Yanking Life Support From UK Baby Demonstrates Dangers Of Socialized Medicine – The Federalist

In a heartbreaking case in the United Kingdom, Connie Yates and Chris Gard just lost their final appeal in battling for their son Charlies life. This means the hospital where 10-month-old Charlie has been staying since birth will now legally remove his life support, essentially euthanizing an infant against his parents wishes.

Charlie was born last August with a rare disease, mitochondrial depletion syndrome, which causes progressive muscle weakness and brain damage. Medical staff at the hospital believed he would not improve and it was best for Charlie to die with dignity. His parents did not agree, so the case went to a judge, who affirmed the hospitals recommendation. The European Court of Human Rights concluded that the UKs decision to deny the couples right to remove their son from the hospital to obtain care in the United States did not violate the terms of the European Convention on Human Rights.

The UKs system of socialized medicine provided the framework for the legal system to usurp these parents rights. Its a two-headed dragon of law and socialized medicine that could easily pair to usurp parental rights in America as well.

Unlike the United States, the UK has legal precedent that strongly supports state impositions on parental rights and child welfare. Within months of Charlies hospitalization because of his debilitating disease, the hospital lobbied to pull Charlies life support. His parents objected, hoping Charlie could receive experimental treatment. The couple raised more than $1.3 million via GoFundMe to come to the United States for that purpose. The two partiesthree if you include Charlies court-appointed attorneyquickly came to an impasse, so the issue went before Britains legal system.

The judge concluded, after reviewing the medical evidence, that Charlie was terminally ill and therefore should not receive further treatment. He said in the summary released to the media weeks ago: It is with the heaviest of hearts, but with complete conviction for Charlies best interests, that I find it is in Charlies best interests that I accede to these applications and rule that GOSH [Great Ormond Street Hospital] may lawfully withdraw all treatment save for palliative care to permit Charlie to die with dignity.

In court, Charlies parents asked he be given the chance to try treatment in the United States. His mother said, If I thought for a moment that Charlie was in pain or suffering I would not fight for that life to be extended. While it seems astounding a hospital could team up with the legal system to usurp parents rights, its actually well within British legal precedent.

According to British law, the judge in the case noted, the government has the power to interfere and overrule parents if government officials disagree with what parents think is in the childs best interests: Some people may ask why the court has any function in this process; why can the parents not make this decision on their own? The answer is that, although the parents have parental responsibility, overriding control is vested in the court exercising its independent and objective judgment in the childs best interests.

This very thing was demonstrated in a landmark case in 2002,when a British judge ordered conjoined twin infants to be surgically separated at birth, against the parents wishes. The weaker of the twin girls, Mary, whose heart and lungs were not fully developed, was essentially robbing the strength of the older one, Jodie. Had they remained conjoined, the judge and medical professionals believe they would have both died. So the judge ordered them separated.

As a result, Mary died and Jodie lived. Forget Mother knows best. Here the state not only insists that third parties know whats best for other peoples kids but have the power to act on it, even against parents wishes.

While its not uncommon to involve the legal system in the United Stateseveryone remembers the awful case of Terri Schiavothere hasnt been a case here quite like that of baby Charlie. In addition to British laws authoritarian bent against parental rights, socialized medicine operates in England via the British National Health Service (NHS). According to CNN Money, this sytem is financed through tax and compulsory national insurance contributions, but faces serious financial problems.

Specifically, The accounts of two-thirds of NHS providers were in the red in 2015, with a combined deficit of 2.5 billion in the last financial year. Prime Minister Theresa May has promised an extra 10 billion for the NHS by 2020, but lawmakers say the pledge is worth less than half that when rising costs are taken into account.

Given that socialism always runs out of other peoples money, as former British Prime Minister Margaret Thatcher noted, it makes sense NHS seeks to cut costs even at the expense of human life and despite parents ability to pay. For example, the cost to provide 24/7 care to a person, including life support, in the United States is anywhere from $2,000 to 4,000 per day. If Charlie was diagnosed around three months old, hes been in the hospital approximately 151 days.

At $3,000 per day, Charlies care will have cost British taxpayers about $500,000 in U.S. dollars so far. Of course, the judge in Charlies case said his decision has nothing to do with affordability but what is in Charlies best interests. But thats not realistic given the political pressures that inevitably come to cut costs under socialized medicine. Weve seen similar patient-harming cuts in all socialized systems, including the United States own Veterans Administration hospitals and under Obamacares Medicaid expansion.

Neither judge, hospital, nor even Charlies parents have insinuated NHS is the culprit, but its hard to imagine a difficult legal battle this early in Charlies young life had the parents simply been paying for his care through private insurance. Even if the judges ruling wasnt expressly based on cost, it is the natural consequence of socialized medicine where a persons life is valued by quality of life as determined by people external to the family.

In this case, Britains totalitarian-leaning views on parental rights provided the framework for socialized medicine to pull the trigger. Because NHS is footing the bill for Charlies round-the-clock care and medical staff believe hes worsening, they saw fit to intervene via the court system. That makes NHS the bank, the hospital the parent, and the court God. Its a triumvirate of an abuse of power originating in the idea that government should manage health, wealth, education, and thus our intimate family lives. In America, its clear the country is ripe for a similar set-up as courts become increasingly intrusive in family life and medicine becomes increasingly controlled by bureaucrats instead of individuals.

In Prince v. Massachusetts (1944), the Supreme Court held that the government has broad authority to regulate the actions and treatment of children and that parental authority is not absolute and can be permissibly restricted if doing so is in the interests of a childs welfare. The court said Prince isnt supposed to be a landmark case for state intervention when a childs health is at stake, but it is a dangerous precedent.

So is this British case. The euthanasia of an infant child against his parents wishes is a warning against allowing the trifecta of court-arranged family life, legal usurpation of increasing power, and bureaucratized health care to expand.

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Yanking Life Support From UK Baby Demonstrates Dangers Of Socialized Medicine - The Federalist

Regenerative medicine helps achy pets – WFLA

TAMPA, FL. Don and Judy Schmeling consider their chocolate lab, Alexandra, a member of the family.

We have three boys, says Judy. We like to say Alex is our girl.

When, at age nine, Alex started having knee pain, the Schmelings consulted their veterinarian, who suggested regenerative medicine, in the form of stem cell treatment.

Judy says, We decided to do it because she was still so young and had quite a few years ahead of her. We wanted her to have quality of life.

Dr. Farid Saleh of Ehrlich Animal Hospital removed a small amount of fat from Alexs belly, harvested the cells, and injected them into her knee during a same-day procedure performed at on site.

Youregiving the body a chance to regrow tissue instead of trying to heal or manage the diseased tissue thats there, explains Dr. Saleh.

After a few months, Alex was back to her old self. Shes now 12 years old.

Sometimes she acts like a puppy! Its been amazing, Judy says.

Alexs stem cells were harvested when she needed them, however Dr. Saleh says its not a bad idea to harvest them when pets are younger and under anesthesia for a procedure like a teeth cleaning.

If we could harvest something that we can use in the future to help our pets get better, it would be an amazing thing, says Dr. Saleh.

Stem cells can be stored, although doing so often requires a third-party company, and theres an annual fee. As for the harvesting and stem cell treatments, they average $2,500. The most common uses are for arthritis, and injuries to bones and joints. Less often, stem cell therapy is used to treat tumors. And, research indicates that stem cell therapy may be an option for treating chronic diseases.

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Senegal: JokkoSant app helps resale and sharing of unused medicine – africanews


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Senegal: JokkoSant app helps resale and sharing of unused medicine
africanews
80% of Senegal's working population does not have medical insurance cover and the packages offered by insurance companies don't include medicines. However, statistics have shown that unused medicines accumulate in family medicine boxes until their ...

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Senegal: JokkoSant app helps resale and sharing of unused medicine - africanews

What it’s like to specialize in addiction medicine: Shadowing Dr. Baxter – American Medical Association (blog)

As a medical student, do you ever wonder what its like to specialize in addiction medicine? Meet Louis E. Baxter, MD, an addiction-medicine specialist and a featured physician in theAMA WireShadow Me Specialty Series, which offers advice directly from physicians about life in their specialties. Check out his insights to help determine whether a career in addiction medicine might be a good fit for you.

