Friday, November 28, 2008

Confessions of a Liberal


Posted by: Skeptic

The intelligent liberal black guy won. We voted in as president the big-city lawyer with the foreign-sounding name. Armageddon, or at the very least, socialism, atheism, gun confiscation, the Rapture and a national epidemic of erectile dysfunction must certainly be at hand.

Most of the off-the-tarmac right wing's favorite anti-liberal slanders are rooted in deeply held (and deeply wrong) assumptions about who liberals are and what we believe. Here are ten of them:


- 1. LIBERALS HATE AMERICA.

For the record: liberals love America. Love it. In fact, what makes us so liberal is that we have actually read, questioned, understood and believed those pretty words in the Declaration of Independence and the Bill of Rights. We want to live in that country. We believe that our nation's founding documents express a uniquely powerful moral contract between a people and their government, and assume an audaciously positive vision of an educated people's ability to run their own affairs and shape their own future. When we get annoying and whiny it's usually because we believe so much in America's astonishing promise that we're disappointed when the country falls short. We know we can do better. And don't tell us to "love it or leave it," because we are committed for the long run to fix it and stay.

Conservatism, by contrast, tends to take a dim view of human nature, prefers enforced hierarchy to personal liberty and isn't completely comfortable with the notion that the American people can or should be trusted. This leads to a selective reading of the Constitution (and of the Bible), and, as we've seen during the Bush Reich, a far more hostile attitude toward personal freedoms. The proof however, is in the history and it's irrefutable. America's greatest moments of progress, generosity, and moral strength occurred when the country stuck most closely to its progressive ideals. Liberals love America so much that we freed the slaves, passed child labor laws, welcomed immigrants, built schools and colleges gave the vote to women, set aside national parks, took care of the elderly, enacted civil rights laws, rebuilt WW II Europe and put a man on the moon. All of these were progressive projects. And all of these were fought against tooth and nail by conservatives simply because they feared change. Conservatives will loudly obstruct social progress until it's forced on them. Then they'll insist they were 100 percent for it all along.


2. LIBERALS WANT TO LEAVE US DEFENSELESS IN THE FACE OF EVILDOERS AROUND THE WORLD.

The big disconnect on security issues begins with the fact that we have a far more expansive definition of "security" than conservatives do, and a broader sense of what the actual threats are and what can be done about them.

When conservatives discuss "security," they're usually thinking in terms of solving all our problems by sending in more guys and gals with guns and bombs. The flip side of this that they tend not to give much credence to real threats that can't be fixed by guys and gals with guns and bombs. As progressives, we know that the country's and the world’s financial crisis is a security issue. And in a world of superbugs and epidemics, universal health care is a security issue. And the energy crisis/global warming is a potential security issue (the Pentagon agrees on this). We also know that Shock and Awe, sending in the Marines, hiring more cops, building space lasers, and taking off our shoes at the airport won't address our most terrifying problems. Real-world security is far more complex and requires a much wider range of solutions than most conservatives are willing to consider. Real-world security requires equality and social justice.


3. LIBERALS HATE THE FREE MARKET.

The operative word here is "free." Liberals believe wholeheartedly in the amazing power of markets to deliver all kinds of important goods. But we've also noticed that some of the deepest human goods of all, a strong family, a caring community, a healthy environment, safe food, clean water and air and time to enjoy them, are assigned no economic value at all in unregulated markets. If we want to protect the value of things that money can't buy, then we need to put some restrictions on markets so they can't encroach into those areas. Besides, any 10-year-old who's played Monopoly (or any adult who's recently been within reach of a TV or newspaper) can tell you how unregulated free markets invariably end up. One person ends up owning the whole game board, and everybody else ends up broke. Game over. That's not an accident; it's just how capitalist systems work. Good regulation can go a long way toward preventing that.

Even conservatives don't really believe in totally free markets. Truly free markets can only work if there's also a free market in labor, which means open borders (it's fun to drop this suggestion with a wink to the border fence line dancers, the Minuet Men) and unfettered collective bargaining, neither of which are exactly pet conservative causes.


