Archives for category: Medicine
We’ve painted ourselves into a corner with the outbreak of Covid-19 (aka Coronavirus). How much manufacturing previously done in the West is now (not being) done in China and other countries in Asia? We made a decision in the 80s that American manufacturing was too expensive and that we’d do better as industrialists and consumers to move production to Mexico and Asia. This, I suppose, is fine, save that we stopped paying living wages to America’s (former) manufacturing employees and increased their credit lines as a sort of compensation.
That’s three of several dozen problems that have been building up in the US over the last 35 years or so. How we handled American purchasing power is a different part of the discussion. China raised its own game in the years following the pro-democracy demonstrations in 1989. You can’t have democracy but if you’re a Chinese citizen you are entitled to some more of these trappings of capitalism. And it seemed to work. Many Chinese got filthy rich, casinos opened on Chinese real estate, for example, and if you weren’t used to democracy, it did work. Hong Kong? Different question. (Fairport Convention’s Jewel in the Crown seems appropriate.)
Anyhow, US and to a lesser extent, I think, European purchasing power went up, because a lot of Chinese made a lot of stuff very cheaply. So it didn’t matter that real wages in the US haven’t shifted much in 40 years. The decline of unions in post-Reagan America pushed workers into so-called service industries where real wages are kept artificially low much of the time.
Bottom line: We don’t MAKE anything, and as a result we’re in a position where the place that does make all our stuff is on lockdown for we don’t know how long. And creating a manufacturing sector out of whole cloth can’t be done so easily anymore. (It could be done if we were willing to pry a little bit of money and commitment out of the 1%. Not in the cards at the moment.) The same is true in Europe. We have the tools to create that self-sufficient situation, but it means retraining the populous to buy what they need and a lot less of what they want. We’re going to learn mighty soon that the old watch, phone, and TV will last a little longer. (A little less of the planned obsolescence would go a long way.) Clothes and everything else we buy might be more expensive, but part of what we need to do to recover, sustainably, from this crisis is to rebuild the industry and rework how we as people and consumers and industrialists relate to industry.

In a New Yorker book review (16 Feb, 2015), Nathan Heller describes the places of several nordic countries on various happiness indices. He offers some reasons why these peoples measure their own happiness so positively (good schools, free tuition, effectively free health care, an unfrayed safety net, before offering the opinion of Michael Booth, author of The Almost Nearly Perfect People, that the services one receives in exchange for an upper tax rate of over 70% are ‘patchy’.

Heller delves deeper into Booth’s arguments, pointing to alcohol consumption, employment rates, bureaucracy, and cuisine, and ultimately shreds both Booth’s approach (let an expert speak at length, then quote without fact-checking and present everything in a quasi-Innocents Abroad ‘aren’t these foreigners quaint’ fashion) and his conclusions. Finally he moves from discussing Booth’s take on Scandinavia to an assessment of the current changes to the social order in many of these countries as a result of immigration and rising inequality.

While it’s a shame that the welfare state aspect of many such countries is being undercut by US-style “free-market” “improvements” (see the privatisation of the rail system and tuition requirements at formerly free higher education facilities in the UK, for example, not to mention the pillage of the NHS that not even Maggie Thatcher would have dreamed of), these things are not trivial. I’m not the first to suggest that I don’t mind my taxes paying for education even though I don’t have children: I don’t want to live in a society surrounded by the uninformed. The review describes a Swedish couple, the wife of which didn’t pay any tuition to become a neurosurgeon. Fantastic. I’d rather any doctor I see to have gone through medical school on merit and without the worry of how to pay back hundreds of thousands of dollars/euros/etc. in student loans.

The introduction of tuition to previously taxpayer-funded universities is a tradition pioneered by Ronald Reagan when he was governor of California and, as noted, now followed by Cameron and his cronies in the UK. Like the privatisation of the rails and the NHS, it is nothing but a transfer of wealth from the lower and working classes to the bankers and other members of the 1%. Calling it anything but a handover to the City of London is to miss the point.

