CDC Data Are Disappearing

The agency has already removed scientific data from public view. More could follow. By Katherine J. Wu (Thanks to Ed M.)

The exterior of the CDC at night

The CDC campus in Atlanta (Smith Collection / Gado / Getty)


Last night, scientists began to hear cryptic and foreboding warnings from colleagues: Go to the CDC website, and download your data now. They were all telling one another the same thing: Data on the website were about to disappear, or be altered, to comply with the Trump administration’s ongoing attempt to scrub federal agencies of any mention of gender, DEI, and accessibility. “I was up until 2 a.m.,” Angela Rasmussen, a virologist at the Vaccine and Infectious Disease Organization at the University of Saskatchewan who relies on the CDC’s data to track viral outbreaks, told me. She archived whatever she could.

What they feared quickly came to pass. Already, content from the CDC’s Youth Risk Behavior Surveillance System, which includes data from a national survey, has disappeared; so have parts of the Agency for Toxic Substances and Disease Registry’s Social Vulnerability Index and the Environmental Justice Index. The CDC’s landing page for HIV data has also vanished. And the agency’s AtlasPlus tool, which contains nearly 20 years of CDC surveillance data on HIV, hepatitis, sexually transmitted infections, and tuberculosis, is down. Several scientists I talked with told me they had heard directly from contacts at the CDC that the agency has directed employees to scrub any mention of “gender” from its site and the data that it shares there, replacing it with “sex.”

The full scope of the purge isn’t yet clear. One document obtained by The Atlantic indicated that the government was, as of yesterday evening, intending to target and replace, at a minimum, several “suggested keywords”—including “pregnant people, transgender, binary, non-binary, gender, assigned at birth, binary [sic], non-binary [sic], cisgender, queer, gender identity, gender minority, anything with pronouns”—in CDC content. While these terms are often politicized, some represent demographic variables that researchers collect when tracking the ebb and flow of diseases and health conditions across populations. Should they be reworded, or even removed entirely, from data sets to comply with the executive order, researchers and health-care providers might have a much harder time figuring out how diseases affect specific communities—making it more challenging to serve Americans on the whole.

CDC data’s “explicit purpose” is to guide researchers toward the places and people who most need attention, Patrick Sullivan, an epidemiologist at Emory University and a former CDC Epidemic Intelligence Service officer, told me. As the changes unfold before him, he said, “it’s hard to understand how this benefits health.”

When I contacted the CDC, a spokesperson redirected my requests for comment to the Department of Health and Human Services. After this story was published, an HHS spokesperson said that “all changes to the HHS website and HHS division websites are in accordance with President Trump’s January 20 Executive Orders” on gender and DEI.

The government appears to understand that these changes could have scientific implications: The document directing a review of CDC content suggests that some work could be altered without “changing the meaning or scientific integrity of the content,” and that any such changes should be considered “routine.” Changing other content, according to the document, would require review by an expert precisely because any alterations would risk scientific integrity. But the document does not specify how data would be sorted into those categories, or at whose discretion.

Posted in Ethics, Government, Health | Comments Off on CDC Data Are Disappearing

Be prepared!

Posted in Uncategorized | Comments Off on Be prepared!

What so proudly we hailed …

Thanks to Dan S.

As the Pentagon and the State Department try to cancel Black History Month, our Martin Luther King County (Harborview) Hospital flies the Afro-American Black Liberation flag with the American flag, no longer at half-mast in observation of the inauguration of Donald J. Trump. 

Posted in Government, In the Neighborhood, Race | Comments Off on What so proudly we hailed …

Groundhog Day

Thanks to Pam P.

Posted in Uncategorized | Comments Off on Groundhog Day

Japan rolls out new recycled toilet paper made from used diapers

from Goodgoodgood newsletter – thanks to Pam P.

Forget Charmin, Cottonelle, or Quilted Northern. In Japan, there’s a new toilet paper roll on shelves, and it’s nothing like the others.

The Shibushi Osaki Roll is the world’s first toilet paper made from recycled diapers — and it’s available to purchase at seven stores in southwest Japan’s Kyushu.

While it may be difficult to wrap one’s head around, the team of local governments and private firms behind the Shibushi Osaki Roll say the toilet paper is perfectly safe to use — and could be a game-changer for the environment.

“Please support this eco-friendly product, which aims to promote a sustainable society by reusing local resources,” said Takumi Obo, a spokesperson for the Osaki municipal government’s SDGs Promotion Council, which is leading the product’s roll-out.

Three packages of toilet paper with colorful packaging and Japanese text
Photo courtesy of Osaki Municipal Government’s SDGs Promotion Council

The project was spearheaded by the city of Shibushi and the town of Osaki in Kagoshima Prefecture. The two municipalities have a joint waste management system and came together to begin recycling disposable diapers. 

The two cities collected 98 tons of diapers and other used hygiene products. They were all sterilized, deodorized, and bleached before being shredded into a pulp. From there, the treated materials were mixed with recycled paper at a local Poppy Paper Co. plant and transformed into rolls of toilet paper.

In the first two months of production, 30,000 rolls were created and are now being sold for just 400 yen — or about $2.70 — per dozen.

While it may not be something people think about while doing their business, the traditional pulp toilet paper most of us are used to has a significant environmental impact.

According to The World Counts, 712 million trees are felled yearly to produce virgin pulp toilet paper, which contributes to deforestation worldwide. And for a single roll of toilet paper, 1.5 pounds of wood are required for production. 

Additionally, one roll of toilet paper requires up to 37 gallons of water to be produced, while recycled toilet paper takes up about half of that

Disposable diapers are also a major waste management issue. In fact, disposable diapers are the third-largest single consumer item in landfills. And they take an estimated 500 years to decompose.

