By Manifesto Joe
I think a lot of people were inclined to underestimate Al Franken when he at long last took his seat as Minnesota's junior U.S. senator. Although he demonstrated quite a bit of gravitas in his wonderful 2003 book Lies and the Lying Liars Who Tell Them, some can't get past the fact that Al came to national prominence as a comedian on Saturday Night Live.
I'd say the people of Minnesota can be proud in that the new senator has already distinguished himself far more than his predecessor, the former mayor of St. Paul. Here's Al in action, figuratively slapping around a stooge from the Hudson Institute.
On the Same Issue, a Question From Michael Moore
The self-styled progressive documentary filmmaker and author is nonplussed about something that, on the surface, seems like a no-brainer. Why aren't Americans pissed off enough about obstructionism to health care reform to be out in the streets protesting, raising 10 kinds of hell?
An Answer From Gore Vidal
In a recent TV appearance, 84-year-old Gore Vidal had what could have been an answer to Moore's question. Asked for his opinion of President Barack Obama, Vidal replied that he likes him, but the problem is that he tries to address the American people as educated, thinking people, like himself.
That's a mistake, Vidal suggested. The U.S. has a very poor educational system, actually a joke in many other developed countries. People laugh at us. And for this reason, Americans are very easily misled and duped. The lack of critical thinking, even among those with formal education, shows up in an array of issues, not just health care reform.
I Have Yet Another Answer
I know a man from India, now a longtime U.S. resident and naturalized citizen, who once discussed cultural differences between Americans and Asian Indians. When one ventures to the countryside in India, one finds many illiterate people, many more than in America.
But these people argue and discuss politics all the time, and they're often far more savvy on the subject than most Americans are, even when they can't read or write.
I know plenty of Americans who say, when engaged in the subject past a certain point, that they just don't care about politics. It's times like these when that attitude becomes disastrous, because so many of the people who DO care, care for just one reason -- greed.
The less Americans care about politics, the more to the delight of the aforementioned powers that be. Millions who should be fighting for reform right now are instead being led around like cattle and sheep. As nasty as politics is, politicians are making decisions that profoundly affect our lives every day. The subject is ignored at one's own peril.
It's often not so much a matter of education as it is the quality of one's thought that makes the difference. There are plenty of insular specialists out there with BBA and B.S. degrees who are wretchedly ignorant when it comes to political issues.
They could use lessons in critical thinking -- from a former funnyman, Senator Franken.
Manifesto Joe Is An Underground Writer Living In Texas.
Showing posts with label health care. Show all posts
Showing posts with label health care. Show all posts
Monday, October 26, 2009
Tuesday, October 20, 2009
The Real Health Care Nazis? If The Jackboots Fit ...
By Manifesto Joe
What if a health insurance provider told you that before it would insure you, you would have to be sterilized?
That's what a Colorado woman told U.S. senators during a committee hearing last week. McClatchy Newspapers reported that Peggy Robertson read a letter from her insurance company. Here's an excerpt from the McClatchy report:
Robertson testified that because she had already given birth via cesarean, when she tried to get an individual policy in Colorado, her insurance company considered it a pre-existing condition and wouldn't insure her unless she could prove she had been sterilized.
The report said that the chairperson of the Senate Health, Education, Labor and Pensions Committee, Sen. Barbara Mikulski, D-Md., said that the woman's account "put me on the edge of my chair," and called the provider's position "offensive and morally repugnant."
"No one in the United States of America, in order to get health insurance, should ever be coerced into getting sterilized," she said.
Aside from the obvious gender bias exhibited in this incident, the Nazilike condition that this woman was confronted with reeks of totalitarian eugenics. This is something one would imagine happening in some futuristic dystopia, with common folks marching around in quasi-military uniforms and such. It was just being done in the private sector, and that's the only real difference.
Is Health Care a Right? Perhaps Not, But Neither Is Eating
Granted, the Earth is rife with sick people, and with hungry people -- millions and millions who have access to neither adequate medicine nor food. When you get down to fundamentals, I suppose there is arguably no intrinsic human right to either.
Consider, though, that the U.S. is, among developed nations, the lone holdout when it comes to providing universal health care. "We" (in the editorial sense) even do better when it comes to food. Although some, such as the homeless, are undoubtedly missed, food stamps are a savior for most of our indigent people.
So what happened with medicine? The simple and obvious answer: Money, and lots of it. There are several groups that are making a killing off the status quo, and those groups are prepared to do just about anything, even kill (the uninsured), to keep that money machine rolling.
There is no law I can think of, anywhere, that mandates that I personally provide medicine, or food, for anyone, anywhere, anytime. At a fundamental level, those things would have to come from the goodness of my heart.
Yet, I am forced to pony up tax money for wars I oppose, year after year. When it comes to paying for deadly force on an international scale, suddenly I am confronted with a collective responsibility. Call it "socialized militarism."
But when it comes to providing medicine and food for people, that ideology is turned on its head, and it's once more every fool for himself.
Chickens Who Still Support Colonel Sanders
Speaking of fools -- last week, before I read the aforementioned newspaper report, I saw an old, weather-beaten pickup truck with "Health care is not a right" painted in the rear windshield, apparently with white shoe polish.
No, and neither is eating -- until you've actually gone hungry. Circumstances like that can jolt even the most demagogued moron back into reality. Too bad such things can't happen more often. And yet, this rube's argument is with precisely the people who are trying to prevent that sort of thing from happening to him.
Manifesto Joe Is An Underground Writer Living In Texas.
What if a health insurance provider told you that before it would insure you, you would have to be sterilized?
That's what a Colorado woman told U.S. senators during a committee hearing last week. McClatchy Newspapers reported that Peggy Robertson read a letter from her insurance company. Here's an excerpt from the McClatchy report:
Robertson testified that because she had already given birth via cesarean, when she tried to get an individual policy in Colorado, her insurance company considered it a pre-existing condition and wouldn't insure her unless she could prove she had been sterilized.
The report said that the chairperson of the Senate Health, Education, Labor and Pensions Committee, Sen. Barbara Mikulski, D-Md., said that the woman's account "put me on the edge of my chair," and called the provider's position "offensive and morally repugnant."
"No one in the United States of America, in order to get health insurance, should ever be coerced into getting sterilized," she said.
Aside from the obvious gender bias exhibited in this incident, the Nazilike condition that this woman was confronted with reeks of totalitarian eugenics. This is something one would imagine happening in some futuristic dystopia, with common folks marching around in quasi-military uniforms and such. It was just being done in the private sector, and that's the only real difference.
Is Health Care a Right? Perhaps Not, But Neither Is Eating
Granted, the Earth is rife with sick people, and with hungry people -- millions and millions who have access to neither adequate medicine nor food. When you get down to fundamentals, I suppose there is arguably no intrinsic human right to either.
