What’s With the Trade Bill ?

UPDATE: The reaction is is now coming in.

That the Republican Establishment has lined up in lockstep with President Obama really tells you all you need to know about the minority wing of the Permanent Bipartisan Fusion Government — ever bigger, ever more secretive, ever more disdainful of American sovereignty and of the voters who put them in office. The measure has already passed in McConnell’s Senate, so its fate is now up to Boehner’s House:

Here we go !

For years we have had trade authority granted to presidents as “fast track” authority so the treaties don’t become bidding wars in Congress. The treaty has to be voted up or down as a single entity. This has been done under Democrat and Republican presidents with Republicans usually more in favor of free trade. Under Bill Clinton, we had The North American Free Trade Agreement or NAFTA which was controversial on issues like Mexican truck drivers qualifications.

Obama has delayed a trade treaty with Columbia for political reasons for years until the GOP dominated Congress ratified the treaty in 2012, eight years after it was negotiated under Bush.

Colombia’s Congress approved the agreement and a protocol of amendment in 2007. Colombia’s Constitutional Court completed its review in July 2008, and concluded that the Agreement conforms to Colombia’s Constitution. President Obama tasked the Office of the U.S. Trade Representative with seeking a path to address outstanding issues surrounding the Colombia FTA.[2] The United States Congress then took on the agreement and passed it on October 12, 2011. The agreement went into effect on May 15, 2012.

At present President Obama is asking for “fast Track Authority” and may finally get it but the opposition is different this time.

The House will vote Friday on a bill that would give fast-track trade authority to President Barack Obama, a measure likely headed for passage in a close vote after months of lobbying by the White House and business groups.

Representative Kevin McCarthy, the California Republican who is majority leader, set out in a memo to lawmakers a two-day vote schedule designed to solidify support of Democrats who will back the bill. The House begins Thursday with a measure to promote trade with poorer countries.

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Why Doctors Quit.

Today, Charles Krauthammer has an excellent column on the electronic medical record. He has not been in practice for many years but he is obviously talking to other physicians. It is a subject much discussed in medical circles these days.

It’s one thing to say we need to improve quality. But what does that really mean? Defining healthcare quality can be a challenging task, but there are frameworks out there that help us better understand the concept of healthcare quality. One of these was put forth by the Institute of Medicine in their landmark report, Crossing the Quality Chasm. The report describes six domains that encompass quality. According to them, high-quality care is:

1) Safe: Avoids injuries to patients from care intended to help them
2) Equitable: Doesn’t vary because of personal characteristics
3) Patient-centered: Is respectful of and responsive to individual patient preferences, needs and values
4) Timely: Reduces waits and potentially harmful delays
5) Efficient: Avoids waste of equipment, supplies, ideas and energy
6) Effective: Services are based on scientific knowledge to all who could benefit, and it accomplishes what it sets out to accomplish

In 1994, I moved to New Hampshire and obtained a Master’s Degree in “Evaluative Clinical Sciences” to learn how to measure, and hopefully improve, medical quality. I had been working around this for years, serving on the Medicare Peer Review Organization for California and serving in several positions in organized medicine.

I spent a few years trying to work with the system, with a medical school for example, and finally gave up. A friend of mine had set up a medical group for managed care called CAPPCare, which was to be a Preferred Provider Organization when California set up “managed care.” It is now a meaningless hospital adjunct. In 1995, he told me, “Mike you are two years too early. Nobody cares about quality.” Two years later, we had lunch again and he laughed and said “You are still too years too early.”

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A Tribute to Lee Kwan Yew.

Thomas Sowell has a fine tribute to the leader of Singapore who died yesterday.

It is not often that the leader of a small city-state — in this case, Singapore — gets an international reputation. But no one deserved it more than Lee Kuan Yew, the founder of Singapore as an independent country in 1959, and its prime minister from 1959 to 1990. With his death, he leaves behind a legacy valuable not only to Singapore but to the world.

Born in Singapore in 1923, when it was a British colony, Lee Kuan Yew studied at Cambridge University after World War II, and was much impressed by the orderly, law-abiding England of that day. It was a great contrast with the poverty-stricken and crime-ridden Singapore of that era.

Today Singapore has a per capita Gross Domestic Product more than 50 percent higher than that of the United Kingdom and a crime rate a small fraction of that in England. A 2010 study showed more patents and patent applications from the small city-state of Singapore than from Russia. Few places in the world can match Singapore for cleanliness and orderliness.

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Amnesty and our Future.

I came across an excellent long post at Bookworm this morning. I have been very aware of the growing presence of illegal aliens in California for the past 40 years. Not far from my home you can see some of it as Hispanic men gather at street corners looking for day labor.

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Two such corners are at Jeronimo and Los Alisos in Mission Viejo. Another is a half mile away at a U-Haul yard where people rent trucks and trailers. Every morning you will see 50 to 60 men standing on the corner and running over to any car that seems to be slowing down or stopping.

Anyway, here are a few reflections on what is happening.

The communists’ big moment came in 1995 when no one was looking. That was the year that the Democratic Socialists of America, a communist group, put one of their own — John Sweeney — in as head of the AFL-CIO. Overnight, the AFL-CIO, an organization that was once ferociously anti-communist and that opposed amnesty because it would hurt working Americans, turned into a pro-communist, pro-amnesty group.

More than that, through the AFL-CIO, communists suddenly owned Congress. After all, unions (headed by the SEIU, which outspends the next two donor organizations which are also Leftist) are the largest contributors to Democrat politicians.

Ok, Ok I know that communists are an old story. Still, what we see in this country is Socialism gaining adherents among the young and poorly educated and among the rich who consider themselves immune to its ill effects.

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Entropy is taking over.

Another excellent post from The Belmont Club, Which I read every day.

The barbarians of ISIS destroy ancient artifacts, in an outrage like those committed by the Taliban in Afghanistan.

The Taliban’s rejection this month of international appeals to halt the destruction of much of Afghanistan’s pre-Islamic heritage — their leader Mullah Mohammed Omar termed them idols — indicates that those most determined to impose their vision of a perfect Islamic state are firmly in control.

That article was from the period before the US invasion. Many artifacts were repaired but that will stop and the destruction will resume after we leave.

The Mosul destruction is to be expected everywhere the Takfiri tide rises enough to control an entity.

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