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WWL>Topics>>12-10-13 11:10am Garland: on capitalism and the poor

12-10-13 11:10am Garland: on capitalism and the poor

Dec 10, 2013|

Garland talks with author Jason Berry about Pope Francis and his recent comments about consumer capitalism and its effect on the poor.

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Automatically Generated Transcript (may not be 100% accurate)

That have been going through your reads and where you read. Oh both France's father. Came out with a stinging critique of capitalism. Or he's no different than a couple of other -- that have talked in the -- saying -- -- Within those specifics on and want to do move. What it it has caused a bit of controversy and at least in -- -- and a bit of confusion. And oftentimes when the other Catholic religion of the Pope preached ordinance confused me called the -- Jason Barry. Off the group render unto roamed the secret life of money for the Catholic church and religion writer for a global -- Of foreign affairs web site. Welcome back we sure appreciate it done. Before we get into what is global post of foreign affairs web site. Global -- is about four years old now and it was founded by Charlie sent it the Boston Globe foreign correspondent who. Left and saw the future of reporting on the Internet and there reporters and quite a number of countries. And they cover the globe everything from economics to religion two wars to culture. And I -- a long stint of reporting in Rome last November. On the Vatican investigation of the nuns for. Global post and I went back and covered the conclave that elected Pope Francis. And contribute. You know weekly blog or religion piece of one Carter another. Certain you're going global leaving -- -- and that that's not very. Council which horrible thing to do. -- -- -- -- You know you can live anywhere that there. -- about the world. So true so true. All right let's let's get to the -- let me read just a couple of the bogeys says. -- when he talked about the on equal economies throughout the world about the -- -- all we've done the obamacare and the minimum wage drew both who would choose for. -- one thing is said. Just of the commandment thou shalt not kill so it's a clear limit in order to receive scored the value human life. To that we have to say that was shot now Donald shown not to an economy. The exclusion and inequality. So much in the economy to its your your thoughts on. Well I think you have to see the context to from which he is riding in at a which he's coming. Remember this is the man who has spent all of his wife say the last. Several months. In Latin America. And as they. An archbishop and when aside. He was known as you know defender of the poor he spent a great time. Directing church charitable funds to programs. In the massive stereos the slums and you know he spit -- critic of globalization for some time. And I think when you consider the of this huge gulf between the haves and have nots. In many Latin American countries it's sort of explains. That the framework that deeper to these issues. 02 during a second and next paragraph. He says I can be dead in his. Not a news item in an elderly homeless person dies of exposure. But it is -- in the stock market loses two reports this is a case of exclusion. Jim we continue to stay in -- -- booed throwing away while people are starving this was the case of worldwide in the quality. But I think a bread everything that is said and a lot of the post commentaries. And I can't find anything that he recommends. Abusing them. Well when he went to limit the picture of the island off the coast of Italy. It was actually his first trip -- Pope. And maybe it's such an issue the treatment of the refugees the Italian parliament immediately. Took up the cause. I don't think it's put forth. A plan to restructure the global economy yet equities doing a strike to spotlight. The deep -- in another dimension -- this -- and when you. When you look at this situation and countries like Spain and Greece. Were young people with college degrees. -- simply unemployed. -- it is one dimension. You know international economic crisis and I think he's calling. Four. You know measure of social justice for. The kinds of programs that came with the keynesian economics in the 1930s the new deal and so forth. But -- point is well made he has not. Putting -- the system board agenda. You know. Not -- coming out saying we need an economic stimulus but it will be doing. Is in story. That. Government. After. Exert greater control. Over banking systems and direct. Fun to. To assist people who were on the march. Our Barbara finger at a -- some headlines that say -- princes is it's important and critique. Of capitalism itself. Rome radio would go Jason Berry. He has the author of -- and roll and mr. green light from -- -- -- books should -- money. -- out of church and religion writer pro global post of foreign approved what. We're -- right Becky good question. You get comments Gibbs call 2601. Accepting. Told three and were in the country -- 66 rated nine and zero itself but they text celebrity itself. This is and -- -- and 70 AM 053. It's about to a -- practices are and I didn't have room personal perspective. I know we have been India. Position very long. It is my favorite pro and so forth and a ruling I don't agree with everything. But I really like the fact that he seems to be walking in the everything -- -- executing policy. The worried the world should be -- -- leadership and -- -- and putting them well. -- worth thinking about it and it opens do we reduce and Berry author render and -- his secret life of money put the church. Religion letter for global post of foreign players web -- Jerusalem agreed to another thing from -- -- What many call a critique of capitalism to treat critique of consumerism. He's at some people continued to depend trickled down their roots. Which assumed that economic growth. Encouraged by premarket will inevitably succeed. In bringing about greater justice inclusiveness. In the world. This opinion which has never been confirmed by the facts expresses a crude and naive crushed. And the good news to those wielding economic power and that's sacred centralized working with the prevailing. Economic system. Sounds like he's talking about the and conservative sell the minute work. Already he's I'll talk about the conservative itself and -- it. In this very -- Well what you could also include New York State where Wall Street is located. Look if you look back in 1998 in the Clinton administration. Allowed the go to -- act I believe it's cold you know which -- from the new deal which was basically that. The regulatory mechanism to make sure that we didn't have another Wall Street clash they latitude to go wander. We've we've not. The kind of regulation of capitalism. That we'd had indeed you know the many decades after the depression. And you know by I -- 20072008. When the big collapse in the Great Recession occurred. -- law for a lot of the you know wiser pundits to pinpoint the the -- regulations. I think with the pulpit saying is. I hear. -- me just read. He's saying that. Trickle down economics has not. Proven to be. Sort of rising tide lifts all boats. Situations and I think the facts support what he has sent. I agree with -- -- booted in the majors that I had the show. I didn't -- conservative callers here and there are and they certainly believed in trickle down economics they've heard certainly believed in the premarket. I did -- few callers -- said that or four. Raising the minimum wage even though the majority of American and objective foreign. My my question is. Do the big conservative. Catholic or are bigger -- become the the cafeteria Catholic now where they take what they want to leave the rest. But -- that's that's quite intriguing you know way to put it. I don't know I'm not one who likes to. Take out after. You know people in this context that way. The thing I've always liked about. Church. Is that it's a Big Ten and historically culturally. It is -- to have room for people if you will both sides of the political while. You know James Stewart famously set -- the church here comes everybody. It's true that that Francis is. Saying things that -- sure upset. Certain people who have great wealth and feel that perhaps. And -- way of making money is is being questioned or challenged but. You know and the war on week either. We're finding -- politically and I mean and abroad geopolitical sense. To provide. Economic opportunities. For people who have college education. Or we're gonna see 888 worsening. Devised. And this is not just in the United States but it's certainly happening across Western Europe. I'm not an economist I don't I don't claim they have the political answer but I think what the Pope is doing is rightly racing. Moral questions about. Economic inequality and incorrectly. No one else on the world stage is doing that. And in -- -- one does well to spiritual leaders to religious leaders to -- the tough moral questions -- I think and and that's that's even conservatives and sort of nodded and realize that he has appointed even if he's not. Someone with a Ph.D. in economics. He sees what's going on just dissolve to. The I agree with the -- what is doing and certainly didn't mean and as an attack on columns on what. What it was pointing out is is all world believes could -- catholicism belief here. Saying BQ really conservative matter when it comes from economic when it comes to the premarket. Let me give an example what I'm talking about here's a writer. The road to in which -- good Catholic board start sheltering at the Apollo. It's a -- was well and expensively educated would be Benedict treatments. But -- correction is barely controlled -- so much so that implicit taken and they moved who populate in -- Or in the section of economics in development diplomacy to misunderstand. The very world we live. He claims are berserk slaves to market driven society it would lost touch with the rules of the poor and allowing equality and equality to increased. This being the exact opposite what is really happening out there in the universe that we all in. That that's sort of talk about the needs to be I've talked to so many -- -- -- rooms or. Were out. In particular during Thanksgiving. And it's just -- incomparable disguised in movies these. He's saying things are more outside the agency went too liberal and others geez he's attacking our conservative principles. What happened to be infallibility. Well it's still here and and frankly -- critic of Intel ability because. I mean after studying it and and write about it -- the conclusion that it was really. A principle that was enacted in 1870. Vatican council. Where the Pope was losing political power and wanted you know some. -- leverage and so they gave it to them by a vote. Having said that. What Frances is saying in these recent documents. Comes under the middle of infallibility. If I'm not mistaken the last sort of infallible statement that was made was by John Paul. When he declared that women could not be priests. And cardinal Ratzinger. At the time. You know issued this statement that this was should be considered infallible. Interestingly what apprentice instead he is that the -- the in the interview with the journalists going for Brazil back to Rome over the summer. He was asked about -- ministries and the world that matters or been decided John Paul made his statement. He did not make reference to -- ability but -- said he was not going to. Challenge -- on Paul or fourth even though there's been tremendous. Criticism of that document. Because it's not grounded and scriptural findings according to many of the religion scholars. You know I think what he's doing is trying to shake up that thinking. Of people more comfortable and get us says it is Christians and as Catholics to. Confront the world that it has it is in the try to make it better place. It's not easy to do that when you have that highlighted divisions that especially in this country we have as evidenced