Friday, February 09, 2007

Health Care: the wrong position


The following position on Health Care is simply idiotic. I do not have time to present my view on this matter at the time, but please feel free to search this blog for my previous comments on healthcare and discuss this the most pressing political issue to come.

'Four Cornerstones'
Will Transform Health
HealthSource: Forbes Online01 February 2007

Editor's Note: This editorial piece now appears on Forbes Online. It is co-written by Dr. Bob Galvin and Newt Gingrich. Dr. Bob Galvin is GE's Chief Medical Officer and director of global healthcare, GE. Newt Gingrich served as the Speaker of the United States House of Representatives from 1995 to 1999 and is founder of the Center for Health Transformation.

By Bob Galvin and Newt Gingrich

The president's State of the Union speech last week sparked a healthy debate over what to prescribe for our ailing health care system. Mandates or markets, single-payer or private sector, generic drugs or brand names? The list of differences is endless. What everyone can agree upon is that health care must be fixed. For both government and the private sector, our current system is unsustainable, and Health and Human Services Secretary Mike Leavitt is trying to change this.

Many entrenched health care interests often claim that transformational solutions will not work because "health care is different." Health care is, indeed, different, and that is not a good thing. Innovation is slow, quality indicators are down, costs are perpetually on the rise, and tens of millions of individuals are locked out of the insurance market.

Rather than attempting to "fix" health care by himself with one magic bullet, Secretary Leavitt is putting the system on the right course to fix itself. Echoing the renowned Harvard business strategist Michael Porter, Leavitt is moving health care toward a value-based system.
Value-based health care means that providers, health plans and other health care professionals are rewarded--and procedures and products are encouraged and utilized--based upon the true value they bring to the consumer. This means critiquing every aspect of the delivery of care, divining its true value by knowing its cost and quality. This formula works in every other market, and it must be the foundation of health care.

We can bring about real change by centering the system on what Secretary Leavitt calls the "four cornerstones"--information technology, performance measures, transparency and payment reform. The largest purchasers of health care, from state and federal government to the private sector, can change health care by ingraining these four priorities into their purchasing and procurement--and then demanding accountability.

First, we must get information technology into the hands of health care providers. Compared to every other sector of society, most physicians and other providers step back in time when they enter their offices, giving up computers and the Internet for pen and paper. We simply cannot deliver better quality, eliminate waste and improve efficiency without equipping doctors with the point-of-care patient information and decision support tools. And the technology must be interconnected, or interoperable, so that every information technology system, no matter where it is, can deliver the right information on the right person at the right time.

Second, we must accelerate our efforts to create common measures to evaluate performance and cost. Today it is nearly impossible to determine, in any reliable way, who delivers the best quality care and at what cost. Government and industry are working to standardize common measures to enable us to gather and measure performance and cost in a common way, so we can compare apples to apples.

Third, we must widely distribute this information to consumers. Currently, the health care system keeps consumers in the dark about the cost and quality of the care they receive. Try finding out which doctor has the best results for treating patients with asthma or diabetes. Try finding out how much a knee replacement will cost. Sites like FloridaCompareCare.gov and MyFloridaRX.com, which contain a wealth of quality and cost data, have proved to be incredibly valuable to consumers.

Additionally, with the right privacy and security protections, the federal government should release the data it has to let the public see which doctors are delivering the best care. Wouldn't you like to know who has the best track record for delivering high-quality care? You have the right to know this information, and the federal government should release it.

Fourth, we must change the way we pay for care. In our current system, hospitals and providers that deliver better care are reimbursed, for the most part, at the exact same rate as those who provide poorer care. That is like paying the same price for a new Cadillac as you would for a used Yugo. This egregious approach must change so that better performers are rewarded.
Secretary Leavitt is trying to ingrain these "four cornerstones" into the federal government's purchasing of health care, most notably through President Bush's Executive Order No. 13410. This order instructs key federal departments, including Health and Human Services (HHS) and the Veterans Affairs, to say to its contracted hospitals, physicians and other providers, We will not do business with you if you do not agree to these principles.

With a $600 billion budget at HHS that's set to explode in the coming years, Secretary Leavitt knows that sitting idly by is not an option. It is not an option for other big purchasers of health care either, be they from the private sector or state government.

