What has become of our compassion and understanding in the healthcare system

Having recently visited a local ER it has become apparent to me that the medical staff of today has lost some of its compassion and the ability to listen to the patient. When the nurse that was going to start an IV was looking at the arm, they were informed that the patient was a difficult stick, the veins were deep and full of valves. It was requested not to have the IV started in the AC (bend of the elbow). The nurse only looked at a crooked vein in the AC and that was where they started the line. Last year when a person was going to have surgery the staff in the pre-op area was informed that the patient was a difficult stick and if they could not get a peripheral line in one or two sticks to put in a central line. When the anesthesiologist resident came to do their pre-op assessment the same information was passed to them. Was the patient’s request followed? No! After approximately 20 attempts in both arms and IV was established for surgery. This was done after the patient had been sedated and when surgery was over the patient was horrified to see their extremities had been used as pincushion’s. The hands were bruised the arms were bruised and the IV that was started infiltrated. A formal complaint was made to the hospital and to the surgeon and that’s as far as I know, as far as it went.

What ever happened to the patient knows their body better than the medical staff, and their rights to have procedures done per their wishes seems to be ignored. I understand that sometimes it is more important to establish IV access to be able to administer emergency medications, but to directly ignore the patient that knows their body and knows the condition of their vessels better than the nurse trying to start the IV I think is a severe lack of professionalism and borderline malpractice. I say this not as a layperson, I say this not as someone who is angry and upset. I say this as someone who has been in the medical field for 40 years, worked in the emergency room, been a paramedic on an ambulance, been a nurse in the ICU/CCU, thoracic intensive care unit, and has been trained as a hemodialysis nurse. I understand the physiology of the vessels and how to cannulated a vessel that is considered fragile and difficult. But to see the results of what I have stated above and the total disregard for the patient’s wishes horrifies me.

United States had in the past been known for having the best medical care system worldwide. Not to be political, but since the government has decided that they know how to take care of patients better than the professionals and regulated reimbursement the quality has declined. Doctors and nurses are leaving the field because it’s just too difficult to maneuver through the regulations and try to do what’s best for the patient without being sued. It used to be thought that physicians made millions of dollars a year, I spoke with my cardiologist and discovered that his practice barely broke even for the past five years because of the changes in reimbursement from Medicare and the insurance companies.

Everyone has heard of the affordable care act. It is anything but affordable, you were lied to when you were told you could keep your Dr. and your premiums would go down! Of course when you have to pass a bill before you can read it, what do you expect? You may agree with this or not. You may be able to relate to this or not. You may think I’m crazy, but my favorite saying is you’ll get over it! Next time you go to the emergency room and they come in to do a procedure and you asked them to do a specific task in a specific way like don’t start the IV in my right arm because if I’m admitted I won’t be able to eat and they started in your right AC means you can’t bend your arm and it means you’re going to eat left-handed if you can, think about this post.

THE GIFT OF LIFE – ORGAN DONATION

There are many diseases’ that cause the need for replacing an organ. In this article I will focus on one organ, the Kidney. The Kidney is a filter and to keep it simple, it filters the blood to remove waste products, balance electrolytes and fluid. It can be damaged by other problems such as Diabetes, High Blood Pressure, High Cholesterol, Bacterial infections and viruses. It can be damaged by Trauma as well. When the organ is damaged it may continue to work until it can no longer keep up with the filtration and Fluid/Electrolyte balance. The Person begins to become symptomatic and requires supplemental filtration in the form of Dialysis. If the person is diagnosed and treated prior to requiring dialysis they remain in fairly good health by following the treatment plan. That can prolong the eventual need for supplemental treatment. There is no cure for Renal Failure. That sounds harsh but it is true. He on options a person with Chronic Kidney Disease (CKD) is either Dialysis or Organ transplantation. I am addressing the Latter in this piece.

Organ Transplantation

The process involves multiple phases and is still only a treatment.

