Posted by Michael Kennedy on 21st July 2014 (All posts by Michael Kennedy)
Cash medical practice or, in the phrase favored by leftists critics, “Concierge Medicine,” seems to be growing.
Becker is shifting to a new style of practice, sometimes called concierge or retainer medicine. With the help of a company that has been helping physicians make such shifts for over 13 years, he will cease caring for a total of 2,500 patients and instead cut back to about 600. These patients will pay an annual fee of $1,650. In exchange, they will receive a two-hour annual visit with a complete physical exam, same-day appointments, 24-hour physician phone access, and personalized, web-based resources to promote wellness.
The article suggest that all these doctors choosing to drop insurance and Medicare are primary care. Many are but I know orthopedists and even general surgeons who are dropping all insurance.
The concierge model of practice is growing, and it is estimated that more than 4,000 U.S. physicians have adopted some variation of it. Most are general internists, with family practitioners second. It is attractive to physicians because they are relieved of much of the pressure to move patients through quickly, and they can devote more time to prevention and wellness.
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Posted in Big Government, Bioethics, Crony Capitalism, Health Care, Medicine, Politics, Science | 19 Comments »
Posted by Michael Kennedy on 12th July 2014 (All posts by Michael Kennedy)
Hamas has attacked Israel, first with the kidnapping of three teenagers, now with rockets aimed, for example, at Tel Aviv and its airport.
GAZA: Islamist Hamas’ armed wing has warned airlines that it intends to target Israel’s Ben Gurion International Airport with its rockets from Gaza and has told them not to fly there, a statement by the group said Friday.
So far, Israel’s Iron Dome antimissile system has been successful in intercepting those that are a risk to populated places.
Israel’s astonishingly effective Iron Dome air defense has prevented Hamas from killing Israeli Jews and spreading terror in the civilian population. Ironically, though, the better Iron Dome works, the less sympathy the rest of the world has for a nation that remains under rocket attack.
That sentiment is to be expected as even the Presbyterian Church is anti-Israel.
David Goldman, who has been writing as “Spengler” for years, reports on the situation in Israel.
the thumbnail version is that Hamas is making a demonstration out of weakness. Money is tight, 44,000 Gaza civil servants haven’t been paid for weeks, and the IDF did significant damage to its infrastructure on the West Bank after the kidnapping-murder of the three yeshiva boys. Netanyahu will look indecisive and confused, because he has to deal with an openly hostile U.S. administration on one side and his nationalist camp on the other. Time, though, is on Israel’s side: economically, demographically, strategically. The proportion of Jewish births continues to soar. The fruits of a decade of venture capital investing are ripening into high-valuation companies. And the Arab world is disintegrating all around Israel’s borders.
Israel has been in mortal danger for 50 years. They have survived and thrived. The Arab countries are collapsing into chaos. Iran is still a threat but its demographic future is grim.
There will be no Intifada on the West Bank: the Palestinian Arabs are older, more resigned and less inclined to destroy their livelihoods than in 2000. Syria and Iraq continue to disintegrate, Lebanon is inundated with Syrian Sunni refugees (weakening Hezbollah’s relative position), and Jordan is looking to Israel to protect it against ISIS. Egypt is busy trying to survive economically.
Israel is becoming a huge economic success under Netanyahu. Just think of our future had we elected his friend, Mitt Romney.
Obama promised a “pivot to Asia” but Israel may in fact be the one doing the pivot, leaving us in the dreary Socialist past.
Richard Fernandez notes that in the view of the world press and elites being rich makes you “white.” Everybody knows that white people, even if they are Asian like John Derbyshire’s Eurasian children, are the root of all evil.
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Posted in China, Current Events, International Affairs, Iran, Israel, Middle East, Obama, Terrorism, War and Peace | 37 Comments »
Posted by Michael Kennedy on 3rd July 2014 (All posts by Michael Kennedy)
I have been predicting this, especially since these polls.
Even the Washington Post has second thoughts.
Romney would hold a slight lead on President Obama if the 2012 election were replayed today, according to a new Washington Post-ABC News poll.
The poll of registered voters shows Romney at 49 percent and Obama at 45 percent in the rematch, a mirror image of Romney’s four-point (51-47) popular-vote loss in 2012.
Now, we have this.
What can I say except I told you so.
Will Romney be different from these other failed nominees? Could he defy the odds and make a comeback presidential bid capturing the GOP nomination after all the doubt, second-guessing and blame that accompany such a loss? According to the latest Quinnipiac poll, many Americans seem to think so—45 percent of voters said the United States would be better off today with Romney as president.
I donated more to the Romney campaign than I have in any other election and I was a volunteer for McCain in 2000.
I told you so. I think there is a case that the 2012 election was stolen.
The knowledge that the 1960 election was probably stolen helped Nixon in 1968. That and the failure of the Johnson Administration in Vietnam. Anyway, I have been predicting this for a while at Althouse and I can’t remember if I have posted this opinion here. Obama, with the time he has left, will make this more and more attractive. I thought we were doomed after 2012. I still think so but maybe I was wrong. The Megyn Kelly interviews with Bill Ayers might even help although she never got into the Ayers-Obama relationship.
I just hope we avoid the worst of the blowback from inept foreign policy before 2016.
More. This is amazing.
All this is weird, unprecedented. The president shows no sign—none—of being overwhelmingly concerned and anxious at his predicaments or challenges. Every president before him would have been. They’d be questioning what they’re doing wrong, changing tack. They’d be ordering frantic aides to meet and come up with what to change, how to change it, how to find find common ground not only with Congress but with the electorate.
Instead he seems disinterested, disengaged almost to the point of disembodied. He is fatalistic, passive, minimalist. He talks about hitting “singles” and “doubles” in foreign policy.
“The world seems to disappoint him,” says The New Yorker’s liberal and sympathetic editor, David Remnick.
Posted in Big Government, Civil Liberties, Crony Capitalism, Current Events, Elections, Health Care, Middle East, Obama, Politics, Polls, Predictions | 25 Comments »
Posted by Michael Kennedy on 21st June 2014 (All posts by Michael Kennedy)
Overboard by Hank Searls
This is one of several cover designs for this book, written in 1977. Much of the non-sailing information in the book is dated badly. The protagonist is a lawyer who wins a medical malpractice judgement of $1.5 million, “The largest judgement in California history.” Obviously that is dated.
