Dear All APF members,
FDA Briefing on Unapproved Opioids was held on April 9, 2009.
An emergency stakeholder briefing was convened via conference call by the FDA to address concerns that have been raised by the pain and palliative care communities regarding warnings to nine companies to stop manufacturing and distributing 14 opioid analgesics within 60 days. APF participated in this briefing. A replay of the briefing will be available until April 15, 2009 at 11:59 PM EDT. To hear the replay, callers can dial 1-866-419-2678.
Douglas Throckmorton, M.D., Deputy Director, Center for Drug Evaluation and Research stated that the FDA understands that patients dealing with terminal illness have unique needs that should have been taken into consideration. The FDA reported that they are taking immediate corrective action regarding the availability of the 20mg/ml morphine sulfate solution. They regretted that they failed to include representatives from hospice and palliative care organizations in deliberations over this particular issue and will improve their consultation process with key stakeholders in the future. The FDA commented that they were not aware of the extent of disruption in patient care because of their ruling or that a critical shortage of some of these medications already exists. We would like to acknowledge them for their swift action in this case as they became aware of the impact this disruption was having on the community. In order to help remedy this; they would like to hear from providers if there are critical shortages in medications to help manage patients optimally.
Action:The FDA has asked to be notified of drug shortages in your area as they arise. Contact FDA by emailing this information to drugshortages@fda.hhs.gov. All correspondence should include your professional information, name of the drug, your location, name of wholesaler (if available) and identify yourself as an APF member.
To stay informed of drug shortages, visit the FDA website at: http://www.fda.gov/cder/drug/shortages/
Our voices can make a difference.
If you are receiving this e-mail for the first time as a forward from a friend, please register here to continue to receive news and action items regarding pain management.
Sincerely,American Pain Foundation
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ALREADY many OBAMA FEDERAL STIMULUS funds for adultS disabled are being diverted to other programs - huge cuts including to psychologists are planned !
PLEASE VOTE NO ON 1E BECAUSE THAT BILL IS THE DEFINITION OF INSANITY !
DON'T ALLOW MH SPECIFIC $ TO "DISAPPEAR" IN THE CA GENERAL FUND.!!!!!!!!!!
WARning: CA CUTTING CARE TO DISABLED ADULTS on ssi/ssp THROUGHOUT all PROGRAMS increasing disability and inability among Adults with mh and multiple disability!
Act Now To Defeat Proposition 1E
California's Special Election is less than two months away. We must act quickly and take the necessary steps to defeat Proposition 1E.
From NAMI California by Grace McAndrews, Executive Director, March 26, 2009
It's up to us to act now to defeat this harmful act.
HERE'S WHAT YOU CAN DO:
FINANCIALLY SUPPORT THE CAMPAIGN
Attached for your convenience is a Fact Sheet & Contribution Form and Endorsement Forms for Individuals and Organizations. Please be as generous as you can. We ask that you share this information with all of your contacts, including members of your affiliate, neighbors, co-workers and friends listed in your address book. Post information on your web site and in your newsletter. Write letters to your local newspaper. Hold parties to support the campaign. Do whatever else is necessary to get the word out.
GET OUT THE VOTE
Voters who are registered to vote must vote at their polling place or vote-by-mail. This is critical. People who are not registered to vote must register by the deadline and vote either at their polling place or use the vote-by-mail ballot. This is critical as well. Historically, voting is light in special elections. We believe there is a good chance that t hose who opt for the vote-by-mail ballot may very well dictate the results of the May 19th election.
Those who wish to vote-by-mail can use the application printed on their Sample Ballot which will be sent prior to the elections, or one can apply in writing to their county elections official. If choosing the latter, you will need to submit a completed application or letter to your county elections official between 29 days and 7 days before the election. You can find the telephone number and address of your county elections official by looking in the front of your telephone directory in the White Pages Government Listing section under County Offices. Look for “Elections”, Registrar of Voters”, “County Clerks”, or “Voting.” For complete “how to” information of Registering to Vote and vote-by-mail, visit the following web site: www.sos.ca.gov/elections/elections Go to Voter Reigstration, click on Vote by Mail.
Critical Downloads:
Click Here to download the Fact Sheet and Contribution Form
Click Here to download the Endorsement Forms for Individuals and Organizations
NOTE: 501©3 affiliates can participate in this process as well as donate money to the campaign. Your affiliate's non-profit status will not be affected.
