Wednesday, April 25, 2012

Cougar Town

Ruth here filling in for Betty.  She had mentioned on the phone that she was tired.  I called her back and told her if she didn't mind my blogging late, I could fill in.  Normally, at my site I cover Cougar Town.  But I've put everything else on hold to cover the trial of human swine John Edwards.

Let me switch to Cougar  Town.

Jules and Grayson continue to prepare for the wedding and continue to have problems.

For example, Grayson refers to 'their' money and that unhinges Jules.

When she and Grayson go into threapy the therapist isn't any help for Jules and then it's time to face the fact that one o them has to sell their home -- they live across the street from each other.

It appears they've decided to sell Grayson's house.

Bobby's story wasn't worth recounting (it involved a 'magic' water bottle). 

Lori.  Remember how Grayson wanted  her to start her baking cakes?  She's doing that. But it's hard to do so without help.  So she drafts the coffee shop -- and they help with no pay!!!!

Andy tells Jules she needs to get rid of Lori.  She can't afford her.

Lori's a success.  Travis tells her she has to make a choice.  She chooses her own business.

And Lori and Jules decide she can run it out of Jules' real estate office.


This is C.I.'s "Iraq snapshot" for today:


Wednesday, April 25, 2012. Chaos and violence continue, tensions continue to rise between Iraq and Turkey, the US Veterans Affairs Committee has been caught lying about wait time for veterans seeking health care, a witness calls for a cultural change at VA, and more.
 
 
An important hearing took place in DC this morning.  Before it started, Morning Edition (NPR -- link has text and audio) was explaining the problem.  Excerpt.
 
Larry Abramson: Over the past five years, the Department of Veterans Affairs says the number of former service members seeking mental health services has climbed by a third. In response, the agency has boosted funding, and tightened standards. Now, any vet asking for help is supposed to be evaluated within 24 hours and start treatment within two weeks. The VA has claimed that happens in the vast majority of cases. But a new investigation by the agency's inspector general says the VA statistics are skewed to make wait times appear shorter. [. . ] The inspector general's report says rather than starting the clock from the moment a vet asks for mental health care, the VA has been counting from whenever the first appointment came available. That could add weeks or months to the wait time. So while the VA has been saying 95 percent of vets were seen as quickly as they were supposed to be, actually, nearly 100,000 patients had to wait much longer.
 
 
"Today's hearing builds upon two hearings held last year," declared Senator Patty Murray this morning as she brought the Senate Veterans Affairs Committee hearing to order.  "At each of the previous hearings, the Committee heard from the VA how accessible mental health care services were.  This was inconsistent with what we heard from veterans and the VA mental health care providers.  So last year, following the July hearing, I asked the Department to survey its own health care providers to get a better assessment of the situation.  The results as we all now know were less than satisfactory.  Among the findings, we learned that nearly 40% of the providers surveyed could not schedule an appointment in their own clinic for a new patient within the 14 days. Over 40% could not schedule an established patient within 14 days of their desired appointment.  And 70% reported inadequate staffing or space to meet the mental health care needs.  The second hearing, held in November, looked at the discrepancy between what the VA was telling us and what the providers were saying.  We heard from a VA provider and other experts about the critical importance of access to the right type of care delivered timely by qualified mental health professionals.  At last November's hearing, I announced that I would be asking VA's Office of Inspector General to investigate the true availability of mental health care services at VA facilities. I want to thank the IG for their tremendous efforts in addressing such an enormous request.  The findings of this first phase of the investigation are at once substantial and troubling.  We have heard frequently about how long it takes for veterans to get into treatment and I'm glad the IG has brought those concerns to light."
 
There was one panel. William Schoenhard and Mary Schohn were among those present representing the Dept of Veterans Affairs, Iraq War veteran Nick Tolentino was present as a former VA employee who had an understanding of how the VA worked (and didn't work), Outdoor Odyssey's retired Major General Thomas Jones shared his thoughts and observations, and the VA's Office of Inspector General was represented by Linda Halliday and John Daigh. 
 
We'll jump to this exchange where Committee Chair Patty Murray questioned the VA.
 
Chair Patty Murray: First, let me say that I'm very happy that the VA is finally acknowledging the problem.  When the Department is saying there's near perfect compliance but every other indication is that there are major problems, I think it is an incredible failure of leadership that no one was looking into this. In fact, when you sit at that table before this Committee, we expect you to take seriously the issues that are raised here. It should not take multiple hearings and surveys and letters and ultimately an IG investigation to get you to act. I  also would like to suggest that if the reality on the ground could be so far off from what central office thought was happening as it relates to mental health, then you better take a very hard look at some of the other areas of care for similar disconnects. Now what we have heard from the IG is very, very troubling. For months now, we have been questioning whether Central Office had a full understanding of the situation out in the field and I believe the IG report has very clearly shown that you do not. So I want to start by asking you today, after hearing from this Committee, from veterans, from providers and from outside experts, why you were not proactive about this problem months ago.
 
William Schoenhard:  Chairman Murray, we have been looking at mental health for, uh, many years, as you know. With the support of the Congress, we increased our capacity and hired about 8,000 new providers between 2007 and 201.  We relied primarily on a uniform mental health handbook that would be the source of the way in which we would deliver care to our nation's veterans. That has been the focus of the department to ensure that we're getting evidence-based therapies and a staffing model that is largely based on the handbook put out in 2009.  I think what we have learned in this journey -- and we have been wanting to work with our providers -- is a number of things.  As I mentioned in my opening statement, the way in which we measure these performance measures is not a good measure of wait time. We want to work very closely with the IG and with, uh, any resources that are available to assist us in ensuring that we provide veteran centered performance measures --
 
Chair Patty Murray: Mr. Shoenfield, with all due respect, I think back in 2005 the IG said this information was there.  So that's a long time with a lot of veterans in between.  So my question is how are you going to address that growing gap that we've seen --
 
William Schoenhard: Well I --
 
Chair Patty Murray:  -- between what Central Office believes and what's actually happening out there.
 
William Schoenhard: As Dr. Daigh described in our response to the IG report, we have a number of things going on.  One is first we have a working group that will report this summer on a new set of performance measures that includes providers on the ground assisting us with ensuring us that we develop measures in conjunction with support from the IG that are really veteran-centered -- that are centered on a veteran's individual condition and one in which we can revamp and go forward. We fully embrace that our performance measurement system needs to be revised and we will be doing that with the work of people on the front lines to assist us.  We have the benefit of, uh, these mental health site visits that are assisting us.  We're learning as we go on other issues to do with scheduling and all of this effort is assisting us in not just having people at Central Office develop proposed solutions but to engage the field the way that we need to in order to ensure that we're veteran-centered and we're able to support our providers in delivering this care.
 
Chair Patty Murray:  I-I appreciate that but it is very troubling to me that this didn't happen five, ten years ago.  That we're just now, after months of this, years of this, that that disconnect is there.  But we'll go back to that because I  want to ask Mr. Tolentino and I really appreciate your willingness to come forward today and I believe your testimony is going to be very helpful to addressing many of the changes that are needed in a timely fashion.  In your testimony, you suggested that VA institute more extensive oversight into how mental health care is actually delivered and funds are spent.  Given how adept many of the facility administrators are at getting around the current system without being caught, how do you think the VA can most effectively perform that oversight?
 
Nick Tolentino: Madam Chairman, to be perfectly honest, I don't have a very good answer for you because of the fact that the gaming is so prevalent.  As soon as something is put out, it is torn apart to look to see what the work-around is.  I-I feel that the reports -- the reporting is -- It's very redundant reporting that feels like it goes nowhere, there's no feedback loop.  It's one way.  We're telling you exactly what -- and most of the times you want to hear -- we did at the facilities and even at the network.  But there's no coming back and rechecking or coming back with feedback to say, 'Well you said you spent the money on these services but there's no workload to verify it. There's nothing concrete to speak to what you say you've done.'  I'm remembering in the short time that I -- that I worked there, many times we got vast amounts of financial monies for different programs but very, very seldomly did we get requests to verify what we've done with work load, with any kind of feedback reports or anything like that. So I think opening the lines of communication and development of feedback loop would be very helpful -- and a very transparent feedback loop at that.
 
Chair Patty Murray:  Mr. Shcoenhard, my time is out and I want to turn it over to Senator Brown. But I do want to address an important issue here.  The Department has announced 1600 new mental health care providers and I appreciate that step, I think it's really needed but I am concerned that VA hospitals all across the country are going to run into the same hurdles that Spokane VA has been in not being able to hire health staff and I hope that medical centers are doing everything including using all available hiring incentives to fill those vacancies.  And I assure you, that is the next question this Committee is going to look at. But I want to ask you specifically, how are you going to make sure the 1600 new health care providers that you announced don't become 1600 new vacancies?
 
William Schoenhard:  Chairman Murray, that's a very important question.  And we have stood up in our human resources group and our VHA workforce two task forces to assist us with this.  One is the Recruitment and Retention of mental health providers with particular focus on psychiatry.  That's where our greatest need and problem is in retaining and recruiting mental health providers.  The second task force is a Hiring Task Force.  That is what can we be doing to expedite and make sure that we are having the process of recruitment as speedily as possible.  The group has put together a number of good recommendations that we will be implementing. Part of what Dr. Daigh spoke of earlier in terms of our four-part mission, one of our great assests -- having been in the private sector for many years before coming to VA -- is that many mental health providers including hundreds of trainees today get part of their training in VA and have the opportunity to experience us going forward.  We need to better link with these trainees and ensure that we have a warm hand-off for employment when they finish this.
 
Chair Patty Murray:  Okay, that's one issue but then how you arrived at your staffing plan is really unclear to me.
 
William Schoenhard:  Oh, I'm sorry.
 
Chair Patty Murray:  The new 1600 mental health providers that you allocated, the information that we got from the department yesterday on where that was going to go isn't supported by any concrete evidence or facts.  In fact, the VISN 20 director told Senator [Mark]  Begich and I that she learned about the new positions only a couple of days ago, didn't know if it was sufficient and didn't know how the department even reached those numbers. So I want to ask you how did you arrive at that number 1600 and what makes you confident that it's going to be effectively placed across the country?  What is the plan -- staffing plan -- that you used to do that?
 
William Schoenhard:  Thank you.  Uh, I'm sorry, I misunderstood the question and I'm going to ask Dr. Schohn who may want to embellish on that.  We used a model that looks at the volume of services and I wonder if Dr. Schoen might speak to this? We are piloting this in 3 VISINs.  I would be happy to answer further.
 
