On Drugs

Today I received multiple emails urging me to voice my opposition to the “21st Century Cures bill.” Specifically opposed by Elizabeth Warren, it was passed by the House yesterday and is now headed for the Senate. Here’s one of the more level headed things written about it today.

So, here’s something that might concern you. This bill would specifically allow something called “off-label use” of drugs. More specifically, it allows drug manufacturers to mention these off label uses, rather than leave it to word of mouth among doctors. Critics call that “Fraud”, adding “If this bill passes, Big Pharma could market drugs as cures for all sorts of symptoms, not for the uses that were approved by the FDA. That sort of fraud puts people at risk.”

That’s simply not how it works.

Let me start with a common example that you or somebody you know might be familiar with. There’s a drug called Gabapentin, name brand Neurontin. It’s approved as an anti-seizure medication. The truth is, there are many better drugs for seizures, but Gabapentin is really good at controlling nerve pain (“neuropathy”). Many diabetics use this drug to control diabetic neuropathy (it’s cheaper than that stuff you see advertised on the TV, and has a longer track record for safety simply because it’s been around for years). So this bill would say that the makers of Gabapentin could run an ad saying doctors use this stuff all the time for neuropathy.

People like Elizabeth Warren who are calling this “fraud” think somebody should pay for a bunch of new research studies to prove what doctors and patients have known for years: this stuff works pretty well for something other than it’s original purpose.

The fact is that one out of five prescriptions written today is for an off label use — what critics are now calling “fraud” — and there are perfectly valid reasons for your doctor to write that prescription. In fact, if I can only get you to read one thing about this issue, let it be this peer reviewed article on the practice. Notice there’s an entire table of common off label uses, some of which are common sense (gee, morphine can treat severe pain in children, gotta do some studies on that one).

Of course heaven forbid we should address the fact that the United States is one of only two countries that allow drug manufacturers to market their products directly to consumers who — let me point this out — cannot purchase them without a prescription. Not complaining, it helps  my clients remember what some of those new meds do.

In Closing: bras; Greenwald pointing out reality again; 5 pre-screened articles by conservatives; a Home Depot employee in Alabama has virtual control of the underground economy in Venezuelaplease stick a fork in identity liberalism (it’s dead); and it’s been a long time since I’ve linked to anything in HuffPo, but it is still the economy, stupid.

Sharing an Email

Since she sent it to about a bazillion people, I hope Elizabeth Warren won’t mind my sharing it with you:

Bridget,

Over the past four years, millions of people have fled their homes in Syria, running for their lives. In recent months, the steady stream of refugees has been a flood that has swept across Europe.

Every day, refugees set out on a journey hundreds of miles, from Syria to the Turkish coast. When they arrive, human smugglers charge them $1000 a head for a place on a shoddy, overloaded, plastic raft that is given a big push and floated out to sea, hopefully toward one of the Greek islands.

Last month, I visited the Greek island of Lesvos to see the Syrian refugee crisis up close. Lesvos is only a few miles away from the Turkish coast, but the risks of crossing are immense. This is a really rocky, complicated shoreline – in and out, in and out. The overcrowded, paper-thin smuggler rafts are tremendously unsafe, especially in choppy waters or when a storm picks up.

Parents try their hardest to protect their children. They really do. Little ones are outfitted with blow up pool floaties as a substitute for life jackets, in the hope that if the rafts go down, a $1.99 pool toy will be enough to save the life of a small child.

And the rafts do go down. According to some estimates, more than 500 people have died crossing the sea from Turkey to Greece so far this year. But despite the clear risks, thousands make the trip every day.

I met with the mayor of Lesvos, who described how his tiny island of 80,000 people has struggled to cope with those refugees who wash ashore – more than 100,000 people in October alone. Refugees pile into the reception centers, overflowing the facilities, sleeping in parks, or at the side of the road. Recently, the mayor told a local radio program that the island had run out of room to bury the dead.

On my visit, I met a young girl – younger than my own granddaughters – sent out on this perilous journey alone. I asked her how old she was, and she shyly held up seven fingers.

I wondered what could possibly possess parents to hand a seven-year-old girl and a wad of cash to human smugglers. What could possibly possess them to send a beloved child across the treacherous seas with nothing more than a pool floatie. What could make them send a child knowing that crime rings of sex slavery and organ harvesting prey on these children.