Thanks for helping to defeat Proposition 1E!!
Source: NAMI California
Link: http://namialifornia.org
ubject: Digg Story: GOP alternate PLAN ATTEMPTS TO TURN BACK THE HANDS OF TIMEReply-To: go2thesun@mac.com
http://digg.com/politics/GOP_alternate_PLAN_ATTEMPTS_TO_TURN_BACK_THE_HANDS_OF_TIMEThought you might want to check this out.digg user macdoodle would like to share this story with you: http://digg.comd1nqmN?OTC-em-st1 ---""GOP alternate PLAN ATTEMPTS TO TURN BACK THE HANDS OF TIMEThe GOP 10-year plan would trim the deficit by repealing much of the economic stimulus package, making the Bush tax cuts for the wealthy permanent, reducing Medicare/ health care and freezing domestic spending to benefit regular Americans.PAT ROBERTSON and others continue to preach to support the elite.
TRY TO BE MORE ABLE WHEN YOUR LEFT BLIND AND IN PAIN...
FROM CDCAN REPORT #0103-2009:
Pulling “Trigger” Would Have Stopped Permanent Cuts To IHSS Worker Wages, Elimination of Several Medi-Cal Optional Benefits, Cuts to SSI/SSP & CalWORKS Grant Levels From Taking Place – Those Cuts Will Now Happen Barring A Change of Mind By Governor and Legislature To Restore Funding
please take a minute or two and sign on.
individuals and organizations WE need YOU!
Marion Schmitz sent a message to the members of Organizing for America Orange County.
--------------------
Subject: Town Hall Meeting with President Obama this Wednesday in OC!
Latest info on our wall posts on OFA facebook group:
TOWN HALL MEETING WITH PRESIDENT OBAMA
Wednesday, March 18th
Doors Open at 1:30 PM OC Fair and Event Center
88 Fair Drive
Costa Mesa, CA 92626
TICKET DISTRIBUTION INFORMATION
The event is free and open to the public. Tickets are required and will be available at the following ticket distribution location beginning at 10:00 AM Tuesday, March 17. Tickets will be limited and will be distributed on a first-come, first-served basis:
OC Fair and Event Center
(Enter at Gate 1 or Gate 10; Park in Lot A.)
Costa Mesa, CA
For security reasons, do not bring bags and limit personal items. No signs or banners permitted. The OC Fairgrounds will be charging $5/car for on-site parking.
See you there!!
To reply to this message, follow the link below:
http://www.facebook.com/n/?inbox/readmessage.php&t=1105202424124&mid=28966eG33820b8eG40e5883G0
Stop the Trigger Cuts!
Don’t Leave Federal $$ on the Table, Take it!
The Governor’s Department of Finance has stated that California will not receive
enough money from the federal government to avoid more cuts to vital social
services. But California is not opting to take advantage of all the money available,
including money for higher education. The cuts that are proposed include:
• Medi-Cal: Eliminate many
services for adults, including
dental care,podiatry, audiology
and speech therapy and
psychological services.
• CalWORKs: Reduce grants by
4%, or about $30 per family per
month.
• SSI/SSP: Reduce grants by 2.3%
or about $30 a month.
•In Home Supportive Services
(IHSS): Cap the state share of
wages at $9.50 per hour (it is
currently $11.50 per hour).
• Higher Education : $100 million in cuts
Call the Governor Today!
Tell him to stop the Trigger Cuts and not Leave Federal money on the Table, take it. This is money that will benefit our state, take it.
Sacramento: Phone: 916-445-2841 Fax: 916-558-3160
Los Angeles: Phone: 213-897-0322 Fax: 213-897-031
Inland Empir Phone: 951-680-6860 Fax: 951-680-6863
San Diego: Phone: 619-525-4641 Fax: 619-525-4640
Central Valley: Phone: 559-445-5295 Fax: 559-445-5328
What does Governor Schwarzenegger say about
the federal stimulus package money:
"Well, Governor Sanford says that he does not
want to take the federal stimulus package money.
