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DJP Update 9-16-2010 A must read article by George Will of Washington Post: “Pressed Into Conformity” (“Trifle with the Gov…)

DJP Comment:  George Will, columnist for the Washington Post has a fascinating article of September 16, 2010  below.  Read and then think about what is happening to Medicine.  Article is published at many sites, including the Washington Post (different title there:  Trifle with the government?  Just ask Jacob Maged”  Most newspaper published the column with the title below).  Links below. —— http://www.washingtonpost.com/wp-dyn/content/article/2010/09/15/AR2010091505090.html
http://patriotpost.us/opinion/george-will/2010/09/16/pressed-into-conformity/

http://tinyurl.com/32ndjhh or http://tinyurl.com/2b4szn8

Pressed Into Conformity

By George Will (Archive) · Thursday, September 16, 2010

JERSEY CITY, N.J. — The crime scene at 138 Griffith St. has changed in 76 years. Today it is a barber shop. In 1934, it was a tailoring and cleaning establishment owned and run by Jacob Maged, 49.

With his responsibilities as a father of four, Maged should have shunned a life of crime. Instead, he advertised his criminal activity with a placard in his shop window, promising to press men’s suits for 35 cents. This he did, even though President Franklin Roosevelt’s New Dealers, who knew an amazing number of things — his economic aides were not called a “Brains Trust” for nothing — knew that the proper price for pressing a man’s suit was 40 cents.

The National Recovery Administration was an administrative mechanism for the National Industrial Recovery Act of 1933, which envisioned regulating the economy back to health by using, among other things, codes of fair competition. The theory was that by promoting the cartelization of labor by encouraging unions, and the cartelization of industries by codes that would inhibit competition, prices would be propped up and prosperity would return.

Soon there were more than 500 NRA codes covering the manufacture of products from lightning rods to dog leashes to women’s corsets. Amity Shlaes, in “The Forgotten Man,” her history of the New Deal, reports that the NRA “generated more paper than the entire legislative output of the federal government since 1789.”

Businesses were asked to display the Blue Eagle, an emblem signifying participation in the NRA. Gen. Hugh “Iron Pants” Johnson, an admirer of Mussolini who headed the NRA, declared, “May God have mercy on the man or group of men who attempt to trifle with this bird.”

Maged trifled by his five-cent violation of New Jersey’s “tailors’ code,” written in conjunction with the NRA. On April 20, 1934, he was fined $100 — serious money when the average family income was about $1,500 — and sentenced to 30 days in jail. The New York Times reported that Maged “was only vaguely aware of the existence of a code.”

Not that such ignorance was forgivable. It is every citizen’s duty to stay up late at night, if necessary, reading the fine print about the government’s multiplying mandates.

“In court yesterday,” the Times reported, “he stood as if in a trance when sentence was pronounced. He hoped that it was a joke.” Maged was an immigrant from Poland, which in the Cold War would become familiar with the concept of “economic crimes” and the use of criminal law for the “re-education” of deviationists.

Actually, his sentence was a judicial jest. After Maged spent three days in jail, the judge canceled the rest of his sentence, remitted the fine and, according to the Times, “gave him a little lecture on the importance of cooperation as opposed to individualism.” The judge emphasized that people “should uphold the president … and General Johnson” in their struggle against — among other miscreants — “price cutters.” Then, like a feudal lord granting a dispensation to a serf, the judge promised to have Maged “measure me for a new suit.”

Maged, suitably broken to the saddle of government, removed from his shop window the placard advertising 35-cent pressings and replaced it with a Blue Eagle. “Maged,” reported the Times, “if not quite so ruggedly individualistic as formerly, was a free man once more.” So that is freedom — embracing, under coercion, a government propaganda symbol.

Today, as 76 years ago, economic recovery is much on the mind of the government, which is busy as a beaver — sending another $26 billion to public employees, proposing another $50 billion for “infrastructure” — as it orchestrates Recovery Summer to an appropriate climax. But at least today’s government is agnostic about the proper price for cleaning a suit.

In 1937, FDR asked in his inaugural address for “unimagined power” to enforce “proper subordination” of private interests to public authority. The biggest industrial collapse in American history occurred eight years after the stock market crash of 1929, and nearly five years into the New Deal, in … 1937.

Maged died here of cancer on March 31, 1939. He was 54. He remains a cautionary example of the wages of sin, understood by the progressives of his day as insubordination toward government that knowseverything. The NRA lives on, sort of, in this Milton Friedman observation: Pick at random any three letters from the alphabet, put them in any order, and you will have an acronym designating a federal agency we can do without.

(c) 2010, Washington Post Writers Group

—–

And here is my tweet at www.twitter.com/DJPNEWS about the article:

DJPNEWS

A must read. Gov power & price-fixing. #GeorgeFWill 9-16, #WashPost columnist. http://tinyurl.com/32ndjhh Think #hcr #libertyless than 5 seconds ago via web—— Stay well!  And get more folks to join DJP Update and www.twitter.com/DJPNEWS A new Twitter is on the way.  Twitter will offer more content with tweets.  GET A PREVIEW AT http://twitter.com/newtwitter
We have a short time to get the message out before the upcoming Congressional session and the NOVEMBER Elections!  The more we communicate, the greater is the chance we can get meaningful health system reform including medical liability reform.  The current system is collapsing because of wrong policies out of Washington, DC.  Better to fix the problem then have a complete collapse.  Communicate & Act!  Remember “Facts don’t cease to exist because they are ignored”.  PPACA is a disaster. Donald

P.S. Stop by http://twitter.com/djpNEWS and sign up for DJPNEWS to get tweet alerts that may not make it into DJP Updates.  Twitter is free and takes minutes to join.  Put email in and pick password.  Great source of breaking news and you don’t flood your email with it.  You can get free app for BlackBerry or IPhone etc and you check on tweets when you want.
Also, recent selected DJP Updates can be found at:  http://www.donaldpalmisano.com/html/djp_update/
Donald J. Palmisano, MD, JD Intrepid Resources® / The Medical Risk Manager Company 5000 West Esplanade Ave., #432 Metairie, Louisiana USA 70006 504-455-5895 office 504-455-9392 fax DJP@donaldpalmisano.com www.donaldpalmisano.com www.onleadership.us
This DJP Update goes to 2290 leaders in Medicine representing all of the State Medical Associations and over 100 Specialty Societies plus some other friends. You can share it with your members and it has the potential to reach 800,000 physicians. To join the list, send me an  email stating “Join DJP Update” To get off the list, state ” Remove DJP Update” in subject line.

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DJP Update 9-15-2010 Quick Reflection; Media Alert: Dr. Todd Williamson on radio in morning 9-16; Chart AMA State Liability Chart; Tweets

DJP Update 9-15-2010 Quick Reflection; Media Alert: Dr. Todd Williamson on radio in morning 9-16; Chart AMA State Liability Chart; Tweets

ITEM ONE:  Quick Reflection
As my surgical partner over the years, Dr. Jim Brown, has taught me over the years:  “We are here by a thin thread; at any time it may snap!”

I have mentioned that to you in these updates over the years.  I saw the thin thread almost snap on Sunday.  I had just finished my third speech in Oregon on leadership and health system reform.  I was a passenger in a BMW on a mountain curve when suddenly a 3/4 ton truck moving an a very high rate of speed came around the curve in the opposite direction.  The driver of that truck lost control of the truck as it rocked back and forth giving me the impression it was going to flip over and hit us head on.  It moved about four feet into our lane and my friend driving his BMW deftly swerved into the shoulder next to the mountain and the catastrophe was averted.  The truck did not flip but it was close.  At any time, disaster can strike.  A lesser driver and a less nimble car and you would not have any more DJP Updates.  Hug a loved one! Who knows when our threads will snap!

One more thing about the joy of travel.  I have 2 IDs with me when traveling.  One is my driver’s license and the other is a non-driver Louisiana ID card available to non-drivers and any driver who requests a second ID.  The non-driver card states permanent and for life.  I carry both in event I lose an ID on my travels.  That happened to me when I was on marathon travel with AMA.

