Showing posts with label politics. Show all posts
Showing posts with label politics. Show all posts

Saturday, August 17, 2013

How does a society agree that a law is unjust? Some thoughts and ideas…

In a civil society, we take rules and laws for granted; they must exist in order to prevent anarchy, conduct business, and progress the state of humankind with civility. We also associate “laws” with the “government”, and the enforcement of those laws rests in a power that resides above us.

But what happens when the laws no longer represent the consensus?

What of laws that do not reflect the current social mores and tolerances of the times?

What recourse is available to the proletariat when those in power enforce rules that disenfranchise one or more classes of society?

How does a civil society agree that a law is unjust?

 Sarah Iozzio writes:
For me, the definition of an unjust law is a law that perpetrates more harm than it prevents. Getting society to agree to this definition would take more people waking up an(d) becoming aware of that harm rather than believing the propaganda of what that law is supposedly accomplishing.
Sarah’s first step is to create a definition. I also agree, as it seems reasonable to me that reasonable people would then find a reasonable argument compelling.

While publicly elected legislatures create most laws, they are administered and enforced through Executive administrations, and upheld by the court systems at both Federal and State levels.  This three tiered system of checks and balances is designed to prevent abuses, yet it is also slow and cumbersome, fraught with politics and plunders.

So even if we can get people to agree, can we get change?

In order to get people to agree that a law is unjust and therefore should be changed, the mindset that created the law in the first place must be denounced:  People will have to admit that they were wrong. Changing minds can be a difficult row.

I hope this has sparked some ideas of your own on what it takes to change a law that is unjust. The “Law” could be a local ordinance that limits the parking on your street, a State regulation that prevents a fair hearing in child custody, or a Federal policy of criminalizing cannabis. It doesn’t matter if it is at the local level or if it is a Federal issue, if the law is contrary to the social beliefs of the voters, how do we convince those whom we’ve elected to change their minds and champion our causes?

I appreciate your comments and ideas.  You may post them here, or on Facebook at https://www.facebook.com/mariesrun or https://www.facebook.com/Sustainablygreen

THANK YOU!

k rojas









Monday, January 23, 2012

GLOBAL POWER

 The dynamics of Power have been frequently and fully illustrated in the mass-media technology of recent years.  Global abuses of power and wealth both shock and mesmerize; national abuses in politics, the banking industry, health care, and big business have led us down an unsustainable course of economic hardships, while our public and private freedoms are shamelessly trampled by local government agencies, with no recourse. The concepts of sustainable finance, sustainable business, sustainable government, and sustainable citizenry are lessons still being learned.

Every now and then we are reminded of TRUE power:  The Power of the Earth.  And though we give homage to the power and the beauty that such power represents, it renews us and touches a part of us that realizes man's arrogance against a never-ending, continually renewing, and infinitely sustainable Earth, under our stewardship.  How humble we become, and how respectful are those who attempt to reach into and touch that power...


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The Green Association for Sustainability

Friday, July 29, 2011

DEAR REP. GREEN, I SUPPORT YOUR NAY VOTE ON BOEHNER’S DEBT BILL

A letter to My Representative
Re-tweeted this evening:  Congress Sucks. 
Short, simple, to the point, and right now, probably about all you need to say.  But who can keep the outrage from spilling out? 
You already know that I can’t!
I wrote it after many Notebook scribbles and news searches, hours of blog surfing and comment reading, as we paced through the day in Boehner’s clutches.  I wonder if his fellow Republicans are angry about being brow-beaten into changing their votes.  Some even made conciliatory comments as to why they wimped.  In the end, it was wasted time. 
Boehner is intent on making a name for himself, of being the next “Newt”.  He is flush with power, and will only be happy if the bill has his name on it.  Pandering to the Tea Party faction may get him temporary fame; historically, elite factions rarely last longer than a generation, and few are looked upon favorably.  At one time, McCarthy was popular among some people.  So was Hitler.   
DEAR REP. AL GREEN (Dem.- District 9 Texas)
I am writing IN SUPPORT of YOUR RECENT NO VOTE on John Boehner's Debt Limit Bill. Boehner, drunk with Power at winning the Speaker seat, and is blackmailing President Obama by holding the Congress and The American People hostage.  
Thankfully, the Senate also realized that those who can least afford it are asked to do the most.  The argument that reinstating the Bush tax cuts will hurt new job growth, reminds me of a similar failed Republican policy of the 1980’s:  The “Trickle Down Theory”.   The Corporate CEOs and small business owners who support the Boehner plan are counting on no one remembering the tragic results of that policy.
Stay strong in your support for a passage of an increased debt limit.  How the Budget is to be paid should be decided when the budget is passed.  Not when the bills are due.
Respectfully,

K. Marie Rojas

Tuesday, July 7, 2009

Crystal Ball Required to Earn ARRA Medicare EHR Incentives

Who Will Benefit from ARRA Medicare Incentives?


In 2011, Medicare and Medicaid incentive payments will start flowing to hospitals, clinics, and physicians. In addition, the American Recovery and Reinvestment Act (ARRA) appropriates $2 billion in funds intended to begin implementing healthcare IT, before the incentives take place, and clear requirements of “Meaningful Use” for the receipt of these payments has yet to be definitively identified, although drafts have been identified as probable definitions. (See link to CSC Update of Meaningful Use below).

This expensive endeavor by private physicians may turn out to be a risky and premature proposition, as long as the details of the promised massive health care reform are also undefined. It is also premature in that an IT infrastructure is being built prior to defining the grand new American healthcare design. Physicians are being asked to implement an expensive and complicated system with a large learning curve prior to knowing what type of health care system will eventually be in place.

According to CSC Update of Meaningful Use, physicians or groups implementing an EHR program solely for the Medicare Incentives may be making an expensive mistake, and the ROI of system implementation should be closely examined. In addition, the “meaningful use” requirements become more stringent every year, requiring vendors to guarantee that their system will meet all of the requirements for incentives (Health Data Management, April, 2009). The table of incentive payments is listed below, with nearly half of the payments available in years 1 and 2 (2011 and 2012), leaving little incentive for small practice physicians to make such a large investment in time and money.

