Just a Friendly Warning.....

Politically incorrect, independent curmudgeon in residence, holding court on all things political in the U.S.A. and, on occasion, in other nations.

Pet Peeves: Ignorance, chosen stupidity, official and corporate deception and criminal behavior that would make Ted Bundy proud, fear-mongering and fearful people, and people who insist on relying on a single news source and believing that they are informed enough to be a contributing citizen in a Democracy, any Democracy.

Monday, November 16, 2009

Vote With Your Money, Consumer Nation!




Don't buy Palin's book.

Let's face it. The woman isn't much on finishing what she started. The Governor of Alaska thing comes to mind. Damn! She just quit, Peeps.

She's nuts. Please do not encourage her in whatever delusion she is currently fixated.

Sarah Palin is, to a stunning degree, the very epitome of the narcissistic, driven, highly dysfunctional nation the U.S.A. has become.

Blah, Blah, Blah.....It's .Just Our Future, that's all!!!!


Pelosi made some sense of everything, on C-Span this a.m., regarding some issues with the healthcare bill.

NPR Topics: Politics:

McConnell: Senate Won't Rush On Health Care Bill

What a effing surprise!

Kennedy's Legacy Overshadows Primary Election

Another freakin' surprise!

Palin Begins Media Blitz For 'Going Rogue'

From Chaos to boredom in less than 60 seconds.
God! We have all become so damn predictable.

Why, please tell me, does anyone care what this woman has to say? What does it take for the citizens of Winguttia to see the hard truth of all this Palin Soap Opera.

Dave Lindorff: On Abortion, Hypocrisy Reigns Among Blue Dog, Republican and Christians



Damn Glad someone else said this loud and clear. It's the hypocrisy, Stupid.


Dave Lindorff: On Abortion, Hypocrisy Reigns Among Blue Dog, Republican and Christians

The ongoing absolutism in Congress in trying to prevent women -- or at least poor women -- from obtaining abortions is one of the more shameful spectacles in America.

The sanctimonious Blue Dog Democrats and the Republicans, who almost unanimously opposed any right to abortion, present two basic arguments. One is that abortion is murder, and therefore must be illegal, or, in more nuanced form, they say that they or their constituents oppose abortion and therefore it is wrong to have their tax money paying for the procedure.

Of course, for most of those who argue that abortion is murder, there is a towering hypocrisy in the fact that with rare exceptions, those who argue this view also support capital punishment, which is also murder. Furthermore, given the über-conservative political stance of most such people, they also tend to unquestioningly support America's wars on Third World peoples -- wars that inevitably lead to the mass slaughter of innocent men, women, and children -- support the use of lethal American weapons from nuclear bombs to anti-personnel fragmentation shells and bombs to depleted uranium shells and mines, which kill adults and children, soldiers, and civilians indiscriminately, and support cuts in social services that leave American kids hungry, malnourished and without needed medical care, which leads to many untimely deaths. But even for those people -- some liberal Catholics, for example -- who may be consistent in their opposition to state-sponsored murder and killing, there is an unwillingness to address the central problem with opposing abortion: namely that women will get abortions whether they are legal or not, the only difference being that one way, they are likely to die or be seriously injured in the process, while the other way, the process can be done safely.

This reality was documented by a study conducted in 1972 by the Planned Parenthood organization -- a study that my wife participated in as a summer intern after graduating from college. What the researchers did was look at 1969, the last year before abortion was legalized in New York State, and 1971, the first full year after abortion was legalized. They compared the number of live births in the state in the two years, and discovered that the numbers were identical. The unavoidable conclusion: the same number of abortions were being performed in 1969 and 1971 in New York State, except that in 1969, they were being done by back-alley hacks, women themselves, and the few doctors who were willing to provide the service illegally, while in 1971, they were being performed by doctors in hospitals or clinics. The second statistic the researchers looked at was the number of emergency room admissions of women for such medical problems as perforated uterus, septic uterus, or hemorrhaging caused by an attempted abortion. Here they found that the number of such admissions, huge in 1969, had fallen to almost zero. Other subsequent studies done later, after Roe v. Wade made abortion legal nationwide, such as one done at Cook County Hospital in Chicago, reached similar conclusions.

This is a reality that sanctimonious anti-abortion purists and the politicians who pander to them simply will not confront. When you say you oppose abortion because it is murder, you are simply closing your eyes to the fact that the abortions will still occur -- history shows that a woman or young girl who does not want to have a baby will do what it takes to make sure that she doesn't have it, even at the risk of death. Instead of protecting the life of a fetus, by opposing abortion, or by making safe, legal abortions available to the poor, you have put the blood of many young women on your hands, while you have saved not one fetal life.