That is why GE (nyse: GE - news - people ), IBM (nyse: IBM - news - people ), Ford Motor (nyse: F - news - people ), GM (nyse: GM - news - people ), DaimlerChrysler (nyse: DCX - news - people ), Humana (nyse: HUM - news - people ), and others have pledged to instill these cornerstones into their health care purchasing. Gov. Tim Kaine recently signed his own executive order to do the same in Virginia.

If every major employer, be it a corporation or state government, would embrace these four cornerstones, we could indeed build a value-based system that delivers more choices of greater quality at lower cost to every single American. But to get there, we need continued leadership and immediate action from everyone in health care--now.

Former House Speaker Newt Gingrich is founder of the Center for Health Transformation. Dr. Bob Galvin is the chief medical officer and director of global health care at GE. GE, IBM, Ford, GM, DaimlerChrysler and Humana are members of the Center for Health Transformation.

Wednesday, January 31, 2007

Time to include gay troops


"(CNN) -- Former Chairman of the Joint Chiefs of Staff John Shalikashvili has had a change of heart about gays in the military.

Shalikashvili, who was the top military man when President Clinton's "don't ask, don't tell" policy became law in 1993, wrote in a recent New York Times editorial that he was convinced by gay service members that "don't tell" can disappear.

"I now believe that if gay men and lesbians served openly in the United States military, they would not undermine the efficacy of the armed forces," he wrote in the January 2 edition of the Times. "Our military has been stretched thin by our deployments in the Middle East, and we must welcome the service of any American who is willing and able to do the job."

The "don't ask" means commanders are prohibited from questioning a service member about sexual orientation while "don't tell" refers to the stipulation that gay and lesbian troops must keep their sexual orientation a secret.

President Clinton's policy brought the highly charged issue of gays in the military to the center of public discussion. At the time, Shalikashvili, supported the policy, believing that openly gay servicemen and women would hurt the military's cohesion.
With President Bush now calling for a larger military, the issue is sure to become fodder again for political and social debate.

Shalikashvili wrote that his position change came after meeting with gay troops, including "some with combat experience in Iraq, and an openly gay senior sailor who was serving effectively as a member of a nuclear submarine crew.

"These conversations showed me just how much the military has changed, and that gays and lesbians can be accepted by their peers."
'A political issue, not a military issue'

Former Secretary of Defense William Cohen told CNN that people should not miss the retired general's point, that the war in Iraq should be the top issue with Washington, but the discussion on gays in the military needs to resume in Congress.

"I think we have to ... take into account the full article," he said. "It was almost as if St. Augustine declaring to God, "Dear God, give me chastity, but not just yet.'"
And in the Shalikashvili piece, he said it's time to start "rethinking this policy."
Retired Air Force Maj. Gen. Don Shepperd said Shalikashvili's change of heart was a big one but that the policy is a "political issue, not a military issue."

The military doesn't consider the issue a big deal and its concern is with the conduct of its personnel, not their sexual preferences, he said. The change in the policy will reflect a change in social values, he added.

"I think society is moving on and probably Shalikashvili is moving on personally," Shepperd said.
The Servicemembers Legal Defense Network, a gay advocacy group, applauded the editorial.
"That's a courageous thing to do," said Sharon Alexander, deputy director for policy for the group.
Shalikashvili, who served in the Army for 39 years and is the only immigrant to rise to the pinnacle of military leadership, is very knowledgeable and well-respected, Shepperd said.
World war shaped childhood

Shalikashvili was born in Warsaw, Poland, in June 1936, just three years before the Nazis invaded. His father, who was born in the country of Georgia, was an officer in the Polish army until it surrendered to the Germans then joined a unit of Georgians that fought for the Nazis. Eventually his unit fought with the Waffen-SS.

John Shalikashvili and his family lived in Poland through the occupation and destruction of Warsaw. According to a Washington Post article in 1993, the family lived in a cellar after a German bomber blew up their apartment. Near the end of World War II, the family fled to Germany.

In 1952, the family immigrated to Peoria, Illinois. Shalikashvili, a teenager who spoke no English, learned the language by watching John Wayne movies. He was drafted in 1958 into the Army, where he quickly became an officer.
During the Vietnam war, Shalikashvili served as a senior district adviser to South Vietnamese forces in 1968-69. According to the Army, he won a Bronze Star for directing a search team that was attacked from two positions.

He also served in Iraq after the Gulf War, directing relief efforts for Kurds in the northeastern mountainous area of the country.