The Shibushi Osaki Roll represents a new frontier for a wood, waste, and water-saving alternative in Japan. And while these two municipalities tackle a small piece of that larger issue, the effort could prove viability on a much larger, global scale

“This initiative could help diversify the ways to secure raw materials,” Satoshi Yoshida from Poppy Paper Co., told The Mainichi, “especially as used paper supplies are expected to decline with the rise of paperless systems and a shrinking population.”

Posted in Uncategorized | Comments Off on Japan rolls out new recycled toilet paper made from used diapers

RFK Jr.’s War Against Cancer…Prevention

A recent Senate confirmation hearing revealed RFK Jr.’s secret war against cancer prevention.

by Paul Offit (thanks to Ed M.)

Human papillomavirus (HPV) causes cancer. Every year, HPV causes about 20,000 cancers in women and 14,000 in men. For women, HPV is the only known cause of cervical cancer, accounting for about 11,000 cases and 4,000 deaths every year. For men, HPV is a common cause of head, neck, anal, and genital cancers.

The first vaccine to prevent HPV (Gardasil) was licensed in 2006. With the licensure of an HPV vaccine that protected against additional strains in 2014, the incidence of cervical cancer has dropped 62 percent over the past decade.

Perhaps no vaccine has been subjected to greater scrutiny. Dozens of studies have now shown that the HPV vaccine does not cause autoimmune or neurological diseases. But that hasn’t stopped Robert F. Kennedy Jr. from continuing to claim that it does. Since 1986, with the creation of the National Childhood Vaccine Injury Act, claims of vaccine harm must first be filed through the Vaccine Injury Compensation (VICP). The claims are then reviewed by experts and lawyers. If the claims are supported by scientific studies, plaintiffs are compensated. For example, children who got polio from the oral polio vaccine, which was a rare but real consequence, are compensated. Or people who developed a neurological disease called Guillain-Barré Syndrome from the influenza vaccine are compensated. If claims aren’t supported by evidence, plaintiffs aren’t compensated.

The VICP reviewed evidence on HPV vaccine safety and concluded that claims that it caused autoimmune or neurological diseases weren’t credible. They rejected the claims. In response, RFK Jr. and his personal injury lawyer friends took their claims to civil court, where the rules are different. Now all lawyers need to do is find juries who are willing to ignore scientific evidence. Indeed, in the early 1980s, 18 companies made vaccines for American children. After a flood of lawsuits against the whooping cough vaccine that amounted to millions of dollars of settlements, vaccine makers left the business. This migration of vaccine makers occurred even though studies had clearly shown that the pertussis vaccine didn’t cause the harms claimed. By the end of the 1980s, only four vaccine makers remained, the rest driven out by lawsuits.

As a nominee for the position of Secretary of Health and Human Services (HHS), RFK Jr. was asked to report his financial conflicts. The report showed that he had earned more than $2.4 million from the personal injury law firm of Wisner Baum, which was suing Merck in civil court for its HPV vaccine. RFK Jr., who stands to make 10 percent of any fees awarded in cases he referred to the firm, calls Michael Baum “one of my closest friends.” Kennedy has a similar arrangement with Morgan and Morgan, another large, personal injury law firm. On his Facebook page, Kennedy wrote, “If you have been injured by Gardasil, call us.” During the past year, these HPV lawsuits were Kennedy’s primary source of income.

On January 29, 2025, during a Senate confirmation hearing before the Finance Committee, Senator Elizabeth Warren (D, MA) noted that, as head of HHS, RFK Jr. could rig the system in his favor. Warren pointed out that he could use his power to add compensable injuries to the VICP table, change court rules, and alter vaccine labelling. All these changes could benefit RFK Jr. financially. Warren asked, “Would you be willing to forgo a financial stake in all these lawsuits so that the decisions you make will not financially benefit you?” “No,” said Kennedy, “I will not.”

RFK Jr.’s actions, which if successful will make HPV vaccine less affordable and less available, will be a financial boon to him and his personal injury lawyer friends. The biggest loser will be women, who might soon be deprived of the single best way to prevent cancer

Posted in Government, Health, Law | Comments Off on RFK Jr.’s War Against Cancer…Prevention

ACLU at Town Hall

Thanks to Bob P.

ACLU Town Hall
Fighting Trump’s First Attacks
Tuesday, February 4, at 4:30pm EST


Posted in Government, Politics | Comments Off on ACLU at Town Hall

Drawing, making music and writing poetry can support healing and bring more humanity to health care in US hospitals

by Marlaine Figueroa Gray Assistant Investigator at Kaiser Permanente Washington Health Research Institute, University of Washington

    Mixed media painting showing side view of a person's head in the foreground.
    Facing a blank page can be an exercise in courage. stellalevi/DigitalVision Vectors via Getty Images

    The COVID-19 pandemic shined a light on the deep need that people feel for human touch and connection in hospital settings. Having relatives peering through windows at their loved ones or unable to enter hospitals altogether exacerbated the lack of human intimacy that is all too common in health care settings.

    Opportunities for creative expression through arts in medicine programs are increasing in U.S. hospitals, and it may be because art-making offers something that medicine can’t. Evidence shows that taking part in art programs has many therapeutic benefits, such as reducing anxiety and stress, supporting mental health and well-being and connecting people to one another.

    Research has also shown that these programs can bring relief from the stresses and burnout that health care workers regularly experience.

    As a medical anthropologist studying how to support people who are facing serious illness, as well as those who care for them, one of my research interests is the intersection of arts and medicine.

    Participating in creative activities helps with expressing emotions. This can improve optimismboost the body’s immune response and improve healing times.

    Arts in medicine programs are also correlated with improved blood pressure and less pain and depression for some patients. Some music activities can help stroke victims recover balance and rhythm.

    These types of clinical benefits are certainly valued. But what people I spoke with shared that was the most transformative for them were the ways art-making allowed them to feel more fully human.

    Art therapy reduces the sense of isolation

    One example is at the MD Anderson Cancer Centers in Houston. Ian Cion founded the hospital’s arts in medicine program in 2010. In 2014, he worked closely with more than 1,300 MD Anderson patients, their family members and staff to create a life-size paper dragon sculpture – one scale at a time.

