Letting Go of Gay "Pride"

For years, western society has preached that being gay is a sin. Most gay people internalized that message and were ashamed of being gay. Eventually, some gays began to stand up for themselves, and they stopped being ashamed. Instead, they became proud. After all, being proud is, in most people's mind, the opposite of being ashamed. In fact, this new gay "pride" misses the point entirely and is ultimately counter productive to the gay rights movement.

Being gay is not something to be proud or ashamed of. Sexual orientation is a preference, and it does not make sense to be proud or ashamed of a preference. For example, no one is ever proud that they like ketchup, or cold weather, or that their favorite color is blue. The fact that people are born gay is not even the point. Being gay still simply means that someone has a sexual preference for people of their own gender. There is nothing to be proud or ashamed of, no matter what one prefers.

The use of the phrase "gay pride" is far more than a simple gramatical error. Quite to the contrary, it confuses the debate about gay rights and alienates straight people. It confuses the debate because it perpetuates the wrongheaded idea that sexual orientation is one of those things that we should be either proud or ashamed of. The entire point of the gay equality movement is that sexual preference is not something good or bad. Saying otherwise frames the issue in a way in which gays will lose. If sexual orientation is something to be proud or ashamed of, then straight people will surely decide that they are proud of being straight -- and that gays should be ashamed. It creates a pitched battle over who is better, gays or straights. That is the opposite of the message gays should be sending: we are different in our sexual orientation, but those differences do not make us better or worse than you.

United Airlines' Charity Policy

I had a few extra United Airlines upgrades in my account recently, and realized that I would not be able to use them before they expire. I know that United does not allow the sale of upgrades or miles, but they do allow members to donate miles. I therefore decided to donate my upgrades by holding a 100% charity auction on Ebay, with all the proceeds going to Kiva.org and Much Love Animal Rescue. In the listings, I expressly stated that the auctions were subject to United's rules, and that if United objected, I would remove the listings.

United waited until the listings were over, then told me I had violated their rules. Even though 100% of the proceeds went to charity, United still views what I did as a "sale." Moreover, United penalized me by taking away two systemwide upgrades which, based on the Ebay auctions, were worth $500 each. Even worse, United took away the upgrades from the Ebay bidders. So, they did not get what they bargained for. The charities already have the money, so I cannot get it back to return it! I protested with United, but got nowhere.

I am done with United Airlines. Hello American!

Cancer as a Political Issue

For the eight years of the Bush administration, our political were dominated by an irrational fear of terrorism. Even now, with President Obama providing immeasurably better leadership, terrorism still plays far too large a role in our political debate. Terrorism killed a total of approximately 3,000 people in the continental United States on September 11, 2001. It has killed approximately zero since then.

Cancer, on the other hand, kills thousands of people every day. Cancer is the greater threat to public health, by a huge margin. In fact, in terms of the threat to publich health, terrorism is lower than the common cold, while cancer is at the very top of the list. As far as I am concerned, a death by terrorism is no worse, and maybe in some ways much better, than a death by cancer. Yet, we spend far more money on preventing terrorism than we do preventing cancer.

The most important function of a government is to do for the people what they cannot do for themselves individual. This includes things like building roads, maintaining a currency, national defense and disease control. Basic cancer research is far too expensive and far too long term for any individual to undertake it alone. Only the government can fund it adequately.

Moreover, the benefits of successful advances benefit not just all Americans, but everyone on the entire planet -- as well as everyone who is born in the future. The market cannot provide adequate incentives under those circumstances.

If there is anything that our government should do for us, it is to fund basic cancer research and make the result as widely available as possible. This is something that we all have an interest in, and it should be a major political issue, well ahead of relatively smaller threats, such as terrorism.

Shimbashi Station

Shimabashi Station glistens and bustles in the late November rain.   We stand on the platform, overlooking the crowded square, criss-crossed by men and women carrying umbrellas.  Behind us, the rush of crowded subway cars.  Below us, the steam engine whistles on the hour.  Underneath the tracks, brightly-lit stores, well stocked and teeming with rush hour shoppers.  We turn, and hurry down the stairs towards the exit.   

