Puerto Rico Dilemma – Distribution Chokepoints Plague Every Catastrophe

Distribution is the barrier to helping Puerto Ricans recover from the aftermath of two major hurricanes, Irma & Maria.  Natural disasters (e.g. earthquakes, floods, volcanic eruptions, etc.) always block the means and ways to relief.  The lack of airfields limits aid delivery to large helicopters; for areas open to water, boats that can land on beaches.

The Island of Puerto Rico’s infrastructure is destroyed.  Ships waiting in harbors will do no good if they cannot moor and unload; mountains of needed supplies piled on docks and airfields will do no good without roads, trucks, and drivers to get them where they are needed; generators and powerplants at full capacity will do no good without transmission lines, power stations, and power lines; without power, fuel for generators and vehicles is largely unavailable; thousands of volunteers and military will do no good if they cannot get to the victims.

Waiting for aid might not be the best strategy for the stranded; it might be better if they could move to locations that offered food, shelter, medical aid.  Travel is difficult, but unless transportation becomes available, walking is better than starving.  It may be more effective to transport people out, than moving enough support to the afflicted areas.  In addition, when supplies are delivered, the transport must return to its origin; it could carry refugees.

Puerto Rico’s infrastructure was built to meet the needs of the 3.4 million residents and 4 million plus tourists per year.  They do not have the capacity to repair/replace everything at once.  Complaining and blaming will not change that quickly.

Addressing humanitarian needs (water, food, medical) is priority one.  Restoring power to enable equipment and transportation is priority two.  Opening roads, ports, and airfields is priority three.

Allowing more ships to clog the harbors, adding more soldiers to crowd the capital while they wait for transport, will not help.

Top needs:  Helicopters, generators, bulldozers, and fuel are the hardware; pilots, engineers, drivers, and equipment operators are the software.  Let’s focus on these first.

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Details Missing in CBO Projected Healthcare Coverage “Losses”

Numbers can deceive when important details are left out.  The recent Congressional Budget Office assessment of the Senate Republican healthcare bill estimated the reduction in the number of people covered by health insurance.

Most of the coverage dropped would be because of state laws, not federal.  The states set Medicaid coverage standards.

Another big chunk of the “losses” would be those who did not want coverage anyway.  Those forced to buy by the mandate penalties.

According to Politico:

<The House Republican health care overhaul would repeal the individual mandate penalty, and according to the CBO, this would be the single biggest driver of raising the uninsured rate by 14 million next year.

“Most of that increase would stem from repealing the penalties associated with the individual mandate,” the CBO report reads. “Some of those people would choose not to have insurance because they chose to be covered by insurance under current law only to avoid paying the penalties, and some people would forgo insurance in response to higher premiums” (emphasis ours).>

Read the entire article at:  http://www.politifact.com/truth-o-meter/statements/2017/mar/22/chris-murphy/house-gop-health-care-bill-would-cause-14-million-/

 

The projected 30% reduction in premiums should help some, but the out-of-pocket costs might still leave some people out.

Who says the people insured are “covered?”  Some people wait more than a month, and then drive 50 miles to see the only doctor who accepts Medicaid, or a high-deductible “bronze” plan from the only remaining insurer.

Bernie Sanders’ assertion that “thousands” of “excess deaths” would result is based on numbers from studies of people with untreated, cancer, heart disease, and diabetes.  This same population could get no or inadequate treatment under Medicaid and low-end health insurance coverage.

And, what if the newly uninsured population is skewed towards young, healthy people who just dropped out?  Would the results be as dire?

Without a detailed demographic breakdown of the CBO numbers, we are left to speculate and infer what we choose.

 

Fathers’ Day Is Also Sons’ Day – Sports We Learn to Play and Live

Perspective makes a huge difference.  Most men get their attitudes towards sports from their fathers.  As boys, Dad is the first, safe, ball-playing partner.  As babies, we learn to track a rolling ball with awkward, sometimes amused, unfamiliar, jerky head and eye movements.  At some point, Dad encourages us in high-pitched, baby talk, big smiles, gentle hands, giant gestures, by rolling the ball towards himself, and closing his hands on the ball in broad, wide, exaggerated pincer movements.

