Category Archives: Politics

Political observations.

The More Things Change

December 13, 1977
My few days at the abortion clinic. The doctor is an OB/GYN who has also been doing abortions for 5 years. The office is attractive and comfortable. No one has ever been turned away for financial reasons. They will do abortions up to 14 weeks; after that they will refer the woman to someone who will do it later than that.

My first day; the receptionist gets a call at 8:30am. “Yes, Ma’am, I’m glad your mother did not have an abortion and I’m glad my mother didn’t either…No, we are not influenced by Communists. We don’t want to have anything to do with Communists…No, anyone who gets an abortion wants one. We don’t force people to have them.”

Every woman is personally counselled before the procedure. The woman is informed of the alternatives (having it and keeping it or giving it up for adoption, or having the abortion). The woman is asked why she wants it and is asked to sign a consent form. The procedure is explained in detail: the lab work (blood pressure, HCT (hematocrit); Rh typing and urinalysis); the actual abortion and the post session.

The woman is told what may happen as far as cramping: what to watch for; who to call if she has any questions. (Don’t go to the local Catholic hospital emergency room; women who have get pretty bad treatment.)

The first woman I go through with is young (about 20), unmarried, with her father. She is cool, a little afraid but very realistic. Everything goes OK with no problems. We talk before and after. She wants an apartment and is ready to leave home. Her father is surprisingly calm and is glad it isn’t “like the butcher shop years ago, f’ Chrissake!” We talk about Rhogam (she is Rh-negative), other methods of birth control, and so on.

The women are of all ages: young, middle aged, married with kids, single, divorced. Rich, middle class and poor. The reasons: “I’m not ready to start a family.” “I have kids and I’m getting too old.” “I can’t take being pregnant again.” How they got pregnant also varies: rhythm that didn’t work; a busted rubber; foam and no rubber; forgot the diaphragm; just got careless.

Some want to have kids later and feel it is the wrong time to start families. Some are from small towns, some from the big city. Catholic, Protestant, other.

Many of them are resentful of the Illinois legislature. Some think the representatives (mostly men) ought to try being pregnant. Most feel the option ought to be available. Everyone is glad to get it over with and swear they will never take chances again.

One woman today expressed frustration and anger at her husband, and at men in general who think birth control is always the woman’s responsibility. I’ve heard the reasons she says her husband gives and can’t believe people are still really like that. I feel for her because she is in a rotten position and needs some support. I listen and agree with a lot of what she says; she apologizes unnecessarily for “offending me.”

Next week I’m supposed to do the counseling myself (with an experienced counselor watching). This afternoon I will spend all night in labor and delivery. Strange world.

I wrote that almost forty-five years ago during my third year of medical school and a month shy of Roe v. Wade’s fifth anniversary. This year’s may be Roe’s last.

The physician, Dr. Richard Ragsdale, was a kind and compassionate man whose face resembled Lee Marvin. He would gently explain to the patient what would happen and always gave her the option of backing out. He would close his eyes when doing a bimanual pelvic exam, as if he was trying to mentally visualize the uterus. When the procedure was over, he would help her sit up, remind her of what to expect that was normal or concerning, and ask if she had any questions.

Then, as now, providing abortions wasn’t easy. Dr. Ragsdale’s clinic was firebombed. He was forced to do pregnancy terminations in a local hospital after the Illinois legislature adopted licensing regulations for outpatient clinics that were impossible to meet. Dr. Ragsdale sued the State in 1985 (Ragsdale v. Turnock, 625 F. Supp. 1212 (1985)). The Seventh District U.S. Court of Appeals ruled the Illinois regulations unconstitutional and the case continued to the Supreme Court but was settled in 1989. Dr. Ragsdale died in 2004.

I believe a few inconvenient and irrefutable facts:

First, and most important, women aren’t capable of inseminating themselves. The single requirement for an unwanted pregnancy is a willing dick with viable sperm. No politician has introduced legislation regulating accidental fatherhood, but maybe they should.

Second, preventing unwanted pregnancies can minimize the need for abortions but that requires, among other things, affordable and easily available contraception. GoodRx.com provides cheap oral contraceptives and Depo-Provera online. An IUD can run $500-$1300 but can last up to 12 years. The Colorado Family Planning Initiative provided long acting reversible contraception to low income women, cutting teen birth and abortion rates in half. Condoms cost about a buck each, less if bought in a box of 12 or more, but they won’t work if they are stuck in a wallet.

