"Go not for every grief to the physician, nor for every quarrel to the lawyer, nor for every thirst to the pot." —George Herbert (1593-1633)

Monday, February 04, 2008

It's McCain For Me

I let it go to the wire, even wasting 50 bucks on Fred Thompson's prom dress [he stayed home], but it's decision time here in California. The general election, especially if Obama's the Dem nominee, will be fought at the 8th-grade level. Hope. Inspiration. Youth. Energy. Nobody's going to hear a word about policy positions.

Mitt Romney's just too mooky---like Al Gore and John Kerry, who probably both should have smoked the weaker/vulnerable Dubya, let's face it.

Favorable ratings among even Republicans give McCain the edge 72-54. How is a guy with favorable ratings of only 54 in his own party gonna win the general? Sorry, Mitt. We can't nominate Urkel, even if he's rich.

So let's get real. John McCain is a war hero, and unlike Barack Obama, who follows almost every liberal dot [95% rating from Americans for Democratic Reform], is his own man. The GOP's only hope is that PJ O'Rourke is right, and that age and guile beat youth, innocence, and a bad haircut. Although Obama even has him on the haircut.

John McCain for President: We Could Do Worse.

Obama Solves His Latino Problem

Barack Obama's good, real good. He found the only way out of his conundrum [see post below]: the cure for identity politics is more identity politics. If there's a problem between Us and Them, find another Them to scapegoat.

On Friday, he sent demagogue extraordinaire Ted Kennedy out to California for a little race-baiting: anyone who thinks you can't wave a magic wand on illegal immigration simply by making everyone legal is a "bigot," the same as those who opposed the civil rights acts of 1964 and 1965. The problem isn't Us, it's Them, that other Them.

Obama, being far slicker, today noted that "They" hated the Ellis Island immigrants back in the day, anti-Irish, anti-Italian. Obama also noted that not all the Ellis Island folks had their papers, a "fact" he simply made up to square the circle with today's Hispanic illegal immigrants.

But what technique, showing Teddy for the piker he is: Obama narrowed "Them" down to the nativist Mayflower crowd of a century or more ago, who are dead and don't vote, not even in Chicago.

No wonder he's erased Hillary Clinton's lead in the polls here in California with the bat of an eye, a nod and a wink, and marches on to the nomination.

Dang. He's good, real good.

Thursday, January 31, 2008

Hillary: Woman. Barack: Black. What's a Hispanic to do?

Identity politics.

Valid? There have unquestionably been groups excluded---indeed, kicked around---by whatever Powers That Be, those powers in human history tending to be Europeanish males, with mebbe exceptions like the Huns and Mongols and Aztecs and Bantus, who were still males.

Accruing to his everlasting credit, the great Rush Limbaugh immediately slammed Mike Huckabee's touting his credentials as a Christian minister in his Iowa ads as "identity politics," which are by definition divisive, no?

Once you got an Us, that means We ain't Them, and you got divisiveness.

I won't deny that the "power" thing is a legitimate historical criticism, and perhaps a legitimate way to look at the world. Females and non-whites have seldom if ever enjoyed unquestioned first-class staus.

But the unintended consequences of pursuing that line and using that prism include this piece on the LA Times' opinion page.

Now, the essay by some Hispanic notables elides the facts on the ground---that Hispanics and African Americans, each of which vote heavily Democratic, are often in competition more than cooperation when it comes to political power.

And here in Los Angeles, in competition across the board, neighborhood by neighborhood.

Even in attempting to ignore that reality, the authors are still stuck with identity politics---their contention is that Hillary will win the Hispanic vote not particularly because Hispanics won't vote for Barack Obama---who happens to be black---but because HRC had the sensitivity to reach out to major Hispanic political figures from the first and secured their support.

OK, fine. But that's still identity politics, something every American should recoil from. That the Democratic Party at last hoists itself on its own petard of race over reason, well, I'm pretty good with that.

Hehe. Real good.

