Posts Tagged ‘Philosophy’

CEMETERY THINKING

December 1, 2014

We could learn from Floyd, one of my cats.  Every night, when I fall asleep, Floyd lies against me, but not so hard that I am uncomfortable or have to move.  Four hours later, I awaken, shoved over to one side of the bed.  Floyd is an incrementalist.  He pushes slowly, consolidates his gains, and pushes a little more slowly.  I move.

Mr. Obama’s decision to act on immigration has angered people on both sides of the issue.  That to me is the hallmark of a good decision.   One may look at it as “we didn’t get what we wanted, so it is no good” or “we got some of what we wanted, and we will strive to get more.”  The first is perfectionist thinking, which brought us George W. Bush.  The second was incremental thinking, and it brought us Medicare, which didn’t fix medical care costs, but got us a lot closer to that goal.  Bear with me:  I won’t forget cemetery thinking.

The idea that a president can act unilaterally is not new.  Herbert Hoover blocked immigration, lasting 5 years until FDR started taking in Jews’ fleeing Nazi Germany.

On Facebook, I know people on both sides of immigration, and they are angry.  To both sides, I have two words:  GROW UP.  Two more words:  NO WAY in a country of 310 million will each of us get what we want, when and how we want it.  The President is trying to ADDRESS the issue, not make it perfect. NOBODY CAN.  Indeed, the Senate passed an immigration bill upon which the House of Representatives refused to act, because Mr. Boehner, a Republican, not some liberal like me, chose not to act on the bill.  Minority leaders: Tea Party—didn’t want it.

Mr. Boehner wants to run out the clock on Obama.  Indeed, if you are winning, and there is not a lot of time left, you want to use as much of as you can when you are in control.  Conventional wisdom called Mr. Obama a lame duck.  Instead, he acted the way I did when I was a “short timer” in the Navy.  I wasn’t going to be there much longer; when my happiness quotient (time served/time left to serve) was 3, similar to Mr. Obama’s, I started doing what I thought I should, not worrying what somebody would do to me.  Mind you, I wasn’t a jerk, but I spoke up when I thought people were wrong, and they were stuck.  I accomplished a lot; I asked for what I really wanted, another cat ploy, realizing the worst thing that could happen was somebody would say “No.”

You see, back then, the worst thing for a doctor was to be was in the military, on a ship, and deployed.  I was all three.  What could they do to me?  Take away my birthday?  And what is the House going to do to Mr. Obama?  He transformed himself from being a lame duck to a pterodactyl.  He acted, and the Republicans must respond.  Given the complexity of immigration, the suddenness and timeliness of the action (although it was predictable), before the annual 6 week shutdown of America called the “holidays,” a big lump of carbon landed in a lot of stockings.

Get real, folks.  Immigration reform won’t please everybody.  We have to have some sort of secure border, we can’t take in the world, we shouldn’t split up families, and we shouldn’t be hiring workers who are here illegally.  That is only part of the problem.  I want something DONE, see what happens, and then modify it.  The status quo isn’t working.  If both sides get something, wouldn’t that be better?  Most rational adults would say yes. Mr. Obama is governing, and this isn’t fun.  But avoiding the issue is even worse, sort of like climate change, but that is for another time.

Mr. Obama apparently decided it was time to quit playing safe, trying to please everybody, and run the country as best as he saw fit, since nobody else was willing to, and he had the power.  He issued an Executive Order, one of about 190 so far, and Washington howled.  How dare he?  Well, Mr. Reagan issued nearly 400, and the previous president, who brought divisiveness and two unnecessary wars not paid for with a war tax, the doughnut hole costing $135 billion more than predicted, and wanted to privatize Social Security, which given the recession that followed, would have been disastrous, issued 291.

Here at home, Sen. Ron Wyden’s bill to deal with increasing timber harvest, yet putting controls on it and adding wilderness areas has been hammered from both sides.  I’m a life member of the Sierra Club, but I try to be a life member of the reality club. Given my druthers, I’d ban logging, stop poisoning the land after clear cuts, since the poison is getting into the water and into the bodies of people in this state, and have a lot more wilderness.  Well, I’m not going to get my wish.  Period.  We aren’t going to stop logging in Oregon.  We can, however, add some wilderness to a state which has one of the lowest percentages in the west. Eugene has no wilderness within 40 miles.

When you have two disparate groups arguing, you have four choices: one, keep arguing and doing nothing; two, give it to one side, which creates a lot of enmity; three, compromise that gives both sides something; four, find an out of the box, creative solution that never occurred to anybody.  I’ve pretty much given up on the last, although there are a lot of creative thinkers in this country, but we need to listen to them, not ask for their money, or recycle yet another governor, senator, or general, who really ought to retire and volunteer somewhere.  America can fix problems.  When both sides dig in, both lose.  Being angrily dug in to a position usually ends up burying a lot of good ideas.  And I call that cemetery thinking.

I don’t have a problem with the Sierra Club’s wanting more.  That’s fine.  But take what you can get, people, because at some point…..hmmmm, right now for example, the next few years are not going to be very good for wilderness, politically.   Having sensible actions, even imperfect ones, to make more wilderness, even at the cost of other areas, might work.  Then you work for more.

Health care reform?  I’m an incrementalist.  Ideally, I’d expand Medicare to the whole society.  That isn’t going to happen.  Realistically, expanding it to 55 and older is one option; another is expanding it to pregnancy, labor, delivery, and the first 10 years of life.  Put in measures that would serve to show what does and does not happen, good and bad.  I believe it would cover many poor women and children, and at the same time force abortion foes to make good on what pro-life really means. I ask, how can one be against a program that helps women and children?  Easy.

By being a cemetery thinker.

RESPECTING THE OFFICE MATTERS, REGARDLESS OF THE INDIVIDUAL

November 23, 2014

I didn’t like Senator Jon Kyl, when he represented Arizona.  I might have even hated him.  When he was in office, I wanted a bill mandating a national medical safety reporting system.  This is beginning to happen now, but in 2001, when I began, nobody considered the idea.

I called Mr. Kyl’s office, requesting what I wanted, and instructed to go to their Phoenix office to meet with a staff member there.  I put on a coat and tie.  I almost never put a coat and tie on in Arizona.  I do for funerals, when many, incredibly, do not; I went years without wearing a coat and tie.  Why would I dress up to visit to a senator’s office, when I detested the man?

I had respect for the office.

There is a huge difference between respect for the office and respect for the man or woman holding that office.  The office must be honored.  I honored the office of US Senator by dressing up.  I ended up talking to a nurse, who to this doctor was insulting, since I knew more about medicine than she did.  I said nothing about the snub, presented my program, and heard nothing afterwards, which annoyed me greatly, and indeed, showed great disrespect for me.

I had respect for the office.  Don’t forget that.  When a South Carolina Congressman yelled “You lie” to Mr. Obama during a State of the Union address, it was a massive breach of protocol and courtesy.  One simply does not denigrate the office regardless of what one thinks of the man. Those who don’t know how to deal with the issue properly should either avoid the situation or remain quiet.

