Archive for October 18th, 2012
For the first time, Real Clear Politics and their poll averages has Mitt Romney beating President Obama in the Electoral College.
The map is similar to my map from several months ago.
This map is from the interactive site, 270towin.com
But, what is interesting is that a number of states that many have thought in the Team Obama camp, may be in play – most notably Pennsylvania and Michigan.
The battleground state polls after the Monday night debate, should deliver a clearer picture of what will happen on November 6th.
By the way, the magic number of Electoral College votes to win is 270.
From the website Trooth.Com
You remember the FLAP.
A number of Utah oral and maxillofacial surgeons have begun a dentistry turf war with a fellow dentist, Heath Hendrickson, over the extraction of wisdom teeth. The surgeons have sponsored a website (Trooth.com) and a billboard on I-15 in Utah County, Utah.
The oral surgeons who are listed below have a beef with general dentist, Heath Hendrickson, who refers to himself as Dr. Wisdom Teeth.
Monday afternoon, I had the opportunity to speak with David Nicholls, D.D.S., one of the oral and maxillofacial surgeons who comprise the Board of Trooth.Com.
Part One of my interview with Dr. Nicholls is posted here. Part Two is posted here.
The interview continues:
Are there any remedies to those issues besides doing a website or placing a billboard? Because, you know, it is unusual, for a group of oral surgeons to take out a billboard on a major interstate highway about a general practitioner. You have to admit that this is unprecedented?
So, everyone asks why would you risk your reputation, which is excellent and with excellent training, and any community would be proud to have you as their oral surgery practitioners.
So, why would all of you risk your own professional reputations, risk a lawsuit for libel or for slander and why would you risk alienating your general practitioner referral base to address Dr. Hendrickson’s advertising and his portrayal of being an oral surgeon?
I can answer that straight forward. We all care about our community and our professional community as well. And, we are interested in the patients and families in our area. And, the only reason we are doing this is we believe it is the right thing to do. Stand up, stick up for something that is right because the other remedies that we have pursued, that have tried to remedy this, have not been successful.
And, there comes a time where it says it is not right that this is going on. Patients are not being treated properly, not getting the proper standard of care. They are not being properly informed with respect to their care. And, they are just being taken advantage of. And, so somebody needs to stand up and say something about this.
And, so in our view, we are not doing anything but standing up for and telling the truth. It is not about revenue. It is not about competition. It is not about any of that.
We all do things other than wisdom teeth. But, it is about standing up and telling the truth. And, so people know that if you need surgery, you need at least to consider to go to a surgeon and not have a generalist do it.
But, that is not to say a well-trained generalist of which there are many in our state, many who have served in the military and done GPR’s, had extended training are not adept to do surgery. That is not the case. There are many general practitioners who take out teeth, wisdom teeth and do a fine job.
All we are say is that if a generalist is going to represent himself to the public as a wisdom tooth specialist, then he needs to comply with the State Dental Practice Act, which says he has to say he is a general dentist.
And, he is not a trained surgeon.
He doesn’t have to say he is not a trained surgeon, but has to say on his advertisements, that services are preformed by a general dentist. And if he would put that on his advertisements , on his billboards and on his flyers and all of the stuff he has up, services performed by a general dentist, then that is all we have to say about it.
Then, he is advertising truthfully. And, people would look at his website and his billboards, whatever and they know what they are getting. They are going to a general dentist to have their wisdom teeth removed.
And, if they choose to do that, knowing full well that who it is, then it is their choice.
And, we are not going to change that. But, what we want him to do is accurately represent himself to the public, period.
So, there appear to be some very specific remedies that he could take that would maybe allow the billboard to come down: portray himself as the dentist that he is, to put disclaimers on all of his advertising, and what about the patient care issue as far as post-operative care?
If you have a bunch of orthopedic surgeons and a certain number of them have a higher complication rate than the other surgeons, then there is nothing that will allow the group or an individual to allow, what happens is there is internal monitoring by the State Medical Board and by the hospital that kind of questions that individual if they are having an excessively high rate of complications.
In dentistry there is nobody to do that.
So, if a clinician, an oral surgeon, periodontist or anybody are having a higher rate of complications is to, the only way that comes to the public forefront is if patients register complaints with the State Dental Board. And, then there is some kind of investigation, some remedy to be taken in that way.
We cannot really do anything about that.
If patients are unhappy with the way they are treated, they have to take it up with the State Dental Board. And, we believe the way surgeons provide surgical care is the standard to which the care should be provided.
