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Is there a solution to the current immigration emergency?

I’m following and responding to the news reports and conversations on Twitter and Facebook about the arrests and separations of alien families because I’m looking for a solution that will work and have fewest unintended consequences.

We can spend all day screaming our objections or justifications and playing political games based on what should have been done and when, in the past and present. Or, we can tell our legislators that we recognize the reality of the circumstances, today, and that we need to make immediate changes, followed by more measured steps.

We urgently need to:

1. Ensure that the very young are safe and nurtured. This is an emergency, because of the damage that we know tactile deprivation has on small children. No more claims that some institutional rule prohibits holding a toddler;

2. Make sure that no more children are “lost” and that even those who are separated can communicate with their parents.

(Hospital arm bands? Schlitterbahn and the Toob renters in my home town use similar bands. The tracking numbers could follow numbers on the bands and would not only work better with digitizing information

Would it be possible/permissible to use RFID and/or GPS?

Delta uses bar codes attached to each suitcase and can text me when my suitcase is loaded or unloaded on the plane. Last month, when I was on a cruise, ATT texted me that I wasn’t covered by their international plan as soon as I stepped on the ship, before the ship left the dock.);

3. Speed up the process of reuniting the families;
(This last will be enabled by the above, but will also require resources for the rapid setting up of family shelters for those awaiting hearings, and hiring personnel for those shelters and judges to hear the cases and lawyers to represent the asylum seekers.);

4. Streamline the process for approving or rejecting application for asylum at the ports of entry. (See above. This may be a useful job for civilians -paif or volunteer – and the National Guard after apprehension and/or initial evaluation by Border Patrol);

5. Fix the laws concerning detention of children separated from their parents, the right of application for asylum for anyone who manages to step on US soil, temporary worker permits that do not allow family to immigrate, and for immigration in general;

6. Continue to identify, arrest, and prosecute people who willfully violate our immigration laws;

7. None of this is dependent upon or contradictory to securing the Border. All of them are enhanced by increased security, however;

8. Stop the partisan game playing!

It should be made clear that our government will follow the law as written. Perhaps we can continue the ads Obama’s Administration is said to have used in Central America.

None of these should be done so that more people show up expecting immediate visas, green cards, or even healthcare and food stamps. They certainly shouldn’t believe that they have a right to immigration or to burden our social infrastructure and taxpayers.

Please comment on my Facebook page.

Edited numbering, BBN

Happy Birth Parent Day

screenshot_20180616-075345_chrome5005037694364168408-e1529155414475.jpg
Google Images for “Baby Daddy” card

That lawsuit I wrote about yesterday would not only would put an end to Texas’ Medical and legal regulations on abortion – including informed consent, waiting periods, and sonograms – the plaintiffs go out of their way to redefine mother and father, too.

From Footnote 1, page 2:
“”1 Most people with the capacity to become pregnant identify as women. Historically, both jurisprudence and public health data have focused on women when addressing reproductive rights and health. But there is an emerging recognition in the law and society more generally that not all people who may become pregnant identify as women. See generally Glenn v. Brumby, 663 F.3d 1312, 1316-19 (11th Cir. 2011)
(holding, consistent with the weight of authority, that the Equal Protection Clause prohibits discrimination on the basis of “gender nonconformity”) (collecting cases); Robin Marantz Henig, How Science Is Helping Us Understand Gender, National Geographic (2017), https://www.nationalgeographic.com/
of all individuals to end an unwanted pregnancy, regardless of gender identity.”
 (I’m sorry, but can’t find a link to the lawsuit on line. It’s “Whole Woman’s Health Alliance et al v Paxton et al, U.S. District Court, Western District of Texas, No. 18-00500.)

From the UK, we see the inevitable results in a time of identity and personal choice :

Lawyers have told a judge that he had been biologically able to become pregnant but had legally become a man when the child was born.

“They say the transgender man wants to be identified as the child’s “father” or “parent” on a birth certificate.”

And, in Ohio:

“Explaining their unusual parenting arrangements, Amy said: “We went through a lot of fertility treatments, until we finally reached a point where we needed to make a decision as to whether we were going to do more medical intervention or if we were going to switch bodies. (emphasis mine)

“We were fortunate enough to have two uteruses. So, after a lot of thought and emotion and difficulties we switched to Chris.

“And while Chris lived as a man and didn’t feel female, he was willing to use his womb for the good of their family.”

Of course, neither Chris nor Amy could donate sperm. So, who is really — is there even — a father?

Or a parent, of either gender or any identity, who sees the child as his own person, human-enough to possess inalienable rights, rather than a political statement and a means to an end?

Existing tariffs, duty, and barriers to trade in Canadian law.

Current barriers on imports into Canada from the US affect dairy, wine, telecommunications like TV, cable, and broadcasting, and even software and “cloud” data storage.

The CRTC also requires that 35 percent of popular musical selections broadcast on the radio qualify as “Canadian” under a Canadian government-determined point system.”
This requirement precludes U.S.-based “cloud” computing suppliers from participating in the procurement process, unless they replicate data storage and processing facilities in Canada.”

https://www.export.gov/article?id=Canada-Import-Tariffs

In contrast, there are very few barriers to trade with Mexico.

(Edited to add the link to information on Mexico.)

Some words @ #MeToo

I know, there’s been lots of words already. However, a recent comment about the #MeToo crowd trading “sex for profit” points out a basic misunderstanding about sexual exploitation and abuse: the victims are victims.

Child actor Todd Bridges gives the most common reason for keeping quiet: “[T]hey say you’re lying.”

Oh, I do want to know where the “Women’s March” was before January 20, 2017! And I’d like to ask Ashley Judd and Madonna, two of the “nasty women” who claim victimhood while wearing pink “pussy hats,” reciting obscene poetry, and cussing from the podium on the National Mall why they blame Conservatives and the current US Administration – for the culture that exploits girls and women (and boys) sexually. In response, it’s easy to point to the fact that Harvey Weinstein and Kevin Spacey are anything but “Conservative.” Even if we skip right over the abusive history of Democrats Bill Clinton and Anthony Weiner, you would think that the Grammy Awards would have included some condemnation against politicians like Hillary Clinton and Barack Obama for accepting financial support from Weinstein, rather than show casing Hillary to take a shot at President Trump. (Or concern that Obama allowed one of his daughters to work for Weinstein’s company as an intern)

Yes, there’s a long list of women who are now making claims about past sexual abuse and harassment in Hollywood. It’s easy to simply say that they remained silent to protect their careers or in exchange for money after lawsuits. However, read a few histories and you’ll see that some of the victims were children, others reported crimes but prosecutors failed to press charges, and for many young men and women that it’s much more complicated than that.

