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The New Neo

A blog about political change, among other things

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In which Michael Moore proves his ignorance to be abysmal

The New Neo Posted on April 22, 2020 by neoApril 22, 2020

I never considered Michael Moore to be a mental giant. But I always thought he was a basically intelligent person, and certainly one who’s smart about manipulating facts to make effective propaganda films.

But he seems until recently to have been ignorant of the most basic – and I mean basic – scientific principles, by his own admission:

Moore said that he, like many people, thought electric cars were a good idea, “but I didn’t really think about where is the electricity coming from?”

“I assumed solar panels would last for ever. I didn’t know what went into the making of them,” Moore added, referring to raw materials, including quartz, and the fossil fuels needed to manufacture the panels.

Excuse me, excuse me, excuse me but – WTF?

I’m no engineer nor am I a physicist. But I did take high school physics. And although I have forgotten far more than I remember of that course, it doesn’t even take high school science to understand certain facts about energy that, if memory serves, were well-learned by 6th or at the latest 7th grade.

Rather simply put, energy has to come from somewhere. It isn’t magic. Does Moore not have any curiosity whatsoever? Could he, like, maybe do a search for the answer to a question for which he doesn’t have an answer? But to do that, a person has to be asking the question. A person has to “really think about where is the electricity coming from.” Or maybe just think about it at all.

As I already said, I’m no scientist. But even seven years ago, when I wrote this post, I had encountered what we might call the Michael Moore theory of electric cars. Here’s what I wrote back then:

I am convinced that a certain not-insignificant percentage of people believe that electric cars don’t have any environmental effects at all — that they run on magic or they run on air, and that electricity comes out of the wall socket in some mystical process that doesn’t need to be considered in the equation.

Yes, indeedy.

A day or two ago I was talking to a friend about COVID and when on earth we might be allowed to resume semi-normal lives. She mentioned that some official (I wish I could remember who it was) mentioned that from now on – meaning, indefinitely – airplanes would need to have six feet between passengers. I chuckled and asked how long the person thought airlines could remain economically viable if that continued. After all, it takes a lot of money (and energy) to fly a plane. She seemed startled by the question and had no answer. But it was clear to me that the issue had never even occurred to her. And she’s ordinarily a very intelligent person.

[NOTE: I used to really like reading the blogger Steven den Beste, back when I first discovered blogs. He gave up blogging long ago, and died a few years ago, but some of his work is still online. He dealt with the problem of energy production/conversion/usage in many of his posts. Here’s one I found just now, written in 2002. I don’t have time to reread it at the moment to check it out, but I recall being impressed by a lot of his work back when I first read it.]

Posted in Science | Tagged Michael Moore | 66 Replies

A figure we need to know…

The New Neo Posted on April 22, 2020 by neoApril 22, 2020

…is the percentage of COVID-19 deaths that involve very debilitated people in nursing homes.

Some states are releasing those numbers, although even then they tend to not be easily accessible – for example, Minnesota, which Scott Johnson of Powerline writes about here:

One had to stay tuned in to the briefing’s last few minutes for data I can find nowhere else. Of the 160 deaths to date in Minnesota, 113 are associated with long-term residential care.

That’s over two-thirds. And how many of the rest are people who don’t just have one of the listed co-morbidities – some of which are very common – but are people who have many extremely serious health problems although they are not in facilities?

We need to know, in order to evaluate our own risks as states slowly start to open up.

As a person over sixty myself, with one very common pre-existing condition, I live a basically normal life and would like to go back to it ASAP. But if my risks are high, I will desist. I’d like the tools to know, at least statistically speaking, how high my risks might really be. I know that each case and each person is different, and even young healthy people can be killed by this nasty virus, but figures can help gauge relative risk and I want the right to look at them.

If anyone can find overall figures on this, or something that indicates a lot of states are releasing that information and what it is, please let me know. But in the absence of the availability of such information, I can’t help but suspect that the government powers that be fear that if we knew the true figures we might get too sanguine about the whole thing and defy their orders.

I don’t think I would. I’m a naturally cautious person. But I think we all have a right to know at this point, because by now the health authorities have gathered enough information to give us some valid statistics on it.

[ADDENDUM: I was in a hurry when I wrote this post, and I meant to add – but neglected to add – that an even more important figure for us to know would be the death rate and case fatality rate (two different things) for people in each decade of life, and in particular the death rate and case fatality rate for people in each decade of life with each pre-existing condition and also with various combinations of them.

