Brain New World

Elon Musk’s neurotech is recruiting patients willing to undergo invasive brain surgery. They’ll get a brain implant that allows people with paralysis to communicate by moving cursors and typing with their minds. Strange times…

The Right To Be Wrong

Many medical experts and journalists believe that Robert F. Kennedy, Jr. is wrong about vaccines. They say that Kennedy, a candidate for the 2024 Democratic nomination for president, wrongly says that COVID-19 vaccines are ineffective and incorrectly validates assertions that childhood vaccinations can cause autism.

Many people, all of whom are pro-Biden Democrats, say that RFK Jr.’s opinions are so dangerous as to automatically preempt anything else he has to say about any other issue. They say that society would benefit if he were to shut up. They say that he should not be given a public platform, that he should be silenced, that we should not hear him because we might believe him and that could cause terrible harm.

Even his family is telling him to STFU.

As a long-time non-epidemiologist with no medical education, I don’t know who is right. However, I do know this: anyone who thinks they have the right to decide what information I get to hear or who I get to hear it from can go to hell.

Let us stipulate, for the sake of argument, that these journalists and doctors, none of whom I have met or know anything about, have no bias and no axe to grind, that they care about the well-being of all humans, especially me. Let us further stipulate that they are 100% right and that RFK Jr. is 100% wrong. Let’s even pretend that these folks have never “debunked” “conspiracies” that turned out to be true or promoted conspiracies as though they weren’t lies.

Even so: I demand the right to hear from him if I so choose. RFK Jr. has the right to be terribly, dangerously wrong, l have the right to listen to his stupid incorrect rants in which he gets absolutely nothing right, and I have the right to be deceived into believing things that are stupid, false and even dangerous if I so choose.

My brain, my choice.

Not according to the elites, however. They think they’re smarter than you and me. That we should listen to them. That those who disagree with them should be shut down.

The Biden Administration came under fire in 2022 when its Department of Homeland Security, a government entity with a fascist name, rolled out its Orwellian Disinformation Governance Board whose stated goal was to “coordinate countering misinformation related to homeland security.”

The DGB was killed, but censorship efforts with a Father Knows Best spin have proliferated in recent years, mostly from Democratic-leaning institutions. Newspapers and other media outlets rolled out fact-checking websites and chronicled lists of the president’s purported lies, the latter beginning and ending when the president was named Trump. The FBI and other three-letter agencies told social media companies which posts to throttle or kill and handed them lists of accounts that should be shut down. At least one company, with deep ties to covert intelligence agencies, purports to tell you which news outlets you can trust. The war between Russia and Ukraine prompted the Apple and Google app stores to deplatform Russian state media outlets.

The push to characterize news and opinions that deviate from a “mainstream,” i.e. corporatist, narrative hit full steam during the pandemic. Government and media partnered against what they called misinformation and disinformation (others’, never their own). Their obsessive efforts to marginalize and hobble RFK Jr.’s candidacy and access to the information space is a continuation of the COVID information war.

Mis- and disinformation are real and they have real-world impacts that ought not to be minimized. The bizarre QAnon conspiracy game/cult has contributed to or caused, among other events, the hammer attack against Paul Pelosi, a coup attempt against the German government, death threats and mass shootings, not to mention January 6th. Lies can be dangerous, whether they originate from the podium at the United Nations or an wacky underground cell.
            Censorship is an understandable impulse. As a cure, however, it’s worse than the disease. Citizens forced to navigate a world where they know that many things are not as they seem on their face learn to hone the critical thinking skills that tell them not to click on the link in a phishing email and to question whether an especially ridiculous political attack may be a deep fake. No matter how benevolent and adept a government can be—and ours is neither—the collective BS detector of 330 million Americans is likelier to identify and debunk the cleverest act of disinformation than an agency of bureaucrats. If the government and its media allies get their way, we’ll trust them to suss out what’s true and what’s false and, of course, set the stage for them abusing our gullibility. And they’ll do it on a far grander scale than QAnon.

