What IS that new health care system that we are arguing about?

I've been wondering about this for months. What IS the new health care system that we are arguing about? How can I know if I'm for it or against it until I know what it is? That was one of the topics Bill Moyers discussed with his guests, Trudy Lieberman, director of the health and medical reporting program at the CUNY Graduate School of Journalism, and Marcia Angell, senior lecturer in social medicine at Harvard Medical School and former editor in chief of the New England Journal of Medicine.

TRUDY LIEBERMAN: [Barack Obama] has essentially advocated is throwing more money into the current system. He's treating the symptom and he's not treating the underlying cause of our problem. Our problem is that we spend two and a half times as much per person on health care as other advanced countries, the average of other advanced countries. And we don't get our money's worth. So, now he says, okay, this is a terribly inefficient, wasteful system. Let's throw some money into it . . . Into the same system. That's his problem. The other problem, in the press conference, was that he was trying to mobilize public support for a bill, and we don't know what that bill is.
Here's a big problem with the current system:
MARCIA ANGELL: Well, that goes to the cause of the problem. We are the only advanced country in the world that has chosen to leave health care to the tender mercies of a panoply of for-profit businesses, whose purpose is to maximize income and not to provide health. And that's exactly what they do.
Angell then strongly states that the system that Obama is apparently pushing doesn't change this sad situation, even though 2/3 of Americans prefer the Canadian-style single payor system. Is Obama going to change health care for the better? Angell says she's not optimistic:
But what I would say this time around, and now I am going to be very pessimistic, Bill. This time around, I don't think it's going to happen because of the power the pharmaceutical and insurance lobbies. I don't think it's going to happen. But I would rather see Obama go down fighting for something coherent and practical that the public could mobilize behind, than go down fighting for this amorphous plan that tries to keep these private insurance industry in place . . . Well, he will have to fight . . . I think he'll go down. I don't think he's grasped the nettle. And I don't think that even the best of the proposals that he is considering are going to be effective. And I worry about even the public option, because the power of the insurance industry is so great that I believe that they would use their clout in Congress to hobble the public option in some way.
What's the only solution? Angell says it forcefully:
I think we have to go for a single payer system. You could institute that gradually. You could do it state by state. You could do it decade by decade. You could improve Medicare. That is, make it nonprofit. But extend it down to age 55 and age 45 and age 35. It would give the private insurance industry a chance to go into hurricanes, earthquakes or something. To get out of the health business. It could be done gradually. I think that has to be done. And it's the only thing that can be done.
As always, Bill Moyers and his guests give you details and arguments that you won't find in most news sources.

Continue ReadingWhat IS that new health care system that we are arguing about?

U.S. visitor to Cuba begs to be arrested, but no dice

This from MSNBC: A U.S. citizen trying to challenge the ban on travel to Cuba on Friday bemoaned his inability to get arrested or cited — even after having his passport stamped in Havana and bringing back Cuban memorabilia.

And why is it, again, that we have an official ban on travel to Cuba? Are we afraid that we'll be attacked by Cuba? I know that we're edging toward easing up on that travel, but why not just get rid of the ban.

Continue ReadingU.S. visitor to Cuba begs to be arrested, but no dice

This is why I don’t enjoy the though of going to city council meetings

Have you ever gone to a local government meeting where citizen input was invited and it made you wonder about whether democracies are good ideas? As I watched this woman's speech (to the Santa Cruz California City Council) on Reddit.com, I wondered whether it would ever occurred to her that she'd be more effective if she had command of any facts or if she performed a coherent analysis before standing up and talking. I don't mean to pick on her too harshly. She seems sincere. This does remind me of many government meetings where ill-informed citizens dominate. This is the price to pay, though, if you want to give well-informed citizens a chance to talk too. These are only excerpts from the woman's full speech. Therefore, this a very patient city council, indeed.

Continue ReadingThis is why I don’t enjoy the though of going to city council meetings

But is it still live music?

