Sunday, April 26, 2009

And now for the health care wars … compensation, round one

Them’s fighting words …

Doctor Shortage Proves Obstacle to Obama Goals - NYTimes.com

… Senator Max Baucus, a Montana Democrat and chairman of the Finance Committee, said Medicare payments were skewed against primary care doctors…

“Primary care physicians are grossly underpaid compared with many specialists,” said Mr. Baucus, who vowed to increase primary care payments as part of legislation to overhaul the health care system…

“Grossly underpaid” is rather strong, especially from the chairman of the Finance Committee.

There is an elephant in the room of physician compensation. The primary care physician supply can be increased by paying these physicians substantially more, but it can also be increased by paying specialists substantially less.

There are plenty of applications for medical school, and plenty of physicians entering practice. If we really want a different mix, we can do that fairly cheaply.

Android netbook – things start to get interesting again

The Netbook news has been boring lately. Lots of junky $500 machines running XP – viral fodder basically. Heck, that’s in range of a used MacBook. No news there, except that $25/machine XP licensing has torn a hole in Microsoft’s profit. Instead of making an insane profit they’re only making an obscene profit.

Things only get interesting when the crummy little buggers fall below $150. Anything else, short of a $250 5” diagonal iTouch from Apple, is boring.

So this report is interestingly only because it’s a marker of the drive to $150 …

Report: First Android Netbook to cost $250 | Crave - CNET

The Alpha 680, as the laptop is known as, is going through final testing at Guangzhou Skytone Transmission Technologies, Skytone co-founder Nixon White told the site.

The Netbook uses a 533MHz ARM 11 CPU and sports a 7-inch LCD screen, keyboard, touchpad, and built-in Wi-Fi, according to the report. However, the Alpha 680's 2-cell battery will last only two to four hours while surfing the Internet, much lower than the expected 12 hours.

… manufacturers attempt to drive the price of Netbooks to around $200 or less…

The Alpha 680 will be quickly forgotten of course. The big one will be the Google branded netbook debuting at $180.

Four Yorkshiremen – The Monty Python Poor skit

I’ve been looking for this one for a while, but turns out it was right in front of me, one of the first releases on my YouTube Monty Python feed ..

Excerpt

… "Oooooh, we used to dream of living in a corridor. It would have been a palace to us. We used to live in an old water tank on a rubbish [heap]. We got woken up every morning to having a load of rotting fish dumped all over us. House? Uh!"
"Oh, when I said house I meant a hole in the ground covered by a piece of twig. It was a house to us."
"We were evicted from our hole in the ground. We had to go and live in the lake!"
"You were lucky to have a lake! There were a hundred and fifty of us living in a small shoebox in the middle of the road."
"Cardboard box?" …

Interesting lesson on memory. I remembered one of the four lived in a river, but it was a lake. I also remembered someone brushing their teeth with barbed wire, but that’s a complete miss.

Wonderful.

Update: There are references to other versions of the skit in the YouTube comments. So maybe there was a river and barbed wire somewhere ...

When social conservatives can be helpful …

I’m not a fan of American pseudo-Christian marketarian fundamentalism. I do, however, sympathize with many of the priorities of parents who would call themselves social conservatives.

For example, we use their home schooling materials when our usually good but occasionally whacky public school fads fail our kids. We also appreciate their media reviews.

Consider Common Sense Media. They come across as pretty neutral, but I still suspect a social conservative undercurrent there. Where else, however, could I get a review like this one …

Hotel for Dogs Rating and Review For Kids and Families | Common Sense Media

… I work as an advocate for children who are coming from homes of Domestic Violence and I often take children to the movies when there is no school. After viewing the trailer the children decided it would be a fun movie to see (ages 8 & 12). I took them thinking it would be a silly pointless movie, only to find it was full of things that are all to real in my line of work. The children I had taken to the movies were recently removed from their mother and placed with grandparents, but have easily been those kids on the screen. I think the movie would have been great for "normal" happy children, but I wish somewhere in the previews I would have known the plot....now I know to check this site…

Exactly. By some miraculous intervention our #3 child (adopted) missed seeing this movie today. So, chances are, she won’t need emergency counseling. #2 (also adopted) was delighted by the film and appeared unfazed by a high-intensity emotional stress test for children with a history of personal tragedy. #1 is harder to read, I’ll have to watch how he does with it.

