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	<title>Comments on: Hubris</title>
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	<description>Ramblings of an Emergency Physician in Texas</description>
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		<title>By: rosignol</title>
		<link>http://gruntdoc.com/2006/06/hubris.html/comment-page-1#comment-4096</link>
		<dc:creator>rosignol</dc:creator>
		<pubDate>Tue, 27 Jun 2006 11:13:16 +0000</pubDate>
		<guid isPermaLink="false">http://gruntdoc.com/2006/06/hubris.html#comment-4096</guid>
		<description>Being in this country without the proper documentation is not a criminal offense.
----

It may not be a criminal offence, but it certainly is a civil offense. Just because you don&#039;t get thrown in prison for doing something doesn&#039;t make it legal. 
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		<content:encoded><![CDATA[<p>Being in this country without the proper documentation is not a criminal offense.<br />
&#8212;-</p>
<p>It may not be a criminal offence, but it certainly is a civil offense. Just because you don&#8217;t get thrown in prison for doing something doesn&#8217;t make it legal.</p>
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		<title>By: Eric</title>
		<link>http://gruntdoc.com/2006/06/hubris.html/comment-page-1#comment-4095</link>
		<dc:creator>Eric</dc:creator>
		<pubDate>Mon, 26 Jun 2006 11:26:02 +0000</pubDate>
		<guid isPermaLink="false">http://gruntdoc.com/2006/06/hubris.html#comment-4095</guid>
		<description>Everyone of us needs to make sure we contact our senators and house members on this topic. This problem will only get worse if we do not get our representatives to understand our desires or replace them with those that do understand.</description>
		<content:encoded><![CDATA[<p>Everyone of us needs to make sure we contact our senators and house members on this topic. This problem will only get worse if we do not get our representatives to understand our desires or replace them with those that do understand.</p>
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		<title>By: Gunner</title>
		<link>http://gruntdoc.com/2006/06/hubris.html/comment-page-1#comment-4094</link>
		<dc:creator>Gunner</dc:creator>
		<pubDate>Fri, 23 Jun 2006 00:40:56 +0000</pubDate>
		<guid isPermaLink="false">http://gruntdoc.com/2006/06/hubris.html#comment-4094</guid>
		<description>Pete--That was funny!!

Matt--According to CNN there are 7000 high school dropouts each DAY in the US.  Tyson could use these guys/girls. BTW, Tyson does employ a lot of legal workers.  I see them all the time in our ED, with what we affectionately call &quot;Tysonitis&quot;.</description>
		<content:encoded><![CDATA[<p>Pete&#8211;That was funny!!</p>
<p>Matt&#8211;According to CNN there are 7000 high school dropouts each DAY in the US.  Tyson could use these guys/girls. BTW, Tyson does employ a lot of legal workers.  I see them all the time in our ED, with what we affectionately call &#8220;Tysonitis&#8221;.</p>
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		<title>By: Matt</title>
		<link>http://gruntdoc.com/2006/06/hubris.html/comment-page-1#comment-4093</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Fri, 23 Jun 2006 00:01:04 +0000</pubDate>
		<guid isPermaLink="false">http://gruntdoc.com/2006/06/hubris.html#comment-4093</guid>
		<description>The numbers don&#039;t add up, and since they don&#039;t the jobs will go overseas.  How will that help America?  To reduce our manufacturing capacity even more?

We produce fewer and fewer unskilled laborers every year, as evidenced by the falling dropout rates.  Unless your goal is to produce more unskilled labor, we simply do not have enough workers to fill the jobs.</description>
		<content:encoded><![CDATA[<p>The numbers don&#8217;t add up, and since they don&#8217;t the jobs will go overseas.  How will that help America?  To reduce our manufacturing capacity even more?</p>
<p>We produce fewer and fewer unskilled laborers every year, as evidenced by the falling dropout rates.  Unless your goal is to produce more unskilled labor, we simply do not have enough workers to fill the jobs.</p>
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		<title>By: jb</title>
		<link>http://gruntdoc.com/2006/06/hubris.html/comment-page-1#comment-4092</link>
		<dc:creator>jb</dc:creator>
		<pubDate>Thu, 22 Jun 2006 21:49:10 +0000</pubDate>
		<guid isPermaLink="false">http://gruntdoc.com/2006/06/hubris.html#comment-4092</guid>
		<description>Illegal immigration hurts exactly the most disadvantaged Americans.  It lowers there wages.  Amnesty will just make it worse.  Now the new Americans will demand more from their employers so the employers will then bypass them in favor of the newest illegal immigrants.

