Planning one’s death at the end of a long illustrious life

Conductor Edward Downes and his wife Joan decided to end their lives on their own terms:

He spent his life conducting world-renowned orchestras, but was almost blind and growing deaf – the music he loved increasingly out of reach. His wife of 54 years had been diagnosed with terminal cancer. So Edward and Joan Downes decided to die together.

Downes – Sir Edward since he was knighted by Queen Elizabeth II in 1991 – and his wife ended their lives last week at a Zurich clinic run by the assisted suicide group Dignitas. They drank a small amount of clear liquid and died hand-in-hand, their two adult children by their side. He was 85 and she was 74.

Many people feel that suicide necessarily cheapens one's life. In many cases, I don't agree. I do think that the choice of when and how to die belongs to each person individually, as long as the decision was not made impulsively or under the influence. If the day comes when I decide that I can't bear the pain, or that I no longer find joy in my life, I would hope that I wouldn't need to travel all the way to Switzerland because inter-meddlers think they know better than me about the meaning of my own life.

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Credit where credit is due

I've criticized President Obama for not keeping his campaign pledges to end the faith-based initiative and restore transparency to government, but when he does something right, I'll give him credit where credit is due. So, it's good to see him taking this unapologetically progressive stance on an issue where some reason is badly needed - the precautionary use of antibiotics in animals raised on factory farms:

The Obama administration announced Monday that it would seek to ban many routine uses of antibiotics in farm animals in hopes of reducing the spread of dangerous bacteria in humans. ...In written testimony to the House Rules Committee, Dr. Joshua Sharfstein, principal deputy commissioner of food and drugs, said feeding antibiotics to healthy chickens, pigs and cattle — done to encourage rapid growth — should cease. And Dr. Sharfstein said farmers should no longer be able to use antibiotics in animals without the supervision of a veterinarian.
Feeding massive doses of antibiotics to farm animals enables them to live in crowded, unsanitary and often inhumane conditions. It also encourages the evolution of antibiotic resistance to the dangerous bacteria that inevitably live inside them, and when those bacteria spread through the food chain to humans, the result is outbreaks of virulent, drug-resistant diseases. Having recently seen the movie Food, Inc., it's easy for me to appreciate how serious a threat this is. Antibiotic use, like fossil fuels, have promoted a dangerously unsustainable way of life in our culture. This first attempt may or may not make it past the powerful corporate food lobby - but kudos to the Obama administration for bringing it into the national consciousness in a bold way.

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Healthcare executive: Michael Moore’s Sicko was accurate

Wendell Potter, a former healthcare executive told Bill Moyers that Michael Moore's "Sicko" was on target. Potter agrees with Moore that there is a significant role for government in healthcare and that government systems such as Canada and Great Britain are successful, contrary to the vicious and dishonest spin by the American healthcare industry. Note: For 20 years, Potter was head of corporate communications for one of the country's largest insurers, CIGNA.

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Why are we getting so fat?

Why are we getting so fat? Elizabeth Kolbert answers that question in many ways in her article, "XXXL" in the New Yorker. Her answers come from the several new books on obesity that she reviews in her article. Here are some of her observations: - We have evolved a "taste for foods that are high in calories and easy to digest; just as it is natural for gorillas to love leaves, it is natural for people to love funnel cakes." Image by Willie Lunchmeat at Flickr (creative commons) -The only place pre-modern humans had to store energy "was on themselves. Body fat is energy-rich and at the same time lightweight" and "a person with a genetic knack for storing fat would have had a competitive advantage." It is too easy to eat high calorie food in the modern U.S. “We evolved on the savannahs of Africa,” Power and Schulkin write. “We now live in Candyland.” Or, consider David Kessler's approach, that are the victims of "eatertainment":

In “The End of Overeating” (Rodale; $25.95), David A. Kessler, a former commissioner of the Food and Drug Administration, takes a somewhat darker view of the situation. It’s not that sweet and oily foods have become less expensive; it’s that they’ve been reëngineered.

-There's bigger problems. We eat too much because we are oblivious to how much we are eating:

Brian Wansink’s “Mindless Eating” (2006). They have no idea how much they want to eat or, once they have eaten, how much they’ve consumed. Instead, they rely on external cues, like portion size, to tell them when to stop. The result is that as French-fry bags get bigger, so, too, do French-fry eaters.

-Kolbert points out that bagels have grown by 210 calories over the past couple of decades:

For someone who is in the habit of eating a bagel a day, these extra calories translate into a weight gain of more than a pound a month.

Who is gaining the most weight? "Those living just above the poverty level." What are the documented medical risks for being obese?

Type 2 diabetes, coronary disease, hypertension, various kinds of cancers—including colorectal and endometrial—gallstones, and osteoarthritis are just some of the conditions that have been linked to excess weight.

Kolbert's article is an excellent review of much recent research focusing on the causes of obesity and potential solutions.

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Fixing health care under the table

At Common Dreams, Bill Moyers and Michael Winslip explain that you won't see the way the health care debate is being resolved if you only spent time on Capitol Hill. No, it's much slimier than that:

Katharine Weymouth, the publisher of The Washington Post -- one of the most powerful people in DC -- invited top officials from the White House, the Cabinet and Congress to her home for an intimate, off-the-record dinner to discuss health care reform with some of her reporters and editors covering the story.

But CEO's and lobbyists from the health care industry were invited, too, provided they forked over $25,000 a head -- or up to a quarter of a million if they want to sponsor a whole series of these cozy get-togethers. And what is the inducement offered? Nothing less, the invitation read, than "an exclusive opportunity to participate in the health-care reform debate among the select few who will get it done."

If you are not one of the highly-monied invitees or the "select few," forget about the debate because, politically speaking, you amount to nothing at all. That's the process. Go tell that to all the grade school students who are being taught lies in their civics classes. They are being taught that this is a democracy, and that our government is ultimately responsible to all of those people who were not invited to that fancy dinner. As the authors, explain, this particular dinner was canceled only after a copy of the invite was leaked to the web site Politico.com. It was, after all, a big misunderstanding. This peak at how important bills are passed is not an isolated case. It reminds you that when Congress passed the Helping Families Save Their Homes Act, "the select few made sure it no longer contained the cramdown provision that would have allowed judges to readjust mortgages." Here's another example:

Everyone knows the credit ratings agencies were co-conspirators with Wall Street in the shameful wilding that brought on the financial meltdown. But when the Obama administration came up with new reforms to prevent another crisis, the credit ratings agencies were given a pass. They'd been excused by "the select few who actually get it done."

Shame on us. Shame on our leaders for following big business instead of leading.

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