Monday, February 6, 2017

CDC issues new warning on Trump Derangement Syndrome (TDS)


Latest from the Centers for Disease Control: Special Emergency Department Alert 
Trump Derangement Syndrome (TDS) is at Epidemic Levels in certain locations of America. The American Psychiatric Association has updated its DSM-5 manual adding TDS as a recognized psychiatric disorder caused by the Trump Virus.  It also released a test to determine if the case meets diagnostic criteria or is suspicious for TDS. Patients presenting to the Emergency Department should be screened for TDS just as we screen for Domestic Violence, Falls, and other Diseases. Tools are being designed by Cerner and the Epic Cooperation's to screen for TDS in the EMR. Look for them in your practice soon. Isolation procedures are being developed and they will consist of Safe Spaces designated in your ED for patients meeting the criteria.

 The CDC has released a nationwide map showing the areas most effected. Areas in Blue are seeing the highest rates, dark blue epidemic, light blue very prevalent, and red rare. Coastal areas are especially effected as well as cities like Berkeley, Davis California, and cities that are similar. The CDC reports that the virus is spread rapidly on Social Media and by close contact in College Classes, Coffee Shops, and Medical Marijuana stores. There is a very short incubation period and duration of the illness is between 4 and 8 years.



Diagnostic Criteria Test for TDS 

Scoring greater than 60 points is 100 percent diagnostic for severe TDS, 35-59 is a moderate case, 20-34 is a mild infection or a possible false positive. See Table 1 attached for scoring system


 
Inclusion Criteria screening
Points
Social Media use daily
5
Social Media use hourly
10
Social Media use continuously
15
Most frequent news source is from the Huffington Post, Daily Kos, Occupy Democrats (or occupy anything), or like organizations including CNN and the New York Times
10
Bumper Sticker “I’m with Her”
15
Bumper Sticker “Bernie”
15
Uses Hitler / Trump comparison’s
25
Repeatedly posts or expresses same arguments used against Trump in election as if they are new and weren’t previously considered
20
Refusal to believe people do not think like they do
20
Constant state of Anxiety or frequent crying episodes
20
Difficulty sleeping at night
5
Head spinning with each Trump EO 
20
Head explodes with each Trump EO
30
Believes same polls that said HRC would win easily who now say public is against Trump actions
20
Believes Russians hacked the Election
25
Resides in coastal area
10
Resides in a college town
15
Characterizes Trump supporters as Deplorable or Racist, Sexist, Misogamist, or just about any other “IST”
25
Employed in Government or Academia or Student
15
Believes the biggest danger faced by man is Man Made Global Warming
25
Defriends Facebook friends who do not agree with them politically
10
Defriends Facebook friends who they learn supported Trump or has many friends and none of them ever supported Trump
20
Views Hollywood Actors / Actresses as having a special knowledge of political matters and are a moral authority, or have special knowledge of Climate Science
20
Student in Liberal Arts or degree in same
20
Characterizes self as “Social Justice Warrior” “Water Protector” or like title or attends Occupy Events or Climate Justice marches.
30




The CDC is exploring treatment options. Below are a few common therapy’s that some have reported to have reduced symptoms

1.       If unemployed, GET A JOB

2.       If you live in Mothers basement – GET OUT

3.       View a variety of news sources from all sides of the political spectrum

4.       Put down your phone and get some exercise

5.       Get a better argument other than the opposition is racist, sexist, or other ist.
6.     If these measures fail proceed to a designated Safe Space ASAP











Monday, October 17, 2016

Why is the California Nurses Association swimming in money?


Since the year 2000 CNA has grown from about 30,000 members to 90,000 a 300 percent increase. In the same time period their total assets exploded from 7.4 million to over 238 million, a 3116 percent increase. By any measure this is a phenomenal rate of membership growth for any Union in an era of declining membership and a OMG rate of increase in financial strength. Some of the increase is due to Real Estate holdings and appreciation of Bay Area real estate but most is cash, including 108 million of cash on hand at the end of the reporting period.

