Tuesday, November 3, 2009
My Trip to Scientology
I took a trip to L.A. a few months ago, and, taking a cue from this article I decided to go check out the Scientology Celebrity Center.
Thursday, October 22, 2009
Academic vs. Activist, How to End Rape Culture
Another one of my posts playing off a blog post I read elsewhere... Feministing linked me to here, promising a post about how men need to be involved in ending rape culture. The post, by Audacia Ray, ended up having almost nothing to do with that. In a (self-admitted) ramble, the post started at noting that men need to be involved in ending rape culture, but in asking what that would look like, went off on a very sophomore year B/B- tangent about the author's personal history dating manly men, womanly men, and women. Then the commenters made a big deal about how we talk about trans people, and I was left with next-to-no-interest in anything anyone was saying, except to the extent that I felt deprived of what I'd hoped was a conversation about an important issue: how do you get men interested in issues of modern feminism?
Thursday, September 24, 2009
More on Healthcare
Sorry for the blitz of postings-- I have a lot of thoughts to catch up on.
The posting I did on healthcare leaped off a post at feministe about healthcare, and the conversation ensued in the comments. I don't want to lose the points from that conversation, so here goes:
The posting I did on healthcare leaped off a post at feministe about healthcare, and the conversation ensued in the comments. I don't want to lose the points from that conversation, so here goes:
Quick Hit: AIDS Vaccine
Quick hit for me, anyway. There's some stuff circulating now about a new AIDS vaccine that was tested in Thailand and reduced AIDS transmission by 31%. Some thoughts:
- This study was totally and completely immoral, which is why it was done in a third world country. It's like using human subjects to test whether a new bullet-proof helmet will work, by shooting people in the head with bullets. It's only a small step above intentionally having these people have sex with someone who has AIDS. Working with an at-risk population and standing mutely by while you know some of them are going to get infected is obscene.
- A population that's adjudged to be at-risk for HIV tends not to be a population that medical researchers can rely on for clinical honesty; there are cultural barriers, issues of mistrust between researcher and patient, and, with regard to the particular communities at risk for HIV, issues of mental illness (not all hookers or heroin addicts are crazy, but lots and lots are) and understanding of veracity and consent.
- There are different strains of HIV, and I haven't seen any discussion of whether that accounts for the weird statistics here: why 31%? Maybe this just works on certain strains, in which case those strains should be deduced and some level of statistical analysis done on which strains are prevalent in which geographic and demographic populations.
- Going back to the morality issues and cultural issues: why do you think this was done in Thailand? I'm going to go read the research and update this if necessary, but it seems like Thailand's a good place to do this kind of study because of the huge sex trade, which means we're using a tragedy of humanity as the forum for medical research, and while it makes sense, it's discomforting. Why not do this in South Africa, where 10% of the population has AIDS/HIV? My point is that the forum selection in this case is not irrelevant to the clinical findings-- sex-work-driven epidemiology is a factor in interpreting these results, just as rape-driven epidemiology would be a factor in interpreting results in an African population. AIDS is a highly-demographically sensitive epidemic, and these differences are more salient factors in understanding the usefulness of any vaccines than they would be for many other diseases-- even STD/Is.
- Every year we have to update the flu vaccine, because the flu is a virus, and viruses mutate rapidly. If we do find a vaccine for AIDS, we're going to need to update it constantly to accommodate different strains, UNLESS the AIDS vaccine represents a leap forward in Basic Science understandings, which it sounds like it might, and the lessons will be applicable to all virus vaccines, not just AIDS.
- Asshole-blunt: you can't trust studies conducted in third world countries.
- There's moral hazard left, right and center on this. Post coming.
- This study was totally and completely immoral, which is why it was done in a third world country. It's like using human subjects to test whether a new bullet-proof helmet will work, by shooting people in the head with bullets. It's only a small step above intentionally having these people have sex with someone who has AIDS. Working with an at-risk population and standing mutely by while you know some of them are going to get infected is obscene.
- A population that's adjudged to be at-risk for HIV tends not to be a population that medical researchers can rely on for clinical honesty; there are cultural barriers, issues of mistrust between researcher and patient, and, with regard to the particular communities at risk for HIV, issues of mental illness (not all hookers or heroin addicts are crazy, but lots and lots are) and understanding of veracity and consent.
- There are different strains of HIV, and I haven't seen any discussion of whether that accounts for the weird statistics here: why 31%? Maybe this just works on certain strains, in which case those strains should be deduced and some level of statistical analysis done on which strains are prevalent in which geographic and demographic populations.
- Going back to the morality issues and cultural issues: why do you think this was done in Thailand? I'm going to go read the research and update this if necessary, but it seems like Thailand's a good place to do this kind of study because of the huge sex trade, which means we're using a tragedy of humanity as the forum for medical research, and while it makes sense, it's discomforting. Why not do this in South Africa, where 10% of the population has AIDS/HIV? My point is that the forum selection in this case is not irrelevant to the clinical findings-- sex-work-driven epidemiology is a factor in interpreting these results, just as rape-driven epidemiology would be a factor in interpreting results in an African population. AIDS is a highly-demographically sensitive epidemic, and these differences are more salient factors in understanding the usefulness of any vaccines than they would be for many other diseases-- even STD/Is.
- Every year we have to update the flu vaccine, because the flu is a virus, and viruses mutate rapidly. If we do find a vaccine for AIDS, we're going to need to update it constantly to accommodate different strains, UNLESS the AIDS vaccine represents a leap forward in Basic Science understandings, which it sounds like it might, and the lessons will be applicable to all virus vaccines, not just AIDS.
- Asshole-blunt: you can't trust studies conducted in third world countries.