in congress and on the evening news. Well that just -- was my belief that I was raised Hasidic Catholic. When muck -- -- -- good of it is that you broke the pope's edited it's true I just figured out what then I'll Bullock. -- come right back -- talk more. Not just about Pia. Pope's recent pronouncement on and Paula the -- and hoping to change in the world number -- the subject to and we got the god dude whose greed and -- -- and Jason Barry he's the author of render -- role in this secret life of money for the Catholic Church. Religion writer for a global post of foreign bidders -- where they go to get the book. They can go on them. Amazon and they can go to any of the local bookstores which I believe are still carry. All right and we're gonna read those subtle -- a couple of times in the upcoming have power and equally at home page at FaceBook and all of attributable pundit there jaw hung in -- if you can hold well welcome to you right after this everybody else comments and questions to basic zero. 187. Of mobile brigade 70 AM 1053. Of them are welcome back to Europe thinking about. Bit of a controversy. Over. Bob Francis. Some of the media. Headlines it is stinging criticism of capitalism hurdle but what he says being excluded. Or so away. This imbalance. As a result of ideology shoes which have been the absolute autonomy of the marketplace. And financial speculation consequently. They reject the right of states charged vigilant for the common good to exercise in the form of control. -- new Turin his first born visible often virtual. Which unilaterally. And relentlessly. Imposes its own laws and rumbled. Through the seclusion. Of those who. We have with the Jason -- He's the author of render -- role and secretly -- money for the that your religion blogger pro global -- Before we go back to borrow money. Multiplicity of questions does bring in some of the call is good job and then -- -- John -- holding on Euro mergers and there. -- -- -- -- -- -- -- You that this hopes soon be walking -- I would I would expect to. Personal. Opposition. And I am curious why he is not moving. The church -- -- -- tremendous well. This horrible all what government should do. -- Yeah that's apparently for our observation. One thing he has done. In. I think this is over the summer. He said that he wanted -- churches in Europe. Used. And he was speaking about the the closure of -- is this is something that's been happening. All over the western. World where you know because of population ships people -- -- the suburbs or cities having empty churches. And financial problems that the church itself -- -- Many of the bishops are faced with what to do with empty empty churches. And he said he wanted to see. Immigrants. People. You know fleeing foreign countries particularly in Italy where they got -- future immigration issue. He wanted to see these churches put -- use. To house and and and service some form of assistance. To refugees and immigrants. Have not yet seen anything in the media on whether that has been done. But that kind of beg the question as our caller just readies -- that is. If you're gonna walk the walk. If you're gonna talk the talk -- you gonna walk the walk and on the question of well he has made some donations to international charities and folks typically do visit. Really doesn't make a great -- news but. You know the larger question that I think the church spaces is. How out of the northern countries the developed countries and the bishops and Catholics in those countries. Provide the financial resources that are increasingly. The channel to developing countries in the self. The and and we talk about these inequality. And and in particular here in America. Where the gap between there and not only report in the Richmond there could and the gap between the poor in the middle right is freaking break business. -- Angela hill showed real adventure of the assessor on he was talking about how many non profit organizations have been buildings multiplicity. Of land option. In and around the city and don't pay any taxes on -- do you see anything where the church if they're gonna move in the direction of helping him to close the gap. Will will start instituting banana trojans. Well what about in the book and what I. Found frankly is that the church is retrenching financially. It is loss staggering amounts of money. Yen recent decades that's not to say that various diocese -- not -- Catholic Charities US day. Is one of the largest and keep our party agencies in this country and whenever. Europe people who were hostile anti Catholics and they take all the money -- the churches I've heard of them -- today. Do you wanna pay more taxes and they look at me. Because you know Catholic Charities US today. Provides a broad range of services to the -- as they subcontractor. To federal and state government now. You know you can you can debate. The politics 01 that it is an economic reality I think the larger question is whether. The church will continue to grow. Demographically. In the western countries that are developing the -- Issues facing this -- It's whether he can bring bring back into the fold the many people who have left and without. Putting too -- spent on this. When you bring people back you bring back there there were all there charitable donations and we're happy. That's not the only reason I don't think he's thinking I gotta get these people back that we can have more money. I mean he's making all sorts of over chores to tried to. You have women feel more included to try and and bring back people who have left. For all kinds of reasons. So it is complicated mix. The economic the moral and spiritual but. As I said earlier there's no one else from the global stage who is saying the things that he's saying. Politicians in prime ministers don't wanna go on these issues. Rubio mountain we're coming right back -- the finger -- about the open is reached and statements concerning. Inequality around the world. About the poor -- give me more poorer and more of them. We're talking to drew some Berry author of render -- -- the secret life of money for the Catholic Church. Religion writer for global post of foreign affairs would come on right. We're thinking about what's over the -- your labeling -- princes is stinging critique of capitalism. Stood helplessly longest very complicated road ought to -- render and -- the secret life of money but the Catholic Church. And religion writer for global flows of foreign appears web site Jason Berry juice and the one more time. Who would -- -- hold on for quite a while building an -- and I appreciated. Thank you protect my culture. I'm not Catholic. But I consider. The -- whoever he may be. Kind of a leading. Spokesman for the Christian coalition. I don't consider myself that's Christian oral split it do you consider what the Pope. Says -- is and important. In the world stage. One thing that I think stern upper part to simulate -- state when he. Turned all the tables in the Jerusalem. Couple little money. He's he's probably more biblical experts and I hear them. I think that. You know created -- quite -- -- influential. The. So do -- doing the same thing does. I think it. Away. Well no I mean. As well and to choose countless time and turned the tables in there and then. Spread the call and so forth and that you know message this is that the time and place right by really the Yankees. It's kind of following he's currently. Well. Support that position in the metaphorical sense. You know he's just decrying. Globalization of the heart. And anesthesia been different I mean these -- As you know they are striking phrases to use and I think Ortiz. Trying to do is get governments and banking systems to take a deep look at the structural inequality. Or so obvious from. You know what we see and the coverage of the world today. Jason hopefully this the pope's quote. Human beings having the central value in nature. They can be reduced economic optics or to the some of their desire. Misses port and needed help. Should we do not live better when we police arrived refuse this year stop giving. Lock ourselves up on our own comforts such alive is nothing less than shall suicides the Pope contends. That individualism and condolences to the requirements of justice. Won't win every dad in and perhaps somewhere you oversimplifying. All I can think of is Marc Rich friends I don't know video and sit on the front porch sipping mint jewel it's a pretty busy people. I worked two jobs to leave drug home and ain't. Raising -- daughter -- wiping builds. If if I wanted to. Get out of my life a whole lot of seclusion. I don't know who would do it went whats he talk and. I think he's talking about. The responsibility of those who have succeeded. To try to make society better place. And girl and I'm not saying that to preach to anybody -- just interpret the words that you purchase thread I think he's trying to. Tricked people into becoming. More involved. You know and in whatever charitable or Philanthropic or. Application await the vacancy. I've met a number of people. -- don't like catholicism. At all and maybe maybe except for a couple water and -- weren't too crazy about. Those who resided in via. Vatican. And -- is they really liked this guy is is this man pulling more people back not just through. Church involves citizen but back to a kinder gentler war. Well. Done is. Strike the imagination. Of the global media and -- His predecessor Benedict did not do. Yeah it's sort of reminiscent of what John Paul was doing in the late 1970s. Our -- in the late 1980. -- when he was speaking now. So defiantly against. You know the Soviet empire and you know he made that famous trip to Poland and -- talked about human freedom. So I think it's been you know thirty year more years since we can't -- Who was truly outspoken. Using if you world the global pulpit that is is to use because of the way the media functions. Late this symbolism. Is those quarters we too but I'm not. I'm a girl living lives and that cardinal I don't need that -- -- from old news cars and I don't know of these are true but effort to. Not her rhetoric about reports that that or suggesting. Oral or suspicious. That the Pope actually goes out incommunicado. Rewards from blow into the surrounding areas to talk to. -- evidence in the. -- did to I don't I don't know whether he's -- think from the Colorado -- Just the other week. He takes seriously his position as bishop of fall. And he went to one of the churches and world and typically when -- in the past have done this -- You know they'll they'll say man they'll meet with people. You know maybe it to our parents he spent four hours. He heard confessions. He met with people individually he gets it -- he did get the service but he spent. An entire afternoon in this one perished. -- You know the fact that he's -- caught in the prisons in and wash the feet of these young prisoners one of whom was. Young Muslim girl. And the fact that he has made to responsibilities. For a society to support such an issue. I think it's all. Of a piece if you will with the new image he is trying to promote for. A Pope who is. You know in the -- with the people who is you know part of the kind of grounded reality of the of the church it's very different from. The recent polls which have that's not to to take anything away from. You know what John Paul or Benedict extraordinary. Intelligence you know these men have their their traits in their. You know ability -- in the world but he has the populist there's no doubt about. Jason group about -- I do at a two minute hour on the Pope. Review what drew an hour or on the thank you so much and again people can go to Amazon.com. For render to -- your book. The secret life from Republican church. And by offers a great Jason -- normally -- -- and documentary producer. -- right double yeah. -- coming subjects inequality in. To win the rich and poor -- growing minimal wage then rolled all into the same social debate. We'll continue to that people would come back in the thing to be obligated seventy numeral five to reopen.