4. LIBERALS HATE OUR TROOPS.

Many of us liberals have actually been troops (unlike Bush's Chickenhawk hypocrites). We love our troops. We love them so much that we want them brought home safe and intact to their families as soon as possible. We want them alive because we love them. Tell me: Who was it blocked the new GI Bill because it might encourage troops not to re-up? Who refused to increase VA funding? Who is responsible for the torture chambers of Bagram and Abu Ghraib? Who oversaw the criminal negligence at Walter Reed? Who made combat soldiers buy their own body and vehicle armor? Who irradiated them with Depleted Uranium? Reality check: it wasn't the Liberals.


5. LIBERALS ARE ELITISTS WHO HATE DECENT WORKING CLASS AMERICANS.

...as opposed to those sainted, compassionate corporate men-of-the-people who fly around in private jets and pull down eight-figure salaries courtesy of corporate welfare while closing plants and cutting 12,000 jobs at a time. That must be the "real" populism, you betcha.

Liberals think that sending well-paid American jobs overseas is a crappy idea. We think the domestic minimum wage should be enough to cover the necessities with a little left over. We think it's insane that over half the personal bankruptcies in the USA are due to lack of adequate medical insurance. We think everybody who has the grades should have a shot at college. And we believe that a strong middle-class is absolutely essential for maintaining a healthy democracy because no democracy that has tolerated our current level of inequality has ever survived for long. We believe in paying our fair share of taxes, unlike Joe the Plumber.

You'd be surprised (or not) at how many conservatives making the “Liberal Elitist” accusation have never considered the role government has played in making their own life possible. Their dad or granddad got through college on the GI Bill. They financed their own education with Pell Grants and federally-guaranteed loans. They grew up in FHA or VA-funded houses, going to public schools, and collected fat mortgage interest deductions, which ensured their family's place in the middle class. They went to state universities and they're several thousand dollars richer every month because they're off the hook for Grandma's living expenses, thanks to Social Security and Medicare. They drink cleans water and eat pure foods because of government. They, or their parents, may have started businesses with help from the Small Business Administration, or relied on government advice and subsidies to keep the farm going. They work for businesses that depend on government contracts. But they'll sit there and unthinkingly insist that they made everything they had, hauled themselves up by the bootstraps, all by themselves, with no help from anybody, especially not the government.


6. LIBERALS ARE AGAINST "FAMILY VALUES."

This is one of the biggest disconnects conservatives make. Conservatives and liberals have very different ideas about what families look like, how they function and whose rules they should run under. Liberals are quite willing to recognize the conservative model as a legitimate and valid way to do family, even if we don't always agree with it. But when conservatives look at liberal families and see their patchwork of made-up and adopted arrangements, they see a chaotic free-for-all that doesn't follow any of their strictly mandated rules of family organization, and thus in their minds isn’t a "family" at all. We think the concept is flexible and therefore adaptable to a changing reality. They think it's unstable and scary and maybe dangerous.

So it comes as a considerable shock to conservatives when you point out that progressive areas of the country have significantly stronger families, by almost any measure you can imagine. They have lower rates of divorce, teen pregnancy, infidelity, drug abuse, domestic violence and juvenile delinquency than the more conservative Christian areas do. Massachusetts, the first state to offer gay marriage, also has the lowest divorce rate in the country. Massachusetts likes marriage so much it thinks everybody should have a shot at it. Looking at the statistics, it's possible to conclude that the conservative obsession with "family values" may reflect the fact that families in Red America really are beset by devastating problems that aren't nearly as common in Blue America. Maybe that's why they canonized Sarah Palin's dysfunctional brood. Rather than admit that maybe liberals know something that they don't, they'll usually try to fix the blame for their family chaos on liberals and our crazy anything-goes family arrangements. Liberals believe in family first. Our families are more successful and happy than theirs. This shouldn't be a matter of debate; but it will continue to be one as long they refuse to believe that our families are just as valid and sacred to us as theirs are to them. Maybe more so.


7. LIBERALS WANT TO RAISE YOUR TAXES.

If you are prosperous enough to be bringing in over $250K a year, there's no point in trying to finesse this. Your taxes probably are going up. Between Clinton-era tax cuts, the burst housing bubble and the hot stock market of the past 15 years, these folks probably made so much money that it's time to start giving some back to the nation that made their prosperity possible. (Refer back to #5: they almost certainly didn't make that pile without at least some government help.)

There's just no way to pay for a $600 billion (or $3 trillion, depending) war and a $700 billion (or $1 trillion) bailout. And that's just the current cost, because they're likely to soar in the future without somebody somewhere in this country paying more taxes. The bill for the war alone currently stands $5,000 per American household; the bailout may cost that much again, depending on how much of the money the government can recoup. The GOP went shopping on our credit card and now it's time to pay the bill.