First, sexual abuse is furtive and involves manipulation, lies and even force. Child victims are innocent and don’t understand the grooming and abuse until older unless they are hurt. More mature victims are trapped, tricked or physically forced into vulnerable situations. Loved ones may be threatened.

Second, there’s guilt. By the time the children realize that the abuse is wrong, they feel guilty and blame themselves. I’m sure that even more mature victims feel some guilt for their vulnerability.

Then, as Mr. Bridges said, “When you realise it’s wrong, they say you’re lying.” Ashley Judd also reports that no one believed her outcry when she was a child. And the comment that spurred me to write this essay is very common: the victim profited somehow, but now claims to be a victim.

Finally, there’s lots of reasons to cover up, drop charges or settle legal procedings and lots of people have something to lose if the perpetrator is prosecuted or even reported. Perhaps the environment is one of “everybody knew” what was going on, so everybody who knew was complicit. Family members and victims may not want to risk the humiliation and victim-blaming/shaming that always seems to accompany sexual abuse and the resultant accusations of “it’s just about sex,” and “he/she was complicit.” All of the above, as well as the police and prosecutors, might not want to risk counter suits.

Often, the victims are ignored and the abuser(s) suffer little or no consequences and successfully block the victim’s story from being told. See the story of Corey Feldman or the documentary, “An Open Secret.” Then, there are the threats,as Harvey Weinstein has shown.

I hope that we’re seeing a change in our response to sexual assault and harassment. I hope that the demand for transparency like “street artist,” Sabo’s billboards will be heeded.I hope I don’t blame the victim myself and never hear unsubstantiated claims that sexual assault are simply prostitutes, in the past and present.

Taxes aren’t charity (SNAP and “government interference.)

Okay, old lady rant here, from someone who once qualified for WIC, but did what we had to* to refuse it. I’m seeing complaints about a proposal to change the SNAP (food stamp) program from money/cards/vouchers for dollars to a mix of money and commodities.

Most people complain that it would be a big government boondoggle. And I’m sure it would be bloated and subject to all sorts of agendas and unintended consequences. I’m not sold on a change.

However, I’m also seeing comments that SNAP should be “supplemental,” rather than basic. That rather than interfering and deciding to only provide nutritional foods, we should trust recipients to know and meet their own needs. And kids on SNAP should be allowed the “dignity” of having Cheetos and a birthday cake.

I started this post because I have a real problem with measuring a child’s dignity by whether their parents can use some one else’s money to buy Cheetos or other junk food. (And, come on! A birthday cake is flour, sugar, milk, and eggs and time.)

Taxes aren’t charity. And I know I’ve seen abuses at the grocery store and with Medicaid in my practice.

Charity is giving someone a ride to the store or offering to shop when you go. It’s giving whatever without government force and, sometimes, when it hurts in the long run. But tell me, who among us would be happy to see even a freely given gift abused by the recipient?

SNAP, WIC, etc., are helping hands, a bridge over hard times. it’s hard work – nearly a time-consuming job – to meet the requirements to access government assistance, I know. And I know there are gaps. I’m sorry, but they shouldn’t be something that is comfortable.

*(Came within minutes of getting utilities turned off several times, nursed those babies until they could reason, baked my own bread with wheat I bought by the big bag and ground myself, joined a cheese and vegetable coop, bought in quantity and learned to store it in smaller portions, made do with one car and shared rides with neighbors, and taught my kids to eat what they were given – when their cousins lived on French fries, Dairy Queen and cookies. Eventually, I was lucky enough to enroll in the local Junior College and then on to medical school and Larry worked harder and harder. I know we’ve been lucky, but…)

Office of President Acting Director

Remember this?

 

 

 

 

 

 

 

Well, get ready for this:

 

Not through inventing new roles, former President Barak Obama is going to Asia to meet with heads of State, including the President of China.

In an article  titled, “Barack is back,” the hopes of many are made clear:

“Although Obama has failed to remain completely out of the public eye following his departure from the White House—with his Obama Foundation work and friendship with recently engaged Prince Harry keeping him in the headlines—the trip marks a clear return to global issues for the former leader.”

Is he promoting the Resistance, taking a lesson from his protegé’, Cordray or simply continuing the work of his Administration’s “Shadow Government?”

 

Divide and Conquer: Dems vs. Republicans

January, 1973 marked the big divide, with Roe v. Wade forever separating those of us who believe in the inalienable human right not to be killed from those who separate our species into two big classes: the ones who are human-enough and the ones that aren’t.

That was the ugly beginning of even further class divisions, with some groups of people given power to claim more “rights” than other groups. The concept of individual inalienable rights endowed by Nature of being human dissolved in the class warfare that resulted.

Don’t forget the 60’s, when the Dems opposed Civil Rights legislation while spending – redistributing- every penny of Social Security and Medicare taxes to engineer a society based on the power of the greatest number.

For me, though, the Dems proved themselves liars and undependable in 1968, when I was 12. Watching the national political Parties and the Presidential Primaries, I saw not only the deaths of Martin Luther King, Jr. and Robert Kennedy. My natural inclination would have been sympathy toward the Party that claimed them.

However, I also became aware that it was the Dems who were rioting, calling policemen “pigs,” and soldiers “baby killers,” supporting the Black Panther and Weathermen, and telling us to “never trust anyone over 30,” to justify their violence.

I knew policemen and soldiers – and lots if people who were over 30 and deserving of my trust – so I knew these were false accusations. Even then, I could tell that they were dehumanizing entire groups, refining the old myth that some humans aren’t human-enough to possess inalienable rights in order to gain power.

Personhood “TBD” 

“To Be Determined,” or the Schrodingder’s cat* version of human rights.

Does the possession of inalienable human rights depend on unknown future facts? Can the moral worth of a human being be determined by the actions of another human being – or by fate, the available and utilized medical technology?

Sherif Girgis discusses the theory of Princeton philosopher, Elizabeth Harman, in today’s Public Discourse. The professor’s view that abortion is – or may be – a neutral act has been the subject of discussion since she appeared in the YouTube video, Philosophy Time, produced by actor James Franco and Eliot Michaelson.

Besides the obvious problems pointed out by Girgis of defining “consciousness” and the TBD “kind” of a human fetus, there are other problems.

First, any concept of “inalienable” human rights would need to be discarded. There goes the Declaration of Independence and the basis of the United States Constitution.

In addition, Professor Harman’s theory would presumably allow the use of bodies of the human species for the benefit of humans with “moral worth,” as long as those bodies are never allowed to become conscious. This is the current practice of researchers using embryos, including those created for the purpose of manipulation and destruction.

