Let WSU open a medical school in Spokane

Originally published February 26, 2015 at 6:21 PM | Page modified February 26, 2015 at 6:22 PM

AS a practicing physician and part of the management team at a large health-care organization in Seattle, Im constantly reminded of the many benefits that our region enjoys by having such a robust and forward-looking health-care infrastructure.

From Medic One to the development of new, cutting-edge drug therapies and medical devices, and pushing the envelope on delivering the best health outcomes for the lowest cost, we are innovators. All of this contributes to better care for patients.

But when it comes to one aspect of our medical infrastructure, namely that we have only one public medical school, our state lags in performance. This isnt just an inconvenience for qualified students who must leave our state to pursue their medical educations elsewhere, its a problem that affects the quality of life, economy and health of everyone who calls our great state home.

While we enjoy a high density of doctors in Seattle, not far outside the city limits the situation is much different. Travel to one of our states rural communities and the physician shortage is acute. Physician retirement, population growth and increased access to health care for previously uninsured people are making this problem worse.

There are currently two proposals on the table to grow medical education in our state. One would expand the University of Washingtons existing program. The other would establish a new medical school on Washington State Universitys Spokane campus.

These are the questions our state legislators are grappling with today, and I applaud them for their thoughtfulness. Disappointingly, however, some are characterizing this as an either-or decision. The truth is that we need both programs. Any solution that does not include establishing a new medical school will fail to meet the test of the challenges our state confronts.

The University of Washington School of Medicine is an outstanding medical school, and I am a proud graduate of that program. But in a state of more than 7 million people, UW admits only 120 students from Washington each year. This is the lowest per capita number of medical-school seats for any state with a medical school. Each year, more than 200 highly qualified Washington students get accepted to medical schools out of state, and many never return. These students deserve greater choice, and the best long-term option is to create a second medical school.

Even if we increase the number of students taught by the UW as it is proposing our state will continue to fall behind in meeting the needs of our underserved communities.

Because of the investments that have already been made by WSU in faculty and facilities, the cost of establishing a new medical school is much lower than it would be if we were starting from scratch. And the universitys proposed approach to medical education is a community-based model that would further keep costs low by utilizing existing clinical infrastructure across the state.

See the article here:

Let WSU open a medical school in Spokane

A conversation families need to have, but don't

He acknowledged that having a conversation about end-of-life measures such as cardiopulmonary resuscitation, and the consequences of not receiving it, does not come easily to many people.

"I think it's difficult for families because they don't know what might happen" to a loved one in the future, he said.

But waiting to discuss those issues until they actually need to be decided can make things worse.

"I think it's extremely difficult for families, because families are often forced into this position at the worst time," Volandes said. "And I blame doctors."

Volandes doesn't exempt himself from this finger-pointing. Doctors often know the treatment and procedures they are administering to terminally ill patients are ultimately futile, costly and the source of pain and stress.

Dr. David Goodman, a Dartmouth Medical School professor, in 2013 co-authored a study published in the Journal of American Medical Association that found that while there had been an increase in the use of hospice services over the prior decade, there also had been an increase in the use of intensive care units. The study found that while more people were going to hospice, many were going there just for a few days after being in the ICU.

Goodman has cited the case of his colon cancer-stricken sister, who died while undergoing a medical procedure just a day before she was supposed to enter hospice and spend her final days there.

"Poor communication leading to unwanted care is epidemic in many health systems," Goodman said at the time the JAMA report was issued. "The patterns of care observed in this study reflect needlessly painful experiences suffered by many patients, including my sister, and other friends and family members of the research team,"

Early in Volandes' book, he writes about being a young resident and treating a 78-year-old, terminally ill lung cancer patient, a mine worker and immigrant from Ukraine whose condition left him "too confused to have a lucid conversation," and who "lacked family members to guide his decision-making."

"So his medical plan was the default for all patients: Do everything possible to keep him alive," Volandes wrote.

View original post here:

A conversation families need to have, but don't

Liberty Global (LBTYA) Stock Gains Today on Takeover Speculation

NEW YORK (TheStreet) -- Liberty Global (LBTYA - Get Report) shares are up 1.28% to $53.16 in early market trading on Tuesday following reports that the international telecommunications and television programmer is a takeover target, according to theNew York Times Dealbook.

Though yesterday's report does not suggest that a deal is imminent, the article does suggest that Vodafone (VOD) is a potential suitor with an outside shot at acquiring the company, while media conglomerates Comcast (CMCSA) and AT&T (T) are also seen as potential players in the coming years.

