Category Archives: History

Memorial Day

Memorial Day isn’t celebrated-it’s observed. Memorial Day—once known as “Decoration Day” dates to just after the Civil War when various groups selected a day to lay flowers on the graves of those who fell in battle. Both North and South began similar traditions; eventually ending up on the last Monday in May. Veterans Day recognizes those who have served; Memorial Day is for those who, in Abraham Lincoln’s words, “Gave the last full measure.”

There is a symbol, and on special occasions, a brief ceremony to honor the fallen, and especially those who are missing in action or prisoners of war. It is commonly known as the “White Table” or “Missing Service Member (initially “man”) Table.” The following is read, explaining the significance of each item on the table. https://en.wikipedia.org/wiki/Missing_man_table

Table Ceremony Script

Preferably, the table is being set while the script is read.

The table that stands before you is a place of honor. In setting this table, we acknowledge those missing from our celebration today. And we remember them. (ring bell)

The table is small, and set for one — Symbolizing the vulnerability of a lone prisoner against his captors. Remember! (ring bell)

The tablecloth is white — Symbolizing purity of intention in responding to the nation’s call to arms. Remember! (ring bell)

The chair is empty, for they are not here. Remember! (ring bell)

The wine glass is inverted — They cannot toast with us this night. Remember! (ring bell)

The slices of lemon — Reminding us of their bitter suffering. Remember! (ring bell)

The grains of salt — Representing the countless tears of the families. Remember! (ring bell)

The single red rose — Reminding us of loved ones who keep the faith awaiting their return. Remember! (ring bell)

The burning candle and yellow ribbon — Symbolizing everlasting hope of a reunion with the missing. Remember! (ring bell)

Remember! — All who have served alongside them; we who have donned the same proud uniform, being sworn to the same faith and allegiance — We will never forget their sacrifice. Remember! (ring bell)

Remember! — Until the day they return home, or find eternal peace, we will remember. (ring bell).


Fixing Healthcare – Part Three

Physician’s Assistants (PAs) and Advanced Registered Nurse  (ARNPs) are helping lower costs and increase access. While some nurse practitioners, can operate relatively independently; other nurse practitioners and most physicians’ assistants, cannot. Why?

Physicians are adamant that they maintain a high degree of control over these and other healthcare workers. This is a throwback to the nineteenth century—which is kind of interesting in a weird sort of way. The story, and I cannot vouch for its accuracy, although all my research seems to support it, is that the country was besotted with traveling medicine shows hawking patent medicines (You’ve seen it in the movies—“One for a man, two for a horse”). The physician industry supposedly promised to get things under control if they were put in charge of medical practitioners, i.e., physicians and surgeons (MD). It, at best, minimized, if not blackballed, osteopathic physicians (DO), chiropractors (DC) and chiropodists, now known as podiatrists (DPM).

A physician, at the time, could authorize any hireling under his license to perform any duty under the concept that the doctor was “the captain of the ship” and was responsible for everything. Therefore, he had authority to authorize any employee to do anything—hopefully, but not necessarily, after some training.

Today, many non-physician healthcare workers are licensed in their own right; in most states this includes nurses (of all levels), therapists (of all varieties), and technologists (ditto). These people are trained and possess technical skills that physicians do not. Generally speaking, only television doctors leave their practice in order to operating high technology devices. It’s good theater but bad economics.

Many of the other healthcare careers such as nurse practitioners, physicians’ assistants, etc., have made significant advances Unfortunately, old attitudes die hard, and there are too many physicians who try to maintain an inordinate control over everything, including these other professionals. Nurse anesthetists and physicians’ assistance must be “supervised” by a physician, although such supervision does not require actual observation or even the presence of the supervising physician.

Efforts to keep others under control have led to some bizarre arrangements. In radiology, for example I’m told that the technologists are now required to periodically retake the examination that initially proved their competence even though there has been continuing education requirements for 40 years. If true, I believe this is a unique requirement, but a warning to all others. Of all the physicians’ assistants, only those specializing in radiology are not permitted to interpret x-ray or other diagnostic images.

Why?

Some blame the American Medical Association, a very powerful organization with effective lobbyists. However, it apparently speaks for a self-selected group of physicians. Out of 923,308 practicing physicians, the most recent numbers available indicates that only 228,000 belonged to the AMA. If you don’t round, that’s just less than 25 percent.