- There's moral hazard left, right and center on this. Post coming.
Wednesday, September 23, 2009
Race Politics
There was a recent post up at Feministe discussing the fallacies inherent in any reference to "The Black Community", and how toothless it is to suggest that The Black Community should be policing its own youth and cracking down on its problems, because there are no institutions that unify The Black Community that would facilitate this, or that even define these problems in the context of a coherent whole body.
Health Care
There’s a calculus that’s going on in the minds of most insured Americans (the ones I talk to in my white urban professional upper middle class bubble, and the ones represented in plenty of coverage, whether or not reflective of real pluralities) that President Obama tried to speak to in his address to the nation, and it goes something like this (also, most doctors are doing this math from a more educated, and differently interested, position):
There’s X number of doctors in the U.S., and most of them work way beyond 9-5, five days/week. They already currently don’t give enough time to patients as it is. There’s Y number of people who currently have access to medical care. That number Y could as much as double (since most insurance is crummy anyway and people don’t have unlimited access now), but number X is staying right where it is. So the access of people who currently have insurance either has to be reduced, or the quality of the care they receive has to be reduced by longer waits between visits and less time with the doctor. This math doesn’t just have to be applied to doctors; it applies to MRI machines, operating rooms… these are limited resources. Currently, we ration these resources out by giving them to people with better jobs, better healthcare, some combination of the two, or people who have lived past 65, while people who aren’t in those categories die.
There’s X number of doctors in the U.S., and most of them work way beyond 9-5, five days/week. They already currently don’t give enough time to patients as it is. There’s Y number of people who currently have access to medical care. That number Y could as much as double (since most insurance is crummy anyway and people don’t have unlimited access now), but number X is staying right where it is. So the access of people who currently have insurance either has to be reduced, or the quality of the care they receive has to be reduced by longer waits between visits and less time with the doctor. This math doesn’t just have to be applied to doctors; it applies to MRI machines, operating rooms… these are limited resources. Currently, we ration these resources out by giving them to people with better jobs, better healthcare, some combination of the two, or people who have lived past 65, while people who aren’t in those categories die.
Friday, August 28, 2009
Continuing on from a snarky comment I a little bit regret leaving here:
Well HPV, there's a vaccine for, and men should be getting that, too.
Herpes... I mean, most of the world has herpes. It doesn't cause infertility, it doesn't cause cancer, it's annoying, but, you know, everyone has oral herpes anyway, and those countries with a high prevalence of genital herpes, like brazil, don't seem to have much of a problem with it. I don't *want* herpes, but if I got it, it wouldn't be a big deal. Talk to your partner about herpes before you have unprotected sex, but don't imagine it's a life-or-death conversation.
Syphilis, Gonnorhea, Chlamydia... curable, curable and curable.
Look, yes, this is a little bit sort of intended as flame, but there's a strong current of thought that *isn't* wrong that says that you can play the numbers on this stuff. In college (seven years ago) I went to campus health services to get a full blood workup because my girlfriend and I wanted to have the kind of sex where I can actually feel something and stand a chance of climaxing (you know, the sex without condoms) and they didn't bother to test me for AIDS even though I asked for it. The nurse practitioner said "you're obviously white. are you from outside the U.S.? are you gay? do you use intravenous needles? have you patronized a prostitute? no to all? okay, you don't have AIDS."
And that wasn't wrong. I mean, my very-good-feminist girlfriend was upset, but she was also a sciences major, so she couldn't argue with it, exactly, at the personal level. A lot of the reason for condom use by certain groups is to prevent collective risk, not individual risk... to keep the statistics where they are, people need to use condoms, but there isn't an immediate and individual reason for a U.S. heterosexual white couple, even one that isn't very well acquainted, that doesn't invite sex workers to bed and doesn't use IV drugs to worry about AIDS. At that point, your bullshit meter is better protection than any condom, because the likelihood of anything serious getting passed on is so low, your date is more likely to commit an act of sexual violence than to give you a disease.
Well HPV, there's a vaccine for, and men should be getting that, too.
Herpes... I mean, most of the world has herpes. It doesn't cause infertility, it doesn't cause cancer, it's annoying, but, you know, everyone has oral herpes anyway, and those countries with a high prevalence of genital herpes, like brazil, don't seem to have much of a problem with it. I don't *want* herpes, but if I got it, it wouldn't be a big deal. Talk to your partner about herpes before you have unprotected sex, but don't imagine it's a life-or-death conversation.
Syphilis, Gonnorhea, Chlamydia... curable, curable and curable.
Look, yes, this is a little bit sort of intended as flame, but there's a strong current of thought that *isn't* wrong that says that you can play the numbers on this stuff. In college (seven years ago) I went to campus health services to get a full blood workup because my girlfriend and I wanted to have the kind of sex where I can actually feel something and stand a chance of climaxing (you know, the sex without condoms) and they didn't bother to test me for AIDS even though I asked for it. The nurse practitioner said "you're obviously white. are you from outside the U.S.? are you gay? do you use intravenous needles? have you patronized a prostitute? no to all? okay, you don't have AIDS."
And that wasn't wrong. I mean, my very-good-feminist girlfriend was upset, but she was also a sciences major, so she couldn't argue with it, exactly, at the personal level. A lot of the reason for condom use by certain groups is to prevent collective risk, not individual risk... to keep the statistics where they are, people need to use condoms, but there isn't an immediate and individual reason for a U.S. heterosexual white couple, even one that isn't very well acquainted, that doesn't invite sex workers to bed and doesn't use IV drugs to worry about AIDS. At that point, your bullshit meter is better protection than any condom, because the likelihood of anything serious getting passed on is so low, your date is more likely to commit an act of sexual violence than to give you a disease.
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