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  • Archive for the 'Health Care' Category

    Don’t Panic: A Continuing Series – Ebola Realities and the True Test

    Posted by Jay Manifold on 22nd November 2014 (All posts by )

    as airline stocks tracked – and predicted – Ebola did not become established in the US

    as airline stocks tracked – and predicted – Ebola did not become established in the US

    Although the false alarms might continue for a few more weeks, we have obviously transitioned into the lessons-learned phase of the Ebola non-outbreak in the US. I will list those lessons below, but first, a useful summary of a talk I attended on the evening of Tuesday the 4th.

    [Readers needing background may refer to the earlier members of this series, Don’t Panic: Against the Spirit of the Age; Don’t Panic: A Continuing Series; and Don’t Panic: A Continuing Series – Ebola or Black Heva?]

    The venue was the Johnson County Science Café, a monthly forum sponsored by Kansas Citizens for Science. Johnson County is, by some measures, the wealthiest county in the country outside of the DC and NYC metro areas; greatly simplifying, this is a product of a somewhat unique combination of blue-state salaries and red-state cost of living. Kansas Citizens for Science was founded in the wake of upheavals on the Kansas Board of Education, which resulted in the initial imposition of, and subsequent drastic changes to, science-curriculum standards for public primary and secondary schools for ~300 school districts half a dozen times between the early 1990s and mid-2000s. The most famous was a 1999 board vote to remove key questions about the historical sciences (including astronomy, geology, and paleontology) from assessment testing, but there were several others which either re- or de-emphasized those sciences as the makeup of the board fluctuated with each election. After a decade and a half of chaos, as of now the board is relatively quiescent – its makeup was ironically substantially unaffected by this month’s wave election – and teaching and testing of the historical sciences is in place. I know several of the key personalities involved, and could certainly tell some interesting stories, but that controversy is not the subject of this post. Read the rest of this entry »

    Posted in Bioethics, Civil Society, Current Events, Ebola, Health Care, Human Behavior, International Affairs, Markets and Trading, Medicine, Organizational Analysis, Personal Narrative, Predictions, USA | 4 Comments »

    Don’t Panic: A Continuing Series – Ebola or Black Heva?

    Posted by Jay Manifold on 2nd November 2014 (All posts by )

    [Readers needing background may refer to the earlier members of this series, Don’t Panic: Against the Spirit of the Age, and Don’t Panic: A Continuing Series.]

    Time is running out, the man explains, speaking calmly and confidently, in the manner of a university professor. A deadly disease, spread by primitive tribespeople through dead bodies, will kill vast numbers of Americans unless the Federal government uses its powers to stop it.

    The man is Russell Eugene Weston Jr., a paranoid schizophrenic who murdered two policemen inside the Capitol building in the summer of 1998. He has been institutionalized ever since.

    As I write this, the most widely-read individual blog in the English-speaking world, written by a genuine university professor, is infested with (invariably pseudonymous) commenters not readily distinguishable from Weston; we can only hope that none of them will act on their impulses as he did. Read the rest of this entry »

    Posted in Big Government, Bioethics, Civil Liberties, Civil Society, Current Events, Ebola, Elections, Health Care, Human Behavior, International Affairs, Libertarianism, Medicine, Politics, Science, Systems Analysis, Terrorism, Tradeoffs, USA | 8 Comments »

    Ebola is now acknowledged to be airborne.

    Posted by Michael Kennedy on 29th October 2014 (All posts by )

    I was just going to add another comment to my previous post on whether Ebola can be airborne but comments are now closed. The CDC has now changed its guidelines on transmission. I linked to Patterico because he has a good post on this. The guidelines are out now as public knowledge.

    “If you are sniffling and sneezing, you produce microorganisms that can get on stuff in a room. If people touch them, they could be” infected, said Dr. Meryl Nass, of the Institute for Public Accuracy in Washington, DC.
    Nass pointed to a poster the Centers for Disease Control and Prevention quietly released on its Web site saying the deadly virus can be spread through “droplets.”

    Why is this stuff coming out in drips (sorry for the pun) like it was Benghazi ?

    “The CDC said it doesn’t spread at all by air, then Friday they came out with this poster,” she said. “They admit that these particles or droplets may land on objects such as doorknobs and that Ebola can be transmitted that way.”

    I won’t duplicate any more of Patterico’s post as he has been on the case nearly as long as I have.

    As for the idiot nurse from Africa who defied authority about quarantine and is suing, she has more trouble today.

    Maine state police were stationed outside the home of Ebola nurse Kaci Hickox Wednesday as Gov. Paul LePage said he was seeking legal authority to force the “unwilling” health care workers to remain quarantined for 21 days.

    The 33-year-old nurse, who has shown no symptoms of the deadly virus, arrived in Maine on Monday after being forcibly held in an isolation tent in New Jersey for three days under that state’s strict new law for health care workers who have recently treated Ebola patients in West Africa.

    There is actually little risk as she is a CDC Epidemiology Fellow with little contact with patient care.

    She is also a lefty Obama supporter.

    It turns out that Kaci Hickox is a registered democrat and Obama supporter who works for the CDC. “The nurse currently quarantined in New Jersey is an employee for the Centers for Disease Control and a registered Democrat with a history of left-wing advocacy,” reports GotNews.com.

    The CDC Epidemiology Fellowships are http://www.cdc.gov/eis/index.html not patient care positions.

    EIS officers are on the public health frontlines, conducting epidemiologic investigations, research, and public health surveillance both nationally and internationally.

    She has an number of published papers on epidemiology that are statistical studies, not clinical care.

    Posted in Ebola, Health Care, Medicine, Politics | 17 Comments »

    China Syndrome comes home to roost.

    Posted by Mrs. Davis on 19th October 2014 (All posts by )

    Two viruses are making the news these days. One, Ebola hemorrhagic fever has infected two in the United States with no deaths yet. It has created wide spread concern bordering on panic. The other, Non-Polio Enterovirus D 68, appears to have infected 825 this year and been directly responsible for at least one death and indirectly responsible for many others, primarily among children. It has generated comparatively little media attention and very little panic. Why the difference?

    First the victims of D 68 are primarily children, Ebola also strikes adults. As a culture we no longer value children as much as we once did. Children are an option, almost a luxury. They have become more expensive than most luxuries we consume. Perhaps it is because the high cost to rear a child is reflective of the damage we humans are doing to the planet Or because so few of them die at an early age as compared to the past. And I suspect that childlessness is far more prevalent among our media elite opinion makers. In any case, few children vote and so they don’t really matter to policy makers.

    Second, D 68 generally kills indirectly by weakening the child so that pneumonia or some other respiratory illness can be the cause of death. Ebola eats you alive! I’ve seen it on TV! And it is a terrible new way to die unlike ways we’ve died before.

