On Obama’s health care reform speech

Last night, President Barack Obama delivered a speech to a joint session of Congress with a boldness and clarity that I think has been lacking since the end of his campaign.  His address laid out his proposals for health care reform in clear, concise language. He clobbered the atrocious lies and distortions that have been spread in the media lately as well as the anti-reform ideologues that started them. He also achieved the important goal of framing health care reform as a moral issue, and as a fundamental economic security issue:

“Put simply, our health care problem is our deficit problem. Nothing else even comes close.”
                                            -President Barack Obama

The address was also masterful political theater, clearly crafted to assert the President’s authority before the assembled chambers of Congress on the issue which may define his presidency.  Even reform opponents played their part in the spectacle: at a moment in his speech when Obama clearly asserted that his health care proposals would explicitly exclude coverage for undocumented immigrants, the traditionally quiet decorum of the event was punctuated by South Carolina Republican Rep. Joe Wilson, who loudly shouted “You lie!” at the president. President Obama could not have illustrated the vapid thoughtlessness of health care reform’s enemies any better than that.

Now, while I certainly found much to commend in the president’s speech, it wasn’t all rainbows and whiskey.  As a progressive who favors a single-payer health care system, I can’t say that I agree with all of President Obama’s proposals.  In particular, I feel that private, for-profit health insurance companies represent a fundamental conflict of interest between investors’ expectation of profit and patients’ need for medical care.  Obama is pushing for new laws that will limit insurance companies’ strategies to maximize their profit, which appears to be a nuanced, measured compromise — but in practice, it will be the federal government that bears the burden of enforcing these laws, and that means it will take time for insurance companies to comply with the new laws. We can nearly rest assured that their compliance will be grudging and constantly in search of loopholes. Put simply, the new laws Obama proposed would not fully resolve that fundamental conflict of interest.  I realize that Obama’s proposals are a political and practical solution rather than an ideal one, and I encourage everyone to support any legislation that accomplishes the goals he set.  My criticism is only meant to serve as a reminder that the fight for equity, fairness, compassion, and justice in the U.S. health system will not end with the passage of health care reform. I think that Bad Astronomer Phil Plait expressed a similar point regarding Obama’s education speech on Tuesday very well, and with all due tribute, I will repost the image here that he used to do so:

Back from Canada, soon Back to School

This fall, I’m going back to school.  I’d been weighing options for graduate school and finally determined that my best prospect for getting into a good ethology/zoology PhD program would be to get a B.S. in Biology first.  My first bachelor’s degree was a B.A. in Anthropology from the University of Maryland-College Park; I focused on biological anthropology, but I decided I need more experience in research methods and applied math to really hack it as a doctoral candidate.  So, I’m about to embark on what will probably be at least a ten-year-long odyssey of learning and hard work before getting that Piled-higher-and-Deeper piece of paper.  I couldn’t be happier about it, however, because I’ve always dreamed of spending my life in the pursuit of scientific advancement, even if the work is tedious, repetitive, unrecognized, and doesn’t pay well.

On another note, C and I just returned from our vacation to Niagra Falls and Toronto, Ontario.  The falls were even more amazing than I remembered from a short visit around age 8.  And what a great city Toronto is!  It’s too bad I got a nasty virus (influenza or something similar) and spent much of the time suffering through fever, aches, congestion, cough, and fatigue – but we still managed to ascend the CN Tower, ride Segways, and catch a Blue Jays game among other things.  I’d certainly go back there again when I have more time and better health.  I’ll conclude this post with a few pictures from our Canadian excursion.

Niagra Falls, viewed from the American side

Niagra Falls, American Falls, illuminated at night

Toronto city center at night

Celeste & I rode Segways through Toronto's Distillery District

The CN Tower, the tallest free-standing structure in North or South America, illuminated at night.

View of Toronto from Skypod, perched 447 meters up on the CN Tower.

“It is time for us to lead once again”

I regret having just set a personal record for the longest period of time between posts.  But let’s forget about that right now, because today there are a couple BIG events to talk about.