Besides, taboo and forbidden material is inherently more attractive than stuff that’s freely available. From pornography to Cuban cigars to the dark web, nothing is more enticing than something that’s hard to access. If the powers that be don’t want us to hear from RFK Jr., many voters are thinking, then I really want to find out what he’s about. The DNC and the New York Times have no business telling me I’m too dumb to assess his statements about COVID, Israel or anything else.

My brain, right or wrong!

(Ted Rall (Twitter: @tedrall), the political cartoonist, columnist and graphic novelist, co-hosts the left-vs-right DMZ America podcast with fellow cartoonist Scott Stantis. You can support Ted’s hard-hitting political cartoons and columns and see his work first by sponsoring his work on Patreon.)

 

Kojak, Jr.

Between facial recognition software, drones, police databases, cellphone data, license plate, scanners, and remote control vehicles, it has never been easier, or more boring, to be a police detective.

Corporate Journalists are Blind to a Big COVID Lesson

Episode 24.5 - Literary Scandals 201 - Fax Machines, Man — The Bookstore

           One of my complaints about mainstream media is that they recruit reporters from inside the establishment—Ivy League colleges, expensive graduate journalism programs, rival outlets with similar hiring practices. Some staffs develop admirable levels of gender and racial diversity. But they all come from the same elite class. Rich kids believe in the system and they accept its basic assumptions.

            On New Year’s Day a reporter (UPenn and Oxford, of course) published a solid piece for The Washington Post about an important issue, how America’s “fractured healthcare system” hurts our response to COVID-19. Seeking to answer the question of why the pandemic is still going on after the miraculously rapid development and distribution of vaccines, the Post identified organizational shortcomings as part of the problem, citing the need for “improvements on the delivery side.” She quoted an expert who called for “increasing staffing and funding for local health departments, many of which have been running on a shoestring. Officials in some local health departments still transfer data by fax.” Both true. I’ve been asked to fax my records recently.

            But.

            Nowhere in the Post piece was there any mention of what the United States is missing that most other countries in the  world are not: a unified national healthcare system like the United Kingdom’s NHS.

            I’m not talking here about fully-socialized medicine or a single-payer Medicare For All system like the one championed by Bernie Sanders, although I strongly believe Americans need and deserve one. This isn’t about who pays for healthcare (though it should obviously be covered 100% by the government).

It’s about data integration.

In the same way that law-enforcement agencies across the country can access criminal records from other jurisdictions via the FBI’s National Data Exchange system, public-health officials need access to a real-time, constantly-updated source of every report of disease whether it’s known or novel, the visit was paid for in cash by the patient or covered by insurance, or it was diagnosed by a country doctor, walk-in urgent-care center or a giant urban hospital system.

A fully-integrated national healthcare database would be a powerful side benefit of a national healthcare system like Medicare For All. But how likely is Bernie Sanders’ pet project to cross the mind of a writer who graduated from UPenn and Oxford and has a gold health insurance plan provided by her employer, who is Jeff Bezos?

Here in America, the nation’s top epidemiologists at the Centers for Disease Control are flying blind, relying on algorithmic models that estimate what’s going on rather than providing accurate, precise situational awareness.

I tested positive for COVID-19 on December 30. I notified my doctor’s office on January 1 but due to the holiday didn’t hear back until January 3. Will New York City authorities and/or the CDC be notified about my case and, if so, when?

Several friends and friends of friends also tested positive during the Omicron surge using home tests. Many, probably most, didn’t tell their doctor. You have to assume that official numbers for Omicron have been significantly underreported.

If we had a national healthcare system instead of a medical Wild West in which the ailing are jostling against each other fighting over $24 testing kits like shoppers rushing into Best Buy on Black Friday, testing would be handled through clinics and doctor’s offices in coordination with the federal government—which would instantly compile the results.

A national healthcare database could include “visualization tools to graphically depict associations between people, places, things, and events either on a link-analysis chart or on a map. For ongoing investigations, the subscription and notification feature automatically notifies analysts if other users are searching for the same criteria or if a new record concerning their investigation is added to the system… [allowing] analysts to work with other analysts across the nation in a collaborative environment that instantly and securely shares pertinent information.”

