26
Jan
10

Could the H1N1 Pandemic Be Over? Dr. John Gives us the Straight Scoop

Guest Contributor, John Bogen, MD, provides another update on the H1N1 pandemic along with his observations with what to expect in the coming year.

Photo: UCSD.edu

Since August 30, 2009, 99+% of subtyped influenza A have been novel 2009 pandemic strains (944 different strains have been identified). And so far, seasonal H1N1 and H3N2 strains have not been resurgent, and have killed very few compared to past years. If the oft-quoted 36,000 deaths annually from seasonal influenza is correct (of which 90% are elderly), then we can be thankful this season that influenza has “only” killed about 10,000 due to it’s low virulence compared to seasonal H1N1 and H3N2, and the fact that elderly have some immunity to the pandemic strain due to their birth before the 1957 pandemic when H2N2 replaced H1N1 as the dominant strain.

H1N1 Influenza Virus. Photo: CDC

The CDC website has posted weekly updates (usually on Fridays). The presentation has been quite clear.

What could have been done better? One could blame the foreign manufacturers for the delay in vaccine, which admittedly has made the vaccine have little impact on the pandemic this season, but I cut them some slack – the virus was identified in California in April, and the pandemic was not declared until June.

If you want to improve the system, you could make the case to reduce legal liability and red tape in the U.S. to encourage more vaccine manufacture in the U.S. (only the nasal version was made here this season), and encourage pharmaceutical companies to move past the slow chicken egg processes.

Eggs Being Prepared for Vaccine Production. Photo: Medirsource.com

The one thing I disagree with the official govt policy now is the strong push for healthy individuals to get vaccinated, and consume the vaccine that has already been manufactured and paid for. Herd immunity [Note: herd immunity occurs when a sufficient percentage of the population either has had the influenza, or has been vaccinated against it that there is no longer anyone left to contract the virus-DW]  is now very high due to the fact so many people contracted pandemic H1N1 already, with a smaller herd immunity effect due to the delayed vaccine. Healthy people have an extremely low mortality rate from pandemic H1N1 (most deaths were those with chronic illnesses as per usual, with a shift in absolute numbers towards younger people simply due to the fact that younger folk got so many more cases due to no innate immunity).  In my humble opinion, it is now a waste of time to vaccinate healthy individuals, and time should be spent by us PCPs on our non-vaccine duties.

I offer a prediction that the pandemic is over (i.e. no more peaks this season) in the U.S., and we will not see a resurgence until the usual influenza season next winter. I also would not be surprised if pandemic H1N1 becomes the new dominant seasonal strain in subsequent flu seasons (as happened historically after the 1957 and 1968 pandemics).

I predict the vaccine next season will be quadrivalent, containing pandemic H1N1 strains in circulation now (i.e. an update from current vaccine that contains hemagglutinin from strains present last spring / early summer), the former seasonal H1N1 and H3N2 (just in case they don’t disappear from circulation), and influenza B. I do not have info on the seasonal vaccine being prepared for the southern hemisphere’s upcoming flu season (during our summer).

I'm too cute to cause flu.What? I did? Oops, sorry! Photo Courtesy: MADMAXX174 Photo Bucket

This whole exercise was a “rehearsal” for the event that we ever get a really devastating influenza A pandemic, as would occur if H5N1 (a.k.a. bird/avian flu with it’s 60% mortality) ever co-infected an animal or human with a highly contagious influenza A virus (e.g. any H1N1 or H3N2), genetic material was exchanged, and a new virus was born. The WHO and CDC will be even better prepared for future pandemics.

One more thing, we did not know the case-fatality rate or epidemiology of pandemic H1N1 when vaccine planning was performed in spring / early summer 2009. It is better to be over-prepared than under-prepared.

It is true HIV, TB, and malaria are devastating in other parts of the world, but that is a separate debate. The issue here is did public policy officials have the appropriate response in the U.S. to the influenza pandemic (I think yes), and what have we learned to plan better for next winter’s flu season.

And to end on a light note:

Despite how silly this photo looks, it is an actual N-95 mask fitting procedure. You put on the mask securely, the hood is placed over your head and an aerosol odor is puffed into the hood. If you cannot smell the aerosol, then the mask is properly fitted. I know because I've gone though this fitting procedure--DW. Photo Courtesy: PunditKitchen.com

21
Jan
10

Born in the CAU’d!…Corporations of America Unlimited

As of today, unless Congress finds the courage and the will to push back against the Supreme Court, you now live, for all intents and purposes, in the Corporations of America Unlimited®.

Justices of the United States Supreme Court, 2110. Photo: SCOTUS Offical Portrait

Your rights as an individual citizen of the country previously known as the United States of America are now irrelevant.  Those rights you had will now be doled out to you by those who sit in the board rooms of the World’s biggest corporations, no longer by the now defunct Constitution of the United States and the Congress.

Your right to free speech, the expectation that your voice actually counts in political discourse and that your expression of that will be heard by your elected representatives, is now an endangered species.

The New Headquarters of the Unlilmited Corporations of America? Photo: Stock Photo, Source Unknown

If you were among those angry anti-government populace that wanted to vote out all the incumbents you may now sleep soundly with the assurance you have achieved your goal, not by voting out the crooks, but by ceding all their authority to the Corporations of America, now the only citizens with true voice and power.

Did I mean to say “citizens”?  Yes.  They have the same rights as you do, as an “organizational person” who may now use all their resources of finances and lobbying voice to rule the Corporations of America Unlimited®.  They have now all the same rights you used to have.  And they can use those rights to ensure that the rights you have are only the ones that ensure their profits have no limitations, and their ability to influence the congressional pawns they support do their bidding is unencumbered.

We are no longer free.  We are owned.  Does that mean we are slaves?  No, but we are serfs, or will be in a matter of time.

My guess is this outcome is not what the Republicans, neo-cons, and the Tea Baggers had in mind when they shouted “Give us back our country.”

They got something different.  They got a brand new country.  Only it does not belong to us.  It belongs to the Corporations who now may use their money and influence to get everything they pay for.

Tea Party Surprise--Did the Tea Baggers get more than they were demanding?

Is this true?  Well, the Supreme Court part of it is.  The corporations won their case.  What happens in real life remains to be seen.  If the worst turns out to be true, then we’ll need a new flag and national anthem.

Are You Proud to be CAU'd? Will this replace the "Stars and Stripes"?

Are you aware this is all so a conservative activist can show his film:

Hillary: The Movie Poster.  Image Courtesy Citizens United.

Hillary: The Movie. Image Courtesy David Bossie, Citizens United

David Bossie, the conservative activist who brought the case to defend his campaign-season promotion of the documentary “Hillary: The Movie,” said he was looking forward to rolling out his next film in time for the midterm elections.

Titled “Generation Zero,” the movie features the television host Lou Dobbs and lays much of the blame for the recent financial collapse on the Democrats.

“Now we have a free hand to let people know it exists,” Mr. Bossie said.  Source: The New York Times.

The always controversial Noam Chomsky made this all too astute observation:

The most effective way to restrict democracy is to transfer decision-making from the public arena to unaccountable institutions: kings and princes, priestly castes, military juntas, party dictatorships, or modern corporations (Emphasis added).

Corporations of America Flag. Photo courtesy Adbusters

Are you proud to be CAU’D™?

Post Script: I looked up CAU’D, to be sure I was not violating an established organization or a copyrighted set of initials.  To my surprise and cynical delight, Wikipedia provided this link:

Caudal (Latin – caud(a), tail): of, at, or near the tail or the posterior end of the body. In the human case, towards the bottom of the feet.

I could not have made up anything better to help make my point!

05
Jan
10

A Little Humor: Electronic Medical Record Alerts We’d Like to See

Warning signs are commonplace.  Most of them are appropriate and provide information that is worth heeding.  Part of the upcoming revolution in medicine is the computerized patient medical chart, most often known as the Electronic Medical Record or EMR for short.

The hospital I work for took the plunge into EMR in 1998, when the software was still very much in its infancy.  Twelve years later, along with dozens of upgrades and new version rollouts, our EMR is state of the art and has vastly reduced the amount of paper we used to use in our patient charts.  The savings, easily, is in the range of one-half to maybe even two-thirds.  It also assists in preventing medical errors that can harm our patients.

A typical electronic medical record screen shot. Photo: Happy Life

For all the advantages the EMR provides to the clinicians and the patients, this post is not really about what the EMR can do.  It’s about one feature of the EMR: the Alert Box.

Alert Boxes are automated pop-windows that contain information such as the patient’s drug or food allergies, drug interaction warnings, implanted medical devices like pacemakers, insulin infusion pumps and a host of other things related to the safety of the patient and reminders to the clinicians.  The alert boxes often look like this:

Alert Box in an EMR Screenshot. Photo courtesy: exscribe EMR Systems

These pop-up windows are an important and sometimes vital tool to protect patients and to alert doctors to critical information that will assist in their treatment of that person.

They are also boring.

Heh.

With a diagnosis like that, Dr. Waggoner believes a presecription for proper treatment is in order to avoid the reader succumbing to a case of terminalis bordomitis.   So, here, in no particular order is his contribution to the funny bone of medicine:

Alert Messages We’d Really Like to See…

Glossary:  pt= patient, dx=diagnosis, p.o.=by mouth, i.m.=a shot injection, NEJM=New England Journal of Medicine.

Warning: Patient has a terminal dx: Stage 4 Bewilderment

Warning: Face mask with shield required for this pt with dementia when administering p.o. meds. Pt was 5 time national watermelon seed spitting champion.

Warning: Pt has dx of hemera antidiatithemamitis. Provide instructions unaccordingly.  (Challenge: try to translate the illness)

Warning: Pt practices ancient art of hirsute armpit braiding. Dx: lice.

Warning: Pt has dx of schizophrenia with persistent delusions that he is a starfish because he has five appendages. Will only move when placed face-forward in contact with wall or floor.

Warning: Pt requires a sitter. Pt made a bomb out of a nitrile glove filled with alcohol gel hand cleaner and flushed it down the toilet.

Warning: Pt thinks physicians are manifestations of Satan because she claims somewhere in the Bible Lucifer appears dressed in white.

Warning: Pt believes that all medications given I.M. contain nanobots that broadcast his thoughts to the NSA.

Warning: Pt has an addiction to genealogies and will babble incessantly about the origins of your family name during the exam.

Warning: Pt has a small semiautomatic 9mm handgun (loaded) strapped to her inner thigh and if you ask her to remove it she will claim you are violating her constitutional rights to bear arms.

Warning: Pt will insist on explaining the meaning of each of his 87 tattoos before letting you treat him. Note: Be sure to act very interested in the ones on both of his knee caps. Pt agitates easily.

Warning: Pt will come with his copy of the complete works of Paracelsus and look up everything you do and diagnose to check if you’re right. Note: Be sure to brush up on the Harmonies before the pt visit.

Warning: Pt is a prospector. Will only pay in gold dust.

Warning: Pt will quote passages from the NEJM contradicting everything you say.

Warning: Pt ingests Mentoes and Diet Coke just prior to exam.

Warning: Pt has an implanted IPod.  Push right nipple to change tracks; twist left nipple to adjust volume.  Upload port located in right nostril diguised as a piercing,  Just pull to extend for easy connection.

Warning: Pt is hyper-patriotic.  Carries a flag wherever he goes.  Will insist the two of you stand at attention and recite the Pledge of Allegiance before beginning the exam.

Warning: Pt has a prostate exam fetish.

Warning: Pt has the Declaration of Independence tattooed on his right ear drum.  Will ask for a $20 donation to look at it.

Warning: This pt will only speak through a sock puppet on each hand.  Talk only to the one on the left hand.  The one on the right cusses like an old longshoreman.

Warning: Pt has carved the nail of his right big toe into a train whistle which he will insist on demonstrating all of the crossing codes.

Warning: Pt had a silicon cast of her head made, which she carrys with her at all times and talks to before she makes any decision.

Warning: Pt believes she channels Jessica Rabbit.

Any other warning messages come to mind?  Feel free to post yours in the comments (please keep them in the G and PG-13 rating range).

25
Dec
09

Star of Wonder– A Myth Transformed into an Astronomical Event?

Merry Christmas and


Happy Holidays


to my Readers!


On my DISCI Blogsite, I wrote two posts

regarding the latest thinking about

the Star of Bethlehem from an

astronomy point of view.  Was it real

or did Matthew in his gospel include the story of

the Magi for dramatic effect?

You may be surprised at the new theories

advanced by astronomers that point to the

distinct possibility the Star was an observed event!

Intrigued?

For a historically-based look at a beloved

Christmas symbol, click HERE.

Christmas Satellite 3D Globe by Tom Wagner

23
Dec
09

Landing the Health Care Reform Bill: It Feels Like Apollo 11 Redux

The voyage of the legislation to create a Health Care Reform Bill has all the

Sen. Harry Reid Launches Health Care Reform in U.S. Senate. Photo credit: C-Span

emotional elements of landing Apollo 11 on the Moon in July 1969.  Health Care reform has been a long, complex mission with an uncertain outcome.  Is it an overstatement to say that landing on the Moon and returning to Earth was an easier and safer endeavor than getting the Health Care Reform Bills passed, conferenced and onto the President’s desk for signature?

At this moment, it seems almost to be the case.

When Neil Armstrong took manual control of the lunar lander to find a safe spot to set down, a thousand different things could have gone wrong.  In fact, alarms were going off in the cockpit.

As the Eagle’s landing radar acquired the surface, several computer error alarms appeared. The first was a code 1202 alarm and even with their extensive training Armstrong or Aldrin were not aware of what this code meant. However, they promptly received word from CAPCOM in Houston that the alarms were not a concern. The 1202 and 1201 alarms were caused by a processing overflow in the lunar module computer. As described by Buzz Aldrin in the documentary In the Shadow of the Moon, the overflow condition was caused by his own counter-checklist choice of leaving the docking radar on during the landing process. Aldrin stated that he did so with the objective of facilitating re-docking with the CM should an abort become necessary, not realizing that it would cause the overflow condition.  Source: Wikipedia

Eagle Lunar Lander just seconds after separation, Apollo 11, July 1969, Photo: NASA

It’s one thing to read about it.  As we close this 40th Anniversary of the Apollo 11 Landing, it really is much more satisfying to watch it.  This video is one continuous shot of approximately the final 10 minutes of the descent and landing, viewed from the right window of the LEM.  The audio is quite good, as well.  Watching it still stirs in me that sense of excitement I felt as a 16 year old kid glued to the TV set with my family.

[For a similar, but NASA produced video, click HERE.  This is the final approach, and included is an inset window that tracks the Lander's progress crater by crater.  It provides a sense of perspective for the approach.]

Regarding the impending passage of the Senate bill and then the conference process, if you tend more toward the pessimistic side, you probably agree with Jonathan Cohn of The New Republic:

If your standard for comparison is your ideal health care reform, then of course this will be disappointing. Like every bill that’s moved through Congress, this one would leave millions uninsured even after full implementation–and leave millions with coverage facing substantial, although generally not crippling, financial burdens. It would introduce some reforms to the delivery system and, according to the official cost estimates, generate budget surpluses over time. But it’s not going to radically turn American health care into a paragon of cost efficiency.

If you tend more to the optimistic side, you probably agree with Paul Krugman of The New York Times:

Let me say that I get especially, um, annoyed at people who say that the plan isn’t really covering the uninsured, it’s just forcing them to buy insurance. That’s missing not just the community rating aspect, but even more important, it’s missing the subsidies. And we’re talking about big stuff: between Medicaid expansion and further support for families above the poverty line, we’re looking at around $200 billion a year a decade from now. Yes, a fraction of that will go to insurance industry profits. But the great bulk will go to making health care affordable.

So how anyone can call a plan to spend $200 billion a year on Americans in need a defeat for progressives is a mystery.

I wish there were a public option in there; I wish there were broader access to the exchanges; I wish the subsidies were even bigger. There’s lots of work to be done, work that may eventually culminate in a true, not simulated, single payer system. But even in this form, we’re looking at something that will make America a more just, more secure nation.

If you are a Republican or Tea Party Advocate, you are most likely hoping and praying the Health Care Reform bill will suffer the fate of the Soviet Luna 15 Lunar Lander Probe that was launched three days before Apollo 11:

Luna 15, launched only three days before the historic Apollo 11 mission to the Moon, was the third Soviet attempt to recover and bring lunar soil back to Earth. The spacecraft was capable of studying circumlunar space, the lunar gravitational field, and the chemical composition of lunar rocks… After completing 86 communications sessions and 52 orbits of the Moon at various inclinations and altitudes it began its descent. Astronauts Armstrong and Aldrin had already set foot on the Moon when Luna 15 fired its main retrorocket engine to initiate descent to the surface at 15:47 UT on 21 July 1969. Unfortunately, transmissions ceased only 4 minutes after deorbit at a calculated altitude of 3 kilometers. The spacecraft impacted the lunar surface on July 21, 1969. The spacecraft had probably crashed onto the side of a mountain.   Source: Wikipedia.

Launched 3 days before Apollo 11, the USSR's unmanned Luna 15 crashed onto the Moon's surface just hours after the Eagle had safely landed with Armstrong & Aldrin on board.

I’ll give House Minority Leader, Rep. John Boehner (R-OH) the final word…

Photo courtesy Politico.com & BlueStateDigital.com

No, I think I’ll give this Tea Party protester the final word.  Just like the rest of us loyal and patriotic Amurricans, life without spell-check is worse than…oh, wait, he spelled the word right.  In high school he clearly decided to protest which sections of Mrs. Dewey’s English classes were not patriotic enough, because he was getting this way-too-liberal education paid for through public taxation.  And those unacceptable sections happened to include homonyms and writing complete sentences.  I think his pointy hat needs to be cone not a tri-corner.

A Tea Party Protester: The Epitome of the Well-Educated American. Photo: ImageShack

17
Dec
09

Star of Wonder–Transformed from Myth to Astronomical Event?

Star of Wonder-- Myth or Astronomical Event?

Part 1

This is a story that starts in the wrong place.  They’re my favorite kind.  And the wrong time.  That’s even better.  A story that starts in the wrong place and the wrong time has to be interesting.  There’s something to be said for predictability, but it rarely makes for a good plot or an intriguing ending.

This story does not have those disadvantages.  Some people have believed it was true.  Others believed it was false.  Others, still, believed it was myth, of uncertain veracity, but a beautiful, even elegant narrative.  For two millennia, Christians have believed it was part of a miracle.  Others, of different faiths, may have acknowledged it as a lovely story, but of no spiritual significance.  For the past four hundred years, as men and women have studied nature in new and innovative ways, and expanded our understanding of the Earth and the sky into a cosmos unimaginably large and old, the story’s credibility declined, seemingly moving toward the status of a fairy tale.

All of this, while true, is not the start I to which I was alluding.

Flores sapiens next to Homo sapiens. Photo Credit: National Geographic & Nature/ Peter Brown

Sometime around six thousand years ago, the human race, Homo sapiens sapiens discovered a problem.  The Neanderthals (Homo neanderthalensis) and the Cro Magnon (Arcahic Homo sapiens) were long extinct; one hominid now possessed all that was known to exist (the earliest dating for Homo florsiensis is currently 18K years). It might have been earlier, but the record left by humans before that gets harder and harder to read.  So, I’ll suggest six thousand years, with the caveat that date might need to be adjusted with the next archaeological blockbuster discovery.  The problem was the Earth.  More specifically, the ground.

I need to, at this point, dispel one very important, misconception.   That is the

Turkana Boy: Homo erectus, 1.5 mil. yrs. Field Museum, Chicago. Replica. Your ancestor? Yes. Your intellectual equal? Nope.

fallacy of modernity.  The individuals I to whom I am referring are modern humans.  Same body, same brain, same capacity for intelligence, problem solving, or IQ.   Just like Albert Einstein, your neighbor Justin, who wears only faded NASCAR t-shirts, your eccentric Aunt Lizzy, that beauty Angelica or hunk Chad (depending on your hormonal drivings) who in high school you never had the nerve to ask out, or even your cousin Zeke.  All right, maybe not cousin Zeke, but that is only because he hasn’t put down the game controller or said a single word since Call of Duty: Modern Warfare 113 came out.  He may be more cyborg than human after all this time.

This is the paradigm I want you to remember: ancient ≠ primitive.  Got that?

Back to our discovery.  At some point in the ancient past, one of our ancestors had the revolutionary thought that the ground was substantively different from the sky.  This was not a “well, duh,” moment.  It was a paradigm shift, perhaps capable only due to the superior huge frontal cerebral cortex of the Homo sapiens.  The shift was beyond the observation of a day/night cycle, although that would have been part of it.  This shift, like the differentiation between the sense of the boundary between my body and not-my-body, changed the human perception between earth and sky.

Stuff comes out of the sky.  Rain, snow, hail, clouds, wind, fog, as well as birds and bugs.  Some of those things are good, even edible.  Bad things like volcanic or range fire smoke and ash, dangerous wind blowing debris and biting things can come out of the sky, too.

Geese flying over the surf. Oregon Coast, Sept '07

Some things, most things actually, in the sky are beyond reach.  The Sun, the Moon, the stars, and the wandering stars.  Some stars appeared to streak across the sky; others appeared mysteriously out of nowhere glowing with a dim head and a long tail.  And rarely, a flash of a new star in the night that soon disappeared.  Or every once in a while there was a day in which the Sun seemed to be consumed by a black disk, turning the day to dusk and all the birds stopped singing, or the Moon, its regular phases interrupted, too, a dark shadow crossing its face, then glowing a blood red before being released from its captivity.

Lunar Elipse, Feb. 27, 2007. Photo credit: Astronomy.com

The regular cycles of those things in sky that are out of reach is what we are interested in.  We live on the ground.  We can’t fly like the bugs or the birds.  We can’t live under water, either, but that is not the focus of this discovery.  Living on the ground, as we do, we know a lot about the ground.  Most of what lives on the ground keeps us alive.  Some of the other things that live on the ground can also kill us, but that is secondary to our discussion, as well.

Milky Way over Mauna Kea. Photo credit: Mauna Kea Observatory

On that day that one very bright modern human looked at the ground, maybe sifting a handful of dirt through his or her fingers, and then looking up at the sky, squinting at the sun or  gazing at the bright swath of starlight of the Milky Way, and said the equivalent of  “Huh, now that’s interesting,” and human understanding shifted forever.

From that moment, the science of astronomy was born, as well as those of geology and biology.  The problem was, earth and life were tangible.  The sky, however, was a complete mystery.

What was the sky?

Yes, that was the question: What was the sky?  What were the lights in the sky?   The daytime sky and the nighttime sky were so different.  Why was that?  Why did all the lights in the sky appear in the East, move in an arc reaching a highest point that changed with the season and then always set in the West?  But what about the stars in the Northern sky that never rose nor set?  For some of our observers, however, not knowing they lived below that line we now call the equator, the lights in the sky looked quite different, still rising and setting East to West, but those stars that never rose nor set were to the south.

The Sun, the greater light to rule the day, its brightness so intense to dare a glance

Total Solar Eclipse with Diamond Ring Effect

of more than a fleeting moment brought pain, even blindness.  At the same time, it brought the warmth of the day, its risings and settings regular, though half of the time, the days would grow longer and half of the time shorter, and with it the corresponding warmth and seasons.  The earth tuned itself to this great annular cycle, of living and dying, growing and seeding, warming and cooling.

The Moon, the lesser light to rule the night, possessed a soft glow that one could study without risk; its phases regular following the seasons decreed by its daytime master, its face never changing. Yet at intervals beyond comprehension, it, like the Sun, would be covered with a shadow, at times in part, at others completely.

Of the night, though, what of the Wandering Stars?  The first a fleeting spark always near the Sun’s rise or setting. Next, brighter than the others, one of the mornings and one of the evenings at times so bright it cast a light that caused shadows. Another with a glow of angry red, appearing out of nowhere and growing into a dominant light.  A fourth, a great golden giant stately moving through the heavens night after night.  Also a fifth, whose trek seemed like that of an old one slowly working its way through the constellations.  And some, it is said, saw a sixth, dim grey-blue phantom only on the rarest of nights.  Against the apparent immutable backdrop of the other lights at night, why did these few shine without the twinkle of all others, and how, against all reason, did they change their direction in the sky and track back toward the East, then inexplicably again reverse and march toward the West?

Five planets - Mercury, Venus, Mars, Jupiter and Saturn - gather over the ancient Stonehenge monument in England. *Image Copyright*: Philip Perkins

What was the sky?  Why did some of the lights form patterns against the black velvet backdrop of night?  What was the swath of light that cut across the sky from horizon to horizon?  What was the force or cause of their motion?  What were the faintest clouds of light, while others seemed to cluster into groups distinct from the random spread of most of the stars?

One might say the ancients had plenty of time to work this all out.  Day after day and night after night, if they chose to pay attention, they could discover patterns and cycles.   On every continent where humans collected, they in fact did pay attention, and observed the patterns and cycles.  What they decided those observations meant and what caused them was another thing altogether.

To explain the sky, both day and night, these individuals drew upon the source of information they understood the best: the ground and the sea, and the abundant life that inhabited both.  Those were the things they would touch.  They made the very logical assumption that the sky was made from the same things the earth and oceans were.  They couldn’t have been more wrong.  At the same time they couldn’t have been more right.

I must again remind you of our one rule: ancient ≠ primitive.  The observers devised theories about how the earth, sea, and sky came into being, using the “materials” to which they had access.  We call these descriptions of the creation of the world, myths.  That is, if we are honest, modernocentric, even arrogant.  It can result in our overlooking key facts and observations, assigning to them to the status of fable rather than seeing myths for what they were: descriptions of the origin and  forces of nature and life.

The Aztecs provide a perfect example of a creation account that follows their observations of the natural world:

Quetzalcoatl: Aztec Lord of the Morning Star & Wind

The dualistic gods Quetzalcoatl and Tezcatlipoca, lightness and darkness, looked down from their dwelling in the sky at the water below. Floating on top of the water was an enormous Earth Monster goddess who devoured all things with her many mouths, for the goddess had gaping mouths at the knees, elbows and other joints.

Everything the twins created, the enormous, floating, terrible, insatiable goddess ate. The twin gods, normally implacable enemies, agreed she had to be stopped. They transformed themselves into two enormous, slithering snakes, and slid silently into the dark, cool water, their cold eyes and flicking tongues seeking her body.

One of the snakes wrapped itself around the goddess’s arms and the other snake coiled itself around her legs and together they tore the immense Earth Monster goddess in two. Her head and shoulders became the earth and her belly and legs became the sky. Some say

Tezcatlipoca: Aztec Lord of Death, Creator of Fire, Night Sky, & Warriors

Tezcatlipoca fought the Earth Monster goddess in his human form and the goddess ate one of his feet, therefore his one-legged appearance. Angered by what the dual gods had done, and to compensate for her dismemberment, the other gods decided to allow her to provide the people with the provisions they needed to survive.

From her hair were created the trees, the grass and flowers; from her eyes, caves, springs and wells; rivers flowed from her mouth; and hills and mountains grew from her nose and shoulders.

The goddess, however, was unhappy, and after the sun sank into the earth the people would often hear her crying. Her thirst for human blood made her weep, and the people knew the earth would not bear fruit until she drank. This is the reason she is given the gift of human hearts. In exchange for providing food for human lives, the goddess demanded human lives.  Source: James W. Salterio Torres

Though the price of human sacrifice causes us to shudder, the battle with the Earth Monster goddess, with her defeat and dismemberment is hauntingly similar to the Sumerian story of the defeat of Tiamat:

Tiamat possessed the Tablets of Destiny and in the primordial battle she gave them to Kingu, the god she had chosen as her lover and the leader of her host. The deities gathered in terror, but Anu, (replaced later, first by Enlil and, in the late version that has survived after the First Dynasty of Babylon, by Marduk, the son of Ea), first extracting a promise that he would be revered as “king of the gods”, overcame her, armed with the arrows of the winds, a net, a club, and an invincible spear.

And the lord stood upon Tiamat’s hinder parts,

And with his merciless club he smashed her skull.

He cut through the channels of her blood,

And he made the North wind bear it away into secret places.

Markuk slaying Tiamat. Bas relief on stone.