It’s not a bad film, even though they sure do yank the old adoption/abandonment levers that movie makers live for. It’s just a very tricky film for children with certain histories.

You don’t get that from typical movie review sites, but CSM has the key information.

Next time we’ll check CSM before we go.

Contrarian opinion – the bailout is working, and it’s relatively cheap

My iPhone Wall Street Journal app means I read the WSJ for free.

The “free” is important. The WSJ editorial pages are blithering madness assaulting civilization and reason. If I were to pay for the WSJ’s excellent news pages, I’d be funding WSJ editorial attacks on my children’s future. If I’m not paying for the editorials though, I can get the excellent journalism guilt-free.

So I came across a moderately contrarian opinion on the usual descriptions of the Geithner bailout (emphases mine):

Why the Wall Street Bailout is Working - David Weidner - WSJ.com

Anyone who takes tea with friends will tell you: The parties are painless. It's the gossip that hurts.

In the same way, today's antitax, antispending movements aren't the problem, it's the dangerous misconceptions they spread about the government response to the financial crisis.

Their argument -- that huge tax hikes are coming or have been implemented to pay off bailouts for banking fat cats -- betrays a lack of understanding of the government's approach to solving the financial crisis. When protesters or critics complain about the $10 trillion-plus spent on the Wall Street bailout, you can understand how their estimates of the number of protesters in the streets last week were slightly, well, inflated.

The truth: No one's paying new taxes directly related to the bailout. And most of the government rescue packages offered to the banks have gone untapped or are being repaid…

… Make no mistake, U.S. taxpayers are on the hook for a lot of money. The government has spent or expects to spend about $2.4 trillion in the next few months to keep the financial gears moving. It's a stunning amount of money made worse by rage-inducing missteps such as the bonus debacle at American International Group Inc. and the initial lack of direction for the Troubled Asset Relief Program…

… If the economy does recover within a year, we'll have spent a lot to rescue the financial system, but nowhere close to the 14-digit figure flogged by tea party protesters.

In fact, there's no way the government will spend that much, because many of the 26 bailout programs aren't being used much, according to Federal Reserve and Treasury Department statistics. For instance:

Banks have tapped the FDIC's Temporary Liquidity Guarantee Program for $297 billion so far. That's about 20% of the total $1.5 trillion allocated. This is the biggest of the government programs, and banks pay 0.5% to 1% interest for the right to borrow the money depending on how long they keep it.
During its first month, the Term Asset-Backed Securities Loan Facility, or TALF, has only financed $4.7 billion in consumer debt, far below the $1 trillion allocated. In addition, participation is declining with each new funding cycle.

The Money Market Guarantee Program, aimed at insuring money-market funds against losses, hasn't spent a dime. It covers up to $3.8 trillion in money-market debt. This program is actually making a small profit, because participating funds are required to pay a fee.

Other than the stimulus bill, the program with the biggest outlay so far is the Troubled Asset Relief Program, or TARP. More than $570 billion has been committed, but less than $400 billion has actually left the Treasury Department. Like most of these programs, it's unclear how much of this money will be repaid, but most banks say they're either ready or capable of giving it back. If not, they have to pay a 5% annual dividend to the government. In just the first three months of this year, the government has collected $2.52 billion in TARP interest.

You get the idea. Most of these programs were designed as backstops and as proof that the government stands behind the country's private financial system. The government is extending its own credit line to banks until the private sector can repair its own.

Recovery, when and if it occurs, will render many of these programs obsolete. The actual cost to taxpayers will be either negligible or drastically less than the most dire forecasts suggest.

Of course, taxpayers stand to lose more if the economy worsens and the financial system losses deepen further. It's not hard to imagine a scenario in which high unemployment leads to bigger loan defaults, setting off a domino effect of lower home prices and bank failures. Americans have $2 trillion in credit-card debt, and banks are holding that, too.

If that scenario comes to pass, financial companies could tap every dollar of the government's massive credit line.

The International Monetary Fund on Monday projected banks world-wide will need an additional $875 billion in capital by next year to get reserves to precrisis levels. That means most banks will need to raise cash through the public and private markets -- or, failing that, from the government.

But potential losses aren't the same as real ones.

Our national debt already stands at $11 trillion. Most of that debt was run up in the last eight years, when government spending outpaced declining tax revenues. The Iraq war is close to costing the nation $1 trillion. Hurricane Katrina cost us about $110 billion.

