Serving two masters

Sebastian Jones has a piece in Nation Magazine – David Sirota interviewed him this morning on his Denver talk show. Essentially, Jones is talking about a little-understood concept, the conflict of interest.

Suppose, for example, this this was a website sponsored by General Motors, and I did not disclose that fact, and then did safety and performance reviews of automobiles. If I were exposed and asked about it, I would likely say that my judgment is not compromised, and that I am perfectly capable of making informed judgments regardless of my source of income. It might even be true.

But that has nothing to do with “conflict of interest”. That expression refers to something else, the idea of serving two masters. It is inevitable that there will be a situation where the interests of one master, GM, will be at odds with the other, the general public. I cannot help but do a disservice to one or the other.

Jones’s first example is Tom Ridge, in service of the nuclear power industry but not saying so, and recommending that the Obama Administration go nuclear. If we were to ask Ridge about it, he would say that he is putting forth honest beliefs, and is therefore not conflicted. That is the standard response when people are exposed.

Over at Electric City Weblog, Dave Budge put up a link to an Atlantic article that cited a study done of 600,000 cases where people had or did not have insurance. The conclusion of the study was that having insurance does not affect health outcomes. He did not cite the funding source for the study, but with 600,000 follow-ups, it was surely very expensive. Without even glancing at the study, I told him that I knew the results were misleading, for one simple reason: People who have access to health care have better outcomes than people who do not.

But he insisted the study was objective, that it was a null hypothesis, and that I should restrict any comments to the study itself. Kind of pointless. Surely, somewhere in all of that nonesense exists a conflict of interest, and further, I should not be the one to search for it. It is the objective guy, the guy putting forth the study. Who funded it? No word.

But there’s a bigger conflict of interest at work in Washington right now- the Democrats and health care. Too many of them took too much money from AHIP and PhRMA to be objective. But the conflict runs deeper than just the money behind them. It is the private health insurance model itself. The Democrat bill that is being pushed does not deal with the conflict. Rather, it subsidizes the negative outcomes of that conflict. Republicans could not have passed such a horrible bill – such insults are usually dealt upon us by Democrats.

The conflict of interest that the Democrats want to subsidize works like this: We turn our money over to private insurers, they keep a portion of it, and use the rest to ration out health care. Each dollar they pay out in benefits reduces their profit margin. They have the stockholders on one side, and the policy holders on the other. They cannot serve one without harming the other. It’s classic. There is no way around it.

The free-marketeers are resolute and ideologically frozen in cement. They cannot fathom a market solution not working, and hence are blind to this obvious conflict. They have a conflict of thier own – married as they are to an obtuse ideology, they are at odds with reality. Hence they go into their shells, discuss these issues among themselves, and when people like me bring the conflict to their attention, they do what Budge did in this particular debate:

Back on subject. That’s nonsense, Mark. What we can or cannot see you cannot know. And when someone makes a point about an argument being made, an open minded person will take that argument on its merits – not on his ideals.

We know your position on a whole host of matters. We we don’t see is any new thought defending those.

The point of the study, funding aside, was supposedly simply bring to our attention an odd phenomenon, the apparent ineffectiveness of health insurance. It needs examination, I suppose, but let’s be frank: Budge’s purpose in highlighting it was to discredit a Harvard Medical/Cambridge Health study (no outside funding) the that found that 45,000 people die each year for lack of health insurance. He wants to disarm opponents of private health insurance. He has an agenda.

First, first they must deal with an old thought – the conflict of interest. How is it possible for insurance companies to serve two masters? I await an answer, from any of them. I pointed this out. There is no answer other than to eliminate private health insurance. The model does not work.

How to read the news …

Two stories are being used to control perceptions today, one of them even somewhat spontaneous.

1. Capture of Taliban #2 man: If anyone reading this has ever heard of Mullah Abdul Ghani Baradar before today, do speak up. In television drama, this is known as “moving the story forward.” Afghanistan is a murky place, and we’ve never really given a good demon to focus our hatred on. But somehow we have to be ushered along, rooting for our team as they seek to defeat the villains.