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Cabinet & Agencies

Issues ››› Cabinet & Agencies
  • The Huge Media Failure Behind The Latest Clinton Global Initiative Pseudo-Scandal

    Despite Reporting, Bahraini Crown Prince Didn’t Give $32 Million To CGI

    ››› ››› ZACHARY PLEAT

    Numerous media outlets covering released State Department emails pushed by the conservative group Judicial Watch falsely claimed that Crown Prince Salman of Bahrain gave the Clinton Global Initiative (CGI) tens of millions of dollars, which they suggested was linked to him meeting with then-Secretary of State Hillary Clinton. In fact, none of the money in question went to the Clinton Global Initiative -- the crown prince made a “Commitment to Action” to fund the scholarship program at a Clinton Global Initiative event, and the money raised from business donors in Bahrain and elsewhere went to the crown prince’s scholarship program to educate Bahraini students.

  • Muhammad Yunus Is A Decades-Long Clinton Friend And A Nobel Prize Winner. Donations Aren't Why She Met With Him.

    The "Scandal" Requires Reducing International Business And Non-Profit Leaders To "Clinton Foundation Donors"

    Blog ››› ››› MATT GERTZ

    The Associated Press is reporting that “more than half the people outside the government who met with Hillary Clinton while she was secretary of state gave money - either personally or through companies or groups - to the Clinton Foundation” and scandalizing the information as “an extraordinary proportion indicating her possible ethics challenges if elected president.” That report is currently rocketing through the media.

    This level of media hysteria would make sense if favors were being granted to individuals because they were donors. But that speculation falls apart when the story gets down to specific cases, because many Clinton Foundation donors are internationally prominent figures in the business or non-profit worlds – the very sort of people one would expect to be meeting with a secretary of state in any administration.

    According to the AP’s review of State Department calendars released to the organization so far, covering roughly half of Clinton’s tenure at State, “[a]t least 85 of 154 people from private interests who met or had phone conversations scheduled with Clinton while she led the State Department donated to her family charity or pledged commitments to its international programs.”

    So who are these Clinton Foundation donors that the AP  notes met with Clinton? Famed Bangladeshi economist Muhammad Yunus is one, and eleven paragraphs of the AP story detail meetings and interactions between the internationally known figure and Clinton and her staff over assistance he sought that was first reported last October.

    Yes, Yunus-controlled organizations have donated between $125,000 and $300,000 to the Clinton Foundation, mostly as annual fees to attend Clinton Global Initiative meetings. But it’s completely absurd to suggest that “Clinton Foundation donor” is a major part of Yunus’ identity, or the reason why he might command attention from the secretary of state.

    As the AP notes, Yunus “won the 2006 Nobel Peace Prize for pioneering low-interest ‘microcredit’ for poor business owners.” He is a recipient of the Presidential Medal of Freedom. He is incredibly well-credentialed and almost universally celebrated. According to the Financial Times, beginning in 2007, tensions began between Yunus and Bangladesh’s government when Yunus “suggested he might establish his own political party to clean up Bangladesh’s public life.” Yunus was ultimately forced out of his managing director position at Grameen Bank in 2011 just months after the prime minister publicly denigrated microlenders as “bloodsuckers of the poor.” During that period, Clinton repeatedly received requests for help from Yunus, spoke with him on the phone, and after he was ousted met with him and publicly urged the government to halt their efforts to “seize control of Grameen Bank's effort to find new leaders.”

    And this wasn’t Clinton’s first encounter with Yunus - the Clintons have ties to the economist that go back decades before the foundation even existed. They brought Yunus to Arkansas in 1983 to learn more about how microfinance could be used in the state, and Bill Clinton talked about his work during his 1992 presidential campaign.

