Daily Times Herald EDITORIALS Tuesday, July 30, 1974 Certified Doctors We now seem to be approaching the moment of truth with regard to national health insurance. The consensus among observers is that some form of it will be enacted by Congress not long hence. When that happens — or rather, when the new national health insurance plan takes effect — there will almost certainly be even greater pressure than ever on our supply of physicians. This prospect makes it all the more important that the medical profession deal constructively with problems arising from the presence of many thousands of foreign-trained doctors in this country. In particular we have in mind reports that some are practicing medicine without a license. Apparently this does not apply to the bulk of the foreign medical graduates, who are now entering the United States at the rate of 7,000 annually. Such doctors must N pass special examinations before they can be certified to practice in this country, and many do so. It is a matter of concern, however, that many also are being permitted by hospitals to practice without licenses — in some cases even without supervision. These are the findings of a study conducted by a team of five American physicians. Having surveyed about 4,000 foreign-trained doctors, the study team concluded that control of medical care in the United States presents serious problems. An account of this study in the New York Times sums up the situation in the hospitals as follows: "Although many of the uncertified doctors were officially hired as laboratory technicians or assistants, they are making diagnostic and therapeutic decisions, the study shows. Some perform surgery or give anesthesia. Others practice psychiatry or read X-rays." This is of concern for two- reasons. The obvious one is that in order to maintain high medical care standards it is essential that all doctors be properly certified for practice. This is particularly important in the case of doctors educated abroad, since the adequacy of training in some foreign medical schools has long been questioned. The medical profession should take steps to assure that hospitals no longer permit uncertified doctors to care for their patients. "What's the Matter, Henry? I Said Pull One Out for Me!" Viewpoint Send Him to Bed Bv Tom Tiede Advice Advice for Daughter-in-Law By Abigail Van Huron DEAR ABBY: If a man works hard all day, is he supposed to help his wife with the housework? And even pack his own lunch pail? The wife works, too, but it's light office work. My new daughter-in-law won't even clean her oven. She says it's a man's job. They've been married only 10 months and already their apartment looks like something the cat dragged in. You can't find a clean spot to sit on. I've been married for 32 years and my husband never helped me with the housework. I think a man should take care of the yard, carry out the garbage and maybe paint, a little, but the .housework, cooking and kids are ths wife's department. Send me some good advice that I can send to my new daughte'r-in-law. She needs it. NO NAME, PLEASE DEAR NO NAME: Sorry, but I send advice only to those who ask for it. (It's a good policy. I recommend it.) DEAR ABBY: My husband is 54, and I am a few years older. He used to be such a refined and gentle man, but lately, he'll fly into a rage for no apparent reason, storming around the house and shouting so the whole neighborhood can hear him. He has even .broken furniture and thrown itout the back door in a fit of anger! He gets into "fights with waitresses and salespeople and shouts obscenities Holes in Sky Homemdicing Scores of millions of American grow crops, manufacture and sell goods, engage in myriad service activities — in short, have as their chief occupation the astty-tasks, .that keep our complex society going. Meanwhile, a few devote theiF-lives to seeking knowledge about the vast cosmos in which Earth spins like a single grain of sand in a Sahara storm. There is a special fascination about the work of these few. They are men and women like the rest of us, with human faults and passions and hungers. Yet they are different, too, because their central attention is focused on events and conditions at distances so enormous as to be beyond our grasp. Often their findings are too esoteric for most of us, yet now and again they tell us something that seizes the imagination even though we may not fully understand. That applies to the discovery of what may be so-called "black holes" in the universe. Astronomers theorize that such "black holes" occur when a dying star collapses in upon itself and becomes a concentrated mass with gravity so great that not even