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MooseMom
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« Reply #100 on: January 26, 2012, 09:23:50 PM »

Dear Moosemom, I haven't heard the Gingrich plan for a base on the moon, but are you aware of the technological breakthroughs of the space program that are now applied to dialysis and so many other industries? We have yet to develop all of the technologies invented in the 1960's such as sorbents for instance. Miniaturization for space craft has improved computers, plastics, metalurgy and a whole list of other breakthroughs that are applied in our daily lives without even realizing that today.

Yes, absolutely!  I was a child of the Space Age and the Apollo program.  I grew up in Houston, so yes, I grew up learning about the techological breakthroughs made possible by working toward the goal of manned space flight!  What an exciting time! 

Quote
I am not sure that we could mount another space program today with our education system in complete ruin at present. If you recall, the kids of the 1960's scored the highest ever on SAT'S and it has been down hill since then. We would literally have to import engineers from India, China and the middle east to put such a program together today. So not sure where this proposal will ever go, but we are no longer the nation we were in the 1960's where innovation and science were part of the American core fabric of our society.

I agree...this is not the same country as it was back then.  Maybe there was a benefit to the Cold War!  This sense of having to 'beat the Russians"...maybe the competition was good for us.  But I don't think that anyone seriously would support the expediture for a permanent station on the moon.  As much as I absolutely adored the "space race", I'm not sure I'd like so much money being spent on such a project when so many dialysis patients are having to suffer with less than optimal treatment.  I'd like to think that these resources would be spent on the miniaturization of portable, wearable dialysis machines and the sorbent technology that hopefully will be widely available soon.
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"Eggs are so inadequate, don't you think?  I mean, they ought to be able to become anything, but instead you always get a chicken.  Or a duck.  Or whatever they're programmed to be.  You never get anything interesting, like regret, or the middle of last week."
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« Reply #101 on: January 26, 2012, 09:34:02 PM »

I really question Hemodoc's responses.  It truly appears that he is on this board as a troll sometimes.  I found the responses equally as ridiculous and I believe an apology is in order. He should be ashamed.  If you truly are a doctor your response is even more disturbing.

I find your response to be belittling and mean! You call him a troll? Why do you get a pass?  You may not agree with him, but you're targeting his character...-when someone disagrees with you- you call them a troll. Or YELL AT THEM- DONT YOU GET IT? THAT IS VERY RUDE?  You should be ashamed. and you should apologize.
« Last Edit: February 03, 2012, 04:03:39 PM by glitter » Logged

Jack A Adams July 2, 1957--Feb. 28, 2009
I will miss him- FOREVER

caregiver to Jack (he was on dialysis)
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nephrectomy april13,2006
dialysis april 14,2006
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« Reply #102 on: January 26, 2012, 09:34:26 PM »

Lets just stay on Topic and no personal attacks. What may seem a personal attack could merely be unintended in some cases. If Political threads make you irritable or upset you, take a few deep breaths and carefully reread the thread before you take anything personal.

Personal attacks will not be tolerated.


Sluff/Admin




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MooseMom
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« Reply #103 on: January 26, 2012, 09:44:30 PM »

This being the first campaign since Citizens United and the formation of SuperPacs, I am hearing more concern than ever about the amount of money being spent on these races.  And they may pale into significance once the general election campaign is on!  I was listening to the radio today and there was someone on who was saying that out of all of the congresspeople he has spoken to, not ONE of them is happy about the fact that now about 70% of their time is having to be spent on raising funds.  (I'm sorry...I didn't catch the name of this particular reporter.)  The amount of money being spent on lobbying and political ads is staggering, and there is no reason to believe that anything will change.  This seems to be endemic across both parties.  What do you all think of this?  Do you think this pervasive purchase of political influence is really a problem, or is it just one more media-created kerfuffle?
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"Eggs are so inadequate, don't you think?  I mean, they ought to be able to become anything, but instead you always get a chicken.  Or a duck.  Or whatever they're programmed to be.  You never get anything interesting, like regret, or the middle of last week."
Gerald Lively
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« Reply #104 on: January 26, 2012, 09:57:26 PM »

Uh . . . . folks . . . er . . .ah . . . I have the answer.

I am running for President.  Okay, part time President, I need a half day off for dialysis.

Uh, what?  Hey, it could happen.

(Hemodoc-Dude:  relax – I’ll back you up – if you vote for me)
(YLGuy – you are beginning to sound like a Giants fan.  Be careful, there are big people out there)
(cariad – I’ll see you out back)

Let us return to the pretense of being civilized people. 
Logged

Hodgkin's Lymphoma - 1993
Prostate Cancer - 1994
Gall Bladder - 1995
Prostate Cancer return - 2000
Radiated Prostate 
Cataract Surgery 2010
Hodgkin's Lymphoma return - 2011 - Chemo
Renal Failure - 2011
Renal Function returned after eight months of dialysis - 2012
Hodgkin's Lymphoma returned 2012 - Lifetime Chemo


Human hopes and human creeds
have their roots in human needs.

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« Reply #105 on: January 27, 2012, 07:34:05 AM »

OK guys.  Be nice and stay on track.

Rerun, Moderator       :police:
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cariad
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What's past is prologue

« Reply #106 on: January 27, 2012, 11:29:15 AM »

I really question Hemodoc's responses.  It truly appears that he is on this board as a troll sometimes.  I found the responses equally as ridiculous and I believe an apology is in order. He should be ashamed.  If you truly are a doctor your response is even more disturbing.

I find your response to be belittling and mean! You call him a troll? Why do you get a pass?  You may not agree with him, but you're targeting his character...-when someone disagrees with you- you call them a troll. Or YELL AT THEM- DONT YOU GET IT? THAT IS VERY RUDE?  You should be ashamed. and you should apologize.
I don't really understand this response. I mean, I get that you are angry, but doing the very thing that you are admonishing YLGuy for doing is not going to bring the conversation back to the issues and away from personal sniping. I'm quite certain he would have understood your point if you had just stated what you found unacceptable about his post. I took YLGuy's post very differently, that he was saying the response, not the person, was troll-like. He was also speaking from a place of frustration since a few of us felt like we were being (repeatedly) called out for saying something that we were taking pains to make clear we were not saying. Anyhow, they are both big boys, I'm sure they can work this out between themselves if they care to.

All I can add to Sluff's excellent advice is that if debate posts are something that always seem to wind you (general you) up, there is nothing wrong with just ignoring them. I know for me, sometimes I feel so invested in these conversations that you would think the stakes were much higher than they actually are. (See comic below) It's not like we're all on CNN or something.

Oh, MM, Citizens United. One of my main pet peeves. I am just now catching up on Colbert and I have to say I think his campaign is brilliance itself. I only just watched the episode in which his satirical spot stated If corporations are people, then Mitt Romney is a serial killer. More than any other discussion, lecture, or debate, I really think his political satire will serve to point up how utterly contradictory, damaging, and all-around nonsensical this ruling is.
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Be kind, for everyone you meet is fighting a great battle. - Philo of Alexandria

People have hope in me. - John Bul Dau, Sudanese Lost Boy
cariad
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What's past is prologue

« Reply #107 on: January 27, 2012, 11:30:08 AM »

(cariad – I’ll see you out back)
:rofl; :rofl; :rofl;
Well, Gerald, you've got my vote!
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Be kind, for everyone you meet is fighting a great battle. - Philo of Alexandria

People have hope in me. - John Bul Dau, Sudanese Lost Boy
Gerald Lively
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« Reply #108 on: January 27, 2012, 02:04:20 PM »

HemoDoc:

After the contentious political thread this morning, I had a burning question for you but decided not to bring it up.  So, I got on my little tractor, the one with the road-grader blade, and went out and graded the driveway – setting it up for the remainder of the Winter (a quarter-mile in length).  The entire time I was working, I couldn’t get this off my mind.  It’s just a simple clarification, so here goes:

Your creds say you are a Doctor (MD) and I assume you are a Nephrologist.  I am aware that Medicare pays for the vast majority of dialysis treatments in the US, meaning, Medicare is the life-blood for Nephrologists.  How then, can you be a Republican Conservative?  The GOP congressional actions this past year demonstrates a GOP desire to abolish Medicare.  No Medicare means death for many, many people.

I’ll listen. Listening is what I do best.

Gerald Lively 
Logged

Hodgkin's Lymphoma - 1993
Prostate Cancer - 1994
Gall Bladder - 1995
Prostate Cancer return - 2000
Radiated Prostate 
Cataract Surgery 2010
Hodgkin's Lymphoma return - 2011 - Chemo
Renal Failure - 2011
Renal Function returned after eight months of dialysis - 2012
Hodgkin's Lymphoma returned 2012 - Lifetime Chemo


Human hopes and human creeds
have their roots in human needs.

                          Eugene Fitch Ware
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« Reply #109 on: January 27, 2012, 06:12:07 PM »

HemoDoc:

After the contentious political thread this morning, I had a burning question for you but decided not to bring it up.  So, I got on my little tractor, the one with the road-grader blade, and went out and graded the driveway – setting it up for the remainder of the Winter (a quarter-mile in length).  The entire time I was working, I couldn’t get this off my mind.  It’s just a simple clarification, so here goes:

Your creds say you are a Doctor (MD) and I assume you are a Nephrologist.  I am aware that Medicare pays for the vast majority of dialysis treatments in the US, meaning, Medicare is the life-blood for Nephrologists.  How then, can you be a Republican Conservative?  The GOP congressional actions this past year demonstrates a GOP desire to abolish Medicare.  No Medicare means death for many, many people.

