1616 So how's that working for you?

is a favorite expression of Dr. Phil after a guest has just spilled her guts about how badly she messed up her life and that of 37 other people. I've been wondering that about FEMA. For all of you who want more federal interference in our health care system, have you been watching the response? Let's skip New Orleans. I don't care how good FEMA might have been, it couldn't have overcome the Blanco-Nagin disaster response team.

Let's look instead at Mississippi. From the census data I saw, there were more homes in the path of Katrina in Mississippi than in Louisiana. The media just couldn't get 10,000 black people in one place to make it an anti-Bush story, so they skipped all the others whose homes were blown away or flooded in non-flood zone areas. But they've got a horrible mess there too. And an economy built on off-shore gambling? Whew! Talk about an economy below sea level! Just go check out St. Casserole who is ministering to her people in that state.

Here's the story of how we got FEMA. It was Jimmy Carter's idea to consolidate multiple agencies into one, and Joe Lieberman's committee to then fold that humongous agency into an even larger federal agency, Homeland Security. From FEMA's webpage:

"President Carter's 1979 executive order merged many of the separate disaster-related responsibilities into a new Federal Emergency Management Agency (FEMA). Among other agencies, FEMA absorbed: the Federal Insurance Administration, the National Fire Prevention and Control Administration, the National Weather Service Community Preparedness Program, the Federal Preparedness Agency of the General Services Administration and the Federal Disaster Assistance Administration activities from HUD. Civil defense responsibilities were also transferred to the new agency from the Defense Department's Defense Civil Preparedness Agency."

Keep in mind, those functions are still needed during disaster--insurance, fire control, preparedness, civil defense, etc., but after 1979, it just became more unwieldy, and after 2001, almost ground to a molassess-in-January pace.

"In March 2003, FEMA joined 22 other federal agencies, programs and offices in becoming the Department of Homeland Security. The new department, headed by Secretary Tom Ridge, brought a coordinated approach to national security from emergencies and disasters - both natural and man-made. Today, FEMA is one of four major branches of DHS. About 2,500 full-time employees in the Emergency Preparedness and Response Directorate are supplemented by more than 5,000 stand-by disaster reservists."

So why do you want this with our health care? Or for that matter, our educational system and our pensions, but that's so ingrained we'll never get out of that hole. There's still hope for our health.