Phase One: Identifying the need for Renal Replacement therapy. This is the first step in the treatment plan and if CKD is discovered early enough The detriment to other organs may be lessened. The need for follow-up with a specialist is discovered in the Primary Care Physician’s office during a routine lab draw, it could be a visit to another specialist, when lab is drawn or symptoms are present. The referral to a Nephrologist is made and the Diagnosis is confirmed. The severity can bel classified in 5 stages. These Stages are based upon the GFR (Glomerular Filtration Rate). Stages 1 -4 are managed medically until the GFR begins to drastically drop. At that point depending upon how fast it is dropping and what stage the person is in determines the course.

Phase 2: Management of the disease is extremely important as the more compliant the person is with the treatment plan the longer the patient may stay healthier until they can be listed and receive the Gift of life in the form of Organ Transplantation. This would include regular follow-up with the Nephrologist, adhering to the Diet and Fluid management guidelines, compliance with taking prescribed medications as directed and on a schedule, and exercise to stay as healthy as possible. As the Person continues to move from stage to stage the Health care team will evaluate the potential for the person to be a candidate for a transplant.

Phase 3: Candidacy for Transplantation is evaluated by the Healthcare Team at a transplant center. The team consists of The Transplant Coordinator, Transplant Surgeon, Dietician, Social Worker, Transplant Pharmacist, and Transplant Nurses in the center. Once referred to the Center, the person is tested and informed of all the process involved in transplantation. The testing is done for tissue match and other markers used to evaluate the patient. Once the person has cleared all the process and has been determined a candidate for receiving the gift of life in the form of an organ, they will be placed on the Transplant List as either active or on hold till qualifications are met.

Phase 4: Listing the patient is a huge step. If the medical qualifications show that the person meets the Standard at which Medicare guidelines approve the transplant is needed, the person is placed on the active list and begins to accumulate points. That sounds cold… The guidelines are based on studies and outcomes of transplantation. The most significant value is the GFR. If the GFR does not fall below 20 a person 18 years and older cannot not be active on the list and accumulate points, a child until their 18th birthday can be listed sooner.

Phase 5: The wait… Once active on the list the candidate accumulates points based upon time on the list and other values. The wait, depending upon Blood type, other markers and points can be as long as 3 to 5 years. During which the candidate must remain compliant with their treatment plan, diet, medications. They will continue to be followed when they are at the top of the list they can receive The Call.

Phase 6: “The Call” can come at any time night or day. The Candidate has to respond and be at the transplant Center within 4 hours. The coordinator doesn’t call the candidate at the top, they will also call others that are below the top in case The top one is disqualified due to a change in health. This could be having a cold at the time of the call, or running a fever due to a virus. That sounds cold and heartless but it is for the safety of the candidate. Because the first thing that is done prop is to give an extremely strong medication to wipe out the immune system. This helps to prevent rejection.

Phase 7: “The Gift of Life” – I refer to the donated organ as the gift of life. The organ can be from a familial member (no waiting list for that), A Directed Donor (Someone who offers an organ to the candidate and is a match), and the most common a cadaveric Donor (someone who has marked their Drivers License as an Organ Donor or the family over a loved one that has expressed their wishes to donate their organs). The Familial and Directed Donors do not have to wait longer than the donors’ candidacy to be approved. The Donor must meet the criteria to be able to give an organ. The cadaveric donor is an organ for someone that has died which make the time line very short. The call is made to the Transplant center that an organ is available if they have a candidate that matches. Once accepted the race is on to get the Candidate ready to receive their gift.

Phase 8: “The Transplantation Surgery” – This is the procedure that puts the donated organ into the recipient and begins the next phase of this treatment. I am not going to get into the surgery portion due to the technical nature and the fact that the Surgical teams are the best at what they do.

