Bible studies (intermezzo)

Hat tip: Andrew Sullivan

"We have the best health-care system in the world"

And here is a longish quote from The Economist, the well-know communist magazine, published under the heading:"One way capitalism can make health care worse and more expensive":

Here's one example among a million. The other day I went to the IPO announcement of a company that does some fairly state-of-the-art medical stuff. The company was spun off from a public institute a few years back to exploit this technology, but it's been unable to establish significant revenue or market share, or to get within shouting distance of breaking even. Meanwhile, competitors with similar technologies have gobbled up most of the market share, and one is already quite profitable. The company said it planned to raise some tens of millions of dollars with the share issue, many times its current annual expenditures and about a third of its overall market cap. And what would it do with this money? It was going to use half of it to finance a marketing drive, targeting key decisionmakers at American health-care providers and health insurers, and doctors.

Why hadn't this company been able to generate significant revenues? Were its technologies inferior? No, said an independent molecular biologist I talked to. Its product was certainly as good as the competition's. Moreover, it had actually gone to the trouble of getting its technology approved by the FDA, which the competition hadn't. (In this sub-sector FDA approval isn't yet mandatory.) But it hadn't marketed itself well. It hadn't established the relationships with providers and insurers that would ensure that its product was the one they selected. Doing so would require a marketing budget of tens of millions of dollars, in a sub-sector where the entire annual market is a few hundred million dollars.

Just think about this for a minute. A medical technology company is going public to generate the money it needs to advertise its products to hospital directors and insurance-company reimbursement officers. This entails significant extra expenditures for marketing, the new stocks issued to fund the marketing will ultimately have to pay dividends, banks will have to be paid to supervise the IPO that was needed to generate the funds to finance the marketing campaign (presumably charging the industry-cartel standard 7%)...and all this will have to be paid for by driving up the price the company charges to deliver its technologies. But beyond the added expense, why would anyone think that a system in which marketing plays such a large role is likely to be more effective, to lead to better treatment, than the kind of process of expert review that governs grant awards at NIH or publishing decisions at peer-reviewed journals? Why do we think that a system in which ads for Claritin are all over the subways will generate better overall health results than one where a national review board determines whether Claritin delivers treatment outcomes for some populations sufficiently superior to justify its added expense over similar generics? What do we expect from a system in which, as ProPublica reports today, body imaging companies hire telemarketers to sell random people CT scans over the phone?

30 years ago: Ronald Reagan shot (reposted)

Reagan was shot, but not killed, kids, and I was there. Sort of. Reagan was shot in March '81 ("Please tell me you're all Republicans" he told the doctors in the hospital---that's the spirit, President Obama), and I arrived on the scene in May '96, for a workshop at the Hilton Hotel. It was the night of the White House Press Corps dinner, and Wolf Blitzer and this woman, she who always sits in the first row in a red dress and gets the first question during a WH presser (Dr. Alzheimer will remember her name), were standing in animated conversation outside our conference room. I could have touched them. I could have asked for an autograph.

We left for dinner downtown. Outside, hunks with sunglasses and big earpieces(white, thick spiraling cables) had descended upon the scene, and were directing towing trucks with spiraling gestures. The trucks were hoisting  vehicles still parked around the hotel. Crowds had gathered. Somebody helpfully explained to me the implications of roadside bombs and the President's plan to attend the dinner. There must have been hundreds of secret service agents, all listening ostentatiously to their earpieces, all gearing up for the big event, the President's Arrival.

We waited for the president. We waited more. Clinton was always late. Finally the motorcade arrives, hunks on bikes, ambulances, limousines, more hunks on bikes, cars, trucks, more ambulances, larger limousines, ever larger limousines. Suddenly, the motorcade stops, with the largest limousine right in front of the entrance. We would see the President!

Then, without prior warning, the president's limousine backs up into a concrete cubicle next to the entrance. A steel shutter comes down.

And that was that.

They had built a special access garage for the president right where Reagan had been shot in '81.

Learning from history.

Egg on your face

"You are not my long-lost half-sister. No-no. Not you!"

