more cost effective.
Alzheimers and Parkinsons disease sufferers are particularly shabbily treated – why waste cash and resources on them? They can be dumped onto local authority care and the "Care in the Community" scheme can look after them. This means that the cash does not come out of the NHS budget and instead the local councils can look after them. It is obvious that dedicated care by specialist nursing staff can more effectively care for such people than a nurse visiting once a week or every two weeks for a half hour or so and abandoning their elderly partner or their families to nurse them. There are far too many cases that are reported in the newspapers to list – only the really bad ones make it to the national newspapers – but search any British newspaper for the phrase "Elderly patient" (or elderly woman, elderly lady and whatever variation you can think of) will list a sickening catalogue and tales of neglect that shames any nation that calls itself civilised.
Conclusions
The conclusions are:
1. The State bureaucracy will vastly increase immediately after such a system is set up. It will continue to grow as the system matures and will not slow in its growth. The cash spent on the bureaucracy will be drained from healthcare.
2. The system will need property (land, existing hospitals etc.) and although the intention may not immediately be to take these over, why should the Government increase the profit of the evil people who own the existing hospitals. Surely healthcare should not be for profit and the Government will take steps to make sure wicked private companies and evil individuals do not benefit from peoples suffering. So confiscation will occur sooner or later.
3. People will be entitled to healthcare and if they don’t get what they want, then they will see their elected representative who will appear on all the news channels and the front page of all the local newspapers to fight for the rights of his voters. This will be a guaranteed vote winner – but only if the people needing treatment are photogenic children, minorities or cute grandmothers or someone with a rare disease which can be milked for political capital. Political interference will be an increasingly heavy and debilitating dead hand on the system. It will be increasingly paralysed by this micromanagement.
4. If everyone receives the same treatment (except politicians, of course. And old people), then no one can complain that it is unfair. It is irrelevant that the treatment is third world in its standards, it is FAIR that everyone is treated equally and that is the principle which is important.
5. As the Politicians are funding the system, the people operating the system will answer to the paymasters, not the patients. The system will become increasingly centralised with decisions made at a higher and higher level leading to less and less local accountability. The local bureaucracy will increase to keep politicians informed of the status of the system and drain cash and resources from the front line.
The Soviet system lasted less time than the NHS has been in existence – it is odd that the last bastion and embodiment of centralist soviet style state planning should be "the envy of the world," the British NHS.
Britain is 62 years ahead of America on this one – I sincerely hope that you can stop the monster being born or at least prevent it from feeding on tax payers money before it grows in size to rival the NHS.
Sources and references.
Wikipedia can be searched for "NHS" and biographies of the people mentioned.
The Tax Payers Alliance has plenty of information on the facts and figures relating to the costs, staffing levels, types of jobs and their functions. Website here:
Click on the "Taxpayers Alliance Research" button for lots of interesting links and on the NHS link.
Burning Our Money is a private blog which has a searchable database of articles listed by category on the right hand side column and near the bottom of the current page. Look for NHS, click on the link and read until your eyes start to spin in your skull like a Tic Tac Toe machine … Link here:
· Before Beveredge – Welfare before the Welfare State
· Delay, Denial and Dilution
· England Vs Scotland – does more money mean better health
· Health Care in France And Germany
· Pharmaceutical Parallel Trade in the UK
· Regulating Doctors
· Stakeholder Health Insurance
· Why Ration healthcare.
That lot should keep you quiet for a while but if you must read only one or two, please concentrate on Delay, Denial and Dilution, Why Ration Healthcare and Health Care in France And Germany.
Civitas is worth browsing for information on the trends and developments in the NHS if you are interested in researching further.
The article was written following my experiences with the NHS and watching and nursing my wife as she slowly died of cancer over a period of 9 months. It prompted me to study the problem and form my own conclusions about how the NHS should be changed and the way that health care could be infinitely better. I hope that I have managed to be dispassionate about the system and that the article is does not come across as being unduly influenced by my own experiences.
If anyone wants to e-mail me to clarify any points I would be happy to explain things further.
My condolences, Phil. And thank you for taking the time to write this, and trying to help us avoid what your country has done.
Barring a miracle, I fear our Imperial Senate is going to pass this monstrosity, and we will, sixty-two years later, follow Great Britain down this path, but it is my hope that we the people can abort it.