8. LIBERALS ARE GODLESS AND THEREFORE AMORAL.

A lot of progressives are deeply spiritual and our politics are guided by our beliefs. Evangelical churches are finally getting involved with environmentalism, poverty, and human slave trafficking, all issues where liberals have been active for decades. It's great. It's good to have extra hands on board.

It's also true that a lot of progressives aren't dogmatically religious. Unfortunately, many conservatives equate "secular" with "having no moral code whatsoever," since they honestly believe that nobody can possibly behave themselves unless there's some outside authority keeping a hairy eyeball on them. (It's tempting to speculate about what people who believe this might try to get away with when they think nobody's watching; personally, I think it's an incriminating admission that they can't be trusted when God or his human agents aren't watching. Rejecting their God means you refuse to follow their rules which, according to their logic, can only mean that you don't recognize any rules at all. Call this out for what it is. Bullsh!t!

All non-religious progressives have things they hold deeply sacred: family commitments, community obligations, professional responsibilities, the Constitution, social and economic justice, the earth and its systems, the idea of democracy, the rule of law, fairness and the dream of a peaceful future. Those things form the basis of a natural moral code and it's not uncommon to find secular progressives who live more uncompromisingly moral lives than many overtly religious people do.


9. LIBERALS DON'T BELIEVE IN PERSONAL RESPONSIBILITY.

Again, there's a definitional disconnect at work here. Conservatives tend to use the rule of law to defend their version of morality and social status, which usually means light treatment for those at the top and harsher penalties for those at the bottom. Liberals tend to use the rule of law to maintain some semblance of fairness and equality, which means that those who have more should be given sanctions proportionate to their wealth and power.


10. LIBERALS ARE WIMPS.

You can believe this only if you don't know anything about the history or reality of American liberalism. The Constitution is itself a radically liberal document, the ultimate expression of Enlightenment principles, drafted by highly educated men who looked radical philosophers and France for inspiration. Some of the boldest Americans in history, Harriet Tubman, Susan B. Anthony, Frederick Douglass, Teddy Roosevelt, Cesar Chavez, and of course Dr. Martin Luther King, have proudly called themselves "liberal" or "progressive."

Liberalism couldn't have survived and thrived in America if we were half as weak and indecisive as conservatives like to think we are. Our progressive forebears were not timid people. Nor did any of them seem to be bedeviled by a lack of conviction. "Mushy" or "feckless" are about the last words history uses to describe any of them. ("stupid" and "traitor" aren't anywhere on the list, either.) When you sign up to become a liberal, this is the legacy you take on. From then on you attempt to live up to it. It's not God's job to make the world a better place. It's yours. You are the change you've been waiting for. No one may walk the path but you. Liberalism has never been for the faint of heart, mind, or spirit and in this era of conservatism gone wild and completely rotten, it still isn't. Join me. A lot of work needs to be done. We can always use more hands.

Monday, November 10, 2008

Medical Malpractice in Queens Fluctuates as Economic Crisis Sets In


Everyone is worried what is going to happen on account of the current economic crisis. Now that the shock of it all has settled down, people are trying to determine what the short and long term effects are going to be. In order for people to be confident in any sort of investment, banks are trying to ensure people that their money is safe despite the crisis. People are not only worried about their daily budget, but also about medical insurance and other types of regulatory measures that affects the everyday family life.

People are very in tune with the current election, because healthcare is a big issue. The two candidates proposals on healthcare are quite different, therefore people are going to base their current healthcare program on the proposals of their desired candidate. The fact of the matter is that medical malpractice is what is driving the hike in medical insurance costs. Medical malpractice in Queens has seen a lot of variation in the number of cases of medical malpractice that has stemmed from the area. So whoever learns the election is going to have a big impact on the price people are going to pay for healthcare.

Medical malpractice Queens is a very serious issue that has some people so scared to receive medical care, which people are tending to opt out entirely. Not being able to receive quality medical care at a decent price is something of big concern in the United States. Other countries like Canada where healthcare is provided for all has a better standard of living because people are not worried about how they are going to pay for medical insurance.