When going through security at New Orleans airport I experienced a “first” in ID questions.  I showed the lifetime ID and the person looked at the card and then at me and said it was not acceptable.  I was told I would have to show another one.  I asked why.  She said the lifetime one did not have an expiration date.  Hmmm.  My first thought was to say that I did not know the date of my death!  But considering some other experiences at these security checks, I pulled out my drivers license and smiled.  Joy of travel!
ITEM TWO: Dr. Todd Williamson on radio in morning 9-16

THE GALLO SHOW
Weekdays 6am-9am
“The morning buzz starts with The Gallo Show on SuperTalk Mississippi.  Get your morning started right with news and information from the movers, shakers, and playmakers in local, state, and national politics.  You never know who will stop in to keep you up to date on the latest happenings in the state.  Veteran broadcaster Paul Gallo has asked the pointed questions from guest such as Karl Rove, Gov. Haley Barbour, and Rep. Gregg Harper to entertainment’s biggest names.  Simply put, your morning won’t start like it should unless you have a cup of coffee with The Gallo Show.”

On the Program for Thursday, September 16, 2010…

7:05 (CENTRAL TIME) “Dr. Todd Williamson, spokesman for the Coalition of State Medical and National Specialty Societies & past president of the Medical Association of Georgia, will join us on the show.  He will go into the need to empower patients and reduce the role of government and other third party payers.”
Check at Website for various stations covering the interview or listen via Internet.  Great to see young leaders leading the charge!
——–
ITEM THREE:  AMA 2009 State Laws Chart 1 – Liability Reforms

This document summarizes the medical liability laws in each state.
This is inside the AMA member portion of AMA Website.  Put in your ID and Password and then go to:


Good reference material for your research and debates.
———–


———-

  1. Suicide? How? RT @BreakingNews Dead man found..LA airport restroom, his head covered in a bag & hands bound – LA Times http://lat.ms/ddLtmsabout 5 hours ago via Echofon
  2. A step forward! RT @PatientsNOW Judge..”likely” allow..proceed..part of their lawsuit..for unconstitut #healthlaw http://politi.co/cMQL42about 23 hours ago via Echofon

  3. Good. If law lost, patients lose access RT @texmed Magistrate Says #Tort Reform Not Unconstit.. trib.it/9cj2BR via @TexasTribune #law6:49 PM Sep 14th via Echofon

  4. Power of Sec Sebelius in view RT @sonodoc99 @DJPNEWS@Mark_Levin Obamacare v The Rule of Law http://tinyurl.com/2d9gzvl10:04 AM Sep 14th via Echofon

  5. Rest in Peace Former Louisiana Senator Ken Hollis, a friend & neighbor & good legislator. Sincere condolences to family.3:54 PM Sep 10th via Echofon

  6. Delightful cafe find: Salem, Oregon. Great breakfast & staff nice. Busick Court Rest. at 250 Court St NE 503-370-8107 #food11:44 AM Sep 10th via Echofon

  7. Dave Tarver, the talented wise EVP Louisiana State Medical Society, retiring after decades award-winning service #LSMS#LaMedSoc8:26 AM Sep 10th via Echofon

  8. Well written coverage of #Saints win RT @TheSaints New Orleans Saints chart new path to victory – NOLA.com http://is.gd/f3Zxw8:04 AM Sep 10th via Echofon

  9. Will be giving my speech in Oregon during #Saints game. Too bad for me but wonderful wife will record!5:17 PM Sep 9th via Echofon

  10. Just landed in Portland Oregon to give speech on #Leadership& Health System Reform #hcr #docs4:58 PM Sep 9th via Echofon

  11. You have to like Sec of #Defense #RobertGates after reading @washingtonpost #Ignatius column http://tinyurl.com/3785d734:56 PM Sep 9th via Echofon

  12. Diag imaging head injury ED & states’ med malpractice reform; more=less tests! http://tinyurl.com/2eu9x5z#medical liability10:30 PM Sep 7th via web

  13. Visit weekly & watch #RiseOfFreedom at http://tinyurl.com/2fcysg4 #GroundZero #911#WorldTradeCenter #Freedom #liberty7:18 PM Sep 7th via Echofon

———–

————-
Stay well!  And get more folks to join DJP Update and www.twitter.com/DJPNEWS We have a short time to get the message out before the upcoming Congressional session and the NOVEMBER Elections!  The more we communicate, the greater is the chance we can get meaningful health system reform including medical liability reform.  The current system is collapsing because of wrong policies out of Washington, DC.  Better to fix the problem then have a complete collapse.  Communicate & Act!  Remember “Facts don’t cease to exist because they are ignored”.  PPACA is a disaster.

Donald
P.S. Stop by http://twitter.com/djpNEWS and sign up for DJPNEWS to get tweet alerts that may not make it into DJP Updates.  Twitter is free and takes minutes to join.  Put email in and pick password.  Great source of breaking news and you don’t flood your email with it.  You can get free app for BlackBerry or IPhone etc and you check on tweets when you want.
Also, recent selected DJP Updates can be found at:  http://www.donaldpalmisano.com/html/djp_update/
Donald J. Palmisano, MD, JD
Intrepid Resources® / The Medical Risk Manager Company
5000 West Esplanade Ave., #432
Metairie, Louisiana USA 70006
504-455-5895 office
504-455-9392 fax
This DJP Update goes to 2290 leaders in Medicine representing all of the State Medical Associations and over 100 Specialty Societies plus some other friends.
You can share it with your members and it has the potential to reach 800,000 physicians.
To join the list, send me an  email stating “Join DJP Update”
To get off the list, state ” Remove DJP Update” in subject line.
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DJP Update 9-4-2010 Internal Medicine physician shares a dystopic view of Medicine in the year 2038

 ——
An internal medicine physician, Greg Hood, MD,  shares what he wrote while the PPACA versions were being debated in Congress.  This dystopic view is posted at the link below.  The year is 2038.  Wow!

Medscape Blog:  http://boards.medscape.com/forums/?128@guest@.29ff9269!comment=1

EXCERPT of bio at Website plus entire article posted below with permission of Dr. Greg Hood.

Greg Hood MD

Dr. Greg Hood is a practicing traditional internist in Lexington, Kentucky. Dr. Hood is past-president of the California Society of Internal Medicine and is currently governor of the Kentucky chapter of the American College of Physicians.

——

Greg Hood, MD, Internal Medicine, 07:32PM Jun 23, 2010 
I wrote this one Saturday morning in September 2009, more than six months before PPACA was signed into law, and about two months before the House passed it’s version in November 2009. Creative influences for this include Kurt Vonnegut and Terry Gilliam.

It’s December, 2038, and young Kurt isn’t feeling well. “No, problem.” His mother replied, cheerily, in an attempt to lift the countenance on his pale face. She placed her thumbprint on the home interface and securely messaged the principal at General High School that Kurt would be absent that day, for medical reasons. Whump, whump, whump, whump papers hit the printer catch tray immediately. Three were forms for the medical office to complete validating the medical reasons for absence, each to be returned to a different government office by 9AM tomorrow. The final page was a homework assignment, due upon return from medical leave, to write 600 words on how his absence affected his civic duty to attend school, and about how he would change his focus to be of more help to the principal in the future.

His mother handed him his homework with another vacuous smile on her face, and addressed the interface for an appointment for her son. “Oh, how lovely, we have an appointment for you in thirty minutes. Oh dear, it’s on the other side of town.” She messaged again, asking for the office he had been seen in three of the last five times, which was four blocks away. The response from the smiling representative was that since all benefits are equal for all patients, all patients are equal, and all providers of healthcare are equal that this appointment would need to be kept. His mother opened her mouth as if to speak, and hesitated, drawing a cross look from the representative who said sharply, “you wouldn’t want me to fill out a form 27B/6, would you?”. Kurt was bemused that his mother quickly said, “no, no, the appointment will be fine.’, because he knew she had no idea what a form 27B/6 was.

Emerging from the glistening high speed magnetic monorail directly in front of the medical office Kurt smiled. He always smiled on the monorail, because as a part of the Great Economic Recovery of 2025 his father, Sam, had helped build it. That he had died during construction, victim of a freak monorail air conditioning accident, only made Kurt more proud of him, having sacrificed himself for the greater good. They passed under a sign which read “Everyone covered. Everyone seen. Everyone treated.”