Slicing Tiamat in half, he made from her ribs the vault of heaven and earth. Her weeping eyes became the source of the Tigris and the Euphrates. With the approval of the elder deities, he took from Kingu the Tablets of Destiny, installing himself as the head of the Babylonian pantheon. Kingu was captured and later was slain: his red blood mixed with the red clay of the Earth would make the body of humankind, created to act as the servant of the younger Igigi deities.

Source: Wikipedia–Tiamat

Two creation stories, having so many parallels, even though those who devised them lived on opposite sides of a planet they did not know as such, and who never had had contact with one another.

The ground, the sea, the sky were all the world.  Thousands of years would pass before the problem of the sky would again be addressed.  The untouchableness of the sky would create a new question, without which, this story could not continue in Part 2.

14
Dec
09

VISTA: Celebrating First Light of ESO’s Newest Observatory

The European Space Agency and Great Britain

proudly announce the “First Light” of the world’s

newest observatory: VISTA

ESO's VISTA "First Light" Photo: The Flame Nebula in Orion (NGC 2024)

A new telescope — VISTA (the Visible and Infrared Survey Telescope for Astronomy) — has just started work at ESO’s Paranal Observatory and has made its first release of pictures. VISTA is a survey telescope working at infrared wavelengths and is the world’s largest telescope dedicated to mapping the sky. Its large mirror, wide field of view and very sensitive detectors will reveal a completely new view of the southern sky. Spectacular new images of the Flame Nebula, the centre of our Milky Way galaxy and the Fornax Galaxy Cluster show that it is working extremely well.

VISTA, located in Paranal, Chile, at an elevation of 2635 meters (8645 ft) has a 4.1 meter single mirror (unlike the Twin Kecks in Hawaii that have 36 small hexagonal mirrors to create 10 meter reflectors).  According to the VISTA website, “In photographic terms it can be thought of as a 67 megapixel digital camera with a 13 000 mm f/3.25 mirror lens.”

Congratulations to the ESO and U.K. Consortium!  VISTA: Welcome to the Universe!

11
Dec
09

Now for Something Beautiful…Sunset Over Kecks’ Twin Domes

This from Astronomy.com:

The Keck interferometer on Mauna Kea, Hawaii. The interferometer consists of two telescopes each with a 10 meter reflecting mirror, made up of 36 hexagonal mirrors on computer controlled actuators for pinpoint accuracy (4 nano-meters), in separate domes, about 279 feet (85 meters) apart.  Photo Credit: W. M. Keck Observatory.

Twin Keck 30 Meter Observatories at Sunset, Mauna Kea, Hawaii

Note the observing shutters have been opened and are facing east, so when the first objects to be observed come up over the horizon, the telescopes will be able to track them immediately. Interferometry has two great observing advantages. First, using two telescopes twice the amount of light coming from the object is captured. Second, just like having two eyes, each image is that tiny bit from a different perspective, giving the telescopes a kind of stereo vision and that allows for the computer processing the image to add in a great more detail.  The observatory to the left of the two Kecks is the Subaru 8.2 meter optical/infrared telescope operated by Japan.

Cutaway View of Twin Keck Domes and Astronomy Center

From the Astronomy.com article:

An exquisite look at black holes

The Keck Interferometer directly resolves the accreting material around supermassive black holes in galactic nuclei. Provided by Max Planck Institute, Bonn, Germany. December 8, 2009

“An international research team presents some of the first long-baseline interferometric measurements in the infrared towards nearby active galactic nuclei with the Keck Interferometric Telescope in Hawaii. The team, led by Makoto Kishimoto from the Max Planck Institute for Radio Astronomy in Bonn, Germany, found the measurements to indicate a ring-like emission from sublimating dust grains and its radius to yield insights into the morphology of the accreting material around the black hole in these nuclei.”

Cutaway Diagram of the Keck 10 Meter Telescope with Annotations

For more photos of the Kecks and their observing gallery, click here.

Photos Courtesy of the W.M. Keck Observatory.

21
Nov
09

Quinnipiac Poll: What the Republicans Failed to Mention About Health Care Reform

A Sniffer Report: The Quinnipiac House Health Care Bill PollThe Sniffer: Always on the Job to Sniff Out Anti-Healthcare Reform Radiation

During the Senate debate on the Health Care Reform Legislation,  the Patient Protection and Affordable Care Act, a number of Republican senators referred to a op-ed piece by David Broder, Washington Post columnist, titled, “A Budget-buster in the making.“  In his column, Mr Broder quotes from a survey poll conducted by Quinnipiac University released on November 19, 2009.  Mr Broder, focusing on just one question, states:

It read: “President Obama has pledged that health insurance reform will not add to our federal budget deficit over the next decade. Do you think that President Obama will be able to keep his promise or do you think that any health care plan that Congress passes and President Obama signs will add to the federal budget deficit?”

The answer: Less than one-fifth of the voters — 19 percent of the sample — think he will keep his word. Nine of 10 Republicans and eight of 10 independents said that whatever passes will add to the torrent of red ink. By a margin of four to three, even Democrats agreed this is likely.

That fear contributed directly to the fact that, by a 16-point margin, the majority in this poll said they oppose the legislation moving through Congress.

Hmm, is that so, Mr Broder?  Well, I just happened to read the complete news release from the researchers at Qunnipiac, including all those boring tables and numbers, and I came away with a completely different conclusion.

In Mr. Broder’s defense, he cites the opening statement of the report correctly:

Three-quarters of American voters – 74 percent – like President Barack Obama as a person, but only 47 percent like most of his policies, and voters disapprove 51 – 35 percent of the health care overhaul passed by the House of Representatives which he has endorsed, according to a Quinnipiac University national poll released today.

Voters disapprove 53 – 41percent of President Obama’s handling of health care.

Perhaps, though, Mr. Broder only read those two paragraphs, because just two paragraphs later is this statement:

Voters favor 57 – 35 percent giving people the option of being covered by a government- run health insurance plan, the “public option.” Independent voters approve 55 – 39 percent. The overall approval is down from 61 – 34 percent in an October 8 survey by the independent Quinnipiac (KWIN-uh-pe-ack) University. And they oppose two proposals to modify it:

* Allowing states to opt out of the public option is a bad idea, voters say 49 – 43 percent;

* Voters also oppose 47 – 38 percent the “trigger,” where the public option kicks in only if private insurance does not cover enough people.

Mr. Broder, as well as the distinguished Senators from the Republican Caucus, conveniently forgot to mention these results.  And some others, very important others, but we’ll get to those in a moment.

How should we parse these responses?  First of all, as an experienced researcher myself, the question is not very well written.  Not because of the content; it is a perfectly legitimate question to ask.  But the setup is too complex, and it borders on being a leading question.  It also should have been split into two questions:

  1. Do you think that President Obama will be able to keep his promise,
  2. Do you think that any health care plan that Congress passes and President Obama signs will add to the federal budget deficit?

Because of the way the question is phrased, we do not know to which of the two issues the respondent is answering.  Technically, the question should have been thrown out and the results not reported.

This assessment is strengthened in light of the next set of results.  In contrast to the results of the first question, the voters show considerable support for components of the health care reform.  By a margin of 55-37 percent, voters support the public option.  They oppose letting states opt out by 49-43 percent, and they oppose the “trigger” option by 47-38 percent.

Now, I don’t know about you, but these three items are among the most important in the entire health care reform legislation.  Couldn’t one, with some degree of confidence, say that from these results the American public generally supports key elements of the bills going through Congress?

That depends.  When asked if the respondents supported the House version of the bill, the split was 51-35 percent oppose, but 14 percent gave no answer.  The strongest opposition was expressed by whites, over 55 years of age, making more than $100,000, and describing themselves as conservative, and born again Christian evangelicals.   The strongest support came from African-Americans, in the 18-34 year old age range, with incomes less than $50,000 per year, describing themselves as liberal. (No data for Black religious preference was listed.)

As for President Obama’s support of the House bill, the attitude of most Americans toward him appears not to be much affected.  The category “no difference” runs consistently in the 40-50 percent range, with the obvious exception of those who identify themselves as Republican.  Since the percent of people who look favorably upon the president for his support of the House bill averages roughly 30 percent, adding it  to those whose attitude has not changed, we can’t draw too many conclusions, because the ones claiming no difference may be overall positive or negative.

The respondents, however, contradict themselves.  The next four questions all have to do with core concepts of health care legislation: the public option, states having the authority to opt out of the federal plan, the passage of a “trigger” provision that would  activate under a set of conditions where not enough people were covered by an established date, and whether or not Congress should pass the legislation this year.  On all four items, the responses are solidly positive.

But one issue they do not contradict themselves is their opinion of the Republicans and their behavior regarding the health care reform legislation.

While this survey has bad news for the President, the news for Republicans is worse:

Voters say 45 – 36 percent, including 40 – 37 percent among independents, that Obama is better able to handle health care than congressional Republicans. In October, it was 47 – 31 percent in the President’s favor.

Voters also say 59 – 29 percent that Republicans are not making a good faith effort to work with Obama and the Democrats on health care.

As one might expect, neither Mr. Broder nor the Republicans, reading the same industry-supplied script they’ve been parroting for months, mentioned anything about this part of the survey.  In the spirit of fairness, the voters aren’t all that favorably disposed to the Democrats either, but  out of Pres. Obama (45-36% over the GOP), Democrats (36-55%) and Republicans (31-58%) , the GOP  comes out dead last.

The quest for universal health care continues, strongly braving the winds of opposition blowing at hurricane strength.  The storm may increase, but the gale will not deter us.  All storms blow themselves out.  America will have universal health care.  A new blessing of Liberty will be enshrined in the Great American Experiment.

19
Nov
09

We All Deserve Health Care

21
Sep
08

Welcome to Extreme Thinkover!

Extreme Thinkover–A forum for thinkers, dreamers, thought experimenters, to test life, issues, consequences intended and unintended. Scratch through assumptions. Reframe the obvious. Iconoclasm applied, misapplied and laughed at.

Please click on the “About Extreme Thinkover” link for information about this blog.

Early man venturing towards the out-of-town hunting grounds

This finely preserved example of primitive art dates from the Post-Catatonic era.

This finely preserved example of primitive art dates from the Post-Catatonic era.

Artist: “Banksy“  A.K.A: Banksymus Maximus.  British Museum, London.  Little is known who Banksy really is, except that he lives (probably) in Bristol, UK.  He snuck this piece into the British Museum in May 2005, and three days passed before Museum officials discovered it.  Banksy is regarded as a brilliant guerrilla urban artist known for his socially conscious graffitti.  This piece is now a permanent part of the British Museum’s collection.  This is extreme thinkover at the level of genius!

11
Jan
09

The Middle East: Once the Cradle, Now the Grave

The Cradle of Civilization.  Mesopotamia.  The Middle East.  I love its history.  I’ve read about it since I was a teenager.  My first trip to Europe in the summer of 1971, I was 18 years old and just graduated from high school.  Part of a Boise State University music tour, we visited the British Museum in London.  I headed right to the exhibition of the Royal Tomb of Ur.  I could have stayed there all day.
One face of the Standard of Ur.  British Museum, London

One face of the Standard of Ur. British Museum, London

(I have a neck tie with this motif woven into it I bought from the British Museum in 1995.  Beats the heck out of Paisley for my taste.)

Part of my fascination is grounded in my interest in biblical history in general.  My bachelor’s degree is in Biblical Studies, as well as having earned a Master of Divinity degree.  There are, however, many regions around the Holy Land and the Mediterranean in which I might have been attracted to.  For me it was Mesopotamia.  I’ve studied their ancient history, their pantheon of gods and goddesses.  Gilgamesh is my favorite hero-myth (who, by the way, was a historical figure, an actual king, ca. 2700 B.C.E.).  I’ve read it numerous times and have two of the most recently published translations on my bookshelf.

Gilgamesh and Enkidu slay the Bull of Heaven. Image from cylinder scroll.

Gilgamesh and Enkidu slay the Bull of Heaven. Image from cylinder scroll.

Today, what was ancient Babylon and Sumer sits in Iraq and Iran.  I have no illusion that I will live to visit either place in a time of peace.

The Cradle of Civilization has become a grave.

5000 years of nurturing the very essence of what it means to be human is being crushed by a simmering slag of hatred and revenge, a cycle of violence like magma pushing to the surface that may erupt erupt with the force of an atomic mushroom cloud.  Literally.

Roger Cohen, New York Times columnist, captured this virulent culture of revenge:

History is relentless. Sometimes its destructive gyre gets overcome: France and Germany freed themselves after 1945 from war’s cycle. So did Poland and Germany. China and Japan scarcely love each other but do business. Only in the Middle East do the dead rule.

Their demand for blood is, it seems, inexhaustible. Their graves will not be quieted. Since 1948 and Israel’s creation, retribution has reigned between the Jewish and Palestinian national movements.  (NYT, 7 Jan ‘09)

Cohen’s insight is so deeply troubling in its truth.  The violence, this time between Israel and the Hamas-controlled Palestinians, defies all reason for common, everyday living; it defies everything the three Great Religions, which were born in this Cradle, teach about peace and how to treat one’s neighbors; and it defies the very essence of what it means to be human.   And that essence is that the living rule, not the dead.

Gilgamesh grieves over the death of Enkidu (whose demise was decreed by the gods) like today’s Middle East hard-liners and jihadists who wail and beat themselves over those killed by the godless.  Gilgamesh is so distraught he weeps by the corpse until maggots begin to crawl out of Enkidu’s rotting body, then vowing vengeance against the gods who robbed him of his most beloved companion, he sets out to bring them down from heaven itself. . .

Except that is not how the epic reads.  Gilgamesh is not bound forever in his grief over Enkidu’s death.  He does not engage in unending vengeance against his enemies. Given strength by the gods, he begins a quest for eternal life, and journeys to the home of Uta-napishti, the “Noah” of this Sumerian flood story, who with his wife, were the only two humans to survive.  And though Gilgamesh does not achieve physical eternal life, by the end of the quest he arguably is Homo sapiens modernum, Modern Man.  The dead do not rule his life.

(Homo sapiens modernum is my literary creation, not a paleontological species name.)

How then, do we understand the Rule of the Dead in the lands that gave us Gilgamesh?  How can that cycle be ended?  What will it take for the sword of atrocities to be broken, the blade shattered and unsalvageable, replaced by the Rule of the Living?  Gilgamesh lives in his myths, but his story, his true legacy to his living descendants has been lost.

Do not blame Moses, Jesus, or Muhammad.  Do not cite their words, writings or teachings as justification for these atrocities.  Unnamed millions have already been butchered over the course of 4000 years, in the name of and by the hand of followers of all three.  The LORD God Almighty/Allah weeps that even today, millions who call on his name, do so as they kill, destroy, and ravage the innocent.

As long as the Death rules the living in the cultures of the Middle East, be it national, religious, political, or an aggregation of all three,  Homo sapiens modernum, that great rock of civilization, is being blasted away by relentless, unforgiving sand storms of dogma and loathing. One day all that will be left of Gilgamesh’s legacy will be featureless desert, devoid of all life, of all humanity, the howling winds oblivious to the countless millions who once tried to live just one day up to the potential of humanness he achieved.  It will be all in vain.  On the fields of massacre the blood they shed will be blown into nothingness.

Homo sapiens modernum will be extinct.   The Middle East will be perfect.  Sinless.  An unspoiled holy land.  No desecration of sacred laws.  No infidels to attack.  No punishment for the reprobates.  No honor to be defended.  No vengeance to be paid.  No revenge to be meted out.  No need for forgiveness.  No God to be avenged.  Empty and dead.

No amount of oil will change the outcome.

The perfect war will be over.

And the fate of those who followed the rule of Death?  Perhaps it shall be this chilling image, recounted when Gilgamesh  goes to the Netherworld in search of Enkidu.

Gilgamesh: Did you see the one who cheated a god and swore an oath?

Enkidu: I saw him.

G: How does he fare?

E: He cannot get near the places in the Netherworld where the libations of water are made, he drinks in thirst.

G: Did you see the citizen of Girsu at the place of sighs of his father and mother?  (Girsu was a city-state in what is now Iraq.(1))

E: I saw him.

G: How does he fare?

E: Facing each man there are a thousand Amorites, his shade cannot push them off with his hands, he cannot charge them down with his chest. At the places in the Netherworlds where the libations of water are made, the Amorite take precedence. (2)

G: Did you see the sons of Sumer and Akkad? (3)

E: I saw them.

G: How do they fare?

E: They drink water from the place of a massacre, dirty water. (1)

This fate for the desert people of the Middle East who endlessly kill to proclaim the rule of the dead, to be denied water, the very stuff of life–first, for one’s blasphemy, second, to have to wait subserviently while foreigners drink first, and third, to be forced to drink filthy water in a place that is ritually soiled and impure for all eternity–is indeed the deepest level of Hell.

Gilgamesh is speaking.  Are we, all Homo sapiens modernum, capable of listening?

Gilgamesh and King Akka of Kish, ca. 18th Cent. B.C.E.

(1) Text: “Bilgames and the Netherworld,” in: Andrew, George (1999) The epic of Gilgamesh. New York: Barnes & Noble. p. 190. [Note: "Bilgames" is one variant of Gilgamesh.]

(2) This is a bit spooky–The Amorites are associated with the West, and their kingdom, ca. 2000-1600 B.C.E. encompassed  modern Syria, Jordan, Israel, the Palestine Authorities, Lebanon and NE Egypt.  Source: Wikipedia.

(3) Sumer, one of humanity’s most ancient regions dates from at least the 6th Century, B.C.E., and was clustered around the Tigris and Euphrates Rivers, that flow through modern Turkey, Iraq and Iran. Its most famous city is Ur (in Iraq).  Akkad was a Sumerian city but later established Babylon (in Iraq) when its empire rose to power.  Source: Wikipedia.

12
Feb
09

God: Darwin got it right.

Update:  A day ago, I posted this blog with the title, “Perfect Scripture, Perfect Belief, Perfect Answer–A Parable.”  The more I thought about it, the more I realized I had come up with the perfect example of obscurity.  Obscurity can be intellectually satisfying at times, but, you know, if nobody gets it, as an author, I’m not getting it either.

The controversy between science and religion over evolution has been filled with a century and a half of heated debate.  It has been as contentious as any ideological issue in human history, a cultural war of biblical proportions. So I changed the title to one appropriate for Extreme Thinkover.

I got your attention, huh.  I dare you to read on!

There lived a people in a time in which the sky was constantly clouded.  The sun and the moon were never visible at all.  They knew nothing of the stars.  They were prosperous and devoted to God, who they believed had created all things.   The people studied the Scripture and found great comfort in the words.  For generations they taught their children that those words had been given directly to them by God, and that its description of the world was perfect.

One day a band of travelers came to the land and told of climbing to a place so high that the clouds became thin.  They described the sun and the moon as having light of unimagined beauty.  They claimed to have caught a glimpse of the sky by day in which there appeared a blueness beyond the clouds and by night a sprinkling of lights in velvet darkness.

The elders of the land called the people together and for many days they discussed what the travelers had told them.  Opening the scriptures, they studied what God had said about the earth and sky.  Daily they questioned the travelers, arguing with them, challenging them in every detail which they had reported.  The travelers, excited about what they had seen, retold their story over and over, and in the debate suggested that the Scriptures did not reveal everything that was possible about the world and the sky.

These words were received with shock and dismay by the Elders and the devout.  The idea that the Scriptures were not perfect in every detail was looked upon as being unthinkable.  God had given the writings directly to the people so they might perfectly understand what and how to believe.  And those words declared that the sky was cloudy and no other description of the sky was possible.

Finally the Elders and the people gathered to make a decision about what to do about the story the travelers were telling.  A few of the faithful wanted to go with the travelers to the high place and see for themselves, but this idea was met with great consternation by the Elders and the faithful because it gave assent to the notion that the travelers might be right and that would be in direct contradiction of the Scriptures.  Some left the assembly, however, and joined the travelers.

After long discussion the Elders and the faithful came to a decision.  They must live their lives in such a way that there could never be the remotest chance that they would have to deal with heretical unbelievers again.  So, the people began to excavate huge caverns under the hills in which to live.  Being very clever, they built cities and farms to sustain themselves into the future.  The Elders were pleased with this because they knew that now they could teach the scriptures perfectly that the sky was always cloudy, for in their great caverns, their “sky” would never change and they could say with complete honesty that the only sky any of the faithful had ever seen outside the cavern was cloudy.  This was the word of God and it would remain perfect.

So, with great celebration the Elders and the faithful marched into their caverns and sealed the entrance, confident that they had defended their faith and their God against unspeakable heresy.

^^^^^^^^^^

Today is the 200th anniversary of Charles Darwin’s birth.  This year, 2009, is the 400th anniversary of the official invention of the telescope, in 1609.  2009 is also the 30th year since my ordination to ministry.

I actually wrote the Parable in 1998, a point in time when various fundamentalist Christians were attempting to force school boards (in Kansas, if I remember accurately) to teach “scientific creationism” or “intelligent design” as scientifically equivalent alternatives to evolution in biology, geology and astronomy.  Although some of those battles are still going on (Texas being in the news most recently), the higher courts have refused to rule in favor of the creationists.

That is good. The brilliance of God’s ultimate cleverness in creating the universe is not a topic for the scientific method, scrutiny and modification.

Discovering the mechanisms of that cleverness, however, is.  I recommend my readers visit the website for the American Scientific Affiliation which is devoted to dialogue among people of faith regarding science and religion.  The views below, although linked to ASA, are mine alone.

Scientific creationism is wrong because astronomy, astrophysics and quantum mechanics have discovered the mechanisms of the universe are very old and very large.

Intelligent design is wrong, because of not only what astronomy has taught us, but when integrated with geology and molecular biology and genomics, the mechanisms of the universe are based on explaining simplicity not complexity.

Both are wrong in insisting Biblical scripture is the final word on understanding God’s ultimate cleverness in creation, because if that is so, then every “scientific” discovery of those natural mechanisms, by which this universe operates from that cleverness, can lead to only one conclusion: God lied to us by creating a universe that we cannot perceive.

What does that leave us with?  After 150 years of debate since Darwin published, Origin of Species (which, yes, I have read), the concept of evolution, of change through time, the evolution of the universe, the evolution of galaxies, the evolution of stars and solar systems, the evolution of matter and energy, the evolution of atmospheric and geological forces on our planet, correctly describes the forces and the physical nature of what we perceive.

And life?  What turned on life?  And did life turn on only here on Earth?  Those are honest questions with no definitive answers.  Yet.

But once life appeared, it participated in the evolutionary engines that run the universe.  We find life folded into the evolutionary record of our planet into the past for at least 3.5 billion years.  Comings and goings.  Expansions and extinctions.  Changes and setbacks.  Life in the fossil record is always made of the same stuff.  Star stuff.  Carbon based life forms.  From the microscopic to the huge.  Complexity out of simplicity.  Changing size, changing form.  Cleverness out of cleverness, ever adapting.  Made of star stuff; feeding on star stuff; living on star stuff.  Dying.  Dying?

Then, us.  You.  Me.  All of us.  Apparently late in the process.  No, not late, just recent.  Recent by the way we regard the universe.

Now, that’s clever.  We regard the universe.  Even if life is seeded throughout the billions of galaxies we can now see with our telescopes, as common as ants are here, there is nothing apparent in the structure of the universe that predicts one species of that life would be able to regard the universe.  We can think about thinking.  That self-awareness that there is “I” and “Not I” and I can tell the difference, and here’s the really clever part, “I” can think about what “Not I” means.  Okay, I know I’m beginning to sound like Martin Buber.

What then, do I believe about creation?  First, I believe that God did not lie to us and create us unable to accurately perceive the universe he created for us.  Second,  being Ultimately Clever, I believe God expects us to pay attention to the universe he created, since through whatever mechanism embodied in his Word, we have the consciousness to believe in God and ask the question, where did we come from?

In the contemporary debate over creation and evolution, a new perspective is emerging in this century and a half old debate.  The term (which, I don’t find all that attractive, but it will do for now) is “theistic evolution.”

The most articulate proponent of theistic evolution is Dr. Francis Collins, former director of the National Human Genome Research Institute.  Dr. Collins and his team mapped the human genome, and revolutionized our understanding of both life and human life in particular.  I share his comments from a Time Magazine interview, February 12, 2009, reprinted on the website, Beliefnet.com:

I see no conflict in what the Bible tells me about God and what science tells me about nature. Like St. Augustine in A.D. 400, I do not find the wording of Genesis 1 and 2 to suggest a scientific textbook but a powerful and poetic description of God’s intentions in creating the universe. The mechanism of creation is left unspecified. If God, who is all powerful and who is not limited by space and time, chose to use the mechanism of evolution to create you and me, who are we to say that wasn’t an absolutely elegant plan? And if God has now given us the intelligence and the opportunity to discover his methods, that is something to celebrate.

I lead the Human Genome Project, which has now revealed all of the 3 billion letters of our own DNA instruction book. I am also a Christian. For me scientific discovery is also an occasion of worship.

Nearly all working biologists accept that the principles of variation and natural selection explain how multiple species evolved from a common ancestor over very long periods of time. I find no compelling examples that this process is insufficient to explain the rich variety of life forms present on this planet. While no one could claim yet to have ferreted out every detail of how evolution works, I do not see any significant “gaps” in the progressive development of life’s complex structures that would require divine intervention. In any case, efforts to insert God into the gaps of contemporary human understanding of nature have not fared well in the past, and we should be careful not to do that now.

Science’s tools will never prove or disprove God’s existence. For me the fundamental answers about the meaning of life come not from science but from a consideration of the origins of our uniquely human sense of right and wrong, and from the historical record of Christ’s life on Earth.

The parable I wrote in 1998, ended with the Elders and the faithful closing themselves up in the great caverns they had constructed to protect their absolute beliefs from ever being challenged again.  What I failed to do was write the ending to those who followed the travelers:

The travelers led the faithful remnant to the place where they had seen the clouds part.  They mostly walked in silence.  The faithful had doubts they had chosen the right path.  Some wondered if they returned to the place they had lived if the Elders would let them in again.  A few turned back.  A few saw a road to a place that looked promising, where the land was rich with food and water, and they took that way.  Those who remained with the travelers read daily from their scriptures and pondered the stories.  Each night they asked the travelers questions about how such a thing could be.  The travelers shared what they knew and admitted what they did not.  Each morning they walked higher into the wilderness.

They arrived at the place, a small plateau, late in the afternoon and made camp.  The sky was cloudy.    Below them in the distance they could see a blanket of clouds covering the land from which they had journeyed.  But the sky above them was solid grey.  That night around the fire, the faithful questioned the travelers hard and long.  Had they been deceived?  Had they given up their very lives for a lie?  The travelers’ urging for patience, that they too had been at the place for some time before they saw the sky, was little consolation.  Weary from their trek, they agreed to wait, to rest a week, as was their custom, and if nothing happened they would leave.

The first two days, the rains came.  The whole party sat huddled, chilled in their tents, trying to nurse their fires to keep burning for a little relief from the wet.  Few words were spoken.  The faithful and the travelers kept to themselves, the mood dismal, the day, gloomy.

Then the wind came up, strong, biting, whipping at the tents and all had to scramble to secure them from being ripped from the lines and blown over the edge of the plateau.  The gusts seemed to grow stronger with every passing minute.  One tent caught fire from embers blown into it.  Faithful and travelers alike rushed to beat it out and rescue the people caught inside.

Without warning, the wind calmed.  They stamped on the burning tent to kill the flames.  And then, a brilliant flash erupted, driving everyone face down into the mud. For an eternity, it seemed, blinding silence.  The smell of smoke gone.  A growing warmth upon their backs.

The voice of one traveler broke the silence, “The sky, look at the light in the sky!”

22
Feb
09

Universal Health Care: An Asinine Idea?

In today’s Sunday Edition of the Register Guard “Letters to the Editor,” Mr. Oral Robbins of Eugene, Oregon writes,

It is amusing to read some of the stuff that these ideological, philosophical people write — at least it is to this stupid old codger, who has lived through most of what they write about.

Fair enough.  Mr. Robbins, who states he is 77 years old, has seen a lot of history and has a lifetime of experiences from which he can reflect on.  He goes on to say “…we approve a project of public need that a private enterprise cannot supply, then by consent of the electorate we supply the funds needed.”  Okay, so he’s not quite the “stupid old codger” he claims.  Give him a point for literary irony.