I’ll listen. Listening is what I do best.

Gerald Lively

Nope, internist with kidney failure.
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mykey711
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mykey

« Reply #110 on: January 27, 2012, 08:32:01 PM »

Today it looks like an Obama shoe in.
 :2thumbsup; :2thumbsup; :2thumbsup;
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I'm a 58 year old Family doctor with Alport's syndrome. I've been on PD for almost a year. I've been on transplant list since May 2010 at three centers, Michigan, Cleveland, and Indiana.  My brother has the same disease and is on his second transplant for about 12 years now.
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« Reply #111 on: January 27, 2012, 11:05:31 PM »

HemoDoc:

After the contentious political thread this morning, I had a burning question for you but decided not to bring it up.  So, I got on my little tractor, the one with the road-grader blade, and went out and graded the driveway – setting it up for the remainder of the Winter (a quarter-mile in length).  The entire time I was working, I couldn’t get this off my mind.  It’s just a simple clarification, so here goes:

Your creds say you are a Doctor (MD) and I assume you are a Nephrologist.  I am aware that Medicare pays for the vast majority of dialysis treatments in the US, meaning, Medicare is the life-blood for Nephrologists.  How then, can you be a Republican Conservative?  The GOP congressional actions this past year demonstrates a GOP desire to abolish Medicare.  No Medicare means death for many, many people.

I’ll listen. Listening is what I do best.

Gerald Lively

Dear Gerald, with low Medicare payments that don't even cover the cost of primary care visits and their overhead, the highest tax brackets with FEW tax shelters if any, heavy handed regulations of our practices, I don't believe it is any wonder that most, certainly not all docs want fewer regulations, lower taxes and for Medicare to at least cover their overhead. Not to get involved in another issue, but according to Joe Biden, I am very patriotic since I have paid over a million dollars in taxes already before anyone goes into the tax the rich mantra. I am by no means a wealthy man after spending 11 years in higher education before even beginning my career. Not complaining, just giving the perspective you asked for. I have paid much more in taxes than I can reasonably expect to receive back from SS or Medicare.

I have done my part and that is all the most in the GOP are asking other folks to do as well with the majority of folks in American being able bodied. Looking at my father's generation, a lifetime Democrat, that is what he expected of folks as well and that is how he taught me. In fact, my entire family is Democratic and I am the only outlier. But none in my family is looking for a handout, they all work, they all pay taxes. Our expectation from the government is not for them to care for us, but to allow us to provide by our own means. In such, my family is and has been fiscally conservative yet quite liberal in politics. That doesn't make much sense to me, but so be it.

Looking at all of the factors, the fact that docs support the GOP more than DEMS should not be surprising to anyone.  I have additional reasons, but that will suffice on why most of my colleagues are GOP.

I am an internist with my own renal disease requiring dialysis. I am a bit concerned about your excessive dialysis symptoms. With daily dialysis, I can immediately do my errands after session and I never have cramps, dizziness, nausea, vomiting, SOB or ANY other symptom. It sounds as if you are getting too aggressive ultrafiltration from your symptoms you described. Have you looked into daily dialysis so that you might actually appreciate dialysis instead of hating it and rightfully so by your symptoms. Dialysis doesn't have to be a torture chamber. Once again, I never feel the way that you described in a post above. Longer, slower and more frequent eliminates all of those symptoms as well as the dialysis headaches after the long weekend.

Now, what about the 500,000,000,000 that Obama slashed from Medicare to fund Obamacare? Why don't you folks ever talk about that or the number of times people have raided the SS, Medicare piggy bank for general fund expenditures? I don't recall Romney and Newt talking about slashing Medicare, that was the Ryan plan which is not an active piece of legislation.  In any case, I trust none of them whatsoever, except Ron Paul who also happens to be a retired military doctor. I don't agree with all of his issues, but Americans could learn a lot by what he tells about the Fed and how this one nongovernmental entity, it is a privately owned bank, controls so much of our economy and politics. I disagree with Ron Paul's isolationist approach, a strong military used with wisdom and restraint protects us without imposing colonialism on the rest of the world. I believe we have a lot to learn about restraint and we should, but that is not the real world politic that is dominated by clandestine ops whether DEM or Republican or so they all claim.

I further believe that constitution is the best political governing document man has created outside of the commandments of the Bible that is. The Lord will have His way soon enough, but the original document provided a framework to govern and allow the pursuit of life, liberty and happiness. Today, the government has essentially abrogated nearly every part of this document and they only pay attention to it when it suits them anymore. This is becoming a lawless nation even at the highest levels and the amount of corruption in high level politics is astounding. I am old enough to remember personally what made this nation a wonderful place to live, but that is crumbling before our eyes and I have little trust in congress to put aside personal gain long enough to craft simply documents that restore and protect our freedoms. Many people alive today, have no true concept of freedom after the indoctrination of our schools and colleges. I am not that old, well not according to my time scale, but it was no big deal to bring a rifle/shotgun and keep it openly in the back of a pickup truck to go hunting after or before school. I saw that many times and actually brought my shotgun to school several times myself and went duck hunting after it was over. Yet, we didn't have people shooting up the school or anything else.

Freedom requires responsibility which is something that a lot of folks run away from today. I can't speak for all who support the GOP, but that is some of the basic philosophies that are at the core values of why we are "conservative."  To say the least, I am not impressed in the least with the new morality or the lack of work ethics among many in the younger generations. Call me old fashioned, but I see through history what works, what improves society and what builds society. Taking personal responsibility is a tall order that I believe more folks need to acquire and practice. Without able bodied people standing on their own, how pray tell will you be able to lift a hand to help others? Generosity comes from strength not weakness. To those ends, I believe that the GOP may offer a better philosophy than what I see in the occupy movement for certain. If you want to occupy something, buy and pay for it and then you have the right to occupy. That was my father's generation, once again a lifelong democrat. He worked up until two years before he died at the age of 82 and paid his taxes all along. What has happened to my father's generation of democrats?

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Peter Laird, MD
www.hemodoc.info
Diagnosed with IgA nephropathy 1998
Incenter Dialysis starting 2-1-2007
Self Care in Center from 4-15-2008 to 6-2-2009
Started  Home Care with NxStage 6-2-2009 (Qb 370, FF 45%, 40L)

All clinical and treatment related issues discussed on this forum are for informational purposes only.  You must always secure your own medical teams approval for all treatment options before applying any discussions on this site to your own circumstances.
MooseMom
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« Reply #112 on: January 28, 2012, 12:09:14 AM »

Hemodoc, I understand that you fret about the lack of work ethic you perceive to be rife in younger generations today.  I fret about greed and corruption.  I can hear and understand when people in the GOP complain about too much regulation, but you know what?  I've lost trust in the goodness of society today.  I want to see regulation because I don't trust anyone anymore to do anything except look after their own personal interest/corporate interest.

The insurance industry is one of the most heavily regulated in the state in which I live, and I have to wonder why!  Well, I learned why, much to my chagrin.  When I first moved back to the US, I was not yet married, so I had to buy my own individual health insurance policy.  One week before the policy expiration date, I ended up in the hospital with an infection that nearly killed me.  I ended up with a bill of just over $20,000 for a 5 week stay..and that was the bill from just the hospital.  I got billed by doctors that I didn't even remember talking to.  Everyone got a piece of my pie.

All of these bills were submitted to my poxy insurance company, and from my hospitalization in August until the following March, they conjured out of thin air every excuse they could think of to deny my claims.  I went through the appeals process, and they shut me down.  Wouldn't even return my phone calls.  Nothing.  Then one day, they told me they were cancelling my policy retroactively.  I had to appeal to the State Board of Insurance in TWO states, and the Board in the state where I had purchased the policy mandated that they reinstate my policy. 

They did reinstate it (remember, it had already expired!), but still they refused my claim.

The kicker came when they said that I had actually been ineligible for coverage because I had not been resident in the US for 12 consecutive months.  They then said I had to submit my "papers".  Now, I happened to have worked in insurance in London as a broker, so I know how underwriters think, and what this company was trying to say was that I was actually an immigrant who had come to the US for medical treatment...

I sued.  And I won.  I won big. 

So, this insurance company is what is wrong with this country, Hemodoc.  It's not that people don't want to work or that they want government to pay for everything.  It's not that people don't want to take personal responsibility for their lives and their families.  No, Hemodoc, it is NOT that.  It's that people DO want to work hard and they DO want to look after their own families and they WILL take personal responsibility, but despite ALL of that, there is always someone out there to screw them over so that they can reap their profit.

Tell me, Hemodoc, why an honestly run company with a good product or service to sell would so blatantly break a legal contract?  Because all they want is profit.

Hemodoc, the dialysis industry is a microcosm of what is really wrong with our country.  IHD members work hard to take care of their families and them BAM, they get sick and their lifesaving treatment debilitates them so that they CAN'T take responsibility for their own wellbeing.  It's immoral, it's cruel, and it is the free market at work.  We cannot trust ANYONE anymore to act out of anything other than greed and self-promotion, sacrificing all moral conduct along the way.  Do you really think that LDOs and the big banks can be trusted to always act morally?  NO! 