Mary Schohn: Thank you. Yes, as part of our response to the Committee in November, we planned to develop a staffing model.  The staffing model --
 
Chair Patty Murray:  I'm sorry.  You planned to -- planned to develop a staffing plan?  It's not yet in place?
 
Mary Schohn:  No, no.  We did develop the staffing model.  But we submitted to you that that was part of our action plan in November. We developed the staffing model. We're in the process of implementing it in VISNs 1, 4 and 22 to -- to understand how to implement it so we don't want to simply say, 'Here's the number of staff,' without actually a plan for how this rolled out.  Is this really the right number of staff to really evaluate how well and how effective this methodology is?  Our plan, however, also is not to wait until we get a full evaluation of this plan but basically to staff up so that we'll be fully ready to implement this plan throughout the country by the end of the fiscal year. So we will have -- we are planning --  the plan itself is based idnetification of existing staff at facilities, the veteran population, the range of services offered and the demand for services. And our plan is to be able to use this to project the need so that we will have a standard so that we will have a standard model in the future that is empirically validated, that we will all know how many staff is needed.
 
Murray then passed to Senator Scott Brown who was serving as Ranking Member on the Committee in Senator Richard Burr's absence.  Ava will be covering Scott Brown at Trina's site tonight. Kat will offer her impressions on the hearing at her own site tonight and Wally will be reporting on the hearing at Rebecca's site tonight (and probably covering Scott Brown as well -- in terms of money issues).  We'll move over to some of Jon Tester's questions. Only four Senators were present for this hearing: Chair Murray, acting  Ranking Member Scott Brown, Senator Jon Tester and Senator Jerry Moran.  Both Moran and Tester have rural concers due to their states (Moran represents Kansas, Tester represents Montana).
 
 
Senator Jon Tester: Just from a rural persepctive, I will tell you that one of the reasons the VA can't contract out in a rural state like Montana is because the private sector doesn't have anymore mental health professionals than the VA has.  And I just want to point that out because it's -- it's mental health professionals -- whether it's in the private sector or the VA -- getting these folks is a big problem.  And I very much appreciate Mr. Tolentino's statements about nobody's going to go to work for a year or two years in the VA when, in fact, in the private sector, they have much more predictability in their jobs.  So we need to take that into consideration when we start allocating dollars for the VA to make sure that they have the advantage to compete. And I very much appreciate that perspective. Along those same lines, I just want to ask -- Senator Brown was right in the area of 1500 positions open and an additional 1900 so there is about 3400 positions.  They may not all be psychiatrists, they may not all be clinicians.  But how you're going to fill those in an area where the private sector's sucking folks up because this is a big issue there too.  And the VA, it's interesting to me.  Do you have an allocation by VISN of these 1600 folks?  And if you do -- Do you? Could we get a list of those?
William Schoenhard:  Yes, sir.
 
Senator Jon Tester:  And how they're going to be allocated?
 
William Schoenhard:  Yes, sir.
 
Senator Jon Tester:  And the metrics.  I know you talked about metrics -- number of veterans and that kind of stuff.  Could you give me a list of metrics on why the number are there?  How many are going to be psychiatrists, how many of them are going to be nurses, clinicians?  Are any of them going to be psychologists?
 
William Schoenhard:  Uh, sir, we are leaving to VISN in discussion with the facilities, they could be psychologists --
 
Senator Jon Tester:  Okay.
 
William Schoenhard:  -- they could be family therapists -- a variety of different health care providers.
 
Senator Jon Tester: Okay, thank you. And when it comes to contracting out, do you guys typically only use psychiatrists?  Or can you use psychologists too?
 
William Schoenhard:  No, we can contract with others.
 
 
Senator Jon Tester:  Super. That's good.  Because there are some -- there are some accessibility to those folks in place.  I like Montana. I want to put two things that Mr. Tolentino said along with Major General Jones said.  Major General Jones, I want to thank you for what you're doing. I very much appreciate it.  Mr. Tolentino said when he was there it was fairly common if someone came in with a problem, don't ask if there's another issue.  There are all sorts of correlations here that are wrong but I just want to tell you that, okay, if that's done -- and I believe he's probably right because then we can have a problem.  But if you combine that with what Maj Jones said, that the folks that he's working with, the major stressor is unknown.  We've got a problem in our system here.  Because the only way you're going to find out how to get to the real root of the problem when it comes to mental health -- and I'm not a mental health professional -- is that you've got to find out what that stressor is, you've got to find out what created that problem.  Does that kind of -- Well let me just ask you.  If you had a VA professional in one of the CBOCs [Community-Based Outpatient Clinics] or in one of the hospitals, do you tell their people: Don't ask any questions because we don't want to know?  I'm hoping to hell that doesn't come from your end. And why would they do that?
 
William Schoenhard:  Sir, if that is being done, that is totally unacceptable.
 
 
If it's being done, it's unacceptable?  That's a rather interesting comment.  If the VA hadn't lied about wait time, the hearing wouldn't have been called.  Had Schoenhard been asked if the VA was lying about wait time a month ago, he most likely would have replied, "If that is being done, that is totally unacceptable."  What's totally unacceptable is that the supervision level of the VA doesn't appear able to do their job.  They're in supervision for a reason and that is, yes, to supervise.  So all these things that are going wrong -- these things they allegedly know nothing about and certainly didn't encourage -- these fall on them. Training apparently needs to be done at extremely high levels of the VA to explain review what job duties are and what these duties entail.  There is no oversight at the VA.  That's been clear for some time now.
 
Again, the VA's Office of Inspector General was represented by Linda Halliday and John Daigh.  We'll note this exchange near the end of the hearing.
 
Chair Patty Murray:  Dr. Daigh, let me turn to you.  As you well know, it's hard enough to get veterans in the VA system to receive mental health care. Once a veteran does take a step to reach out for help, we need to knock down every potential barrier to care. Clearly the report your team produced shows a huge gap between the time that the VA says it takes to get veterans mental health care and the reality of how long it actually takes them to get seen at facilities across our country.  Now VA has concurred with all of your recommendations but I think it's clear we all have some real concerns because some of these issues have been problems for years. So can you address a question of what you think it would take the VA to get this right this time?
 
Dr. John Daigh: I think, uhm, to begin with the veteran population is dispersed across the country and the VA is not evenly dispersed across the country so those veterans that go to fixed facilities to receive their care, the VA -- I'm guessing -- is probably trying to address in this current plan for 1600 people. I haven't come across any details of the plans.  So I think the first issue is to realize you have a problem where you have facilities and where you don't have facilities.  Then I think the second problem is that, as has been stated here, there simply are not enough mental health providers to hire off the street in a timely fashion, I believe.  I mean we looked at it the other day.  There's something like 1200 psychiatry graduates a year in this country from our medical schools so there is a limited pool and there's a great deal of demand for mental health providers.  In our discussions with private sector, they said that because of the downturn of the economy and other factors that the non-VA, non-military demand had also gone up in their experience, ten and twenty percent in the last couple of years. So I think when I look -- We were asked several years ago to go look at access to mental health care in Montana.  And it was a very interesting review for me in that Montana VA had linked up with the community health centers in Montana and I believe -- I may be -- I may be out of date by a couple of years since we did it a couple of years ago but they were, there was an organization of community health centers and by allowing veterans to go to those community health centers which were usually staffed by psychologists and social workers, usually not by physicians, they were able to dramatically improve the access time to get folks to talk to competent people in their neighborhood, in their city, to get some care. I think in order to make that care cohesive, as Mr. Tolentino said, you've got to be able to get medical records back and forth so that there's a coordination of care. So I think the all hands on deck idea is one that I fully endorse and one where if I look at some of the cases -- tragic cases --  we've looked at, in the past it was not infrequent for veterans to show up at a mental health center in their town and because they were veterans, they were sent to the VA and there was not a link, they were not accepted or there was no payment mechanism or there was no authority. So I think that would be a useful step. Secondly, I think you really have to sit down and, as bad as metrics are, you do have to sit down and model what you do and figure out what demand is and try to lay out a business case for what you're doing.
 
Chair Patty Murray: Is that in place at the VA today?
 
Dr. John Daigh: Um, I don't believe that they have for mental health the level of business plan that I think they should have.  Nor do I think they have it for most specializations.
 
 
Daigh's suggestions resulted in a number of people nodding their heads and, as Chair Murray noted, the VA had agreed with the recommendation in the report from Daigh's office.  His responses were common sense ones. So why did the brain trust of the VA need someone from the IG office to make these very basic and obvious recommendations for them?
 
Linda Halliday would note her opinion that the lying about wait time meant that there was a need for "a culture change" at VA.  She's right.  She also called for holding "the facility directors accountable for how well the data is actually being captured."  There needs to be accountability, there needs to be a cultural change.  Nothing in today's hearing provided any indication that there would be.  Senator Murray was very clear in her closing marks which included, ". . . I want to make it very clear, this is not something we're going to have a hearing on and leave and go do something else tomorrow.  This has to be taken care of. We owe it to these men and women."  She was very clear.  But the VA's attitude didn't seem overly concerned and that was only more true as the hearing concluded and three of them ambled towards the door laughing and joking and clearly not bothered by the warnings, by the reprimands, by anything.  Repeating, I don't doubt that Murray means it.  I don't doubt that Scott Brown is fed up with it.  Tester tries to word things more nicely but it was clear he was irritated.  But that hearing had no visible effect on the VA staff that should have walked out of that hearing feeling something other than good humor. 
 
 
In Iraq, the political crisis continues; however, it may be overshadowed by the regional crisis Nouri has created.  Tariq Alhomayed (Al Arabiya) offers this assessment:

With regards to Iraq, al-Maliki is profoundly at odds with the Sunnis, and wants to imprison his deputy, Tareq al-Hashemi. He has also clashed with the Kurds, as well as the Sadrists loyal to Iran, and even with [Abdulaziz] al-Hakim. He is also got involved in an intense dispute with the Iraqiya bloc, led by Dr. Iyad Allawi. So what left for Mr. al-Maliki after all this? Regionally, and in terms of the Arab world, al-Maliki does not have any normal relations with the influential Arab countries of the region, or any countries in the region for that matter, with the exception of Iran. Al-Maliki has launched attacks on Saudi Arabia in language not worthy of a diplomat, let alone a Prime Minister, and he has done the same with Qatar, and now with Turkey! This is not all of course, as al-Maliki is also the one who said: "the [al-Assad] regime did not fall, and it will not fall, and why should it fall?", despite all that the Baathist tyrant of Damascus has done to the Syrian people. Iraq is now creating passageways to help the al-Assad regime by transferring weapons and money and smuggling oil. So what left after all this? How can al-Maliki say that Turkey is a hostile country, inciting sectarianism in Iraq, while Tehran launches an attack on [Massoud] Barzani, on the eve of al-Maliki's visit to Iran, and also accuses al-Hashemi of wanting to restore Sunni rule in Iraq with the support of Saudi Arabia?