At the check-in terminal his mother paused, and explained to the smiling face on the screen that they were there for Kurt’s appointment, but that she didn’t know which doctor he was to see. “Health Retrieval Officer”, the smiling face corrected. “Oh, of course,” his mother answered, “I’m just a little worried, that’s all. This is the sixth time he’s been to the doctor for this…” “Health Retrieval Officer” hissed the no longer smiling face. Recovering her smile, the Health Information Officer, encouraged them to proceed directly forward to room DZ-015. Upon entering, a touch-screen form was glowing at him. He answered each question dutifully, then took his seat.

Shortly, a short, officious appearing man entered, with a bland expression on his face. Without acknowledging the waiting pair he scanned Kurt’s entries, then glancing in his direction, sighed, and lifted himself laboriously off his stool. He shined a penlight in his eyes, his mouth, palpated both sides of his neck, pushed his head back and forth, and returned to his stool. Tapping at his screen, a bottle slid down a chute, which the HRO handed to Kurt. His mother picked it up and looked at it. “But, he’s had this before. How is this going to help his being tired?”, she asked. “Tired?” the HRO seemed surprised. “His appointment is for dizziness. Why do you think he’s in room DZ-15?””He was dizzy, last year, but this is the fifth time we’ve come to the doctor for fatigue”.

Obviously aggravated, the HRO said tersely, “Look. I’ve corrected you once. HROs. There haven’t been doctors for years, since those dark ages of medicine, before the Great Consolidation of the Peoples Care Act. Even if you wanted to see one, there are only a handful still seeing patients. Err, I shouldn’t have even told you that… Now you need to stop this right now or I’ll have to fill out a form 27B/6!” “I’m sorry, I’m sorry” she said, no smiling any longer, her face crumbling into a tearful distortion. “I just want him to be helped.” “Helped?!” he replied, getting red faced. “Look, you’ve gotten the best of healthcare. You’ve gotten instant access, free healthcare, free medication. What more do you want?!” “But, but, but…” she stammered. “This medicine, it’s the same one he’s gotten five times. I’ve had it twice. My husband started a bottle of it three days before he died”.

“Look” an obviously angry HRO said, “Everyone covered. Everyone seen. Everyone treated”. That’s the motto, that’s the deal. Do you want it to go back to the way it was?” He continued, with a disparaging tone, “Waiting for an appointment. Waiting in the office. Seeing the same ‘doctor’ over and over every time. Talking to tell your story, answer a bunch of questions, take expensive medicines. Is that what you really want? No. Wait. My time is up for this visit. Don’t answer that question or I will fill out a 27B/6. Good day.” With that he arose and brusquely bustled out.

With obvious disheartenment and slumped shoulders they exited under the shining sign which read, “Everyone covered. Everyone seen. Everyone treated” and walked towards the monorail. A man in a long coat bumped into Kurt, and pressed a small card into his hand. Taking a seat in the monorail, Kurt unfolded it, and read the words “Dr. Harrison will see you.” He showed his mother, but neither knew what it meant.

Arriving home, they were surprised that their home was dark. She turned on the lights, and sitting at their table was a man. On the table, next to the picture of her parents, George and Hazel, was an oddly shaped black bag. “Harrison?…Dr. Harrison?”, she asked. He arose, tall and smiling, salted temples and dark hair. “Tell me what is wrong, so that I may help”. After thirty minutes of listening to both of them recount his symptoms and story Dr. Harrison provided Kurt with the most detailed examination he had ever experienced.

Sitting down with them afterwards the doctor painstakingly explained to them his findings and recommendations. Starting to scribble on a pad, he said “He really will need this prescription, but it will be difficult to obtain outside the Nationalized Health Services. It will set him right in a few weeks…”

A large explosion blew the front door halfway across the living room, knocking over the Christmas tree. Through the smoke, dust, and flickering strands of lights uniformed men rushed in, restrained Kurt and his mother, shackled Dr. Harrison and rushed him out of the door. A short, primly dressed, bureaucratic little woman entered. She said, “Finally, we’re done with that menace. Free lance, free market doctors indeed! He was the last of them. And as for you two…. Here, complete this and be in my office at 9AM” she hissed, handing them a form. Kurt looked at it, Form 27B/6. The woman pivoted on one heel and brusquely exited. Kurt slumped, feeling very tired.

——————————–
DJP:  Here is what I posted at the Medscape blog site where Dr. Hood’s article is displayed:

PPACA is a disaster. Dr. Hood sounds the alert. An excellent post by him. We need to get rid of PPACA and
allow purchase of insurance across state lines, encourage medical savings accounts, get rid of Medicaid and put those folks into a system, using vouchers, like the people in Congress in the Federal Employees Health Benefits Program. Give tax credits to all Americans. Allow private contracting. Get rid of government control of Medicine!
Donald J. Palmisano, MD, JD
www.donaldpalmisano.com
www.onleadership.us
Twitter: www.Twitter.com/DJPNEWS
DJP Updates: http://www.donaldpalmisano.com/html/djp_update/

End of post
———
Stay well and have a great Labor Day Weekend!  The future is yours to fashion if you get involved!  Otherwise others create the future.  History is full of such events.
Donald

P.S. Stop by http://twitter.com/djpNEWS and sign up for DJPNEWS to get tweet alerts that may not make it into DJP Updates.  Twitter is free and takes minutes to join.  Put email in and pick password.  Great source of breaking news and you don’t flood your email with it.  You can get free app for BlackBerry or IPhone etc and you check on tweets when you want.

Also, recent selected DJP Updates can be found at:  http://www.donaldpalmisano.com/html/djp_update/

Donald J. Palmisano, MD, JD
Intrepid Resources® / The Medical Risk Manager Company
5000 West Esplanade Ave., #432
Metairie, Louisiana USA 70006
504-455-5895 office 504-455-9392 fax
DJP@donaldpalmisano.com
www.donaldpalmisano.com
www.onleadership.us

This DJP Update goes to 2281 leaders in Medicine representing all of the State Medical Associations and over 100 Specialty Societies plus some other friends.
You can share it with your members and it has the potential to reach 800,000 physicians.
To join the list, send me an  email stating “Join DJP Update” To get off the list, state ” Remove DJP Update” in subject line.

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DJP Update 9-1-2010 The plaintiff trial attorneys never stop fighting for the status quo; meanwhile doctors fight among themselves on many issues

Note this tweet from the group formerly known as ATLA (Association of Trial Lawyers of America) and now calling themselves The American Association for Justice.  They continue to fight as a unit to keep the status quo.

Contingency fees, no penalty for filing suits without merit, no peer-review, etc.  And they keep with the same funny math in the debates.  See what you will hear in the next debate by reading their JusticeDotOrg citation in the Daily Kos.  Meanwhile the doctors fight among themselves on many issues.  The plaintiff attorneys only have one real issue.  And they get involved in elections! Res ipsa loquitur!

Do your homework!  Be ready.  Imagine if they were price-fixed!  Imagine if an operation to save their lives cost them 1/3 to 1/2 of future income!  Of course doctors would never do such an unethical act.  But why have legal ethics and then medical ethics?  Why not just ETHICS.  How long must we tolerate these abuses!!  And now a word from the folks who sue doctors. 

