Sunday, April 11, 2021

“E PLURIBUS UNUM”

 HOW CAN WE, AS A NATION, BECOME ONE FOR EACH OTHER? 

A while back, Americans fought amongst themselves to determine the fate of indentured servitude. One Hundred sixty-five years later that very same fight has resurfaced and permeated our society. Since the end of our Civil War, a surprisingly large number of citizens still feel that the United States of America is a “white supremacy” Country.

The rise of Black success across the full spectrum of politics, business, and Society has brought to the surface all the racism and bigotry that was lying just below that surface for decades. A pathetic few Whites were heartbroken and outraged by the catastrophe that followed Hurricane Katrina. The aftermath of that storm made it clear that our lack of a political backbone has life-and-death consequences.

 

With no one to speak for them, hundreds of thousands of people - largely Black, poor, and elderly - were left behind to die. It wasn't just Black folks and it wasn’t just Puerto Rico. Poor, sick, and elderly people of every color were abandoned too. 

"Anyone care for a roll of paper towels?"

When we work to make sure Black lives and interests are encouraged and promoted fairly, we do the same for all who have been left behind in political silence.

How do you start this challenge? I give you one word: EDUCATION. Ensure that every neighborhood in the Country delivers a quality, fair, and just Public education. Get rid of this ridiculous “common core” curriculum. The US Department of Education dismantled meaningful teaching and learning in our public school system years ago and threw out traditional and important segments of our National curriculum: reading, writing, arithmetic. For good measure, throw in some math, geography, history, a second language, art, etc.

I continue to be angry, frustrated, and disillusioned that we are still having a debate about racism, bigotry, and segregation.

This time we had better get it right.

A VA VIDEO CONNECT APPOINTMENT GONE UPSIDE DOWN: WTF, AGAIN!

THIS IS THE “QUALITY” OF CARE

WE GET AT THE NORTHPORT, NY VAMC

[ This is the actual report in PT. file ]


This is DUBOSQUE, HUTCHINSON JR, a 71 gentleman with a past medical history of former smoker quiet smoking in 2004 with PMH HTN, HLD, hypothyroidism, PTSD, depression, spinal stenosis s/p fusion (9/15), essential tremor, PUD, COPD on home O2, OSA not complaint with nasal CPAP and chronic respiratory failure who was called via VVC for discussion regarding his lung transplant evaluation.

Participants of the VVC meeting included myself and pulmonary attending, Dr. Chernyavskiy.

Pt comment: I just love me some I---. These notes from our little video chat point out that I--- just doesn’t give a flying fuck about Veterans.

Patient reports that he has undergone extensive evaluation with John Hopkins' lung transplant team over the past year and has recently been listed on the lung transplant list on January 7, 2021. We explained to him that the VA would not pay for his lung transplant at Johns-Hopkins' as the VA lung transplant protocol is to go through VA eligible lung transplant centers, i.e., at Wisconsin.

We explained to patient repeatedly that the lung transplant process at the VA hospital goes through either the University of Wisconsin or Seattle VA.

Pt comment: Right up front, they state that they will deny me access to Johns-Hopkins for lung transplantation through the Mission Act. Further down, they start back-peddling like the little weasels they are. If I get just a whiff of COVID, I’m dead, and I---knows that.

Patient would forward all the information and investigations performed at Johns-Hopkins to Northport VA and we will forward this information to the University of Wisconsin. Patient and his wife agreed to the above and would be sending us a package of his results and hospital records from Johns-Hopkins.

Pt comment: No way in Hell this is ever going to happen!

 Nature of patient call is to request VA to pay for pulmonary transplantation at Johns-Hopkins Medical Center, where patient went more than 1 year ago and underwent extensive evaluation, testing, and as I understood he is placed on the transplant waiting list over there. Pt went to Johns-Hopkins on his own; he stated that he doesn't trust care at the VA and he didn't want to wait until he dies at the VA.


Pt comment: I had to do my own research on this, as VA and I--- conveniently never mentioned anything about a lung transplant…ever! Not in these notes is I---’s statement that he knows nothing about Johns- Hopkins. It is only #3 in the Country for transplants, including lungs.

