Quotulatiousness

October 26, 2013

The costs of drug prohibition – “Molly”

Filed under: Health, Law, Liberty, USA — Tags: , , — Nicholas @ 10:16

Jacob Sullum on Frank Owen and Lera Gavin’s search for “Molly” (MDMA powder in capsule form):

Last year in Playboy, Frank Owen skillfully dissected the Legend of the Causeway Cannibal, explaining how people around the world came to believe that the synthetic stimulants known as “bath salts” caused one man to eat another’s face, even though it turned out that the assailant had not actually consumed any of those drugs. In a new Playboy article, Owen and his wife, Lera Gavin, go “Chasing Molly,” searching high and low for some decent MDMA sold under its latest brand name. Spoiler alert: They fail.

[…]

It looks like many people who report MDMA-like experiences of openness and connectedness after consuming molly are providing further evidence of the powerful impact that “set and setting” (expectations and environment) have on a drug’s perceived effects. Yet this interesting experiment drug warriors have set up has a cost: not just disappointment but potentially deadly hazards for consumers who get something different from what they thought they were buying, as tends to happen in a black market.

Prohibition not only makes drugs more dangerous by creating a situation where people are swallowing iffy pills and snorting mystery powders; it blocks attempts to ameliorate those hazards. Owen and Gavin note that music festivals such as Electric Zoo, which this year was cut short after two drug-related deaths, “refuse to allow organizations such as Dance-Safe to test molly on-site because organizers fear they will be accused of condoning drug use.” Such accusations can trigger serious legal consequences, including forfeiture and criminal prosecution.

October 21, 2013

All those boats have been burned

Filed under: Health, Politics, USA — Tags: , , , , , — Nicholas @ 07:35

Megan McArdle on the problem with emulating the Conquistator model of operational planning and burning your boats:

There’s a legend that after Hernan Cortes and his crew landed on the shores of the New World, Cortes ordered that their boats be burned. The only way they would be able to get back to Spain would be to conquer the land, giving them the resources to build new boats. With necessity at their backs, his band of adventurers managed to conquer all of Mexico.

It’s not clear if this story is actually true, but it’s nonetheless beloved by motivational speakers. The last two weeks of political paralysis have been an excellent illustration of why you shouldn’t model your negotiation strategy on a guy who’s mostly famous for slaughtering strangers.

[…]

The state insurance exchanges aren’t working, Obamacare is in jeopardy, and Democrats are casting around for a way to blame this on Republicans. The answer they have settled on: It’s their fault because Republican governors did not set up exchanges.

Think about what they are actually saying: “We passed a law that was so incredibly fragile that it was destined to fail unless all the state governments controlled by the party that opposed this law worked hard to make the system a success.”

And why did they expect this to happen? The answer boils down to this: “After we burn the boats, everyone’s supposed to band together to fight the Aztecs!”

I’ve long criticized the health-care law for being a Rube Goldberg Policy Machine: There are dozens of pieces that all have to work perfectly. If one of them fails, the whole apparatus breaks down and the individual insurance market spirals toward death. That seemed risky to me, especially when the law was passed over fervent opposition — a fervent opposition that was smugly told that “elections have consequences,” without anyone apparently considering that future elections might have different consequences.

But in this view, the Rube Goldberg quality is actually a plus, because after all, if we do something that might break the insurance market unless Republicans enthusiastically cooperate, they’ll have to enthusiastically cooperate.

This is … what’s the technical term? Right, insane.

Start with the fact that the state exchanges — what we would have had if the Republican governors and legislatures had cooperated — aren’t all in such great shape, either. Don’t get me wrong; some of them are doing very well. But some aren’t really working at all, and in others the results are … unclear. And that’s in blue states where the governor and the legislature were hugely enthusiastic about this program and are going all out to make it work. As anyone who has ever implemented a new program (corporate or government) can tell you, one of the biggest hurdles is getting people who don’t care about your program, or who actively oppose it, to make their piece work. Even if they’re trying in good faith, they have neither your enthusiasm nor your deep grasp of the internal logic. In the best-case scenario, it’s not their No. 1 priority; when it competes for resources with stuff they really care about, it tends to get the second-string people and budget. This is one reason that promising pilot projects often fail when they’re rolled out to the larger organization—and one of the most important things that a corporate innovator has to do is to evangelize his program so that other departments get as enthusiastic as he is.