Notice I said minimize, not eliminate. Any given pregnancy has a 10%-20% chance of ending in a miscarriage, also called a “spontaneous abortion.” Oklahoma wants to criminalize abortion “from the moment of conception,” which presumably would make inserting an IUD a felony. The State has also convicted a Native America woman of manslaughter for miscarrying her 4-month pregnancy. Texas’ draconian antiabortion law would potentially consider surgical or medical treatment of miscarriages a crime, equivalent to a voluntary abortion. So much for “small government.”

Sometimes a pregnancy implants somewhere outside the uterus and this “ectopic” pregnancy is life-threatening. The choice is removing the errant pregnancy or letting the woman die when the tube ruptures. When I was a resident we found a live fetus the size of a rice grain in a gestational sac hanging out the end of the Fallopian tube and no, we could not just move it to the uterus. Conservative thinking would potentially consider this an abortion.

Every birth control method, even permanent sterilization, has an inherent failure rate. Several years ago I saw a 42-year-old woman in a rural hospital’s Emergency Department complaining of a week of bleeding and abdominal pain. She’d had her tubes tied thirteen years previously but never thought she might be pregnant, but she had a positive pregnancy test. I found 1,300cc of blood in her abdomen from a ruptured ectopic pregnancy.

Preventing unwanted pregnancies also requires adequate sex education and the political will to ensure it happens. Countries with comprehensive sex education have far lower teen pregnancy rates than the United States. Determined teenagers will engage in sexual activity, regardless of adult pearl-clutching and sanctimonious bullshit, so get over it.

Third, women with money will always be able to get a safe abortion, regardless of state restrictions or their personal religious affiliations and convictions. So will the pregnant mistresses of pro-life politicians who have a sliding scale of morality.

Finally, I don’t want someone telling me what to do, so no one should be telling any woman what to do!

“Since we all came from a woman, got our name from a woman, and our game from a woman. I wonder why we take from women, why we rape our women, do we hate our women? I think it’s time we killed for our women, be real to our women, try to heal our women, ‘cus if we don’t we’ll have a race of babies that will hate the ladies, who make the babies. And since a man can’t make one he has no right to tell a women when and where to create one.”
? Tupac Shakur

Election Postmortem

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Here are my thoughts on the shitshow that was the 2020 Presidential election

Polls missed it again!
Pollsters in 2016 predicted Hillary Clinton would win but didn’t recognize how many people despised her. Instead third-party voters in Michigan, Pennsylvania and Wisconsin, whose vote totals were many times his margins over Hillary, handed the election to Trump. This time Biden won those three states.

Biden was supposed to win in a landslide and a Blue Wave was going to usher in a Democratic Congress to magically transform everything. So what happened?

Polls suffer from selection bias; they are only as good as the people who choose to answer them. I don’t answer any phone calls I don’t recognize and I’d rather slit my throat than talk to a pollster. But there’s a subset of the population – those on the far ends of the political spectrum – that will gladly tell anyone how they feel about the issues. The people in the middle, both Liberal and Conservative leaning, either doesn’t want to be bothered or don’t want to tip their hands.

I’m not sure polls have any practical use besides inducing false hope to some, despair to others, or a reason for the media to turn the election into a day at the greyhound track with Bugs Bunny.

The “Blue Wave” was a ripple.
Democrats overestimated their chances of defeating Republican incumbents. Anyone hoping for a major Democratic takeover of Congress ignored political reality. Every voter can choose ONE Congressional rep, TWO Senators and ONE President.. Mitch McConnell and Lindsey Graham were re-elected, despite being hated by millions. You can’t vote out another state’s candidates.

Progressives pinning all their hopes on Bernie or any other “progressive” candidates are delusional. You can elect Jesus Christ Himself to the Presidency, but as long as Moscow Mitch controls the Senate, you won’t get any closer to universal healthcare or free college.

Biden won without groveling to progressives.
I didn’t see or hear as much “the candidate needs to earn my vote!” bullshit that dominated the 2016 race. Maybe third-party voters realized the past four years of Trump were far worse than a Hillary Clinton presidency. I’m sure there are some who “held my nose” and reluctantly voted for Biden, but I don’t expect them to openly admit it.