Plus, I’ve written before about another thing I really really want to know. Without it, those charts of pre-existing conditions are meaingless:

Yes, the disease kills a lot of very debilitated extremely elderly people in nursing homes, the same group that has a high death rate every year from “ordinary” seasonal flu. But COVID also seems to kill younger old people in fairly high numbers, and those with rather common pre-existing conditions such as obesity, asthma, cancer, diabetes, heart disease, and hypertension.

At least, that’s what we’ve been led to believe so far. But it’s not easy to get good statistics. For example (and I’ve mentioned this before) a lot of people over 60 have one or even several of those conditions. Are we just talking about age being the real factor? Are people over 60 with those conditions dying in higher percentages than the frequency of the conditions in the general over-60 population?

For example, in this NY chart helpfully provided by reader “JFM,” it lists co-morbidities and their percentage in each age decade of COVID deaths. Seems helpful, at first glance. But without knowing what percentage of people with COVID (not deaths from COVID, but COVID cases) are in each decade to begin with – and therefore whether those with each co-morbid condition are more likely than people of the same age without it to die of the disease, and without being able to compare those figures to the percentage of people in each age group in the general population who also have that co-morbidity, the statistic is nearly meaningless.

Let’s just take people in their 70s. You can see from the “Fatalities by Age Group” chart that there have been 4070 COVID fatalities in NY who were in that decade of life. That is about 26% of the total fatalities in the state. But it would be helpful to know what percentage of the general NY population is in that age group.

Then, when you go to the chart titled “Top 10 Comorbidities by Age Group,” you can see that in that same decade the number of people dying of COVID who also have hypertension is 2,537. That would be about 62% of the total number of deaths of people in their 70s in NY. Sounds like an awful lot had hypertension, doesn’t it?

After a quick look for figures in the general population for that age group and hypertension, I came up with this, from US figures from 2013-2016:

Percent of noninstitutionalized persons with hypertension (measured high blood pressure and/or taking antihypertensive medication) (2013-2016)

Men aged 65-74: 61.1%
Men aged 75 and over: 67.4%
Women aged 65-74: 67.4%
Women aged 75 and over: 78.7%

See how high those figures are, as well? Based on that, it doesn’t seem to me that the figures for COVID deaths in that age group are higher than in the general population. And those general hypertension figures for people in approximately that age group are for noninstitutionalized people, whereas the COVID death figures include institutionalized people, whom one might imagine would be more likely to have at least one of the listed co-morbidities.

And that’s not even getting into the number of people with other pre-existing conditions as well. The NY chart provides no information on that. I added up all the figures for comorbidities among those in their 70s (quickly; hope I didn’t make an error) and got a figure of 8157, which is approximately twice the number of people in that age group who died of COVID. So obviously a lot of people who died of COVID in NY have more than one pre-existing condition.

This could all be expressed on the chart, because I am assuming the information exists, but that hasn’t been done. And yet that site is one of the very best I’ve seen.]

Posted in Health, Science | Tagged COVID-19 | 69 Replies

I’m starting to think that Joe Biden’s VP pick will be Michelle Obama

The New Neo Posted on April 22, 2020 by neoApril 22, 2020

The only limiting factor is whether she’d accept – in other words, whether she wants the job.

And by “Joe Biden’s pick” I mean Biden or whoever is handling him, which in part may be Barack Obama.

I have long completely resisted the idea that Michelle Obama will be the 2020 Democratic nominee, although others have insisted it’s a good possibility. I have never seen her as wanting the job. And I initially thought the Democratic base would be too angry to accept any substitutions. But the VP position under Biden is different. I’m starting to think that she could be talked into it, in order to save the party and her husband’s legacy, and with a promise that she’d be somewhat of a figurehead for her more experienced husband, who would be the one really steering the ship.

I usually reject such convoluted ideas unless they are extremely plausible. But once it became clear that Biden was the candidate the DNC wanted, as the most “electable” without being an outright and declared socialist, and as Biden’s cognitive limitations would become more and more obvious, I started to consider that Michelle might actually decide to save America from both Trump and Biden by becoming Biden’s running mate.

Everyone would know she was the “real” candidate, and Biden a place-holder. She wouldn’t have to compete with any other person except Pence. She has tremendous popularity. She’s a woman (Biden has said it must be a woman) – in fact, she’s a black woman, which is even better. She would double, triple, or quadruple whatever positives Biden gets from his long partnership with Obama. And it doesn’t involve any controversial shenanigans at the convention. Biden, who has the most votes, would be the candidate, and the candidate ordinarily gets to pick his running mate, who is not limited to those who dropped out of the original race.