Agri Labor, poulry plants, etc. can innovate and learn to get by without the slave aparthied type labor like other places like Australia.  Also when I travel outside of southern california to the red states I see Americans and teenagers doing the jobs that supposedly Americans won&#039;t do.

I see them coming all the time to my hospital for the &quot;free stuff&quot;</description>
		<content:encoded><![CDATA[<p>Illegal immigration hurts exactly the most disadvantaged Americans.  It lowers there wages.  Amnesty will just make it worse.  Now the new Americans will demand more from their employers so the employers will then bypass them in favor of the newest illegal immigrants.</p>
<p>Agri Labor, poulry plants, etc. can innovate and learn to get by without the slave aparthied type labor like other places like Australia.  Also when I travel outside of southern california to the red states I see Americans and teenagers doing the jobs that supposedly Americans won&#8217;t do.</p>
<p>I see them coming all the time to my hospital for the &#8220;free stuff&#8221;</p>
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		<title>By: Matt</title>
		<link>http://gruntdoc.com/2006/06/hubris.html/comment-page-1#comment-4091</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Thu, 22 Jun 2006 17:36:51 +0000</pubDate>
		<guid isPermaLink="false">http://gruntdoc.com/2006/06/hubris.html#comment-4091</guid>
		<description>Bad Shift,

There are, let&#039;s say, 12 million undocumented workers in this country, of which about 8 million are working.  There are about 100 million people of working age in this country.  We have 4% unemployment, and of course not all of those people are physically able or would do (by virtue of having the ability to earn more) agri labor, poultry plant work, etc.  The numbers simply don&#039;t add up.

And, wages will not increase, the work will go to where the wages are cheaper.  So not only have you lost those jobs, you hurt the place they buy groceries, gas, have their cars repaired, etc.

The majority of these people aren&#039;t here for the &quot;free stuff&quot;, they&#039;re here because there is work here.</description>
		<content:encoded><![CDATA[<p>Bad Shift,</p>
<p>There are, let&#8217;s say, 12 million undocumented workers in this country, of which about 8 million are working.  There are about 100 million people of working age in this country.  We have 4% unemployment, and of course not all of those people are physically able or would do (by virtue of having the ability to earn more) agri labor, poultry plant work, etc.  The numbers simply don&#8217;t add up.</p>
<p>And, wages will not increase, the work will go to where the wages are cheaper.  So not only have you lost those jobs, you hurt the place they buy groceries, gas, have their cars repaired, etc.</p>
<p>The majority of these people aren&#8217;t here for the &#8220;free stuff&#8221;, they&#8217;re here because there is work here.</p>
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		<title>By: Bad Shift</title>
		<link>http://gruntdoc.com/2006/06/hubris.html/comment-page-1#comment-4090</link>
		<dc:creator>Bad Shift</dc:creator>
		<pubDate>Thu, 22 Jun 2006 15:11:27 +0000</pubDate>
		<guid isPermaLink="false">http://gruntdoc.com/2006/06/hubris.html#comment-4090</guid>
		<description>Matt, the shortage of unskilled workers is a myth mostly promulgated by large corporations, who use it as an excuse to pay immigrants illegal wages.  This is a similar statement to &quot;they do the jobs white people won&#039;t do,&quot; which I find demeaning to both groups.  If there were no undocumented workers, then wages would increase, and I promise the jobs would be filled.  We would then pay more for landscaping and produce, and our health care system would be significantly less burdened.

