Category Archives: Uncategorized

He’s Literally Killing Us– Trump’s Fatal Errors

“The current U.S. outbreak is especially stark when compared to other large, high-income countries. All have few cases today compared to the United States.”

Medicynical note: Trumps ignorance has been on parade for months. His refused to listen to and follow informed medical advice. He actively undermined informed medical policy. He proudly hired and promoted the unqualified. Meanwhile people who should have known better in the Republican Party showed sheep-like obeisance as this stupid man undermined American democracy in four short years. And it’s sad to me that the best the other side can do is a geriatric placeholder who without question will be an improvement but who also does not inspire great confidence in the future.

Were the ideals of the postwar generation and after a mirage? I’m beginning to think so.

Bad Management– The Trump Downfall……again

“But their ultimate goal was to shift responsibility for leading the fight against the pandemic from the White House to the states. They referred to this as “state authority handoff,” and it was at the heart of what would become at once a catastrophic policy blunder and an attempt to escape blame for a crisis that had engulfed the country — perhaps one of the greatest failures of presidential leadership in generations.” (emphasis Medicynic)

It’s worse then that because after the “handoff” the president and his feckless vice president actively undermined the states’ public health messages.  Think of that our government at war with………itself.

Screen Shot 2020-07-19 at 7.49.20 AMMedicynical note:  Trump’s instinct is to first engage in magical thinking and when that doesn’t work blame somebody, anybody at all, else.  His scapegoats so far are an honor roll of competent people and organizations who were right. 

Trump’s campaign slogan should rightfully include “the worst ever.”

They were wrong……and I don’t mean Dr. Fauci

Ignored experts.  Crippled the CDC.  Politicians in charge of pandemic response.  What in the world could possibly happen?

“President Trump and his top aides decided to shift primary responsibility for the coronavirus response to the states during a critical period of weeks in mid-April, eagerly seizing on overly optimistic predictions that the pandemic was fading so the president could reopen the economy and focus on his re-election, a Times investigation found.”

“The investigation revealed that key decisions about the handling of the virus during that crucial period were made not by the better known coronavirus task force, but by a small group of White House aides who convened each morning in the office of Mark Meadows, the president’s chief of staff.”

“One of their goals: to justify declaring victory in the fight against the virus. In that effort they frequently sought validation from Dr. Deborah L. Birx, a highly regarded infectious diseases expert, who was the chief evangelist in the West Wing for the idea that infections had peaked and the virus was fading quickly.”

Screen Shot 2020-07-18 at 1.15.30 PM

Medicynical Note:  With the best experts in the world at his disposal what does Trump do?  He ignores warnings from the previous administration. He stops funding the pandemic response team.  He cuts funding to the CDC and WHO.  He ignores the advice of international experts and our own U.S. based experienced epidemiologists and scientists.  He engages in magic thinking–it will go away like a miracle.  And wouldn’t you know he selects the least competent to provide advice–Jared, Navarro, Azar and yes Birx (to be clear Birx is probably a competent self-promoting medical bureaucrat but appears by all the information available to be an incompetent inexperienced epidemiologist).

Bad choices and the worst results in the industrialized world.  Trump’s confederacy of dunces.

French Hydroxychloroqin Study Invalid

In particular, he condemns the decision by Raoult’s team to exclude from the study’s final results six patients who took hydroxychloroquine, including four whose condition worsened, one of whom eventually died during the study period (none in the control group died). There were also other inconsistencies, such as supplemental material mentioning that a number of asymptomatic patients were included for study while the study’s actual language claimed that it was an examination of hospitalized patients (people without symptoms are unlikely to have been hospitalized for covid-19).”

Medicynical note: Trump’s favorite study was crap…… fitting.