And Nouri's stepped in it again prompting State of Law (his political slate) surrogates to rush to the media to play another round of When Nouri Said ____, He Meant ___.  Nouri's called for a federation of Iraq and Iran.  No surprise, that call has alarmed many Iraqis.  Al Rafidayn quotes a State of Law-er insisting Nouri was using a metaphor.  (Ask Nouri to define "metaphor" and, if he can do that, I might believe it.)   Iraq has good relations with Iran, insists Nouri's surrogates, but they do not want to jeopardize their relationship with others. Alsumaria also carries the we-don't-really-want-a-federation-despite-what-Nouri-said story.  Nouri just wrapped up a visit to Tehran, one would assume he could speak plainly.  To listen to State of Law, that's not the case.


The World Bulletin notes Ahmet Davutoglu, Foreign Minister of Turkey, has rejected Nouri al-Maliki's accusations that Turkey is interfering in Iraq's internal affairs and quotes Davutoglu stating, "Turkey's Iraq policy is quite clear and we have been a direct part of any controversy in Iraq.  We want that all our Iraqi brothers, Shiites, Sunnis, Turkmens, Arabs and Kurds live in peace and in prosperity."  Turkey's one of Iraq's largest regional trading partners. Joe Parkinson (Wall St. Journal) observes, "The two countries have in recent years enjoyed a fast-expanding trade relationship.  Iraq is now Turkey's second-largest trading partner after Germany, with trade swelling 40% to reach $12 billion last year, according to Turkey's government.  However, more than half of that volume is between Turkey and Iraq's semiautonomous Kurdish region."  This war he's declared on Turkey really doesn't help Iraq nor does it improve relations with the Arabic states (Saudi Arabia, Qatar, etc) that Nouri's already on shaky ground with.   Tony Karon (Time) notes:


And these days, it's not only Iraqi politicians that are courting the Kurds. Turkey last week feted Barzani in Ankara, rolling out the red carpet and affording him a meeting with Turkey's President Abdullah Gul and Foreign Minister Ahmet Davutoglu, and he recently returned from a visit to Washington D.C. where he met with senior Administration officials. Those visits seemed to amplify Barzani's defiance of Baghdad in a dispute over oil revenues, with the KRG prime minister accusing Maliki of paving the way for a return to dictatorship, and warning that absent "radical solutions and a specific time-frame to resolve the present crisis … we will resort to other decisions" -- a not-so-veiled threat to declare independence from Iraq.
Independence, of course, remains the historical goal of Kurdish Iraqis, and a referendum on the issue staged in 2005 saw some 98% vote to break away from Iraq. Geopolitical realities, however, has required a curbing of that popular sentiment. Iraqi Kurdistan is small and landlocked, and while it possesses significant oil reserves, it would require the cooperation of one of its powerful neighbors --Turkey, Iran or Iraq -- to pipe that oil to market. Also, the KRG was carved out in large part because the U.S., which had just overthrown Saddam Hussein, helped ensure its emergence, but made clear it was not ready to support a breakup of Iraq.

Al Rafidayn reports that it's been decided to open up 50% of Baghdad's main streets over the next 45 days due to traffic congestion and other issues.  Dar Addustour notes there is some concern that barriers that have protected various political party offices may also be lifted.  Their fears may be justified and AFP reports that today saw "the offices of two of Iraq's top four Shiite clerics in the central city of Najaf [attacked] with sound bombs".
 
 
 

Tuesday, April 24, 2012

What Barack securing the nomination really means

So "The Chicago Tribune" reports that Barack Obama is about to secure the nomination and become the Democratic Party's 2012 presidential candidate.

It's April.  Almost May.

My point?

If he's only now close to securing the nomination that should point out to even the dimmest bulb that there was never a reason for Hillary to drop out or have people scream that she needed to.
In 2008, Hillary got more votes than Barack did.  And she was being told to drop out and she was attacked and savaged.  But here we are, almost May, and Barack will finally secure the needed votes to have the nomination.

He has no competition this year.

Do you get my point?

And most people whining and screaming for Hillary to drop out knew they were lying.  They screamed and bitched and whined because Hillary kept doing better and better and had already gotten move votes.  They didn't want to risk anyone catching on that she had done as well as she had.  They had the media in their pocket.  But what if someone in the media decided to actually be independent and actually report reality?

If that happened the whole house of cards would fall.


2008 was when the Democratic Party ignored the voters and proved they were as unethical as the Republican Party.  (I believe every day since has been about proving that my party could be even more unethical than the Republican Party.)


"Iraq snapshot" (The Common Ills):
Tuesday, April 24, 2012.  Chaos and violence continue, a prep meeting for a national conference takes place, Moqtada won't take Nouri down but won't stop anyone else from taking Nouri down, Bradley Manning's pre-court-martial hearings continue, and more.
 
 
"Pfc. Bradley Manning made headway Tuesday in his bid to prove that WikiLeaks' publication of more than 700,000 confidential files did not damage national security," reports Adam Klasfeld (Courthouse News Service).  "Claiming that the documents [damage assessments] are classified, however, prosecutors have refused to give Manning access.  Military judge Col. Denise Lind ordered the government Tuesday to turn the documents over to the court by May 2."  What's going on?
 
In January, Josh Gerstein (POLITICO) reported, "Another military officer has formally recommended that Army Pfc. Bradley Manning face a full-scale court martial for allegedly leaking thousands of military reports and diplomatic cables to the online transparency site WikiLeaks." In addition, Article 32 hearings are almost always rubber stamps. Monday April 5, 2010, WikiLeaks released US military video of a July 12, 2007 assault in Iraq. 12 people were killed in the assault including two Reuters journalists Namie Noor-Eldeen and Saeed Chmagh. Monday June 7, 2010, the US military announced that they had arrested Bradley Manning and he stood accused of being the leaker of the video. Leila Fadel (Washington Post) reported in August 2010 that Manning had been charged -- "two charges under the Uniform Code of Military Justice. The first encompasses four counts of violating Army regulations by transferring classified information to his personal computer between November and May and adding unauthorized software to a classified computer system. The second comprises eight counts of violating federal laws governing the handling of classified information." In March, 2011, David S. Cloud (Los Angeles Times) reported that the military has added 22 additional counts to the charges including one that could be seen as "aiding the enemy" which could result in the death penalty if convicted. The Article 32 hearing took place in December.  In January, there was an Article 32 hearing and, February 3rd, it was announced that the government would be moving forward with a court-martial.
 
Currently, pre-court martial rulings are being made.  The Center for Constitutional Rights' Shane Kadidal Tweeted the hearing today (Tweeted at CCR's Twitter Feed).
 
 
#Manning hearing: ruling from court tomorrow on arguments re: defense access to grand jury testimony - presumably investigating #Wikileaks
 
 
#Manning trial: defense argues gov didn't cite right disclosure standard. Gov won't publicly disclose even its legal arguments from briefs.
 
#Manning hearing: Judge asks if gov has found material that might be useful to defense but hasn't been disclosed. Gov says yes.
 
 
 
#Manning trial: Coombs: gov has been working to find harm from cables. From docs received so far it's clear answer is 'no damage' #Wikileaks
 
 
AFP explains, "The judge, Colonel Denise Lind, said she would review the reports from the CIA, the FBI and other agencies to determine whether the documents were pertinent to Manning's defense. The damage reports, including those from the CIA, the Pentagon's Defense Intelligence Agency and the State Deparmtent, could cast doubt on prosecutors' claims that the exposure of classified documents on the WikiLeaks site had devastating or lethal results."  Larry Shaughnessy (CNN) adds, "As for the request to dismiss the charges, Coombs said because the prosecutors did not understand the discovery rules, he and his fellow attorneys have not been given information that could help in his defense."  Sky News notes, "A court-martial date has yet to be set and Manning so far has declined to enter a plea on the counts he faces in a case that involves one of the most serious intelligence reaches in US history."
 
Defense motions can be found at David E. Coombs' website Army Court Martial Defense Info.  These are the redacted ones the government is issuing as well as the unredacted ones.  The issue of public access to motions -- a standard in any legal case in the United States -- was raised today and the judge declared that the public could make a freedom of information request if they want documents.  At the US State Dept today, spokesperson Victoria Nuland was asked about the judge's decison that the government had to turn over documents to the defense.
 
 
QUESTION: In the WikiLeaks case, the judge in the Bradley Manning case this morning ordered the State Department, among other agencies, to turn over some of their documents to the defense in order to help the Manning team better prepare its case. Is the State Department going to turn over those documents? And my follow-up is: Does the U.S. still see a negative impact on its relations with other countries in diplomacy because of what happened in the alleged leaking of these documents?
 
 
 
MS. NULAND: Let me take the last part first. I think our view of the entire WikiLeaks incident has not changed at all in terms of the negative effects. With regard to what the court has ordered, Ros, I haven't seen it, so let me take it and see what we know about what's been requested of us and what our response is.
 
 
 
As an attorney with the Center for Constitutional Rights (CCR) and a legal adviser to WikiLeaks and Julian Assange, I continue to attend Manning's hearings and can only describe them as a theater of the absurd: the trial involves numerous and lengthy off-the-record conferences, out of sight and hearing of the press and public, after which the judge provides an in-court summary that hardly satisfies standards of "open and public". Perhaps more remarkable is the refusal even to provide the defense with a pre-trial publicity order signed by the judge – an order that details what lawyers can and cannot reveal about the case. Yes, even the degree to which proceedings should be kept in secret is a secret, leaving the public and media chained in a Plato's Cave, able only to glimpse the shadows of reality.
The press and advocacy groups, however, have not been quiet about the trampling of their rights. The Reporters Committee for Freedom of the Press, on behalf of 46 news organizations, urged the Department of Defense to take measures that would allow the news media to view documents prior to court arguments. The committee pointed out that the trial for the "alleged leak of the largest amount of classified information in US history" is of "intense public interest, particularly where, as here, that person's liberty is at stake". The Center for Constitutional Rights, too, has requested access in the interest of an "open and public" trial, but neither appeal has been answered.
This is a clear violation of the law, but it will likely take burdensome litigation to rectify this lack of transparency. The US supreme court has insisted that criminal trials must be public, and the fourth circuit, where this court martial is occurring, has ruled that the first amendment right of access to criminal trials includes the right to the documents in such trials.
The greater issue at hand is why this process should be necessary at all. As circuit judge Damon Keith famously wrote in Detroit Free Press v Ashcroft, "Democracies die behind closed doors."
 
