A Secret Patriot Act?

One of the worst pieces of legislation was the USA PATRIOT Act that was rushed through in the wake of 9/11 and enabled some of the worst abuses of civil liberties.

The original act was bad enough. But now two US senators have charged that “the government has a secret legal interpretation of the Patriot Act so broad that it amounts to an entirely different law — one that gives the feds massive domestic surveillance powers, and keeps the rest of us in the dark about the snooping.”

The two senators have called for an investigation but the Senate Select Committee on Intelligence, chaired by the awful Diane Feinstein of California, has refused to allow this information to be revealed. Feinstein has been one of the most ardent supporters of the national security state apparatus, more concerned about protecting the powers of the government than the rights of people.

Natural experiments and Medicaid

In research, the gold standard is to do a double-blind study in which you compare the effect of some intervention on a test group with that of a perfectly matched control group. But sometimes this is not possible, say if one is doing historical research or the conditions of the research are not amenable to being controlled by the researcher. Ethics considerations limit what one can do with animal and human subjects and if the trial might result in either group being denied a valuable benefit, such studies will be disallowed. For example, it might be valuable to know what the effect of some chemical is on infant development but it would be unthinkable to try out the experiment on test groups of infants if there is the risk of harm.

In cases such as this, researchers look for ‘natural’ experiments in which the desired experimental conditions occur naturally. Natural experiments are particularly valuable when it comes to medical research where the double-blind randomized trial is the ideal.

Such a natural experiment overcame the problem of determining definitively if Medicaid produced benefits for poor people or not. It would not have been ethical to divide the population randomly into two groups and give Medicaid benefits to one and deliberately deprive the other of them, as would have been necessary to create the appropriate protocols. As a result of this restriction, no definitive studies could be done to prove the benefits of Medicaid and thus opponents of Medicaid were able to argue that Medicaid was of no use and should be eliminated.

But in Oregon, budget woes resulted in a natural experiment occurring. Since the Oregon government had money to cover only 10,000 of the 90,000 eligible Medicaid patients, it created a lottery system in which only the winners obtained benefits, thus effectively creating a database of a large pool of subjects who could be randomized and matched in terms of other variables. Researchers seized upon this opportunity to study the effects of this difference.

Health economists and other researchers said the study was historic and would be cited for years to come, shaping health care debates.

“It’s obviously a really important paper,” said James Smith, an economist at the RAND Corporation. “It is going to be a classic.”

Richard M. Suzman, director of the behavioral and social research program at the National Institute on Aging, a major source of financing for the research, said it was “one of the most important studies that our division has funded since I’ve been at the N.I.A.,” a period of more than a quarter-century.

Researchers who used the resulting data to study the issue found in the first phase that people on Medicaid had better health outcomes than those not on it.

Those with Medicaid were 35 percent more likely to go to a clinic or see a doctor, 15 percent more likely to use prescription drugs and 30 percent more likely to be admitted to a hospital. Researchers were unable to detect a change in emergency room use.

Women with insurance were 60 percent more likely to have mammograms, and those with insurance were 20 percent more likely to have their cholesterol checked. They were 70 percent more likely to have a particular clinic or office for medical care and 55 percent more likely to have a doctor whom they usually saw.

The insured also felt better: the likelihood that they said their health was good or excellent increased by 25 percent, and they were 40 percent less likely to say that their health had worsened in the past year than those without insurance.

They benefitted in non-medical ways too.

The study found that those with insurance were 25 percent less likely to have an unpaid bill sent to a collection agency and were 40 percent less likely to borrow money or fail to pay other bills because they had to pay medical bills.

Thus being on Medicaid made people’s lives a lot less stressful.

Those who seek to deny poor people benefits in order to increase the wealth of the rich will try their best to find other reasons to do so. But this research is so definitive that it should end this particular argument.

Judge rules Rumsfeld can be sued over torture

Despite the strenuous efforts of the Obama administration to cover up torture by getting the lawsuit dismissed, a federal judge has allowed a torture suit against Donald Rumsfeld to proceed.

