Skip mammograms in 40s, Start At 50 Is This Because Of Health Bill?

[ILoveObama]

NEW YORK – Most women don't need a mammogram in their 40s and should get one every two years starting at 50, a government task force said Monday. It's a major reversal that conflicts with the American Cancer Society's long-standing position.

Also, the task force said breast self-exams do no good and women shouldn't be taught to do them.

For most of the past two decades, the cancer society has been recommending annual mammograms beginning at 40.

But the government panel of doctors and scientists concluded that getting screened for breast cancer so early and so often leads to too many false alarms and unneeded biopsies without substantially improving women's odds of survival.

"The benefits are less and the harms are greater when screening starts in the 40s," said Dr. Diana Petitti, vice chair of the panel.

The new guidelines were issued by the U.S. Preventive Services Task Force, whose stance influences coverage of screening tests by Medicare and many insurance companies.

But Susan Pisano, a spokeswoman for America's Health Insurance Plans, an industry group, said insurance coverage isn't likely to change because of the new guidelines. No changes are planned in Medicare coverage either, said Dori Salcido, spokeswoman for the Health and Human Services department.

Experts expect the task force revisions to be hotly debated, and to cause confusion for women and their doctors.

"Our concern is that as a result of that confusion, women may elect not to get screened at all. And that, to me, would be a serious problem," said Dr. Len Lichtenfeld, the cancer society's deputy chief medical officer.

The guidelines are for the general population, not those at high risk of breast cancer because of family history or gene mutations that would justify having mammograms sooner or more often.

The new advice says:

_Most women in their 40s should not routinely get mammograms.

_Women 50 to 74 should get a mammogram every other year until they turn 75, after which the risks and benefits are unknown. (The task force's previous guidelines had no upper limit and called for exams every year or two.)

_The value of breast exams by doctors is unknown. And breast self-exams are of no value.

Medical groups such as the cancer society have been backing off promoting breast self-exams in recent years because of scant evidence of their effectiveness. Decades ago, the practice was so heavily promoted that organizations distributed cards that could be hung in the shower demonstrating the circular motion women should use to feel for lumps in their breasts.

The guidelines and research supporting them were released Monday and are being published in Tuesday's issue of the Annals of Internal Medicine.

The new advice was sharply challenged by the cancer society.

"This is one screening test I recommend unequivocally, and would recommend to any woman 40 and over," the society's chief medical officer, Dr. Otis Brawley, said in a statement.

The task force advice is based on its conclusion that screening 1,300 women in their 50s to save one life is worth it, but that screening 1,900 women in their 40s to save a life is not, Brawley wrote.

That stance "is essentially telling women that mammography at age 40 to 49 saves lives, just not enough of them," he said. The cancer society feels the benefits outweigh the harms for women in both groups.

International guidelines also call for screening to start at age 50; the World Health Organization recommends the test every two years, Britain says every three years.

Breast cancer is the most common cancer and the second leading cause of cancer deaths in American women. More than 192,000 new cases and 40,000 deaths from the disease are expected in the U.S. this year.

Mammograms can find cancer early, and two-thirds of women over 40 report having had the test in the previous two years. But how much they cut the risk of dying of the disease, and at what cost in terms of unneeded biopsies, expense and worry, have been debated.

In most women, tumors are slow-growing, and that likelihood increases with age. So there is little risk by extending the time between mammograms, some researchers say. Even for the minority of women with aggressive, fast-growing tumors, annual screening will make little difference in survival odds.

The new guidelines balance these risks and benefits, scientists say.

The probability of dying of breast cancer after age 40 is 3 percent, they calculate. Getting a mammogram every other year from ages 50 to 69 lowers that risk by about 16 percent.

"It's an average of five lives saved per thousand women screened," said Georgetown University researcher Dr. Jeanne Mandelblatt.

Starting at age 40 would prevent one additional death but also lead to 470 false alarms for every 1,000 women screened. Continuing mammograms through age 79 prevents three additional deaths but raises the number of women treated for breast cancers that would not threaten their lives.

"You save more lives because breast cancer is more common, but you diagnose tumors in women who were destined to die of something else. The overdiagnosis increases in older women," Mandelblatt said.

She led six teams around the world who used federal data on cancer and mammography to develop mathematical models of what would happen if women were screened at different ages and time intervals. Their conclusions helped shape the new guidelines.