Obama himself is still popular, and although he’s not able to run for president himself, I don’t think he’s been happy at relinquishing the reins of power. He still has some power with his party, but I will assume it’s a given that he wants more, and with his wife as president (or shadow president) he would have it. His much-touted legacy would be intact. His old advisors could come back and they could reverse whatever Trump has done, and build on it.

It could be a very seductive prospect indeed for Michelle and Barack Obama, and that would go a long way towards explaining why the DNC has been so eager to have Biden as candidate, and why the Democrats and most of the left are still protecting him. I don’t know whether it will happen. But the only wild cards in the mix would be whether Michelle Obama would accept the Biden offer, and whether enough Americans are nostalgic for another Obama go-round that they would vote for the ticket.

Hillary Clinton was going to continue along Obama’s path in 2016, till that plan was cruelly thwarted. But perhaps it was only delayed for four years, and the Democrats have come up with a plan to reinstate an even better version of it.

Sorry to be a downer. But it’s become something I feel is plausible enough that I need to talk about it.

Posted in Election 2020, Politics | Tagged Barack Obama, Joe Biden, Michelle Obama | 75 Replies

Trump temporarily suspends immigration

The New Neo Posted on April 21, 2020 by neoApril 21, 2020

Some of the details are coming out during his press conference, occurring right now.

I’ve been watching for about fifteen minutes. Trump seems very sharp, and the MSM grandstanding seems somewhat reduced compared to a while back.

In addition, a deal seems to have been reached on small business relief.

There’s so much news happening each day that I can only begin to scratch the surface. But you can talk about whatever you want in the comments here.

Posted in Uncategorized | 25 Replies

The 2020 presidential race: whither Joe Biden

The New Neo Posted on April 21, 2020 by neoApril 21, 2020

Joe Biden continues to be in line to become the Democratic nominee, although I have no idea whether he will actually be the candidate the party officially picks. I continue to blink in disbelief that he ever got as far as he has. But he was a good party player and Obama saw his utility as a VP who would toe the line and bring supposed “experience” to the ticket, and that’s why he’s the Democratic frontrunner today.

Now, though, Biden is 77 years old and fading – fading from a peak that was never all that high in terms of functioning. I’ve said before that even when I was a Democrat I felt he was a mediocre (at best) self-serving blowhard. Now he’s a faded one. But almost everyone I know would vote for him if he happens to become the nominee, because they hate Trump and would vote for literally anyone who opposed him.

So it’s almost futile to try to figure out Biden’s appeal (although I will proceed to try in the remainder of this post), because he doesn’t need to have any appeal at all except for the “D” after his name. The MSM will prop him up, the Party will pretend he’s playing with a full deck, and half (or nearly half?) of America will vote for him.

Biden has always been two things: very ambitious, and what might be called a schmoozer: someone who knows how to talk to people in a friendly way, especially to get what [he] want[s]. Hail fellow well met demeanor, with a core of nastiness underneath. If you look at Biden’s Wiki entry, especially the early years, you may be struck (as I was) by three things.

The first is a lack of academic interest or ability (which in my book does not necessarily mean a person is not intelligent or capable). The second is a tremendous ambition to go into politics and rise very high indeed. And the third is a history of plagiarism. Here are some quotes:

Academically, [in high school] he was a poor student but was considered a natural leader among the students and elected class president during his junior and senior years…

He earned his bachelor’s degree in 1965 from the University of Delaware, with a double major in history and political science, graduating with a class rank of 506 out of 688. He impressed his classmates with his cramming abilities, and played halfback for the Blue Hens freshman football team. In 1964, while on spring break in the Bahamas, he met and began dating Neilia Hunter…He told her he aimed to become a senator by the age of 30 and then president…

During his first year [at Syracuse Law School], Biden was accused of having plagiarized five of 15 pages of a law review article. He said it was inadvertent, because he did not know the proper rules of citation. He was given an F and required to retake a course. This incident was cited in 1987, when plagiarism accusations arose during his first run for president. Biden received his Juris Doctor in 1968, graduating 76th of 85 in his class.

Right from the start you have the themes of affability and ambition, as well as lack of academic interest and abilities and the willingness to cheat (or abysmal ignorance of what the rules were). And yet, here he is and here we are.

