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Does the Queen Have a Fondness for Trump?

December 6, 2019 by Llewellyn King Leave a Comment

LONDON — I have a secret. I can’t verify it, but I can share it. It’s this: I think Her Majesty Queen Elizabeth II likes President Donald Trump.

Honestly, I’ve been studying video of them together and despite what the press here thinks, I believe she likes him. She’s amused by him. Poor woman, she deserves some amusement; she deserves some international figure who isn’t fazed by the honor of meeting the world’s most important monarch.

Consider what a relief it must be for the queen to see someone as unlearned in matters of protocol as Trump. Legions of heads of state and heads of government have leaned low over her hand while their wives have curtsied, often clumsily despite hours of practice. What a trial all this must be to a woman of 93, who has been subject to this since her ascent as queen in 1952.

Elizabeth must be the hardest-working woman on earth. She’s met thousands of stiff, boring men, day after day. She’s been sung to by countless legions of well-scrubbed schoolchildren and has endured thousands of hours of native dancing, from the Maoris of New Zealand to the Ndebele of Zimbabwe.

The mere knowledge that you’re to go to Buckingham Palace produces a kind of paralysis in most. The honor of the thing with the ghastly small talk they feel they must be ready to speak can only make for a tedium that defies imagination. From great generals like America’s Dwight Eisenhower to mass murders like Romania’s Nicolae Ceausescu, each has taken the royal paw and whispered idiocies about the weather in London that day.

No one — except possibly Trump — meets the queen without hours of preparation. How to shake hands, how to check that the great moment hasn’t caused you to break out in an embarrassing sweat. Those clothes! Is it to be rented morning wear (Who owns that?) or something less formal. Has your wife ordered correctly? Nothing off-the-peg or too high-fashion — except for Melania who, on this trip, appeared to be working as an haute couture model.

There’s evidence that the queen, after a long life of boredom, finds some relief in two American exceptions: Meghan Markle, the wife of her grandson, Prince Harry, and Trump.

Would the queen, one wonders, have opened Buckingham Palace to NATO for a reception if she hadn’t liked Trump who, for good or otherwise, was the man of the hour: the mad cousin, if you will, expected to metaphorically blow on his soup and say awful things, but still the most important member of the family.

I think the gauche American president was a little reward the hard-working Windsor (the family name, in case you’ve forgotten) who was dealing with yet another family crisis: An American woman has accused the queen’s son, Prince Andrew, of having sex with her when she was just 17 years old.

The rest of the NATO summit was all downhill. Trump left early when the media published and broadcast pictures of others at the summit chortling about him, including his host, Prime Minister Boris Johnson, the queen’s daughter Princess Anne and – Oh, the villainy! — Canadian Prime Minister Justin Trudeau, who regaled a small group with gestures, showing how Trump’s aides were open-mouthed at what their boss had said at his press conference.

Anne was already in bad favor with her mother for not joining the receiving line at the palace along with the her more dutiful brother, Prince Charles, and his wife Camilla.

Those who made merry of Trump’s antics might beware. He’s a counterpuncher (which means vindictive) and someone already critical of NATO. A chortle at Buckingham Palace might irreparably harm the defense alliance.

Maybe the queen will have reason to regret her hospitality and warmth toward the boredom-breaking American president. Her majesty won’t then be amused any longer.

Filed Under: King's Commentaries

The Energy Executive and the Homeless: Sleeping on Concrete

November 30, 2019 by Llewellyn King 1 Comment

The British call it sleeping rough. We call it for what it is: homelessness.

It starts the day when all the support systems — fragile as they often are — fail. When there is no home to go to; no bed to sleep in, no meal to eat, no toilet to use, no place to wash even a face — just the hard, cold and often wet streets that offer no succor. The hospitality of a concrete sidewalk is scant.

That is what faces 4 million luckless children each year in the United States, according to Renee Trincanello, chief executive officer of Covenant House Florida, which operates shelters in Ft. Lauderdale and Orlando. Once they hit the streets, they are vulnerable to every horror that can happen to a child, including sex trafficking. “They also are used by drug dealers to inculcate a habit,” Trincanello told me.

In the United States, homelessness is at a crisis point. Cities are clogged with the homeless from coast to coast. If you travel a lot, as I do, you are aware of how homelessness is at its most conspicuous where there is prosperity — a byproduct of high rents in cities like San Francisco, Austin, New York and Boston.

