Jonathan Kantrowitz

Jonathan Kantrowitz

Political activist, health nut

Archive for June, 2009

We Need Complete Disclosure from Tobacco Companies of Changes Made to Cigarettes

As President Obama prepares to sign a bill giving the Food and Drug Administration ( FDA ) oversight of the tobacco industry, a new study from Harvard School of Public Health ( HSPH) researchers shows that tobacco manufacturers have continually changed the ingredients and the design of their cigarettes over time, even if those changes have exceeded acceptable product variance guidelines. The result, say the researchers, is that consumers who buy the same brand of product are not made aware of how that product has been altered and what effect those alterations might have on their levels of addiction or harm.

“I hope the FDA requires disclosure of any changes made to tobacco products and that the changes are disallowed if shown to increase appeal, addiction and harm,” said Greg Connolly, director of the Tobacco Control Research Program at HSPH.

For their study, Connolly and lead author Geoffrey Ferris Wayne, an HSPH researcher, studied internal tobacco company documents released following the 1998 Master Settlement Agreement. These documents describe significant changes made to commercial products over time, including blend, processing, casing, flavoring and physical design features. For example, new methods were developed to process tobacco, altering the smoke chemistry and the form of nicotine delivery, and the levels of processed tobaccos were regularly adjusted within brands.

Despite the constant innovation of tobacco products, which in many cases have exceeded the levels of acceptable variance established within the tobacco industry, for the most part, these changes were not disclosed to consumers, say the researchers.

“Even incremental changes that occur over a period of years can result in significant design differences. The resulting product may have altered chemistry or delivery, yet the smoker is largely unaware of these changes. This underscores the need for industry transparency and accountability,” said Ferris Wayne.

The study builds on earlier research done at HSPH on how products are designed to enhance appeal and addiction. At Senate hearings on the FDA bill last year, Connolly discussed that research, including how tobacco companies have increased nicotine content over time, manipulated menthol and added candy-like flavors to enhance appeal to children.

Until regulators have a system in place for assessing product revisions, Connolly and Ferris Wayne advise that all changes to tobacco products be reported to the FDA and that no changes be allowed until they have been scientifically shown to reduce addiction or harm.

Posted in General | Add a comment

Jim Himes Espouses Fiscal Conservatism, Dismaying Some Supporters

To the dismay of many supporters, Jim Himes has signed on as a sponsor of pay-as-you-go legislation, requiring all new government programs costing money be offset by spending reductions or tax increases. The problem with this approach is that few, if any, fiscal conservatives, including Mr. Himes, favor cutting the one place where significant savings are available, the defense budget, nor would they ever, ever favor any tax increases.

This means that, for all practical purposes, fiscal conservatives are opposing all the best initiatives of the Obama administration, including health care reform, stimulus funding, and educational improvement.

In a time when unemployment has reached crisis proportions fiscal conservatives in essence support a do-nothing approach.

Mr. Himes has also started talking about the “Social Security and Medicare crisis”. This, too, is offensive to many of his supporters, as lumping Social Security, which is in pretty good shape, with Medicare, which isn’t, is a typical right-wing meme.

Here is Mr. Himes response to his critics, as posted on My Left Nutmeg:

My response

I’ve followed this thread with interest.
I’m having trouble with two things: proportionality and logic.

With respect to proportionality, and by way of context, I’ve aggressively supported smart stimulus, health care reform with public option, credit card reform, enlightened energy policy, housing stabilization, education reform, etc. I’ve stood with Rep. Larson on campaign finance reform, and broken with my party when it has abnegated leadership on breaking the awful link between earmarks and campaign contributions.

This has been an 18 hour a day, hair-on-fire type pursuit. I don’t say that to complain. A day does not go by that I don’t feel honored to have been so entrusted. But that’s where my energy has gone. An email raising some real fiscal issues/possible solutions leads to surprise, disappointment, implicit regret for support and a suggestion that I am “corporatist”, whatever that is. No big deal-I’ve grown a pretty thick skin-but is it really proportionate?

