Monday, August 20, 2012

How Americans view wealth and inequality


How Americans view wealth and inequality

Scales in front of US flag 
  Americans do not understand how wealth is distributed in their society

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There have been lots of questions and discussions recently about inequality and economists often argue about what is the right level of inequality to have in society.
But Mike Norton, professor at Harvard Business School, and I decided to take a different path and we decided to ask people what inequality they would want.
Now, there are lots of ways to ask this question and we used the philosopher John Rawls.
Rawls said that "a just society is a society that if you knew everything about it, you'd be willing to enter it in a random place". And it's really a beautiful definition.
He called it a veil of ignorance, because if you're very wealthy, you might want the wealthy people to have lots of money and the poor to have very little; and if you are very poor, you might want the poor to have more money and the wealthy to have less.
But in Rawls' definition, you don't know where you'll end up, you have to consider all the different options and therefore you have to think about what is good for society as a whole.
Incomprehension So, we took the American society and we asked people to imagine it divided into five buckets, the wealthiest 20%, the next 20%, the next, the next and the poorest 20%.
First of all, we asked people: how much wealth do you think is concentrated in each of those buckets?
It turns out people get it very wrong.

“Start Quote

Even Americans understand that inequality is not a good idea and principle”
The reality is that the bottom two buckets together, the bottom 40% of Americans, own 0.3% of the wealth; 0.3%, almost nothing, whereas the top 20% own about 84% of the wealth.
And people don't understand it. They don't understand how much wealth the top have and in particular, they don't understand how little the bottom has.
But then we described to people Rawls' definition, the veil of ignorance, and the idea they could end up anywhere. And we said: What society would you like to create? How much wealth? How would you like to distribute the wealth?
And it turns out people created a society that is much more equal than any society on Earth. It was much more equal than Sweden.
Blind tasting In fact, when we did this experiment another way and we showed people two distributions of wealth, one based on the wealth distribution in the US and the other based on the wealth distribution that is more equal than Sweden, 92% of Americans picked the improved Swedish distribution.
So this suggests to me that when people take a step away from their own position and their own current state, and when people look at society in general terms, in abstract terms, Americans want a much more equal society.

Wine tasting 
  How would you judge a wine if you didn't know where it came from or how much it cost?

There is one more interesting thing to this: 93% of Democrats picked the improved Swedish model, compared with 90.5% of Republicans. Different, but not very different.
And all this makes me wonder, how can it be that in our studies people seem to want such equal society but when you look at the political ideology, people don't seem to want that?
And I think it is a little bit like blind tasting of wine.
When you taste wine and you know the label and you know the price, you are going to be influenced by that. And when you are tasting wine in a blind way, now you don't have anything to base it on and you have to really use your senses.
I think the same thing happens with thoughts about just societies. When we are in the regular world, we are using our current position, our ideology and the labels that politicians give us, and they obscure reality and obscure what we really want.
But Rawls' definition really lets us strip all this away, lets us focus on what is really important and how people actually want something very different from what we have.
The question, of course, is how do we get people to think about this to a higher degree and how do we get them to act on that for a better future?
Dan Ariely is the James B Duke professor of psychology and behavioural economics at Duke University in North Carolina.

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Saturday, August 18, 2012

Paul Ryan Pretends Ayn Rand Not His Idol


     Paul Ryan Pretends Ayn Rand Not His Idol

   

