(Don’t) Blame Canada

A brief word on my latest interaction with American medical care: a broken finger, a clean and quiet emergency room, an aide who promised me he'd save my wedding ring (which had dug into the base of the finger), a swift x-ray, a careful bandaging and splint and a couple of Tylenol and I was on my way. Flawless. I might also add another recent example: the slow and careful diagnosis of a wheat allergy after all other attempts to find the reason for a frustratingly resilient and extremely itchy rash and hives. But I have no way of knowing what the full costs were, although I did see that my allergy test ran to over $2600. But we do get excellent care a lot of the time. And it's worth remembering that even as we gripe about its inefficiency and cost.

Still there is enormous inefficiency and escalating costs. And it simply isn't replicated abroad. In most cases, free markets increase efficiency and keep costs down. In healthcare, the data just aren't there. Check out the following graph from this very helpful post:

US_vs_Canada-500x354

The two countries diverge in the early 1970s, just after Canada's 1966 Medicare single-payer system was enacted.

Yes, there are longer wait times in Canada; yes, Canada free rides off some US pharmaceutical research; yes, US medicine, for the most part, is amazing.

But anyone not blinded by ideology has to see that, in this case, free markets are robbing us blind. They are supposed to do the opposite. And our healthcare outcomes are very similar:

IM-Compare-500x271

Behind The Paul Revere Hilarity

The vicar who gave the Palins a guided tour of Old North Church explains how she got muddled up:

I gave them our standard talk about Paul Revere and the two men who hung the lanterns in the steeple, Robert Newman and John Pulling.

I added a bit about the debate between John Hancock and Sam Adams after they received the warning from Revere (Hancock: "Staying and fighting will look good on my resume when I run for president." Adams: "You are too rich to fight. Let's get out of here." Adams ultimately won that debate.) I did mention that Revere was arrested by British troops and led back to Lexington, warning those British troops that the minutemen had been alerted.

After the introductory talk, we climbed up to the bell ringing chamber, where I talked about how Paul Revere how founded our bell ringing guild in 1750 as a teenager. Governor Palin was particularly interested to see a copy of the original bell ringing contract between Paul Revere and his friends and the rector of Old North, Dr. Cutler. The contract portrays a group of teenagers using democratic principles to organize their bell ringing guild. We did not have the time to get to the top of the steeple to see the lanterns.

He thinks the whole kerfuffle was ridiculously inflated. But he does note:

I knew where all the factoids she cited came from and take responsibility for putting them in her head. I will not take the blame for the odd order those factoids came out. Perhaps it was too much information in too short a period of time to digest properly. Maybe if we climbed to the top of the steeple and viewed the lanterns, the governor wouldn't have focused on the bells. Who knows?

Who knows indeed? But would anyone want a president who could misread a briefing that badly so quickly?

Netanyahu’s Trap For America

GT_NETANYAHU_110603

There is no likelihood that the US will do the logical thing and vote for Palestinian statehood in the UN this fall. The US position will remain that peace will only come from the two parties with the US or the Quartet facilitating. But at this point, hasn't that option been totally played out? When the US exercises even a smidgen of even-handedness, as in Obama's recent speech, the pro-Israel fanatics have a cow. They have a cow every time Obama deviates from the hardest Israeli line of the moment. After two and a half years, it is clear this is going nowhere, apart from a consolidation of Israel's grip on the West Bank, the continued humiliation of the American president, and even greater transparency in America's faltering global power.

The logical next step would surely be to take the US out of the equation. We have become an enabler of Israeli intransigence, and the last two years have proven nothing except that Obama's hands are tied and that Israel and the US Congress run this relationship, as Netanyahu has memorably bragged about in the past. The promise of Cairo has been sabotaged by the Netanyahu government, the AIPAC Democrats, the AIPAC Republicans and the Christianist base. Continuing to keep up the charade that the US government has some kind of leverage or even appeal with the Israeli government is getting more than a little ridiculous.

