When Red Tape Meets Medical Care

On Monday The Washington Examiner posted an article illustrating how the handling of the coronavirus in New York provides a look into the potential problems with government healthcare.

The article reports:

I have a lot of fears in life: sharks, heights, wrinkles, government controlling my healthcare.

Recently, the New York Times provided plenty of fodder supporting the latter anxiety, revealing the results of a study it conducted that examined the disparities between public and private healthcare at the height of the pandemic in New York City. The disparities included staffing levels, differences in the age and type of equipment available, and access to drugs and experimental treatments. As one might guess, patients at the city’s community facilities fared far worse than those in private facilities, with their mortality rate 3 times higher in some cases.

All hospitals saw higher staff-to-patient ratios than best practices would recommend. In a typical emergency room, that figure should look like 1 nurse for every 4 patients. But during COVID-19, private facilities experienced ratios closer to 1 nurse for every 6 to 7 patients. At the government hospitals, that number was 1 nurse for every 10 to 15, and at times even 20 patients.

Less time per patient meant fewer tests, less information, and less monitoring. Several patients woke up from medically induced comas and, in confusion, removed their oxygen masks, leading to death. This occurred at the Elmhurst Hospital in Queens, where staff referred to the patients as “bathroom codes” as their bodies were typically discovered near the bathroom 30 to 45 minutes later. One doctor told the New York Times that for every 10 deaths he saw, two to three patients could have been saved with the proper care.

The article goes on to explain that despite the makeshift hospitals put up to serve patients during the epidemic, those hospitals were barely used.

The article notes:

The paper (The New York Times) looked at the hospital set up at the Billie Jean King National Tennis Center to study why this occurred. Though the center was equipped with 470 beds and hundreds of employees (many of them out-of-state healthcare providers being paid handsomely), it ultimately saw only 79 patients and closed its doors after one month. It was a catastrophic failure, the kind only government can pull off.

Patients were not admitted due to red tape, delays due to the need to train workers on computers and other problems. Meanwhile, many patients died. Please follow the link above to read the entire article. The problems in New York were due to red tape, cronyism, extensive bureaucracy, and the general inability of the government to respond quickly to a crisis.

At some point Americans need to learn that there are charitable organizations out there that do a better job of responding to an emergency than the government. The Salvation Army, Samaritan’s Purse, Operation Blessing, and the Red Cross are a few of these organizations. I live in a city that was hit hard by hurricane Florence. It was encouraging to know that as the storm was bearing down on the city, Operation Blessing was parked nearby out of harm’s way ready to come in and provide meals and supplies to the people who were impacted by the storm. The recovery efforts in my city were largely undertaken by religious and charitable groups and ordinary citizens. A friend who is a teacher and realized that he wouldn’t have classes for a while gathered a group of friends and a few chainsaws and went around helping people move trees off their houses and clear streets. It’s time to get back to individual responsibility–even in healthcare.

 

Religious Freedom In America?

Fox News posted an article today about the confirmation hearings for Omaha-based lawyer Brian Buescher who is nominated for the U.S. District Court in Nebraska.

The article reports:

Two Democratic senators are scrutinizing a federal judicial nominee over his membership in the Knights of Columbus, drawing a stern rebuke from the Catholic organization.

Sens. Kamala Harris, D-Calif., and Mazie Hirono, D-Hawaii, raised concerns about Omaha-based lawyer Brian Buescher’s membership as part of the Senate Judiciary Committee’s review of his nomination by President Trump to sit on the U.S. District Court in Nebraska, as first reported by the Catholic News Agency.

In a series of questions sent to Buescher, Hirono asked whether his membership in the Knights of Columbus would prevent him from hearing cases “fairly and impartially” and, if confirmed, whether he would end his membership in the Roman Catholic charitable organization.

“The Knights of Columbus has taken a number of extreme positions,” Hirono said in the questionnaire. “For example, it was reportedly one of the top contributors to California’s Proposition 8 campaign to ban same-sex marriage.”

Have we reached the point where taking a Biblical stand on marriage is considered extreme? I guess so.

The article continues:

Harris, in her questions to the nominee, called the Knights of Columbus “an all-male society” and asked the Nebraska lawyer if he was aware that the group was anti-abortion and anti-gay marriage when he joined. The California senator also referenced Supreme Knight Carl A. Anderson’s statement that abortion amounted to “the killing of the innocent on a massive scale” and asked Buescher if he agreed with the statement.

Buescher responded that his involvement in the group consisted mostly of charitable work and community events at his local Catholic parish. He indicated he would abide by judicial precedent regarding abortion.

The Knights of Columbus maintained that its positions reflect Catholic teachings, and suggested that the senators’ scrutiny amounts to criticism of the Catholic faith.

Senator Harris wants to run for President. I am sure that in challenging the right of a member of the Knights of Columbus to sit on a U.S. District Court will win her votes on the extreme left. However, I am not sure it will win her votes in mainstream America. This is the equivalent of a religious litmus test of a nominee, which is unconstitutional and illegal. Being a member of a recognized church group should not disqualify a person nominated for a U.S. District Court.

A Wonderful Way To Fight Extreme Poverty

As a conservative, I believe that people occasionally need help to access the American dream, but I don’t believe that the American dream should include two or three generations of collecting benefits from the government. We handled poverty much better when it was a local issue done by local charitable organizations.

The chart below is from the U.S. Census Bureau:

PovertyChart

In creating “The War on Poverty,” we have created a huge bureaucracy that has no incentive to actually decrease poverty. As you can see from the above chart, we have not made significant progress in ending poverty. Instead, we have created a vehicle for those who choose not to develop the discipline of going to work every day to live quite comfortably while the rest of us earn the money to support them. This is not a workable long-term arrangement.