    Cion built the dragon’s frame in his home out of popsicle sticks, wire and cardboard and then placed the 9-foot frame inside a high-traffic area in the hospital. Young cancer patients, their families and the entire hospital community were invited to create scales, which they filled with their hopes, prayers and favorite images. A row of scales could be finished and placed on the dragon in 45 minutes or less, but it still took months for the project to be completed.

    Cion’s goal with such collaborative projects was to pull people out of the isolation of illness and into community, and to celebrate and embrace the unknown.

    Front view of Okoa the Dragon
    Cancer patients, their loved ones and hospital personnel contributed to the creation of the paper dragon at the MD Anderson Cancer Center in Houston. Marlaine Figueroa Gray, CC BY-NC-ND

    (continued on Page 2)

    Posted in Art, Health, Music | Comments Off on Drawing, making music and writing poetry can support healing and bring more humanity to health care in US hospitals

    Photos: See the pandas’ official return to the National Zoo

    By Amy Held (thanks to Pam P.)

    Qing Bao, one of the Smithsonian National Zoo’s new Giant Pandas, eats an apple on Friday, Jan. 24, 2025. In November 2023, the National Zoo sent its three pandas — Tian Tian and Mei Xiang, who had lived there since 2000, and their cub Xiao Qi Ji — back to China, in advance of the expiration of their loan agreement and amidst rising tensions between the two countries.

    Qing Bao, one of the Smithsonian National Zoo’s new Giant Pandas, eats an apple on Friday, Jan. 24, 2025. In November 2023, the National Zoo sent its three pandas — Tian Tian and Mei Xiang, who had lived there since 2000, and their cub Xiao Qi Ji — back to China, in advance of the expiration of their loan agreement and amidst rising tensions between the two countries.

    Tyrone Turner/WAMU

    A panda drought — that has been unbearable for some — is finally over.

    Two Giant pandas are now available for public viewing in the nation’s capital.

    Bao Li and Qing Bao are out of quarantine and in the spotlight after a three month wait and 8,000 mile trip from China.

    Students from the Yu Ying Public Charter School visit the Smithsonian National Zoo’s Giant Pandas after performing at the opening ceremony on Friday, Jan. 24, 2025.

    Students from the Yu Ying Public Charter School visit the Smithsonian National Zoo’s Giant Pandas after performing at the opening ceremony on Friday, Jan. 24, 2025.

    Tyrone Turner/WAMU

    Washington D.C. Mayor Muriel Bowser, second from right, claps to the sounds of Crush Funk Brass Band during the opening ceremony celebrating the Smithsonian National Zoo’s new Giant Pandas on Friday, Jan. 24, 2025.

    Washington D.C. Mayor Muriel Bowser, second from right, claps to the sounds of Crush Funk Brass Band during the opening ceremony celebrating the Smithsonian National Zoo’s new Giant Pandas on Friday, Jan. 24, 2025.

    Tyrone Turner/WAMU

    Students from the Yu Ying Public Charter School visit the Smithsonian National Zoo’s Giant Pandas after performing at the opening ceremony on Friday, Jan. 24, 2025.

    Students from the Yu Ying Public Charter School visit the Smithsonian National Zoo’s Giant Pandas after performing at the opening ceremony on Friday, Jan. 24, 2025.

    Tyrone Turner/WAMU

    They now stand — or clumsily climb or roll around — and are ready to make their public debut at the Smithsonian’s National Zoo.

    Their return, after China recalled earlier furry ambassadors, marks a reboot of Panda diplomacy.

    Bao Li, one of the Smithsonian National Zoo’s Giant Pandas, chomps on bamboo on Friday, Jan. 24, 2025, in Washington D.C.

    Bao Li, one of the Smithsonian National Zoo’s Giant Pandas, chomps on bamboo on Friday, Jan. 24, 2025, in Washington D.C.

    Tyrone Turner/WAMU

    Giant Panda supporters flood the Smithsonian National Zoo to see the new pandas Bao Li and Qing Bao on Friday, Jan. 24, 2025, in Washington D.C.

    Giant Panda supporters flood the Smithsonian’s National Zoo to see the new pandas Bao Li and Qing Bao on Friday, Jan. 24, 2025, in Washington D.C.

    Tyrone Turner/WAMU

    Giant Panda supporters flood the Smithsonian National Zoo to see the new pandas Bao Li and Qing Bao on Friday, Jan. 24, 2025, in Washington D.C.

    Giant Panda supporters flood the Smithsonian’s National Zoo to see the new pandas Bao Li and Qing Bao on Friday, Jan. 24, 2025, in Washington D.C.

    Tyrone Turner/WAMU

    For those who can’t come to D.C., the panoply of panda antics is on digital display via the the Giant Panda Cam.

    People were bamboozled by the roly-poly big-eyed cuteness — such clips have drawn in millions of viewers.

    Scientists and volunteers observe panda behavior from inside the Smithsonian National Zoo’s Panda House on Friday, Jan. 24, 2025, in Washington D.C.

    Scientists and volunteers observe panda behavior from inside the Smithsonian National Zoo’s Panda House on Friday, Jan. 24, 2025, in Washington D.C.

    Tyrone Turner/WAMU

    Giant Panda supporters flood the Smithsonian National Zoo to see new pandas Bao Li and Qing Bao on Friday, Jan. 24, 2025, in Washington D.C.

    Giant Panda supporters flood the Smithsonian’s National Zoo to see new pandas Bao Li and Qing Bao on Friday, Jan. 24, 2025, in Washington D.C.

    Tyrone Turner/WAMU

    Giant panda Bao Li traverses a snowy enclosure on Friday, Jan. 24, 2025, at the Smithsonian National Zoo. The pair arrived in Washington D.C. — aboard the fittingly nicknamed "Panda Express" — from China back in October. But, they could only occasionally be glimpsed until this week.

