Thursday, May 2, 2013

Economics 101

Paul Krugman, Who Knows of What He Speaks





Don't know much about economics, other than what I read in the New York Times, the New Yorker and what I see on "The News Hour."

Economics is not like biology--it is not an experimental science. Oh, we do economic experiments all the time, but we cannot hold enough variables constant to call it a science. It is not clear that, for all the numbers economists throw around, you really need to understand those numbers to understand the basic economic forces and concepts.

It must mean something  that Mad Dog can now watch a discussion of economic policy and Mad Dog can finish the sentence of each participant. It must mean we are hearing the same arguments over and over again.

Last night, on the "News Hour" they had some stooge from the American Enterprise Institute in Washington, DC, and a man from some Boston institute discussing our economy. The Boston guy says, "When you have a recession, an economic slow down, that's when you do not want the government to stop spending. The national economy is not like a family budget. Sometimes deficit spending is a good thing. It's an investment in the future. You get people working, repairing the infrastructure,  paying taxes, spending and then you can back off, pay down the deficit and restore balance. But if the European experience shows anything, it is that cutting government spending at the beginning or in the middle of a recession just makes things worse." 

To which the American Enterprise Institute guy replies: "Deficits are bad. When you allow the deficit to grow to over 45% of GNP you simply run out of money to spend. This Kenseyian argument, that we should spend our way out of a recession, is a recipe for disaster." 

This very same argument has been going back and forth since at least the years when Andrew Mellon was the Secretary of the Treasury arguing that a Depression purges the system of bad blood, bad, lazy people and is just what the doctor ordered for a country which needs discipline. He was Herbert Hoover's secretary. Hoover said all along there is nothing government can or should do in hard times. Hoover lost that argument to FDR and the Republicans lost the White House for the next 4 elections.

Republicans ever since have argued the only way Roosevelt got America out of the Depression was to get into a world war and unemployment went from 20% to close to 0% in a year.  And, of course the implication of that was--war is bad, so anything associated with it must be bad.

The fact is, what that wartime government spending  demonstrated is economically, the effect of government hiring vast numbers of people was capable of pulling us out of the Great Depression and that good economy persisted for decades after the war, with deficits going down when people were working and paying taxes.  May have been we put a lot of undeserving people who were wicked and mean to their children back to work, and we rewarded an undisciplined American population, but it sure was good for the economy, and government spending did not result in disaster but relief and prosperity.

So why, Mad Dog asks, are we still debating this issue?
Do we really still need to debate whether or not the heart pumps blood to the brain?
Do we need to discuss whether or not metal airplanes can fly or whether or not metal ships will sink?

Do we really need to listen to David Stockman, people from conservative "think" tanks proffer these antediluvian ideas on national TV, radio and newspapers?
When will we get tired of listening to idiots?


Tuesday, April 30, 2013

Hal Rogers: When Sunlight Is the Best Disinfectant

Hal Rogers, Chairman of the House Appropriations Committee


Sometimes Jon Stewart is simply indispensable.
Tonight was one of those classic examples. 
First, Stewart runs a montage of Fox News bimbos saying the Sequester turned out to be a big nothing--proving we can cut government spending drastically and nobody notices because government does nothing important. There's an air head blond saying, "It turns out to be a 'No-questor," and grinning, very pleased with herself.

Then Stewart shows the irate reaction of the chairman of the House Appropriations committee, a Republican named Hal Rogers, who is grilling the head of the FAA about the furlough of air traffic controllers which has inconvenienced Congressmen trying to fly home to their districts. "Why didn't you tell us this would happen?" the Congressman demands.  

So Stewart rolls a montage of Obama official after official warning of this very outcome, of news people warning about air traffic control trouble if the sequester is allowed to go forth.  Then he plays the Congressman intoning how outrageous this is, nobody told him!  Stewart observes he must be one of those people who complains nobody told him the gun would go off if he pulled that trigger.

Then Stewart shows Susan Collins speaking on the Senate floor, all giddy that Congress was able to pass a law which returned all the air traffic controllers to work. "See how we can work together. We can cross party lines to get things done!"

To which Stewart replies, "Oh, we should be so happy we have a Congress which having created a problem for the many, has been able to solve one small part of that problem for the few, namely themselves, when the problem affects them."

He then sends correspondents out to soup kitchens, cancer treatment centers which have had to close their door because of the sequester. 

So there we have it--Congress as the ultimate example of the old adage: The worse thing for a bad product is good advertising.

 

Monday, April 29, 2013

Peggy Orenstein: When a Disease Becomes a Cause



Peggy Orenstein has written the article Mad Dog would like to have written, but thought it was too politically incorrect.