Exclusive Report: Jim Cramer's Best Stocks for 2015

STOCKS TO BUY: TheStreet Quant Ratings has identified a handful of stocks that can potentially TRIPLE in the next 12 months. Learn more.

Liberty Global is the largest international cable television company in the world with a market cap exceeding $40 billion. Its customer base exceeds 27 million subscribers and it generates more than $20 billion in revenue annually.

The company denied being open to a takeover with CEO Michael Fries tellingthe paper that the company has no plans to sell at this time.

Continued here:

Liberty Global (LBTYA) Stock Gains Today on Takeover Speculation

Here's a Reason Liberty Media (LMCA) Stock is Slumping Today

NEW YORK (TheStreet) -- Shares ofLiberty Media (LMCA - Get Report)are down 0.59% to $39.62 in afternoon trading on Thursday after Deutsche Bank initiated coverage with a "hold" rating and a $43 price target.

"Our price target only implies 7% upside, which we find to be too limited, but we do point out that Liberty and its related companies have historically created significant value through making wise investments, effective capital allocation, financial engineering and tax structuring," Deutsche Bank noted about the media company.

This potential but limited upside comes from two sources, a narrowing of the net asset value (NAV) discount to 7.5% from an estimated 12% and the upside implied by the price targets for Time Warner (TWX) ($100) and Viacom (VIAB) ($83), the firm's analysts estimate.

Last year, Liberty attempted to merge with SiriusXM (SIRI), analysts said, adding that "Liberty Media has said it would consider another merger proposal under the right circumstances, and we see narrowing the NAV discount as the key to this."

Liberty Mediafocuses on the media, communications and entertainment industries through its ownership of interests in subsidiaries and other companies.

Separately, TheStreet Ratings team rates LIBERTY MEDIA CORP as a Hold with a ratings score of C. TheStreet Ratings Team has this to say about their recommendation:

"We rate LIBERTY MEDIA CORP (LMCA) a HOLD. The primary factors that have impacted our rating are mixed some indicating strength, some showing weaknesses, with little evidence to justify the expectation of either a positive or negative performance for this stock relative to most other stocks. The company's strengths can be seen in multiple areas, such as its revenue growth, expanding profit margins and largely solid financial position with reasonable debt levels by most measures. However, as a counter to these strengths, we also find weaknesses including deteriorating net income, disappointing return on equity and weak operating cash flow."

Highlights from the analysis by TheStreet Ratings Team goes as follows:

See the article here:

Here's a Reason Liberty Media (LMCA) Stock is Slumping Today

Valentine's Day love dispute turns violent in Liberty County

The Liberty County Sheriff's Office is searching for a Dayton man accused of shooting another man five times in a dispute over a woman early Saturday.

Police said Marshal Gerald Coffin, whose age was not released, confronted Victor Robert Pereida about 6:15 a.m. at the south Liberty County home that Pereida shares with a woman.

Witnesses told police that Coffin was in a relationship with the woman and confronted Pereida about his relationship with the same woman, according to officials.

Investigators said Coffin then shot Pereida four times in the torso and once in the leg with a .380 caliber semi-automatic pistol and fled.

Pereida, 50, remains in critical condition after being airlifted to a Houston hospital, according to the sheriff's office.

Coffin has been charged with aggravated assault.

Investigators said Coffin apparently lives in the 7100 block of Highway 90 in Dayton and drives a gold 1998 Ford Ranger pick-up truck. The Texas license number is AP8 0494.

If you have any information about Coffin's location, contact the Liberty County Sheriff's Office at (936) 336-4500.

Excerpt from:

Valentine's Day love dispute turns violent in Liberty County

Liberty Media CEO Doubts HBO Will See Much Over-the-Top Success

Updated from March 5 to include potential partnerships in the sixth paragraph.

NEW YORK (TheStreet) -- Liberty Media (LMCA - Get Report)CEO Greg Maffeiturned up the heat this week in the long-simmering competition between cable-TV's premium channels.

In a shot at rival Time Warner (TWX - Get Report), Maffei told investors at a conference hosted by Morgan Stanley that HBO shouldn't expect to generate much demand or profit from its Internet-based standalone service, which is expected to launch later this year.

