Second Chance

The Book of the Week is “Second Chance, Three Presidents and the Crisis of American Superpower” by Zbigniew Brzezinski, published in 2007.

“American policy has divided its friends while uniting its foes, fear has been exploited to mobilize public support for policy, and strategic impatience and self-ostracism have narrowed United States diplomatic options.”

The author wrote the above about the George W. Bush administration. Yes, really. The author critiqued the presidencies of George H.W. Bush (Bush 41), Bill Clinton and George W. Bush (Bush 43) in terms of the natures of their administrations, and how they could have mitigated or even warded off the worsening political turmoil in America.

Bush 41 failed to follow through on American-foreign-policy vision and plans to foster international cooperation among Russia, China and other developing nations after he chased Iraq out of Kuwait in early 1991. He didn’t get to do so in a second term because he neglected problems at home.

During the Clinton administration, the media declared that America was trying to cultivate new enemies (maybe it was), one after another– Libya, Iraq, Iran, China, etc., while Clinton appeared to negotiate agreements such as the ones between Israel and the PLO, that actually turned out to be worthless pieces of paper. Unsurprisingly.

Other treaties that have been violated time and again, are those regarding nuclear non-proliferation. Various countries have continued to test nuclear weapons through the years, including France, China, India, Pakistan and North Korea. This has resulted in:

  • contaminating the earth, sea and air, and harming people;
  • teasing the other treaty-signers into giving the violators financial aid;
  • imposing ineffective financial punishment; and/or
  • pushing them to ally with their neighbors.

The Clinton years saw a two-faced policy with Russia. The president gave Soviet leader Boris Yeltsin generous financial and economic aid, but contrarily, by 1998, American Ivy-League economist Jeffrey Sachs had bankrupted Russia by persuading Yeltsin to execute his “shock-capitalism” tactics. Compounding of the corruption ensued with the intervention of the International Monetary Fund, which extended “loans” to Russia to bail it out. Capital flight from investors in the United States ensued. Unsurprisingly.

Bush 43 wrongly imposed “might makes right” on Iraq and Afghanistan, thinking democracy would magically assert itself in those war-torn countries. But– the author wrote– democracy requires the following laborious steps:

  • A government must respect the political and economic human rights of its citizens;
  • A government must impose rule of law to achieve and maintain a state of civility among its people, more or less;
  • The structures of power must write and abide by legal and Constitutional rules on which they must agree, more or less; and
  • There must be free and fair elections, which leads to a system whose leaders see the value of compromise and accommodation– rather than a winner-take-all stubbornness.

In his first term, Bush 43 and his sidekick Dick Cheney exploited the world for the purpose of acquiring raw power, and fun and profit at the expense of his own countrymen and America’s good relationships with its allies. In his second term, the president showed a “… basic lack of interest in peacekeeping, global poverty or ecology.” Middle Eastern countries destabilized by the Iraq War were driven into the arms of China as a financial partner, because– although China’s people are oppressed, China’s government isn’t embattled– it’s stable.

Read the book to learn of the author’s recommendations on the steps America should take to mend fences in the world, and of the strengths, weaknesses, opportunities and threats that have arisen via the natures of the administrations of the aforementioned three presidents.

Skunk Works

“I asked the Air Force for $30 million, but they had only $20 million to spend in discretionary funds for secret projects by which they bypassed Congressional appropriations procedures.”

The above was written by Ben Rich, head of the Skunk Works– a secret division of military-contractor Lockheed in Burbank, California in summer 1975.

The Book of the Week is “Skunk Works, A Personal Memoir of My Years at Lockheed” by Ben R. Rich & Leo Janos, published in 1994.

In January 1975, the author, a scientist, helped with projects to build weaponry for the CIA and the U.S. Air Force. At the time, the U.S. government was cutting military spending, as the Vietnam War was ending.

Lockheed was suffering from a bribery scandal, and the longtime head of the Skunk Works was retiring. The out-going executive had contentious relations with Lockheed’s customers, but knew how to manage people building weaponry. The author was promoted to replace him.

In summer 1975, unbeknownst to Lockheed, competitive bidding among military contractors had already started for producing a “stealth” plane; meaning, undetected by radar, that could spy or drop bombs. One military school-of-thought was pushing missiles rather than bombs, because missiles could travel long distances, and required a minimum of military personnel.