The novel opens when the wife falls overboard. She gets up to check for traffic in the night and does not fasten her safety belt although she knows she must. A simple moment of carelessness and she is in the water. They are between Tahiti and Bora Bora in the Society Islands. They have been cruising for months. The backstory is told in flash backs.
Mitch the husband is a sailor who navigates for her father, a racing skipper who is getting old and is too competitive for Mitch. Mitch was a pre-med student in college who switched to pre-law and graduated from Boalt Hall, the UC law school. Lindy, his wife, did not finish college as she became pregnant with their oldest child at age 18. The two children are rather aimless in the way many college age children were in the early 70s.
Mitch is sailing with her father on San Francisco Bay, the author is rather contemptuous of racing, when he sees a Colin Archer ketch crossing the race course and nearly colliding with them as her father refuses to give way to the right-of-way boat until Mitch forces the helm over. He is entranced with this beautiful cruising ketch and spends considerable time searching for it and the owner.
A Colin Archer ketch under full sail.
As a racer myself, I am not enamored of Colin Archer designs as they are very slow sailers. San Francisco with its 25 knot afternoon breeze, would be a good place for one. Mitch searches for the ketch and, finally, Lindy’s father Shawn tells Mitch he knows where the boat is in a yard in Sausalito. Mitch goes to the yard and finds the owner, a salty old boatbuilder who looks like he has lost weight, possible due to illness, and who is very reluctant to sell. The discussion of what a buyer should look for and how a builder might feel about his boat are all authentic. The discussion ends with a tentative decision to sell.
Mitch is a trial lawyer and is suing a young doctor in a case where the patient suffered catastrophic injury but the doctor may not have been at fault. He is tortured by his conscience as his father was a surgeon (as was Searls’ father) and he dreads the censure of other doctors. The malpractice crisis was just arriving as this book was published. He wins the case but decides to quit and go cruising with his new boat. His wife is a reluctant first mate but is gamely enthusiastic.
The story alternates flashbacks with the present crisis of the wife overboard. Part of the story is told from her point of view in the water and part from his point of view as he searches desperately for her. There is an undercurrent that she was not enthusiastic about going cruising and she has had a probable affair with a fictional character who is obviously Bernard Moitessier, a famous yachtsman who circumnavigated several times, most notably in a single handed round the world race which he was leading near the finish when he decided to quit and sail to the south Pacific instead of to the finish in England.
The author, who lived aboard his own yacht for many years, has many novels to his credit and many movies including Jaws2. Searls also wrote the novelizations for the films Jaws 2 (1978) starring Roy Scheider and Murray Hamilton and Jaws: The Revenge (1987) starring Michael Caine and Lorraine Gary.
His meticulous research is famous among writers. Born in 1922, he is too old to be living aboard although he was when he wrote “Overboard.” In 1988, he was ashore, probably for good.
The couple now share a cozy, two-bedroom condo overlooking a golf course in Newport Beach. One bedroom serves as Searls’s office, and there he begins work each day shortly after 6:30 a.m. A nearby garage holds cartons of research materials, and a rented storage room several miles away contains 700 cubic feet of carefully labeled files—enough for “five different novelists,” he says. Although Searls is “easy to live with,” says Bunny, “he’s always researching, even if we go away on vacation.”
The story is authentic in every respect I can find and I have been sailing since the 1950s. I even gave serious thought to taking six months off from my medical practice to go cruising in the late 1970s, about the same time as this story. The story is a bit of a downer compared to “Trustee from the Toolroom” but the details of sailing are excellent and the story is very plausible, which “Trustee” lacks a bit. A view of the movie I made of the 1981 Transpac will show that we were almost completely negligent in the matter of safety harnesses but we were a full crew. A single or double handed boat crew at night is almost suicidally careless to ignore safety gear. When we were in heavy weather, we always wore safety harnesses. In a small hurricane in 1977 off Mexico, we spent the night in swim trunks and safety harnesses with the wind at 60 knots plus like a hot shower.
The book is an authentic tale of sailing in the days before satellite telephones and GPS.
Posted in Book Notes, Nautical Book Project | 6 Comments »
Posted by Michael Kennedy on 12th June 2014 (All posts by Michael Kennedy)
Trustee from the Toolroom By Nevil Shute
This novel tells of a lifetime adventure by a man whose life had avoided adventure thus far. Keith Stewart spent the Second World War working as a “fitter” or machinist in defense industry. There he met his wife Katie and they bought a home in West Ealing, a suburb of London where Shute the author once lived and which he uses often as a setting. After the War, they settled down and Keith eventually quit his job and began a career as a technical writer for a small magazine that catered to hobbyists who made miniature machinery, like small steam engines. The magazine was called “Miniature Mechanic” and developed a world wide circulation and many devoted fans of Keith’s writing.
Keith had come from an impoverished childhood in Scotland and had one sister named Jo. Jo had raised herself socially by marrying a Royal Navy officer who came from a noble family that was quite wealthy. They had a daughter, Janice, who, at the time of the novel is nine years old. Jo’s husband, John Dermott, has taken early retirement from the Navy and they want to emigrate to Canada. Post-war England is a dreary place, a theme in several of Shute’s novels. One problem of post-war England is that currency controls severely limit funds that may be taken out of the country even on holidays. As late as the 1960s, I remember friends of my in-laws who were dependent on their American friends for travel to the US. Jo and her husband, John, have decided to smuggle their assets out of the country to Canada by converting them to diamonds and secreting the diamonds in the keel of their small sailboat, which they will sail to Canada. Keith helps them, not knowing the purpose, by setting a jewel case into the keel for them. They tell him that this just contains a few of Jo’s jewels they want to take. While they are gone, a matter of six months or so, they will leave Janice with Keith and Katie who have no children of their own. They don’t like the fast life of John’s relatives even for six months and know that Keith and Katie will always be living in the same house and will provide a quiet place for their daughter until they can send for her.
