FT219: “Obamacare will give us rationing and long wait times like America’s other national health care: the VA.” —Old Pithy

Posted by PITHOCRATES - April 25th, 2014

Fundamental truth

Our Veterans have been Wounded and Maimed and we thank them for their Service with the VA

Where do the rich and famous go when they go to a hospital?  They can afford the best.  So you will hear hospitals like Cleveland Clinic, Mayo Clinic, Johns Hopkins, Mount Sinai, etc.  The crème de la crème of the best health care system in the world.  But one name you won’t hear?  Any VA hospital.

Rich and famous people have something our veterans don’t.  Choice.  They can choose to go to the crème de la crème of the best health care system in the world.  While our veterans have no choice but to go to the dregs of the best health care system in the world.  Very often the worst place you can go in the United States for health care.

It’s sad, really.  For our veterans have given more than any other American.  They have put themselves in harm’s way.  Had people shoot at them.  Lob hand grenades at them.  Had mortar rounds and artillery rounds land near them.  And had improvised explosive devices (IED) detonate around them.  Our veterans have been wounded and maimed and faced the hell of combat.  And our thanks for their volunteering to do this for us?  The VA.

Our VA Hospitals are so bad because they know our Military will be good Soldiers and Wait

There aren’t a lot of VA hospitals around.  So some veterans have to travel to get to one.  And when they get there they have to wait.  As there are a lot of other veterans in the waiting room with them.  Because there aren’t a lot of VA hospitals around.  But that’s not the only waiting they’re going to do.

If they need surgery or treatment there will be even more waiting.  A lot more waiting.  Because there aren’t a lot of VA hospitals around.  Or a lot of VA health care providers.  Or a lot of VA diagnostic equipment.  Which means they have to ration out health care in our VA hospitals.  And when you ration health care you make people wait longer for treatment.  An alien concept for the rich and famous.  Who get what they want when they want it.  Because they have choice.

Our veterans, on the other hand, continue to be good soldiers, Marines, sailors and airmen.  And wait.  Just like the old military joke to ‘hurry up and wait’.  Where they will get up before dawn to wait on the tarmac for 4 hours to board an aircraft.  So we’ve trained our military personnel well in waiting.  Perhaps this why our VA hospitals are so bad.  Because they know our military will be good soldiers, Marines, sailors and airmen.  And wait.

VA Hospitals are run so poorly that Veterans are dying as they wait for this National Health Care

The sad thing is that some of our veterans are waiting so long that they are dying (see A fatal wait: Veterans languish and die on a VA hospital’s secret list by Scott Bronstein and Drew Griffin posted 4/24/2014 on CNN).  Because rationing leads to longer wait times.  And longer wait times lead to more deaths.  And this is why the VA hospitals (America’s national health care) are the dregs of the best health care system in the world.

The American left wants national health care.  They want VA hospitals for everyone.  Except them, of course.  For they will be going to the hospitals the rich and famous go to.  But it’s VA hospitals for the rest of us.  Where they will ration health care.  Increase wait times.  And provide some of the most inefficient health care service.  Another reason veterans have to wait so long is that the VA still uses paper records.  Like they did before the 1970s.

The left settled for Obamacare.  They wanted national health care but accepted Obamacare as a stepping stone to national health care.  For they think the government can run health care better than the private sector.  Even though they’ve been running the VA for decades without ever modernizing it.  The government runs the VA hospitals so inefficiently that veterans are dying as they wait for this rationed national health care.  But these same people who can’t bring the VA into the 20th century say they can improve the crème de la crème of the best health care system in the world.  But if they do the VA poorly they will do all national health care poorly.  Because the government just can’t do anything well.

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South Korea helps look for lost North Korean Ship and Crew despite North Korea’s Belligerence

Posted by PITHOCRATES - April 5th, 2014

Week in Review

North Korea is a pain in the ass.  The ruling regime, that is.  Not the people.  Who are always suffering at the hands of the ruling regime.  Which is always looking to cause trouble.  So they can get some international relief for their horrible economy.  As they cannot feed their people or produce enough electricity to light up the night.  So they are always doing something belligerent.  To frighten everyone that they might do something nuclear.  The world gets frightened.  And offers some relief.  It’s the same thing over and over again.  Like I said, they’re a pain in the ass.  Yet despite this when a North Korean ship goes missing South Korea doesn’t hesitate to come to the aid of the belligerent North Korea (see South Korea says 2 NKorean ship crew members dead by AP posted 4/3/2014 on Yahoo! News).

