tag:blogger.com,1999:blog-18943510.post4307353182064328450..comments2023-08-21T02:57:37.362-05:00Comments on Dr. Wes: The End of "Rescue Medicine"DrWeshttp://www.blogger.com/profile/17438019699222125477noreply@blogger.comBlogger26125tag:blogger.com,1999:blog-18943510.post-43233321094984479082010-07-13T09:44:17.487-05:002010-07-13T09:44:17.487-05:00I know you guys can think about the future. After...I know you guys can think about the future. After all, many are screaming about deficits and their grandchildren. But on the other hand we don't fix bridges until they fall down, oil wells until they start gushing, and sewers when they start blowing up. My brother is screaming about his future water bill increase due to the EPA. I have read and read and read again about communists, cabalsAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-89140672060997738262010-07-13T09:17:54.726-05:002010-07-13T09:17:54.726-05:00There's something very odd about a comment her...There's something very odd about a comment here. We are talking about a profession whose first credo is do no harm. A profession whose goal is to help others. A profession that deals with our blood, our shit, our cancers, our flabby and blocked hearts, our sick children. I bet not one of those folks, doctor, nurse, tech, has EVER said, "there is no we". Thank godAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-76640966668381233772010-07-13T09:14:54.958-05:002010-07-13T09:14:54.958-05:00As far as the covert nature of things medical goes...As far as the covert nature of things medical goes, there is nothing like state psychiatry as a demonstration of the direction things are going.<br /><br />Ulysses S. Grant said there's no better method to secure the repeal of bad or obnoxious laws than their stringent enforcement. A corollary might be that there's no better method to prevent repeal of bad or obnoxious laws than their SRKhttps://www.blogger.com/profile/18038834371981947620noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-50292945176447080412010-07-13T00:42:00.715-05:002010-07-13T00:42:00.715-05:00@betheweb
It's not 6 months, it's 18 mont...@betheweb<br /><br />It's not 6 months, it's 18 months. A recess appointment is until the end of the NEXT session of Congress.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-27200172435589553122010-07-12T17:18:48.513-05:002010-07-12T17:18:48.513-05:00I've listened to Dr. Berwick. He is, as the Br...I've listened to Dr. Berwick. He is, as the Brits say, too clever by half. His romanticized view of Britain's NHS shows that.<br /><br />I can see where Dr. Berwick's ideology leads to system where your access to health care depends on a bureacrat's assessment of your usefulness to the state.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-15209093084654547862010-07-12T16:07:53.220-05:002010-07-12T16:07:53.220-05:00"Give me the British system any day, rather t..."Give me the British system any day, rather than the inflated, wasteful system we have. I could write a book, or at least a very long magazine article, about the unnecessary testing to which I have been subjected in the name of "the best health care in the world", ending up with one result: fattening the pockets of the doctors who ordered the testing, the facilities that carried Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-39721174310773119202010-07-12T15:28:55.643-05:002010-07-12T15:28:55.643-05:00Here's the crux of the problem: We will need t...Here's the crux of the problem: <i>We will need to prioritize what we can afford and what we cannot. We cannot continue to pay for medications that cost tens of thousands of dollars and extend life for four months. Our dollars are better off spent elsewhere quite frankly.</i><br /><br />WE need to do no such thing because WE are (or should not be) paying for anything.<br /><br />YOU make YOURAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-51686423914838380402010-07-12T15:23:06.187-05:002010-07-12T15:23:06.187-05:00Keith said