Treating Addiction: A Top Doc Explains Why Kind Love Beats Tough Love


AFP / Getty Images
AFP / Getty Images


Drug users at Canada's Insite injection room in Vancouver's Downtown Eastside.
Dr. Gabor Mate is renowned in Canada for his work in treating people with the worst addictions, most notably at Vancouver’s controversial Insite facility, which provides users with clean needles, medical support and a safe space to inject drugs.
Canada’s Conservative government has tried to shut Insite down, but the country’s Supreme Court ruled late last year that doing so would contravene human rights laws because the program has been shown to save lives.
In Mate’s book In the Realm of Hungry Ghosts: Close Encounters with Addiction, which was a No. 1 bestseller in Canada, he advocates for the compassionate treatment of addiction, a position that is increasingly receiving international attention. Healthland recently spoke with Mate about the causes and consequences of addiction and what to do about the problem.
How do you define addiction?
Any behavior that is associated with craving and temporary relief, and with long-term negative consequences, that a person is not able to give up. Note that I said nothing about substances — it’s any behavior that has temporary relief and negative consequences and loss of control.
When you look at process or behavior — sex, gambling, shopping or work or substances — they engage the same brain circuitry, the same reward system, the same psychological dynamic and the same spiritual emptiness. People go from one to the other. The issue for me is not whether you’re using something or not; it’s, Are you craving, are you needing it for relief and does it have negative consequences?
Do you believe all addiction results from trauma?
I think childhood trauma or emotional loss is the universal template for addiction. It also depends on how you want to define trauma: if you want to define it as something bad happening, then it’s true that not every addict [has experienced trauma], in the sense of a death of a parent or violence in the family or child abuse, or any of the usual markers of trauma.
But there’s another [way to define it]. D.W. Winnicott [the late British child psychiatrist] said that there are two things that can go wrong in childhood: things that happen that shouldn’t happen — that’s trauma — and things that should happen that don’t happen. Children are equally hurt by things that should happen and don’t as they are by things that shouldn’t happen but do. If the parents aren’t emotionally available, [for example], no one will define that as trauma, but it will be for the child. If a mother has postpartum depression, that’s not defined as trauma but it can lead to emotional neglect and that interferes with child brain development.
(MORE: How Childhood Trauma Can Cause Adult Obesity)
It’s impossible for a parent to be emotionally available all of the time, however.
The parent doesn’t have to be perfect. In our society, it’s not [just] a question of whether parents are doing their best or love their kids or not, it’s that parents are often isolated and stressed or too economically worried to be there. What I’m saying is that early emotional loss is the universal template for all addictions. All addictions are about self-soothing. And when do children need to sooth themselves? When they are not being soothed.
You practice a harm-reduction approach to addiction, in which you provide clean needles and safe spaces for addicts to inject drugs. Americans have long tended to see this as “enabling” and typically view it as a bad thing because it doesn’t require addicts to be abstinent to receive care.
The question is, Is it better for people to inject drugs with puddle water or sterile water? Is it better to use clean needles or share so that you pass on HIV and hepatitis C? This is what harm reduction is. It doesn’t treat addiction, it just reduces harm. In medicine, we do this all the time. People smoke but we still give them inhalers to open airways, so what’s different? You’re not enabling anything they’re not already using.
Some critics claim that it prevents addicts from “hitting bottom” and getting off drugs entirely.
I worked for 12 years in the Americas’ most concentrated area of drug use, the Downtown Eastside of Vancouver. People live there in the street with HIV and hepatitis and festering wounds: what more of a bottom can they hit? If hitting bottom helped people, there would be no addicts at all in the Downtown Eastside. ‘Bottom’ is very relative, so it’s a meaningless concept. For me as a doctor, rockbottom might be losing my medical license, but what is a bottom for a person who has been abused all her life and lives on the street? It’s meaningless and false. People don’t need more negative things to happen to them to give it up. They need more positive things to happen. In 12 years of work on the Downtown Eastside, I didn’t meet an [addicted] woman who was not sexually abused as a child.
[Addicts] relationship to authority figures is one of fear and suspicion. How will it help if I punish them more? They need the very opposite. We end up punishing them for self-soothing. It makes no sense at all. Harm reduction is not an end in itself. Ideally, what it is is a first step towardsa more thorough-going [recovery], but you have to begin with where people are at.
When I’ve visited harm-reduction programs, it seemed that the clean needles and other tools weren’t the most important thing they provided. Rather, it was the message that ‘I believe you are worth saving, even though you are still using drugs.’ That touches people and opens doors.
That’s the key. Quite apart from clean needles and sterile water, the most important factor is for the first time saying to someone who has been rejected all their life, ‘We’re not going to judge you based on how you present your needs at the present moment.’ Harm reduction is much more than set of practices; it’s a way of relating to people. We’re not requiring you to stop using or do anything, we’re just trying to help you get healthier. At least you’re not going to suffer an infection of the bone marrow because you’re using a clean needle: is that not worth something? We’re here to reduce suffering. They may not get better in the sense of giving up the addiction, but that’s not a limit of harm reduction — that’s a limit of the treatment system.
[There are a lot of things] we can’t do in the context of a war on drugs. When people are attacked and stressed, we can’t hope to rehabilitate them [well]. That’s not a valid criticism of harm reduction; it’s a failure of the medico-legal approach we have right now to addiction.
People describe addicts as behaving compulsively in the face of negative consequences, but the same could be said of our drug policy.
It’s almost an addiction because we keep doing something with negative consequences and don’t give it up, and it gives a kind of emotional relief because people feel a lot of hostility towards addicts. Seeing someone jailed certainly provides some satisfaction and relief, but it’s not an evidence-based [treatment for addiction]. There are also a lot of other consequences we experience as a society by avoiding the connections between trauma and illness. Trauma is the basis for not just mental illnesses and addiction specifically, but also often for cancer and all kinds of other conditions [due to the effects of early childhood stress on the brain and immune system]. Society doesn’t look at it. We look at the effects and blame people for the effects but we don’t look at causes.
Why?
Because we live in a culture that promotes addiction, left, right and center. Addiction essentially is trying to get something from the outside to fill a gap and soothe pain. The entire economy is based on people seeking soothing from outside. The addict symbolizes all of our self-loathing.
The expression “the scapegoat” is very specific. The term in the Bible means a goat on whom the community symbolically imposed all its sins and then chases it into the desert. That’s what we’re doing with addiction. All the desperation to soothe pain and fill in emptiness from the outside that characterizes our culture, the addict represents. We hate to see that so we scapegoat them and think that way we are getting rid of our own sins.
So what can we do?
First of all, I would recommend that prevention has to begin at the first prenatal visit. Stress during pregnancy — contrary to the genetic view — has a large impact. Second, in the U.S., [you need] yearlong paid maternity leave. In other words, I would provide support and emotional nourishment for the child — and that comes from support for parents.
In term of addictions, first of all recognize that these people are traumatized and what they need is not more trauma and punishment but more compassion.
(MORE: 10 Reasons to Revisit Marijuana Policy Now)
What most surprised you in working with some of the most severely addicted people?
What’s most astonishing is just how people survive, no matter what. Even amid drug dealing and mutual ripoffs, there’s still a tremendous amount of caring. The same people who rip each other off would sometimes also go to great lengths to help each other. Despite all the pressure and suffering, to see people reach out to each other like that was the most astonishing thing I saw. When someone was sick, how people gathered around and helped, how they would share food with each other and some would volunteer and go at night and look after the young sex trade workers to make sure they were not getting hurt. There is that acceptance and community, and people need community. Especially for people who have not had emotional support, that community is very powerful.

