The Ugly Truth Behind the Parkland Story: We Hate Poor People

Categories: Schutze

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Connecting some dots in today's newspapers: Apparently the real story in America today is that we despise the poor and consider them to be less than human pieces of shit, while we absolutely worship money and are crack-addicted to personal luxury.

Maybe the day's worst story anywhere in America about treatment of the poor is on the front-page of The Dallas Morning News -- the latest installment in that paper's ongoing better-damn-be-a-Pulitzer coverage of appalling neglect and malfeasance at Parkland, the city's once proud public hospital.

Today the paper outs the recent medical auditor's report on wrongdoing and helter-skelter incompetence at Parkland -- a report the hospital has been fighting to keep secret for obvious reasons.

If somebody had carried this report to Charles Dickens and suggested he use it as the plot-line for a novel, Dickens would have tossed it back and said, "Nah. Too over the top."

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Don't read it unless you are within sprinting distance of a toilet. Shit and blood on the floor. Smeared on telephones. Unwashed hands of medical personnel. Trash bins overflowing. Surgeries on the wrong body parts. Fluid sucked out of the wrong body parts. More than 100 instances of giving the wrong meds. Death under bad sedation. Beds empty while patients sleep on the floor in waiting room.

But, wait. This is all stuff the auditors found after Parkland was warned to clean up its act or face a federal government shutdown. And this doesn't only involve Parkland staff. The auditors continue to put blame on prestigious UT Southwestern Medical School, which has teaching oversight of the baby docs who provide much of the care.

This is Parkland and UT Southwestern at their best. This is what they teach these days. It's how somebody honestly believes poor patients should be treated.

A patient advocate interviewed by The News suggests patients should be allowed to read the secret report so they can know what they're up against, but asking somebody writhing in pain on a gurney to read a long technical report may be a bit much. How about some simple signs? Right at the door. All ye who enter here: You are excrement. We despise your claim to humanity. Your death will not touch our hearts.

Same day, today, same newspaper: Another story tells us that Texas Health Presbyterian Hospital Plano, a facility that treats suburban affluent sick people, has agreed to pay the city of Plano a million dollars for the right to advertise its services at municipally owned properties. Think about that. A hospital so rich, so awash in cash that it can afford to toss off a million bucks for advertising.

And then think again. Why does a hospital advertise? Because it makes so much money off every patient through the door. And it wants more.

Look, this is no rant against profit. More power to them, if they make money. But what are the underlying moral and cultural values illuminated by the contrast?

Before you answer, my last dot -- story in The New York Times this morning reporting that rich foreigners moving to New York are putting their kids in public school to shield them from spoiled-brat over-the-top ultra-luxe pampering in New York's top private schools.

One anecdote is from a German couple who visited the cafeteria of a top private school. The mother told The Times: "The kids were able to choose between seven different lunches -- sushi and macrobiotics and whatever. And I said, 'What if I don't want my son to choose from seven different lunches?' And she looked at me like I was an idiot."

I come from a modest middle-class background. For a few years I was a scholarship kid at a school for America's oldest richest families. That was a half century ago. I know one thing. Rich people didn't act like this back in the day. This is new. This is different. This is ugly.

Isn't it interesting? The aristocracy had a certain modesty. The meritocracy has none. If anything, we may be looking at new fascism -- the fascism of merit. The meritocrats believe they got rich on a level playing field. If you didn't, you can eat shit and die.


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145 comments
life is good
life is good

Several years ago....I gave birth in Parkland...those in charge of my care ..misused my body...two male interns...a nurse stepped in and screamed at them to stop...they assumed that I was a poor black girl from the project..too dumb to know what they were doing.....it's been 35 years, I was 19, a college student and married...I still remember..how they giggled and pretended that they were taking care of me...I now have a college degree...been in my profession for over 30 years....I wonder...how many other patients did they mistreat....some memories last forever..

Mike
Mike

It is a government hospital. We elect people in the government that select the people to run the hospital. Many of us did not vote for the people running county government. The elections were legal and those in power now run the show. Other than paying our taxes, we are out of the game. We did as requested vote for the requested billion dollar bond to rebuild the hospital. After that action, it is up to the leaders to exercise some basic human resources skills in talent identification. If they fail as the collective of mediocrities now ensconced on the Commissioners Court usually do, then it needs to be an election issue. The voters now driving the bus in Dallas County feel otherwise.

