Health War II

America's Health War I ended about 14 years ago.

We lost, the bad guys won.

Now Health War II has begun ...

Roert Reich's Blog: The Healthcare War is Now Official

Yesterday the American Medical Association came out against a public option for health care. And yesterday the President reaffirmed his support for it...

... All major lobbying firms in Washington -- many of them brimming with ex-members of Congress -- are now crawling all over the Hill. Lots of money is on the table. AMA's political action committee has contributed $9.8 million to congressional candidates since 2000, and its lobbying arm is one of the most formidable on the Hill. Meanwhile, Big Insurance and Big Pharma are increasing their firepower. The five largest private insurers and their trade group America's Health Insurance Plans spent a total of $6.4 million on lobbying in the first quarter of this year, up more than $1 million from the first quarter last year, and are spending even more now. United Health Group spent $1.5 million in the first quarter, up 34 percent from the $1.1 million it spent in the first quarter last year. Aetna spent $809,793 between January and the end of March, up 41 percent from last year. Pfizer, the world's biggest drugmaker, spent more than $6.1 million on lobbying between January and March, more than double what it spent last year. It also spent nearly $3.3 million lobbying in the fourth quarter of 2008. Every one of them is upping their spending....

... The President can't do this alone. You must weigh in and get everyone you know to weigh in, too. Bombard your senators and representatives. Organize and mobilize others. And let the White House know how strongly you feel...

In Minnesota our senators are Al Franken (still not seated) and Amy Klobuchar. I'm not worried about Franken, he'll do the right thing. I'm very concerned about Klobuchar. I've sent her an email through her extremely sluggish contact form.

This won't be pretty. I'd expect Obama to lose this one, except he's a pretty resourceful guy.

We know where we have to end up. We need to get to "Crummy Care".

Crummy Care is healthcare with dingy carpets and peeling (lead free) paint. Crummy Care is delivered by physicians, but also by a lot of cheaper routes. Crummy Care sends films to be (double) read in Malaysia, uses CT scanners that are four years past cutting edge, has waiting lists for services, and has tight formularies and highly optimized low cost standard care protocols.

Crummy Care is not what most of us want, but it is what we can afford to provide to everyone in America. (No, I'm sorry, electronic health records aren't really a miracle solution -- though they can make Crummy Care quite a bit better.)

Crummy Care is the good enough, affordable, minimalist solution. If you have money you can buy Mercedes care, but if you don't you'll get reasonably state of the art treatment for your breast cancer (sorry, probably not a bone marrow transplant) and reasonable preventive care (no PSA for your prostate).

So we know where we have to go. The problem is it's a lousy, harsh, innocence crushing trip. We won't travel that road if we try do do business as usual

Which is why we need the "public option".

If we don't get it, then I think we'll eventually decide we lost Health War II.

So what happens if we lose?

We wait 5-7 years for Health War III.

The Dept of Energy joins the peak oil parade

They're weaving and dodging, but basically they're on board ...

Goodbye to cheap oil | Salon

Every summer, the Energy Information Administration of the U.S. Department of Energy issues its International Energy Outlook (IEO) — a jam-packed compendium of data and analysis on the evolving world energy equation...

... The IEO predicts a sharp drop in projected future world oil output (compared with previous expectations) and a corresponding increase in reliance on what are called "unconventional fuels" — oil sands, ultra-deep oil, shale oil and biofuels...

... 81.5 million barrels produced in 2006 ... projected 2030 figure to just 93.1 million barrels per day...

They're much more pessimistic than they were about three years ago. They're not saying we'll run out of hydrocarbons, in fact they predict our 2030 oil production will be about 13% higher than it was 3 years ago. The catch is worldwide energy demand would normally rise by far more than 13% over the next 20 years.

That demand won't be filled by traditional oil supplies. We'll either do more with far less energy or we'll bake the planet with CO2 producing oil alternatives.

Peak oil is upon us. Expect your gas price to continue to rise.

Google's problem: too many Starters, too few Finishers

Google's Blogger rich text editor is richly broken in Firefox and Safari. This isn't a new problem, it's been broken in lesser ways for years.  You might image you can fix the broken formatting in the "Edit HTML" view, but that view is essentially obsolete. It doesn't provide full access to the formatting controls.

