Some time ago we said good bye to Duston who told us he would be going back to Kabul. So he went. Usually when incidents like the most recent Kabul bombing happen, one thinks of one's friends that could be there, in danger. And so I did as well, thinking he must be well anyway, most likely. Kabul is big (I thought). Not so. It is a small world after all. This is what came yesterday. fib
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Hibiscus Tea and Honey in Berlin
"Dear Friends,
At first, I should offer a quick explanation of this letter: I have not yet read any email replies you may have sent me since my last correspondence back around mid October or so. I am currently drinking Hibiscus Tea sweetened with a little honey in an Army Hospital in Berlin Germany. My Laptop Computer has not had internet for two weeks:
October 28th, 2009 began with a loud bang at exactly 6 AM Kabul time. Actually an explosion at the front gate to the Guesthouse where I was living. I don’t know if it was an RPG or Suicide Bomber, and will truly never know for a fact which one it was. The first explosion was followed by machine gun firing and then an RPG hit the front of the building. The Taleban killed the exterior gate residence guards, entered the front house and proceeded to kill as many UN Election Employees as possible before the Police arrived. A long and intense gun-battle ensued over the next hour and a half and the attackers were eventually killed around 7:30 AM. Some of my friends, and some employees, of the Guesthouse were also killed and many wounded during this incident.
I escaped physically unharmed within 90 seconds of the first sound of the attack.
The media incorrectly portrayed the building as the “UN Guesthouse” whereas technically it was a privately run guesthouse, and I referred to it in earlier email to you as the “Zoo”, because it had lots of animals and birds on the property. I do not know who survived other than I have a “story” of the massacre as I experienced it. I ended up with a large group of UN Election Employees who also survived as we hid together in the neighboring courtyard while the Taleban shot it out with the surviving guards, burned down the place and then shot it out again with the Police.
Around 7:40 AM , I was transferred by the Police to a temporary safe location, and then the Bank security man found me and I was taken to the big famous Hotel ( The Serena ) which is heavily guarded in downtown Kabul. Immediately after I arrived, I was standing in the Hotel Lobby , on the cell phone, calling the Germans who I work for, when a mortar round or RPG hit the Lobby. The glass exploded , and once again, I was not injured and everyone ran to the Hotel bunker to wait for the All Clear sign. The Hotel suffered nothing but broken glass and some jittered nerves, but for me, it was the second attack in less than two hours and I withdrew into my own little brain…..telling myself that no place was safe as it seemed like the terror was following me around that morning in Kabul.
Since then, I have stayed in German Army Hospitals except for the plane rides to Germany where I am now. I am receiving treatment for Psychological Trauma and am getting better quickly. I hope to be released to Outpatient within about 4 days. And then about a month more of Outpatient therapy and then final release back into the employment world when I will be able to totally navigate on my own. The goal is to prevent and reduce the long term possibility or impact of Post Traumatic Stress Disorder ( “PTSB”) which we all heard of with the Korean and Vietnam War Veterans and other traumatic incident survivors.
I shall not assign my survival that day to my training, skills, experience and quick thinking ( although I am told by many that it was a critical part of my actions and movement within the first minute of the attack ). I have been given yet another chance on the Planet by my Higher Power. I am no more “religious” today than I was a minute before 6 AM on October 28th; however I have grown substantially. My spirituality is stronger now than ever; and I am convinced that God has a Plan for me, I just need to follow the Steps and listen for His guidance on a daily basis.
Only once since then have I wanted or seriously thought of taking a drink, and I asked to be relieved of that notion, and it was granted. I take some light weight sleeping medication and hope to reduce the strength soon, then be totally free of it within two more weeks or so depending on what the Doctors say. I am receiving excellent medical care here in Germany, with three Doctors and a bevy of Nurses. I see a Trauma Specialist MD every other day and I am recuperating well.
