The United States is in a mass casualty incident because of the lockdown. Damage to public health will get worse. Part 1 of 2.

Disaster exercise In Tel Aviv on November 11, 2010. Allegory to where the US public health will be in near term. Image courtesy of Adobe Stock.

The continuing lockdown is directly leading to a decline in public health. Large volume of articles for many weeks now have been pointing this out.

This is first of two posts describing just a sampling of recent articles. This will be posted on several of my blogs.

5/19/20 – A Doctor a Day letter-signed; letter to Pres. Trump signed by over 500 doctors – You can read the letter yourself at the link.

A mass casualty incident is currently underway in the United States.

Letter explains the assessment protocol in a catastrophe:

“During a mass casualty incident, victims are immediately triaged to black, red, yellow, or green. The first group, triage level black, includes those who require too many resources to save during a mass crisis. The red group has severe injuries that are survivable with treatment, the yellow group has serious injuries that are not immediately life threatening, and the green group has minor injuries.”

Goal of medical providers during such a catastrophe is to focus treatment on the red group while making sure the yellow and green groups do not deteriorate a level.

Assessment by the doctors of where we are in the United States?

Red – millions of Americans are currently at triage level red. There are normally 150,000 Americans who are given a cancer assessment each month.

We now have two months of no testing which means there are over 300,000 Americans who have detectable cancer, don’t know it, and have not started any treatment. An unknown but calculable number of those will die because of the lack of testing during the shutdown.

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Remember that good ol’ “consent of the governed” thingie? It is evaporating.

Declaration of Independence – National Archives – Washington, DC by Josh Hallett is licensed under CC BY-SA 2.0

Our very form of existence as the United States of America is based on the idea that the power of government is based on having consent of the governed. In other words we, free citizens, give government the power it has.

Phrased more eloquently, the Declaration of Independence declares:

We hold these truths to be self-evident, that all men are created equal, that they are endowed by their Creator with certain unalienable Rights, that among these are Life, Liberty and the pursuit of Happiness.–That to secure these rights, Governments are instituted among Men, deriving their just powers from the consent of the governed, …

We are beginning to see damage to trust in public policy and confidence in government. Governors who continue to keep their economies locked up when there is no consent to do so and no justification for doing so are whittling away at that “consent of the governed” concept.

Politicians urgently need to pay attention to this. There is danger of long-term damage which nobody is going to like. More on the risks at the end of this post.

The growing resistance to the harshness of state policies is becoming more visible with each day that passes.

This discussion will be posted on several of my blogs.

Many churches planning to open in California on May 31

I just came across this issue in the news. It has been brewing for a couple of weeks.

5/7/20 – San Bernardino Sun – Evangelical church leaders vow to reopen sanctuary doors early in Southern California – A number of churches in Southern California will be resuming worship services on May 31. I recognize several of the quoted pastors as being from churches in my local area.

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The shutdown will be relaxed, one way or another.

Time to use the other side of those signs. Image courtesy of Adobe Stock.

If the politicians don’t start relaxing the lockdown and letting people pay their rapidly accumulating bills, bunches of people are going to take the initiative and do so on their own.

I sense there is a limited time for those in power to start loosening the extreme restrictions or people are going to start ignoring parts of the rules.

At a deeper level, the concern I have is what’s referred to as the “social contract.” Government gets its authority from consent of the governed.

If a large number of people get to the point of concluding the rules in places like California and Virginia are unnecessarily severe and are causing more health, mental, social, and economic damage than they prevent, people will conclude our leaders have broken the contract.

If we get to that point, respect for law and respect for public officials will decline. That is not a good place to go.

 

Next two articles point out a small number of people who have already reached that conclusion:

4/20/20 – Daily Wire – “Social Shredding”: Defiant Residents Grab Shovels, Dirt Bikes After Cali Authorities Dump Tons of Sand In Skateparks For ‘Social Distancing’ – Officials in San Clemente California noticed teenagers were committing the grave sin of skating in the city’s skate park. Well, that is patently unacceptable, so the city dumped 37 tons of sand into the skate park in an effort to shut down the skating. Since the park is at the beach, sand was readily available.

Well, the city officials did not take into consideration the incredible level of creativity present in humans, especially Americans.

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Damage from the shutdown is growing day by day.

Image courtesy of Adobe Stock.

Damage from the shutdown is getting more visible; it is growing, spreading every day.