Consider, though, that the U.S. is, among developed nations, the lone holdout when it comes to providing universal health care. "We" (in the editorial sense) even do better when it comes to food. Although some, such as the homeless, are undoubtedly missed, food stamps are a savior for most of our indigent people.
So what happened with medicine? The simple and obvious answer: Money, and lots of it. There are several groups that are making a killing off the status quo, and those groups are prepared to do just about anything, even kill (the uninsured), to keep that money machine rolling.
There is no law I can think of, anywhere, that mandates that I personally provide medicine, or food, for anyone, anywhere, anytime. At a fundamental level, those things would have to come from the goodness of my heart.
Yet, I am forced to pony up tax money for wars I oppose, year after year. When it comes to paying for deadly force on an international scale, suddenly I am confronted with a collective responsibility. Call it "socialized militarism."
But when it comes to providing medicine and food for people, that ideology is turned on its head, and it's once more every fool for himself.
Chickens Who Still Support Colonel Sanders
Speaking of fools -- last week, before I read the aforementioned newspaper report, I saw an old, weather-beaten pickup truck with "Health care is not a right" painted in the rear windshield, apparently with white shoe polish.
No, and neither is eating -- until you've actually gone hungry. Circumstances like that can jolt even the most demagogued moron back into reality. Too bad such things can't happen more often. And yet, this rube's argument is with precisely the people who are trying to prevent that sort of thing from happening to him.
Manifesto Joe Is An Underground Writer Living In Texas.
Thursday, October 1, 2009
At Last, A Democrat With Juevos To Fight GOP Hypocrites: Alan Grayson
By Manifesto Joe
He apologized -- to the uninsured dead. Freshman U.S. Rep. Alan Grayson, D-Fla., showed REAL Democrats the REAL way. Don't pull punches with these hypocrites, and call them out on their double standards. After all the right-wing Republican rhetoric about death panels, government takeovers, the "free" market, so-called "choice," and such, we finally saw a Democrat stand up on his hind legs and give as good as "WE" have been getting.
Alan Grayson for President, 2016
I like Barack Obama enough to put up with him for two terms, and I understand that he can't afford to be the sort of attack dog that Grayson was Wednesday.
But what the Democratic Party has desperately needed for decades has been a dude who was willing to get this mean in the clinches. President Obama is arguably the most talented politician the Dems have fielded in a long time, even better than Bill Clinton. But what Democrats lack right now is someone like this who will give the other side HELL of this kind, and never, ever back down.
Compromise is beginning to seem futile, especially after the spectacle of "Heartland" Democrats spreading their posteriors for Big Insurance during that Tuesday Senate Finance Committee vote. These are not even good DINOs, and the party needs to field primary opponents, real Democrats, to run against every one of them.
I think Mr. Grayson is showing the way. This isn't a game that can be won with compromise or bipartisanship. The Baucus bill seems more and more like just another giveaway to Big Insurance. If I were a Democrat in Congress, I'd vote against it and reluctantly condemn America to a couple of more years with the status quo until we can get something that makes sense.
Here's a link to Alan Grayson's solid left hook to the Republican solar plexus, courtesy of the CBS News Web site.
Right-Wing Yellow Bellies' Hypocrisy
Now, let's look at the Republican crybabies' hypocrisy. After all the swill we've been hearing this year about "death panels," health insurance for illegal aliens, and funding of abortion, THEY now have the unmitigated gall to compare Alan Grayson's brave candor with the subhuman mendacity of Joe "You Lie" Wilson? Here's Keith Olbermann on the subject of Mr. Wilson, from last month:
I think the American people heard enough contemptible lies, for eight long years, that some candor is now sorely needed. After eight years of Il Doofus, Mr. Grayson is magnificently refreshing.
Now, maybe Obama can carefully, studiously find his way closer to this path.
Manifesto Joe Is An Underground Writer Living In Texas.
He apologized -- to the uninsured dead. Freshman U.S. Rep. Alan Grayson, D-Fla., showed REAL Democrats the REAL way. Don't pull punches with these hypocrites, and call them out on their double standards. After all the right-wing Republican rhetoric about death panels, government takeovers, the "free" market, so-called "choice," and such, we finally saw a Democrat stand up on his hind legs and give as good as "WE" have been getting.
Alan Grayson for President, 2016
I like Barack Obama enough to put up with him for two terms, and I understand that he can't afford to be the sort of attack dog that Grayson was Wednesday.
But what the Democratic Party has desperately needed for decades has been a dude who was willing to get this mean in the clinches. President Obama is arguably the most talented politician the Dems have fielded in a long time, even better than Bill Clinton. But what Democrats lack right now is someone like this who will give the other side HELL of this kind, and never, ever back down.
Compromise is beginning to seem futile, especially after the spectacle of "Heartland" Democrats spreading their posteriors for Big Insurance during that Tuesday Senate Finance Committee vote. These are not even good DINOs, and the party needs to field primary opponents, real Democrats, to run against every one of them.
I think Mr. Grayson is showing the way. This isn't a game that can be won with compromise or bipartisanship. The Baucus bill seems more and more like just another giveaway to Big Insurance. If I were a Democrat in Congress, I'd vote against it and reluctantly condemn America to a couple of more years with the status quo until we can get something that makes sense.
Here's a link to Alan Grayson's solid left hook to the Republican solar plexus, courtesy of the CBS News Web site.
Right-Wing Yellow Bellies' Hypocrisy
Now, let's look at the Republican crybabies' hypocrisy. After all the swill we've been hearing this year about "death panels," health insurance for illegal aliens, and funding of abortion, THEY now have the unmitigated gall to compare Alan Grayson's brave candor with the subhuman mendacity of Joe "You Lie" Wilson? Here's Keith Olbermann on the subject of Mr. Wilson, from last month:
I think the American people heard enough contemptible lies, for eight long years, that some candor is now sorely needed. After eight years of Il Doofus, Mr. Grayson is magnificently refreshing.
Now, maybe Obama can carefully, studiously find his way closer to this path.
Manifesto Joe Is An Underground Writer Living In Texas.
Monday, August 24, 2009
From Joe's Vault: 'Great' American Health Care System Isn't Cutting It On Life Span
By Manifesto Joe
Since health stats seem to be a hot topic now, it looks like a good time to dredge up a post from a couple of years ago. This was published on this blog Aug. 12, 2007.
This just in -- the U.S. is now ranked 42nd among the world's nations in life span. How can this be happening in a country that spends so much on medicine, the most worldwide per capita? It's a paradox: When it comes to insurance, less isn't more; but when it comes to medication, less can indeed be more. And, we need news media that will actually report on the problem rather than essentially shill for the medical/drug establishment.