Maia Szalavitz is a health writer at TIME.com. Find her on Twitter at @maiasz. You can also continue the discussion on TIME Healthland’s Facebook page and on Twitter at @TIMEHealthland.

Tuesday, August 14, 2012

Saturday, August 11, 2012

Dying Daughter's Health Insurance Cut By Wells Fargo?

     Dying Daughter's Health Insurance Cut By Wells Fargo?   

Thursday, August 9, 2012

Will Millennials Change How Cars Are Bought and Sold?


Will Millennials Change How Cars Are Bought and Sold?

How Not to Sabotage Yourself at Work

How Not to Sabotage Yourself at Work


Getty Images

Getty Images
Are these two co-workers talking about you? Sometimes office paranoia that people are out to get you can actually lead to you becoming the office pariah



To paraphrase the old saw about suckers at a poker table: If you can’t spot the sneaky gossip at the office, it’s probably you. But you probably shouldn’t be looking for him or her at all. That’s the conclusion of an interesting new study in the journal Organizational Behavior and Human Decision Processes, which suggests that people who search for enemies in the workplace will find what they’re looking for — if only because they turned their colleagues against them in the process. Through a series of cleverly designed experiments, the study’s authors — Jennifer Carson Marr, Stefan Thau, Karl Aquino and Laurie J. Barclay — demonstrate a clear relationship between the motivation to prove that co-workers are saying bad things about you and an increase in paranoia, suspicious behavior of your own and peer rejection. That is, people who try to ferret out workplace enemies are likely to create some that didn’t exist before, at least in part because their own eavesdropping, snooping and gossiping sets colleagues to talking about them. Worse, the quartet’s findings suggest that this vicious cycle leads to suspicion-confirming behavior beyond gossip; it’s likely to lead colleagues to actively reject their paranoid peers whenever possible — for example, by avoiding opportunities to collaborate.