When Colin Powell stepped down as Joint Chiefs chairman, President Clinton nominated Shalikashvili, who had been one of Powell's deputies. The nomination hit a stumbling block when his father's service with the Nazis came to light, but the general won Senate approval after convincing testimony that he had not known of his father's ties until just before his confirmation hearings.

Despite suffering a massive stroke in 2004, Shalikashvili continues to speak his mind and some say the retired chairman could be the catalyst for change.

"As a former high-ranking military official, people listen to him," Shepperd said. "The lawmakers will listen to him."'

PBS Report: Gays in the Military
http://www.pbs.org/newshour/bb/military/jan-june05/gays_4-13.html

Monday, January 29, 2007

UN: Iraqi Civilian Deaths at New High

"The UN has reported that over 34,000 Iraqi civilians were killed and over 36,000 were wounded. This toll reported by the UN is almost 3 times more than that reported by the Iraqi government. Also included in the reports is that at least 470,000 people have been internally displaced with over 38,000 in Baghdad alone."

The UN Reports that approx 150,000 innocent Iraqi have died in the USA's War on Terror.

A conservative number in my opinion.

Ari Fleischer Disputes Libby's Account at Trial

"January 29, 2007 · Former White House aide Lewis Libby spoke of the wife of a prominent war critic working at the CIA in the summer of 2003 — before the date Libby told investigators he had learned about the CIA operative. That's the testimony of former White House spokesman Ari Fleischer.

Testifying under an immunity deal with prosecutors, Fleischer says he didn't know at the time of his lunch talk with Libby that the information was classified.
Libby is accused of perjury in the outing of CIA operative Valerie Plame, wife of former ambassador Joseph Wilson, who accused the Bush administration of misleading the public in the run-up to the Iraq war.

Libby is the former chief of staff for Vice President Dick Cheney.

Libby, the vice president's former chief of staff, is accused of lying to obstruct an investigation into the leak of CIA Agent Valerie Plame's identity.
Fleischer testified that Libby told him Plame's identity over a private lunch in the White House mess hall on July 7, 2003. That contradicts Libby's account that he learned the information from reporters days later.

Fleischer quoted Libby as saying, "This is hush hush. This is on the QT. Not very many people know about this."

Fleischer told the jury, "My sense is Mr. Libby was telling me this is kind of newsy."
Their lunch conversation took place as the White House was in the thick of an effort to rebut criticism from Plame's husband, former Ambassador Joseph Wilson. Wilson had gone to Africa to investigate claims that Saddam Hussein sought uranium for nuclear weapons from the Nigerian government. When Wilson found no such evidence and the White House continued to assert otherwise, Wilson began to criticize the White House publicly.

Fleischer is the fifth government official to testify that Libby was part of a coordinated White House effort to refute Wilson's claims. Fleischer said, "I never in my wildest dreams would have thought this information (about Plame's identity) would be classified."
According to Fleischer's testimony, he told Plame's identity to reporters from Time magazine and NBC News a few days later, during a presidential trip to Africa.

Libby's lawyers have argued that the Plame/Wilson controversy was a minor issue compared to the other crises Libby had to deal with at the same time. They say if Libby made false statements to FBI agents and a grand jury months later, those statements were the result of memory lapses—not lies" (NPR).

Friday, January 26, 2007

Judge Rejects Katrina settlement

State Farm had agreed to pay Mississippi victims $50 million

NEW ORLEANS - A federal judge in Mississippi on Friday refused to endorse part of a proposed settlement that calls for insurance payments to thousands of Mississippi policyholders whose homes were destroyed or damaged by Hurricane Katrina.

U.S. District Judge L.T. Senter Jr. would not sign off on a deal between State Farm Fire & Casualty Co. and Mississippi Attorney General Jim Hood for at least $50 million in payments to policyholders whose claims were denied but didn’t sue the company.

The Bloomington, Ill.-based insurer also had agreed to pay about $80 million to more than 600 policyholders who sued the company for refusing to cover damage from the Aug. 29, 2005, storm. Senter hasn’t been asked to sign off on that part of the deal.

Senter said he doesn’t have enough information to determine how many policyholders would benefit from the deal or how much each can be paid.
“In the absence of substantially more information than I now have before me, I am unable to say, even preliminarily, that the proposed settlement establishes a procedure that is fair, just, balanced or reasonable,” he wrote.
Senter rejected the settlement “without prejudice,” allowing lawyers to present a new agreement that satisfies his concerns.