Really, I think it&#039;s the entitlement that is frustrating.  But when you give something for free for long enough, people will expect it, and then use it inappropriately.</description>
		<content:encoded><![CDATA[<p>Matt, the shortage of unskilled workers is a myth mostly promulgated by large corporations, who use it as an excuse to pay immigrants illegal wages.  This is a similar statement to &#8220;they do the jobs white people won&#8217;t do,&#8221; which I find demeaning to both groups.  If there were no undocumented workers, then wages would increase, and I promise the jobs would be filled.  We would then pay more for landscaping and produce, and our health care system would be significantly less burdened.</p>
<p>Really, I think it&#8217;s the entitlement that is frustrating.  But when you give something for free for long enough, people will expect it, and then use it inappropriately.</p>
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		<title>By: Pete</title>
		<link>http://gruntdoc.com/2006/06/hubris.html/comment-page-1#comment-4089</link>
		<dc:creator>Pete</dc:creator>
		<pubDate>Thu, 22 Jun 2006 03:07:35 +0000</pubDate>
		<guid isPermaLink="false">http://gruntdoc.com/2006/06/hubris.html#comment-4089</guid>
		<description>Reminds me of this clip:

&lt;a href=&quot;http://americancomedynetwork.com/FLASH/MexTourism.htm&quot; rel=&quot;nofollow&quot;&gt;http://americancomedynetwork.com/FLASH/MexTourism.htm&lt;/a&gt;</description>
		<content:encoded><![CDATA[<p>Reminds me of this clip:</p>
<p><a href="http://americancomedynetwork.com/FLASH/MexTourism.htm" rel="nofollow">http://americancomedynetwork.com/FLASH/MexTourism.htm</a></p>
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		<title>By: Dave</title>
		<link>http://gruntdoc.com/2006/06/hubris.html/comment-page-1#comment-4088</link>
		<dc:creator>Dave</dc:creator>
		<pubDate>Tue, 20 Jun 2006 21:48:56 +0000</pubDate>
		<guid isPermaLink="false">http://gruntdoc.com/2006/06/hubris.html#comment-4088</guid>
		<description>&quot;The other day, I had to go to the emergency room.  So, not wanting to sit there for 4 hours, I went to the Army-Navy store, and bought some OD pants and a shirt.  Ran back home &amp; sewed a couple of patches on them which I had ordered from the Internet.
I went back to the emergency room and was amazing how most all the people started leaving.  I figured they suddenly decided they weren&#039;t that sick after all.  My patches said: &quot;U.S. Border Patrol.&quot;

This is a mass email that idiots like to forward.  

In any case, I know the system is at the breaking point.  I&#039;m also sure in the border states undocumented immigrants are packing the ER&#039;s, and might seem like most of the problem in those areas, and maybe they are.  But the fact is they&#039;re here for now.  What&#039;s going to be done to prevent them from coming?  Sending around stupid emails?  Building a fence?  Doubling the Border Patrol?  Or, we can do like Reagan (and what Dubya wants to do) and grant amnesty every 20 years or so.  That&#039;s easy, because HCA gets to keep their workers, the construction industry won&#039;t collapse, and lawns will stay freshly manicured in Los Angeles.  

The fact is, denying health care to non-citizens or deporting them will not immigration because there is too much incentive to come here.  THIS WILL ONLY END WHEN THE GOV&#039;T DEMANDS THAT EVERY EMPLOYER VERIFY SOCIAL SECURITY NUMBERS, and penalize those who don&#039;t.