    Finally, WE’RE ALL GOING TO DIE. D 68 is poorly understood and we have no idea how prevalent it is in the population or how many childhood deaths it has contributed to. And it’s non-Polio. But we know Ebola has a 50-70% fatality rate among those who contract it in African third world countries. After all it’s hemorrhagic fever. We’re going to bleed to death. So, if it gets loose here we could have millions of deaths like that! But we actually have all the tools we need in our public health system to prevent it from spreading widely, once we get the Bozos out of power. So it’s highly unlikely that this outbreak will spread among the general population.

    It’s a very small probability of a terribly frightening event. And some folks have used the propensity of people to exaggerate the possibility of catastrophic outcomes to further their political goals. I’m thinking of nuclear power, an energy source that has killed no one in the US. Compared to the coal industry, which routinely contributes to the death of both its producers and consumers, nuclear power is harmless. However, some used Three Mile Island to shut down the development of power plants that could have cushioned us from the effects of the OPEC cartel. Or how about the Anthropogenic Global Warming (AGW) fraud? Or the reaction to a terrible but unrepeated terror bombing? The public has been taught to fear by leaders who want to harness public opinion to support their political goals.

    Now comes Ebola. True, a threat. But a highly improbable one. Except when the incompetence of our elite leaders is made abundantly clear for all to see. And then those leaders have the audacity to be surprised when a formerly courageous people are reduced to trembling? The chickens are coming home to roost.

    Posted in Current Events, Deep Thoughts, Ebola, Health Care, Human Behavior, Science, Statistics, Terrorism, Tradeoffs | 23 Comments »

    A Cool Startup Story, Revisited

    Posted by David Foster on 18th October 2014 (All posts by )

    In 2005, I posted about a company called Theranos, as part of the “cool startup story” series at Photon Courier.  The company was founded by Elizabeth Holmes, who left Stanford at age 19 in order to pursue her idea for a quantum improvement in blood testing.  The original focus was on the detection of adverse drug reactions and the analysis of drug effectiveness on a more-individualized basis.

    My, how this little company has grown up.  Theranos now has 500 employees and a valuation of about $9 billion.  They can currently perform 200 of the most commonly-ordered blood diagnostic tests, and can do it without a syringe–only a few drops of blood are necessary, and these are obtained from a finger prick using “a patented method that minimizes even the minor discomfort involved with that procedure.” (The Fortune writer tried it, and said “to me, it felt more like a tap than a puncture.”)  Theranos now has a deal with Walgreens, initially making its service available in stores in California and Arizona and with plans to roll the service out to all 8200 Walgreens stores nationwide.

    Holmes:

    There are a billion tests done every year in the United States, but too many of them are done in the emergency room. If you were able to do some of those tests before a person gets checked into the ER, you’d start to see problems earlier; you’d have time to intervene before a patient needed to go to the hospital. If you remove the biggest barriers to these tests, you’ll see them used in smarter ways.

    and

    Phlebotomy is such a huge inhibitor to people getting tested. Some studies say that a substantive percentage of patients who get a lab requisition don’t follow through, because they’re scared of needles or they’re afraid of worrying, waiting to hear that something is wrong. We wanted to make this service convenient, to bring it to places close to people’s homes, and to offer rapid results.

    From a 2005 Daily Duck post about Theranos:

    …in how many nations of the world could A TEENAGE GIRL get a serious audience, and then MILLIONS OF DOLLARS in VC funding, to develop her idea ?!?

    There are many unpleasant consequences to American society being perpetually adolescent, a bit shallow and thrill-seeking, with an attention deficit and a naive optimism born of ignorance about the odds, but this type of thing is one of the UPSIDES of being that way.

    In America, if you can do, the odds are pretty good that you’ll be allowed to do, regardless of your shortcomings and quirks. We’re flexible and goal-driven, not so much wedded to process.

    Posted in Business, Entrepreneurship, Health Care, Tech, USA | 15 Comments »

    How many ebola cases before a travel ban is justified?

    Posted by TM Lutas on 17th October 2014 (All posts by )

    The usual formulation for discussing air travel bans is how many ebola cases making it to the US before President Obama is forced to stop air travel to and from west Africa. But there’s another variant of the question, how many ebola cases in the US before others will stop air or sea travel to and from the this country?

    I do not think it likely that we will reach such numbers in this outbreak but it’s an interesting change from the usual breathless journalistic speculation of the US imposing a ban. If we don’t keep our house in order, others will isolate us to keep themselves safe.

    10/22
    Update: Since this post was written the arrival of travelers from the ebola hot zone have been restricted five airports where screening has been put in place and just now the CDC has announced that all arrivals will be under 21 day observation from entry in a sort of loose post entry disease defense regime. If they travel, they need to notify the CDC and they need to call in daily temperature readings and report any ebola-like symptoms. This might work, and considerably reduces the possibility that we will be under travel ban because we let ebola come in and get out of control.

    Posted in Health Care, Politics, Transportation | 6 Comments »

    Don’t Panic: A Continuing Series

    Posted by Jay Manifold on 16th October 2014 (All posts by )

    [Readers needing background may refer to the first member of this series, Don’t Panic: Against the Spirit of the Age, posted last month. This post, unlike that one, was hastily written due to time constraints involving, perhaps ironically, international travel to a Third World country.]

    Constructive foreword: suggested case studies in disruption are the Chicago blizzard of 1/13-14/1979 (~3 million commuters immobilized) and the Milwaukee Cryptosporidiosis outbreak of 3/23-4/8/1993 (~400k residents sickened simultaneously).

    Thesis: I argue that, at least with Ebola, inept and overwrought responses pose far greater risks to American society than the disease itself. With regard to managing the risks associated with Ebola in the US, it is vital that we identify easily disrupted institutions and design our processes intelligently to avoid creating bottlenecks, mostly by resisting the urge to overreact; likely candidates include …
    Read the rest of this entry »

    Posted in Big Government, Bioethics, Civil Society, Current Events, Ebola, Health Care, Human Behavior, Organizational Analysis, Predictions, Systems Analysis, Tradeoffs, Transportation, USA | 9 Comments »

    Ebola and the “Open Borders Derangement Syndrome”

    Posted by Trent Telenko on 16th October 2014 (All posts by )

    Sometimes looking at politics, the only explanation that makes sense is a personal identity based mental illness affecting the politicians involved.

    So, we see this reported —

    Texas Health Presbyterian nurse Briana Aguirre criticizes hospital over Ebola response
    Nurse speaks out on TODAY Show

    Ashley Fantz, Holly Yan and Catherine E. Shoichet CNN
    9:54 AM, Oct 16, 2014

    “The federal government is weighing putting those who treated Duncan on a list that would prohibit them from being able to fly, an official familiar with the situation told CNN.

