Thursday, October 14, 2010

Once More, Away From The Breech

The Seattle Times reports that up to 500,000 Washingtonians may lose prescription drug benefits due to Medicare cuts. Reader comments blame Obama and the Democrats, as if Medicare were a cherished Republican program.

But this story reflects the structural problems of the American health care "system" and of a political culture bolstered by voters who want services without taking the trouble to pay for them. America's health care system, which evolved (or devolved, depending on your perspective) without policy guidance, is widest open to those who need it least and closed to those who need it most. The Medicare story reflects an ongoing reality.


Other nations facing cost cuts spread the pain appropriately; we shift the cuts down to the people who can least afford them. This has zero to do with Obama or Bush and there's little that anyone left or right can do to about it in the absence of a concerted grass roots movement to change the way this country finances and delivers health care. Given the polarization here, such a movement is about as likely as Sarah Palin writing an honors thesis on Russian history. Once again we have met the enemy and he is us...

The Answer, My Friend





The winds will blow their own freshness into you,
and the storms their energy,
while cares will drop away from you
like the leaves of Autumn.


-John Muir

(Thanks to Catherine Reynolds at Queso y Vino.)


Wednesday, October 13, 2010

This Is Our Music


Blues Connotation/5:14
(Coleman)

Beauty Is A Rare Thing/7:12
(Coleman)

Kaleidoscope/6:33
(Coleman)

Embraceable You/4:54
(Gershwin and Gershwin)

Poise/4:37
(Coleman)

Humpty Dumpty/5:20
(Coleman)

Folk Tale/4:46
(Coleman)

Ornette Coleman/alto sax

Don Cherry/pocket trumpet
"He keeps playing in his vivid language."

Charlie Haden/double bass
"This man has an ear and feeling for music that one can't help but hear and feel when he is playing."

Ed Blackwell/drums
"This man can play rhythm so close to the tempered notes that one seems to hear them take each other's places."

Produced by Nesuhi Ertegun
Recorded July-August 1960
Released February 1961 on Atlantic

This Is Our Music is Ornette Coleman's only Atlantic release with a cover track ("Embraceable You").
About myself. I'm thirty years of age and was born in Texas -- Fort Worth to be exact. Since there isn't too much I haven't told you about my music, I really told you about myself through it. The other autobiography of my life is like everyone else's. Born, work, sad and happy and etc. We do hope you enjoy our music.

--Ornette Coleman, liner notes to This Is Our Music
All quotes from liner notes.

Saturday, October 9, 2010

Sunday Funnies and Arts

As always, click to enlarge...














I left this comment on Time Goes By, Ronni Bennett's excellent elder blog. It's in response to a look back at the 1934 midterm elections:

One major difference between now and 1934 is that New Deal programs were for the most part segregated or designed only for white Americans. African-Americans were second class citizens in the north and virtually slaves in the south. There was no significant Hispanic population, and the country was a third the size of today.

The teabaggers perceive the stimulus and HCR as a transfer of white tax dollars to minorities. (Never mind that whites will benefit from the stimulus and HCR and that minorities pay taxes.) Glen Beck even called HCR the first step to reparations.

Moreover, Roosevelt was helped immeasurably by an organized and active independent left in the form of the labor movement. Today's left is a hodgepodge of policy papers and snarky commentaries that has little positive influence outside of its own circle. ("Mostly morons," a Trotskyite friend tells me.)

Overall, Obama is faced with a much more complex society than FDR, one that has many more entrenched special interests. For example, at the time of the Depression, there was not an insurance industry, no Big Pharma, or anything resembling the scope and complexity of the modern financial sector. [Nor was there a military-industrial complex.] And few if any of the industries that existed were globalized.

Although times were worse, it's arguable that Roosevelt had an easier job in front him than Barack Obama. Even though he hasn't been perfect -- mistakes are inevitable anyway -- I admire the president's persistence...


Nevada teabagger and Republican senate candidate Sharon Angle now says that she opposes privatizing the Veteran's Administration. It seems to me, though, that there's no middle ground on privatization of health care. If you believe that the free market will provide better health care than the government, then you want to privatize the VA, as that will provide veterans with the best health care. So, if you don't want to privatize the VA, it follows that you must believe that the government can do a better job than the free market. If that's true for veterans, why isn't it true for the rest of us? And if the government can provide better care for the rest of us, why would anyone -- regardless of their politics -- support free market-based health care?