Very close to the Capitol in Washington, around Union Station, the homeless sleep on the sidewalks, sometimes with the barest needs met by charities — needs like a sleeping bag, if they have been identified and are lucky. Train stations are a mecca for the homeless because they have public toilets and offer warmth. But Union Station has removed most of its seating to keep out the homeless.

To draw attention to the misery and extreme danger of children sleeping in the streets, and to raise money, Covenant House branches in the United States, Canada and Latin America organize sleep outs. Once a year, executives like my friend Jan Vrins, managing director and leader of Navigant’s global energy practice, takes a sleeping bag, puts it on top of a cardboard box and gets a hard night’s rest on a parking lot pavement.

Vrins says, “It isn’t fun to sleep in a concrete parking lot on a carton box with a sleeping bag. But the time we spend with these youths before we sleep out is wonderful. First, we have dinner with them and have sessions where they share their stories.” Afterward, the children are safely tucked up in the shelter and the adults repair to the parking lot.

In every case, Vrins says, something has happened to them. “Their families have broken up, sometimes because of addiction; there have been storms, as in Puerto Rico, and they end up in the shelters. So, climate change is leading to more kids on the street,” he says.

Vrins says that he was introduced to Covenant House by an executive from Florida Power & Light. “That was 11 years ago, and I got hooked,” he says. Now he is Covenant House Florida’s vice chairman.

Trincanello, who is married with two daughters, has spent her career with Covenant House. She told me that her father wanted her to be a lawyer, so she pushed back and became a social worker.

If you sign up to sleep out with Covenant House, whether it is in chilly Toronto or as, as Vrins notes, more benign Florida, you will join some of the cream of America’s executive talent from Accenture and Black Rock, to Cisco, KPMG and other companies. In fact, prominent companies field “teams.”

Vrins, who is married with two sons, heads the Navigant team. Each sleeper is expected to raise $1,000 for Covenant House. This year, he laid down on the concrete in Ft. Lauderdale on Nov. 26. He says 130 people slept out there and raised $270,000.

A native of the Netherlands, Vrins is one of those gregarious people who puts his arms around you with his smile. He speaks with passion and love of the homeless children in their crises. Trincanello, who I have not met, has a voice as warm as a winter hearth. I can imagine it melting fear in a scared child. Together they do work which is not a molecule short of noble.

Vrins says of sleeping out: “When you wake up in the morning, you feel blessed. When homeless kids must look for the next place to spend the night, you feel blessed.”

Filed Under: King's Commentaries

Santa’s Gift to the Democrats — Will They Break It While Opening It?

November 23, 2019 by Llewellyn King Leave a Comment

The Democrats have no need to fret about what they’ll get for Christmas this year. Their worry shouldn’t be the gift, but rather how they choose to open it.

The gift is global warming.

Don’t call it climate change; that fuzzies the issue. Call it for what it is: global warming. It isn’t change but heat that is melting the polar ice cap, stripping Greenland of its ice sheet, opening Arctic shipping lanes and sinking Venice, one of the jewels of civilization.

Global warming isn’t an existential threat but a real problem that is here, real and now. It is happening today, this hour, this minute, this second.

President Trump has taken his stand. He said of the rising seas and wild weather, which are science-supported evidence of global warming, “I don’t believe it.”

That is a political gift, shimmering and alluring. That is a target affixed to Trump. That is an image as evocative as Nero’s fiddling or Canute’s apocryphal ordering the waves from the incoming tide to stop. That is an opening wide enough for the Democrats to drive a truckload of election victories through.

Democratic strategists need to tell their candidates, “The climate, stupid!” All they must do is to hammer the Republicans and the administration relentlessly on the matter of global warming.

But this gift, looking so unassailable, may be undermined by the current stars on the left of the party. They have a sledgehammer approach and they may do damage to the gift before it is unwrapped.

Their passion is for the simplistic-but-seductive Green New Deal. It defines the problem as fossil fuels and wants to ban them. Then it prescribes the fixes. Bad move.

The cost and disruption of the fixes are ignored. That is why former Secretary of Energy Ernie Moniz — a man who knows a lot about both politics and energy — is pushing a concept he calls the Green Real Deal, which aims not to eliminate all fossil fuel use but to move to “net zero.” It means that many technologies will be used, including nuclear power and carbon capture and storage. It means that some fossil fuels will be used so long as their impact is mitigated by gains elsewhere.

These finer points of energy policy and environmental mitigation are too complicated for an election debate. They give too many opportunities for opposition ridicule. Too many handles for the Ridiculer in Chief and his acolytes to grab.