Google's My Maps is stuck in toy stage.

There are lots of other examples. Google is great at starting products, lousy at finishing them.

This isn't surprising. Google has a famously IQ and creativity focused recruiting policy, a policy strongly identified with Marissa Mayer.

That's a great way to get Starters. Starters are people who invent things.

It's not a great way to get Finishers. Finishers are the people who do the 80% of the work required for the last 20% of the product. Finishers are detail people.

Google's problem is too many Starters, too few Finishers. Google needs to change their recruiting and hiring policies.

Bubble III

Governments have injected trillions of dollars into financial systems. We're not set up to quickly deploy that much money, and loans are still slow. The big infrastructure projects are still months to years away.

The money has to go somewhere though. So where's it going? The market.

A few months ago, in a fit of contrarian optimism, I predicted Dow 9000 by Nov 2009. It's June and the Dow is at 8800; we could easily hit 9000 this month. That's not necessarily good. A November 9000 could be compatible with a reasonable recovery, but a June 9000 is crackers.

I think I hear something inflating ...

The mass murder of Navy sonar

I don't think the US Navy would get away with deploying technology that visibly tortured and killed large numbers of land mammals ...

Does Military Sonar Kill Marine Wildlife?: Scientific American:

... generate slow-rolling sound waves topping out at around 235 decibels; the world’s loudest rock bands top out at only 130. These sound waves can travel for hundreds of miles under water, and can retain an intensity of 140 decibels as far as 300 miles from their source...

... Navy documents which estimated that such testing would kill some 170,000 marine mammals and cause permanent injury to more than 500 whales, not to mention temporary deafness for at least 8,000 others...

Imagine the pain of being unable to escape this barrage.

It’s not Obama’s deficit

No great surprise, but even I’m surprised how relatively little Obama’s budgets have contributed to the Federal deficit …

How the U.S. Surplus Became a Deficit – David Leonhardt - NYTimes.com

… The New York Times analyzed Congressional Budget Office reports going back almost a decade, with the aim of understanding how the federal government came to be far deeper in debt than it has been since the years just after World War II. This debt will constrain the country’s choices for years and could end up doing serious economic damage if foreign lenders become unwilling to finance it…

…You can think of that roughly $2 trillion swing as coming from four broad categories: the business cycle, President George W. Bush’s policies, policies from the Bush years that are scheduled to expire but that Mr. Obama has chosen to extend, and new policies proposed by Mr. Obama.

The first category — the business cycle — accounts for 37 percent of the $2 trillion swing. It’s a reflection of the fact that both the 2001 recession and the current one reduced tax revenue, required more spending on safety-net programs and changed economists’ assumptions about how much in taxes the government would collect in future years.

About 33 percent of the swing stems from new legislation signed by Mr. Bush. That legislation, like his tax cuts and the Medicare prescription drug benefit, not only continue to cost the government but have also increased interest payments on the national debt.

Mr. Obama’s main contribution to the deficit is his extension of several Bush policies, like the Iraq war and tax cuts for households making less than $250,000. Such policies — together with the Wall Street bailout, which was signed by Mr. Bush and supported by Mr. Obama — account for 20 percent of the swing.

About 7 percent comes from the stimulus bill that Mr. Obama signed in February. And only 3 percent comes from Mr. Obama’s agenda on health care, education, energy and other areas.

So we’re talking 37% business cycle, 33% Bush, 20% Bush items extended by Obama (tax cuts, Iraq) and 10% Obama. It’s the last 10% that makes GOP budget “hawks” rabid.

Insofar that Obama’s spending is a stimulus package aimed at reducing the duration of the recession accounting for 37% of the deficit, it’s an excellent investment.

The Pre advantage: $1,200 cheaper

The Pre has three significant advantages over iPhone 3.0 [1].

1. PIM. Palm is far more committed to productivity (PIM) apps (calendar, contacts, tasks, notes) than Apple. To a first approximation Apple despises this entire domain.
2. Sprint. AT&T leads the League of Evil with cramming, rebate scams, SMS spam, overselling network capacity, and other low class trickery. Sprint is merely wicked, but AT&T is the Microsoft of phone companies.
3. Price.

The last is a biggie ...

