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LETTERS: Brothels safer than health clinics

To the editor:

Last week the ABC News show "20/20" addressed the topic of prostitution in America, specifically in Nevada. Diane Sawyer of "20/20" observed that the health department stated that in more than 30 years, it has not had one case of HIV among the women working in the more than 30 legal brothels in Nevada. Ms. Sawyer also stated that each of the women is tested every week for sexually transmitted diseases, and for HIV every month.


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  • Compare the track record of the legal brothels in Nevada, when it comes to disease transmitted, to the Endoscopy Center of Southern Nevada, where at least six patients were infected with hepatitis C. Who would have thought that a patron of a legal brothel would be at less risk of catching a disease than a patient at a medical clinic? Both places operate under a profit motive, yet it appears from news reports that one engaged in practices that put its clients/patients health, and very lives, at risk in order to maximize its profits.

    It is also interesting to note that the state appears to do a thorough job of ensuring the clients of brothels and the women employed there are protected from being infected, yet for whatever reason can't seem to do the same thorough job when it comes to health care clinics.

    There is no justifiable reason for the state health department not doing their job, despite all the excuses we have been hearing about a lack of funding and staff, lack of support from the governor for staffing positions, inability to hire staff, etc. This issue of the health, safety and welfare of the citizens of Nevada is far too important to ever be ignored or rationalized away. If you don't believe that, just consider the plight of the 40,000-plus people now living in a medical purgatory as they await the outcome of their medical tests -- or their future as they struggle with a deadly disease.

    And finally, like thousands or hundreds of thousands of other citizens, I keep watching the local evening news, waiting to see some health care providers in Las Vegas do the "perp walk" in handcuffs.

    Tom Lynch

    NORTH LAS VEGAS

    Dr. Jekyll, Dr. Hyde?

    To the editor:

    I'm curious, are columnists Jane Ann Morrison and Erin Neff still speaking to each other? Do they "do" lunch together, or are they giving each other the cold shoulder these days?

    In Sunday's newspaper, Ms. Neff called for the resignation of Dr. Daniel McBride from the Board of Medical Examiners. Dr. McBride, she points out, got patients from Dr. Dipak Desai (owner of the clinics which violated all common-sense rules concerning patient care), helping Dr. McBride's own bottom line. She goes on about Dr. McBride: "In a very palpable way, he already has been and is neck deep in a perceived conflict."

    In Monday's Review-Journal, Ms. Morrison calls Dr. McBride a "man of integrity." She calls him a "good doctor" who is pained at his reputation being smeared. "Bad guys don't care when someone impugns their character. Good guys, however, are devastated at insinuations. Dan McBride is devastated."

    I recognize that columns are intended to offer differing opinions, but somehow the ladies of the Review-Journal seem to be talking about two different Dr. McBrides.

    Actually, their columns dramatically point out that nothing is strictly black and white. But the health of Nevada's citizens is the wrong place for fuzzy moral thinking.

    Robert Mirisch

    LAS VEGAS

    Smarter cuts

    To the editor:

    As reported in Monday's Review-Journal, in these "dire" economic times, the city of Las Vegas is saving a whopping $139,000 by cutting leisure services on Sundays. Given the low rate of usage, this was probably a wise choice.

    Now how about cutting every City Council member's slush fund from $35,000 to $10,000, thereby saving another $150,000 per year? Better yet, make their positions full-time, roll those pseudo re-election campaign slush funds into their salaries and then eliminate one staffer for each member.

    Promoting better government through improved economies of scale is the right thing to do.

    Richard Rychtarik

    LAS VEGAS

    Business as usual

    To the editor:

    Regarding the building inspector scandal:

    In my view, Clark County Manager Virginia Valentine has the toughest job in government. After decades of mismanagement by high-priced appointees, assisted by on-the-take and look-the-other-way county commissioners, we have almost hit the bottom of the barrel. As a result, Ms. Valentine has to take the heat from all of the elected and appointed "legends" that preceded her.

    In retrospect, this series of events shows the danger involved when county government is permitted to run on automatic pilot. It's obvious that the entrenched bureaucrats are running government without oversight. How optimistic can the public be that changes will be made when the theme is always "business as usual"?

