Snoring: The Upshot

Google "snoring" and you'll get a flood of how-to advice on how not to, and a lot of reasons to stop. Not surprisingly, the majority of links recalled were advertisements for devices, medications, surgical maneuvers, and their purveyors. In today's pharm-centered universe, the vibration caused by air traveling through our airways has been pathologized and vilified as the destroyer of otherwise sound relationships. Not only is it bad for your love life. Snoring is deadly! According to snoring alarmists, snorers who have the audacity to continue sleeping noisily can look forward to myriad cardiovascular disorders including heart attacks, atherosclerosis, and stroke, marital and erectile dysfunction (chicken-or-the-egg?), drowsiness, lack of focus and...Zzzzzzzzz. Admittedly, I'm no doctor, but let me suggest that there are some positive effects of snoring (besides the possibility that it keeps you healthy by means of temporary asphyxiation). It's a much cheaper and more effective method of subjecting those around you to intense jealousy ("Please, please, make him stop so I can lose consciousness ASAP") than, say, buying a pair of Jimmy Choos. Then again, I don't usually begrudge those masochists the pain of walking around... But I digress. If you would rather not invest in a medical solution, you could try banishing the banshee by learning a new instrument. You guessed it: the Didgideroo! Ah, it's time for bed. Maybe the lumbering Saint Bernard downstairs will give it a rest so I can, too.

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How to have a conversation about health care reform

I commend the way that Al Franken engaged with these tea party folks recently: Watching this video makes me ever more suspicious that the media is driving unnecessary conflict (on health care reform and on everything else) in order to sell ads. It seems much easier to talk when the media isn't around spewing sound bites and featuring angry extremists, instead of focusing on the many ways we actually agree with those with whom we "disagree." I couldn't take my eyes off of the woman who tried to start the conversation in a contentious way. I kept wondering whether her views on Al Franken were shifting given the impressive way he discussed the issues surrounding health care reform.

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Government-Hating: An American Value

G.O.P. Chairman Michael Steele made a few remarkably in-your-face comments recently about the health care debate. Here, in his own words, is pretty much where he thinks the nation is going, why it shouldn't go there, and what the Republican Party stands for. This morning on NPR he tangled with Steve Inskeep, in particular over this. One quote in particular caught my eye: " Simply put, we believe that health-care reform must be centered on patients, not government." When you listen to the NPR interview it's clear that we're hearing another in the now decades-long tirades against the government which has become the hallmark of Right Wing politics in this country. In this country, in theory, the government is supposed to be us, the people. We elect our representatives, we tell them how we want them to vote, we change our minds, we are supposed to be in charge. In theory. Obviously, the reality is far from that. For one, we are not a full-fledged democracy, we are a republic, and while we elect those who operate the machinery of the republic on our behalf, we do not have a direct say in the running. Nor could we, really. it is simply too complex. We send our representatives to the various points of departure---state capitols, Washington D.C., county seats, city halls---to do that for us because it is a big, complex, often indecipherable melange of conflicting goals, viewpoints, and problems. We do not have the time to pay the necessary attention to do that work ourselves, so we pay people to do it for us. So why do we distrust it so much? Well, because we distrust each other.

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An army of 50,000 highly motivated citizens condemning health care reform

Who are all of those outspoken citizens attending the town hall meetings where health care reform is ostensibly being discussed? The Raw Story reports that 50,000 of them are not simply concerned citizens:

A spokesman for America’s Health Insurance Plans, the industry’s trade group, admitted in an article published Monday that as many as 50,000 industry employees are involved in an effort to fight back against aggressive healthcare reform . . . “The health-insurance industry is sending thousands of its employees to town-hall meetings and other forums during Congress’s August recess to try to counter a tide of criticism directed at the insurers . . . Employees of the health insurers have also been given talking points . . .
Question: Who is more motivated to show up and speak up at public meetings concerning health care? A) Ordinary citizens or B) Employees of health care insurers who are being PAID to show up and who are being provided talking points? The obvious answer is B), and they are contaminating discussions from coast to coast. The bottom line is that what is going on is not honest spirited debate out at town halls. Rather, what we are being subjected to is corrupted debate, to match the corrupted debate inside of Congress, where six highly paid health care lobbyists are assigned to each member of Congress, as reported by the LA Times:
Every one of those 534 members of Congress now has six (6!) lobbyists working on them -- and that's just for healthcare. A total of 3,300 lobbyists have registered to drive the sizzling healthcare issue in Washington -- three times the brigade of lobbyists representing the entire defense industry.
It makes you want to throw up your hands (and sometimes, just throw up), thinking that we are sending sheep to the wolves whenever we hope that regular folks would be able to make as much focused noise on the topic of health care reform (and especially health care insurance reform) against financially motivated and highly-trained armies who are not attending these meetings to do anything other than advocate the pre-determined positions of their employer corporations and to prevent any meaningful discussion. Based on what I am reading and hearing, the presence of these highly vocal and highly biased participants is all the worse because they aren't identifying themselves as such at public hearings. In most things, we ask people of bias to identify themselves, because we should downplay the positions of biased people, because they are less trustworthy. They should be impeached for their positions of biased, the way we impeach biased witnesses in courtrooms. But there is no practical way to identify these financially motivated people at town hall meetings. They are presenting themselves are neutral ordinary citizens when they are anything but. For me, this "health care" debate is increasingly turning into a question of how (or whether) we are able to have any meaningful national discussion where one of the sides is financially powerful. This is especially a concern where investigative reporting is disappearing (but thank you, LA Times).