 

Patient has advanced COPD/emphysema from smoking complicated with significant fibrotic changes. At some point I spoke to the patient regarding his request to have in the bronchial lung volume reduction procedure. I strongly advised him again this procedure as it appears that he can be harmed rather than helped from this procedure; pt was advised that VA will cover this expense if he finds someone to offer this procedure and he would accept the risk. Patient on triple therapy and Daliresp and he is on oxygen replacement therapy.

Pt comment: I initiated the discussion on Bronchial Bypass, after doing my own research. VA and I--- never mentioned any options at all…ever.

But, stated right here, is an admission that VA will pay for a procedure that would kill you!

 

Patient can be considered potential candidate for lung transplant given that his cardiac pathology and other comorbidities will not interfere with success of intervention. Patient stated that he wasn't at VA for more than 1 year because he is afraid of catching COVID 19 infection.

Pt comment: Based on historical experience with this VAMC, there is no way I’m stepping foot in the place.

 

I explained to the patient that pulmonary transplantation can be offered at the VA medical system and for the EAST Coast the hub is Univ of Wisconsin. Should the patient express interest, we can initiate that process; in layman terms I explained that this is a standard process applicable to all veterans who are receiving medical care at Veteran’s Affairs Medical Center.

Pt comment: No way in Hell am I traveling to Wisconsin with my condition and COVID raging in the midwest. No way in Hell am I moving to Wisconsin for three months to complete the process. After that, there are periodic visits involved which VA would task I--- with in Northport, NY.

 

Patient became extremely angry and started using nonstandard expressions in the conversation; I strongly advised him to calm himself and use an appropriate language in order to continue our dialog. I reiterated to the patient and his wife that no one can deny and assessment/evaluation for pulmonary transplant for the patient of his type.

Pt comment: You bet I became enraged and nasty. And, yes, he and VA are realistically denying my request to use the Mission Act before anyone has even looked at my files!

 

I do not understand why they will undergo impression that VA in pulmonary section deny this assessment. Patient and his wife that told by Johns Hopkins Hospital that transferred is a local geographically procedure, but it is their opinion and the it is not standard practice for any kind of transplants which can perform at VA, kidney, lung, liver, etc. even though patient was adamantly not interested to go to Wisconsin for the evaluation.

Pt comment: It was not recorded that I--- did deny access to the Mission Act.

 

The following is never going to happen: even though we agreed to do it.

He and his wife agree for us to start formal process. They will send all available information obtained from Johns-Hopkins Hospital, which will be included in the package to be sent to Wisconsin. Patient medications were renewed. Patient didn't have any other questions. 25-30 minutes total encounter.

Contacted Senator Chuck Schumer’s office re. denial for Mission Act.

 

/Es/ I-- -----------y  Pulmonary Attending--

Date/Time:   14 Jan 2021 @ 1340

Signed: 01/15/2021 16:15 

 

Johns-Hopkins, 2/24/2021 – The aftermath. A new, 20 y/o lung

Thursday, February 11, 2021

A sixty-five-year impression of what our National government looks like from the street.

 “Money for nothin’ and the chicks for free!”

…..Way too much money!

My first memories of money in government started in the late 1950’s. I will never forget Dwight Eisenhower’s speech warning the Nation of the power behind the Military Industrial Complex. He saw that the number one threat to our democratic way of governance may well come from within. This threat is addressed in the oath to public and military service, in part:

 “…defend this Country from all threats, both foreign and domestic.”

 I hope this sounds very familiar to every citizen of this Nation. We constantly keep a vigilant eye toward threats from the outside. Now, it has become painfully clear that we have to be vigilant to threats from within. Unfortunately for Dwight Eisenhower, the money from the did overwhelm the system and inevitably brought us to “Citizens United”.

 In the 1960’s, dark money from the entire corporate world started strutting its stuff in public. John Kennedy doesn’t get elected without huge donation influx of corporate money. Historically corrupt politicians, like Lydon Johnson, had so many money-related I.O.U.’s that he could get whatever he wanted for his campaign war chest.; and did. Then came the major failure, Dick Nixon. He almost made it for eight years, but all his big money guys went sour on him and out the door he went.

