How to solve America’s doctor shortage: Sally Pipes

https://www.pineisland-eagle.com/2024/05/16/guest-commentary-how-to-solve-americas-doctor-shortage/

Doctors appointments will be hard to come by over the next decade, according to new data from the Association of American Medical Colleges. By 2036, the organization estimates that the United States will be short as many as 86,000 physicians.

This is a shortage of not just doctors but medical care. In most sectors of the economy, shortages tell suppliers it’s time to boost production. But government regulation has artificially restricted the supply of medical care for years.

We must relax those regulations in order to boost the supply of medical care — and meet the needs of patients.

There are plenty of medical professionals who can help address this shortage of medical care — if only they’re allowed to. Nurse practitioners and physician assistants go through years of training and clinical practice to get qualified. They can diagnose and treat patients, including by prescribing medication. Right now, there are about 280,000 nurse practitioners and 126,000 physician assistants in the United States.

In many areas, “scope of practice” laws prevent these professionals from practicing to the full extent of their training. Nearly half the states have laws limiting nurse practitioners’ ability to practice.

Proponents of these rules argue that allowing nurse practitioners and physician assistants to practice without restrictions would put patients at risk. Yet research shows otherwise.

A study by researchers at New York University and Boston College concluded that “(s)tate regulations restricting (nurse practitioner scope of practice) do not improve the quality of care.” A study from the University of Central Florida found that broadening nurses’ scope of practice may actually improve quality of care.

And according to a 2023 study from the University of Alabama School of Law, over a 14-year period, expanding scope of practice for nurse practitioners and physician assistants reduced healthcare-related deaths — by 12 per 100,000 people and 10 per 100,000 people, respectively. Rural areas, which tend to have the biggest primary-care shortages, saw even greater improvements.

It’s clearly time for states to get rid of scope-of-practice rules.

If It Ain’t Woke, Don’t ‘Fix’ It J.T. Young

https://issuesinsights.com/2024/05/17/if-it-aint-woke-dont-fix-it/

To hear the radical left tell it, America is broken beyond repair.  It must be torn down and rebuilt — “fixed” to the radical left’s specifications.  Following this slanted subjectivism has turned countless American institutions into caricatures. 

Like so many monsters stitched and bolted together by Frankenstein, these once-healthy institutions now lurch stiff-legged before us — and always ever more leftward.  Among them, none stands out more monstrously now than America’s self-proclaimed “elite” colleges. 

The list of the left’s demands is as endless as its proposals are preposterous. 

They demand an open border policy because they claim enforcing national sovereignty is racist.  They demand sanctuary cities because they claim it is racist to not encourage illegal immigration.  Police departments should be defunded because they claim enforcing the law is racist — ditto prosecuting those apprehended in breaking it — despite minorities being the greatest victims of these policies. 

When it comes to schools, they oppose standardized testing and advanced placement courses because they deem these too to be racist, and they oppose school choice because, in the words of American Federation of Teachers president Randi Weingarten, these are “undermining democracy.”

These radical demands and more have penetrated corporations, sports, establishment media, and entertainment.  The Biden administration’s capitulation to the left’s environmentalism is a case in point. 

On Earth Day, it heralded a grant competition for $7 billion to go to 900,000 low-income families for solar panels: that comes to about $7,800 per house.   If that $7 billion figure sounds familiar it should; it almost exactly matches the $7.5 billion the administration asked Congress for in 2021 for EV charger installation. As of December 2023, not one had been built; by the end of March 2024, only seven had. 

Yet no place has allowed itself to be rebuilt with greater abandon than the campuses of America’s self-styled elite institutions of higher education.  Grotesque anti-Semitism has been retooled into pro-Palestinian “progressivism” by the left.  Their calls for the destruction of Israel have always rested on the preposterous proposition that this somehow did not include those who inhabit it. 

