NATIONALIZED MEDICINE

Audio-book Review
By Chet Yarbrough

(Blog:awalkingdelight)
Website: chetyarbrough.blog

Do No Harm: Stories of Life, Death, and Brain Surgery

Written by: Henry Marsh

Narration by:  Jim Barclay

HENRY MARSH (BRITISH NEUROSURGEON AND AUTHOR)

HENRY MARSH (BRITISH NEUROSURGEON AND AUTHOR)

An interesting insight offered by Henry Marsh’s memoir, “Do No Harm”, is a contrast between American and British Medicine.  Marsh’s candor about his life and profession surprise his audience and endear his curmudgeonly personality.  The surprise is in Marsh’s profound empathy and personal conflicts over neurosurgical decisions.

Marsh’s endearment comes from explicit “f-word” rants about incompetence, technology, and bureaucracy.  In addition to his rants, Marsh endears himself to an audience by explaining the distinction between a physician’s self-confidence and hubris.  Marsh suggests physicians need understanding and competence; not undue preciousness, and pride-full medical knowledge.  Jim Barclay’s narration perfectly suits the tone of Marsh’s memoir.

Caduces

Marsh is able to enter into medicine with little pre-medical education in the sciences.

Either by dint of a formidable intellect or a quirk of the British education system (maybe both), Marsh takes all his science courses after deciding to become a doctor.  One doubts an American medical school would have considered his application in the 1960 s.

Marsh graduates and begins his career in medicine under the guidance of experienced physicians.  As he acquires experience, he chooses to specialize in neurosurgical medicine under the supervision of a Consulting Neurological Physician.  The Consultant (a neurology physician trainee’s guide) works within the English national health care system as a qualified physician who supervises aspiring neurological physicians.  This consultant chooses cases for trainees; under varying levels of supervision.

Though a neurological procedure may be done by a trainee, the consulting physician is responsible.  This appears to be similar to internships in the United States.  However, an interesting difference is in the insurance for interns.

MEDICAL INTERNSHIP

MEDICAL INTERNSHIPS- English hospitals carry a trust to protect physicians from mistakes made in treating patients.

The UK’s physician-group self-insurance may be a distinction without a difference but, as in all medical insurance systems, mistakes do occur, and patients are harmed. The difference between physician-group self-insurance and American physician’ private insurance raises the specter of limited settlement for egregious mistakes.  On the other hand, it suggests British physicians are more likely to be more forthcoming on mistakes that are made.

Marsh completes his trainee experience and decides to become a Consulting Neurological Physician in the national health care system.  Marsh interestingly reveals several mistakes he and his trainees make during his years of consultancy.  In revealing those mistakes, a listener pauses to think about risks of patients who depend on English’ or American’ medical services.  Marsh’s stories of mistakes reflect on medical training, family apologies, and personal anguish over patient’ quality-of-life and death issues. 

MEDICAL MALPRACTICE IN THE UNITED STATES

Marsh explains, at best a Consultant Surgeon expects to learn from surgical mistakes to avoid repetition. 

The worst, for Marsh, is the apologies to families for the mistakes that are made.  In contrast to Marsh’s way of addressing mistakes, American physicians seem more likely to avoid family apologies; while hiding behind legal and insurance company shields.

MEDICAL TREATMENT-WAITING FOR TREATMENT IN ENGLAND

A more subtle message in Marsh’s book is the failure of the English National Health Service to provide adequate care for the general population; e.g. its long lines of patients who wait for attention when rapidly growing tumors are destroying a patient’s neurological system. 

Doctor/patient ratios in 2016 were 2.6/1,000 people in America. In 2018, the doctor/patient ratio was 2.8/1,000 in the United Kingdom. This raises the question of how long would Americans have to wait in line with a national health care system? Some argue physician assistants could be trained to take care of less serious medical issues. That would spread the burden of patient treatment.

Marsh complains of inadequate bed availability for patients that need operations.  Financing for the National Health Service is inadequate for the number of patients that need help. This seems a likely consequence of an American national health care system.

Marsh notes that he carries private health insurance to supplement his family’s medical needs.  At the same time, he infers private hospital services tend to gouge patients for their medical service; in part, from charges for unnecessary tests and superfluous operations. 

Marsh attacks the bureaucratic nature of the National Health Service that hires hospital administrators who are directed to reduce costs; regardless of patient’ load or patient’ need.  Technological improvements for England’s National Health Service are delayed because of lack of financing, poor administration, and inadequate training. These are maladies that will plague a national health care system in the United States.

U. K. HEATH CARE SYSTEM

Marsh leavens his criticism of England’s national health care by writing of his experience in the former U.S.S.R. (specifically Ukraine) where problems are monumentally greater. 

In the end, America’s effort to improve national health care is tallied in one’s mind against the current English picture painted by Marsh.  For medical patients, the English system seems riskier than the American system.  Doctors in England seem more insulated from medical mistakes.  If doctors are more insulated, they may take more risks; i.e. risks that can lead to patient’ disablement or death.  The American system, if one can afford the service, seems more conservative and less likely to take risks.

It seems England’s national health care offers a level of societal comfort because there is hope for affordable treatment.  On the other hand, Marsh clearly shows how government bollixes National Health Care with inadequate funding and a bumbling administrative system.  Some would say this is why the U. S. should not nationalize health care.

Marsh notes England’s private system has not met the needs of citizens who can afford additional service.  The private system suffers from human nature’s folly; i.e. the lure of wealth at the expense of fairly priced or truly needed medical treatment.

U.S. HEALTH CARE

Marsh suggests the private system suffers from human nature’s folly; i.e. the lure of wealth at the expense of fairly priced or truly needed medical treatment.

Is medical health service a human right or privilege?  One draws their own conclusion about British and American Medicine.  Marsh shows the monumental problems of affordable health care in England. 

A listener of “Do No Harm” infers problems of the British system for medical care will challenge America’s desire for universal health care. Dr. Marsh’s answer seems to revolve around empathy for all human beings; i.e. regardless of whether a country has a nationalized or private health care system.

MASOCHIST’S GUIDE TO AFRICA

Audio-book Review
By Chet Yarbrough
(Blog:awalkingdelight)
Website: chetyarbrough.blog

A Primate’s Memoir: A Neuroscientist’s Unconventional Life Among the Baboons

A PRIMATE'S MEMOIR

3 star symbol
Written by: Robert M. Sapolsky

Narration by: Mike Chamberlain

ROBERT SAPOLSKY (AMERICAN NEUROENDOCRINOLGIST, PROFESSOR OF BIOLOGY, NEUROSCIENCE, AND NEUROSURGERY AT STANFORD UNIVERSITY)
ROBERT SAPOLSKY (AMERICAN NEURO-ENDOCRINOLGIST, PROFESSOR OF BIOLOGY, NEUROSCIENCE, AND NEUROSURGERY AT STANFORD UNIVERSITY)

Robert Sapolsky’s “A Primates Memoir” is a masochist’s guide to Africa. (Our 2017 trip to Africa was luxurious in comparison.)  Sapolsky’s trip is what you would expect from a biological anthropologist who sojourns to Africa in the early 80s.  Sapolsky lives in a tent while studying baboons.

AFRICA JULY 2017_7695.JPG
Our stay in Africa is luxurious in comparison to Sapolsky’s in the 1980s.

At the age of 12, Sapolsky appears to know what he wants from life. In his middle-school years, he begins studying Swahili, the primary language of Southeast Africa.

Sapolsky’s career is aimed at understanding Southeast Africa.  Sapolsky’s 1984 PhD. thesis is titled “The Neuro-endocrinology of Stress and Aging”. Presumably, his trip to Africa became the basis for his academic thesis. Sapolsky’s experience in Africa is recounted in “A Primate’s Memoir”.

AFRICA JULY 2017_8101.JPG
Animal preserve in Southeast Africa

While studying Baboons, Sapolsky is exposed to the worst of African society. His memoir of those years touches on the aftermath of Africa’s colonization, Africa’s ubiquitous diseases, its governments’ instability, and its abundant and frequently poached wildlife.