His next statement, however, is chilling:

The idea of universal health care is one of the most asinine ideas being promoted by those in political power today, that and the bailing out of those individuals who borrowed money to purchase items they never had any intention of ever paying for.

As a hospital chaplain, I wish it were possible for all the Mr. Robbins in the country to spend one day with me and meet his neighbors who do not have health insurance, to hear their stories of how that  lack has in countless ways created barriers or has denied them their right to live as healthy, productive, hard-working, taxpaying Americans. It’s not amusing.

Mr. Robbins makes no differentiation between the Economic Stimulus programs and the need for universal health care.  In his mind it is all “tax and spend.”  I deliberately reversed the order in which he stated his objection.  His equation of the two “ideas” is a huge problem, not only because millions of Americans believe exactly the same way, but because as an issue of human, and dare we say constitutional rights, I assert the two are distinct.

Mr. Robbins, through the tunnel vision of his own ideological philosophy, fails to realize that he contradicts himself with regard to universal health care.  The fact is, private enterprise cannot and has never been able to supply the public need for medical insurance.  And he is probably a perfect example.  I am certain that, being retired and at age seventy-seven years, he is on Medicare, America’s universal health care plan for seniors and the disabled.  Without it, he and his wife would not be able to afford private health insurance.  To deny him and his wife that care would be truly asinine.

The benefit of universal health care in the modern era would have produced a very different America: Trillions of dollars in medical debts would have been avoided.  Trillions of dollars in uncompensated care by hospitals would have been avoided.  Trillions of dollars in unnecessary and wasteful medical expenses created by the broken health care system would have been avoided.  Trillions of dollars of lost productivity to private enterprise companies would have been avoided.  Trillions of dollars of wages would have been created and sustained.  Trillions of dollars for appropriate public state and federal projects would have been paid through the taxes of a healthy America.

I wish it were possible for Mr. Robbins to spend just one day with me talking to his neighbors who have no health insurance.

12
Mar
09

Amputating the Soul

A letter I sent to Sen. Max Baucus (D-MT), chair of the U.S. Senate Finance Committee and advocate for universal health care.  His health care plan is available by clicking on the header “Call to Action” above.

Dear Sen. Baucus,

This week the Clinical Pastoral Education Center at Sacred Heart Medical Center at RiverBend in Springfield, Oregon fell victim to the economic recession.  CPE centers nationwide, accredited by the Association for Clinical Pastoral Education (ACPE) are the training sites for chaplains for hospitals, the military, prisons, hospices, and other institutions.  ACPE certification (which includes the Association of Professional Chaplains, National Association of Catholic Chaplains, National Association of Jewish Chaplains, as well) is almost universally required for employment for these important ministries.

ACPE accreditation is not easy to get.  In fact, the state of Montana does not have a certified CPE training site at this time.

I was part of the team beginning in 2001 that worked for over two years to get Sacred Heart accepted as a CPE training site.  We began our program six years ago.  The first two years we were on probation, but were then granted full accreditation in 2005.

Our center quickly became recognized as the new place to train.  The past two years we have been able to be selective, turning away more applicants than our program could handle (which is six students per unit), and even had international students work in the program.  We had applicants already applying for the 2010-2011 school year.

On Monday (March 9) our administration announced, along with other major cuts, that the CPE program would be eliminated.  As of now, our budgetary shortfall stands at $17-20 million for FY09.  Our uncompensated care last year (FY08) was $66 million.  We are over $1.4 million ahead of that pace as of the end of February.

Sacred Heart sits at the south end of the Willamette Valley.  Lane County’s unemployment rate hit 12% this month (Monaco RV was one of our major industries).  South of us, Douglas County is reportedly pushing 16% unemployment.  Tens of thousands of newly unemployed people no longer have any health insurance.  Only a tiny fraction will have the resources to afford COBRA.

Hospitals in southwest Oregon south to the California border are making huge cuts in staff and programs. (Portland’s situation is somewhat better, but deteriorating, e.g. Oregon Health and Sciences University is making draconian cuts to survive).

Every day, hundreds of newly unemployed, now newly uninsured Oregonians face the frightening reality of trying to access America’s terminally ill health care “system.”  Just like Montana.  Just like, well, everywhere in America.

They’ll come to us.  We’ll treat them.  Everyone who comes through our door.  But what will our uncompensated care come to this year?  $80 million?  $100 million?

And as for CPE?  Well, Medicare classifies it as “overhead.”  That’s good news, in one respect, because Medicare reimburses the hospital for each Chaplain intern based on the percentage of Medicare patients we treat as in-patients, which in our case was about 40%.  But it wasn’t enough.  We are losing three staff members, as well as the six students that worked daily with us ministering to patients on their assigned medical units.

But, when hospitals face making the most painful cuts, programs like CPE are vulnerable.  The unintended consequences are placed on the furthest burner back.  We are at war.  One of our staff chaplains just went back on to active duty.  We not only cannot replace him, we cannot train someone who might replace him.  There is a tipping point here.  Here at Sacred Heart we just crossed it.  We aren’t the first hospital to face that, nor will we be the last.

Let me share something about what hospital chaplains do.  We don’t wander about the halls patting hands and saying little prayers.  We step into the shadows with our patients, those places of their darkest fears, the thin fabric of their lives, where the veil between life and death is almost transparent.  And when that veil tears, we stand in that darkness holding a light.  A light for the dying so they know they are not alone.  A light for the living to guide them on the new path they must walk.  That is spiritual care.

Calling.  Passion.  Training.  This is what chaplains are in the hospitals, the armed forces, the prisons, hospices.

And now there is one less place to train.

I remember learning in school that justice delayed is justice denied.  I now believe, too, the right to health care delayed or barred by preconditions is the right to health care denied.

Please, Senator.  We need your health care plan.  Now.

Sacred Heart Medical Center–CPE: Our Light Diminished.

This Photo is dedicated to all the staff and students who made Clinical Pastoral Education at Sacred Heart Medical Center the truest part of our mission of healing and compassionate care.  Our Light is diminished. May the Divine brighten yours!

This Photo is dedicated to all the staff and students who made Clinical Pastoral Education at Sacred Heart Medical Center the truest part of our mission of healing and compassionate care. Our Light is diminished. May the Divine brighten yours!

24
Mar
09

Soul’s Phoenix

In my post on March 12 I shared a letter that I had sent to Sen. Max Baucus (D-MT) chair of the U.S. Senate’s Finance Committee and champion of health care reform, regarding the closing of the Clinical Pastoral Education Program at Sacred Heart Medical Center–RiverBend in Springfield, Oregon.

Clinical Pastoral Education (CPE) is the national clinical ministry program that trains chaplains for hospitals, the military, prisons, hospice and other institutions.  Accreditation is difficult to obtain.  The standards for education are high, and the accountability is thorough.  CPE programs nationwide face similar uncertainty as the disaster in the economy collides with the disaster that is the American health care system.  Sacred Heart’s CPE program was a victim of that collision.

But sometimes very smart people with a driving sense of mission can find creative solutions.

And, this time, that sometime happened.

There’s a qualifier.  The reason the program was cut is that Sacred Heart, faced with an economy so bad our budget deficit is projected at $17 million, as well as, likely unprecedented uncompensated care expenses that could easily hit $70 million, has been forced to make acute action cutting staff and programs.  Colleagues we have worked with for years.  Programs that promote healing and compassionate care that have to be cut way back or eliminated.

The unemployment rate in Lane County where our hospital is located hit 12% percent in February, and Douglas County, just to the south of us, hit 18%.

So, nothing has changed.

Except the creativity and dedication of some very smart people (I commend them; I wasn’t directly involved).  After the initial decision was made, one key fact kept nagging at the Administration.  CPE had become so integrated into the spiritual care services provided daily by we who are chaplains, and was such a proven asset to our mission and care of patients, we just could not cut it off.  They rolled up their sleeves and went back to the drawing board.  They were able to save the program and meet the needed financial savings.

CPE will continue at Sacred Heart.  Changes had to made, of course.  Our program will now be be shifted to what is called “extended units” rather than full time, 20 hours per week rather than 40.  Three or four students, not our current six.  We still lose two of our close colleagues.

And guard against the inevitable organizational hazard of a hyena or two, stalking, plotting and hoping for failure and a meal.

These are the consequences of the economic trauma, inside and outside the organization.

We are not terminal.  Our CPE program and the fine people who comprise it will regain strength, providing a superior clinical education just as we have for the past six years.  And, too, we will plan to return to a full-time program as soon as the hospital can support it.

In the meantime, our mission as chaplains is to provide spiritual support and care to the patients who come through our doors.  We have work to do.

28
Mar
09

Cheney: Violating the Code of Ethics for Retired Ministers…And the Tradition of Respect Held Sacred by Former U.S. Chief Executives

Every professional association that I have belonged to has a Code of Ethics.  It is one of the hallmarks that not only defines what the profession stands for but also guarantees to the public, whether customer, client, patient, parishioner or whomever, the standard by which that professional will act with integrity.

In light of recent comments by former vice president Dick Cheney blasting the new administration’s policies on national security, I wondered if there was a Code of Ethics that applies to the the nation’s two top executives?

In an interview on CNN (quoted in the NY Times), Mr Cheney said,cheney-snarl

“He is making some choices that, in my mind, will, in fact, raise the risk to the American people of another attack,” Mr. Cheney said of Mr. Obama in an interview on the CNN program “State of the Union.”

UPDATE:  March 29, 2009:  Today, on the CNN Political Ticker website both U.S. Special Envoy Richard Holbrooke and Gen. David Patraeus take issue with Cheney’s inappropriate comments and breach of professional ethics by spouting off about the Obama administration’s changes on national security.

UPDATE #2: March 29, 2009:  The fallout from Dick Cheney’s unethical criticism of the Obama administration continues to generate backlash.  Former President Bush made this statement in response to a question about Cheney’s remarks:

“He deserves my silence. I love my country a lot more than I love politics. I think it is essential that he be helped in office.”

I spent an evening Googling and scouring Wikipedia, but came up with, well, not a thing.  Now,  maybe I missed it; and there are laws that apply to federal employees.  Just about every state in the Union has a code of Ethics for its Executive Branch.  President Obama signed into law a new code for his administration in January.  And, of course, there is the United States Constitution, but we all know that Cheney never let a little thing like that interfere with anything he decided he was right about.

But a code of ethics that applies specifically to the president and vice president of the United States apparently has never been written. (If there is a code of ethics either historically enforced, or currently in place, not including Obama’s new one, I’d love to read it.  Send it to me!).

You might ask, “So what?”  As an ordained minister, one of the conditions of my standing with my church, the Disciples of Christ, I have to abide by a Ministerial Code of Ethics.  All major denominations have such codes.  That code is structured so the pastor not only ministers in an ethical manner during the time he or she is serving a congregation, but also after the person has left to serve another local church or retired from active service.  Pastors develop a strong rapport with their members, and when they leave to work at another church, even if it is one across town, the pastor is responsible for maintaining the professional boundaries so the new minister can work freely to develop a new trust and rapport with the church.

The same principle is true for when a minister retires.  While I was in seminary, I was the youth minister for a church whose senior pastor had retired after over thirty years at that church.  Even though the church was located in a city of nearly three million people and the retired minister moved to another part of town, he did not set up and strictly abide by those ethical boundaries.  The new senior pastor, with whom I worked, was constantly having to “defend” his actions to those members who were calling the old pastor and getting a sympathetic ear.  It was a lose-lose situation.  A year after I had graduated from seminary, the church fired the senior minister.  In all honesty, he never had a chance to succeed.

Here are the two statements that are relevant to this discussion from the Ministerial Code of Ethics:

  • supporting and at no time speaking maliciously of the ministry of my predecessor or another minister in the congregation in which I hold membership;
  • encouraging the ministry of my successor upon my retirement or other departure from a ministry position, without interfering or intruding, and by making it clear to former parishioners that I am no longer their pastor.

With these two precepts so deeply engrained in my professional life, I find Mr. Cheney’s statements inexcuseable.  Because I believe he so blatantly violated the trust of the American people in his open disdain for the United States Constituion, as well  as the Oath of Office he took as Vice President, in his retirement, he should remain silenced for the rest of his life.  He has violated the Code of Ethics by both interfering and intruding with the actions of his successors.  He is no longer our vice president and I thank God he was never our pastor.

30
Mar
09

Fiat and Chrysler Merge??!! Will NASCAR run the Mille Miglia?

Header Photo: 1960 Fiat 1100B.  Notice the “suicide” front door handles.
One May Love Beer and the Other Wine, But, Oh, Do They Love Their Automobiles!

Americans May Love Beer and the Italians Wine, But, Oh, Do We Love Our Automobiles!

Holy MOPAR, Batman!  Fix It Again Tony!  If I had been asked to guess which international automaker the Obama administration would instruct Chrysler to join forces with to survive, perhaps to one day again be profitable, I wouldn’t have guessed the legendary Italian carmaker, FIAT (I use caps here, because, it originally was an acronym of  Fabbrica Italiana Automobili Torino: Italian Automobile Factory of Turin).  Fiat has been around for a long time, being founded in 1899.  Fiat has been always been known for its small cars, even though it does have a major truck division, along with with major farm implements, etc., etc.

Over the years, Fiat has produced some fine cars of note, even if they were only known in Europe.  They withdrew from the American market in 1983.  Between 1967 and 2008, Fiat was awarded European Car of the Year thirteen times.

Of those cars, I find the 2006 Alfa Romeo (Fiat’s sport division) very attractive.  Small, but well styled:

Alfa Romea 156 Selespeed, 2006 European Car of the Year

Alfa Romea 156 Selespeed, 2006 European Car of the Year

Once word of a Chrysler/Fiat merger hit the international media, this announcement, of course, or should we say thank the Stig, did not escape the notice of the guys at Top Gear:

With operations throughout Europe, Asia, Africa and South America, Fiat has vast resources and small car expertise. The Fiat 500 is one of the hottest cars in Europe, winning European Car of the Year for 2008, and the company wants to bring the car to our shores; initial reports indicate that Fiat plans to retool existing American Chrysler plants and sell it here. We say “non vediamo l’ora” and bring us the Abarth!

Fiat 500 Abarth 2008

Fiat 500 Abarth 2008

The Abarth is a performance model of Fiat 500. The 1.4L engine with IHI RHF3-P turbocharger is rated 135 PS (133 hp/99 kW) at 5500 rpm and 180 N·m (133 lb·ft) (206 N·m (152 lb·ft) in sport mode) torque at 3000 rpm. It includes 5-speed C510 transmission, low ride suspension, dualdrive electric power steering with SPORT setting, 6.5 x 16” aluminium alloy rim with 195/45 R16 tyres, 4-wheel disc brakes (front ventilated). Interior includes turbo pressure gauge, Gear Shift Indicator, aluminium foot pedals, Blue&Me MAP with Telemetry monitoring and GPS system.  Source: Wikipedia

Okay, I look forward as much as the next gear-head to the Stig (some say that he secretly keeps a ‘70 Plymouth Superbird under a tarp in his garage and that he made Jeremy promise to never call it “rubbish.”) blasting around the Top Gear track in a hot set of wheels with a Five-Point star stamped into the valve covers of it’s 5-Litre motor putting out 600 brake horsepower getting 35 miles per gallon.  Let’s just hope it does not, and I mean DOES NOT look like the Fiat 500 Abarth.

Now, it’s disclosure time.  I owned a Fiat.  Yep, Lorette and I bought a brand-spankin’ new 1979 Fiat 131 Brava while we lived in Fort Worth, Texas, my last year in seminary.  Two liter, twin overhead cam engine, five speed, and a snappy clutch.  I loved that car, especially because it replaced a 1974 Ford Pinto station wagon with “country squire” fake wood vinyl siding.  When you shifted from fifth to third, and put your foot in it, something actually happened “accelerationwise” with that pretty Fiat exhaust putter that sang all the way up to the redline.

Fiat Brava 1979 Ad

Fiat Brava 1979 Ad

The ad above was a cleverly disguised code that only the likes of Ralph Nader and Joan Claybrook believed during the dark years of the 55 MPH national speed limit.  Relaxed?  In third gear, the engine wasn’t even breathing hard when it blasted through 55.  Fourth redlined something over 80.  Relaxed, my….

Yeah, baby.  Here’s what my Brava looked like, with the “champaign” paint job:

Fiat Brava 4D 1980

Fiat Brava 4D 1980

The only difference I can discern, between my ‘79 and this 1980, is the wheels.  If I actually can dig out a picture of my Brava, I’ll replace this one.  It’ll be like old times.  Replacing part after part after part, like the time the distributor cap cracked in Tillamook, Oregon on a trip with several other ministers to check out a site for a church camp.  On a Friday afternoon…but that’s another story.

Anyway, in the real world, only time will tell if this is a match made in heaven or if our esteemed colleagues in the White House should have chosen BMW, Audi, or even, believe it or not, Hyundai.  I’d love to see Chrysler survive (not to diss Ford or Toyota, by any means).  I just hate to have to watch those snooty Chevy commercials every time one of their cars wins a NASCAR race.

By the way, 30 years later I still like cars with names that are acronyms:

Vorsprung durch Teknik  audi-rings-wet-copy


28
Jun
09

Serenity Movie Revision: Saving Wash’s Life

I’ve been writing a lot of serious topics lately, so I decided to lighten up a bit…well…in this case, a lot.  I’m a fan of the unjustly truncated TV series, Firefly, and the subsequent movie, Serenity.  I bought the series on DVD, as well as the movie.  Probably have watched every episode 5-10 times.  Aside from all the unsolved mysteries from the series, in the movie, one part of the plot always has eaten at me.   The fact Joss Whedon (the series creator and producer), decided in the movie to kill off both Wash and Shepherd Book just bugs me.  Finally, one evening after watching Serenity yet again, the proverbial light bulb went on, and I had the solution.

Cast of Firefly and the movie Serenity

Cast of Firefly and the movie Serenity

Some background.  I’ve been a science fiction fan, well, just about as long as I’ve been able to read.  Started out going to the local drug store and spending my hard-earned allowance (50 cents a week!) and agonizing over which Tom Swift, Jr., book to buy.  I was sure I could solve the real engineering for the “repelatron.”  Fast forward a few years and one day I wandered by the paperback rack and one word caught my attention: “Foundation.”  I never looked back.

Serenity: A Fan’s Vision and Re-Vision

“We’re still flyin.’”-Mal

Spaceship Serenity from Firefly TV Series and the movie, Serenity

Spaceship Serenity from Firefly TV Series and the movie, Serenity

My re-vision of the Serenity plot line.  Sorry, Joss, I just couldn’t get over that you killed both Book and Wash.  One, okay. It’s a dangerous ‘verse out there.  Just not two.  It closes the end of the story too tightly.  I had to choose one or the other, so I chose Wash.  So, here’s my rewrite of the scene when Wash crash lands “Serenity” on Mr. Universe’s planet.

Wash weaves Serenity through the chaotic battle between the Alliance Forces and the Reavers.  Jayne comes to the rear of the bridge.  Mal says “No, no, no!” Wash says, “Yes, yes.”  Another piece of debris hits the ship.  Jayne is slammed against the bulkhead and is knocked out, blood gushing from his scalp.  Mal grabs the com and yells for Simon.  Simon runs to the bridge with his medkit and appears just as Zoe says, “We’re not alone!”  Simon kneels to tend to Jayne, who though dazed is trying to pull himself up.

When Serenity is hit by the Reaver’s EMP blast, Mal grabs the mike and says, “Everybody strap in,” and then he turns to Simon and says, “Doc!”  Simon says “Right away!” and rushes to the engine room to pull Kaylee away from her fire extinguishing effort.  Simon gets her strapped in, gets the others checked and then runs back to the bridge.  Kaylee and River both scream “Simon!”  Jayne is frantically using his belt to secure himself to the bulkhead and grabs Simon to the floor just as the ship begins to go into the flat spin.

As Serenity crashes, sliding down the runway, throwing sparks, slamming up and down repeatedly, Simon and Jayne are thrown about like bowling pins but somehow manage to hold on to each other.

When the ship comes to a halt, Mal looks back at Zoe and at Jayne and Simon, who are untangling themselves, splattered with the blood from the cut on Jayne’s head.

After uttering his line, “I’m a leaf on the wind,” Wash gets impaled by the Reaver’s giant spear.  Zoe rushes from her seat to Wash, telling him “We gotta go, Baby!”  Simon pushes himself up to Wash next to the distraught Zoe.  Jayne is still sitting on the deck with a bandage held to his head but starting to pull himself up when the second set of spears smash into the bridge.

Mal pulls Zoe from the bridge, both believing Wash is dead.  Simon leans forward over Wash’s shoulder and a light comes on his brilliant medical brain.  Mal yells at Jayne, “Come on!  Get your stuff!” but Jayne, still a little rattled is slow to respond.  Simon looks at Jayne and says, “Jayne, get the chainsaw!”

Jayne, not really understanding what has happened to Wash from his vantage point on the rear deck of the bridge, plus being still fuzzy, bolts down the passageway, grabs a chainsaw and is back on the bridge in just moments.  Sliding to a stop next to the impaled Wash, Jayne realizes for the first time what has happened, but Simon grabs the saw from him, yelling at Jayne to wrap his arms around Wash’s body as he cuts first the spear from the back of the pilot’s seat and then in a single motion, wheels the saw over Wash and Jayne’s head and slices through the front, leaving Wash with just a plug through his torso.

Simon yells to Jayne, “Pull him from the chair but don’t let the plug fall out!  We’ve got to get him into River’s cryochamber.  His body’s in shock but his cells are all still alive.  If we can get him into stasis fast enough, I might be able to save him!”

Jayne, with that “Jayne” look of skepticism, almost hesitates, but he looks first at Wash and then at Simon, and grunts, “Does he have to be naked for it to work?” as he slings Wash’s limp body over his shoulder and heads to the cargo hold.  They then join the others in the defense chamber.

After the fight with the Reavers, and the Operative’s order to stand down, Wash, along with the others, is patched up, though the dialogue could convey that his near-death experience has changed him.  Think of the possibilities!

Wash with Serenity.  Movie promo poster

Wash with Serenity. Movie promo poster

See, Joss, that wasn’t so hard.  And you’ve options for a sequel.

Photo Credits:  Universal Pictures (C) 2005.

20
Apr
09

Updated–Before Columbine: Remembering the Thurston High Shootings

UPDATE:  I did a little more research and found on Wikipedia a list of nearly every school shooting documented worldwide since the 1966 University of Texas massacre of 17 students: History of School Shootings Worldwide.

Today is the tenth anniversary of the shootings at Columbine High School, a terrible, horrific act of murder and mayhem by two students who shot down twelve of their classmates and one teacher in cold blood, wounding twenty-three others before they took their own lives.

Kip Kinkel.  Photo Credit: AP

Kip Kinkel. Photo Credit: AP

But before Columbine, in May of 1998, there was the shootings at Thurston High School in Springfield, Oregon.  The shooter, Kip Kinkel, murdered his parents the night before he went to school that morning, and in a manner of minutes killed two of his classmates and wounded 23 others.  One of those wounded wrestled him to the ground, cutting short the attack and denying him the chance to kill himself.  Kinkel was found to be incompetent to stand trial and will spend the rest of his life as an inmate at the Oregon State Hospital for the Mentally Ill.

We should never forget Columbine.  But I will always remember Thurston.  I was there at the hospital that morning.

A Wounded Thurston Student Being Assisted to an Ambulance

A Wounded Thurston Student Being Assisted to an Ambulance

What follows is my account of that horrendous day, originally presented at a regional event of my church for high school students in August 1999.  The theme was “Odysseys.”

Call of the Unbidden, Unwanted Odyssey: The Thurston Shootings

About a year and a half ago I was getting up at 4:30 in the morning to be at work at 6:00 a.m.  You see, hospital time and time in the real world are two entirely different things.  For reasons that are lost in the mists of ancient history, doctors, and especially surgeons, like to get started very early in the day.  What does that have to do with me?  I was the chaplain assigned to the Short Stay Unit, the place where people go to have all sorts of medical procedures.  Most will go home that day, hence the “short stay” terminology, although at Sacred Heart, we also admit some people who will have major surgery and then be taken to a regular hospital room afterwards.

So each morning I was talking with people, some of whom had never been in a hospital before, who were having things like colonoscopies, bronchoscopies, myringotomies, hysterectomies, or orthopedic surgeries like total knee or total hip replacements.  And then there are the lithotrypsies where they insert a probe into your gall bladder or kidney and using high frequency sound, blast gall and kidney stones into powder.  Sounds fun, huh.  And some people were going to find out they have cancer, so I had to be ready for anything.

This goes on five days a week, averaging about 90 people per day, and I’d get to talk with about half of them for the three hours I was there each morning.

My odyssey began at about 8:00 a.m. one Thursday morning. I had no plans to begin an odyssey, and had no inkling about the odyssey that I was about to undertake.  I arrived at 6:00, made coffee in the waiting room, like I did every day.  I picked up the surgery schedule and chatted with the nursing staff just like every other day.  Patients began checking in.  It wasn’t an unusually heavy day for procedures.  A couple of kids having tubes put in their ears; a few women having hysterectomies, a bunch of lithotrypsies, since Thursday’s the day they are all done on.  Just another normal day in Short Stay.

What happened next, I remember very clearly.  I had just taken a family into the recovery area to see a patient who had come back from a procedure and was walking past the charge nurse’s desk.  One of the staff nurses was talking on the phone in a very excited and agitated way.  A couple other of the nurses had already drifted over to the desk and looked concerned.

I heard the nurse say, “Are you okay?  Where are you?  Was anybody shot?”  Another nurse said, “Her daughter goes to Thurston.  There’s been some shots fired at the high school.”

That was the call.  But to be honest, I had no idea of the odyssey that would unfold.  And it’s probably just as well.  Nobody wants to be shoved through a door like that.

After the nurse hung up the phone, and fortunately her daughter was not one of the injured, she told us what little her daughter knew of the chaos of that school shooting.  Yes, I was concerned.  I knew that there are two trauma ERs in the area.  Ours in Eugene and McKenzie-Willamette Hospital’s in Springfield, just a couple of miles from Thurston.  But I knew that at the moment I was the only chaplain in the hospital, and if there was a kid or two that had to come to us, I needed to get to the emergency room.

I excused myself from the Short Stay and headed toward the ER.  The first inkling I had that maybe things were going to get a bit hectic was while I was standing waiting for the elevator.  A trauma alert was announced over the intercom.  That is normal by itself.  Whenever a person with a life-threatening injury is coming to the hospital, there is a public announcement that says: “Trauma Alert, Trauma team to the emergency department.”  With that announcement, people from all the clinical areas converge on the ER.  And chaplains are part of that team.

But on that morning, the PBX operator announced, “Trauma alert.  Trauma team and all available surgeons report to the emergency department.”  At that moment, with the instant knotting of my stomach, I knew that when I got off of that elevator, I was going to step into a world that I had never experienced.

The next hour of that day changed me forever.  I was, purely by chance, the first chaplain in the emergency room when the first ambulances arrived.  I wish I had the words to explain to you the flow of emotions and events.  It’s nothing like what they show on the TV show ER.  Or maybe I should say what they show on TV is a pale reflection of the reality.  There was no script but there were procedures.  There was this intensity, a grim determination on people’s faces as everyone tried to prepare themselves emotionally.  It was like being in the middle of a whirlwind but experiencing it in almost a slow motion.  Over the radio there was a lot of inaccurate information coming in, but each time an ambulance called saying they were on their way, a plan was put in motion to care for that student.  First we heard two, then four, then maybe six, then, no, only four.  Then maybe as many as eight.

Wounded Thurston Student being taken to an Ambulance.  Photo: BBC News

Wounded Thurston Student being taken to an Ambulance. Photo: BBC News

There were a lot of people talking, but the ER as a whole wasn’t that noisy.  Within fifteen minutes two more of the chaplains had gotten there. And in another fifteen, three more had rushed to the hospital.  And it was a good thing, because the ambulances just kept coming and coming and coming.  Eleven in all.  In a half hour, half of the 23 wounded students were right in front of me.  At about 20 minutes after eight we heard another PBX announcement, one which confirmed that because of this event, all our lives were about to change more than we could imagine:  “Disaster Alert.  All hospital units initiate disaster procedures.”  Within moments people started coming out of the woodwork to insure that every wounded student would receive the best care we were humanly capable of providing.  And of course, we knew the media would be coming in droves and we wondered how we would survive that onslaught as well.

