<?xml version="1.0" encoding="UTF-8"?><rss version="2.0" xmlns:content="http://purl.org/rss/1.0/modules/content/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:atom="http://www.w3.org/2005/Atom" xmlns:sy="http://purl.org/rss/1.0/modules/syndication/" > <channel><title>Comments on: New Orleans: &quot;Bureaucratic roadblocks have prevented health care from being delivered&quot;</title> <atom:link href="http://www.kevinmd.com/blog/2007/03/new-orleans-bureaucratic-roadblocks.html/feed" rel="self" type="application/rss+xml" /><link>http://www.kevinmd.com/blog/2007/03/new-orleans-bureaucratic-roadblocks.html</link> <description></description> <lastBuildDate>Tue, 14 Feb 2012 22:28:00 +0000</lastBuildDate> <sy:updatePeriod>hourly</sy:updatePeriod> <sy:updateFrequency>1</sy:updateFrequency> <xhtml:meta xmlns:xhtml="http://www.w3.org/1999/xhtml" name="robots" content="noindex" /> <item><title>By: Anonymous</title><link>http://www.kevinmd.com/blog/2007/03/new-orleans-bureaucratic-roadblocks.html#comment-72761</link> <dc:creator>Anonymous</dc:creator> <pubDate>Sun, 11 Mar 2007 16:40:00 +0000</pubDate> <guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/03/new-orleans-bureaucratic-roadblocks-have-prevented-health-care-from-being-delivered.html#comment-72761</guid> <description>Corruption in Louisianna? Nah-but when the parish drunk is the one you to go to get out of legal trouble due to the fact that he is drinking buddies with the entire police department- something is a little suspicious. Louisiana insurance, police, politicians and correctional systems are well known for the quality of their character.  Am I&#039;m not going back to Louisiana any time soon either.</description> <content:encoded><![CDATA[<p>Corruption in Louisianna? Nah-but when the parish drunk is the one you to go to get out of legal trouble due to the fact that he is drinking buddies with the entire police department- something is a little suspicious. Louisiana insurance, police, politicians and correctional systems are well known for the quality of their character.  Am I&#8217;m not going back to Louisiana any time soon either.</p> ]]></content:encoded> </item> <item><title>By: NoAcuteDistress</title><link>http://www.kevinmd.com/blog/2007/03/new-orleans-bureaucratic-roadblocks.html#comment-72753</link> <dc:creator>NoAcuteDistress</dc:creator> <pubDate>Sat, 10 Mar 2007 22:16:00 +0000</pubDate> <guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/03/new-orleans-bureaucratic-roadblocks-have-prevented-health-care-from-being-delivered.html#comment-72753</guid> <description>Once again Mr Anon.   Please, please show me where in my posts I led you to believe that I thought that ONLY local and state buffoons were responsible for NOLA&#039;s disaster.  Mississippi and it&#039;s (shudder) Republican governor did not get &quot;proportionally&quot; more aid than poor ole Luzzianne.  Please give us RELILABLE refernces on such an allegation.  This one will end up in the heap bin of history just like the canard that blacks suffered proportionally more than whites in the disaster.  Pure hogwash.&lt;br/&gt;&lt;br/&gt;MIght I suggest that it is the hypersensitivity of indivuduals like yourself who can&#039;t resist even the most imaginary of opportunities to accuse others of insensitivity (and &quot;corruption&quot;) which is the true source of the ludicrous and dangerous PC attitude so correctly allusded to in the segment of your latest post which actually makes any sense.  That is truly a personal failing which when codified into our national laws is bearing such bitter fruit as we see on display in places like NOLA.</description> <content:encoded><![CDATA[<p>Once again Mr Anon.   Please, please show me where in my posts I led you to believe that I thought that ONLY local and state buffoons were responsible for NOLA&#8217;s disaster.  Mississippi and it&#8217;s (shudder) Republican governor did not get &#8220;proportionally&#8221; more aid than poor ole Luzzianne.  Please give us RELILABLE refernces on such an allegation.  This one will end up in the heap bin of history just like the canard that blacks suffered proportionally more than whites in the disaster.  Pure hogwash.</p><p>MIght I suggest that it is the hypersensitivity of indivuduals like yourself who can&#8217;t resist even the most imaginary of opportunities to accuse others of insensitivity (and &#8220;corruption&#8221;) which is the true source of the ludicrous and dangerous PC attitude so correctly allusded to in the segment of your latest post which actually makes any sense.  That is truly a personal failing which when codified into our national laws is bearing such bitter fruit as we see on display in places like NOLA.