We know the iPhone isn't cheap, but Billshrink shows the numbers

... , the cheapest phone to own over a two-year period is the Palm Pre, which clocks in at $2,400. The cost calculated is based off of a service plan with two years of unlimited voice, data, and messaging services. The Android G1 follows with $3,240 and finally the iPhone 3G S at $3,600...

I hope these are enough advantages to either make Palm viable or get a committed buyer for the company.

[1] I think limited battery life will make Palm multitasking a modest improvement over iPhone 3 notifications.

Google's HTML 5 - the netbook chromestellation platform

It’s been a few months since I’ve last written about the netbook chromestellation platform (Google Chrome + Netscape Constellation 1996). There’s been little of interest on the netbook side, except that Microsoft has successfully executed their only logical response – make XP effectively free on the Netbook. Price points have not yet fallen into the truly disruptive range.

On the software side though, we now have Google’s technology preview from their I/O conference: Google I/O - Google's HTML 5 Work: What's Next?.

One surprise is what a large role Apple has played. Clearly they made the right strategic choice when they split from Mozilla to create Safari/WebKit and introduced Canvas. Apple and Google are precisely aligned now, and both are pushing the vision of a browser as a technology platform. (From a very different direction, so is Palm.)

Another surprise is that the standards groups have abandoned the slow pace of seven years ago and resumed the 1990s model of adopting whatever the leaders are doing. HTML “5” today is nothing like HTML “5” of 2004.

It’s everyone against Microsoft now, rather than the 1990s Sun vs. Netscape vs. Microsoft battle (Microsoft hardly had to lift a finger in that one – Netscape and Sun killed one another). If you add the EU in then maybe it’s almost a fair fight, but Microsoft is immensely profitable and Windows 7 is due*.

So now we wait for the Google branded Cloud-powered $150 HTML 5 netbook …

* Windows 7 will sell so much hardware and software, it might inflate .com bubble 2.0.

iPhone 3GS - interesting disability features

The iPhone 3GS should be able to support magnifying text and acting as a reader for printed materials.

I expect that 'magnifying glass' apps will soon be as popular as flashlight apps.

Extra points to the first to combine the flashlight and magnifier features in a single app.

Apple WWDC: Yay iPhone, Boo Snow Leopard

Quick WWDC comments ...

• The iPhone 3GS is as expected, only surprise is accessibility and voice commands. That's a win over all. I'll buy the 32 GB version around August. I like what I hear about light sensitivity improving even as pixel count rises -- the current device is light sensitive. The macro feature is great and, of course, the video is excellent.
  
• There's nothing in Snow Leopard I'm interested in. The meager improvements, like an iChat that sucks less, could be implemented in Leopard. Only the $30 price is right. Definitely a 2012 acquisition. I want the Exchange client capabilities in 10.5, not 10.6.
  
• The MacBook Air is still too expensive. The new MacBook is superb; tough to choose between it and an iMac now.
  
• I don't remember Apple ever resurrecting something they killed. They made a mistake pulling Firewire from the MacBook. Now it's back everywhere. Don't wait for the apology.
  
• It's striking that there was no discussion of productivity apps on the iPhone -- nothing about calendaring, tasks, contacts, etc. The Palm Pre and the iPhone are staking different areas. I'm torn. Good news for the Pre!
  
• Given Snow Leopard's Exchange Server client features I expect MobileMe will move to provide Exchange Server-like services (as Google has). I'm neutral on whether MM will use Google's version of Exchange server or if Apple will do there own. They won't use Microsoft's implementation.
• I don't rule out a 10.5 add-on update to iCal and Address Book for MobileMe users after MM goes to Exchange Server.
  

Update: Oh, and whatever happened to the resolution independent user interfaces? It's not in Leopard, and I'm not sure it's in Windows 7 either. I didn't see mention of a keyboard interface for the 3GS, last I heard the dev version didn't have API support. Also, Apple really does hate AT&T these days. Looks like a divorce might be coming. I wonder if Apple will then sign with Verizon or ... acquire Sprint ... Now wouldn't that be interesting ...

Peak hydrocarbon output in 2020?

I'm comfortable with my Peak Oil call of Aug 2008. Of course I didn't mean peak production, but rather that going forward the demand/supply curve would force light "sweet" crude oil prices to rise inexorably until demand was reduced by either conservation or alternative power sources (more coal).