I am not going to feel guilt when the people that I thought were incompetents at the election are proving my conclusion. It is a representative democracy and the majority needs to face up to the results of its misguided personnel choices.

Bettyculbreath
Bettyculbreath

What the Dallas Morning News is wtiting is the worse piece of shit I have ever seen.What happen to this last couple is mandated by State Law and that mans wife having a husband with mental illness knows that.Under Texas State law,you can not force anyone to take medicine,you can not keep a patient if he or she wants to leave,with a MI warrent if the Doctor's interview does not prove the Pt. is harmful to himself or others he must release him. That bull shit about allowing Pt. to leave full of valium and gin was the wife conversation unless the PT. say's that happen the Dr. cannot make it a part of chart..Please chect the law.DMN has ruined Dr. Anderson and Parklands name because a formerBoard member got mad and has cause all this trouble at Parkland.CMS will tell you how many calls they recieved from DMN call for them to come investigate this has been best  sham to destroy people I have ever witness in my life.Go out to Parkland just walk around,see if you see anything that looks like what DMN has said in it's paper. 

AParklandPatient
AParklandPatient

 Wow. I guess my head has been buried in the sand? I have cancer and do not have health insurance. I am currently a cancer patient at Parkland. I've spent 4 days in the hospital in the last month because of a fever and a low white blood cell count indicative of chemotherapy. Maybe I'm lucky, but I've experienced competent care across the board and have nothing but praise across the board for ALL care I've received thus far. While in the hospital, I was in a clean and newly remodeled room on the 10th floor and was served by competent and caring nurses and doctors. An 11 pm ER visit had me in my own room on the 10th floor by 5 am. My cancer is stage 1 and the oncologists and chemo nurses have treated me with skill and respect. While I may have no point of reference with which to compare my care, I believe I am well on my way to a cure for my cancer. Oh yeah, and I'm a white guy.

Sanders Kaufman
Sanders Kaufman

In my 30+ years in this town, I've never spoken with any Dallasite who even hinted that he hates people for being poor.I have, however, encountered hundreds if not thousands who despise black people, mexicans, asians and just about every other non-white demographic you can think of.

It only SEEMS to be about poverty because so many non-whites are economically disenfranchised.

Trey Garrison
Trey Garrison

Can we all just agree one major problem is the poor smell like sour milk and old cabbage?

Bmarvel
Bmarvel

Wonderful piece. But why the gratuitous slap at the DMN ("the latest installment in that paper's ongoing better-damn-be-a-Pulitzer coverage")

Jordanvdavis
Jordanvdavis

65% of the Parkland workforce are white or African American, while only 19% are Hispanic.  The patient population, however, is predominantly Hispanic, especially in the ER and Inpatient areas.  With Dallas County's  well publicized power struggle between a growing Hispanic population and an African American leadership loathe to give an inch, how much of the patient mistreatment and apathy towards basic hygiene can be attributed to a simmering undercurrent of mistrust?

guest
guest

I have worked at Parkland in the ICU in the past, but do not now.The problems I found to be the most challenging were the high  level of acuity of most of the patients and the patient's lack of education. Most of the patients there have experienced  major trauma, burns or let an illness go on way too long before seeking care due either to ignorance or lack of resources. Many of the patients simply would not have survived at another facility. So by nature these types of patients require a lot more time from staff because so many of them are extremely complex. There are some patients that stay in the ICU for a year (or more). That drains the county coffers fast. I do not think that would happen at a private hospital because private insurance would run out. Although I don't know what a private hospital would do with them at that point. Another significant thing was that many patients had not made end of life decisions, so that families wanted to resuscitate grand-maw for the 7th time, each time the  resuscitating  process fracturing more ribs, etc. and making her sicker prolonging her death.  The tens of thousands of dollars of care per day continue.  This planning is what most people call 'end of life planning', but many republicans call it 'the death panel for grand-maw'.  If patients did end of life planning,  it would save billions of dollars, as well as untold pain and suffering for the patients and their families.One more contributing factor is that patients get sent to Parkland from Bum F#@k, Texas, where the care has been appalling and they are total train wrecks when they arrive. We had such a patient transfer in with a TB like infection in a wound. Very uncommon and deadly,  but Parkland fixed him up, after 6 months in the ICU. Parkland has the deck stacked against them for many reasons, these are just a few. It is not a level playing ground. Even if patients at Parkland have insurance, their injuries can be so devastating it runs out quickly. In contrast to the horrible stories, many miracles happen at Parkland and excellent care does happen there everyday.

pencil
pencil

Sure private hospitals make money, the patient dumping scheme she ran at the University of Chicago Medical Center was why Michelle Obama was so richly rewarded.