In what follows, my wife disagrees with me, but perhaps my military background colors my opinion.  Everybody who has served in the military knows the difference between respect for the office and respect for the man.  I was put down by enlisted people who used “Sir,” “Doctor,” or “Lieutenant,” in a tone of voice making it abundantly clear they detested me.  I did the same to senior officers.  Later on, I would do it to lawyers, a powerful technique, for arguing with somebody who keeps calling you “Sir” is difficult.

Dartmouth students recently “flamed” (a Dartmouth expression) Gov. Rick Perry of Texas, asking him many sexually explicit questions about Perry’s opposition to Gay Rights and similar issues.  Gov. Perry was asked:  “In your campaigns you have received hard-money campaign contributions of $102 million, half of which came from 204 donors. Would you have anal sex for $102 million?”

The defense in The Dartmouth, which I once served on the editorial board, was this:  “When confronting those in power who actively disrespect the rights and humanity of others, any demand to civility is ironic…”

No, I don’t agree with this.  If you become those whom you despise, what have you become?  What made Iraq so awful was that we Americans did what we criticized others for, being inhumane.  Any demand for civility is appropriate, not ironic.  You figure out how to get your point across without being disrespectful.  

Personally, I would have asked one of these questions: 

  1. “Mr. Perry,  why did you ask people to pray that Hurricane Rita turn around in the Gulf of Mexico and go backwards, when all the weather models predicted landfall near Houston?  Would you abolish NOAA, NWS, and the NHC?”  
  2. “Do you think we can pray our way out of global climate change or cure cancer?  How do you view science, Sir?”    Add the Sir.  It matters.
  3. What is your stance on prayer vs. human action, Governor?”  Frankly, that is one of the best questions I can think of to ask a religious person.

From the editor again: Respect in this context is not a paramount or meaningful concept. I’m not advocating disrespect per se — rather, that incivility can be an effective and appropriate tool for such circumstances.

I don’t agree.  Mr. Perry is a sitting governor of Texas.  I don’t like him personally, and I don’t like Texas very much either.  The latter is irrelevant, but the former calls for civility.  By being disrespectful, you have advocated disrespect.  Incivility is a shocking tool that will do exactly the opposite of what you intend.  As a Dartmouth alumnus, I was ashamed of my school; I feel if LGBT people continue on this path, it will harm their cause, not enhance it.  You mentioned the icky factor.  A lot of us support your rights without wanting to hear details.  Can you understand that?

My questions were disrespectful, but I reject the notion that I should respect a man who holds power simply because he holds it. It should matter what he does with that power, and what he does is oppress people he finds icky.

Mr. Perry holds power because he was elected, a bad, ugly, legal money driven process now, and Mr. Perry won.  I don’t like the elections process in this country; changing the election rules in Texas would also have been a good question to ask Mr. Perry, along with voting rights in general.  Nobody is asking you to respect him, but your questions should not be disrespectful.  If you treat a governor that way, would you treat an elder in society that way, too?  Yes, it matters what Mr. Perry does with his power, and you could have stated exactly those words to him.  You could have said that his stance against gay individuals was in your view an abuse of his power, and while you respected his office you could not possibly respect him as a man.  I’m not sure he is oppressing people; here, at least; people can leave Texas and stay in the country.  If you want a definition of oppression, go to My Stealthy Freedom on Facebook and see how Iranian women get arrested or have acid thrown at them for showing too much of their hair in public.  Or be sentenced to jail for a year because they saw a volleyball game.  Or be hanged for killing their rapist.  

I have been very vocal in the 300 posts I have on this blog.  I think it is time for a national reality check about politeness and respect.  We can start with the office, even if we don’t like the person.  Trust me, Mr. Perry knows you don’t like him, and Mr. Obama knows that a lot of folks don’t like him either.  Your dislike isn’t going to change either.  What would change him, if anything, would be respect for the office, stated; dislike of his policies, stated; and cogent reasons why you feel he is on the wrong side of history.

If The Dartmouth editor can’t figure out a way to say that, I would wonder how she got accepted.  I am not nearly as articulate as she, and I got accepted.  Maybe it was because my mother taught me to be polite.

OREGONIAN

November 22, 2014

A year ago, I went to my last party in Tucson, saying to myself that with the exception of two people present, I would never see anybody there again.  I said that a lot my final year in Tucson.  It was odd that the day I drove to Oregon, I never did a last walk around of the house, because I thought I would be back to help sell it.  I didn’t have to return, so I never said goodby to the saguaros, chollas, barrel cacti, prickly pear, the pyrrhuloxias, the phaniopeplas, the place where I did my astronomy for 15 years, and all the rooms.  We had a good house.

I said good-by to three people.  I hinted at it to a neighbor, but he didn’t say a word.  I arrived in Tucson quietly and I left quietly.  It was like I never existed.  I wrote an astronomy column for 20 years, and never heard a word when I was let go.  If the medical community were sad to see me go, only the Executive Director of the Medical Society said it.  I never heard a word from others.

The party was in early December, one of the few months I liked in Arizona, where one can be outside in Arizona in the evening.  I sat down, talking to a couple with whom I used to ride the bike.  Another man came up, whom I did not know, and began berating me about moving to Oregon in general and Eugene itself.  I was stunned, since the conversation hadn’t been at all about me but about the couple.

I am amazed that while I consider myself not particularly skilled in social behavior, I would never behave the way some of those influential in social circles do.  Apparently, he and his wife spent time every summer in Coeur d’Alene, Idaho, but his wife couldn’t stand the rain and couldn’t wait to get back to Tucson.  More power to them if they were happy.

He told me “it rains in Oregon,” which is kind of obvious, and I replied, “Yeah, great, isn’t it?”  I didn’t tell him I was leaving a state that had 30 years of above normal temperatures since 1984, a 20-year drought, serious water issues, and the most dysfunctional legislature in the country.  Nor did I mention I bet a major career change to statistics on helping the medical community but missed the course on marketing.  In any case, when I crossed the Colorado at Parker, I knew the car would never roll back into the state.  In the past 8 months, neither have I.  There are times when I truly wonder if I will ever return to the state.  I haven’t missed it.

So, what has been my experience to date in Oregon?  Well, yes, it rains.  From April to June, we got 6 inches, almost all at night, a lot of it brief showers, with sunshine afterwards.  From June through September, we got hardly any.  The darkness, dreary days with rain all the time I have yet to see, although I’m assured I will see them.

Last night, my wife and I walked to see the men’s basketball game at Matt Knight Arena, walked to dinner afterward, put on our rain suits, head lamps and reflectors, and walked 2 miles home in moderate rain.  It was a great day.  I often take a rain jacket but don’t expect to wear it.  We are still drier than we should be, although a 3 inch soaking sure helped the stream flow on Spencer Butte; The Sisters and Mt. Jefferson are again snow covered.  I can identify the major Cascade peaks now. I have not given up a day of running because of rain, because it rarely rains hard, and then only briefly.