They leave England a bit later than they had planned because they had to get Janice settled and they want to visit Tahiti on the way. Small boat sailing does not follow a great circle course like a ship and Shute knows about sailing from his own experience with his sailboat before the war. A course from the Panama Canal to Canada could very well include Hawaii on the way. The side trip to Tahiti should add a month or so but is well within the capability of a small sailboat. The problem with the late departure is that they have gotten into hurricane season in the southern hemisphere. They encounter a hurricane in the vicinity of the The Tuamotus archipelago a very large group of small islands and atolls east of Tahiti. The islands are low, just above sea level and were a terrible hazard before GPS made navigation more exact. The description of the hurricane and how they deal with it is quite good. I have sailed a small boat (38 feet) through a small hurricane off Mexico. The one they encounter is much larger and it forces them down onto the lee shore of one of the Tuamotus islands. As they realize their predicament, they reassure themselves that Keith will take care of their daughter but then they also realize that all her inheritance is in the sailboat with them.
Keith is notified of their loss by the solicitor who also learns that their assets have been sold. Keith discovers from him about the law banning asset emigration and has some serious thinking to do. He is the trustee and, once he gets more detail about the wreck, suspects that the keel and the diamonds are embedded in the reef that destroyed the sailboat. What can he do ? He has only a small salary and Katie has to work in a shop to support their frugal life. If the diamonds cannot be found and returned, Janice will have to go to the council school and get a job at age 15 like other girls in Keith’s circumstances. He discusses his situation with his publisher who offers a small advance on his salary, an inadequate proposal. He is unable to ask for help because the diamonds were smuggled out of the country and would be confiscated.
He calls on a man he knows through modeling who works for a freight airline. They offer Keith a free trip to Hawaii as an engineer “under instruction.” That will get him half way to his goal and he decides to try it. Once in Hawaii, he finds there are no commercial passages to Tahiti except airline travel which he could not afford. His only possibility is to sail with an illiterate fisherman who has sailed from Oregon in a boat he built himself. Against all the advice of the people he knows, he decides he must do this. What follows is a sailing adventure as the “pasty faced” man with no sailing experience and in the condition one would expect with a sedentary occupation, must learn to sail and navigate while concealing the true purpose of his quixotic quest for his sister’s resting place. From this point it becomes a sailing adventure and then there is more engineering as others come to his aid. It is a very satisfying novel and has been criticized because the characters are unrealistically good and help each other but I find it reassuring when I think I am getting too cynical.
Posted in Book Notes, Human Behavior | 11 Comments »
Posted by Michael Kennedy on 10th June 2014 (All posts by Michael Kennedy)
The Shipkiller by Justin Scott.
This is a great adventure novel that is marred only by the fact that it was written 35 years ago when the Shah of Iran was still in power. The story is of Peter Hardin, a doctor who has invented the digital thermometer. He has retired and he and his wife, Carolyn, have decided to sail their ketch across the Atlantic to England. They are relaxing on a sunny afternoon in the Western Approaches to the Channel when their yacht is run down by a monstrous tanker called “Leviathan” which is enormous and is run recklessly because it carries millions of gallons of crude oil from the Persian Gulf to Europe, which makes it immune to admiralty law. The captain is impervious to criticism because no one else can sail this enormous ship. He and it are above the law.
Hardin’s wife is lost and he washes up on the beach of southern England where he is found and revived by a beautiful Nigerian woman doctor. He is disconsolate and, after his recovery, decides to try to prosecute the captain for not maintaining a lookout while running his ship too fast in restricted waters. That fails and Hardin eventually tries to physically attack the captain which gets him arrested. He finally comes to the conclusion that he has no alternative but to attack the ship, itself.
After he has recovered from his injuries he buys a Swan 38, a gorgeous and fast yacht similar to the one I sailed through a hurricane in 1977. It is fast as a witch and will withstand almost any heavy weather. I sailed mine through a small Mexican hurricane, called a “Chubasco.” Wikipedia calls them “violent squalls” but the one we sailed thorough lasted 12 hours and had wind speed above 60 knots where our wind speed indicator pegged.
He sails it to Europe and buys a Dragon anti-tank missile from an alcoholic soldier in Germany. He conceals the missile in a pod he has constructed and attached to the keel of his yacht. He returns to England where his boat is searched by the authorities who are suspicious of him but the concealment works and it is not found. He plans to follow Leviathan to the Cape of Good Hope at the bottom of South Africa where he will kill it with the missile. All ships rounding that Cape must follow the same narrow course and he should be able to find it.
An Israeli agent learns of his plan and offers to help with the location of the tanker. Hardin has no choice but to accept his help to avoid betrayal. The Nigerian doctor, the daughter of an senior army officer in Nigerian, asks to go with him as far as west Africa and he agrees. They develop a strong attraction during the voyage and she learns of his obsessions with the tanker. His memory of his dead wife prevents him from accepting her love and he goes on with his quest. As they near the point where he must drop her off, she finds the missile and asks to go with him. Again, he is caught between the risks to her and the risk she will turn him in. They continue and she asks him where they are going now. His answer is Winter ! The Cape in winter is a fearsome place, risky even for a ship the size of Leviathan.
The story is gripping and will hold the attention of anyone familiar with sailing. It is probably the best sailing novel I have read. The detail is excellent and the plot is well done, although dated. The author knows sailing and fast sailboats. It has a bit of the tone of an Alistair MacLean novel where the protagonist overcomes repeated and monumental obstacles. The sailing part is great.
Posted in Book Notes, Middle East, Nautical Book Project | 6 Comments »
Posted by Michael Kennedy on 5th June 2014 (All posts by Michael Kennedy)
The world got a little more bizarre this week. President Obama worked a trade that involved releasing five serious Taliban leaders in return for the freeing of an army deserter from Afghanistan. Bowe Bergdahl was a private who seems to have walked away from an outpost in Afghanistan and ended up with the Taliban. There are a number of stories surfacing from other members of his unit about his departure.
The handling of the announcement has drawn considerable criticism from conservatives.