For readers of Mad Dog Democrat, the idea anything is too politically incorrect for Mad Dog may come as a surprise, but this topic is so incendiary and requires such tact, Mad Dog knew it was simply beyond his talents.

The problem here is: Is anyone rooting for breast cancer? Does anyone not wish to see an end to breast cancer? So any time you question or undermine the efforts of a group which is trying to end breast cancer deaths, you have to tread lightly, something Mad Dog has not mastered.

Ms. Orenstein writes an article which embraces the complexities and the successes and the lack of successes in a very adroit way.

The problems with the Susan Komen organization and others like it is they are focused on raising awareness of breast cancer, on the psychological impact, on making breast cancer socially acceptable to talk about, to acknowledge you've had, but at some point we all really have to accept, okay, mission accomplished when it comes to marketing and name recognition and attitude change: What we really need now is some good, effective science and technology.

Breast cancer, as she points out is not even one disease. There are different types of breast cancer (estrogen receptor positive, estrogen receptor negative, Herc positive, triple negative--the list expands as molecular genetics identifies new types.) There is even a pre-breast cancer which may or may not ever develop into breast cancer, DCIS.

As Ms. Orenstein points out, delicately, women almost never die of breast cancer which is confined to the breast; what they die from is metastatic breast cancer, i.e. breast cancer which escapes the breasts and implants in liver, brain, bone, lung and elswhere, seedlings in the wind, taking root, becoming the ultimate invasive species. 

The big problem is this process may occur before there are enough breast cancer cells to see on mammography, so even if you remove the breast cancer you find by imaging, by mammogram, ultrasound, MRI, you may still be dealing with a mortal illness--you just won't know it for some years.

When Mad Dog was an intern at Memorial Sloan Kettering, he admitted dozens of patients every week who told the same story: "They told me they got it in time. It was so small. I was cured."  But here they were, 10 or 15 years later with breast cancer growing in vertebrae, femurs, ribs, lungs, liver, brain and all stops in between. Dying of a disease the doctors thought they had cured.

It was this realization, that microscopic, invisible tumor cells escape early and may be growing in distant sites which moved the researchers in Milan, Italy to try chemotherapy to flow in the blood and kill the invisible metastases at the time of the original breast surgery and that study was done in the early 1970's. American doctors came later to accept this concept and now protocols include chemotherapy to get those sleeper cells.  

But chemotherapy does not kill every cell in every patient and patients are still dying from widely metastatic disease despite all the protocols, years later.

And mammography may not have made much of a dent in this process. 
But when various scientific groups, recognizing the futility of screening mammography for various groups of patients--e.g. women less than 40--have recommended mammography start later and not be used annually all hell breaks lose because breast cancer organizations--who have a stake, financially, professionally and emotionally--oppose these recommendations, not because the science is flawed but because they have other motivations.

Consider this example, which Orenstein quotes:  Suppose you have 100 women who have a mammograms at age 67, are found to have breast cancer and treated but they all die 3 years later at age 70.  The 5 year survival in that group is 0%. Suppose now, you have 100 64 year old women who have a mammograms and gets treated but the treatment doesn't work and they all die 6 years later at age 70 The 5 year survival for these women  is 100%. Looks like a great victory for mammography: You've improved 5 year survival by 100%!  But what have you really done? You've made the women in the first group aware they have cancer three years earlier and they've had to live with that knowledge but they have not lived a day longer for it.

The fact is, funding for research is competitive: If the National Institutes of Health funds breast cancer at $100 billion dollars there is not going to be $100 billion for melanoma. And with diseases acquiring advocacy groups, AIDS, prostate CA, testicular CA, decisions may rise or fall based on who has the best paid lobbyists in Washington, rather than who has the best scientific arguments in Bethesda (where the NIH is.)

And what happens to testicular CA if it's major poster boy falls from grace for doping while he was winning the Tour de France?

Is this any way to run a railroad?

Ms. Orenstein has written a very important public policy, public health article. It is one every citizen ought to read, in the quiet of his or her own home, preferably after a Valium or a good glass of wine.


Friday, April 26, 2013

Jefferson Davis Lives






On Jefferson Davis Avenue, in New Orleans, stands a statue of the man, "Profound scholar of the constitution, In judgment sound, in morality firm, in resolve steadfast" or words to that effect, but most of all, "Patriot."

In Cabin John, Maryland, stands the Union Arch Bridge, which, legend has it, was dedicated by Abraham Lincoln in 1860.  In 1861, Lincoln sent a detachment of calvary to remove a plaque from this bridge because the plaque listed various officials who had part in the construction of the bridge: Montgomery Meigs, of the Army Corps of Engineers and Jefferson Davis, Secretary of War.