To get the stats out of the way, this is from the Associated Press report:
Countries that surpass the U.S. include Japan and most of Europe, as well as Jordan, Guam and the Cayman Islands. ...
A baby born in the United States in 2004 will live an average of 77.9 years. That life expectancy ranks 42nd, down from 11th two decades earlier, according to international numbers provided by the Census Bureau and domestic numbers from the National Center for Health Statistics.
Andorra, a tiny country ... between France and Spain, had the longest life expectancy, at 83.5 years ... It was followed by Japan, Macau, San Marino and Singapore. ...
Researchers said several factors have contributed to the United States falling behind other industrialized nations. A major one is that 45 million Americans lack health insurance, while Canada and many European countries have universal health care, they say.
OK, so far, so good. At least someone is observing that the number of uninsured Americans may have a lot to do with this. But wait, there's more. This Mainstream Media report lapses into whitewash and absurdity.
But "it's not as simple as saying we don't have national health insurance," said Sam Harper, an epidemiologist at McGill University in Montreal. "It's not that easy."
Among the other factors:
• Adults in the United States have one of the highest obesity rates in the world. Nearly a third of U.S. adults 20 years and older are obese, while about two-thirds are overweight, according to the National Center for Health Statistics.
"The U.S. has the resources that allow people to get fat and lazy," said Paul Terry, an assistant professor of epidemiology at Emory University in Atlanta. "We have the luxury of choosing a bad lifestyle as opposed to having one imposed on us by hard times."
• Racial disparities. Black Americans have an average life expectancy of 73.3 years, five years shorter than white Americans.
Black American males have a life expectancy of 69.8 years, slightly longer than the averages for Iran and Syria and slightly shorter than in Nicaragua and Morocco.
• A relatively high percentage of babies born in the U.S. die before their first birthday, compared with other industrialized nations.
Forty countries, including Cuba, Taiwan and most of Europe had lower infant mortality rates than the U.S. in 2004. The U.S. rate was 6.8 deaths for every 1,000 live births. It was 13.7 for Black Americans, the same as Saudi Arabia.
"It really reflects the social conditions in which African American women grow up and have children," said Dr. Marie C. McCormick, professor of maternal and child health at the Harvard School of Public Health. "We haven't done anything to eliminate those disparities."
Most of the above displays an astonishing lack of critical thinking by this MSM reporter, or perhaps by editors who got hold of the piece later. The story attempts to drive some wedge between the absence of universal coverage in the U.S. and (1) racial disparities, and (2) infant mortality. A national health insurance system would do a vast amount to address these two problems. Our current system is the precise reason why many minorities do not or cannot get adequate care, when they are either old or newborn. It's the lack of insurance, stupid.
The passage points out that Cuba and most European countries have lower infant mortality rates than the U.S. Guess what those countries have that we don't.
Obesity is certainly a problem in America, and one for which individuals can largely be blamed. Or can they? As decades of my life have passed, I have witnessed a socially irresponsible advertising culture that graduated from making people into two-pack-a-day cigarette addicts into junk-food junkies who wash it all down with sugary soft drinks. If one ate a steady diet of what one sees every day on TV ads, billboards, and in the urban sprawl of any given U.S. city, it's the superhighway to diabetes and heart disease.
A thing I find quite revealing and disturbing is that although the Japanese smoke twice as much as Americans -- they light up the way we did in the '60s, back when my childhood senses were ablaze with TV cigarette commercials -- they don't have nearly as much heart disease as we do, and they're living longer than us. A simple observation is that they don't have quite the same advertising culture as we do, and so they're more likely to eat fish, tofu and veggies than a bacon cheeseburger. A decent diet can actually compensate some for other kinds of vices.
Something else to consider is that, for the poor in America, a good diet is actually hard to afford. It's cheap for our poor and working class to consume a lot of starch and sugar. Even the simplest staple items like rice and pasta -- not good for diabetics -- are much cheaper than the more healthful choices. We've had a reversal of roles between rich and poor in modern America: In the bad old days, the poor were skinny because they went hungry, and the rich were plump because they had all they could eat. Now the poor eat, but it's the wrong foods, sold cheap. The rich can afford the sauteed vegetables and the catch of the day.
But, I'm recalling that Emory University professor's remarks about Americans being so soft, not having a tough lifestyle imposed on them by adversity. This seems like an absurd contradiction as well. During hard times, people have trouble eating -- at all. Good food, or bad. And life spans were much shorter then. Something tells me the professor hasn't missed many meals.
Now for an unintended consequence of living in an "affluent" society -- affluent for some, anyway. The U.S. is the most overmedicated nation ever. Our "health care system" is largely driven by the pharmaceutical companies' greed, and they are hooking people on meds every day with the same foresight and scruples as the corner dope dealer.
Statin drugs are being pushed as though half the adult population should be on them. They may do a lot for people with severe cholesterol problems, but they can have very serious side effects. I have known a number of people who have given them up, despite warnings, because they complained that they always felt like they had the flu. My mother passed out and had to be hospitalized after three days on Zocor. I took Lipitor for three days, and I think my supervisor at work suspected that I was drunk.
I have been hospitalized twice in recent years after having adverse reactions to medications. Doctors who aren't into this dope craze describe patients coming to them looking pale and wan. And wait, there's more, from a site called Health and DNA:
ADRs are the fourth to sixth greatest killer in US with more than 100,000 deaths per year; and 2.2 million serious adverse reactions per year according to a 1998 Journal of the American Medical Association report. (JAMA 279:1200 1998) This study is a meta analysis of 39 research reports published from 1966 to 1996.
21.3% of the 548 most recently FDA approved medications were subsequently withdrawn from the market or given a black box warning. JAMA 287:2215 2002
The GAO reports that 51% of new drugs have serious, undetected adverse effects at the time of approval.
Of the best selling prescription drugs, 148 can cause depression, 133 hallucinations or psychoses, 105 constipation, 76 dementia, 27 insomnia and 36 parkinsonism. "Worst Pills Best Pills: A Consumers Guide to Avoiding Drug-Induced Death or Illness," third edition, 1999.
I know from the experience of being overmedicated that it's hard some days just to get out of bed under those conditions, let alone get one's regular exercise for general health and weight control.
I have yet to see Michael Moore's Sicko, but I anticipate seeing it this week. It shouldn't be hard for him to win me over. This "health care system," coupled with a predatory advertising culture, looks likely to make either my generation or the next one the first to have a lower life expectancy than our parents had. As my fellow baby boomers age and become more dependent on this broken system to get decent and well-considered care, this is clearly one of the crucial battles that Americans must win.
Manifesto Joe Is An Underground Writer Living In Texas.
