Showing posts with label health. Show all posts
Showing posts with label health. Show all posts

Sunday, February 05, 2012

Exercise, the weaker vessels and their 'monthly mortgage'

Here's something that I ran across today while working on another article related to police scandals in 1928.

It may be that our decision to go for an hour-long run this morning in the extreme cold we're experiencing encouraged my interest in this story.

Of course, it might be the London 2012 fever that I'm feeling as well.

Anyway...

Should a Woman Be an Athlete? 

Violent Exertion that Injures Brain and Body

DANGER TO BOTH SEXES

By Sir W. Arbuthnot Lane

Now that the Olympic Games are in full swing the question has arisen as to whether these physical contests are harmful to women. The question as to whether they are harmful to men, too, also arises—though it is apt to be overlooked.

Both questions can be answered in a definite manner.

That excessively violent exercise and maintained effort, such as is exhibited in athletic contests in general and the Olympic Games in particular, is most detrimental to human health is a well-recognised fact in medicine.

REMARKABLE EXPERIMENTS

But the general public, if they realise at all that over-exertion is damaging, certainly do not realise how remarkably injurious it can be.

For it is not inconceivable that a person who persistently overstrained his or her body over a certain period of time might eventually become not only a physical wreck, but also a mental defective.

Outside the circle of those with medical knowledge there are but few who have heard of the interesting experiments in this line conducted by that famous surgeon, Dr. George Crile, of Cleveland, Ohio.

These experiments have proved that excessive physical strain, like severe mental shock, results in a destruction of brain cells—the number of cells destroyed being in proportion to the violence of the exercise or shock.

Moreover, these cells once lost are not replaced. Dr. Crile experimented with all kinds of animals. He raced them into states of exhaustion and subsequently examined their brains. In each case he found that cells had been destroyed in enormous numbers.

WOMEN SUFFER MORE

... This [the destruction of brain cells] applies equally to men and women, but that women must suffer more is obvious when one considers her distinct physical disadvantages as compared with man. For much of her strength has to be sacrificed to meet her special requirements of reproduction for which she pays a monthly mortgage.

Apart from the fact that the fact that woman is ‘the weaker vessel,’ however, and consequently more easily exhausted than man, there is little reason why violent exercise should harm her any more than it does the stronger sex.

But it must not be forgotten that it does harm the stronger sex. ...

NERVOUS STRAIN

Exercise in moderation is beneficial even essential to the well-being of both sexes, but care must be taken not to overdo it. These international contests are, in the opinion of some medical men, pure folly when they are carried to such a pitch of exhaustion as would appear to be not infrequently the case.

Not only do they impose physical strain, but also mental strain, for nervousness is present in practically every competitor prior to a race and is so great in some cases that some, if they fail to obtain the success they hoped for, break down and become hysterical.

One woman competitor was so affected in the Olympic Games the other day.

It is common knowledge, too, that athletes depreciate physically earlier in life than persons leading a normal existence. ...

MODERATION WANTED

Just as excessive physical strain destroys brain cells so will mental shock and persistent mental worry lead to their destruction.

It is a fact that illness, and even death, often follows mental worry because a number of brain cells have been lost and the person affected is consequently not in a fit state to combat disease.

Similarly ‘shell shock’ is due to the destruction of brain cells. ....

 
If a man or woman will observe moderation in all things—exercise, feeding, etc.—then he or she will be on the path to really good health.

But lack of an essential is as bad as an excess of it. Thus people should not starve themselves, or refrain from taking any exercise, but should take sufficient to meet the requirements of their various occupations and habits. Too little is as bad as too much.

Sunday News, 5 August 1928, p. 8.


Tuesday, September 08, 2009

When I get that feeling ....

Who said that ours is a meaningless existence in an indifferent universe? Here's evidence of the truly divine design of things. This morning, on my way to work, I was introduced to the following charmingly wonky version of Marvin Gaye's most famous tune:



I admit, I was intrigued. I have a particular liking for brass bands, especially of the colliery sort (and when they play "Jerusalem"), but this is quite fun, too.