Nobel Laureate Milton Friedman and his wife, who wrote the book Free to Choose, asserted that the AMA functions more like a guild with the goal of increasing physicians’ wages and fees by limiting both the supply of physicians and the competition from non-physician groups.

This is yet another issue that must be addressed if we are truly interested in fixing healthcare.

The Decision and the Declaration

Today, on July 4th, we celebrate the Independence Day, when the Declaration of Independence was approved by the Continental Congress in 1776.

However, history is more interesting than just the event and the date.

On June 7, 1776, the senior Virginia member of Congress, Richard Henry Lee introduced a resolution stating:

Resolved, That these United Colonies are, and of right ought to be, free and independent States, that they are absolved from all allegiance to the British Crown, and that all political connection between them and the State of Great Britain is, and ought to be, totally dissolved.”

Congress adopted the Virginia motion on July 2, 1776, thereby refuting our status as a colony; this is why John Adams believed that we would celebrate our independence on July second, the date of the decision.

The Declaration of Independence was approved two days later, on July 4, 1776.

While the Declaration of Independence is a masterpiece, and I recommend that everyone read it today, it was not the decision, but merely the explanation to the world as to why the decision had been made. Although we have seen many portrayals of all the Founding Fathers assembled together in Independence Hall to sign the document on the fourth of July, most, but not all, signed on August second; one signer, who was not a member of the congress until later in the year, signed in November.

As is often the case, history is more complex, and far more interesting than the snapshot presented in civics class.

* Thanks, once again to Wikipedia. If you use it, kick in a donation—even a dollar helps.

 

July 4

When I was young, many of my peers’ grandfathers were veterans of World War I; most of the dads were veterans of World War II, and older brothers were serving in Japan, Korea and Germany. There were even a few individual who claimed to be Civil War veterans—supposedly drummer boys and buglers who had served quite young. Most of those were proven untrue, although there were widows of Civil War veterans; some veterans in their alter years married teenage brides. See Wikipedia’s story at https://en.wikipedia.org/wiki/Maudie_Hopkins. Now, all of the veterans of the wars before before World War II are gone, and those veterans, “the greatest generation” are fast disappearing.

July marks Independence Day, of course, but also the Battle of Gettysburg. I’ve already discussed how that one battle was pivotal in changing so many things and ultimately resulted in the United States becoming a world power—and I’m sure I shall again.

As a child I wanted to see the Gettysburg battlefield (I have, many times, but never enough). I wanted to see Halley’s Comet (a major disappointment; instead of the terrifying manifestation of the past, it was a fuzzy little dot you had to drive out to the country to see). And, after reading about the centennial celebrations of Independence Day, I wanted to experience the bicentennial.

John Adams and Thomas Jefferson died on the same day—the fiftieth anniversary of the Declaration of Independence, making it halfway to the centennial. Between the 150th anniversary and the 200th, the country was torn apart and patched back together.

The bicentennial for me was a combination of the enthusiasm and idealism of young adulthood, disappointment in the government for Vietnam and Watergate, yet I still had great hope for the future of the nation. I had no idea that such a future would include me.

I spent July 4, 1976 with my family at my sister’s place, which included a fair amount of land. We shot off enough fireworks to approximate the Confederate attack and Colonel Joshua Chamberlain’s defense of the Union’s west flank at Gettysburg. The smoke took hours to clear and the only casualty was one lawn chair that had suffered from the backflash of a series of roman candles.

I had my bicentennial.

Today I find it incredibly hard to believe that it was forty years ago. That since then I took an oath and served in two wars; that I served like my father and his father before him. That I have a son now serving.

My children and my grandchildren may get to see the tri-centennial. I hope it’s a wondrous celebration.

Elites

While we often talk about elites, we tend not to use that term. Elites are the people in any society who enjoy special privileges.

For a long time, elites were entitled to such status as a birthright, the most obvious example being royalty. If your father was King, it must be God’s will, and therefore the son must be qualified as well. Personally I don’t think God gets involved in politics, but you never know.

John Adams predicted that even though our constitution prohibited titles of royalty there would still be an elite class. He figured that those with educations would prosper, ensuring that their offspring would be afforded education and any wealth that the family had amassed, although in many cases the younger elites ended up with an education and the family debt. Nevertheless, they enjoyed the status.

The American dream is that we’re a meritocracy—anyone can achieve through ability and hard work, and sometimes this works. In fact, there have been periods in our history, such as the 1950s, when this was common, Nevertheless, it is not guaranteed.