And, so if a generalist, is going to do surgery, then he should do it as well as an oral surgeon. And, if he does then he is entitled to do all of the oral surgery that he wants to do.
But, he needs to represent himself properly to his patients and that is really our only issue.
If Dr. Hendrickson decides he is going to comply with the statute, that he needs to be truthful in his advertising, and if he puts up his advertising that says performed by a general dentist, then we are done with our campaign.
Then, we just go back doing what we are doing, because he is entitled to do what he wants.
Have you ever filed a complaint with the DOPL, regarding his advertising?
No response (from DOPL)
But, you have file complaints with the Board?
OK, and you have received no response from the Board?
Do you know of other Board Members of your group who have filed complaints with the Board?
The complaints have been filed on behalf of the Utah Association of Oral and Maxillofacial Surgeons. And, so specially, I have not filed any complaints but other members of our specialty have and the President of the society has been overseeing that effort. And, by his account DOPL (Department of Professional Licensing) says look we have too much going on and we are aware of it and nothing has happened. And, this has been going on for years now.
I saw that Dr. Jason Chandler of the UAOMS (Utah Association of Oral and Maxillofacial Surgeons) testified at the last Utah Dental Board meeting. And, he raised some of these issues. And, the Board Executive Director said if there were specific complaints that they should bring them directly to the division in that the Dental Board which acts usually as a jury does not get involved in the specific details of the cases. But, if there are complaints she recommended that the UAOMS that they should file complaints with the division and that they would be investigated. That if they were not being investigated, then the Division director should be contacted and the point be made that they are not being investigated. Do you know if there has been any follow-up?
You know, I don’t know that.
I am not on the State Dental board and I interact with Dr. Chandler and his partner who is on the Board. I interact with them somewhat. But, this is something we decided to do and be done locally.
And, again, we are not out to make anything happen other than compliance with the Utah Dental Practice Act.
There are some people who would argue that, they would say that if you don’t with the enforcement mechanism of the DOPL, that your complaint should really be with the State of Utah rather than going to your own public awareness campaign?
I would agree with that.
But, if you don’t get response from the state, you see that a harm is being done, and patients not being treated properly, then at some point you feel like you have your own professional obligation to ..the public’s best interest kicks in.
You have to say something.
I went to the DOPL website and actually looked at whether Dr. Hendrickson has had any disciplinary action against his license and there is nothing there. Do you know of any patient complaints are in the mix? Or, have there been any malpractice judgments against him?
I don’t have that information.
Let me play Devil’s Advocate for a minute, because people in your community are going to say this and dentists are going to say this as well.
They are going to say this is a “TURF WAR.” And, I have characterized this as a “TURF WAR” in my first post.
You have some very highly educated oral surgeons and they are going against another highly educated general dentist who extracts teeth and he does it at a reduced fee and oral surgeons don’t like it.
Oral surgeons don’t like the fact that he is stealing business away from them.
What do you say?
Well, I would just emphasize that this is not about revenue. It is about ethical behavior as a professional, representing yourself properly to the public.
He can do whatever he wants.
And, charge whatever he wants.
But, he needs to represent himself truthfully to the public.
And, that is our main complaint.
I, personally believe, if you are a good surgeon, if you take good care of your patients and charge a fair fee, you will stay busy. I have found this to be true throughout my whole career.
If someone wants to save some money going to their general dentist to take out their wisdom teeth, then that is there choice.
And, in our view there is some risk to that. Which I think you would agree.
But, this is not about a “TURF WAR.”
Now, if he was doing what he was doing and not advertising at all, and this was all word of mouth, then I think we have less of an issue with it. But, he is very, very aggressive and prominent in the advertising. And, so that kind of puts him in the limelight.
And, makes us more interested to make sure people know what they are doing when they go to see him.
In my next post, I will wrap up my interview with Dr. Nicholls.We will discuss the Federal Trade Commission.
Then, I will look forward to Dr. Hendrickson’s response – keeping in mind that his wife is due to deliver twins at any time.