Phase 9: “The Recovery” – Post operative the recipient is monitored and the anti-rejection medication is adjusted for the best outcome. If the Donor was living, their recovery is monitored just as any patient that had a major surgery would be. That is because they have just had a major surgery. Once the recipient has been released the new Treatment Plan begins.

Phase 10: “Living with a transplanted Organ” Since transplantation is only a treatment, the recipient must continue to stay compliant with their medications as scheduled. Every dose at exactly the same time every day. This is one of the hardest things for a young person to do but it is the most important for all recipients. Continued follow-up with the Transplant clinic and maintaining a healthy lifestyle is how the recipient can keep their gift and honor the donor.

This is the process, dealing with the need for a transplant and the wait for an organ when it is a loved one can leave one asking why is this so complicated. One answer is that each donated organ is so precious because of the lack of tissue donors. Each organ affects 3 people, the donor the recipient and the next in line. If the recipient does not stay compliant with their treat it affects 2 other lives. The one that died giving and the one that may have died waiting. This can be a heavy burden to carry if the recipient does not understand the value. As the family member one must help them to understand the value and the need to remain compliant and healthy to protect their “Gift of Life”.

If you have ever considered becoming a living donor or wish to share your organs after you have died. Contact Organ Donation: Donate Life America or Organ Donor Registry. Share the “Gift of Life”

Dealing with Chronic Kidney Disease

Imagine being informed that your hours old baby has developed Acute Renal Failure. What that means is that for some reason the kidneys have stopped doing their job. The outcomes are not good, but with the appropriate treatment and care should be fatal…. Yet! The infant rose from a mere 8lbs 13oz at birth to 12lbs in less than 24 hours. The NICU staff worked with the Pediatric Nephrologist to helps the baby’s’ Kidneys start on their own. Within 24 hours the staff had succeed in waking up the kidney’s. What does this mean for the child? The cause of the Acute Failure had to be determined to see if this was just a fluke or if the Kidneys would eventual fail. As a parent and being in the medical field, the outlook was not clear as to what the infant would need in the future. Two very concerned parents praying for the best but mentally preparing for the worst. The questions of why did this happen? Could something have been done to prevent this? Will my child live to be a Father/Mother? Having a medical background, both parents realized that this was not because God was punishing them, but he was tasking them with a course that would make them a very strong family. Faith and Medicine go hand in hand. Regular visits to the Pediatric Nephrologists getting urine and blood each visit and watching the trends was a part of life. The shock to the father was when at the tender age of 18 months he was told the kidneys are working well enough that the child would not need a transplant very soon. This was not something that had even been brought up. Fast Forward 16 years. Child continue regular visits with the Pediatric nephrologist’s and is in what was called Stage 3 CKD (Chronic Kidney Disease), Although he was not progressing towards the worsening stages the parents had already been made aware that it could happen at any time. The Child was active in after school activities and doing fairly well with adjustments to their medications. In February 2015, The child became very symptomatic, complaining of extreme fatigue, having difficulty remembering things Nausea, The Lab work showed that level of function had dropped from 33 to 18 in just a couple of weeks. That being a significant drop might be indicating that the kidneys were about to quite being able to filter the waste products well enough and that the child may need to start Dialysis very soon. The child would also need to be worked up for a transplant. The Nephrologist realizing that the child would be turning 18 before the transplant process to get the child on the list an active would be very difficult. The decision was made to work up the patient through the pediatric transplant center as the wait time would be less.

