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If This Goes On: Healthcare “Reform”

man-2106810-death-pixabay-cc0-pubdom

This is where things could go if they go very, very wrong for the American people — not quite the wrongest. The worst case, as usual, is

nuke

And, as a Cold War kid, that image and possible end is always with me. Yep, we could end up eating squirrels and burying half our kids before they turn five, just like the old days. Traveling in nomadic packs. Living the Mad Max life until the gasoline runs out, then just running around in silly overdone armor hammered out of crap dug out of junkyards because it’s a lot easier than trying to find iron ore and making new stuff now that civilization has dug up all the easy to find metal deposits.

(deep breath)

BUT THAT’S NOT WHAT I’M HERE TO TALK ABOUT, I said to myself.

I’m talking about, what if this health care reform deform sets a trend? This massive wealth distribution to the already very wealthy that slashes Medicaid to the bone and reinstalls lifetime and yearly coverage caps for care and calls for pre-existing condition rate hikes that will price cancer survivors and people with genetic conditions like cystic fibrosis and sickle cell anemia and, you know, old people right out of coverage altogether?

What if this “American Health Care Act (AHCA) is just the beginning? (By the way, GOP? I know you’re all on this “learning and education and expertise are bad” jag, but in American English “healthcare” is commonly ONE FREAKIN WORD SERIOUSLY YOU’RE THE ONES TELLING EVERYONE TO SPEAK ENGLISH? Learn to speak and write English, but not too well or everyone will think you’re one of those EVIL EDUCATED SMART PEOPLE AIEE OH GOD RUN BEFORE IT INFECTS YOU WITH LEARNING.)

But I digress. Again. Unfortunately I’m really good at that.

What if this AHCA passes, and sets a trend, and things just keep going that “if you wanted to be healthy you’d have had sense enough to pick wealthy parents” way for a few decades? How bad could it get?

Let’s imagine. Because that’s my business.

But let’s not imagine this healthcare deform will be alone. No, it will come with other things that are developing in our society. Let’s look.

So. Boom. It passes. Very wealthy people enjoy the windfall of anywhere from six hundred billion to a trillion dollars collectively. Sockaroonie, right into the hands of people who make more than a quarter million a year, but mostly into the hands of people who make a million or more a year. And more for billionaires than for you paltry millionaires.

They squirrel a bunch of it away into accounts in the Caymans and elsewhere (I hear Russia is enjoying a vogue in certain bad-hair-tiny-handed circles for some reason).

They open some new factories in China because First Lady Ivanka (is it Co-First Lady? First Lady of Daddy’s Heart? It’s so hard to keep track) has some there and she says it’s a great place to do business, not like that annoying USA where she’d rather drop dead than have a product made. And elsewhere, wherever the labor is cheap.

They invest some at home, though, too. Building some factories, but soon enough robots can build them, not people. So, mostly buying robots from overseas. But when they build a steel mill or an automobile factory or a social media farm to send out #MAGA tweets or whatever in the USA, rest assured they’ll need dozens of people to run a really enormous factory. Mostly fixing robots and tweaking their programs. It might take a little while to get the robot fixing robots on line, like an extra generation.

The robots aren’t quite there yet, in many professions. But we’re getting there fast.

When the people who are babies now go out to find jobs — and there may not be quite as many of them as we thought, the AHCA and its successors may well redistribute more wealth upward with bigger and better cuts and outright elimination of things like Medicare, Medicaid, Social Security, EBT/Food Stamps, and so forth, which means higher infant mortality and more kids who die before adulthood — they may find robots doing them.

And not just the poor kids. The less poor kids, the scions of the dying middle class and the bottom of the upper class, the ones making only a paltry quarter million a year, may find their jobs being done by robots as well. It’s easy to imagine robots digging ditches and selling fries, but they can also order supplies and pay bills and manage expenses and plan advertising campaigns and handle routine legal cases and do surgery and repair cars and dispense prescribed medications.

They’re close to that today. In a generation they’ll be able to do it. Once robots are popular enough, the economy of scale kicks in as it is right now with solar and wind power, and prices drop precipitously, and then everyone will want robot workers and nobody will want humans with their messy bathroom breaks and headaches and needing to attend funerals and weddings and wanting retirement funds and asking for raises because the kid needs braces.