For people who aren’t prone to paranoid ideation on the job, the findings will likely confirm their experience at work. Most of us have had colleagues who insist on treating the workplace as a toxic combination of the U.S. Senate cloakroom, Cold War–era East Berlin and the parlor game Mafia. The best strategy for dealing with such types is often to avoid prolonged or in-depth interactions with them whenever possible.
(MORE: Are ‘Safe Accounts’ the Answer to Our Consumer-Banking Problems)
But if your first thought when reading about the study’s finding was more cynical — i.e., But what if someone really is trying to undermine me? — you just might be the sucker at the table. (No, really.) That is, the takeaway from this study is not so much that you’re imagining all those evildoers, gossips and troublemakers at the office. They might, in fact, be gossiping about you, criticizing your work or avoiding you. But they might be doing all or some of that because your initial and unwarranted feelings of threat or exclusion — not to mention the negative behavior that followed — prompted their actions.
To paraphrase another old saw: Just because you’re paranoid doesn’t mean someone’s not out to get you. It means they may be out to get you because you’re paranoid!

And so the best strategy for dealing with potential workplace “frenemies” is to give them the benefit of the doubt, even if it feels like you’re exposing yourself to harm. For one thing, you might be sensing that others are gossiping about (or otherwise undermining) you simply because you’re prone to such behavior yourself. “There is evidence from other research that people often do project their perceptions of themselves onto others,” says Aquino, a professor at the University of British Columbia’s Sauder School of Business, who is the study’s lead author. “And there is also a stream of research that shows that when people do something bad to others, they are highly motivated to rationalize it. One way to do this is to assign more negative attributes to people whom they harm as a way of making the harm-doer feel like the person deserved it.”
It takes one to know one, indeed.

But there’s another, even-more-humbling reason you may experience yourself as a workplace target: a psychological bias called the spotlight effect, which was demonstrated some years back by Cornell University psychology professor Tom Gilovich and colleagues. (Those few careful readers of my author bio will know that Tom and I wrote a book together about behavioral economics.) In a series of experiments that were both amusing and revealing, the researchers showed that humans consistently overestimate the extent to which others are paying attention to them. In the most recent edition of our book — Why Smart People Make Big Money Mistakes and How to Correct Them — Tom and I summed up the relevant takeaway thusly: “The key lesson is not that fewer people are paying attention to you than you think; it’s that you’re paying more attention to what you think people are thinking about you than is warranted.”


In other words: “It may be best to ignore impulses that tell you that you’re the victim of office politics,” says Aquino. That’s good advice. Because there’s a good chance that the harm you may incur by failing to be as “vigilant” (a.k.a. paranoid) as you might otherwise be will pale in comparison with the benefits you’ll garner when your colleagues slowly start to realize you’re not such a sneaky gossip after all.

Wednesday, August 8, 2012

Antarctica to Mars: The loneliest job in the world

Antarctica to Mars: The loneliest job in the world 

 Mars is once again in the spotlight after Nasa successfully landed its biggest ever robot on the Red Planet - an achievement that naturally raises the question of when man will first set foot on the red Planet.

Already, researchers are hard at work trying to understand what it would take to succeed in such a mission. One of those is Dr Alexander Kumar, based at the Concordia research station in the centre of Antarctica,  a place so remote - and so cold - that it is only possible to get in and out for three months of the year.
He is trying to understand the physical and psychological effects of human space travel, particularly the role of extreme isolation. BBC Future spoke to Dr Kumar about life at the station and how his stay may be the fore runner for a manned mission to the red Planet.

Can you describe where you are now?


