Jumping into my pants with both boots on

We all make choices.

Tonight, my wife and I had the choice of :

  1. taking West Coast Swing dance lessons and dance late at Club Rush or
  2. we could go to the Ledges Country Club Manor House and listen to a presentation by our physicians at Gleneagles Family Medicine Associates (GFMA).

We chose the latter.

Not necessarily the road less traveled (cue poem here, of course)…

Robert Frost (1874–1963).  Mountain Interval.  1920.
1. The Road Not Taken
TWO roads diverged in a yellow wood,
And sorry I could not travel both
And be one traveler, long I stood
And looked down one as far as I could
To where it bent in the undergrowth;         5
Then took the other, as just as fair,
And having perhaps the better claim,
Because it was grassy and wanted wear;
Though as for that the passing there
Had worn them really about the same,         10
And both that morning equally lay
In leaves no step had trodden black.
Oh, I kept the first for another day!
Yet knowing how way leads on to way,
I doubted if I should ever come back.         15
I shall be telling this with a sigh
Somewhere ages and ages hence:
Two roads diverged in a wood, and I—
I took the one less traveled by,
And that has made all the difference.         20

…but interesting nonetheless/all the same.

I don’t have my notes from the meeting with me at this moment but I have in my thoughts the major details.

Basically, our physicians have decided to start a concierge-style medical practice, accepting 150 patients at $1800 per annum for each patient who will receive preferred physician attention, detailed annual executive-level physical exam, the physician’s personal cell phone number, an email-style chat system, and a medical profile on a USB stick, to name but a few of the perks of a monetarily-tiered medical services program.

We heard the managing partner, Wayne Lipton, give a smooth talk about the program to a room full of a few hundred GFMA patients.  Jim Gottlieb, senior VP was there as well as an assistant, Robin, who gets to input all the information gathered in cards handed out tonight and tomorrow morning to gauge further interest in case all 150 slots per physician are not immediately filled up after this week’s set of three presentations to about 1000 of the 6000+ GFMA active patients.

GFMA has three physicians, one of whom will retire in a few months.

The concierge program will rearrange the remaining two physicians’ schedules such that they spend 25% of their day with concierge patients, spending 30 minutes to an hour (or plus for physical exams) per patient, leaving the remaining 75% of their time for the regular, non-concierge, “traditional” patient visits (i.e., a few minutes per patient, 6+ per hour).

The practice will probably add another nurse practitioner.

I don’t know much about Concierge Choice Physicians (CCP), but a quick Internet search reveals not only who they say they are but also what the news media has reported about them.

My first reaction was to tell myself, “Hey, you know what.  I’ve seen the nurse practitioners more often than I’ve seen my new MD (who took over when my family practice MD retired a year or so ago).  I’m in pretty good shape.  What will I gain with concierge service?”

My wife agreed but pointed out the fact we are “haves,” not “have-nots.”  Isn’t it in our best interest to buy our way into a system where we get more personal attention now before the family practice medical services industry moves completely to a concierge-only system to see an MD or an outpatient clinic system for non-MD attention?

The question I have to ask myself: what does an MD know that a nurse practitioner doesn’t?  What does the MD do for me that a nurse practitioner, surgeon’s/physician’s assistant, nurse or medical technician can’t?

We humans have the gift of multicompartmentalising ourselves.  We can separate theory from fact.

I can believe wholeheartedly in the value of community, marriage, church and a system of government/capitalism while at the same time arguing wholeheartedly against its existence in order to strengthen its core values, forcing members of the community to more strongly defend their positions to both theirs and my advantage.

It’s like they say:  What’s the point of having a heaven if there’s not a hell as a wickedly evil alternative to keep the stray sheep in line?

Oh, to be sure, the cynic in me questions the added value of the management/services team that CCP claims to be, much the way I question the value of any one charity and its administrative cost/fees.

But by golly, I love a good story and even more so when it’s tied to free market forces at work.

Let’s hold a modern-day tent revival and scream those ugly words to the unitiated and insecure.  “Medicare!  Medicaid!  Obamacare!”  We can’t scare people directly so we use data and statistics about the decline of the family practice physician and the fact that the general population is aging, falling apart at the seams, especially if we don’t get personal attention of a person approved by the American Medical Association to hang up a shingle and start voodoo dances to perform miraculous healings, handing out prescriptions for magic beans blessed and issued by Big Pharma.