Much more importantly, logic. Medicare and Social Security have bettered the lives of hundreds of millions. They are integral to our being a just and enlightened society. They also, as currently configured, represent substantial unfunded liabilities. The present value of future Medicare and Social Security obligations are roughly $40 trillion and $8 trillion, respectively (sensitive to scenarios, of course). These are not contradictory facts. They can be, and are, all true at the same time. In fact, the long term preservation of these programs depends on our acknowledging their glide paths and making the adjustments necessary to improve their economic sustainability. How we do that will and should be a political argument. But not acknowledging the need to do so is putting our heads in the sand.

I’m guessing that this has to do with packaging/framing. Round condemnation of my quoting the Economist. “Wing nut numbers”. I wonder . . . Must an argument be wrong because it’s articulated in a conservative source? Are numbers discredited because they have been used dishonestly by those who would dismantle Social Security? Is the need for fiscal restraint (at the economically appropriate moment) ridiculous just because the Republicans are using it as their current rallying cry? I don’t think so.

by: Jim Himes @ Thu Jun 18, 2009 at 23:45:02 PM EDT

Posted in General | Add a comment

Industry Has Hijacked Energy Reform

On April 17, 2009 EPA the formally declared carbon dioxide and five other heat-trapping gases to be pollutants that endanger public health and welfare, setting in motion a process that will lead to the regulation of the gases for the first time in the United States.

Industry representatives immediately started fighting the potential new regulations.

So did industry’s paid henchman, the Republican Party. And it looks like they have won the battle:

Well, when it comes to climate change policy making, the Republican Party can justly claim a major victory for its philosophy. We may have a Democratic president and a Democratic Congress, but the American Clean Energy and Security Act of 2009 recently passed out of the House Energy and Commerce Committee is very much a Republican bill characterized by a paucity of sticks and a plethora of carrots… Indeed, the bill specifically prohibits Obama’s EPA from regulating these emissions.

The key provisions of the bill look like a Republican victory as well:

The bill’s carbon-cap-and-trade provisions are by all reports its heart and soul. They exemplify a Republican approach: Don’t tell polluters what to do, bribe them and hope they do what you want. Democrats have faked left and gone right.

A petition to delete the CO2 enforcement restriction is here.

Posted in General | Add a comment

Republican Hypocrisy

Paul Krugman thinks this is the worst example of hypocrisy he has seen in a long time:

…On Monday, Sens. Jon Kyl (R-AZ), Mitch McConnell (R-KY), and Pat Roberts (R-KS) introduced the “Preserving Access to Targeted, Individualized, and Effective New Treatments and Services (PATIENTS) Act of 2009,” a new bill prohibiting Medicare or Medicaid from using “comparative effectiveness research to deny coverage…”

1. Politicians who rail against wasteful government spending are taking action to prevent the government from reining in – wasteful spending.

2. Politicians who warn that the burden of entitlements is killing the federal budget are stepping in to block – the single most painless route to reducing the growth of entitlements…

Posted in General | Add a comment

Another approach to universal health care

Sort of like the Massachusetts model: require everyone to buy their own health insurance:

Former U.S. Senate Majority Leaders Howard Baker, Tom Daschle and Bob Dole, members of the Bipartisan Policy Center’s (BPC) Advisory Board, today released a bipartisan, budget-neutral framework for comprehensive health reform to ensure that every American has affordable, quality health coverage. The Leaders’ Project on the State of American Health Care report is entitled “Crossing Our Lines: Working Together to Reform the U.S. Health System.”

The report calls for refocusing the nation’s health care system on a commitment to quality and value — rather than quantity and volume — to improve medical outcomes and constrain unsustainable cost growth. In so doing, the Leaders underscore the need to rededicate the country to prevention and wellness as a better prescription to address the flaws of our health care system. To achieve the commitment of coverage for all Americans, the report embraces the need for strong insurance reforms that require guaranteed issue; the elimination of medical underwriting for pre-existing conditions and rating limitations; new state and regional coverage options through exchanges; reforms that constrain cost growth; and financial assistance through Medicaid and tax credits.

In developing their recommendations, the Leaders addressed many politically sensitive issues, recognizing that effective agreements often require tough choices. Specifically, their budget-neutral plan calls for: a personal responsibility requirement for all Americans to purchase affordable health insurance; refundable tax credits that limit premium contributions to a percentage of income; tax credits for small businesses that offer coverage; limited fees for employers not offering or paying for health benefits; a tax exclusion linked to the value of benefits received by Members of Congress; and the establishment of an Independent Health Care Council to promote coordination among federal health care programs.