So not only will the money be for the top 1%, but the jobs and the healthcare will be for the top 1%. If you’re really lucky. Maybe all those things will be for the top .1%.

And everyone else?

Well, the ones with the money and the jobs and the healthcare will have to figure out what to do with you.

Maybe human servants will come into vogue and we can all get jobs serving the very rich for room and board and maybe some basic medical care. But probably not for cancer or disability or chronic illness. Servants are cheap. When one goes bad, you throw it away and get another one.

Because now life is cheap, and all the gains of society are routed into the pockets of the megawealthy, and all the cool stuff the robots make goes to them as well.

And if you don’t like it? Robots can make more than cool stuff. They can make war as well. Without risking any precious rich skin. Even the military, traditional route out of poverty, can be handled by robots and very, very few humans indeed.

There are a few million more people who can do without healthcare — or at least, who will have to, to free up some more money to give away to the already very wealthy.

Remember, this is a worst case imagining. Things might turn out better than this. But for that to happen, we’re going to have to fight for it. Hopefully figuratively, with words and protests and votes and candidates who can imagine a better purpose for our society than slashing healthcare for half of the nation in order to put a trillion dollars into the pockets of billionaires.

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Never Tell Me The Odds Unless You’re A %*^@#^ Statistician

C3P0 and Han Solo odds meme thingiee

Found on “MemeSuper” with a “MemeCenter” logo because UGH MEME SITES YUCK — and if you don’t know who this is and what movie it’s from there’s no A New Hope for you.

C3P0 is the poster child for a minor science fiction trope that doesn’t pop up super-often, but never fails to make me cringe and grind my teeth simultaneously whenever it does: intelligence and/or education (an encyclopedic robot brain is an acceptable stand-in for either) represented by the character knowing the exact odds of the possible outcomes of whatever is going on in the story.

I hate it so much.

One, it’s an anti-intellecual sop. The wimpy brainiac worries about failure and would never try but OH WAIT HERE IS THE SAVIOR HE WILL SAVE US WITH HIS AWESOME TACTIC OF NOT BEING SMART BECAUSE SMART SUCKS.

I really, really hate that message. I have hated it since I was a small child in elementary school being teased by my classmates for my habit of reading constantly, with “hey Einstein” and “hey professor,” which were meant as insults. Because what could be more awful than being a genius or an educator, am I right?

Two, it makes no damn sense. Reliable odds are for things that are predictable and fairly simple, like a lottery. If there are a million scratch-off tickets in circulation and one of them is a $100,000 prize winner, you can definitely say the chances of winning $100,000 by buying one is one in a million.

But look, C3P0. You can’t deliver precise odds of navigating an asteroid field. Too many variables. Like, how do you know the density of asteroids in this particular field? Or in this spot in this field? Or, you know, all their orbits? Or whether Han will sneeze and miss seeing a threat? Or whether his rickety-ass spaceship will have an engine hiccup at the wrong moment?

C3P0 is guessing. Anyone can guess, just ask a bookie. And maybe that’s the joke, that C3P0 is just guessing and only thinks he’s smart because he’s educated. And now we’re back to anti-intellectualism and anti-education and anti-expertise. And you’ve seen what those have done for us lately.

Pluto, 1930 Yearbook Photo — Plus Space Program Grumbles

Pluto 1930 Tombaugh

This is how Pluto looked when Clyde Tombaugh discovered it in 1930. A bright mote, an apparent star that moved in a way that betrayed its planetary nature — for someone who was looking carefully enough.

Things have gotten a bit better with New Horizons; you can see the latest images on NASA’s NH page. Here’s one that’s new as of this post date:

pluto-annotated-JUL2015

Edit: new image below, 14 JUL:

Pluto Icecap

Quite the improvement, no?

Well, yes. But it has been a long wait, hasn’t it? 85 years. Granted, we could hardly have dispatched an airplane to take a closer look in 1930. Modern rocketry as in its infancy, as was broadcasting. Even if a 1930s era rocket could have been launched at Pluto, we’d hardly have gotten word back of success reaching it, much less a picture.

