Motley Moose – Archive

Since 2008 – Progress Through Politics

Archive for March 2009

The Israeli/Palestinian Conflict on MyDD: State of the Debate

[Dear Moose Brigade, I posted this diary over at MyDD in an attempt to improve the I/P debate over there.  Fat chance, you say?  Sure.  But I am a fan of experiments in impossibility.  That’s why I love being a parent.  Anyway, I think this issue WAY too important to be treated as it is over there.  If you want to comment here, using it as a repectful I/P open thread, please do.  But comments from those of you who haven’t completely sworn off that site or this issue would be most welcome over there where it may be more relevant.]  

Something has gone seriously awry here and I want to try to correct it.  This requires your help.  Please forgive the `meta’ tone of the current diary and the personal narrative it contains.  Its purpose is to widen active engagement of one of the most entrenched twentieth-century conflicts and human rights disasters that endures into the twenty-first, one of the greatest foreign policy challenges America is embroiled in, and one of the most important stages upon which the structural tensions between liberal nationalisms and principles of human rights are being exercised at this historical juncture.  This conflict is at one and the same time idiosyncratic and representative, peculiar and paradigmatic, unique and influential.  That its discussion has been limited on this progressive blog is not due to a lack of recognition of its importance.  Rather, it is because participants in this discussion – and I do not absolve myself here – have shown insufficient consideration for one another, insufficient humility with regard to their own understanding and knowledge, insufficient appreciation for the cultural-historical complexity that underlies this conflict, and insufficient faith in their opponents’ intentions.  

The discussion has thus been limited to a handful of participants.  Most others are reticent to read and participate.  No one is learning anything.  All that it produces is heightened division, entrenchment of already formed positions, and ad hominem demonization.  As such, our discussion of the conflict here seems to mirror some of the least productive aspects of the conflict itself.  Given the international importance of this subject – the involvement of our tax dollars, the ramifications for our foreign policy and our position in the world, and the progress we seek as progressives with regard to international human rights and civil society – we have a responsibility to do better.

My own engagement with this conflict is protracted and personal.  I am a dual Israeli-American citizen.  From January 1987 through December 1989, I served in an infantry division of the Israel Defense Forces, much of it as a squad commander.  Readers familiar with the history of the region will immediately note that this period included the first Intifada.  I had always been on the left side of the political spectrum.  I always saw Zionist nationalism as a means to an end.  I saw it as part of an optimistic historical process wherein it would prove a means to the transcendence of nationalism, to its obsolescence, to an ethically superior mode of cultural self-determination that included emphasis on productive cosmopolitan participation.  I admit that this was naïve and plead youth and good intentions, as well as my enduring commitments both to Jewish cultural life and to ethically engaged cosmopolitanism, as its primary motivations.

AIG p.o.v.: I agree with Robert Reich

Robert Reich posted the best commentary on the AIG scandal… and this REALLY is a scandal!… and I agree with him 100%. Here it is in total:

The real scandal of AIG isn’t just that American taxpayers have so far committed $170 billion to the giant insurer because it is thought to be too big to fail — the most money ever funneled to a single company by a government since the dawn of capitalism — nor even that AIG’s notoriously failing executives, at the very unit responsible for the catastrophic credit-default swaps at the very center of the debacle — are planning to give themselves $100 million in bonuses. It’s that even at this late date, even in a new administration dedicated to doing it all differently, Americans still have so little say over what is happening with our money.

Clarence Darrow & Yogi Berra

Photobucket Photobucket

The topic below was originally posted at the Intrepid Liberal Journal.

Arguably America’s greatest trial lawyer, Clarence Darrow, famously once said,

“First and last, it’s a question of money. Those men who own the earth make the laws to protect what they have. They fix up a sort of fence or pen around what they have, and they fix the law so the fellow on the outside cannot get in. The laws are really organized for the protection of the men who rule the world. They were never organized or enforced to do justice. We have no system for doing justice, not the slightest in the world.”

Reading this morning’s headlines about A.I.G. utilizing $165 million of their $170 billion tax payer financed bailout for bonuses, reminded me of Darrow’s insight. The excuse being offered after all is that a “contract is a contract” and A.I.G. must fulfill their obligations.

The Busiest Emergency Room in America

If I asked you to guess where the busiest ER in the country was, what places would immediately come to mind?

New York City? Nope- but not a bad guess. Lincoln Medical and Mental Health Center in the Bronx processes approximately 400 triage cases a day, but it’s not even close to the busiest. How about Los Angeles? Close, but no; though USC Medical Center has an average of 500 admissions come through their triage unit a day.

Wow. Tough question, huh? I’ll give you a clue. Examination rooms are converted horse stalls, made into “rooms” by creating walls out of ropes, sheets, and clothing pins. There are sometimes thousands of people in the ER waiting area at a time. Here’s a picture of the waiting area:

Give up?  

Teaching, as an art, not a science

Way back when as a new teacher, when people used to ask me, “What do you teach?”  I would answer, somewhat sardonically, “Children, I teach children.”

It amused me that so many of my peers, not in education, did not get it, looked down on me, and considered my job easy.  I knew if I said, “Math or science” they would give me some fake admiration, and then, politely remind me how much more money I would make if I had gone into research, or business.