    Giant panda Bao Li traverses a snowy enclosure on Friday, Jan. 24, 2025, at the Smithsonian’s National Zoo. The pair arrived in Washington D.C. — aboard the fittingly nicknamed “Panda Express” — from China back in October. But, they could only occasionally be glimpsed until this week.

    Tyrone Turner/WAMU

    China has also loaned two other giant pandas to the U.S., both at the San Diego Zoo. As a gesture of goodwill, it seems panda appeal is pretty black and white.

    Posted in Animals | Comments Off on Photos: See the pandas’ official return to the National Zoo

    Please express your support for HB 1531

    Thanks to Ed M.

    Our public health partners are seeking our support on House Bill 1531 re preserving the ability of public officials to address communicable diseases, which will be heard 1/31 at 8:00AM in House Health Care and Wellness and we really needed people to sign in PRO for it.

    Here is the link to sign in pro or provide written testimony you must sign in pro before 7AM on 1/31. It will take seconds to sign in pro. 

    Below is HB 1531

    AN ACT Relating to preserving the ability of public officials to
    2 address communicable diseases using scientifically proven measures to
    3 control the spread of such diseases; adding a new section to chapter
    70.54 RCW; and declaring an emergency.4
    5 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF WASHINGTON:
    6 NEW SECTION. Sec. 1. A new section is added to chapter 70.54
    RCW to read as follows:7
    8 (1) It is the policy of the state that public health responses to
    9 address communicable diseases be guided by the best available science
    10 on the safety and efficacy of evidence-based measures to control the
    11 spread of such diseases, including immunizations and vaccines.
    12 (2) Consistent with the policy in subsection (1) of this section,
    13 the state and local health officials must, within available
    14 resources, implement and promote evidence-based, appropriate measures
    15 to control the spread of communicable diseases, including vaccines.
    16 The state and its political subdivisions may not enact statutes,
    17 ordinances, rules, or policies that prohibit the implementation and
    18 promotion of such measures. Any such statute, ordinance, rule, or
    19 policy in place on the effective date of this section is hereby
    declared null and void.20
    H-0719.1
    HOUSE BILL 1531
    State of Washington 69th Legislature 2025 Regular Session
    By Representatives Bronoske, Berry, Ramel, Reed, Duerr, Kloba, Macri,
    Parshley, Peterson, Ormsby, Pollet, Scott, Doglio, Hill, and Simmons
    Read first time 01/23/25. Referred to Committee on Health Care &
    Wellness.
    p. 1 HB 1531
    1 NEW SECTION. Sec. 2. This act is necessary for the immediate
    2 preservation of the public peace, health, or safety, or support of
    3 the state government and its existing public institutions, and takes
    4 effect immediately.

    Posted in Government, Health | Comments Off on Please express your support for HB 1531

    Ah, that pizza

    Posted in Uncategorized | Comments Off on Ah, that pizza

    What to know about Lunar New Year traditions

    Fresh lettuce is offered to lion dance performers with the Mak Fai Kung Fu Dragon & Lion Dance Association during the Lunar New Year festival in Seattle on Feb. 3, 2024. (Amanda Ray / The Seattle Times)
    1 of 2 | Fresh lettuce is offered to lion dance performers with the Mak Fai Kung Fu Dragon & Lion Dance Association during the Lunar New Year festival in Seattle on Feb. 3, 2024. (Amanda Ray / The Seattle Times)

    JiaYing Grygiel – Special to The Seattle Times (thanks to Marilyn W.)

    Jan. 1 has come and gone, but Lunar New Year is right around the corner, celebrated by some 2 billion people around the world.

    The Year of the Snake begins Jan. 29. It’s the first time Lunar New Year is a legislatively recognized (though unpaid) holiday in Washington state, thanks to a bill signed into law last March.

    State Rep. My-Linh Thai, D-Bellevue, a Vietnamese refugee, proposed the bill to recognize and celebrate the Asian American community. “During the pandemic, we took the biggest brunt of hate crimes and continued to be viewed as others, and not as part of the fabric of America,” she said.

    Lunar New Year is celebrated in China, Vietnam, Korea, Taiwan, across Southeast Asia and anywhere there is a large diaspora community from those countries — like in Seattle. It goes by different names: Chūnjié (or Spring Festival) in China, Tết Nguyên Đán in Vietnam, Seollal in Korea.

    For those of Korean heritage, “it’s also called the Korean Thanksgiving,” said Sara Upshaw, owner and head chef of Ohsun Banchan Deli & Cafe in Pioneer Square. “It’s the holiday you celebrate at home with family. A big part of it is paying respect to your elders, even ones that have passed. Everyone’s dressed up in hanbok. There’s a bowing ceremony for the younger people to the elders. And just like Thanksgiving, food is very important.”

    Here are some things to know about Lunar New Year. And even if it’s a holiday you grew up celebrating, you might not know the reasons behind some of the traditions. (Guilty.) We reached out to cultural experts to find the answers.

    Mak Fai Kung Fu Dragon & Lion Dance Association performs at Pike Place Market, 2024. (JiaYing Grygiel)
    Mak Fai Kung Fu Dragon & Lion Dance Association performs at Pike Place Market, 2024. (JiaYing Grygiel)

    What does Lunar New Year celebrate and how did it come about? (continued)

    Posted in Education, Entertainment, Holidays, In the Neighborhood | Comments Off on What to know about Lunar New Year traditions

    Short Sighted

    thanks to MaryLou P.

    Computers in the future may weigh no more than 1.5 tons.
    — “Popular Mechanics,” forecasting the relentless march of science, 1949

    I think there is a world market for maybe five computers.
    — Thomas Watson, chairman of IBM, 1943

    There is no reason anyone would want a computer in their home.
    — Ken Olson, president, chairman and founder of Digital Equipment Corp., 1977

    This “telephone” has too many shortcomings to be seriously considered as a means of communication. The device is inherently of no value to us.
    — Western Union internal memo, 1876.