Let’s follow the money and see if we can answer this question while we examine how CNA and its parent organization, National Nurses United (who share the same leader) receive and spend members dues monies. We will look at various disclosure reports from the Labor Department known as LM2 reports as well as public interest websites that track campaign donations as the source of information. The Union look-up tool at the Department of Labor website can be viewed at the link. Department of Labor Union look-up tool

Membership and dues
20. How many members did the labor organization have at the end of the reporting period?
94,659
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/Fees
Amount

Unit
Minimum
Maximum
(a) Regular Dues/Fees
138.84
per
Month
69.42
138.84
Assets and investments
ASSETS
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash

$90,029,013
$108,088,355
23. Accounts Receivable
1
$6,715,017
$6,524,695
24. Loans Receivable
2
$7,233,776
$0
25. U.S. Treasury Securities

$20,857,328
$23,465,615
26. Investments
5
$30,502,364
$29,099,225
27. Fixed Assets
6
$70,539,574
$70,093,092
28. Other Assets
7
$1,085,375
$1,199,302
29. TOTAL ASSETS

$226,962,447
$238,470,284
Interesting note on line 24 references the 7.2-million-dollar loan CNA made to another labor union, NUHW, 5 years ago and. That relationship was severed last year and NUHW has not paid one dime. In the footnotes of CNA’s 2016 LM2 report they list that loan as uncollectable. Another red flag here is why does a labor union need to sit on 108 million in cash. Read about the CNA NUHW history and split here. CNA - NUHW Split and Loan
Executive Salaries – Keeping it in the Family
Rose Ann Demoro has been the Executive Director of CNA and NNU for many years. Both Rose Ann and her husband Robert, who is Director of Research, command nice salaries from CNA and NNU. Combined they pull in 567 thousand in the last year.
Demoro ,  Rose Ann  
Executive Director
None
$182,370
$672
$4,500
$0
$187,542

I
Schedule 15
Representational Activities
30 %
Schedule 16
Political Activities and Lobbying
20 %
Schedule 17
Contributions
0 %
Schedule 18
General Overhead
20 %
Schedule 19
Administration
30 %

Demoro ,  Robert  
Director Research
None
$192,102
$1,345
$0
$0
$193,447

I
Schedule 15
Representational Activities
80 %
Schedule 16
Political Activities and Lobbying
0 %
Schedule 17
Contributions
0 %
Schedule 18
General Overhead
20 %
Schedule 19
Administration
0 %
From NNU’s LM2 report – Many of CNA’s officers draw salary from both CNA and NNU which reports out of the same address in Oakland. If one did not know to look in both they would grossly underestimate the compensation of many CAN/NNU officers. Curious why Rose Ann’s salary is identical under both organizations. There are other relatives rumored to work for CNA.
Demoro ,  Rose Ann  
Executive Director
None
$182,370
$672
$4,500
$0
$187,542

I
Schedule 15
Representational Activities
15 %
Schedule 16
Political Activities and Lobbying
40 %
Schedule 17
Contributions
0 %
Schedule 18
General Overhead
20 %
Schedule 19
Administration
25 %
 Liabilities
CNA purchased in early 2015 a 66-million-dollar Lake Merritt tower 10 story building with a view of Lake Merritt which is considered prime Real Estate in Oakland. They recently sold their 2000 Franklin St address for 13 Million. Most members have yet to see this new building from the inside and most meetings are held away at other properties or hotels. The membership was not told about this purchase until well after it was reported in the media and little has been said since. Eyebrows are being raised about the perceived secrecy around the need for and use of this high priced piece of Real Estate. Read about that purchase here CNA purchases Lake Merritt Tower - Business Journal
LIABILITIES
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable
8
$4,008,020
$4,131,699
31. Loans Payable
9
$66,000,000
$51,545,000
32. Mortgages Payable

