What is the Lying Malignant Narcissist Planning for the VA Medical System?

The popular-vote loser and allegedly illegitimate President Donald Trump wants to privatize the Veterans Administration. The Liar-in-Chief claims that vets are not getting the medical care they deserve.

But Bill Moyers.com reports, “Scamming US Veterans: Efforts to Privatize Veterans Administration’s Health System … Evidence suggests that a privatized system would make worse any problems veterans now face in getting care — and it is likely to cost more money.”

The VA currently has 168 VA Medical Centers (hospitals) and 1,053 outpatient sites.

How much do you think the VA infrastructure is worth – all those hospitals and clinics that were built with public funds over the last century – Trillions?

Just one of the 168 VA hospitals, the one in Palo Alto, has over 800 beds, including three nursing homes and a 100-bed homeless domiciliary – all to serve more than 67,000 enrolled Veterans.  Although the cost of building a hospital varies depending on where you live, an answer on Quora estimated the cost is about $1.5 million per bed. If accurate, the VA hospital in Palo Alto is worth about $12 billion.

If one VA hospital is worth about $12 billion, what are all of them worth?

Some states are already giving, yes giving – not selling, public schools and the property to private sector, for profit, corporate charters and those charters, when they go out of business, and many close their doors annually, can sell that property resulting in a 100-percent profit because that land and the buildings were free. If the state wants that school back that taxpayers already paid for, then it has to be paid for again with public funds.

I’m a woodworker. That’s my hobby. Last summer on a Saturday, even with all my safety gear (goggles, Hepa filter mask, ear protection, gloves) I still ended up with a wood-chip embedded under my left eye lid and that chip was scratching the surface of my eye.  When I called the VA’s 24/7 nurse, I was told that there was a high risk of losing vision in that eye. She said, “Get to a hospital emergency center as soon as possible.”

My vision was blurred and the pain was intense.  The closest hospital emergency room was at John Muir Hospital in Walnut Creek, and my VA medical coverage might not cover the cost of that visit.

It cost my former sister-in-law several thousand dollars when her youngest son had a severe asthma attack, and she didn’t have health insurance.

“For patients without health insurance, an emergency room visit typically costs from $150 – $3,000 or more, depending on the severity of the condition and what diagnostic tests and treatment are performed. In some cases, especially where critical care is required and/or a procedure or surgery is performed, the cost could reach $20,000 or more. “ – CostHelper.com

I couldn’t risk it but I couldn’t drive, so I asked a friend to drive me to the VA hospital in Palo Alto, California where the VA has a 24/7 emergency medical center. That VA hospital is huge.

After arriving, I didn’t have to wait long before I was seen by two doctors who then referred me to a specialist, a doctor on call from the Stanford University’s Medical Center. The Stanford doctor drove to me at the VA hospital and saved my eye.

I discovered, when possible, the VA has partnered with many private sector and university hospitals to make sure vets get the care they need. After all, The Washington Post reports there is a shortage of primary care physicians in the United States, and it’s going to get worse.

In any huge system there is going to be problems, but my experience with the VA is that the problems are few compared to the private sector where I had my medical care for decades before I retired from teaching and turned to the VA for medical care.

And U.S. News.com reports, “Medical Errors Are Third Leading Cause of Death in the U.S.”

“People don’t just die from heart attacks and bacteria, they die from system-wide failings and poorly coordinated care,” says the study’s lead author, Dr. Martin Makary, a professor of surgery and health policy at Johns Hopkins University School of Medicine. “It’s medical care gone awry.”

Turning the nation’s vets over to the private sector, for profit medical care system is not the solution to any problems the VA medical system has.

In fact, thanks to the VA’s innovative computer information system, most of the mistakes that cause deaths outside of the VA do not happen there.

From the Bill Moyers piece (link above): “The key point was that the VA system effectively tracks patients through their various contacts with doctors and other health care professionals.”

