And although I cursed the literature and my computer and my paper for hours, it seemed, I do feel like I’ve learned a great deal from the effort — and I am excited, upon reviewing the data, to further pursue this. Almost makes me feel better about not being home this summer … almost
And then it hits me.. finals are coming up.. and I have a big paper to write which I haven’t started yet on Huang ZongXi’s “Waiting for the Dawn: A Plan for the Prince” (which is actualy quite interesting, as its the first example of a liberal [not left-leaning, but classic liberal] intellectual tradition that I can think of from the Far East).
“Consider a population of bugs. The bugs divide, and they also migrate randomly over the region that they occupy. At the borders of the region, there are terrible bug-eating monsters that eat the bugs.”
(no joke, that is verbatim)
The other day while I was walking to get some lunch, I noticed a poster which claimed to have evidence of the horrible torture which occurs in Guantanamo Bay and how its an example of Bush’s “barbaric regime” of war or some other equally negative phrasing. Of course, I typically respond to any moral/ethical/political view by taking the exact opposite (I’m somewhat reactionary that way). And, the thought path it led me towards was an assessment of whether or not “torture” is legitimate.
Of course, plenty of people will point out the precedent set in some sort of European convention/treaty of some sort — but that reasoning is really really superficial (for example, the Open Door Policy was a big agreement with a lot of European powers which basically made China Europe’s playground — you’re not going to hear anyone really defend that international treaty).
So when you analyze the “good reasons” you notice that fundamentally, the two sides (those “for torture” [the quotes are b/c I don't think anyone can really be "for torture"] and those against) are arguing completely past each other, making it a big surprise that anyone can really make up their mind or can formulate any reasonable “common ground” policy on it.
Firstly, there seems to be a good deal of disagreement as to what constitutes torture. For instance, there is no real bright line as to what “torture” is, just as there is no bright line to what “cruel and unusual punishment” is. One could imagine people may consider current tactics by the police to intimidate and insult and emotionally rail against those they are interrogating to be a form of torture. One finds that many activists think that torture is some horrible thing, and they are able to describe grusome horrible tortures (ie rape, electrocution, bleeding, etc). On the other hand, “supporters” of torture are talking about food and sleep deprivation (which, I think, are orders of magnitude less worse than firing squad and beating) or a very intense degree of emotional intimidation.
Secondly, they’re also arguing on completely different levels. The fundamental moral arguments brought up by those against torture are appeals to rights or some Veil of Ignorance logic about how “it could be you in there”. They argue that being tortured goes against our natural rights of liberty and against the fundamental principles of democracy or some equally vague and optimistic (but sadly untrue) assessments about the greatness of Western Enlightenment thinking.
But, those on the other end are argue in terms of the duty of the government to insure the well-being of the people as a whole. We have to torture them, even though its unpleasant, because if we can get some information which can save a hundred people from a meaningless and grusome death, if we can stop the societal destabilization which accompanies terrorism or war, then we have to, because its our duty to do it.
These are fundamentally different arguments and different perspectives with very little being done to find some sort of common ground to which this debate can be handled. I’m not suggesting here that this debate can necessarily be resolved (I find myself going back and forth on the issue many times) or that these people need to necessarily like each other and sit down civilly to have a polite discussion. But, I do think, that there is something to be gained from understanding what the “enemy” is thinking/saying/feeling and attempting to use that to motivate your responses and your tactics. Those against torture need to learn to employ the “rhetoric of duty” to support their agenda, while those “in favor of torture” need to learn to use the “rhetoric of rights” and to use Veil of Ignorance logic to approach their arguments. And those who are trying to make up their mind, need to figure out a way to get both sides to start talking on the same levels so that one can make a better judgement.