Communist swimwear

It was 1985, before the Berlin Wall had come down, and I was visiting at the Rockefeller College of the State University of New York at Albany. They had arranged for an apartment for me, owned by a physics professor from Union College, Schenectady, who would go to CERN for a sabbatical (yes, click it, and click here, as well). What I did in Schenectady? I learned how to pronounce "Schenectady!"

There was a TV in my apartment, and on the TV, one fine evening, a commercial appears. It's a fashion show with a female man-eater (are all man-eaters female?) who pronounces the words "day wear" with a heavy Russian accent, while a mousy model comes on stage in a shapeless gray garment, and disappears again. The light dims, the man-eater flashes a torch-light, pronounces "night wear," and the mousy model re-appears in the very same outfit. The light comes up again, the man eater pronounces "swim wear," and the mousy model makes her last appearance, this time with a swim belt wrapped around her hopeless dress. CUT. A male person, with an unaccented voice, proclaims:"Wendy is better; Wendy offers choice."

Two days later, Wendy, a fast food chain, pulled the commercial, "because it had raised controversy." I never understood. I thought it was very funny, and very true. Especially the accent was very funny, Zwim-Weaarh,  Zwim-Weaarh. By the way, I forgot to tell, with each appearance of the model, the Stalinist man eater (obviously a member of the Tea Party) would raise her hands and clap enthusiastically while gazing triumphantly at the audience, that would then chime in, reluctantly.

But now I do understand why Wendy pulled the commercial. Because, you know, the swim wear under communism was much better that I (we?) thought---as the newly discovered picture from the former, communist Eastern Germany, published in Der Spiegel, exemplifies.

-"If only the Tea Party would know, it would change their outlook completely."

-"It could mean the end of the culture wars."

-"Communism is OK, really."

-"Moderates, independents, centrists, whoever is out there, draw your Tea Party friends to this post and see the world change."

Sex on the beach

Well, not quite, but you can call it formal foreplay (perhaps better: formalized foreplay?)



There they come.



When we showed these pictures to Lesley (yes, it's on the beach of Hilton Head), she shared some thoughts with us, and we, bitchy gay Europeans, couldn't agree more.



Will she say yes?



Will he say yes?



We'll never know.

New Bern, North Carolina

What was this?



Yes, it was a bear, or at least a representation of one.

The "logo," of New Bern is the bear, Ann explains at the reception of the local Hampton Inn, and since the town is celebrating its 300's birthday, bears are all over the place.




The local tourist board (Ann is a member) asked businesses to commission a bear of their liking (inside fairly strict rules). America at its best.

New Bern's claim to fame? It's the birthplace of Pepsi Cola.

Kitty Hawk, North Carolina

What was this?



Yes, it was the first aeroplane, the first vessel that would lift off, fly, and land entirely on its own power. The Wright Brothers developed it and it flew on Dec. 17, 1903, in the dunes of Kitty Hawk.

The place sits on the OBX, the outer banks of North Carolina, a chain of sand banks, not unlike the Frisian Islands of the North Sea.

Charleston, South Carolina (preview)

Waiting to be seated for brunch at Jestine's in Charleston (@ a cool 95° F (34° C))

Rehoboth Beach (postcript)

It's a pity that our host had already left when the Republican Club of Rehoboth started to erect an enormous statue right between Rehoboth Av. and the beach.
















The statue is dedicated to Peggy Noonan's famous 2004 column in the Wall Street Journal about George W. Bush, and when it is finished, an inbuilt recorder will speak her unforgettable words in an infinite loop:

"Mr. Bush is the triumph of the seemingly average American man. He’s normal. He thinks in a sort of common-sense way. He speaks the language of business and sports and politics. You know him. He’s not exotic. But if there’s a fire on the block, he’ll run out and help. He’ll help direct the rig to the right house and count the kids coming out and say, “Where’s Sally?” He’s responsible. He’s not an intellectual. Intellectuals start all the trouble in the world."