</p> ]]></content:encoded> </item> <item><title>By: NoAcuteDistress</title><link>http://www.kevinmd.com/blog/2007/03/new-orleans-bureaucratic-roadblocks.html#comment-72740</link> <dc:creator>NoAcuteDistress</dc:creator> <pubDate>Sat, 10 Mar 2007 04:56:00 +0000</pubDate> <guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/03/new-orleans-bureaucratic-roadblocks-have-prevented-health-care-from-being-delivered.html#comment-72740</guid> <description>Nothing like a good head of self-righteous steam eh, Anon 9:38?  Please reference which part of my post supports the riciculous insinuation of corruption. &lt;br/&gt;&lt;br/&gt;Yeah,  It takes a genius like yourself to read between the lines of the post and divine that I meant to say that everyone  down in NOLA DESERVED their fate.  And no, I had not heard of Katrina.  Please inform us about this phenomenon.&lt;br/&gt;&lt;br/&gt;I went to med school in NOLA and experienced first hand the endemic corruption of the culture.  When a state runs David Duke vs Edwin Edwards for the gubernatorial seat, there is something deeply wrong.  When a city re-elects an incompetent, corrupt buffoon like Ray Nagin, there is something deeply wrong.  Why is it that the Gulf Coast of Mississippi fared so much better than Louisiana in the Katrina (oh there&#039;s THAT word again) fiasco?  Could it be becuase of competent leadership like Haley Barbour&#039;s??  &lt;br/&gt;&lt;br/&gt;Nah,  it&#039;s cuz of people like me heaping scorn on innocents in NOLA.  Yeah, that&#039;s the ticket.</description> <content:encoded><![CDATA[<p>Nothing like a good head of self-righteous steam eh, Anon 9:38?  Please reference which part of my post supports the riciculous insinuation of corruption.</p><p>Yeah,  It takes a genius like yourself to read between the lines of the post and divine that I meant to say that everyone  down in NOLA DESERVED their fate.  And no, I had not heard of Katrina.  Please inform us about this phenomenon.</p><p>I went to med school in NOLA and experienced first hand the endemic corruption of the culture.  When a state runs David Duke vs Edwin Edwards for the gubernatorial seat, there is something deeply wrong.  When a city re-elects an incompetent, corrupt buffoon like Ray Nagin, there is something deeply wrong.  Why is it that the Gulf Coast of Mississippi fared so much better than Louisiana in the Katrina (oh there&#8217;s THAT word again) fiasco?  Could it be becuase of competent leadership like Haley Barbour&#8217;s??</p><p>Nah,  it&#8217;s cuz of people like me heaping scorn on innocents in NOLA.  Yeah, that&#8217;s the ticket.</p> ]]></content:encoded> </item> <item><title>By: Anonymous</title><link>http://www.kevinmd.com/blog/2007/03/new-orleans-bureaucratic-roadblocks.html#comment-72736</link> <dc:creator>Anonymous</dc:creator> <pubDate>Sat, 10 Mar 2007 02:38:00 +0000</pubDate> <guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/03/new-orleans-bureaucratic-roadblocks-have-prevented-health-care-from-being-delivered.html#comment-72736</guid> <description>NAD...Did you somehow not know that a hurricane went through and almost wiped out NOLA? Are you saying they deserved it and therfore there should be no help for them...&lt;br/&gt;&lt;br/&gt;And, you call THEM corrupt?</description> <content:encoded><![CDATA[<p>NAD&#8230;Did you somehow not know that a hurricane went through and almost wiped out NOLA? Are you saying they deserved it and therfore there should be no help for them&#8230;</p><p>And, you call THEM corrupt?</p> ]]></content:encoded> </item> <item><title>By: NoAcuteDistress</title><link>http://www.kevinmd.com/blog/2007/03/new-orleans-bureaucratic-roadblocks.html#comment-72728</link> <dc:creator>NoAcuteDistress</dc:creator> <pubDate>Sat, 10 Mar 2007 00:02:00 +0000</pubDate> <guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/03/new-orleans-bureaucratic-roadblocks-have-prevented-health-care-from-being-delivered.html#comment-72728</guid> <description>I realize this may raise the ire of many, but in my opinion, Louisiana is absolutely the most corrupt state in the union.  It&#039;s unfair to bureaucrats everywhere to blame this fiasco on them.  It&#039;s Louisiana&#039;s deeply ingrained and CELEBRATED culture of corruption which keeps its citizens in poverty and misery.  Louisiana is the closest thing we have in the US to a Third World banana republic.</description> <content:encoded><![CDATA[<p>I realize this may raise the ire of many, but in my opinion, Louisiana is absolutely the most corrupt state in the union.  It&#8217;s unfair to bureaucrats everywhere to blame this fiasco on them.  