........and in conclusion:  

Importance  The Third International Consensus Definitions Task Force defined sepsis as “life-threatening organ dysfunction due to a dysregulated host response to infection.” The performance of clinical criteria for this sepsis definition is unknown.


"Faux Democracy".....our best chance!

     A recent Slate editorial (liberal bias) offered the following summation of the US "state-of-the-union":

                  A pendulum is swinging from illiberal democracy to undemocratic

                  liberalism, then back.  And its swings are getting wider and wider.

    There is little space for anyone to mislabel the "illiberal democracy" tendencies of today's angry/ordinary people.  God knows we have seen enough Trump Talks to clarify all possible misunderstandings. However,  "undemocratic liberalism" is a far more complex label.  The "undemocratic" sounds more sinister, and certainly might prove to be so, but at this fork in the road, I choose "undemocratic liberalism" which seems bettter labeled "faux democracy".

     Yes, we all get that there is an "establishment"  and reallize how "they" are sustained by PAC's and Oligarchs.  We realize that a concentration of power is achieved  by diverting key government choices away from the ballot box in favor of private and institutional control. And yes, we recognize that a periodic "hollow election charade" runs some existential risk that the good of the few might prevail over the good of the many......but

     these are difficult times.  The poorly educated  "illiberal right", having been negligently under compensated, have now self-actualized in a "facebook frenzy". You talk about "existential risk"; does anyone think that Newt Gingrich and the Kock Brothers would be able to contain a runaway train named "The Primitive Emotion Express"? 

     In this always near viral information era, at least until the education decline is halted and the functional intelligence gradient is no longer skewed toward "primitive emotion"; it seems wise that the patterns of democracy cultivated in past times be entrusted to the "hopefully elevated consciences" of the few unnamed elites.  A Faux Democracy is better than no civilization at all.   




Ozark's Evangelical Republicans... our "No Win" Lives!

                         Musings from 70 something, having most recently watched too

                                                much '16 Racial Tension Programing

     All of us Ozark "old folk" know how our family used to be Dems because FDR saved them from Depression Starvation, and how Regan came along and helped us to understand that worse than starving was being Nuked.  Ever since we've been pretty much in the pockets of our local elites who we believe are keeping us safe by keeping us in our social/economic place.  We love Jesus on Sunday morning and Wednesday nights and walk a pretty rigid class hierchacy tightrope the remainder of our days.  Most of us Baby Boomers and Pre-Boomers have made this play out pretty well. We haven't starved, been invaded, imprisoned, conscripted, or persecuted for concurrently believing in a God of Love and "No Reprive Social Order".

     Unfortunately, many of us "old folks" ran into an unexpected problem.  Because we grew up on Mom and Dad's Depression Stories and played "Duck & Cover A-Bomb Games, we understandably fell easily into compliance lives.   However,  our children, well,  not so much.  An astounding number of our children, born during and after Vietnam, are in perpetual conflict with the system.  Looking back we "old folks' look like flat-liners compared to our kids and grandkids.  Drugs, divorce, banruptcy, deceipt, dishonesty, gambling, promisculity, child abandonment, hedonistic living, conspicious consumption, education rejection, etc.  And, all across the econonomically challenged Ozarks, guess whose carrying the burdens of this "whose gonna stop me" freedom.  Of course that would be we the "old folks" bound by Jesus's Love and Regan's Family Values.  On odd days of the week we kick them out of our homes for the fourth times and file criminal charges when they steal mom's jewelery .  On even days of the week, we pay for their third rehab stay and co-sign for one more car.  We would be embarassed to go to church except that almost everyone in our Sunday School Class has had similar experiences.

     Yes, we are caught between a "rock and a hard place".  We are forever trying to decide when to love and when to reprove.  If we were Hillary, we would, I guess, borrow some more money from China, to pay for rehab and one more job retraining at the local "rip-off" JUCO.  If we were The Donald, we would fire their $5000 retainer defense lawyer, that we hired, and make but one prison visit a year. 

     Probably though,  we'll just die with one foot still in each philosophy.  Oh well!





Cox Hospital, a Monopoly Provider!

     Yes, we who live in this little Ozark Town are pleased that there is a big, bright blue, 24/7, Acute Care Hospital right out there on our "one and only freeway", I-65. While many of us are amazed that anyone thought we deserved one Hospital, there are some of us who wish we had two Hospitals. We, the more discriminating future patients, or paranoid people depending on your bias, think market choices are the key to prosperity. How "at risk" would we feel if Harter House was the only supermarket and Aaron Sachs was the only lawyer. 

     Historically we might have been less anxious about our "one hospital" situation. Back in the day when our chosen Doctor admitted us to the Hospital so that he might have specialty resources to manage our health circumstance, we retained at least some control.  No longer!  Our chosen Doctor now plays virtually no role in his patients Hospital Stay. When, we walk, or are carried, into Cox, our care is directed exclusively by employees hired by persons we have never met and whose credentials we have never seen. 

     Acknowledged this "blind risk" relationship is common to many mission critical services such as  firefighters and police.  The relationship is however, fundamentally different in that ultimately these critical service providers serve at the pleasure of an elected official that we can by vote chose to replace.  Clearly, we the Branson Taxpayers will not vote on the next CoxCorp CEO, and we will not scrutinize their evolving policies and business model.   We are, willing or unwilling, going to know everything about Trump's wife and Hillary's granddaughter, but nothing about the people we entrust to save our lives.  Shame on us!

     No, we should not start a County Hospital to compete with Cox.  We should however, acting either through local elected officials or by a public presence of a  "Common Interest Non Government Organization, hold Cox leadership accountable for "full disclosure".  Perhaps during this election season, we will be so motivated.  Certainly the tools of our self-assemblage are ready and waiting at the click of out smartphones. 


"Brexit".... Branson Style!!

     Yes, Merry Ol' England has chosen to roll back their evolutionary clocks to what they hope will be a less stressful and more peaceful future. Apparently most Brits thought that the benefits of being an EU member were nice, but that the commensurate impositions were just too taxing. Profit is nice, but an integral culture, no thanks!

      Does the story line sound familiar.  The Ozarks has for a 100 years held their "tribal culture" apart from mainstream America while availing the indigenous of all the fruits of inclusion.  We take their entitlements, their grants, their entertainment dollars and their iphones.  We give back little, and indeed impede the Union's strained efforts to husband our "yesteryear delusions" by supporting the same throwback hypocrites that orchestrated England's Brexit choice. Briton should have cut an Ozark deal with the EU.  Kind of a "tea party reverse"..."representation without taxation".

     We Ozarkians are dumb like the Opposum.  We make look dead, but we be eatin' off Washington, for free.  Praise Jesus, Ronald Regan and the multi-national elites doing all the heavy lifting.