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The August 6 Presidential Daily Briefing

I wrote this a couple of years ago about the importance of the August 6th PDB. I still like it. 

Bush working on his crawford mansion

No other document, in my opinion, reveals how clueless the Bush administration truly was prior to 9/11. This document is little over a page long, yet it holds some alarming information. First, read the memo. Now, re-read the memo and imagine that you are the President of the United States in August 2001. You are responsible for the well being of over 275 million people. Secondly, focus on the title – Bin Laden Determined to Strike in US. Now, in August of 2001, this was not common knowledge. In 1993, the World Trade Center was bombed, but it is not clear to me that the Bush White House (well, I’m really talking about Bush, Cheney and Rice) clearly understood the connection between Ramzi Yousef, Khalid Sheikh Mohammed and Osama bin Laden. US embassies in Tanzania and Kenya are bombed in 1998. Hundreds of Africans were killed. A third Embassy was targeted but the attack was thwarted by the Ugandan police. October 12, 2000, the USS Cole was bombed. 17 sailors were killed. We cannot forget the Millennium Day Bomber who intended to bomb the LA airport. Just because he was caught does not mean that he isn’t part of the picture. As a matter fact, the Millennium Day Bomber is probably the most vivid example of Al Qaeda (he trained with Al Qaeda) trying to come into the United States. It was due to nothing but a lot of luck and some skill that this plot was thwarted. The US Customs agent said that the Millennium Day Bomber was acting hinky.

This should be the most superficial knowledge that the president should have as he was reading the August 6th daily brief.

The seventh paragraph of the PDB should have sent chills up and down the spine of any American who read it.

Al Qaeda members – including some who are US citizens – have resided in or traveled to the US for years, and the group apparently maintains a support structure that could aid attacks. Two Al Qaeda members found guilty in the conspiracy to bomb our embassies in East Africa were US citizens, and a senior EIJ member lived in California in the mid-’90s. (more…)

By |2013-08-07T03:38:58-04:00August 6th, 2013|Al Qaeda, Bin Laden, Terrorism|Comments Off on The August 6 Presidential Daily Briefing

One of the reasons why healthcare doesn’t work

As a doctor, I live and breath healthcare. I’m one of those doctors who is smack dab in the middle of healthcare. I can’t do my job without a hospital. As a trauma surgeon, I need the support structure that a fully equiped hospital provides. Because I live in the Blue Ridge mountains, I take care of people from all around this beautiful country. Thousands of people come here to see the mountains. Thankfully, only a few injure themselves while they are here.

Currently, I’m taking care of a young man who lives in Florida. He crashed his motorcycle. He had a terrible head injury which required emergency neurosurgery in order to evacuate an expanding epidural hemorrhage. The patient has insurance. He is now much better and we need to figure out how to get him back to Florida. Here’s where the “fun” begins.

So, for 3 days the hospital social worker is trying to find a rehab facility to take care of this patient. Then we need to make sure that this facility takes the patient’s insurance. Next, we have to make sure that the insurance company will pay for the patient’s rehab and transport to Florida. Finally, and this is really choice, the facility requires the sending doctor to find a receiving doctor. Have you ever tried to get a single MD on the phone? Now, try to get two doctors together at the same time. (I have been waiting for a return call for more than an hour. Just waiting…)

This is nothing but a huge waste of time. All of this needs to be streamlined so that the patient is taken care of effectively. We need a system that is designed around the patient.

By |2011-10-03T15:59:19-04:00October 3rd, 2011|Healthcare|1 Comment
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