Showing posts with label healthcare. Show all posts
Showing posts with label healthcare. Show all posts

Wednesday, March 11, 2020

Healing the Democratic Party

To heal the Democratic party, Biden must admit that if he prevails, it has come at cost of obliterating the hope many of us had for absolutely essential policies he has now dissed as extreme. He should assign people to study what got lost and to school him enough to appreciate 21st century needs.

Move left, not right, in other words. That's where the healing lies.

Otherwise, if elected without such expressed admissions, his desire to have been right will lead him to overly trust the positions he previously articulated as compass north. Cognitive dissonance will cause him to actively fight moving in the direction we must go for society to survive.

He needs to admit he doesn't have broad mandate behind his platform, he just has a scared populace who'll vote for the best ham sandwich running against Trump. We didn't suddenly see his light. We just seem to get no other choice.

To lead us, he must become us, not ask we become him.

Meanwhile, Climate respects only physics, not political compromise.

Meanwhile, too many will still endure the deadly gamble that is for-profit health insurance.

Meanwhile, students drown in the quicksand of student loans, and we are all poorer, but the banks.


Author's Notes:

If you got value from this post, please “Share” it.

This post began as a couple of tweet threads you can find here and here.

Saturday, February 27, 2016

Maybe You Have Two Cows

There are some descriptions of various political systems running around the net that are expressed in terms of you having two cows and how each political system affects you.

Here’s one about Democratic Socialism that a friend quoted on Facebook:

Democratic Socialism
You have 2 cows.
You pay your taxes.
You now have free healthcare and free college
 and a government that isn’t owned by billionaires.

I don’t find this to be as useful as it could be. Its tone hints that Democratic Socialism isn’t carefully thought through. Or, at least, that’s how the opposition spins it, unquestioned by media.

I would prefer something more plain and to-the-point. Then again, I don’t know if this describes Democratic Socialism. It just describes what I want. Yet somehow I doubt that Bernie would disagree with a lot of this:

Common Sense Politics
 (as interpreted by Kent Pitman)
Maybe you have 2 cows, maybe not.
Many have far less. Can we stop pretending everyone has it good? People are getting left behind.
People making enough to have a surplus
 pay tax on surplus.
Why are we taxing people who have less than they need to get by? So we can give it back to them later and call ourselves heroes? Leave them alone and get the money we need from the people who can afford it.
Forget this “skin in the game” crap
 about why everyone should pay tax.
Being poor IS having skin in the game. No additional reminder is necessary. The poor are not parasites, they are people society has failed.
And anyway, if you want fewer people, fund birth control.
Rich people pay their fair share
 and stop calling it pain.
Less luxury is not pain. Of course the money for a society is going to come from those who have a surplus. To do otherwise is irresponsible or inhumane.
Corporations pay tax on surplus, too.
Profitable corporations don’t need or ask for subsidies.
And it should go without saying, but...
Corporations are not People.
Corporations pay a living wage.
So employees don’t have to ask for government subsidy. Duh.
The military doesn’t get to waste money either.
No more buying stuff we don’t need just to supply pork to someone’s district.
A healthy and educated society benefits us all.
We pay for these collectively out of society’s surpluses, not by making people choose between these things and basic needs. And we stop calling the money that society pays for these things “expenses.” They are “investments.” It’s not “should we spend on healthcare or education?” but “should we invest in healthcare or education?”
To decide our future, we count citizens, not dollars.
Everyone should participate. Yet another reason education matters: We need well-informed voters. But it’s citizens, not dollars, that need a voice. Money always speaks loudly. Government is supposed to counterbalance that. Any suggestion that money needs a voice in politics misses the point of the Constitution, which assigns no special privilege to wealth, but rather takes it as given that we are all equal.
End Citizens United.
End gerrymandering.
Make voter registration easy and fair.
Fix Climate.
Now.
Or none of the rest of this will matter.

But, either way... Go Bernie!


Author’s Note: If you got value from this post, please “Share” it.

Friday, December 6, 2013

Employers of Religion

Part 1 | Part 2 | Part 3

People have freedom of religion guaranteed to them by the Constitution. Lately there has been controversy—for example, in Sebelius v. Hobby Lobby—about whether corporations need such a freedom as well. I can help answer that: No. They do not.

People can already assert individual rights to religion. When a person creates a corporation, he no more needs additional religious rights for that corporation than a person with a megaphone needs additional free speech rights for that megaphone. A corporation is not a new and distinct human being.

Corporations are avatars that represent people, performing actions on their behalf, but with augmented strength. But, in so doing, they are like the “power loader” exoskeleton donned by the character Ripley in the movie Alien, or like the superhero armor worn by Tony Stark in the Iron Man movies. These vehicles magnify the power of their wearers over others.

It all begins with an understanding that the ones with the brains, with the religion, with the political intent, and with the ethical responsibility are real, natural people who own these corporations. Everything else about corporations is just a vehicle for packaging and focusing power under their control. With rights come responsibilities, and if there is to be neither desire nor mechanism to hold corporations to the simplest social graces that we would demand of any civil person, then we must not think of them as we do civil people.

Consolidated and magnified power, unfettered by the social graces, does not require protection. Indeed, those without magnified power, those at the mercy of such power, are the ones needing protection. That's why we have rights at all—so that puny little people like any of us can stand up against bigger entities, like companies and governments. To say that then companies and governments need the same rights as ordinary people is to make a mockery of the very purpose of our rights. It is to diminish and dismantle human rights, not to extend them.