But the progressive agenda may have cost Democrats House seats.
More than 72 million people voted for Trump, and they equate “progressivism” with socialism/communism. I can only guess as to their reasoning, but I think it’s a combination of viewing government as the enemy and not wanting “those people” getting something for nothing. Hispanics in Florida, especially Cuban-Americans, are and the Florida Democratic Party apparently did little to persuade them otherwise.

Conor Lamb, a 36-year-old moderate Democrat from Pennsylvania’s 17^th district who won re-election in a Republican area, said:

“I’m giving you an honest account of what I’m hearing from my own constituents, which is that they are extremely frustrated by the message of defunding the police and banning fracking. And I, as a Democrat, am just as frustrated. Because those things aren’t just unpopular, they’re completely unrealistic, and they aren’t going to happen. And they amount to false promises by the people that call for them.”

We’re not likely to get universal health care or Medicare for All in my lifetime. It will require almost unanimous Congressional approval, a President willing to sign the legislation, and a Supreme Court willing to uphold it against the inevitable legal challenges. It will also need a comprehensive plan on how to transition a $4 trillion industry to a single payor as well as adequate funding in perpetuity.

I don’t see it happening until millennials, especially women, make up a sizeable proportion of Congress and we have a female president. We are headed in the right direction but change will be incremental, not radical. To paraphrase Paddy Bauler, Chicago 43^rd ward alderman and barkeep, “The country ain’t ready for reform!”

Democrats need to win statehouses.
Republicans control more than half of the state legislative bodies in the US and that is where voting laws and redistricting happens. The Democrats failed to make any gains in 2020. Texas isn’t going to turn blue anytime soon. Georgia is probably more purple than blue. And there are a lot of crazy people in Michigan, where Republicans have been actively undermining Governor Gretchen Whitmer’s efforts to combat coronavirus.

All politics are local.
A lot gets decided at the state and local level. Arizona, Barry Goldwater’s home state and long a bastion of conservatism, legalized recreational marijuana and raised taxes on incomes over $250,000. Mississippi legalized medical marijuana and replaced the Stars and Bars on its state flag with the state flower. South Dakota legalized recreational and medical marijuana. Florida – Florida! – voted to increase the minimum wage to $15/hour over the next six years. So there is a glimmer of hope.

Don’t expect a honeymoon.
As of this writing, Trump has refused to concede. A lot of Trump supporters think the election was fraudulent and Biden will be an “illegitimate president.” Republicans, as with Obama, have no interest in reconciliation or cooperation.

Many of us on the other side aren’t willing to forgive or forget four years of animosity, ridicule and lies. Trump and his supporters vilified immmigrants, Muslims, people of color, Black Lives Matter, anti-fascists, liberals, intelligence and education. They cheered when a 17-year-old kid from Illinois killed two protesters in Kenosha, Wisconsin with an assault rifle, and then started a Go Fund Me page for his legal expenses. Pulitzer Prize winning journalist Leonard Pitts, Jr. put it this way:

“…Trump and his supporters broke this country, and it will take years to repair, if we ever do. They didn’t care then, and as far as I can tell, they don’t care now. So as an African-American student of history — and frankly, just as an American who loves the ideal of America, the truths held self-evident and more perfect union of America — I ask you not to ask me what I will do to reconcile with those people. Here’s a better question:

What will they do to reconcile with me?…”

Democrats need to stop preaching to the choir.
Biden and company need to figure out what conservative voters want and/or need and if it’s even possible. These are the people who thought that Trump contracting coronavirus showed courage rather than stupidity. They embrace authoritanianism; they want a dictatorship as long as it doesn’t affect them. In 2019, a woman in Florida, bemoaning the poor federal response to Hurricane Michael, said Trump was “not hurting the people he needs to be hurting.” Yes, some of your fellow Americans are that vindictive.

Trump won in 2016 by appealing to their sense of being neglected by both parties but did little or nothing for them. Coal jobs didn’t come back. His trade war with China crippled soybean farmers. Middle-aged white men, especially in the Mountain West, are dying by suicide at twice the national rate. Many of those people voted for Obama in 2008 and 2012. The Democrats can win them back but not with progressive demands to defund the police, enact a Green New Deal and promising Medicare For All.