Shadowing Dr. Baxter

Specialty: Addiction medicine.

Practice setting: Group.

Employment type:501(c)(3), president and CEO.

Years in practice:39.

A typical day and week in my practice: In a typical day, I may see between 12 and 15 patients. Some of those patients are for follow-ups, others are initial evaluations for the presence of substance-use disorders or psychiatric conditions. Our clients are self-referred in that they determine that they may have a problem. Most of them are referred by colleagues in their practice, colleagues at the hospital and, in many instances, from the state licensing boards.

When we see brand-new patients, we do a comprehensive evaluation to determine if they met any of the diagnostic criteria for substance use disorder, psychiatric illness or any behavior abnormalities. Once that is determined, we will construct a treatment or monitoring plan for each individual. In cases that involve substance-use disorder, we use the American Society of Addiction Medicine criteria to determine what level of care a person requires in terms of substance-use disorder treatment. In those particular cases where substance use is involved, we will schedule random urine drug testing to verify that they are free of drug and alcohol use, but also to see how well the treatment plan we have developed is working.

For those individuals who have a psychiatric illness we will need to determine what the DSM-5 diagnosis is, then refer them for their appropriate follow-up, whether that is psychiatric care, counseling or, in some instances, both. Very rarely, we need to refer people for partial hospitalization programs and, in some instances, hospitalization. Likewise, we develop a treatment plan for them.

In a typical week, our office is open from MondayThursday from 8:30 a.m. to 4 p.m. We are open a half day on Fridays. Mainly, that is for administrative catch-up.

The most challenging and rewarding aspects of psychology: The most challenging aspect of caring for patients in my specialty is not so much making the diagnosis. We have the tools, such as the DSM-5, to help make the diagnosis of substance-use disorder or psychiatric illness. We also have the American Society of Addiction Medicine criteria to determine what level of care a person needs.

The most challenging aspect, however, is getting patients the level of care they need and the coverage for the level of care that is required. Many insurers have roadblocks that have to be cleared in order for some of our people the get the treatment that they need. Theres a medical necessity requirement imposed by some insurers, which is perplexing because, after all, we are the physicians making the diagnosis and developing the treatment plan, so it should be apparent that there is a medical necessity for the request of services.

Another challenging aspect, which is more germane to the patient, is patient acceptance. Some patients do not wish to accept their diagnosis. We find that with substance-use disorders when patients are in the early stages of their diseases. I believe that is because they havent had enough consequences to occur to help dampen that denial. On the psychiatric side, a lot of clients who suffer from bipolar disorder enjoy the manic phase, and they dont think there is anything wrong with having extra energy or being able to stay up late at night working on perceived important projects.

The most rewarding aspect of addiction medicine is that you can see patients progress from sickness to wellness in a relatively short period of time. Im primarily trained as an internist, so I am familiar with working with chronic medical illness. In internal medicine, sometimes people do not get well for years, and in some instances, they never do. However, in addiction medicine, when we are able to make an accurate diagnosis of all the factors involvedin terms of an actual substance-use disorder, if there is a presence of any psychiatric condition, if there are any physical or pain conditionsand we develop a treatment plan, we can see results usually within a very short period of time. Its rewarding to see folks that were down and outin terms of their health and their life, their ability to earn and care for their familyreturn to become healthy and contributing members of society.

My subspecialty in addition medicine is health care professional impairment. Its is a great pleasure for me to be able to help these individuals treat their addictions and mental health issues and continue them on their path toward practicing medicine.

Three adjectives to describe the typical physician working in addiction medicine: Most physicians who are in addiction medicine are caring, effective in understanding and promoting the concepts of addiction medicine and addiction treatment. And, lastly, I would like to say that they are eligible, meaning they are board certified.

How my lifestyle matches, or differs from, what I had envisioned: I never envisioned practicing addiction medicine in medical school. I went through medical school in the 1970s. My vision was being an internist. I was thinking that if I worked hard and did a good job, Id make about $50,000 a year and Id be in a very good position. I obviously didnt know how much it took to practice internal medicine at an effective level. When I graduated, I found that you need to spend at least 60 hours a week in the office, if you are a solo practitioner, and you needed to spend 24 hours and seven days a week available for call.

For the 11 years that I practiced general internal medicine, I did not have a good quality of life. Addiction medicine, however, has given me an opportunity to have a much better practice lifestyle. Having primarily been trained as an internist, I have an ability to evaluate my patients very well in terms of their medical needs. The way that addiction practice has developed over the years, there is no need in most cases to be available 24 hours a day, seven days a week. We have various levels of care in which to refer our patients in to, and we have the ability to practice in groups. So I have more time available for family and I can pursue more work-life balance.

Skills every physician in training should have for psychology but wont be tested for on the board exam: Physicians need to have a broad sense of general medicine because substance-use disorder affects all organ systems. Many times, patients will present with complaints that seem distant in terms of their relation to substance-use disorders, and if you are unaware you may miss that diagnosis.

Its also important that physicians have empathy for patients who have substance-use disorder because some of the behaviors that are a part of the disorder are despicablelying, thieving, being less than accurate with responses are all part of the disease. When physicians who are going to be in this specialty find themselves turned off by some of these behaviors, it may make it difficult for them to practice.

These qualities or attributes are not easily tested for on certification examinations, but rather these are characteristics that can be observed and developed when physicians are in addiction-medicine training programs.

One question physicians in training should ask themselves before pursuing addiction medicine: The one question that physicians should ask themselves is very basic: Do they believe that substance-use disorder is a chronic medical illness. If the answer is yes, they should proceed. If the answer is nothat they think its bad behavior or a lack of willpowerthey should pursue something else.

Books every medical student interested in urology should be reading:

The online resource students interested in addiction medicine should follow: ASAM.org, the website of the American Society of Addiction Medicine.

Quick insights I would give students who are considering urology: Addiction medicine is a comprehensive medical specialty that involves general medicine, psychiatry and pharmacology. There is opportunity for preventative measures as well as treatment.

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What it's like to specialize in addiction medicine: Shadowing Dr. Baxter - American Medical Association (blog)

ER Goddess: Same Team, People! Same Team! – LWW Journals

Dr. Simons is a full-time night emergency physician in Richmond, VA, and a mother of two. Follow her on Twitter @ERGoddessMD, and read her past columns at http://bit.ly/EMN-ERGoddess.

'Same team! bellowed all the frustrated parents from the sideline of a lacrosse game as we watched two teammates clash sticks while fighting to catch the same pass. Both players missed the ball, and the other team scooped it up and scored, perfectly illustrating to our kids what happens when they battle among themselves.

It's easy to remind our kids that teammates shouldn't fight, but it's harder to remind each other respectfully as adults, and sometimes, unfortunately, someone needs to yell same team at us too. I thought this recently as I read the reactions to the Married to Medicine column that debuted in Emergency Medicine News in March. Some noted names in emergency medicine, physicians I admire and consider captains of our specialty, wrote a letter to the editor questioning the value of Thayer Gorges' article titled Gold Digger or Lucky? Being Married to an EP. (EMN 2017;39[3]:5; http://bit.ly/2rmaWuJ.) They opined that it echoed stereotypes of the past, lacked substance, and had no place in EMN.

I respectfully disagree and contend that Thayer's perspective as a female spouse of a physician is valuable. Her article opened the door to conversations about gender roles and feminism in medicine. The reactions to what she wrote made me ask myself what feminism is. Her critics asserted that feminism is about choice, not about perpetuating the stereotypes of the past. Yet, trivializing a writer because she writes about facets of her life that line up with traditional gender stereotypes does not seem like the answer either.

Feminism should be about women having the choice to be proudly themselves, whatever their paths may be. A strong woman who has chosen to be a stay-at-home mom and is bold enough to put her voice out there in a forum typically reserved for physicians deserves our respect. Feminism means supporting her in whatever role she chooses without concern for society's expectations, whether that role is physician, cheerleader, or wife.