The Obama administration was not in a position to evangelize the president’s health-care program to Republican governors. If the law absolutely required that those governors be as enthusiastic about implementing a state exchange as the folks in the administration, then it was a bad law that should never have been passed, and the Democrats made a grave mistake that could destroy the nation’s insurance market.

After the boat-burning failed the first time, leaving it weeks from its debut without a working computer system, the administration seems to have decided that what was needed was simply a larger bonfire: Launch the nonworking system, because after all, once you’ve gone live, the potential catastrophe would be nearly upon us, which would somehow force those inside and outside the administration to somehow bring order out of the chaos they had created.

But Republicans should make this work! It’s the right thing to do! That is, of course, debatable. But aside from that, this is magical thinking — as magical as the Tea Partiers who responded, when I pointed out that the shutdown was costing them the support they’d need to retake the Senate and the White House and actually get some policy making done, that this was all the fault of the liberal media, which was just repeating administration talking points.

QotD: Obamacare as a special case of The Adams Rule of Slow-Moving Disasters

Filed under: Economics, Health, Quotations, USA — Tags: , , , — Nicholas @ 00:01

So who is up for some side bets on Obamacare?

I’m sympathetic to the opinion that introducing a huge, complicated, government-run program is just asking for trouble. On the other hand, the Adams Rule of Slow-Moving Disasters says everything will work out.

As a reminder, The Adams Rule of Slow-Moving Disasters says that any disaster we see coming with plenty of advance notice gets fixed. We humans have a consistent tendency to underestimate our own resourcefulness. For example, the Year 2000 bug was a dud because we saw it coming and clever people rose to the challenge. In the seventies, we thought the world would run out of oil but instead the United States is heading toward energy independence thanks to new technology.

Obamacare is a classic slow-moving disaster. Absent any future human resourcefulness, it just might be a nightmare. But my money says that clever humans will figure out how to tame the beast before it triggers the collapse of civilization.

If betting were legal, I’d bet $10,000 that in ten years the consensus of economists will be that Obamacare had a lot of problems but that overall it was neutral or helpful to the economy. I base that hypothetical bet on The Adams Rule of Slow-Moving Disasters, not on the scary first-year state of the law. And I reiterate that I know next-to-nothing about the details of Obamacare. I’m just working off of pattern recognition.

Scott Adams, “Obamacare – Side Bets”, Scott Adams Blog, 2013-10-18

October 20, 2013

QotD: The “Paleo” diet

Filed under: Food, Health, History, Quotations — Tags: — Nicholas @ 13:53

Look, I can see that there is a lot of common sense behind some of these modern dietary ideas and yes, I have personally adjusted my lifestyle a bit, such as cutting down on grains and bread and so on. But there is something about the almost religious fervor behind this “paleo” stuff that bothers me. The fact is that without what we call modern agriculture, the vast majority of the today’s population would not be alive. And that is a rather big plus for agriculture. Sure, there is obesity and associated issues to deal with, many of which have complex causes. But I am damn glad we did have agriculture. It is precisely the wealth that such developments made possible that enable people today to worry about this stuff, and even make whole careers and businesses out of it.

(Full disclosure, I am a Suffolk farmer’s son, and probably the only person on this blog who has driven a combine harvester for its intended purpose.)

Johnathan Pearce, “Let’s talk about paleo”, Samizdata, 2013-08-30

October 18, 2013

Newly discovered Homo erectus skulls may upset current evolutionary timeline

Filed under: Asia, History, Science — Tags: , — Nicholas @ 07:57

I can’t improve on Joey DeVilla‘s introduction to this story: “I don’t think that the skull of homo erectus throws the story of evolution into disarray. However, I do know for a fact that SAYING ‘homo erectus’ in a high school classroom will most certainly put it in disarray.” Here’s the Guardian article by Ian Sample:

The spectacular fossilised skull of an ancient human ancestor that died nearly two million years ago in central Asia has forced scientists to rethink the story of early human evolution.

Anthropologists unearthed the skull at a site in Dmanisi, a small town in southern Georgia, where other remains of human ancestors, simple stone tools and long-extinct animals have been dated to 1.8m years old.