 
In Iraq today, Alsumaria reports that an Anbar Province bombing left seven Iraqi soldiers injured,a Mosul car bombing targeting a checkpoint claimed the life of 1 Iraqi soldier and left two more injured and 1 person was kidnapped in Nineveh Province.  Margaret Griffis (Antiwar.com) reports 12 died in Iraq violence yesterday and ten were left wounded.   As violence continues in Iraq, AFP reports that Nouri al-Maliki has reduced the wages of Sahwa (Awakening, Sons Of Iraq) members by 20%."  Dropping back to the April 8, 2008 Senate Armed Services hearing when Gen David Petraeus, then the top US commander in Iraq, was explaining the "Awakenings.'
 
In his opening remarks, Petraues explained of the "Awakening" Council (aka "Sons of Iraq," et al) that it was a good thing "there are now over 91,000 Sons of Iraq -- Shia as well as Sunni -- under contract to help Coalition and Iraqi Forces protect their neighborhoods and secure infrastructure and roads.  These volunteers have contributed significantly in various areas, and the savings in vehicles not lost because of reduced violence -- not to mention the priceless lives saved -- have far outweighed the cost of their monthly contracts."  Again, the US must fork over their lunch money, apparently, to avoid being beat up. 
How much lunch money is the US forking over?  Members of the "Awakening" Council are paid, by the US, a minimum of $300 a month (US dollars).  By Petraeus' figures that mean the US is paying $27,300,000 a month.  $27 million a month is going to the "Awakening" Councils who, Petraeus brags, have led to "savings in vehicles not lost".
 
 
 
The Awakening Movement has been in a tricky position for some time. They haven't been integrated into the state and they've also become targets for al-Qaeda extremists, who, after the withdrawal of US troops, started a campaign of intimidation and murder targeting Awakening members. They have been, al-Jibouri says, "abandoned by everyone".   
Previously the Awakening Movement had been seen as a resoundingly successful initiative. Founded in 2006, the armed groups were so successful in their counter-insurgency campaign and in assisting the US troops, that the idea was copied in Afghanistan too. 
No doubt the fact that the US was paying out around US$300 per month in wages to Awakening members also helped – at the height of the Awakening Movement's duties, this cost more than US$30 million a month. In late 2008, the Iraqi state began paying the wages of Awakening Movement members and it also promised to begin integrating the militias into state forces proper. 
However up until today, around half of those involved in the Awakening Movement say that they don't know if they will ever be employed by the Iraqi government. And others say they haven't been paid in months.
 
 
And going without payment in Iraq is difficult when unemployment is rampant and when so many live below the poverty line.  The country of widows and children, as a result of  the wars and the sanctions which killed off so much of the population and left the median age at 20.9 years.  In an oil rich country where there's no effort made to take care of the people, everyone does what they have to in order to survive.  Saleem al-Wazzan (Niqash) reports on child prostitution in Basra:


Naji is 15 years old; he's been working here since he was 12.
"The people I have sex with are generous and kind though," Naji insists. "They are kind hearted and they love me. They bring me clothes and gifts and sometimes give me cigarettes. In return I give them my company and the joy of sex."
 A 2008 study undertaken by the well known Iraqi human rights organization, Al Amal (Hope), found that 72 percent of children of displaced families residing in Nasiriya, near Basra, were engaged in work inappropriate to their age, often more than seven hours per day, such as street cleaning and portering. The study, which surveyed 411 families with a total of around 1,200 children, also found that a lot of the child labourers were selling drugs or their own bodies.
Basra human rights activist, Sami Toman, believes that things are not that different in Basra. "That's despite the fact that Basra is the richest city in the country with regard to resources and oil," he added.
It is difficult to ascertain how widespread child prostitution is in Iraq -- a lot of the children involved won't talk about it because they have been threatened by those who use them. But observers believe child prostitution is particularly widespread among Iraq's displaced families -- that is, families who have been forced to flee to other areas due to sectarian or other violence in their hometowns. And there are an estimated one million displaced persons in the thriving southern province.

The CIA estimates 25% of the Iraqi population lives below the poverty line.  Throughout the war, that rate has remained more or less consistent.  There has been no improvement -- thus far -- for Iraqis despite claims by US officials of 'liberation' and 'democracy.'  Maybe they meant the 'liberation' of children selling sex to keep starving?  At the start of the year, Dahr Jamail (Al Jazeera) noted:

According to the UNDP, Iraq has a poverty rate of 23 per cent, which means roughly six million Iraqis are plagued by poverty and hunger, despite the recent increase in Iraq's oil exports. Iraq's Ministry of Planning has also announced that the country needed some $6.8bn to reduce the level of poverty in the country.
Zahra concurs.
"No-one in my family has a job," he said. "And in my sister's house, they are seven adults, and only two of them work."
Inside a busy market, Hassan Jaibur, a medical assistant who cannot find work in his field, is instead selling fruit. 
"The situation is bad and getting worse," he said. "Prices continue to rise, and there are no real jobs. All we can do is live today."


Layla Anwar (uruknet.com) noted that while the official unemployment rate is 30%, the actual rate is 50%.

 
In Iraq, the political crisis continues.  Last week, the Congressional Research Service issued their latest report on Iraq entitled [PDF fornat warning] "Iraq: Politics, Governance, and Human Rights."   The summary notes:
 
Relations among major political factions have worsened substantially since late 2011, threatening Iraq's stability and the perception of the achievements of the long U.S. intervention in Iraq.  Sunni Arabs, always fearful that Prime Minister Nuri al-Maliki would seek unchallanged power for Shiite factions allied with him, accuse him of an outright power grab as he seeks to purge the highest-ranking Sunni Arabs from government and to cripple attempts by Sunni-inhabited provinces to achieve greater autonomy.  Iraq's Kurds have also become increasingly distrustful of Maliki over territorial, political, and economic issues, and have begun to similarly accuse him of authoritarian practices.  The political crisis threatens to undo the relatively peaceful political competition and formation of cross-sectarian alliances that had emerged since 2007 after several years of sectarian conflict.  Some Sunni insurgent groups apparently seek to undermine Maliki by conducting high-profile attacks intended to reignite sectarian conflict. 
The political rift has stalled the movement on national oil laws that had occured during August-November 2011.  The political crisis has also renewed outside criticism that Iraq's factions lack focus on governance, or on improving key services, such as electricity.
The splits and dysfunctions within Iraq's government that have widened since mid-December 2011 have called into question the legacy of U.S. involvement. 
 
 
Noting the Congressional report, John Glaser (Antiwar.com)  observes, "All this, as America continues to give money and weapons to the Maliki government. What exactly do U.S. troops have to be proud about?"
 
On the topic of the political crisis,  Alsumaria reports that an official with Moqtada al-Sadr's movement explained the bloc's position is that if a national consensus forms around an alternative to Nouri, they will support that candidate; without a consensus on who should hold the post, they will not join in a no-confidence vote; that the survival of Nouri in the post of prime minister is not a required goal on their part; and that the Sadr bloc wants the political crisis resolved.  The position isn't a complete walk away, it's also not anything resembling support.

The Sadr bloc is aruging if others will do all the work, they'll support it. Moqtada didn't support Nouri in 2010 until intense pressure from the government in Tehran forced him to go back on his public promise to support only those who met with the approval of his followers.  The Sadr bloc voted for everyone but Nouri. Alsumaria notes Kurdish MP Mahmoud Othman is stating Nouri can't be toppled because he has the support of the National Alliance.  State of Law is a part of the National Alliance.  So is Moqtada.  So is the Islamic Supreme Council of Iraq.  Those last two, if Nouri loses a portion of their upport, can result in his losing his post.  Al Sabaah notes that Iraqiya's Hamid al-Mutlaq is stating that calls of a no-confidence vote are just attempts to force a resolution to the political crisis.  Meanwhile Dar Addustour noted that a planning meeting for a national conference is supposed to take place this evening.  Alsumaria reports that the meeting was held and another is scheduled for tomorrow.  Iraqiya boycotted the meet-up and noted that they were calling for Nouri to implement the Erbil Agreement (a document where all political blocs made concessions to end the eight-month old political stalemate -- the agreement made Nouri prime minister and Nouri trashed the agreement when he got that post).


There was an endless set of meet-ups to plan for the national conference eventually called for April 5th.  For those who've forgotten, that conference ended up being called off at the last minute on April 4th.  Alsumaria adds that the United Nations today called for Iraq to resolve the crisis (the UN calls it a "political impasse") by utilizing the Constitution to address unresolved issues.

In other news, the Journal of Turkish Weekly reports, "Iraq's Vice President Tariq al-Hashemi said on Monday that Turkey's worrying about its neighbor country (Iraq) did not mean interference in its internal affairs."  What's going on?  Nouri's war of words with the Turkish government.  As Kat noted last night, Reuters is not even attempting to pretend they are impartial in their coverage.  Nouri called Turkey an enemy state and attacked the leadership -- this was a continuation of earlier attacks.  Turkey responded.  Somehow Reuters turned that into Turkey attacking poor, little Nouri.  In the real world, the Journal of Turkish Weekly notes, "Iraqi Parliament Speaker Usama Nujayfi has said that continuous contacts and meetings were necesary for removal of the deficiencies in Turkey-Iraq relations." And Reuters tries to bury yesterday with an attempt at balance today, "Turkey summoned Iraq's charge d'affaires on Tuesday, a tit-for-tat move a day after Baghdad summoned Turkey's ambassador in a top-level diplomatic row that has heightened regional tensions."  Today's Zaman quotes Tareq al-Hashemi stating the following:
 
[Prime Minister] Recep Tayyip ErdoÄŸan has defined the current situation in Iraq as ominous. [Iraqi Prime Minister Nouri al-Maliki] should not have overreacted to that. It is only natural that Turkey be concerned over what is happening in Iraq. Developments in Iraq would certainly affect Turkey, either negatively or positively.
 