    Politico’s Blake Hounshell pointed out the oddity of portraying Yunus as a “Clinton crony” rather than a victim deserving of Clinton’s aid:

    In addition to Yunus, here are the other people who met with Clinton detailed in the report:

    • S. Daniel Abraham, the “billionaire behind the Slim-Fast diet and founder of the Center for Middle East Peace.”
    • Stephen Schwarzman, chairman of the Blackstone Group, one of the largest private equity companies in the world, with a massive charitable giving arm to match.
    • Nancy Mahon “of the MAC AIDS, the charitable arm of MAC Cosmetics, which is owned by Estee Lauder,” whom the AP suggests met with Clinton to discuss “a State Department partnership to raise money to finance AIDS education and prevention.”
    • Estee Lauder CEO Fabrizio Freda, whose “company made a commitment to CGI in 2013 with four other organizations to help survivors of sexual slavery in Cambodia.”

    All are Clinton Foundation donors or work for organizations that have donated to the Clinton Foundation. But they are also exactly the sort of people you would expect to meet with any secretary of state. The suggestion of malfeasance only makes sense if you ignore any reason Clinton could have to meet with these individuals other than their status as donors to an international charity.

  • Read These Tweets To Understand How The Media Are Screwing Up Their Clinton Foundation Coverage

    Blog ››› ››› NINA MAST

    Journalist and Yale political science lecturer John Stoehr criticized the media for picking up the latest accusations of pay-to-play behavior at the Clinton Foundation when there is “no evidence to suggest” that such a scheme was established.

    After the conservative activist group Judicial Watch published emails showing supposed pay-to-play behavior by then-Secretary of State and current Democratic presidential nominee Hillary Clinton and the Clinton Foundation, media outlets quickly repeated the story despite a lack of evidence that anything improprietous happened. Judicial Watch has a history of conning media into covering bogus Clinton-related stories, leading outlets to ignore new evidence and even undermine their own reporting in the process.

    In a series of tweets, Stoehr criticized the media coverage of Judicial Watch’s allegations, saying it proves the thesis of a 1996 Atlantic piece called “Why Americans Hate the Media.” Midway into his argument, he addressed the idea that Clinton’s actions constitute pay-to-play misbehavior, saying “This is not pay-to play. There’s no evidence to suggest it, no matter how much the right-wing group Judicial Watch urges to the contrary":

  • Fox News Host’s Attempt To Scandalize Phone Calls To Clinton Aide Undermined By Network’s Own Reporting

    ››› ››› NICK FERNANDEZ

    Fox News host is alleging that State Department call logs showing Clinton Foundation chief operating officer Laura Graham “leaving almost 150 telephone messages for Hillary Clinton’s top aide at the State Department,” Cheryl Mills, reveal a “pay-for-play scam” and “quid pro cash.” But Fox News’ own original report on the call logs states that “there is no evidence of any misconduct in the calls or contacts between Graham and Mills,” and according to State Department spokesman Mark Toner, the “calls could well be ... simply coordinating on” relief efforts after the 2010 earthquake in Haiti given that Mills led State’s response to the disaster and former President Bill Clinton and the Clinton Foundation played key roles during the aftermath.

  • Days After Breitbart Exec. Becomes Head Of His Campaign, Trump Calls For Clinton Foundation Special Prosecutor

    Trump’s Call For Special Prosecutor Premised On Baseless Lies Promoted By Breitbart’s Stephen Bannon

    Blog ››› ››› TYLER CHERRY

    Donald Trump called for a special prosecutor to conduct an “expedited investigation” into the Clinton Foundation, just days after former Breitbart News chairman Stephen Bannon was named chief executive of Trump’s campaign. Bannon helped spread the baseless smears hyped in the discredited Clinton Cash book that Trump is now lifting his attacks from.

    Trump said during an August 22 campaign rally that “an expedited investigation by a Special Prosecutor” into the Clinton Foundation -- specifically into claims of “coordination between the pay-for-play State Department and the corrupt Clinton Foundation” -- is required because the FBI and Department of Justice “certainly cannot be trusted to quickly or impartially investigate Hillary Clinton’s crimes.”

    Trump’s demand for a special prosecutor comes less than a week after Trump hired former Breitbart News executive chairman Stephen Bannon as the campaign’s chief executive. Bannon -- who ran Breitbart as a propaganda arm of the Trump campaign -- has long led a smear campaign against Hillary Clinton and the Clinton Foundation with discredited and false attacks.

    After Breitbart editor-at-large Peter Schweizer wrote the error-filled Clinton Cash -- which made a series of baseless allegations of corruption and quid pro quo by the Clinton Foundation and Hillary Clinton -- Bannon wrote and produced the accompanying documentary film. Bannon is also the executive chairman and co-founder of the Government Accountability Institute, which Schweizer is president of.

    Among the discredited attacks that Trump has adopted from Bannon and Schweizer’s smear campaign include claims that Clinton “signed off” on a Russian uranium deal that led to “millions of dollars in donations” to the Clinton Foundation. That conspiracy has been widely discredited, and Schweizer himself admitted he had no "direct evidence" proving Clinton intervened on the issue.

    Trump also echoed Bannon and Schweizer’s evidence-free claim that an Iranian telecommunications company escaped sanctions from Clinton while secretary of state because it paid Bill Clinton for a speech.

    It is no surprise that Trump is infusing Bannon’s shoddy anti-Clinton attacks with his own campaign, given the close-knit relationship Trump has had with Breitbart during his campaign.

  • Media Continue To Fall For Clinton Foundation Pseudo-Scandals Promoted By Judicial Watch

    Blog ››› ››› TYLER CHERRY

    Media are once again rushing to scandalize newly released State Department emails pushed by the conservative group Judicial Watch that allegedly show a conflict of interest created by “Clinton Foundation donors receiving special access” to then-Secretary of State Hillary Clinton. But the emails actually show the heir to a head of state arranged a meeting with Clinton through “official channels,” as he had with Clinton’s previous Republican predecessors.

    Judicial Watch’s press release framed the emails as showing “Hillary Clinton State Department Gave Special Access to Top Clinton Foundation Donors,” and focused on exchanges between Bill Clinton aide Doug Band and Hillary Clinton aide Huma Abedin regarding a meeting Crown Prince Salman of Bahrain requested with Clinton. Judicial Watch suggested that the crown prince’s relationship with the Clinton Foundation was crucial to him meeting with Clinton:

    Included among the Abedin-Band emails is an exchange revealing that when Crown Prince Salman of Bahrain requested a meeting with Secretary of State Clinton, he was forced to go through the Clinton Foundation for an appointment. Abedin advised Band that when she went through “normal channels” at State, Clinton declined to meet. After Band intervened, however, the meeting was set up within forty-eight hours. According to the Clinton Foundation website, in 2005, Salman committed to establishing the Crown Prince’s International Scholarship Program (CPISP) for the Clinton Global Initiative. And by 2010, it had contributed $32 million to CGI. The Kingdom of Bahrain reportedly gave between $50,000 and $100,000 to the Clinton Foundation. And Bahrain Petroleum also gave an additional $25,000 to $50,000.

    From: Doug Band

    To: Huma Abedin

    Sent: Tue Jun 23 1:29:42 2009

    Cp of Bahrain in tomorrow to Friday

    Asking to see her

    Good friend of ours

    From: Huma Abedin

    To: Doug Band

    Sent: Tue Jun 23 4:12:46 2009

    Subject: Re:

    He asked to see hrc thurs and fri thru normal channels. I asked and she said she doesn’t want to commit to anything for thurs or fri until she knows how she will feel. Also she says that she may want to go to ny and doesn’t want to be committed to stuff in ny…

    From: Huma Abedin []

    Sent: Thursday, June 25, 2009 10:35:15 AM

    To: Doug Band

    Offering Bahrain cp 10 tomorrow for meeting woith [sic] hrc

    If u see him, let him know

    We have reached out thru official channels

    But the emails show that the meeting was proposed and arranged through “normal” and “official channels,” not through “special access” as Judicial Watch characterized it. Crown Prince Salman of Bahrain “asked to see [Clinton] thurs and fri thru normal channels,” according to the emails, and Clinton didn’t “want to commit to anything” until she confirmed her schedule and how she was feeling. Later that week, Abedin confirmed that Clinton and her staff “reached out [to Crown Prince Salman of Bahrain] thru official channels” to set up the meeting.