I actually have several more extensions installed (ie an IRC chat extension, a web developer extension, a nice Calculator which lets you type expressions [like on a graphing calculator] which it will then evaluate, and some random aesthetic and web design ones, but I think listing eight reasons and nine extensions is sufficient
Conquering Cancer with Private Medicine
by Michael D. Tanner
Few things in life are as terrifying as a diagnosis of cancer. But for millions in the United States, the news just got a little bit better. Death rates for those suffering from cancer are actually beginning to drop. In particular, death rates have declined for the four most common forms of cancer: lung, colorectal, prostate and female breast cancers. Overall, fewer U.S. citizens died of cancer than at anytime in the past 70 years.
While there are many reasons for this welcome trend, one reason is the much-maligned U.S. free-market health care system.
The one common characteristic of all national health care systems, including Canada’s, is that they ration care. Sometimes, they ration it explicitly, denying certain types of treatment altogether. More often, they ration indirectly, imposing global budgets that limit the availability of high-tech medical equipment, or which require long waits for patients seeking treatment.
In the United States, by contrast, there are no such limits, meaning that the most advanced treatment options are far more available. This translates directly into saved lives.
Take prostate cancer, for example. Even though U.S. men are more likely to be diagnosed with prostate cancer than their counterparts in other countries, they are less likely to die from the disease. Less than one out of five American men with prostate cancer will die from it, but 57% of British men and nearly half of French and German men will. Even in Canada, a quarter of men diagnosed with prostate cancer, die from the disease.
That is, in part, because in most countries with national health insurance, the preferred treatment for prostate cancer is … to do nothing. Prostate cancer is a slow disease. Most patients are older and will live for several years after diagnosis. Therefore, it is not cost-effective in a world of socialized medicine to treat the disease aggressively. The approach saves money, but comes at a human cost.
Similar results can be found for other forms of cancer. For instance, just 30% of U.S. citizens diagnosed with colon cancer die from it, compared to 74% in Britain, 62% in New Zealand, 58% in France, 57% in Germany, 53% in Australia, and 36% in Canada.
Even when there is a desire to provide treatment, national health care systems often lack the resources to provide it. In Britain, for example, roughly 40% of cancer patients never get to see an oncology specialist. Delays in receiving treatment under Britain’s national health service are often so long that nearly 20% of colon cancer cases considered treatable when first diagnosed are incurable by the time treatment is finally offered.
Canada has its own problems. For example, the Canadian Society of Surgical Oncology recommends that cancer surgery take place within two weeks of preoperative tests. Yet one study indicates that median waiting time for cancer surgery in Canada ranged from 29 days for colorectal cancer to more than two months for urinary cancers. Radiation treatment and new therapies, such as brachytherapy, are also less available than in the United States. Consider this: Seven out of ten Canadian provinces report sending prostate cancer patients to the United States for radiation treatment
But the advantages of free-market health care go beyond an absence of rationing. With no price controls, free-market U.S. medicine provides the incentives that lead to innovation breakthroughs in new drugs and other medical technologies. U.S. companies have developed half of all the major new medicines introduced worldwide over the past 20 years. In fact, Americans played a key role in 80% of the most important medical advances of the past 30 years. Eighteen of the last 25 winners of the Nobel Prize in Medicine either are U.S. citizens or work here.
Obviously, there are problems with the U.S health care system. Too many Americans lack health insurance, or are unable to afford the type of care they want. But it is important to understand that, for all its faults and all the criticism that it has received, the United States’ free market health care system has made it the place you want to be if you have a serious illness. Millions of cancer patients have discovered that. And much of the rest of the world might be able to learn something from it as well.
This article appeared in the National Post on March 16, 2006.
In January, Jane posted this great informational bit on bird flu. If you haven’t looked at it and you’re still under the mistaken assumption that eating chicken will give you bird flu, take a look. She lays it out very plain and simple, although she shows a bit of optimism that I’m not too sure I agree with.