Another concern is that simply implementing technology will not reverse the current healthcare crisis, or provide healthcare for the millions of uninsured/underinsured. A new healthcare system is imminent, and as some of the best minds in the country study foreign healthcare models, alternative business models, and even government models, we know very little of what health care in America will look like 5 to 10 years from now. Undoubtedly, it is time to implement healthcare technology into the system, and bring U.S. healthcare into the 21st century, reduce medical errors, and lower healthcare costs with IT.

Estimates of the time it will take to recoup the costs of implementing EHRs vary from 5 to 10 years, perhaps less for those who have already begun, and more for those who have not. Analysts also believe that it will be the small practice and rural physicians who will have the most difficulty implementing EHRs. During this same time period, discourses on various health plans, including a national plan, loom over the current free-market health care system. Implementation of EHRs before a healthcare reform plan has been created may be a waste of physicians resources that will never be recouped. Yet with so much change yet to come into the healthcare arena, planning the future of a small private practice may require a crystal ball.

MEDICARE/MEDICAID EHR INCENTIVE AMOUNTS
Year
Amount
Note
1
$18,000.00
15,000 if after 2012
2
12,000.00

3
8,000.00

4
4,000.00

5
2,000.00

Friday, July 3, 2009

2009-07-01 Green Party responds to Bill Maher's call for

2009-07-01 Green Party responds to Bill Maher's call for "an actual progressive party": We're here already!

GREEN PARTY OF THE UNITED STATEShttp://www.gp.orgFor Immediate Release:Wednesday, July 1, 2009Contacts:Scott McLarty, Media Coordinator, 202-518-5624, cell 202-904-7614, mclarty@greens.orgStarlene Rankin, Media Coordinator, 916-995-3805, starlene@gp.orgA Real Party for 'Real Time': Greens send an open letter to MaherWASHINGTON, DC -- The Green Party has sent an open letter to Bill Maher after a June 19 broadcast of 'Real Time' in which Mr. Maher said "[W]hat we need is an actual progressive party to represent the millions of Americans who aren't being served by the Democrats. Because, bottom line, Democrats are the new Republicans."The Green Party's reply to Mr. Maher: "Hey, Bill, we're over here! What you described is the GREEN PARTY! We already exist!"The progressive party sought by Bill Maher describes the Green Party: "Shouldn't there be one party that unambiguously supports cutting the military budget, a party that is straight up in favor of gun control, gay marriage, higher taxes on the rich, universal health care -- legalizing pot -- and steep, direct taxing of polluters?"The open letter urges Mr. Maher to acknowledge the Green Party and have a Green candidate or leader on the show. The text of the letter is appended below.The Green Party is currently preparing for its annual national meeting, to take place in Durham, North Carolina, from July 23 to July 26 (http://www.gp.org/2009-ANM http://ncgreenparty.org/2009-ANM.html). Reporters are invited to cover the meeting (http://www.gp.org/forms/media)."America's First Party" An Open Letter to Bill Maher from the Green PartyDear Mr. Maher,We were thrilled to hear you talk about us when you discussed the need for a new party -- a "first party" -- during the June 19 broadcast of 'Real Time.'The only part you left out were the words "Green Party."Here's what you said:"We don't need a third party. We need a first party. You go to the polls and your choices are the guy who voted for the first Wall Street bailout, or the guy who voted for the next ten.""Shouldn't there be one party that unambiguously supports cutting the military budget, a party that is straight up in favor of gun control, gay marriage, higher taxes on the rich, universal health care -- legalizing pot -- and steep, direct taxing of polluters? These aren't radical ideas. A majority of Americans are either already for them or would be if they were properly argued and defended.""[W]hat we need is an actual progressive party to represent the millions of Americans who aren't being served by the Democrats. Because, bottom line, Democrats are the new Republicans."Hey, Bill, we're over here! What you described is the GREEN PARTY! We already exist!Maybe you forgot about us because the major media have an aversion to mentioning the Green Party and our candidates. Maybe the FCC has banned "Green Party" along with the late George Carlin's seven dirty words, "Chomsky," "End the Drug War," and other language that offends delicate sensibilities.For the major networks, and apparently PBS and NPR too, the very idea of more than two candidates in an election makes talking heads explode.If Green candidates started getting elected to higher office, the radical ideas that aren't really radical would get a fair hearing and a chance of passage.Imagine if a few Greens got seated in Congress. Greens don't take corporate contributions, so they'd be immune to the influence of Exxon-Mobil, Goldman Sachs, Bank of America, Raytheon, Monsanto, etc. When Rep. Nancy Pelosi sends out orders not to seek a probe of Bush-Cheney officials who authorized torture dungeons, Greens could tell her to take a hike.A few Green congressional victories would cause a seismic shock to the political landscape. Democrats would no longer have Republicans as their sole competition. The scope of national debate would no longer be Dems on the left, Repubs on the right, a phony middle ground between them, and a narrow range of political ideas comparable to the corner grocery limiting your choice of beverage to Coke or Pepsi.With some Greens in Congress:Democrats couldn't pretend to be the antiwar party while voting for more war funding.Single-payer national health care would be on the table and might even pass. President Obama and most Democrats already know single-payer is the best proposal. But they feel compelled to appease the health insurance, pharmaceutical, and other lobbies and find common ground with Republicans who believe the free market has sufficient mojo to cure every illness and injury.We'd hear the truth: that "emissions trading" is a license for corporate polluters to keep polluting, that "clean coal" is a plot to turn West Virginia into a crater, that the trillion-dollar Wall Street bailout and confiscation of savings and pension money are the greatest transfer of wealth from working people to big banks in history. There's a bipartisan consensus that corporate profit margins always take precedent over Americans facing financial ruin over a health emergency or credit card debt or a mortgage or a lost job. Whenever you hear the word "bipartisan" on the evening news, check the silverware.What are we going to do about this situation, Bill? If you really want a "first party" for America, will you throw us a bone on your show? Will you have a Green candidate or Green leader on once in a while? (Ralph Nader doesn't count -- he's not a member of the Green Party.)How about Rev. Billy Talen of the Church of Life After Shopping (http://www.revbilly.com)? Rev. Billy is now a Green candidate for Mayor of New York City (http://www.voterevbilly.org).Rosa Clemente, our 2008 vice-presidential candidate, said that the Green Party "is more than an alternative, it's an imperative." Based on your comments, Bill, it sounds like you might agree with Rosa.We look forward to hearing back from you. You can see what we're up to on our web site (http://www.gp.org).Sincerely,The Green Partyhttp://www.gp.orgMORE INFORMATIONGreen Party of the United States http://www.gp.org202-319-7191, 866-41GREENFax 202-319-7193Green candidate news http://www.gp.org/2008-elections/candidate-news.phpGreen candidate database http://www.gp.org/elections.shtmlGreen Party News Center http://www.gp.org/newscenter.shtmlGreen Party Speakers Bureau http://www.gp.org/speakersGreen Party ballot access page http://www.gp.org/2008-elections2009 Annual National Meeting of the Green Party, Durham, NC, July 23-26 http://www.gp.org/2009-ANMMedia credentialing page http://www.gp.org/forms/mediaGreen Pages, Vol. 13, No. 1The official publication of record of the Green Party of the United Stateshttp://gp.org/greenpages-blog~ END ~
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Tuesday, June 9, 2009