The story of how the Bergdahls ended up at the White House is pure turnip-truck territory. According to Time:
Their presence at the White House on Saturday was the apparent product of coincidence: the couple had visited the capitol for a Memorial Day event and then stayed in town for meetings in Congress. Had they been at home in Idaho when the deal was announced, they likely would not have flown to Washington to appear with Obama—and a key visual element of the drama, replayed endlessly on television, might not have occurred.
Does anyone believe that ?
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Posted in Afghanistan/Pakistan, Iraq, Islam, Middle East, National Security, Obama | 38 Comments »
Posted by Michael Kennedy on 30th May 2014 (All posts by Michael Kennedy)
A new book by a retired army general explains that we lost the Iraq and Afghanistan wars. Why ?
I have had reservations about Iraq for years, at least since 2008.
When President Bush convened a meeting of his National Security Council on May 22, 2003, his special envoy in Iraq made a statement that caught many of the participants by surprise. In a video presentation from Baghdad, L. Paul Bremer III informed the president and his aides that he was about to issue an order formally dissolving Iraq’s Army.
I think that decision probably lost the post-invasion war. The other puzzle that was not explained until the recent book, Days of Fire explained it, was why Bremer was put in place of Jay Garner, who had done well with the Kurds.
Garner began reconstruction efforts in March 2003 with plans aiming for Iraqis to hold elections within 90 days and for the U.S. to quickly pull troops out of the cities to a desert base. Talabani, a member of Jay Garner’s staff in Kuwait before the war, was consulted on several occasions to help the U.S. select a liberal Iraqi government; this would be the first liberal Government to exist in Iraq. In an interview with Time magazine, Garner stated that “as in any totalitarian regime, there were many people who needed to join the Baath Party in order to get ahead in their careers. We don’t have a problem with most of them. But we do have a problem with those who were part of the thug mechanism under Saddam. Once the U.S. identifies those in the second group, we will get rid of them.
Had Garner continued with that policy, we might have been out of the cities in a few months instead of years, as was the case with Bremer.
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Posted in Afghanistan/Pakistan, Book Notes, History, Iraq, Middle East, Military Affairs, Obama, Russia | 70 Comments »
Posted by Michael Kennedy on 22nd May 2014 (All posts by Michael Kennedy)
The activities of the Obama administration have progressed into Mafia territory the past five years. I never thought things could change this fast but it seems I was wrong. The latest example ?
Soon after the US Government sold the last of its stake in General Motors, the company began to announce a huge number of recalls. These safety defects were known for years but unreported until the federal government sold its interests, at a huge loss of course.
Taxpayers, drivers, and investors who assumed the government would never fail to disclose rampant safety problems in a company it owned can rest easy, though. Instead of investigating fatally flawed GM components while the U.S. government was the company’s largest single owner, the NHTSA was busy harassing Toyota — one of GM’s top competitors — for an alleged malfunction that led to “unintended acceleration” in Toyota vehicles. Toyota was fined and eventually bullied into recalling 8 million vehicles over the issue.
Toyota is probably the safest, highest quality auto maker in the world. I drive one and have bought Toyotas for my daughter.
And what was the final result of the NHTSA investigation?
Many drivers may have confused the gas and brake pedals a problem that may account for “the vast majority” of the unintended acceleration incidents the agency investigated, NHTSA deputy administrator Ron Medford said at Tuesday’s NHTSA press briefing.
“What mostly happened was pedal misapplication where the driver stepped on the gas instead of the brake or in addition to the brake,” Medford said.
The Toyota cases were always about driver error, not safety of the auto. Only the trial lawyers and a complacent government permitted this raid on a company to proceed.
Is that the only case ?
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Posted in Big Government, Crony Capitalism, Current Events, Health Care, Morality and Philosphy, Obama, Politics | 87 Comments »
Posted by Michael Kennedy on 24th April 2014 (All posts by Michael Kennedy)
I have been unhappy about our role in Afghanistan for several years. This goes back to at least 2009. Then there was this.
Watching the last two weeks or so in the White House, gives me the sense that the decision is going to be the wrong one. There are three possible choices that Obama has; one is to take his hand-picked general’s advice and send 40,000 more troops. It will stress our military and the logistical challenges are serious. Afghanistan is land-locked and the neighbors are not friendly. Russia will try to create problems, as they already have in Kyrgyzstan. They do not want us to succeed yet they may fear total failure. In the meantime, they are making serious trouble.
And then, this development.
it’s an open secret the Taliban are headquartered across the border in the city of Quetta, Pakistan, where they operate openly under the aegis of Pakistani intelligence — and the financial sponsorship of the Saudis.
Sending more troops to Afghanistan is a necessary, albeit unfortunate, rear-guard action against marauding Taliban fighters armed, trained, supplied and deployed from Quetta — and funded from Riyadh.
NATO and U.S. military command know this. They’ve complained about it over and over in military action reports. So have Treasury officials regarding Saudi funding of the Taliban.
“Saudi Arabia today remains the location where more money is going to terrorism — to Sunni terror groups and the Taliban — than any other place in the world,” testified Stuart Levey, Treasury undersecretary.
This is Viet Nam all over again. The enemy has a sanctuary and our allies are siding secretly with our enemies.
Well, today, there is another bit of information
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Posted in Afghanistan/Pakistan, Big Government, Conservatism, Current Events, Education, Immigration, Middle East, Statistics | 44 Comments »
Posted by Michael Kennedy on 20th March 2014 (All posts by Michael Kennedy)
The college scene is all agog about rape culture. How do we know if it is a problem ?
It’s a phrase you hear a lot. But, what exactly does it mean? Is there one general definition? Not necessarily. In many ways the phrase evokes the famous Supreme Court comment about obscenity from Potter Stewart, “I know it when I see it.”
And, you don’t have to look far to see examples of rape culture these days. Whether it’s advertising, movies, music videos or social media — images, words, concepts — it’s all out there illustrating men dominating women.
So, now we know the problem. It is men.
Popular movies are strewn with plots of men with the sole purpose of having sex. In the movie “American Pie,” the entire plot of the film revolves around teenage boys wanting to throw a party so they can get girls drunk and have sex with them.
That movie was when ? Well, it was 1999. That was 15 years ago, wasn’t it ? How old were these activists then ?