So far, so good. Little did I know that on my return home from an almost efficient day in the office, as I was granting myself my daily half hour internet chill, my morning serenade would be echoed by the following ad for some kind of sponsored web chat on feminine sexual dysfunction on a celebrity website I sometimes read accidentally stumbled upon.

Oh, don't the the world work in mysteriously circular ways? From "Wake up, wake up, wake up, wake up" to "The Vagina Dialogues" in eight and a half hours - not bad for a day's work.

What struck me most about this otherwise mildly puzzling piece of public debate, however, is the line at the very bottom:

"Sponsored by Boehringer Ingelheim Pharmaceuticals Inc."

For Boehringer Ingelheim Pharmaceuticals Inc., you must know, is a mere ten kilometres down the road from here - an old family firm (still), one of the most important employers in the area and, indeed, a great public sponsor. Boehringer Ingelheim Pharmaceuticals Inc. not only supports internet debates on feminine desire loss in the US - it also sponsors a local university with which I'm on rather intimate ... ahem ... professional terms (to keep up the metaphor).

And this morning I was almost exactly level with Boehringer Ingelheim Inc.'s local plant when I listened to Hot 8 Brass Band's version of "Sexual Healing" on the radio.

There must be a God!

Disclaimer: This is not a clandestine ad for ... well, you know who.

Wednesday, August 19, 2009

Charts and graphs

Just a couple of the more interesting visualisations of data that I've run across in the last 24 hours or so.

Evaluating the US health-care debate with regard to truthiness:


Background. Via.



Also, the number of nuclear weapons in the world:


Source, Wikimedia Commons. Source for underlying numbers. Via and discussion.

Sunday, August 09, 2009

Disturbing and unhealthy

I've been noting with disappointment and concern (though not too much surprise) the lunacy and paroxysms of rage that have been accompanying right-wing responses to President Obama's efforts to somewhat expand existing forms of government health insurance so as to provide new opportunities for those that the current system does not seem to be serving well.

This is all a bit academic for me, as I live in a civilised country now (where the mainstream conservative parties are...you know, conservative and disagreeable, but in the main sane), but I liked Ezra Klein's comment:

This is something broader then a reaction to particular provisions in particular pieces of legislation. This is about how the conservative movement reacts to progressive change. My colleague Steve Pearlstein got it right this morning. "Health reform is a test of whether this country can function once again as a civil society," he wrote. "Whether we can trust ourselves to embrace the big, important changes that require everyone to give up something in order to make everyone better off."

That doesn't mean Obama's bill. It could mean a compromise like Wyden-Bennett, or something else. But what's going on out there isn't about a specific bill. It's about the fear of change. It doesn't really allow for negotiations and counter-offers. And it is very, very ugly.


Yes it is.

Friday, July 17, 2009

End-of-the-week German word: 'Schussbild'

Literally: 'shot-picture'.

I believe the English -- or more likely American -- equivalent is 'grouping', but I didn't become an enthusiast for this kind of thing until long after I'd arrived on these European shores, so I'm not sure about that.

Some Anglophone gun-nut will have to confirm this for me.

Anyway, after a few months of effort with the new tool for putting holes in paper from a distance, I'm finally feeling good about mine. (My 'grouping', that is. This is at 25m for those of you who care about these things.)

Although that 7, of course, still bugs me: lapse of concentration.

And the near-7 on the right: sloppy trigger technique.

It happens. You have to leave it behind. Every shot is a chance to begin anew, after all, as the Zen master observed.

Still, a relatively soothing evening at the range. Which was much needed.

It's been an odd and stressful and, somehow, momentous couple of weeks. The momentous bit you'll likely find out more about when things are more...settled, shall we say.

Some of the odd and stressful bits have been relieved by finding out that a (dear) family member is less ill (we think) than believed at first. This is definitely the most important thing this week, and we wish him, publicly and earnestly, a quick recovery.

Still, the fragility of the bodily containers that contain our special unique personhoods has once again been brought to our attention.

And this is never a very comfortable thing.