Everyone Gets a Trophy, and No Trophy Is Worth Anything If Bob Dylan deserves a Nobel Prize in Literature, the award doesn’t deserve the respect of anyone. Joseph Epstein

https://www.wsj.com/articles/everyone-gets-a-trophy-and-no-trophy-is-worth-anything-c03f351f?mod=opinion_lead_pos7

President Biden awarded the Presidential Medal of Freedom to 19 Americans this month. I wish he had cut the list down to two or three. Perusing the list of winners I note, along with a preponderance of Democratic politicians, the heavy hand of diversity at work, making certain that among the winners are included a sufficient number of women, African-Americans, Hispanics and even a Republican (Elizabeth Dole).

The result of so many medal winners is to diminish, if not altogether destroy, the cachet the honor once held. Another once-vaunted prize bites the dust.

The Presidential Medal of Freedom joins the Nobel Prize for Literature, which long ago lost its luster. When it went to Bob Dylan in 2016, what prestige remained was all but blown away. His songs have nothing to do with literature, and most, in any case, are derived from Woody Guthrie. I await the day the Swedish Academy decides to recognize that notable speed typist Joyce Carol Oates, which ought to finish the prize off completely.

The Pulitzer Prizes in the arts haven’t done much better. Some years ago in the London Times Literary Supplement, I noted that these awards seem to go to two kinds of people: those who don’t need it and those who don’t deserve it. In 1998, when Katharine Graham won a Pulitzer for her autobiography, Hilton Kramer noted that she qualified on both grounds. The prize’s prestige has also all but evaporated.

Then there are honorary degrees, which long ago lost their honor. Universities often give them to the wealthy, hoping the recipients will make handsome financial contributions. My friend Sol Linowitz told me he collected 63 such degrees while chairman of Xerox. The thick-fingered hand of diversity is felt here, too. Good luck finding a list of honorary degrees these days that doesn’t include at least two African-American women.

The National Book Award, especially for novelists, once had great prestige. To win one meant that a novelist had truly arrived—or so Saul Bellow, Ralph Ellison, William Styron, Philip Roth and other novelists of that era must have felt. Today you’d be hard-pressed to name any novelist who has won a National Book Award in the past decade, which may have something to do with the loss of interest in the contemporary novel generally.

Sunflowers and bad news: Ruthie Blum

https://www.jns.org/sunflowers-and-bad-news/

Friday afternoon. Gordon Beach in Tel Aviv. Less crowded than last year at this time. Fewer tourists.

It’s the fault of the war. Airline cancellations and El Al price hikes didn’t help.

Still, rows of chaises with tanning nymphets are packed. So is the water. The Mediterranean is calm. No black flags warning of undertow. Kids splash around. Parents play paddle ball.

Tattooed waiters bustle back and forth, carrying trays with iced coffee and watermelon. Couples seated at low tables bury their feet in the sand, talking about nothing in particular.

A hang-glider flies overhead. It’s startling for a second—reminiscent of Hamas’s infiltration on Oct. 7.

My phone vibrates with an incoming message from my son. It’s a photo of a field of sunflowers in the Gaza envelope. He stopped to snap it on his way back to the front. Beauty before battle.

The Home Front Command app informs of incoming rockets in the south: Sderot, Nir Am and elsewhere. Then drones along the “confrontation line” separating Israel from Lebanon: Dalton, Rehaniya, Kerem Ben Zimra. Afterwards, Kadita in the Upper Galilee. Again, the confrontation line: Daphna, Kibbutz Dan, Hagoshrim, She’ar Yeshuv, Snir.

Katzrin in the southern Golan Heights and Ma’ayan Baruch on the confrontation line are also in the crosshairs. More barrages in the Upper Galilee—in Gadot and back to Katzrin. A repeat performance at the confrontation line: Misgav Am, Kiryat Shmona … the list of Hezbollah’s targets goes on.

But no sirens here in Tel Aviv. It’s been more than two months since the last time the White City was hit with Hamas projectiles, forcing residents to run for cover.

Eurovision handed Israel the win By David Isaac

https://www.jns.org/eurovision-handed-israel-the-win/

 Israel finished fifth overall in the 2024 Eurovision Song Contest. That surprise finish was widely celebrated by Israelis as a great success. In fact, it was a success greater than they realized.

The European public’s vote for a singer was a protest vote against the anti-Israel narrative of the elites and the antisemitic demonstrations marching through Europe’s cities by those celebrating Hamas.