Seriously, though, when I want the attention of an MD at 2 in the morning, I’m going to have him/her on my speed dial list.  If it costs $1800/year to keep that number handy, then so be it.

Five bucks a day!  It’s the latte effect.

Now, will five dollars a day make me healthier?

Not necessarily, but it will make me think twice about my health.  After all, if I take my health more seriously by spending $150 per month for better/longer medical attention, don’t I want to take care of myself, pay more attention to me?

So, despite my misgivings, my cynicism, my longterm view of what is or is not important to me, when I go to GFMA tomorrow to get some places on my ears removed, my wife and I are going to drop about four large ones to move us up in the medical queue.

I’m sure it won’t be long before we go to a cash-only family physician system, leaving the Medicare/Medicaid/Obamacare patients with the outpatient clinics served admirably and honourably by non-MD staff.

In that case, statistics will bear out who’s healthier and who wants to be.

At the end of my life, only I can say for sure whether paying extra for personalised MD care added to my quality of life.

Affordable medical care — giving me more time and money to spend on the hobbies and [a]vocations that make me happy.

Here’s hoping that our physicians can get back to their pre-EMR number of traditional patients per hour.

There’s time for a dance lesson tomorrow!

[NOTE: this blog entry is written with the subcultural tone set in tonight’s presentation]

Never sleep in a news van bra-less with old people?

Another reason why I stopped watching the local news station, years after its weatherman, “Gary said it would be like this” Dobbs, a former neighbour of ours who always looked scary with his heavy cake makeup at the grocery store before/after going on the air, left and came back: the owners/producers have no sense of humour.

Beats shooting at people to get your mug shot in the news!

Daring to let go of past illusions

Are nation-states an illusion to you?  If so, read on…

[from the NY Times]

Garry Davis, Man of No Nation Who Saw One World of No War, Dies at 91

By
Published: July 28, 2013

On May 25, 1948, a former United States Army flier entered the American Embassy in Paris, renounced his American citizenship and, as astonished officials looked on, declared himself a citizen of the world.

Carl Gossett/The New York Times

Garry Davis, dean of the One World movement, in 1956. He had his own flag and passport, and often his own jail cell.

The New York Times

In 1948, five years before starting an agency to issue passports, Garry Davis distributed handbills in Paris. A stateless man, he was a relentless force behind a movement to erase national borders.

Associated Press

Mr. Davis ran for the United States presidency in 1988.

In the decades that followed, until the end of his long life last week, he remained by choice a stateless man — entering, leaving, being regularly expelled from and frequently arrested in a spate of countries, carrying a passport of his own devising, as the international news media chronicled his every move.

His rationale was simple, his aim immense: if there were no nation-states, he believed, there would be no wars.

Garry Davis, a longtime peace advocate, former Broadway song-and-dance man and self-declared World Citizen No. 1, who is widely regarded as the dean of the One World movement, a quest to erase national boundaries that today has nearly a million adherents worldwide, died on Wednesday in Williston, Vt. He was 91, and though in recent years he had largely ceased his wanderings and settled in South Burlington, Vt., he continued to occupy the singular limbo between citizen and alien that he had cheerfully inhabited for 65 years.

“I am not a man without a country,” Mr. Davis told Newsweek in 1978, “merely a man without nationality.”

Mr. Davis was not the first person to declare himself a world citizen, but he was inarguably the most visible, most vocal and most indefatigable.

The One World model has had its share of prominent adherents, among them Albert Schweitzer, Jean-Paul Sartre, Albert Einstein and E. B. White.

But where most advocates have been content to write and lecture, Mr. Davis was no armchair theorist: 60 years ago, he established the World Government of World Citizens, a self-proclaimed international governmental body that has issued documents — passports, identity cards, birth and marriage certificates — and occasional postage stamps and currency.

He periodically ran for president of the world, always unopposed.

To date, more than 2.5 million World Government documents have been issued, according to the World Service Authority, the group’s administrative arm.

Whether Mr. Davis was a visionary utopian or a quixotic naïf was long debated by press and public. His supporters argued that the documents he issued had genuine value for refugees and other stateless people.

His detractors countered that by issuing them — and charging a fee — Mr. Davis was selling false hope to people who spent what little they had on papers that are legally recognized almost nowhere in the world.

What is beyond dispute is that Mr. Davis’s long insistence on the inalienable right of anyone to travel anywhere prefigures the present-day immigration debate by decades. It likewise anticipates the current stateless conditions of Julian Assange and Edward J. Snowden.

