Sunday, June 1. 2014
Like many if not most medical students, I spent some time at the VA hospital attached to the school. I did a thoracic surgery rotation and a psychiatry rotation there, at least. Also worked in their ER, which was inexplicably and redundantly separate from the general hospital's ER a block away.
The joint medical school-VA staff there were wonderful and more practically-minded than the full-time academics and researchers at the med school. They let us do things and procedures which the regular med center would never have let us do, and that was good experience. The patients, mostly WW 2 and Korea vets, but some Vietnam vets (they were still youthful and healthy then) were poor, on the whole, lacking in financial and overall life resources. There were plenty of veterans admitted to the regular medical center too but, at the time, I had no interest in how these systems worked.
Now I understand the the VA is plain old government medicine. Here's Charles Krauthammer, MD:
CHARLES KRAUTHAMMER: If you are non-ideological, if you brought in some experts and say how do you attack the problem right now? You give everybody on the list a voucher to go anywhere they want and they'll get their care within days. And if the budget won't hold it, then you do a separate appropriation. I can't see anybody in Congress who would oppose that. However, as you point out, this administration has been arguing for five years that the government knows best, it should allocate resources, and we won't even think of this.
And for the long-run, I think the question is this -- you know, this was started by Abraham Lincoln after the Civil War and at the time it made sense. But now that the country is so much larger, medicine is so much dispersed in areas of the country where there are other expertise. The budget for the VA is $85 billion a year, the number of patients is 6.5 [million] or so. Do the math. That's almost $10,000 a year per patient.
Why not have each of those vets get a voucher for $10,000 to purchase private insurance and to go anywhere? But of course an administration like this would never even contemplate that. But it is a question. If these problems are systemic and chronic, and they are from the bureaucrat structure of a government-run system, why wouldn't you contemplate voucherizing and privatizing it?
This article is good: Transform The VA Into A Pro-Growth Model For First Rate Health Care. There is no reason for the VA to exist today. It's an obsolete government program and does no favors to American vets.
In the NYT, Why License a Florist? It begins:
IN Minnesota, more classroom time is required to become a cosmetologist than to become a lawyer. Becoming a manicurist takes double the number of hours of instruction as a paramedic. In Louisiana, the only state in the country that requires licenses for florists, monks were until recently forbidden to sell coffins because they were not licensed funeral directors.
These regulations are not just unusual cases of state laws run amok but deliberate policies from one of the fastest growing labor market institutions in the United States: government licensing of jobs.
From Sultan's The "You Didn't Do That" Society:
Elliot Rodger was not a social problem. He was not a gun culture. He was not a national anything. He was an individual and individuals bear responsibility for their own actions. The left is expert at removing responsibility from individuals and assigning it to the culture at large. Every murder is a failure of society. And society fails every murderer, they insist. We are all murderers because we own guns or didn't vote for the right politicians who would have allocated more money to mental health treatment, school counseling or midnight basketball.
 I heard one, and finally saw him high in an Ash Tree, while working with an outdoor work team on Saturday morning.
Probably breeding around here, but possibly passing through. His call is said to resemble that of "a Robin who had singing lessons." Great description.
This not-uncommon Eastern songbird, which likes deciduous woodlands, is like a large finch. They are even known to visit bird-feeders sometimes. The male is dramatic, while the female looks like a large sparrow with a large beak.
You can read more about them, and listen to their song, here.
Reading Plutarch (especially in English), is a delight. Plutarch on Demosthenes.
When you read his biographies, you learn as much about Plutarch (c. 75 AD) as you do about his subjects. His somewhat-contrived Parallel Lives was a best-seller of its time, and it is still selling.
Acts 1:6-14
1:6 So when they had come together, they asked him, "Lord, is this the time when you will restore the kingdom to Israel?"
1:7 He replied, "It is not for you to know the times or periods that the Father has set by his own authority.
1:8 But you will receive power when the Holy Spirit has come upon you; and you will be my witnesses in Jerusalem, in all Judea and Samaria, and to the ends of the earth."
1:9 When he had said this, as they were watching, he was lifted up, and a cloud took him out of their sight.
1:10 While he was going and they were gazing up toward heaven, suddenly two men in white robes stood by them.
1:11 They said, "Men of Galilee, why do you stand looking up toward heaven? This Jesus, who has been taken up from you into heaven, will come in the same way as you saw him go into heaven."
1:12 Then they returned to Jerusalem from the mount called Olivet, which is near Jerusalem, a sabbath day's journey away.
1:13 When they had entered the city, they went to the room upstairs where they were staying, Peter, and John, and James, and Andrew, Philip and Thomas, Bartholomew and Matthew, James son of Alphaeus, and Simon the Zealot, and Judas son of James.
1:14 All these were constantly devoting themselves to prayer, together with certain women, including Mary the mother of Jesus, as well as his brothers.
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