Swine flu: Having very recently mutated to allow human/human transmission, it has already spread around the globe, leading to fears of a global pandemic.  To be fair, I think the mainstream news media have been doing more to fan the flames of fear (while sanctimoniously denying any intent to do so) than the flu itself.  As of this evening early Tuesday morning, only 40 50 cases had been reported inside the United States, and not a single fatality. CDC laboratory tests thus far indicates that the infection responds well to antiviral drugs such as oseltamivir (Tamiflu) and zanamivir (Relenza), which are being stockpiled in a number of states.  Maryland has already opened a swine flu command center right in my home city of Baltimore, in anticipation of likely infections occurring in the Baltimore-Washington metropolitan area.  CDC lab tests have also indicated that the other two FDA-approved antiviral drugs for flu, amantadine (Symmetrel) and rimantadine (Flumadine), are ineffective against the swine flu.  Both oseltamivir and zanamivir are neuraminidase inhibitors, which work by blocking the action of the viral neuraminidase protein.  This is the protein on the surface of influenza viruses that allows it to be released from the host cell in the process known as “budding.”  Amantadine and rimantadine are both M2 protein inhibitors, drugs whose mechanism of action involves blocking the ion channel that removes a virion’s coating and releases its genetic content into the cytoplasm of the host cell.  It is worth noting that poultry farmers in China used amantadine to guard againt the H5N1 avian flu in chickens, an ill-advised practice (H. sapiens as an agent of natural selection!) that has led to the abundance of influenza strains resistant to amantadine.

It’s too early yet to tell whether the swine-flu fatalities in Mexico will be seen here in the United States or elsewhere around the world, but we probably won’t have to wait very long to find out.  As the eccentric chaotician Ian Malcolm said in Jurassic Park, “life finds a way” – we had better work hard to ensure that it’s human life that finds a way this time.  If you’re wondering what you can do, look at this guide on the US Department of Health and Human Services’ PandemicFlu.gov website.  And, of course, you can follow the CDC’s swine flu updates on Twitter.

In that vein, I lastly want to commend President Barack Obama, who, speaking today before the National Academy of Sciences, made a remarkable (and badly needed) commitment to the advancement of American science. After describing how the current swine flu emergency should remind us of the necessity of science, and among many breaks for applause, Obama said:

I believe it is not in our character, the American character, to follow.  It’s our character to lead.  And it is time for us to lead once again.  So I’m here today to set this goal:  We will devote more than 3 percent of our GDP to research and development.  We will not just meet, but we will exceed the level achieved at the height of the space race, through policies that invest in basic and applied research, create new incentives for private innovation, promote breakthroughs in energy and medicine, and improve education in math and science.

That’s why I campaigned for this guy. Let’s all make sure we hold him to this promise.

Reading List

I’ve decided I need to kick my reading into high gear, after realizing it’s been quite some time since I actually finished any new books.  So for inspiration, I compiled a brief sample list of books that I want to either read or re-read.  The ones followed by an asterisk I have already read at least partially.  This list is in no particular order – seriously.  I’d gladly welcome any comments, reviews, or recommendations.  Thanks to C for suggesting Stiff and to mobius for suggesting Godel, Escher, Bach.  If I actually complete this list, I’ll finally buy myself a telescope.  That sounds like a good bargain, right?

Godel, Escher, Bach: An Eternal Golden Braid by Douglas R. Hofstadter

The Evolution Of Compassion by Robert Axelrod*

Stiff by Mary Roach

The Lives To Come by Philip Kitcher*

The Third Chimpanzee by Jared Diamond

An Anthropologist On Mars by Oliver Sacks*

In The Shadow Of Man by Jane Goodall

The Double Helix: A Personal Account Of The Discovery Of The Structure Of DNA by James Watson*

Monster Nation by David Wellington*

The Demon-Haunted World: Science As A Candle In The Dark by Carl Sagan*

The Red Queen: Sex And The Evolution Of Human Nature by Matt Ridley

Bad Astronomy by Philip Plait

What would a Barack Obama administration do for science?