It’s also been stated by writer Adam Herz that the title also refers to the quest of losing your virginity in high school, which is as “American as apple pie.” So, it wasn’t just about girls losing virginity ?
How about porn star/student, Belle Knox ?
Despite the ordeal, Knox said she plans to continue both her porn work and her classes at Duke. In interviews, she frequently mentions working to increase the rights of sex workers.
“I really want to break down barriers,” Knox said. “I want to change peoples views on sex work. … I mean, I was the first porn star to go on ‘The View.’ This is really exciting for me.“
She complains about the publicity and the reaction of others but “This is really exciting for me.” Feminism 2014 version. Another porn star success story.
Ph.D. program in sociology at the University of Nevada, Las Vegas. She does cam work, some porn, stripping, and some fetish work. Unlike Knox and L., Parreira is out about her sex work. “The department seems to be a sort of hub for sex workers and sex work research, so it has been a non-issue,” Well, that’s a relief.
Now, back to rape culture. Maybe it’s a tiny bit exaggerated ?
An early sign of an obsession with “rape culture” on campus occurred at Duke during the lacrosse case. In April 2006, in a 2000-plus word statement that declined to mention the presumption of innocence, Duke president Richard Brodhead created a “Campus Culture Initiative,” to explicate and “confirm [emphasis added] the existence of a dominant culture among Duke undergraduates.” There was, of course, no rape, but the CCI proceeded along as if there were, operating under the Orwellian slogan that “diversity makes a more excellent university.”
The Duke LaCrosse team case is a horrible example of leftist agitation in action. The whole story is here. Briefly, a hysteria descended on the Duke University campus after a stripper, later convicted of murder, accused the La Crosse team of a gang rape. The young men of the team were immediate demonized by the usual suspects of campus radicals. Fortunately, the boys came from families that could afford good lawyers.
The immediate frenzy followed the usual script.
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Posted in Academia, Civil Society, Education, Human Behavior | 15 Comments »
Posted by Michael Kennedy on 5th March 2014 (All posts by Michael Kennedy)
UPDATE #2: Investor’s Business Daily agrees about the best response to the Russian invasion of Crimea.
The West’s best Russia policy is a bold energy policy.
Russia’s economy is barely growing and is increasingly dependent on energy production. Oil and gas account for more than half of Russia’s federal tax revenues and about 75% of total exports. Three-fourths of natural gas shipments go to Europe. Europe is dependent on Russia, but the tables are starting to turn.
Drill, Baby, Drill ! Plus LNG exports.
UPDATE: Michael Totten has an update on Crimea.
The new ruler is a former gangster whose street name was “Goblin.”
Lawmakers were summoned, stripped of their cellphones as they entered the chamber. The Crimean media was banished. Then, behind closed doors, Crimea’s government was dismissed and a new one formed, with Sergey Akysonov, head of the Russian Unity party, installed as Crimea’s new premier.
It if was a crime, it was just the beginning. Akysonov’s ascent to power at the point of a gun presaged all that has happened since — the announcement of a referendum on Crimean independence and the slow, methodical fanning out of Russian forces throughout the peninsula, ostensibly to protect Russians here from a threat no one can seem to find.
But here’s the most interesting bit: Aksyonov’s sudden rise as Moscow’s crucial point man in Crimea has revived simmering allegations of an underworld past going back to the lawless 1990s, when Akysonov is said to have gone by the street name “Goblin,” a lieutenant in the Crimean crime syndicate Salem.
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Posted in Europe, Germany, History, International Affairs, Military Affairs, Obama | 37 Comments »
Posted by Michael Kennedy on 27th February 2014 (All posts by Michael Kennedy)
UPDATED to correct the author of the essay.
This essay by Mike Lofgren on Bill Moyers’ web site, is interesting. It has the usual leftist slant of Moyers on the topic but also includes many good observations. Lofgren is also a very interesting guy. He spent 28 years as a Republican staffer. From 1995 to 2004, he was budget analyst for national security on the majority staff of the House Budget Committee. From 2005 until his retirement in 2011, Lofgren was the chief analyst for military spending on the Senate Budget Committee. The Democrats took The House in 2006 and the Senate Majority from 2001 to 2003 and then since 2007. If he was on the Budget Committee of the Senate, he must have been a staffer for the Democrat majority, as well.
he was “appalled at the headlong rush of Republicans to embrace policies that are deeply damaging to this country’s future; and contemptuous of the feckless, craven incompetence of Democrats in their half-hearted attempts to stop them.” He charged that both major American political parties are “rotten captives to corporate loot”, but that while Democrats are merely weak and out of touch, the Republican Party is “becoming more like an apocalyptic cult”. Lofgren and Moyers are both leftists but Lofgren has had an interesting odyssey.
There is the visible government situated around the Mall in Washington, and then there is another, more shadowy, more indefinable government that is not explained in Civics 101 or observable to tourists at the White House or the Capitol. The former is traditional Washington partisan politics: the tip of the iceberg that a public watching C-SPAN sees daily and which is theoretically controllable via elections. The subsurface part of the iceberg I shall call the Deep State, which operates according to its own compass heading regardless of who is formally in power. 
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Posted in Big Government, Civil Society, Conservatism, Current Events, Leftism, National Security, Politics | 11 Comments »
Posted by Michael Kennedy on 14th February 2014 (All posts by Michael Kennedy)
UPDATE #2: The western bloc is growing while the Atlantic bloc stagnates.
Venezuela, Brazil and Argentina are languishing in differing shades of turmoil, steadily losing ground to regional underdogs. The Pacific Alliance, an historic trade agreement between Mexico, Peru, Chile, and Colombia (and coming soon: Costa Rica), has the potential to recolor Latin America’s economic map and introduce some new regional powerhouses to the world stage.
Four nations are developing an initiative that could add new dynamism to Latin America, redraw the economic map of the region, and boost its connections with the rest of the world—especially Asia. It could also offer neighboring countries a pragmatic alternative to the more political groupings dominated by Brazil, Cuba, and Venezuela.
UPDATE: More on the role Cuba is playing in Venezuela now.
Belmont Club has a good post today on the collapse of Venezuela. The car manufacturers have announced they are closing their plants.
