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You´re on the clock:
Doctors rush patients out the door

USA Today*, by Roni Caryn Rabin

Original Article

Posted By:Pluperfect, 4/21/2014 4:35:59 AM

Joan Eisenstodt didn´t have a stopwatch when she went to see an ear, nose and throat specialist recently, but she is certain the physician was not in the exam room with her for more than three or four minutes. "He looked up my nose, said it was inflamed, told me to see the nurse for a prescription and was gone," said the 66-year-old Washington, D.C., consultant, who was suffering from an acute sinus infection. When she started protesting the doctor´s choice of medication, "He just cut me off totally," she said. "I´ve never been in and out from a visit faster." These days,

Comments:
* from Kaiser Health News

      


Post Reply  

Reply 1 - Posted by: Japanorama, 4/21/2014 4:47:23 AM     (No. 9818331)

First, do no harm.
Zeroth, do nothing.

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Reply 2 - Posted by: earlybird, 4/21/2014 6:12:26 AM     (No. 9818360)

Many of the group practices have gone to computers, which means that visits become a q&a with the doctor checking blocks on a form on his laptop. The doctors I know hate this.

Although busy doctors have never had time for too much chat (some patients see doctor visits as social calls and assuage their loneliness there), they are really pressed now. It takes great finesse to do what is required and yet not make the patient feel rushed.

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R-G1
  


 
Reply 3 - Posted by: Trigger2, 4/21/2014 6:24:22 AM     (No. 9818372)

Ka-Ching.
Ka-Ching.
Ka-Ching.

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Reply 4 - Posted by: uno_thatguy, 4/21/2014 6:43:21 AM     (No. 9818389)

With husseinCare, it´s

Ka-chunk
Ka-chunk
Ka-chunk

The only way I know for a doctor to survive now days is to increase efficiency. Stabilizing their income with delegation of the load to nurses, insurance experts and accounting firms is the only option of most medical practices. Massive cuts in rates and increased paperwork in order to collect has forced doctors to shift the load to lower the costs thus allowing them to "see" more patients.

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Reply 5 - Posted by: jntsrgn, 4/21/2014 6:49:13 AM     (No. 9818392)

Ka-Ching? How uninformed. I see 50 patients per day and NOT because its lucrative. Just how am I supposed to give each of them all the time they want? I work more every year and see a double digit percentage drop in income every year despite patients becoming more demanding daily.
Patients are getting what they voted for and should look in the mirror when they don´t like it.

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Reply 6 - Posted by: Sergeant Major, 4/21/2014 7:27:18 AM     (No. 9818421)

My wife visited a Rheumatologist "once" that gave the impression that she was leaving the room as she entered. We changed Rheumatologists. Our GP will take all the time needed to make sure all questions are answered satisfactorily and does an exceptional exam. So not all fit the mold.

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Reply 7 - Posted by: mitzi, 4/21/2014 7:31:42 AM     (No. 9818426)

May it´s a regional thing. Here in NYC - my GP, eye doc and ENT - I never feel rushed. My GP even responds to my email promptly.

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Reply 8 - Posted by: texaspast, 4/21/2014 8:02:50 AM     (No. 9818470)

Visiting a hospital yesterday, I saw a board with a picture of this year´s ´class´ of residents - about 20 of them, and it didn´t appear there was a native-born American among them. You think service is bad now . . .

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Reply 9 - Posted by: angelesgift, 4/21/2014 9:15:49 AM     (No. 9818577)

Call me cynical, but when it´s estimated that 80% of modern health problems are due to people being lazy, fat, smoking, drinking/drugging (a statistic I tend to believe), then having a doctor lavish time on them is probably not for the best. When people understand that they are responsible for their own health, it would free up time and resources to address problems a person doesn´t have control over.

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Reply 10 - Posted by: Rumblehog, 4/21/2014 9:17:00 AM     (No. 9818579)

This has been the case of the past 20 years. Where has this author been?

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Reply 11 - Posted by: Coy860, 4/21/2014 9:32:54 AM     (No. 9818606)

I find it depressing that there are some who think everyone else´s lifestyle is their business. Live and let live.
Mind your own business, why would anyone comment on who should receive a doctor´s attention and who shouldn´t?
The quality of your own life will improve if you stop trying to live other peoples´ lives.