Hot?  Sure.  Eugene hit 101 and had 36 days over 90, a record, but high temperature records are the new norm in America.  Unlike Tucson, Eugene cools off at night.  I didn’t use cooling the whole summer.  In Tucson, we used to open the house half the nights in summer; the last summer we closed up from May through September. One can ride a bike 12 months a year in Tucson, but they do the same in Eugene, just well lit up, wearing rain gear, although not as many wear helmets as I would like.  We have a river walk along a real river, swollen by autumn rains, not a dry river bed that once ran most of the winter.  Hiking is year round in Oregon.  The high Cascades are now closed except for snowshoes, but the coast is available, although it will be wet.  In Arizona, the hiking season is from maybe October to maybe March.  The hiking in Oregon is wonderful.

I’m useful here, a new feeling.  I volunteer 2 days a week at a community college, teaching math, and love it.  They like having me.  I volunteered 9 years in the schools in Tucson and was never busy enough.  When I left, I never heard a word. I’d go to Lane 5 days a week, but I’d miss my 6 mile weekly hike with the Obsidian Hiking Club, climbing 1500 feet to the top of Spencer Butte, trailhead 6 miles from my house.  I help read to young kids, because Oregon businesses realized that poor reading skills in their children needed to be addressed.  I’ve led 2 hikes into the Cascades, and next month will lead at least two in the Coast Range.  I’ve taken more than 60 hikes within a day’s drive of Eugene, a third with a climb of 2000 feet or more.

My recycling garbage bin is larger than my regular garbage; it was the opposite in Arizona.  Property taxes are double; there is no sales tax.  There’s a Dutch Brothers about a mile away, and I can walk to Track Town Pizza every week for German Stammtisch.  I’ve been to a bunch of track meets and walked to each one.  I ride the bus downtown, because it is free for me and easy.  I never once rode the bus in Tucson.  Shameful.

No place is perfect, and Oregon is no exception.  The rural areas are red,  crazies run for Congress, ones who have names of the nearly 32,000 scientists who deny climate change, but don’t list the degrees and don’t update the list.  Besides, last I heard, science wasn’t decided on numbers of scientists but on facts.  We have homeless and Whovilles here and graffiti, like any other place.  We debate what to do.  The newspaper has printed two of my letters, one of which may lead to my helping with the Death With Dignity Act.  There is a good chance I will help with the Oregon Patient Safety Program.  They wrote me back and followed through.  I couldn’t get past the dugout in Arizona with that.  Marijuana will be legal next July, and the Wayne Morse Free Speech Plaza downtown is just that.  There’s a Farmer’s Market every week during the spring and summer.

I run daily on Pre’s Trail, and when we walked home last night in the rain, I told my wife she was finally an Oregonian.

I’ve been one for some time.  I love it.

NATIONAL DISGRACE

November 21, 2014

At a recent Tuesday evening Stammtisch, over at Track Town Pizza, where I get my weekly chance to listen and speak German, I had just explained, in German, the story behind our having a rather large number of house cats, all former strays.

One man, nice enough, commented that the local humane society was euthanizing animals and had a “red list” for dogs that at the end of the week: if they hadn’t been adopted, they were going to be euthanized.  He used as an example that a lady friend of his turned her cat over to the organization, offering to pay for everything, then had her check bounce.  The next day, the lady returned, paid again, and saw her former cat in a truck.  She wanted to say “good by” again, and related to the man who was telling me all this that her cat was going to be taken to be euthanized.

I listened, stunned.  I wasn’t so stunned, however, to wonder why the lady turned the cat over to the organization in the first place.  One reason to relinquish a cat is one’s inability to care for it.  If the lady could drive and pay, but her check bounced, perhaps she was a little demented and her memory inaccurate.  Since the story was being retold, the chance of inaccuracy increased.  I stayed silent.

The second issue was the “Red List”; the third was the man had once wanted a husky, and the society didn’t have any.  He got one from an ad in the newspaper.

I am a strong animal lover.  I was bummed and I left the Stammtisch shortly after, deciding I  would check his story out.  There is too much of what I call Fox News behavior, where poorly unsubstantiated rumors or outright lies are treated as fact.  I am a strong supporter of two Humane Societies in two states and wanted to learn if there were substance to these allegations.

Regarding the husky, the local humane society doesn’t have control over animals that are brought in; it isn’t their fault that they didn’t have what he wanted.  Stated less politely, obtaining an animal through a newspaper ad strongly suggests (although not completely) that the man paid for the dog, which were it the case, I find reprehensible, given that we euthanize 2.7 million a year in the United States.  Yes, read that number again.  I wonder how many were healthy huskies.

I learned that the local society transported cats only if the animal needed a higher level of care or had a better chance of being adopted at another facility.  They also euthanize on site, so the man’s story was wrong.  The Red List once existed, but with a former control facility, which no longer exists.  The current society has no such list.  In addition, if you sign over an animal, the animal is no longer yours.  If the animal has kidney failure, arthritis, or is FIL positive, it won’t be adopted, and it will be euthanized.  Adult cats are not very adoptable. Fact.

To summarize, when one checks facts carefully, many rumors are found to be partially or completely unfounded.  Keep that in mind, when reading or hearing shocking things.  There are facts, and there are unsubstantiated opinions.  A lot of the latter rule the day; the former tend not to be what people want to hear.

There is a huge problem with companion animal overpopulation, entirely the fault of irresponsible people in this country, and completely within our control to solve as a people.  The 2.7 million animals I mentioned are 55% cats, 45% dogs.  This number, of course, does not count the number of homeless animals poisoned, shot, run over, drowned, starve, die of hypothermia, disease, or other causes.  I do not have those data.  I assume in my county 5000 animals are euthanized annually and another 5000 die from homelessness.

Perhaps, we ought to ban breeding.  Period.  There are far too many “designer dogs” bought, when a mutt has hybrid vigor and can be a loving animal.  Fact: a group of pit bulls recently attacked a horse, requiring the latter to be euthanized. However, some solutions cause new problems:  spaying and neutering requirements might lead to people hiding their animals to avoid what I would charge: $1000 a year for an unneutered animal. Portland, Oregon, euthanizes 30% of animals that come into their shelters.  Birmingham has more than double the rate, as do Charlotte and Memphis.  Yet, in Atlanta, some shelters went from 85% being euthanized to 20% by adoption programs and other measures.  It is no coincidence that most of our house cats came from rural Arizona, red as red can get, where litters were dumped, healthy cats were tossed out to fend for themselves, because of divorce, moving, “they don’t allow animals,” “they are too much work,” “I became allergic,” and other examples of boorish, non-thinking people who would do the same to their kids if they could.  Come to think of it, they do.  This is the God, guns, and guts group, who shame the country and their Bible, where in at least six different places speaks to the need for us to care for animals.