And I'll say to him, I'll take it," Schwarzenegger said. "I'm
more than happy to take his money or any other governor
in this country that doesn't want to take this money. I'll
take it, because we in California need it. I think it's a
terrific package. I think if you ask a thousand people for
their opinion, what is their ideal stimulus package, you
will have a thousand different answers. So everyone's is a
little different. I think he's done a great job and I think
California benefits tremendously from that $80 billion of
tax benefits there, for around $35 billion. There are other
advantages: $45 billion of money that go to
transportation, to education, to health care, all those
different areas. There's even some money that could
benefit our revenues or, I should say, our budget itself...."
THE CALIFORNIA PARTNERSHIP
2533 West 3rd Street, Suite 101, Los Angeles, CA 90057Phone: (213) 385‐8010 Fax: (213) 353‐1344
http://digg.com/health/FACTBOX_Groups_agree_and_disagree_on_U_S_health_overhaul
In the old days in my s.plainfield and middlesex, nj schools Children's health was often first addressed at the schools. It was most of my neighborhoods front line medical care and it was preventative and effective.
WHY NOT add in every EVERY PUBLIC SCHOOL HAVE ( adjusted by student size) A NURSE PRACTICiONER AND An AIDE. MOST BASiC KIDS HEALTH CAN BE HANDLED HERE AND FAR CHEAPER THAN WAITING FOR ER CARE.MANY CHILDREN with disabilities CARE CAN BE DEALT WITH ON THE FRONT LINES BY THE SCHOOL COUNSELOR AND NP, When they have been properly trained.KEEPING THESE CHILDREN IN MAIN STREAM SCHOOLS whenever possible EVEN IF some of THE CLASSES ARE SEPaRATE to address special needs GIVES THEM BETTER SOCIaL EXPERIENCE and future successes too....And there are many more ways to keep America it's healthiest without breaking the bank.
FIRST STAGE HEALTH CARE FOR PUBLIC PRESCHOOL -HS in response to:
Date: Tue, 03 Mar 2009 11:35:07 -0500
From: Spoon <bspoons@consolidated.net>
Subject: [SiCKOUniversalHealthCare-HR676] Groups agree and disagree on U.S. health overhaul Politics First 100
Message-ID: <000901c99c1e$c50152c0$8f01a8c0@spoon01>
Reuters apparently does not know (or refuses to recognize) that we exist.
http://www.reuters.com/article/GCA-BarackObama/idUSTRE52169Y20090302
Attention Hurricane Katrina Survivors!
We want to hear from people who have a disability or who have diabetes who had an experience with Hurricane Katrina.
Are you someone or know someone who:
Has a disability or has diabetes?
We are doing research to study the impact of Hurricane Katrina on people with disabilities or diabetes. We are collecting information on the barriers and disruptions they experienced in their lives, the strategies they used to reestablish their lives and their disaster-related needs as they recovered from Hurricane Katrina. Participants will be asked to spend approximately 30 minutes on the telephone answering survey questionsand will receive financial compensation for their time.
To sign up for this study or for more information call 1.866.578.4366. This project is in collaboration with the Center on Disability and Development at Texas A&M University and the ILRU Program at TIRR Memorial Hermann Hospital.
found this on disaboom.com
CDCAN NEWS REPORT
CALIFORNIA DISABILITY COMMUNITY ACTION NETWORK
ADVOCACY WITHOUT BORDERS: ONE COMMUNITY
REPORT #078-2009 FEBRUARY 27, 2009 – FRIDAY
California Disability Community Action Network Disability Rights News goes out to over 45,000 people with disabilities, mental health needs, seniors, veterans with disabilities and mental health needs, their families, workers, community organizations, including those in Asian/Pacific Islander, Latino, African American communities, policy makers and others across California.
To reply to this report write: MARTY OMOTO at martyomoto@rcip.com Website: www.cdcan.us
BREAKING NEWS
FEDERAL JUDGE BLOCKS NEW MEDI-CAL PROVIDER CUTS
CUTS WOULD HAVE TAKEN EFFECT MARCH 1, 2009
SACRAMENTO, CALIF (CDCAN) [Updated 02/27/09 2:40 PM (Pacific Time) ] - A federal district court judge in Los Angeles today issued an order that will block the new Medi-Cal rate reductions that was scheduled to take effect March 1, 2009.