Below is the Trooth.Com billboard found along I-15 in Utah:
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Posted by Flap in Pinboard Links, The Morning Flap, tags: #tcot, Adams, Dilbert, Economy, Food_Stamps, Gay, gay_politics, Iowa, LGBT, Nafis, newsweek, Obama, Pinboard Links, Romney, Rove, terrorism, The Morning Flap
These are my links for October 17th through October 18th:
- Obama needs to win back the hearts of the country – Obama Needs to Win the Not-So-Optomistic- Barack Obama won the hope vote in 2008. Now, to keep the White House, President Obama needs to win back the disappointed.Michael Jones is one of them. Jones, one of the questioners during Tuesday night’s debate, wanted to know what the president has done to earn his support in 2012. This time around, “I’m not that optimistic,” said Jones.Obama’s answer to a critical voter concern was one of his weakest and one of challenger Mitt Romney’s strongest. It’s partly because Obama never got a chance to respond to his rival, but also because Obama didn’t seize the opportunity when Jones first presented to him.You could picture Bill Clinton telling the citizen-questioner in deeply personal terms how hard he is working on his behalf and how hard he would continue to work in a second term. Candidate Clinton showed how that’s done in a 1992 town hall debate that came to symbolize his unique ability to connect viscerally with ordinary people — even as it illustrated President George H.W. Bush’s inability to do so.
- Rove: Obama Won the Debate but Is Losing the Argument- Americans on Tuesday night watched what was the most ferocious presidential debate ever. Barack Obama and Mitt Romney circled and interrupted each other, jabbed fingers, got into each other’s space, and exchanged verbal body blows for 90 minutes at Hofstra University in Hempstead, N.Y.Yet it did not change the campaign’s dynamic. President Obama won the postdebate polls, but he’s losing the argument.In CNN’s insta-poll, 46% said Mr. Obama did the “best job” while 39% chose Mr. Romney. And in CBS’s survey of uncommitted voters, 37% said Mr. Obama won the night while 30% gave it to Mr. Romney. But to reverse the GOP challenger’s momentum, the president required nearly as big a victory Tuesday as Mr. Romney had last week. He didn’t get it.
- Massive study finds only 3.4% of American adults identify as LGBT- A massive new survey published this morning reveals that only 3.4% of American adults publicly identify themselves as lesbian, gay, bisexual or transgender, with the highest percentage coming among the younger, less-educated non-whites.The new Gallup Poll of more than 121,000 adult, the largest of its kind on record, wass conducted during the past four months. It finds the percentage of self-reported LGBT Americans to be much smaller than a general impression derived from their presence in popular culture and their perceived influence in liberal American politics.The special report found 3.4% of adult Americans publicly reporting themselves as personally identifying with those categories, 92.2% saying they do not and 4.4% refusing to say or claiming not to know.Given the stigma often attached by some to those categories, some unknown portion of the Didn’t Say’s and No’s presumably are choosing to remain in the closet, holding down the LGBT number somewhat.
“This initial analysis,” Gallup reports, “reveals new insights into the composition of the LGBT community in the U.S. In particular, the findings challenge both media and cultural stereotypes to reveal that the LGBT population is in a number of ways not that different from the broader U.S. population.”
- In full-page newspaper ad, 13 Iowa voters apologize for supporting Obama in 2008- A full-page Mitt Romney campaign ad in today’s Cedar Rapids Gazette takes the form of an open letter from 13 Iowans who say they voted for President Barack Obama in 2008 but regret their choice and won’t do so again in 2012.The letter is phrased as an apology, and lays out a case for why Romney, the Republican nominee is a better choice this time around.“Mitt Romney will deliver the real recovery that President Obama has failed to bring, he’ll get Americans working again, and he’ll turn our economy around,” the letter says
- Report: Obama campaign turning grim on Florida, Virginia, North Carolina — and Colorado? – It’s not that Romney has insurmountable leads in FL, VA, and NC, it’s that Team O has to decide how to allocate what’s left of its campaign treasury down the stretch and there are better bets for them than those three states. Triage, in other words. Mitt’s up 4.7 points on average in North Carolina, which would be tough for O to make up, and 2.5 points in Florida, which might be doable but would be hugely expensive in terms of reserving enough ad time to make a dent. I’m a little surprised to see Virginia included — O actually leads there by eight-tenths of a point, although Romney’s (narrowly) won the last three polls, so maybe Obama’s campaign figures it’s not worth resisting that momentum in a state they don’t really need. They do kind of need Colorado, though, and that actually looks tougher than Virginia for them at the moment: Romney leads by seven-tenths of a point and has won six of the nine polls taken since the first debate. If I had to guess, I’d bet they’re looking at Virginia and Colorado now as an either/or situation; if Romney’s lead opens a bit in one rather than the other, that one will be written off and an investment made in the closer state.