I am in a place I have come to call ‘White Mars’ - the heart of Antarctica.
It is the coldest, darkest and most extreme environment on our planet. The outside temperature has again fallen below -80C (-112F) or -99.9C (-148F) with wind chill - the extreme limit of its scale. Inside, the window is frozen over, entombed with ice and it remains dark outside, as it has done so 24 hours a day for the past three months.  And we are at an equivalent altitude of 3800m above sea level, making it difficult to breathe.
We are completely alone and isolated here from February to November. The French refer to people who over-winter here as 'Hivernauts', but, unlike astronauts, we have no 'mission control'.
Concordia base is unique in that it is jointly run by the French Polar Institute and Italian Antarctic Programme.  It consists of two cylindrical, three-story towers – a shape that stirs your imagination to think they could have arrived within a Saturn V rocket. It is strange to refer to it at home, but that is how it has come to feel.  The base is our life-support system in a region where there is nothing but ice for more than 1,000km (700 miles) in most directions.

What do you do there?

I am the only British member of a European crew of 13 currently living at Concordia station.  I am responsible for assessing documenting - and treating where necessary - any ailments in the mind or body. I have to expect the unexpected, prepare myself for anything and when it arrives deal with it onsite.
Alongside my role as the station doctor, I am conducting research for the European Space Agency’s Human Spaceflight programme, investigating the physiological and psychological effects of living in isolation at this extreme. My research will help to understand how far we can push humans, particularly in regard to extreme physiology and psychology.  The work may one-day help shape a manned mission to Mars, and more importantly, see it safely return.

What can Antarctica teach us about Mars?

Living here is the closest anyone can come to living on the surface of another planet.  I have also coined the term Planet Concordia to describe this feeling.  Despite significant differences in surface gravity and atmospheric pressure between Antarctica and the Polar Regions on Mars, the average Martian surface temperature is -55C (-67F), similar to our extreme cold temperatures at Concordia.
Our crew has been completely isolated since February. We are more isolated from civilization than the astronauts living onboard the International Space Station.  It is impossible for us to leave the base until mid-November.
Alongside studying and reacting to changes in crew dynamics, we have to deal with any day to day challenges involving life-support-system maintenance and equipment failure and breakdown.  We have to be completely self-sufficient.  All our food is canned, tinned, dried and prepackaged - there is no method of delivery here during winter.  We are alone - the same as any Mars Mission would be.

How does living in such a remote place affect you psychologically?

There are many important psychological factors associated with confinement, isolation and sensory deprivation.

One of my predecessors told me that “monotony” was the largest challenge from living in isolation at Concordia.  I disagree.  Like him, I have access to information – via the internet, telephone and the rest of the crew.  In fact we are surrounded by information, compared to the heroic age of polar exploration.  Life is not monotonous - there is huge potential to stimulate your mind – through hobbies, conversation and news from the outside world.  However, as winter progresses, overwintering crew members regress further into their own rooms and minds, which can be dangerous- living in isolation and isolating yourself from your only access to human contact on the station.
Things are different. Your senses are not bombarded in the way they are at home and in the winter darkness, they become ‘blunted’, meaning any new sensory stimulation remains a luxury.  We have an inventive chef - Giorgio Deidda  - who continually strives to surprise us with new taste combinations.  He is spending his 3rd winter at Concordia and surprises the crew with nationally themed evenings and his own trademarked dishes including digestifs such as his whiskey sorbet.
But ultimately life changes from being in 'technicolor' to black and white over winter.  It’s almost as if our senses become under stimulated and wither in the darkness, ice and silence. So when a new stimuli comes along it can be disproportionately fascinating. It has been some time since I stubbed my toe walking around the station barefooted in the dark.  But I can tell you it hurt each and every-time, even more.  Also our reaction times have slowed down. Recently the wind caught a heavy door, slamming it into my face.  I suffered moderate concussion for three days.  In daylight with my normal senses back home, I know I would have stopped it first.
But perhaps the main factor is dealing with the degree of separation from our lives back home ‘on Earth’.

Could technology help overcome that isolation?

Surprisingly, I often envy the previous polar expeditions’ lack of communications.  Nowadays, with heightened technological capability and wide satellite communications access for those overwintering in Antarctica, messages, problems and bad news are transmitted into our minds – whether it is a loved one passing away or salary difficulties.  Such news is airdropped into the station by email, telephone, Facebook and video call, sometimes exploding like a bomb.  There is no release - you are in a prison of your own mind here.
But being disconnected can bring new unexpected challenges.  A fellow crew-member recently described to me how he “felt dead” and “not real”.  Certainly depersonalization and “derealisation” have been recognized as features of significant psychological stress.  He went on to say that when he went on Facebook it was as if his “previous life was continuing whilst his empty body continued on here in the Antarctic wasteland”.