Hemodoc, the sad truth is that America has not been a democracy for a long time, and the Constitution is a sham.  It is an arcane, interesting historical document that is tossed by the wayside if there is enough profit in the tossing.  The United States is a oligarchy, plain and simple.  Hard work, honest work is not rewarded any longer.  We have lost the desire to invest in our country because we are being told that there is no such thing as "investment", only "spending", and "spending" is to be avoided at all costs.  Why invest yourself in a country that is not interested in investing in you nor in your children?

Our politics are corrupt because corporations and big monied interests have bought our politicians, and these interests have pressured our politicians to become corporate shivs.  But oh, making lots of money is the American Way.  Sure, if hard work brings you lots of money, that's terrific and THAT is the American Way.  But hard work means little in the oligarchy that is now the US of A.  If corporations are people, then they should be exercising more "personal responsibility" and work harder for the common good.  And if the Bible is your true template, then this would be a much kinder society that worked much harder to support the weaker in society, but I don't see that happening.  Why don't we just drop Medicare altogether and let lots of nice and charitable people and their churches pay for dialysis for everyone who needs it.  What sort of sick society allows such profit to be made from sick people?  What does the Bible say about that, Hemodoc?  If you are seaching for people who revere hard work, I'm searching for people of good will who are honest and who are not looking to screw whomever they deem to be weak.  I'm looking for people who don't merely talk about their faith but, rather, who work hard to LIVE it by making the world a better place for ALL of God's people.

Logged

"Eggs are so inadequate, don't you think?  I mean, they ought to be able to become anything, but instead you always get a chicken.  Or a duck.  Or whatever they're programmed to be.  You never get anything interesting, like regret, or the middle of last week."
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« Reply #113 on: January 28, 2012, 02:29:07 AM »

Dear Moosemom, why are you identifying me with corporate America in your remarks since they are addressed to me? Am I supporting the status quo of the dialysis industry? I believe the for-profit health care should have no place in America, but that is not the reality we are dealt and I don't believe we will ever roll the clock back in time to when health care was run by charity. I would challenge you to find anyone today challenging the status quo in the dialysis industry any more than I am today.

As far as regulations, I would much rather control myself and operate in freedom under my duties and obligations to my fellow man as prescribed in the Bible. The mountains of regulations are actually simply a symptom of the sins of this nation. The Bible says so very clearly:

Proverbs 28:2 For the transgression of a land many are the princes thereof: but by a man of understanding and knowledge the state thereof shall be prolonged.


So if you are looking for more regulations and more princes to watch over every little detail of your life, that does not sound like freedom to me at all. I would rather look for a man of understanding and knowledge to prolong this state for certainly we are not on a sustainable path any longer I would advise you to read the founding fathers writings and what they had to say about the constitution and freedom. Here are some examples:

Quote
The Constitution is not an instrument for the government to restrain the people, it is an instrument for the people to restrain the government – lest it come to dominate our lives and interests. – Patrick Henry

The principle of spending money to be paid by posterity, under the name of funding, is but a swindling futurity on a large scale. – Thomas Jefferson

"Our constitution was made for a moral and religious people; it is wholly inadequate for any other."  John Adams

Here is the problem in that we are no longer a moral and religious people. I don't need to expand upon that, just turn your TV on for a few minutes and you will have more than enough examples.

So, no, I don't see a of hope for this nation which continues to not only turn it's back to God, but thumb their nose at him as well putting it politely but recognizing it is much worse than that. The constitution was never designed to rule over such a people. Do I need to quote the admonitions against greed from the Bible? I believe one will be enough:

I Timothy 6:9     But they that will be rich fall into temptation and a snare, and into many foolish and hurtful lusts, which drown men in destruction and perdition.
10     For the love of money is the root of all evil: which while some coveted after, they have erred from the faith, and pierced themselves through with many sorrows.
11     But thou, O man of God, flee these things; and follow after righteousness, godliness, faith, love, patience, meekness.


Yes, the Bible has much to say about the obligations of the rich, and the Bible has much to say about able bodied people who will not work even though they can.

Because people no longer want God to rule their lives, He has given us rulers that truly don't have our interest at heart. I for one cherish the freedoms we once had that now we must fight to preserve, but until the people of America turn back to the source of all of our freedoms, all shall be lost. I believe that with all of my heart. If you wish for more regulations, you won't have to wait long with the tens of thousands of new regulations each year by state, county, city, and Feds. I much prefer the freedoms and responsibilities of self governance over any one telling me what to do each and every day.  If you folks prefer a tyrannical government overseeing tyrannical greed filled corporations, shucks that just doesn't sound like the nation I grew up in. That is not my idea of freedom whatsoever.

And why are you always focussing on the corporations and giving this corrupt government not only a complete pass, but you want more of it? Are you completely unaware of the bribery and corruption between our corporations and our government? So be it. How many people do you know personally who lie on their income tax forms every year?  For the transgressions of the land, many are the princes thereof. That is where it all begins and ends frankly, personal responsibility and morality. Collectively, we are in deep trouble and there is only one remedy, but we won't go there I am sure.

II Chronicles 7:12     ¶ And the LORD appeared to Solomon by night, and said unto him, I have heard thy prayer, and have chosen this place to myself for an house of sacrifice.
13     If I shut up heaven that there be no rain, or if I command the locusts to devour the land, or if I send pestilence among my people;
14     If my people, which are called by my name, shall humble themselves, and pray, and seek my face, and turn from their wicked ways; then will I hear from heaven, and will forgive their sin, and will heal their land.


A house about to collapse upon itself cannot invest in anything. Do you really believe that propaganda you are espousing? No, this nation truly no longer deserves the freedoms we had if you can only consider the constitution as an interesting historical document.  Well, lets just scrap it and produce a 20,000 page document to replace it and see how much better off you will be with that.  I truly believe folks are completely ignorant today of what it was that the founding fathers gave us through their sacrifice of life, property and living. I suspect people truly have no more respect for that sacrifice and gift and in such, we truly don't deserve it's freedoms and protections any longer. Do you really believe that this corrupt political city will produce anything of value to anyone but their powerful cronies?

For me, i will go and hide out in Idaho as long as I can. People there still cherish and understand freedom. I am not sure how much of the rest of this nation does any longer.
« Last Edit: January 28, 2012, 02:58:18 AM by Hemodoc » Logged

Peter Laird, MD
www.hemodoc.info
Diagnosed with IgA nephropathy 1998
Incenter Dialysis starting 2-1-2007
Self Care in Center from 4-15-2008 to 6-2-2009
Started  Home Care with NxStage 6-2-2009 (Qb 370, FF 45%, 40L)

All clinical and treatment related issues discussed on this forum are for informational purposes only.  You must always secure your own medical teams approval for all treatment options before applying any discussions on this site to your own circumstances.
Gerald Lively
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« Reply #114 on: January 28, 2012, 08:58:57 AM »

HemoDoc:

As much as I wanted to find out what you think about Medicare, I failed to locate it in your response.  Based on all of the other subjects you covered, I can make a good guess.

Your message of disentrancement with the US Federal Government is understood even though it is non-specific and has a sprinkling of propaganda.  I get enough of this elsewhere.  Here, on the IHD forum I wanted to focus on the narrower question of compassion by government. 

1.    Much of the administration of Medicare is in the hands of the various States.  The Federal Government provides regulations that amount to guidelines but it is State law that says the door to the dialysis room must be locked. Yes, it is a small issue.  Even so, it is illustrative. 
2.   Social Security is holding about $2 Trillion in IOU’s.  There exists a system that immediately places Social Security revenues in the General Fund in exchange for an IOU. The payback is as needed to pay for program benefits.  The only good I see in this system, is the supposed earned interest, which, so far, has never been paid.  Instead, interest payments are just another IOU.
3.   George W. Bush saw this obligation to Social Security and tried to “privatize” the fund.  Ryan, tried to cut it altogether through a phase-out system.  Boehner praised the package as brilliant new thinking.  The GOP, rather than pay the debt would rather dismiss it.

I am only concerned here, about the care for the elderly, poor, children and those that cannot help themselves.  To point to fraud in these programs is disingenuous.  Yes, we should not have fraud, yet we need these programs.  To declare that grandpa made it on his own is no answer.  Grandpa died early as did his generation.  WE are in the NOW, not yesterday.  That is where I search for insight.  That is why the GOP seems like a pariah on the very people they ask for votes.  Perhaps in a few days, in calmer times, you can address those concerns.  One more thing;  the very nature of organized religion in government will change from your oligarchy to a dictatorship if mixed.

MooseMom:  California insurance law already prohibits all of the insurance actions you describe.  Much of that is included in the so-called Obamacare package.

Everybody calm down.

gerald
Logged

Hodgkin's Lymphoma - 1993
Prostate Cancer - 1994
Gall Bladder - 1995
Prostate Cancer return - 2000
Radiated Prostate 
Cataract Surgery 2010
Hodgkin's Lymphoma return - 2011 - Chemo
Renal Failure - 2011
Renal Function returned after eight months of dialysis - 2012
Hodgkin's Lymphoma returned 2012 - Lifetime Chemo


Human hopes and human creeds
have their roots in human needs.

                          Eugene Fitch Ware
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« Reply #115 on: January 28, 2012, 09:09:19 AM »

My dearest Hemodoc, you know I love you, so please take this in the generous spirit in which it is given...