As for those who simply claim that they are not making abortion illegal, but are only making sure that they and others who oppose abortion don't have to pay for it with their taxes, this is an even worse hypocrisy. If we were allowed to say that we shouldn't have to pay for abortion because we don't believe in it, shouldn't those of us who oppose capital punishment be to insist that no state or federal funds be used to pay for the super-max prisons that hold the nation's 4,000 death row inmates? Shouldn't we be able to insist that no state or federal funds be used to pay for execution chambers and the staffing and operation of those killing fields? Shouldn't we who oppose the nation's bloody wars overseas be able to insist that no public money be used to kill civilians?

Besides, once again it is also true that when the law bars poor women from using Medicaid to pay for abortions, or bars public hospitals from doing abortions, the poor women who cannot themselves pay for a safe medical abortion will resort to trying to do it themselves, or will go to an unlicensed hack to have it done.

There really is no moral middle ground here. Whatever your personal belief about when life begins, the objective reality is that women who do not want to have a child will do what it takes to terminate their pregnancy, and because of that, we need to make it safe and affordable for them to do that. If anti-abortionists want to offer counseling to try to convince women not to abort, if they want to establish care facilities, like they do in the more civilized countries of Europe, to allow poor women to go to term with an unwanted pregnancy, obtaining food, lodging and medical services before having the baby and putting it up for adoption, that's fine. But barring abortion, or denying funding for abortion is simply an unconscionable and hypocritical act of potential murder.

And the members of Congress who have allowed a ban on abortion coverage to be part of the proposed health care legislation relating to insurance sold through proposed insurance exchanges, and in the so-called "public option" insurance plan, many of whom claim to support a woman's right to abortion, are as execrable a lot as those who co-sponsored the Bart Stupak amendment.

DAVE LINDORFF is a Philadelphia-based journalist. His latest book is "The Case for Impeachment" (St. Martin's Press, 2006). His work is available at www.thiscantbehappening.net.

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Tuesday, November 10, 2009

2008: The Year America Cracked Up.


Certainly there is a need for mental health parity that was supposedly enacted awhile back. If everyone is seeing what I'm seeing, there are quite a few folks out there who are, how shall I say, bat-shit crazy.


And the people I'm talking about are not in the hood or anyone's ghetto. They are on television and the radio, some of them are actually elected officials. What's possibly worse is that seemingly ordinary-Joes feel compelled to carry some of the most horrendous looking guns I have ever seen to political rallies or meetings.

Unfortunately for us, mental health insurance is as screwed up as health insurance in general. Care for mental disorder or disease really sucks for just about everyone these days as the need for intervention in a disease process goes up and there are fewer people trained to intervene in whatever disease process needs attention.

The number of psychiatric medications sold in 2008 spiked remarkably. A brief check among colleagues told a similar tale of gloom about our collective mental health with which we have been playing far too loose, if you ask me.

Most Prescribed Medicines of 2008

I came across a list of the 50 most prescribed medicines in the U.S. for 2008 and thought it was fascinating.

Here is a sampling of the top 20, with discussion to follow:

#1. Hydrocodone (with acetaminophen)
Used to treat pain, especially short-term acute pain like after an injury or surgery. Of course, that is what the physician or other prescribing care-giver would be giving them for, but we all know that is not their only use to patients. This stuff is damned good at blocking pain from consciousness or dulling the conscious to the point where the patient doesn't give a flying hoot anymore. This drug works on psychic pain as well as physical pain and any of us who have ever taken the drug for short-term, acute, physical pain know it.

Is anyone surprised that 121.3 million prescriptions for hydrocodone with acetaminophen were written last year? I know I'm not.

The retail cost of all this pain medication was $5.88 billion. This is no new medication. It has been around for decades. This number doesn't even take into account all the other opiates and synthetic opiates, sedative hypnotics and alcohol that were sold during the same time. They all serve the same purpose; blotting out awareness of pain of some kind. Strong drink is sometimes the only medicine for the medically indigent and so it has been down through the centuries.

Below are other medications that were sold in huge numbers and why.

#2. Lisinopril
Hypertension
69.8 million prescriptions / $686 million retail cost

#3. Simvastatin
High cholesterol
49.0 / $1.45 billion

#4. Levothyroxine
Hypothyroidism
58.6 / $546 million

#5. Amoxicillin
Bacterial infection
52.1 / $439 million

#6. Azithromycin
Bacterial infection
49.3 / $1.28 billion

#7. Lipitor
High cholesterol
49.0 / $5.88 billion

#8. Hydrochlorothiazide
Edema/hypertension
47.1 / $288 million

#9. Alprazolam
Anxiety
43.6 / $468 million

#10. Atenolol
Hypertension
40.9 / $274 million

Here we have the top ten: Five of these drugs may well be what are referred to as life-style drugs, in that it is pretty clear that the chosen lifestyle of the patient plays a significant role in the disease or disorder being treated. Those that are for hypertension, high cholesterol and possibly diabetes type two.

