With the compassionate look of a man who had seen much too much pain


Robert D. Wachter of Jackson, Wyoming is a family values kind of guy, he personally gave a thousand bucks to the Republican party this election cycle because, to hear them tell it, Republicans are the party of values. Mr. Bob Wachter ( corrected from Dr.), C.E.O. of American Healthcare Management belongs to the Abramoff-Foley-Bush-Delay school of values, Nursing Home Executive Gets Prison Time

U.S. Attorney Catherine Hanaway announced Tuesday morning that the C.E.O. of American Healthcare Management pleaded guilty to conspiracy to defraud Medicare and Medicaid. Robert D. Wachter, 59, of Jackson, Wyoming could be sentenced to up to 18 months in prison and be fined nearly $30,000. The corporations could be fined more than a half-million dollars.

Hanaway said three local homes, including Claywest House Healthcare, Oak Forest North and Lutheran Care Center, didn’t properly take care of their residents.

According to prosecutors, staff members often wouldn’t help people who couldn’t feed themselves, leaving food trays untouched. Residents developed life-threatening bed sores and prosecutors say they went extended time periods without being bathed.

In one case, workers found ants crawling all over an 88-year-old woman who died two weeks later.

Prosecutors say another patient, a 78-year-old man, died after he was assaulted by an employee.

Wachter was responsible for budgets and staffing at the nursing homes and prosecutors say a serious shortness of staffing led to the problems. Wachtner billed Medicare and Medicaid for the health care of residents, even though care was never provided in many cases. Wachtner and the company then hid the condition of the nursing homes from state and federal authorities.

Four other nursing homes owned by American Healthcare Management are also being investigated for similar claims.

Bob is a man of science and conservatism. Something of a contradiction in terms. To devote one’s life to rationalism and the irrational at the same time. Like many conservatives Bob ultimately could only serve one master and that was business. Business in the way that conservatives view business, as an end in itself. How did he do this? The way that conservatives always do it, with a strong dose of daily rationalizations. What did you tell yourself Bob, that they were 78 or 88 and they were going to eventually die anyway and you had a Mercedes payment and a quarterly profit statement coming up.

Origin of Wealth: Evolution, Complexity, and the Radical Remaking of Economics

…Instead, he outlines an open, adaptive system with interlocking networks that change organically, reflecting the interaction of technological innovation, social development and business practice. Wealth is created to the degree that this interaction decreases entropy in favor of “fit order” that meets human needs, desires and preferences. Beinhocker is sufficiently comfortable with this evolutionary model to advocate a comprehensive redesigning of institutions and society to facilitate it. He argues for corporate policies that favor many small risks over a few big ones and recommends restructuring financial theory to favor growth and endurance rather than short-term gains.

Study Claims Iraq’s ‘Excess’ Death Toll Has Reached 655,000

A team of American and Iraqi epidemiologists estimates that 655,000 more people have died in Iraq since coalition forces arrived in March 2003 than would have died if the invasion had not occurred.

The estimate, produced by interviewing residents during a random sampling of households throughout the country, is far higher than ones produced by other groups, including Iraq’s government.

It is more than 20 times the estimate of 30,000 civilian deaths that President Bush gave in a speech in December. It is more than 10 times the estimate of roughly 50,000 civilian deaths made by the British-based Iraq Body Count research group.

The surveyors said they found a steady increase in mortality since the invasion, with a steeper rise in the last year that appears to reflect a worsening of violence as reported by the U.S. military, the news media and civilian groups. In the year ending in June, the team calculated Iraq’s mortality rate to be roughly four times what it was the year before the war.

Of the total 655,000 estimated “excess deaths,” 601,000 resulted from violence and the rest from disease and other causes, according to the study. This is about 500 unexpected violent deaths per day throughout the country.

What is that rumbling you here, that chatter of little neocon minds, that babble that we will here over the next week. That is the sound of neocono americanis, the near extinct species of keyboard cadets that will one, claim that the methodology is wrong, and/or two, its not that Bush is responsible it is the Iraqis killing each other. This is the excuse of the guy that ran the red-light unscratched and caused several deaths then swears none of it was his fault.