We ran up a huge tab for our kids well before the bailout, but it's unlikely that such an inconvenient fact will be the talk of the next tea party.

This is in line with the DeLong line, and somewhat opposed to Krugman (though his concern is not so much that money is being tossed out, as that it is not being spent where it should be).

I’ve seen comparison made elsewhere to the vastly smaller S&L bailout. It cost much more than was imagined early on, but much less than feared. My hope, prayer and hunch is that we’re in the same ballpark.

The vast deficits our children will inherit will not be the result of government bailouts, they will instead be driven by bad policies (Bush/GOP) and demographics (aging population).

Incidentally, the solution to the American demographic problem is just north of Minnesota. Canada has pioneered the exchange of Canadian citizenship privileges for the economic output of the world’s top producers. The US could do the same; we just need Obama to keep making America a more appealing place to live. Health care reform will help.

Saturday, April 25, 2009

Google Latitude, Profiles, and “friends”

Google Latitude inherits ideas from Google’s abandoned “Dodgeball” product. It lets you use your cell phone or computer to track people who’ve agreed to share location information. It plays some sort of role in Google’s chaotic/emergent/incoherent/diabolical social networking anti-twitter anti-facebook strategy.

Like Gmail SMS and Google Voice SMS and Google Talk messaging SMS it includes some … SMS, this time bundled with iGoogle (which I thought was iDying).

Ohh, and Google Profiles are in there too … somewhere (http://www.google.com/profiles/me). Profiles no longer have only numeric IDs like 113810027503326386174 [1], they can have vanity IDs too, like http://www.google.com/profiles/jfaughnan.

Phew.

Anyway, with Google Mobile | Latitude you can …

  • See where your friends are and what they are up to
  • Quickly contact them with SMS, IM, or a phone call
  • Control your location and who gets to see it

It’s designed for use on a mobile phone, but it can also work with an iGoogle gadget. I’m pretty sure it can be added to Gmail as well (where I’m more likely to use it) given the Gmail Lab widget insertion option.

On the computer I can manually specify my location ( the new IE Google toolbar will compute location for sites that have Wifi based on large databases of Wifi network locations [2]). On supported phones the location is dynamically update.

Emily and I share location now. Handy if her phone gets stolen! Her Blackberry Pearl doesn’t support GPS so it’s all cell tower triangulation.

On the other hand the iPhone still doesn’t support Latitude – months after we were told it was “coming soon”. Looks like the problem is a big one …

… Steve Lee, Product Manager for Google Latitude explained, "We have an iPhone version, working on that to make it available. One thing to note about iPhone version: The magical part of Latitude, even when it's in your pocket, it can report your location…It's not typical user behavior to pull out your phone out of your pocket and check in."

Lee continued, "On all those four platforms I mentioned, they allow applications from the background and multitask and report the location; and iPhone, that's not the case, and Apple just announced their 3.0 software and it appears that's still not the case. It's unfortunate for applications like Latitude…

I’ve no idea how this will all turn out. By the way, my money is on “incoherent” over “diabolical” for Google’s social strategy.

[1] Amazing how much stuff Google is breaking lately btw. The ID is still mine, but the original “sharing” URL is broken without even a polite error message. The current correct URL is http://www.google.com/profiles/113810027503326386174 vs. http://www.google.com/profiles/jfaughnan. Now that I’ve enabled the latter option searches on my true name (not John Gordon) include a link to my profile at the bottom of the results page.

[2] If that doesn’t unnerve you then either you have no imagination or you’ve already accepted the transparent society.

The lessons of 2002 - humility and expertise

The torture memos remind us of the terrible failure of American character in 2002. Krugman learned something then (emphases mine) ...
The defining moment - Paul Krugman Blog - NYTimes.com

...The Bush administration was obviously — yes, obviously — telling tall tales in order to promote the war it wanted: the constant insinuations of an Iraq-9/11 link, the hyping of discredited claims about a nuclear program, etc.. And the question was, should you stand up against that? Not many did — and those who did were treated as if they were crazy.

For me and many others that was a radicalizing experience; I’ll never trust “sensible” opinion again.
My personal lesson was a little different. I now have far less respect for confident experts and expert consensus. There's an empirical basis for this skepticism - a confident famous expert is less reliable than a random choice. (Technically, this rule applies to Mr. Krugman, who is both confident and famous.)

After 2002 I put my faith in quiet experts who admit ambiguity and uncertainty.