Mullah Abdul Ghani Baradar is just some dude, and he cannot possibly lead to the capture of Osama, unless it is a fake Osama, as Osama probably died in 2003 shortly after he denied any involvement in 9/11.

There are military objectives in Afghanistan, and somehow it became an emergent situation in 2008 after it became apparent that patriotic resistance in Iraq had been beaten down. Whatever is going on over there, public opinion is being managed right now, and the occasional capture of the “number two” man is part it. Move that story forward.

Evan Bayh, presidential timbre, steps down. In case no one notices, Evan Bayh probably was facing a tough reelection battle, as he is a conservadem, a right winger, part of the cadre of Democrats who led the party down the conciliatory path that will lead to a well-earned disaster at the polls this year. A good thing.

His wife, Susan, has been politely called a “boardwalker”, serving on the board of numerous health care companies, including Wellpoint, since his election, and making boatloads of money. Bayh is compromised in total, useless now if ever of any use before.

So why is he being touted as a potential presidential candidate? Right wing democrats have automatic credentials.

So here’s how the read the story – he’s going down due to lack of popular support even though he has tons of money behind him. He’ll be resurrected at some point. Loser Republicans usually turn up at Heritage or American Enterprise. Bayh will most likely turn up at Wellpoint.

Susan Bayh may be out of work now, if she ever worked at all.

Footnote: According to John Amato, Bayh’s primary lead in Indiana was “insurmountable”, so he was not to be undone by a Democratic challenge. Perhaps it is the quandary that Harry Truman described, that given a choice between a Democrat who acts like a Republican, and a real Republican, voters will take the real thing every time.

Sticking it to the man …

In a nice little post over at Daily Kos, Angry Mouse says “Anthem to Screw Customers in May Instead of March.. He’s talking about Anthem Blue Cross, a subsidiary of Wellpoint, and its plan to raise its rates in California by 39%. Strong and resolute Democrats are fighting now to delay implementation for two months.

Here’s the line that got me, from the article cited by Mouse:

“We have instructed the actuaries to review the rates with a fine tooth comb to ensure they comply with state law that requires that 70 cents of every dollar in premiums is spent on medical benefits.

That’s correct. California state law requires private insurers to hold their overhead down to 30% of each premium dollar.

Those damned nagging epistemological deficiencies

It is hard to know science and pseudo-science, or what is science done in service of power versus science in search of truth. Perhaps that’s why so many of us are drawn to astrophysics – there is no agenda. It’s pure science. People simply want to know stuff.

Generally, one has to look to funding of a scientific study to judge its merits. It’s not that people are dishonest – we are more complicated than that – we are like kitty cats, cold-hearted hunters but keyed to survival and smart enough to know that the when the owner is pleased, there is food in the bowl. So when someone who is not disinterested pays for an “objective” study, it ceases to be objective and we get bad science.

So some dude over at Electric City Weblog cited an article in Atlantic that cited a study that showed that not having health insurance has no consequences in terms of living, statistically speaking.

Megan McArdle has a great blah blah blah article in The Atlantic addressing blah blah blah the oft cited statistic that so many people blah blah blah die from lack of health insurance blah blah blah

Ah, go read it yourself. It’s flatulence. It seemed logical that health insurance itself is not a determinant of life expectancy so much as access to health care. Also, a study that basically says that we’re all going to die of something anyway and that our health care system kills as many as it saves is really taking an unkind swipe at the best health care system in the world, isn’t it? I suggested as much to The Dude, along with citing a Harvard Medical study, and here’s the response I got:

Mark, a couple of things. First, where is the study you cite. If you’re going to assert good statistics you need to offer a gateway to the data. Secondly, if you think you’re right you suffer from a lack of epistemological modesty. But we already knew that.