Having delved into this scenario what would the complications be that could prevent the patient from getting listed and receive an organ sooner than later? To start with there are not enough Organ donors to get all that need transplant an organ. They must prioritize. The best organ donor would be a family member that had the best match. This is called a living related donor. The next best would be someone else non-related that was a match and was willing to donate. Having neither of those available then it would come from a cadaveric donor. That means some that has marked the box on their Driver’s License to be an organ donor and when they are fatally wounded our traumatized in an accident The Organ sharing network goes into action. All this is regulated by the Federal Government and Medicare. They set the standards and the way the list is kept. This is to prevent someone with a big pocket book getting moved up to the top over a patient that has been waiting for up to three years. The standards change once the patient reaches the age of 18. As a pediatric patient the patient would be listed when their value reached 22. At the age of 18, the value for them to be listed is 18 or below. The problem with a value that low ids will the patient be able to remain healthy enough to receive the kidney. The lower that value the more chance that the patient will need to be started on dialysis. The value I have referred to is the GFR (Glomerular Filtration Rate) and the Table for the stages of Chronic Kidney Disease were downloaded 02/19/2016 @ 01:46 from Renal Function – Wikipedia



This issue has become a question to me. Why do you wait to work up pediatric patients until they are so close to needing dialysis that they are almost too sick to survive the transplant surgery and recover? Preventative measures would be to start the process for any Renal patient that has reached stage 3, the could be put on the list and start accumulating time at a slower rate that say a stage 4 or stage 5. If there was a kidney available that had enough points to match the could be call as an alternate maybe even a 3rd or 4th alternate. Changing the rate required for pediatrics at 18 and requiring them to fall under the adult guidelines makes no sense. Of course the ideal situation would be to have enough donors that were willing to help another human being on the list that the wait time would not be so long.

I am not complaining about the system in as much as It is a personal issue as my child is the model I gave. We finished all the work up and when it was time for the final labs to qualify the GFR that had been 18 and 19 went up to 22 to 25. Good news as it means no dialysis but it also means can’t be on the active list.

If you would like more information on Chronic Renal Disease just click on the following link that will take you to the National Kidney Foundation website. National Kidney Foundation.


Entitlement programs; what are they and why are they so expensive?

Every day the media reminds us that so many people depend upon government programs to exist and that one group wants to do away with them and see “old people eat cat food, Small children die of disease, and People starve to death…” You get the point. Sadly enough, and not that I am suggesting it, the food we feed our pets has to meet a higher standard than the food we feed our families. However, what does that have to do with the question of “What is an Entitlement Program“? According to dictionary.com the Definition is, “a government program guaranteeing certain benefits to a segment of the population; the right to benefits offered by a government, esp. as compensation”. That answers the “What” part of the question, now the “Why” part.

Let us consider some of the most common entitlement programs that we hear about on a regular basis and some we did not know existed;

  1. Social Security
  2. Medicare
  3. Medicaid
  4. WIC (Women, Infants and Children)
  5. Food Stamps
  6. Family Planning Services
  7. Training and Fellowships for the Environmental Protection Agency
  8. Safety Incentive Grants for Use of Seat belts
  9. Rhinoceros and Tiger Conservation
  10. Labor-Management Relations

For a complete list and the amounts that our elected officials have budgeted for them click on this link: http://funding-programs.idilogic.aidpage.com/

I was surprised at the titles of some and aghast at the amounts at which some are funded. The question now becomes “why do people believe they are entitled to this money?” For many years throughout the development of this nation, the government stayed out of the charity business leaving it up to the organizations that were best suited for handling it. There were good times and bad, sometimes the poor increased faster than the donations, but the fraudulent use of the charitable funds was minimal. The great depression began to change all that. The government felt it could better care for the people and started programs that would appear on the surface to do just that. Promise made by politicians that everyone DESERVED a better life and that the government could help provide that. The welfare system was born and flourished. Some found that it was easier to have babies to collect more money while others figured out how to scam the system. Soon there were third and fourth generation welfare recipients. It was easier to not work and draw that welfare check, get food stamps and yes even commodity food from the government. One problem was that the commodity foods were not that healthy. Obesity is now rampant in society from the lack of exercise and the poor dietary decisions we have made all of our life. Before you stop reading this, Understand that, I do not hold anyone that truly needs help a hand up. I do not believe in something for nothing. Social security was a program that was started to help the agricultural folks with a retirement supplement. It was never meant to be the sole source of retirement. In addition, a funded source as everyone works pays into this fund. In fact many of the people have paid in five times over what they would ever receive. Medicaid was designed to help the Senior Citizens with the rising cost of medical care, and again is a funded program. Unfortunately, the government has used those two accounts to fund other things and continue to write “IOU‘s” to those programs. The high cost of these two programs has been because the programs were not meant to support people who did not ever pay into them and draw from them because they cannot work. Social Security Disability, SSI and others sometimes go to people who have never paid a penny into the system. Our generous politicians continue to turn a blind eye at the problem and continue to include more and more people into programs that are already broken. They have forgotten what their responsibility is and to whom they are to be looking out for. They continue to buy votes with promises that cannot be kept. Eventually the majority of people will wake up from their apathetic slumber and when the call for real change is sounded those that are truly tuned into the will of the people will stay and those that have been sucking from the special interest groups will be standing on the outside looking in. I only hope that we have a country left when that happens.