It&#8217;s Louisiana&#8217;s deeply ingrained and CELEBRATED culture of corruption which keeps its citizens in poverty and misery.  Louisiana is the closest thing we have in the US to a Third World banana republic.</p> ]]></content:encoded> </item> <item><title>By: Anonymous</title><link>http://www.kevinmd.com/blog/2007/03/new-orleans-bureaucratic-roadblocks.html#comment-72721</link> <dc:creator>Anonymous</dc:creator> <pubDate>Fri, 09 Mar 2007 23:34:00 +0000</pubDate> <guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/03/new-orleans-bureaucratic-roadblocks-have-prevented-health-care-from-being-delivered.html#comment-72721</guid> <description>This has been the story of Katrina from day one.  And to all the people who like to point fingers, it has been consistent across ALL levels of government controlled by EACH political party.  It uncovered a broad cultural problem in which the rules, written for completely different situations are sacrosant.  Pusillanimous fiddling while Rome burns is rewarded while taking action outside the manual as needed to effect action is punished.   NOLA is worse than most, but it is not alone.&lt;br/&gt;&lt;br/&gt;Regarding the first post, I was working in the hurricane damaged area by the day after landfall.  The medical facility in which I volunteered  accepted services from volunteers from other states as long as they had a copy of their liscense and picture ID.  3 or 4 days after landfall, the governor issued a proclomation making that practice, already being applied by facility leaders with common sense, official and also extended the states liability protection to those in state operated activities.  I had no malpractice coverage until that occured but worked anyway as I felt is reasonable for me to stick my neck out as I knew that this would only work to the degree that people were willing to do so.&lt;br/&gt;&lt;br/&gt;It was my observation that the medical response was most efficient (although not sufficient) the first few days while providers were on their own to improvise.  &lt;br/&gt;&lt;br/&gt;Then the feds showed up.  They brought a lot of resources--and a lot of rules and obstructions came with them.  By  5 or 6 days after landfall, the process for credentialling out-of-state providers had gone from 30 seconds, to something much more involved.  By a few weeks out, the obstuctioning paperwork became palpably pervasive.  Within a few more weeks, the beurocracy itself, and its institutional objectives had displaced the ostensible task of providing relief as the controling factor throughout.</description> <content:encoded><![CDATA[<p>This has been the story of Katrina from day one.  And to all the people who like to point fingers, it has been consistent across ALL levels of government controlled by EACH political party.  It uncovered a broad cultural problem in which the rules, written for completely different situations are sacrosant.  Pusillanimous fiddling while Rome burns is rewarded while taking action outside the manual as needed to effect action is punished.   NOLA is worse than most, but it is not alone.</p><p>Regarding the first post, I was working in the hurricane damaged area by the day after landfall.  The medical facility in which I volunteered  accepted services from volunteers from other states as long as they had a copy of their liscense and picture ID.  3 or 4 days after landfall, the governor issued a proclomation making that practice, already being applied by facility leaders with common sense, official and also extended the states liability protection to those in state operated activities.  I had no malpractice coverage until that occured but worked anyway as I felt is reasonable for me to stick my neck out as I knew that this would only work to the degree that people were willing to do so.</p><p>It was my observation that the medical response was most efficient (although not sufficient) the first few days while providers were on their own to improvise.</p><p>Then the feds showed up.  They brought a lot of resources&#8211;and a lot of rules and obstructions came with them.  By  5 or 6 days after landfall, the process for credentialling out-of-state providers had gone from 30 seconds, to something much more involved.  By a few weeks out, the obstuctioning paperwork became palpably pervasive.  Within a few more weeks, the beurocracy itself, and its institutional objectives had displaced the ostensible task of providing relief as the controling factor throughout.