Midterm Elections - Introduction

Midterm electi ons for the United States House of Representatives, the Senate, and various Gubernatorial races will be held on Tuesday, November 7, 2006. I cannot emphasize enough the importance of going out and voting on Election Day. Most of the SNMA members are Black-Americans, and as such we should recognize the fact that previous generations (many of whom are still alive), fought, bled, and died for our right to vote. Some believe this does not apply to them because their families immigrated to this country after the "Civil Rights Movement" (a misnomer since persons of color have been continuously fighting for our rights in this country since the first European colonies were appeared). However, to those people, I would say that there are contemporary freedom fighters may not be related to you, but look just like you do, are still fighting to prevent the disenfranchisement of persons of color in this country.
See also Daily Kos, Voter Fraud and Disenfranchisement, Oct. 31, 2004, available at http://www.dailykos.com/story/2004/10/31/192155/73 (last visited Oct. 30, 2006); Human Rights Watch, Current Impact of (Felony) Disenfranchisement Laws - Racial Impact, available at http://www.hrw.org/reports98/vote/usvot98o-01.htm#P101_2428 (noting that "[t]hirteen percent of all adult black men - 1.4M - are disenfranchised, representing one-third of the total disenfranchised population and reflecting a rate of disenfranchisement that is seven times the national average").

Over the course of the next week or so, I'm going to be posting information about various elections within SNMA Region 2. I will be starting with the more "contested" races first. I hope that everyone would take some time to at least read the information concerning your own district (reading about other districts yields nice-to-know information, but since you can't vote there anyway ....) Further, if you are from a highlighted district and would like to share some "inside" information, I implore you to post comments.

Picture Notes

The two pictures were taken on Sunday, March 7, 1965 during the first march from Selma to Montgomery, Alabama. This march, better known as "Bloody Sunday," was led by John Robert Lewis (currently representing Georgia's 5th Dist. in the US House) and Rev. Dr. Hosea Lorenzo Williams, who was a Purple Heart recipient in Gen. Patton's army during World War II.

The first is a famous picture taken across the Edmund Pettus Bridge. It is interesting to note that the bridge is named after a famous Confederate General who valiantly fought to keep people who look like me enslaved in animal-like conditions. The picture was taken just prior to the 600 marchers being attacked by 200 State Troopers, Sheriff Clark (and his deputies). Many of the so-called law enforcement personnel were mounted on horseback and all were armed with tear gas, night sticks, and bull-whips. See also US Dept. of Justice, Voting Rights, available at http://www.usdoj.gov/kidspage/crt/voting.htm; Veterans of the Civil Rights Movement, Images of the People's Movement, available at http://www.crmvet.org/images/imghome.htm (guaranteed to get blood boiling).

The second picture shows the brave policemen beating unarmed marchers for daring to register to vote.

News Brief - US Coast Guard to Have Live Fire Range on Great Lakes

Summary

About a week ago, newspapers reported that the US Coast Guard (a subdivision of the US Dept. of Homeland Security) was to begin test firing the M-240 machine guns which have been recently mounted on their boats. The M-240 is a gas-operated, belt-fed, 49 inch, 27 lb. machine gun firing a 7.62mm NATO cartridge. The USCG plans on test firing them 2-3 times per year in 70 sq. mi. "safety-zones" in the Great Lakes. The SNMA Region 2 states which have boarders along the Great Lakes are Wisconsin, Minnesota, and Illinois. All of these safety zones are at least 5 nautical miles from shores. While the plans were, per federal law, published in the Federal Register on Aug. 1, 2006, most boaters and a few government officials (mayors in both the US and Canada) had no idea that these tests were going on. Thus far this year, the USCG has conducted 24 training sessions on the Great Lakes. LT(JG) Ryan Barone, a USCG spokesperson said "I've got no good answer for [why the USCG failed to publicize the firing ranges]."

On the one hand, citizens, fishermen, and boaters are concerned about (1) the potential for accidents, and (2) the envirnomental impact of dumping hundreds (if not thousands) of pounds of lead into the Great Lakes. In addition to these concerns, David Miller, the mayor of Toronto, has stated that he also worries about setting a precedent for the weaponization of the Great Lakes. Prior to the creation of the firing ranges, US diplomats contacted Canadian authorities in order to carve out an exception to the 189-year-old Rush-Bagot Treaty (signed after the War of 1812), which prevented Coast Guard vessles from carrying naval armaments on the Great Lakes.

On the other hand, the USCG has stated (1) the "safety-zones" will provide protection enough for the public, and (2) the 89-page environmental study which was commissioned by the Federal Government concluded that the impact on the Great Lakes caused by the weapons discharges would be of no harm.

My Analysis

I would say that, as enacted, this plan is not exactly the safest one I've ever heard. I do recognize the USCG's need to effectively train its Guardsmen. It is an old maxim of warfighting that you should "train like you fight, so you'll fight like you trained." Thus, the way to become competent at firing a weapon from an unstable, moving platform (a boat), at a moving target would be to actually do it.

While I would say that the "safety-zones" are probably big enough, there obviously hasn't been enough of a public relations campaign to make the plan safe. The M-240 fires a 7.62mm round at 900 m/s and has an effective range of over a mile. It has a maximum range of nearly 2.25 mi. Thus, having a 70 sq. mi. (about 8 linear miles) training zone is probably enough space. However, the USCG does not seem to have a decent explanation of how they will prevent stray boaters from entering the training area. As far as the environmental impact, I would prefer to see an independent study or one commissioned by the an association of fisherman. The fisherman are the people who stand to lose their livelihoods if there is an adverse environmental impact.

