Saturday, December 26, 2009

Nationalized Health Care

I woke up Christmas morning thinking about this video (0:31):


The people who put the video together obviously believe that a nationalized healthcare system would be/will be a good thing.

Clearly, this family was put into a tremendously difficult circumstance. And then their neighbors came together and bailed them out. Indeed, all the footage and, it seems, all the music, too, is from neighbors' fundraising efforts.

"It took our neighborhood to come together to save us," the narrator says.

But rather than noticing how her family's difficult circumstance were actually overcome through unified community effort. And rather than noticing how truly thrilled participants seem to have been to have helped her, she concludes:
If we can get it in Washington Park [Winston-Salem, NC], then why can't they get it in Washington, DC? Look: "Public Option," "Trigger" . . . --I really don't care what they call it: something's got to change."
And then, finally, a placard: "Isn't it time to put people before politics?"

Ummmm.

My morning wake-up dream/thoughts included these things:
  • I would prefer recipients of aid recognize it is a privilege and it is the result of the largesse--the charity, if you will--of those who make it possible for them to enjoy the help they are receiving.
  • If we are receiving services for which we have not paid, that is a gift; it is not a "right."
  • Someone is sacrificing in order to make it possible for any or all of us to receive medical help beyond our means. Those of us who receive that aid should recognize the sacrifices of others and express appropriate gratitude. We ought, certainly, not to take the attitude that the receipt of such aid is our "right" and we have the "right" to "demand" such aid.
Upon further reflection, what really bothers me is the notion that some bureaucrats in Washington can cobble together a better, more equitable, more efficient system--in the space of even a few months--than the free market, with all the competing forces of open competition, has been able to create over centuries.

Beyond that, I am deeply disturbed by what I have experienced within and under the drugs regime of our federal government.

I have meant to write on the problems of thyroid/thyroxine over the last couple of months. I expect I will finally get to it sometime in the next week.

I do not regard our government as my friend in the realm of pharmaceuticals. To put them in charge of our entire health care industry is downright scary to me.

*******

And one last set of comments.

I noted the concluding placard in the video: "Isn't it time to put people before politics?"

My question: Are we really dealing with "politics," here? Aren't we dealing with a bankrupt government, already acknowledging it is in debt equivalent to almost 100% of Gross Domestic Product (GDP) ($12.1 trillion of acknowledged debt in a country with a GDP of just under $14.25 trillion) . . . and, if it were to account for its contracted future obligations the way normal businesses are required to account for such things: its total "unfunded future obligations" amount to just a bit over seven times GDP ($106.5 trillion).

Let's put that into perspective.

The ratio of government debt to GDP is really not as important as government debt in comparison to government revenue. After all, the government can't consider total GDP as grounds for spending--either on new obligations or to pay off old ones. It can only spend its actual revenue. And when we look at the debt-v.-revenue numbers, here's what we're really looking at: a government with revenue of not quite $2.2 trillion and an acknowledged debt of $12.1 trillion already on the books.

Put in terms that you and I might be able to digest, that means a family with a net (post-tax) income of $35,000, has a current debt load of (12.1T Debt/2.2T Income=5.5 Debt-to-Income ratio; 5.5 x $35,000 Income=) $192,500. And if we were to include future obligations not funded, the federal government's obligations, for a family with net (post-tax) income of $35,000 is (106.5T Contracted Obligations/2.2T Income = 48.4 Contracted Obligations-to-Income ratio; 48.4 x $35,000 =) $1,694,000.

--And this government--this government, that hasn't been able to balance its budget in more than 30 years--through good times and bad--is proposing to take on additional major obligations?

With what money? Whose money?

Do you think the Chinese, who hold close to $800 billion of our government's debt, and the Japanese, who hold about $700 billion, are going to sit idly by as American congresspeople continue to ratchet up their debt with no reasonable idea of how they ever intend to repay it?

I don't. And so, until the American Congress can come up with a plan to pay off its debt, I say: "No new purchases."

Friday, December 11, 2009

Semi-universal cancer cure?

I've been sitting on this one for several weeks now. I don't remember how it first came across my radar, but Dr. Evangelos Michelakis, a professor at the University of Alberta Department of Medicine, has shown that sodium dichloroacetate (DCA) causes regression in several cancers, including lung, breast, and brain tumors.

Apparently, the story has been out for well over a year (actually, according to the U of A website, since March of 2007), but it still seems to be a "back page" and "small print" story.

The problem: "The DCA compound is not patented and not owned by any pharmaceutical company, and, therefore, . . . difficult to find funding . . . to test . . . in clinical trials" and, of course, to promote.

For a popularized presentation of what this is all about, here's a Glen Beck TV spot:



For a summary webpage that includes links to almost anything you might be interested in finding, check out "The DCA Site."

Want to buy DCA? Here's your source.

And, finally, a full academic paper published in the British Journal of Cancer.

Michelakis is a quiet and understated man. You can see and hear him on the Glen Beck segment. But how is this for an understated summary (from the BJC article)?
The preclinical work on DCA (showing effectiveness in a variety of tumours and relatively low toxicity) (Bonnet et al, 2007), its structure (a very small molecule), the low price (it is a generic drug) and the fact that DCA has already been used in humans for more than 30 years, provide a strong rationale for rapid clinical translation.