George A. Sprecace M.D., J.D., F.A.C.P. and Allergy Associates of New London, P.C.
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RAPID RESPONSE (Archives)...Daily Commentary on News of the Day
This is a new section.  It will offer fresh, quick reactions by myself to news and events of the day, day by day, in this rapid-fire world of ours.  Of course, as in military campaigns, a rapid response in one direction may occasionally have to be followed by a "strategic withdrawal" in another direction.  Charge that to "the fog of war", and to the necessary flexibility any mental or military campaign must maintain to be effective.  But the mission will always be the same: common sense, based upon facts and "real politick", supported by a visceral sense of Justice and a commitment to be pro-active.  That's all I promise.
GS

Click here to return to the current Rapid Response list


FRIDAY, February 28, 2014

A MAN OF THE PEOPLE. And the halo is a nice touch, if a bit premature.

GS

Pope urges sympathy for failed love in divorce debate - Yahoo News


THURSDAY, February 27, 2014

WHAT'S THIS? WILL PRESIDENT OBAMA ACTUALLY LEAVE SOMETHING GOOD FOR HIS LEGACY? I HOPE SO.

GS

Obama plan aims to improve odds for minority boys - Yahoo News


WEDNESDAY, February 26, 2014

AMERICA AND THE ARCTIC: "CAN YOU HEAR ME NOW?"

GS

The Race for Arctic Oil: Advantage Russia vs. U.S. - Yahoo Finance


TUESDAY, February 25, 2014

WITHOUT ANY OF THE VERY VALUABLE SPECIFICITY, THIS IS WHAT I HAVE BEEN SAYING FOR A LONG TIME.  And now, with the size of our Army proposed to be reduced to below that before WW ll,  will our soldiers also be given broomsticks to train with?

GS

A World Ablaze – But Different Fuels* - American Center for Democracy


MONDAY, February 24, 2014

RE: ADVANCED PRACTICE REGISTERED NURSES: PRECISELY THE ISSUE.

GS

Innovate with clinical care teams, not APRN independent practice - CT Mirror


SUNDAY, February
23, 2014

RR #1

MORE ABOUT ABORTION...AND THE "DISSEMBLING MISCREANTS" WHO SUPPORT IT.

GS

The 'Right' to Abortion and Its Consequences - Zenit.Org

RR #2

RE. "CLIMATE CHANGE".

If I had an alter ego, it would be Charles Krauthammer, M.D.

GS

Climate change church demands total fealty - The Day

RR #3

AHA!  Islam made easy...and deadly.

GS

Islam and the Other: The al-Wala’ wal-Bara’ Doctrine - American Center for Democracy


TUESDAY
, February 18, 2014





Portrait of a physician as an older man - CT Mirror


MONDAY, February 17, 2014

RR #1

You mean that I can go to Hawaii, where I have a MD license, and just sign up for welfare and become a beach bum?  Where do I sign up?

GS

America has always prided itself on its work ethic.  American capitalism is supposed to reward you for working hard with a higher quality of life,while socialism makes sure that everyone’s life is “average.”  A new study shows that America has taken another step closer to socialism.The Cato Institute released a study showing that welfare benefits pay more than a minimum wage job in 33 states and the District of Columbia. Even worse, welfare pays more than $15 per hour in 13 states. According to the study, welfare benefits have increased faster than minimum wage.  It’s now more profitable to sit at home than it is to earn an honest day’s pay. Hawaii is the biggest offender, where welfare recipients earn $29.13 per hour, or a $60,590 yearly salary, all for doing nothing.Here is the list of the states where the pre-tax equivalent “salary” that welfare recipients receive is higher than having a job:
 
1.          Hawaii: $60,590
2.          District of Columbia: $50,820
3.          Massachusetts: $50,540
4.          Connecticut: $44,370
5.          New York: $43,700
6.          New Jersey: $43,450
7.          Rhode Island: $43,330
8.          Vermont: $42,350
9.          New Hampshire: $39,750
10.       Maryland: $38,160
11.       California: $37,160
12.       Oregon: $34,300
13.       Wyoming: $32,620
14.       Nevada: $29,820
15.       Minnesota: $29,350
16.       Delaware: $29,220
17.       Washington: $28,840
18.       North Dakota: $28,830
19.       Pennsylvania: $28,670
20.       New Mexico: $27,900
21.       Montana: $26,930
22.       South Dakota: $26,610
23.       Kansas: $26,490
24.       Michigan: $26,430
25.       Alaska: $26,400
26.       Ohio: $26,200
27.       North Carolina: $25,760
28.       West Virginia: $24,900
29.       Alabama: $23,310
30.       Indiana: $22,900
31.       Missouri: $22,800
32.       Oklahoma: $22,480
33.    Louisiana: $22,250
34.    South Carolina: $21,910
Now do you think we should reform welfare?
 