State Farm spokesman Phil Supple said the company looks forward to “addressing Judge Senter’s concerns,” adding, “We believe, given the opportunity, he will come to view the proposed settlement as fair, just, balanced and reasonable.”

A spokeswoman for Hood would not immediately comment.
In his eight-page ruling Friday, Senter said that although State Farm has agreed to pay $50 million to policyholders who qualify for the class action portion of the settlement, he can’t determine “how thinly this large sum may be spread among the class members.”

Senter also expressed concern about a lack of any “guaranteed” payments to policyholders whose homes weren’t completely destroyed and said he is “uncomfortable” with allowing many cases to be settled by binding arbitration “when none of these individuals has ever agreed to participate in that procedure.”

Mississippi’s mass settlement agreement didn’t involve any claims in other states.
Lawyers involved in the agreement presented the “class action” portion of the deal to Senter on Tuesday afternoon.
Click for related content
State Farm settles hundreds of Katrina lawsuits
Newsweek: The insurance climate change
That part of the agreement would require State Farm to reopen and review claims filed by roughly 35,000 policyholders who live in Mississippi’s three coastal counties but didn’t file lawsuits against State Farm.

After reviewing those claims, the company would be required to make new offers. Any disputes would be heard by an arbitrator whose decision would be binding.

The accord came less than two weeks after a federal jury in Gulfport awarded $2.5 million in punitive damages to a couple who sued State Farm for denying their claim after Katrina. Senter took part of that case out of jurors’ hands, ruling that State Farm is liable for $223,292 in storm damage to the Biloxi home of Norman and Genevieve Broussard.

Senter is the only federal judge in Mississippi who has been presiding over the hundreds of lawsuits that policyholders filed against State Farm and other insurers.

In the first trial for a Katrina insurance case, Senter ruled in August that Nationwide Mutual Insurance Co.’s homeowner policies cover damage from wind but not storm surge. He also has ordered dozens of policyholders who sued their insurers to participate in an experimental mediation program."

Tuesday, January 23, 2007

China beats USA in Star Wars?

What would President Reagan say?

By Chris Buckley Mon Jan 22, 9:09 AM ET

BEIJING (Reuters) - Blasting a satellite out of the heavens may have been China's blunt way of demanding a bigger say in space security, Chinese experts said on Monday, while voicing puzzlement about the apparent test and Beijing's long silence.

Chinese arms control specialists with military backgrounds told Reuters they did not know if China had indeed fired an anti-satellite missile on January 11 in what Washington last week called an alarming escalation of military rivalry in space.

Xia Liping, a People's Liberation Army (PLA) officer and professor at the Shanghai Institute for International Strategic Studies, said Beijing did not want an arms race in space. But the reported test may have been intended to push Washington toward international talks aimed at preventing a race, he suggested.

"The weaponization of space would be very dangerous; it could lead to a new arms race," said Xia, who stressed he had no firm knowledge of any test. "I would say, though, that in the history of arms control the rule is that the United States is willing to ban a military capability only when other countries possess it."

The Bush administration has announced plans to maintain U.S. dominance of outer space and prevent other states from threatening its satellites, vital nerves of commerce and security. But China is wary.

"Chinese officials believe the real purpose of U.S. space plans is not to protect U.S. assets but to further enhance U.S. military dominance," Hui Zhang, a researcher at Harvard University, wrote in a study recently issued by the American Academy of Arts and Sciences (www.amacad.org).

Chinese textbooks and speeches show that the country's diplomats and military are worried that U.S. ambitions are leaving China vulnerable.

"The militarization of space will also become the focus of all military great powers' national security and development strategy," states a 2006 textbook on space weapons written by officers from China's Second Artillery Battalion, which wields the country's nuclear arsenal. "The flames and smoke of war will rise in a new battlefield -- space."

Chinese military writings also leave no doubt that the PLA has been studying how to directly counter U.S. plans, according to a compilation issued last week by Michael Pillsbury, a researcher close to the
Pentagon'

"There is an active group in China not only advocating the weaponization of space, but also putting forward specific proposals for implementation of a Chinese space-based weapons program," Pillsbury wrote in the study for Congress' U.S.-China Economic and Security Review Commission (www.uscc.gov).