    In June 2007, federal agencies developed a public health Do Not Board list, which allowed domestic and international public health officials to request that people with communicable diseases who meet specific criteria and pose a serious threat to the public be restricted from taking commercial flights departing from or arriving in the United States. The CDC and the U.S. Department of Homeland Security manage the Do Not Board list. “

    So follow me here.

    American citizens who have been in the vicinity of an Ebola patient, particularly healthcare workers, would be considered “a serious threat to the public” even though;

    1. They have simply been around people with Ebola but,
    2. They are not exhibiting signs of the disease.

    These individuals (who demonstrate no symptoms of Ebola) may soon be placed on a “Do Not Board List” by the Center for Disease Control and Department of Homeland Security.

    Meanwhile, non-citizens, people from West Africa who are now:

    1. Surrounded by an “out of control” Ebola virus outbreak,
    2. Who are living in countries saturated with Ebola due to its rampant community spread,
    3. Who are not now showing symptoms of the disease yet,
    4. Are free to travel to America, plus wherever they like to in America without restrictions after they get here.

    A sane Federal government would have put all passengers from Ebola Pandemic affected West African nations on a “Do Not Board List” long past. Yet they are not sane, and it gets worse.

    Not only is this “American Citizens With Ebola Only “Do Not Board List” a dumb policy that destroys the credibility of the Federal Government in time of crisis when it is needed most. It is law suit bait on equal protection grounds in Federal court. Yet both Obama and Congressional Democrats, plus a few Republicans, support limiting AMERICAN CITIZENS rights to travel, but not that of WEST AFRICANS.

    What we are seeing here is the outstanding symptom of a mental illness called OPEN BORDERS DERANGMENT SYNDROME. A mental illness shared by 99.5% of Democrats and the Republican leadership in the US Senate.

    A political identity based mental illness now set to kill lots of Americans by Ebola for the sake of cheap immigrant labor now and future Democratic votes later (like 2016 via voter fraud enabled by Democratic Party opposition to Voter ID laws).

    Posted in Current Events, Ebola, Health Care, Immigration, Politics | 10 Comments »

    3rd Ebola Case in Dallas, Texas

    Posted by Trent Telenko on 15th October 2014 (All posts by )

    There is a 3rd case of Ebola in Dallas among the 70 health care workers (HCW) that treated Thomas Eric Duncan at Texas Health Presbyterian Hospital, AKA “Presby” as it is known here in Dallas This makes it 1 on 35 of the HCW exposed to Ebola getting it using the inadequate “any hospital in American can care for an Ebola patient” Center for Disease Control (CDC ) protective personal equipment (PPE) standards, which were not well implemented at “Presby” in any case, see article In statement, nurses at Presbyterian Dallas describe confused response to Ebola case

    Short form, it was SNAFU from the word go at Presby and it is likely that Presby is currently facing huge legal liabilities because the CDC ignored the experience of Doctors Without Borders and the health care systems in West Africa which showed that Ebola must be treated by Ebola specialists in separate healthcare facilities.

    The Ebola epidemic isn’t a matter of “Medical infrastructure” or “local cultural practices” — the two phrases being liberal terms of art for racism against West Africans in the Obama Administration public health community — it is a matter of treating a biohazard level four pathogen like a biohazard level four pathogen. Bio-hazard four pathogens require a separate medical system to deal with them, prolonged detention for medical screening, travel controls to support those medical detentions and further involuntary quarantine for a positive diagnosis, in other words, a positively controlled, 100% medical screening and detention, border immigration policy a ‘la Ellis Island.

    Only a magical thinking “Open Borders” ideological cultist would do any different in ignoring the experience of the one medical organization that has treated the majority of Ebola cases in human history. Which the head of the CDC Dr Frieden now appears to be, in keeping with Obama Administration Central American minor immigration/Public Health Policies (See also the “Unattended Child Border Crisis” and the outbreak of Central American EVD68 in American public schools).

    The Obama Administration is risking further epidemics of Ebola because it has done so already with EVD68, in order to increase the number of future Democratic Party voters.

    I predict based upon the above, we will see we are going to see Frieden’s firing and/or the cut off of commercial air travel from West Africa to the USA as President Obama’s “Rumsfeld Replacement Moment,” after Republican’s take over the Senate in November 2014. Just in the way that the 2006 Congressional election results moved President George W. Bush to change Iraq War policy with the public disposal and replacement of Secretary of Defense Rumsfeld.

    The proximate reason for this is that the “R0″ of the Ebola virus in Dallas is 2.0, even with CDC recommended PPE. “RO” — pronounced “ARRH Awwght” in public health speak — means the rate of infection for each newly infected person getting even more people sick. An “RO of 2.0,” causes the doubling of Ebola cases every three weeks (24 Sept to 15 Oct is exactly 3-weeks). That “RO” in Dallas will be higher, and the doubling time will be shorter, as more HCW who attended Thomas Eric Duncan come down with Ebol…thus keeping Ebola and policy for dealing with it as “front page news” or “attracting a lot of eyeballs” right through the 2014 Congressional election.

    Sad, but true, the Obama Administration is not as concerned with controlling the Ebola outbreak in Dallas as much as it is concerned with “Controlling the Narrative” about the Ebola epidemic.

    Obscuring the reality of the Ebola in Dallas means far more to them in terms of retaining political power, this close to the November Congressional election, as the policy/people/political contradictions of Obama’s Ebola policies are being shown to the low information voters Democrats count on far better than anything Saul David Alinsky ever thought of. As the news of the CDC scrambling to contract 132 airline passengers in Ebola Case #3’s Cleveland to Dallas flight yesterday makes abundently clear.

    Posted in Big Government, Civil Society, Current Events, Ebola, Elections, Health Care | 32 Comments »

    2nd Ebola Case in Dallas Texas

    Posted by Trent Telenko on 12th October 2014 (All posts by )

    One of the health care workers (HCW) that treated Thomas Eric Duncan on in Dallas during the period of 28th thru 30th of September has tested positive for Ebola after coming down with a fever Friday night. Heath care workers at Texas Health Presbyterian Hospital intubated and placed Duncan on dialysis as a part of his palliative treatment schedule. The HCW were in personal protective equipment (PPE) level two or “droplet level” protection at the time.

    It is notable that in the laboratory environment that Ebola is treated as a full bio-hazard level four or “inhalation” threat. Especially when you see circular thinking in public by CDC .


    “I think the fact that we don’t know of a breach in protocol is concerning because clearly there was a breach in protocol. We have the ability to prevent the spread of Ebola by caring safely for patients.”

    The statement said the CDC had NO IDEA how the protocol was breached, but protocol must have been breached because there was a an infection.

