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106. Health Care for All

30 Jul

It is already a basic USA value to help everyone with at least some types of health problems. If a homeless person is lying in the street with severe injuries, he will at least get minimal care. Covertly, Republicans might not agree with this, but on the record they would have to support it or be castigated.

Given this premise, that in practice, everyone will get health care if needed, then it does make sense to require everyone pay for it. The simplest and most agreeable implementation is Medicare for all. Remember that our POTUS promised health care for all at good rates, in his campaign.

I suggest that we greatly increase taxes for rich folks by having higher rates and by closing tax loopholes. If you are extremely rich, then your taxes will be extremely high. If you have no income, then no tax. If you have a small regular income then you could have a very small increase. As income increases, then the percent allotted to health care expense also gradually increases. Lower and middle class people will pay a little more and wealthy people a lot more. Why should wealthy people pay a lot more: because they use a lot of resources and because much of their wealth has been gained by unfair influence on Congressional financial (tax, subsidies, IRA’s, etc.) legislation.

Note that I am not against people who become rich through hard work and intelligence. It is extreme wealth and wealth unfairly gained that bothers me; particularly when there is substantial poverty in our nation. Many very wealthy people have stated that they would not object to increased taxes.

Countries with universal health care include: Austria, Belarus, Croatia, Czech Republic, Denmark, Finland, France, Germany, Greece, Iceland, Ireland, Italy, Luxembourg, Malta, Moldova, the Netherlands, Norway, Portugal, Romania, Russia, Serbia, Spain, Sweden, Switzerland, Ukraine, and the United Kingdom (see Wikipedia).

 

103. Republicans Hate ObamaCare: Why?

28 Apr

“Insurance companies must use more of the premiums they receive for patient care rather than administrative costs…” (see reference below)

As I watched a number of news programs, it became apparent that commentators were not fully aware of the ACA (ObamaCare) provisions, or for whatever reason, ignored some of the most important points.

I am already familiar with most of the significant features, but I decided to search for a good summary. Here is one that is very useful and authoritative by Norma Goodwin, MD:
12 Simply Stated Features of the Affordable Care Act/Obamacare
The above (beginning) quotation is from this very useful summary (search Internet for this title). This feature alone, can explain why the GOP wants to abolish the ACA rather than just improve it. Rich insurance company owners don’t want to be limited in their lust for profits.

There are a few additional points that I would like to emphasize. There is much discussion about “pre-existing conditions.” But often overlooked are many other features that are critical (life-and-death) for good heath care. These include:

1. Eliminates annual and lifetime insurance policy limits.  Many people have died because their insurance money ran out.
2. Parent insurance coverage for offspring up to the age 26.
3. Medicaid is supported, but some states have refused to accept the free financial support.
4. Medicare is protected and now many preventive screenings are included.
5. Costs for vital medications are reduced.
6. Other provisions of the ACA are designed to lower the general cost of health care, and improve the quality of care.

The ACA is not perfect, but includes many great ideas. Keeping it will insure that the people will be well taken care of. New plans by the GOP will eliminate many more citizens from insurance coverage, decrease the quality of care, and will insure that rich insurance company owners will become even richer. Hopefully, some day we will have a “single payer” system, a Medicare for all.

98. Teen Trump Discovers Healthcare

28 Feb

During my long life, I have had a number of contacts with teenagers. Some of the brighter ones recognize that they have much to learn, and others just assume that when they discover something, no one else knew it.  I think that most older adults are familiar the “know-it-all” teenagers.  It is sad to say that our 45th president, often having the intellect of a know-it-all teenager, has just discovered Healthcare.

Before he talked about it, teen Trump could have spent just an hour or two in research and immediately figured out that our healthcare system is extremely complicated. He could have asked specialists who wrote the ACA (Obamacare) law and others, to explain it’s intricacies. Instead, after making numerous remarks about immediately abolishing the law, he now says:

“Nobody knew that healthcare could be so complicated”

I think even the “know-it-all” teenager would not say something as naive as this.
Here are a few more teen Trump assertions:

“I understand the tax laws better than almost anyone”
“I know more about renewables than any human being on Earth”
“Nobody knows banking better than I do”
“I understand money better than anybody.”
“There’s nobody bigger or better at the military than I am.”

(Please see Aaron Blake, Washington Post, October 4, 2016 as a reference and for more examples.)

