Your Personal Health Information Isn’t as Safe as You Think It Is… Should You Care?

Today’s Twitter thread summarizes my latest publication in the American Journal of Medicine with co-author Arnold J. Rosoff, building upon a series of papers and presentations we’ve done over the past couple years on data privacy in the most personal parts of your life: your body and your health…

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“Right to Try” Is Misguided and Would Likely Do More Harm Than Good

In February, I was proud to join with my colleagues in health law, medicine, and ethics to sign a letter to Chairman Greg Walden and Ranking Member Frank Pallone in the U.S. House Committee on Energy and Commerce in opposition to S.204, the Right to Try Act of 2017 and similar bills being considered in Congress. The letter was subsequently reported by various media outlets.

The bill has been debated and amended since then, but it has not yet passed both houses of Congress. The House is set to vote on it in the coming days. Our message therefore deserves to be repeated below. To read the list of signatories, you can click here.

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What Small Government Really Looks Like: Not a Pretty Picture!

Once upon a time, America had a small government.

Before World War I, government spending was less than 10 percent of the economy. During the Great Depression, it reached 20 percent. By 1960, it hit 30 percent. And so, for the past fifty years, one in every three dollars spent in America were spent by Uncle Sam.

In 2012, the Republican presidential candidates have staked their campaigns on a promise to reverse this trend. Many Republicans openly pine for the good old days of rugged individualism — the days before Social Security and Medicare, before the FDA and the EPA, before income taxes and government-backed mortgages.

You might think that such an extreme position belongs to rabble-rousers like Glenn Beck but not mainstream pragmatists like Mitt Romney. You’d be wrong.

Candidate Romney has proposed cutting taxes annually by $180 billion, mostly for the top 1 percent of income earners. At the same time, he has pledged to balance the budget without cutting defense spending. According to the Center on Budget and Policy Priorities, the only way to fulfill all these promises is to cut nondefense programs by 50 percent.

In other words, Romney wants to get rid of half of everything the government does, except Social Security and the military.

Half of our schools. Half of our national parks. Half of our federal law enforcement. Half of our food safety. Half of our clean air. Half of our veterans’ health care. Gone. Forever.

And Romney is no exception. If anything, his proposal is tame in comparison. Newt Gingrich’s proposal, for example, would cut taxes by $850 billion. You can just imagine the carnage.

In Tuesday night’s State of the Union address, President Obama staked out the opposite position, asking Congress to raise taxes slightly on millionaires and to use half the savings from ending the wars in Iraq and Afghanistan to reduce the budget deficit. The other half he pledged to public infrastructure projects.

And not a moment too soon.

Over the last fifty years, infrastructure spending has steadily fallen as a share of the economy. We now spend 2.4 percent of GDP on transport and water infrastructure, compared to 5 percent in Europe and 9 percent in China.

According to government reports, one in four bridges need significant repairs or are bearing more traffic than they were designed for. 700 water pipes burst every day because they’ve worn out. One in three roads are in substandard condition, increasing traffic fatalities, congestion, and gas emissions. 1,300 dams have been designated “high-hazard,” meaning they could fail and result in fatalities. We spend $50.6 billion every year just to clean up spills from old sewage systems.

In recent years, state and local governments, which contribute the vast majority of infrastructure spending, have shrunk significantly in the wake of unprecedented budget shortfalls. The federal government needs to step up, but the Republican candidates would rather scale down.

There will never be a better time to rebuild our infrastructure. Millions of Americans desperately need jobs. The government can borrow at near-zero interest rates.

We’ve been here before.

In 1935, with unemployment at 20 percent, the government created the Works Progress Administration. Over the next eight years, the WPA provided eight million jobs. It built or renovated 560,000 miles of roads, 20,000 miles of water pipes, 417 dams, 2,700 firehouses, 5,000 schools, 1,800 hospitals, 2,000 stadiums, 1,800 runways, and 6,000 fire and forest trails. By 1941, before the United States entered World War II, unemployment had fallen to 6 percent.

We can do it again.

Or we can go back to the nineteenth century. We can go back to a world without paved roads or bridges or clean water, with one-room schoolhouses spaced many miles apart and hospitals that took hours to reach. We can go back to the days when sewage was untreated and floods overwhelmed many towns, when recessions were more frequent and unemployment rose more sharply.

We can go back to small government, if we’re willing to give up our way of life.


This op-ed was published in today’s South Florida Sun-Sentinel.

The History of the World, My Sweet– Is Who Gets Eaten, and Who Gets to Eat!

Just to avoid confusion, from now on I’m going to put the name of the author at the top of each post. I wouldn’t want you to think I’m as prolific as Norman! — AWO

by Norman Horowitz

This post’s title is a quote from the brilliant Stephen Sondheim play Sweeney Todd: The Demon Barber of Fleet Street.

As a studio motion picture and television salesman, it was my responsibility to extract as much money from those buying such content as possible without cheating and lying in the process. Conversely, those buying the content were trying as hard as they could to pay as little as possible for it.

Here’s a confession, or at least an acknowledgement as to a relevant point in the process: For the majority of the motion pictures or television product, there is little to distinguish the value of the available content. It was mostly in the minds of the buyers, placed there whenever possible by the sellers like me.   Continue reading “The History of the World, My Sweet– Is Who Gets Eaten, and Who Gets to Eat!”