Someone needs to pull Nouri aside and explain to him that he and Tehran can be besties all he wants and then some but that's not going to mean a great deal to Iraq's other neighbors and when he starts a war of words with one, he makes Iraq look unstable.  Nouri's public image continues to be the biggest threat to a successful Iraq.  In addition, Thomas Seibert (The National) sees other problems:
 
 
 Analysts expect tensions between Turkey and Iraq to continue to rise because they are part of a growing "Cold War" between Shiite and Sunni Muslim camps in the region.
Late Monday, the Iraqi vice-president, wanted by Baghdad on charges of running death squads but enjoying red carpet treatment while staying in Turkey, fanned the flames by accusing his government of steering the country towards sectarian confrontation.
Tareq Al Hashemi's comments came before he met with Ahmet Davutoglu, the Turkish foreign minister, last night. They were the latest sign that the political crisis in Iraq is part of a wider problem in the region, analysts said.
Iran and Syria have been backing the Shia side with Russia in the background. Turkey and the Gulf states have been supporting the Sunnis, who are also backed by the United States and Israel, Mr Yavuz said. "The fronts are becoming clearer, just like in the Cold War," he said in an interview yesterday.
 
 
 
In the US, the Defense Dept announces: "Master Sgt. William A. Downey was honored as the Army's Sexual Assault Response Coordinator of the Year in a DOD ceremony at the Pentagon Hall of Heroes, April 18, as family members, guests and VIPs gathered to witness the presentation."  Downey is quoted stating, "Sexual assaults are destroying our future and our future leaders."
 
Senator Patty Murray is the Chair of the Senate Veterans Affairs Committee.  Her office notes:
 
 
 
FOR IMMEDIATE RELEASE
Tuesday, April 24, 2012
Contact: Murray Press Office
(202) 224-2834
 
TOMORROW: Murray to Hold Hearing on IG Report Showing Major Delays in VA Mental Health Care
On the heels of report showing that VA is failing to meet its own mandate for timely health care, Murray to hear from report's authors and question top VA officials on necessary changes
* Will be broadcast LIVE on C-SPAN.
 
(Washington, D.C.) -- Tomorrow, U.S. Senator Patty Murray, Chairman of the Senate Veterans' Affairs Committee, will hold a hearing to examine the results of a report released yesterday by the Department of Veterans Affairs' Inspector General that Senator Murray had requested on the time it takes the VA to provide mental health care appointments for our nation's veterans.  The report concludes, as Senator Murray has repeatedly warned, that the wait times faced by many veterans far exceed that which the VA has previously reported and the time the VA mandates.  At tomorrow's hearing, Senator Murray will question a top VA official and the VA Inspector General on the specifics of the report, and seek answers to the problems it raises.
 
Who:       U.S. Senator Patty Murray
                Office of Inspector General of the Department of Veternas Affairs
                Senior VA Officilas
 
 
What:       Hearing focused on VA mental health care, evaluating access and assessing care
 
When:      TOMORROW: Wednesday, April 25, 2012
                 9:30 AM ET/ 6:30 AM PST
 
Where:      Dirksen 138
 
 
 
 

Monday, April 23, 2012

Desperate Housewives and Whitney

"Desperate Housewives"?  It doesn't come back on until next Sunday.   They aired the first Sunday of the month and will air the last Sunday of the month.  And I think a lot of people are ready for the end, I know I am.  I participated in "TV Roundtable" at Third.  Here's my section on "Desperate Housewives":


Dona: Betty, Desperate Housewives ends next month, for good.  Your thoughts?









Betty: I started blogging about it last season and that was because Vanessa Williams joined the cast.  I've now watched two seasons.  It's an awful show.  It will not be missed.  Teri Hatcher is extremely talented and in the entire two years I've watched, they've failed to come up with a storyline for her.  Meanwhile, the show's so racist and backward that it's not even Plessy v. Ferguson.  It's just separate.  There's nothing equal about the way Vanessa's Renee is treated.  And it's obvious she was just added to draw attention to the show.  They've had no interest in treating Renee like a main character.  She usually gets two scenes an episode.  It's disgusting.





I think they've been very racist in how they've used Renee, as I've noted here.  Having her sing at Mike's funeral, for example.  Like it's 1943 and she's Lena Horne.  "Don't let her mix!  We'll give her an onstage number!"  I hate that show.  I was willing to give it a chance for Vanessa but they really showed just how racist they were on that disgusting show.


And we talked about Whitney.  I'm going to include Kat's response right before us because I love me some Kat and also because it'll allow me to have links:


Dona: So that's Revenge.  We're also joined by  Betty of Thomas Friedman Is a Great Man;  Kat of Kat's Korner (of The Common Ills);  Mike of Mikey Likes It!;  Ruth of Ruth's Report;  Marcia of SICKOFITRDLZ; Stan of Oh Boy It Never Ends;  and Ann of Ann's Mega Dub.   Let's move quickly to Kat because she's participating in another roundtable which starts as soon as we let her go.  Kat, you were among the ones who posted about Revenge returning Wednesday night and included the screen snap.  In that entry, you wrote about McMillan & Wife.  That was a TV show from the early seventies that starred Rock Hudson and Susan Saint James.  You wrote about watching it in real time with friends and snacking and getting stoned.  And it was a very popular post with several people who contacted us to ask why don't you write about TV more often?


Kat: As I say in that post, if I were home during the week -- instead of on the road with Ava, C.I. and Wally -- I'd be watching TV and probably writing about it.  But instead I'm on the road.  We either get back to the hotel or C.I.'s home in the DC area and I turn on the TV and click and click and click until something interests me.  Or I pull something up on the laptop.  I'm not home, I'm not in one time zone.  It's impossible to follow a TV show.  For me, it's impossible.  I did watch The New Adventures of Old Christine and loved that show.  But I was able to watch that because Ava and C.I. would watch it.  If we missed it, we'd stream it.  And if I'd forgotten, I'd remember the next morning when they were talking about it and I'd say, "Shh! Shh! Haven't seen it yet!" And then I'd stream it that night and we'd talk about it the next morning.  I'm not a TV snob. I'm a TV junkie.  The TV's always on at the house unless the stereo's on.    There are many shows that interest me today -- Being Human, Alphas, Whitney, Revenge, I could go on and on.  But I just don't have the time to watch and it's too hard to keep up when I'm at home on the weekends, California, and then Tuesday I'm in Florida, or Georgia, or some other time zone.  It's just too much.




Ty: Alright.  And I loved your post, Kat.  Now as Kat leaves us, she mentioned a TV show, one that three people in this community cover.  Ann noted something last week about the show she, Betty and Marcia cover.  Ann?



Ann: We cover the NBC sitcom
Whitney.  We suddenly stopped writing about it.  We did that because it's finished it's 22 episodes.  The first season concluded with the wedding that wasn't between Whitney and Alex.


Ty: Will it be renewed?



Marcia: No word yet but it should be.  It drew a bigger audience than 30 Rock and Community.  In fact, it was NBC's only sitcom success this season.  The Office crashed and burned in the ratings.   Up All Night did okay-ish on Wednesday nights but when it was swapped with Whitney, the thinking was that this is where Whitney fails and Up All Night takes off.  That wasn't the case.  Whitney considered to deliver an audience on Wednesdays -- and  was NBC's highest rated program that night week after week despite leading off the night -- while Up All Night lost viewers in the move.  Whitney's NBC's success.  And that was with nothing but sexist attacks on the show.



Betty: Which was the main reason we started blogging about it.  Back in October, Ava and C.I. wrote "
TV: The perverts still drool over Shirley Temple" and that's what really prompted Ann, Marcia and myself to write about the show, to blog on it every week.


Dona: You felt it was treated unfairly?



Betty: Absolutely.  The reception to this show was so hostile and so hateful.  And Ava and C.I. called it, this was sexism running wild.  The Water Cooler Set is men and women who want to please men.  So there was no one to defend this wonderful sitcom until Ava and C.I. did.



Ty: That piece, "
TV: The perverts still drool over Shirley Temple," is both the most commented on of this TV season and also the most read.  It's hugely popular and the bulk of the e-mails on it are from TV critics for newspapers, TV stations and online publications.  A growing number of which agree with Ava and C.I. that the show got a raw deal, critical reception wise, due to sexism.


Marcia: And that article popped up everywhere.  You'd visit a newspaper's blog and the blogger would mention it or it would be in the comments.  This happened over and over.  That article that Ava and C.I. wrote really helped end the public stoning of Whitney Cummings and her TV show.  Make no mistake, that wasn't criticism that was being handed out, it was a public stoning.



Ann: And it's a hilarious show.  But it's a show that allows women as much space and time as men.  I asked C.I. about Friends and how it was reviewed?  When it first came on, the show was considered lightweight, too much was made of the women's looks with the implication being that they were too pretty to be funny -- that's Courtney Cox, Jennifer Aniston and Lisa Kudrow -- and it was just dismissed.  But what the middle-aged critics couldn't grasp was that Marcia's generation embraced the show.  It was their life on the screen.  The Office isn't any woman's life.  Sorry, boys.  It's funny that when a show tries to focus on the lives of women and men or of just women, it gets trashed and attacked and then ignored.




Betty: Which is what happened with The Adventures of Old Christine.  The Water Cooler Set attacked that show and refused to note it or include it.  After we were calling that out, Ken Tucker did note it finally, the show, that the show was still funny, and I'll give him credit for that but that was about three or four days before CBS gave it the axe.  Imagine if Ken and other men had used their platforms to focus on something other than all-male shows?



Marcia: And the bulk of the women critics are just as bad because they don't want to be seen as "women."  Heaven forbid.  So they refuse to call out the sexism and then the men will point out that none of their female colleagues see any sexism or they'd be writing about it.  It's the circle jerk of life.



Ann: But one thing I've noticed, and Betty and I've talked about this again this week, more and more women are writing pieces on TV in the last weeks that mention Whitney in a sentence or two here or there.  They're not trashing the show.  Sometimes they're praising it.  But it would appear that some of the female TV critics have realized that a funny and solid show was trashed because it threatened a bunch of sexist pigs.



Still on TV, Jessica Wakeman has a really good post about "Whitney."  And be sure to read Ava and C.I.'s "TV: Why Revenge resonates" which is just amazing.

P.S. I found out via Jessica Wakeman's post (using links) that Ms. magazine's blog trashed "Whitney."  How typical.  How typical and how shameful.