———From the plaintiff attorneys the following tweet:
JusticeDotOrg 

Useful fact sheet on health care and tort reform via Daily Kos http://ow.ly/2ycLiabout 1 hour ago via HootSuite

——— My response at:  twitter.com/DJPNEWS ———-

DJPNEWS  Nonsense. Elim contingency fees! Extend doc price-fix attorneys RT @JusticeDotOrg …health..tort reform via Daily Kos http://ow.ly/2ycLi13 minutes ago via Echofon

Here are some more recent tweets

  1. More #Apple: new iPod #Touch has FaceTime & HD video.#FaceTime = video conference via devices iPhone4-new iTouch apple.comabout 4 hours ago via Echofon
  2. Check out new #iPod Nano. Back to my favorite 3rd generation square shape but no clickwheel; has touch screen, FM, 24 hr batt.about 6 hours ago via Echofon
  3. #Apple September Event taking place now! New #iPods & more. Follow on Web various sites inclhttp://live.appleinsider.comabout 6 hours ago via Echofon
  4. Wrong! Impt issues! #Tyson says in #NYT “too much focus on..deficit” & too much worry about..size of government”http://tinyurl.com/2dr43hkabout 7 hours ago via Echofon
  5. Economy & #PPACA #Goodman stresses role of uncertainty & central control. Agree PPACA a disaster http://tinyurl.com/35y5s75 #hcrabout 7 hours ago via Echofon
  6. Memories Prez #Bush RT @KarlRove Good Read: The Shadow Over Obama’s Address by Mark McKinnon @thedailybeasthttp://bit.ly/bVJxNq #TCOTabout 8 hours ago via Echofon
  7. “Dear Patients: Vote to Repeal ObamaCare” @WSJopinion http://tinyurl.com/2dwge36 #hcr #Doctors#Docs4PatientCare #voteabout 9 hours ago via Echofon
  8. RT @PatientsNOW @washingtonpost on #healthcare bill’s “missed opportunity” to fix broken med mal system, save billions http://bit.ly/cKvma9about 9 hours ago via Echofon
  9. Fascinating! & more uses on horizon; equals earlier dx RT @texmed #iPhone set to replace the stethoscope shar.es/0gxkZ #Medicine9:22 AM Aug 31st via Echofon

——

Stay well,

Donald
P.S. Stop by http://twitter.com/djpNEWS and sign up for DJPNEWS to get tweet alerts that may not make it into DJP Updates.  Twitter is free and takes minutes to join.  Put email in and pick password.  Great source of breaking news and you don’t flood your email with it.  You can get free app for BlackBerry or IPhone etc and you check on tweets when you want.
Also, recent selected DJP Updates can be found at:  http://www.donaldpalmisano.com/html/djp_update/
Donald J. Palmisano, MD, JD Intrepid Resources® / The Medical Risk Manager Company 5000 West Esplanade Ave., #432 Metairie, Louisiana USA 70006 504-455-5895 office 504-455-9392 fax DJP@donaldpalmisano.com www.donaldpalmisano.com www.onleadership.us
This DJP Update goes to 2281 leaders in Medicine representing all of the State Medical Associations and over 100 Specialty Societies plus some other friends. You can share it with your members and it has the potential to reach 800,000 physicians. To join the list, send me an  email stating “Join DJP Update” To get off the list, state ” Remove DJP Update” in subject line. 

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DJP Update 8-25-2010 Great fun at Tulane Surgery Grand Rounds; Coalition of State Medical & National Specialty Societies article in Modern Healthcare; LSMS Change of EVP; Missouri Vote; Lagniappe

ITEM ONE:  Tulane Surgery Grand Rounds went very well.  Of special interest is the first question after my presentation.  A medical student asked, You are a former AMA president and why did the AMA support this PPACA health “reform” law as the law would not have passed without AMA support?  You have heard my response in previous DJP Updates but in effect I stated AMA is a good organization but AMA made a serious error in judgment and, also in my opinion, disregarded long-standing AMA policy that if followed, would have prevented AMA from supporting the law.
ITEM TWO:  Coalition of State Medical & National Specialty Societies article in Modern Healthcare  I realize some of you do not accept attachments. It can be viewed online by going to:  http://www.modernhealthcare.com/article/20100823/MAGAZINE/308239999  or you can go to  http://www.modernhealthcare.com/ and click on the title of article submitted under the name of Dr. Todd Williamson.  See at bottom of page:  Grappling with a leviathan by M. Todd Williamson “The Right to Contract Provides Needed Counterbalance to Government Power in Healthcare”
You may have to enter a password but the first link may bypass the password.  If unable to get the article,  contact Mr. David Cook at MAG.  His email is:  DCook@Mag.org
Excerpts:


The coalition includes the Medical Association of the State of Alabama, the Medical Society of Delaware, the Medical Society of the District of Columbia, the Florida Medical Association, the Medical Association of Georgia, the Kansas Medical Society, the Louisiana State Medical Society, the Medical Society of New Jersey, the Mississippi State Medical Association, the South Carolina Medical Association, and the Tennessee Medical Association. It also includes the American Academy of Facial Plastic and Reconstructive Surgery, the American Association of Neurological Surgeons, the American Society of General Surgeons, and the Congress of Neurological Surgeons. And it includes three former presidents of the American Medical Association—Daniel Johnson Jr., Donald Palmisano and William Plested III.  …. We collectively believe that the Patient Protection and Affordable Care Act has given the federal government too much power when it comes to the decisions that are made surrounding our healthcare. What’s more, it is not financially sustainable. 

We are convinced that a critical mass of the rank-and-file physicians who practice medicine in this country—across both geographic and specialty lines—share our belief that the key to preserving patient access to care is reforming the nation’s medical payment system, which is a message we have been delivering to as many stakeholders as possible for a year and a half now.

As the largest government-run healthcare program, Medicare represents a glaring example of the need for change. It is becoming increasingly difficult for physicians to accept Medicare patients as a simple economic matter as the gap between payment rates and the cost of running a practice grows wider.

The good news is that, at our urging, the AMA House of Delegates took an important step in the right direction when it passed a resolution during its meeting in Chicago in June with overwhelming support that read:

“Resolved, that our American Medical Association immediately formulate legislation for an additional payment option in Medicare fee-for-service that allows patients and physicians to freely contract, without penalty to either party, for a fee that differs from the Medicare payment schedule and in a manner that does not forfeit benefits otherwise available to the patient. This legislative language shall be available to our AMA members no later than Sept. 30, 2010.”

We believe that patients and physicians should be free to privately contract without bureaucratic interference or penalty. This change would empower patients as they make important healthcare decisions, including the source and cost of their medical care.  ————

ITEM THREE:  The wonderful Dave Tarver is retiring from EVP position at Louisiana State Medical Society after a very distinguished career.  This man is a fountain of wisdom for the various presidents of LSMS as they served their presidential years.  He will be missed greatly and we wish a wonderful well-deserved retirement.  I had the privilege to serve on the search committee that recommended Dave Tarver to the LSMS Board.  And a hearty welcome to Jeff Williams, a man well-known to the leadership of LSMS.
Here is the official press release:

EVP Dave Tarver to Retire Sept 30 After three decades of leadership and service, Louisiana State Medical Society (LSMS) Executive Vice President Dave Tarver will officially retire effective September 30, 2010.   “Through the years, Dave Tarver’s experience and leadership have proven invaluable to the LSMS,” said Dr. Patrick C. Breaux, president of the LSMS. “His departure will leave a void in the hearts and minds of those who have worked with him. We are truly appreciative of all that he has done for Louisiana physicians.”   In 2002, the House of Delegates, the LSMS’ policy-making body, awarded Tarver permanent honorary membership status in appreciation for his 20 years of service. Since the organization’s inception in 1878, the LSMS traditionally elected a physician as the secretary-treasurer/chief administrative officer of the association. In the early 1980s, the House of Delegates approved a resolution to open the chief administrative officer position to lay person. Hired in 1982, Tarver was the first non-physician chief administrative officer to lead the society.   Most recently, Tarver has been recognized by the American Medical Association (AMA) with the 2009 Medical Executive Lifetime Achievement Award. In 2006, he received the AMA’s Medical Executive Meritorious Service Award for his outstanding individual effort and leadership in the aftermath of Hurricanes Katrina and Rita. He also served as president of the Louisiana Society of Association Executives (LSAE) in 2006 and holds membership in several state and national medical executive and association management groups.    The LSMS Board of Governors established an ad hoc search committee, chaired by Dr. Jeff White of Shreveport, to review and recommend candidates for the position of executive vice president. After a national search and extensive deliberations, the Board has chosen current LSMS Chief Financial Officer and Director of Administration Jeff Williams as Tarver’s successor, effective October 1.   “I thank Dr. Jeff White and the members of the Search Committee for their diligence and commitment to the future of the LSMS,” said Dr. Breaux. “After thoughtful deliberations, the Board of Governors selected a new executive vice president from a group of highly qualified candidates.”   Search Committee Members  Frederick J. White, III, MD, Chair, Shreveport Barbara Tomek, MD, Lake Charles Jay Busby, Jr., MD, Monroe Daniel H. “Stormy” Johnson, Jr., MD, Metairie Thomas Nolan, MD, New Orleans Barry Landry, MD, Thibodaux Wallace Dunlap, MD, Baton Rouge Patrick C. Breaux, MD, President, ex-officio F. Dean Griffen, MD, President-Elect, ex officio ——– ITEM FOUR:  