One curious point is that Biden is a teetotaler, and for much the same reasons as Trump:

Negative impressions of drinking alcohol in the Biden and Finnegan families and in the neighborhood led Biden to be a non-drinker.

I think having two lifelong non-drinkers running against each other for president is somewhat unusual.

[NOTE: Odd that Biden (or someone handling him) has decided to try to attack Trump for being too soft on China. Only someone who already detests Trump or who literally knows nothing about his attitude towards China would buy that. What’s more, Biden is extraordinarily vulnerable to the same charge coming back at him, and it’s far more likely to stick. Even Peter Beinart at the Atlantic doesn’t think this is a smart move on Biden’s part.]

Posted in Election 2020 | Tagged Joe Biden | 33 Replies

Will New York be the comeback kid?

The New Neo Posted on April 21, 2020 by neoApril 21, 2020

One opinion in the NY Times:

The very features that make New York attractive to businesses, workers and tourists — Broadway, the subway system, world-class restaurants, and innumerable cultural institutions — were among the hardest-hit in the pandemic. And they will take the longest to come back. Half of the hotels in the city are not operating, and with no reliable forecast for when tourists might return, many may stay shut. Nearly the same portion of the city’s smallest businesses — some 186,000 shops employing fewer than 10 people — could fail, city officials fear.

A lot of people hate New York and would say “good riddance.” I have a much more personal stake – many of my relatives and friends still live there. It’s my home town, although for reasons that remain somewhat mysterious to me I knew in my gut early on that I probably wouldn’t settle there for my adult life.

And yet I still enjoy – enjoyed? – visiting, which I usually do several times a year. I understand why so many people I know still live there. It’s the energy, the availability of almost every world-class cultural thing you might want, and the “if you can make it there you’ll make it anywhere” mentality. Quite a few people from my youth have “made it” there, and from where I sit they’ve led rich full lives loaded with activities (work and play), family, culture, and friends.

Will it continue? The first line of the article is:

It took just a matter of days to shut down New York City, once the coronavirus took hold. Restarting it will take much, much longer.

Well, duhhh. Of course it will. But the question no one can answer is: how long? The article contains this quote:

“I don’t think the New York that we left will be back for some years,” said Gregg Bishop, the commissioner of the city’s small businesses agency. “I don’t know if we’ll ever get it back.”

I don’t know either. And you may not care, but New York is part of this country’s lifeblood and if it falls into some sort of ruin I think you may come to care more.

But here’s my guess. I don’t think anything ever comes back in exactly the same form. So there will be changes, and certainly some businesses will die. But I also believe that the following will happen within the next year: several treatments will be found to be quite effective and this will decrease fear of the disease, more people will become immune (particularly in a city as hard hit as NY) and the disease’s incidence will die down, and a vaccine will be developed (see this for a discussion of the slow pace of the mutation rate and the fact that it is unlikely to impede vaccine production).

And I believe that when that happens there will be huge burst of renewed energy, and New York will be one of the beneficiaries. People will be happy to congregate again, and they will be unafraid – until the next frightening pandemic. If that comes soon, all bets are off. But chances are nothing big will come for quite a while, and perhaps (accept on the “perhaps”) we’ll be more ready.

I’m basing my opinion on what I called – in 2005 – “the forgetting”:

Stranger still is the lack of common knowledge about the 1918-9 influenza epidemic that disrupted most of the world (with the exception of Africa and South America) at the same time WWI was ravaging Western Europe. It was an event medieval or even Biblical in its apocalyptic scope. How many people died worldwide? Estimates vary, but the most conservative state that the death toll was 25 million. Other estimates go much higher, up to 70 million or even 100 million. And, as this transcript from a fascinating PBS documentary on the pandemic relates, “As soon as the dying stopped, the forgetting began.”

“The forgetting;” yes. Virtually forgotten by all but scholars or epidemiologists, although it happened within the lifetime of many people still living today: more US soldiers dead from flu than were killed in WWI, many US cities running out of coffins and burying the dead in mass graves, homeless orphans wandering through the streets, schools and factories closed, wild rumors (“the Germans started it”) and familiar theologic explanations (“it’s a punishment for sin”). Read the links to get an idea of the all-encompassing horror of the thing and then tell me, if you can, why my history courses (and perhaps yours?) failed to even mention it.

