A Public Option For Internet Access

This week the White House announced a new effort to spur municipal broadband development. Amy Schatz puts the move in context:

Internet providers have mostly fought such locally owned systems, particularly ones that would be built in areas where local phone and cable companies offer services. Thanks in part to lobbying by Internet providers, there are laws in 19 states restricting municipalities from funding competing systems. Aside from concerns by competitors, there have been a few cases where locally owned systems have run into financial trouble, since it’s extremely expensive to build fiber networks and incumbent Internet providers in some cases have cut their prices to retain customers.

Sam Gustin takes note of the timing:

Next month, the FCC will decide whether to assist two cities—Wilson, North Carolina and Chattanooga, Tennessee —which have asked the feds to help them bypass state laws that pose barriers to super-fast community networks. Obama’s latest statement provides a powerful political boost to FCC chairman Tom Wheeler, who has made clear his intention to “preempt state laws that ban competition from community broadband.”

Timothy B. Lee looks at the politics:

Last year, the Republican-controlled House passed language banning the FCC from banning states from banning cities from building municipal networks. It never became law, thanks to opposition from Senate Democrats and President Obama. But it could become another flashpoint in the relationship between Republicans in Congress and the FCC — a relationship that’s already been strained by disagreements over network neutrality regulations.

This is one reason President Obama’s support for municipal broadband is important. Now that he’s on the record supporting the concept, he’s more likely to veto legislation that tried to overrule the FCC on the issue.

Meanwhile, the new GOP Senate may be planning to preempt the upcoming FCC ruling. Drilling down, Jason Koebler finds there are in fact 21 states that restrict municipal Internet efforts in one way or another:

There are three different “categories” of state law banning municipal broadband. There are “If-Then” laws, which have some requirements for municipal networks such as a voter referendum or a requirement to give telecom companies the option to build the network themselves, rather than restrictions (some are easier to meet than others). Then there are “Minefield” laws, which are written confusingly so as to ​invite lawsuits from incumbent ISPs, financial burden on a city starting a network, or other various restrictions. Finally, you’ve got the outright bans. Some of these are simple, others are worded in a way that make it seem like it’d be possible to jump through the hoops necessary to start a network, but in practice, it’s essentially impossible.

Yglesias elaborates on the funding blocks, noting that Big Internet seems much happier to spend money on lobbying than expanded infrastructure:

The 2009 stimulus bill, for example, provided a grant to the District of Columbia to build a publicly owned fiber-optic network, but the city’s not allowed to use it to deliver fiber connections to its residents. In San Antonio, the city-owned electrical utility already built a fiber network but lobbyists got the state legislature to pass a law making it illegal for households to use the fiber.

So even though we have the technical ability to deliver cheap, super-fast internet and we have the financial ability to finance the construction, we don’t actually have the network. In fact, we’re so in hock to the interests of the broadband incumbents that we don’t even use all the fiber networks we’ve already built.

Evan Swarztrauber doesn’t like the president’s plan:

The greatest regulatory barriers to deployment are local, not Federal: cities make it painfully difficult to deploy new infrastructure. Google Fiber’s great accomplishment is convincing cities to get out of the way. Yet the White House focuses entirely on cities as the solution — not by cutting red tape, but by building their own networks to compete with private providers. That means taxpayer dollars that should go to pay teachers and fix potholes, are instead squandered on inefficient and expensive networks.Governments, unlike private companies, can simply borrow and throw money at broadband projects until they “work,” leaving taxpayers on the hook.

But Tim Fernholz thinks Obama’s play might prove to be smart jujitsu:

Put simply, competition spurs faster and cheaper broadband service. The administration notes that academic studies and empirical data show that when new networks come to town, everyone gets better: When Google built a fiber-optic network in Kansas, speeds on existing networks there nearly doubled; when it announced a similar plan in Austin, Texas, AT&T hastily unveiled its own investment plan.

