Thursday, July 12, 2007

Senator Sam Brownback: Vegetative?


Republican presidential candidate Sam Brownback is going campaigning with the late Terri Schiavo's brother this weekend in Iowa. Bobby Schindler (Shiavo's brother), you may recall, was among those lobbying for the government to intervene and prevent Schiavo's husband from removing her feeding tube after 15 years in a vegetative state following a severe anoxic brain injury.

Brownback, if it needs any clarification, is a right-wing nut.

He is the same genius that raised his hand in support of creationist theory at a candidates' debate. He told us without any sense of irony in a NY Times editorial that "People of faith should be rational, using the gift of reason that God has given us". He has called homosexuality "an abomination", and likened abortion to the Holocaust. Oh, and he accepted $42,000 from Jack Abramoff and his associates.

All of which makes me wonder if Brownback himself isn't persistently vegetative.

Wednesday, July 11, 2007

Tagged

A few days ago, I was 'tagged' by Jay at the Sleveen Institute. I'm not sure where this whole tagging thing originated, and frankly I'm too lazy to spend the 5 minutes it would take to find out. So here are 8 random facts about yours truly.

1. I was born and raised near Toronto, but currently live in Vancouver.

2. I am a physician, and have spent so long as a student I barely know how to live otherwise.

3. I am most assuredly not rich, but have no objections to becoming so.

4. I blog pseudonymously since current or future patients may be reading, and my political views shouldn't interfere in the doctor-patient relationship.

5. I have one brother, who is 5 years younger than me, also a physician, and my best friend.

6. I am a "dog person", though I don't have any pets at the moment.

7. I had a life-threatening cancer diagnosed last year, but thanks to a bone marrow transplant I am recovering well (touch wood).

8. I despise chain letters.

Pursuant to #8, I have decided not to tag anyone else. If anyone has strong feelings about this, feel free to leave a comment.

Saturday, July 7, 2007

Brokedown Palace


Apparently, this little old lady needs some financial assistance to do some home repairs. Donations, anyone?

Tuesday, July 3, 2007

SiCKO: A Brief Review

Over the weekend, I took the opportunity to see Michael Moore's new film, Sicko. Unless you've been living in a cave you will know by now that Sicko represents Moore's take on the American health care system. It is an indictment of "for-profit" healthcare and the many Americans it leaves without adequate coverage.

I've said it here before: I like Michael Moore. He is a gifted filmmaker and above all else, he knows how to make a compelling argument. On this front, Sicko does not disappoint. Moore himself is less visible in this film than he has been in some of his previous efforts. For the most part, he lets his featured subjects do the talking. And their stories are truly horrific. A man without health insurance is forced to choose which of two fingers to re-attach after an acccident with a saw. A couple is forced to sell their home to pay for medical expenses. A young mother watches her child die after an ambulance takes them to a hospital that is not approved by their insurance company. Insurance industry insiders reveal tactics used to deny claims. And the list goes on. These tales are heart-wrenching, and illustrate the significant fractures in the American healthcare system.

Moore goes farther, visiting hospitals in Canada, England and France and speaking with citizens of all three countries about the advantages of public healthcare. And in a final flourish of sensationalism, he takes a group of 9/11 volunteers with chronic illness to Cuba. The group are hospitalized, investigated and treated - gratis of course. Moore's detractors often point to such stunts as distortions of the truth. And they are likely correct. No hospital (in Cuba or anywhere else) would hospitalize foreign nationals for inpatient investigation of chronic illness, free of charge. And Moore's characterizations of healthcare systems in Canada, Britain and France are hardly comprehensive and clearly designed to illustrate their benefits rather than their flaws.

Moore makes no apologies for this (nor should he). As he rightly points out, the film is aimed at Americans who have been told for years the lie that public healthcare is without merit and akin to communism. And despite the liberties taken in the storytelling, the story itself is important. Sicko implores us to consider the reasons why the wealthiest country in the world seems so unwilling to provide comprehensive affordable health coverage for each of its citizens. We are confronted with the stark reality that when profit and healthcare collide, profit usually triumphs. In one of the most revealing but underdeveloped storylines, Moore plays White House tapes of a conversation between Richard Nixon and John Ehrlichman in 1971 that led to the HMO act of 1973.

President Nixon: “Say that I … I … I’d tell him I have doubts about it, but I think that it’s, uh, now let me ask you, now you give me your judgment. You know I’m not to keen on any of these damn medical programs.”