SOUTHEAST AFRICA
SOUTHEAST AFRICA

Robert Mugabe (President of Zimbabwe)
Robert Mugabe (Former President of Zimbabwe)

JACOB ZUMA (FORMER PRESIDENT OF SOUTH AFRICA)
JACOB ZUMA (FORMER PRESIDENT OF SOUTH AFRICA)

Though some of what Sapolsky writes has  changed, today’s news shows characters like Robert Mugabe, and Jacob Zuma, who are accused of victimizing the poor to enrich themselves.

Some African, and other nation-state leaders around the world, are corrupt.  Many Southeastern African bureaucrats, foreign business moguls, indigenous apartheid promoters, and wildlife exploiters still walk, drive, and bump down streets and dirt trails of this spectacular continent.

Self-interest often conflicts with general economic growth and stability.  Today’s Southeast Africa is great for tourism (one of the three biggest industries) but the poor remain poor, the rich richer, and the middle class nearly non-existent.

AFRICA JULY 2017_7219.JPG
Today’s Southeast Africa is great for tourism (one of the three biggest industries) but the poor remain poor, the rich richer, and the middle class nearly non-existent.

Sapolsky returns to Africa after marrying. He squires his science and marriage partner to revisit a baboon troop he was studying in the 1980s. At the same time, he touches on the cultural norms of a society that seems little changed from his early years in Africa.

Sapolsky recounts the melding of a tragi-comic story of an African who is mauled by a Hyena. In telling the story, he reveals the stoic acceptance of life as it is. However, each time the story of the mauling is told by different people, it changes. The change comes from a blend of truth and fiction that conforms to the tellers’ view of themselves. The essence of the story is that an African man sleeping in a tent is mauled by a Hyena looking for food.

CHANGING STORY
Re-telling of an African story changes with each narration–The change comes from a blend of truth and fiction that conforms to the tellers’ view of themselves..

When the story is told by Masai warriors hired by a company to protect its employees, the victim is saved when the Hyena is speared by the Masai warrior’s courage. When the story is told by the victim, it is a company cook who bashes the Hyena that runs away. When the story is told by a newspaper reporter, the Masai warriors were drunk and not doing their job; the cook bashed the Hyena, and the victim survived. When the story is told by the cook, the victim’s yell brings the cook to the tent; the cook grabs a rock, bashes the Hyena, and the Hyena flees. Finally, when the story is told by the company employer, the victim is not an employee, the Mesai warriors did spear the Hyena, and the employer had no responsibility for the victim.

A cultural interpretation is inferred by these many versions of the same story. Some humans indulge in alcohol to escape reality. Most humans wish to protect an idealized version of their existence. News coverage is sometimes a mix of truth and fiction to make stories more interesting than accurate.

Life is happenstance with each human dealing with its consequence as an end or beginning that either defines, or extends their understanding of life. Truth is in the eye of the beholder. Some people are willing to risk their lives for others. Private companies focus on maximizing profit and minimizing responsibility.  Life is not an either/or proposition despite Kierkegaard’s philosophy.  Humans are good and bad; no one is totally one or the other–not even America’s morally corrupt and ethically challenged leader.

BABOONS
Sapolsky shows that baboon families, like all families, are born, mature, and die within a framework of psychological and physical challenges imbued by culture. All lives face challenge but culture can ameliorate or magnify the intensity and consequence of the challenge.

The overlay of Sapolsky’s memoir is the research and reported evolution of a baboon family in Southeast Africa. He shows that baboon families, like all families, are born, mature, and die within a framework of psychological and physical challenges imbued by culture. All lives face challenge but culture can ameliorate or magnify the intensity and consequence of the challenge.

Sapolsky gives the example of Kenyan “crazy” people who are hospitalized, treated, and fed to deal with their life circumstance. In America, it seems “crazy” people are left to the street. The inference is that Kenyan “crazy” people live a less stressful life than American “crazy” people. This is a positive view of Kenyan culture but there are ample negative views in Sapolsky’s memoir. Rampant poverty, malnutrition, and abysmal medical treatment are Sapolsky’s recollected examples.

Sapolsky’s memoir shows he clearly lives an unconventional life, but it seems a life of purpose. What more is there?

 

INSTITUTIONAL FAILURE

Audio-book Review
By Chet Yarbrough

(Blog:awalkingdelight)
Website: chetyarbrough.blog

Fourth of July Creek: A Novel

By Smith Henderson

Narrated by MacLeod Andrews, Jenna Lamia

SMITH HENDERSON

SMITH HENDERSON (Author, Screenwriter)

On a scale of 1 to 10, with 1 the least trustworthy, a random audience survey marks trust in government as 1. Therein lies the fear of government intervention in the ideals of capitalism. It strikes at the heart of today’s public concern over economic stimulus, the environment, voting rights, equality of opportunity, police reform, and freedom.

Smith Henderson’s Fourth of July Creek is about broken lives and institutional failure.  After two chapters, a listener wonders, “Is this America”?  Henderson vivifies a part of America conditioned by high divorce rates, sexual exploitation, substance abuse, and institutional apathy.

In Henderson’s story Pete Snow is a divorced, alcoholic social worker.  Snow works in child welfare services, covering a large area of Montana. Snow makes a point of saying he is not a cop whenever he is investigating a home with children that are suspected of being neglected. 

Snow is a character that sees the worst side of human nature; i.e. like a cop, Snow is exposed to a world of human’ degradation that fills and empties his life.

Though Snow is careful to distance himself from police, he is mired in the same dark side of humanity. 

Henderson’s point is human apathy grows in some social service jobs because government lacks oversight and public accountability.  The public feels the job is getting done because there is an institution to serve the need. Henderson’s story implies the public is apathetic. The public becomes apathetic because government has a department to do the job. The public might trust but does not verify. (Even more likely, the public is consumed by their own needs and wants and ignores social services that do not directly affect them.)

DONALD TRUMP (REPUBLICAN NOMINEE FOR PRESIDENT OF THE U.S. 2016)

Fourth of July Creek infers that Presidents make no difference when it comes to broken lives of abandoned and abused children.  However, Trump has shown (often in a negative light) that Presidents do make a difference.

Over 400 immigrant children remain separated from their families because of Trump’s enforcement of a flawed immigration policy.

Henderson’s story shows that child welfare services, like many public service jobs, attract employees with good intention who succumb to apathy and routine.  The job becomes a paycheck rather than a calling.  It is not that an employee is necessarily bad or incompetent but public service goals are often not humanly achievable within strict use of institutional rules.  Institutional rules are made by people who often only preserve institutions.  The institution survives whether or not it solves human problems.

The story begins with the case of a single mother, a teenage son, and a pre-school daughter.  The mother and son are brawling with each other.  A cop is at the scene when Snow arrives.  Snow is a case worker for the family.  The mother is a drug addict.  She cannot manage her son for reasons greater than her drug habit.  The solution is to remove the son from the family to live with a relative but the relative does not want the boy. 

Children in Jail

Snow finds a foster family that takes the boy but the boy ultimately runs away after the foster family decides he is too ungovernable.

The boy is caught.  He is placed in something like a reform school.  He is institutionalized.  The boy is abandoned.

In the boy’s mind, Snow betrayed him.  Snow is remorseful but has no realistic alternative.  He cannot find the boy’s mother.  She has moved on.  Even if she had not moved on, Snow finds that the boy’s mother had sexualized her relationship with the son and could not be any part of the boy’s life.  Divorce, sexuality, substance abuse, and institutionalized apathy swallow this American boy’s life.

This sexually abused son is only a small part of Henderson’s story.  The main story revolves around family dysfunction in America.  Child abuse is bred by single parent families, sexual exploitation, substance abuse, and ineffectual public service institutions.  Several families, including Snow’s own family, are battered by divorce, sexual depredation, drug and alcohol abuse, and unavailable or ineffectual public services.

CHILD ABUSE STATISTICS

A deranged woman is married to a man who loves her deeply.  The husband is unable to comprehend or deal with her psychosis.  The husband enables his wife by isolating her and their family in the wilderness.  The children are raised like animals in the forest.  A myth about the family is created by the Bureau of Alcohol, Tobacco, Firearms and Explosives, the FBI, and DEA.  The ATF begins a covert operation to investigate the family.  In the course of the investigation, the husband is betrayed by an undercover ATF agent and becomes a conspiracy-of-government’ believer.