But there’s nothing in this philosophy to prevent the intentional manipulation of a human body for research or to benefit others, as long as the body is never allowed to develop consciousness. Continual sedation or mutilation of the brain from the beginning – before consciousness – would prevent the development or acquisition of moral worth and rights.

In the process, “human” rights would cease to exist. The actions of others, laws and location and the potential use of technology would finally determine who is human enough to possess the right not to be killed. (Forget the right not to be “enslaved.”

What happens if (as Girgis proposes) the abortion itself is aborted or fails? Or if the brain isn’t damaged sufficiently to prevent consciousness?

Forget about opening the box: don’t put humans in there in the first place.

*I saw this analogy on a Facebook thread, but thought the same thought before I stole it.

Edited to correct my misspelling of Dr. Harman’s name.

Health Insurance Choice Is Bad?

Health insurance choice is bad?

The San Antonio Express News picked up a Washington Post op ed on those big, bad Republican plans to repeal Obamacare. Originally titled, “The reason Republican Republican health-care plans are doomed to fail,” by the editorial board that declared, “There’s no way to replace Planned Parenthood.”

And it’s bunk, even as prudently renamed and appropriately filed in the Opinion section.

What we are *actually *seeing *today is that costs are rising and insurers are withdrawing from States. Choices are certainly limited if there’s only one insurance company on the exchange and routine screening costs are “free” — But the care for treatment discovered at screenings is subject to high deductibles.

Limited coverage plans with major medical for extraordinary costs – rather than a wish list covered with other people’s money from first dollar – encourages personal responsibility and will cut costs. It would also allow people to own their insurance, rather than have it controlled and limited by current employers.

Modern opposition to germ theory???

Why is it that a CPA is trusted to tell the “truth” about vaccines, but doctors aren’t? Perhaps, because doctors understand the science behind the germ theory, learn to read and evaluate the medical literature, and aren’t willing to give credence to doctors who have their licenses restricted or stripped for fraud, much less herbalists who teach that the earth is flat.

In discussions about vaccines with people who oppose them, I’ve been told that vaccines haven’t been subjected to large, “properly,” controlled tests. Even when I pointed to large, controlled, blinded, and randomized studies the answer was that these weren’t the “properly” controlled tests.

This is what they’ve been taught by people like Ty Bollinger, a CPA who has made his living blaming sinister global government chemtrails and, of course, doctors and vaccines for cancer, autism, allergies, and all sorts of other health problems.

The latest Bollinger video series, “The Truth About Vaccines” was evidently promoted on Facebook in April, but I missed it.  I won’t link to the video, but if you want, you can Google it and find episode 1 for free on YouTube. Don’t pay for it!  I’ve watched all 1 hour, 57 minutes, and have been doing research on the “experts.”

In this episode, Bollinger interviews parents, doctors, lawyers, lawmakers, activists and some of the most notorious contemporary doctors: Andrew Wakefield, who had his license revoked for real, intentional fraud in the United Kingdom, and Rashid Buttar, DO, from North Carolina, who is no longer allowed to treat children or cancer patients. And then, there’s the blurb from David “Avocado” Wolfe, an herbalist who denies that the Earth is round or revolves on its axis around the sun!

Pediatrician Laurence Pavlesky, MD,who is prominently featured in the video, doesn’t define the characteristics of a “proper” study in the video, he does in another interview,

“What’s missing in these data is a population of healthy people who have not had any flu symptoms – to actually see if their noses contained H1N1 – because if someone is sick and has the presence of an H1N1 virus in the nose, it doesn’t mean that the H1N1 is causing the illness.

“You really have to take an appropriate control group to see if people are colonized with that virus even when they’re not sick. “

http://articles.mercola.com/sites/articles/archive/2009/11/14/Expert-Pediatrician-Exposes-Vaccine-Myths.aspx

So do docs have to match stroke or heart attack victims with healthy controls, to prove that the controls have no lesions in order to prove that occluded vessels caused the lack of brain function or heart function? 

It’s well-documented that some people are chronic carriers of strep, but not sick. Typhoid Mary was colonized, able to expose others who got sick, but not sick, herself. We also know that the incubation period varies.

Okay, maybe we could get over the difference of opinion about “proper” controls. Or whether the earth is flat. Or even why a CPA and lay people are capable of learning the truth about scientific knowledge, but doctors aren’t. However, another theme often repeated by Pavlesky and other “experts” prominent in Bollinger’s video is the denial of the germ theory.

Fom Pavlesky’s “General Guidance”:

“The expression of these symptoms may not always be caused by infections from bacteria and viruses. Instead, these symptoms and illnesses may develop as a sign that our children are healthy; that their bodies are strong, and working to bring to the surface, and cleanse, any accumulation of wastes that are deep inside them, having accumulated due to their exposure to varying stressors in their lives. In many instances, the process of bringing these wastes to the surface of the body is aided by the bacteria and viruses already living inside of them, and is a necessary step for them to become well.”

Sheri Tenpenny, DO  is another doctor in the video. On her blog, she also promotes infections as a good way to get rid of  “toxins,” adding,

As contrary as it seems, germs are attracted to the diseased tissues; they are not the primary cause of it.”

Here’s a little statement from me:

*The diseases we call infections are caused by infectious agents: bacteria, viruses or parasites​.* 

If we can’t agree on this (and that the earth is not flat), we have no common ground for a logical discussion about Western medicine.

More to come in later posts about the “experts” in the video.

“Ethically Problematic” Gender Roles and Support for Breastfeeding as “Natural”

​This tops every gender protectionist rant I’ve seen.

The April, 2016, the Journal of the American Academy of Pediatrics, published a “Pediatrics Perspective titled “The Unintended Consequences of Invoking the ‘Natural’ in Breastfeeding Promotion.” The authors invoked a concern that promoting “natural” as superior might enforce objections to vaccines. But then, they call the promotion of breastfeeding “ethically problematic” to “support biologically deterministic arguments about the roles of men and women in the family.”

I’ll say it again, biology isn’t destiny, but it does have consequences. Besides, men can lactate, too. Under certain circumstances.

Equal, but special

A Facebook friend, Michael Smith, made an excellent comment about the contrast between “separate but equal,” and “equal, but special.”

I spent some time yesterday at the Texas State Capitol Reagan Building discussing House Bill 2899 by Simmons, which would prohibit local governments and other regulatory authorities from creating a new “order, ordinance, or other measure to protect a class of persons from discrimination; to reduce or expand a class of persons protected under state law from discrimination.”

The consensus of a group of people waiting for the House State Affairs Committee to begin was that the Bill is a thinly veiled “attack” on the LGBT community and transgender persons in particular. The comment that made me go into my Don Quixote tilting windmills mode was about just wanting to “peeing in peace” and the false claims of fears for safety of women and children.