Conversely,Starz (STRZA), of which Maffei is chairman through Liberty's inter-locking corporate structure, is better positionedthan HBO to see profit from alternative offerings from traditional cable-TV and satellite distributors, he said.

"It's unclear to me that there's a massive amount of over-the-top demand for HBO," Maffei said, expressing doubt that consumers will be willing to pay anywhere around $15 for a non-bundled premium-channel service. "It's not clear to me that that's going to create enormous amount of incremental demand for HBO. What is clear to me is that there are people who don't want to get behind the bundle."

In October, HBO CEO Richard Plepler announced plansto sell online subscriptions tothe channel as an Internet-based offering. The goal, Plepler said, was to win over the10 million U.S. homes that have an Internet connection but don't subscribe to pay-TV as well as the 70 million homes that get pay-TV but don't get HBO.

But HBO's strategy could run into resistance from cable-TV providers who fear that the standalone offering could cannibalize their overall service, saidPivotal Research Group analyst Jeffrey Wlodarczak.

"HBO's hope is that by not being part of the more expensive digital package they will be better able to expand their market," Wlodarczaksaid in an e-mail. "As HBO tries to go direct to the consumer there is no ability for HBO to capture extra margin because today distributors make no money on HBO."

Yet HBO carries more leverage with cable-TV and satellite operators than its rivals at Starz or CBS's (CBS) Showtime, saysShahid Khan, co-founderofMediamorph, the New York-based media industry software and data provider. Time Warner will be faced with additional technology and billings related to brining HBO online, but subscriber growth will largely turn into profits. "There are additional costs to unbundling but you can pretty much use the infrastructure that you use for your TV Everywhere structure -- it's not that much more," Khan said in a phone interview. "HBO isthe highest leveraged premium channel out there, so they can afford to piss off the [cabel-TV] partners. The others, like Starz, may not be able to." Cable-TV distributors, Wlodarczak added, profit handsomely from Starz, and with HBO going direct through an online offering, distributors will be incentivized to push alternative packages that include premium channels. Under CEO Chris Albrecht, Starz has increased its production of original programming, including serials such asOutlander and Black Sails, following the transition amongpremium cable-TV channels from libraries of films and TV serials into networks of production and acquisitions. Premium networks such as HBO and Starz, Maffei said, should be most concerned with "cord cutters" who are dropping their cable or satellite services completely, and "cord shavers," who are reducing their bundled services. Such consumers may consider the HBO over-the-top offering, but find that they would prefer to pay for Netflix (NFLX), which offers a wide variety TV serials, films and increasingly, its own content. An HBO spokesman declined to comment. Starz, Maffei said, may choose not to offer an online service but instead roll out a different product in conjunction with its cable, telco and satellite partners. Maffei didn't elaborate on what that project might be. That's a strategyWlodarczak said could be successful.

If Starz' original content effort is highly successful "they have the opportunity longer term to go direct and capture a lot of margin going to distributors," he said. "Realistically, the best move for Starz is to be the best partner possible to their distributors." Must Read: Warren Buffett's Top 10 Stock Buys

See the article here:

Liberty Media CEO Doubts HBO Will See Much Over-the-Top Success

Liberty Media CEO Takes Aim at HBO, Skeptical of Internet Service

Liberty Media CEO Greg Maffei is taking aim at longtime competitor Time Warner, saying he doesn't expect its premium channel HBO to generate much demand or profit from its Internet-based standalone service expected later this year. Maffei, chairman of rival Starz, told investors at a conference this week that he is doubtful consumers will be willing to pay anywhere around $15 for the non-bundled service, according to TheStreet's Jeff Berman. Consumers who are trying to save money by dropping channels may consider the HBO over-the-top offering, Maffei said, but find they would prefer to pay for Netflix instead, which plans to boost its original programming next year. Also, he said there doesn't seem to be much room for incremental profit from the service.

Read more from the original source:

Liberty Media CEO Takes Aim at HBO, Skeptical of Internet Service

What makes Rand Paul strange

Put into practice, libertarianism can make a mess. If parents have the right to endanger others by not getting their children immunized, why cant individuals decide whether theyre too drunk to drive? writes syndicated columnist Froma Harrop.

U.S. Sen. Rand Paul believes that vaccinating children should be up to the parents, an increasingly unpopular view after recent outbreaks of measles, mumps and other diseases. And throwing a newts eye of quack science into the vat, the Kentucky Republican promotes the myth that these shots put children at risk.

The political results have been toil and trouble.