Empowering women doesn't necessarily mean opposing stereotypes or requiring us to act like men. Women should not need to downplay their femininity to be powerful. Strong women in medicine are defined not only by pursuit of leadership positions and career achievements but also by the courage to be who they are unapologetically. Strength can be having the fearlessness to wear Louboutins and red lipstick to work, knowing that embracing every ounce of femininity doesn't make women any less capable or respect-worthy as physicians. Female physicians who highlight all their decidedly unmasculine aspects and celebrate womanhood are moving our profession forward. We are the voice and inspiration for a lot of young girls. Girls need all types of female role models, not discouragement from their paths because they don't fit someone's narrow version of a role model for what they want to be.

Both in and outside of medicine, every woman with the confidence and conviction to stay true to her own voice will empower another woman by example. I was lucky to have a fabulously feminine yet fierce physician as my first boss. She always made me feel like I could be myself and that my voice mattered no matter how girlish it was. She never made me feel like I was somehow perpetuating stereotypes when I proudly owned my feminine characteristics and talked about being a wife and a mom. We need more women in medicine who lift up other women. That's the main reason why, as a woman, I felt compelled to write in support of Thayer. Empowered women empower other women.

The other reason I wanted to write in support of Thayer's column is that it highlights EPs' home lives. Her critics accurately noted in their letter to the editor that they struggle to provide an environment of support for all our colleagues to be active members of their home and work lives, regardless of gender. (EMN 2017;39[5]:5; http://bit.ly/2rmHO6H.) Part of the problem is that domestic and childcare activities, like what Thayer writes about, are often not recognized as important work by physicians or society.

Society should value rather than marginalize childcare endeavors. I say kudos to those like Thayer who put their personal aspirations on the back burner to be better parents. If we put more value in what they do in just being a parent perhaps EPs would not feel as much pressure to marginalize our parenting and home lives to the point where we feel unbalanced. If we want to promote work-life balance in medicine, we should not only discuss but respect physicians' home lives and work lives.

One of medicine's dirty little secrets is the toll this career takes on our families. Physician spouses can explain better than anyone what they give up for us. It's time to talk about the high price our families pay for the job we do. For many physician households, mine included, this means divorce. The sacrifices are more numerous than many realize; ask my sons. Thinking our career choice does not have significant relationship and home life ramifications that are complicated and worth sharing in a professional magazine does the opposite of advancing our field for men and women.

Even if you don't want to hear what a wife has to say, the attitude and concerns of a spouse directly affect the mental state of practicing physicians. Trouble at home and outside of work inevitably affects patient care and precipitates physician burnout. Sharing the whole picture through articles such as Thayer's can only move medicine forward and promote physician wellness.

EM is broad in content, and EPs specialize in well-roundedness, so an EM magazine including a broad spectrum of topics and voices, from serious news to lighthearted essays, reflects what we do and who we are. There is room for all vantage points, including one from an EP's wife. Thayer wrote that marriage to an EP is a team sport. (Marriage [Especially with an EP] is a Team Sport, EMN 2017;39[5]:31; http://bit.ly/2p1nTHW.) The practice of emergency medicine is a team sport as well. It involves not just the doctors and nurses in the ED but all the staff and family who support them behind the scenes, and each voice has something to contribute. Instead of butting our helmets and fighting with each other, let's strategize the best team play to get to the goal of making emergency medicine a winning career path. Same team, people! Same team!

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Access the links in EMN by reading this on our website or in our free iPad app, both available at http://www.EM-News.com.

Comments? Write to us at emn@lww.com.

Emergency Medicine News. 39(7):1,33-33, July 2017.

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ER Goddess: Same Team, People! Same Team! - LWW Journals

Want a medical degree in three years? It’s an option at UC Davis, Kaiser – Sacramento Bee

Want a medical degree in three years? It's an option at UC Davis, Kaiser
Sacramento Bee
For most medical school students, summer means fun in the sun and a much-needed break from studies. But Aljanee Whitaker was hard at work in mid-June, having just started a year-round UC Davis program that fast-tracks primary care doctors to graduate ...

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Want a medical degree in three years? It's an option at UC Davis, Kaiser - Sacramento Bee

These Johns Hopkins grads got into top med schools; now they want to show others how it’s done – The Hub at Johns Hopkins

By Katie Pearce

As they were going through the daunting process of applying to medical schools last year, two friends from Johns Hopkins University learned to lean hard on each other.

The two premed studentsMelaku Arega and Haziq Siddiqiwere picking up insights on the admissions process as they went along, and they found value in exchanging that knowledge.

The idea behind White Coat Strategists is that peer wisdomfrom those with personal experience navigating through all the paperwork, interviews, essays, and general stress of the med school admissions processis the most valuable resource an applicant can find.

"Haziq and I talked often, asked for advice on interviews and how to go about things," Arega says. "A lot of times I really relied on him, and he relied on me. We felt there weren't a lot of other resources out there."

Now, a year later, both students are preparing to attend Harvard Medical School in the fall. They're also putting their consulting experience to good use with a new service to help others achieve their med school ambitions.

Their firm, White Coat Strategists, offers personalized support through every layer of the admissions process, from brainstorming initial strategies to eventually selecting the right program.

Arega and Siddiqi launched the concept this spring with fellow Johns Hopkins graduate Lamin Sonko, who will attend the Perelman School of Medicine at the University of Pennsylvania. They've now built up a team of nine consultants, eight of them Hopkins alums.

The idea behind White Coat Strategists is that peer wisdomfrom those with personal experience navigating through all the paperwork, interviews, essays, and general stress of the med school admissions processis the most valuable resource an applicant can find.

White Coat's consultants can also point to their own successes with this process, after winning acceptance to some of the nation's top medical programs. Arega, for example, was accepted to all 10 of the schools he applied to, raking in more than $2 million in total scholarship offers.

With White Coat, clients can expect between five and 20 hours of one-on-one support, usually through emails and Skype. The firm's services include mock interviews, editing personal statements, and guidance on letters of recommendation. They work with students who have already taken their MCATs and are moving through the primary and secondary rounds of the application process, then into school selection.

The firm has priced these services to be affordable for any applicant (packages begin at $399), filling a void the three founders identified during their own experiences.

"What I looked for were any commercial services to provide me more extensive support," Siddiqi says, "but there wasn't any affordable admissions consulting out there."

Image caption: White Coat Strategists co-founders (from left) Lamin Sonko, Haziq Siddiqi, and Melaku Arega.

They're also making free consulting available to clients eligible for the Fee Assistance Program through the Association of American Medical Colleges, which supports students who couldn't otherwise afford the costs of med school applications.

A forward-thinking strategy guides this pro bono option: White Coat views its own clients as potential consultants.

"Once we work with our students and they get into good schools, we know who's good at writing, who's good at interviewswe can have them join us and continue this process," Arega says.

In addition to acknowledging financial disparities, White Coat is interested in working with clients from different ethnic and racial backgrounds, to help promote greater diversity in the medical profession.

"In medicine, people like me are underrepresented," says Arega, who was born and raised in Ethiopia. "We want to help open up this premed path to more people from all walks of life."

Arega won a full scholarship to attend Johns Hopkins as a Gates Millennium Scholar; he graduated in May with degrees in neuroscience and molecular and cellular biology. Both Siddiqi and Sonko graduated from Hopkins in May 2016 with degrees in molecular and cellular biology.

Siddiqi, who was born in Pakistan, has spent the past year on a Fulbright Scholarship in Spain. Sonko, who's from Gambia, has been working for health care firm Remedy Partners.

So how will the consultants juggle their White Coat services along with the demands of the first year of med school?

First, Siddiqi notes the timing of applications works in their favor, with the busiest phase during summer break. Second, the firm's founders hope to bring in more team members, so each client gets personalized attention.

Beyond that, they're exploring ideas to expand offerings, such as a podcast, a blog, or even a book.