Since health stats seem to be a hot topic now, it looks like a good time to dredge up a post from a couple of years ago. This was published on this blog Aug. 12, 2007.
This just in -- the U.S. is now ranked 42nd among the world's nations in life span. How can this be happening in a country that spends so much on medicine, the most worldwide per capita? It's a paradox: When it comes to insurance, less isn't more; but when it comes to medication, less can indeed be more. And, we need news media that will actually report on the problem rather than essentially shill for the medical/drug establishment.
To get the stats out of the way, this is from the Associated Press report:
Countries that surpass the U.S. include Japan and most of Europe, as well as Jordan, Guam and the Cayman Islands. ...
A baby born in the United States in 2004 will live an average of 77.9 years. That life expectancy ranks 42nd, down from 11th two decades earlier, according to international numbers provided by the Census Bureau and domestic numbers from the National Center for Health Statistics.
Andorra, a tiny country ... between France and Spain, had the longest life expectancy, at 83.5 years ... It was followed by Japan, Macau, San Marino and Singapore. ...
Researchers said several factors have contributed to the United States falling behind other industrialized nations. A major one is that 45 million Americans lack health insurance, while Canada and many European countries have universal health care, they say.
OK, so far, so good. At least someone is observing that the number of uninsured Americans may have a lot to do with this. But wait, there's more. This Mainstream Media report lapses into whitewash and absurdity.
But "it's not as simple as saying we don't have national health insurance," said Sam Harper, an epidemiologist at McGill University in Montreal. "It's not that easy."
Among the other factors:
• Adults in the United States have one of the highest obesity rates in the world. Nearly a third of U.S. adults 20 years and older are obese, while about two-thirds are overweight, according to the National Center for Health Statistics.
"The U.S. has the resources that allow people to get fat and lazy," said Paul Terry, an assistant professor of epidemiology at Emory University in Atlanta. "We have the luxury of choosing a bad lifestyle as opposed to having one imposed on us by hard times."
• Racial disparities. Black Americans have an average life expectancy of 73.3 years, five years shorter than white Americans.
Black American males have a life expectancy of 69.8 years, slightly longer than the averages for Iran and Syria and slightly shorter than in Nicaragua and Morocco.
• A relatively high percentage of babies born in the U.S. die before their first birthday, compared with other industrialized nations.
Forty countries, including Cuba, Taiwan and most of Europe had lower infant mortality rates than the U.S. in 2004. The U.S. rate was 6.8 deaths for every 1,000 live births. It was 13.7 for Black Americans, the same as Saudi Arabia.
"It really reflects the social conditions in which African American women grow up and have children," said Dr. Marie C. McCormick, professor of maternal and child health at the Harvard School of Public Health. "We haven't done anything to eliminate those disparities."
Most of the above displays an astonishing lack of critical thinking by this MSM reporter, or perhaps by editors who got hold of the piece later. The story attempts to drive some wedge between the absence of universal coverage in the U.S. and (1) racial disparities, and (2) infant mortality. A national health insurance system would do a vast amount to address these two problems. Our current system is the precise reason why many minorities do not or cannot get adequate care, when they are either old or newborn. It's the lack of insurance, stupid.
The passage points out that Cuba and most European countries have lower infant mortality rates than the U.S. Guess what those countries have that we don't.
Obesity is certainly a problem in America, and one for which individuals can largely be blamed. Or can they? As decades of my life have passed, I have witnessed a socially irresponsible advertising culture that graduated from making people into two-pack-a-day cigarette addicts into junk-food junkies who wash it all down with sugary soft drinks. If one ate a steady diet of what one sees every day on TV ads, billboards, and in the urban sprawl of any given U.S. city, it's the superhighway to diabetes and heart disease.
A thing I find quite revealing and disturbing is that although the Japanese smoke twice as much as Americans -- they light up the way we did in the '60s, back when my childhood senses were ablaze with TV cigarette commercials -- they don't have nearly as much heart disease as we do, and they're living longer than us. A simple observation is that they don't have quite the same advertising culture as we do, and so they're more likely to eat fish, tofu and veggies than a bacon cheeseburger. A decent diet can actually compensate some for other kinds of vices.
Something else to consider is that, for the poor in America, a good diet is actually hard to afford. It's cheap for our poor and working class to consume a lot of starch and sugar. Even the simplest staple items like rice and pasta -- not good for diabetics -- are much cheaper than the more healthful choices. We've had a reversal of roles between rich and poor in modern America: In the bad old days, the poor were skinny because they went hungry, and the rich were plump because they had all they could eat. Now the poor eat, but it's the wrong foods, sold cheap. The rich can afford the sauteed vegetables and the catch of the day.
But, I'm recalling that Emory University professor's remarks about Americans being so soft, not having a tough lifestyle imposed on them by adversity. This seems like an absurd contradiction as well. During hard times, people have trouble eating -- at all. Good food, or bad. And life spans were much shorter then. Something tells me the professor hasn't missed many meals.
Now for an unintended consequence of living in an "affluent" society -- affluent for some, anyway. The U.S. is the most overmedicated nation ever. Our "health care system" is largely driven by the pharmaceutical companies' greed, and they are hooking people on meds every day with the same foresight and scruples as the corner dope dealer.
Statin drugs are being pushed as though half the adult population should be on them. They may do a lot for people with severe cholesterol problems, but they can have very serious side effects. I have known a number of people who have given them up, despite warnings, because they complained that they always felt like they had the flu. My mother passed out and had to be hospitalized after three days on Zocor. I took Lipitor for three days, and I think my supervisor at work suspected that I was drunk.
I have been hospitalized twice in recent years after having adverse reactions to medications. Doctors who aren't into this dope craze describe patients coming to them looking pale and wan. And wait, there's more, from a site called Health and DNA:
ADRs are the fourth to sixth greatest killer in US with more than 100,000 deaths per year; and 2.2 million serious adverse reactions per year according to a 1998 Journal of the American Medical Association report. (JAMA 279:1200 1998) This study is a meta analysis of 39 research reports published from 1966 to 1996.
21.3% of the 548 most recently FDA approved medications were subsequently withdrawn from the market or given a black box warning. JAMA 287:2215 2002
The GAO reports that 51% of new drugs have serious, undetected adverse effects at the time of approval.
Of the best selling prescription drugs, 148 can cause depression, 133 hallucinations or psychoses, 105 constipation, 76 dementia, 27 insomnia and 36 parkinsonism. "Worst Pills Best Pills: A Consumers Guide to Avoiding Drug-Induced Death or Illness," third edition, 1999.
I know from the experience of being overmedicated that it's hard some days just to get out of bed under those conditions, let alone get one's regular exercise for general health and weight control.
