Relevant and even prescient commentary on news, politics and the economy.

Good news for a change

In addition to mRNA vaccines and CAR-T cell therapy, semaglutides and tirzepatides offer transformative therapies, in this case for obesity and associated type-2 diabetes. But the drugs aren’t cheap, so access is a problem in the US. “Medicare will cover semaglutide (Wegovy) and tirzepatide (Zepbound) for their weight management indications for people with obesity, President […]

It’s Medicare hunting season

Probably the best analogy is duck hunting, where they use decoys to fool the ducks. “If the past is any indication, sellers working for insurance companies, some with household names, others not, will snare new recruits into Medicare Advantage plans, possibly omitting in their sales pitches that they will be locked into an MA plan […]

Deaf culture

Years ago, I was course director for a first-year medical school course on genetics and molecular biology. I was and am still an enthusiast for problem-based learning (PBL). Together with an MD colleague, I wrote up a case on hereditary deafness. It was through this process that I learned about deaf culture and the conflicts […]

Don’t tread on me, tread on them

Ladies and gentlemen, your GOP nanny state: “House Republicans are exploring ways to prevent Zohran Mamdani from ever being sworn in as mayor even if he prevails in Tuesday’s election by using the Constitution’s “insurrection clause,” The Post has learned. “The New York Young Republican Club is pushing to prevent the NYC mayoral frontrunner from […]

Libertarianism is feudalism

I’ve long said that libertarianism is the political philosophy of middle school boys and arrested development, the apotheosis of solipsism. Libertarianism holds that property rights are the only rights that matter, and that in any conflict the marketplace, not the state, must and can resolve conflicts between interests. That, my friends, is feudalism. And feudalism, […]

Home ec

The high school my wife and I attended in East Tennessee back in the early 70s offered both home ec and shop. She took home ec, but I didn’t take shop. Shop was power tools and home ec was domestic skills like cooking and sewing. The Boston Globe just published an article that reminded me […]

Review of “Atoms to Ashes”

I just finished reading “Atoms to ashes: A global history of nuclear disasters” by Harvard history professor Serhii Plokhy. The book provides detailed accounts of six major nuclear accidents: • The Castle Bravo Test (1954), a hydrogen bomb test on the Bikini Atoll that was more powerful than expected; • The Kyshtym Disaster (1957), a […]

Trump on China: speak loudly and carry a tiny stick

Xi’s China is so far defying gravity. Despite its history of despotic autocratic party rule, Xi has managed to govern in a way that has promoted economic strength while projecting international resilience. Xi has kept his eye on the ball, while Trump has kept one eye on the mirror and the other on Fox News, […]

RFK Jr’s pernicious campaign against ultra processed foods

The current attack on ultra processed foods by RFK Jr is just a simpleminded binary. He’s treating food as medicine and then vilifying certain ingredients as bad or dangerous. What do you expect from someone with no training in public health? Take food coloring. Ever look at the pills you take: Advil, decongestant, laxative? Those […]