But China lags far behind the United States in space technology and does not want to divert its civilian space resources to military uses, said Teng Jianqun, a former PLA officer who now studies space policy at the China Arms Control and Disarmament Association, a government-run think tank.

"China does not want to follow the United States into this," said Teng, who said he was skeptical about the reported test. "We need to sit down and work out the rules of the game to prevent this trend taking on a life of its own."

But if the January 11 blast was intended to wake up Washington and push for negotiations, the Chinese Foreign Ministry's silence about the claim is "baffling," said Xu Guangyu, another ex-PLA officer at the China Arms Control and Disarmament Association.

Chinese diplomats had yet to explain or deny the satellite test, even in private, the New York Times reported on Monday, citing senior Washington officials.

"I don't know whether the American reports about the satellite are true. It's odd and abnormal that they haven't said anything," Xu said of China's diplomats.

"If it is a negotiating chip, it's illogical not to come out and announce something. But a side-effect may be that it makes us sit down together and talk."

Yahoo News:
http://news.yahoo.com/s/nm/20070122/ts_nm/china_satellite_security_dc

Corporations Take on GLOBAL WARMING

"A diverse group of U.S.-based businesses andleading environmental organizations today called on the federal government to quickly enact strong national legislation to achieve significant reductions of greenhouse gas emissions.

The group said any delay in action to control emissions increases the risk of unavoidableconsequences that could necessitate even steeper reductions in the future.This unprecedented alliance, called the U.S. Climate Action Partnership (USCAP), consists of market leaders Alcoa, BP America, Caterpillar, Duke Energy, DuPont, FPL Group, General Electric, Lehman Brothers, PG&E, and PNM Resources, along with four leading non-governmental organizations – Environmental Defense, Natural Resources Defense Council, Pew Center on Global Climate Change, and World Resources Institute.

At a news conference today at the National Press Club, USCAP will issue a setof principles and recommendations to underscore the urgent need for a policy framework on climate change. The solutions-based report, titled A Call for Action, lays out a blueprint for a mandatory economy-wide, market-driven approach to climate protection. “The time has come for constructive action that draws strength equally from business, government, and non-governmental stakeholders,” said Jeff Immelt, Chairman and CEO of General Electric. “These recommendations should catalyze legislative action that encourages innovation and fosters economic growth while enhancing energy security and balance of trade, ensuring U.S. leadership on an issue of significance to our country and the world.”

USCAP’s recommendations [visit http://www.us-cap.org/ClimateReport.pdf] are based on the following six principles:• Account for the global dimensions of climate change;• Recognize the importance of technology;• Be environmentally effective;• Create economic opportunity and advantage;• Be fair to sectors disproportionately impacted; and• Recognize and encourage early action.The principles and the recommendations outlined in A Call for Action are the result of ayear-long collaboration motivated by the shared goal of slowing, stopping and reversing the growth of greenhouse gas (GHG) emissions over the shortest period of time reasonably achievable.

This unique cooperation of business and environmental leaders is a clear signal tolawmakers that legislative action is urgently needed. This non-partisan effort was driven by the top executives from member organizations—companies with a combined marketcapitalization of more than $750 billion and environmental groups with more than one million members worldwide and global policy influence.

A Call for Action reflects a growing public concern about global warming. A recent TIMEmagazine/ABC News/Stanford University poll finds that a significant majority of Americans, about 85 percent, say they believe global warming is probably happening. An even larger percentage, 88 percent, say they think global warming threatens future generations. USCAP urges policy makers to enact a policy framework for mandatory reductions of GHG emissions from major emitting sectors, including large stationary sources and transportation, and energy use in commercial and residential buildings. The cornerstone of this approach would be a cap-and-trade program. The environmental goal is to reduce global atmospheric GHG concentrations to a level that minimizes large-scale adverse impacts to humans and the natural environment. The group recommends Congress provide leadership and establish short- and mid-term emission reduction targets; a national program to accelerate technology research, development and deployment; and approaches to encourage action by other countries, including those in the developing world, as ultimately the solution must be global.

“The Climate Action Partnership recognizes that the undertaking to address climate change is an enormous one, and should not be underestimated,” said Jonathan Lash, President of the World Resources Institute. “But enacting environmentally effective, economically sustainable and fair climate change law must be a national priority.” USCAP believes that programs to encourage efficiency and to promote cleaner technologies in the Energy Policy Act of 2005 enacted by the last Congress and supported by the President were a good step. However, they alone cannot get us to where we need to be on the climate change issue. A mandatory system is needed that sets clear, predictable, market-based requirements to reduce greenhouse gas emissions."

