Tuesday, December 15, 2009

Why I Probably Won't Be Voting for Obama Again

It would seem that meaningful health care reform has been killed in the Senate. Really and utterly destroyed. Joe Lieberman, Bill Nelson, and a few other conservative "Democrats" have said that they will not vote for the bill as it stands. Let us take a brief detour through the history of this process.

Medicare was created in the U.S. in 1965 under Lyndon B. Johnson. It is offered to those who are U.S. citizens or have been living as legal permanent residents for 5 years or more, who are 65 and older, and have been paying taxes for Medicare for at least 10 years. Medicare is a single-payer system, and in fact is the largest single-payer system in the world, covering 43 million Americans in 2007. The program has been under constant scrutiny since its inception, and indeed has a lot of problems - one of the largest being huge fraud issues. Medicare has been updated several times since its creation, and largely has gotten better by most measures of such things. Conservative opposition has always been the strongest, and typically fall along two pillars - 1) It's too expensive; and 2) It leads to socialism.

As to expense...yes, I'll give them that. The Medicare system needs significant overhaul to cut costs and perform audits on treatments. Clean up the program, and you will probably see significant savings. Al Franken has made this a huge talking point - the guy is very much in favor of Medicare, but recognizes it needs significant work.

As for the second pillar, that of fear-of-socialism...well, I offer this to the conservatives. If you really and strongly are opposed to all "socialized medicine," and are so concerned about principles and values as you claim, then propose an amendment to eliminate Medicare. Get rid of it. Tell all your constituents that Medicare is "evil" and "socialized" and is ruining American freedom and that you're going to eliminate it and allow the elderly to exercise their freedom of choice and buy their own health insurance out of their own savings (because subsidizing them would be exactly the same problem). You'll be saving money and protecting American values. I don't understand why you haven't already done this when you controlled Congress and the Presidency.

More below the fold...

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Sunday, October 25, 2009

Who Wins in the Health Care Overhaul: Patients, Hospitals, or Insurers

Evaluating Republican and Democrat health care proposals can be boiled down to how the plans impact the Three Interests of Hospitals, Insurers, and Patients. It doesn't seem like you can have your cake and eat it too when it comes to our health care market. I argue that the Republican plan most supports Insurers and Patients but does little to stem health care costs and puts the majority of bargaining power in the hands of Insurers. The Democrats' plan, broken down into those with a strong or weak/no public option, supports Patients. Ultimately, Patients win in the Democratic proposal, with mild benefit to Hospitals and mild or adverse outcomes for Insurers. These proposals however miss the fundamental problem with the health care economy - the existence of an adversely incentivized arbiter between patient and doctor known as the insurer.

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Sunday, October 11, 2009

Peace Sells... But Who's Buying?

Obama does not deserve the Nobel Peace Prize. Obama is a relatively decent, left-of-center President who has restored America's standing in the world and taken steps to ensure peace. Fine. But he still presides over a country that practices "extraordinary rendition," where people are nabbed and sent to countries where they can be legally tortured (in ways that make Gitmo look like Disney World). That is simply a defeating condition of his eligibility to receive a peace prize. And I am not even claiming he is a horrible president; I realize his actions are circumscribed by political realities he can't control. But so far he has done exceedingly little to transcend those realities, opting instead to prove how adept he is at working within them. Again, fine: he is a good politician. But so far he has not shown the moral courage that would make him truly deserving of the prize.

Tuesday, September 22, 2009

The Supreme Court on Corporations: Citizens United vs. the FEC

The current case of Citizens United vs. the FEC, the Supreme Court is confronting one of the most foundational constitutional issues since Brown vs. Board. Despite all of the angles taken by the plaintiffs and justices about fair elections, the role of money in politics, and the purient interests of government to make rules in regards to free speech; the one that matters most is the most taken for granted: does the bill of rights apply to corporations sui generis? My answer, as I will elaborate below, must be no; but I will consider the implications if the court decides it does.

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Monday, September 21, 2009

Can We Sue for Being Offended?

A quick one for today. A Christian hotel-owning couple is being sued for offending a Muslim patron. Now, the actual elements of the conversation are not reportable due to the court proceedings, so I don't know exactly what happened. What appears to have happened, however, is that a Muslim patron became involved in a conversation about religion. The Muslim patron became offended at the conversation, and went to the police, and complained that she had been offended by the conversation, and felt there were "threatening or oppressive" elements to it.