    The wireless music box has no imaginable commercial value. Who would pay for a message sent to nobody in particular?
    — David Sarnoff’s associates in response to his urgings for investment in the radio in the 1920s.

    The concept is interesting and well-formed, but in order to earn better than a “C,” the idea must be feasible.
    — A Yale University management professor in response to Fred Smith’s paper proposing reliable overnight delivery service. Smith went on to found Federal Express Corp.

    I’m just glad it’ll be Clark Gable who’s falling on his face and not Gary Cooper.
    — Gary Cooper on his decision not to take the leading role in “Gone With The Wind.”

    We don’t like their sound, and guitar music is on the way out.
    — Decca Recording Co. rejecting the Beatles, 1962.

    Heavier-than-air flying machines are impossible.
    — Lord Kelvin, president, Royal Society, 1895.

    So we went to Atari and said, “Hey, we’ve got this amazing thing, even built with some of your parts, and what do you think about funding us? Or we’ll give it to you. We just want to do it. Pay our salary, we’ll come work for you.” And they said, “No.” So then we went to Hewlett-Packard, and they said, “Hey, we don’t need you. You haven’t got through college yet.”
    — Apple Computer Inc. founder Steve Jobs on attempts to get Atari and H-P interested in his and Steve Wozniak’s personal computer.

    This fellow Charles Lindbergh will never make it. He’s doomed.
    — Harry Guggenheim, millionaire aviation enthusiast.

    Stocks have reached what looks like a permanently high plateau.
    — Irving Fisher, Professor of Economics, Yale University, 1929.

    Airplanes are interesting toys but of no military value.
    — Marechal Ferdinand Foch, Professor of Strategy, Ecole Superieure de Guerre.

    Man will never reach the moon regardless of all future scientific advances.
    — Dr. Lee De Forest, inventor of the vacuum tube and father of television.

    Everything that can be invented has been invented.
    — Charles H. Duell, Commissioner, U.S. Office of Patents, 1899.

    Received from Mikey’s Funnies.

    Posted in Uncategorized | Comments Off on Short Sighted

    The Pediatrician’s Lament

    Eleanor R. Menzin, M.D. in The New England Journal of Medicine

    “It’s your fault!” the renowned infectious disease attending told the cluster of students and residents. In the late 1990s, the varicella vaccine was relatively new, and uptake was disappointingly low. “You pediatricians,” he went on, “must correct your wording. Instead of telling parents their child is due for the MMR vaccine and then half-heartedly offering the varicella vaccine, you should include it with the same declarative certainty: ‘Your child is due for varicella and MMR vaccines.’”

    Though it has been nearly 30 years, I remember that moment as one of those rare crystalline learning moments when a gifted teacher’s wisdom solidifies in a receptive student’s mind. His advice permanently changed the way I, and in turn my trainees, discuss vaccines. More important, I internalized his conviction that vaccinating patients was a fundamental responsibility of a pediatrician.

    Throughout my career, I have seen new vaccines approved: pneumococcus, rotavirus, meningococcus, and human papillomavirus. In each case, I have studied the data, reviewed published recommendations, and adjusted my language to encourage vaccination. I consider the high immunization rate in my patient panel to be one of my greatest professional accomplishments — a quantitative metric of the benefit I provide.

    Much of pediatrics advice is more cultural wisdom than science. Does it matter whether an infant consumes green vegetables before orange ones? Unlikely. Some of what we do (antibiotics for acute otitis media) is probably of limited benefit. There are so few things — like car seats or sleeping on the back — for which we have robust data. And the greatest of all these is vaccines.

    Every so often, parents will look at me over a smiling infant and tell me they want their child to have only one or two recommended vaccines. Can I choose the most important? I tell them the question is akin to asking me to pick my favorite child — an impossible task.

    I replay for them the kaleidoscope of vaccine-preventable illness I’ve seen in my training and practice: a toddler with varicella encephalitis from my medical school days, an apneic infant admitted to the hospital with pertussis during my residency, a 9-year-old with central venous thrombosis after influenza and dehydration when I was a young attending. I also recount stories of adults who live with the ongoing effects of now-avoidable diseases: a wise and beloved radiologist who hung films one-handed (faster than most people could with two) as his polio-affected arm rested by his side, or the college friend who suffered through colposcopy and cancer scares from human papillomavirus infection.

    Some will ask, “Can you recommend a good pediatrician who does not believe in vaccines?” No, I say, no more than I can recommend a good physicist who does not believe in gravity.

    Beneficence has been the guiding ethical principle of my life in medicine; encouraging vaccines has been my fullest expression of that value. Professionalism, I was taught, meant that religion and politics had no place in medicine. Though I understood how policy affected patients’ lives, I abided by that rule. Privately, I voted for political candidates I thought would help patients who were bogged down by poverty, seeking education, and battling addiction. Publicly, I was quiet.

    But now is no time for silence. Politics now threatens to erase the gains of science, reduce access to vaccines, and undermine the vast public health benefit of the vaccines I have spent my career championing. Now is the time to lament loudly, to beat my chest, and to wail.

    In this precise moment, beneficence requires more than seeing patients, doing research, or writing erudite journal articles. Today, beneficence requires physicians to step into a public role that may contradict our understanding of our job description. Regardless of our politics, if we are reticent in this moment, harm will come to the patients we seek to help.

    Even if patients are skeptical of the alphabet soup of institutions designed to protect and safeguard their health, they still have confidence in the long-standing relationships with their clinicians. To deserve that trust, we are obligated to raise our collective voice in defense of science, health, and vaccines.

    Posted in Health, History | Comments Off on The Pediatrician’s Lament

    Listening?

    Posted in Uncategorized | Comments Off on Listening?