    There was no mention as to why there was a two tier PPE protection level structure with widely different infection rates by routes other than Ebola virus injection accidents.

    There is a huge no confidence vote in the CDc coming. One that will take the form we are seeing in Spain — HCW no-shows for hospitals caring for Ebola outbreaks.

    Posted in Big Government, Bioethics, Current Events, Ebola, Health Care | 54 Comments »

    Treatment of the Ebola contact.

    Posted by Michael Kennedy on 3rd October 2014 (All posts by )

    The early information of the Ebola patients in Dallas seems to suggest that competence has not been high on the list of priorities. First, the patent seems to have known about his illness before he got on the plane to the US. He lied to the authorities in Liberia but that is not that unusual. All it takes is ibuprofen to evade the screening at the airport.

    Second the treatment of the relatives Has finally become humane after days of cruel treatment including quarantine in a contaminated apartment.

    The initial treatment was not a model of infectious disease protocol. Why he was sent home with a GI illness and a history of travel to Liberia is still not explained. My medical students are all told to take a history of travel with any GI illness symptom. It’s not clear who he saw but many ERs use Nurse practitioners or PAs to see ER patients.

    He is not doing well and he seems to be declining. We will see how he does but his relatives are still in serious trouble. We are still in trouble.

    The promised treatment program is still inadequate. Tomorrow will bring more bad news.

    A CDC official said the agency realized that many hospitals remain confused and unsure about how they are supposed to react when a suspected patient shows up. The agency sent additional guidance to health-care facilities around the country this week, just as it has numerous times in recent months, on everything from training personnel to spot the symptoms of Ebola to using protective gear.

    This is only the first case.

    UPDATE: More news from Bookworm.

    Ebola can transmit through people’s skin. It’s not enough to keep your hands away from your nose and mouth. If someone’s infected blood, vomit, fecal matter, semen, spit, or sweat just touches you, you can become infected. Even picking up a stained sheet can pass the infection. Additionally, scientists do not know how long the virus will survive on a surface once it’s become dehydrated. The current guess is that Ebola, unlike other viruses, can survive for quite a while away from its original host.

    Oh oh. This explains the infection of hospital workers in Nigeria from urine.

    The good news, if any, is this:

    If patients get Western medicine that treats the symptoms — drugs to reduce fever and to control vomiting and diarrhea, proper treatment if the body goes into shock, and blood transfusions — the mortality rate is “only” 25% — which is still high, but is significantly lower than the 70%-90% morality in Africa, where patients get little to no treatment.

    I will update this as news becomes available.

    UPDATE #2

    Now we have a possible case #2

    A patient with Ebola-like symptoms is being treated at Howard University Hospital in Washington, D.C., a hospital spokesperson confirmed late Friday morning.

    The patient had traveled to Nigeria recently.

    That person has been admitted to the hospital in stable condition, and is being isolated. The medical team is working with the CDC and other authorities to monitor the patient’s condition.

    “In an abundance of caution, we have activated the appropriate infection control protocols, including isolating the patient,” said hospital spokesperson Kerry-Ann Hamilton in a statement. “Our medical team continues to evaluate and monitor progress in close collaboration with the CDC and the Department of Health.”

    No final word yet. Then, of course, we have the NBC case.

    Thursday, news broke that a freelance NBC cameraman covering the outbreak in Monrovia, Liberia had tested positive for Ebola after experiencing symptoms of the disease.

    The cameraman, Ashoka Mukpo, had been working with chief medical correspondent Dr. Nancy Snyderman. NBC News is flying Mukpo and the entire team back to the U.S. so Mukpo can be treated and the team can be quarantined for 21 days.

    Posted in Ebola, Health Care, Immigration, Medicine, Science | 21 Comments »

    Ebola Case Has Been Confirmed in Dallas, Texas

    Posted by Trent Telenko on 30th September 2014 (All posts by )

    A patient who has recently traveled to West Africa at Texas Health Presbyterian Hospital of Dallas has a confirmed case of Ebola. There will be a CDC conference this evening with local Dallas officials.

    See:

    KERA News @keranews 57m 57 minutes ago Dallas patient tested for possible #Ebola.
    “We want to caution Dallas County residents not to overreact.”
    http://bit.ly/1rDjBEM @keranews

    As my children go to a pediatric clinic across the street from Texas Health Presbyterian Hospital of Dallas, this hits close to home.

    The CDC’s “Risk communications” have gone to DefCon-1. The Dallas County Health and Human Services director Zachary Thompson has been on local media this morning with the following message:

    “This is not Africa,” DCHHS Director Zach Thompson said. “We have a great public health infrastructure to deal with this type of disease.”

    Notably missing was any mention of the Ebola fomite threat (AKA human body fluids with Ebola in them) in an urban environment.

    I will try and keep you up to date on the latest local Dallas CDC “Ebola Risk Messaging.” Don’t expect the MSM to be of any use during this outbreak. You need to start reading the PANDEMIC FLU INFORMATION FORUM and the Free Republic EBOLA SURVEILLANCE THREAD for the latest real Ebola news updates, as opposed to MSM delivered “Risk Messaging.”

    See:

    http://www.singtomeohmuse.com/viewtopic.php?t=5725&postdays=0&postorder=asc&start=2655

    and see

    http://www.freerepublic.com/focus/chat/3191066/posts?q=1&;page=1#1

    Wish all the folks in Dallas good luck. We are going to need it in the days ahead.

    Posted in Ebola, Health Care | 24 Comments »

    Is Ebola airborne ?

    Posted by Michael Kennedy on 13th September 2014 (All posts by )

    Ebola has become an uncontrolled epidemic in Africa. I have previously posted on Ebola.

    UPDATE: A new CDC report has now been provided on precautions. Somebody is worried. The document, itself, is here (pdf)

    Now, we are going to send 3,000 military personnel to Africa to help. I sure hope none of these US people are infected. They did not volunteer for this and the training to protect themselves will take time.

    Now the German epidemiology community has concluded that Liberia and Sierra Leone are lost.

    Jonas Schmidt-Chanasit of the Bernhard Nocht Institute for Tropical Medicine in Hamburg told DW that he is losing hope, that Sierra Leone and Liberia will receive the neccessary aid in time. Those are two of the countries worst hit by the recent Ebola epidemic.

    “The right time to get this epidemic under control in these countries has been missed,” he said. That time was May and June. “Now it will be much more difficult.”
    Schmidt-Chanasit expects the virus will “become endemic” in this part of the world, if no massive assistence arrives.

    With other words: It could more or less infect everybody and many people could die.

    This, of course, is from a German site and our own CDC is unwilling to say it.

    For Sierra Leone and Liberia, though, he thinks “it is very difficult to bring enough help there to get a grip on the epidemic.”