Send a little girl out alone. With only the wildest, vaguest, most wishful hope that she might make it through alive and find something – anything – better for her on the other side.

This week, we all know why parents would send a child on that journey. Last week’s massacres in Paris and Beirut made it clear. The terrorists of ISIS – enemies of Islam and of all modern civilization, butchers who rape, torture and execute women and children, who blow themselves up in a lunatic effort to kill as many people as possible – these terrorists have spent years torturing the people of Syria. Day after day, month after month, year after year, mothers, fathers, children and grandparents are slaughtered.

In the wake of the murders in Paris and Beirut last week, people in America, in Europe, and throughout the world, are fearful. Millions of Syrians are fearful as well – terrified by the reality of their daily lives, terrified that their last avenue of escape from the horrors of ISIS will be closed, terrified that the world will turn its back on them and on their children.

Some politicians have already moved in that direction, proposing to close our country to people fleeing the massacre in Syria. That is not who we are. We are a country of immigrants and refugees, a country made strong by our diversity, a country founded by those crossing the sea fleeing religious persecution and seeking religious freedom.

We are not a nation that delivers children back into the hands of ISIS murderers because some politician dislikes their religion. And we are not a nation that backs down out of fear.

Our first responsibility is to protect this country. We must embrace that fundamental obligation. But we do not make ourselves safer by ignoring our common humanity and turning away from our moral obligation.

ISIS has shown itself to the world. We cannot – and we will not – abandon the people of France to this butchery. We cannot – and we will not – abandon the people of Lebanon to this butchery. And we cannot – and we must not – abandon the people of Syria to this butchery.

Thank you for being a part of this,

Elizabeth

That’s pretty much all I’ve got today. Oh yeah, except that closing the French border to refugees would not have stopped what happened in Paris since all 8 attackers had EU passports. That’s much like the fact that the 9/11 hijackers were in the US legally, with passports under their own names. But hey, REAL ID is making you safer from people who don’t have all their documents together, right?

Double Down

The Freakin NSA

The Executive Director of Google says that the NSA is going to break trust in the internet, and thereby break the very internet itself. I don’t think the government cares. The NSA will do whatever it likes, thankyouverymuch. Further, it will do what it likes in whatever country it chooses! Ed Snowden still believes that the whole thing will be found unconstitutional by the Supreme Court. Only problem with that is that by his own admission, none of the felonies uncovered have been prosecuted. A case has to get to the Supremes before it can be heard there. Chalk it up to terror-phobia.

The Freakin Economy

This is why I like Elizabeth Warren: she knows what she’s talking about and she’s not afraid to say it loudly. In this case, she’s willing to say the system is rigged against Joe and Jane Average, in favor Wall Street — a group of institutions almost as untouchable as the freakin NSA. Gee, maybe that’s why Americans are flat-out broke. And for African-American or Hispanic-American families, median assets are worth less than a decent used car. By the way, notice that infographic doesn’t say net assets, just assets. Oversight, or does that not reflect debt owed on assets?

In Closing:  a couple of TSA items; Can we please have more cops like this guy and fewer cops that see the public as a bunch of incipient criminals, please?; “shut the whole thing down“; fight to the death and reap the profits thereof; please be sure to take this quick ebola quiz courtesy of Southern Beale — you’re much more likely to encounter Enterovirus D68; two items on diabetes; and I didn’t get the memo either.

 

“Oh No, Say It Ain’t So, Joe”

B000444Today, I got a letter from Joe Biden. I was kind of excited when I saw it. He asked about my family and how my classes were going… No, not really. He wanted money for the DSCC, “the only organization solely dedicated to electing and reelecting Democrats to the Senate.”

So in short, here’s my reply: Sure, Joe, do you want me to make that check out to Democracy for America or MoveOn? Because the DNC, DSCC, DNCC, and other ‘official’ Democratic groups aren’t getting any more of my money until you start representing my interests!

Want my money? Well Joe, you’re the head of the Senate. Make those idiots actually stand up and talk when they threaten filibuster. You don’t need Harry Reid’s permission to do that, do you?