Please show some mercy upon your good self and refrain from immediately taking things written on IHD so personally. :cuddle;

You KNOW that I was not directing my remarks about the greed and eval of corporate influence in our politics at you.  I was responding TO you, not AT you.  I do not disagree that there are people out there who are lazy toads who don't want to fend for themselves and their families.  You have told me that you have encountered such people, so I believe you as I do not think you would lie.  But I have to say that I have not encountered any of these people.  That's not to say that they do not exist, rather, that perhaps they are not as numerous as you believe.

My point is that I do not feel that it is laziness that is at the root of the problem, rather, it is greed and corruption.  Surely you agree this is a problem.

I don't have time to read the rest of your post properly so that I may digest it fully and add a response, but I did want to come on this discussion and assure you that my comments were not made to be taken as a personal slight.  Actually, let me amend that.  I was quite hopeful that you WOULD take my comments personally ON A CERTAIN LEVEL PRECISELY BECAUSE of your view that for-profit healthcare should have no place in America.  I was using this analogy to illustrate my opinion because I knew that you PERSONALLY would understand.

I know that you would much rather control yourself, etc, but you are trustworthy.  How about the others who are not?  How do we keep an unscrupulous doctor or businessman from harming others and even depriving THEM of THEIR freedom?  How do we, for instance, keep the LDOs in this country from harming vulnerable patients and from doing nothing to enhance the quality of life and freedom of their patients?  What would happen to us if there were no regulations governing the business practices of LDOs and, say, drug companies?  Do you trust these people to always act in the best interests of their patients?  I don't!  There has to be some mechanism to reign in their quest for profit, and sadly, the Bible isn't doing the trick.  Jesus isn't going to descend from the heavens and smite Mr. Thiery and enforce a whopping fine if his clinics are crappy and aren't clean.  So, does government play a role in this?  Dialysis isn't mentioned in either the Constitution or the Bible, so what are we left with to make sure patients get out of there alive?

OK, that's it for now, sorry...out of time.  Please, for the sake of your own emotional health, try not to find insult where there is none.  I will try to be more clear from now on, though, in case it really did sound like I was "attacking" you personally.  My apologies that I was not clear in that regard.

Gerald, I am calm!  Texas and Illinois law also prohibits the kind of actions undertaken by my ex-ins company....that's why I won my lawsuit.  But what would have happened if there had been no evil "regulations"?  Again, are we supposed to just trust that everyone is going to act in an ethical manner?  I think not.
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« Reply #116 on: January 28, 2012, 11:55:42 AM »

My dearest Hemodoc, you know I love you, so please take this in the generous spirit in which it is given...

Please show some mercy upon your good self and refrain from immediately taking things written on IHD so personally. :cuddle;

You KNOW that I was not directing my remarks about the greed and eval of corporate influence in our politics at you.  I was responding TO you, not AT you.  I do not disagree that there are people out there who are lazy toads who don't want to fend for themselves and their families.  You have told me that you have encountered such people, so I believe you as I do not think you would lie.  But I have to say that I have not encountered any of these people.  That's not to say that they do not exist, rather, that perhaps they are not as numerous as you believe.

My point is that I do not feel that it is laziness that is at the root of the problem, rather, it is greed and corruption.  Surely you agree this is a problem.

I don't have time to read the rest of your post properly so that I may digest it fully and add a response, but I did want to come on this discussion and assure you that my comments were not made to be taken as a personal slight.  Actually, let me amend that.  I was quite hopeful that you WOULD take my comments personally ON A CERTAIN LEVEL PRECISELY BECAUSE of your view that for-profit healthcare should have no place in America.  I was using this analogy to illustrate my opinion because I knew that you PERSONALLY would understand.

I know that you would much rather control yourself, etc, but you are trustworthy.  How about the others who are not?  How do we keep an unscrupulous doctor or businessman from harming others and even depriving THEM of THEIR freedom?  How do we, for instance, keep the LDOs in this country from harming vulnerable patients and from doing nothing to enhance the quality of life and freedom of their patients?  What would happen to us if there were no regulations governing the business practices of LDOs and, say, drug companies?  Do you trust these people to always act in the best interests of their patients?  I don't!  There has to be some mechanism to reign in their quest for profit, and sadly, the Bible isn't doing the trick.  Jesus isn't going to descend from the heavens and smite Mr. Thiery and enforce a whopping fine if his clinics are crappy and aren't clean.  So, does government play a role in this?  Dialysis isn't mentioned in either the Constitution or the Bible, so what are we left with to make sure patients get out of there alive?

OK, that's it for now, sorry...out of time.  Please, for the sake of your own emotional health, try not to find insult where there is none.  I will try to be more clear from now on, though, in case it really did sound like I was "attacking" you personally.  My apologies that I was not clear in that regard.

Gerald, I am calm!  Texas and Illinois law also prohibits the kind of actions undertaken by my ex-ins company....that's why I won my lawsuit.  But what would have happened if there had been no evil "regulations"?  Again, are we supposed to just trust that everyone is going to act in an ethical manner?  I think not.

Dear Moosemom, it is not the Bible that has failed. That has always will stand now and forever. You have asked and others also why I am conservative. Please note, I don't call myself a Republican, but most of those that are conservative in politics are in the Republican party. That is the associciation, albeit loosely today unfortunately. In such, if you truly wish me to answer the question you have put forth, I spent a fair amount of time answering it so I would recommend you go back and look at that post once again. Many of the answers to your questions are in that post.

As far as a people who will not govern themselves, history tells us that that people will enter into slavery controlled by a tyrannical dictator. I believe the first option of controlling your own self so that others are not appointed to do so is a much better option. Many in America, in the conservative, "right wing" movement believe likewise. How many people were arrested and desecrated property at all of the Tea party gatherings put together? How about the so called occupy movement? Perfect illustration of people who wish to govern their own self vs someone calling upon government to govern them. One is lawful, the other is lawless. It appears that America as a majority is choosing the lawless approach. I truly don't want any part of that and once again, I will hide out in Idaho as long as I can until the lawless gang catches us up there as well.

Let me remind you of one item in my post above:

Proverbs 28:2 For the transgression of a land many are the princes thereof: but by a man of understanding and knowledge the state thereof shall be prolonged.

If you are going to live in a land of transgressions (sin) then you will have many rulers and princes. (i.e., regulations) The fact we are discussing this issue in the midst of the largest anti-God, anti-Bible times in America speaks for itself. This will ultimately end in slavery and tyrannical dictatorship. That is where I believe we are heading and not far from it. If you spend any time reading the founding fathers writings, they spoke of these very things and that is why they wrote the constitution the way that they wrote it. I believe that they would likewise call this a lawless nation today as well. You can't rule lawlessness without oppression. That is where we are heading and will head unless folks, one by one choose to live lawfully. Sadly, I see just the opposite happening.

As far as associating me with corporations and their excesses and me taking it personally, then I would have to ask why are you addressing my post with references to these things if you did not wish to associate my philosophy with them? Your references place a false ascription to allege my support of these entities which is not a representation of my views at all.

On the other hand, in the global economy of today, who is it that you will seek to find employment? If I am ever in need of a job in the future, hopefully not, but if I am, where would I turn to seek to provide for my family? Not all corportations are evil and wicked as some wish to ascert. In fact, the high standard of living that the majority of Americans have enjoyed was in the gainful employment of large and profitable corporations.

I worked for Kaiser, a large, non-profit corporation and I acted in that position to the best of my abilities placing the interests of my patients at the forefront of my decisions. Am I perfect in every encounter, God as my witness, no. But what I may have lacked in perfection came not from greed and profit. My compensation was never based on withholding care and saving moner and in fact, I was often in the hot seat for spending more on my patients than my peers. I did what I believed to the best of my abilities was the best I could for each patient in every encounter as if I had my mother before me. In this, I believe that I also prevented many complications and hospitalizations but I never recieved credit for that cost savings. So, is Kaiser "evil" simply because it is large and effective? If you were looking for a job in CA as a nurse, where would you apply understanding Kaiser pay scales compared to those in the community are often double what the community, private practice can afford to pay. Does that make Kaiser evil?

This whole slam the rich, slam the corporation propaganda is a short sighted and mistaken approach. If a CEO does harm to someone by his corporate actions, he should be held accountable. However, more likely, he will simply make a campaign contribution to his politician of choice and see nothing of that kind. Why are we looking at the GOP only when it comes to the so called "rich." Have you seen who Obama hangs out with lately? George Soros, Immelt, and Buffet to name only a few, yet, the GOP is the party labeled the 1 percenters. Immelt is tasked with growing jobs in America as Obama's job czar while he sends jobs to China for GE in a blistering pace. How is it that you look at the GOP association with corporations and completely over look Obama's ties including GE who just happened to own NBC during the 2008 campaign yet this relationship is not questioned. I believe that is hypocracy bread by the propaganda of the so called occupy movement which is very controlled. Who is pulling those strings and why? Is it the 99% as a grass roots movement? Sorry, I don't buy that at all.

So if you want to talk about corporations, yes, by all means, where did most of Obama's stimulus go for instance?

So if folks want a bigger, more encompassing government to cure all the ills of this society, then who will look over the shoulder of the government to keep them from corruption and greed and profiteering?


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Peter Laird, MD
www.hemodoc.info
Diagnosed with IgA nephropathy 1998
Incenter Dialysis starting 2-1-2007
Self Care in Center from 4-15-2008 to 6-2-2009
Started  Home Care with NxStage 6-2-2009 (Qb 370, FF 45%, 40L)

All clinical and treatment related issues discussed on this forum are for informational purposes only.  You must always secure your own medical teams approval for all treatment options before applying any discussions on this site to your own circumstances.
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« Reply #117 on: January 28, 2012, 12:16:14 PM »

HemoDoc:

As much as I wanted to find out what you think about Medicare, I failed to locate it in your response.  Based on all of the other subjects you covered, I can make a good guess.