    According to the virologist, the most important thing to do now is to prevent the virus from spreading to other countries, “and to help where it is still possible, in Nigeria and Senegal for example.”

    Of course, it is already in Nigeria.

    In the balance therefore, the probability is that the virus is not airborne — yet — but it is more dangerous than its predecessors. This would account for its ability to slip through the protocols designed for less deadly strains of the disease. It’s not World War E time, but it’s time to worry.

    And: This may be a new strain with more virulence.

    The results of full genetic sequencing suggest that the outbreak in Guinea isn’t related to others that have occurred elsewhere in Africa, according to an international team that published its findings online in the New England Journal of Medicine (NEJM). That report was from April 2014.

    Now, we have more news. From 2012, we know transmission in animals may be airborne.

    While primates develop systemic infection associated with immune dysregulation resulting in severe hemorrhagic fever, the EBOV infection in swine affects mainly respiratory tract, implicating a potential for airborne transmission of ZEBOV2, 6. Contact exposure is considered to be the most important route of infection with EBOV in primates7, although there are reports suggesting or suspecting aerosol transmission of EBOV from NHP to NHP8, 9, 10, or in humans based on epidemiological observations11. The present study was design to evaluate EBOV transmission from experimentally infected piglets to NHPs without direct contact.

    The study of this potential explosive development showed:

    The present study provides evidence that infected pigs can efficiently transmit ZEBOV to NHPs in conditions resembling farm setting. Our findings support the hypothesis that airborne transmission may contribute to ZEBOV spread, specifically from pigs to primates, and may need to be considered in assessing transmission from animals to humans in general.

    Now we have more articles appearing about this.

    The second possibility is one that virologists are loath to discuss openly but are definitely considering in private: that an Ebola virus could mutate to become transmissible through the air. You can now get Ebola only through direct contact with bodily fluids. But viruses like Ebola are notoriously sloppy in replicating, meaning the virus entering one person may be genetically different from the virus entering the next. The current Ebola virus’s hyper-evolution is unprecedented; there has been more human-to-human transmission in the past four months than most likely occurred in the last 500 to 1,000 years. Each new infection represents trillions of throws of the genetic dice.

    If the New York Times is publishing this, somebody is worried.

    Read the rest of this entry »

    Posted in Civil Society, Ebola, Health Care, Immigration, Medicine, Science | 31 Comments »

    The revolution we need might be starting in Britain.

    Posted by Michael Kennedy on 30th August 2014 (All posts by )

    A “Seismic Shock is coming to the British political system.

    Douglas Carswell, a prominent Conservative MP has announced he is switching to UKIP. a new political party that has been attacked as “racist” and has been attracting a larger constituency from the British traditional voters.

    A new political party has appeared in Britain called UK Independent Party. It has been called racist and a number of other things that might sound familiar to Tea Party members here.

    For example:

    News reports about the rising primary school population in England fail to mention the ‘elephant in the room’, said MEP Paul Nuttall.

    “It is accepted that primary schools have increasing numbers of pupils, which causes all manner of problems, but what is frequently not referred to is why we have such a boom in numbers.

    “And the answer is unlimited immigration into this country. It hits some areas harder than others but there cannot be many primary schools in the country which have not been affected at all,” said Mr Nuttall, UKIP Education spokesman.

    Why is this controversial ? In the 1990s, the Labour Party opened the floodgates of immigration from Pakistan. The Conservatives have mentioned reducing this but have done little about it.

    Steven Woolfe, UKIP Migration spokesman, attacks Conservatives for ‘lying to electorate’ on promises to cut migration, adding that ‘it is no wonder their own MPs are losing faith in them and they are haemorrhaging support to UKIP.’

    “These shocking figures today show that the Government does not have a handle on immigration. The Conservative Party promised to cut net migration to tens of thousands and yet it has shot up by a staggering 68,000 in just one year. It is quite simple. They lie to the electorate. They lie to try to keep votes. Well they are being found out.

    This is one reason why UKIP is hated. For example, of the 1400 young girls made sex slaves by “Asian” men, several were taken from foster parents because they had voted for UKIP.

    A couple had their three foster children taken away by a council on the grounds that their membership of the UK Independence Party meant that they supported “racist” policies. The husband and wife, who have been fostering for nearly seven years, said they were made to feel like criminals when a social worker told them that their views on immigration made them unsuitable carers.

    Sounds like the Tea Party to me.

    Read the rest of this entry »

    Posted in Afghanistan/Pakistan, Big Government, Britain, Civil Society, Conservatism, Elections, Europe, Health Care, Immigration, Islam, Political Philosophy, Tea Party | 5 Comments »

    Why Ebola will not stay in Africa.

    Posted by Michael Kennedy on 8th August 2014 (All posts by )

    Today’s Belmont Club has a good explanation of why Ebola will not stay in Africa.

    UPDATE: Patrick Sawyer was planning to visit Minnesota when he got sick.

    UPDATE #2: More from Belmont Club.

    In the balance therefore, the probability is that the virus is not airborne — yet — but it is more dangerous than its predecessors. This would account for its ability to slip through the protocols designed for less deadly strains of the disease. It’s not World War E time, but it’s time to worry.

    And: This may be a new strain with more virulence.

    The results of full genetic sequencing suggest that the outbreak in Guinea isn’t related to others that have occurred elsewhere in Africa, according to an international team that published its findings online in the New England Journal of Medicine (NEJM). That report was from April 2014.

    His wife, Decontee Sawyer, said that she had spoken to him a week earlier and that he had made plans to be stateside in early August to celebrate the birthdays of two of his three young daughters. She said the couple had been separated.

    He is believed to be the first American to have died from the current outbreak, which has killed 672 people since March, according to World Health Organization figures.

    He was American, not African.

    The man who brought the Ebola virus to Nigeria probably knew he was infected. Surveillance video of Patrick Sawyer before boarding his flight at Liberia’s James Sprigg Payne’s Airport showed “Mr. Sawyer lying flat on his stomach on the floor in the corridor of the airport and seemed to be in ‘excruciating pain.’ The footage showed Mr. Sawyer preventing people from touching him.”

    He collapsed upon arrival in Nigeria, after a layover in Togo and was rushed to a Nigerian hospital. Upon being told he had Ebola, he acted with what the Nigerians called “indiscipline”; a burst of rage and despair against the world and everyone in it.

    Upon being told he had Ebola, Mr. Sawyer went into a rage, denying and objecting to the opinion of the medical experts. “He was so adamant and difficult that he took the tubes from his body and took off his pants and urinated on the health workers, forcing them to flee.