"Long term," Siddiqi says, "I see us diversifying the ways we can provide affordable consulting."

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These Johns Hopkins grads got into top med schools; now they want to show others how it's done - The Hub at Johns Hopkins

Osteopathic Medical Schools Target Rural Healthcare Shortage – NET Website

Many rural parts of the U.S. dont have enough doctors, and a growing number of smaller medical schools are opening outside of cities to address the problem. But the graduates wont be traditional M.D.s, theyll be doctors of osteopathic medicine.

Twenty-four-year-old Kalee Woody says that when she was growing up in Bronaugh, Missouri, she saw the small town slowly fading. Businesses closed, growth stagnated and residents had to drive to other places to see a doctor.

It is a town that, like many towns in rural areas of Missouri and other Midwest and Great Plains states, is recognized by the federal government as having a shortage of healthcare providers.

Now, Woody wants to help. She enrolled in medical school and will start classes in July at the just-opened Kansas City University of Medicine and Biosciences (KCUMB) campus in Joplin, Missouri, the first new medical school in the state in nearly half a century. Woody wants to serve someday in a rural community much like the one she grew up in where, as a doctor, shell also be seen as a pillar of the community.

They have so much contact with different people. They just get to know everyone, Woody says. Everyone knows them and, by association, they become a leader.

KCUMB is an osteopathic medical school, meaning that graduates emerge with a Doctorate of Osteopathic Medicine (D.O.) degree, rather than an M.D. degree. Osteopathic medical schools, whose numbers have doubled in the last 10 years, are in the middle of a push into smaller communities and some in the healthcare industry hope graduates could eventually help ease the current shortage of medical care in many rural areas.

More stories from NET News and Harvest Public Media:

Mayor Mike Seibert of Joplin, Missouri, leads the grand opening ceremony of the Kansas City University of Medicine and Biosciences campus in June with a prayer. (Photo by Alex Smith for Harvest Public Media)

Were going to have an opportunity to teach those students in a rural environment and show them how cool it really is to work there, says Darrin DAgostino, executive dean of KCUMB.

DAgostino says osteopathic schools take a more holistic approach than M.D. programs, which accounts for the high percentage of D.O.s 56% going into primary care instead of specialties, according to the American Osteopathic Association. Less than a quarter of new MDs go into primary care, according to researchers at George Washington University.

D.O.s are licensed in the same way M.D.s are and these days, the care provided by D.O.s and M.D.s is typically so similar that most patients wouldnt know the difference. But that hasnt always been the case.

At the root of osteopathic medicine is osteopathic manipulative treatment, a hands-on technique that looks like a cross between chiropractic manipulation and massage. There is evidence this can help treat some kinds of pain.

It sounds New-Age-y, but the idea dates back to the days of the Old West.

In the late 1800s, a former Kansas state legislator and civil war surgeon, Andrew Taylor Still, decided to reconsider basic assumptions about medicine after he watched three of his children die from spinal meningitis.

The therapeutic options were very different than we have available to us right now, and he thought that the available system of medicine simply didnt work, says Joel Howell, an M.D. and professor of the history of medicine at the University of Michigan, who has written about Still and the practice he invented.

Still eventually founded the first osteopathic school in Kirksville, Missouri, in order to teach his kind of medicine, which was based on a very different understanding of the body and human health.

He set out to devise an alternative healing practice based on this notion that manipulation of the spine could improve blood flow and thus improve health by allowing the body to heal itself, Howell says.

Osteopathic manipulation is now just one of the techniques that D.O.s are taught to use, along with mainstream treatments.

A recent burst of new osteopathic medical schools is part ofa decades-long effort to move osteopathic physicians into practice throughout the country. Many are in states like Arkansas, Colorado and Tennessee that have very small numbers of working D.O.s.

Howell says these newly minted physicians can probably help out a lot in medically underserved parts of those states, but they may have to do some public relations work first.

I think they should be prepared to explain what being a D.O. means, Howell says.

The bigger challenge may be acceptance from M.D.s, who still dominate medicine and make up the preponderance of doctors. Almost all of the most prestigious medical schools such as Harvard, Stanford and Johns Hopkins churn out M.D.s.

The general reception is that we ignore [osteopathic medicine,] Howell says. We dont know much about it; we dont do it. I think if pushed, most people would figure that for some kinds of illnesses, it doesnt do any harm, and it might well help.

Earlier in the summer, hundreds of curious Joplin residents turned out for the opening of the new KCUMB medical school. School and community leaders in this city of 51,000 in the southwestern corner of Missouri hope that in surrounding rural areas with a shortage of health care providers, patients wont care much about whether someones a D.O. or an M.D. just as long as theyre a doctor.

Harvest Public Media is a reporting collaboration focused on issues of food, fuel and eld. Harvest covers these agriculture-related topics through an expanding network of reporters and partner stations throughout the Midwest.

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Medical School Bound? Practicing Med Student Life Over Summer – Uloop News

This article is brought to you by Kaplan, the leader in test prep for over 90 standardized tests, including the GRE, GMAT, LSAT, and MCAT.

If youre medical school-bound, youre probably experiencing a mixture of pride, fear, and excitement about your acceptance.

In 2017, its harder than ever to get into medical school given the increased competition and interest in the field. These programs are designed to create the next wave of healthcare providers, researchers, and specialists who are well-equipped to care for others. For this reason, youll want to make sure youve got everything you need to thrive in your program and what better time is there to prepare than summertime?

Here are four ways to get a taste for life as a medical school student while summers still in session:

1. Perfect your study practices

Without putting it lightly, youll need virtually flawless study habits and skills as you go into medical school.Falling behind in your studying could set you on a less than optimal path. If you know youre usually most successful when studying with multiple people in a group, make a point to find study buddies right away in the first couple days of class. If you know youre best off studying alone, find an environment with few distractions and plenty of resources (where all your materials can be kept in one place).

Image via WikiMedia Commons

Think about what strategies have led you to the highest degrees of success in the past, and consider how you might optimize them. Stock up on flash cards if those are your keys to success, or get a membership to Quizlet Plus (an online flashcard service that features different games and tests to help you remember information).

In sum, zero in on whatever works for you study-wise, and ensure you have all your materials by the end of the summer. You dont want to be unprepared on your first day of medical school!

2. Find and try cooking recipes you can take to go

Medical students have long days packed with lectures, labs, and other commitments that take up hours of their time. Youll need to eat well to stay focused and healthy, so the best way to get through a long day of medical school is to pack ample snacks and meals that are easily transported. Over the summer, invest in some plastic Tupperware containers of different shapes and sizes (theyre inexpensive if you get store brand containers).

If youre stumped about what to cook for yourself during med school, dont worry the internet has ideas for you! Budget Bytes is a great online resource for students trying to eat as inexpensively as possible, where you can find plenty of recipes that are tasty, creative, cheap, and transportable for the most part if you have enough containers!

Over the summer, practice living like a medical student by trying out some of these easy and affordable meals on websites like Budget Bytes (there are others too, of course) to see which ones you like best. The faster you can learn how to cook yummy meals, the more ready youll be for the school year; skimping out on nutrition wont help you when exams pop up.

3. Create a budget

Its rarely a good idea to work part-time while in medical school, according to many sources in an article by U.S. News, G. Richard Olds, vice chancellor for health affairs and dean of the school of medicine at University of CaliforniaRiverside, states Students that are successful in med school are probably putting 40 to 60 hours a week into medical school.

If youre getting financial aid (you should be, if you cant really work), make a budget from the amount youll get in aid. Map out when your expenses are due and try your best to stretch your financial aid as far as you can. If you can end the summer with a good understanding of how youll be managing your money during medical school, youll have more time to focus on school and wont be spending time worrying about how youll pay rent on time.

For the summer, try to limit your spending to items and expenses you truly need youll get used to staying frugal when med school rolls around.

4. Identify (and use) your support system

Medical school is extremely tough, as nearly all pre-med students should know. This means itll likely take a toll on your mental health. Some students even experience what is called imposter syndrome, which is essentially a state of questioning your own capabilities, value, intelligence, and worth in relation to your status as a graduate student.

