Eclectic commentary from a progressive voice in the red state

Friday, September 13, 2024

GOP and right wing control gun? Never.

As the country digested the school shooting in good ole red state Georgia, all the right-wing/Republicans could offer were “thoughts and prayers.” JD Vance, the GOP’s vice presidential candidate, said these shootings are a “fact of life.” Now we’ve moved on with dissecting the Harris-Trump debate. But in the shadow of the 9/11 remembrance, CNN is reporting that the shooter’s mother has written an open letter apologizing and saying her son isn’t a “monster.” That’s irrelevant. He had access to a weapon of war and we need to understand that the Republicans and the radical right will never divest themselves from the NRA or tolerate any restrictions on guns. Why?Here’s the brutal truth. They want their allies to be armed and ready to use against those of us who disagree with the deconstruction of our American democracy. We haven’t heard Thomas Jefferson’s quote in a while, but the right-wing has used it, especially when the Tea Party was more visible.

“The tree of liberty must be refreshed from time to time with the blood of patriots and tyrants,” Jefferson wrote to William Stephens Smith, the son-in-law of John Adams, on November 13, 1787.

In other words, the radical right is lusting for a violent dystopian future. We see this penchant for violence elsewhere. For example, look at the situation with death row inmate Robert Roberson, who faces execution based on junk science. The Intercept reported on this Sept. 9. I am guessing that Texas Fuhrer Greg Abbott will not stop this killing. He’s sending a message, subtle though it may be: The right wing will show no mercy or tolerance for those with whom it disagrees. It’s a reflection of the Jim Crow era when the preponderance of executions in the southern states were people of color, specifically Black people. The death penalty was as much of a tool of oppression then as are gerrymandering and voter suppression today.

If I had a solution to this situation, I would certainly suggest it. But I don’t. Get out the vote? Sure. Hope that law enforcement and the U.S. military will stay loyal to the Constitution? I can hope. But I am afraid we're in for a hot civil war.

Thursday, September 5, 2024

Can we fix broken capitalism?

The Washington Post reported on Sept. 4 that Boeing’s ill-fated Starliner capsule will returned to Earth Sept. 6 without its two-person crew. The formerly respected aerospace and airplane manufacturer and NASA have agreed that mechanical issues made a crewed return unsafe, but Boeing has objected to describing the return of the crew as “stranded.” The fact is that an eight-day mission has stretched for months and the word is perfectly appropriate.

Boeing’s PR folks are clearly in bunker mode because the firm issued a statement instead of answering questions, according to the Washington Post. That’s not surprising given the company’s recent history. For those needing a reminder, two new Boeing 737 MAX aircraft crashed due to software and other failures claiming 346 lives. More recently, an Alaska Airlines 737 lost a door plug forcing an emergency descent and return to the airport. And, two Boeing whistleblowers died a few months ago. The other reminder about Boeing is less spectacular and thus may have flown below much of the public’s radar. The firm moved its Seattle-area headquarters to Chicago in 2001 and then, in 2022, to Arlington, Va. Many industry watchers and others noted the moves from changed the company from an engineering firm to a bean counter firm.

But this isn’t just about Boeing. It’s about how the right-wing has destroyed the best parts of capitalism. It’s about James Buchanan and the Koch brothers and the other “titans” of industry who created a deeper and broader problem for the United States and world economy.

I’ve written exhaustively about the source of the 20th Century origins of this movement by citing the brilliant work of award-winning Duke University historian Nancy MacLean’s 2017 “Democracy in Chains: The Deep History of the Radical Right's Stealth Plan for America.” Buchanan laid the plans for the unfettered libertarian corporations in the world, especially in the United States where the guardrails are weak.

But another book chronicled the who and how changing the stakeholders in companies from employees and customers to investors and “Wall Street,” they have reshaped the economy to favor the wealthy.  