My employment contracts ends in February so money is temporarily not a problem, and I have good insurance for the hospital expenses. So, for today, all I ask for is another chance to be free of my Weaknesses and Character Defects and look for the next path I am to take.
I totally and unconditionally TRUST.
Work the Steps. Turn it over to God. Clean House. Help Others.
With ALL my Love,
Duston"
http://www.whitehouse.gov/blog/2009/10/31/recovery-action-powering-america
Earlier in the week, President Obama announced the largest-ever investment in the nation’s electric grid—more than $3.4 billion in grants distributed among 100 grantees. Though the immense scale of the investment was clear during the President’s announcement, the flood of reports from news outlets across the country has been overwhelming. A sample of those stories are linked below, detailing new projects in South Dakota, Vermont, California, and several other states:
Arizona, Arizona Republic, 10/27/09SRP gets $56.9M boost from feds for customer 'smart meters’: Salt River Project will receive a $56.9 million grant from the federal Recovery Act to speed up the installation of "smart meters" for customers, the Energy Department announced Tuesday.
California, Sacramento Business Journal, 10/28/09SMUD receives $128M in smart-grid funds: The Sacramento Municipal Utility District has been awarded $127.5 million in federal economic stimulus funds that will go toward a $308 million smart-grid infrastructure investment.
Florida, Orlando Sentinel, 10/28/097 Florida utilities and tech firm to receive $264 million: Energy grants announced Tuesday by President Obama include $264 million for seven Florida utilities and an Orlando technology company, with each grant requiring final negotiations and matching contributions.
Georgia, Atlanta Journal Constitution, 10/27/09$200 million in stimulus funds flows to Georgia to update power grid: More than $200 million in federal stimulus money is expected to flow into projects in Georgia as part of the Obama Administration's plans to upgrade the nation's aging electric grid.
Massachusetts, Journal of New England Technology, 10/29/09Five New England states land $226M for smart meters: At least 832,000 smart meters will be installed across New England as a part of smart grid projects receiving funding from the U.S. Department of Energy’s Smart Grid Investment Grant funding.
Maryland, Daily Record, 10/27/09Federal funds granted for BGE’s smart grid: Baltimore Gas & Electric Co. expects customer costs for its smart grid projects to decrease after winning a $200 million grant from the federal government Tuesday, the company said.
Michigan, Detroit Free Press, 10/27/09Edison, Whirlpool to get stimulus money: Detroit Edison and the Whirlpool Corporation in Benton Harbor will receive $103 million in federal stimulus money to make investments in green technology.
Pennsylvania, Philadelphia Inquirer, 10/27/09Peco Energy gets $200M ‘smart-grid’ grant: Peco Energy Co. was awarded a $200 million federal stimulus grant today that will allow it to speed up deployment of "smart-grid" technology, including 600,000 advanced electric meters in the next three years.
South Dakota, Argus Leader, 10/27/09Two S.D. power companies to share $9M in federal funds to install smart meters (video): Black Hills Power and Sioux Valley Southwestern Electric Cooperative will share in more than $9 million in federal funding to help modernize the nation’s electric system.
Vermont, Bennington Banner, 10/27/09Powerful energy Vermont plan for ‘smart’ meters getting $69M: A Vermont plan to install electricity smart meters and other technologies to improve energy efficiency and reduce energy costs will receive nearly $70 million in stimulus money.
Wyoming, Star Tribune, 10/27/09Smart' grid stimulus funds come to Wyoming: Two Wyoming electric utilities will receive more than $7.5 million combined in federal grants to help modernize their infrastructure.
Dear Mrs. Jones:
Thank you for writing to me about pending health care reform legislation. I am committed to working with President Obama to ensure that Americans have access to high-quality, affordable healthcare that they can rely on. With the right legislation, I believe we can greatly improve care for our families while containing the growing costs of health care.
As the President made clear in his joint address last week, the status quo is unsustainable. Too many of our fellow citizens are suffering because of the broken promises of a health insurance system that abandoned them when they needed it most.