If a corporation imposes ethical choices upon employees, that's not the corporation protecting its natural rights. That's a person or a gang of people using the magnified power of employment to coerce other people not to follow their own religious beliefs. We've learned to recognize such coercion in the case of sexual harassment, and to understand that there is a responsibility of the powerful in an employment situation not to coerce the behavior of the weak. This is really no different.

The analogy may confuse you if you are comparing religion to sexual harassment, but that's not the right point of view. Both sex and religion can be beautiful things, but only when freely elected. Either forced sex or forced religion is an atrocity. An exercise of power, devoid of joy. A crime.

We allow an employer to use threats of firing to maintain a certain degree of order within a company, but only as long as that order relates to the business. We do not and must never allow employers to use any such threats to coerce behavior outside the scope of the business.

As a free citizen of the United States, you may choose what parts of your religion you like or don't. You can elect to be Jewish and yet perhaps you eat cheeseburgers. And yes, you can be Catholic and still use birth control. These are personal choices you make. Your religious advisors may even be offended. But that's between you and them, not between you and your employer. If your employer is allowed to intervene, even if he thinks he's just exercising his freedom of religion, he's using his magnified power to disallow you from exercising your own.

And that's the crux of it, the meta-rule of religion: Your religious rights stop when they start to infringe mine. We each must leave space for one another. Birth control is a personal choice, and something we each need to decide for ourselves. Employees do not make birth control decisions for their employers, and the same must be true in reverse. Any pretense that the company has a religious need separate from and beyond that of the owners just distracts from the fact that the owner's sphere of personal influence is being allowed to be bigger than by any right it should be.

Moreover, it will not stop there. The issues in question are not about the company being asked to pay for birth control, but merely about a company being asked to pay for access to a company that might pay for birth control. There is already an indirection in place. This indirection is really no different than the fact that the company is paying wages to a person who might pay for birth control, and the next natural step is to allow the company to control what happens with those wages.

It is simply not the company's business in either case. Health care is needed by employees, and it's up to each employee's sense of ethics and religion to elect what is appropriate, within the bounds of the law, to satisfy that need. For a company to dictate more is to either privately dictate a person's ethics and religion or to privately dictate the bounds of law. Either is unacceptable.

Corporations are not people. They do not get offended. Owners of companies get offended. And, if we let them, they'll use their artificial shells of power, like the image of the wizard in the Wizard of Oz, to make their sense of being offended more seem bigger, more important, and more menacing in order to coerce behavior. Corporations might dictate rules that must be followed by employees to keep their jobs. These powers may often be justified as needed for the correct function of the business, and the quality of its product. But there is no correct function of any business in play with the use of birth control—except, ironically, that some businesses might be adversely affected if the people working for them cannot avoid pregnancy and become distracted by an inability to plan the size and timing of their respective families.

Birth control must be the choice of the employee because it is an activity beyond the scope of employment. There is no defensible corporate interest in keeping employees from having control over family matters. It is a naked abuse of power by certain business owners over their employees and a perfect illustration of why corporations must not be accorded some artificially drawn freedom of religion.

Corporate religion is just institutionalized coercion trying to take hold.

We the Flesh-and-Blood People must draw a line.


Author's Note: If you got value from this post, please “Share” it.

This third and final part of a 3-part series was originally published December 6, 2013 at Open Salon, where I wrote under my own name, Kent Pitman. The first part was Corporations Are Not People. The second part was We The People (and Corporations).

Tags (from Open Salon): politics, incorporation, corporations, corporate personhood, legal personhood, legal person, legal personality, taxation, crimes, punishment, imprisonment, life, death, death penalty, urination, trickle down, census, social security, robbery, slavery, human trafficking, murder, pro-life, childhood, contracts, travel, passport, visa, home country, citizen, citizenship, speech, religion, freedom, freedom of speech, freedom of religion, religious freedom, philosophy, ethics, vote, voter, voting, run for office, running for office, candidate, elect, election, elected, office holder

Footnote

Note that even if you disagree with me, and think that a corporation really is a distinct person, the problem is that such so-called legal people are veritably required under stockholder theory to behave sociopathically. See my article Fiduciary Duty vs. The Three Laws of Robotics for an elaboration of why. In such cases, where legal people are neither asked nor expected to exhibit other-than-selfish behavior, special restrictions to hold that selfish behavior in check, not special encouragement to be as free as possible in the exercise of that selfish behavior, would seem more appropriate. The notion of a free society is based precisely in the assumption that most of us will not behave sociopathically. It is a calculated gamble that we will tend to do well by each other if allowed the chance. It would be irrational to make such a gamble situations where we do not have such an expectation.

Monday, November 18, 2013

My Christian Sensibilities

As a kid, I went to church and Sunday school and even attended an Episcopal grade school for 3 years, which meant chapel 5 days a week in addition to normal Sunday school, so no shortage of religious guidance. We moved a lot, so I experienced quite a number of churches, and several denominations (Baptist, Methodist, Presbyterian, even generic Protestant—an Army accommodation to multiculturalism). At some point I asked my mom if I really had to keep going, and she said I didn't. I think she just wanted me to get to a place where I could decide such things for myself.

I spent a number of years after that getting used to not being religious. If you're curious, you can read a pretty good summary of how I think about religion in my article Hawking God.

But like so many things in life, religion comes bundled with many things that seem only accidentally associated, like how you might have to go to a ball game to have someone walk around selling hot dogs and peanuts. Nothing about hot dogs and peanuts that requires that they be sold at a baseball game. They could do it at bowling alleys or in churches for that matter. Sometimes they do it in movie theaters or on beaches. But the point is that often an activity comes bundled with an unrelated or only quasi-related item, like hot dogs and baseball.

