RUTHFULLY YOURS

https://www.city-journal.org/veterans-admin-unwise-laser-eye-surgery-policy

The Department of Veterans Affairs is the federal government’s second-largest department. As of 2021, it operated approximately 1,600 health-care facilities, 144 medical centers, and 1,232 outpatient sites, of varying complexity. The VA has long been plagued by a wide spectrum of problems, including long delays in scheduling appointments, substandard care, and years of trying to get a $10 billion electronic system to work effectively.

As a veteran myself (I have never received medical care through the VA, though I did numerous medical school clinical rotations at a VA hospital), I know that veterans deserve better. And yet, the VA seems to be committed to a change in policy that would further degrade the quality of their care—specifically, by allowing underqualified practitioners to perform laser eye surgery.

Last September, the VA modified its eye-care guidelines for treatment from community providers by letting optometrists, who are neither medical doctors nor surgeons, perform some surgical procedures. Without soliciting input from the public or medical community, it removed language from the Community Care guideline, which had ensured that “only ophthalmologists can perform invasive procedures, including injections, lasers and eye surgery.” This change would permit optometrists to perform surgical procedures such as laser trabeculoplasty—an operation on the eye to treat glaucoma—rather than restricting them to ophthalmologists (who are highly trained, experienced, qualified surgeons), as had been the policy. The change would be felt immediately in a small number of states that already allow optometrists to perform laser surgery. But the VA is considering a broader policy change that would make it possible for optometrists in all VA facilities to perform these procedures.

The differences in the amount of training and the scope of competence between optometrists and ophthalmologists are vast. Ophthalmologists log over 17,000 hours of clinical experience in general medicine, surgery, and emergency management during medical school and specialized postgraduate training.

https://issuesinsights.com/2023/01/30/60-billion-in-covid-fraud-try-4-trillion/

As auditors and congressional investigators try to figure out just how much federal COVID relief went to fraudsters, they are missing the trillions of dollars in fraud committed by the federal government itself in a war that we had no chance of winning.

Last week, the Government Accountability Office reported that fraudsters took in about $60 billion in unemployment checks. That’s on top of the tens of billions in fraudulent claims made through the Paycheck Protection Program, the tens of billions handed out through a Small Business Administration program, and on and on.

This Wednesday, the House Committee on Oversight and Accountability will hold a hearing “to investigate rampant waste of taxpayer dollars in COVID relief programs.”

Rep. James Comer, R-Ky., the chairman of the committee, said “we owe it to Americans to identify how hundreds of billions of taxpayer dollars spent under the guise of pandemic relief were lost to waste, fraud, abuse, and mismanagement.”

That’s all well and good. But what we really need is an investigation into how the war against COVID wasted trillions of taxpayer dollars, imposed massive disruptions, handicapped millions of students, and probably didn’t save many, if any, lives.

That sort of investigation, if done honestly, would likely conclude that we would have been better off if we’d done nothing at all beyond asking people to wash their hands and stay home if they’re sick.

Shocking? Impossible to believe? Let’s review the evidence.

Start with the fact that since COVID-19 first landed on U.S. shores three years ago, 1.1 million have died from the virus, according to the Centers for Disease Control. Even now, deaths are averaging around 4,000 per week.

https://www.wsj.com/articles/medical-schools-bail-on-academic-merit-and-intellectual-rigor-us-news-rankings-diversity-equity-inclusion-race-students-11675005330?mod=opinion_lead_pos7

To see how the diversity, equity and inclusion mania is colliding with meritocracy in American higher education, pay attention to the flap over graduate schools pulling out of the U.S. News rankings. Readers who aren’t applying to medical school may have missed the controversy. But anyone who plans on seeing a doctor or benefiting from research or treatment at an academic medical center has an interest in the outcome.

So far, U.S. News has resisted demands from the graduate schools to base the rankings on equity rather than on the grades and test scores of incoming students. U.S. News has been transparent about the method it uses for its rankings, including factors such as a reputation survey, MCAT scores and grade point averages of incoming students.

The medical schools have been similarly clear about why they disagree with the U.S. News method and will stop participating. The Icahn School of Medicine at Mount Sinai, in a Jan. 24 statement, said the U.S. News rankings undermine the school’s “commitment to anti-racism” and “outreach to diverse communities.”

“Diversity, equity and inclusion are important factors in our decision,” the school’s deans, Dennis Charney and David Muller, said. “We believe that the quality of medical students and future physicians is reflected in their lived experiences, intersecting identities, research accomplishments, commitment to social and racial justice, and a set of core values that are aligned with those of our school.”