CDC Gone Wild – Get the Real Monster

Highly publicized articles, including grandstanding lawsuits by states’ attorneys’ general are pandering to news hungry media and ignoring the pain inflicted on compassionate pain management. Death by dying method (drug overdose), without distinguishing source (legal vs. illegal) is a misleading abuse of authority and power.

The recent blitz campaign against opioid drugs is terribly flawed.  According to the latest official data from the National Institute on Drug Abuse (as of 2015) more than 52,000 people died of drug overdoses in 2015.  Sad, we lost fewer to drugs than to automobiles (38,000), plus homicide (16,000), and slightly fewer than those lost to suicides (43,000).

But of the 52,000, how many died of prescription drugs vs. illegal drugs?  Nearly, 30,000 (58%) died from prescription drugs, the balance of 22,000 (42%) died from illicit drugs.

Opioids include prescription drugs derived from opium (such as heroin), and synthetic drugs (e.g. fentanyl) which are both prescribed, and sold illegally (manufactured and sold to drug dealers).  These illegal synthetic opioids are largely responsible for the spike in overdose deaths, because they are 10 to 100 times stronger than morphine.  Drug dealers mix them with heroin or other drugs to enhance the strength.  The potency is often inconsistent and unknown to the user.  Illegal fentanyl is a popular additive which is 10 times stronger than morphine.  Even a slight mismeasurement is multiplied by 10.

CDC is foreclosing options for legal, and legitimate pain medicine, even though illegal drugs are aggravating the overdose statistics.  They are implying that doctors are responsible through overprescribing opioids to pain patients.  Pain management specialists, who deal with chronic pain patients are often ignoring real suffering by undertreating the pain to avoid criticism from the CDC.

Readers who have real spine and neck problems know what pain is, even after surgery and other efforts to repair the damage.  I have talked to people just beginning treatment and surgery, who are being given glorified Advil and other ineffective drugs, when what their pain indicates is opioids.  Some people do get addicted and abuse opioids.  I do not dispute that.  But, not everyone who takes pain medicine becomes an addict, even though they depend on the relief they get from their prescriptions.  Dependency is not the same as addiction.  It does not automatically lead to ever-increasing desire for more and more.

Carfentanil is the scariest invention yet.  10,000 more powerful than morphine, this relative of fentanyl has been a recent bogeyman for illicit drug users.  Primary producer:  China (recently banned).  This drug is meant to tranquilize elephants. As little as 20 micrograms will kill you.

This scary substance is, knowingly or unknowingly, used as a cheap booster for other illegal drugs, mostly out of Mexico.  Think you are buying heroin, or meth?  Think again.  Houston police recently seized what they thought was methamphetamine and found lethal amounts of carfentanil instead.

The old days of drug abuse are officially over with the advent of this drug.  The next terrorist attack could easily be a batch of white powder.  A car bomb or suicide vest filled with this drug could kill hundreds or thousands, including first responders.

The point, let legitimate pain-management doctors do their jobs; spend the millions of dollars now devoted to opioid suppression on the true shadow of death: illegal superopiods.

 

 

 

 

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Details Missing in CBO Projected Healthcare Coverage “Losses”

Numbers can deceive when important details are left out.  The recent Congressional Budget Office assessment of the Senate Republican healthcare bill estimated the reduction in the number of people covered by health insurance.

Most of the coverage dropped would be because of state laws, not federal.  The states set Medicaid coverage standards.

Another big chunk of the “losses” would be those who did not want coverage anyway.  Those forced to buy by the mandate penalties.

According to Politico:

<The House Republican health care overhaul would repeal the individual mandate penalty, and according to the CBO, this would be the single biggest driver of raising the uninsured rate by 14 million next year.

“Most of that increase would stem from repealing the penalties associated with the individual mandate,” the CBO report reads. “Some of those people would choose not to have insurance because they chose to be covered by insurance under current law only to avoid paying the penalties, and some people would forgo insurance in response to higher premiums” (emphasis ours).>

Read the entire article at:  http://www.politifact.com/truth-o-meter/statements/2017/mar/22/chris-murphy/house-gop-health-care-bill-would-cause-14-million-/

 

The projected 30% reduction in premiums should help some, but the out-of-pocket costs might still leave some people out.