“In a competition invaded by politics, the European public decided to respond and reject the clear bias and anti-Israel trend by supporting massively the Israeli candidate Eden Golan,” Daniel Shadmy, spokesperson of ELNET-Israel, a group dedicated to strengthening Europe-Israel relations, told JNS.

“After the judges of the competition snubbed the Israeli candidate, the European public voted with a loud and clear voice and put Israel as their second favorite song of the whole competition. Israel got top scores from 14 countries, this year’s record,” Shadmy said.

Israel actually won a 15th “country.” A new category, “Rest of the World,” includes voters from countries that aren’t participating in the contest.

Among countries whose public voted Israel into the top spot were the United Kingdom, France, Germany, Sweden, Holland, Switzerland, Portugal and Italy.

The Irish public, considered among the most hostile to Israel (although perhaps that assumption should be revisited), put Israel in a respectable second place, giving it 10 votes.

“It is noteworthy that countries that were very critical of Israel, both politically and during the competition itself, such as Belgium and Spain, were among those whose public gave the most points to Israel in a clear message of protest,” Shadmy said.

Eurovision voting is a tally of two sets of votes: public and jury. Each counts for 50% of the total tally.

Why the Palestinian Authority Should Not Return to Gaza by Bassam Tawil

ttps://www.gatestoneinstitute.org/20641/palestinian-authority-fatah-gaza

The Israeli government, according to reports, is being pressured by the Biden administration to send the money to the PA. This addled and dangerous proposal amounts to expecting the Jews to support the same people who are murdering them. The Biden administration has also been launching a legal and diplomatic offensive to discredit, isolate, and penalize Israel for trying to defend itself against terrorist attacks.

Meanwhile, the PA, instead of acknowledging that it is terrified to go back to the Hamas-ruled Gaza Strip, is trying to pressure Israel into accepting the creation of a Palestinian state and releasing the tax revenues. Unbelievably, the PA and the Biden administration apparently want Israel to grant Palestinians a state that will be ruled by the same murders, rapists and kidnappers who invaded Israel on October 7, 2023.

Abbas might one day return to the Gaza Strip – but only when he sees that Hamas has lost all military might and is no longer in control. Meanwhile, he feels safe and secure being in the West Bank, where Israel is in charge of overall security and is fighting against Hamas and other Iran-backed terrorist proxies. He knows that without Israel’s security presence in the West Bank, Hamas would have killed him and toppled the PA long ago.

Allowing Hamas to win its war against Israel would delight two countries deeply committed to supporting terrorism. The first is Qatar, an oil-field protected by a US air base, and a country with which President Joe Biden’s brother, James, according to court testimony, might reportedly have had business dealings

The second country is Iran, repeatedly designated as the “leading state sponsor of terrorism” and currently racing toward nuclear weapons capability. The Iranian regime – which presently controls four Middle East capitals in addition to its own — Sanaa, Damascus, Beirut and Baghdad — wishes to take over the Middle East, as well as oil-and-mineral-rich Sudan. Iran’s rulers would undoubtedly not only pave the way for more October 7-style atrocities against Israel, but also other neighbors — Saudi Arabia, the United Arab Emirates, Jordan, Egypt and Bahrain — especially if Iran obtains nuclear weapons.

Abbas, fearful of being called a traitor, is reluctant to take action against the terrorists. It might mean his death. Additionally, he is most likely not pursuing the terrorists because they do not directly threaten him or the PA.

If a Palestinian leader does not even have the bravery to condemn the unimaginable Hamas atrocities of October 7, how can one expect him to confront terrorism emanating from his Palestinian Authority?

The Gaza Strip needs moderate and pragmatic leaders who will embark on a process of deradicalizing and reeducating Gazans to lead peaceful, prosperous and constructive lives, freed of subjugation by their leaders, who will finally prepare their people for peace in the region. At the moment, unfortunately, among the Palestinians, no such leaders exist.

The ‘Heart’ of Alvin Bragg’s Case Against Trump A nonsensical and irrelevant narrative. by Jacob Sullum

https://www.frontpagemag.com/the-heart-of-alvin-braggs-case-against-trump/

Porn star Stormy Daniels says she had sex with former President Donald Trump at a Lake Tahoe hotel in July 2006. To keep her from telling that story, former Trump fixer Michael Cohen says, “the boss” instructed him to pay Daniels $130,000 shortly before the 2016 presidential election.

