Feeling The Heat

The only global warming going on is Liberals feeling the heat and squirming over it. And we need to turn it up!

The Ontario case of Baby Joseph (see “Future of ObamaCare” last Friday) has gotten very PR Political with the hospital trying to repair it’s image while NOT doing what the parents want. They propose a “compromise” and appear to be backing down but aren’t actually.

Much like ObamaCare, more on that in a moment.

The Ontario hospital at the centre of controversy surrounding baby Joseph Maraachli said Monday it has offered to let his parents take the terminally ill infant home to die.

But wait for it….

A day after London Health Sciences Centre announced it was launching a campaign to correct “false and misleading information” about the headline-grabbing case, the hospital issued a news release saying it has always been willing to transfer 13-month-old Joseph home and take him off life support there, while in the arms of his parents.

PR Blitz!!!

The hospital said it would pay for the medical transfer to the Maraachli home in Windsor, Ont., and Joseph would be accompanied by “LHSC physicians and staff.”

But Joseph’s dad, Moe Maraachli, said he and his wife have refused that offer and the family’s lawyer, Mark Handelman, said he was “surprised” to see the hospital’s public statement “given my understanding that the content of our discussions was to have been confidential.”

A spokeswoman for LHSC said the hospital just wanted to “clarify” its position.

AKA PR Spin. look like we “care” but not really…

Joseph’s parents are locked in a protracted battle with LHSC and the doctors who’ve cared for the baby there since last fall. The specialists believe it is in Joseph’s best interest to remove his breathing tube, since he suffers from a severe and fatal neurological disorder and cannot breathe on his own.

Joseph’s parents, however, want the doctors to perform a tracheotomy — cut open a direct airway in the baby’s throat — so they can have more time with him at home before he dies.

“I always said I want my son to die peacefully,” Maraachli said Monday. “I do not want him to die choking when the (breathing tube) is removed.”

The hospital stood firmly Monday by its decision not to perform a tracheotomy, saying it’s an invasive procedure and not part of palliative care.

LHSC said it contacted police and is considering legal action over “innuendo,” “untruths” and threats directed at the hospital, many of them from the United States. (canada.com)

So they are feeling the heat and are trying to weasel around get what they want but not look as heartless as they appear.

So we have ObamaCare.

Speaking to the National Governors Association at the White House today, President Barack Obama endorsed legislation by Mary Landreiu (D-LA) and Scott Brown (R-MA) that would allow states to request waivers from some Obamacare mandates in 2014 instead of the existing 2017 date. President Obama claimed: “It will give you flexibility more quickly while still guaranteeing the American people reform.”

The snake in The Garden of Liberal Eden hisses…. Trust in me! Trust in Me! 🙂

Has President Obama even read the legislation? Because that is just plan false. Heritage Foundation Center for Policy Innovation Director Stuart Butler explained in the New England Journal of Medicine:

One [problem] is that it still locks the states into guaranteeing a generous and costly level of benefits. True, a state could propose alternative benefit requirements if they had the same actuarial value as those in the ACA. But the requirements go well beyond basic coverage, and the HHS secretary is the one who defines “at least as comprehensive” benefits.

Another major problem with the bill is that since ultimate waiver authority rests with the HHS secretary, the waivers granted would probably reflect the administration’s preferences. Senator Wyden claims that his legislation would allow conservative states to opt out of much of the ACA and implement consumer-driven coverage. But he admits that the secretary, not the state, has the final word over what is permitted.

As long as the HHS Secretary, whether it is Kathleen Sebelius or the next occupant of the office, has the final say on granting Obamacare waivers, then there is no real flexibility for states under Obamacare. All 50 of them would still be at the mercy of the whim of the HHS. The only real way to give states true flexibility on health care reform begins with the full repeal of Obamacare.

[A] White House conference call with liberal allies this morning says the Administration is presenting it to Democrats as an opportunity to offer more expansive health care plans than the one Congress passed.

Health care advisers Nancy-Ann DeParle and Stephanie Cutter stressed on the off-record call that the rule change would allow states to implement single-payer health care plans — as Vermont seeks to — and true government-run plans, like Connecticut’s Sustinet.

The source on the call summarizes the officials’ point — which is not one the Administration has sought to make publically — as casting the new “flexibility” language as an opportunity to try more progressive, not less expansive, approaches on the state level.

“They are trying to split the baby here: on one hand tell supporters this is good for their pet issues, versus a message for the general public that the POTUS is responding to what he is hearing and that he is being sensible,” the source emails. (Foundry)

Splitting the baby to appear to give in, but not really. Fascinating.

