The Emergency

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The Book of the Week is “The Emergency, A Year of Healing and Heartbreak in A Chicago ER” by Thomas Fisher, published in 2022.

At the start of the COVID-19 pandemic in 2020, friendly bedside manner disappeared in the Emergency Room of the author’s employer, a medical center affiliated with the University of Chicago, on Chicago’s South Side. The author, a medical doctor, was tasked with judging whether to put newly arrived patients on ventilators.

Already a stressful place, the Emergency Department was put under excessive tension when an edict was issued that everyone entering the building was required to cover his or her mouth and nose (with any old piece of germy fabric or a plastic shield; most wore the fabric). The authorities perpetuated the scientifically questionable assertion that covering one’s face (with anything) would stem the spread of disease.

BUT, requiring the country’s entire population to wear medical masks would be impractical and unenforceable. There wouldn’t be enough medical masks for everyone; meaning, masks that would filter one’s toxic exhalations, allow one to breathe relatively easily, while presumably, disallowing most germs from entering and exiting one’s mouth and nose. So, instead, across the country, there was rampant abuse of power by numerous officials in controlling the population with petty, dishonest mask-orders.

Anyway, a nearby Chicago hospital had no more ventilators, and another had only three on hand. A patient might not have COVID, but still might be struggling to breathe because she had heart failure from postpartum cardiomyopathy. The author decided to treat a young patient such as this one with magnesium, additional Lasix and nitroglycerin instead of a ventilator, because she would be more likely to survive than an older patient in poor health who had severe COVID.

“Still, too many physicians and scientists accept that the inequities around us emerge from inside the body we treat, rather than in relation to prevailing societal structures or systems… But it is society that shapes the population-wide patterns we see.”

This volume presented, in a series of anecdotes on the patients admitted and treated by the author, reasons why this country desperately needs NATIONAL HEALTHCARE. It is the right thing to do at this time in history. Other reasons can be found in this blog’s posts:

Morphine, Ice Cream, and Tears. (sic); Chasing My Cure; Clinging to the Wreckage; and I Shall Not Hate.

Read the book to learn of the physical and psychological traumas suffered by not just patients, but also caregivers, that could be prevented or minimized by improving policies in national healthcare in the United States.

The Vortex

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The Book of the Week is “The Vortex, A True Story of History’s Deadliest Storm, an Unspeakable War, and Liberation” by Scott Carney and Jason Miklian, published in 2022. This multi-faceted story involved a massive number of deaths due to (cue the dramatic music): the Great Bhola cyclone (what would be called a hurricane in the Western Hemisphere), a cholera epidemic, dictatorial political shenanigans, atrocities and genocide; plus heroic international aid workers who were horribly hindered in their disaster-relief efforts. Sorry, no romantic subplot– this wasn’t a movie; all of this actually happened within the space of about three years. But at the end, there was the founding of a new nation, called Bangladesh.

Even decades after geographic separation of various religious and ethnic groups into: A) India, and B) a sovereignty of two discrete land masses (East and West) that comprised newly formed Pakistan in 1947– hostility still reigned. In Pakistan, anger and resentment simmered between the Muslim Punjabis in West Pakistan who spoke Urdu, and the Hindu Bengalis in East Pakistan (which became Bangladesh), who spoke their own language.

In the mid-1960’s, general Ayub (“Yahya”) Khan, who became Pakistan’s leader in 1969 [For more information, see this blog’s post, “The Rape of Bangla Desh”], ordered Pakistan’s military to attack India. The United States imposed economic sanctions on both Pakistan and India for childishly fighting. Pakistan allied with China. India allied with the then-USSR.

In August 1969, American president Richard Nixon tapped Yahya to be the contact to introduce him to China’s leader Mao Tse Tung. In exchange, Yahya wanted to purchase arms for Pakistan. Nixon violated the then-arms embargo against Pakistan to sell it armored personnel carriers and B-57 bombers.

In 1970, there occurred a quantum leap in hurricane-forecasting technology what with a new satellite called ITOS 1 that gathered real-time data on the Northern Hemisphere for the National Hurricane Center. Nevertheless, because they had no clue a storm was coming (the new forecasting technology had yet to reach Central Asia), almost all local residents drowned when the Great Bhola cyclone hit the delta near Manpura island in November 1970. A month later, fifty million Pakistanis were voting for the first time in their lives.

A few months later, American weapons were killing the Bengali people. Nixon was supporting Yahya. The latter’s military leader whipped up a Nazi-level frenzy of hatred against the Hindus, massacring them with .50 caliber machine guns and destroying– via American M-24 Chaffee tanks, jeeps and F-86 jets– key communication, political, educational and law enforcement structures in the city of Dacca in East Pakistan.

Unsurprisingly, all of the above was accompanied by a boatload of radio propaganda put out by Yahya’s side. But later, radio broadcasts helped the Bengalis. Anyway, Nixon aided and abetted Yahya in various additional ways to achieve his own political aims. Refugees fled to India, and where, counterintuitively, military camps trained Bengalis (technically Pakistanis) to resist the Pakistan Army. Indians had always been sworn enemies of Pakistanis. Still, it was in India’s best interest to see the Bengalis win the war and break up Pakistan.

There have occurred countless historical tapestries such as the aforementioned in which a complex bunch of circumstances resulted in millions of deaths; one thing led to another. The authors argued that the especially severe cyclone played a major role in giving scheming politicians an excuse to abuse their power even more. They asserted that more severe storms are occurring due to the earth’s changing atmosphere, and such natural disasters in turn trigger a series of events that increase global conflicts.