Human Life vs Money? In the U.S. Money Wins……….Every Time

Late last month, Carsyn Leigh Davis turned 17 in an intensive care unit bed in Naples, Florida. Two days later, at 1:06 p.m. on June 23, she died at a children’s hospital across the state, in Miami, where she’d been transferred for last-ditch “heroic efforts” at saving her life. She was the latest of 3,281 deaths in the state from Covid-19 at the time; as I write this, less than two weeks later, the toll is now 3,841.”

Medicynical note: Over 130,000 have died, with several hundred more dying each day. Our president is out playing golf or over-ruling his experts. The U.S. is like no other place, ignorance rules and money wins…..

Whoops…..Asleep at the Wheel, Again

Since at least February, and possibly as early as March 2019, the United States has had compelling intelligence that a committed adversary, Russia, paid bounties to Taliban-linked fighters to kill American troops in Afghanistan. American service members were reportedly killed as a result.”

“To this day, the president of the United States has done nothing about it.”

Medicynical note: How do you excuse such incompetence. First you deny that there were ever reports on Russian targeting of U.S. servicemen in Afghanistan. If that fails you maintain that if there were reports all of the responsible parties in government didn’t see them or weren’t briefed on them. And then when it turns out they were printed in presidential briefing materials, you say they were never fully proven……all this while the President promoted Russian interests several times…….over U.S. interests. Is this incompetence, Or treason?

Trump’s Pre-existing Illness NON-PROMISE

“The Trump administration touched off another politically charged battle over the future of Obamacare with its latest maneuver to dismantle the law amid a pandemic — a move that Democrats immediately weaponized for competitive campaigns this fall and few Republicans defended.”

“The 82-page brief filed late Thursday to the Supreme Court in a high-profile case brought by GOP state attorneys general undercuts President Trump’s repeated pledges to ensure coverage for people with preexisting conditions as his administration and the broader Republican Party seek to wipe away that protection.”

“Trump vowed as recently as last weekend, at a campaign rally in Tulsa, that he would “always protect patients with preexisting conditions, always, always.” But his own administration’s position in court is that the 2010 Affordable Care Act’s individual mandate is unconstitutional, and therefore so is the entire law — even its most popular provisions, such as coverage for those with preexisting conditions.”

Medicynical Note:  And now the fine print on Trump’s pre-existing illness non-guarantee. 

Trump’s promise to protect patients with pre-existing illnesses does not guarantee affordable pricing.  Insurers can and will charge people with pre-existing problems more, much much more. 

And if the patient can’t afford the insurers price for coverage,  republicans then usually propose to put them into high risk pools and charge for subsidized insurance based on income (an ability to pay test).  The problems with such pools is that they are underfunded (run out of funds to pay for care) and still too expensive for most people to afford.

The president’s promise also does nothing to limit deductibles and co-pays for people with pre-existing illnesses.  And these extra charges can also be based on  income and assets. 

Remember Trump is a health care ignoramus.  He knows nothing about health insurance or funding it.  He really can’t be bothered with details and has no understanding that health insurers  have primary fiduciary responsibility to stock holders not patients.  They really have limited to no interest in caring for very sick people. 

It’s a fact that Medicare was first established for that very reason.  Insurers didn’t want to provide coverage for the elderly, after all they might be sick.  As a group they have too many pre-existing illnesses. 

Maybe in a more rational time we’ll come to conclude that Medicare type insurance makes the most sense for everyone in the only industrialized country in the world which has no national health care scheme.  Maybe, who knows?  VOTE

Lie…..about everything……Trump’s America

Trump’s election strategy relies on non-stop, repetitive, redundant, obvious, grotesque, blatant lying. It worked before, why stop now.

“Mike Pence is the guy you’d want in your foxhole. You might be out of ammo, bleeding profusely and about to be run over by a tank, but the hard-praying vice-president would assure you that total victory is assured and it will all be over by Christmas.”

“The Baghdad Bob of Washington was on top form on Friday, reassuring an anguished nation that up is down, square is round and an all-time high of daily coronavirus infections is proof positive that America has flattened the curve.”