Since I wrote that fifteen years ago, we’ve had our memories “refreshed,” as they say in the law biz. But the forgetting still happened, and people and cities not only recovered but stopped talking about it. I grew up among people who had been alive then; my mother was a young child in 1918 and my grandparents and great-aunt and uncle were in their 30s, which was a prime target age for the worst of the 1918 flu. They lived in New York and a large city in New Jersey. And yet, although my mother and grandmother in particular used to talk to me at some length about the past, they never once even mentioned the 1918 flu pandemic. And as I wrote in 2005, I never learned a thing about it in my history courses, either. I don’t think my grandparents literally forgot, but the experience simply was not a focus at all.

I learned about it on my own long ago, however. I had an interest in epidemiology even when I was young, so I became far more familiar with the facts of the 1918 pandemic than most people. Many cities were devastated. Here’s a description of Philadelphia, a major city at the time that was one of the worst off [emphasis mine – and note also the very significant amount of social distancing that was practiced]:

Philadelphia had one of the highest death rates in the country, 4 times higher than Boston. The daily death toll from influenza alone in Philadelphia [population at the time: 1.7 million] would exceed the city’s average weekly death toll from all causes. In a single day, 759 people died from the pandemic alone. In an average week, 485 died from all causes. Within 10 days the city went from 2 deaths and hundreds ill to hundreds dead each day and hundreds of thousands ill. Every hospital bed in 31 hospitals were filled. People who were healthy a couple days ago were fighting for their lives, some dying within a day of contracting influenza. For over three weeks, influenza paralyzed the city. Schools were closed. Public meeting banned. Yet the population continued to get sick. Despite declarations on October 4th and 5th, the peak of pandemic didn’t happen until the week of the 19th when 4,597 died from influenza or pneumonia. Despite the numerous deaths though, many more survived and recovered from the illness.

As influenza spread, so too did fear. People isolated themselves, not speaking to anyone, avoiding crowds, not having anywhere to go but stay at home, where there may be people sick or dead. The rapid rate of death, and the fact there were so many dying, meant the city and its undertakers and morgue couldn’t keep up with dead bodies. The city morgue was designed to hold 36 bodies. It was quickly overrun, with nearly 200 bodies crammed into every available space. Exacerbating the overload, besides the rapid influx of the dead, was the lack of available undertakers and grave diggers. For some families, it was easier for them to dig a grave themselves than wait for someone else.

During the height of the flu the city established 5 additional temporary morgues, but even that wasn’t enough. Bodies piled up in hospitals, on porches, on the streets, and in the home. Rooms, if there were any to spare, were sectioned off when family members couldn’t arrange for or find someone to take care of the body. Without embalming, the bodies began to decay; bodies oozed and blood would flow out. The smell was everywhere. Philadelphians could walk down the street seeing and smelling dozens and dozens of bodies. Death was everywhere.

It seems to me that people were much tougher then (and recall, they were fighting a world war overseas at the same time). They were used to disease. There were no antibiotics. Child mortality was still high. TB took a huge toll. And yet the 1918 flu was absolutely catastrophic, and killed not just the old and young but a huge number of people in the prime of life.

But I think that afterwards, that generation just put it behind them and moved on. By the time I came around, they’d gone through that, World Wars I and II, and the Depression. They were happy to forget about it, or at least not to place the heavy burden of its memory on me and other young people.

And although we’re far less resilient today, I still think that the forgetting will happen as soon as the fear is reduced. People are eager to go back to business as usual, or as close to usual as we can get.

[NOTE: I’m leaving out the political for the purposes of this post, although I believe that a recovery also depends, at the national level, on who is elected in November.]

Posted in Finance and economics, Health, History | Tagged COVID-19 | 34 Replies

Are the reports of Kim Jong Un’s illness greatly exaggerated?

The New Neo Posted on April 21, 2020 by neoApril 21, 2020

Hard to say:

North Korean leader Kim Jong Un was not seriously ill, two South Korean government sources said on Tuesday (Apr 21), following reports he had undergone a cardiovascular procedure and was now in “grave danger”.

Kim was receiving treatment after undergoing the procedure, a South Korean media report said late on Monday, amid speculation over Kim’s health following his absence from a key anniversary event this month.

The reports about Kim’s health are not true, two South Korean government sources said. The presidential Blue House said there are no unusual signs coming from the North.

Getting reliable news from North Korea isn’t easy. So time will tell, I suppose.

Posted in Uncategorized | 12 Replies

What on earth did de Blasio think would happen…

The New Neo Posted on April 20, 2020 by neoApril 20, 2020

…after a mass prisoner release?