Several medical groups say they are sticking to their guidelines that call for routine screening starting at 40.

"Screening isn't perfect. But it's the best thing we have. And it works," said Dr. Carol Lee, a spokeswoman for the American College of Radiology. She suggested that cutting health care costs may have played a role in the decision, but Petitti said the task force does not consider cost or insurance in its review.

The American College of Obstetricians and Gynecologists also has qualms. The organization's Dr. Hal Lawrence said there is still significant benefit to women in their 40s, adding: "We think that women deserve that benefit."

But Dr. Amy Abernethy of the Duke Comprehensive Cancer Center agreed with the task force's changes.

"Overall, I think it really took courage for them to do this," she said. "It does ask us as doctors to change what we do and how we communicate with patients. That's no small undertaking."

Abernethy, who is 41, said she got her first mammogram the day after her 40th birthday, even though she wasn't convinced it was needed. Now she doesn't plan to have another mammogram until she is 50.

Barbara Brenner, executive director of the San Francisco-based Breast Cancer Action, said the group was "thrilled" with the revisions. The advocacy group doesn't support screening before menopause, and will be changing its suggested interval from yearly to every two years, she said.

Mammograms, like all medical interventions, have risks and benefits, she said.

"Women are entitled to know what they are and to make their best decisions," she said. "These guidelines will help that conversation."

Heres The Article -
http://news.yahoo.com/s/ap/20091116/ap_on_he_me/us_med_mammogram_advice :talktothehand:

[Corgiluv]

It could be a precursor to healthcare reform.

All the talk about saving one additional life isn't worth the extra screening and expense...... that is, unless you happen to be that one whose life is saved.

Expect women everywhere in the US to have a fit over this.

[slowhand]

It could be a precursor to healthcare reform.

All the talk about saving one additional life isn't worth the extra screening and expense...... that is, unless you happen to be that one whose life is saved.

Expect women everywhere in the US to have a fit over this.


They should..I saw a segment about that on the news last night..They start off by saying that breast cancer is the number two killer of woman, and then they tell you, not to start getting mammograms at 40 anymore, that you dont need to get a one untill you're 50?..That is one some of the most contradictive bullshit that Ive ever heard!

Reminds me of bacon..Good..No good..Good..No good..WTF!!??

[Corgiluv]

They should..I saw a segment about that on the news last night..They start off by saying that breast cancer is the number two killer of woman, and then they tell you, not to start getting mammograms at 40 anymore, that you dont need to get a one untill you're 50?..That is one some of the most contradictive bullshit that Ive ever heard!

Reminds me of bacon..Good..No good..Good..No good..WTF!!??


Exactly Slowhand. I think they really screwed up on this one.

[MintJulep]

Just a minor preview of the healthcare rationing to come if CommieCare is implemented.

[xav8terx]

Just a minor preview of the healthcare rationing to come if CommieCare is implemented.

Oh you mean the one that doesnt go into effect until 2013?

[SirMoby]

All the talk about saving one additional life isn't worth the extra screening and expense...... that is, unless you happen to be that one whose life is saved.
Maybe all women should get checked every year starting even before 40.

It's a recommendation. It's not mandate that you can't get one.

[SirMoby]

Just a minor preview of the healthcare rationing to come if CommieCare is implemented.
It's a good thing that no one has proposed any type of rationing, any single payer health care or anything that resembles Communist Health Care in any way (well out side of the minds of Glenn Beck).

Why do you keep speaking about fantasy when there are real issues here?

[kres24GT]

Moby urges us to ignore the government's recommendation on breast exams, but we should give more control over the health care system to them. Holy Sheep Batman!


Breast cancer is popular on my mom's side of the family unfortunately. This is a great example of why we need government out of health care. Women need to get these mammograms. Advising women to wait to 50 shows we can't trust government when it comes to health care.

[Boogie man]

You don't really need that mammogram........you don't really need that MRI.......you don't really need that ultrasound........you don't really need that colonoscopy.......

I love government run health care.

[slowhand]

You don't really need that mammogram........you don't really need that MRI.......you don't really need that ultrasound........you don't really need that colonoscopy.......

I love government run health care.

