No competition: Trump’s Worldwide Retreat.

“With time, however, the Withdrawal Doctrine is undermining the administration’s commitment to deter and contain Russia. Nowhere is this contradiction more clearly on display than in Africa. The Trump administration’s reduced engagement on the African continent has created new opportunities for Russia to move in. As the United States withdraws some troops from Africa, and signals indifference to African affairs more generally, the Kremlin has dramatically and dangerously stepped up its military and commercial dealings across the continent.”

“The contrast between Washington and Moscow’s focus on Africa is stark. Trump’s assault on diplomacy and development programs has left U.S. embassies short-staffed and in policy limbo. This is true globally, but Africa-related work has been especially hard-hit and appointments extremely slow in coming. Amazingly, South Africa — a regional leader with the second-largest economy on the continent — has been without a U.S. ambassador since Trump took office. Trump has had little interaction with African leaders and little to say about the region (with the notable exception of his reference to African states as “shithole countries,” a comment that continues to reverberate across the continent).”

Medicynical note: Trump’s ignorance manifested by his racism and fealty to such dictators as Putin, Kim and Egypt’s el-Sisi undercuts our foreign policy objectives of encouraging democracy and aiding emerging nations towards stable democratic governments. Trump really isn’t smart enough to give a damn.

The $12,000 Hangover.

Why? Because it’s America and because they can.

Medicynical note: A $7,644 facility fee and an over $12,000 bill for a nurse evaluation, two bottles of saline IV and a less than 1 hour visit. American healthcare isn’t.

Trump’s Deficit…….and Not the Intellectual One

Deficit, not my department, implies bankruptcy maven Donald Trump after achieving the milestone of a trillion dollar deficit while claiming the “best” economy ever. This can’t end well. Ask his partners in his six previous bankruptcies.

“President Donald Trump, who promised during the 2016 campaign to eliminate the federal debt, has instead overseen a dramatic increase in deficits.”

Medicynical note: in his rush to outdo the Obama administration Trump has succeeded…… doubling the annual budget spending debt in just three years. Quite an accomplishment. One that our children and grandchildren will have the honor of paying back. Trump has indeed succeeded in running the government like his previous bankrupted businesses.

Money buys ACCESS : America’s lubricant

Even Bill Gates can be bought.

“On Monday, CNBC reported that Microsoft founder and philanthropist Bill Gates met with late financier and convicted sex offender Jeffrey Epstein in 2013 after Epstein “unleashed an aggressive lobbying campaign” to secure that meeting. In an interview published on Tuesday, Gates offered his explanation of why to the Wall Street Journal: Epstein knew a lot of rich people!”

Medicynical note: Bill, the issue is not that there were only men present or that you didn’t partake in his crimes but rather that you had anything at all to do with this monster. Money in America is the universal lubricant.

The Worst……….President Ever?

Some people assert that Trump is in fact a Russian asset; whether you agree will depend on how you define the term. But it has become clear that across the government and the country, everyone has had to adjust their expectations and actions to the fact that the president of the United States simply cannot be trusted to uphold America’s interests, if doing so conflicts with his greed, or his desire to please a foreign dictator, or simply some whim he had while watching “Fox & Friends.””

“It may be some time before we understand the full extent of the damage that has caused.”

Medicynical note: Unbelievable. And Moscow Mitch too.

America is broken: Health Care

Unpaid medical bills are a leading cause of personal debt and bankruptcy, with hospitals from Memphis to Baltimore criticized for their role in pushing families over the financial edge. But UVA stands out for the scope of its collection efforts and how persistently it goes after payment, pursuing poor as well as middle-class patients for almost all they’re worth, according to court records, hospital documents and interviews with hospital officials and dozens of patients.”

“UVA sued patients for as little as $13.91 and as much as $1 million during most of that period, until July 2017, when it restricted lawsuits to those owing more than $1,000, the analysis shows.”

Medicynical note: We are broken. That’s not an opinion but a sad fact. Consider that we tolerate a non system of health care that is bankrupting us collectively and individually. Consider that we uniquely, as policy, deny the risk from global warming and its human activity related causes. Consider that we consider money the equivalent of free speech. Consider that we turn a blind eye to the presence of unlimited numbers of weapons of war in the hands of “sportsmen”, mental incompetents and paranoid self proclaimed “patriots.” Consider that we have judges selected and confirmed who are misogynists, homophobes and racists. Consider that our President and his party’s leadership deny the threat to elections from foreign governments despite advice from our law enforcement and intelligence agencies. Consider that we tolerate the above and that there is a chance we lamely accept the above as American Exceptionalism.

He’s Really a Moscow Mitch…..the Russians ARE Coming

Mitch McConnell is a Russian asset.

This doesn’t mean he’s a spy, but neither is it a flip accusation. Russia attacked our country in 2016. It is attacking us today. Its attacks will intensify in 2020. Yet each time we try to raise our defenses to repel the attack, McConnell, the Senate majority leader, blocks us from defending ourselves.

Medicynical note: He is either a do anything to “win,” no matter how illegal and/or anti-American or a Russian puppet. Neither is acceptable but……That’s our Mitch.