Friday, January 18, 2008

Evangelicals: Mitt Romney is a PRO-LIFE Champion

Having spoken with many of my evangelical friends about Mitt Romney, their beef with Romney is not his Mormonism but his portrayal by the media as a Pro-Life "flip-flopper." To evangelicals, a candidates pro-life stance is a litmus test issue. So, they understandably have a problem with the media's portrayal of him. My friends love that Romney is a Washington outsider, they love his family and conservative values, and his business and leadership experience. Now, I don't know Mitt Romney personally, but I know dozens of people who do know him personally and have worked with him and for him. So, let me set the record strait about Mitt Romney and his Pro-Life views.

Mitt Romney is a former bishop and stake president in the LDS church. Being a stake president is akin to being a bishop over a diocese in the Catholic church. I was surprised when a friend of mine thought that Romney "wasn't a good Mormon." Romney has always and remains one of the best examples of mormonism. The LDS church doesn't make them any finer than the Romney family. In the LDS Church you can be excommunicated for having or even assistance or counseling someone to have an abortion. Romney has always maintained and never wavered that he is personally against abortion.

The media (even Fox news) loves to play a sound bite from 1994 which has Romney during his run against Mass. Senator Kennedy sounding like he was Pro-choice. Romney lost that election and in his later win as Mass. Governor, his words on the Abortion issue were that he felt the issue should be left up to the states and that he wasn't running on a platform to overturn Roe v. Wade which would have been against the will of the majority of his liberal constituency. But when it was left up to Mass. and bills arrived at his desk concerning Abortion, Gay Marriage, and Euthanasia, Mitt Romney was a champion for Conservative values and LIFE every time. This is a time when we need to allow Romney's actions speak louder than a few of his words.

While Romney has been roasted by the conservative press for some early statements he made trying to get elected as a rookie politician. The conservative media has ignored the fact that no US governor has done more to fight for Conservative values than Romney. My brother-in-law, David Stewart, has been working in Augusta and living with us during the week while he waits for his home to sell in Atlanta and relocate his family to the Augusta area. David's father Monty spent a whole year away from his family at Oxford University and then was hired by Mitt Romney to fight for traditional marriage in Massachusetts.

Mitt Romney defied the odds by being a republican elected as governor to the, bluest of the blue; the most liberal of the liberal, states. And after positioning himself, he fought those "valueless" liberals on the front lines. Evangelicals, Reagan Conservatives, and supporters of traditional family values need to know the truth that Mitt Romney is one of the Great Champions in our fight for LIFE.

Tuesday, December 11, 2007

National Review Votes Romney

The National Review is the nation's premiere conservative magazine. The writers and editors have come to the consensus that Mitt Romney is the candidate that best represents the core conservative principles socially, economically, and with regard to foreign affairs. They say that selecting Giuliani as the Republican nominee would split the conservative base due to his liberal social views and Huckabee would split the conservative base due to his views and inexperience on economic and foreign policy issues. They criticize Thompson and McCain for poorly run campaigns. The Editors laud Romney for representing all of Bush's conservative principles but making up for most if not all of his flaws. In their view, only Romney has all the the pieces to unite the party for a win in the final election.


Tuesday, November 20, 2007

Emergency Medicine Practice Group Questions

1. Department Status: is Emergency Medicine a department within the hospital with a chair that sits on the executive committee of the hospital or is EM only a division of surgery or other department without direct representation? How often does the EM chair meet with hospital administrators and other department chairs? Have their been any money spent recently on new equipment purchases or renovations in the ED?
2. Volume: what is the ED volume per year, per day, and patients per hour?
3. Shifts: what is the shift length? How many shifts qualify for full time? Is there a guaranteed minimum number of shifts?
4. Coverage: what is the physician, mid-level provider coverage. Is there a fast-track?
5. Charting: is charting done by template, dictated, voice, or computer?
6. Mental Health: how is mental health paperwork and transfer arrangements made? How long does this process take?
7. Acuity: what is the % acuity, % trauma, % admitted? What patients are transferred out to other hospitals.
8. Hearts: Cath lab vs. TPA? What is the time to cath lab?
9. Coding and Billing: How is coding and billing handled? Who decides the level of charge or any upgrades or downgrades?
10. Teaching Responsibility: is there any teaching responsibility?
11. Overcrowding: How is overcrowding handled (hall, chairs, stable admit)? How often is the overcrowding protocol used?
12. Meetings: what meeting are there, and who is expected to attend?
13. Radiology: what is the radiology coverage at night (24 hr, telerad)?
14. Ultrasound: what is the ultrasound coverage at night (tech on call)?
15. Labs: what is the lab turn-around time? What POC labs are available in the ED? Does the ED employ a lab tech? Do RN's or RT's draw ABG's?
16. Admit orders: who writes admit orders? (ED physician, on-call, phone orders)?
17. Thru-put: what are the average wait time, time to labs, time to rads, and time to admit?
18. Press Gainey Scores
19. Diversion: when and how often does the ED go on diversion? Who decides (ED or Admin)?
20. Financial Package: Productivity, RVUs, hourly, tiered, Base+bonus, night shift differential, or incentivized.
21. Remuneration: Base salary, benefits, malpractice, CME, bonus, paid vacation.
22. Turnover: How long do doctors stay in the group? Is the contract vulnerable. What is the number of physicians who have left in the last 5 years and why? Why is your group hiring?
23. Future: what is the future of the group in 5-10 years?
24. Vesting: What % of the partnership is yours. Is there delayed vesting?
25. Profit Sharing: Is profit sharing done quarterly, yearly, is it based on productivity or hours worked, acuity, or patient satisfaction?
26. Partnership: Is there a partnership track, a buy-in?How is partnership decided (unanimously)?
27. Complaints: How are patient complaints handled? Who does Q&A.
28. Leaving: what happens when I leave? Is there tail coverage? What happens if I die?

Friday, September 28, 2007

Global Warming and Milankovitch Cycles

New Scientist has published a second article reporting on several studies which support the theory that global warming is not due to man-made CO2 but that it is instead due to slight changes in Earth's orientation toward the sun can cause it to cool or warm in so-called Milankovitch cycles. Milankivitch cycles and other similar phenomenon describe variations in the Earth's axis as well as the extend of spherical vs elliptical shape of the Earth's orbit around the sun. Since the Southern Hemisphere's surface is comprised of more water than the Northern Hemisphere, if the Earth is tilted so, that the Southern Hemisphere receives more light, then the global oceans will warm to a greater extent.

The famous Artic and Antartic ice-core temperature/CO2 data mis-used by Al Gore in his "An Inconvenient Truth" docudrama clearly shows that CO2 elevations lag 800 years behind elevations in ocean temperature. This clearly suggests that as the oceans warmed by another mechanism, the warmer water disolved less CO2 which was released into the atmosphere. When the cause of ocean warming stopped, the atmospheric CO2 disolved back into the ocean.

These recent studies suggest that Milankovitch cycles are the main driver of global warming. Yes, we shouldn't pollute and yes, we should become more energy independent, but we need to be careful when the UN tries to tell us that all scientists are unified in the opinion that man-made Co2 is the cause of global warming. The UN was clearly trying to take advantage of an environmental issue to dictate global policy.