Tag Archives: Healthcare

The Strains of Isolation: Quarantine Status Quo

This is a difficult thing, to be quarantined due to an epidemic, There have been many comparisons to the Spanish Flu of the latter part of the decade of the  1910s. We have a lot of things that are the same in this epidemic as they were in the early 20th century and there  are also things that are different. Overall the differences in the two eras are well illustrated in my room and life from which this post comes. I was married to someone of a compatible background and we lived together for eight years. Had that happened  the odds that I would have been divorced back then would be much lower. The chance that I would be childless in that era had I loved as I have would have been much, much smaller (though one cannot say nonexistent). So I am much more alone. I am a skilled gardener but amid my own personal brand of chaos related to the pandemic I have not been like the larger trend and gardened more — rather I have gardened less in every way {but still a good bit this spring) and I have not put in a vegetable garden which I had planned to this year but have not done in a long time.   The only food crops I planted in the last decade were a half done fruit trees and they were very young and not all survived to give fruit and so we had a very few and small harvests before the trees and the house and land around them were sold. So, no garden is another likely difference with the 1918 era.

The there is the wired world in which it is possible for me to put this post together on my laptop and distribute through my website located in the wonderful world of the internet. There is nothing that would be part of our lives that would have been harder for my ancestors in 1918 to understand,

Also I live in America, I work I have enough money for basic necessities most of the time and give to other causes but I have dealt with pain to the point of limited sleep and some disability for a week and have not tried to get medical help or prescription drugs. That is because I  almost never do get any medical care. I am much shaped in my life by my repeated failure to get health insurance . Like much of my life the story is long miserable and to people with very different lives hard to believe. But I have had it for years at a time and I have mostly not had it. This year I had four realistic plans to end up with health insurance right now, I invested time, money and energy into those plans and I ended up here with no health insurance. In America today that means no medical care more than in almost any society in the history of the world at any time — at least for certain kinds of people.  I am the product of a long time of the lack of diagnoses and the wear and tear of not getting more help for chronic injury than my over the counter pain killers and dietary supplements, using my over the counter  sling and a homemade ice pack along with aspirin and Naproxin.  But on the other hand, others somewhat like me have become opioid dependent and sometime because of the kind of chronic pains I suffer from without an acute injury, I have had acute injuries but all of them were a long time ago. But the aches and pains I have now can be severe enough.

My own life is much shaped by living in a world where a vast amount is spent on healthcare and in general i know that if I cannot sleep, can barely function and generally am sick and weary there is probably no health care for me. That is not really the way it was in 1910. The was wide access to very inferior healthcare of varied types for many people. People paid doctors and nurses with chickens, eggs, a painted shed, car repairs or a mowed lawn if they could not come up with the money. Doctors often got discounts at local shops for years based on performing medical services. People also had gardens, belonged to functional extended families and had religious institutions and fraternal life insurance organizations that buried the dead and cared for the bereaved. The nuclear family was a costly and often troublesome institution that often performed better under extreme stress than it did with all of its foibles and iniquities in the daily run of things. That nuclear family has much declined.

In dealing with this Covid-19 crisis the responses will have to deal with what is the same about pandemics and what is different in the two pandemics. In America ans much of the world the pandemic of the late teens was followed by the roaring twenties and not a Great Depression. But has the world changed?

Some people think that the world has changed a lot. You can read the article here that the following charts come from  which represents a conservative American critique of some aspects of social development in recent years.There is a lot which goes into making conclusions about this debate over social policy. But what few can debate is that some things have changed.

 

The world is not America, But to some degree, the disappearance of the society America aspired to be most in the 1950s marks a change in the aspirations if much of the world. America has changed the way it has and has done so without national universal socialized medicine and while that may have had benefits in technological innovation, diverse treatment options and resources available for emergencies — it has certainly led to the suffering misery and death of millions of Americans. Those people fall into identifiable blocks. One of the most identifiable blocks is composed of rural white men like me,  People of color who cling to small businesses in  dying neighborhoods,illegal aliens who work hard, usually pay taxes  and increasingly are hated and mistreated, single mothers who have one child student loans and a very good paying part-time job —these are all part of the mosaic of people who cannot get health care often enough. There are hosts of people who have their bankcards declined when the transactions never reached their bank, whose wifi crashes and who are just not liked much by most bureaucrats and when all this web . Decades of this kind of inability to operate on the mandated playing field in the game of American life is more than a set of frequent inconveniences. It become a way of assuring a shortened, more painful and less happy life.The Covid-19 effects will play into that world. One impact is that every time I donate plasma I have to certify that I feel well  and healthy that day, So that is the main reason that I have not been able to donate in over a week. That is my longest break in a good while. I worry about those needing the supply. I also miss the screening of various health parameters. Those are useful health data points but not healthcare if you are ill you quit getting the screenings.

It is virtually impossible  for people who are never excluded from the  world of those with access to healthcare and health insurance to know what that is like. The  weeks and days in which  older white men in rural America like me rotate ice packs, over the counter braces and  a sling and spend time alternating losing sleep to pain and passing out exhausted when they get enough homemade self care to blot out the pain — This is the America I know. I know well the world of those  too young for Medicare and who will be too beat up to live long once they get to Medicare. The life expectancy of white men in America has long been in decline. You can read some of these facts end view related clips here. So many of us struggle and nobody outside of these groups I mentioned are able to see the impossibility of enrolling in Obamacare or medicaid or making ends meet. White men with health insurance are dying as well but I believe a detailed study would show folks in my category leading the race to the grave by a mile. Many of us try to find ways to make our society make sense even when it cannot. One thing we can do when we cannot negotiate a payment plan for our very rare emergency care when we know all the pain, suffering and shortening of life we are asked to endure. One thing is we can find nonprofits who will take the little money we have to spare. Before Obamacare there were more charity community clinics that accepted donations many shut down because “everybody has care now”. Life on the outside when from very bad to horrible in ways nobody should have to know. But we can give to non profits like RIP Medical Debt.  I have and the process is gratifying. The text below is what their website gives you to look at when you make a donation.

Thank you for your donation!


Your donation to RIP Medical Debt will abolish 100 times its value in unpaid medical debt — which contributes to more than 60 percent of the bankruptcies in our country. Your fellow citizens, your community, perhaps even your next-door neighbor, all of us thank you for your care and generosity.

