Wednesday 30 December 2015

Doctor Shortage Worsens, Particularly In Southern States


Justin Neisler, a medical student at the Medical College of Georgia, looks through his notes before lobbying during an American Medical Student Association advocacy day on Capitol Hill in 2013. Medical schools are churning out more doctors but there’s still a primary care doctor shortage. Photographer: Andrew Harrer/Bloomberg


There are 91 active primary care physicians per 100,000 population in the United States, but there needs to be moreif Americans are going to get the right care, in the right place and at the right time, a group representing the nation’s medical schools and teaching hospitals says in a new report.

The Association of American Medical Colleges (AAMC) this week released its annual physician workforce report, which looks at the supply and makeup of U.S. physicians, as well as the general expanding state of graduate medical education in the U.S. 

The report drew on data that includes information from AAMC researchers as well as the American Medical Association’s “Masterfile.”

While it’s been well documented that the U.S. needs more doctors, the report shows much of the country is in need of primary care physicians and their numbers aren’t on the rise despite increasing emphasis on outpatient care and wellness. 

The flat to falling number of primary care doctors comes as more Americans can pay for treatment and are flocking to healthcare providers thanks to the Affordable Care Act.

Primary care doctors, which include internists, family physicians and pediatricians, are critical to managing chronic conditions to ensure Americans are getting the care they need to avoid bad health outcomes and higher costs that go when patients get sick and end up in the hospital. 

The median number of “active primary care physicians” has steadily fallen to 90.4 per 100,000 from 91 in 2010.

“We do have concerns when the numbers get below 100 primary care physicians per 100,000 people,” Dr. Atul Grover, AAMC’s chief public policy officer, said in an interview. “I’m worried people aren’t going to have access to primary care.”

Medicare and private health insurers like Aetna AET -0.47%Anthem ANTM -0.30% andUnitedHealth Group UNH -0.55% are pushing value-based care models that emphasize primary care, wellness and outreach to populations.

But across the country, there is one primary care doctor for every 1,100 people and Grover said anything below a doctor per 1,000 Americans isn’t good. Most U.S. states except those in the northeast and certain states in the upper Midwest like Minnesota and Michigan have fewer than 100 primary care doctors per 100,000 people.

By comparison, southern states are severely lacking and tend to have a greater need. Texas, Oklahoma, Georgia, Arkansas, Alabama and Mississippi not only have low numbers of primary care doctors, but analysts say these areas tend to have high rates of obesity and chronic conditions like hypertension and other risk factors for heart disease.

There were 11 states with 64 to 78 primary care physicians per 100,000 people with Mississippi scoring the worst with just 64.5 physicians per 100,000 Americans. By comparison, Massachusetts was at the top, with 133.9 primary care physicians per 100,000 people.