I pointed out that that it is reasonable for women to have fear when confronting a man in a closed space and that we all expected privacy and security in bathrooms, locker rooms and other public places where people disrobe. (Yes, I used the term “disrobe.” And “intimate spaces.” I’m a nerd.)

I was told that I was speaking from “privilege” (!) for my example of caution when entering an elevator with a strange man and objecting to the stereotype that the brains of men and women are different and the assertion that men and women simply think differently. I heard that segregation of the sexes in public bathrooms is a new phenomenon and that the Roman baths, such as those in Pompeii were completely different matters, mainly due to the religion of the time.  And of course, several of the group told of the danger of violence against gays or trans but that there has never been any crime against other people by transgender person

Two of the people claimed to be transitioned from male to female. While demanding “respect,” they told stories of having coworkers fired for refusing to use their preferred pronouns. and engaged in very real “hate speech,” mocking and assigning hateful motives and emotions to me. The same person who pointed out that little boys can be molested in men’s bathrooms then said that *I* was the one who must obviously consider anyone with a penis a predator.

The group was secure in the belief that the fears of violence and abuse of the LGBT community outweigh not only the fears of victims of sexual abuse or parents of children and thousands of years of social norms.

Cities, but claiming to write non-discrimination ordinances create environments where some people are “equal, but special” – or a specially protected class of persons. George Orwell put it another way: “Some animals are more equal than others.”

Law makers to doctors: “Keep the patient alive” 

If only we doctors – or legislators, lawyers and probate judges – really had the power to “keep the patient alive” as this article claims two new Bills  (  HB 4090 & SB 1213) in front of the Texas Legislature will (force doctors to) do. 

The article is misleading in its claim that a committee or a hospital decides whether or not a therapy is given: Texas doctors practice medicine in Texas. Even the Bills make it clear that the “attending physician” makes the decision whether or not to follow the patient’s (or more likely, the surrogates’) medical request.

We – Texas doctors, hospitals, and legislators – have tried repeatedly over the last decade to amend the law, Texas’ Advance Directive Act,   to increase the time frame. Last Session, we helped to ensure that food and water can’t be withheld. The lawyers and those who would have Estate (probate) judges involved in every dispute – even at the bedside of the dying – have blocked effort after effort because the Bills did not include liability for the doctor. 
These Bills are just the camel’s nose under the tent of Texas’s tort reform. Worse yet, we’d end up with medical expert testifying against medical expert in court, with the judge eventually telling the doctor how to practice medicine. It would also severe the “ethicists” who actively seek to undermine conscience protections for health care professionals.
If you’ll notice, the Bills also remove the requirement for the patient to pay for any transfer, too. I don’t suppose that the tort lawyers ​will pay for the ambulance or plane ride.

Do you want Texas law to force doctors to practice against our consciences​? 

How long and how far should any man or woman be forced by law to act against his or her will?

Autonomy and aiding self-harm

​It’s very rarely good medicine to encourage a symptom of disease, especially one that leads to harm. I don’t help raise a patient’s temperature when they have a fever. I treat the infection and to keep the temperature from going up to dangerous levels.
In every case of cutting and self harm that I saw in my practice, the several girls and one boy had already been the victim of sexual abuse and were also abusing alcohol or drugs. The cutting was a symptom of depression, post-traumatic stress and the victimization that started the cascade.

And yet, the Journal of Medical Ethics has published an article arguing that since cutters are going to cut, doctors should aide them by providing sterile knives or razors. 

The Journal  is actually a forum for public arguments on controversial topics in bioethics, rather than a policy manual or review of facts and best practices. However, far too often the subjects are treated with respect and support those same controversial ideas. 

The online bioethics newsletter, Mercatornet, disputes this normalization of pathology and outlines the history of support and opposition to the concept of “safe” self harm.

Indeed, the argument for limiting harm is often given as the reason for elective abortion, physician assisted death and other forms of euthanasia.

Please, apply the suicide or cutting to illegal drug use. Does the rationale follow through? If a person is only happy after heroin, should we assist him by allowing and providing a cleaner, more pure product – as well as the needles so many State laws have made possible?

Cook sarcastically sums up with an imaginary Tweet:

“Bioethics is broken. Doctors respecting patients who make really BAD decisions. All because of AUTONOMY. DUMB!!! Back to human dignity!!!” 

I have long described Bioethics as “the formal study of who we can kill.” Now, we can add, “and aid in harming.”

National Security Letters

​While we were distracted by whether Kellyanne Conway was “lying” about “alternative facts” and how mean Bannon and Spicer are, the FBI quietly lifted the gag order on National Security Letters issued by them during the previous Administration.

Now, I’m not a lawyer, so the following is a lay explanation.

These “Letters” are in fact, subpoenas issued by a government agency. They don’t require a judge or FISA Court review or warrant. 

Get this: the laws authorizing the NSLs are called “Patriot” and ” Privacy” Acts and the gag order provisions have been vetted by the Ninth Circuit of Appeals:

However, the government appealed to the Ninth Circuit Court of Appeals, which vacated her ruling and sent the case back to the district court. Last month that court ruled that the gag order challenge was no longer relevant because the USA Freedom Act had successfully addressed the issue of gag orders

GoogleTwitterFacebook, and others reported the release from the gag order during the last couple of months. Yahoo, along with the others, has been fighting in court and some of the Letters have been disclosed to the targets:

Over the past several years, Google challenged 19 NSLs in court and last year won the right to tell WikiLeaks employees that their data had been requested.

I sincerely thought that all of these sorts of subpoenas were required to eventually go through approval of a FISA Court judge. Hopefully, the Trump Administration will not continue the Obama Administration’s abuse of these Letters and that Congress will correct the law.

Call them Disruptors

http://www.latimes.com/local/lanow/92484292-132.html

ungovernableThe events at the University of California at Berkeley on February 1st weren’t “protests” against the appearance of Breitbart Senior Editor, Milo Yiannopoulos. (Live updates, here.  Language and violence alert.)

Trust me, it doesn’t matter who Yiannopoulos is. Forget that his “inflammatory statements” run along the line of

“They’re called microaggressions because you can’t even see them,” Yiannopoulos, a pundit at the conservative website Breitbart.com, told the crowd. “And the reason you can’t see them is because they’re not there. Nothing happens.”

What matters is that the organizers claim to be anti-fascist, yet use increasingly familiar fascist tactics.