As is well known, 1970’s software that powered military planes was extremely primitive. The complex aerodynamics involved in making a plane invisible to radar, requires reverse-engineering– quickly computing billions of bits of information obtained from surveilling the wings of the plane while it’s flying above, and taking photos of or dropping bombs on, enemy territory.

The stealth plane project was “Top Secret” so extraordinary measures had to be taken to keep it quiet; necessitating an alarm system, code-names, pass codes, security clearances, etc. Contractor workers labored around the clock to meet deadlines and budgets, despite numerous setbacks and frustrations. It was ultimately up to American president Jimmy Carter to decide which plane models the military was to build in future years. He did, in June 1977. Nevertheless, it takes eight to ten years for a non-secret plane to be designed, tested, and manufactured. It is even more difficult to estimate how long a secret one will take.

For, more problems arose with the stealth project, including a strike by the machinists’ union in August 1977. From the start, intrusive Air Force, Navy and OSHA inspectors had provided yet other stressful procedures-and -paperwork-and-more-paperwork diversions from the research and development.

August 1979 saw the “competitive” in competitive bidding. Pilots pitted the stealth fighter with high-precision, laser-guided bombs against an existing T-38 plane with Hawk missiles in the Nevada desert. After a July 1980 deadline was missed, finally, in June 1981, the contract-award-winner executed a first test-flight witnessed by government, military and weapons-making leaders from the White House Situation Room and the Tactical Air Command at Langley Air Force Base in Virginia.

One aspect of a spy-plane test-flight, is that the plane breaks the sound barrier– faster than the earth rotates, at a speed of, say almost mach 2 or 3– so its vibrations rattle or can break windows of structures on earth. Test flights that have failed have killed pilots, but successful ones have transported pilots cross-country in record time: from San Diego, California to Savannah Beach, Georgia in one hour.

Yes, Americans derive a few benefits and excitement from military toys. However– greedy, power-hungry people who fail to foster international cooperation, continue to argue that it is still necessary for the security of the nation, to build ridiculously expensive, high-tech weaponry that will never be used. The wasted money might be better spent on other budget items.

The author admitted that even during the Cold War, his operation “… almost wrecked our own free enterprise system by chasing after enormously costly technologies that were simply beyond our creative grasp …We spent a hell of a lot of money in deception and very little in behalf of worthwhile technology.”

Read the book to learn: how the author harnessed his and his underlings’ knowledge and experience in personnel management, physics, chemistry, aerodynamics, engineering, economics, contract-law and various other disciplines to stay on top of the juggling act that was his job; a wealth of additional information on the research and development of high-tech planes (including the tortuous ways they were paid for, and by whom; and how, with the knowledge gained in developing one of the spy planes– the Challenger disaster could have been averted).

Close Encounters

“… the network executives he would be contacting were apt to regard him as a headline-seeking troublemaker who could not be trusted to behave with dignity and discretion.”

The above was written about Mike Wallace in the early 1960’s.

The Book of the Week is “Close Encounters, Mike Wallace’s Own Story” by Mike Wallace & Gary Paul Gates, published in 1984.

Born in 1918, Wallace grew up in Brookline, Massachusetts. As have countless others on the idiot box before and since, he made a career of sitting in judgment of others, so of course, it was impossible for him not to be a hypocrite. Like the folks whom he caught behaving dishonestly, he and his employer-broadcasters had their share of legal kerfuffles.

In spring 1957, Wallace hosted a hard-hitting live TV-interview show called “The Mike Wallace Interview” on ABC. Organized-crime figure Mickey Cohen– a guest on the show– slandered the then-chief of police of Los Angeles, saying he was corrupt. The chief sued ABC. As a result, during the show’s airing, the court required that an attorney hold up cue cards indicating when Wallace’s questions were becoming too controversial. Wallace commented, “Like a baby with its bib and a dog with its leash, I was judged to be in need of a legal teleprompter.”

At the end of 1957, as a result of one of Wallace’s countless minor TV-journalism scandals– involving the Kennedy family– the funding source of his show changed to the Ford Foundation. The show got a new name, “Survival and Freedom” and a more educational format. Unsurprisingly, it became boring.