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Reply 12 - Posted by: chicodon, 4/21/2014 9:45:56 AM     (No. 9818626)

To a leftist this just means more people are being seen. My mother tells me the same story of hurry up and wait and then a rush visit by her doctor. Her old doctor stopped seeing Medicare patients entirely due the the paperwork nightmare.

I talked to a disabled person on Medicaid yesterday and for them it´s even worse. After an hours long wait they get a doctor who is assigned to them. There is no choice. She said the feeling she gets is that the doctor doesn´t care if she lives or dies. It would just clear up the calendar for someone else. This is obscene.

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B-G1


 
Reply 13 - Posted by: millstream, 4/21/2014 9:50:32 AM     (No. 9818637)

The voters asked for this. Doctors have enormous overheads (staff, nurses, sterile supplies, rent, utilities, insurances, etc) to contend with including all those lawyers that are looking for any way to generate their own living. Insurers are reducing reimbursements every year which is getting much worse since the obama monstrosity care. Doctors have to see more patient´s to just pay their bills and send their kids to school. There is no time for chit chat. It´s going to get worse since HHS is going to prescribe the course of care not your doctors. You may only see a nurse or PA for 90% of your visits in the future. sample plan: If you have a symptom then the HHS plan is 3 months of drug therapy, reevaluate, 3 more months of alternative medication, reevaluate, refer for consult (wait 2 months for appointment), recommend conservative therapy, wait 8 weeks, reevaluate, refer for second consult. additional intervention and on and on.

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Reply 14 - Posted by: Grambo, 4/21/2014 10:49:18 AM     (No. 9818734)

Enjoy your physician now, #6, he won´t be in practice long.

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Reply 15 - Posted by: NotaBene, 4/21/2014 10:50:43 AM     (No. 9818736)

You shall be treated by Social Workers.

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Reply 16 - Posted by: woofwoofwoof, 4/21/2014 10:54:48 AM     (No. 9818742)

Yeah, it´s not at all new. I went to a dermatologist 20 years ago, ran his own big practice, who blew through the office like the wind. Now, seriously, he could sit with me all day and I wouldn´t heal any faster BUT he was fuzzy on the details of my case, there were alternatives I wanted to understand (this was before Google!), but he was gone before I could ask a question.

And don´t even get me started on how doctors making hospital rounds are never there and can´t be found at all.

We all understand the financial aspects, and some discipline seems necessary, but a LOT of medical practice depends on communications, going both ways, and it DOES NOT HAPPEN when the contact time is too short. Fast medicine is bad medicine.

But unless you´re rich, fast medicine is all you´re going to get in 90% of the practices around town these days.

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Reply 17 - Posted by: AltaD, 4/21/2014 11:23:24 AM     (No. 9818773)

I´ve never felt rushed in my Internist´s office. I have felt rushed at every other doctor´s office I go to. From the Ob/Gyn to the Oncologist, it´s a quick once over, no time for questions, just be grateful you were seen by the MD and not the P.A.

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R_DBL_B
  


 
Reply 18 - Posted by: millstream, 4/21/2014 11:26:50 AM     (No. 9818779)

our health care system is in need of significant refocusing on the actual causes of health problems. The major cause or at least contributing factor of diseases can be dramatically improved with lifestyle changes. It takes a lot of time trying to educate a patient about their role in their own health care and frankly most patients aren´t interested. Most patient´s come to our office with the "here I am fix me and I don´t want to change my diet, exercise, or take suppliments" attitude. So until patient´s tire of the superficial "only treat symptoms" format all we will get are "new and improved" medication management strategies.

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Reply 19 - Posted by: BaseballFan, 4/21/2014 11:32:16 AM     (No. 9818786)

Agree w/ #10 - there´s nothing new about this.
Rushing them out after stacking up appointments has been going on for a long time.