Toyota Motor Co. said it would shut down its assembly operations in Venezuela due to the government’s foreign exchange controls that have crippled imports and made it impossible to bring in parts needed to build its vehicles.
The country’s other car manufacturers, including General Motors and Ford, haven’t even started operations this year, while waiting for needed parts to arrive.
The oil field workers left years ago when the Chavez government cut oil workers’ pay.
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Posted in Americas, Civil Liberties, Cuba, International Affairs, Iran, Latin America | 20 Comments »
Posted by Michael Kennedy on 4th February 2014 (All posts by Michael Kennedy)
I have believed for some time that we were entering another Depression. I have previously posted about it.
The Great Depression did not really get going until the Roosevelt Administration got its anti-business agenda enacted after 1932. The 1929 crash was a single event, much like the 2008 panic. It took major errors in economic policy to make matters worse. Some were made by Hoover, who was a “progressive” but they continued under Roosevelt.
I posted that statement earlier and it got a rather vigorous rebuttal. I still believe it, however. I think a depression is coming soon. What is more, I am not the only one. Or even only one of two.
The second article preceded the election of 2012 but is still valid.
When employment hit an air pocket in December, most analysts brushed off the dreadful jobs number as an anomaly, or a function of the weather. They chose to believe Ben Bernanke rather than their lying eyes. It’s hard to ignore a second signal that the U.S. economy is dead in the water, though: on Monday the Institute for Supply Management reported the steepest drop in manufacturing orders since December 1980:
In January, only 51% of manufacturers reported a rise in new orders, vs. 64% in December. Not only did the U.S. economy stop hiring in December, with just 74,000 workers added to payrolls; it stopped ordering new equipment. The drop in orders is something that only has occurred during recessions (denoted by the shaded blue portions of the chart). The Commerce Department earlier reported a sharp drop in December orders for durable goods. In current dollars, durable goods orders are unchanged from a year ago, which is to say they are lower after inflation.
So, the economy stopped hiring, even at the poor pace the past five years have seen, but business also stopped buying.
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Posted in Big Government, Britain, Business, Health Care, Obama, Politics, Taxes, Tea Party, Urban Issues | 33 Comments »
Posted by Michael Kennedy on 26th January 2014 (All posts by Michael Kennedy)
UPDATE: I don’t seem to be the only one worried about a 1914 situation.
China’s current coercion of Japan over the islands is but a symptom of a larger illness in the international system. China has been leveraging its naval modernization to increase its movements through the seas and choke points surrounding Japan to break out into the Pacific. Last November, for example, flotillas of People’s Liberation Army (PLA) Navy destroyers and submarines backed by air power encircled Japan for the first time, as PLA officers bragged about splitting and demolishing the first island chain. China is changing the regional balance with little resistance from the United States. Counter to Chinese public claims of surprise at a U.S. “overreaction,” recent discussions with Chinese officials over Beijing’s December air defense identification zone announcement suggests that the United States’ response was much weaker than the response the Chinese leadership had expected.
This is worrisome.
Last month I posted an observation that another world war may be coming. I noted that this summer is the 100th anniversary of the First World War and that the present situation is similar to that which preceded the 1914 war. I may not be the only one.
I concluded last month’s post as follows: The “two Ps” are Pakistan and the Palestinians. We live in an incredibly dangerous era and we are seeing an American president who does not understand geopolitics. God help us.
A recent column provided from someone attending the Davos Economic Forum discusses yet another potential fuse that is sputtering.
During the dinner, the hosts passed a microphone around the table and asked guests to speak briefly about something that they thought would interest the group.
One of the guests, an influential Chinese professional, talked about the simmering conflict between China and Japan over a group of tiny islands in the Pacific.
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Posted in China, Europe, History, Middle East, Obama | 20 Comments »
Posted by Michael Kennedy on 21st January 2014 (All posts by Michael Kennedy)
The catastrophic launch of Obamacare and its continuing problems has been decried as “Stalingrad for the Democrats.” I tend to agree but there is another issue coming soon that is “a cloud no bigger than a man’s hand.” It is Amnesty for illegal aliens and it is coming to a Republican Party near you.
Mickey Krause, one of the last blue dog Democrats thinks it will be a sellout.
The coming weeks will see the formal start of the GOP House leadership’s attempt to sneak an immigration amnesty through the Republican caucus and into law. We don’t know the exact details of the proposals, but we know enough:
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Posted in Business, Immigration, North America, Politics, Tea Party | 9 Comments »
Posted by Michael Kennedy on 18th January 2014 (All posts by Michael Kennedy)
The CMS has a new contractor for Obamacare, not just the web site. The previous contractor, CGI Federal, has been replaced rather suddenly.
“Accenture, one of the world’s largest consulting firms, has extensive experience with computer systems on the state level and built California’s large new health-insurance exchange. But it has not done substantial work on any Health and Human Services Department program.
“The administration’s decision to end the contract with CGI reflects lingering unease over the performance of HealthCare.gov even as officials have touted recent improvements and the rising numbers of Americans who have used the marketplace to sign up for health coverage that took effect Jan. 1.”
CGI Federal is the company connected with Michelle Obama through her classmate, a fellow Princeton alumna.
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Posted in Big Government, Economics & Finance, Health Care, Management, Medicine, Politics | 18 Comments »
Posted by Michael Kennedy on 5th January 2014 (All posts by Michael Kennedy)
The New Yorker has an interesting short piece about al Qeada, this week by Lawrence Wright. It concerns the recent court rulings about NSA metadata collection.
Judge Pauley invoked the example of Khalid al-Mihdhar, a Saudi jihadist who worked for Al Qaeda. On 9/11, he was one of the five hijackers of American Airlines Flight 77, which crashed into the Pentagon. In early 2000, Mihdhar made seven calls from San Diego to an Al Qaeda safe house in Yemen. According to Pauley, the N.S.A. intercepted the calls, but couldn’t identify where Mihdhar was calling from. Relying on testimony by Robert Mueller, the former director of the F.B.I., Pauley concluded that metadata collection could have allowed the bureau to discover that the calls were being made from the U.S., in which case the bureau could have stopped 9/11.