Your message of disentrancement with the US Federal Government is understood even though it is non-specific and has a sprinkling of propaganda.  I get enough of this elsewhere.  Here, on the IHD forum I wanted to focus on the narrower question of compassion by government. 

1.    Much of the administration of Medicare is in the hands of the various States.  The Federal Government provides regulations that amount to guidelines but it is State law that says the door to the dialysis room must be locked. Yes, it is a small issue.  Even so, it is illustrative. 
2.   Social Security is holding about $2 Trillion in IOU’s.  There exists a system that immediately places Social Security revenues in the General Fund in exchange for an IOU. The payback is as needed to pay for program benefits.  The only good I see in this system, is the supposed earned interest, which, so far, has never been paid.  Instead, interest payments are just another IOU.
3.   George W. Bush saw this obligation to Social Security and tried to “privatize” the fund.  Ryan, tried to cut it altogether through a phase-out system.  Boehner praised the package as brilliant new thinking.  The GOP, rather than pay the debt would rather dismiss it.

I am only concerned here, about the care for the elderly, poor, children and those that cannot help themselves.  To point to fraud in these programs is disingenuous.  Yes, we should not have fraud, yet we need these programs.  To declare that grandpa made it on his own is no answer.  Grandpa died early as did his generation.  WE are in the NOW, not yesterday.  That is where I search for insight.  That is why the GOP seems like a pariah on the very people they ask for votes.  Perhaps in a few days, in calmer times, you can address those concerns.  One more thing;  the very nature of organized religion in government will change from your oligarchy to a dictatorship if mixed.

MooseMom:  California insurance law already prohibits all of the insurance actions you describe.  Much of that is included in the so-called Obamacare package.

Everybody calm down.

gerald

Compassion by government. In what way is that manifested. Let's back that up a bit. Governments are composed of people. Yes, God commands compassion on those who cannot provide for their needs. What proportion of your monies goes to charities? It all starts and ends with the individual. I could state what mine are but I won't. America has historically been a compassionate nation giving more to charities and funding to people over seas for years. Now the governement wants to controll all of this by doing away with the tax write off for charitable giving granting the government control of this.

I don't believe it is the governments role to do those things that the individual should do himself. We are a very wealthy people in America. Even the poorest here live like kings compared to those in the Philippines for instance where many are sqautters living in card board boxes. We have lost sight here in America of our own status among the world. It is a skewed view. Who took care of the poor and needy before Medicare and the great society of Johnson in the 1960's when he waged war on poverty? As Ron Paul noted, we did a better job then, than today.

Medicare is a program here to stay unless of course we regain the 500 Billion Obama stole from to fund Obamacare. I am a member of Medicare. Not that I needed it but I was coerced essentially into getting it and turning it over or have added co-pays for each dialysis session. I have full lifetime health care by virtue of my employment. My co-pays are no better for hospitalizaiton or procedures with my Medicare as without it. No change for me, so my Medicare goes to Kaiser to defray their obligations to me under my own health plan. So be it, that is business.

As a Kaiser physician, a large percentage of my patients were Medicare Advantage and I saw the benefits that they derived from this program. The issue is not the program, but the issue is how will we fund it at the governmental level. Now, is it compassionate for government to rob social security and Medicare to fund the general fund? The reason that SS and Medicare are going broke is because your compassionate government robs that fund every year for the last several decades. Is that compassionate?

No, that is corrupt and that is the real issue of this huge government and its voracious appetite to spend every penny it can lay its hands on and deliver back to the people only a small percentage of real value. Is that compassionate? I believe it is corrupt and broken. I don't believe we fix this broken and corrupt monster we call the Federal government by feeding it more and more, it simply spits it out in wasteful unproductive spending. Is that compassionate? I don't think so.

What is the FDA doing about the pharmaceutical fraud brought on in the last 15 years with these so called drug shortages.  Nearly every single old medication that was manufactured cheaply and efficiently is now costly and difficult to supply. What is the FDA doing to prevent this game where by common easy to make drugs here for up to a hundred years are now all of a sudden difficult to make and expensive?  Give me a break, that is corruption. Is that compassionate?

Lastly, you stated my statements were sprinkled with propaganda when in fact they were all personal experiences in my family. Please specifically state what you believe is propaganda about my familiies personal experiences which I assure you are quite real.  I have used the word propaganda tied to specific issues such as the allegations of racism as the underlying "birther" movement. Yet, that is not my motivation whatsoever in questioning some issues that Obama has continued to hide and not answer. It is propaganda to say that these questions are racially motivated. Was racial motivation for questioning McCains place of birth

I have used the term propaganda to describe this irrational hatred of corporations while giving Obama a pass for rubbing shoulders with his corporate giant friends. That is hypocracy and propaganda.

So, what specific issues do you feel are propaganda?

Lastly, the issue of Christianity and government is an old propaganda tool that us Christians want a theocracy. That is plain and simple falsehood. Remember, the kingdom of God is within. What did Jesus Himself say over this issue when Pilate confronted Him?

John 18:33     Then Pilate entered into the judgment hall again, and called Jesus, and said unto him, Art thou the King of the Jews?
34     Jesus answered him, Sayest thou this thing of thyself, or did others tell it thee of me?
35     Pilate answered, Am I a Jew? Thine own nation and the chief priests have delivered thee unto me: what hast thou done?
36     Jesus answered, My kingdom is not of this world: if my kingdom were of this world, then would my servants fight, that I should not be delivered to the Jews: but now is my kingdom not from hence.


That is why John Adams stated: "Our constitution was made for a moral and religious people; it is wholly inadequate for any other." 

Theocracy baiting in the debate on where Christianity stands with our goverment is plain and simple propaganda that goes against Christian doctrine. Did the founding fathers who over saw a nation almost entirely composed of Christians turn that experiment into a theocracy? No. That is not what the Christian right is calling for. No, instead, the founding fathers used the tenants of Christianity to produce a government where the world saw religious and political liberty as never seen before, and sadly, will not see again for quite some time to come.

« Last Edit: January 28, 2012, 12:45:16 PM by Hemodoc » Logged

Peter Laird, MD
www.hemodoc.info
Diagnosed with IgA nephropathy 1998
Incenter Dialysis starting 2-1-2007
Self Care in Center from 4-15-2008 to 6-2-2009
Started  Home Care with NxStage 6-2-2009 (Qb 370, FF 45%, 40L)

All clinical and treatment related issues discussed on this forum are for informational purposes only.  You must always secure your own medical teams approval for all treatment options before applying any discussions on this site to your own circumstances.
Gerald Lively
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« Reply #118 on: January 28, 2012, 04:48:48 PM »

HemoDoc:

Back when JFK was running for President, I was the moderate in the neighborhood.  I had spent my time in military intelligence and was made aware that all is not as it seems.  Now, those veterans of that special military unit gather on a Yahoo Forum and discuss the politics of the day.  There, no one is polite.  In that environment I am the Liberal in the neighborhood, although I remain convinced of certain basic responsibilities of government.  You see, not only was a private sector business owner, I had a career in government in the policy-making function.  I believe that gives me some insight.  And the entire politic of America has moved to the right, much too far in my opinion.

The very idea of government is a collective effort for the benefit of it’s members/citizens.  None of us could survive alone among many others striving to survive alone. We take care of one another. It takes a village to raise a child. This requires compassion.  Who needs help?  I am here to say that we cannot ignore the poor and needy.

Comparing the US to another country is disingenuous as in apples and oranges.  Some elderly woman down the street has no relationship to any other nation, she merely needs help.  No private sector organization or church can reach all of the people all of the time.  Only government can do that.  I recall when Henry J formed Kaiser and I wondered as a kid what all the shouting was about, as in people condemning Kaiser’s effort as socialism and socialized medicine. Yep, we lived in government housing across the street from the Kaiser Shipyards. 

Ron Paul was very wrong when he commented on pre-60’s healthcare.  Starvation was epidemic in the deep south among blacks.  The rest of the nation benefitted from a relatively low population and doctors rendered healthcare in your home.  But he didn’t have a dialysis machine.  He sometimes bartered.  He was wrong on occasion. Paul’s gaze back is a fantasy, tradition, and is the essence of conservatism in these United States.  Yesterday carries no solutions for a nation with a burgeoning population and evolving viruses. Research has left the good-old days in the dust.  And who will bring a CT scan to your home?

God did not rescue my sister from renal failure.  The State of Texas tried.  Even in that bastion of conservative throw-backs, someone there did their best.  I fail to see that compassion in your messages.  Edward Lively, my ninth great grandfather, who was a translator for the King James Bible, died of the flu.  Even as religious as he was, no God answered his prayers. God is not the answer to the healthcare needy.  Again, only government can fulfill that niche. 

When the Supreme Court recently ruled that corporations are “people”, that was in the context of campaign financing and the First Amendment.  Perhaps you need to be reminded that the Supreme Court is conservative.  If corporations are “people” then they should pay the same taxes as people.

The “founding fathers” were not particularly religious.  In documents they produced, the language of the time was used. God was often mentioned.  These were not church going, Bible thumping members of any church, these were independent thinking rebels.  And if you wish to quote Presidents, we can be at this all day long.