You might feel you arent good enough or dont deserve to be in school. If you do ever feel this way, its best to reach out to trusted friends, loved ones, and any family who can help remind you of your importance. Over the summer, it could also be a good idea to visit your universitys counseling and psychological services department to become familiar with services there, just in case you need some extra support during med school.

Learn more about Kaplans test prep options and start building the confidence you need for Test Day.

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Medical School Bound? Practicing Med Student Life Over Summer - Uloop News

Can you crack the case of DC’s missing liberty bell? – WTOP

The Liberty Bell replica was in place at least up until April 2, 1979, according to press reports; it was declared missing July 30, 1981. (Courtesy D.C. Council)

WASHINGTON It weighs 2,000 pounds, looks like the real thing (minus the crack) and has been missing for more than 35 years.

Now, the public is being asked to polish up their magnifying glasses and fuel up their mystery machines to help crack the case of D.C.s missing liberty bell.

It will be a real challenge to track it down, said Josh Gibson, director of communications for the D.C. Council. Gibson has made a name for himself solving historical mysteries at the Wilson Building.

Monday he released pictures he found of the commemorative bell during a news conference at the Wilson Building. He is appealing to the public in hopes of uncovering more images, memories or even information that could uncover its location.

The bell is one of three versions of the iconic symbol located in D.C. A replica thats twice the size of the real Liberty Bell sits in front of Union Station. Another replica lies between the White House and the Treasury Building. The atrium inside the Wilson Building also boasts a colorful bell that Gibson described as the Thai Grievance Bell.

Last year, Gibson solved the mystery of a plaque found in a broom closet at the Wilson Building. The plaque without a title turned out to list the names of D.C. government employees who served during World War II.

Gibsons next challenge is now locating the missing bell.

The story of the D.C. liberty bell begins in 1950, when the nation saw a good year for savings bonds. To celebrate, Gibson said the federal government had a foundry in France make replicas of the Liberty Bell the original still resides in Philadelphia. One replica was given to each state and U.S. territory plus the Treasury Department.

Soon, a glistening, crack-free bell was gifted to the District and was placed outside the Wilson Building. It greeted visitors atop the steps of the government building before it was moved to a nearby, triangular park, according to Gibson. It remained in that park until at least April 1979. But by July 1981, the bell had disappeared.

During that time, the Pennsylvania Avenue Development Corporation was in charge of monuments and statues along Pennsylvania Avenue. The PADC was established by Congress and was made up of oversight committees, city government and other civic groups.

It was like a bureaucracy made up of bureaucracies, Gibson said.

In 1980, the PADC decided to improve Pennsylvania Avenue and the project required that several statues, small monuments and the liberty bell be moved.

Gibson said that over the years, the statues of D.C.s first mayor, Alexander Boss Shepherd, eventually reappeared in front of the Wilson Building; the statue of Ben Franklin was placed in front of the Old Post Office Pavilion; and the Temperance Fountain moved back to the National Archives.

But D.C.s version of the liberty bell did not re-emerge.

Its still, I would assume, somewhere where it got stashed, Gibson said.

It could be in storage, sitting in a small park with little foot traffic, or in a backyard the possibilities are endless, he said.

Gibson said hed like to speak with anyone who knows anything about a company called G & C Construction, a contractor based out of Merrifield, Virginia, which held the PADC subcontract to rebuild the sidewalks outside the Wilson Building. The company, or anyone once affiliated with the business, might know something about the temporary relocation of the bell.

Hes also hoping to collect more photos of the bell. He knows of roughly a half dozen images that exist of the bell and more images could help fill out the historical record.

Additionally, Gibson wants to hear from anyone who remembers the bell. He said the bell was a common landmark and a frequent meeting spot downtown from the 1950s to the 1970s.

He said extensive communication with staff of the PADC and District staff who would have been involved in relocating the bell have yielded no clues about its whereabouts.

WTOPs Amanda Iacone contributed to this report.

Like WTOP on Facebook and follow @WTOP on Twitter to engage in conversation about this article and others.

2017 WTOP. All Rights Reserved.

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Can you crack the case of DC's missing liberty bell? - WTOP

Trump at Freedom Rally: ‘America Always Affirms That Liberty Comes from Our Creator’ – CNSNews.com


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Trump at Freedom Rally: 'America Always Affirms That Liberty Comes from Our Creator'
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(CNSNews.com) -- During Saturday's Freedom Rally at the Kennedy Center in Washington, D.C., President Donald Trump said that ever since 1776, America has always affirmed that liberty comes from Our Creator. He also told the evangelical community ...
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Trump at Freedom Rally: 'America Always Affirms That Liberty Comes from Our Creator' - CNSNews.com

Injured bald eagle, likely Liberty or Justice, gets treated a day before July 4 – Washington Post

An injured bald eagle in the District likely Liberty or Justice, who have made their home at the D.C. police academy in Southwest for more than a decade was treated at City Wildlife on Monday after being found Saturday following a thunderstorm.

Based on its weight and talon size, the injured bird is likely Justice, the male of the beloved pair, said Dan Rauch, a wildlife biologist with the Districts Department of Energy and Environment.

It is not possible to definitively determine the injured birds identity because neither eagle is tagged, but the location where it was found near Eighth and Xenia streets SE, approximately 1.5 miles from the police academy means it is likely that the injured bird is Justice, Rauch said.

The bird has no obvious fractures or other signs of trauma, said Kristy Jacobus, the clinic director at City Wildlife, after she completed an examination Monday morning. It was alert during the examination, yellow eyes bright and pink tongue out as it panted from the stress of human contact, and let out a few squeals as Jacobus felt along its wings and feet for injuries.

The eagle was found around 4:45 p.m. Saturday, following intense rain that came with an afternoon thunderstorm. It will be taken to a center in Delaware for further examination and a full X-ray and returned to the District once it has been cleared, Jacobus said.

In 1972, when the insecticide DDT was banned, there were 600 bald eagles in the Lower 48 states. Today, there are more than 16,000 eagles in the United States, Rauch said, but only two known nests in the District. The other, at National Arboretum, is home to a pair of birds named Mr. President and First Lady, who welcomed the births of eaglets Honor and Glory in March.

Liberty and Justices eaglet, which hatched March 15 and is named Spirit, took its first flight in early June and is likely living and hunting on its own, Rauch said. If Spirit had still been in the nest and one of the baby eagles parents had been injured, it would have been in danger.

It takes two parents to care for a nest, so we could have had a failed nest, Rauch said. The injury could have been worse, timing-wise.

Adult eagles can survive on their own, so if Justice is the injured eagle, Liberty will be safe until his return, Rauch said.

The bird is the first bald eagle that City Wildlife has treated in the four years since it opened. It is also the largest avian weighing in at nine pounds that the center has handled. The next largest bird was a snowy owl that was treated in January after being hit by a bus.

Before City Wildlife opened its doors in 2013, injured animals were taken to Second Chance Wildlife Center in Gaithersburg, Md. Now, City Wildlife treats everything from orphaned opossums to injured squirrels to snakes a corn snake was brought in as the eagle was being prepared for examination in its center on Oglethorpe Street NW.

During intense storms, water can get under the feathers of bald eagles, weighing them down and making it likely theyll be grounded, where birds are most vulnerable.

Every spring when there is a thunderstorm, we put our heads under our pillow and go, let us not get our first eagle, said Paula Goldberg, the centers executive director. Theres a mixture of excitement and dread.

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Injured bald eagle, likely Liberty or Justice, gets treated a day before July 4 - Washington Post

St. Paul woman’s 11-foot Statue of Liberty replica topples – TwinCities.com-Pioneer Press

An 11-foot Statue of Liberty in the Summit Hill Neighborhood tumbled over coincidentally, the day before Independence Day.

About 11 years ago, Mary Louise Klas commissioned a chain saw artist to carve a larger-than-human-size Statue of Liberty in a dead Elm tree in front of her house on Fairmount Avenue.