So, going into the weekend, I offer for those of you who haven't had the chance to leave your weekly frustrations behind through a blaze of lead and gunpowder, a few relaxing tunes whose beauty I've been reminded of via the 'random play all' feature on my MP3 player over the last few days.



'Green is the Colour', Pink Floyd



'Ripple', The Grateful Dead



'Woodcat', Tunng

Yeah. Groovy.

Take care, all.

Friday, January 23, 2009

Coughing your guts out (in theory and practice)

Like well-nigh everyone else around me, I have been ill for the last week or so and am only now beginning to emerge from the flu-like exhaustion and concussion-inducing coughs that have forced me to lie very low indeed.

There are good sides to being ill (if "ill" means the kind of ailment that I'm just getting over, rather than a fatal disease).

First, you appreciate your usual physical condition so much more once whatever virus has come to visit you unbidden has worked its way through your system.

Second, for the first time in ages you feel rested because you've had so much more sleep than usual.

Third, being ill provides a certain intellectual satisfaction, as it defies the infantile anti-materialism of the untested "theories" that suffuse your professional world and thus feeds whatever scepticism you might have been harbouring about the same for a while.

Being ill reminds you -- painfully, annoyingly, but also somehow pleasantly -- that you are not a discourse.

Which is why right now, with my lingering repertoire of coughs, rattles and pains, I am particularly sensitive to the eloquent stupidity/stupid eloquence of some of the popular ideas about the body vented in academia not too long ago (a fashion in which I, sadly, participated, too).

Take Jonathan Sawday's The Body Emblazoned: Dissection and the Human Body in Renaissance Culture (1995) -- a study that was enormously influential during the late 1990s, when it fed into a general cultural craze about all things anatomical (manifesting itself for instance in the way that hitherto hardly known names like Andreas Vesalius and Nicolaes Tulp began to be dropped at sub-academic cheese and red wine parties like there was no tomorrow).

On page 16, Sawday writes:
In the twentieth century it is virtually impossible to think about the body outside a prevailing medical-scientific discourse.
Hm. There was a time when I thought lines like that were poetry. No more, though. It's all cheese, as we say here in Germany.

Just for the record, let it be noted that even in the twenty-first century I can still recognise that the stubborn blockage of mucus in my lungs is more than a mere narrative construct. What is more, I want my antibiotics, however prevailing the medical-scientific discourse that has brought me that marvellous gift.

And without the Foucauldian chaser, please!

Thursday, December 04, 2008

The calculus of the caring society

I'm not really much of a numbers guy, but I was struck by a recent post by Ben Goldacre at his Bad Science blog which highlights the care that needs to be taken when using statistics to measure changing social attitudes.

More accurately, he--for, like, the thousandth time--points out how the media fail to take this care.

My interest in this issue has increased, as I'm currently making my first forays into using serious quantitative data for a historical study. Indeed, I spent much of the last two days trying to come to grips with pivot tables so that I can make some sense of the information I've been carefully collating and entering into a spreadsheet.

Some of you may have gotten drowsy simply reading those last two sentences, and not long ago I might have been with you; however, I'm starting to find something exciting about making numbers do various little dances. (And, after a period of wanting to throw my laptop against the wall out of frustration, I seem to have gotten my tables to do what they are supposed to.)

I have the good fortune of working with a colleague who knows his way around numbers, and I've become increasingly aware of how much discipline is required in teaching your figures the requisite dance steps. This is especially so in cases when you're trying to use that data to tell you about such nebulous topics as 'cultural attitudes' or 'social life'.

The specific topic of Goldacre post was a recent spate of stories suggesting that there had been a shift toward a more 'caring society' based on a figure showing a greater number of births of children with Down syndrome. The logic behind this, I think, is that the growth in Down syndrome births showed a greater willingness to bring such pregancies to term. A number of media sources took this story and ran with it, expanding on the notion that this figure might tell us something meaningful about social attitudes.

And, yes, maybe they have changed in some positive ways.