Its not easy being a politician and a principled libertarian. One who believes in the primacy of individual freedom often takes stances far from the mainstream. It is the true libertarians lot to be unconventional, to bravely accept unwanted consequences in the name of liberty. By not going that extra philosophical mile and adding junk science to the mix Paul comes off as merely weird.

He was already fighting blowback when he ventured into an interview with CNBCs Kelly Evans.

Well, I guess being for freedom would be really unusual, he responded to a question about whether vaccinations should be voluntary. I dont understand why that would be controversial.

Does he not? Then he again gave credence to crazy talk of healthy children ending up with profound mental disorders after being vaccinated.

When the chat moved to taxes and Evans challenged some of his statements, he shushed her as if she were a little girl. Calm down a bit here, Kelly, he said.

Clearly, it wasnt Kelly who needed calming.

By the end, Paul had accused Evans of being argumentative and blamed the media for distorting positions he had left purposely vague. Not his finest hour.

Continued here:

What makes Rand Paul strange

Thats something that should make libertarians nervous: Inside the tumultuous rise of an American ideology

Libertarianism, like its ideological cousin neoliberalism, is one of those words that people in the political world use a lot without establishing whether everyone agrees on its meaning. This doesnt really matter in the vast majority of cases (because nothing that happens during a fight in a comment thread or on Twitter matters). But as support for libertarian-backed causes like marriage equality, opposition to the war on drugs, and resistance against the rise of mass incarceration become ever-greater parts of U.S. politics, the definition of libertarianism will matter more, too for the sake of apportioning credit and blame, if nothing else.

In the interest of nailing down a famously elusive and controversial term, then, Salon recently spoke over the phone with David Boaz, longtime member of the influential and Koch-founded Cato Institute think tank and author of Libertarianism: A Primer, which was just updated and rereleased as The Libertarian Mind: A Manifesto for Freedom. Our discussion touched on the big issues mentioned above, as well as Boazs thoughts on what liberals and conservatives misunderstand about libertarianism, and why he thinks his favored political philosophys future is so bright. Our conversation is below and has been edited for clarity and length.

If you had to pick one defining or differentiating characteristic of the libertarian mind, what would it be?

The first line of the book says that libertarianism is the philosophy of freedom, so what distinguishes libertarians is their commitment to freedom. That can manifest itself in lots of different issues, from marijuana and gay marriage to smaller government and lower taxes, but the fundamental idea of freedom as the proper political condition for society is the thing that unites libertarians.

Wouldnt most Americans say they care deeply about freedom, though? So is it the definition of freedom that distinguishes libertarianism from liberalism and conservatism? Or is it where freedom ends up in the hierarchy of values?

In America, virtually everybody comes out of the classical liberal tradition. The classical liberal tradition of John Locke, Adam Smith, Thomas Jefferson, and John Stuart Mill stresses freedom under law and limited government and most Americans share that. The difference with libertarians is that we do make freedom our political priority. Freedom is not necessarily any persons primary value. Your primary value may be courage or friendship or love or compassion or the arts; but freedom is the primary political value for libertarians.

I do think that is a difference between libertarians and liberals or conservatives who value freedom but also value other things. Modern American liberals would say, I believe, that they value equality along with freedom. Libertarians would tend to respond, well, in the real world you get more equality when you have freedom and free markets, though libertarians certainly believe in equal rights and equal freedom. Some conservatives value doing Gods will or maintaining social order or maintaining tradition along with freedom.

In that sense, I do think libertarians put freedom at the center of their political philosophy in a way that many liberals and conservatives do not.

If you had to pick one thing about libertarianism that liberals misunderstand the most, what would it be?

I think there is first a misunderstanding that libertarians are conservatives and I think thats wrong. Libertarians are classical liberals. We trace our heritage back to, not the aristocracy or established church, but to the liberal thinkers and activists who challenged those institutions.

Read more:

Thats something that should make libertarians nervous: Inside the tumultuous rise of an American ideology

Libertarianism is for petulant children: Ayn Rand, Rand Paul and the movements sad rebellion

This article originally appeared on AlterNet.

Libertarians believe themselves controversial and cool. Theyre desperate to package themselves as dangerous rebels, but in reality they are champions of conformity. Their irreverence and their opposition to political correctness is little more than a fashion accessory, disguising their subservience tofor all their protests against the political elitethe real elite.

