Sunday, December 01, 2019

Medicare for all?  Britain already has it

Here's what you get

A mother whose baby died after he was born breech and she was allegedly denied a timely C-section is taking legal action against a hospital trust described as being responsible for the "worst" ever NHS maternity scandal.

A damning report found more than 90 babies and mothers either died or suffered severe harm due to disastrous failings at Shrewsbury and Telford Hospital NHS Trust (SaTH).

Kamaljit Uppal says she was told her child was lying bottom first when she was five months pregnant and health professionals told her she would need a Caesarean. But when she went into labour, she claims medics told her she wasn't allowed one as instructions to have the operation wasn't in her medical notes.

More than seven hours after her baby's foot had begun to show, the mother-of-three was eventually rushed for a C-section, but the infant, called Manpreet, died just a few hours after he was born. A post mortem confirmed he died as a result of a trapped vaginal breech delivery, according to Kamaljit's solicitors.

She told i: "I begged the midwife for a C-section and told her I was promised one at my antenatal appointments, but she said no. I feel my baby would be alive if I'd have had one quicker."

An internal report leaked to The Independent revealed clinical malpractice was allowed to continue across four decades, with repeated failings by midwives, doctors and hospital chiefs.

There were more than 600 cases being examined, and there were at least 42 babies and three mothers who died between 1979 and 2017. Another 51 infants were left with brain damage or disability after being deprived of oxygen at birth.

The review, led by maternity expert Donna Ockenden, found failures to recognise serious incidents and to learn from mistakes. There has been a lack of respect shown for families suffering bereavement with one mother who had just lost her child told to "keep the noise down" or leave the hospital. In another case, parents were not told their baby’s body had returned from a post-mortem examination and it decomposed so badly that they never got to say a final goodbye.

The report also reveals regulators were aware of problems as far back as 2007. The confidence of the Healthcare Commission, a forerunner to the Care Quality Commission, that improvements would be carried out was “misplaced”, it concluded.

The situation bears all the hallmarks of the Morecambe Bay maternity scandal, which led to the deaths of 16 babies and three mothers between 2004 and 2013.

Kamaljit, from Telford, now 50, went into labour on 16 April 2003 at around 8.30pm at The Royal Shrewsbury Hospital. She says a midwife said she could see the baby's foot at around 1am, but she wasn't taken for an emergency Caesarean until 8.30am.

"I was 35 and fit and healthy," she said. "Nobody even attempted to manually turn the baby around at all. I kept begging for a C-section and they kept saying no.

"There was only one doctor on duty. My baby had begun to show and he suddenly disappeared, I think for around 15 minutes to go help with another birth. It was only when the baby went into distress that they finally rushed me for a C-section but by then I believe the damage was done."

Breech is very common in early pregnancy, but by near the end, only three to four in every 100 babies are still in the position, according to the Royal College of Obstetricians and Gynaecologists (RCOG).

According to the RCOG, if a woman's baby remains breech towards the end of pregnancy, she should be given the option of a Caesarean. Its guidelines state: "Research has shown that planned Caesarean section is safer for your baby than a vaginal breech birth. Caesarean section carries slightly more risk for you than a vaginal birth."

Traumatic experience

Manpreet was born floppy and medics spent 20 minutes resuscitating him. They got him breathing but he died a few hours later. Kamaljit says she still suffers depression 16 years later and has never received a penny in compensation for what happened to her son.

"The whole experience was so traumatic. After he died I had to spend the night on a ward full of screaming babies. A nurse came up to me asking what milk my baby had. I'm not surprised at all about the recent report. My life was never the same after that day. I lost my precious boy."

She says she experienced extreme anxiety when she fell pregnant four months later, and was helped through it by a kind midwife.

Kashmir Uppal, a partner at Shoosmiths who is representing Kamaljit's claim and is no relation to her, said "this is clearly the worst maternity scandal yet exposed".

"In addition to the appalling treatment, tragic loss of life and injuries needlessly suffered by mothers and babies, one of the concerns relates to the duration of these avoidable deaths – over some 42 years. There have clearly been systemic failings at SaTH.  The push for natural births failed to take into account the risks for mother and child.

