National vs. Rational Healthcare

I’ve been absent from the blog for a bit. A rather unexpected stroke slowed me down for a couple of months. No kidding, a stroke! Who would have thought? As strokes go it was a rather light one. Just enough to remind me of my mortality. Had the emboli turned left instead of right on the way to the brain, I would probably be looking up at the grass rather than down at it. It was that close.

obama-health-care-logoThough my blood chemistry was pretty good, I’m still relatively young, my weight “optimal”, no drugs, no alcohol (lifelong teatotaler, but I may have to start after this “incident”), it only made those worthy medical detectives dig in a little more to try to figure out the source of this rather unexpected event.

The incident happened subtly. I was on my hands and knees in the yard working on a recalcitrant irrigation valve, and had my head cranked way over to the side (and upside down) to try to read the manual shutoff marking on the side of the valve body. When I stood up I noticed that my left peripheral field had folded in by about five degrees.

“Hmph! What’d I do now?”. At first i thought I’d damaged the retina in my left eye. Closing my right eye, and waving my fingers around in the left field, I almost had myself convinced that it was my left eye that was the problem…..almost. I then closed my left eye and tested the left field of the right eye. Same problem.

“Oh, s$!^! …… BRAIN“. Time to head to the emergency room, and quickly. My “gentle bride” squired me down the 12 mile grade that lead to Memorial North, where I was involved in a rather unpleasant confrontation with the emergency room security guard. He couldn’t figure out why he was detecting metal as he waved his wand over the spinal cord stimulator implanted in my right flank. I pointed out that he was going to detect metal there all day long, and unless he let me into the emergency room, there was a statistical probability that I was going to expire right in front of him. He was bound and determined to find out why I was beeping his equipment though, and I imagine I might still be there (or dead), had an alert ER nurse not ended the foolishness by physically dragging me into the facility and slapping me on a gurney.

Three days later I was out the door of the hospital with a whole new set of pills, and some really neat syringes loaded up with fractionated heparin. You don’t want to know where those went (subcutaneous car wreck is rather apt).  Oh yes, and a diagnosis of Patent Foramen Ovale with some associated emboli in the aorta. Yes, the latter problem is pretty scary. Fortunately, the next two weeks were spent keeping my blood as absolutely thin as possible without bleeding out. Discussing the fate of the clots in my aorta with my GP, he told me not to worry.

“It’s been four days since you started on the anti-coagulants. No problem.”

“No problem?! Why is there no problem? Are those things still in my aortic arch?”, I squeeked.

“I doubt you’ll form any more clots with the anticoagulants you’re on. No doubt the emboli that were in there went into your brain days ago.”

I was comforted, ……. sort of. Tough truth from my doctor, which is all too rare from the medical establishment. I may keep him.

Well, how does this fit in with the healthcare debate? From my standpoint, here’s how it comes down. The way the bill(s) are currently configured, a lot of the money for the program is going to come out of Medicare. Though I’m blessed with two great insurance programs (Medicare and a crackerjack PPO), I never asked for the Medicare. It was effectively forced on me in a convoluted arrangement with my disability insurance company. Having said that, Medicare has been pretty good to me over the years. It certainly works as well, or better in some cases, than the PPO.

Contrast this with the effect of a 40% reduction in Medicare payments, if the proposed healthcare bill is enacted. The money has to come from somewhere, and the biggest “pile” is directed at geezers such as myself (though I’m comfortably ensconced over on the left slope of that bell curve, thank you very much).

Am I looking forward to nationalized healthcare? Not on your life, or mine. When I seem to attract every odd and unlikely disease in existence, trusting a new government program is not the first thing that comes to mind (or what remains of it). Let us hope that the rumored failure of the bill is accurate.

Knife Nuts

Well, it just keeps getting stranger all the time. Like they told me in grad school, “When the going gets weird, the weird turn professional”. And so our government introduces this latest bit of foolishness that seems to be par for the course of late.

Seems that pocket knives are having their turn in the PC barrel as to whether they should be banned. Yes, banned, ie. You can’t have ‘em. I’m quite at a loss over what to say about this, which makes it a challenge to do a blog, but here goes.

gig-swiss-knife

That's not a knife. THIS is a knife! - $1005 worth

“Against stupidity, the gods themselves contend in vain.”