    Amazingly, he was even then in the process of being sprung by his political connections before death intervened. Had he lived Sawyer might have gotten out and protected by the juju of expensive watches and status symbols, mingled among the muckety-mucks of ECOWAS.

    Read the rest of this entry »

    Posted in Current Events, Ebola, Health Care, Medicine, Science | 56 Comments »

    Medicine as a government benefit.

    Posted by Michael Kennedy on 3rd August 2014 (All posts by )

    Obamacare is having serious trouble as I have discussed. The success stories, like California, are an example of what I have called Medicaid for All.

    “It’s a total contradiction in terms to spend your public time castigating Medicaid as something that never should have been expanded for poor people and as a broken, problem-riddled system, and then turn around and complain about the length of time to enroll people,” said Sara Rosenbaum, a member of the Medicaid and CHIP Payment and Access Commission, which advises Congress.

    Most of the new enrollees are Medicaid members and those enrolled in “private insurance” learn that they have severely restricted choice of doctor or hospital.

    Now we have a new development.

    Read the rest of this entry »

    Posted in Big Government, Economics & Finance, Health Care, Medicine, Political Philosophy, Science | 5 Comments »

    What next for health reform ?

    Posted by Michael Kennedy on 26th July 2014 (All posts by )

    It looks to me that the Supreme Court will have little justification for continuing the Obamacare program as it exists. The Halbig decision should kill it off. It is clear that the IRS subsidies to federal exchange subscribers are illegal.

    The only statement anyone has found in the legislative history that addresses this point comes from the Act’s lead author, who affirmed that Congress did intend to withhold tax credits in federal Exchanges. During a September 23, 2009, mark-up of his bill, which ultimately became the PPACA, Senate Finance Committee chairman Max Baucus (D-MT) refused to consider a Republican amendment regarding medical malpractice on the grounds it fell outside the Committee’s jurisdiction. Sen. John Ensign (R-NV) protested, asking how Baucus’ bill could do other things that lie outside the Committee’s jurisdiction, like direct states to create Exchanges. Baucus responded the bill creates tax credits, which are within its jurisdiction, and makes eligibility for those tax credits conditional on states creating Exchanges. Conditional necessarily means that Baucus intended to withhold tax credits in states that did not create their own Exchanges.

    I just don’t see how the Court can ignore that history. The political left has been on a rant about Congressional intent since the decision was announced.

    Read the rest of this entry »

    Posted in Economics & Finance, Health Care, Leftism, Medicine, Politics, Taxes | 10 Comments »

    An Update on healthcare reform.

    Posted by Michael Kennedy on 21st July 2014 (All posts by )

    Cash medical practice or, in the phrase favored by leftists critics, “Concierge Medicine,” seems to be growing.

    Becker is shifting to a new style of practice, sometimes called concierge or retainer medicine. With the help of a company that has been helping physicians make such shifts for over 13 years, he will cease caring for a total of 2,500 patients and instead cut back to about 600. These patients will pay an annual fee of $1,650. In exchange, they will receive a two-hour annual visit with a complete physical exam, same-day appointments, 24-hour physician phone access, and personalized, web-based resources to promote wellness.

    The article suggest that all these doctors choosing to drop insurance and Medicare are primary care. Many are but I know orthopedists and even general surgeons who are dropping all insurance.

    The concierge model of practice is growing, and it is estimated that more than 4,000 U.S. physicians have adopted some variation of it. Most are general internists, with family practitioners second. It is attractive to physicians because they are relieved of much of the pressure to move patients through quickly, and they can devote more time to prevention and wellness.

    Read the rest of this entry »

    Posted in Big Government, Bioethics, Crony Capitalism, Health Care, Medicine, Politics, Science | 23 Comments »

    America’s Impending Tuberculosis Epidemic

    Posted by Trent Telenko on 10th July 2014 (All posts by )

    (NOTE — Update at the End of the Column)

    One of the things that changes you, when you become a parent, is the body of knowledge you acquire to protect your spouse and children including things like knowledge of infectious diseases in public schools. In my case that meant looking at the NY Times saying the following: “…the administration has begun to send the expected 240,000 migrants and 52,000 unaccompanied minors who have crossed the border illegally in recent months in the Rio Grande Valley to cities around the county.” And at headlines for the open border crisis like this by Todd Starnes titled “Immigration crisis: Tuberculosis spreading at camps” which caused me to immediately free associate them with a pair of “Tuberculosis in Public School”, headlines, one local to North Texas in 2011 and the other very recently in California. See this 2011 Consumer Health Daily article from Denton Texas “TB Outbreaks in Texas Schools Show Disease Still a Threat – At least 100 people have tested positive for the respiratory ailment” and this 1 July 2014 article from the Sacramento Bee “Four more students test positive for tuberculosis at Grant High.

    As a Texas parent, this idea of TB positive illegal alien children released to illegal immigrant parents scares the heck out of me from the point of view of epidemiology. In the 1920s TB was the eighth leading cause of death for children 1-to-4 years old. Since then American public health has been so effective in preventing it that the USA no longer has any “herd immunity” to TB.

    This “catch and release” illegal alien policy is horrible from the infectious disease point of view in that phlegm or aerosolized sputum that are contaminated with Mycobacterium tuberculosis are active biohazards that have long latent infection periods. This makes “exposure” very easy. The clinical definition of TB Exposure — which I found in a University of Vanderbilt student medical file PDF — is the following:

    “A person is considered to be exposed if there is shared breathing space with someone with infectious pulmonary or laryngeal tuberculosis at a time when the infectious person is not wearing a mask and the other person is not wearing an N95 respirator. Usually a person has to be in close contact with someone with infectious tuberculosis for a long period of time to become infected; however, some people do become infected after short periods, especially if the contact is in a closed or poorly ventilated space.”

    The Federal Government Hazmat protocol for dealing with suspected active TB cases is as follows:

    1. Administrative controls
    • “Develop policies and protocols to ensure the rapid identification, isolation, diagnostic evaluation and treatment of persons likely to have TB.”
     
    2. Engineering controls
    • Isolation and
    • Negative pressure room ventilation
     
    3.Personal protective equipment controls
    • N95 personal respirator protection

    Questions people and reporters need to be asking their local, state and federal elected officials regards the so-called “unattended child immigration crisis” include:

    1. How many Border Patrol Agents, health workers or other support staff at these immigration processing centers have worn N95 respirators in treating symptomatic TB sufferers?
     
    2. How many TB sufferers were also wearing masks?
     
    3. Have those Border Patrol Agents, health workers or other support staff followed a rigorous TB decontamination protocol?

    Whether people ask those questions or not, we are going to find out the answers soon, and not just in Texas. Testable anti-bodies to TB infection appear in two to 12 weeks for skin and blood tests and the incubation period for full blown active TB is six months to two(+) years.