The drugs for bacterial infection are oldies but goodies. People are paying less for antibiotic drugs than they would be if they were paying for the latest and greatest antibiotic. Is this "patient knowledge" at work" Or is it the physician, the pharmacist?

We also find the anxiety drug, Alprazolam. The patent name was Xanax. It is one of the most addictive drugs big pharma has passed out to Americans and others. I can find no reason why this particular drug is still on the market, quite frankly.

That is a personal prejudice, I admit.

However, I can see why it would be a favorite for the highly anxious free-marketeer or the guy who just lost his job and his wife is pregnant with their third child or the woman who can't find a job because she chose to stay at home and raise her three kids 'til they were well into their education years and now finds herself having to be the sole bread-winner for quite sometime if not forever. Her husband has been permanently disabled.

Last 40: Here will will see much of the same. Peruse the list.....

11. Metformin (diabetes)
12. Metoprolol succinate (hypertension)
13. Furosemide (edema, hypertension)
14. Metoprolol tartrate (hypertension)
(if both formulations of metoprolol are considered, it is the 3rd most prescribed)

15. Sertraline (depression)
16. Omeprazole (ulcers, reflux)
17. Zolpidem/Ambien (insomnia)
18. Nexium (refulx, ulcers)
19. Lexapro (depression)
20. Oxycodone (pain)
21. Singulair (asthman, allergies)
22. Ibuprofen (pain, inflammation)
23. Plavix (blood clotting)
24. Prednisone (allergies, inflammation)
25. Fluoxetine (depression)
26. Synthroid (hypothyroidism)
27. Warfarin (blood clotting)
28. Cephalexin (bacterial infection)
29. Lorazepam (anxiety)
30. Clonazepam (anxiety)
31. Citalopram (depression)
32. Tramadol (pain)
33. Gabapentin (epilepsy, pain)
34. Ciprofloxacin (bacterial infection)
35. Propoxyphene-N (pain)
36. Lisinopril (hypertension)
37. Triamterene (edema, hypertension)
38. Amoxicillin with clavulanic acid (bacterial infection)
39. Cyclobenzaprine (muscle injury, spasm)
40. Prevacid (ulcers, reflux)
41. Advair (asthma)
42. Effexor XR (depression)
43. Trazodone (depression, insomnia)
44. Fexofenadine (allergies)
45. Fluticasone nasal spray (allergies)
46. Diovan (hypertension)
47. Paroxetine (depression, anxiety)
48. Lovastatin (hypertension)
49. Crestor (high cholesterol)
50. Trimethoprim (bacterial infection)


The number of prescriptions for Hydrocodone was astronomical enough to average one prescription for every other person in the United States. Of course hydrocodone is very helpful for those suffering pain, but it is also a drug of abuse and addiction that has gained a lot of popular culture attention. Eminem supposedly has a tattoo of Vicodin on his arm. Overdose of the drug has been implicated in many deaths, including celebrities such as Dana Plato and Heath Ledger.


In fact, 9 of the top 50 medicines could be considered addictive, although when used appropriately are helpful in treating pain and anxiety, would be startling news to most people, I believe.

Surprisingly, only 3 of the top 20 medicines by prescription volume are name brands, a reflection of insurance company formularies, patient cost-saving choices, and physician recommendations.

Psychiatric disorders account for the primary indications of 11/50 of the top medicines.

Propoxyphene-N (or Darvon-N, Darvocet-N) racked up 20,400,000 prescriptions and $225,000,000 in sales despite this year’s FDA advisory panel vote to recommend it be pulled from the market.

Propoxyphene’s potency as a pain reliever is about equal to acetaminophen, with added risks of slowly cleared metabolites and possible increased deaths.

Hypertension, high cholesterol, and diabetes are at least treatable and often curable with changes in lifestyle, weight loss and diet. 15 of the top 50 medicines might be reduced with behavioral changes. 2 of the top 3 medicines fall into this category. The Mediterranean diet does seem effective but with a lifestyle changes, not simply a diet. Diets do not work. .

The above list is ranked by total number of prescriptions written. It includes both generic and name brand drugs. The top ten medicines by total retail dollars spent in 2008 are:

1. Lipitor $5.88 billion
2. Nexium 4.79 billion
3. Plavix 3.79
4. Advair Diskus 3.57
5. Prevacid 3.29
6. Seroquel 2.90
7. Singulair 2.89
8. Effexor XR 2.65
9. OxyContin 2.50
10. Actos 2.44


Interesting, me thinks.

What do you think?