We don't know it yet, but it is the last time it will ever be the same.  

Medical Hell, Part II: I Wish I Were a Dog

Our medical system is so badly broken, we would all be better off if we were all dogs or cats. I do not say that sarcastically; I believe my pets have received far superior medical care to what I have received, and at a far lower cost. We would do better to simply scrap our entire system, and replace it with what we give our pets.

My dog can get an appointment for a check-up within a day or two. I have to wait several months. My dog can see a specialist within a few days. Again, I wait for months. His wait at the emergency room is a fraction of mine. Moreover, his vet spends time with him and with me, explaining the situation, offering various options and even sympathizing when times are hard. Our vet returns phone calls. He even gave us his cell phone number, without me asking. Our vet also hands me all the medications my dog needs, without having to go to a pharmacy. Most importantly, our vet seems at least as knowledgable as any doctor I have met. The nurses I encountered while in the hospital were so bad I would have been better off without them. Doctors often seem to know their stuff, but spend so little time with each patient that it hardly matters. In every respect, our pets get far better medical care than we do.

The cost of this service is far lower than what we pay. My dog was hospitalized for five days, and the total cost was $1,900. I was in the hospital for 12 hours, and the co-pay to the hospital was over $3,000. The doctor charged me separately. Moreover, those are the amounts that I paid personally, with insurance. The insurance company paid more, and I paid the insurance company premiums every month for the privilege of paying those prices.

I am not sure why our medical system is so badly broken. Some might point to the high cost of medical malpractice insurance. While the cost is indeed high, it is not nearly high enough to play a material role in causing the problems we face. Perhaps different kinds of people become veterinarians rather than doctors. Maybe it is the absurd bureaucracy created by the insurance companies that has broken our medical system. It could be that the massive amount we spend on the last six months of life bogs the system down, whereas our pets euthenized when that is the merciful thing to do. I certainly am not qualified so say what is causing the problem, but I can say this: nex time I need medical care, I will be wishing I were a dog.

Patriotism

Patriotism is nothing more than tribal "us versus them" bigotry.

What does it mean to be patriotic? Most people will tell you it means to love your country, but that definition is not very helpful. What part of the country does one have to love in order to be patriotic? Loving the land -- the mountains, the valleys, the lakes -- is not patriotism. If it were, I would be patriotic to Peru, Japan, Scotland and Canada, among others. I suspect I would also be patriotic to Iran, if I had the chance to go there. Obviously, that is not what patriotism means.

Patriotism cannot mean loving the current government. As I write this, George W. Bush has an approval rating of 23%. Congress' approval rating is even lower. Yet, the overwhelming majority of Americans still claim to be patriotic. They obviously do not mean that they love their current government.

Patriotism cannot mean "loving the principals for which our country stands." No country lives by a fixed set of principals, at least not for long. The U.S. Constitution originally upheld slavery. Later, the U.S. Supreme Court allowed citizens of Japanese descent to be placed in concentration camps, without one ounce of evidence that they had done or were planning to do anything wrong. Today, the United States ignores its own constitution by imprisoning people in Guantanamo Bay for years without charging them with a crime. Yes, the United States government has done some wonderful things of the years, but it has also done some horrible things. Do people who claim to be patriotic actually think about all these things, and come to the conclusion that they love some alleged underlying principal behind this country? More to the point, do they think about other countries -- Great Britain, for example -- and decide that the principals behind our country are somehow better? Clearly not.

Patriotism cannot mean loving the people of a country. Again, if that were so, many of us would be equally patriotic to more than one country. Americans think that they are kinder, smarter, better people than the Swedes? Is that why Americans are so patriotic? Again, most Americans -- and especially those who tend to be most patriotic -- do not have the experience to make a judgment about whether Swedes tend to be more or less kind than Americans. When people say they are patriotic, they are not thinking of such things.