Medicynical note: States that took few if any precautions and then prematurely stopped even doing the minimum are dealing with the massive spread of the COVID-19 infections. Their patients with serious infections are increasing dramatically increasing hospital ICU use to capacity.

Yet Pence is unimpressed. In his Pence/Trumpian dream-like narcotized state he calls the explosions of ICU cases a statistical anomaly from increased testing. As death rates increase, despite better treatments, he makes the argument that Trump has handled the epidemic……you guessed it,…….purrfectly.

The nearly 130,000 dead, are piously prayed for and “honored,” with little regard for the thousands more coming. We’re in a Twilight Zone of sorts where more illness and deaths are good signs and precautions and prevention are signs of weakness. That’s the Trump/Pence delusion.

Each day another insult to our intelligence.

The Republicans’ Empty Promises

“In 1980 the federal deficit was soaring and Ronald Reagan campaigned on a singular promise: He planned to cut taxes on everyone, but especially the rich. He insisted that those benefits would quickly trickle down to everyone and supercharge the economy. Throw in some social safety net cuts, Republicans said, and the whole plan would pay for itself.

“They were wrong. The rich got lower taxes all right, but the economy flatlined and the deficit skyrocketed. I should know: I graduated from college the same summer the tax cut passed, and I spent the next three years managing a Radio Shack waiting for the economy to get back on its feet. In 1982 Reagan was forced to raise taxes to make up for his cuts, and he continued raising them throughout his presidency.

Medicynical note: Trump’s dead end. If re-elected it will only get worse. We can expect cuts to Social Security, Medicare, Medicaid. We can expect millions more uninsured with the demise of the Affordable Care Act. And so on. We’ve become an autocracy with wealthy supporters buying their way into government contracts. A corruptocracy…….Trumpism. Vote.

America’s Decline……personified

before 2016, no one could have conjured up President Donald Trump as anything but a joke — and yet in some sense, all too imaginable. Think of it this way: the president who launched his candidacy by descending a Trump Tower escalator to denounceMexican “rapists” and hype the “great, great wall” he would build, the man who, in his election campaign, promised to put a “big, fat, beautiful wall” across our southern border to keep out immigrants (“invaders!”) — my grandpa, by the way, was just such an invader — has, after nearly three and a half years, succeeded only in getting a grotesquely small wall built around the White House; in other words, he’s turned the “people’s house” into a micro-Green Zone in a Washington that, as it filled with National Guard troops and unidentified but militarized police types, was transformed into a Trumpian version of occupied Baghdad. Then he locked himself inside (except for that one block walk to a church through streets forcibly emptied of protesters). All in all, a single redolent phrase from our recent past comes to mind: mission accomplished!”

Medicynical note: America’s decline as a democracy is obvious. Instead of rejoicing in the participation of everyone, politicos scheme to manipulate and disenfranchise. Our civil discourse is punctuated by the staccato bursts from weapons that some think symbolic of being “free” rather than the reality of being tools of intimidation, suppression and violence.

The symbols that differentiated our culture and frankly made it seem great are being eroded. Our businesses say they want fair competition, but most strive, often by scamming, for monopoly status.

Unlimited money in politics is used to openly bribe for favors and buy elections. Public education is being subverted. Scammers are setting the rules for government agencies. Conflicts of interest are fed and nurtured rather than controlled.

Racism, homophobia and white supremacy are on the rise. Our president uses them as wedges to create hatred and loathing. We fear immigrants. A little ironic in that all of us, except native Americans, have immigration stories in our family history.

Separation of church from state is now thought by some a negative when in reality it previously protected us from false divisions and magical thinking. We disregard science and only consider short term profit rather than long term ramifications. Religion is being subverted, or perhaps was always a mechanism of fostering divisions based on differing beliefs. We can’t seem to get past mine is better than yours.

You get the idea. We are in denial of what once made us a dynamic great society……….but the stark reality is that we are not who we thought we were.