I have yet to see Michael Moore's Sicko, but I anticipate seeing it this week. It shouldn't be hard for him to win me over. This "health care system," coupled with a predatory advertising culture, looks likely to make either my generation or the next one the first to have a lower life expectancy than our parents had. As my fellow baby boomers age and become more dependent on this broken system to get decent and well-considered care, this is clearly one of the crucial battles that Americans must win.
Manifesto Joe Is An Underground Writer Living In Texas.
Friday, August 21, 2009
Health Care And Infant Mortality: When It Comes To A Population's Health, Statistics Don't Lie
By Manifesto Joe
A commenter on my previous post brought up something often raised in defense of America's indefensible health care status quo. That is the alleged wait time for specialists in Canada. The commenter mentioned, in particular, OB-GYN wait times alleged to be 10 to 12 months.
I rather doubt that as something typical, although I have heard from less biased sources that wait times for Canadian specialists can be up to six months. But regarding OB-GYN wait times, statistics about infant mortality should be revealing. Here are some, courtesy of the United Nations World Populations Prospect report revision of 2006:
Countries with "socialized" medicine:
Japan: 3.2 per 1,000 live births
Sweden: 3.2 per 1,000 live births
Norway: 3.3 """
France: 4.2
Germany: 4.3
Denmark: 4.4
Australia: 4.4
U.K.: 4.8
Canada: 4.8
Cuba: (Those godless commies!) 5.1
And then we have:
United States: 6.3
The U.S. ranks below Brunei (5.5), Cyprus (5.9), and New Caledonia (6.1).
I guess now we know why so many long-suffering Canadians, and so many other people in countries with "socialized" medicine, are clamoring to trade in their government-run systems for the private U.S. monopoly/oligopoly model. Ours is clearly so superior.
Manifesto Joe Is An Underground Writer Living In Texas.
A commenter on my previous post brought up something often raised in defense of America's indefensible health care status quo. That is the alleged wait time for specialists in Canada. The commenter mentioned, in particular, OB-GYN wait times alleged to be 10 to 12 months.
I rather doubt that as something typical, although I have heard from less biased sources that wait times for Canadian specialists can be up to six months. But regarding OB-GYN wait times, statistics about infant mortality should be revealing. Here are some, courtesy of the United Nations World Populations Prospect report revision of 2006:
Countries with "socialized" medicine:
Japan: 3.2 per 1,000 live births
Sweden: 3.2 per 1,000 live births
Norway: 3.3 """
France: 4.2
Germany: 4.3
Denmark: 4.4
Australia: 4.4
U.K.: 4.8
Canada: 4.8
Cuba: (Those godless commies!) 5.1
And then we have:
United States: 6.3
The U.S. ranks below Brunei (5.5), Cyprus (5.9), and New Caledonia (6.1).
I guess now we know why so many long-suffering Canadians, and so many other people in countries with "socialized" medicine, are clamoring to trade in their government-run systems for the private U.S. monopoly/oligopoly model. Ours is clearly so superior.
Manifesto Joe Is An Underground Writer Living In Texas.
Monday, August 17, 2009
Health Care: When Americans Voted For Obama And Democrats, What Were They Voting For?
By Manifesto Joe
A recent (Aug. 3-6) nationwide telephone poll by the Marist Institute of Public Opinion found that 45 percent of Americans disapprove of President Obama's handling of health care reform, while 43 percent approved. Here's a link.
Obama won the popular vote last year with 53 percent. This begs the question: What did the "swing" voters, the independents, think they were voting for when they cast ballots for Obama and other Democrats?
And, as for those who are wavering on the issue, did they not expect yet another disinformation barrage, perhaps even worse that the "Harry and Louise" campaign of 1993-94? There are many interest groups -- insurers, pharmaceutical companies, stockholders, doctors and other health care "professionals" -- who have a big stake in the status quo and fear they will lose money if a public option comes to pass. Wasn't a propaganda flood, financed by the vested interests, expected?
My disapproval of Obama's handling of this would be purely idealistic: I favor a single-payer model similar to the ones in Canada and Germany. Even the English, whose National Health Service is often vilified here, are getting highly pissed and coming to the defense of the NHS. Here's another link. No less than renowned scientist Stephen Hawking has asserted that, contrary to U.S. right-wing demagoguery, the NHS saved his life from the longtime ravages of ALS. (Yet another link.)
The idealist in me says, if "socialism" is what they have in Norway and Sweden, where do I sign up? They live longer than Americans do; their babies don't die nearly as often; and their middle class doesn't have to live in fear of bankruptcy if someone comes down with a catastrophic illness.
You don't even have to look at Scandinavian countries with hyperactive welfare states. Australia, perhaps the closest nation to the U.S. ideologically, has something resembling "socialized" medicine.
Among other developed countries in the world, you don't see any of them battling to trade in their government-run programs for the U.S. "Land of the Fee" model, do you?
Their way looks much more like the right path to me.
But -- living in America, and especially in Texas, made me stop being an idealist long ago. It's clear by now that Obama and his "allies" are going to have a hard time just putting over a public option, so single-payer will have to wait, probably until after I'm dead.
Back to the American public -- that 45 percent who disapprove. I'd wager that few of them ever had to actually USE their underperforming health insurance to battle a chronic illness. I have allergies so severe that I depend on multiple medications just to live, and the co-payments and deductibles eat up much of my income. This was not something I did to myself; I was born with allergies.
Let's talk about "death panels." I have the impression that among that 45 percent, their answer for me would be, "Just die and get out of the way." Such people protest loudly at being called Nazilike, but it sounds a lot like eugenics to me.
That 45 percent probably never had to battle cancer, as my wife did in 1992, on one of those swell 80-20 private insurance plans, with a deductible. That experience hurled us into debt that we've never gotten out of to this day. Bankruptcy was actually on the table for us a couple of years ago -- fortunately, we found an alternative.
But we are like many other middle-class Americans in that, even with both of us insured, another major illness could very well plunge us into so much debt that bankruptcy would be certain. And, the insurance companies would have the complete prerogative to drop either or both of us.
That 45 percent: I shudder to think that there are so many profoundly misguided Americans. One can go back to relatively recent history and witness the fickleness of the electorate. In 1992, Clinton pulled off a plurality win, and the Democrats took both houses of Congress solidly. Two years later, the Republicans and their "Contract With America" turned the tables utterly, though not for long.
Back a bit further, in 1974 the Republican Party seemed repudiated and in tatters after Watergate. It only took six years for the Reagan right wing to turn that completely around.
I hope that Obama can stand his ground, and that the electorate doesn't prove to be that fickle in 2010. If my insurance company decides to kick me to the curb, I'd like that public option, or at least something that keeps me from going broke.