"Iraq snapshot" (The Common Ills):

Monday, April 23, 2012.  Chaos and violence continue, Nouri gets tight(er) with Tehran, Nouri continues to have problems/make problems with Turkey, Barzani calls for caution on the F-16 deal with the US, Senator Patty Murray gets documentation that the VA wait times are as feared (and will address the topic in a Wednesday hearing), and more.
 
 
Starting in the US, the Senate Veterans Affairs Committee will hold a hearing Wednesday on "VA Mental Health Care: Evaulating Access and Accessing Care" starting at 9:30 am EST in the Senate Dirksen Office Building, Room 138. Senator Patty Murray is the Chair of the Senate Veterans Affairs Committee. Her office issued the following today:
 
 
 
FOR IMMEDIATE RELEASE
Monday, April 23, 2012
Contact: Murray Press Office
(202) 224 - 2834
 
Murray Statement on IG Report Showing Major Delays in VA Mental Health Care
 
 
(Washington, D.C.) -- Today, U.S. Senator Patty Murray, Chairman of the Senate Veterans' Affairs Committee, released the following statement after the Department of Veterans Affairs Inspector General released a report that she had requested on the time it takes the VA to complete mental health care appointments for our nation's veterans. The report concludes, as Sen. Murray has repeatedly warned, that the wait times faced by many veterans far exceeded that which the VA has previously reported and the time the VA mandates. Murray will hold a hearing on Wednesday, April 25th to seek answers to these problems. The VA Inspector General will testify at that hearing.
 
"This report confirms what we have long been hearing, that our veterans are waiting far too long to get the mental health care they so desperately need. It is deeply disturbing and demands actions from the VA. The report shows the huge gulf between the time VA says it takes to get veterans mental health care and the reality of how long it actually takes veterans to get seen at facilities across the country.
 
"Getting our veterans timely mental health care can quite frankly often be the difference between life and death. It's the critical period, not unlike the 'golden hour' immediately after a traumatic physical injury. Yet this report clearly shows that the VA is failing to meet their own mandates for timeliness. Clearly the VA scheduling system needs a major overhaul. The VA also needs to get serious about hiring new mental health professionals in every corner of the country.
 
"What's particularly disappointing is that this report shows that the VA is failing many of those who have been brave enough to seek care. It is hard enough to get veterans into the VA system to receive mental health care. Once a veteran takes the step to reach out for help we need to knock down every potential barrier to care. Providing timely mental health care is a cost of the decade-long wars our veterans have fought and it is a cost that Congress and the American people are willing to meet."
 
###
 
Matt McAlvanah
Communications Director
U.S. Senator Patty Murray
202-224-2834 - press office
202--224-0228 - direct
 
A number of e-mails came in wanting the Petzel VA issue included in today's snapshot.  If there's room, it'll be at the end in full, if there's not room, it'll be edited.  I'll try to keep in the points that veterans and veterans' family members e-mailed saying they wanted included in the snapshot.
 
 
BAGHDAD, 23 April 2012 --  UNICEF condemns an attack that took place yesterday on a secondary school that killed two children and injured one near the northern Iraqi city of Tikrit. 
"UNICEF condemns this attack in the strongest terms" said Maria Calivis, UNICEF Regional Director for the Middle East and North Africa. "The killing of children is unacceptable. Attacks on schools, which are meant to provide a safe learning environment, is a grave violation of children's rights."
According to several reports, five armed men stormed into the school, two are said to have entered a 4th grade class and opened fire on the students, killing 16-year-old and 17-year-old boys and injuring a third aged 16.
UNICEF calls on the Government of Iraq to take the necessary measures to bring to justice those responsible for this attack and take swift action to ensure that measures are put in place to guarantee the safe access to schools to all children in Iraq. 
 
The violence never ends in Iraq.  Alsumaria notes an attack to the northeast of Baquba in which unknown assailants shot two police officers leaving them injured and they note that 2 intelligence service officers were shot dead (pistols had silencers), a Salah al-Din roadside bombing left a police major and a police captain injured and a roadside bombing west of Samarra left 1 person dead.
 
 
Meanwhile how bad are things between Iraq and the US currently? So bad that the White House is really trying to spin.  In other words, the administration finally gets that portraying Iraq and Iran as close friends doesn't work for the Barack Obama re-election campaign. 
 
In desperate need of an answer to "What the hell is going on?" -- a question, please note, not asked by the timid press, but by those concerned with national security -- the White House tried to turn a minor meeting into an event.  First, they issued a press release noting that a low-level Iraqi deputy (Huassain al-Shahristani) had met with Daniel Poneman (US Deputy Secretary of Energy) and Carlos Pascual (Special Envoy and Cooridinator for International Energy Affairs). Some will wrongly tell you that he's the former Minister of Energy.  No, he wasn't.  To have that post, he would have to be confirmed by the Parliament.  He was never confirmed for that post.  he did previously serve as the Minister of Oil.  He was nominated for that post by Nouri and the Parliament voted him into that post.  From Minister to one of many deupties, that's a demotion.  And that demotion took place despite the fact that al-Shahristani has been loyal to Nouri and is a member of Nouri's political slate State of Law.
 
The US bragged about spending (since 2003) $6.7 billion to help Iraqi energy production ("$4.6 billion to the power sector and $2.1 billion to the oil sector").  They then sent all three officials out for a photo-op and press briefing.  Again, the whole thing took place, this sudden 'event' because of the fact that the White House is facing tough questions from national security types and they have no answers.
 
Let's go to the weekend and then come back.  Over the weekend, Nouri went to Iran to dialogue with officials in Tehran.  That included the country's President Mahmoud Ahmadinejad. The Iran Independent News Agency notes, "Iraq no longer needs any help from the United States, Iranian President Mahmoud Ahmadinejad told visiting Iraqi Prime Minister Nuri al-Maliki on Sunday as he offered to strengthen ties between the two neighbouring countries, which were once at war." Pakistan's The Nation adds:

Iraqi Prime Minister Nuri al-Maliki met Iranian President Mahmoud Ahmadinejad on Sunday at the start of a two-day visit to boost relations between their Muslim states. "If Tehran and Baghdad are strong, the region will have no place for the United States and the Zionist regime," Ahmadinejad said, quoted by state news agency IRNA, in reference to Tehran's arch-foe Israel. He said there was "no limit to the strengthening of political, economic and cultural ties" between them. 
Such moves would serve to "boost stability and security in the region," chimed in Maliki, who also held talks with parliament speaker Ali Larijani.Maliki was also to see Iran's chief nuclear negotiator Saeed Jalili. 

Dar Addustour notes the public remarks Ahmadinejad made with Nouri by his side about how the region was no place for enemies of freedom like the US and Israel. The Tehran Times has Ahmadinejad calling the US and Israel enemies of the free world. (It's "Zionist regime," but he's referring to Israel.) RTT News observes, "Observers believe Iranian leaders intend to enhance their influence in Iraq after the pullout of U.S. troops by strengthening ties with Prime Minister Maliki who, like a majority of Iranians, is also a Shia Muslim."  

 
Generally speaking, the US government doesn't reward that sort of behavior.  Call it petty or pin it on vanity, but US leaders don't usually reward (or ignore) that sort of public display.   Now the official reason from the administration is "Iraq's going to help us with Iran on the nuclear thing!"  That's nonsense.  Iran's no where near building a nuclear weapon.  That's the talk of serial fabulists,  But to briefly inhabit the world so many in the administration do, let's pretend that they are on the verge.  There's nothing Iran's going to do that it doesn't want to do.  That's true today, that will be true when May 23rd rolls around as well. I spoke today to two who gave Barack's 2008 campaign the 'gravitas'  it so sorely needed.  They'd discussed this with the White House, Nouri's shoulder-to-shoulder as the US is verbally attacked.  They explained that the White House's actions are seen as pushing Iraq into the arms of Iran.  They explained how vulnerable Barack still is on foreign policy issues. 
 
Because of those conversations (and there were others raising the issue with the administration today), a minor non-meeting was pimped as an event.  It wasn't an event, it wasn't significant.  It took place today.  Friday, did the US State Dept's press briefing note the scheduled meeting? Nope.  In fact, Iraq wasn't even mentioned on Friday.
 
The State Dept has a regular press briefing today.  Did Victoria Nuland raise the meeting in the press briefing?  Nope.  We'll note the Iraq section -- reporters did ask about Iraq -- later in the snapshot but this meeting was noted or brought up.  Because it was a minor, do-nothing meeting.  It got inflated and pimped because repeat complaints to various members of the administration today made clear to them that they have an image problem that could hurt the 2012 election.  Please note, they're convinced that getting Nouri to meet with Iran for the nuclear talks is a great thing for knowledge.  But the complaints made them see there was political fallout so this minor meet-up was promoted as an event to try to say, "We're still close!"
 
 
He says: What do words ever reveal?
He says: In speaking one can be so false
We're so close we have a silent language
We don't need words at all
-- "We're So Close," written by Carly Simon, first appears on her album Spy
 
FYI, that is an incredible song (link on song title goes to video) and, as Kat noted, last week the American Society of Composers, Authors and Publishers (ASCAP) warded Carly the prestigious ASCAP Founders Award -- a very high honor -- others awarded the Founders Aware previously include Joni Mitchell, Neil Young, Stevie Wonder, Ashford & Simpson (Valerie Simpson and the late Nick Ashford), and Ann and Nancy Wilson of Heart.
 
 
 
 
Marina Ottaway:  Finally -- and this is the last comment that I want to make in terms of agency -- you also have to look at the neighboring countries.  And here I -- and here I truly disagree with the previous speaker.  I think the situation in the region is going to make the -- is going to aggravate the internal problem that Iraq is facing -- because, like it or not, the regional -- the politics of the region is moving in the direction of sectarian -- of sectarian conflict.  The -- talk about the -- you know, the Iran, Iraq, Syria -- one should say, Hizbollah, more than Lebanon -- sort of arc, if you want; the Shia crescent of which King Abdullah of Jordan spoke at one points -- which is coming back with a vengeance.  And I would argue that the polices of most countries -- of neighboring countries towards Iraq are colored, and are determined essentially, by this -- by the sectarian perspective.  The Gulf countries have resisted embracing the new government in -- essentially embracing Iraq, because they are perceiving Iraq as being a pawn of Iran.  Whether or not it is true, they are certainly contributing to pushing -- to pushing Iraq in the arms of Iran.  But there is no doubt that the policies of the Gulf countries towards Iran -- excuse me, towards Iraq -- are driven by this perception of what is the relationship between Iran and Iraq. 
 