Hospitals and surgeons have been devastated by stopping what is considered ‘non-essential’ care. Many hospitals may go under. Going under is what farmers are starting to do with their crops. After a panic like we are in, who has liability if anyone gets sick and thinks they caught the bug in a store, restaurant, or business?

Devastation in health care industry

4/23/20 – The Federalist – Instead Of “Flattening The Curve,” We Flattened Hospitals, Doctors, And The US Health Care System – Outside of New York city, hospitals have not been overwhelmed. That means it is time to open up the medical system to allow “non-essential” services.

Example cited include Florida which was projected to have 465,000 hospitalized patients by April 24 only having 2,000 on April 22.

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When will this mess from the pandemic be over? Focus on the idea that it will end, not what that date will be.

We will prevail. Image courtesy of Adobe Stock.

When will we be done with this stay-at-home restriction?

When will the economy recover?

When will we be back to “normal?”

 

I don’t know the dates for any of those transitions.

I have a suggestion for you.

 

Don’t set a specific date in your mind. Instead firmly set in your mind that this mess will end, we will get through it, we will survive, and we will thrive at the end.

What is the danger of setting a date in your mind and having faith it will be over on that date?

Let me introduce you to the Stockdale paradox.

Admiral James Stockdale was an American pilot shot down during the Vietnam war. He was a prisoner in North Vietnam for 7 1/2 years, routinely subject to brutal torture, legs broken twice during interrogation, and held in solitary confinement during four of those years with his legs locked in a metal stock each night. He was awarded the Congressional Medal of Honor a few years after his release.

I think we should listen to him. His physical courage and moral courage are a role model for all of us.

For one explanation of the phenomenon he described check out article titled The Stockdale Paradox.

 

Who did not come home from captivity?

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A Halloween costume that would make any CPA pass out from fright – an auditor performing one pension plan audit

Photo courtesy of DollarPhotoClub.com
Photo courtesy of DollarPhotoClub.com

Amid the cute little kids in their funny costumes, this pleasant Halloween night there was a grown man in a suit at the door asking for candy. White shirt, red tie, gray pinstripe.

Not so scary, thought I.

“What are you dressed up as?”

“An auditor,” came the reply.

That’s not frightening, since I’ve been an auditor for a long time. But it did explain the old-style, standard issue uniform.

So, putting on my peer reviewer hat, I asked, “what audit work do you do?”

“Oh, only one pension plan….

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Sad as it is to read about, leaders in the Christian community need to be aware of what happened at Willow Creek Community Church.

What can we learn from this mess? Image courtesy of Adobe Stock.

Anyone who has been an adult a few years or has read news for more than , oh a few weeks, knows there is massive ugliness in the world.

Anyone who has been in leadership of a church or ministry for more than a few months knows the ugliness we see in the world is also present in the community of believers.

Why read about and then study messiness?

There are several disasters in the Christian community at the moment which leaders should pay attention to.

Why?

So we can learn. By observing we can be better prepared for dealing with horrible things if (or rather when) they appear in our area of responsibility.

In my professional role as auditor over the last few decades I have observed moral failure of leaders, embezzlement, fraudulent financial misstatements, tax fraud, and sundry other unpleasantness. (Okay, okay, sin is the correct description of those things.)

Because of confidentiality requirements, I cannot discuss anything about any of those issues.

Current, public issues are a different story. Having no connection to those incidents frees me to discuss them.

Willow Creek Community Church

A major scandal has been in the news at Willow Creek for over a year. Here is a tour of some articles which can fill you in.

What can you learn as a leader from this fiasco?

3/22/18 – Christianity Today – Bill Hybels Accused of Sexual Misconduct by Former Willow Creek Leaders. Article summarizes a range of allegations that had surfaced over the previous five years, including stories of decades old misbehaviors.

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Memorial Day: gratitude for those who did not return

Image courtesy of Adobe Stock.

 

To family and friends of those who did not return, I humbly say:

My deepest condolences on your loss.

From someone who appreciates the price paid for the freedom I cherish everyday, please accept my thank you on behalf of your loved one who paid the price that my family and I can live free.

“Thank you” is so little, but it is all I have to give you.

 

 

“Here rests in honored glory an American soldier known but to God” Tomb of Unknown Soldier 002 – Arlington National Cemetery – 2012 by Tim Evanson is licensed under CC BY-SA 2.0

 

 

Rosecrans National Cemetery, San Diego, California. Photo by James Ulvog.