RUBY RIDGE (RANDY WEAVER, SURVIVOR)

RUBY RIDGE (RANDY WEAVER, SURVIVOR)

Snow comes across one of the husband’s sons and begins a case file on the family.  Snow becomes a friend of the son and eventually the husband.  This journey to friendship and understanding reveals a part of Henderson’s theme about American extremism and how it germinates and grows.

Henderson frames a story that captures American government failure.  The book can be listened to as a cautionary tale, a call to action, or just a well written tale of travail.  It is no wonder that government trust is at such a low ebb. The events of January 6, 2021 are a reflection of loss of trust in American government.

At the very least, one comes away with the feeling of how lucky they are to have NOT lived the life of one of Henderson’s characters.  MacLeod Andrews’ and Jenna Lamia’s narration add to the drama of Henderson’s expertly written fiction.

In spite of Henderson’s heart breaking story, America remains among the best places in the world to live. In retrospect, only a small number of U.S. Presidents have managed to restore trust in government. In 2021, a new President has an opportunity to restore that trust.

PRACTICAL PHYSICS

Audio-book Review
By Chet Yarbrough

(Blog:awalkingdelight)
Website: chetyarbrough.blog

Physics for Future Presidents: The Science Behind the Headlines

PHYSICS FOR FUTURE PRESIDENTS

4 Star Symbol

By Richard A. Muller

Narrated by Peter Larkin

RICHARD A. MULLER (PROFESSOR OF PHYSICS @ UNIVERSITY OF CALIFNIA, BERKELEY)
RICHARD A. MULLER (PROFESSOR OF PHYSICS @ UNIVERSITY OF CALIFORNIA, BERKELEY)

“Physics for Future Presidents” suggests understanding of practical physics is critical for future Presidents.  Richard Muller’s argument is that Presidents need to know some physics to comprehend the utility of everything from energy, to manned space flight, to satellite surveillance, to terrorist use of nuclear bombs.  Muller is not arguing that future Presidents need to understand the science of physics but the practical limitations of manned space flight, carbon-based energy, satellite intelligence, and weapons of mass destruction (WMD).

Muller begins his book with the modern world’s effort to understand and contain terrorism.  Muller’s book seems apropos based on President Trump’s effort to limit science research, discount CIA and FBI intelligence, and denuclearize North Korea.

TRUMP AND KIM MEETING
President Trump’s effort to limit science research, discount CIA and FBI intelligence, and denuclearize North Korea.

Muller explores the possibility of a terrorist organization building a nuclear bomb and detonating it in the middle of an American City.  He looks at the possibility from three perspectives.  One, difficulty in acquiring fissionable material; two, difficulty of building a nuclear device and three, difficulty in delivering a weapon of mass destruction to a desired location.

Surprisingly, Miller suggests a greater danger is terrorist attack by private planes, loaded with highly flammable fuel.  Or, for a terrorist organization to use chemical and biological agents that directly or indirectly infect population centers.

CHEMICAL ATTACKS
Surprisingly, Miller suggests a greater danger is terrorist attack by private planes, loaded with highly flammable fuel.  Or, for a terrorist organization to use chemical and/or biological agents that directly or indirectly infect population centers.

9.11.01TRADE CENTER ATTACK
Muller reasons a future terrorist attack (with 1000s killed) will be like 9/11, but with a private plane filled with fuel (not a nuclear bomb) flown into a major entertainment event.

Miller believes practical physics will determine the next world terrorist attack.  Miller argues that the simplest plan will have the greatest impact.  (Of course, there is also the implied psychology of terrorism.)  Muller reasons a future terrorist attack (with 1000s killed) will be like 9/11, but with a private plane filled with fuel (not a nuclear bomb) flown into a major entertainment event.

There are a number of counter-intuitive insights in “Physics for Future Presidents”.  Muller believes manned space flight is a waste of money.  He argues that most of the greatest innovations in science have come from unmanned space flight.  Weather satellites, spy satellites, entertainment satellites, global positioning satellites, drones, exploration of planets and the solar system have all come from unmanned space flight.  Muller believes there is a time for manned space flight but not now.  It is too dangerous and produces little new-science.  He implies America should primarily invest in unmanned space flight.

CURIOSITY--FIRST -SELFIE- IN 2015 ON MARS
CURIOSITY–FIRST -SELFIE- IN 2015 ON MARS (Muller believes there is a time for manned space flight but not now.  It is too dangerous and produces little new-science.  He implies America should primarily invest in unmanned space flight.)

DR. STRANGLOVE
Dr. Strangelove- Richard Muller, at times, seems to stand at the side of fictional character Dr. Strangelove.(Movie titled “How I Learned to Stop Worrying and Love the Bomb)

Richard Muller, at times, seems to stand at the side of fictional character Dr. Strangelove.  He describes historical information about radiation poisoning from nuclear bombs and accidents.  Muller notes that statistical deaths from war (the Nagasaki and Hiroshima bombing), Three Mile Island, and Chernobyl show that deaths from nuclear radiation is small in comparison to terrorist events initiated by simple, practical, and conventional physics.

Muller argues that nuclear power can be used as a fail-safe source of energy by using the latest technology for nuclear power plants.  The latest technology (actually first used in the 1960s by Germany) is a pebble bed reactor (PBR).  It is considered safe because it does not rely on water cooling of the nuclear core in the event of an accident.

PEBBLE BED REACTOR IN WEST GERMANY
PEBBLE BED REACTOR IN WEST GERMANY – Muller argues that nuclear power can be used as a fail-safe source of energy by using the latest technology for nuclear power plants.  The latest technology (actually first used in the 1960s by Germany) is a pebble bed reactor (PBR).  It is considered safe because it does not rely on water cooling of the nuclear core in the event of an accident.

YUCCA MOUNTAIN NUCLEAR WASTE DEPOSITORY NEAR LAS VEGAS, NEVADA
YUCCA MOUNTAIN NUCLEAR WASTE DEPOSITORY NEAR LAS VEGAS, NEVADA (Richard Muller believes Yucca Mountain is an adequately safe repository for nuclear waste that should be reopened.)

This is unlikely to be a popular book in Las Vegas, Nevada. Among other controversial subjects, Richard Muller believes Yucca Mountain is an adequately safe repository for nuclear waste that should be reopened.  His argument largely rests on the science of probability.  Muller infers that natural radiation in Colorado is as toxic as the probability of radiation leaks from stored nuclear waste at Yucca Mountain.

Muller argues that revision of nuclear construction standards in the United States would make construction of pebble bed reactors less expensive than conventional American nuclear facilities.  The added benefit is a safer energy source that reduces the need for carbon based energy supplies that increase global warming.  A large part of Muller’s argument for the use of more nuclear power is based on the generally accepted scientific belief that global warming exists and is most likely caused by human activity.

GLOBAL WARMING
A large part of Muller’s argument for the use of more nuclear power is based on the generally accepted scientific belief that global warming exists and is most likely caused by human activity.

Muller spends a great deal of time explaining that global warming is not a 100% certainty but, in probability terms, is highly likely and largely related to carbon-based energy use.  He notes that use of carbon-based energy is likely to increase with China and India’s continued economic growth.  Muller creates a sense of urgency in creating other sources of energy.  He strongly urges increasing motor vehicle mileage requirements but questions the viability of battery operated vehicles.  Muller believes the costs of battery replacement will drive consumers back to carbon-based energy models.

ELON MUSK ROLLS THE DICE AGAIN BY PURCHASING SOLAR CITY, THE LARGEST SOLAR CONVERSION COMPANY IN THE U.S.
ELON MUSK ROLLS THE DICE AGAIN BY PURCHASING SOLAR CITY, THE LARGEST SOLAR CONVERSION COMPANY IN THE U.S.–Muller sees potential in solar and wind energy production but believes conservation will do more short-term good than any new source of energy.