The Dude was right. I cited a Reuters article, and not the study itself, from the Journal of Public Health (subscription wall), and written about in Harvard Science. The Dude does not know about the Google. But I had never been accused before of suffering from “lack of epistemological modesty. I looked it up, and sure enough, it exists, and it is a serious accusation. I needed a smart and quick defense of my position, something grounded in science. Fortunately, I was with my son and daughter, who are well-versed in epistemology as well as spirituality. I asked them for help with an appropriate response. Here’s what they came up with:

You can lecture me on epistemological deficiencies after we rip off your head and shit down your neck. Also, your insult very much reminds me of what your mother once said to me after I got off her (case).

Scientifically sound, even if crudely expressed. Thanks to my lovely children for helping me correctly analyze a study of the scientific method as it relates to covering the bare ass of our lousy health insurance system.

Movies and stuff

I’m having a hard time with movies as I get older – it is hard to sit through them knowing that something is either CGI or that there is a camera in the room with the actors. A movie like No Country for Old Men is such a rarity – I walked out of the having totally bought in – the acting, the illusion, the acting, all superb.

My favorite movie of 2009 was well done, well thought out, well scripted, poignant and inspiring: It was animated. They called it, simply, “Up.”

Here are some off-the-wall observations about movies and stuff. Please add your own.

Sherlock Holmes How dare they take a cerebral drug addict (played, interestingly, by a decidedly non-cerebral drug addict), and action him all up, making him into a brawling 19th century James Bond. I deliberately avoided that movie. Sacrilege.

Nicole Kidman: Refers to herself as an “actor.” Takes on parts that stretch her limited abilities. Is abominable. She ruined Cold Mountain. She should take off her clothes and shut up.

Meryl Streep: A woman who is so good at her craft that I cannot get over the fact that it is Meryl Streep. Aging well, however, and stays busy. If only I could forget, for one second, that I am watching Meryl Street act.

Paul Newman: Wonderful, common, kind and ordinary man who did what all people who become wealthy by means of the genetic lottery should do: He used is fame to help other people. He seemed to understand that he wasn’t worthy, and treated his good fortune with humility, paying it out to others. What a nice man he was.

A Hard Day’s Night: The Beatles transcended the camera, their charm poured out of the screen – well … John, Ringo and George, anyway. It turns out that Paul was dating a professional actress at the time of shooting, and she was coaching him on how to act. Consequently, they had to cut most of his scenes, as he was stinking it up. But I urge anyone too young to remember the Beatles in their prime to rent this movie. It’s a timeless classic.

ET:I went for a long period of time when the kids were young without seeing any movies. I did not see Rocky and Star Wars until years after the fact. One day I took my oldest two daughters to see ET, just on a whim. It was really fun. Then I saw the name “Spielberg” on another movie, and thought it must be a good one for kids too, and took them to see …

Gremlins: They were hiding under the seats. I had to leave very early in the movie, and complained that it was not suitable for kids. It was rated “PG”- later, they came up with the rating “PG-13” in response to parents who found themselves with their kids watching movies not suitable for young children.

House: Not a movie, I know. I just throw it in here because I’m curious how long they can go on with bad writing, an impossibly unrealistic plot construct, and shallow characters. House himself was somewhat interesting at one time, but he is surrounded by two dimensions at best.

I have often thought that House (patterned after Sherlock Holmes) would be better suited for a “Fugitive” type series – not the excellent movie, but rather the old David Jansen TV series where Jansen’s Dr. Richard Kimble was always on the run, meeting a new cast of people every week. House should be called all over the country to consult on unusual cases, meeting different doctors, nurses and patients. That way he could get rid of that awful, boring cast.

The Wire: My daughter turned me on to this now-defunct series on HBO, and I’ll never forget the words of David Simon, former journalist and co-creator. He said in a Bill Moyers interview that as a journalist he would put up stories, and they might have some small impact, and then evaporate. He wanted to convey the reality of the phony “War on Drugs”, and found that journalism simply did not reach people. So he chose to write a TV series instead. The Wire is far too complex to describe here, but incredibly worth investing your Netflix account in for months to come.