Mr. Davis, who spoke about the One World movement on college campuses and wrote books on the subject, seemed impervious to his critics. In a voice trained to be heard in the last balcony (he was once a Broadway understudy to Danny Kaye), he would segue with obvious relish into a series of minutely reasoned arguments concerning the need for a world without nationalism.

“The nation-state is a political fiction which perpetuates anarchy and is the breeding ground of war,” he told The Daily Yomiuri, an English-language newspaper in Japan, in 1990. “Allegiance to a nation is a collective suicide pact.”

The quest for a unified earth was an objective on which Mr. Davis had trained his sights very early. It was born of his discomfort with a childhood of great privilege, his grief at the loss of a brother in World War II and his horror at his own wartime experience as a bomber pilot.

Sol Gareth Davis was born in Bar Harbor, Me., on July 27, 1921, a son of Meyer Davis and the former Hilda Emery.

Meyer Davis was a renowned society orchestra leader known as the “millionaire maestro”: at his height, he presided over an empire of 80 ensembles — employing more than a thousand musicians — which played at debutante balls, national political conventions and White House inaugurations.

Garry was reared in Philadelphia in a glittering milieu in which the family car was a chauffeured Rolls-Royce and family friends included Bob Hope and Ethel Merman. As a young man he was considered unserious, he later said, known for roguish wit but lacking direction.

After studying theater at the Carnegie Institute of Technology in Pittsburgh, Mr. Davis made his Broadway debut in October 1941 in a small role in “Let’s Face It!,” the musical comedy. He was also the understudy for its star, Mr. Kaye.

Then the United States entered the war. Mr. Davis and his older brother, Meyer Jr., known as Bud, went overseas — Bud with the Navy and Garry with the Army Air Forces, flying B-17 bombers. Bud Davis did not return: he was killed in 1943, when his ship, the destroyer Buck, was sunk off the coast of Italy by a German submarine.

That, and a dark epiphany during a bombing run over Brandenburg, Germany, Garry Davis later wrote, would alter his life’s course.

“Ever since my first mission over Brandenburg, I had felt pangs of conscience,” Mr. Davis wrote in a 1961 memoir, “The World Is My Country.” (The volume was later reissued as “My Country Is the World.”) “How many bombs had I dropped? How many men, women and children had I murdered? Wasn’t there another way, I kept asking myself.”

The other way, he came to believe, was to eradicate conflict by eradicating borders.

In November 1948, six months after renouncing his citizenship in Paris, Mr. Davis stormed a session of the United Nations General Assembly there.

“We, the people, want the peace which only a world government can give,” he proclaimed. “The sovereign states you represent divide us and lead us to the abyss of total war.”

His act, reported worldwide, earned the support of the intelligentsia, including Albert Camus, and of the French public, so recently racked by war. Less than two weeks later, speaking at a Paris auditorium, Mr. Davis drew a crowd of 20,000.

In 1949, Mr. Davis founded the International Registry of World Citizens and was soon inundated with requests to join from around the globe. “We’re bigger than Andorra,” he told The Boston Globe in 1981, when the registry was a quarter-million strong.

Today, more than 950,000 people are registered world citizens, according to the World Service Authority, based in Washington.

Mr. Davis, who lived for long periods in France, appeared on Broadway a few more times in the early 1950s, including in a revue called “Bless You All” and “Stalag 17,” the prisoner-of-war drama. But the One World imperative occupied him increasingly.

In 1953, he founded the World Government of World Citizens. The demand for its documents proved so brisk that he established the service authority the next year.

More than half a million world passports have been issued, though there are no statistics on the number of people who have successfully crossed borders with them. A half-dozen countries — Burkina Faso, Ecuador, Mauritania, Tanzania, Togo, Zambia — have formally recognized the passport. More than 150 others have honored it on occasion, according to the service authority.

Fees for the passport range from $45 (valid for three years) to $400 (for 15 years). The passport has text in seven languages, including Esperanto, the artificial international language.

Carrying world passport No. 1, Mr. Davis spent decades spreading his message, slipping across borders, stowing away on ships, sweet-talking officials, or wearing them down, until they let him in. The newspapers charted his comings and goings:

1949: “Garry Davis Arrested in Paris”; 1953: “Garry Davis Held Again: Arrested When He Camps Out Near Buckingham Palace”; 1957: “France Expels Garry Davis”; 1979: U.S. Court Rules ‘World Citizen’ Davis Is an Alien and Rejects His Passport; 1984: “Japan Expels American ‘World Citizen’ ”; 1987: “ ‘World Citizen’ Announces Presidential Bid.” (It was the United States presidency this time.)