But Goldacre points out the key problem with drawing that conclusion from that figure: while more Down pregnancies are being brought to term, there is another factor that needs to be taken into account in order to place that in its correct context:

There has indeed been a 4% increase in Down’s syndrome live births in England and Wales from 1989 to 2006 (717 and 749 affected births in the two years respectively). However, since 1989 there has also been a far greater increase in the number of Down syndrome foetuses created in the first place, because people are getting pregnant much later in life.

What causes Down syndrome? We don’t really know, but maternal age is the only well-recognised association. Your risk of a Down syndrome pregnancy below the age of 25 is about 1 in 1600. This rises to about 1 in 340 at 35, and 1 in 40 at the age of 43. In 1989 6% of pregnant women were over 35 years of age. By 2006 it was 15%.

I was not aware of the age-at-birth link to Down syndrome. (My mother was about to turn 44 when I was born. 1 in 40 might sound like long odds to you, but they're not long enough if you ask me...)

But what does this shift in birth patterns mean for claims of a more caring society?

Well:

The National Down Syndrome Cytogenetic Register holds probably the largest single dataset on Down syndrome, with over 17,000 anonymous records collected since 1989, and one of the most reliable resources in the search for patterns and possible causal factors. They have calculated that if you account for the increase in the age at which people are becoming pregnant, the number of Down’s Syndrome live births in the UK would have increased from 1989 to 2006: not by 4%, but from 717 to an estimated 1454, if screening and subsequent terminations had not been available.

Except, of course, antenatal screening is widely available, it is widely taken up, and contrary to what every newspaper told you this week, it is widely acted upon. More than 9 out of ten women who have an antenatal diagnosis of Down’s syndrome decide to have a termination of the pregnancy. This proportion has not changed since 1989. This is the “decisions” that Felicity Finch, Radio 4, the Mail, the Times, the Mirror, and the rest are claiming more parents are taking: to carry on with a Down syndrome pregnancy. This is what they are taking as evidence of a more caring society. But the figure has not changed.

While I'm interested in this story largely as a cautionary tale for the misuse of statistical data leading to the misunderstanding of society (which is a problem that is magnified in a historical context, when the statistics are a bit more iffy and our other information about social context more partial), Goldacre points out that there is a more direct reason why such stories are problematic.

Crass and insensitive moral reasoning helps nobody. If I terminate a Down syndrome pregnancy, is that proof that society is not a warm caring place, and that I am not a warm caring person? For many parents the decision to terminate will be a difficult and upsetting one, especially later in life, and stories like this make a pretty challenging backdrop for making it. This would have been true even if their figures had been correct, but as is so often the case, for those with spare flesh to wave at strangers, their facts and figures are simply incorrect.
He also links to further background provided by the NHS, if you care to look.

Sunday, August 17, 2008

Mens sana in corpore sano, dammit!

The cultured trog who finds sports a brainless "antithesis to art" is making the blog rounds (see here and here).

Well, what's this then? (H/T Dale)





Or this?

Saturday, March 15, 2008

Bodies that matter

Since there are people out there who seem to fret about the rapid decline in quality of my reading matter, here a brief missive of reassurance. Fear not -- help is at hand and good times just around the corner (pending NHS decisions)!

Thanks to -- dare I say it? -- The Mail, I know that with the aid of a simple kidney transplant I will be returned to the world of intellectual thought from which I stray so peevishly and with such insistence.

Behold, the miraculous story of Cheryl from Preston, who after having a kidney transplant "ditched the lowbrow novels" and turned to "documentaries on Egyptology," Jane Austen and Fyodor Dostoyevsky.

It's a pity, though, that as yet this change in personality has not had an impact on the way Cheryl -- who says: "I totally respect the family which gave me this kidney" -- speaks. Now just where exactly in Pride and Prejudice did she find this unpleasant Americanism, I wonder?