Please check your various inboxes for an email acknowledgment and tax receipt.

To stay up to date, join us on Twitter and Facebook. We look forward to keeping in touch.

Sincerely,

Executive Director

Men in America and white men in rural areas most of all are dying of varied forms of isolation, irrelevance and disaffection. That is really manifest at all sorts of levels. The larger idea of a declining white percentage of the population is just one factor. A general study that mentions that for someone who has not read about it is found here.  But I am not including the most relevant studies in any way in this post. One definite reality is that we have not had as many native born white children born in America as  there were native born American white children turning eighteen in a very long time, That is in a country with rapid population growth by many standards. So a lot of rural white men feel discarded and isolated and badly treated, The Me Too movement has a secondary effect of showing that society has tolerated all kinds of abuse against women but is just not as tolerant of the foibles of husbands. Single men are cut off from family as single women are not.  Mr. Mom is a rarity and the title answers many questions. In many ways women struggle in this new order  more than men. However that is very debatable, but for many men isolation  from marriageable women means poverty, depression and early death. Maybe things can change in this crisis  — I have some ideas as to how but we shall see. I am getting to the point of trying to remind people of things to think about without much argument beyond that.

It is not easy to be alone. There are several meanings of the word easy. Sometimes being alone is the less difficult option. But while it may give comfort and sometimes it may offer convenience.   It rarely offers both convenience and real peaceful flow of life’s restorative forces. I wonder what the pandemic will do to those who have become isolated in various ways. I have more tolerance for the idea of isolation than most people struggling with this new reality.  I have been alone in a variety of ways for a fairly long time. The sense of isolation has to do with the various ways in which men and women interact and how women are integrated into society. Only after all of this does it directly relate to how men are regarded by society when considered as a particular class of citizens.

But isolated people are still citizens, human beings, relatives and play other roles in society. I try to do what I can. Even in charity there are more internet and transaction failures in my life that in the life of most committed donors in the country. Here is a recognition of another donation:

Thank You For Your Gift!

Your incredible act of generosity will have a profound effect on someone’s life. In fact, your gift today will help us provide 150 meals to families in need. That’s truly phenomenal – and something we hope you take great pride in!

And it’s not just food you’re giving with your donation today, it’s also hope. When a bag of food or groceries is placed in the hands of someone struggling with hunger you can actually see their spirit lift as this one realization takes hold: someone cares.

And today, that someone is you.

See below for a confirmation of your gift. You’ll also receive this same information in your inbox.


I had a connection or two in the world and my family ties to Family Missions Company which have enabled me to help a few people in this worldwide crisis whom I do not personally know. I have the capacity to do what I can do without infrastructure of a more integrated life. These last  photos show people holding the bags of rice created in the pictures in the last post. So some things can be done.  She also sent me a bio f each family represented by the woman receiving the rice and why her family had not gotten government food aid. Some connection networks endure. I have also been able to advertise the various feeding programs provided by employer to the families of their students in my Facebook posts.

 

 

 

 

 

 

 

Current Politics and Reflections on the Lives of a Few Men.

This is one of those posts which is particularly unsatisfactory before it begins.  Likewise and more rare it is one I will edit after I post it to get something up in a fairly timely manner. Not in a unique way but in the way that a significant number of these blog posts have been. It is a subject where the nature of the subject should offer more than I am able to have it bring forth here. This is crowded post not much supported with images. It happens that this set of deficiencies can visit upon me a sense of loss. The election between Mary Landrieu the Democratic incumbent and Bill Cassidy the Republican challenger is upcoming on December 6, 2014 and there are other reasons why I feel a strong sense of motivation to complete this post. This is a time when the season weighs in at so many levels. Thanksgiving will be the very next Thursday after this blog gets posted. Chores related to freezes and other matters abound. The important religious rituals, readings and charities of a Catholic’s Advent season, football playoffs and Christmas all draw near. This is a time of year that is never easy for me and gets harder most years. But it is also a very important political season with the Louisiana election of a Senator and the lame duck session of Congress. So despite distractions with daily life I find the time to vote, comment on politics and to care about all of this. I want to discuss life and politics in a broad way specific to this place currently in the spotlight.

The voting booth remains a powerful part of our society.

The voting booth remains a powerful part of our society.

 

Tuesday I attended the funeral of Robert Brady Broussard which was a memorial mass to celebrate the life of former Abbeville Mayor Brady Broussard held at St. Mary Magdalen Church on Tuesday, November 18 at 10 a.m. This comes into my life’s timeline shortly after updating my grandfather and namesake’s biography in the glossary on this blog. This sketch relies in part on the work of Janice Shull, “Frank Summers” In KnowLA Encyclopedia of Louisiana, Edited by David Johnson, Louisiana Endowment for the Humanities 2010. Article Published October 13, 2014. THIS ARTICLE OF MINE IN THE GLOSSARY AND HERE IN TWO SLIGHTLY DIFFERENT FORMS WAS PUBLISHED IN THE UNIVERSITY OF LOUISIANA ATHLETIC PROGRAM WEBSITE ORIGINALLY. I WAS RESPONDING TO A REQUEST FROM Ed Dugas associated in some way with Veterans Day the Tuesday before the Broussard Funeral. I also received in the mail my bumper sticker which says “Sportsmen for Cassidy”. That latter item is proof positive that I have given a few dollars to the Cassidy campaign. The few men referenced in the title of this post are my grandfather, Brady Broussard, Representative Charles Boustany and myself. We do not all receive equal billing here. The living are given less space in the blog post than the dead. Three have held elected offices won in the regular elections held in the State of Louisiana. I have not held such an office.

Dr. Boustany and I at a town hall meeting.

Dr. Boustany and I at a town hall meeting.

For the moment Louisiana politics are somewhat at the center of at least some attention. That is one reason why it is timely to post this. With much of America’s energy flowing through South Louisiana or produced, refined and processed in her confines leaders like John Breaux, Congressman Boustany and Mary Landrieu have all sought or claimed to seek to promote responsible American energy production in balance with other needs to support this region’s economy or the State economy and help the larger American economy prosper. While Cassidy and Landrieu fight out there positions on these issues Boustany won by a landslide in his recent election. Boustany is a quiet and rational observer of the industry but remains a leading proponent of natural gas production and liquefied natural gas exportation. He seems less prone to environmental sloppiness than some but looks at enhancing the current economic picture and believes these petrochemical contributions to the state and region opportunities are enhanced by advances in hydraulic fracturing and horizontal drilling. Boustany is easier to trust than the superficially similar Cassidy for whatever reason as regards a due respect for safety and spill related concerns but clearly continues to support expanding American oil and gas production, both onshore and offshore.    The Oil and gas industry shapes much of world politics and there is no reason Louisiana should not be influential.