When Klas woke Monday morning, she noticed the toppled statue.

Police told her it was most likely because of insect damage to the base and strong winds Sunday night. Klas thought it would have taken a push to knock over the statue.

The statue was a reminder of what the country used to stand for, Klas said.

Klas formerly served on the Ramsey County District Court, the first woman judge to be appointed there. She previously told the Pioneer Press that she believed the Statue of Liberty epitomizes American patriotism.

Klas said she hopes to have the statue put back up, but doesnt know yet if thats possible.

After the statue was built, it became a bit of a neighbor attraction, even earning points for Pokemon fans, according to Klass daughter Mary Ellen Klas.

The statue cost Klas more than $5,000 and took the artist, Dennis Roghair, several months to carve.

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St. Paul woman's 11-foot Statue of Liberty replica topples - TwinCities.com-Pioneer Press

Give me liberty or give me death – Ledger Independent

Peggy Garner had a deeper and different understanding of liberty than Patrick Henry he who famously shouted Give me liberty or give me death. Peggy Garner had no liberty. She was a slave.

Patrick Henry detested taxation without representation by a distant British Parliament. Peggy Garner paid no taxes and had no liberty. Imprisoned on a plantation and a black female, she had perhaps the least liberty of all.

But when Peggy Garner escaped across a frozen river to Ohio with her four children perhaps she faintly heard Patrick Henry when hunted down by slave catchers. Give me liberty or give me death? Peggy chose death, wanting to kill her children and herself rather than be returned to slavery. She had killed just one child, slitting her throat, before being restrained.

Opposites help define each other, much as the meaning of light resides in total darkness. Peggy Garners act of desperation tells us what liberty means in a deeper and different way than even Jeffersons majestic claim that we are endowed by our Creator with certain unalienable rights of life, liberty, and the pursuit of happiness.

We get a deeper sense of the gradual, grinding progression of actualizing Jeffersons bold claim for all Americans when two centuries elapsed between a colonial editors shutting down his paper rather than pay the Stamp Act tax of 1764 and Martin Luther King Jr.s soaring words on the national mall in 1963. Free at last! Free at last! Thank God Almighty, we are free at last!

And while black females were perhaps last in line for liberty and white males, particularly wealthy ones, first in line our liberty largely started with wealthy white males claiming those rights and then, with commoner whites and free blacks and some courageous women, fighting with guns, guts, and French help to secure freedom from British rule.

Two people illustrate the gradual trickle down progression of liberty over the next several centuries. David Acheson immigrated to America from northern Ireland in 1788 with the clothes on his back and a letter of introduction from his minister. Nine years later he was a successful banker, businessman, and politician who was invited to dine with President George Washington. The vast expanse of our new country soon from sea to shining sea opened up opportunities for those with ambition and talent to pursue their dreams, the American dream.

No one really wanted war. But Lincoln knew it was coming, perhaps unavoidable due to historical circumstance and economic pressures. Julia Ward Howe awakened around dawn at her Washington hotel and peered out the window. Having watched Union troops parade the day before, new words came to her for the rhythmic music of John Browns Body.

Mine eyes have seen the glory of the coming of the Lord, He is trampling out the vintage where the grapes of wrath are stored; He hath loosed the fateful lightning of his terrible swift sword; His truth is marching on.

David Achesons grandson of like name marched to those stirring words on his way to Gettysburg. He fell in battle a few hours later, giving his life that others might be free to live theirs more fully. His blood sacrifice and that of thousands more fulfilled the last verse of The Battle Hymn of the Republic As he died to make men holy, let us die to make men free.

Julia Ward Howe fought for womens rights and emancipation from a paternalistic culture her own husband was something of a tyrant for the next 50 years, being a fighting feminist before the phrase existed. Deep in her heart, she knew that one eternal truth that was marching on was that none of us are truly free until we all are free free to fully develop our God-given talents as both an act of self-fulfillment and a contribution to our national welfare.

For, as Peggy Garner, David Acheson, Julia Ward Howe, and many others knew, the freedom we celebrate on the Fourth of July must be for all people and for as long as we are willing to sacrifice blood and treasure to preserve it. God bless America and let us not let our liberty slip away. Many paid a high price for us to have it.

James F. Burns is a retired professor at the University of Florida.

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Give me liberty or give me death - Ledger Independent

TRAFFIC: Boulevard of the Allies, Liberty Bridge ramps reopen … – Pittsburgh Post-Gazette


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TRAFFIC: Boulevard of the Allies, Liberty Bridge ramps reopen ...
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The Boulevard of the Allies between Grant Street and the Liberty Bridge and the Liberty Bridge ramps to and from the boulevard have reopened to traffic. ...
Liberty Bridge ramps back open downtown - WTAE-TVWTAE Pittsburgh
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TRAFFIC: Boulevard of the Allies, Liberty Bridge ramps reopen ... - Pittsburgh Post-Gazette

Is Libertarianism a ‘Stealth Plan’ To Destroy America? – Reason (blog)

Viking, AmazonAs its title suggests, Democracy in Chains: The Deep History of the Radical Right's Stealth Plan for America, by Duke historian Nancy MacLean, is filled with all sorts of melodramatic flourishes and revelations of supposed conspiracies. Chains, deep history, radicals, stealthis this nonfiction or an Oliver Stone film? Even the cover depicts a smoke-filled room filled with ample-chinned, shadowy figures! This book, virtually every page announces, isn't simply about the Nobel laureate economist James Buchanan and his "public choice" theory, which holds in part that public-sector actors are bound by the same self-interest and desire to grow their "market share" as private-sector actors are.

No, MacLean is after much-bigger, more-sinister game, documenting what she believes is

the utterly chilling story of the ideological origins of the single most powerful and least understood threat to democracy today: the attempt by the billionaire-backed radical right to undo democratic governance...[and] a stealth bid to reverse-engineer all of America, at both the state and the national levels, back to the political economy and oligarchic governance of midcentury Virginia, minus the segregation.

The billionaires in question, of course, are Koch brothers Charles and David, who have reached a level of villainy in public discourse last rivaled by Sacco and Vanzetti. (David Koch is a trustee of Reason Foundation, the nonprofit that publishes this website; Reason also receives funding from the Charles Koch Foundation.) Along the way, MacLean advances many sub-arguments, such as the notion that the odious, hypocritical, and archly anti-capitalistic 19th-century slavery apologist John C. Calhoun is the spirit animal of contemporary libertarianism. In fact, Buchanan and the rest of us all are nothing less than "Calhoun's modern understudies."

Such unconvincing claims ("the Marx of the Master Class," as Calhoun was dubbed by Richard Hofstadter, was openly hostile to the industrialism, wage labor, and urbanization that James Buchanan took for granted) are hard to keep track of, partly because of all the rhetorical smoke bombs MacLean is constantly lobbing. In a characteristic example, MacLean early on suggests that libertarianism isn't "merely a social movement" but "the story of something quite different, something never before seen in American history":

Could it beand I use these words quite hesitantly and carefullya fifth-column assault on American democratic governance?

Calling attention to the term's origins to describe Franco's covert, anti-modern allies in the Spanish Civil War, MacLean writes

the term "fifth column" has been applied to stealth supporters of an enemy who assist by engaging in propaganda and even sabotage to prepare the way for its conquest. It is a fraught term among scholars, not least because the specter of a secretive, infiltrative fifth column has been used in instrumental ways by the powerful such as in the Red Scare of the Cold War era to conjure fear and lead citizens and government to close ranks against dissent, with grave costs for civil liberties. That, obviously, is not my intent in using the term....