Elderly people and young adults are the most apt to not having medical insurance because it can tend to be very costly and out of touch with their current needs. In order to instill some quality of care in our medical institutions, affordable healthcare must be present in our nation. Instances of medical malpractice in Queens stem from medical professionals paying the duty of care needed to sufficiently take care of their patients. This is a very big problem that is currently being addressed as the 2008 November election comes closer. In order to reduce the amount of medical malpractice in Queens, we need both affordable healthcare and quality medical professionals to make this epidemic subside. In order to get these two things accomplished we need a change in our government that is hopefully going to come from the new president starting in 2009.

If you or a loved one has been directly affected by an occurrence of medical malpractice in Queens, contact a lawyer as soon as possible. A medical malpractice Queens’ lawyer will be able to stand up for you in a court of law and get you started on your path to justice. Medical malpractice settlements commonly cover medical expenses, loss of wages, as well as for pain and suffering.

Paul Justice gives advice to clients who are looking for attorneys to handle injury related cases such as medical malpractice, automobile accidents. To know more about medical malpractice NY, malpractice lawyer and medical malpractice Queens visit http://www.nbrlawfirm.com

» by pauljustice30@gmail.com

Saturday, November 1, 2008

Health insurance firms offering online therapy for insomnia.


Cognitive behavior therapy -- offered online by insurers -- is more effective than pills, an expert says.
By Francesca Lunzer Kritz
November 3, 2008
Health insurers are sometimes better known for causing sleepless nights than for creating restful ones, but in the last few months, helping consumers get a good night's sleep has become a priority for most of the top-tier U.S. health insurance companies, including WellPoint, Aetna, Cigna, Kaiser Permanente and several Blue Cross plans.

Their new programs don't involve sleeping pills. Instead, insurers are advocating the use of cognitive behavior therapy. Traditionally, the therapy has been done largely through face-to-face sessions, but many of the programs are now available online.


Cognitive behavior therapy for insomnia is far superior to sleep medications, says Meir H. Kryger, director of sleep medicine at Gaylord Hospital in Wallingford, Conn., and chairman of the National Sleep Foundation, a consumer education group. "It can actually cure the insomnia -- not just treat it as medicines do -- without the side effects, such as daytime sleepiness or dizziness, that can occur with even the newest sleeping pills."

Why would health insurers, often tight-fisted for even life-saving treatments, be so quick to cover the cost of a few extra Zs? "To reduce the tens of millions they're spending on sleeping pills each year, as well as improve medical conditions that may be caused by a lack of sleep," says Helen Darling, head of the National Business Group on Health in Washington, D.C., which advises large employers on health cost issues.

About 50 million to 70 million people in the U.S. suffer from various forms of insomnia (such as having a hard time falling asleep or staying asleep, and waking up too soon), according to the National Institutes of Health. And for about 20 million of those sufferers, nighttime insomnia affects their daytime hours as well -- making it hard to stay awake or concentrate, Kryger says. Insomnia of all kinds has been linked to an increased risk of a variety of medical problems, including high blood pressure and depression, accidents and lowered productivity at work.


"Mounting evidence indicates that sleep may be as important as diet and physical activity [for a] healthy lifestyle," says Michael Twery, director of the National Center on Sleep Disorders Research, a division of the NIH. "Getting a good night's sleep is necessary for optimal cardiovascular and metabolic health. Insufficient sleep affects the way we see the world, mood, performance, vigilance, awareness, ability to perceive our environment and [how we] respond to challenges."

And use of sleeping pills has skyrocketed. A study this year in the journal Health Affairs found a 50% jump in sleeping pill use -- from 5,445 people per 100,000 in 1998 to 8,194 per 100,000 people in 2006. Though one version of Ambien, a popular sleep aid, is now available as a lower-cost generic costing about 50 cents per pill, newer drugs such as Rozerem and Lunesta cost about $4 and $5 per pill, respectively, or a minimum of nearly $1,500 per year for patients who take a sleeping pill every night. Online behavioral therapy programs cost less than $40 per user, and face-to-face counseling can range from about $300 to $1,800, depending on how many sessions a patient goes through and what level of specialist, from social worker to psychiatrist, provides the therapy.

Unlike sleeping pills, counseling is usually a one-time thing and costs do not continue year to year.