Friday, January 25, 2008

The Clintons and the Black Electorate

There is a good deal of commentary in both the mainstream media and the blogosphere to the effect that the Clinton attacks on Obama, whatever their basis in truth or fiction, have had the effect of inducing black voters to rally around Obama as one of their "brothers," or something like that. It seems to me that there is something more fundamental going on: The Clinton position---again putting aside the relationship of the assertions to the truth---smacks of the old racist putdown, "Keep your place." And not in a very subtle way either. After all, the Clinton attacks grew in intensity and decibel level and acidity just as the polls showed Obama to be a serious rival. I don't think that this is an accident, as Pravda in its glory years used to put it, and it does not speak well for Bill's much-lauded but illusory political skills or for Hillary's ability to see political subtleties. And let's face it: Bill and Hillary would be perfectly willing to lynch someone if they believed that their political fortunes would be enhanced. But we already knew that.

Debate Wrapup

Quick takes from the 1-24-08 debate:


Romney:
I just don't see how a man with so little charm can win the presidency unless his opponent is Hubert Humphrey. Maybe if her last name is Clinton.

McCain: Not bad. Sorry, Mr. Limbaugh, but he still sorta looks like a Republican, if you squint hard enough. Especially compared to what the Democrats are up to these days.

If he faces Hillary, it'll be Bill Clinton vs. McCain's mom. Sounds like a fair fight, although she has her wits more about her, and seems more presidential.

Giuliani: Not dead yet. Still the sharpest and most spontaneous knife in the GOP drawer. Has that actor's gift of making his rehearsed lines sound like he's saying them for the first time.


Huckabee:
As previously noted, I'll see him in hell before he gets my vote. Sorry, Rev---you can aim at being FDR or Billy Graham in this life, but not both. And I don't want either of you as my president.


Ron Paul:
Always good for a laugh. Abolish Social security? Sure, why not. Almost as irrelevant and doltish as talking about abolishing the Internal Revenue Service. Oh, wait---Mike Huckabee actually did that. If this guy ever got the nomination, the electoral fallout would yield the Democrats 70 senate seats, as America ran screaming.

Most amusing moment of the night: Mainstream news insider/NBC "reporter" Andrea Mitchell telling and MSNBC host [and putative Republican] Joe Scarborough how conservatives are diggin' John McCain. Twice.

Even the quisling Morning Joe couldn't keep a straight face on that one.

Monday, January 21, 2008

Rush is Wrong, Statesmanship, or: The Year of the Mixed Bag


"I can see possibly not supporting the Republican nominee this election, and I never thought that I would say that in my life."--R. Limbaugh, January 21, 2008



Well, I must admit that if it's Huckabee vs. Obama, I might cross party lines for the first time since 1988 myself. Rush shares my antipathy for Huck, but I think he's really talking about John McCain.

Now, McCain has his sins against conservative orthodoxy, and wrote a bill with Ted Kennedy for what amounted to amnesty for illegal aliens. Very unpopular, but President Bush supported the idea, too, after all. McCain has since retracted this apostasy, and says he'll support border enforcement as the Will of the People.

Not great, but hey, that's the idiosyncratic McCain. Scarcer than honest men in Washington are people who agree with McCain 100% on the issues. It's part of his charm, what makes him appealing to independents, and what makes him the only Republican who, according to the current polls, is in a statistical dead heat with the Democrat candidates---any, all, and each, even against the odious John Edwards.

But what puts a burr under El Rushbo's bottom most is McCain-Feingold, a law that admittedly puts a dent in the First Amendment's protection of free political speech. Bad idea.

McCain was also one of only two GOP senators to vote in 2001, '02 and '03 against the Bush tax cuts [known today as "the Bush tax cuts"], a pillar of one of conservatism's three-legs-of-the-stool, economic liberty. But McCain's right out front in 2008 that he wants to make them permanent, under the somewhat twisted but clever logic that to repeal them would amount to a tax increase. McCain is philosophically against tax increases---and in this, the Year of the Mixed Bag, that should be sufficient.

