Georgia on My Mind
Elizabeth Nicholas in the Huffington Post
posted: 9/23/11 01:15 PM ET "The law," Aristotle said, rather hopefully, "is reason free from passion." If at its most ideal, the American justice system reaches this tempered height, the execution of Troy Davis on Wednesday night illustrated that when it comes to two of the most inflamed subjects the courts can address--race and capital punishment cases-- passions can still eclipse and indeed become the law. The details of Davis' case, and the extraordinary doubt cast upon his guilt up until his death, are so well known as to not bear repeating. But what is worth a closer Despite the protestations that certainly would arise from the cadre of post-racial-white-guilt-alarmists, the undeniable facts of Troy Davis' execution are that he was a black man accused of killing a white man in a state next door to the one serving as a backdrop for the most famous fictional civil rights case in history. (Paging Atticus Finch, we needed you.) "[This case] harkens back to some of the ugly days in the history of this state," said Reverend Raphael Warnock of Ebenezer Baptist Church, who visited with Davis the day before his execution. Davis himself implied a racial component his execution when he said the same day--"The struggle is for all the Troy Davises who came before me, and all who will come after." The sense in Georgia and throughout the country is pervasive, especially on the heels of the Dominique Strauss-Kahn's trial, that if Davis had been a wealthy or white, he would be signing a six-figure book deal about his wrongful conviction right now, rather than dead. Without discounting the right of Officer MacPhail's family to grieve or overstating the importance of their method of so doing, some of the statements made by the MacPhail family in the days before Davis' execution are more than enough to give one pause. When pressed on Davis' claims of innocence, MacPhail's mother Anneliese said, "he's been telling himself that for 22 years. You know how it is, he can talk himself into anything." She sounds like she is talking about someone who isn't a person, who doesn't have to be a person, and she is able to do so because of the state and history she's operating under--you know how it is, officer, audience, this man is deceitful and unwilling to pay the consequences for his actions. Shiftless, she may as well have hissed. Beyond racial overtones, the MacPhail family seemed not to understand that their own grief, profound as it might be, was not a client of the United States justice system. The family seemed relentlessly focused on their own emotional vindication, and little concerned with who bore the brunt of it, little concerned with the fact that Davis upon his conviction might have become a stand-in for their grief, not the perpetrator of it. "We are victims," Officer MacPhail's widow said. "We have laws in this land so there is not chaos. We are not killing Troy because we want to." A radio reporter who witnessed Davis' death may have summed it up best: "The family seemed to get some satisfaction from the execution." Our reaction to the approaching miscarriage of justice was largely commendable. 630,000 petitions were delivered to the Georgia board of parole, and numerous entireties were made to stay the execution on behalf of Desmond Tutu, Jimmy Carter, and former FBI director and death penalty supporter William Sessions. Edward O. BuBose, President of the Georgia NAACP, reported Wednesday that the group had "very reliable information from the board members directly that the board was split 3 to 2 on whether to grant clemency." As hundreds of supporters gathered outside of the prison in Jackson Wednesday night, frustration swept through those watching from home that one person had apparently assumed the role of God in deciding the board's outcome, and thus the life of Troy Davis. Efforts grew increasingly desperate as Wednesday wore on, with calls for prison officials not to report to work, the president of the NAACP calling on President Obama to intervene, and Davis' lawyers appealing to the board to allow Davis to take a polygraph test-- a request which was declined. Proud, optimistic, prayerful, Davis refused his last meal, and he had in years past when his execution seemed imminent, denying that each meal would be his last. When word came an hour before Davis' scheduled execution at 7PM that the Supreme Court was reviewing a petition from his lawyers on whether to stay the execution, a brief reprieve spread through the assembled--surely reasonable doubt wasn't really this country's metric of the best time for an execution, surely the judiciary wasn't so removed from the facts casting Davis' guilt in question as to be as it seemed-- from another country, from another era, from L'Etranger. But at 10:52, the Supreme Court delivered its one-sentence denial of a stay, and the execution went ahead as had been planned. "I did not personally kill your son, father, brother," Davis said to MacPhail's family. "I am innocent." He was declared dead at 11:08PM. Of what consequence all of this, for those of us who are not the Davis' or the MacPhails? What of it is that many people will see America differently, not the least of all, America's own citizens. Davis was black, and the man who he allegedly killed was white, and whether this played a role in his conviction or not, he comes from a land with a long history of weighing those qualifications heavily. His execution, coming as close as it does to the dismissal of the Dominique Strauss-Kahn case for its "lack of a credible witness," pokes holes in what we pride ourselves on, both as a point of distinction from other countries, and as a distinction from our own fraught past. It discredits what I thought I knew for sure until Wednesday-- that the color of your skin or the size of your bank account or the clout of your connections might help you get a job or a date, but won't be the determining factors in saving your life, won't be the reason you end up where Troy David did: "Strapped to the death gurney, he lifted his head to address the family of the slain officer. He told the family of Mark MacPhail that he was not responsible for the officer's death and did not have a gun at the time, according to execution witnesses. Davis said the case merited further investigation, talking fast as officials prepared to give him the lethal cocktail." Perhaps the most chilling consequence for this country is that sense that arose that the state was the enemy, an ominous entity whose decrees and did not need to bend to the precepts are justice system is based on--reasonable doubt, innocent until proven guilty, equality before the law. What does Troy Davis tell us about the land that wrote his story? What does it tell us about who we are? It says we seemed to get some satisfaction from the execution. It says we said the case merited further investigation, talking fast as the doctors prepared to give him the lethal cocktail. Opinion: If you feel good about this, you need a conscience biopsy. They gave him a physical before they executed him. A physical. Think about that for a while. Stealing the Book of Mormon: More Bible Belt Intolerance
September 11, 2011
Scott Anderson, M.D.
“I never will, by any word or act, bow to the shrine of intolerance or admit a right of inquiry into the religious opinions of others.” ~Thomas Jefferson
I checked the mail this weekend and placed some magazines in my clinic waiting room when I noticed that The Book of Mormon, which had previously occupied a space near The Bible on the table, was missing. I looked under the chairs and everywhere else I could to try to find it, but to no avail. My conclusion: Someone had stolen the Book of Mormon-a Holy Book placed in the office by one of my patients-in an attempt to make some sort of a statement.