    According to a write-up from Agence France-Presse, obtained via Nexis search, the meeting was about the “tense post-election climate in Iran and the Middle East peace process” -- exactly the sorts of topics one would expect the secretary of state to discuss with a Middle Eastern leader.

    Given that past secretaries of state and US presidents have met with Crown Prince Salman -- including Condoleezza Rice, Colin Powell, and President George W. Bush -- it’s not unusual that the crown prince sought a meeting with Clinton during her tenure as secretary of state, and there is no evidence he got the meeting due to his affiliation with the Clinton Foundation.

    But that hasn't prevented the press from trying to turn the meeting into a scandal.

    Media outlets immediately ran with the story, suggesting that “the new revelations,” as Politico put it, “add to the controversy that has swirled around the Clinton Foundation, with Donald Trump and other critics accusing Hillary Clinton of using her position at the State Department to reward major donors through access to other power players.”

    The Wall Street Journal scandalized the emails, saying they “could fuel criticism that the Clinton family’s charitable foundation, in fundraising with wealthy donors, corporations and foreign nations, created a conflict of interest for Mrs. Clinton during her work as the nation’s top diplomat.”

    A Fox News article wrote that “Such emails have fueled accusations from Republicans of a ‘pay-to-play’ operation.”

    CNN’s John Berman said, "It doesn't literally have to be provable pay to play to have an appearance problem."

    These accounts adopt Judicial Watch’s frame that the meeting between Bahrain’s crown prince and Clinton was granted only because of “special, expedited access” and “preferential treatment” because of his relationship with the Clinton Foundation, and that at the least, the emails and meeting reflect bad optics.

    Judicial Watch is a right-wing organization with a history of duping the press on Clinton email stories.

  • Fox Scandalizes Report Claiming US Leveraged Payment To Iran To Ensure Prisoner Release

    Blog ››› ››› TYLER CHERRY

    Fox News host Stuart Varney mischaracterized new details about the United States’ $400 million payment to the Iranian government, claiming that the State Department admitted that the money was a “ransom payment” for American prisoners. In reality the payment, stemming from a “decades-old” agreement, was “conducted separately from the prisoner talks” and was withheld as “leverage until the US citizens had left Iran.”

    The Wall Street Journal reported on August 3 that the Obama administration “organized an airlift of $400 million worth of cash to Iran that coincided with the January release of four Americans detained in Tehran.”

    Right-wing media distorted news of the cash transfer -- which related to a settlement reached in 1979 “over a failed arms deal” that was resolved in The Hague -- to falsely claim the transfer had been done in secret and that the payment was ransom.

    The Journal then reported on August 18 that the cash exchange was “specifically timed to the release of several American prisoners held in Iran.”

    State Department spokesman John Kirby reportedly said that although “the US withheld delivery of the cash as leverage until the US citizens had left Iran,” the negotiations over transferring the money were “conducted separately from the prisoner talks.”

    Fox host Stuart Varney seized upon Kirby’s statement to falsely claim that the State Department “basically admitted that the Journal story is correct,” and that “this is a ransom payment.” Varney also said, “[it’s] very difficult to say that’s not ransom.”

    But the payment indeed was not ransom, as Kirby explained in an August 18 State Department press briefing. Kirby noted that the money was given to Iran after the prisoners had been released in an effort to “retain maximum leverage,” not before, as a ransom payment typically happens.

    Kirby also noted that the payment was timed with the prisoner release because “We were able to conclude multiple strands of diplomacy within a 24 hour period, including implementation of the nuclear deal, the prisoner talks, and the settlement” in question. Kirby made clear that “we deliberately leveraged that moment to finalize these outstanding issues nearly simultaneously” because of “concerns that Iran may renege on the prisoner release” and “mutual mistrust” between the two countries.

  • Media Scandalize Clinton Connections By Mischaracterizing International Security Advisory Board Appointee As Unfit

    ››› ››› NICK FERNANDEZ

    Right-wing media are scandalizing the 2011 State Department International Security Advisory Board (ISAB) appointment of Rajiv Fernando, a Chicago-based securities trader and Clinton Foundation donor, suggesting Fernando knew “absolutely nothing about intel” and claiming he was only appointed because “he donated up to $5 million to the Clinton Foundation.” But Fernando is an expert in cybersecurity, which the ISAB prepared a report on in 2014, and the State Department said the ISAB is “looking for a broad range of experiences” when considering candidates.

  • Fox Sunday Shows Baselessly Suggest Clinton Gave Favors To Foundation Donors

    ››› ››› BOBBY LEWIS

    Fox News’ Sunday shows continued to hype the claim by the conservative group Judicial Watch that Democratic presidential nominee Hillary Clinton gave favors to a Clinton Foundation donor when she was secretary of state. The Fox reports ignored that the emails provide no evidence of the donor seeking to benefit from the State Department and that the person the donor asked to meet has “never met nor spoken” with him.

  • The Benghazi Hoax Has Its Own Night At The GOP Convention

    Blog ››› ››› ALEX KAPLAN

    The Republican National Convention will include a themed-night highlighting the September 11, 2012, Benghazi attacks, according to a new report. The announcement follows years of conservative media myths surrounding the attacks.

    According to The New York Times, the convention will emphasize “a few of [Donald Trump’s] favorite hot-button issues,” featuring different themes each night of the convention, including “the 2012 attack on the American diplomatic compound in Benghazi.” From the Times July 13 report (emphasis original):

    A night highlighting the tragedy in Benghazi, Libya. An appearance by onetime football star Tim Tebow. A presentation detailing former President Bill Clinton’s sexual misconduct.

    Donald J. Trump, the presumptive nominee, has been promising a different kind of Republican National Convention, and plans obtained by The New York Times show that he is eager to put his showbiz stamp on the party’s gathering, even as he struggles to attract A-list talent.

    There are plans to emphasize different themes each night of the convention. Mr. Trump wants to touch on a few of his favorite hot-button issues, like the 2012 attack on the American diplomatic compound in Benghazi, former President Clinton’s infidelities and border security.

    Night 1: A Benghazi focus, followed by border patrol agents and Mr. Shaw, whose son was killed by an undocumented immigrant. Senator Cotton, Mr. Giuliani, Melania Trump, Ms. Ernst and others.

    Conservative media have spent years continually misleading about the attacks and falsely alleging nefariousness on the parts of Hillary Clinton and the Obama administration. Fox News, in particular, relentlessly pushed misinformation surrounding the attacks, running nearly 1,100 segments on the attacks within the first 20 months after the attacks alone. Thanks in part to Fox’s calls for a special investigation into the attacks, House Republicans convened a two-year select committee to investigate that subsequently revealed little new information about the attacks. Donald Trump has also used conservative media myths surrounding the attacks throughout his campaign thus far, and has lamented that “outside of Fox, Benghazi has never resonated.”


text:
Doug Schoen

Tags ››› Doug Schoen
  • Fox News' Selective Outrage Over Disclosure

    ››› ››› OLIVIA KITTEL

    Fox News is outraged that an ABC News anchor waited to disclose charitable donations to the Clinton Foundation, despite the network's marked history of failing to disclosure its pundits' political and financial conflicts of interest.