- Terrorist arrested after trying to ‘destroy America’ with Fed Reserve Bank attack- A young Bangladeshi on a mission to “destroy America” tried to blow up the Federal Reserve Bank in lower Manhattan Wednesday with what he thought was a 1,000-pound van bomb, according to a criminal complaint.Quazi Mohammad Rezwanul Ahsan Nafis, 21, allegedly wanted to kill scores of people, wreak havoc on the US economy and stop the presidential election when he parked on Liberty Street around 8 a.m. and repeatedly dialed into the cellphone detonator from a nearby hotel room.But all he did was set off an indicator in the van that proved he tried to set off the explosion. He was promptly arrested, with his grand plans up in smoke.“I don’t want something that’s like small. I just want something big,” Nafis, 21, told an undercover agent during a recorded August meeting in Central Park.
“Something very big. Very very very very big, that will shake the whole country . . . that will make us one step closer to run the whole world. I want to do something that brothers coming after us can be inspired by us.”
The al Qaeda-obsessed terrorist — who was living with relatives in Queens — also recorded a video addressed to Americans right before he tried to detonate the bomb.
- A Turn of the Page for Newsweek – Out of Print- We are announcing this morning an important development at Newsweek and The Daily Beast. Newsweek will transition to an all-digital format in early 2013. As part of this transition, the last print edition in the United States will be our Dec. 31 issue.Meanwhile, Newsweek will expand its rapidly growing tablet and online presence, as well as its successful global partnerships and events business.Newsweek Global, as the all-digital publication will be named, will be a single, worldwide edition targeted for a highly mobile, opinion-leading audience who want to learn about world events in a sophisticated context. Newsweek Global will be supported by paid subscription and will be available through e-readers for both tablet and the Web, with select content available on The Daily Beast.Four years ago we launched The Daily Beast. Two years later, we merged our business with the iconic Newsweek magazine—which The Washington Post Company had sold to Dr. Sidney Harman. Since the merger, both The Daily Beast and Newsweek have continued to post and publish distinctive journalism and have demonstrated explosive online growth in the process. The Daily Beast now attracts more than 15 million unique visitors a month, a 70 percent increase in the past year alone—a healthy portion of this traffic generated each week by Newsweek’s strong original journalism.
- Scott Adams Blog: Firing Offense – Endorses Romney- Romney is likely to continue the same drug policies as the Obama administration. But he’s enough of a chameleon and a pragmatist that one can’t be sure. And I’m fairly certain he’d want a second term. He might find it “economical” to use federal resources in other ways than attacking California voters. And he is vocal about promoting states’ rights, so he’s got political cover for ignoring dispensaries in states where medical marijuana is legal.So while I don’t agree with Romney’s positions on most topics, I’m endorsing him for president starting today. I think we need to set a minimum standard for presidential behavior, and jailing American citizens for political gain simply has to be a firing offense no matter how awesome you might be in other ways.
- The schedule becomes the story- e are at the point now in the race for the White House where decisions must be made by both campaigns on where to spend precious time in the final days of this race, as what seems like a simple decision not to campaign in a certain state can quickly blossom into a major story.The number of swing states I have been watching is ten – New Hampshire, Virginia, North Carolina, Florida, Ohio, Michigan, Wisconsin, Iowa, Colorado and Nevada.With 19 days until Election Day, how many times will the President and Mitt Romney get to those states? Will any of them go wanting?The President spent the day after the second Obama-Romney debate in Iowa and Ohio; as I wrote earlier in the week, don’t underestimate the importance of Iowa’s six Electoral Votes.
“We’re in Iowa and Ohio today specifically because early voting has already started,” Obama Press Secretary Jen Psaki told reporters on Air Force One. “As you know, that’s a key part of our strategy.”
Reporters then asked about speculation that the Obama campaign might be easing off the pedal in some southern states – specifically, Florida, North Carolina and Virginia.
“The same states that were in play and that we’re competing in every single day are the same states today as they were three weeks ago,” Psaki said. “And that includes Florida, and that includes North Carolina.”
But the schedule already tells a story about North Carolina.