It is “unconscionable” that Rikers Island inmates who were released due to coronavirus concerns are committing new crimes, Mayor Bill de Blasio said Monday.

“I think it’s unconscionable just on a human level that folks were shown mercy and this is what some of them have done,” the mayor said during his morning briefing Monday, which came on the heels of a Post report outlining the issue.

De Blasio said the number of re-offenders remains relatively small and that the city was “buckling down” on monitoring and supervising released prisoners.

But it’s early yet; it’s only been a few weeks.

According to that Post report, a little over 3% have re-offended. Since 1500 were let go, that would mean 45 crimes so far. Since only 300 of the released prisoners had originally been convicted for violent crimes, can we assume that perhaps up to 15% of that group (45 over 300) has already managed to transgress? Hard to say.

I wonder whether leftists in charge of cities and states truly believe their own rhetoric that prisoners are mostly the victims of racism and an evil system rather than just being exploiters (violent or non-violent) of the vulnerable among us. Did de Blasio really think that criminals shown “mercy” would suddenly desist from criminal activity in gratitude? I suppose some do – and some of the released prisoners were old, which also tends to favor a diminution of criminal activity. But obviously there’s going to be a significant number who will taking up their old familiar way of life and – committing crimes.

It has often been remarked during this COVID crisis that leftist governments have been imprisoning non-criminals in their homes (and sometimes arresting them for violations), and at the same time letting criminals out of prison. Indeed.

[NOTE: Also please see this on how the fear aroused by the pandemic has given the left the opportunity to exercise the power they so crave.]

Posted in Law, Violence | Tagged COVID-19 | 46 Replies

Israeli politics: the headline tells the tale

The New Neo Posted on April 20, 2020 by neoApril 21, 2020

[See UPDATE below.]

Here it is: “Reports Fly That Unity Government Is Imminent: Earlier Reports Indicated Collapse.”

That makes it all crystal clear, doesn’t it?

Contradicting earlier reports that coalition talks had collapsed, Israeli media now reporting that an agreement between the Likud and Blue and White parties is imminent.

The Times of Israel is reporting that Israeli television reported that the last sticking point – the issue of judicial appointments – has been resolved and an agreement is imminent.

Blue and White is set to hold a meeting on a coalition agreement soon.

Earlier in the day, it appeared that Israel was headed to a fourth election in a little more than a year.

Can you imagine? Four elections in a year?

Another reason I’m glad we don’t have a parliamentary system.

UPDATE: It’s a deal. The coalition is in place:

As part of the deal, Prime Minister Benjamin Netanyahu, who has served as caretaker prime minister since December 2018, will remain prime minister for another 18 months and then will be replaced in October 2021 by Blue and White leader Benny Gantz, who will serve as vice prime minister in the meantime. Netanyahu will become vice prime minister under Gantz after that – but if he leaves the Prime Minister’s Office sooner, Gantz will take over…

“We prevented a fourth election,” Gantz said. “We will protect our democracy and fight against the coronavirus.”

US President Donald Trump’s peace plan, including its clauses enabling Israel to apply sovereignty in Judea and Samaria, will be able to be implemented in July, when maps are set to be finalized.

It’s complicated, of course:

The government is expected to have 36 ministers and 16 deputies, split equally between the Center-Right and Center Left. Besides Likud and Blue and White, the government will include Shas, United Torah Judaism, Labor and the Gesher Party of MK Orly Levy-Abecassis.

Posted in Israel/Palestine, Politics | 17 Replies

What we’ve learned from COVID-19 so far

The New Neo Posted on April 20, 2020 by neoApril 20, 2020

Aside from a crash course in Epidemiology 101 and terms like “flatten the curve”?

Here’s a list:

Top Ten Surprising Consequences of Covid-19 Hysteria:

1: Democrat governors rediscover federalism.
2: Wanna-be totalitarians can’t help but unmask themselves.
3: Trump gets a daily platform to smack the media around (watched by millions).
4: The CDC is exposed as just another dysfunctional gov. agency.
5: FDA, same as above.
6: WHO, same as FDA, CDC.
7: The US media is in China’s pocket.
8: “Models” completely useless except to frighten citizens.
9: We now know Nancy Pelosi has a $24,000.00 fridge.

And the 10th most surprising consequence of the Covid-19 hysteria? Donald Trump was right about China the whole time, and everybody who didn’t know it before knows it now.

Not all are surprising, in my estimation. In fact, I’m not sure any of them are.