The Gulf of Mexico's oil reserves remain vital to our country's future.

The Gulf of Mexico’s oil reserves remain vital to our country’s future.

 

I had known Brady Broussard for a long time and much of his family. He was preceded in death by his wife Bonnie Gwendolyn Richard who had suffered with what was reputed to be Alzheimer’s disease for quite a while after they left public life and I never knew his well-respected parents Marcus A. Broussard and Muriel Brady Broussard. But he is survived by his children Brady Broussard Jr and his wife Reba whom I have known since before she was widowed from her first husband. His only daughter Darby Champagne and her husband Elton and their children have been supporters of Faith Camp and Family Missions Company and Darby and I were once in a local Catholic singles group before either of us had ever married. His son Delany Broussard and his wife Carla were those I have known least and barely at all. I have known the immediate family since I was in kindergarten or thereabouts and his younger sons were part of my childhood. Lance Broussard was to me Scott’s older brother always although I do not really know his wife Alecia unless I know her without knowing her to be his wife. His youngest son Scott Broussard was in school with me for years before college and his wife Julie is the stepsister of one of an ex-girlfriend. He is also survived by 12 grandchildren and 17 great-grandchildren whom I do not pretend to keep track of at all. He additionally is survived by his sister, Flo B. Guidry who was a significant figure in many religious groups my parents and I have been involved with over the years and his brother, Judge Marcus A. Broussard Jr. who belonged to the same chapter of Mensa that I did when I was an active member. Family matters a great deal less than it once did in Acadiana’s politics but it still matters a great deal. The name Broussard has been political gold in this region and the connection to living Broussards has long been more than useful in politics.

When I think of politics in my own family this is also true. My grandfather and namesake was born September 5, 1914, in Abbeville, Louisiana to Clay R. Summers and Esther Leblanc Summers of Abbeville, Louisiana. He was a direct descendant of the Leblanc family who sold Pere Megret the land upon which Abbeville was founded and was tied to the French and Acadian relations of the family including being the real cousin of Dudley Leblanc fellow SLI alumnus and author of The Acadian Miracle and a leader in the Acadian community. Community and family were important to him all his life. While he had many connections to life that were not about family he was always aware of it. We shall return to his achievements as a student and athlete but he married at the time when he was ready to start a family. Leaving SLI he continued his education and received an LL.B. from Tulane Law School in 1938. He then married his sometime sweetheart and only wife. The woman he we’d was part of his childhood circle of friends and was a public school teacher, fellow Abbeville native Beverly Marie Miller. My future grandmother was the daughter of Dr. Preston Joseph Miller and Laura Broussard and was a direct descendant on her mother’s side of Acadiana’s cultural Founder Joseph Broussard dit Beausoleil. Summers wed Beverly Miller in 1940 and they had six children the oldest being this writer’s father Frank Wynerth Summers II. He was the only child born early in the war while Summers served near home the second would be born when he was in the Pacific. The great conflict came when the young couple who had just started a home life and established a law practice in Abbeville were interrupted by World War II.

My family stopped at a Battleship park after one vacation and I have a long interest in studying and observing military history.

My family stopped at a Battleship park after one vacation and I have a long interest in studying and observing military history.

Congressman Charles Boustany’s last name reflects his connection to the more recent immigrants who are still the well- established Lebanese community in Lafayette Louisiana which gives the town street names like Kaliste Saloom, businesses of long duration like Abdalla’s and other clothing stores in that group which have in some cases closed or lost ground but were prominent merchants in the region. In keeping with those values of extended family Mary Landrieu has associated with her political family in the region and in a combination of the new and the old has not used her husband’s name in public life. She has been criticized for residing in Washington and not having a real residence here but does claim to legally reside with her parents in a home owned by a family trust which keeps her a legal Louisiana resident. I find myself residing with my parents full-time in a life in which little has come my way of success either political or otherwise. Congressman Bill Cassidy and his wife are from different states and Cassidy moved here for school and has stayed in the State since then. He is a native of the State of Illinois which sent Barack Hussein Obama to Congress. Governor Jindal is both a native of Louisiana and an immigrant. He came here in utero. He does show a Louisiana in which Cassidy can win without a huge web of family support. I think he will win this election. But around here we often look to people’s family in a way more prolonged and intense than in many other parts of the country.

What is the purpose of seeking political office? Is there any reason why public policy ought to be or not to be a reason which is joined to one’s entire life. In all political lives in most countries and in this one the life of the politician is merged very fully with the office and its duties. Here in America more than in Europe people vote for the person who holds the office more than for the ideas, policies and parties in more than a few cases. Yet the parties, policies and ideas continue to matter. When an ideology is on the rise attractive candidates are easier to find. So I want to discuss a few political lives here.

Mayor Brady Broussard lived and died connected to family and he passed away peacefully surrounded by his children in his apartment at Eastridge Assisted Living Center on Thursday November 13, 2014 at the age of 82 after a long battle with cancer. Eastridge Assisted Living Center is the same complex as the facility known as Eastridge Nursing Home where my father holds a weekly communion service where my brother Simon often attends and my sister Sarah both attends and sometimes leads. But Brady Broussard was certainly not a regular and only a few from the assisted living facility go next door to the Nursing home for such things. I have been a good number of times and only seen a few people do this and only one man do it regularly. My grandfather died in the home he shared with his wife and my grandmother and once a funeral home prepared the remains they were viewed and the wake and visitation was held in his home. My grandfather has been gone for over twenty years but he knew Mayor Broussard and his brother Judge Broussard well. He died January 26, 1993 when this writer was completing a Master of Arts in History at LSU and I was with him a few days before he died and served as a pallbearer at his funeral.

