By Hillel Aron
By Joseph Tsidulko
By Patrick Range McDonald
By David Futch
By Hillel Aron
By Dennis Romero
By Jill Stewart
By Dennis Romero
HE GAVE PEACE A PASS
Re: Nancy Updike’s “Till Peace Do Us Part” [May 2–8]. I read this article, and though I understand the politics behind your publication, I was shocked to read such undocumented lies, distortion of truth and lack of facts regarding the plight of the Palestinians. The Palestinians do deserve a better life — without Arafat. And if men are imprisoned, believe me, it is not because they looked funny the day they were arrested; it is because they were implicated in affairs that were a security risk to Israeli civilians. Updike speaks in the tongue of the Women in Black, people who hate the state of Israel, want to see it dismantled, and pray for the neighboring Arab states to take over the only democracy in the Middle East. In fact, they wish America would fall victim to radical Islam as well.
The Israelis just want peace. Arafat walked away from the best deal ever because he never wanted to recognize the state of Israel. He wants it destroyed, from the Jordan to the sea. Acceptance of the Camp David accords would have meant he would have had to fix roads, improve education, pave streets, set up a legitimate police force and stop funneling the millions into his Swiss bank accounts — this from the man who began setting up a new terrorist network before the ink was dry at Oslo.
—Allyson Rowen Taylor
IT’S LOVELY AT THE TOP
Re: “Dr. G.’s Hard Medicine” [May 2–8]. As a physician with more than 20 years’ experience practicing pediatrics, more than 12 of them with L.A. County, as well as a taxpayer, homeowner and concerned citizen, it angers me to read about hardworking county employees being faced with the possible loss of their jobs, while a major root cause of never-ending financial drainage is rarely mentioned in print, let alone actually addressed. Of course, a health department that is the last resort of the indigent and medically indigent can never pay its own way, and it would be foolish to pretend that it ever could. Nevertheless, the existence of large numbers of extremely highly paid individuals whose jobs include zero — or a token amount of — patient care is a phenomenon that, interestingly, exists in a publicly funded organization that, every five years or so, by necessity finds itself running to the taxpayers and screaming, “Give us more money or we’ll have to close hospitals!”
By no means is this phenomenon restricted to M.D.s; I am sure all divisions of the county Department of Health Services operation involve three to five times more managers than do organizations that would go out of business if they were wasteful and inefficient. I am in a position to see firsthand the wastefulness involved in the employment of so-called medical administrators, and am saddened by the huge expenditures incurred by an unwell system that is teetering on the edge of collapse. Specifically, I serve under a supervising physician who currently supervises a grand total of three (!) physicians and two (!) nurse practitioners; however, it is clear his real job is to relay the dictates of his superior, a department head who provides no patient care, has gone out of her way to block practicing physicians from availing themselves of in-house as well as out-of-the-facility continuing medical education, and enjoys the luxury of total non-accountability due to the existence of a layer of “physicians” who view themselves as “instruments” and “good soldiers” (my supervisor’s own words). This apparatus, benefiting no one but the individuals in question, often involves costs to the taxpayer of about $200,000 per “physician.”
Unfortunately, when we have layoffs — or fear of layoffs — in a civil-service system like this one, only the people at the “bottom,” the people who practice the actual health care, are affected. Many hardworking and talented people — doctors, nurses and others — will test the waters and leave voluntarily. Based on what I saw in 1995, the best and most marketable will leave in disproportionate numbers. There may be token cuts in management; a few “chiefs” may be forced to endure becoming “Indians” for a few weeks or months, then be quietly reinstated to their previous stations, while the lack of staffing at positions directly dealing with the patients remains unremedied.
If county management did, it would almost surely save so much money it wouldn’t have to lay off any real doctors, nurses, etc., wouldn’t compromise patient care one iota, and, as a bonus, there would be the possibility that administrative decisions might even make some sense. Without multiple layers of intermediaries, there would exist a chance to have accountability in proportion to power — as opposed to the status quo, where we have an organization whose hallmark is infinite power coupled with zero accountability.
ONCE MORE, WITH FEELING
I just read that great article by Jim Crogan [“Made in the USA, Part III: The Dishonor ‰ Role,” April 25–May 1], and I would like to point out an interview I heard on KPFK’s Democracy Now, with Dan Briody, author of The Iron Triangle: The Secret History of the Carlyle Group. The group, says Briody, operates within the so-called iron triangle of industry, government and the military. Its list of former and current advisers and associates includes a vast array of some of the most powerful men in America, and indeed around the world: President Bush Senior, President Bush Junior, former British Prime Minister John Major, former Secretary of State James Baker, Secretary of State Colin Powell, the half brother of Osama bin Laden . . .