Just to, like, totally reacclimatise myself with highbrow thought, I delved into some recent Judith Butler this afternoon -- you want to be prepared when the big personality change comes:
If one wants to begin with most common of beginnings, namely, with the claim that one would like to be able to consider sexual politics during this time, a certain problem arises. Since, it seems clear that one cannot reference "this time" without knowing which time, where that time takes hold, and for whom a certain consensus emerges on the issue of what time this is. So if it is not just a matter of differences of interpretation about what time it is, then it would seem that we have already more than one time at work in this time, and that the problem of time will afflict any effort I might make to try and consider some of these major issues now. It might seem odd to begin with a reflection on time when one is trying to speak about sexual politics and cultural politics more broadly. But my suggestion here is that the way in which debates within sexual politics are framed are already imbued with the problem of time, of progress in particular, and in certain notions of what it means to unfold a future of freedom in time (In: The British Journal of Sociology 59.1 [2008]: 1).
As no clock in this house shows the same time, I totally know what she means.

Thursday, October 11, 2007

A weird CHIP on their shoulders

Via This Modern World, I ran across a story that seems to have been generating an enormous amount of angry ranting in the right-wing assholosphere.

The issue is a bit complex and involves the ever-exciting topic of American health-care policy, but it does seem to speak to a wider issue as well, so bear with me.

The background boils down to this:

There is a government programme (with federal money being administered by individual states) called the 'State Children's Health Insurance Program' (SCHIP). As the Baltimore Sun describes it,
Popular with the states, the health insurance program, also known as SCHIP, covers 6.6 million children from modest-income families that are not poor enough to qualify for Medicaid.
(Note for non-Americans: Medicaid is the public health insurance programme for poor people.)

Democrats, with support from a number of Republican representatives and senators, passed an act (H.R. 976) aimed at making changes to SCHIP: the programme was to be expanded to include some 4 million more children at a cost of $35 billion over the next five years, the costs to be funded out of increased tobacco taxes.

President Bush signalled his intention to veto the act when it reached his desk.

In response, Democrats invited a 12-year-old boy, Graeme Frost, to deliver their response to the president's weekly radio address.

Now, I have my own qualms about this kind of emotive political message-making: I don't know why rational adults can't have a reasonable discussion about social policy without having to push the sympathy button.

But in the world of American politics, these sorts of things are standard operating procedure, something Republicans know all too well, and this has long been the case, particularly in issues related to education, families, and disability.

Then, too, perhaps 'putting a human face' on abstract policy questions isn't always a bad idea.

Context, after all, is sometimes helpful. (For example: $35 billion over five years is indeed a lot of money, but it pales in comparison to the as much as $190 billion which may be spent next year alone in fighting wars in Iraq and Afghanistan, a figure that itself excludes all other military spending.)

And Graeme, in this case, fit the role, as the Sun notes:

Graeme and his 9-year-old sister, Gemma, were passengers in the family SUV in December 2004 when it hit a patch of black ice and slammed into a tree. Both were taken to a hospital with severe brain trauma. Graeme was in a coma for a week and still requires physical therapy.

Bonnie Frost works for a medical publishing firm; her husband, Halsey, is a woodworker. They are raising their four children on combined income of about $45,000 a year. Neither gets health insurance through work.

Having priced private insurance that would cost more than their mortgage - about $1,200 a month - they continue to rely on the government program. In Maryland, families that earn less than 300 percent of the federal poverty level - about $60,000 for a family of four - are eligible.

So, the story so far:

1. there's an established health care programme;
2. a bill has been passed through both houses with bi-partisan support to expand it in response to a real social change;
3. the president threatened to veto it;
4. the bill's supporters presented a family as an example of the kind of people who might be assisted by this bill and their son appeared in a radio broadcast.

So far, so good.

However, the president (who had proposed increasing the funding for the programme by only $5 billion over five years), made good on his promised veto.

Which is bad enough.

But the really disgusting part of the story is the hateful campaign by the more wingery-nuttery right-wing bloggers to smear the family.

Think Progress summarises the sort of bile being spewed:

Conservatives have more recently turned their targets on young Graeme Frost himself. A poster at the Free Republic propagated information alleging that Frost was actually a rich kid being pampered by the government. Among other bits of information, the post by the Freeper “icwhatudo” asserts that Graeme and his sister Gemma attend wealthy schools that cost “nearly $40,000 per year for tuition” and live in a well-off home.

