I am not a medical doctor nor do I understand all the complexities of health insurance, but I have spent time in a hospital as both a patient and as someone who visits hospitals to comfort friends and those whom I care about. I also believe that there are several common sense principles that we are not following as a nation.

The significant changes sweeping through the Middle East will have acute implications for Israel. At this point, it is impossible to deduce those implications in their entirety but there are a few hints.

The wave of populist uprisings throughout North Arica and into the Middle Eastern nations necessitates that we step back and do a reality check. What is going on? Is there a difference between what occurred in Egypt or Tunisia, for example, and what is occurring in Libya? What are the available options for these nations currently undergoing turmoil? Let?s examine these questions in this Perspective.

First, columnist Tom Friedman helps us understand that there are two different types of states in the Middle East: ?Real countries,? with long histories in their territory and strong national identities

At the end of December 2010, a huge natural gas discovery was confirmed in the Eastern Mediterranean inside Israel?s territorial waters. It is called the Leviathan gas deposit in the Levant Basin and marks a major development for Israel, with the potential for making Israel an energy exporter over the next decade. Natural gas was first discovered off Israel?s coast in 1999, but the quantity was so small that until recently, Israel was still planning on importing natural gas from Russia. The Leviathan field, discovered by a consortium led by Houston-based Noble Energy, is the world?s largest offshore gas find in the past decade and makes Israel now among the ranks of the world?s largest gas reserve holders in the world. [Possibly, the Leviathan field may contain a world-scale oil deposit as well.]

Recently, President Obama determined that the Defense of Marriage Act (DOMA)?the 1996 law that bars federal recognition of same-sex marriages?is unconstitutional. He directed the Justice Department to stop defending the law in court.Despite the fact that his administration had defended DOMA during the first two years in office, that department will no longer do so.  The Attorney
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President Obama recently presented his budget to the Congress and, as a part of this budget, he is launching an initiative for a high speed rail network for the United States.  Digg this post Recommend on Facebook Buzz it up Share via MySpace share via Reddit Share with Stumblers Tweet about it Bookmark in Browser
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As I am writing this, the Middle East is in turmoil. It is simply impossible to have a clear view of all that is occurring and what the short term and long term implications are. Civil war in some of the nations, a disruption in the flow of oil from this region, higher energy costs, the growth or the demise of radical Islam are all potential results, but no one really knows. It is simply too early. There are nonetheless a few items of importance that we can discern.

The proverbial day of reckoning for the United States, both at the national level and in most of the respective states of this union, has arrived. In this Perspective, I want to defend that proposition.