light rays can escape. Last year a group at Harvard University noted that gravitational effects on a certain star indicated the presence of an invisible neighboring star, which they called Cygnus X-l. Now they report finding another apparent body of this kind, dubbed CircinusX-1. . The second report is most significant because it suggests that the "black hole" is not an isolated phenomenon but a class of objects in the heavens. And while most of us are engaged in mundane pursuits these few are busy trying to determine how such objects fit into the endless puzzle of the universe. Yak Neck Twister Little has been heard of late about the Loch Ness monster and other popular creatures of myth and fancy. This disappointment has been relieved by U^e word from Nepal. We learn that a Sepali woman says a yeti, better known in the West as the Abominable Snowman, knocked her out and slew h6 By twisitng their necks, yet, a shivery detail that adds a new dimension to toles of the fearsome yeti. A creature ThJt tramps through the snow and Snuffs about the tents of explorers at n?ght is one thing; a yak neck twister ,s another. Irk Some Buyers By Polly Cramer POLLY'S PROBLEM DEAR POLLY — A used refrigerator I bought from a friend is like new except for the front, which has turned off- white. I hope some reader can tell me how to restore this to its original white. —MRS.R.G. DEAR POLLY — My Pet Peeve is with the Big Three automobile companies who still try to cram big cars down our throats. We have bought the same make medium-sized car for 45 years but now if you want a full-size car the length is so great that you cannot get it in or out of a tight garage. I feel strongly that manufacturers should stick to the same 122-inch wheelbase but cut off about a foot from the over-all length. The wheelbase is what makes a car ride like a pullman. When shortened it is like riding a motorcycle. I think this is why the companies are losing business. I have switched even though I am a stockholder in one of the Big Three. I feel they do not listen to the public's demands. —MR.V.H.L. DEAR POLLY — I had the same problem as Barbara has with the loose backing on ready- made bedspreads. I solved it by using an old sheet that had been washed many times, so no shrinkage problems, and sewing it over the fiberfill backing. A permanently pressed sheet could be used and might be best but should be washed before sewing to the back of the spread just to be sure. I only sewed mine so it covered the fiberfill and not the draped portion over the sides and end. Do hope this helps Barbara and others,'too. — ROBERTA. DEAR POLLY — Few women who sew are lucky enough to find patterns that fit without some alterations. When using a pattern that needs some changes I write on the pattern exactly how much and where it was changed. I am saved a lot of ripping when using the pattern a second time and the job is much easier, too. — BETTY C. at pedestrians and other automobile drivers. Almost every time we walk on the street he gets into a fight with a stranger. His language is foul and, Abby, this man never even used to swear! If I try not talking to him, he gets mad at me for giving him the "silent treatment." He's been seeing a skin doctor about a rash which seems to be getting progressively worse. What could be wrong with him? Please tell what to do. • I don't know how much more I can take. END OF ROPE DEAR END: Your husband's trouble is more than skin-deep. Tell his doctor what yo.u have told me., When a man becomes' suddenly hostile, profane and violent, a psychiatrist should be consulted. DEAR ABBY: I have been a widow for 12 years. I have continued to call myself Mrs. William Smith. A friend of mine recently told me that this is incorrect; that since there is no longer a William Smith, neither is there a Mrs. William Smith, and I should call myself Mrs. Isabel Smith. Will you kindly set me straight? CONFUSED DEAR CONFUSED: Your friend needs to be set straight. When you took William's name, you took it for as YOU lived (unless you took another husband); not for as long as WILLIAM lived. Socially, you are still Mrs. William Smith. When it comes to signing legal documents, consult your lawyer. CONFIDENTIAL TO V.S.: Breeding? I like what Jonathan Swift has to say about it: "Good manners is the art of making those people easy with whom we converse. Whoever makes the fewest people uneasy, is the best bred in the company." WASHINGTON - (NUAj - Given the abashments, the acrimonies and the hazards of impeaching a president, politicians have looked for alternatives since the moment the Richard Nixon question began. Some of the suggested options have been harebrained (Oregon's Gov. Tom McCall has recommended that Nixon change places with his vice president, thus removing his person from power yet saving it from political supreme punishment.) And some of the ideas have been merely asinine, (Washington's Gov. Dan Evans has pleaded that Nixon, as a naughty boy, be forgiven his sins in the form of a formal amnesty.) Now, with a House Judiciary Committee vote for impeachment all but inescapable, conservative members of Congress are said to be recruiting sympathy for one last substitute action. Admitting the President has become the bad, bad Leroy Brown of the capital, and that, as one Republican says, "he must be reprimanded somehow," the Congressmen involved in the effort feel a vote of censure would be appropriate. A deadline appeal of this sort is typical of the House. Many members are nothing if not careful. Even the body's daily prayer is placed directly in the center of the lead table so that the minister can not be accused of preaching to the left or the right. When informed of the censure vote movement, one California representative rolled his eyes and sighed: "I'm not surprised. A lot of these people would do anything rather than submit to a hard vote. Censure? What a joke." It apparently is no joke to the pressing conservatives. Florida Republican Bill Young says he's heard it discussed on the floor with increasing regularity. Another member says, "It's serious, for the guy who has a district 70 per cent for Nixon it's damn serious." And a panelist on the House Judiciary Committee confides: "I've been approached, but I'm damned if I'll admit by whom." The last sentiment is of sidelight interest to the central issue. The Judiciary member's obvious inference DAILY TIMES HERALD 508 North Court Street Carroll, Iowa Daily Except Saturdays, Sundays and Holidays other than Washington's Birthday and Veteran's Day, by the Herald Publishing Company. JAMES W.WILSON, Publisher HOWARD B. WILSON, Editor W L. REITZ, News Editor JAMES B.WILSON, Vice President, General Manager Entered as second-class matter at the post-office at Carroll, Iowa, under the act of March 2,1897. Member of the Associated Press The Associated Press is entitled exclusively to the use for republication of all the local news printed in this newspaper as well as all AP dispatches. __ Official Paper of County and City Subscription Rates Bv carrier boy delivery per week $ .60 BY MAIL Carroll County and All Adjoining Counties, where carrier service is not available, per year $20.00 Outside of Carroll and Adjoining Counties in Zones 1 and 2 per year *".00 All Other Mai I in the United States, per year $27.00 BERRY'S WORLD © 'Cool-wise, Ralph 1974 by NEA, Inc. * is no Henry Kissinger!" is that he has been buttonholed by the White House, not an unlikely proposition. Rumors of the censure pressure are vague and for the most part unsubstantiated, but they invariably include reference to Nixon's men. And that makes sense. The President knows the nation is weary of the impeachment proceedings, that his sympathetic constituency is growing, not shrinking; he also knows that a slap on the wrist is preferable to a blow on the head and that he could live with a slapping censure vote. But regardless of where the censure movement originated, it has moved very little. Republican House leaders say they won't be party to such a cop out. (An aide for John B. Anderson, leader of the House Republican Conference, says the censure thing is " DU ii. + .+ i"). Republican rank and file for the most part, seem equally opposed. The office of Barry Goldwater Jr. says a bugout is not the "conservative way" of doing things: "We've got to settle the impeachment issue one way or the other." The Goldwater view gets to the heart of the matter. Impeachment may be harsh, but it is at least decisive. Censure (merely ritualistic indignation) would be a meaningless zero. The President stands accused of crimes that lesser beings now pay for in prison; 45 of his men have been charged with criminal offenses and 31 have been convicted or pleaded guilty. This is the stuff of censure votes? The nation knows better. Beyond this, and even more important, is the need to settle the democratic questions of Watergate, the most important of which is whether a president is legally liable or imperialistically aloof from his nation's laws. (It is being discussed here now — no kidding — whether Nixon, if found guilty, has the power to pardon himself.) Clearly, censuring the President at this juncture would result in more embarrassment, bitterness arid, yes, more risk than impeaching him. The issue is too grave for proxy solutions. Congress should know, as do the