And yet it's the only term up for MacLean's job, since "the concept of a fifth column does seem to be the best one available for capturing what is distinctive in a few key dimensions about this quest to ensure the supremacy of capital." Sure, "fifth column" is a dirty, lowdown, suspect term among historians because using it trades in hysteria at the service of the ruling class rather than rational analysis intended to help the downtrodden. But come on, people, we're in a twilight struggle here, with a movement whose goals have included, among other things, ending censorship; opening the borders to goods and people from around the world; abolishing the draft and reducing militarism; legalizing abortion, drugs, and alternative lifestyles; reforming criminal justice and sentencing; focusing on how existing government operations, especially K-12 schools, have hurt poor and minority Americans; and doing away with occupational licensing and other barriers to entry for business owners, among other things. So much for hesitation on MacLean's part. Fifth column it is! As for carefulness, it's worth noting in passing that MacLean identifies former Attorney General Ed Meese and foreign-policy hawk Bill Kristol as libertarians, which must be as much of a shock to them as it is to, well, actual libertarians.

Clearly this sort of book, published by a major house (Viking) and written by an eminent historian (MacLean is a chaired professor at Duke and author of highly regarded books), is ideological catnip to people who dislike libertarianism and its growing influence in politics and culture. At the increasingly hard-left New Republic, Alex Shephard introduces an interview with MacLean by writing that Democracy in Chains "exposes the frightening intellectual roots of the radical right, as well as its ultimate ambition: to erode American democracy." At NPR, novelist Genevieve Valentine writes

As MacLean lays out in their own words, these men developed a strategy of misinformation and lying about outcomes until they had enough power that the public couldn't retaliate against policies libertarians knew were destructive. (Look no further than Flint, MacLean says, where the Koch-funded Mackinac Center was behind policies that led to the water crisis.)

Let's leave aside the fact that Flint's water supply contamination was due to decades of local mismanagement and a stimulus project gone wrong, hardly the sort of thing that mustache-twirling libertarians espouse. And let's ignore the shibboleth Koch-funded for the time being (go here for a realistic appraisal of the Kochs' influence on the modern libertarian movement). Democracy in Chains is chicken soup for the souls of liberals, progressives, and members of the "resistance" who want to believe that libertarians don't just want to destroy or reform ineffective and inefficient public-sector agencies and institutions, but actually want to kill people or destroy them irreparably. Because really, how else can you make a buck in a free market, right?

If liberals and leftists are uncritically celebrating MacLean's attack, scholars and writers with specific and general knowledge of Buchanan's work and libertarianism are taking a more jaundiced view. Reason will be publishing a review-essay in the coming weeks but in the interim, here's a survey of some of the sharpest rejoinders to date.

Historian Phillip W. Magness, trained at Buchanan's former perch of George Mason University, takes particular issue with MacLean's linking of Buchanan to characters such as Calhoun and the poet Donald Davidson, the leader of the self-styled Fugitives and Agrarians in the 20th-century South. Like Calhoun, the Agrarians treated capitalism and modernity with contempt, as a sort of mirror image of an equally soulless and totalitarian communism. MacLean asserts that Davidson, who railed against an increasingly centralized "Leviathan" state, was central to Buchanan's worldview. But Magness notes that Buchanan never studied with him nor ever quoted him in his collected works. As with her non-hesitant, careless use of "fifth column," MacLean's real purpose in linking Buchanan with Davidson is to smear the former. Writes Magness:

MacLean has a very specific reason for making this claim, and she returns to it at multiple points in her book. The Agrarians, in addition to spawning a southern literary revival (the novelist Robert Penn Warren was one of their members), were also segregationists. By connecting them to Buchanan, she bolsters one of the primary charges of her book: an attempt to link Buchanan's economic theories to a claimed resentment over Brown v. Board and the subsequent defeat of racial segregation in 1960s Virginia.

In another post, Magness notes when MacLean tries to link Buchanan to Calhoun, she instead starts citing work by Murray Rothbard, who actually was harshly critical of Buchanan. This sort of slippery maneuver permeates Democracy in Chains, as Case Western's Jonathan Adler documents at the Volokh Conspiracy blog in The Washington Post. At Medium, Russ Roberts writes about MacLean's treatment of George Mason economist Tyler Cowen, who also directs the Koch-funded Mercatus Center. MacLean suggests that Cowen welcomes the weakening of governmental checks and balances because doing so supports her thesis that libertarians want to take over the government by "stealth." As Roberts points out, MacLean is guilty of intellectual malpractice:

MacLean left out the word "While" that begins Cowen's sentence. Then she left off the key qualifier that completes the sentencethe point that the downside risk of weakening checks and balances is substantial. There is nothing here suggesting Cowen is in favor of weakening democracy or the Constitution. By quoting only a piece of Cowen's sentence, MacLean reverses his meaning.

Unfortunately, MacLean does not just quote Cowen out of context. She ignores anything in Cowen's essay that conflicts with her portrayal of Cowen as a sinister enemy of American institutions and democracy.

MacLean's Duke colleague, the political scientist Michael Munger, has authored the most exhaustive and harshly critical review of Democracy in Chains to date. Writing for the Independent Institute, Munger damningly characterizes the book as

a work of speculative historical fiction. There is considerable research underpinning the speculation, and since MacLean is careful about footnoting only things that actually did happen she cannot be charged with fabricating facts. But most of the book, and all of its substantive conclusions, are idiosyncratic interpretations of the facts that she selects from a much larger record, as is common in the speculative-history genre. There is nothing wrong about speculation, of course, but there is nothing persuasive about it either, in terms of drawing reliable conclusions about history.

The entire essay comes as close to required reading as any libertarian would decree. Munger is not simply scoring points or picking apart the argument made by someone from a different tribe or camp; he's actually laying bare how ideologically motivated texts paper over gaps in evidence and logic by focusing on small details to the exclusion of actually giving an accurate view of the larger picture. In the grip of a thesis she wants to be true, MacLean simply sifts through huge amounts of data and evidence, keeping only small chips of bones and fossils that she can use to construct a skeleton with which to scare people who already agree with her.

The contribution of Democracy in Chains...is to do two things...: Identify James Buchanan as the focal point of the revolution, and identify the content of Public Choice research and teaching as anti-Constitutional and anti-democratic.... Buchanan did not believe in unlimited majority rule. But then, as Buchanan often rightly said, nobody believes in unlimited majority rule. Democracy is and must be a balancing of, on the one hand, the rights of minorities, and, on the other, the ability of the majority to have its way within the domain established as "political" by the constitution. That's another thing that is remarkable about Democracy in Chains: MacLean does not assign Buchanan a straw man position. She (correctly) gives Buchanan's position as being the mainstream view, the one that everyone actually agrees with. And then she tries to defend the straw man position, the one that no one actually believes. Remarkable. The position she assigns Buchanan is this: He thought that democracy should be limited, to protect minorities. Um...okay. Yes, that's right. We all believe that.

Which isn't to say that Munger finds no value in the book:

Democracy in Chains is well-written, and the research it contains is both interesting and in many cases illuminating. But as an actual history, as a reliable account of the centrality of the work of James Buchanan in a gigantic conspiracy designed to end democracy in America, it turns far away from its mark. It is the story of an alternative past that never actually happened.

Despite its central failings, I too found the book interesting, if mostly as a way of understanding the ways in which libertarian thought is considered by those hostile to it. Ultimately, Democracy in Chains reveals less about a not-so-shadowy group of people who, as a t-shirt puts it, are "diligently plotting to take over the World and leave you alone" and more about progressives and liberals who choose to live in a dream world.

Other takes worth a read include ones by Jonah Goldberg, David Bernstein, David Henderson, Steve Horwitz, and Jason Brennan.

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Is Libertarianism a 'Stealth Plan' To Destroy America? - Reason (blog)

Hillsdale, Jackson form Libertarian Party affiliate – Hillsdale.net – The Hillsdale Daily News

By Andrew Kingaking@hillsdale.netTwitter: @AndrewKingHDN

HILLSDALE In the 2016 presidential election, Americans were presented with two candidates.

Some refused to vote Republican or Democrat, and as a result, Libertarian party candidate, Gary Johnson, received a raft of support, pulling in around three percent of the vote in most states on Election Day; buoyed as high as 9.34 percent in his home state of New Mexico.