I don't follow the global warming debate as a rule - what I do follow takes up so much of my time already. However, I do try to hit the highlights (like the earlier post today.) This, however, showed up at AR15.com, so I followed it around a bit. The blog Watt's Up With That (winner of the 2008 Best Science Blog award BTW) was apparently the one of the first to break the news:
The details on this are still sketchy, we’ll probably never know what went on. But it appears that Hadley Climate Research Unit has been hacked and many many files have been released by the hacker or person unknown
I’m currently traveling and writing this from an aiprort, but here is what I know so far:
An unknown person put postings on some climate skeptic websites that advertsied an FTP file on a Russian FTP server, here is the message that was placed on the Air Vent today:
We feel that climate science is, in the current situation, too important to be kept under wraps.
We hereby release a random selection of correspondence, code, and documents
The file was large, about 61 megabytes, containing hundreds of files.
It contained data, code, and emails from Phil Jones at CRU to and from many people.
I’ve seen the file, it appears to be genuine and from CRU. Others who have seen it concur- it appears genuine. There are so many files it appears unlikely that it is a hoax. The effort would be too great.
"Hadley" is the Hadley Centre for Climate Prediction and Research. Multiple sources are reporting this. UPDATE, 11/20: Actually the site hacked was the University of East Anglia Climatic Research Unit (CRU) email server, not the Hadley Centre.
And the 61mB of information is not favorable to "climate science" in general nor the Centre and its scientists in particular.
Steve Mosher alerted us to an interesting development: Some one dropped a link to a zipped directory of files that contain what appear to be emails between various bloggers and climate science illuminati Of course this may be some sort of scam. If so, someone spent a lot of time putting together fake email/code etc.
1 mail from you and the correspondence that follows.
And, you get to see somebody with the name of phil jones say that he would rather destroy the CRU data than release it to McIntyre.
And lots lots more. including how to obstruct or evade FOIA requests. and guess who funded the collection of cores at Yamal.. and transferred money into a personal account in Russia
And you get to see what they really say behind the curtain.. you get to see how they “shape” the news, how they struggled between telling the truth and making policy makers happy.
you get to see what they say about Idso and pat micheals, you get to read how they want to take us out into a dark alley, it’s stunning all very stunning. You get to watch somebody named phil jones say that John daly’s death is good news.. or words to that effect.
I don’t know that its real..
But the CRU code looks real
Tomorrow should be an interesting day on the blogs.
Don't expect to hear anything in the legacy media about it. At least not for two or three weeks after Glenn Beck gets done with it.
As one commenter at The Blackboard put it:
Maybe they are Real Files. Then they would be Real AND fake,
That's Mike Rogers, representing the 8th District of Michigan (yes, that district really does exist). Pretty good rant.
UPDATE: Both Ed "What the" Heckman and Jerry the Geek point out in comments that Rep. Rogers' attribution of a quote to Abraham Lincoln is incorrect. Jerry details the facts in an excellent follow-on post.
Global warming appears to have stalled. Climatologists are puzzled as to why average global temperatures have stopped rising over the last 10 years. Some attribute the trend to a lack of sunspots, while others explain it through ocean currents.
At least the weather in Copenhagen is likely to be cooperating. The Danish Meteorological Institute predicts that temperatures in December, when the city will host the United Nations Climate Change Conference, will be one degree above the long-term average.
Otherwise, however, not much is happening with global warming at the moment. The Earth's average temperatures have stopped climbing since the beginning of the millennium, and it even looks as though global warming could come to a standstill this year.
--
The planet's temperature curve rose sharply for almost 30 years, as global temperatures increased by an average of 0.7 degrees Celsius (1.25 degrees Fahrenheit) from the 1970s to the late 1990s. "At present, however, the warming is taking a break," confirms meteorologist Mojib Latif of the Leibniz Institute of Marine Sciences in the northern German city of Kiel. Latif, one of Germany's best-known climatologists, says that the temperature curve has reached a plateau. "There can be no argument about that," he says. "We have to face that fact."
But, but . . .
