In Praise of Habit
— Harper's Magazine (@Harpers) December 20, 2021
AOC Warms to Nuclear Power
McKinsey Goes to Rikers Island
Fiction by Sheila Heti
and more in @Harpers January issuehttps://t.co/ZKhe2cF1pS pic.twitter.com/veY7KxDO72
Category Archives: Opinion
Climate Change: “Don’t Choose Extinction” (U.N.)
A visitor to the United Nations General Assembly has a message about climate change, telling us government-supported fossil fuel subsidies will prove disastrous to our species. The computer-animated Frankie the Dinosaur (voiced by actor Jack Black) stars in this message produced by the U.N. Development Program as part of its “Don’t Choose Extinction” campaign, timed to the COP-26 climate conference in Glasgow.
Covid-19: Patients Dying In Name Of Vaccine Freedom
In the video above, Alexander Stockton, a producer on the Opinion Video team, explores two of the main reasons the number of Covid cases is soaring once again in the United States: vaccine hesitancy and refusal. “It’s hard to watch the pandemic drag on as Americans refuse the vaccine in the name of freedom,” he says. Seeking understanding, Mr. Stockton travels to Mountain Home, Ark., in the Ozarks, a region with galloping contagion and — not unrelated — abysmal vaccination rates. He finds that a range of feelings and beliefs underpins the low rates — including fear, skepticism and a libertarian strain of defiance. This doubt even extends to the staff at a regional hospital, where about half of the medical personnel are not vaccinated — even while the intensive care unit is crowded with unvaccinated Covid patients fighting for their lives. Mountain Home — like the United States as a whole — is caught in a tug of war between private liberty and public health. But Mr. Stockton suggests that unless government upholds its duty to protect Americans, keeping the common good in mind, this may be a battle with no end.
Personal Health: “Singing The Praises Of Prevention” (The Scientist Magazine)
From Bob Grant, The Scientist Magazine (April 1, 2020):
Prevention has been playing a growing role in other diseases, infectious and 
otherwise, long before this latest global pandemic. Cancer, the focus of this issue, is ubiquitous, and one would be hard pressed to find a person anywhere on Earth whose life wasn’t in some way touched by the complex and vexing malady.
This cancer-focused issue features a cover story in which we explore one facet of cancer prevention: exercise. In this feature story, Danish researcher Bente Klarlund Pedersen explains that studies have shown frequent exercise to be useful in avoiding cancer as well as in helping cancer patients lessen the side effects of their cancers and treatments. Her research and that of others is seeking to enumerate the molecular and cellular mechanisms that underlie the benefits exercise seems to offer cancer patients.
But when one considers the practical ripples that biology sends through societies—issues of public health and the shared goal of minimizing the impact of diseases on a global scale—human behavior and prevention become vitally important.
Best Pets: “Domestic Cats – Our Wild Companions”
From Cell.com “Trends In Ecology & Evolution” (Feb 22, 2020):
The value of domestic cats as predators-in-residence certainly played a significant part in their global spread, as they were employed for rodent control on trade ships and in the outbuildings of emerging civilisations.
They are predisposed to form attachments with people during early developmental stages, tolerate the presence of humans, other cats, and other domestic animals far better than wilder felids, and exhibit distinctive behavioural traits (including vocalisations and body language) that facilitate effective interspecies communication…
Cats share a long history with humans but are remarkable among domesticated species in largely retaining behavioural and reproductive independence from people. In many societies, the cat maintains liminal status as both a domestic and a wild animal. An adaptive push-and-pull between wild and domestic traits corresponds with dual roles as companions and pest controllers, and with conflicted treatment in husbandry, management, law, and public discourse. To move forward, we must proceed by understanding that cats are not exclusively pets or pests, but both a central component of human societies and an important, often adverse, influence on ecosystems. Developing a collaborative ‘companion animal ecology’, in which human–animal domestic relations link to ecological processes, will enable sustainable management of this wild companionship.
Debates: 55 Years Since “James Baldwin – William F. Buckley” (Cambridge 1965)
It has been 55 years since civil-rights activist, James Baldwin, and founder of the conservative National Review, William F. Buckley, Jr., met for a debate on race in America. That discussion and the lives of the two cultural giants are subjects of a new book, “The Fire is Upon Us.” Zachary Green spoke with author and political scientist Nicholas Buccola about how the debate’s still resonating.
Elder-Care Crisis: Early Screening For Dementia, Increased Preventative Primary-Care Are Needed
From a Wall Street Journal Opinion article (Feb 10, 2020):
How to address the elder-care crisis? Ideally, doctors would screen older patients for dementia. An early diagnosis helps patients understand treatment options, plan for the future and receive appropriate care in the hospital.
Other steps include: more preventive care, changes to Medicare’s rehabilitation policies, adopting new reimbursement methods, and developing new measures of success. Primary-care offices can prevent hospital visits, but Americans seeking primary care face an average wait time of 24 days. This might not be a problem for a patient in need of an annual physical, but conditions like chest pain or infections require prompt treatment. Primary-care offices that offer same-day sick visits, home visits for bed-bound older adults, or at-home monitoring of conditions could reduce emergency department volumes.
Healthcare System: “There’s No Dignity In Hospital Gowns” (BMJ)
From a The BMJ Views and Reviews article by David Oliver (February 5, 2020):
Last year the Lancet published a paper on the impact of wearing gowns, surveying 928 adult patients and carrying out structured interviews with 10 patients. Over half (58%) reported wearing the gown despite feeling uncertain that it was a medical necessity. Gown design was considered inadequate, with 61% reporting that they struggled to put it on or required assistance and 67% reporting that it didn’t fit. Most worryingly, 72% felt exposed, 60% felt self-conscious, and 57% felt uncomfortable wearing the gown.
I’ve often wondered why on earth we routinely put so many patients into hospital gowns within minutes of their arrival at hospital.
Sometimes referred to as “dignity gowns,” such dignity as they afford is only in comparison to being stark naked. They don’t come in a wide range of sizes or lengths, and they’re open along the back. You tend to get what you’re given and make do. The effect is to leave patients with lots of exposed flesh, with underwear or buttocks intermittently displayed and a feeling of extreme vulnerability, not to mention being cold if they have no other layers to wear.
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