The Democrats need to repeat that the Republicans denied global warming even as the seas are rising. They need to sound the alarm that Boston, New York, Charleston and Miami may be headed for disaster very soon. They need to repeat it over and over, and then some more.

When running an election, a simple, repeatable message, without the details of how the goal will be achieved, wins the day. Bill Clinton’s message served up by James Carville, “The economy, stupid!” won the day. Trump’s enticing “Make America Great Again” cry resonates.

The Democrats need only to dwell on rising sea levels and that the Republicans have repudiated the science. “The seas are rising and we’re going to do something about it,” is a reasonable Democratic message.

Nixon showed us the effectiveness of framing the problem and hinting at a solution. “I have a plan,” he said about Vietnam. He didn’t mention it included bombing Cambodia.

The Democrats can win on a strong climate message. The seas are rising, wildfires ravage California year after year, Puerto Rico and other islands have been devastated by high-category hurricanes, and we may lose Venice.

A slam dunk in 2020? Don’t count on it. The Democrats likely will lard the message with social concerns, impossible marketplace tinkering and, in so doing, smash their winning gift as they open it. The Democrats are good at that, fatally so.

Filed Under: King's Commentaries

How to Attack Cancer, Other Things With Data Mining

November 15, 2019 by Llewellyn King Leave a Comment

The word is exaptation. It will change the future, and it may save your life.

It is a word traditionally used in evolutionary biology. But now in scientific and high-tech circles, it is used to describe finding and adapting processes and compounds to uses for which they were not originally intended.

In biology, exaptation is used to describe how an evolving species uses a trait in a new way. The classic cited example of exaptation is prehistoric creatures that developed wings to keep warm. A later iteration in the same species finds wings can also be used to fly.

In today’s use of the word, it means cross-fertilization of old discoveries with new technologies; extant remedies applied in new ways.

For example, a medicine that was created to treat one disease may be used effectively for another. A drug destined for a specific cancer may be used to treat an immune disorder like Myalgic Encephalomyelitis, also known as Chronic Fatigue Syndrome. A material developed for space travel may be ideal for strength and lightness in an automobile.

All this takes on much greater importance in the age of mega data and computer capacity to delve into it and find treasuries of new uses. Today’s machine learning enables the data to be squeezed and pummeled into yielding extraordinary applications and solutions.

“The challenge is to break down silos and to get companies to democratize their data internally and externally,” says Ryan Caldwell, CEO of MX, a financial technology company.

Now a forward-thinking NASA engineer wants to put this approach — this multidisciplinary, multi-material, multi-compound, multi-procedural, multi-operational data approach — on a fast track, accelerating cures and solutions.

He is Omar Hatamleh, chief innovation officer, engineering at NASA Johnson Space Center and executive director of the Space Studies Program at the International Space University.

Hatamleh, a polymath with a fistful of degrees, is establishing Infinity Institute, a new kind of think tank that will accelerate cross-industry innovation over the whole spectrum of discovery and application.

Think discovery and rediscovery as the findings of the past are linked to the needs of today, and as findings in one technology can pollinize unrelated technologies. Essentially, it is the story of NASA and the collateral developments from the space program. Exaptation at work.

The genesis of the Infinity Institute is to be found in a series of four annual NASA cross-industry innovation conferences — the last just concluded.

They were notable for what was not on the agenda: no large discussions of money or the lack of it; no whining about government or regulations, or court decisions. Just a world of science, ideas and the bond between the seemingly incompatible, which when brought together inform each other. A cellist, Jennifer Stumm, described the math in Bach and what that means for science. A NASA scientist, Steve Rader, described how to find affinity ideas through the Internet of Things. An animated filmmaker, Charlie Wen of Marvel Studios, revealed synergies with industrial design.

In the last of these conferences, data expert Caldwell described how he used the very kind of data management and interrogation Infinity Institute has in mind to save the life of a colleague at MX.

When Brandon Dewitt was diagnosed with terminal cancer in his lungs and face at age 33, and given six months to live, Caldwell went to work to break down the medical silos, which enclose so much medicine and hide so many research results. A new treatment being tested in Oregon, which he found, shrunk multiple tumors in Dewitt’s lungs and cheek and saved his life.

When Caldwell’s 2 ½-year-old daughter, Chloe, was given the wrong medicine in an emergency room, her heart stopped cold. Doctors said would live only a short time without a heart transplant. Caldwell and his wife went to work: They established a war room with computers and whiteboards and bored into the research. A therapy was found and Chloe, now nearly 4, is doing well.