In the end, patriotism means loving your country more than other countries, simply because it is your country and for no other reason. Go team! Up us, down you! Patriotism in America is about liking America better than other countries because we are Americans. That is not only immoral, it is extremely dangerous.

Evolution

Things that tend to survive, tend to survive. That single sentence, a tautology, in fact, sums up the theory of evolution. The rest flows naturally from that simple observation.

If a chimp has two offspring, the one that is better equipped to survive in its environment will probably live longer. As a result of living longer, it will probably have more offspring. Children tend to resemble their parents. Therefore, the next generation of chimps will be more like that chimp than its sibling. Over a long period of time, the population of chimps will become more and more like that first chimp that was better equipped to survive in its environment.

No rational person can argue with the basic theory of evolution, as described above. Of course, there numerous ways in which the picture can be refined. For example, the phrase "better equipped to survive" can be replaced with "better at getting its genes into the next generation." The two are not always the same. If the chimp survives a long time by not expending energy fighting for the ability to mate, the story falls apart. A bee may gets its genes into the next generation by sacrificing itself for its genetically identical siblings. The details of evolution -- what kinds of animals in fact tend to evolve, and under what conditions -- are complex. The basic theory, however, is an obvious truth.

Many Americans refuse to accept that evolution applies to humans. But they have no basis to do so. There is no rational basis to believe that humans are somehow exempt from the laws of logic. Human populations are subject to the same forces of nature as any other population. The humans who tend to survive will tend to survive, and the next generation will be more like them.

That fact alone, however, does not prove that humans and chimps (and indeed all life) share a common ancestor. But a look at the real world makes it abundantly clear that we do. From our obvious physical similarities to other animals, to the distribution of plants and animals that exist, to the common DNA we share, to the fossil record, to the very ways in which are so well and so poorly designed at the same time, the evidence is beyond overwhelming. It would be easier to deny that the heart pumps blood (a fact which, like evolution, was unknown in Shakespeare's time) than it is to deny that we share a common ancestor with other primates.

But what does it matter whether people belief in evolution. I, for one, uses to think that creationist were foolish but harmless, like the Flat Earth Society or the people who think Elvis was abducted by space aliens. Whether we shared a common ancestor with chimps six million years ago makes no difference in our daily lives. Or so I thought. I was wrong. The process of evolution sculpted our bodies and minds of a period of more than a billion years. Evolutionary thinking is critical to understanding who we are, emotionally, intellectually and physically. Understanding evolution is important for medicine, but it is also important for understand ourselves, our loved ones and every other human with whom we share this earth.

I highly recommend the following books:

The Blind Watchmaker: Why the Evidence of Evolution Reveals a Universe Without Design, by Richards Dawkins http://www.amazon.com/Blind-Watchmaker-Evidence-Evolution-Universe/dp/0393315703/ref=sr_1_4?ie=UTF8&s=books&qid=1223754778&sr=1-4

The Ancestor's Tale: A Pilgrimage to the Dawn of Evolution, by Richard Dawkins http://www.amazon.com/Ancestors-Tale-Pilgrimage-Dawn-Evolution/dp/061861916X/ref=pd_bbs_sr_1?ie=UTF8&s=books&qid=1223755602&sr=1-1

Darwin's Dangerous Idea: Evolution and the Meanings of Life, by Daniel C. Dennett http://www.amazon.com/Darwins-Dangerous-Idea-Evolution-Meanings/dp/068482471X/ref=sr_1_1?ie=UTF8&s=books&qid=1223754873&sr=1-1

Evolution for Everyone: How Darwin's Theory Can Change the Way We Think About Our Lives, by David Sloan Wilson http://www.amazon.com/Evolution-Everyone-Darwins-Theory-Change/dp/0385340923/ref=pd_bbs_sr_1?ie=UTF8&s=books&qid=1223754672&sr=1-1