The smear attack against Graeme has taken firm hold in the right-wing blogosphere. The National Review, Michelle Malkin, Wizbang, Powerline, and the Weekly Standard blog have all launched assaults on the Frost family. The story is slowly working its way into traditional media outlets as well.

Very good antidotes to this toxic brew are available from Joe Gandelman, Whiskey Fire, Lawyers, Guns and Money, Atrios, Ezra Klein, and John Cole.

I've browsed around in the links provided by Talking Points, and really, you have to shake your head.

There is a lot of discussion, for instance, among right-wing bloggers about how this family is 'not really poor' and a great number of snide comments along the lines of 'ah, they can send their kid to private school but they need assistance getting health insurance' and speculation regarding their house and small business.

A lot of this has involved just plain lying, as TP points out:

Here are the facts that the right-wing distorted in order to attack young Graeme:

1) Graeme has a scholarship to a private school. The school costs $15K a year, but the family only pays $500 a year.

2) His sister Gemma attends another private school to help her with the brain injuries that occurred due to her accident. The school costs $23,000 a year, but the state pays the entire cost.

3) They bought their “lavish house” sixteen years ago for $55,000 at a time when the neighborhood was less than safe.

4) Last year, the Frosts made $45,000 combined. Over the past few years they have made no more than $50,000 combined.

5) The state of Maryland has found them eligible to participate in the CHIP program.

It is also noted there that:

Right wing bloggers have been harassing the Frosts, calling their home numerous times to get information about their private lives.

One of those apparent blogger-stalkers, it seems, is someone called Michelle Malkin, who has gone probing around the Frosts' property and who, at her blog, makes all kinds of unfounded speculations about them. I've never heard of her before but she's a nasty piece of work, and undoubtedly for this reason she seems to have become some kind of right-wing super blogger. And part-time cheerleader. Or something.

But if this is what passes for investigative journalism on the right, then I'm very disappointed.

Leave that family alone. What the fuck is wrong with you people!?

But in a revealing comment, Mark Steyn points out that--despite the enormous amount of almost psychotically obsessive energy he and his cohorts have used in trying to expose the sinister truth behind an ordinary lower-middle-class family who are having difficulty with paying the health bills--none of this really matters:

But one thing is clear by now: Whatever the truth about this boy's private school, his family home, his father's commercial property, etc, the Frosts are a very particular situation and do not illustrate any social generality - and certainly not one that makes the case for an expensive expansive all-but universal entitlement.

A more basic point is made very robustly by Kathy Shaidle: Advanced western democracies have delivered the most prosperous societies in human history. There simply are no longer genuinely "poor" people in sufficient numbers. As Miss Shaidle points out, if you're poor today, it's almost always for behavioral reasons - behavior which the state chooses not to discourage but to reward. Nonetheless, progressive types persist in deluding themselves that there are vast masses of the "needy" out there that only the government can rescue.
Mm hmmm...

Interesting: how does Steyn know that the Frosts don't 'illustrate any social generality'? And how can he say that, having determined that the truth about them doesn't matter? That seems logically impossible to me.

Moreover, pointing out that nobody in the West lives like a medieval peasant, while true, is...well, sort of bizarre.

There was no shortage of commentators in the Victorian era who said exactly the same thing about poverty as Steyn (i.e., not that it is often caused by personal failures or inadequacies--which any sane person knows--but that it has only that sort of cause), while at the same time there were millions of people who were living in a situation that most Republicans (maybe even Steyn) probably recognise as wretched. But in many ways, the poor of nineteenth-century Manchester were probably living better than many human beings who had gone before them. However, the value of that statement is completely lost on me. What is the timeless and unchanging definition of poverty Steyn would use?

More to the point: why is he making that point when what is under discussion here is not giving the Frosts some kind of free luxury car, but helping them to pay for affordable health care.

But I don't think Steyn is really interested in poverty. Not at all. In fact, I'm quite sure of it.