That's Carnegie Endowment For International Peace's Marina Ottaway speaking at The State Of Iraq conference last February.  If she's correct (and she quite often is), the weekend love-fest really didn't help Iraq draw closer to all their other neighbors. 
 
And it's not like Iraq doesn't have problems with its other neighbors.  UPI notes, "Iraqi officials announced Monday they summoned Turkey's ambassador in Baghdad in reaction to disparaging remarks made last week by the Turkish prime minister."  What's going on?
 
Friday, Nouri al-Maliki abandoned his brief 13 day attempt to be nice.  He lashed out declaring Turkey to be an "enemy state" of Iraq.   Saturday Ayla Jean Yacklery (Reuters) reported, "Turkish Prime Minister Tayyip Erdogan on Saturday regjected charges he sought to inflame sectarian divisions in Iraq with recent criticism of its government and accused his Iraqi counterpart of trying to gain 'prestige' in an escalating war of words between the neighbours."  Al Jazeera added:

"We don't differentiate between Sunnis or Shias. Arab, Kurd or Turkmen, they are all our brothers," Erdogan told reporters in comments reported by the NTV news channel.
"If we respond to Mr. Maliki, we give him the opportunity to show off there. There is no need to allow him to gain prestige."
Turkey, which is majority Sunni, has been seen as a key ally and even a role model for Iraq, because of its secular constitution and close relations with the West, including membership in NATO.
Iraq is Turkey's second largest trading partner after Germany, with trade reaching $12 billion last year, more than half of which was with the semi-autonomous Kurdistan region. 

With everything else Iraq is facing, you'd think Nouri al-Maliki would have the brains not to also antagonize one of its neighbors. 
 
Iraq came up in today's US State Dept press briefing.  There were three issues.  We'll note the third one first.
 
QUESTION: Toria, just a quick follow-up to this, but Maliki had really harsh words for Turkey. And now both of them are your allies, you have invested a great deal in Iraq. I mean, they're -- he's pushing the envelopes. You don't have any comment on that?
 
 
MS. NULAND: We have, for almost a decade now, encouraged increased dialogue, increased direct contacts between Iraq and Turkey. There are mechanisms for them to work through their issues together which we have endeavored to facilitate, and we encourage them to continue to use them to work through the issues that they have.
 
 
 Alsumaria reports that Iraqiya has stated that the visit Nouri's made to Tehran is not in Iraq's national interest and that it leads to intervention in Iraq's internal affairs.     Hermione Gee (Rudaw) offers:
 
 
Middle East observers are expressing concern that the row between the two neighbors is a sign of growing Sunni-Shiite tension in the region, as predominantly Sunni Turkey lines up against Maliki, Iran and Bashar al-Assad's violent suppression of Syria's mainly Sunni population.
Mehmet Seyfettin Erol, head of Ankara's International Strategic and Security Research Center (USGAM), says that Maliki's recent comments must be viewed in the context of his government's alliance with the Shiite regime in Iran. Maliki, who is currently on an official visit to Tehran, "is paying lip-service to Iran, which is trying to implement Shiite political dominance in the region," Erol told Turkish daily Today's Zaman. In response, he said, Turkey is being forced to protect Sunni rights in the region.
 
 
 
Let's go back to  Carnegie Endowment For International Peace's Marina Ottaway speaking at The State Of Iraq conference last February.
 
 
Marina Ottaway:  In Iraq today, I think it's becoming more and more appropriate to speak not of the Iraqi government, or even of a Shia-dominated government, or even a Dawa-dominated government -- but rather of a Maliki regime.  This is the newly dominant force in Iraqi politics; these are the Malikists.  They're an analog to the Saddamists in many way -- or the Saddamiyoon, as Iraqis knew them.  And so I'd like to coin the term today, the "Malikiyoon."  I think this is something that Iraqis will recongize.  And these are the officials and the operators who have enabled Prime Minister Maliki to consolidate control of state power and gradually marginalize the other political blocs as they've done it -- while neutralizing, one by one, the checks and balances that the Iraqi constitution was meant to contain on just such a consolidation of power.  So I'd like to talk a little bit -- to dig down a little bit and talk some about where we can find the "Malikiyoon," who they are, how they behave and what policies they'll follow, and what that will mean for Iraq and the rest of us, my best guess.  So, first in aquiring power in Iraq, the "Malikiyoon" have focused on the security and intelligence apparatus, the coercive arms of the state.  And this is where you can most easily find them.  You can find them at the top of the ministry of defense, at the top of the ministry of the interior, at the top of the intelligence services.  You will find them in control of the Iraqi special operations forces and in the police commandos.  And any forces that can -- that, really, they have coalesced into a new sort of coup-proofing set of forces -- almost a new Special Repbulican Guard.  Now, next, who are they individually?  Well, individually they are not really the Dawa party.  This is not really the Dawa party.  They are at the center.  They're Maliki's family, including his son and son-in-law most significantly.  They're his personal advisers, both official and unofficial -- so those that are in the prime minister's office and those that are -- that are in Maliki's house, you know, in the diwan late at night making decisions.
 
 
 

Aswat al-Iraq reports, "Kurdish region president Masoud Barzani returned yesterday night to Arbil province at the end of his external visit to Bulgaria, USA, Hungary and Turkey, sources said here. Barzani discussed with the Turkish president Abdulla Gul the relations between Kurdistan and Turkey, as well as the situation in Iraq and Syria."

The visit was a success for Barzani.   It became an embarrassment for Nouri al-Maliki who first attacked Barzani early last week and cattily insisted that Barzani had Kurds who 'speak ill of him.'   Alsumaria reports that Barzani has declared he could meet with Nouri to dicuss the political crisis 100 times and it would change nothing.  In addition, he states that the Kurdistan Region is in danger and that he is going to begin talks immediately with Kurdish parties and Iraq President Jalal Talabani on the topic of independence.   Rudaw speaks with Barzani and reports:
 
 
"I have met with Maliki many times. I don't have any personal problems with him. I have respect for him. But my experience with Maliki is that even if I met him 100 more times, it wouldn't bear any fruit because he has not implemented any of his promises," said Barzani in response to a question by Rudaw.
"Nothing but dictatorship threatens the territorial integrity of Iraq,"" warned Barzani, speaking to journalists in his office in Salahaddin, a resort town northeast of Erbil. 
Relations between the Kurdistan Regional Government (KRG) and Baghdad authorities have been tense recently over a range of issues, especially the unsettled oil and gas disputes.
"If all the people of Iraq are happy with this situation, they can do as they please. If the people of Kurdistan and all Kurdistani parties are content with the current situation and don't see any threat, I have no personal problems. But I must clear my conscience with my people," Barzani said about his recent strong remarks against Baghdad authorities, especially PM Maliki.
 
Yesterday Ofra Bengio (Jerusalem Post) explored previous times when Barzani had made the call for independence.  Iraq did come up at today's US State Dept press briefing when spokesperson Victoria Nuland was asked about Iraq.  Let's go to the second issue raised:
 
QUESTION: About the --  just a follow-up about an oil agreement made by Exxon-Mobil and KRG. Since it's an American company, the Exxon-Mobil, this agreement is excluding Baghdad Government's role in the use of oil in KRG region. Do you have any comment? How do you see this agreement? Is it threatening to unity of Iraq, or how do you see Exxon-Mobil and KRG oil agreement?
 
MS. NULAND: We've talked about this issue many times. Our position on it has not changed, that we think the lack of a comprehensive oil agreement is holding Iraq back, that we've called on all sides to continue to work through what is necessary to come up with a national oil policy. And we also regularly counsel our companies, including Exxon, about the fact that there isn't such an agreement. So I think we'll have a little bit more to say on the issues of Iraq and energy later today. We're going to have -- we have the U.S.-Iraqi energy dialogue going on, and we'll have some folks briefing later this afternoon on those things.
 
Thursday the International Crisis Group noted that Iraq still had no oil & gas law and the need for one in a typical ICG report -- meaning one-sided with lots of bowing and scraping to Nouri (that's a nasty habit of ICG's).  From the Executive Summary of "Iraq and the Kurds: The High-States Hydrocarbons Gambit:"
 
But the Kurds face a problem. While they pursue an independent oil policy and have taken important steps toward that end by drafting their own oil law in 2007 and signing over 40 contracts with foreign oil companies without Baghdad's input or approval, they lack the means to export their oil without Baghdad's help and therefore its permission. To date, the federal government has used its control over the national pipeline network, as well as its hold on the treasury and budget, to rein in the Kurds' ambitions.
Hemmed in by Baghdad and anxious to become economically self-sufficient, Erbil is turning its eyes to another potential outlet for its oil: Turkey. Masoud Barzani, the Kurdish region's president, reportedly told foreign visitors to his mountain redoubt that if Maliki remains in power beyond the 2014 parliamentary elections, the Kurds would go their own way. Not coincidentally, 2014 is when the Kurdish region expects to complete construction of its own strategic oil pipeline, one that skirts (federal government) Iraqi territory before reaching the border with Turkey. For Kurdish leaders, economic dependency on a democratic neighbour with an attractive window on the West is far preferable to a continued chokehold by a regime displaying authoritarian tendencies -- all of which raises the question of what Ankara would do if the Kurds ask it to take their oil without Baghdad's approval.

 
For the record, Nouri's making no moves on resolving the disputed territories.  Article 140 of the Iraqi Constitution calls for him too but he ignored that call in his first term as prime minister.  I would assume the Kurds are being advised to take action and, more importantly, advised that if they do not, with the issue being unresolved and no action on the Kurds part, there is a strong possibility that an outside body would award the region to the central-government based in Baghdad.  Legally that could happen.  I would assume the Kurds are familiar with this -- I know they're familiar with the repeated calls over the year for an international body to step in and resolve the issue -- and that this is what's prompting them to act.  But the ICG always sides with whom they see to hold power and they're not usually very skilled in the law.
 

Today, AFP reported that Barzani has also stated that he opposes the US sale of F-16 fighter planes to Nouri and that, "The F-16 must not reach the hand of this man.  We must either prevent him from having these weapons, or if he has them, he should not stay in his position."
The value of the F-16s on the world stage includes the fact that the US and its allies are the ones who know how they work.  Nouri's close relationship with Tehran should be seriously factored in before the sale moves forward.  If Nouri has F-16s, it's a pretty good conclusion that Tehran then has all knowledge of F-16s.  The issue of Barzani and the F-16s was the first of three issues the press raised at today's US State Dept press briefing.
 
