rationing
lborkowski | October 3, 2011One thing that drove me nuts during the healthcare reform debate was the scare tactic of claiming that proposed legislation would result in rationing of healthcare. The problem with making such a claim is that healthcare is already rationed in the US. We ration healthcare based on insurance status and ability to pay. And, as a story from NPR's Richard Knox points out, we ration when there are supply shortages -- as there are now with several important drugs. Here's Knox's overview of the problem:
The shortages involve a wide range of medications: cancer chemotherapy agents, anesthetics,…
sastyk | April 4, 2011There's a very good piece in the Guardian about the ways that Eastern Japan's energy crisis is a model for experiences we might have in the future:
For large parts of eastern Japan that were not directly hit by the tsunami on 11 March 2011, including the nation's capital, the current state of affairs feels very much like a dry-run for peak oil. This is not to belittle the tragic loss of life and the dire situation facing many survivors left without homes and livelihoods. Rather, the aim here is to reflect upon the post-disaster events and compare them with those normally associated with the…
sastyk | August 25, 2010It is tempting to despair of all action. And sometimes those who despair are right. But sometimes they aren't. And this, I think is an important and central point for everyone who hits those moments when they simply don't believe society will self-correct in any measure from its impending ecological disaster. I should be clear - I don't believe it will self-correct in every measure, or even as much as I wish desperately it would. But I also do not believe that what one does to mitigate suffering, soften impacts, make life livable or plan for a better outcome is wasted.
I'd tell you why…
sastyk | August 24, 2010The realities of climate change and energy depletion mean that at some point, we will encounter situations where there is not enough of an energy resource or one of the things it enables - whether food or transport or whatever, to go around. In fact, eventually we will enounter many of these shortages. Whether they arise initially from a situation in which there are actual shortages or whether the shortages are structural problems of transport or caused by inequity and dishonesty almost doesn't matter - we are going to run bang up against problems of access to resources.
When that happens,…
lborkowski | June 9, 2010President Obama has nominated Dr. Donald Berwick to head the Centers for Medicare and Medicaid Services, and he sounds like a great guy for the job. Julie Rovner reported for Morning Edition earlier today that Republicans are stalling his nomination, which isn't out of the ordinary these days. But the part of her story that really pissed me off was this snippet from Senator Pat Roberts (R-Kansas), who said, "Dr. Berwick is the perfect nominee for a president whose aim has always been to save money by rationing health care."
I would really, really like it if everyone who gets involved in the…