Hatamleh’s first target for the new, sweeping concept of exaptation is cancer.

You would think that cancer is well-researched, but Hatamleh believes the exaptation route is the way to go: “We want to break down barriers, go across industries and identify emerging technologies from various industries and explore their application in other fields.”

He believes he can half the death rate from cancer in 10 years by cross-pollinating technologies and therapies and using the kinds of techniques and ideas on display at his unique innovation conferences.

Filed Under: King's Commentaries

Warren’s Weakness — She Always Takes the Bait

November 9, 2019 by Llewellyn King Leave a Comment

The Democratic deep state — it is not made up of Democrats in the bureaucracies but rather those who make up the core of the party — is in agony.

Solid, middle-of-the-road, fad-proof Democrats are not happy. They are the ones most likely to have thrown their support early to Joe Biden, and who now are eyeing Elizabeth Warren with apprehension and a sense of the inevitable.

Warren exhibits all the weaknesses of someone who, at her core, is not a professional politician. She blunders into traps whether they are set for her or not. She is vulnerable to the political equivalent of fatal attraction.

Biden lurches from gaffe to gaffe and is haunted by the positions he took a long time ago. Some of his social positions turn out to be like asbestos: decades ago, seen as a cure-all building material, now lethal.

Where Biden stumbles over the issues of the past, Warren walks into the traps of today. She is one of those self-harming politicians who shoots before she takes aim.

When Donald Trump mocked her claims of Native American ancestry, Warren took the bait and ended with a hook in her gullet. A more seasoned politician would not have been goaded by a street fighter into taking a DNA test, resulting in an apology. Ignorance met incaution, and Trump won.

Warren also swallowed the impeachment bait of the left, ignoring the caution of centrists who worried about the outcome in an election year. If the Senate acquits, Trump claims exoneration.

Then there is the Medicare for All trap into which Warren not so much fell as she propelled herself. Because Bernie Sanders, who reminds me of King Lear, and his field commander Alexandria Ocasio-Cortez and others on the left favored it, Warren had to leap in, ill-prepared.

The prima facie logic is there, but the mechanism is not. It is easy to see that Medicare is a very popular program that works. It is also easy to see that the United States pays more than twice as much on health care as any other nation.

Those, like myself, who have experienced state systems abroad, as well a Medicare at home, know the virtues of the single-payer system with patient-chosen, private insurance on the top for private hospital rooms, elective surgery and pampering that is not basic medicine. But we also know that the switch to Medicare for All would be hugely dislocating.

Employer-paid health care is a tax on business but substituting that with a straight tax is politically challenging, structurally difficult and impossible to sell at this stage in the evolution of health care. It likely will give a new Democratic president a constitutional hernia.

Warren seems determined to embrace the one thing that makes the left and its ideas electorally vulnerable: The left wants to tell the electorate what it is going to take away.

Consider this short list of the left’s confiscations that the centrists must negotiate, not endorse: We want your guns, we want your employer-paid health care, we want your gasoline-powered car, and we want the traditional source of your electricity. Trust us, you will love these confiscations.

Those are the position traps for Warren. To make a political sale — or any sale — do not tell the customers what you are going to take away from them.

It is well known that Republicans roll their eyes in private at the mention of Trump, while supporting him in public. Democratic centrists — that place where the true soul of a party resides, where its expertise dwells, and where its most thoughtful counsel is to be heard — roll their eyes at the mention of all the leading candidates. They like Pete Buttigieg but think him unelectable. If elected, they worry that Warren would fall into the traps set for her around the world — as Trump has with Vladimir Putin, Xi Jinping and Kim Jong-un.

Politics needs passion. “She is better than Trump,” is not a passionate rallying cry.

 

 

 


Photo: EXETER, NH – MARCH 15, 2019: Democratic 2020 U.S. presidential candidate Elizabeth Warren Campaigns in New Hampshire

Filed Under: King's Commentaries

Fixes for California Utility Fires Are Few, Slow and Expensive

November 1, 2019 by Llewellyn King Leave a Comment

California is burning. It was yesterday, it is today, and it will be tomorrow. The price in human life is enormous — in animal and plant life, too. The price in human suffering is gigantic, and the price in property damage is incalculable.