I do a select but significant number of obituaries in this blog and sometimes like this time include a death notice and memorial in another post. Through these contacts with the community I see something of the way that life is developing for people and families around me. There were no remains and no rite of burial in the specific sense of the pall and covering and blessing of the casket in Mayor Broussard’s death because he donated his body to science at the LSU Health Science Center Department of Anatomical Study. Family and friends did however nearly fill the large church. And those remembering saw in the absence of a body advancing science a further sign in keeping with his life. I have seldom crossed paths with Congressman Boustany at a funeral and almost never with a U.S. Senator. But I have seen Senator Vitter and Congressman Boustany at Town hall meetings in Abbeville. Those meetings had others in attendance whom I have seen at many funerals. I never have met Senator Landrieu nor Bill Cassidy face to face. But Cassidy has never represented me before whereas Landrieu has for eighteen years. My mother once dated former Senator John Breaux and for some reason I repeatedly met former Senator J. Bennett Johnston who was replaced or succeeded by Mary Landrieu at several parties and restaurants over the years although I never had any other connection with him. Governor Jindal I met at an Abbeville town hall as well but otherwise our paths have never crossed directly. Broussard’s funeral and my grandfather’s funeral were family events, community events and also political events. My grandfather also had the twenty-one gun salute at his funeral and so it was also a military event. Many burials around here are such as his was in that way. Politics and the political life often pull those in office out of the web of community life but where the attachments are deep they endure anyway.

Military expressions are often part of Louisiana funerals.

Military expressions are often part of Louisiana funerals.

My grandfather was the only one of the four men I profile here whom I know served in the armed forces. So far as I know neither Cassidy nor Landrieu has served in the armed services. I think the military gives a certain fullness to a public life largely civilian. But I for one do not have such experience. My grandfather di have such a chapter in his life. In December 1941 he entered the Navy. He served first as a Naval Intelligence officer, then commanded an anti-U-boat converted yacht in the Gulf of Mexico before shipping out to the Pacific. In the Pacific Theater he commanded an amphibious vessel of the type called LST or “Landing Ship – Tank” in the action leading up to and following the taking of Okinawa and the surrender of Japan and other actions in the grand campaign in the Pacific. This writer does not have his records from the Pacific Fleet. He felt that he played a role typical of most men in his type of post and saw real combat but not at the center of great battles often arriving before or after the heavy fighting. He took pictures of the damage caused by the atomic bombs on his own time but had to surrender them to the Navy so they do not exist in my files. Discharged with the rank of lieutenant commander November 1945. The time he spent in combat duty on behalf of his nation clearly shaped and informed much of his life and public service. But he was not an executive nor a legislator. He was a devoted member of the Judicial branch of Louisiana’s government. It is in that context that his life is to be seen and understood.

Justice, Frank W. Summers Supreme Court of Louisiana, December 12, 1960, to December 31, 1978 and Eighteenth Chief Justice of the Louisiana Supreme Court January 1, 1979, to February 29, 1980 This was a life in which he saw himself always as a farmer, a Catholic, a patriot and a cattleman and he was involved in many things which I will not mention here. Summers was educated in Abbeville public schools and was a student athlete Wildcat in football and track at Abbeville High School but mostly excelled at football. He continued his athletic commitments at the next level which was at the institution hosting this page, now the University of Louisiana. In addition to playing sports he earned B.A. at Southwestern Louisiana Institute in 1936. He remained attached to the University and was honored with the Outstanding Alumni award and supported several descendants there. He and I had matching chargers as I received the similar trophy as Outstanding Graduate in May of 1989. He was very pleased by that tradition.

In addition to his few intense years of military service and the six children he and my grandmother reared and supported into their own lives and the grandchildren he cared for and about in various ways he had a long and serious career as a layer and judge. In 1945 he got back from war and with energy Summers resumed his law practice until appointment as judge of the Fifteenth Judicial District for Acadia, Lafayette, and Vermilion parishes. He served in that office from 1952 to 1954. In all those years he worked on and managed his and his wife’s farm and cattle lands as he did later in life as well. He returned to private legal practice until election to Supreme Court in October 1960 serving as Associate Justice during almost explosive expansion of caseloads at all levels of the judiciary working very long hours until he became chief justice January 1, 1979.He used his single State of the Judiciary speech before the Legislature to urge restructuring judicial system to transfer jurisdiction for criminal appeals from Supreme Court to Courts of Appeal. His health was suffering from years of limited sleep and exercise and he retired after fourteen months as chief on February 29, 1980, to devote more energy to family, to recover his health and to devote energy to the family’s large farm and cattle ranch in Vermilion Parish. He struggled with Cancer for many years but remained somewhat active in professional, civic, and veterans’ organizations.

Brady Broussard’s life was perhaps more complete and involved more broad participation in civic life but was also an example of dedication. He served as Mayor of Abbeville from 1986 to 2002 when he retired for health reasons. Boards Broussard was elected or appointed to over the years addressed many of the concerns of the local people which he shared. These roles on boards include: chairmanship of the Environmental Board LRRDA appointed by the Governor. He was locally the chairman of the Abbeville Fire and Civil Service Board and also chairman of the Vermilion Parish Library Board. He carried this sense of local concerns to the State as a board member of the Louisiana Municipal Association. The Governor also appointed him to the Louisiana Firefighters Investment Board and the State Commerce and Industry Board. At the final level in our system, Mayor Broussard was and appointed to a Federal Environmental Board. He was a devoted parishioner and Eucharistic minister at St. Theresa Catholic Church and was a faithful participant in the annual Grand Coteau retreat that he attended for several decades with many of his local friends and others in the community such as I myself.

I have a dearth of images of him available here and now but this retreat house is one place of many where he and I were together.

I have a dearth of images of him available here and now but this retreat house is one place of many where he and I were together.

The only one of the four lives I have picked which did not include graduating from what is now the University of Louisiana Brady, Broussard matriculated elsewhere in the State of Louisiana. He did graduate from the same high school as my grandfather. The name of which appears on my high school diploma as well. Broussard was educated at Abbeville High School and Northwestern State University, where he excelled in football and track, and also served as AHS student body president and elected into the Abbeville High School Athletic Hall of Fame, inducted in 1982.