Here’s another place you can start: Throw some support behind Senator Warren’s bill to revive Glass-Steagal! Heck, Sandy Weill said almost exactly a year ago that it needed to be done, and he was the guy who forced the Feds to repeal it. Funny how we didn’t have a financial catastrophe in the decades it was law. You don’t suppose….?

Maybe you could personally use some of your “pull” in the administration to at least slow down the mad acceleration towards a police state. For example, if we stop spying on citizens, then we have noting to fear from guys like Anonymous or Ed Snowden (btw, you do know that trying to prevent him seeking asylum is kinda a violation of international law?). Another example, maybe get the “Justice” Department to back of marijuana prosecutions in places where voters have decriminalized it? Instead, maybe “Justice” could start prosecuting employers who hire undocumented workers, often violating other labor laws in the process? You don’t even have to pass an immigration “reform” bill to do that! We do have millions of Americans out of work who — assuming those jobs actually pay a living wage (yeah ha I know right?) — might like to have those jobs.

Speaking of “reform” bills, Joe, I would like to register my disappointment once again in the Affordable Care Act, or “Obamacare.” Ok, yes, probably better than nothing. Yes, thanks for the no-deductible birth control pills. However, the solution to soaring prices for health insurance was mandatory health insurance with no public option: forcing us to pay up to the profitable companies that got us into this mess. Let me recycle some links from the other day on that, and an ancient post. That’s like doubling down on a pair of deuces. This one is easy enough to fix if you can find the political will: support Alan Grayson’s “Buy into Medicare” plan. What was it you heard when you guys were trying to ram ACA through? “No socialized medicine, and don’t touch my Medicare?” I bet Medicare’s cost per person would go down if young, healthy people were allowed to enroll!

You official Democrats have disappointed me on these issues as well as student loan reform, environmental issues, the farm bill, the Sequester, failing to let the Bush tax cuts lapse, failing to close Gitmo, not even trying to fix the problems the Supreme Court found in the Voting Rights Act or Citizens United, and so many other things I just can’t keep track of them all anymore.

I’ll probably still keep voting for you guys, because I don’t really see that the other party is going to run anyone I can vote for without self-loathing.

But don’t count on my check.

In Closing: Malala is back, and she has a posse!; and didn’t Trayvon also have the right to stand his ground? After all, some strange guy with a gun was following him home!

Open Letter to Los Angeles

Hi L.A., How are you?

This is a little awkward. See, the thing is that I do like you. I don’t mind your sprawl. I love your museums. How many cities have their very own tar pit?  You have a cute little Chinatown.

The thing is, I don’t think you are safe anymore. The problem isn’t you. It’s that police force of yours. I think he’s bad for you and I wish you could dump him for somebody better.

It isn’t just the thing with Chris Dorner — even though it’s obvious that LAPD never intended to bring him in alive for a trial. I mean really, they shot up two different pickup trucks, not one of which met the description of Dorner’s truck, and not one of whose occupants was even the same race as Dorner.

Unfortunately, this is just part of a trend for LAPD. I know there’s more to the story, but shooting somebody in the back as they run away from you isn’t exactly the textbook definition of “self defense.” And do you know what happens if you search Youtube for “LAPD Shoots”? Over 300 videos at the moment: shooting carjackers, shooting murder suspects, shooting those pickup trucks, shooting a deaf mute man, shooting a young Muslim man 90 times. Sure, there are films of the shooting range, and about cops being shot, commentary about people being shot, and of course some multiple-camera-angles-of-same-incident. An alarming number of these clips are recent.

I am starting to think that the real gun control needs to involve taking guns away from your officers.

Sorry Los Angeles. I’ll keep in touch, I promise. But don’t expect my tourist dollars any time soon.

In Closing: break the silence; broadband; nosy neighbors confuse maple syrup rig for meth lab; apparently, some cops think a car sticker is “probable cause”; not just at airports; glad Joe Biden cleared that up!; mainstream nutrition; Dave Johnson uses this thing called logic; have no fear, your homeowner’s policy covers meteor crashes; on Elizabeth Warren; please notice the very careful wording about 2/3 down; on consumer education; I guess she’s hoping no future employers Google her; and pot.

Time’s Wasting

Congress is officially out for the year. It’s the earliest departure in over 50 years, and the least productive Congress since World War 2. But there’s no point in beating your head against a wall to do nothing. Besides, by adjourning early, Harry Reid gave Scott Brown no excuse to miss his debate with Elizabeth Warren!