Muller sees potential in solar and wind energy production but believes conservation will do more short-term good than any new source of energy.  He clearly sees that the cost of energy is the primary driver of technological innovation.  As long as oil and coal are less expensive than other sources of energy, they will remain the primary source of power.  With that realization, Muller insists on technological innovation in conservation because it motivates the consumer to become a part of the energy-crises’.  Consumer’ participation is guaranteed by savings received from use of more energy-efficient devices.

The key to the world’s future is energy.  Muller believes the short-term solution is conservation.  He believes long-term solution revolves around nuclear fission and fusion.  Fusion is a longer term prospect but offers an infinite source of energy.  Fission is shown to work now, with probabilities of failure that can be improved upon.

This circles back to the critical importance of storing nuclear waste.  Muller notes that the fragmented system of nuclear storage in the United States is a bigger risk to the environment than having it located in a limited number of specifically designed storage locations.  Yucca Mountain fits Muller’s criteria for safe storage of nuclear waste.  He acknowledges that nuclear accidents may occur but the probability of an accident at Yucca Mountain is less than the probability of accident at other relatively unsecured and fragmented sites.

PROBABILITYThe physics that Muller insists Presidents must understand is that scientific proof is a matter of probability; not absolute certainty.  Muller warns Presidents to not be misled by cherry-picking fact finders that have objectives that are not related to practical physics.  Even if there is no certainty in science, knowing probabilities offer a basis for informed decision.

 

TODAY’S LUDDITES

Audio-book Review
By Chet Yarbrough

(Blog:awalkingdelight)
Website: chetyarbrough.blog

The Glass Cage-Automation and Us

By: Nicholas Carr

Narrated by: Jeff Cummings

NICHOLAS G. CARR (AMERICAN WRITER-FORMER EDITOR OF HARVARD BUISNESS REVIEW)

NICHOLAS G. CARR (AMERICAN WRITER-FORMER EDITOR OF HARVARD BUSINESS REVIEW)

The Glass Cage, written by Harvard alumnus Nicholas Carr, ironically places him in the shoes of an uneducated English textile artisan of the 19th century, known as a Luddite.

Luddites protested against the industrial revolution because machines were replacing jobs formerly done by laborers.  Just as the Luddites fomented arguments against mechanization, Carr argues automation creates unemployment and diminishes craftsmanship.

WORKMEN TAKE OUT THEIR ANGER ON MACHINES DURING THE INDUSTRIAL REVOLUTION. (Just as the Luddites fomented arguments against mechanization, Carr argues automation creates unemployment and diminishes craftsmanship.)

Workmen take out their anger on the machines

Carr carries the Luddite argument a step further by inferring a mind’s full potential may only be achieved through a conjunction of mental and physical labor.  Carr posits the loss of physical ability to make and do things diminishes civilization by making humans too dependent on automation.

There is no question that employment was lost in the industrial revolution; just as it is in the automation age, but jobs have been and will continue to be created as the world adjusts to this new stage of productivity.

INDUSTRIAL REVOLUTION

Unquestionably, the advent of automation is traumatic but elimination of repetitive industrial labor by automation is as much a benefit to civilization as the industrial revolution was to low wage workers spinning textile.

The Covid19 pandemic of 2020 will accelerate world’ transition to automation. Though this book is written earlier than the pandemic’s economic consequence, corporations are reevaluating the necessity for office buildings to conduct their business. More and more employees will work from home.

Employment adjustment is traumatic.  The trauma of this age is that work with one’s hands is being replaced by work with one’s brain.  The education of the world needs to catch up with socio-economic change; just as labor did in the 20th century.  To suggest humans do not learn when they cannot fly a plane, build a house, or construct an automobile with their own hands is a specious argument. 

Houses and cars have not been built by one person since humans lived in caves and iron horses replaced carriage horses.  Houses and cars were built by teams of people who worked with their hands but only on specific tasks.  Those teams of people were managed by knowledge workers.

ASSEMBLY LINE WORK

Service and education for society are the keys to the transition from industrialization to automation.

QUANTS

Automation of tasks reduces the mind numbing, low pay work of laborers.  Automation turns manual labor into the development and education of people who design hardware and software to execute tasks that result in more safely flown planes, new houses, new cars, new refrigerators, so on and so on.

Carr suggests that airplane pilots should be given more control over automated planes they fly despite the facts he quotes that clearly show plane crashes kill fewer people today than ever in history.  They are bigger, faster, and more complicated to fly.  The argument that pilots need to learn how to fly a jumbo jet when automation fails is like telling a farmer to pull out his scythe to harvest the wheat because the thresher quit working.

Carr’s argument is that pilots have forgotten how to fly because automation replaced their skill set.  To state the obvious, planes are not what they were 100 or even 10 years ago.

WRIGHT UNPOWERED AIRCRAFT

One might argue that Boeing’s 737 Max mistakes are evidence that Carr is correct in suggesting planes have become too complicated, but it ignores the reality of mistakes have always being made by humans. Humans are preternaturally motivated by self-interest.

Boeing’s leaders made mistakes in not fully analyzing and disclosing risks of 737 changes, and in not adequately training airline pilots on the safety features of the plane.

Carr raises a morality argument for not saving life when an automated machine makes a decision rather than a human being.  One can suggest an example of how an automated machine is more likely to make the right decision than a human.

For example, presume a driver-less car is programmed to save its occupant when an injured bicyclist is laying in the street around a blind curve. A fast moving automated car with a family inside, with mountain cliffs on both sides of the road, will drive over the bicyclist without conscience.  The bicyclist is dead but the car passengers are alive.   If the car is driven by a person, both the cyclist and the family are likely dead. 

THINKING SLOW
Carr’s argument is that humans need to make their own intuitive decisions.  As pointed out by Daniel Kahneman in “Thinking Fast and Slow”, the primary “think fast” mode in humans is intuition, which is often wrong.

Without doubt, many automation errors (e.g., the 737 Max) have been and will be made in the future, but to suggest automation is not good for society is as false as the Luddites arguments about industrialization.

This period of the world’s adjustment is horrendously disruptive.  It is personal to every parent or person that cannot feed, clothe, and house their family or themselves because they have no job.

Decrying the advance of automation is not the answer.  Making the right political decisions about how to help people make job transitions is what will advance civilization.

WAR’S HARD PART

Audio-book Review
By Chet Yarbrough

(Blog:awalkingdelight)
Website: chetyarbrough.blog

Fives and Twenty-Fives Fives and Twenty-Fives

Written by: Michael Pitre

Narration by:  Kevin T. Collins, Nick Sullivan, Jay Snyder, Fajer Al-Kaisi

MICHAEL PITRE (AUTHOR, FORMER MARINE)
MICHAEL PITRE (AUTHOR, FORMER MARINE)

The simple part of any war is having friends and enemies; the hard part is in knowing the difference.  “Fives and Twenty Fives” shows the simplicity and complexity of all wars.  Any veteran of the American military knows that part of basic training is building a team of soldiers to form a comradeship as strong as civilian friendship.  However, the difference between civilian and military friendship is the underlying command and control requirements of military organizations.

The author of “Fives and Twenty Fives” is an ex-Marine.  His novel is about friendship; i.e. more fundamentally about friendship on both sides of a war.

IRAQ INVASION
The author of “Fives and Twenty Fives” is an ex-Marine.  His novel is about friendship; i.e. more fundamentally about friendship on both sides of a war.

IRAQ INTERPRETERS
Unlike the American Civil War, the war in Iraq requires language interpreters.  Most interpreters are in-country natives and have not gone through conventional military basic training.

The theater of war in Michael Pitre’s novel is Iraq.  Unlike the American Civil War, the war in Iraq requires language interpreters.  Most interpreters are in-country natives and have not gone through conventional military basic training.  Command and control is learned by most of these interpreters “on the fly”.  Friendship is earned by experience rather than training.  Pitre introduces Dodge, the Iraqi interpreter, for a Marine team led by Lieutenant Donovan.

Dodge introduces an underlying theme of “Fives and Twenty Fives” in a conversation with Lieutenant Donovan.  Dodge explains that he has no friends because when one chooses friends, the choice entails responsibility and accountability.  Dodge is a Sunni, the religious faction associated with Saddam Hussein.  He speaks fluent English and studies Huckleberry Finn, a book he carries with him everywhere, to better understand American culture.  There are several allusions to the story of Huckleberry Finn that reinforce the theme of friendship; i.e. its implied responsibility and accountability.