So no more big price drops over time, just occasional dips against a regular rise.

Then the price of oil collapsed.

Was I humbled? Of course not! The collapse of the world economy and a certain amount of speculation played themselves out, but the price is rising nicely now. We should be back up to $120 a barrel by the summer of 2010 -- unless the oil price rises send us down into recession.

What happens then? I assumed we'd just switch to coal and melt Greenland, but maybe I was too optimistic. It happens, even to me.

The problem, as outlined in an article that predicts Peak Hydrocarbon Production by 2020, is EROEI ....

Walrus Magazine Energy Crisis 2009: An Inconvenient Talk

... Energy return on energy invested, which geologists refer to interchangeably as EROEI or EROI. Canada’s exploration treadmill. Reserves-to-production ratios.

You pick one at random, fixate on it. The historical EROEI for conventional oil is 100:1... Invest a barrel’s worth of energy drilling and refining in a spot like Ghawar, then and forever the largest single crude oil deposit on the planet, and you used to get 100 barrels of energy-dense, easily transported fuel in return. These days, conventional EROEI for such places is closer to 25:1.

The EROEI on more recent “new conventional” deposits, which Dave cites mostly by their discovery and extraction methods (“deepwater oil, horizontal wells, 3-D seismic”) is also around 25:1. In Alberta’s tar sands, the surface-mined bitumen comes to market at an EROEI of 6:1. “In situ” bitumen — sludge buried too far under the boreal forest floor to excavate, which comprises the lion’s share of the most breathless estimates of Canada’s energy superpower–scale oil production — rings in at 3:1. Corn ethanol, that darling of America’s farm states, is somewhere between 1.3:1 and 0.75:1. Shale oil, another unconventional source held by its boosters to be capable of indefinitely extending the age of oil, has never been converted into fuel at a net energy profit, at least as far as Dave has been able to ascertain....

Presumably new technologies will improve EROEIs enough to truly bake the earth, but the article is worth a read. If peak hydrocarbon output is really only 11 years away then it's within the planning horizon of energy investors and national militaries.

So we should start hearing more about it pretty soon.

Personally, I've no predictions on PHP (peak hydrocarbon production) -- just "peak light sweet".

Foreign Policy review on child soldiers

FP takes us to the ugliness behind the hype (via Freakonomics) ...

Foreign Policy: Think Again: Child Soldiers

... Asymmetrical conflicts, however, are another story. Take suicide bombing, which child soldiers have carried out in the Palestinian territories, Iraq, Sri Lanka, and Chechnya. There is little that trained soldiers can do other than guess that a nearby child is in fact a suicide bomber. In Afghanistan, a 14-year-old was responsible for the first killing of a NATO soldier -- likely just one of the estimated 8,000 child soldiers who do or have worked as part of the Taliban's forces.

Face to face with child soldiers in battle, Western military forces are often befuddled as to what to do. Should they engage, retreat, surrender, or attempt to disarm? The U.S. Army's war manual, for example, offers no guidance on rules of engagement. The British Army only recognized the problem after one of its patrols was captured by child RUF soldiers in Sierra Leone, having been hesitant to attack the under-15-year-olds. Britain later used pyrotechnics and loud explosions in that conflict to induce panic among the ill-trained youngsters, many of whom would simply run away....

Since the US recruits at age 17, we technically employ child soldiers. Most are in Asia and the near East, not in Africa.

Armies use child warriors because they're effective. Much more effective, you may be sure, than I would be.

The conclusion? To end the use of child soldiers, we must first end the most common forms of modern warfare.

Update: Sarah, in comments, points out that technically the US is compliant with current law as long as our child soldiers don't fight (though some have). We violate international law when we prosecute child soldiers as adult war criminals.

Gingrich is a loon

Either Gingrich believes he can con the religious right into thinking he's one of them, or he really believes this ...

Shared sacrifices - Paul Krugman - NYTimes.com

... "I think this is one of the most critical moments in American history,” Gingrich said. “We are living in a period where we are surrounded by paganism."...

Either way, he's a loon.

The implications of cyber war in an interconnected world

This is the first cyber war discussion I've read that's had anything interesting to say ...