Back when I was in high school and college, I played the guitar and sang backup for my band. We called ourselves "Ego," and described ourselves as a "jazz-rock" band. There were eight of us, including a brass section--this splits the take rather painfully--but it was intensely satisfying for 18 and 19-year-olds to earn paychecks playing tunes by Chicago and Blood Sweat and Tears. I only sang a couple songs lead—I hid behind two incredibly talented singers who did most of the vocal work. The attached photo is Ego performing back in 1974. ego Since then, we've all gone on to pursue careers as such things as an engineer, teacher, letter carrier and lawyer (though our percussionist/lead singer, Charles Glenn, continues to make a living as a singer in the St. Louis area). Fast forward to 2009. I would love to play music with other musicians again, but I have a day job and a family (and a blog). It would be extremely difficult to arrange for rehearsals that didn't interfere with my many other obligations. I've recently started picking up my guitar to play and sing. It’s not sounding all that bad, and I’m starting to consider performing for others again. [BTW--I had a scary episode where my left hand became numb cause by a pinched nerve in my neck. After surgery, the feeling in my hand is returning nicely, which probably explains my renewed interest in playing music again.] I've never thought of myself as a singer, but I thought that I would have a much better chance of getting a solo gig if I learned to sing rather than just playing the guitar. Therefore, I recently took a singing lesson from Leslie Sanazaro, from whom I learned that my breathing was all wrong, a condition that can reportedly be remedied by doing exercises that would look and sound rather silly to anyone other than a singing teacher. Leslie advised me that my pitch is okay but that I need to get out there and get some confidence. She said that the best way to get confidence is to go out and sing in public, over and over. That's easy to say, of course. If you are not enamored with your voice, though, it is a daunting task. It brings back memories when, in the second grade, every student was required to stand up in front of the class and sing a song (my voice trembled and my knees knocked as I sang “Ooey Gooey Was a Worm"). And even when I can sing a couple short songs that sound half-decent, I've noticed that in extended sessions, my voice grates on me. The fears that I'm experiencing are common, according to Leslie. She sent me this caveat by email: "Don't get too burned out on your own voice, it's the only one there is!" My quest is thus to go out with a guitar and sing songs. It's something that I intend to do within the next month or two at an open mic session at a local bar or coffee shop. Not a big deal, perhaps. But my voice and my guitar make for such a tiny band, nothing like that eight-piece jazz rock ensemble that I surrounded myself with when I was a young musician. Are there other ways to spruce up my little band without collaborating with other musicians? Yes, indeed, there are many reasonably-priced options, but these options raise issues about the authenticity of one's "live" performance. For purists, there is no substitute for an acoustic guitar and an un-amplified voice. That's how I often practice at home. Over the years, however, various devices have been offered to musicians which make performances less pure, acoustically speaking. We are all now familiar with electronic amplifiers for voices and guitars. Those of us who like the acoustic sound can amplify it by sticking high-tech pickups into our acoustic guitars. I use a Fishman brand "Blend" pickup in my guitar, which combines a piezo microphone with a tiny acoustic microphone, giving you impressive control over the sound. Even when it is amplified substantially, the guitar still sounds "acoustic." So what else can you do to enhance the sound of a guitarist/singer?

Continue ReadingBut is it still live music?

Words you’ll never hear in the Canadian health care system

From Daily Kos, here's a long list of words you'll never hear in the Canadian health care system. They include:

"Out of network" COBRA Co-Pay Pre-existing condition. uninsurable profit recission
Additional note via Open Left:
By an overwhelming margin, Canadians prefer the Canadian health care system to the American one. Overall, 82% said they preferred the Canadian system, fully ten times the number who said the American system is superior (8%).
And consider this challenge to the GOP by Rep Anthony Weiner (via Michael Moore):

Continue ReadingWords you’ll never hear in the Canadian health care system