If HS is a Nursing Abbreviation for Give at Hour of Sleep (Hora Somni), What is the Nursing Abbreviation for Give Upon Awakening?

HE. Hora Expergiscimini.

Punishment in the Management of Addiction

Punishment is a major factor in the treatment of addiction. Addiction is defined by continued use, in the face of punishment (loss of freedom, health, family, money). Therefore a greater dose of punishment is needed to help addicts.

1) People with something to lose have a higher chance of recovery, doctors, admirals, CEO's vs janitors, convicted felons, prostitutes;

2) the punishment of alcohol use and the forbearance of opiate use in Vietnam resulted in the 15% addiction rate to opiate among soldiers, and less alcohol use. Upon return to the US, with no punishment of alcohol use, and punishment of opiate use, the rate of opiate addiction in the returning vets dropped to the expected 1%. The remaining US addicts had features similar to the addict population of the US, and were more deviant than the addicts who stopped;

3) Prohibition of alcohol dropped alcohol use only 50%, its having no popular support. Yet, the benefits were great if under reported, drops in crime (except, of course, for bootlegging), drops in crashes, economic boom times, drops in the rates of death from cirrhosis, which is a reliable indicator of the rates of alcoholism (only 10% of alcoholics die of it, but it is a statistical indicator);

4) severe punishments end all addiction, in Saudi Arabia, Singapore, the old Communist China. Zero addiction. These have extreme cost benefit ratios. Yes, shoot an addict, but save the lives of a hundred who do not become addicted;

5) the threat of punishment after death also is effective, from religion. Drink, go to hell, if Muslim, Mormon, Methodist. Low rates of alcoholism, and the prevention of all its consequences.

So harsh sentencing is effective, contrary to the false propaganda of the lawyer. I am going to translate here, "evidence based." That means rent seeking, make work jobs for registered members of the Democratic Party. "Evidence based" is a form of quackery.

A review elsewhere.

The Small Imperfection Bias, Used to Condemn an Entire Activity, Such as Legalized Marijuana

Here.

Once you have large pictures of bereaved survivors, we know we are in propaganda territory.

It is to use a rare flaw to condemn the entire activity. The Small Imperfection Bias. My conclusion is that we should stop all driving until crashes are ended. Driving was the proximate cause of the fatalities, not legalization of marijuana.

It fails to state confounding factors, such as an increase in driving from the economic recovery, the aggressive personalities of the crash victims, increased by the decarceration trend, increases in population, decline of roads conditions. It fails to provide balancing benefits. It is a form of false propaganda, and deceptive.

Celebrex, a pain medicine raised the low rate of heart attacks by 4 times, and was pulled off the market by its company, for fear of litigation. The FDA did not even ask it be pulled off the market. It just issued a Black Box Warning. The care of millions of people with pain and arthritis was disrupted. The protective effect of Celebrex to prevent colon cancer was stopped. It was replaced by alternatives with high rates of stomach bleeding. The FDA even asked that it be returned to the market.

This bias is commonly used by advocates, attacking flaws that are rare and marginal.

The Opiate Overdose Death Epidemic. Unintended Consequence of the Ferguson Effect?

The war on drugs can be won, as it is in Singapore, or in Saudi Arabia, and now in the Philippines. 

One potential reason for the opiate overdose death epidemic, no one is mentioning, but is highly coincidental? The Ferguson Effect.

Officials, such as Rod Rosenstein, may not be just responsible for the surge in murders in Baltimore. He imposed a draconian consent decree on the Baltimore police. That surge is killing hundreds of additional black murder victims. The consent decree may have deterred police around the country in a social learning effect. It  may be responsible for killing 35,000 additional opiate addicts a year, as the police backs away from enforcement of drug laws.

Left Wing, Political Correctness to Insult the Memory of Thomas Jefferson, at the Jefferson Memorial

Jefferson, was a member of the Democratic Party,  the party of slavery. They will insult his memory, applying modern standards of decency against someone who lived 200 years ago.

Here.

Question. Will they include the fact that, upon stepping foot on French soil, Sally Hemmings and her entire family, 6 children, brother, and all other slaves, became free people. Jefferson sent one slave, James Hemings,  to French cooking school. He became a French wine expert. The children learned French.

Jefferson was sent to France as ambassador (1784-1789), to get rid of him during the Constitutional Convention, to be run by James Madison, a Republican.

After his 5 year term, Jefferson returned home. Every single one of his slaves also returned. All preferred American slavery to French freedom.

The Lawyer Hierarchy Oppresses the Public.

It doubly oppresses the lawyer.

It triply oppresses the street level judge.

Here.

Judge Changes Sentencing to Life from the Death Penalty, to Punish Prosecutorial Misconduct

Here.

Brazen display of shocking lawyer profession stupidity. This incredible stupidity is well known. More shocking is the stupidity of the people here whose intellect has not been decimated by a legal education.