Rachel Maddow this week told of how Wisconsin’s Governor Walker is on a quest to slash funding for his state’s renowned public university system by hundreds of millions of dollars. Same thing. Please the bankers, and your next campaign is funded.

At the same time, Germany is offering free tuition to its universities to anyone who can pass the entrance exams. My sister told me of a couple she knows with two kids, eight and ten, if I recall rightly, who are moving there, though this new plan does not require German residency or citizenship. Language, yes, but if you can get in, Berlin will pay your tuition.

This is the choice we’re after – we can educate and take care of the next generations or we can continue to mess it up. In the US, the war on education has taken a number of forms – one the age-old battle against teachers’ unions and the despicable salaries we pay to those who spend the vast majority of their waking hours either looking after our children or finding ways to make sure they know enough to get to the next level. Another is the fight against teaching science in all its forms, but primarily the teaching of evolution. I share the belief that no questions for which science provides an answer have been better answered by religion. (I’m sure there’s a better quote from someone like Sagan or Tyson, but that’s the gist.) In some regions, I’m distinctly in the minority and 90 years after the Scopes trial, we’re still fighting the same battle.

Yes, I’ve gone from discussing free education to useful education, but surely these things go hand in hand. We had a short period during which we as a culture recognised not only a right to an education, but a responsibility to educate the next generation. It’s possible that period ran only from the GI Bill to (in California) Proposition 13, but with the slashing of tax revenues from a variety of places (Governor Brownback’s Kansas fiasco being a major one), public education takes a big hit.

The upshot of this is that people in states with very high tax rates are still happier and better off by a number of measures than those in the low-tax United States. My guess is that a secure education and worry-free medical care play a very large role in that.

In 1985, the band Coil released a cover of the song Tainted Love. In the booklet for the Scatology CD on which it appears, there was a photo of the two core members, John Balance and Peter Christopherson and text indicating that at publication some relatively small (but shockingly large if you knew them) number of people in the UK had died of AIDS. 184, if I recall correctly.

In the early 1980s, when it was obvious that the vast number of westerners dying of HIV were gay or drug users, the religious right could point at the victims and claim it was divine punishment for sin. What had yet to name itself the Reality-based Community saw this demagoguery for what it was, and fought hard to get some recognition for what was actually happening: a health crisis of vast proportions. The fact that President Reagan would not utter the name of the disease until it was well past time that a concerted effort could have eradicated it. (In a 1982 press conference, White House spokesperson Larry Speakes laughed about it when a reporter asked about the 600 cases then diagnosed.) And now (though we don’t talk about it much), millions of people are still infected with it, with numbers growing primarily in Africa (for a variety of well-researched reasons), but in the west as well.

The BBC yesterday morning indicated that in the latest outbreak of Ebola, 4417 people had died of the disease. Most of them Black and most of them not in the West. The Onion ran a headline to the effect that ‘we’re only fifty white people from a cure for Ebola‘. If only. Papers yesterday ran editorials pointing to slashed medical research budgets in the US being key to our not having an effective and mass-producible treatment for Ebola. Shocking as fuck, that one. As is the fact that the US doesn’t have a surgeon general because the NRA of all groups objected to President Obama’s nomination.

Rachel Maddow reported two nights ago that new cases are coming up in Africa at a rate of 1000 per week and are on track to increase to 10,000 per week in the coming months. And how does the US react to its first case? The family of Thomas Edward Duncan were quarantined in the house where he fell ill for, what, a week? With his sweat and vomit soaked bedding, and no one would step up and take them in. Christian charity finally came in the form of a Dallas county official who secured them rooms in a private home. In all of Texas, *no one* else stood up? Big fucking state to have so many cowards. Would I step up? I don’t know. When Ebola comes to NL, we’ll see if our infrastructure is up to the task. I wish I could say ‘If Ebola’, but given the current spread, I think it’s unlikely to stay in small African countries about which the rich countries couldn’t give two farts.