February 26th, 2010
09:40 PM ET

Live Blog from the Anchor Desk

[cnn-photo-caption image=http://i2.cdn.turner.com/cnn/2009/images/01/02/liveblogfinal.copy.jpg]

Tonight we're looking into what's causing the shortage of primary care physicians in the United States. What impact will health care reform have on this trend? We're also digging deeper on what really caused the attack of the killer whale on the trainer at Sea World this week. What do you think? Join the conversation on the live blog.

Want to know what else we're covering? Read EVENING BUZZ

Scroll down to join the live chat during the program. It's your chance to share your thoughts on tonight's headlines. Keep in mind, you have a better chance of having your comment get past our moderators if you follow our rules.

Here are some of them:

1) Keep it short (we don't have time to read a "book")
2) Don't write in ALL CAPS (there's no need to yell)
3) Use your real name (first name only is fine)
4) No links
5) Watch your language (keep it G-rated; PG at worst - and that includes $#&*)

Filed under: Live Blog • T1
soundoff (162 Responses)
  1. Megan Dresslar - Shoreline, WA

    I know I have hear, Jack Hanna is also blaming her, not her fault, it was just accident. It was whale fault.

    February 26, 2010 at 10:40 pm |
  2. Emily


    Thanks! Me too. ...and just in time for a story on Haiti! 🙂

    February 26, 2010 at 10:39 pm |
  3. Aisha, FL

    The only reason to go into primary care is if you really really enjoy continuity of care and want to prevent onset of disease. I am a 3rd year medical student and despite all the issues with low reimbursement rates and hassle with insurance companies, I still want to go into primary care because I really want to develop a trusting relationship with my patients and want to educate them to prevent the onset of disease.

    February 26, 2010 at 10:39 pm |
  4. Emily


    Thanks! I think that your interpretation of the events make sense to me too!

    February 26, 2010 at 10:38 pm |
  5. A. Smith, Oregon

    Sea World should set a time limit for captivity before an Orcha is released. Such as no longer than 3 years or such.

    February 26, 2010 at 10:38 pm |
  6. Lisa L

    All the best CNN, especially to you Anderson Cooper

    For the students – keep believing in yourself, values and hard work – you’re going to make it as you are. I did put hard work into my education to secure an income.


    Lisa L
    Sydney, Australia

    February 26, 2010 at 10:38 pm |
  7. Vivian - mtl.

    I think that –sure the whale might have thought her ponytail was some sort of toy, but I don't think that the whale acctually knew that she would die--more like it turned her into a toy. How is the whale supposed to know that she can't breathe underwater for that long?

    February 26, 2010 at 10:37 pm |
  8. michael armstrong sr.

    Others say Sea World is money motivated and the Whale will thrive in the Osean .

    February 26, 2010 at 10:37 pm |
  9. starr, formerly known as vincent

    @A. Smith – thanks for your post explaining the $800,000/yr.

    @Megan i don' t know enough to know if she made any mistake.

    @Emily – Hi glad to see you on the blog tonightglad you made it in time!

    February 26, 2010 at 10:37 pm |
  10. Alen John

    I think we are have seem what happened,What we all need is to be carefull next time

    malaga spain

    February 26, 2010 at 10:37 pm |
  11. Charlotte

    That was so sad that the whale grapped her ponytail.

    February 26, 2010 at 10:37 pm |
  12. Casey Jones - Palm Springs, CA

    Bottom line, the whale is a an animal. Animals are unpredictable as cute or appealing as they may appear.

    February 26, 2010 at 10:37 pm |
  13. Laurence

    Even if many people cannot see animals in the wild, is it a reason to treat them at circus animals? There is no excuses to treat animals that way, they are not on earth to perform tricks for the humans' amusement. There is NOTHING to learn from wild animals doing tricks!!!! It's not a way to study them as it's not their normal behavior!!!

    February 26, 2010 at 10:37 pm |
  14. Sabrina in Los Angeles

    You can take the animal out of the wild, but you can't take the wild out of the animal.

    It is not right to blame the animal for being true to its nature.

    If you are going to work with them, then treat them like you would if they were in the wild.

    It is very sad that she was killed.

    February 26, 2010 at 10:36 pm |
  15. Sean B

    How many people will have to be attacked or killed before we learn that wild animals should not be kept in small spaces to perform tricks?

    February 26, 2010 at 10:36 pm |
  16. Megan Dresslar - Shoreline, WA

    Yes, it is so disturbing see this........ That's so terrible to see this.