Manhattan District Attorney Alvin Bragg says that nondisclosure agreement was a serious crime that undermined democracy by concealing information from voters. Of these three accounts, Bragg’s is the least credible.

“This was a planned, coordinated, long-running conspiracy to influence the 2016 election, to help Donald Trump get elected through illegal expenditures, to silence people who had something bad to say about his behavior,” lead prosecutor Matthew Colangelo said at the beginning of Trump’s trial last month. “It was election fraud, pure and simple.”

Contrary to Colangelo’s spin, there is nothing “pure and simple” about the case against Trump. To begin with, Trump is not charged with “conspiracy” or “election fraud.” He is charged with violating a New York law against “falsifying business records” with “intent to defraud.”

Trump allegedly did that 34 times by disguising his 2017 reimbursement of Cohen’s payment to Daniels as compensation for legal services. The counts include 11 invoices from Cohen, 11 corresponding checks and 12 ledger entries.

Falsifying business records, ordinarily a misdemeanor, becomes a felony when the defendant’s “intent to defraud” includes an intent to conceal “another crime.” Bragg says Trump had such an intent.

What crime did Trump allegedly try to conceal? Prosecutors say it was a violation of an obscure New York law that makes it a misdemeanor for “two or more persons” to “conspire to promote or prevent the election of any person to a public office by unlawful means.”

A Landmark on the Road to Decline What the Biden regime and its political operators don’t consider. by Bruce Thornton

https://www.frontpagemag.com/a-landmark-on-the-road-to-decline/

The normalization of antisemitic terror we have witnessed among protestors since the October 7 attacks on Israel is a portentous landmark on the West’s road to civilizational degeneration. Every dimension of our socio-political order––all three branches of the federal government, and many blue-state governments; popular entertainment and high-brow culture; mainline churches; corporate boards and C-suites; national security and defense agencies, and education from K-12 to universities–– has been corrupted by illiberal, if not antihuman ideologies that undercut the foundations both of our political freedom and equality, and the morality and ethics that nourish both.

We’ve known for decades that our educational systems have been failing to educate the young, even as politics, social fads, and culture war propaganda have replaced foundational skills like reading, writing, basic science, critical thought, and history. More inimical to learning is the illiberal attacks on First Amendment rights to free speech and academic freedom, and the enforcement of a rigid orthodoxy that punishes and “cancels” those who challenge the party line. Such a regime stifles truth and replaces history with false narratives that serve autocratic agendas.

The protests in support of Hamas, antisemitism, and genocide show how ignorant of basic historical facts are many students attending our most prestigious universities. Consider the historical terms like “imperialism” and “colonialism” incessantly chanted like mantras. They are now stripped of their meaning and reduced to question-begging epithets ––“mind-blockers” and “thought-extinguishers,” as the great historian of Soviet mass murder Robert Conquest describes them, which serve “mainly to confuse, and of course to replace, the complex and needed process of understanding with the simple and unneeded process of inflammation.”

“Inflammation” is exactly the purpose of similar clichés like “genocide,” “settlers,” “famine,” “disproportionate,” “Palestinian homeland,” and all the other slogans and chants we’ve heard over the last eight months from the callow, self-righteous protestors. But it’s not just ignorance of history, but also moral idiocy that afflicts the “activists” siding with sadistic killers

And how grotesque is the lack of self-awareness among affluent “snowflake” undergrads who want to trespass, destroy, assault, and burn, and then demand they be fed, accommodated, and never required to be held accountable by the police, district attorneys, their universities, or future employers? They are the products of the same pathologies to which Sallust, the 1st century B.C. Roman historian, attributed the Roman Republic’s demise: “decadence and hubris—the natural dividends of prosperity.” Just as in Rome, the same cultural malignities now dominate our civilization.