Fair enough but Wright has another point.
But the Mihdhar calls tell a different story about why the bureau failed to prevent the catastrophe. The C.I.A. withheld crucial intelligence from the F.B.I., which has the ultimate authority to investigate terrorism in the U.S. and attacks on Americans abroad.
In August, 1998, truck bombs destroyed two American Embassies, in Kenya and Tanzania, killing two hundred and twenty-four people. Three days later, F.B.I. investigators captured a young Saudi named Mohammad al-‘Owhali at a hotel outside Nairobi. He had fresh stitches in his forehead and bloody bandages on his hands. In his pocket were eight brand-new hundred-dollar bills. Two skilled interrogators, Steve Gaudin and John Anticev, persuaded ‘Owhali to write down the number he called after the bombing. It belonged to Khalid al-Mihdhar’s father-in-law, Ahmed al-Hada, and was one of the most important pieces of information ever obtained in the effort to prevent terrorist acts in the U.S. It became known as the Al Qaeda switchboard.
The title of Wright’s piece is “The al Qeada Switchboard.”
The N.S.A.’s tracking of calls to and from the Hada household allowed the F.B.I. to map the global network of Al Qaeda. But not all the information was shared. In 1999, Mihdhar’s name surfaced in one of the recorded calls, linking him to Al Qaeda. “Something nefarious might be afoot,” an N.S.A. analyst wrote, but Mihdhar’s name was not passed on to the F.B.I.
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Posted in History, Islam, Law Enforcement, Middle East, Politics, Terrorism | 2 Comments »
Posted by Michael Kennedy on 2nd January 2014 (All posts by Michael Kennedy)
David has a good idea. I often read the archives of my personal blog to see how I did in forecasting the future or understanding the present. A major concern of mine is, of course, health care and what is happening. When I retired from surgery after my own back surgery, I spent a year at Dartmouth Medical School’s center for study of health care. My purpose was to indulge an old hobby. How do we measure quality in health care ? I had served for years on the board of a company called California Medical Review, Inc. It was the official Medicare review organization for California. For a while I was the chair of the Data Committee. It seems to have gone downhill since I was there. First, it changed its name in an attempt to get more business from private sources. Then it lost the Medicare contract.
Lumetra, which lost a huge Medicare contract last November, is changing its name and its business model as it seeks to replace more than $20 million in lost revenue.
The San Francisco-based nonprofit’s revenue will shrink this year from $28 million last fiscal year, ending in March 2009, to a projected $4.5 million, CEO Linda Sawyer told the Business Times early this week.
That’s in large part because it’s no longer a Medicare quality improvement contractor, formerly its main line of work. And in fact, the 25-year-old company’s revenue has been plummeting since fiscal 2007, when it hit $47 million.
I see no sign that it is involved with Obamacare which is being run from Washington with a state organization that seems no better run than the parent organization.
Beginning Jan. 1, 2015, the Affordable Care Act no longer will provide federal grants to fund state health exchanges. In addition, California law prohibits using the state’s general fund to pay for the exchange.
Anyway, for what it is worth, here are the links to the 2013 health posts.
The Lost Boys
Alternatives to Obamacare.
Why the Obamacare Site Isn’t Working.
Where Healthcare May be Going.
Conservatives Invented the Mandate; say the Democrats.
A Critical Insight.
A Rolling Catastrophe.
Why Health Care is in Trouble.
Where Do We Go Now ?
Building the Airplane During Takeoff.
Posted in Blogging, Current Events, Health Care, Medicine, Obama, Politics, Systems Analysis | 17 Comments »
Posted by Michael Kennedy on 31st December 2013 (All posts by Michael Kennedy)
This next summer will be 100 years since the fatal August of 1914. We live in a similar era of “history is over and everybody is happy.” See above. In August 1914, Germany’s major trading partners were Britain and France, as well as the US. There were people who believed that democracies that did business with each other never went to war. Sound familiar ?
UPDATE: I am not the only one thinking about this, of course. Here is another version. I worry less about China as a geopolitical rival to the US but a China Japan conflict would not be impossible.
The Telegraph has an excellent piece on the present world situation.
As we look forward to the First World War commemorations, three stark conclusions are hard to refute. First, that in the course of this century we will need a great deal of luck to avoid a nuclear catastrophe. Second, that the Enlightenment has failed. Third, that this can all be traced back to the Great War.
As a result of the Enlightenment and the Industrial Revolution, it seemed that mankind might make a decisive break with the scarcity and oppression that had characterised previous eras. There was, admittedly, one early warning. The French Revolution proved that a radical reconstruction of society on abstract principles was likely to end in tyranny and bloodshed. But after 1815, the 19th century developed into one of the most successful epochs in history. Living standards, life expectancy, productivity, medicine, the rule of law, constitutional government, versions of democracy – there was dramatic progress on all fronts, and in the spread of civilisation across the globe.
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Posted in Britain, Europe, France, Germany, History, International Affairs, Iran, Leftism, Military Affairs, National Security | 27 Comments »
Posted by Michael Kennedy on 25th December 2013 (All posts by Michael Kennedy)
Merry Christmas to all. My youngest daughter drove 8 hours from Tucson and my oldest son 9 hours from San Francisco yesterday to be with the family Christmas Eve. We were all at my younger son’s house for their annual party but he had to work at the fire house. Today we will assemble at various houses and one restaurant for dinner. All are healthy and happy.
My best to all.
I have research subjects for this morning. My daughter-in-law wanted to know the value of the tetra drachma I had given my middle daughter as a birthday gift this year. I bought it from a workman at Ephesus a few years ago. It is the most perfect Attic Owl I’ve ever seen. I had it mounted in a necklace. This morning I’ve been researching the subject. What would a tetra drachma buy in 500 BC ?
My son-in-law and I discussed the question of extra-terrestrial life last evening. I’m doing some research on Archea and extremophiles today. Lots to do on Christmas Day before dinner time.
