text:
Health matters
What makes a politician happy? Aside from winning elections, of course.
Well, the small fry mostly take delight in securing minor internal party gains. Ousting Fred from the branch chair. Dissing Wilma at the delegates meeting.
The bigger fish, those in government, crave more. They want either to stiff their (external) opponents or to win popular acclaim for their actions.
Today at Holyrood, the Health Secretary Nicola Sturgeon neared Nirvana.
She overturned a decision by her predecessor Andy Kerr, infuriating him in the process. And she was cheered from the public gallery in so doing.
The decision? To maintain Accident and Emergency services at Ayr and Monklands hospitals in line with the SNP's election pledges.
We can dispense fairly swiftly with Joy Number One. New governments frequently overturn decisions taken by their opponents. There would be little point in changing governments if they didn't.
Let's look more closely at Joy Number Two: the public reception.
Ms Sturgeon was cheered by hospital campaigners in the gallery - and no doubt will never have to buy her own drinks again in Ayr or Airdrie. But, in the by-going, she evinced a theory of governance which may prove intriguing.
She said: "Public opinion cannot and should not override genuine concerns about the safety of services. But neither can public opinion be ignored. Health Boards and responsible government must balance local views and circumstances with wider considerations of clinical quality, sustainability, safety, and value for money."
At one level, unexceptionable. The minister was merely saying that, all being equal, you should do nice things to people rather than rotten ones. But link this with her further announcement of an independent scrutiny panel to review the reshaped hospital plans in Lanarkshire and Ayrshire.
Two points occur. Firstly, I rather agree with Ross Finnie of the LibDems who queried, ever so gently, what the scrutiny panel will now do, given that the minister has already ruled that A&E will continue at Ayr and Monklands.
Secondly, it is envisaged that this scrutiny panel mechanism will be routinely used in future. To what end? To enforce public opinion? Or to shape it, to mould it to accept the inevitable?
First principles. The people are never wrong. If only the politicians would listen and act accordingly. But what do the people want, given a choice? Do they want smaller, community units - or larger hospitals with greater certainty of 24-hour expertise?
The answer? We want big, expert hospitals. And we'd like one at the end of the street, please.
You see, I do not believe it is about "consultation". I do not believe the good folk of Ayr and Monklands would have changed their minds one whit, regardless of how extensive the consultation had been. I do not believe an independent scrutiny panel would have made any difference whatsoever.
Rightly or wrongly - they firmly believe rightly - they wanted their A&E units kept open. They cheer politicians who say yes to that. They hiss those who say no. End of story.
Self-evidently, Scotland cannot station a hospital the size of Edinburgh Royal Infirmary at the end of every street. Particularly given the pressures on staffing and sustaining expertise, Scotland has to choose. That means ultimately that elected MSPs, Ministers, have to choose.
This was a confident, assured performance from Nicola Sturgeon. She had prepared well - and was ready for her critics. She has chosen to retain A&E at Monklands and Ayr.
It will be fascinating to watch the reception if and when she follows her principles and takes a decision contrary to local opinion because of the "wider considerations" noted above.
- 1.
- At 04:20 PM on 06 Jun 2007,
A classic example of "democracy" at work. And as often the case, a perverse decision is made having ignored all the evidence available. We can now look forward to NHS Lanarkshire announcing the opening of the Monklands Neurosurgery , Cardiac Surgery and Liver Transplant Units, as surely there is a popular opinion ( not to mention demonstrable need)in favour of these in Airdrie and Coatbridge.
Nicola Sturgeon has followed her gut instinct with this decision. Unfortunately it is the brain which is the organ of thought and reason.
- 2.
- At 04:28 PM on 06 Jun 2007,
Excellent move by Nicola Sturgeon today. I don't belive in buckling to public opinion all the time, difficult and unpopular decisions have to be made in government at times, but to close A+E in Ayr would be ridiculous. (I don't know the situation in Monklands so can't comment). Closure of Ayr would have meant a huge journey for patients to Crosshouse. It would be a least an extra 15-20mins to cover the distance. As morbidity for heart attacks and other coronary conditions increases rapidly with time then people would have died if Ayr closes. What extra price should be paid to save life? Philosophical question I know. Andy Kerr for one didn't think it was worth it. Ayr is a borderline tory seat so no surprise they were in the firing line.
- 3.
- At 04:37 PM on 06 Jun 2007,
If A+E is retained at Monklands - all the supporting services that go along with it will have to stay too. Namely: intensive care, coronary care, high dependency, acute medical and surgical receiving, inpatient medicine etc.
The anaesthetists within Lanarkshire stated they cannot staff three ICUs within Lanakrkshire, nor can they attract medics to three relatively small seperate Lanarkshire ICUs.
So how is Nic and her independent panel going to sort that out? Will the revised proposals be a half-hearted attempt at appeasing voters? I for one will not go to an A+E with the services mentoned above. To do so would be lunacy.
- 4.
- At 04:45 PM on 06 Jun 2007,
A report by cardiologists indicated that the closing of Monklands A&E would increase the numbers of avoidable cardiac deaths in the area given the high level of cardiac disease: due to poor diet, excessive alcohol use and deprivation.
Not all those in Public Health agree with Professor Kerr as his findings take no cognisance of the nature of Scotland's remote and rural population's medical needs.
If you are in the central belt with goodish public transport then you can get to most the main hospitals in the central belt in around an hour. To get a MR or CAT scan living in Galloway is a five hour round trip. To get radiotherapy involves a trip to Edinburgh another five hour round trip.
Maybe I am a bit daft but I have this thought that if the key regional hospitals were properly equipped to first world standards that it would be easier for the consultant or his senior registrar to come to the mountain in terms of patient care, outcomes and effectiveness than the transfer and stress to patients of shifting them two to three hours away from their families.
Easy access to family has been shown in a number of studies to improve outcomes.
Just don't get me started on #@#$#@ PFI / PPP and is cost to NHS Scotland and tax payers
- 5.
- At 04:54 PM on 06 Jun 2007,
Ok Brian , you were with Andy Kerr on this one.
It's a b*gger the old public opinion thing.
It can turn whole countries around and leave the journalists spinning.
- 6.
- At 06:05 PM on 06 Jun 2007,
It is interesting that Nicola Sturgeon believes that public opinion is to be the guiding factor in the SNP's governance. So will the death penalty be introduced as the public have traditionally wanted this while the politicians have, on a vote of conscience traditionally rejected this. Sturgeon's words smack of, at best populism, and at worst niaivety.
While I applaud the decision, I wonder about the appliance of logic behind it. How will Sturgeon defend any decision that goes against public opinion. I believe that these stupid words will come back to haunt her.
- 7.
- At 08:13 PM on 06 Jun 2007,
In terms of saving Ayr, I start by declaring a blatant prejudice: it saved my life.
The case for centralising services that require expertise and heavy technological investment can easily be made. I could plan the creation of the world's best A&E by pooling all the best doctors and nurses across all the specilisms in Scotland together and give them a disproportionate share of resources and base them in,say, Stirling. Everyone can get their can't they?
On the other hand I could plan for some form of medical cover in every hamlet in the land. Both propositions are preposterous because there is always a trade off in making policy decisions. That is why effective consultation is needed. Despite the claims of some, the consultations relating to Ayr were examples of the most terrible and prejudiced manipulation. They would have done credit to the worst excesses of East Germany. Under such circumstances, the actions of the likes of Maybole and Girvan Community Councils in fiercely fighting for services, not in their backyard by any means, but within 15 miles or so of their populations was a just campaign. If the lesson to be learned is that in the future effective consultation based on an open and honest consideration of the facts is required, then today has served democratic accountability well.
- 8.
- At 08:27 PM on 06 Jun 2007,
The combined populations of North and South Lanarkshire Council areas is a shade more (630,000) than the City of Glasgow (620,000). Why shouldn't there be three A & E Units to support the people of Lanarkshire when there are more than that in Glasgow?
If they are needed - and clearly they are, then let's find the money to staff them properly. Goodness knows, the health issues in this area demand the best services. Well done the SNP!
- 9.
- At 09:26 PM on 06 Jun 2007,
Good decisions on A&E units at Ayr and Monklands, we in Dunfermline West require a similar reprieve for the Queen Margaret Hospital; we were being offered a hospital downgraded to a glorified medical centre to permit Fife Council to centralise all that is medically wonderful into their seats of power, Kirkcaldy and Glenrothes
We were told that better survival rates were almost guaranteed with paramedics treating patients on their way to state of the art A&E, this laughable when we currently do not have enough paramedics or ambulances for emergencies, let alone this shuttle service to Kirkcaldy.
Die being transported or die waiting for an ambulance, the outcome is the same; Queen Margaret, Dunfermline next Nicola.
- 10.
- At 10:05 PM on 06 Jun 2007,
To poster #8. Glasgow will be reducing to two A+Es also. The Royal and the new South Glasgow hospital will be the only two major emergency receiving hospitals for all of Glasgow. Gartnavel will receive emergencies but not to the scale of the other two. The reason Lanarkshire (and Ayrshire) is different is because of the large population, geography and poor health.
As you point out, North and South Lanarkshire has a population of Glasgow. But the primary difference is that Greater Glasgow is relatively compact, served by excellent public transport and decent primary roads. Lanarkshire is massive, has no public transport, and has terrible "A" class roads everywhere. The population is on the up as people move from the two cities into the commuter belt.
I as a nurse think that far too many people are admitted to hospital for conditions that can be effectively managed in the community. However, until there is a massive investment and culture change in the provision of primary care we need the hospitals.
We would all like a major hospital on our doorstep, but unfortunately that is daft. However, we need hospitals that reflect the needs of the population they serve. Lanarkshire NEEDS three hospitals.
In addition to my post about consultant anaesthetists in Lanarkshire. I was thinking. With Glasgow losing three hospitals with ITUs (Western, Stobhill and Victoria) surely all of the consultants based there cannot go to the three remaining hospitals with ITUs?? So can they not come to Lanarkshire to staff three seperate units? I dunno, I don't get paid enough to make those decisions. Poor nurse stories to follow...
- 11.
- At 10:14 PM on 06 Jun 2007,
Living in a rural part of Ayrshire as I do its possible to feel that even Ayr A&E is a long way away!
I am not an SNP fan but on this occassion I think that they have struck the correct balance. There are arguments for centralising services but this approach must take account of the needs of areas which have large but less centralised populations.
In Ayrshire it seems our choice may be to die a) because we have to get taken a long way to a centralised A&E or b) die because our more local A&E cant be staffed and funded properly. Some choice! Me - if I gotta go maybe I'm better doing it local.
The Sunday Times highlighted some recent alarming research on excess death rates in Scotland due to poor health service (details on my blog). This argument about the location of an A&E seems not to address these issues one jot.
- 12.
- At 10:18 PM on 06 Jun 2007,
Living in a rural part of Ayrshire as I do its possible to feel that even Ayr A&E is a long way away!
I am not an SNP fan but on this occassion I think that they have struck the correct balance. There are arguments for centralising services but this approach must take account of the needs of areas which have large but less centralised populations.
In Ayrshire it seems our choice may be to die a) because we have to get taken a long way to a centralised A&E or b) die because our more local A&E cant be staffed and funded properly. Some choice! Me - if I gotta go maybe I'm better doing it local.
The Sunday Times highlighted some recent alarming research on excess death rates in Scotland due to poor health service (details on my blog). This argument about the location of an A&E seems not to address these issues one jot.
- 13.
- At 10:22 PM on 06 Jun 2007,
Didn't the SNP agree with the previous Executive's health strategy at committee level but changed it when they realised there could be a few votes in it for them?
- 14.
- At 11:01 PM on 06 Jun 2007,
This is a shockingly poor decision which will most definately cost lives far away from the cheering that happened today. The general population is idiotically obsessed with 'oor poor wee hospital doon the road'. Resources and staff are finite. Fact. Spreading them thinly will only result in a poorer overall service. Me, I would rather travel a few more miles for a better quality service. Plain common sense.
- 15.
- At 11:09 PM on 06 Jun 2007,
What's the point of having an A&E service if it's 20, 30, 40 miles away? Distance matters in emergencies. Whatever the arguments for centralising more specialist services, A&E needs to be based in or close to the communities where people live. Maybe as patients we really do know what's in our own best interests, and those of our family and friends who face having to contend with long, stressful, expensive journeys just to visit.
- 16.
- At 11:41 PM on 06 Jun 2007,
It wasn't about Nicola wearing her heart on her sleeve,it was about a balanced decision,it was a ministerial choice'it was about the politic's of the truth (there is always more than just oneway)i stand and applaud Ms Sturgeon and say to her on this issue not too KERR to much about what the so called expert's say,the public know that centralizing care is an affort to the principle of DEVOLUTION and a con trick to widen the scope for private health care in Scotland,"WELL DONE LASS"
- 17.
- At 11:47 PM on 06 Jun 2007,
I for one welcome the move today, as an Airdrie Onion living in coatbridge it was one of - but not the only - the reasons I switched my vote to SNP this election.
Whether Nicola Sturgeon and Alex Salmond believe it was the right thing to do or not, they had no choice but to overturn Andy Kerr's dumb decision.
The SNP pledge to do so won over many voters in May. With their 2010 referendum 'unlikely' to happen and the scrapping of the council tax in serious trouble they didn't have a hell of a lot of promises left to stick to.
Regardless of the motives behind it the next time Nicola Sturgeon's in Airdrie she can pop into the Imperial for a pint on me (if I'm there!)
- 18.
- At 12:22 AM on 07 Jun 2007,
Why...........Let's save every damn hospital department and discipline because the people want it. Let's have community hospitals with every single discipline going as that is what local people would no doubt want. You have pandered to public fear Ms Sturgeon and threatened well thought-through plans to create super units where complicated health care can be delivered in successful and cost effective ways. You may have won a few votes out of this but, ultimately, the lives of people will be compromised and people like me will hold you to account over the next 4 years. Shame on you! It shows your inability to govern in the interests of the people of Scotland but simply to pander to public fear. Shame on you!
- 19.
- At 01:15 AM on 07 Jun 2007,
How on Earth can Andy Kerr get away with saying this decision will cost lives?
I am sure that, for every "expert" who agrees with that statement there will be one that has the opposite view.
This is not constructive opposition, it's scaremongering!
- 20.
- At 02:26 AM on 07 Jun 2007,
Being in the unique position of having worked in both these departments as an A&E Dr in the past year, I can honestly say this is a mistake. Monklands despite having three consultants in A&E, delivers non existent training for their junior staff. And as for Ayr, I would crawl on my broken hands and knees to get to Crosshouse in Kilmarnock for treatment; the place is a shambles. I can quite understand the public concerns about the proximity of acute services and the perception of reassurance that it provides. Having seen the in from the inside, though, what really matters when you are unwell is not how long you travel in an ambulance to get there but what happens when you do. This populist cop out will not save lives, and surely that is the point?
- 21.
- At 03:58 AM on 07 Jun 2007,
Well done Ms Sturgeon. A politician who honoured her pre-election promise. Do you think SNP should have broken their promise?
I am disappointed in your apparent support for Andy Kerr. An opportunist who made sure he kept his own constituency's A&E open while closing others. You seem to be missing the point that Monklands already HAD a working A&E unit. Keeping it open is not that radical. Kerr wanted to close it. That is a REDUCTION in service not an improvement.
Your comments about the scrutiny panel are pretty daft. The resources available for A&E units are, like every other NHS facility, limited. None of them can ever have ALL the ideal resouces they might require for every possible emergency. The Minister has decreed the units will remain open. The Panel and Board's duty is now to present proposals on how that can be best achieved and what restrictions might be necessary. That is the way most businesses work. The Boss says what he wants done. Yours is to provide a way of doing it.
Kerr's scaremongering about people dying was disgraceful. Most cases going into A&E are a long way from fatal. In serious cases it is just as likely that they would die due to the ridiculous journey from Airdrie to Hairmyres - try it in the rush hour sometime.
Everyone accepts that some NHS re-organisation is necessary and desirable but the public were quite right to oppose the closure of their existing A&Es
- 22.
- At 08:43 AM on 07 Jun 2007,
Why vote at all (and perhaps because of ex-Labour spin Ministers like Andy Kerr hundreds of thousands of Scots do not vote all) if the overwhelming majority opinion is ignored?
Nicola Sturgeon and the SNP are providing to the people of Scotland what has been missing for many decades - true accountibility and carrying out the wishes of the people and not faceless civil servants in W1.
It's enough to make you believe in democracy :-)
- 23.
- At 10:24 AM on 07 Jun 2007,
One thing the SNP should remember when making decisions like this, we elect a responsible government, not a representative one.
The SNP have disregarded the wider opinion of experts and doctors in this and bowed to pressure from a vocal minority that probably didnt even examine the replacement plans for mini centres that would have dealt with over 80% of all A&E requirements closer to the home of the average patient than at present. They would have stabilised the remaining 20% in order to get them to a specialist care facility as safely as possible.
It is far easier to be in government when you are in opposition and I suspect this is a lesson the SNP will be learning the hard way fairly soon. If the SNP want to retain their authority they should be asked when they will be putting forward to Parliament the bill to create a referendum on Independence. This is the one thing that they were absolute in promising the people, now that they are in power I haven't heard one member mention it. I suspect the resulting parliamentary vote on that one may wipe the smirk of Mr. Salmonds face for a while.
- 24.
- At 10:44 AM on 07 Jun 2007,
It is never an either-or situation.
We need a A&E nearby for emergency work and a larger hostpital with the ability to perform complictaed proceedures not too far away.
- 25.
- At 10:44 AM on 07 Jun 2007,
Interesting to see that a similar debate is going on in Wales, even though it is a fraction of the size of Scotland, and so arguably could cope with slightly longer journeys to Accident & Emergency.
But then one has to balance that against Welsh roads being 'long trails a winding' and so far slower for ambulances. There is something to be said for having greater expertise in larger hospitals.
But once the smaller community hospitals are closed they will stay closed, whilst there are no guarantees in life that the quality of service at the larger infirmary will remain superior for ever.
- 26.
- At 11:15 AM on 07 Jun 2007,
One thing which none of those in favour of centralising A&E services has really address is this. Can ambulance staff keep people alive and minimise further harm until they reach one of the centralised units? Indeed the retired ambulance crewman, who was interviewed on Reporting Scotland, about A&E at Ayr underlined the fact that while care may be better at a central unit, emergency cases will still have to travel greater distances to get there.
- 27.
- At 11:22 AM on 07 Jun 2007,
the consultation model, having been adopted by the centralist establishment, has tended to set parameters, to divide and exhaust consultees, and thus to provide more the appearance of decentralisation than the substance (empowerment, transformation), or as Pablo Leal has it,
"Official development has largely co-opted participatory processes, reducing them to technocratic machinations, designed mostly to improve the effectiveness and efficiency of the 'delivery' of development packages, rather than transform the dominant power structures which perpetuate people's marginalisation and powerlessness."
- 28.
- At 11:58 AM on 07 Jun 2007,
Having been through a not dissimilar exercise where our Council wanted to shut three local village schools and build a new one some five miles away I can vouch for the fact that "experts" do not always get it right and people's instincts are generally correct.
We drove a coach and horses through their arguments and eventually won the day not for emotive reasons but on the basis of the quality of service and good old economics..
- 29.
- At 12:02 PM on 07 Jun 2007,
The retention of full A&E at Ayr Hospital can only be a good thing. Ayr Hospital has all the departments that are needed to support an A&E unit, and closing it would have eventually led to the downgrading of the hospital and further centralisation of in patient services in Ayrshire.
Having recent experience of both hospitals I know what one I would want to be treated in and it isn't the one near Kilmarnock
- 30.
- At 12:09 PM on 07 Jun 2007,
Bread and circuses - is that how the SNP intend to win 'popular' support for their minority government?
- 31.
- At 12:38 PM on 07 Jun 2007,
I have to say I think this is a great step forward for Scotland showing that it is a new government that will lead and not be bullied by the money folks in Westminster.
Some of the comments here are a bit silly as the principle of A&E seems to have been overlooked. It is there for fast treatment of Emergency type nature eg. RTA its no good to have to drive a neck injury or similar for many miles. Speedy treatment is the purpose. Heart surgery etc should indeed be regionalised with centres of excellence distributed accross Scotland. I have seen the excelent work performed by local initiatives 'first responders' these voulinteers are required as it is recognised time is of the essence.
- 32.
- At 02:31 PM on 07 Jun 2007,
I am glad A & E was 'saved'by the SNP. Being born and brought up in Coatbrige and soon to be a Dr come August 1st I am well aware of the health problems affecting the surrounding areas which 'the Monkland's' covers. Everyone knows that Monkland's was axed because it wasn't PFI...it had nothing to do with centralising patient care.
- 33.
- At 03:52 PM on 07 Jun 2007,
I am impressed that, away from the media hype and local campaigners, the debate on the blog is far more balanced. In particular, I endorse the contributors who are beginning to reflect on the difficulty the new administration is going to find in dealing with the realities of being in government for the first time.
One of your correspondents mentions the Queen Margaret Hospital in Dunfermline. The SNP in Fife garnered votes by campaigning to save facilities there - but Nicola told us on Newsnight that she wasn't going to change that decision as "it wasn't in the manifesto"! Who can say whether these votes won the SNP the final seat they needed to form their government?
The SNP have run election campaigns for years by campaiging on the local changes they would make if elected. They have been known to promise directly contradictory actions in neighbouring constituencies. (I could bore you with an instance from 1974!)
Chickens will come home to roost.
- 34.
- At 03:57 PM on 07 Jun 2007,
Some things never change in Scotland
No matter what government is in charge Labour or SNP the opposition supports try to demonize the exec.
My family live in Ayr both within 5 miles of Ayr hospital so I am over the moon that if something happens to one of them its not a trip up the A77 of death to CrossRoads. May only be 10 minutes for Prestwick and Ayr but add 20 -30 mins depending on time for someone inGirvin and you might as well call the funeral director when you call the ambulance.
Andy Kerr is a toe rag. How will keeping 2 A & E open where people will get help faster cost lives ?
Something doesnt quite add up. I think the Labour spin machine has more than one wonky wheel and there beginning to look like pathetic scare mongers.
- 35.
- At 04:05 PM on 07 Jun 2007,
Couldnt agree more
Looks like we will all be paying for President Blairs vison long after he has reyired with his PM pension and 10 million pound book deal
- 36.
- At 10:11 PM on 07 Jun 2007,
The public can have what it wants, and what it has been promised by the SNP - but you will have to pay for it in increased taxes. This money would fund the numbers of specialists and support staff required to provide a modern service in each one of these hospitals.
I am sorry to be paternalistsic, but the public doesn't actually know what they think they know here, and the SNP has simply pandered to parochial hysteria in order to win votes.
Gone are the days of local 'casualty departments' run by one or two specialists. The nature of the business, the expectations of the public and the change in lifestyle expectations of medical and nursing staff dictate that a 21st century emergency department be staffed by many specialists; ditto the intensive care unit etc etc.
Glasgow, Lanarkshire and Ayrshire have a small window of opportunity here to graduate from the middle ages of emergency care provision - do it quick before the window closes!
Bottom line - would I (or any of my colleagues) want to work in one of three mickey mouse 'casualty' departments in Lanarkshire (for that will be the effect of the SNP decision); each one struggling to staff itself; each one struggling to see the critical mass of major illness and major injury necessary to train staff and retain the skills of specialist medical and nursing staff, each one running a draconian duty rota incompatible with a family life???
No way!!!
Prescription for Ms Sturgeon: Mitte - Reality - one tablet, bis in die sumendum!!!
- 37.
- At 12:09 PM on 08 Jun 2007,
Wow another Doc only talking about himself. he must be unique.
Its not what the government wants or the doctors but whats better for the patients and what is deffinetly not better for someone having a heart attack is waiting 20 minutes for an ambulance and then a high tail up the A77 which can often be blocked at certain key areas. if you can survive an hour you might have a chance.
Unlike someone in Girvin could be in Ayr in half the time.
- 38.
- At 02:58 PM on 09 Jun 2007,
For me personally it wasn't just the fact that they were going to shut down the A&E in Monlands it was also the fact that they chose to close down the most needed and most efficient A&E in Lanarkshire. The reasons they chose to downgrade Monklands to only a cancer unit hospital were ridiculous! Although I understand that soecialist units are needed why not downgrade one of the other hospitals in Lanarkshire? Why Monklands? Monklands is the oldest and therefore would need the most work done to it to bring it up to standards. It infuriates me to read some of these comments when people start talking about things they know nothing about. Well I shall take it upon myself to enlighten some of you with some facts about the three hospitals in Lanarkshire and some facts about Monklands.
Monklands is the sickest area in Lanarkshire.
ONCE famously described as "The sickest place in western Europe", Monklands has a terrible health record.
Rates of heart attacks and strokes are higher here than almost anywhere else in Britain - only Glasgow is worse.
Although Lanarkshire's health record is shocking, the figures for Airdrie and Coatbridge are even worse. So why close down Monklands A&E???
A greater number of people die at a younger age in Monklands than anywhere else in the county.
In the latest figures available, there were 262 premature deaths in Monklands - compared to 194 in East Kilbride.
For every 100 people who die across Scotland, about 116 people die in Monklands - the highest mortality rate in Lanarkshire. In East Kilbride the mortality rate is almost the best in Lanarkshire at just 98.9.
The mortality rate among men under 65 in Coatbridge is 167 while the rate for women in the same age group in Airdrie is 143 - again both well above the Scottish average of 100.
There can be no doubt that Monklands is the community most in need of accident and emergency services.
It is the busiest A&E in Lanarkshire
NHS Lanarkshire's own figures show that the A&E department at Monklands is the busiest of the three emergency units in Lanarkshire.
Between April 2004 and March 2005, a total of 17,374 patients were admitted to the A&E unit at Monklands.
Hairmyres Hospital in East Kilbride by comparison admitted more than 2000 fewer patients to its A&E - 15122 - during the same period.
Wishaw Hospital treated fewer still, having 13,847 emergency inpatients.
The health board insists that two-thirds of those who attend at A&E have ailments or injuries which could be treated by a minor illness or injury unit.
However, that still leaves one-third - tens of thousands of patients - who suffer a serious or life-threatening condition which requires immediate emergency treatment.
These people who currently attend their local hospital at Monklands would in future have to travel to Wishaw, East Kilbride, Glasgow's Royal Infirmary or even Larbert in Falkirk to get that treatment.
It is the most efficient A&E department
DESPITE the fact that Monklands A&E is the busiest of the three in Lanarkshire, it is still the most efficient.
Hairmyres and Wishaw - both new state-of-the-art hospitals - have repeatedly closed their doors to patients since they opened.
Their patients were diverted to Monklands which, despite accepting a greater number of admissions, continued to take in the sick and injured.
The Advertiser can reveal that in the space of 19 months, between April 2004 and December 2005, Hairmyres closed its doors to emergency admissions on 48 occasions.
Wishaw Hospital closed on 110 occasions.
In comparison, during the very same period, Monklands Hospital closed just ONCE.
Over that period, Hairmyres was closed for a total of 602 hours and Wishaw for 1387 hours.
Yet again, Monklands was shut for a total of just 24 hours.
Monklands' exemplary performance in staying open while other less busy A&E departments closed their doors shows why it would be folly to axe it.
Sorry about the rant, it means a lot to me because my mother has worked in the hospital for years and years. She has told me herself how this is going to affect Airdrie and how she will loose her job and have to work in a hospital elsewhere.
Again sorry for the rant I only want to enlighten some people with facts as to why it was a good decision made by Nicola Sturgeon to keep the A&E open.
- 39.
- At 09:00 AM on 11 Jun 2007,
Monklands has more than 100 extra beds compared to Hairmyres; perhaps this explains why Monklands so rarely closes.
Closures may only be for a matter of hours. Also compare with rest of Scotland, not just Lanarkshire.
They also seem to admit everything, rather than treat and send home promptly.
Worse health in Airdrie and Coatbridge?
Give up the fags and alcohol! It might just help. See comment # 1
Higher death rates in Airdire & Coatbridge? Maybe the care they receive at their local hospital ain't so good after all
- 40.
- At 10:15 AM on 11 Jun 2007,
*Quote*(Some dementia patients have gone years without leaving their NHS hospital wards,BBC Scotland learns)
Thank you to the BBC for raising awareness about this unacepptable level of So-Called-Care ...
I was Outraged after reading this news report ... Has any of these appointed politicians, any real idea what's happening around our Health Care Service???
In the meantime Taxpayers Billions, have gone into worthless, useless, blah, blah, blah!
This Continuing Treatment Is Primitive, and Irresponsible ...
This Neglect Has To Stop Now!!!