Why didn’t his original supporters realize that the Presidency is not an entry-level position and that it’s not OK to serve with on-the-job training? Well, I guess we have to accept the fact that many of them are not knowledgeable  — and they were caught-up in the thrill of racism, violence, and over simplification. They knew and teen Trump knew that foreign policy, military actions, trade laws, treaties, education, technology and so forth are all trivial, and a great builder of buildings can master anything in a few hours.

After just a few weeks in office, teen Trump has made a mess of most everything he has done and the few positives, like the Carrier Co employee situation, are just tokens, having no substantial value. He has come up with incredibly valuable plans for making America Great, and defeating enemies like ISIS, but alas, cannot reveal any of the details. The most serious mess is his cozy relationship with Russia’s Putin.  Blackmail and election interference are possibilities that need investigation by fully independent parties.

89. Some Tweet-like World Observations

2 Feb

1. Privatizing means creating a system that has a private owner as opposed to a government-run institution. Examples are schools and prisons. The latter has been tried but is now diminishing. In privately run systems a concern for profit can cause neglect in providing required services. Often, civic-minded people working as a public governmental body can be more effective, and with less expenditure. There is a fixed budget so that workers can focus on quality work.  Some would argue that privatizing creates beneficial competition, but in fact there is little competition in areas where privatizing is being promoted.

2. Do we need insurance companies that develop extreme wealth for their executives, paid for by you and me, while benefits are diminished. Why should our world be configured so that a few can become very rich at the expense of the rest of us? Our more advanced civilization has been around for 150 years or so. In that time, the “royalty class” has become entrenched in our system — robbing many ordinary people of their means of survival. I am not against the concept that hard-work and intelligence should be financially rewarded, it is the extremes and abuses that concern me.extreme we Being rich is OK, wealth is not. I also want to make clear that I owned two businesses and believe in our form of regulated capitalism.

3. The arrival of Trump marks the creation of a new entity resulting from social/business evolution. The new creation is what I shall call the extended governing family unit. The Trump version consists of himself, his offspring and their spouses; each having a specialized function. But to clarify, effective and powerful family units are not really “new”, but a unit this large, with necessary distributed functionality, has never before been our “president.” My next blog (no. 90) will explain this further.

4. Diagnosis of all types should be separate from treatment. The fees for various treatments can be very different, and the Dx could be biased towards better income. For example, the exact diagnosis for a cancer could lead to expensive and profitable surgery or a much less expensive radiation or drug treatment.  Dentists have tough decisions in deciding what is actually a cavity that require a filling.  Any healthcare, other service, or repair company can be jaded by this factor. How to fix this is a real dilemma.

5. Our U.S. government may be doomed to failure, because of powerful relationships between very rich folks (donors) and governmental leaders. The best cure would be a great improvement in education so that we can break the donor influence. Remember that our current leaders arose to power under this system and, as you would expect, want to preserve it. Many of those at the top have little interest in teaching logic, reasoning, and correct history to our students and potential voters. We are caught in a powerful loop and will need to be coordinated and industrious to have a chance of breaking it. The current massive demonstrations in many cities is on the right track and encouraging.

6. Ironically, a thousand years from now, the invention of email may be identified by witty history professors, as the cause of the downfall of our Earth civilization. Take away email, and there would have been much less abuse of Hillary Clinton, and she could have been elected. If that had happened, a strong NATO, great international relations, better climate change efforts, fair treatment of the middle-class, control of nuclear weapons, careful communications, and other factors could have saved the world from numerous disasters.  Trump has already alienated some of our closest allies.

7. Governmental officials generally set their own salaries and rules of operation. They are only people, after all, so how can we expect them to be fair. It seems that most people in power long enough will eventually become corrupted (at least somewhat). We need a better system, but change is difficult. The press should help us, but are often limited by some very real vulnerabilities. A tough leader with violent supporters can be an awesome force that discourages needed criticism and modification.

8. I suspect that most of Trump’s early supporters voted for him for various reasons, including: his power, likability (for many), promises of jobs, identification of scapegoats, prejudices, anti-terrorism statements, etc.  What probably was overlooked, was a good estimation of what he would actually DO and SAY after taking office.  Many of us had hoped that he would change after a couple of weeks as POTUS, but he has not.