ALSO LOOK AT THIS:
IF the minimum wage is raised to $15 an hour and a person works a 40 hour week for 50 weeks look at what he will earn:
$15 X 40 = $620  X 50  = $31,000.  NOT as GOOD as some of the above but STILL pretty good for many uneducated people.

RR #2

"BABY, IT'S COLD OUTSIDE". 

But Why?  Consider the mechanism described below.  Consider also the reported connection between the Gulf Stream Current and Arctic Warming.  Whatever the causes, the effects are real - and disrupting.  "Ya gotta believe...."

GS

Jet stream shift could prompt harsher winters: scientists - Yahoo News


SUNDAY, February 16, 2014

ANOTHER CLINTON PRESIDENCY?  NOT AGAIN...

In recognition of the 8 years of DRAMA that was the Clinton Presidency, I established a special Category on this web site...and then forgot it.

I would always remember Bill Clinton as the President with the moistened finger forever raised into the wind.  Enough, already.

But now comes Hillary, a woman as equally endowed with testosterone as her husband...and the Drama begins again.  See "Reliving History - And Learning From It", by Peggy Noonan, in WSJ Sat.-Sun., Feb 15, 2014, Opinion, pA17.   Referring also to President Obama, Ms. Noonan makes an important point:

"People can lose lives when presidents work through their issues. This Endless Drama of the Charismatic President is getting old.  And dangerous."

GS


SATURDAY
, February 15, 2014

PORTRAIT OF A PHYSICIAN AS AN OLDER MAN:

Commentary on an Article: “Fall from Grace”

By George A. Sprecace, M.D., J.D.

In the Winter 2014 edition of Pharos, the publication of Alpha Omega Alpha Honor Medical Society, there appears the article entitled “Fall from Grace”, by J. Joseph Marr, M.D.  Although offered by “a retired academic physician and business executive”, Dr. Marr offers an excellent review of the progress of Medicine and particularly of the voyage of physicians during the last 60 years.  I can also address this course, as a privately practicing clinician for the last 57 years…and counting. 

My comments will be of little value unless the reader has studied Dr. Marr’s article, which I recommend particularly to younger physicians…since older doctors have lived it and are continuing to live it.  As will immediately become evident, I disagree with the author’s conclusion, beginning with the title of the article. 

1.      We have not fallen from Grace: we are being  pushed.  But we will have a soft landing, if only we can survive the next few years.

2.      The subject matter brings to mind the title of three songs: “9 to 5”; “I Surrender, Dear”; and “I’ll Do It MY Way”.

3.      “…from shaman to skilled labor”.  Wrong.

4.      Dr. Marr rightly indicates that many physicians have been “complicit” in the changes that now challenge physicians. But he wrongly attributes this to “hubris”. The real error in physicians’ approach has been their understandable desire to protect their patients from the adverse effects  of those changes, rather than allowing them to feel their own pain – and to thus be motivated and politicized to resist. 

5.      The nexus of physician / nurse / patient, with the legitimate addition of physician extenders, survives as the indispensable core of medical care, with the physician as the diagnostician and coordinator of that care.  That the physician now can supervise and guide the work of several non-physicians enhances rather than diminishes the physician’s central role in the process. 

6.      “Patient visits per unit time”: a corrosive idea.  We learned in medical school that, of the three attributes that a physician can offer his patient (ability, affability, and availability), the most important is availability.

7.      Yes, younger physicians are different…as are their entire generations.  It remains to be seen whether these younger MD’s, the  “9 to 5’s”, will have the foundation, the grit and the joy of practicing Medicine for the many decades that their older colleagues embrace – despite the current “troubles”.  Or will they succumb, not as much to “burn-out” as to ennui.

8.      And that brings up the future.  Demography is Destiny.  Patients will increase in number, age and debility. Physicians will decrease in number and commitment. But those who remain will be highly valued and appreciated for their knowledge and for their devotion to their patients.  They will be sought out.

9.      And, so, I end with a quote from Dr. Marr’s fine review, and with my reaction:

“The physician will become – has become – decreasingly the guide and guardian of the system and more and more of a supervisor in the mosaic of provision of care.” Wrong.

GS

(www.asthma-drsprecace.com)

February, 2014


FRIDAY, February 14, 2014

GREAT.  A MUSICAL INTERLUDE.

GS

Tennessee Football Coach fired for making Obama song. He'll make more money when this song becomes a big hit than he would teaching school.

Tennessee middle school assistant football coach, age 26, fired for a song he wrote and played!
This could be the next number one hit country song. It's the best effort yet at encapsulating the outrage at the oversteps of this government in an entertaining song.

