The VA Fails Again

This time it’s the Marion, IL, Veterans Administration clinic.

In 1971 Kirby Williams went to Vietnam as a US Army draftee and worked as a finance clerk. In 2010 he went to a Veterans Affairs clinic in southern Illinois where a radiologist took a scan of his kidneys.

Unfortunately, the radiologist missed a 2- to 3-centimeter mass in one of his kidneys, and by last December that mass had grown to between 7 and 8 centimeters. Now the 66-year-old has, at most, two to five years to live.

Williams isn’t the only victim.

Within weeks…of starting at the VA [in March of 2016!], he [Dr L Anthony Leskosky, a board-certified radiologist] noticed patients previously diagnosed as healthy had radiology scans from years prior documenting grave conditions. These conditions, such as cancers, aortic aneurysms, bleeding ulcers and obstructions in their small bowel and colon—if left untreated—could cause patients tremendous pain or even premature death.

“In radiology, we compare current scans to old studies, so I was pulling up the last two years of the scans. That’s when I noticed the radiologists had called their previous exams ‘normal,’ but I would see a mass on the older scans, and then on my scan, I would see the mass had enlarged, and in some cases become a spreading cancer. Usually that is not survivable,” Leskosky said.

As many as four to five times a day, Leskosky said, he found serious errors in prior readings….

Leskosky whistleblew on this and too many other such incompetencies, and the VA’s answer was to fire him rather than correct the problem.

That’s damning enough, but read the whole article.

President Donald Trump touts improvements in the VA, and there have been some.  However, they’re too little, too small, and too late, and the VA’s destructiveness continues.  The Veterans Administration must be disbanded and its budget sent to our veterans as vouchers with which they can seek medical care with doctors of their choosing at medical facilities of their choosing.  And get actual treatment.

Veteranos Administratio delende est.

Brain Burp

[Because this is a family blog.]

I had this one this morning while out on one of my walks.  It concerns a free market economy, bankruptcy, the bankrupt company’s employees, and what we ought to do about those employees.

In an ideal world’s free market, then, here is my gaseous expulsion.  It comes against the backdrop of my long-held disdain for the citizens of one State being forced to send their tax dollars to another State via the mechanism of Federal transfer payments in order to indemnify the recipient against its own foolish spending.  That backdrop also includes James Madison’s remark, on the occasion of Congress’ considering money transfers to Haitians after a devastating earthquake

that he could not undertake to lay his finger on that article in the Federal Constitution which granted a right of Congress of expending, on objects of benevolence, the money of their constituents.

However, our prosperity has grown to the point that our free market imperatives need not remain so cold, and it is in our society’s interests to help the dislocated—employees who’ve lost their jobs due to their employer’s bankruptcy, in the present case—get back on their feet and resume being productive members of their communities and the nation.

Thus: I say, regarding companies faced with bankruptcy, that if the participants in our free market economy—private citizens and their businesses—do not think a company worth saving, then the Federal government should accept that judgment and not intervene to bail out that company: the company, regardless of its size, should be allowed to fail.  I think the same tack should be taken by State governments, but that’s for the citizens of each State to decide.  In the event, Federal monies supporting bailouts should not go to those States that choose to do them.

Against that, I propose assistance to the employees of the bankrupt in the form of a Bankruptcy Jobs Retraining Program, which would operate along the following lines.

Employees below a certain level in the bankrupt company (the idea being, after all, to help the employees, not the “managers,” even if it was market events and not strictly management failure that generated the conditions leading to bankruptcy) would get a job retraining stipend.  It’s important to specify, too, that the stipend would not be an education stipend, but only a job (re)training stipend.  The stipend would have the following parameters:

  • expire after a specified number of days elapsed in training
  • be issued as a loan to the retrainee, with payments—principle and interest—due monthly. If the retrainee gets a job within a specified time after graduation and holds it for a continuous year (with “continuous” defined by the nature of the job: some, like construction, tend toward seasonality), the loan would be converted to a grant with no loan payments due.  Disposition of the loan in the event of the retrainee not working for a continuous year should include at a minimum these possibilities: the retrainee would make payments from the day of graduation, payments would simply accrue and not be due until failure to get a job or on leaving the job for any cause before the first year was up, retrainees aging out of the training program without graduation
  • could not be used more than once in any specified interval (for instance, a 10-year period). A lifetime cap seems infeasible because the (retrained) employee has no control over market events or management failures that might drive his new employer bankrupt
  • a retraining expense amount, not a living expense amount

The issuance of the stipend would be managed by two or three private enterprises that are independent of the Federal government and independent of each other.  These Stipend Issuers would be funded by no-strings grants from the government, and they would be solely responsible for dispensing the funds.