Virtually every country in the developed world (save one; guess which) has followed this chain of logic and concluded that an unregulated market cannot supply adequate health care for its populace. Virtually every country in the developed world (save one; guess which) has developed a health care system that maximizes access, obtains impressive outcomes, and controls costs...

Dino Rossi, Patty Murray's Republican opponent in the Washington state senate campaign, grew up in public housing and was raised by a public school teacher. In other words, he can thank the public sector for giving him a life. But, like all Republicans theses days, he would turn on those who come after him, once even proposing spending cuts for nursing homes and programs to aid the developmentally disabled. (Incidentally, programs like the ones for the developmentally disabled are typically high value because they require little in the way of buildings, expensive medical expertise, or administrative costs.)...

GOD/ALLAH/BUDDHA/HIGHER POWER OF YOUR CHOICE HELPS THOSE WHO HELP THEMSELVES DEPT.: If your travels take you to Ireland, consider a stay at Holly Hill...

ART GALLERY
Art of the Poster: Allen Ginsburg...



Crocodiles in paradise (Costa Rica, in this case. And talk about a metaphor for unrestricted corporate campaign spending!)...

One handsome Dutchman sets off on a new life...

UP freight cars, Lakeview, OR...



FROM THE JUKEBOX
If, like me, you've ever wondered what Bruce Springsteen could do were he freed from the anodyne, soul-sapping clutches of producer Brendan O'Brien, look no further than John Mellencamp's No Better Than This. While it would be easy to call No Better pessimistic, it's actually gives voice to the (mostly) men left behind by the false promises of the American free market. Throughout, Mellencamp casts a cold eye on the gauze of nostalgia and the false hope that springs from platitudes, nonetheless holding on to his conviction that we should all "save some time to dream" while allowing for the inevitability of sorrow and failure. A significant work from a mature, honest intelligence. And there are plenty of opportunities to sing along, too. Highly recommended...


Stupid and Contagious on John Lennon's "Watching the Wheels"...

Bayou Creole previews Lafayette's Festival Acadiens and offers another one of her great recipes...



Here, he goes "Up to the Mountain" with Patty Griffin:

And don't miss him holding on with Emmylou Harris...

Wednesday, October 6, 2010

Great Endings: Catch-22


Yossarian jumped. Nately's whore was hiding just outside the door. The knife came down, missing him by inches, and he took off.

Catch-22, Joseph Heller

Things are going to slide, slide in all directions...

A Story

Martin and his friends began to build a house. Years ago, others had poured the foundation, but the town in which they lived refused to allow completion of the home. Martin and his friends decided to build it anyway. Officials from the town arrested Martin more than once and threatened him and his friends. But they kept building, brick by brick, board by board, nail by nail. And the house began to take shape.

The town's opposition to the house became hysterical. People from the town carried out many of their threats, often beating and sometimes murdering builders. But Martin and his friends kept building. If you can have a house, Martin explained, so can we. In fact, the safety of your house depends on us being able to build ours. And you can hit us as hard as you want. We won't stop building, even to hit back. Especially to hit back, for that is what you want us to do. And Martin drove another nail into another board.

That night, people from the town murdered one of Martin's friends.

John from the county stopped by. He had heard about the house but hadn't thought too much about it until Martin's friend was killed. He looked at the house and turned to the town. If you can have a house, they can have a house, John said. It's only fair. The town screamed at John. You're from another part of the county. We do things our own way in this town. Martin's friends were happy to live without a roof over their heads until he came along. John looked back at them. Fair is fair, he said.

Martin and his friends kept building.

A few weeks later, Lyndon from the county stopped by the house. John was gone, he explained, but Lyndon agreed with John that fair was fair. Keep building the house, Lyndon told Martin. I'll take care of the county. And Lyndon was as good as his word: Despite the opposition of the town and a county official name Strom who said he would stop the county from doing anything at all if it helped Martin, building permits flowed and zoning restrictions eased.