Congressman Boustany was raised in Lafayette and did not travel far to begin his studies. The current congressman received his bachelor’s degree from the University of Southwestern Louisiana (now the University of Louisiana at Lafayette) in 1978. He went a little East for the next stage and graduated from the Louisiana State University School of Medicine in New Orleans in 1982.  He returned to Lafayette in 1990 and began a successful medical practice.  Congressman Charles W. Boustany Jr., M.D.did not start off to seek public office but was first a cardiovascular surgeon with more than 30 years of clinical experience, then was first elected to Congress in 2004. He sees his legislative tenure as profoundly informed by the fact that for fourteen years, he ran medical practice which was independent enough to constitute a small business of the scale of many in this region. In this practice he was also living out personal ideals and moral convictions and was committed to helping others by providing the highest quality healthcare to his patients and the community

 

In terms of public office my grandfather leaves behind many judicial opinions made to his exacting standards. But only that and a few procedural achievements and a legislative act really testify to a largely hidden life. Congressman Boustany and Mayor Broussard have a more public legacy.
Robert Brady Broussard was a key figure in starting the Boys and Girls Club in Abbeville. As Mayor Broussard undertook many projects including small and large acts of outreach to the broader world. He twinned with French speaking Lasne, Belgium and his administration moved into the new City Hall downtown in what was once the Audrey Hotel, and accomplished major beautification to downtown Abbeville’s Magdalen Square. He started the Abbeville downtown Christmas lighting program.

 

Congressman Boustany represents Louisiana’s Third Congressional District which includes Abbeville, Vermilion Parish and more.  Boustany has championed health care reform, international trade, and sound energy policy with a keen awareness of providing solutions for all Americans. This is not a new interest and although Cassidy is also a physician it seems harder for him to get beyond the debates related to the Affordable Healthcare Act or Obamacare. It is hard to say how he would fare in a statewide race but he seemsto address the issues in a way that people here relate to well. As a heart surgeon, Congressman Boustany understands the importance of healthcare and is at the forefront of health care policy in Congress.  He believes the patient-doctor relationship is the most critical component of healthcare and has worked to implement patient-centered health care solutions.  Increased access to tax-free health savings accounts (HSAs) represent one opportunity for patients to strengthen their control over their health care decisions, and Boustany introduced legislation allowing seniors and veterans to participate in the kinds of programs he is committed to seeing.

 

Serving as a senior member of the House Ways and Means Committee as Chairman of the Subcommittee on Oversight, Congressman Boustany plays a pivotal role in protecting taxpayers’ dollars by rooting out waste, fraud, and abuse in federal government programs including Medicare, Medicaid, and in entities such as the Internal Revenue Service. Boustany has been regularly recognized by his House Republican colleagues for his strong conservative leadership on these issues.

Additionally, Boustany sits on the Ways and Means subcommittees for Trade and Human Resources. Boustany’s focus on international economic affairs allows him to be a strong voice on matters of foreign and domestic trade to expand markets and business opportunities for U.S. produced goods and services. Coupling his interest in revising the federal tax code to make it easier for American businesses to compete, Boustany seeks to promote an atmosphere of job creation while maintaining American competitiveness.

In his later years, Brady Broussard was honored to be named a Living Legend by the Acadian Cultural and Heritage Foundation. He also supported many charities and persons in need. His interest in family, friends and sports teams continued according to everyone who spoke to me about him. Charles Boustany has a long way to go to reach that point in his journey.

Healthcare Bill Passed by the Senate Finance Committee

Senators Snowe and Baucus shake on the Americans Healthy Futures Bill

Senators Snowe and Baucus shake on the Americans Healthy Futures Bill

Today the last of the five healthcare reform bills in the US Congress was passed from committee to the floor of one of the two chambers. The Senate will have two bills endorsed by committees to consider and there will be three committee endorsed bills in the House of Representatives. Of course each of these bills will have a certain amount of powerful institutional endorsement and each will have been written so that there is something to be negotiated away. I have used this blog to promote my own ideas of a healthcare reform plan.

So, for no particular reason, instead of going over these five bills I am reprinting my plan in today’s blog post. If you like it talk to someone about it send a copy to the Congress, print it out and mail it to a friend in a relevant industry.  We could still see a plan like this plan become the law of the land.

A Dozen Policy Points on Healthcare:

1.Medicare and S-CHIP programs should be mostly preserved.  Medicaid should be reformed but not abolished.

2.  Americans should each be allowed to join three  or fewer family associations and pay in one percent of their taxable income tax with the amount of the family association deductible from the amount of each Americans tax liability. Donations to each and all of these funds should be able entitled to FDIC protection in a special class of funds and authorized to buy health insurance, get loans and make investments in a structure of options designed by the government to address the Healthcare situation. One investment which would qualify for some Federal support would be a Community Clinic.

My nieces and nephews at my  maternal grandparents home

My nieces and nephews at my maternal grandparents home

3. A National Wellness Agency should be established. One mil of all FICA revenues and  small fee of say $1.00  collected from everyone entering the United States would be devoted exclusively to this NWA. The NWA would have various chartering regimes for Community Clinics being especially generous to those already existing in getting Agency approval.

4. The NWA would have a subagency devoted to collecting, inspecting and dating unused medicines from institutions and deceased persons and would distribute them to Community Clinics.

5. Every physician who received federal financial aid would be required to spend one day for every thousand dollars of Federal loans and five days for every thousand dollars of Federal grants working for an approved Community Clinic after basic medical school graduation and before any extended residency or specialty training. The National Wellness Agency would oversee this program. 

6.  The National Wellness Agency would receive a dedicated tax of one mil of every health and life insurance premium collected in the United States. This money would largely (but not exclusively) pay for a  coordination program linking Community Clinics to  school nurses, fitness centers, foodbanks,  shelters, eldercare and daycare facilitites as well as other community institutions.

7. The Community Clinics would have hours reserved for only those invested in the clinic or owning cheap Community Clinic Insurance which would be available to all including fugitive felons and illegal aliens on confidential basis. The Community Clinics would also charge a visit fee of five dollars and a file fee of twenty dollars per year to any one able to pay and not insured. Half of one percent of the revenues of each clinic would be paid to the National Wellness Agency. Insurance would be about ten dollars per household per month and would cover clinic fees if current. 

