Saturday, August 22, 2009

Free is a very good price

The ticket to better health care



So here’s the solution to our health care crisis: send all the uninsured sick people to another country that has socialized medicine.


This idea springs from a guest column in The Oregonian by David Lister, a genuinely nice and reasonable guy who also is a political conservative. Lister opposes the single-payer health care systems in the United Kingdom and elsewhere, and probably also the public option proposed and possibly abandoned by President Obama.


Yet he recounts his own experience with Britain’s nationalized health care and comes away begrudgingly satisfied:


“Last April, during a trip to Scotland, I had my own encounter with a "socialized" health system. The day before our scheduled return I experienced severe chest pains and labored breathing. Our hosts insisted that I allow them to call the health service. After some discussion with a screener, I was told I should come in to be examined. In less than an hour, I was sitting in an exam room with a Scottish physician. A rapid examination satisfied him that I was not in cardiac distress, but merely suffering from acute indigestion.”


Lister mentions that his attending physician said he would move to American “in a hot minute,” presumably because of better pay, but also notes that his trip to the doctor cost him nothing.


If a doctrinaire conservative can experience socialized medicine first hand and not launch into a voluminous rant about how awful it is, think about how ordinary, non-ideological Americans would react. It seems that Americans are afraid of health care reform because they view it as the devil they don't know. So introduce them to the single-payer system and see how they like it.


This would have two positive effects:


  1. In the short run, it would save us billions of dollars. Buying a plane ticket for an uninsured American would be a lot less expensive than providing health insurance for that person, or treating the illness. Of course, there would have to be some kind of screening to make sure the sick person was actually sick and not trying to finagle a free trip abroad.

  2. After awhile, Britain, France and all the other countries with socialized medicine would catch on and start denying care to American tourists, but by that time, enough Americans would have been treated overseas—or in Canada—to greatly expand the movement for publicly-financed universal health care here. These people would then start showing up at town hall meetings demanding that their representatives pass the legislation that recently was getting shouted down.


In addition, if more people spent time abroad, they might develop an appreciation for such European things as fast and reliable public transit, walking, eating food in small portions and five-week vacations—all of which are good for one's health.

Wednesday, July 29, 2009

Where there's smoke, there's ire

Ah, the Great Indoors



Last night I went to Laurelhurst Park and watched “Singing in the Rain” along with a few hundred other Portlanders. I'm not sure there is a better way to enjoy a balmy summer evening that doesn't involve taking off all one's clothes or imbibing tall drinks with Spanish names. There were snow cones for sale at a tropical-themed cart, though most people brought their own picnics. The movie, which I hadn't seen in years, is one delightful song and dance routine after another, including the famous eponymous scene, plus the songs “Make 'Em Laugh,” “Good Mornin'.” and the incomparable “Gotta Dance.”


But this is a somewhat political blog, so for me, it's “Gotta Kvetch.”


It was the cigarette smoke. Enough people were smoking in the crowd that at times I grew a bit nauseous. At the least, it was irritating. And that brings me to my point: cigarette smoking must be prohibited in outdoor public places.


I applauded the extension of cigarette bans to bars, although it went into effect about a year and a half too late. Now I can go into even the most divey (and therefore most interesting) bars in town and inhale comfortably. It's great to be able to walk to my neighborhood pub and have a beer and dinner without suffocating from tobacco smoke.


Unfortunately, by implementing this ban on smoking in bars, we have ceded the outdoors to smokers. It's great indoors now. But it's virtually impossible to sit on at a sidewalk table, or on the patio of a restaurant or bar, without wondering if a tremendous fire is consuming Mt. Hood National Forest—except that forest fires, as devastating as they are, smell better than the incineration of tobacco.


So let's just ban outdoor smoking. Let the smokers puff away in a closet or a car with the windows rolled up. Or their own home, if they own it themselves, since very few landlords want to rent to smokers anymore.


Not that I'm totally unsympathetic. I did make this suggestion last winter when the bar ban took effect:


But don't cry to me about smokers' rights. Those of you who smoke should have no rights. You are drug addicts. You suck on an extremely lethal drug that is more addictive than heroin. Like meth tweaking, your addiction harms the people around you. And the weird thing is, it doesn't even get you high.


In any sane society, tobacco would be illegal. Only the largess and lobbying power of the tobacco companies keeps it legal. So that's not going to happen, but the non-addicted public is going to keep making it more difficult to feed your addiction. Get used to it.

Wednesday, July 22, 2009

Dagnab gummint burrocrats

If the DMV did health care

One of the main points in the argument against a single payer, government-sponsored health care system is that it would be run by heartless gummint burrocrats. One line I’ve heard several times is: “Do you want to trust your health care to the kind of people who run the DMV?”

A week ago, I got a letter from the Oregon Department of Motor Vehicles. This letter informed me that a vehicle registered to my name was not insured and that I had to procure auto insurance for it unless I had sold it or if it had been wrecked and thus taken out of circulation. In my case, however, the vehicle in question, a 1960s vintage Ford stepside pickup, was in a friend’s garage, not going anywhere until a loving restoration was completed.