LOOKING TO ENVIRONMENTALISTS FOR ECONOMIC GROWTH MODELS


SUSTAINABLE DEVELOPMENT: Growing the U.S. Economy


Of the many diagrams for maintaining the global ecosystem, the term "Sustainable Development" has often erroneously been used to refer to all environmental ideologies, when it is in reality a single discourse. Out of the many solutions proffered for saving the world, the concept of Sustainable Development has risen to the top of viable ecological discourses. Why? What is it about Sustainable Development that has made it the buzzword of these environmentally unsure times?


Sustainable Development grew from the work of the World Commission on Environmental Development (WCED)[i], at a 1987 conference mandated by the United Nations to accomplish three objectives:


1. Re-examine critical environment and development issues and formulate realistic procedures for dealing with them.

2. Propose new forms of international cooperation on these issues; and,

3. Raise the levels of understanding and commitment to action.

Contemporary definitions of Sustainable Development are mostly a product of this conference and their published report, Our Common Future (1987), a document promising a combined prescription to issues of ecology, economy, development and growth, social justice, and intergenerational equity. According to these definitional benchmarks, Sustainable Development requires that poverty and global inequalities be eliminated before environmental issues can be resolved.

Growth is an essential concept of Sustainable Development. Economy has become inextricably connected with ecology. As it becomes increasingly apparent that environmental problems have global effects, this interdependence effectively eliminates the old political systems of national compartmentalization. According to the WCED, social, economic and political inequalities among nations are the main culprits of environmental problems. In light of these concepts, the WCED proposed the following prescriptive:

1) global democratization;

2) effective limits management;

3) population growth in harmony with the productivity of the ecosystem;

4) global equalization through “fair-sharing” of resources; and,

5) management on an international civic levels rather than the local or state level.

Most importantly, the WCED cautions that Sustainable Development requires global cooperation—not hierarchies and competition.

Sustainable development concepts are also based on the premise that the economy and the environment can be brought into global harmonic cooperation. As the World Commission on Environment and Development reported:


…We have in the more recent past been forced to face up to a sharp increase in
economic interdependence among nations. We are now forced to accustom ourselves
to an accelerating ecological interdependence among nations. Ecology and economy
are becoming ever more interwoven—locally, regionally, nationally, and
globally—into a seamless net of causes and effects.

The recession of 08/09 has made clear global economic interdependence. An example of how Sustainable Development theories are congruent with economic theories is apparent in the issues of dependence on foreign oil supplies and Western societies unquenchable thirst for oil. Under the Obama Administration, this has prompted the creation of new regulations regarding fuel usage and alternate fuels in the auto industry. New regulations, such as a 35mpg minimum requirement on new vehicles within the next few years, are not only important to the economics and future in the global market for US automakers, but also addresses all related environmental issues of procuring, processing, storing, distrubuting, and consuming gasoline. At the same time, it encourages the growth and development of sustainable industry and a sustainable world.

Works Cited in this blog:
[i] Copyright © World Commission on Environment and Development 1987. Reprinted from Our Common Future (1987).
Retired Generals, Admirals Consider Oil Dependence A Security Risk http://www.huffingtonpost.com/2009/05/19/retired-generals-admirals_n_205432.html
c 2009 kimmarie rojas

Sunday, June 7, 2009

RACIST, SEXIST AND CONSTITIONALLY IGNORANT?

Right Wing detractors are scraping the barrel to bar Sotomayor's appointment...but her appointment is a shoe-in according to Washington analysts.

In response to/support of an article in Salon.com by Micke Madden, "The white man is being oppressed!" (Salon, May 29, 09). Read my take on the article, and additional comments as to why America is ready for Sonia Sotomayor's liberal philosophy of judicial activism rather than the choking constructionalism we have been enduring.

The white man is being oppressed! By Mike Madden, Salon.com, May 29, 2009.

Kudos to Madden and his explicit claim that Right Wing Bosses Gingrich-Limbaugh have a Freudian personality disorder. Their attack on Sotomayor on issues of racism, sexism, and constitutional incompetence are as Madden says, simply “projection by aging white right-wingers”.

Their fears of oppression are wolf cries, and are simply reflections of their guilt and greed, having brought down the richest country in the world. The oppositions’ claim of constitutional ignorance is simply fear of diluting even more the strangling hold any strict-constructionalism may have on the bench.

Although the two schools of strict constitutionalism and liberal interpretation have been an issue of the judiciary since its inception, this is the issue that may cause the most scrutiny during congressional hearings for the appointment of Sonia Sotomayor to the Supreme Court. Republican political thought is more consistent with strict-constructionalism, and to them, Sotomayor’s judicial activism and liberal interpretation of Statutory law is nothing more than pure disregard for the Constitution.

Others disagree, claiming that the Constitution is a living document, and was meant to be interpreted according to the times. Sotomayor makes no excuses for her interpretation of the law. In 2001, the NY born Puertorriqueña lectured at UC Berkley where she acknowledged that her life experiences have influenced how she sees her judicial duty to interpret the law. Her belief in experience, wisdom, and analysis is a cornerstone of her judicial philosophy. In a You-Tube clip posted by a blogger meant to discourage support, Sotomayor admits to “judicial policymaking”, acknowledging that “we’re not supposed to” make law, and then quickly adding “I do not promote it or advocate it…”, but the chuckles in the back of the room verify the reality of the judiciary.