87. GMO Babies and Foods

26 Jan

I recently listened to a TED talk entitled “The ethical dilemma of designer babies”, by Paul Knoepfler. It was a good talk, but I was disappointed by the suggestion of a moratorium on the science involved in the direct genetic improvement of reproduction.
Knoepfler is a scientist working in the field of genetics and GMOs (genetically modified organisms). He discusses the possibility that in 15 years or so, we will be able to make “designer babies” that are free of genetic diseases and may also have improved looks and intelligence. The author is afraid that “natural” children will be upset by the successes of “designer” children.
I think the “designer” idea is great and is not so strange as some think. After all, we affect the success of our children in many ways, including medical methods such as plastic and corrective surgery, good nutrition, the best education, exercise, mental health, etc. — why not give them an even better start by improving their DNA through carefully studied and regulated procedures.

Aside from the talk, I am also concerned about irrational fears of GMO foods, which are really important for the survival of our growing populations. Here is what I wrote about these methods as a comment to the TED talk:

I am a scientist (retired, and not in the field of genetics) but still study many areas of science and am very interested in scientific progress.   My judgment is to forge ahead in any scientific area, but observe certain limitations.  If there is a clear possibility of danger then we need responsible transparency and monitoring, not moratoriums.  I live in and am a citizen of the USA.  It’s foolish for us to stop working on something potentially very beneficial  while all over the world others are progressing and benefiting. At a minimum, just preventing genetic diseases is very worthwhile.  A moratorium here just puts us behind scientists working in other countries, and does not prevent the dangers that the speaker hints at.  Rich people, of course, would be able to take advantage of this overseas, and ordinary people would not.   My idea is to reject timid and fearful limitations and go full force,  using good documentation and studies as guides.  If it becomes clear that advances such as “designer babies” or certain GMO foods are dangerous, then scientists and Congress can regulate or abolish the procedure. 

The speaker is worried that a “natural” child would have to compete with a “designer” child. But even without this method there will always be someone better than you. It is not a good argument. Nature, breeding methods, cosmic rays, and even choice of a spouse all cause genetic (DNA) changes. The advantage of direct DNA changes by scientists is that they CAN be monitored and procedures can be improved or limited.

The innovations and amazing discoveries of science are a great joy. In a world filled with kindness and intelligence, scientists would never have created atomic bombs. Traditions, rigid beliefs, ignorance, and greedy politicians HAVE caused world disasters — Science has not.
After writing the comment, I decided to read more about GMO use. It is hard to do human research on GMO’s, but there are good studies using animals, that, in fact, we eat. Jon Etine (Sept 19, 2014, Forbes) reports:

“Estimates of the numbers of meals consumed by feed animals since the introduction of GM crops 18 years ago would number well into the trillions. By common sense alone, if GMO feed were causing unusual problems among livestock, farmers would have noticed. Dead and sick animals would literally litter farms around the world.”

There also is formal research that shows no negative effects and no effects on humans eating these animals. Irrational fears about GMO’s are unproductive and harmful. Of course, specific findings on particular GMO’s should be acknowledged, but should not influence the whole field. We don’t avoid all doctors, because a few have been convicted of malpractice. We need to use the results of good responsible scientific research wherever it is helpful. It is ignorance and unethical politicians that have caused our widespread dilemmas.

85. We Need Change ?

17 Jan

Trump is the man who will make “change” and deliver us from big, bad government. He is not a politician, he needs no donors, ignore what he says because there is goodness in his heart, he is smarter than the generals (and just about everyone else), all past negotiations are pathetic, and he will rid us of ISIS in a month. He is never wrong and will make you suffer for any criticism. He almost never addresses the criticism itself, but instead attacks the person who made it (even the Pope).

He paints a picture of a failing nation with incompetent leaders and government workers, rampant crime, poor negotiation, widespread poverty, etc. — “things could not be worse.” Black people have not made any progress — an insult to the millions that are doing well and have even achieved the presidency. His motto is “make American great again” without any explanation of when, how, and the meaning of “great.”

.                 False, rigid beliefs interfere with common sense

The Trump movement shows how many people are prisoners of their false and rigid beliefs, and cannot see the obvious and exercise common sense. Sad to say, there are many who voted for Trump just as a protest or just to do something based on frustration. Those persons may be responsible for a new direction leading to our country’s decline. Impulsive superficial voting may be the end of our world leadership and all of the good things developed to date. Trump will make change, but change for the better is unlikely. Here are some possible changes that have been mentioned at least once (but may have been retracted and/or restored at some time):

1. Changed healthcare legislation will cause millions to lose their insurance and many will die.

2. NATO is obsolete. Our long-standing, beneficial, and powerful pact with many nations is under threat.

3. Instead of sanctioning Russia, we will support their authoritarianism, attacks on the press, and take- over of countries like Ukraine. We will ignore their meddling in our elections and their efforts to undermine many nations.