Experts believe the skull is one of the most important fossil finds to date, but it has proved as controversial as it is stunning. Analysis of the skull and other remains at Dmanisi suggests that scientists have been too ready to name separate species of human ancestors in Africa. Many of those species may now have to be wiped from the textbooks.

The latest fossil is the only intact skull ever found of a human ancestor that lived in the early Pleistocene, when our predecessors first walked out of Africa. The skull adds to a haul of bones recovered from Dmanisi that belong to five individuals, most likely an elderly male, two other adult males, a young female and a juvenile of unknown sex.

[…]

David Lordkipanidze at the Georgian National Museum, who leads the Dmanisi excavations, said: “If you found the Dmanisi skulls at isolated sites in Africa, some people would give them different species names. But one population can have all this variation. We are using five or six names, but they could all be from one lineage.”

If the scientists are right, it would trim the base of the human evolutionary tree and spell the end for names such as H rudolfensis, H gautengensis, H ergaster and possibly H habilis.

The fossil is described in the latest issue of Science.

“Some palaeontologists see minor differences in fossils and give them labels, and that has resulted in the family tree accumulating a lot of branches,” said White. “The Dmanisi fossils give us a new yardstick, and when you apply that yardstick to the African fossils, a lot of that extra wood in the tree is dead wood. It’s arm-waving.”

QotD: The hidden problem with regulating prescription drug prices

[W]hen negotiating with other governments, pharmaceutical companies operate at a severe disadvantage, not because the governments’ buying power is so vast (the national health-care systems of Canada and many European countries cover fewer people than Aetna), but because the people you’re negotiating with can change the rules under which your product gets sold. At any point they can say, like Lord Vader, “I am altering the deal. Pray that I do not alter it any further.”

But if Canada started paying more, that wouldn’t mean we’d pay less. Drug companies are charging what they think we will pay. The result of Canadians and Europeans paying less is not that we pay more for drugs; it’s that fewer drugs get developed. To the extent that they are harming us, it is in hindering the development of cures or better treatments that we are missing, and don’t even know about.

Unfortunately, this is a classic case of Bastiat’s dilemma. It is easy for each country’s government to see the high prices that people are paying and intervene to lower them. It is hard for each country’s government, much less its citizens, to envision the new medical treatments that they might get if they paid more for drugs. So their incentives are heavily skewed toward controlling the price here and now, even if that means losing future cures.

Drug development is essentially a giant international collective-action problem. The U.S. has kept it from being a total disaster because we don’t have good centralized control of our insurance market, and our political system is pretty disorganized and easy to lobby. If that changes — and maybe we just changed it! — we’ll knock down the prices of drugs to near the marginal cost using government fiat, and I expect that innovation in this sector will grind to a halt. Stuff will still be coming out of academic labs, but no one is going to take those promising targets and turn them into actual drugs.

Megan McArdle, “U.S. Consumers Foot the Bill for Cheap Drugs in Europe and Canada”, Bloomberg, 2013-10-14

October 16, 2013

Cocaine and heroin are less addictive than Oreos

Filed under: Food, Health, Science — Tags: , , — Nicholas @ 13:51

in lab rats, anyway:

“Research Shows Oreos Are Just As Addictive As Drugs,” says the headline above a recent Connecticut College press release. “…in Lab Rats,” it adds, and I’ll get to that part later. But first note that the study’s findings could just as truthfully be summarized this way: “Drugs Are No More Addictive Than Oreos.” The specific drugs included in the study were cocaine and morphine, which is what heroin becomes immediately after injection. So the headline also could have been: “Research Shows That Heroin and Cocaine Are No More Addictive Than Oreos.” Putting it that way would have raised some interesting questions about the purportedly irresistible power of these drugs, which supposedly justifies using force to stop people from consuming them.

[…]

So what exactly did the rats do? They favored the side of a maze where they were given Oreos to the same extent that they favored that side of the maze when they were given an injection of cocaine or morphine there. Furthermore, when the researchers “used immunohistochemistry to measure the expression of a protein called c-Fos, a marker of neuronal activation, in the nucleus accumbens, or the brain’s ‘pleasure center,'” they found that “the Oreos activated significantly more neurons than cocaine or morphine.” Given the latter finding, perhaps we should credit Connecticut College’s publicity department with restraint for not announcing that Oreos are in fact more addictive than cocaine or heroin. Or to put it another way: Cocaine and heroin are less addictive than Oreos. Which makes you wonder why people go to prison for selling the drugs but not for selling the cookies, especially since Oreos and similar foods “may present even more of a danger.”