I lifted that last quote from an FBI description of their police database. Crime, by the way, kills a small fraction of the number of Americans who die from disease.

HIPAA regulations governing patient records would need to be modified by Congress, but consider the potentially lifesaving benefits even when there is no longer a pandemic. Medical errors are the third leading cause of death in the United States.

Decentralized recordkeeping is a public-health disaster. If you live in Wyoming, there is no good reason that your healthcare records shouldn’t be accessible to first responders driving the ambulance that responds to a call that you collapsed and are unconscious at a mall in Florida. As soon as you are identified—something that could be facilitated by a national healthcare ID card that you carry in your wallet or as an app on your smartphone—EMS workers could use your patient history to identify chronic problems. They could avoid a medication to which you might be allergic or feel confident in administering one thanks to the knowledge that you are not.

I didn’t go to UPenn and Oxford. As an independent writer, I pay my own health insurance. I am reminded of America’s crappy healthcare system every time I pay my ACA bill and every time I cough up a co-pay. Newspapers like the Post may or may not need me. But they definitely need people like me if they want to relate to the readers they’re trying to serve.

(Ted Rall (Twitter: @tedrall), the political cartoonist, columnist and graphic novelist, is the author of a new graphic novel about a journalist gone bad, “The Stringer.” Order one today. You can support Ted’s hard-hitting political cartoons and columns and see his work first by sponsoring his work on Patreon.)

 

Big Tech Is Killing People

The Wall Street Journal has published “the Facebook papers,” which revealed that Facebook and other big technology companies have been more than willing to monetize disinformation and misinformation, even when it needs to people’s deaths. Legacy media is laughing, but they should look at themselves too.

New DMZ Podcast: The Debt Ceiling Debate Triggers an Existential Discussion About Consumerism and Facebook Kids

From the left, political cartoonist Ted Rall discusses the dysfunctional political climate that gave us the ridiculous debt ceiling crisis with, from the right, political cartoonist Scott Stantis. Revelations in the Wall Street Journal about Facebook internal research and the company’s attempt to appeal to young children sparks a soulful discussion about everything from getting rid of your local cashier to self-driving cars.
 

Revolution via Zoom

Cops without masks. Cops too. Agitate for Black Lives Matter from the safety of your home.

We Need a Centralized Medical System Too

Is there a central database for medical records in the U.S.? - Quora

The coronavirus pandemic has laid bare two fundamental flaws in the American healthcare system.

Number one: There’s a reason that other rich countries treat healthcare as a taxpayer-financed social program. Employer-based health insurance was stupid pre-COVID-19 because our economy was already steadily transitioning from traditional full-time W-2 jobs to self-employment, freelance and gig work. The virus has exposed the insanity of this arrangement. Millions of people have been fired over the last two months; now they find themselves uninsured during a global health emergency. The unemployed theoretically face fines for the crime of no longer being able to afford to buy private healthcare.

The second inherent flaw in the U.S. approach is that it’s for profit. Greed creates an inherent incentive against paying for preventative and emergency care. Even people who are desperately ill with chronic conditions see 24% of legitimate claims denied.

When your insurance company issues a denial, they don’t merely pocket that payment. They also add to future profits. Even if you’re insured, the hassle of knowing that you might get hit by a surprise bill for uncovered/out-of-network charges makes you more likely to stay home rather than to risk seeing a doctor or filling a prescription and going broke. “Visits to primary care providers made by adults under the age of 65…dropped by nearly 25% from 2008 to 2016” due to routine denials by insurers, reports NPR.

Denials also create a societal effect: news stories about patients with insurance receiving bills for thousands of dollars after being treated for COVID-19, even just to be tested, prompt people to stay away from hospitals and try to ride out the disease at home. Some of those people die.

There’s another, third structural problem exposed by the pandemic—but it’s not receiving attention from public policy experts or the media. I’m talking about America’s lack of a centralized healthcare system.