Consistent with the federal/state health reform model, the plan also provides for initial financial and technical support to states that choose to establish competing state plan options.

Arguing that flexibility from all sides is required to break the long stalemate over improving the health care system, the Leaders each embraced positions that have long been controversial within their own parties.

Posted in General | Add a comment

Bush Administration’s Political Prosecutions Need a New Look

This week, Former Republican Attorney General Richard Thornburgh, after getting charges dismissed against Democrat Cyril Wecht, blasted Bush appointed US Attorney Mary Beth Buchanan for bringing politically motivated cases against 13 Democrats in Pennsylvania.

Last week, journalist-attorney Andrew Krieg documented a career-long abuse of power by Judge Mark Fuller, who presided over Mr. Siegelman’s trial. Judge Fuller withheld information that would have required his recusal from cases because of serious conflicts of interest.

Two weeks ago, retired Chief Federal Judge U.W. Clemon of Birmingham wrote Mr. Holder seeking a probe of misconduct by Mr. Siegelman’s federal prosecutors, including alleged “judge-shopping,” jury-pool “poisoning” and “unfounded” criminal charges in an effort to imprison Siegelman. Judge Clemon had dismissed unfounded charges against Siegelman in the Northern District of Alabama only to have them resurrected by prosecutors before Judge Fuller in the Middle District.

Three weeks ago, Missouri attorney Paul Weeks stated that Mr. Siegelman was denied a fair trial because Judge Fuller held a “grudge” against him, labored under a conflict of interest, and withheld evidence of his financial involvement in Doss Aviation, which has received more than $300 million in military contracts.

Five weeks ago, 75 former state attorneys general from both parties wrote to Mr. Holder noting that Mr. Siegelman raised “gravely troublesome facts” about his prosecution that violates fairness and due process.

The evidence appears overwhelming that the Bush Administration targeted Democrats for political prosecution, that Mr. Siegelman’s case was corrupted at multiple levels, and that Judge Fuller should have recused himself from Mr. Siegelman’s case. Attorney General Holder must take immediate decisive action concerning Siegelman’s conviction and others in order to restore justice at his Department of Justice.

If Holder doesn”t act, Congress should insist on an investigation and corrective action without further delay.

Posted in General | 1 Comment

“Don’t Pay Your Mortgage”

Peter Schiff, who may be running for the U.S. Senate from Connecticut in the Republican primary, has recently advised listeners to not pay their mortgage. (He also seems to recommend not voting.)

This follows up on his earlier advice to not pay income taxes in a book in which he is listed as co-author, along with his father, Irwin Schiff. The book, published in 1985, is entitled “The Great Income Tax Hoax: Why You Can Immediately Stop Paying This Illegally Enforced Tax”.

Irwin Schiff is currently in jail for refusing to pay taxes, and hiding income.

Peter Schiff continues to advertise his newest book on his father’s “pay no income tax” website.

Posted in General | Add a comment

Iran’s Election Probably Not Rigged

By George Friedman

Article courtesy of www.stratfor.com

In 1979, when we were still young and starry-eyed, a revolution took place in Iran. When I asked experts what would happen, they divided into two camps.

The first group of Iran experts argued that the Shah of Iran would certainly survive, that the unrest was simply a cyclical event readily manageable by his security, and that the Iranian people were united behind the Iranian monarch’s modernization program. These experts developed this view by talking to the same Iranian officials and businessmen they had been talking to for years — Iranians who had grown wealthy and powerful under the shah and who spoke English, since Iran experts frequently didn’t speak Farsi all that well.

The second group of Iran experts regarded the shah as a repressive brute, and saw the revolution as aimed at liberalizing the country. Their sources were the professionals and academics who supported the uprising — Iranians who knew what former Supreme Leader Ayatollah Ruholla Khomeini believed, but didn’t think he had much popular support. They thought the revolution would result in an increase in human rights and liberty. The experts in this group spoke even less Farsi than the those in the first group.