    Commentary on Day One

    Ed note: Somehow the Trump cartoons don’t seem funny to me anymore. They reflect the negativity that is now reality and evoke sadness rather than humor. Historian Heather Cox Richardson helps me see the present in an historical context. As you can read below, our history is blemished–only to be resurfaced now unfortuanately.

    by Heather Cox Richardson

    “I JUST GOT THE NEWS FROM MY LAWYER… I GOT A PARDON BABY! THANK YOU PRESIDENT TRUMP!!!” Jacob Chansley, dubbed the QAnon shaman as a reflection of his horned-animal headdress and body paint at the January 6, 2021, riot inside the U.S. Capitol, posted on X shortly after President Donald Trump commuted the sentences of or pardoned all those convicted of crimes related to the events of that day.

    “NOW I AM GONNA BY SOME MOTHA FU*KIN GUNS!!! I LOVE THIS COUNTRY!!! GOD BLESS AMERICA!!!!” he continued. “J6ers are getting released & JUSTICE HAS COME… EVERYTHING done in the dark WILL come to light!”

    A Scripps News/Ipsos poll conducted in late November, after Trump had won the 2024 presidential election, found that only 30% of Americans supported pardoning the January 6th protesters. In early January, many Republican lawmakers suggested they would not support pardons for those who committed violence against police officers, and on January 12, 2025, then vice president–elect J.D. Vance told Fox News Sunday that “if you committed violence on that day, obviously you shouldn’t be pardoned.”

    This puts Republican leaders, who claim to defend law and order, on the back foot. When CNN’s chief congressional correspondent, Manu Raju, asked Republican senators what they thought of the blanket pardons, even MAGA senator Tommy Tuberville (R-AL) said it was unacceptable to pardon people who assaulted police officers but claimed he “didn’t see it,” although the footage of the violence is widely available. Senators Lisa Murkowski (R-AK) and Susan Collins (R-ME) both criticized the pardons.

    Senate majority leader John Thune (R-SD) tried to blame Trump’s pardons on former president Joe Biden, saying he had opened the door to broad pardons, although Biden preemptively pardoned people who had not been convicted of crimes but were in Trump’s crosshairs: people like former chair of the Joint Chiefs of Staff Mark Milley, whom Trump appointed but later accused of “treason” for being unwilling to execute an illegal order. In one of his first moves as president yesterday, Trump had the official portrait of Milley removed from the hall in the Pentagon where portraits of all previous chairs of the Joint Chiefs of Staff are displayed—all, now, except Milley.

    The D.C. Police Union expressed its “dismay over the recent pardons,” reiterating its stance that “anyone who assaults a law enforcement officer should be prosecuted to the full extent of the law, without exception.” (Continued)

    Posted in Government, History | Comments Off on Commentary on Day One

    In Praise of California

    Paul Krugman in Krugman Wonks Out (thanks to Kate B.)

    One of the unwritten rules of American politics is that it’s OK to sneer at and smear our big cities and the people who live in them, while it’s an outrageous act of disrespect to suggest that there’s anything wrong with the Heartland. And many people believe the smears; visitors to New York are often shocked to find that one of the safest places in America isn’t the hellscape they were told to expect.

    These delusions of dystopia are sometimes funny, but they can have real consequences. As you read this, much of America’s second-largest city is an actual hellscape. But many politicians, from the president-elect on down, are showing zero sympathy, insisting that California — which in its own way gets trash-talked as much as New York —somehow brought this disaster on itself by being too liberal, too woke, or something. And this lack of sympathy may translate into refusal to provide adequate disaster aid.

    Somehow I doubt that Florida will get the same treatment when (not if) it has its next big natural disaster. (The Biden administration responded with complete, unconditional support to regions hit by Hurricane Helene and other storms, although that hasn’t stopped Republican politicians, like Governor Bill Lee of Tennessee, from lying and claiming that aid was delayed.)

    At a fundamental level the case for helping California get through this is moral: Americans should help Americans in their hour of need. But this also seems like a good time to remind people just how much the Golden State contributes to American greatness.

    Before I get there: Yes, California has problems, some of them big. There are pockets of social disorder, although the fact that so many luxury homes are burning tells us that many people who could live anywhere find greater Los Angeles a highly desirable place to be. More important, California suffers terribly from NIMBYism, which has led to grossly inadequate home construction, crippling housing costs and a lot of homelessness.

    But California is nonetheless an economic and technological powerhouse; without it America would be a lot poorer and weaker than it is. (continued)

    Posted in Economics, environment, Government, Politics | Comments Off on In Praise of California

    How Trump “Won”

    Michael Podhorzer (thanks to Kate B.)

    With all the ballots counted and all the races decided, in today’s post, I want to unpack what we already know about how Trump “won” the popular vote.1 I use quotes around the word “won” for two reasons.

    First, to keep in full view what I wrote earlier in “Is This What Democracy Looks Like?” – that Trump’s candidacy was only viable because the justices he appointed to the Supreme Court: (1) disabled the insurrection clause of the 14th Amendment (which should otherwise have barred him from holding office again) and (2) shielded him from standing trial before the election for trying to overturn the 2020 results or for hoarding classified documents (which would have kept his criminality in full view of the electorate, and possibly rendered his candidacy a non-starter due to a jail sentence or loss of support). In any other country, we would understand that as part of an autocratic takeover, not a democratic victory.

    Second, as this post will show, the results are best understood as a vote of no confidence in Democrats, not an embrace of Trump or MAGA.

    Ed Note: This is a long, detailed, data driven article that Kate found is the best analysis she’s found yet. Click here for the full article.

    Posted in Government | Comments Off on How Trump “Won”

    Notre Dame’s Marcus Freeman wants attention on Martin Luther King Jr.’s legacy and not his own trailblazing

    Freeman will be the first Black head coach in an FBS national championship, which occurs Jan. 20 on Martin Luther King Jr. Day

    By Shehan Jeyarajah (thanks to Pam P.)