There was a phone number at the bottom of the letter. I called it. A person answered. Yes, a real human being answered. No tedious menu of numbers to push or things to say to eventually get to a point where you are on hold long enough to watch Schindler’s List. A woman just answered the phone, said her name and asked how she could help me.

When was the last time that happened when you called your insurance company?

She was very helpful and told me to write my explanation at the bottom of the slip that I was supposed to return and all would be fine.

Again, when did that ever happen when you inquired about something from a health insurance company?

Fact is, the DMV Express center at Lloyd Center has always given me better service than I get from any other commercial interaction, with the possible exception of my favorite coffee house. The people there are friendly, courteous and extremely helpful. And most of the time, you get right in and out, with a minimum of waiting.

So, as to whether I want to have my health care administered by the same people who work at the DMV, I’m saying, “Hell, yes!”

Monday, July 13, 2009

Our sick economy

Nothing Pencils Out



Nothing pencils out anymore. Maybe nothing ever did, but it seems flagrantly more obvious today that virtually all business activities are entropic. Unsustainable. Oh yes, businesses survive, even thrive, but only by begging, borrowing, stealing, cheating or government subsidy.


No business seems to make it on its own. No business can operate profitably without either cutting corners or receiving unearned revenue.


You know the big names, the ones who got the billions and hundreds of billions from the feds. So you know:


--Banking doesn't pencil out. Banks need large infusions of your tax dollars to stay afloat.


--Ditto for insurance companies. In addition, insurance companies have to aggressively deny benefits to their customers to stay in business.


--American auto companies haven't penciled out for decades and now need not only government money but supervision.


Certainly, the failed economy doesn't help matters, but this thought came to me awhile ago, before millions of jobs went up in smoke.


--Big agribusiness doesn't pencil out. The corporate farms are totally dependent on the pork-laden agriculture bill that Congress passes every few years.


--Small farms haven't penciled out for nearly a century.


--Food product manufacturing doesn't pencil out unless the product is loaded with heavily subsidized commodities such as corn and soybeans.


--Most other kinds of manufacturing doesn't pencil out in the U.S., which is why it's done in China and elsewhere.


In Portland, however, it's no different, just perhaps more bungled up than many other places, but definitely not alone.


--Major league sports franchises, though universally owned by billionaires, evidently can't make it unless taxpayers pay for their stadiums and arenas.


--The hotel industry doesn't pencil out, since it needs to hire illegal aliens to clean the rooms. And it needs subsidies from local governments to build new hotels.


--Restaurants, too, need illegals in the kitchen to pencil out.


--Bars evidently will go bust if they don't get revenue from video poker.


--Newspapers aren't penciling out and thus are near extinction.


--Radio and television news doesn't really pencil out either, because these media really don't report news, just gossip and opinion.


--The construction of buildings no longer pencils out, because there's no buyers anymore. Unless a builder wins a contract from the government, at which point taxpayers foot the bill.


--Pharmaceuticals don't pencil out. Yes, the drug companies make obscene profits, but only by convincing people to take lots of drugs they don't need—and then the government or the insurance companies pay for those drugs.


--Health care in general doesn't pencil out, even though prices are escalating at three times the general inflation rate. Hospitals can't make money treating the sick, but instead have to seek profits treating the vain.


--A lot of little boutiques in trendy areas may appear to pencil out, and do so in the short run, but wait a couple of years and see how many are still around.


--Small business in general hardly ever pencils out. Either the employers or the owners make pitiful wages for what they do, and never have good health plans.


--Big business doesn't pencil out either, because it doesn't have to. Big business is too big to fail, so the government keeps it alive.


I can come up with a handful of business activities—coffee, sex, IPhones—that seem to pencil out. Maye I haven't examined them closely enough. Maybe there are more. There definitely are more that don't. Give me your list.

Sunday, July 5, 2009

Keillor gets it right

Potato Salad is NOT Ice Cream

Garrison Keillor's latest commentary is on potato salad and he nails it. I, too, went to a July 4 potluck and found, among the chips and guacamole, crackers and cheese, carrots and celery sticks, pork and beans and fried spring rolls, buckets of over-mayonnaised goop containing finely diced potatoes and some other stuff mostly added for color. This stuff passes for potato salad in grocery stores and delis these days.

Keillor observes:

The eerie-yellow store-bought stuff in the tubs was manufactured at Amalgamated Salad in Houston by undocumented 12-year-olds from the hills of Michoacan. Worse, it is teaching our children that accomplishment doesn't matter.

A child served yellow slop from a bucket is being told that it's OK to plagiarize a term paper off the Internet just so long as it's poorly written.

He then gives the basics for real potato salad: "Take half an hour away from your Facebook page and do the job right. Boil some eggs, chop the celery and chives and green onions, boil the potatoes, make your mayonnaise, maybe toss in a little sour cream, use plenty of dill, and sprinkle paprika on top." To that I would add some dill pickle and a dollop of mustard (dijon or spicy brown), and probably take out the chives.