Source:     Doctor Shortage Worsens

Wednesday 23 December 2015

20 Things Nigerians May Experience In 2016 Under Buhari’s Govt, By Fayose
Barely nine days into the new year, Governor Ayodele Fayose of Ekiti State has stated 20 things Nigerians should expect to happen under the President Muhammadu Buhari-led government in 2016.
In a statement personally signed by Fayose, yesterday, he said: “Fellow Nigerians, I want you to take note of the followings that will unavoidably happen under the Buhari-led government in 2016.”
1. Workers Strike: There will be so much industrial unrest, especially in the first quarter of the year.
2. Subsidy: There will be removal of fuel subsidy and petrol (PMS) will sell over and above N100/litre, leaving the masses in more serious hardship. Product will not be available and long queue in petrol stations will persist throughout the first quarter of 2016 and beyond.
3. Electricity: Power generation will drop to the lowest ebb. Still, Federal Government will increase tariff in 2016.
4. Unemployment: Millions of jobs will be lost in 2016 as against the three million jobs promised by the APC yearly. Most States and Federal Government will retrench workers as evident in the over 2,000 Federal University workers already sacked.
5. Economic Policy: Most private owned middle-class businesses will fold up because of bad economic policies of the Buhari-led government.
6. Devaluation: The Naira will continue to have a free fall which will take it to as low as N320 to one Dollar.
7. Economy: The Buhari-led FG will have no solution to country’s economic problems.
8. Security: Boko Haram will keep spreading and the Shiite Muslims will get more emboldened.
9. Human Rights: Penchant for dictatorship will rise with rampant human rights abuses and disobedience to court orders.
10. Anti-Corruption: Insincerity in the fight against corruption will continue and the fight will not only be selective and political, but targeted more at Southerners.
11. Elections: Attempt to forcefully control any of the South South States of Akwa Ibom, Rivers and Bayelsa by the APC will lead to unprecedented deaths.
12. Economy: Crude oil price will fall to below and about $30 per barrel.
13. Anti-Press Laws: The masses, especially men of the media profession will rise against the FG’s plot to deny Nigerians of their rights to freedom of expression. There will wide condemnations by Nigerians and the International community against President Buhari’s human rights abuses and disobedience to court orders.
14. Polity: Renewed efforts will be made to remove Senator Bukola Saraki as the Senate President; this will not only fail, but will heat the polity.
15. Hardships: Nigerians will experience more hardships. The President himself attested to this (THE SUN newspaper Tuesday, December 15, 2015). This obviously negates the change Nigerians voted for.
16. Elections: Plot by the APC to take control of at least one South South State will lead to death of many people. Particularly, rerun elections in Rivers and Akwa-Ibom States will cause many deaths.
17. Corruption: Halliburton scam may be revisited in 2016.
19. Kogi State: Court will sack Governor-Elect, Yahaya Bello.
Bayelsa State: Governor Seriake Dickson will win the supplementary election.
Taraba State: Governor Darius Ishaku will be victorious at the Court.

20. Politics: There will be subtle political alignment and realignment before the end of the year ahead of 2019 elections.

Monday 21 December 2015




The Managing Director of the Niger Delta Development Commission - Dan Abia has been relieved of his appointment by the powers that be.

No reasons were given for the sack which took immediate effect

In his place Mrs. Ibim Semenitari who was the Information and Communication Commissioner under Amaechi in Rivers State has been appointed as the Acting Managing Director.

She also served in the Communications Secretariat of the Buhari Campaign Organization

Events are surely developing 




I was offered money to rig Bayelsa polls, says INEC chief


DEFYING what he considered to be threats to his life, Bayelsa Resident Electoral Commissioner (REC), Mr. Baritor Kpagih, has revealed that he was offered money by certain interests to skew the state’s governorship election in favour of their candidate. He disclosed that his refusal to be bribed had pitted them against him.
In an exclusive interview with The Guardian, Kpagih said that he had been receiving threats to his life since the cancellation of the Southern Ijaw Local Council poll results. Also, he denied a personal relationship with former President Goodluck Jonathan, noting that both of them were not in the Nigeria Customs at the same time.
The Bayelsa REC said that election should not be seen as a do-or-die affair, but rather, as a call to service. He told The Guardian: “Some people tried to bribe me to help them win the governorship election and this itself was a misconception by these individuals. This is because there is no way I can help anybody win an election. Mine was to oversee the process. I can’t falsify results, because they only come to the head office after they have been collated at all other levels. I only stay in the situation room and oversee collation.’’
He said those who had approached him to swing the election in their favour were now persecuting him and spreading all sorts of false stories about him.
‘‘I believe it was those who had tried to bribe me before to help them rig the election that are now behind all sorts of stories, being bandied around about me. My refusal had infuriated them and they started by saying I was missing and that I have gone underground and all sorts of stories. People should not take election as a do-or-die affair. I told them, I can’t help them to rig the election and that they should use the money they wanted to bribe me with to go to the grassroots and canvass for the people’s votes,” he said.
On the threats to his life, Kpagih said they started after the election, but that they had become more frequent in the last few days.
‘‘Somebody called me on the phone and threatened me and since then, I have been receiving all sorts of threats. These have come through text messages and others. Just on Thursday, two strange people visited my house in Yenagoa. They refused to identify themselves but told my people that they had an appointment with me and I knew for a fact that I didn’t have any appointment with anybody that day.
“Quite a number of people who are my friends have advised me to avoid all the hassles and stay away from Bayelsa State because my safety cannot be guaranteed. But I have a job to do and I am going to see it through,’’ he said.
On his alleged relationship with Jonathan, the Ogoni-born electoral boss said he joined the Customs Service a few years after Jonathan had left the service and that at no time were they ever course mates.
He wondered why people would want to malign his character, just because he had decided to “fly straight.”
He advised politicians, ‘‘to concentrate on what is expected to be done within the framework of the law and Independent National Electoral Commission (INEC) guidelines for elections.
‘‘I joined the customs service as a graduate, while Dr. Jonathan joined as a School Certificate holder. He left the service around 1977 to go to the university. I also went to the university in the same year and after graduation, I joined the service, while he did not return to the service.
‘‘The first time I met him was when he was the vice president and we never had any close relationship. I was retired prematurely, seven years before the mandatory year. If he was my close friend and he was the vice president, wouldn’t he have helped me to stay in service?’’ he queried.
On the violence that greeted the governorship polls, Kpagih said that people should look into the root causes of the violent clashes, instead of looking for scapegoats to heap blame on.
‘‘What keeps baffling me is the fact that up till now, nobody is talking about the arms and ammunition that were used to wreak violence on the people. Nobody is looking into how the arms got into Southern Ijaw and who brought them into the area. They were freely deployed into the communities and nobody is talking about those things,’’ he added.