8. The National Wellness Agency would also receive a small dedicated of perhaps one percent on all imported alcohol, tobacco, firearms and high performance recreational vehicles.   These funds would be largely dedicated to the Volunteer Support Program.  Meals and seminars would be provided where possible for Health and Medical Professionals volunteering at  Community Clinics. The Clinics would keep track of hours and the volunteers would receive a check at the end of each year for the federal minimum wage or one fifth of their normal hourly rate of pay — whichever was less.

9. The National Wellness Agency would offer a  lottery for tests, specialists and referrals for all those holding  Community Clinic Insurance.    The NWA would also interface with research institutions, charity hospitals and other players. These agencies would also be required to dedicate at least one percent of the value of Federal funds received to the network of deserving cases.

10. The National Wellness Agency would train community workers in churches, clubs and sports leagues and sponsor nutrition, hygiene and other programs. This  activity would be paid for in large part by a one mil tax on the wholesale  and a one percent tax on the retail of all  prescribed pharmaceuticals. These community workers would be trained to transport persons needing care to the Community Clinics. Clinics would work with other nonprofit organizations of all types to create medical transport with donated vehicles and other assets.

11.  Emergency Rooms and Ambulances would be required to give some triage preference to those coming from Community Clinics over those coming from the open street.

12. Corporations which sponsored a Community Clinic would receive a Wellness Program Support Package from the NWA tied to their level of support.

That is about half the operative language which I have devoted to this program. The other half of the language is just coming up below (to use an odd turn of phrase). The rest is about risk, torts, conflict and problems not with health but with the system itself.

So while I presumed to use a dozen principles to change everything in terms of laying out the new scheme I will allow myself twelve principles just for dealing with legal conflicts which arise. I propose a DOZEN LEGAL PRINCIPLES FOR THE NEW REGIME:

1. All malpractice policies and automobile liability policies and any other policies which insure against tort liability must cover any activity generally or usually  covered when it is performed by a Community Clinic or the National Wellness Agency or in collaboration with them.

2. All users of the Community Clinics will sign a liability waiver when using the program and will be limited to the maximum level of benefits on a set program of awards and benefits unless a plaintiff can show intentional tort or criminal malfeasance.

3. Workers Compensation Programs which assist in administering this liability program will qualify for discounts and special services as investors in the clinic system.

4. The National Wellness Agency shall have standing to defend any claim against a licensed Community Clinic

5. All law students receiving federal grants and loans will be required to contribute one day for every thousand dollars in loans and five days for every thousand dollars in grants after the end of their second year and before beginning a regular practice to the National Wellness Agency.  These students will assist in malpractice defense. They shall also assist the NWA in suing those who create a narrowly defined new federal Threat to Public Health. A sizable portion of the funds collected in each of these cases shall go into two dedicated funds. One shall be used to compensate those injured and the other to assist in all aspects of liability management including defense of malpractice.

6. All liability insurers for companies where the NWA maintains a wellness support program must contribute half of one percent of all premiums collected to the total liability management fund of the National Wellness Agency.

7. The National Wellness Agency shall assist in the development of safety standards and seminars for all Community Clinics.

8.  Emergency Rooms and Ambulances shall have National Wellness Agency liaison subagency that interacts them in providing quick emergency support to clinics and using clinics to better mange crises.

9. The NWA will have as part of its mission to increase the effectiveness of its partners in providing safe low level health  services as school nurses, fitness trainers and others who enhance health outside of sickcare.

10. The US military will have protocols for crisis management support with the NWA and clinics so that hospitals and other providers will not be as quickly overwhelmed by crises which arise in cities and regions. This will be secondary to their purely military missions but still mandated.

11. Hospitals shall be required to acknowledge and not undermine the work of those providing a less defensive standard of care in the Community Clinics than is to be the standard in hospitals and other institutions.

12.   All medical records of community clinics are to be capable of transmission to all other clinics through the NWA to minimize errors and risk.

San Francisco Mayor Newsom in an unrelated appearance with Former Pres. Clinton

San Francisco Mayor Newsom in an unrelated appearance with Former Pres. Clinton

 Recently on television news, I think it was on CBS Sunday Morning, I saw a special report on Mayor Newsome and the City of San Francisco and their program called Healthy San Francisco. I really felt when I watched the show that this program would be a tremendous assistance to them in trying to make their system work. It would be a real boost if it could be made to interface well with what is good in their system.They would give this national structure the right shape and flavor for San Francisco. I am sure that the members of the Senate Finance Committee also feel that their bill would assist  the best programs and initiatives in states and communities but I am skeptical about the likelihood that this will happen.

America’s economic crossroads in the darkness

I do not know how to say this simply. I know that America is in a very dangerous place. I am still watching the Ken Burns film The National Parks: America’s Best Idea.  I look at this complicated and difficult story of difficult and complex events and life struggles. Of course it is mostly a story of beautiful places and beautiful creatures being preserved. However, the story was written in the blood sweat and tears of so many and Ken Burns does a good job of setting these things out in a clear and crisp narrative.

We are in a very bad situation and the need for radical change is quite great. However, the chances of having the right changes come into effect are almost nonexistent as far as I can see. Here are some problems which I think come together to make a much larger problem than merely the sum of their parts.

1.We have the river delta of the sixth largest river in the world in this coutry and we do not have abalnced view of it at all. The Mississippi Delta is in a state of ecological freefall and collapse and the consequences for theTexas, Louisiana and Mississippi on the Nothern Gulf Coast have been disastrous. We do have the will power to manage these challenges.

2.We have a huge number of bridges, roads, tunnels and levees that we are not maintaining to solid standards.

3. We consume a huge percentage of the world’s resources and much of it on credit from China where the average citizen ought to be living a higher standard of living.

4. We are almost all agreed to make the coverage of vastly expensive healthcare options and absolute right, not covering undesirable aliens any more than we used to and barely adressing wellness and primary care. This is outrageous and a sign of where we are going to destroy ourselves.

5.In the recent Chicago shooting many saw the crime and almost nobody has spoken to the police and yet this community is seen as equaly desrving of funding and advancement as if it were not a rebel community in arms.

6. Our political theory is insanely simplistic and raw and deluded. None of the nuance and depth that built the best in this country is understood. Calculator democracy and quarterly profits battle in milieu devoid of serious statecraft.