Ehrlichman: “This, uh, let me, let me tell you how I am …”

President Nixon: [Unclear.]

Ehrlichman: “This … this is a …”

President Nixon: “I don’t [unclear] …”

Ehrlichman: “… private enterprise one.”

President Nixon: “Well, that appeals to me.”

Ehrlichman: “Edgar Kaiser is running his Permanente deal for profit. And the reason that he can … the reason he can do it … I had Edgar Kaiser come in … talk to me about this and I went into it in some depth. All the incentives are toward less medical care, because …”

President Nixon: [Unclear.]

Ehrlichman: “… the less care they give them, the more money they make.”

President Nixon: “Fine.” [Unclear.]

Ehrlichman: [Unclear] “… and the incentives run the right way.”

President Nixon: “Not bad.”
It's hard not to be moved by Sicko. At times it's flamboyant and sensational. But its best moments are the quiet ones, the ones filled with the sad stories of people on the wrong end of America's capitalist dream.

Monday, July 2, 2007

Bush Commutes Scooter's Sentence


From CNN, the least surprising but most disappointing story of the day.

To paraphrase Jon Stewart, debate now rages between those who think the President will pardon Libby......and those who know he will.

Sunday, July 1, 2007

Happy 140th, Canada!!

For your viewing pleasure, here is The Rant, possibly the best Canadian beer commercial ever.




Happy Canada Day!!

Wednesday, June 27, 2007

Afghanistan: Let the Finger-Wagging Begin

Well, now that Stephen Harper has indicated that he wants "consensus" prior to a further extension of our mission in Afghanistan, opinions have been flying about what this actually means.

Some, like the Star's Thomas Walkom, feel that Harper's words are a tacit admission on his part that the mission is unpopular, generally unsuccessful, and that he will be unable to garner support to extend it beyond 2009. But a few have taken a different stance.

Take Andrew Coyne, for example. In his column in the National Post, he instead offers this interpretation of the PM's comments:
Read the last part of the Prime Minister's remarks: "I don't want to send people into a mission if the opposition is going to, at home, undercut the dangerous work that they are doing in the field." Translated: that's exactly what's happening now.
"The Taliban", Coyne informs us "read the Western press". Maybe so, but I doubt even the Taliban are depraved enough to read the fish-wrapping we call the National Post. In any case, we are told that the Prime Minister has offered the opposition parties the chance to "grow up". Or at the very least, to explain their rationale for desiring troop withdrawal at the end of the current mandate in 2009. Coyne himself is at a loss to understand troop withdrawal:
And for what purpose? To whose benefit? The Afghans? No, it is quite clear they want us there. The troops? No, they are equally adamant, in every interview I have ever seen: they want to be there. Our NATO partners? Obviously not. The only agenda served by the opposition's demands is ? the opposition's.
In his rambling list, he curiously leaves out one important group. Canadians. According to a Decima Research poll released on June 10th:
Only one in four (26%) Canadians feel that “Canada should be willing to extend our mission in Afghanistan beyond February 2009 if that is necessary to complete our goals there.” Fully 67% felt that “we need to do our best to accomplish progress in Afghanistan but that we must stick to that deadline and get our troops out.” This is the majority view in every region, among men and women, urban and rural voters, all income and every age group.

But hey, we're just the voting public. Why should Coyne or Harper care what we think?

Meanwhile over at that other journalistic wasteland, the Sun, Jordan Michael Smith at least takes the time to acknowledge that most Canadians want out of Afghanistan in 2009. But his advice to nearly 70% of his fellow citizens is to be "honest" with themselves, and admit that they are not "internationalists" but rather "isolationists". What the hell "internationalist" means is anyone's guess, but Smith assures us that it is the more noble of the two options. "Isolationists", you see, have no real interests in humanitarian causes. They seek only what is good for Canadians, and thus are "uncomfortable taking casualties in a foreign country with slow, hard-to-measure progress". (Presumably therefore humane "internationalists" such as Smith are A-OK with Canadian soldiers dying for immeasurably small gains). And so, in that time-honoured CPC tradition, he admonishes those who oppose him, accusing them of wanting only "to look after themselves" and of condemning Afghanistan to a "medieval theocracy" (as opposed to the beacon of democracy it's well on its way to becoming).

It's a pity that such drivel finds its way to print.