Thursday, April 23, 2009

Proof that Google is mortal - Gmail Contacts

When you read about Google's entrance exams, you're left with the impression the place is full of prodigies.

This is wrong.

The proof of Google's banality is the current version of Google Contacts, and particularly Google Contact Groups.

I swear that years ago Google's Gmail had a very simple UI for working with contacts. You could paste in a set of well formed email addresses and POOF you'd added Contacts into a Group.

Now you create the contacts one at time and then, one at a time, add them to a Group. Oh, unless you want to try Google's ultra-finicky CSV formatted import option.

This isn't just average software stupidity, this is Modern-Microsoft level stupidity (excluding, as always, the Windows Live Writer team). Stupidity infesting Google's flagship software product, a strategic product.

Google is made up of flawed mortals, just like Microsoft and everyone else. (Yes, including Apple. Remember MobileMe?)

Wednesday, April 22, 2009

Obama and Chavez - I like him better now than ever

I like The World's Greatest President (WGP) more now than when I voted for (and, more importantly, donated to) him.

Back then he was merely smart, a political prodigy who could use pigment to obscure his inner geekiness. Above all, he wasn't a member of the Torture Party of Limbaugh.

Now though ...
Cuddlin' With Evil / Obama shakes hands with people we're supposed to hate. Are we all going to die? (Morford)

... Obama was the leader to watch because he did that most rare of things among major world leaders: He listened. More than that, he heard. More than that, he did not insult, demean, degrade, patronize, scold. He shook hands and spoke cordially with everyone in the room, including supposed 'enemies' like Hugo Chavez, a clever pipsqueak of an America-hating media slut who is zero threat to the U.S. but who normally dominates the TV cameras anyway, but who was so disarmed by Obama's effortless, high-road calm that he suddenly had no footing, no audience, no stage from which to bluster and spit. Go figure.

As reported by the Miami Herald:

"[Obama] listened with an extraordinary patience, and he was intellectually elegant in his responses." - Chilean Foreign Minister Mariano Fernandez

"I can't recall a U.S. president who has sustained such an open-minded dialogue with the region." - Argentinean Foreign Minister Jorge Taiana

Naturally, all this articulate, respectful diplomacy means one of two things.

One: We are blindly kowtowing to all sorts of scummy, evil forces of the underworld and undermining America's godlike supremacy, and soon will be overrun by drug lords and baby rapists and fat, sweaty, cigar-chomping socialists who love to coddle baby-raping drug lords. This is known as the "Fox News angle." Also known as the "Hysteria Special," and also, simply, "The Limbaugh."

Option two: We are about to make extraordinary progress in the world, as we set a new tone of intelligent cooperation in our foreign policy, restoring much of the respect and international goodwill Bush so grossly destroyed, as we finally step back up to the adult's table, not as the domineering father figure everyone fears for his drunken, violent tirades, but as the kind of elegant intellect and influential peacemaker everyone wants to emulate.

That last thing? About emulation? I think that's the most potentially transformative thing of all.

See, we all know the idea of how Obama's raising everyone's game. It's barely 100 days in and already people speak glowingly of the Age of Obama, how the calm, constructive vibe he exudes like a beacon is actually changing people's everyday behaviors, redirecting our attention from violence and rancor and overconsumption toward something a little bit lighter, smarter, less fear obsessed, more respectful or even just simply nicer. The bastard...

I know that anyone who attains the presidency must, by historical precedent, be at least half-mad.

Even so ... even so. We are far, far more fortunate than we deserve.

Tuesday, April 21, 2009

Nimbophobia: Why you should fear the cloud - Google's performance problems

Another reason to fear the cloud.

Google Calendar is getting slower ... and slower ... and slowweeerrrr.

It's barely useable on the web. Fortunately the slowdown doesn't affect my iPhone Calendar. It syncs via Google's exchange services, so any delays occur in the background.

Now I have a lot more events and calendars than most people, so hardly anyone will share my experience. Even so, this is important. The air is getting bad and the canary is going down. You may be next.

Why is Google's Calendar performance tanking?

I'm guessing they've cut back on their infrastructure spend. A reasonable choice in current economic conditions. Problem is, when a cloud company does this everyone is affected. There's no way to opt out.

So if I were a profitable company, for example, I'd be sharing the same pain as Google and other less profitable companies.

The Cloud makes everyone equal. Too equal.