How do you deal with the isolation?

A sense of camaraderie is crucial as well as regular hobbies.  Reading and listening to music makes a huge impact.  I recently rediscovered Jerry Lee Lewis – which when played after lunch, lifts peoples’ spirits more than any drug can, perhaps providing an element of ‘escapism’ from station life.
But everyone has different tastes. For example, I often have a late night cup of tea and toast with Dr Igor Petenko, our Russian Meteorologist, while listening to his favourite classical music.

Martian crews would also need to deal with physiological challenges – has your experience given you any insight into these?

All ground-based attempts to recreate Mars lack one crucial factor – the lack of zero gravity – responsible for some of the most restrictive and challenging elements faced by humans in space. I was recently in contact with Britain's only current astronaut-in-training - Tim Peake – who reminded me that even over relatively short periods, weightlessness can affect everything from balance and cardiovascular health to muscle mass and bone density.


In addition inter-planetary astronauts are going to have to deal with things like cosmic rays, Mars surface radiation and storms of dust or ‘fines’ - particles that are smaller than dust particles.
Luckily, here at Concordia, we don’t have to deal with those kinds of things. Being But there are some physiological challenges we experience that are similar – such as disturbed sleep patterns, increased cardiovascular stress from long periods of relative inactivity and Vitamin D depletion due to the lack of sunlight.  Whilst here, I track changes in the crews circadian rhythms brought on by the long periods of darkness, alongside mood changes, social interaction and levels of stress.  
Living in the Antarctic winter darkness, it is difficult to perceive the passage of time. In situations like this it is very important to maintain a regular busy routine to avoid the risk of ‘free-run’ – a process where internal body clocks disintegrate cycling and resetting continually.
Even if you avoid extremes like this, waking up in the darkness feels like a groundhog day of sorts.  It takes an extraordinary amount of time for your mind to fire up, like an engine starting up in the cold.  My research testing people’s cognitive performance during this period of complete darkness also demonstrates slowness in the mind, memory difficulties and inability to concentrate – not a good combination when operating life support systems in deep space or in temperatures of -80C (-112F).

What can be done to alleviate the problems for future Martian astronauts?

Romain Charles – one of the crew members of the Mars 500 experiment, who spent 520 days in isolation simulating a mission to Mars told me there is no such thing as a one way mission to Mars.  For a trip to Mars, he said, the astronauts must have a plan to come back to Earth eventually.  Even if it’s a small hope, it must be there, to remain sane.  Living at Concordia, we only talk about and look forward to one date - the arrival of the first plane, our first contact with the outside world, expected in November.
The Apollo lunar missions also give us some clues. Astronauts reported being kept very busy, adhering to a tight schedule to maximize research and to make sure they did not have time to think about the distance and separation from their home planet.  It is similar here - if you let your mind wander during the Antarctic winter to dwell upon such negativity, I have seen it can be very dangerous and spiral out of your control. Interestingly, it appears those with predefined roles and technical responsibilities requiring busy, daily routines display the least problems.
Personally, I have maintained a relatively normal sleep pattern keeping myself busy and through exercise. But overwintering in such isolation is a personal journey and challenge.  I liken overwintering to dredging the ocean’s depths of your mind.  You never know what you will find, but have to feel confident- knowing you can deal with anything.

Has your time in Concordia led you to any conclusions about the ideal crew for a manned Mars mission?

Although it is difficult to say how many crew members would be ideal - balancing skills, ability for self-sufficiency and finite resources available, against increased medical risk, I believe it would need a psychologically and physically screened diverse, multinational crew – ideally with past space experience or having spent time at a place like Concordia. They would need to be mentally resilient and have a full complement of skills to ensure that they can all contribute to the mission, remain active and in a way distracted from dwelling on their isolation.   All those interested must be driven by the innate curiosity and enthusiasm to answer life’s greatest question in the same way those had who replied to a fabled advertisement once offered by Sir Ernest Shackleton, "Men wanted for hazardous journey. Small wages. Bitter cold. Long months of complete darkness.”