Showtime, HBO: Showtime has a series called “Californication” with David Duchovny that has some good nudity from time to time. HBO is struggling with a series called “Hung”, which also offers up nice flesh now and then. The two series are really the same formula – a plot line that allows for a wide array of beautiful actresses to pass through the screen and disrobe for us. I got tired of Showtime and switched to HBO, and every time that I switch to the guide for that channel range, I think “please, HBO – give me a reason not to cancel you!” Bill Maher is not enough, and dammit it, if you show one more hairy 70 year old dick or one more set of sagging 70-year-old boobs on Real Sex, I’m outta there. (Bryant Gumbel does serious and credible journalism in his “Real Sports” series. Too bad that it is only in the realm of sports where journalists feel free to openly challenge powerful people and institutions.)

Anyway, I am visiting kids and the baby is asleep, hence the ramble. Please take a minute and add your own thoughts below.

The logic behind Citizens United …

The high absurdity of Citizens United continues to sink in … think about this: If ever there were a place where free speech is suppressed, it is the workplace. I am self-employed. Were I not, I would have to measure every word every said in regards to how it might affect my employment. I would not blog, or would use a fake name, and I would not write letters to newspapers. For-profit corporations are groups of controlled people and naturally take on the character of the people who run them. Some are free and open, but as they get bigger, oppression naturally sets in. Once they go public, and CEO’s have to make those quarterly phone interviews, all freedom is lost, and workers become part of a sweat machine delivering quarterly results.

ExxonMobil is such a company – a vast array of engineers and scientists and accountants and MBA’s and managers managers managers – and none of them are free to speak out against ExxonMobil.

But ExxonMobil is a person with free speech rights.

Utter nonsense. Utter, utter nonsense.

How we each remarkably think for ourselves and think alike

This could end up being a very bad post. If you are not reading it, it is because I thought twice and took it down.

There’s a phrase for people like me – many, actually, but the one most often used is conspiracy theorist. There is truth in it – I look around me and see random events like earthquakes and crazy governors like the guy who hit the Appalachian trail that ended in an Argentine valley, and understand that it is random. I see smart and dynamic personalities that cannot be constrained or contained … people like Bryan Schweitzer and Arnold Schwarzenegger are simply destined for high achievement. And then there is stupidity, so much a part of us that it is manifested in every walk of life and every philosophy, from Tom Cruise’s Scientology to Sarah Palin and the Teabaggers.

That is all the natural flow of life, but as I look at it all I sense there is more to it than just random events and bright and stupid people. There is a functioning and powerful intelligence at work as well, kind of a back light to all that we see.

Maybe that is crazy talk, but suppose that we had a mass media owned by wealthy private investors, a powerful weapon in the hands of a few. Given such power, would the collective impulse of those self-interested investors be not to use it? Would they simply step back not choose not to influence events to their own favor?

What we call “NBC”, for example, is people like Jack Welch, the former CEO of General Electric, the parent company and a major weapons contractor. NBC was therefore invested in war, and benefited each time our country entered one.

Jack Welch is but one man, but at one time had considerable influence over the behavior of the news anchors and reporters and photographers who were the face of that network. When our country went into any of its many wars, NBC cheered our country on.

He’s just one example – Roger Ailes another, and Sumner Redstone another.

It’s hard not to be reductionist, as the media is large, and my mind small, so let’s be more general, and say that there are possibly a thousand people who have enough influence over major media outlets to dictate to us what is considered important and what is not. These people are wide and varied, but share one common trait: They are wealthy. They have an interest in preservation of the wealth machine. They feed us a constant stream of words and images, and in so doing exhibit heavy influence over our private thoughts and opinions.

Perhaps the media merely reflects popular opinion, and does not attempt to influence it. That’s possible – it is entirely possible that these thousand people who have this awesome power over us have opted not to use it. But unlikely.

