This is Our Lane

UnknownAn Open Letter to the NRA from American Healthcare Professionals:

’Dear National Rifle Association, On Wednesday night (11/7/2018), in response to a position paper released by the American College of Physicians (ACP) Reducing Firearm Injuries and Death in the United States, your organization published the statement “Someone should tell self-important anti-gun doctors to stay in their lane.”

On that same day, the CDC published new data indicating that the death toll from gun violence in our nation continues to rise. As we read your demand for us doctors to stay in our lane, we awoke to learn of the 307th mass shooting in 2018 with another 12 innocent lives lost to an entirely preventable cause of death–gun violence.

Every medical professional practicing in the United States has seen enough gun violence firsthand to deeply understand the toll that this public health epidemic is taking on our children, families, and entire communities.

It is long past time for us to acknowledge the epidemic is real, devastating, and has root causes that can be addressed to assuage the damage. We must ALL come together to find meaningful solutions to this very American problem.

We, the undersigned – physicians, nurses, therapists, medical professionals, and other concerned community members – want to tell you that we are absolutely “in our lane” when we propose solutions to prevent death and disability from gun violence.

As the professionals who manage this epidemic, we bear witness to every trauma resuscitation, regardless of outcome:…’ (AFFIRM, the American Foundation for Firearm Injury Reduction in Medicine)

If you are a healthcare professional, you can add your signature to this letter, as I did.

Trump’s Vicious Proposed ‘Public Charge’ Rule Change

UnknownHelp Stop Trump Demonization of Immigrants:

An individual who might become a “public charge”, according to US immigration law, is inadmissible to the US and ineligible to become a permanent resident. However, up to now, receiving public benefits does not automatically qualify an immigrant as a public charge. Thus, non-citizens could apply for public benefits and participate in essential health, nutrition and housing  programs without jeopardizing their immigration status. (Via Public Charge Fact Sheet). 

However, the Trump administration has proposed changes to the “public charge” regulation to remove those essential protections. This would be Donald Trump’s most far-reaching immigration policy change and one of his most mean-spirited actions.

Under the proposed rule, the list of public benefits that count against an immigrant would greatly expand. The benefits that the administration proposes be added to the public charge list are benefits that support disadvantaged families and protect public health and child welfare. Immigrants currently receiving public services would incur increased risk of deportation and would be excluded from becoming permanent residents of the US. The chilling effect of the regulation would prevent many others from applying for benefits and services in the first place. If enacted, this regulation would dramatically enhance the misery of many immigrants who have already suffering severe misfortune.

You can submit written comments about this proposal by December 10, 2018, which must be taken into account before a final rule is issued.

So, please join me in voicing opposition to this proposed regulation.

You may submit comments on this proposed rule by any one of the following methods:

— Federal eRulemaking Portal (preferred): Follow the website instructions for submitting comments.
— Mail: Samantha Deshommes, Chief, Regulatory Coordination Division, Office of Policy and Strategy, U.S. Citizenship and Immigration Services, Department of Homeland Security, 20 Massachusetts Avenue NW, Washington, DC 20529-2140.

To ensure proper handling, please reference DHS Docket No. USCIS-2010-0012 in your correspondence. Mail must be postmarked by the comment submission deadline.

One of many humanitarian agencies that offer further education on the proposed rule change and provide templates for drafting comments is CLINIC, the Catholic Legal Immigration Network.


How Will The Public Charge Rule Impact Employers And Immigrants? (Forbes)

Now the Trump administration is trying to punish legal immigrants for … (Washington Post)

Trump’s Public-Charge Rule Is a One-Two Punch Against Immigrants … (New Yorker)

Immigrants, fearing Trump crackdown, drop out of nutrition programs … (Politico)

Trump’s advisers worried about Mueller’s next steps in Russia probe

’The White House is bracing for the probe of Donald Trump’s presidential campaign to fire up again. Trump’s advisers are privately expressing worries that Robert Mueller, who’s been out of the news for the past month, has been stealthily compiling information and could soon issue new indictments or a damning final report. Trump abruptly altered the chain of command above Mueller on Wednesday, putting his work under the supervision of a Republican loyalist who has been openly sceptical of the special counsel’s authority and has mused about ways to curtail his power. But Trump and his aides are concerned about Mueller’s next move with the work that is complete, according to a White House official and a Republican with close ties to the administration.