You can&#039;t have the cake, stomp on it, piss on it, deport it and then eat it as well.</description>
		<content:encoded><![CDATA[<p>&#8220;The other day, I had to go to the emergency room.  So, not wanting to sit there for 4 hours, I went to the Army-Navy store, and bought some OD pants and a shirt.  Ran back home &#038; sewed a couple of patches on them which I had ordered from the Internet.<br />
I went back to the emergency room and was amazing how most all the people started leaving.  I figured they suddenly decided they weren&#8217;t that sick after all.  My patches said: &#8220;U.S. Border Patrol.&#8221;</p>
<p>This is a mass email that idiots like to forward.  </p>
<p>In any case, I know the system is at the breaking point.  I&#8217;m also sure in the border states undocumented immigrants are packing the ER&#8217;s, and might seem like most of the problem in those areas, and maybe they are.  But the fact is they&#8217;re here for now.  What&#8217;s going to be done to prevent them from coming?  Sending around stupid emails?  Building a fence?  Doubling the Border Patrol?  Or, we can do like Reagan (and what Dubya wants to do) and grant amnesty every 20 years or so.  That&#8217;s easy, because HCA gets to keep their workers, the construction industry won&#8217;t collapse, and lawns will stay freshly manicured in Los Angeles.  </p>
<p>The fact is, denying health care to non-citizens or deporting them will not immigration because there is too much incentive to come here.  THIS WILL ONLY END WHEN THE GOV&#8217;T DEMANDS THAT EVERY EMPLOYER VERIFY SOCIAL SECURITY NUMBERS, and penalize those who don&#8217;t.</p>
<p>You can&#8217;t have the cake, stomp on it, piss on it, deport it and then eat it as well.</p>
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		<title>By: Kim</title>
		<link>http://gruntdoc.com/2006/06/hubris.html/comment-page-1#comment-4087</link>
		<dc:creator>Kim</dc:creator>
		<pubDate>Tue, 20 Jun 2006 21:45:27 +0000</pubDate>
		<guid isPermaLink="false">http://gruntdoc.com/2006/06/hubris.html#comment-4087</guid>
		<description>One night I spent my entire shift speaking Spanish.  Every single patient.  I&#039;m not good at comprehending it (unless the patient speaks slowly and very basically), but I can speak enough to get through a triage and do basic discharge instructions with help from the Spanish-translated papers.

Why do I speak Spanish?  At least the little that I do?

Because I studied it for four years in high school and I love the language.  Lord knows I&#039;ve had numerous opportunities to use it every day!

I believe that everyone in this country should speak at least a bit of English to get by in day-to-day life.  But in my experience, once a patient knows you are willing to try Spanish for them (and where I live, they &lt;i&gt;do&lt;/i&gt; appreciate it, they are willing to let you hear some of their English.  They just don&#039;t want to appear stupid or to make mistakes.

So when I show them I&#039;m willing to sound silly and make mistakes in Spanish, we help each other and manage to get through the visit, and in very serious situations with no translator, we use a cordless phone translator system that is easy and covers every imaginable language.

Now, coming here because you don&#039;t have to pay up front?  That just sucks.  A bit of my paycheck went for that operation! And I didn&#039;t even get a thank-you note.....</description>
		<content:encoded><![CDATA[<p>One night I spent my entire shift speaking Spanish.  Every single patient.  I&#8217;m not good at comprehending it (unless the patient speaks slowly and very basically), but I can speak enough to get through a triage and do basic discharge instructions with help from the Spanish-translated papers.</p>
<p>Why do I speak Spanish?  At least the little that I do?</p>
<p>Because I studied it for four years in high school and I love the language.  Lord knows I&#8217;ve had numerous opportunities to use it every day!</p>
<p>I believe that everyone in this country should speak at least a bit of English to get by in day-to-day life.  But in my experience, once a patient knows you are willing to try Spanish for them (and where I live, they <i>do</i> appreciate it, they are willing to let you hear some of their English.  They just don&#8217;t want to appear stupid or to make mistakes.</p>
<p>So when I show them I&#8217;m willing to sound silly and make mistakes in Spanish, we help each other and manage to get through the visit, and in very serious situations with no translator, we use a cordless phone translator system that is easy and covers every imaginable language.</p>
<p>Now, coming here because you don&#8217;t have to pay up front?  That just sucks.  A bit of my paycheck went for that operation! And I didn&#8217;t even get a thank-you note&#8230;..</p>
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