As for the other two pillars of the conservative coalition, McCain's credentials on national security are nonpareil, and it was he who wanted to whack the counterattack in Iraq even more than Bush and the neo-cons did. As for social conservatism, McCain's record as a pro-lifer is nigh-perfect on abortion issues, although he's not an absolutist on banning embryonic stem cell research.

And if his "Gang of 14" bi-partisan coalition with 7 Democrats in the Senate was offensive to conservatives who wanted to go to the mattresses over Bush43 judicial nominees, it was that very peace treaty that put John Roberts and Sam Alito on the Supreme Court, neither of whom conservatives view as "compromise" candidates.

In fact, they may stand as the Bush43 administration's greatest accomplishment, and it may very well have been John McCain's statesmanship that made their confirmations happen.

So when the estimable Mr. Limbaugh says

The Drive-Bys [mainstream media] consider McCain's 'straight talk' anything they agree with, and the first item on the things they agree with him is: 'Bush sucks.'


I think he's missing the bigger picture here. Although it's unfair to call Bush43 a divider [he reached out to Ted Kennedy, after all, with "No Child Left Behind"], even Dubya's admirers confess that his style became more autocratic than statesmanlike. It was John McCain who buried the hatchet after the 2000 primaries, campaigned for him in 2004, and carried his water in Congress without losing himself and his credibility as his own man in the process.

"Bush sucks?" Hardly.

Look, Rush, I realize that you see yourself as a conservative first and a Republican second, and that's OK. You yourself admitted to the mistake of carrying the Bush administration's [and the GOP's] water, and regretted losing yourself in the process.

John McCain never did. That's presidential timber: his personal heroism is unquestionable, his statemanship and character as well.

_______________________________________

Caught on CNN's "Situation Room"

WOLF BLITZER: ...and thank you for the excellent report, Lou. I had no idea things were that bad for the Republicans. Truly a party in chaos. Now over to Jack Cafferty, who gives us the opinions that create the news.

JACK CAFFERTY: Thanks, Wolf. Today's question---Does the president, Mr. Bush, really suck, or does he really REALLY suck?

Summer from Palo Alto writes, "He really sucks. He got us into an illegal war and let bin Laden slip away at Tora Bora. And then there's Katrina. Oh yeah, and tax cuts for the rich."

Brent from Boston says, "Really REALLY sucks. Iraq, Tora Bora, Katrina, and eroding our civil liberties. Oh yeah, and tax cuts for the rich."

William from Berkeley agrees. "Definitely really REALLY sucks. Iraq, Tora Bora, Katrina. Civil liberties, the police state, and Guantanamo. Oh yeah, and tax cuts for the rich."

Sheila from Long Island thinks he just really sucks. Howard from Vermont and Ted from Martha's Vineyard say, he really REALLY sucks. So you can see, Wolf, we're really all over the map on this one.

But Jim from Boise asks, "Why do you even pretend the "Situation Room" is a newscast? Jack Cafferty hangs over Wolf's shoulder like some demented Jiminy Cricket, asking leading questions when he's not spouting leftist propaganda every fifteen minutes. I mean, are you afraid people might think for themselves?"

But Noam from New York observes, "Why didn't you include 'really REALLY REALLY sucks,' which is what Dumbya actually does? Just proves you're all right-wing stooges for the globalist corporate newsocracy."

And there you have it. America speaks. Our next question---Barack Obama: Will he be a really great president, or a really REALLY great one? Wolf?


BLITZER: Thank you, Jack. I notice we got criticism from both the right and the left on that last question, which is what happens when you play it straight and down the middle. Which is why we here at CNN, as always, are proud to remain The Most Trusted Name in News™.

And at 8 PM Eastern, our award-winning special investigative report, "Planet in Peril: God's Warriors in our Broken Government." Don't miss it.


_______________________________________

Sunday, January 13, 2008

Whose Party Is It, Anyway? [...and I'll cry if I want to.]