Then the light goes on.  We try to copy him.  Wobbly little fingers reach behind, miss, deflect, miss, and finally connect with the ball, grasping it swiftly to our eager mouths, inspecting it for edibility, like everything else at that age.

Once we discover, with some curious disappointment, and numerous bad tasting attempts, that this round thing is not good to eat, we find out its true purposes – toy, play, fun, and time with Dad.  Boys would never learn the skills they need to practice and play without their Dads.

Much of growing up as a boy relates to balls.  Nothing surprising about this, as balls connect us to our earliest ancestors’ relationships with eggs, skulls, bladders, and rocks.  Balls to roll, balls to throw, balls to catch, balls to dodge, balls to bounce, balls to kick, balls to hit with one kind of stick or another, balls to hit other balls, balls to run with.  Big balls, little balls, hard balls, soft balls, pellets, and even balls that are not round, like footballs and rugby balls.

Aside from natural sports, like wrestling, fighting, racing, catching, and spearing, almost every other “sport” involves a ball variant, (e.g. I consider a hockey puck a flat-earth-equivalent of a ball;).  Sports are mostly derived from instinctive self-defense, and evolved hunting/fishing skills. Team sports grow from coordinated hunting/fishing efforts.  Boys learn how to play as part of a team when their Dads show them the power and fun of coordinated efforts in sports.

Until our recent era, spectators were limited in number and influence; pretty much participants only. Sports “reporting” started as the successful hunter/fisher displaying the game/prize, bragging about prowess, belittling the losers; the unsuccessful quietly moaning excuses, and looking for a rematch.

The paucity of witnesses to most events led to plenty of fireside tale telling, and retelling embellished, detailed descriptions of heroic sacrifices, powerful portrayals of excruciating pain, encounters of life-threating dangers, frightening exploits, arguments about winners, extended “if only’s,” and “if it hadn’t been for’s,” bets and guesses on next time, and other highly imaginative exaggerations.  Today, a large part of male friendship still lies in the modern versions of these rapport-building exchanges.  Sons still need to learn the important, intimate skills and secrets of play and sports from their Dads.  So, let’s “Play Ball!”

Left’s War on Winners – Town Hell Meeting = Public Media Pillory

You read it right, “Town Hell Meeting;” the town hall meeting is the latest casualty in the left’s war on winners; turning plowshares into swords.  Politicians and public figures are targets of a recent tactic by their political enemies – “Public Media Pillories.”

Pillories were used to humiliate and torture people who were guilty of malfeasance, breaking taboos, or committing sins.  The pillory was usually a hinged wooden device, attached to a post; it held the head and hands of the subject locked in place.  The pillory was placed in the most public area of a town or village to get maximum exposure.

john_waller_in_pilloryCourtesy of Wikipedia

Once a person was placed in the pillory, they received no food or water; there were no bathroom breaks; the public was free to scorn, humiliate, & pelt them with organic and inorganic matter, sometimes killing them.

Today, vicious partisans employ a new form of pillory – the televised, town-hall ambush. Traditionally, town hall meetings were community gatherings, bringing together all the local citizens to discuss matters of public, common interest.  Yes, people discussed important topics using Robert’s Rules of Order.  http://www.robertsrules.org

The modern version has neither good intentions, decorum, nor civility.  Innocence plays no part in the deployment of this weapon.  Now, it is a form of political ambush.  Only foolish office holders attend public town hall meetings that are “public media pillories” in disguise.

The process goes like this:  Opposition partisans invite public figures saying, “we want to talk to you in an open forum,” when they really mean, “we want you to sponsor a media-covered, public event, where we will hound, berate, criticize, insult, accuse, interrupt, scream invectives, and attack you personally, without allowing you to express ideas, answer questions, or even be heard.”