"Not only do lessons have to be learned to prevent any future tragedies of this nature, but there needs to be some individual accountability on the part of the doctors and midwives involved, and also the senior management under whose watch this pattern of woefully poor care was allowed to continue.  There has to be better patient protection and a willingness to speak out when things go wrong, as they simply won’t go away."

SaTH said it could not comment on individual cases. But Paula Clark, interim chief executive at the trust, issued a general statement that read: “We have been working, and continue to work, with the independent review into our maternity services.

"On behalf of the trust, I apologise unreservedly to the families who have been affected. I would like to reassure all families using our maternity services that a lot has already been done to address the issues raised by previous cases.

“Our focus is to make our maternity service the safest it can be. We still have further to go but are seeing some positive outcomes from the work we have done to date.”



Administrative state bares its teeth and shows that it is the real threat to the Republic

What do you do when the federal employees hired to implement the policies of the duly elected President of the United States not only refuse to do so, but participate in a partisan witch hunt designed to unseat him?

Under current law, not much.  Former Ukraine Ambassador Marie Yovanovich is resting comfortably somewhere in a State Department office.  Lt. Colonel Alexander Vindman is still prowling around the White House complex taking selfies in front of what could be presumed to be his office door, and George Kent is skulking around the bowels of the Foggy Bottom State Department headquarters.

How can this be, you ask?

They are all civil servants, and as a result the process for firing a civil servant is long, arduous and frankly so time consuming as to make it barely worthwhile.

In 2017, Americans for Limited Government began calling for the MERIT Act which allows for an expedited process to fire recalcitrant, incompetent or lazy federal employees.  Unfortunately, it has not yet passed, but after the public display of arrogance and outright contempt for the policies of the elected President of the United States, the passage of the bill has never been more important and the funding bill that is under consideration provides the perfect vehicle for enacting it.

The MERIT Act language mirrors the Veteran’s Administration reform bill passed by Congress and signed by President Trump in 2017. As readers will likely remember, the VA was literally leaving veterans to die waiting in line to see a doctor, and the national outrage forced the Democrats to allow passage of a reform that allowed rapid personnel changes. And the VA has seen some real change.  In 2017 alone, the firing of VA employees jumped by 27 percent, and overall, the VA has relieved 8,000 people of their duties.

It is time to apply the VA expedited personnel firing law to the rest of the federal government, and the best way to get it done is to add the language to the federal government appropriations bill which is under on-going discussion.

The greatest threat to our Republic is not a foreign invader, but instead is an out of control administrative state which believes that their thoughts supersede those of the elected officials. Given that it is extraordinarily difficult to fire this permanent governing class, they have the ability to delay and out weight Cabinet Secretary’s and even Presidents.

Over the past six years, we have witnessed the permanent FBI sub-leadership engage in illegal activity designed to take down President Trump. We have seen Lois Lerner and others within the IRS run a political targeting operation against those perceived to be opponents of President Obama. And in the Ukraine-inspired impeachment sham, we have heard first-hand the voices of contempt for the vote of the people.

It is time to rebalance the system by allowing these recalcitrant, incompetent or lazy employees to be fired in a timely manner if, and only if, there is cause.  Perhaps this impeachment fail will lead to some good, and the MERIT Act, S1898, sponsored by Senator David Perdue of Georgia, will gain steam, as legislative anger swells over the administrative state attempted coup which America has witnessed.

While the MERIT Act is not the full answer to the challenges posed by an administrative state which demands fealty by those who are elected to govern, the simple truth is that you cannot drain the swamp unless you can fire the swamp.



Democrats are Doomed: Two Polls Show Support for Trump Among African Americans at 34%

In what one can only describe as "disastrous news" for Democrats, two different opinion polls find that, among African Americans, support for President Trump is in the thirties. This number has been rising more or less constantly from a year ago, when it was in the mid-20s.

Rasmussen Reports explains on Twitter that one of the biggest differences between them and most other polling organizations is that they look at likely voters instead of at voters in general.

"All American Adults don't vote. A portion of Registered Voters also don't frequent national elections. That's why we invest the extra $$ to ask political questions to only Likely Voters," Rasmussen explains. "And we do this using techniques to assure privacy - just like in the voting booth."