The bodies of two North Korean sailors were recovered Friday after their cargo ship went missing off the southern coast of South Korea but 11 others are still missing, South Korea’s coast guard said…

The statement said the 4,300-ton-class ship carrying iron ore was sailing to China from the North Korean port city of Chongjin.

The coast guard said it had mobilized 13 vessels and six aircraft to search for the ship and its crew members. High waves and a strong wind are still hampering rescue operations, according to coast guard officers.

It was not immediately known how South Korea will handle the rescued North Korean sailors, though Seoul usually repatriates North Korean sailors found drifting in South Korean waters if they want to return home.

The Korean Peninsula remains in a technical state of war as the 1950-53 Korean War ended with an armistice, not a peace treaty. On Monday, the rival Koreas fired hundreds of artillery shells into each other’s waters in a flare-up of animosities.

You see, South Korea is not an ass like North Korea.  Despite their history.  North Korea invaded South Korea. When the UN forces pushed them back to the Yalu River (the border between North Korea and China) Chinese troops poured over the border and extended the Korean War for years.  To this day China is the only friend North Korea has.  Yet here is South Korea helping to find missing North Korean sailors.  Even though that ship was carrying iron ore to China.  If a South Korean ship disappeared off the coast of North Korea would North Korea even lift a finger to help find the ship?  Probably not.  They would likely just patrol their coastline and arrest anyone that comes ashore as a spy.  And use them as bargaining chips for more relief.

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Flat-Bottomed Boat, Keel, Standing Rigging, Chinese Junk, Daggerboard, Balanced Rudder, Compartment and Junk Rig

Posted by PITHOCRATES - May 16th, 2012

Technology 101

Typical River Transport has a Flat Bottom and a Shallow Draft with Little Freeboard

What do most of the oldest and greatest cities in the world have in common?  Madrid.  Lisbon.  Paris.  London.  Amsterdam.  Belgrade.  Vienna.  Rome.  Cairo.  Kiev.  Moscow.  Baghdad.  New Delhi.  Shanghai.  Ho Chi Minh City.  Bangkok.  Hong Kong.  São Paul.  Buenos Aires.  Santiago.  Quebec City.  Montreal.  Detroit.  Boston.  New York.  Philadelphia.  Pittsburgh.  What do these cities have in common?  Rivers.  Coastal water.  Or safe harbors on the oceans.

Why is this?  Is it because their founders liked a good view?  That’s why people today pay a premium to live on the water’s edge.  But back then it was more necessity than view.  These were times before railroads.  Even before roads connected these new cities.  Back then there was only one way to transport things.  On the water.  And rivers were the early highways that connected the cities.  Which is why we built our cities on these rivers.  To transport the food or raw materials a city produced.  And to transport to these cities the things they needed to survive and grow.  And some of the earliest river transports were flat-bottomed boats.  Like the scow.  Punt.  Sampan.  And the barge.

Rivers are calm compared to the oceans.  Which allows a different boat design.  River transport doesn’t have to be sturdy to withstand rolling waves and high winds.  Which allows the design to focus on the main purpose of a boat.  Hauling freight.  Typical river transport has a flat bottom.  A shallow draft with little freeboard (i.e., sitting very low in the water with the top deck very close to the surface of the water).  And a square bow.  This allows these boats to operate in shallow waters.  Allowing them to run up right onto a river landing or beach.  Where they can be easily loaded with their cargoes.  Or unloaded.  And their flat, rectangular shapes maximize the cargo they can carry.  Propulsion is simple.  A man can push a small boat along with a pole.  Animal power can pull larger barges.  Or, later, motors were able to power them.  Or a tugboat could pull or push them.

The Chinese Junk had a Flat Bottom with no Keel allowing them to Carry a Lot of Cargo

These flat-bottomed boats are great for hauling freight.  But they are not very seaworthy.  Because the ocean’s waves will toss around any boat with a shallow draft and little freeboard.  Breaking it up and sending it and its cargo to the bottom of the ocean.  Which has confined these to the calm of rivers, bays and coastal waterways.  Cargoes that have to travel further than these allow are loaded onto an ocean-going vessel with a deeper draft.  And a higher freeboard.  With a keel.  That can withstand the leeward force of the wind.  So instead of being pushed sideways (or simply rolling over) the keel allows those sideway winds to fill a sail and propel a ship forward.  By sticking deeper into the water.  So as the wind tries to push the boat sideways the large amount of water in contact with the keel pushes back against that leeward force.  Allowing it to sail across the wind.