Sleep-related fears

Cognitive behavior therapy has been in use for decades and is part of the American Academy of Sleep Medicine's clinical guidelines for treating insomnia. "The only problem with CBT is that there are not nearly enough trained practitioners in the U.S. to help the millions of people with insomnia," says Dr. Michael Sateia, head of the sleep medicine program at Dartmouth-Hitchcock Medical Center in Lebanon, N.H., and a former president of the American Academy of Sleep Medicine.

During cognitive behavior therapy, trained specialists work with people who have insomnia to eliminate their sleep-related fears and misconceptions. Some such worries are so encompassing that people simply can't sleep.

The therapy may include sleep-restriction exercises to encourage drowsiness and stimulus control. An example of the latter would be not going downstairs upon leaving the bed because a return up the stairs could increase wakefulness, says Lynelle Schneeberg, an insomnia therapist at Gaylord Hospital. The therapy can also include so-called sleep hygiene strategies that can help promote shut-eye, such as forgoing alcohol and exercise in the hours before bed and using the bedroom only for sleep and sex.

"Many people 'catastrophize' their inability to fall asleep -- they lie there and tell themselves over and over that they won't fall asleep -- and then they don't," Sateia says. "By using behavioral changes, we can help them understand that no disaster will occur if they don't fall asleep and encourage them to think and do other things rather than lie there anxiously."

For face-to-face therapy, two to four sessions are typically scheduled every few weeks, though six to eight sessions are also common, Schneeberg says. Online programs take about the same amount of time; the programs now in use by insurers offer five to six sessions that users typically access once a week, though they can go through the program faster if they wish. Both online and face-to-face programs begin with a health assessment. Although insomnia often has no underlying physical cause, it can be a side effect of a medical condition such as Parkinson's disease, depression or cancer. In a 2006 article published in the journal Sleep, Charles M. Morin, a sleep researcher from Université Laval in Québec, reviewed 37 studies on cognitive behavior therapy for insomnia and ultimately suggested that it be the first-line treatment -- over medication.

Further, Morin said in the article that the studies showed the therapy is effective for older patients and for people whose other health issues, such as chronic illness, may be contributing to their sleeplessness. Those two groups are notoriously hard to treat for sleep problems.

The lack of trained professionals has prevented the academy from pushing the therapy to the front of the list of treatments, Sateia says.

Web sessions

The online programs simulate many of the strategies used in face-to-face counseling. Overcoming Insomnia, for example, the program now in use by Highmark, Aetna and Kaiser Permanente, teaches users to evaluate their thoughts and beliefs and reminds them that "not all of our thoughts and beliefs are based on facts."

Users can repeat sessions as often as they like, which helps reinforce a positive attitude toward getting to sleep -- much as they'd be reminded to try to dispel negative notions in a face-to-face setting, says Richard Bedrosian, head of mental health at HealthMedia of Ann Arbor, Mich., which sells Overcoming Insomnia. The programs also teach relaxation techniques -- such as concentrating on breathing while turning attention away from worry about sleep.

Consumers don't have to go through their insurer to try the programs. Conquer Insomnia, an early version of the program now used by Kaiser, Aetna and Highmark, is available for $19.95 at www.myselfhelp.com. Conquering Insomnia, a version of the program being used by Blue Cross Blue Shield of Massachusetts, is available for $24.95 at CBTforinsomnia.com.

Curiously, while online sleep therapy is all the rage among insurers, few sleep specialists -- including Twery, Sateia and Kryger -- seemed to be aware of it. A study showing the therapy to be more effective than no treatment was presented at the Sleep Academy's annual meeting last summer -- but it didn't even make it to the meeting blog produced each day.

The NIH's Twery says the agency would be very interested in assessing and refining the programs. "There has been little education about sleep and its significance in the U.S.," he says. "Too many people think their sleep habits are just their own quirkiness and there's nothing they can do to improve them."

"We're on the ground floor . . . moving toward national awareness and strategies," says Janet Croft, a senior epidemiologist at the national Centers for Disease Control and Prevention. The CDC, for example, will be meeting with the NIH and organizations such as the National Sleep Foundation to create a consensus on insomnia public education and treatment.

Sleep experts suggest that patients who are going to try online sleep therapy let their doctors know when they start the program as well as how effective it seems to be.

"If online therapy doesn't work for a particular patient," says Sonia Ancoli-Israel, head of the sleep disorders clinic at UC San Diego, "having the doctor in the loop can mean that another strategy, such as a brief course of medication or face-to-face therapy, can be started promptly."

Kritz is a freelance writer.

health@latimes.com