While we were traveling

Burlington, Vermont

We had barely arrived in the North-East Kingdom, or Perry would haul us off to visit an old friend, Big Al, in Burlington. Burlington is in the Guinness league, twice, for being the largest city of Vermont (more than 10k inhabs), and for being the cloudiest city of the continental US. It borders on the Lake Champlain (pictured), which is widely held responsible for the microclimate.

I had never seen the sun in Burlington before, but it did shine upon our arrival for dinner with Big Al and Helen, his lovely wife, whom we had last seen in December of 1988, when we had been invited to her perfect Christmas Dinner. Nothing had changed, of course.

Al is an emeritus of the University of Vermont, and we could not resist the invitation to his alma mater.

The University is home to the Dudley H. Davis Center, where the university's coop is located (T-shirts, Maple syrup), and where the Value Hall enshrines the values of the university. Respect, Openness, Integrity, Innovation, Responsibility. "Why not Justice," a Senior Vice President of Academic Communication must have asked during interminable Power Point Presentations. Was she fired? No, justice was duly added to the value spectrum,  and is missing only from the picture because our Samsung travel camera does not do wide angles.

We however, are in a spiky mode. Why Justice, we ask Big Alk, even though we know the answer already. Stay tuned.

Hilton Head

We had been invited by Lesley and Cory---not for the first time, we should add, they had invited us to a place in the Alpilles in the Provence region in 2005 (after a week that they had rented out house), and to their condo in Chicago in 2007. This time, it's Hilton Head, South Carolina. Another condo of theirs.


We have barely arrived or are hauled off to a dinner at a delicious restaurant (pictured above, under Live Oak trees covered with Spanish moss).

Cory	Lesley

Hilton Head has a rich history. It was a major outpost of the Union Army in the Civil War, and became a settlement area after the war for emancipated African Americans, the Gullahs, who developed their own language, still spoken locally.




Its main attraction is the beach, possibly the best beach I've ever seen, warm, luscious, breezy, sexy, with long stretches for solitary encounters, and wild life to match. The finest sand in the world.

Columbia, South Carolina

Located on Congaree River's fall line from the Appalachian Mountains (fall line: the spot where rivers become unnavigable for vessels sailing upstream, and simultaneously the spot farthest downstream where falling water can usefully power a mill), Columbia serves as the long-suffering capital of South Carolina. As we are following the Two Point Rd. from our hotel in the direction of downtown, we expect traffic to intensify. Instead, traffic calms down to a mere trickle. On a Saturday, the business district is completely quiet. Situated at its heart, the Convention Center provides interesting views over the Congaree Valley.

(The place appears to have had a historic downtown which was destroyed 1865 in a fire at the end of the Civil War, etc. wiki. etc. wiki.)

Hyatt Harborside Boston

We arrive at the Hyatt Harborside next to Boston's Logan airport at 3:30 in the morning (our time). With a valet parking price tag of US$ 36,00, this must be a good hotel. We are tired and plan on a quiet room service evening, but Chang reads the fine print of the room-side menu: "All Room Service orders are subject to State and Local taxes, a Delivery Charge of $3.00, a service charge of 15% and an administration fee of 3%. Only the service charge is given to service personnel."

View of downtown Boston from the Hyatt

Why is the "Delivery Charge" in large caps but the "service charge" in small caps? We are getting suspicious of the Room Service, and descend to the Hyatt Harbor-Side Grill, where the outside patio with a view of downtown Boston across the harbor is closed because of smog ("Air Quality Alert"). Only minor confusion arises as we enter the grill --- stop, we do not enter the grill where we would burn on freshly ground charcoal, we enter the Grill --- enter the Grill at the wrong entrance, and only one waiter is irritated.

Chang reads the menu backwards but cannot find a dish below $36.00. I read the winelist backwards and cannot find a bottle of wine below $36.00. Thirty-Six Dollars is the lower bound of the financial algebra of this hotel. They must have hired a marketing psychologist from HBS across the Charles River to figure this out. "Why not $40.00," a pugnacious junior executive must have asked pointlessly during interminable Power Point Presentations. Was she fired?

Chang declares his lack of hunger. I declare a certain lack of alcoholism, and settle for one glass of Mondavi Chardonnay, an utterly pointless white wine served in an utterly smallish carafe.