Minneapolis has some creative people. Too creative for their own good. Somebody probably saw that the guys who take down large animals with tranquilizer darts use darts filled with ketamine. “Hey, if it will take down those animals, why don’t we use it on the animals our police are fighting?” And an immensely stupid program began. It was also illegal, but if we’re controlling bad guys, who cares?
Time for disclosure. I am a doctor. I do not play one on TV. Not only that, I’m an anesthesiologist and used ketamine in my practice. For certain things, it has no equal. But its proper uses are quite limited.
Ketamine comes from a class of drugs called phencyclidines. The street version is known as Angel Dust, and abusers are Dusters. Because ketamine causes profound analgesia (pain relief), Dusters are known for feats of superhuman strength. Broken handcuffs are just one relatively well-known example. At the same time, Dusters may break their own bones. The analgesic effect of ketamine keeps them from realizing the damage they are doing to themselves.
By now, it should be pretty clear that ketamine is no panacea for the problem of sedating troublesome persons being arrested. At the wrong dose in the wrong person, police can put themselves in worse difficulties than when they started. How do you control someone who feels no pain and wants to cause you harm? Flashback to the villain Renard in The World is Not Enough. He is almost impossible to defeat in a fight because he feels no pain. But I guess the Minneapolis wise guys don’t watch James Bond films.
I have to wonder if the police bothered to look at any references. Even Wikipedia would have been helpful. If they had, they’d discover that there are a lot of other problems with ketamine. The first one should have given them a real headache. The primary reason we don’t use ketamine a lot in anesthesia is that it has a high incidence of emergence delirium. In language even an inattentive civil servant can understand, that means that if you give someone ketamine, they can hallucinate. This happens often enough that we try to avoid ketamine except in those odd cases where its other effects make it the best drug available. Just to make a bad problem worse, there are a lot of times when there isn’t anything you can do to stop the delirium. Welcome to hell.
We’ve only scratched the surface. Since Minneapolis police officers obviously consulted Dr. Conrad Murray, we should expect that they got the same level of advice Michael Jackson got. That means that they missed the fact that ketamine can lead to airway obstruction and death. It releases adrenaline, so it can cause hypertension and tachycardia leading to death. Did I mention that it can kill you? And, unlike opioids, you can give all the naloxone you want and it won’t do a bit of good.
But the Minneapolis police officers are really interested in saving lives, so we can let them use this drug they simply don’t understand on patients who aren’t consenting and may suffer badly from its administration. No problem.
The track record is as bad as I suggested up front. Ketamine administration has led to multiple episodes of cardiac and breathing problems, with many patients requiring emergency intubation. Now for a skilled health care provider, intubation is generally no big deal. But you never deliberately put yourself in a position where you create an uncontrolled need for intubation. The moment you do that, you’ll find yourself looking at the impossible situation. With somewhere around fifty thousand intubations under my belt, the next one can still be the one where I have to call a partner in to give it a try. My practice had over eighty anesthesiologists and two hundred nurse anesthetists, so there was usually another set of hands available. But who is the paramedic in the field going to call? Ghostbusters has an unlisted number.
Let’s get one thing clear. Minneapolis police officers did not have a hand on the syringe. They asked the Hennepin County paramedics to administer ketamine. And if a cop asks, how is a paramedic supposed to refuse? But the paramedics are supposed to operate according to a strict protocol, and only give ketamine when a patient is “profoundly agitated, unable to be restrained, or a danger to themselves or others.” It’s clear that this guideline was violated on multiple occasions.
And this brings us to the nub of the matter. Ketamine is properly used only in the sort of situation described in the protocol. In anesthesia, we will also use it in autistic or severely mentally retarded patients who cannot be managed by breathing them to sleep with gases. In short, we mostly use it in the controlled medical equivalent of the field situation.
It’s likely that Dr. Jeffrey Ho (the director of Hennepin County EMS who happened to graduate from the same medical school I did!) is actually well aware of the proper use of ketamine. He’s a recognized expert in pre-hospital emergency care. And if ketamine is used in the very restricted fashion the policy describes, it’s probably better than most alternatives. But when police decide that they want a set of chemical handcuffs rather than doing their job, we have a problem.
Police work can be difficult and dangerous. But police are not allowed to place people in danger just to make their own life easier. Doing so exceeds the bounds of our social contract with police, and also violates a host of laws. For a paramedic to go along with such an improper request places that paramedic in violation of state laws on the practice of medicine. Their drivers’ license isn’t enough. You follow the protocol or get permission from the supervising ER doc by calling it in.
Hennepin County and the city of Minneapolis have a problem on their hands. Their best bet will be to quietly approach persons who were harmed by this cavalier misuse of ketamine and buy out their legal liability. Then the EMS and police persons involved should be invited to leave. Promptly. Do not pass Go. Do not collect $200.
Leftism: Doing the same thing over and over again and expecting different results
Doubling down on failure: Polling has the Left prioritising national socialized health care and repealing the Second Amendment.
