Posted by
Steve Maloney on Friday, June 01, 2007 10:36:14 AM
NOTE: THIS IS THE SATURDAY COLUMN ON RUDY GIULIANI BEING A LOCK FOR THE REPUBLICAN NOMINATION. I'LL MOVE IT UP AS SOON AS THE SERVER STOPS ACTING TEMPERAMENTALLY. THANKS. YOUR COMMENTS ARE ALWAYS WELCOME (AS LONG AS THEY'RE NOT DONE WITH CRAYONS AND FOAMING AT THE MOUTH). Note #2: In the next several days, I'll be talking about questions the candidates, Democrat and Republican, should be getting -- and about how the candidates have performed in the debates. I have produced the earliest, most complete analyses of the past debates, and the same will occur this time. I urge everyone who comes to TH to read my analyses. Thanks for visiting!
Major Red State Alert: Why Rudy Giuliani is a Lock for the Republican Nomination:
Robert Novak says the following in today's (Saturday’s) Townhall: “A June 14 meeting of New Jersey's Republican State Central Committee is expected to adopt a Feb. 5 presidential primary procedure giving the first-place finisher all three delegates in each of the state's 13 House districts, and the statewide leader all 13 at-large delegates. In the past, delegates were divided among candidates according to their share of the vote (as in 1980, when Ronald Reagan and George Bush split New Jersey).”
In short, New Jersey is moving away from proportional voting in the primary to something approaching “winner-take-all.” That’s a monumental development in Republican politics.
This is the reality behind all the media rhetoric and hoopla about the presidential race. How important is a state like New Jersey, with its 52 delegates to the Republican convention, all of which seem destined to go to Rudy Giuliani? Profoundly important.
You’ll hear a lot of discussion about the “critical” primaries in New Hampshire, Iowa, and South Carolina. New Jersey has about as many delegates as those three states combined. Don’t let the MSM somehow convince you that three molehills equal one huge mountain.
For the opponents of Rudy Giuliani, it gets worse. Most experts believe he has a good chance of winning primaries in the following states: California, New York, Florida, Pennsylvania, and Illinois. As they say in rural Alabama, “that ain’t chickenfeed.”
If in fact, Giuliani wins the states I’ve mentioned as leaning strongly toward him, he will be the Republican nominee. The “strengths” of, say, a Romney, in Utah and Idaho and McCain in various small states wouldn’t mean much.
John McCain will continue to be a force in the battle for the nomination, but it’s hard to see him winning any of the (usually) “Blue” states Giuliani is clearly targeting. Fred Thompson?
Again, which of the “leaning Giuliani” states is Fred Dalton going to win against Rudy? I do forecast that the former Tennessee Senator will win, well, Tennessee and Mississippi.
Thompson will take some votes from McCain and even the increasingly hapless Romney. He won’t take votes from Giuliani.
Clearly, Rudy has a “trade-off” strategy: he’ll let his opponents win some of the small states – while he takes almost all the big ones. He’s letting them divvy up the far-right segment of the base, while he targets the vast center-right group of Republicans.
Rudy may not win any of the three early primaries – NH, IA, and SC – although he’s doing well in South Carolina. What probably will happen is that the MSM will focus on who’s doing well in NH and other January, 2008, primaries.
Meanwhile, however, a great political tsunami will be building in most of the country’s largest states, including Florida (crucial to the Giuliani strategy), New York, California, New Jersey, and Pennsylvania, where Giuliani is far ahead. The MSM might get the message that what’s happening in Los Angeles, New York, Chicago, and Miami is more important than what’s taking place in Manchester, NH and Des Moines, Iowa.
Unless something strange happens, Rudy Giuliani will be the Republican nominee for President. This is as close as we have to a sure-thing in today’s contentious political environment.
The Democrats running for president are recommending exactly the wrong solutions for American health care. Their proposals would increase the demand for health care – largely from people who probably don’t need it – and do nothing to increase the supply of care for sick people. As a result, all of us – including people in desperate need of attention – had better prepare to wait in long lines.