The cuts were passed last September as part of the three month delayed 2008-2009 State Budget. It cut Medi-Cal provider rates for doctors and others by 1% and for pharmacies, adult day health and other providers by 5%. Those reductions rolled back previously approved cuts to provider rates that went into effect July 1, 2008. Those cuts however were stopped by the same federal district court judge in August 2008 for most Medi-Cal providers, and in November for other Medi-Cal providers. The State has appealed that decision but the injunction that blocked those cuts, remains in effect.
See later CDCAN Report today for more details on this case.
URGENT!!!!
PLEASE HELP CDCAN CONTINUE ITS WORK!!!
CDCAN Townhall Telemeetings, reports and alerts and other activities cannot continue without your help!
CDCAN Disability Rights News Reports, Telemeetings & other Events
Advocacy Without Borders - ONE Community:
To respond to this report reply to: Marty Omoto at martyomoto@rcip.com CDCAN website: www.cdcan.us
To continue the CDCAN website, the CDCAN News Reports. sent out and read by over 45,000 people and organizations, policy makers and media across California and to continue the CDCAN Townhall Telemeetings which since December 2003 have connected thousands of people with disabilities, seniors, mental health needs, people with MS and other disorders, people with traumatic brain and other injuries to public policy makers, legislators, and issues.
Please send your contribution/donation (make payable to "CDCAN" or "California Disability Community Action Network):
CDCAN
1225 8th Street Suite 480
Sacramento, CA 95814
You can also donate via credit card – paypal on the CDCAN site working again!
The CDCAN Townhall Telemeetings are partially funded by a small grant from the USC UCEDD, Grant #90DD0540 from the Administration on Developmental Disabilities. (note: the opinions expressed or content in these reports do not necessarily reflect the views or opinions of the USC UCEDD.
MANY, MANY THANKS to FEAT of Sacramento (Families for Early Autism Treatment), RESCoalition, Easter Seals of Southern California, Tri-Counties Regional Center, Westside Regional Center, Regional Center of the East Bay, Friends of Children with Special Needs, UCP of Orange County, UCP of Los Angeles and Ventura Counties, Alta California Regional Center, Life Steps, Parents Helping Parents, Work Training, Foothill Autism Alliance, Arc Contra Costa, Pause4Kids, Manteca CAPS, Training Toward Self Reliance, UCP, California NAELA, Californians for Disability Rights, Inc (CDR) including CDR chapters, CHANCE Inc, , Strategies To Empower People (STEP), Harbor Regional Center, Asian American parents groups, Resources for Independent Living and many other Independent Living Centers, several regional centers, People First chapters, IHSS workers, other self advocacy and family support groups, developmental center families, adoption assistance program families and children, and others across California
Wednesday, 7th January 2009
Washington, D.C.
Step through a typical day for the president-elect, from the morning worship service to the official Inaugural ballsLearn >
www.change.gov
Please vote up "The Sperry Plan" (an evolvable "single payer plan) question at: http://change.gov/page/content/openforquestions_20081217_private_url
THE SPERRY PLAN
PART OF THE ANSWER TO THE HEALTH CARE PROBLEM
(The below plan was presented to David Cutler as an evolutionary plan not a revolutionary plan. It should cover MEDICAID and should be open to anyone who doesn’t have insurance on a means basis the way the “single payer” plan is in Japan. It should also be an option for MEDICARE and anyone else. It is believed the bonuses for better care and service will provide a service that will be the most attractive to all as they see it work and as it brings its costs down.)
To obtain optimum health care for less we must change the way we buy health care. It is easy to do. All that is necessary is to stop letting the special interests control the market through fear mongering. We are the source of the money and we can decide how we want to give it over to the health care providers and insurance companies. As we decide we wish to change the way we buy health care, the health care providers will have to adapt the way they sell or get out of the health care business.
The Meat:The Sperry Plan has contract bonuses based on morbidity report line items and service satisfaction reports such that the bidder for a contract would see the bonus as the expected profit if a projected performance is met.
Endemic health problems for a bid area could be approached by providing increased bonuses on that morbidity report line item. An example of a morbidity line item and its related bonus might be .01% for meeting a minimum acceptable rate of live births.02% for achieving a national average rate of live births .02% for achieving a locally set goal of live births .02% for exceeding the locally set goal by 20%Etc.The above is picked out of the air. It would be expected that contract administrators would be able to set the bonus items somewhat scientifically on a goal achieving target basis which should be somewhat based on community input. Such items should bring more focus on the less costly preventive medicine methods of health maintenance and benefit us all with a longer life expectancy and lower cost health maintenance.