How does this impact MDs? Well, first you should be politically aware of what's going on in the region. Second, you should keep your eye out for any changes in the public health status of your patients which my give indications that the government-commissioned report was erroneous. Given that the firing ranges are in prime fishing grounds for trout and salmon, there is some chance that recreational and/or commercial fisherman will bring in a catch from the area. For instance, a patient presents with signs of lead poisioning and says he (1) lives in a modern home, (2) doesn't work around lead (3) eats organic foods, and (4) has been fishing in the Great Lakes for decades. Given your new found knowledge you will know to ask, by the way, you weren't eating fish from there after Aug. 1, 2006 were you? As physicians, we often find ourselves on the front lines of epidemiological surveilance - gaining intelligence about your enviornment helps you put the pieces of the puzzle together.

As always, your comments on the matter are appreciated.

Sources: Monica Davey, On Greak Lakes, Worry Over Plan For U.S. Gunfire, NY Times, A1 (Oct. 16, 2006); Wikipedia, M240, available at http://en.wikipedia.org/wiki/M240, (last visited Oct. 26, 2006).

Topic # 1 - Importance of Underrepresented Minority Professors in the PreClinical Years

Fellow SNMA Region 2 Members,

For the first topic of our Political Advocacy Blog, I would like to solicit your feelings on the importance of underrepresented minority (URM) professors in the pre-clinical years. This is my first year of medical school, and one thing I noticed was that during the first two years of medical school, I will have 1 Latino professor and ZERO African-American professors. I figured, maybe this is something peculiar to my school, so I checked the American Association of Medical Colleges (AAMC) to see what the deal was around the country. According to their 2005 figures, here is the state of affairs (the figures in BRACKETS are the group's percentage of the total US population who is 25+):

A. Anatomy

1. Black - 20 (1.07 %) [10.97 % total US population over 25 years of age]
   
2. Asian - 216 (11.58 %) [3.65 %]
   
3. White - 1403 (75.23 %) [78.63 %]
   
4. Mexican, Puerto Rican - 19 (1.02 %) [6.82 %]
   
5. Other Hispanic - 36 (1.93 %) [3.19 %]
6. Unknown Race - 147 (7.88 %)
   
7. Total - 1,865 (how irnoic a number is that, think about the year)

B. Biochemistry

1. Black - 27 (0.98 %) [10.97 % total US population over 25 years of age]
2. Asian - 469 (16.96 %) [3.65 %]
3. White - 1924 (69.58 %) [78.63 %]
4. Mexican, Puerto Rican - 23 (0.83 %) [6.82 %]
5. Other Hispanic - 39 (1.41 %) [3.19 %]
6. Unknown Race - 264 (9.55 %)
   
7. Total - 2,765
   

C. Physiology

1. Black - 37 (1.82 %) [10.97 % total US population over 25 years of age]
2. Asian - 248 (12.23 %) [3.65 %]
3. White - 1486 (73.27) [78.63 %]
4. Mexican, Puerto Rican - 26 (1.28 %) [6.82 %]
5. Other Hispanic - 44 (2.17 %) [3.19 %]
6. Unknown Race - 171 (8.43 %)
   
7. Total - 2,028

I'd like to take this time to make the following observations, and pose the following questions:

1. Considering the low numbers of African-American professors, what would the numbers look like if we factored out the ones who are professors at Historically Black Medical schools?
2. How come if Mexicanos and Puertorriquenos outnumber "other Hispanics" in the population by a factor of more than 2:1, but the stats are flipped when it comes to medical professors?
3. Who exactly are these "other Hispanics?" Would they be considered White Latinos, Black Lations, Indios?
   
4. Blacks are outnumbered 5 to 10 fold by people who don't know what race they are. I say don't know what race they are because the AAMC, in its endeavour into 21st century racial classifications has included people of multiple races and of "other races" (i.e. not Asian, Black, Native American/Alaskan, Native Hawaiian/Other Pacific Islander, Cuban, Mexican-American, Puerto Rican, Other Hispanic, or Multiple Hispanic).
5. Since we are subdividing Latinos by subethnicity/national origin, what would happen to the numbers if we subdivided Blacks into (a) African-Americans (or other Blacks whose families have been in this country 4 generations or more), (b) Carribean-Blacks, and (c) African-Blacks?

Anyhow, that is just some food for thought. I would be interested to get your reaction to these figures. Personally, I believe that in order to affect some of the societal changes which are necessary to begin reducing the current healthcare disparities, young physicians need to be placed in a vertically diverse environment. In other words, they need to have underrepresented minoirities (URMs) who are their superiors (e.g. supervising attendings, department chairs), their peers, their patients, and non-MD/DO co-workers. But maybe that's just me, so I would be greatly appreciative if you would take some time to write your responses.

Welcome to the SNMA Region 2 PAL Blog

Welcome to the SNMA Region 2 Political Advocacy Liaison Blog. I am currently working on some exciting stuff your the Region this year, including, but not limited to, this Blog, a bi-monthly newsletter, and a podcast.

If you all have some topics which interest you, and you want to talk about, let me know at region2advocacy@snma.org.