We ought to publicize the numbers of euthanized animals in the county each month as part of my definition of how healthy my city is and the state of society.  The government does not fund humane societies.  These organizations exist through donations and charges for animal adoption and care.  It will get worse in Tea Party America, where people should be left alone, because people do such a good job of taking care of themselves.  It’s no secret that the five worst states for health insurance, a basic need, are Texas, Nevada, New Mexico, Florida, and Georgia.  The five best are Massachusetts, Vermont, Hawaii, Washington D.C., and Connecticut.  The worst for teen pregnancy are New Mexico, Mississippi, Texas, Arkansas, and Louisiana.  The five best are New Hampshire, Vermont, Minnesota, Massachusetts, and Utah.  When people regulate themselves effectively, we won’t need government to do it.  I’m not holding my breath.

Americans need a whopping big dose of the ugliness here about our treatment of animals.  If a thin stray cat or dog that is eating garbage here doesn’t arouse something sad, then some of our humanity has been lost.  Nearly all of these stray animals will remain homeless, dying slowly by a host of conditions, none pretty.  Frankly, the lucky ones will be euthanized.  To think euthanasia of healthy cats and dogs does not happen in one’s community is to deny reality of an ugly, sad, unnecessary, completely treatable condition, a national disgrace.  Want to fix it?  Ask for monthly counts of euthanasia to be publicized, to keep the issue before the public. Donate money, work to ban breeding, and make crimes against animals severely punishable, for animal abuse correlates very strongly with human abuse.

We rank livability of cities using climate, median income and cultural opportunities, certainly not mentioning how many animals are dumped at the local shelter.  I am not surprised.  Healthier golf courses, excellent medical care and more cultured rich people rank higher than the stray animals population and euthanasias performed on animals who could give more love than one can imagine.

VETERANS’ DAY

November 12, 2014

I wasn’t a war hero.  I was just a ship’s doctor.  Some doc had to be on the larger Navy ships, and I got chosen. I didn’t do much, since young sailors were healthy, other than getting drunk or gonorrhea.  This was in the era when STD meant “something to do,” rather than “sexually transmitted disease.”

Still, I did two appendectomies at sea, under my own spinal anesthesia.  I did a few other useful things, like untwist a testicle (a testicular torsion), something that will make most men cringe to think of it.  I had never seen one before, but when I saw the poor sailor writhing in pain, I knew what it was.  I didn’t know exactly what to do, but warm soaks, intravenous diazepam, and twisting the proper direction unwound the wounded member like a rubber band.

I don’t celebrate Veterans Day, for to me, it is for those who served on the front lines, which I didn’t. I got a haircut and tipped the woman more than I usually do.  She did a good job, I already get a discount for being old, and it made her day better.  An hour later, I got a free triple chocolate Mocha from Dutch Brothers for being a veteran, so I learned what goes around comes around.  Nice lesson.  The real vets to me are the guys and gals at war.  I bet they don’t think of themselves as heroes, just sailors, soldiers, and airmen sailors serving their country.

One of my hiking buddies was a Marine in Vietnam, who fought at Hue.  If you know how to pronounce it properly, you know what that battle meant.  My friend never said more; he didn’t have to, and I was smart enough not to ask.  He has a Disabled Veteran License Tag on his truck, but he can out hike me easily.  He’s quite a guy.  He’s seen hell and come back. I haven’t done that.  But I did help one man during my service.

There was a ship’s executive officer (XO) in my squadron, a Type I diabetic.  I knew that and asked my boss whether a diabetic’s serving on a ship was allowed in the Navy.  Apparently for this officer, it was, so I didn’t say anything more.

The ship had no doctor aboard; an independent duty corpsman was in charge.  I soon learned his ship had failed medical inspection for the upcoming deployment. I was ordered to go over and make everything shipshape, literally.

I volunteered to go aboard for 3 days, when the ship went to sea briefly.  I don’t remember what my wife thought about it, but work was work, and 3 days at sea gave me a lot of time to get things done.  I took a break the first morning and went topside to the bridge wing to get some fresh air.  I don’t remember whether we could still see the southern California coast, but in any case the Captain soon walked up. I saluted, he didn’t, and without a hi, reamed me a new one for trying to torpedo the career of his executive officer.  I didn’t know what he meant and asked him such.  In no uncertain terms, he said, his XO was being handled by a Captain-doctor at the Navy hospital in San Diego, who knew a lot more about diabetes than I did.  I was ordered to stay out of the issue.  He left, not returning my salute.  That’s a bit rude, but I wasn’t about to argue.  The doctor in San Diego did know more than I.  And I don’t argue with Captains.  I also became more careful what I told my boss.  Word gets around.

The ship subsequently passed inspection, and we deployed together, until Hawaii, when we went south and they went west.  It wasn’t until mid-November, 6 weeks into the deployment, in Subic Bay, when we were together.  This would become only time of the whole 8 month deployment we would be.  They were moored on the opposite side of Subic, but I figured I ought to go over and see how things were going.  Whether I walked or took a cab, I don’t remember, and it isn’t important.  When I went aboard, the corpsman practically ran me down.  “Quick, the XO”!!  I knew immediately what was wrong, and when we barreled up 3 decks to the XO’s stateroom, he was sweating, confused, and staggering around the room.  A vial of insulin and a glass of orange juice were on the desk.

To this day, I don’t remember what the corpsman would have done, but diabetics without insulin do not crash in a few minutes the way TV portrays them.  Diabetics with too much insulin do crash suddenly.  I took out a syringe of 50 cc 50% glucose, which I made sure the ship had before they left port, and gave it to the XO IV.  Within seconds, he was normal.

But, in the space of an hour, his career as a seagoing officer was over.  The Chief Staff Officer (CSO), the Commodore of the Squadron’s right hand man, drove the XO to the Navy Hospital at Subic; I sat in back. The XO didn’t need hospitalization, but he could no longer stay on the ship.  Fourteen years of service, and at best, he would do his 20 years and retire, maybe as head of a shore duty facility.  To this day, I don’t know if he was mustered out.  I hope not.

On the way back to my ship, the CSO, whose name I still remember, told me that I was right in wanting the XO off the ship before deployment. I learned a lot that day: first, that I was needed.  Had the XO been given insulin, which might have happened had I not been there, he would have died or been permanently brain-damaged from hypoglycemic encephalopathy.

But I learned something far greater: this was an “I told you so” moment, and I did not gloat.  Instead, I had a pronounced feeling of sadness.  The man should not have been aboard ship; that was clear.  I didn’t know as much about diabetes as the doctor in San Diego, but I knew a lot more about shipboard medical issues.

I learned that being right comes with a price of being sad about it.  If I am right about climate change, I bet I will be sad, and won’t gloat, for how does gloating fix the problem?

Today, for the first time, I wondered how the CO of the ship felt.  I never saw him again.  In any case, sir, I hope your career was successful.  The main point was that your XO didn’t crash at sea, where things would have been a lot worse.  We were lucky that day.

To the CSO, I salute you and your wise words.  Your calmness helped me learn that doing the right thing is far more important than gloating about it.

Happy Veterans Day.

WEATHERING THE STORM

November 6, 2014

“As soon as they started covering over those graves with dirt, the hurricane moved north.  Now, was that a coincidence, or was it due to the desecration of those graves?”