And actually, about #9, we’ve learned that Nancy’s got two fridges, each of which I’m told probably cost somewhere between 15K and 20K. But we already knew she was extraordinarily rich. So if we thought about her fridges at all, we should have assumed they’d be multiple, huge, and top-of-the-line.

I think there’s an eleventh thing we’ve learned, also not really a surprise. But it’s been informative to see it revealed so quickly:

The coronavirus now has put the European Union and its comfort zone face-to-face with all its weaknesses, decadence and cowardice…

When Italy called for solidarity from its European neighbors, they declined…

Because of the coronavirus, Europe’s Schengen Area of passport-free travel inside the EU — one of the two pillars of EU dogma (the other being the euro) — was suspended in a hurry and internal borders closed without coordinated action. During the the first two weeks of March, nine countries closed their borders; followed by the partial closure of Germany’s borders. The EU then announced the closure of its external borders for 30 days.

“Do you not understand the emergency we are going through?”, Spain’s prime minister, Pedro Sánchez, asked German Chancellor Angela Merkel during one of the EU’s latest summits…

A report by the Bertelsmann Foundation found that Germany, which accounts for more than a quarter of the eurozone’s economic output, benefited most from the EU’s single market, earning an extra 86 billion euros a year because of it. It is likely this financial bonus that now helps Germany in contending with the epidemic. Germany had 25,000 ventilators; France had only 5,000, and Italy was forced by a lack of ventilators to make agonizing decisions about whom to treat. “Wouldn’t European solidarity mean Germany deliver [sic] at least some of the new ventilators to countries that currently need them most?”, asked Die Zeit’s journalist Jochen Bittner.

Among the European states, however, even faster than empathy and solidarity, spread bitterness and resentment.

You might say that, considering the controversy about the effectiveness of ventilators in treating COVID patients having trouble breathing, the shortage of ventilators in Italy may not have been as detrimental as initially thought. But some patients do seem to need them and be helped by them; the problem is figuring out which ones. At any rate, when Italy was being refused those ventilators, they were thought to be absolutely vital to the survival of the more critical patients.

I have often wondered how anyone could think the EU could overcome the nationalism of its various countries, after centuries of separateness. There are reasons for nation-states, and there is separate history as well as separate culture and economic strength. I don’t think most people much like being dictated to by a distant group of bureaucrats, and the more distant, the less they like it.

Posted in Politics | Tagged COVID-19, European Union | 88 Replies

Memoir: the whole truth and nothing but?

The New Neo Posted on April 18, 2020 by neoMay 2, 2020

Memoir is a strange genre of writing. It’s not always good, but when it’s good, it’s very very good. Two examples of which I’m very fond are Nabokov’s magnificently written Speak, Memory and Updike’s remarkable Self-Conciousness.

They may not be to your taste, but they certainly are to mine. Both writers are incredible and impeccable prose stylists. Both books are somewhat peculiar for memoirs in that they don’t aim to tell the story of the authors’ lives. Perhaps both Nabokov and Updike realize that is futile, because we only get a controlled snapshot in any memoir anyway. So they don’t even try; each book is a series of somewhat discrete vignettes, and although both have revealing passages, each man keeps the secrets of his inmost heart well-hidden.

I recently discovered that a women who was a very good friend of mine for years – we’ll call her Linda – has written a memoir. Linda’s a good writer, something I know because we used to be in a writing group together. She also has an extraordinary story to tell, which I also know because for years I was a confidante of hers. So I was looking forward to reading the memoir, realizing the story would probably be both well-written and intensely familiar to me.

I bought it and read it. You’ll see in a moment why I’m not going to give you the link, or tell you her real name.

As I said, I know Linda’s story very well. Do I know everything that ever happened in her life? Of course not. But I know the story she is writing about, which involves a series of tragic and improbable circumstances that she managed to survive. There are probably at least four or five intertwined main threads to her tale, some involving relatives, boyfriends, husbands, and acts of nature.

But the book deals with only one part of the story and ignores all the others, even though they are closely linked and dependent on each other to give the story its full and astounding depth.

I haven’t spoken to her yet about it. We haven’t talked in a couple of years, although there was no estrangement between us. I’m not sure whether or not to ask her why? Why leave out the parts of the story that make it so unique and so incredible?

I may already know the answer, though. Some of the parts that were left on the cutting room floor reflect poorly on other people. Some may even reflect poorly on my friend herself. But without them, although the book is good, to me it seems a shadow of what it might have been.