So I point to two phenomena, each treated differently. The first is Sarah Palin. There is no better word for her than “stupid” – she’s classic beauty-queen/cheerleader stock, uneducated, unable to think properly, conditioned to make her way in life by use of her looks and charm. There’s nothing to her beyond surface features. She’s common enough that we all know people like her – shallow but influential just because men imagine themselves riding her bones, while women wish they were as desirable as her. She has power, but it is the kind of power that only works in small circles. Women like her, ‘trophies’, generally marry powerful men and live well, but on their own don’t offer up intellectual force or strategy to make business or politics. Often enough, they outlive their men, and become forceful actors on their own, destructive and crazy. Think … Marge Schott,

Here’s the other phenomenon: Howard Dean. He’s a smart man, a doctor, former governor, intelligent strategist who ran a groundbreaking campaign using the Internet for fund raising, thereby avoiding the corporate bundlers. He made his way in politics by shrewdness and calculation, and furthermore seemed driven by ideological impulses of a progressive nature.

Dean was a formidable candidate for president in 2004, and the media destroyed him. They took a speech he gave to exhort his campaign workers to keep on working, typical fare, and magnified it, repeated it and hounded us with it. They used it to destroy him. It appeared to be a conscious effort dictated by that backlight that this ‘conspiracy theorist’ sees as conscious manipulation of public opinion by media corporations.

Contrary to popular illusion, the vast majority of us don’t form our opinions based on reasoning, but rather by means of the food chain. Each of us looks above us to formulate an appropriate opinion about serious events. If all of the talking heads and serious people thought that Howard Dean had committed a “gaffe”, had done something terribly wrong, then Howard Dean must not be credible. Proper thinking people came to that conclusion all by themselves, and Dean had to quit his campaign. He was destroyed.

I see an overarching intelligence at work there. A decision was made high up the command structure of the news media, and the eerie part is that it was carried out not by one news outlet, but by all of them, as if they were lemmings with but one CEO. The on-air faces we see are mostly friendly idiots reading teleprompters, but the people who sign their paychecks are not. As Spock would say … “fascinating!”

And my question then is this: Why does that same intelligent force not destroy Sarah Palin? It could be done this afternoon, what with her incoherent babble, illegitimate offspring, flimsy education and inability to even read newspapers. Most recently she was caught by our real news media, the comedy shows, referring to the palm of her hand for crib notes in a friendly interview. That could easily destroy any other politician if given proper attention.

Howards Dean’s “I have a scream” speech could have passed without notice, but a decision was made to use that speech to destroy him. No such decision has been made about Sarah Palin.

Why?

My fifteen minutes in Denver

I wrote the following letter that appeared in the Denver Post. I was a little bit annoyed (moi?) that they were all over JD Salinger’s death, giving him front page and a big story inside, but only gave Howard Zinn brief mention on page 11. They did take the trouble to note in the headline that Zinn’s book was “leftist.”

Re: “Author Salinger a legend, recluse,” and “Author Zinn wrote leftist ‘A People’s History,’ ” Jan. 29 obituaries.

Two authors of note passed on last week: J.D. Salinger and Howard Zinn.

Holden Caulfield, Salinger’s creation in “The Catcher in the Rye,” is a bright but misdirected young man, searching, confused and in clueless rebellion. People often use Caulfield as an archetype to reflect on their own youthful years before responsibilities took over. Salinger’s passing ignited widespread fits of self-indulgence.

Zinn was given brief note on page 11 of The Post, and dutifully identified as a “leftist.” (Just curious: On passing, were Milton Freidman or Ronald Reagan identified as a “right wingers” for Post readers?) Zinn was a fighter pilot in World War II, among the first to use napalm. Then he did the unusual: he self-reflected and changed course, thereafter leading an uncompromised life.

What ever happened to young Holden Caulfield? Did he choose the road not taken? Salinger never let on.

Mark Tokarski, Boulder

The sentence in boldface was deleted by the Post, but heck, it’s a big deal to me to have a letter published in a big city newspaper, and they improved it a bit, as the comment was off-track.