BUT, arguably, global conflicts have waxed and waned throughout history, regardless of natural disasters. There are four major causes of global conflicts (that are present in different combinations):

  • fighting over limited (and /or exploited) resources;
  • tribal hatreds;
  • religious hatreds; and
  • territorial disputes.

Present-day events (!) have shown that humanity is making slow, slow, slow progress towards a total net amount of good versus evil on earth– even with all the advances in early-warning systems for disasters and the striving for more widespread humanitarian activities. Cases in point: once-Communist countries have changed for the better in certain ways in the last thirty years, and there is less colonialism in the world than there used to be.

Unfortunately, advances in technology and charitable aid still trigger profiteering and political exploitation with their attendant propaganda. Alpha males with hubris syndrome with their greed and power-hunger still rule most of the world. Bottom line: human nature doesn’t change, but globally, human beings overall, are evolving.

Anyway, read the book to learn many more story-details, involving: how Nixon (and his evil sidekick Kissinger) came extremely close to instigating a nuclear war against the USSR in the Bay of Bengal; the fates of various political and military leaders; and the hapless common people of Pakistan, and the aid workers who passionately tried to help them.

The Silent War

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The Book of the Week is “The Silent War, Inside the Global Business Battles Shaping America’s Future” by Ira Magaziner and Mark Patinkin, published in 1989. When Magaziner worked for Boston Consulting Group, he would conduct extensive research on industries, markets, businesses and people in order to generate reports that would presumably help his clients (consisting of big-name companies). He argued that America was economically falling behind the rest of the world because it was resisting global trade and because its federal government wasn’t financially assisting business and industry.

One time, in the mid-1970’s, Magaziner’s report’s conclusions contradicted those of his client, a big steel mill company. He asked where the executives got their information. Each one’s source material, “… was all the same– all based on one original study done a few years earlier by some professors.” The executives’ groupthink and herd mentality in relying on old, faulty data led to financial trouble for their industry.

In another case, in the late 1970’s, when General Electric partnered with Samsung to make microwave ovens, they struggled to arrive at the most profitable arrangement for both of them. One major cultural difference was that the South Koreans (unlike the Americans) worked sixty to eighty hour weeks because they believed in making sacrifices for future generations. Incidentally, they sent their children to universities in the United States to be educated, and taught them the value of hard work.

Obviously, Americans too, wanted better for their children, but their labor unions and a different mentality prevailed in their workforce. South Korea eventually became an economic powerhouse, not just with the help of American financial aid, but also through maximizing its exporting of goods.

In the 1960’s and thereafter, Singapore’s leader, Lee Kuan Yew, tried a few different territory-wide economic initiatives that failed. One included legislating a 10% wage increase for all workers. Foreign companies, with all the then-availability of sweatshop labor, simply moved their factories to Thailand and Malaysia, where workers were paid less so that goods could be produced more cheaply.

One successful economic program Yew executed was to train his citizens’ factory workers in connection with an Apple-Computer partnership in the 1980’s. The workers made the sacrifices to attend night-school (tuition-free) after a long day’s work two to three times a week, for two to three years. The benefit for the partnership was that the workers’ experience allowed them to submit innovative ideas to improve manufacturing efficiency. Again, in the United States at that time, labor unions discouraged new ideas lest workers automate themselves out of jobs. Which happened to them, anyway. But the non-unionized Singaporean workplace was such that workers weren’t laid off– they were retrained for higher-level positions.

Yet another reason the United States began to economically trail the rest of the world in the latter half of the twentieth century, was that its securities markets accelerated impatience in America’s corporate psyche. American industry became unwilling to finance and do the hard work of, continuing research and development and take a loss in bad times to keep pace technologically with Asian competitors. It wanted to prop up stock prices instead and make its executives rich quick. Still does.

One company that bucked the trend was Corning. In late 1983, (finally, after sixteen years of losses!) it had the cutting-edge technology in fiber-optics for telecommunications, ready to deliver finished products to its first big customer, MCI, to turn a profit. Corning did it on its own– receiving scant financial help from the United States government.

Times have changed little since the 1980’s, when photovoltaic scientist Paul Maycock remarked, “I hated the whole concept of buying oil from the Persian Gulf and spending $50 billion a year defending that part of the world.” He wasted a lot of time and effort on environmentally-friendly business initiatives. Sadly, those were incompatible with the United States’ strategic interests. The start of the Reagan Era saw the Department of Energy nix further funding for solar-technology research. The solar panels (installed during the Carter administration) on the White House roof were removed.

Further, since in the 1990’s (after the book’s writing) there has arisen an orgy of patent litigation in software and computer hardware. Technologically inexperienced patent clerks and court personnel have made legal decisions that have been economically damaging to the country. Additionally, the American government has a history of eagerly funding innovations that have military applications while denying funding for innovations that have commercial applications.

And yet, astute perpetrators of American foreign policy have damaged other nations’ economies not only by waging war, but also through dispensing bad advice on “shock capitalism” and other subtle (“classified”) methods of indirectly causing mass destruction. So the United States remains the economically dominant nation in the world, despite suffering its share of financial crashes and certain sectors’ damaging policies that weaken it economically as a whole; sectors such as healthcare and education.

Anyway, read the book to learn: of additional business cases that related to the aforesaid themes, and the four major reasons the Japanese technology sector achieved great success in the past.