The idea that people can take or leave cocaine or heroin in the same way they can take or leave Oreos seems inconsistent with research that supposedly shows how powerfully reinforcing these substances are. Studies published between 1969 and 1985, for instance, found that rats and rhesus monkeys “will prefer cocaine to food” and “will self-administer cocaine until death or near-death,” as Stanton Peele and Richard DeGrandpre note in a 1998 Addiction Research article. But the animals in these studies were isolated from other animals, deprived of interesting stimuli, and prevented from engaging in normal behavior while tethered to catheters providing “an unlimited, direct flow of high concentrations of cocaine at all times at little or no cost” (in terms of effort). Research conducted in more naturalistic settings finds that monkeys and rats are much more apt to consume cocaine and morphine in moderation.

Laboratory animals’ tendency to consume drugs to excess when they are bored and lonely has pretty clear parallels in human behavior. But unlike rats and monkeys, humans are capable of reason and foresight (even if they do not always exercise those faculties) as well as emotions such as guilt and regret. They also have considerable control over their own environments. If the reinforcing power of drugs is not the only factor in addiction among rats and monkeys, it surely is not a complete explanation for why some people get hooked on these substances while most do not.

October 14, 2013

You can’t make me eat kale

Filed under: Food, Health, Humour — Tags: — Nicholas @ 11:25

At American Digest, a paean of joy at the thought of being forced to eat more kale:

Of late many self-employed food bullshit artists have concluded that we should eat more kale. Why anyone would want to eat even a little kale is beyond me. Kale, considered dispassionately, is something that you’d want to dry and stuff into a tick mattress if you were out of paint soaked rags and seaweed. Kale is not, strictly speaking, a food.

And yet, and yet, there it is. Oozing in piles of of leafy green intestine cleansing fronds in what can now only be described as the weed section of the produce aisle at your average Whole Foods.

How kale actually got into our national food chain is a mystery almost as deep as how the flavor of pumpkin (backed by “Spice!”) has been infused into foods and beverages starting October 1. Both kale and pumpkin exemplify items from the somewhat vegetable kingdom that would be better going straight from farm to compost without passing through humans.

And yet, and yet, here we are … one more mile down the road to hell courtesy of those post LorenaBobbittized vegans within whom there is not a teaspoon of testosterone in a trainload.

[…]

That’s the wave of the future and it is not an amber wave under spacious skies. Nope. It is a wave of pale and sodden progressively “good-for-you” greens slopped onto your aluminum plate in the prison chow line on Planet Vegan. You remember that putrescent puddle of gurgling spinach guts in spinach water that was once glunked on your plate in the high school cafeteria? This is the same thing only with extra thiocyanate. But hey, its KALE!, so count yourself lucky. Think of all the children of the elite and super rich that are going to bed tonight without any.

October 12, 2013

Not news: people under-report calorie intake, invalidating 40 years of federal research

Filed under: Food, Health, Science — Tags: , , — Nicholas @ 10:47

Any study that depends on self-reporting, especially self-reporting on things like how much food they eat, can’t be assumed to be accurate:

Four decades of nutrition research funded by the Centers for Disease Control and Prevention (CDC) may be invalid because the method used to collect the data was seriously flawed, according to a new study by the Arnold School of Public Health at the University of South Carolina.

The study, led by Arnold School exercise scientist and epidemiologist Edward Archer, has demonstrated significant limitations in the measurement protocols used in the National Health and Nutrition Examination Survey (NHANES). The findings, published in PLOS ONE (The Public Library of Science), reveal that a majority of the nutrition data collected by the NHANES are not “physiologically credible,” Archer said.

[…]

The study examined data from 28,993 men and 34,369 women, 20 to 74 years old, from NHANES I (1971 — 1974) through NHANES (2009 — 2010), and looked at the caloric intake of the participants and their energy expenditure, predicted by height, weight, age and sex. The results show that — based on the self-reported recall of food and beverages — the vast majority of the NHANES data “are physiologically implausible, and therefore invalid,” Archer said.