Who says the people insured are “covered?”  Some people wait more than a month, and then drive 50 miles to see the only doctor who accepts Medicaid, or a high-deductible “bronze” plan from the only remaining insurer.

Bernie Sanders’ assertion that “thousands” of “excess deaths” would result is based on numbers from studies of people with untreated, cancer, heart disease, and diabetes.  This same population could get no or inadequate treatment under Medicaid and low-end health insurance coverage.

And, what if the newly uninsured population is skewed towards young, healthy people who just dropped out?  Would the results be as dire?

Without a detailed demographic breakdown of the CBO numbers, we are left to speculate and infer what we choose.

 

Sails or Sea Anchors? – Who Do We Need as Our National Leaders?

What happens when what always works does not?  What happens to leaders who are blinded by the momentum of power from past successes?  Equally fair, what happens to leaders who are thrust into power by overreactions to the establishment?  Answer:  nothing good.

A maelstrom of entropy is looming over us, the world’s only superpower.  Quixotic tilting against objectified “evil-minded devils” fills our bandwidths.  Our national cortisol has spiked to threatening levels.  Our unity as Americans has disappeared, deflated by our own in-fighting.  Mean-spirited feuding has become our national sport.

Why, in less than two decades, have we Americans let our powerful family disintegrate from compromise and cooperation into rabid rabble-rousing, closely paralleling the vicious personal attacks, and snipes that preceded the Civil War?  Has such hyperbolic, gladiatorial nastiness become the minimum standard for political success?  Has the anonymity of virtual communications emboldened us to self-righteously attack and degrade people we do not know?

The winds of political change are blowing furiously in all directions; sails of power are becoming sea anchors of defeat; populist cannons are blasting broadside the galleons of the establishment; long-time admirals of state are too far from the shores of reconciliation to avoid going down with ships of hubris.

Who is ready to transform our thinking, our attitudes, and our beliefs about one another?  Who is ready to turn our swords into plowshares, to make peace with our greatness, and to make room for other ideas?  Who is prepared to stand shoulder to shoulder with our fellow Americans and salute.  Isn’t anyone else tired of this war?

 

 

 

What Are We Watching? – Peter, Parkinson, Murphy Rule

Parkinson’s Law suggests that “work expands to fill the time available for its completion.”  The Peter Principle posits, “in any hierarchy people tend to rise in the hierarchy through promotion until they reach the levels of their respective incompetence.” Murphy’s Law states that “whatever can go wrong, will go wrong, at exactly the wrong moment.”

All three ideas developed before the current age of exponential, media expansion.  What is so amazing is, that in the age of the Internet, and myriad TV channels, these three principles combine to form a valid hybrid theorem I have dubbed the “Information Extinction Horizon,” (IEH). This new IEH theorem states that, “as media content expands to fill existing bandwidth, it declines logarithmically to inane, bogus levels of incredibility, intellectual value, journalistic validity, and schlock, while simultaneously accelerating from bare facts to all possible interpretive opinions, and providing exactly the wrong information to the wrong people, at the most inopportune time, or, worse yet, no information of discernible value at any time. ” This is a clear refutation of e=mc2.

Major corollaries to the IEH theorem relate to the milieu of internet blogging outlets, social media platforms and any other posts of personal and political natures, including pure invention, and pictures of what one’s dog ate for breakfast (including recipes).

Using Google News as a proof, rate the value and verity of their current page of articles.  In your analysis, include the sub-articles and the number of outlets with different, (apologists use the word “nuanced”) versions of the same reportage.  Notice how the results form nebulae, galaxies, solar systems and planets of personal, political, regional, national, celebrity, and sports-team-loyalty cohorts.

Also notice how futile efforts to filter searches of any topic have become.

Added support to the new hybrid theorem is Parkinson’s Law of Triviality: “members of an organization give disproportionate weight to trivial issues.”  Browsers and search/advertising engines of major internet “organizations” amplify and degrade the value of content at the same time with advertising “pollution.”

For now, we must rely on anecdotal evidence and impressions to support the new theorem, but then, anecdotal is the essence of the theorem to begin with.