The White House isn’t really expecting municipal internet to make a major dent the market share of existing cable providers. As with the short-lived “public option” for health insurance before it was cut from the president’s health care proposal, the idea here—and on a much smaller scale—is to hold telecoms’ feet to the fire by providing a baseline level of service.

Who Does Torrenting Hurt? Ctd

You can review the whole Dish debate so far here. A half-dozen readers below are pro-torrenting to some extent or another. The first:

Loving the thread on torrenting.  I was about to write my thoughts on it, but I’m lazy and this cartoon from The Oatmeal basically sums it all up anyway.

Another reader:

You seem to have had a dearth of confessed pirates who aren’t total dicks, so I thought I’d write in. Like a lot of your other readers, I’m a Netflix and Amazon Prime subscriber (and Dish subscriber from day one!), a cable subscriber, and I’m really looking forward to HBO’s standalone Go service.

Nonetheless, I pirate. But I’m an ethical pirate, in that I only pirate media that are out of print or have not been distributed in the U.S. I mainly consume foreign TV shows that are not distributed here, or have no imminent distribution planned. For example, I used to pirate Doctor Who until BBC America finally got on the stick and offered a day and date release for the last few seasons. Until then, it was a six-month wait to see it, and spoilers abounded by then. U.K. shows are increasingly getting distributed here, but there’s a ton of other quality programming produced in Europe that never gets distributed in the U.S. And some of the shows that eventually surface are exclusive to one carrier, like Black Mirror, which showed up on DirecTV two years after it aired on Channel 4.

Another zooms out:

Art is not some onerous task that nobody wants to do unless you bribe them with enough money.  There are zillions of creative people who are already longing to make art.  The relevance of money is not to motivate them to make art – as if artists are a bunch of pissy John Galts threatening to take their toys and go home – rather, it is to enable them to do what they already want to do anyway.

I saw this all the time in my days as a starving artist.

Artists who can afford to make art will do it; artists who can’t won’t.  But there’s more than one way to make an artist’s life affordable.  One is to make sure that payment and royalties find their way back to the artist, but another more effective way is simply to make art a less expensive proposition.  Technology is doing that.  Today there is more music, literature, visual art, etc, being produced and made available than ever before in history.  The reason is that you no longer need your own recording studio or printing press to make it, and you no longer need an elaborate distribution and marketing program to get it out there.

Another is on the same page:

What follows here is NOT a moral judgment, or a judgment of value. It is simply to state that, with the Internet, many things are changing dramatically and we may be incapable to stop that change, for good or bad.

Let me use a metaphor related to what the IP lawyer wrote. Let’s suppose I am an sculptor, and I make a really beautiful sculpture, and then I put said sculpture in a public park. Then, from everybody that passes by and looks at it, I say: “Hey, you DID see that sculpture, now you should pay some money for that, after all I do deserve a compensation for my work! And if you don’t pay, I’ll sue you!” Everybody would just laugh at me. Well, the fact is that now we all live in the world’s largest public park. It is called the Internet.

You don’t want your movie to be pirated? Very simple: make it in celluloid. And only make copies in celluloid. There, problem solved.

The fact of the matter is that, once you go digital, there is simply no way to keep your artwork out of the Internet. Some people are counting on Digital Rights Management (DRM) as being the savior. However, I work with DRM, and I can say from first hand experience that DRM only gives you a brief interval before a digital artwork reaches the Internet for free anyway. Major corporations are putting billions of dollars in coming up with more and more elaborate DRM schemes, and still piracy thrives.

The only thing I know for sure is that trying to put the Internet genie back in the bottle is impossible. We will just have to create a new mindset for the Internet age.

Another sorta sees both sides:

Almost indisputably, it is unethical to download and watch torrented films one didn’t pay for, while also being true that almost all torrenters wouldn’t have seen those films anyway and the artist therefore isn’t out the cash. An illegally downloaded film or music cd does not equal a lost sale. It just does not.