Last November, this correspondent tried to warn philosophically-minded Republicans that they were taking Christian votes for granted. They're certainly the backbone of social conservatism---sympathetic to pro-life issues and the cohesion and integrity of the nuclear family---and compose the third leg of the GOP coalition along with a strong national defense and economic liberty.

But they also believe that Christian charity is a duty, caring for those who slip through the cracks of the free market system's meritocracy.

Just because some people aren't equipped to compete in it---for whatever reason, their fault or not---that doesn't mean they should be left to starve in this dog-eat-dog world. A Christian conscience cannot permit that to happen.

Jonah Goldberg picks up the theme, in a customarily excellent essay. Committed Christians, primarily the evangelical vote, represent 30% of the conservative coalition, and at least 10% of the total electorate. And Roman Catholics are also an overlooked part of the coalition, and it was their favorite philosopher St. Thomas Aquinas who argued for a "just wage." No wonder a Pew poll noted that "79 percent of self-described social conservatives" favor raising the minimum wage. Lose half of these voters, and in this 50-50 republic, the GOP loses 55%-45%.

That's a landslide, folks, and a helluva mandate for more Bigtime Bigass Government. Word up---even Adam Smith, the apostle of competition and free markets, before he wrote the capitalist bible An Inquiry into the Nature and Causes of the Wealth of Nations in 1776, in 1759 wrote:


How selfish soever man may be supposed, there are evidently some principles in his nature, which interest him in the fortunes of others, and render their happiness necessary to him, though he derives nothing from it, except the pleasure of seeing it…That we often derive sorrow from the sorrows of others, is a matter of fact too obvious to require any instances to prove it; for this sentiment, like all the other original passions of human nature, is by no means confined to the virtuous or the humane…the greatest ruffian, the most hardened violator of the laws of society, is not altogether without it.
—--Smith, The Theory of Moral Sentiments


If Marxists are brutes who trust the false god of government, and whose greatest error is ignoring human nature, so are those who worship the equally false god of the free market and ignore what's in the heart of every man, Christian and non-Christian alike.

In this here democratic republic, every one of us is a citizen-ruler, so we don't just petition the government to help out the poor and the weak. We are the government, and vote accordingly, every man a king. The just ruler is also kind, and anyone who writes kindness out of the human equation misses the whole point of being human in the first place.

