The Canadian AMA Wants To Add Private Option

The incoming president of the Canadian Medical Association says this country’s health-care system is sick and doctors need to develop a plan to cure it.

“We all agree that the system is imploding, we all agree that things are more precarious than perhaps Canadians realize,” Doing said in an interview with The Canadian Press.

The pitch for change at the conference is to start with a presentation from Dr. Robert Ouellet, the current president of the CMA, who has said there’s a critical need to make Canada’s health-care system patient-centred. He will present details from his fact-finding trip to Europe in January, where he met with health groups in England, Denmark, Belgium, Netherlands and France.

His thoughts on the issue are already clear. Ouellet has been saying since his return that “a health-care revolution has passed us by,” that it’s possible to make wait lists disappear while maintaining universal coverage and “that competition should be welcomed, not feared.”

In other words, Ouellet believes there could be a role for private health-care delivery within the public system.

He has also said the Canadian system could be restructured to focus on patients if hospitals and other health-care institutions received funding based on the patients they treat, instead of an annual, lump-sum budget. This “activity-based funding” would be an incentive to provide more efficient care, he has said.

via The Canadian Press: Overhauling health-care system tops agenda at annual meeting of Canada’s doctors.

Mega-Slums Breed Global Pandemics

The global pandemics we see today tend to originate and spread from impoverished slums that push humans into close proximity with animals and food sources, thus providing an incubator for viruses that would otherwise die out or go dormant. Pandemics are thus closely linked to the emergence of “hot zones” in what I call “the planet of slums.”

In Kinshasa, Congo, the only way people have been able to survive the collapse of the state and the economy is by bringing agriculture into the city. There are chickens and other animals roaming everywhere. These kinds of conditions transform the whole ecology of disease, speeding up transmission among animals and enabling the leap to humans. They create linkages and causal chains that weren’t there before.

One example: Urbanization in West Africa has increased demand for protein in diets. At the same time, European companies have driven West African fishermen out of their traditional fishing zones, which provided most of their protein. Without fish for protein, people turned to the bush meat trade in the big logging countries such as Gabon. That demand for bush meat, for example from monkeys or chimps, has broken down all the biological species barriers for disease. People are eating wild mammals that carry exotic diseases like the Ebola virus or HIV.

via NPQ.

Secret U.S.Tests Fight Web Censorship

The U.S. government is covertly testing technology in China and Iran that lets residents break through screens set up by their governments to limit access to news on the Internet.

The “feed over email” (FOE) system delivers news, podcasts and data via technology that evades web-screening protocols of restrictive regimes, said Ken Berman, head of IT at the U.S. government’s Broadcasting Board of Governors, which is testing the system.

The news feeds are sent through email accounts including those operated by Google Inc, Microsoft Corp’s Hotmail and Yahoo Inc.

“We have people testing it in China and Iran,” said Berman, whose agency runs Voice of America.

via U.S. tests technology to break foreign Web censorship | U.S. | Reuters.

Moon for Sale

If you have seen the intelligent Sci-Fi movie “Moon”, starring David Bowie’s son, Sam Blackwell, you may have wondered what all of the mining activity was about. Well it was over Helium-3.

moon_movieAfter 40 years, man is preparing to return to the Moon. But this time the astronauts won’t just land on the Moon – they plan to stay.

From his office in Nevada, Dennis Hope has spawned a multi-million dollar business selling lunar real estate.

But scientists believe the real prize is trapped in the Moon’s rocks. It contains large deposits of an extremely rare gas called Helium-3. Could Helium-3 be mined and used as a new source of almost inexhaustible, clean and pollution-free energy on Earth? Whoever succeeds in transporting Helium-3 back to Earth could solve the world’s energy crisis.

Who will win what has been dubbed the second Moon race? And should we be exploiting the Moon’s valuable resources at all?

via BBC – Horizon – Moon for Sale.

Bill Maher: New Rule: Smart President ≠ Smart Country

Just because a country elects a smart president doesn’t make it a smart country.  (Bill Maher then goes on and rants about polling examples of public ignorance. Reminds me of the “Jay Walking” interviews on the “Tonight Show”, often with College Students.)

Until we admit there are things we don’t know, we can’t even start asking the questions to find out. Until we admit that America can make a mistake, we can’t stop the next one. A smart guy named Chesterton once said: “My country, right or wrong is a thing no patriot would ever think of saying… It is like saying ‘My mother, drunk or sober.'” To which most Americans would respond: “Are you calling my mother a drunk?”

via Bill Maher: New Rule: Smart President ≠ Smart Country.

Simple Health-Care Reform

There is no logical reason to get health insurance through your employer. This entire system is an accident of World War II wage and price controls. It’s economically senseless. It makes people stay in jobs they hate, decreasing labor mobility and therefore overall productivity. And it needlessly increases the anxiety of losing your job by raising the additional specter of going bankrupt through illness.

The health-care benefit exemption is the largest tax break in the entire U.S. budget, costing the government a quarter-trillion dollars annually. It hinders health-insurance security and portability as well as personal independence. If we additionally eliminated the prohibition on buying personal health insurance across state lines, that would inject new and powerful competition that would lower costs for everyone.

Abolish the entire medical-malpractice system. Create a new social pool from which people injured in medical errors or accidents can draw. The adjudication would be done by medical experts, not lay juries giving away lottery prizes at the behest of the liquid-tongued John Edwardses who pocket a third of the proceeds.

The pool would be funded by a relatively small tax on all health-insurance premiums. Socialize the risk; cut out the trial lawyers. Would that immunize doctors from carelessness or negligence? No. The penalty would be losing your medical license. There is no more serious deterrent than forfeiting a decade of intensive medical training and the livelihood that comes with it.

via Charles Krauthammer – A Better Plan for Health-Care Reform – washingtonpost.com.

How Food TV Feeds Our Fast-Food Culture

The Food Network can now be seen in nearly 100 million American homes and on most nights commands more viewers than any of the cable news channels. Today the average American spends a mere 27 minutes a day on food preparation (another four minutes cleaning up); that’s less than half the time that we spent cooking and cleaning up when Julia arrived on our television screens. (Currently the most popular meal in America, at both lunch and dinner, is a sandwich; the No. 1 accompanying beverage is a soda.)

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Julia Child on PBS 1963/Paul Child/Schlesinger Library, Radcliffe Institute, Harvard Universit

When we let corporations do the cooking, they’re bound to go heavy on sugar, fat and salt; these are three tastes we’re hard-wired to like, which happen to be dirt cheap to add and do a good job masking the shortcomings of processed food. And if you make special-occasion foods cheap and easy enough to eat every day, we will eat them every day. The French fry did not become the most popular “vegetable” in America until industry relieved us of the considerable effort needed to prepare French fries ourselves. The time and work involved in cooking, as well as the delay in gratification built into the process, served as an important check on our appetite. Now that check is gone, and we’re struggling to deal with the consequences.

Read the whole article here Out of the Kitchen, Onto the Couch – NYTimes.com.