I remember one moment more clearly than the others.  I was helping identify the wounded students.  The look in every one of those kid’s eyes was a combination of stark fear and total bewilderment.  Stepping out of one of the trauma rooms, I saw five or six of our surgeons, all in their operating room scrubs, standing in a row, like planes lined up on a runway to take off, waiting for the next student to arrive.  And the fear in their eyes matched the fear in those students’ eyes and the fear in mine.

As I have tried to process this event in my life, I realized that everyone, the students and their families, the medical staff and the pastoral care staff were all thrust onto the path of an odyssey that no one wanted to walk.  The path was created by a person and his actions who we did not know and did not understand.  The three “what ifs” became the real questions I had to answer.  Right then.  What if the worst happened?  It did. What if I’m not up to it?  I have to be.  Others lives are in danger. What if I get myself into a situation so foreign to me I can’t even function?  I have, but I have to function anyway.

But one thing was sure by the end of that first day.  Once we were on the path, there was no exit.  Each person had to walk on his or her individual path until the end is reached.  No one got to stay the same.  Everyone had to change.  Some may have finished their odysseys already.  Some will take years and for others it will take their entire life.  As for me, I do not yet see the end.

^^^^^^^^^^^

Over a decade later, I still do not see the end.  Thirty school shootings have taken place since Thurston in the United States, five in Canada, ten in Europe (Germany alone accounts for five of those shootings, totaling 35 deaths) and seven others around the world.   Hundreds of children, college students and adults have died, been wounded, families thrown into tragedies for which there are no exits.  See: Wikipedia.

Ben Walker.  One of Two Students Murdered at Thurston High School

Ben Walker. One of Two Students Murdered at Thurston High School

And guns were used in virtually every incident.  I am waiting, as I have been since May 1998, for just one executive from the gun manufacturers, or an organization like the National Rifle Association to call me on the phone and say, “Yes, Dr. Waggoner, enough is enough.  I take responsibility for the lethality for this object I produce, or I take responsibility for the lethal potential of this object I promote, and I am going to do everything in my power to stem the tsunami of violence tearing apart our nation even if I have to …

I’m waiting, but I’m not holding my breath.   The murders will continue unabated.  The weapon of choice of the murderers will be guns.  Children will be murdered in their schools or churches or wherever by murderers using guns.  The right to own a gun and the availability of those guns is the secondary issue.  The primary issue is the unfathomable and defiant willingness of the weapons industry and the NRA to accept the carnage as normal.  And to pay handsomely to lobby every single politician in the United States to ensure that normalcy continues in perpetuity.

A Rifle Similar to the One Kinkle Used to Shoot His Parents and Classmates.

A Rifle Similar to the One Kinkle Used to Shoot His Parents and Classmates.

29
Apr
09

Swine Flu: The Most Effective Way to Protect Yourself

This Information about protecting yourself from Swine Flu was issued today by Employee Health at Sacred Heart Medical Center in Springfield, Oregon.  These are the guidelines we are following as hospital staff–I urge all my readers to take to the same precautions:

Prevention is the best defense against infection. Protect yourself by following good health habits such as:

· Frequent hand washing with soap and water or use of alcohol-based hand gel.

· When you cough or sneeze, cover your nose and mouth with a tissue or use your sleeve (if you don’t have a tissue). Throw used tissue in trash and wash your hands.

· Avoid touching your eyes, nose and mouth – germs are often spread when a person touches something that is contaminated with germs and then touches their eyes, nose or mouth.

· Avoid close contact with people who are sick or keep your distance from other people when you are sick.

· DO NOT GO TO WORK IF YOU ARE SICK. Consider your co-workers. Contact your health care provider.

Symptoms of swine flu in people are similar to the symptoms of seasonal flu in humans and may include:

* Fever (greater than 100.4ºF)
* Sore throat
* Cough
* Stuffy nose
* Chills
* Headache and body aches
* Fatigue

Stay well!

P.S.: Don’t go out an buy a box of dust, respirator, or even medical facemasks.  They will NOT protect you.  The Centers for Disease Control is currently recommending the use of the above precautions rather than a facemask.  Click here for the link.  Currently the only approved facemask for respiratory illnesses is the “N-95,” which is available only to professional health care personnel and must also be correctly fitted to be effective.  If the CDC determines the Swine Flu is spread through the air, they will issue appropriate guidelines at that time.

02
May
09

Communities of Fate: Read the Abstract to my Journal Article

I have added a page to my blog that provides the abstract to my journal article and the ERIC citation, co-authored with Paul Goldman, PhD (my doctoral adviser) “Universities as Communities of Fate: Institutional Rhetoric and Student Retention Policy” published in the Journal of Educational Administration in 2005.  Just click on the “Communities of Fate” link below the header.

I remain deeply grateful to Paul for his support and guidance, both during my doctoral studies and for encouraging and shepherding me through the publication process!

Thank you Paul, and I miss our long sessions drinking very strong coffee, the great discussions about organizational and educational policy, and the hours working on yet another draft of the article!

06
May
09

Archbishop Desmond Tutu: He Stared Down Apartheid

Archbishop Desmond Tutu.  University of Portland, May 4, 2009.

Archbishop Desmond Tutu. University of Portland, May 4, 2009.

He stood there, eyes often closed, telling a story, or was it an anecdote, or was it a parable?  How could he talk about the brutality and oppression of apartheid, and seemingly in the next breath, break into giggles?  How, indeed?  Because he had stared into the face of apartheid, knowing with certainty that this monster might strike him down.  Dead.  Like so many before him.  He stared and he did not blink.

The world noticed and wondered.  Then the world, in a most uncharacteristic act, joined his quest.  Far more from the bottom up than the top down.  People of faith–many, many faiths–joined.  Institutions and corporations, much to their complete surprise, joined.  It was called Divestiture, slamming closed the headgate on the financial pipeline to the government of the Union of South Africa.  Governments, some stunned into silence, others electrified into action found themselves in this ever gathering cloud of witnesses as this one man, although not alone among his people by any means, stared at the beast.

Unwavering, he held fast to the assurance of his faith.  Then, as he would say, the Spirit moved.  The monster blinked, then dissolved.  The predicted bloody civil war never occurred.  The backlash of black on white, or white on black never materialized.

Nelson Mandele walked out of prison and the Republic of South Africa was born.  This was no magic transformation, wherein all of South Africa’s problems evaporated like morning mist.  Poverty, AIDS, and a hundred other social disasters still had to be addressed.  And still do.

Tutu, Archbishop of Capetown, stands at the podium, his eyes closed, as the many reels of his long life are projected in his memory.  He laughs.  He giggles.  He does little dances.  He doesn’t do it because he won the stare-down with the apartheid beast; he does it because he forgave the men who were the apartheid beast.  He is reconciled with them and they with him.  This is why he giggles.  There is no hate, no grudge, not the most minuscule desire for revenge.

I sat in the hall, filled with people of many, many faiths, and I think I honestly can say that for those brief moments everyone of us felt hope, that the religious boundaries of our everyday lives had dissolved, just like the apartheid monster.

And by the end, we, too, were daring to giggle.

I am a Christian, a faith I share with Desmond Tutu, and I left with just the smallest inkling of what it might have been like to sit on a dusty hill in Galilee and listen to One who taught forgiveness and reconciliation.  Perhaps it was the giggles.

13
May
09

Credit Cards are Not Guns: Strip the Coburn Amendment from the Credit Card Legislation

On May 12th, the Senate passed the Credit Card reform legislation that President Obama asked for, 67-29.

Attached to this critically important bill to reign in the usurious abuses of the giant Credit Card companies, is an amendment submitted by Sen Tom Coburn (R-OK) that would authorize carrying guns in America’s National Parks.

The House bill, passed earlier, does not contain a similar amendment.

Apart from all considerations of the merits of Sen. Coburn’s amendment, it must be stripped from the final bill.

The Gun Lobby, according to the New York Times, got 66 senators to sign onto the amendment.

Again: The amendment must be stripped from the final bill before it goes to the President’s desk.

From my perspective, if the Gun Lobby believes they can get this legislation allowing the carrying of firearms in the National Parks passed, they should have the integrity of true American honesty to support it as a bill that will  stand by itself.

Anything less is an act of subterfuge and cowardice.  Evidently, this action to put one over on the American people with the credit card bill is proof you are guilty of both. And that you know you don’t have the votes to get it passed.

In doing so, you mock our Constitutional right to bear arms.

The Gun Lobby needs to take notice that this attempt at sleight of hand did not work.  Just like it’s no longer working for the financial industry and the health care industry.

America’s no longer willing to be bullied by your big money and threats of catastophe if you don’t get your way.

20
May
09

On the 30th Anniversary of My Ordination to Ministry

May 20, 1979, I was ordained into the ministry in the Christian Church (Disciples of Christ) at Rosemont Christian Church in Dallas Texas.  It was a day I shall always cherish.

Laying on of Hands Cermony--David Waggoner's Ordination, May 20, 1979

Laying on of Hands Ceremony--David Waggoner's Ordination, May 20, 1979

Pictured, Counter-clockwise from the left front:

  • Earl Waggoner, my father
  • Polly Waggoner, my mother, just visible in white skirt
  • Dr. Marcus Bryant, Professor, Brite Divinity School, TCU
  • Rev. Robert Minshall, Senior Minister, Rosemont
  • Rev. Sydney Carnes, Senior Minister, Oak Cliff Christian Church, Dallas
  • Dan Bates, Rosemont Elder
  • Hal Morris, Board Chair for Rosemont, just visible in green choir robe
  • Rev. Robert Allen, Associate Regional Minister, Christian Church in the Southwest
  • In the background: Skip Pendley, youth group member, and the Rosemont Senior Choir

One of my colleagues looked up what feast day is celebrated on May 20.  It is the Feast of Alcuin of York, (c.735-804) Deacon and Abbot of St Martins of Tours, A.D. 804.  The Collect for the Feast is:

Almighty God, in a rude and barbarous age you raised your deacon, Alcuin to rekindle the light of learning:  Illumine our minds, we pray, that amid the uncertainties and confusions of our own time we may show forth your eternal truth; through Jesus Christ our Lord, who lives and reigns with you and the Holy Spirit.  Amen.

It is amazing to realize this prayer is 1205 years old; it could have been written today.  I hope and pray that I honor Alcuin’s commission to rekindle the light of learning, and illumine minds amid the uncertainties and confusions of our own time.

31
May
09

In Memoriam: Pastor Gary H. Wells, 1932-2009

Gary Wells, beloved husband, father, grandfather, and Pastor Emeritus of Northwood Christian Church in Springfield Oregon, died peacefully under hospice care, yesterday, May 30, 2009.

I will add to this post later today.

For to me, to live is Christ and to die is gain.  But if I am to live on in the flesh, that will mean fruitful labor for me; and I do not know which to choose.  But I am hard-pressed from both directions, having the desire to depart and be with Christ, for that is very much better.  (NAS, Phil 1:21-23.

06
Jun
09

Tribute to Rev. Dr. Gary H. Wells, D.D., 1932-2009

It was my great honor to present the obituary tribute to my dear friend and colleague, Gary Wells, at his memorial service today at Northwood Christian Church in Springfield Oregon:

Gary Hale Wells was born Jan. 4, 1932, in Boise to E.H. and Ruth Williams Wells.  He died May 30, 2009 in Springfield, Oregon at the age of 77.

Gary grew up in Boise and his was active at Boise First Christian Church, which is now named University Christian Church.  Gary graduated from Boise High School in 1950.  Early in his high school years he met the love of his life, Hallie Morris.  They dated throughout high school and were married on April 22, 1951.

Gary and Hallie moved to Eugene, Oregon, where he attended Northwest Christian College, (now University) graduating with a Bachelor Degree in Theology in 1955.  Their first daughter, Linda, was born during their time at NCC.  While a student, Gary served at Pleasant Hill Church of Christ, co-ministering with the late Rev. Sam Anderson.  He also pastored at Irving Christian Church.

Gary had a passion for both ministry and education all his life. After graduating from NCC, they moved to Clarksburg, Indiana, which is near Indianapolis.  He earned his Master of Divinity degree from Christian Theological Seminary, followed by a Master of Science in Speech Communication from Butler University, both in Indianapolis.  At the same time he served as the minister of Clarksburg Christian Church.  The three boys, David, Timothy and Jonathan were born during their time in Indiana.  The family shared that Hallie typed all of Gary’s papers.   With all of that work, Hallie probably deserved an honorary degree, as well.

After having earned three degrees, and with six years in Indiana, the Wells prepared to enter full time ministry.  As all of you know, Gary and Hallie always approached each decision in their life with prayer.  At this important moment they were ready to serve God anywhere in the country.  Well, with the exception of California.

So, as you’ve already probably guessed, they were called to Oakdale, California.  Gary plunged into his new work.  In six years the church had grown to 150 members, built a building and the congregation was debt free.  Janet, daughter #2 and child #5 was born in Oakdale.

Gary’s next ministry was in Santa Cruz, on the California coast, at Garfield Park Christian Church (now named The Circle Church).  He served there for fifteen years, developed a successful small group model, and was known as a compassionate and skilled pastor and counselor.  It was also at Garfield Park that Gary pioneered the program called Associates in Ministry, which he continued after he came to Northwood.  Over 25 individuals have gone into the ministry as a result of Gary’s mentorship and that program’s impact, including our own pastor, Barry Lind.

In 1981, the Wells decided it was time to try a new road on their journey.  They moved to Eugene.  Northwood was looking for an interim minister at the time, and Gary and Hallie agreed to accept that call.  What no one realized that it would end up being a 13 year interim.  All right, not really, because the church called him to be the senior minister.  During his ministry here, along with his pastoral leadership, Gary helped Northwood grow from a small neighborhood congregation transitioning into its second generation to a church positioned to grow into a significant community presence.  He continued the AIM program offering NCC students the chance to explore ministry.  Gary also began his very popular “Walk Through the Bible.”

At the same time, true to his love of higher education as well as ministry, Gary became the chaplain at Northwest Christian College.  That is where our lives intersected, because I was the Vice President and Dean of Students at NCC while Gary served NCC students as chaplain, counselor, and taught on the faculty in speech communications and pastoral ministries.  He was a wonderful colleague and we spent many hours working together.  Gary retired from NCC in 1993.

He continued his pastoral work for another two years, retiring in 1995 from Northwood.  NCC granted him a richly deserved honorary Doctor of Divinity Degree in 1996.  His citation stated:

Gary Hale Wells, (NCC ‘55), minister, retired, is awarded the doctor of divinity, honoris causa, in honor of distinguished leadership within the church and the community.  Twenty-seven men and women, most of them Northwest Christian College students, have participated in a ministry training program designed by Gary.  The internship combines mentorship with academic requirements and practical aspects of ministry, and result in highly motivated and capable ministers early in their careers.

Gary and Hallie spent the years of their retirement active in the lives of their children, as well as the life of the church.  As pastor emeritus, Gary served with the same integrity that he had served throughout his ministry.

That is a brief walk through the life of Gary Wells, lover of Christ, husband, father, grandfather, greatgrandfather.  Pastor, educator, leader, man of integrity.  One who lived the fruits of the Spirit and dedicated his life to help others find that Christ who gives those same fruits to all who love him, too.

For to me, to live is Christ and to die is gain.  But if I am to live on in the flesh, that will mean fruitful labor for me; and I do not know which to choose.  But I am hard-pressed from both directions, having the desire to depart and be with Christ, for that is very much better.  (NAS, Phil 1:21-23.

07
Jun
09

The Fight of Our Lives for the Fight For Our Lives

Here it comes: the fight of our lives for the fight for our lives:  Universal health care.

Despite the incredible amount of evidence that health care in America is a disaster, a terminal disease on a social scale unprecedented in history, that annually millions of lives are ruined, physically and financially by lack of access or restricted access to health care, what I call the Hegemony of Profit Before Health is preparing to attack without mercy.

Listen carefully to the rhetoric that the Hegemony will blast at you in the coming days and weeks.  It will not be about health.  It will not be about solutions for the common good.  It will not be how to create the healthiest America possible within a generation.

No.  The rhetoric will be  about frightening you into resisting changing the status quo.  The rhetoric will be about confusing you what the real issue is:  denying your inalienable right to be as healthy as possible.  The rhetoric will be about preserving a diseased system that holds you in its grip to the enrichment of a few–and sustains a diseased population to guarantee that enrichment flows in perpetua.

This is the fight of our lives.  This is the fight for our lives.  This fight will likely determine if America remains pre-eminent among the nations: more important than the fight against terrorism, more important than saving the economy, and just as important as protecting the environment.

The fight for universal health care will determine whether or not you, your children, and your children’s children will be among the healthiest people in the world with America as its strong and sure leader, or relegated to third world status, of ever declining health, a land held hostage like cattle in a factory farm, weakened by design to sustain the Hegemony of Profit Before Health.

My life is at stake.  Your life is at stake.  I choose life.  I choose a healthy America, strong into the future, the standard for health care in the World.  I choose universal health care.

09
Jun
09

Senate Democrats’ Plan for Universal Health Care: The First Look

The Senate Democrats have released their first look at a Bill that would provide universal health care.  Subtitle B, which I’ve copied below really provides the crux of the plan.  Sorry about the line numbers–they didn’t copy consistently but the text is converted from a PDF file.  Read down at least to the section titled, “Sense of the Senate,” and you will see what is the goal for the act in general (it’s in bold face).

I did a quick scan of the 615 page document (and I do mean quick).  What will now be really interesting is how much of it survives, or survives intact.

Get ready for the Republican Buzz Saw Crowd to come out screaming, and the anti-universal health care lobby will unleash their version of the Hounds of Hell to howl about impending  apocalypse if it’s passed.

I suggest ear plugs.  There are some really good things in this act.  I feel healthier already!

Here’s the link: Affordable Health Choices Act

Subtitle B—Available Coverage for

2 All Americans

3 SEC. 141. ASSUMPTIONS REGARDING MEDICAID.

4 (a) ASSUMPTIONS UNDERLYING POLICY.—The Com

5 mittee on Health, Education, Labor, and Pensions of the

6 Senate assumes that the provisions of the Affordable

7 Health Choices Act will be considered by the Senate as

8 part of legislation that amends title XIX of the Social Se9

curity Act to implement the following policies:

10 (1) All individuals currently eligible for Med11

icaid will remain eligible for Medicaid.

12 (2) All individuals will be eligible for Medicaid

13 at income levels up to 150 percent of poverty.

14 (3) Improvements will be made in processes to

15 facilitate enrollment in Medicaid.

16 (4) States will be required to maintain levels of

17 eligibility with regard to beneficiaries currently en18

rolled in Medicaid.

19 (5) Criteria utilized to establish income levels

20 for eligibility for premium credits in a Gateway may

21 also be used to determine eligibility for Federal pro22

grams operated under titles XVIII, XIX, and XXI

23 of the Social Security Act.

24 (6) States will received a Federal medical as25

sistance percentage of 100 percent until 2015 for

38

O:\BAI\BAI09A84.xml [file 1 of 6] S.L.C.

1 additional costs of enrolling beneficiaries who are de2

scribed in paragraphs (2) through (4).

3 (7) Beginning in 2015, the Federal medical as4

sistance percentage for the costs of enrolling individ5

uals described in paragraphs (2) through (4) will

6 phase down to the percentage otherwise applicable

7 by 2020.

8 (8) An increased Federal medical assistance

9 percentage will be applicable to States that have in10

creased eligibility for individuals described in para11

graphs (2) through (4) prior to the date of enact12

ment of this section.

13 (b) RULE OF CONSTRUCTION.—The provisions of

14 title XXXI of the Public Health Service Act (as added

15 by section 143) shall be construed, for purposes of the

16 consideration of the Affordable Health Choices Act by the

17 Committee on Health, Education, Labor, and Pensions of

18 the Senate, as if the amendments described in subsection

19 (a) have been enacted.

20 SEC. 142. BUILDING ON THE SUCCESS OF THE FEDERAL

21 EMPLOYEES HEALTH BENEFIT PROGRAM SO

22 ALL AMERICANS HAVE AFFORDABLE HEALTH

23 BENEFIT CHOICES.

24 (a) FINDINGS.—The Senate finds that—

39

O:\BAI\BAI09A84.xml [file 1 of 6] S.L.C.

1 (1) the Federal employees health benefits pro2

gram under chapter 89 of title 5, United States

3 Code, allows Members of Congress to have afford4

able choices among competing health benefit plans;

5 (2) the Federal employees health benefits pro6

gram ensures that the health benefit plans available

7 to Members of Congress meet minimum standards of

8 quality and effectiveness;

9 (3) millions of Americans have no meaningful

10 choice in health benefits, because health benefit

11 plans are either unavailable or unaffordable; and

12 (4) all Americans should have the same kinds

13 of meaningful choices of health benefit plans that

14 Members of Congress, as Federal employees, enjoy

15 through the Federal employees health benefits pro16

gram.

17 (b) SENSE OF THE SENATE.—It is the sense of the

18 Senate that Congress should establish a means for all

19 Americans to enjoy affordable choices in health benefit

20 plans, in the same manner that Members of Congress have

21 such choices through the Federal employees health bene22

fits program.

40

O:\BAI\BAI09A84.xml [file 1 of 6] S.L.C.

1 SEC. 143. AFFORDABLE HEALTH CHOICES FOR ALL AMERI2

CANS.

3 (a) PURPOSE.—It is the purpose of this section to

4 facilitate the establishment of Affordable Health Benefit

5 Gateways in each State, with appropriate flexibility for

6 States in establishing and administering the Gateways.

7 (b) AMERICAN HEALTH BENEFIT GATEWAYS.—The

8 Public Health Service Act ( 42 U.S.C. 201 et seq.) is

9 amended by adding at the end the following:

10 ‘‘TITLE XXXI—AFFORDABLE

11 HEALTH CHOICES FOR ALL

12 AMERICANS

13 ‘‘Subtitle A—Affordable Choices

14 ‘‘SEC. 3101. AFFORDABLE CHOICES OF HEALTH BENEFIT

15 PLANS.

15
Jun
09

1,935,960 Minutes Later: The Free Market’s Failure to Uphold the Right to Health From Day One

Correction: Bad math strikes again.  Please read the comment  submitted by Tyler, he correctly points out that my math in the title is wrong.  The number of minutes should be 116,157,600.  I decided to leave the post title as is (so this correction comment will make sense), but change it in the text.  And I have to admit, 116 million minutes is way more dramatic to the point! Now, on to this serious topic:

The United States Constitution will celebrate its 221st Anniversary on June 21, 2009.  It was ratified on June 21, 1788.

The Preamble of the Constitution declares,

We the People of the United States, in Order to form a more perfect Union, establish Justice, ensure domestic Tranquility, provide for the common defence, promote the general Welfare, and secure the Blessings of Liberty to ourselves and our Posterity, do ordain and establish this Constitution for the United States of America.

On June 21st, 116,157,600 minutes will have passed since it became the law of the land.  That is how long the Free Market System has had to figure out how to create a health care system so that every single American can live the healthiest life possible, out of which directly flows ”the general Welfare, secure the Blessings of Liberty to ourselves and our Posterity” for each individual citizen.

At the time of the official first census in 1790, the population of the United States was 3.9 million people, of course, not counting all the people they didn’t count.  Health insurance did not exist, although it had been conceived by an English doctor in 1694. Health care, prior to the modern age had been almost exclusively fee-for-service.  Today, after 221 years, the Free Market System has sucked up such huge chunks of the health care market into its for-profit maw, 50 million Americans cannot only not afford the fee-for-service for a visit to the doctor, they can’t afford insurance either.  And that appears to suit the aims of the Free Market System just fine.

In their minds they have succeeded.  They are the American Disease Industry.  Pain, suffering, disease, chronic medical conditions, a public clamoring for relief.  Pills, pills, procedures, tests, pills.  Newer, always newer.  Cutting edge–procedures must always be cutting edge.  Americans grows unhealthier by the year.  That’s the growth part of the plan.  It makes no difference that millions can’t afford care.  That’s a problem for the non-profits to handle.  How they must smirk in their Board Rooms at the not-for-profits.  Unfettered by any meaningful regulation of their industrial juggernaut, they know they are the medical messiahs of the modern age.  They have the advertising campaigns to prove it.  The drugs must flow.  All hail the Free Market System.

So, 116 million minutes later this system is anything but free.  It is an engine for unfettered greed exercised by a few, distorting every good potential of free enterprise into power for themselves, privilege for themselves, and domination over all others.

It is a great business plan.  With one exception.  The American Disease Industry made one critical error.  They cured too many diseases.  And over the past forty thousand days or so, here and there, now and then, individuals realized they could be healthier.  And Americans have this thing about talking to each other.  Freedom of speech and all that.  But more importantly communications technology, advancing at a rate unprecedented in history.  Radio.  Television, Telecommunications, Satellites, computers, cell phones, fiber optics.  The Internet.  All over the world, people just like us were figuring this out.  They got healthier as we got sicker.  That had to change.  It’s not the American way.

We the People figured it out.  We could be healthier.  We wanted to be healthier.  And we didn’t want to continue to be the serfs of the American Disease Industry.  And we realized:

The Unfettered Market System, led by those who duplicitously espouse it as the purest manifestation of the Ideals of this Preamble, has failed utterly to fulfill its demands, to ensure without exception the rights it promises to every citizen to live in this “more perfect Union.”   These rights are not mere constructs of a clash of cultures in which Capitalism and Socialism battle for supremacy to the destruction of the other.  These rights are virtually what define us as human.

The Unfettered Market System has driven us back to the epoch of tyranny, to that moment before the Constitutional Clock began, not for the blessings of Capitalism, where profit flows like a great current feeding the abundant life in the ocean of time, but to a new and insidious feudalism, crushing the very People for whom that Preamble was written, the ones whose blood was shed in sacrifice for the Blessings of Liberty, under an economic millstone of debt, disease, subservience and corruption.

The Constitutional Clock still runs, no longer the notch of gears, but with the seething quantum foam of Cesium atoms.  So, too, We the People no longer will tolerate our rights being ground away by the Houses of Greed, old and festering, oppressing us as they did to untold generations for under the banner of the Divine Right of Kings, Robber Barons or faceless Global Megacorps.

We are people of the Light, riding the very photons that power the universe, shrinking our globe’s girth to micronic seconds, a web of bioluminescence that no tyrant of institution or government can control.  We the People, knowing we are the stuff of stars, knowing we are of a Most Splendid Spark, knowing within our minds is the brilliance of a pulsar, knowing within the form that makes me, me, and you, you, that our right to Life is the right to Health.

116,157,600 minutes into this great constitutional experiment called the United States of America, we claim our right to health.  And this minute is as great a victory over tyranny as the very first one!

03
Jul
09

Universal Health Care Confronts the Nuclear Option

The Nuclear Option (just for those of you who are stilled mired in Bush-speak, it is pronounced “new-klee-ur” not “new-cue-lar”).  In this case I’m not talking about the U.S. Senate rule called “reconciliation.”

No, in this case I’m wondering what is going on in the minds of those who have so adamantly and vociferously have opposed Universal Health Care in the United States.  Yesterday, Paul Krugman New York Times columnist, wrote in his blog,

Yes, we can

Get more or less universal coverage, that is. The CBO scoring on an incomplete bill sent everyone into a tizzy — and also led to an avalanche of bad reporting, with claims that it said terrible things about the public option. (There was no public option in the bill.)

Now the real thing has been scored — and it’s OK. Something like 97 percent coverage for people already here, at a total cost somewhere in the $1 trillion range. Bear in mind that the Bush tax cuts cost around $1.8 trillion over a decade. We can do this — and have no excuse for not doing it.

In the minds of the opponents of UHC, however, nothing has changed.  That’s what worries me.  In fact, as the evidence mounts that assuring every American has access to health care can be a reality and not doom the economy (as they have so desperately hoped), the opponents are realizing the End-Game is upon them.  They are losing.  Not only has every traditional method of obstruction not worked, or not worked well, the vast majority of Americans are solidly against them.  Heard any good anti-health care spin from Rush, Karl, John Boehner, or Mitch McConnell in the past couple of weeks?  If they were gaining ground with their argument, neither the election in Iran or Michael Jackson’s death could drown them out.  Not even South Carolina Governor Sanford’s adventures in Wonderland would diminish their clarion call for Big Medicine.