Meanwhile, the Mayor of Albuquerque has a much better idea. On Thursday, The Washington Post told his story.

The article reports:

Next month will be the first anniversary of Albuquerque’s There’s a Better Way program, which hires panhandlers for day jobs beautifying the city. In partnership with a local nonprofit that serves the homeless population, a van is dispatched around the city to pick up panhandlers who are interested in working. The job pays $9 an hour, which is above minimum wage, and provides a lunch. At the end of the shift, the participants are offered overnight shelter as needed.

The article cites a few examples of the how the program has made a significant difference:

The There’s a Better Way van employs about 10 workers a day but could easily take more. When the van fills, people have begged to get a spot next time, she said. That’s why the city has increased funding for the program to expand it from two to four days a week. And it inspired St. Martin’s to start its own day labor program, connecting the jobless to employers in the area who could offer side jobs.

Tillerson (Kellie Tillerson, director of Employment Services at St. Martin’s Hospitality Center, the organization that facilitates the city’s program) said a lot of the people who get picked up by the van were not aware of all the services available to them. One man who recently got out of prison returned to St. Martin’s the day after taking one of the city’s jobs. She said it enrolled him in the day-labor program, told him about behavioral health services and are helping him get an ID.

…The program hasn’t weeded out all panhandling in the city, and supporters say that’s not really the point. It’s connecting people who would otherwise not seek help to needed services. And it’s showing them when they are at their lowest that they have real value, and that others are willing to show them kindness to help them have a better life.

“It’s helping hundreds of people,” Berry (Republican Mayor Richard Berry) said, “and our city is more beautiful than ever.”

This program makes a lot of sense.

Charity Begins At Home

Charity begins at home. I wonder sometimes how the Internal Revenue Service feels about that, but that is the conventional wisdom. Exhibiting their usual talent for taking things to the legal limit, the Clinton family obvious believes that charity should begin at home.

The Washington Free Beacon posted a story today about Hillary Clinton’s tax returns for 2014.

The article reports:

The Clintons earned more than $28 million in 2014 and claimed around $3 million in income as charitable tax deductions, according to tax returns released by Hillary Clinton’s campaign last Friday. The campaign emphasized Clinton’s charitable giving in a press statement, saying that it “represented 10.8 percent” of her income in 2014. But roughly half of that money—$1.8 million—appears to have been channeled to the Bill, Hillary, and Chelsea Clinton Foundation.

According to the tax returns, the Clintons gave $3 million in 2014 to the Clinton Family Foundation, a small private foundation that the family uses as a pass-through to other charities. Records show the CFF disbursed $3.7 million in 2014, including $1.8 million to the Bill, Hillary, and Chelsea Clinton Foundation.

Just for kicks, let’s look at how the Foundation spends its money. The Bill, Hillary, and Chelsea Clinton Foundation evidently funds a good deal of the travel expenses the Clintons generate. It must be nice to have a Foundation that helps with the expenses of your Presidential campaign.

The article further reports:

Americans for Tax Reform slammed Clinton on Tuesday for forming an “Article 4 trust,” which the group said appears to be a method to avoid paying estate taxes—a tax Clinton has supported.

“Clinton has consistently voted for the Death Tax throughout her time in public office and forcefully condemned attempts to lower it,” ATF said in a statement. “But when it comes to her own finances, it is a different story. The newly released tax returns buttress earlier reports outlining the ways Clinton uses financial planning strategies that shield her Death Tax liability.”

Another example of taxes for thee, but not for me.

Would You Give To Any Charity That Gave So Little To The People It Was Claiming To Help?

The Clinton Foundation has been in the news a lot lately. There are some real questions as to what some of the donations actually bought or why they were given. Now there are some real questions as to how wisely the money was spent.

Yesterday Breitbart.com posted an article about the expenditures of the Clinton Foundation. The article reports:

Charity Navigator, who we have on the show all the time, placed the Clinton Foundation on a watch list,” she ( Fox Business Network’s “The Willis Report,” host Gerri Willis) continued. “They think there are problems with this non-profit.” She added, “Any Democrat—they say what a wonderful charitable organization it is doing to help people in need, people who are hungry, people who have AIDS. Listen, 6 percent of the money it collected in 2013, 6 percent — $9 million, of the $140 million in total it collected, went to help people.”

Washington Free Beacon’s Liz Harrington weighed in saying, “The numbers just don’t add up. One of the biggest offenses of the Clinton Foundation came out yesterday — 88 percentof the their expenditures go directly to their charitable programs. That is just simply not true. As you mentioned, they raked in $140 million. They only spent nine million on direct aid. Most of their money goes towards salaries, bonuses, to close friends, folks tied to the Clinton campaign.”

Willis read the $140 million 2013 spending breakdown from the New York Post, saying, “Here is a list of foundation spending—where the money goes: $30 million on payroll expenses, $9.2 to conferences and meetings, fundraising — $8 million. Nearly $8.5 million on travel.”

Unfortunately this problem is not unique to the Clinton Foundation. It is a good idea to do some research before you give to any organization in order to find out how much of your gift will actually be spent on the mission of the organization. Charity Navigator rates charities according to their financial transparency and overhead. For example, Goodwill Industries of Greater New York and Northern New Jersey is rated at 89.62, the American Red Cross is rated at 85.25, and Operation Blessing is rated at 92.12. The Charity Navigator has placed the Clinton Foundation on a watch list. That says it all.