David Gelles’ work, “The Man Who Broke Capitalism:How Jack Welch Gutted the Heartland and Crushed the Soul of Corporate America — and How to Undo His Legacy” describes how Welch changed G.E. from a customer-product-employee oriented company to a firm focused on stock price. Welch’s reign of terror began in 1981 and spawned the “greed is good” 1980s and 1990s.

“But Welch’s achievements didn’t stem from some greater intelligence or business prowess. Rather, they were the result of a sustained effort to push GE’s stock price ever higher, often at the expense of workers, consumers, and innovation,” writes the Simon & Schuster summary of Gelles’ work. “In this captivating, revelatory book, David Gelles argues that Welch single-highhandedly ushered in a new, cutthroat era of American capitalism that continues to this day.”

Gelles cites Boeing, Home Depot, Kraft Heinz, and others; so, Boeing is just the most recent poster child for abomination. It’s been going on for years. Remember Erin Brockovich? And how about Microsoft’s environmental rape by setting hardware requirements for Windows 11 that will obsolete an estimated 240 million non-conforming, vomiting them into landfills?

As recently as Sept. 1, the New York Times broke a story about Acadia Healthcare’s illicit hold policies for psychiatric patients. That story also mentioned the Justice Department’s $122 million fine in 2020 of Universal Health Services, Inc. and Turning Point Care Center, LLC. The DOJ release of July 10, 2020 stated the fine was “to resolve alleged violations of the False Claims Act for billing for medically unnecessary inpatient behavioral health services, failing to provide adequate and appropriate services, and paying illegal inducements to federal healthcare beneficiaries … .:”

These examples are the proverbial tip of the iceberg. Also on Sept. 4, Kim Komando’s tech newsletter exposed the Atlanta-based Cox Media Group for selling information from its product that taps smartphones and sells the information for advertising.

“Their Active Listening software can tap into private conversations through your smartphone’s microphone. It uses AI to capture and analyze data from a convo, which it then combines with behavioral data to create ultra-targeted ads,” Komando wrote. “Perhaps most shockingly of all, they list Facebook, Google and Amazon as partners. Now, they didn't say for sure the Big Tech giants use Active Listening; it’s more implied — and now those companies are scrambling.”

And lest we forget, take note of Tesla, the most prominent strain of corporate genital herpes, Elon Musk, infecting our world.

“When a Tesla is in Sentry mode, its onboard cameras capture what’s happening around the vehicle when there’s sound or movement detected. Police know that to get the footage, they need access to the USB drive in the glove box. If the owner is MIA, cops get a search warrant and tow the EV into evidence,” Komando wrote. That also raises the question that a Fourth Amendment violation may be at play. In addition, Musk’s Space X is contaminating Texas, without the state’s corporately captive government doing nothing. Of course, Texas own Führer, Greg Abbott, promotes this as he pledges his allegiance to the world oligarchy.

Gelles was optimistic that firms are now rejecting “Welchism,” citing companies like Patagonia and Unilever among others. But given the revelation about the Cox Media Group and BigTech, I am far from convinced the pendulum will swing back the other way.

It will come down to politics, won’t it? Add the above thoughts on November 5, 2024.

Tuesday, August 27, 2024

My Journey to Linux and Peace

 This story is part of my mental health journey to embrace things that give me more peace, pleasure and less agitation.

As I continue my painful recovery from surgery and float through the cybersphere, I came across a post on one of my subreddits — a Linux Mint forum. The post celebrated the first release of this operating system on August 27, 2006.

Why should this matter to me? Or to anyone else?

Well, late in 2023, I decided that Microsoft had become too intrusive to both my pocket book and my data. The tech giant converted its office suite into a subscription-based product while disabling and locking away access to former versions of Office, which had been fully paid for making practically industry-standard Word, Outlook, Excel and other programs useless. The threat that the firm’s monopoly-coveting greed would extend to renting the main operating system seemed real to me, specifically because its PR flacks issued denials of the possibility. Then, “security” updates to the Windows 10 system imposed defaults to such things as OneDrive, where all your work was loaded into the Microsoft cloud app or “copilot,” a supposed artificial intelligence app. It was clear that my “personal” computer was really just becoming Microsoft’s work station placed in my home.

