Straight talk and statistics regarding HIV

According to epidemiologist Elizabeth Pisani, a bizarre type of "rationality" dictates our state and national policies regarding prevention of HIV. Her frank talk is both entertaining and filled with counter-intuitive facts. Listen to what she has to say about providing needles to addicts and then call your legislators. Well worth your while.

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The magic and the power of music

Back in the 1970’s, when I was 17, I assumed the role of co-leader of a St. Louis 8-piece jazz-rock bank we called “Ego.” It was great fun (you’ll find a photo here). We learned a lot about performing music and we learned even more about people. I loved playing music back then—it unleashed something in me, something ineffable. Five years later, though, I was fully absorbed with law school, because I had come to the conclusion that I needed to have a stable career. I made this choice assuming that I could always play music on the side. But then I became a lawyer, a career that is a demanding mistress. Over the years, there was always something else that had to get done, much of it law-related, so I haven’t played much music for the past few decades, not until this past year. During the past year, I’ve been working hard at becoming a better guitarist, and there’s no better way to do that than by practicing an hour every day. That’s what I used to tell hundreds of guitar students during the nine years that I taught lessons. I told them to practice every day and that they would see dramatic results, guaranteed. It’s absolutely true. I’ve also worked hard to improve my singing over the past year. I never considered myself to be a singer, though I occasionally sang. Over the past six months, I’ve received a few voice lessons from local musician Leslie Sanazaro, and more recently a lesson from Charles Glenn, the other co-leader of Ego, whose talents are well-recognized in Saint Louis. I shouldn’t have been surprised by the result of putting time into music again. My guitar chops have improved dramatically. I am now a better jazz player than ever before. My voice is now something that no longer embarrasses me; I now see my voice as an instrument that has the ability to command at least as much attention as my guitar playing, and I’ve worked hard to shape my voice to mesh with various types of tunes. [caption id="attachment_11977" align="alignright" width="300" caption="Image by clearviewstock at Dreamstime.com (with permission)"]Image by clearviewstock at Dreamstime.com (with permission)[/caption] Last week was a benchmark of sorts. I performed at the Culinaria, a downtown grocery store for three hours. I was joined for thirty-minutes by an excellent violinist named Stephanie To, but the remainder of the three-hour session consisted of me playing the guitar and singing (pop, jazz and folk). Since that performance, I was invited to sign up to perform two additional gigs, and there are several others in the works at local Saint Louis establishments. I am now feeling that once again I can honestly and proudly claim that I am a “musician.” It was ironic that after making music a significant part of my life again, I came across Yusuf Islam’s DVD, Yusuf’s Café. Islam, formerly known as Cat Stevens, is an extraordinary musician (songwriter, guitarist, pianist and vocalist) who rebelled against the pace, the superficiality and the artificiality of life (his lyrics were autobiographical in these regards). As a result of this mismatch back in the late 70’s, he jumped from his then-hectic world into a much simpler world permeated by the Islamic faith, a world where his family and his God were priorities. For almost thirty years, Yusuf Islam had been under the belief that the Islamic faith did not allow the performance of his type of music, so he totally gave it up. He didn’t even own a guitar.

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Our bad food is as addictive as cocaine

Slate reports:

A new study published in Nature Neuroscience suggests that high-calorie, high-fat foods may be just as addictive as cocaine and heroin. "When rats consume these foods in great enough quantities, it leads to compulsive eating habits that resemble drug addiction, the study found," Health.com reported.

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What Healthcare Reform REALLY Does For Us

In an historic vote late Saturday evening, the US House passed into law the Patient Protection and Affordable Care Act on a mostly party line vote of 219-212. The Act will be made into law (the bill passed by the US Senate 60-39) upon signature by President Obama. On Tuesday, March 23, 2010, President Obama signed the bill into law in a ceremony attended by members of Congress, the US Senate, staff and an 11-year old advocate of healthcare reform who had lost his mother to cancer. There’s been a lot of confusion and misinformation spread about the bill as to what it contains and when certain aspects of the legislation go into effect. The terms of the new law were discussed in impressive clarity by Rachel Maddow and Barney Frank. See also, this article from the New York Times. As of March 23, 2010, consumers will be entitled to the following: - Tax credits go to small businesses for buying health insurance for their employees, and; - The so-called “doughnut hole” for seniors under Medicare Part D (drug) coverage is going; if you’ve reached the total for 2009, you will be immediately sent a rebate check of $250.00, and; - Pre-existing conditions will no longer be allowed for denials of health insurance coverage on new policies issued, and; - States will be required to maintain their existing Medicaid and children’s health insurance coverage based on policies currently in effect. While states can expand their programs, they are not allowed to cut back on eligibility and are not allowed to put in place any paperwork requirements that would make it harder for people to sign up for coverage, and; Freestanding birth centers” are now eligible for Medicaid payments, and; - Another provision that appears to take effect right away is an expansion of Medicare to cover certain victims of “environmental health hazards,” which was aimed specifically at the town of Libby, Mont. - A requirement that the secretary of health and human services establish criteria “for determining whether health insurance issuers and employment-based health plans have discouraged an individual from remaining enrolled in prior coverage based on that individual’s health status.” On April 23, 2010, - The secretary of health and human services must post on the Internet “a list of the authorities provided to the secretary under this act.” In June, 2010, - High Risk Insurance pools open to cover those with any pre-existing conditions (June 1, 2010),; and - The Secretary of HHS must “develop a standardized format to be used for the presentation of information relating to coverage” — so that consumers have a more understandable way of comparing health benefits — like medical, surgical, hospital and prescription drug coverage — offered by private insurers (June 23, 2010). On September 23, 2010, - Children may not be excluded from any coverage because of pre-existing conditions, and; - Insurers will not be allowed to deny coverage because you get sick (so called “rescissions”), and; - No more lifetime limits on coverage or benefits allowed, and; - Children are covered under your policy, if you want, until age 26. [more . . . ]

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Victory at what cost?

I'm on Lawrence Lessig's mailing list. Here is an excerpt from an email he sent today, which you can read at Huffpo:

However good, however essential, however transformative this health care bill may be, we should not mistake success here as a sign that Washington has been cured. Indeed, as Glenn Greenwald reminded us over the weekend -- in an essay that should be every reformer's required reading -- success on this bill is no justification for:

claiming that it represents a change in the way Washington works and a fulfillment of Obama's campaign pledges. The way this bill has been shaped is the ultimate expression -- and bolstering -- of how Washington has long worked. One can find reasonable excuses for why it had to be done that way, but one cannot reasonably deny that it was.

Obama's victory was achieved because his team played the old game brilliantly. Staffed with the very best from the league of conventional politics, his team bought off PhRMA (with the promise not to use market forces to force market prices for prescription drugs) and the insurance industry (with the promise -- and in this moment of celebration, let's ignore the duplicity in this -- that they would face no new competition from a public option), so that by the end, as Greenwald puts it, the administration succeeded in "bribing and accommodating them to such an extreme degree that they ended up affirmatively supporting a bill that lavishes them with massive benefits." Obama didn't "push back on the undue influence of special interests," as he said today. He bought them off. And the price he paid should make us all wonder: how much reform can this administration -- and this Nation -- afford?

Another thing: As Greenwald noted in his excellent article, to get this bill passed Obama used "the exact secret processes that he railed against and which he swore he would banish."

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