Im on govt healthcare..Maybe you've hear of it..Its call Medicare..I had a colonoscopy last year..I had an andoscopy too..I see my Neurologist when ever I need to, 4, 5, 6 times a year or more if necessary, and its free after I meet a small deductable..I see a Chiropractor once or twice a month..It costs me $7.20 co-pay per visit..I have a Urologist, and guess what?..I didnt need a referal from a primary care physician..Oh, lest I forget..I just got me a new primary care physician of my choice..I went in the ER with pains in my chest a couple of years ago..Them folks gave me 2 EKG's, chest x-rays, and did blood work twice..They were even gonna give me a shot of mophine, which I refused, and you know what?..I'll be a sum'bitch if that there hospital never sent me a bill..My Commiecare Card paid the whole shootin' shabang..Why, thanks to George dubya Bush, I got me a Commiecare Prescription Card too, and they done bury mah ass in all the gee-neric drugs I can swallow..Can you stand it???..And if I go off my rocker, them nice folks will pay for my shrink, a padded room, and enough thorozineand prozac to kill a horse..I wonder if I can get them to pay my cable bill?..I think I'll go to the Commiecare.com website and click on "frequently asked questions" and see what it says about that?

[SirMoby]

Do you people understand that the methods used by the U.S. Preventive Services Task Force weren't updated by Obama?

They were updated in 2007 by Bush. :)

[kres24GT]

Do you people understand that the methods used by the U.S. Preventive Services Task Force weren't updated by Obama?

They were updated in 2007 by Bush. :)
I never said anything about any specific politicians Moby. It's always funny to watch sheep try and make everything partisan, assuming everyone is as big a sheep as they are.

[MintJulep]

Im on govt healthcare..Maybe you've hear of it..Its call Medicare..I had a colonoscopy last year..I had an andoscopy too..I see my Neurologist when ever I need to, 4, 5, 6 times a year or more if necessary, and its free after I meet a small deductable..I see a Chiropractor once or twice a month..It costs me $7.20 co-pay per visit..I have a Urologist, and guess what?..I didnt need a referal from a primary care physician..Oh, lest I forget..I just got me a new primary care physician of my choice..I went in the ER with pains in my chest a couple of years ago..Them folks gave me 2 EKG's, chest x-rays, and did blood work twice..They were even gonna give me a shot of mophine, which I refused, and you know what?..I'll be a sum'bitch if that there hospital never sent me a bill..My Commiecare Card paid the whole shootin' shabang..Why, thanks to George dubya Bush, I got me a Commiecare Prescription Card too, and they done bury mah ass in all the gee-neric drugs I can swallow..Can you stand it???..And if I go off my rocker, them nice folks will pay for my shrink, a padded room, and enough thorozineand prozac to kill a horse..I wonder if I can get them to pay my cable bill?..I think I'll go to the Commiecare.com website and click on "frequently asked questions" and see what it says about that?CommieCare is going to do a hacketjob on Medicare and you won't be getting all of that if it passes. They'll tell you to take a pain pill and hope for the best. There is no other way around it.

[SirMoby]

CommieCare is going to do a hacketjob on Medicare and you won't be getting all of that if it passes. They'll tell you to take a pain pill and hope for the best. There is no other way around it.
I love that name. Of course is has nothing to do with any proposed but what would a GOP argument based on facts actually look like?

[kres24GT]

LMAO @ Not being able to help but turn this thread into partisan bickering.

[Binky]

Maybe all women should get checked every year starting even before 40.

It's a recommendation. It's not mandate that you can't get one.


And maybe all men should have to have a proctologist check them for colon cancer as well. Or better yet, maybe men should have to put their penis' in a vice and then tightened until you are wencing in pain. How'd you like that? Breast cancer doesn't run in my family. And I've had several of them, thank you very much, and I damn sure didn't enjoy them either. And if at all possible, I will NEVER again have another one....

[slowhand]

LMAO @ Not being able to help but turn this thread into partisan bickering.

Just another day in the neighborhood :banghead:

[wayers57]

I love that name. Of course is has nothing to do with any proposed but what would a GOP argument based on facts actually look like?

Talk about sheep, there is so much wool in your postings you would think the textile industry was making a comeback!:lmao2:

[MintJulep]

I love that name. Of course is has nothing to do with any proposed but what would a GOP argument based on facts actually look like?It has EVERYTHING to do with what the end result will be.

The goal is to put insurance companies out of business and enter the gubbermint. Enough said.

[xav8terx]

It has EVERYTHING to do with what the end result will be.

The goal is to put insurance companies out of business and enter the gubbermint. Enough said.



