9/11 Plus Seventeen Years

I guess I thought they were all gone, those types of monsters, stranded on reels of black and white film.Cara Ellison (blog no longer available), in a 2007 post about 9/11/01.

Bookworm:  “My life is divided into two parts:  Before September 11, 2001 and after September 11, 2001.”

Simply evil: Christopher Hitchens suggests that sometimes the simple and obvious explanation for an event is more accurate than an explanation which relies on an elaborate structure of “nuance”

An attack, not a disaster or a tragedy. George Savage explains why the persistent use of terms like “tragedy” by the media acts to obfuscate the true nature of the 9/11 attacks.

Claire Berlinski was in Paris on 9/11. Shortly thereafter she wrote this piece for City Journal

Marc Sasseville and Heather Penney were F-16 pilots with an Air National Guard squadron. Their order was to bring down Flight 93 before the terrorists in control of it could create another disaster on the scale of the World Trade Center…but their aircraft were configured for training, with no live ammunition and no missiles. A video interview with Major Penney here

Joseph Fouché writes about how the Taliban’s destruction of the Bamiyan Buddhas in March 2001, and the murder of Ahmed Shah Masood on September 9 of that year, prefigured the 9/11 attacks.

The Diplomad posts a speech he gave on 9/14/01, when he was charge d’affaires at a U.S. embassy.  You did not hear speeches like that being given by diplomats under the administration of Barack Obama.

On September 11, 2005, Rare Kate didn’t go to church. Follow the link to find out why. In my original post linking this, I said “What if American and British religious leaders had responded the depradations of Naziism in the spirit of this liturgy?  Actually, some of them did. The impact on preparedness was certainly malign, and the people who took such positions certainly bear a share of moral resposibility for the deaths and devastation that took place. Ditto for those who are behaving in a similar way today.”

Dietrich Bonhoeffer, an important leader of the anti-Nazi resistance in Germany (executed in 1945), wrote the following:

Today there are once more saints and villains. Instead of the uniform grayness of the rainy day, we have the black storm cloud and the brilliant lightning flash. Outlines stand out with exaggerated sharpness. Shakespeare’s characters walk among us. The villain and the saint emerge from primeval depths and by their appearannce they tear open the infernal or the divine abyss from which they come and enable us to see for a moment into mysteries of which we had never dreamed.

The refusal on the part of many individuals to face the seriousness of the radical Islamist threat to out civilization stems in significant part, I feel certain, from a desire to avoid the uncomfortable and even dangerous kind of clarity that Bonhoeffer was talking about.

In previous posts I’ve introduced the metaphor of the attrition mill–a machine in which two steel disks, rotating at high speed in opposite directions, crush between them the grain or other substance to be milled. Our society is caught in a gigantic attrition mill, with one disk being the Islamic terrorist enemy and the other being the “progressive” Left within our own societies–some of whom are wishful thinkers who deny uncomfortable realities, an alarming number of whom forthrightly despise their own societies and the majority of their fellow citizens. Without the existence of the second disk, the terrorist threat would be serious, inconvenient, and dangerous, but would not be an existential threat to Western civilization. But it is the interaction of the two disks, despite the differences in their stated philosophies of life, that increases the societal threat by orders of magnitude.

Monica Crowley digs up an article written on September 19, 2001, by an Illinois State Senator named Barack Obama…and analyzes what it tells us about this man’s worldview and lack of intellectual depth.

Enid and Geraint…a poem written by Grim on 9/11/2001

Three Days in September, by Sarah Hoyt

A time bomb from the Middle Ages. Roger Simon explains how 9/11 altered his worldview and many of his relationships.

 

 

 

Where is health care going ?

UPDATE: A new analysis of Obamacare’s role in the conversion of American Medicine to an industry with corporate ethics.

The health system is now like a cocaine junkie hooked on federal payments.

This addiction explains why the insurance companies are lobbying furiously for these funds alongside their new found friends at left-wing interest groups like Center for American Progress. The irony of this alliance is that the left-wing allies the insurers have united with hate insurance companies and want to abolish them. The insurance lobby is selling rope to their hangman.