    Read the rest of this entry »

    Posted in America 3.0, Americas, Big Government, Bioethics, Civil Liberties, Civil Society, Health Care, National Security | 76 Comments »

    “Do doctors understand test results?”

    Posted by Jonathan on 7th July 2014 (All posts by )

    The short answer in many cases is “no”:

    In one session, almost half the group of 160 gynaecologists responded that the woman’s chance of having cancer was nine in 10. Only 21% said that the figure was one in 10 – which is the correct answer. That’s a worse result than if the doctors had been answering at random.
     
    The fact that 90% of women with breast cancer get a positive result from a mammogram doesn’t mean that 90% of women with positive results have breast cancer. The high false alarm rate, combined with the disease’s prevalence of 1%, means that roughly nine out of 10 women with a worrying mammogram don’t actually have breast cancer.
     
    It’s a maths puzzle many of us would struggle with. That’s because, Gigerenzer says, setting probabilities out as percentages, although standard practice, is confusing. He campaigns for risks to be expressed using numbers of people instead, and if possible diagrams.
     
    Graphic showing “false positives” in mammogram tests
    Even so, Gigerenzer says, it’s surprising how few specialists understand the risk a woman with a positive mammogram result is facing – and worrying too. “We can only imagine how much anxiety those innumerate doctors instil in women,” he says. Research suggests that months after a mammogram false alarm, up to a quarter of women are still affected by the process on a daily basis.
     
    Survival rates are another source of confusion for doctors, not to mention journalists, politicians and patients. These are not, as you might assume, simply the opposite of mortality rates – the proportion of the general population who die from a disease. They describe the health outcomes of people who have been diagnosed with a disease, over a period of time – often five years from the point of diagnosis. They don’t tell us about whether patients die from the disease afterwards.

    The linked article is worth reading despite its implicit pro-NHS boosterism. See also this. The poor education in statistical analysis of doctors, lawyers, journalists and members of other influential groups in our society is a significant problem.

    (Via Mangan RT by heartiste on Twitter.)

    UPDATE: Gerd Gigerenzer’s Books

    Posted in Book Notes, Health Care, Human Behavior, Medicine, Statistics | 7 Comments »

    Prediction: Romney 2016.

    Posted by Michael Kennedy on 3rd July 2014 (All posts by )

    I have been predicting this, especially since these polls.

    Even the Washington Post has second thoughts.

    Romney would hold a slight lead on President Obama if the 2012 election were replayed today, according to a new Washington Post-ABC News poll.

    The poll of registered voters shows Romney at 49 percent and Obama at 45 percent in the rematch, a mirror image of Romney’s four-point (51-47) popular-vote loss in 2012.

    Now, we have this.

    What can I say except I told you so.

    Will Romney be different from these other failed nominees? Could he defy the odds and make a comeback presidential bid capturing the GOP nomination after all the doubt, second-guessing and blame that accompany such a loss? According to the latest Quinnipiac poll, many Americans seem to think so—45 percent of voters said the United States would be better off today with Romney as president.

    I donated more to the Romney campaign than I have in any other election and I was a volunteer for McCain in 2000.

    I told you so. I think there is a case that the 2012 election was stolen.

    The knowledge that the 1960 election was probably stolen helped Nixon in 1968. That and the failure of the Johnson Administration in Vietnam. Anyway, I have been predicting this for a while at Althouse and I can’t remember if I have posted this opinion here. Obama, with the time he has left, will make this more and more attractive. I thought we were doomed after 2012. I still think so but maybe I was wrong. The Megyn Kelly interviews with Bill Ayers might even help although she never got into the Ayers-Obama relationship.

    I just hope we avoid the worst of the blowback from inept foreign policy before 2016.

    More. This is amazing.

    All this is weird, unprecedented. The president shows no sign—none—of being overwhelmingly concerned and anxious at his predicaments or challenges. Every president before him would have been. They’d be questioning what they’re doing wrong, changing tack. They’d be ordering frantic aides to meet and come up with what to change, how to change it, how to find find common ground not only with Congress but with the electorate.

    Instead he seems disinterested, disengaged almost to the point of disembodied. He is fatalistic, passive, minimalist. He talks about hitting “singles” and “doubles” in foreign policy.

    “The world seems to disappoint him,” says The New Yorker’s liberal and sympathetic editor, David Remnick.

    Just weird.

    Posted in Big Government, Civil Liberties, Crony Capitalism, Current Events, Elections, Health Care, Middle East, Obama, Politics, Polls, Predictions | 25 Comments »

    A Compendium of Useful Reminders to be Consulted in Moments of Confusion

    Posted by Jay Manifold on 1st June 2014 (All posts by )

    Judging by what I see communicated by many of my longtime friends, there are a whole lot of confused people out there these days. Here is a helpful list for them:

