Sarah Palin to Medical School

Erstwhile Alaska Gov and John McCain running mate Sarah Palin shown wearing a latex glove she’s just used to perform a digital rectal exam on a surprised supporter. “I believe in responsible health care for all Alaska’s citizens,” she pronounced, at the same time she told the red-faced woman that she should have a prostate biopsy.

Palin, who recently lamented that her parents and baby with Down Syndrome will have to step in front of a “death panel” under President Obama’s health care bill, has yet to reveal her future plans, but one can only assume she’s headed for medical school where, in all likelihood she’ll specialize in 'foot in mouth' disease.

If it ain't broke, don't fix it. If it is, fix it!

Factoring in costs borne by the government, the private sector, and individuals, the United States spends over $1.9 trillion annually on health care expenses, more than any other industrialized country.

Based on OECD analyses, the United States spends more per capita on health care than any other country, and has one of the highest growth rates in per capita health care spending since 1980 among higher income countries. The U.S. spent by far a higher share of its gross domestic product (GDP) on health care than any other industrialized country. Since 1980, the U.S. also has had among the highest average annual growth rates in per capita spending on health care. Despite this relatively high level of spending, the U.S. does not appear to provide substantially greater health resources to its citizens, or achieve substantially better health benchmarks, compared to other developed countries.

The United States spent 16 percent of its GDP in 2007 on health care, higher than any other developed nation. The nonpartisan Congressional Budget Office (CBO) estimates that number will rise to 25 percent by 2025.

A lot of people seem to believe that the reason the U.S. spends more than other countries is because we're a litigious society, i.e., they blame malpractice law suits. Others believe our health care costs more because it's more readily available (to those who can afford it). They claim people living in places with "socialized medicine" have to wait forever to see a doctor or have a procedure done. And yet a recent study by the John Hopkins School of Public Health found that neither one of these factors explain more than an insignificant fraction of the difference in health care costs. This study also showed that the U.S. citizens are paying more for comparable, or worse outcomes.

U.S. businesses, finding the cost of health care benefits for their employees too onerous, are out sourcing jobs overseas, and access to employer-sponsored health insurance has been on the decline.

No wonder it went bankrupt. General Motors covered more than 1.1 million employees and former employees, and the company said it spent roughly $5.6 billion on health care expenses in 2006. GM said health care costs added between $1,500 and $2,000 to the sticker price of every automobile it made.

There are some 43 million Americans without health insurance. Uninsured persons accounted for nearly one-fifth of the 120 million hospital-based emergency department visits in 2006. The absolute number of people using emergency rooms has gone up as much as 20 to 30 percent in the last six to eight months due to the recession and people losing their jobs. Handling health care in the ER is the most inefficient, lest effective way of addressing America's health needs. The cost of ER care for uninsured patients doesn't disappear. It strains hospital budgets and can be indirectly shifted onto families and individuals that do have insurance coverage in a "hidden tax" of higher premiums. Estimates put the hidden tax somewhere between $1,000 and $1,300.

Of course the true cost of a broken health care system is in the quality of care that's afforded American citizens. Yes, it's broken. Let's fix it!

Voting their Conscience

Just nine Republicans joined majority Democrats and the Senate's two independents to support Sonia Sotomayor's confirmation Thursday as the nation's first Hispanic Supreme Court justice. They included the Senate's few GOP moderates and its lone Hispanic Republican, retiring Sen. Mel Martinez of Florida, as well as conservative Sens. Lindsey Graham of South Carolina and Lamar Alexander of Tennessee, the party's third-ranking leader.

The National Rifle Association, which hadn't weighed in on Supreme Court nominations past, strongly opposed her and threatened to downgrade its ratings of any senator who voted to confirm Sotomayor. Republicans who were initially considered possible supporters later announced their opposition, citing gun rights as a key reason.

Of the GOP senators standing for re-election next year, all 12 voted against Sotomayor.

Of the seven GOPers likely to retire between now and '10, four -- Sens. Kit Bond (R-MO), Judd Gregg (NH), Mel Martínez (FL) and George Voinovich (OH) -- voted yes. Retiring Sens. Sam Brownback (R-KS), Jim Bunning (R-KY) and Kay Bailey Hutchison voted no. Brownback and Hutchison intend to run for GOV in their respective states.

Killing Grandma

In fact, section 1233 of the House bill would allow Medicare for the first time to cover patient-doctor consultations about end-of-life planning, including discussions about drawing up a living will or planning hospice treatment. Patients would, of course, seek out such advice on their own -- they would not be required to. The provision would limit Medicare coverage to one consultation every five years.