Manifesto Joe Is An Underground Writer Living In Texas.
Postscript: CNN reports that at 1:03 p.m. Mountain Standard Time, at a presidential event in Phoenix, a reporter saw a man in the anti-Obama camp carrying an AR-15 semiautomatic rifle. (Arizona has an open-carry law.) Are those mean-spirited lib'ruls gonna call him a Nazi?
A recent (Aug. 3-6) nationwide telephone poll by the Marist Institute of Public Opinion found that 45 percent of Americans disapprove of President Obama's handling of health care reform, while 43 percent approved. Here's a link.
Obama won the popular vote last year with 53 percent. This begs the question: What did the "swing" voters, the independents, think they were voting for when they cast ballots for Obama and other Democrats?
And, as for those who are wavering on the issue, did they not expect yet another disinformation barrage, perhaps even worse that the "Harry and Louise" campaign of 1993-94? There are many interest groups -- insurers, pharmaceutical companies, stockholders, doctors and other health care "professionals" -- who have a big stake in the status quo and fear they will lose money if a public option comes to pass. Wasn't a propaganda flood, financed by the vested interests, expected?
My disapproval of Obama's handling of this would be purely idealistic: I favor a single-payer model similar to the ones in Canada and Germany. Even the English, whose National Health Service is often vilified here, are getting highly pissed and coming to the defense of the NHS. Here's another link. No less than renowned scientist Stephen Hawking has asserted that, contrary to U.S. right-wing demagoguery, the NHS saved his life from the longtime ravages of ALS. (Yet another link.)
The idealist in me says, if "socialism" is what they have in Norway and Sweden, where do I sign up? They live longer than Americans do; their babies don't die nearly as often; and their middle class doesn't have to live in fear of bankruptcy if someone comes down with a catastrophic illness.
You don't even have to look at Scandinavian countries with hyperactive welfare states. Australia, perhaps the closest nation to the U.S. ideologically, has something resembling "socialized" medicine.
Among other developed countries in the world, you don't see any of them battling to trade in their government-run programs for the U.S. "Land of the Fee" model, do you?
Their way looks much more like the right path to me.
But -- living in America, and especially in Texas, made me stop being an idealist long ago. It's clear by now that Obama and his "allies" are going to have a hard time just putting over a public option, so single-payer will have to wait, probably until after I'm dead.
Back to the American public -- that 45 percent who disapprove. I'd wager that few of them ever had to actually USE their underperforming health insurance to battle a chronic illness. I have allergies so severe that I depend on multiple medications just to live, and the co-payments and deductibles eat up much of my income. This was not something I did to myself; I was born with allergies.
Let's talk about "death panels." I have the impression that among that 45 percent, their answer for me would be, "Just die and get out of the way." Such people protest loudly at being called Nazilike, but it sounds a lot like eugenics to me.
That 45 percent probably never had to battle cancer, as my wife did in 1992, on one of those swell 80-20 private insurance plans, with a deductible. That experience hurled us into debt that we've never gotten out of to this day. Bankruptcy was actually on the table for us a couple of years ago -- fortunately, we found an alternative.
But we are like many other middle-class Americans in that, even with both of us insured, another major illness could very well plunge us into so much debt that bankruptcy would be certain. And, the insurance companies would have the complete prerogative to drop either or both of us.
That 45 percent: I shudder to think that there are so many profoundly misguided Americans. One can go back to relatively recent history and witness the fickleness of the electorate. In 1992, Clinton pulled off a plurality win, and the Democrats took both houses of Congress solidly. Two years later, the Republicans and their "Contract With America" turned the tables utterly, though not for long.
Back a bit further, in 1974 the Republican Party seemed repudiated and in tatters after Watergate. It only took six years for the Reagan right wing to turn that completely around.
I hope that Obama can stand his ground, and that the electorate doesn't prove to be that fickle in 2010. If my insurance company decides to kick me to the curb, I'd like that public option, or at least something that keeps me from going broke.
Manifesto Joe Is An Underground Writer Living In Texas.
Postscript: CNN reports that at 1:03 p.m. Mountain Standard Time, at a presidential event in Phoenix, a reporter saw a man in the anti-Obama camp carrying an AR-15 semiautomatic rifle. (Arizona has an open-carry law.) Are those mean-spirited lib'ruls gonna call him a Nazi?
Tuesday, August 11, 2009
Palin Steps Up To Lead Nazilike Campaign Against Health Care Reform
By Manifesto Joe
It's a departure from historical norms, but nobody ever demonstrated that a fascist movement couldn't be led by a pretty middle-aged woman. (She's not my type, but Sarah Palin has what could be described as generic good looks.) And it's happening -- I don't think she can ever legitimately vie for high elective office again, but sundry Brown Shirt types, jackbooted thugs and brainwashed hillbillies may be lining up behind Sarah Palin.
Maybe this is why Palin resigned her Alaska governorship. It's kind of hard to lead a Nazilike movement when you've got a full-time job in Juneau.
True, she's not as articulate (or bellicose) as Limbaugh. Hell, she's not even Father Coughlin. But Klondike Hottie seems to speak for a lot of manure-headed people out there, and now I think I dig where she aims to go.
Dean Baker of Truthout is on the money when he blames what's left of our "news media" for a lot of this. Palin was given a huge pass when she publicly conjured up fictions about a "death panel" and rationing of health care while denouncing Obama administration policy plans. Traditionally, media are supposed to function as a "truth squad" and shoot down pig dung like this. Here's a link to Baker's article.
Palin apparently has enough gutter political savvy to see a movement in the making. Nazilike hooligans have been showing up at "town hall" meetings to intimidate anyone who favors health care reform, up to and including the Congress creatures themselves.
There have been some scenes that recall the fascist thuggery of Italy in the 1920s and Germany in the 1930s. On Friday, Justin Rubin of MoveOn recorded a few nuggets that show a sampling of what's been happening to members of Congress, and continues, from coast to coast:
-- Last night in Tampa, Florida, a town hall meeting erupted into violence, with the police being called to break up fist fights and shoving matches.
-- A Texas Democrat was shouted down by right-wing hecklers, many of whom admitted they didn't even live in his district.
-- One North Carolina representative announced he wouldn't be holding any town-hall meetings after his office began receiving death threats.
-- And in Maryland, protesters hung a Democratic congressman in effigy to oppose health-care reform.
The Associated Press filed a more detailed account of the right-wing marauding in a Saturday story. Here's a link to that one.
Back to Sarah Palin, I realize that Klondike Hottie has plenty of competition for leadership of the GOP's gaping primate squad. Limbaugh has been whipping them up for 20 years, and Sean Hannity and Glenn Beck are most decidedly in the running.