- My Daily Twitter Digest for 2012-10-17 – Locum Tenens (Temporary) Dentist – Gregory Cole, D.D.S. – My Daily Twitter Digest for 2012-10-17
- Gallup: Mid-October U.S. Unemployment Rate Falls to 7.3 Per Cent – Flap’s Blog – Gallup: Mid-October U.S. Unemployment Rate Falls to 7.3 Per Cent #tcot
- The Morning Flap: October 17, 2012 – Flap’s Blog – The Morning Flap: October 17, 2012 #tcot
- Trooth.Com – The David Nicholls DDS Interview Part Two – Flap’s Blog – – The David Nicholls DDS Interview Part Two #tcot
- A President Without a Plan- President Obama bounced off the canvas with a more spirited debate at Hofstra University on Tuesday night, as everyone expected he would. He was animated and on the attack. The question we kept asking as the evening wore on, however, is what does he want to do for the next four years?At least two questioners put the point directly, yet Mr. Obama never provided much of an answer. Sure, he wants to hire 100,000 more teachers, as if there is the money to hire them or it would make much difference to student outcomes.He wants to invest in “solar and wind and biofuels, energy-efficient cars,” which probably means more Solyndras and A123s (see nearby). He wants to raise taxes on the rich—that’s one thing he’s really passionate about. Oh, and he does want to pass the immigration reform he said he’d propose four years ago but never did propose in his first two years when his party controlled Congress and he might have passed it.But otherwise, what’s his case for four more years? Judging by Tuesday’s debate, the President’s argument for re-election is basically this: He’s not as awful as Mitt Romney. Mr. Obama spent most of his time attacking either Mr. Romney himself (he invests in Chinese companies), his tax plan as a favor for the rich (“that’s been his history”) or this or that statement he has made over the last year (“the 47%,” which Mr. Obama saved for the closing word of the entire debate).
- Record High Enrollment for Food Stamps: 46,681,833 Million- Food stamps enrollment has hit a new record high. 46,681,833 million are now enrolled in the social welfare program, according to the United States Department of Agriculture, the federal department that runs the program.As the chart shows, when President Obama took office, enrollment in the food stamps program was 31.98 million. Now, not even four years later, it’s a whopping 46.48 million. (In 2002, as the chart states, “19.1 million Americans received food stamps.”)In fact, the newly released data represents enrollment in July (the last month for which data is available). Assuming the program remained on its projected path, the number of those enrolled in food stamps is likely now larger by several hundreds of thousands.”USDA has engaged in an aggressive outreach and promotional campaign to boost food stamp enrollment. Among these efforts are an ongoing partnership with the Mexican government to advertise food stamps to Mexican nationals, migrant workers, and non-citizen immigrants. Partly as a result of these efforts, the number of non-citizens on food stamps has quadrupled since 2001,” explains the Republican side of the Senate Budget Committee.
And the cost, the committee explains, is astronomical. “Total spending on food stamps is projected to reach nearly $800 billion over the next 10 years, with no fewer than 1 in 9 people on the program at any given time. Neither food stamp participation nor spending on the program are ever projected to return to pre-recession levels at any point in the next 10 years.”
- A new, improved Barack Obama shows up for the second debate but fails to halt Mitt Romney’s momentum- President Barack Obama needed a game-changing night here in Hampstead, New York and Mitt Romney made sure he didn’t get it. Over the 90 minutes, Obama might have edged it – just – but strategically he did little if anything to blunt Romney’s growing advantage.Just as Al Gore over-compensated for his poor first debate in 2000, we saw a completely different Obama this time around. He had clearly had some intensive coaching from his debate prep team and was acting under orders to do change everything. Romney strategist Stuart Stevens quipped afterwards that he became ‘Joe Biden without the charm’.The problem is that the difference was so stark it was jarring. And by throwing everything but the kitchen sink at Romney – we had tax rates, Bain, big bird and the 47 per cent – there was more than a whiff of desperation. While Obama flung mud, Romney was intent on dismantling Obama’s record in office.
- Windows Pushes Into the Tablet Age – WSJ.com – Windows Pushes Into the Tablet Age – #tcot
- ESPN: The Worldwide Leader In Sports – RT @darrenrovell BREAKING: Nike has terminated the contract of Lance Armstrong. More to come on .
- Twitter / waltmossberg: Here’s a visual guide to the … – Here’s a visual guide to the new Windows 8 interface. Read my full review at .
- Windows Pushes Into the Tablet Age – WSJ.com – Here’s a visual guide to the new Windows 8 interface. Read my full review at .
- The Hill’s 50 races to watch – The Hill’s Ballot Box – RT @thehill The Hill’s 50 congressional races to watch #tcot