In the autumn of 1962, Wallace decided to give up lucrative jobs: a) hosting entertainment-oriented radio and TV broadcasts that reported on trivial slice-of-life minutiae, b) hosting game shows, and c) acting in cigarette ads; in order to narrowly focus on serious TV journalism.

Wallace spent two months in Vietnam in spring 1967. He and a colleague ended up broadcasting a “60 Minutes” story in 1972 that was radically different from the one everyone else was narrating. Wallace said, “I responded by telling him [the colleague] what I thought of ‘knee-jerk, bleeding heart liberals’ who allow themselves to be taken in by a trendy media blitz.” With an open mind, they followed where the evidence led in connection with over-decorated Lieutenant Colonel Anthony Herbert.

Another aspect of serious TV journalism that Wallace claimed to espouse, in addition to doing the hard work of collecting evidence through best-efforts / due diligence research, was primary sources: “… an eyewitness account– ‘I was there, and here’s what happened’– is more reliable than a version that has gone through two hundred years of rewrites.”

Wallace’s method of doing said research involved a “Candid Camera” type set-up, a prelude to the hidden-camera reality shows of the early 2000’s. But– his major goal was to catch people committing crimes, rather than evoke laughter at their naivety.

The situation had to be a “national disgrace” to air on “60 Minutes.” One segment in early 1976 showed how easy it was for residents of the state of Maryland, to obtain false identity documents in order to commit financial crimes.

Other stories broadcast up until the book’s writing involved Medicaid kickbacks, corruption in health-, building-, and fire-department inspections, tax evasion in cash-oriented businesses, a shady California health resort, a California diploma mill, and an anti-poverty program in Los Angeles. Also, an entrepreneur offered classes to teach business executives how to answer questions asked by the likes of Mike Wallace.

Read the book to learn plenty of additional details on all of the above.

Pharma

The Book of the Week is “Pharma– Greed, Lies, and the Poisoning of America” by Gerald Posner, published in 2020.

In 2016, the “superbug” Enterobacteriaceae turned out to be resistant to 26 different antibiotics. About half of patients who contract it, die. There are a bunch of other similar bacteria in the world. The author warned that in the future, a bacterial pandemic was on the way, for which there would be no antibiotic cure. Apparently, there can be a viral pandemic, too– one that cannot be treated with antibiotics at all.

For, antibiotics kill only bacteria, if that. Yet, in the United States, for decades, antibiotics have been prescribed to treat (mild!) viral illnesses. That is one major reason that superbugs have become a trend. And there has been an epidemic of diabetes type II. And many other adverse consequences.

Anyway, the author recounted the history of big-name drug companies, which began selling morphine to soldiers during the American Civil War. In the second half of the 1800’s, Pfizer, Squibb, Wyeth, Parke-Davis, Eli Lilly, and Burroughs-Wellcome began mostly as family proprietorships that sold highly addictive, unregulated drugs. Bayer produced heroin in 1898. The twentieth century saw Merck put cocaine in its products; other companies jumped on the cocaine bandwagon.

In 1904, the head of the United States government’s Bureau of Chemistry, Harvey Wiley, was concerned about contaminants in the nation’s food supply. Consumers were being sickened by chemicals that were supposed to retard spoilage or enhance the appeal of foods. They included, but were far from limited to: borax, salicylic acid, formaldehyde, benzoate, copper sulfate and sulfites. Trendy patent medicines were also doing harm to consumers. The word “patent” gave the impression of approval or regulation of some kind, but actually meant nothing.

Through the first third of the twentieth century, the government continued categorizing, monitoring and taxing drugs, but the pharmaceutical companies continued using trade groups and legal strategists to protect their profits. The 1930’s saw the big drug companies start research laboratories. Finally in 1938, the government established the Food and Drug Administration, and began to require extensive product-testing and labeling, and factory inspections. That same year, the Wheeler-Lea Act prohibited false advertising of drugs, except for previously manufactured barbiturates and amphetamines.

