Dick Boggs

When I was a medical school junior, we had a rotation on the Neurology service at LA County Hospital. One of my classmates was planning a career in neurology but the reason it was so popular with the students like me who were interested in surgery was that we got to do tracheostomies. A number of patients with severe neurological lesions would require respirators or had trouble with airway secretions requiring a tracheostomy. This was our one chance to do surgery, even a minor procedure as things go. It was good practice and I later did a lot of tracheostomies, some quite difficult and rushed.

Our resident was a very interesting guy named Dick Boggs. He was tall and looked a lot like Orson Welles did when he was young and making “The Third Man.” Boggs was quiet and aloof but let us do trachs and work up any patient we wanted to. I had some very interesting cases. One was a woman who showed all the signs of alcoholic neuropathy, which is very similar to diabetic neuropathey. It was a popular rotation for juniors. Boggs was popular among the residents and was elected the president of the Interns’ and Residents’ Association, which under his leadership took on some of the characteristics of a union.

At the time, intern and resident pay was very low and, aside from a new dormitory that was built for single house staff, we were on our own. I was married with one child, born in March 1965, so I was really on my own. My wife quit her job as a teacher in January 1965 and I was working after hours doing histories and physicals at private hospitals for $7 per hour. Fortunately, my tuition was covered by scholarship but living expenses were tight. We lived on $200/month contributed by our parents, $100 from my father and the same from Irene’s parents. Half of that went for the rent of our two bedroom house in Eagle Rock, near Pasadena. I’m spending some time on details to emphasize what Boggs accomplished for us all.

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Nationwide Rally for Religious Freedom: Friday, March 23, Noon

Stand Up For Religious Freedom

The Nationwide Rally for Religious Freedom is being held Friday, March 23 at noon, local time, outside federal buildings, Congressional offices and historic sites across the country. The theme for the Rally is “Stand Up for Religious Freedom—Stop the HHS Mandate!”

Nationwide Rally Locations and Info

Chicago: Federal Plaza, 50 W.Adams, Friday, March 23, Noon.

Click on the link to find a location near you.

Quote of the Day, Cardinal George on the HHS Mandate

If you haven’t already purchased the Archdiocesan Directory for 2012, I would suggest you get one as a souvenir. On page L-3, there is a complete list of Catholic hospitals and health care institutions in Cook and Lake counties. Each entry represents much sacrifice on the part of medical personnel, administrators and religious sponsors. Each name signifies the love of Christ to people of all classes and races and religions. Two Lents from now, unless something changes, that page will be blank.

Francis Cardinal George, Archbishop of Chicago, on the HHS Mandate.

RTWT. The column from the Cardinal is very good, though too fatalistic.

This vicious thing can be stopped and rolled back.

Iatrogeny in Management Reporting

In medicine, an iatrogenic disease is one that is brought on by a medical treatment itself. An example would be when a physician treating a minor condition fails to properly wash his hands and as a result gives the patient an infection more serious than the original problem.

It strikes me that iatrogeny also occurs in the management reporting and control systems of businesses and other types of organizations. A particularly awful example was reported in Britain a couple of years ago: hospitals were being measured on time from a patient’s entry into the emergency room until the time that patient was seen by a physician. It appears that in quite a few cases, the optimization of that measurement for the hospital was achieved by leaving the patient in the ambulance, in some cases for as much as five hours, so that the clock on the measurement would not start until the criterion was certain to be achieved.

So a measurement intended to improve patient service had the opposite effect. It directly caused unnecessary pain and danger to the individual ER patient who was kept in the ambulance while harming the effective utilization of expensive vehicles and skilled personnel, while at the same time providing upper management with a distorted picture of what was really going on.

Smirk not, fellow capitalists. While this particular example of iatrogeny was perpetrated by a government entity, plenty of examples can also be found in the private sector. Indeed, I saw an interesting example in a Target store just the other day.

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America 3.0 [bumped]

James C. Bennett, author of The Anglosphere Challenge (Rowman & Littlefield, 2004), and Michael J. Lotus (who blogs at Chicagoboyz.net as “Lexington Green”), are proud to announce the signing of a contract with Encounter Books of New York to publish their forthcoming book America 3.0.

America 3.0 gives readers the real historical foundations of our liberty, free enterprise, and family life.  Based on a new understanding of our past, and on little known modern scholarship, America 3.0 offers long-term strategies to restore and strengthen American liberty, prosperity and security in the years ahead.

America 3.0 shows that our country was founded as a decentralized federation of communities, dominated by landowner-farmers, and based on a unique type of Anglo-American nuclear family.  This was America 1.0, as the Founders established it.  The Industrial Revolution brought progress, opportunity and undreamed-of mobility.  But, it also pushed the majority of American families into a new, urban, industrial life along with millions of unassimilated immigrants. After the Civil War, new problems of public health, crime, public order, and labor unrest, on top of the issues of Reconstruction, taxed the old Constitution.  Americans looked for new solutions to new problems, giving rise to Progressivism, the ancestor of modern liberalism.

America 3.0 shows that liberal-progressive solutions to the challenges of America 2.0 relieved some problems, and kicked others down the road.   But they also led to an overly powerful state and to an overly intrusive bureaucracy.   This was the beginning of America 2.0, the America we grew up with, which dominated the Twentieth Century.

America 3.0 argues that the liberal-progressive or “Blue State” social model has reached its natural limits.   Even as it continues to try to expand, it is now dying out before our eyes.   We are   now living in the closing years of the 20th Century “legacy state.”  Even so, it has taken the shock of the current Great Recession to make people see the need for change.  As a result, more and more Americans are calling for a return to our founding principles.  Freedom and individualism are on the rise after a century-long detour.

America 3.0 shows that our current problems can be and must be transcended with a transition to a new America 3.0, based on modern technology, decentralized communities, and self-reliant families, and a reassertion of fiscal responsibility, Constitutionally limited government and free market economics.   Ironically the future America 3.0 will in many ways be closer to the original vision of the Founders than the fading America 2.0.

America 3.0 gives readers an accurate, and hopeful, assessment of our current crisis.   It also spotlights the powerful forces arrayed in opposition to the needed reform.  These groups include ideological leftists in media and the academy, politically connected businesses, and the public employees unions.  However, as powerful as these groups are, they have become vulnerable as the external conditions change.   A correct understanding of our history and culture, which America 3.0 provides, shows their opposition will be futile.  The new, pro-freedom, mass political movement, which is aligned with the true needs and desires of Americans, is going to succeed.

America 3.0 provides readers a program of specific “maximalist” proposals to reform our government and liberate our economy.  America 3.0 shows readers that these reforms are consistent with our fundamental culture, and with our Constitution, and will make Americans freer and more prosperous in the years ahead.

America 3.0 provides a “software upgrade” for the Tea Party and for all activists on the Conservative and Libertarian Right.  It provides readers with historical evidence and intellectual coherence, to channel the energy and enthusiasm of the rising mass political movement to renew America.

America 3.0 shows that our capacity for regeneration is greater than most people realize.  Predictions of our doom are deeply mistaken.   We are now living just before the dawn of America’s greatest days.  Within a generation, positive changes beyond what we can currently imagine will have taken place.   That is the America 3.0 we are going to build together.

(Cross-posted from the America 3.0 blog.)