You guys cant take care of this place. No ground was broken that day or since. To astronomers, the Thirty Meter Telescope would be a next-generation tool to spy on planets around other stars or to peer into the cores of ancient galaxies, with an eye sharper and more powerful than the Hubble Space Telescope, another landmark in humanitys quest to understand its origins. But to its opponents, the telescope would be yet another eyesore despoiling an ancient sacred landscape, a gigantic 18-story colossus joining the 13 telescopes already on Mauna Kea. Later this month, proponents and opponents of the giant telescope will face off in a hotel room in the nearby city of Hilo for the start of hearings that will lead to a decision on whether the telescope can be legally erected on the mountain. Over the years, some have portrayed this fight as a struggle between superstition and science. Others view the telescope as another symbol of how Hawaiians have been unfairly treated since Congress annexed the islands illegally in the eyes of many in 1898. And still others believe it will bring technology and economic development to an impoverished island. This is a very simple case about land use, Kealoha Pisciotta, a former telescope operator on Mauna Kea who has been one of the leaders of a group fighting telescope development on the mountain for the last decade. Its not science versus religion. Were not the church. Youre not Galileo. Hanging in the balance is perhaps the best stargazing site on Earth.
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In an editorial for The BMJ today, Professor Modi says the total breakdown of trust between government and junior doctors “represents a catastrophic failure of senior leadership at all levels.” She says, it’s “time for acknowledgment of deep malaise around medical training and honest public debate on the state of the NHS.” Last week, a High Court rejected arguments over the legality of the actions of the health secretary, Jeremy Hunt, in connection with a new contract for doctors in training. The ruling was the latest twist in a long drawn out, damaging dispute that has brought thousands of young doctors onto the streets to protest. Professor Modi argues that the NHS “is in disarray” and that it is “a testament to the dedication of junior doctors and all other frontline healthcare staff that the public has been largely shielded from the consequences of this chaos.” The corollary is that most people are unaware of the extent of the change the NHS is undergoing, she adds. “Their protest is both an expression of breaking point frustration with their training and a clarion call to the country to wake up and recognise the true state of the nation’s health services,” she writes. Professor Modi argues that there is “an overriding need to re-establish trust, restore morale, and respect young doctors as the professionals that they are.” She also believes that the contract, regardless of any further tweaks, “will forever be damaged goods, and in this same spirit of building trust should be discarded and replaced with one drawn on a clean sheet.” Finally, “patients and the public must be part of a conversation, conducted with integrity, about the nation’s health services,” she adds. The questions are clear, she says. Do we want healthcare that is efficient, effective, and equitable, delivered by a modern public sector organisation driven not by financial incentives but by pride in outcomes measured to rigorous standards? Do we consider health a commodity or an essential component of a just society, crucial to the economic wellbeing of the nation? “The painful political awakening of a generation of young doctors may ultimately prove the catalyst to find a way forward,” she concludes. ###
For the original version including any supplementary images or video, visit https://www.eurekalert.org/pub_releases/2016-10/b-jdc100416.php
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