In reality, the Legislative Branch, Congress, is not the only law-making body in U.S. Government. Judicial precedents have routinely been upheld in courts. Miranda v. Arizona (to be informed of your rights upon arrest) and Gideon v. Wainwright (that counsel will be provided at no cost) are two examples of Supreme Court law that has been implemented and enforced by the States. Administrative organizations, a non-legislative part of the Executive branch, are charged with creating rules and regulations which carry the force of law behind them. Paradoxically, they also hold hearings that have the weight of the judiciary behind them, allowing Administrations to create, implement and judicially enforce the rules and regulations they create. Again in the Executive Branch, although rare, the President does have the power to make law through an Executive Order. Although the framers were cautious to create a tri-partite government, the branches often slip into another’s constitutional territory, making Constructionalism a discourse, not a constitutional requirement.

Sotomayor will become the next Supreme Court Justice, and the largest minority group in the Country will at last have judicial representation in the Highest Court. Congress will examine the issue of Sotomayor’s constitutional interpretation with a microscope, and still, she will be appointed: As Madden points out, any Republican who is interested in being re-elected, will not fight a tide that the GOP has no power to turn (with 40 seats). But in the meantime, we can watch the old white guys scratch and scramble to turn every rock, and try to convince a nation that has been hit square in the head, heart and pocketbook with the reality of the right wing bankers and war-mongers, that the Constitution, like the Bible, should be interpreted word for word. After so much harsh reality, Americans are ready for some liberal interpretation.

The Green Association for Sustainability

c 2009 Kim Rojas

Wednesday, June 3, 2009

PHYSICIAN UNIONIZATION: A Model or a Master?

THE UNIONIZATION MODEL: Incongruent with the Physician Professionalism

Nearly 100% of graduating medical students today pledge some version of the Hippocratic Oath, which includes the following passage (from the Classical version): “What I may see or hear…in regard to the life of men which on no account one must spread abroad, I will keep to myself…” (Oath Today 2003). Only two other learned professions take such an oath upon their professional “coming of age” and live by that oath for as long as they practice their art. Even in our everyday language, our definitions in addressing these honorable citizens hold them sacred by prefacing with “Doctor”, or suffixing with “Esquire”, or honoring as “Reverend”. According to George Lundberg, past editor of Journal of the American Medical Association (JAMA), these three profession are held above all others: The Physician, The Lawyer, and The Clergy. Dr. Lundberg calls for a return to this professionalism (Lundberg 2000).

The primary reasons people become physicians, continues Dr. Lundberg, are (2000):

1. They have a desire to take care of other people. They have a desire to serve.

2. They are intelligent. These people always got A’s and they enjoyed school. They have to in order to accomplish the academic rigors just to enter medical school. They are knowledgeable, erudite, learned, and licensed.

3. They are independent people. Most claim to look forward to opening their own practice, and have always been autonomous. They are leaders, making the decisions rather than taking the orders.

4. They want to make money. They have an entrepreneurial streak. They want to be successful, financially independent, and live the assumed lifestyle of a Professional.

These are also the fundamental definitions of the Profession, too. The reasons they became doctors and the reasons they remain doctors—the fundamental rationales of why physicians should not unionize: The basic definitions of the two entities, “physicians” and “unions”, are incongruent.

The terms that describe physicians are philosophically, dynamically, and practically opposed to those used to define Unions. The ethical dynamics that hold physicians accountable and organized are dichotomous to the political bureaucracy of a Union, by definition designed to defend workers who cannot defend themselves--either through lack of credibility, intelligence, leadership, or social position.

Among Lundberg’s many claims is the stern warning to the American Medical Association (AMA) to step in and reclaim these ethical definitions of healthcare, “or someone else will” (Lundberg 2000). Commerce already has a firm grip on healthcare. Unions have their foot in the door, and if the Physicians or the AMA do not shut it, it will swing wide and far, taking with it the last shred of the patient-physician relationship: the art of healing and the miracle of that art. And the practice of medicine is an art, no less than painting or poetry or writing or any other abstract endeavor traditionally ordered by guilds, not unions.

The promise of guaranteed payment through plans like Kaiser, Blue Cross, Medicare, Medicaid and Health Maintenance Organizations (HMO’s) appeared an intelligent choice for physicians traditionally organized under a patient-physician fee for service arrangement. The 20th Century brought many philanthropic, political, and philosophic burdens on physicians. The fantastic growth of Southern California lead to the development of Kaiser Permanente’s managed healthcare for poor migrant workers who came west to build Los Angeles. In the 1960’s Medicare was legislated, along with tax-credit incentives, offsetting taxes from large incomes earned through employer-based healthcare insurance. Opening the door to managed care seemed a natural progression in the 1980’s. Lest frantic physicians today blame anyone else but their mentors, clear memories remain of the number one buzzword among the healthcare industry during the ‘80s from professional conferences to community mixers: “HMO”. Now, in regret and remorse, they have learned what was given (power in patient management) and what was lost (trust in the patient-physician relationship) in exchange for a guaranteed wage. Yet physicians have something that no government or union or corporation can take away from them: A license to practice medicine. They just need to be collectively reminded of that…not collectively represented in bargaining that is irrelevant to the profession. Physicians are the professionals. They hold the power, because they hold the knowledge and they hold the license.
Arguments for physician unionization focus on the issues of power; and it is true that unions hold power: political power, in the ability to form Political Action Committees (PACs) and influence legislators; bargaining power, in number and presence acceded to them through proxy; economic power, in the power to strike. In defining these powers, though, political power and bargaining power is incongruent in its duplicity, for the AMA also holds such political power and the physicians keep the knowledge--an important consideration in the discordance of the power to strike. In this day and time, it is an empty power when applied to certain patriots, as the Homeland Security Act of 2002 and imminent threat of biological warfare would surely prevent physicians from striking. After all, who would take their place? Not the janitors, who are, by the way, unionized.

And well they should be. The Service Employees International Union (SEIU) is a large and effective union that is appropriate for those healthcare workers it protects. Once upon a time, if you worked in the healthcare industry, you were also privy to the services of the physician you served. In the days of managed healthcare, there is no such privilege, and even nurses worry about access to healthcare (Stephenson 2003). SEIU’s web site verifies that insurance and medical access for a healthcare worker is of issue, claiming that “janitors rely on over-the-counter remedies, clinics and prayer.” This scenario is not consistent with the public perception of a practicing physician (Standing Up…2003). Doctors, even if at a minimum technological level of diagnostics and hands on treatment, have the knowledge and skill to provide healthcare to themselves and their loved ones under any circumstances.