Writers of memoir (or even the sort of fiction that is thinly-disguised memoir) face a dilemma about how much to reveal, particularly if the truth might hurt someone. Some writers are ruthless and don’t care at all. Some shy away from the genre entirely. And some, like my friend, choose a middle position – one that may harm the work. Or it may give it more artistic cohesiveness.

Apparently my friend thought her heavily-expurgated story was still worth telling. Her publisher thought so, too. And I think they’re right. But I read the book looking for the things that were missing, and missing the things that I was looking for.

Tell all the Truth but tell it slant —
Success in Circuit lies
Too bright for our infirm Delight
The Truth’s superb surprise

As Lightning to the Children eased
With explanation kind
The Truth must dazzle gradually
Or every man be blind —

Posted in Getting philosophical: life, love, the universe, Literature and writing, Me, myself, and I, Poetry | 72 Replies

To ventilate or not to ventilate?

The New Neo Posted on April 18, 2020 by neoApril 18, 2020

That is the question – or at least a question, and a big one – that doctors treating COVID-19 face. Some say the usual protocols for ARDS (acute respiratory distress syndrome) should be followed. Some say no. And some say sometimes.

It’s a dilemma doctors face in real time while trying to save patients:

I don’t have the medical background to evaluate the question and have an informed opinion on which mechanism is dominant with COVID-19, although I’ve read quite a few articles on the subject and it seems important for medical people to answer it in order to get the best treatment possible. What a strange beast this virus is!

Here’s a summary of the quandary:

An oxygen saturation rate below 93% (normal is 95% to 100%) has long been taken as a sign of potential hypoxia and impending organ damage. Before Covid-19, when the oxygen level dropped below this threshold, physicians supported their patients’ breathing with noninvasive devices such as continuous positive airway pressure (CPAP, the sleep apnea device) and bilevel positive airway pressure ventilators (BiPAP). Both work via a tube into a face mask.

In severe pneumonia or acute respiratory distress unrelated to Covid-19, or if the noninvasive devices don’t boost oxygen levels enough, critical care doctors turn to mechanical ventilators that push oxygen into the lungs at a preset rate and force…

The question is whether ICU physicians are moving patients to mechanical ventilators too quickly. “Almost the entire decision tree is driven by oxygen saturation levels,” said the emergency medicine physician, who asked not to be named so as not to appear to be criticizing colleagues.

That’s not unreasonable. In patients who are on ventilators due to non-Covid-19 pneumonia or acute respiratory distress, a blood oxygen level in the 80s can mean impending death, with no room to give noninvasive breathing support more time to work. Physicians are using their experience with ventilators in those situations to guide their care for Covid-19 patients. The problem, critical care physician Cameron Kyle-Sidell told Medscape this week, is that because U.S. physicians had never seen Covid-19 before February, they are basing clinical decisions on conditions that may not be good guides…

In a letter last week in the American Journal of Respiratory and Critical Care Medicine, researchers in Germany and Italy said their Covid-19 patients were unlike any others with acute respiratory distress. Their lungs are relatively elastic (“compliant”), a sign of health “in sharp contrast to expectations for severe ARDS.” Their low blood oxygen might result from things that ventilators don’t fix. Such patients need “the lowest possible [air pressure] and gentle ventilation,” they said, arguing against increasing the pressure even if blood oxygen levels remain low. “We need to be patient.”

“We need to ask, are we using ventilators in a way that makes sense for other diseases but not for this one?” Gillick said. “Instead of asking how do we ration a scarce resource, we should be asking how do we best treat this disease?”

And then there is the hemoglobin-attack debate. It’s another highly technical question, so I’ll pass on the details, but here’s an article that’s critical of the theory. Make of it what you will.

I will add that I have a personal interest in this question because I have a defect – or at least, an anomaly – of one of the two genes that determine beta hemoglobin, since I’m a carrier of beta thalassemia. I haven’t a clue whether or not that affects my chances with COVID-19, but it certainly might. And yet I haven’t seen a particle of research on the subject of COVID and thalassemia trait or sickle cell trait, both of which are fairly common as mutations go. Both protect to a certain extent against malaria, by the way – not that I’m going to wade into a malarial swamp to test it.

[NOTE: I don’t know whether this article from 2015 is relevant, because (once again) it’s very technical and I find it quite impenetrable. But it may be dealing with a similar hemoglobin question, this time related to ARDS.]

Posted in Health | Tagged COVID-19 | 55 Replies

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