But Klondike Hottie has them beaten in one crucial area -- sex appeal. To me, her appeal is very limited -- she reminds me too much those Young Republican college women who always seemed to belong to a sorority that was called "Betas" for short.
But, Bubba apparently digs it. And he may be willing to misdirect some of his testosterone toward neo-fascist asskicking, if she gives the word. Stay tuned.
Manifesto Joe Is An Underground Writer Living In Texas.
It's a departure from historical norms, but nobody ever demonstrated that a fascist movement couldn't be led by a pretty middle-aged woman. (She's not my type, but Sarah Palin has what could be described as generic good looks.) And it's happening -- I don't think she can ever legitimately vie for high elective office again, but sundry Brown Shirt types, jackbooted thugs and brainwashed hillbillies may be lining up behind Sarah Palin.
Maybe this is why Palin resigned her Alaska governorship. It's kind of hard to lead a Nazilike movement when you've got a full-time job in Juneau.
True, she's not as articulate (or bellicose) as Limbaugh. Hell, she's not even Father Coughlin. But Klondike Hottie seems to speak for a lot of manure-headed people out there, and now I think I dig where she aims to go.
Dean Baker of Truthout is on the money when he blames what's left of our "news media" for a lot of this. Palin was given a huge pass when she publicly conjured up fictions about a "death panel" and rationing of health care while denouncing Obama administration policy plans. Traditionally, media are supposed to function as a "truth squad" and shoot down pig dung like this. Here's a link to Baker's article.
Palin apparently has enough gutter political savvy to see a movement in the making. Nazilike hooligans have been showing up at "town hall" meetings to intimidate anyone who favors health care reform, up to and including the Congress creatures themselves.
There have been some scenes that recall the fascist thuggery of Italy in the 1920s and Germany in the 1930s. On Friday, Justin Rubin of MoveOn recorded a few nuggets that show a sampling of what's been happening to members of Congress, and continues, from coast to coast:
-- Last night in Tampa, Florida, a town hall meeting erupted into violence, with the police being called to break up fist fights and shoving matches.
-- A Texas Democrat was shouted down by right-wing hecklers, many of whom admitted they didn't even live in his district.
-- One North Carolina representative announced he wouldn't be holding any town-hall meetings after his office began receiving death threats.
-- And in Maryland, protesters hung a Democratic congressman in effigy to oppose health-care reform.
The Associated Press filed a more detailed account of the right-wing marauding in a Saturday story. Here's a link to that one.
Back to Sarah Palin, I realize that Klondike Hottie has plenty of competition for leadership of the GOP's gaping primate squad. Limbaugh has been whipping them up for 20 years, and Sean Hannity and Glenn Beck are most decidedly in the running.
But Klondike Hottie has them beaten in one crucial area -- sex appeal. To me, her appeal is very limited -- she reminds me too much those Young Republican college women who always seemed to belong to a sorority that was called "Betas" for short.
But, Bubba apparently digs it. And he may be willing to misdirect some of his testosterone toward neo-fascist asskicking, if she gives the word. Stay tuned.
Manifesto Joe Is An Underground Writer Living In Texas.
Saturday, July 25, 2009
Just When It Seemed Safe Again To Admit That You're A Texan ...
By Manifesto Joe
... Rick "Governor Goodhair" Perry takes his buffoon rube act on the road yet again. This time, he threatened to invoke the 10th Amendment, pertaining to states' rights, to keep any national health care plan that might emerge from the Obama administration out of Texas.
You know the good old conservative/libertarian ideology: It's better to starve, fester and die homeless on your feet, than to get any sort of relief check and thank God and Congress on your knees.
Being interviewed Thursday by right-wing talk show host Mark Davis of WBAP-AM Radio in Dallas (The uniquely untalented Mr. Davis used to write a pathetic wingnut op-ed column for the Fort Worth newspaper; his minuscule "talents" are decidedly geared toward AM wingnut talk radio.), Perry said the president's health care plan would be "disastrous" for Texas. By the way, Texas has a frightening number of uninsured residents, many of whom are children and women of child-bearing age. The taxpayers end up paying for their ER bills anyway, as they generally end up in charity hospitals supported with public funds.
So, Governor Goodhair is going to defend us Texans against those godless socialists with their health care plans, the same way he's been defending thousands of jobless Texans from getting extensions on their unemployment benefits with federal money. (He's been refusing it.)
It's so good to know that the governor is so concerned about the long-term interests of Texans, even as so many face foreclosures from being jobless and/or unable to afford mounting medical bills. Changes in the law during the Bush era have made bankruptcy a very unattractive proposition, but many people now have no choice but to limp down that road.
By the way, here's a link to the story about Perry's latest redneck grandstanding.
There are some people who would perversely describe Perry's recent rhetoric as "populist." That would describe it accurately if "populism" is the art of putting it to the people in the posterior and then distracting them such that they don't know where the reaming is coming from.
Texas has a long and sad history of this sort of "populism," which is ultimately a manipulative, chauvinistic anti-populism. Our officeholders have typically been servile to the rich, especially oil and gas money, while our poor have had to endure all manner of regressive taxation, such as sales taxes, and various user fees. We've rarely had real populists in control, even when our "Blue-Dog Democrats" have been in power.
Perry himself isn't shocking, because as long as I can remember, we've mostly seen the likes of him in high office in these parts. It's just disappointing that, after all these years, ol' Bubba out there still hasn't quite figured out who made his butt feel so sore the next morning. A hint: It wasn't Barack Obama.
Manifesto Joe Is An Underground Writer Living In Texas.
... Rick "Governor Goodhair" Perry takes his buffoon rube act on the road yet again. This time, he threatened to invoke the 10th Amendment, pertaining to states' rights, to keep any national health care plan that might emerge from the Obama administration out of Texas.
You know the good old conservative/libertarian ideology: It's better to starve, fester and die homeless on your feet, than to get any sort of relief check and thank God and Congress on your knees.
Being interviewed Thursday by right-wing talk show host Mark Davis of WBAP-AM Radio in Dallas (The uniquely untalented Mr. Davis used to write a pathetic wingnut op-ed column for the Fort Worth newspaper; his minuscule "talents" are decidedly geared toward AM wingnut talk radio.), Perry said the president's health care plan would be "disastrous" for Texas. By the way, Texas has a frightening number of uninsured residents, many of whom are children and women of child-bearing age. The taxpayers end up paying for their ER bills anyway, as they generally end up in charity hospitals supported with public funds.
So, Governor Goodhair is going to defend us Texans against those godless socialists with their health care plans, the same way he's been defending thousands of jobless Texans from getting extensions on their unemployment benefits with federal money. (He's been refusing it.)