Otherwise, we risk Trump 2.0 in 2024, and that could truly be the end of the United States.

Bread and Circuses

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I went to Costco today. They had the normal entrance blocked off and routed people through the cart entrance. (T-W-Th 8-9am are old people hours). They had the walk along the side of the building partitioned with pallets and carts. We had to walk down the sidewalk, around the end and back to the entrance. We got our carts but had to wait in line because they were limiting how many people could be in the store. They had TVs playing a PSA loop featuring Drs. Fauci and Birx, and Dr. Jerome Adams, the US Surgeon General, explaining why we have to keep six feet (or one alligator) distance between us.

We got to go in when some number of people exited. The meat counter was pretty much empty. No ground beef, save for a few packages of “organic” stuff: 4lbs that was going for about $21. Two packages of stew beef. High end beef going for $30/lb. Five six-packs of boneless chicken breasts. No thighs, no whole chickens. There was plenty of salmon and tilapia as fish doesn’t have the same processing plant issues (and likely because it’s too healthy for some people).

They had plenty of fresh Italian sausage in the pork section. I suspect they ground up what little pork they had left to stretch it out. I also saw a lot of the Kirkland bratwurst (which I think is better and bigger than Johnsonville’s brats). The freezer section had a lot of prepackaged stuff like beer battered cod, pulled pork, sirloin burgers and half a pound of blackened mahi-mahi for $20. Ouch.

Most people kept their distance, pausing at aisle intersections like 4-way stops, but some wandered aimlessly, oblivious to their surroundings and crowding the rest of us. One poor older woman was asking if Costco was handing out masks; the staffer said, “It’s OK for now; you don’t have to wear a mask until May 1.”

One Costco staffer directed people to the checkouts as they became available. The cashiers were behind 2×6 ft acrylic barriers and everything seemed to go smoothly. But everyone looked grim. As Walter would say, “Get your shit and get out!”

We are fortunate there are only two of us. We aren’t waiting for an unemployment check that won’t come anytime soon because the unemployment website is overwhelmed, and no one can apply (or was deliberately sabotaged by a cruel governor). We don’t have a houseful of kids that we have to home school while also working at home and THEN have to worry about feeding after a long day. We’re not in unimaginably long lines at food banks.

We’re the richest country in the world and our government is wasting $8,000 and 1,200 gallons of fuel per hour per jet flying twelve F-16s over cities filled with people who can’t go out of their apartments. If they do, they’re ignoring social distancing, so why bother mandating something people can conveniently ignore? It’s more of a tribute to a feckless leader than to the people risking – or taking – their lives. Bread and circuses.

Soon, we may have no bread, only circuses.

Compared to What?

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(Please forgive my absence. The last two months have been a bit chaotic.)

This was too good to pass up.

Number One son, my clone in personality if not appearance, started a discussion on Facebook: So… at what point does the MiniTrue behavior of the current administration become an actionable problem?

A friend of his responded: Ah the ministry of truth telling you to reject the evidence of your eyes and ears.

My first thought on seeing “Mini-True” was Verne Troyer. I remember a few of Orwell’s unique terms – Big Brother, thoughtcrimes, doublespeak and the homeland Oceania – but not the contraction MiniTrue. I asked Peg and she didn’t remember it either.

Number One Son: Ministry of Truth. S’newspeak
The Old Man: Millennial shorthand again.
Number One Son: Jesus dad did you even READ the book?

Yeah, numbnuts, I read 1984 in 1969 when I was a high school freshman. And Animal Farm. And Brave New World, though I’ve never read Lord of the Flies. One my high school buddies called me Piggy because I had “assmar” (asthma).I had an image of Julia I based on a blonde from a beer ad in TV Guide. Years later when I saw the 1956 film version of 1984 with Edmund O’Brien as Winston Smith, Jan Sterling’s Julia came pretty close to what I’d imagined.

I grew up during a time that was similar to what’s going on now but, in its own way, far uglier, although Peg thinks the present is worse. Black people were still being lynched in the South during the 1960s. Detroit and other inner cities burned in 1967 as black people rioted against police brutality, poverty and racism. Martin Luther King, Jr. and Bobby Kennedy were assassinated within a couple of months of each other in 1968, killing our hopes of racial harmony and a return to Camelot.

