A Letter to the Country from an Emergency Physician

Excerpt:

This morning a middle-aged woman came into the emergency room in cardiac arrest. ACLS was performed to keep her alive. Other patients were in the ED before she even arrived, certainly with what they felt were emergencies, but treatments for these individuals were placed on hold as this event took precedence. After 75 minutes of continual heroic measures and life-saving interventions, with her grief-stricken husband crying, holding her hand for the last time, and stroking her face, she died.

This was no movie, no reality TV show. This was as real as it gets. Real life and real death. Family huddled around the bed to say their goodbyes and wished they or we could have done more.

I walked to my office, emotionally drained and exhausted, and from across the emergency department another patient, upset that she had to wait, spoke out brashly in tones that carried to every room in the department. “I know someone’s dying and all, but I am in real pain here.”

READ IT.

The United States of Greece

Didn’t have to spend the night in Podunk, AZ after all.

So the election was yesterday:
We got four more years of the Moving Torb, the Senate still is in the possession of Cthulhu and the house is still on the side of the Stay Puft Marshmallow Man.

Obama has retained himself the captaincy of this ship:


I’m going to do something I don’t do a lot, copy an entire blog post from a different site because it is said so well I want to archive the whole thing.  Via ZeroHedge:

I apologize for what you’re about to read

Simon Black on November 6, 2012
Dallas, Texas.

It’s really hard to ignore what’s happening today; the election phenomenon is global.

Over the last several weeks, I’ve traveled to so many countries, and EVERYWHERE it seems, the US presidential election is big news. Even when I was in Myanmar ten days ago, local pundits were engaged in the Obamney debate. Chile. Spain. Germany. Finland. Hong Kong. Thailand. Singapore. It was inescapable.

The entire world seems fixated on this belief that it actually matters who becomes the President of the United States anymore… or that one of these two guys is going to ‘fix’ things.

Fact is, it doesn’t matter. Not one bit. And I’ll show you mathematically:

1) When the US federal government spends money, expenses are officially categorized in three different ways.

Discretionary spending includes nearly everything we think of related to government– the US military, Air Force One, the Department of Homeland Security, TSA agents who sexually assault passengers, etc.

Mandatory spending includes entitlements like Medicare, Social Security, VA benefits, etc. which are REQUIRED by law to be paid.

The final category is interest on the debt. It is non-negotiable.

Mandatory spending and debt interest go out the door automatically. It’s like having your mortgage payment autodrafted from your bank account– Congress doesn’t even see the money, it’s automatically deducted.

2) With the rise of baby boomer entitlements and steady increase in overall debt levels, mandatory spending and interest payments have exploded in recent years. In fact, the Congressional Budget Office predicted in 2010 that the US government’s TOTAL revenue would be exceeded by mandatory spending and interest expense within 15-years.

That’s a scary thought. Except it happened the very next year.

3) In Fiscal Year 2011, the federal government collected $2.303 trillion in tax revenue. Interest on the debt that year totaled $454.4 billion, and mandatory spending totaled $2,025 billion. In sum, mandatory spending plus debt interest totaled $2.479 trillion… exceeding total revenue by $176.4 billion.

For Fiscal Year 2012 which just ended 37 days ago, that shortfall increased 43% to $251.8 billion.

In other words, they could cut the entirety of the Federal Government’s discretionary budget– no more military, SEC, FBI, EPA, TSA, DHS, IRS, etc.– and they would still be in the hole by a quarter of a trillion dollars.

4) Raising taxes won’t help. Since the end of World War II, tax receipts in the US have averaged 17.7% of GDP in a very tight range. The low has been 14.4% of GDP, and the high has been 20.6% of GDP.

During that period, however, tax rates have been all over the board. Individual rates have ranged from 10% to 91%. Corporate rates from 15% to 53%. Gift taxes, estate taxes, etc. have all varied. And yet, total tax revenue has stayed nearly constant at 17.7% of GDP.

It doesn’t matter how much they increase tax rates– they won’t collect any more money.

5) GDP growth prospects are tepid at best. Facing so many headwinds like quickening inflation, an enormous debt load, and debilitating regulatory burdens, the US economy is barely keeping pace with population growth.