It surprises me, for example, that there's no religion-free version of a church. A lot of people just like showing up and seeing friends and hearing an inspirational message. It doesn't have to come from the Bible. It could come from anywhere. It's always at this point that people tell me the Unitarian church is kind of like that. But really, my point is that I don't want a church, and other non-religious people don't either. And yet, I'm not against socializing.

And the same with morality. Members of religions often pick up a great deal of morality from their church. That's where I got a lot of mine, as it happens. I think sometimes that Christians worry excessively that people who don't have religion will therefore not have morality, since the place they would have learned it doesn't exist for people outside of religion. It turns out it can be learned in other ways, though, so they can rest easy.

Still, when I left religion, I didn't discard my sense of morality. It seemed useful enough, and I'm happy to learn things wherever they come up up. I was in JROTC (a military training program) in high school, too, and although I eventually decided I didn't want to go into the Army, I was glad I had been in that program. I like to think I learned important things about discipline and respect and leadership that I could carry with me even after I “retired.”

[A line drawing image of a male person who looks pensive.
             A thought bubble shows an image of a Bible, as if he is pondering religion.]

It's perhaps also fortunate that even in Sunday school when I asked hard questions of my teachers, they didn't get all dogmatic with me, but instead tried sincerely to answer the questions on the terms I was asking them. I was quite skeptical about the story of Jesus feeding a large group with just a few loaves of bread and a couple of fish. But the response I got was that probably people were hoarding food and that once someone shared, others did, too. The question I was asked back was, “Is that any less a miracle?” Hard to know how to answer that last question, but it was certainly my kind of miracle.

Even being no longer religious, I'm still OK with believing in that kind of miracle. I don't find myself troubled by reclaiming some of the terminology of religion. It's fully of valuable words that one cannot afford to be expressionally without. Even words like “evil,” which for many years I had no place for. Over time I've come to believe the word is necessary not because I imagine there somehow to be some supernatural Satan sneaking around, tempting and outright sabotaging the affairs of the world, but simply because there exist great wrongs in the world for which it would be too gross an understatement to call them merely “bad” or “wrong.” Such words are too small, too pedestrian. When I speak of Evil, often capitalizing it for effect, I don't mean anything supernatural, but I do find it conversationally useful to have a word to express a systematically corrosive problem that commands priority attention by society. I'll spare you specific examples at just this moment, so we don't get too side-tracked. For now I just want to note I've reclaimed my right to use it notwithstanding my lapsed membership in organized religion.

I'm still working on what to do about the terminology of prayer. I don't find myself with an urge to consult some supreme being, but when bad things happen to others, or when they're just fearful, I wish there were a conversationally simple phrasing like “I'll pray for you” that expressed caring. I often just resort to “I'll think good thoughts.” But just because I don't believe in a supreme being doesn't mean I don't sometimes wish for one. I did read comic books, for example, and I do watch superhero movies, and even though I don't believe in Superman or Aquaman, it doesn't mean I think the world would be worse off if there were such folks. Well, probably. It probably wouldn't work out like people think, and perhaps we're better off just wishing.

Actually, praying for someone is a complicated issue, because it has always troubled me ethically. I was taught that the reason you couldn't put God's name before the word damn was that it violated the commandment about taking the Lord's name in vain. That is, you are asking Him to do you some petty favor of damning someone or something just because it offends you. He's not going to do it on your say-so, and so you're asking in vain. He's not your servant, you're his. And prayer seemed to me to be full of that. It's one thing to make requests, but prayers seem full of command form. “God, bless so-and-so.” That seems similarly pushy to me, so I never really understood why it wasn't much more polite.

I don't think it's a minor point, actually, because once one gets used to telling God what he should and shouldn't be doing, it seems contagious to other things. One starts to hear political leaders telling us what God likes and doesn't, as if they know. Even if there were a God, it seems really unlikely to me that these people who are so free with His name are really the ones God chooses to chat with. Frankly, it seems to me that if there were really a God, the evidence would be in the little piles of ash all over the place where brash politicians went around taking His name in vain in myriad ways that go well beyond merely asking God to damn them. It's as if they don't even have the faith needed to see if God is going to answer their prayer of damnation, and they have to find a way to make sure to damn them here and now, as some sort of offering to a God too feeble to handle his own affairs. Some faith.

Again not to lean too heavily on my long-since-lapsed Christian upbringing, but I was taught that God gave us free will so that we could make choices in life, not so we could go around telling other people they have no choice. Too often, of late, we see hyperevangelicals impatient at the fact that God is not acting in the way they want or expect and worried somehow that the world will come to an end if they don't act. That, to me, seems the very essence of faithlessness.

According to the moral training I received in my youth from the church, it should be our business here on Earth to love, care for, help, and accept one another. Even today, that seems to me like it should be right, God or not. Tolerance and compassion are just good ideas no matter where they come from, but if you're a Christian I just don't understand how you could not think they were requirements.

And yet the GOP, the self-appointed party of God, purports to care about “life,” even though—as far as I can tell—that sense of caring stops just about the time a person is born. GOP politicians hold their heads high and smile cheerfully as they explain why it's important to kill plans for health care, education, minimum wage and other employment standards. Frankly, if there's a form of common human decency, it seems safe to suppose there's a GOP plan to obstruct it. And, I have to admit, if there's a place I feel a need for a word like “Evil,” this is it.

Some days I really don't know what to do about such Evil. For now I guess I just wanted to make note of the fact that these things the GOP has been doing offend my Christian sensibilities.