Hospital groups, the American Medical Association, the AARP and groups like them are on board too. They are joined by the Catholic Bishops and groups like the American Heart Association and the American Lung Association. (If you are donating money to any of these groups you might want to think again.) This multi-billion dollar health industrial complex has only one solution to every Obamacare crack-up: more regulation and more tax dollars.I practiced during what is more and more seen as a golden age of medical care. Certainly the poor had problems with access. Still, most got adequate care, either through Medicaid after 1965, or from public hospitals, many of which were wrecked by Medicaid rules and by the flood of illegal aliens the past 40 years.

Obamacare destroyed, probably on purpose, the healthcare system we had. It had been referred to by Teddy Kennedy, the saint of the Democrats Party as “a cottage industry.” As far as primary care was concerned, he was correct. What we have now is industrial type medicine for primary care and many primary care doctors are quitting.

So why is there waning interest in being a physician? A recent report from the Association of American Medical Colleges projected a shortage of 42,600 to 121,300 physicians by 2030, up from its 2017 projected shortage of 40,800 to 104,900 doctors.

There appear to be two main factors driving this anticipated doctor drought: First, young people are becoming less interested in pursuing medical careers with the rise of STEM jobs, a shift that Craig Fowler, regional VP of The Medicus Firm, a national physician search and consulting agency based in Dallas, has noticed.

“There are definitely fewer people going to [med school] and more going into careers like engineering,” Fowler told NBC News.

There are several reasons, I think. I have talked to younger physicians and have yet to find one that enjoys his or her practice if they are in primary care. That applies to both men and women. Women are now 60% of medical students. This has contributed to the doctor shortage as they tend to work fewer hours than male physicians.

A long analysis of physician incomes shows that 22% of females report part time work vs 12% of males.

Physicians are the most highly regulated profession on earth. The Electronic Health Record has been made mandatory for those treating Medicare patients and it has contributed a lot to the dissatisfaction of physicians.

THE MOUNTING BUREAUCRACY
This “bottleneck effect” doesn’t usually sour grads on staying the course, Fowler finds, but he does see plenty of doctors in the later stages of their careers hang up their stethoscopes earlier than expected. Some cite electronic health records (EHRs) as part of the reason — especially old school doctors who don’t pride themselves on their computer skills. New research by Stanford Medicine, conducted by The Harris Poll, found that 59 percent think EHRs “need a complete overhaul;” while 40 percent see “more challenges with EHRs than benefits.”

If I remember my arithmetic, that adds up to 99% unhappy with the EHR.

Most primary care physicians I know are on salary, employed by a hospital or a corporate firm. They are require to crank out the office visits and are held to a tight schedule that does not allow much personal relationships with patients. The job satisfaction that was once a big part of a medical career is gone.

Too Pessimistic

The Origins of Our Second Civil War by Victor Davis Hanson.

The first half of this VDH piece seems over-the-top. Would the intermarriage and cultural assimilation that he cites in his next-to-last paragraph be happening if the situation were as bad as he thinks? Or is the country mostly culturally sound but burdened with dysfunctional elites dominating politics, big business, the universities and the media.

This part is good:

Again, Obama most unfortunately redefined race as a white-versus-nonwhite binary, in an attempt to build a new coalition of progressives, on the unspoken assumption that the clingers were destined to slow irrelevance and with them their retrograde and obstructionist ideas. In other words, the Left could win most presidential elections of the future, as Obama did, by writing off the interior and hyping identity politics on the two coasts.
 
The Obama administration hinged on leveraging these sociocultural, political, and economic schisms even further. The split pitted constitutionalism and American exceptionalism and tradition on the one side versus globalist ecumenicalism and citizenry of the world on the other. Of course, older divides — big government, high taxes, redistributionist social-welfare schemes, and mandated equality of result versus limited government, low taxes, free-market individualism, and equality of opportunity — were replayed, but sharpened in these new racial, cultural, and economic landscapes.

The rest of the piece is also good and points out how the country’s situation might improve. “A steady 3 to 4 percent growth in annual GDP” doesn’t seem very far from where we are. University reform seems likely as the public increasingly catches on to the corruption and excessive costs of higher education. Race relations seem to improve when not politicized. Spiritual and religious reawakenings happen every few generations.

