Health Care – Another Perspective
I’ve posted below snippets from an editorial which appeared in today’s St. Louis Post-Dispatch.
A St. Louisan’s view of the British National Health Service
BY Reva Klein
Tuesday, Sep. 01 2009
LONDON
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“I’ve lived here since 1973, and whenever I visit my hometown of St. Louis, or anywhere else in the United States for that matter, I’m invariably regaled with friends’ and relatives’ horror stories about medical bills.”
- “I know the realities of the British National Health Service pretty well. As a journalist, I’ve written about it. As a mother of two children (born at home with National Health Service midwives and doctors) and now as a baby boomer with the usual sprinkling of medical dramas, I’ve been a regular user of the service. I pay a monthly National Insurance contribution of the equivalent of $15.82 as a self-employed person. This has seen me through three operations, one of them life saving, a two-week hospital stay, half a dozen or so investigations, probably a good few hundred visits to the doctor for my children and me and highly subsidized drug prescriptions.”
- “A system that gives every citizen the right to health care free at the point of entry wis [sic], I believe, the hallmark of a truly democratic society, one in which no one is penalized because of his economic status. And democracy in this sense doesn’t mean bargain-basement care, either, thank goodness. In today’s NHS, we do have choice of where to see specialists, and we can get a second opinion if we don’t like the first.”
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“Sure, there are aspects of the health service that we all take great pleasure in complaining about. Emergency rooms can be crowded and the waits epic. NHS hospitals have had serious outbreaks of MRSA and C. difficile, and some hospital wards seem — and indeed are — unequivocally Victorian. These things need changing and both Labour and the Conservatives (the political parties in Britain) have vowed their commitment to better resourcing, modernization, the works.”
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“By the way, the 92-year-old mother of a friend now in a London hospital following a stroke, who is getting daily physiotherapy and care and attention from a specialist stroke unit that in the United States would cost the bare minimum of $500 a day, has yet to catch sight of a single death panel.”
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“Reva Klein is London-based journalist and a St. Louis native.”
You should really take a minute to read the editorial in its entirety. I hate when the truth gets in the way of the debate. Ha.
Day 30 – Engine 2 Diet
I’m down five pounds in one month. That’s not terrible if I can keep it up. Of course my weight loss should have been greater but I went “off book” a bit too much and didn’t exercise nearly enough. My discipline is great at home and when I’m in my routine, but as soon as the circumstances changes, good bye will power!
The past five days I was out of town and while I didn’t eat terribly, I did violate enough of the Engine 2 Diet rules to be slightly ashamed of myself. Fret not though, I’m back on the wagon as of this morning.
I find it interesting that learning about and understanding the complexities of nutrition and how our bodies work are often easier than just not picking up a piece of cake and shoving it in your mouth. Why is that?
Well, the lifestyle change continues. I think Katie and I are taking to this pretty well, albeit a bit slowly. We are crazy cheese lovers, so cutting that out of our daily diets has been hard. I just hope I see results in the form of lowered cholesterol. Katie made a fresh batch of brown rice last night and we’re headed to the grocery store tonight. Go us.
Are You Just A Number?
Mitchell Baker is the Chair of the Mozilla Foundation, a non-profit organization dedicated to promoting openness, innovation and opportunity on the Internet. He recently wrote on his blog about the presence of self on the Internet in a post called, “I Am Not A Number“. It’s a short, philosophical post worth reading.
Baker’s main point is that the Internet and its corporate hooligans are not only stealing but also sculpting each Internet user’s identity. Scary stuff. He wants his presence on the Internet to be himself, not a caricature of himself that exists only after corporations get done manipulating information about him.
After you read Baker’s post and the comments below it (do read these), you will hopefully understand why its important to make sure a free and open Internet, void of companies collecting every possible piece of data about you, is vital to people’s privacy and their rights. Supporting organizations like the Mozilla Foundation, the Electronic Frontier Foundation and others like it is paramount to this cause.
Surprisingly, the perpetrators are the companies we know and respect. I’m not writing this to call out any particular examples but to highlight the fact that if you knew exactly what was going on, you probably wouldn’t be happy with it. Make sure to educate yourself so when and if users are actually given a voice to dictate how the Internet should be operated and governed, you know what you’re talking about.
The Future of Aging
I read an article in the St. Louis Post-Dispatch today about aging called “How well you age can depend on you”. Really? I’m being sarcastic. Almost everyone wants to live longer than they’re going to and some people even want to live forever. That got me thinking.
I loosely follow the trials and tribulations of Ray Kurzweil, and now Dr. Terry Grossman. I’ve been reading Kurzweil’s website for years and have recently begun following the work he’s doing with Dr. Grossman. You should read their bios if you’ve never heard of them. Kurzweil is the premiere technology futurist on earth. His accomplishments are astounding. How that relates to aging is that he wants to live forever, and is doing some seemingly extreme things to make that happen. I’m not going to get into specifics here but if you’re interested, check out the links I’ve provided in this post and others you may find on the Internets of the world.