Even while unprecedented high Santa Ana winds are blowing devastation, electric utilities are looking for fixes that accord with the new realities brought about by global warming. Worse is yet to come, they fear.

In January the Edison Electric Institute, a Washington-based trade association, assembled a task force of electric utility CEOs to find solutions. The choices before them are not appealing.

The problem is California may be in the vanguard of fire-prone states, but it is not alone. Many states with heavy forest cover and long electric lines have reason to look to the future with apprehension. What amounts to a perfect fire storm in California could happen in states from Illinois to Louisiana, and from Virginia to Oregon.

Here are the options facing the electric utility CEOs:

—Vegetation control. This is essential, as Rod Kuckro, a reporter for E&E News, points out. But vegetation control — simply cutting down trees near electric lines — is easier said than done. Kuckro, an astute utilities journalist, says that Pacific Gas & Electric Company (PG&E), the utility that has borne the brunt of the blame and whose northern California service area is ground zero for fire, has 125,000 miles of power lines. These are threatened by millions of dead trees, plus the normal threat to power lines from falling trees, dead or alive.

Kuckro says the vegetation issue is complicated by a severe lack of manpower skilled in tree management. Trees must be cut and removed, or they will become fresh fuel for fires.

—Surveillance technology. Long-term technology is going to be decisive. Utilities will need a great deal more real-time data about their lines. Line surveillance, always a utility priority, is becoming job number one, and they are looking to the digital frontier.

Surveillance by men on foot and horse gave way to men and women in helicopters and all-terrain vehicles. Now comes the age of drones and data.

Morgan O’Brien, CEO of Anterix, which offers secure broadband communications to utilities, says with broadband technology and judiciously placed sensors, “a utility control room could know about a falling line in 1.4 seconds.” Time enough to cut off the power and start a repair crew on its way.

But this kind of data solution will take time and, like all the solutions, money. This will be difficult for PG&E, which is already in bankruptcy because of fire claims from last year, and the year before.

—Undergrounding. This sounds so reasonable, so logical. But in most places, it is not an option and not in earthquake-prone California. The cost of burying lines, where they can safely be buried on the PG&E system, is estimated to be as much as $3 million a mile for residential lines to $80 million a mile for high-voltage cables. It would take decades to bury even a few of its lines. And the cost is almost beyond contemplation.

—Microgrids. These are often mentioned. These are autonomous entities usually serving a paper mill, a university, a shopping center or sometimes a whole community. Microgrids self-generate, mostly with gas or solar, and sell surplus power to the utilities; and, in some cases, they act as storage systems for their host utility. Their advantage in a fire-prone region is that they can be isolated from their host grid. Therefore, the lights stay on if the big grid is shut down prophylactically, explains Mike Byrnes, senior vice president of Veolia North America, an energy and environmental services company.

Recently Jacqueline Sargent, general manager of Austin Energy, told me that cybersecurity concerns keep her up at night. For many utility managers that threat is now joined by an existential threat from one of man’s oldest enemies: fire.

If you are the manager of a utility in a blue state, you might also worry whether the federal government will help in a fire disaster. To date, President Trump has let California burn: no federal declaration of a disaster and, accordingly, no federal disaster relief, no troops. Hell, not even a presidential flyover for beleaguered California.

This is not benign neglect. This is vengeful neglect. Remember Puerto Rico?

Filed Under: King's Commentaries

Up, Up and Away! My Travels With Kindle

October 26, 2019 by Llewellyn King Leave a Comment

Read any good books lately? As a matter of fact, I have. Quite a few.

We’re expected to plow through great stacks of books over the summer; perhaps a throwback to a time when people on vacation were quite bored. But for me, it was a good summer of reading.

A confession: I don’t read to improve my mind, to understand what skullduggery this president — any president — is up to, or what venality drives the great houses of commerce.

I read to spend a spot of time with other people. When I get a book that interests me, I move in. I take lodgings, as it were, with the people I’m reading about, whether it is great historical figures, say Conde Nast, or the denizens of works of fiction like those to be found in good detective stories — such as the Chief Inspector Banks novels by Peter Robinson, an English author who lives in Canada and sets his stories in the North of England. Or, I move to Venice in the mysteries of Donna Leon, an American who sets her Commissario Guido Brunetti series there.

Historical or fictional, I hang out with the subjects in books. I join families, police stations, cabinets, regiments, love affairs and just good friends.

