Are you a “BIRTHER” or a “MARK”.

In the old neighborhood we would get a empty Sony TV box, glue cement blocks or bricks in it, reseal it and sell it on the street for $100.00 with the story that it was a $600.00 Sony TV that fell off a FedEx truck. Anyone that bought it without opening it was labeled a “Mark” A Bernie Madoff client, a Schmuck.

The ones that wanted to see what’s in the box before they bought it, today would be labeled a “Birther”

Are you a “BIRTHER” or a “MARK”. Do you believe Obama was born in Kapi’olani hospital? If you do I have a bridge I would like to sell you. It goes from Brooklyn to Manhattan, ready for a toll booth to be installed.

A “Mark” BELIEVED BILL CLINTON WHEN HE SAID: “I DID NOT HAVE SEXUAL RELATIONS WITH THAT WOMAN” Then they found the stained dress. He lied and they became a “Birther”.

A “Mark” BELIEVED JOHN EDWARDS WHEN HE SAID: “THAT’S NOT MY BABY” Then the Enquirer exposed him. He lied and they became a “Birther”.

A “Mark” BELIEVED WILLIAM “FREEZER” JEFFERSON WHEN HE SAID: “I DON’T KNOW HOW THAT CASH GOT IN MY FREEZER” Then they threw him in the slammer and they knew he lied and they became a “Birther”.

A “Mark” BELIEVED LINDA LINGEL WHEN SHE SAID: "So I had my health director, who is a physician by background, go personally view the birth certificate in the birth records of the Department of Health, and we issued a news release at that time saying that the president was, in fact, born at Kapi'olani Hospital in Honolulu, Hawaii. And that's just a fact and yet people continue to call up and e-mail and want to make it an issue and I think it's again a horrible distraction for the country by those people who continue this."
Then they learned she lied, Fukino's statement never identified Kapiolani as Obama's birthplace and they became a “Birther”.

Fukino said, "[I have]...personally seen and verified that the Hawai‘i State Department of Health has Sen. Obama’s original birth certificate on record...,"

Beyond the lie, if Lingle disclosed Obama's birth hospital without his permission, she has committed a misdemeanor. If Obama gave permission for this public disclosure, then Hawaii no longer has a basis for maintaining the privacy of Obama's birth records.

Welcome to the new members of the growing army of “BIRTHERS”

Chris Mathews, Rush Limbaugh, Hawaii Governor Abercrombie Senator Will Espero and Hawaii Legislators; Rida Cabanilla, Jerry Chang, Joey Manahan, John Mizuno and Calvin Say to name a few.

Proud to be a “Birther”

Friday, August 9, 2013

Loretta J. Fuddy, A.C.S.W., M.P.H.

Loretta J. Fuddy Loretta most recently served as Chief of the Family Health Services Division, Hawaii Department of Health (DOH). She holds degrees in sociology, social work, and public health from the University of Hawai'i and Johns Hopkins University. Loretta is a recognized leader in the public health field having served as Chair of the Hawai'i Public Health Association, President of the Association of State & Territorial Public Health Social Workers, Treasurer and Secretary of the Association of Maternal and Child Health Programs. She is a recipient of various awards including the Hawaii Outstanding Advocate for Children and Youth, and the DOH Sustained Superior and Exemplary Performance Award. Raised in Kaimuki, she is a graduate of the Sacred Hearts Academy.

Loretta J Fuddy, ACSW, MPHChief, Family Health Services DivisionHawaii State Department of Health 
I first entered the field of Maternal and Child Health in the mid seventies. The models were ones of direct delivery of care through an interdisciplinary approach. It was common to have nursing, social work, nutrition and therapist consultants on staff. Over the past 35 years I have seen the emphasis from the bureau change. The eighties ushered in the era of decreasing the direct service approach with greater emphasis on creating systems of care especially in perinatal health. Regionalization of perinatal health care moved the Hawaii Department of Health to close its Maternity & Infant Care and Children and Youth Projects and contract services with private health care entities. The closure of state operated clinics also helped to initiate community-based services and the development of several community health centers. Fiscally, the eighties introduced the Title V MCH Block Grant; although it had little impact on how Hawaii expended its funds, it resulted in changes to the reporting format. 
Systems building and coordination continued throughout the nineties with a greater emphasis on community planning, data and measurement. New opportunities were available through discretionary grants to improve the early identification of childhood disorders and the prevention of injury. There was a focus on improving cultural competencies. For Children with Special Health Needs the emphasis was and continues to be on the promotion of medical home, family centered community-based and coordinated care.  
The new century ushered in the promotion of best practice with the funding of programs like Healthy Start and the greater use of advanced technology like Tandem Mass Spectrometry for the identification of metabolic disorders. We began to also recognize the power of data; how to translate data into information to drive policy formation and legislation to improve the health of women and children. The core public health functions of needs assessment, policy development, and assurance of health care influenced greater partnerships among other departmental programs and private health care providers. 
As a public heath social worker, what excites me about this decade is the focus on the root causes of illness and the social determinants of health. There is an acknowledgement that public health alone cannot successfully address many of society’s complex health problems, without working with human services, mental health, educational, labor and housing institutions. The life cycle approach calls for cross systems integration, and approaches that address women’s health issues before pregnancy and provision a system of care beginning in infancy and all stages of development through adulthood. The prevention of chronic disease is critical to the containment of health care cost. While the challenges are many there are many promising opportunities for success when Title V and the field of Maternal and Child Health utilize the strategies already mentioned and we leverage improvements through health care reform, health technology and communications.

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