The SEIU’s unionization of sub-professionals in the healthcare industry has brought a model of union organization into the physicians’ workplace, but it is the wrong model. In “Managing Professional Work: Three Models of Control for the Health Organizations”, W. Richard Scott demonstrates, pre-HMO, that Physicians operate under a model of “Autonomous Professional Organizations.” They are externally authorized (governmental licensing requirements), formalized (academic credentialing and ethics oaths), and peer-group controlled (the AMA and other physician support organizations). In this way, physicians are accountable through organizations, oaths, and peer or government sanctions. An advantage of this model is that the responsibility is placed on the person with the greatest control, which is compatible with the traditional view physicians have of themselves, as well as how people view physicians (Scott 1980). Peltzer, Boyt and Westfall (1997) strategically appeal to a business-motivated audience such as administrators, marketers, and human resource managers; but, their underlying warrant is salient and supportive of the general consensus that the patient-physician relationship is of great importance to the health of the patient and the professional fulfillment of the physician.

There are many good reasons to unionize, but to ‘regain power never lost’ seems a con game on the desperately confused. Physicians traditionally passed down their trade, including the business and ethics of the art of healing; yet, in this day of advanced technology and light-speed communication capabilities, physicians have been infected with apprehensiveness and self-doubt.

The truth about unionization is difficult to decipher, as unions are not tied to the ethical practices of the sacred professions. Whether they are pursing physicians or physicians are truly unprepared to meet the scientific, technological and economic challenges of the 21st Century is difficult to distinguish. Unions historically respond to desperate industry employees’ dissatisfaction with working conditions, pay, overtime, and job security. They also seek out the desperate in brilliant forensic arguments to sway even the most autonomous of physicians. Physicians need only check their Palm Pilot for a review of the AMA ethical guides to come back in favor with the ethics of the profession (AMA 2003).

Clergymen who push their religion for crystal cathedrals are considered dangerous fanatics and violation of ethical codes among priests is grounds for ex-communication; derogations abound about “ambulance chasing” lawyers and disbarment is the punishment for unethical legal tactics; an incompetent doctor is called a quack, but should they become unionized, they will simply be defined with “you’re fired”.



WORKS REFERENCED IN THIS BLOG

The White House. http://www.whitehouse.gov/deptofhomeland/bill/

AMA will provide electronic alerts to physicians (2003) American Medical Association News Release http://www.ama-assn.org/ama/pub/article/1616-8001.html

AmedNews.com, the Newspaper for American Physicians. "The National Labor Relations Board has ruled that residents at private hospitals are employees -- with the same right to unionize as residents at public hospitals

Hippocratic Oath – Classical Version. Survivor M.D. Nova Online.

Lundberg, George, M.D. (2000). Severed Trust: Why American Medicine Hasn’t Been Fixed. New York: Basic Books.

Peltier PW, Boyt T and Westfall, JE.

Scott, W. R. (1982). Health Services Research 17:213-240.

Service Employees International Union Justice for Janitors. http://www.seiu.org/building/janitors/

The Hippocratic Oath Today: Meaningless Relic or Invaluable Moral Guide? (2003). Survivor M.D. Nova Online. http://www.pbs.org/wgbh/nova/doctors/oath_today.html

Thursday, May 21, 2009

Thus We Are Born Free, As We Are Born Rational: John Locke 1632-1704

John Locke believed the basic premise underlying human nature is that people are independent and self-interested.

Locke envisioned the nature of a newborn baby as a blank slate. On this blank state, a person’s experience creates their character. Locke was also influenced by the Enlightenment philosophy that placed art and science as the rationalization agent of all human nature. This belief in the individuality of human nature and the right to freedom manifested itself in the popular philosophy of government by the consent of the people. This is one of Locke’s lasting contributions to present day society and has influenced thinkers for centuries.

Locke believed that humans have a natural right to freedom, which includes a right to property. Property rights are an important element of Locke’s discourse, and such a discussion is essential to his paradigm of the human condition, especially in relation to nature. Nature holds a divine right to property; according to Locke, human agency is at the top of the natural hierarchy and as such, has full rights to the use of all natural resources, “so long as nothing perishes.” As such, the human dominion over earth comes with an awesome responsibility. Centuries before global urbanization and industrialization Locke recognized the power of the human agency, for growth or destruction, and the concept of sustainability.

This belief in the property rights and responsibilities of individuals also lead to his instructive ideology of equality. Consistent with the Protestant work ethic, Locke believed that those who work hard and put genuine effort and skill into a task will be successful. Based on the premise that if a government provides its people with human rights and the ability to obtain property, Locke claimed that equality can exist in a free and open society: The disadvantaged will become equal with the advantaged. His rational for this claim is that such a society disperses its resources equally, making opportunities available to all.

Yet, Locke held tightly to the belief that if a government of social consent fails to meet the needs of the population that brought it into power, it is then the right and the duty of that population to assert their self-interest and revolt against the failing government.
Works Referenced:
Locke, John. The Second Treatise on Civil Government. First published in 1690. This printing by Prometheus Books: New York. 1986.

Sunday, April 19, 2009

Biotechnology in Agriculture and Pharmaceuticals

Biotechnology in Agriculture and Pharmaceuticals


INTRODUCTION
An innate sense of survival combined with curiosity and superior intellect gives humans a unique ability among biological beings to exterminate their natural predators. Science, technology and creativity have allowed humans to alter the natural biological processes to the infinitesimal proportions of the gene, where the creation of life-forms began.

These auspicious powers, usually thought of as only possible through the omnipotence of a Spiritual Being, are now in the human knowledge base. It is no surprise that such powerful abilities in the hands of any being would create fear and controversy. As a global community, we must weigh the possible consequences of our ability or lack of ability to control such power, against the biotechnological promises of a world without limits, a world able to ignore the barriers of physical law. The prevention and treatment of both genetic and predatory diseases, reduced economic inequality, hunger and disease may offer alternative mathematical models of global carrying capacity and life expectancy.

This paper is a discussion of the support of biotechnology and biogenetics in agriculture and pharmaceuticals, a review of supportive discourses and the importance of international cooperation and regime theory. In discussing the sympathetic viewpoint of biotechnology, many aspects of the opposing arguments are revealed.