Only the brave or the foolhardy accept their cleverly encoded, poison-pen invitation.  If you decline, they cast you as non-transparent, and postulate what you could be hiding.  If you accept, you find yourself trapped on a stage, with a microphone.  You are greeted by a standing- room-only crowd.  You are surrounded, not by a cross-section of the community, but by a cohort of angry enemies; some are not even members of the local community.

The hounds are loosed, the cameras capture the mayhem, and the air is filled with posters, chants, rants, and pithy aphorisms.  At some point, you shrug and walk off the stage, having only introduced yourself and thanked the people for “coming out.”

You may think it is over because you survived with all your body parts.  Alas, the torture has just begun; the editing and augmenting begin.

Before and after the meeting, the “reporters” identify photogenic, outraged attendees, recently-ousted office holders, and bussed-in opposition pundits.  They script interviews with everyone and anyone who hates you, and “the horse you rode in on.”  They use snippets and sound bites to punctuate the later broadcasts with righteous indignation, and proud assertions of having done a public good.

The masterful image-smiths design a “storyboard,” and use video tape, & sound bites to fulfill it.  When they are done, the town-hall meeting is a victory of good over evil at Armageddon.  They tailor the context, emphasize “talking points” to meet “breaking news” standards; they include hints that support the opposition, bolster conspiracy theories, and not so subtlety, deride your credibility as a public figure.

If you get invited to lead a “town hall” meeting, think “abattoir,” a spider’s parlor.  This use of the media has eliminated its community value, and weaponized its destructive power.

Apnea – The Loud Annoying Killer

Could you be suffering from sleep apnea?

I have sleep apnea, and have been treating it for 2.5 years.  Snoring is a symptom, although not all snoring is caused by apnea.  I am not talking about your run-of-the-mill snoring; I mean SNORING!!  I thought snoring was universal.  Snoring runs in my family – my brothers and I can easily drown out the sound of a chain saw.

Sometimes I can be a little stubborn and skeptical.  (After all, I did not hear any snoring, and it did not keep me awake.)  OK, so I snore a bit.  Doesn’t everyone?  I found out how much my snoring kept my wife awake, because she told me about it.

Sleep is very important to my wife.  Unless she gets 9+ hours every night, I wake up with a zombie.  I bring her a cup of coffee, in bed; she drinks it over 5 – 10 minutes; her eyes open to slit-level; I put the second cup of coffee next to her sink in the bathroom, and run to the kitchen; she smells it and gets slowly out of bed, and does that slow, side-to-side, living-dead sleep-walk into the bathroom.  Twenty minutes later, she is the living, breathing, woman I love.  But, that is when she gets enough sleep.

She tried earplugs, but the vibrations shook her awake, or gave her tremor-nightmares. (She lived in California years ago, and has not gotten over fear of earthquakes.)  I tried sleeping on my side, elevated pillows, breathe-right nose strips, sinus washing, those things you put in your mouth at night to keep your jaw positioned, only minor improvement.  Things came to crisis mode when I started waking up to an empty place in the bed.  I found her sleeping in another room.

Then I heard the word “Apnea;” sounded like a Balkan dialect.  How did this apply to me?  So, I went to the sleep doctor. At first, I did not believe it, even after I had my first overnight sleep study at an apnea clinic.

It took a second sleep study before I accepted the fact:  I do have severe “complex” sleep apnea.  The problem is not so much the snoring, but the silences, when no air is going in or out.  Without treatment, the study showed that, when I was asleep, I stopped breathing 67 times an hour, for 10 – 20 seconds; over eight hours, that would be 536 times per night, 5,360 to 10,720 seconds; 90 – 180 minutes; this is like holding my breath for one and a half, to three hours a night; my blood oxygen dropped to 89 – 94% several times each night (normal is 100%). Frequent interruptions to the sleep cycle can keep you from getting enough REM “deep” sleep, needed for quality rest and restoration of the brain.  That is not good for the brain, or anything else.