Fear the Cloud.

Update 9/24/09: Blogger has an undocumented 5000 post limit. Prior posts cannot be searched or edited. Google has no fix four months after copping to the bug. Fear the Cloud.

Sunday, April 19, 2009

Monsters

We need a truth commission.
183 - Paul Krugman - NYTimes.com

... now no way to view the people who ruled us these past 8 years as anything but monsters. We had all these rationalizations of torture over the “ticking clock” and all that — then we learn, for example, that Khalid Sheikh Mohammed was waterboarded 183 times in one month...
Monsters.

WGP Obama

It's true. He's moving so fast the spinning heads are airborne...
Sluts & Salvation / Also: Mysterious chicken, drooling Facebook, maniac presidents. Can you help? (Morford)

Obama Resolves Riemann Hypothesis

... In which the World's Greatest President (WGP) continues to infuriate and confound his GOP critics by taking on -- and checking off -- so many impossibly ambitious projects and issues so quickly, so calmly, so impressively, that not only can't they keep track, but they can't write snarling, simpleminded, wrong-headed on-air commentaries and blog posts fast enough to string together a cohesive narrative of fear and outrage before Obama's already moved on and announced he's going to colonize the moon and cure oak blight and teach the world to communicate with dolphins.

Upshot: Total frothing extremist gibberish. Secession! Guns! Teabagging! Tears! Fascism! Limbaugh! The right-wing punditry frying itself to a panicky crisp like a giant KFC Family Bucket of frustration! Absolute genius, Mr. President....

It's like those X-Men comics where they blow up the bad guy power sponge by overloading him with way too much of the good stuff.

WGP. Like it.

The best about Twitter essay

Farhad Manjoo has written the best "what is twitter good for?" essay to date.

I say that because I agree with him. For example ...
The reluctant Twitterer's dilemma. - By Farhad Manjoo - Slate Magazine

... But if you're not into that, Twitter doesn't seem to offer much that you can't already get elsewhere—for instance, at Facebook. A few months ago, I urged readers to join the social network because you could no longer mistake it for a passing craze; Facebook, I argued, is now a permanent part of the culture, as critical to modern society as e-mail and the cell phone. Since then, to much annoyance, Facebook has redesigned its site to be more Twitter-like. These changes diminish Twitter's attractiveness: Are you just looking for a way to occasionally send a mass message to your friends? Facebook, where you've already established a circle of followers, can be a much faster way of doing so—especially now that it looks so much like Twitter...
I like the comment on how FB's redesign wounds Twitter. Personally, I've found Twitter most useful as a convenient way to post status updates to FB (using the FB Twitter app) -- and to one friend (that's you M.) who prefers Twitter to FB.

Oh, what's FB good for? Well, past about forty or so, it's pleasant to just know one's friends are up and about. FB is a severe "data lock" play -- I don't put anything there I'm attached to.

Farhad's essay a Twitter cheat sheet that explains, among other things, the # convention for tweet tagging.

Tuesday, April 14, 2009

Time to sign petition for a public insurer option

Ground zero in the health care wars is whether there will be the option of a quasi-governmental insurer with national rates and a large risk pool.

I believe this entity could provide good-enough care that most people would bitterly resent.

Therefore I'm strongly in favor of exploring this option.

If you agree, join me in signing Howard Dean's petition ...

Howard Dean Pushes Public Health-Insurance Option - Health Blog - WSJ

... Through StandWithDrDean.com, the group is collecting signatures for a petition that pushes the idea of patients having the choice of “either a universally available public health-care option like Medicare” — an idea that Obama supported during his presidential campaign but that industry is resisting — “or for-profit private insurance.”...

Monday, April 13, 2009

Google's mobile app search recognition is working ...

Five months ago this was a toy...
Official Google Mobile Blog: Google Mobile App for iPhone now with Voice Search and My Location

... The new Google Mobile App for iPhone makes it possible for you to do a Google web search using only your voice. Just hold the phone to your ear, wait for the beep, and say what you're looking for. That's it. Just talk. Once the App is on, you don't have to push any buttons to search....
Now, it works -- at least in a quiet room.

I have the Google app configured so kb entry is the default. That gives me more control over the voice app initiation. I hold the phone about 8 inches in front of me -- not against my face.

With this approach, in a quiet room, the results are quite good. Good enough that the speech driven search UI is now an improvement over typing in the query.