I, Cringely - Collateral Damage

... Forget for the moment about data incursions within the DC beltway, what happens when Pakistan takes down the Internet in India? ... The next time these two nations fight YOU KNOW there will be a cyber component to that war.

And with what effect on the U.S.? It will go far beyond nuking customer support for nearly every bank and PC company, though that’s sure to happen. A strategic component of any such attack would be to hobble tech services in both economies by destroying source code repositories. And an interesting aspect of destroying such repositories — in Third World countries OR in the U.S. — is that the logical bet is to destroy them all without regard to what they contain...

Sounds plausible. I'd say we have a problem ...

Requiem for a gerserker - Gordon's Laws of Geekery

So we'll go no more a-hackin
So late into the night
Though the heart be still as geeking,
And the moon be still as bright...

Apologies to Byron

Able I was ere I saw Elba. Anon.

It is hard to remember a time before the Man-machine war. Things were bad in the TSR years, and yet again when QEMM laid waste to the minds of men. Strong warriors weep to remember when Mac OS 7 crumbled before TCP/IP, or the Hell that was Hayes. We hoped for peace with OS/2, but got Me instead.

Yet we won those battles. The machines seemed chastened. Windows 2000 was peaceful. Modems died. OS X 10.3 was good. We thought a world of true productivity lay ahead.

We were wrong. The machines were only playing for time. The synchronization front claimed thousands of mortal minds. OS X turned vicious, and XP maniacally senile. The powers of Google gave us new hope, but was Google truly on the side of flesh?

It's not only that the machines are becoming ever more powerfully complex. We of the first generation are growing weary. Many comrades have retired from the front. We can't weave and dodge as in the days before bifocals. Exercise, sleep, work and ... yes ... family -- they take their toll.

Yet I fought on. I was a Gerserker; I threw myself into battle. When others held back I charged Sharepoint heights and fought Outlook hand to hand. Yes, I synced contacts with the iPhone.

I went too far. In my bones I knew the end was near. OS X Tiger lived up to its man-eating namesake. My ancient XP box was dying slowly of chip rot. Office 2007 bit my ankles.

I was weakened when I met IT. Active Directory is a rabid shark on steroids. We fought for weeks. Some days I was netlocked seven times, but I struggled to my keyboard every time. One day I thought I had it beat, but it raged back when I turned my head. Finally we fought tooth, nail and hackery until I pulled the poisoned dagger from the treacherous heart of Outlook 2007.

The battle was won, but the my war was done. Even replacing my mother's cable modem and upgrading her plain Mini to 10.5 had too many bizarre bugs.

My time as a Gerserker is done. I still contend, but no longer do I leap to the battle.

Just as I have sworn by Gordon's Laws of Acquisition, so I do By Darwin Swear upon Gordon's Laws of Aged Geekery ...

1. Avoid Microsoft. They are one with the Darkseid.
2. Fear authentication, above all fear authentication with synchronized credentials.
3. Fear that which is beyond the hand of the Geek, such as networked data that cannot be copied locally. Above all, fear the services of those foreign domains that lack an effective and responsive Help Desk.
4. Embrace redundancy.
5. Simplify, even at the cost of power.
6. Pace technology. Take on new battles only when the supply lines are strong and the forces are rested.

It's a new world for me. It means I don't want a 10.6 iMac -- instead I'll buy a 10.5 iMac once the 10.6 "up to date" program is announced. I doubt I'll do 10.6 before 2012.

I won't be doing any more Windows installs outside of a VM. I embrace the Virtual Machine and the Sandbox as my allies.

I'm putting off my new SLR purchase, partly because Canon has gone mad, but mostly because those images are too large for old G5. I will need to get a new iMac completely pacified before I take on new camera. The SLR will move into 2010.

I'm going to get the new iPhone -- but not at the same time as the new iMac. They'll have to be spaced.

At work I'll drastically reduce my participation in anything new beyond the absolutely essential.

In the fearsome Cloud I'll be stay closer to Google -- the Demon I ride -- and avoid the complications of distributed authentication and extended identity.

I have returned upon my shield, and the night is now for sleeping ...

Update 6/8/09: Added Virtualization tag (label) to my tech blog.

Update 7/13/09: I missed this Gizmodo cry for gadget reliability when it came out in late 2008. Peace brother.