Missouri Voters Reject Health Law

Published: August 3, 2010
Excerpt from this NYTimes article at:  http://www.nytimes.com/2010/08/04/us/politics/04midwest.html
——–
 The referendum drew support from 71 percent of nearly 939,000 voters. “My constituents told me they felt like their voices had been ignored and they wanted Washington to hear them,” Jane Cunningham, a state senator and Republican who had pressed for a vote, said Tuesday night. “It looks to me like they just picked up a megaphone.”
——-
DJP Comment:  Well, what do you know about that!  
and here is another amazing development:

Senate Finance Committee Chairman Max Baucus (D-Mont.), one of the chief authors of the healthcare law, suggested Tuesday that he did not read the entire 2,400 page piece of legislation.

Speaking at a forum in his home state, Baucus and Health and Human Services Secretary Kathleen Sebelius were asked by an audience member if they had read the whole bill and “if not, that is the most despicable, irresponsible thing.” 

“I don’t think you want me to waste my time to read every page of the healthcare bill,” Baucus said, according to the Flathead Beacon. “You know why? It’s statutory language … We hire experts.”

——–

http://www.theatlantic.com/politics/archive/2010/08/baucus-defends-health-care-didnt-read-the-entire-bill/62030/

Another article about this topic.

——–

LAGNIAPPE:  Wisdom by John Goodman.  I tweeted the link.

www.Twitter.com/DJPNEWS

Yes! “problem is…person who benefits from..service..not…person who pays..bill.” #Goodman http://tinyurl.com/2awwxvr #hcr10:34 AM Aug 23rd via web

Stay well,

Donald
P.S. Stop by http://twitter.com/djpNEWS and sign up for DJPNEWS to get tweet alerts that may not make it into DJP Updates.  Twitter is free and takes minutes to join.  Put email in and pick password.  Great source of breaking news and you don’t flood your email with it.  You can get free app for BlackBerry or IPhone etc and you check on tweets when you want.
Also, recent selected DJP Updates can be found at:  http://www.donaldpalmisano.com/html/djp_update/
Donald J. Palmisano, MD, JD Intrepid Resources® / The Medical Risk Manager Company 5000 West Esplanade Ave., #432 Metairie, Louisiana USA 70006 504-455-5895 office 504-455-9392 fax DJP@donaldpalmisano.com www.donaldpalmisano.com www.onleadership.us
This DJP Update goes to 2281 leaders in Medicine representing all of the State Medical Associations and over 100 Specialty Societies plus some other friends. You can share it with your members and it has the potential to reach 800,000 physicians. To join the list, send me an  email stating “Join DJP Update” To get off the list, state ” Remove DJP Update” in subject line. 

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DJP Update 8-16-2010 Breaking News — Florida Medical Association: “vote of ‘no confidence’ in the current AMA leadership”

DJP Comment:  This action by FMA is widely reported in the news media.  A few of the articles are posted below.  AMA’s best chance to regain confidence of the remaining members is to aggressively push for the right to privately contract, without penalty, regarding of payment by government or other third-party carriers and carry out the mandate of the AMA House of Delegates to get legislative language written for that item, advertised, introduced in Congress, and do a full court press for passage.  The disaster in the new new healthcare law, “PPACA” of 2010 (P.L. 111-148 as amended by P.L. 111-152), will destroy Medicine faster if doctors do not have an escape valve from the inevitable price-fixing and government dictation of Medicine.  

The Hill’s Healthcare Blog

Florida physicians blast national group for supporting healthcare reform but decline to part ways

By Julian Pecquet – 08/16/10 04:10 PM ET
Florida physicians have “no confidence” in the American Medical Association’s handling of the healthcare reform debate, Florida Medical Association (FMA) President Madelyn Butler said Monday.

“The FMA House of Delegates strongly believes that the American Medical Association has failed to represent practicing physicians on the issue of healthcare reform,” Butler said in a statement. “The FMA has voted to express these grave concerns to the AMA by sending a letter conveying a vote of ‘no confidence’ in the current AMA leadership regarding this issue. After passionate debate and testimony, the overwhelming sentiment was that the FMA members and leadership continue to have serious concerns about the effectiveness of the AMA and its ability to represent physicians’ interests.”

The Florida Medical Association’s House of Delegates over the weekend was expected to take up a resolution splitting with the AMA, The Hill first reportedlast month. The resolution was proposed by Fort Myers plastic surgeon Douglas Stevens, who called the AMA’s inability to get Congress to reform the Medicare payment system for physicians — something the traditionally conservative doctors lobby expected in exchange for supporting the Democrats’ law — a “fiasco.” 

In the end, the Florida group declined to take up the resolution, opting to send a strongly worded letter of disapproval to the AMA. The letter isn’t expected to be completed until the end of the week.

“It is important that the FMA continues to advocate for Florida’s physicians and our 20,000-plus members and ensure that Florida’s physicians stay engaged as we develop federal policy and advocacy positions on behalf of organized medicine,” Butler said. “Therefore, the FMA will continue to send a delegation to the AMA’s annual and interim meetings. We are hopeful that the AMA will recognize the concerns of the FMA, one of the largest and most representative healthcare associations in the nation, and we will continue to ensure that the FMA aggressively carries out its mission in Florida of helping physicians practice medicine.”

Sen. Tom Coburn (R-Okla.), furious at the AMA for its support of Democrats’ healthcare reform law, gleefully drew reporters’ attention to the news out of Florida on Monday.

——-

http://www.modernhealthcare.com/article/20100816/NEWS/308169978

Fla. docs voice ‘no confidence’ in AMA

By Andis Robeznieks

Posted: August 16, 2010 – 12:01 am ET
The Florida Medical Association sent a letter of “no confidence” to the American Medical Association expressing its feelings that the AMA did not represent doctors’ wishes during the healthcare reform debate.

“It is important that the FMA continues to advocate for Florida’s physicians and our 20,000-plus members and ensure that Florida’s physicians stay engaged as we develop federal policy and advocacy positions on behalf of organized medicine,” said Madelyn Butler, FMA president, in a news release. “Therefore, the FMA will continue to send a delegation to the AMA’s annual and interim meetings.” 

Originally, some doctors wanted the FMA to sever all relations with the AMA, said Tampa orthopedic surgeon Michael Wasylik, an FMA delegate who also served as an alternate delegate at the AMA House of Delegates meeting this past June. A vote to break off from the AMA, however, was never taken. Instead, Wasylik said, neurosurgeon David McKalip introduced a substitute resolution to send a no-confidence letter to the AMA leadership.

“I think it was a very vigorous debate,” said Wasylik, who added that AMA President Cecil Wilson, an internist from Winter Park, Fla., was in attendance and “heard doctor after doctor lambaste the AMA leadership.”  …

——–
 

Florida Medical Association Votes ‘No Confidence’ in AMA

By Joyce Frieden, News Editor, MedPage Today
Published: August 16, 2010

The Florida Medical Association (FMA) has voted to send a “no confidence” letter to leaders of the American Medical Association (AMA) — saying that the AMA leadership has “failed to represent practicing physicians on the issue of healthcare reform.”

“After passionate debate and testimony, the overwhelming sentiment was that the FMA members and leadership continue to have serious concerns about the effectiveness of the AMA and its ability to represent physicians’ interests,” FMA president Madelyn E. Butler, MD, said in a statement.

“The FMA House of Delegates strongly believes that the American Medical Association has failed to represent practicing physicians on the issue of healthcare reform. The FMA has voted to express these grave concerns to the AMA by sending a letter conveying a vote of ‘no confidence’ in the current AMA leadership regarding this issue,” the statement added.