Their voices have faded to background static.

Do not assume for a micro-second they have given up.  They are preparing the Nuclear Option.  One all-out attack on universal health care, with no regard for collateral damage, just the health of America.  In the Board Rooms of the Insurance Megacorps, Big Pharma, Corporate Hospitals, and dozens of other stakeholders firmly anchored in the Status Quo, they are planning to bring this down.  Once and for all, to obliterate the very notion of universal health care so completely, that  it will never threaten their companies and profits again.

Am I paranoid?  Well, even if you are not paranoid doesn’t mean they’re not out to get you anyway.

I’m not paranoid, actually.  I’m well read in organizational theory (it was the corner stone of my doctoral dissertation in educational policy and management), and I understand how organizations respond in unstable ecologies and economic turbulence.  When resources are threatened, the people running the organization will tend to react in predictable ways.  When the operational environment changes more quickly than expected, or in ways unanticipated, the predictable management responses are more and more stressed.  If those responses lack the ability to guide the organization through transformational change (like, oh, General Motors), the likelihood of the company failing is very high.

Keeping all that in mind, when the entire global environment, e.g., the country’s health care system, begins to collapse because of a rapid set of ecological changes so powerful the only way to survive is to change transformatively (an analog of the evolutionary concept of “punctuated equilibrium”), only those institutions that have the capacity to change at the same rate and direction required for survival will likely survive.

How, then, does the Nuclear Option fit in this model?  Organizations use their resources to influence and improve their ability to survive in the existing ecological conditions, and eliminate competition for both the resources they need to exist and to improve their chances for greater access to those resources.  But here’s the rub: Organizations are “communities of fate.”  They are actually aggregates of individuals whose investment (personally and professionally) in the success of the organization varies from person to person.  In a corporation, those who have have highest investment are typically the Board of Directors and the Shareholders.  But they have to rely on managers and workers, to both produce and protect their investment.

The managers and workers have a much different perspective on the degree to which they consider the company their community of fate.  When the organization encounters increasing turbulence in its environment, the willingness of the people actually doing the work to cast their fate to ensure its success is much less certain.  If the situation worsens to the degree the survival of the company is in question, the confidence the managers and workers have in the Board’s decision making ability to, specifically save their jobs, can change very quickly.  Some workers will leave the company and look for more stable employment.  Others will stick with it until the bitter end, if it comes to that.  But if you work for an Enron, the house of cards can collapse on top of you regardless of your loyalty.

The pressure on the Board and the managers to keep the organization both alive and solvent can increase rapidly, especially in the situation where the environment and resources are changing at a rate unprecedented in history.  Even organizations that survived earlier transformational evolutionary changes may not survive the current one.  Because of the anxiety generated by the environmental turbulence, the shareholders put more pressure on the Board and managers to preserve their investment and continue to pay dividends.  The workers who are loyal to the company also put pressure on their supervisors to help preserve their jobs.  But loyalty to the community of fate by the worker is always much riskier, because the Board and the managers can, at  any time, cut positions that can eliminate the most loyal employees under the stated intent of protecting the viability of the organization by reducing personnel costs.  This trauma to the community of fate, however, is no guarantee the organization will survive the changing ecology.  It may, instead, guarantee its demise.

Now, here’s the part, as I build the case for the Nuclear Option, that I as an organizational theorist suggest sets the stage:  The critical decisions of the Board over time to adjust to the turbulence is a not a function of taking the most conservative stance in context, but is a function of the individual members of the Board and the Executive Managements’ ability to manage their anxiety in the midst of the turbulence, and at the same time abandon the mimetic* solutions traditionally used to control that anxiety across the organizational or industrial environment.  [*mimesis: from "mime."  A concept in organizational ecology that says Company A will observe Company B, and adopt a successful process to "avoid reinventing the wheel."  Over time this mimed process may become an industry standard.  The down side is that when the environment changes, continuing to adopt the mimed process may limit innovation and increase the chances of organizational failure.]

Therefore, if the individuals on the Board and the Executive Management fail to manage their anxiety about the turbulence and the implications of transformative change in motion, and as they realize their historical resources for influence (i.e., lobbying) are waning, they will tend to take the most conservative stance to defend the survival of the organization, and that stance will tend to be to preserve the status quo at all cost.  As organizational rigidity increases, adaptibility and innovation are stifled.

The door for the Nuclear Option is now open.  Why?  Because the real-life environment to which we are applying my theory is not  just one company; we are applying it to a multifaceted industry that has for decades successfully resisted and obstructed the move toward universal health care.  And they know that by conspiring together and pooling their resources, they can potentially create a huge wall of resistance.  This strategy has a flaw, however.  A significant percentage of companies in the industry are supportive of UHC, and are already changing the practice of their organizations to successfully ride the transformative wave.  This fact only serves to increase the opponents’ anxiety.  Who has the most to lose?

The portion of the industry that opposes UHC has powerful political and social connections.  The Republican Party, although reduced in its influence at the last election still has significant resources at its disposal, as well as a core of voters, who for numerous reasons at least state they don’t want to pay for UHC.

This set of circumstances, powered by huge finances, politics, ideology, and desperation creates the possibility that those who have the most to lose as they perceive it are going to try and “drop the bomb” on the universal health care.  Whether they make their move before the Congress acts, or, have a strategy to destroy it even after it has been signed into law, I can’t tell.  But I believe they are well into their planning and will indeed act.

A final note.  Another principle, not from organizational theory, but from psychohistory, is also undoubtedly in play in this situation.  Speaking not literally, but figuratively:  “Violence is the final refuge of the incompetent.”

07
Jul
09

Radiation Sniffer: On Alert for the Nuclear Option

In my post of July 3, I made the bold suggestion that the various Big Medicine groups could very well be planning to “drop the bomb” on the whole effort toward Universal Health Care, either before the legislation was finalized and voted on, or perhaps even after.  I called this the “Nuclear Option.”

Do not assume for a micro-second they have given up. They are preparing the Nuclear Option. One all-out attack on universal health care, with no regard for collateral damage, just the health of America. In the Board Rooms of the Insurance Megacorps, Big Pharma, Corporate Hospitals, and dozens of other stakeholders firmly anchored in the Status Quo, they are planning to bring this down. Once and for all, to obliterate the very notion of universal health care so completely, that it will never threaten their companies and profits again.

The question is, in all fairness, even though my hypothesis using organizational theory predicts the likelihood of an attempt to prevent UHC from becoming law, or destroying it after it is passed, is there any evidence to support it?  I also stated,

The door for the Nuclear Option is now open. Why? Because the real-life environment to which we are applying my theory is not just one company; we are applying it to a multifaceted industry that has for decades successfully resisted and obstructed the move toward universal health care. And they know that by conspiring together and pooling their resources, they can potentially create a huge wall of resistance. This strategy has a flaw, however. A significant percentage of companies in the industry are supportive of UHC, and are already changing the practice of their organizations to successfully ride the transformative wave. This fact only serves to increase the opponents’ anxiety. Who has the most to lose?

The political and economic environment is volatile and turbulent.  What I needed was a “radiation sniffer,” so to speak, a virtual monitor that would look for “leakage” that might be evidence of the Nuclear Option being planned.  At the same time, I needed an operational definition for “sniffing radiation” that would naturally provide boundaries against my finding “evidence” under every rock just to prove my hypothesis.

That set up two basic choices.  One would be to look for evidence that claimed outright that this group or that was planning to use their version of the Nuclear Option.  The other was to look for evidence that the players known to be facing the biggest losses were playing their game very close to the vest; in other words to look for evidence where what was not being said was more important that what was.

I chose the second.  This is why:

Therefore, if the individuals on the [Big Medicine] Boards and their Executive Management fail to manage their anxiety about the turbulence and the implications of transformative change in motion, and as they realize their historical resources for influence (i.e., lobbying) are waning, they will tend to take the most conservative stance to defend the survival of the organization, and that stance will tend to be to preserve the status quo at all cost.

And, the status quo has been for decades to work politically behind the scenes through lobbying and other forms of influence.  The job of the Public Relations department is to create a public face for the organization that oozes altruism and the common good over the corporation’s true mission to make as much profit as possible using every Machiavellian principle in the book.

Preparing the Nuclear Option requires planning, stealth, subterfuge, and sleight of hand.  In Board rooms around the country listen for the clink of glasses filled with expensive hooch, accompanied by the toast, “They’ll never see it coming!”

Am I skeptical and mistrusting of organizational motivations?  Of course I am.

Here is my first example for possible radiation, in a piece written by David Herzenhorn and Sheryl Gay Stohlberg for the New York Times, July 7th, titled “Health Deals Could Harbor Hidden Costs:”

Rather than running advertisements against the White House, the most influential players in the industry are inside the room negotiating with administration officials and leading lawmakers, like Senator Max Baucus, chairman of the Finance Committee.

“The very groups we have been talking to have been the most vocal opponents of health care reform; they are now becoming the vocal proponents for health care reform,” said Rahm Emanuel, the White House chief of staff.

How very “chummy” of them.  Sniff, sniff.

The Radiation Sniffer is now fully operational and on-line.  Watch for more to come.  Or if you find something interesting, send to me and I’ll check it out.

11
Jul
09

Dining While the Restaurant Burned

All right, I’ll admit up front, I’m not talking conflagration here.  Neither were any babies or puppies/kitties/endangered [fill in the blank with your favorite species] rescued at the last moment from a fiery demise Bruce Willis style.

Nevertheless, the restaurant was on fire.  Firefighters showed up in full gear, while we sat and dined and watched them go about their business of putting it out.

It all started when my wife and I decided barbecue sounded better than the Chinese buffet.  It just happened that the two restaurants were in the same shopping strip.  And we made the decision as we pulled into the parking lot.

The place is called Howling Coyote Texas Style Barbecue.  It is one of my favorite haunts in Springfield and has great smoked barbecue.  I’d give you the link to the website, but they don’t have one.  However, Eugeneified!, one of the local on-line restaurant reviewers reviewed Howling Coyote and loved it. Click here to read their review.

We walked into the restaurant and the dining room was smoky.  Not the normal “we cook smoked barbecue meats here” smoky, but literally smoke was escaping from the top of the smoker cooker.  Our first impulse was to turn right around and head for the Chinese buffet, but a glance around the dining room revealed no evacuation drill was in process, so for some inexplicable reason, we stood in line and ordered.  Keeping an eye, of course, on the foot-long line of smoke continuing to be emitted from one edge of the cooker.  My wife made a passing comment about carbon monoxide, but it was our turn to order, so after another glance around the dining room, with no one showing any particular signs of distress, such as glazed eyes, acute respiratory failure, or passing out and falling face first into their side of coleslaw, we ordered our meal.

Granted, by now the room was getting pretty smoky.  Providentially, at that moment, one of Springfield’s finest, in full firefighting array walked in with his infrared heat monitor, and pointed it at the growing area of discoloration on the smoker’s wall.  I sneaked a peek at the monitor’s display over his shoulder, and, yep, it was glowing red hot.

Half expecting him to say “Folks, we need you to leave the building while we check this out,” I was glad I’d just filled my glass with Diet Pepsi so I’d have something to sip on while we stood out in the parking lot.  Instead, he walked over and propped open the door and disappeared.  Half a minute later, one of his crew appears, props open the other side of door and started a gas-powered suction fan, a good four feet in diameter, and inside of a minute, easy, the air in the restaurant was clear.  That was good, because if you’re old enough to remember a 4-engined DC-6 airliner starting up, you’ll have some idea of how loud the fan was.

Beverages in hand my wife and I seated ourselves and watched the firefighters come in and out the restaurant checking over the whole place very thoroughly.  Finally the smoke stopped coming out of the smoker, and it was somewhat of a relief to hear the manager and the fire guys discussing the fact that this was not normal.

Our food arrived, and despite the floor show, er, the unscripted drama playing out before us, the meal was its usual delicious fare.  I had the boneless ribs–fantastic! The real downside was the flies.  As soon as the doors were opened to blow the smoke from the room, the flies who had undoubtedly been willing to sacrifice their dipteric selves on the glass to get to the the glorious feast inside, made a run (a fly?) for it.  So we ate swatting at the tiny beasties who had achieved their destiny in life for a chance at real smoked barbecue meat.  For you fly lovers out there, unlike with President Obama, no flies were killing in the eating of this meal.  I’m evidently just not that fast.  One of those eye-hand coordination things.  Or so I choose to believe.

Besides, having lived in Texas for three years, and eating some pretty darn good barbecue in places that still had sawdust covering the floor to soak up the grease from the rib bones thrown under the table, flies are a normal part of the ambiance.

Turns out, there was a malfunction in the burner box of the smoker.  Way in the back, evidently, but they got it put out.  I was kind of hoping the firefighters would at least haul some hoses through the dining area.  That would have been worth getting the cell phone out and taking some video, but to no avail.

As we finished our meal and left, my wife and I agreed, eating at the Chinese buffet would not have been nearly so entertaining.

19
Jul
09

Sniffer Report: Health Care Nuclear Option Radiation Detected

To my Dear Readers: Just wanted to let you know this is the first in a series of reports.

Here is my first Sniffer report in which I suggest I have detected indicators (radiation) that the opponents of health care reform are going to try to kill it.  I call it the “nuclear option,” an all out, once for all attack that will destroy any chance of true health reform being implemented, and to ensure that Universal Health Care never becomes a reality.   As I stated in my earlier post, I assumed the opponents would operate behind the scenes as they have always done.  So to provide myself a reasonable boundary against common every-day paranoia, I decided to search for evidence of what is not being revealed by sniffing for the presence of influence not being stated, which should have a distinct “odor.”  I can’t prove I’m right, of course, but I can look for the radiation being emitted as the nuclear weapon is assembled and prepared for deployment.

My exhibit “A” is this snippet from New York Times columnist, Paul Krugman, posted on his blog on July 17:

Will the destructive center kill health care reform? It looks all too possible.

What’s especially galling is the hypocrisy of their claimed reason for delaying progress — concern about the fiscal burden. After all, in the past most of them have shown no concern at all for the nation’s long-term fiscal outlook.

One sign of radiation is applying a delaying tactic.  The opponents want more time to not only maneuver, but to try to sway public opinion.  In this case they are desperate because they know 72% of Americans support health care reform that includes the public option.

Stuart Rothenberg of the Rothenberg Political Report told ABC News on July 19,

“The deadline is artificial but it does reflect a reality and the reality is the longer this drags out, the less likely that the president will get exactly what he wants and all that he wants,” Rothenberg told ABC. “Look, there’s still a very good chance that we’re going to get a health care bill either later this year or a next year bill.”

“There’s going to be some sort of reform, I think most people believe, but in terms of the dramatic program, policy changes that the president wants, the longer this lasts the less likely that something dramatic is going to truly be passed and be signed,” he added.

Rothenberg, writing in his Report on July 16 stated,

Fundamentally, Republicans believe that while the Obama White House has been politically astute in promising that people happy with their current health care plan can keep it and that any new program won’t add to the deficit or require a major tax increase, the Obama plan will result in nothing less than government takeover of health care.

And Republicans think that time is on their side, which is why the Castellanos memo insists it is crucial for Republicans to slow down what it calls “the Obama experiment with our health.”

“Even voters who support a ‘public plan’ think Obama and Congress are moving too fast, with reckless speed, risking a huge part of our economy and our health care, when they don’t know what reform would really bring,” the memo says. “If we slow this sausage-making process down, we can defeat it, and advance real reform that will actually help.”

You can read the Republican Plan (all three pages of it) and come to your own conclusion about “reform that will actually help” by clicking here.  I thought the underlining was particularly helpful. . .

CNN reported on July 16, in an article titled “Real Battle Over Health Care About to Begin,” corroborates Krugman’s assertion:

Even some Democrats are up in arms over a recently unveiled health care reform bill in the House.

A leader of the conservative “Blue Dog” Democrats told CNN on Wednesday that he and other group members may vote to block the House Democrats’ health care bill from passing a key committee if they don’t get some of the changes they want.

Asked whether the Blue Dogs on the Energy and Commerce Committee are considering voting as a group against the bill if it remains unchanged, Ross replied, “absolutely.”

“We remain opposed to the current bill, and we continue to meet several times a day to decide how we’re going to proceed and what amendments we will be offering as Blue Dogs on the committees,” said Rep. Mike Ross, D-Arkansas.

Ross said the bill unveiled Tuesday by House Democratic leaders did not address concerns he and other conservative Democrats outlined in a letter late last week to Speaker Nancy Pelosi.

The conservative Democrats don’t believe the legislation contains sufficient reforms to control costs in the health care system and believe additional savings can be found.

CNN goes on to report that the Soft Drink Industry is planning ads to oppose the legislation:

Special interest groups are also affected.

Beverage companies are running a TV ad opposing one congressional proposal that would pay for reform, in part, with a soft-drink tax.

“This is no time for Congress to be adding a tax to the simple pleasures we all enjoy … like juice drinks and soda,” the announcer in the TV ad says. “Taxes never made anyone healthy.”

This next item comes from the Insurance & Financial Advisor Web News.  They quote Newt Gingrich, former Speaker of the House, from an interview on CBS’s “Face the Nation” on June 7, 2009:

“If you think the government can’t run General Motors, why would you think they can run health care?…[A government-sponsored insurance company is] just the first step toward a national health system,” he said according to a transcript of the program. “I mean, they will absolutely use that model… to destroy all the insurance companies and get to a national health system.”

And now, an introduction to Rick Scott, who is very publicly leading the charge against any form of Government subsidized health care and health care reform.  This is from Washington Post staff writer, Dan Eggen:

The television ads that began airing last week feature horror stories from Canada and the United Kingdom: Patients who allegedly suffered long waits for surgeries, couldn’t get the drugs they needed, or had to come to the United States for treatment.

“Before government rushes to overhaul health care, listen to those who already have government-run health care,” intones Rick Scott, founder of a group called Conservatives for Patients’ Rights. “Tell Congress to listen, too.”

Scott, a multimillionaire investor and controversial former hospital chief executive, has become an unlikely and prominent leader of the opposition to health-care reform plans that Congress is expected to take up later this year. While disorganized Republicans and major health-care companies wait for President Obama and Democratic leaders to reveal the details of their plan before criticizing it, Scott is using $5 million of his own money and up to $15 million more from supporters to try to build resistance to any government-run program.

The campaign is being coordinated by CRC Public Relations, the group that masterminded the “Swift boat” attacks against 2004 Democratic presidential candidate John F. Kerry, and is inspired by the “Harry and Louise” ads that helped torpedo health-care reform during the Clinton administration.

In this piece, from MSNBC/Associated Press, Rick Scott’s “Swift Boat” ad is mentioned as well as two more players, Art Pope and James Miller:

The ad with Shona Holmes — who says she borrowed and saved money for a crucial operation in the United States — exemplifies how groups are intent on bending the debate toward their agendas.

Its sponsor, Patients United Now, is an offshoot of the Americans for Prosperity Foundation, a privately funded, Washington-based conservative group that believes in limited government and cutting taxes. Among its directors are businessman and conservative activist Art Pope and James C. Miller, a top Reagan administration official.

Slippery slope?

The group says it has spent nearly $1.8 million running the ad in Washington, D.C., and 11 states with senators on committees writing health care bills or ones seen as wavering. Patients United spokeswoman Amy Menefee says the ad is fair because giving government more control over health care would be a slippery slope toward increasing the federal role, and because some Democrats still favor government-only insurance.

Dominating the spending among opponents is Conservatives for Patients Rights, led and largely financed by Rick Scott, who was ousted as chief of the Columbia/HCA health care company during a fraud probe that ultimately saw the firm plead guilty to overbilling charges. Spokesman Brian Burgess says the group has spent over $4.5 million on TV ads that have run hundreds of times this year, mostly criticizing public health coverage.

Incidentally, The Canadian Broadcast Company (CBCnews.ca) ran this same AP story under the headline, “Canada Again Cast as Villain in U.S. Health Care Fight.

USAToday published an article, “Advertising Wars Escalate in Health Care Fight” that provides more details of the players entering the field in opposition to  reform in one respect or another:

This week’s entries have been the most pointed so far this year. The U.S. Chamber of Commerce ran a full-page ad in Roll Call, a Capitol Hill newspaper, opposing the employer mandate and public insurance plan. “Health care reform that punishes employers would be bad for the economy and jobs,” the ad warned.

The National Federation of Independent Business ran an ad in The Hill, a similar publication, and plans an Internet ad next week. “We need to make it really clear that a mandate will kill jobs,” spokeswoman Stephanie Cathcart said.

The GOP ad ran Wednesday on cable TV as ABC aired a town-hall-style meeting on health care from the White House. “When he says ‘government option,’ that means putting government bureaucrats in charge,” the ad intoned.

So far, insurers have kept their money on the sidelines. “It’s still early in the process,” says Robert Zirkelbach of America’s Health Insurance Plans. “We haven’t taken anything off the table.”

A group called Conservatives for Patients’ Rights, headed by former Columbia/HCA Healthcare executive Richard Scott, is launching a round of 30-second cable TV ads in 11 states next week. The ads target 14 senators who could help decide the fate of Obama’s public option. Scott’s group has spent more than $1 million a month since March, much of it his own money.

Last month, a group called Patients United Now joined the ad wars in opposition. It’s backed by Americans for Prosperity, a conservative group headed by political strategist Tim Phillips that claims more than 22,000 donors. One of its founders was David Koch of Koch Industries; two of its current directors are Art Pope, a North Carolina conservative activist and businessman, and James Miller, former budget director in the Reagan administration.

It’s clear a lot of people are ponying up a millions of dollars to oppose either the parts of health care reform that will affect their industry, or are in opposition to Universal Health Care.

Here is my Sniffer “Radiation Detected List” for this post:

  1. Blue Dog Democrats wanting to slow down the process or expressing “concern” over parts of the bill.  How much of that is genuine–the bills are massive documents–and how much of that is lobbying influence to give the opponents more time to prepare the Nuclear Option?
  2. The so-call advocacy groups, like Conservatives for Patients’ Rights, Patients United Now (backed by the conservative group Americans for Prosperity) are ramping up their ads to influence public opinion and have, in the “Shonna” ad,  even succeeded in really irritating the Canadians.  There appears to be LOTS of money coming from somewhere and it is likely from donors with big bucks who don’t want their identities ever revealed.
  3. Americans Against Food Taxes is not a grass roots organization, but a huge corporate consumer advocacy group encompassing virtually the entire Grocery Industry, their national associations , plus the U.S. Chamber of Commerce.  To their credit, however, they list all their members on their web site.  Their combined lobbying influence is simply huge.
  4. But here’s the comment in this post that sent the Sniffer Radiation Detector into the alarm mode:

So far, insurers have kept their money on the sidelines. “It’s still early in the process,” says Robert Zirkelbach of America’s Health Insurance Plans. “We haven’t taken anything off the table.”

The words, “We haven’t taken anything off the table” sent chills up my spine and set off the Radiation Sniffer like a red alert on the bridge of the Starship Enterprise.  Just what are they planning?

So what’s missing here?  Big Medicine.  And, yes, I’m aware the AMA has announced it is coming on board in support.  But should I say I’m just more than a bit skeptical about their sudden conversion.  Watch for the next post!

The Sniffer at Work.  Photo Credit: Smith Detection, Inc., U.K.

The Sniffer at Work. Photo Credit: Smith Detection, Inc., U.K.

Post Script:  Sen. Mitch McConnell, Senate Minority Leader, was on NBC’s “Meet the Press” this morning.  The New York Times reported that he said:

Mr. McConnell declared that the United States already had the best health care in the world and did not need an approach that would have the country’s hospitals and doctors “working for the government.”

Here’s the actual quote from the Meet the Press transcript:

Let me, let me just tell you what I think, David, if I may, is flawed about the whole approach. They don’t seem to grant that we have the finest health care in the world now. We need to focus on the two problems that we have, cost and access, not sort of scrap the entire healthcare system of the United States.

Sen. McConnell–If you don’t have access to the finest health care in the world, then you don’t have the finest health care in the world, regardless of cost.

18
Jul
09

Knob Heads Invade Eugene: Trash Food Pantry Delivery Vehicle

Sometimes, I just can’t stand it!  The Register Guard reported this morning on one of the most meaningless, imbecilic acts of vandalism I have ever read about.  Whoever did this was too stupid to even qualify for a hate crime.   They, and I’m assuming it was probably more than one person, broke into a RV owned by Eugene’s Relief Nursery. The Nursery uses the vehicle to distribute food to their clients:

The Relief Nursery helps parents in need with counseling, drug and alcohol recovery, parent education and other services. The food pantry dispensed emergency food and household goods such as laundry detergent and toothpaste. All families served by the pantry are extremely low income and have children age 5 or younger (emphasis added).

The knob heads smashed open the ceiling vent and proceeded to trash the interior, in an  psychotic food fight not even the likes of Animal House (which, BTW, was filmed here in Eugene) could have imagined. They attempted to start a fire to burn up the vehicle, but (fortunately) couldn’t even pull that off.  Then, evidently having vented their spleen, they left.  The idiots didn’t even steal anything.

Does any of this make even the remotest sense as to motive? Neither marauding baboons nor trash-diving bears are known to inhabit Eugene, so it had to be some form of human being.  Not even eco-terrorists would stoop so low as to destroy a RV that delivers food to little kids.  Here’s the picture from the article:

Chris Pietsch/The Register-Guard Surveying the ransacked interior of the Relief Nursery’s mobile food pantry, Executive Director Irene Alltucker looks up at the vent hole used by vandals to gain access sometime late Thursday or early Friday.

Chris Pietsch/The Register-Guard. Surveying the ransacked interior of the Relief Nursery’s mobile food pantry, Executive Director Irene Alltucker looks up at the vent hole used by vandals to gain access sometime late Thursday or early Friday. Picture Credit: Courtesy the Register Guard

In the spirit of the TV series, Connections, I also noted that the Guard published an article on the same day reporting on the result of a joint research project at Oregon State University and the University of Washington.  Testing untreated wastewater from communities in the state, the report found:

Researchers tested waste­water from 96 different cities for methamphetamine, ecstasy and cocaine in March 2008.

They found that cocaine use was higher in urban areas, while methamphetamine was present in both rural and urban areas. Ecstasy use was found at measurable levels in less than half of the communities that were tested, the majority of them in urban areas.

The Eugene-Springfield area was labeled a “high” use area among the communities that participated in the study, meaning it fell into the top third overall when it came to all three drugs.

Although I’m well aware that I’m making an assumption of correlation, I would bet that the perps had at least one of those substances running through their blood streams and wringing all reason out of their brains (probably with a blood alcohol content well beyond the legal .08% level added to the mind-altering cocktail).

One can only hope the knob headed vandals left finger prints all over the interior of the RV, and with a good chance of having priors, they can be apprehended.

In the mean time, I’m making a contribution to the Relief Nursery to help replace the food they lost.

26
Jul
09

The Myth of the Free Market Health Care Reform

I offer my readers two examples of why the “free market” system alone is systemically incapable of creating or sustaining any semblance of real health care reform:

  1. The free market requires that any product related to health care for real human beings actually is designed to make a profit for the owners/shareholders of that business.
  2. The free market requires that any product related to health care for real human beings actually is designed to make a profit for the owners/shareholders of that business.

That is not a typo.

“Hunter,” one of the contributors to the Daily Kos, wrote a letter to the President making his case for free market health care.  Here are his concluding paragraphs:

So, Mr. President, I write to you with this demand: we are not a socialist country, one which believes the health of its citizens should come without the proper profit-loss determinations. I believe that my healthcare decisions should be between me, my insurance company plan, my insurance company’s list of approved doctors I am allowed to see and treatments I am allowed to get, my insurance company’s claims department, the insurance company doctors who have never met me, spoken to me or even personally looked at my files, my own preexisting conditions, my insurance company’s crack cost-review and retroactive cancellation and denial squads, my insurance company’s executives and board of directors, my insurance company’s profit requirements, the shareholders, my employer, and my doctor.

Anything else would be insulting.