Americans will spend over $2.5 trillion on health care this year, more than one in every six dollars in the U.S. economy. In all, we spend twice as much per person on health care as other advanced nations, yet the United States ranks near the bottom of the 30 leading industrialized nations in basic measures of health such as infant mortality and life expectancy.
Many families are struggling to afford skyrocketing premiums and increased co-pays and deductibles. Health care premiums have more than doubled in the last nine years, and one respected study shows that, if we fail to act, the average California family will have to spend 41 percent of its income for health insurance premiums by 2016.
The growing number of uninsured is also contributing to higher costs: 46 million Americans do not have health insurance, and every day, another 14,000 Americans lose their coverage when they become seriously ill or lose or change their jobs. As a result, families with insurance are paying an extra $1,100 a year on average in premium costs.
Moreover, poor regulation of insurance companies means that even those with health insurance coverage are not always guaranteed to get the benefits they are promised. In the past few weeks, I have heard from so many Californians who can't get health insurance because of a pre-existing condition, or who are denied the medical treatment prescribed by a doctor because of insurance company bureaucrats. This is wrong, and we have to do better for our families.
That is why I support a strong bill and I will work hard to include a public interest option. I recently signed a letter authored by Senator Sherrod Brown to Majority Leader Reid insisting that the health care bill include the public option because I believe it is the best way to ensure competition in the marketplace. Americans who like their current health coverage would be able to keep it unchanged. But for our families and small businesses that can't afford or can't obtain coverage under the current system, a public interest option would be a safe haven.
We also need stronger regulation and penalties against insurance companies who discriminate against those with pre-existing conditions or drop those who become seriously ill. We must increase investments in prevention and wellness. And health care reform must not add a single dollar to the Federal deficit.
As we move forward, I will fight for a bill that meets these principles.
Again, thank you for writing to me. Please feel free to contact me again about this or other issues of concern to you.
Honduras' Carlos Pavon, right, and Donis Escuber hug after defeating El Salvador 1-0 and classifying for the 2010 World Cup at the end of a qualifying soccer match in San Salvador, Wednesday, Oct. 14, 2009. (AP Photo/Claudio Cruz)
s ago
TEGUCIGALPA, Honduras — A soccer victory that clinched Honduras' first trip to the World Cup in almost 30 years is giving its people an exhilarating distraction from the divisive political crisis that has gripped the country for the last 3 1/2 months.
Negotiators are continuing talks on whether to reinstate ousted President Manuel Zelaya. But right now Hondurans are more interested in celebrating Wednesday night's 1-0 defeat of neighboring El Salvador.
Thursday was declared a national holiday and hundreds of thousands of people celebrated outside, many welcoming the team at the airport and others lining the streets to a church where the players attended Mass.
Next year's World Cup in South Africa will be Honduras' first since 1982.
(This version CORRECTS that it will be Honduras' first trip to World Cup in almost 30 years, sted 30 years)
Copyright © 2009 The Associated Press. All rights reserved.
TUESDAY, Oct. 6 (HealthDay News) -- Expanding health coverage to adults may result in later savings from reduced Medicare spending on these individuals after they turn 65, especially for the uninsured with cardiovascular disease, diabetes or severe arthritis, according to research published online Oct. 6 in the Annals of Internal Medicine.
J. Michael McWilliams, M.D., of Harvard Medical School in Boston, and colleagues analyzed data from 2,951 adults who were continuously insured before the age of 65, and another 1,616 who were continuously or sometimes uninsured before this age. They assessed annual Medicare spending after age 65 for each participant.
The researchers found that total annual Medicare spending was $1,023 higher for the previously uninsured, which was a significant difference. The previously uninsured had higher annual hospitalization rates for complications related to cardiovascular disease or diabetes (9.1 versus 6.4 percent) and joint replacement (2.5 versus 1.3 percent).