So I was (again) reading over Barack Obama’s campaign press release about his plans to promote scientific research and education, and there’s a lot to like in there. Obama is aggressively in support of expanding federally funded embryonic stem cell research. So much has been said about that topic that I am not going to go into it right now, but to be clear: that’s a 180 degree reversal from the Bush administration policy on stem cell research. I also had not been aware already that Obama helped write and was an original cosponsor of the Minority Health Improvement and Health Disparity Elimination Act, which hopefully will become law after the current criminal administration is sent packing. The whole text of the bill is in the last link, but the Obama press release describes it thus:

The bill puts new emphasis on disparity research by reporting health care data by race and ethnicity, as well as socioeconomic status and health literacy. The legislation outlines mechanisms to conduct educational outreach to minorities, increase diversity among health care professionals, and improve the delivery of health care to minorities.

If we’re going to have national health care, this sort of thing is critical and taxpayers should actually be demanding it! Preventative medicine is always cheaper than treating ailments and disease, and the potential benefits of a healthy population go far beyond the lower cost of health care (increased economic productivity, decreased poverty, decreased crime, decreased drug abuse, the list is endless).

What really turns me on the most about Obama’s priorities, though, was this part of the document:

Improve and Prioritize Science Assessments: Assessments should reflect the range of knowledge and skills students should acquire. Science assessments need to do more than test facts and concepts. They need to use a range of measures to test inquiry and higher order thinking skills including inference, logic, data analysis and interpretation, forming questions, and communication. High-performing states like Connecticut, Maine, New Hampshire, and Vermont, use an assessment that calls for students to design and conduct investigations, analyze and present data, write up and defend results. Barack Obama will work with governors and educators to ensure that state assessments measure these skills.

I cannot overemphasize how crucial that is! American science education is fast becoming a joke on the international level. With rare exceptions, I was not taught how to use inference, logic, or data analysis in the public high school system, and I went to a half-decent public high school—ten years ago! Most inner-city and some rural schools are far worse. Prioritizing how to think over what to think is the key to producing bright, engaged, and enthusiastic students who actually get what science is all about and are well prepared to hit the ground running when they find the field of science that really inspires them. After I finish graduate school, to the extent possible, I’d like to be involved in changing American science education. One dream I have is to work for Eugenie Scott and the National Center For Science Education, which does great work defending public school curricula against religious zealots who try to force intelligent design into the science classroom. I donated $10 to them to offset the damage done when I bought a ticket to Ben Stein’s disgusting crock-umentary Expelled: No Intelligence Allowed. If you ever doubt the sniveling academic dishonesty of I.D. proponents, watch that film (download a pirated copy off the internet, please) and read how well the good people who made ExpelledExposed.com eviscerate just about every claim the film makes.

So, having veered just a bit off topic for a moment there, I’ll try to bring this back to the Obama science plan and wrap it up. From what I’ve read, I am cautiously optimistic that a Barack Obama administration would be a very science-friendly one. I think he doesn’t go quite far enough in emphasizing the need for interdisciplinary physical, chemical, and biological systems research. He also needs to use that generic science document better to tie into other large issues that are addressed elsewhere on the campaign website, and which I haven’t yet had time to peruse. I hope to post in the near future my thoughts on Obama’s proposed energy and environmental policies, and his position on NASA (as well as contrasting these with those of John McCain). For the rest of tonight, though, I would be glad just to get enough sleep so as not to be a total zombie at work tomorrow. I haven’t quit my day job yet; the blogging doesn’t have me rolling in benjamins yet like I hoped it would

For now, I’ll leave you with this video from a few weeks ago when my favorite artist and role model Dr. Greg Graffin was presented with the Lifetime Achievement Award in Cultural Humanism by the Harvard Humanist Chaplaincy. It’s got him playing a few acoustic Bad Religion songs as well as talking about the award and why he prefers the label “naturalist” versus “atheist.” Wish I could have been there for this!

Space Shuttle Discovery launches.

I just watched the space shuttle Discovery launch from Kennedy Space Center on tv a few minutes ago. It was pretty. Sorry I didn’t let you know about it in advance, I wasn’t keeping track of the launch schedule very well.

It’s a nice, cool day in Baltimore after some thunderstorms passed through the area. Here comes June! My birthday’s in two weeks… holy shit, I’m getting old faster and faster.

Insomnia.

I suffer from insomnia. I won’t bore you with the clinical details, but it sucks. I like sleeping. Just wish I did it more. I’d probably try medication, but I fear dependence.

Six is the only hour upon a clock face I don’t usually see the small hand pass twice a day.