The exact wording was probably a little different, but the meaning was not. This TV show was not on some sci-fi network but rather The Weather Channel (TWC), which formerly discussed the weather throughout the US, not century-old hurricane folklore.  TWC has shows about prospectors mining gems, staying on mountains during thunderstorms, exceedingly unwise.  Storm Chasers shows people outside in the middle of thunderstorms, filming or looking, extremely dangerous; lightning is one of the biggest weather killers in the US.  The towing company series in the Canadian Rockies didn’t belong on TWC but with “Ice Road Truckers,” a good show, when most of the dialogue wasn’t edited out because of profanity.

Weather Co. CEO David Kenny:  “The bottom line is, reality television on TWC needs to be based in science and storytelling.”  How about basing it on current weather and teaching people at the same time?

Science, I like; storytelling to make the supernatural appear “it really could have happened,” I don’t. Storytelling about “It could happen tomorrow,” makes some think that their lives will be snuffed out any second.  We need to inject a little reality, probability, and science into the discussion. We do not have to be afraid of everything every second.  Nature is not out to get us, regardless of what some may think.  There is no right or wrong in nature, only consequences.

Tonight, the discussion was about California prospectors in the 19th century; the only mention of weather being that “storms could form in a moment,” which isn’t true.  Storms give warning.  No mention was made of the historic drought in California, the warmest October on record in parts of Oregon, or snow in Charleston.  The US has more interesting weather than any other place in the world.  Why aren’t they discussing it?

TWC used to be thorough, reporting and discussing national weather.  While there was often unexplained jargon, it was interesting. I could have done without the notion “rain is bad, sun is good,” because I lived in a place with a 20 year drought (not mentioned), where eventually people notice it hasn’t rained for 4 months, plants are dying, reservoirs are drying up, and fires are burning.

Years ago, a local Arizona weatherman gave 5-day forecasts.  He eschewed longer ones, appropriately, because the probability of a 7-day forecast’s being correct was about 50%.  One day, he suddenly started using 7-day forecasts. I wrote him and asked him why he had changed.

“I was at a meeting of TV weathermen,” he replied, “and I learned the public wanted 7-day forecasts.”

So?  The public wants forecasts that have a 50-50 probability of being accurate, and we should give them?  No wonder people complain about forecasts!  Why do we give exact temperatures in forecasts, rather than a range of 5 degrees?  Why are apps telling us what the weather will be at every hour for the next day?  If busy people need to know the weather, have them look at the sky on the way to work and learn something about probability and margin of error.  Both of these need to be taught in the schools, by the way.

“The public wants answers, and they want the bottom line.”  Sometimes, there is no simple answer, and we can’t summarize a complex problem in 30 seconds.  Weather forecasting is one of the great triumphs of technology, but it still is inaccurate.  Cold fronts can stall, the rain-snow line may change a few miles, and models can suddenly change on a new run.

We would do well to remember that the world is subject to natural laws that we understand only partially.  We can predict a few things with certainty and others with some degree of probability less than 100%.  If people don’t like that, then perhaps they should vote for those who will fund science better.  I don’t believe a lot of economic forecasts, because they don’t have probability or confidence intervals.  I’d like to hear that “there is a 35% chance the stock market will reach a new record high in the next 6 months, based upon modeling of investor behavior.”  We don’t have that ability.  Instead, pundits are bullish and bearish about behavior that depend highly upon unpredictable world events.  Slight market changes are explained by behavior other than random noise, which is often the reason.  I would remind people that on 1 January, nobody dreamed two Malaysian airliners would be lost, one not found, and one shot out of the sky.  Nobody predicted there would be Ebola in the US, the Ukraine, the rise of ISIS, or sea stars dying off the US West Coast.  Nobody predicted in 2008 that the unemployment would be almost halved and the Dow would reach a new high by 2014.  At least the Republicans didn’t.  That is a fact.

While 5 day forecasts have unpredictability, we can be much more confident about climatic conditions on Earth.  Indeed, we have a confidence interval greater than 95% that man is changing the Earth’s climate.  That is statistically and realistically important.

Yet, TWC stopped discussing climate change several years ago.  Heidi Cullen, climate scientist at not-profit Climate Central (note the adjective), was on TWC for 2 years, before it was cancelled by NBC, after it bought the channel.  She got a lot of hate mail, and that hurts ratings.

Dr. Cullen didn’t state her message properly, however.  On The Colbert Report, she used examples floods in Pakistan and the coming displacement of Bangladeshis due to ocean rise.  The reality is that most Americans don’t care about those countries.  A high percentage of high school students can’t find Bangladesh on a map and I would bet 95% couldn’t name its capital, and even more don’t know what it was once called.  Why didn’t she talk about the drought in Texas, that was with high confidence due to climate change, or the changing migration pattern of birds in the US?

“It’s business.”  Yep.  It is.  Give the public what they want, and you will get rich.  Give them what they need, and you have a more enlightened society.  How rich do you have to be?  That has an upper bound.  How enlightened should a society be?  There is no upper bound.

I quit watching TWC.  I’ll look at the models myself and make my own forecasts, rather than worrying about what will happen if an asteroid crashes into the Earth.  Sure, the latter may happen, but I’m more concerned about tomorrow’s weather, if I should decide to go hiking and actually see the real, and not virtual world.

I’d rather be enlightened than super rich.

JERK JUNCTION

October 30, 2014

I reached Jerk Junction the other morning, and the quickness at which I took Jerk Road surprised me.

We have a car in Arizona that needs Oregon plates, since we now live in Oregon.  From a Web site, we read that it was possible to do so by mail without having to drive the car up.  I gathered the needed information, title, proof of insurance, residency, my identification, and a check.  I figured DMV would have no problem taking my money.  I didn’t wait long, and I told the man at the counter what I needed.

“You need to bring the car up here so we can verify the VIN.”

“That’s not what your website says.”

“You have to do it.”  He turned to the woman working next to him and she agreed.  The idea of “What about using Face Time?” didn’t occur to me.

I arrived at Jerk Junction and took Jerk Road, rather than “Suck it Up Road,” a quieter route.

“You need to fix your website,” I replied loudly, thinking of a 2800 mile round trip I would need to make by car and a thousand dollars to fly and drive.  I didn’t swear but left in a huff, muttering about processes in this country and wondering aloud what language they were speaking.

I’ve taken Jerk Road too often.  I try not to, but I have skunk anger, and while I have mellowed with age, I can still erupt.  I never hit people, only things.  I don’t use weapons, and I don’t threaten harm, but I’m still on Jerk Road.

I felt badly and actually wrote a letter to DMV apologizing for my behavior.  My wife said that was “stunningly noble.”  I thought it was hardly either, just mousier than going back and personally apologizing,  I did feel better after sending it.

We all reach Jerk Junction sooner or later. I wish I would turn off on Suck it Up Road more often.

Six hours later, out walking in the park, we pass a man wearing headphones, using a cane, and with an unleashed dog, the last against park regulations.  The dog comes running at me, and I turn to head it away.  No problem, but I was annoyed.  Twenty seconds later, the dog comes at me so close that I had to use a newspaper I had to gently deflect him.  My wife, who can be delightfully vocal at the right time, spoke up, “The dog is required to be on a leash.”