$0
$0
33. Other Liabilities
10
$5,806,567
$7,307,118
34. TOTAL LIABILITIES

$75,814,587
$62,983,817

35. NET ASSETS
$151,147,860
$175,486,467
CNA California State Political Activities
SUMMARY INFORMATION - CALIFORNIA NURSES ASSOCIATION PAC (CNA-PAC) (ID# 780657)
CURRENT STATUS
ACTIVE
LAST REPORT DATE THIS SESSION
09/29/2016
REPORTING PERIOD
07/01/2016 - 09/24/2016
CONTRIBUTIONS FROM THIS PERIOD
$217,472.27
TOTAL CONTRIBUTIONS 1/1/2016 - 09/24/2016
$837,022.38
EXPENDITURES FROM THIS PERIOD
$369,511.66
TOTAL EXPENDITURES 1/1/2016 - 09/24/2016
$1,085,089.59
ENDING CASH
$50,181.17
It’s very interesting to drill down into the detail of contributions. CNA contributed to many ballot measures mostly Proposition 61, nearly every Democratic Candidate for state races, many local board of supervisors, local city or county measures dealing with a variety of items from campaign finance to local energy development to schools. To say they spread money around is an understatement. See for yourself at the link.
The SOS data is much lower than even CNA’s self-reporting of political contributions on their LM2 likely due to different reporting periods and monies still in the pipeline as we approach the election.
National Nurses United
Founded in December 2009, NNU brought together the California Nurses Association/National Nurses Organizing Committee, United American Nurses, and Massachusetts Nurses Association. Its purpose is to give registered nurses a national voice and organizing power. Since additional registered nurses in Florida, Illinois, Iowa, Missouri, Nevada, Texas and Washington, D.C. have been organized under NNU. The clear dominate force of the 196,000 member NNU is the 95,000 members from CNA.
NNU lists an address in Maryland but for reporting it lists the same CNA address in Oakland and many of its officers / directors work out of the Oakland Office. It shares the same website. NNU is much more modest in their assets. Monies are funneled in from the various State Unions, again, mostly from CNA in a back and forth flow that is very confusing to analyze without additional information.
ASSETS
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash

$25,634,802
$26,675,560
23. Accounts Receivable
1
$2,372,287
$2,746,704
24. Loans Receivable
2
$0
$0
25. U.S. Treasury Securities

$0
$0
26. Investments
5
27. Fixed Assets
6
$124,699
$77,050
28. Other Assets
7
$435,440
$449,999
29. TOTAL ASSETS

$28,567,228
$29,949,313
NNU Political Spending
National Nurses Super Pac is named National Nurses for Patient Protection. The link below shows you where they are spending their money in 2016. You can see the summary in the table below or go to the link and drill down on any of the candidates to get a list of everything they spent either to or on the behalf of their candidate. Uncle Bernie comes in first with almost 5 Million of the 6.6 million raised by the NNU Super PAC followed by a few House Candidates getting pocket change.  NNU/CNA is all in for Bernie hosting him at their conferences and plastering his insignia everywhere.  http://realtime.influenceexplorer.com/committee/2016/national-nurses-united-for-patient-protection/C00490375/
N
Support
$4,787,271
N
Support
$43,464
N
Support
$21,732
N
Support
$21,732
N
Support
$5,882

So who funds this Super PAC, individual contributors or members’ dues. Most CNA contracts allow members to designate money to go directly to the CNA PAC. Almost none do in my experience. At the link you can go down and see who contributes and its almost entirely contributions from National Nurses Association minus a handful of small contributions. So, members dues transferred from the various subsidiary Unions mostly CNA are what funds NNU’s Super PAC as far as I can tell.
In Summary
The purpose of this post is to enlighten CNA members on some of the ways their Union sends and receives their money without offering much commentary on if it is justified. It’s also done to educate Union Members everywhere that their Unions finances are public record accessible to them with a simple search.  After looking at the numbers one thing was clear to me. CNA can do their job on a whole lot less of members’ dues money. Perhaps a look at the dues structure is in order.  A more in-depth analysis of the flow of money between CNA and NNU and how much of the money is really being spent on the representative versus political causes. Why are they hording money and buying expensive properties and being secretive. Time to shine a little light and find out.