It's so good to know that the governor is so concerned about the long-term interests of Texans, even as so many face foreclosures from being jobless and/or unable to afford mounting medical bills. Changes in the law during the Bush era have made bankruptcy a very unattractive proposition, but many people now have no choice but to limp down that road.
By the way, here's a link to the story about Perry's latest redneck grandstanding.
There are some people who would perversely describe Perry's recent rhetoric as "populist." That would describe it accurately if "populism" is the art of putting it to the people in the posterior and then distracting them such that they don't know where the reaming is coming from.
Texas has a long and sad history of this sort of "populism," which is ultimately a manipulative, chauvinistic anti-populism. Our officeholders have typically been servile to the rich, especially oil and gas money, while our poor have had to endure all manner of regressive taxation, such as sales taxes, and various user fees. We've rarely had real populists in control, even when our "Blue-Dog Democrats" have been in power.
Perry himself isn't shocking, because as long as I can remember, we've mostly seen the likes of him in high office in these parts. It's just disappointing that, after all these years, ol' Bubba out there still hasn't quite figured out who made his butt feel so sore the next morning. A hint: It wasn't Barack Obama.
Manifesto Joe Is An Underground Writer Living In Texas.
Sunday, March 16, 2008
Time To Stop Small-Time Legal Bribery Of Doctors
By Manifesto Joe
For years, it hasn't been such an uncommon sight to keep a doctor appointment in the early afternoon and see leftover pizza, or Chinese takeout, or such, around the joint. Then, a pharmaceutical salesperson emerges from the back, a walking drugstore with a big valise, after making a "sale." This person has apparently treated everybody in the clinic to lunch. (And then, written it off on the taxes as a business expense.) There are free drug samples galore, and lots of Cialis pens and coffee mugs; but it's understood that prescriptions will be written along with distribution of those samples.
I've witnessed this firsthand, and so has my wife. It's under $100 worth of perks, so it's currently accepted practice (pardon my choice of words). Not every doctor accepts these small perks, but they are legal. And, this kind of unethical coziness between the medical profession and drug companies is one facet, among many, of the U.S. health-care debacle.
The Senate has a bill, the Physician Payment Sunshine Act (S. 2029), currently in the Finance Committee. It would, according to The Associated Press: "...create a database disclosing the names and addresses of doctors who receive gifts or payments. It would also include pharmaceutical company names and the value of the gift or payment."
More specific information is on WashingtonWatch.com. The bill would:
... amend title XI of the Social Security Act to provide for transparency in the relationship between physicians and manufacturers of drugs, devices, or medical supplies for which payment is made under Medicare, Medicaid, or SCHIP.
Sadly, this bill has been mired in committee since September, despite support from medical ethics groups. AP reported, tersely: "Drug companies oppose the act."
What are the "pro" arguments? I'll quote more from the AP story, which was not merely about doctors accepting perks. It was about doctors acting as actual shills, giving testimonials to peers for new drugs, under corporate sponsorship for damned good pay:
Pharmaceutical companies argue that doctors are an essential part of educating colleagues as new drugs are developed. ...
To summarize, their argument is: How can doctors know about new medicines, their potential side effects, their proper use, and so forth, unless they hear it from experienced peers? But, to have the symposiums sponsored by the drug companies, who are paying the doctors who are giving testimonials, seems like a pretty big ethical conflict of interest.
More from AP: PhRMA (the drug industry's lobbying arm) adopted voluntary rules in 2002 that limit the value of gifts to $100 or less and says that all forms of free entertainment, including sporting events, are inappropriate.
All very nice, but I'm offended by even seeing these reps feeding my doctor and his staff fully loaded pizza, beef broccoli and moo goo gai pan, and a lot of sales bullshit. The bill that's bogged down in the Senate committee isn't nearly strong enough. This is legal bribery, even if it's on a small scale. And I realize that any action won't have more than a tiny effect on the American health-care morass.
But on principle alone, it should be banned. And, any effect it has might work toward curbing what is clearly the chronic overmedication of the American people.
Manifesto Joe Is An Underground Writer Living In Texas.
For years, it hasn't been such an uncommon sight to keep a doctor appointment in the early afternoon and see leftover pizza, or Chinese takeout, or such, around the joint. Then, a pharmaceutical salesperson emerges from the back, a walking drugstore with a big valise, after making a "sale." This person has apparently treated everybody in the clinic to lunch. (And then, written it off on the taxes as a business expense.) There are free drug samples galore, and lots of Cialis pens and coffee mugs; but it's understood that prescriptions will be written along with distribution of those samples.
I've witnessed this firsthand, and so has my wife. It's under $100 worth of perks, so it's currently accepted practice (pardon my choice of words). Not every doctor accepts these small perks, but they are legal. And, this kind of unethical coziness between the medical profession and drug companies is one facet, among many, of the U.S. health-care debacle.
The Senate has a bill, the Physician Payment Sunshine Act (S. 2029), currently in the Finance Committee. It would, according to The Associated Press: "...create a database disclosing the names and addresses of doctors who receive gifts or payments. It would also include pharmaceutical company names and the value of the gift or payment."
More specific information is on WashingtonWatch.com. The bill would:
... amend title XI of the Social Security Act to provide for transparency in the relationship between physicians and manufacturers of drugs, devices, or medical supplies for which payment is made under Medicare, Medicaid, or SCHIP.
Sadly, this bill has been mired in committee since September, despite support from medical ethics groups. AP reported, tersely: "Drug companies oppose the act."
What are the "pro" arguments? I'll quote more from the AP story, which was not merely about doctors accepting perks. It was about doctors acting as actual shills, giving testimonials to peers for new drugs, under corporate sponsorship for damned good pay:
Pharmaceutical companies argue that doctors are an essential part of educating colleagues as new drugs are developed. ...
To summarize, their argument is: How can doctors know about new medicines, their potential side effects, their proper use, and so forth, unless they hear it from experienced peers? But, to have the symposiums sponsored by the drug companies, who are paying the doctors who are giving testimonials, seems like a pretty big ethical conflict of interest.
More from AP: PhRMA (the drug industry's lobbying arm) adopted voluntary rules in 2002 that limit the value of gifts to $100 or less and says that all forms of free entertainment, including sporting events, are inappropriate.
All very nice, but I'm offended by even seeing these reps feeding my doctor and his staff fully loaded pizza, beef broccoli and moo goo gai pan, and a lot of sales bullshit. The bill that's bogged down in the Senate committee isn't nearly strong enough. This is legal bribery, even if it's on a small scale. And I realize that any action won't have more than a tiny effect on the American health-care morass.
But on principle alone, it should be banned. And, any effect it has might work toward curbing what is clearly the chronic overmedication of the American people.
Manifesto Joe Is An Underground Writer Living In Texas.
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