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Little Tikes School Bus Activity Gym
The School Bus Activity Gym is small enough for the littlest climbers, but big in fun! Little students will learn to have lots of fun, indoors and out! This activity gym features tires that really spin, an interactive dashboard, spinning steering wheel, and 18" slide. The stop sign even folds in and out just like a real school bus.
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Little Tikes School Bus
This review is from: Little Tikes School Bus Activity Gym
Pros: Our granddaughter loves this activity gym. It have many features for her to play with. I definitely recommend this item.
Cons: My husband is a craftsman; it took him three hours to put together; somewhat difficult to construct.
Other Thoughts: Although the construction was difficult, it was worth the hassle. Our granddaughter loves it!
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Cute Toy- Terrible Instructions
This review is from: Little Tikes School Bus Activity Gym
Pros: Very cute climbing toy for toddlers. Sturdy and overall safe.
Cons: Difficult to put together: What should take one hour max took almost four. Had to drill areas on door past manufacturer provided holes just to get the screws to hold the base to the side. The side seemed warped and uneven, which made it difficult to get everything lined up correctly.
Other Thoughts: Overall good toy once it is together. Instructions could be improved and toy should be easier to put together (pre-drilled areas for screws, etc.) or shipped already set-up.
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text: (Courtesy Volesky Law Firm) Text of Ron Volesky's Election Announcement By Dan Peters September 24, 2013 Contained within the article is the full text of Ron Volesky's announcement regarding plans to run for U.S. Senate as a Democratic nominee. Read More|Comment Category: Local News, South Dakota News Tags: Elections, Politics, Senator Tim Johnson Send to a friend! Share on Facebook Share on Twitter Pin it! Reddit This! Share on Tumblr!