This escapism for me is vastly enhanced by the fact that I’m a slow reader. But if it weren’t for my slow reading, I wouldn’t have long to live my man-who-dropped-in fantasy life. A sadness descends when I’m near the end of my sojourn with strangers and I realize that, in a half an hour or so, I’ll have to leave, endure separation, sorrow.

In recent years, technology has added to my ability to sojourn whenever I like: The technology is the Kindle. As much as I deplore what electronic publishing has done to the craft of book making and to newspaper production, it has added a wonderful portability to my reading.

The electronic reader is a manageable size and slips easily into a pocket. I’m glad when someone is late because I can read for a few minutes. What used to be an inconvenience has become a gift. Waiting for the doctor or being put on hold, while a recorded voice advises “one of our representatives will be with you shortly,” becomes an opportunity to take a quick trip somewhere else.

So, what did I do on my summer vacation — the one I didn’t take because I was too busy and too broke? I had a fabulous time in the 18th century with an extraordinary group of men, and a few women, who shaped the thinking of that time and whose influence has stayed with us to this day. The book, strongly recommended, is “The Club: Johnson, Boswell, and the Friends Who Shaped an Age,” by Harvard professor of literature emeritus Leo Damrosch.

I also hugely enjoyed my stay in London with “Vanessa and Her Sister: A Novel” by Priya Parmar. It’s all about the Bloomsbury Set circa 1907, about Virginia Woolf and many other writers and artists. They were very open about homosexuality, sex in general and arranged each other’s relationships with abandon.

My time in Wyoming was enlightening and enjoyable in J.L. Doucette’s crime mystery novel “Last Seen.” Doucette brings to life the hard times and interesting happenings in Sweetwater County, Wyo., featuring psychologist Dr. Pepper Hunt and Native American detective Antelope.

I dug into the complexities of sex and creativeness in Francine Prose’s “The Lives of the Muses: Nine Women and the Artists They Inspired.” Her book takes you from Man Ray and Elizabeth “Lee” Miller to Salvador Dali and Gala. As I met Dali several times, I found his relationship with his love Gala fascinating.

Right now, I’m hanging out in Australia with the characters of Liane Moriarty, one of the great fiction writers of our time. I’ve hung out with her characters in other books, but this time with those in “Nine Perfect Strangers.”

Armchair travel has joined the electronic age for me. Up, up and away!

Filed Under: King's Commentaries

The Business Case for National Insurance

October 18, 2019 by Llewellyn King Leave a Comment

The leading Democratic candidates for president want differing degrees of major surgery done on health insurance. During Tuesday’s debate, they contrived only to cut themselves.

The smell of blood from Bernie Sanders, Elizabeth Warren and Joe Biden must have been a near-divine scent to Republican operatives who haven’t had an easy time of it lately.

Sanders and Warren have signed on to an idea favored by many on the left: Medicare-for-all. Joe Biden, seeking to carve out a position as the seasoned centrist, favors not surgery but Band-Aids all over the patient.

The problem with Medicare-for-all is money. Or, it is advertised as money?

Yet the reason for single payer — a national health insurance system — isn’t to spend more money but less. Much less.

The United States spends about double what other countries spend, but the coverage is patchy and has non-medical consequences that are severe. One of these is the effect on the mobility of labor. Workers stay in dead-end jobs because they fear the loss of their health insurance.

A bigger effect is the burden on business of saddling it with health care. The price tag to business is huge. Transferring that expense to the government would have the effect of a big tax cut. A new Social Security tax designed to compensate for the loss of business support in health care would be reasonable. Business would be ahead, and the national misery of paying in multiple ways for health care would be ended. Simple is cheaper.

One benefit would be the leveling of the playing field for business and employees. The employer-provides-system is a burden on business as well as a distorter of society.

The Milliman Medical Index calculates the cost of health insurance for a family of four, on a standard plan, at $28,386. Unsurprisingly, many employers are now seeking to share health-care costs with employees. In 2019, according to Milliman, companies are paying 82 percent of employees’ health insurance premiums.

The current system costs everyone in every possible way. Doctors employ staff whose only job is to wrestle with health insurance companies, and hospitals have armies of people working on claims. An attorney working for a big city hospital told me that it has 150 people whose only job is to struggle with insurance claims.

The mistake the leading Democrats are making, especially those of the left, is just looking at health insurance from the humanitarian point of view. Sanders sounds off on the uninsured and the bankruptcies. Democrats are all heart and not enough numbers — or courage to suggest necessary tax adjustments.