</p> ]]></content:encoded> </item> <item><title>By: Anonymous</title><link>http://www.kevinmd.com/blog/2007/03/new-orleans-bureaucratic-roadblocks.html#comment-72710</link> <dc:creator>Anonymous</dc:creator> <pubDate>Fri, 09 Mar 2007 19:14:00 +0000</pubDate> <guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/03/new-orleans-bureaucratic-roadblocks-have-prevented-health-care-from-being-delivered.html#comment-72710</guid> <description>This is (yet another) case of the criminals running NOLA overtly PREVENTING aid from being implemented.  &lt;br/&gt;&lt;br/&gt;This is NOT the fault of FEMA, or the rest of the US Government.  Strictly the incompetence of &#039;chocolate&#039; Nagin and his band of thieves.  And then he has the guts to sue the rest of the US Taxpayers for $77-BILLION with a -B dollars, since we taxpayers haven&#039;t done enough.&lt;br/&gt;&lt;br/&gt;Screw them.  The US Government should not spend one more cent on NOLA, until they remove the incompetence they call a government.</description> <content:encoded><![CDATA[<p>This is (yet another) case of the criminals running NOLA overtly PREVENTING aid from being implemented.</p><p>This is NOT the fault of FEMA, or the rest of the US Government.  Strictly the incompetence of &#8216;chocolate&#8217; Nagin and his band of thieves.  And then he has the guts to sue the rest of the US Taxpayers for $77-BILLION with a -B dollars, since we taxpayers haven&#8217;t done enough.</p><p>Screw them.  The US Government should not spend one more cent on NOLA, until they remove the incompetence they call a government.</p> ]]></content:encoded> </item> <item><title>By: Matthew</title><link>http://www.kevinmd.com/blog/2007/03/new-orleans-bureaucratic-roadblocks.html#comment-72704</link> <dc:creator>Matthew</dc:creator> <pubDate>Fri, 09 Mar 2007 16:55:00 +0000</pubDate> <guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/03/new-orleans-bureaucratic-roadblocks-have-prevented-health-care-from-being-delivered.html#comment-72704</guid> <description>It was the same with Wal-Mart right after the disaster.  They used their efficiency and buying power to bring relief supplies before anyone else could, but the government disaster relief folks wanted no part of it, so they were prevented from doing a good deed.  Amazing how short sighted and pigheaded bureaucrats can be.  Socialized health care, anyone?</description> <content:encoded><![CDATA[<p>It was the same with Wal-Mart right after the disaster.  They used their efficiency and buying power to bring relief supplies before anyone else could, but the government disaster relief folks wanted no part of it, so they were prevented from doing a good deed.  Amazing how short sighted and pigheaded bureaucrats can be.  Socialized health care, anyone?</p> ]]></content:encoded> </item> <item><title>By: Anonymous</title><link>http://www.kevinmd.com/blog/2007/03/new-orleans-bureaucratic-roadblocks.html#comment-72695</link> <dc:creator>Anonymous</dc:creator> <pubDate>Fri, 09 Mar 2007 14:34:00 +0000</pubDate> <guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/03/new-orleans-bureaucratic-roadblocks-have-prevented-health-care-from-being-delivered.html#comment-72695</guid> <description>Unfortunately, this is not the only time for this.  Right after Katrina, a group of doctors from Florida were ready to set up clinics in New Orleans and surrounding areas.  We were told that we could not as we were not liscensed to practice medicine in the state.  As a result, we chartered buses to bring patients to Florida. There we were informed that our med mal would not cover us nor would the Red Cross.  We overcame the issue by bringing the patients from the shelters to our offices so at least our med mal might cover us.  The good thing is that the State of Florida passed reciprocity of the Bar so attorneys in the area of the hurricains could file suits on behalf of their clients in other states.</description> <content:encoded><![CDATA[<p>Unfortunately, this is not the only time for this.  Right after Katrina, a group of doctors from Florida were ready to set up clinics in New Orleans and surrounding areas.  We were told that we could not as we were not liscensed to practice medicine in the state.  As a result, we chartered buses to bring patients to Florida. There we were informed that our med mal would not cover us nor would the Red Cross.  We overcame the issue by bringing the patients from the shelters to our offices so at least our med mal might cover us.  The good thing is that the State of Florida passed reciprocity of the Bar so attorneys in the area of the hurricains could file suits on behalf of their clients in other states.</p> ]]></content:encoded> </item> </channel> </rss>
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