Friday, March 12, 2010

narrative of the 'other'

This article is about a prominent Palestinian lawyer, Elias Khoury, who has incurred significant losses from both sides of the Israeli-Palestinian conflict. His family lost 750 acres of land when the Israeli government confiscated it for "security reasons" and he lost members of his family in two different Palestinian terrorist attacks.

The Palestinian terrorists who "accidentally" killed his son apologized saying that they assumed he was a Jew. That is such a completely meaningless apology to hear in response to such loss. I suspect this is what shook Mr Khoury's identity so much that he began to see the Palestine/Israel conflict as a deep-seated misunderstanding of "the narrative of the other" as he calls it.

Amazingly, he is able to work with an Israeli author to publish in Arabic an autobiography that has emotional ties to the founding of the nation of Israel. He hopes this story will increase awareness and openness in communication between the two groups. I'd go so far as to say that his story can inspire openness and understanding between any opposing groups.

Here is a much more inspired and insightful article about Mr Khoury:

Wednesday, October 28, 2009

living proof

From livingproofproject.org:

Investments in global health are achieving real, demonstrable results. These investments are saving lives, preventing and curing disease, and helping people to escape from poverty.


The Living Proof Project is a multimedia initiative intended to highlight successes of U.S.-funded global health initiatives. By reporting success stories back to the people who funded them - American taxpayers and their representatives - we hope to reframe the current global health conversation.




At first when I heard about this, I have to admit I was more than a bit skeptical... seeing as my last post exclaimed how "european" I feel, this "Living Proof Project" seemed something like American propaganda: "Ooooh, look at how much money America can spend on foreign aid!" If anything, it was just a diversion away from all the typical news of how high our federal budget deficit is, or how much money we spend on war/military each year...

However, last night I saw a talk given by Bill and Melinda Gates about this project, and it was being advertised by the ONE campaign, which I am a member of. Now, just to be clear, the fact that a technology guru was giving the talk wasn't enough on its own to sway me: I'm first a linux fan, and a Mac user, and lastly I have to support Windows because it's my job.

But after watching/hearing what the Gates' had to say, I felt something pretty unusual... I actually felt a little bit better about being American! And sadly, if I understood what they were saying correctly, even though America only gives about 1% of our federal budget to foreign aid (and only about .22% goes to Global Health initiatives, like vaccines/medication), that is still more than what Europe gives. As the wealthiest nation, the USA has stepped up its foreign aid, and that has been followed by increased giving in other "first world" countries. So at least that is something.

More importantly, I did grow to appreciate that even with as little as we do give to Global Health issues, an impact is being made, as the video above summarizes.

Monday, September 28, 2009

feeling european...

So I don't know how most people get the news - on the internet, reading a real newspaper, watching TV news, via twitter, etc - but I enjoy the feeling of sitting at a table with a cup of coffee and reading a real newspaper. With that said, I usually have quite a stack of newspapers to get through, and I'm usually reading news that is several days to a week old. Interestingly, I recently read that an Amish newspaper called "The Budget" has been doing quite well despite the recession because Amish folks hold the same value of not needing the most up-to-the-minute news and reading the paper version.

Anyway, the main reason for my post tonight is to rant yet again against "stupid" politics. Healthcare reform. I'm for "universal" healthcare in the sense that I do want to have the healthcare industry regulated and accessible to all people (reduced medical costs, reduced premiums, limits on out of pocket expenses, no denying or dropping coverage because of a health condition).

I just read an article from last week's Thursday LA Times that talks about how Congress isn't willing to consider limiting premiums because that "would be meddling too much in the private sector." That's upsetting, because Congress is considering legislation that will require everyone to have insurance and pay those increasing premiums... which won't solve anything because the difference between what the poor can afford and what industry is charging in premiums will just come from tax payer funded subsidies.

while states have long supervised what companies charge for mandated automobile and homeowners insurance, the idea has been largely banished from the healthcare debate.

Nor are lawmakers seriously considering any proposals to regulate what doctors, hospitals, drug makers and other healthcare providers charge -- a strategy used by several European countries to control healthcare spending.

In those systems -- some of which, like the United States, feature a blend of private insurers and government programs -- the government sets prices that providers charge to everyone.


I suppose it'd only be fair at this point to add that I'm a dual citizen of the US and Sweden. So I do have a certain bias toward the more socialist model...