But that's not what the Republicans are telling you.

Former Republican lieutenant governor of New York Betsy McCaughey said on a radio show on July 16, that she had read the health care bill and discovered that "Congress would make it mandatory... that every five years, people in Medicare have a required counseling session that will tell them how to end their life sooner, how to decline nutrition, how to decline being hydrated, how to go into hospice care... all to do what's in society's best interest... and cut your life short."

House Republican Leader John Boehner (R-Ohio) and Republican Policy Committee Chairman Thaddeus McCotter (R-Mich.) put out a statement on the section of the bill in question, Section 1233, that said, "This provision may start us down a treacherous path toward government-encouraged euthanasia if enacted into law."

And then there's Rush Limbaugh. Here's what he said on his July 28th radio show, “People at a certain age with certain diseases will be deemed not worth the investment, and they will just as Obama said, they’d give them some pain pills, and let them loop out till they die and they don’t even know what’s happened." Well, Rush is someone we've got to pay attention to when it comes to popping pills.

End-of-life planning is critical. Everyone should be knowledgeable about things like directives to physicians/living wills, do not resuscitate orders, medical powers of attorney, and the like.

It's completely irresponsible of Republicans to fear monger about this.

Health Care in the United States of America

America's health care system is riddled with inefficiencies, excessive administrative expenses, inflated prices, poor management, medical mistakes, and inappropriate care, waste and fraud.

Middle class Americans can't keep up with rising health insurance costs and even those with insurance dread the prospect of some serious/prolonged medical event that ends up bankrupting them. People without health insurance flood hospital emergency rooms where hospitals are only reimbursed for the cost of care by charging their insured patients more.

The cost of employee health care plans hurts the competitiveness of America's business and industry, and drives jobs overseas.

The US spends more on health care by far than any other industrialized nation, and yet health outcomes for Americans are no better and in many case far worse that nations with universal coverage for their citizens. Health care spending accounted for 10.9 percent of the GDP in Switzerland, 10.7 percent in Germany, 9.7 percent in Canada and 9.5 percent in France. It was 17% of GDP in the United States and it continues to grow.

You'd think that our leaders in Congress, Democrats and Republicans alike, would be working hard to correct this situation. Not the Republicans, who are playing to the fears of their fringe constituencies. Thus, the misleading and even patently false claims about the Obama health care reform plan:

Under the Obama plan, our "grandmothers will be encouraged to commit suicide." Give me a break! The bill includes a provision to cover minimal counseling on directives to physicians for end of life care and other helpful planning provisions to ensure people get the information they need to make sound decisions about their care.

"The Democrats want the government to pay for abortions." Absolutely false. Where do these people get these crap? None of the health care overhaul measures that have made it through the committee level in Congress say that abortion will be covered, and one of them explicitly says that no public funds will be used to finance the procedure.

The Obama plan will "lead to rationing of health care." No reasonable analysis leads to that conclusion, but rational isn't what these claims are about.

Republicans are working hard to defeat health care reform, any health care reform, because, and Republican leadership has said this, they want to make health care reform President Obama's "Waterloo." That's right; they're more concerned about getting back at Obama than getting Americans decent health care. Shame on them!

Be sure to fact check anything you hear from the GOP (The Party of 'No') by going to Factcheck.org.

Watson Doomed By Clichés

Tom Watson’s bid to become the oldest player to win one of golf’s major championships, the British Open at Turnberry, was doomed from the start as TV commentators eager for a storied Open offered increasingly hackneyed clichés as the 59-year-old Watson took over the leader board in the first round and held it until the weight of one banal cliché after another finally crushed any hope he had of holing that last 10 ft putt on the last hole of the last round.

As Watson surveyed his putt a breathless TV commentor said, “He has a chance to make history for the first time,” and another said, “If I were his caddy I’d go over to him and put my arm around his shoulder and tell him, Tom, you’ve made a million of these putts in your career.” Now a move like that by Watson’s caddy, Neil Oxman, would surely have made history for the first time, and may even have raised Watson’s former long-time caddy, Bruce Edwards, from the dead – talk about making history!

As it turned out, TV commentators and newspaper writers alike had to settle for the colorless Stewart Cink, whose head resembles some of the Turnberry ‘greens,’ holding up the Claret Jug while they worked in Watson’s loss with Cink’s last name.

Sign in a Nairobi Restaurant

CUSTOMERS WHO FIND OUR WAITRESSES RUDE
OUGHT TO SEE THE MANAGER