Criminals burned a generator, shot fireworks and flares at buildings and police, broke windows, beat and pepper-sprayed people and moved into the surrounding area to vandalize businesses and banks, smashing more windows and ATMs.

uc-kill-graphitiAnd they threatened not only the President, but the lives of everyone they encountered, causing the University of California system to shut down First Amendment rights of Mr. Yannopoulos and the UC Republican club; not only for the 500 who bought tickets for that night, but another appearance scheduled for UC Davis the next night was cancelled, too. (A replay of last month’s violent disruption against Milo.)

Starting with Code Pink against President Bush, the disruption from the Left has escalated significantly in the last 8 years, at the Wisconsin and Texas State Capitols, and at most pro-life rallies & on to political events.

Speakers as wide ranged as Ann Coulter,  US Representative Tom Tancredo and Bernie Sanders have had their speeches cancelled and disrupted.

The violence and vandalism in Ferguson, Missouri and some Black Lives Matter protests were destructive of entire neighborhoods, but were reactionary, targeted and at least had a local, identifiable grievances and demands.

But then, BLM went on to stage disruptions at restaurants, aimed at private individuals with absolutely no connection to any sort of authority to make changes. The only “crimes” the people in those restaurants were accused of committing was being white – or not-Black – and eating in a restaurant. A restaurant where the disruptors would have been welcomed as customers, BTW.

If those weren’t an example of hate crimes, what is? And yet, the local authorities and Obama’s Administration during the tenures of both Attorneys General Holder and Lynch, never effectively prosecuted any of the people involved. Charges were dropped in places like Portland and Boston, 5 day sentences for blocking traffic on an interstate highway in Virginia.

And so, we had the violence after the election and on Inauguration Day, leading to the latest violence at Berkley.

This isn’t just noise and obstruction. This is nihilistic disruption and destructive violence meant to prevent free speech, free association, and stir up more violence.  I’m sick of the violence, destruction, threats, and censorship, claiming to be in advocacy for our rights. I’m concerned about what is happening and what could happen when the rest of the Nation reacts.

It’s a “March for Life”

powerofone

2017 Theme March for Life

But if you want information about the (correction,  it’s Friday,  not Thursday,  repeat as necessary  ) Friday , January 27, 2017 March, you probably should search for “Anti-abortion March.”

The New York Times managed to “report” that Kellyanne Conway will speak at the 2017 National March for Life in Washington, DC on Friday , without once calling the March by its proper name. The only time the organization responsible for 44 years of the “Anti-abortion March” is named, is when giving the job title of the president of March for Life, Jeanne Mancini.

march-for-life-cropped-white-coat-january-22-2009-016

2009 National Rally for Life

This year’s March wasn’t held on the anniversary of Roe v. Wade, as it has been in the past, due to the inauguration events on Friday and, I suspect, the Women’s March on Saturday. The inauguration events didn’t prevent us from attending the 2009 March the day after Barack Obama was sworn in, but I imagine the concern about the two opposing groups clashing in front of the Supreme Court was just too much this year.

Friday  is probably not the best day for families, school groups and people who have regular jobs, but I expect it will be well attended, since we’ve been promised a “heavy administration presence.” There have been related Marches for Life all over the country all week (Idaho, San Francisco, Tulsa and Raleigh, where it was noted that both the Women’s March and the March for Life were held at the same time – but across town from one another.)

mygenerationYou might also search for “Rally for Life,” as the Texas Rally for Life will be held in Austin on Saturday, January 29.  Beginning at 12:00 – 1:00 PM, marchers will gather at 18th & N. Congress Ave. and then begin the short march to the South Steps of the Texas State Capitol.

(Edited to correct the day of the week of the March for Life in Washington,  DC.  BBN) 

New York Governor: “Free” Abortions 

Cuomo wants no co-pays,   no deductibles,  and abortion business doctors to decide whether the abortion is “medically necessary.” And there are lots of taxes on the poor,  as well as the rich, to pay for it. 

What a perfect example to give as a rebuttal to those who tell me that as a Christian,  I have to support every social spending plan by government. 

That duty to help the poor is my personal duty to Christ. I don’t see any command to turn it over to someone else. 

The US Government spends and taxes –  doesn’t even dedicate  Medicare and Social Security taxes for the supposed purposes –  and hasn’t proven a trustworthy steward for my duty to Christ.  In fact,  Jesus said to give Caesar what is Caesar’s.  He didn’t tell us to take from our neighbors to give to Caesar!

But there are many scriptures addressing our duty to use well what we are given and to give credit to the One Who blessed us. And many more admonishing us to protect our fellow humans. 

Proverbs 24:11 Rescue those who are being taken away to death; hold back those who are stumbling to the slaughter.

Don’t regulate plants!

​Ridiculous! It’s a plant. Which literally grows like a weed – or house plant – and doesn’t require manufacturing or processing to use. What business does government have in outlawing a plant?

Marijuana laws are in the news in Texas, once again. I hear and read plans to make money from taxes and autocratic demands to”protect” people from the plants. The same Republicans who demand legalization of the sale of raw milk and think gambling dollars should stay in the State argue against any decriminalization of marijuana.

Even if you don’t have sympathy for the thousands  jailed for use while the plant is illegal, the raids on gardensseizures of farms or the arrests of people because owners are suspected of growing illegal *plants* should make you consider the harm from draconian narcotics laws. 

In fact, my trouble getting poppy seeds for the hard, back in the’90’s is what changed my mind about these laws. The Clinton Administration was arresting people for selling seeds and dried pods used in crafts:

Somniferum is the only poppy species mentioned in the federal Controlled Substances Act of 1970, where it is listed as a Schedule II drug, the same as cocaine. The entire poppy plant, not just the opium that oozes from its green seedpod, is considered contraband.

“But the law specifically exempts somniferum seeds, those blue-gray dots you find on your bagel. So chew on this: Seed companies can legally sell opium-poppy seeds, but gardeners who buy those seeds break the law by planting them.

Republicans are advocates of personal responsibility and remind others about the words in the Declaration of Independence. We should know that legitimate laws are intended to protect us from the infringement of inalienable rights by third parties — and the government. Laws are not meant to protect us from ourselves.

In a liberty-minded, Republican-controlled State and Nation, there shouldn’t be any laws against growing seeds from your grandmother’s heritage poppies or your new neighbors’ marijuana plants.

Addendum: a 1992 article about poppies at Thomas Jefferson’s Monticello:

Thomas Jefferson planted white opium poppies at Monticello. They grew in the historic garden near Charlottesville, Va., until last June, when they were yanked up.

****

“The center even sold the seeds. Until its governing board — “which has a mania for being legal,” Mr. Fitzpatrick said — decided to press the issue.”

Honk if you love pizza and abortion!