PhilanderingMoustache
PhilanderingMoustache

I don't see why you have to bring up Plano Presby, Jim.  One does not have to do with the other.  You don't have to be rich to know that blood and shit on the floor is not a good thing, and that shit shouldn't be smeared on a telephone.  Parkland's problems stem from lack of oversight. 

DISD Teacher
DISD Teacher

Parkland is govt healthcare.  

DISD is govt education.

Interestingly, though, HPISD is also govt education.HPISD, however, doesn't have all of the corruption, scandals, etc that DISD has.So the fact that it is a "govt" thing doesn't necessarily doom it.

2 publicly funded entities, 2 completely opposite results on the quality of management spectrum.

Why is this?  It has nothing to do with whom the entities serve--either the poor or the rich.  

DISD admins simply wouldn't get away with their crap in HP; too many people are watching closely.

What we need for Parkland and DISD is a large watchdog group to "adopt" these entities and shame/dog/publicize the hell out of every dollar misspent and person mistreated.  We need all of the members of all of the mega-churches to start picketing and demanding what HP gets:  competence and stewardship.

The greedy hate the poor and the people who look the other way hate the poor.

Rodneyz Stanky Feetz
Rodneyz Stanky Feetz

To all the "previews of Obamacare" nitwits: The question isnt one of bad-care vs. good-care. If you have the money, you can always afford good care. Its a matter of bad-care vs. NO-care. 

Believe it or not, if your wife had cancer, and you didnt have insurance, and Parkland was the only place you could get her treated, you'd consider Parkland a blessing.

Jd
Jd

Government health care at its finest!

Stevesands
Stevesands

yes Jim, the liberal you are. id love to see your explanation of why its fair to pay for illegals to have free babies at Parkland while we pay for it. I know a nurse at Parkland who tells me that it sickens them when they see teenagers have kids who arent even legal and dont have insurance and bring their iPads on talk on their iPhones.

World of Caynor
World of Caynor

Please buy a grammar book and dictionary before writing any public comments and get a person with at least a 6th grade edumaction to proofread your remarks before hitting the post button. You may need all these to help you in the debates so you don't look like Rick Perry did in the Presidential debates.

World of Caynor
World of Caynor

A likely story Parkland administrator and a white guy to boot. If you want to spin some praise for Parkland, have the guts to not do it under an preposterous alias, such as satisfied Parkland patient. 

By the way, stage 1 cancer patients (the lowest severity) usually get their chemotherapy as outpatients, if at all. Would you like to reveal your diagnosis and TMN scores to prove you even have cancer?

Houston cats
Houston cats

And what's sad is non-whites have had almost 50 years of affirmative action protecting them. Goodness what if that protection would be taken away. (which it should)

It should always be the best person for the job regardless of color.

Parkland uber alles
Parkland uber alles

No, but the halls of Parkland sure smell that way because nobody bothers to clean up the mess. Apparently, you can't find a room at Parkland that doesn't have human feces smeared on the furniture or on the phones.

scottindallas
scottindallas

 Classy.  You're just confused as to what sweat smells like.  Smug, entitled, prick.

whiteside.tracy01
whiteside.tracy01

Bull crap, Parkland is a total, house if horrors, and, you sound hard hearted, a perfect fit for Parkland.

Wylie H.
Wylie H.

How do other public safety-net hospitals in other urban areas manage to overcome these challenges and why can't Parkland emulate their success?

World of Caynor
World of Caynor

Well, it's good to see that someone from Parkland is proud enough to show off their arrogance, contempt, and conceit for the patients they see. It's also good for the public to see the kind of slim bags who work there and the hate they have for their patients.

Blaming the patients rather than taking responsibility for one's professionalism. Yup, nothing wrong with culture within Parkland. Other county hospitals around the country can handle themselves, but not Parkland or UTSW.

Be proud of your cowardice because you have just demonstrated to the world the "poor as me" attitude and "business as usual" culture that everyone's thinks is wrong at Parkland.

scottindallas
scottindallas

Parkland still delivers more babies than any hospital in the country. 