In the five years before I got torrent, I would see maybe five movies a year in the theaters, generally action flicks deserving of the big screen experience. After getting set up with a torrent client, I starting watching dozens of films each year at home, in addition to still going to the theater about five times. But there is no way I’d have gone to see any of those downloaded movies in the theater. The artists involved did not lose out on my money. The overriding reason I watched the films is because I could get them for free. If I couldn’t get them for free, I wouldn’t watch them. Period.

Another sees a lot of gray area:

I just wanted to push back a bit on the idea put forth by some of your commenters who say torrenting The Godfather is no different than going into Best Buy and walking out with a DVD of The Godfather under your jacket.  That’s nuts, and I don’t think anyone actually thinks that, at least not in any consistent way.  Consider some hypotheticals.

1.  I rent The Godfather on Blu-Ray from the local library.  When I get home, I find the disc is scratched and it won’t play.  I download it instead.  Stealing?

2.  I buy the premium cable TV package, but I’m usually working when the shows I watch are airing, so I download the shows after they air.  Stealing?

3.  My girlfriend buys all the Game of Thrones DVDs and invites me over to watch them with her.  But I have a larger TV, so I want to watch them at my house.  I download the first few episodes.  Stealing?

4.  I go out and buy Rubber Soul on vinyl.  But I want to listen to it on my iPod, so I also download Rubber Soul in mp3 form.  Stealing?

5.  I see 12 Years A Slave in theaters three times.  I buy the DVD for my aunt and for my grandfather.  Ten years from now, I haven’t seen it in awhile, so I download it.  Stealing?

6.  I buy a hardcover copy of The Cider House Rules.  I leave it on the train accidentally, losing it before I started it.  So I download an e-book copy.  Stealing?

None of these is intended as some “nyah-nyah” rhetorical gotcha, and none is a slam dunk one way or the other in my view.  And I’m obviously not claiming, because it would be ludicrous to do so, that everyone who torrents the latest album by The Arcade Fire only did so because they were out of money from buying copies for everyone in their immediate family.  But I think most people would at least see some ambiguity in the rightness or wrongness of each of the above actions, whereas nobody would see any ambiguity if I had just gone into a store and stolen hard copies of all the items in question instead.  If that’s true, I think that gives lie to the idea that torrenting is the same as theft.

One more reader:

On the bright side for musicians, many may not have had the audience they do now without file sharing, meaning they can gain more in your revenue. Unfortunately, for some that means constantly touring and many (like Grizzly Bear) still couldn’t afford health insurance when they had broken fairly big pre-Obamacare.  Under major labels (and I’m guessing many minor), stealing music tends to hurt the label more than the band since bands rarely make much of anything off of album sales. Similarly, bands rarely hold the rights to their masters so bad you stolen Beatles music for a long time you would’ve been stealing from Michael Jackson.

I’m all for a system that continues to employ the sound engineers, production assistants, etc., but let’s not pretend that what existed pre-Napster was great for artists.  The recent Black Swan lawsuit showed just how exploitative the film industry is of (unpaid) interns. I think another reader’s question about executives stands and I’ll alter it: why do they get to make millions when some people work for nothing?

The Liberal Reagan? Ctd

obamasmug

It’s been a theme on this blog from as far back as 2007 that Barack Obama could be as significant a president for the center-left as Ronald Reagan was for the conservative right. And in policy terms, as Jon Chait rather brilliantly argues, he still stands a good chance of that. If the ACA survives SCOTUS, it will be a real shift in social policy as durable as welfare reform or as Reagan’s tax cuts. If a deal with Iran is reached, along with the opening to Cuba, you have a foreign policy paradigm shift. The impact on climate change will be greater than under any previous president (not a high bar, but a real one). The gay civil rights revolution makes Obama our LBJ. The growing momentum behind legal marijuana is also a huge shift – along with a real tidal change in police tactics and sentencing. And this ignores the biggest negative achievement, saving us from a Second Great Depression. If the economy continues to pick up speed, and continues to beat every other advanced democracy’s, it’s hard not to see it helping cement this broader truth in the public consciousness, however intense the propaganda campaign has been against the guy.