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sony articles
Sony's $399 PlayStation 4 costs roughly $381 to build, analysis reveals
Sony publishes guide to troubleshoot PlayStation 4 flashing light issues
Sony sells more than a million PlayStation 4s within the first 24 hours
The PlayStation 4 is officially here, some systems experiencing HDMI issues
Xperia Z1 Review: Testing Sony's Latest Android Flagship
Enter the Xperia Z1. New Snapdragon 800 SoC. New 20.7-megapixel Exmor RS camera. New aluminium body. In many respects, this is what Sony was aiming for with the original Xperia Z: a solid set of features to lure any smartphone buyer including waterproofing. It may be out a little later than your Galaxy S4 or HTC One, but there's no doubting that the Z1 is a high-end handset to take Sony into 2014.
PlayStation 4 Review: Do You Need to Have One Yet?
How good is the PlayStation 4? Ask me in five years. Ask me after I figure out whether God of War is headed in the right direction, after I learn whether it has become unfathomable to play a console game without livestreaming it. These days, many game reviews aren't really done when they first run. They can explain parts of the game accurately at launch, but online communities shape these games. That's true, too, for the surprisingly online-centric PlayStation 4.
Digital PlayStation games are now available through Amazon's new PSN store
Sony expects to sell three million PlayStation 4 consoles by the end of the year
Weekend tech reading: A look at the inside of Sony's PlayStation 4, updated R9 290/290X drivers
Inside Sony headquarters, at the heart of Tokyo's Shinagawa district, Yasuhiro Ootori is about to reveal something that almost no one outside the Japanese tech giant has ever seen: the inside of a PlayStation 4...