​Perfect pro-abortion slogan: “Honk if you love pizza and abortion!”


Because, equivalent, yes? And illogically proud of it – see the young woman in the left lower quadrant. That sign certainly is evidence that “reproductive rights” advocates are, indeed, “pro-abortion.” 

The Texas Tribune is providing its usual biased coverage of the Texas Legislature. The editors allowed the banality of a pro-abortion sign equating the love of abortion and pizza to creep into their report on the fears of the groups who make a profit from ending the lives of the most vulnerable humans and their advocates. 

There’s no logic in claiming that an abortion doesn’t end the life of a human. With current science and technology, it’s anti-science to make such a claim. Proponents of elective abortion deny that every human is endowed with inalienable rights. Instead, they defend the falsehoods that embryos and fetuses are less than human and definitely not human-enough to possess inalienable human rights. 

As to the complaints about insurance coverage for abortion? It’s called, “Elective abortion.” Insurance shouldn’t pay for “elective” procedures. And seriously: “a rider” to pay for elective abortion?  How fiscally responsible is that?  

“Heart” if you (heart) graphic proof of illogic and irresponsibility

Pay attention: it’s policy, not bias

screenshot_20161109-175849The consensus of media pundits and bloggers, as well as quite a few liberal and even Conservative op-ed authors, is that Donald J.Trump was elected President out of some misguided national populism and anger at Congress, fueled with a lot of racism, misogyny and hate. The fact that those same voters elected a Republican majority in the House and Senate  – sending virtually every eligible Republican incumbent back to DC – is glossed over.

The idea that Conservatives really believe in small government and equal opportunity supported by personal responsibility is rarely voiced. That we might actually vote, not only for President but consistently down ballot, in order to defend the Bill of Rights and the right to life is ignored while we are accused of xeno-, homo-, and poly-whatever-phobia. I read that I am “afraid” of other lifestyles, religions, and losing my “privilege” based on being a White Christian.

Personally, I approve of most of the Republican Platform, especially where it addresses core Conservative issues, such as low taxes and equal treatment under the law. I want a Legislature that will uphold the Constitution as it’s written and defend against the infringement of inalienable rights. I don’t want activist judges nominated or confirmed at any level of the Federal Court system, especially the Supreme Court. I hope President Trump and the Republican Congress majority will decrease the hassle factors and threats placed on the practice of medicine and business in general by an overreaching Federal bureaucracy.

And, yes, my sense of fairness hopes that our existing immigration laws will finally be enforced, as an outcome of the”equal treatment under the law.”

Instead of facile clichés fed by cherry-picked sound bites and the latest talking points from the Left, try looking at and listening to the 59 Million voters across the country who elected a Republican candidate for President, and ensured a Republican majority including all those “establishment” candidates in both the House and Senate. 

It’s the Republican platform and Conservative policy that we Conservatives voted for, not one man.

I hope you can recall this

The future includes so much more than a 10 year old video, for people who don’t have memory problems.

Forget the Clinton’s sale of nights in the Lincoln Bedroom and misplaced furnishings from the White House and, later, the State Department offices. Go ahead, laugh at the “Reset button.”

But don’t forget the pay-for-access that continues to this day. Please don’t dismiss Clinton’s complicity with the sale of US uranium and her own dismissal of the deaths of four Americans at Benghazi or of “our posterity” in the case of the unborn children whose lives are ended by elective, intentional abortion.

These recollections make a difference today and for the future.

What place will there be in a Clinton II Administration for people who oppose abortion or who prefer to continue to include “under God” in the Pledge of Allegiance? Can we tolerate another 4 years of IRS discrimination against conservative non-profits? Do we need to have more lawsuits against nuns or regulations forbidding Christians from praying in the name of Jesus?

We certainly won’t be invited to any closed door meetings on HillaryCare. And there’s no telling how many boxes of FBI files and billing records will disappear never to be “recalled” if Clinton gets another shot at the White House.

I would much rather hold Donald Trump to his promises than watch Hillary Clinton keep hers.

Beverly B Nuckols, MD

RedState vs. Pro-life

There is only one candidate on the November ballot for President this year who states that he is pro-life.  Even if Donald Trump is inconsistent – and he is, I’ll admit – the fact is that Hillary Clinton and Gary Johnson are very consistent in their advocacy for legal elective abortion. Trump may have said that Planned Parenthood does good work, but Clinton campaigns with Cecile Richards.

RedState has lost all relevance as a reliable source for conservative commentary, in their zeal to defeat Donald Trump.

First, the moderators began banning commenters who simply questioned RS authors during the Primary. Now,  Discus and comments have disappeared entirely  from the site, and any public feedback  is moved to the ephemera on Facebook. 

The latest supposedly #NeverTrump move is an attack on pro-life
organizations by the editor, Leon Wolf, who once stated that he would vote for Clinton over Trump in a close race for President. 

Yes, Pro-life Bills are often weak, incremental compromises. We face the reality of needing to win at least some Dem votes and the probability of vetoes. The Press invariably paints usas evil. As Wolf pointed out – and the Supreme Court ruling on Texas’ HB2 clearly showed – the current Courts are stacked against us.

One of my friends acknowledged the weak Bills and compromises that our legislative efforts sometimes become, likening our efforts to lifeboats.  Rather than big, shiny, well-crewed ships to use to rescue the unborn, we are forced to borrow any thing that floats. Our crafts are ugly and leak, and we constantly have to worry that we will sink. This is all we have, but we go back again and again, to rescue as many as we can without each trip.

Leon Wolf just shot a few new holes in our efforts, from his safe harbor at RedState.

Obama’s Abortion Cronyism 

Obama’s new Health and Human Services regulations will prohibit consideration of whether a provider does abortions – or sells body parts – or not.

Kansas and Texas, among other States, attempted to prioritize their limited tax dollars, preferring to steer money – and patients – toward continuing and comprehensive caregivers – primary care providers- over  reproductive health “boutiques:”

When PP sued, they lost. But Obama arbitrarily stripped the State’s Title X funds and gave the money to PP, anyway.

The “most transparent Administration ever” went further:

 In New Hampshire, the administration even refused to disclose information about its direct Planned Parenthood grant, claiming disclosure would harm the nonprofit’s “competitive position.”””

What competition??? That’s pure cronyism and blatant support of the Democrat’s  – and Obama’s – pro-abortion political ideology.

Edited 11/12/16: misspelling of Services in first sentence BBB

Trust me, I don’t have a conscience (yes, THAT again)

Speaking of CS Lewis’ “conditioners” in my last post, a small group of “philosophers and bioethicists” got together in Geneva, Switzerland last June and came up with a “Consensus Statement on Conscientious Objection in Healthcare.”