This is the second time a judge has allowed such a suit. Rumsfeld appealed the previous one and no doubt this will be appealed too but anything that causes these torture authorizers to sweat over the possibility of going to prison is a good thing.

Happy birthday, World Wide Web!

Yesterday, August 6th was the 20th anniversary of the World Wide Web, which was built on the foundation of the much older internet. The internet was the name given to the network of linked computers around the globe that was used in the early days primarily by research institutions to transfer data and send email.

The World Wide Web was a radical advance created by Tim Berners-Lee when he standardized the three protocols that now enable users to easily put up information on servers in a manner (using HTML) that other users can use their web browsers to find because of its unique address (the familiar URL), and then transfer that information from the remote servers to their own computers (using HTTP).

The internet and the World Wide Web certainly are the biggest revolutions in my lifetime, the one thing that I simply cannot imagine life without.

It’s a miracle!

It looks like Rick Perry was able to rustle up a decent crowd of 20,000-30,000 people for his prayerfest in Texas, though still well below the 71,000 stadium capacity. One other governor, Sam Brownback of Kansas, also showed up. The event “was Perry’s idea and was financed by the American Family Association, a Tupelo, Miss., group that opposes abortion and gay rights and believes that the First Amendment freedom of religion applies only to Christians.”

No doubt Perry will look for signs from god whether he should run for president. The fact that the crowd beat early expectations could be taken as a sign that god wants him to run. Or the less-than-capacity crowd might be a sign that god wants him to merely stick to praying. Religious people are good at finding signs from god that tell them to do what they had decided to do anyway.

Rick Perry’s day of prayer

So today is Texas governor and putative Republican presidential candidate Rick Perry’s big day of prayer and fasting where he and a motley collection of evangelical religious bigots get together to pray for Jesus to save the nation. One of his key allies in this event is IHOP (no, not that one, this is the International House of Prayer) whose theology is based on the Book of Revelation, the nuttiest book of the Bible which is highly popular with the rapturites.

The signs so far are that the response has been less that overwhelming with only about 8,000 reservations (as of Thursday) for a stadium that can accommodate 71,000. What is worse for Perry, he invited all his fellow governors to attend and it looks like none will, since even the most bigoted politician has enough sense to not want to be associated with what promises to be a hate-fest.

In addition to the evangelicals’ open hatred of homosexuality, one of the interesting features is what lurks beneath the surface, a dislike of everyone who is not ‘born again’. And that includes Catholics and Jews. For example, the church that Michele Bachmann attended was vehemently anti-Catholic. She formally left it this summer and says that she has not attended for two years though it is not clear what church she has been going to, since she refuses to answer.

The oddest things are considered offensive

It is odd how society decides that some things are offensive. For example, raising your index finger is fine. Athletes often point to the heavens after a good play to thank their god for taking time out from his busy schedule to help them out. But the third finger pointing to the heavens is considered such a dire insult that it can result in murderous fury.

We know that certain words are not allowed on broadcast television. But when I watch The Daily Show and The Colbert Report, they bleep out these words too, even though those shows are on cable and I watch them online.

But what surprised me is that when the people on these shows raise the third finger, it is pixelated. Despite the fact that many of the comedic segments on the show involve gestures that have obvious similarities to sexual acts and are not pixelated, ‘giving the finger’ is seen as so toxic that it gets special treatment.

Sara Palin fan biopic update

I am sure that everyone is curious as to how The Undefeated is doing. On its third weekend, the number of theaters showing the film dropped from 14 to 4, resulting in gross receipts of $5,080, which I estimate works out to about an average 13 people showing up for each screening.

The total gross for the film so far is $112,078 which means that the producers are taking a financial bath but I fully expect them to recoup their investments (and more) when they release the film globally. I hear that Palin is really big in Kazakhstan because they can also see Russia from their houses.