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Are we now scraping the bottom of the barrel?
Even Dubya figured out that poisoning kids is bad
A few weeks ago, Ken Bradley was poking around one of the more obscure corners of the Department of Energy website when he came across an eye-popping table. Minnesota, Bradley discovered after scrolling through the chart, is the United State's single biggest importer of electricity.
At DFL headquarters, election night turned into another wake
Xcel Energy says hydroelectric power is clean and reliable. For the Pimicikamak Cree Nation, it constitutes an ecological, social, and moral catastrophe.
Reviewing local players and plays in the spirit of cultural authority Larry King


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Chairman's Message
During October we had one of the most successful Boat Shows in the last few years. Many thanks go to over 100 volunteers who worked during both the Power and Sail Boat shows over two weeks. A special thank you goes to Keith Henderson for chairing this event for another year and helping to make it the success that it was. These Boat Shows are a big fund raiser for the FRC and the income goes to offset the costs of operation of the club. Please remember that during events like the Boat Shows, the FRC gets extremely busy and service can be expected to be a little slower than normal, so please be patient and recognize that busy times may be a little inconvenient, but it means good returns for the club, and that benefits the membership in the long run.
There are some really good events coming up at the FRC during the next couple of months so check the dates in this newsletter, and we hope to see you at the club.
Manager's Message
Thanks to all of our Members that worked the Boat Shows!
Everybody did a GREAT JOB!!
TICKETS ONLY AT 6PM, LUNCH SERVED 12pm-2pm
New Member Orientation is Wed, November 12th at 7pm!
US Marine Corps Birthday is November 10th. Semper Fi!
Veterans Day Ceremony & Luncheon 11am Tuesday, November 11th
Closed for Thanksgiving Nov 27th and open again Nov 28th at 5pm