Hunter didn’t make this up.  This is, indeed, the reality of health care in the free market.  I urge you to read the complete letter.  You’ll love the part about the gold-plated utensils and its vital relationship to your health care dollar.

Paul Krugman, Nobel-winning economist and New York Times columnist, however, just puts the nails in the free market myth coffin:

There are, however, no examples of successful health care based on the principles of the free market, for one simple reason: in health care, the free market just doesn’t work. And people who say that the market is the answer are flying in the face of both theory and overwhelming evidence.

I urge you to read the complete post from Dr. Krugman’s blog.

It really comes down to this.  If you are chuckling, you understand that health care reform is about real people needing real medical care when they need it, without the cost or lack of access costing them their lives or livelihoods.

If you are experiencing blustery consternation and wanting to call me a socialist, communist, or worse (none of which apply, because I am a dyed-in-the-wool capitalist), you need to make a decision.  Do you want to live in a country that is healthy and prosperous because health care is delivered through a collaboration of the government, mission-driven non-profit organizations and private enterprise, or…

Well, do you want to or not?  The myth that free market health care reform will be achieved is dead.  As Paul Krugman points out there are many things the free market can do very well.  Health care is not on that list.

I care enough about you as a person and as an American to support a portion of my taxes being spent to ensure you can get the medical care you need when you need it, because I know in the long run we will be better off–you, me, and 300 million of our fellow Americans.

31
Jul
09

H1N1 Flu Vaccine: The CDC Gets it Right

You and I, right now, are living in the middle of a pandemic.   It’s in the news, but unless you are paying close attention above the noise coming out of Washington, D.C. on the East Coast, the media frenzy over Michael Jackson’s death on the West, or you folks in the middle of the country dodging humongous thunder storms, it may not be much on your personal radar.

But it should be.  Not at a Hollywood plague & panic mode, by any means, but H1N1 is a nasty virus.  As a chaplain, I have worked with several patients and their families who are being treated for H1N1.  Two were in our intensive care unit.  Both of these patients had developed pneumonia, and one was a pregnant woman (who had to be delivered early to save both her life and the baby’s).

In my 13 years as a chaplain, and having seen hundreds of cases of pneumonia, I was astonished–and I truly mean astonished–at how sick those two patients were (they both continue to recover. The infant did not have the virus.).   I can also say, that our patients generally match the age distribution and other physical conditions of those the Centers for Disease Control say are most at risk.

So, what’s a body to do?  First, go to http://www.flu.gov and check out the most current recommendations.  What prompted this post was this week’s announcemnt by the CDC of the priority list for who should get the vaccine when it becomes available.  Here is the list:

On July 29, 2009, the Advisory Committee on Immunization Practices (ACIP)—an advisory committee to CDC—recommended that novel H1N1 flu vaccine be made available first to the following five groups (News Release):

Pregnant women

Health care workers and emergency medical responders

People caring for infants under 6 months of age

Children and young adults from 6 months to 24 years

People aged 25 to 64 years with underlying medical conditions (e.g. asthma, diabetes)

Combined, these groups would equal approximately 159 million individuals.

You’ll see this is not the typical order for vaccination priorities, which is the elderly, people with certain other conditions that make them more susceptible, etc.  The reason for the change is very straightforward:  H1N1 infects a different set of demographics than the usual winter time influenzas.

This is where you need to pay attention.  H1N1 has idiosyncrises that we are not used to.   And the way it is spreading is one of those.  The CDC has provided a map so you can look at where the flu is having the most impact:

US Map H1N1 Flu Distribution 31Jul09.  Source: CDC

US Map H1N1 Flu Distribution 31Jul09. Source: CDC

Here is how to recognize possible H1N1 symptoms, from the CDC’s Website:

Emergency Warning Signs

If you become ill and experience any of the following warning signs, seek emergency medical care.

In children, emergency warning signs that need urgent medical attention include:

* Fast breathing or trouble breathing

* Bluish or gray skin color

* Not drinking enough fluids

* Severe or persistent vomiting

* Not waking up or not interacting

* Being so irritable that the child does not want to be held

* Flu-like symptoms improve but then return with fever and worse cough

In adults, emergency warning signs that need urgent medical attention include:

* Difficulty breathing or shortness of breath

* Pain or pressure in the chest or abdomen

* Sudden dizziness

* Confusion

* Severe or persistent vomiting

* Flu-like symptoms improve but then return with fever and worse cough

Protect Yourself, Your Family, and Community

* Stay informed. Health officials will provide additional information as it becomes available. Visit the CDC H1N1 Flu website.

* Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash after you use it.

* Wash your hands often with soap and water, especially after you cough or sneeze. Alcohol-based hand cleaners are also effective.

* Avoid touching your eyes, nose and mouth. Germs spread this way.

* Try to avoid close contact with sick people.

* If you are sick with a flu-like illness, stay home for 7 days after your symptoms begin or until you have been symptom-free for 24 hours, whichever is longer, except to seek medical care or for other necessities. Keep away from other household members as much as possible. This is to keep you from infecting others and spreading the virus further.

* If you are sick and sharing a common space with other household members in your home, wear a facemask, if available and tolerable, to help prevent spreading the virus to others. For more information, see the Interim Recommendations for Facemask and Respirator Use.

* Learn more about how to take care of someone who is ill in “Taking Care of a Sick Person in Your Home”

* Follow public health advice regarding school closures, avoiding crowds, and other social distancing measures.

* If you don’t have one yet, consider developing a family emergency plan as a precaution. This should include storing a supply of extra food, medicines, and other essential supplies. Further information can be found in the “Flu Planning ChecklistExternal Web Site Policy.

Related Media: YouTube: Symptoms of H1N1 (Swine Flu)

http://www.youtube.com/watch?v=0wK1127fHQ4&feature=channel_page

(Sorry, I couldn’t seem to get this video to embed.  Just click on the link to view it.)

The take home on this is simple: if you are in one of the groups designated as high risk for H1N1, get vaccinated as soon as possible when the shots become available.  If you aren’t in those first groups, don’t get your dander up.  The people who are in the high risk categories really are in danger of getting critically ill if they contract H1N1.  There will be vaccine available for you, too.

But keep in mind, even if you fall into the usual categories a for seasonal flu shot, the H1N2 vaccine will not replace your yearly dose.  For most of us, we’re going to be getting poked twice, just not all at the same time.

One last thing.  Go wash your hands.

Wash 'em Hand Washing Image: CDC

Wash 'em Hand Washing Image: CDC

05
Aug
09

Granny’s Safe UPDATED: Rebutting the “They’re Killing Granny” Lie by Health Care Reform Opponents

Me, Uncharacteristically Pertrubed

Me, Uncharacteristically Perturbed

Now, they’ve gone and done it.  I’m perturbed!

One of the provisions in the health care reform bills being worked on in both the House and the Senate is an incentive, to be paid by Medicare, for doctors and other providers to have a conversation every five years with aging patients regarding what they want for end of life care.  That’s the true part.  I discuss that below in detail.

UPDATE:  Oregon  congressman Earl Blumenauer (D-Dist 3) is the author of this section of the legislation. He states that he has been so frustrated by the Republicans’ distortions and lies of what he wrote that he has developed a Myth versus Fact Sheet that can be read by clicking hereRep Blumenauer wrote in his blog:

Those with no solutions and no answers for how to reform our health care system are hijacking positive, bipartisan efforts that have contributed to a strong bill passed out of two House committees. Republican leadership has abandoned all efforts at passing needed health care reform — even turning their attacks to legislation that has been actively crafted and supported by both parties.

One of these outrageous examples is my Life Sustaining Treatment Preferences Act.

GOP leadership has been gravely distorting the truth and misrepresenting the facts about this bipartisan effort, and in the process throwing members of their own party under the bus — those who have reached across the aisle to do something that will help Americans across the nation.

The bill simply provides people with better care as they grapple with the hardest health care issue of all — their final chapter of life. See the Myths vs. Facts sheet on this. CNN reporter Elizabeth Landau does a great job highlighting the benefits of “doctors and family members having more conversations about end-of-life issues,” which my bill addresses.

This bill has bipartisan support (the main cosponsor is a Republican doctor) as well as support from a diverse coalition like AARP, the American College of Physicians, and Catholic health systems. It is an area where — no matter from a red or blue state — many have been able to bridge the divide.

The bottom line: this is a smart and just thing to do for families going through a tough time.

Indeed, it is a smart and just thing to do.  Americans are known to be among the greatest death-deniers in the world.  This is very well documented.  Physicians, as  a profession are generally not trained in medical school to talk about dying with their patients, and the cultural norm “I’m going to live forever!” is especially deeply held by our doctors.  This, too is very well documented. (One exception I have knowledge of is at Oregon Health and Science University in Portland, where medical residents are trained how to talk to patients about end of life issues.  I have seen their video and am well acquainted with the faculty of the Center for Ethics in Health Care.)

But those who are opposed to health care reform are using our fears about death and distorting them into a malicious fallacy about the legislation’s impact on our lives.  One provision is for providers to have a discussion about end of life care with her or his patients.  As I explain below, this conversation is taking place every day thousands of times.  But for the opponents, it’s another item on their list to distort and spread fear to preserve the status quo, mainly their profit margain.

As Charles Blow, New York Times columnist, stated in his latest piece, “Health Care Hullabaloo:”

I must say that this says more about them than it does about any forthcoming legislation. Belligerence is the currency of the intellectually bankrupt [emphasis added].

Trapped in their vacuum of ideas, too many Republicans continue to display an astounding ability to believe utter nonsense, even when faced with facts that contradict it.

This scare tactic is becoming ubiquitous, as expressed by a woman at a Raleigh, NC town hall meeting with President Obama, reported by ABC News reporter, Jake Tapper:

At the AARP town hall meeting last week, a woman named Mary told the president that “I have been told there is a clause in there that everyone that’s Medicare age will be visited and told to decide how they wish to die. This bothers me greatly and I’d like for you to promise me that this is not in this bill.”

“You know, I guarantee you, first of all, we just don’t have enough government workers to send to talk to everybody, to find out how they want to die,” the president said. “I think that the only thing that may have been proposed in some of the bills — and I actually think this is a good thing — is that it makes it easier for people to fill out a living will.”

After explaining what a living will is, and that he and his wife each have one, the president said, “I think the idea there is to simply make sure that a living will process is easier for people — it doesn’t require you to hire a lawyer or to take up a lot of time. But everything is going to be up to you. And if you don’t want to fill out a living will, you don’t have to…But, Mary, I just want to be clear: Nobody is going to be knocking on your door; nobody is going to be telling you you’ve got to fill one out. And certainly nobody is going to be forcing you to make a set of decisions on end-of-life care based on some bureaucratic law in Washington.”

Check out the AARP’s Myths vs Facts site here.

Here’s the text (authored by Rep. Blumenauer) of the proposed “Americans Health Care Choices Act of 2009“  (beginning on page 425), the House version, regarding advanced planning:

‘‘(hhh)(1) Subject to paragraphs (3) and (4), the

term ‘advance care planning consultation’ means a consultation

between the individual and a practitioner described

in paragraph (2) regarding advance care planning,

if, subject to paragraph (3), the individual involved has

not had such a consultation within the last 5 years. Such

consultation shall include the following:

‘‘(A) An explanation by the practitioner of advance

care planning, including key questions and

considerations, important steps, and suggested people to talk to.

‘‘(B) An explanation by the practitioner of advance

directives, including living wills and durable

powers of attorney, and their uses.

‘‘(C) An explanation by the practitioner of the

role and responsibilities of a health care proxy.

‘‘(D) The provision by the practitioner of a list

of national and State-specific resources to assist consumers

and their families with advance care planning, including the national

toll-free hotline, the advance

care planning clearinghouses, and State legal

service organizations (including those funded

through the Older Americans Act of 1965).

‘‘(E) An explanation by the practitioner of the

continuum of end-of-life services and supports available,

including palliative care and hospice, and benefits

for such services and supports that are available

under this title.

What got me thinking about this post was this comment by the New York Times columnist, economist Paul Krugman.  In a posting to his blog titled “Even-handedness,” he wrote:

AP: FACT CHECK: Distortions rife in health care debate:

Opponents of proposals by President Barack Obama and congressional Democrats falsely claim that government agents will force elderly people to discuss end-of-life wishes. Obama has played down the possibility that a health care overhaul would cause large numbers of people to change doctors and insurers.

So Republicans are claiming that Obama will kill old people. . .

Having just watched Bill Moyers on his PBS program interview Wendall Potter, former CIGNA executive who just testified before congress on the unconscionable tactics being regularly and deliberately used by insurance companies to deny coverage their insureds have rightfully paid for, but will dent the companies’ profits, and how they are in an all-out campaign to destroy health care reform while duplicitously endorsing it, I wrote a comment on Krugman’s blog.

Well, this time he didn’t publish it (however he had recently published my comments on 1 August 2009: “Health Reform Made Simple.“).  I, however, back up all my comments on various blogs.  Here, then, is what I wrote:

The “They’re Killing Granny” Fallacy:

For over a decade, as a hospital chaplain, I have helped hundreds of Grannies complete their Advance Directives.  Often the doctor requests this conversation take place, because Granny has a medical condition that is approaching end-stage, or is already there.  The ideal is that Granny and her physician have already had a conversation about her declining health. The Advance Directive is one tool for her to use to determine the kind of medical care she wants OR doesn’t want IF she can no longer communicate her wishes about treatment.

The purpose of the provision in the bills is to provide an incentive to medical providers to talk with Granny regarding the choice of care she wants at the end of her life.  Why?  Because Americans are the worst death-deniers in the world.  We’ll do just about anything to avoid talking about dying and death.  And physicians are just as bad as the rest of us.

Let me repeat the purpose of the provision: The Doctor talks to Granny so she has a choice to decide what she wants.  The conversation is a huge benefit not only to Granny, so she can make her wishes known, but also to remove the burden from her loved ones of having to guess about the kind of medical care she wants IF she is dying and cannot communicate by any means.

Generally, the types of extraordinary treatments being considered are:

1. Being placed on a ventilator to support breathing.

2. Being fed through a tube.

3. Being provided medications or procedures that are specifically designed to cure the disease, or to artificially prolong the person’s life.

Here are the facts (and I’m assuming most other states are very similar to mine):

1.  Any person over the age of 18 can complete an Advance Directive.  It does NOT require being notarized, it does NOT require your doctor’s signature, and it does NOT require going to an attorney and paying a fee to fill out the form.  You can download your state’s form online, or pick up a free copy at a local doctor’s office, hospital, or public health office.  Be sure to give a copy to your doctor and to take it with you to the hospital if you have a procedure (my hospital will accept a mailed Advance Directive at no charge, even if the person has never been one of our patients).

2.  The purpose of the Advance Directive is to allow Granny to decide in advance if she wants to have extraordinary medical measures should she be clinically assessed as being in the process of dying AND unable to communicate her wishes by any means.

3. Granny in her Advance Directive can choose to have everything from no extraordinary measures to all extraordinary measures.  If Granny chooses not to have extraordinary measures, she will still receive full palliative care measures to keep her comfortable, clean, and to die as peacefully as possible.  Granny, hopefully, will have access to hospice to provide this care; it is already paid for by Medicare.

4.  Granny has the choice of appointing a Health Care Representative (usually a family member or very close friend) to be her “health care power of attorney” to speak on her behalf if she is too ill to communicate (but perhaps is not in a terminal condition), or to consult with her physician if she is in the process of dying.

5. Here are some of the key rules:

a.  Granny has the  right to decline to talk about her end of life with her provider.

b.  Granny has the right to decline to fill out an Advance Directive.

c. Granny must be mentally clear (alert and oriented to time, place, and self) to fill out the Advance Directive.  If Granny is suffering from dementia, or is confused or delirious due to some medical cause, she is not considered competent (at least in my state) to fill out the Advance Directive at that time.  If she clears mentally later, she may can complete the document.  If Granny’s condition is diagnosed as permanent (such as advanced Alzheimer’s), then the family may need to consider a guardianship, but that is another topic.

d. Granny’s doctor, or if she is in a facility, a facility employee, CANNOT be her Health Care Representative, to prevent any conflict of interest in determining her treatment.

Being at the bedside of a critically ill patient, likely to die, and supporting the family through the decision-making process of what to do, when Granny never talked about it is agonizing for everyone.  One conversation would have spared all concerned the pain of indecision and second-guessing.

The AARP states,

Bottom Line: Health care reform isn’t about putting the government in charge of difficult end of life decisions. It’s about giving individuals and families the option to talk with their doctors in advance about difficult choices every family faces when loved ones near the end of their lives.

That is compassionate health care.  It is no slippery slope toward euthanasia, and it is not killing Granny.  It is, however, a provision (already in place in many places around the country), to ensure that the majority of America’s Grannies, truly die in peace and dignity.

A Caveat: Yes, I live in Oregon, which has the ignominious distinction of being the first state in the country to permit suicide with the assistance of a physician.  I personally oppose the legalization of suicide by this means (or any other, for that matter).  My hospital, being a Catholic institution,  does not encourage or participate in assisting terminal patients to commit suicide.  But that is a topic, perhaps, for another blog in the future.

The moment Sen. McConnell and Rep. Boehner realize the "They're killing Granny" distortion has seriously backfired.  Photo: Life Magazine Archives

The moment Sen. McConnell and Rep. Boehner realize the "They're killing Granny" distortion has seriously backfired. Photo: Life Magazine Archives

They Judge Themselves

This level of greed and deceit is by no means new.  The actions of insurance company executives, strategists, and lobbyists, as well as the politicians who parrot their lies are condemned in this passage from the Book of Proverbs in the Bible:

A scoundrel and a villain, who goes about with a corrupt mouth, who winks with his eye, and signals with his feet and motions with his fingers, who plots evil with deceit in his heart–he always stirs up dissension.

Therefore disaster will overtake him in an instant: he will suddenly be destroyed–without remedy.

There are six things that the LORD hates, seven that are detestable to him:

  1. haughty eyes
  2. a lying tongue
  3. hands that shed innocent blood
  4. a heart that devises wicked schemes
  5. feet that are quick to to rush into evil
  6. a false witness who pours out lies
  7. and a man who stirs up dissension among [others].

Proverbs 6:12-19, NIV

In the article about the Seven Deadly Sins, regarding greed/avarice, Wikipedia writes:

In Dante’s Purgatory, the penitents were bound and laid face down on the ground for having concentrated too much on earthly thoughts.

“Avarice” is more of a blanket term that can describe many other examples of greedy behavior. These include disloyalty, deliberate betrayal, or treason, especially for personal gain, for example through bribery .

Take a look again at the section of the bill I quoted.  Read it over several times if you like.  Do you honestly see anything that even hints that the purpose or outcome of that provision will endanger Granny?

Granny is going to be so much better cared for under the new legislation.  Those who oppose health care reform and are lying to get it defeated are the ones who need to be worried.  Very worried.

Greed & Avarice.  Dante's Fourth Level of Hell.  Wood-cut Print, 1476

Greed & Avarice. The sixth of the Seven Deadly Sins. In this depiction, the damned are being boiled in oil. This image appeared in 1496 in Le grant kalendrier des Bergiers, published by Nicolas le Rouge in Troyes, France

I should say in conclusion that both my wife and I have advance directives.  So does my mom, the best grandma in our arm of the galaxy.

04
Aug
09

Hey! Yeah You–Click on my Chidren’s Miracle Network Social Vibe Widget! It’s Free!!!

Every time you click on the Childrens’ Miracle Network Widget in the right column, Sprint makes a donation to CMN.  No cost to you, big benefit to a lot of sick kids!

I’m setting a goal of 1000 clicks by September 30!

Click Now!  As the old saying goes, “Vote early and often!” And my most profound thanks for your generosity–Sacred Heart Medical Center is a CMN Network hospital. I’ve seen some of the fantastic medical devices the funds have purchased to help children heal and go home so they can be the kids they were meant to be!

PeaceHealth and Children's Miracle Network Parnership at SHMC

PeaceHealth and Children's Miracle Network Parnership at SHMC

One behalf of the little ones you will be giving a chance to have normal childhood, my thanks and God’s blessings upon you!

14
Aug
09

Support Children’s Miracle Network–Click on the Social Vibe Widget!

Every time you click on the Childrens’ Miracle Network Widget in the right column, Sprint makes a donation to CMN.  No cost to you, big benefit to a lot of sick kids!

I’m setting a goal of 1000 clicks by September 30!

Click Now!  As the old saying goes, “Vote early and often!” And my most profound thanks for your generosity–Sacred Heart Medical Center is a CMN Network hospital. I’ve seen some of the fantastic medical devices the funds have purchased to help children heal and go home so they can be the kids they were meant to be!

PeaceHealth and Children's Miracle Network Parnership at SHMC

PeaceHealth and Children’s Miracle Network Partnership at SHMC

Disclosure Statement: I have posted this Social Vibe sponsorship widget on my blog through my own initiative.  It is not part of a  campaign through my employer or a contest.  I receive no personal benefit or remuneration for hosting the CMN widget either from CMN or Sprint.

On behalf of the little ones you will be giving a chance to have normal childhood, my thanks and God’s blessings upon you!

15
Aug
09

Now is the Time: My Message to President Obama

President Obama, as part of his commitment to secure health care reform published an op-ed piece today in the New York Times, “Why We Need Health Care Reform,” laying out for the American people, and perhaps the world, the case for change.  I am a regular comment contributor to New York Times Op-Ed columns and below you will find the text of my comment.

I ended my comment with the statement: “Now is the time.”  There are times in the history of a nation, that certain reforms, regardless of the opposition, and, yes, even despite the fears of some must be overcome and guaranteed for all as part of the Common Good.  One of those times was the Emancipation Proclamation abolishing slavery.  One of those times was the ratification of the 19th Amendment of the Constitution of the United States granting women the right to vote.  One of those times was Brown v. The Board of Education decision of the United States Supreme Court that revolutionized equality in education for all U. S. citizens.  Many more could be mentioned.

Now is the time for health care to be added to those moments of sublime national change, to join those great reforms, cast as the finest, hardest steel into our Nation of Laws as an inalienable right and an eternal Blessing of Liberty.

Mr. President,

I work in health care, as a hospital chaplain, and I could give you a thousand more stories of real people whose lives have suffered and through their loss of quality of life and productivity America has suffered, simply because they could not afford health care.  I am blessed to work for a non-profit hospital system that treats every person who comes to us, but this is a burden that cannot be sustained.

I support health care reform, universal coverage, and the complete overhaul of our broken and unjust system.  I believe that health care is a constitutional right, just as freedom from slavery, women’s suffrage, and equality in education has become enshrined among the “Blessings of Liberty.”

I urge you to be courageous and strong to fight for every American’s right to medical care, as a blessing of Liberty that will build a foundation for a healthy America into the future.  Now is the time!

18
Aug
09

The Public Plan–Is Obama Capitulating or is This a Feint?

The media is all a-twitter (pun intended) over touting the demise of the Public Option in the Health Care Reform legislation, as if it were sliding toward the edge of the negotiating table ready to dribble over like a melted popcicle.  On the news I must have seen the clip where the President calls the plan just a “sliver” of the whole reform effort a dozen times.  Pundits are in full obituary mode.  Even the New York Times, a staunch supporter of the Public Option, is grief stricken.  Bob Herbert, in his column for August 18th, wrote,

The hope of a government-run insurance option is all but gone. So there will be no effective alternative for consumers in the market for health coverage, which means no competitive pressure for private insurers to rein in premiums and other charges. (Forget about the nonprofit cooperatives. That’s like sending peewee footballers up against the Super Bowl champs.)

It’s over.  The insurance companies are laughing all the way to the bank.  The clink of expensive brandy snifters raised in countless boardroom toasts is reverberating across the country.  The corporate jets are warming up on the  tarmac, ’cause it’s fiesta time for Big Medicine!

Have you heard Rep. John Boehner or Sen. Mitch McConnell whine about anything significant this week?  Have the shout-down disrupters in the Town Hall meetings gotten more strident?  Are the “experts” on Fox and CNN actually agreeing?  I even heard a PBS contributor use the term “panic” when referring to the president’s health care strategy.  Is Tom DeLay going to be on Dancing with the Stars?  I mean, if Tom DeLay “The Hammer” who almost certainly has been consulting with his Republican clients about how to kill the Public Option, has time to, well, uh, trip the light fantastic  on national TV, can there be any hope?  UPDATE: Chris Matthews, host of  “Hardball”  just named DeLay, “Twinkle Toes.”  I’m not kidding–check the transcript on MSNBC  for 8/18.

Hmm.   Well, I’m suspicious.  You see, in the days before the election (when Extreme Thinkover was still in its infancy) I posted a blog stating one of the most difficult things Americans would have to come to terms with, if Barack Obama won, would be the presence of a very smart president as president:

Make no mistake, this will be a shock to Americans if Barack Obama is elected, not because he is African-American, a Democrat, a liberal, or in the eyes of some, the Anti-Christ, but because he is smart.  That’s right, I said it plain and simple.  Barack Obama is a smart person, well educated, and has an intrinsic capacity for deep analytical thinking.

Now, I knew this would be a shock to Republicans, who had basked in George Bush’s inability to compose a coherent sentence, and Dick Cheney’s ability to snarl his victims into stone-like fear for the past eight years.  I, however, underestimated how much of a shock this would be to Democrats, who voted for Obama.  But I admit now that the Democrats in Congress are as much in shock.  They can’t seem to figure out to do with their success, AND a president that thinks complex thoughts and speaks, well, college-level English.

Back to health care reform.  I’m just thinking.  Why would a really smart politician like Barack Obama just waffle around on one of the key ideas of his health care plan?  Yes, I know, he can’t control all the political variables, and having majorities in both houses of Congress takes a while to get the kinks worked out.

So, is the dust-up over the Public Option the result of an inexperienced president, a disorganized president, a whatever president–panicked, sold out, capitulating?

Like John Stewart said, “I can’t tell if you’re a Jedi and ten steps ahead of this thing?”

Or maybe is this president well aware of this game of chess played on a shifting, multi-dimensional board, with changing rules and players, and working out his strategies many moves in advance, letting the different gambits and forays play themselves out, knowing full well what his end game will be and when to pull that trigger?

Capitulation or a calculated feint by a very smart man, who happens to hold the highest office in the land and is determined to get what he wants?

My take: Jedi Master and the Public Option: Yes.

23
Aug
09

How the Texas Long Horns and the TCU Horned Frogs Saved Health Care Reform

I just finished watching clips from NBC’s Meet the Press, which featured Sen. Charles Schumer (D-NY) and Sen. Orrin Hatch (R-UT) discussing the status of the “public option” in the health care reform debate. It wasn’t much of a debate, despite host David Gregory’s best effort to provoke something other than party-line blather from either senator.  He wasn’t having much success.

But then, seemingly out of nowhere, Sen. Schumer made a comment that snapped my attention to full alert. He compared the public plan competing against private health insurers with public and private colleges and universities.  (If you watch the clip, it comes right at 2:00 minutes.)  I had to back it up and watch it again to confirm I actually had heard him correctly.  Gregory didn’t catch it, which he should have; Sen. Hatch, if he caught the comment, either had no response, or was so close to dozing off, he just kept mumbling the same old script.  I couldn’t really tell.

Schumer’s statement was a new characterization; I hadn’t heard it before. I’m not sure he even recognized the significance of it.  But it is an intriguing way to look at the public option. And since my PhD is in Higher Education, this is something I actually know something about.

Every state in the country has private and public universities.  Take Texas, for example, where the idea of the public option is more anathema than the Long Horns losing to Oklahoma.  The University of Texas in Austin is a public university.  Texas Christian University (TCU) in Ft Worth, where I earned my Master of Divinity degree, is a private university.

Hook 'em Horns.  University of Texas Football

Hook 'em Horns. University of Texas Football

According to the prevailing dogma of Republican and Free Market devotees, the government should never be allowed to compete against free enterprise and the private market, because the government will always do it worse, waste vast amounts of money in the process and destroy competition, thereby threatening the American Way of Life.

Does the public university “system” in the country drive out the private schools by being too competitive for them to survive? They could in theory, because student tuition in the state schools is subsidized by taxpayer dollars (although that has been shrinking dramatically over the past twenty years–the states all too often are short on cash), attracting more students than the private schools. For example, UT is a lot bigger than TCU (50,000 vs 9,000!). But private colleges, which were the original American academic institutions (Harvard was founded in 1636), continue to compete and flourish, despite the apparent advantage the public schools have. The typical model for what we think of as a state college or university did not come into being until after 1862 with the passage of The Morrill Act.