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Reply 20 - Posted by: JHHolliday, 4/21/2014 12:05:20 PM     (No. 9818838)

I haven´t felt rushed by any of my doctors. I take an active interest in my health and ask the docs pertinent questions. They take the time to answer and I appreciate it. Then again I live in a small town and know them personally. I am sure some in big cities can push patients out pretty quickly but that´s always been the case.

Obamacare is making everything worse by the day.

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Reply 21 - Posted by: knarfski, 4/21/2014 12:12:03 PM     (No. 9818844)

Will the American people let Obamacare take control of medical education and practice? Will they let the ACA turn the medical profession into a semi-profession?

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Reply 22 - Posted by: countryDoc, 4/21/2014 12:13:35 PM     (No. 9818849)

As a family doc, there is good and bad. The fundamental thing that is broken is the economic driver of the medical system: Health care providers get paid more by doing more to people. This does not encourage quality, effective case management, or good outcomes. It encourages reactive, hamster wheel style medicine. The healthcare industry and physicians for relinquished their role as stewards of value And capitalize on the Goldmine of high dollar third-party insurance companies, driven by unions.

Accountable care organizations, and other models are being developed to reimburse physicians and health care providers in proportion to the quality, value, and outcomes of the services they provide. This was coming down the Pike from both sides of the political aisle. Unfortunately this was folded into the quagmire of Obamacare. Hopefully the benefit of all of this work will not be thrown out with Obamacare.

In order to improve quality, the data has to be measurable, and therefore collected in computerized records rather than disorganized paper charts. The entire medical industry is on a learning curve in this respect. Hopefully, commonsense in the need to save this country from the economic destruction from medical care costs will motivate us to work together, rather than kill the progress with partisanship.

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Reply 23 - Posted by: Maryland_Patriot, 4/21/2014 12:57:39 PM     (No. 9818884)

I was experiencing this about 20 years ago with my HMO, and I decided then and there I was thru with the HMO experience. When HSA accounts became a reality a few years later I moved from my standard 80/20 plan to one with HSA attached. One of the best decisions I ever made. Those still exist, but are admittedly hard to find these days.

I now get the doctor I want, and pay the rates directly to him thru the HSA account. He spends about 30 minutes per visit, and 1 hour for the first-time patient. Needless to say he is booked solid at least 3-6 months out, especially for new patients. He also has a secure email consultation service for existing clients, and I make use of that as well.

All in all, about as good as can be had in the existing "health care" climate.

I mourn for the system as it is and abhor the absolute stupidity that most people have to put up with.

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Reply 24 - Posted by: MMSGranny, 4/21/2014 3:23:47 PM     (No. 9819027)

Getting treated like a disease with a # syndrome, as I refer to it, has been an on going problem for some time. Especially after "Managed Health Care" programs were origninated thanks in large part to Ted Kennedy. I have been on both sides of the aisle so to say on this one. I worked for dr´s for 15 years as a trained medical assistant. I have had a chronic illness, for 52 years. To me the MAIN problem with our "healthcare" system is there is no longer much true "care" involved. I loved helping patients and working with them. Unfortunately, many do not care, especially in doctors offices. But I left the medical field shortly after "managed care" entered the picture. I recall pounding on my desk in front of the dr and office manager that we could not herd people thru our office like cattle. Suffice it to say, I quit a few months after that.

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Reply 25 - Posted by: MMSGranny, 4/21/2014 3:25:00 PM     (No. 9819028)

It has been 18 years since I left medicine and it has gotten increasingly worse on the non-care issue. At that time I worked for a Neurosurgeon, we had a young father who was diagnosed with neuroblastoma. They had been to their PCP, done an MRI, came to our office, had surgery, and then was referred on to a major cancer treatment hospital for end stage care. I was quite saddened and disheartened when his wife called and asked if I could complete an insrance form for them. I said sure just bring it to me. She profusely thanked me and then proceeded to inform me that in all their medical experiences; I was one of the only persons they encounterd that seemed like I cared. I cried after that and still do to this day at the lack of true "care" found in healthcare. I make one exception and that is hospital nurses, most of them are true caregivers. With Obamacare, it is geared to let people like me die (as we cost them too much.) Everyone will basically be treated like they are on Medicaid now.