Apparently, Mr. Lincoln disagreed with the idea Mr. Jeff Davis was a patriot.

There must be a difference between traitor and patriot.

Some would say it's all in your point of view.

Others would say it's in where you stand now.

Monday, April 22, 2013

Lindsey Graham: South Carolina as the American Chechnya





Far as Mad Dog can see, there are parallels and then, there are parallels.

In the case of the "War" on "Terror" both war and terrorists have bullets and bombs and there are deaths and innocents (non combatants) are killed and maimed. 

Of course, in the case of the war on terror, there are no armies, no capitals, no flags, no actual battles--and as Carver once said of the "War on Drugs" in The Wire , this isn't even a war. Why not?  "Because wars end," Carver replied.

This is a subtlety lost on Senator Graham, of course. Many things are lost on Mr. Graham.  Mr. Graham does not approve of people who hail from places which are in rebellion against a power which they feel has been imposing its will over them, not respecting their local traditions and values, a place like Chechnya, for example, or say, South Carolina.

Of course, you cannot compare the Chechnya rebels to the rebels of South Carolina. They were both rebelling against a stronger neighbor from the north which insisted a separatist movement would not be tolerated, but the Confederacy had an army with uniforms and canon and they fought out in the open and they were Christians, praying to a Christian God.  In fact, these rebels were so upright and upstanding Mr. Graham's fellow South Carolinians fly the Confederate flag over their state house to this day, just to show the guerrilla spirit is still alive and well in South Carolina.  

Chechnya knows all about guerrilla spirit. Apparently bombs go off every week there, and no police station is safe. 

The Confederates in South Carolina might just admire that, if those Chechnyans were Christians and wore nice gray uniforms. 

But now we have the Confederates back in positions of power and when they are United States Senators they invoke hell fire and brimstone against the unholy, unwashed terrorists from foreign places, and Heaven Knows, we don't like foreigners and we ought o re examine our immigration policies which allow undesirables like Russians or Chechnyans or people who don't speak English at home from unloading their baggage here in the United States. 

In fact, when the Russians point out a potential trouble maker and the FBI investigates and that trouble maker subsequently makes trouble, well the FBI has dropped the ball on the one yard line. Fumbled, I tell you! The FBI ought to be able to predict human behavior. What have we been spending all those hard earned tax dollars down at FBI headquarters in Quantico, Virginia if not to be able to read minds and predict future behavior by nasty, ill meaning violent revolutionists? 

Mad Dog can see where Mr. Graham is coming from. Same place he is always coming from.  South Carolina.


Sunday, April 21, 2013

Lindsey Graham and Tsarnaev: Almost Racist













A friend who worked for the U.S. government in an agency which oversaw international trade once remarked, with a Cheshire smile, "We worry a lot about whether or not we are racist in this country; we don't hold a candle to the Europeans."

He spent a lot of time in England, Switzerland, Germany and Scandinavia, so I thought he probably knew of what he spoke.

Today's New York Times carries a stunning article by Jonas Hassen Khemri, the first generation son of an immigrant to Sweden. 

He details what is was like growing up dark skinned in Sweden: being stopped on the street, questioned, asked for government ID, thrown into the back of a police van, then told only , "You may go now." Listening to government ministers defending racial profiling blandly by saying, "Oh, well, they are the guilty ones." Watching his father sweating out interrogations by Swedish officials, who looked at his government ID dubiously--this guy says he's Swedish, well he doesn't look Swedish. Hearing of friends beaten up in police vans. Followed about in stores by security guards with walkie talkies, who assumed if you are dark skinned, theft must be afoot. 

It all sounds like stuff we have put behind us in the United States, having faced our own different modes of racism forthrightly. Of course, until now we haven't succumbed to that special terror of government power--the National ID--which some of us remember from the old movies in which the Gestapo stops Lauren Bacall or some other heroine and says, "Unt now, I vould like to zee your papers." Red staters rage about the indignity of background checks for gun purchases, but they have no reservations about the indignity and huge leap in government control embodied in a national ID card. You want to see real terror and oppression: Just vote for a national ID card.

We've gotten by that sort of thing here in the USA. Well, mostly.

Of course, not all of us. When the Boston bombers turned out to have been born in Russia, and, damn it, one was dabbling in Islam, well, Lindsey Graham is right there with the "Suspend the Constitution!" cry.  Hey, why should we give this ungrateful foreigner any rights? Let's just hang him now without a trial (a South Carolina specialty) or put him away for life.

Well, there's precedent for life imprisonment, no trial--Gitmo.

And also Stop and Frisk in New York City, the city of Michael Bloomberg a semi liberal mayor, who apparently is not disturbed by racial profiling, if it happens in zip codes where people don't have much money or power. Mayor Bloomberg worries about allowing people to drink gargantuan soda pop but he does not worry about people thrown up against a wall by his own police.