There are, of course, events that can still up-end all this. But it seems clear to me that the attempt to turn Obama into another Carter – a project of the brain-dead right for the past six years – will fail. Here are two graphs from Gallup of presidential approval ratings, noted by Aaron Blake. Here’s how Obama stacks up against Carter:

Screen Shot 2015-01-15 at 2.07.52 PM

Obama never reached 31 percent in approval ratings, was handily re-elected, and his current approval level is almost exactly the average of all presidencies at this point in their term. Here’s the Reagan comparison, which I’ve deployed before.

Screen Shot 2015-01-15 at 1.57.45 PM

You’ll see at this point that Obama and Reagan are virtually tied – in the wake of the Iran-Contra scandal. And you’ll notice that Obama never reached Reagan’s 35 percent approval low either. Is it possible, given increased growth in employment and now even wages that Obama could end up where Reagan was in his last two years? Perfectly possible. Which will frame the next election very differently, if Hillary doesn’t fuck it up the way Gore did after Clinton.

Meep meep?

(Photo by Dennis Brack/Black Star via Getty)

Clinton Gears Up

Jonathan Bernstein wonders if she just “clinched” the nomination:

There were two indicators this week. First, after months of playing around, Senator Elizabeth Warren finally declared herself out more definitively. It wasn’t Shermanesque, and plenty of politicians  have entered or re-entered past presidential races after more solid exits, but it’s getting late for someone to rule out a run and still have time to mount a serious one. …

The other development this week  is that several big-name operatives have signed on to Clinton’s campaign, even though she hasn’t even made an informal announcement yet that she is running.

First Read covers the recent hires:

[B]y grabbing Obama’s chief pollster (Joel Benenson) and media consultant (Jim Margolis), Clinton has decided to enlist key parts of Obama’s campaign 2008-2012 team, discarding the folks who ran her polling and media in ’08. And she isn’t only grabbing Benenson — she’s lured the other part of Obama’s polling/analytics organization (John Anzalone and David Binder), the Washington Post reported. When you add the fact that John Podesta is leaving the Obama White House to serve as a liaison between the Clinton campaign and White House (as well as to handle the Clinton Old Guard), it’s pretty easy to conclude that Clinton won’t be running away from Obama. In fact, it’s looking like she will be more connected to him than ever. And the people she’s hiring are the best-equipped campaign folks to reassemble the Obama-voter coalition.

Dave Roberts is happy about Podesta joining the Clinton campaign:

Podesta’s got long history in Washington and most of it speaks well of him. He was by all accounts a shrewd chief of staff for Bill Clinton; he founded the Center for American Progress, which has been a huge success; and more recently he has been working inside the White House to encourage Obama to be bolder, which is paying dividends in a sustained burst of executive action from immigration to community college to paid work leave to climate change.

Speaking of that: Perhaps Podesta’s greatest recent achievement is to convince the White House to be bold on climate even in the face of Republican wins in the 2014 midterms.

Cassidy chips in two cents:

The move was hardly unexpected: Podesta is a Clintonite through and through. He served in Bill Clinton’s White House from start to finish, rising through the ranks to become Chief of Staff, a post he held from October, 1998, to January, 2001. For months now, Podesta has been telling people that if Hillary decided to run he would most likely join her.

Now that Podesta has taken the plunge, it almost makes official what we already know: Hillary is in. And so are many longtime residents of Planet Clinton.

The Cutting Edge Of Translation

Google is on it:

Translation

Jim Edwards calls the Google Translate app “the most astonishing piece of mobile software I’ve seen in months”:

Google Translate lets you read anything in a foreign language; translate any text, even handwriting; and carry on a live conversation with another person as the app translates what you’re saying. The software translates instantly, whether via text, photo, or voice.