What they should do is look at the business case against the sustained chaos that passes for health care. Businesses of all sizes should be enthusiastic about being relieved of the health care burden: a burden carried only by U.S. businesses.

Americans pay roughly twice as much of the Gross Domestic Product for health care — about 19 percent — as does any other advanced country. The driving issue should be to reduce that; to get the fat out, to curb profiteering, to end rent-taking by insurance companies, and to end the wasted effort in negotiations on nearly every claim. Patients and business would both be winners.

The business cavalry has an expeditionary force already saddled up with a group called Business for Medicare for All. Its chairman, Richard Master, says: “You don’t need to be a progressive to see why single-payer is a logical option for America. For a growing number of business leaders, including myself, transitioning to a single-payer, centrally financed health care system makes sense from a purely economic perspective.”

From the doctors’ corner, John Perryman, a Roscoe, Ill.-based pediatrician, says the leading Democrats missed out. “The system is chaotic and failing. The debate was very disappointing. Biden said it would cost $3.6 trillion a year to switch over — the amount we now spend on health care every year. But that is growing by 4 percent a year which means in 10 years, we will be spending $30 trillion, with 20 percent going to insurance companies. The only way to get that down is with a single-payer system,” he says.

Perryman is a member of Physicians for A National Health Program, a 23,000-strong group of doctors with offices in Chicago. A different prescription is being written.

Filed Under: King's Commentaries

The Voice of Edmund Burke Speaks Across Time

October 11, 2019 by Llewellyn King Leave a Comment

Impeachment is a procedure of last resort. It is for when those governed are unable to abide the excesses of one person or more doing the governing. It owes its genesis to England and was a remedy for the Parliament to remove, or have removed, agents of the Crown (the king) whose conduct was egregious and contrary to the public good.

It goes back to the 14th century. The language is the language of the day, peculiarly vague in today’s proceedings. “High crimes and misdemeanors” was one of those phrases that everyone in the context of the day knew what it meant. “Conduct unbecoming an officer and gentleman” is another such phrase loaded with meaning but deliberate in its obscurity.

It was not until 1788 that Edmund Burke, the great Anglo-Irish orator, moralist and member of Parliament, really put flesh on the skeleton of impeachment. During the impeachment of Warren Hastings, the first governor-general of Bengal and employee of the marauding British East India Company — which had been acting as a government in India before it was annexed by Britain. He was the agent of what was little more than a criminal enterprise.

Hastings claimed that he was given arbitrary power by the East India Company to act in any way he chose. It was this arbitrary power, this concept that he was above the law and above all norms of decency, that inflamed Burke. “We have no arbitrary power to give, because arbitrary power is a thing which neither any man can hold, nor any man can give. No man can lawfully govern himself according to his own will — much less can one person be governed by the will of another,” he said.

Burke stated that there was no entitlement to arbitrary power in any human institution, and it could not be conferred on a governor by anyone because there was no entitlement under heaven for arbitrary power.

It can be argued in today’s crisis it is the exercise of arbitrary power by President Trump that lies behind the U.S. House’s move to impeach. Arbitrary power in diverting funds not approved for that purpose to building a wall on the southern border. Arbitrary power in restricting Congress’s entitlement to investigate the executive branch. On and on the use of what many would call arbitrary power, from abrogating treaties, abandoning allies, trashing traditions, and reversing previous settled issues, like the Deferred Action for Childhood Arrivals.

All this, Trump asserts, is constitutional under Article 11. In essence, he has said, “Arbitrary power is mine.”

That is what lies behind the urge to impeach Trump. He is claiming to be, in conduct and statement, above the Constitution and the law. Ergo, he should be impeached.

But no. Impeachment, as Burke and his allies found, is a trap unless followed by conviction. In Hastings’ case, impeachment was up to the House of Lords and, despite the pleading of Burke and others, it declined to impeach after the procedure had dragged on for seven years.

Given the pusillanimous nature of the Republican-controlled U.S. Senate, its seeming preparedness to overlook damage to the constitutional order of governance and all the cascading damage to come down through the years, Trump’s acquittal is to be feared.

Trump in a second term, with the sense that he had been vindicated, would have no regard for law. He would feel emboldened to exercise arbitrary power in the most egregious way, rewarding his business interests and punishing his enemies, real and imagined.

As others have suggested, a better path for Democrats to pursue in the present constitutional crisis might have been to censure Trump, while looking to the courts to restrict him where possible. A less dramatic indictment, but also less of a future danger.