In other words, the “calories in” reported by participants and the “calories out,” don’t add up and it would be impossible to survive on most of the reported energy intakes. This misreporting of energy intake varied among participants, and was greatest in obese men and women who underreported their intake by an average 25 percent and 41 percent (i.e., 716 and 856 Calories per-day respectively).

October 5, 2013

Climate models, trust, and spin

Filed under: Environment, Media — Tags: , , — Nicholas @ 08:58

In Reason, Ronald Bailey asks whether we can trust the IPCC’s climate models:

On Monday, the U.N.’s Intergovernmental Panel on Climate Change (IPCC) released the final draft of Climate Change 2013: The Physical Sciences Basis. The report’s Summary for Policymakers flatly states: “Warming of the climate system is unequivocal, and since the 1950s, many of the observed changes are unprecedented over decades to millennia. The atmosphere and ocean have warmed, the amounts of snow and ice have diminished, sea level has risen, and the concentrations of greenhouse gases have increased.” Pretty much everyone concerned with this issue agrees that those are the facts. But what is causing the planet to warm up? Here is where it gets interesting.

[…]

The IPCC report acknowledges that almost all of the “historical simulations do not reproduce the observed recent warming hiatus.” Not to worry, it assures us; 15-year pauses just happen, and you can’t really expect the models to simulate these kind of random natural fluctuations in the climate. Once this little slow-down passes, “It is more likely than not that internal climate variability in the near-term will enhance and not counteract the surface warming expected to arise from the increasing anthropogenic forcing.” In other words, when the warm-up resumes it will soar.

John Christy, a climatologist at the University of Alabama in Huntsville, has come to a different conclusion. Christy compared the outputs of 73 climate models for the tropical troposphere used by the IPCC in its latest report with satellite and weather balloon temperature trends since 1979 until 2030. “The tropics is so important because that is where models show the clearest and most distinct signal of greenhouse warming — so that is where the comparison should be made (rather than say for temperatures in North Dakota),” Christy explains in an email. “Plus, the key cloud and water vapor feedback processes occur in the tropics.” When it comes to simulating the atmospheric temperature trends of the past 35 years, Christy found, all of the IPCC models are running hotter than the actual climate.

[…]

Average of model results compared with temperature trends

Average of model results compared with temperature trends

To defend himself against any accusations of cherry-picking his data, Christy notes that his “comparisons start in 1979, so these are 35-year time series comparisons” — rather longer than the 15-year periods whose importance the IPCC disputes.

Why the discrepancy between the IPCC and Christy results? As Georgia Tech climatologist Judith Curry notes, data don’t speak for themselves; researchers have to put them into a context. And your choice of context — say, the year you choose to begin with — can influence your conclusions considerably. While there may be nothing technically wrong with the way the IPCC chose to display the comparison between model data and observation data, “Curry observes, it will mislead the public to infer that climate models are better than we thought.” She adds, “What is wrong is the failure of the IPCC to note the failure of nearly all climate model simulations to reproduce a pause of 15+ years.”

The care and feeding of introverts

Filed under: Health, Science — Tags: — Nicholas @ 07:55

Carl King has a list of myths that are somewhat widely believed about that odd class of people, the introverts:

I wrote this list in late-2008. Around that time, I was lucky enough to discover a book called, The Introvert Advantage (How To Thrive in an Extrovert World), by Marti Laney, Psy.D. It felt like someone had written an encyclopedia entry on a rare race of people to which I belong. Not only had it explained many of my eccentricities, it helped me to redefine my entire life in a new and productive context.

Sure, anyone who knows me would say, “Duh! Why did it take you so long to realize you’re an Introvert?” It’s not that simple. The problem is that labeling someone as an Introvert is a very shallow assessment, full of common misconceptions. It’s more complex than that.

A section of Laney’s book (page 71 through page 75) maps out the human brain and explains how neuro-transmitters follow different dominant paths in the nervous systems of Introverts and Extroverts. If the science behind the book is correct, it turns out that Introverts are people who are over-sensitive to Dopamine, so too much external stimulation overdoses and exhausts them. Conversely, Extroverts can’t get enough Dopamine, and they require Adrenaline for their brains to create it. Extroverts also have a shorter pathway and less blood-flow to the brain. The messages of an Extrovert’s nervous system mostly bypass the Broca’s area in the frontal lobe, which is where a large portion of contemplation takes place.