Friday, January 11, 2008

No More Bradley

Brrrr. It was a cold day in New Hampshire, where Hillary Clinton had climbed off the mat to post a significant, if less than decisive, victory. This coincided, oddly enough, with the day on which Barack Obama had come down off the mountaintop to post a significant, if less than decisive, defeat. The Iowa Bounce effect had bumped up against the Spalding-off-the-Wall effect which states: “Every bounce must be answered by an equal and opposite bounce.”
The scarier theory for Obama underperforming his overhyped overcoming of underdog status is known as the Bradley Effect. This refers to the actor Karl Malden who, after playing General Omar Bradley in the movie Patton, became the spokesman for American Express, repeating the slogan: “Don’t leave home without it.” People could buy their travelers checks and fantasize they were off to Normandy to fight the Krauts instead of sitting like beached whales in loud ill-fitting swim trunks on the beach. In the case of Obama, winning a caucus where people vote in the open air led him to fantasize that he could win in a closed booth.
Ha, ha, just kidding. The Bradley Effect actually refers to the New York Knickerbockers championship NBA basketball team in 1989, in which Princeton grad Bill Bradley injected a cerebral element into the game by “moving without the ball”. This later led to him becoming a United States Senator from New Jersey who did not have very much on the ball. Barack Obama played some high school ball in Hawaii, and mistakenly thought that he could beat Hillary Clinton one-on-one in New Hampshire. He found out that white women can jumpstart a campaign from a sitting position. Add to that the fact that Senator Bradley endorsed Obama just two days ago, and you can see the whole thing unfolding, or perhaps unraveling.
Ha, ha, just kidding yet again. The Bradley Effect actually refers to philosopher Francis Herbert Bradley (1846-1924), a leader of the Idealist school. These idealists make the classic mistake of thinking that nice guys don’t really finish last. They assume their underlying sincerity will serve them well, not realizing that no one is more adept at underhanded lying than the Clintons of this world. Bradley fought against the school known as Hedonism, which believed that morality is designed to create a more pleasurable world. The parallel to trying to defeat a Clinton is undeniable.
Well, if you must know, I fooled you one last time. Now that my credibility is totally shot (although the points are not without validity) I will fill you in on the real deal. The Bradley Effect was based on former Los Angeles Mayor Tom Bradley leading George Deukmejian in the polls of the gubernatorial race, then losing on Election Day. The theory was that white voters will tell pollsters, especially members of minority groups, that they will vote for the black candidate. But when Election Day dawns, they dump the dusky fellow and go with the alabaster.
You would think that the questioners in these polls would learn how to factor in these biases. A good follow-up question might identify subtle leanings that the yes-or-no format fails to elicit accurately. Here are some sample indicators of the Bradley Effect in cross-examining potential voters. “I would be thrilled to vote for a black guy for President, especially if he invites me to the White House for fried chicken and watermelon.” “I think it is high time those people got their chance just like everyone else.” “This is wonderful. Some of my best friends are blacks. Boy, my cleaning lady will be so thrilled!”
All in all, I suspect all of this is baloney, the result of too many pundits trying to slice the salami. The fact is that Obama and Hillary share this quality of being a historical vote, at least in the bean-counting modern world where race and gender stats are painstakingly tabulated. The Republicans had hoped to capture some of this energy by promoting Colin Powell a few years ago, but he would not bite. Bottom line, the country is disgusted with the absurd allegation that they would reject the better candidate for lack of testosterone or excess of melanin.
From my perspective, neither of these candidates is good for America. Black or white, man or woman, I need someone unafraid to send the Bradley tank out into the world’s hot spots. Until then, it is a cold day in New Hampshire. Brrr.

Brezhnev Lives!

Yes, it is official: Universal coverage is the opposite of health care. Don't believe it? Well, then, please pay attention to the position of the federal government---yes, that same federal government that many believe should guarantee health care coverage for all---in a lawsuit filed by a couple of veterans' groups arguing that the VA health care system "illegally denies care and benefits..."

As reported by the San Francisco Chronicle (January 11): "The government had argued that it was required to provide only as much care as the VA's budget allowed in a given year."

Now, it is absolutely clear that the Constitution vests the power of the purse in Congress, and not the judiciary. Congress has the power to spend whatever it chooses, and if given interest groups deem that amount insufficient, they have every right to petition the Government for a redress of grievances.

But let us shunt that legal/constitutional issue aside. What is fascinating is the policy dimension: The bureaucracy has just agreed that resources are limited---duh!---and therefore that not everything can be covered and that the beneficiaries of government spending programs might not get everything they would like. In other words: They will not be fully "covered" despite future promises of "universal coverage."

And that is for a small (and politically untouchable) population of beneficiaries: veterans. What would the system "cover" when everyone is the special interest, competing with everyone else for slices of the federal pie in the context of health care expenditures skyrocketing? The short answer: Not everything, not the universe, and not the free lunch that so many believe is within reach.

This little spat reminds me of the old joke about the time that the great Leonid Brezhnev was on the phone listening to the desperate pleas of Todor Zhivkov, the general secretary of the Bulgarian Communist Party, as he begged Brezhnev for increased economic aid. "Comrade Leonid Ilyichovich, we desperately need 10 million tons of grain." Brezhnev: "You will have them." "We need 25 million tons of oil." "You will have them." "We need 5 million tons of steel, 40 million tons of cement, 10 million pairs of shoes, 15 million winter coats, and 25 million tons of potatoes." "Fear not, Todor Hristovich: You will have them."

"Leonid Ilyichovich, you are a giant among the defenders of the proletariat, and the savior of the Bulgarian workers. But I have only one question. Do you really think that the Czechs will be able to deliver?"

