Category Archives: Short piece

Why Nothing is Hardest

Nothing is harder than doing nothing, especially when it’s the best alternative among a pack of difficult choices. Medicine’s prime commandment – Primum non nocere – often requires that the physician refrain from treatment when the remedy is worse than the malady. While the maxim is endlessly preached, it is rarely observed. The urge to…


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How Many Doctors Are Needed to Run a Hospital?

When I was a resident physician the chief of cardiology often argued that there should only be two departments in a hospital – medicine and trauma. I’ve often thought about that view over the ensuing decades as the number of medical specialties proliferated like mushrooms after a downpour. How many specialties would be needed if…


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Iceland Through Icelandic Eyes

Iceland is both Europe’s most sparsely populated and farthest west country. Just south of the arctic circle, it has a relatively benign climate due to its proximity to the Gulf Stream. It’s a prosperous place that that has a market economy and generous social welfare programs. It is energy independent as it harvests the thermal…


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Witchcraft

They’re back. Truth is, they never left. It’s just their cover that’s been discarded. In the age of gender fluidity they belong to whatever personal pronoun is in vogue. Plagues are NH4NO3 to them – ie, both fertilizer and explosive. Oedipus sought to end a plague which was caused by a curse which was cast…


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On Equality

We hold these truths to be self-evident, that all men are created equal… This self evident truth is obviously not self evident. Thomas Jefferson undoubtedly knew such to be the case. He meant that we all should be equal before the law and that the laws should be designed without bias or special benefit not thought…


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No Lives Matter

Unless Netflix and Amazon Prime has drowned out any exterior information, you are aware that much of life has been canceled. My thesis is that this activity which used to be confined the the Post Office (it was canceled decades ago) has not gone far enough. From my jaundiced vantage point it seems clear that…


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The NY Times is Still the Best

For those of you who are new to this site or just visit sporadically, we have a parrot, Groucho, who has been with us for 39 years. Several moons ago we got him a much larger cage. It’s so large, that in human terms it would be a three bedroom apartment. The cage resembles that…


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Yet Another Modest Proposal

The mayor of Duluth, MN has urged that the chief be dropped from all city titles as it marginalizes American Indians, who of course are not Indians, but Americans. She’d better be careful what she calls them. Obviously she has not gone far enough in erasing the margins. Nevertheless, she means well and should be…


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On Plans That Go Awry

Malice as the cause of a malign event is often evoked when stupidity is the real culprit. Conspiracies rarely get to action as a screw up typically intervenes before the planning stage is finished. When a conspiracy actually succeeds it is almost always the result of multiple failures of systems or structures that should have…


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Livin’ the Dream – Governments, Polls, and Other Blunders

The current state of societal and economic collapse is completely the governments fault. Yet what’s seen as the solution? More Government action. Since the viral epidemic was recognized, we warned here that locking down the economy would make things a lot worse, which sure enough it did. We’ve had worse viral outbreaks, some within living…


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