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Friday 18 December 2015


VATICAN CITY (AP) — Pope Francis has signed off on the miracle needed to make Mother Teresa a saint, giving the nun who cared for the poorest of the poor one of the Catholic Church's highest honors just two decades after her death.
The Vatican said Friday that Francis approved a decree attributing a miracle to Mother Teresa's intercession during an audience with the head of the Vatican's saint-making office on Thursday, his 79th birthday.
No date was set for the canonization, but Italian media have speculated that the ceremony will take place in the first week of September — to coincide with the anniversary of her death, and during Francis' Holy Year of Mercy.
Mother Teresa, a Nobel Peace Prize winner, died on Sept. 5, 1997, aged 87. At the time, her Calcutta, India-based Missionaries of Charity order had nearly 4,000 nuns and ran roughly 600 orphanages, soup kitchens, homeless shelters and clinics around the world.
Francis, whose papacy has been dedicated to ministering to the poor just as Mother Teresa did, is a known fan. During his September 2014 visit to Albania, Francis confided to his interpreter that he was not only impressed by her fortitude, but in some ways feared it.
Francis recounted that he had met Mother Teresa when they attended a 1994 bishop synod at the Vatican together. At the time, he was Archbishop Jorge Mario Bergoglio.
"Bergoglio had Mother Teresa behind him, nearby, and he heard her intervene often with great strength, without letting herself in any way be intimidated by this assembly of bishops," the Vatican spokesman, the Rev. Federico Lombardi, later recounted. "And from that he developed a great esteem for her, as a strong woman, a woman able to give courageous testimony."
But Bergoglio, who has long shown admiration for the women who raised him and taught him, added: "I would have been afraid to have had her as my superior, since she was so tough."
Mother Teresa, born in Macedonia as Agnes Gonxha Bojaxhiu in 1910, was beatified in 2003 in Rome after the Vatican said an Indian woman's prayers to the nun rid her of an incurable tumor.
The miracle needed for her canonization concerned the inexplicable cure in 2008 of a man in Brazil with multiple brain abscesses who, within a day of being in a coma, was cured, according to a report in Avvenire, the newspaper of the Italian bishops' conference. The Vatican ascertained that his wife's prayers for Mother Teresa's intercession were responsible, the report said.