Why should the Book of Mormon be so important to me? After all, I do not belong to The Church of Jesus Christ of Latter Day Saints. The closest I ever came to going to a Mormon church was receiving an invitation to a wedding in Salt Lake City. However, it was important for this particular book to reside in my waiting room to help foster tolerance for the religious beliefs (or even non-beliefs) of others. If someone would have given me a copy of The Quran, I would have happily placed it next to The Holy Bible and The Book of Mormon as well. I'm also looking forward to Purchasing Jillette Penn's book, God, No! I may place a copy there for the Athiests in the practice. After all, they have a right to their beliefs as well.
We must remember, especially on this day, that this country was founded on certain rights and freedoms-not intolerance. America was not founded as an exclusively Christian nation (sorry, Right Wing Evangelical fringies, no mention of Christ in any of the founding documents). Likewise, there is nothing special about one's "brand" of Christianity that in any way renders other varieties invalid.
I truly hope the person who took The Book of Mormon will return it. Even if no one ever opens it, it symbolizes diversity, respect and tolerance for others with differing religious views-qualities that appear particularly lacking in this contrived "Christian" community. Remember, intolerance is usually evidence of impotence and insecurity. Bonus: If you return it this week, I'll give you some extra samples of
Viagra.®
"Barbarians" Need to be Educated?
July 24, 2011
Scott Anderson, M.D.
"There's a sucker born every minute" ~P.T.Barnum Can you pray away the gay? Apparently at the Bachmanns' clinic (a "Christian" counseling center) you can (or at least the Bachmanns think so). You see, they run a clinic that engages in so-called "reparative therapy." This "therapy" attempts to convert homosexuals (referred to by Marcus Bachmann as "barbarians") to heterosexuals through prayer and "Christian-based" therapy. Unfortunately, the American Psychological Association (APA) has long been opposed to this type of therapy, citing it as ineffective and potentially harmful. It is well established in the medical and scientific community that one can no more choose sexual orientation than eye color. However, that doesn't seem to stop these misguided people from doing more damage. On another note, for folks so opposed to entitlement programs, the Bachmanns never seemed to have a problem profiting off of them. Yes, far Right Evangelical hyposcrisy at its best. Sadly, seems like SOP for these Bible-thumpers . Here's the article:
By Michael Isikoff National investigative correspondent
NBC News NBC News
updated 6/28/2011 7:46:46 PM ET 2011-06-28T23:46:46
While Rep. Michele Bachmann, R-Minn., has forcefully denounced the Medicaid program for swelling the "welfare rolls," the mental health clinic run by her husband has been collecting annual Medicaid payments totaling over $137,000 for the treatment of patients since 2005, according to new figures obtained by NBC News. The previously unreported payments are on top of the $24,000 in federal and state funds that Bachmann & Associates, the clinic founded by Marcus Bachmann, a clinical therapist, received in recent years under a state grant to train its employees, state records show. The figures were provided to NBC News in response to a Freedom of Information request.
The clinic, based in Lake Elmo, Minn., describes itself on its website as offering "quality Christian counseling" for a large number of mental health problems ranging from "anger management" to addictions and eating disorders. The $161,000 in payments from the Minnesota Department of Human Services to her husband's clinic appear to contradict some of Michelle Bachmann's public accounts this week when she was first asked about the extent to which her family has benefited from government aid. Contacted this afternoon, Alice Stewart, a spokeswoman for Bachmann, said the congresswoman was doing campaign events and was not immediately available for comment. Questions about the Bachmann family's receipt of government funds arose this week after a Los Angeles Times story reported that a family farm in which Michelle Bachmann is a partner had received nearly $260,000 in federal farm subsidies. When asked by anchor Chris Wallace on "Fox News Sunday" about the story's assertion that her husband's counseling clinic had also gotten federal and state funds, Bachmann replied that it was "one-time training money that came from the federal government. And it certainly didn't help our clinic." At another point, she said, "My husband and I did not get the money," adding that it was "mental health training money that went to the employees." But state records show that Bachmann & Associates has been collecting payments under the Minnesota's Medicaid program every year for the past six years. Karen Smigielski, a spokeswoman for the state Department of Human Services, said the state's Medicaid program is funded "about 50-50" with federal and state monies. The funds to Bachmann & Associates are for the treatment of low-income mentally ill patients and are based on a "fee for service" basis, meaning the clinic was reimbursed by Medicaid for the services it provided. Smigielski added that these were not the only government funds that Bachmann & Associates has received. The clinic also participates in managed-care plans that are reimbursed under a separate state-funded Minnesota Health Care program. But the state does not have any records of payment information to the individual clinics that participate. (During her Fox News appearance, Bachmann was not asked about Medicaid payments, and she made no mention of them.) Another state official, Patrice Vick, communications manager for the Human Services Department, said she was puzzled by Michelle Bachmann's assertion on the broadcast that the funds under the state grant went to employees. While the grant was to train employees to help them treat chemical dependency, the money did not go directly to those being trained, she said. "It went to the clinic," Vick said. "The contract was with the clinic," Vick added later. But she had no immediate information about whether the clinic passed it along directly to the employees being trained or used it to cover its costs of training. The issue of her receipt of government aid has gotten attention because Bachmann, a Tea Party favorite, has been a fierce critic of federal spending programs and has called for drastic cutbacks. This has especially been the case on health care, including the expansions of Medicaid called for under the new health care law. When Minnesota Gov. Mark Dayton signed an executive order earlier this year expanding the state's Medicaid program for more than 95,000 state residents, Bachmann was joined state Republican lawmakers in denouncing the move. "Right now, Governor Dayton is wanting to commit Minnesota taxpayers to add even more welfare recipients on the welfare rolls at a very great cost," Bachmann said at a news conference in St. Paul in January. "She's giving hypocrisy a bad name," said Ron Pollock, executive director of Families USA, a consumer health care advocacy group, when asked about the Medicaid payments to Bachmann & Associates. "It's clear when it feathers her nest she's happy for Medicaid expenditures. But people that really need it — folks with disabilities and seniors — she's turning their backs on them." Our Opinion: Seriously? Has someone been spiking the the Bachmanns' tea again? Perhaps they've actually been smoking it. These folks have a serious credibilty problem. Using the Bachmanns' logic, if you can pray someone straight, then you can surely pray yourself presidential. Yes, yes, we know. Let's not get mired down in these silly collateral and pesky social issues. You're running for President of the United States. We get it. Every time you're backed into a corner you tell us that.
