Monday, April 8, 2019

The Split

More people voted the the party line for president and
senate than at any time in the past century.
The split between left and right ... and between friends.

2017 - "That the leading candidate’s platform is mostly comprised of satire and ridicule reflects the kind of popular anti-establishment frustration seen elsewhere among the Western democracies. But the hidden hold of the country’s most powerful businessmen will be difficult to break. ... because of the asymmetry of time and resources, elections are dominated by the organized and the moneyed who are then chosen to govern."

~an interesting observation by legal scholar Ganesh Sitaraman.

In the U.S., our elections today reflect an extraordinary polarization in our culture, a divisive rhetoric from the extremes, and a loss of that once deemed precious to us all, a nation united.
Deliberate interference by external interests like the Russians has exaggerated the divisiveness among us. Social media has proved to be a useful tool for influencing shallow thinking. Popular opinion rises from the few moments available in busy lives to consider an issue, so memes and ridicule have become the language spoken by a significant segment of the population.  But this trend began more than forty years ago, implemented by monied interests.  That in itself is an interesting study.

Our political process has moved beyond divided to adversarial, and it now will enact policy one year and repeal it the next, further crippling our progress.

Among the citizens, objective and disciplined inquiry is rare.  Loyalty to biased sources is a common illness.  The middle-ground is gone.  Friends find themselves insulted or demeaned, unintentionally perhaps, by casual ridicule.  Having a friend who thoughtfully disagrees and is perhaps interested in your point of view is a rare treasure, increasingly rare across recent decades.  Is there a better position we might take, one based on principle and integrity rather than preferred party ideology?

A precious brother laughed the other day at the long list of things we talk about, often without agreement.  It's okay because we work at it, not competitively but in an effort to understand.  I so treasure his good heart.  The issues don't push us apart.

Saturday, March 23, 2019

Here's to a long life ....


We spend more; how come we don't live as long?

The U.S. has the 4th highest infant mortality rate among 35 OECD countries, the 6th highest maternal mortality rate and the 9th highest likelihood of dying at a younger age from a host of ailments, including cardiovascular disease and cancer.
The U.S. is the most obese country in the OECD, leads in drug-related deaths and ranks 1st in prevalence of diabetes.

Health Care Costs for OECD Countries
Rank
Country
Per-capita spending on health care ($)
Health care spending as a share of GDP (%)
Government spending on health care (%)
Compulsory/contributory insurance & medical savings accounts (%)
Out-of-pocket costs (%)
Voluntary health insurance (%)
Per-capita spending on pharmaceuticals* ($)
1
United States
9,892
17.2
26.6
22.8
11.1
39.6
1,162.4
2
Switzerland
7,919
12.4
22.3
41.7
28.7
7.6
1,056.1
3
Luxembourg
7,463
6.3
9.1
72.9
10.2
6.8
586.4
4
Norway
6,647
10.5
74.4
10.8
14.5
0.3
501.2
5
Germany
5,551
11.3
6.6
77.9
12.4
3.1
766.0
6
Ireland
5,528
7.8
69.7
0.3
15.2
14.8
684.3
7
Sweden
5,488
11.0
83.7
0.0
14.9
1.2
518.8
8
Netherlands
5,385
10.5
9.4
71.4
12.2
7.0
432.1
9
Austria
5,227
10.4
30.8
44.8
17.9
6.5
632.7
10
Denmark
5,199
10.4
84.1
0.0
13.7
2.1
341.8
11
Belgium
4,840
10.4
18.3
59.2
17.6
5.0
679.0
12
Australia
4,708
9.6
67.4
0.0
19.6
13.1
617.0
13
Canada
4,644
10.3
68.5
1.4
14.8
15.3
785.8
14
France
4,600
11.0
4.0
75.0
6.8
14.3
667.6
15
Japan
4,519
10.9
8.7
75.4
13.1
2.9
802.7
16
Iceland
4,376
8.6
52.6
29.5
16.3
1.6
497.8
17
United Kingdom
4,192
9.7
79.5
0.1
14.8
5.5
497.4
18
Finland
4,062
9.4
61.1
13.3
19.9
5.7
501.0
19
New Zealand
3,590
9.2
72.0
7.8
12.6
7.6
NA
20
Italy
3,391
8.9
74.7
0.3
22.7
2.3
604.7
21
Spain
3,248
9.0
66.3
4.7
24.2
4.7
572.3
22
Slovenia
2,835
8.6
3.1
68.7
12.5
15.7
500.6
23
Israel
2,776
7.3
16.9
46.4
24.4
13.3
313.2
24
Portugal
2,734
8.9
65.0
1.2
27.4
6.4
412.9
25
South Korea
2,729
7.7
10.0
46.4
36.7
6.9
552.2
26
Czech Republic
2,515
7.2
12.2
71.3
13.7
2.8
421.7
27
Greece
2,187
8.2
30.3
28.8
35.5
3.9
571.9
28
Slovakia
2,150
6.9
4.3
75.4
18.4
1.8
553.3
29
Hungary
2,101
7.6
11.1
55.6
29.0
4.2
558.9
30
Estonia
1,989
6.7
11.2
64.9
22.4
1.5
343.5
31
Chile
1,977
8.5
2.2
58.6
32.4
6.9
NA
32
Poland
1,798
6.4
9.2
60.7
23.4
7.6
357.2
33
Latvia
1,466
5.7
57.5
0.0
41.6
0.9
383.9
34
Turkey
1,088
4.3
21.9
56.3
16.9
4.9
NA
35
Mexico
1,080
5.8
23.8
28.4
41.4
6.5
286.8