Martin and his friends kept building.

As the house neared completion, Lyndon found that he needed help from Everett to get one last permit. Everett grumbled about helping. Were it up to him, there would be no house. But it was almost built and people were watching. They thought that fair was fair, too.

Everett agreed to issue the permit, but only if the house wasn't built quite as high as Martin and Lyndon wanted. To get the permit, Lyndon agreed to Everett's terms. Martin wasn't happy about this, but decided that he could add on to the house another day.

Martin and his friends finished that house, and Martin began work on another one in another town.

Years and years later, the house still stood, even if it needed new paint and a new roof. The descendants of Strom and Everett gazed upon it proudly. They didn't see the rotting timbers or the dilapidated porch or the holes in the roof. This house, they said, is as good as ever. It's as sturdy as the day that Strom and Everett built it. It is a shame, they said, that Strom and Everett do not get credit for building this house.

Martin and his friends should be more grateful to Strom and Everett, said Everett's descendants. What, after all, would they have done had Strom and Everett not given them a place to live?

You're right, said Strom's descendants. The history books give all the credit to Martin and Lyndon when it was really Strom and Everett who built the house. We have an idea.

What's your idea?, asked Everett's children.

Let's change history, said Strom's children. So that people will know who really built the house.

And they did...


Bob Herbert reminds us (and Dean Broder) of the real John Boner...

The great E. J. Dionne writes that Democratic candidates are using the new health care bill as a centerpiece of their campaigns...

Paul Krugman on Fox News, the Republican party, and Citizen Kane...

Monday, October 4, 2010

Health Care By the Numbers (US and Finland)

A few tidbits from research I'm doing for a presentation:

United States
Annual income per capita: $44,070
Annual health care expense per capita: $6,174
%GDP on health care: 15.30
HCPC/IPC: 14.01

Lifetime expense (male): $463,050
Lifetime expense (female): $493,920
Life expectancy (male): 75
Life expectancy (female): 80
Healthy life expectancy (male): 67
Healthy life expectancy (female): 71
Deaths per 1000, 15-60 (male): 137
Deaths per 1000, 15-60 (female): 80

Child mortality rate (per 1000 under 5): 8
Infant mortality rate (per 1000): 7
Neonatal mortality rate (per 1000 births): 4
Child mortality (annual): 35,000
Maternal mortality ratio (per 1000 births, reported): 8
Maternal mortality ratio (per 1000 births, adjusted): 11

Finland
Annual income per capita: $33,170
Annual health care expense per capita: $2,472
%GDP on health care: 7.60
HCPC/IPC: 7.45

Lifetime expense (male): $187,872
Lifetime expense (female): $205,176
Life expectancy (male): 76
Life expectancy (female): 83
Healthy life expectancy (male): 69
Healthy life expectancy (female): 71
Deaths per 1000, 15-60 (male): 132
Deaths per 1000, 15-60 (female): 57

Child mortality rate (per 1000 under 5): 3
Infant mortality rate (per 1000): 3
Neonatal mortality rate (per 1000 births): 2
Child mortality (annual): 35,000
Maternal mortality ratio (per 1000 births, reported): 6
Maternal mortality ratio (per 1000 births, adjusted): 7

HCPC/IPC is the ratio of Health Care Per Capita (dollars) to Income Per Capita (also dollars).

The figures for Denmark, Norway, and Sweden are comparable to Finland's, if not quite as impressive.

The numbers that stand out to me are the per capita incomes. In essence, they suggest that it's possible to reduce American's per capita income by 25% and still deliver better and more efficient health care. I'm not suggesting that everyone's pay get cut by a fourth, but consider where American health care could be given the great wealth of our country...

Sharon considers the angles. This one is a beaut:


Continuing with this week's musical theme:
I said to Hank Williams, how lonely does it get?
Hank Williams hasn't answered yet
But I hear him coughing all night long
A hundred floors above me in the Tower of Song
Leonard speaks for all songwriters in this quatrain: Whatever I know about loneliness, Hank Williams knows more. However good a songwriter I am, Hank Williams is a hundred floors above me. And all we mere mortals can ask for is an enigmatic cough of inspiration.

Now there's a guy who knows how to make an exit!