- Johann Schiller, 1759-1805

Customs is now considering banning pocket knives, and the date for comment is June 21st. Now the first thing that comes to mind is that there will certainly be a lot of us to enforce such a law against, and beyond the shear numbers of potential miscreants involved, there is the annoying little matter of the Second Amendment. I’ll admit that I never thought of the possibility of the Second Amendment applying to pocket knives (something about taking a knife to a gunfight comes to mind). It’s just one of those things that you’re not too concerned about because it doesn’t go bang, but where would you be without a pocket knife? I mean, I had one even when I was an airline pilot, which would probably get me put on some sort of domestic terrorist watch list now (if this blog hasn’t already qualified me). They’re such a handy little item that you can do all sorts of things with, trim you’re cuticles, slice crewmeal seals, clip newpaper articles, and open up the blog groupie fan mail. But that may all be in the past shortly. Soon, we may get a free trip to the Pokey for carrying one, on no less than a felony rap! Who woulda’ thought?

It’s truly amazing how far a lib government thinks they can push this slack-jawed lunacy. It was just recently that BATF tried to regulate amateur rocketry. My kids Cub Scout den was set to change their uniform to stripes. Rather a sad state of affairs when something as cretinous as pocket knife control is considered to be the proper roll of the federal government, but now it’s here.

One do wonder about the nation’s educational system, and who the government seems to be hiring. It’s all too obvious who the voters have been hiring.

Imposter Syndrome

sonia_sotomayor

“I am always looking over my shoulder, wondering if I measure up,”

- Judge Sonia Sotomayor

 Definition: The impostor syndrome is feeling that one hasn’t earned his or her achievements – that the achievements are the result of luck. It is very common among high achieving persons, particularly women, who worry that some day they will be “found out” – that others will discover that they really do not know what they are doing.

 

Well of course she thinks that. That’s what affimative action does to minorities. When she got into college, she had to ask herself if she got there because of her own abilities, or because of some sort of minority quota system. The same goes for her admission to law school. The same goes for her first job, and her first judgeship, and her next, and her nomination to the Supreme Court.

It’s a terrible thing, what’s been done to minorities that have abilities and may (or may not) be good at what they do. There’s always that irksome little crawly thing, back in the base of their brain that perpetually asks, “Did I get here because I’m really good at what I do, or because of some quota system?” It’s just a horrible, monstrous, castrating thing that’s been done to them.

Unfortunately, she will always be  looking back over  her shoulder. If she doesn’t ask that question of herself, she knows there are plenty of others that are. It’s a Faustian bargain that the Libs have made. She, as an individual may never have bought into it, yet she is saddled with it for the rest of her life.

Bastards!

Show Trial’s a’Comin’?

 

A recent web comment reflected an apparent Obama decision to forgo political show trials for member(s) of the previous administration. My response shows that I am less than convinced that it’ll “stick”.

Well, at least we have that. Surprising though.

Hmmm. Do we have that? I wonder.

I am not the only one that believes that Obama is more idealogue than pragmatist. With half the country despising him (conservative), and a wilting left side of the equation (liberal), it will be interesting to see whether he can tack to the center quickly enough to offset the loss on the left. Remember, it is early in his administration. He knows that public support is beginning to collapse as the economy implodes, and no degree of “pie in the sky” happy talk is going to stop that. He’s way overspent, and the stimulus package isn’t working (though only six percent of those stimulus packages have made it into the economy so far). The bulk of his/their profligacy isn’t due to be squandered till before the midterm elections. By that time the collapse will well and truly be a disaster.

He’s already setting the basis for vastly increasing taxes, though this is !exactly! the wrong thing to do in a faltering economy. Truly, he cannot raise taxes enough to make a dent in the debt that’s in the process of creation. Print more money? That’s a given, if the Chicoms allow it. When will the tsunami of inflation hit? I can’t tell you, but it’s coming as sure as the sun will rise. There’s not a solution now, even if he was a pragmatist. The only action available (as ineffectual as that is), is happy economic talk while all of the indicators accelerate downwards. What’s left? More happy talk and a desperate need to get the focus of the public off of the conflagration that is burning through the financial underpinnings that still give marginal support to what is left of an economy.

He is mentioning the previous administration more than he ever did, as the cause of the nation’s grief. I don’t think we’re out of the woods yet re. a show trial of some sort.

Consider, as the left sours on his desperate attempt to tack right, there’ll come a time when his total support trends south as well. That’s when the political showboating will begin in earnest.

A socialist will take your money.

A Marxist will arrest you.

A communist will kill you.

What “flavors” of leftism do you suppose we’ll witness over the next two years? This is the start of a great political “life lesson” for my children. They can see it coming. They’re already preparing for the economic dissection. Disasters teach.

National Socialism Comes To STL

Fox News via Youtubefaaspostersmallhandsup 

Knock Knock 

Who’s there? 