Misreading Sentiment in Iran
Limited to information on Iran from English-speaking opponents of the regime, both groups of Iran experts got a very misleading vision of where the revolution was heading — because the Iranian revolution was not brought about by the people who spoke English. It was made by merchants in city bazaars, by rural peasants, by the clergy — people Americans didn’t speak to because they couldn’t. This demographic was unsure of the virtues of modernization and not at all clear on the virtues of liberalism. From the time they were born, its members knew the virtue of Islam, and that the Iranian state must be an Islamic state.

Americans and Europeans have been misreading Iran for 30 years. Even after the shah fell, the myth has survived that a mass movement of people exists demanding liberalization — a movement that if encouraged by the West eventually would form a majority and rule the country. We call this outlook “iPod liberalism,” the idea that anyone who listens to rock ‘n’ roll on an iPod, writes blogs and knows what it means to Twitter must be an enthusiastic supporter of Western liberalism. Even more significantly, this outlook fails to recognize that iPod owners represent a small minority in Iran — a country that is poor, pious and content on the whole with the revolution forged 30 years ago.

There are undoubtedly people who want to liberalize the Iranian regime. They are to be found among the professional classes in Tehran, as well as among students. Many speak English, making them accessible to the touring journalists, diplomats and intelligence people who pass through. They are the ones who can speak to Westerners, and they are the ones willing to speak to Westerners. And these people give Westerners a wildly distorted view of Iran. They can create the impression that a fantastic liberalization is at hand — but not when you realize that iPod-owning Anglophones are not exactly the majority in Iran.

Last Friday, Iranian President Mahmoud Ahmadinejad was re-elected with about two-thirds of the vote. Supporters of his opponent, both inside and outside Iran, were stunned. A poll revealed that former Iranian Prime Minister Mir Hossein Mousavi was beating Ahmadinejad. It is, of course, interesting to meditate on how you could conduct a poll in a country where phones are not universal, and making a call once you have found a phone can be a trial. A poll therefore would probably reach people who had phones and lived in Tehran and other urban areas. Among those, Mousavi probably did win. But outside Tehran, and beyond persons easy to poll, the numbers turned out quite different.

Some still charge that Ahmadinejad cheated. That is certainly a possibility, but it is difficult to see how he could have stolen the election by such a large margin. Doing so would have required the involvement of an incredible number of people, and would have risked creating numbers that quite plainly did not jibe with sentiment in each precinct. Widespread fraud would mean that Ahmadinejad manufactured numbers in Tehran without any regard for the vote. But he has many powerful enemies who would quickly have spotted this and would have called him on it. Mousavi still insists he was robbed, and we must remain open to the possibility that he was, although it is hard to see the mechanics of this.

Ahmadinejad’s Popularity
It also misses a crucial point: Ahmadinejad enjoys widespread popularity. He doesn’t speak to the issues that matter to the urban professionals, namely, the economy and liberalization. But Ahmadinejad speaks to three fundamental issues that accord with the rest of the country.

First, Ahmadinejad speaks of piety. Among vast swathes of Iranian society, the willingness to speak unaffectedly about religion is crucial. Though it may be difficult for Americans and Europeans to believe, there are people in the world to whom economic progress is not of the essence; people who want to maintain their communities as they are and live the way their grandparents lived. These are people who see modernization — whether from the shah or Mousavi — as unattractive. They forgive Ahmadinejad his economic failures.

Second, Ahmadinejad speaks of corruption. There is a sense in the countryside that the ayatollahs — who enjoy enormous wealth and power, and often have lifestyles that reflect this — have corrupted the Islamic Revolution. Ahmadinejad is disliked by many of the religious elite precisely because he has systematically raised the corruption issue, which resonates in the countryside.

Third, Ahmadinejad is a spokesman for Iranian national security, a tremendously popular stance. It must always be remembered that Iran fought a war with Iraq in the 1980s that lasted eight years, cost untold lives and suffering, and effectively ended in its defeat. Iranians, particularly the poor, experienced this war on an intimate level. They fought in the war, and lost husbands and sons in it. As in other countries, memories of a lost war don’t necessarily delegitimize the regime. Rather, they can generate hopes for a resurgent Iran, thus validating the sacrifices made in that war — something Ahmadinejad taps into. By arguing that Iran should not back down but become a major power, he speaks to the veterans and their families, who want something positive to emerge from all their sacrifices in the war.