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2014-11-09 Living Under Influence - English
This is truly the Prophet who is to come into the world. John 6:14
This is truly the Prophet who is to come into the world. John 6:14
تجديد الروح، تكمله
تجديد الروح
Now it happened, the day after, that He went into a city called Nain; and many of His disciples went with Him, and a large crowd. Luke 7:11
أين هى قلوبكم؟
Then one was brought to Him who was demon- possessed, blind and mute; and He healed him, so that the blind and mute man both spoke and saw. Matthew 12:22
كيف تصرفاتنا تؤثر الآخرين
Master, we have toiled all night and caught nothing; nevertheless at Your word I will let down the net. Luke 5:5
كيف تنتصر
When Jesus saw their faith. Mark 2:5
This Man, if He was a prophet, would know who and what manner of woman this is who is touching Him, for she is a sinner. Luke 7:39
الصليب قوة
You have hidden these things from the wise and prudent. Luke 10:21
العوامل التى تساعد الشيطان فى عمله
But the Pharisees and lawyers rejected the will of God for themselves, not having been baptized by him. Luke 7:30
ضعف الإنسان
And you will hear of wars and rumors of wars. See that you are not troubled; for all these things must come to pass, but the end is not yet. Matthew 24:6
حيل الشيطان، تكمله
You will be brought before rulers and kings for My sake, for a testimony to them. Mark 13:9
أعلن أن وقت الرب للقبول قد جاء
He has Beelzebub, and, By the ruler of the demons He casts out demons. Mark 3:22
الحرب الروحية ضد الشيطان
Ephesians Chapter 6
St. Mary Feast Liturgy
St. Mary Praises
The Offering Of St. Mary
Do Not Be Wise In Your Own Opinion
Be On The Same Mind Toward One Another
لا تهتموا بالأمور العالية
After these things He went out and saw a tax collector named Levi, sitting at the tax office. And He said to him, Follow Me. So he left all, rose up, and followed Him. Luke 5:27-28
حيل الشيطان
Bless Those Who Persecute You
Patient In Tribulation
الحرارة الروحية
Not Lagging In Diligence
امقت الشر و الزم الخير
Let Love Be Without Hypocrisy
And the vineyard which Your right hand has planted, and the branch that You made strong for Yourself. It is burned with fire, it is cut down; they perish at the rebuke of Your countenance. Psalm 79:15-17
معرفة عدو الخير
معرفة الطريق لله
Lord, if you had been here, my brother would not have died. John 11:21
الطريق لمشيئة الرب
Behold, I give you the authority to trample on serpents and scorpions, and over all the power of the enemy, and nothing shall by any means hurt you. Luke 10:19
Apostles' Feast Liturgy
كيف نفهم الآخرين
Behold the maidservant of the Lord! Let it be to me according to your word. Luke 1:38
Judge not and you shall not be judged. Luke 6:37
هل تحيا بيسوع؟
A good man out of the good treasure of his heart brings forth good things, and an evil man out of the evil treasure brings forth evil things. Matthew 12:35
أن تكون مفلوجاً
Sunday Pentecost Kneeling Prayer
كيف يفهم الإنسان نفسه، التكملة
Pentecost Feast Liturgy
الرب يسوع، طريق حياتنا
I am the way, the truth, and the life.
كيف نعرف مشيئة الله
أعظم هدية من عند الله
The woman then left her waterpot, went her way into the city. John 4:28
كيف الله يوفى إحتياجاتنا الخاصة
أحد تثبيت الخلاص
So Jesus said to them again, Peace to you! As the Father has sent Me, I also send you. John 20:21
He also presented Himself alive after His suffering by many infallible proofs. Acts 1:3
دروس من أحداث خميس العهد
عندما يفسد الشيطان قلب الإنسان
The next day a great multitude that had come to the feast, when they heard that Jesus was coming to Jerusalem, took branches of palm trees and went out to meet Him, and cried out: Hosanna! Blessed is He who comes in the name of the Lord! The King of Israel. John 12:12-13


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October 28, 2014 at 4:31am!
November 2, 2014
Needless to say I have not packed away my summer running stuff. Just wondering what my running friends wear in the winter weather? Also wondering where you run when the temps drop? I want to be outside but I am not sure what I have that is suitable for winter running. We will see I guess.
Off n Running.


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POSTED: Thursday, June 23, 2011 - 6:04pm
UPDATED: Monday, September 19, 2011 - 4:41am
Incandescent bulbs banned effective Jan. 1, 2012
Tyler, TX — Technology is outpacing the old standard. The Energy Independence and Security Act mandates that more energy efficient lights take the place of the old incandescent's we've used since nearly the days of Thomas Edison.
But try telling East Texans to get rid of their old bulbs and buy new ones.
However, some east texans, maybe surprisigly support, and are already on board the new energy efficient bulb. But some might be a bit concerned by the contents of these new bulbs, which contain small amounts of mercury.
Some reports say there are cancer-causing materials in the bulbs. Right now the scientific community is fighting that one out.
But most folks KETK spoke to aren't quite sold on the safety.
Some East Texans say they'll stock on up on the old incandescents...
just in case.


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I want to know difference between Tax Invoice & Retail Invoice. And what should I show Retail Invoice details in Sales Tax return. Please let me know for (i) Manufacturing Co. (ii) Service provider Co. or other co.
Dear All,Please advice: can Indian banks issue a bank guarantee for ECB loan?RegardsVishal
Form FC GPR is to be filed by corporates having foreign equity of 10% or more in the paid up capital.Foreign equity subscription was received in the year 2006-07Queries :1)From which year this is applicable2)Limit of 10% is applicable for total foreign equity or individual holding of 10%i.e. if a company has two NRI shareholders each less than 10% holding. But total holding og both exceeds 10%. Will such company be required to file form FC GPR?
The contact details of advocates Sri.K.Shahul Hameed(ref:WP No.4417 of 1997) and Sri. AS.Vijayaraghavan(ref:WP NO.7153 of 1997) are needed in connection with a potentially good discussion regarding my presentation titled "The Flaw in the Law". If they are members of lawyersclubindia or known to any other member, I request viewers of this message to inform them in this regard or provide me their contact details to enable me to contact them.SincerelyBaskaran Kanakasabai
Dear Sir,A subsidiary company (Private) wants to take a loan from its holding company(Private) situated abroad, with no common directors. What is the best possible option for the subsidiary company to go ahead for this, also would like to know the provisions applicable to that option and requirements as per the law for the same.Regards,CS Pooja Aggarwal
Sir What is "Devis method" for considering multiplier to calculate compensation under MV act.
Sir. please let me know "Can you specify city/state where-from candidate should apply in the advertisement to be published for recruitment by the company", in as much what are the code of ethics for publishing advertisement for recruitment as per constitution of our country.please email me your comets on my email firstname.lastname@example.com
i have to do a agreement to lease in greater noida(gautam buddha nagar) UP i am based at lucknow if i buy the stamp papers from lucknow will it be accepted for the agreement to lease at greater noida by yamuna expressway authority
"1997 (9) SCC 132 - Mohan Singh & ors. V. International Airports authority of India".The said judgement relates to "The Land Acquisition Act, 1894".I wanted to know whether in the subsequent years has this Judgement been overruled/diluted/ etc. by the apex court?Plz if u know kindly mail me - firstname.lastname@example.com. Or if you could tell me where i could find info. whether the said judgement has been overruled.Your any help would be highly appreciable.Thank u in advance
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Atamanenko joins Canadians in paying homage to Jack Layton
Wednesday (August 22) Canadians from coast to coast to coast will mark the first anniversary of Jack Layton's passing following his fight with cancer.
Alex Atamanenko, MP, for BC Southern Interior invites constituents to keep the former NDP leader's legacy alive by participating in a web-based activity joining with others from across the country to pay homage to Jack on the website www.dearjack.ca .
"Before Jack died, he shared some wise words with Canadians," said Atamanenko:
"My friends, love is better than anger. Hope is better than fear. Optimism is better than despair. So let us be loving, hopeful and optimistic."
"Jack was the epitome of a trustworthy, honourable politician who inspired many Canadians, regardless of their political allegiance. He cared deeply about our country, and he really gave his life to it," said Atamanenko.
"Jack appealed to the best in people. He gave so many young people, who are rightly critical of many aspects of our electoral system, something to believe in, something to hope for in what he was trying to achieve and the vision he shared with so many in our party."
While no remembrance activities are organized locally, others are being held across the country, with the largest in Nathan Philips Square in Toronto on Wednesday evening,
Atamanenko is inviting constituents to go to www.dearjack.ca and share their memories of Jack Layton, and their words on what they appreciated about Jack, his work, his words, and his vision for a better Canada, and how it resonates with their own efforts to make Canada a better place to live.
The Dear Jack website was launched with the help of Jack's family and friends by the Broadbent Institute.
People from across Canada have been invited to leave a message on the dearjack.ca website.


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West Haven Villa Rental Photos and Description
5 Bed (2 king/2 double/4 twin/1 sofa bed), 3 bath, sleep 14, pool, game room
Newly renovated 5 bedrooms/3 bathrooms, 2900 square feet designer's model home; Two theme rooms: Princes and Pirates.
Every room is professionally decorated, with the window treatment matching bedding and furniture;
Brand new high end furniture with highest quality mattresses ensure a good night's sleep;
Free internet, phone, cable;
Large gourmet kitchen with brand new stainless steel appliances and huge corian countertop.
Private pool with spa; Large sitting area beside pool with chairs and table;
Large flat screen TVs (47', 42' and 3x32'); Games room with pool table, air hockey and football; Wii ...
Formal dining room seats 8 and breakfast nook;
Gated community;
Enjoy Your Stay: First Floor: The first floor of this luxurious villa is tiled including a formal living and dining area. The living area has a leather sofa, a love seat and 42' flat screen TV for guests to enjoy. The formal dining area seats 8 people with unique art works surrounded. Beautiful window treatments, artwork ,accent painted walls and an upgraded furniture package makes this villa very homely and welcoming. There is a bedroom on the first floor with 2 double beds and 32' flat screen TV. The open concept design of the great room includes a kitchen, breakfast nook and family room, with brand new high end modern furniture and stainless steel appliances. This huge welcoming area is the perfect place for family/friends to gather. The family room has a comfortable leather sofa bed, love seat and 47' flat screen TV with a Nintendo Wii station.
Enjoy Your Stay: Second Floor: Upstairs has four bedrooms. The first is a master bedroom with a king-sized bed and an ensuite. A huge balcony with brand new patio furniture faces Disney park (you may be able to see Disney fireworks at night); the second has a king-sized bed with a 32' TV; the third has two twin-sized beds decorated in a pirates theme; the fourth has two canopy beds decorated in a princess theme. There is also a sitting area with a reading desk.
Enjoy the Pool, Game Room and the surroundings: The pool is accessed via the family room, the covered lanai with a patio table and chairs is perfect for al fresco dining or for shade. Enjoy the pool and spa or sunbathe on the pool deck. Pool heater is also available.
The game room is sticks to a New York night life theme and is well equipped with multiple game tables, including pool, football and air hockey.
The villa is located in the prestigious Hamlet at West Haven gated community with tennis court, children's playground and a community swimming pool. It's about ten minutes to Disney World and is just moments away from Champions Gate Golf, Shops and Restaurants.
We bought the villa in September 2011. We re-furnished the entire house with the help from a professional interior designer. All furniture styles and colors have been carefully selected, all window treatments and bedding are designed to match the furniture. It is truly gorgeous.
We wish you a wonderful vacation.
- Suitability:
- children welcome
- non smoking only
- pets not allowed
Guestbook comments from the owner
I rented this house for 9 days and was amazed at how clean and spacious it was. We were a party of 6 and had plenty of room during our stay. It was close to all attractions and we always felt secure and able to reach someone with questions. Thank you!!