7. We have a huge deficits, huge debt and a slow economy.

8. We have no real sense of justice and proportion in matters related to human community. More or less all forms of real human community (as opposed to state related society or corporate organization) have simply been made ilegal. We have toolittle recognition for Indian Nations and marriage and other than those we have lawsthat effectively prohibit:

A. Native Hawaiian and Samoan near-state tribalism and nationhood.

B. Polygamy is ilegal.

C. Clans, extended families, neighborhoods and monasteries cannot really gain much if any legal recognition of what they actualy are and a structure that supports them.

9. We do nothing really to redefine the narcotrafficking crisis which has contibute to the slaughter in Mexico, to FARC and its wars in Colombia, to the Taliban and it wars including 9-11.

10. We are increasingly isolated form several important sectors of the world and challenged by the European Union and other players which are almost brand new in historic terms.

11. We are unable to manage resources like occupied territories, space station access, nuclear fission technologies and other products of our greatest and most expensive efforts very effectively.

12. Our automobile industry is a major driver of innovation and progress and is in shambles.

13.Subsistence and biodiverse safety first farming is almost nonexistent in this country.

14.Our world is getting smaller in very many ways but for mostly political reasons it is not getting larger in almost any way other than those directly related to population.

In some of my other notes and pages in this site I have tried to show how all of these things went together and worked. I have showedwhat I believe might be some ways out and forward. I will leave it to anyone who reads this to decide whether  they want to explore this blogsite and try to piece together the policy questions and answers in this site. I think that I have made quite a few statements about how bad things seem to me and a lot of that is about personal issues and some is about even bigger trends than the one listed here.

However, I am ready to say that a great deal of my unhappiness is related to these aspects of American economics. We are in my view in a state of advanced entropy right before all the forces reach a zenith of destruction. That right before may not seem so soon to many people even if iot keeps coming. However, for me reversing the trend is the only solution that would bring comfort. I do believe it is possible we will revers these trends but I do not think it is likely at all.  

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Healthcare and the Media Blitz

Sunday, President Barry Soetero -Barak Hussein Obama appeared on numerous talk shows (five) on US television. He then appeared on CBS on the Late Show with David Letterman on Monday night.  Obama took up not only the two and a half guest slots which regulars know form the core of the Letterman show but also took the place of the musical guest at the end and just about everything except the monologue at the begining. Certainly, he is an intimidating media figure. ALthough I have a larger audience on Facebook than here and have been published and braodcast I can honestly say that one has to compare that vast media exposure to one’s tiny little share of the blogosphere here. I do of course appreciate the readership I have and it does not always follow that large numbers are the biggest factor in determining the influence of words and ideas. Small readerships can spread ideas and can also grow into large readerships.

But what does this saturation of television mean and portend?

 I am guessing it means that he feels he can influence the agenda better by using that technique. Perhaps he is also punishing Fox by excluding them from the live presence. Perhaps he is flexing his communication muscle against his critics in media. Truly I do not know. But I do believe that it must be seen as highly significant.

I hear that Sarah Palin has been invited to speak to about 1000 investors in Hong Kong. I find that also to be significant. We are seeing her go from the millions on the campaign to 1000 but also see that millions will see this as part of her education in global affairs. Her 1000 can be a step forward to a better position. The President’s large audience can be heading for the bottom ot it may pay off well. I do think it is a gamble. Not a high stakes gamble but a gamble nonetheless.

Healthcare Lessons from FDR

I just watched the wonderful HBO film on DVD titled Warm Springs  with my parents on a quiet Friday night. Joseph Sargent’s direction of witing by Margaret Nagle is joined by very fine acting by Kenneth Branagh as Franklin Delanoe Roosevelt and Cynthi Nixon’ fine portrayal of Eleanor Roosevelt. Numerous other good performances make it an exceptional piece of work and that includes the Kathy Bates portrayal of the full-time pgysical therapist at Warm Springs. This film is titled for the hotel and spa in Georgia which FDR visited on the recommendation of a friend and then ended up buying and converting into a full service regular facility for providing warm water therapy to those stricken by polio.

I was impressed by this movie’s excellent and humane treatment of a period and aspect of FDR’s life which was largely hidden while he was president and has been slow to emerge. I knew many of the broad facts and the movie was consistent with those brad facts and therefore I felt the odds were the wrting was farily historical. His experience as Secretary of the Navy and in other fields of endeavor had already shaped him. But to a significant degree his struggle in this healthcare question shaped his later behavior in the Presidency and the character he brought to those issues,

While a graduate student at Louisiana State University Iwas privileged to write a review of Pare Lorentz’s posthumously published memoirs FDR’s Moviemaker: Memoirs and Scripts and to read carefully and write about the life of the man who made documentary films for FDR. This man did make films about healthcare and the issues of healthcare reform. However he never made a film about Warm Springs even though FDR died there. I think that the shame of illness, deformity or disease cannot just be lightly dismissed. We must prefer health to sickness in oder to remain sane. But I looked at the movie this evening and simply felt more convinced than ever that the autonomy and empowerment of the struggle were just as important as anything else about the Warm Spring stories. We need a healthcare plan that enrgizes and allows all people to struggle and work hard for their health and wellness. We certainly cannot afford to make it easy to do everything anyone would like to do. But we can help the brave to struggle and be enlightened by the fires of their courage. We must not allow human beings to be reduced on ly to file numbers and entries on actuarial tables when we are trying to understand all of what  human health means and how we are to care about promoting that health and wellness.

The American Impasse on Healthcare

It may well happen that the Baucus bill will pass. I am quite ready to believe that something big can happen that will create a metamorphosis of much of the status quo. But America is a very complicated place in lots of good ways. Despite all this nation’s problems there are many ways in which we excel. I also believe that we have ways of reaching for new goals that are far better than our current situation will reflect. I  lived in China and I liked it. There is a lot more diversity, federalism and tolerance in their system than a lot of people think. There is also a lot of coldblooded killing, fear and suffering in the lives of the Chinese that seldom get reported. I was not there all that long but I left behind people I really cared about and China has many problems that make me worry about those people. However, America is not like China in a whole lot of ways. All countries benefit from a certain federal impulse but not all depend upon it in the same way. For America to survive and prosper it must be pretty darn federalized,

On the surface that may seem to be an agument against establishing another agency at the national level. But the NWA would be chartered to do most of its work through a web of Community Clinics (although it would do some other things as well) and those clinics would be chartered to fit in with the laws oand cultures of States, territories, the Commonwealth of Puerto Rico and the District of Columbia. If possible it should be able to work in some good agreement with Indian Nations as well. The National Wellness Agency would help us to answer thousands of questions in different ways that reflect community standards. It would not force countless groups of people to give up huge areas of freedom and autonomy to achieve a solution everyone would have to admit is a lowest common denominator at best. We must find an American solution and I believe that my proposed solution is one in keeping with our national character.