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Reply 26 - Posted by: steph_gray, 4/21/2014 3:35:00 PM     (No. 9819036)

One thing in our control since the disaster of ODontCare is to avoid having to see doctors at all if possible. So I too have taken complete charge of lifestyle and it is now my number one job. I knew that getting type 2 diabetes on my record last year was a potential Death Panel someday, so I got it down to the pre-diabetic level within 4 months and have worked hard to make sure it never goes up again. I am also only 4 pounds now from "normal" BMI, planning to get there and stay there, because eventually having "overweight" on the record may = death panel as well. I view this as a personal war I am fighting with the regime. It´s also nice to shop for clothes 3 sizes smaller.

My GP is a sweet smart young woman and I hope I do manage to keep her, but I doubt it.

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Reply 27 - Posted by: SoCalGal, 4/21/2014 6:44:41 PM     (No. 9819284)

My doctors - internist for last 25 years (I kid her that we have grown up together) and mostly newish specialists since I had to switch to HMO (but kept my internist). The specialists are terrific. At least two are probably not "native-born" but they got their educations here. One is Asian; the other from a Baltic country. So what? They are fine doctors.

A few years back, the foremost oncologist in Los Angeles, who had come from the Anderson cancer center in Texas, was - snd still is - an Indian from Jaipur. Brilliant and caring. He once reminded me that "there are no dumb questions".

Too many are either ignorant of good health habits or choose - libertarian style - to ignore them. Then when the inevitable happens, they get themselves to a doctor and say "fix me". It doesn´t work well that way.

I couldn´t be more happy with my doctors and our local hospitals, rated among the best in the country. So far I and my doctors have kept me out of them.

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Reply 28 - Posted by: SoCalGal, 4/21/2014 6:50:07 PM     (No. 9819290)

Cut off my own first sentence. Meant to say:

My doctors - internist for last 25 years (I kid her that we have grown up together) and mostly newish specialists since I had to switch to HMO (but kept my internist) all ask me why I am there when they first enter the room. Then we talk. Then they make their recommendations. Then they ask if I have any questions. They never leave me feeling that they are running somewhere.

However, I am respectful of their time. I do not turn it into a social chitchat.

Try that some time.

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Reply 29 - Posted by: ColonialAmerican1623, 4/21/2014 8:07:36 PM     (No. 9819349)

For those that fell for hope and change, we have lost hope and hate the prescribed ´change´

This didn´t happen yesterday. Once, I had to ask a physician to take his hand off the doorknob because I wasn´t finished talking. Fifteen years ago, I had a doc that wouldn´t examine patients because she was too busy asking and answering questions on the computer to satisfy the insurer. If the medical assistant didn´t write something down, you were SOL.

If you have one disease, it´s different than having two or more. They are all over it.
Today you could find a belly button specialist quicker than a good GP. If you finally have a heart attack, they have the best in the country. Prevention, not so much.

On the other hand, it´s frustrating to see a specialist who just wants to talk until they can bill for an extended visit and solve nothing.

Thank you so much Ezekiel and Tom. I´m sure Zippy appreciated your input.

When we have limited options, it´s hard to get better.

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Reply 30 - Posted by: SoCalGal, 4/21/2014 11:09:11 PM     (No. 9819514)

For perspective, I once had an endocrinologist who insisted in an office visit for him to simply give me the result of a TSH (thyroid) test that could have been given on the phone. Five minutes and out the door, but he made a fatal error and gave me a copy of the coded sheet on the appointment which indicated a detailed (as in long) visit.

I reported him to Medicare.

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Reply 31 - Posted by: SoCalGal, 4/21/2014 11:10:28 PM     (No. 9819515)

(cont´d)

And found a new endocrinologist.

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Reply 32 - Posted by: Charactercounts, 4/21/2014 11:34:53 PM     (No. 9819534)

A relative (who is a veterinarian with a busy practice) is appalled at the way doctors treat patients nowadays.

A doctor once said "you´ve used up your seven minutes. If you have more to discuss, make another appointment."

