European Stars And Stripes (Newspaper) - March 26, 1987, Darmstadt, Hesse                                Thursday March 26, 1987 the stars and stripes Page 11 Ann Landers dear Ann Landers i am concerned about my Mother she ii 35 years old and Tince did died 12 Yean ago she has had two lace lifts her nose done Over three times a Bruit reduction operation liposuction on her thighs a Bumon Ecloy a. Racial Demb Rasport an appendectomy and surgeries for ulcers which two gastrointestinal specialist Taid could be treated by diet she has Hud Back problems for the last three months and is looking for a doctor who will perform surgery to fix it once and Tor All our family physician tried to talk her out of it but foiled she is determined. Why would a person want an operation please explain what is going on with my Mother. I am baffled. No name or City please. Just sign me distressed in the West dear dist need _ you Mother has  addiction. Tills Means the has a compulsive need to be operated on. According to or. Miry Ruth Wright from Baylor College of Medicine org by addicts an people who a filled with Nett and amt let that goo Back to Anre told problem in childhood. They get i psychological lift from operations feeling certain that their Taro sea Watt Lou How be Cut oat with the ingery. Sur wry add Lett resist therapy. They Law Iek need to undergo reran1 and know from experience that if they look hard and Long enough they will find a doctor who win operate. Dear Ann Landers my husband and 1 have been arguing about some thing for several weeks we need the opinion of an unbiased outsider. Our son Chris is 17. He wants to work in a shop Ping mall after school and on weekends. Several of his Friend Are employed there. They make s. 15 an hour. We Are upper Middle class people. Chris gels an allowance and does not need to work. I am opposed to his taking this Job because his grades Are just fair and if he works they will be worse. His father says Chris needs the discipline that a Job will provide plus it Wilt teach him How to handle Money. He keeps reminding me that he worked at various jobs after school Starling when he was 14 and it prepared him for a successful career. What do you say Ann at loggerheads in san mated Dea Sanmateo there gnat Deal of Validity to what your husband Lay but a teen Ager s principal Job should be school. If he u doing no better time fair it would be foolish to let him wort in the shopping null. Too often Khoo work Uffen Wluka mediocre students take on part time employment and frequently the pay Check toe for motorbikes secondhand can record Al bums leather jackets drags and alcohol. In Many Homes. It is essential thai the teen Ager work to help buy food and clothing or save for College. But in the Case of Chris Tell him to forget it. Confidential to Point and counterpoint in Potter a lilt i can understand a husband and wife marching to a different drummer but you two Aren t even in the sane Parade. Get joint counselling and work hard at making a go of the marriage. Your children com ments made a lot of sense to me. Listen to them. From the Mouths of  lot Antrim tire columnist Landart were mow your Stltt you in Jofto Rwy a a to Sun ins strip. Apo m2i1. Us. Of letters army physician criticizes proposed fees having worked for the army for Over 30 years As a physician i can relate to the minority of our military population mostly medical folks who feet that charging dependents and retirees far out patient medical care would be a Good thing. Certainly Many visits Are by himself or herself. Some of us have proposed that charging a fee would reduce these nuisance visits and give us More time for the really sick people who not Only need us but arc the ones we can really  those people in government such As the bomb and the co who arc trying to reduce the huge budget deficit have looked at rising medical costs and have proposed these charges As a Means of raising Revenue although they say. Saving Money. Rather we need to consider what Learned historians Call the Law of unintended  White. Theodore in search Oft slav up 304-305, is i Harper & Row. New York 19 8 implicit in this Law is thai is that ofttimes some of the most significant of the consequences of an action or pro Gram de Are comp be anticipate this action clearly would be a reduction of existing benefits and if implemented would serve notice that any and All existing benefits May be reduced or eliminated As readily. I leave it to others to debate the Wisdom of instituting these charges considering the Impact on recruitment and retention. Not much Lime would be saved from