It used to be a staple of every debate over the common sense human right of self-preservation. Someone from the Pro-Liberty side would point out that each assault on everyone’s fundamental human rights also infringes on the second amendment. The response from the enemies of freedom on the Socialist-Left would be along the lines of “No one is talking about repealing the second amendment” or “No one is talking about gun confiscation”.
That was before each step along the Leftist way was shown to be an abject failure. This was before the Left’s final solution to the gun problem became incredibly obvious to everyone. This was before every other part of the Left’s socialist national agenda crashed on takeoff.
Leftist priorities: national socialized healthcare and gun confiscation.
The Washington Free Beacon reports that a new poll has the top issues to Democratic priorities “securing single-payer health care and repeal of the Second Amendment.” It also shows that they aren’t eager for Hillary Clinton to give it another go, so maybe they can learn something.
It seems like they decided that if they are going to go delusional, they should go big. Going to fascistic control of the country’s healthcare system and getting rid of a fundamental human right is really shooting for the moon. This would be akin to them wanting to get rid of national borders or Abolish the Senate. Never mind, they’ve already proposed that kind of insanity.
Democrats: If at first you don’t succeed, fail, fail, fail, again.
Leftism is the only ideology that mandates doubling down on failure. Trying to carry out national socialist health care with the laughably entitled ‘Affordable Care Act’ a.k.a Obamacare failed to work as promised. That monstrosity was supposed to cut costs and eliminate the problem of the uninsured. Now that it’s failed spectacularly on both counts, the Left wants to give it a go with another version of ‘free healthcare for all’.
Meanwhile, Leftists efforts in controlling freedom have failed to keep anyone safe, So they want to redouble their efforts with repealing the second amendment. They should know that this wouldn’t remove the common sense human right of self-defence, only make it easier to do what they always denied – depriving the people of their means of self-defense.
The Left has trapped itself in an ever tightening path towards gun confiscation, the question we need to ask is are we any safer with all of their existing restrictions on Liberty? The Liberty grabber Left keeps on promising peace in our time with no results, when do we get to hold them accountable for their promises?
What is their next step?
Banning certain types of guns didn’t work. Adding every more complicated, embarrassing and expensive hurdles in the way of a human and civil right didn’t work. Controlling private property with Intergalactic Background Checks didn’t work. Restricting the freedom to buy ammunition didn’t work. So where do the liberty grabbers go from here?
At this point in time the Liberty Grabbers are falling all over themselves trying to come up with news ways of placing limitations on Liberty. One of their new and more creative methods would be to not only control sales of pieces of aluminium and parts as well as controlling the speech about said parts.
In both cases the Left’s control plans are doomed to failure. It should be obvious that making it illegal to defend yourself will not keep you safe. By the same token, the promises of ‘free healthcare for all’ cannot be fulfilled, as is the case with most socialist programs.
Alexandria Ocasio-Cortez is getting better at doublespeak
Medicare-for-All is the highest form of socialism. Its premise is based around the idea that there’s enough money in the coffers of middle-class and above to make healthcare free for everyone else. The costs associated with such a plan are nearly equal to the current United States federal government revenue, which is why even leftists in the media are forced to ask how its proponents plan to pay for it.
Soon-to-be Congresswomen Alexandria Ocasio-Cortez has been asked this question many times and her responses have ranged from comical to dangerously ignorant. Now, it seems that she’s found her groove. Her new tactic is to act confused by the question since the answer should be so obvious to everyone.
“People often say, like, how are you going to pay for it and I find the question so puzzling because ‘How do you pay for something that’s more affordable? How do you pay for cheaper rent?’ You just pay for it,” she said. “We’re paying more now.”
According to recent studies, the program, first introduced by Sanders over the summer, would increase government health spending by $32.6 trillion over 10 years.
If you’re thinking this response must have come from some hidden camera footage by Project Veritas, you’ll be surprised to learn Ocasio-Cortez released it. Yes, she’s actually proud of her answer.
Want to learn more about our fight for Medicare for All, student loan cancellation, embracing our immigrant communities & more?
— Alexandria Ocasio-Cortez (@Ocasio2018) November 2, 2018
After thinking about it, I realized this really is the best answer she can give. She’s using doublespeak, drastic oversimplification, and improved confidence to say thing that are clearly untenable. But that’s okay because she says it with a smile and seems sincerely confused that anyone would be so naive as to question the numbers.
The problem is a large percentage of Americans won’t question the numbers at all because they won’t understand them. That’s the problem with socialism at this scale. The numbers are so unfathomable that most have a hard time realizing the scope of what’s being proposed.
Let’s break it down in simpler terms. In 2017, the United States brought in $3.32 trillion in federal revenue. It’s projected to go up a little every year. For simple numbers, let’s assume around $35 trillion in total federal revenue over the next decade (which still, for some reason, puts us at a major budget deficit). Compare that to the $32 trillion price tag projected for Medicare-for-All and (hopefully) it becomes easier to see how this plan is completely ludicrous.
