Saturday, June 26, 2010

if this isn't distressing...

The Commonwealth Fund's update of their report, Mirror, Mirror on the Wall, is out, and it's not a pretty picture for US healthcare...but really, did you expect anything more from a country that focuses on the pocketbooks instead of the well-being of its inhabitants?

Here's the deal. As US-ians, we spend about double per capita than the next closest nation on our healthcare, but IT STILL SUCKS. We should be asking ourselves why countries with smaller GDPs and much lower per capita healthcare expenditures can provide much better and satisfactory care than our own. If you ask me, it's because we treat healthcare as an industry, and not a right.

As a healthcare provider, this graph frightens me. I know that I provide the absolute best care that I can for each and every one of my patients, and so do other healthcare providers, but when the delivery system itself is broken, the quality of care is only part of the picture. For overall healthcare performance, we rank last. DEAD LAST. [emphasis on the dead.] Now there are some bright spots in the report, such as our top ranking in preventative care and short wait times to see specialists, but this is drastically overshadowed by our inability to to provide equal access to care and frankly, adequate care. It's also frustrating to see that, as a nation that continually proclaims itself to be the greatest, the USA has the lowest ranking among the countries studied of people living long, healthy, productive lives.

Indicative of how our priorities are messed up, eh?

I'm lucky. I have healthcare coverage that extends beyond waiting until the symptoms are life-threatening and going to the emergency room. I also pay an arm and a leg for it, and can only see certain healthcare providers unless I want to shoulder more of the cost, but it certainly beats being uninsured or under-insured.

peace and love,
m

Monday, June 14, 2010

from bliss to pissed in 5 minutes

That is, going from feeling all floaty and happy after spending some quality time with a wonderful person, to being angry and frightened that a different person is still around in my neighborhood. Must concentrate on those floaty feelings!

peace and love,
m

to scrub or not to scrub...

...that is the question. Should we be using thousands of gallons of water, bottles of Dawn dish soap, and countless hours of labor to wash off the animals coated in oil from our latest drilling disaster? It cost $32,000 per animal during the Exxon Valdez spill; what does it cost now? Silvia Gaus, a German biologist, argues that we should simply kill the animals instead. I see her point: it's likely that they will not survive because of the amount of oil they've already ingested, and it's even more likely that once released, they'll simply become coated in oil again.

However, I can't quite wrap my heart around killing the animals. I guess that's the animal lover in me. As Nicole Belle says in the article, we should use this as an opportunity to teach conservation and environmentalism, and to put a moratorium on off-shore drilling. It's not just the heart-wrenching pictures of birds covered in oil that we should be concerned about. We've covered an entire coastal ecosystem in crude oil, from which it may not ever recover. It's not only the brown pelicans, which have been brought back from near-extinction; it's the entire habitat that has been destroyed. We can clean off all the birds and turtles, but it's not going to do any good because we're just sending them back to a dead ocean and coastline.

This brings up the economic effect of the oil spill--and how we got to this situation in the first place. There is a confusing bit of terminology that needs to be cleared up. Energy independence does not equal alternative energy. The reason we have disasters like this is because we are so focused on energy independence instead of alternative energy sources. The sole focus has been reducing the amount of oil the USA imports from Saudi Arabia and the Middle East. Remember the debates on off-shore drilling and opening up ANWR to drilling and the oil sand reserves that came up during the 2008 elections? That was energy independence, not alternative energy. That's not creative thinking-it just continues our dependence on fossil fuels, albeit ones on our own soil. Alternative energy is photovoltaic, hydroelectric, geothermal, wind...and yes, nuclear [that's another can of worms for another time].

We're so busy thinking of the birds covered in oil, that we don't think about the non-cuddly animals--invertebrates like shrimp and oysters, the fish. These are the creatures that eat, breathe, and sleep directly in the ocean, and now, directly in the oil. They are also the livelihood of many coastal residents. You don't have to be a genius to figure out that fish and shrimp coated in crude oil equals dead fish and shrimp and no income for the fishers of the Gulf Coast.


This is not only an environmental disaster, but an economic and humanitarian one as well. The Obama administration needs to step up, BP, Deepwater, and Halliburton need to step up, and we as citizens need to step up. Boycotting BP gas stations doesn't really help, in fact, it hurts the families that own the stations--and the chance that you are still buying gasoline produced from BP wells is highly likely. The gasoline sold under the BP name is only called BP because of certain additives. Remember that places like Woodman's, Walmart, and Sam's Club that have gas stations have to buy their gasoline from some oil company, be it Shell, ExxonMobil, or yes, BP.

What can you do that will truly help? Write to your congresspeople and emphasize the need for energy independence through alternative energy. Decrease your fossil fuel consumption. Give up your air conditioner and unplug your appliances when not using them. Drive a hybrid! Support green job creation.

peace and love,
m

Monday, June 7, 2010

retirement party

This past weekend was Dad's retirement party. It involved family, friends, lots of beer, and a cake that probably qualifies as a Cake Wreck. Behold!!

Bad airbrushing? Check. Random flowers [in the river]? Check.

Lots of plastic flotsam? Check. Weird lettering? Check. [Why was "DOC" in block capital letters and everything else was script?] Everything was spelled right, however. I guess that's a good thing! And it was delicious :)

peace and love,
m