Geert Wilders to Join New Dutch Government “‘strictest-ever’ asylum policy” by Daniel Greenfield

https://www.frontpagemag.com/geert-wilders-to-join-new-dutch-government/

Last November, Dutch voters rallied for Geert Wilders. The PVV party became the largest party in the Dutch parliament. Normally that should have meant that Wilders, who has spoken out against Islamization and globalization, should have been on track to become prime minister. But after quite a few months of negotiation, there will be a coalition government. Wilders isn’t being allowed to be PM but he has announced a tough asylum policy and an end to the EU’s ‘green’ war on farmers.

And the EU, the media and the rest of the machine will do everything possible to stop it.

Dutch voters have come out over and over again against an invasion of their country.

According to November exit poll data, men and women, urban and rural, old and young voted for the far-right party.

In parts of the Netherlands, such as the northeast, the previous election — in which, due to pandemic precautions, 70-plus voters could cast their ballot by post — revealed a generational gap between older voters, who still backed traditional parties, and younger voters, who supported Wilders more often. “The children of PVDA-ers [Labor Party] have become PVV-ers,” said De Voogd, referring to the Freedom Party by its Dutch acronym.

As well as luring voters away from other parties, the Freedom Party tapped into a major new voter potential: Non-voters. Dutch voter analysis has shown that Wilders’ second-largest source of new votes — about 11 percent — had come from people who had abstained in 2021.

And this is the first time there’s a government that may actually act.

The Netherlands has today said it will opt out of European Union rules and bring in its ‘strictest-ever’ asylum policy following Geert Wilders’ shock election victory.

The parties said they would file a request to the European Commission for an opt-out on European asylum policy ‘as soon as possible’. People without a valid residence permit will be deported ‘by force if necessary,’ said the report.

Only America First Can Reverse the Global Chaos Caused by the Biden Administration It is undeniable that our world today is much more unstable and dangerous because President Biden abandoned President Trump’s successful America First national security policies. By Fred Fleitz

https://amgreatness.com/2024/05/17/only-america-first-can-reverse-the-global-chaos-caused-by-the-biden-administration/

There is only one word to describe the result of President Biden’s foreign policy: chaos.

Just consider how we have seen the Biden administration treat Israel, one of America’s closest and most important allies.

Biden officials have been far more critical of Israel than Hamas in the aftermath of the horrific October 7 Hamas terrorist attack, during which over 1,200 Israelis were brutally murdered. Biden officials haven’t been demanding that Hamas release the hostages it took during this attack or agree to an immediate cease-fire. Instead, they have been publicly pressuring Israel to stop the war in Gaza because this conflict is extremely unpopular with Biden’s progressive base and is hurting him in the polls.

Moreover, because of his differences with Israel over the war in Gaza, last week Biden said he was withholding weapons from Israel that recently were approved by Congress. But this week, the Biden administration said it was moving forward on a new $1 billion arms deal for Israel.

Adding to this confusion, the Washington Post reported on May 13 that the Biden administration is withholding sensitive intelligence on Hamas and is refusing to share this information until the Netanyahu government makes concessions to not launch a full-scale raid into the southern Gaza city of Rafah. This intelligence reportedly concerns the whereabouts of Hamas’s leadership and Hamas tunnels in southern Gaza.

Think about that. President Biden is actually withholding terrorism-related intelligence from a close U.S. ally while it is at war against a terrorist group.

And it gets worse. Iran fired over 300 missiles and drones at Israel on April 13, the first Iranian attack ever against targets on Israeli soil. There have been more than 150 attacks by Iranian proxies against U.S. forces in Iraq and Syria since October 2023. Yemen’s Houthi rebels have fired dozens of advanced drones and missiles against ships in the Red Sea since last October. And the Biden administration’s refusal to enforce U.S. sanctions against Iran caused its revenues to be $71 billion greater by last fall than they would have been if Trump-era sanctions had been enforced.

These troubling developments in the Middle East are part of a broader deterioration of global security during the Biden administration, including the disastrous U.S. withdrawal from Afghanistan, Russia’s invasion of Ukraine, an increase in Chinese military provocations against Taiwan and in the South China Sea, a surge in North Korean missile launches, major advances in Iran’s nuclear weapons program, and a new anti-Western “axis” comprised of China, Russia, Iran, and North Korea.