4. We will pull out of the multi-nation “Iran Nuclear Deal”, allowing Iran to go back to making the bombs and delivery systems — prevented by the Deal. We will also pull out of climate-change treaties, which could prevent massive flooding (Florida, NY, etc) and catastrophic human migrations due to massive droughts.

5. Taxes for the very wealthy will be lowered by decreasing the tax rate and by allowing more loopholes. The rich will celebrate while the rest of us will either pay more tax or have reduced benefits — and/or our national debt will surge.

6. We will change trade policies and tariffs so that trade-wars will arise and prices for goods, everywhere, will increase. The chaos will affect our valuable relationships with long-standing allies.

7. Pres. Obama has at times been criticized for inaction, but Trump may impulsively engage us in wars, costing lives and greater national debt.

8. He may generate more terrorists by his abuse of Muslims, various other insults, and dangerous policies.

9. Our valuable press, which is required to keep our democracy honest, may be thrown out of the White House and attacked so viciously that it is ineffective. If Trump’s ideas are so laudable and clearly beneficial, why all the press criticism?

10. Is anyone suspicious of the fact that Trump’s cabinet is filled with extremely rich people and/or persons with questionable histories.

11. Trump would restore vicious torture and wants to keep Guantanamo prison. He also admires the strength of tyrants around the world. Are we setting a good example (under Trump) for the rest of the world? Traditionally the USA has been known for its might, and also its moral authority. Is Trump leading us in the right direction?

After Trump is in office for a while, the appreciation for the positive change that Pres. Obama caused will grow even more.  And the candidate, Hilary Clinton, that Obama so enthusiastically endorsed and was attacked so unmercifully by the GOP will be much more appreciated.  Ironically, she won the national vote count by almost three million.

Just added: I have been working on this blog for several days and at times almost scrapped it, because it may have been too negative. But after hearing Trump’s unnecessary and incorrect abuse of the civil-rights hero and self-sacrificing activist, Congressman John Lewis … well, here it is.

52. Ingested Lead Detox

30 Mar

The best way for the ordinary citizen of Flint (and other communities) to deal with lead in the water supply, after it is ingested, is through food education. If you research and study food-based detox methods you may come up with an effective program. Some medical doctors discourage the use of diet and food selection for lead detox, but there are encouraging studies and taking foods that are healthy anyway, would be a good gamble.  If you begin a program and particularly if you are doing something unusual, consulting a qualified expert (such as a nutrition-oriented MD)  is advised. What I have written here is NOT medical advice, but general information.

I have read a number of studies on detox and also information provided by Flint medical experts. As for my qualifications, I have a Ph.D. degree, have taken many chemistry courses, had a neuroscience research grant from NIH, and have studied nutrition all of my adult life.  I realize that most ordinary people will not be able to do the research or make most of the necessary diet changes, but I still feel that it is good to document what may be helpful.  Perhaps community leaders and/or medical experts can help the citizens with this.

Here are some of my conclusions regarding lead detox.

1. General improvements in the diet are highly recommended.  I don’t endorse any radical diet plans or commercial products.

2. Drink plenty of safe water (but not extreme amounts).

3. The most commonly recommended foods and vitamins for detox are: vitamin C, garlic, cilantro, and a wide variety of vegetables. This variety should include dark-grean leafy vegetables, orange and red vegetables, and other colors. The various colors represent different valuable and heathy substances. Examples of excellent food choices are: broccoli, cabbage, blue berries, seeds (pumpkin, flax, and sun-flower), almonds, kale, dark green lettuce or spinach, RED palm oil (must be red, organic, and unrefined), onions, squash, etc.  Organic raw foods are preferable and generally healthier. Refined or processed foods are often useless as they have lost their important ingredients. Sugar and sugar substitutes are the WORST foods.

I always consider the medical oath: “First do no harm.” A detox diet is generally a very healthy diet, so there is nothing to lose and everything to gain. Below is a useful reference. I do not endorse everything written in this work, but if you review several works, the methods most often mentioned may well do the job.

http://eatlocalgrown.com/article/12464-36-foods-that-help-detox-and-cleanse-your-entire-body.html

Try an internet search “lead detox naturally” for other references. What I have written here is not the last word and is incomplete, but hopefully a nudge in the right direction.