In my own case, a doctor I asked to see one of my young adult children who was feeling very unwell, told me over the phone, without ever seeing the patient, "they´re on drugs." When I replied that was not the case, and he would see that when he saw the patient, he told me I was kidding myself. He was my doctor of many years, and I never saw him again.

Another doctor did see the patient, found a genuine medical problem, treated it, and my child quickly recovered.

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Daily Mail [UK], by David Martosko    Original Article
Posted By: Attercliffe- 7/15/2014 3:56:32 PM     Post Reply
The Obama administration quietly announced on Tuesday that it intends to change the way Americans learn about natural disasters and other major emergencies during radio and TV broadcasts, giving the president the ability to flip a switch and address the entire nation at once. The Emergency Alert System, the latest version of a program first established in 1951, blasts out emergency messages in the event of local weather emergencies, but can also be used to warn Americans about terror attacks and major natural disasters. [Snip] It can take up to 10 minutes for every radio, TV, cable and satellite provider to

Pope Francis Calls on U.S.
to Welcome Illegal Immigrants

35 replie(s)
Breitbart´s Big Government, by Robert Wilde    Original Article
Posted By: KarenJ1- 7/16/2014 11:55:14 AM     Post Reply
In his message to the “Mexico/Holy See Colloquium on Migration and Development,” Pope Francis characterized the tens of thousands of illegal immigrants that have crossed the U.S. southern border as a product of globalization, suggesting that the phenomenon is happening worldwide. Francis proclaimed, “Despite the large influx of migrants present in all continents and in almost all countries, migration is still seen as an emergency, or as a circumstantial and sporadic fact, while instead it has now become a hallmark of our society and a challenge.” Emmer McCarthy for Vatican Radio said Francis expressed his concern for “the tens of thousands of

Mrs. Obama Declares
War on Chick-fil-A

32 replie(s)
Townhall, by Todd Starnes    Original Article
Posted By: KarenJ1- 7/15/2014 12:55:08 PM     Post Reply
The First Lady of these United States has declared war on Chick-fil-A. It seems the home of plump juicy breasts and hot buttered buns has run afoul of the new Smart Snacks in School program. The program is a component of Mrs. Obama’s Healthy, Hunger-Free Kids Act of 2010. The new government regulations require snack items served in public schools to have less than two hundred calories. That includes vending machines, lunch rooms and other campus food venues. And that’s really bad news for kids at South Carolina’s Socastee High School. They’ve just learned they will no longer be allowed to buy Chick-fil-A

Lie at Heart of “Immigration
Reform” Exposed

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Daily Caller, by Mickey Kaus    Original Article
Posted By: Toledo- 7/15/2014 12:11:48 AM     Post Reply
“Trust” is for Con Men: The reaction to the border chaos in Texas has accomplished one thing: It has exploded the lie at the heart of current “comprehensive” immigration reform plans. The basic structure of those plans is a swap of a) near-immediate legalization for b) increased border security in the future. The appealing idea is to let current illegals stay while taking the steps necessary to prevent further waves. The lie is the assumption that, once current illegals get their legalization, pro-immigrant activists in both parties will continue to support the second half of the bargain, the increased security. The

Obama AWOL as border crisis worsens
31 replie(s)
Washington Times, by Editorial    Original Article
Posted By: StormCnter- 7/16/2014 5:02:13 AM     Post Reply
John McCain, an immigration hawk. Who knew? Mr. McCain, the highest-profile Republican of the U.S. Senate’s “Gang of Eight” that came up with amnesty as the solution to the immigration crisis — and it truly is a crisis — is finally taking a hard line against President Obama for his encouraging the tidal wave of illegal aliens swamping the southwestern border. “There has to be a halt to this,” Mr. McCain thundered Sunday on CNN. “That’s what we want, and the best way to do that is for planeloads of these young people to be returning to their country of origin