Then with no rational justification, Microsoft’s new hardware requirements for its Windows 11 operating system would vomit, according to some estimates, about 240 million (yes, million) older devices in landfills. I lack any civil words for condemning Microsoft’s rape of the environment.

I knew, from my introduction to personal computing in 1976, other operating systems were available; and I knew from playing in cyberspace in 2016 that operating systems based on Unix and Linux were gaining ground and becoming more user friendly. So, I went on a research spree and, in November 2023, checked into various Linux operating systems (called distros in Linux-speak). The learning curve was steep, complicated by the fact that some of my essential finance and photography programs were not available for Linux systems; or, that the Linux variants were simply not robust enough.

After an agonizing trek through research and testing in December and part of January 2024, I decided that I wanted a “dual boot” system. That is, I wanted the ability to start and/or boot my powerful desktop computer into either Windows 10 or Linux Mint Cinnamon. The latter Linux system’s desktop environment looked much like Windows although it was completely different. That decision made, I took apart my computer and following very helpful YouTube videos, installed two solid state drives, or SSDs, and then loaded Windows 10 on one and Linux Mint Cinnamon on the other. I reattached all the drives and booted up. By the end of last January, I had everything installed with both operating systems available at my command. And, the few Windows-only programs run on that SSD while the majority of my “daily driver” applications are on my Linux drive.

Remember I said environmental rapist Microsoft is forcing those who want/need to run Windows 11 to give up perfectly good devices, flooding landfills with the poisons of Silicon Valley? Well, a major answer to dodging the cost of new equipment is that the variety of Linux distros let you choose one that will work on older machines because even the most robust of Linux flavors are less bloated than Microsoft’s operating systems. My Linux Mint Cinnamon is lightening fast on a 2011 ASUS laptop that slogged along on Windows 10.

There is another benefit to using Linux and Linux-based applications. They are known as “open source,” which means they are free; they are supported by large communities of developers who will take but not require contributions. So my word processing, video editing and playback apps, other office-programs, browsers and VPN are all free and run on Linux. I am writing this on LibreWriter, which is part of my LibreOffice suite. It’s not as robust as Word in some ways, but it’s easy to use and, as I noted, free. Even better, none of the Linux applications default to data sharing or have embedded spyware. Further, as many in the Linux community will point out, these distros are remarkably secure and almost totally immune to malware attacks.

Moving from the major computing environments to Linux can be challenging. In my moments of great frustration, and there were many, I reminded myself I was also learning things and the exercise was good for my Hercule Poirot-type “little gray cells.” Now I start my days in Mint condition, visiting Microsoft once a day to handle finances. It gives me peace to know I am less vulnerable to BigTech and am part of a community with similar values to mine. If you, dear reader, wish to detach from BigTech and greedy capitalism, take a look at Linux. Even if you don’t convert, you will have learned there are more options for you and your computer to enjoy.

Sunday, August 11, 2024

Abbott and the stormtroopers

 


On August 8, 2024, Greg Abbott, the Nazi who purports to be the governor of Texas, issued Executive Order GA-46.

The order, as the Texas Tribune notes, “ … requires public hospitals in Texas to collect information on the immigration status of patients so that the hospitals can then track costs incurred for the care of undocumented migrants.”

But, that’s only part of it. The order requires that hospitals enrolled in Medicaid, the Children’s Health Insurance Program (CHIP) and any provider the Health and Human Services Commission defines as a hospital to comply. So, clearly DeTar and Citizens are being abused by these stormtroopers; but so are the hospitals in Cuero, Hallettsville and other neighboring towns. Further the HHSC can extend the order to encompass any other provider it wants to. At what point would this stop?

Let’s leave aside the notion that this Gestapo-like overreach clearly violates the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and any other laws about patient confidentiality. If you read the order, it’s a rant to feed more red meat to the radical Texas Reich base. It’s also going to clearly drive sick people away from health care — and that will include many legal as well as undocumented people of color. This racism  would make Hitler and Joseph Goebbels proud. And, no, that is not too extreme a label for Abbott, Patrick, Paxton and the rest of the Republican ilk.