US INTERPRETER IN IRAQ DENIED AMERICAN GREEN CARD
During his nearly four years as a translator for U.S. forces in Iraq, Saman Kareem Ahmad was known for bravery and hard work.  However, like one of Pitre’s  main characters, “Dodge”, Ahmad is denied an American green card at the end of the war.

COMPASSION ON THE BATTLEFIED IN IRAQ
COMPASSION ON THE BATTLEFIELD IN IRAQ – It is not exactly clear but Dodge seems to have chosen, by circumstance of war, to support freedom by making friends with a platoon medic that is singularly focused on saving lives.

Dodge’s father led the Agricultural Ministry of Saddam Hussein.  His father became a leader of the resistance to America’s invasion of Iraq.  Dodge loves his father but chooses to stay at an Iraqi university rather than follow him into the resistance.  It is not exactly clear but Dodge seems to have chosen, by circumstance of war, to support freedom by making friends with a platoon medic that is singularly focused on saving lives.

drug use in war
When a platoon soldier is ambushed, Dodge’s medic-friend is restrained by Lieutenant Donovan because he believes the soldier is dead.  After the incident, the medic turns to drug addiction to escape the reality of his friend’s death.

When a platoon soldier is ambushed, Dodge’s medic-friend is restrained by Lieutenant Donovan because he believes the soldier is dead.  After the incident, the medic turns to drug addiction to escape the reality of his friend’s death.  The medic is brought up on charges when the Lieutenant reports him for suspected drug use.  He receives a general discharge which affects his future civilian life.  The Lieutenant chooses not to be the medic’s friend in that arrest incident but meets the medic after the war with a different perspective; maybe not as friends, but as fellow human beings intimately affected by war.

ZINE EL ABIDINE BEN ALI (2ND PRESIDENT OF TUNESIA SENTENCED FOR MONEY LAUNDERING AND DRUG TRAFFICING)
ZINE EL ABIDINE BEN ALI (2ND PRESIDENT OF TUNISIA SENTENCED FOR MONEY LAUNDERING AND DRUG TRAFFICKING) Later in Pitre’s story, a reader listener finds Dodge chooses to become a part of a resistance to the repressive regime of Ben Ali in Tunisia.

Later in the story, a reader listener finds Dodge chooses to become a part of a resistance to the repressive regime of Ben Ali in Tunisia.  Dodge becomes friends with the resistance movement that needs his English-speaking voice to tell the world of Ben Ali’s repression.  Dodge is not a Tunisian but recognizes the human drive to resist oppression, and the need to be part of something greater than oneself.  Dodge chooses to be a friend of the oppressed.

Michael Pitre compels a listener to look at mistakes made by America in Iraq.  It may have been morally right to remove Saddam Hussein.  However, the decision to deny participation by Hussein’s army officers and Hussein’ administrative personnel in government transition was an error of epic consequence.

Vetted Hussein army officers and administrative personnel, with monitored performance measures, might have avoided Iraq’s spiral into chaos.  One considers the value of interpreters like Dodge who are from families that worked in the corrupt Hussein administration.  Dodge appears to have an inner moral compass that could have helped America in its intent to provide a pacific transition from totalitarianism to peace in Iraq.

There are good and bad people in every government.  Undoubtedly, there were some Iraqi Army leaders and Hussein administrators that could have become friends rather than enemies of fellow Iraqis and American’ invaders.   If America’s leaders had been more discriminating and understanding, ISIL may have never risen.  The simple part of any war is having friends and enemies; the hard part is in knowing the difference.

Post script: Now America is leaving Afghanistan.  One hopes those Afghani’s that served NATO and America’s involvement in Afghanistan will not be treated as forgotten friends.  Since Vietnam,  one doubts history will either justify or vindicate American military intervention in other countries.

OTHER gods

Audio-book Review
By Chet Yarbrough

(Blog:awalkingdelight)
Website: chetyarbrough.blog

The Attention Merchantsthe attention merchants

By Tim Wu

Narrated by Marc Cashman

TIM WU (AUTHOR, PROFESSOR OF LAW AT COLUMBIA )
TIM WU (AUTHOR, PROFESSOR OF LAW AT COLUMBIA )

Not since “The Powers That Be” (published in 1979) has there been a better history of the media industry.  Tim Wu is heir to David Halberstam.  First there were newspapers, then radio, then television, and now the world-wide web.  Wu offers a modern vision of media’s impact on society in “The Attention Merchants”.

Gone are many of the famed “…Attention Merchants” like Bill Bernbach, Neil French, and David Ogilvy.   They were the early influencers; i.e. the copy writers, and agents that created consumer advertising for Sulzberger, Chandler, Hutchins, Paley, and Luce.  They worked for founders of some of the most influential newspaper, radio, television and magazine outlets of the 19th and 20th centuries. They were the “gods” of a newly formed consumer society. Consumers read, watched, and listened to pitches for everything from votes to vitamins to the latest model Cadillac.  Wu shows pitches remain the same, but methods have changed.

DAVID HALBERSTAM'S SEMINAL WORK ON THE MEDIA INDUSTRY (PUBLISHED 1979)
DAVID HALBERSTAM’S SEMINAL WORK ON THE MEDIA INDUSTRY (PUBLISHED 1979)  Gone are many of the famed “…Attention Merchants” like Bill Bernbach, Neil French, and David Ogilvy.  They were the “gods” of a newly formed consumer society. Consumers read, watched, and listened to pitches for everything from votes to vitamins to the latest model Cadillac.

Today’s social, political, and economic consumers are recorded, manipulated, spindled, and controlled by “other gods”.  Modern “…Attention Merchants” are internet entrepreneurs like Amazon’s Jeff Bezos, Google’s Larry Page & Sergey Brin, Microsoft’s Bill Gates & today’s CEO Satya Nadella, Apple’s (now deceased) CEO, Steve Jobs & today’s CEO Tim Cook, Facebook’s Mark Zuckerberg, and Netflix’s Reed Hastings. Television, newspapers, radio, and magazines still capture our attention but not like past “…Attention Merchants”.  Old media are still with us, but computer screens and mobile phones have joined the mix.  Wu shows how the public’s decisions have become less volitional, more manipulated, and addictive as www. sites came into being and technology matured.

INTERNET LOGO
Old media is still with us, but computer screens and mobile phones have joined the mix.  Wu shows how the public’s decisions have become less volitional, more manipulated, and addictive when www. came into being and technology matured.

MARLBORO MAN
Neither smoking or “free” access to information is without harm or cost.  The Marlborough man is dead, and “free” internet information is not free.

Wu recounts how advertising became a critical part of early media’s power, influence, and profit.  Just as advertisers promoted false benefits of smoking in the 20th, internet advertisers promote false benefits of free access to information and entertainment in the 21st century.  Neither smoking or “free” access to information is without harm or cost.  The Marlborough man is dead, and “free” internet information is not free.  “Fake news” has always been in the “…Attention Merchant’s” tool box but Wu shows that a new dimension is created with the rise of “free” information technology.

The internet not only informs the public, i.e., it distracts society, distorts facts, and reveals intimate details of personal lives. Internet users become products, rather than just consumers. Information gathered on consumers is provided to government and sold to private enterprise.

More ominous than media distortion by capitalist manipulators is government-controlled media that distorts truth to justify the Ukraine war.
ukraine bombing

Personal information is used by governments, and private sector businesses to achieve their own purposes.  Power and control become centered on organizations rather than individuals.  Data mining is a new industry. Decisions are less determined by personal being and private belief.  Today, decisions are shaped by a society “under the influence” of government, and private sector’s “…Attention Merchants”.

data mining
Personal information is used by governments, and private sector businesses to achieve their own purposes.  Power and control become centered on organizations rather than individuals.  Data mining is a new industry.

facebook
In this Facebook age, there are few secrets about what one likes and what one is willing to pay for product.