Rep Bachmann: We suggest that you stop your campaign and fundraising immediately and simply pray yourself into The White House. We're sure God "told you" that he wants you to be President anyway. After all, if the power of prayer works for straightening out gay people, it should work equally well for the aspirations of other types of "barbarians," like the current breed of fanatical and hypocritical Right-Wing Evangelical fringe presidential wannabees who insist on pushing their religious beliefs and twisted morality on pretty much the entire planet.
Meanwhile, if you believe this prayer thing works like they claim it does, we might be able to do even better than the Bachmanns' clinic. You can visit our office, and for a small fee we'll attempt to pray you straight, rich, beautiful, thin, or anything else you want to be (perhaps sane). Of course, our lawyers tell us that we can't really make any ridicuous promises like that, so we won't; but wouldn't it be fun (and profitable) to pray on (no pun intended) folks who actually buy in to this nonsense?!
Oh, and those nasty "entitlements" you seem to abhor? We've never really had a problem taking the deeply-discounted, small amount our government payors give us for the comparitively large amount of work we do for society's less fortunate and infirmed. It really is the least we can do for some of the folks that worked long hours and fought tough wars before some of us were even born to help shape this nation. But, at least we're willing to come clean about it.
The Individual Mandate: HeathCare Reform's Hot Button
Scott Anderson, M.D.
January 31, 2011
"They [preachers] dread the advance of science as witches do the approach of daylight and scowl on the fatal harbinger announcing the subversions of the duperies on which they live." ~Thomas Jefferson
Key Article Definitions:
Delusion-A fixed, false belief.
Homeostasis-Steady state.
Duperies-Things intended to deceive.
While drafted as an attempt to make the country healthier, the new healthcare legislation and ensuing debate is making this country collectively sicker. This hotly-contested and (obviously) partisan issue is embroiled in the usual Washington gridlock; and, perhaps, rightfully so. Heathcare costs in this country are roughly 17% of GDP-more than any other country. No one can really question reasonable debate about such a large budgetary line item no matter what side of the aisle you're on. However, the debate has now surpassed the ridiculous.
Let us begin with a rebuttable presumption that, even in 2011, we still have two Americas: one for the "haves" and one for the "have-nots." Let us presume that we have never achieved the illusory goals of racial, religious, and gender equality that we had, perhaps, hoped for. If these presumptions seem uncomfortable for you to grasp, you are probably a "have." If these concepts resonate deeply within your soul, you are (or have been) most likely a "have-not." Some of the "haves" were born that way. Many of the "haves" have been leaders in this country. A goodly number of "haves" are congressmen, senators, judges, doctors, insurance company executives, and malpractice lawyers. The "haves" seem to have a fascinating penchant for embracing the "if its good for me, its good for you" philosophy when it comes to minting public policy. They seem morally ill-equipped to step outside of their own, nascent condition to even attempt to appreciate what life might be like on the other side of the fence. After all, that's where those other people live. I would argue that, in a decent society, we must do what is best for the society at large. Of course, while seeming like the right thing to do, in reality (and historically), the "haves," American society's de facto power brokers, have not really permitted widespread adoption of this principle. To maintain political correctness, they pay lip service to concepts such as "liberty and justice for all," "equal rights," and other lofty euphamisms for which they truly believe the "haves," but not the "have-nots," rightfully deserve. However, history has shown that even the Framers of the Constitution (mostly "haves") may not have been the most ethical individuals (as defined by their traditionalist contemporaries). They were certainly rebels of the highest order. Many were slave owners. Yet, inexplicably, we have, to great extent, deified the founders of this nation. Some things never change. A bunch of old white guys in power then, a bunch of old white guys in power now. There has been an increasing tendency for American Right Wing conservatives to attempt to impose their religious doctrine on the entirety of American society, if not the whole planet. For any well-indoctrinated Christian, that type of zeal is not unexpected. Most organized religions have similar aspirations. It's just that American Evangelicals seem really good at this stuff. Religion and politics make strange bedfellows, though. How many times have our Evangelical leaders attempted to jump into the minds of our Founding Fathers lately? How often have our current cadre of wanna-be statesmen tried to twist and spin the Framers' purpose and intent? How many of our present elected leaders have even a working understanding of how and why this nation was formed? We hear a lot of buzzwords like "liberty," "freedom," "constitutional," "unconstitutional." Sadly, a rudimentary knowledge of, and mere ritual obeisance to the constitution, coupled with Christian religious dogma, is all that is necessary these days to become an influential public official to an increasingly befuddled electorate. And, though America seems to be a pretty easy crowd these days, it still seems that there should be a moral imperative to periodically question established constitutional principles. After all, the Founding Fathers were mere human beings-just like our current leaders, and we question them all the time. The Framers were, in the most genuine sense, enlightened, progressive individuals-nothing like the contemporary Right. Our forefathers took umbrage at the tradition and absolute authority of the monarchy of England and the Church of England's sworn allegiance to the King. Modern conservatives would never think to question the validity of their de facto religion, government, or constitution. However, many of the Framers of the Constitution were not Christians. Others had serious doubts about Christian doctrine. Yet today, Christians seem to feel that America is (or should be) a Christian nation-a notion that blatantly contravenes our founding principles. The reality is that contemporary conservatives (which sounds like an oxymoron, actually) bear little resemblance to our Founding Fathers; yet, these leaders are attempting to slow progress by wanting us to embrace more "traditional" values. To ensure the long-term viability of this nation, a steady-state must be achieved within the economy by abandoning tradition, not harkening back to it. Indeed, political and economic homeostasis, albeit counterintuitive, is incompatible with tradition. Homeostasis, by definition, is the maintenance of metabolic or similar equilibrium within an animal or system through a tendency to