And here a further insight into this mind-set, from the 'robust' Ms. Shaidle whom Steyn cites so approvingly:

That's why I don't care about the poor. They're no more real than Bigfoot. Those we and these lefty Christians call "poor" are "poor" because they've made a series of stupid choices; spend all their (actually, my) money on lottery tickets, beer, tattoos and manicures; are suffering from undiagnosed but easily treated mental illnesses; had too many kids too young; smoked behind the gym while I spent recess in the library, etc etc etc.

I grew up with them. They were jerks and losers.
There is definitely something to appreciate here: witness the true voice of blinding anger that motivates a large segment of the right-wing without all that sweet vaporous talk about 'compassion'.

Ah, the moment of clarity.

In all their bug-eyed fury, though, the point that she, Steyn and all the rest seem to miss in this particular discussion is that CHIP is (rather explicitly) not aimed at 'the poor'. Were the Frosts 'poor', they might be eligible for Medicaid.

Moreover, CHIP is aimed at the children of the families to which it would apply. (The act mentioned above would remove most adults from eligibility in those states that have decided to include them, targeting it more clearly at children.) I'd be interested in knowing how they can be blamed for their predicament. (Perhaps all that time spent enjoying recess.)

The political philosophy, if we can call it that, of Shaidle and many other like her seems to add up to this: 'I'm doing fine, so fuck you!'. It's a sentiment that nicely encapsulates the growing right-wing contempt, not only for the long-term (and maybe even multi-generational) poor, such as the legendary 'welfare queens' of yore, but also for any kind of failure whatsoever.

While it might be obvious that if you're irredeemably dysfunctional enough, you will likely end up poor, I'm not sure why it is necessary for right-wing pundits to drone on about this at such length, unless it's just to allow them to feel all good and superior about themselves by looking down on other people.

Liberals already know that not all the poor are noble.

It is, however, also possible to spend your recesses in the library, not take drugs, avoid teenage pregnancy, and work hard all your life and still end up, at some point, losing out or being blindsided by one of life's many nasty little surprises (illness, injury and unemployment most obviously among them).

As I've noted before, anyone, can point to instances of people who land in poverty through bad choices. Big fucking deal.

I've also known many people (and known many more people who've known people) who have ended up in difficult financial situations--too much debt, no health insurance, crap job, no education, whatever. Some of these were bad choices, some were bad luck. Most were some combination of those.

But even if someone is struggling to get by (even on a Western lower-middle-class level that puts them well above the quality of life in the stone age) due to 'bad choices', I don't see the point or value or morality in denying them--or their children--access to medical care.

The weird caricature of reality offered by Steyn and Shaidle is intriguing though: The right-wing used to just demonize the presumably idle poor; now it seems that they are offering a more big-tent version of hatred, taking aim at those who work but nevertheless are finding it difficult to make ends meet. They think that if you find yourself in such a difficult impasse and seek any variety of public assistance you are, by definition, a loser.

However, the notion that social problems are simply based upon 'behavioral reasons' is absurd. In an economic slowdown, for instance, unemployment and poverty go up: is that simply due to an increase in loserdom?

As the New York Times reported earlier this year, the numbers, for instance, of the uninsured in America have been growing steadily, and the fastest growing group are 'solidly middle-class people'. A mad outbreak of loseritis? A generation coming of age that is suffering the after-effects of smoking behind the gym rather than sitting in the library at recess? A sudden plague of irresponsibility striking the land?

Or maybe--just maybe--it's a sign that there is something wrong with the way health insurance is supplied and that an incremental expansion of government assistance in some cases might be in order.

Or consider the wide variation in the percentage of people without health insurance across America: in the Midwest it's about 11.4%, in the South about 19%. Are Southerners simply 66% more loserish?

