mm417: Sunny promises collide with black thunderclouds

June 21, 2008

MUDGE’s Musings

Outside the rarefied world of election campaigns, real life grinds on relentlessly.

washingtonpost

Big Promises Bump Into Budget Realities

New President Won’t Have an Easy Time Paying for New Initiatives, Fiscal Experts Say

By Lori Montgomery | Washington Post Staff Writer | Saturday, June 21, 2008; Page A01

On the presidential campaign trail, Democrat Barack Obama promises to “completely eliminate” income taxes for millions of Americans, from low-income working families to senior citizens who earn less than $50,000 a year.

Republican John McCain vows to double the exemption for dependents and slash the corporate income tax.

To which the folks who monitor the nation’s financial situation can only say: Good luck. Because, back in Washington, tax collections are slowing, the budget deficit is rising, and the national debt is approaching $10 trillion. Whoever wins the White House this fall, fiscal experts say, is likely to have a tough time enacting expensive new initiatives, be they tax cuts or health care reform. …

President Bush, who seems to be spending his last year in office trying to create a legacy, has already done so, indelibly. He’s going to leave the nation with greater fiscal obligations, and fewer means with which to meet them, mainly due to his Iraq needless nightmare, than ever before.

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mm396: It’s an oil spill!

May 30, 2008

MUDGE’s Musings

Oil prices. A very hot, very sticky, very crude topic. We’ll look at four versions of reality.

MUDGE‘s reality: $4.259/gallon at his neighborhood Shell.

From the mosaic, we can hope that some kind of truth emerges.

No question that we are living in interesting times.

“May you live in interesting times”

mm381: Crime’s up. Economy’s down. Next question?
mm380: The return of cheap gasoline
mm370: How can you tell our president is lying?
mm347: It’s official, we’re depressed — er, recessed
mm344: Welcome to interesting times
mm337: Dare we trust the guys who got us into this mess?
mm335: Are you prepared for interesting times?
mm334: Rearranging deck chairs
mm333: “Great people shouldn’t have a resume”
mm331: Obama at Cooper Union: Lincoln?
mm328: Today’s economics lesson: Depression 101
mm309: The news Bush really hates you to hear
mm289: Recession: Paying the price for our power
mm285: Mayor Mike tells some hard truths
mm263: This man -so- wants to pull the trigger…
mm257: The R-Word – Not that racy television show
mm256: I don’t hate big corporations, either

Oil spill no. 1. How high is up?

$200 a barrel petroleum. If you think your world is changing around you, buckle up.

theamerican[4]

Will Oil Really Hit $200 a Barrel?

By Desmond Lachman | Friday, May 30, 2008

Rudi Dornbusch, the renowned economist, once said that he did not understand how Mexico’s central bank board members could make the same mistakes time after time. Looking at the ongoing frenzy in the global oil market, one appreciates what Dornbusch meant. Once again, many market participants appear to believe that oil prices can only go up. It seems that the painful lessons of the 2001 dot-com bust have been forgotten, as have the lessons of the much more recent U.S. housing crash.

In their state of forgetfulness, many pension funds and insurance companies have built up very large open positions in the oil futures market. These positions are now estimated to total over $200 billion, roughly the equivalent of a full year of Chinese oil demand. They have contributed to the recent spectacular run-up in oil prices.

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mm230: Stem Cells; Insurance Scum; Overtreatment!

December 22, 2007

MUDGE’S Musings

Yes, fan, it’s a Health/Medical edition of SASB!

shortattention_thumb2 ©

We begin with a doubly frightening topic: Cancer combined with cancerous Stem Cells. This story hit NYTimes:

nytimes

Scientists Weigh Stem Cells’ Role as Cancer Cause

By GINA KOLATA | Published: December 21, 2007

Within the next few months, researchers at three medical centers expect to start the first test in patients of one of the most promising — and contentious — ideas about the cause and treatment of cancer.

The idea is to take aim at what some scientists say are cancerous stem cells — aberrant cells that maintain and propagate malignant tumors.

Although many scientists have assumed that cancer cells are immortal — that they divide and grow indefinitely — most can only divide a certain number of times before dying. The stem-cell hypothesis says that cancers themselves may not die because they are fed by cancerous stem cells, a small and particularly dangerous kind of cell that can renew by dividing even as it spews out more cells that form the bulk of a tumor. Worse, stem cells may be impervious to most standard cancer therapies.

Not everyone accepts the hypothesis of cancerous stem cells. Skeptics say proponents are so in love with the idea that they dismiss or ignore evidence against it. Dr. Scott E. Kern, for instance, a leading pancreatic cancer researcher at Johns Hopkins University, said the hypothesis was more akin to religion than to science.

“…more akin to religion than to science.” How fitting when stem cells are the topic!

Of course these are one’s own, cancerous stem cells in question.

[Please click the link below for the complete article — but then please come on back!]