Wu notes how today’s “…Attention Merchants” are different.  Advertisers have always tried to influence individuals.  Advertisers have always told lies or distorted truth to get buyers to buy and believe.  Wu explains the difference.  Now personal information is acquired with confused consent by users of the internet. In this Facebook age, there are few secrets about what one likes and what one is willing to pay for product.

Customers are no longer just consumers.  Wu notes customers have become products.  Customers are sold to the highest bidder without customer awareness or compensation.  Today’s “…Attention Merchants” argue that sales pitches are customized to what the customer wants.  Businesses rationalize access as the customer’s compensation.  Government rationalizes access as a way of staying in touch and understanding the public.  Wu implies both arguments are willful misrepresentations.

consumer's mind
Consumers have less control over their decisions because “…Attention Merchants” use intimate personal information to seduce conscious and unconscious motivation.

There is a cost to voters and consumers because personal information is being sold without pay for product that enriches “…Attention Merchants”, private enterprise, and government.  The product delivered is the personal information that reveals who we are, what we think, what we desire, and what we are willing to pay.  Consumers have less control over their decisions because “…Attention Merchants” use intimate personal information to seduce conscious and unconscious motivation.

The sinister aspect of Wu’s explanation is that “…Attention Merchants” now have tools that exaggerate the impact of “fake news”.  By knowing intimate beliefs of consumers, “…Attention Merchants” are able to create algorithms that funnel “fake news” that feeds what consumer’s may either accurately or inaccurately believe.  Prejudices and discrimination are reinforced.  The worst characteristics of political populism are reinforced.  “The Attention Merchants” expand control of individual thought so that the course of democratic elections, government policies, or business successes can be unduly influenced by false or misleading information.

wikipedia
The positive aspect of the internet is shown by sites created without advertising input; e.g. Wikipedia and some blogosphere creations abjure advertising as a source of compensation.

Wu notes there are glimmers of hope with a growing recognition of the impact of the internet. The internet broadens human understanding of the world. The positive aspect of the internet is shown by sites created without advertising input; e.g. Wikipedia and some blogosphere creations abjure advertising as a source of compensation.

Exposure of blind spots in acquisition of personal data are currently being exposed in congressional hearings with Facebook CEO, Mark Zuckerberg.  At the same time, Russian interference in American elections is being more seriously investigated.

As Marie Currie is to have said— “Nothing in life is to be feared.  It is only to be understood.  Now is the time to understand more, so that we may fear less.”  Of course, one might remember, she died from the radiation she received from her discoveries.  (Ironically, Marie Currie’s death was found not to be from radiation exposure.  In autopsy, her body radiation levels were within normal range.)

A CLASSIC’S TRUTH

Audio-book Review
By Chet Yarbrough

(Blog:awalkingdelight)
Website: chetyarbrough.blog

The Road to Serfdom

By Friedrich A. Hayek

 Narrated by William Hughes

FRIEDRICH AUGUST von HAYEK (1899-1992)

Hayek wrote “The Road to Serfdom” during WWII.  His observation was that Nazi Germany and its rise to power had a direct relationship with the growth of socialism, a belief that central planning and control are keys to national prosperity. 

Hayek suggests that America and Great Britain suffer a similar strain of belief.  He argues that central planning and control leads to totalitarianism.  “The Road to Serfdom” is a prescient vision of the dangers of socialism.

The dilemma of government is in drawing the line between central planning and public service. It is particularly complicated by what the intent of Article 1, Section 8 of the Constitution meant when it said a part of the purpose of government is to “promote the general welfare”

It seems common that authors of popular, sometimes classic, books are often interpreted by people who have not read them.  Authors like Harriet Beecher Stowe, Richard Wright, Ayn Rand, Vladimir Nabokov, and Friedrich Hayek are frequently commented on but content often becomes a surprise to actual readers.

Friedrich Hayek’s book is frequently lauded by American conservatives and vilified by American liberals. 

classic liberalism

In truth, Hayek is a seer for both ignorant American’ conservatives and liberals; i.e. Hayek is neither a spokesman for modern American conservatism or liberalism but a strong proponent of classic liberalism.

To be clear, today’s conservatism and liberalism are not defined in the same way Hayek defines them in his 1944 publication.  Liberalism in 1944 meant belief in freedom of choice and endorsement of laissez-faire economic principles.  1944 conservatism meant a rejection of the principles of equality with an aristocratic, “rank has privileges”, ideology.

subsidization
Contrary to Hayek’s conservatism, modern conservatives and liberals endorse subsidization of private enterprise.  Subsidization comes from tariffs, tax incentives, and other preferential treatment for private business and industry.

Principles of equality and laissez-fair economic principles are less doctrinaire in the 21st century because American political parties blur the difference.  Modern liberals are closely associated with government regulation and intervention but not necessarily laissez-faire principles. 

Modern conservatives are opposed to government in most forms of regulation and intervention, but only in principle; not in practice.  Modern conservatives, as well as liberals, endorse subsidization of private enterprise.  Subsidization comes from tariffs, tax incentives, and other preferential treatment for private business and industry.

JOHN MAYNARD KEYNES (1883-1946)

Contrary to a wide perception that John Maynard Keynes (a liberal economist in today’s parlance) denigrated “The Road to Serfdom”; Keynes, in fact, praised it.  John Maynard Keynes believed in government intervention when a state’s economy is in crisis.

According to Thomas Hazlett in the July 1992 issue of “Reason Magazine”, Keynes wrote “In my opinion it  (Road to Serfdom) is a grand book…Morally and philosophically I find myself in agreement with virtually the whole of it; and not only in agreement with it, but in deeply moved agreement”. 

Though Keynes praised “The Road to Serfdom”, he did not think Hayek’s economic’ liberalism practical; i.e. Keynes infers that Hayek could not practically draw a line between a safety net for the poor, uninsured-sick, and unemployed (which Hayek endorsed) while denying government intervention in a competitive, laissez-faire economy.

When businesses have an unfair advantage that denies competition, Hayek suggests government regulation is required.

GOVERNMENT REGULATION

Where modern conservatives get “The Road to Serfdom” wrong is where Hayek writes that government has an important role in a nation’s economy that goes beyond a simplistic notion of laissez-faire. 

Where modern liberals misunderstand “The Road to Serfdom” is where Hayek explains that freedom of choice is essential within the bounds of safe pursuit of economic success.  When human safety issues from uncontrolled industrial pollution threatens the safety of society (which most modern scientific opinion calls global warming) Hayek writes government intervention is necessary.

After listening to “The Road to Serfdom”, one cannot help but believe that Hayek would be as appalled by “private” industry’s greed in the 21st century. 

Hayek wrote that big business is not bad in itself but big business that fails to compete on a level playing field because of government subsidy, through tax concession and special treatment, should be regulated by government to ensure fair play.

REGULATING BIG BUSINESS
TRUMP AND CLIMATE CHANGE

In the face of overwhelming evidence to the contrary, Trump denies the reality of global warming.

One is compelled to agree with Hayek when he observes that government programs interfere with free choice when government officials create social programs they think are good for someone else.  Hayek is not saying that government should not care for the poor, work-disabled, or technologically unemployed.  He writes: “Where, as in the case of sickness and accident, neither the desire to avoid such calamities nor the efforts to overcome their consequences are as a rule weakened by the provision of assistance – where, in short, we deal with genuinely insurable risks – the case for the state’s helping to organize a comprehensive system of social insurance is very strong.” 

Hayek goes on to suggest that technological change that causes unemployment warrants government assistance.  The danger Hayek tries to make clear is that government interferes with free choice when social programs try to create false equalities.

BREAD LINES IN NEW YORK 1933
BREAD LINES IN NEW YORK 1933–Hayek is not saying that government should not care for the poor, work-disabled, or technologically unemployed. 

Hayek writes: “Where, as in the case of sickness and accident, neither the desire to avoid such calamities nor the efforts to overcome their consequences are as a rule weakened by the provision of assistance – where, in short, we deal with genuinely insurable risks – the case for the state’s helping to organize a comprehensive system of social insurance is very strong.”

Hayek is acknowledging a role for government.  The role is to regulate private enterprise in those areas where freedom of choice or equal opportunity is infringed upon. 