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WEST SACRAMENTO, Calif. - Raley Field will host a first-of-its-kind Fourth of July celebration this Independence Day, when the food truck community will gather on Raley Field's outfield for a family-friendly event featuring some of the region's best local food, live music and a fireworks extravaganza.
The event, which is scheduled to take place on Thursday, July 4, from 6-10 p.m. on the Raley Field outfield, costs just $8 for adults and $5 for children. The first 1,000 children will receive a free ticket with the purchase of an adult ticket.
Direct link to tickets - starting Tuesday at 10 a.m.
"Fourth on the Field" will be set up similar to Brewfest, with food trucks parked along the warning track in the outfield. In addition, alcoholic and non-alcoholic beverages will be available for purchase.
Live music and games will provide the evening's entertainment, capped off with one of the region's biggest and brightest fireworks displays, presented by Bug Zappers Pest Control.
Tickets for the inaugural "Fourth on the Field" event are limited, so patrons are encouraged to get them early. "Fourth on the Field" tickets go on sale to the general public on Tuesday, April 30, at 10 a.m. Tickets will be available online at ticketmaster.com or in person at Raley Field's Round Table Pizza Ticket Office.
Established in 2000, Raley Field is home of the Oakland Athletics' Triple-A Affiliate, Sacramento River Cats. Along with the excitement of River Cats baseball, Raley Field also serves as a community gathering spot for a myriad of special events and some of the best concerts in the region. To purchase 2013 Sacramento River Cats Season Tickets, Mini-Plans and group outings, call the River Cats Ticket Hotline at (916) 371-HITS (4487) or visit www.rivercats.com. Individual game tickets, starting at $8, are available now online and at Raley Field's Round Table Pizza Ticket Office.
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- Notable prospects added to 40-man rosters
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- With affiliation change, Fresno returns to roots
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- Valentine named 2014 King of Baseball
- Lindor, Urshela among Indians' standouts in '14
- Report: Red Sox's Kukuk arrested for robbery


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God, Dog, and Female loving, Garlic growing, GeoCaching, River kayaking, Weather watching, Energy saving, Brother of eight, Single male living on the Rockfish River in beautiful Nelson County, Va...
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This litter has 2 pure tea cup persian kittens all ready to be re-homed. The kittens are lovingly r...
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Vaccinated, wormed, TICA registered and ready to go . very calm and placed, a wonderful gentle boy a... On Pet Classified Ads via Oodle.com


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"Nice and comfy" (E869)
"these are great if you don't have shorts with pockets. safety too for nighttime walking, running. " (E12295)
"Exactly what we were looking for. Be careful with the sizing - I think it runs about a half a size small. " (E75813)
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Fri, Nov 30, 2007
A Florida airport will be the
testbed for a new perimeter security system, developed in
partnership with the Transportation Security Administration and the
Naval Surface Warfare Center-Panama City.
On Tuesday, the Panama City-Bay County International Airport
Authority unanimously approved the plan to installed the
experimental Critical Area Protection System -- dubbed "Backbone")
at PFN.
"You will have a very robust core system that your folks will be
using at no cost to the airport," David Vernon, TSA deputy federal
security director for the airport, told the Panama City
The system will utilize wireless cameras, motion detectors and
other sensors along the airport's perimeter fence. All information
gathered with feed into a central operation center.
All parties involved will keep a sharp eye on how the new
security monitoring system performs... to determine whether the
equipment should be transferred to a new, 4,000-acre airport now
under construction in West Bay. As ANN reported, the new
facility -- the first all-new airport to be constructed since
9/11/2001 -- is scheduled to open by early 2010.
There's no explicit guarantee the system will be installed at
the new PFN... but that's a likely scenario, according to project
manager Michael Adams.
"The equipment we have here will transition to the new airport,"
Adams said.
Airborne 11.21.14: AEA's 3Q/14 Report, Fantasy Of Flight, Modernizing The NAS
Aero-TV: Lessons Learned -- Reflecting On Mark Baker's First Year At AOPA
Airborne 11.19.14: FAA v Pirker Update, F-35C Night Traps, G650ER Delivers
See All
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© 2007 - 2014 Web Development & Design by Pauli Systems, LC


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The meatpacking industry, giant poultry companies, and largest food processors have forced more than 1 million American farmers and ranchers out of business since 1980. By Mardy Townsend Several lawmakers are proposing a time-out on new regulations to supposedly generate a more job-friendly environment. To some that might sound reasonable given the nation's entrenched unemployment, …
Tag Archive: Packers and Stockyards Administration
Oct 05 2011
New rules will support farmers and jobs
October 5, 2011
Tags: 2008 farm bill, agribusiness, cattle, COOL, Country of Origin Labeling, farmers, food processors, GIPSA, Grain Inspection, hogs, industry, jobs, livestock, Mardy Townsend, meatpacking, new, Packers and Stockyard Act of 1921, Packers and Stockyards Administration, poultry, rancher, rules, support, U.S. Department of Agriculture
Permanent link to this article: http://www.easttexasreview.com/new-rules-will-support-farmers-and-jobs/
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- Product Information
Product Description
Remember when! Peace is still in style and a hippie party is all the rage! Take a trip back to the 60's for a fabulous party theme. Our 60's place and peel 12" x 15" sheet includes 5 clings which can be used on windows, mirrors or anywhere. Just peel them off and place for a fabulous decade decoration. Our Place and Peel 60's clings are sold by the sheet. Please order in increments of 1 sheet.
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Add Christmas decorations to your office, cubicle or classroom to bring some festivity into the work place this holiday season! Get inspiration from some of these decorating ideas.
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Find records of Helen Motts
Find birth, death, marriage, military, and other records of Helen Motts at Ancestry.com.Search for records
Biography & Family History Add details
Helen Motts (1919 - 1990) was born on August 8, 1919. She was born into the Motts family.
There are no known marriages or children on file for Helen. Helen died on May 23, 1990 at 70 years of age.
Helen Motts's last known residence is at Carbondale, Lackawanna County, Pennsylvania.
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Possible Relatives
- Robert Motts
- ·
- Margaret Motts
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- Anna Motts
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- Frank Motts
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- Randy R Motts
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- Marjorie Motts
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- Clara Motts
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- Georgianna Motts
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- Ruth Motts
- ·
- Helen Motts
- ·
- George Motts
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- Ralph E Motts
- ·
- Frank Motts
- ·
- Alicia Motts
- ·
- Edith H Motts
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- Ralph M Motts
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- Harold B Motts
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- William Motts
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- Mabel M Motts
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The service times for this Sunday are:
8.00am Joint Iona Communion at Thakeham
10.30am Joint Family Communion at Sullington
The early morning service is an Iona communion, held at Thakeham church. The service is written in a comtemporary style and is simply worded with it's emphasis on God's acceptance of us as we come to him.
The main service this week is at Sullington and is a joint family communion service, and as always, everyone is welcome.
We believe our churches here in Thakeham and Sullington exist to serve one another and the community, we're really trying to make church, relevant, interesting and accessible for everyone - we'd love to see and meet you.


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ZUMBA® and all Zumba Fitness logos are trademarks of Zumba Fitness, LLC, used under license. Visit the official Zumba® website.


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Metric Millionare
This is a game styled after "Who Wants To Be a Millionare." Students answer questions on the metris system to move on to the next level. Godd way to change up teaching technique.
Material Type: Quiz/Test
Date Added to MERLOT: December 11, 2007
Date Modified in MERLOT: December 11, 2007
Submitter: Jason Wara
Reviewed by members of Editorial board for inclusion in MERLOT.Editor Review (not reviewed)
- User Rating (not rated)
- Comments (none)
- Learning Exercises (1)
- Personal Collections (none)
- Accessibility Info (none)
Primary Audience: Middle School
Mobile Compatibility: Not specified at this time
Language: English
Cost Involved: unsure
Source Code Available: unsure
Accessiblity Information Available: unsure
Copyright: unsure
Creative Commons: unsure
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Third Party Manufacturers / Re: Sigma lens 17-70 f/2.8-4 DC Macro OS HSM Contemporary« on: October 10, 2013, 02:49:37 PM »
Thanks a lot guys, i'm gonna check the lenses you're talking about...
This section allows you to view all posts made by this member. Note that you can only see posts made in areas you currently have access to.
If Canon take too long to announce 7D Mark II, people will buy 70D. I'm just warning you
Canon 400mm f/2.8 IS II is 11K. I think the reasonable price for Sigma 400mm should be about 6K if the IQ of it is close or equal to Canon version.
According to the owner's manual, a 7D version (N) lacking WIFI capability is planned to be available. The 70D version (W) is the specified WIFI-capable version – this is the only model I've seen available here in the USA.