BIOPIRACY
Critics of biotechnology point to the price that must be paid for these scientific marvels. According to Vandana Shiva, an active opponent of biotechnology, those who can least afford it must pay that price. She supports this claim with stories such as ecosystem destruction, the usurpation of indigenous knowledge and an andropogenic colonization of women, children, the weak and the under-privileged in a concept she calls Biopiracy (Shiva, 1997).
Bio-piracy as described by Vandana Shiva is a practice employed by multinational corporations where they “discover” a cultural knowledge and practice in food production or medical use. By altering the plant to make it a “novel” discovery, patents protect it, and the host culture is denied profit or acknowledgement (Shiva, 1989).
The term biopiracy is loaded with negative connotations, as Shiva meant it to be. Pirates, as witnessed by a currently running television commercial from the cheese industry, are still depicted as the barbaric, uncivilized dregs of society, interested in procuring their fortunes at any cost of life or limb, whether it be theirs or others. This "greed at any cost" mentality is depicted in the cheese commercial by a stereotypical pirate, a patch over one eye, a wooden leg and a silver hook for a hand (or in this case, a cheese-slicer). Pirates' named legacy comes from their activities of piracy, or thievery.

BIOMIMICRY
Biomimicry is an example of a cooperative effort among environmental discourse debates. In Biomimicry: Innovation inspired by nature (1997), author Janine Benyus' describes this multidisciplinary science as a plausible compromise between radical intervention and complete laissez-faire of indigenous areas and traditional knowledge.
The roots of the term biomimicry come from Greek origin: "Bios", meaning life and "mimesis", meaning imitation. Biomimicry is the imitation of life, not the creation of life, as is the concern of many opponents of biotechnology, who claim that life cannot be created (Shiva, 1997). Biomimicry also denotes a more positive connection with and study of biological systems. With this comes a new human understanding of biological innovation, invention and imitation.
According to Benyus, biomimicry is based on a three-pronged approach (1997):
1) Nature as model: Biomimicry takes inspiration from biological designs and processes to solve human problems.
2) Nature as measure: Biomimicry uses a 3.8 billion year long ecological standard to judge the "rightness of innovation".
3) Nature as mentor: As a new way of viewing and valuing nature, biomimicry is based not on what we can extract from the world, but what we can learn from it.

Supportive Discourses

Several widely accepted environmental discourses have the ideological elements necessary to support the implementation of cooperative uses of bio-science and technology:
Green Romanticism is an environmental discourse that espouses the nurturing and development of different kinds of subjectivity or ways that individuals can experience the world. Biomimicry also draws its inspiration "outside of the box", by observing and mimicking the different natural processes, although many of the Green Romantic theories are either essentially too liberal (i.e. Deep Ecology) or too conservative (i.e. Eco-theology) to support the cooperative essence of biomimicry.
Lifestyle Greens, a balanced off-shoot of Green Romanticism, believe that the essence of being green is not adherence to any philosophical analysis or collective action; instead it is a matter of lifestyle. For example, in implementing invention by biomimicry, such as substituting fuel cells developed from the same theories that allow plants to create energy through sunlight, will require a lifestyle alternative to fossil fuels.
Economic Rationalism is a discourse that relies on its entity actors: homo-economicus, free markets, property rights, and government rule. Although many horror stories of self-interest, competition, and strict hierarchies, ER is defined by its commitment to the intelligent deployment of market mechanisms to achieve public ends. Too its credit, ER relies on fair and appropriate property rights, a critical issue in the biotechnology debate.
Ecological Modernization promotes the natural processes, seeing nature as its own waste treatment plan. This discourse supports a capitalist economy, states sovereignty, and recognizes natural systems. The premise of EM is that the capitalist political economy needs conscious re-figuring and far-sighted action, so that economic development and environmental protection can proceed hand in hand reinforcing one another. EM is associated with the "tidy household" and "connections to progress" as metaphors, and is supported by Al Gore, Jr., Albert Weale, and Urlich Beck.
Bioregionalism, a popular discourse among environmentalists is supportive of biomimicry in its belief in the practical application of theory. Like bioregionalism, biomimicry is the combination of theory and practical applications. Bioregionalists believe in place-based ecology that recognizes sacred places and alternative methods for defining current politico-geographic boundaries. Aspects of bioregionalism appear to contain many of the necessary ideals for the implementation of cooperative theories.

Why do we need biotechnology?
Population Growth
Exponential population growth calls for safe, available and ecologically sound uses of science and technology in agriculture and pharmaceuticals. The lower mortality rates caused by elimination of natural predators through vaccines and pharmaceuticals combined with the mathematical concept of exponential growth and population limits creates a dangerous cycle:
· Larger and healthier populations
leads to
· the need of greater food availability, disease prevention and treatment
leads to
· lower mortality rates, again creating larger and healthier populations
leads to
· the need for more food supplies…and on and on.
·
The late Donella Meadows and other environmental survivalists would argue that such exponential growth would eventually lead to practical limits of capacity (1972). Yet other mathematical concepts, such as a logarithmic statistical model, would support an asymptotic curve in place of a parabolic model. In other words, populations would reach a certain level, or carrying capacity, and then discontinue to grow. This theory of limits to growth is regularly seen in nature's own models of undisturbed ecosystems. Though human populations may be greatly expanded in the future and possibly much greater than current estimations, biotechnology holds a promise that the populations will be fed and healthy.

 

Agriculture


Perhaps the most oft heard defense of biogenetics is the promise to end hunger. The opposing argument claims that food is not scarce, and we do indeed have the global food resources to feed the world; the problem is the economics of food--the ability to get the food to those who need it most. While that may be true, the problem of poverty still exists and adequate economic solutions have not appeared. While perhaps the amount of food may only increase at the same rate as the populations, biogenetically modified foods offer alternatives to some of the global food problems. Biotechnology holds a promise of better and cheaper food, as well as drought resistant crops. Golden rice, a genetically modified food, contains the vitamin beta-carotene, which is said to be able to prevent blindness in children with malnutrition.
In the United States, about 63 percent of soybean crops will be genetically modified to resist pests. Only 24 percent of corn crops will be genetically modified, a mild one percent drop from last year. Author Peter Brasher believes that this drop is partially due to the negative public relations when the presence of "Star-Link", a modified crop designed for live-stock was found in the human food supply (Brasher, 2001).
A consumer study performed by the Wirthlin Group Quorum Surveys found that 79 percent of Americans knew something about biotechnology, yet only 2 percent responded "very well informed" when asked to rate their level of knowledge. Only 43 percent of the May 2000 survey answered YES, they knew that there were food produced through biotechnology in the stores; even more surprising is that 23 percent answered NO, while 34 percent failed to reply. Even more encouraging to the biotechnology argument is that 59 percent of respondents felt that biotechnology products would provide benefits within the next five years, while only 25 percent disagreed with 16 percent refusing to respond.