compensate for disrupting changes. Note that a steady-state system actually depends on constant change. Likewise, staying a course, whether in aviation or sailing, depends on a series of constant course adjustments based on multiple internal and external stimuli (weight and balance, fuel, temperature, winds aloft, convection, etc.). Change is an absolute requirement for stability outside a vacuum, and that, my friends, brings me to the heart of today's topic. We have done everything but stay the course in the healthcare industry. We have acted like we live in a vacuum and, as such, we have maintained the yoke rock-steady for decades. We have failed to provide the necessary course adjustments in heavy seas, and have meandered outside of our moral boundaries. Medicine used to be a calling. Now its just another business-and a lucrative one with many stakeholders. In fact, the business of Medicine is counting on a lot of sick people to fuel the industry and, sadly, there's no shortage of sick people in America. In fact, America, compared to many other industrialized nations, is a very sick country. Yet, how many times have we heard phrases thrown around by some of our leaders like "We have the best healthcare system in the world?" To that I would say: by what metrics are we judging this "best" healthcare system of ours, exactly? Sadly, the United States has an incredibly poor ROI for all of its fancy and expensive technology. In fact, there is little about American Healthcare that we can truly be proud of presuming, of course, that we are referencing all Americans when we are talking about the collective "we." In point of fact, we do not have the greatest life expectancy. We do not have the best access to care. We do not have the best prevention. We certainly do not have the best infant mortality statistics. We unequivocably do not have the most psychologically well-adjusted, happiest, or healthiest citizens on the planet. However, for the "haves," these minor facts seem to represent little resistance to their conclusory notions about healthcare. Some of the "haves" are our elected officials, who possess, arguably, some of the best health care the world has to offer. Yes, perhaps to them, we do have the best healthcare system in the vacuum of their parallel universe. Then there's the rest of us. We, the proletarianized, have to deal with pre-existing condition clauses, prior authorizations, medical necessity requirements and ad hoc decisions made by insurance companies hired by Big Business.
So, What About This Evil Mandate Thing? The Individual Mandate, in short, is a provision of the new healthcare legislation which would require all individuals to purchase some level of affordable health insurance, primarily to balance the risk pool against adverse selection when millions are ushered in to a new healthcare system-a system that, admittedly, is unproven and inherently risky. Such a provision would counter the obviously increased costs to insurers of covering patients with pre-existing conditions or serious, chronic diseases. This provision was recently deemed unconstitutional by a U.S. District judge, citing the Commerce Clause. However, there is widespread disagreement on this issue-especially when you reference actual healthcare leaders who know something about this stuff and not the ever-pandering politicians. Fortunately, in reality, the negative rhetoric on this issue lacks any real purchase whatsoever. In fact, much of it is downright delusional. Some of these people have little more than perfunctory knowledge of the healthcare universe and its complexity. Why change if its working for them? Indeed. They can take a short train ride to Hopkins or Bethesda Naval Hospital. Yup, the best healthcare system in the whole world. But what about the lady with intractable seizures who just got laid off from her factory job and has no more insurance? How about the mentally ill student who is contemplating suicide because he's reached his maximum mental health benefit and his meds just ran out? Then, of course, there's the baby from inner city Detroit who's born without any prenatal care. What are her life chances going to be like? Does she even matter? Should we deem her simply an acceptable loss or collateral damage? I've never seen Mr. Boehner cry about that little girl. The fact is, while we duke this out, more people suffer and die; maybe not in politically-relevant fashion, but they die nonetheless. Lets's try harder, folks. Try to think outside of your own world for a change. Try to put your so-called faith into action. Its a big country out there beyond that nice, manicured life of yours. Dismantling healthcare for millions by pulling the plug on funding and drifting from our moral course is not the answer, and will add more to the legacy of debt and social bankruptcy we'll leave our children. Trying to sell this delusional "best healthcare system" hyperbole to the people is not the answer in the face of clear and convincing evidence to the contrary. Pretending that you've got your finger on the pulse of The Constitution? Perhaps. However, The Constitution was a document borne out of just one more grandiose and radical social experiment-kind of like healthcare reform. Sometimes doing the right thing gets us away from our comfort zone. When it comes to healthcare, we've been comfortable for too long, and we've been making too many excuses for too many people. Those concerned about mandates should realize that governmental madates have been in place for decades-mostly designed to further the greater good and lead to greater domestic tranquility. Let's face it; there have been plenty of governmental mandates handed down that make less sense than The Individual Mandate in healthcare reform. Perpetuating the delusion that the decisions of the public at large (and getting larger) coupled with free market principles are somehow going to reduce our healthcare expenditures may be a good coping mechanism, but it will not change the problematic issues in our current system: unreliable education, access, and prevention, coupled with a fundamentally reactive system which pits healthcare stakeholders against one another to see who can ride the lucrative wave of failure the longest. When it Comes to Lung Cancer, Do We Discriminate?Scott Anderson, MD
July 4, 2011
We've all seen the pink ribbons and the significant media hype that surrounds breast cancer research and treatment. The pink ribbons are ubiquitous. "Save the ta-tas" bumper stickers and shirts are popping up everywhere. The campaign for breast cancer research has been nothing short of phenomenal. But why do we hear so much about breast cancer and so little about other types of cancer, especially the ACTUAL number one cancer killer-lung cancer? I've got some theories.
Let's start with a chart that I extracted from The National Cancer Institute (NCI) Office of Budget and Finance (OBF). This chart shows just how much money has been spent on the the ten most common types of cancer in the US in 2008, 2009, and 2010. These numbers should disturb us on a number of levels.
How much does NCI spend each year on research for specific types of cancer?