One question is whether the hospitals and other related industry associations will fight this in court. And, will the media cover this monstrosity as the media should or will the media be complicit enablers of these ogres.

Lord knows, were I still an active reporter, I’d be on this like a duck on a June bug. But I am not. I lack the resources to file the requisite record requests and engage the in fight over facts that would ensue. Nor do my blog or Facebook pages have the reach and traction this exposé desperately needs. I have, for the record, reached out to the new editor at The Victoria Advocate. I will, along with the posting this, reach out to others in my media network.

Let’s see what happens.

Friday, August 9, 2024

A long overdue confession

I’ve been giving a lot of thought about my experiences in grad school and about the 25 years working in the health care industry. And I want to say something I’ve needed to for a very long time. You see, I didn’t go to grad school for hospital administration because I loved the idea of being in health care. My parents pushed me to because they didn’t think I could make a living following my long-held dream of being a writer. Why that’s so is a story for another time.

These facts may be 57 years old. But, I was there, bore witness and remember them clearly.

In 1967, I enrolled in the master’s program in Hospital and Health Administration at the University of Iowa. It was a structured program; the first two 15-hour semesters led to a summer “internship,” followed by another two-semester-15-hour stint. The final semester was focused on the masters thesis. It was lock-step. The program sought to turn out administrative practitioners and doctoral graduates who would enter the field as either researchers and/or academicians.

The Iowa program was headed by an academician credited as one of the founders of the field of health care administration, the late Gerhard Hartman. Hartman was a Prussian to the core. And a tyrant. A dishonest tyrant. And, a petty tyrant at that. I will never forget Hartman referring to the doctoral student who was my thesis “supervisor” as a “martinet” in front of my entire class. So, what, in addition to his mean spirit, what else did students learn under Hartman’s tutelage?

Modeling behavior is an effective way to teach, to instill values and mold character. What did Hartman model? That it was acceptable to engage in private consulting services using the university’s resources for copying, typing and charging other expenses to the university funds. That it was acceptable to pass off the students’ research and writing as his own in a consulting report. And, that it was acceptable to exploit people; he required the students’ parts of the consulting report to be professionally typed — and paid for by the students.

Even with Hartman gone, the program put him on a pedestal with self-serving puffery and egregious dishonesty. One of Hartman’s “pets,” the late Sam Levey, wrote a monograph about the program’s history incorporating information about Hartman and his legacy. That monograph failed to address the realities of how Hartman ran the program. In short, it was a cover-up. A snow job. And worse, people at the university and in the program who knew the truth about Hartman let the publication stand as is. What does that mean for the credibility of such academic research? As an editor and publisher, the story would have been fact-checked; and finding these flaws, I would have spiked the story and fired the reporter. I am sure in another time and place, Hartman and Trump would have been great chums.

Finally, although Hartman and his henchmen claimed to train leaders in health management and policy, I have no memory of any Iowa graduate take a strong stand for fixing the health care system. And, from the time I enrolled in the program in 1967 until I left the field and subsequently severed ties with Iowa and the industry, I was never aware of an Iowa leader taking a stand on the radical steps needed to reshape the United States’ medical-health-industrial complex. In fact, strong stands were discouraged.

Meanwhile, in the almost 60 years since my time in the health care system, little of the industry's core has changed. As a nation, we tolerate the capitalist medical-industrial complex. Despite what politicians and others would have you believe, adding drugs to Medicare benefits and passing the Affordable Care Act needed major concessions to BigPharma, BigInsurance and BigEquipment. So while politicians and BigMedia propagandized by touting the benefits of these measures, the truth was buried and the umpteen-year-old so-called health care cost “crisis” continued.