The mystery of aging is that scientists don’t know why when our cells divide there is a degradation in quality of the split cells. The theory is that if we can reduce the harm done when cells divide we can increase our lifespans. One camp, including Kurzweil, thinks we can significantly increase our life spans . . . and possibly even live forever. Another camps sites that human lifespans have not changed over time. People can live up to 120 years, or so. Life expectancy has increased as we’ve discovered more about how we functions as organisms. So, can we find a way to pass that 120 year barrier permanently and never look back? I wish I had the answer.
The Post article references all that we can do to increase the probability of not only living longer, but living better. I think most people would agree that living ten more years isn’t worth it if we’re sick and broken and miserable.
Ray and the good doctor also have their own line of products – surprise, surprise – but their site also has a questionnaire that’s worth taking. Go here and scroll down to the bottom of the page to find the link. Another site I highly recommend is Real Age. It also has a questionnaire that’s worth taking.
Worker productivity increased at an impressive pace recently. Let’s the not set the bar too high. Take these quizzes right now, at work, and see what you’re doing right, what you’re doing wrong and what you can do to change your life for the better.
Avoiding Food Toxins
Here’s a list of 13 things you can do to make sure you minimize the amount of toxins entering your system. I’ve included the list here without any explanation of why each is important. Visit the original article for the full view.
- Stay away from processed meats like bacon, hot dogs, and sausage.
- Stick to low-mercury fish like American-farmed tilapia instead of swordfish or tuna.
- Reduce the amount of canned food you consume.
- Cut back on meat and dairy products.
- Skip the diet soda and artificial sweeteners.
- Choose the farmed fish carefully.
- Opt for organic chicken.
- Only drink milk that says “no rBGH” on the carton because recombinant bovine growth hormone has been linked with breast cancer. Better yet, opt for responsibly-produced, unsweetened soy, nut or rice milk.
- Avoid manufactured snacks.
- Stay away from artificially-colored foods like candy, maraschino cherries, and gelatin.
- Always buy organic produce.
- Use stainless steel or cast iron cookware to prepare your meals.
- Never microwave food in plastic bowls, containers, or dishes.
It’s no coincidence that a least six of these items (in bold above) can be accomplished simply by going vegetarian, and a few more by going vegan. The rest have to do with buying some new kitchen equipment and increasing your will power. Good luck.
Day 15 – Engine 2 Diet
I suffered a slight relapse this weekend and went “off book” for more than one of my meals. They were tasty for sure, but evidence of my limited will power. Back on the wagon this morning. Stay strong man, stay strong.
We’re half way through the formal part of this adventure and it seems to be going well. I’m down three pounds since the start – it was a bit more but the previous paragraph indicates why I gave some my gains (losses) back. My goal is to be down five+ pounds by the end of this week.
One component still lacking is exercise. My wife and I definitely worked out more than usual last week but still not enough. I did try a workout video for the first time in my life. Our cable company offers free videos on demand and my wife found a kick boxing one that sounded interesting. I acquiesced. Holy crap did that thing kick our butts. It was 40 minutes of torture I tell you, torture! I’m still holding some resentment for the instructor, who was extremely chipper and in much, much better shape than me. Grrrrr.
Lastly, I visited my doctor for my annual physical. He was going to have me give blood for a cholesterol test but after hearing of this effort he postponed the test. I’m going back in about six weeks. I hope there’s measurable change in my cholesterol. Not only will that keep me off of the controversial drugs but also keep me motivated to stick with the plan.
Nature Deficit Disorder
On the first of this month, The New York Times published a piece by Nicholas Kristof called, “How to Lick a Slug”. In it, he talks about how children today are not in tune with the outdoors, unlike children from previous generations beginning with . . . well, beginning with the beginning.
I used to spend much more time outdoors, and regret that I don’t make the effort to do so more often. Much of my youth was filled with traversing creeks and playing in state parks. I used to love just standing ankle deep in a cold stream, letting the water – and the life it contains – rush by. Hopefully that will change soon. My wife and I have two “outdoorsy” adventures planned in the next month and I hope to do more, especially in the fall when the heat in Missouri has broken.
To appreciate nature I don’t believe people have to “rough” it, they just have to get the hell out of their houses and into the woods. The woods don’t even have to be natural woods for crying out loud. Taking time to navigate man-made parks or local preserves is enough to get in tune with the great outdoors. These types of outings can be a catalyst for more formal trips that require planning, packing and a small shovel. Of course graduating to that level of immersion is not even necessary.
