Friday, April 25, 2014

I have a scone, therefore I am...

I have had... am having... a bizarrely existential morning.

I woke up with a desire to have coffee. By itself this is not particularly unusual, as most of my mornings have 'get out of bed-shower-dress-coffee' as the primary script call sequence to satisfy the prerequisite requirements to meet the conditions for 'wake up'. Today, however, the coffee at home was insufficient to perk my interest (those of you old enough, see what I did there?). So I hauled my pre-woken self to the place where coffee is dispensed with the digital promise of payment. (The 'digital promise of payment' really does sometimes smack of sorcery and other times seems perfectly rational, but that is probably an entirely different discussion.)

(For the curious, the digitally promised coffee was in fact provided. It was warm, brown, and delicious and was consumed with all the relish it deserved. This is not directly pertinent to my story, but it seems fair to share the facts of this liquid joy as coffee has figured so prominently in the setup for something not actually dependent upon the dispensation of the coffee.)

So, the crux of our existential morning.

While standing and waiting to request my cup of warm happiness I found a shelf with scones before my eyes. Now, I already had a breakfast bar - granola, chocolate, cherries - to have for food as an extraneous supplement to coffee in the waking process. "Scones," I thought, "are good." At least, I assume I had such a thought - first because, well, it is a true statement, and second it seems a cranberry-orange scone was handed to me with my cup of coffee (also with my sorcerous promise of payment). I know the second item is true because as I exited my car upon arriving at work I found... a cranberry-orange scone sitting with my belongings to carry into work.

So now I am sitting at my desk. Beside me - a cranberry-orange scone. And I am left only with questions:

  • Do I now truly want the scone?
  • Will my morning be complete without the scone?
  • Perhaps better asked, will there be a butterfly effect from the scone? A Scone Effect, as it were, the consumption of the scone changing the arc of my morning and life into a a parallel temporal timeline different ever so slightly from the timeline I would leave behind just slightly out of phase wherein I did not consume this scone....
  • Were their other flavors of scone on that shelf which I passed over, and may have appealed more now that I sit here with scone doubts?
  • Who first thought, 'cranberries and orange need to be blended as flavor partners within a scone'?
  • Did I actually voice my desire for a scone, and the dutiful employee responded to provide it, or did somehow my unspoken and unconscious mind simply convey the desire so strongly that... no, best not go there...

Friday, April 4, 2014

Health as 'Life, Liberty and the pursuit of Happiness'

This. This right here (headline: $1,000-a-day miracle drug shocks U.S. health care system).

The perfect example of why the healthcare system is broken, and why all the insurance reform in the world (because really, ACA is just insurance reform) is not going to solve the problem long term. As long as you can develop a drug or medical solution and with a straight face trot it out at an outlandish price... yeah, a society of have and have-nots where the rich are healthy with long lifespans and the poor? Well, yeah, who cared about them anyway?...

Today it is a cure for Hep C. Tomorrow, the holy grail of a pill to prevent cancer. Then drops to fix blindness, treatments to live for 300 years,.... it will not stop. But only the privileged will be able to afford them.


"We hold these truths to be self-evident, that all men are created equal, that they are endowed by their Creator with certain unalienable Rights, that among these are Life, Liberty and the pursuit of Happiness."

No line in any document of liberty and freedom means more to me. None.

I cannot fathom how any free, civilized society with aspirations that grow from this ideal can pretend that Life and Happiness should be gated behind the profit motive. Healthcare is not an equitable system of supply and demand meeting in an open market. It is Infinite Demand behind tightly rationed supply.


Is a solution easy? No. Do I know what it is? No. The system does certainly spur a lot of wonderful advances, such as the cure listed above. But, there remain serious structural failures in that system that make me worried about what is coming. And we cannot even agree on tackling the insurance system without hand wringing and ridiculous political combat. I have little hope on the real issues being addressed.