A centralized healthcare system has nothing to do with who pays the doctor. A centralized system can be fully socialized, government-subsidized or fully for-profit. In such a scheme all patient records are stored in a central online database accessible to physicians, pharmacists and other caregivers regardless of where you are when you need care. If you fall ill while you’re on a trip away from home, the admitting nurse at a walk-in clinic or hospital has instantaneous access to your complete medical history.

The current system is primitive. Data is not transferable between doctors or medical systems without a patient’s directive, which inexplicably is often required by the obsolete technology of sending a fax. That assumes the sick person is sharp enough to remember which of his previous doctors did what when. And that’s it’s not a weekend or national holiday or a Wednesday, when some doctors like to golf.

Unless a patient happens to be wearing a medical alert bracelet, there is currently no way to determine whether an unconscious victim is allergic to a drug, has a chronic illness or that there’s a treatment regimen proven to be more effective for them. Even if the patient is alert and conscious, a new doctor may ignore her request for a specific medication in favor of cookie-cutter one-size-fits-all treatment.

A few months ago I developed the classic symptoms of what we now know to be COVID-19. I live in New York. I succumbed while on business in LA. Trying in vain to fight off a relentless dry cough, difficulty breathing and day after day of brutal aches and fever, I visited a CVS walk-in clinic. I have a long history of respiratory illnesses: asthma, bronchitis, pneumonia, swine flu. I requested a third- or fourth-generation antibiotic since I knew from experience that I would inevitably decline with anything less. “We do not treat viral infections with antibiotics,” the nurse, a charmless Pete Buttigieg type, pompously declaimed. I pointed out that viral lung infections usually have a bacterial component that should be treated with antibiotics.

This would not have been a issue back home in New York, where both my general practitioner and my pulmonologist know my medical history. Either doctor would have prescribed a strong antibiotic and a codeine-based cough syrup.

Because I happened to be in LA, I left CVS empty-handed.

I declined.

It got to the point that I couldn’t walk 100 feet without pausing to catch my breath.  I felt like I was going to die.

I called my doctor back in New York. She called in a prescription to the same CVS. It helped arrest my decline. But I wasn’t getting better.

I visited a different walk-in clinic, in West Hollywood. It was a better experience. They tested me for flu (negative), X-rayed me (diagnosis was early stage- pneumonia) and put me on a nebulizer. I began a slow recovery.

A centralized system would have been more efficient. The CVS nurse would have seen my history of non-response to treatment devoid of strong antibiotics. He also might have taken note of my pulmonologist’s effective use of a nebulizer to treat previous bouts of bronchitis and pneumonia. I might have been prescribed the proper medication and treatment as much as a week sooner.

COVID-19 almost certainly would have been detected in the United States sooner if we had a centralized medical system. “One example of a persistent challenge in the early detection of health security threats is the lack of national, web-based databases that link suspected cases of illness with laboratory confirmation. This leaves countries vulnerable, as they cannot accurately and quickly identify the presence of pathogens to minimize the spread of disease,” according to the U.S. Centers for Disease Control. Algorithms can automatically scan massive volumes of information for signs of novel infectious diseases, help identify potential problems and focus responses where they are needed most.

How many people’s lives could have been saved if lockdown procedures had begun earlier? If public health officials had seen the coronavirus coming back in December—or November—they might have been able to protect vulnerable populations and avoid a devastating economic shutdown.

There are substantial privacy considerations. No one wants a hacker to find out that they had an STD or an employer to learn about documented evidence of substance abuse. Keeping a centralized healthcare system secure would have to be a top priority. On the other hand, there is no inherent shame in any kind of illness. In a nightmare scenario in which medical records were to somehow become public, no one would have anything to hide or any reason to look down on anyone else.

We can’t pretend to be a first world country until we join the rest of the world by abolishing corporate for-profit healthcare and decouple insurance benefits from employment. But reform without centralization would be incomplete.

(Ted Rall (Twitter: @tedrall), the political cartoonist, columnist and graphic novelist, is the author of the biography “Bernie,” updated and expanded for 2020. You can support Ted’s hard-hitting political cartoons and columns and see his work first by sponsoring his work on Patreon.)

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