  • Schoen Wrong On Hillary Clinton's State Tenure

    Blog ››› ››› MATT GERTZ

    Hillary Clinton

    Fox News contributor Doug Schoen is the latest media figure to push the false allegation that Hillary Clinton's tenure as Secretary of State lacked accomplishments, ignoring her record of achievement.

    Hoping to derail a potential Clinton presidential campaign, the GOP and its media allies have begun to attack her record. Some mainstream journalists have followed their example, producing the emerging narrative that Clinton lacked significant achievements at State. This new conventional wisdom is attractive to reporters because the old and accurate conventional wisdom that Clinton was an accomplished Secretary of State "makes for dull copy," as Slate's David Weigel explained.

    Earlier this month, Republican Party chairman Reince Priebus detailed the research effort underway to aggressively define what Clinton's "done or hasn't done" in an interview with right-wing radio host Hugh Hewitt. For his part, Hewitt has spent weeks quizzing political reporters on what Clinton did at State, trying to promote the canard that she was ineffective. Meanwhile, right-wing pundits have been depicting her record at State as an unalloyed detriment, citing a purported lack of successes on the one hand at the pseudoscandal of Benghazi on the other.

    This conservative effort is shaping the reporting of more mainstream outlets. An agenda-setting December 8 piece in Politico Magazine drew heavily from dubious conservative sources to promote the storyline that Clinton had been an ineffective Secretary of State, while depicting sources who contradicted the storyline with facts about Clinton's record as engaged in a campaign of spin.

    Schoen -- who was a strategist for Bill Clinton in the 1990s but in recent years has largely been known for attacking progressives and promoting corporate interests -- is the latest to push this false narrative. In a December 13 Wall Street Journal column he writes:

    Another major obstacle is Mrs. Clinton's foreign-policy record: She can point to no significant accomplishments as secretary of state. Now that her successor, John Kerry, has forged an interim agreement with Iran, good or bad, to limit its nuclear program, questions will inevitably be asked about why Mrs. Clinton failed to achieve anything on that front--or to strike a similar bargain with North Korea or make any progress with the Palestinians and Israelis.

    Mrs. Clinton also still faces serious questions about the 2012 terror attack on the U.S. consulate in Benghazi, Libya. During the 2008 primary campaign, Mrs. Clinton said she was the candidate best equipped to answer the 3 a.m. emergency phone call. Americans will want to know how she answered that call in Libya.

    Schoen's reference to Benghazi points to the dishonesty of his argument. While conservatives have spent the last year exploiting the terrorist attacks to smear Clinton, no evidence has emerged to suggest that the Secretary of State was at fault.  Contrary to Schoen's suggestion, Clinton has extensively detailed her activities on the night of the attack, including communications with the White House, Pentagon, CIA, Foreign Service officials in Libya, and the president of Libya's National Congress.

    With Secretary John Kerry winning plaudits for his diplomacy with regard to Iran, his recent success has had the unfortunate side effect of making journalists and pundits like Schoen bury Clinton's own successes.

  • Fox Figures: Rise In Female Breadwinners Is A Sign Of Society's Downfall

    Fox's Erick Erickson: "Look At the Natural World ... The Male Typically Is The Dominant Role"

    Blog ››› ››› EMILY ARROWOOD

    Fox host Lou Dobbs and several Fox contributors -- all men -- lamented news that a record number of women are now the economic breadwinners of their families. The Fox figures worried about the dissolution of American society and nature.

    Pew Research released a study on May 29 which found mothers are the primary or sole breadwinner in a record 40 percent of all American households with minor children. Pew's report considered both single mothers and married mothers who earned a higher income than their husbands.

    On his Fox business program, Dobbs described the Pew study as "showing that women have become the breadwinners in this country, and a lot of other concerning and troubling statistics." He went on to call the report suggestive of "society dissolv[ing] around us."

    Fox contributor Juan Williams agreed, calling record female breadwinners indicative of "something going terribly wrong in American society":

    What we're seeing with four out of 10 families, now the woman is the primary breadwinner. You're seeing the disintegration of marriage, you're seeing men who were hard hit by the economic recession in ways that women weren't. But you're seeing, I think, systemically, larger than the political stories that we follow every day, something going terribly wrong in American society, and it's hurting our children, and it's going to have impact for generations to come.

    Erick Erickson, one of Fox's newest contributors, was troubled by female breadwinners and claimed that people who defend them are "anti-science." Erickson told viewers:

    When you look at biology, look at the natural world, the roles of a male and female in society, and the other animals, the male typically is the dominant role. The female, it's not antithesis, or it's not competing, it's a complimentary role. We as people in a smart society have lost the ability to have complimentary relationships in nuclear families, and it's tearing us apart.

    Fox figures have a history of making sexist remarks.

  • Fox's Glaring Double Standard On Campaign Platforms

    ››› ››› MELODY JOHNSON

    Fox has repeatedly attacked Democrats for a party platform that does not specifically use the word "God." By contrast, Fox figures downplayed the importance of the GOP platform last week, saying that Romney "doesn't write the platforms" and "doesn't have to abide" by them.

  • "Polling" And Concern-Trolling Occupy Wall Street

    Blog ››› ››› SIMON MALOY

    Doug Schoen has a concern.

    The pollster and Fox News Democrat writes in the Wall Street Journal this morning that "President Obama and the Democratic leadership are making a critical error in embracing the Occupy Wall Street movement -- and it may cost them the 2012 election."

    It's no great shock that "Democrat" Schoen would criticize Obama and the Democrats -- it's what he does to stay relevant and get his daily Fox News hit (he also fundraises for Republicans and lines up speaking gigs at right-wing conferences). What is eyebrow-raising, however, is just how awful Schoen's analysis of Occupy Wall Street is, even for someone known for vacuous and absurd political commentary.

    Schoen writes that the Occupy Wall Street movement "reflects values that are dangerously out of touch with the broad mass of the American people." And he knows this because he conducted a survey of the protesters, saying the findings "probably represent the first systematic random sample of Occupy Wall Street opinion."

    Here's his methodology:

    The protesters have a distinct ideology and are bound by a deep commitment to radical left-wing policies. On Oct. 10 and 11, Arielle Alter Confino, a senior researcher at my polling firm, interviewed nearly 200 protesters in New York's Zuccotti Park.

    That's it. He sent a colleague down to one protest location in New York to interview a vanishingly small sample of protesters.

  • "Follow The Sex": The Strange History Of Fox Host John LeBoutillier

    Blog ››› ››› BEN DIMIERO

    "I haven't heard that name in 20 years." -- Frank Luntz discussing John LeBoutillier last year on Fox Business.

    A list of the most ridiculous Fox News hosts would have to include their in-house 9-11 Truther Andrew Napolitano, who spends much of his time labeling everything unconstitutional; Eric Bolling, the former commodities trader turned birther conspiracy theorist; and the entire crew of Fox & Friends, who, when they aren't trying to roast marshmallows with their bare hands, are attacking the Obama administration for using "chintzy" binder clips.

    But any list of outlandish Fox personalities would now be incomplete without their newest hire, former Republican congressman John LeBoutillier. Among LeBoutillier's career highlights: penning a "fevered sexual fantasy" about Gary Condit's sex life and his supposed involvement in Chandra Levy's murder that was so outrageous it was pulled by NewsMax; writing a book deemed so "idiotic" by Don Imus that Imus temporarily stopped hosting him on his show; and trying to build an anti-Clinton library with a room devoted to the dozens of people Bill Clinton has (maybe!) "whacked."


text:
January 17, 2012

Middle-aged men at the upper end of normal blood pressure had an elevated risk for atrial fibrillation later in life, according to new research in Hypertension: Journal of the American Heart Association.