TCU Frog Fountain and Campus

TCU Frog Fountain and Campus

There are a lot of reasons, but the one relevant to our discussion about health care is that federal financial aid creates portability and allows students to choose (in concept) to attend any school in the country. I have two degrees from private schools and two degrees from a public school. Why did I choose those schools? Because in each instance it offered the academic program I wanted to pursue. Federally funded financial aid guaranteed that I had a choice. That is higher education’s equivalent of a “public option.” (now this isn’t the place to argue about the issues in financial aid such as student loan debt, etc–it is beside the point for this discussion).

We come up with this formula, thanks to Sen. Schumer’s insight:

Federal F/A= Choice + Access + Desired University (public or private) + Academic Degree

So when we look at America’s higher education system, a combination of private and public institutions that arguably is the best in the world (granting it has its own imperfections and needs for reforms), which allow the schools to provide their services in a competitive but mutually beneficial market, and provides students (as consumers) a huge amount of choice, both in program and in cost, it is just plain wrong to say that “government” can’t do anything right and to assume that a public option would destroy competition in the health care market.  The success of higher education contradicts the assumption and renders it null.

We Horned Frogs are justifiably proud of our private Texas Christian University. But if I was a bettin’ man, I wouldn’t place a red-cent on a wager that a University of Texas grad, dead-set against the public plan in health care, would admit that his/her “government education” was inferior in any way, shape or form!

Therefore, applied to the Public Option, the formula becomes:

Federal Public Option= Choice + Access + Desired Coverage (public or private) + Appropriate Medical Care

Responses anyone?

TCU Horned Frog Mascot

TCU Horned Frog Mascot

Go Frogs!

30
Aug
09

Sniffer Report: The RNC Pulls the Trigger on the Nuclear Option to Oppose Health Care Reform—Or Maybe Not?

Sniffer Report: Revised and Updated:

Cue shrill klaxon.  “Detonation in three…two…one…Click…

If you are reading this post from my New York Times comment, “Majority Rule on Health Care Reform,” my guess is you’re madder than a hornet at my criticism of the Republicans, the Republican National Convention led by Michael Steele, and the entire congressional contingent of the GOP.

Sometimes, you write a brilliant, passionate statement, and, well, it doesn’t make it into the comments section of whatever Op-Ed to which you’re replying.  So, if you are reading this post, you’re, heavy sigh, just reading this post because you decided to visit Extreme Thinkover.  Thanks so much for that!  I also appreciate how many of my comments do get published in the New York Times Op-Ed pieces, as well as those by Paul Krugman, and other columnists.

So read what I wrote by clicking here, and then if you are madder than a hornet, etc.,  the next paragraph will make some degree of sense.

Good.  You should be mad.  Just not at me.  You see, for several months I’ve been following and analyzing the organized opposition to health care reform with a hypothesis.  I called it my “radiation sniffer” and even came up with a somewhat tongue-in-cheek image to accompany it:

The Sniffer: Ever vigilant for the tell-tale radiation signature of the nuclear device designed to kill health care reform in one massive blow.

The Sniffer: Ever vigilant for the tell-tale radiation signature of the nuclear device designed to kill health care reform in one massive blow.

The Opponents were planning to ramp up the rhetoric (little did I know how much shouting, screaming, enraged caterwauling that would really entail), and at some point, detonate the equivalent of a nuclear blast to destroy health care reform once and for all.  I’ve called it the “nuclear option.”   I assumed the GOP, in league with various elements of Big Medicine had a strategic plan, which was confirmed when Wendall Potter, former Cigna executive, described in detail how they developed and implemented exactly that.

I honestly thought finding evidence for the Nuclear Option would be tougher to ferret out.  Silly me.  What helped, however, is the proponents of health care reform are actually organized and have their own strategies for countering what the nay-sayers are putting out there.

The trick, though, has been looking for the trigger.  At first I thought it might be the whole, “killing Granny” gambit, but that had run out of steam by mid-August.  The Death Panels, a la Sarah Palin, was astonishing for the traction it got;  it was fun to say (deeeaaath paannnelll), and made a good chant for the Astro-Turfers, but I didn’t think it was the trigger.  Palin is just too much of a loose cannon to have been a key component in the Nuclear Option plan, though her rants probably helped the Opponents stay under budget on their advertising.  The whole Town Hall disruptor concept was really impressive on one level, because it covered the entire August Recess for Congress, but it got old, too, and with the exception of the wing-nuts carrying guns to presidential appearances (notice how deafeningly quiet the NRA has been on that whole thing????), even the recess-mania would have died out sooner.

The drone of the GOP representatives and senators, except when Sen. Grassley, and now Sen. Enzi, say something really inane, has become so much background noise.  Nobody’s heard anything from Boehner or McConnell in a couple of weeks.  Orrin Hatch and John McCain have been caught off guard because they had such good relationships with Teddy Kennedy, whose death from cancer, and valiant fight for life, has to have really messed up the Opponent’s playbook.  They started whining about “not politicizing” his death for Democratic advantage before the poor man’s body was even cold–that’s a clear sign of desperation.  It’s also not going to work.

Enter Michael Steele, chairman of the Republican National Convention.  As August has worn on, Steele has been more vocal.  But he’s got a problem.  He kind of talks with a logic that is a combination of George W. Bush and Sarah Palin, which is to say, unless he’s ticking off the predetermined talking points, he just doesn’t make very good sense.

And face it, he has gotten the whole Medicare thing tied into such a crazy knot, nobody knows what he really believes, much less what he means.  Unless the plan is to get everybody to confused: the Republicans can always claim they are right, which is certainly a possibility.  It doesn’t have to make sense, as long as you can talk in circles so circuitous people lose track of what you’re saying.  I think that’s called a shell game.  It’s great if you’re at a Penn and Teller show in Las Vegas, but if it is coming from the senior executive of a political party that can be elected to govern the country, it’s terrifying.

And now to the “Survey.”

Here’s the actual question #4:

The Worst Survey Question in the History of the World.  Courtesy of the RNC Health Reform Questionaire, August 2009.

The Worst Survey Question in the History of the World. Courtesy of the RNC Health Reform Questionnaire, August 2009.

So, is this the trigger to detonate the Nuclear Option?  Or is it a diversion thrown into the public arena by the GOP/Big Medicine operatives to pull our attention away from what really will be the blast to end all blasts?  It, of course, hit all the blogs, as well as John Stewart’s show, so if this is the trigger, whoever wrote the question will be nominated for the “Inartful Nincompoop” award by the National Association of Survey Question Writers.  It has been suggested that the government of Myanmar could use a survey question writer with exactly these skills.

Ah, but the question is: who will be revealed as having “suggested that the government would use voter registration, etc.?”

The drama is beginning to take on the scope of a Cecil B. DeMille film, only this time named “The Ten Survey Questions” with Michael Steele playing the part of Moses (now that Charlton Heston is dead–BTW, did they ever pry his gun from his cold dead hands–Has the National Enquirer cleared that up, yet?), pleading with Pharaoh Obama (this will send the birthers into fits of apoplexy; his forged birth certificate is from KENYA not EGYPT, you idiots!) to let his people go to escape the inglorious servitude and slavery to a world-standard health care, forced onto their backs by their Democratic taskmasters.

I hope they consult Google Earth before they go.  That last 40 years in the wilderness thing was a real drag.  Besides, mass migrations by 30 or 40 million Republicans with lots of guns and a big chip on their shoulders is going to have some logistic problems, let alone getting visas, parade permits for 40 million, all that stuff.  They can’t even go to Texas and secede.  The Constitution won’t allow it (I looked it up).

But here’s an idea.  Maybe the plan by the GOP/Big Medicine is to unleash ten plagues.  H1N1 already has some folks suspicious it’s a manufactured virus.  But that won’t work, because then you’d need lots of access to medical care for your own people so they’ll survive the plague (lamb’s blood over the door-casing isn’t going to work this time), and the government will have to coordinate the emergency care, and, darnit, you just have to stand on principle and oppose that.

The drama continues.  The Sniffer is working around the clock.

“The envelope please, Mr. Steele.  And the winner is…”   Click.

02
Sep
09

There Will Never Be Another Tax Cut

Huh??  What do you mean there will never be another tax cut? Congress can vote to cut taxes anytime it wants.  Have you lost your mind, Waggoner?

Consider this statement:

Using tax levels consistent with the past half century in America, then subtracting entitlement payments as currently promised for Social Security, Medicare and Medicaid, The Heritage Foundation (another conservative think tank) estimates that sometime just before 2020, there won’t be enough money in the federal treasury for anything but the entitlement programs.

It was written by Bruce Brattain, owner of Wisdom River Partners, who, among his many talents, is an elder care consultant.  Now, don’t roll your eyes over the word “consultant.”  Start reading a few of the pieces in his blog, aninconvenientbruce, and you’ll instantly realize, this is one very astute observer who has his finger on the pulse of a number of national issues.

And, just to entice you more to go read the entire article from which this quote was taken; it’s not what you think it is.

Now.  Please. Go read what Bruce has to say.  Oh, and be prepared to not only to have your assumptions challenged in a classic Extreme Thinkover manner, get ready to be entertained by a guy with one wicked wit!  Click here.

Then come back to my post for this:

Post Script:  I just watched PBS’s The News Hour:

In an ongoing series of conversations on health reform, Jeffrey Brown speaks with Robert Laszewski, a former insurance executive and skeptic of a public insurance option.

Laszewski, in this interview, lays out the manifesto for Big Medicine’s opposition to health care reform.  He is articulate, clearly believes in his cause, and goes over their case against the public plan point by point.

And proves the argument for implementing a public option in the health care reform legislation so beautifully, I almost jumped up from the couch to give him a standing ovation.

Huh?   Two times in one post?  Read the interview of Robert Laszewski, former insurance executive and Big Medicine consultant by Jeffrey Brown.  Click Here.

10
Sep
09

Looking Up–Seeing the Past and Pondering God

This week I inaugurated a new blog called “DÎSCÎ,” which is the Disciples’ Institute for Scientific and Cosmological Inquiry. (It is pronounced “dye-sigh”). The address is: http://www.disciforum.wordpress.com.  DÎSCÎ’s homebase is on The Intersection, which is a companion site for members and friends of the Christian Church (Disciples of Christ), sponsored by DisciplesWorld, an independently published print and online magazine for the Disciples.

I have, for some time, wanted to create a forum, an online institute in which people of faith could discuss the many issues regarding religion and science.  But my idea was to move beyond the creation-evolution debate and start a conversation of what it means to be a person of faith, particularly from the Judeo-Christian perspective in a universe that is very large, very old, and to give genuine credit to the advances in science over the past nearly 500 years.

I am grateful for the assistance of Rebecca Woods, who created The Intersection and serves on the DisciplesWorld staff, for her interest and encouragement in launching DÎSCÎ.  Here, then is the Inaugural Post of the Disciples’ Institute for Scientific and Cosmological Inquiry.

DĪSCĪ Space Theme

Looking Up–Seeing the Past and Pondering God

Day and night. The most important cycle that governs our lives. Our bodies are finely attuned to the light of day and the dark of night.  It is as natural as breathing.  We think of that 24 hour cycle as very simple.  The earth spins on its axis; part of its surface is always in light and part is always in dark.  It has been this way since the creation of the world.  Both of the creation stories in the Bible, in Genesis 1 and 2 use the word “day” to describe God’s creative activity.

There is, however, nothing simple about it at all.  The complex set of forces that keep us safely spinning around the life-giving warmth of the Sun are only now beginning to be understood.

Yet, because of its constancy, we take it for granted.

Let me ask you a question.  When was the last time, when you left your home after dark, that you actually looked up at the sky?  Not just a glance, but looked up with intention to see what, well, what you could see?

I’ll venture a guess: Probably only rarely.  If you live in an urban setting, the combination of light pollution and air pollution might make it nearly impossible to see much of anything.  If your home is in a rural part of the country, you may very well be able to see the starry arc of the Milky Way stretching from horizon to horizon.  And if you are fortunate enough to live or visit well away from a population center, the night sky can be so bright you hardly need a flashlight to move around safely.

Whatever you can see, though, when you look up into the sky is not the present but the past.  The photons hitting the retina in your eyes are all different ages even though every one of those photons is traveling at exactly the same speed–the famous speed of light, which is about 186,000 miles per second, or 300,000 km per second.  Astronomers call this “look back time.”

The light reflected from the moon takes just a tick over one second to reach Earth.  The Sun, some 93 million miles away, takes around 8 minutes. The farther the object is from me, the older the light is when it reaches my eyes.  When Earth passes by Mars (which is the fourth rock from the sun), the light takes anywhere between three and about six minutes to reach us, because both orbits of Earth and Mars are elliptical, just slightly egg-shaped.

If I point my telescope at the Andromeda Galaxy (also called M31), which even in my suburban backyard I can easily see, I am looking at light that is over 2.5 million years old!  And Andromeda is the closest spiral galaxy to the Milky Way.  In fact, Andromeda and the Milky Way are moving toward each other and some billions of years into the future, they will collide and merge.  Astronomers call it, somewhat tongue in cheek, “Milkomeda.”

Milky Way with Annotations. Generated from Spitzer Space Telescope Images
Milky Way with Annotations. Generated from Spitzer Space Telescope Images.  Our Solar System lives in the Orion Arm.

You get the idea.  The farther away the object is, the older the light is when it reaches Earth.

The other key concept is that everything in the universe is moving, and not just moving haphazardly, but expanding away from each other (the trajectories of some galaxies, like the Milky Way and Andromeda, will cause them to collide).  That’s what Edwin Hubble proved in 1925, using the Hooker 100 inch Telescope on Mt Wilson just up the hill from Pasadena, California, that was threatened by the huge “Station Fire” just last week.  This discovery led to the realization that the universe was expanding from a beginning point in space and time, which we now call the Big Bang.  And just a few years ago, astronomers discovered that the universe is not just expanding, it is accelerating.

What we’re interested in, though, is the Beginning, not the End.  Astrophysicists have wound the cosmic clock backward and come up with an age that the Universe is about 13.7 billion years old.  That’s old. Really old.  Can we see anything that old in the sky?  No, we can’t.  But modern telescopes have gotten so powerful that we can see a long way away and therefore back in time.  On September 2, 2009,  Prof. Tomatsugu Goto of the University of Hawaii released this photo of the most distant galaxy with a central black hole, and therefore oldest object ever observed.  It is 12.8  billion light years from us and the mass of the black hole is estimated to be  a billion times that of our sun.

QSO (Quasi-Stellar Object) The Largest and Most Distant Black Hole Galaxy Ever Imaged
QSO (Quasi-Stellar Object) The Largest and Most Distant Black Hole Galaxy Ever Imaged. 12.8 Bn LY Distant.  Photo: T. Goto, University of Hawaii.

Ponder this image for a few moments, as pixelated as it is.  This is the image of a real galaxy with a real black hole at its center (just like our galaxy has, by the way) that existed  billion years ago.

Here on Earth, which by comparison is only 4.5 billion years old, we humans–in particular we humans of the Judeo-Christian heritage–have viewed our universe as being, well, kind of cozy.  As the old saying goes, “God’s in his (sic) heaven and all’s right with the world.”  And although about 500 years ago that coziness began to be challenged and started unraveling when Copernicus published his “On the Revolutions” in 1543, we have been mostly content to think and talk about God in the way we always have.

Enter the dawn of the 21st Century. We are struck by the enormity of what  astrophysics has revealed to us; new discoveries make the news every week.  The universe is not cozy.  It is huge, old, complex, colder than we can imagine and hotter than we can imagine.  The very molecules that make up our bodies were born out of forces we can barely describe when stars blew themselves apart.

How do we talk about God in this kind of reality?  And life? Life on one planet in a universe that stretches 46.5 billion lights years in every direction?  How do you talk about God in this reality?

This is where we will start.  The Disciples’ Institute for Scientific and Cosmological Inquiry is officially open for discussion.

Before you answer, if you can, go outside and look up into the sky for a while, and ponder what is out there, as ancient photons hit your retina, and your brain translates them into the points of light we call stars.

17
Sep
09

Rebellion For or Rebellion Against? The Republican Party Puts America on the Knife Edge

The knife edge between the rhetoric of rebellion and inciting rebellion is sharp, ragged,  and stained with the blood of the innocent; the severing blow comes all too often from a hand unexpected and beyond the control of those speaking as the Advocates for that Rebellion’s Agenda.

Read this interview exchange between Rep. John Boehner (R-OH), who is the Republican Minority Leader of the House of Representatives, and Jeffrey Brown, of PBS’s The News Hour on September 17, 2009:

REP. JOHN BOEHNER: Well, I think — you’ve heard me over the last several months make it clear that we want Americans to involve themselves in this discussion, but it ought to be civil. And, by and large, almost all of it is. Oh, there’s going to be someone now and then who’s going to get out of control or yell, but we are in the middle of a modern-day political rebellion in America.

JEFFREY BROWN: Rebellion?

REP. JOHN BOEHNER: Rebellion. I’ve never seen anything like this. I’ve been around the country in a number of members’ districts, and I’ve been watching this grassfire grow all year.

And the American people, they’re concerned about what their government is doing. They know that these trillion-dollar deficits for as far as the eye can see, this is not sustainable. And they’re concerned that government here in Washington is getting too big, getting too much control, and they’re making their opposition to it known. And all of my colleagues have encountered their citizens more engaged than they’ve ever seen them.

Now, I went to a tea party in West Chester, Ohio, on September 5th, Labor Day weekend, along with some of my colleagues; 18,000 people were there. And there were some Democrats there and some Republicans there. But three-fourths of the people there were people — average Americans who’d never been engaged in the political process, really didn’t know much about it, except that they were concerned about where our country was going.

And so this conversation that’s underway is healthy for our democracy. It was Thomas Jefferson 220 years ago who said, “A little rebellion now and then is good for our democracy.”

Are Rep. Boehner, and the Republicans who advocate this language, rebelling for something or against something?  Are they fanning the flames of anxiety by the use of such words to what end?  I honestly can’t tell.  They cry “Give us back our country!” but what do they cite as evidence the country has been lost?  They cry “Don’t take away our guns!” and make threatening inferences, “We came unarmed…This time.”  They cry “Our constitutional rights are being squashed!” but I cannot remember a time when our constitutional rights were more protected.

What is the rebellion?  What is truly the word “rebellion” being used to communicate?

John Boehner, will you tell us the truth why you are using the word “rebellion?”

And here is why I make this demand:  The Declaration of Independence sets the standard for initiating rebellion against tyranny.  Rebellion is a just cause when a people are under the yoke of a government that deprives them of “life, liberty and the pursuit of happiness.”

The advocacy of rebellion for any other reason cannot meet that standard.

The advocacy of rebellion as a political means to bring down a legally and constitutionally elected president and government, because you refuse to abide by either the law or the Constitution as the Loyal Opposition, is not justifiable by the standard set forth in the Declaration of Independence, and guaranteed by the Constitution of the United States of America.

That is not rebellion, Mr. Boehner, that is revolution.  I pray that is not your true agenda.  For that you cannot control, and it will exact a cost you and all who follow you cannot pay.

24
Sep
09

Rocket Powered Camels

Okay, let’s start with the obvious.  The sun, the moon, planets and stars rise in the east and set in the west.  We all know this; everybody knows this.  Even before Copernicus, Kepler and Galileo (in the 1500s and early 1600s) figured out the motion was due to the rotation of the earth and not of a cosmic celestial bowl turning over a stationary earth, the day and night cycle was something everybody just knew because that’s what everyone observed, day after day.  And aside from the occasional comet or meteor shower, everything in the sky rose in the east and set in the west.  “Sicut erat in principio, et nunc et semper, et in secula seculorum. Amen.  Alleuluia.

What few astronomical references we have from the Bible, it’s always rise in the east and set in the west.  The passage in Joshua 10:12-15 doesn’t contradict this.  According to the text, Joshua asks the Lord to stop the motion of the sun and the moon “in the middle of the day” (v. 13a), and “[the sun] did not hasten to go down for about a whole day” (v. 13b).  Some day, huh.

Neither does the curious passage in Isaiah 38, in which the Lord directs Isaiah to tell the dying Hezekiah that the sign of his healing will be, “‘I will cause the shadow on the stairway, which has gone down with the sun on the stairway of Ahaz, to back ten steps.’  So the sun’s shadow went back ten steps on the stairway on which it had gone down” (Is 38:8).  Isaiah then heals the king’s near-fatal boil by applying to it a “cake of figs” (v 21).  That’s the NASB’s translation.  The NIV says a “poultice of figs,” but to my way of thinking the whole idea of a poultice has a much higher “yuck” factor even if it is more literal.  Of course, why they just didn’t do the whole fig-cake thing to begin with, we’ll never know.  Anyway, modern Astronomy doesn’t have an answer to either of these accounts, but it doesn’t matter.  The Israelites won the battle over the Amorites, and Hezekiah got a 15-year lease on life, so don’t knock it.

All right, where is this going?  I do have a plan.

Fast forward to the Nativity narrative in Matthew, with the Magi.  When Magi AstroConsulting ™ show up at Herod’s court in Jerusalem, they said they had seen this new star in the east, that according to their Cray Supercomputers, er, magination and divinations had determined it signified a new King of the Jews.  Aside from the fact this rather impolitic announcement spread like wildfire in all the local papyrus tabloids and cable TV talking heads, their announcement, was astronomically correct.

These astronomer/astrologers were east-centric.  From our modern perspective, space is a big, big place and the whole notion of the cardinal points of north, south, east and west, are not of much significance in a universe that stretches infinitely away on all vectors from our small blue dot. That’s for us landlubbers, anyway.  Navigation by air or sea requires the correct heading or bad things will happen.

But the guys at Magi AstroConsulting ™ lived in a much cozier universe, and predicting accurately what stuff in the sky came into view, when, and in what order made all the difference (not to mention keeping their heads connected to their necks).  Therefore, prior to the Copernican Revolution, the most important direction was EAST.  Besides with artificial lighting to accompany us at all times, we in modern culture rarely look up anyway.  What’s the point?  I’LL TELL YOU WHAT THE POINT IS…oh, sorry, I don’t want to cry and get my computer keyboard wet.

So the Magi see this star rise in the east and watch its track to where it sets in the west.  Although they couldn’t compute longitude (the vertical grid circling the globe), they could compute latitude (the horizontal lines), and throwing in a little astrology to plot which constellation signifies an auspicious event in the land of the Jews, they packed up their dromedarian SUVs and headed west.  ROAD TRIP!  The Route 66 of the Ancient World!  Destination Jerusalem!  On the way back, they’d hit Caesarea Phillipi, hang out on the beach, catch a few shows.  Some things never change.

The plot thickens, of course, because in present day, every off the shelf astronomy computer software program can calculate the night sky between 10,000 B.C. and A.D. 10,000 (10,000 C.E if you want to archeologically correct), and there were some very interesting things happening in the sky between 6 B.C. and A.D. 6., but we’ll deal with that story nearer Christmas.

And as for the star guiding the Magi caravan to the house in Bethlehem?  Well, there’s west (recall they were going west) and then there’s west.  Remember, the sun sets truly in the west only twice a year: at the Spring and Fall Equinoxes.  As soon as one deviates from true south or north in a westward direction, then one is “going” west.  That’s about a 180-degree variation of “westerly.”  So, despite the fact Bethlehem is slightly southwest of Jerusalem, it’s no big stretch to get everything to line up.  Of course, the Matthew narrative is much more satisfying, so since they found the right place, don’t knock it.

Double fast-forward to modern day.  I’m standing in my driveway looking west for the newest star in the heavens to appear.  Yes, west.  Didn’t seem right, with all I have just written, but west it was.  And it wasn’t really a star.  It was the International Space Station.  The fourth brightest object in the sky, and as well, only the fourth object in the sky to be visible in daylight (not counting the rare supernova or bollide meteorite).  Why west to east?  That’s the direction of the rotation of the earth.  It’s the rotation of the Jet Stream.  Spacecraft generally are launched with the earth’s spin.  Takes less fuel.  Launch to orbit in eight minutes.

So, there I was.  8:23 p.m. Pacific Daylight Time.  Out of the glow of the setting sun a golden star, the brightest object in the sky, soars overhead.  Fast!  Very fast!  About two and a half minutes from horizon to horizon.  I was stunned!  About it’s size.  Of it’s brilliance.  And of the implication that every few nights, when the clouds of the great Cascade rain forest part for even a few moments that I will be able to step outside and watch this golden orb slide overhead.

A naked eye object.  A real spaceship. A human presence in space.  Not science fiction.  Real.  Just step out of your home every few nights and look up.  You can check the schedule for your Zip Code by going to www.spaceweather.com and clicking on the “Satellite Flybys.”

And I imagined what the Magi might have thought if such a thing, this golden star had soared over their heads, west to east.  Going the wrong direction.  To follow that star, they’d need rocket-powered camels!

ISS Glides Over Butser, England.  3 Mar 09.  Credit: Martin Saban-Smith, http://www.m109.co.uk

ISS Glides Over Butser, England. 3 Mar 09. Credit: Martin Saban-Smith, http://www.m109.co.uk

29
Sep
09

Amputating the Finger to Save the Ring

There are many ways to do things wrong.  A couple of weeks ago I woke up with my left hand seriously swollen.  It was a reasonably good reproduction of the hand of the Stay-Puft Marshmallow Boy.  I headed to the Urgent Care Center to have it looked at.  The first thing out of the nurse’s mouth was, “We’re going to have to cut off your wedding ring.  If it cuts off the circulation anymore, you could lose your finger.”

Cutting off my wedding ring had not been part of the plan.  Although it was very tight, my ring finger didn’t hurt, and I just assumed the doctor would give me something to get rid of the swelling, my hand would return to its normal size, and I’d go my merry way.  Besides, having been married some thirty-two years, I’d guess that easily around twenty years had gone by since I’d even been able to get the ring off.

The decision actually was pretty easy to make.  Gold rings can be repaired and dead fingers can’t.  Within minutes, the nurse and her CNA were sawing away at my ring with a special device designed to cut the metal and not my finger.

Once the ring was sliced through, then came the hard part. Pulling the ring over my hyper-sized fleshy knuckle proved to be the painful part of the process.  As they say, see illustration below:

David's Swollen Hand and Ring Finger

David's Swollen Hand and Ring Finger

Within a few hours, my hand returned to its normal size and I retain a healthy ring finger.  My wedding ring can be repaired, as well.

But as I said in my lede, there are wrong ways to do things.  That happened today in the Senate Finance Committee when two different amendments for a public health plan, supported strongly by at least 65% of Americans according to recent national NYT/CBS poll, were defeated by a combination of Republicans (who have spent zillions of dollars as well as bazillions of hours trying to either wound to kill health care reform) and a group of Democrats (who, in the Senate, are referred to I think as Donkey Blue Dung Beetles).

Here’s my analogy.  The public option is the “ring finger” in the health care reform hand.  It is essential since people hands have had five fingers for a long time.  The ring finger, however, has become controlled by Big Medicine, and they have come up with this outrageous lie that their ring is soooooooo important and big, that the public plan ring finger should be amputated.  See illustration below:

Gigantic Engagement Ring. Credit: www.lovetoknow.com

Gigantic Engagement Ring. Credit: www.lovetoknow.com

Yep, save the ring; amputate the finger.  We won’t be able to  wear it on the hand, so we’ll just have to wear it like a crown, to remind us daily that Big Medicine is King/Queen of American Health Care.

Thanks, Max.  You’re doin’ a heckava job there making sure the American health care disaster is complete success.  Heckava job.

05
Oct
09

A Bible Only A Radical Conservative Could Love

The Conservative Bible Project has announced its intention to publish a version of the Bible that they believe will correct errors and translational biases caused by “liberal” agendas:

(Note: Links in the quoted passages go to Conservative Bible Project sites.)

Liberal bias has become the single biggest distortion in modern Bible translations. There are three sources of errors in conveying biblical meaning:

  • lack of precision in the original language, such as terms underdeveloped to convey new concepts of Christianity
  • lack of precision in modern language
  • translation bias in converting the original language to the modern one.