Or as Lance Ulanoff explains, “once you select the two speaking languages, Google Translate can auto detect them as they are spoken.” Below is a demo that’s almost as remarkable as the GIF seen above:

Ulanoff tried it with a Turkish-speaking intern:

At first, we stumbled because the intern, who is also fluent in English, kept responding to what I was saying and not waiting for Google Translates’ interpretation. Eventually, she got it right and started waiting for my translated words to be spoken by the app.

Initially, she told me, the translation was perfect, but when I started to speak in longer sentences, it basically fell apart and got a lot of it wrong. As I tested with others who spoke in Greek, German and French, we noticed the same thing. We could never completely rely on Google translate to get the words right.

He found a lot of similarities between Google’s app and Skype Translator. John Pavlus tested out the latter:

The limitations of Skype’s translation software are … revealing, since they show how difficult it is for even the smartest machine to mimic the subtleties of effective human conversation. Determining which meaning of a word is appropriate in different contexts can be vexing. “If software is translating between American and British English, and it recognizes the word ‘football,’ it also needs to know when to change it to ‘soccer’ and when to keep it as ‘football’ or ‘gridiron,’” says Christopher Manning, a professor of linguistics and computer science in Stanford University’s Natural Language Processing Group.

Matthew Braga explains why realtime translation is so difficult:

“The reason that real-time [translation] is difficult for most of us is that it’s really a matter of probabilities,” said Gerald Penn, associate chair of the University of Toronto’s department of computer science, and a specialist in natural language processing. In a modern speech recognition system, a computer is typically trained on a language model—essentially, a database of what people are most likely to say, and in what order. Using this model, a computer gathers speech data from a microphone, and makes some educated guesses about what was actually said.

“The modern approach is not to make the guess right away,” Penn explained, “but to collect the evidence, and then rank it, score it, and augment it.” The challenge is performing this process fast and accurately enough that you can create the illusion of a conversation, where the translation appears to happen in real-time.

Charlie, Blasphemer, Ctd

A few words to add to my post yesterday on the religious roots of today’s era of terrorism. I think it’s perfectly possible to agree with that analysis of what is going on, while disagreeing on what to actually do about it. There’s this tendency to conflate a willingness to recognize some core illiberal parts of Islam as the problem with an invade-occupy-and-torture strategy of the last administration. But the two are easily separable. In fact, it is perfectly obvious at this point that a military strategy will not only fail but actually make things worse. There is no doubt in my mind that the invasion of Iraq, for example, advanced the cause of Jihadism as much as the brutal torture of Muslims by the CIA and every other branch of the armed services as well. The two brothers behind the Charlie massacre were both converted, we are told, by images from Abu Ghraib and Gitmo.

So what can we do? We cannot be the reformers of the Islamic world – again, that would make matters worse. Equally, in my view, we must not give an inch on freedom of expression, especially blasphemy. We need to drop the double standards and not self-censor with some religions, while ripping on others. We should have the right to rip on them all. If you’re going to publish photos of Andres Serrano’s Piss Christ, you sure can publish the rather innocuous cover of Charlie now at large. Ross makes some excellent points on this today.

Our main current tool is NSA spying. It’s very hard to know how necessary our current expansive spying apparatus really is – because it’s cloaked in the secrecy that effectively ends democratic accountability, except via the executive branch, which, even when held by a liberal Democrat, is far too terrified of presiding over another attack to question anything the CIA or NSA tells them. But do I prefer that kind of surveillance to drone wars that seem to be fomenting more Jihadism than they eliminate? I’d say so. I’d rather not do either, but it’s clear we have a real problem, and that terror directed at basic freedoms of travel and expression requires vigilance. If that means a retreat on privacy, that’s a trade-off I’m prepared to make.

But even the best intelligence will fail in the face of well-concealed sleeper cells or lone wolves or lone packs.

