Testing Medicine, Ctd

Physician Abraham Verghese isn't sold on "Comparative Effectiveness" research:

I worry that "Comparative Effectiveness"  or "CE" is going to be the next medical buzz word, just like "Evidence Based Medicine" or "EBM" has been the buzz word for a decade.  "Evidence Based Medicine" is a term which makes about as much sense as "Sex-based intercourse"–Were we practicing based on zodiac signs before EBM came along?  (By the way, I borrowed "sex based intercourse" after hearing a prominent chair of medicine say it–I don't know if he coined it, but I thought it was brilliant). Soon we'll have a generation of physicians who are CE experts to bump out the EBM experts.

Tyler Cowen and Arnold Kling are also skeptical. Hilzoy's defense of CE here.

Reinforcements In The Carbon Battle, Ctd

Jonathan Adler is also on the Carbon Tax bandwagon:

I've been arguing that a revenue-neutral carbon tax is preferable to cap-and-trade for some time (see here and here). The real dealing has yet to begin, and already the House cap-and-trade bill is being watered down to accommodate corporate interests, and it will only get worse. I have no illusions about the likelihood of a "clean" carbon tax bill emerging from Congress, but I believe cap-and-trade is inherently more vulnerable to special interest manipulation — a problem made worse since so few people understand what cap-and-trade means. As actually implemented, cap-and-trade is also less likely to spur the sort of innovation necessary to meet even less-ambitious climate targets, particularly if Congress insists on combining it with energy portfolio standards that constrain the market's ability to shift toward the most efficient means of emission reductions. So, in the case of carbon, it's time to consider a revenue-neutral tax.

Hate Me

Dale Carpenter reacts to the religious liberty clauses being inserted into New Hampshire's marriage equality bill:

With the passage of each new SSM bill, the pressure to adopt specific religious exemptions and to expand their coverage is growing. Make no mistake: a baseline is being established in New England.

I'm fine with it. I don't want to offend anyone's religious convictions or in any way intrude on anyone's right to regard me and my civil marriage as an abomination and to stay as far away from it as possible. They can keep their kids away, they can tell them I'm wicked, that I will go to hell, that my love is an illusion, that my life a sham. But give me equality under the law. No more; no less. And may your God go with you.

McChrystal’s Men: TF 6-26

Abuse2.large

It was a successful operation designed to find and kill Zarqawi, and is also regarded as responsible for finding and killing many insurgents. It was also riddled with abuse, torture and murder of prisoners:

For an elite unit with roughly 1,000 people at any given time, Task Force 6-26 seems to have had a large number of troops punished for detainee abuse. Since 2003, 34 task force members have been disciplined in some form for mistreating prisoners, and at least 11 members have been removed from the unit, according to new figures the Special Operations Command provided in response to questions from The New York Times. Five Army Rangers in the unit were convicted three months ago for kicking and punching three detainees in September 2005.

Its motto: "If you don't make them bleed, they can't prosecute for it." McChrystal appears to be the anti-Petraeus. No wonder Cheney loves him. But why then did Obama pick him for Afghanistan? In the wake of horrifying news of unintended civilian casualties, in a war where the US is already intensely unpopular, Obama has picked a leader who can be directly linked to the worst images and incidents of prisoner torture and abuse under Bush.

And one can't help but wonder at the same time: is McChrystal the reason for the sudden volte-face on the abuse photos? Their resurfacing would make hearings very awkward.

Who Is Stanley McChrystal?

MCCHRYSTAL1StefanZaklin:Getty

An interesting piece from someone who once served under him and clearly worships him. Read it all. Money quote:

Obviously writing from the seat of retirement, and with absolute respect and gratefulness for

LTG McChrystal’s aggressive leadership, personable demeanor, and unwavering mentoring, I envy the guys that are soon to find themselves sharing the same mess hall, weight room, and helicopter as The Pope. The man is unstoppable. Demonstrably more committed than most. More open, in fact insistent, on creative and innovative ideas from his subordinates to fight the war on terror. From my perspective, our rules of land warfare, our respect for human life, and our strategic constraints handcuff us to the point that the war in Afghanistan is unwinnable. But, with LTG McChrystal at the helm now all bets are off.