    February 26, 2010 at 10:36 pm |
  17. A. Smith, Oregon

    @ Emily like cats playing with a mouse as a trophy, however I disagree and feel that Tilly was confused and thought he was playing or taking something which unfortunately included part of the trainer.

    February 26, 2010 at 10:35 pm |
  18. Emily

    @michael armstrong sr.,

    "Turn the whale loose Tarzan."


    February 26, 2010 at 10:35 pm |
  19. Karin Urban, from Berlin/Germany

    These animals should not be held in bassins. Don't blame the whale.

    February 26, 2010 at 10:34 pm |
  20. Emily

    It sounds again like Jack Hanna is blaming her!

    February 26, 2010 at 10:34 pm |
  21. Vivian - mtl.

    Wow! Hard to talk about--Hard to hear also!

    February 26, 2010 at 10:33 pm |
  22. Emily

    "She was a trophy" -what did he mean by that?

    February 26, 2010 at 10:33 pm |
  23. A. Smith, Oregon

    That object swinging from the trainers neck looks just like one of the small silver fishes she was feeding Tilly some 5 minutes earlier. If Tilly had attacked the trainer with his massive mouth, there would be several body parts in that tank which did not occur.

    February 26, 2010 at 10:33 pm |
  24. michael armstrong sr.

    Turn the whale loose Tarzan .

    February 26, 2010 at 10:32 pm |
  25. Gabriela Vaughan from Nicaragua

    I love that Dr Gupta is in the show tonight, but where is Anderson???? He's not in the show since Wednesday I think....
    Poor woman, but animals like whales don't belong to a big tank in an amusement park!

    February 26, 2010 at 10:32 pm |
  26. Vivian - mtl.

    It is a very sad situation with that poor trainer!

    February 26, 2010 at 10:32 pm |
  27. Claus

    @A. Smith, yes I saw the theory about the necklace on another program. Also they showed the whale picking up the dime. Very impressive.

    February 26, 2010 at 10:32 pm |
  28. starr, formerly known as vincent

    Thank you Randi-Kaye for the insights on Tillicum.

    I heard an update on Keiko, the Orca that was in free willy.

    He was eventually "freed" and learned to catch his own food. But, he often came back to people to socialize and only lived 5 yrs. in the wild. It wasn't specificed why he died, could it have been lonliness?

    I have mixed feelings about releasing these semitame whales back into the wild.

    February 26, 2010 at 10:32 pm |
  29. Emily

    Good Evening Dr Gupta, Kira, Devna, 360Team, Megan, Starr, Gabriela, Dodie, Mike, David & Isabel, Jo Ann, Gloria, Casey, Adelaide & Bloggers!

    A little late here tonight!

    Glad to see you in here again Sanjay, yet missing AC!

    Hope that everyone had a terrific Friday!

    February 26, 2010 at 10:32 pm |
  30. michael armstrong sr.

    Jack Hannon says the whale wont survive but others say he is a liar its all money .

    February 26, 2010 at 10:31 pm |
  31. Casey Jones - Palm Springs, CA

    I do see a positive side of this story and that is the trainer died doing something she was passionate about.

    February 26, 2010 at 10:31 pm |
  32. Nosheen

    I am practicing primary care physician for last 7 years, taking care of mostly indigent patients. Pay is much lower,patients are sicker and is much more stressfull as compared to specialist or private practice.At the end of the day if it is what you love doing it is worth it. You cannot find the releationship that a primary care physician has with their patients any where else.

    February 26, 2010 at 10:31 pm |
  33. Megan Dresslar - Shoreline, WA

    What do you think, Did she make fatal mistake when she was training with Killer Whale? Yes, She made mistake her ponytail, Whale thought it was toy or else.

    February 26, 2010 at 10:31 pm |
  34. Cessy-Chicago

    Killer whale attack. This is really a disturbing story.

    February 26, 2010 at 10:30 pm |
  35. A. Smith, Oregon

    In the video there appears to be a necklace or something dangling around her neck also which Tilly might have locked on. Orcha's have such a mastery over their mouths, they can pick up a DIME from the bottom with their mouth and return it to the surface!

    February 26, 2010 at 10:30 pm |
  36. meg

    A Carol–if you have a good family physician with good assessment skills is more imp't. than many specialists. For a person not able to have their own family physician is sad. Having to use walk-in-clinics makes a person truly feel like a number–knowing there's no one that truly cares bout your health–many things can get missed.

    February 26, 2010 at 10:30 pm |
  37. Ron San Bruno, Ca

    Dr. Gupta , I hear all the time that the cost of a Medical degree will be out of reach for most of those who want to become a Doctor , this alone I feel will be a problem in the future . Is it possible that a Medical degree will be outsourced ,and make it more affordable for the American students to obtain ?

    February 26, 2010 at 10:29 pm |
  38. Claus

    @A.Smith, correct. just didn't want people to be misled since most don't even make a fourth of that for take home pay.

    February 26, 2010 at 10:29 pm |
  39. michael armstrong sr.

    Rick read this statement from me to day .How many people does this whale have to kill before the law say enough is enough and forces Sea Worlds hand .

    February 26, 2010 at 10:28 pm |
  40. Megan Dresslar - Shoreline, WA

    Wow!! 3.5 million smashed Jewelry 50 karats!!!!! That is so much cost or expensive!!! :O

    I do love beat 360 caption, it is so funny caption, Good ones Tracy and Kevin!!!! Congrats both! 🙂

    February 26, 2010 at 10:27 pm |
  41. Feico Elzinga, Holland

    wild animals can be kept in the zoo

    February 26, 2010 at 10:27 pm |
  42. A. Smith, Oregon

    @ claus, starr the 800,000 dollars those MD's were pulling in wasn't their net profits. It was the gross amount. You'd have to subtract Staff, Office, Equipment, Insurance, Traveling and Training costs that could not be deducted nor subsidized to figure in the net amount.

    February 26, 2010 at 10:26 pm |
  43. jaimeson fulkerth

    We should see more Harris and Gupta perhaps the people who need to see and hear these things will pay attention

    February 26, 2010 at 10:25 pm |
  44. Rishi Manchanda

    great piece on family docs shortage. i'm a primary care doc for working families in LA. The govt created a program over 38 years ago, the National Health Service Corps, to address this problem. If it wasn't for that program, i would have faced >$200K in med school loans and would have been forced to go into a more lucrative field of medicine. But the National Health Service Corps paid for med school and, in return, i got to become a primary care doc and get to take care of folks who otherwise wouldn't have had a family doc. it's a great program!

    February 26, 2010 at 10:24 pm |
  45. Vivian - mtl.

    Good evening everyone!
    Lots of great comments tonight.

    February 26, 2010 at 10:24 pm |
  46. Lisa

    Dr. Gupta – I just watched your segment on Primary Care Doctors, and I kept waiting for you to mention Nurse Practitioners and Physician Assistants......many of which are working in primary care, and doing a great job to try to meet this real need in the US. It doesn't fix the problem completely (obviously), but as a Family Nurse Practitioner I feel it is important to state that MDs are not the only health care providers in the US.

    February 26, 2010 at 10:23 pm |
  47. Kim- Ohio

    @Carol...you have to go to your family Dr. first to even get refered to the specialist. I think that is a requirement of the insurance companies.


    February 26, 2010 at 10:22 pm |
  48. amy

    Insur co pay by # pts (patients) u see–no time to spend w pts = pt + MD dissatisfaction. We're nurturing people who are not allowed to nurture. No time to discuss pt's stresses with them-so just hand them pills for depression, anxiety, when just having the time to listen is often all that's needed and much more effective than a pill. No wonder as insur companies and government more powerful and MD's more impotent that society is more unhappy, stressed, depressed and expensive.

    February 26, 2010 at 10:21 pm |
  49. Aisha

    We spend more money on healthcare during a person's last 60 days of life than money on that person's healthcare his entire life! Instead of focusing on secondary and tertiary intervention, investing money in primary prevention would be very much beneficial.

    February 26, 2010 at 10:21 pm |
  50. Debbi

    I am hearing about the shortage of physicians and the possibility of an even larger shortage of physicians, but I don't hear anyone taking about the Nursing shortage. Nurses have been worked short handed since I became a Nurse 21 years ago, and are becoming more short everyday. One reason might be the fact that we are expected to perform twice the work with half the staff, leaving a larger error for mistakes. We take criticism from physicians, patients, family and even other Nurses. We just want to care for people in a safe manner. I also hear a lot of criticism about the cost of health care and the amount we are paid. This must be coming from people who do not have a clue of the responsibility and liability we carry, not only Nurses but Physicians as well. I see less and less people entering this field. Gesh!!! Wonder why!! We are so under appreciated.

    February 26, 2010 at 10:21 pm |
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