Footnote

One ray of sunshine, though, is Pope Francis. He's not likely to get me to believe in God again, but his willingness to take on the big money and power that has infected the church and his seemingly genuine desire to lead by example in teaching people to care more seriously about other people is at least restoring a bit of my faith in humanity. Maybe we could get him to moderate the 2016 Presidential debates. It's not that I think the GOP has to answer to him particularly, but he seems to know the right questions to ask.


Author's Note: If you got value from this post, please “Share” it.

Originally published November 18, 2013 at Open Salon, where I wrote under my own name, Kent Pitman.

Tags (from Open Salon): politics, gop, republican, religion, love, love thy neighbor, tolerance, compassion, health care, minimum wage, living standards, employment standards, human decency, ordinary human decency, common human decency, pope, francis, miracles, loaves, fishes, matthew, church, sunday school, not religious, non-religious, atheist, atheism, agnostic, agnosticism, god, dogma, moral, morals, morality, philosophy, caring

The image was added later (May, 2025). It was created as a hybrid of two different candidate images generated by abacus.ai using Claude Sonnet 3.7 and GPT Image. The composition and some post-processing was done in Gimp.

Tuesday, September 14, 2010

The Big C

Climate Change. There are a great many things I could say about Climate Change, but today I want to make a pretty simple point about the likely health effects of Climate Change: They won't be good.

It's also common in discussions of Climate Change to talk about the effects on large systems, like cities or business sectors, or on large groups of people, sometimes even the entire population of entire countries. Such talk, I worry, can make your eyes glaze over, like trying to talk about whether the war cost one or three trillion dollars. Who can even know the difference? And yet, the difference most certainly matters.

So I'm not going to focus on large systems or groups. Most assuredly, they'll come up incidentally, but really I'm just going to talk about myself, what I fear will be the impact on me personally. But really you should know I'm not just talking about me, or meaning to say my situation is more important. I'm just using my situation because I know it best. There will be many like me. If you like, as you read along, substitute the name of someone near and dear to you, and substitute their situation. If you find a way to put a personal face to Climate Change, I'll have achieved my goal today.

Cancer is another aspect of it for me. I was diagnosed with thyroid cancer last year. I was fortunate to be covered by decent health care. Just lucky. There was a gap some years back where I could not afford health insurance and, had the cancer happened then, it might have ended differently. Fortunately, I was beyond that rough economic time and evaded what might have otherwise been a death sentence. Others have been less fortunate, which upsets me greatly. We should have universal health care.

I didn't write about my cancer at the time it was happening. Well, I did, but only indirectly. I wrote a post about roller coasters the night before I went into surgery as a metaphorical way of expressing how out of control I felt. Everything was on autopilot, and I was plenty scared. But at the time I didn't want to acknowledge the situation publicly. In fact, this article is my first time writing about it in a web-accessible location.

Frankly, I'd really rather have such matters remain private. It's a curious thing about politics. I've been a strong advocate of privacy rights for all of my adult life. My personal web page begins with an essay talking about the separation between my public and private persona, and how I don't like volunteering personal information to the public eye. There are too many ways to abuse it. There are a lot of things about me that are not the world's business and that ought not be fodder for people at search engines to browse or for marketeers to slice and dice for sale.

Citizen participation in a democracy sometimes requires otherwise, however. It's no one's business what my religious beliefs are, what I think of abortion or being gay, or how my family chooses to deal with end-of-life issues. Yet modern American politics is typified by invasive meddling in areas such as these, and so I find myself joining those who feel the urge to stand up and be counted on such important matters, even at the sometimes risk of having what should be our private lives out on display. I don't like it at all. But I see no way around it.

To speak of my medical position is scary because it's possible the information can be used against me. Of course, my medical situation comes as no surprise to insurance companies which can force me to disclose my medical history as a condition of coverage. At least, thanks to recent legislation, they can no longer exclude me for having a pre-existing condition. But they can still raise my rates, or those of an employer who has me in their “pool.” So an employer at some point in the future may quietly let me go or another may fail to hire me, never saying the reason. Who can know? What I do know is that insurance companies pay people to figure out clever ways to get around government restrictions and back to business as usual.

I guess that's why I read every day in the news that voters are ready to vote the Republicans back in. I guess voters think the protections we have now are too strong, and they'd rather go back to a time when the insurance companies weren't screaming in pain from the thumbscrews to which we consumers have put them.

Commerce is also a key component in my story. Adam Smith's much-touted “unseen hand” of capitalism has seen fit to decide that we should not make things locally any more, you see. We buy them from elsewhere. Who knows where? We assume the fuel will continue to flow, and flow cheaply, to get things from here to there. We assume there won't be floods intervening. We assume there won't be disease that causes us to restrict travel. We assume a great many things. And because of those assumptions, we're comfortable believing that commerce will just continue to function reliably no matter what.

And as long as it does, I'm probably fine. Or as fine as one gets having had a recent cancer. There are no guarantees. A highly competent surgeon removed my thyroid and with it the cancer. So I'm ahead of the game in that regard. I can't complain. I probably had more problems fighting the provider of my short term disability coverage than the cancer itself. At least with the cancer I had skilled professionals acting as my advocate. With the insurance company, it was the other way around. But I persevered in spite of administrative obstacles, and subsequent tests have so far shown me all clear. Odds are that I'll die of something else, not thyroid cancer. Of course, I still have to manage life without a thyroid, but that's mostly a routine matter in modern society. I just take some pills every day, which I can always get from the local pharmacy. Always. No matter what.