Also, I have long supported/advocated for a DNR to be included on Driver's licenses--with a range of care detailed, from "do nothing" to "do everything possible" to "look for letter"  seems that opt in system would save bucks and compel no one.

scottindallas
scottindallas

Fair points but you miss/dismiss the two most important factors.  The scale of the DISD dwarfs that of HPISD.  To compare them is stupid.  Also, budget does matter.  A 2% loss of funds due to incompetence, theft, whatever, would be far more important to DISD than HPISD. 

Jay
Jay

 DISD Teacher said: "What we need for Parkland and DISD is a large watchdog group to "adopt" these entities and shame/dog/publicize the hell out of every dollar misspent and person mistreated."

We already have these. They are called voters, and they are not doing their job of calling their elected officials to task and voting them out when they fail.

Parkland uber alles
Parkland uber alles

Oh please, to even accuse the government of being this incompetent, as Parkland is, is an insult to government incompetence. On the flip side, if you think of Parkland as being a human slaughter house, then they are doing an incredibly efficient and terffic job. It's all in how you spin perspective.

scottindallas
scottindallas

Ask Geo Bush Sr.  He passed the law that gives prenatal and maternity coverage to every child born in the US.  It actually saves us money over the previous system.  Sorry to unsettle your silly racist paradigms.

RTGolden
RTGolden

OK, I'm a conservative, and a fairly rigid one, but I have to ask the question: does being a conservative mean that, when a pregnant teenager, with no other recourse, shows up at my hospital, needing care, I have to turn her out?  If that is what it means to be conservative, show me the door.We (as a society, I'm not a doctor/nurse) provide care to those who are uninsured or less fortunate because it is the right thing to do. Period.  If your conscience allows you to turn a needy person out into the night because of some arbitrary definition of citizenship, or some imaginary caste delineation, then you have your own demons to deal with.Do I think something must be done to control illegal immigration? Yes.Do I think people should take responsibility for themselves? Yes.Do I think some people are too stupid to breed (as would be indicated by not having insurance but having iPad/iPhone)? Yes.

Do I think any of these are reasons to deny a person medical care when it is needed.  NO.

Jon Daniel
Jon Daniel

Welfare queens are alive and well in Dallas!  Welcome to 1975

AParklandPatient
AParklandPatient

 I am very much a real patient. I have stage 1 Large B Cell Lymphoma. I have no idea what you are referring to regarding TMN scores. Please enlighten me.

Dallas Diner
Dallas Diner

Well, Collin County closed its public hospital and dumps its indigent on Parkland without paying for them.  

Parkland uber alles
Parkland uber alles

There are plenty of busier public county hospitals across the country in bigger cities that pass CMS inspections and don't kill their patients. And they pass their safety inspections on their worst days, even while inspectors are in the same room watching them.

I don't see them whining like you do about Parkland. If Parkland can't handle the job, then they shouldn't be in this profession.

This "oh, whoa as me" attitude is self-serving and pathetic.Stop blaming the patients and take some responsibility for yourself. These patients did nothing wrong. If you are a healthcare professional, then act like one and suck it up, you weenie!!!

guest
guest

I was not being arrogant. There was no 'blame' toward the patients. It is more a blame of the way the institutions in our country, state and county are set up and this is the trickle down effect. One has to analyze the causes of problems in order to solve them. It is a fact Parkland patients are higher acuity than most private hospitals. If you are in health care and do not understand the patient population, it is more difficult to help them.

 You said a lot of mean  things about me without knowing me or knowing what you are talking about.  I never said there was no room for improvement, but just that Parkland has a lot of good care and good outcomes to contrast with the negative press that they are getting. 

Where do you get off calling me arrogant, full of contempt, conceited, slim(e) bag, cowardly and full of hate for my patients. I am the one that works with the sick and poor (and rich). How does one post drive you over the edge? Are you attributing the feelings you have for Parkland's patient to me? What is your problem?

World of Caynor
World of Caynor

Yeah, so you did a little research about R-CHOP-21, big deal. There are still big holes in your story as well. What exactly is your diagnosis? Stage I, indolent or aggressive, NHL, diffuse, nodular or follicular, large B-Cell lymphoma? What are the markers? Who is your doctor?

CT scans and PET scans, as pointed out, are not used to confirm the diagnosis. They are only used to try to find other sites for tumors. The diagnosis is only confirmed by biopsy and marker studies.