people, that when you aim at the king it's prudent to aim well. Health Cellulite is Fat Dr. Lawrence E. Lamb, M. D. DEAR DR. LAMB — Enclosed please find an advertisement that is being repeated in newspapers and magazines on the subject of "cellulite." Just what is it, and how can it be eliminated? Exercise? Diet? Massage? There are thousands of women who will appreciate your comments and advice on this matter. May I say that for many of us your column has proved to be a life saver. DEAR READER — And, we are off on another mad, crazy fad to exploit the most exploited group of people in modern society, those with excess fat, Cellulite is a new term for lumps and bumps of fat. "If you squeeze it and it dimples it's cellulite." It's not nice to dimple any more. It's "orange peel fat." It's that ugly, bumpy fat around the thighs or elsewhere. The key is that it is FAT. Not all fat is distributed evenly. It has a habit of being deposited as a "spare tire" or as lumps or bumps, but regardless of how it is deposited it is fat. Other than the fatty tumors (lipomas) the right treatment for FAT is directed toward eliminating obesity. Other magical cures that defy the laws of science have a habit of defying everything except the ability to get money from people who are displeased with their appearance because of lumps and bumps of fat. Spot reducing doesn't work. To eliminate bumps and lumps of unsightly fat you need to lose fat all over. That means good diet principles (no fads or crash efforts, but a sensible, regular, well-balanced diet) and proper exercise. So, if you have lumps and bumps and spare tires, go on a good program to eliminate obesity directed along sensible diet and exercise programs. In short, forget about "cellulite." For some sane recommendations you will want to read the booklet I have prepared on losing weight. Send 50 cents, to cover costs, to "Losing Weight," in care of this newspaper, P.O. Box 1551, Radio City Station, New York, N.Y. 10019. DEAR DR. LAMB — For.the benefit of us senior citizens will you please discuss the merits of vitamin E for aging. Also, what is the best way of taking this vitamin? Is there any truth in the rumor that it could cause cancer? DEAR READER — First things first. There is no evidence at all that vitamin E causes cancer. I'm not a vitamin E enthusiast, but I believe in being fair. The evidence is that vitamin E is essentially harmless, even if it isn't helpful. There is some experimental work that demonstrates a slightly longer life span in mice and rats taking additional vitamin E. However, I must caution you that animals and man have different vitamin needs. We have to take vitamin C, but a cow doesn't. A cow can develop vitamin E deficiency and man does not under any ordinary circumstances. So, the animal experiments may have no application whatever to man. Now, if you want to take it anyway, it ; won't do any harm except for the money it costs. The best place to get vitamin E is in a good, well-balanced diet of wholesome foods, but if you want a supplement any of the capsules or tablets are adequate. I should think that any preparation containing 100 units a day would be more than adequate for this supposed purpose. Incidentally, the 1973 Recommended Daily Allowance for vitamin E is only about 15 units. This is not a recommendation for its use. MFN to USSR? An overwhelming majority of U.S business executives with international responsibilities favors this country's extending "most-favored-nation" (MFN) treatment to communist countries without regard to their emigration policies. Business International Corp., a New York-based research publishing and counseling organization, recently polled 236 top executives representing 220 companies. A total of 195 executives (83 per cent) opposed attaching any strings to MFN, 29 favored restrictions and 12 had no opinion. Most-favored-nation treatment would accord goods from communist countries the same tariff treatment that is generally given those of "free world" countries. Britain, France and most other western nations extend MFN to communist regimes but the U.S. withdrew MFN from the communist nations during the height of the cold war. Sen. Henry M. Jackson would deny MFN to any nation that limits emigration of its citizens. The Jackson amendment is aimed principally at the Soviet Union because of its restrictions on Jewish emigration. On the question of the probable effect on their companies' export of the granting of MFN to communist countries, 48 per cent of the executives felt their exports would rise, 33 per cent believed they would not and 29 per cent had no opinion.
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