6) The only thing registering any meaningful growth in the US is the national debt. It took over 200 years for the US government to accumulate its first trillion dollars in debt. It took just 286 days to accumulate the most recent trillion (from $15 trillion to $16 trillion).

Last month alone, the first full month of Fiscal Year 2013, the US government accumulated nearly $200 billion in new debt– 20% of the way to a fresh trillion in just 31 days.

7) Not to mention, the numbers will only continue to get worse. 10,000 people each day begin receiving mandatory entitlements. Fewer people remain behind to pay into the system. The debt keeps rising, and interest payments will continue rising.

8) Curiously, a series of polls taken by ABC News/Washington Post and NBC News/Wall Street Journal show that while 80% of Americans are concerned about the debt, roughly the same amount (78%) oppose cutbacks to mandatory entitlements like Medicare.

9) Bottom line, the US government is legally bound to spend more money on mandatory entitlements and interest than it can raise in tax revenue. It won’t make a difference how high they raise taxes, or even if they cut everything else that remains in government as we know it.

This is not a political problem, it’s a mathematical one. Facts are facts, no matter how uncomfortable they may be. Today’s election is merely a choice of who is going to captain the sinking Titanic.

Obama owns it now. There was the slight possibility that Romney/Ryan might do something to slow the inevitable, but as commenter Sarah said a few days ago:

Obama: Taking us over a cliff at 100 mph.
Romney: Taking us over a cliff at 80 mph.

Pretty much.

Still, I cannot blame him. Of the portion of the public willing to get up off their asses and vote, something less than 60% of those eligible, just over half voted for more “free stuff.”  Obama is a symptom of the underlying problem, not its source. A hundred years of “progressive” public education has given us a largely apathetic population approximately half of which is unable to reason or to do simple math, and a media that unable (even worse, unwilling) to do simple journalism. The Church has anointed its Pope and retained him, despite the best efforts of the Protestants to unseat him.

On the way up to the job site this morning at 0600, I was listening to a local call-in talk show where they were discussing the election.  A gentleman called in and said (I’m paraphrasing, but not much):  “I turn 80 this year.  The country I grew up in no longer exists.”

I am reminded once again of what the Reverend Donald Sensing said in December of 2003, before G.W. Bush really started running for his second term in 2004:

I predict that the Bush administration will be seen by freedom-wishing Americans a generation or two hence as the hinge on the cell door locking up our freedom. When my children are my age, they will not be free in any recognizably traditional American meaning of the word. I’d tell them to emigrate, but there’s nowhere left to go. I am left with nauseating near-conviction that I am a member of the last generation in the history of the world that is minimally truly free.

When I asked him in 2008 if his opinion had changed, he replied:

Yes, most definitely it has. The demise of freedom in this country has accelerated even faster than I imagined back in 2003.

I submit that, if the Bush Administration is seen as the cell door hinge, the Obama Administration will be seen as the lock plate and deadbolt.

For that which we are about to receive, may we be truly thankful.  We’ve earned it.

Welcome to the United States of Greece.  The Austerity Riots should be spectacular.

Edited to add this, from Unix-Jedi, since Obama is “more flexible” now that the election is over:


(Click for full size)

I never said there was no difference between Romney and Obama, just that neither was going to solve the looming budget crisis.

Quote of the Day – Rachel Lucas (Once More!)

It’s 10:50 p.m. in Turin and if I stay on the internet and see one more poll like this CNN one that has Obama tied with Romney, but with a +11 Democrat sample – which is 57% higher than the advantage Obama had in 2008 – then one of my carotid arteries will spontaneously hemorrhage. It’s not that such polls are right and therefore scary, it’s that they are so unfathomably insulting to human intelligence that key biological systems self-destruct to protect the cerebral cortex from irreparable damage secondary to what we in the medical field call WTF NeuroParalysis.

Rachel at her best.

Insulting to human intelligence?  The media knows its audience, Rachel.  It’s been playing to them for decades.

UPDATE:  I had the day off for personal reasons, and driving around between appointments, I tuned into the Rush Limbaugh show for a change just to see how histrionic he would get on this last day before the election.  He kept hitting the topic of the polls, the polls, the polls!  It’s a tie!  Obama’s ahead!  Romney’s ahead!  It’s too close to call!  He made largely the same point that Rachel does above, pointing out the (obvious) skewing, generally buried several paragraphs down in the poll reports.