That said, providing an interactive, safe, stimulating and supportive spacecraft environment would prove as important as selecting a crew made of the ‘right stuff’.
You say a mixed-sex crew would be ideal – why?
At Concordia, we have one female crewmember among a crew of 12 men.  There is the potential for it to cause problems - previous Antarctic missions have been plagued by jealousy.
An exclusively male crew was used during the recent Mars 500 mission without major conflicts, much to the surprise of psychologists.  Importantly it showed that such a mission could be possible.
But we have come a long way from the early male dominated polar expeditions.  Women play an equally important role in space.  Charles [from the Mars 500 mission] believes that any crew should made up of both males and females - both sexes bringing balance to a mission.
Finally, you are the only doctor on the base, so what happens if you get sick?
I can't talk about medical issues on the base here, but from my time living and working here, I have learnt to hope and pray that I am never put in the same position as the Russian doctor Leonid Rogozov who in 1961, had to remove his own appendix with local anaesthetic.  In terms of Mars missions, it may be a good idea to send two doctors... just in case.

 Dr Alexander Kumar FRGS is the Concordia Station doctor (French Polar Institute/ Italian Antarctic Programme) and European Space Agency-sponsored Research MD
 To follow his experiences living at Concordia, read his blog www.AlexanderKumar.com.

Source

Friday, August 3, 2012

What the octopus can teach us about national security


What the octopus can teach us about national security
(Copyright: Science Photo Library)
How can governments ensure their armed forces are protected in the field? By behaving like the tentacled marine animal, argues a marine scientist. 

When American soldiers were killed in Iraq by improvised explosive devices, or IEDs, it was the slow, bureaucratic, centralised nature of the Department of Defense that failed them, says Rafe Sagarin, a marine ecologist at the University of Arizona. It was only once soldiers were authorised to make their own decisions – a move known as the Petraeus Doctrine, after the general who invented it – that they could communicate effectively with locals in order to find out in advance where IEDs might be.
Why was a marine ecologist suggesting ways of protecting armed forces? Well, according to Sagarin, the Petraeus doctrine is exactly the sort of thing an octopus would do. Despite its well-organised central nervous system, many of an octopus's reactions are decentralised. Its individual cells make their own decisions for dealing with the immediate situation – enabling, for example, the invertebrate's famously varied camouflage. Switching to this kind of adaptive tactics provided greater protection for soldiers in Iraq.
Sagarin's insights about the relevance of the octopus to matters of national security are captured in his book Learning From the Octopus: How Secrets from Nature Can Help Us Fight Terrorist Attacks, Natural Disasters, and Disease. The book is more than just speculation: he spent years running National Science Foundation-funded workshops that included biologists, ecologists, anthropologists, first responders and national security experts, all of whom were charged with the task of figuring out how to make America's military and security apparatus more adaptable.
The unusual story of how a marine ecologist ended up in Congress, as a science advisor to US Representative Hilda Solis of California's 31st district, and later as an author of a book that's grown to be a cult favourite among national security types, began during the events of 9/11. When the twin towers of the World Trade Center went down, Sagarin was in one of his most beloved habitats – a marine tidepool in Monterrey Bay, California.
"On the day of those attacks, I was feeling very far removed from what was going on at in Washington and New York," says Sagarin. But he'd always had an interest in policy, so he applied for and received a Geological Society of America Congressional Science Fellowship.
That led to an article in Foreign Policy called Adapt or Die, in which he declared: “If the genus Americanus wants to overcome this latest challenge to its existence, it must adapt its defense mechanisms accordingly. What better way to do that than to harness time-tested Darwinian theory to the cause of homeland security?”


