Thursday, November 05, 2020

Wednesday, October 07, 2020

Fareed Zakaria on the Future after the Pandemic

In his hopeful WP column on the world’s future after the pandemic, Fareed Zakaria cites Lawrence of Arabia and World War I peace terms.  From Lawrence of Arabia he cites, “Nothing is written” about the future.  For post-World War I, he cites the failure of the US to embrace the League of Nations, while Europeans imposed harsh terms on Germany. He does not mention that many of the harsh terms were perceived as coming from Jewish financiers, whether they actually were or not, and that this perception that Jews were trying to destroy Germany and the German people led in about a decade to the Holocaust. 

There is a danger that people will perceive the current financial crisis similarly as a K-shaped recession, benefitting the richest, many of whom are Jews like Jeffrey Epstein, George Soros, Larry Ellison, Sheldon Adelson, and many others.  They are at the top of the K, while many ordinary Americans are at the bottom of the K.  Will those Americans at the bottom of the K rebel in the future like the Germans did in the1930s.  Fareed basically hopes that the 2020s will be more like the 1950s than the 1930s.  Both periods were marked by the end of World Wars.  World War I ended with anger and oppression.  World War II ended with cooperation and generosity.  If the 2020 pandemic is similar to a World War, Fareed wants it to end like World War II, rather than WW I. 

The pandemic has gotten Europe to develop cooperation more strongly among the EU countries in the last few months.  Brexit is propelling Britain toward more separation.  Trump is distancing the US from Europe and most all of its long-term allies.  Fareed says the US need to develop a better relationship with China.

It is surprising to me that no one seems concerned whether the pandemic is some kind of Chinese plot against the West and the US in particular.  China seems to have almost completely recovered from the pandemic, presumably because of its authoritarian government, but also because it followed the advice of its scientists on how to deal with a pandemic.  The US may have been significantly weakened by its freer lifestyle.  Ironically, Trump and his conservative allies are saying maintain that freedom, while the liberal Democrats are saying that the US needs a more authoritarian approach to dealing with the pandemic.  Schumer and Pelosi believe America should follow the authoritarian Chinese model.  In any case, the Chinese will almost certainly emerge from the pandemic stronger vis-à-vis the US and the rest of the world.  Whether that is by plan or accident is still too early to tell for sure, although all the evidence available to date indicates that the corona virus release by China was accidental. 

At the moment I see the pandemic as a sign of worse things to come, but who would have seen the beginning of World War II as the beginning of the greatest growth in prosperity in the history of the world?  Maybe, as Fareed hopes, our better angels will take over, and we will be able to make something good out of something bad. 

Monday, September 28, 2020

Health Care and the Election

Three of the main issues in this election concern health care: the Covid-19 virus, Obama Care, and Roe v. Wade.

The health industry, particularly doctors’ groups and hospitals, has been remarkable quiet about the Covid crisis.  Only a few academics and government officials have been outspoken.  Local news shows often have individual doctors advising people to wear masks, but the AMA, hospital owners such as the Hospital Corporation of America, or insurance companies such as Aetna, have been quiet.  The exception has been the pharmaceutical companies, because they stand to make tons of money from a Covid vaccine.  They have mainly sung their own praises, rather than work on a strategy for dealing with the Covid-19 crisis.  In fact, the health industry has been reluctant to criticize Trump, because he has been good for their profits, leaving the criticism mainly to the media and some academic pundits. 

The talk about “Obama Care” in this election illustrates how bad the American health care industry has become.  While the political debate is focused on health insurance costs and availability, the real issue has been the inability or unwillingness of the health care industry to care for the American population.  For sure, certain sectors of the population have good care, but the population as a whole is not well served. 

The main problem with the American health care system is its focus on money rather than wellness.  Doctors make money when people get sick; they don’t make money if people stay well.  Therefore, their focus is on treating an acute ailment, rather than on keeping people healthy.  In addition, because of the obsession with money, poor people cannot get treatment for their acute illnesses, much less for care that would keep them well.  Obama Care is basically a way to get treatment for some poor people while keeping doctors very rich.  Doctors have tended to deal with Covid-19 as acutely sick patients to be threated individually rather than as a public health crisis to be dealt with by focusing on keeping people well, just as they treat people for a broken leg or a heart attack, rather than focus on wellness to keep people out of their offices or hospitals.   

Roe v. Wade, the abortion case, is a medical issue because it is a medical procedure.  It is an image problem for some doctors with some people, because they perceive doctors who perform abortions as murders, and being a member of a profession that includes a number of murderers tends to sully the reputations of all the members of that profession, at least with those who avidly oppose abortion. 

The fact that three of the main issues in this election are about health care indicates the depth of the problem for the industry in the US. Health care is a misnomer.  There is no care or love in the health “care” system.  It’s about money.  Many doctors start out performing real health “care” working in emergency rooms or small private practices, but they graduate to high paying specialties or lucrative private practices, and it is these well paid doctors who lead the industry publicly and politically.  They look out for their financial interests. 

Saturday, September 19, 2020

Biodiversity Convention COP

 I saw Hank Paulson on Bloomberg TV talking about a report his foundation has done for the 15th Conference of the Parties of the Biodiversity Convention.  A press release about the report can be found here, and the report itself can be found here

At the State Department in the 1992, I was the deputy director of the office of Environment, Health, and Conservation in the Bureau of Oceans, Environment, and Science (OES/EHC).  My boss, Eleanor Savage, spent about a year in Nairobi, Kenya, as the senior US representative negotiating the Biodiversity Convention.  The Convention was one of the three main agreements that were to be adopted at a big UN conference in Rio de Janeiro, the United Nations Convention on Environment and Development (UNCED), held June 3-14, 1992.  The other agreements were the Framework Convention on Climate Change (UNFCCC) and the UN Convention to Combat Desertification. 

President George H.W. Bush (Bush I) attended the conference.  As planning began for it, President Bush said that the Republicans would not let him sign two environmental agreements; he had to choose between the Biodiversity Convention and the Climate Change Convention.  He felt that the climate convention was the most important; so, he could not sign the Biodiversity Convention.  The main opposition to the Biodiversity Convention was led by the office of Vice President Quayle, particularly his chief of staff, the conservative pundit William Kristol. 

The Assistant Secretary for the OES Bureau was Buff Bohlen, a member of the famous Bohlen family. His uncle, Chip Bohlen, was Ambassador to the Soviet Union, among other countries.  Chip’s daughter, Avis, also became an ambassador.  Buff (E.U. Curtis) Bohlen had been president of the World Wildlife Fund before he was named assistant secretary.  In that capacity he had been one of the principal architects of the Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES), and preservation of wildlife was his main personal concern, which meant that he very much wanted the United States to sign the Biodiversity Convention, but political pressure on the President from Republicans like Kristol meant that we would not sign it.  I remember the disappointment on his face at a staff meeting when it became clear that there was no way to reverse the decision not to sign it.  

Although the US did not sign the convention, many other countries did; there are now has 196 parties to it.  Every country that is a member of the UN has ratified the treaty, except the US.  It is now about to hold its 15th Conference of the Parties in Kunming, China, for which the Paulson Institute has prepared its report.