Dont worry i'm sure you can get hired on with big pharma!!

[MintJulep]

Dont worry i'm sure you can get hired on with big pharma!!I really don't give a damn about that. I just don't want CommieCare, period. This thread title is a prime example of the rationing that would occur under CC in the name of "cost effectiveness".

[xav8terx]

I really don't give a damn about that. I just don't want CommieCare, period. This thread title is a prime example of the rationing that would occur under CC in the name of "cost effectiveness".


Then move. :thumbsup:

[MintJulep]

Then move. :thumbsup:No way. America will never be a nanny state, commie country. You better go cuddle up with Chavez or Castro cuz it ain't happening here. :thumbsup:

[xav8terx]

No way. America will never be a nanny state, commie country. You better go cuddle up with Chavez or Castro cuz it ain't happening here. :thumbsup:


LMFAO...oh really? You dont pay attention much do you? :lmao2:

[Boogie man]

Im on govt healthcare..Maybe you've hear of it..Its call Medicare..I had a colonoscopy last year..I had an andoscopy too..I see my Neurologist when ever I need to, 4, 5, 6 times a year or more if necessary, and its free after I meet a small deductable..I see a Chiropractor once or twice a month..It costs me $7.20 co-pay per visit..I have a Urologist, and guess what?..I didnt need a referal from a primary care physician..Oh, lest I forget..I just got me a new primary care physician of my choice..I went in the ER with pains in my chest a couple of years ago..Them folks gave me 2 EKG's, chest x-rays, and did blood work twice..They were even gonna give me a shot of mophine, which I refused, and you know what?..I'll be a sum'bitch if that there hospital never sent me a bill..My Commiecare Card paid the whole shootin' shabang..Why, thanks to George dubya Bush, I got me a Commiecare Prescription Card too, and they done bury mah ass in all the gee-neric drugs I can swallow..Can you stand it???..And if I go off my rocker, them nice folks will pay for my shrink, a padded room, and enough thorozineand prozac to kill a horse..I wonder if I can get them to pay my cable bill?..I think I'll go to the Commiecare.com website and click on "frequently asked questions" and see what it says about that?

Check back with me after they cut your benefits when the entire nation is on the government plan.

[Boogie man]

Then move. :thumbsup:

You move. We were here first. We are the ones who sacrificed to fight the wars to keep us free. We are the ones whose families paid the price. You move. Don't worry, we'll pay for your expenses like you want us to pay for everything else in your miserable parasitic life.

[MintJulep]

LMFAO...oh really? You dont pay attention much do you? :lmao2:No, obviously you don't. A public option will never make it.

Then, when Commie Obammie is out in three, we can reverse the damage.

:lmao2:

[xav8terx]

You move. We were here first. We are the ones who sacrificed to fight the wars to keep us free. We are the ones whose families paid the price. You move. Don't worry, we'll pay for your expenses like you want us to pay for everything else in your miserable parasitic life.


LOL...fuck you douche bag. You haven't earned shit. :lmao2:

Who the fuck is we?? You native American or Latino? :lmao2:

What war did you fight in? What freedoms did you protect for me??:lmao2:

[xav8terx]

No, obviously you don't. A public option will never make it.

Then, when Commie Obammie is out in three, we can reverse the damage.

:lmao2:


LMFAO...medicare, public services...fuck it, you are to brainwashed to see...go watch beck. :lmao2:

[xav8terx]

Check back with me after they cut your benefits when the entire nation is on the government plan.



LOL what is your retarded ass rambling about now?? How can we all be on a plan and no one have benefits? You fuckin people are really reaching these days.

[slowhand]

Check back with me after they cut your benefits when the entire nation is on the government plan.

I'll bet you there isnt going to be a govt plan..I will be very surprised if there is

[foxbaron]

There is a good chance that that crap was nothing more than trial baloon to see how the american public would react hoping the public would agree that the government was looking to cut unnecessary tests and procedures and it blew up in their faces because they picked the wrong procedure to screw with.

They should have tried it with second opinions or something for old folks. They intend to kill us all off as soon as possible anyway.

[Corgiluv]

LOL what is your retarded ass rambling about now?? How can we all be on a plan and no one have benefits? You fuckin people are really reaching these days.

If they ration the care. You may technically have benefits, but it's a moot point if you cannot get in to receive it.