Republicans have developed an interesting defense of their own. Call it “the eye-rolling, tut-tutting.” They do this whenever Trump is raised in conversation, but they will not curb him in the Senate or speak out in public. Political cowardice.

These lily-livered legislators might find courage if they read on in Burke’s pleading in the matter of Hastings: “Those who give and those who receive arbitrary power are alike criminal; and there is no man but is bound to resist it in the best of his power, wherever it shall show its face to the world.”

There is much more from Burke. It is meaty, relevant stuff.

 

 


Photo: Monument to Edmund Burke at the entrance to Trinity College in Dublin

Filed Under: King's Commentaries

Horrific Disease Ignored, Unreported in Minority Communities

October 5, 2019 by Llewellyn King Leave a Comment

It is a disease hidden in plain sight. It is a disease that destroys caregivers as certainly as it breaks the patient. There is no cure. To get it is a life sentence for those who suffer and for those who love them.

The disease is Myalgic Encephalomyelitis, more commonly known as Chronic Fatigue Syndrome, and now generally referred to as ME/CFS.

I’ve been writing and broadcasting about this disease for more than a decade. I’ve seen the most extreme cases where young people are prone, unable to communicate and drip fed. And I’ve seen those who are afflicted to a lesser degree but can’t work or attend school, must measure their activity and are unable to tolerate exercise, have cognitive problems and are in a state of constant exhaustion, often accompanied by severe headaches, joint pain and intolerance to light or sound, or both. One bedridden young man can’t tolerate a hug from his parents.

Having attended many medical and ME/CFS activist meetings and having met many patients, I thought I had seen in patients a cross section of the patient population. Then my wife, the journalist Linda Gasparello, pointed out that we had never met or seen an African-American or Hispanic patient at any of these many meetings.

We asked Linda Tannenbaum, a tireless campaigner for a cure for ME/CFS as chief executive officer of the Los Angeles-based Open Medicine Foundation (OMF), if she had ever heard from African-American or Hispanic patients? She had not.

There are between 1 million and 2.5 million ME/CFS sufferers in the United States. Could it be that there are none in those minority communities? Unlikely, specialists told us.

The answer may be both socioeconomic and cultural. “It is well-established that blacks and other minority groups in the U.S. experience more illness, worse outcomes, and premature death compared with whites,” Dr. Monique Tello wrote in Healthbeat, the Harvard Medical School’s blog. If members of these communities come down with this disease, they may not seek treatment, self-diagnose and suffer, thinking they are just tired and will be well in time.

Self-diagnosis isn’t a possibility with ME/CFS. But finding a doctor who can diagnose the disease, let alone specializes in it, is nearly impossible.

There are states where there is no doctor specializing in ME/CFS. Doctors with knowledge of the disease are to be found in a few big cities: Boston, New York, Miami, Chicago, Reno, Los Angeles and San Francisco. Their numbers are few, and their patient load is huge.

ME/CFS isn’t the kind of disease where the sufferer will get any help at their doctor’s office or the emergency room. Most medical schools don’t offer courses in the disease.

To suffer without knowledge and knowledgeable providers is bad enough. Then there is the hopelessness and rejection that comes from doctors who can’t diagnose the disease.

But the worst rejection is in families, where a member hears, “You’re not sick, you’re just lazy,” or “Get out of bed. Your sickness is in your head.”

I suspect local doctor rejection and then family rejection is all too frequent in minority communities. I know whites who’ve had to visit 20 doctors — that’s right, 20 doctors — to find one who knows what the problem is. And they’ve visited one because they have both the knowledge and the means.

Minority communities are poorly served by medical professionals; underserved in the extreme by specialists.

Recently, veteran civil rights activist and broadcaster Joe Madison hosted OMF’s Tannenbaum and me on his program on SiriusXM Radio, attempting to start an outreach to the African-American community.

Tannenbaum is keen, too, to hear from Hispanic journalists who will write or broadcast about this disease which confiscates lives.

“It is a tremendous injustice, as we all realize the imbalance of access to proper patient care for many patients with ME/CFS, especially African-Americans and Hispanics. The voices of these communities are unheard, ignored and neglected, and most people are unaware of what they have, and most doctors do not even acknowledge or treat the symptoms of this horrific disease,” she said in a statement.

“Many people are considered lazy or depressed, and this is not what this is at all. It is very important to share with all communities that the symptoms of ME/CFS are valid and that this disease is real,” she added.

Filed Under: King's Commentaries Tagged With: ME/CFS

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