In 1986, Mr. Davis ran for mayor of Washington, receiving 585 votes.

Mr. Davis was arrested dozens of times, usually for attempting to enter a country without official papers. He had canny ways of circumventing authority.

In the 1950s, when France was trying to deport him, he conspicuously shoplifted items from a Paris department store. (His haul, United Press reported, was “$47 worth of peach-colored lace panties, black-silk brassieres, black garter belts, lace petticoats and pink slips.”) He made certain he was arrested.

As a result of his arrest, Mr. Davis was legally enjoined from leaving the country.

Mr. Davis was married two or three times, depending on how one counts. His first marriage, to Audrey Peters, an American whom he courted by mail while detained in France and whom he met for the first time two weeks before their wedding in 1950, ended in divorce. In 1954, the newspapers reported his “marriage” at sea to Gloria Sandler in a ceremony he performed himself; that union, too, was dissolved. His marriage to Esther Peter in 1963 also ended in divorce.

Survivors include a daughter, Kristina Starr Davis, from his marriage to Ms. Peters; two sons, Troy and Kim, and a daughter, Athena Davis, who confirmed her father’s death, from his marriage to Ms. Peter; a sister, Ginia Davis Wexler; a brother, Emery; and a granddaughter.

His other books include “World Government, Ready or Not!” (1984) and “Dear World: A Global Odyssey” (2000). He was the subject of a short documentary, “One! The Garry Davis Story,” released in 2007.

In old age, Mr. Davis was far from idle. Last year, he had a world passport delivered to Mr. Assange, the founder of WikiLeaks, who has been holed up in the Ecuadorean embassy in London.

Just weeks before he died, Mr. Davis had a world passport sent, via Russian authorities, to Mr. Snowden, the fugitive former national security contractor accused of violating espionage laws, whose United States passport was revoked in June.

Mr. Snowden could not be reached for comment.

Everything is cosplay

At one point in their lives, people believed they made mistakes. They believed in right and wrong. They associated the give and take of energy at an organism level with the concept of higher brain functions called anthropomorphism.

Hi! I’m a new character you haven’t met but have seen. I have no name but I’m one of the Internet monitors who watch what you do by how your I/O changes with your environment when engaged with the phenomena, the nodes and connectors, of a loose network that more frequently replaces direct voice, sight, touch, and taste senses.

Would you rather read about someone winning a game than take the risk of playing the game yourself? If the game is just words and images on a flat surface (rendered in 3D!), is there less risk to your sense of safety?

The Internet gives your imagination more freedom to explore in a real but virtual universe while taking away your freedom from people like me tracking your thought patterns.

If you sat in a subterranean room and thought whatever you wanted, no one on the Internet would know what happened in your mental adventures. They could theorise, of course, and plot probabilities.

The Internet is just one tool of yours in the interaction between people and their environment.

Tools are benign implements. They make no mistakes.

You are a tool.

Deal with it.

The mysterious case of the missing math coprocessor

Living in a vacuum is a a curious phenomenon.

Words and phrases, a common means of communication between beings, feels foreign, disjointed, like stepping off a moving sidewalk with every step.

Yet, one cannot help oneself.

One must live, take nourishment from one’s surroundings.

One participates in odd rituals.  The neighbour down the street feeds the wild raccoons, mice, rats, rabbits, birds and insects.  One finds oneself killing them as they pass across one’s patch of planetary surface.

Not all of them.  The birds get by unscathed.  So do many of the insects.

But the mice, rats, and raccoons are fair game, their meat a little gamey.

One must live, collecting labour/investment credits for participation in the local barter system knows as the economy.

Thus, one decides to create a Kickstarter account, selling genuine Alabama-based wildlife meat as a means to stop burning down Brazilian rain forests for cow meat, adding certificates of authenticity “Killed in Alabama” with each sale, throwing in extras at higher donation points — a photo book documenting places where the wildlife called home before meeting an untimely end; a sticker stating “Rats taste better from Alabama” or “Mice — eat a heart of Dixie to save the rain forest”; and an ultimate offer for a free tour of local wildlife hangouts, trails and traps, with tips on catching critters and a chance to appear in the straight-to-YouTube series, “If it ain’t meat from Bama, it ain’t worth eatin’.”

One chooses one’s life path without using a compass, moral or magnetic.

Can one vacuum in a vacuum?