Where do I stand on this? At this stage, I stand completely behind the Christian couple. If the same thing had happened at a Muslim hotel, believe me, I would stand completely behind the Muslim couple. This has nothing to do with the religious beliefs of either party. It's a basic element of free speech. You do not, or at least should not, have the right to not be offended. If a conversation is offending you, walk away, don't sue the people. I don't care if it offends your deeply held religious beliefs any more than I would care if it offends your deeply held political leanings. Trust me, if this is all it takes, I'm sueing the pants off of Glenn Beck and Rush Limbaugh, to name just a few. I am almost daily offended by the things they say. But does that make any sense? No. They have a right to their freedom of expression, just as I do, and I freely exercise that right and call them idiots and then list my reasons for doing so. That's the point.

Now, granted, this all took place in England, where the laws and the courts are a bit different, but even a commentator on the article brings up that the police are also charged with protecting freedom of expression, and that the Public Order Act has been used and is being used probably too aggressively, especially in cases where people's feelings are hurt.

Man, maybe I should change career paths and sue people for a living for a while. Then I can retire and drink away all my conscience concerns. On a remote island, or on top of some mountain.

Hm...it's not sounding so bad after all...

Saturday, September 19, 2009

ACORN, Tea Parties, and Militias: the New Conservative Grassroots

These three headline-makers signify the emergence of the newest wave of conservative grassroots organizing that will set the tone for the next brand of conservative politics. Within a long view of history, they are really not that unique. Looking to the near future, there are some very troubling dimensions, some healthy directions, and a nascent map for conservatives' political future. To sum it up briefly, the conservative grassroots is emerging as with all inter-election periods for the party out of power in the U.S.; however, it brings with it a dangerous fringe tied to the mainstream raising the question of how the grassroots will address its violent impulse.


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Monday, September 14, 2009

The Sorcerer in California with Marriage Infedility...

A few quickies for today, just for the chuckles of it all.

First, a completely straight article about magic in Islam. Now, the more secular or not-believing-in-magic among you, or those of you who just happen to think that religions other than your own are a little kooky, will probably find this somewhat humorous. I'll admit, I do too. I can't help myself. But there is an interesting point to take away from it. Note the descriptions of 1) the rituals performed by the magic-sellers and 2) the rituals performed by the religion-sellers, or, in this case, sheiks. Not so different, eh? Well, actually, that's to be expected. Traditionally there has been a very thin line between "magic" rituals and "religious" rituals. The difference, in some views, is only the kind of person performing the ceremony. You see, to both these people, the magic is real. The sheiks are just on the "good" side and will break a curse for a nominal fee. The "sorcerers" are on the "bad" side and may make or break a curse, for the right price. The rituals are nearly identical, it's just one guy gets to wear a funny robe or hat and claim ultimate divine authority, and the other guy wears a funny robe or hat and claims (usually) some lesser or personal authority. Now, for those of you who want to claim that we are too civilized for that kind of thing, need I remind you there are groups in this country who still practice and believe in faith healing, in praying for more rain or less rain, spiritual anointing, that prayers protect people, and that God may give you what you want if you ask and believe hard enough. A very, very thin line.

Secondly, this article about a recent study. It would seem that, on average, one out of every thirty-three women who regularly attend worship services have had sexual advances made by religious leaders. So, on average, for everyone 100 women in a congregation, 3 have been advanced upon by a religious leader. And two of those three were probably married at the time. Ahh...see, this is what I've tried to tell you before - watch the people who protest the loudest that they are the most moral. They're the ones typically hiding something. See, once you have it so ingrained in your head that you are the morally superior one, you can start writing off discrepancies, because you ARE moral, or God forgives those few discrepancies, and anyway, you're still much better than the rest of THOSE sinners, they must be ten times as worse. It's called cognitive dissonance, and it's one of the oldest tricks in the book. So, to be clear, I'm not saying "moral people aren't moral," I'm saying "people who CLAIM THE HARDEST to moral often are not." It just so happens that religions and religious people like to hold high that particular banner, and so there is a biased population there. Lest we forget Ted Haggard, who only recently has discovered (after years of fire-and-brimstone preaching against gays and divorcees, etc) that his sexuality is "complex" and will take time to resolve, after snorting meth with a gay prostitute...right. Lest we forget California Assemblyman Michael Duvall, who loves having affairs with "really hot" women, enjoys a bit of spanking, and...oh, is so totally against allowing gays the right to marriage in California and is a strong promoter of "traditional family values." Lest we forget all those Catholic priests who...well, you get the idea. This isn't commentary on religion directly, although anyone who knows me knows I have my beef with organized religion, especially when it tries to wiggle its way into policy, but it is something to be noted. Keep a careful eye on those moral vanguard, lest you be disappointed when you find out just how much of con men they are.

Lastly, a straight-faced sarcastic proposal to make divorce illegal in California. I think he's very good. A little obvious with the sarcasm of it all, but very good overall. I've always wondered exactly what people meant by "traditional marriage." It's sort of a moving target. People throw up other words like "Biblical marriage" or "faith-based marriage," but that's really just another place-holder, like "Intelligent Designer" or "God" is for "we don't yet know how this happened." I mean, it would seem to me that polygamy was allowed for quite a few people in the Bible, so long as you were wealthy enough...and there were all sorts of bride-prices, dowries, sacrifices, and feasts that had to go on. I don't see too many people selling slaves along with their daughters, but...maybe that's just me. I also don't see too many Christians basing their marriages off of the Talmudic traditions, but, I guess as much as they like to claim we are a Judeo-Christian nation, there aren't too many Judeo-Christians out there.

The problem is even worse if we try to take an archeological perspective of what a "traditional marriage" would be. It'd be like gathering together a human, sheep, pig, cat, dog, rabbit, horse, ox, bear, dolphin, and mouse and asking "which one is the mammal?" Oh, you can pick one and say it's your favorite, but, as you can maybe guess, the answer's not quite right. So, really, all we have again is a group of people who want everyone else to follow their favorite system, to make everyone adhere to their laws. Now, in a federal sense, an certain bit of this is understood - you obey the traffic laws, giving up some bit of your own freedom, to enjoy the benefit of a mass transportation system. When you get married, there are certain legalities you have to get through, and you pay a tax to enjoy some benefits of the state. Okay, that's fine. But when a particular group, religious or otherwise, wants to legalize its own way of living, and only its own way, there's a bit of a problem. Imagine, if you are Christian, that a Jewish group wants to mandate that only Kosher food can be eaten from now on. Goodbye cheeseburgers, shrimp, and a helluva lot more. They're just protecting the sanctity of food preparation, and doing it in a very tradition-minded way. Do you have a problem with it? God decreed it, lest you forget as you munch on those shrimp cocktails. Now, Paul did indeed say it was okay to break Kosher, but also note that he said you shouldn't do it if it would offend those with whom you were dining. Well, well, if it's going to offend some of the more tradition-minded Jews, you'd probably better stop.

Or imagine if a Muslim group wanted to U.S. to adhere to Sharia law. Would you have a problem with it? What if, just imagine, they were the majority in this country? Would you have a problem with it then? Would you feel that your rights as a group of people are being trampled on? That some religious group is forcing their view of things onto the public through legislation?

There is a solution, though. It's not a perfect one - few are. It's cobbled together and frail, sometimes barely hanging on. It offends a great deal of people, but it allows society to work, however hobbling it may go. The solution is brilliantly simple - no religion, no philosophy, no particular group, even the majority, gets special treatment or free reign in legislation. You are free to practice your own religion, or lack thereof. However, just the same, I am free to practice my own, however different they may be. So long as they do not interfere with each others private rights, there is no problem (I can't kill you because my god told me to. I can refuse to eat cheeseburgers though). So, why don't we take a hint from the Constitution, you police your own religious community, I'll eat some shrimp scampi, and we extend the right of marriage to everyone, regardless of what particular bits of flesh they possess where (legislate only the minimum necessary - need for consent, proof of stability and support if needed, minimum age requirement, and maximum relatedness if-you-so-desire), and we all go home happy.

That's just my two-cents anyway.

Tuesday, August 25, 2009

A Little Lighter

Alright, so the last post was pretty angry. That's been building for a while. I want to add a little something to maybe lighten the mood, brighten your day, or maybe just give you an example of someone who understands what it means to be human. I give you, Tom Waits:




and

Monday, August 24, 2009

Republican "Bipartisanship" is Letting Republicans Get Their Way

*sigh*

It really never ends in this country. Probably nowhere else, either, but as that I live here, it's my current primary concern. I'm talking about this. A delightful little argument about how Democrats can achieve bipartisan cooperation. The undertone, of course, is taken straight from the Rush Limbaugh play book, which can be seen in this four-part series from his 2009 RNC CPAC address. Now, Limbaugh is, in my opinion, the very definition of repugnant. His entire show focuses on thinly veiled racism, sexism, and outright bigotry and hatred. Yes, he does indeed want Obama to fail, and I can't honestly bring myself to believe that he means just Obama's policies. Now, the one good thing about Rush that I can say is that he's often honest about his viewpoints. I say often, because like everyone else, there's always an element of obfuscation somewhere.

Anyway, Rush's idea of "compromise" and "bipartisanship" is really "we get what we want all the time." The Republicans are clearly in his pocket in this, which is why those of us on the more progressive front have a hard time understanding why the liberals in Congress and the White House are paying them any attention at all. They've made it clear that they're not going to go for anything supported by a liberal, ever, and after all this effort of reaching across the aisle, the Democrats will get, oh, about zero Republican votes. They've drawn their wagons, done their poll research, created their talking points, and they're doing what they do best - turtling and jamming their fingers in their ears, crying because it's THEIR birthday, dammit, and it'll be their way or the highway.

No, I'm sorry Rush, I don't have any respect left for you and your kind. You yell and scream that this is not the America that you grew up in like that's a bad thing. I'm sorry, but I think we've improved a lot since your toddler days - we've made some inroads into ending segregation and discrimination (I'm sorry that it offends you that there is anyone other than older white males in America); we have passed legislation that improves the quality of health care received by seniors (ah, yes, Medicare...that burr in your side!); we, despite our previous president's best efforts, have made major progress in the sciences (I know, reality really encroaches on your worldviews, but...there it is); and, I suppose most importantly for you, a majority of the American people decided they didn't like doing things your way anymore and voted a bunch of your guys out of Congress, and perhaps more importantly, voted for a president who promised to bring radical change. You want to talk about a mandate? There is was. Maybe you missed it.

Now, my vitriol isn't entirely directed against Mr. Limbaugh. No, he has plenty of cronies and plenty of others who think just like him anyway. You see, they have a sense of entitlement - they're conservative, they represent the "true America," so even when the majority of us vote against them, they're still entitled to have only their policies passed. See, when they were in power, they could do whatever they wanted, and now that they're out of power, they're still supposed to be able to do whatever they want, didn't you know?!

And, no, I'm no bleeding heart begging "can't we all just get along?" I'm ready to go for a more progressive agenda. We've got the power now, let's use it people.

I'm tired of all the talking points and rhetoric. I'm tired of the cliches in this. I'm tired of seeing people on or about to go on Medicare yell that the government should have nothing to do with health care. I'm tired people arguing that the government should have no right to interfere with a person's health decisions, and then try to legislate anti-abortion laws. I'm tired of having Republicans propose Advanced Care Planning and then other Republicans calling it death panels and having it removed. I'm tired of Republicans saying that they'd be happy to compromise, and then for every compromise they say "it's not enough. It's not our policy yet." I'm tired of the ignorance, of the outright stupidity, of the hypocrisy. I'm tired of this. I'm tired of old rich white men say that they're being put-upon and how hard it is to afford their multi-million dollar mansions with all these taxes while people starve to death or die because they can't afford health care. And sorry, yes, I am a white man myself, though nowhere near as wealthy as these guys.

But let me tell you something honestly, if I were making enough to be able to afford to cover myself and my family with health insurance, I would consider it an honor and a civic duty to thank the country that gave me the opportunity to do so, and to thank those who support the base of our country, and give back a little in taxes towards covering them. Because, let's be honest. You're already giving tax dollars to cover people who don't have health insurance - they use emergency rooms, which are quite expensive, and the funding for emergency rooms comes from...ah, that's right...tax dollars. So, your choice is - pay for very expensive treatments with your tax dollars, or maybe contribute to a more efficient and cheaper health insurance for other people. But that's the ultimate problem with the upper echelon conservatives. They honestly believe that they have reached where they are with absolutely no help. They don't drive on roads that are paid with by tax dollars. They didn't attend public schools. They never had an emergency operation. They have always grown and cooked their own food. They didn't have family members or friends who know people or had contacts. They were never on food stamps or welfare. They will never go on Medicare. They were never protected by police. They never had to use any medications that were created by research generated from public funds. No, they have never needed anybody, and they're not willing to part with their hard earned cash. Now, the truth of the matter is that a lot of them have very good lawyers who can get them out of paying a lot of their taxes anyway, so they don't have to fear that they might be contributing to someone else's benefit...no, because that would be just awful.

Part of me hopes that the health care bill does eventually get a real vote. Let the Republicans vote against it. It won't matter. They'd never have voted for it anyway. Let the blue dogs vote it down too. That's fine. More people will die or go bankrupt. They really don't care. But maybe, just maybe, in a few people's minds, a small inkling will start to appear that these guys are all crazy hypocrites, that they have only their own self-interest and pay-checks in mind, and that they really don't represent the people. Maybe, after that, or, failing that, years from now when the present generation of conservatives die off, maybe there will be actual reform. Progress always comes in small incremental steps, usually long overdue. We'll get health care reform eventually, probably long after many of those who could have used it most have passed away, but it will come. That's the problem with conservatives, why they always have to fear - the world is always changing, and slowly...painfully slowly, we're beginning to wake up from their nightmare and realize that maybe, just maybe we should treat people equitably. Maybe someday we'll have a little compassion and realize that it's the nice thing, the moral thing, the ethical thing, hell, the Christian thing to do to help those who are less fortunate. My advice for those conservatives out there who are so for their own wealth and so for "morality" but are so against health care or any sort of social services...read your damn Bible. It's not my damn Bible, and I don't consider myself bound by it. It's your damn book. Either follow it, or quit spouting it and pretending to believe a word of it.

Friday, August 21, 2009

How I wish I had those squidly tentacles of doom...

So I'm just going to link to PZ at Pharyngula for this post on the age of the earth. It's too well done and too good of a take-down for me to really try to add anything to it other than "Snaps!" and, perhaps, "Boo-yah!"

Ah, science. Helping people more closely approximate reality for over 300 years.

Monday, August 17, 2009

Converting Poe



I have every reason to believe that this is a clear example of Poe's Law. But that's part of the reason it cuts so close - I've had these kinds of arguments, online and in person. In each of them, you take a second, turn your head, and say "Wait...really? You...REALLY...believe that?" I've always wondered if some of the people I've had discussions with were actually trolling/Poeing...but most of them seemed sincere enough afterward.

Anyway, watch, cringe, facepalm, laugh.

Monday, August 10, 2009

The Inherent Contradictions of Conservative Opposition to the Public Option

Political hypocrisy is nothing new. We've all seen it, heard it, and lived it from pretty much every politician...ever. At this point it's really the degree that matters. Do you go with the politician who is always going to be lying, or the one who is only going to disappoint sometimes. Jaded? Perhaps.

But let's consider this issue in regards to say, the public option that the Obama administration has proposed for health care reform. We already know that the public option is a compromise from a single-payer system, as in, in committee, the public option was hammered out as an acceptable compromise. Now, of course, the conservative voices in Congress are saying that the public option should be compromised, revealing a few things - first, that of course they never intended to actually work with the idea of a public option, but were waiting for the public option to be revealed as "the plan" instead of as "already a compromise," and secondly, that these guys are in the pockets of the health care industry. The Young Turks have a good commentary on a Keith Olbermann special comment that nicely sums that up:



In fact, I'm just going to go ahead and link you to The Young Turks in general. They're fairly excellent.

Anyway, the point of this post was really to look at the conservative position and see if it stands up to itself.

To me, it seems to break down to three points of contention:

1) Government control
2) Free market economics
3) Government ineffectiveness.

Let's think about these things. These are all talking points of the conservatives, in one way or another, and you hear them all the time from these "town-hall meetings." We'll get to those in a second.

First, we have the issue of "Government Control." Conservatives, naturally, want government to keep its hands off of their health care and medical issues. This has led to the rather ironic statement being yelled "You tell the government to keep its hands off my Medicare." Pause for blinks and awkward laughs. OF COURSE Medicare is government-run health care. OF COURSE it has been since the 60's...um, right. But, anyway, we'll go back to medicare later. If you main point is that you want to keep government out of your health care and medicine, then OF COURSE you must support the right for a woman to choose to have an abortion, and OF COURSE you must support the right for a person to remove a family member from life-support, and OF COURSE you must support the right for researchers to work with stem-cells....Oh...right. We're only against government interference in health care in some issues.

Our second issue to consider is the whole issue of the free market. A frequent conservative talking point is that the public option is actually a nationalization of health care, or that it would out-compete any private insurance and drive them out of business. On the first point, no, the public option is not a nationalization of health care insurance. It is a public INSURANCE OPTION. Which, basically means, you have the OPTION to get your health INSURANCE from a government source. The government is not taking over hospitals or doctors. It is merely an insurance option. Yes, this does mean that someone will have to determine exactly what the public option will cover and which health care suppliers are preferred. But is that any different from a private insurance company? No. Another thing that people say is that they're happy with their employer insurance and don't want to be forced to go with a public option. Well, first off, you're not forced to go to the public option. Secondly, the only reason that most people really like their employer insurance (i.e., cannot discriminate for pre-existing conditions like private insurance can) is because of a government mandate. Already, the hand of government has intruded into your health care. Now, the other problem is the whole "driving private insurance out of business" or "dominating the market." As this is a public OPTION, you would assume, perhaps, that one would be in favor of having yet another competitor in the market, especially when private insurance companies tend to dominate entire states. In most projections, the public option would drive down costs across the board, because, yes, the government can do it for cheaper overall and would be a competitor in the market. Would they drive out other companies? Well, even if they did, would this not be the utter definition of a market economy? The better option prevails unless the private insurance companies can compete? Also, since so many claim that a government program would fail miserably, it's surprising to hear so many say that it would out compete private options. But that dovetails into our last point.

Third, the common refrain is that government cannot run health care. You hear this on Fox News talking points - the government can't run Cash for Clunkers (which it can and is an example of a program that is almost TOO successful), so how can it run health care? Well, part of the problem, already mentioned, is that the government does run health care - Medicare and Veterans' programs. That's right. Medicare, considered one of the best programs by the people insured under it, is government run. Likewise, conservatives always talk about the top quality care that our armed forces receive (partially in compensation for lower wages), and that too is government run. An excellent take down of this point can be seen here, in a interview between Jon Stewart and Bill Kristol:

The Daily Show With Jon StewartMon - Thurs 11p / 10c
Bill Kristol Extended Interview
www.thedailyshow.com
Daily Show
Full Episodes
Political HumorSpinal Tap Performance


So, if you're going to claim that Medicare and Veterans' care work, which conservatives tend to do (and just try to maintain any political capitol when you say you are going to take away Medicare), then it's very hard to say that government cannot run a health care program with a straight face. Also, again, the general contradiction of saying that government programs would out-compete private companies and would also be horribly run and an utter failure.

Lastly, the trope of of "nameless, faceless bureaucrats between you and your doctor." How this is different from the nameless faceless people in my insurance companies, I don't know, but regardless. Most of the rhetoric is outright lies, such as the "nationalization of health care" and "death panels," but let's also go back to Medicare. People on Medicare tend to like it. They like it a lot. So, if we already have a well-running program to cover people over 65, why not extend it back to 55? Why not 45? 25? Why not everyone? Granted, a legitimate question is "how are we going to pay for this," and that is an issue we should talk about, but it is also clear that nearly 50 million Americans are uninsured, and preventative care can do a great deal to lower costs overall, in the long run.

This issue has been made a clearly political one - conservatives want to stop Obama, and want to pocket the money that insurance companies are providing for them. We know that public options can work - we have examples from around the world. Unfortunately, the conversations we should be having are not the ones that are going on. There are jokes of town-hall meetings going on around the country because conservative groups are funding, educating, and shipping people around to these town halls to protest, fill up the front rows and disrupt the meeting so that the senator or representative cannot talk or offer counterpoints. Now, if they wanted to ship people in to go up to the mic and voice their concerns and allow a rational debate, then that's fine. That's democracy. However, as it stands, they are not allowing anyone else to talk but themselves. They're trying to drown out every voice but their own and ignore any rational points, as well as the more-than-majority number of Americans who want major reforms (a la Gallup polls). That's not democracy. Sorry.

I promise this will be the last point - you often hear conservatives state that we have "the best health care system in the world." What they don't tell you is that this is based on an opinion poll. The World Health Organization has a different idea. We spend more money than almost any country, and yet have lower quality of care, ranked 37 in a WHO assessment. Are there problems with this measurement? Of course it's arguable. But at least it's more objective than a simple opinion poll.

Anyway, that's my two-cents. I'm not saying the public option is perfect, but I can't stand anymore to hear the utter hypocrisy from the conservative side and listen to the constant contradictions. They don't even have a leg to stand on, if this is the way they're going to be arguing. I'm sure Jason could offer more, and tell me where I'm bullshitting, and I fully welcome that. Any thoughts?

Thursday, July 30, 2009

Standing Up for Simon Singh

(This is simply a repost of an article by Simon Singh, which got him sued by the British Chiropractic Association. A lot of skeptics are reposting this article today in support of Mr. Singh.)

Some practitioners claim it is a cure-all, but the research suggests chiropractic therapy has mixed results - and can even be lethal, says Simon Singh.

You might be surprised to know that the founder of chiropractic therapy, Daniel David Palmer, wrote that "99% of all diseases are caused by displaced vertebrae". In the 1860s, Palmer began to develop his theory that the spine was involved in almost every illness because the spinal cord connects the brain to the rest of the body. Therefore any misalignment could cause a problem in distant parts of the body.

In fact, Palmer's first chiropractic intervention supposedly cured a man who had been profoundly deaf for 17 years. His second treatment was equally strange, because he claimed that he treated a patient with heart trouble by correcting a displaced vertebra.

You might think that modern chiropractors restrict themselves to treating back problems, but in fact some still possess quite wacky ideas. The fundamentalists argue that they can cure anything, including helping treat children with colic, sleeping and feeding problems, frequent ear infections, asthma and prolonged crying - even though there is not a jot of evidence.

I can confidently label these assertions as utter nonsense because I have co-authored a book about alternative medicine with the world's first professor of complementary medicine, Edzard Ernst. He learned chiropractic techniques himself and used them as a doctor. This is when he began to see the need for some critical evaluation. Among other projects, he examined the evidence from 70 trials exploring the benefits of chiropractic therapy in conditions unrelated to the back. He found no evidence to suggest that chiropractors could treat any such conditions.

But what about chiropractic in the context of treating back problems? Manipulating the spine can cure some problems, but results are mixed. To be fair, conventional approaches, such as physiotherapy, also struggle to treat back problems with any consistency. Nevertheless, conventional therapy is still preferable because of the serious dangers associated with chiropractic.

In 2001, a systematic review of five studies revealed that roughly half of all chiropractic patients experience temporary adverse effects, such as pain, numbness, stiffness, dizziness and headaches. These are relatively minor effects, but the frequency is very high, and this has to be weighed against the limited benefit offered by chiropractors.

More worryingly, the hallmark technique of the chiropractor, known as high-velocity, low-amplitude thrust, carries much more significant risks. This involves pushing joints beyond their natural range of motion by applying a short, sharp force. Although this is a safe procedure for most patients, others can suffer dislocations and fractures.

Worse still, manipulation of the neck can damage the vertebral arteries, which supply blood to the brain. So-called vertebral dissection can ultimately cut off the blood supply, which in turn can lead to a stroke and even death. Because there is usually a delay between the vertebral dissection and the blockage of blood to the brain, the link between chiropractic and strokes went unnoticed for many years. Recently, however, it has been possible to identify cases where spinal manipulation has certainly been the cause of vertebral dissection.

Laurie Mathiason was a 20-year-old Canadian waitress who visited a chiropractor 21 times between 1997 and 1998 to relieve her low-back pain. On her penultimate visit she complained of stiffness in her neck. That evening she began dropping plates at the restaurant, so she returned to the chiropractor. As the chiropractor manipulated her neck, Mathiason began to cry, her eyes started to roll, she foamed at the mouth and her body began to convulse. She was rushed to hospital, slipped into a coma and died three days later. At the inquest, the coroner declared: "Laurie died of a ruptured vertebral artery, which occurred in association with a chiropractic manipulation of the neck."

This case is not unique. In Canada alone there have been several other women who have died after receiving chiropractic therapy, and Edzard Ernst has identified about 700 cases of serious complications among the medical literature. This should be a major concern for health officials, particularly as under-reporting will mean that the actual number of cases is much higher.

If spinal manipulation were a drug with such serious adverse effects and so little demonstrable benefit, then it would almost certainly have been taken off the market.


Simon Singh is a science writer in London and the co-author, with Edzard Ernst, of Trick or Treatment? Alternative Medicine on Trial. This is an edited version of an article published in The Guardian for which Singh is being personally sued for libel by the British Chiropractic Association.

Tuesday, July 28, 2009

Thunderf00t Debates Ray Comfort

An interesting series, unedited, of a video debate YouTube personality Thunderf00t had with Ray "Bananas are the Atheist's Nightmare" Comfort. It goes about how you'd probably imagine. I'm not saying Thunderf00t had a great performance here. I'd say it was very good, but not great. But, on the other hand, he was clearly more interested in having the discussion than winning the debate, so, points to him. The part that's the hardest to watch is all the variations of "I know this is true" "Why?" "Because the Bible says so and the Bible is true" from Ray. His absolute statement near the beginning of "I know what happened in the beginning, you don't know, but I do, in the beginning God created the heavens and the earth" is...well...painful, to say the least. You also get the sense that there is one proposition that Ray will never, ever, EVER consider - maybe, just maybe, the Bible is not absolutely true. Comfort brushes aside any other scripture as drivel or evil lies, but never applies the same logic he uses to bat those aside to his own scripture. He begins with the unquestioned assumptions that God exists, it is the Christian God, that God created everything, and that the Bible is absolutely true and as long as someone is born again, they can never be wrong when reading the Bible. The other extremely painful part is in Part 7 of this playlist, when Thunderf00t describes in detail an observed instance of speciation, a ring species of salamander, well, perhaps more accurately a forked speciation event, but, regardless. Ray agrees with every part until Thunderf00t gets to the conclusion - "That's speciation." Ray then goes on to basically say "Okay, sure, there is this species of salamander, that after sufficient geological distance cannot interbreed with the two ends of the range. Sure, you can interbreed salamanders from each fork all the way back to a common salamander at the top of the fork, and the two at the end of the forks cannot interbreed. But this is not speciation. This is not evolution. It's just infertility problems. Even though they can still breed with themselves or other salamanders close to their part of the river." I wanted to scream just a bit after watching that fail of logic. I know that this kind of response happens on both ends. You feel that you are using logic and reason to its height, and whomever you're talking to is just not getting it, or accepts every step until the logical inference to the conclusion. I do feel, however, that Ray got himself into more trouble in this kind of situation, however, because Thunderf00t makes it clear that he doesn't accept at face value Ray's basic premises. That's important - if you accept Ray's premises, such as God existing and having created everything and the Bible being absolutely true, then yes...it all makes sense. But that's exactly where the atheist draws the line - show me that your premises have merits, and then we can argue about the finer points of deduction or induction. Ray utterly fails to provide any evidence to back up his basic premises.

Anywhere, here's the video. Watch it if you can stomach it:

Monday, July 20, 2009

Commemorating Apollo 11

I wanted to make a short post to commemorate today as the 40th Anniversary of the first Moon Landing. A few days ago was the anniversary of the launch, and I meant to put up something then but didn't get around to it due to being sick for a while. Anyways, recovering now, and I would ask you to take some time and browse around The Big Picture's post on the Apollo 11 mission, or go check out Phil Plait's blog for a bit of a more personal reflection. I wasn't alive at the time of the landing, unfortunately, but it's had its impact on me in other, less direct ways.

The Moon landing was an important and historic achievement, perhaps largely political in its time, but in the long view it has come to symbolize something about humanity in general - our curiosity, our outward and upward reach, our scientific and technological advances, and the general hope that pervades our species for a better world. There is something impressive about the speed with which we went from the first flight to stepping forth onto another world. Likewise, it is hard to believe that is has been close to 40 years since humans have really left Earth orbit. I hope we return soon, with forethought and a well-laid plan, and continue to press out into not just our solar system, but eventually the cosmos as a whole. In a way, we are returning to the primordial oceans that birthed us, we are going home.

Sunday, July 19, 2009

Marx’s Theory of Finance

To develop a basic, classical Marxist theory of finance; we must understand the basic profit principle of Marx: M'=M+ΔM or Money-Capital-Money'. In Marx’s mature thought, everything is built on this principle and all human economic activity is reducible to achieving M'. But, because Marx discussed his theory in terms of labor-produced goods and set labor as the only way to create profit, applying Marx to finance and especially trading becomes oblique in some ways. The reason why we must consider Marx’s perspective (and why you should continue reading this article) is that it helps us understand the difference between good finance and bad finance. But first, a short word for the anti-communists out there about the difference between Marxist thought and communism and their policy implications.

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Friday, July 3, 2009

The Importance of Blogs

This is a post about how and why blogs will become an important foundation of genuine, participatory public discussion and how you, reader, can help lead the way. Basically, traffic-building strategies like search engine optimization (SEO), blog carnivals, trackback, and RSS/syndication align profit, informational value, and readership with low overhead and search costs. This means that anyone can blog, but only those who provide the most valuable information in the most easily accessible way will dominate in the long run. The "long" in long run dominance will be shortened by people like you reader as we develop more sophisticated interests in linking to blogs and, for you fellow bloggers, in learning how to build traffic.

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