Another Open Letter to Thomas Friedman

Then you go on to say “I’m not a free trader anymore. I’m now a radical free trader.” Why? Not because of hard data on stagnating wages, increased poverty, higher economic inequality – no, using that to make conclusions wouldn’t be the Friedman way. No, you are a “radical free trader” now (as if you weren’t before) because on a few of your junkets, you picked up a few interesting anecdotes that help you keep shilling for Big Money interests. At one point, you cheer on how your CEO buddies are really excited to outsource more American jobs. At another point, you provide us an anecdote of a businessman in Nebraska, and write breathlessly: “Midwest Indians publishing Arabic brochures for Nebraskans importing from Koreans for customers in Kuwait.” Oh, how Friedmanesque. Like your colleague Paul Krugman today, you could have just as easily written about Wal-Mart’s Arkansas white corporate executives exploiting Chinese slave labor to sell dry goods to now-unemployed people in Toledo. But no, only the little people think about that.

Friedman is no longer a free trader, does that mean he is no longer a neo-liberal. Thomas reminds me of a sponge, he hangs out with the cool CEOs and soaks up whatever cool sounding twiddle they’re running up the flag poll this week, then looks in Wired mag for some cool adjectives to tack on then sells it his readers like he has reinvented the wheel.

With the compassionate look of a man
who had seen much too much pain…

Dr. Walter Mitty,
the surgical genius…

entered the breathless hush
of the operating room…

the sound of the huge
anesthetizing machine…

going ta-pocketa, ta-pocketa.
from the screenplay The Secret Life Of Walter Mitty

This was left on Dec. 8, 2006 by someone that hacked into the this site ( which is illegal by the way).

Your October 11th article on “Dr. Bob Wachter” is COMPLETELY FALSE! Robert D. Wachter, of Jackson WY and Dr. Robert “Bob” Wachter are two completely different people. Dr Wachter is a respected professor and Associate Chairman of Medicine at the University of California, San Francisco. He is also the chief of the medical service at UCSF Medical Center. He is not the C.E.O. of American Healthcare Management as stated in your article. Robert D. Wachter, the actual C.E.O… and by the way, he is not even a doctor so I see no possibility for confusion. Your article states that Dr. Wachter, the respected southern California Professor and MD, is Robert Wachter of Jackson, WY. There is a legal term for this and it is LIBEL. You may also be familiar with the non-legal term “irresponsible journalism”. I have forwarded your article to Dr. Wachter and expect a full and immediate retraction or legal action will be taken. I will check back for this retraction on December 18th, exactly 10 days from today.

Since “Bob” is a common nick name for anyone named Robert and I specified “Dr. Bob Wachter, C.E.O. of American Healthcare Management” – ( update corrected from Dr. to Mr. and see below for confirmation that this Bob is from Jackson) I specified Wyoming in the text as did the original news story and made no mention of anyone from California. I tend to think that this is either a prank or the poster-hacker lacks reading comprehension skills. The link and hence the block quote is from a station KSDK in St. Louis. Might be interesting Ben, you sue me for libel and I call the FBI about your hacking and threats.


Entering pleas today on charges of conspiracy to defraud the United States and healthcare fraud:

* ROBERT D. WACHTER, 59, Jackson, Wyoming
* OAK FOREST NORTH, LLC, 2600 Redman Road, St. Louis
* LUTHERAN CARE CENTER, LLC, 1255 McLaran, St. Louis

Wachter is now facing 18 months imprisonment and a $29,000 fine; each of the corporations face $180,250 fines. Sentencing has been set for February 25, 2007.

This isn’t even close to confusing. There are millions of people in America that have the same name. In this case is someone whose life, credentials, etc that I have no knowledge of has been dragged in, while the other is a criminal who pleaded out to charges of conspiracy.