As Gas price go past $4 what is Obama and Energy Secretary Chu doing about it?

Nothing.

Political Cartoons by Glenn Foden

A virtual regulatory ban continues today. At least 103 drilling permits await approval by a federal government that has not approved a single new permit since the moratorium was allegedly lifted last October.

The administration has announced that the eastern Gulf and the Atlantic and Pacific coasts will be off-limits for the next seven years. The Interior Department has canceled four pending lease sales in Alaska.

Interior Secretary Ken Salazar said the oil industry hasn’t yet persuaded him to re-start deep-water drilling in the Gulf of Mexico, and that he won’t “respond to political pressure” on the issue.

Energy Secretary Steven Chu has said that “any disruption in the Middle East means a partial disruption in the oil we import. It’s a world market, and (a disruption can) have real harm on the price.” And so, we would think, would the orchestrated and carefully planned disruption of domestic supply by this administration.

It’s not just Mideast turmoil that has brought us to this point. It’s also a deliberate program of restricting domestic energy to make so-called green energy more attractive and necessary, keeping an Obama campaign promise that energy prices would “necessarily skyrocket” on his energy agenda.

In September 2008, he told the Wall Street Journal: “Somehow we have to figure out how to boost the price of gasoline to the levels in Europe.” Gas prices in Europe then averaged about $8 a gallon.

The administration’s hostility to fossil fuels is documented. Immediately on taking office, Interior Secretary Ken Salazar canceled 77 leases for oil and gas drilling in Utah. Recently, in a stunning land grab, Salazar issued an order allowing Bureau of Land Management officials to place land with “wilderness characteristics” off-limits to energy development. Some 6 million acres in energy-rich Utah would be affected.

But Salazar now, not Chu, has issued 1 permit.

On Feb 2, The Obama Administration lost in court AGAIN, over there de facto moratorium on drilling.

Salazar was losing his battle in the court system at every turn. On Feb. 2, Judge Martin Feldman of the U.S. District Court for the Eastern District of Louisiana, rebuked the administration for “determined disregard” of his previous June 2010 order to lift the moratorium.

In a separate ruling two weeks later, Feldman gave President Obama and Secretary Salazar 30 days to act on five pending permit applications. “[T]he government is under a duty to act by either granting or denying a permit application within a reasonable time,” said Feldman. “Not acting at all is not a lawful option.”

So they appeared to give in just a little. They do it kicking and screaming and whining like the children they are. But they are being forced to eat their vegetables.

Very Slowly.

Democrats once accused Big Oil of deliberately restricting supply to enrich itself. Now the Obama administration may be doing the same on purpose — a policy sure to impoverish us all. (IBD and DC)

But here’s the secret:

The U. S. Geological Service issued a report in April 2008 that only scientists and oil men knew was coming, but man was it big. It was a revised report (hadn’t been updated since 1995) on how much oil was in this area of the western 2/3 of North Dakota, western South Dakota, and extreme eastern Montana ….. check THIS out:

“The Bakken is the largest domestic oil discovery since Alaska ‘s Prudhoe Bay, and has the potential to eliminate all American dependence on foreign oil. The Energy Information Administration (EIA) estimates it at 503 billion barrels. Even if just 10% of the oil is recoverable… at $107 a barrel, we’re looking at a resource base worth more than $5..3 trillion.

“This sizable find is now the highest-producing onshore oil field found in the past 56 years,” reports The Pittsburgh Post Gazette. It’s aformation known as the Williston Basin , but is more commonly referred to as the ‘Bakken.’ It stretches from Northern Montana, through North Dakota and into Canada .. For years, U. S. oil exploration has been considered a dead end. Even the ‘Big Oil’ companies gave up searching for major oil wells decades ago. However, a recent technological breakthrough has opened up the Bakken’s massive reserves…. and we now have access of up to 500 billion barrels. And because this is light, sweet oil, those billions of barrels will cost Americans just $16 PER BARREL!

But the “green” only Liberals in Washington don’t want you to know and don’t wanna do anything about it. It’s not on their agenda.

It’s all Wind farms, solar power and electric cars. Kumbuya!

simple hit counter
Bakken Shale Map
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“Hidden 1,000 feet beneath the surface of the Rocky Mountains lies thelargest untapped oil reserve in the world. It is more than 2 TRILLION barrels.(las cruces connection)

Also see: http://www.usgs.gov/newsroom/article.asp?ID=1911

The Bakken Formation estimate is larger than all other current USGS oil assessments of the lower 48 states and is the largest “continuous” oil accumulation ever assessed by the USGS. A “continuous” oil accumulation means that the oil resource is dispersed throughout a geologic formation rather than existing as discrete, localized occurrences. The next largest “continuous” oil accumulation in the U.S. is in the Austin Chalk of Texas and Louisiana, with an undiscovered estimate of 1.0 billions of barrels of technically recoverable oil. (USGS)

“HOW can this BE? HOW can we NOT BE extracting this? Because the environmentalists and others have blocked all efforts to help America become independent of foreign oil! Again, we are letting a small group of people dictate our lives and our economy…..WHY?