The man replied, “People ought to be leashed, too.”

I stopped.  Cold.  At Jerk Junction.  The man was already on Jerk Road.  I could challenge him:  we were fifty yards apart, walking in opposite directions.  I shouted at him in German and turned down Suck it Up.  It defused me and caused no harm.  Briefly, I thought of confronting him on Jerk Road.  I quickly dismissed the notion as  (1) not being worth it, because he wouldn’t change, (2) risking being shot, since this is America, and (3) risking a fist fight.  Wrong road.

On the other hand, had his dog bitten me, I would have run home, calling urgent care on the way, washing the wound with soap when I arrived, since rabies virus is fat soluble. I likely would have had to undergo immunization, because five will get you ten the guy’s dog was unvaccinated.  Five will get you twenty that had we found the dog, the man wouldn’t have quarantined it.  People, you see, have rights.  The sagebrush rebellion folks, Cliven Bundy types, neither neuter their animals, nor control the number of kids they spawn nor likely served in the military, have rights.  They put up signs extolling a climate change denier running for Congress, believes radiation is good for people, wants to privatize SSI and Medicare, and said public schools were child abuse, as he hawked his $195 home school program. I know one of these guys personally, who got free care from doctors he knew, as he railed against “government doctors.” His IRAs (government program) were cashed out to pay for part of a hospitalization for heart difficulties (the hospital ate most of his bill), leaving him penniless.  I never asked him what he thought of the Affordable Care Act. Having done so would have put me on Jerk Road.  On 5 June 2012, I showed the medical society the Transit of Venus; when I said the planet was 26 million miles distant, the guy commented, “that’s less than the national debt.”  His political snipe was straight from Jerk Road. I stopped at Jerk Junction and didn’t follow.

We left the man in the Park with his dog.  We took Suck it Up Road home.

The irony is we are animal people.  I am not wild about dogs being carried everywhere, including planes (a recent New Yorker article detailed how one such dog pooped twice on the floor, the odor forcing an emergency landing to remove dog and owner, to the cheers of the passengers).  I don’t see why dogs should be allowed in restaurants, I don’t like them off a leash, where “he never did that before” may occur. But people love their dogs, and I grew up with one.

Being upset in DMV is hardly illegal.  Some might argue it is normal.  Dogs off a leash or in a food handling place are illegal. Not picking up after a dog is also illegal. Violators are seldom caught; their dog has just pooped on Jerk Road.

A while back, at Safeway, a guy ahead of me in the check out line glared at me strangely, after I moved my cart forward.  I was almost certain I didn’t hit him, but his look shot nails as if I had.  He was at Jerk Junction.  Simultaneously, the cashier started asking me several questions.  I hit overload, held up my hand, and told the cashier to stop talking.

I hit the brakes just before Jerk Junction, turned to the glaring man, apologized for hitting him, then turned back to the cashier, allowing him to talk.  The cashier later said I hadn’t touched the man, who was apparently having a bad day.  Yes, some people spend most of the day idling at Jerk Junction.  OK, an unnecessary apology.  But I didn’t go down Jerk Road.

One can’t be too careful at Jerk Junction.  Many arrive there armed, which is a bad combination. Americans have a lot of guns, killing 11,000 annually. I don’t want to be dead or one of the seventy-three thousand in the ED this year with a gunshot wound.  The Second Amendment is king here; people have the ability to buy a powerful weapon with no background checks, and use it in any way they see fit. My rights don’t count.

It’s quicker these days to reach Jerk Junction with more stress, more people, and a more complicated world. I know I will arrive there often.  That is life.  I can choose, however, to turn off on Suck it Up.  That would be wisdom.

FOR WHOM THE BELL TOLLS…21st CENTURY VERSION.

October 23, 2014

 

“…any man’s death diminishes me, because I am involved in mankind.  And therefore never send to know for whom the bell tolls; it tolls for thee”  (John Donne)

“Pneumonia is the friend of the elderly.”

“That’s what Meredith says happened to her mother. Though she received $40,000 worth of care in her last two months of life, not one of her 25 doctors sat down with Dorothy Glas and her family and discussed how she wanted to die.”

If Islamic terrorists shot down a plane with 400 people on board, we would have the country’s airspace shut down, fighter jets guarding our airspace, and the economy would suffer a huge blow.  Since June, that many women have died at the hands of a man they knew.  Not much outrage.  Since early August, that many children have died because of firearms. No outrage.

As I write, Ebola, with a death toll of 1 in the US, has caused pilots not to show up to fly, schools to close, and people to buy biohazard suits.  This is the “home of the brave”? The facts: at the time of writing, the 3-week quarantine for people who treated the index case in the emergency room has quietly ended. No other cases have occurred.  Ebola has dominated the news, with a large number of articles, posts, political cartoons, demands to “do something,” stop all travel with West Africa, which is a large area, most of which is not infected with Ebola.  It is worth looking at a map of Africa some time.  The continent is 50% larger than North America.  Two thousand languages are spoken.  Worrying about “West Africa” is like worrying in Portland, Maine for a problem in Atlanta.

I am not getting to my point soon enough.  Twenty thousand people a year commit suicide in the US using firearms.  I am not talking about murders, which are about eleven thousand.  But hey, to misquote Stalin, a single death is a tragedy and a million are a statistic. We tolerate similar carnage on our highways.  A young couple and their 7-month old died on US 20 the other day near Santiam Pass following a collision with a larger vehicle. It wasn’t Ebola, so there was no outcry.  But they are still dead.  There is no way we can prevent all these deaths, but we ought to do better.  Seventy-three thousand people go to emergency departments with gunshot wounds (GSWs) every year.  The current congressional representative from Tucson, Ron Barber, whom I know, walks with a limp, for he was shot at the “Tucson Massacre” in 2011, where his predecessor, Gabby Giffords, whom I also know, was severely injured by a GSW through the parietal lobe.  Her remarkable recovery, sadly incomplete, is inspiring.  A crazy man with a gun did that.

Ron has to campaign supporting the Second Amendment, even though he was a casualty of the fact that the Second Amendment apparently has no limits in the US, at least if one wishes to get elected.

Fact: the number of homicides per 100,000 people has fallen 50% since 1993.  This, however, has not been the case with suicides. Many of us think gun violence has increased.  It hasn’t.  It is still too high.  One is too high.  Suicide is the 10th leading cause of death, and firearm use in suicides accounts for more than sixty per cent of all firearm deaths.  Firearm deaths are a public health issue far exceeding Ebola, four times that of ALS, and fifty times that of Cystic Fibrosis.

Why would the NRA, therefore, through its influence in the Senate, try to block a Surgeon General’s nomination, who believes that firearm violence is a major public health issue?  Isn’t it? If a death from Ebola is major, what about twenty thousand a year from firearm suicides?  Is that not a public health issue?  Sure, a determined person who wants to die will find a way, but many suicides can be prevented.  We know this. The availability of firearms makes suicide a lot easier.  What about homicides, especially the women who die from being murdered by their husbands or boyfriends?  Why do we panic over Ebola but are so silent when it comes to men killing women and people killing themselves with firearms?