"You have seemingly fallen for thi...Keith said<br />"You have seemingly fallen for this idea that goverment is intruding with a heavy hand in the lives of its citizens that is propagated by the Republican party as part of its campaign to regain seats in congress. But I fail to see this in practice to date. All of this talk of a goverment takeover is just that with no evidence to back it up."<br /><br />Hmmm. You Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-75177070296154849292010-07-12T15:21:53.895-05:002010-07-12T15:21:53.895-05:00Ah, yes, recess appointments. Never used by Georg...Ah, yes, recess appointments. Never used by George W. Bush, just by "Chicago" politicians, eh?<br /><br />"Ideologically driven" - another term that of course could not be applied to Bush and cronies, or the even more frightening Sarah Palin and Sharon Angle. Only "librulls" are "ideologically driven", the rest are just plain brilliant.<br /><br />Give meAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-42208968455041944212010-07-12T15:07:00.524-05:002010-07-12T15:07:00.524-05:00asking whether Dr. Berwick would outrank bin Laden...<i>asking whether Dr. Berwick would outrank bin Laden and Kim-Jung il?</i><br /><br />Answer: Yes.<br /><br />Kim-Jung il is a military enemy of the US and any hostile actions towards Americans would have probable cause for a military response.<br /><br />bin Laden's actions have already had a military response and follow up criminal responses.<br /><br />Dr. Berwick, on the other hand, has Adrianenoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-22636990495296819002010-07-12T15:07:00.523-05:002010-07-12T15:07:00.523-05:00To the fellow who thinks there is no basis for rec...To the fellow who thinks there is no basis for recess appointments in our democracy.<br /><br />Check out our laws. It certainly is allowed. Mr. Bush used it 141 times.<br /><br />I love the way the opposition depends on whose ox is getting gored.<br /><br />to betheweb: Sorry to have to break it to you. Dr. Berwick will be able to serve until the end of 2011.<br /><br />Your arguments might Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-28086155020091963342010-07-12T14:37:16.582-05:002010-07-12T14:37:16.582-05:00To Anonymous:
asking whether Dr. Berwick would he...To Anonymous:<br /><br />asking whether Dr. Berwick would he outrank bin Laden and Kim-Jung il?<br /><br />No, he wouldn't. But while bin Laden and Kim-Jung il actually do the horrible things, it is the Dr. Berwicks who enable them. Without the enablers, the tyrants could not gain power at all.Pluripotenthttps://www.blogger.com/profile/16185555436961257160noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-6430069521057282072010-07-12T14:07:10.346-05:002010-07-12T14:07:10.346-05:00RE: "Does not the president deserve to put th...RE: "Does not the president deserve to put the people in charge that he wants to enact this new health care plan?"<br /><br />Actually, no. In our democratic republic, the Congress gets to confirm appointments to government bureaucracies. <br /><br />Furthermore, the Democrats have a majority in Congress, so the Republicans could not have blocked Berwick's appointment. <br /><br /Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-10118481832714075932010-07-12T14:05:44.479-05:002010-07-12T14:05:44.479-05:00Dear Keith:
Just as Dr. Wes must be pleased when ...Dear Keith:<br /><br />Just as Dr. Wes must be pleased when his blog generates lots of comments, I want you to know that I give a sigh of relief when you sign on. These comments were so disheartening - we're even getting down to the level of "fellow traveler".<br /><br />So just ask I thank Dr. Wes for taking the time to write this often provocative blog, I thank you for taking theAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-76382901827117963962010-07-12T13:57:00.742-05:002010-07-12T13:57:00.742-05:00RE: "How about giving this change a chance be...RE: "How about giving this change a chance before you become so critical?"<br /><br />How about using facts and historical examples as our guide to find out how healthcare "reform" is going to turn out?<br /><br />In 1993 Tennessee tried healthcare reform modeled after Hillarycare. It decimated the healthcare industry in the state with high costs that led to reduced payments Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-91113300519658392612010-07-12T13:44:12.790-05:002010-07-12T13:44:12.790-05:00To "Post-60 White male"
