Obama as The Godfather.

Richard Fernandez has an interesting take on Obama’s present foreign policy iteration. He sees himself as The Godfather negotiating among his capos and arranging the territories that each are allowed to possess.

The White House is also exploring what could be a diplomatic blockbuster: possible new limits and controls on Pakistan’s nuclear weapons and delivery systems. Such an accord might eventually open a path toward a Pakistani version of the civil nuclear deal that was done with India in 2005….

Pakistan prizes its nuclear program, so negotiations would be slow and difficult, and it’s not clear that Islamabad would be willing to accept the limitations that would be required. But the issue is being discussed quietly in the run-up to Prime Minister Nawaz Sharif’s visit to Washington Oct. 22. Any progress would break a stalemate that has existed since the U.S. detected Pakistan’s nuclear program in the mid-1980s, and especially after Pakistan exploded its first weapon in 1998.

This is behind our negotiations with the Taliban, which seems just as intent on upsetting Obama’s applecart as they ever were. No matter. Obama will keep negotiating. As Woody Allan once said of stockbrokers, “They invest your money and keep investing it until it is all gone.”

David Ignatius seems to approve of this approach.

The U.S. recognized more than four years ago that the best way out of the Afghanistan conflict would be a diplomatic settlement that involved the Taliban and its sometime sponsors in Pakistan. State Department officials have been conducting secret peace talks, on and off, since 2011. That effort hasn’t borne fruit yet, as the Taliban’s recent offensive in Kunduz shows.

But the pace of negotiations has quickened this year, thanks to an unlikely U.S. diplomatic partnership with China. A senior administration official said Monday that “we’re hopeful that there will be a willingness on the part of the Taliban to resume negotiations,” despite the intense fighting in Kunduz and elsewhere. Beijing’s involvement is a “new dynamic” and shows an instance where “U.S. interests overlap with those of China.”

Yes, China will pull our chestnuts out of this particular fire. We can trust the Chinese. After all, we trusted them with the OPM database management.

It’s not just that the Office of Personnel Management (OPM) failed to certify nearly a quarter of its IT systems as secure.

The real news is that outsourcing government IT tasks led to Chinese contract workers, and at least one person working in China, having root access to OPM systems.

Having root access, of course, means having access to any data you want in the system regardless of any security application that may protect the data against “unauthorized” users.

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The Doctor Shortage Update.

There is an interesting piece today in the Daily Mail about young NHS GPs quitting and going to Australia.

In the past five years, the number of GP appointments made by Britons has risen from 300 million to 370 million a year, an increase of more than 20 per cent.
The number of GPs employed to meet that demand has risen by around 1,600, or just over five per cent.
All of which has led to the second major factor behind their exodus — in the UK, they often feel terribly overworked; after moving they find themselves having to spend far less time at the coalface.
‘More and more British GPs talk about the pressure they’re under,’ says Guy Hazel. ‘I’m not sure the general public understand how mentally draining it is to see 35 to 40 patients a day. All the British GPs I know are exhausted.’
An Australian GP, by contrast, will see 20-25 patients per day.

This concerns the young, newly trained doctors. I posted some concerns about the issue of primary care in the US.

Primary care here is referred to as “General Practice” in Britain and they seem to be having a loss at both ends of the doctor career.

Britain is already suffering from a serious, and unprecedented, shortage of GPs, on a scale that doctors’ leaders say is fast becoming a crisis.

According to figures released last week, a staggering 10.2 per cent of full-time GP positions across the UK are currently vacant, a figure that has quadrupled in the past three years.

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Is Obama Our Punishment?

Obama was an unusual candidate for president in 2008. I had serious questions in 2008.

One criticism of Obama is that his portfolio is mighty thin. He has no record. Well, he actually does and and here it is. Pretty interesting.

It’s a lengthy record filled with core liberal issues. But what’s interesting, and almost never discussed, is that he built his entire legislative record in Illinois in a single year.

Why was that ? In 2002, the Democrats took over the Illinois legislature, not because of Bush as the reporter says, but because the Republican governor got caught selling drivers’ licenses to truckers with bad driving records. A disastrous truck accident splashed the whole story across the newspapers and the Democrats took over in the next election.

The white, race-baiting, hard-right Republican Illinois Senate Majority Leader James “Pate” Philip was replaced by Emil Jones Jr., a gravel-voiced, dark-skinned African-American known for chain-smoking cigarettes on the Senate floor.

Jones had served in the Illinois Legislature for three decades. He represented a district on the Chicago South Side not far from Obama’s. He became Obama’s ­kingmaker.

Several months before Obama announced his U.S. Senate bid, Jones called his old friend Cliff Kelley, a former Chicago alderman who now hosts the city’s most popular black call-in radio ­program.

I called Kelley last week and he recollected the private conversation as follows:

“He said, ‘Cliff, I’m gonna make me a U.S. Senator.’”

“Oh, you are? Who might that be?”

“Barack Obama.”

Obama ended up in the US Senate because the GOP Senator, Peter Fitzgerald, did not run for re-election. Why ?

While State Senator he was a member of a group of conservative state senators elected in 1992 who often challenged the leadership of the Illinois Republican Party and were dubbed the “Fab Five”, the group also included, Steve Rauschenberger, Dave Syverson, Patrick O’Malley and Chris Lauzen.