Today, many of the elites once again obtain their status by birthright. There are many young men and women as, if not more talented, than the children of Tom Hanks, Will Smith, or the Barrymore family. However, it is the children of the elites who seem to land the acting roles. Is Eddie Van Halen’s son better than the band’s original bassist? Cheap Trick sold many albums with Bun E. Carlos as their drummer, but Rick Nielsen—the guitarist now has his son filling that spot.  Julian Lennon didn’t have to work his way up from playing wedding and bar mitzvah gigs. How many Fords have been senior executives at their namesake auto company?

Do we as a society get our best value from this practice?

Memorial Day

Graves at Arlington on Memorial Day.JPG

 

I don’t celebrate Memorial Day.

I do cook out and consider it to be the summer season and I enjoy the three-day weekend, but celebration brings to mind happier events. I do not wish people a “Happy Memorial Day.” Instead I observe Memorial Day as a day of remembrance, when we honor those who gave, in Abraham Lincoln’s words, “The last full measure.”

There arguments as to how it started, but even though decorating the graves of fallen warriors is an ancient tradition, it took root in America after the Civil War. The Civil War was devastating not only in terms of bullets, but disease that swept through the armies before, during, and after the battles.

The North credits the Grand Army of the Republic—the veterans of the Union military—for starting it in 1868. They called it “Decoration Day” because of the flowers on the graves; its first observance was on May 30th because that date did not coincide with any significant Civil War battle.

There are others (including the US National Park Service) who claim that it began in Columbus, Georgia in 1866. There it was called “Memorial Day,” although after the North co-opted the idea (and the title), they called it “Confederate Memorial Day.” There was not a specific date throughout the South.

There is one other theory.  In South Carolina, Union soldiers were held in a makeshift prisoner of war camp that was actually a race course.  At least 257 Union soldiers who died in the camp were buried in unmarked graves. In 1865 freedmen—African-Americans who had been slaves—cleaned and landscaped the site and built an enclosure with an arch that said, “Martyrs of the Race Course.”

Regardless of its history, we now celebrate it on the last Monday in May with lots of sales at every retail store, and not enough thought of those who died in while in the service.

For clarity’s sake:

Memorial Day—the last Monday in May—honors service members who died while serving.

Veterans’ Day—November 11th commemorating the Armistice of World War I, which occurred at the 11th hour on the 11th day of the 11th month—honors all who served in uniform.

Armed Forces Day—The third Saturday in May—honors those currently serving.

 

 

The Candidates (Revised)

After being politically correct for the past few weeks (some by omission), here we go.

The Clintons at the Trumps’ 2005 Wedding

 

Now that the presumptive candidates (and, they’re both quite presumptuous, thank you [rim shot—bada-bing]) are in place, the world is beginning to react.

Great Britain: “I say, old chap, do you miss King George the Third yet?”

Vladimir Putin (AKA Russia): “Of course this is all according to my plan, but I assure you that no Russian military troops were involved!”

Mexico: “Here’s our counter offer:

  1. “We are willing to pay to build a wall, but we propose a different—but better—location. The wall would be more beneficial to the citizens of both countries if it were constructed about fifty meters outside the right-hand lane of I-495, thereby encircling Washington, DC. This would help maintain control of politicians’ entry into the United States of America mainland.
  2. “The wall will be funded by charging a toll for travel through the numerous tunnels that already exist under the border between our two countries. Since the tunnels are well-engineered, structurally sound, well lit, and either paved or equipped with rail service, it should be easy to add electronic toll transponders. Of course, after the election, there may be many US citizens who will utilize the tunnels to head south in a search for a more placid place to call home, and they would be responsible for paying the toll as well. Please ensure that the EZ-Pass transponder system deposits the fees into Los Estados Unidos de Mexico National Bank.
  3. “Incidentally, we revised our immigration laws in 2011. If you’d like a copy, you can easily get it online.”

North Korea: “As a gesture of confidence in our future relations, we would be most willing to host any of your e-mail servers. I assure you that the DPRK has many well-trained computer specialists, and we would treat your computer as we would treat one of our own.”

Canada: “Hey! No way, hoser! Take off, ay? There are reasons that we prefer to be neighbors rather than family. We like our prime minister just fine, thank you, since he’s cultured and refined. Besides, our beer is much better than yours!”