And that brings me back to Climate Change. It threatens us all in so many ways. The water level might rise. There might be more and stronger storms. The food supply is certainly in danger. If that falters, there could be famines, even wars. Any of those things could affect me, but I don't dwell on them a lot, at least not in the obvious way. But all of these problems have something in common, and that's where my mind often goes: Even in mild form, they can disrupt the normal flow of society.

Carrying capacity of the planet figures in here, too. It's defined by Wikipedia as “the population size of the species that the environment can sustain indefinitely, given the food, habitat, water and other necessities available in the environment.” I've had many debates with people about what that number is. I agree with those who think we're already there. I've heard others suggest that carrying capacity is not a number but a function of technology—that as technology improves, so will carrying capacity. I don't agree. Hanging our hopes on technology is dangerous because if technology ever fails us, we will suddenly and “unexpectedly” find ourselves with far less ability to sustain ourselves than we thought we had. It's not written in stone that technology will get ever better and more accessible.

Ask someone who's been through a hurricane or a flood and has had to back up and start over. The march of increasing technology is more variable than we sometimes allow for. The temptation may be to dismiss such things as “local effects,” but there can be global disruptions. Peak oil and the looming shortage of rare earth elements will have profound effects on the sustainability of present technology. And Climate Change is affecting food supplies in the ocean and even on land, as Russian droughts have caused a global wheat shortage. We've also built a society that relies on global assembly of goods; things are not made in one place any more. If transportation becomes suddenly expensive or inaccessible, that's a problem that can be highly disruptive.

When the stock market crashed, we found suddenly that we had been overleveraged. People who thought they were making enough money or spending it in the right places came to realize that they had based these thoughts on assumptions that the world would always be precisely as it was, only always better. Suddenly they realized how fragile this assumption was and how little prepared they were for deviation. Climate Change is going to be a rude awakening that we have spent our technology enabling spectacles rather than increasing basic robustness. I think we'll find that this is what carrying capacity is really about—not how are we living in normal times, but how capable are we of surviving exceptional times, of dodging the global extinction events that have taken down the dominant species of past eras. Do we have good plans for emergencies? I look at events like the Katrina hurricane and shudder.

Calamity, you see, has this very personal aspect in my mind. If the complex engine of our society's continues on track, if commerce continues without interruption, I'll probably continue to have access to the pills that compensate for my missing thyroid. My most personal fear isn't all those big things—the sea level rise, the storms, the fires, the pests, the diseases, the famines, the wars. If those problems happen, we all have to fight them. I won't be alone.

It may seem silly, but I just worry the drug companies won't make my pills any more. Or they'll make them, but the free market won't find enough value in getting them to my town, especially in an emergency. I'm dependent on what feels like a Rube Goldberg mechanism to get them from wherever they come from into my hands. If that breaks down—if the stores close, or can't get stock—I worry no one will notice. It's such a small thing that I fear it will be overlooked. I'd love to stock an emergency supply, but my doctor has to prescribe only what I need, and the insurance companies work to prevent my buying pills ahead of when I need them. Talk about death panels. They try to placate me by noting the pills don't have a long shelf life. Or they mention I can buy a 90-day supply instead of a 30-day supply. But, 30-day or 90-day, they still make me burn that supply down to almost zero before I can get more.

So I obsess about what may seem to others as a comparatively mild risk of Climate Change—about the mere interruption of business as usual. It's not the biggest effect one could imagine. But it's how I personalize it. Your circumstances being different, you'll probably personalize it differently. That's okay. Just please do try, once in a while, to think of Climate Change not just as a global phenomenon, but as something more local, tangible, and personal. After all, Climate Change won't just affect the future of our species and perhaps of all life on Earth, but it will also, as part of that, affect you and me personally.


Author's Note: If you got value from this post, please “Share” it.

Originally published September 14, 2010 at Open Salon, where I wrote under my own name, Kent Pitman. I have reproduced the article here, but to read the original discussion, you'll need to click through to the snapshot created by the Wayback Machine.

Tags (from Open Salon): politics, climate change, cancer, citizen participation, convergence, carrying capacity, calamity, catastrophe, personal, personalize, supply chain, leverage, over-leveraged, stock market, crash, medication, drugs, supplies, hurricane, drought, war, disruption, society, capitalism, planning, population, overpopulation, zpg, health insurance, health care, health, bad for your health

Thursday, August 26, 2010

The Cost

For those of you just waking up from a coma or returning from a sensory deprivation chamber, the last “US combat brigade” officially left Iraq last week. It seemed an appropriate time for a pause to reflect on the cost we've incurred.

I heard someone remark on TV the other day about over four thousand lives lost and a trillion dollars spent. The four thousand people I understand. It's a lot of people, but I can conceive of it. Forty rows of a hundred people each. Or perhaps eight or ten large passenger jets full of people. That's a lot. Each was a person, with a life, probably a family, all affected.

But I don't think that's the full count of lives lost. I hope to convince you it's a terribly low number. I think the number of casualties of this war was much, much larger. And I didn't mean the injured or those with psychological damage, such as PTSD. Those are also costs, and I don't mean to discount them. But those are not the ones I mean. I'm actually meaning to count deaths. And yes, there are Iraqis dead. They're often not counted. That's sad as well. But I mean the count of American deaths is low, at least as I tally it.

But first, let's return to the trillion dollars. That's an incomprehensibly large amount of money. A million dollars is hard for many to comprehend. A trillion is a million million. It makes it seem almost quaint to think back on the late Senator Everett Dirksen's familiar quote, “A few billion here, a few billion there and before you know it, you're talking real money...” A trillion is a thousand billion. That's a lot. It's more than seventeen times the wealth of Bill Gates.