    EDWARD R. DUFFY

    LAS VEGAS

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    tim wrote on March 26, 2008 08:29 PM: incompetent,bumbling,inept,take your pick.when caught not doing your job(in gov)blame it on the money shortage,then take your raise.


    douglas wrote on March 26, 2008 08:24 PM: now that we have some attention, even from poster john*, the issue which compelled the op is one which seems to be danced about in the media. kinda like the elephant in the room that no one sees. or all pretend to ignore.

    it's called "guilt by association". surely ms saywer wasn't adversely affected by investigating, interviewing, and reporting on what is usually termed a tawdry business. and likely nothing "rubbed off". that's the same as rocketeer von braun whom i recall seeing in newsreels, shaking hands with hitler. nothing must have rubbed off on him as to the nazi agenda since after reaching the u.s., there seems to be no reports of anti-american rhetoric. nor did elliot ness seem to pick up any fleas from contact with the likes of mr capone and others for decades of contact.

    that said, it looks like most media skirts that same "guilt by association" stigma regarding candidate obama. while i'd surmise that his espoused political agenda and promised economic changes will propel this country into some new version of an economic depression, that's not the issue that many avoid. i'm not so sure that he'd immediately unfurl a red star flag or begin some agenda to catch up/discriminate against "whitey", were he elected. that means he's so far innocent of "guilt by association"...as is von braun or now, ms sawyer.

    what is sad is that "guilt by association" seems to surface with each senate confirmation hearing for federal appointees. that guilt by association... like if the applicant was ever a boy scout or a member of some/any/no church, has no place in the federal appointment scheme. nor in this presidential election.

    let obama gain or suffer by his acts not by who his old cronies are.


    David Johann wrote on March 26, 2008 07:21 PM: "Well, the health department had no problem inspecting all 50 clinics in a very short period of time once the sunshine of truth let itself in. What was the problem for the past several years???"

    I don't think it was the "Health Department." I think it was surveyors from the State of Nevada.

    It is said they inspected all the clinics in a very short time.

    How thoroughly do you think they were they able to do that (in a "very short time")? Were they able to peruse a good cross-section of old records, or did they just run through each clinic and check a couple of things at each one (in a "very short time")?

    Do you think any of the skilled nursing facilities (aka "nursing homes" or SNFs) , hospitals, or any other health care facilities were inspected during this time?

    Did the surveyors work tons of overtime to make it happen? Do you think the State can retain qualified surveyors (given the current shortage of health care professionals) if it runs them to death with 16 hour days for the next couple years?

    It's very appealing, but very simplistic to assume that the surveyors were incompetent.


    Dennis O'Donnell wrote on March 26, 2008 04:59 PM: I Wrote a comment here a few minutes ago and thought I was writing a letter to the editor. Would you please forward my comments to the editor for publication. Thank You!


    BC wrote on March 26, 2008 03:17 PM: Well, the health department had no problem inspecting all 50 clinics in a very short period of time once the sunshine of truth let itself in. What was the problem for the past several years???


    moblyw wrote on March 26, 2008 01:22 PM: LOOKS LIKE ANYTHING IS SAFER TO THEN HEALTH CLINICS IN NEVADA!

    LETS GO TO CALIFORNIA FROM NOW ON FOR OUR HEALTHS CLINIC NEEDS! AT LEAST WE SHOULD'T HAVE TO WORRY ABOUT GETTING SICK FROM GOING THERE!


    John F wrote on March 26, 2008 10:28 AM: Sorry about the duplicate post, all. The first one took some time to show up and I thought my use of the "P" word had caused the filter to block it.

    I'l wait a little longer next time.


    BT wrote on March 26, 2008 08:33 AM: I would like to weigh in on Dr. Dan McBride. Bear in mind that Dr. McBride has not been accused of using recycled syringes at his practice, simply associating with someone who did. Dr. McBride did not expose anyone to a deadly disease.
    But I do know this about Dr. McBride: My mother is alive today because of him. My mom had been seeing a well-known doctor in town about pain in her legs and the inability to walk even short distances without severe leg cramps. Her doctor, whose name everyone reading this knows, told her that she simply needed to lose weight. He was unyielding in his diagnosis for nearly a year despite my mother's repeated requests for a referral to a vascular specialist. My mom knew Dr. McBride's wife who insisted she have a conversation with Dan over the telephone. Dr. McBride told her to do whatever she had to do to see a vascular specialist because she probably had a blocked artery. The vascular surgeon confirmed this and she had bypass surgery a week later.
    Had it not been for Dr. McBride's insistance, my mother would likely not be around today. She would not have been around to see her only child graduate from college, get married, and have two wonderful children.
    While everyone sits around and denounces Dr. Dan McBride, I thank God every day that he is here.
    Just my $0.02.


    John F wrote on March 26, 2008 07:33 AM: Douglas,

    You don't mean to suggest that Diane Sawyer is a lady of ill repute?! My goodness, she's in the media! The television media, no less! :-)


    David Johann wrote on March 26, 2008 07:16 AM: FROM THE FIRST LETTER:

    "There is no justifiable reason for the state health department not doing their job, despite all the excuses we have been hearing about a lack of funding and staff, lack of support from the governor for staffing positions, inability to hire staff, etc."

    !!! UH, COULD YOU RUN THAT BY ME AGAIN???


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