    1. Only a small minority of projects, even in relatively successful organizations in highly competitive industries, deliver their promised scope, on time, within budget. A large majority are drastically scaled back, incur huge cost overruns, deliver years later than intended, or are canceled outright. Anything nefarious either fails or is publicized by whistle-blowers or investigators. There are no secret, vast criminal enterprises pulling the wool over the eyes of the populace, and the best-known entities in society, both public and private, can be astonishingly inept.
    2. Large publicly-funded initiatives, other than those intimately connected to the physical survival of the societies in which they are undertaken, are quite likely to be mainly for show, irrespective of their supposedly spectacular significance. The current American example is the ACA, which has not resulted (and almost certainly will not result) in either greater insurance coverage or lower costs, is notoriously not a fully government-operated, “single-payer” system, and has no pathway to lead to one. None of this matters; indeed, many of its provisions, if they ever go into effect, will do so only after the current Administration has departed from the scene. All that matters is that its perpetrators get to claim to have passed “historic” legislation ostensibly providing “universal” health care. For an example from an earlier generation, see the Space Shuttle, which was supposed to fly 50-60 times per year at $5.5 million per launch. The actual flight rate hovered around a tenth of what was promised, and each launch cost nearly a hundred times the original projection. Hilariously, President Obama is now being criticized for ending this, even though it was collapsing from its own weight and consisted mainly of workfare jobs in Republican congressional districts.
    3. Notwithstanding phenomena like the above, the United States is probably the most successful large-population country in the world due to its sheer realism, in particular the relative openness and process orientation of English common law, which (to quote myself) “rather than construct elegant theories and then shoehorn (or bludgeon) societies into an unchanging mold,” exhibits “a willingness to work with the world and human nature as it is.”
    4. Even ignoring the fantastic technological advances, quality of life in the US has improved immensely in the past two decades. Social pathologies have plummeted. The rates of some categories of crime are down 90%, to all-time recorded lows. There are now fewer abortions per capita than at the time of Roe v Wade. Probably three-quarters of Americans live in neighborhoods where violent crime is effectively nonexistent. And the worst labor market in 80 years has done nothing to reverse these trends.
    5. Large-scale, institutionalized technologies range from the very safe (electric-power generation [including nuclear] and transmission) to the so-safe-there-is-no-instance-of-recorded-harm (agricultural genetic engineering). The problem is that in much of the real (that is, Third) world, they are insufficiently available to provide the thoughtless, comfortable existence that pervades most of the West. Living “off the grid” / following a soi–disant “natural” lifestyle is a plaything of rich people who can slink away into town whenever they get tired of hewing wood and drawing water. Especially water with enterotoxigenic E. coli in it.
    6. Pharmaceutical companies are not trying to kill you, nor to provoke health crises to sell new drugs. They may in some instances be trying to convince you that your life depends on continuing to purchase their products, whether it actually does or not. Then again, so is the “health food” store down the street, and in all likelihood, what it’s pushing is far more dangerous.
    7. All religions are not equal. The general heuristic is to judge them by their effects, or at least by their efforts. Those prescribing global expansion through conquest and coercive displacement, and those (especially if they don’t refer to themselves as religions) prescribing the extermination of followers of other religions, are particularly problematic.
    8. Any conspiracy theory that mentions the Mossad, Rothschilds, etc, is every bit as viciously anti-Semitic as Mein Kampf and should be treated as such. Anyone expressing admiration for Marxist notions and personages is no better. Conspiracy theories involving the CIA quaintly ignore the NSA (which is ~6x larger) and, in any case, descend from Stalinist and Maoist propaganda during the early Cold War and the Korean War. Facile anger about the NSA, however, ignores its well-publicized activities with the analog wireline telecommunications of 30-40 years ago, as amply documented in Bamford’s The Puzzle Palace. The phenomena of Wikileaks and Snowden’s massive data theft are an existence proof that such activities can neither be kept secret nor have much influence on real-world events; as someone who read through the supposedly devastating Wikileaks cables remarked, “[American diplomats] sound like Canadians with better access.”
    9. No amount of “smart diplomacy” or supposed avoidance of provocation will protect a country from attack. Only a convincing ability to make an attack more trouble than it could possibly be worth can do that, and even such an ability may be insufficient to deter non-state actors and small groups. In combination with steadily declining costs of dual-use technologies, a more-or-less freelance WMD attack somewhere in the world seems inevitable. When it occurs, the greatest hazards to the immediate survivors will be 1) official overreaction, as by ordering the evacuation of a far larger area than was actually affected and 2) popular derangement, which in the worst-case scenario may create a conspiracy theory popular enough to put an extremist political movement in power, even in a large, democratic nation.

    Commenters are encouraged to provide additional examples and corollaries.

    Posted in Anglosphere, Anti-Americanism, Civil Society, Current Events, Energy & Power Generation, Health Care, History, Human Behavior, International Affairs, Management, Military Affairs, National Security, Organizational Analysis, Predictions, Religion, Society, Terrorism, USA, War and Peace | 17 Comments »

    Is the United States becoming a corrupt enterprise ?

    Posted by Michael Kennedy on 22nd May 2014 (All posts by )

    The activities of the Obama administration have progressed into Mafia territory the past five years. I never thought things could change this fast but it seems I was wrong. The latest example ?

    Soon after the US Government sold the last of its stake in General Motors, the company began to announce a huge number of recalls. These safety defects were known for years but unreported until the federal government sold its interests, at a huge loss of course.

    Taxpayers, drivers, and investors who assumed the government would never fail to disclose rampant safety problems in a company it owned can rest easy, though. Instead of investigating fatally flawed GM components while the U.S. government was the company’s largest single owner, the NHTSA was busy harassing Toyota — one of GM’s top competitors — for an alleged malfunction that led to “unintended acceleration” in Toyota vehicles. Toyota was fined and eventually bullied into recalling 8 million vehicles over the issue.

    Toyota is probably the safest, highest quality auto maker in the world. I drive one and have bought Toyotas for my daughter.

    And what was the final result of the NHTSA investigation?

    Many drivers may have confused the gas and brake pedals a problem that may account for “the vast majority” of the unintended acceleration incidents the agency investigated, NHTSA deputy administrator Ron Medford said at Tuesday’s NHTSA press briefing.

    “What mostly happened was pedal misapplication where the driver stepped on the gas instead of the brake or in addition to the brake,” Medford said.

    The Toyota cases were always about driver error, not safety of the auto. Only the trial lawyers and a complacent government permitted this raid on a company to proceed.

    Is that the only case ?

    Read the rest of this entry »

    Posted in Big Government, Crony Capitalism, Current Events, Health Care, Morality and Philosphy, Obama, Politics | 87 Comments »

    Hmm…

    Posted by Jonathan on 9th March 2014 (All posts by )

    Went to a big street fair today. Great weather, big crowd. Here’s a picture of the Obamacare signup booth.

    Obamacare is popular!

    Posted in Health Care, Photos | 6 Comments »

    The Depression may be here.

    Posted by Michael Kennedy on 4th February 2014 (All posts by )

    I have believed for some time that we were entering another Depression. I have previously posted about it.

    The Great Depression did not really get going until the Roosevelt Administration got its anti-business agenda enacted after 1932. The 1929 crash was a single event, much like the 2008 panic. It took major errors in economic policy to make matters worse. Some were made by Hoover, who was a “progressive” but they continued under Roosevelt.

    I posted that statement earlier and it got a rather vigorous rebuttal. I still believe it, however. I think a depression is coming soon. What is more, I am not the only one. Or even only one of two.

    The second article preceded the election of 2012 but is still valid.

    When employment hit an air pocket in December, most analysts brushed off the dreadful jobs number as an anomaly, or a function of the weather. They chose to believe Ben Bernanke rather than their lying eyes. It’s hard to ignore a second signal that the U.S. economy is dead in the water, though: on Monday the Institute for Supply Management reported the steepest drop in manufacturing orders since December 1980:

    fredgraph

    In January, only 51% of manufacturers reported a rise in new orders, vs. 64% in December. Not only did the U.S. economy stop hiring in December, with just 74,000 workers added to payrolls; it stopped ordering new equipment. The drop in orders is something that only has occurred during recessions (denoted by the shaded blue portions of the chart). The Commerce Department earlier reported a sharp drop in December orders for durable goods. In current dollars, durable goods orders are unchanged from a year ago, which is to say they are lower after inflation.

    So, the economy stopped hiring, even at the poor pace the past five years have seen, but business also stopped buying.

    Read the rest of this entry »

    Posted in Big Government, Britain, Business, Health Care, Obama, Politics, Taxes, Tea Party, Urban Issues | 33 Comments »