Is the goal of health care reform merely to save lives?

Is the goal of health care reform merely to save lives? If so, there are much better ways to do it than universal health insurance, as indicted by Daniel Akst in The Atlantic:

A new Harvard study estimates that lack of health insurance kills about 45,000 Americans annually, which is 2.5 times as many as the previous best estimate commonly cited in the health care debate. This is a big difference (27,000 additional lives). But it still pales in comparison with the more than one million Americans who die annually by their own hands--which they use to light cigarettes, lift forks and convey too many alcoholic beverages to their lips.

Continue ReadingIs the goal of health care reform merely to save lives?

Longitudinal study tells us what makes people happy

What makes people happy? On quite a few occasions, I've posted at DI with regard to ideas that I learned through reading various books and articles (a search for "happiness" in the DI search box will give you dozens of articles). What does that reveal about me, I wonder? Today, I had the pleasure of reading an extraordinarily thoughtful article on this same topic: "What Makes Us Happy?" by Joshua Wolf Shenk appears in the June 2009 edition of The Atlantic. You'll find an abridged edition of the article here. Shenk's article is anchored by the Harvard Study of Adult Development, the longest running longitudinally study of mental and physical well-being in history. It was begun in 1937 in order to study "well-adjusted Harvard sophomores (all male), and it has followed its subject for more than 70 years." The study was originally known as "The Grant Study," in that it was originally funded by W.T. Grant. Despite all odds, the study has survived to this day--many of the subjects are now in their upper 80's. Along the way, the study was supplemented with a separate study launched in 1937 dedicated to studying juvenile delinquents in inner-city Boston (run by criminologists Sheldon and Eleanor Glueck). You'll enjoy Joshua Shenk's work on many levels. He writes with precision, providing you with a deep understanding of the featured longitudinal studies. You will also enjoy his seemingly effortless ability to spin engaging stories (there are dozens of stories within his article) and his exceptional skill at crafting highly readable prose. I'm writing this post as a dare, then. Go forth and read Shenk's article and I guarantee that you will be thoroughly enriched and appreciative. The Atlantic also provided a video interview of George Vaillant, now 74, who since 1967 has dedicated his career to running and analyzing the Grant Study. As you'll see from Shenk's article, Vaillant is an exceptional storyteller himself. The Atlantic article, then, might remind you of one of those Russian dolls, and that is a storyteller telling the story of another storyteller who tell stories of hundreds of other storytellers. For more than 40 years, Vaillant has not only gathered reams of technical data, but he has poured his energy into interviewing the subjects and their families and melding all of that data into compellingly detailed vignettes of the subjects. Telling stories is not ultimately what the study was supposed to be about, of course, and Vaillant also tells us what those stories mean for the rest of us. Truly, what makes people happy? Vaillant offers answers that you will be tempted to immediately apply to your own situation. Vaillant has a lot to say about "adaptations," how people respond to the challenges they face in life. As a Shenk explains,

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Take a couple of deep breaths and then read this closely: it isn’t dangerous to use marijuana.

It is awkward for me to argue that adults have the right to smoke marijuana. Whenever I make this argument, I suspect that people think that my arguments constitute a thin and self-serving façade for my own personal desire to smoke marijuana.

I have never smoked marijuana, though, and have never desired to do so, even though I worked as a rock musician in the 70’s. I don’t know why I have never desired to use marijuana or any other street drug. Maybe it’s because I fear the loss of “control”—life is already a bit out of control, it seems. Perhaps I have been cowed by the existence of criminal laws prohibiting possession of even possession of small amounts. Nor do I smoke or drink. I try to find my personal high through things like talking with friends, exercising and by exploring ideas.

When discussing the potential legalization of drugs, personal prejudice and flimsy anecdotes have a way of driving the conversation. That’s why I wanted to say a few things about my own attitudes toward marijuana before preceding.

This topic of the illegality of marijuana arose at a gathering of acquaintances yesterday. For those opposed to legalizing marijuana I suspect that their main argument was that marijuana use is morally wrong. In “mixed company” (involving people for and against criminalization of marijuana), this moralistic argument is left unarticulated, however, because it is a rare day when a simple claim that something is “immoral” convinces anyone of anything. In such …

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Continue ReadingTake a couple of deep breaths and then read this closely: it isn’t dangerous to use marijuana.

Shhhhh . . . don’t mention drinking . . . . it just killed him that’s all –

We of "Cardinal Nation" here in St. Louis suffered the loss of relief pitcher Josh Hancock this last weekend. In case you haven't heard, he was killed when he crashed his SUV full-speed into the back of a tow-truck on the highway. The tow truck was stopped, lights blazing in…

Continue ReadingShhhhh . . . don’t mention drinking . . . . it just killed him that’s all –