“This reduces the likelihood that they will get unneeded treatment, but more importantly, ensures that the patient’s doctors are aware of the other treatments their patient is receiving. A major problem for patients seeing multiple doctors is that none of them may have full knowledge of the set of conditions afflicting the patient or the drugs they might be taking. By keeping a central system and having a general practitioner assigned to oversee the patient’s care, the VA system minimizes this source of mistakes. In fact, this model is so successful that most providers have tried to move in the same direction in recent years.”

The VA also negotiates the cost of drugs with the private-sector, for-profit drug industry. The Los Angeles Times reports, “the VA pays 40% less for drugs than Medicare.”  In fact, if Trump and/or Congress allowed Medicare to negotiate drug prices too, the savings could be about $30 billion annually.

Back to Bill Moyers: “Nonetheless, as Alicia Mundy points out in a recent Washington Monthly piece, the VA system still did quite well by most measures. An analysis done for the VA in 2010 found that nearly all the studies comparing the quality of VA care with its counterparts in the private and public sector found that the VA provided care that was as good or better than what was available in its competitors.”

The New York Review of Books says, “Privatization means that a public service is taken over by a for-profit business, whose highest goal is profit. Investors expect a profit when a business moves into a new venture. The new corporation operating the hospital or the prison or the fire department (or the school) cuts costs by every means to increase profits. …

“For the past fifteen years, the nation’s public schools have been a prime target for privatization. Unbeknownst to the public, those who would privatize the public schools call themselves ‘reformers’ to disguise their goal. Who could be opposed to ‘reform’? These days, those who call themselves ‘education reformers’ are likely to be hedge fund managers, entrepreneurs, and billionaires, not educators. The ‘reform’ movement loudly proclaims the failure of American public education and seeks to turn public dollars over to entrepreneurs, corporate chains, mom-and-pop operations, religious organizations, and almost anyone else who wants to open a school.”

It’s already happening to our public schools; it can happen to the Veterans Administration too. I don’t want some greedy SOB like Donald Trump to destroy the quality of VA medical care.

_______________________

Lloyd Lofthouse is a former U.S. Marine, Vietnam Veteran, retired public school teacher, journalist, and award-winning author.

Where to Buy

Subscribe to my newsletter to hear about new releases and get a free copy of my award-winning, historical fiction short story “A Night at the Well of Purity”.

Combat Hero Blasts Trump’s Attacks on Free Press

Diane Ravitch's blog

The commander of the Navy Seal raid that killed Bin Laden denounced Trump’s absurd claim that the press is “the enemy of the American people.” Retired Admiral William H. McRaven said that Trump’s charge that the free press “the enemy of the American people” was “the greatest threat to democracy in my lifetime.

“William H. McRaven, a retired four-star admiral and former Navy SEAL, slammed President Trump’s characterization of the media as “the enemy of the American people,” calling that sentiment the “greatest threat to democracy” he’s ever seen.

“That’s coming from a man who’s seen major threats to democracy.

“McRaven, who was commander of the secretive Joint Special Operations Command, organized and oversaw the highly risky operation that killed Osama bin Laden almost six years ago. The admiral from Texas had tapped a special unit of Navy SEALs to carry out the May 2011 raid on the elusive…

View original post 97 more words

The Nightmare for Everyone on the Planet that some Clinical Psychologists call A Dream Come True

Lloyd Lofthouse

How dangerous is President Donald Trump? The answer is that he is very dangerous, and what does that mean?

Malignant Narcissism Described by Psychologia.com

“If you are hearing about malignant narcissism for the first time, you may be wondering how is that different from narcissistic personality disorder or simply narcissism. Isn’t narcissism malignant in itself? …

“Narcissistic personality disorder is a destructive preoccupation with one’s own personal adequacy, power and prestige. People with this disorder crave for admiration, have an unreasonably strong sense of entitlement and are often preoccupied with unrealistic fantasies of success, beauty and ideal love. Unlike malignant narcissism, narcissistic personality disorder is defined as a mental illness in DSM-V (Diagnostic and Statistical Manual of Mental Disorders, the Fifth Edition). …

“Campbells’ Psychiatric Dictionary defines malignant narcissism as a mix of narcissism, antisocial personality disorder, aggression and sadism. …

“the Journal of Psychoanalytic Psychology has described the film…

View original post 419 more words

Does Tulsi Gabbard represent the future of the Democratic Party and the United States?