Health Care Conditions for OECD Countries

Rank
Country
Life expectancy at birth (years)
Infant mortality per 1,000 live births
Maternal mortality per 100,000 live births
Probability of dying prematurely from noncommunicative disease (%)**
Drug-related deaths per million population, ages 15-64
Suicides per 100,000 population
Obesity as % of population ages 15 and over
Prevalence of diabetes in population ages 20 to 79 (%)
1
United States
78.8
5.8
14.0
13.6
245.8
12.6
38.2
10.8
2
Switzerland
83.0
3.9
5.0
8.7
24.2
10.7
10.3
6.1
3
Luxembourg
82.4
2.8
10.0
9.7
20.7
8.5
22.6
4.7
4
Norway
82.4
2.3
5.0
9.6
78.4
9.3
12.0
6.0
5
Germany
80.7
3.3
6.0
12.0
19.3
9.1
23.6
7.4
6
Ireland
81.5
3.4
8.0
10.3
70.8
11.1
23.0
4.4
7
Sweden
82.3
2.5
4.0
9.1
124.5
12.7
12.3
4.7
8
Netherlands
81.6
3.3
7.0
11.0
11.1
9.4
12.8
5.5
9
Austria
81.3
3.1
4.0
11.2
27.1
11.7
14.7
6.9
10
Denmark
80.8
3.7
6.0
11.6
72.3
9.1
14.9
7.2
11
Belgium
81.1
3.3
7.0
11.6
9.9
16.1
18.6
5.1
12
Australia
82.5
3.2
6.0
8.9
116.2
10.4
27.9
5.1
13
Canada
81.7
4.8
7.0
9.8
104.5
10.4
25.8
7.4
14
France
82.4
3.8
8.0
10.9
3.6
12.3
15.3
5.3
15
Japan
83.9
2.1
5.0
8.8
NA
15.4
3.7
5.7
16
Iceland
82.5
2.2
3.0
8.3
221.2
11.8
19.0
6.1
17
United Kingdom
81.0
3.9
9.0
11.0
66.7
7.4
26.9
4.7
18
Finland
81.6
1.7
3.0
10.1
77.8
14.2
24.8
6.0
19
New Zealand
81.7
5.0
11.0
10.4
26.7
12.3
30.7
7.3
20
Italy
82.6
2.9
4.0
9.4
8.0
5.4
9.8
5.1
21
Spain
83.0
2.7
5.0
10.0
36.6
6.0
16.7
7.7
22
Slovenia
80.9
1.6
9.0
13.2
20.0
15.0
19.2
7.8
23
Israel
82.1
3.1
5.0
9.5
11.9
5.4
17.8
7.5
24
Portugal
81.2
2.9
10.0
11.3
5.4
8.5
16.6
9.9
25
South Korea
82.1
2.7
11.0
8.3
0.1
24.1
5.3
7.2
26
Czech Republic
78.7
2.5
4.0
15.6
4.9
10.6
21.0
7.4
27
Greece
81.1
4.0
3.0
12.3
3.7
3.2
17.0
5.2
28
Slovakia
76.7
5.1
6.0
17.6
12.5
9.9
16.3
7.8
29
Hungary
75.7
4.2
17.0
22.9
3.8
15.7
30.0
7.3
30
Estonia
77.7
2.5
9.0
17.2
102.9
14.9
18.0
4.4
31
Chile
79.1
7.2
22.0
11.5
NA
9.1
25.1
10.0
32
Poland
77.6
4.0
3.0
18.4
10.3
18.5
16.7
6.2
33
Latvia
74.6
4.1
18.0
22.9
13.9
17.4
21.3
5.4
34
Turkey
78.0
10.7
16.0
16.8
9.6
8.6
22.3
12.8
35
Mexico
75.0
12.5
38.0
15.2
4.5
5.0
32.4
15.8