Things that could happen with untreated apnea:

  • High blood pressure
  • Forgetfulness
  • Depression
  • Daytime fatigue
  • Weight gain & difficulty losing weight
  • Lack of ardor
  • Trouble concentrating
  • Accidents
  • Nodding off during the daytime
  • Heart attacks
  • Strokes
  • Type 2 diabetes
  • Liver problems
  • Lower response to medications
  • Sleep deprivation
  • Spouse sleep deprivation
  • Divorce

Still skeptical, I ask, “aren’t these people just selling stuff?” Well, yes, no, yes, and yes, depending on who you mean by “these people.”  Yes, sleep clinics “sell” sleep studies, and they prescribe equipment to keep me from holding my breath 66 times an hour, in my sleep; no, the clinics do not sell the gear.  Yes, “durable medical equipment” companies sell the equipment.  And, yes, medical insurance and Medicare cover their share of the costs.

The doctor prescribed a heavy-duty, nighttime breathing machine called a “bi–pap.”  People with less severe cases use a similar machine called a “c-pap.”

I wish I could tell you that using the machine is a pleasure.  This would be a real treat, if you would find pleasure going to bed, wearing a plastic mask over your nose (and maybe your mouth too), with elastic straps to hold it in place, attached to a plastic air hose, attached to an electronic device that looks something like a portable radio, but without the music, that makes you feel like a scuba diver, or a jet pilot, and makes you sound like Darth Vader, or the announcer at a bus station.  Oh, you will need another elastic strap under your chin and over your crown, if you have trouble keeping your mouth shut, and only breathing through your nose. All this, just to keep breathing a few years longer.

It took me a while (60 nights) to get used to wearing it, AND sleeping; (you also need to remember you are hooked up when you get up in the middle of the night; it makes a bit of a mess when you sweep your bedside table clean with the air hose, in the dark, half asleep, waking your spouse, everyone in the house, and your next-door neighbors’ dogs.)  But, I am resolute; I use it religiously; now it only annoys me.  (Note: Any chances of spontaneous romance at night are, let’s say, ZERO.  Planning is the key.  It is sort of fun dating my wife again.  “Would Saturday about 8ish work for you, Sweetheart?”)

This is an amazing, computerized machine.  It monitors every inhale and exhale, to adjust to your normal breathing patterns and air pressure. It generates a constant flow of air at about the same speed and pressure you create when you inhale.  (If you close your throat, and open your mouth just a little, you can make the sound of the wind blowing; by pursing your lips a little tighter, you can make your lips sputter and vibrate.)

If you stop breathing, it blows air into your nose to fill your lungs, and gets you going again. The machine keeps track of sleep stoppages, and sends the results to the doctor.  After six months, the records showed only 1 or 2 brief stoppages an hour; not enough to cause any more brain damage.

I would encourage you to consider the possibility that you, too, might have sleep apnea.  If so, the treatment can change, even save your life.

Here are links to good sites about apnea.  You might want to check them out.

http://www.mayoclinic.org/diseases-conditions/sleep-apnea/basics/symptoms/con-20020286

https://www.nhlbi.nih.gov/health/health-topics/topics/sleepapnea

https://www.helpguide.org/articles/sleep/sleep-apnea.htm

http://www.webmd.com/sleep-disorders/guide/central-sleep-apnea#1

 

Hillary’s “Health Issues” Might Have Been Better Managed

At the time of Hillary Clinton’s departure from the 9/11 ceremony, the temperature in Manhattan was 79 degrees with 54% humidity, & wind 6-8mph.  The Government Heat Index for those conditions is 80 degrees.  90 minutes would not cause dehydration, though it might aggravate existing dehydration.

Mrs. Clinton’s complaints of overheating, and the subsequent difficulties with walking could be from a combination of medicines and dehydration.