[Corgiluv]

There is a good chance that that crap was nothing more than trial baloon to see how the american public would react hoping the public would agree that the government was looking to cut unnecessary tests and procedures and it blew up in their faces because they picked the wrong procedure to screw with.

They should have tried it with second opinions or something for old folks. They intend to kill us all off as soon as possible anyway.


It makes one wonder what exactly is up their sleeve. I keep reading about how all this favors the young. Perhaps that is Obama's vision for a new America...out with the old, sick, decrepit, disabled, retarded, to make room for the young and vivacious. A new master race, in a manner of speaking.

[MintJulep]

It makes one wonder what exactly is up their sleeve. I keep reading about how all this favors the young. Perhaps that is Obama's vision for a new America...out with the old, sick, decrepit, disabled, retarded, to make room for the young and vivacious. A new master race, in a manner of speaking.Yep. A eugenics plan, of sorts. I've seen that all along.

[Socialist_Revolution]

Yep. A eugenics plan, of sorts. I've seen that all along.
Quote:
Originally Posted by Corgiluv
It makes one wonder what exactly is up their sleeve. I keep reading about how all this favors the young. Perhaps that is Obama's vision for a new America...out with the old, sick, decrepit, disabled, retarded, to make room for the young and vivacious. A new master race, in a manner of speaking.

Yep. A eugenics plan, of sorts. I've seen that all along.

You guys crack me up with this stuff!....SERIOUSLY! whats with the continued hitler references?

THIS IS NOT THE PLAN AT ALL! If it was then why the hell would health and human services director Kathleen Sebilious come out and say ignore the new "finding" and stick with self exams and mammograms starting at age 40???

"My message to women is simple. Mammograms have always been an important life-saving tool in the fight against breast cancer and they still are today. Keep doing what you have been doing for years - talk to your doctor about your individual history, ask questions, and make the decision that is right for you." Kathleen Sebelius, Health and Human Services Secretary, Nov. 18.

[slowhand]

It makes one wonder what exactly is up their sleeve. I keep reading about how all this favors the young. Perhaps that is Obama's vision for a new America...out with the old, sick, decrepit, disabled, retarded, to make room for the young and vivacious. A new master race, in a manner of speaking.

Come on Corgi!..You know what this is all about..This is about corporations first, and the people second..That is what it has always been about..Its the same old drilll..Money talks, and bullshit walks..The tune hasnt changed, and its a bi-partisan cancer that has been eating away at the moral fiber of this country Adminstration after Administration..Doesnt matter who is sitting in the big chair..With Obama its just more obvious..He came in like a lion with his "Change you can believe in"...And .."We're gonna change the way we do business in Washington"..What has changed?..The stock market is stronger, and the people are weaker..I dont see change..I see status quo..You know why?..Because of what John posted in this thread below..Because of the lhe lawmakers who are standing in the way..Candidates can promise you the world, they all do..But when they fantasy of becoming Prez becomes reality, the only thing that changes, is the campaign promises disappear, and we the people are faced with the same old reality..More of the same

As a liberal, I hate to say it, but its starting to look like Obama played on the discouragement of a disappointed public with his "Change" shtick, the same way Bush played on the fear of a 9/11 traumatized public to get us into Iraq..And after the dust from the "Shock and Awe" settled, we found ourselves in a 21st century Vietnam..Just like now that the "Change you can believe in" dust is beginning to settle, it is beginning to look like "More of the same"

When Obama voted yes for telecom immunity, I had a bad feeling about this "change"..A man of change would have voted against immunity..When Obama bailed out GM, I knew he had the cart before the horse..How in the hell can you bail out a company, and expect to right a sinking ship, when you have a company that cant sell its products to a finacially strained, and in many cases a bankrupt society that cant afford to buy a new car?..So what does he do next?.."Cash for clunkers"..He was kind of on the right track then, because in order for the auto dealers to sell cars, there has to be some kind of financial incentive for a broke public to be able to afford to buy..He can bail out all the failing institutions he wants, but untill consumers have the money to spend, those failing institutions are going to continue to fail..Unemployment in my state is 12.6%..Not good

Ya know, most of us sit here every damn day of the week comparing Obama to Bush, and Bush to Obama..I think its time to face reality..As long as this continues to be about Democrats and Republicans, we can continue to sit here, and character assassinate each other, all day and all night, and nothing is ever going to change..These political message boards, are just a sounding board of what the general pulse is in America is



http://www.dcjunkies.com/showthread.php?t=11580&page=2

Posted by John Galt

The only problem with bringing in outside counsel, is that the first thing they'll tell us, is to get rid of the lawmakers that are owned by the healthcare/pharma industry.