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Many Thanks for your help.
Tim has to add some security to your ID. He stays busy and doesn't check the Chat
section that often. Have patience and he'll get to you.
What station are you planning to input?
BTW if anyone has surveys for stations in Ala, Ga, Tenn or Ms I'd be glad to input
i have every cklw chart from #80 till the end every wknr chart for the same time
period, i have wbrn charts (big rapids, Mi i have many of the short lived wdrq
charts and just a few misc charts i may have picked up when vacationing in some
No apology necessary kind sir as, due to an extensive honey-do list, my
contributions were made very early Saturday AM and were rather meager compared to
those of Rick Hy, John Schwob, Kenn Scott, Paul Haney, Gary Pfeifer and yourself.
Man, you guys were awesome yesterday - congrats on the new record and glad I could
make a small contribution!
It's fixed.
Hi Gary...
I think the charts went to Tim, not you -- so it makes sense that you can't
recall them!
At any rate, I'd be happy to input the charts I have directly onto the site, and
save you and or/Tim the hassle. Just let me know how I can do this and I'll get
started. (Gary, I won't be able to match your level of productivity!)
- Kenn.
Yup, I understand this POV, Gary! However, the CBC is the national radio network,
and the top 20s come from their weekly countdown shows. There's no real equivalent
to this in the US -- this is a Canada-wide 'station' compiling the chart. In this
sense, it's very unlike Billboard or Cashbox, or the Canadian RPM charts.
Just thought I'd put it out there, and see what the consensus is!
Hi Jim...
No problem -- I understand the explanation (I think).
BUT...go to the "statistics" page, and then the "by station" page. You'll see
that CHUM at 1050 AM is listed as having 513 surveys posted. Only problem is,
that's not true. There are only 413 CHUM 1050 AM surveys posted, along with 100
surveys for the completely different station CHUM 104.5 FM...
That being said, if this error is only affecting this one page, then it's not
that big a deal. I just want to make sure there aren't data-tracking implications
elsewhere in the database.
- Kenn.
It's been a great pleasure being on board working with you on ARSA since nearly
the very beginning! I can't believe how much it's grown. When it first started,
there was no database or search capabilities - just the text transcripts of the
surveys! Now we're approaching 30,000 surveys.
A most sincere THANK YOU to everyone who's ever shared a survey with ARSA! Your
efforts and generousity make ARSA the best survey site on the web!
Happy Holidays to all!
Let me add my thanks to Kenn's for your survey contributions. All are most
As for the file size limit, through trial and error, I've narrowed it down a
maximum file size of about 490kb. If you need to resize an image, an excellent
resource is picresize.com
I accidentally added a new survey on top of an existing one, and the red "delete"
button I thought referred to the new offending survey, but apparently the delete
button deletes both the new and the old.
I will type the survey back in, but this erases the previous contributor's credit,
which I very much regret, which is why I asked if it could be restored.
Maybe the database permissions could be tweaked to forbid deleting another
contributor's survey.
I've thought about this question too. Here's my thought. I believe 1967
represents the peak in Top 40 radio in the terms of number of listeners all
listening to the same stations. Starting in 1967, but much more so in 1968 and
following years, the audience begins to split with the rise of FM "underground"
radio and later oldies, AOR, and other more narrowly focused formats.
Jim - thank you. Still, there's no hurry. I know he's pretty busy as I've seen his
name connected to other music websites.
Thanks, Gary. The song's title has been commonly referred to over the years as both
"Ain't That" and "Ain't It" A Shame. Most accounts do show that "Ain't It A Shame"
was the song's original title, which was co-written by Domino. When this "more
grammatically correct wording" of the song's title was first suggested to Fats, he
was supposedly "less than enthused" to change it. So, to see who "won out" here, I
just pulled out my original 1955 45 (Imperial 5348). It does, in fact, show the
title as "Ain't That A Shame". And so does "The Bible", Joel Whitburn's "Top Pop
Singles" book. That's plenty good enough for me. As a result, the title
change/correction has now been made in ARSA. -ARSA Jim
Hi Lee...
That would have been a scary couple of minutes! Glad you didn't fall for the
On a brighter note, I see you've finished up your '65 surveys, and are now into
'66. I always look forward to seeing your contributions, and eagerly await the
charts of 1966!
- Kenn.
Thanks for the heads-up - I hadn't heard of this one before. Glad you were able
to remove it fairly easily and are back on ARSA. Your contributions are always most
welcome and we very much appreciate & thank you for your efforts!
The correct KISN survey scan is now online.
Jim, thanks for your tip. My work-around tactic to an incorrect survey scan was
to delete the scans, hit apply changes, then wait a day or two to upload the
correct survey. Your suggestion provides a good alternative but both methods
require us to remember to take some action a day or so later. No biggie tho and
I'm happy to do so.
Until the time when Tim can program the website to remove/replace existing
survey images, when I find a superior quality image scan of a survey already in the
database with an inferior scan, I simply add the better quality image to that
survey. The programming allows for up to four images to be displayed for any
survey so if all four aren't already taken up, an additional image can be added.
The system will still default and initially show the lesser quality image, but this
allows the viewer to click and view the better image.
Hi Kevin,
Jim "rattled my cage" and I've just enabled our account to contribute. You'll
notice an "Add New Survey" button and also a "Help Adding Surveys". Start with the
"Help Adding Surveys" button, which will give you all the info you need to start
contributing. It's a combination of scanning in your surveys, uploading the jpegs
and typing in the details. Gary's fingers are down to nubs by now, I would
imagine. Have fun and looking forward to see your surveys.
Airheads Radio Survey Archive © 2003-2014 timothy c warden. All rights reserved. | Created and Hosted by Las Solanas Consulting