How long have these observations festered? Probably since 1968, when I saw “The Graduate” and failed to understand the message: Live your life as you wish it. But, wait, Don Pardo, “There’s more.” During my second year, I enrolled in a photography course offered through the student union and almost washed my master’s thesis down the darkroom drain. How I wish I had.

After 25 mostly miserable years in the field, I had enough. I took a part-time job and went back to school. It took one journalism course before landing an internship covering the Colorado Legislature’s 1996 session and, then, my first job as a cub reporter. My drive to do investigative reporting scratched my anger itch and fueled my desire to hold to account those who need to be held responsible. I am proud of the work I did in journalism. I cherish the friends, the memories and the awards.

Few would dispute that the health and medical care system is deeply flawed and needs radical repair. “Medicare for All” would be a good start since we know that, despite swipes at government bureaucracy, the Centers for Medicare & Medicaid Services is far more efficient than BigInsurance. We need to de-fang the BigPharma, BigInsurance and BigEquipment lobbies. Pundits are only partly right when they lash out at physicians and hospital systems for the exorbitant health care costs. The inflation is driven by the choices forced into legislation by these lobbies. Failure to institute negotiation to lower drug prices for Medicare’s Part D is one example. “Saint” Ronald Reagan’s destruction of “Certificate of Need” and other measures to staunch duplication of services leading to unhealthy competition and inefficiency is another. And the propaganda that “free market” competition was good for health care and medicine? That was another “big lie,” and as false as “trickle down” economics. Joseph Goebbels would have been proud.

Which brings me back to the leadership in the hospital space. Graduate programs like Iowa’s have ceded their legitimacy to call the policy shots. Training administrators to game the system under the guise of fiduciary responsibilities is a cover and the perfect example of Albert Einstein’s definition of crazy. You can’t keep doing the same thing and expect a different result; unless of course this is all a kabuki dance with dancers who don’t want to change the tune.

It’s time for the clinicians seize control of the health care system. The leadership of hospitals and hospital systems should lie with physicians and other clinicians. One example of this successful paradigm is the Houston Methodist Hospital system. Those who come through the hospital management programs can be secondary players serving, as Ward Churchill said, “Little Eichmanns.” They and the other specialties like accounting and IT will have their proper roles. But the ship needs navigation by those who most understand what’s really going on at the patient level.

I didn’t have the courage in 1968 to walk out of the program and become a whistleblower. But in 1995 I took the steps that let me do more good than a lifetime of professional cowardice. The 22 years of comforting the afflicted and afflicting the comfortable were the most fulfilling of my work life. For those of you who have dreams to follow, do so. Now.

Saturday, August 3, 2024

A sermon worth hearing again and again


As far back as 2015, I joined others in predicting we would face a dystopian future with the GOP. That our predictions were accurate, especially as we realized that the parallels to 1930 Germany were the clear and present danger hulking over our nation, the long-term strategy of the right-wing was still below the radar. It wasn’t until 2017, when award-winning Duke University historian Nancy MacLean’s “Democracy in Chains: The Deep History of the Radical Right's Stealth Plan for America” revealed the depth of the march toward fascism. And, wile MacLean showed is the origins of this danger to our country, other books followed that documented the rest of the story.

But, since I’ve’ written far and wide about these works and the exposé, it’s unnecessary to do so here. Rather, what I want to do is preserve a sermon from St. Andres’s Episcopal Church in Amarillo, Texas. Mother Miriam Scott, one of the priests at St. Andrews, grew up in Germany and was well-versed in her country’s history and the acts of the Third Reich. That endowed her sermon with gravitas. Her warnings and conclusions about weaponizing Christianity and Jesus Christ himself, was (and is) a condemnation of the fundamentalist Christian evangelicals embrace of fascism. And, of their corrupted leaders leading their flocks into the hands of those who wish to hurt them. Indeed, Mother Scott labeled, rightly so, weaponizing Jesus was blasphemy.

I have listened to this sermon several times and each time I understand more. I have posted it to Facebook, but that may be too transient. I post it here for more permanence, I hope. Please take the time to listen again and again. It’s important.