Fathers’ Day Is Also Sons’ Day – Sports We Learn to Play and Live

Perspective makes a huge difference.  Most men get their attitudes towards sports from their fathers.  As boys, Dad is the first, safe, ball-playing partner.  As babies, we learn to track a rolling ball with awkward, sometimes amused, unfamiliar, jerky head and eye movements.  At some point, Dad encourages us in high-pitched, baby talk, big smiles, gentle hands, giant gestures, by rolling the ball towards himself, and closing his hands on the ball in broad, wide, exaggerated pincer movements.

Then the light goes on.  We try to copy him.  Wobbly little fingers reach behind, miss, deflect, miss, and finally connect with the ball, grasping it swiftly to our eager mouths, inspecting it for edibility, like everything else at that age.

Once we discover, with some curious disappointment, and numerous bad tasting attempts, that this round thing is not good to eat, we find out its true purposes – toy, play, fun, and time with Dad.  Boys would never learn the skills they need to practice and play without their Dads.

Much of growing up as a boy relates to balls.  Nothing surprising about this, as balls connect us to our earliest ancestors’ relationships with eggs, skulls, bladders, and rocks.  Balls to roll, balls to throw, balls to catch, balls to dodge, balls to bounce, balls to kick, balls to hit with one kind of stick or another, balls to hit other balls, balls to run with.  Big balls, little balls, hard balls, soft balls, pellets, and even balls that are not round, like footballs and rugby balls.

Aside from natural sports, like wrestling, fighting, racing, catching, and spearing, almost every other “sport” involves a ball variant, (e.g. I consider a hockey puck a flat-earth-equivalent of a ball;).  Sports are mostly derived from instinctive self-defense, and evolved hunting/fishing skills. Team sports grow from coordinated hunting/fishing efforts.  Boys learn how to play as part of a team when their Dads show them the power and fun of coordinated efforts in sports.

Until our recent era, spectators were limited in number and influence; pretty much participants only. Sports “reporting” started as the successful hunter/fisher displaying the game/prize, bragging about prowess, belittling the losers; the unsuccessful quietly moaning excuses, and looking for a rematch.

The paucity of witnesses to most events led to plenty of fireside tale telling, and retelling embellished, detailed descriptions of heroic sacrifices, powerful portrayals of excruciating pain, encounters of life-threating dangers, frightening exploits, arguments about winners, extended “if only’s,” and “if it hadn’t been for’s,” bets and guesses on next time, and other highly imaginative exaggerations.  Today, a large part of male friendship still lies in the modern versions of these rapport-building exchanges.  Sons still need to learn the important, intimate skills and secrets of play and sports from their Dads.  So, let’s “Play Ball!”

No Penalty for Synthetic News – Voracious Media Swallow Anything

For quite a while, papers such as the National Enquirer were the only place a reader could find out about the conception and birth of the extraterrestrial, alien children of movie stars.

“Enquiring Minds Want to Know,” led supermarket and drugstore shoppers to buy the tabloid for gossip and secrets of the rich and famous, celebrities, along with eyewitness tales of the occult and UFOs.  It only took a dozen or so specious or craftily worded articles per week to keep the America Media publication flush with advertising revenue.  No one cared about journalism, or retractions, or misspellings – entertaining fiction was all it was.  They had a big enough budget to settle lawsuits and keep printing.

Now the ever-widening maw of the internet has spawned info-fantasy outlets to compete with reality.  Exempli gratia:  The recent articles about a couple of California “Breatharians,” who claim to live on “energy that exists in the universe and in themselves” and that they are sustained by “cosmic nourishment.”  This must put the National Enquirer in the backseat of audacity.  No fewer than six news outlets on Google News published the articles; YouTube videos of the couple and their two children have hundreds of thousands of views.

I will not honor this idiocy with more details, but I will shake my head at what the word “news” has come to mean.  I shudder at the thought of how many people might believe such unfiltered, synthetic, mental trash.  Our children are already screen zombies with waning connection to the physical, emotional, social, and spiritual worlds they inhabit.  The gullible, undereducated, and socially diminished cohorts of the future may have little reality on which to build their lives.

The comedian Gallagher quipped, “I wish there was a knob on the TV to turn up the intelligence.  There’s a knob called “brightness,” but it doesn’t seem to work.”  That was before cable TV and the Internet.