I do worry that these are the best images I’ll see in my lifetime, and I’m only 45. But NASA’s funding has been either waning or just holding on against inflation these last three decades, not growing, and the bulk of the current crop of Presidential candidates seem to be mostly unenthused by NASA. ‘What’s the point of spending a whole penny on the federal budget dollar on all this sciency stuff? We’ve got people to feed, bomb, feed bombs to, bomb with food, and so forth, right here on Earth.’

Hostility to and/or disinterest in space, NASA, science, and scholarly investigation in general is nothing new. In the 1970s and 80s, Senator William Proxmire (D) of Wisconsin is a ‘fine’ recent example, with his ‘Golden Fleece’ awards that, as often as not, lambasted space and science funding as wasted effort and wasted money. Plenty of commentators, regular folks, and politicians jump on that anti-intellectual, short-view bandwagon from time to time.

Frankly, it’s a nasty and dangerous habit, this idea that exploring the cosmos around us, exploring our own planet further, and learning in general is a waste of money and effort. There’s a lot to be gained by exploration, here and up there. Aren’t you reading this on a computer? Possibly a computer that also telephones people and locates itself by GPS? Thank scientists, scholars, inquisitive types, the space program, all those ‘wastes of money’ that pay off in knowledge and in the things that knowledge makes possible, if you spend the money learning now and have the patience to wait a decade or two for the payoff.

I know, we’re not that great at long-term thinking, most of us. But seriously. Yes, we’re just looking at Pluto, which is hardly going to be useful real estate or mining grounds next week, year, or decade. But every time we do something like this, we don’t just learn more about how our planetary neighbors work. We learn more about communications, propulsion, efficient generation and use of power sources, miniaturization, navigation, and so on, and so forth, and likely things that you and I haven’t thought of yet that will pay off come 2045.

Not to mention, as big as this earth is, it’s a drop in the bucket compared to the rest of the solar system. Planets and asteroids and comets, oh my, swimming in a constant rain of free-to-gather energy that is sunlight (or maybe magnetic if you want to venture to the moons of Saturn and Jupiter and do some tinkering). Sometimes people talk about this ‘high frontier’ as if it could be a relief valve for overpopulation, but no, it’s not that. No more than opening California to colonization relieved crowding in New York City. But a wide frontier is a relief valve for people who are gravely dissatisfied with current affairs at home, and we as a planetary society haven’t really had one of those in quite a few decades now. Yes, there’s a certain lack of open air and flowing water up there among the various possible destinations. So what?

The big ‘so what’ is that we’re doing little practicing of how to keep people alive in places like that. There’s a space station, and 40+ years after people walked on the moon it’s still an itty-bitty one with a few people, entirely supplied from earth. It’s useful, and we learn from it, and we’ve no apparent interest in pushing the boundaries meaningfully as a species. Well, China has done a little talking in that direction, Maybe in response to US talk about sending people to Mars, maybe, one day, well maybe not, or maybe we’ll just push back the ‘maybe’ date… you get the idea. We like talking about it a bit, but few are serious about it, especially among those who would have to speak the loudest to fund such a nutty idea as putting a bunch of people on the moon or Mars to live long term, the politicians. They’re not that interested, and the public isn’t that interested. And that’s a shame. We won’t spread off this rock unless there’s an interest in doing so. Maybe the interest will come too late, after climate change gets nasty enough to cause even middle-class folks serious problems at home. Such a wait-till-the-crisis scenario would be a shame, too. Because, like in the ‘reduce population pressure’ scenario, colonizing the moon or Mars of anything else out there would not be a way to evacuate millions or billions of people in troubles.

But it would be a great way to spread the human race out a bit so that it’s not in danger of croaking en masse if a massive disaster of some sort were to loom. And it would, if no disaster comes to call, be a great way to expand the knowledge, both practical and abstract, of the human race as a whole — and that expansion would all be fuel for the next round of life-improving gadgets just as food preservation, improved transportation, construction and maintenance of internets, and so forth have been for us.

Don’t be selfish. Help the people of 2100 surpass us as much as we’ve surpassed the people of 1930.