It was the late 1960s’ when I began my teaching career at age 21.  And by the early 70s I knew that a) I picked the right career b) my job was one in which I had no conflicts with my basic anti war, free love, kumbaya soul acquired during my years in college.

More to come…..

Where I'm at

I’ve been having an internal struggle ( spiff vs. spiff cagematch) on where I’m at and what my contribution to this great blog is. For those that don’t know me I’ve got a …err…peculiar …umm..style.

My “diaries” will be rants for the most part, unstructured and a bit different. I’ll probably regret a lot of what I’ll write and I’ll let you know when I slip up. But I’d rather just write and not think about it to much. Serious stuff will be written ( like today for example) but for the most part I’ll just ramble about whatever the fuck is on my mind.

With that being said. Here goes.

Quick background info. I’m not getting into finer details to protect the privacy of the patients and out of respect to the country which has trusted me with treating their people. I also might not use great technical terms and might mention the wrong names. Sometimes translating in my head is slow and like I said before. These are more off the cuff than any other thing.

I work in a pediatrics hospital in a country a lot poorer and with a lot less than the U.S. Great medical staff that does a lot with less. Don’t get me wrong. It’s not a bombed out war torn hospital. It has some state of the art shit and it is a very nice looking building. Its burn unit is one of the best I’ve ever seen ( in the US or elsewhere) for example. But a lot of times. The amount of patients that visit the hospital makes overcrowding (2 to 3 patients per bed) a real issue. We run out of everything. A new small shipment can be located in the morning but when it is 3 AM and its not there it makes things very hard for both docs and patients. We use cheaper drugs for the most part because for the most part, all patients are very, very poor. For instance. A lot of them don’t have enough money to buy blood or platelet packs for their family members. Maybe they’ve got to eat only bread and milk with a bit of plantain and salami for weeks in order to have enough money for the basics. The hospital provides most services free of charge but even the smallest thing, paying for a 5 dollar test, becomes hard on the patients family. I’m just giving those still reading an idea more or less. I’ll expand as I go along or mention things here and there.

What do I do?

everything.

Whatever the hell is needed from me. I’m not a surgeon so I don’t operate and I’m not a nurse so I can’t get the life saving needles and catheters in veins of patients. But I do just about everything else.

This is another important detail. Every single person. From the lab technician who analyzes the samples. The janitor/cleaning peeps who maintain everything as clean and sterile as possible. The dude who runs the pharmacy. Those who wash the sheets and clean the beds. For young docs such as myself, sometimes (most of the time) the most important person in that room with you is an experienced and well trained nurse. I know our buddy Rage is getting into this field and I can’t begin to tell you how important nurses are to hospitals and they should get even more respect than they get. My ass has been saved and I’ve been able to provide better service and comfort to patients because I had a great nurse on shift with me.

Like in all proffesions a lot people suck at their jobs. A lot of bad doctors everywhere.

A lot of bad nurses. Ect. But these are in the minority.

The most important thing to remember is that even if it is 4 AM and you are manually getting some blood into a kid …

**1cc PER MINUTE.

SLOW. **

Even if you are desperately trying to save a kid with a 1 in a 10,000 chance of making it by working on him for hours at God knows what our of the night …

Even if you are doing rounds ( going all over the hospital and getting to know the patients history and making sure they are on the right meds and have had the correct tests among other things) and once you finally see everybody you are told the dozens of new patients have arrived and they need your ass A.S.A.P. in the E.R. for some heavy lifting.

Even when all this is going on and you haven’t slept a wink or eaten in hours …

You’ve got to remember that while it sucks to be doing something so tedious, challenging, hard/boring, easy/fun when you’ve been up all day and all night …

the patient is going through what you are going through ….

plus…

they are sick and scared. They’ve been there for weeks or days sometimes sharing rooms on a daily and nightly basis with strangers without being able to understand why they have to suffer so much. All I do is for my patients and I always try to remember this. I’m human and my mind does drift into being annoyed at some situations and angry.

Sometimes building up a shell, becoming desensitized to pain of others is the only way to help them and get through the night/day. This has been my biggest struggle and what I will probably talk about in my next “diary.”

Dealing with this is an adventure I’ll share with you guys.

It’s going to be interesting to see the vibe of my comments and , Where I’m at a year from now.

Questions are very welcome ( help me jog my brain and think better) as is advice or whatever.

This is a SpacemanSpiff diary which means they can be treated as Open Threads. Jacking the comments and going off topic is fine by me and welcome.

I didn’t read this after writing it which is kind of the point of this exercise.

Editors please fix it up (typos and other errors) as you see fit please (pretty please?).

I’m off to bed. Have to get up early tomorrow.

Gotta go help save some lives!

p.s. Any ideas on what I should name these rants/journals/thoughts?  

I Just Want to Say This About That

I am sitting here with my father giving him the skinny on the current state of this whole bloggy thing and I just want to say this about that:

Thank you, Mooses.

UVA Diary

It’s nestled in the Appalachian mountains in Wise, Virginia, where Virginia, Kentucky, Tennesse, and West Virginia meet.  This emergency room has over two thousand triage patient encounters a day, dealing with everything from root canals and diabetic complications, to pregnancies and mental health issues.  This is also the only emergency room in the United States […]