After a hard-fought primary victory against Illinois Comptroller Loleta Didrickson, in which the latter had the support of most national and state-level Republican leaders, Fitzgerald defeated first-term Democratic incumbent U.S. Senator Carol Moseley Braun in 1998, and served for one term in the U.S. Senate. He was the first Republican in Illinois to win a U.S. Senate race in 20 years, and the only Republican challenger in the country to defeat an incumbent Democratic senator in the 1998 election cycle. Although Moseley Braun was dogged by negative publicity of corruption charges, Fitzgerald defeated her by only 2.9%.

Fitzgerald is a staunch conservative on such issues as opposition to abortion (except to save the life of the mother), gun control, gay marriage and taxes, but on some issues, particularly environmental issues — he opposed drilling in the Arctic National Wildlife Refuge throughout his tenure in the US Senate — he broke with conservative colleagues. He was one of only a handful of GOP Senators to support the McCain-Feingold campaign finance reform legislation.

He was a “maverick” and was not supported by “the Illinois Combine,” a term coined by columnist John Kass to describe the bipartisan corruption in Illinois politics that has brought the state to bankruptcy.

I called former U.S. Sen. Peter Fitzgerald, the Republican maverick from Illinois who tried to fight political corruption and paid for it. For this sin, he was driven out of Illinois politics by political bosses, by their spinners and media mouthpieces, who ridiculed him mercilessly.

Senator, what do you call that connection that Stuart Levine describes from the witness stand, you know that arrangement across party lines, with politically powerful men leveraging government to make money — what do you call it?

“What do you call that Illinois political class that’s not committed to any party, they simply want to make money off the taxpayers?” Fitzgerald said. “You know what to call them.”

What?

“The Illinois Combine,” Fitzgerald said. “The bipartisan Illinois political combine. And all these guys being mentioned, they’re part of it.”

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The Closing of the American Mind; and worse.

Some years ago, when it came out, I read Allan Bloom’s The Closing of the American Mind. It struck me as a profound commentary on the weakening of college education and about changes in college students that I did not like and which had occurred since I was one myself.

It seems to be getting worse now, according to this essay in Psychology Today.

Dan Jones, past president of the Association for University and College Counseling Center Directors, seems to agree with this assessment. In an interview for the Chronicle of Higher Education article, he said: “[Students] haven’t developed skills in how to soothe themselves, because their parents have solved all their problems and removed the obstacles. They don’t seem to have as much grit as previous generations.”

In my next essay in this series I’ll examine the research evidence suggesting that so-called “helicopter parenting” really is at the core of the problem. But I don’t blame parents, or certainly not just parents. Parents are in some ways victims of larger forces in the society—victims of the continuous exhortations from “experts” about the dangers of letting kids be, victims of the increased power of the school system and the schooling mentality that says kids develop best when carefully guided and supervised by adults, and victims of increased legal and social sanctions for allowing kids into public spaces without adult accompaniment. We have become, unfortunately, a “helicopter society.”

I think this is exceedingly dangerous and is behind the war on college age men. Some this can be seen in the hysteria of “Rape Culture” and various hoaxes perpetrated by magazines and by the Obama Administration’s Department of Education and its “Dear Colleague” letters.

In order to assist recipients, which include school districts, colleges, and universities (hereinafter “schools” or “recipients”) in meeting these obligations, this letter1 explains that the requirements of Title IX pertaining to sexual harassment also cover sexual violence, and lays out the specific Title IX requirements applicable to sexual violence.2 Sexual violence, as that term is used in this letter, refers to physical sexual acts perpetrated against a person’s will or where a person is incapable of giving consent due to the victim’s use of drugs or alcohol. An individual also may be unable to give consent due to an intellectual or other disability. A number of different acts fall into the category of sexual violence, including rape,

Those acts include many that an earlier generation would consider harmless and part of the normal male-female relationship.

From one reader review of Bloom’s book written years after its publication:

Bloom begins with the problem of liberal education at the end of the 20th century – in a world where students are taught from childhood that “values” are relative and that tolerance is the first virtue, too many students arrive at college without knowing what it means to really believe in anything. They think they are open-minded but their minds are closed to the one thing that really matters: the possibility of absolute truth, of absolute right and wrong. In explaining where we are and how we got here, Bloom presents a devastating critique of modern American education and its students, an intellectual history of the United States and its unique foundation in Enlightenment philosophy, and an assesment of the project of liberal education.

We are well past that stage of the deterioration of American culture.

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Melanoma and Pregnancy.

This is just a brief post to mention that that today’s Daily Mail has an article about a pregnant women with a spreading melanoma. In my book, linked on this site, I have a chapter on melanoma and several stories of patients whose melanoma went wild during a pregnancy. There is no report in the medical literature that supports this connection. Most reports deny any connection, although a few mention some negative prognosis.

The literature continues to be split on the role of pregnancy in melanoma; however, most recent series show no difference in survival. Multiple studies have failed to show significant effects of female hormones on melanoma cells or on the incidence or progression of melanoma.

In my book, I describe several cases where pregnancy would “awaken” melanomas that had been removed years earlier or would stimulate worrisome growth in moles. Two of my patients had extensive metastatic melanoma during pregnancy that disappeared after the baby was delivered, in one case with my help. Both women were disease free many years later and neither had another pregnancy.

How interesting that this young woman has developed metastatic melanoma during pregnancy. I wonder how it will turn out.