charges to Stop unnecessary  Many civilian pay Patin is pay s5s for the same kind of unnecessary visits a charge of 110 is certainly not going to eliminate them. The kinds 6f visits which would be reduced do not Lake much Lime. So let us suppose that visits were reduced by 10 percent but these visits Only take half As much time As an average visit. The manpower Vilican r n desirable or not Are not Only unintended but completely unanticipated. But of those which can Nti Cipale i suggest the following people will Sec a 10 percent reduction in workload and will reduce resource and not by 5 percent but by 10 percent. The result would be even less Lime for the really  there arc problems associated with charging set per Dick fees for medical care. Sometimes patients become angry when they receive no More than the medical problem actually requires . Reassurance and simple symptomatic treatment. They expect x rays Laboratory tests and antibiotics which often in the physician s opinion arc not medically indicated. To avoid complaints which can jeopardise careers physicians May yield to pressure to Ove Rutili re sources. Per Dick fees increase these pressures. Yet per Dick fees arc used because it is believed that True Fec for service Hilling would be an even greater prob Lem. Per Dick charges arc probably simpler but not As simple As believed by those who do not have to Deal with them every Day medical fees for out patient care will act us a Barrier which will not selectively Weed out trivial problems. An absolute As Well As a relative increase in sicker patients will be seen because some patients will wait longer before coming in for care. This would increase the need for resources per patient visit yet resources May be even less available because of the reduced workload . Patient visits. Delay in seek ing care probably would result in some increase in preventable deaths. So my friends and colleagues you Are Well aware that our patients expect too much of us. But we expect Loo much of them As Well. They cannot be expected to know the difference Between a trivial and serious medical problem. If that judgment is so easy for us to make be Happy that some of our work is not so hard. We will not be the ones to decide whether or nol the proposed fees to be charged will be implemented. But if they Are it will not make our Job any Cosier and May make it appreciably harder As Well have an Adverse effect on morbidity and mortality. Frank c. Leitnaker . Miessau Germany military police code of ethics rewritten the following was written by an unknown military policeman stationed at fort Hood Texas. In this Day and time this article is True nol Only for military policemen but for All Law enforcement officers. It is a rewrite of the military police code of ethics. I m a military policeman in the United Stales army. I m of the troops and for the troops. But never understood by the troops. I hold allegiance to my country and Devotion to duty above All else. Even though it May cause my family to leave me and will allow me a limited personal life with few friends i proudly recognize my obligation to perform my duty with integrity loyally and honesty. Even though my integrity and honesty will always be questioned and Ray loyally must be to Many. 1 will assist and protect my fellow soldiers in a Man Ner that is fair courteous and impartial. Even though i know As soon As my Back is turned i will be called a  Puppy or a pig. I will promote by personal example the highest Stan Dards of soldiering stressing performance and professionalism. Even though other soldiers Wilt say that i a unfair and to some of my Peers i will be Brown  i will strive to Merit the respect of others seeking no favors because of position but instead the satisfaction of a Mission accomplished and a Job Well done. Even though i will very rarely if Ever near a thank you or Good but can guarantee 1 will hear about it if a mistake is made. Yes i m a military policeman in the United slates army respected by few seen by Many and understood by none. Name withheld Neu Ulm Germany pen pal i would . I we Armun Xii h. Bin pm Kimsai it Yuri of. . Orts Al. Pup Plum i am 26 to nth Toong or   Man tune. Bunon negro on Onul. Pm Nippon i to Kiu thud i hiring dim to Mil. Sptc-4 Tom set mar  spa. In i Milto. To  amp iot6 741 orig swim pm Len 061hi Ali ets 3w474i a um8z. Tow m1b-312. Now Vort Ohk rkhi401, s2 Einnan a. New Vork 10o 1,t a Coo. In Jjo-3jm.  col Jim we h. Cook us com mind editor Mari a it co. Suzanne l. Phil Ril Marie Kownick Wrt Proctor Olane b.  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