Our collective stomachs knotted as we watched old men on television randomly drawing birth dates for the draft. We were in a war in Vietnam we could never win, and our leaders knew it. Fifty thousand US troops died. So did an estimated 1.3 million North and South Vietnamese soldiers, along with 2 million Vietnamese civilians. The American casualties in Iraq, Afghanistan and Syria are far lower, but the faulty rationales for “bringing freedom and democracy to you savages” persist.

College campuses exploded. The Students for a Democratic Society (SDS), founded in Ann Arbor, Michigan organized “teach-ins” (a.k.a. “preaching to the choir”) and antiwar protests. The Weather Underground Organization didn’t think the SDS was militant enough, split off in 1969 and started a bombing campaign targeting banks and government buildings. Diana Oughton, who grew up in Dwight, Illinois, about 15 minutes from where I lived in Streator, died in a Greenwich Village apartment when the bomb she was building exploded prematurely. She was only 28.

The 1968 Democratic National Convention in Chicago was eclipsed by Chicago cops tear-gassing and beating the crap out of protestors. Mike Wallace and Dan Rather, CBS reporters who would become legends, were assaulted on national TV. Chicago Mayor Richard J. Daley, whom columnist Mike Royko called “The Great Dumpling,” made his infamous proclamation: ““The policeman isn’t there to create disorder, the policeman is there to preserve disorder.”

On October 15, 1969, a few million people around the country – mostly young, some older – joined The Moratorium to End the War in Vietnam. Our high school administration had banned wearing black armbands in honor of the day, prompting several seniors to walk out and assemble at the American Legion memorial in the city park. I wore an armband home that day. My stepfather called me a Communist and said the kids at the memorial should have been lined up and shot. I’d never thought of him having any political inclinations and I was surprised as hell. I picked a side that day and I’ve never wavered.

Six of my high school friends and I read How Old Will You Be in 1984?, a collection of essays from high school “underground” papers around the country. We would all turn 30 in 1984, the age at which we thought as teenagers, adults could no longer be trusted — a sobering thought. (The irony is I now think of thirty as “young and stupid,” and I don’t trust people my age when they have money and power.)

We printed four editions of “The Paper,” our naïve attempt to change the hearts and minds of high schoolers in a blue collar town. Dennis’ dad gave us access to a mimeograph machine; we printed them on pastel paper and sold them for a dime. I still have some of them left, crumbling in a manila envelope somewhere in our basement. It got us mentioned in a much larger collection, The Movement Toward A New America: The Beginnings of a Long Revolution., but not much else.

USA Today ran this opinion on September 6, 2019: “If things are so bad under President Trump, why aren’t we seeing larger protest movement?“ My snarky comment was “Because people won’t look up from their cell phones.” They aren’t willing to risk being teargassed, beaten or shot for what they may view as an exercise in futility. There have been a few symbolic protests and arrests but nothing that has altered minds or policy.

learned protesting doesn’t accomplish shit. My generation wanted a “revolution,” but it didn’t turn out as we’d hoped. Not even close. The only things we “accomplished” were President Lyndon Johnson decided not to run for re-election, and the backlash from the riots killed Hubert Humphrey’s chances of winning. The US didn’t pull out of Vietnam for another 5 years. We got Richard Nixon as President, his war on drugs and his eventual resignation for the Watergate cover-up. Republicans are still fighting the culture wars, even though all of us dirty hippie godless Commies are grandparents and more worried about our 401k’s than sticking it to The Man. (Click here for a story about the couple on the Woodstock album cover, married for almost 50 years!)

Pissing and moaning on Facebook may be cathartic. Signing online petitions to your weasels in Congress might make you think you’re doing something, but it doesn’t. Voting helps but only to a point. Each person can vote for two Senators, one Congressional Representative and the President. I can’t vote Moscow Mitch, Ted Cruz or lunatics like Louie Gohmert out of office. You could elect Jesus Christ Himself as President and as long as the GOP controls Congress, you ain’t getting shit.

Change is incremental and requires fundamental shifts in public opinion. Civil rights, voting rights, gay marriage and legalized marijuana didn’t happen overnight. Bernie’s minions should stop hoping for a “progressive” miracle worker with a magic wand and work towards changing Congress instead of whining about how the DNC “screwed” him in 2016.