 
QUESTION: On Iraq, KRG President Maliki criticized an arms sales which will be made by U.S. to Baghdad Government -- about the F-16 sales. And he said to freeze the sales until there will be a solution between KRG and Baghdad Government because he's suspicious that the Maliki government can use this F-16 against KRG. Do you have any comment on that?
 
 
MS. NULAND: I'm sorry. Who made these initial comments?
 
QUESTION: President Barzani.
 
MS. NULAND: Yeah.
 
QUESTION: KRG president.
 
 
MS. NULAND: I'm not going to get into the middle of intramural efforts between the various Iraqis. I think you know where we are on this, that we want to see the disagreements that they have with each other also settled through dialogue and through a big roundtable process that they've all pledged to join but that still needs to get off the ground.
 
QUESTION: Is that F-16 sales will go on?
 
MS. NULAND: I don't think there's any change in our policy.
 
 
Intramural? Well that's about how serious the State Dept takes the issue.
 
 
 
Last week, Gretchen Gavett (PBS' Frontline) discovered the issue of the VA's decision to employ an additional 1,900 workers for mental health and she cited the Undersecretary of Health Robert Petzel.  She didn't know, apparently, that the House and Senate Veterans Affairs Committees had repeatedly urged and suggested more workers and were repeatedly told that there were enough -- this took place over and over in open hearings.  Nor did she grasp, apparently, that Petzel wasn't suddenly doing something because he'd realized there was a shortage, he was doing it as a result of the actions of Senator Patty Murray who chairs the Senate Veterans Affairs Committee.  As her office noted last week in a press release:

Today, U.S. Senator Patty Murray, Chairman of the Senate Veterans' Affairs Committee, made the following statement after the VA announced that it would be moving to hire 1,600 mental health care professionals.  The announcement comes just days before the findings of a major VA Inspector General report that Senator Murray requested on long wait times for VA mental health care are expected to be announced.  VA's action is welcome news to Senator Murray who has held multiple hearings over the past year on overcoming barriers to VA mental health care.  Murray will hold a third hearing on this subject in order to hear the Inspector General's findings on Wednesday, April 25th.
Robert Petzel isn't someone worth citing -- as a number of members of the US Congress have learned.  I count 18 members who have strongly called him out in public hearings since 2009. 
He's been called out for his management or 'management' and he's been called out for his testimony.  The House Veterans Affairs Committee held a hearing May 3, 2011 about the VA infecting veterans who came in to be treated.  This was a very serious issue.  We're noting this exchange between Petzel and Ranking Member Bob Filner and we're noting it in full because it was a serious issue -- veterans going to a VA facility for care were at risk of illness or disease (including AIDS). 


Ranking Member Bob Filner: Dr. Petzel, you're here as the representative of the VA.  We've gone through this before, sir. It seems to me your job here should have been -- and we have Congress people from all the districts that have been effected -- was to begin to restore some trust and confidence in your institution. I'd hate to take a poll.  If I did, and I said, "How many people now have confidence everything is fine in your VA hospital?," I doubt if anyone would raise their hand. You said everything is fine.  It's not true.  Simply not true. You talk about all of these transparent procedures and these-these Journal -- New England Journal best practices, and yet every time something happens, we have  disaster.  We don't have a way of communicating. We don't have a way of dealing with   the personal concerns.  We don't have any knowledge that anybody's been reprimanded.  Now you've got three.  We've been going over this for years and now we've got three.  And we still -- You have never told this committee those figures before as far as I know. But,   Dr. Petzel, we've gone through this before. We've raised concerns in our opening statements.  You read your opening statement as if we never said anything.  So you    never addressed issues of accountability, you never addressed issues of   communication -- whether within your agency or with veterans or with this Committee.  I-I-I-I've gone through the time lines with almost every one of these [Congress] members here and their hospitals.  You say panels get together to decide "should we disclose, what should we disclose, who should we --?"  It looks to many of us like they get together to decide "What do we keep secret from our" -- You know, you keep shaking your head "no."  But why did it take 8 weeks at St. Louis -- where Mr. Carnahan will raise the issues -- why did it take 8 weeks for that panel to decide, we're going to tell people that we have almost 2,000 people infected -- possibly infected with HIV?  It took two months before you guys decided that.  I would have -- And the Secretary [of the VA, Eric Shinseki] wasn't notified, as far as I know, in  his words to me, in that whole period of time.  So it sounds like you're sitting there deciding, "What's the minimal amount of information that we can give out so people don't get upset with us?"  Rather than the maximum.  I would have -- that first day -- I would have had the Secretary had a press conference that said, you know, "We have a possibility of X-hundred or thousands of people, we're going to get to you right away, we want to make sure this is happening."  And put pressure on yourselves to become public.  Because there's no pressure for you to do anything. We didn't know anything.  The Secretary didn't know anything. I don't know if you knew anything.  Because these guys are going, "How do we keep this secret for as long as possible? Maybe we don't have to disclose at all?"  Because your question was: "Should we disclose?"  Not how to do it.  And then, as I said, your whole disclosure process is as if everybody knows all your acronyms and your-your initials for everything, all these SPDs and RMEs, as if the patients know what's going on.  They get a letter.  I've seen these letters. It says basically -- it's not this bald, but almost -- "You may have HIV."  They get a letter.  It may have even gone to a wrong address. For 1500 people, as I said to you earlier at a hearing, you should have had 1500 of your 250,000 employees, assigned each one to somebody, call them, call them, go visit them, find out where can they come back, when can they get their blood tests, treat them as if they may have HIV.  And they're scared to death they're going to die and you send them a letter.  And there's no one there necessarily to answer a phone call when they call back cause you don't have people working this like case managers and one person to five people.  I think you should do one-on-one.  But what you described as this open, transparent process does not come through.  And everyone of these people [points to members of Congress] has constituents  which I bet confirm what I just said.  And even if it's perception and not reality, that, that's just as bad.  That you took forever, you weren't very personal in your notification, you weren't very clear about what it is that they might have, you didn't follow up in a way that was very quick and then we don't know anything about accountability.  We know nothing from basically what you said today.  And you guys have got to develop a new system.  Whether it's talk -- You know, we just killed Osama bin Laden and they notified 8 members of Congress and the Committee and they kept that.  Well maybe you should notify all the Chair and Ranking Member of the Veterans Committees about what you're doing about your personnel.  But there is no sense that you have done anything.  And we don't know -- Nobody in Dayton, nobody in St. Louis, nobody in Miami,  nobody in New Jersey, nobody in Tennessee knows anything about that accountability.  And I doubt anybody in the system knows anything about it, so they don't think there's any accountability. So I wish you would address these issues.  We've gone over them for several years.  You and I have gone over these exact issues several times in hearings and you do the exact same thing. You give me a prepared statement.  'Everything's fine.'  You move the discussion into these arcane things about SPDs and RMEs and you neglect the basic issues of communications and accountability that are at the heart of the confidence that our people have in your system. You may comment in any way you want.


Dr. Robert Petzel: Uh, thank you, Mr. Filner. The, uhm . . . What I want to do is, uh, first talk about our, uh, notification process.  The, uh, the process by which we determine who ought to be notified or who might be at risk, as I said before, is an industry standard.  I will stand by that process under any circumstance. It takes some time but it is transparent and it is weighted heavily in the favor of --


Ranking Member Bob Filner: Nobody knew about St. Louis for 8 weeks.


Dr. Robert Petzel: I'm --


Ranking Member Bob Filner: Eight weeks.


Robert Petzel:  Sir.


Ranking Member Bob Filner:  And I'm if that's industry standard, we shouldn't be following industry standard.


Dr. Robert Petzel:  Sir, I'm not talking about the communication, I'm talking about the process that we go through. It is very thorough and it's weighted on the side of being abundantly cautious to be sure that we take into account every possible risk.  The process by which we disclose to patients involves letters, phone calls and case managers.  Particularly in the instance of St. Louis, every single individual that was effected was called, they were offered a case manager, there was a case manager that involved -- in fact, in some instances, the leadership of the medical center.  I will admit that we've learned figuratively since --


Ranking Member Bob Filner: Sir, that conflicts exactly with what you said to me at St. Louis. The Chairman was there, Mr. Carnahan was there, Mr. Lacy -- Clay [US House Rep William Lacy Clay] was there, sorry, sir. Mr. [John] Shimkus was there.  You never mentioned the word case manager, you never mentioned mentioned that they were called.  Is that right, Russ? [Carnahan nods his head in agreement.]  We-we went through this discussion with you.  The first word I said to you was case manager.  I said to you, "Why don't you have case managers?"  You said, "Yeah, we'll look at that." We're both going to review your testimony in St. Louis because it's contrary to what you just said now.



US House Rep Phil Roe  is also (medical) Doctor Roe.  This is part of what he had to say in that hearing:


US House Rep Phil Roe: One of the things that we have to sell in medicine is trust.  Our patients need to trust us. They need to trust the VA that that's where the quality of care and transparency, Mr. Filner is absolutely 100% correct.  I can assure you that when I had a problem go wrong in my shop when I practiced medicine, not the clerk that answered the phone made the call to the patient, I made the call to the patient. I called them up.  I explained to them.  I had them come in and tell them what was going on. And I can tell you, with 1500 people, that could have been in a large institution with multiple people, I would have had the highest level people contacting someone when they think they have HIV or a potential life threatening condition. 



That's Petzel.  He should be gone.

Mike Vizena (Director of Michigan Association of Community Mental Health Boards) wrote a Saturday column for the Battle Creek Enquirer Saturday which included ,  "According to veteransandfamilies.org, 18 veterans commit suicide each day, and a CBS News investigation uncovered that the suicide rate for veterans is twice that of other Americans. These numbers are far too high, and we as a community should come together and strengthen the safety net of support for our veterans in need of treatment."


And the numbers aren't really going down.  At some point, department heads are going to need to tie in accountability.  They're going to need to set goals and they're going to need to fire those -- at the top the deputies -- who cannot meet those goals because the American people are sick of this across the board.  In fact, if Barack Obama or anyone else wanted a winning talking point, that's what they could propose.  It would probably work better for a Mitt Romney, Jill Stein or Ron Paul or anyone else who hasn't been president for the last four years,  but it would work for Barack as well.