Vaccines

Along the path of development, humankind has learned to eliminate its predatory enemies, often to the point of extinction: even our pre-historic ancestors over hunted particular mammals. Throughout history, some civilizations have practiced intentional extermination of plants and animals felt to be unnecessary to the natural process, and oft thought dangerous to the proliferation of humankind. In the 20th Century, technology brought us to a different level of the extermination of human predatory species invisible to the naked eye. Dr. Jonas Salk's vaccine developed through biotechnological means in 1955 virtually exterminated this most feared virus. In 1955, the average estimated rate of polio contraction was 21,000 people annually; in 1995, there were only seven reported cases of polio. Dr. Salk continued researching genetic pharmaceuticals, especially related to multiple sclerosis, cancer and AIDS until his death in 1995 (Cassidy 2001). This biogenetic discovery had a profound impact on the world, and the future of health care and biotechnology in general. Wyeth-Ayerst Laboratories recently developed a vaccine for the pneumoccocal bacterium, which became available to the public this year under the commercial name of Prevnar®. gPrevnar® targets seven strains of pneumoccocus, accounting for approximately 80 percent of the invasive disease in infants; it is manufactured by attaching the polysaccharides to a genetically modified nontoxic form of the diphtheria toxin protein. It is estimated that between 16,000 and 17,000 children are infected with some form of pneumococcus; 1,400 of those cases will progress to pneumococcal meningitis in children under five years old. Two year olds are at highest risk, with 1/2 of the cases erupting into meningitis, brain damage and hearing loss; death results in ten percent of these children. In trials, Prevnar® proved to be 100 percent effective in invasive pneumococcal disease, with a 90 percent efficacy rate in preventing all invasive pneumococcus.
Insulin is one of the first genetically modified organisms produced in the laboratory. Developed by inserting a specific human gene into the genetic code of a bacterium, insulin has saved millions of lives, allowing diabetics to live a full life. Technology similar to that used in insulin production led to the production of the cancer treatment. Biogenetic engineering is also responsible for digoxin, a drug used to treat heart disorders (Pollack 2001)

Regimes, Patents and Indigenous Protected Areas

A premise that runs throughout most regime theories is that in exploiting our earth's ecosystems to dangerous levels, we are also destroying the traditional knowledge that has kept many of the worlds most biologically diverse areas sustainable. Destruction of traditional knowledge contributes to further degradation of the environment--and so the cycle repeats until it ends through apocrypha or salvation.
Gonzalo Oviedo (1999) expands the concept of Indigenous Protected Areas (IPAs) and patents by claiming that indigenous people have been removed from their traditional position as stewards of knowledge. This has been accomplished, writes Oviedo, through licentious exploitation of indigenous resources, without consideration that the stewardship of such traditional knowledge is essential to the sustainability of the ecosystem. A relevant and responsive international regime policy was drafted by the World Wildlife Fund (WWF) and the World Conservation Union (IUCN). The draft is an effort to recognize and protect sacred lands and indigenous rights, and allow traditional people the right of self-development in their conventional land use and conservation patterns. In addition, the right to have input into land use management and active participation of protected land management is an important issue such a proposal would address (Oviedo and Brown, 1999).
It is easy to understand how traditional people around the world would be wary of national and international systems that have already stripped much of their land, denied them representation in declaring protected lands, and assumed management of those lands. Then, those governments and organizations suddenly promise under IPAs and similar plans to give back control of indigenous knowledge and protection of sacred areas. Such a need of respect for traditional peoples is a telling statement of how far conservationists and governments must go before mutually satisfying partnerships can be created. True respect can take generations to develop, and even then such relationships can remain tenuous.

TRIPS

Critics of introducing Genetically Modified Organisms (GMOs) to the global food supply argue that through Trade Related Intellectual Property Rights (TRIPS), multinational corporations will be given the legal ability to monopolize food production on a global basis. TRIPS was created by GATT/WTO, and has been criticized for supporting multinational corporations; yet, the creation of TRIPS was to protect Intellectual Property Rights (IPRs). Part of the problem with the MNC slant on such regimes relates to the fact that currently only 10 multinational corporations control 32 percent of the global commercial seed market, seeds being the most debated controversy of biogenetics (Shiva 2000)
The patenting of life forms is the bio-colonization of nature argued against by Vandana Shiva (2000). Still others, such as Professor Paul Keim of the Northern Arizona University, disagree. Dr. Keim believes that patenting protects indigenous forms of biotechnology by releasing the processing information globally, protecting indigenous patent holders for twenty years, and releases corporate patent information in twenty years (Lecture, 2001). Patents are an essential ingredient to the production of new and inventive processes and the preservation of traditional knowledge. They are essential to replace those practices that are unacceptable to the sustainability of the earth, from energy production and fossil fuel extraction to protection of rubber-tapping processes of indigenous rainforest inhabitants.

CONCLUSION


Perhaps there is some important biological niche that disease causing bacteria hold, besides those that are responsible for decomposition properties. The first thing that comes to mind is human Population Control as a predatory species.
Critics argue that GMO’s are not being introduced into food production and medicine to help people, but to grow corporate power through profits and market share. The science of biotechnology is lacking in understanding all possible negative effects that GMO introduction into the environment may entail. While international environmental regimes provide incentives for the creation of new science and the protection of indigenous knowledge by recognizing and preserving it, these global commitments may not be enough.
Still, all parties agree that success for society is to be found by operating within nature’s processes, and the technology of nature has much to offer us in the form of Biomimicry. Therefore, the concept of Biomimicry should be further explored as a scientific, ecological, ethical and safe compromise to the Survivalist/Promethean debate. In addition, international regimes should provide incentives for the careful exploration of nature, while protecting the intellectual property right of indigenous knowledge. In this way, biotechnology and biogenetically engineered agriculture and pharmaceuticals address global agricultural and pharmaceutical issues while preserving the natural ecosystems.
The debate is wide regarding biotechnology issues, suggesting the need for common ground. The first debate to be settled, however, is the one that resides inside those of us who are aware of the dangers in biotechnology, yet also see the possibilities for good in the ability of man to manipulate his environment.