However, I must point out that Congress left a number of things undone before leaving town. Sure, maybe they’ll have better luck in the new Congress come January but I doubt it. Here’s just a few things:

  • They refused to vote on a bipartisan compromise farm bill that would have reformed agricultural subsidies and “food stamps.” Now we revert back to a bill from 1949.
  • They didn’t do anything about the massive looming cuts in public health and science.
  • They may yet find a way to weasel off the “fiscal cliff” by delaying it. And of course it’s easy to delay it again. And again….
  • They saved trade with Russia for later.
  • They haven’t passed a long overdue transportation bill.
  • They didn’t pass a budget, despite the fact that the new fiscal year starts a week from Monday
  • They have yet to do the will of the people and completely drive a stake through the heart of SOPA.
  • They have not extended the Mortgage Forgiveness Debt Relief Act — one of the good pieces of legislation to come through on GW’s watch.
  • And as they say on the infomercial, many many more.

Remember Come November. Register to vote NOW.

In Closing: radical Islamic cleric almost foils FBI terrorist sting; way to report “news,” CNN; didn’t Jesus say something removing the plank from your own eye first?; hope she got the job; 30 years of emoticons; now he says it; ha, if they had a clue I would still be driving their cars; and desert blooms.

ShortWoman’s Musings on Travel

Last week, I was out of town. Having grand adventures. You know, the usual. I’m home, and things are back to normal, so let me tell you what I think about travel.

On Packing: Pick your battles when it comes to your quart zip-top bag of liquids. Would it kill you to use the shampoo you’ll find in the hotel? Don’t forget to pack sunscreen. Really.

If it’s big enough or heavy enough to need wheels, it is by definition not a carry-on.

Rolling pants and most other garments takes up less room and means fewer wrinkles.

Think carefully about how long you’ll be gone and what you’ll really need. After all, you’re going to have to carry it.

On Airports and Airlines: Do everyone a favor and have your ID and boarding pass ready to go when you get in the security line. Already be prepared to go through the probe-u-later. Be polite as long as feasible. And seriously, don’t even joke about terrorism or bombs.

No, U.S. Air, I am not paying for your overpriced food.

The Airbus A321 has the worst overhead storage I have ever seen. Somebody decided that it’s more important for a 6′ tall man to be able to stand than for anybody to have a carry-on bag. The more I travel, the more I like Boeing.

The only thing I like about Phoenix Sky Harbor is that it’s called “Sky Harbor.”

Cancun, on the other hand, has a very nice airport. Clean, well laid out, plenty of room near the gates, huge duty free shop, decent food. Oh yeah, and a Margaritaville.

On Mexico: I understood Montezuma’s Revenge before I even made it through customs. The sink in the airport bathroom was labeled “NON-POTABLE WATER. DO NOT DRINK.” In English, I might add. If a sink is not labeled “POTABLE,” don’t drink that water. It’s simple.

I’ve come to the conclusion that if you are willing to stick to areas frequented by English speaking tourists, you will need very little Spanish. This may hold up in other countries as well.

The Cancun Hotel District looks a lot like the Las Vegas Strip: lots of luxury resorts, lots of palm trees, high end malls, the occasional convenience store that looks like it’s been there for decades. However, the big difference is that Cancun has more pyramids.

Lots of shopping, yes. I think the only things I could have bought there that I can’t get here are Cuban cigars and Cuban rum (which is yummy stuff). And since I can’t bring either one home, not worth bothering.

Going out to Isla Mujeres was much more like visiting a foreign country. Be aware, the shopkeepers will see you getting off the boat.

Step out of your comfort zone and eat what the locals do. You’ll be glad you did.

Tip well around your resort and you will be remembered for it.

And one last thing: You never know who you will run into when you travel. Be aware of opportunities to meet people, or at least say hello to people you know.

In Closing: hilarious; small Mercedes coming soon; must read explanation of “not in the labor force”; Occupy Ports; a battle that was lost by 1978; and Jesus approves this message.