Enviromentalists, leftists, and the current “green” administration!!

Because Oil and Oil companies are Evil!!  They are the work of the Devil Incarnate. The only way to cut our dependence on foreign oil is by “green” energy that is vastly more expensive, inefficient and not technologically ready for the mass market.

But it makes the Liberals feel good! All warm and fuzzy. So that’s all they can see.

So let’s let Ideology blind us because the Agenda is the Agenda.

But they are feeling some heat.

So we just have to turn it up! Way up!

The Fires of Perdition itself must be lit under the feet of Liberals or else they will consume the rest of us with them.

Period.

Political Cartoons by Brian Farrington

Political Cartoons by Eric Allie

Political Cartoons by Henry Payne

Political Cartoons by Henry Payne

The Future of ObamaCare?

The Nationalized Health Care of Canada has stuck again.

This is ongoing and started earlier this week but Wisconsin took up the time.

If this doesn’t outrage you, you must be dead, or a Liberal.

But it’s coming to an ObamaCare near you…

London, Ontario Free Press: Jane Sims The London Free Press Moe Maraachli keeps the snapshots of his dying baby boy in an envelope in his jacket pocket.

He pulls out the photos of the son he’s about to lose, trying to  understand how a hospital, an Ontario health-related board assigned to  judge consent issues, and a London court could say he and his wife can’t  take Baby Joseph home to Windsor to die.

“I do my best for my baby. I do my best,” he said Thursday outside the London courthouse, tears in his eyes.

“This is killing, this is criminal . . . I’m sure this is murder.”

This Monday, on Family Day in Ontario, Joseph Maraachli, who’s in a  vegetative state from a neurodegenerative disease, will die after his  breathing tube is removed from his tiny body at a London hospital,  ending an ethical and legal dilemma that tried to balance unwanted  suffering with the needs of a child and his family.

“I lose my baby,” his father, 37, who came to Canada from Lebanon 11 years ago, said. “They take him from me.”

“I don’t lose my baby like God take him. They take him. They want to take him.”

“It was basically our family’s word versus the medical system’s  world,” said his aunt, Samar Nader, who’s sure she saw Joseph respond to  her this week when she touched his head.

“I think in medicine, they’re just looking at the world from a black and white point of view.”

“The family understands the child and for us to witness his death on Monday . . . I don’t know,” she said.

An emotional Superior Court Justice Helen Rady, who called it  “heartbreaking” and “such a sad and difficult case”, decided Thursday  not to allow the family’s appeal of a decision last month by Ontario’s  Consent and Capacity Board to have the child’s breathing tube removed  and put in place a do-not-resuscitate order and palliative care.

The baby’s father and mother, Sana Nader, 35, wanted the same  treatment for Joseph as was given to their daughter before she died,  eight years ago at 18 months – give Joseph a tracheotomy and  ventilation, and allow them to take him home to die what they would be a  peaceful death.

But Joseph’s doctors say while a tracheotomy – an incision is made in  a patient’s airway, to help breathing – may prolong the baby’s life,  it’s futile in this case and would likely cause much discomfort. It  would certainly also increase the risk of infection and pneumonia, they  argue.

“The medical officials would not want this little boy to suffer,” Rady said.

When born in January 2010, Joseph, now 13 months, was a beautiful, normal baby.

But five months later he started having seizures like his sister. By June, he couldn’t swallow.

In October, he stopped breathing while travelling with his parents.  He was taken to an Ingersoll hospital, then rushed to the London Health  Sciences Centre’s pediatric critical care unit where he’s been ever  since.

His father has stayed in London to be with his son.

His mother is in London every weekend and returns to Windsor to look after the couple’s other son, Ali.

Joseph’s on a ventilator and fed through a tube. He’s in what the  doctors call “a persistent vegetative state.” The doctors say he’s blind  and deaf.

He’s missing all five brain stem reflexes considered necessary for  life – gag, cough, eye movement, pupil and cornea responses. His brain  deterioration is irreversible.

A team of doctors, including a world-renowned pediatric expert from  Toronto’s Hospital for Sick Children, has examined Joseph and agrees  he’s dying of the same progressive neurodegenerative disease that  claimed his sister.