Atrial fibrillation (AF) is a common in which can lead to stroke and other heart-related complications; it affects over 2.7 million Americans. While hypertension is a risk factor for AF, the of upper-normal are not yet fully understood.

"Women with blood pressure on the upper end of the normal range have been shown to be at increased risk for AF," said Irene Grundvold, M.D., lead author of the study and consultant cardiologist in the Cardiology Department at Oslo University Hospital in Ullevaal, Norway. "We set out to determine if the same was true for men who are not yet considered hypertensive."

For 35 years, researchers followed 40- to 59-year-old healthy Norwegian men from a database of 2,014. They recorded the men's blood pressure at the start of the study and tracked health events such as AF. They conducted a follow-up survey an average of seven years after the initial survey, in which 1,758 men participated. Beyond seven years, only men who were considered healthy were included in analysis, which reduced the number of participants to 1,423.

U.S. guidelines define as systolic pressure (top number) at 140 millimeters of mercury (mm Hg) or higher and diastolic pressure (bottom number) at 90 mm Hg or higher. They define pre-hypertension as systolic pressures from 120 to 139 mm Hg and diastolic pressures from 80 to 89 mm Hg.

In the study, while upper-normal systolic blood pressure was 128-138 mm Hg, the authors acknowledge that the range differs from current European blood pressure guidelines.

During the study's follow-up, 270 men, or 13 percent, developed AF. Major findings from the study include:

• Men with systolic blood pressure of 140 mm Hg or higher at the start of the study had a 60 percent increased risk of developing AF, compared to men with normal systolic blood pressure.

• Men with of 128 to 138 mm Hg (upper normal) had a 50 percent increased risk of developing AF during follow-up, compared with men with systolic pressures below 128 mm Hg (normal).

• Men with diastolic blood pressure of 80 mm Hg or higher at the start of the study had a 79 percent increased risk of subsequent AF, compared with men with diastolic blood pressure below 80 mm Hg (normal).

• On average, developed 20 years after baseline.

"Our results indicate that men with upper-normal blood pressure appear to have a higher risk for AF than men with lower blood pressure," Grundvold said.

In an accompanying editorial, Paolo Verdecchia, M.D., notes that global preventive strategies are urgently needed to reduce the burden of AF. Because the risk of AF increases among men and women in the pre-hypertension range, it's important that further studies clarify the relationship between blood pressure control strategies and the risk of AF, wrote Verdecchia who is chief of the division of Medicine at the Hospital of Assisi in Assisi, Italy.

Results from the study can't be generalized to men of different ethnicities, ages, men with health conditions or to women because researchers only looked at healthy, middle-aged Norwegian .

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Seizures in patients with pork tapeworm caused by Substance P

February 9, 2012

A neuropeptide called Substance P is the cause of seizures in patients with brains infected by the pork tapeworm (Taenia solium), said Baylor College of Medicine researchers in a report that appears online in the open access journal PLoS Pathogens.

"Neurocysticercosis or the tapeworm in the , is the major cause of acquired seizures," said Dr. Prema Robinson, assistant professor of medicine – infectious diseases, and corresponding author of the report. "It is particularly important to understand the source of these seizures in order to develop ways to treat and prevent them."

Substance P is a neuropeptide (a small protein-like molecule involved in neuron-to-neuron communication.) It is produced by neurons, endothelial cells (the cells that line blood vessels) and cells involved in host defense. Discovered in the 1930s, it has long been recognized as a pain transmitter. However, in recent years, it has also been found to play a role in many other functions.

Robinson realized that Substance P is involved in inflammation and wondered if it might be involved in seizure activity.

Robinson and her colleagues – including one from Tufts Medical Center in Boston – found Substance P in autopsies of the brains of patients who had the tapeworm infection. They did not find Substance P in uninfected brains.

"As long as the parasite is alive, nothing happens," said Robinson. However, once the worm dies, the body responds with chemicals that recruit immune system cells to the site of infection, causing inflammation. Her studies showed that the cells that produce Substance P are found mainly in areas of inflammation near the dead worms.

Animals injected with Substance P alone or with extracts from the areas of inflammation (granulomas) near the worms in infected mice suffered severe seizures, she said.

When the rodents received the drug that blocks the Substance P receptor, they did not have seizures, she said.

In addition, mice that lacked the Substance P receptor did not have seizures even when injected with the extracts of granulomas from infected mice. In addition, granuloma extracts from mice that lacked the cells that make Substance P did not induce seizures.

These findings have implications for people, who often suffer seizures during treatment for the tapeworm infection, she said. As the worms die, inflammatory rush to the scene and the seizures begin. There are medications known to block the receptor for Substance P. These medications may prove to be the most effective means of treating and preventing seizures in these patients.

Robinson plans to look at the role Substance P may play in other diseases associated with such as cancer and tuberculosis.

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Variations in antibiotic prescribing of acute rhinosinusitis in united states ambulatory settings

May 9, 2013

Antibiotics for acute rhinosinusitis (ARS) are prescribed frequently— especially for younger adult patients and in primary care settings—despite recent consensus guidelines that discourage antibiotic use in mild cases, according to a study in the May 2013 issue of Otolaryngology–Head and Neck Surgery.

"These variations should be of high relevance to policy makers, patients, and clinicians, with implications for payment for quality," the authors state.

The authors set out to identify national variations in using antibiotics to treat ARS. Study data were taken from outpatient visits between 2006 and 2009, from the National Ambulatory Medical Care Survey and National Hospital Ambulatory Care Survey. Sample data included outpatient visits of adults diagnosed with ARS who visited otolaryngologists or .

Citing prior research, the authors note that treating uncomplicated ARS with antibiotics has three fundamental limitations: Bacterial infections are thought to complicate a small proportion of cases; excessive antibiotic use is associated with consequences to individuals, including allergic reactions and medication side effects; and excessive is associated with consequences to society in the form of unnecessary costs and increasing .

The data reflect several prescribing patterns for ARS patients. Physicians prescribed antibiotics in 82.3% of visits despite established clinical practice guidelines recommendations against the for many ARS cases. Broad-spectrum types of medications are favored although other types may have fewer side effects, and prescription rates were inversely related to patient age.

Because the duration and severity of symptoms were not recorded, the authors caution that conclusions cannot be made about the validity of decisions to prescribe antibiotics.

In summary, the authors concluded that the findings highlight the importance of promoting clinical practice guidelines. "Future studies including an analysis of the cost burden of ARS, clarification of the prevalence of bacterial infection in ARS, and characterization of which ARS patients benefit from antibiotics are warranted."

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text:
Lynn Tanoue, MD

Professor of Medicine (Pulmonary); Co-Director, Yale Cancer Center Thoracic Oncology Program; Clinical Chief, Section of Pulmonary, Critical Care and Sleep Medicine; Director, Yale Lung Screening and Nodule Program; Vice Chair for Clinical Affairs, Department of Internal Medicine

Research Interests

Lung Neoplasms; Respiration; Thoracic Neoplasms; Pulmonary Medicine

Research Organizations

Internal Medicine: Pulmonary, Critical Care & Sleep Medicine

Cancer Center

YSM Orchestra

Office of Cooperative Research

Research Summary

Dr. Tanoue is Co-Director of the Yale Thoracic Oncology Program, Director of the Yale Lung Cancer Screening and Nodule Program, and Principle Investigator for the Yale Lung Cancer Biorepository. Her research interests are focused on early detection and risk stratification for lung cancer, and the development of quality metrics for lung cancer evaluation and lung cancer screening.