The following table shows NCI spending in FY 2008, 2009, and 2010 for the 10 most common types of cancer in the United States, based on 2010 incidence estimates (and excluding basal cell and squamous cell skin cancers).** The cancers are listed in decreasing order of incidence (i.e., from the highest number of new cases to the lowest). **Source of spending data: NCI Office of Budget and Finance (OBF).
First, let's look at how much more money is spent on breast cancer research compared to that spent on the most common type and biggest cancer killer of all-lung cancer. As we can clearly see from this table, in 2010 more than double was spent on breast cancer research than lung cancer. Interestingly, there was also more spent on prostate cancer research. While all males should be concerned about prostate cancer, it is largely a disease of the elderly with a favorable survival profile compared to many other cancers. In fact, it has been said that most elderly males who get prostate cancer die with their disease, not of it, with the 5-year survival approaching 100%. The point, of course, is to illustrate that the funding for lung cancer research seems somewhat inexplicable considering the 5-year survival for lung cancer is approximately 16% while the 5-year survival for breast cancer can approach 90%! Therefore, while breast cancer can be a devastating disease, it certainly is not the most common type nor the number one killer. Many people falsely embrace the widely-held belief that that breast cancer is the number one killer of women. It isn't. In fact, Lung cancer takes the lives of far more women every year than breast cancer. So why the disparity in dollars devoted to breast cancer research over other cancers?
First, the media hype surrounding breast cancer research is anaplastic. It has actually become "trendy" to wear the pink ribbon. This media campaign has been hugely successful. We're all very happy about that fact, of course. However, we must realize that research for a more common and deadlier cancer has been largely overshadowed by breast cancer research funding.
Second, whether we want to embrace the concept or not, sex sells; it always has. While the breast represents many things such as female identity, motherhood and nurturing, it is also true that in a society so focused on outward appearance, the female breast is synonymous with sexuality. Lungs, bladders, intestines: not so much. Breast cancer is the disease's darling. It's kind of like the oft-idealized depiction of the ultimate setting used so frequently in healthcare marketing: the operating room - oddly a place in which a minority of all medical treatment is actually carried out. However, cloaked in its sterile, high-tech secrecy, it has become, ostensibly, the defacto "sexy" view of Medicine that tends to resonate most with the public. In light of the staggering death rates from lung cancer, we need to understand that much of the attention to breast cancer is being driven by reasons completely unrelated to the actual facts surrounding its epidemiology. The problem is, many of our elected leaders are not well-informed enough about these types of statistics for the problem to even make it to their radar screens.
The attitude also exists in the medical community that, because so much lung cancer is linked to smoking, lung cancer patients somehow "deserve what they get." Let's get one thing straight: Nobody "deserves" lung cancer no matter how much they smoke. Still, even in 2011, this attitude is still very pervasive among physicians. However, if we apply pure logic we quickly realize that we can never prove definitively in any individual case what actually caused the cancer. Feeling like you deserve cancer because you've smoked probably won't help stack the deck in your favor if you ever happen to be afflicted with it.
Here's a comprehensive site for cancer statistics http://seer.cancer.gov/statfacts/html/all.html. Everyone interested in this subject should ponder the implications of healthcare funding at the highest levels of government and how such funding translates into to actual treatment in the trenches. I've also included a link to WTF (Where's the Funding? http://wtflungcancer.posterous.com/ ), a great blog site devoted to increasing funding for lung cancer research. More to come...
How do infants avoid secondhand smoke? "At some point they begin to crawl." Tobacco Executive, 1996 (from sworn testimony).
Atheists! Think you know more about religion than the faithful? (you actually do)I'm fascinated by the tussle between the so-called 'new' Atheists and the folks in the other corner, who for want of a better term seem to be called 'accomodationists'. The main reason I find it fascinating is not the content of the debate, which is mostly pretty mundane, but the fact that the argument rages so hard (take this recent example from Jerry Coyne or this, from Casper Melville standing in the other trench).
Anyway, that's not what today's post about. What it is about is the new research from the Pew Center, who have recently found that atheists scored higher in a religious quiz than any of the religious groups. You can take a short form of the quiz here. Let me know how you get on! Now, atheists tend to be better educated than the religious, but the differences held even after they adjusted for demographic differences like education and income. So it seems that the non-religious are genuinely more knowledgeable than the religious - at least in terms of this kind of knowledge-based quiz. What makes this interesting is the charge, often made by religionists, that the 'New' Atheists don't even understand what is they're attacking. They don't understand religion. Now, to a certain extent that's true. Theological rationalizations for the existance and nature of the various gods can be esoteric in the extreme, and few atheists will have spent the time to understand them. But of course by this standard most religious people don't understand religion either, which rather begs the question of what religion is. Are these 'ordinary' religious people simply uneducated? Or, if confronted by the rarefied, intellectual and theologically correct version of religion, would they reject it? In other words, is the ill-informed, theologically incorrect version of religion more real than the true religion? This article by Tom Rees was first published on Epiphenom. It is licensed under Creative Commons.
Richard DawkinsPosted: October 23, 2006 11:19 AM Why There Almost Certainly Is No God (this should get us some hate mail)America, founded in secularism as a beacon of eighteenth century enlightenment, is becoming the victim of religious politics, a circumstance that would have horrified the Founding Fathers. The political ascendancy today values embryonic cells over adult people. It obsesses about gay marriage, ahead of genuinely important issues that actually make a difference to the world. It gains crucial electoral support from a religious constituency whose grip on reality is so tenuous that they expect to be 'raptured' up to heaven, leaving their clothes as empty as their minds. More extreme specimens actually long for a world war, which they identify as the 'Armageddon' that is to presage the Second Coming. Sam Harris, in his new short book, Letter to a Christian Nation, hits the bull's-eye as usual: It is, therefore, not an exaggeration to say that if the city of New York were suddenly replaced by a ball of fire, some significant percentage of the American population would see a silver-lining in the subsequent mushroom cloud, as it would suggest to them that the best thing that is ever going to happen was about to happen: the return of Christ . . .Imagine the consequences if any significant component of the U.S. government actually believed that the world was about to end and that its ending would be glorious. The fact that nearly half of the American population apparently believes this, purely on the basis of religious dogma, should be considered a moral and ¬intellectual emergency. Does Bush check the Rapture Index daily, as Reagan did his stars? We don't know, but would anyone be surprised? My scientific colleagues have additional reasons to declare emergency. Ignorant and absolutist attacks on stem cell research are just the tip of an iceberg. What we have here is nothing less than a global assault on rationality, and the Enlightenment values that inspired the founding of this first and greatest of secular republics. Science education - and hence the whole future of science in this country - is under threat. Temporarily beaten back in a Pennsylvania court, the 'breathtaking inanity' (Judge John Jones's immortal phrase) of 'intelligent design' continually flares up in local bush-fires. Dowsing them is a time-consuming but important responsibility, and scientists are finally being jolted out of their complacency. For years they quietly got on with their science, lamentably underestimating the creationists who, being neither competent nor interested in science, attended to the serious political business of subverting local school boards. Scientists, and intellectuals generally, are now waking up to the threat from the American Taliban.