Unfortunately, according to the book, only about 25% of people are Introverts. There are even fewer that are as extreme as I am. This leads to a lot of misunderstandings, since society doesn’t have very much experience with my people. (I love being able to say that.)

H/T to Joey deVilla for the link.

QotD: Immortality, if you want it

Filed under: Humour, Science, Technology — Tags: , — Nicholas @ 00:01

Those of us who are non-believing heathens might prefer porting our minds to robot bodies before the natural expiration date on our organic selves. It’s hard to wrap your head around the idea that a digital representation of your mind, no matter how accurate, is still “you” in some sense. But I think that fear will go away as soon as we see the first robot that thinks and acts exactly like Uncle Bob did before he made the jump. If Uncle Bob the robot acts human enough, we’ll come to see him as the same entity that once inhabited an organic shell. When technology is sufficiently advanced, we’ll get past the magical thinking about spirits and souls and the specialness of having organic parts.

To me, the most interesting possibility for the future involves porting human minds to software that includes entirely simulated realities. Such a program — a digital mind if you will — could live in an entirely artificial reality and experience what seems to be a genuine human life for the rest of eternity, or at least as long as the software keeps running. The freaky part is that if such a thing will someday be possible — and I think it will — then it follows that the time after it happens will be infinitely long whereas the history of time before it happens is finite. So it follows that there is an infinitely greater chance you are already the simulation and not a human who is reading this paragraph and contemplating it. Weird.

If you didn’t already have enough reasons to eat right, exercise, and keep your mind sharp, consider what you might be bringing to your own immortality. I was hoping to get there before the dementia sets in. But I just reread what I wrote and apparently I’m already too late.

Scott Adams, “Choose Your Immortality: Someday you’ll be a robot with a locket holding your last human cells”, Time, 2013-09-18

October 1, 2013

No mistakes were made, no problems uncovered, but 19 firefighters died

Filed under: Bureaucracy, Environment, USA — Tags: , , , — Nicholas @ 09:57

The official report on the Yarnell Hill fire which claimed the lives of 19 firefighters has managed to find no issues whatsoever with the incident. Apparently no mistakes were made by any of the firefighters or their leadership, and there are no lessons to be learned from this tragedy.

Nothing went wrong in the Yarnell Hill Fire, which killed 19 wildland firefighters in June.

This according to the “Serious Accident Investigation Report” into the fire, released this weekend by federal, state, and local firefighting officials in Prescott.

“The Team found no indication of negligence, reckless actions, or violations of policy or protocol,” the report states.

It certainly seems that something must have gone wrong when 19 men, most of them young men, are dead.

In fact, certain fire officials who now say everything went according to protocol had been among those assessing blame and pointing out mistakes leading up to the deaths of the Granite Mountain Hotshots.

Arizona Deputy State Forester Jerry Payne previously said it looked like Eric Marsh, superintendent of the hotshot crew, had violated basic wildfire-safety rules, although Payne added that many decisions made by those leading wildfire-fighting crews are calculated risks, rather than strictly rule-book decisions.

Prescott Wildland Division Chief Darrell Willis suggested in an interview with ABC News that the crew “could have made it” had the U.S. Forest Service delivered all the air-tankers that were requested for the Yarnell Hill Fire.

Neither of these findings was included in the report, despite Payne and Willis’ prescence among fire officials presenting investigators’ conclusions at Prescott High School on Saturday.

Not everyone is convinced, however:

Here is my analysis of what is going on with this report: Substantial mistakes were made by both the fire team and by their leaders. Their leaders wrote the report, and certainly were not going to incriminate themselves, particularly given that they likely face years of litigation. They could have perhaps outlined the mistakes the team made, but the families and supporters of the dead men would have raised a howl if the dead firefighters were blamed for mistakes while the leadership let themselves off the hook, and surely would have pushed back on the culpability of the firefighting effort’s management.

So this report represents an implicit deal being offered to the families — we will let your dead rest in peace by not highlighting the mistakes they made if you will lay off of us and the mistakes we made. We will just blame it on God (I kid you not, see Prescott chief’s statements here). Most Arizonans I know seem willing to have these folks die as heroes who succumbed to the inherent risks of the profession, rather than stupid errors, so we may never have an honest assessment of what happened. And yet again the opportunity to do a major housecleaning of wildland firefighting is missed.