Come to think of it, on 60 Minutes, a doctor expressed outrage at Oregon’s Death with Dignity Act (DWDA), because he called it assisted suicide.  We call it “hastening” here.  Hey, they use their words, and I will use mine.  The DWDA was voted in twice by Oregon voters, despite political action by the Catholic Church (they should have lost tax-exempt status), upheld by the Supreme Court, and accounted for exactly 112 deaths in Oregon last year. The major reasons people choose hastening is not because of pain, which is still poorly treated, and the Dartmouth physician should be addressing that, but because all are terminal and have had enough. Here are their major reasons:

Losing autonomy  (93%)

Less able to engage in activities making life enjoyable  (89%)

Loss of dignity  (73%)

All 112 were going to die in a few months.  They wanted to choose when and how.  They were not depressed, as was alleged; 2 last year required psychiatric evaluation, and as a neurologist, who diagnosed depression long before the diagnosis was “mainstream,” I have some idea of what I am talking about.  No, these people had enough.  When one stood in front of the mirror one morning, after having lost 40% of his body weight, likened himself to an Auschwitz survivor, he had seen enough.  He knew what was coming, and he wanted to be in control.

Public health issues?  There are many.  Firearms are one, and the NRA is wrong to recommend against a Surgeon General nominee who understands that.  We can easily fix Ebola, and DWDA is what most people want to have an option. If you don’t believe me, volunteer at a nursing home some time, where demented people get their pneumonia treated, so they can go back to the same existence.

Finally, every adult, and let me repeat, every adult, needs a living will.  Young people can be brain damaged from accidents and they can get cancer, too.  Be very clear on what your end of life desires are.  You do have choices.  You can make choices I may not.  That is your right.

I don’t want my pneumonia treated, should I become demented.  It will be my friend.

TWO SIDES TO A STORY: FACTS AND UNSUBSTANTIATED OPINIONS

October 14, 2014

I didn’t start it, but I did finish it.

My wife and I took an early morning shuttle to the Minneapolis airport after our annual weeklong trip into the Boundary Waters.  Coming out of the woods after a trip requires readjusting to a lot of people and noise.  We had been been in a world where nature ruled.  It is not inherently dangerous in the woods, if one can read the weather, understand animal behavior, and constantly observe the surroundings.  There isn’t any right or wrong out there, only consequences.  We’d do well to heed that aphorism in nature today.

The other passenger was a woman from California’s central valley, who began a conversation with the shuttle driver about the drought.  The conversation soon devolved to the smelt, a fish that had been protected for years, but whose protection now cost sending water to farms.

After hearing “tree huggers”, I then heard her say “people have priority over fish.”  The fish had been protected by people, so I wasn’t following her reasoning.  The fish doesn’t have a choice but to live in water; people have the choice to control their numbers and use water properly, especially in dry areas, like the central valley.  Nature doesn’t tell us to control population or water use, but there are consequences if we don’t. The lady then referred to herself as “an environmentalist.”

I was beginning to seethe but held my tongue, as we would soon disembark.  My wife, however, who usually stays quiet, commented, “Some of us back here feel differently.”  Her words ignited me.

“Perhaps if California had a better system to allocate water and acted a lot earlier, this wouldn’t be a problem,” I began.  “Perhaps we shouldn’t try to grow certain crops in places where the rainfall is capricious.  If Fresno used the same water per capita as Phoenix, 3/4 million acre feet would be saved annually. Half the houses in Sacramento don’t have water meters.”  I had a dozen more things I wanted to say, including rainwater harvesting, fixing leaks, not brushing teeth with the faucet running, and 90-second showers, but we were at the airport.

“There are two sides to every story, I guess,” the woman replied.

“Yes,” I shot back.  “Facts and unsubstantiated opinions.”

That ended the discussion.

I don’t bring up controversial topics in places like airport shuttles.  But if they are mentioned, I may add my two cents’ worth.  What annoys me about the “two sides to every story” argument is many assume both sides are telling the truth.  They aren’t.  We have become a society where everybody’s say is equal to everybody else’s, and if Fox News wants to lie, it can, without consequences.  In 2014, we still allow equal time to those who believe the Earth is 10,000 years old, or that the highest carbon dioxide levels in humanity’s history have no consequences.  A large percentage of Americans feel there is no climate crisis, because enough doubt is interjected by the other side, especially by those who are good looking, sound sincere, misuse statistics, or just yell and bully— all are effective—to make their case.  We shouldn’t be debating evolution or the climate in 2014; animals are already evolving—or going extinct—because of us.  We should be trying to develop workable solutions to major problems.

I am disturbed by those with influence—I will use Sen. John McCain, for example—who violate their duty to use such influence wisely.  Mr. McCain has said many things I have disagreed with during the two decades I was his constituent.  His coming to my new state, Oregon, to campaign against a sitting Senator, once considered unethical by the Senate, bothered me.

What McCain said would have been laughable if so many people didn’t believe it.  He said that challenger Dr. Monica Wehby would be the “go-to” person to fix the VA System, since she had experience with the VA.

Mr. McCain voiced unsubstantiated opinions.  Here are facts:  Dr. Wehby is a pediatric neurosurgeon who had some of her training at the VA, like every other doctor, including me.  How many pediatric patients are at the VA?  None, unless we are conscripting kids for our several wars.  I too, trained at the VA, both as a medical student and as a neurology resident.  I saw patients. I did not know anything about running the system, and in my unsubstantiated opinion neither did Dr. Wehby. Fact: nobody with whom I trained had that experience. Fact:  Dr. Wehby has had two restraining orders placed on her by men.  That doesn’t disqualify her from the Senate, but at at time when we are polarized, her presence isn’t likely to help. That’s an opinion from one who studied psychiatry (a fact), along with an opinion that two restraining orders suggests an individual has serious anger issues. It is possible to be a good neurosurgeon yet a poor senator.  Opinion.

Fact:  Dr. Wehby is a physician running for the Senate.  Her medical training actually makes her less likely than the average physician to deal with health care finance, because she is highly specialized and less exposed to insurance issues than the average FP.  Fact.

I remember the last well-known physician-senator, Dr. Bill Frist, who also campaigned against Sen. Tom Daschle in South Dakota.  Frist had the absolute gall to say that Terri Schiavo was clearly conscious, on the basis of a video, because she laughed, when the late Ms. Schiavo was in a persistent vegetative state, a fact, where automatic smiling may occur, like in babies.  Fact: The American Academy of Neurology filed an amicus curiae brief with the Florida court, and Ms. Schiavo’s brain at autopsy weighed 600 gm, the least in an adult I ever saw as a neurologist.  Fact: I saw many brains at autopsy and cut brains to teach anatomy to the nursing staff at the hospital where I practiced.  Fact: Congress was called back for an emergency session in March 2005 to block Mr. Schiavo’s wishes to stop support.  Fact: some physician-legislators who were not neurologists weighed in with opinions without ever examining Ms. Schiavo.  Fact: I was a fellow of the AAN who had dealt with many vegetative cases in my career and supported the ethicists in the AAN who did examine Ms. Schiavo.