Of these three sources of errors, the last introduces the largest error, and the biggest component of that error is liberal bias. Large reductions in this error can be attained simply by retranslating the KJV into modern English.[1]

Gospel of John, Codex Sheef Manuscript; Source Unknown

Gospel of John, Codex Sheaf Manuscript; Source Unknown

Here is the list of deficiencies they believe infect current translations, especially the New International Version:

As of 2009, there is no fully conservative translation of the Bible which satisfies the following ten guidelines:[2]

  1. Framework against Liberal Bias: providing a strong framework that enables a thought-for-thought translation without corruption by liberal bias
  2. Not Emasculated: avoiding unisex, “gender inclusive” language, and other modern emasculation of Christianity
  3. Not Dumbed Down: not dumbing down the reading level, or diluting the intellectual force and logic of Christianity; the NIV is written at only the 7th grade level[3]
  4. Utilize Powerful Conservative Terms: using powerful new conservative terms as they develop;[4] defective translations use the word “comrade” three times as often as “volunteer”; similarly, updating words which have a change in meaning, such as “word”, “peace”, and “miracle”.
  5. Combat Harmful Addiction: combating addiction by using modern terms for it, such as “gamble” rather than “cast lots”;[5] using modern political terms, such as “register” rather than “enroll” for the census
  6. Accept the Logic of Hell: applying logic with its full force and effect, as in not denying or downplaying the very real existence of Hell or the Devil.
  7. Express Free Market Parables; explaining the numerous economic parables with their full free-market meaning
  8. Exclude Later-Inserted Liberal Passages: excluding the later-inserted liberal passages that are not authentic, such as the adulteress story
  9. Credit Open-Mindedness of Disciples: crediting open-mindedness, often found in youngsters like the eyewitnesses Mark and John, the authors of two of the Gospels
  10. Prefer Conciseness over Liberal Wordiness: preferring conciseness to the liberal style of high word-to-substance ratio; avoid compound negatives and unnecessary ambiguities; prefer concise, consistent use of the word “Lord” rather than “Jehovah” or “Yahweh” or “Lord God.”

The Conservative Bible Project evidently believes the eisegesis  and the imposition of political ideology, “conservative” take precedent in Bible translation rather than accuracy in communicating the author’s intent with the highest degree of integrity of possible, deliberately suppressing the urge to phrase the passage to one’s own ends.

Gospel of John, Egerton Papyrus.  Credit: http://historyofscience.com/G2I/timeline/images/egerton_papyrus.jpg

Gospel of John, Egerton Papyrus. Credit: http://historyofscience.com/G2I/timeline/images/egerton_papyrus.jpg

All Bibles have translational biases.  It is unavoidable.  The key is the intent of the translators and what they want to end up with.  For example, Martin Luther’s original translation of the Bible into vernacular German had passages translated in such a way that reflected his anti-Semitism.  He may or may not have been aware of them when he was working.  The Revised Luther Bible and the Today’s German Bible correct these biases.

So, let’s start with how to translate an ancient text.  You don’t start with an intermediate translation (such as the King James Version), you work with the oldest copies of the manuscript you can find.  Such as the Codex Sinaiticus, that’s now available online.  The most commonly used New Testament Greek source is the Nestle-Aland text.

Then you compare the different versions of these original language texts and look for variations.  You’ll find them, but biblical manuscripts tend to have fewer variants than other MSS from the same time periods.  The copiers were motivated to be accurate, and before the advent of printing, there were publishing houses producing multiple copies for sale, and they had proof-readers and editors.

In the case of the New Testament, you have four gospels, all written by different authors at different times.  Three of them, Matthew, Mark and Luke, used a common source, called “Q” by scholars (from the German word “Quelle” meaning source).  Q was a collection of the sayings of Jesus.  These three gospels are referred to as “The Synoptics” meaning from one view or source.  Unfortunately, no version of “Q” has survived or been discovered yet).  The Gospel of John approaches the story Jesus quite differently, but it, too, has the key common elements.  Think of it as giving a story pitch to Tom Clancy and Dan Brown.  They are required to follow the plot, but you end up with two quite different books.

What then do you do with the variants? You can throw them out (maybe the scribe was part of a “liberal” 12th Century publishing house) or you can look at how often that variants show up in manuscripts from different scribes.  If you decide your most reputable sources all include the verse, you generally will leave it in.  It is common for the “disputed” passages to be bracketed, such as the story of the “Woman caught in adultery” that only appears in the Gospel of John (John 7:53ff).  It does not appear in the earliest MSS, but after it does appears, almost all MSS include it.  As Net.Bible points out, it may come from an independent Jesus tradition, and though unlikely Johannine, it is thoroughly consistent with the acts of Jesus in numerous other passages.

Christ and the Adultress, Valentin de Boulogne, 1543.  Copyright: Getty Trust, Getty Images

Christ and the Adultress, Valentin de Boulogne, 1543. Copyright: Getty Trust, Getty Images

The Conservative Bible Project calls for explaining Jesus’ parables about money as “free market parables.”  They do not list any examples; however, I would counter that there are no “free market parables.”  All the parables that include an illustration of money are of the coming of the Kingdom of Heaven, how Christians are to think about God and treat each other as children of God, or are about stewardship.  Although Jesus commends giving liberally (sorry, just couldn’t help myself) and with generosity, he  is not giving a Dave Ramsey or Suze Orman seminar on investing or economics.  In fact, his anger and rampage over the money changers in the Temple is an example of Jesus condemning unchecked and unethical free market practices.

Their plan and intent, however, is far more dangerous than just spinning a passage to suit their ends.  What they propose is presenting another gospel.  Hans Kung, the preeminent German Catholic theologian, in his book, The Church (Verlag Herder KG, 1967) says this is schisma of the worst kind:

When the expression “heresy” is used in the New Testament, not in a neutral sense meaning “school” or “party”, but in a definitely negative sense, it implies something more than the word “schisma”. . .which indicates a “split” in the community based above all on personal quarrellings. “Heresy means a fellowship which questions the whole faith of the ecclesia by presenting “another gospel” (cf. Gal. 1:6-9), and which is therefore in opposition to the ecclesia (p 315).

Heresy? Perhaps, perhaps not.  But the authors of this version walk perilously close to “presenting another gospel” discounting 2000 years of scholarship and orthodoxy.

Fast forward to today.  One of the most common tools for studies of the Gospels is called a Gospel Harmony.  The complete text of all four gospels are lined up side by side, sometimes with the primary Greek MSS used for that translation, so you can read it to compare and contrast what the four authors wrote.

What I find interesting to the point of almost laughable about the Conservative Bible Project, is that the New International Version of the Bible was touted as the vanguard of conservative, evangelical translations when it was first published!

As for the cited example, “Father, forgive them, for they do not know what they are doing.” (23:34), not all early MSS include the verse, but the inclusion is based on sound hermeneutical principles

Translating any ancient document is complex.  Most works were written by a single author.  The Bible was written by numerous authors over a period of perhaps 1000 years.  The Conservative Bible Project, with what they list on their website, appears to lack the panel of reputable biblical scholars needs for an accurate translation, in addition to having a dubiously authentic rationale to remake this work into their own image.

If you want an English translation that was intended to be as accurate reflection of the best Greek sources, chose the New American Standard Bible (1960).  The “Updated Version” (1997) has retained that translation accuracy while creating a text that is more readable.  The 1960 version was often written in a style that was better “Greek” than it was English.  The Updated Version corrects this tendency.

The Conservative Bible Project is about to commit a travesty of Biblical proportions.

12
Oct
09

Sniffer Report: The Countdown to Annihilate Health Care Reform is Running

The Sniffer: Big Medicine's Atomic Radiation Detected!

The Sniffer: Big Medicine's Atomic Radiation Detected! Credit: Smith Detection, UK

Update: The Senate Finance Committee voted 14-9 today, 13 Oct, (Olympia Snowe, R-ME, was the sole Republican to vote with the Democratic majority) to pass the Health Care Reform Legislation they have been working on since January.

************

For years Big Medicine–led by America’s Health Insurance Plans (AHIP)–has been planning to obliterate the next attempt at health care reform.  I call it their “nuclear option.”

For the past year I’ve been sleuthing between the lines of the great media Sturm und Drang over health care reform legislation for clues to what AHIP was up to, which turned out to be far easier than I ever imagined. I assumed that they were trying to surreptitiously maneuver their anti-health reform nuclear device into position.  Only it wasn’t very surreptitious.  They were clumsy, overplayed their hand, their corporate brow becoming sweatier by the week.  So, today, AHIP released a study that was supposed to turn us all to stone.  Or something like that.  It had to be outrageously expensive to commission. Therefore the anticipated effect should have been just as extreme, reasserting their ascendancy over all things health care related.  MSNBC reported:

The study commissioned by America’s Health Insurance Plans marked a shift in strategy by the industry, which had been working for months behind the scenes to help shape health care legislation. With the Senate panel set to vote on legislation the industry fears could result in a loss of revenue, the insurers went on the attack, in dramatic fashion.

Maybe MSNBC can’t say AHIP’s plan has come apart at the seams, is in disarray, and the attack is a panic attack, but I can.  I’m writing political commentary.  AHIP should have called PhRMA and asked for a few semi’s filled with tranquilizers sent over to their headquarters.  But then AHIP would have to exercise rescission on itself for a pre-existing condition, a psychiatric anxiety disorder.  Or else, raise the rates on themselves so high for filing a claim that no one in AHIP could afford their own insurance.  To my way of thinking that leaves the Big Wigs of AHIP with the sole option of chewing on their fingernails.

Despite hundreds of millions of our health care dollars spent on lobbying and advertising by AHIP–the money we pay for the health insurance that is supposed to cover our medical costs–the wave of public sentiment, including many progressive politicians, for universal health care, a public option, and a right to medical care has grown higher and stronger.  It has begun to crest, a powerful rolling tube of determination racing toward the shore.

The strategies of Big Medicine, on the other hand, have been not at all as successful as they believed their money and influence should be.  They are angry; they are frustrated.  No one, they believe, has the right to interfere with their carefully crafted system that keeps the people at the top fabulously wealthy while the common rabble who pay them grow less and less healthy, creating desperation for medical care at any price those at the top choose to charge.  No one!  It must be stopped regardless of the consequences.

Today, instead of stunned submission, they got unbridled derision.

As reported by the Associated Press, the new report was immediately blasted for its conspicuous conspicuousness:

Questions about the technical soundness of the industry analysis by the PricewaterhouseCoopers firm was a big part of the discussion Monday. The release of the study late Sunday on the eve of the federal Columbus Day holiday had Democrats crying foul.

“The misleading and harmful claims made by the profit-driven insurance companies are politicking for corporate gain at its worst,” said Sen. Jay Rockefeller, D-W.Va.

You can read AHIP’s defense of the report by their spokesperson, Nancy Ignagni, who was interviewed by the News Hour’s Margaret Warner, by clicking here.  I watched the interview.  Nancy looked very grim and used lots of insurance jargon as a way to sound quite peckish and put-out with all of us mere peons who immediately recognized this report was the biggest crock of bantha poodoo since George the 43rd declared “Mission Accomplished” in, what was it, 1383.

Courtesy Getty Images

Courtesy Getty Images

Nevertheless, it is zero hour.  The anti-health care reform atomic bomb is in position.  AHIP has its finger on the button.  They will not be trifled with.  The so-called “report” (undoubtedly a work of fiction so cleverly devised it would make Dan Brown envious) is the start of the count-down clock.

Make no mistake about it.  AHIP will push that button.  Only the will of the American People, demanding from the President and the Congress no compromise on the establishment of Universal Health Care will determine whether or not the bomb goes off.

bravo_test_s atomic mushroom cloud

17
Oct
09

Sniffer Report: AHIP Pushed the Button and…

The Sniffer

The Sniffer

e=mc2 (Excessive-influence = moola x congressional-greed squared)

America’s Health Insurance Plans pushed the button on their “nuclear option” bomb to blast health care reform into oblivion.  The safety was released, the countdown went to zero, and “click!”

This is what AHIP and Big Medicine wanted to hear:

bravo_test_s atomic mushroom cloud(Click on the photo)

Instead they heard this, from the President of the United States:

In fact, the insurance industry is rolling out the big guns and breaking open their massive war chest – to marshal their forces for one last fight to save the status quo. They’re filling the airwaves with deceptive and dishonest ads. They’re flooding Capitol Hill with lobbyists and campaign contributions. And they’re funding studies designed to mislead the American people.

It’s smoke and mirrors. It’s bogus. And it’s all too familiar. Every time we get close to passing reform, the insurance companies produce these phony studies as a prescription and say, “Take one of these, and call us in a decade.” Well, not this time. The fact is, the insurance industry is making this last-ditch effort to stop reform even as costs continue to rise and our health care dollars continue to be poured into their profits, bonuses, and administrative costs that do nothing to make us healthy – that often actually go toward figuring out how to avoid covering people. And they’re earning these profits and bonuses while enjoying a privileged exception from our anti-trust laws, a matter that Congress is rightfully reviewing.

Don’t think for one second that AHIP has conceded or surrendered.  As the bills move through the process of being reconciled, the intensity of the pressure on Congress and YOU and ME, will intensify into a political nuclear storm, the likes of which we have never seen.  The days before the final votes in the Senate and the House will be filled with a Big Medicine-financed noise that would turn an Orc to stone.

President Obama, however, did not stop there:

Last November, the American people went to the polls in historic numbers and demanded change. They wanted a change in our policies; but they also sought a change in our politics: a politics that too often has fallen prey to the lobbyists and the special interests; that has fostered division and sustained the status quo. Passing health insurance reform is a great test of this proposition. Yes, it will make a profound and positive difference in the lives of the American people. But it also now represents something more: whether or not we as a nation are capable of tackling our toughest challenges, if we can serve the national interest despite the unrelenting efforts of the special interests; if we can still do big things in America.

I repeat here what I posted on August 15, 2009:

There are times in the history of a nation, that certain reforms, regardless of the opposition, and, yes, even despite the fears of some must be overcome and guaranteed for all as part of the Common Good.  One of those times was the Emancipation Proclamation abolishing slavery.  One of those times was the ratification of the 19th Amendment of the Constitution of the United States granting women the right to vote.  One of those times was Brown v. The Board of Education decision of the United States Supreme Court that revolutionized equality in education for all U. S. citizens.  Many more could be mentioned.

Now is the time for health care to be added to those moments of sublime national change, to join those great reforms, cast as the finest, hardest steel into our Nation of Laws as an inalienable right and an eternal Blessing of Liberty.


24
Oct
09

2009 Pandemic H1N1 Influenza A: A Balanced Presentation by a Family Practice Physician

Extreme Thinkover Guest Article

2009 Pandemic H1N1 Influenza A:

A Balanced Presentation by a Family Practice Physician

By John Bogen, MD; Northwestern University Medical School, 1994

I am a family practice physician who wishes to write a balanced presentation of facts – no fear mongering in either direction. In the article below I often use the misnomer “swine flu” since it is by this name that the general public has come to know this virus. I am not trying to be “politically correct” here – scientifically the virus has swine, avian, and human influenza virus components – it’s just too cumbersome and wordy to write “2009 pandemic H1N1 influenza A” when “swine flu” is understood. “Seasonal flu” refers to the strains of influenza we see in “non-pandemic” years.

Disclosure: I have no ties, financial or otherwise, to the government or pharmaceutical companies. I do own mutual funds which invest in thousands of different companies. I do not benefit financially if patients are vaccinated (reimbursement covers just the cost of vaccine, and there is no mark-up).

H1N1 Virus

H1N1 Virus

The virus which started this pandemic was first identified in Mexico in March 2009, and then in California in April 2009. Influenza vaccine takes 5-8 months to invent, test, produce, test again, manufacture on a large scale, allocate, distribute, and administer. The chicken egg-based process has its limitations. A case could be made to develop other methods to improve speed and allow people allergic to egg proteins safe access to vaccine.

Clinical trials of several thousand people show that the swine flu vaccine is safe, but it is reasonable to expect rare serious reactions to occur once millions of people are vaccinated. More commonly, some people feel arm soreness or generalized malaise for a few days after the shot. This is a reaction of the body’s immune system to the vaccine. You cannot get the actual influenza infection from either swine or seasonal flu shots. The vaccine will likely save tens of thousands of lives, some of them through herd immunity if a critical percent of people in communities get vaccinated. The absolute benefit of the vaccine will obviously be reduced by any delays there are in getting vaccinated.

Unvaccinated, the estimated case fatality rate for swine flu is similar (we won’t know more precise numbers for a few months) to the seasonal flu, “only” 0.01-0.1%. This is lower than in 1918, and comparable to 1957 & 1968. We can expect more people to get the influenza this season than in normal flu seasons since this is a pandemic – there is little natural immunity to this new virus in the general population. If 100 million (one third of the U.S. population) people get infected, this means approximately (ballpark figure; it won’t be 1,000 or 1 million) 10,000-100,000 deaths. The practical benefit for most people isn’t preventing hospitalization or death, but rather it’s like an “insurance policy” against getting influenza and missing a week of work or staying home to care for a sick child, or for that college student who doesn’t want to risk getting sick during final exams week in the heart of flu season.

The swine flu vaccine was 97% effective overall in triggering a protective antibody level in a clinical trial, 93% in the elderly. In real life, don’t count on numbers this good, maybe 90%. The seasonal flu vaccine is only 60-80% effective and even lower for elderly (as low as 30%). Herd immunity is very important for seasonal flu. Elderly seem to have some natural immunity to swine flu, and this may be due to the fact that variations of the 1918 H1N1 were in wide circulation until the 1957 pandemic of H2N2. Seasonal H1N1 disappeared until 1977, and ironically, may have reappeared due to accidental lab release. Surprisingly and dishearteningly, young and healthy people and pregnant women seem to be dying from swine flu, which is different from seasonal flu which mostly just kills elderly, immunocompromised (i.e. weakened immune systems), the very young, and those with serious underlying medical conditions (notably heart, lung, and dialysis patients).

A nice source of the latest statistics on the extent of pandemic influenza is http://www.cdc.gov/flu/weekly/ – note the time lag between the dates data are available for and the current date.

There is a Japanese study showing influenza vaccine saves lives. I include this because it demonstrates what happened when the shot was mandatory for school children, and then deaths increased after the shot was made optional. Also, there are no U.S. politics, drug companies, or conspiracies involved. http://content.nejm.org/cgi/content/full/344/12/889

washyourhands1Hygiene is the best way to avoid getting influenza (seasonal or swine). I’d suggest using a paper towel to touch faucets and doors in public places and avoiding shaking hands (just tell a white lie that you’re coming down with something, and this awkward impolite moment turns into a “thank you for being concerned about my health” moment). Grocery carts and groceries others (i.e. other customers, stockers, and the cashier) have touched are also sources of infection. Also, avoid touching your eyes/nose/mouth with unwashed hands. Cough and sneeze into your elbow. Disinfectant wipes are convenient and effective in situations where hand washing is impractical. Antimicrobial soap is not necessary.

Patients who decide to get the swine and / or seasonal flu shots should be aware that currently about 99% of flu cases are swine flu (a type of influenza A abbreviated as S-OIV H1N1 = swine-origin influenza virus H1N1). As we move into winter, we might see more seasonal flu strains (a different H1N1 influenza A, H3N2 influenza A, and influenza B). But, as per past pandemics, the new strain tends to dominate and replace the old strains in circulation in the community. Therefore, we could very well see that most cases this fall / winter are swine flu, and thus the swine flu vaccine might be more important to get than the regular seasonal influenza vaccine.

A study reported to me on 10/7/09 via email said that the seasonal flu vaccine might give partial protection against swine flu. An unpublished report from Canada shows the opposite effect – that one vaccine weakens the benefit of the other vaccine by half. In light of this uncertainty, some infectious disease specialists have recommended a 2 week delay between the vaccines. Practically speaking, this phenomenon will have already occurred in many situations due to the delays in receiving the swine flu vaccine from its foreign manufacturers.

The facts on the 1976 “swine flu” vaccine debacle (i.e. there was no pandemic, false alarm, different from 2009): 532 people got Guillain-Barre out of 40 million vaccinations, and of those, 32 people died. http://content.nejm.org/cgi/content/full/361/3/279 This year’s swine flu is very different from the strain in 1976. Since then, flu vaccines are associated with (not necessarily cause and effect) a 1 in 100,000 to 1,000,000 chance of getting Guillain-Barre. This is smaller than the chance of death from swine flu.

Most swine flu shots, and seasonal flu shots from multi-dose vials, have 25 micrograms (0.025 milligrams) of mercury in the form of thimerosal (contains ethyl mercury) as a preservative. The half life of ethyl mercury is 7 – 10 days, so it is out of your system within a few weeks (4 half lives). I believe it is safe according to research studies. Opponents of my view cannot cite any clinical study showing it to be unsafe. Here is one study showing that it is safe: http://content.nejm.org/cgi/content/full/357/13/1281 Due to public outcry, thimerosal has not been present in routine childhood vaccines since 2001 (some non-routine childhood shots do have thimerosal). The quantity of mercury is comparable to what we get from our environment (doesn’t necessarily make it O.K.) or food (e.g. a can of tuna).

Addendum:

The nasal swine flu vaccine has no mercury, but only a limited number of doses will be available. It is indicated in non-pregnant healthy people age 2-49. I am unaware of any reports of serious adverse reactions with the seasonal version of this vaccine in prior years or the new pandemic H1N1 nasal vaccine. There are some restrictions because it is a live-attenuated virus. http://www.cdc.gov/flu/about/qa/nasalspray.htm

Some anti-vaccine people are propagandizing the fact that the State of Washington suspended its strict law on legal limits for mercury content of vaccines. The 0.5 microgram limit was the equivalent of banning all vaccines with thimerosal. Some seasonal flu and most swine flu vaccines have 25 micrograms of mercury, thus lifting the ban was the equivalent of making those shots legal in Washington (they are legal in the other 49 states). Instead of being part of a “government conspiracy,” the State of Washington was actually getting in line with all the other 49 states, putting the decision whether or not to get the vaccine back in the hands of patients and their physicians. http://www.doh.wa.gov/cfh/Immunize/documents/parentinfo5305.pdf and http://www.vaccinesafety.edu/thi-table.htm.

I realize there are certain people that won’t believe medical facts because they don’t trust the government, pharmaceutical companies, CDC, WHO, doctors, the health system in general, etc. The current health care reform debate is fueling a lot of the rhetoric. The virus could care less about one’s personal politics. It’s a free country. Shots are not mandatory. And even if you get influenza you’ve got a 99.9-99.99+% chance of coming out fine. The swine flu will rarely kill humans, and the vaccine will have even fewer serious adverse reactions – for those few individuals, the flu season will be tragic. A non-medical analogy to this debate is playing the lottery – you cannot expect to win, but the investment is minimal when purchasing one ticket. Patients should make informed decisions about their health care based on unbiased facts, and I have tried my best to present what I feel to be relevant. Patients also should consult with their personal physicians to discuss their concerns. Regardless, I think we all should hope that the flu season is not too severe, and that the vaccine causes minimal problems.

Article printed with the permission of the author

07
Nov
09

The Numbers of a Miracle: 220-215

One step closer.  Not done, but one step closer.  Plenty of  opposition still left.  The Sniffer will remain vigilant.  AHIP, PhRMA, Big Medicine, U.S. Chamber of Commerce, the Anti-Reform PACs and Astroturfers.  Probably not their best day.

The House of Representatives voted, 220-215, and the Affordable Health Care for America Act, H.R. 3962, passed.

Universal Health Care took its closest step to being a reality in the history of  the nation.  We stand at the threshold of being a  healthier people.  Those determined individuals who through choice or calling have dedicated their lives to being healers today were honored.  Yes, honored.  A doctor, a nurse, an aide, a therapist of any stripe, even the chaplain, administrator, clerk, or support staff.  Even those in Big Medicine who dedicate their lives to creating the best medical care possible, despite the the greed that has held them hostage.  Today they were given a new legitimacy, not in what they do, they’ve always had that.  Yes, I know there are those who take advantage of the trust they’ve been given, or reach a point of compassion fatigue where they lose their edge. And make mistakes.  But that is not the point.

Tonight we celebrate the majority, who work and work and work that the sick and injured are given the chance to have their lives back, or to be given a life for the very first time.  Tonight, in America, the healers have a new identity.  Or nearly so.  Like the subtle change from night to twilight, that just perceivable shift from sky black to the dimming of the stars, the new dawn of medical vitality is just over the horizon.

The Caregivers’ dawn is rising.  America the healthy will soon rise right along with them.

Dawn with Star Pike Pictures UK

Dawn with Star. Image Courtesy: http://www.pikepictures.co.uk/prints

12
Nov
09

H1N1 Status: Updated with Latest CDC Data

Extreme Thinkover Guest Article

Dr. John Bogen, MD

Updated with the Latest CDC Data, November 12, 2009

What is the current status of the pandemic in the U.S?

The CDC reported that for Week 43 (ended October 31, 2009), both hospitalizations and deaths from influenza dipped slightly. A total of 18 pediatric deaths were reported for the week. Virologic surveillance of 14,151 specimens sent to U.S. labs for testing revealed that 37.2% tested positive for influenza, a slight decrease. Of those that tested positive, 0.3% were influenza B, and 99.7% were influenza A. Of the influenza A strains subtyped, 99.9% were the pandemic strain, and only 0.1% were strains associated with strains seen in prior seasons. http://www.cdc.gov/flu/weekly/

What do these data mean for the average patient? The seasonal influenza vaccine has so far had little value, since almost all the influenza currently circulating is the new pandemic strain. The pandemic vaccine has just now begun to be distributed and given to patients. We are still in the heart of the flu season. It is too early to tell from the data if the country itself has “peaked” in terms of the number of cases. There are also regional and local differences – some areas have already been hit hard, as evidenced by school closures. Other areas have not yet peaked. It is also too early to tell if the pandemic vaccine has made any difference in the overall numbers.

In usual “non-pandemic” influenza seasons, an estimated 36,000 deaths occur directly or indirectly from influenza in the U.S., with 90% of these in the elderly or in those with weakened immune systems. One piece of good news this season is that the elderly population seems to have some immunity to the pandemic H1N1 strain, probably due to different H1N1 strains that were in circulation until the 1957 H2N2 pandemic, at which time H2N2 replaced H1N1 as the seasonal strain. The bad news is that we are seeing more than the usual number of deaths in younger people (under age 65). People with weakened immune systems are still dying disproportionately, and we are seeing more than the usual number of deaths in previously healthy individuals including children and pregnant women.

According to a CDC report on November 12, 2009, here have been about 3,900 total deaths since the pandemic started. The estimated mortality rate has been about 0.022% for elderly, 0.024% ages 18-49, and 0.007% ages 0-17.

Data on vaccine safety are difficult to obtain at this time, since distribution of the vaccine has just begun. Several highly publicized anecdotes of serious reactions have appeared in the lay press. Most of these were with the seasonal vaccine. Ongoing clinical testing of the pandemic vaccine has continued to show good short-term safety. One must keep in mind that a temporal association between vaccine and symptom does not imply causality, but patients with serious reactions (e.g. anything more than local muscle soreness from the shot and the common few days of general malaise following the shot) can and should be reported to VAERS. It is quite obvious that, worst case scenario, that deaths from pandemic influenza greatly exceed the number of serious reactions from the vaccine.

The next few weeks will be critical. Between vaccine being distributed / administered and the pandemic running its course through communities, one would hope to see a downward trend in hospitalizations and deaths. The vast majority of unvaccinated patients who get pandemic influenza will be fine after a few days of misery. The vast majority of patients who get the vaccine prior to getting sick from pandemic influenza will not have a serious reaction to the vaccine and also will not get ill or die from the virus. If we see fewer deaths from influenza this season than the usual 36,000, that would be a good thing, but hardly a consolation to the families and friends of people who died from the pandemic.

If I may offer my educated opinion, I predict the pandemic strain will continue to be the dominant strain of influenza in the community. Next year’s seasonal influenza vaccine will include the current pandemic H1N1 strain (or a mutated version thereof that exists next spring), and influenza B. With luck, subsequent seasons will be mild because so many would have already gotten ill and developed immunity to the novel H1N1. The elderly will continue to have some natural immunity, and the vaccine and herd immunity will protect most of the rest of the population.