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Posted in Deep Thoughts, Holidays, Personal Narrative | 6 Comments »
Posted by Michael Kennedy on 23rd November 2013 (All posts by Michael Kennedy)
The Depression did not really get going until the Roosevelt Administration got its anti-business agenda enacted after 1932. The 1929 crash was a single event, much like the 2008 panic. It took major errors in economic policy to make matters worse. Some were made by Hoover, who was a “progressive” but they continued under Roosevelt.
James Taranto has a good take and quotes a couple of lefty commentators. Like Ezra Klein.
There’s a lot of upside for Republicans in how this went down. It came at a time when Republicans control the House and are likely to do so for the duration of President Obama’s second term, so the weakening of the filibuster will have no effect on the legislation Democrats can pass. The electoral map, the demographics of midterm elections, and the political problems bedeviling Democrats make it very likely that Mitch McConnell will be majority leader come 2015 and then he will be able to take advantage of a weakened filibuster. And, finally, if and when Republicans recapture the White House and decide to do away with the filibuster altogether, Democrats won’t have much of an argument when they try to stop them.
As Taranto puts it:
“”The political problems bedeviling Democrats” is a marvelous bit of understatement. The abject failure of ObamaCare has made the prospect of a Republican Senate in 2015 and a Republican president in 2017 much likelier. Thus even from a purely partisan standpoint, rational Democrats would have been more cautious about invoking the nuclear option when they did than at just about any other time in the past five years.”
The filibuster maneuver by Reid is not a demonstration of strength. It is an admission of weakness. The idiots at HuffPo and the LA Times are beating their chests in joy at the prospect of eternal Democrat majorities that can ignore those pesky Republicans.
In fact, what Reid is acknowledging is that the Democrat majority in the Senate is going away and now is the time to pack the courts and regulatory agencies with ideologues and get all the anti-business regulations in place while they can. The hard left, which believes in magic and Cargo Cults, is cheering them on.
Bloomberg sees what happened, too.
“Under any administration, federal agencies seek to implement the president’s policies by developing regulations,” Jeff Holmstead, a lawyer at Bracewell & Giuliani LLP in Washington who has represented coal-heavy utilities, said. “But in most cases, the judges on the D.C. Circuit are the people who decide whether those regulations comply with federal law.”
I fully expect to see anti-fracking regulations roll out soon, once the Obama appointments get confirmed by the rump Senate. However, what goes around, comes around.
It is our understanding that the Supreme Court exception was included to satisfy pro-abortion extremists, the most active and basest part of the activist base. The Wall Street Journal’s Laura Meckler reported yesterday that the two biggest such groups, Planned Parenthood Federation of America and NARAL Pro-Choice America, both declined comment on the nuclear move, “leaving it unclear whether they are concerned about their ability to block future objectionable”–i.e., Republican–”nominees.”
The abortion lobby sees the future better than giddy leftists who think government creates wealth and jobs.
Posted in History, Politics | 26 Comments »
Posted by Michael Kennedy on 19th November 2013 (All posts by Michael Kennedy)
UPDATE: The Wall Street Journal on how to fix the Obamacare crisis.
What can be done is Congress creating a new option in the form of a national health insurance charter under which insurers could design new low-cost policies free of mandated benefits imposed by ObamaCare and the 50 states that many of those losing their individual policies today surely would find attractive.
What’s the first thing the new nationally chartered insurers would do? Rush out cheap, high-deductible policies, allaying some of the resentment that the ObamaCare mandate provokes among the young, healthy and footloose affluent.
These folks could buy the minimalist coverage that (for various reasons) makes sense for them. They wouldn’t be forced to buy excessive coverage they don’t need to subsidize the old and sick.
Who knows ? Maybe Jenkins reads this blog. It’s so obvious that the solution should be apparent even to Democrats.
We are now learning that a large share of the Obamacare structure is still unbuilt. This is not the website but the guts of the system.
The revelation came out of questioning of Mr. Chao by Rep. Cory Gardner (R., Colo.). Gardner was trying to figure out how much of the IT infrastructure around the federal insurance exchange had been completed. “Well, how much do we have to build today, still? What do we need to build? 50 percent? 40 percent? 30 percent?” Chao replied, “I think it’s just an approximation—we’re probably sitting between 60 and 70 percent because we still have to build…”
Gardner replied, incredulously, “Wait, 60 or 70 percent that needs to be built, still?” Chao did not contradict Gardner, adding, “because we still have to build the payment systems to make payments to insurers in January.”
This is the guy who is the chief IT guy for CMS.
If the ability to pay the insurance companies is not yet written, how can anybody sign up ?
Gardner, a fourth time: “But the entire system is 60 to 70 percent away from being complete.” Chao: “There’s the back office systems, the accounting systems, the payment systems…they still need to be done.”
Gardner asked a fifth time: “Of those 60 to 70 percent of systems that are still being built, how are they going to be tested?”
The answer was the same way the rest was tested.
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Posted in Big Government, Health Care, Medicine, Obama, Politics, Systems Analysis | 8 Comments »
Posted by Michael Kennedy on 13th November 2013 (All posts by Michael Kennedy)
I don’t want to wear out my welcome with posts but this is a topic that has interested me for many years. When I retired from practice, I spent a year at Dartmouth trying to learn how we can improve health care delivery and reduce cost without reducing quality.
The Obamacare web site now has lost its happy photo of the Obamacare girl. The fact that she is a non-citizen seems appropriate. The web site is supposed to be fixed by November 30. Will that happen ? Well, maybe not.
On Friday, the man tasked with the digital fixes said the site “remains a long way from where it needs to be” as more and more problems emerge.
“As we put new fixes in, volume is increasing, exposing new storage capacity and software application issues,” Jeff Zients told reporters on a conference call.
And at Tuesday’s White House Press Briefing, Press Secretary Jay Carney again said there was “more work to be done” on repairing HealthCare.gov.
Carney, along with Zients and other administration officials, have repeatedly said the November 30 deadline is to get the health care website working for a “vast majority” of Americans looking to enroll in the Obamacare exchanges.
So, what happens December 2, the Monday after the “glitches” are fixed ? First, they won’t be fixed. The contractor that designed the program, not just the web site, has a terrible record.
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Posted in Advertising, Big Government, Civil Society, Economics & Finance, Health Care, Leftism, Medicine, Obama, Politics | 11 Comments »