To understand this number better, I'd like to speak for a moment about something called opportunity cost. Opportunity cost is not the direct cost we pay out, but is a measure of what we lose by not doing something else. One can't do everything in life. Usually making a choice to do one thing locks out the opportunity to do other things. So sometimes you can't just look at what you got by taking a certain choice, but you also have to look at what you lost.

For example, there are 310 million people in the US. Instead of going to war with Iraq, we could have borrowed a trillion dollars and just given $3226 to each person (man, woman, or child). We'd still owe the trillion dollars, just like we do now, but everyone in the US would be that much richer. We didn't choose to do that. But one way to conceive the cost of the war is to say we denied ourselves that money.

It's unlikely we'd have ever had such a handout, at least not like that. But here's another thought: Lots of people get sick and don't have health care. Sometimes they get sick because they don't have health care—maybe they weren't getting screenings for things they should have. So the cost of saving them might be trivial. Perhaps a few hundred dollars. Or maybe it would be a simple procedure or some medication. Perhaps a few thousand dollars. Maybe it would require serious surgery. Let's be very, very conservative and guess that it takes $100,000 to save a life. It will make my point and then we can come back and look at the other possibilities.

Instead of paying a trillion dollars on a war, if it cost $100,000 to save a life, there are ten million $100,000's in a trillion dollars. That means we lost the chance to save ten million lives. Let me say that another way: Ten million people died who didn't have to. Or maybe more, if you think my $100,000 number is high. If you could find a way to save a life for $10,000, there are one hundred million such bundles available in a trillion dollars. But let's be conservative in our back-of-the-envelope calculations here and say just ten million. It makes the point well enough. Either way, we didn't spend our money that way. We made our choices, and those who could have been saved were not. We spent the money on the war instead of on them.

So going back to where I began and trying to fathom the depth of meaning in “a trillion dollars and over four thousand lives,” one way to conceive the phrase is to say “ten million civilians dead and four thousand military dead.” And, in a sad irony, if the money had been spent on those ten million, the four thousand military would probably still be around, too.

Ten million people. That's six times the population of Manhattan.

Let's not forget the chilling imagery created by Condoleezza Rice when she said, “The problem here is that there will always be some uncertainty about how quickly he can acquire nuclear weapons. But we don't want the smoking gun to be a mushroom cloud.” We didn't want even the chance of losing one actual city to terrorism, yet in order to avoid it, we spent enough that we could have probably saved that many people six times over. That was a lot to spend, both in dollars and in lives.

And if you don't like me making up numbers about how much it costs to save a life, another way to sum up the human cost is by looking at the cost of universal health care. It's estimated to cost somewhere around $70 billion (annually). So we could have paid for universal health care for 14 years with that same trillion dollars we borrowed to help out Iraq. That would, again, be a lot of healthy people. At no more cost than we're paying today.

Oh, right. I'm being unfair. We supposedly gained something from the war. We didn't fight it for no reason. We were told we were fighting the war in Iraq so we wouldn't have to fight the terrorists here. Is it likely that we're safe now? After all that expense, did we achieve that goal? Bush said “mission accomplished.” (I've noticed that Obama has avoided that phrase, even as he pulls so-called “combat troops” out of Iraq.)

Are we safe now? Do we have no more risk of terrorism here now that we fought that war? I don't know about you, but I think not. It's not the soldiers' fault, of course, but we didn't accomplish our mission, not that one. That mission was not possible to accomplish. We couldn't rid ourselves of terrorism by fighting with people in Iraq. And we won't be free of terrorism if we keep on in Afghanistan. We'll just be poorer, and that makes us less safe.

The big risk to our national security is wasting our wealth. We neglected the lesson of the Cold War, that one can lose a war by simply overspending. We've squandered our dollars and, I claim, in ways that we'll never bother to tally, we've squandered lives.

Yes, a lot of our military died. We should mourn them. But there are hidden casualties—really a lot of them. We should mourn them, too. Many Americans died here at home but won't be counted as war dead, even though if we hadn't fought this war, they did not have to die. We could have been wealthy enough to afford to spend that money on life.† But we gave up that opportunity. That is the true cost of the war.


Author's Note: If you got value from this post, please “Share” it.

Originally published August 26, 2010 at Open Salon, where I wrote under my own name, Kent Pitman.

Tags (from Open Salon): saving lives, opportunity, pro-life, choice, mushroom cloud, body count, death count, casualties, casualty count, opportunity cost, million dollars, billion dollars, trillion dollars, health care, life, death, cost, civilian, military, war, politics

Click here to see the cost of the ongoing wars.

Click here to see the Iraq War casualty count.

†Yes, you're right that the Republicans would have opposed spending the money on such saving of lives. They're not that kind of “pro-life.” But letting such people have a say in our government is still a political choice we make. Electing them at all may indeed imply that such opportunities are lost from the outset, but I still feel obliged to point out that the opportunities are there to decide these things every time we go to the ballot box. We're just locking in that cost earlier by letting them be involved.

Wednesday, September 30, 2009

My Slice of the Pie (Again)

I thought I had written this already, but apparently it was stem cell research I'd written about back in March, not abortion. Since the observation I have to make applies identically to both issues, I just copied the old article and changed the nouns in two places.

Ever pooled money with a group of people for pizza? Five bucks a head and someone calls out a big order. It can be a little tricky since not everyone likes the same toppings, but with a little effort, it can be made to work. A veggie pizza here, a pepperoni there, maybe the chicken pizza has olives only on one half of it. Pretty soon everyone who's pitched in their five dollars is satisfied.