Original Post:     Mother Teresa To Be Made A Saint



The First Person to Hack the iPhone Built a Self-Driving Car. In His Garage



Written By:    Ashlee Vance 

A few days before Thanksgiving, George Hotz, a 26-year-old hacker, invites me to his house in San Francisco to check out a project he’s been working on. He says it’s a self-driving car that he had built in about a month. The claim seems absurd. But when I turn up that morning, in his garage there’s a white 2016 Acura ILX outfitted with a laser-based radar (lidar) system on the roof and a camera mounted near the rearview mirror. A tangle of electronics is attached to a wooden board where the glove compartment used to be, a joystick protrudes where you’d usually find a gearshift, and a 21.5-inch screen is attached to the center of the dash. “Tesla only has a 17-inch screen,” Hotz says.
He’s been keeping the project to himself and is dying to show it off. We pace around the car going over the technology. Hotz fires up the vehicle’s computer, which runs a version of the Linux operating system, and strings of numbers fill the screen. When he turns the wheel or puts the blinker on, a few numbers change, demonstrating that he’s tapped into the Acura’s internal controls.
After about 20 minutes of this, and sensing my skepticism, Hotz decides there’s really only one way to show what his creation can do. “Screw it,” he says, turning on the engine. “Let’s go.”
As a scrawny 17-year-old known online as “geohot,” Hotz was the first person to hack Apple’s iPhone, allowing anyone—well, anyone with a soldering iron and some software smarts—to use the phone on networks other than AT&T’s. He later became the first person to run through a gantlet of hard-core defense systems in the Sony PlayStation 3 and crack that open, too. Over the past couple years, Hotz had been on a walkabout, trying to decide what he wanted to do next, before hitting on the self-driving car idea as perhaps his most audacious hack yet.
“Hold this,” he says, dumping a wireless keyboard in my lap before backing out of the garage. “But don’t touch any buttons, or we’ll die.” Hotz explains that his self-driving setup, like the autopilot feature on a Tesla, is meant for highways, not chaotic city streets. He drives through San Francisco’s Potrero Hill neighborhood and then onto Interstate 280.
With Hotz still holding the wheel, the Acura’s lidar paints a pixelated image on the dash screen of everything around us, including the freeway walls and other cars. A blue line charts the path the car is taking, and a green line shows the path the self-driving software recommends. The two match up pretty well, which means the technology is working. After a couple miles, Hotz lets go of the wheel and pulls the trigger on the joystick, kicking the car into self-driving mode. He does this as we head into an S curve at 65 miles per hour. I say a silent prayer. Hotz shouts, “You got this, car! You got this!”
The car does, more or less, have it. It stays true around the first bend. Near the end of the second, the Acura suddenly veers near an SUV to the right; I think of my soon-to-be-fatherless children; the car corrects itself. Amazed, I ask Hotz what it felt like the first time he got the car to work.
“Dude,” he says, “the first time it worked was this morning.”
Original Article:     Hacker Builds A Self-Driving Car

Thursday 17 December 2015

By Bartholomew Madukwe & Ikenna Asomba
Dr. Olisa Agbakoba (SAN) is a former President of the Nigerian Bar Association, NBA.  Agbakoba co-founded the Civil Liberty Organisation, CLO, in Nigeria and founded Human Rights Law Services.  In this interview, he spoke on the state of the nation, communication importance in government, President Muhammadu Buhari’s economy policies and others.