Those arent election-winning numbers, as evidenced by Donald Trumps Electoral College victory on November 8. But, the groundswell of support that Johnson received, has given Libertarians at the state and local level cause for celebration: the Libertarian Party has transitioned from a minor party to a major party in nine states, including Michigan.

The biggest difference is that youre automatically on the ballot. Otherwise, theres a very extensive and lengthy petition process to get on the ballot, said Norman Peterson, who is working with Sam Fry, of Hillsdale, among others, to finalize the formation of a Libertarian Party affiliate representing Hillsdale and Jackson Counties.

Peterson is a long time Libertarian who switched parties in the 1980s after reading economist and politician Harry Brownes book, Why Government Doesnt Work. Prior to his political conversion, Peterson had served as the Democratic Chairman for Michigans 11th District. In the newly formed affiliate, he is, again, serving as Chair.

In the intervening years, Peterson served as the director of a non-profit focused on launching charter schools. When he retired, he shifted his attention to full-time political engagement, and one of the first steps he took was reaching out to area Libertarians to gauge interest in forming a local affiliate.

Fry got an email from Peterson and responded that he would be interested. After an interest meeting featuring a presentation from State Chair, Bill Gelinau, the group began the push to officially affiliate in earnest.

The immediate step is now that weve gone through all the hoops provided by the state we have a name, we have bylaws, we have elected officers, we have delegates I simply need to draft and petition a letter to the State Executive Committee of the Libertarian Party, requesting to be accepted as an affiliate, Peterson said. With the Chairman and the Vice-Chairman helping me with every step of this, Im pretty optimistic that will be a formality.

And once formalities are out of the way, Fry believes that there is a large pool of liberty-minded individuals who are looking for an alternate to the increasingly polarized choice between the Republican and Democratic Parties.

Were going to allow people in this area to have a choice for an alternate candidate, Fry said. I think the goal would be to start running a slate of candidates for county-level and state-level office. To allow people to have a third choice, and I think, frankly, thats just about one of the most important things we can do to keep our democracy functioning.

The reality is that most people are going to be somewhere in the middle. Theyre going to agree with one party on the majority of things, but theyre also going have several issues where they disagree. I think that we need to recognize that in politics, theres a spot for people who dont perfectly conform to the ideology of either party and I think we need people who represent that.

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Hillsdale, Jackson form Libertarian Party affiliate - Hillsdale.net - The Hillsdale Daily News

Weekend tropical cyclone likely near Windward Islands – Miami Herald


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Weekend tropical cyclone likely near Windward Islands
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The system is likely to become more organized as it encounters favorable conditions over the next five days, meaning it could be a tropical depression or storm by the time it nears the Windward Islands later in the week, National Hurricane Center ...
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Shelly Island: The new beach off North Carolina’s Outer Banks – CBS News

There's a new attraction for thousands of people enjoying the long holiday weekend on North Carolina's Outer Banks.

Shelly Island is a destination you won't find on a standard map. The giant barrier island suddenly formed in the Atlantic Ocean, almost overnight.

CBS News correspondent Mark Strassmann reports the mile-long island, which measures as wide as a football field, has attracted hundreds of tourists by boat for the Fourth of July.

Pilot Larry Ihler told Strassmann the island "has definitely gotten bigger" and is "more built up."

Strassmann set out by kayak on Monday to explore Shelly Island with County Commissioner Danny Couch, who is a life-long resident of the Outer Banks.

Couch says he's seen barrier islands pop up before, but not like this one, which he first noticed in April.

"This is the mother of all sandbars," Couch said. "All of a sudden, right here where we're sitting. It's a hoss. It's huge. It is big."

The area off North Carolina's coast is one of the most dynamic ocean environments on Earth -- nicknamed the "graveyard of the Atlantic" -- with more than 2,000 documented shipwrecks since 1585.

This mile-long sandbar, dubbed "Shelly Island" for its plethora of seashells and colorful pebbles, has been forming and growing since late spring.

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Two powerful currents collided there -- the Gulf Stream from the Caribbean flowing quickly north, and the Labrador Current from the arctic pushing south.

The currents collide, churning surf and sand at Diamond Shoals, creating a cluster of shifting underwater sandbars off the coast of Cape Hatteras. Satellite imagery shows the large shoal has continued to grow ever since it surfaced last March.

"Nobody will ever be able to predict what's going to come out of the ocean or what it's going to look like," Couch said.

Over Memorial Day, 11-year-old Caleb Regan visited the island for the first time. He noticed shells scattered everywhere and gave the place a name that stuck: Shelly Island.

"I thought it would just be like a little family nickname," Caleb said. "I can't believe it got this big. Very incredible."

Strassmann says tourists keep coming to Shelly Island, both for the shells and the novelty. But aside from its beauty, the island presents potential trouble -- sharks swimming near boaters and waders. It's so new that no federal or state agency regularly patrols the area.

"Right now, nobody's really claiming ownership," Couch said. "It's sort of a no man's land. This could be yours, or mine, or somebody's. But it belongs to the American people. It's a phenomenon. Enjoy it while we have it."

Before you rush here to build a beach house, remember that nature gives and nature takes away. The first hurricane that comes along could blow the island, as big as it is, back into the Atlantic.

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Shelly Island: The new beach off North Carolina's Outer Banks - CBS News

Love Island’s Jessica Shears and Dominic Lever reunited for the first time since being dumped from show as she … – The Sun

The love island power couple couldn't keep their hands off each other as they checked into a hotel for a night of passion

LOVE Island stunner Jess Shears was reunited with show love Dom Lever for the first time today showing there is no chance of a relationship with Mike Thalassitis.

The reality couple couldnt keep their hands off each other after Dom landed back in the UK, following his exit from the villa on Sunday nights show.

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And checking in to a London hotel, its clear the couple are keen to make a go of their romance back in the real world.

The pair were spotted looking extremely close as they arrived just hours after being reunited in exclusive pictures likely to delight fans of the show who had backed them as a couple.

An onlooker explained: They couldnt keep their hands off each other. It has obviously been a long week apart for them and that seems to have had an impact.

The sexual chemistry was clear Dom was really flirting and Jess was laughing as he cuddled her.

Theres a massive spark between them and they look like theyre planning on spending the night together at a hotel.

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News Group Newspapers Ltd

Jess looked incredible in an extremely low-cut white top and jeans, while Doms casual look appeared to match her as they sat down outside the hotel.

Fans were shocked when Jess exited the villa a week ago, just days after she and Dom became the first couple to have sex on this years series.

They went on to become a solid pairing but were gutted when Jess was axed.

One onlooker said the pair could not keep their hands off each other

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And their relationship was rocked further after claims she had hooked up with rival Mike Thalassitis after being dumped from the show.

Devastated Dom even stormed out of the villa when he heard about the claims, but Jess has insisted nothing happened and has gushed about her fondness for Dom and excitement to see him again.

And the feeling is clearly mutual, after Dom revealed the couple actually had sex EIGHT times while in the villa.

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He joked: We did it in the hideaway and then every night until Jess got voted off. So thats about eight times in all.

I wouldnt question I am the sex king of the show.

But he admitted he was gutted by rumours of Jess fling with Mike, adding there was no way he would pursue a relationship with her if she admitted to bedding the love rival.

He added: No, no way.

I dont think I would make a go of it. I would stay friends with her because weve been on a pretty epic journey together but if thats happened then I suppose everything I thought was special just wasnt to her.

I want to speak to both of them. Jess is my priority and then once Ive spoken to her, Ill contact mike and meet up with him at some point.

Eagle eyed viewers spotted the pair whispering as they were dumped from the shows villa

Jamie Lorriman

Greg Brennan

After being dumped from the show, eagle-eyed viewers saw Mike and Jess exchange whispers in which some even thought she said "let's go f***", but later transpired to have been "let's get f******".

The pair enjoyed a night on the town after landing back in Britain, and were later spotted arriving back at their London hotel at 6am.

But on ITV's This Morning yesterday the pair again insisted: "We're just friends."

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Love Island's Jessica Shears and Dominic Lever reunited for the first time since being dumped from show as she ... - The Sun