Saturday, September 05, 2009

Newsweek: Why Obama Should Learn to Love "The Bomb"

A growing and compelling body of research suggests that nuclear weapons may not, in fact, make the world more dangerous, as Obama and most people assume. The bomb may actually make us safer. In this era of rogue states and transnational terrorists, that idea sounds so obviously wrongheaded that few politicians or policymakers are willing to entertain it. But that's a mistake. Knowing the truth about nukes would have a profound impact on government policy. Obama's idealistic campaign, so out of character for a pragmatic administration, may be unlikely to get far (past presidents have tried and failed).


Essentially, the article makes these points about the impact of nuclear weapons on countries that have the technology:
  • there hasn't ever been a war between two nations that possess nuclear weapons.

  • "Why fight if you can't win and might lose everything?" - No one goes to war thinking they are going to lose. Nukes make the cost of war obvious, and assuming no one has a death wish, you aren't going to attack a country that might fight back with nukes.

  • we've had 64 years of "nuclear peace: the virtually unprecedented stretch since the end of World War II in which all the world's major powers have avoided coming to blows." - smaller wars have erupted, but none on the scale of WWII.

  • the Cuban Missle Crisis in October 1962 ended with both the United States and the Soviet Union backing off when they realized "it's impossible to win a nuclear war"

  • since India and Pakistan acquired nuclear weapons in 1998, their behavior toward each other had dramatically mellowed.

  • Nuclear weapons are so controversial and expensive that only countries that deem them absolutely critical to their survival go through the extreme trouble of acquiring them.

  • terrorists "with no return address" won't get the chance to use nukes because nuclear weapons are too valuable to allow them to fall into the wrong hands, and Washington has said it will treat a terrorist use of nuclear weapons the same as if the country that provided the nukes had used it.

  • apparently nuclear weapons are very complex to both maintain and operate, and they can be easily dismantled. so even if a terrorist regime did obtain nukes, it wouldn't be able to use them on their own.



The article then makes these suggestions that we should focus on instead of worrying about nuclear disarmament:
  • "the logic of deterrence works only if everybody knows who has a nuclear arsenal and thus can't be attacked. So the United States should make sure everyone knows roughly who has what, to keep anyone from getting dangerous ideas."

  • "the United States should put more effort into advancing 'nuclear forensics,' an emerging discipline that would allow scientists to trace any nuclear device exploded anywhere, by anybody back to its manufacturer and point of origin"

  • So called "second strike" technology that would allow an attacked country to fire back would further deter any attack in the first place.

  • Lastly, Washington should continue to offer assistance to secure nuclear weapons once acquired. This involves both technology and training to make sure the weapons are maintained and guarded safely to prevent theft or accidental launch. This should be offered to both allies and enemies alike, since in this aspect helping our enemies really means helping ourselves.


I certainly don't agree with all the points in this article, but I do like the fact that it took a more realistic perspective on the issue: nuclear weapons aren't going anywhere anytime soon. We live in a nuclear world, so lets look at it and at our best options.

Wednesday, August 12, 2009

a realistic, affordable plan for universal healthcare (not an oxymoron)

I'm no expert in politics, legislation, hospital administration, or any of the other areas that would probably help make this statement more valid, but I want to believe it anyway: universal healthcare should be feasible, without having to go with a government-run plan. The LA Times ran a story titled "Doctor has common-sense fixes to healthcare crisis" which tells the story of a Glendale surgeon, Dr Paul Toffel, who thinks he has a pretty good idea of what just might work.

If Toffel were the healthcare czar, he would dump the "50-state patchwork" of private insurance programs that can't cross state borders and switch to competing national plans that would be required to take all comers, with no exemptions for preexisting conditions.

Then he would reinstate federal regulations abandoned in the 1980s that limited insurance companies' fees. Freedom from those limitations, Toffel believes, was part of what caused healthcare to shift from its mission of treating the sick to the business of printing money.

Toffel would also move away from employment-based healthcare, with companies paying higher salaries, instead, so employees can shop for a suitable plan and carry it with them from one job to the next.

On point four, Toffel would cap frivolous malpractice suits across the nation, as California did many years ago.
...
If Toffel were king, every teaching hospital in the nation would have but one mission -- treating the uninsured residents of its own community, as County-USC has done.

If there's a publicly funded component to Toffel's plan, it's that such schools would be subsidized as necessary with grants and a variety of federal, state and local funding.


For the last bit about how to help the uninsured, there is a great example of what could be happening on a broader scale called RAM, Remote Area Medical. They are providing free healthcare (regular checkups, dentistry, vision, mammograms, etc) to 1,500 people a day for 8 days in Los Angeles. If a non-profit can do it, surely teaching hospitals should be able to do it inexpensively too, right?

Anyway, I was encouraged to read about this.