Mad Dog would like to humbly suggest: The reason we go through the dance of doing things within the Constitution is not out of respect for heinous criminals; it is for ourselves.  We do not take the pains and expense of trials for the sake of the accused, any more than we do funerals for the sake of the dead. We do funerals for the sake of the living and we do trials for the sake of the citizens who do not stand accused, that we may all demonstrate our respect for a little mentioned and oft ignored idea: The Law.

We are better than the guys who set off bombs and blow legs off people because we think hard and long before we do harm to anyone.

Having cared for wounded accused in emergency rooms and on the wards, Mad Dog was struck by how surprised they were by the kindness, or at least by the absence of hostility they saw in the nurses and doctors rendering care.  In some cases, Mad Dog had the impression these men had never experienced human kindness and it was disturbing to them.  They were suspicious at first, then tentatively responsive, but often they withdrew again, as if they knew responding to kindness would make them vulnerable, so they retreated into indifference. Some of them could not help themselves, however and they were the ones most often psychologically damaged--by all the respect and fairness.  So Mad Dog doesn't buy the approach of the Lindsey Grahams of the world. Just beat those miscreants like dogs.  No, if you really want to make them suffer, treat them with respect and they begin to feel a connection to humanity. That's the greatest pain.

You want to really inflict pain on the surviving Boston bomber?  Once you have him reasonably stable and comfortable, once you have shown him care and concern and made him feel well again, bring around one of those girls who knew him in high school, or from college, one of those girls who called him a "sweetheart" who thought of him as a kind, funny, caring person, and simply allow them to visit; allow him to return to that person he once was. As Mephistopheles says in Faustus, the greatest hell is remembering happier times.  The greatest hell for this 19 year old will be remembering the person he was before he was transformed. 

So, with our system of laws, of treating the accused as innocent until proven guilty, we honor not the accused, but ourselves. We worship at the alter of "justice." 

Well, mostly--unless you are a villager blown up by a mistaken drone attack.

But, at least, most of the time, outside of Gitmo, and drone attacks and Stop and Frisk, we try.

Nobody's perfect.  

One way to feel better about yourself today: Consider Lindsey Graham. Consider his whole ridiculous state. If you have done something lately you think was pretty stupid or ill considered, just think of Lindsey Graham.  Compared to him, compared to the several million people who voted for him and live their smug little lives in South Carolina, you are a tower of intelligence, discretion and moral fortitude.

Friday, April 19, 2013

Dzhokhar Tsarnaev: A Wounded Animal


"I did know Jahar. In the 4 years of high school I spent with him, he was nothing but a kind, unassuming, gentle person. He was funny, had lots of friends, and was very athletic. I haven't spoken with him since high school (we graduated in the same class from Cambridge Rindge & Latin)."
Another acquaintance said she knew Dzhokhar from the University of Massachusetts-Dartmouth. She said he had a group of "maybe four or five" Russian-speaking friends whom he was never without. "All I really knew of them was that they smoked weed and liked to party, just like regular kids. Jahar was such a sweetheart."

--From the Internet



So how does a kid who enjoyed his friends, seemed engaged, had success in school wind up fashioning a bomb which blows the legs off people, robbing a 7 Eleven, shooting a policeman to death, throwing bombs at police?

Of course, Mad Dog wondered whether or not the police could have been wrong about the role these two brothers played in the bombing. Showing them walking down the street carrying backpacks hardly proves they had bombs in those back packs. But if they really did throw bombs at police, were caught on surveillance robbing a 7 Eleven, were identified by the man whose car they hijacked, sounds like a case which might get an indictment out of a grand jury.

Assuming for the moment the police got the right guys, Mad Dog asks:  How do you go from being  a kid who is embraced by his friends to a maniac who is alienated enough to kill wantonly?

They interviewed a man in Watertown who said he was happy the kid had been captured alive because he wants to hear him answer a lot of questions.

Mad Dog is not sure the answers will actually provide much insight. But if he were dead, there would be zero chance for answers.

It is hard to work up much sympathy for the person who blew legs off people, but the image of this 19 year old crawling off to die in the backyard boat of some Watertown citizen does strike even the cold black heart of Mad Dog as sad.  A wounded animal is always pretty pathetic. Once they are defanged, no longer a threat and just dragging themselves off to find a hole, it is not the same.

Mad Dog knows the obvious question is coming: Would you have felt that way if there were footage of Hitler dragging a leg behind him, off to his bunker?  And the answer is: No. Mad Dog would be unmoved.

 But a 19 year old kid, who not long ago was a "sweetheart."  Makes you wonder.