Corruption

Intellectuals as protectors of integrity

Via Adam Tooze

On the courage of Vladimir Kara-Murza (his words below are via Tooze)

At one point during my testimony, the presiding judge reminded me that one of the extenuating circumstances was “remorse for what [the accused] has done.” And although there is little that’s amusing about my present situation, I could not help smiling: The criminal, of course, must repent of his deeds. I’m in jail for my political views. For speaking out against the war in Ukraine. For many years of struggle against Vladimir Putin’s dictatorship. For facilitating the adoption of personal international sanctions under the Magnitsky Act against human rights violators.

Not only do I not repent of any of this, I am proud of it. I am proud that Boris Nemtsov brought me into politics. And I hope that he is not ashamed of me. I subscribe to every word that I have spoken and every word of which I have been accused by this court. I blame myself for only one thing: that over the years of my political activity I have not managed to convince enough of my compatriots and enough politicians in the democratic countries of the danger that the current regime in the Kremlin poses for Russia and for the world. Today this is obvious to everyone, but at a terrible price — the price of war.

In their last statements to the court, defendants usually ask for an acquittal. For a person who has not committed any crimes, acquittal would be the only fair verdict. But I do not ask this court for anything. I know the verdict. I knew it a year ago when I saw people in black uniforms and black masks running after my car in the rearview mirror. Such is the price for speaking up in Russia today.

But I also know that the day will come when the darkness over our country will dissipate. When black will be called black and white will be called white; when at the official level it will be recognized that two times two is still four; when a war will be called a war, and a usurper a usurper; and when those who kindled and unleashed this war, rather than those who tried to stop it, will be recognized as criminals.

“Honest” Boris

Johnson looks done for from TheEconomist

Boris johnson is an honest man. It is possible to tell this by the sheer number of times he declares his honesty.

In his written submission to the committee of mps investigating whether he intentionally misled Parliament over Partygate, the word “honest” popped up around 20 times in one form or another. In a three-hour hearing on March 22nd he offered yet more honesty, at one point even “hand on heart.” And little speaks more of honesty than declaring your honesty 20-odd times in two days.

A deceit

A deceit at the heart of democracy.

No politician would fly in a plane built by politicians.

No offence

‘Dirty wee torturers’: Northern Irish man tells of British army abuse during Troubles | Northern Ireland | The Guardian

A doctor examined Auld and declared him fit for interrogation. For at least seven days and nights he was subjected to what became known – in reports by Amnesty International and other organisations – as the five techniques: the stress position, hooding, white noise, deprivation of sleep and little food and drink. When Auld moved from the stress position he was beaten. Occasionally the hood was removed and lights were shone into his eyes.

Several of the men, including Auld, were bundled on to a helicopter and thrown out, thinking they were high up. They were a few feet from the ground.

Auld assumed he would eventually be killed so tried to end his suffering by hurling himself at heating pipes to break his neck. “But I just hurt my head. That, for me, was the worst because I couldn’t die. That sense of helplessness and isolation was horrendous.”

Auld was eventually transferred to a prison, then a mental health hospital, before returning home. He was not charged with any offence.

In a case taken by the Irish government, the European court of human rights ruled in 1978 that the treatment of the “hooded men” was inhuman and degrading but not torture. Auld received £16,000 in compensation. After 9/11 the Bush administration cited the ruling to defend its “enhanced interrogation” policy.

End of an error

The SVB debacle has exposed the hypocrisy of Silicon Valley | John Naughton | The Guardian

The first thing to understand is that “Silicon Valley” is actually a reality-distortion field inhabited by people who inhale their own fumes and believe they’re living through Renaissance 2.0, with Palo Alto as the new Florence. The prevailing religion is founder worship, and its elders live on Sand Hill Road in San Francisco and are called venture capitalists. These elders decide who is to be elevated to the privileged caste of “founders”.

Error? Era? Hope so.

The Need for an Organised Ambulance Service in 1904.

