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LETTERS: Private ambulance service not needed

To the editor:

In response to your Nov. 13 report, "Paramedic strike looms":


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  • The Las Vegas Valley's fire departments have extremely well-trained and well-equipped units that could easily take care of the valley's needs. In times of serious fiscal restraints, why not phase out private contracts with AMR? The city and county units could pay for themselves through billing for their services.

    For those of us whose health care careers date back to the 1970s, we can recall the contracts with Mercy Ambulance in which the county provided "grant" money of at least $600,000 with other guarantees, including giving Mercy the first right of refusal in deciding whether to accept transport at the scene of an emergency. We used to call that a "wallet biospy."

    In other words, Mercy and fire units would respond to the scene of an emergency. If firefighters got there first, they could administer life-saving measures, but they had to wait for Mercy paramedics to show up and decide whether they wanted to take over (i.e. "wallet biopsy"). If I recall correctly, fire units did not bill for their services in those days.

    The point is, why are we still contracting for private ambulance services when we have adequate fire units in the cities and the county, which could be expanded if needed, and which could bill to cover their services?

    Leonard Kreisler, M.D.

    LAS VEGAS

    THE WRITER IS FORMER CHIEF OF STAFF OF UNIVERSITY MEDICAL CENTER.

    No change at all

    To the editor:

    I darn near choked on my coffee when I learned that Morgan Stanley and Goldman Sachs have set aside more than $13 billion for bonuses. I feel so much better now knowing that well-heeled executives will not be going without this Christmas season.

    I am sure friends of mine who have lost their jobs can sleep easier now. They may not make their house payments, but at least these executives can afford their yachts.

    It is reassuring to know that Congress is ever-vigilant in looking out for the best interests of our country. Just knowing the bailout was not to save our economy, but theirs instead, will help me sleep better at night.

    I shudder to think what could have happened had these executives and their companies not contributed so heavily to the political process.

    That's right folks, it was the Republicrats who pressed this monstrosity. Funnier still, they want to do it to us again to the minimum tune of $500 billion.

    What strikes me as asinine is that change in Washington was wanted.

    Yet the same folks who brought us this economic mess got re-elected.

    What will our senators and representatives do? They will seek out the best photo-op and compete for the sound bite as the soup lines get longer. In other words, not a blasted thing. Nero had nothing on these guys.

    Darrell Welch

    NORTH LAS VEGAS

    Rewarding delinquents

    To the editor:

    Financial institutions, due to mismanagement, greed, a lack of ethics and possible illegal activities, were bailed out.

    Individuals who incurred debt (mortgages, credit cards) without the ability to pay the principal and interest were bailed out.

    An auto industry that gave away the store to labor unions wants a bailout.

    What about the responsible citizens who worked hard and paid their debts on time and in full? Those who established savings for emergencies and retirement and have suffered substantial losses on their homes, savings and retirement accounts, endangering their financial security.

    Not only do we have these losses, but we are being asked to provide with our tax dollars the funds necessary to bail out the irresponsible.

    What about us?

    Steve Sica

    HENDERSON

    Feeling like a sucker

    To the editor:

    Could someone please explain to me what happened to all the money people paid for private mortgage insurance when they bought their houses with little money down? I was of the understanding monthly PMI payments guaranteed your mortgage against default. Was that just another way for someone to line their pockets?

    What about all of us who paid that PMI until we had enough equity, then refinanced so we didn't have to pay the PMI?

    And what about all of us who didn't buy a house above our means and knew that in two or five years we wouldn't be able to afford the mortgage after we ran our credit cards up to fill our huge house with new furniture and have a new car parked in our new driveway?

    And what about all the unscrupulous real estate agents who sold houses to unwitting, uneducated buyers, knowing full well they were not going to be able to afford the house in five years, but telling them to jump on the bandwagon of "flippers" before the interest rate adjusted?

    I think the investor who is stuck with a second or third house -- there are a lot of them in Las Vegas -- should not reap the benefits over someone who has lost his job and is having trouble making his mortgage payments.

    It is time for AIG and the banking industry to step away from the trough, and time for Americans to step up to the plate.

    Kay Burger

    LAS VEGAS

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    timinator wrote on November 17, 2008 10:12 PM: Ron Paul's comments on G-20 summit:

    http://www.youtube.com/watch?v=COtE1J5NMbo


    patrick wrote on November 17, 2008 08:22 PM: timinator:

    If the world's economy is a poker game the last 30 years since reagan have seen a very few players "win" most of the chips.

    Like all poker games, when there are few players left with chips, the game is over.

    Well, even the few left with chips realize that unless they "lose" some of their chips to the "suckers" the game will be over; that is what this "bailout" is all about.