Excerpt:
We have seen at least 195 days of General Muhammadu Buhari as President of Nigeria, what is your view on the state of the nation?
Well, it is good when you listen to perception; know what people think because action of government is to reflect what people want. When I was NBA President, I always do what I call sweeping. I will make sweeping calls to about 10 Chair persons to know what lawyers are thinking.
Perception is very important. It is for the President to pay more attention to the way people feel and that is why we need a communication strategy, such as having a Director of Communication. You find different people say different things about the President.
Some say that he does not know what he is doing and some say he is too slow. But my interest in the President is not as General Buhari as a president because I have not met him, I do not know what he does. The country is suffering what I call economic anaemia. There is no money in the system because a lot of parameters are not working. There is no investment law, competition law, which is why MTN can do what it likes.
Does this suggest that in 2016, communication should be one of the key things for effecting the change President Buhari intends to deliver to Nigerians?
I hope that the present administration will understand that in 2016, communicating their strategy should be of prime importance so as to dispel all doubts. Also, the Biafra thing is what a good communication strategist will communicate. I think this administration has not done well in communication. In abroad, what attracts people is the programme. If I look at your programme and I am able to compare, then I can make my choice.
If you look at the Presidential Debate in the US, you will be able to make your choice. But in Nigerian politics, it is a personal thing. You will need to know the person and touch him. In the US, for example, you do not need to know anybody; he will appeal to you by what he does. So President Buhari’s programme, quite surprisingly, appears to me as something to be looked at.
Which means that President Buhari’s programme would succeed since people like you are impressed by it?
I am keen to see that it succeeds. Everybody wants to have a break. If he (President Buhari) is going to take us there, then we will support it. I am tired of being able to handle money but unable to spend it because one is not happy. You need to have a country where you feel safe.
You know I come from Apapa in Lagos and you know what happens there? You think I like it that I have towalk one mile to the office, in a place that is Nigeria’s richest community? We need to have a good country. And like I said earlier on, the President need to pay more attention to the way people feel and that is why we need this communication strategy.
But some people have misconceived you, saying there is something you are looking for from this administration?
For those who know me for a long time, they know that I do not need to look for anything. I had a chance to be Abacha’s Attorney-General at age 34 or 35, that was quite tempting and not what I was looking for. I am just looking for a good Nigeria.
Many Nigerians seem not to understand President Buhari’s economic policies. Looking at your good sense of economy, can you share what you know about it?
The nature of person’s ideology changes with where he is. So the natures of what countries do depend on where they are at any time. Basically, Nigeria as an emerging economy is a very poor country, typified by the fact that we are in the primmest land yet I have no water. Anyone who wants to design a programme for a poor country will take into account what the people want and what their need is. There is no template.
A group better known as the Washington Consensus came together and felt that in the context of the war between the west and east, that imposing democracy and imposing the western economy thought will keep the sovereignty away. If you understand it and do not believe it, that is too bad. But for us who are international political economist, I know that the biggest challenge we face is the west and the east, the conflict that they have had and how it has affected us.
So the first thing they will do is to bring their doctors of economy and say structural adjustment programme, which we resisted in Gani’s house in 1985 when IBB started it. We said it cannot work in a poor country. You cannot be doing structural adjustment programme when people are hungry. It may be good in the west, but here, it is difficult because people are poor. So if we agree that people are poor, then the last thing you will want to do is to inflict further harm on the people.
But I think I understand what President Buhari’s economic policy is, it has two components. It is a derivative of social regulation. Underpinning the programme, as I understood, it is social regulation, which makes provision for people who are at the bottom and trying to bring them up and at the same time leaving space for market efficiency so  that the markets can run.
Social regulation means we cater for those who need government support but we will allow the Dangotes and the Otedolas space to work, then we task them to about 30 percent to 40 percent, which will be well collected. Once that is done, the money would drizzle down to assist the social regulation policy. It is a mixed economy model that I think it is what this administration want to present.
Those who feel like doing business in the country will find that they have the space but they are not going to do it like they have in America. Even in America, there have been questions on the republican model of running an economy.
What programme do you think would thrive in Nigeria today, considering the poverty rate you just mentioned?
If you have a programme, the one that is commonly referred to as market feudalism, which means asking everybody to go and the best person to sell wheat flour wins. Then you will find out that the person can drive his price up, in the exclusion of others, and make money. So market feudalism, which was Ngozi Okonjo-Iweala’s doctrine, failed because in the years you will see that her policies did not work.