I hesitate to a...To "Post-60 White male"<br /><br />I hesitate to ask what you mean by "under-represented". But what the heck - what do you mean by under-represented?<br /><br />And to the guy who thinks Dr. Berwick and such are the most dangerous people in the world. Would he outrank bin Laden and Kim-Jung il?<br /><br /><br />And "fellow travellers"...please don't tell me weAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-28169605312065790982010-07-12T13:06:43.073-05:002010-07-12T13:06:43.073-05:00Surely as a past-60 white male, I belong to a clas...Surely as a past-60 white male, I belong to a class over-represented in the patient population. Accordingly, when I need heart surgery, I suspect I will go to the end of the line until a requisite number of members of under-represented classes get elective surgery. Given budget constraints, that requisite number is unlikely ever to be reached.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-83466622382473165752010-07-12T13:06:43.074-05:002010-07-12T13:06:43.074-05:00Surely as a past-60 white male, I belong to a clas...Surely as a past-60 white male, I belong to a class over-represented in the patient population. Accordingly, when I need heart surgery, I suspect I will go to the end of the line until a requisite number of members of under-represented classes get elective surgery. Given budget constraints, that requisite number is unlikely ever to be reached.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-84939008847713511472010-07-12T13:06:43.071-05:002010-07-12T13:06:43.071-05:00Wes,
The health care landscape consists of too ma...Wes,<br /><br />The health care landscape consists of too many special interest groups to allow the types of governance by public fiat that you suggest. Every disease and entity of health care delivery has its own lobby to protect their interests. Witness the recent controversy over Provenge for prostate cancer where there were actually threats against members of the FDA Advisory group who Keithnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-8043315195406962922010-07-12T12:44:05.229-05:002010-07-12T12:44:05.229-05:00The most dangerous people in the world are people ...The most dangerous people in the world are people such as Dr. Berwick. They are otherwise intelligent people, but they are so ideologically driven that they actively maintain a willful ignorance that will forever shield them from the knowledge of the destruction their actions cause. They are so certain they are right, they fell no need for research or debate, and they convince themselves that thePluripotenthttps://www.blogger.com/profile/16185555436961257160noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-91243645011391596492010-07-12T12:35:21.434-05:002010-07-12T12:35:21.434-05:00I noted the video was from the Century Foundation ...I noted the video was from the Century Foundation so I went to their site, specifically to their <a href="http://www.healthbeatblog.org/" rel="nofollow"><strong>Health Beat</strong></a> blog and found they had posted a link to the following: <a href="http://community.the-hospitalist.org/blogs/wachters_world/archive/2010/07/08/why-obama-made-the-right-call-on-berwick.aspx" rel="nofollow"><strong>juandoshttps://www.blogger.com/profile/01656743466655157652noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-25389552215213827692010-07-12T12:35:21.435-05:002010-07-12T12:35:21.435-05:00How much damage can Dr. Berwick do in the half a y...How much damage can Dr. Berwick do in the half a year+ he has before the recess appointment ends. I predict he will destroy the administrative and organizational structure of Medicare and Medicaid, promote a lot of fellow travelers (after all, he is a Communist), and funnel about $5 Billion dollars down untraceable ratholes. After all, Dr. Berwick is an honorable man.bethewebhttps://www.blogger.com/profile/03227845365175945042noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-78692619867281307282010-07-12T12:28:00.107-05:002010-07-12T12:28:00.107-05:00Dr Wes,
The Meigs story is a little more complex....Dr Wes,<br /><br />The Meigs story is a little more complex.... It was Chicago Park District land (owned by the taxpayers of Chicago.) It was a single runway that was used primarily by state legislators (those guys who also had some "political stature") and those who had private planes. Oh dear, now those poor disenfranchised folks have to go to Midway or O'Hare just like the restAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-91470047414956663822010-07-12T12:22:36.815-05:002010-07-12T12:22:36.815-05:00That should be populace, not populous.That should be populace, not populous.Unknownhttps://www.blogger.com/profile/01497746628340554136noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-57997224205751100032010-07-12T12:22:36.816-05:002010-07-12T12:22:36.816-05:00I wouldn't be so pessimistic. The odds are loo...I wouldn't be so pessimistic. The odds are looking very good the GOP will take back both the House and Senate this fall. And, if that happens, I'd lay down even money that some very pissed-off congressmen are quickly going to give Dr. Berwick a political colonscopy he won't soon forget.<br /><br />Y'know what I mean?MarkJnoreply@blogger.com