Failure of the VA

The way the Department of Veterans Affairs is (mis)treating our veterans suffering from PTSD—post-traumatic stress disorder—is appalling. Drug them up with a multiplicity (as many as five or more simultaneously) of psychiatric drugs and call it a day is the current protocol.

The VA’s own guidelines say no data support drug combinations to treat PTSD. The Food and Drug Administration warns that combining certain medications such as opioids and benzodiazepines can cause serious side effects, including death.
Nonetheless, prescribing cocktails of such drugs is one of the VA’s most common treatments for veterans with PTSD, and the number of veterans on multiple psychiatric drugs is a growing concern at the agency….

Aside from just drugging up these men and women who put their lives on the line for our nation, that “growing concern” is the sham of empty words unbacked by corrective action.

The VA has long been aware of the risks of overprescribing, and has internal research since at least 2016 showing the potential harms, including increased risk of suicide.

Studies by VA researchers link the simultaneous use of multiple psychiatric drugs to suicide risk among veterans, including a 2016 paper that found Iraq and Afghanistan war veterans taking five or more central nervous system drugs faced higher risks of overdose and suicidal behaviors.
Yet the agency has been slow to mandate changes. It has failed to implement nationwide electronic systems to alert doctors when they prescribe multiple psychiatric drugs, despite evidence from its own studies that these alerts improve care. The VA doesn’t uniformly require written informed consent for all psychiatric drugs with suicide risk, something that veterans groups and some members of Congress are urging. Some veterans who have resisted taking cocktails of drugs say they were warned by VA and military doctors that refusing them could jeopardize their eligibility for disability benefits, which can reach $4,500 a month.

Not only is the VA passively refusing to do anything about its mistreatment of our veterans, the agency and “doctors” are threatening our veterans if they don’t comply with those dangerously ineffective VA prescriptions.

Some veterans who have resisted taking cocktails of drugs say they were warned by VA and military doctors that refusing them could jeopardize their eligibility for disability benefits, which can reach $4,500 a month.

These men and women would be far better served, as would all of our veterans, if the VA were dissolved and its then-current and all future putative budgets converted to vouchers for each veteran which s/he could use to get treatment from a doctor, clinic, and hospital of his choice and on the schedule that suits him rather than the agency. Other “benefits” of the VA, viz., Home Loan Guarantee, Insurance, Vocational Rehabilitation and Employment, GI Bill, and Compensation & Pension, are far better done from within HUD and DoD.

VA Secretary Doug Collins should have the mission of achieving that dissolution, to be completed by the end of 2028. Continuing to prop up the department is worse than a waste of our taxpayer money: it’s outright destructive of our veterans, who already have sacrificed so much for our benefit.

Veteranos Administratio delende est.

Core Progressive-Democratic Party Policy

Senator Cory Booker (D, NJ) made it explicit a couple days ago in a speech opposing unanimous consent passage of some bipartisan bills, including one led by his Progressive-Democrat colleague Catherine Cortez Masto (D, NV). Booker’s position, loudly and proudly stated on the Senate floor:

It’s time for Democrats to have a backbone[.]

This is a problem with Democrats in America right now. We’re willing to be complicit to Donald Trump to let this pass through, when we have all the leverage right now. When are we going to stand up as a body and defend our work, defend our jurisdiction, defend this coequal branch of government?

Then, when challenged on this by Cortez, instead of responding with facts and logic, Booker answered in typical Progressive-Democrat fashion:

Don’t question my integrity, don’t question my motives[.]

Those Progressive-Democrat Senators who disagreed with Booker and his behavior, Senators Masto and Amy Klobuchar (D, MN), are increasingly on Party’s fringe, far from the Party center. That’s where the Bookers of Party stand.

That stance: everything against Trump and Republicans, nothing for what’s explicitly good for their constituents or for our nation as a whole.

Party’s core and only policy is naked opposition to all things originating outside of Party.