The vote took place over the weekend at the FMA’s annual meeting in Orlando. …

———–

Stay well,

Donald
P.S. Stop by http://twitter.com/djpNEWS and sign up for DJPNEWS to get tweet alerts that may not make it into DJP Updates.  Twitter is free and takes minutes to join.  Put email in and pick password.  Great source of breaking news and you don’t flood your email with it.  You can get free app for BlackBerry or IPhone etc and you check on tweets when you want.
Also, recent selected DJP Updates can be found at:  http://www.donaldpalmisano.com/html/djp_update/
Donald J. Palmisano, MD, JD
Intrepid Resources® / The Medical Risk Manager Company
5000 West Esplanade Ave., #432
Metairie, Louisiana USA 70006
504-455-5895 office
504-455-9392 fax
This DJP Update goes to 2279 leaders in Medicine representing all of the State Medical Associations and over 100 Specialty Societies plus some other friends.
You can share it with your members and it has the potential to reach 800,000 physicians.
To join the list, send me an  email stating “Join DJP Update”
To get off the list, state ” Remove DJP Update” in subject line.
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DJP Update 8-1-2010 Recent tweets & Lagniappe: Doctor running for office

DJP Comment: Check out the links in my tweets below, especially those on the new law, PPACA, “Patient Protection and Affordable Care Act” (P.L. 111-148) as amended by the “Health Care and Education Reconciliation Act of 2010” (P.L. 111-152). In the end, as I have stated many times, it won’t increase quality, won’t decrease cost, and won’t increase access. And watch for another run for the “Public Option”. Eternal Vigilance!

——–
Tweets at www.Twitter.com/DJPNEWS

Disconfirming opinion by #Capretta in #NRO re handling of #hcr by #POTUS & #Congress http://tinyurl.com/236k7uo #Berwick
3 minutes ago via Echofon
More on impt topic RT @AdviceToWriters An agent answers, “What is writer’s voice?” http://dld.bz/p3zM (via @elizabethscraig) #writing
about 4 hours ago via Echofon
Politics aside, #Dowd knows how to weave words into a tapestry @NYTimesDowd Mad Men and Bad Girls http://nyti.ms/b3msf7 #writing
about 22 hours ago via Echofon
Tenderness, political parties & leaders: clarity, competence, & courage @Peggynoonannyc http://tinyurl.com/252tyhq@WSJopinion
6:31 AM Jul 31st via Echofon
Color photos=color in #Kindle app #IPhone despite B&W on Kindle. #JohnBesh “My New Orleans: The Cookbook” terrific! #cooking
8:00 PM Jul 30th via Echofon
Gov can’t solve debt with credit cards RT @RasmussenPoll 86% Say Americans Need To Cut Back on Spending…http://tinyurl.com/RR1844
8:33 AM Jul 30th via Echofon
Nice Dictionary! RT @IPodPlaza Kindle for iOS Brings iPad Search, Dictionary, Fast-Switching http://sns.ly/LGf46 #iPod #iPhone4
8:22 AM Jul 30th via Echofon
Journalists or political strategists? Truth & Fairness a relic? #JournoList #IBD #press http://tinyurl.com/3yy52y5
9:36 AM Jul 29th via Echofon
Odysseus same advice RT @AdviceToWriters Never talk about what you’re going to do until..you’ve written it. MARIO PUZO #writing #writetip
5:55 PM Jul 28th via Echofon
Bad bill! RT @NCPA It’s baaack! Congress..recess..Rep..Woolsey brings back slimmed-down Public Option http://bit.ly/aT0qe0 #hcr #tpp #SGR
7:35 AM Jul 28th via Echofon
RT @texmed Got a minute? Check out..Health Reform..video lessons. Easy to digest — even if some..is hard to stomach http://ow.ly/2htz8
4:51 PM Jul 27th via Echofon
Prepare! RT @JindalNews Governor Jindal Urges Louisianians to Get Prepared for Tropical Depression Bonnie http://twurl.nl/i2ezvs
4:04 PM Jul 23rd via Echofon
Editorial @Washingtonpost Recess Games “The public deserves a hearing..Medicare appointee” http://tinyurl.com/2wsno5w #hcr #Berwick
2:30 PM Jul 23rd via web
Much discussion about “America’s Ruling Class…” article. Read it yourself; avoid hearsay! http://tinyurl.com/24tjruj
10:35 PM Jul 22nd via Echofon
USA, note! RT @TheEconomist Reforming the NHS: Once more into the ring http://econ.st/bK2Uut #economist #nationalhealthservice #nhs #hcr
4:33 AM Jul 22nd via Echofon
Check out latest #DJPUpdates at http://tinyurl.com/y9dx5we to get comment on tweets posted & items not covered in tweets #hcr
6:46 PM Jul 18th via web
———
LAGNIAPPE: Dr. Jack Beller of Oklahoma is running for the state Senate in Oklahoma. Many of you know Jack from the AMA House of Delegates. I worked with Jack in Oklahoma during my AMA presidency when I toured the USA advocating for medical liability reform. Jack would pick me up at 5:30 am each morning and drive me to the radio stations to debate plaintiff attorneys about liability reform.

It would be great if Jack gets elected. Here is what Jack wrote me when I learned he was running for office.

“The enactment of Health System Reform at the federal level has also placed tremendous burdens on the various state legislatures to get it enacted. State legislatures are going to need an even higher level of medical sophistication then ever to get these reform mandates done right. We cannot, for the sake of our patients and ourselves, afford to let the legislatures get it wrong. It is primarily for this reason that I have decided to become a candidate for the Oklahoma State Senate.

“The timing of this election is a moving target right now. We have term limits in Oklahoma, and my Senator, Jonathan Nichols (District 15 – north and west Cleveland county and north McClain county) exhausts his ability to serve in 2012. BUT he is right now running for a District Judge position here in Norman with the run-off in November. If he wins, which it appears in all likelihood he will, his seat will be vacant then, and there will be a special election within 90 days. I need to be ready to GO on almost an over-night basis. There are 4-5 others talking about running when the time comes. I already have my campaign established with my own money, but I’m trying to build enough of a campaign fund now that some of those potential candidates may realize between now and November that it is too steep a hill to climb to be able to wage a successful campaign against me.

“Please go to my campaign web site, www.drbellerforsenate.com, for more information and an opportunity to financially support this campaign.”
—–
Good luck, Jack! And I hope he gets support from medical colleagues.

Stay well,
Donald

P.S. Stop by http://twitter.com/djpNEWS and sign up for DJPNEWS to get tweet alerts that may not make it into DJP Updates. Twitter is free and takes minutes to join. Put email in and pick password. Great source of breaking news and you don’t flood your email with it. You can get free app for BlackBerry or IPhone etc and you check on tweets when you want.

Also, recent selected DJP Updates can be found at: http://www.donaldpalmisano.com/html/djp_update/

Donald J. Palmisano, MD, JD
Intrepid Resources® / The Medical Risk Manager Company
5000 West Esplanade Ave., #432
Metairie, Louisiana USA 70006
504-455-5895 office
504-455-9392 fax
DJP@donaldpalmisano.com
www.donaldpalmisano.com
www.onleadership.us

This DJP Update goes to 2277 leaders in Medicine representing all of the State Medical Associations and over 100 Specialty Societies plus some other friends.
You can share it with your members and it has the potential to reach 800,000 physicians.
To join the list, send me an email stating “Join DJP Update”
To get off the list, state ” Remove DJP Update” in subject line.

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DJP Update 7-22-2010: Article by Angelo M. Codevilla, PhD, entitled “America’s Ruling Class — And the Perils of Revolution”

DJP Update 7-22-2010: Article by Angelo M. Codevilla, PhD, entitled “America’s Ruling Class — And the Perils of Revolution”

DJP Comment: Here is an article that is generating a lot of debate, “America’s Ruling Class…” by Dr. Angelo M. Codevilla, professor at Boston University. Rather than rely on heresay information about the article, read the entire article yourself. Dr. Codevilla is professor of international relations at Boston University and Vice Chairman of the U.S. Army War College Board of Visitors. You can find titles of books he wrote at the Brief CV link below.