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23 May 2011
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Im a lucky boy, did me test at 17yrs old, was restricted for 2yrs to 33bhp and now I have a full un-restricted licence! Love me bike!
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Rent the perfect Arorangi apartment at Booking.com. Find cozy, spacious, or modern rental apartments in Arorangi to share with family and friends. Make yourself at home in our apartments and simply relax or plan trips to explore Arorangi. With good availability and great rates, you can live like a local in an apartment for rent. Booking.com has your home away from home covered with our Arorangi apartments.
The Cooks Oasis - Holiday Villas
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(December 9, 2011: Monroe, WA 98272) In Friday's league outing, the Snohomish Panthers (Snohomish, WA) basketball squad edged the host Monroe Bearcats (Monroe, WA), by a count of 56-54.
The Panthers (5-0) will now prepare for their outing against Marysville-Pilchuck (Marysville, WA). The Tomahawks go into the 4A Wesco - North outing with a 0-4 record. In their last outing, Marysville-Pilchuck was tipped by Issaquah (Issaquah, WA), 83-48, in a non-league outing.
The Bearcats now hold a 2-1 record. They take the field next when they host Stanwood for a 4A Wesco - North outing on Tuesday, December 13. Monroe will encounter a Spartans squad coming off a 55-48 league loss to Lake Stevens (Lake Stevens, WA). The Spartans record now stands at 3-1.
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When planning our tip, I had trouble finding a vacancy near Bryce at any of the"upscale" hotels so I settled on Harold's Inn. Their prices were so reasonable for a location near Bryce, I was afraid it would be a dump. What a pleasant surprise! We spent 3 nights at Harold's and were very satisfied with our room. It was... More
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text:
TOUGH Weekend
Find a Conversation
|Mon, 09-24-2012 - 10:45am
I had a crazy thing happen to me this weekend.
My H and I went to a Gala saturday night, got all dressed up, etc. Had a wonderful time! We picked my girlfriend up who was meeting her date at the Gala (another dear friend). My girlfriend lives two blocks from XAP's new house and we had to pass his house on the way. His place looks great, they have already done some very nice landscaping, etc. It was tough to see.
It gets better. After we picked her up and went back by his house, there he was. Walking right towards us, walking through his yard, with his dog. It all happened so fast and so freaked me out. We made eye contact. He just stopped and stared. My H was driving and my girlfriend was in the back seat. My H didn't see him, my girlfriend did (she knows of the A). It was so hard to see him!
It unnerved me, made me feel very sad. Sad that he's going on with his life and I cannot be a part of it or share any of it. And, believe me, it looks great from over here! Lovely home and neighborhood. He's clearly spending a lot of money. So funny-my H and I used to live in that neighborhood many years ago, before it went up in value so highly.
But I have to keep going. I have to let this go. Yesterday was a long, tough day. I find myself looking for an email from him and I'm a bit surprised that he has not contacted me. In the past, he has contacted me after seeing me somewhere. But I know that it is for the best. I do know that, but it's hard today.
But here's what struck me. It could be that he is not contacting me this time because he saw me with my H. In the past, he's always seen me alone. Make any sense? In other words, when it's just "he and I" in the fantasy world, he pursues. But bring in either his W or my H, and reality sinks in.
I know I'm doing the right thing; I know I did the right thing by ending it, disappearing and ignoring all his attempts to contact me. And maybe he's not contacting me this time because he finally got it and/or doesn't want to be "rejected" again.
I don't know.....thoughts? In my heart, I know it doesn't really matter, but I am just…..sad today. As I said, yesterday was tough, as is this morning. Feeling pretty blue........
|Mon, 09-24-2012 - 11:16am
Sorry (((Sunrise))) that you got the blues.
I know we can't help it when the blues strick, but we can banish them by being grateful for what we have...for where we are today...reminding ourselves what we stood to lose. I mean, You're moving on with your life, right? Attending gala affairs and having a wonderful time, with your husband, and two dear friends, right? Don't let his green grass fool you...it's external appearances.
And before I forget...how is it that you are looking for an email...isn't that avenue blocked for your own protection?
I think you are on the money about him seeing your husband in black and white. I've heard that a lot. During an affair, we don't allow ourselves to bring the betrayed spouses or children into focus, but when we actual see them, reality is driven home.
How about making out a 'gratitude list'...it usually helps banish those blues when we remind ourselves what we are grateful for today.
And back to that email...hah, you thought I forgot. Why is it that an email could come through for you to read?
|Mon, 09-24-2012 - 11:35am
Sorry your in the middle of a rough patch. I know that familiar feeling of driving past with DH ouch! not a good feeling. We also never ever spoke of it when it happened, not ever. I can really identify with how you are feeling Hun. If I remember corrrctly your XAP lavished you with gifts and had an abundance of money? Hope Im not confusing your story with someone elses. That aside, it doesnt matter what side of town he lives, how landscaped his gardens are. My XAp is semi-retired and extremly wealthy but he would trade it all to have what I have, a partner who loves me, children, a family life. And he told me that lots of times. My point is sunrise that it might look the pretty picture but whether it is or isnt doesnt concern us any more. His landscaped gardens will mean squat if he isnt happy in his M. You must focus on what you have and how enriched your life is with what you have. Pretty landscaped gardens wont ever compare to you and your DH listening to childrens peals of laughter at something trivial.
I cant not ask why hun are you looking for an email? How can he send you one? You have blocked havn't you? You've come such a long way - don't jepordise it now. It's bound to be un-nerving seeing him, thats all this is. Stay focused on the plan in hand and get those landscaped gardens outta your head. Im fixated with landscaped gardens! LOL! Hope you feel better soon....
Sunny Soon Xxx
|Mon, 09-24-2012 - 12:39pm
I'm sorry your feeling blue from accidently seeing his house and garden, then him. Homes and gardens are like facebook, its not real, just a pretty cover-up. The inside of my home has the very lived in look of a family with happy active young kids. Ummm.... so does the garden and I love gardenning .
I'm not sure if you couldnt block e-mails because he was getting through work e-mail or some other reason. If there's a way you can block or have his email rerouted to your supervisor or something else you can do, do it.
I do remember that your xAP was a persistant fisher and you my dear Sunrise are just an amazing ignorer. Perhaps you got used to his fishing and although fishing attempts are yucky, they somehow provided you some external validation, that he still wanted you? When looking for that e-mail from him, maybe you are unconciously looking for that external validation?
|Mon, 09-24-2012 - 5:44pm
Thank you for your words today ladies.
He has only been able to get through on my work email.
Yes, a gratitude list is in order! And, I know, his pretty yard and big house and pretty dog are just "show". Clearly, he isn't that happy in his M if he continues to pursue someone outside the M. The last time we had contact he went on and on about how much he loved me.
And, yes, maybe in spite of myself, all those fishing attempts kept me feeling validated, not abandoned or rejected. So maybe the reality of it being over is really hitting me. Which is what I wanted and needed to have happen. But it still can punch you right in the gut when you finally feel it.
Thank you again. I haven't felt this down about all this in a long time. Just need to ride it out.....


text:
[B]BIAS[/B]: This should now extend losses to 0.8980 and later 0.8879
[B]MAIN ANALYSIS[/B]: As with EURUSD, yesterday's plans were too intricate and the break below 0.9061-71 opened the way for direct losses. As far as I can see we should see progress to the 0.8980 projection that should trigger a pullback to the 0.9025-40 area. This should provide the foundation of the next decline that should then push below 0.8980 and down to 0.8927. This lower target could generate a much deeper pullback closer to the 0.69080-00 area.
[B]COUNTER ANALYSIS[/B]: Only directly above 0.9100 would complicate the decline and suggest further consolidation before losses resume.
For more information regarding the
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Forex Trades 02/23 - US session - by [URL="www.forexticket.us"]Forex ticket[/URL] (ex [URL="http://www.mataf.net"]mataf.net[/URL])
[b][img]http://www.forexticket.us/images/_V3img/fleches/flat_arrow_16.png[/img] [url="http://www.forexticket.us/en/forex/eurusd"]EUR/USD - Euro / US Dollar[/url][/b]
[b]Resistances[/b]: 1.338 - 1.3355 - 1.334
[b]Supports[/b]: 1.319 - 1.3235 - 1.328
[b][img]http://www.forexticket.us/images/_V3img/fleches/up_arrow_16.png[/img] [url="http://www.forexticket.us/en/forex/gbpusd"]GBP/USD - British Pound / US Dollar[/url][/b]
[b]Entry[/b]: 1.571
[b]Stop[/b]: 1.5675
[b]Resistances[/b]: 1.5855 - 1.58 - 1.5725
[b]Supports[/b]: 1.564 - 1.5655 - 1.5685
Gold continued its upward trend and moderately increased yesterday, while silver changed direction and was traded down. The recent manufacturing PMI reports showed that EU and China's manufacturing might have shrunk during February. This news may have curbed the rally of gold and silver during yesterday's trading. Today, there is the G20 Meeting, U.S. Unemployment Claims weekly update will be published and the Governor Stevens testifies. See here for the complete analysis on gold and silver daily setup.
Gold increased on Wednesday by 0.73% to $1,771.3; silver on the other hand declined by 0.5% to $34.33.
The ratio between gold and silver sharply rose on Wednesday, February 21st and reached 51.60. During
Please note the information on this website is intended for retail customers only, and not for any Eligible Contract Participants (i.e., institutional clients) as defined in the Commodity Exchange Act §1(a)(12).


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Opinion: The Name Calling Is Getting Out Of Control
Both political parties – Republicans and Democrats – are known for getting carelessly carried away with name calling when stakes and tensions are high in the political arena. Regardless, there is no excuse for the type of name-calling that has surfaced over the past week.
Opinion: Dumping Cold Water On Trump's October Surprise
While Trump may have an "October surprise" that will destroy President Obama's reelection campaign for the White House, I don't think it's going to be much more than seeing Trump get the headlines for part of the day, again.
Romney-Ryan Rally Henderson Today
Fresh off the presidential debate in Florida, Republican presidential candidate Mitt Romney and vice presidential running mate Paul Ryan are making a campaign stop at the Henderson Pavilion.
Heller Visits Vegas With Touch Of Cajun
Louisiana Gov. Bobby Jindal will join Nevada Sen. Dean Heller for a Republican campaign event in Las Vegas.
Geography May Disqualify Assembly Candidate
A Republican candidate for an open Nevada Assembly seat is alleging that his Democratic rival in the Nov. 6 election doesn't live in the southwest Las Vegas district he seeks to represent.
Opinion: Does Mitt Romney Have An October Surprise For The Debate?
Is Mitt Romney planning an October surprise of sorts for tonight? Has he been saving big policy announcements and details for the debate?
Opinion: If Republicans Can't Run A Campaign How Can They Run A Government?
It is clear that Democrats have shown a greater propensity to spend money wisely with their campaigns and allied groups. At the end of the day, that is what America needs.
Democrats Extend Voter Registration Lead
Nevada's top elections official says more than twice as many Democrats than Republicans registered to vote in September.
Opinion: Billions Are Being Spent On This Election, But Will It Change Anything?
For all the billions spent by the Obama and Romney campaigns, Republican and Democratic parties, and countless outside groups, we may wake up November 7th to a Washington that is virtually unchanged.
Opinion: Republicans Endorse Todd Akin As Senate Chances Slip Away
After Mitt Romney's 47% don't pay taxes remark, Conservative columnist Peggy Noonan dubbed the Romney campaign a "rolling calamity" for all its problems and continuing self-inflicted wounds. At this point, she might have to extend that label to Republican efforts to take the majority in the Senate as they flounder and flip flop.