Scientists Weigh Stem Cells’ Role as Cancer Cause – New York Times

Here’s the telling quote:

“Not only are some of the approaches we are using not getting us anywhere, but even the way we approve drugs is a bad model,” he said. Anti-cancer drugs, he noted, are approved if they shrink tumors even if they do not prolong life. It is the medical equivalent, he said, of mowing a dandelion field.

Cancer patients and their families are desperate, so promising drugs can get expedited approval, even if, as noted, they don’t prolong life.

It would be spectacular if this stem cell related research might yield an effective, more permanent treatment.

Now, let’s get angry together…

shortattention_thumb2 ©

For some time now, we’ve had Esoterically.net/weblog as a member of L-HC’s blogroll blogroll2. The subtitle has changed since we originally captured it, Life is too short to live it as a Republican,” but the blog continues to highlight the important issues. Here’s one also from Dec. 21 that set me off:

esotericallynetweblog

Health insurance screwup

Published by Len Dec. 21, 2007 at 17:50 under General, Politics

I hope the Sarkisyan family wins their lawsuit and is award millions and millions of dollars. It is time for these $7.00/hour clerks at the insurance companies to stop playing doctor.

Family to Sue Insurer in Transplant Case

LOS ANGELES (AP) – The family of a 17-year-old girl who died hours after her health insurer reversed a decision and said it would pay for a liver transplant plans to sue the company, their attorney said Friday.

Nataline Sarkisyan died Thursday at about 6 p.m. at the University of California, Los Angeles Medical Center. She had been in a vegetative state for weeks, said her mother, Hilda.

Len updated the post with a link to a more complete analysis definitely worth the detour.

[Please click the link below for the complete article — but then please come on back!]

Esoterically.net/weblog » Health insurance screwup

Tragedy is tragedy, but the absolute worst ones are those that were preventable: Katrina, the I-35 bridge, and now Nataline Sarkisyan are all examples of bureaucratic failures caused by a deliberate policy of undercutting the public good in the service of private political agendas, in the first two examples, and shareholder profit, in poor Nataline’s case.

U.S. healthcare needs fixing, and here’s a story pointing to an unexpected cause, and potential fix.

shortattention_thumb2 ©

This week, NYTimes published its list of top economics books as chosen by its columnist, David Leonhardt. His No. 1 book is one I’d not encountered shame on me!

nytimes

No. 1 Book, and It Offers Solutions

By DAVID LEONHARDT | Published: December 19, 2007

In 1967, Jack Wennberg, a young medical researcher at Johns Hopkins, moved his family to a farmhouse in northern Vermont.

“Overtreated” by Shannon Brownlee, above, diagnoses the big flaw in medical spending.

Dr. Wennberg had been chosen to run a new center based at the University of Vermont that would examine medical care in the state. With a colleague, he traveled around Vermont, visiting its 16 hospitals and collecting data on how often they did various procedures.

The results turned out to be quite odd. Vermont has one of the most homogenous populations in the country — overwhelmingly white (especially in 1967), with relatively similar levels of poverty and education statewide. Yet medical practice across the state varied enormously, for all kinds of care. In Middlebury, for instance, only 7 percent of children had their tonsils removed. In Morrisville, 70 percent did.

Dr. Wennberg and some colleagues then did a survey, interviewing 4,000 people around the state, to see whether different patterns of illness could explain the variations in medical care. They couldn’t. The children of Morrisville weren’t suffering from an epidemic of tonsillitis. Instead, they happened to live in a place where a small group of doctors — just five of them — had decided to be aggressive about removing tonsils.

But here was the stunner: Vermonters who lived in towns with more aggressive care weren’t healthier. They were just getting more health care.

That last bears repeating: Vermonters who lived in towns with more aggressive care weren’t healthier. They were just getting more health care.”

As you’ve doubtless heard, this country spends far more money per person on medical care than other countries and still seems to get worse results. We devote 16 percent of our gross domestic product to health care, while Canada and France, where people live longer, spend about 10 percent.

So, we’re overtreated, but undercured. Part due to our fee-for-service system; part due to our own ignorance of medicine’s true costs when we ourselves are the patients; part due to that byzantine health insurance system” that dazzles and confuses us, and lets Natalines die rather than pay.

[Please click the link below for the complete article — but then please come on back!]

No. 1 Book, and It Offers Solutions – New York Times

As Leonhardt makes clear, the true value of this book is that it has clear and achievable recommendations for reforming our sick healthcare system.

When it’s back in stock (ah, the power of the press!) we ought to buy copies for every senator, congressperson and presidential candidate.

So, that’s our Health/Medicine edition of SASB shortattention©. Stay healthy!

It’s it for now. Thanks,

–MUDGE

Note!: the links to Amazon.com used above is for the convenience of faithful reader and represents no commercial relationship whatsoever. Left-Handed Complement should be so fortunate as to ever collect remuneration of any kind for this endeavor. I can link, so I link. It’s technology. It’s cool. It’s an artifact of Sequitur Service©. Deal with it.