Others have been thinking along the lines of some of The Sperry Plan details.
Peter Diamond: Institute Professor, Massachusetts Institute of Technology wrote an op-ed for the New York Times in 1992 entitled “Fanny Medic”. His basic premise, we should buy health care based on where we live, is on the right track but the Sperry Plan had it first. Lemuel was promoting the better and more complete Sperry Plan in the Los Angeles area in 1991 as a potential ballot initiative but was unable to have or raise finances sufficient to get it off the ground.
The Sperry Plan buys health instead of sickness. Contracts for health maintenance would be issued by location with the consumer choosing his home zip code, his work zip code, his school zip code, or a neighboring zip code for the location of his health care.
The consumer would be able to choose his physician and hospital with in his selected area. Emergency care would be at the nearest available site with fixed day rate transfers between the provider of the care and the patients health maintenance contractor. (This charge would be similar to the fixed charges by military medical facilities for emergency care to those who would not otherwise be qualified for care at military facilities.) A patient who becomes dissatisfied with his contract area’s care should be able to change his area at will.
There would be no co-payments.
A physician’s assistant corps would be developed by methods similar to the training of Navy corpsman. The physician’s assistant corps could be reserve military and would be assigned to health maintenance contractors on request with the contractor picking up the costs of pay and benefits for the members of the physician’s assistant corps assigned to them.
The physician’s assistant corps is the backbone of the preventive medicine item of no co-pay. Physician’s assistant corps volunteers should be able to receive full scholarships to medical, nursing or medical technical school if they are mentally and physically qualified, including the pay and benefits of military academy cadets and if a slot is available. They would be required to continue to serve the corps as assigned for a minimum of say 2 years for each year of training as a means of payback.
The Sperry Plan has a contract bonus based on morbidity report line items and service satisfaction reports such that the bidder for a contract would see the bonus as the expected profit if a projected performance is met.
Endemic health problems for a bid area could be approached by providing increased bonuses on that morbidity report line item. An example of a morbidity line item and its related bonus might be .01% for meeting a minimum acceptable rate of live births.02% for achieving a national average rate of live births .02% for achieving a locally set goal of live births .02% for exceeding the locally set goal by 20%Etc.The above is picked out of the air. It would be expected that contract administrators would be able to set the bonus items somewhat scientifically on a goal achieving target basis which should be somewhat based on community input. Such items should bring more focus on the less costly preventive medicine methods of health maintenance and benefit us all with a longer life expectancy.
A percentage of the bonuses would be required to be shared with all employees on a pro-rata basis to help improve “bed side manner”.
No type of current medical provider would be blocked out of being a contractor or subcontractor. If an insurance company using fee based medicine could achieve profitable results and meet the morbidity and consumer satisfaction standards they could bid on a contract. The patient however, must be exempt from filling out claim forms other than signing a certification that the care was received. It is unlikely that an insurance company could obtain a competive basis bid contract because of their added costs of claim administration and a requirement that they pay all claims.
Anyone who is satisfied with their present medical plan would be able to continue it. Employers who provide health insurance presently would be required to maintain what they have as long as the employer cost isn’t raised and be required to add The Sperry National plan as an option.
Everyone would be required to pay Sperry Plan premiums according to their means, and other available coverage; a minimum premium for National Catastrophic incident coverage and would be transferred to The Sperry Plan on exhaustion of all other insurance benefits. In this manner The Sperry Plan would replace much of MEDICAID. Everyone would be required to be insured or post an adequate bond to assure their ability to pay for their health care out of pocket. In the event they choose to “roll the dice” and not pay for health insurance other than the means tested catastrophic fee collected with the Income Tax (MEDICAID now hidden in your tax bill), they would have to catch up all unpaid premiums from the point of their last coverage until they need insurance covered care. (Similar to what MEDICARE does now for those who elect not to have other than hospital coverage except not as onerous.)