I was introduced to another rising star in the Democratic Party today.

Her name is Tulsi Gabbard. She represents the 2nd District of Hawaii in the House of Representatives; she is a combat vet and a major in the Hawaii Army National Guard.

Tulsi is impressive; quite possibly a hero, the future of the United States; the future of the Democratic Party.

I’m suggesting that we start to support candidates, NOW, for the elections in 2018 and 2020, and then mention them on as many blogs as possible. Even if you don’t agree with her, tell us why and mention her name.  It’s time to leave the Hillary Clintons and Donald Trumps behind and forge a new future for politics in America.

To be clear, I want Tulsi Gabbard’s name known across the Untied States.

And when the campaign of alternate-false truths begins, I highly recommend you check out what Vote Smart reveals about the real Tulsi Gabbard. I’ve already had someone claim that she couldn’t be trusted because President Littlefingers Donald Trump considered her for a cabinet post.

Seriously, someone distrusts her for something she has no power over!? Maybe Trump did this to cast doubts her way. In my book, only fools trust Tricky Trump.

Vote Smart is not a fact-check site. Vote Smart isn’t a misinformation or conspiracy theory site. Vote Smart is not a gossip mongering tabloid. Vote Smart is not biased.

Vote Smart reports the actual facts. Vote Smart offers a fact based bio, how she votes in Congress, her positions, ratings, speeches, and where her funding comes from. I focused on her actual voting record in Congress to make my decision.

_______________________

Lloyd Lofthouse is a former U.S. Marine, Vietnam Veteran, retired public school teacher,  journalist, and award winning author.

a1-promo-image-december-4-2016_edited-2

Where to Buy

To follow this Blog via E-mail see upper left-hand column and click on “FOLLOW!”

A Clear and Present Danger to the Republic

As a U.S. Marine, I came back from the Vietnam War in 1966, and PTSD followed me home like an evil, second shadow, and that PTSD conspired to wreck my life and drove me close to suicide a number of times. There was no support for combat vets with PTSD until the 1980s. Before then, we were mostly alone.

In the last decade the mental health support from the VA has helped me to manage my PTSD instead of letting it dominate me, but last week I heard from a reliable anonymous source within the VA that a transition team from the Trump administration has already visited the VA and told the top leadership they were planning to privatize the VA.

From what I heard it wasn’t “if”; it was “when” and “soon”.

A former old friend, we’ve known each other for about 60 years since we were children, already triumphantly explained in an e-mail soon after the election, right before I blocked him from sending me any more of his crap, that the VA was going to be closed, everyone that works there fired, and every vet would get a voucher of about $8,500 annually to pay for medical insurance in the private sector. This former old friend is also a former U.S. Marine and Vietnam vet that relies on the VA for his medical care, but he is also a fundamentalist, evangelical Christian, tea-party sympathizer, and libertarian thinker who listens to and believes many of the same misleading sources Littlefingers, who he voted for, relies on for his allegedly smart thinking.

The VA leadership told Trump’s transition team that the VA couldn’t be privatized easily, just because Littlefingers snapped his fingers expecting total obedience (my words, not theirs).  It would take an act of Congress and even then it would be complicated, because the VA is funded by both mandatory (more than half) and discretionary spending. The mandatory part is based on previous legislation passed by previous presidents and Congresses going back to the beginning of the VA all the way to 1811 when the federal government (and most of the Founding Fathers were still alive) authorized the first medical facility for veterans, and in 1917 when the US entered World War I, and Congress established a new system of veterans benefits, including programs for disability compensation, insurance for service personal and veterans and vocational rehabilitation for the disability.

For Littlefingers to legally erase the VA, or any element of the federal government, the Republican dominated Congress would have to cooperate and support him every step-of-the-way.

And last week, the Koch brothers, ALEC, tea-party people dominated Republican Party in Congress took a step that clearly signals they are ready to do just that.

New York Magazine reports, “The GOP Just Gave Congress the Power to Cut the (annual) Salaries of Individual Civil Servants to $1 … and the budget of any individual federal programs right down to zero.