 

Looking over the Fiscal Cliff

Is the Economy recovering? Does anyone in Washington really care about the rest of the country? Pushing past all the political rhetoric, do any of the elected officials have the guts to do what is right? Any answer I give would be on man’s opinion. However, would that one opinion resonate with more than one man or women? I quit watching the national news on three of the major networks, not because I did not like what they said it was the fact that they did not report the entire truth. They overlooked mistakes by the administration that they took the previous administration to task. I could care less about a birth certificate when the Commander-in-chief demonstrates a lack of knowledge and makes announcements of timetables to withdraw from areas of conflict. The first two years he had control of everything as his party had majorities in the House and Senate. What did they accomplish? That is was politics as usual for the left and what was supposed to be the most Transparent Administration in history, was playing the same elitist power games as they always have done. The economy had tanked in 2008, The TARP bailout did not do what it was supposed to do, The Wall street bailout did not bring about the proper reforms, two of the big three Motor companies sought bailout money to keep from going Bankrupt. Then Speaker of the House Nancy Pelosi informed the country that congress would have to pass the Health Care bill before we could read what was in it. In addition, unbeknownst to the general population the ATF and the FBI were running a program (Fast and Furious) that knowingly put automatic weapons in the hands of the Mexican Drug cartels. We were being told that our borders were more secure now than they had ever been. Every December we would come toward the end of the year and the Senate had not passed a Budget. Therefore, they would tell the House that we would need to keep the Government open or our brave troops would be without a paycheck and others depending upon government subsidies would go without. They would Raise the Debt ceiling and pass what is called a Continuing Resolution. Congress, those people who were elected to represent us, Continue to pass all kinds of legislation that sounds like worthy bills until you read them and discover that the original title has little to do with all the amendments and riders that had been attached to them. Two years passed and the economy did not turn around. The Mid-term elections brought about some new blood to Washington in the form of a conservative grass-roots group called the Tea Party. The ideals that they stood for was to end this uncontrolled spending and restore the nations fiscal sanity. The Left, for every evil thing that has come down the pike, has blamed the Tea Party. Two years had passed and the country was headed for fiscal disaster. The Fed decided to continue to print money so that there would be enough to cover the debt… After three years, the Fed has printed so much that the value of the Dollar has fallen as well as the United States Credit Rating. The 2012 election cycle brought out the true colors of the Democrats seeking re-election. The Republicans began to gain support when the message was final getting out to the public. No thanks to the Mainstream media, the message about the dangers of continuing down the current path and the looming of approaching the Fiscal Cliff was becoming quite disturbing. Harry Reid‘s leadership has a Senate that has not done its job and passed a formal Budget in over 1000 days. Their answer to the upcoming fiscal challenge is of no surprise, Raise Taxes. At first, it was just let all of the Bush Era Tax cuts expire. That drew some very angry response from