“The Kardashians and Climate Change: Interview with Judith Curry”

From an interview with the climatologist Judith Curry at OilPrice.com:

Judith Curry: The debate is polarized in a black-white yes-no sort of way, which is a consequence of oversimplifying the problem and its solution. Although you wouldn’t think so by listening to the Obama administration on the topic of climate change, the debate is becoming more complex and nuanced. Drivers for the growing number of layers in the climate debate are the implications of the 21st century hiatus in warming, the growing economic realities of attempting to transition away from fossil fuels, and a growing understanding of the clash of values involved.
 
Oilprice.com: How does the climate change debate differ, in your experience, in varying cultures; for instance, from the United States to Western Europe, or Canada?
 
Judith Curry: The U.S. is more skeptical of the idea of dangerous anthropogenic global warming than is Western Europe. In the U.S., skepticism is generally associated with conservatives/libertarians/Republicans, whereas in Western Europe there is no simple division along the lines of political parties. In the developed world, it is not unreasonable to think ahead 100 or even 300 years in terms of potential impacts of policies, whereas the developing world is more focused on short-term survivability and economic development.
 
Oilprice.com: How significant are cultural elements to this debate?
 
Judith Curry: The cultural elements of this debate are probably quite substantial, but arguably poorly understood. A key issue is regional vulnerability, which is a complex mix of natural resources, infrastructure, governance, institutions, social forces and cultural values.

Worth reading.

Deirdre McCloskey at the Illinois Policy Institute: The Ethical and Rhetorical Foundations of Modern Freedom and Prosperity

GREAT talk by Deirdre McCloskey at the Illinois Policy Institute last night.

She was promoting her book Bourgeois Dignity: Why Economics Can’t Explain the Modern World which is the second in a trilogy with The Bourgeois Virtues: Ethics for an Age of Commerce. She announced last night that she just finished the third volume.

This essay, entitled The Great Enrichment Came and Comes from Ethics and Rhetoric gives some insight into her ideas.

Read more

Why Ebola will not stay in Africa.

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 more

Medicine as a government benefit.

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 more

An Update on healthcare reform.

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 more