 All the time Kennedy, Johnson, and Nixon held office the massive war machine flourished and grew to staggering heights. A ton of “dark” money was turning tides at the voter’s polls. Corporations of all types were more seriously getting in the game of buying a government. The 1960’s fomented a movement of great mistrust of our National government which, by the 1970’s, created drastic reductions in the number of actual voters. Gerald Ford and Jimmy Carter bubbled us into the 1980’s. We then got this actor person, Ron Reagan, to take us through most of the 1980’s. There was some serious money involved in National politics at this point. The money continued to flow as G. W. H. Bush lead us out of the 1980’s into the roaring 1990’s. The 1980’s seemed to be a wake-up call to the U.S. voters, as far as huge money donors went. Bill Clinton took the helm and all hell broke lose with big, dark money in politics; lots of it, on both sides of the aisle. Clinton’s only remarkable achievement was his leaving office after two terms with a National Budget surplus. Those that came after him blew the National budgets and deficits to hell in a hand basket.

That took care of the roaring 90’s. Y-2K came and went; nothing to see here – keep moving. G. W. Bush came down from on high aided and abetted by Daddy’s big money donors and took a seat in the White House. That seat wasn’t even warm when the Towers came down and the Pentagon was breached. And, just like that, we were involved in an endless war; one which we are still embroiled 20+ years later. That old Military/Industrial Complex once again reared its ugly head and the Federal government fell into their trap and trance. This group of self-serving corporations and individuals never went away they were simply laying low just waiting to ponce on the U.S. Treasury. The Complex was such a dreadnaught that it immediately plunged the Nation into financial crisis [along with sub-prime mortgages].

 We have elected three presidents since “W”, and money in politics has grown to epic levels with the help of “Citizens United”. Our Nation’s finances have been destroyed almost to the point of no return. If this trend goes on any longer, we will indeed be a third-world Nation. For all the men and women who have put their lives on the line for this Country, this would be the ultimate insult to our dedication to democracy.

 

Thursday, February 4, 2021

 

Is there any Statute of Limitations

on indicting a past elected Official?

I couldn’t the exact information I was looking for. I did find this article that may raise more questions than answers. As this article dwells on Republicans, I feel strongly that it also must include Democrats. This seems to be an accurate “definition” of where we are at right now.

If you got this far, please send me your thoughts at: hutch.dubosque@live.com .

This will guarantee your anonymity.

 

Opinion: Would we really prosecute an ex-president?

Opinion by Jennifer Rubin, Columnist

June 12, 2019 at 12:49 p.m. EDT

In an interview with NPR, Sen. Kamala D. Harris (D-Calif.) opined that if the facts warrant it, President Trump should be indicted for crimes outlined in Robert S. Mueller III’s report:

"There has to be accountability," Harris added. "I mean look, people might, you know, question why I became a prosecutor. Well, I'll tell you one of the reasons — I believe there should be accountability. Everyone should be held accountable, and the president is not above the law."

The former San Francisco district attorney and California attorney general said she wasn't dissuaded by the prospect of a former American president facing trial and a potential prison sentence. "The facts and the evidence will take the process where it leads," she said.

“I do believe that we should believe Bob Mueller when he tells us essentially that the only reason an indictment was not returned is because of a memo in the Department of Justice that suggests you cannot indict a sitting president. But I’ve seen prosecution of cases on much less evidence.”

On one hand, Harris is right: If we won’t impeach or indict a president in office, the only real reaffirmation of the primacy of the rule of law would come in a criminal trial after he leaves office. And yet, the same considerations that motivated President Gerald Ford to pardon Richard M. Nixon should give us pause. Do we open ourselves to rounds of tit-for-tat prosecution of political enemies? Do we create even more polarization and political ill will, perhaps crippling the next president? And then there are the practical considerations, such as finding an impartial jury.

There are two responses, neither of which is satisfactory.