Mr. Clinton takes medicine such as Synthroid for hypothyroidism, takes Coumadin as a blood thinner, is under great emotional stress, and has pneumonia.  She may also be dehydrated.

According to Barbara S Lougheed, author of Tired Thyroid book and website, “When someone is VERY hypothyroid, noradrenaline will kick in to compensate for the lack of thyroid hormone, which makes the person feel hot and sweaty with an elevated heart rate.“ Medicine to treat hypothyroidism such as Synthroid may have similar symptoms.

Sources of feeling overheated are discussed at http://www.healthline.com/health/menopause/hot-flash-causes#Overview1

They include:

  • Side effects of Coumadin, which Hillary takes to combat deep vein thrombosis
  • Side effects of Synthroid or similar drugs, which Hillary takes for hypothyroidism
  • Alcohol, which can also aggravate dehydration
  • Emotional Stress
  • Infections, such as flu or pneumonia

Dehydration symptoms include:

So the question is, why is Hillary suffering from these symptoms and side effects while under constant care of her physician?  The testing and regulation of Hillary’s drugs and dosages, as well as the monitoring of her hydration is her doctor’s responsibility.  The treatment of infections, including pneumonia is also her responsibility.  Vaccinations are available for the most common causes of pneumonia, including the flu; has Mrs. Clinton had those vaccinations?  There are news reports of several campaign staffers going to the emergency room for illnesses like pneumonia or flu last week.  http://www.people.com/article/hillary-clinton-staff-sick-pneumonia

I guess what I am getting at is, could these problems have been avoided by proper medical attention?  The management of the disclosures is a separate matter.

Parents Addict Children – Screen Zombies

Parents put their babies in front of television and tablet screens to entertain and “babysit” them.  Parents and teachers believe children can advance their knowledge through computer “learning systems.” Parents surrender to the pressure from their preadolescent daughters for smartphones so they can text their friends and share activities through social media.  Children spend hours at their computers and tablets absorbed in online role-playing and video games.

The problem is these children can easily become lifetime addicts to their virtual worlds.  Notice the bent heads of children with their families in restaurants; they are not saying grace.  Check out kids in buses and the back seats of cars; how many are looking out the windows or talking to each other?

Listen for that faint buzzing sound in movie theaters, and watch the Pavlovian response of children who cannot resist answering voice and text messages no matter when or where they are.

Dr. Nicholas Kardaras is an expert in addiction and rehabilitation.  He paints a chilling picture of the futures of these children in his book “Glow Kids.”  He operates rehabilitation centers for drug and alcohol addiction.  The problem with “screen addiction” is there is no way to eliminate the “substance” from their environment; tech stimulations are everywhere, waiting for the addicts to notice and return to them.

The trance induced by these addictions is powerful; people can spend hours at the screen and be totally unaware of the passage of time or the events that happen around them; their lives have been hijacked, and that part of their lives is gone.

Social media addicts get emotionally engaged with people they never met, pictures of somebody’s lunch, and silent “verbal” exchanges. When I was growing up, if someone teased me or called me names, I was taught to say, “sticks and stones can break my bones, but words can never hurt me.”, or “I’m rubber, you’re glue, whatever you say bounces off of me and sticks to you.”, or “so are you.”  It really worked for me (except when sticks or stones, or fists or feet were actually employed.  THAT was what we called bullying;).

Now, kids are committing suicide in response to slurs or embarrassments.  Why would they do that? Think about it; no physical harm was done; a normal person would not react that way; it must be psychological; they would have to be addicts to respond that strongly to “cyberbullying.”  Not knowing about the addiction leaves most adult, non-addicts perplexed about what to do.  Instead of rehabbing and strengthening the psyche of the addict target, we try to outlaw bullying; what a thankless, futile waste of energy and time when dealing with children at that stage of development.

I defer to the experts on what to do and not do, but reading this book would not hurt your understanding of this problem.