“They executed this attack on the independence of the civil service by reviving an obscure provision enacted by Congress in 1876: The Holman Rule, named after the Indiana congressman who devised it, empowers any member of Congress to submit an amendment to an appropriations bill that targets the funding of a specific government program or employee.” …

“It remains unclear how aggressively Republicans will use the Holman Rule, which inspired some opposition within their own ranks. …”

But it is clearly obvious to me that the Trump administration and the Koch dominated GOP plans to roll the U.S. back to a time right after Abraham Lincoln’s Civil War (1861 – 1865), back to the Jim Crow era of racial discrimination and injustice, back to a time when there was no income tax, and the federal government was weak, very weak, when it came to protecting the people and the environment from racists, liars, frauds and con-men like Littlefingers Donald Trump, who will never be my President, and back to a time when there was little to no job protection and more than 40 percent of Americans lived in poverty.

And instead of creating jobs, Littlefingers will soon be in a position, with possible support from the GOP dominated Congress to get rid of and/or bully most if not all of the 2.8 million civil servants that work for the federal government with a legal threat to legislate many of them into poverty.

The VA, for instance, employs almost 345,000 people at hundreds of VA medical facilities, clinics, and benefit offices across the country. They are mostly civil servants and few working Americans can survive on $1 a year.

This is what “draining the swamp” really means to Littlefingers, with a long history of contempt and obvious hate for the law and anyone with more power than he has, and soon he will be the most powerful person in the world with help from Russia. Littlefingers is clearly the Kremlin’s President of the United States, a clear-and-present danger.

_______________________

Lloyd Lofthouse is a former U.S. Marine, Vietnam Veteran, journalist, and award winning author.

His second novel is the award winning historical-fiction love story and suspense-thriller Running with the Enemy. Blamed for a crime he didn’t commit, his country considers him a traitor. Ethan Card is a loyal U.S. Marine desperate to prove his innocence, or he will never go home again.

a1-promo-image-december-4-2016_edited-2

Where to Buy

To follow this Blog via E-mail see upper left-hand column and click on “FOLLOW!”

Trump boasts he will make America Safe from Terrorists by doing what Israel does

A vote for Trump is a vote for a manipulating, psycho, narcissistic, bully, and serial liar.

Lloyd Lofthouse

Mother Jones reports Donald Trump’s response to the recent New York, New Jersey Bombings, and the miracle cure is racial profiling on a mass scale. Trump says, “You know, in Israel they profile. They’ve done an unbelievable job, as good as you can do.”

I took a closer look at Donald Trump’s claim that Israel does a job “as good as you can do.”

The Jewish Virtual Library posts a comprehensive listing of fatalities linked to terrorism against Israel. So far in 2016, there have been ten listings that added up to 14 dead.

In 2015 there were twenty-two listings for 35 dead.

In 2014 there were 15 listings for 39 dead.

The list goes back to 1993. For Israel to be “as good as can you can do”, then the death toll from terrorism in Israel has to be lower than the U.S. death toll from terrorism on U.S…

View original post 300 more words

Broken Knees, Homelessness & Voice: A Veteran Spouse Sings Like a Caged Bird

Open Thought Vortex

0709161501a Homeless vet on the road.

In silence I ignore my husband’s battle with chronic knee pain. His right knee regularly swells and frequently fails to straighten. For every pop, click or misstep, he swears out loud. I say nothing, but reach for the bottle of Naproxen, shake out three blue pills, pour water and deliver it to him. Softly, he says, “Thanks, Hon.

As a young man, Todd Mills jumped out of airplanes (C-130s and C-141s), repelled from helicopters (CH-47s, UH-60s and UH-1s) and road marched, often packing over 100 pounds of combat equipment. He volunteered. In 1981, Todd enlisted for the US Army, qualified for Airborne, passed the two phases of Ranger school, served four years active duty in the 1st Ranger Battalion and fulfilled an additional four years in the Army Reserve. He earned numerous badges, including one for combat.

As a former US Army Ranger, he knows…

View original post 1,549 more words