The Sperry Plan would take all pre-existing conditions without an additional charge. Any state desiring to add their welfare recipients or other destitute residents to The Sperry Plan could do so by doing the means testing and could elect to pay the premium for such individuals.Premium collection and issuance of insured cards would be administered by the IRS while the contract auditing and oversight would be by the National Public Health Department. Local area contracts would be administered by contract administrators selected by state publically elected officials and approved by the Surgeon General of the U.S.
Prescription Drugs need to be free. We don’t want anyone to die because they can’t afford or think they have more important choices than their medication. To keep the cost down, military style pharmacies should be at all clinics. How the commercial pharmacies will be compensated for loss of business is a question? Perhaps they could bid as a subcontract for providing pharmaceutical services.
THE SPERRY PLAN is not written in stone. Let's discuss it and revise it to the point that most voters will accept it. It can be revised or repealed even after it is enacted. But let's get off the fence and do it. Just do it.
For editable copies of this blog email me at: lembray@hotmail.com
Plenty of space has been left to insert flags in the pdf file, or if you choose you can recommend changes in the word document and send which ever you use back to me. We’ll discuss the changes and up dates on the various forums for this purpose. Ultimately, I may send 2 or 3 versions to David Cutler and the institute writing the details. (I’m still hoping to be selected to be on the institute.)
Death in America
For each Medicare patient the most dollars are spent in their last six month of their lives.
I will be describing my observations about this last few month of these individual lives.
I have been doing critical care consultations in Intensive Care Units in the last 10 years.
I have seen lots of patients getting admitted to ICU’s. Most improve after a few days and are transferred to regular floors and later get discharged. I am focusing on those who don’t get better. Patients after massive strokes or survivors of cardiac arrest have different outcomes.
I have seen very frequently elderly patients being admitted to ICU on life support. Depending on their underlying conditions, in cases of stroke and cardiac arrest more than five minutes, the likelihood of full recovery is null.
I will be focusing on this group of patients. Very few patients have advance directive, rejecting long term life support when there is no chance of recovery.
Some patients don’t have a family to make a decision for them and some who do are so shocked by the events that they are paralyzed to make any decisions. After around one or two weeks of ICU stay, most of these patients get a tracheotomy, and feeding tube and are transferred to specialized nursing homes. Because of the lack of movement, poor immune system and too many tubes connected to their bodies, sooner or later, they develop some sort of infection and are transferred to the hospital.
I am talking about thousands of patients who don’t have any mental function, who are on life support, being shipped back and forth between hospitals and nursing homes. Most of the time these patients need to be admitted to ICUs, because of the severity of their illnesses, usually there are more than five physician consultants on each case. Based on new payment system from Medicare, these patients tend to stay in the hospital around two weeks, mostly in the ICU. After a few such episodes, most of the patients develop resistant nosocomial infections, requiring more and more Antibiotics. In some cases they develop Renal failure requiring Hemodialysis. If that happens no nursing home will ever take the patient. Usually these patients stay in the hospital until they die. Which could take a few month.
The question is, why is this happening. I don’t know of any other country that tortures elderly in this manner. The concept of a natural death is lost in this country. Everybody wants to live as long as possible at any cost and under any circumstances, even if they are almost brain dead with zero chance of recovery.
There are many ways of approaching this problem.
One is better education for the patients and their family members. Making it mandatory for every patient to have a Power of Attorney, Advance directives and Stronger social services at hospitals to provide support for the family members.
I believe even with all these procedures, there are going to be individuals who will demand every possible treatment for themselves or their relatives even if it is absolutely futile. I believe the cost of futile care is currently unbearable and will explode in coming years, when the baby boomers enter their last years or months of their lives.
Because of the immense cost of “futile care” on the system, immediate action is necessary.
I am suggesting that the cost of the “futile care” to be divided only among those who want it, if the situation arises.
It will be easy to calculate the cost of “futile care” for all Medicare patients. Currently Medicare provides Part A, covering hospital stay, Part B, covering doctors. I am suggesting to create a Part C, covering “futile care” (we have to find a better name for it).
The people who desire it should pay a higher premium on their Medicare or Insurance carrier.
The price should be in an affordable range. But just creating such a category will encourage the patient to think about futile terminal care before they needed it.
With Part A and B only , patients get all their medical needs covered. Only after a disastrous illness without no chance of recovery, which has to be confirmed with multiple physicians and ethic specialist and even the heath departments, medical care can be terminated.