A Brief Thought on AI and Employment

It seems that newly minted college graduates are having trouble getting those entry level, low-paying jobs that used to be virtual guarantees in most avocations. Employers are discovering that AI can do many of those entry level jobs just fine, so they’re only interested in hiring folks with a few (say 5-ish) years of actual experience into those jobs that need that experience.

The question becomes what to do after those 5-ish years when those relatively experienced employees move on. Having hired few to no inexperienced folks fresh out of college, there now is no pool of somewhat experienced folks from which to hire.

My thought: use AI to train those who are inexperienced, both new graduates and by now 5-ish years post-college and still inexperienced, to do the entry-level and the somewhat experience-needing work. Continue that cycle as AI advances into the work heretothen requiring more experience, using AI to train employees into those yet more experience-needing positions.

Humans are always going to be better than robots at doing work that requires actual thinking, including jobs that don’t require much thinking directly but do require interaction with other humans in teamwork and/or collaboration (which are not the same thing), with supervisors, even with robots. It also takes humans to train that thinking, and robots can be useful tools in that training.

Carlyle, an investment firm, already is doing this sort of thing, but it needs to get more widespread.

The investment firm Carlyle now pitches to prospective hires that they won’t be doing grunt work. Junior hires go through AI training and a program called “AI University” in which employees share best practices and participate in pilot programs, said Lúcia Soares, the firm’s Chief Information Officer.
In the past, she said, junior hires evaluating a deal would find articles on Google, request documents from companies, review that information manually, highlight details, and copy and paste information from one document to another. Now, AI tools can do almost all of that.
“That analyst still has to go in and make sure the analysis is accurate, question it, challenge it,” she said. “The nature of the brain work that needs to go into it is very much the same. It’s just the speed at which these analysts can move.”

California’s Disdain for our 2nd Amendment

The 9th Circuit(!) has ruled that California’s demand for background checks (and associated delays in obtaining) as a precondition for citizens of that State buying ammunition is unconstitutional.

Naturally, California’s Progressive-Democrat Governor, Gavin Newsom, is up in arms over that ruling:

Strong gun laws save lives—and today’s decision is a slap in the face to the progress California has made in recent years to keep its communities safer from gun violence. Californians voted to require background checks on ammunition and their voices should matter.

It’s a well-deserved slap in the face, though; in response to Newsom’s administration’s and State legislature’s own slap in the face of American citizens. What Newsom and his fellow Party syndicate members carefully ignore is that we already have a strong gun law—the strongest—in the form of our 2nd Amendment. Writing for the 9th Circuit, Circuit Judge Sandra Ikuta tacitly reminded Newsom, et al., of this:

By subjecting Californians to background checks for all ammunition purchases, California’s ammunition background check regime infringes on the fundamental right to keep and bear arms[.]

She expanded on that [citations omitted]:

…a person who wants to keep an operable firearm must necessarily acquire ammunition. Because the right to keep and bear arms includes the right to keep operable arms, rules on ammunition acquisition implicate the plain text of the Second Amendment if they meaningfully constrain the right to keep operable arms.
We conclude that California’s ammunition background check meaningfully constrains the right to keep operable arms.

The 9th‘s ruling was on Rhode v Bonta, and it can be read here.

A Clear Choice

The recently passed OBBBA has Federal funding for private school tuition in the form of tax credits—private schools being, primarily, charter and voucher schools. States must opt into the program, though; the tax credits won’t be available automatically.

As The Wall Street Journal headline put it, Blue States Face Big Decision. And then,

Now comes a protracted debate at the state level. Progressives and public-school groups object to funding private schools and say the new program will hurt public education. Supporters say the money will give families options outside of their neighborhood school.

The thing is, though, public schools are already beyond increases in hurting, especially in blue States—pupil test scores are bad and falling (rising recently only against the prior Wuhan Virus Situation school lockout steep drop), and public school’s pupil test scores especially lag those private schools’ student outcomes, as well as the test scores of homeschooled students.

A clear choice, indeed, and over the coming months we’ll see very clearly just how opposed to school choice and children’s education are Progressive-Democrat politician-run States and municipalities, and just how far in thrall are those politicians to teachers unions.