Tentacled tactics
The lessons Sagarin ultimately derived from the natural world surprised even him. "I'm a cynic about generalism in biology and ecology, because systems are so complex," he says. "It took us a while to come to the point where we had any rules at all."
The first rule he derived was, as in the case of the octopus's camouflage and the Petraeus Doctrine, the importance of decentralisation. This, he notes, was the opposite of what America was doing in security at the time, for example with the creation of a centralised, Washington DC-based Department of Homeland Security, which was founded expressly to be a clearinghouse for formerly-dispersed decision-making about security.
The second principle Sagarin and his collaborators noticed was the importance of symbiosis. Nearly all organisms depend on at least one or two – and in some cases many – other species. As an example of how this manifests in security, Sagarin cites the Middle East Consortium on Infectious Disease Surveillance (MECIDS), which brings together Israeli and Palestinian doctors in order to track the spread of infectious diseases like the H1N1 influenza virus. Given the intense political differences between the two countries – the organization spans both the Gaza Strip and the West Bank – its as unlikely a collaboration as you'll find, and yet it works because "they're intensely focused on solving this one set of problems, and nothing else," says Sagarin.
Another lesson from the octopus is that adaptability requires redundancy. "We think of redundancy as wasteful and inefficient, but it's everywhere in nature," he notes.


Defensively and offensively, an octopus has no shortage of coping mechanisms – camouflage, powerful arms, intelligence, a sharp beak, symbiotic toxins and a cloud of ink. When escaping, it can squeeze into a tight space, blend in with the background, jet away, and, in the lab at least, grab two halves of a coconut shell and sequester itself inside them.


Unknown unknowns
Just as importantly, Sagarin discovered what it is that organisms don't do. In general, they don't plan, predict or try to be perfect. When Sagarin tells this to the members of strategic planning departments in government agencies, it leads to "a lot of consternation and grinding of teeth," in part because it's so counter-intuitive.
Indeed, if there is a single message that sums up all of Sagarin's work, it's that organisms realized long ago that the world is a much less predictable place than humans would like to believe. What Sagarin calls the "non-normal distribution of truly interesting events," which was explored at length in Nassim Taleh's book The Black Swan, has relevance to how we'll cope with everything from disease outbreaks to climate change.
"We spend a lot of time in planning exercises, making predictive models, and in optimization routines," says Sagarin. "All of which have essentially been selected against in nature, because they're incredibly wasteful when you live in an unpredictable world."
Organisms and humans should plan for things that occur with some frequency; buildings in earthquake-prone areas must be ready for tremors just as surely as mating Horseshoe crabs need to know the phase of the moon. But the biggest dangers are those we've yet to identify, and if nature is any guide, the only way to prepare for them and respond to them effectively is to have an abundance of flexibility and skills which can be combined to meet any challenge.

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Tuesday, July 24, 2012

Healthcare ruling to save billions of dollars, says CBO


Healthcare ruling to save billions of dollars, says CBO

Hear how voters in a key swing state are split on the Obama health law
US auditors say the Supreme Court ruling upholding President Barack Obama's health law will save the government $84bn (£54bn) over 11 years.
The Congressional Budget Office (CBO) says most of the savings come from the Supreme Court's decision that states do not have to expand Medicaid programmes.
The CBO also found millions fewer poor people than it previously anticipated would be covered because of the ruling.
And it said that repealing the law would raise the deficit by over $100bn.
The law's combined revenue increases and spending cuts are larger than the cost of expanding coverage, according to the CBO's independent analysts.
The Supreme Court decision in June said that states do not have to broaden Medicaid, a government-sponsored health programme for the poor, as set down in the 2010 law.
Who's uninsured?
  • Who's uninsured?
  • Nearly 50 million, or 16.3% of Americans are uninsured
  • By ethnicity, the rate of those who lack insurance is
  • 15.4% White
  • 20.8% Black
  • 18.1% Asian
  • 30.7% Hispanic
  • Source: US Census Bureau
Although the federal government would pick up the initial cost of that expansion, many states would have to open Medicaid to low-income childless adults for the first time.
Expected opt-outs by conservative-led states such as Texas, Florida and South Carolina are projected to decrease the cost of the expansion over the next 10 years.
However, the CBO also estimates about six million fewer people will be covered by Medicaid by 2022 because of the get-out clause.
Republicans, including presidential candidate Mitt Romney, have warned the law will bloat deficits by trillions of dollars, and they are campaigning for its repeal.
But CBO director Douglas Elmendorf said in a letter to Republican House Speaker John Boehner that overturning the law would actually inflate the deficit by $109bn over a decade.
The office also now projects 30 million people will be uninsured by 2022, up from its previous estimate of 27 million people.
The CBO estimates the number of uninsured in the US is now about 53 million and would grow to 60 million in a decade if the law was repealed.

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