September 30, 2013

The breathtaking scale of Obamacare

Filed under: Bureaucracy, Health, USA — Tags: , , — Nicholas @ 09:28

Mark Steyn explains just how big the effective nationalization of the US healthcare system really is:

No one has ever before attempted to devise a uniform health system for 300 million people — for the very good reason that it probably can’t be done. Britain’s National Health Service serves a population less than a fifth the size of America’s and is the third-largest employer on the planet after the Indian National Railways and the Chinese People’s Liberation Army, the last of which is now largely funded by American taxpayers through interest payment on federal debt. A single-payer U.S. system would be bigger than Britain’s NHS, India’s railways, and China’s army combined, at least in its bureaucracy. So, as in banking and housing and college tuition and so many other areas of endeavor, Washington is engaging in a kind of under-the-counter nationalization, in which the husk of a nominally private industry is conscripted to enforce government rules — and ruthlessly so, as Michelle Malkin and many others have discovered.

Obama’s pointless, traceless super-spending is now (as they used to say after 9/11) “the new normal.” Nancy Pelosi assured the nation last weekend that everything that can be cut has been cut and there are no more cuts to be made. And the disturbing thing is that, as a matter of practical politics, she may well be right. Many people still take my correspondent’s view: If you have old money well managed, you can afford to be stupid — or afford the government’s stupidity on your behalf. If you’re a social-activist celebrity getting $20 million per movie, you can afford the government’s stupidity. If you’re a tenured professor or a unionized bureaucrat whose benefits were chiseled in stone two generations ago, you can afford it. If you’ve got a wind farm and you’re living large on government “green energy” investments, you can afford it. If you’ve got the contract for signing up Obamaphone recipients, you can afford it.

But out there beyond the islands of privilege most Americans don’t have the same comfortably padded margin for error, and they’re hunkering down. Obamacare is something new in American life: the creation of a massive bureaucracy charged with downsizing you — to a world of fewer doctors, higher premiums, lousier care, more debt, fewer jobs, smaller houses, smaller cars, smaller, fewer, less; a world where worse is the new normal. Would Americans, hitherto the most buoyant and expansive of people, really consent to live such shrunken lives? If so, mid-20th-century America and its assumptions of generational progress will be as lost to us as the Great Ziggurat of Ur was to 19th-century Mesopotamian date farmers.

September 27, 2013

Harper and climate change … spending

David Akin points out that all the major federal parties believe the same thing about climate change, except that the Tories are the ones who’ve been chucking around the money on climate change programs:

The simple fact of Canadian politics here is that, if you do not believe in climate change, there is no federal political party that shares your view. There almost was one in Alberta in its last provincial election but, boy, did that idea get shouted down.

But back to what [former environment minister Peter] Kent said to me in that interview:

“There is no question that since the Industrial Revolution there have been anthropogenic, man-made effects on our global climate. The argument continues in the scientific community how much is evolution and how much is man-made but there is certainly something we can do.”

So what is the something that the Harper government has been doing? Well, truth be told, the Harper Conservatives, like the Martin and Chretien Liberals before them, have not been doing very much. None of them, in fact, got the job done. Which might, come to think of it, be a good reason — if climate change is the only thing you’re voting on — to consider choosing the NDP or the Greens next time around. Not to say they’d actually get it done but it’s pretty clear the other two parties, while they talk a good game, just don’t have the political stomach for the job. Those New Democrats brought us universal health care. Maybe they can fix the environment, too.

Still, that doesn’t mean Conservatives aren’t prepared to spend hundreds of millions of dollars — billions even — on a problem they are accused of not admitting even exists. Take biofuels, for example. Early on, the Harper government got the idea that if corn- or plant-based ethanol displaced enough fossil fuels, we’d easily roll back greenhouse gas emissions. Apparently no one bothered to point out that there is serious doubt that corn-based ethanol is actually a lower-emission alternative to fossil fuels but why complicate things? Ethanol is a good, solid, job-creating green story!

In the long run, the subsidies and outright gifts of government money to green-ish sounding companies will likely be the only reminders of the great global warming panic of the last decade. Certainly little or no actual environmental improvements will be traced to the billions of dollars doled out to cronies under this government.

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