"There are good reasons to believe that insurance coverage in the pre-Medicare years would reduce expenditures during the Medicare years, and health reform advocates will certainly take heart from the authors' conclusions. Unfortunately, because the data and methods used in this study are not capable of supporting causal interpretations, the savings to Medicare are unlikely to be as large as this study suggests," writes the author of an accompanying editorial.
The study was supported by the Commonwealth Fund. Several co-authors reported relevant consulting work and legislative testimony.
AbstractFull TextEditorial
Copyright © 2009 ScoutNews, LLC. All rights reserved.
Adviser Soapbox
Capitalist Case For Nonprofit Health Insurance
John E. Girouard 10.12.09, 7:09 PM ET
If you want to know what went wrong with our health care system and the best way to fix it, all you have to do is look back a few decades to a time when health care was a community concern, considered as essential as any public utility. It should be again, not just because it makes sense but also because it's the most profitable way to go.
The irony in the current debate over a "public option" health plan is that we once had a form of socialized medicine. Blue Cross, the most recognizable name, began in 1929 as a tax-exempt insurer covering a community of teachers in Dallas. Blue Shield was started as a tax-exempt insurer to cover employees of mining and lumber companies in the Pacific Northwest, with a group of local doctors providing care through a service bureau.
We lost the positive aspects of affiliation health insurance starting in the 1960s and through the 1980s when Wall Street discovered there was money to be made turning nonprofit health insurers, hospitals and nursing homes into investor-owned companies. What we got was a massive conflict-of-interest--profit vs. public good--that has culminated in a dysfunctional health delivery system that has undermined our economy, reduced our national wealth and torn our social fabric.
One might argue whether our estimated 47 million uninsured is a moral shame, but there is no argument that millions of people clogging our emergency rooms and other social services because it's their only option is a crime against our economy, both in direct costs and loss of productivity.
A solution that would have something for everyone and meets the test of minimum government intervention would have three tiers of coverage:
1. Primary Care Community Nonprofits: States, regional groups, hospital consortiums and communities would be encouraged to form nonprofit health insurance companies guaranteeing at reduced premiums a primary level of care--ambulatory, emergency room, routine physicals, and so on. Every citizen would be required to be covered.
This would immediately add 47 million new customers generating premium payments into the pool of available revenue. There would be no qualifying exam nor any discrimination based on pre-existing conditions.
Those who paid their mandatory premiums could deduct them on their income- tax returns. Those who failed to pay their premiums might be subject to a minimum tax penalty or some other mechanism to encourage compliance.
These nonprofits might then, like municipalities, be able to turn to the financial markets to raise capital for building projects and other needs, perhaps issuing tax-exempt bonds.
2. Reinsure Catastrophic Risk: Community nonprofits would be required to do what large companies do when self-insuring. They set aside enough reserves to cover their employees up to a set threshold above which they reinsure themselves. Nonprofits could do the same thing, passing risk on to for-profit companies against a financial disaster from big-ticket losses that could result from a single disaster, a disease outbreak, or just having a high percentage of elderly patients needing extensive care.
The for-profit reinsurance business ought to be highly profitable if well-managed. The number of transactions they would have to handle would be vastly reduced, driving down costs. But for this to work, these companies would need to be reinsured as well, much as banks are. That's where government steps in, just as it does in the banking industry.
3. Create a Federal Health Insurance Corporation: Just as we regulate the banking industry because it is essential, requiring banks to pay insurance premiums to guarantee deposits, the role of the federal government would be to act as the insurer of last resort. Such an agency would guarantee claims above a set amount, allowing private reinsurers to calculate their risks more accurately and set competitive, profitable premium rates.
This is not a public option, it is a public imperative. It is what we expect from government after a hurricane or other natural disaster. It seems logical that in the event of a health insurance disaster, Uncle Sam should be ready to step in for the public good. And it seems equally logical that the federal government should be in the business of setting standards and regulating an industry that provides a public service, just as we regulate water, power and public transportation companies.