That last sentence suggests that McChrystal disagrees with the customary "respect for human life" demanded of the US military. McChrystal's past is mysterious but there is little doubt that he was deeply involved in one of the worst torture outfits in Iraq, Camp "Nama", an acronym for "Nasty Ass Military Area". The key sources for what went on at Nama are a NYT story here, and a Human Rights Watch report here. Two prisoners were tortured to death in this place. It was extremely closely monitored, with records of all sorts of torture and abuse, and yet there are also extensive stories of abuse that went well outside even the torture techniques approved by Cheney and Rumsfeld. Remember also that Iraq was, even by the standards of the Bush administration, supposed to be under the Geneva Conventions. The camp's record has been shrouded in secrecy from the beginning.

Nama housed the "black room" – a torture cell:

The black room was 12 by 12 [feet]. It was painted black floor to ceiling. The door was black, everything was black. It had speakers in the corners, all four corners, up at the ceiling. It had a small table in one of the corners, and maybe some chairs. But usually in the black room nobody was sitting down. It was standing, stress positions, and so forth. The table would be for the boom box and the computer. We patched it into the speakers and made the noise and stuff. Most of the harsh interrogations were in that room. . . . Sleep deprivation, environmental controls, hot and cold, water.

There was also a yard for freezing and beating naked prisoners:

He was stripped naked, put in the mud and sprayed with the hose, with very cold hoses, in February. At night it was very cold. They sprayed the cold hose and he was completely naked in the mud, you know, and everything. [Then] he was taken out of the mud and put next to an air conditioner. It was extremely cold, freezing, and he was put back in the mud and sprayed. This happened all night. Everybody knew about it. People walked in, the sergeant major and so forth, everybody knew what was going on, and I was just one of them, kind of walking back and forth seeing [that] this is how they do things.

The abuse was so severe – two prisoners were murdered in the course of torturing them – in this camp that even Stephen Cambone tried to shut it down. And yet it remained functioning before and after the Abu Ghraib scandal, clear irrefutable evidence that Abu Ghraib was policy. At Nama, most of the torturers and soldiers were referred to by their first names, and anonymity was rampant. The Red Cross visited some camps in the Iraq war but not Camp Nama. Here is an excerpt from the interview Human Rights Watch did with a soldier who was an eye-witness to the torture and abuse at the camp:

HRW: Was there any discussion of the Red Cross coming?

Yeah, they said that the Red Cross would never be able to get in there at all.

Abuse.184 HRW: Why would somebody bring that up?

I think because the Red Cross and a couple other agencies were going around different places around Iraq, different facilities, and they were getting access. So somebody brought it up to somebody else. I think the colonel, or somebody in charge. You know, will they come here? It was the colonel, yeah. And he said absolutely not.

Jeff explained that the colonel told them that he "had this directly from General McChrystal and the Pentagon that there's no way that the Red Cross could get in." Jeff did not question the colonel further on how these assurances were given to those in command in CampNama.

He explained that they were told: "they just don't have access, and they won't have access, and they never will. This facility was completely closed off to anybody investigating. Even Army investigators."

This witness also saw McChrystal visiting Nama:

Jeff said that he did see Gen. Stanley McChrystal, commander of U.S. Joint Special Operations forces in Iraq, visiting the Nama facility on several occasions. "I saw him a couple of times. I know what he looks like."

What are the odds that McChrystal will be asked about his knowledge of Camp Nama in his confirmation hearings? And why would Barack Obama appoint someone whose line of command made him directly responsible for a place that made Abu Ghraib look like the Brookings Institution?

Jon Stewart’s Sick Joke

Yes, the rule of law is optional when it comes to executive branch war crimes – but keeping an Arab linguist in the service? That’s illegal! Sometimes the world is so fucked up only a comedian can tell the truth:

The Daily Show With Jon Stewart M – Th 11p / 10c
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