I remember biking the Stinging Nettle trail with some friends in high school through Castlewood State Park just outside of St. Louis. Man alive did we get muddy. The water had risen on the Meramac River and we weren’t even supposed to be in the park. The roads had been closed and we snuck in through an adjoining neighborhood. I’m not sure if it was that time or another I took some pictures of the river. The trees looked like bushes, popping up out of the water. I lost that roll of film before it was ever developed. I guess it’s like writing a poem and then tearing it up. Or not, since I just told you about it.
You’re only hurting yourself by not experiencing what nature has to offer. I’m getting excited about our trips. Staring at a computer all day takes its toll. Hopefully the house we’re renting has the Internet.
Is “Cash for Clunkers” a clunker?
I’m not always in agreement with David Nicklaus but the St. Louis Post-Dispatch business columnist makes a good case against the Cash for Clunkers program. For those of you unfamiliar with Cash for Clunkers, its a stimulus program that gives people with “clunkers” rebates ($3,500 or $4,500) for turning them in when purchasing a new, more efficient automobile. Nicklaus makes two main points in his piece. First, that the program benefits wealthier Americans as the expense of low-income consumers, and second, that the program will not encourage more car buying.
The first point is valid, insomuch that the Americans who need the most lift generally are not the ones who can afford automobiles.
The clunkers program, MacDonald says, is “purely a handout,” and not a very egalitarian one at that. Because the people who can afford a new car tend to be wealthier than those who cannot, we’re doing the opposite of what Robin Hood tried to accomplish.
Buried within this argument is another that Nicklaus makes, which is that the program is underfunded to boot. So, not only does this program not benefit low-income Americans, it does not even do a good job of helping the middle class. Nicklaus cites the following, “Germany, a smaller country than the U.S., started a similar program with more than $2 billion and soon tripled the budget. Congress should have known that $1 billion wouldn’t last long.” The House recently approved another $2 billion to go with the first $1 billion – which was exhausted quickly – but the Senate is yet to confirm.
The second point Nicklaus makes is supported by the following logic:
A billion dollars was enough to subsidize about 250,000 trade-in deals, but much of the money goes to people who would have bought cars anyway. Some delayed their purchases when they heard that a clunkers credit was coming, and others moved up purchases that they would have made this fall or winter.
Glenn MacDonald, the Olin professor of economics and strategy at Washington University, has a harsher assessment. “The total number of cars sold isn’t going to go up an inch,” he said. “You’re just moving it around in time. You are going to sell more cars now and fewer cars later.”
I suppose that there may be some benefit to increasing sales now at the expense of sales later, but not if the boost was offset by those who delayed their purchases. My wife and I purchased a new automobile earlier this year, partly to stimulate the economy and partly because we wanted a new car, but not because we needed one. We timed the purchase with the federal tax rebate for hybrids. I’m guessing that if that rebate had expired, we may have waited for another incentive to get a better deal. Case in point.
The final issued (kind of) raised by Nicklaus in the article, and the one most relevant to this blog, is the environmental effect of this program. On its surface, Cash for Clunkers was designed to replace very inefficient automobiles with slightly less inefficient automobiles. In theory, that’s a fabulous objection. The problem is the always forgotten environmental cost to produce something. This cost stands in direct contrast to the goal of creating jobs, but is nonetheless real. Nicklaus argues, “Even worse, we’re destroying a lot of perfectly good used cars. With fewer $2,000 heaps available, low-income people are likely to pay more for basic transportation.” His point is more economic but is still valid. Not only are we dumping perfectly good cars in the trash, we’re reducing the availability of affordable private transportation. Go us. The energy used to produce one new car is so astronomical relative to the 10 miles per gallon increase it delivers in efficiency that it will take years to mitigate.
So, is Cash for Clunkers a clunker? I think so.
Day Eight – Engine 2 Diet
One week down. Katie and I weren’t perfectly loyal to the rules and regulations of the Engine 2 Diet but we did well, especially during the week; the weekend is always harder. I didn’t weigh myself this morning but I definitely feel better and lighter, even if I haven’t lost any significant weight. I’ll check in tomorrow morning and see how I’m doing.
I’m not sure if I mentioned this before but while weight loss is a goal, it’s secondary to a reduction in my cholesterol. It’s sky high and needs attention, now. Also, I don’t want to take drugs to bring it down unless I am confident it’s dangerously high due only to genetics. Based on my previous diet, that could not be confirmed.
One element still missing from the entire Engine 2 regime is the exercise portion of the plan. We’ve been walking the dog most mornings. That’s a start but it’s definitely not enough. This week we’re going to try to incorporate a more structured exercise regime into our daily routine.
Finally, some of what we were eating last week got a little monotonous. Katie whipped up some staples this past weekend for the week ahead, when we are most rushed and most likely to stray from the diet. We’re going to research more recipes and try to add some diversity to our diet. While talking about this early we noted that the diversity of what we ate before wasn’t that great, the food was just so satisfying that it didn’t matter!
Onward and upward!