Monday, January 22, 2007

G.W. Bush’s Justification for Iraq


President Bush in response to a reporter’s questions in regards to the Iraq War said to paraphrase

“that after 9/11 he made a vow to protect the American people and that we would enter any nation that provided safe haven to terrorist, and that’s why we are in Iraq”.

The fact of today is that this is reasonable justification for the USA being in Afghanistan but it has nothing whatsoever to do with our troops being in Iraq.

Friday, January 19, 2007

The God Experiments


“One Study revealed some overlap between the neural activity of self –transcendence and of sexual pleasure”. –Discover Magazine Dec. 2006, The God Experiments

I think this study deserve more resources. I certainly would volunteer as a subject. Science has now proven all my college rendezvous were not simply that but studies in uhh “religion”.

Comments welcome.

Thursday, January 18, 2007

Bush puts spy program under courts

"Bush administration puts spy program under court supervision

Source: Agence France Presse 01/18/2007
WASHINGTON, Jan 18, 2007 (AFP) -

President George W. Bush's administration put a controversial domestic spying program under supervision of a special court after months of sharp criticism over the eavesdropping.
Civil rights group had criticized the program, in which Bush authorized the National Security Agency (NSA) to eavesdrop on phone calls and emails between the US and abroad without a court warrant.

Despite legal challenges after the program was revealed in press reports in 2005, the government had insisted that the president could legally authorize the NSA to eavesdrop on international communications it believes involve terror suspects without seeking court approval.
But in a letter to the top Democrat and Republican of the Senate Judiciary Committee, Attorney General Alberto Gonzales said Wednesday Bush would not renew the Terrorist Surveillance Program as it had found an effective and quick system to gain approval through an ultra-secretive court.

A judge from the Foreign Intelligence Surveillance Court issued orders on January 10 authorizing the government to target international communications when there is probable cause that one of the individuals is an Al-Qaeda operative or from an associated terror organization, Gonzales said.
"As a result of these orders, any electronic surveillance that was occurring as part of the Terrorist Surveillance Program will now be conducted subject to the approval of the Foreign Intelligence Surveillance Court," Gonzales wrote.

"Although, as we have previously explained, the Terrorist Surveillance Program fully complies with the law, the orders the government has obtained will allow the necessary speed and agility while providing substantial advantages," he wrote.

"Accordingly, under these circumstances, the president has determined not to reauthorize the Terrorist Surveillance Program when the current authorization expires," Gonzales wrote to Democrat Patrick Leahy, the committee's chairman, and the ranking Republican, Arlen Specter.
Bush had been re-authorizing the program every 45 days.

A federal judge had ordered a halt to the program in August, saying Bush had overstepped his authority, but an appeals court immediately suspended the ruling at the request of the NSA.
Leahy welcomed the Bush administration's announcement Wednesday.

"We must engage in all surveillance necessary to prevent acts of terrorism, but we can and should do so in ways that protect the basic rights of all Americans including the right to privacy," Leahy said in a statement.

"The issue has never been whether to monitor suspected terrorists but doing it legally and with proper checks and balances to prevent abuses," he said.
On the Senate floor, Specter cautiously welcomed the move and recalled that the administration had refused to reveal details of the program while he was chairman of the Judiciary Committee last year.

"I am glad to see that we may now have all of that resolved," Specter said, adding, however, "I want to know all of the details of this program."
"It is regrettable that these steps weren't taken a long time ago," he said.
"I would like to have an explanation as to why it took from last spring of 2005 and at least past December 16, when there has been such a public furor and public concern," Specter said.
Melissa Goodman, a lawyer with the American Civil Liberties Union, a powerful group that challenged the surveillance program in court, said the new eavesdropping process was still too secretive.

"The Bush administration has conceded that there should be some judicial role on NSA spying on Americans, but unfortunately we still just don't understand enough about what's going on now," Goodman said.

"He's basically moved the program into a completely secret court," she said.
A senior Justice Department official, who requested anonymity in a teleconference with reporters, said orders issued by the secret court last 90 days and are "very closely" supervised by a judge.

But the official refused to disclose more details.
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