Yes, there are two sides to every story, but they are usually not equal.  We aren’t tossing a coin here, with a 50% probability of heads; we are dealing with the smelt, fresh water allocation, the climate, who runs the country, war, Ebola, overpopulation, the Earth’s age, and resource degradation.  We should be using science, models, and probabilities.  The probability that the Earth is older than 10,000 tropical years is 1. The confidence we have that manmade climate change is occurring is over 95%. Fact. California cannot continue to use water the way it once did.  Fact.  Unsubstantiated opinion:  America needs decisions made less by charisma and screaming and more by science and careful deliberation.

Fact: Soon.

SECEDE DOES NOT EQUAL SUCCESS

October 7, 2014

A significant number of people in America would like their state to peacefully secede from the Union.  Not surprisingly, the percentage is high in the western US and rural areas, home of rugged individualists, who want to be left alone, at least until something happens they don’t like, when they say, “somebody ought to pass a law against that.” My fellow doctors were like that, too.  They wanted to be left alone, until somebody muscled in on their turf, then wanted “administration” to do something about it.  Don’t get me wrong.  All of us are hypocrites at times.  I am.  But I admit it.

I am open to new ideas but seldom like those that were tried and failed, unless circumstances have changed.  A non-peaceful split resulted in the bloodiest war in American history.

I certainly can empathize with secession:  when I lived in Tucson, I was subject to laws passed in Phoenix, where progressive voices were drowned out by the Maricopa County crazies.  Many of us said, “Free Baja Arizona”  as a joke.  Our governor vetoed the bad laws, until she got tapped to head Homeland Security, part of the decimation of good Democrats whom Mr. Obama picked for cabinet positions.  Not counting him and Mr. Biden, at least four good senators and two Democratic governors in red states were lost, hurting the Senate, Kansas, and Arizona, which has never recovered.

But back to secession.  As a joke, in 1982, Key West declared itself the Conch Republic, declared war on the US, surrendered, and wanted aid.  The then mayor, if I remember correctly, actually got death threats.

I use Europe and the former Soviet Union to state my case against breaking a union.  Europe is a patchwork of small countries; the strongest, Germany, is one that unified.  Yugoslavia, once a powerhouse in southern Europe, run by the cagey Tito, is now seven smaller states.  The UN still has troops in Kosovo, keeping an uneasy peace for the past two decades.  Like Mt. St. Helens, the Balkans will erupt again.

Is Moldova really better off not being a part of Romania?  Perhaps. Is it a player on the world stage?  No.  Closer to home, Quebec tried to secede from Canada, fortunately not succeeding, which would have been disastrous to both.  Scotland almost left a three century old union.

The problem the secessionists don’t seem to understand is that there is a lot of work necessary to form another country, even another state.  Two northern counties in California want to become the state of Jefferson.  Their combined population is 50,000, about one-fourteenth the number needed to get a seat in Congress.  Anybody think of that?

Let’s look more closely at the “devil is in the details,” some of which apply to those who want to have a new state:

  • Constitution and governance:  Who writes it, and how is it ratified?  Who gets to vote and why?
  • Currency and how it will be backed: Gold bullion?  Who weighs, who certifies?  Cheating does occur; gold plating is easy to do.  Don’t laugh; Arizona has passed bills twice (fortunately vetoed) allowing for gold and silver to be used as legal tender, despite the hassle (ironically, big government) of having certified scales so that one can buy beer or bullets using Grandma’s earrings.
  • Ah, yes.  Taxes.  What is taxed and how much, who decides, who collects, what are they used for, and who enforces?
  • Defense: You may now follow the part of your beloved Second Amendment that you have ignored, because you will require a militia. By the way, the flag you love so dearly will no longer be yours.  The star will go, too.
  • Trade agreements with America: You may be subject to tariffs.
  • Safety nets, for a significant percentage of older Americans require Social Security as their primary source of income.  Have you thought about that?  Do you boot them out or let them “self deport”?
  • Healthcare delivery and payment.  Do doctors get paid with earrings or chickens? If I were still practicing, I wouldn’t take JSD (Jefferson State Dollars).
  • Payment for public land, which currently belongs to the American people, including folks like me, and I am not willing to sell it at any price.  I have rights, too, or are they now abrogated?
  • Dealing with natural disasters, like fire and severe storms, many of which affect states or areas more likely to favor secession.  Remember, FEMA isn’t coming any more.  Let’s discuss FEMA:  Maybe some think that passin’ the hat at church on Sunday will collect enough singles to pay for rebuilding a town. Good luck.  That is why we have FEMA, at least Mr. Obama’s FEMA 3.0, the one that works.  FEMA 2.0, under Bush, led to “Heck of a job, Brownie.”  Some of the 67 Republicans (no Democrats) who voted against federal aid for Hurricane Sandy rebuilding were themselves from states that received federal aid from natural disasters.  Katrina required 10 days to get an aid package passed; it was two months for Sandy.  Lot of hypocrisy out there.
  • Finally, JUSTICE.  Who arbitrates when two rugged individualists clash about land, roads, weight of gold or silver, taxes, responsibilities?  Who will ensure there is no cheating in the marketplace?  Who arbitrates when somebody is a nuisance, pollutes the land, shoots another, or even carries a firearm into a place where somebody like me doesn’t approve?  Who is right?  Who decides what the supreme law of the land will be?

The small town of Weed, California, in the heart of the state of Jefferson (a large sign stating the name is on the roof of a barn further north on I-5), lost 200 homes in a few hours from the Boles Fire.  Yes, passing the hat got $180K four days later.   They got assistance from Sacramento and the Red Cross. This won’t happen in the New Divided America.  These folks may charge tolls on roads that run through their land, and they may put checkpoints around them.  We in the rest of America will do the same.  Oh, the remaining US will be hurt, I don’t doubt that.  But not as hard as the next Weed, Joplin, New Orleans, or the Central Valley, when the next Cat 4, EF5, or Haines Index 6 + a cigarette tossed out a car window occurs.

Finally, I return to the basic tenet of the United States of America.  Secession to me has a simple one word synonym:  TREASON.  When I peaceably protested the Vietnam War 45 years ago, I was called a traitor for exercising my First Amendment rights.  Bumper stickers said, “Support the President”, then Mr. Nixon, under whom “a secret plan to end the war” caused 28,000 additional Americans to die. Other bumper stickers said, “America, Love it or Leave.”

We’ve come full circle, folks.  Support the President, and if you don’t like America, then you may freely leave.  But you don’t get to freely take your piece of America with you.  Nope.  You may try Moldova, Albania, or Turkmenistan, since European countries are socialistic, and 2000 languages are spoken on the African continent, along with Ebola and malaria.  You certainly don’t want anything to do with Spanish.  Maybe the Aussies or the Kiwis will take you. Or not.

Much as I don’t like you or want to be around you, I’d rather you stay, and a unified country.