Agree or disagree, the issue is what are the citizens of America going to do? Lots of discontent exists among the citizens. Lots of name calling on radio and TV and in Congress.

Will someone emerge who can bring civility, science, and fair play in the actions of those elected to office? Leadership and earned respect are needed immediately. Medicine, as just one example, has gone from the primacy of science in the development of policy to to the power of politics. The disruption and uncertainty about the future already are causing problems and affecting career decisions and access to care. That is sad.

——

The American Spectator

America’s Ruling Class — And the Perils of Revolution

By Angelo M. Codevilla from the July 2010 – August 2010

READ THE ENTIRE ARTICLE HERE:

http://spectator.org/archives/2010/07/16/americas-ruling-class-and-the/print

or

http://spectator.org/archives/2010/07/16/americas-ruling-class-and-the

The article is lengthy but worth the read. You can check the Web for pro and con about this article but it is time for a debate about what is going on in Washington, DC regardless of your political affiliation.

———

The first two paragraphs of the article:

“As over-leveraged investment houses began to fail in September 2008, the leaders of the Republican and Democratic parties, of major corporations, and opinion leaders stretching from the National Review magazine (and the Wall Street Journal) on the right to the Nation magazine on the left, agreed that spending some $700 billion to buy the investors’ “toxic assets” was the only alternative to the U.S. economy’s “systemic collapse.” In this, President George W. Bush and his would-be Republican successor John McCain agreed with the Democratic candidate, Barack Obama. Many, if not most, people around them also agreed upon the eventual commitment of some 10 trillion nonexistent dollars in ways unprecedented in America. They explained neither the difference between the assets’ nominal and real values, nor precisely why letting the market find the latter would collapse America. The public objected immediately, by margins of three or four to one.

“When this majority discovered that virtually no one in a position of power in either party or with a national voice would take their objections seriously, that decisions about their money were being made in bipartisan backroom deals with interested parties, and that the laws on these matters were being voted by people who had not read them, the term “political class” came into use. Then, after those in power changed their plans from buying toxic assets to buying up equity in banks and major industries but refused to explain why, when they reasserted their right to decide ad hoc on these and so many other matters, supposing them to be beyond the general public’s understanding, the American people started referring to those in and around government as the “ruling class.” And in fact Republican and Democratic office holders and their retinues show a similar presumption to dominate and fewer differences in tastes, habits, opinions, and sources of income among one another than between both and the rest of the country. They think, look, and act as a class. ”

Brief CV of Dr. Codevilla

http://www.claremont.org/scholars/id.25/scholar.asp

Angelo M. Codevilla

Angelo M. Codevilla is professor of international relations at Boston University and Vice Chairman of the U.S. Army War College Board of Visitors. His most recent book is Advice for War Presidents, published by Basic Books.

He received his B.A. from Rutgers University, an M.A. from Notre Dame University, and his Ph.D. in Security Studies, U.S. Foreign Policy, and Political Theory from the Claremont Graduate School.

At Boston University since 1995, Professor Codevilla has been a U.S. Naval Officer, an Assistant Professor at the Grove City College and North Dakota State College, a U.S. Foreign Service Officer, and a member of President-Elect Reagan’s Transition Teams within the U.S. Department of State. He dealt with Western Europe and with matters affecting the U.S. Intelligence Community. He served as a U.S. Senate Staff member dealing with oversight of the intelligence services, a professorial lecturer at Georgetown University and a Senior Research Fellow for the Hoover Institution at Stanford University.

———

Lagniappe: I am off to Washington, DC, Saturday to give a speech on leadership on Sunday to the “American College of Surgeons 2010 Leadership Conference for Young Surgeons and Chapter Leaders.” Departing on a lecture trip on July 24, my birthday, is not my favorite time to be out of town for a lecture but the young doctors are the future and one day we may be on a stretcher looking up at one of the new generation. We need to share with the next generation just as those who came before us generously helped us in this wonderful profession called Medicine.

Hyatt Regency Washington on Capitol Hill

400 New Jersey Avenue

Sunday, July 25, 2010

3:30-4:30 p.m.

Joint Plenary Session 2: Leading Your Community: Serving Locally and Nationally

SPEAKER: Donald J. Palmisano, MD, JD, FACS

Surgeon leaders have an important impact in the community at local and national levels. In this session, participants will learn the pathways in which they can become more engaged at both levels. Also, participants will understand how to influence their communities and organizations, and appreciate how these commitments can affect their personal goals and objectives.

MODERATOR: Dr. Steven Li-Wen Chen

————–

Stay well,

Donald

P.S. Stop by http://twitter.com/djpNEWS and sign up for DJPNEWS to get tweet alerts that may not make it into DJP Updates. Twitter is free and takes minutes to join. Put email in and pick password. Great source of breaking news and you don’t flood your email with it. You can get free app for BlackBerry or IPhone etc and you check on tweets when you want.

Also, recent selected DJP Updates can be found at: http://www.donaldpalmisano.com/html/djp_update/

Donald J. Palmisano, MD, JD
Intrepid Resources® / The Medical Risk Manager Company
5000 West Esplanade Ave., #432
Metairie, Louisiana USA 70006
504-455-5895 office
504-455-9392 fax
DJP@donaldpalmisano.com
www.donaldpalmisano.com
www.onleadership.us

This DJP Update goes to 2263 leaders in Medicine representing all of the State Medical Associations and over 100 Specialty Societies plus some other friends.
You can share it with your members and it has the potential to reach 800,000 physicians.
To join the list, send me an email stating “Join DJP Update” To get off the list, state “Remove DJP Update”. Best to put in Subject line so I can do immediately.

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DJP Update 7-18-2010 Potpourri of tweets from DJPNEWS since July 12; comment re my philosophy of tweets; Lagniappe

DJP Update 7-18-2010 Potpourri of tweets from DJPNEWS since July 12; comment re my philosophy of tweets; Lagniappe

DJP Comment: Everyone’s life is busy. And for some, following tweets is another demand on time. But the tweet universe is easy to navigate and one can just receive tweets. You can follow anyone you want.

Remember the old advice, by their words and actions you shall know them. Well, I believe you can learn a lot about the person tweeting by just following his or her tweets. Frequently you learn a lot about people you have known for years but who frequently are quiet in groups and rarely express their opinions. It is as though the tweet world for some of these folks opens up their inner thoughts for the world to view. Nothing wrong with that but I find it interesting.

You also will learn the views of the Democrats and the Republicans and their talking points on an issue long before it is stated on radio or TV. You may find you have to spend less time with the “news” programs because you already have the info many hours earlier. Follow those you agree with and those you disagree with. Sometimes you actually learn something!

And thanks to all of you who send me alerts!

———

Tweets and some “Retweets” of others since July 12 by DJP located at www.Twitter.com/DJPNEWS

You can view on Web or have them delivered directly to your PDA BlackBerry, IPhone, Android, etc. with one of the many apps.