Gestapo! 

Gestapo who? 

We will ask the questions! 

I had thought that the Missouri troubles were finished, but now they seem to have reared their heads again, this time at Lambert (St. Louis International). I am not entirely convinced that this should be placed in the militia category, or a run of the mill cash seizure associated with suspected drug activity (it’s probably a combination of both). What I am convinced of, is that the incident at STL was a blatant violation of constitutional rights, since the TSA was freaked out enough to arrest the unfortunate traveler. 

It probably did not help matters at all that this fellow was carrying a stack of third party bumper stickers (!RON PAUL!). Given the militia memo discussed in the previous article, this seems to put the arrestee in a very suspicious light. Perhaps the TSA had read that memo. Who knows? 

This is what comes of conferring authority, without adult supervision. The incident, which would do Barney Fife proud, is reminiscent of the debacle that occurred in PHX (again with the TCA), in which Major/Governor Richard Bong was detained by the TCA for trying to carry his (horrors!) Congressional Medal of Honor onto the concourse. Again, another “Fife moment”. Does anyone take these “authorities” seriously? 

Airline professionals certainly don’t, and that’s a stone cold fact. Educational and performance standards are quite different between the two groups, which accounts for the low opinion. Truth be told, upper level law enforcement folks like the FBI and Secret Service have the same opinion of the TSA types. The hiring standards are just not the same, so this sort of foolishness is not unexpected. 

What’s interesting, if you listen to the 25+ minutes of the audio recording, is that the TSA folks become far less belligerent and more mannerly as they interface with non-TSA law enforcement types. Interesting, but perhaps not surprising. 

This all belies the illusion of security that our government is spending a lot of money on, but that’s another story.

Note: The full 25+ minutes is available via the icon below. 

 

The Missouri Militia, Which Ones We Talkin’ About?

frontiersman2

Missouri Militia

From a rather early age I’ve taken an interest in the militia. However, in recent years the term has taken on a rather odious meaning. But it was not always that way. In our nation’s founding documents, the militia is mentioned prominently. Consider the Second Amendment in our Bill of Rights. The militia is front and center. I won’t go into interpreting the Constitution lest someone mistake me for a lawyer and quite probably do me bodily harm.

All I’m trying to point out is that the militia is an honorable concept. Many state constitutions and statutes reference their particular form of the militia. And for those that contend the militia is the National Guard, that’s true, but it’s not the whole truth. In recent years it has “branched out”, and the original meaning of the word seems to have been lost. The increasing population of the historically challenged have felt compelled to apply the PC treatment to that venerable term – militia.

What follows is a letter I wrote to an official in the State of Missouri regarding a somewhat interesting memo that went out to their law enforcement folks. I’ve included a copy of the letter and the memo. It’s a little early to tell if I’ll get an answer, but when you send a courteous letter, you often get a response. We shall see what sort of fruit the following email bears (if any).

Note: It’s quite possible that the memo is a complete fabrication, and I’ve been duped! I actually hope that this is the case. Conversely, for a number of reasons, I’m also concerned that it is authentic. I’ll know soon enough.

Update 3-29-09

Well,  whaddaya’ know? Looks like Mr. Middleton’s article,  and the procedures at MIAC have been repudiated. New oversight has been implemented by the higher-ups. Still no reply from Mr. Middleton.  I may have to give up on this one.

  1. State drops warnings over ‘militia’ members


Dear Mr. Middleton,

I had an opportunity to read a circular titled, “MIAC STRATEGIC REPORT, 02/20/09, The Modern Militia Movement”, which had your email address in case a comment was offered.

While the report did not contain a great deal of new information regarding militias, and (in my opinion) it had quite a lot of information that wasn’t terribly pertinent to militia groups in general (like bumper stickers ?!?! What was that all about?), I found it to be a somewhat cursory review of the issues driving these disaffected groups. It would make a good basis for a more comprehensive article on the subject in the future, as I think we both agree it is an interesting subject.

I grew up in southeast Nebraska back in the 50′s, and had already left for college when Richardson County had some incidents with folks that referred to themselves as “militia” (you might check whatever law enforcement archives you have access to on this). From what I was able to gather, these folks sounded more like a group of organized homicidal criminals than what my understanding of a militia was. In any event, I didn’t worry about it since I didn’t live there anymore.