But there is a tradeoff.  The curved sections of the hull that form the keel reduces the amount of cargo a ship can carry in its hull.  Also, these ocean-going vessels have a lot of sail.  And a lot of rigging to hold it in place.  Standing rigging.  While the sails required running rigging.  To raise and lower sails depending on the wind conditions.  Which takes up space that can’t be used for cargo.  And requires a lot of sailors.  In fact, much of the upper deck is full of rigging and sailors instead of cargo.  But this was the tradeoff to sail into the rougher waters of the ocean.  You had to sacrifice revenue-earning cargo.  But there was one ship design that brought together the benefits of the flat-bottomed river scow and the ocean-going fully rigged sailing ship.  The Chinese junk.

The Chinese junk dates as far back as the 3rd century BC.  And began crossing oceans as early as the second century AD.  Long before the Europeans ventured out in their Age of Discovery.  The junk has a flat bottom with no keel.  But a high freeboard.  Which lets it carry a lot of cargo.  And operate in shallower waters than a fully rigged sailing ship.  But it could also sail in the rougher seas of the ocean.  When it did it lowered a daggerboard.  A centerboard that can lower from a watertight trunk within the hull into the water to act like a keel.  To resist those leeward forces.  Often installed forward in the hull so as not to take up valuable cargo space in the center of the ship.  Because they mount this forward the leeward forces could cause the back end of the ship to torque around the daggerboard. To counteract this force they use an oversized rudder on the stern.  To balance the resistance to those leeward forces.  Because the rudder was so large and had to deflect a lot of water it was difficult to turn.  Taking a team of men to operate it.   To help turn such a large rudder they developed ‘powered’ steering.  With a balanced rudder.  The axis the rudder turned on was just behind the leading edge of the rudder.  So when they turned the rudder the water hitting the part in front of the turning axis helped turn the rudder in the direction the crew was trying to turn it.  So the large rudder area past the turning axis could deflect the large volume of water necessary to turn the ship.

The Chinese gave us Papermaking, Printing, the Compass and Gunpowder but the Europeans Conquered the World

So the junk could travel in the shallow waters of harbors and rivers.  And the deep water of the ocean.  It was the first ship to compartmentalize the hull.  Making it very seaworthy.  Especially if it struck bottom and punched a hole in the hull.  Because of the compartments the flooding was contained to the one compartment.  Allowing the ship to remain afloat.  A design all ships use today.  The junk also used a different sailing rig.  The junk rig.  It’s low tech.  Was inexpensive.  And required smaller crews.

A three-mast junk has three masts.  And three sails.  One sail per mast.  And the masts are free standing.  They don’t need any standing rigging to hold them in place.  Because they don’t carry heavy loads of running rigging and sailors.  The sail is stretched between a yard and a boom.  The yard is at the top.  The boom is along the bottom.  Between the yard and the boom battens give the sail strength and attach it to the mast.  Think of a batten as that stick in the bottom of a window shade.  Grabbing this batten allows you to apply an even force on that window shade when pulling it down.  If this stick wasn’t there and you pulled down on the window shade the uneven forces across the shade would tear it.  Same principle on a junk rig.  Which allows them to use less expensive sail material.  To raise this sail up the mast you pulled up the yard via a block and tackle at the top of the mast.  From the deck.  With fewer crew members.  The sail is attached to the mast near one edge.  It’s pivoted to catch and redirect wind to the stern.  Propelling the ship forward.  And the battens will bend in strong enough winds to curve the sail.  Creating lift on the other side of the sail to pull the ship forward.

The Chinese gave us papermaking, printing, the compass and gunpowder.  But it was the Europeans that used these inventions to conquer the world.  For the Chinese had no interest in civilizations outside of China.  For when you had the best, they thought, what was the point?  So the Europeans came to them.  Even took Hong Kong from them.  When it was the Chinese that could have had the technologically advanced civilization.  An army fielding muskets and cannon.  And a navy of junk warships that could have gone anywhere the Europeans could have gone.  And farther.  Into the shallow waters and up the rivers where the European warships could not go.  They could have sailed up the Thames to London.  Up the Seine to Paris.  Even into Amsterdam.  Home of the Dutch East India Company.  That took such a great interest in all those Asian goods in the first place.   That brought the British to China to compete against the Dutch.  Leading to the Opium Wars.  And the loss of Hong Kong.  Imagine how different the world would be had China embraced their technology.  Like they are today.  Perhaps we will soon see the answer to that great ‘what if’ question.

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