HEALTH INSURANCE
If insurance is not available to all in a land of prosperity, then government has a role in creating a program that will offer insurance to all. 

Hayek’s only caveat is that the insurance be offered as an affordable, free enterprise, and individual choice, not as an entitlement.

FREE TRADE IDEAL

Hayek opposes government programs that interfere with free competition among similar businesses. 

The weakness of Hayek’s argument is in idealization of humanity; i.e. human nature is that leaders in government and the private sector will drive for advantage.  In the case of one country, that advantage may theoretically be mitigated by impartial government regulation but, in a world of sovereign nations, power is inherently limited.

If China wants to subsidize steel exports, American options are limited to creating import tariffs that further distort market competition. This is the mistaken route that President Trump has taken. Further, Hayek’s idealization presumes that politicians cannot be bribed, human beings are not prejudiced, populations have an equal opportunity to succeed, and humanity is inhumanly perfect when left in a state of grace.

Hayek correctly points out the importance of money as a measure of success in a free society.  However, in today’s America, “Moneyocracy” has become an American form of government.  “Moneyocracy” is the aristocracy of the 21st century that elects public officials, denies equality of opportunity—for education, economic mobility, and employment.

GAP BETWEEN RICH & POOR

The gap between the rich and poor is widening by degrees that may bankrupt America because of an enlarging safety net for the old, the sick, the unemployed, and the unemployable.

 The field of competition for free enterprise is becoming more unequal.  Hayek observes that government intervention slips into socialism when free enterprise is artificially manipulated.  The fear is that America will begin looking for their Hitler to manage a sick economy.

Conservatives that rant against government regulation based on Hayek’s “Road to Serfdom” are as incorrect as liberals that argue Hayek wrote against social government programs for the poor, disabled, and unemployed.

DECRIMINALIZATION

Audio-book Review
By Chet Yarbrough

(Blog:awalkingdelight)
Website: chetyarbrough.blog

flowers in the blood

Flowers in the Blood: The Story of Opium

By: Jeff Goldberg, Dean Latimer, William Burroughs (Introduction

Narrated by Stephen McLaughlin

JEFF GOLDBERG (AMERICAN JOURNALIST, STAFF WRITER FOR THE ATLANTIC)
JEFF GOLDBERG (AMERICAN JOURNALIST, STAFF WRITER FOR THE ATLANTIC, & POLITICAL PUNDIT)

Published in 1981, “Flowers in the Blood” argues for decriminalization of opiates.  The idea remains controversial in 2018, and 2022.  Written by Jeff Goldberg and Dean Latimer, a listener feels misdirected by historical information.

DEAN LATIMER (WRITER FOR THE EVO, AKA EAST VILLAGE OTHER-WENT ON TO EDIT HIGH TIMES)
DEAN LATIMER (WRITER FOR THE EVO, AKA EAST VILLAGE OTHER-WENT ON TO EDIT HIGH TIMES)

The feeling of misdirection is reinforced by a languid, seemingly opiated, performance of the narrator, Stephen McLaughlin. It is not that one is seduced by Goldberg and Latimer’s writing, but a listener feels cornered in a room of opium eaters.  Goldberg and Latimer reveal how opium is extracted from a flower to offer a tranquil escape from life’s stresses, with a tantalizing peek at world clarity.  Opiate extraction seems simple; the consequence of use, not.

OPIUM POPPY
Goldberg and Latimer reveal how opium is extracted from a flower to offer a tranquil escape from life’s stresses, with a tantalizing peek at world clarity.  Opiate extraction seems simple; the consequence of use, not.
brave new world
Goldberg and Latimer argue that opiates enhance natural neurotransmitters, like endorphins, to reduce stress and depression caused by living life.  This argument reminds one of a “Brave New World” where every stress in life is characterized as negative.

Goldberg and Latimer argue that opiates enhance natural neurotransmitters, like endorphins, to reduce stress and depression caused by living life.  This argument reminds one of a “Brave New World” where every stress in life is characterized as negative.

Goldberg and Latimer note that refinement of opium into morphine and heroin increases its addictive power.  They extol the pleasure of opiates while cataloging its history of addiction.  Goldberg and Latimer reflect on opium’s effect in altering cerebral states of being.  Their argument seems counter intuitive.

They note its use by artists ranging from Charles Dickens to Elizabeth Barrett Browning.  They infer opiates enhance artist’s abilities.  They realistically identify opiates’ medical benefit, while exposing its potential for addiction.  Goldberg and Latimer suggest opiates enhance artistic sensibility, and temper sociopathic homicidal acts. They begin an argument for legalizing opiates.

OPIATE LEGALIZATION
Goldberg and Latimer extol the pleasure of opiates while cataloging its history of addiction.  Their argument is counter intuitive. They begin a defense for legalizing opiates.

Goldberg and Latimer argue that there are three options.  One, continue jailing narcotic purveyors and users.  Two, legalize opiates and let the free market determine use.  Three, decriminalize opiates and offer treatment to those who become addicted.

Their argument is for number three; they suggest number one (the American standard) is ineffective, and number two would be a disaster in the making.  Goldberg and Latimer argue that America should legalize and regulate opiates and treat those who become addicted.

DRUG TREATMENT AND COUNCILING
America regulates alcohol and tobacco, both proven addictions.  Alcohol and tobacco are regulated by the market, with education on their harmful effects and government taxation to increase prices that affects consumption.  Goldberg and Latimer argue that America should legalize and regulate opiates and treat those who become addicted.

America regulates alcohol and tobacco, both proven addictions.  Alcohol and tobacco are regulated by the market, with education on their harmful effects and government taxation to increase prices that affects consumption.  These regulations have had some success, but people still have the right to drink and smoke to excess.

The option of opiate legalization is troubling because it infers substituting inner-direction of human beings for other-direction by government.  It increases the potential of a “Brave New World” where human choice is no longer individual but collective.

DRUG USERS
Goldberg and Latimer point out that punishing the addicted with prison is a mistake.  Those who succumb to addiction need help; not punishment.

Goldberg and Latimer point out that punishing the addicted with prison is a mistake.  Those who succumb to addiction need help; not punishment.  One can readily accept that argument but opiate regulation by the government is a step too far.  This may be a distinction without a difference but Alcohol and cigarettes are still a private sector choice with government intervention (principally tax increases and education) based on political input.

PHILIP SEYMOUR HOFFMAN (1967-2014)
The loss of Seymour Hoffman in February 2014 was a tragic loss.  Hoffman dies at the age of 46, John Belushi at 33, Kurt Cobain at 27, Billie Holiday at 44, River Phoenix at 23; all from opiate overdoses.  If opiates were legalized, would these artists have been saved—who knows?

The loss of Seymour Hoffman in February 2014 comes to mind.  Hoffman dies at the age of 46, John Belushi at 33, Kurt Cobain at 27, Billie Holiday at 44, River Phoenix at 23; all from opiate overdoses.  If opiates were legalized, would these artists have been saved—who knows?  They chose addiction to escape the insecurity and stress of life.  Their choice is their choice.  Insecurity and stress are facts in every human’s life.  America’s failure is related to treatment, not government control of human choice.

WAR ON DRUGS
With treatment programs, the government will make the objective of addicting users a waste of manufacturer’s and seller’s time.  It may not eliminate illegal drug activity but it will make it less financially viable.

America needs to continue their fight against illegal opiate manufacturers and sellers.  Threat of punishment is not the key but reduction in profitability will drive illegal manufactures out of the market.  With treatment programs, the government will make the objective of addicting users a waste of manufacturer’s and seller’s time.  It may not eliminate illegal drug activity but it will make it less financially viable.  Addiction treatment programs and substance abuse’ education are legitimate roles for state governments.  Opiates should be subject to the same laws that presently govern drug research and development.

Unfortunately, “Flowers in the Blood” fails to nuance legalization of opiates.  It leans more toward influencing uneducated poor, educated middle class, and idle rich to experiment with addictive drugs.  Goldman and Latimer are on the right track with regulation and treatment of addiction, but their book encourages drug experimentation in a culture that needs no encouragement.  Stress is a part of life and being drugged into obliviousness diminishes humanity.