Scientists divide into two schools of thought over the best tactics with which to face the threat. The Neville Chamberlain 'appeasement' school focuses on the battle for evolution. Consequently, its members identify fundamentalism as the enemy, and they bend over backwards to appease 'moderate' or 'sensible' religion (not a difficult task, for bishops and theologians despise fundamentalists as much as scientists do). Scientists of the Winston Churchill school, by contrast, see the fight for evolution as only one battle in a larger war: a looming war between supernaturalism on the one side and rationality on the other. For them, bishops and theologians belong with creationists in the supernatural camp, and are not to be appeased. The Chamberlain school accuses Churchillians of rocking the boat to the point of muddying the waters. The philosopher of science Michael Ruse wrote: We who love science must realize that the enemy of our enemies is our friend. Too often evolutionists spend time insulting would-be allies. This is especially true of secular evolutionists. Atheists spend more time running down sympathetic Christians than they do countering ¬creationists. When John Paul II wrote a letter endorsing Darwinism, Richard Dawkins's response was simply that the pope was a hypocrite, that he could not be genuine about science and that Dawkins himself simply preferred an honest fundamentalist. A recent article in the New York Times by Cornelia Dean quotes the astronomer Owen Gingerich as saying that, by simultaneously advocating evolution and atheism, 'Dr Dawkins "probably single-handedly makes more converts to intelligent design than any of the leading intelligent design theorists".' This is not the first, not the second, not even the third time this plonkingly witless point has been made (and more than one reply has aptly cited Uncle Remus: "Oh please please Brer Fox, don't throw me in that awful briar patch"). Chamberlainites are apt to quote the late Stephen Jay Gould's 'NOMA' - 'non-overlapping magisteria'. Gould claimed that science and true religion never come into conflict because they exist in completely separate dimensions of discourse: To say it for all my colleagues and for the umpteenth millionth time (from college bull sessions to learned treatises): science simply cannot (by its legitimate methods) adjudicate the issue of God's possible superintendence of nature. We neither affirm nor deny it; we simply can't comment on it as scientists. This sounds terrific, right up until you give it a moment's thought. You then realize that the presence of a creative deity in the universe is clearly a scientific hypothesis. Indeed, it is hard to imagine a more momentous hypothesis in all of science. A universe with a god would be a completely different kind of universe from one without, and it would be a scientific difference. God could clinch the matter in his favour at any moment by staging a spectacular demonstration of his powers, one that would satisfy the exacting standards of science. Even the infamous Templeton Foundation recognized that God is a scientific hypothesis - by funding double-blind trials to test whether remote prayer would speed the recovery of heart patients. It didn't, of course, although a control group who knew they had been prayed for tended to get worse (how about a class action suit against the Templeton Foundation?) Despite such well-financed efforts, no evidence for God's existence has yet appeared. To see the disingenuous hypocrisy of religious people who embrace NOMA, imagine that forensic archeologists, by some unlikely set of circumstances, discovered DNA evidence demonstrating that Jesus was born of a virgin mother and had no father. If NOMA enthusiasts were sincere, they should dismiss the archeologists' DNA out of hand: "Irrelevant. Scientific evidence has no bearing on theological questions. Wrong magisterium." Does anyone seriously imagine that they would say anything remotely like that? You can bet your boots that not just the fundamentalists but every professor of theology and every bishop in the land would trumpet the archeological evidence to the skies. Either Jesus had a father or he didn't. The question is a scientific one, and scientific evidence, if any were available, would be used to settle it. The same is true of any miracle - and the deliberate and intentional creation of the universe would have to have been the mother and father of all miracles. Either it happened or it didn't. It is a fact, one way or the other, and in our state of uncertainty we can put a probability on it - an estimate that may change as more information comes in. Humanity's best estimate of the probability of divine creation dropped steeply in 1859 when The Origin of Species was published, and it has declined steadily during the subsequent decades, as evolution consolidated itself from plausible theory in the nineteenth century to established fact today. The Chamberlain tactic of snuggling up to 'sensible' religion, in order to present a united front against ('intelligent design') creationists, is fine if your central concern is the battle for evolution. That is a valid central concern, and I salute those who press it, such as Eugenie Scott in Evolution versus Creationism. But if you are concerned with the stupendous scientific question of whether the universe was created by a supernatural intelligence or not, the lines are drawn completely differently. On this larger issue, fundamentalists are united with 'moderate' religion on one side, and I find myself on the other. Of course, this all presupposes that the God we are talking about is a personal intelligence such as Yahweh, Allah, Baal, Wotan, Zeus or Lord Krishna. If, by 'God', you mean love, nature, goodness, the universe, the laws of physics, the spirit of humanity, or Planck's constant, none of the above applies. An American student asked her professor whether he had a view about me. 'Sure,' he replied. 'He's positive science is incompatible with religion, but he waxes ecstatic about nature and the universe. To me, that is ¬religion!' Well, if that's what you choose to mean by religion, fine, that makes me a religious man. But if your God is a being who designs universes, listens to prayers, forgives sins, wreaks miracles, reads your thoughts, cares about your welfare and raises you from the dead, you are unlikely to be satisfied. As the distinguished American physicist Steven Weinberg said, "If you want to say that 'God is energy,' then you can find God in a lump of coal." But don't expect congregations to flock to your church. When Einstein said 'Did God have a choice in creating the Universe?' he meant 'Could the universe have begun in more than one way?' 'God does not play dice' was Einstein's poetic way of doubting Heisenberg's indeterminacy principle. Einstein was famously irritated when theists misunderstood him to mean a personal God. But what did he expect? The hunger to misunderstand should have been palpable to him. 