Ayn Rand is the rebel queen of their icy kingdom, villifying empathy and solidarity. Christopher Hitchens, in typical blunt force fashion, undressed Rand and her libertarian followers, exposing their obsequiousness toward the operational standards of a selfish society: I have always found it quaint, and rather touching, that there is a movement in the US that thinks Americans are not yet selfish enough.

Libertarians believe they are real rebels, because theyve politicized the protest of children who scream through tears, Youre not the boss of me. The rejection of all rules and regulations, and the belief that everyone should have the ability to do whatever they want, is not rebellion or dissent. It is infantile navet.

As much as libertarians boast of having a political movement gaining in popularity, youre not the boss of me does not even rise to the most elementary level of politics. Aristotle translated politics into meaning the things concerning the polis, referring to the city, or in other words, the community. Confucius connected politics with ethics, and his ethics are attached to communal service with a moral system based on empathy. A political program, like that from the right, that eliminates empathy, and denies the collective, is anti-political.

Opposition to any conception of the public interest and common good, and the consistent rejection of any opportunity to organize communities in the interest of solidarity, is not only a vicious form of anti-politics, it is affirmation of Americas most dominant and harmful dogmas.In America, selfishness, like blue jeans or a black dress, never goes out of style. It is the style. The founding fathers, for all the hagiographic praise and worship they receive as ritual in America, had no significant interest in freedom beyond their own social station, regardless of the poetry they put on paper. Native Americans, women, black Americans, and anyone who did not own property could not vote, but taxation without representation was the rallying cry of the revolution. The founders reacted with righteous rage to an injustice to their class, but demonstrated no passion or prioritization of expanding their victory for liberty to anyone who did not look, think, or spend money like them.

Many years after the nations establishment as an independent republic, President Calvin Coolidge quipped, The chief business of the American people is business. It is easy to extrapolate from that unintentional indictment how, in a rejection of alternative conceptions of philosophy and morality, America continually reinforced Alexis De Tocquevilles prescient 1831 observation, As one digs deeper into the national character of Americans, one sees that they have sought the value of everything in this world only in the answer to this single question: How much money will it bring in?

The disasters of reducing life, the governance of affairs, and the distribution of resources to such a shallow standard leaves wreckage where among the debris one can find human bodies. Studies indicate that nearly 18,000 Americans die every year because they lack comprehensive health insurance. Designing a healthcare system with the question, How much money will it bring in? at the center, kills instead of cures.

The denial of the collective interest and communal bond, as much as libertarians like to pose as trailblazers, is not the road less traveled, but the highway in gridlock. Competitive individualism, and the perversion of personal responsibility to mean social irresponsibility, is what allows for America to limp behind the rest of the developed world in providing for the poor and creating social services for the general population.

It also leads to the elevation of crude utility as a measurement of anythings purpose or value. Richard Hofstadter, observed in his classicAnti-Intellectualism in American Life, that many Americans are highly intelligent, but their intelligence is functional, not intellectual. They excel at their occupational tasks, but do not invest the intellect or imagination in abstract, critical, or philosophical inquiries and ideas. If society is reducible to the individual, and the individual is reducible to consumer capacity, the duties of democracy and the pleasures of creativity stand little chance of competing with the call of the cash register.

Original post:

Libertarianism is for petulant children: Ayn Rand, Rand Paul and the movements sad rebellion

21 Rand Paul quotes that expose libertarianism for the con job it is

This article originally appeared on AlterNet.

Senator Rand Paul, of Kentucky, seems to have no problem contradicting himself. The self-proclaimed constitutional conservative is typically lost in libertarian thought leading him to make inflammatory sexist, racist and overbearingly hypocritical comments on nearly every issue he faces. Whether hes attempting to police womens bodies, ignoring police brutality for stingy tobacco taxes, or speaking out against vaccines and posting himself receiving booster shots only days later, Ron Pauls son is one politician you can unabashedly hate or enjoy laughing at.

1. When Paul spoke outagainst vaccines:

I have heard of many tragic cases of walking, talking normal children who wound up with profound mental disorders after vaccines.

Click to enlarge.

Rand Paul /Twitter

2. When he backedvoter ID laws:

I dont think theres a problem with showing your ID, but I do think theres a problem with Republicans saying, Hey, our big issue for the campaign is going to be voter ID, because what it creates is a lot of African-Americans understandably remember the 40s and 50s in the South, and they remember suppression of the vote.

See the original post:

21 Rand Paul quotes that expose libertarianism for the con job it is