UNWINDING EXTREMES

Audio-book Review
By Chet Yarbrough

(Blog:awalkingdelight)
Website: chetyarbrough.blog

The Unwinding: An Inner History of the New America

By George Packer

Narrated by Robert Fass

GEORGE PACKER (AUTHOR)

GEORGE PACKER (AUTHOR) George Parker drives a stake into America’s heart in “The Unwinding”.

George Parker drives a stake into America’s heart in “The Unwinding”.  One listening to “The Unwinding” comes away in anger, fear, and frustration—whether a Republican, Democrat, Tea Partyer, or Libertarian.

Whether a believer in unfettered free enterprise or limited government, Packer offers stories that show America is a troubled land of opportunity. It has become a land of greed; not of the free but of the shackled—a risk noted by Thomas Hobbes in the “Leviathan”.

America is changing Presidents in 2021. Will anything change? Joe Biden represents a history of government organization and regulation. Donald Trump represents destruction of government organization and regulation. It seems a choice between compromise and anarchy.

The shackles come from society’s failure to protect individuals from the tyranny of special interests.  One side argues–free enterprise is shackled by too much government; the other side argues–not enough government protects the general public.

America’s initial response to the coronaviris illustrates how far America has fallen. “Dollars and cents” government supplanted “common sense” government in President Trump’s initial preparation for the covid 19 pandemic.

Parker’s stories of people with great wealth, like Sam Walton, or poverty, like Tammy Thomas, or escape from poverty, like Jay-Z and Oprah Winfrey, or invention, like Peter Thiel, Max Levchin, and Elon Musk, or political success, like Colin Powell and Barack Obama, or entrepreneurial ambition, like Dean Price, or political ambition like Jeff Connaguhton–all seem failures, either in morals or self-fulfillment.

Sam Walton becomes one of the wealthiest people in the world by creating a marketing behemoth that offers low consumer prices but drives small business entrepreneurs out of business. Walton offers great prices by buying in bulk and selling in volume with lower margins, partly produced by low wage workers.  On the one hand it is a bargain for the consumer; on the other hand it destroys competition and reduces family incomes.

AMERICAN MANUFACTURING JOBS

AMERICAN MANUFACTURING JOBS (Many lose their jobs when companies are purchased by conglomerates that dismantle the business, out-source product development, and reduce employment by offering buyouts to higher paid long-term employees–all to provide profits to investors.)

Tammy Thomas, born and raised in Youngstown, Ohio, worked in one industry for the majority of her life.  She lost her job when the company she worked for was purchased by a conglomerate that dismantled the business, out-sourced product development, and reduced employment by offering buyouts to higher paid long-term employees–all to provide profits to conglomerate’ investors.

JAY-Z

JAY-Z (BUSINESS MOGUL, ENTERTAINER)

Jay-Z and Oprah Winfrey overcame poverty and the degradation of living in squalid slums by capitalizing on their unique abilities and life stories, stories that reflect on the huge disparity between rich and poor. Born into poverty; they unquestionably achieved success for themselves, but left behind a population with poorer and poorer prospects of escape.

OPRAH WINFREY (AMERICAN MEDIA MOGUL)

OPRAH WINFREY (AMERICAN MEDIA MOGUL) 

Peter Thiel and Max Levchin capitalize on the tech boom.  Peter Thiel becomes a billionaire through entrepreneurial skill.  However, the consequence of market collapse from financial derivatives affects even Thiel’s wealth. Thiel remains in the privileged 1% but Parker infers Thiel turns his attention to dismantling American government with greater reliance on free enterprise.

Senator Jeff Connaughton experiences both sides of America’s schizophrenia. Connaughton began as a political operative, left government to become a millionaire lobbyist, and returned to government when the derivative crises reduced his net worth.

JEFF CONNAUGHGTON (US SENATOR, FORMER LOBBYIST, FORMER WHITE HOUSE LAWYER, AND SENATE AIDE FOR JOE BIDEN BEFORE 2009)

(US SENATOR, FORMER LOBBYIST, FORMER WHITE HOUSE LAWYER, AND SENATE AIDE FOR JOE BIDEN BEFORE 2009)

Connaughton’s reaction to the financial crisis differs from Theil’s, in part because of the monumental wealth difference, but also because of their different journeys to wealth. They equally revile the influence of money in government but Connaughton believes government regulation can be effective while Theil, a Libertarian, believes government regulation is the bane of democratic society.

Parker tells the story of Dean Price. Price, a young Republican turned Libertarian (though he voted for Obama) believes America is the land of opportunity.  He struggles, works hard, achieves success, fails, starts over, seems on the road to recovery, and fails again. Price buys into the American Dream by reading Napoleon Hill’s book “Think and Grow Rich”.  He believes–if he can dream it, it can happen.

DEAN PRICE (HALF OWNER OF RED BIRCH ENERGY)

DEAN PRICE (HALF OWNER OF RED BIRCH ENERGY)

Life choices get into Price’s way. His financial problems mount to the point of losing his ownership interest in Red Birch Energy.  Price files for bankruptcy and is faced with starting over.

Price experiences rising gasoline prices and buys into the bio fuel movement of the 21st century.  He starts a company called Red Birch Energy after selling a small fast food chain that he began from nothing. As a part of his original start-up, Price built a fuel discount truck stop on his family farm with one of his restaurants as an anchor.   He takes on partners for engineering and additional financing for bio fuel equipment and farmed canola grain for the production of bio fuel. With rising oil prices, turmoil in the Middle East, and Obama’s election, it appears Price is on the road to great success.

Price takes advantage of his partners by not fully explaining his conflicts of interest in using bio fuels in his own truck stop to stave off collapse of his personal business.  His financial problems mount to the point of losing his ownership interest in Red Birch Energy.  Price files for bankruptcy and is faced with starting over.

COLIN POWELL (AMERICAN STATESMAN-RETIRED FOUR-STAR GENERAL)

COLIN POWELL (AMERICAN STATESMAN-RETIRED FOUR-STAR GENERAL) Powell became the poster child of black Republicans, only to have his reputation destroyed by endorsement of false reports about WMD that compelled the United States to invade Iraq.

Obama’s reputation for change appears a lie as much as a truth.  Government decisions to let bank’ decision-makers escape prosecution galls every American damaged by the financial crises of 2007-2008.  Obama’s unwinding of the financial crises ultimately succeeded but greed remains an alloyed characteristic of American democracy.

PRESIDENT BARACK OBAMA

President Barack Obama (2009-2017)

Price brings his stories together in the “tea party” and “occupy wall street” movements.  The growing distrust of government and burgeoning anti-government beliefs raises hackles and stokes fires of two political extremes. The “tea party” movement wants less government regulation. The “occupy wall street” demonstrators infer they want more government regulation.  The extremes are exhibited as Libertarian on one side and Marxist on the other.

OCCUPY WALL STREET PROTES

Libertarians like Theil want to minimize government intervention in the private sector, including government control of education.  “Occupy wall street” followers want government intervention, subsidization of education, and universal health coverage to equalize opportunity for lower and middle class Americans.

“Tea party” followers want less government while “occupy wall street” factions what more effective and protective government. 

TRUMP'S WALL 2

American democracy is the politics of extremes with each extreme using whatever means necessary to deny success of prudent legislation.  The consequence is a “do-nothing” congress and an ineffectual President.

The unwinding of the financial crises in the dot-com bubble of 2000-2001 and the 2007-08 subprime mortgage crises unfolds in the many stories told by Packer in this disturbing narrative.  (America’s early response to the coronavirus is similarly disturbing.)

Rand Paul (Kentucky Senator)

A professed Libertarian delays emergency funds to fight the Covid-19 pandemic by demanding an amendment. The amendment is widely understood to be be voted down, but will delay approval.

America is a nation of extremes with each extreme using whatever means necessary to thwart or delay prudent action.  The initial consequence of these extremes is a “do-nothing” congress and an ineffectual President. 

One is left with fear, anger, and frustration after completing “The Unwinding”.  The only consolation is in America’s history of (somehow) overcoming crises. America has been in crises before–in 1776, 1789, 1865, 1929, 1941, 1951, 1967-68, 2001, and 2008.  We will survive the 2020 pandemic.