Conservative America is wrong  when they criticize Medicare, Obamacare (or its intent), or Social Security.  Those three programs and Veteran’s Healthcare reach more people than any health program in history.  The conservative option is as Ron Paul characterized it; leave them alone.  That, Sir, is not an option.

Gerald Lively
Logged

Hodgkin's Lymphoma - 1993
Prostate Cancer - 1994
Gall Bladder - 1995
Prostate Cancer return - 2000
Radiated Prostate 
Cataract Surgery 2010
Hodgkin's Lymphoma return - 2011 - Chemo
Renal Failure - 2011
Renal Function returned after eight months of dialysis - 2012
Hodgkin's Lymphoma returned 2012 - Lifetime Chemo


Human hopes and human creeds
have their roots in human needs.

                          Eugene Fitch Ware
Hemodoc
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Gender: Male
Posts: 2110

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« Reply #119 on: January 28, 2012, 05:41:06 PM »

HemoDoc:

Back when JFK was running for President, I was the moderate in the neighborhood.  I had spent my time in military intelligence and was made aware that all is not as it seems.  Now, those veterans of that special military unit gather on a Yahoo Forum and discuss the politics of the day.  There, no one is polite.  In that environment I am the Liberal in the neighborhood, although I remain convinced of certain basic responsibilities of government.  You see, not only was a private sector business owner, I had a career in government in the policy-making function.  I believe that gives me some insight.  And the entire politic of America has moved to the right, much too far in my opinion.

The very idea of government is a collective effort for the benefit of it’s members/citizens.  None of us could survive alone among many others striving to survive alone. We take care of one another. It takes a village to raise a child. This requires compassion.  Who needs help?  I am here to say that we cannot ignore the poor and needy.

Comparing the US to another country is disingenuous as in apples and oranges.  Some elderly woman down the street has no relationship to any other nation, she merely needs help.  No private sector organization or church can reach all of the people all of the time.  Only government can do that.  I recall when Henry J formed Kaiser and I wondered as a kid what all the shouting was about, as in people condemning Kaiser’s effort as socialism and socialized medicine. Yep, we lived in government housing across the street from the Kaiser Shipyards. 

Ron Paul was very wrong when he commented on pre-60’s healthcare.  Starvation was epidemic in the deep south among blacks.  The rest of the nation benefitted from a relatively low population and doctors rendered healthcare in your home.  But he didn’t have a dialysis machine.  He sometimes bartered.  He was wrong on occasion. Paul’s gaze back is a fantasy, tradition, and is the essence of conservatism in these United States.  Yesterday carries no solutions for a nation with a burgeoning population and evolving viruses. Research has left the good-old days in the dust.  And who will bring a CT scan to your home?

God did not rescue my sister from renal failure.  The State of Texas tried.  Even in that bastion of conservative throw-backs, someone there did their best.  I fail to see that compassion in your messages.  Edward Lively, my ninth great grandfather, who was a translator for the King James Bible, died of the flu.  Even as religious as he was, no God answered his prayers. God is not the answer to the healthcare needy.  Again, only government can fulfill that niche. 

When the Supreme Court recently ruled that corporations are “people”, that was in the context of campaign financing and the First Amendment.  Perhaps you need to be reminded that the Supreme Court is conservative.  If corporations are “people” then they should pay the same taxes as people.

The “founding fathers” were not particularly religious.  In documents they produced, the language of the time was used. God was often mentioned.  These were not church going, Bible thumping members of any church, these were independent thinking rebels.  And if you wish to quote Presidents, we can be at this all day long.

Conservative America is wrong  when they criticize Medicare, Obamacare (or its intent), or Social Security.  Those three programs and Veteran’s Healthcare reach more people than any health program in history.  The conservative option is as Ron Paul characterized it; leave them alone.  That, Sir, is not an option.

Gerald Lively

Did I criticize Medicare? Sorry, that is news to me. All I said was quit stealing its funding and it will work well for all of us. You say I lack compassion. Sorry, my patients would disagree with you strongly. Five years after I retired, many patients still ask about me to my old nurses. Recently, I saw one of my old patients who works in the pharmacy where I get me meds and she said someone was talking about their doctor who retired and was the most caring and compassionate doctor that they ever had. Sorry, but I will dismiss your incorrect characterization that I am not caring and compassionate.

Ron Paul never said leave the folks alone, far from it. He has spent a lifetime in medical practice as well and instead believes in helping, but not by the heavy handed control of the government that in many instances impeeds good medical care by their heavy hand reguations.  When did I say we don't need any government? You may need a village to raise a child, but my parents did fine up in Alaska all by themselves with two of us with doctoral degrees and the other two with masters, my parents did OK even if we didn't think so then and only seldom did so with the use of babysitters on rare occasions. Four kids in one house for all those years. It is a wonder that my parents kept their sanity, but they did. On the other hand, the "village" that we lived in sure did stir up a whole lot temptations and vices that caused a great deal of difficulty for our parents by our involvement in those activities. No, our parents did just fine getting us through the village temptations much to my surprise looking back at all that me and my brothers put them through. Lots of good influences from my parents, lots of really rotten influence from that "village."

We still have poverty in this nation after the trillions of dollars spent against the war on poverty. How did that happen?

In dialysis, the good old days were better than these days with mortality less than 10% and by the way, when you go to the dialysis unit, with a few exceptions you are using 1960's technology with a few modifications to those basic systems. The artificial kidney is from 1968, fistulas, 1960's etc.  What has kept dialysis from advancing when so many other areas of medicine are marching forward? Is there a connection between the socialized medicine intervention of the ESRD program and our lack of progress? I ask a rhetorical question, but what is the reason that we see no progress in the last 20 years. I look at treatment of heart attacks in the last 20 years when an MI had a 10% mortality. Now with the developments of the last 20 years, it is now as low as 2% for an acute heart attack. Is it possible that our funding and control by CMS has stiffled and stymied improvements? I have spoken to many in the industry, names you would know who almost universally state it is our reimbursement system that is holding back innovation and improvements in dialysis.

Without betraying confidences, I heard similar sentiments very recently from one of the most influential leaders in dialysis. Yet to make changes in dialysis practice, it takes literally an act of congress. Yet prior to the advent of the 1973 ESRD program, Dr. Scribner was able to take an inspiration directly to practice and save lives over night. That is not possible today with the mountains of regulations that hold up innovative improvements to the dialysis that you hate so much. I know that there are people today with the power to invoke change who are lobbying congress and CMS to allow these changes. CMS is the stumbling block to so many of our issues today, yet people ask for more such control over our lives in other areas. I believe that there are things that we could do tomorrow that would greatly impact all dialysis patients in America and save countless dollars for the  taxpayors at the same time, yet we are all holding our breath to see if someone in congress will support these changes. Is that compassion?

I can assure you that overnight, we could alleviate your suffering and pain at dialysis sessions if only CMS would break down the wall between part A and part B of Medicare. Is that compassion?

If you feel that I have no compassion, then I don't believe you have read any of my articles since 2008 on Bill Peckham's site or on my own all because I advocate that we should live within our means. If we go bankrupt and cannot pay for any medical care, is that compassion? Sorry, but I will use the intractable movement of CMS in the last 40 years to first of all protect all of the ESRD patients that they have been charged with protecting and caring for, yet this system has 2.5 times the mortality of other developed nations who spend less on dialysis but have better outcomes. People who have had the power in the dialysis industry have urged CMS to incentivize outcomes and reduced hospitalization and death, yet CMS remains immovable. We all focus on the LDO's which do own their share of the blame absolutely, yet completely give a pass to CMS who is the one that tells the LDOs how to practice and sets up our perverse payment systems that do not protect our dialysis patients.

I have spent my entire career inside of two integrated health care systems. First in the military and second with Kaiser. There are many things that we could do tomorrow that would set America once again as the mecca of dialysis healthcare in the world that we once were BEFORE the ESRD program. Since the ESRD program, our outcomes have plummeted and we are now the worst performing dialysis provider in the developed world yet as of today, despite all that we know on how to make things better, where is CMS or congress in moving beyond the impass of the last two decades alone. The integrated system is the only type of system where there is an incentive for a nephrologist to capture savings by spending more at the point of service in the dialysis unit to reduce pain, suffering and expense in the hospital. Where is the leadership by CMS to do such a deed, for certainly nothing shall change until CMS changes it. Is that compassion? 

As far as corporations paying their taxes, yes absolutely. When Gerald did I ever state to let those SOBs out of paying taxes. I have paid my fair share and beyond, yes make them pay their fair share. Let's start first with GE if only Obama will require it of his good friend who gave him so much favorable news coverage on his propaganda MSNBC station during the 2008 election and until today. Is that quid pro quo perhaps? Yes, Gerald, turn your angst againt GE and it's CEO and I will line up with you, and chase after the cronyism so apparent in the GE,Immelt, Obama connection. Yes, by all means, get GE to pay its taxes. In fact, tell them to turn in their 3 billion dollar tax credit!! Yes, let's start with the Obama/GE tax debacle.

http://abcnews.go.com/Politics/general-electric-paid-federal-taxes-2010/story?id=13224558#.TySmzhzU-10
« Last Edit: January 28, 2012, 06:06:06 PM by Hemodoc » Logged

Peter Laird, MD
www.hemodoc.info
Diagnosed with IgA nephropathy 1998
Incenter Dialysis starting 2-1-2007
Self Care in Center from 4-15-2008 to 6-2-2009
Started  Home Care with NxStage 6-2-2009 (Qb 370, FF 45%, 40L)

All clinical and treatment related issues discussed on this forum are for informational purposes only.  You must always secure your own medical teams approval for all treatment options before applying any discussions on this site to your own circumstances.
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« Reply #120 on: January 28, 2012, 07:08:56 PM »

Dear Hemodoc,

1.  I do not think the Bible has "failed", but I do think that in our history, we have believed as we have wanted to believe, and as a result, we have a history of destroying other peoples for our own benefit and have used the Bible as justification.  The slave lords of the Deep South convinced themselves that slavery was holy and that the white man was superior to all other peoples.  Actually, that mindset evolved into thinking that the gentleman plantation owner was superior to ALL other Americans, and they had their Bible teachings to prove it.  These days, all one has to do is say that their beliefs, no matter how abhorrent, are supported by the Bible, and this seems to excuse and explain away everything.