Even though the temperature standstill probably has no effect on the long-term warming trend, it does raise doubts about the predictive value of climate models, and it is also a political issue. For months, climate change skeptics have been gloating over the findings on their Internet forums. This has prompted many a climatologist to treat the temperature data in public with a sense of shame, thereby damaging their own credibility.
"It cannot be denied that this is one of the hottest issues in the scientific community," says Jochem Marotzke, director of the Max Planck Institute for Meteorology in Hamburg. "We don't really know why this stagnation is taking place at this point."
Can we PLEASE now admit that we don't know enough about how climate works to be able to predict the weather more than three days in advance?
Climatologists use their computer models to draw temperature curves that continue well into the future. They predict that the average global temperature will increase by about three degrees Celsius (5.4 degrees Fahrenheit) by the end of the century, unless humanity manages to drastically reduce greenhouse gas emissions. However, no one really knows what exactly the world climate will look like in the not-so-distant future, that is, in 2015, 2030 or 2050.
As far as I'm aware, that's not as warm as it reached during the Medieval Warm Period when Norsemen farmed in Greenland and grapes grew in England. Humanity survived that just fine, and the Little Ice Age that followed.
The OH MY GOD WE'RE ALL GONNA DIE! crap is really getting old.
Four score and seven years ago our fathers brought forth on this continent, a new nation, conceived in Liberty, and dedicated to the proposition that all men are created equal.
Now we are engaged in a great civil war, testing whether that nation, or any nation so conceived and so dedicated, can long endure. We are met on a great battle-field of that war. We have come to dedicate a portion of that field, as a final resting place for those who here gave their lives that that nation might live. It is altogether fitting and proper that we should do this.
But, in a larger sense, we can not dedicate -- we can not consecrate -- we can not hallow -- this ground. The brave men, living and dead, who struggled here, have consecrated it, far above our poor power to add or detract. The world will little note, nor long remember what we say here, but it can never forget what they did here. It is for us the living, rather, to be dedicated here to the unfinished work which they who fought here have thus far so nobly advanced. It is rather for us to be here dedicated to the great task remaining before us -- that from these honored dead we take increased devotion to that cause for which they gave the last full measure of devotion -- that we here highly resolve that these dead shall not have died in vain -- that this nation, under God, shall have a new birth of freedom -- and that government of the people, by the people, for the people, shall not perish from the earth.
-- Abraham Lincoln, Gettysburg Pennsylvania
Perhaps the single finest speech ever delivered in the English language.
Upper Darby, PA - An armed suspected was shot in Delaware County after attempting to rob an undercover detective posing as a pizza deliveryman Wednesday night.
Verona Pizza on W. Chester Pike in Upper Darby contacted police after receiving a suspicious delivery order at about 11 p.m.
Delivery drivers at the business have been held up at least three times in recent weeks.
An undercover detective stood in as a decoy, making the delivery near Delaware and South Harwood Avenues. Once at the address, a masked suspect armed with a gun jumped out from the bushes and rushed towards the officer.
Despite a warning, the suspect continued to rush forwards, forcing the detective to fire once shot which struck the suspect in the torso.
The wounded suspect was taken to the Hospital of the University of Pennsylvania in serious, but stable condition. The detective was not injured in the incident.
Following the shooting, police began pursuit of an apparent getaway vehicle. One female suspect was apprehended as she attempted to flee the vehicle. A second male suspect is still on the loose.
The incident remains under investigation.
So in Upper Darby they have a cop dress up as a pizza delivery driver, but in other places the drivers manage to defend themselves.
Damn, gun-toting pizza delivery guys seem to be the rule in the Carolinas!
That's just a short list I found while using the Violence Policy Center's greatest research tool, Google. Of those seven incidents (Plus the Upper Darby one), only two would be considered "defensive gun uses" by Arthur Kellermann because in only two of those incidents did the assailant die. Apparently frightening off or wounding doesn't qualify as a "defensive gun use" to most anti-gunners, someone's got to die.
Oscar won't be tacking a happy ending onto Capitalism: A Love Story.
Michael Moore 's latest diatribe against the powers that be, this one directed at Wall Street and the government that let it run amok, did not make the Academy of Motion Picture Arts & Sciences' short list of films that still have a shot at winning the Academy Award for Best Documentary.
Awwwwww... Mikey's not liked by the Anointed anymore?
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