Her pitch is essentially, “Don’t worry about it. Rich people and the infinite coffers of the government will pay for it.” Somehow graduating cum laude from BU with a degree in economics and international relations didn’t translate in the real world.
Democrats’ final pitch proves they think voters are stupid
The hilarity of the final pitch by the Democrats is shocking. I hear it and I feel like Tom Cruise’s character at the end of A Few Good Men when Jack Nicholson screams, “You’re ******* right I did!” Cruise was dumbfounded. He actually admitted it. He admitted he was guilty.
On three of the four biggest issues the Democrats are running on, they’re being forced to convince American voters not to look at facts. That’s not a partisan jab; I’m a Federalist, not a Republican. But I can say objectively that Democrats are selling three big lies in order to convince voters they should be voted into the House of Representatives and the Senate this midterm election.
Let’s look at their pitch:
Lie #1: The economy isn’t helping the people
The economy is booming, but Democrats say it’s not, at least not in a way that helps the people. They say things like, “The stock market isn’t the economy,” which is true, but the stock market is a tiny piece of the success Republicans have had brought for the last two years.
The people say, “I’m saving thousands on taxes.” Democrats reply, “It’s just crumbs.”
The people say, “I finally have a job.” Democrats reply, “It should pay more.”
The people say, “But my wages are higher.” Democrats reply, “That’s Obama’s policies kicking in.”
I’m not sure which is more sad, that the Democrats are running on repealing the tax cuts that are bringing prosperity or that Republicans are, for some reason, letting them.
Lie #2: Obamacare is broken and we can fix it
This is the half lie. The first part is true. Obamacare is broken. From there, the Democrats’ narrative breaks down if voters put a quarter ounce of thought into the matter.
Their landmark healthcare deal was supposed to make things more affordable for the American people. It hasn’t. It’s actually made healthcare more expensive than it’s ever been, which is why this is such an important issue to many voters. Unfortunately, they’re being convinced by Democrats that the thing they erected in 2010 is somehow the Republicans’ fault.
Democrats cannot fix Obamacare because they’re even more spread across the ideological board than Republicans. The ideological differences within the GOP may have prevented them from repealing and replacing Obamacare when they had the chance, but compared to the Democrats they’re actually much closer to be in lockstep. The Democrats are scattered between two very different ways to fix Obamacare.
There’s the far left Medicare-for-All which doesn’t require a calculator to prove itself unfathomably destructive to the economy. In fact, most calculators can’t go as high as the socialist proposal requires.
On the other side of the Democratic Party’s stance on healthcare is a fix that is almost identical to what Republicans are pushing. Keep preexisting conditions covered, but reduce the burden on the middle class by promoting private healthcare alternatives for everyone whether they have a job or not. This can work now with so many more Americans working than before. It wouldn’t have worked two years ago.
Still, the Democrats’ pitch is essentially, “We broke healthcare and most of us agree with the Republicans’ way of fixing it, but we’re unwilling to go down that road unless it’s our names on the bills instead of theirs.” Seriously, that’s ridiculous.
Lie #3: Illegal immigration shouldn’t worry anyone
“Nothing to see here. Please disburse.”
That’s the narrative coming from not only the Democrats but also their mainstream media lapdogs. They want you to take the facts and bury them with your logic and common sense in a deep hole somewhere in the desert. Don’t fear the migrant caravans forming incessantly in Central America. Pretend like there’s nothing to fear from it. Watch our biased mainstream media coverage that uses either really wide shots or closeups to advance their narrative that the caravan is comprised mostly of innocent pregnant single mothers seeking asylum.
Medium shots are discarded because they show 80% or more of the people in these caravans are young, healthy men.
As we pointed out earlier, illegal immigration harms legal immigrants more than it harms anyone else.
But the Democrats are running on a notion of open borders. They might not say the words “open borders” (though some do), but how they propose to handle the situations is indicative of an open borders mindset.
It’s not just the migrant caravans. The numbers of illegal immigrants have gone up drastically every time the Democrats block one of the President’s initiatives on border security.
Nevertheless, Democrats are running on a platform that will make the illegal immigration problem worse and they’re banking on Americans being okay with this.
The fourth factor
This should be a landslide election for Republicans based on the first three factors. The fourth factor is the only thing keeping the Democrats’ hopes alive. They’ve made many Americans hate President Trump and his own words have been used to build this narrative.
So we have a midterm election where the President isn’t on the ballot, but he is. That’s their only hope, that Americans dismiss their own prosperity, health, and security so they can send a message to a President they don’t like.
I’m betting that Americans aren’t that stupid. I’m betting that American voters are going to save their anti-Trump vote for 2020 when he’s actually on the ballot. I’m betting that they’re going to vote on Tuesday to keep the agenda that’s been working so well for two years. If they do, they’ll prove the Democrats’ wrong.
When we examine the Democrats’ pitch, it’s unquestionable that they feel American voters are too simple to look at the facts. The question that will be answered on Tuesday is whether or not the Democrats were right to feel this way about us.
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