Of course, the guy who wants the veggie might be irritated that someone in the group was eating meat. But what's he going to do? Force his ethics on others? No matter how morally sure he is of his beliefs, it wouldn't fly for him to try to control what others are doing. His $5 hardly buys him the right to tell everyone else what they can or can't eat. Chipping in buys him the right to ask that a little bit of the pizza is something he'd enjoy, but it doesn't give him the right to veto what others might like.

So now let's talk about another kind of pie: The national budget.

Why do people say silly things like “I don't want my tax dollars going toward abortion”? Why aren't they laughed out of town for such a ridiculous statement? It's fine for them to say something like “I want a few of my tax dollars to go to funding something I do like,” but unless they're paying a lot more than I'm sure they are in taxes, they just haven't bought the right to control what others are chipping in for.


Author's Note: If you got value from this post, please “Share” it.

Originally published September 30, 2009 at Open Salon, where I wrote under my own name, Kent Pitman.

Tags (from Open Salon): taking responsibility, overpopulation, pregnancy, unwanted pregnancy, pro-choice, pro-life, anti-choice, anti-abortion, pro-abortion, short-sighted, selfish, separately coded, separate account, federal funds, state funds, tax deduction, tax credit, my tax dollars, single payer, health care, public option, abortion rights, abortion, sharing, pizza, economics, funding, pluralism, politics, family planning, planned parenthood

Thursday, May 28, 2009

Over the Edge

[A pretty grainy photo of a 'free fall' carnival ride called 'The Edge', where the rider is basically dropped in free fall but is caught by a track that gently curves from vertical to horizontal. It's a ride that lasts only a few seconds.]

In 1990, I visited Marriott's Great America and rode on the ride called The Edge. [ 1990 The Edge #1 ] It's a thrill ride designed around the notion of free fall.

The basic idea is that you get into a steel cage and they drop you on a track. Initially you just fall but the track is curved so it gradually takes your weight back and slides you down to where you end up landed on your back. The ride accelerates from 0 to 60 miles per hour in 1.8 seconds, hitting 3.5G, and then decelerating in 5 seconds back to a stop.

I'm not really a roller coaster person, so I'm not sure what was in me to do this. [ 1990, The Edge #2 ] I'd usually be the one getting up to the door and then taking that conveniently placed exit for people who chicken out at the last minute. But that day I got in. And the door clanged shut.

Now the thing to note is that just about as soon as I was in, I was thinking “No, maybe not.” But the problem is that by that time you're locked into a steel cage and there really just isn't any backing out. At that point, there's just physics and destiny waiting. No more control. The cage was going down whether I liked it or not, and there was no more time to think.

It came out fine, as it happens. Since then I've had other chances to repeat the experience, but I don't do it any more. Been there, done that, got the t-shirt, as they say.

Still, I'm glad I once did. Sometimes other things happen in my life, or in the lives of others, where there's very little control. It gives me a framework to understand the sensation I'm feeling, or to empathize with the feelings of others.

There are times where in an instant, life changes and there's no looking back.

Some years later I was sitting with a friend at her house when her dog decided, pretty much out of nowhere, to jump up and sink his teeth into my face. One moment we were just sitting there amiably chatting, the next I had a dog—a Jack Russell terrier, if you're curious—hanging off the front of my face, teeth sunk into my upper cheek. It was really kind of bizarre and disconcerting. [ 1990, The Edge #3 ] I think it disconcerted the dog, too. He seemed kind of embarrassed about the incident after the fact. I remember thinking to myself that I was probably going to be disfigured for life, like the clanging of that door.

As it happened, we went to the ER and they didn't even want to do anything with it—they said it would heal on its own. It had by some amazing quirk of fate missed all the nerves he could have injured. One or two people have noticed there are some tiny scars but there really hasn't been any observed problem. Just lucky. Like the ride coming to a smooth glide at the end. That time, anyway.

Still, one never quite knows. Life always has new challenges waiting. And always the sound of that clanging door. One way only, please, just forward.


Author's Notes: If you got value from this post, please “Share” it.

Originally published May 28, 2009 at Open Salon, where I wrote under my own name, Kent Pitman.

A postscript, ten years later (May 24, 2019)...

I can explain now that I wrote this on the eve of a major surgery. At the time, I didn't want to worry friends about the surgery, so I wrote in metaphor and figured if something happened and the surgery didn't go well, at least people could figure out after-the-fact what I was thinking going in. Fortunately, it went well, and I'm a lucky cancer survivor, so I realized today I should add an annotation to connect the dots on the history of this.

I also wasn't sure at the time whether it was safe to talk publicly about my cancer. I talk more about that in my article The Big C. Health, privacy, and politics come together in complex ways. I might have wished that such an important and personal thing could stay private, but political change often demands the sacrifice of intimate information to sway minds. See that article for more detail.

Tags (from Open Salon): belief and religion, philosophy, belief, religion, health, family, deep breath, taking the plunge, diving in, head first, out of control, milestones, autopilot, cruise control, lack of control, loss of control, free fall, thrill ride, roller coaster, locked in

Thursday, October 30, 2008

Redistributing Burden

McCain's near-spastic surge of emotional hotbutton issues is hard to follow, but among the spread spectrum of ideas he's been frequently hopping between is his allegation that Obama is a “socialist” seeking to “redistribute wealth.”

A number of people are already doing a pretty good job of shedding sunlight on McCain's confused use, or cynical abuse, of the term “socialist.” For example, Stephen Colbert recently interviewed Brian Moore, socialist candidate for US President in the 2008 election. In the interview, he asks Brian Moore whether Obama could pass for a socialist.