On the “consensus” from less than 20 self-selected individuals, we’re supposed to advocate the move from shaming doctors for objecting (to acts that have been considered shameful by Western society since Hippocrates) to some sort of judgment by tribunals.

From the BioEdge.org blog:

“After a special workshop held at the Brocher Foundation in Geneva, Switzerland, over a dozen bioethicists signed a ten-point“Consensus Statement on Conscientious Objection in Healthcare.” The group stated that “healthcare practitioners’ primary obligations are towards their patients, not towards their own personal conscience”. As a consequence, “healthcare practitioners who are exempted from performing certain medical procedures on conscientious grounds should be required to compensate society and the health system for their failure to fulfil their professional obligations by providing public-benefitting services.” They also stated that “Medical students should not be exempted from learning how to perform basic medical procedures they consider to be morally wrong.”

What’s to enforce those guidelines if the physician has no conscience? What place does “should” or “ought” – words that are flung about in the “Consensus” – have if the conscience is to be dismissed?

As Wesley Smith points out  at his blog on National Review, any objectors would be re-“conditioned.” The “Consensus” demands that  doctors not only be forced to explain their rationale, perform “public-benefitting services” (in addition to their jobs as doctors), and teach medical students those morally controversial procedures, they would be sent to re-education classes.

Oh, and they might not be able to get a job in the first place if they aren’t morally pure – excuse me – able to “fulfil (sic) their professional obligations,” according to this little club:

“This implies that regional authorities, in order to be able to provide medical services in a timely manner, should be allowed to make hiring decisions on the basis of whether possible employees are willing to perform medical procedures to which other healthcare practitioners have a conscientious objection.”

I sincerely doubt that any representatives were invited – or allowed – to attend. (At least, that’s my experience.)

More on “conscience” by searching the “Categories” on this page.

Lawlessness for All (A Modest Proposal)

Tell me why I should believe that  “Latinos” are a big homeogeneous blob who don’t care about anything else except immigration, including law and order?  

The news yesterday was full of “Latinos” declaring that they have turned away from voting for Donald Trump after his speech on immigration in Phoenix. 

These people on the “news channels” and social networks claimed that an entire group of people, all lumped together because of who their parents are or what language they speak, are of the same mindset, and will vote as a block to ensure that some people – dare I say “their people” –  are treated differently under the law from everyone else 

There’s no justice  in ignoring the law. On the contrary, inconsistent enforcement of the law is injustice:  it infringes on everyone’s rights. Everyone’s liberty is placed at risk by inconsistent enforcement at the whim of whoever has the biggest gun, the most votes or the latest appointees to the US Distric Attorneys offices and Federal Courts.  Whoever has power gets to decide which of us is “more equal.”

Illegal aliens have at least committed a misdemeanor for the first offense. If they’re working, they are probably using false Social Security numbers, possibly committing  identity theft –  not a victimless crime, even if you believe the reports that illegal aliens contribute more than they cost society.

So, here’s my “Modest Proposal,” with apologies to Vicar Swift.

If you think we should just let illegal aliens hide out for 10 years, then self-report (yeah, sure) , sign up for fines and an English as a Second Language class,  how about treating every equivalent infringement the same?

Let us each pick our own tort or crime, to be determined at our convenience. Give everyone a year or 10 – after the fact – to self-report, pay a fine, take a class  and go on.

Start with other cases of identity theft, then move on to Federal offenses like voter fraud, money laundering, Medicare and Medicaid fraud and abuse, on to failure to pay the IRS, bank fraud, embezzlement.

After all, it’s only fair.

Not-Libertarian Town Hall

Watched the John Stossel “Libertarian Town Hall” from August 26th on YouTube.   I believe I will “discriminate” against these two. Johnson and Weld don’t seem to understand the basic tenets of either the Libertarian Party or their former Republican Party. They have moved far to the Left and openly  advocate force against anyone who works in the public

Basic Ethics: It’s not aggression ( or harmful “discrimination”)  to refuse service – to refuse to act. In direct contrast to the statements made by these two, religious freedom is not restricted to “the church” or within the church worship service. Integrity requires that people practice their religion in all aspects of our lives. And, business regulation cannot legitimately be used to enslave by forcing future labor or giving the government the power to allocate private property.

Both men argued that the government may force a Christian baker to bake a cake for a gay wedding. Johnson repeatedly refused to answer Stossel’s question about the Muslim delivery owner being forced to sell pork. Such simple question!


Johnson tried to make a distinction between selling a cake and decorating the cake, calling the latter a matter of free speech. The point is that the right to liberty is an inalienable right which gives rise to religious and speech liberties.

In the cases that have been brought against bakers who won’t sell cakes, the cakes have been *wedding* cakes which are, indeed, decorated. Those cakes would have been the result of future labor, and made to order, not cakes already baked, waiting in a display shelf. 


In order to justify Federal interference, Weld said of one program, “The proof is in the pudding.” In other words, the ends justify the means. No, in an ethical world, illicit means are illicit, even if they work.

The bottom line is that neither Gary Johnson nor Bill Weld displayed an understanding of ethics, or the rationale behind Libertarian or Republican policies. 



Texas’ Republican Platform 2016

RTPsymbolAbout 300 delegates to the RPT weren’t Republican.The Platform of the Republican Party of Texas is online under “Platform,” here: http://www.texasgop.org/2016-convention/ . The numbering in this version of the Platform is awkward, but the plank-by-plank votes are reported at the 3rd link, below.

110 even voted against Principle #5, “Personal accountability and responsibility”

Just under 300 voted consistently against what should be non-controversial issues, such as the plank against human trafficking.

(Numbering appears to be a typographical error, hopefully soon corrected. The hard copies we had were much clearer.)

https://www.texasgop.org/wp-content/uploads/2016/01/PERMENANT-PLATFORM-as-Amended-by-Gen-Body-5.13.16.pdf
https://www.texasgop.org/wp-content/uploads/2016/01/2016-Texas-GOP-Weighted-Totals-.pdf

New Braunfels Resident’s River Pass Isn’t “Free”

2totubeNew Braunfels residents will get to join the crowds gathering along the Comal River every single summer holiday or weekend day, if we want to play in our rivers. (Which are actually State owned rivers.)

Our New Braunfels City Council not only promoted the ancient tradition of queuing up, they made sure we do so while visiting our Parks more often, too!

Even residents who live on the rivers and/or will only be on the Guadalupe will find themselves in Hinman or Prince Solms in order to use their “free” Pass to obtain wrist bands each and every single day if you enter or exit either the Comal or Guadalupe by City land with your tube, kayak or canoe. (noodle, life jacket, snorkel or scuba gear, too?)