The French identified the Charlie mass-murderers long before the attack. They failed to prevent it. (They tell us they are preventing many plots, and again, we have to trust them, even though in the US, little trust can exist when high intelligence officials like Clapper and Brennan lie directly to the Congress and the public and even spy on their over-seers and are never held to account by the president.) But the fact remains that some of these attacks will succeed – because they only need to win once, while we have to win every time. We cannot ultimately control that but we can control our response. We must make sure we do not take the Jihadist bait, with racist or polarization, and ratchet up a cycle that only leads to more Jihadism and more terror. That’s where I think Obama’s strength lies in this: with his remarkable imperturbability and emotional calm. I think that’s a shrewder defense than declaring a “war” on Jihadism with every attack.

We can end the worst provocations – by closing GTMO and truly pressuring the Israelis to stop the explosive settlement campaign to wipe Palestine off the map. And we can keep calm and carry on. The huge crowds in France last Sunday were magnificent. A bigger test comes now – whether we can soldier on without further polarization and a common defense of core Western ideas. I think we can. Because I think we must. Even as so many dead lie round.

The Iran Hawks Chomping At The Bit For War

While Secretary Kerry and Iran’s minister of foreign affairs, Mohammad Zarif, met in Geneva to continue their pursuit of a nuclear deal, Josh Rogin reports on the new GOP-led Senate:

The final language for the updated Iran sanctions bill by Republican Mark Kirk and Democrat Robert Menendez was agreed on this week, according to several lawmakers and senior staffers in both parties. The bill, which both senators want to pass as soon as possible, would impose several escalating rounds of increased sanctions on the Iranian economy that would begin on June 30 — but only if Iran fails to sign on the dotted line of any negotiated agreement or fails to live up to whatever it stipulates.

The Obama team has made it clear they oppose Congress voting on a new law before the negotiations are complete, even though the actual sanctions implementation would be delayed. The new Republican Senate leadership, however, is committed to moving forward, setting up a political brawl that could peak just as the negotiations enter their crucial final stages. … [Bob Corker, the new chair of Foreign Relations,] is preparing his own legislation that would mandate that the Senate vote on a joint resolution of disapproval of any final nuclear deal with Iran. He feels this is necessary in case the White House decides not to designate any new Iran pact a “treaty,” and thus avoid a ratification process in the Senate.

Larison responds to newly minted senator Tom Cotton’s remark that the US needs to make our military threats to Iran “more credible”:

Hawks imagine that Tehran sees Washington as weak vacillating when Iranian leaders have consistently perceived the U.S. as an extraordinarily powerful, menacing, and implacable foreign power. The Iranians are the ones caught in the bind of having to appease Washington or potentially face even more serious consequences. Our threats are not doubted. It is our pledges not to strike that so few believe, and after the last fifteen years it is no surprise. … Of course, hard-liners everywhere always assume that the other regime in any negotiation is getting the upper hand, because that is what being a hard-liner requires, but it makes for appallingly bad “analysis.”

And doing their part, the hardliners in Iran are still attacking President Rouhani over his administration’s continued push for a deal. Roger Einhorn believes one is still possible, but it won’t be easy:

[W]hile the Republican-controlled Congress will undoubtedly give the administration a tough time, it is likely that President Obama will be able, without legislative interference, to continue negotiating an agreement that he believes is in the U.S. interest. … [T]he domestic obstacles are more formidable on the Iranian side.  Iran’s failure to show sufficient flexibility over the last year on the central issues in the nuclear negotiations has raised questions not just about its willingness to reach a balanced agreement but also, given internal divisions, its ability to do so.  The answer to the question of whether Iran is capable of reaching a nuclear agreement lies with the Supreme Leader.  If he is prepared to overcome his own reservations, overrule hardline opponents of a deal, and give his negotiators the green light to work out the necessary compromises, there can be an agreement.  If not, there will be no deal.