Myriad reasons exist for the promulgation of crappy potato salad, not the least of which is at most Americans will put up with anything that has too much mayonnaise in it. But one culprit is the ice cream scoop. Old fashioned potato salad is chunky and you have to use a big spoon to get it out of the bowl and a small spoon or fork to pull it off the big spoon and onto the plate. But sometime in, I think, the 70s, though maybe earlier, deli counters figured out they could more efficiently transfer potato salad from one container to another with an ice cream scoop, if the salad was modified to something with the consistency of rocky road ice cream. And out went the big chunks of potato and the halves of hard boiled eggs and celery slices big enough to crunch. Thus potato salad became tasteless and bland.

So you ask, why didn't I bring real potato salad to this potluck? I guess I should have, but I decided there would be plenty of starchy salads (potato and pasta), and opted to bring real cole slaw instead. Not the ice cream scoop variety, but slaw with coarse cut cabbage, chunks of apple and onion and a few diced pepperoncini tossed in for spice.

Rule of thumb: other than ice cream, food should not be dishable with an ice cream scoop.







Tuesday, June 30, 2009

Embracing Chavez Blvd.

Naming Rites


If you were asked to prioritize all of the issues that can be appropriately addressed by the Portland City Council, where would you place renaming a street after Cesar Chavez?


Yeah, me too. It definitely wouldn’t crack the top ten. I suspect a significant number of Latinos actually feel the same way, considering the unemployment rate, high cost of housing, decreased funding for public schools and shabby state of public parks. Nevertheless, the issue is not only on the table, it’s jumping up and down and demanding attention like a four-year-old who didn’t get dessert.


Not that I’m opposed to renaming a street after Cesar Chavez. In fact, I have the perfect street in mind. It’s not 39th Ave., nor Broadway, nor Grand Ave. all of which have been suggested. No, it’s Glisan Street. Glisan is one of the longest and most culturally diverse streets in all of Portland—and even stretches out to the eastern edge of the city where most Latinos live.


Besides that, no one pronounces Glisan correctly. Named after Rodney Glisan, an early Oregon physician who married into wealth, it is supposed to be pronounced like “glisten.” Instead, it’s commonly pronounced “glee-son.” No one knows why, exactly, though many believe this pronunciation emerged after World War II when a James Gleason was a prominent politician in Portland.


The right way to do it would be to keep it Glisan St. on the west side of the Willamette, because the streets go in alphabetical order in Northwest Portland. (The one that starts with “C” is Couch, named after the famous naval captain who owned much of that part of town—and whose daughter Glisan married). But on the east side of the river, name it Chavez. It’s certainly not unusual for streets to vanish at the banks of the river. For example, from the west, you approach the Morrison Bridge on Alder St., but come off it on Belmont St., which is only on the east side.


No matter which street is renamed, people are going to protest it. Businesses particularly get upset with street renaming, citing the cost of changing stationary, business cards and advertising. That’s small change compared to the gain businesses could see were their street to become Chavez Boulevard.


With the economy scraping bottom, businesses need to take advantage of every opportunity. The Latino community in Portland is growing—and also growing more affluent. For the most part, this is a culture with strong family values that also aspires to own all the trappings of the American middle class. It’s a market that is ignored only by the smug and foolish.


Savvy merchants, restaurateurs and barkeeps should lobby for the name change, and then post banners and signs saying “We are proud to be part of the street honoring Cesar Chavez.”


And then make sure they can speak Spanish.


Monday, June 29, 2009

Fauna Chauvinism

The Fly

There was a rumor buzzing around the Internet for a few days that Jeff Goldblum had died, joining Michael Jackson, Farrah Fawcett and Ed McMahon. Fortunately for all us Goldblum geeks, it wasn’t true. Hope still abounds that he will live on to make films as great as The Adventures of Buckaroo Bonzai Across the Eight Dimension and Earth Girls Are Easy.

The preceding week, President Obama committed the most famous assassination of a common house fly since The Karate Kid. The swift and sudden hand clap executed by Obama was quite impressive. Yeah, no more Mr. Nice Guy.

So along comes PETA (People for the Ethical Treatment of Animals) complaining that instead of killing the fly, Obama should have gently caught it and released it later—all the meanwhile carrying on an interview about foreign policy. PETA’s protest generated the usual guffaws among the late night talk show comics, yet the true nature of this insidious organization still needs to be exposed.

While asserting the sanctity of all life, PETA neglects to protect at least half of it. Do you ever hear PETA screaming about the hellacious juggernaut of agricultural machinery mowing down defenseless little soybeans so that you may have your tofu? Does PETA ever protest the plucking and slicing of tomatoes? Or condemn uprooting the heads of onions from their cozy refuge in the earth? Of course not. It looks the other way when fruits and vegetables are slaughtered mercilessly. In fact, PETA encourages such carnage.

PETA is a fauna chauvinist front. As such, it has no moral authority. Is a fly more important than, say, an apple tree? I think not.

Therefore, I really don’t get too upset when people kill flies. All I ask is that first, they look to make sure that Jeff Goldblum’s tiny head is not affixed to the fly’s body.