Paraphrasing, he said something along the lines of “I thought this close to the election the pollsters would be more interested in being right than in trying to influence the vote, but I was wrong.  What are they going to do when Obama loses big?”

I shouted the answer back at the radio:  Blame it on voter suppression and CHEATING.  They’ve been screaming about voter ID being “voter suppression” for months now, and the Democrats always accuse the Right of what they themselves are doing, so you can bet your ass they’re going to scream that the election was stolen by voter suppression and fraud.  I just hope Romney wins, and by a big enough margin to overcome their cheating.

Interesting Data Point

I have the day off, and during a spare few minutes I decided to run over and visit my favorite Merchant O’Death.  I noticed a sign I hadn’t seen posted before, and asked about it, then asked if I could blog about it.  Their response, “It’s there for public consumption.  Go ahead.”  So I shall.  The sign in question:


What’s the deal?  About 80% of the guns that come back due to reliability issues are not due to gun problems, but ammo problems.  The customer is advised to pick up a box of PMC or CCI or anything on the shelf not from WalMart, and try the firearm again, and then if there are still function problems, then bring it back.

The overwhelming majority don’t come back.

Doing a little Violence Policy Center Research™ (a Google search), I turned up a few links looking for “WalMart ammo quality,” like this thread from Cheaper than Dirt’s Forum from 2009.  Excerpt:

I recently talked to a shooting range owner about this issue. He told me they had noticed more issues with ammo bought at Wal Mart (misfires) than ammo bought at other retailers. He had heard the the major U.S. manufacturers actually set aside ammo that wasn’t perfect (i.e. discolored) to sell to Wal Mart at a discounted price. This person’s info is generally accurate so, who knows? — “Speed Biker”

The next few replies were in defense of reputable ammo manufacturers and their quality control, and that’s what I’ve found over most of the web, but I like this gunshop, and I trust the guy behind the counter when he tells me that they’re seeing people have a lot of trouble with Wally-World ammo not functioning well (FTF, FTE, misfires, etc.)  I don’t know if this is a recent development, influenced by the massive ammo orders placed by the federal .gov, or what, but I found it interesting that it was such a problem that they felt they had to put up a sign to preemptively stop “warranty” repairs that weren’t, in fact, warranty repairs.

Anybody have any similar stories?

German Gun Control

Seems to work over there as well as it does everywhere else:

Perverted gynaecologist who kept sick photos of his patients also owned nearly 1,000 guns

Police have discovered a gynaecologist was storing nearly 1,000 guns as well as keeping photos of his patients’ private parts.

The medic, Dr Christian Koller, stored the pictures in hidden cupboards and safes in his Munich office and apartment, alongside machine guns, rifles, pistols and thousands of rounds of ammunition.

The officers were conducting a raid on the surgery after former patients made a complaint of malpractice against him and were not expecting to find over 700 guns.

Police say the doctor – who has surrendered his medical license – told them he was an ‘obsessed collector.’

‘He has a collector’s licence to keep some of the weapons as historic firearms but nothing on this scale,’ said a police spokesman.

His junk-on-the-bunk picture actually qualifies as an “arsenal” for a change!

There look to be several select-fire and full-auto weapons in there, too.  I see only sixty or so guns in that shot, so there has to be 10x that many we haven’t seen.  Obviously enough to get the Daily Mail editor’s knickers in a twist, since “over 700” and “nearly 1,000” are separated by, oh, about 300

Author Unknown

Probably Major Caudill, USMC (Ret.):

We’re the Battling Bastards of Benghazi,
no fame, no glory, no paparazzi.

Just a fiery death in a blazing hell,
defending the country we loved so well.

It wasn’t our job, but we answered the call,
fought to the consulate, ‘n scaled th’ wall.

We pulled twenty countrymen from the jaws of fate,
led them to safety, ‘n stood at th’ gate.

Just two of us, ‘n foe by th’ score,
but we stood fast to bar th’ door.

We called for reinforcement, but were denied,
so we fought, ‘n we fought, ‘n we fought, ‘n we died.

We gave our all for our Uncle Sam,
‘n Obama didn’t give a damn.

Just two dead SEALS, who carried the load,
no thanks to us, we were bumps in the road.