1) A listening device is placed in a cell. It records the voluntary statements of a mass murderer. These statements are made under circumstances promoting candor, rather than the really stupid lawyer procedure that promotes the cover up. Not only is this really stupid lawyer procedure inducing a cover up, it implants false memories. So, 25% of exonerated people confessed to murders they had not committed by the incredibly stupid agents of the incredibly stupid prosecutor, the pigs. So, obtaining the reliable statement of the truth is a form of unethical misconduct;

2)there is no mention that the information skewed, or distorted any aspect of the verdict or of the sentencing process. So, this is misconduct that caused no harm, no reversible error, no effect on validity of any outcome;

3) what is the remedy by this incredibly stupid judge? He privileges a mass murderer, to punish a prosecutor who is completely unaffected, personally. But, the future victims of this mass murderers will pay the price instead. The judge fails to understand the Prince and the Pauper Effect that is the exclusionary rule. The Prince has been a bad boy. The Pauper is spanked. How does that improve the conduct of the Prince? I do not understand this incredibly stupid rule. If the evidence was obtained in violation of the Fourth Amendment, punish the police, and the prosecutor, who is their master. Charge legal costs to their personal assets. Throw the police and the prosecutor in jail. Have them lashed and caned. But do not punish the future victims of the criminal they are loosing on the public, or in the general population of the state penitentiary;

4) as to the exclusionary rule, it embraces the Prince and the Pauper Effect. Prince is a bad boy, so spank the pauper, to teach the Prince a lesson, and to improve the Prince's future behavior. The whipping boy doctrine does not just violate the Fifth Amendment procedural (real) due process, behavioral principles, all common sense, but also the Establishment Clause. It was based on the idea that the monarch spoke with the voice of God (a delusional and psychotic doctrine), and had immunity based on his Divine Right. Students in Life Skills would disagree. If asked, who should get spanked, they would point with their spoons at the Prince if it were he that had been a bad boy.

This incredibly stupid judge must be impeached. Statutes should reverse all use of the exclusionary laws, and replace them with direct punishment of the offending police and prosecutors.

Neo-Nazis vs Anti-Fascists in Charlottesville, VA

That conflict is as baffling to outsiders as a dispute between Northern Baptists and Southern Baptists.

Both are big government, socialists.

Both are tyrannical.

Both cannot persuade the public without the use of force.

Both do not tolerate freedom of political speech. 

Both lead to economic and cultural ruination.

Both must be crushed by law enforcement, and cannot continue without their incompetence or active forbearance.

Both are the opposite of freedom loving, and small government conservatives.

Both are rabid anti-Semites, hating the Jews and Israel.

The Problems with Informed Consent

PA Supreme Court mandated attendings must obtain informed consent. That decision is regulatory quackery designed to deny access to care. It violates the constitution by placing an undue burden. This phrase  was used to strike down laws restricting abortion times many in US Supreme Court decisions. It is undue because it has no effect on treatment outcomes. All regulation should be proven safe and effective or it is regulatory quackery, an intentional taking by government, and a type of fraud if one understands the Rent Seeking Theory, theft. Medicaid abuse is defined as the payment for a procedure that is not necessary. The PA Supreme Court should mandate an additional payment to doctors for its decision, and then get arrested for suborning Medicaid fraud. If they refuse to mandate an additional payment, I demand they mow my lawn for free.

Here are the problems with informed consent:

1) There is no informed consent. Give a 3 hour lecture on a treatment. Test the patient 15 minutes later, they know nothing about it, nor do most want to. Most just want the problem to go away;

2) patients and guardians have a duty to Google, with the internet available to 100% of the population, along with chats by patients receiving the treatment, including disgruntled ones;

3) patients are not qualified to decide the specifics of treatment; I do not want to know anything about piloting a plane. I just want to get to Chicago. Nor do I wish to learn anything about the disgusting management of plumbing, I just want the toilet to flow again, and to stop flooding the bathroom;

4) there is no informed consent because the patient has a gun to the head consisting of extreme motivation by pain, the threat of death, the loss of normal function from the disorder;

5) the sole informed consent is the question of the patient to the doctor, what would you do personally in this situation? That is the sole real question, that actually is beneficial. The answers can be shocking. For example, the answer from many cancer specialists is not what they tell patients, radiation, chemo, surgery. It is, I would go home, play with grandchildren.

False Allegations by Feminists and by Their Male Running Dogs

I made a point that to prevent getting raped, women should avoid high risk situations, for example the vicinity of criminals and of alcoholics. It was in the context of a movie about the large fraction of Native American females who were raped. I pointed out the three fold higher rate of alcoholism in their males.

Here.

As a result, dozens of feminists, and dozens of their male running dogs accused me of being a rapist, and a pedophile. The fraction of false allegations in that instance was 100%. If the rate of false allegations against a stranger the feminist has never met is 100%, and who has done nothing to them, what is it if they hold a grudge against a guy? For example, they made him feel terrible, and he wants nothing to do with them. They are angry and frustrated by his rejection, and now they make an allegation of rape or of sexual abuse.

Nor, am I committing an Exception Fallacy, attributing a feature found in a few. The allegations were by the dozens, and even by the majority of the commentators.

All allegations of sexual abuse, assault or harassment should be screened with a polygraph examination, prior to the start of an expensive and time consuming investigation. If a false allegation is made to a government official, that is a crime. It should be prosecuted. There should be a mandatory sentence like that of Martha Stewart for lying about getting a phone call warning her to sell her shares. She made that statement to the FBI, in an informal conversation, in her living room, not under oath. She was sentenced to 5 months in prison, 5 months house arrest, and 2 years of probation, not for insider trading, but for her false statement to a government official about a phone call.

The accusation of a sexual assault is far more damaging, and the punishment should be proportional to the damages to the defendant. If a school or an employer believes the false allegation, and launches a false investigation, then they should be sued for all legal costs, including any trial costs,
for damages to the reputation of the defendant, and for his mental distress. If they are biased, or had knowledge, or should have known, exemplary damages, usually triple, are legally justified. To deter.