I wanted to make a different point, though... that is, if you're done watching the video. Hello? Is this microphone still on? Ah, there you are. I thought for a moment I'd lost you. I should know not to put myself in deliberate competition with the likes of Colbert, especially to illustrate what I don't want to talk about!

What I really wanted to talk about is the notion of redistributing wealth. I want to suggest that's a bad paradigm for viewing the question, and suggest a way to reframe the discussion. I want to discuss “redistributing burden” instead.

To start, let's look for a moment at the process of summarization. There are a lot of ways to summarize an issue, even something that seems so simple you can just count it up. Depending on what you count or how you count it, the answer can be different. For example, we have a Senate and a House of Representatives in part because one of them counts up what states think, and one counts up what people think. It was believed by our founders, and I think they were right, that sometimes one of these is the right way to count, and sometimes the other. But the point is that they're different, even though they're at some level both counting up the same thing, that is, “how much will the nation has on an issue” or “how much need the nation has.”

So it is with wealth and burden. For some things where money is involved, wealth may seem an inverse measure of burden. That is, if you have a lot of wealth, you have less burden. But the problem with that is that it sounds like it's all proportional. Wealth uses words like “more” and “less.” People who claim they have no wealth at all are rarely sympathized with, even though the use of the word is probably correct, but rather they are quibbled with. “What are you talking about? You have a family. Isn't that a form of wealth? You live in the richest country in the world. Isn't that a form of wealth?” (Given our debt burden, I'm not sure I'd call this the richest country in the world, by the way, but you still hear people say it.)

Sometimes the word wealth is a relative measure. We cannot all be wealthy because we don't all live in Lake Wobegon (“all the children are above average”). It's a necessary fact of relative wealth that for some people to have it, others don't. Now, it's certainly true that there is another kind of wealth, an absolute kind, that says that if you have more than you need to survive, you're also wealthy. And that kind of wealth we could theoretically all have at the same time. We just don't. We have many people who have enough to survive, and more, while we have many others who don't have enough to survive, to care for their families, to address medical issues, etc.

So when it comes time to pay the nation's taxes, the question is what the burden is on them to give up a little of their money to help with that cause. The answer is pretty plainly right now that there are people who are barely getting by, if at all, who are being asked to pay money they don't have in order to help with that. For example, for Sally making $30,000 to pay $3000 in taxes while Bill making $1,000,000 pays $100,000 might seem a simple issue of scale. Both pay 10%. But the $3000 that the Sally is giving up might have been just enough to afford some critical expense, perhaps a health care plan. While at his income level, Bill is at no serious risk of not being covered by a health care plan. So it's not that there is a proportional burden. Sally's basic needs are not met and Bill's are. It might not even be the case that Sally's needs were met with no taxes at all. $30,000 is not much to scrape by on, especially if she has a family. But I'd argue Bill could still manage to raise a family even if he paid $103,000 dollars in taxes, so that Sally had to pay none. Or even if he paid $130,000 dollars in taxes, so that ten Sally's had to pay none.

I hear murmurs of “he's redistributing wealth” but that's my point. I'm not necessarily redistributing burden. At least, I'm not creating a burden on anyone that didn't have it; I'm just removing it from someone who did. If Sally pays no tax, so keeps all $30,000, she's not made rich, she just fails to be quite so impoverished. And if Bill pays only 3% more in taxes, which is $30,000, he's not impoverished by that. He's just slightly less rich. Before the change, 10 people might have been struggling and 1 surviving (well). After the change, 11 people might be surviving. That's a big benefit. The mathematics of burden redistribution are very different than the mathematics of wealth redistibution. Speaking in terms of wealth rather than burden can muddy things a lot by focusing on things that don't matter at the expense of things that do.

“But,” I hear you protest, “she doesn't have to pay taxes and he does.” Not so, I claim. She pays a tax. She is poor. Being poor is a tax. (On another day, I can perhaps even explain that might be quantifiable. But today you can just assume I mean that being poor is no fun, and that Bill won't trade places with her if he has the chance. So saying Bill is enduring an inequity in this arrangement is disingenuous.)

And yes, we can argue where the line is between rich and poor, but we should not argue that there is no such line. Surely there must be some amount of money beyond which if you have it, you're set. Just as surely is some amount of money below which if you don't have it, you're in bad shape. The precise amount may differ with time and geography and other factors, but we shouldn't let that uninteresting fact distract us from admitting that are real effects worthy of discussion.

And please note well—I'm not saying that the wealthy need to just give all their money to the poor. The capitalist system is about the hope that the opportunity to get rich will cause people to work hard for that goal so that others will benefit. But we need to watch that in fact the others do benefit. If we allow the one person (or a small number of people) to get rich at the expense of the others, then capitalism hasn't done what it set out to do. Those who have succeeded under our system need to remember that this is a society in which the populace, by majority vote, chooses how we run things. And if that group gets things to the place where a majority of voters think they're not doing well, they should expect that such an unhappy majority has good reason to start pulling plugs on the process. That's what I think is in play right now, and what will continue to be in play until a basic fairness to the original premise that we should all benefit to a reasonable degree from the success of the few.

A bit of enlightened self-interest on the part of the rich would go a long way just now. Holding firm to the “it's mine and you can't have it” line is not going to serve the rich well when talking to people headed for the ballot box.


Author's Note: If you got value from this post, please “Share” it.

Originally published October 30, 2008 at Open Salon, where I wrote under my own name, Kent Pitman.

Tags (from Open Salon): politics, economy, wealth, burden, needs, basic needs, health care, food, redistribution, redistribution of wealth, redistribution of burden, income redistribution, tax, taxes, taxation, regressive tax, tax fairness