[cross-posted from www.medicalprogresstoday.com/blog/]

Thursday, January 10, 2008

Correction

I previously wrote:

I, of course, support Fred Thompson, who, altho a down-the-line conservative, is at least mellow, and undoubtedly to my lefty pal's delight, also stands not even a snowball's chance.


According to the estimables John Podhoretz, Frank Luntz and National Review in general [which endorsed Mitt Romney as the only viable conservative], after tonight's South Carolina debate, please upgrade to

...stands a snowball's chance.


Hey, stranger and far worse things have happened. Like Jimmy Carter...

________________________________________

Professor Reich Speaks

Robert Reich opined in yesterday's Wall Street Journal about the mudfight among the Democratic presidential candidates on the issue of whose individual "mandate" (a requirement that health insurance be acquired) would yield the most extensive coverage. And Reich is right: The differences are small, and the most extensive (or more stringently enforced) mandates are a way of imposing a tax on the young and healthy so as to subsidize other purchasers of health insurance. And thus does the great struggle over health care and "the children" boil down, as usual, to a fight over who gets to have greater snout privileges at the federal trough.

Reich claims that all the Democratic plans would cover roughly the same number of people; but nowhere does he delve into the issue of precisely what "coverage" means in a world in which government mandates insurance. Even apart from the larger reality that all the Democratic plans would lead toward a single-payer system and all the perversities thereto pertaining, government does not have infinite resources, and so must make choices about whom to "cover" and for what. And this dynamic proceeeds in the context of the eternal struggle over budget dollars, in which patients are just another interest group among many.

And that is why "universal coverage" is the opposite of health care, as government squeezes patients and providers so as to engender "savings" that can be used for other budget priorities. Where does the quality of actual care fit in that Beltway universe? The question answers itself, just as it has in the UK and Canada and other places where government compassion reigns supreme.

[cross-posted from www.medicalprogresstoday.com/blog/]

Wednesday, January 09, 2008

Can't We All Just Get Along? [apparently not Some of Us, even with Each Other]

I remember saying about a year ago I'd be happy with John McCain as president, even tho he often departs from conservative philosophy, if it would get America---left and right [the folks I work with lean left and they're always jawing at me]---off each other's throats.

I'm sick of all this, too.

A lefty pal o'mine writes:

[T]he most exciting development for me so far in the primaries has been McCain's victory in New Hampshire and possible resurgence. I've long thought that the key to bringing sanity back to American politics lies with the GOP...


Well, of course he would say that, since Ann Coulter's indiscretions are headline news, whereas Bill Maher's and Al Franken's and Michael Moore's and even Democratic Party Chairman Howard Dean's are so par for the course that we on the right don't even raise an eyebrow anymore.

But without getting into strict disagreement with him, a look at the GOP field shows McCain and Rudy Giuliani with established maverick credentials, Mitt Romney managing to get hisself elected governor of the only state that George McGovern carried, and Christianist Mike Huckabee more a believer in government as the solution to people's problems than any Republican in recent memory.

[I, of course, support Fred Thompson, who, altho a down-the-line conservative, is at least mellow, and undoubtedly to my lefty pal's delight, also stands not even a snowball's chance.]

So, the GOP has already de facto done its part in Our National Healing. On the other side, only HRC could possibly be construed as center-left rather than simply left, and that takes a ton of mental creativity.

And from what I see in the headlines, Herself and Sen. Barack Obama are getting ready to take the gloves off. Not mellow, atall, atall.

But if Obama prevails as the Dem nominee, there's a chilling possibility that any legitimate criticism of his candidacy might be seen as racially insensitive or offensive or divisive or whatever. Al Gore's 2000 campaign manager Donna Brazile made that charge against Bill Clinton His Ownself today.

For him to go after Obama using "fairy tale," calling him a "kid," as he did last week, it's an insult. And I tell you, as an African-American, I find his words and his tone to be very depressing.


America's First Black President disses his own. Very depressing indeed. All that healing he did, circling the bowl.

This all might get a helluva lot uglier before it get prettier, folks, but it has zilch to do with the Party of Lincoln.