    Capital One Orange Bowl - Penn State v Notre Dame

    Notre Dame coach Marcus Freeman is set to become the first Black head coach in an FBS college football national championship game as the Fighting Irish prepare to face Ohio State on Jan. 20 in Atlanta. The game will take place on Martin Luther King Jr. Day in King’s hometown. 

    “As far as playing in the national championship game on MLK Day, to me the attention should be on MLK Day and what he did for our country and the progress he made for equal rights and progress for all people, the courage he had as an individual to stand for what he believes in,” Freeman said. “That was with his words and his actions.

    “Martin Luther King Day is about celebrating that man and the impacts he’s made on our country.” 

    Freeman outdueled Penn State’s James Franklin in the Orange Bowl semifinal with a 27-24 come-from-behind victory. Because of the Freeman vs. Franklin matchup, a Black coach was guaranteed to coach in the national championship game against the Buckeyes. 

    “I sure hope that somebody gives the right person an opportunity,” Freeman said. “I was given an opportunity by our former athletic director Jack Swarbrick and Father John Jenkins. They made the decision to give me an opportunity. What I continue to hope is that people get opportunities based off their actions and not the color of their skin. That doesn’t point to just one group of people, but we want to make sure we continue to give the right people opportunities to lead our young people, and I believe in that.” 

    Freeman was promoted to Notre Dame’s head coach following the 2021 season after Brian Kelly left for LSU. The former Ohio State linebacker found immediate success, posting a 33-9 career record with bowl victories in three consecutive seasons. Thanks to the College Football Playoff format, the Fighting Irish became the first team in history to win multiple bowl games in the same season after Sugar Bowl and Orange Bowl wins. The program had previously not won a major bowl game since the 1990s. 

    In addition, Freeman is the first Asian American to ever coach in a national championship game. His mother is Korean American. Freeman and Hawaii coach Timmy Chang became only the second and third Asian American coaches in college football history when they were hired after the 2021 season, joining former Hawaii coach Norm Chow. 

    There are only a handful of Asian American assistant coaches across college football, including UCLA offensive line coach Andy Kwon, Arizona State receivers coach Hines Ward and Davidson coach Saj Thakkar. 

    “If me being a Black and Asian head coach in the college football national championship gives others that opportunity, that’s awesome,” Freeman said. “I’ve always said this: I don’t want this to be about me. I want this to be about others and about others getting an opportunity and our team.” 

    Freeman has coached several Asian American players during his time at Notre Dame, including quarterback Tyler Buchner and safety Kyle Hamilton. Cornerback Charles Du, a junior from Beijing, China, went viral during the playoff because his jersey’s nameplate displayed his name in Chinese. 

    Posted in Uncategorized | Comments Off on Notre Dame’s Marcus Freeman wants attention on Martin Luther King Jr.’s legacy and not his own trailblazing

    Two great presidents’ masterful inaugural speeches

    By David Adler in the Seattle Times

    Special to The Idaho Statesman

    When Donald Trump assumes office Monday, as the 47th president of the United States, he will mark the solemn occasion with an inaugural address. While not required by the Constitution, the address represents a rich tradition initiated by George Washington, one that affords the president a platform to chart a new direction for the nation and announce his plans, policies and programs.

    Trump will stand at the podium in a time of deep division and great challenge, somewhat akin to the circumstances that confronted Thomas Jefferson and Abraham Lincoln when they assumed the reins of the executive branch.

    Jefferson, in his first inaugural address in 1801, and Lincoln, in each of his messages — 1861 and 1865 — delivered masterful speeches, likely the greatest in our nation’s history, in which they urged their countrymen to embrace civility, magnanimity, reconciliation and, above all, national unity. On the eve of Trump’s second inaugural address, Americans wonder whether he will follow the path of Jefferson and Lincoln, or whether he will dwell on differences, rehash grievances and embark on a campaign of retribution.

    Jefferson, the leader of the Democratic-Republican Party, survived a heated election, the “Revolution of 1800,” and was keenly aware of the sharp divisions in America, as demonstrated by the fact that his victory over the incumbent John Adams, the last of the Federalists to hold office, required the House of Representatives to toll through 36 ballots after neither candidate succeeded in winning a majority of the Electoral College vote. Jefferson sought to unite the country and famously declared: “We are all Republicans, we are all Federalists.” (continued on page 2)

    Posted in Government, History | Comments Off on Two great presidents’ masterful inaugural speeches

    Yes, there are heroes

    Commentary by Heather Cox Richardson

    You hear sometimes, now that we know the sordid details of the lives of some of our leading figures, that America has no heroes left.

    When I was writing a book about the Wounded Knee Massacre, where heroism was pretty thin on the ground, I gave that a lot of thought. And I came to believe that heroism is neither being perfect, nor doing something spectacular. In fact, it’s just the opposite: it’s regular, flawed human beings choosing to put others before themselves, even at great cost, even if no one will ever know, even as they realize the walls might be closing in around them.

    It means sitting down the night before D-Day and writing a letter praising the troops and taking all the blame for the next day’s failure upon yourself in case things went wrong, as General Dwight D. Eisenhower did.

    It means writing in your diary that you “still believe that people are really good at heart,” even while you are hiding in an attic from the men who are soon going to kill you, as Anne Frank did.

    It means signing your name to the bottom of the Declaration of Independence in bold print, even though you know you are signing your own death warrant should the British capture you, as John Hancock did.

    It means defending your people’s right to practice a religion you don’t share, even though you know you are becoming a dangerously visible target, as Sitting Bull did.

    Sometimes it just means sitting down, even when you are told to stand up, as Rosa Parks did.

    None of those people woke up one morning and said to themselves that they were about to do something heroic. It’s just that when they had to, they did what was right.