While I share her assessment that the species jump from birds to humans is a very difficult and unlikely one, and the jump from bird-human transmissability to human-human transmissability is a tough leap to make, I do think that its more or less inevitable for two reasons:
The big issue, though, isn’t whether or not the virus jumps species. The issue is whether or not we can control such an outbreak. The problem is, simply, we can’t. Today’s world is heavily globalized and inter-connected (which is most of the time a good thing), except that people (and animals) are highly mobile, and impossible to contain. Its simply not possible to quarantine bird flu away. Most areas and countries don’t even have pandemic control plans in place, so even if we wanted to try, there would be little organization (anyone remember the FEMA debacle with Katrina?). Moreover, since the species jump will probably happen in the poor countries where little effort is being undertaken to monitor infected birds and educate farmers and butchers in how to properly kill and dispose of animals, little money is available to implement pandemic controls, it seems highly unlikely that US domestic policy (or the ineffectual WHO) would be able to do anything of significance.
Moreover, and this is really the only real part of where I disagree with Jane, the drug situation is ABYSMAL. For starters, the pharmaceutical industry has no real incentive to produce flu drugs, for two reasons:
So, that leads us to the drugs and vaccines that we have now. In terms of a vaccine, we are so far away from that its not even funny. We first need a clinical isolate of the virus, then we need to be able to grow it (which is no small task), then we need to be able to know which strains are going to infect people, and then we need to do LOOONG ass clinical trials even if the FDA is on your side and is trying to rush things along. Moreover, our current methodology of mass-producing vaccines relies on ENORMOUS quantities of eggs and specialized equipment — a break in the supply chain (aka like the one recently which prevented Chiron from getting enough flu shots to the US) would completely screw the effort.
With regards to the drugs that we do have, there are two classes. The amantadines and the neuraminidase inhibitors. Frankly, they suck. The amantadines have been in use since the 60s/70s I think, and it has been shown that not only are they highly toxic (they’re teratogenic and they cause Central nervous system problems), but resistance emerges rapidly. Recent studies have also shown that, whether a product of genetic drift or by uneducated Chinese farmers throwing amantadine into their chicken feed (I’m not even joking), many of the viruses out today are resistant to amantadines.
The neuraminidase inhibitors are slightly better in that they are not as prone to resistance because most of the resistant viral strains show a compromised ability to reproduce and spread. But, sadly, there are only two drugs, Tamiflu and Relenza. Both drugs have only been shown to be effective if given prophylactically (ie BEFORE one gets the flu) or within 48 hours of infection, and they only manage to reduce duration of symptoms between 1 to 2 days and ONLY if given during that critical time (so, if you start feeling really sick, its already too late). The drugs themselves are very expensive, and in the case of Tamiflu is synthesized from a naturally derived compound which is in limited supply (Shikimic acid). This is no joke, as apparently Roche has literally bought up the entire world supply, which really comes from apparently four provinces in China which harvest the plant that produce it, the star anise. As for the other drug, Relenza, GSK has stopped making it due to production and formulation problems, as well as very low demand given its price and limited effect.
So… the virus is inevitably going to jump to humans. We have no vaccine and even if we did no system to distribute it or manufacture it to the levels we need. Our drugs suck and are expensive and in limited supply. Not a pretty picture…
To be frank, I didn’t make an epicurean delight, and I didn’t try to be bold with anything as this was a test run to see whether or not I COULD cook and not poison myself or burn the kitchen down. All I made was rice (which I’ve been making for years already), some pork chops (new for me), and some cabbage/lettuce mix which I stir-fried. Rather pathetically, I had to ask Sophia about how to stir fry vegetables, and about the location of almost all of her utensils and kitchen implements (she was kind enough to give me her room key so I could use their kitchen).
And, much to my delight, the vegetables tasted good! (although a little strange because I cooked them with olive oil, which my family typically doesn’t use since we use corn oil) The meat, too, tasted good (although somewhat bland until I seasoned it some more — its surprising how much you can do with just salt and pepper
). And, of course, I added my zo song (uhh.. dried meat product — seriously, it tastes better than it sounds) to the rice and voila! A meal which made me happy at my first culinary experience (although “culinary” is probably me embellishing my experience with words to make me feel better).
And, on the subject of food, ever wonder why Wasabi burns? For the same reason (or one of them) as to why mustard gas stings