Trump’s base will crawl on their knees over hot coals to vote. Millennials and Gen X’ers will comprise more than half of next year’s eligible voting population, almost twice the number of Baby Boomers (whom some of them blame for their misery). They are in a much better position to alter our country’s course because they have more to lose by doing nothing.

In 1969, Les McCann and Eddie Harris performed “Compared to What?” at the Montreux Jazz Festival. Some things haven’t changed in fifty years

“The President, he’s got his war
Folks don’t know just what it’s for
Nobody gives us rhyme or reason
Have one doubt, they call it treason
We’re chicken-feathers, all without one nut. God damn it!
Tryin’ to make it real, compared to what? (Sock it to me)”

We still have a long way to go.

In Honor of Labor

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Something to ponder on this Labor Day.

Bedford is a pleasant town nestled in the rolling limestone hills of South Central Indiana, about twenty miles from Bloomington, Hoosier football, and the site where Breaking Away was filmed. There are some good local restaurants—Smokin’ Jim’s BBQ is a must—along with every fast-food franchise known to man. The people are friendly, kind and they work hard.

I missed the Holiday Inn Express’s free breakfast Sunday morning, so I headed for the reliable alternative, McDonald’s. The Egg McMuffin is a decent, balanced breakfast: protein (lean meat, fried egg), fat (a slice of American cheese), and carbohydrate (a toasted whole-grain English muffin) totaling 290 calories. I get two, dump one muffin and one cheese slice, combine the remainder and I’m good for a few hours.

I pulled into Mickey D’s and counted sixteen cars in the drive-thru lanes. I thought the counter might be faster, so I parked and went inside. It wasn’t any better.

Seven people were in line. There were three trays on the counter waiting for orders and one take-out slip. The monitor above the product rack showed twelve drive-thru orders, and I could still see a line of cars through the window.

Seven people working their butts off behind the counter. The man at the register was in his late 50s or early 60s, as was the woman who wheeled a couple of three-gallon iced-tea buckets towards the back. Three young men were putting breakfasts together as fast as they could. One middle aged woman put orders into bags or on the trays while another manned the register at the window.

I got my order after about 10 minutes. There were fifteen more people in line and another sixteen cars in the drive-thru lanes when I left.

There have been a lot of smarmy comments about “Sally McBurgerflipper” wanting fifteen bucks an hour for doing jobs those critics think should be done by lazy, sullen teenagers wanting pin money. But the average age of fast food workers is 29. Many of those people have more than one job and have families to support. In rural areas, Wal-Mart and fast-food might be the best options for those who aren’t college material. Those jobs are relatively immune to economic downturns, but that is little consolation when there are 30 applicants for one job.

I’ve done more than a few minimum-wage jobs. I was a busboy at a bowling-alley restaurant for 75¢ an hour; I got a raise to 90¢ after a month. I was an orderly at our local hospital when I was 17, making about $2.50 an hour. One of my jobs was digging impacted stool out of a neurologically impaired man. I was a stocker at the student bookstore in college.

Any honest work, no matter how menial or humble, is good work. Every job is worth doing well and those who work hard deserve to be treated well. I always kept in mind the advice my family doctor gave me when I told him I wanted to go to medical school:

“Whatever you decide to do, do your best. If you want to dig ditches the rest of your life, be the best damned ditch-digger that ever lived.”

I have more respect for Benny, the guy at the McDonald’s I go to every Sunday, than I have for some rich bastard on Wall Street who wrecked the economy and then had the balls to ask the Feds to bail his sorry ass out.

I respect one of my church’s parishioners who, after thirty years in IT became a casualty of the recession. He got a job at J.C. Penney and is far more reliable than many of the much younger employees. He interviewed for a job in his field when the market started to improve a couple of years ago, but the boss said, “I can hire someone right out of college and pay him a third of what I’d have to pay you.”

I’ve nothing but contempt for the CEO who, no matter how well the people actually doing work perform, believes “it’s never enough.”

Never make assumptions about the people in whose shoes you’ve never walked. You might find yourself among them someday, feasting on your own rhetoric.

Happy Labor Day.

Notes from Dr. Dave

Musings from forty plus years as an OB/GYN and a writer.