Healthcare and The Death of Government

I am ready to accept that my point of view is very much at variance with that of almost the entire political system in the United States and much of the world. However, when I look at the several hundred pages of something Baukus will call his bill and remember that Member of Congress who held a sign reading “What Bill” as Obama addressed the nation with his plan these things make me think. My proposal for a true independent national agency supporting a web of licensed but autonomous community clinics would only require fity pages of actual legislative memoranda and most of the regulation would be in agency which should be a cabinet level position with Senate confirmation.  This would be a more constitutional approach than the proliferation unconfirmed “czars”.

Whoever you may be if you read this I am grateful. However, you are not part of a vast readership even by the most generous estimate.  The National Wellness Agency with largely independent funds would also not create entitlements. The clinic insurance would buy only a right to whatever was available at a nominal fee. The NWA would commit to supporting the clinics with whatever it did in fact have in the bank. However, because the funding should not be part of the regular budget but fixed into various transactions at low costs the NWA would always have something.

President Obama’s election was one of many disappointments to me but his policy in this case is going to be part of the continuing death of government. What was the United States government is becoming something at once too expensive and intrusive on the one hand and too weak and ineffective on the other. It still does many things well. But real political science is a bit like medicine. The sickened parts of the body politic get more attention than the healthy parts proportionately.

Overall, I am feeling personaly sad and worried about a variety of things today but healthcare debate is really adding to my glum frame of mind. Not all political debates do — many leave me feeling unaffected.

The USA and World Health and Wellness

I have done a lot of posts on healthcare reform.  There are a lot of other topics on which I might have commented and which normaly would have gotten more of my attention. I think that health, wellness and healthcare have a lot to do with geopolitics.  I hope that as this debate goes forward there will be some real discussion of the worldwide political ramifications of our policy in health.

A lot of that thinking can be followed through under commonsense thought about the environment and nutrition and peace. I do believe that those are three huge aspect of dealing with health. But I think there is more to all of this than the simple. Deserts have advanced throughout historic times in many parts of the world and organic pollutants have overloaded and destroyed fresh watershed for centuries. We need to begin to imagine a world in which wet organic waste from around the world ends up becoming soil around the worlds growing deserts on artificial islands and on the moon.

We need to see worldwide programs supporting the local and national structures which will protect topsoil, biocorridors for wildlife and water tables. We need to determine how much of a role America can play in the future of world development of trade which promotes health and wealth objectives.

A discussion of health needs to include an understanding of making an effort to reward all employers around the world who produce:

1.Long term good health for workers and their families,

2. Healthy communities and local environments,

3. And positive contributions to world heallth.

We as a nation have a complex and important role to play in promoting health and wellness and the big health issues unite many very different people. I have not gotten specifialy into the role space industry devlopment can and should play in all of this development.  However, space is part of the big solution. We must start to seee the health implications of all policy and to keep the concern for health and wellness as a properly balanced priority.

Healthcare Reform and Tort Reform

In previous posts I have suggested that there be a National Wellness Agency and a web of diverse Community Clinics partly managed by the National Wellness Agency  which should play the major role in the new reformed healthcare era. I have suggested a patchwork of small dedicated contributions and credits to fund and support this system. All of this has been basicaly related to how to manage the system when it went well. Now when things fo wrong it takes more words and rules to discuss how to resolve these problems than to lay out the scheme of how things ought to work. So while I presumed to use a dozen principles to change everything in terms of laying out the new scheme I will allow myself twelve principles just for dealing with legal conflicts which arise. I propose a DOZEN LEGAL PRINCIPLES FOR THE NEW REGIME:

1. All malpractice policies and automobile liability policies and any other policies which insure against tort liability must cover any activity generaly or usualy  covered when it is performed by a Community Clinic or the National Wellness Agency or in collaboration with them.

2. All users of the Community Clinics will sign a liabilty waiver when using the program and will be limited to the maximum level of benefits on a set program of awards and benefits unless a plaintiff can show intentional tort or criminal malfeisance.

3. Workers Compensation Programs which assist in administering this liability program will qualify for discounts and special services as investors in the clinic system.

4. The National Wellness Agency shall have standing to defend any claim against a licensed Community Clinic. 

5. All law students receiving federal grants and loans will be required to contribute one day for every thousand dollars in loans and five days for every thousand dollars in grants after the end of their second year and before begining a regular practice to the National Wellness Agency.  These students will assist in malpractice defense. They shall also assist the NWA in suing those who create a narrowly defined new federal Threat to Public Health. A sizable portion of the funds collected in each of these cases shall go into two dedicated funds. One shall be used to compensate those injured and the other to assist in all aspects of liability management including defense of malpractice.

6. All liability insurers for companies where the NWA maintains a wellness support program must contribute half of one percent of all premiums collected to the total liability management fund of the National Wellness Agency.

7. The National Wellness Agency shall assist in the development of safety standards and seminars for all Community Clinics.

8.  Emergency Rooms and Ambulances shall have National Wellness Agency liaison subagency that interacts them in providing quick emergency support to clinics and using clinics to better mange crises.

9. The NWA will have as part of its mission to increase the effectiveness of its partners in providing safe low level health sevices as school nurses, fitness trainers and others who enhance health outside of sickcare.

10. The US military will have protocols for crisis management support with the NWA and clinics so that hospitals and other providers will not be as quickly overwhelmed by crises which arise in cities and regions. This will be secondary to their purely military missions but still mandated.

11. Hospitals shall be required to acknowledge and not undermine the work of those providing a less defensive standard of care in the Community Clinics than is to be the standard in hospitals and other institutions.

12.   All medical records of community clinics are to be capable of transmission to all other clinics through the NWA to minimize errors and risk.

Through matching these principles to other principles we should not only make the risk manageable in the new regimes we would create. We would also reduce health risk and create a better set of conditions throughout society as a whole.