A hearty thank you to the medical community on this Thanksgiving day

There will be empty chairs at three holiday meals today. My deepest condolences to the families. Image courtesy of Adobe Stock.

My family is both deeply grieving and so thankful this Thanksgiving.

We are grieving because there will be an empty chair at three different holiday meals today in Bismarck, North Dakota.

We are thankful for many things, including the wonderful medical care provided to my dad and our infant grandson. My dad’s story is for another day. Today, a few thoughts about our grandson.

About eight months ago, our grandson and granddaughter were born early. He was not only underweight but also gasping for every breath he took. (My wife and I flew to Williston a couple of days after they were delivered.)

Born in Williston, North Dakota, he desperately needed attention available in Bismarck at the Neo-natal Intensive Care Unit at CHI St. Alexius Hospital.

Making a four-hour drive would have been life threatening. Staying in Williston would have been too dangerous.

A medical airlift moved him to the care he needed.

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Tips on how to apologize

Sorry by HypnoArt is in the public domain (CC0 1.0)

Let’s face it, we all goof up sometimes whether by insulting a client, dropping the ball on a project, or the good ol’ engage mouth before engaging brain routine.

To repair the damage, especially in the work environment, an apology is needed.

The Journal of Accountancy on 9/25/17 offered some great suggestions on How to make a professional apology.

Here are a few of the multiple tips suggested.

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The story on Silk Road, an on-line drug bazaar, shows the power of rationalization and self-deception

Cover of “American Kingpin” from Amazon. Used under fair use.

The sad tale of Ross Ulbricht and his on-line drug bazaar called Silk Road is a good study of the outer limits of how far rationalization can carry a person.

It is also a frightening illustration of Jeremiah 17:9. From the New International Version, ponder:

The heart is deceitful above all thing and beyond cure. Who can understand it?

Considering the tale of Silk Road is useful for accountants wanting to learn about the outer fringe of the internet and he investigative power of the federal government, believers who would like an illustration of the frightening level of deceit that lives in the human heart, and anyone else wanting to learn more about the dark worlds that normal people will never see.

My posts are gathered into two collections on my other blog, Outrun Change:

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Final thoughts on the tale of Silk Road. Part 9.

Cover of “American Kingpin” from Amazon. Used under fair use.

This is the 9th and final part of a discussion of Silk Road, as discussed in American Kingpin: The Epic Hunt for the Criminal Mastermind Behind the Silk Road, written by Nick Bilton. For the longer story, you may enjoy reading parts one, two, three, four, five, sixseven, and eight.

Other thoughts on the book

If you have previously been following the Silk Road story, you will enjoy the book. It reads like a good detective novel, except it is all true.

The book describes the mutual low opinion held of other federal agencies by the staff of most of the federal agencies that had a part in the investigation. This is not the first time I’ve read of those attitudes or heard of poor cooperation across agencies.

Lack of technical discussion

A couple of the reviews at Amazon indicate there is minimal technical detail in the book. That is absolutely the case.

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The Silk Road perps. Where are they now? Part 8.

Image courtesy of Adobe Stock.

This is part 8 of a discussion of Silk Road, as described in American Kingpin: The Epic Hunt for the Criminal Mastermind Behind the Silk Road, written by Nick Bilton. To learn how these three individuals earned an extended stay in federal housing, you may enjoy reading parts one, two, three, four, five, six, and seven.

Update 10/9/18 – Location and status updated.

Current status:

In good ol’ Dragnet style, where are bad guys now?

Here is the info from the federal Bureau of Prisons website:

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It didn’t end well for two of the feds investigating Silk Road. The tale of Silk Road, part 7.

The wages of corruption. Image courtesy of Adobe Stock.

Two of the feds working on the Silk Road investigation went rogue. That did not turn out well for them.

This is part 7 of a discussion of Silk Road, as described in, American Kingpin: The Epic Hunt for the Criminal Mastermind Behind the Silk Road, written by Nick Bilton. Check out parts one, two, three, four, five and six, if you wish.

Since the book was written, there have been more developments. I stumbled across the additional info after drafting this series of posts.

Let’s take a look at how things turned out for the two crooked federal agents.

What did the two feds do and what did they get for their trouble?

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