Stipend Issuers would develop market indices that identify and track the most employer-needed jobs that have the shortest labor supply—the largest job gap—independently of geography.  The Job Gap Indexes would rank the gaps, and the Stipend Issuers would pay the largest stipend to retrainees training for those jobs with the largest gap and that have the most expensive training.  Whether the expense and gap should be measured at a national level or regionally is a question to be settled in open debate.

Job Gap Indexes shouldn’t be that hard to develop.  Lots of investors and investment companies and other entities (e.g., The Wall Street Journal) already are quite skilled at developing indexes for assessing/tracking investment markets; a Job Gap index is not that different.

Retraining could be done anywhere, independently of where the retrained-to job is located.  A San Francisco resident, retraining for a job type where the largest gap is in New York, for instance, would be able to take the retraining program in San Francisco.

From that, Stipend Issuers would be authorized to commit a small per centage of their Federal Retraining Grants to relocation assistance, with the proviso that this diversion would be for assistance, not for the total cost of moving.

Since unions are, by their own definition, in the business of helping their membership, union members would see their stipends reduced by the total amount of union dues (including the portion the union claims was earmarked for political activities) paid by the union member retrainee in the twelve months prior to the employing company filing for bankruptcy.

Was I Right to Pull the Plug on a Nazi Website?

That’s the title of a tortured op-ed in a recent Wall Street Journal by Matthew Prince, Co-founder and CEO of Cloudflare.  Recall that he and his Cloudflare helped kick a group of neo-Nazis off the internet last week, including the Daily Stormer Web site.  He bragged at the time about having done that, and as despicable as neo-Nazi and Nazi wannabe thugs are, that’s an easy brag.

In this op-ed, though, Prince is claiming to be having second thoughts.

However.

As an opponent of free speech, Mr Prince, of course you were right to censor any speech you personally would consider repugnant.  As a biased opponent of free speech, moreover, you’re entirely correct to leave your favored-of-the-Left hate groups—Antifa and BLM, for instance—untouched by your censorship.

But this—this is impressively shabby.

[T]he First Amendment doesn’t compel private companies to let anyone broadcast on their platforms.

No, more than merely shabby.  This is utterly, cynically disingenuous. It’s true in the narrowest, most legalist sense that the First Amendment only limits government’s ability to censor speech. But the principle underlying that Amendment, the individual liberty to speak freely in accordance with one’s own conscience rather than in comportment with a Know Better’s diktat is universal. It’s one of our unalienable Rights…among [which] are…Liberty….

Of course, as the son of a journalist [growing up] with discussions around the dinner table on the importance of freedom of speech, you know this full well.

Your Orwellian missive, with its artificial, bodice-ripping anguish, is at best mendacious.

Monuments

The European Commission had a thought on the occasion of the European Day of Remembrance for Victims of Stalinism and Nazism, that while not explicitly about monuments is related:

The European Union was built on the common values of human dignity, fundamental rights, rule of law and democracy, and on the rejection of extreme nationalism.

We must never take these rights and freedoms for granted. We pledge to fight for them every day.

Extremism, nationalism, xenophobia and hatred can still be heard in public speech in Europe. Keeping these memories alive is not only a tribute to the victims but also a way to ensure that these ideologies can be forcefully rejected and such atrocities never happen again.

We stand firm in our defense of democracy, the rule of law and fundamental rights, in Europe and worldwide. There is no place in the European Union for extremism, intolerance and oppression.

These remarks dovetail tightly with a suggestion by Vice President Mike Pence:

I hold the view that it’s important that we remember our past and build on the progress that we have made.

I’m someone who believes in more monuments, not less monuments.  What we ought to do is we ought to remember our history, but we also ought to celebrate the progress that we’ve made since that history.

And

When I walked back in 2010 across the Edmund Pettus Bridge…we remembered Bloody Sunday and the extraordinary progress of the civil rights movement, and I can’t help but think that, rather than pulling down monuments, as some are wont to do…we ought to have been building more monuments[.]

Hmm….

What Hath Fracking Wrought

From AEIdeas comes one indication:

AEIdeas summarized the circled section:

In 18 of the last 19 months starting in December 2015, the energy share of consumer spending has been below 4% marking a historic period of the most affordable energy in US history (annual data on energy spending back to 1929 confirms this).

That’s evil oil and gas for you—making our lives easier and making that ease cheaper.