Moreover, the days when the US could both back Israel in everything and keep the Arab world's dictators and even democracies appeased is fast coming to an end. The Arab Spring is not just a reckoning for Irsael; it is a reckoning for the US-Israel relationship. If and when an Egyptian democratic government insists on a two-state solution, the US will have to choose between Israel and Egypt. We will just as starkly have to choose between Israel and Iraq, and between Israel and Jordan. In the WaPo today, we have also been warned that we will have to choose between Israel and Saudi Arabia. Here's Saudi macher, Turki al-Faisal, laying it on the line:

[H]istory will prove wrong those who imagine that the future of Palestine will be determined by the United States and Israel. There will be disastrous consequences for U.S.-Saudi relations if the United States vetoes U.N. recognition of a Palestinian state. It would mark a nadir in the decades-long relationship as well as irrevocably damage the Israeli-Palestinian peace process and America’s reputation among Arab nations. The ideological distance between the Muslim world and the West in general would widen — and opportunities for friendship and cooperation between the two could vanish.

If Israel continues to settle the West Bank, and the US refuses to take any concrete action to stop it, or is revealed as having no power to stop it, then the US will perforce appear much weaker on the world stage, we will alienate our European allies, lose a critical opportunity to re-engage the Muslim and Arab world, and damage our credibility with emerging Arab democracies. If the UN vote comes and the US is one of very few countries backing Israel's continued occupation, then the Jihadist blowback will be just as serious. It is well past time for us to acknowledge the obvious: Israel's current intransigence is posing a serious threat to the interests of the US and the security of its citizens.

At some point, if Israel continues to refuse a 1967-based partition, the US should, in my view, end this dysfunctional relationship, until it can be re-established on saner lines. Ideally, as a warning sign, the US should abstain in September's vote, unless settlements are frozen and talks begun. The US has a foreign policy with the whole world, not just one tiny country. Netanyahu needs to compromise on settlements or risk the US being forced to choose between the two.

A Poem For Sunday

Cummings

"tonite" by E.E. Cummings:

(i dreamed God took away
the world,
when the niggers were asleep
and threw it into Hell and
the white and the brown and the yellow
people all turned suddenly

black but God looked down
and the niggers were laughing at Him.
And He laughed Himself
and told the snow "I
want you to go down into
nigger street, and put that fire out because I have called off "The
Last Day.")

The full poem is above, with an accompanying essay by James Dempsey here. Ebert gets straight with those who question whether this poem makes Cummings racist:

So here is what it means: God created the races, and threw them and their world into Hell, and they all became the same race and laughed at him for making them different and God got the joke and laughed at himself and called off Judgement Day. That's what it means. … E. E. Cummings wrote a lovely poem against racism.

Nothing Left To Protect

Boris Mikhailov pays the homeless to let him photograph their naked bodies. Morgan Meis reviews the photographs taken in the industrial city of Kharkov, Ukraine: 

Pornography poses, even at their most aggressively sexual, are stylized and ritualized in a way that gives proper respect to the condition of nakedness and exposition. … The deep way that nakedness is related to our capacity for self-consciousness is being given its due. Nakedness is a big deal; it is something special. But the way that Mikhailov's photographic subjects are caught in the act of pulling down their pants or lifting up a shirt erases the specialness. These people have nothing left to protect, least of all their shame.

SFW examples here. Forcible stripping is, as Mikhailov notes, "a big deal." There was a reason Jesus was first stripped by his executioners; it was part of his being robbed of human dignity. The same goes for the victims of the Bush-Cheney torture regime: the nakedness was designed to humiliate and shame, the first part of a process designed to break the prisoners' minds and souls. And I have to say, as the pictures of Anthony Weiner continue to be passed around, we are beginning to see him robbed of what's left of his dignity as well. Are we not capable of mercy?

Be Bored

Joseph Epstein remembers the moral of Joseph Brodsky's 1989 commencement address at Dartmouth College:

Evading boredom, he pointed out, is a full-time job, entailing endless change—of jobs, geography, wives and lovers, interests—and in the end a self-defeating one. Brodksy therefore advises: “When hit by boredom, go for it. Let yourself be crushed by it; submerge, hit bottom.” The lesson boredom teaches, according to Brodsky, is that of one’s own insignificance, an insignificance brought about by one’s own finitude. We are all here a short while, and then—poof!—gone and, sooner or later, usually sooner, forgotten. Boredom “puts your existence into perspective, the net result of which is precision and humility.”