Apparently, the guy was fired over the song because some parents complained. If you like it, help it go "viral" by passing it along to everyone you know.
Click for a Great Song!!!

http://video.staged.com/dtglobal59/tennessee_football_coach_fired_for_making_obama_so


TUESDAY through THURSDAY, February 11 through 13, 2014

RR #1

POT POURRI.  What else during a blizzard?

GS

RR #2

HERE IS A USEFUL PRIMER ON DEMOCRATS: "THE GOOD, THE BAD AND THE UGLY". Or as one commentator put it: "Twiddle Dumb and Twiddle Dumber".

GS

In New York, real populism and real choices - Yahoo News


MONDAY, February 10, 2014

LEE, THEY NEED YOU THERE!

Dad (GS)

<>Best of #SochiProblems - Yahoo Sports


SUNDAY, February 9, 2014

As my old Italian piano teacher used to say: "CATCH ME WHAT I MEANS?"

GS

Thoughts to Ponder (.pdf)


SATURDAY, February 8, 2014

ANOTHER MOVIE REVIEW: "Monuments Men".

The real news is that there have been so many reasonably good movies in 2013 and entering 2014...instead of the usual tripe.

The not-so-good news here is that George Clooney can't decide what kind of movie he wants to make. The result is worth seeing, particularly for its important war story. But don't look for much characterization or gravitas...or involvement on a personal level.  Overall, a C+.

GS



FRIDAY, February 7, 2014

...AND THE DRUM BEATS ON.  AGAIN: IS THIS OUR "MANCHURIAN CANDIDATE"?

GS

On the State of the Confusion* - American Center for Democracy


THURSDAY, February 6, 2014

BLACK HISTORY MONTH: Slavery and Redemption…In New England and in Connecticut.

The following is based partly on personal research and partly on a Public Access TV program which I host for the Custom House Maritime Museum of New London, Ct.  For this program (on Feb. 6, 2014), my guest was Dale Plummer, Historian and President of Norwich Heritage Trust, Inc.

Slavery was a “disease” that the earliest settlers brought to this country from England.  For a rendition of that sad experience, see the movie “Amazing Grace”, telling the story of William Wilberforce, a member of Parliament who struggled for decades to outlaw Slavery in that country.

In the colonies, the Indians were the first to be enslaved. Then came the Blacks, mostly from the lucrative West India trade.  Contrary to some popular beliefs, including my own for a time, many colonists in New England and in Connecticut held slaves.  There were those who disapproved.  They were of two types: those who were “anti-slavery” but who tolerated it out of self-interest; and “abolutionists”- considered dangerous radicals – who braved ostracism and worse to  participate in the work of the “Underground Railroad”. By the early 1800’s the tide began to turn.  A famous example of this is the story of the Amistad, centering in and around the Custom House of New London – incidentally the oldest continually operating Custom Office in the nation.

The related turmoil of the 1840’s and 1850’s led directly to the Civil War.  After resisting the idea of allowing Blacks to fight with the North, the change that occurred in 1862 and 1863 resulted in a Black force of nearly 200,000 soldiers and sailors, including two regiments from Connecticut, who conducted themselves with discipline and bravery. 

The rest of the story continued to be outrageous, especially but not only in the South, until the Civil Rights Movement and resulting legislation of the 1960’s. 

The story continues today, better – but different. Racism is present but muted and much more isolated in the citizenry.  Several decades of “social engineering”, about which Senator Patrick Moynahan warned in the late 1960’s, has seriously undermined the fabric of Black society from without and from within.  A crazy tolerance of poor public education, promoted by Teachers’ Unions and by the liberal Democratic Party, and protected by Black “leaders”, threatens to lock many Blacks in place for some generations.

So, the challenge remains. But now this is soluble. However, the solution must come from within the Black community itself…not from without.  Move to solve your problems.  The rest of us are waiting to help.

GS


WEDNESDAY, February 5, 2014

TIME FOR ANOTHER POT POURRI, THIS TIME ON DOMESTIC AFFAIRS.

I could go on...and you know I will.  But enough for now.

GS


TUESDAY, February 4
, 2014

EXACTLY.

GS

In early January 2014, Bob Lonsberry, a Rochester talk radio personality on WHAM 1180 AM, said this in response to Obama's "income inequality speech":

The Democrats are right, there are two Americas.

The America that works, and the America that doesn't. The America that contributes, and the America that doesn't. It's not the haves and the have nots, it's the dos and the don'ts. Some people do their duty as Americans, obey the law, support themselves, contribute to society, and others don't. That's the divide in America.

It's not about income inequality, it's about civic irresponsibility. It's about a political party that preaches hatred, greed and victimization in order to win elective office. It's about a political party that loves power more than it loves its country. That's not invective, that's truth, and it's about time someone said it.