Also, I thought you said all your treatment was being done at Parkland. Why is UTSW suddenly doing radiation? If you have no insurance, as you said, Parkland wouldn't be paying UTSW to do radiation.

Lastly, no respectable doctor says, "We're going for a full cure," because (unless you didn't know) there is no cure to any form of cancer. They always say "remission" not "cure," and they always says things like, "The 5-year survival is 75%," which is the actual survival rate for diffuse large B-cell lymphoma.

Remember, the more you reveal, the easier it is for anyone to tell if you're lying.

World of Caynor
World of Caynor

Well you got caught in a lie again. Agressive lymphoma are not considered Stage 1, which are designated as the least malignant. Also CT and PET scans are not needed for diagnosis, as a biopsy is the gold standard. And by your description, a TNM score sound relevant in this case, since you mentioned it's affecting discrete lymph nodes and the possibility of spreading to other lymph nodes is an issue. So what was the pathology report on the biopsy? And by the way, I'd love to attend you next appointment with you in person. No apologies necessary.

World of Caynor
World of Caynor

So, you lied about getting inpatient chemo for stage 1 Large B-Cell Lymphoma, which is usually treated with local outpatient radiation. Why should anyone believe anything you are saying since it appears you are making up these stories?

AParklandPatient
AParklandPatient

Excuse my delayed response. I just underwent my fourth round of chemo yesterday and have been EXTREMELY tired the last week or so. My doctor tells me this is par for the course and may get worse.

OK "Dr. Know So Much" World of Caynor - let me correct your many errors and misconceptions about me:

- I most certainly do NOT have herpes or HIV or any other contributing diseases. The cause of my cancer is unknown and will remain that way although family genetics is the most likely factor. I did smoke cigarettes for many years but quit upon diagnosis.

- I believe I mentioned I was a white male in my first post. I've been happily married to my wife (female) for many, many years. Any more sterotypes?

- I never said I was being treated in patient. I stated that I spent a few days in the hospital because of a high fever and low white blood cell count as a result of a weakened immune system due to chemotherapy. Get your "facts" straight.

- I most certainly am being treated as an out patient. I receive my chemotherapy (which is called R Chop - look it up) every 3 weeks. I received my 4th of 6 scheduled rounds of chemotherapy yesterday - although it's really none of your business. Due to the extremely large size and fast growing nature of my tumor, I was scheduled for the 6 rounds of chemotherapy.

- You are also incorrect about stage 1 only receiving radiation as I just proved to you in my previous point. AFTER my chemotherapy is complete, I will be receiving 5 to 6 weeks of DAILY Radiation therapy on an outpatient basis at UT Southwestern.

- I had an 8 cm tumor on my neck and throat region stretching up towards my ear. It was inoperable due to its location and completely encased my carotid artery. My cancer is stage 1 because it has not spread to any other parts of my body. I have had 4 CT scans and a PET scan to confirm this diagnosis. All I know is my doctor told me it is stage 1 and we are going for a full cure - praise God! I guess I caught it early.

- If this does not prove I am a real patient, then maybe you can attend my next appointment with me? It's coming up in mid March. Perhaps you'll take my doctor's word for it.

- I believe an apology is in order on your part. Let's really see what kind of person you are - an internet blowhard or a person with some semblance of compassion. Which is it?

AParklandPatient
AParklandPatient

You are so very sadly mistaken. Of course I'm not going to post my real name here. I also use another name to post comments here but prefer to keep my identity private concerning health issues. I am very much a real Parkland patient. I will tell you that my wife has also recently used Parkland for different health issues and we are not satisfied with her providers and really wonder about their motives. BUT - AGAIN - I have received EXCELLENT care thus far for my cancer. These are the facts whether you choose to believe me or ridicule me. Period.

World of Caynor
World of Caynor

There's no doubt this is another Parkland blogger pretending to be "satisfied" patient at Parkland just to get sympathy from the public. How pathetic!

Parkland uber alles
Parkland uber alles

I guess that quieted that Parkland blogger in sheep's clothing. Can't even seem to get his/her facts right.

World of Caynor
World of Caynor

Let's see. If you have Large B-Cell Lymphoma, then that means you probably have herpes as well (HHV-8) because that's what causes Large B-Cell Lymphoma. There's a slight greater chance that you are a male as slightly more males get this type of cancer than females, but that's just a guess.