    What's interesting to me is that while the Federal Reserve since reagan has kept "real" interest rates high, and thus "redistributing" wealth from the lower/middle classes to the wealthier classes it appears to be favoring the "other team" now; by reducing interest rates the holders of capital are/will "lose" by these actions.

    Hard to believe but that is what is going on. Guess the rich don't want the game to end just yet.


    C wrote on November 17, 2008 08:18 PM: Patrick;

    Thank you for the constructive criticism and correction, I am, after all, a Las Vegas public school graduate - :)

    But... how is what I would like any more ridiculous than what the bailout provides to the finance industry, let alone what the Big 3 auto makers are asking for? And who knows what all else is yet to come?

    By the time all is said and done, 10 Trillion back in our collective pockets would be a drop in the bucket - comparatively.


    timinator wrote on November 17, 2008 08:01 PM: The fascist/globalist Bankster Bailout was planned in advance, and it certainly wouldn't be used to help the average person. There are big-time political payoffs involved, after all.

    The auto industry will probably be moved to China as part of the deal to bail it out. All major manufacturing will cease in the U.S., as planned at least two decades ago. These things are leading to the collapse of the economy and the fiat debt-based monetary system, followed by a call for a replacement with the Amero and a merger with Canada and Mexico in the North American Union.

    I suspect Barack, Harry and Nancy will be leading the NAU charge, with the Neo-Cons lining up behind them.

    Should be interesting...


    snackler wrote on November 17, 2008 07:55 PM: The bailout has been political suicide for the Republicans and they knew it going in. If the bailout was nothing more than a payoff to the rich friends of politicians, don't you think they would have waited until after the election to do it? If there is no problem, why are the central banks of the world pumping trillions into the financial system? Think about it. We are nowhere near the end of this financial crisis and not even the experts know how it will end. The only bonus the Wall Street greed mongers should get is the assurance that we will let them live.


    patrick wrote on November 17, 2008 07:20 PM: C:

    Lets say there are ONLY 100 MILLION taxpayers ok, now multiply that times your proposed $100,000.00, what do you get?

    10 TRILLION. The entire "proposed" bailout, although it will be less than this, is 700 Billion.

    IF, the 700 BILLION were distributed evenly to the 100 Million taxpayers, each would get $7,000, just so you know.


    goodie 2 shoes wrote on November 17, 2008 06:27 PM: C - you said:

    "Does Washington think that we, the lowely tax payer, are to stupid to manage our own money?"

    Yes they do.


    C wrote on November 17, 2008 04:23 PM: Could someone please explain to me why each legal tax paying person/family wasnt given $100,000 instead of bailing out the banks?

    If I had $100,000 I would pay off debt, take a really nice vacation, use a huge portion on a down payment for a house and pay cash for a car and still be able to put money away for my kids college.

    Additionally, perhaps the court ordered child support that I never get ($12,000 in arears) could finally be caught up.

    Seems to me that would stimulate the economy and give me a few minutes to stop worrying that I havent been able to find a decent job for over 10 months.

    Does Washington think that we, the lowely tax payer, are to stupid to manage our own money?


    dobbole wrote on November 17, 2008 03:47 PM: Henry

    None of us are allowed to see who gets the bailout money exactly, they do not even know for sure where it went, but the latest estimate is at 1,000,000,000.00. When a bank gets into bed with the government, the end of big bonuses and lavish executive get-a-ways should be apart of the deal. There is no accountability; we have a bunch of politicians with a blank checkbook and no limit. There is not a politician in Washington that would not spend his new found wealth (read our money) in a way to help his party or himself in the future, it has nothing to do with helping us.

    Now we are talking about an auto bailout, the manufactures doomed themselves by allowing the unions to run wild with pensions and benefits and turning out below average products so they can’t be competitive within a market they thought they would always own and the fact the car market has fallen off a cliff. Any “bailout” will not change the fact they can not compete with others in the industry, the bailout would be a favor to the auto industry and the auto unions “democrat voters” at our expense.

    Let them fail; they put themselves in this position, why should I pay more taxes and have my money devalued for this.

    No one should be “too big” to fail. Which brings the next point, how can you be fair giving money away and to whom.

    So Henry, how much of the “bailout” has been sent your way? Your family will be expected to pay for it weather to a democrat or a republican and why should a politician be allowed to give your money to either side, can’t you decide what political party to support?


    dobbole wrote on November 17, 2008 03:23 PM: Henry

    Apparently, I don’t know the law like you. But some county and city fire units do transport medical patients to hospitals each and every day, for the most part AMR and Med West do it. If there is a law that says they are not allowed to, thank God they break it when needed for patient care. If you don’t believe me ask a firefighter, they do make occasional transports. Or spend a day in an ER you will see mostly the private units but every now and then City or county fire shows up.

    So I don’t know about the law, county protocol or medical direction but I know what I see.


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