First, Trump could, in the event he is defeated in 2020, leave before the next president is sworn in, allowing Vice President Pence to assume the presidency and pardon him. That would be a catastrophe for Pence, but the country got past the Nixon pardon (although the GOP paid a price in the 1974 and 1976 elections). The problem here is that it would most certainly smack of a quid pro quo, opening up Pence to charges of bribery (“I’ll leave office if you pardon me”) if he acceded to Trump’s game plan.

Second, we simply leave prosecution to the discretion of the next attorney general as to what if any charges are brought (only clear, unequivocal instances of obstruction should be considered), what sentence should be handed out and what plea deal might be arranged. We trust juries to do their job. And we recognize that obtaining a conviction does not necessarily mean actual jail time for Trump. (Moreover, there are other off-ramps that might open up depending on the findings of the Southern District of New York prosecutors. If, for example, he committed tax or other financial crimes before he was president, we should have no qualms about proceeding with these cases.)

The better solution to the issue of criminal accountability is to revoke the Office of Legal Counsel memo that opines a president cannot be indicted in office. The OLC arguments have continued to be a matter of strong debate among constitutional scholars as to whether impeachment can be the only way to address a sitting president’s crimes. Impeachment, of course, is not intended as punishment but rather as a defense of our constitutional order. Moreover, the notion that the president would be paralyzed by criminal proceedings has been undercut to a large degree with the Paula Jones ruling that a president can be sued while in office.

Most important, a key reason for the “don’t indict even if you don’t try the president in office” argument is that such action would cast a cloud over the president. But isn’t the reverse the case — a president credibly accused of criminal conduct should have the chance to clear his name and get on with his presidency? Trying a president — which requires proof beyond a reasonable doubt — allows either exoneration or conviction without putting a new president in the position of prosecuting his predecessor.

Professor Jed Shugerman recommends, among other reforms, that we “strengthen the special counsel through a statute, not just a DOJ regulation, and fixing the flaws in the old independent counsel statute.” He also advises:

The OLC should revise the memo to say that a president can be indicted, recognizing that there is no precedent for courts equitably tolling the statutes of limitations for crimes (no precedent for general “fairness” arguments for stopping the clock on criminal statutes of limitations). But the memo should acknowledge legitimate constitutional and practical problems with putting a sitting president on trial.

What I’d like to hear Harris and other candidates propose is a plan for avoiding such messes in the future. First, we need executive orders and/or legislation barring the White House staff from weighing in on specific prosecutorial decisions. Even in the case of the president, the contact(s) with regard to those decisions should be documented and subject to congressional review. The temptation to obstruct investigations should be curtailed. Second, the OLC memo should be withdrawn and a new analysis undertaken that accounts for recent experience, including the Paula Jones litigation and the Mueller report. A thoughtful process should be set up to provide for indictment in cases of criminal conduct (as opposed to conduct that might be impeachable but not illegal). Third, the Justice Department should set exacting requirements for prosecution of former presidents in cases in which trial is not undertaken before the president leaves office.

Constitutional scholar Laurence Tribe agrees that another look at the OLC memo is needed. “The 2000 OLC memo, which basically echoed the 1973 OLC memo and its reasoning, should certainly be revisited by whatever presidential administration succeeds the one now in power. To begin with, the OLC memo was analytically flawed from the start and rested on a theory fundamentally incompatible with the core constitutional premise that nobody, and certainly no president, is above the law.” He continues:

My own view is that, when a sitting president is found to have engaged in what appear to be serious crimes that would lead to any other citizen’s indictment and prosecution — as over 1,000 former federal prosecutors said the Mueller report showed to be the case with respect to Trump — including when those crimes are ones that an ordinary citizen couldn’t commit (like dangling presidential pardons in front of potential witnesses against him) because they relate to the president’s conduct of office and might be impeachable offenses as well as statutory criminal violations — that president should be subject not only to indictment under seal but to a publicly visible indictment and to a public prosecution, preferably by a court-appointed special prosecutor with substantial independence from the executive branch.

If nothing else, “criminally inclined presidents like the one now in office would necessarily think twice before doing what any halfway decent lawyer would advise them constitute federal felonies that could lead either to their prosecution and imprisonment.”