Majority of those (80-90%) are Non-Hodgkin Lymphomas, and since you said stage I, it would be an indolent NHL Large B-Cell (follicular or nodular?) Lymphoma which is usually treated with outpatient localized radiation alone without chemo. The aggressive type--above stage II--are treated with combo chemotherpy. Is this right? I don't know why you are doing inpatient chemo, then.

The TMN staging scores are for telling the severity of solid tumors which stands for Tumor, Mets, Nodes. The higher the scores, the worse the prognosis, but they don't apply TMN scores to hematologic cancers, unless you have a cutaneous type or a gastric MALT lymphoma, which I can't tell from vague and inconsistent descriptions.

World of Caynor
World of Caynor

Parkland is building a bigger, more incompetent dinosaur by keeping itself as the only public hospital in town for all of Dallas' public health care patients. That's not a safety net. That's an inefficient monopoly to tighten their strangle-hold on all of Dallas' public patients. Parkland is just too big and ineffective to succeed.

scottindallas
scottindallas

There are many facilities across town that are part of the Parkland system.  Further, you never consider for a moment what our legacy of GOP policies has done to the funding of the social safety net.  I don't think Parkland was to blame for running the State into a $26b. shortfall, the city budget facing budget shortages and abrupt funding cuts, not to mention the Federal Gov't.  And, Parkland IS building and expanding. 

I am by no means a blind defender, just trying to keep the discussion fair.   These markets are necessarily flawed no matter how you structure it. 

Parkland uber alles
Parkland uber alles

I never said anything about delivering more babies or seeing more patients at Parkland. So the only persons inaccurate about the situation at Parkland appear to be scottindallas, rain29, and guest (who all appear to be self-pitying idiots from Parkland.) You guys need to get a room and wet-nurse each other. Parkland chose to be the monopoly it is in being the only game in town as Dallas' only county hospital because they are greedy, can’t acknowledge that they can’t do the job, and don't want any competition from any more county hospitals. Having more county hospitals would actually make an actual "safety net" system that is an asset and benefit to the poor. Instead Parkland’s selfishness and inability to let progress occur hurts this community as demonstrated by their recent follies in harming and killing people. They brought this volume of patients and dangerous overcrowding in the hospital on themselves because they are greedy, don’t want anybody else treating this segment of the population, and can't get with the times. No other big city in America thinks it can skate by with one gigantic, one-size-fits-all, impersonal, inefficient, Soviet-style, dinosaur of a public hospital to meet even the minimal needs of the poor, uninsured, and indigent. So what does Parkland do? They are trying to make themselves into a bigger dinosaur by expanding their size with a $1.3 billion Parkland 2.0. It's a disaster waiting to happen as they pull Dallas right over the cliff with more incompetence and corruption. They think, by making themselves even bigger and more bloated, it will make them more important and keep them from failing, when in reality it does the opposite. Parkland fails because they are too big. The responsible people in charge have to stop this madness. They have to halt the construction project because, as Alvarez & Marsal mentioned, it’s becoming a distraction to Parkland only important goal—that is to becoming a safe and compliant hospital. The adults also have to downgrade and downsize Parkland and maybe even shut it down indefinitely until the people at Parkland can come to terms with reality and actually take responsibility for their actions. They also have to divert patients away from that public menace.

scottindallas
scottindallas

I'm not sure you're correct about that.  Parkland delivers more babies than any other hospital in the country.  That's a fairly good indicator that they are handling a larger volume across the board.  Plus, Dallas citizens have the lowest credit rating of any city in the nation, including Detroit.  So, the smug self assurance is somewhat unwarranted.

DISD Teacher
DISD Teacher

As a DISD teacher, I feel what you are saying.

There we are in the trenches watching some of the least qualified to parent slap their children in front of us and WE are the ones demeaned by our own school board.

All we hear about is how wonderful the teachers in other districts must be, bc those kids are passing all of the tests Pearson writes to create a tutoring clientele.  

We step into the gap and for doing so, we are degraded.

Employees only get away with what is allowed by those in charge.And then those in charge blame their own employees.And people believe it.

rain39
rain39

 Hey, Guest, don't let these folks get you down.  This is often more of a boxing match than a useful discussion.  Flamethrowers are welcome with much more heat than light.  I, too am an alumnae of county hospitals but in Chicago and Milwaukee.   Your points are so accurate and so are mine. 

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