Banks Will Continue to Make Their Own Rules

President Obama is backing down from the idea of actually having a Consumer Financial Protection Bureau that protects consumers in any way. Elizabeth Warren is reportedly out of the running to head it. To me, this telegraphs that the CFPB may give lip service to protecting consumers and enforcing the law, but will probably really protect bankers from consumers while they continue to break the law and screw their so-called customers.

I sure do hope he’s not planning on my support to get re-elected.

In Closing: two ships that never sailed; still not vegetarian, adds ew; way to go, kid; neighbors would rather have a house be empty and slip into complete disrepair than have that man live there; Kucinich has a point (but credit rating agencies didn’t cause a crisis by handing downgrades, banks did by playing games with the numbers!); everyone panic!; the fight over nudie scanners has just begun; it’s good to be king CEO; and 5 fundamental problems with the jobs market.

Happy Rapture Day!

How’s that working out for you? I feel fine.

So I haven’t said anything about the brouhaha surrounding now-former IMF head Dominique Strauss-Kahn.  Let me remedy that right now:
Matt Bors

But by far, the best actual headline has to be IMF Aborted Internal Investigation of Strauss-Kahn in 2008. Thank you, Businessweek!

In closing: the truth; if even joking about having a bomb is enough to get you arrested, then why weren’t TSA officers arrested?; most Americans don’t give a **** what gender your spouse is; Disagree with me? And you’re a woman? Or an underage female? You deserve to be killed and raped! (*ahem* at least according to some animals who consider themselves conservatives — just a friendly reminder, you don’t know whether I’ve got a concealed carry license, now do you); For pity sake, Mr. President, just freaking appoint Elizabeth Warren already!; The People want more regulation of Wall Street (are we mad enough to “vote all the bums out?”); the environmental case for legalizing marijuana; are your children at the park?; and Mark Zuckerberg is a freaking idiot.

Tucker and Shorties vs Evil

Inspirational Story of the Day: Teen disappointed that he didn’t make the soccer team, so he loses 60 pounds and deadlifts 308 pounds. There are lots of things you can do if you want to badly enough.

Um, Yeah: I can see where meeting a co-worker in such a place might be bothersome. Just say “but it’s the Wall Street Journal! I thought it was business news!” if you get caught reading that at work.

Hi-Ho Silver! Away!: Now might be a good time to sell?

That’s a Good Point: Charity and God may go well together, but not always.

What Would Your Doctor Do?: Say no to nudie-scanners.

Let’s just put all this economic news in one spot: First, we’ve got payroll numbers, which are “rising” but at too slow a pace. Campaign for America’s Future reminds us that “it’s the economy, stupid” and “Americans want government to play a larger role in economic recovery.” Because big business doesn’t give a damn; after all there’s an entire rest of the world to exploit. Tiger Beatdown has a nice item on the ongoing class war that nobody [wealthy] wants to talk about. Meanwhile, more and more families are feeding their families with help from food stamps. Inflation is going to make things even worse for those of us who aren’t millionaires. Tim Iacono points out that the savings rate is even worse that we think. Teen joblessness may reach record levels this summer — which means expect idle teens to find ways to get into trouble. People are defaulting on their student loans. But hey, at least small businesses are borrowing money; maybe they’ll actually hire people.

How interesting: So with gas prices what they are and our nation importing oil, American oil companies are exporting more oil than they sell here! And best of all they are sucking down American tax dollars at the same time!

Even Shutting It is Controversial: Yucca Mountain. I guess some good padlocks aren’t sufficient, eh?

Fortune is Right: What good is a consumer protection agency that can’t protect? If Congress waters down consumer protections, or Elizabeth Warren doesn’t get to head the CFPB, you will know that our lawmakers have sold our souls to the banksters that ripped us off.

Susan’s Got a Point: It is called “special education” for a reason.

Eric Holder’s Vow is Worthless: Back in 2009 he vowed to stop raids on medical marijuana facilities (yeah, I’m no HuffPo fan, but the only better link was NYT). But I guess whatever forces really control the War On Drugs Used By Poor And/Or Brown People told him how stuff is: his office has warned states that they will prosecute anyone they think they can prosecute for medical marijuana. Never mind what the people think. Their opinion only counts on election day, after all.

The More Things Change, the More They Stay the Same: Marie Osmond celebrated her wedding to her third husband… who just happened to have been her first husband. She even got to recycle her original wedding gown. Thanks, NutriSystem!