I came across this article by chance while trying to track down same old papers on skin cancer. It was published in the Lancet in 1904. A few days ago I heard a story about a colleague’s problem in trying to order an ambulance for somebody having a MI.

It is remarkable how institutions can fail, and competence be something that now only exists in the past. This is not a difficult issue to solve. We no longer have a functioning health service. We have stepped back in time. But, hey, it only affects other people.

At an inquest held at Lambeth on nov. 21st Mr.Troutbeck inquired into the death of a girl, named Alice Wood,aged 17 years, of Camborne-road, Southfields, who died in a laundry van as she was being removed to st. Thomas’s hospital to undergo an operation for perforated gastric ulcer.

On Nov. 16th she complained of severe pain in the chest and about midnight Dr. E. A. Miller of Upper Richmond-road was called. He found the girl collapsed and, having diagnosed the condition, decided that an operation was her only chance. No cab could be obtained but at about 2A.M.on Nov.17th a laundry van was procured and in this she was driven to the hospital where on arrival she was found to be dead. Dr. L. Freyberger, who made the post-mortem examination, said that death was due to heart failure following acute peritonitis caused by the rupture of an internal ulcer and that it was accelerated by the jolting of the van. The coroner’s officer said that a horsed ambulance was kept at the Wandsworth Infirmary but that a relieving officer’s order was necessary for its use. The jury returned a verdict of “Death from natural causes,” and added a rider expressing the opinion that there was urgent need for an improvement in the system of providing horsed ambulances for the various metropolitan districts. With this we quite agree and we earnestly hope that the London County Council, which recently received a deputation from the Metropolitan Street Ambulance Association, will see its way to make proper provision.

Vampire squids

The Economist

Rolling Stone described Goldman[Sachs]as “a great vampire squid wrapped around the face of humanity, relentlessly jamming its blood funnel into anything that smells like money”.

We should forgive a cliché when it becomes true.

Salve Lucrum: The Existential Threat of Greed in US Health Care

Salve Lucrum: The Existential Threat of Greed in US Health Care | Health Care Economics, Insurance, Payment | JAMA | JAMA Network

In the mosaic floor of the opulent atrium of a house excavated at Pompeii is a slogan ironic for being buried under 16 feet of volcanic ash: Salve Lucrum, it reads, “Hail, Profit.” That mosaic would be a fitting decoration today in many of health care’s atria.

The grip of financial self-interest in US health care is becoming a stranglehold, with dangerous and pervasive consequences. No sector of US health care is immune from the immoderate pursuit of profit, neither drug companies, nor insurers, nor hospitals, nor investors, nor physician practices.

Avarice is manifest in mergers leading to market concentration, which, despite pleas of “economies of scale,” almost always raise costs.

Yep. Don Berwick on fine form.

Politics and medicine

China’s Covid patients face medical debt crisis as insurers refuse coverage | Financial Times

Echoing Rudolf Virchow, frequent bedfellows. The spectrum includes the UK.

A doctor at Shanghai No 10 Hospital said staff had been instructed by the city’s health commission to limit Covid diagnoses. “We are advised to label most cases as respiratory infection,” the doctor said.

“What is certain is that the government can’t afford to treat everyone for free.”

China’s National Healthcare Security Administration said on Saturday that it would fully cover hospitalisation for Covid patients, but continued to exclude complications. Hospitals are also under pressure to reduce medical costs after the national insurance fund was strained by the costs of the sprawling zero-Covid apparatus.

In the eastern city of Hangzhou, Frank Wang, a marketing manager who bought a Covid insurance plan early last year, was refused proof of illness after he developed lung and kidney infections after testing positive for the virus.

“The hospital made it clear that Covid proof is not easy to obtain as the disease diagnosis has been politicised,” said Wang, who paid more than Rmb20,000 for treatment. “That makes patients like me a victim.”

The deserving and the undeserving sick redux; more crony capitalism.