Finally, the vehemence of the right-wing attacks is all the more bizarre, since, as John Cole points out, the Frost family appears to have all the characteristics most Republicans say American families should have:

If you look through this family’s dossier, it appears they are doing everything Republicans say they should be doing- hell, their story is almost what you would consider a checklist for good, red-blooded American Republican voters: they own their own business, they pay their taxes, they are still in a committed relationship and are raising their kids, they eschewed public education and are doing what they have to do to get them into Private schools, they are part of the American dream of home ownership that Republicans have been pointing to in the past two administrations as proof of the health of the economy, and so on.

In short, they are a white, lower-middle-class, committed family, who is doing EVERYTHING the GOP Kultur Kops would have you believe people should be doing. They aren’t gay. They aren’t divorced. They didn’t abort their children. They aren’t drug addicts or welfare queens. They are property owners, entrepeneurs, taxpayers, and hard-working Americans. I bet nine times out of ten in past elections, if you handed this resume to a pollster, they would think you were discussing the prototypical Republican voter. Hell, the only thing missing from this equation is membership to a church and an irrational fear of Muslims and you HAVE the prototypical Bush voter.

Or, as a commenter at Whiskey Fire eloquently put it:

Let me get this straight. This guy's a cabinet maker, and these geniuses are leering about how nice his cabinets are?

Given that those people basically live in downtown Baltimore, I'd be willing to bet that they bought a a rundown house in a gentrifying neighborhood on the cheap so that Mr. Frost, who is good with his hands, can fix the place up and they can turn the house around for a profit. His business, which is a couple of blocks away in downtown Baltimore, basically comes from all the people fixing up all the old brownstones in the area.

In the meantime, he has to send his kids to school and the public schools in Baltimore don't really seem like the ideal option. So he looks around, and finds that he can send them to a private school using their assistance program.

But given that $45000 dollars, while a decent living all things considered, isn't a whole hell of a lot of money, especially when there are six mouths to feed, after everything's said and done with he just can't make things work with health insurance (when it comes down to it, after the mortgage, food, clothes and all the rest of the expenses of raising a family, even another $600 is no small potatos).

Then the children get into a catasrophic accident, the family is suddenly looking at medical bills it can't pay. They are in such bad straits that the school is doing fundraisers for them. This government program helps them; makes their lives better in a fundamental way.

And these jokers are pissed off about it.

Amazing.


Apparently, the only thing the far-right can come up with in fighting this issue is to launch a scummy personal attack on a family and indulge in a lot of back-patting self-aggrandisement that seems to have resulted more from reading Atlas Shrugged than paying much attention to reality.

What losers.

PZ Myers has also joined in, with a post that is particularly relevant to residents of Minnesota.
Bitch Ph.D. (I'm linking to the main site so you can track updates) has lots of constructive political-action type info for anyone who wants to assist in overturning this veto.

Tuesday, July 17, 2007

The waiting is the hardest part...

More criticism of the American way of life, this time from those pinko radicals over at Business Week:

Of the countries surveyed, 81% of patients in New Zealand got a same or next-day appointment for a nonroutine visit, 71% in Britain, 69% in Germany, 66% in Australia, 47% in the U.S., and 36% in Canada. Those lengthy wait times in the U.S. explain why 26% of Americans reported going to an emergency room for a condition that could have been treated by a regular doctor if available, higher than every other country surveyed.

The rest is also worth reading.

(Via Atlantic Review)

Thursday, May 24, 2007

Size matters

Rats. Had I been born in one of those many countries with more sensible health-care systems than the US of A, not only would I probably be healthier, but I would also be taller:

Prior to World War II, US citizens were some of the tallest people on the planet, but since then their heights have stagnated; Europeans are now on average between 2 and 6 mm taller, despite the US position as the most affluent nation on earth. Like the previous study, this data reflects the growing disparity in prosperity in the United States, where income inequality is higher now than at any time since the Gilded Age.

The rest, by Jonathan M. Gitlin is worth reading, as are the two studies he mentions.

(The report from The Commonwealth Fund, also suggests to me that Germans should stop griping so much about their health care system: yes, it's getting less generous, but the results remain impressive. Speaking from personal experience, I've found health care in Germany to be fabulous. And all the doctors are so tall...)

(Via Lawyers, Guns & Money)