[Me, if Obama slapped Ms. Brazile down in a Sista Soulja moment and gave ex-President Clinton's remarks a pass as histrionic but legitimate campaign fare, he might even win my vote, his Senate voting record being identical to Teddy Kennedy's notwithstanding. Did I mention I'm sick of all this?]

________________________________________

It's Just Improper

What is it this time, you ask? Unsurprisingly, given the election season now entering full bloom, it is some types of drug marketing, according to a couple of disgruntled former employees of Amgen, who now are immersed in arbitration proceedings after having been fired for... well, it's not quite clear. The LA Times reports today that the two are accusing Amgen of requiring sales staff to engage in "aggressive and possibly improper marketing practices to boost Enbrel sales beyond its approved uses." (Enbrel is an expensive psoriasis treatment.) One former employee "contends that the company required salespeople to gain access to patient medical information in doctors' offices and market the drug directly to patients, many of whom may not have needed the medication."

It's not quite clear why the doctors would allow the drug reps to look through patients' files. But the larger policy issue that arises out of such cases as this one is whether off-label drug use, as prescribed by a doctor not being bribed by a pharmaceutical producer, is useful for patients. The evidence---crude, indirect, but compelling--- is that it is indeed. This is not very surprising given the powerful incentives of the FDA to approve drugs too slowly and for too few uses.

And so beware newspaper articles sympathetic to the argument that it is "improper" for the private sector to find ways to serve the interests of patients more fully. Once we allow bureaucrats to define the boundaries of propriety, we will have taken a long step toward serfdom, higher drug prices, and increased human suffering.

Tuesday, January 08, 2008

Stop The Presses

You'd better sit down. The Washington Post offers the following headline today: "Medicare Helps Push Drug Spending Up."

No kidding. When patients get a subsidy, they take advantage of it! And not just any subsidy: a federal subsidy defined as a budget entitlement for the purchase of prescription drugs under Medicare Part D.

Down around paragraph 2,938 it is noted as well that "The primary driver of the higher drug spending was increased consumption, not price increases..." This is not very surprising---notwithstanding the predictions of the usual suspects that prices would rise in the absence of federal negotiations of prices---in that Part D has expanded the market, for better or worse, and thus allowed the pharmaceutical producers to exploit the sizeable scale economies that characterize the cost conditions under which most drugs are produced.

And so we have some indirect but important evidence that an expansion of drug advertising would have a similar salutary effect on prices, again contrary to the simple-minded arguments of many that such advertising costs money, and so obviously it must drive prices up. How is it possible for some to get everything wrong? Good question.

[cross-posted from www.medicalprogresstoday.com/blog/]

Who'd A Thunk It?

The January issue of Archives of General Psychiatry---we labor mightily day and night so that you, dear Reader, do not have to read such stuff---has a nice article reviewing the California data on thimerosal and childhood autism. You may recall that the purported link between thimerosal---a vaccine preservative containing ethylmercury---and autism is one of those conspiratorial fads promoted by the likes of Robert F. Kennedy Jr., and believed with religious fervor by thousands of desperate parents despite the utter absence of systematic evidence showing any such effect.

Anyway, the article reports an examination of the evidence reported by the California Department of Developmental Services. The removal of thimerosal from childhood vaccines was accelerated between 1999 and 2001, and the data report the incidence of diagnosed autism by age and birth cohort from January 1995 through March 31, 2007. The finding? "Since 2004, the absolute increase and rate of increase in DDS clients aged 3 to 5 years with autism were higher than those in DDS clients of the same ages with any eligible condition including autism."

What does that mean? "The DDS data do not show any recent decrease in autism in California despite the exclusion of more than trace levels of thimerosal from nearly all childhood vaccines. The DDS data do not support the hypothesis that exposure to thimerosal during childhopod is a primary cause of autism."

Maybe Bobby the Child now will argue that Californians are just weird. And you know what? He's right.

[cross-posted from www.medicalprogresstoday.com/blog]