This three-tiered approach contains elements that should appeal to most interest groups. The nonprofit primary care level eliminates the conflict of interest that currently exists between profit and the rendering of a crucial public service. Insurance companies would go back to doing what they are supposed to, managing risk instead of managing care.
This system is close to what members of Congress refer to as "the same health insurance we have." Once a year federal employees get to choose who their health insurer is from a list of a dozen or so approved providers. A covered employee with a chronic disease can switch insurers if he or she decides a different company offers a better plan, without an exam and regardless of pre-existing conditions.
This system should appeal to both sides of the "public option" argument.
Liberals who want to see everyone covered and the profit motive taken out of medical decisions would see their aims met as more citizens would likely seek out and receive preventive care instead of waiting until they need to be rushed to an emergency room at enormous expense.
Conservatives who want government to spend less and do more to stimulate the flow of capital and the creation of wealth would achieve their goals in the form of the private financing of nonprofit insurers and in the presumed net reduction in the cost to taxpayers of providing emergency and social services to the uninsured.
John E. Girouard of Washington, D.C., is a financial writer and the author of "The Ten Truths of Wealth Creation."
"Dedicated to the seven generations that came before usand the children of Indian Country today,so their innocence and laughter may develop into wisdomas they become the leaders of tomorrow."
American Indian and Alaska Native cultureshold children in a special place of honor. Childrenare the gift of the Creator. The birth of a child iscelebrated and honored. Each tribe has its ownworld view that tells the children their placein the cosmos through stories and ceremonies.The community has a sacred obligation toinstill in them the traditional knowledge of pastgenerations so their innocence and laughter maydevelop into wisdom as they become the leadersof the future.
For countless generations cradleboards wereused by Indian mothers to keep their infantssecure. Most cradleboards carry an umbilicalcord amulet to connect the child with past andfuture generations throughout their life. Weknow that in the same way, safe and nurturingIndian communities enable Native children tofully achieve their potential so we can honor andcontinue the culture and traditions of the pastseven generations.
Unfortunately, all too often Native childrenare born into circumstances that may be richin culture and love, but fail to meet their basicneeds of health, shelter, safety and education.Every Indian child should have the right tocommunity-based, culturally appropriateservices that help them grow up safe, healthy,and spiritually strong – free from abuse, neglectand poverty. Our communities – tribal leaders,parents, grandmothers, grandfathers, aunts,uncles and families – have a vision of a restored,safer, healthier Indian Country for our children.Creating safe and supportive tribal communitiesfor our children today honors our ancestors aswell as the generations to come.
This FY 2009 Tribal Budget Request highlights keyaspects of the vision tribal leaders have expressedto create a safe and healthy Indian Country for ourchildren. In developing these recommendations, werecognize that addressing the years of under-fundingand backlogs that plague Indian Country will beaccomplished over time. The requests that follow donot reflect the full need in Indian Country, but ratherare achievable first steps that we believe Congressand the President should be able to support this year.
I always liked Senator Clair McCaskill. fib
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I feel that I’m in an alternative universe. For eight years some people called anyone who disagreed with the President’s foreign policy or war in Iraq unpatriotic. Then in the course of two weeks, those same people cheer when the United States does not get selected for the Olympics and boo when our President is the unanimous choice for the Nobel Peace Prize. Go figure.
Congratulations Mr. President for standing up to the scorn and derision of your opponents in the election when you firmly stood for the proposition that strength meant being willing to talk to your enemies, not just your allies. Thank you for the confidence and wisdom to say that a hand will be extended when their fist is unclenched. And thank you for understanding that our national security rests on our principles, the example we set for the world, and our alliances along with the excellence and strength of our military, rather than exclusively the latter. God Bless America.
http://clairecmc.tumblr.com/post/208582433/the-twilight-zone
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