Let me tell you another story: A few weeks ago on the TV show “ER” the nurse “Sam” was with a 20-something guy whose knee had gone out of joint. A very good looking man, he had Sam’s undivided attention, and the two were flirting back-and-forth.
Showing his macho side, he asked Sam to put his leg back in joint. After some hesitation, she did so, and he immediately passed out. Dr. Abby Lockhart comes up, looks at the man who doesn’t seem to be doing well, and asks, “Do we need a doctor here?”
Sam says to Abby, “Naw, I just ‘vagelled’ him.” Abby nods knowingly and goes on about her business.
What Sam had done is to shock the man's system, which resulted in his vagus nerve reducing the flow of blood to his brain. Thus, this “tough guy” had fainted dead away. As they say in sports, “No harm, no foul.” His system has responded to pain/fear by partially -- and temporarily -- shutting down
How does this relate to my indigent brother’s visit to Presbyterian hospital in Pittsburgh? How does it relate to the $22,600 bill for essentially one day’s services? And how does it relate to the problems of American health care that the Democrats want to solve by socializing medicine?
My brother had been “vagelled.” It happened at a physical therapy class where he was engaging in an action – climbing stairs – that frightened him. It activated his vagus nerve, and that caused his blood pressure to drop, making him feel faint.
What happened to Sam’s friend and my brother weren't big deals. The patients experience a transient condition called “syncope” that has happened at some point to nearly everyone. Syncope refers to lowered blood pressure and a feeling of faintness – sometimes with actual fainting. It goes away relatively quickly.
Did Presbyterian Hospital in Pittsburgh ever explain to my brother or his caregiver (me) what had happened to him? It did not. My inference is that the doctors there, unlike Sam on “ER,” didn’t know what had caused my brother’s syncope. They did write that word on his diagnosis chart, but they didn’t go into any detail.
At least partly as a result of federal regulations and the fear of malpractice, the hospital conducted many tests on my brother. Apparently, they didn’t reveal anything that we hadn’t told them when he entered the hospital.
We left the hospital. We never heard from the doctors or the facility again. We did hear from the billing department, which sent the charges – originally for $22,600, later for a mere $17,600.
Within a few weeks, my brother got on Medicaid, and they covered him retroactively, meaning the “government” (i.e., you) paid in excess of $10,000 for the visit. In my view, the “services” provided were so threadbare that $10,000 represented a wild overcharge.
As I noted earlier, Presbyterian Hospital is a “not-for-profit” enterprise. It’s also a major supporter of Congressman Jack Murtha, whose actions have helped enrich the institution with your tax dollars.
For a not-for-profit concern, Presbyterian certainly makes a huge, well, profit. Its “surplus” (profit) last year was a mere $495 million. Say what?
I could write three books and 20 articles about what’s wrong with American health care. But as Dr. David Gratzer points out in The Cure, American health care exists not in the grubby realities of the free-market system, but rather in some sort of fantasyland. Doctors and hospitals face great pressure to screw the patients (and insurers, if any), especially in wildly overcharging for services.
If your auto mechanic or dry cleaner did such things, your solution would be easy: you’d go down the street to another concern. But how do you respond to dubious health treatment and bills that bear no relation to reality.
Are the Democrats proposing better treatment and more reasonable fees? No, they’re not. They’re proposing to "cure" health care problems with proposals that will make the situation much worse. Essentially, they're advocating a "gigunda" system that will make my brother's experience look uncomfortably like the norm.
What are the Republican candidates proposing? Frankly, I don't know, but I'll write a brief (really!) piece later today about what I HOPE the Republicans will say about health care. Note: Saying the usual little-or-nothing is NOT acceptable.
Essentially, the Democrats are “vagelling” the American people. Then, when we wake up, we aren’t going to like what we see.