WORKS CITED/REFERENCED

Barsamian, David. (1997/09/01). Vandana Shiva: woman physicist, writer, activist, who directs the Research Foundation for Science, Technology and Ecology in New Delhi, India. Interview for "The Progressive". Electric Library. Accessed on 2001/03/07. http://wwws.elibrary.com
Benyus, Janine M. (1997). Biomimicry: innovation inspired by nature. New York: William Morrow and Co.
Berry, Wendell. (1996) The unsettling of America: culture and agriculture. San Francisco: Sierra Club Books.
Chowdry, Geeta, Prof. (2001/03/14) Biopiracy. Vandana Shiva, biotechnology lecture for MLS 602, Community Technology and Values, Profs. Marcus Ford and Miguel Vasquez. Northern Arizona University, Flagstaff, AZ.
Christensen, Jon. (2000/11/21). Golden Rice in a Grenade-Proof Greenhouse. "Scientists at Work". Ingo Potrykus, editor. Accessed on 2001/02/15. http://www.nau.edu/library.
Eichenwald, Kurt, et al. (2001/01/25). Biotechnology food: from the lab to a debacle. Accessed on 2001/02/15. http://www.nau.edu/library/courses/liberalstudies/mls602-ford/reserve
Hawken, Paul, et al. (1999). Natural Capitalism: Creating the next industrial revolution. New York: Little, Brown and Co.
Keim, Paul, Prof. (2001/03/14) Biopiracy. Vandana Shiva, biotechnology lecture for MLS 602, Community Technology and Values, Profs. Marcus Ford and Miguel Vasquez. Northern Arizona University, Flagstaff, AZ.
Ophuls, William. (1977). Ecology and the Policy of Scarcity. San Francisco: W.H. Freeman.
Oviedo, Gonzalo and Jessica Brown. (1999) "Building Alliances with Indigenous Peoples to Establish and Manage Protected Areas". Partnerships for Protection: New strategies for planning and management for protected areas. Earthscan Publications: London. Editors. Stolton, Sue and Nigel Dudley.,
Pollack, Andrew. (2001/02/04). Critics of biotechnology are called imperialists. Accessed on 2001/02/15. http://www.nau.edu/library/courses/liberalstudies/mls602-ford/reserve
Shiva, Vandana. (1997). Biopiracy: the plunder of nature and knowledge. Boston: South End Press.
______________ (1993/09/01). The seed and the earth: biotechnology and the colonization of regeneration (part 1) Contemporary Women's Issues Database, Electric Library. Accessed on 2001/03/07. http://www.elibrary.com
______________. (1993/09/01). The seed and the earth: biotechnology and the colonization of regeneration (part 2) Contemporary Women's Issues Database, Electric Library. Accessed on 2001/03/07. http://www.elibrary.com
______________. (2000). Stolen Harvest: The Hijacking of the Global Food Supply. South End Press. Cambridge, MA. 2000.
Stolen Harvest: Corporate Watch Interview with Vandana Shiva. (2000/03/17). "Seeds of Resistance: The Battle Against Genetically Engineered Food". Corporate Watch, editor. Accessed 2001/02/17. http://www.corpwatch.org/feature/biotech/vshiva.html
U.S. consumer attitudes toward food biotechnology. Wirthlin Group Quorum Surveys. Accessed on 2001/02/24. http://ificinfo.health.org/foodbiotech

Cassidy, David. (2001) Salk, Jonas. Accessed from internet on 2001/02/24 http://future.newsday.com/cards/card0224.htm

Saturday, April 18, 2009

Obama Validates Federal Unsustainability

As Obama targets wasteful spending and pet projects, with strong words he validates the basic premise of Green Associations for Sustainable Society..."OUR CURRENT SOCIETY IS UNSUSTAINABLE UNDER THE FEDERAL ADMINISTRATIONS OF THE LAST CENTURY"

Said Obama:
"As surely as our future depends on building a new energy economy, controlling healthcare costs and ensuring that our kids are once again the best educated in the world, it also depends on restoring a sense of responsibility and accountability to our federal budget," Obama said. "Without significant change to steer away from ever-expanding deficits and debt, we are on an unsustainable course."
(emphasis added)

Stop the War: Begin the Healing

Tuesday, May 6, 2008

Can Sustainability be Achieved? A Brief Manifesto

Can Sustainability be Achieved in My Lifetime?
A brief manifesto

I cherish my time on this Earth, and block out prometheans who would quash my hopes and beliefs that a global paradigmatic shift in humanity's stewardship of the Earth is possible. History is replete with examples of major shifts in accepted realities. At one time to say, "The world is round" would be considered blasphemous. Only in modern times was Galileo finally pardoned for his ancient and fatal Platonic faux pas in announcing that the Earth revolves around the Sun.
I believe that a similar paradigmatic shift in global thinking is possible regarding the sustainability and compassion of humanity on our continuously evolving planet. Throughout my studies and in my writings, I refer to SUSTAINABILITY in general terms, so that it includes cultural, societal, environmental, and biological sustainability; that is, I believe that sustainability must be achieved on physical, spiritual and social planes. Ecological restoration cannot take place without dynamic changes in current political, social, and economic praxus; Social sustainability cannot survive in a hostile environment rife with hunger, disease, poverty and addiction. Yet achievable ideas go around and around, proving and disproving, in a never ending dance. Change is slow, and in this case, it is too slow: Watch the polar ice cap melt in front of our very eyes is frightening; empty shelves at community food banks in the U.S. is terrifying.
I believe that there is a compromise to the theoretical and practical dichotomies of every discourse, in the Physical, Spiritual and Social realms of reasoning-- there is a way to stop chasing the tail of the other in an infinite conundrum. To establish global sustainability is to enter the continuous cycle, to immerse in the ideologic quagmire and to listen to each other and to the earth's biology, analyze humanity's social contracts, and recognize the spiritual, until the paradigmatic shift necessary for true global sustainability has been reached.