Connecticut Agenda 2010

Here is what I want to see happen in Connecticut:

1) Health care Reform - allowing small companies and non-profits to join the state insurance pool.

2) Medical Liability Reform - capping pain and suffering awards that are driving up malpractice premiums to the point that health care providers are leaving high risk practices, such as obstetrics.

3) End of Life Reform - allowing physician assisted suicide where it is the patient's wish.

4) Medical Marijuana Reform - Do what they did in California, and let doctors prescribe marijuana to people who will benefit from using it.

5) Estate Tax Reform - The State of Connecticut is facing a financial crisis. This is no time to give tax breaks to rich, dead people.

6) Reducing our dependence on petroleum.

Please take a poll on the above at Agenda for Connecticut 2010

Regarding Obama's speech in Eisenhower Hall

It was interesting to see the expressions on the faces of the cadets listening to their commander-in-chief explaining our plans for Afghanistan. The quote of Eisenhower echoed in Eisenhower Hall: "Each proposal must be weighed in the light of a broader consideration: the need to maintain balance in and among national programs."

I wonder how hard cadets at West Point weigh broader considerations. Eisenhower maintained a low profile in Vietnam because he felt that was the practical scale of engagement in a war of attrition he realized was bound to last a great while. Perhaps that is the direction we are headed in Afghanistan. Limited engagement. Persistent, but at levels that are sustainable. But nothing black and white, and no commitments etched in stone.

There was an almost stony intellectualism in the President's speech. A very different commander-in-chief than we have seen is a while. The whole presentation boils down to this: We did not choose this war, so now we must fight to get into a position where we do choose the battles we will fight.

And John McCain vouched for much of the President's approach, with the exception of setting a target time for a draw down. A loyal opposition with a caveat. Senator McCain is very valuable ally to the President on Afghanistan, albeit an incomplete endorsement. An honorable extension of good faith at a time when our republic is replete with partisan bickering at each and every turn. Would Senator Obama have extended the same gesture if President McCain was speaking this evening? Tonight I feel grateful to have Senator McCain supporting with passion the cerebral approach of a President that is deliberate to a degree that might be seen as lacking temerity to those unfamiliar with the complexity of Afghanistan. McCain is very much a soldier who simply seeks to put the mission first without considering all the other factors that a President must to keep our country the preeminent leader of both force and freedom.

A mariner never drowns

A mariner never drowns
but only returns to the surf
from which he sprang.

The waves are calling me today
on a late October day
when the winds whip the sound
into a gauntlet of breakers
battering the indifferent shore.
Waters like this will take you down
and return you so bloated
only your sweater will prove
whose corpse has washed ashore.

The sea birds have gone inland
but I remain to listen
as the wind and waves
speak my name
and welcome me
like a yearning lover
who misses my touch
and lives to breath beside me.
How can I refuse her?
I wade up to my ankles and feel sand rush
from beneath my soles.
The undertow will take me
If I wade in above my knees.

The Undecided

Without consensus
without confidence
a conflict continues to burn low but steady
while a hesitant will continues to tarry.

Will fate be left to chance?
What deserves swift action
when so much can and will go wrong?
I am no merchant of chance.
Should I roll the dice with my life bet on it?
Perhaps it is safer to sit pat, and not tempt fate.
Cowardice has its place in a dangerous world.
Who but a fool wanders into the breach
for no reason at all.

At the same time,
the ground beneath me is not terra firma.
Every storm washes away more ground
exposing roots that no longer hold back eroding soil.
The atmosphere is ripe with turbulence
undermining the shore at ever chance.
This is no place to build a home.
The waves threaten to swamp
the foundation dug too low for this terrain.

Time to move to higher ground?
I will have to consider it.

Wishing for peace

When the leaves fall
The scent of decay
somehow smells sweet.
Yesterday's leaves are today's litter.
Cast away is most of a year's new growth.
Thousands of leaves come and go
to let the tree grow a single ring.
A tree does not recall leaves that fall
after pre-winter breezes tear them away.

But I am not so stoic as a tree.
I recall everything that was a part of me
long after it is torn asunder.
Even those that last but a short season
live within me forever,
making me human.
Even if they torture me with their passing,
these memories make me whole.
If I remember less each day
Somewhere inside a ring is disappearing.
This year was a good growing season.
A thick ring added around my core.
I will not soon forget
those that made it grow
even though they have now long left.

A Common Farewell

When all is said and done, the greatest failure is the loss of a friend.
Someone you cared for, someone you liked.
Gone, just passed on like a ghost, never again materializing,
but there to haunt you with the question, "Why?"
There's no certainty, sometimes, just a sinking suspicion that
things are out of whack.
Someone reliable starts getting flaky.
Someone friendly grows distant.
That is as great to me as a loss of love.
Unwritten on a tombstone,
not mentioned in our eulogies,
but nevertheless they are the cores of our lives.
Some we know for years, others for months, others for less.
What will happen when our worlds cease to collide?
Sadder because nothing can replace you.
Gladder because someone else can try.

When flu flies over the coop

There is a risk, with a reemergence of a new strain of flu, that the weaknesses in how we provide health care in the United States will be exposed to the breaking point. While the CBO does not consider the short term value of preventing illness through providing universal preventive and primary care, the CBO and everyone familiar with an overburdened emergency department understands how costly it is to everyone, patients, hospitals, insurers, and the insured, when people without access to a primary care physician become ill and require emergency care. The price this year for not already having these measures in place could be tremendous.
The H1N1(2009-A) virus has characteristics that indicate a propensity for the lower respiratory tract, or the lungs. Accounts from Australia suggest that artificial ventilation is often required when the disease progresses beyond its early stages. Countering this concerning news is the rapid development of vaccines and the success had in treating this disease with anti-virals that are already in large scale production. Unfortunately for the U.S., versus most other industrially developed nations, tens of millions of our citizens will not have a provider to see to get a vaccination before being infected or treatment with anti-virals within the first forty-eight hours of initial symptoms. For those who do not get better with rest and fluids, intensive care will be common to an extent not seen in our lifetime. A shortage of ventilators could leave people dying in hospitals across the nation. Use of ventilators will cost hospitals dearly, and these costs will be passed along to the rest of us. With all due respect to the CBO, it is obvious to almost all close to the issue that preventive and primary care provided to all will save a great deal in terms of finances and lives.
I sometimes wonder how bad it has to get before the status quo in health care will be fundamentally reworked. This fall, the emergence of this new flu will give us another chance to compare our system to our peers in Canada, Europe, Japan and elsewhere. We will see, if we care to look, how well we stack up when our emergency departments fill up and there are no more vents available to keep people alive. What Churchill would call an “Era of Consequences” appears to be coming over the horizon. This time the costs may be too great to continue doing business as usual.