Their base as well as the rest of the country. Therefore, they said they would only Tax the “Rich”, anyone making over $250,000 dollars per year. That put the bull’s eye on the majority of the small business owners, and was just as problematic. No compromise has been completed, they are on break. January 1 is getting closer and here is what you can expect when you wake up New Years day. The triple whammy, your income tax will return to the previous levels of the Clinton era with the TOP Business rate going back to 39%, OBAMA-CARE begins, and that is going to increase the cost of Health Insurance and penalize the small business owner financially requiring them to provide healthcare for their workers. This will begin to cause many that have been struggling to keep the doors open to go ahead and close them. That in turn will cause the unemployment rate to start climbing and the system cannot even afford to continue to pay those currently unemployed for much longer much less sustain and increase in those seeking benefits. That will cause the Unemployment Tax to be increased, and yes, more small businesses will again have to shut down due to the increased Tax burden. The Senate has still not passed a budget, but will be looking to raise the debt ceiling. Since a budget has yet to be passed, this will cause the automatic cuts to start taking place. The biggest will come from the Department of Defense. With our Armed forces, still fighting in Afghanistan and even with the withdrawal this will seriously jeopardize their safety and their mission. The next area is the Department of Human services; you know the agency that controls Medicare, Medicaid, and Social Security… In 1981, Ronald Reagan made a speech about the economy and the government’s role. He said “I this desperate time, the government is not the solution to the problem. The Government is the Problem!” Raising Taxes is not the answer to the Fiscal problem cutting spending and balancing the budget is the only sane answer. Oh, but we do not have a budget because Harry Reid will not bring any proposals to the floor for a vote. I have some advice for those in both the Senate and the House. The trust that voters put in you to do the job is waning, you could be recalled, and you can be replaced. I know that this idea has passed around the internet several times but I think it would be very interesting to see how quickly some problems would get solved were this to happen. A strong block of Representatives and Senators get together and submit legislation to remove all the waivers given to everyone on Obama-Care especially to the Pro Tem of the Senate and staff and the Speaker of the House and their Staff. Of course some amendments would also be added (as they always are) to eliminate the retirement system for the Congress and place everyone on Social Security. Eliminate the Healthcare program for the congress and make them buy their own and pay for it out of their own pocket. Eliminate the 100% vesting in their retirement for serving one term. Here is another good one, No Senator can serve more than 3 terms (12 years), and the same goes for The House of Representatives (a total of 12 Years). The Executive Branch already has a two-term limit, but the postage right and Secret Service Detail should end after they leave office, security would be provided by The TSA. The First family should have to Pay for their airline flights whether the fly commercial or on Air Force 1. Vacations should be for immediate staff only no 50-person entourage. The First Lady should not be able to take Vacations that cost the Taxpayer. It should come out of the Presidents pocket. This President spends more time playing Golf than working; it should come out of his pocket!