 The politics of envy was on proud display a couple weeks ago when President Obama pledged the rest of his term to fighting "income inequality." He noted that some people make more than other people, that some people have higher incomes than others, and he says that's not just.

That is the rationale of thievery. The other guy has it, you want it, Obama will take it for you. Vote Democrat. That is the philosophy that produced Detroit. It is the electoral philosophy that is destroying America.

It conceals a fundamental deviation from American values and common sense because it ends up not benefiting the people who support it, but a betrayal. The Democrats have not empowered their followers, they have enslaved them in a culture of dependence and entitlement, of victimhood and anger instead of ability and hope.

The president's premise - that you reduce income inequality by debasing the successful - seeks to deny the successful the consequences of their choices and spare the unsuccessful the consequences of their choices.

Because, by and large, income variations in society is a result of different choices leading to different consequences. Those who choose wisely and responsibly have a far greater likelihood of success, while those who choose foolishly and irresponsibly have a far greater likelihood of failure. Success and failure usually manifest themselves in personal and family income.

You choose to drop out of high school or to skip college - and you are apt to have a different outcome than someone who gets a diploma and pushes on with purposeful education. You have your children out of wedlock and life is apt to take one course; you have them within a marriage and life is apt to take another course. Most often in life our destination is determined by the course we take.

My doctor, for example, makes far more than I do. There is significant income inequality between us. Our lives have had an inequality of outcome, but, our lives also have had an inequality of effort. While my doctor went to college and then devoted his young adulthood to medical school and residency, I got a job in a restaurant.

He made a choice, I made a choice, and our choices led us to different outcomes. His outcome pays a lot better than mine.

Does that mean he cheated and Barack Obama needs to take away his wealth? No, it means we are both free men in a free society where free choices lead to different outcomes.

It is not inequality Barack Obama intends to take away, it is freedom. The freedom to succeed, and the freedom to fail. There is no true option for success if there is no true option for failure.

The pursuit of happiness means a whole lot less when you face the punitive hand of government if your pursuit brings you more happiness than the other guy. Even if the other guy sat on his arse and did nothing. Even if the other guy made a lifetime's worth of asinine and shortsighted decisions.

Barack Obama and the Democrats preach equality of outcome as a right, while completely ignoring inequality of effort.

The simple Law of the Harvest - as ye sow, so shall ye reap - is sometimes applied as, "The harder you work, the more you get." Obama would turn that upside down. Those who achieve are to be punished as enemies of society and those who fail are to be rewarded as wards of society.

Entitlement will replace effort as the key to upward mobility in American society if Barack Obama gets his way. He seeks a lowest common denominator society in which the government besieges the successful and productive to foster equality through mediocrity.

He and his party speak of two Americas, and their grip on power is based on using the votes of one to sap the productivity of the other. America is not divided by the differences in our outcomes, it is divided by the differences in our efforts. It is a false philosophy to say one man's success comes about unavoidably as the result of another man's victimization.

What Obama offered was not a solution, but a separatism. He fomented division and strife, pitted one set of Americans against another for his own political benefit. That's what socialists offer. Marxist class warfare wrapped up with a bow.


MONDAY, February 3, 2014

...and I give all of this included with my discounted health insurance payment. Why, you ask? Good question. Inertia is a powerful force of nature.

GS

Is Obamacare Driving Doctors to Refuse Insurance? - Yahoo Finance


SATURDAY and SUNDAY
, February 1 and 2, 2014

RR #1

THE PROPOSED PEBBLE MINE IN ALASKA. As a Conservationist, I favor "adaptive re-use". But this would be just plain Rape. Let's do all that we can to prevent this from happening.

GS

EPA: New Mine Threatens Half World's Wild Sockeye Salmon (Op-Ed) - Yahoo News

RR #2

Wrong, Sec. Kerry. The status quo could last for decades. Consider another approach, as I have outlined in this section in recent weeks.

GS

Israeli premier rejects Kerry's boycott warning - Yahoo News


WEDNESDAY through FRIDAY, January 29 through 31, 2014

Sounds pretty good. But who checks the main - stream media news "fact-checkers"?

GS

State of the Union Fact Check: Obama's Rhetoric vs. Reality | ABC News Blogs - Yahoo


TUESDAY, January 28, 2014

Finally, some COMMON SENSE on the subject of Immigrtion Reform. Meanwhile, too many Repubicans are OUT OF THEIR MINDS.

GS

New DHS chief endorses 'earned' citizenship idea - Yahoo News


SUNDAY
and MONDAY, January 26 and 27, 2014

AND THIS IS WHY THE NATIONAL ELECTIONS OF 2014 WILL BE SO IMPORTANT.

GS

Is Barack Obama an imperial president? - Yahoo News



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