Later, as an airline pilot, I was engaged in a discussion in the pilot’s lounge with another pilot who was/is a resident of Missouri (back in the early 80′s). He was bemoaning the presence of these boorish militia members in his home state. I dredged up a bit of ancient knowledge and commented that it seemed like just about every able bodied citizen of the state of Missouri was considered to be a member of the organized or unorganized militia (I include a copy of Missouri Revised Statutes at the bottom of this email for your edification). While he was rather incredulous about this, he did stop me the next time he saw me passing down the concourse,  and thanked me for the civics lesson I had provided. Sure enough, he had looked it up and found he was also a member of the militia in Missouri and didn’t even know it. Whataya think about that?

I guess what I’m wondering about is this. Given that your office has circulated this article to Missouri law enforcement, how do you expect the officers of your state to distinguish between the “Unorganized Militia” (of which you are probably a member, according to 41.050), and the “militia” that this article was written about? The report neither mentions the legitimate unorganized militias, nor does it contrast the legitimate unorganized militia to the (apparently) illegitimate militia. Is there a possibility that there might be some confusion, on the part of Missouri law enforcement, as to the difference between these two entities that call themselves militias? Obviously, not all militias are bad, according to your state’s statutes which seems to encourage them.

I mean, if I was a civically inclined member of the “unorganized militia” within the Great State of Missouri, I might take a bit of offense if some member of law enforcement started asking around about me. Seems to me that the Coast Guard Auxiliary or the Civil Air Patrol might merit similar attention in that they are also a paramilitary organization operating within some states. What’s a conscientious law enforcement officer to do if no distinction has been drawn in an official report like the one you’ve sent out?

As one who’s paid some attention over the years to the militia within Missouri, might I suggest that a clarification regarding the difference between militia and the “unorganized militia” as specified in state law, be circulated to your state law enforcement folks?

Not trying to make trouble. Just asking the question. If you have the time, I would appreciate any commentary you might provide, to satisfy my own curiosity on this matter.

Regards!

Mark Stappenbeck

Missouri Revised Statutes

41.050. The militia of the state shall include all able-bodied citizens and all other able-bodied residents, who, in the case of the unorganized militia and the Missouri reserve military force, shall be more than seventeen years of age and not more than sixty-four, and such other persons as may upon their own application be enrolled or commissioned therein, and who, in the case of the organized militia, shall be within the age limits and possess the physical and mental qualifications prescribed by law or regulations for the reserve components of the armed forces of the United States, except that this section shall not be construed to require militia service of any persons specifically exempted by the laws of the United States or the state of Missouri.

I Sing The Body Electric 2

I’ve had a number of months to get used to this stimulator, and I must say it is a significant improvement over what I’d tried for the previous 20 years. Pharmaceutical approaches are a wonderful option, but it was always only partially successful for me. I wasn’t willing to go the opiate route, simply because I’m unwilling to accept the IQ handicap. There are a couple of other reasons I don’t use the stuff, and they’re named Daniel and Rachel. They deserve better than having that in the patriarchal mix.

Pretty Accurate Placement

Electrodes are too low here

One of my fondest hopes, was to be able to wean myself off of prescription drugs entirely. The last time I visited my pain doc, I told him I wanted to kick the vestiges of the drugs. Though receptive to my wishes, I got a raised eyebrow. He warned me that I might be successful initially, but that I would probably start hurting more than I expected. He was correct, sort of.

In any event, a titration schedule was worked up to reduce my dosages, and within a little more than a month I was off the prescription drugs. It was not without cost. Though some folks get depressed and suicidal coming off serotonin reuptake inhibitors, I didn’t find any of that. I was, however, really really cranky. I’m not talking about raising my voice (not my style, except with the kids). I’m talking about two weeks of being really irritable.  Now I know what it’s like to be the victim of raging hormonal imbalances. I mean, I should have worn a dress!

That aside, the aftermath of that emotional period has left me pharmacologically clean. It has also taught me that I’m in big trouble if the stimulator ever fails. One evening I was foolish enough to turn the stimulator off just before I went to bed.

Medtonics controller. Not yours!

Medtonic controller

Two hours later, from a dead sleep, I was reminded that adhesive arachnoiditis is a remarkably unpleasant disease. Stabbing, lancinating pain in the legs and feet is what woke me. Now, if I’d been back in the medicinal era, I’d have been in  a pickle. Realizing my error, and cursing my bad judgement, I reached for the remote and reactivated the stimulator. Within 4-5 seconds the pain disappeared. I’m not kidding. Scary effective.

I have new respect for Medtronic. Now if I could just get them to give up more on how their technology works, I’d be pretty happy. After all, I’m quite intimate with their product now. It’s a lot like having a chunk of their electronics installed inside my body……wait, it’s exactly like having a chunk of their electronics installed inside my body!

More on that in the next post.