We could ask our friends in Broadcasting to make documentaries and reports about what happens once patients loose their mental capacity after serious illnesses, so much that they don’t even know if they are alive or dead. Nobody wants to spend the last weeks or months of his/her life being confined to a bed with at least a tube in each orifice of his/her body, without any awareness of the surrounding. With a massive campaigning, we could make the public aware: that it is possible to have a peaceful death without being tortured for a few months.
Mirali Zarrabi, MD
THESE ARE THE VOTES WE HAVE TO CONTINUE TO SHOW TO THE PEOPLE-
View Votes (House of Representatives roll no. 491)
View Votes (Senate roll no. 177)
THE FLIP FLOP 4 FUTURE VOTES only once INEVITABLE!!!!!!!?
GeorgiaAyeGAChambliss, C. [R]AyeGAIsakson, John [R]
I am writing a book on Obama volunteers’ experiences. This text will focus on meaningful and inspiring stories from your phonebanking, canvassing or other campaign journeys. If you have pictures or stories of volunteering that were significant to you and you think would have meaning for others, please send submissions to:
AdeleNicols@yahoo.com orP.O.Box 494, Waitsfield, VT 05673
I have a particular interest in the "phonebankers". Making cold calls throughtout the United States was a unique opportunity to get to know the diverse pockets of individuals and communities that exist within our nation. I personally had some amazing discussions that I know must have been echoed by other volunteers. I am better off from the experience...and am eager to showcase your personal experiences.Chosen submissions will be notified by January 10, 2008 and full acknowledgement will be given in the publication.
I am looking for stories that will exemplify the broad scope of voters that were either for or against Obama. My primary interest is to showcase the heart of the Obama campaign by revealing personal and transformational stories and images that were at the core of this successful campaign.
Thank you in advance for your participation. Feel free to contact me with any additional questions you may have.
Sincerely,We did it!Adele
I listened to C-SPAN yesterday with lots of people still talking with a very bitter racial tone about the election. As an African American (AA) I feel very insulted that this election has been reduced to RACE.
Well to you all out there who say we all for POTUS Barack Obama simple because we are AA. I want you to know that decades since AA won the right to vote in this country we have all voted for a Caucasian POTUS. So far I think I have voted for Caucasians than any of you will ever vote for an AA and I do challenge you all to prove me wrong. Should I call you that refused to vote an AA solely on racial gronds racist? Maybe but at this defining moment I refuse to do that. If you do not want to vote for an AA solely on racial grounds that to some extend that is unfortunate, but when you look at his policies you have to rethink and look at what your children and grandchildren will be left with.
Now lets us look at the facts.
The economy went south and we had then Sen. Obama show us how to handle difficult times with confidence. Yes he is an AA and I agreed and voted for him with pride.
We have always had a progressive tax system in the USA and his tax policies do reflect that and not wealth distribution or socialist system as some want us to believe. Yes he is AA and I agree with his tax policy and voted for him with pride.
Our education system is in shambles (China and India are doing better than we are doing with training engineers and MDs)and tuition is going up everyday, I love his US$4000/year credit to students who serve the nation. Yes he is AA and I voted for him with pride.
We are fighting two wars with astronomical deficits, bin Laden is free, the Taliban is strong in Pakistan and the Sen. McCain wants to keep us in Iraq for maybe one century if the Iraqis do not kill our soldiers. POTUS elect Obama has a different policy to bring our men and women home. Yes he is AA and voted for him with pride.
Our foreign policy sucks and anyone who has traveled our the USA since Bush/Cheney came into power will see what a they have done to our nation. POTUS elect Obama has a different approach to foreign policy and the go alone mentality of you are with us or against us. Yes he is AA and I voted for him with pride.
We are loosing jobs here at home, the foundation of our auto industry is crashing, people are loosing their homes at an alarming rate. He had plans to protect jobs and these companies. Yes he is AA and I voted for him with pride.
He was a community organizer, he created a movement, inspired the world and called us to service and we responded by canvassing the neigborhood, calling across the nation, donating what ever we could to built a political movement (young and old, professional, educated and non, men/women). Yes he is AA and we were proudly behind him.
If none of the above cited reasons were convincing enough to move you then that is fine but as he said he heard your voices and will work to be your president.