    On April 3, 1968, the night before the Reverend Doctor Martin Luther King Jr. was assassinated by a white supremacist, he gave a speech in support of sanitation workers in Memphis, Tennessee. Since 1966, King had tried to broaden the Civil Rights Movement for racial equality into a larger movement for economic justice. He joined the sanitation workers in Memphis, who were on strike after years of bad pay and such dangerous conditions that two men had been crushed to death in garbage compactors.

    After his friend Ralph Abernathy introduced him to the crowd, King had something to say about heroes: “As I listened to Ralph Abernathy and his eloquent and generous introduction and then thought about myself, I wondered who he was talking about.”

    Dr. King told the audience that if God had let him choose any era in which to live, he would have chosen the one in which he had landed. “Now, that’s a strange statement to make,” King went on, “because the world is all messed up. The nation is sick. Trouble is in the land; confusion all around…. But I know, somehow, that only when it is dark enough, can you see the stars.” Dr. King said that he felt blessed to live in an era when people had finally woken up and were working together for freedom and economic justice.

    He knew he was in danger as he worked for a racially and economically just America. “I don’t know what will happen now. We’ve got some difficult days ahead. But it doesn’t matter…because I’ve been to the mountaintop…. Like anybody, I would like to live a long life…. But I’m not concerned about that now. I just want to do God’s will. And He’s allowed me to go up to the mountain. And I’ve looked over. And I’ve seen the promised land. I may not get there with you. But I want you to know tonight, that we, as a people, will get to the promised land!”

    People are wrong to say that we have no heroes left.

    Just as they have always been, they are all around us, choosing to do the right thing, no matter what. Wishing you all a day of peace for Martin Luther King Jr. Day 2025.

    Posted in History, Race | Comments Off on Yes, there are heroes

    Advent Calendar

    Thanks to Ed M.

    Posted in Uncategorized | Comments Off on Advent Calendar

    Protecting friends and neighbors from illegal searches

    Thanks to Linda T.

    Dear Friend,
    You may have seen the reports that the Trump Administration is planning a large-scale deportation of immigrants from blue “sanctuary cities.” We must be prepared to protect our friends and neighbors from illegal searches and incarceration.    If you see ICE activity taking place or any marked vehicles, please report it immediately to Washington Immigrant Solidarity Network at 1-844-724-3737.   

    Know your rights. Do not open the door. “ICE warrants” authorities may claim to have are not legal to enter your home. ICE warrants must be signed by a local judge to enter your home.   If you need legal assistance, call the Northwest Immigrant Rights Project at 1-800-445-5771.  
    Services for immigrants:    El Centro de la Raza   Refugee Women’s Alliance   Chinese Information & Service Center   East African Community Services   The International Rescue Committee in Seattle   Jewish Family Services – 253-850-4065   Archdiocese of Seattle – 206-274-3194  
    Please spread these resources on your social media channels and among your communities. These are dark times, but we can get through them if we stick together and look out for each other.  

    In solidarity,   Chair Shasti Conrad Washington State Democrats

    Posted in Uncategorized | Comments Off on Protecting friends and neighbors from illegal searches

    Quelle bouquet!

    Posted in Uncategorized | Comments Off on Quelle bouquet!

    When the Retirement Community Goes Bankrupt

    Ed note: There is a natural tension between Leading Age, the industry lobby group for CCRC’s, and WaCCRA, the residents voice for the state of Washington (NaCCRA is the national organization). Years ago when I was unsuccessfully trying to have AEDs installed at Skyline, I called Steve Maag JD, a lawyer based in Washington – though a native Seattleite. During his 12 years at LeadingAge, Steve was the “go-to” expert on all things related to life plan communities and assisted living. He told me that he gives a lecture to CCRC Executives titled, “This is not your grandma’s CCRC.” He felt that management needed to respect and utilize the input and knowledge of many of the very accomplished residents moving into these facilities–not to infantilize residents as they age.

    I asked Steve about “best practices” for CCRCs in terms of CPR and use of AEDs for residents who would wish for cardiac resuscitation. He said that there are no such guidelines and that “if you’ve seen one CCRC, you’ve only seen one CCRC–they’re all different.”

    As we all know, the best way for a CCRC to thrive is to have the apartments fully occupied, and the residents and staff happy and engaged. The goals and success for management and residents are basically intertwined.

    But how about our financial picture? Tax form 990s are available but audits and details are not easy to come by. Regulation is strongly resisted by Leading age. Please consider joining WaCCRA and learning of their actions and successes over the past several years in making the residents voices heard.

    Bob Curtis, 88, a resident of an upscale continuing care retirement community in Port Washington, N.Y., that has declared bankruptcy.

    By Paula Span in the NYT (thanks to Tim B.)

    Three years ago, when Bob and Sandy Curtis moved into an upscale continuing care retirement community in Port Washington, N.Y., he thought they had found the best possible elder care solution.

    In exchange for a steep entrance fee — about $840,000, funded by the sale of the Long Island house they had owned for nearly 50 years — they would have care for the rest of their lives at the Harborside. They selected a contract from several options that set stable monthly fees at about $6,000 for both of them and would refund half the entrance fee to their estate after their deaths.

    “This was the final chapter,” Mr. Curtis, 88, said. “That was the deal I made.”

    C.C.R.C.s, or life plan communities, provide levels of increasing care on a single campus, from independent and assisted living to nursing homes and memory care. Unlike most senior living facilities, they’re predominantly nonprofit.

    More than 1,900 C.C.R.C.s house about 900,000 Americans, according to LeadingAge, which represents nonprofit senior housing providers. Some communities offer lower and higher refunds, many avoid buy-in fees altogether and operate as rentals, and others are hybrids.

    For the Curtises, the Harborside offered reassurance. Mr. Curtis, an industrial engineer who works as a consultant, took a comfortable one-bedroom apartment in the independent living wing. “It was a vibrant community,” he said. “Meals. Amenities. A gym.” (continued)

    Posted in CCRC Info, Finance | Comments Off on When the Retirement Community Goes Bankrupt