Specialized Terms: Lung cancer; Thoracic oncology

Selected Publications

Edit this profile

Contact Info

Lynn Tanoue, MD
Patient Care Locations
Winchester Chest ClinicFitkin Memorial Pavilion
789 Howard Avenue

New Haven, CT 06519
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Yale Thoracic Oncology ProgramSmilow Cancer Hospital at Yale - New Haven
35 Park Street, Ste 4th Floor Multispecialty Care Center

New Haven, CT 06511
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Yale Pulmonary & Critical Care MedicineYale-New Haven Hospital
20 York Street

New Haven, CT 06510
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Yale Pulmonary & Critical Care MedicineYale-New Haven Hospital Saint Raphael Campus
1450 Chapel Street

New Haven, CT 06511
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Mailing Address
PO Box 208057
300 Cedar Street

New Haven, CT 06520-8057


text:
Robert Udelsman, MD, MBA, FACS, FACE

William H. Carmalt Professor of Surgery; Chair, Department of Surgery; Surgeon-in-Chief, Yale-New Haven Hospital; Chairman of the Board, Yale Medical Group; Leader of the Endocrine Cancer Disease Center at Smilow Cancer Hospital, New Haven, CT (April 2012 - Current)

Research Organizations

Surgery: Endocrine Surgery

Cancer Center: Genomics, Genetics, and Epigenetics

Cancer Genetics

Office of Cooperative Research

Selected Publications

Edit this profile

Contact Info

Robert Udelsman, MD, MBA, FACS, FACE
Patient Care Locations
Endocrine Cancers ProgramSmilow Cancer Hospital at Yale - New Haven
35 Park Street, Ste 4th floor Multispecialty Care Center

New Haven, CT 06511
View on map...
Yale Cancer CenterYale-New Haven Hospital
20 York Street, Ste East Pavilion

New Haven, CT 06510
View on map...
Yale Endocrine SurgeryFarnam Memorial Building
310 Cedar Street

New Haven, CT 06510
View on map...
Mailing Address
PO Box 208062
New Haven, CT 06520-8062

Curriculum Vitae


text:
Saturday, October 13, 2007

Ranking Doctors Using Claims Data Legal

I’ve never liked the idea of health plans using claims data to steer members to doctors. I don't think you can use data to judge human interaction in the patient-physician setting, what actions followed, or the quality of the physician.

But the use of claims data by health plans to steer patients to "quality" doctors is happening more and more , and you ought to be aware of what’s going on out there. Health plans are mining claims data with sophisticated algorithms to rank doctors for quality and economic performance. Doctors in New York State, Washington State, and Connecticut have objected, and have filed law suits, saying rankings focus primarily on cost, not quality.

To address the doctor backlash, George Washington University School of Public Health and the Robert Wood Johnson Foundation did a legal analysis. The analysis indicated rankings are legal under state laws. Their experts maintain physician rankings are critical to a broader movement to measure and publicly report on physician and hospital performance and to help improve the quality and value of health care (Source: Study Underscores Legality of Physician Ranking and Public Reporting Systems When Used to Improve Care Quality, Oct 9, 2007 - Washington, D.C.)

More health plans are rating physicians on quality and efficiency measures and are designing insurance products classifying physicians in tiers. Plans are given incentives to members to select certain high performing physicians. The GW legal analysis concludes transparency is critical when designing a tiering process.

The process should include physicians in the rating process and should be open and visible to physicians and allow their input. Classifying doctors based on the quality and efficiency of services is legal, and so is publishing information regarding health care quality. But undertaking these efforts in the dark could and should lead to physician backlash. Proprietary software should be open to inspection.

Standards should be developed by state insurance regulators in the case of insured plans, the Centers for Medicare and Medicaid Services in the case of Medicare and Medicaid plans, and by the U.S. Department of Labor in the case of ERISA-governed plans.

To me, much of this comes down to who do you trust – hard data from health plans, state and federal government, or subjective opinions of physicians. We shall see if these quality-directed efforts result in better or less costly care – or if they simply justify the economic existence of health plans and add to the bureaucratic red tape already strangling medical practices, or if published data alters the physician-patient relationship.

For doctors, avoiding judgments on quality based on data mining is likely a losing proposition To health plan executives and federal bureaucrats, this aphorism still holds, “In God we trust. All others use data.”
This is for your information. Your comments are invited.
The George Washington School of Public Health and the Robert Wood foundation have released an analysis saying that health plans can legally use sophisticated algorithms to mine claims data to steer health plan members to physicians whom the data indicates practice quality and economic medicine. The GW and RWJ experts maintain physician rankings are critical to a broader movement to measure and publicly report on physician and hospital performance and to help improve the quality and value of health care. The process, the analysis adds, should be transparent and should invite physician input.
For full story, see

Weschtester Orthopedist said...

Another nice piece Richard.

In the future I envision a situation where the industry not only tiers the physician ---but they will then combine that with their "cost" ranking--- to establish a punitive co-pay to see each doc. Once the patient becomes financially responsible for their decision then I think the situation will prove to be a problem for many practices.

Right now I imagine most patients are intelligent enough to see this for what it is. Similar to Care Managers, many patients will hate the intrusion they feel the insurance company is making into their private decisions.
We'll see.

Cocido con gofio said...

Hard data is just a help, but not the way to knowledge (and even less to wisdom).

Trusting in hard data and mathematic models to take decisions in a complex and fuzzy domain as are medical decisions and doctor-patient relationships is not new. Remember for exampel the story of McNamara and USA-Vietnam War.

In my opinion hard data is useful to detect trends or to compare groups (aggregation), but not individuals. In the outcome of healthcare (quality) there is a complex combination of factors (doctos, nurses, the own system, the patient socioeconomic status, adherence to treatments, environmental factors...). That complexity can be only afforded by a combination of hard and soft data (soft data that is inside the head of the clinicians).

The risk of ranking docs (and traslate this in money rewards) based in hard data is the selection of patients. If I am a doc and want to obtain no claims and good results I will try to select the patients that better respond to my treatments (the less problematic, the more literated, the less comorbid...). There are several ways to trick hard data anaylisis (this is known as statistic hacking and most doctors have done). The "Inverse Care Law" described by Hart in 1971 in its biggest expression!!!

Even there is a "diagnosis hacking", it happends when you make a medical decision about a patient (to admit in the hospital for example) and AFTER THAT you look for a diagnosis to justify your decision (constitutional syndrome or inestable chronic hearth failure of unkown origin are classics).

ObGynThoughts said...

Hard data about what? The problem is how to measure quality. For example: percentage of patients over 40 that get mammograms. Measures not only how often physicians order them, but also compliance by patients. Still only a tiny fragment of what a physicins does during an annual visit. I am sure the cost of prescribed medications is a factor, the cheaper, the better, I assume. The best medication nevertheless is the one most appropriate for this condition in this individual patient at this specific time. Hard to "measure". It is pretty tricky to get "quality" right. HMOs WILL take the shortcut of weighing cost more than anything. In my experince, this is another sleazeball move by insurances looking to pay physicians less. I will tell my patients to stay away from those physicians that rank high on the HMO lists, since I suspect that they will shortchange patients and over-emphasize cost.

Richard L. Reece, MD said...

I think you may be right. You tell the patient what the doctor
"costs", then you punish the patient if the doctor is high-priced. This may drive down quality and be considered intrusive, and those reasons might not work.

Florence said...

I fully match with whatever thing you have written.