Newspaper editors unconsciously reveal their bias in the headlines they tag on stories, as in compulsively labeling Zinn a “leftist.” Those who write the stories do the same as they hang tags on the people they write about. Generally I see a tendency to follow official state propaganda – so and so is a “terrorist” while someone else is a “strongman” or “warlord,” those terms reserved for official enemies. People on ‘our’ side who engage in the same behaviors (Israelis savaging Palestinians or Americans launching drone attacks on Afghan weddings) are not given such labels. (Has any newspaper ever referred to American attackers as “militants”?)

In politics, it is rare to see someone labeled as a “right winger”, even as so many in the news are just that. But it is not unusual to label people leftists or terrorists for benefit of the readers. It helps us think for ourselves.

And I say “unconsciously” as I know that to maintain sanity in this crazy world, we all have to buy in to what we are doing. We cannot live comfortably doing things we do not believe in. It helps to buy in, so those of us who work for others subconsciously adopt the mindsets of those who control our work behaviors. Newspaper editors will indignantly tell us that no one ever tells them what to write. But if they were not housebroken, they would not be editors.

A substantial change in appearances is underway

President Obama appeared before congressional members and made a stunning show of it, impressing even the right-wing commentator Jon Stewart. Now, David Corn tells us, “A bipartisan group of bloggers, techies, and consultants is now demanding they do it again. And again.”

It’s important to note here that there has been no substantive change in policy emanating from the White House, that Rahm Emanuel still regards Senate liberals as “fucking retarded”.

Here’s how to connect the dots: President Obama has brought back David Plouffe, his campaign manager. He is doing some image management.

As the inimitable Rusty Shackleford would say, “That is all.”

The Whole Foods compromise

The New Yorker recently ran an article on Boulder/Austin resident John Mackey, CEO of Whole Foods. (Food Fighter, Jan 4, 2010.) I found in it common ground between socialists and capitalists, where each of us must give up something to get something.

First, the down side. Whole Foods is a very expensive place to shop. Consequently, there is no reach-out to people of ordinary means. When they scout locations for new stores, they count the number of college graduates within ten miles of the store. Score one for the capitalists.

John Mackey is a very conservative man who is pursuing a business model that embraces lefties, in a sense manipulating us. He caters to our tastes and fetishes with granola food and aisle upon aisle of cultural abundance, much of it shipped in daily from hundreds, if not thousands of miles away.

Mackey also made an untimely remark about national health care in a Wall Street Journal op-ed. He’s against it. This sparked the usual left-wing uprising and calls for the usual futile gesture, a boycott.

Mackey is anti-union. This again flies in the face of his constituency. He is a believer in free markets, and believes that workers are amply rewarded without unions. China aside, I will leave that alone today.

But here is the upside: Whole Foods pays its help well and gives them good benefits, thereby marginalizing unionization efforts. It’s a nice compromise.

Whole Foods tries, as best it is able, to buy locally and pay fair prices for its products. There is a natural clash in this philosophy simply because of its success. It has to feed many mouths, and to do that must operate on a large scale. Consequently, we have the phenomenon of mass-market “organic” food, which pushes the line towards compromise to achieve efficiency.

So if you buy a dozen brown eggs from Whole Foods, it is probably wise not to go too far back down the food chain to see if those chickens really were allowed to wander freely and pick and peck at bugs, their favorite activity.

But Whole Foods is sincere about its ethics. Organic food may not be more nutritious than processed food, but it takes less toll on the land, introduces less petroleum and insecticides into the growing process. Organic cows have better lives before slaughter, actually getting time to enjoy being cows. Organic pigs are not docked or kept in miserable pens prior to slaughter.

Paying extra at Whole Foods may be a conscience-salving exercise for we of the gray pony tail set, but it has real benefits for hired help, animals, the land. and the farmers who raise our food.

In Whole Foods I find that not all is good or wholesome, that we are making compromises. But unlike a Democratic Party “compromise”, Whole Foods does not demand that we give up all our values, and I shop there willingly knowing that both the right and the left have gained something in the process.

And, we can afford it. That’s a stickler.