In other words, their polling mimics actual voting as much as possible. And yes, the result is that Rasmussen concludes that support for President Trump among African Americans is at 34 percent:

As The Epoch Times reports, that's incredibly important because only 8 percent of African Americans voted for Trump in 2016.

Support for Trump among African Americans poses a major threat to the Democratic Party. Democrats have done horrendous among white voters for ages. The only way for them to actually win a presidential election is to destroy Republicans in the view of minorities -- especially among blacks and Hispanics -- and to get close among whites.

If these polls are correct, Democrats are already doomed. As RealClearPolitics explained last year, "[E]ven 20 percent African-American support for Trump would all but dismantle Democratic Party presidential hopes for 2020. Hillary Clinton lost the 2016 election with 88 percent of the black vote. That was about a six-point falloff from Barack Obama’s share of the black vote in 2012."

Yes, "even a small drop in African-American turnout or anything less than the usual 85 percent to 90 percent supermajority for a Democratic presidential candidate on Election Day can prove fatal."

In fact, as RedState rightfully puts it, it will be fatal. Especially since support for Trump among Hispanics -- another key Democrat minority group -- is rising too. According to Emerson, 38.2 percent of Hispanics now approve of the president's performance. Note, in 2016, 28% of Hispanics reportedly voted for him.

A ten-point increase among Hispanics in itself would be a game-changer. Add to that the 16 percentage-point increase among African Americans, and President Trump's reelection seems increasingly likely.

And who do we have to thank for that? That's right: Democrats and their impeachment hoax.




MUST COMPLY: Former White House counsel Donald McGahn must testify to Congress, judge rules; administration will appeal (The New York Times)

TRUMP FINANCIALS SHIELDED: Supreme Court blocks House committee from immediately reviewing Trump's financial records (The Washington Post)

SILENCE SPEAKS VOLUMES: Ex-Pentagon aide Guy Snodgrass evades answering if he's anonymous author of anti-Trump book A Warning (Fox News)

OBSTRUCTIONISTS AT THE HELM: Three years into Trump administration, a quarter of embassy slots are vacant, leaving State Department bureaucrats in charge (The Daily Caller)

ON CROSS-EXAMINATION: Four big questions about the inspector general report on FBI surveillance of the Trump campaign (The Daily Signal)

MOVING ON: Navy SEAL Eddie Gallagher to retire from active duty, will not take part in a review board (Fox News)

REVENUE BY ANY MEANS NECESSARY: California Department of Motor Vehicles makes $50 million a year selling drivers' info to private companies (National Review)

EXPLANATION: Trump: Here's the real reason I held back money from Ukraine and blocked impeachment testimony (The Daily Wire)

I'LL SUE YA: House Democrats sue Attorney General Bill Barr and Commerce Secretary Wilbur Ross over "brazen obstruction" of census subpoenas (National Review)

MIGRANT REQUIREMENT STALLED: Federal judge blocks Trump health insurance rule for immigrants (Fox News)

ANTI-TRUMP HIT JOB: New Fusion GPS info confirms the special-counsel probe was a hit job (The Federalist)

HARDBALL: U.S. to designate Mexican drug cartels as terrorists (Reuters)

PERPETUALLY GREAT: Dow scores 100th record close under Trump (Fox Business)

POLICY: Native American health scandal shows why government-run care can be deadly (The Federalist)


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1 comment:

C. S. P. Schofield said...

"And who do we have to thank for that? That's right: Democrats and their impeachment hoax."

I doubt that the Democrat Impeachment circus has had much to do with the shift in Black support for the President. I strongly suspect that the job climate, Trump's position on immigration, and general Leftwing craziness have been far more important. The Black community may or may not have much knowledge of the Brownshirts of the Nazi Party, but if I were a poor minority person the sight of privileged white punks wearing masks and swarming in the streets to harass and beat up people they didn't like would make me very nervous.

When you get right down to it, while Antifa is the German Sturmabteilung (minus the dress sense) it also bears a strong resemblance to the Klan at its nauseating hight.