 

Here’s the City Council ordinance info:

Between Memorial Day and Labor Day of each year, all persons in possession of water oriented recreational equipment on the premises known as the City Tube Chute, Prince Solms Park, Hinman Island Park or using public exits on the Comal or Guadalupe Rivers, must be wearing a city-issued wristband. ( http://www.nbtexas.org/DocumentCenter/View/7497)

 

From the nbtexas.org River Pass page:

Residents

New Braunfels Residents, who reside inside the corporate city limits, can receive a Resident River Pass at no charge to avoid paying the River Management Fee.

Then take your Resident River Season Pass (or your purchased Resident Swim Pass or Resident Family Swim Pass) to one of the three booths set up at Hinman Island Park and Prince Solms Park, or to a River Outfitter, to obtain your free wristband when you tube on Saturdays, Sundays and holidays between Memorial Day weekend through Labor Day.

AND:

Note: If you are resident using private property to enter or exit the river while tubing, but will still utilize public land to get on or off of the river, you will need a wristband to be in compliance with the ordinance. ( http://www.nbtexas.org/riverpass)

Won’t the “last exit” be fun this year?

Just in case you were wondering who and what the “Municipal Code” covers:

Public river exit means Cypress Bend Park, Lincoln Street River Exit, Garden Street River Exit, Hinman Island Park, City Tube Chute and any other City-owned right-of-way or property with frontage on the Comal or Guadalupe Rivers currently not leased to another entity.

Water-oriented recreational equipment means tubes, kayaks, rafts, canoes and all other forms of personal watercraft.

There are going to be three (3) (Yes, 3!) booths where these wrist bands can be obtained.  The 3 booths will be at Hinman Island and Prince Solms Park – none at the City limits or parks along the Guadalupe.

Won’t we all have fun getting to know our neighbors and the visitors to our City as we all line up in front of these three booths on Saturday mornings? After finding parking?

Here’s an idea: The bands may also be obtained from a River Outfitter. Maybe the Outfitters will deliver the wrist bands to our New Braunfels residences?

The City Council and Mayor can be reached, here.  http://www.nbtexas.org/index.aspx?nid=298

You can call 830-221-4000 to try to get more information from the City of New Braunfels. Good luck!

 

 

Texas’ Women’s Health, UT Study: Other than that*, the story was true.

*The authors of a study published in the New England Journal of Medicine admit to a narrow focus that ignored the multiple methods of funding Family Planning in Texas,  looking instead at a single type of “provider” – Title X clinics like Planned Parenthood (“PP”) – and a single source of funding for a specific set of services: long-acting reversible contraceptives such as the IUD and implants and injectables.

Yet, in typical fashion, the reports about the study claim much more. For example, the Texas Tribune has an article out, “Texas disavows Controversial Women’s Health Study,”  about the political fallout due to the skewed conclusions of the authors and the even more skewed editorializing in the media.

While the NEJM article (free article!) states in the “Methods” section that,

“After the exclusion, the provision of injectable contraceptives fell sharply in counties with Planned Parenthood affiliates but not in counties without such affiliates; subsequently, the numbers of claims in both groups of counties remained relatively stable during the next 2 years. In contrast, the provision of short-acting hormonal methods changed little in the two groups of counties in the quarter after the exclusion and declined steadily thereafter.” (Emphasis mine. )

the Tribune article reports that in answer to criticism,

Joseph Potter, one of the UT researchers who co-authored the study, said in an email that the paper addressed the “specific question” of how the exclusion of Planned Parenthood from the Texas Women’s Health Program affected women. Nothing raised in Traylor’s letter, he said, contradicted the researchers’ conclusions.

“We made no claims about access to reproductive health care as a whole in Texas,” he said, and he stood by the finding that claims for long-acting contraceptives fell after Planned Parenthood was excluded from the women’s health program.

The law in question, SB7, was passed with bipartisan support in 2011, a year when Texas, along with State budgets all over the Nation were tight. Although family planning was cut, no specific vendor was “excluded” and PP was not even mentioned in the legislation. Only because PP did not offer continuing, comprehensive care, that business would effectively be cut out.

The Obama Administration took great offense at our State’s attempt to take care of the whole woman and refused all Family Planning Title X money for Texas Medicaid.

Instead, Obama intervened to specifically direct $13 Million of Title X funds to a private organization,the Women’s Health and Family Planning Association of Texas (“WHFP”) which funds only Title X clinics, almost all of which are now Planned Parenthood businesses), so no money was lost even at PP.

The State Health Services no longer managed those Medicaid matching dollars once allowed by a special Medicaid waiver. Instead, State funding for the Family Planning programs and the Texas Women’s Health Program, was replaced by State dollars and directed toward programs and doctors that offer continuing, comprehensive care, such as Federally Qualified Health Centers (FQHC), State, County and local clinics and hospitals, and fee for service doctors that participate with Medicaid. Women could be diagnosed and treated for a much broader spectrum of health problems and their families were welcome at the same clinics.

Senator Jane Nelson, Chair of the Senate Finance Committee and sponsor of the Bill, objects to the implication by the NEJM that the authors were writing on behalf of the State. In her letter to the Executive Commissioner of Texas’ Department of Health and Human Services, Chris Traynor, Senator Nelson noted,

“This study samples a narrow population within the Texas Women’s Health Program (TWHP) — which represented only 33 percent of the overall number of women enrolled in our women’s health programs in Fiscal Year (FY) 2014. This ignores hundreds of thousands of women being served through the Expanded Primary Health Care Program; the Family Planning Program; and the 628,000 women of child-bearing age receiving full Medicaid benefits, 75 percent of which received contraceptive services in FY 14. Women often rotate in and out of our state programs, so we must look across our entire system to determine whether we are truly meeting their needs. Just because a claim for service was not submitted to TWHP does not mean a woman went without that service.
The study also creates an impression that fewer Texas women are accessing long-acting reversible contraceptives (LARCs). That’s simply not true. Across our state programs, there were more claims for LARCs in FY 2014 than there were in FY 2012 when Planned Parenthood was still a provider.”

In other words, women with private insurance and women who never had access to PP had similar numbers.

And another thing: Potter, a sociologist at UTAustin and the co-author quoted above, was the one who told the LA Times that,  “It’s not like there is a large, over-capacity of highly qualified providers of effective contraception out there just waiting for people to show up.”

On behalf of Texas’ Family Physicians, OB/Gyns, Pediatricians and Internists who accept traditional Medicaid and who had been unable to access the money in those competitive Title X grants awarded to PP, I’d like to inform him that yes, we have been waiting – for a chance to offer our patients this care.

But other than that ….

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