The other one is social democracy and you will find it in Denmark, Norway and other countries. That is why they are the richest countries in the world, even if they have small population. They do social democracy where they plan for everybody. They know the need of everybody and try to meet it. I think social democracy is a better programme for Nigeria than market feudalism. Now, I go back to the challenge of not communicating effectively.
In your recent letter to President Buhari, you talked about conspiracy of the elite, can you expatiate?
The problem Obama is facing in America is that of the conspirators. Do you know that he was so frustrated in the last 3 killings and he said he was tired of sitting and being helpless as the America President whereas the gun lobby will not allow him to control guns? Who is benefitting? The last person that killed had 13 guns in the house. How can that be? Why is America unable to raid the gun supply? It is simply because people are making billions.
What are your thoughts on sovereign wealth fund vis-a-vis your advocacy for freeing frozen funds; there are huge funds frozen while infrastructure in the country is in terrible state?
Sovereign wealth fund is a small issue in the large equation. When I was the NBA President, I was able to invite one of the world’s leading thinkers of waking dead capital. Some of my friends, when they come to Nigeria, evaluating it to its state of wealth economy wise, they are shock that amidst great wealth there is poverty. Now development law, which we preach but it has not been understood by anybody, government does not have a lawyer in the policy space.
This world is a large space and only the best will thrive. It is shocking that as the developed world and China go about setting standards and goals for investment and trade, there is no single investment and trade lawyer who has any expertise to criss-cross various multi-lateral conferences that take place, fixing your own fortune.
For instance, in the last Doha, World Trade Organization (WTO) became stranded by the objection of Brazil and India on the utilization of tree-bags which we allow the west to take away and make into quinine, and then they now put intellectual imprimatur on it- your products. They take it away and reset it. The worst one was when they move into higher drugs, which they wanted to bring to South Africa and India to sell at a high rate.
So what am I saying? I am saying that Nigeria is not taking advantage of its huge soft institutions of experts, particularly law. My simple theory is that we have enough money in Nigeria not to worry about how to build our roads. But all our banks, until the Soludo resolution, were interested in getting public fund and lending. So they would not give you any money because they will get it from the government and that was enough to make huge profit.
What is your perception of the various election tribunal judgements across the country, especially the judgement of the Taraba Governorship Tribunal?
These people who go to court have absolutely lost their senses. The reason why they are so mad is to access the money that is available in government house. Is it not the Taraba man that flew a jet and broke his leg?  I am discussing the foolishness of the elite. We need to make this type of Taraba example obsolete. It should not be discussed. We need to make the quest for power to be only for those who want it.
My view is that if you give N1 million as allowance in the national assembly many will go and not return. We need to understand that the elites and elite’s structure are the ones who propose people to the tribunal. Of course, they pay lawyers to do the cases. I am tired of unravelling the conflicting decisions. You look at Taraba, you look at Kogi and somebody told me that they will end in absolute mess.
Have you seen any election that is different? It is the same complain that INEC did not bring materials on time or they did not provide enough material. Until we help Nigerians understand that they need to take up arms and begin to exercise their right, Nigeria is not going to change.
In your letter to President Buhari, you noted that many Nigerians feel alienated and disconnected. Don’t you think that is the reason for recent Biafra struggle?
The Biafra thing is not an agitation. People there are very hungry, I am from there. They have been dispossessed and abandoned by different political leaders who deceive them when they come for their votes. APC, PDP and APGA- all kinds of parties deceive them and led them to exactly where they are. The last time I was at the area, I was shocked when I drove around. I was shocked at the level of poverty and unemployment.
So when somebody who is an elite wants to manipulate them, which is what is going on now, they will fall for it. I I think the best case has been explained by Prof. Wole Soyinka. We should not say that this country is indivisible. There is nothing indivisible about Nigeria. If we cannot live together, let us go in pieces. Who is to say that it is indivisible and treason? It is not.
If you were President Buhari, how would you handle the Biafra issue?
If I were President Buhari, I will first find out what the people are agitating. When I know the problem, then I will know how to deal with it and move on.  The Nigeria configuration, the Nigeria country, needs to be panel beated around again so that everybody can feel happy.
You will need to assign space and a room in a country called Nigeria. But right now, 180 million Nigerians are outside, they have no room and they can see a few Nigerians eating very well inside a room. So they wonder if it is not their own meal too. The more they eat, the more these men get angry.
The wall separating the two is so huge and the elite keep constructing it and they have reached a position where they just ignore the people and do not care about what the people say. They do what they like and say to hell with you because you will collect their money and vote for them. This is the time to deal with the elite.

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