Keyboard trash talk and dark speculations about violence and civil war are not the same as actual violence. They might even be safety valves to release transient passions, cautionary tales, for everyone outside of a tiny lunatic minority. (The lunatic minority who are spurred to action by online/media hype are a serious problem, but not mainly a political one except as regards public and hence political unwillingness to force treatment on recalcitrant individuals with severe mental-health issues.)

Today’s political violence is a problem but not one at the level of 1968 much less 1861. Almost all of the action now is in the political realm. There is little reason to expect an intractable impasse on a fundamental issue as in 1850-60 over slavery. There is no substantial constituency favoring civil war as there was in 1861. The modern federal government is huge, profligate and obnoxious, but risk-averse deep-state bureaucrats and crony-capitalist opportunists aren’t going to take physical risks to defend the status quo. The political process still responds to public concerns about governmental overreach, which is probably a large part of why Trump was elected. There is also enough collective memory of the last civil war and its awfulness to discourage enthusiasm for a replay from anyone who is sane.

None of this is to say dire predictions won’t come to pass, but that’s not the way to bet. The country has been through harder times and surmounted them through politics rather than violence. My money’s on the basic soundness of our culture and political system this time as well.

The Current Range of Derangement

I freely confess to having initially thought that when Donald Trump threw his hat into the political ring and began campaigning for election to the highest office in our fair land – it was a colossal joke and not one in particularly good taste. But I was never an adamant never-Trumper, and eventually came to think that hey – a wheeler-dealer Noo Yawk property developer (who after all HAD run a good-sized business enterprise for years) couldn’t possibly stuff up the job any more disastrously than He Who Dances With Teleprompters and his merry band of faculty lounge theorizers, career bureaucrats and second-gen beneficiaries of elite parental, fraternal or marital connections. In any case – I’d vote for practically anyone than Her Inevitableness the Dowager Empress of Chappaqua, even if I had to pin my nostrils shut with C-clamp. So – what the hell. Reader, I voted for him. I have to admit that when it sends rabid lefty celebs like Robert De Niro into a spittle-flecked rant on live television, I am tempted to rub my hands together and cackle with evil glee like Mr. Burns in the Simpsons, watching them come unglued with their hate for flyover country and those denizens of it which also voted for him. A man is known in a large part by the character and quantity of his enemies; Trumps’ are as numerous and as varied as any collection of grotesqueries in a Hieronymus Bosch painting.

So I started this post as yet another meditation on how ever-flipping-out-of-their minds the current iteration of Trump-haters are … and then the meeting in Singapore happened, and actually promises … maybe, if all goes well, a resolution to a war which started just before I was born, in a country to which my father was stationed as an Army draftee when I was born, in which I served for a year (three and a half decades later) and in which my daughter might very well have drawn duty in her turn. The Korean War – bloody and vicious, as we are reminded through M*A*S*H reruns – ended in an armistice and a heavily-armed border which slices the Korean peninsula into halves. Not anywhere equal halves, other than geographical.

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Cotton Candy Man

So help me dog, I was never able to figure the appeal of B. Obama, either when he first hove onto the political scene, or when he was elected, and reelected. He seemed to me, from the first and at a distance to be just a pleasantly and superficially-cultured nullity, with the not-uncommon ability to deliver inspiring, soaring speeches from words put in front of him, just like any A- or B-list actor I could name. He looked good, sounded good … and that was all there was to him, as far as concrete accomplishments went. Again, like any good actor – he looked the part that he was supposed to play, no matter that the actual legislative resume was vanishingly thin of substantive accomplishments.
Perhaps that was all that was required of him, that he look and sound the part. And what does that make of the sense and sensibility of those who voted for him, cheered him on enthusiastically, the establishment media who rolled his Juggernaut over the finish line, and supported him in eight years of trying his best to turn the United States into some nasty South American socialist dump, ruled in turns by a coterie of the elite, and their ambitious throne-sniffers? David Brooks, the token conservative at the National Paper of Record, got all thrilled and man-crushy, adoring the perfect crease of Obama’s trousers. This may live in infamy as the shallowest, stupidest thing that our Miss Brooksie has ever written, against considerable competition.

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