The 5 Most Dangerous Guns in America
30 replie(s)
Rolling Stone, by Kristen Gwynne    Original Article
Posted By: scottc- 7/15/2014 11:46:15 AM     Post Reply
Contrary to what those who defend the right to own high-powered assault rifles believe, not all guns are created equal. Due to a combination of availability, portability and criminal usage the following five types of guns are the country's most dangerous. School Shootings: Widely Reported Tragedies Since 2000 - Using firearm trace data from the ATF, as well as FBI homicide records, we determined the types of guns most often recovered from crime scenes and/or used in murders. The numbers are stark: According to the FBI's 2012 Crime in the US data, nearly 70 percent of homicides for which the FBI received weapons data involved the use

The media can no longer ignore
Obama and Hillary Clinton´s problems

29 replie(s)
Washington Examiner [DC], by Noemie Emery    Original Article
Posted By: StormCnter- 7/16/2014 5:15:16 AM     Post Reply
It had to come sometime, and it came in one very bad week for the Democrats: that the many big problems with Hillary Clinton and Barack Obama finally grew too great for the press to ignore. Obama in his own different way is heading towards Nixon-like levels of weirdness, as, beaten down by the failures regarding his ventures, he appears to have quit his own job. A.B. Stoddard of the Hill says in effect he has stopped being president and chooses to live in a world of his own, shutting out the problems that have become overwhelming, giving dinners where he talks

Rove American Crossroads
in Mississippi Controversy

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American Spectator, by Jeffrey Lord    Original Article
Posted By: Desert Fox- 7/16/2014 8:43:14 AM     Post Reply
The headline in the Washington Post on June 4 was clear: Rove-backed American Crossroads won’t get involved in Cochran runoff Said the Post story the day after Tea Party favorite Chris McDaniel had defeated six-term Mississippi GOP Senator Thad Cochran in the first round of the state’s GOP primary: American Crossroads, a GOP establishment organization, has decided to shift its political focus almost entirely to the general election and will not be spending money in the likely runoff election to decide the Mississippi Senate nomination that was virtually deadlocked after Tuesday night. […] “Other than Alaska, we have completed our work on Senate primaries

Exclusive - Sessions Warns All of Congress:
Obama´s New Immigration Strategy ´Threatens
Foundation of Our Constitutional Republic´

28 replie(s)
Breitbart´s Big Government, by Matthew Boyle    Original Article
Posted By: KarenJ1- 7/15/2014 9:28:19 AM     Post Reply
Senate Budget Committee ranking member Sen. Jeff Sessions (R-AL) has warned all of his colleagues in Congress that President Barack Obama’s new immigration strategy—his plans to legalize millions of illegal alien adults through executive power—could destroy America as we know it. “I write to inform you of a development that threatens the foundation of our constitutional Republic,” Sessions, Congress’s top immigration hawk, wrote in a letter that was hand-delivered to all 535 members of Congress on Monday and provided exclusively to Breitbart News. Sessions cites a recent report from the National Journal, in which reporter Major Garrett detailed how, despite the ongoing

Eric Holder: Americans Should Not
Be ´Color Blind,´ But ´Color Brave´

28 replie(s)
Breitbart´s Big Government, by Charlie Spiering    Original Article
Posted By: KarenJ1- 7/15/2014 1:34:47 PM     Post Reply
Attorney General Eric Holder encouraged Americans not to forget race while working for justice and equality in their country. “As it stands, our society is not yet color blind -- nor should it be -- given the disparities that still afflict and divide us.” Holder explained, “We must be color brave, and we must never forget that all are made better and more prosperous if all are given equal opportunities.” Holder made his remarks during a speech at Howard University on Tuesday for the 50th Anniversary Celebration of the Civil Rights Act. “We must take into account not only the

Behind the scenes at the
Clinton White House

27 replie(s)
New York Post, by Geoff Earle    Original Article
Posted By: StormCnter- 7/15/2014 5:04:05 AM     Post Reply
WASHINGTON — It was an enduring image of his presidency: a chastened Bill Clinton walking his dog while wife Hillary keeps her distance as the family leaves town at the height of the Monica Lewinsky scandal — but it was all part of a contrived public-repentance campaign, according to a new book. With Bill on the skids and his wife’s future prospects on the line, it was necessary for the pubic to see the president being punished, said Weekly Standard online editor Daniel Halper in his new book, “Clinton, Inc.: The Audacious Rebuilding of a Political Machine.” “They understood that


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