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George Lakoff offers some framing tips to the Democrats re health care reform

Linguist George Lakoff is asking how a man who did such a marvelous job campaigning for President has stumbled so often on the issue of health care. Lakoff thus wrote an article offering some a list of language/framing advice to the Democrats. Here's the foundational concept:

The list of what needs reform makes sense under one conceptual umbrella. It is a public alternative that unifies the long list of needed reforms: coverage for the uninsured, cost control, no preconditions, no denial of care, keeping care when you change jobs or get sick, equal treatment for women, exorbitant deductibles, no lifetime caps, and on and on. It's a long list. But one idea, properly articulated, takes care of the list: An American Plan guarantees affordable care for all Americans. Simple. But not for policy wonks.

The policymakers focus on the list, not the unifying idea. So, Obama's and Axelrod's statements last Sunday were just the lists without the unifying institution. And without a powerful institution, the insurance companies will just whittle away at enforcement of any such list, and a future Republican administration will just get rid of the regulators, reassigning them or eliminating their jobs.

According to Lakoff, Obama needs to break out of his wonkish way of talking about health care. He is mistakenly operating on the principle of "policy speak":

If you just tell people the policy facts, they will reason to the right conclusion and support the policy wholeheartedly.

Lakoff argues that "policy speak" is a big mistake. Mere facts don't win arguments. Rather, the facts need to make sense to people, resonate with them and inspire them to act. Here's Lakoff's version of what should be Obama's basic message:

Insurance company plans have failed to care for our people. They profit from denying care. Americans care about one another. An American plan is both the moral and practical alternative to provide care for our people.

The insurance companies are doing their worst, spreading lies in an attempt to maintain their profits and keep Americans from getting the care they so desperately need. You, our citizens, must be the heroes. Stand up, and speak up, for an American plan.

Lakoff has lots of specifics. For instance, remind Americans that health care is a patriotic duty. Highlight the phrase "doctor-patient care." Deny that the insurance companies care; rather, they clearly communicate that insurance companies make money by depriving us of care. Hammer the phrase "insurance company bureaucrats." Tell Americans that their health care premiums are "private taxes" levied by insurers. Remind Americans that health insurers "govern our lives." Talk about the "failure" of insurance companies. The "villainizing of real insurance company villains should have begun from the beginning. George Lakoff is asking how a man who did such a marvelous job campaigning for President has stumbled so often on the issue of health care. Lakoff thus wrote an article offering some a list of language/framing advice to the Democrats. Here's the foundational concept:

The list of what needs reform makes sense under one conceptual umbrella. It is a public alternative that unifies the long list of needed reforms: coverage for the uninsured, cost control, no preconditions, no denial of care, keeping care when you change jobs or get sick, equal treatment for women, exorbitant deductibles, no lifetime caps, and on and on. It's a long list. But one idea, properly articulated, takes care of the list: An American Plan guarantees affordable care for all Americans. Simple. But not for policy wonks.

The policymakers focus on the list, not the unifying idea. So, Obama's and Axelrod's statements last Sunday were just the lists without the unifying institution. And without a powerful institution, the insurance companies will just whittle away at enforcement of any such list, and a future Republican administration will just get rid of the regulators, reassigning them or eliminating their jobs.

According to Lakoff, Obama needs to break out of his wonkish way of talking about health care. He is mistakenly operating on the principle of "policy speak":

If you just tell people the policy facts, they will reason to the right conclusion and support the policy wholeheartedly.

Lakoff argues that "policy speak" is a big mistake. Mere facts don't win arguments. Rather, the facts need to make sense to people, resonate with them and inspire them to act. Here's Lakoff's version of what should be Obama's basic message:

Insurance company plans have failed to care for our people. They profit from denying care. Americans care about one another. An American plan is both the moral and practical alternative to provide care for our people.

The insurance companies are doing their worst, spreading lies in an attempt to maintain their profits and keep Americans from getting the care they so desperately need. You, our citizens, must be the heroes. Stand up, and speak up, for an American plan.

Lakoff has lots of specifics. For instance, remind Americans that health care is a patriotic duty. Highlight the phrase "doctor-patient care." Deny that the insurance companies care; rather, they clearly communicate that insurance companies make money by depriving us of care. Hammer the phrase "insurance company bureaucrats." Tell Americans that their health care premiums are "private taxes" levied by insurers. Remind Americans that health insurers "govern our lives." Talk about the "failure" of insurance companies. The "villainizing of real insurance company villains should have begun from the beginning. I recommend reading Lakoff's entire article, which is detailed, and thoughtful."

Continue ReadingGeorge Lakoff offers some framing tips to the Democrats re health care reform