The Fiscal Cliff should have been dealt with during the past four years. It is unfortunate that common sense in government is an oxymoron and is not at all common. The Fed did do one thing partially correct. To cover a portion of the cost of the money that was printed, they began selling Treasury Bonds with a decent rate of return. The only problem is that the largest purchaser of these bonds was the Federal Reserve… Print Money to buy bonds that back the money that was printed. It does not take a Harvard Business School Graduate to figure out that this is just bad. Try that same philosophy in your own business and you would end up in jail for Fraud. In the 1980’s that practice was called the buying and selling of Junk Bonds and lead to big financial disaster for many investors. I would think that as a country we would avoid things that would devalue our currency and cost us our freedom. One of the major investors in American T-bills is the Chinese Government. Soon the interest payment alone on the debt is going to be greater than the GDP and that will be the signal for the investors to pull out leaving Us with nothing and becoming just like Greece. Bankrupt and looking for someone to bail us out! Unfortunately, if we go, the global economy will follow suit and the depression that follows will be worse than that of the 1930’s.

If you have made it through all of this, are still thinking I am not some pessimistic believer in Gloom, and Doom, shouting, “The End is near!” Congratulations, Welcome to the latest reality check. It is easy to write something like this if all you are doing is complaining, but that is not my purpose. Citing a problem is one thing, offering a viable solution is altogether different. Here is a solution that while can be a stretch in some area’s can be fiscally prudent. Politically it is probably not viable due to the content. Too many Politicians have gotten rich and powerful and this would end that.

  1. Reestablish the Gold Standard for backing or currency. Problematic because, we currently do not own enough Gold to do it at the current time.
  2. Enact legislation that would prohibit the printing of money without the means on hand to back it. Then enforce it!
  3. Review all Foreign Aid programs. Stop all aid to countries that is in the form of currency! All humanitarian aid in the form of Food, Medical supplies, and equipment except Military equipment shall be distributed by a reputable organization such as The Red Cross.
  4. Stop the sale of weapons to countries that are dictatorships or do not support our views of the rights of all men and women.
  5. Stop the sale of anything to any country that supports Terrorism or the destruction of Israel.
  6. Stop Importing Oil from nations that are violating current sanctions on Iran or are selling weapons and nuclear technology to non nuclear-countries
  7. Demand that the European countries that have not done so, repay their World War II debt with interest.
  8. Inform the UN that we will no longer pay more than any other country to support its operations and that if they do not like it, Move to France or Germany. Let Europe and the rest of the world know that we will no longer provide Military support free. The UN countries will need to Pony-up their fair share of soldiers and Military equipment for all of their Peace keeping missions or pay the cost of renting ours.
  9. The CBO (Congressional Budget Office) and the GAO (Government Accounting Office) will review the cost to the American Taxpayer of the retirement system and the Healthcare system of the three branches of Government. Recommendations to convert both over to direct contribution system like any other retirement system. The three branches would also begin paying for FICA and Medicare. No Breaks for Elected officials or their staff. The Perks for a retiring president to maintain a fully staffed office with Secret Service will be reviewed and revised.
  10. The Tax Code will be thrown OUT!!! The IRS will be disbanded. In Place Of Personal Federal Income Tax, we will convert to either a Nation Sales tax or a flat tax. One that everybody pays.
  11. Entitlement Programs shall be eliminated. The following Programs are not entitlements (Social Security & Medicare) The Welfare programs WIC Programs, Food Stamp Programs, Earned Income Credit Programs, Farm subsidy programs, Unemployment benefits for people that quit looking, Business Taxes, Gone. Redundant programs in multiple agencies shall be eliminated.
  12. The National affordable Healthcare act shall be repealed.
  13. Tort Reform shall be completed. Nuisance suits shall be disallowed. Caps on Punitive damage and Pain and Suffering shall be set. Activist Judges shall be removed from the bench.
  14. Immigration Laws shall be enforced and illegal immigrants will be deported. Illegal immigrants will not be eligible for Social Security, Medicare, or Medicaid. Drug Runners shall be dealt with swiftly. Repeat offenders (Drug Dealers) will be jailed as terrorists and sent to GITMO.
  15. The Senate will submit and Pass a budget by June 1st of each year and it must be balanced or it will stay in session until it is completed. No more spending more than is taken in. Each budget shall include a substantial repayment portion of the national debt. Congress must stay in session until their work is completed.

I am sure that this will rankle the feathers of more than a few on the Hill and across the country. Those that think this is crazy ask yourself this one question, Why do elected officials want to stay in office for 20 plus years? What repercussions do elected officials face for pork barrel spending and fleecing the American people? During founding of this nation the continental congress was meeting daily trying to agree on the framework of this country, A women asked Ben Franklin What kind of government did we now have? His reply was priceless, “republic if you can keep it.”

The founders knew what could happen if time was not taken to make it clear that, this was a government Of the People, For the People, and by the people. I would not take much to see the Government step in and start controlling every aspect of life, just as it has tried to do now.

Think about this and comment as you wish.