Perhaps the greatest factor in Ahmadinejad’s favor is that Mousavi spoke for the better districts of Tehran — something akin to running a U.S. presidential election as a spokesman for Georgetown and the Lower East Side. Such a base will get you hammered, and Mousavi got hammered. Fraud or not, Ahmadinejad won and he won significantly. That he won is not the mystery; the mystery is why others thought he wouldn’t win.

For a time on Friday, it seemed that Mousavi might be able to call for an uprising in Tehran. But the moment passed when Ahmadinejad’s security forces on motorcycles intervened. And that leaves the West with its worst-case scenario: a democratically elected anti-liberal.

Western democracies assume that publics will elect liberals who will protect their rights. In reality, it’s a more complicated world. Hitler is the classic example of someone who came to power constitutionally, and then preceded to gut the constitution. Similarly, Ahmadinejad’s victory is a triumph of both democracy and repression.

The Road Ahead: More of the Same
The question now is what will happen next. Internally, we can expect Ahmadinejad to consolidate his position under the cover of anti-corruption. He wants to clean up the ayatollahs, many of whom are his enemies. He will need the support of Iranian Supreme Leader Ayatollah Ali Khamenei. This election has made Ahmadinejad a powerful president, perhaps the most powerful in Iran since the revolution. Ahmadinejad does not want to challenge Khamenei, and we suspect that Khamenei will not want to challenge Ahmadinejad. A forced marriage is emerging, one which may place many other religious leaders in a difficult position.

Certainly, hopes that a new political leadership would cut back on Iran’s nuclear program have been dashed. The champion of that program has won, in part because he championed the program. We still see Iran as far from developing a deliverable nuclear weapon, but certainly the Obama administration’s hopes that Ahmadinejad would either be replaced — or at least weakened and forced to be more conciliatory — have been crushed. Interestingly, Ahmadinejad sent congratulations to U.S. President Barack Obama on his inauguration. We would expect Obama to reciprocate under his opening policy, which U.S. Vice President Joe Biden appears to have affirmed, assuming he was speaking for Obama. Once the vote fraud issue settles, we will have a better idea of whether Obama’s policies will continue. (We expect they will.)

What we have now are two presidents in a politically secure position, something that normally forms a basis for negotiations. The problem is that it is not clear what the Iranians are prepared to negotiate on, nor is it clear what the Americans are prepared to give the Iranians to induce them to negotiate. Iran wants greater influence in Iraq and its role as a regional leader acknowledged, something the United States doesn’t want to give them. The United States wants an end to the Iranian nuclear program, which Iran doesn’t want to give.

On the surface, this would seem to open the door for an attack on Iran’s nuclear facilities. Former U.S. President George W. Bush did not — and Obama does not — have any appetite for such an attack. Both presidents blocked the Israelis from attacking, assuming the Israelis ever actually wanted to attack.

For the moment, the election appears to have frozen the status quo in place. Neither the United States nor Iran seem prepared to move significantly, and there are no third parties that want to get involved in the issue beyond the occasional European diplomatic mission or Russian threat to sell something to Iran. In the end, this shows what we have long known: This game is locked in place, and goes on.

Posted in General | Add a comment

Recent Comments

Categories

More blogs

Sean Bowley

SPB's High School Football

News, analysis, commentary and features on Connecticut high school football by Sean Patrick Bowley.
Lennie Grimaldi

Only in Bridgeport

Award-winning journalist Lennie Grimaldi cracks open the juicy stuff in Connecticut's largest city.
Danielle Travali

Ruby Red Stilettos

Holly is a quirky, stiletto-clad writer, foodie, health nut in search of good friends and good fun.

Joe's View

Joe is the Connecticut Post's entertainment writer.

Archives

February 2012
M T W T F S S
« Jan «-»  
 12345
6789101112
13141516171819
20212223242526
272829  
Note: The blog is written by a reader and is not edited by the Connecticut Media Group. The blogger is solely responsible for content.