After that, it should be clear sailing.

[ILoveObama]

I always though that early prevention of heart disease and cancer was better then later. I guess early prevention of any sickness or disease is better. This report is saying other wise. Im just not sure if I believe it. Sickness is not fun.

[Corgiluv]

Come on Corgi!..You know what this is all about..This is about corporations first, and the people second..That is what it has always been about..Its the same old drilll..Money talks, and bullshit walks..The tune hasnt changed, and its a bi-partisan cancer that has been eating away at the moral fiber of this country Adminstration after Administration..Doesnt matter who is sitting in the big chair..With Obama its just more obvious..He came in like a lion with his "Change you can believe in"...And .."We're gonna change the way we do business in Washington"..What has changed?..The stock market is stronger, and the people are weaker..I dont see change..I see status quo..You know why?..Because of what John posted in this thread below..Because of the lhe lawmakers who are standing in the way..Candidates can promise you the world, they all do..But when they fantasy of becoming Prez becomes reality, the only thing that changes, is the campaign promises disappear, and we the people are faced with the same old reality..More of the same

As a liberal, I hate to say it, but its starting to look like Obama played on the discouragement of a disappointed public with his "Change" shtick, the same way Bush played on the fear of a 9/11 traumatized public to get us into Iraq..And after the dust from the "Shock and Awe" settled, we found ourselves in a 21st century Vietnam..Just like now that the "Change you can believe in" dust is beginning to settle, it is beginning to look like "More of the same"

When Obama voted yes for telecom immunity, I had a bad feeling about this "change"..A man of change would have voted against immunity..When Obama bailed out GM, I knew he had the cart before the horse..How in the hell can you bail out a company, and expect to right a sinking ship, when you have a company that cant sell its products to a finacially strained, and in many cases a bankrupt society that cant afford to buy a new car?..So what does he do next?.."Cash for clunkers"..He was kind of on the right track then, because in order for the auto dealers to sell cars, there has to be some kind of financial incentive for a broke public to be able to afford to buy..He can bail out all the failing institutions he wants, but untill consumers have the money to spend, those failing institutions are going to continue to fail..Unemployment in my state is 12.6%..Not good

Ya know, most of us sit here every damn day of the week comparing Obama to Bush, and Bush to Obama..I think its time to face reality..As long as this continues to be about Democrats and Republicans, we can continue to sit here, and character assassinate each other, all day and all night, and nothing is ever going to change..These political message boards, are just a sounding board of what the general pulse is in America is



http://www.dcjunkies.com/showthread.php?t=11580&page=2

You've managed to crystallize some of the problems with our president, except that the cash for clunkers program provided alot of money for Japan. :banghead:

I do think Obama is more sinister than you are willing to admit, but time will certainly tell.

Anyway my friend, I do appreciate your long and thoughtful response, and hope you are right and I am wrong.

[slowhand]

You've managed to crystallize some of the problems with our president, except that the cash for clunkers program provided alot of money for Japan. :banghead:

I do think Obama is more sinister than you are willing to admit, but time will certainly tell.

Anyway my friend, I do appreciate your long and thoughtful response, and hope you are right and I am wrong.

With cash for clunkers I said he was "kinda" on the right track, my point being, that, untill there is incentive for people to be able to "afford" to buy, the auto industry would continue of head towards bankruptcy, rather than prosperity, and yes..Lots of people bought Japanese cars

Sinister?..Isnt that part of the job qualifications?

[Corgiluv]

With cash for clunkers I said he was "kinda" on the right track, my point being, that, untill there is incentive for people to be able to "afford" to buy, the auto industry would continue of head towards bankruptcy, rather than prosperity, and yes..Lots of people bought Japanese cars

Sinister?..Isnt that part of the job qualifications?

Obama ought to have realized it was only a temporary shot in the arm for the auto industry, and he should have limited it to Chevy, Ford, Chrysler and the other cars the big three make.

He's adrift on the stormy sea without a rudder(I used that analogy just for you). And, one oar. He paddling in circles, with a huge tear in his sail. Ah, let's face it, he doesn't know what he's doing, and everything he tries only makes the deficit worse.