2.  Again, I am not ascribing "corporate evil" to you.  I'm not sure what more I can say to convince you otherwise. 

3.  I understand that we all of us base our philosophies and opinions on our life's experiences, but in saying that, I would hope that you understand that not everyone has had experiences just like yours. 

4.  I am not sure that the idea that the Tea Party supporters didn't engage in any property damage somehow makes their raison d'etre more "moral" than that of the occupy movement.  I know that there has been trouble at some OWS sites, but there was a whole heap of trouble in the efforts to rid this nation of the moral stain of slavery, and that "trouble" certainly didn't make the cause unworthy.  It is just intellectual laziness to refuse to look past the "trouble" and refuse to hear the message.  I am not aware of anyone in the OWS movement wanting government to do everything for them.  They are protesting the growing income equality and the destruction of the middle class.  On the other hand, the Tea Party movement has undermined the very foundation of our nation in that they will not compromise, and they are intransigent in a way that goes against the way our government is supposed to work.  They have had their day; people are tired of their screeching and do not like how their representatives in Congress have made that institution grind to a virtual halt.  There is a reason that Congress has the lowest approval rating in the history of approval ratings, and the Tea Party is behind that.  They may not be "lawless" as you use the word, but they are divisive and destructive in their own way.

5.  Surely there is a middle ground between having mountains of regulation and allowing our country to become a lawless free-for-all, screw-you-as-long-as-I-get-mine, ruthless society. 

6.  I believe that corporations CAN work for the common good, and many do, but many do not.  What do we do about the ones who do not?  I agree that the ones who do not should be held accountable, but again, apply this to the LDOs.  How do we make them operate with their patients' welfare the highest priority?

7.  I can understand why you would believe that the OWS movement is not grass roots in origin.  I believe the same about the Tea Party movement, so you and I are pretty much in agreement there.

8.  I know that President Obama hangs out with big money donors, and I don't like it any more than I like it when GOP leaders do the same. 

9, I for one don't look to the government to cure the ills of society.  I don't know anyone who believes that.  Why do you say that?  That's hyperbole, don't you think?  But I DO think that government has a role, and it is this role that is debatable now like it has been since the 1700s. 

10.  If you were omnipotent and could start from scratch, how would you craft a plan for access to health care and the payment for same?  How would dialysis be paid for in Hemodocland?  For obvious reasons, I am very concerned about access to healthcare in this country.  Do you know what sort of plan the GOP has for, say, people with catastrophic illness and/or pre-existing conditions?  Do you think that all people have a right to access healthcare in this country?  When you use the term "socialized medicine" (as in the socialization of ESRD by CMS), what exactly do you mean?  How do you define "socialized medicine"?
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« Reply #121 on: January 28, 2012, 07:39:04 PM »

Dear Hemodoc,

1.  I do not think the Bible has "failed", but I do think that in our history, we have believed as we have wanted to believe, and as a result, we have a history of destroying other peoples for our own benefit and have used the Bible as justification.  The slave lords of the Deep South convinced themselves that slavery was holy and that the white man was superior to all other peoples.  Actually, that mindset evolved into thinking that the gentleman plantation owner was superior to ALL other Americans, and they had their Bible teachings to prove it.  These days, all one has to do is say that their beliefs, no matter how abhorrent, are supported by the Bible, and this seems to excuse and explain away everything.

2.  Again, I am not ascribing "corporate evil" to you.  I'm not sure what more I can say to convince you otherwise. 

3.  I understand that we all of us base our philosophies and opinions on our life's experiences, but in saying that, I would hope that you understand that not everyone has had experiences just like yours. 

4.  I am not sure that the idea that the Tea Party supporters didn't engage in any property damage somehow makes their raison d'etre more "moral" than that of the occupy movement.  I know that there has been trouble at some OWS sites, but there was a whole heap of trouble in the efforts to rid this nation of the moral stain of slavery, and that "trouble" certainly didn't make the cause unworthy.  It is just intellectual laziness to refuse to look past the "trouble" and refuse to hear the message.  I am not aware of anyone in the OWS movement wanting government to do everything for them.  They are protesting the growing income equality and the destruction of the middle class.  On the other hand, the Tea Party movement has undermined the very foundation of our nation in that they will not compromise, and they are intransigent in a way that goes against the way our government is supposed to work.  They have had their day; people are tired of their screeching and do not like how their representatives in Congress have made that institution grind to a virtual halt.  There is a reason that Congress has the lowest approval rating in the history of approval ratings, and the Tea Party is behind that.  They may not be "lawless" as you use the word, but they are divisive and destructive in their own way.

5.  Surely there is a middle ground between having mountains of regulation and allowing our country to become a lawless free-for-all, screw-you-as-long-as-I-get-mine, ruthless society. 

6.  I believe that corporations CAN work for the common good, and many do, but many do not.  What do we do about the ones who do not?  I agree that the ones who do not should be held accountable, but again, apply this to the LDOs.  How do we make them operate with their patients' welfare the highest priority?

7.  I can understand why you would believe that the OWS movement is not grass roots in origin.  I believe the same about the Tea Party movement, so you and I are pretty much in agreement there.

8.  I know that President Obama hangs out with big money donors, and I don't like it any more than I like it when GOP leaders do the same. 

9, I for one don't look to the government to cure the ills of society.  I don't know anyone who believes that.  Why do you say that?  That's hyperbole, don't you think?  But I DO think that government has a role, and it is this role that is debatable now like it has been since the 1700s. 

10.  If you were omnipotent and could start from scratch, how would you craft a plan for access to health care and the payment for same?  How would dialysis be paid for in Hemodocland?  For obvious reasons, I am very concerned about access to healthcare in this country.  Do you know what sort of plan the GOP has for, say, people with catastrophic illness and/or pre-existing conditions?  Do you think that all people have a right to access healthcare in this country?  When you use the term "socialized medicine" (as in the socialization of ESRD by CMS), what exactly do you mean?  How do you define "socialized medicine"?

Dear Moosemom,

Let's start with the Bible and slavery issue. Yes, it is reported that some used the Bible as justification for slavery. Those people were dumb, ignorant and evil, plain and simply and did not follow the tenants of the Bible at all. How about all the cults that use the Bible erroneously as well, that is not a failure of the Bible.  Indeed, if you want to hear a slave traders story, how about listening to the story of John Newton and you might want to listen to his song as well.  You already know the song even if you might not recognize his name. There is something called repentance. His story is that.

http://www.youtube.com/watch?v=JvB4xmtMD3c&feature=related

http://www.anointedlinks.com/amazing_grace.html

You asked what God will do to Kent Thiery, the answer is that whatever happens here and now, Kent like every man that has walked this earth will stand before God and give account of everything that they have done in their body whether good or bad. That is what we shall all do likewise. CEO's in the past were motivated by this date with destiny, but too few folks believe in any of the Bible teachings to think of these things. Yet, God shall judge all things and all people.

The Tea Party movement is an example of lawful assembly and protest. The occupy movement is an example of anarchy and lawlessness. I believe that the Oakland police are in a big battle with them as we speak. Anarchy or lawful protest, you pick. The Tea Party simply wants to end the corruption of congress by restoring our original principles in a Godly manner. Nothing evil about that at all, but many will call their good evil.  Since the senate also has an amazingly low rating and very few Tea Party Members, is that blamed on the Tea Party as well. So far you keep demonizing conservatives. Why would that be? Did you hear that on MSNBC or Keith Olberman?

As far as regulations, because God did create man and the earth we live in, those that refuse to live in obedience to His grace and mercy shall be given over to those that will rule over them by oppression. Just watch what happens to America as it drifts further and further away from God and curses Him outright. As God turns His back on us, just see how much you enjoy a godless America. Good luck is all I can say. I would rather enjoy the blessings and freedoms of living a godly life instead of having every Tom Dick and Harry tell me how to cut my lawn, water my lawn and how to flush my toilet. Sorry, I prefer the first choice.

The healthcare system that is best to emulate would be that of Sweden which has non-profit health care with private corporations that compete for the healthcare monies. Not sure if you would consider that a perfect system, but much better than what we have today. In addition, those that are integrated offer the best coordinated care and cost savings. Once again, the Kaiser model. Not a perfect system, but better than anything else I have used while a dialysis patient.