The real solution, of course, is to avoid these quagmires in the first place: Pick presidents wisely and to insist the House and Senate do their constitutional duty. We would not be in this position if the Senate could be expected to fairly render a verdict on impeachment/removal. That Senate Majority Leader Mitch McConnell (R-Ky.) has already predetermined the outcome — declaring case closed — has landed us in a legal, political and ethical quagmire. We need to rid the political system of intellectually and ethically corrupted Republicans, enforcing the lesson that the public expects lawmakers to put country and Constitution above partisanship.

 ðŸ˜¡

If you got this far, please send me your thoughts at: hutch.dubosque@live.com .

This will guarantee your anonymity.

Thursday, January 28, 2021

 Hutch Dubosque, author           1/26/2021                

ELECTION DAY-USA

WHAT’S WRONG WITH THIS PICTURE?

In almost every civilized Country in the World in-person voting is not relegated one single day, officially. They spread their voting process over three, four, sometimes five days. They have a mail-in voting system, however, when given the option of multiple days on which to vote, they choose to go vote in person. This extended method seems to work fairly and efficiently.

That would be almost every Country. Ah-ha, there is one notable exception; the United States of America. “Pourquoi est-ce?” That’s what I said: “Why is this?” Are politicians afraid of what might happen if we extended the number of voting days? Are they afraid that almost every eligible voter may cast their vote, as per our Constitution? Something smells rotten here, and, as it is said, “the fish always rots from the head”.

 

A brief encapsulation on the history of Election Day follows.

from: Wikipedia:

By 1792, federal law permitted each state to choose Presidential electors any time within a 34-day period[3] before the first Wednesday in December.[4] A November election was convenient because the harvest would have been completed but the most severe winter weather, impeding transportation, would not yet have arrived, while the new election results also would roughly conform to a new year. Tuesday was chosen as Election Day so that voters could attend church on Sunday, travel to the polling location (usually in the county seat) on Monday, and vote before Wednesday, which was usually when farmers would sell their produce at the market.[5] Originally, states varied considerably in the method of choosing electors. Gradually, states converged on selection by some form of popular vote. [1]

Development of the Morse electric telegraph, funded by Congress in 1843 and successfully tested in 1844, was a technological change that clearly augured an imminent future of instant communication nationwide.[6] To prevent information from one state from influencing Presidential electoral outcomes in another, Congress responded in 1845 by mandating a uniform national date for choosing Presidential electors.[1] Congress chose the first Tuesday after the first Monday in November to harmonize current electoral practice with the existing 34-day window in federal law, as the span between Election Day and the first Wednesday in December is always 29 days.[7] The effect is to constrain Election Day to the week between November 2 and 8 inclusive. Beginning with Presidential elections, states gradually brought most elections into conformity with this date. [1]

The Twentieth Amendment, passed in 1933, changed the beginning and end date for the terms of the President, Vice President, Congressmen, and Senators. It did not affect the timing of Election Day. [1]

References:

[1] Wikipedia: https://en.wikipedia.org/wiki/Election_Day_(United_States)#:~:text=Congress%20chose%20the%20first%20Tuesday,December%20is%20always%2029%20days

 

 

A National referendum could solve this very expeditiously. Let’s make the referendum read something like this.

1.    Modify the current system to allow for four days of in-person voting.

2.    Retain absentee voting.

3.    Retain mail in voting.

4.    Retract drop-off voting.

5.    Place a minimum on the number of voting sites from locality to locality. Outlaw gerrymandering of voting districts that only serve to deny minorities in casting their Constitutional rights for having their vote count and be counted.

6.    Uniform voting machines Nationwide.

7.    Uniform system for each locality and State to report their results and set a time limit for them to do so. Fine the tardy ones.

8.    Of utmost priority, abolish the electoral voting disaster.

I realize this is a very cursory look at this, but something has to be done to equalize and balance our way of voting. We should see more National referendums on many issues and policies. I know this a novel idea, but how about we let the people decide what goes on in This Country.