After Pearl Harbor was attacked in December 1941, America sought to manufacture penicillin in volume. For, the newly introduced antibiotic would be very helpful to the war wounded. But the drug’s fermentation process required a rare ingredient. In spring 1942, one patient who had friends in high places was cured. That largely used up the penicillin supply in the entire country. Other kinds of antibiotics were produced in the next decade, but their profitability was hampered by the bureaucratic processes of patent applications and FDA approval applications.

In the late 1940’s, Arthur Sackler and his brothers founded a family drug-company dynasty. The author revealed excessive trivia from FBI files on them and other greedy characters whose tentacles pervaded all businesses that could help sell (translation: maximize profits of) the family’s healthcare goods and services. This meant consulting, advertising, publishing, charities, public relations, database services, etc. The parties failed to disclose countless conflicts of interest.

In the early 1950’s, drug companies successfully lobbied the U.S. Patent and Trademark Office to allow drugs with strikingly similar molecular structures to be deemed different so that they could be granted separate patents. A higher number of drugs could then be rushed to market sooner, and make the most money.

In 1952, farmers fed Pfizer’s antibiotics to their animals so that they grew bigger (both Pfizer and the animals). In the mid-1950’s, Pfizer, Lederle, Squibb, Bristol and Upjohn engaged in an illegal tetracycline price-fixing scheme. They reaped hundreds of millions of dollars in earnings. The FDA chief was in Sackler’s back pocket. So when violations came to light, the FTC and FDA gave the offenders a slap on the wrist. However, senator Estes Kefauver was a thorn in their side.

Kefauver led an investigation as to why America’s drug prices were so excessively high when compared with those in other nations. In fighting back, the drug industry smeared Kefauver as a liberal pinko, claiming he had designs on forcing socialized medicine on the United States. The nineteen drugmakers under the gun gave bogus excuses. The real reason is that America’s drug prices and patents are subjected to minimal or no regulation, unlike everywhere else.

In 1956, Americans were told they were stressed, but a wonder drug called “Miltown” would help calm them down. The mild tranquilizer became a best-seller, until it was counterfeited and appeared on the black market, and its adverse side effects gave it bad publicity. Oh, well.

Then in the 1960’s came the culture-changing birth control Pill, and Valium– also called “mother’s little helper” that was marketed as a weight-loss aid. The next game-changer was thalidomide. Kefauver used the worldwide backlash against this drug to push through some drug safety and effectiveness regulation in the United States in 1963. For a change. Even so, in 1972, when the U.S. Supreme Court confirmed certain regulatory powers conferred on the FDA, drugmakers merely sought additional markets for their products on other continents.

In 1976, there was a swine flu epidemic in America. Healthcare companies were reluctant to develop a vaccine for it, fearing an orgy of litigation from victims if any harm was done. So the government unwisely agreed to foot any legal bills. Sure enough, some vaccine recipients developed cases of Guillain Barre syndrome, and neurological complications. The (taxpayer-funded) Justice Department took the hit. Other parties piled on. “The CDC had exploited ‘Washington’s panic’ to ‘increase the size of its empire and multiply its budget.’ “

Moving on, the author told the whole sordid story of the “opioid crisis” in America. In a nutshell: in May 2002, Purdue Pharma, maker and unethical marketer of OxyContin, hired Rudy Giuliani’s firm to defend it against the firestorm from its host of illegal activities. The firm collected a $3 million fee per month. Purdue collected $30 million per week from OxyContin sales. To be fair, Purdue and the Sackler family were the poster-scapegoats of the crisis. Numerous other parties aided and abetted them: other pharmaceutical companies, doctors, FDA bureaucrats, and pain management “experts” and pharmacists. The far-reaching consequences have caused a lot of trouble for society as a whole in the areas of: increased healthcare costs, criminal justice, social services, drug rehabilitation services, lost productivity and earnings, etc.

Read the book to learn an additional wealth of details and the details of wealth of the healthcare industry’s evolution into a hegemonic legal behemoth / excessive profit center, in the form of a series of cautionary tales in various topic areas– drug advertising, blood donations, biotech, epidemics, pharmacy benefit managers– that wrought major good and bad (mostly bad) cultural and regulatory changes (including the Hatch-Waxman Act and the Orphan Drug Act); plus the family battles following the sudden death of Arthur Sackler.