Joseph’s doctor told the adjudication board that doctors  “reluctantly” gave the couple’s daughter a tracheotomy. Since then,  doctors have learned “substantially” more about the procedure and  determined it isn’t right for Joseph.

The board agreed with Joseph’s attending doctor that the baby has “no hope or chance of ever recovering.”

“While we feel a great deal of empathy for the parents, we held that  their view was not in any way realistic,” the board said, adding  Joseph’s parents “were blinded by their obvious love” for their child.

The State Board knows better!!!  Sound ObamaCare-ish? Yes!

Obamacare establishes the Independent Payment Advisory Board, whose stated responsibility is to develop proposals to reduce the growth of Medicare spending.
His parents fear Joseph will choke to death once the tube is removed.  They say he responds to their touch and wanted the board to see him in  hospital before deciding.

Rady said it’s unclear what the board would have seen had its members  agreed. And she noted that while Joseph’s head and body have grown, it  doesn’t mean the medical assessments are wrong.

The case digs deeply into the delicate balance of life versus. suffering.

Ethicist Margaret Somerville, of McGill University’s Centre for  Medicine, Ethics and Law, said the case is “a judgment where the parents  are giving priority to the prolongation of life and the doctor is  giving priority to the quality of that life.”

“I’m sure there’s no doubt in this case that this child has a very  poor quality of life, but we do know that health care professionals  judge quality of life much lower than people themselves do.”

Somerville said such quality-of-life decisions are delicate and often  at odds. What needs to be examined is why the family doesn’t agree with  the decision and if their reasons are acceptable, she said.

The board had ordered Joseph’s breathing tube be removed Friday, but Rady said that wasn’t sensitive to the family’s need.

Instead, she ordered they comply by Monday – a statutory holiday in  Ontario, to celebrate family – “to afford the whole family adequate time  to say their good-byes.”

Rady’s voice broke when she addressed the family. “I hope that in time you’ll find peace,” she said.

Joseph’s father wasn’t satisfied. “It’s not help,” he said later.

His lawyer, Geoff Snow, said he understands Rady’s decision but  added, “the loss of a child in any circumstances is tragic and it’s  unfortunate that there’s not more than could have been done.”

Lawyer Julie Zamprogna Balles, who acted for the doctor, said Rady’s decision was “well-reasoned and compassionate.”

While the case had “very sad and unfortunate circumstances,” everyone  involved, she said, have “focused on Little Joseph’s best interests.”

But a grieving Moe Maraachli said there’s “no humanity” in Canada. He expressed a desire to die himself.

“I stay with him until the last moments and hopefully I go with him,” he said.

THE ETHICAL ISSUE

Whether to provide medical intervention to prolong the life of a dying child who’s in a persistent vegetative state.

THE LEGAL ISSUE

Whether to allow an appeal of a decision by an Ontario health-based  board that adjudicates consent issues, to take the child off life  support.

****

LONDON, Ont. – A father who has been battling to stop a London, Ont.,  hospital from removing his terminally ill son from a ventilator stood  his ground Monday and defied a court order requiring him to give  consent.

Moe Maraachli says he and his wife Sana Nader are happy  the breathing tube keeping their 13-month old son Joseph alive has not  yet been removed.

But their fight to get the boy a tracheotomy so they can take him home to die isn’t over.

“I’m  very excited because my son doesn’t remove his tube today,” said  Maraachli, who has been sleeping at the hospital since Friday.

“All my family is happy. We are happy. We feel it’s really Family Day today.”

The Windsor, Ont., couple has been fighting for months against doctors at Victoria Hospital in London  who say their son should be removed from life support because he will  not recover from the rare neurological condition that has left him in a  vegetative state.

The family fears Joseph will suffer a painful  death if the ventilator is removed, and prefers that a tracheotomy be  performed so they can take him home to live his remaining days  surrounded by people who love him.

The couple’s 18-month-old  daughter died almost nine years ago from a similar medical condition.  She had a tracheotomy and lived at home for six months before she died,  said Maraachli.

But, last Thursday, Ontario Superior Court Justice Helen Rady ordered the couple to agree to take Joseph off the ventilator by 10 a.m. Monday.

The judge was upholding a decision already made by Ontario’s Consent and Capacity Board.

Because  the London hospital could not get consent to remove the breathing tube  from Joseph’s parents or other family members, it has the right to seek  consent from the Office of the Public Guardian and Trustee, said Mark  Handelman, Maraachli’s lawyer.

But Maraachli is hoping his son Joseph will be transferred to Michigan’s Children’s Hospital in Detroit.