'Religious' physicists usually turn out to be so only in the Einsteinian sense: they are atheists of a poetic disposition. So am I. But, given the widespread yearning for that great misunderstanding, deliberately to confuse Einsteinian pantheism with supernatural religion is an act of intellectual high treason. Accepting, then, that the God Hypothesis is a proper scientific hypothesis whose truth or falsehood is hidden from us only by lack of evidence, what should be our best estimate of the probability that God exists, given the evidence now available? Pretty low I think, and here's why. First, most of the traditional arguments for God's existence, from Aquinas on, are easily demolished. Several of them, such as the First Cause argument, work by setting up an infinite regress which God is wheeled out to terminate. But we are never told why God is magically able to terminate regresses while needing no explanation himself. To be sure, we do need some kind of explanation for the origin of all things. Physicists and cosmologists are hard at work on the problem. But whatever the answer - a random quantum fluctuation or a Hawking/Penrose singularity or whatever we end up calling it - it will be simple. Complex, statistically improbable things, by definition, don't just happen; they demand an explanation in their own right. They are impotent to terminate regresses, in a way that simple things are not. The first cause cannot have been an intelligence - let alone an intelligence that answers prayers and enjoys being worshipped. Intelligent, creative, complex, statistically improbable things come late into the universe, as the product of evolution or some other process of gradual escalation from simple beginnings. They come late into the universe and therefore cannot be responsible for designing it. Another of Aquinas' efforts, the Argument from Degree, is worth spelling out, for it epitomises the characteristic flabbiness of theological reasoning. We notice degrees of, say, goodness or temperature, and we measure them, Aquinas said, by reference to a maximum: Now the maximum in any genus is the cause of all in that genus, as fire, which is the maximum of heat, is the cause of all hot things . . . Therefore, there must also be something which is to all beings the cause of their being, goodness, and every other perfection; and this we call God. That's an argument? You might as well say that people vary in smelliness but we can make the judgment only by reference to a perfect maximum of conceivable smelliness. Therefore there must exist a pre-eminently peerless stinker, and we call him God. Or substitute any dimension of comparison you like, and derive an equivalently fatuous conclusion. That's theology. The only one of the traditional arguments for God that is widely used today is the teleological argument, sometimes called the Argument from Design although - since the name begs the question of its validity - it should better be called the Argument for Design. It is the familiar 'watchmaker' argument, which is surely one of the most superficially plausible bad arguments ever discovered - and it is rediscovered by just about everybody until they are taught the logical fallacy and Darwin's brilliant alternative. In the familiar world of human artifacts, complicated things that look designed are designed. To naïve observers, it seems to follow that similarly complicated things in the natural world that look designed - things like eyes and hearts - are designed too. It isn't just an argument by analogy. There is a semblance of statistical reasoning here too - fallacious, but carrying an illusion of plausibility. If you randomly scramble the fragments of an eye or a leg or a heart a million times, you'd be lucky to hit even one combination that could see, walk or pump. This demonstrates that such devices could not have been put together by chance. And of course, no sensible scientist ever said they could. Lamentably, the scientific education of most British and American students omits all mention of Darwinism, and therefore the only alternative to chance that most people can imagine is design. Even before Darwin's time, the illogicality was glaring: how could it ever have been a good idea to postulate, in explanation for the existence of improbable things, a designer who would have to be even more improbable? The entire argument is a logical non-starter, as David Hume realized before Darwin was born. What Hume didn't know was the supremely elegant alternative to both chance and design that Darwin was to give us. Natural selection is so stunningly powerful and elegant, it not only explains the whole of life, it raises our consciousness and boosts our confidence in science's future ability to explain everything else. Natural selection is not just an alternative to chance. It is the only ultimate alternative ever suggested. Design is a workable explanation for organized complexity only in the short term. It is not an ultimate explanation, because designers themselves demand an explanation. If, as Francis Crick and Leslie Orgel once playfully speculated, life on this planet was deliberately seeded by a payload of bacteria in the nose cone of a rocket, we still need an explanation for the intelligent aliens who dispatched the rocket. Ultimately they must have evolved by gradual degrees from simpler beginnings. Only evolution, or some kind of gradualistic 'crane' (to use Daniel Dennett's neat term), is capable of terminating the regress. Natural selection is an anti-chance process, which gradually builds up complexity, step by tiny step. The end product of this ratcheting process is an eye, or a heart, or a brain - a device whose improbable complexity is utterly baffling until you spot the gentle ramp that leads up to it. Whether my conjecture is right that evolution is the only explanation for life in the universe, there is no doubt that it is the explanation for life on this planet. Evolution is a fact, and it is among the more secure facts known to science. But it had to get started somehow. Natural selection cannot work its wonders until certain minimal conditions are in place, of which the most important is an accurate system of replication - DNA, or something that works like DNA. The origin of life on this planet - which means the origin of the first self-replicating molecule - is hard to study, because it (probably) only happened once, 4 billion years ago and under very different conditions from those with which we are familiar. We may never know how it happened. Unlike the ordinary evolutionary events that followed, it must have been a genuinely very improbable - in the sense of unpredictable - event: too improbable, perhaps, for chemists to reproduce it in the laboratory or even devise a plausible theory for what happened. This weirdly paradoxical conclusion - that a chemical account of the origin of life, in order to be plausible, has to be implausible - would follow if it were the case that life is extremely rare in the universe. And indeed we have never encountered any hint of extraterrestrial life, not even by radio - the circumstance that prompted Enrico Fermi's cry: "Where is everybody?" Suppose life's origin on a planet took place through a hugely improbable stroke of luck, so improbable that it happens on only one in a billion planets. The National Science Foundation would laugh at any chemist whose proposed research had only a one in a hundred chance of succeeding, let alone one in a billion. Yet, given that there are at least a billion billion planets in the universe, even such absurdly low odds as these will yield life on a billion planets. And - this is where the famous