Now, how would you do these things. I have submitted to a whole bunch of questions, I have listened to demonizations of conservatives as racially motivated, lacking compassion and a whole bunch of other demonizing qualities on the news and by late night comedians, how will you fix these things? Once again, I have answered a whole bunch of questions, how are you folks going to fix all of this mess?
« Last Edit: January 28, 2012, 07:42:44 PM by Hemodoc » Logged

Peter Laird, MD
www.hemodoc.info
Diagnosed with IgA nephropathy 1998
Incenter Dialysis starting 2-1-2007
Self Care in Center from 4-15-2008 to 6-2-2009
Started  Home Care with NxStage 6-2-2009 (Qb 370, FF 45%, 40L)

All clinical and treatment related issues discussed on this forum are for informational purposes only.  You must always secure your own medical teams approval for all treatment options before applying any discussions on this site to your own circumstances.
MooseMom
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« Reply #122 on: January 28, 2012, 08:28:15 PM »

1.  I will pick the anarchical protest of Wall Street's greedy behavior and of the oligarchical path we are taking above the "lawful" protest of a group that seeks to divide the "us" from the "them".

I am not demonizing conservatives, but I will demonize Tea Partiers.  I have seen too many of them screaming with disrespect and marching with racist signs.  It may be legal, but that doesn't make what they say any more moral or true.  Once they start behaving with more respect, and once they lose the posters showing President Obama with a bone through his nose, perhaps I will then change my mind.  I don't like the politics of resentment and hate.  You find it hard to look past the lawlessness, and I understand that as I find it hard to look past the hatred.

There are more Tea Partiers in the House than I would like, and I'd bet you the north forty that Speaker Boehner agrees. 

2.  It is not just "reported" that the Bible was used to justify slavery.  Political leaders in the Deep South were happy to point out that slavery was never denounced by the Son of God in His documented teachings.  Indeed, the Baptist and the Methodist faiths were split into northern and southern factions because the southerners preached that Africans were descended from Ham, who was condemned to serve his white masters.  The same type of justification was used in the obliteration of the Native American populations. 

But these people were not "dumb".  No, far from it.  In fact, they decried hard work because they founded their society upon classical Greek thinking.  Hard work was for the slaves to tend to why they used their time in finer pursuits.  These were the aristocrats of America, the most educated and learned thinkers, but they were blind to the suffering of hundreds of thousands of people.  These men were not about to "repent".  Instead, they duped the population into thinking that their "way of life" was under threat.  Where have we heard THAT before?  They dragged this nation into the bloodiest conflicts this nation has ever seen.  But they were convinced that they were entitled by God.  But God had His hand in destroying their way of life after all, didn't He.  Slavery is no more.  Yes, God did speak to these men, but He did not say what they expected to hear.

3.  To answer some of your questions, I agree with you in that I'd look seriously at other health care models, ie the Swedish model.  I'd also look closely at how they do things in France.  But I wouldn't be allowed to say this in public because we cannot be seen to "Europeanize" America, right?  The Tea Partiers might not like that.

4.  I would take the money out of politics and declare that if you want "freedom of speech", write a damn letter.  I would outlaw financial political contributions of any kind and I would refute the claim that such contributions amounted to "freedom of speech".  With the prevalence of social media, politicans can use that to get their messages across.  No more superPacs, no more TV ads for any candidate.

5.  I would outlaw the public advertisement of prescription drugs.  The US is one of the few countries that allow this, and this is how Big Pharma creates demand out of thin air. 

6.  I would remove the onus of providing access to health care from employers.  Your access to health care should not be dependent upon your employment status.  I would set up a health care fund for people to draw upon if they are diagnosed with a catastrophic illness such as ESRD.  I don't understand why we insist upon the status quo when we claim to care so much about creating a pro-business environment.  I don't understand why President Obama is being accused of being "anti-business" when he has tried so hard to take this particular burden off the shoulders of businesses.

7.  I would work hard to craft a quick path to citizenship for those who are here illegally because I think we need as broad a tax base as possible.

I have lots of other ideas, but I'll start with these.

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« Reply #123 on: January 28, 2012, 08:57:18 PM »

I haven't read all of the above following my post but I have read enough to see that my words are being twisted to mean something else.  I deal with that on another forum.  I will not post on this thread any longer.

Gerald Lively
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« Reply #124 on: January 28, 2012, 09:15:05 PM »

1.  I will pick the anarchical protest of Wall Street's greedy behavior and of the oligarchical path we are taking above the "lawful" protest of a group that seeks to divide the "us" from the "them".

I am not demonizing conservatives, but I will demonize Tea Partiers.  I have seen too many of them screaming with disrespect and marching with racist signs.  It may be legal, but that doesn't make what they say any more moral or true.  Once they start behaving with more respect, and once they lose the posters showing President Obama with a bone through his nose, perhaps I will then change my mind.  I don't like the politics of resentment and hate.  You find it hard to look past the lawlessness, and I understand that as I find it hard to look past the hatred.

There are more Tea Partiers in the House than I would like, and I'd bet you the north forty that Speaker Boehner agrees. 

2.  It is not just "reported" that the Bible was used to justify slavery.  Political leaders in the Deep South were happy to point out that slavery was never denounced by the Son of God in His documented teachings.  Indeed, the Baptist and the Methodist faiths were split into northern and southern factions because the southerners preached that Africans were descended from Ham, who was condemned to serve his white masters.  The same type of justification was used in the obliteration of the Native American populations. 

But these people were not "dumb".  No, far from it.  In fact, they decried hard work because they founded their society upon classical Greek thinking.  Hard work was for the slaves to tend to why they used their time in finer pursuits.  These were the aristocrats of America, the most educated and learned thinkers, but they were blind to the suffering of hundreds of thousands of people.  These men were not about to "repent".  Instead, they duped the population into thinking that their "way of life" was under threat.  Where have we heard THAT before?  They dragged this nation into the bloodiest conflicts this nation has ever seen.  But they were convinced that they were entitled by God.  But God had His hand in destroying their way of life after all, didn't He.  Slavery is no more.  Yes, God did speak to these men, but He did not say what they expected to hear.

3.  To answer some of your questions, I agree with you in that I'd look seriously at other health care models, ie the Swedish model.  I'd also look closely at how they do things in France.  But I wouldn't be allowed to say this in public because we cannot be seen to "Europeanize" America, right?  The Tea Partiers might not like that.

4.  I would take the money out of politics and declare that if you want "freedom of speech", write a damn letter.  I would outlaw financial political contributions of any kind and I would refute the claim that such contributions amounted to "freedom of speech".  With the prevalence of social media, politicans can use that to get their messages across.  No more superPacs, no more TV ads for any candidate.

5.  I would outlaw the public advertisement of prescription drugs.  The US is one of the few countries that allow this, and this is how Big Pharma creates demand out of thin air. 

6.  I would remove the onus of providing access to health care from employers.  Your access to health care should not be dependent upon your employment status.  I would set up a health care fund for people to draw upon if they are diagnosed with a catastrophic illness such as ESRD.  I don't understand why we insist upon the status quo when we claim to care so much about creating a pro-business environment.  I don't understand why President Obama is being accused of being "anti-business" when he has tried so hard to take this particular burden off the shoulders of businesses.

7.  I would work hard to craft a quick path to citizenship for those who are here illegally because I think we need as broad a tax base as possible.

I have lots of other ideas, but I'll start with these.


Oh give me a break Moosemom. The word slavery is not in the King James Bible and the word slave appears only once in the old testament. In the New Testament, Paul addresses Philemon, a man saved by Paul's preaching and a slave of his named Onesimum who ran away to follow Paul. Paul reminded Philemon of what Philemon owed Paul by virtue of learning of the faith of Christ. He commanded Onesimus to return to his master but when Paul was in Rome, who do you think was there with him, yup Onesimus. Here is an example of where the gospel of Christ freed a slave. Please, if you are going to make an accusation against my Lord and saviour like that, please show me where, anywhere Jesus ever supported slavery. The people in the south were cruel, evil and wicked. Go learn more about John Newton and then come back and we will talk about the wickedness of slavery and all those of true Christian faith who opposed it all along.  You truly amaze me at times in the outright demonization of people like me. So please, be very careful what you attribute to Jesus Christ. You are plain and simply wrong.

Let's go and listen to Chuck Schumer and how they demonize the Tea Party folks through a concerted and planned effort at the highest levels of the Democratic party. I guess no one listens to the book 1984 with the caucus instructing Schumer and what to say. Mind control through words. Shucks, that could never happen could it?

http://video.foxnews.com/v/4616225/fallout-over-sen-schumers-open-mic-gaffe/

So, really, if you are going to continue to demonize and spout talking point propaganda, what shall be any semblance of a conversation. I am a conservative, willing to speak in a very liberal political thread. If you wish to learn from my experience please do so, but so far all I have heard is just unbelievable platitudes.

Folks this nation is in extreme trouble that will undergo draconian changes simply because folks have lossed the ability to listen and learn from each other. Good grief, do we have to fight the civil war all over again just to discuss GOP polititic. WOW.
« Last Edit: January 28, 2012, 09:18:23 PM by Hemodoc » Logged

Peter Laird, MD
www.hemodoc.info
Diagnosed with IgA nephropathy 1998
Incenter Dialysis starting 2-1-2007
Self Care in Center from 4-15-2008 to 6-2-2009
Started  Home Care with NxStage 6-2-2009 (Qb 370, FF 45%, 40L)

All clinical and treatment related issues discussed on this forum are for informational purposes only.  You must always secure your own medical teams approval for all treatment options before applying any discussions on this site to your own circumstances.
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