——-

Gov control. USA’s future? “Cash crisis in NHS leaves patients..on operating tables” http://tinyurl.com/2usxma6 #hcr#Doctors

3 hours ago

Fineman in #Newsweek re “Obama’s Indie Crash” http://tinyurl.com/25yr7j5 #hcr #election #vote #politics#POTUS #Dem #GOP

about 8 hours ago via Echofon

In book 1984 & MinistryOfTruth & Newspeak? #Pear#NYTimes Admin..defends insur mandate as tax http://tinyurl.com/29ao4a7 #hcr

about 10 hours ago via web

RT @alleyinsider Ex-Googlers launch “newspaper of the future” …designed to drive last nail in coffin of newspapers http://read.bi/b3rAED

about 10 hours ago via web

Yes! Leaders lead! #TimesPicayune ” #Jindal Thrives in Crisis”http://tinyurl.com/2w96qpu #BP #oilspill #JindalNews#BobbyJindal

about 11 hours ago via web

Time will tell RT @flitedocnm …Kagan’s undergrad thesis on socialism: .. excellent writing…all good indicatorshttp://bit.ly/9LQCrA

about 12 hours ago via Echofon

Actions have consequences. Bad law=bad results RT @texmedMedicare rules, cuts push doctors out http://bit.ly/ayWyAk#hcr

about 12 hours ago via Echofon

A president, a master giving speeches, shares wisdom on transparency http://tinyurl.com/kky7h #gov #hcr #1Amend#news #docs

8:20 AM Jul 17th via web

Words of wisdom RT @Peggynoonannyc ..column: “Youth Has Outlived Its Usefulness” http://bit.ly/aFRLSJ

6:32 AM Jul 17th via Echofon

Creative #marketing RT @alleyinsider 7 Social Media Marketing Lessons You Should Learn From The Old Spice Man http://read.bi/9AofIH

6:09 AM Jul 17th via Echofon

That’s fair! RT @washingtonpost RT @postmetro Jobs#iPhone4 ..antenna.. not serious prob..offers..case or full refund: http://wapo.st/cMfmX7

1:38 PM Jul 16th via Echofon

Good news! Don’t give up! RT @washingtonpost The BP well? Still sealed. Whew. Pressure tests continue: http://wapo.st/aeod0n

1:30 PM Jul 16th via Echofon

More articles tax break? plaintiff lawyers RT @sonodoc99@DJPNEWS Yes … there would be fallout. http://tinyurl.com/32mld23

7:27 PM Jul 15th via Echofon

Outrage if true! Tax cuts plaintiff lawyers?http://tinyurl.com/28a3amb #DJPUPDATE http://tinyurl.com/37w7jux #gov #law #tax

6:01 PM Jul 15th via Echofon

Hearing & overview @wsjopinion #Henninger – Berwick Recess Appointment Is Bigger Than Kagan http://tinyurl.com/258roo8 #hcr

6:35 AM Jul 15th via Echofon

Read my friend Dr Bob Thomas of Loyola discuss tar balls from BP oil disaster http://tinyurl.com/27j5j4a #BP #oilspill

2:39 PM Jul 14th via Echofon

Don’t miss #CNN #AndersonCooper video – upset with block media by Admin re #oilspill #BP via @Heritagehttp://tinyurl.com/2a6nnw2

3:44 PM Jul 12th via Echofon

Gov v #FreeEnterprise RT @M_P_T Opinion: Donald Berwick’s Five-Year Plan v. the iPhone http://bit.ly/bQ5q2n Agree?#tcot #hcr

10:57 AM Jul 12th via Echofon

!! RT @Heritage oil drilling ban..killing..Gulf economy. But that doesn’t matter to ..Obama admin. #tcot http://herit.ag/OGK#BP #oilspill

9:39 AM Jul 12th via Echofon

——–

LAGNIAPPE: I was in Atlanta on Wednesday to give a speech to a client of Intrepid Resources. That night Robin and I had the privilege to have dinner with a retired Special Forces Colonel who served in Vietnam as an advisor to the Montagnard troops. Always a privilege to spend time with those who have served our Country with honor and put their lives at risk for our liberty. More on this person in a future update as he is now a published writer of mystery books plus one true crime adventure. I now have 3 of his books to read. Will give you his name when I give you a book review soon.

We also got to spend a few ours with our grandsons while in Atlanta and went to a movie with them and took a walk back to the hotel. Great joy!

Stay well,

Donald

P.S. Stop by http://twitter.com/djpNEWS and sign up for DJPNEWS to get tweet alerts that may not make it into DJP Updates. Twitter is free and takes minutes to join. Put email in and pick password. Great source of breaking news and you don’t flood your email with it. You can get free app for BlackBerry or IPhone etc and you check on tweets when you want.

Also, recent selected DJP Updates can be found at: http://www.donaldpalmisano.com/html/djp_update/

Donald J. Palmisano, MD, JD
Intrepid Resources® / The Medical Risk Manager Company
5000 West Esplanade Ave., #432
Metairie, Louisiana USA 70006
504-455-5895 office
504-455-9392 fax
DJP@donaldpalmisano.com
www.donaldpalmisano.com
www.onleadership.us

This DJP Update goes to 2263 leaders in Medicine representing all of the State Medical Associations and over 100 Specialty Societies plus some other friends.
You can share it with your members and it has the potential to reach 800,000 physicians.
To join the list, send me an email stating “Join DJP Update” To get off the list, state “Remove DJP Update”. Best to put in Subject line so I can do immediately.

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DJP Update 7-17-2010 A President, a master giving speeches, shares wisdom on transparency

DJP Update 7-17-2010 A President, a master giving speeches, shares wisdom on transparency

DJP Comment: More reflections on messages from the past. An important message about transparency that applies not only to government but all organizations, especially in times of crisis. Balancing and judgment require wisdom. Frequently wisdom is gained by learning from errors. Experience and failures give all of us the opportunity to reflect, correct, and move to success. Implementing lessons learned is evidence of wisdom.

The President and the Press: Address before the American Newspaper Publishers Association

President John F. Kennedy

Waldorf-Astoria Hotel

New York City, April 27, 1961

http://www.jfklibrary.org/Historical+Resources/Archives/Reference+Desk/Speeches/JFK/003POF03NewspaperPublishers04271961.htm

Complete TEXT of speech and also AUDIO of this speech available at this link. Be sure at least take the time to listen to the start of his speech to learn how to warm up the audience for a powerful message.

EXCERPT

It is the unprecedented nature of this challenge that also gives rise to your second obligation–an obligation which I share. And that is our obligation to inform and alert the American people–to make certain that they possess all the facts that they need, and understand them as well–the perils, the prospects, the purposes of our program and the choices that we face.

No President should fear public scrutiny of his program. For from that scrutiny comes understanding; and from that understanding comes support or opposition. And both are necessary. I am not asking your newspapers to support the Administration, but I am asking your help in the tremendous task of informing and alerting the American people. For I have complete confidence in the response and dedication of our citizens whenever they are fully informed.

I not only could not stifle controversy among your readers–I welcome it. This Administration intends to be candid about its errors; for as a wise man once said: “An error does not become a mistake until you refuse to correct it.” We intend to accept full responsibility for our errors; and we expect you to point them out when we miss them.

Without debate, without criticism, no Administration and no country can succeed–and no republic can survive. That is why the Athenian lawmaker Solon decreed it a crime for any citizen to shrink from controversy. And that is why our press was protected by the First Amendment– the only business in America specifically protected by the Constitution- -not primarily to amuse and entertain, not to emphasize the trivial and the sentimental, not to simply “give the public what it wants”–but to inform, to arouse, to reflect, to state our dangers and our opportunities, to indicate our crises and our choices, to lead, mold, educate and sometimes even anger public opinion.

This means greater coverage and analysis of international news–for it is no longer far away and foreign but close at hand and local. It means greater attention to improved understanding of the news as well as improved transmission. And it means, finally, that government at all levels, must meet its obligation to provide you with the fullest possible information outside the narrowest limits of national security–and we intend to do it.

——–

END OF EXCERPT

Stay well,

Donald

P.S. Stop by http://twitter.com/djpNEWS and sign up for DJPNEWS to get tweet alerts that may not make it into DJP Updates. Twitter is free and takes minutes to join. Put email in and pick password. Great source of breaking news and you don’t flood your email with it. You can get free app for BlackBerry or IPhone etc and you check on tweets when you want.

Also, recent selected DJP Updates can be found at: http://www.donaldpalmisano.com/html/djp_update/

Donald J. Palmisano, MD, JD
Intrepid Resources® / The Medical Risk Manager Company
5000 West Esplanade Ave., #432
Metairie, Louisiana USA 70006
504-455-5895 office
504-455-9392 fax
DJP@donaldpalmisano.com
www.donaldpalmisano.com
www.onleadership.us

This DJP Update goes to 2263 leaders in Medicine representing all of the State Medical Associations and over 100 Specialty Societies plus some other friends.
You can share it with your members and it has the potential to reach 800,000 physicians.
To join the list, send me an email stating “Join DJP Update” To get off the list, state “Remove DJP Update”. Best to put in Subject line so I can do immediately.

Read More