Joseph  has been treated there before under the Ontario Provincial Health  Insurance Plan and the family feels they would have another chance at  persuading doctors to perform a tracheotomy if he returns there.

The couple’s friends recently contacted the U.S. hospital about a transfer and the London Health Sciences Centre, which Victoria Hospital falls under, was asked to send Joseph’s medical records there on Sunday.

The London hospital sent Joseph’s medical chart by courier to Detroit on Monday, said spokeswoman Laurie Gould.

“At this point in time we have not received any request for transfer,” said Gould.

If a transfer request is made, Gould said her hospital would contact the public guardian and “wait for their direction.”

The London hospital would not need permission from the public guardian to transfer Joseph to Michigan, said Handelman.

Alex Schadenberg, executive director of the Euthanasia Prevention Coalition, called the baby Joseph case sad and tragic.

Schadenberg questioned why doctors, not parents, should have the final say over their baby’s care.

“Is it right that the doctor has now so much power?” asked Schadenberg.

“I think the balance of power has shifted in Ontario too far, and I’m getting very concerned about who has the right to decide.”

Gould said the case is certainly “emotionally charged.”

The  hospital has received calls and emails from the public, some offering  prayers for the baby, who’s been at the hospital since October, she  said.

As cars honked their horns, a couple of dozen people holding  signs and photos of the baby held a vigil outside the hospital Monday  morning, an hour before the baby was to be removed from the ventilator.

Maraachli’s  sister-in-law Samar Nader said the family is “relieved and thankful”  for all the support they’ve received from the public.

“It’s true  that miracles do happen and I would never have expected for my nephew to  live past 10 o’clock without the people’s help,” she said.

****

(CNN) — A Canadian family fighting to keep their 13-month-old son on a breathing tube says they have been denied a request to have him transferred to a hospital in Michigan.

Moe and Sana Maraachli refused to sign consent when Canadian health officials determined their son Joseph, who suffers from a progressive degenerative neurological disease and was in a persistent vegetative state, should be removed from life support. Joseph is being treated at the London Health Sciences Centre in Ontario.

The Maraachlis reached out to the Children’s Hospital of Michigan in Detroit in hopes of having their son transferred there for continued care.

Family spokesperson Sam Sansalone said the hospital initially agreed to accept the transfer. He said he has since received an email indicating the request has been denied.

Sansalone forwarded an email from the Detroit hospital that he said explains that after a review of Joseph’s records by neurological and intensive care physicians, “we cannot offer Joseph anything that he has not been provided already during his current admission by his current clinical care team … transfer to our facility will not provide him or the family any benefit.”

Vickie Winn, a spokesperson from the Children’s Hospital, confirmed Joseph is not a patient at the hospital but could not offer further comment, citing patient privacy laws.

Sansalone said the family is pursuing at least three other hospitals in other states.

The family says the hospital has it wrong and that their son is not in a persistent vegetative state. Sansalone said they have noted experiences where the baby has responded to being tickled and has jolted when he felt discomfort with examinations or the feeding tubes. They say these are signs he might still have brain function.

However, Canadian health officials disagree. On February 17, they decided Joseph should be removed from life support. The family was given until February 21 to say their goodbyes and sign the consent, but they have yet to do so.

The Maraachlis are seeking a second opinion from what they consider to be an objective source that can review the more than 1,000 pages of Joseph’s medical records and provide a better assessment of their son’s treatment options.

If he is beyond hope, they want him to be able to receive a tracheotomy, where he can be transferred home and die in the care of family instead of in a hospital.

Experts say even if the family is granted this request, caring for a child in this condition is an arduous task.

Dr. David Casarett, director of research and evaluation at the University of Pennsylvania’s Wissahickon Hospice, says patients at home with tracheotomies need monitoring to make sure the airway is clear of secretions, the skin is clean and dry and someone can make sure the incision at the tracheotomy site does not get infected.

“A child’s care would be much more complex if a home ventilator is required, since the parents would need to manage the ventilator with the help of a nurse and respiratory therapist,” he said.

Suzanne Vitadamo, spokesperson for the Terri Schiavo Life & Hope Network and Terri’s sister, issued the following statement:

“It is unacceptable for Canadian Health Allocation Officials and/or the Canadian Government to make decisions for Joseph that will end his life and deny the wishes of his loving parents.

“Every patient, regardless of age, has a right to proper and dignified health care. It is frightening to once again see government usurp the God-given rights of parents to love and care for their child at home, especially when the child is dying.”

We are from the Government and we are here to help you, control you, and make decisions for you.

Rejoice!

Political Cartoons by Chuck Asay

Political Cartoons by Gary McCoy