Potentially making matters worse for the US side, Rouhani just announced that Iran would be building two more reactors in the country’s southern province of Bushehr. Jonathan Tobin pounces:

The supposed moderate [Rouhani] claimed that this shows that Iran was only interested in peaceful uses of nuclear power, but the massive investment in nuclear infrastructure for a country with some of the largest oil reserves in the world is inherently suspicious. Western intelligence agencies have already conceded that they have little confidence about their ability to detect any secret military nuclear programs hidden throughout the country. The decision to build more expensive nuclear plants at a time when the country is financially pressed demonstrates that their commitment to expanding their capability is about more than clean energy.

We can’t know exactly what the Iranians are up to in Bushehr. But the brazen nature of this effort while they continue to stall the Geneva talks speaks volumes about their belief that they can tell the Americans anything they like and still expect Kerry to keep crawling back to see them in the vain hope that next time they’ll gratify his zeal for a deal.

Meanwhile, it’s the price of oil that may be having the biggest effect on ordinary Iranians:

The nosedive in global crude oil prices to around $50 a barrel places additional strain on next year’s state budget, which reckoned with a projected rate of $72 per barrel. The budget for this fiscal year, which ends in March, assumes a rate of $100 per barrel. While the general population has yet to feel the impact of the resulting spending cuts, it makes for foreboding news at the currency bazaars as well as supermarkets.

Who Is Funding The Fight Against Disease?

Drug Funding

America is no longer the only game in town:

Though the United States is still leading the world in research related to diseases, it is rapidly losing its edge, according to an analysis in the American Medical Association’s flagship journal JAMA. If you look at biomedical research around the globe, the United States funded 57 percent of that work a decade ago. The U.S. share has since dropped to 44 percent, according to the study published online Tuesday.

Jason Millman adds that “medical investment in the United States grew at just .8 percent per year between 2004-2012, a major slowdown from the 6 percent annual growth between 1994 and 2004.” And, using the above chart as evidence, he questions how wisely that money is being spent:

It’s not just that the investment is slipping, the authors argue. The funding priorities are leaving major research gaps. In all, 27 diseases account for 84 percent of U.S. mortality, but together they receive just 48 percent of funding from the National Institutes of Health. Some diseases, like cancer and HIV/AIDS, get funded at better rates than predicted based on the disease burden, while others like stroke and depression fall short, according to an analysis by study author Hamilton Moses III of Alerion Advisors. Research into migraines is particularly underfunded, even though 36 million Americans, or 12 percent of the population, suffer from migraine headaches, according to the American Migraine Foundation.

Bill Gardner thinks America’s declining dominance is a “concern only to the degree that the US is doing less than it could”:

The growth of investment in health research across the rest of the world is only to the good. But here is the thing that shocked me. The authors looked at what health systems (that is, hospitals and hospital systems) and insurers invest in improving the services they provide. I would have hoped that insurers — who finance health care — and health systems — who deliver care to patients — would have invested significantly in service innovations. This is not the case. …

To get a sense of how little health systems (that is, hospitals and larger integrated systems) invest in improving their product, you should know that the median US industry invests about 2% of its revenue in research and development. Health system investment in service innovation is an order of magnitude less than that.

Quotes For The Day

Pope Francis:

If my good friend Dr. Gasparri says a curse word against my mother, he can expect a punch. It’s normal. You cannot provoke. You cannot insult the faith of others. You cannot make fun of the faith of others. …

There are so many people who speak badly about religions or other religions, who make fun of them, who make a game out of the religions of others. They are provocateurs. And what happens to them is what would happen to Dr. Gasparri if he says a curse word against my mother. There is a limit.

Jesus (Gospel of Matthew):

You have heard that it was said, ‘an eye for an eye, a tooth for a tooth.’ But I say to you, do not resist an evil person; but whoever slaps you on your right cheek, turn the other to him also. If anyone wants to sue you and take your shirt, let him have your coat also .…