anthropic principle comes in - Earth has to be one of them, because here we are. If you set out in a spaceship to find the one planet in the galaxy that has life, the odds against your finding it would be so great that the task would be indistinguishable, in practice, from impossible. But if you are alive (as you manifestly are if you are about to step into a spaceship) you needn't bother to go looking for that one planet because, by definition, you are already standing on it. The anthropic principle really is rather elegant. By the way, I don't actually think the origin of life was as improbable as all that. I think the galaxy has plenty of islands of life dotted about, even if the islands are too spaced out for any one to hope for a meeting with any other. My point is only that, given the number of planets in the universe, the origin of life could in theory be as lucky as a blindfolded golfer scoring a hole in one. The beauty of the anthropic principle is that, even in the teeth of such stupefying odds against, it still gives us a perfectly satisfying explanation for life's presence on our own planet. The anthropic principle is usually applied not to planets but to universes. Physicists have suggested that the laws and constants of physics are too good - as if the universe were set up to favour our eventual evolution. It is as though there were, say, half a dozen dials representing the major constants of physics. Each of the dials could in principle be tuned to any of a wide range of values. Almost all of these knob-twiddlings would yield a universe in which life would be impossible. Some universes would fizzle out within the first picosecond. Others would contain no elements heavier than hydrogen and helium. In yet others, matter would never condense into stars (and you need stars in order to forge the elements of chemistry and hence life). You can estimate the very low odds against the six knobs all just happening to be correctly tuned, and conclude that a divine knob-twiddler must have been at work. But, as we have already seen, that explanation is vacuous because it begs the biggest question of all. The divine knob twiddler would himself have to have been at least as improbable as the settings of his knobs. Again, the anthropic principle delivers its devastatingly neat solution. Physicists already have reason to suspect that our universe - everything we can see - is only one universe among perhaps billions. Some theorists postulate a multiverse of foam, where the universe we know is just one bubble. Each bubble has its own laws and constants. Our familiar laws of physics are parochial bylaws. Of all the universes in the foam, only a minority has what it takes to generate life. And, with anthropic hindsight, we obviously have to be sitting in a member of that minority, because, well, here we are, aren't we? As physicists have said, it is no accident that we see stars in our sky, for a universe without stars would also lack the chemical elements necessary for life. There may be universes whose skies have no stars: but they also have no inhabitants to notice the lack. Similarly, it is no accident that we see a rich diversity of living species: for an evolutionary process that is capable of yielding a species that can see things and reflect on them cannot help producing lots of other species at the same time. The reflective species must be surrounded by an ecosystem, as it must be surrounded by stars. The anthropic principle entitles us to postulate a massive dose of luck in accounting for the existence of life on our planet. But there are limits. We are allowed one stroke of luck for the origin of evolution, and perhaps for a couple of other unique events like the origin of the eukaryotic cell and the origin of consciousness. But that's the end of our entitlement to large-scale luck. We emphatically cannot invoke major strokes of luck to account for the illusion of design that glows from each of the billion species of living creature that have ever lived on Earth. The evolution of life is a general and continuing process, producing essentially the same result in all species, however different the details. Contrary to what is sometimes alleged, evolution is a predictive science. If you pick any hitherto unstudied species and subject it to minute scrutiny, any evolutionist will confidently predict that each individual will be observed to do everything in its power, in the particular way of the species - plant, herbivore, carnivore, nectivore or whatever it is - to survive and propagate the DNA that rides inside it. We won't be around long enough to test the prediction but we can say, with great confidence, that if a comet strikes Earth and wipes out the mammals, a new fauna will rise to fill their shoes, just as the mammals filled those of the dinosaurs 65 million years ago. And the range of parts played by the new cast of life's drama will be similar in broad outline, though not in detail, to the roles played by the mammals, and the dinosaurs before them, and the mammal-like reptiles before the dinosaurs. The same rules are predictably being followed, in millions of species all over the globe, and for hundreds of millions of years. Such a general observation requires an entirely different explanatory principle from the anthropic principle that explains one-off events like the origin of life, or the origin of the universe, by luck. That entirely different principle is natural selection. We explain our existence by a combination of the anthropic principle and Darwin's principle of natural selection. That combination provides a complete and deeply satisfying explanation for everything that we see and know. Not only is the god hypothesis unnecessary. It is spectacularly unparsimonious. Not only do we need no God to explain the universe and life. God stands out in the universe as the most glaring of all superfluous sore thumbs. We cannot, of course, disprove God, just as we can't disprove Thor, fairies, leprechauns and the Flying Spaghetti Monster. But, like those other fantasies that we can't disprove, we can say that God is very very improbable. Richard Dawkins is the Charles Simonyi Professor of the Public Understanding of Science at Oxford University. He is a Fellow of the Royal Society, and the author of nine books, including The Selfish Gene, The Blind Watchmaker and The Ancestor's Tale. His new book, The God Delusion, published last week by Houghton Mifflin, is already a NEW YORK TIMES bestseller, and his Foundation for Reason and Science launched at the same time (see RichardDawkins.net). |




Can you pray away the gay? Apparently at the Bachmanns' clinic (a "Christian" counseling center) you can (or at least the Bachmanns think so). You see, they run a clinic that engages in so-called "reparative therapy." This "therapy" attempts to convert homosexuals (referred to by Marcus Bachmann as "barbarians") to heterosexuals through prayer and "Christian-based" therapy. Unfortunately, the American Psychological Association (APA) has long been opposed to this type of therapy, citing it as ineffective and potentially harmful. It is well established in the medical and scientific community that one can no more choose sexual orientation than eye color. However, that doesn't seem to stop these misguided people from doing more damage. 





