While I'm glad that you used this forum to discuss these issues because all are important, the article was about the hospital practice of boarding admitted patients in the ER. And how in some communities with high Medicaid and uninsured populations where hospitals are capacity-constrained (where demand for services exceeds supply on both the ER side and inpatient side), boarding is the profit-maximizing strategy. While Zack and I thought we explained it in the article, I am sorry if this was unclear to some.
He argued his case with more details and references before concluding:
I thank you again for your interest in this important topic that affects all Americans. Because sooner or later, you and your loved ones will all need to go to the ER. This needs to be discussed in public forums by people who understand the issues and can provide suggestions to hospital administrators and policymakers who have the power to eliminate boarding through objective measurement and accountability for this crisis.
Anyone interested in the issue should read the post in full here. And Mr. Pines is most welcome to come and help us in the Fray any time. MR ... 5:30 p.m. GMT
Tuesday, July 22, 2008
Prized Fray regular wmccomninel watched Generation Kill, read the review in "Culturebox", and started a great thread which led to his laying this thought on the line:
My own life was negatively affected by serving in both wars in Iraq, that much is certain. And yes, even if you just drove to the mall, when America went to war so did every American citizen, happily or not.
His top-post thoughts on the program were fascinating, worth quoting at length:
War is not just another slice-of-life experience. It tends to be thoroughly atypical in many dimensions simultaneously which makes its only points of reference internal to the experience of war itself. In other words it gets a little bit crazy when viewed from an external, normal frame of reference. When one goes home again and things are normal there is no way to translate the war experience into non-war terms. There simply are not enough common reference points upon which to draw for you to align the two different experiences in ways which are even vaguely accurate. The parallels to gang wars which the reviewer suggests that the producers have brought with them from their work on The Wire are perhaps as close as one could aspire to in such an effort. They are still woefully inadequate to the task however.
Crime within a society has a certain business-as-usual flavor (rare bizarre incidents excepted). That is why there are so many police shows, it is just too easy make another new one. War on the other hand defies all boundaries. It is the complete absence of normal law and order, hence the absurdity of trying to define 'war crimes' as if there were a proper way to conduct day-to-day war operations as we do with the goods and services of the civilian economy. Indeed I find the mix-up stems entirely from the way that so many people view war as being just 'business by other means' and not the last resort of a sovereign nation at severe risk of its own dissolution.
Geo140 had experience in the Marines and watched the original program with interest: