Reflections on health and the economy

This winter/spring in treatment for shingles (face and eye) I've had a lot of medical appointments. Some days it was my only time out of the house. Today I sat in the parking lot to read because I was a little early, and I counted the health related buildings around my ophthalmologist's location. Ten. I'm not sure I'd ever been in that area of our suburb before 2 months ago, and we've lived here 50 years.  The buildings all appeared to be 10-20 years old--health is a booming business.  I was reading Atul Gawande's "Being Mortal." Buy it for your children.  You need to know about illness, hospitals, hospice and death, and how much it costs.

The evening before surgery the father and daughter talked. She was a palliative care specialist, but it's hard to talk to your own parent and she realized they'd never had that "what if" conversation. It's like the "where babies come from" talk with your kids, only more complicated.  His neurosurgeon told him if they didn't remove the mass he had a 100% chance of being a quadriplegic; if they did remove it, a 20% chance. What makes being alive tolerable, the daughter asked. "If I'm able to eat chocolate ice cream and watch football on TV then I'm willing to stay alive," was the shocking answer of this professor emeritus. She had no idea he even watched football. For the rest of the story, p. 184-185.

Dr. Gawande's book was published in 2014. He reported changes in health care and said 1/2 to 2/3 of the global population would be middle class by 2030 and they would be facing (or already are) many of the same problems as the West. So I checked that (he gave no citation). I was surprised to see in a Brookings Report that figure had already been surpassed by 2016. Max Roser reports in 1820 the share of the global population living in poverty was 94 percent while 84 percent lived in "extreme" poverty. By 1992, the poverty rate had dropped to 51 percent, while the "extreme" poverty rate had dropped to 24 percent. Using a different measure of international poverty, the rate has dropped from 53 percent in 1981 to 17 percent in 2011 – representing the most rapid reduction in poverty in world history. 

Why? Capitalism. And that's why the black clad antifa and anti-American rioters who are burning buildings and harassing police are so scared. Without poverty or the threat of it for leverage they have no power. If children are educated and learn the truth about socialist economies, the anarchists lose their hold on them. They must destroy and lie.

 https://www.brookings.edu/wp-content/uploads/2017/02/global_20170228_global-middle-class.pdf

 http://www.washingtonexaminer.com/amazing-chart-shows-thanks-to-capitalism-global-poverty-is-at-its-lowest-rate-in-history/article/2562224

Book Club titles for 2017-2018

Yesterday our book club (originally formed by a group of young mothers in Clintonville over 30 years ago and I joined in 2000 when I retired) selected titles for the 2017-2018 year. I’m partial to non-fiction, so I’m excited about this list. All will meet at Bethel Rd. Presbyterian except where noted.

September: Hero of the Empire; The Boer War, a Daring Escape, and the Making of Winston Churchill by Candice Millard. This will be at Peggy's

October: Being Mortal; medicine and what matters in the end by Atul Gawande. https://www.youtube.com/watch?v=VDdtAiTrwt4

November: Immortal life of Henrietta Lacks by Rebecca Skloot

December: Hidden figures by Margot Lee Shetterly, now a movie.  Meets at Carolyn's.

January: Worst hard time The Untold Story of Those Who Survived the Great American Dust Bowl by Timothy Egan

February: Leopard at the door (novel) by Jennifer McVeigh

March: Bad ass librarians of Timbuktu And Their Race to Save the World's Most Precious Manuscripts by Joshua Hammer

April: Hillbilly Elegy; A Memoir of a Family and Culture in Crisis by J. D. Vance (he now lives in Columbus)

May: Cod a biography of the fish that changed the world by Mark Kurlansky. https://www.youtube.com/watch?v=xAmVU2WL7bY He wrote a book about Salt, and if it’s anywhere near as good, I’m looking forward to this one.

Look at the palm of your hand

From "Being Mortal" by Atul Gawande, p. 30-31.

"You can see all these processes [of aging] play out just in the hand; 40% of the muscle mass of the hand is in the thenar muscles, the muscles of the thumb, and if you look carefully at the palm of an older person, at the base of the thumb, you will notice that the musculature is not bulging but flat. In a plain X-ray, you will see speckles of calcification in the arteries and translucency of the bones, which, from age 50, lose their density at a rate of nearly 1% per year.... The hand has 29 joints, each of which is prone to destruction from osteoarthritis, and this will give the joint surfaces a ragged, worn appearance. The joint space collapses. You can see bone touching bone. What the person feels is swelling around the joints, reduced range of motion of the wrist, diminished grip, and pain. The hand also has 48 named nerve branches. Deterioration of the cutaneous mechanoreceptors of the pads of the fingers produces loss of sensitivity to touch. Loss of motor neurons produces loss of dexterity. Handwriting degrades. Hand speed and vibration sense decline. Using a standard mobile phone, with its tiny buttons and touch screen display, becomes increasingly unmanageable." 

Yup. So when an elder can't open a pill bottle or is slow pulling out her ID, remember, in a few years it will be you. Now go look at your palm.  I wonder if typing on phones with thumbs will lessen the viability of the thenar muscles for today's millennials?