RUTHFULLY YOURS

http://swtotd.blogspot.com/

This essay is about Donald Trump, but it could have been about Martin Luther King whose birthday we celebrate today. Democracies must always be challenged, else they atrophy. The Reverend Doctor King did so in the 1950s and 1960s to great effect. Mr. Trump did so in his campaign and has continued to do so thus far in his Presidency, but to an effect yet unknown.

In Hans Christian Anderson’s tale, “The Emperor’s New Clothes,” a small boy calls attention to the fact that the Emperor is naked – that the clothes sold him by an unscrupulous merchant who appealed to his vanity were, in fact, nothing. None of the people who watched the Emperor as he paraded by said anything, as they didn’t want to admit they were too ignorant to see his fine suit of clothes. It took a small boy to call out the truth, that the Emperor was indeed naked. Today, it is Donald J. Trump who has called our attention to the corruption, stagnation and cronyism of political systems populated with elites who think they live beyond the boundaries of criticism. For doing so, he has been vilified.

But disruption is natural to life. It is everywhere, and for that we should be thankful. Joseph Schumpeter popularized the concept of creative destruction – that progress requires destroying old technologies. It has always been so. Cars replaced horse-drawn carriages. The telegraph ended the Pony Express. Trains made obsolete the Erie Canal. Machine guns and tanks changed the way war was conducted on land, as submarines did on the seas. Wireless phones are eliminating the need for land-line phones. Amazon has changed the way we shop, and Netflix the way we are entertained. 401ks have replaced defined benefit retirement plans. Charter schools, facing pressure from unions and the politicians who rely on them, have competed against and made better traditional public schools. Norman Borlaug, in using plant pathology and genetics, dramatically increased crop supplies around the world. Without disruption, we would be poorer.

https://www.nationalreview.com/2019/01/mark-kot-anti-obamacare-doctor/

Good for Dr. Kot, but there is nothing new here. At New York City’s Weill Cornell Hospital, finding a private doctor that takes Medicare is impossible, even among those who accept other insurance…..And their waiting rooms are full because enough people are willing to pay for a doctor…..I am among them and my internist looks at me and not a computer…..rsk

Meet the man trying out a new way to deliver health care.

Dr. Mark Kot, an urgent-care specialist and the owner of Southampton Urgent Medical Care in Southampton, N.Y., is the anti-Obamacare doctor. He does not participate in most insurance plans and is not in any Affordable Care Act network. He feels sorry for the patients with this restricted insurance, and when they come to his door with a bad cough or a painful foot and ask to be seen, he does his best to provide them great care for a limited cost. The insurance card they got through Obamacare remains in their pocket, useless.

Kot is not a “concierge” doctor. He does not charge a membership fee, and he does not charge for follow-up visits, where he determines whether the initial treatment was effective.

Kot works with four nurses and staff, performs and interprets his own x-rays, and administers intravenous medications when needed. There is little waiting time, and the visits are efficient — geared to the complexity of care provided. He generally sees over 40 patients per day and performs rapid flu tests; treats ankle sprains, bronchitis, pneumonia, and sinus infections; and during the summer and fall sees several cases of suspected Lyme disease each day. Kot purchases antibiotics from a supplier so he can give his patients samples. He charges a base inclusive fee ($220 per initial visit); office procedures and tests may have additional charges, and some patients with good out-of-network coverage get reimbursed by their insurance. But reimbursement isn’t Kot’s focus, because he provides an affordable product and is paid up front.

Whereas Kot provides instant access to care, Obamacare erects barriers to it, such as high deductibles and narrow networks. Doctors fight for reimbursements and patients encounter bureaucratic obstacles to tests and treatments. While it is true that Obamacare has reduced the number of uninsured in the U.S. from 44 million in 2013 to less than 28 million in 2017, at the same time it has done a poor job of ensuring access to quality doctors.

https://www.nationalreview.com/news/march-for-life-art-contrasts-with-vulgar-signs-at-womens-march-in-30-photos/

This weekend, Americans traveled from across the country to Washington, D.C., to participate in the March for Life and the Women’s March by walking with their poster art. While the pro-life marchers’ art focused on women and unborn life, the posters of Women’s March attendees, including small children, displayed anti-Trump messages along with vulgar imagery and words.

The Women’s March began Saturday morning at Freedom Plaza. The protest, which features a slew of liberal talking points, began in 2017 in response to the election of the president. While the first march boasted hundreds of thousands in Washington, D.C., the 2019 march appeared much smaller.

https://amgreatness.com/2019/01/19

Bismarck said that politics is the art of the possible. It looks like House Speaker Nancy Pelosi (D-Calif.), Senator Dick Durbin (D-Ill.), and other Democrats regard politics as the art of intransigence.

In his brief remarks Saturday on border security, Donald Trump outlined a plan that made multiple concessions to Democratic desiderata in exchange for $5.7 billion to fund 230 miles of the wall along the southern U.S. border. Indeed, the president’s plan deliberately took cues from some Durbin’s own legislation on the subject.

Didn’t matter. Pelosi said the president’s plan was “a non-starter.”

Before rehearsing the specifics of the plan, let’s note two things. First, as the president himself noted, his plan is meant as the first step in addressing a national crisis. The crisis has two parts. One is humanitarian. The hordes pooling at the U.S.-Mexico border attempting to gain unlawful entry to the country are taking huge risks. According to the president, one-third of the women making the journey North are subject to sexual assault; some observers put the figure even higher; some mothers, Trump said, provided their girls with contraceptives in preparation for the journey. Many of the children, most often brought along by adults, are also frequently subject to abuse. Some of those banging on our southern gates are hapless people just seeking a better life; but many are hardened criminals or aspiring terrorists.

The second part of the crisis concerns national security. The southern border is a huge conduit for dangerous drugs and dangerous thugs. Moreover, the sheer number of Hispanics seeking entry to the United States has already affected the demographic profile and character of large parts of the Southwest. This is a subject that was eloquently anatomized by Victor Davis Hanson in Mexifornia: A State of Becoming. That was several years ago and the situation has only gotten worse in the intervening years.