Robert Mueller’s final report on the Russian investigation is being written right now, reports says…’

Via Medium

Apple ‘Confirms’ iPhones Have A Serious Problem

Https blogs images forbes com gordonkelly files 2018 09 2018 09 17 03 47 39’Picked up by MacRumors, iOS has started locking owners of iPhones (and to a lesser extent iPads and Apple TVs) out of their devices, disabling their Apple IDs. And Apple has now acknowledged it.

Apple’s new iPhone XS, iPhone XS Max and iPhone XR are among the devices affected by the widespread Apple ID lockoutAPPLE Citing multiple reports across Reddit and Twitter, MacRumors says users are being told they can no longer use their devices “for security reasons”. In response, @AppleSupport is recognising the issue and guiding users to the company’s Support Communities page which tells users how to restore access when Apple IDs are locked and disabled.…’

Via Forbes

Trump, stung by midterms and nervous about Mueller, retreats from traditional presidential duties

La 1542131746 q2aj893xds snap image’With the certainty that the incoming Democratic House majority will go after his tax returns and investigate his actions, and the likelihood of additional indictments by special counsel Robert S. Mueller III, Trump has retreated into a cocoon of bitterness and resentment, according to multiple administration sources. Behind the scenes, they say, the president has lashed out at several aides, from junior press assistants to senior officials. “He’s furious,” said one administration official. “Most staffers are trying to avoid him.” The official, who spoke on the condition of anonymity, painted a picture of a brooding president “trying to decide who to blame” for Republicans’ election losses, even as he publicly and implausibly continues to claim victory.…’

Via Los Angeles Times

Inside Trump’s Paris temper, election woes and staff upheaval

ICB4LGXF4MI6RO63OL637HKP5UFive days of fury: 

’Trump’s splenetic tweets and [testy tone were] described in interviews with 14 senior administration officials, outside Trump confidants and foreign diplomats, many of whom requested anonymity because of the sensitivity of the issue.

“He was frustrated with the trip. And he’s itching to make some changes,” said one senior White House official. “This is a week where things could get really dicey.”

During his 43-hour stay in Paris, Trump brooded over the Florida recounts and sulked over key races being called for Democrats in the midterm elections that he had claimed as a “big victory.” He erupted at his staff over media coverage of his decision to skip a ceremony honoring the military sacrifice of World War I.

The president also was angry and resentful over French President Emmanuel Macron’s public rebuke of rising nationalism, which Trump considered a personal attack. And that was after his difficult meeting with Macron, where officials said little progress was made as Trump again brought up his frustrations over trade and Iran.

“He’s just a bull carrying his own china shop with him when ever he travels the world,” presidential historian Douglas Brinkley said.…’

Via Washington Post

Neuroscientists identify a surprising low-tech fix to the problem of sleep-deprived teens

Marissa Harris (UCLA):

’In a time of borderline hysteria over the effects of technology on sleep and brain development, little attention goes to the fundamental elements of good sleep in adolescents. Ensuring they have comfortable bedding may help improve sleep in all adolescents, particularly among poorer families. And it’s a lot easier to convince parents and teens to invest in pillows than to bicker over phone privileges.…’

Via The Conversation

What if the Placebo Effect Isn’t a Trick?

11mag Placebo image3 superJumbo’When Ted Kaptchuk was asked to give the opening keynote address at the conference in Leiden, he contemplated committing the gravest heresy imaginable: kicking off the inaugural gathering of the Society for Interdisciplinary Placebo Studies by declaring that there was no such thing as the placebo effect. When he broached this provocation in conversation with me not long before the conference, it became clear that his point harked directly back to Franklin: that the topic he and his colleagues studied was created by the scientific establishment, and only in order to exclude it — which means that they are always playing on hostile terrain. Science is “designed to get rid of the husks and find the kernels,” he told me. Much can be lost in the threshing — in particular, Kaptchuk sometimes worries, the rituals embedded in the doctor-patient encounter that he thinks are fundamental to the placebo effect, and that he believes embody an aspect of medicine that has disappeared as scientists and doctors pursue the course laid by Franklin’s commission. “Medical care is a moral act,” he says, in which a suffering person puts his or her fate in the hands of a trusted healer.…’

Via The New York Times