Democrats have a survey too — they just don't call it a Census

In the interest of fair-and-balanced commentary in this space, we want to report receipt of an Official Document from the Democrats. This one, unlike that decidedly suspect missile from the Republicans last week, does not advertise itself as an Official Census Document and does not raise the fear level to code red. It advertises itself as a 2010 Priority Issues Survey, which, in fact, it is.

The envelope, though, does bear the admonition: Do Not Tamper. We wonder who’s been tampering with Democratic issues, other than the hapless invaders of Louisiana Senator Mary Landrieu’s office. We’re not even sure how one can Tamper with an Official Document.

Nevertheless. Because the Democratic Party Headquarters bothered to send a fairly straightforward questionnaire, with a minimum of weighted sentences, below are listed a few considered responses to this “opportunity to help shape Democratic priorities and build a brighter future for America.” You are invited to send your own answers to www.dccc.org, even if you lack an Official Survey Registration number, and we’ll see who’s paying attention. One citizen’s response:

Yes, I believe waterboarding is torture and the U.S. has a moral responsibility to not engage in or condone any form of torture.

Yes, every American should be guaranteed access to affordable, quality health care.

No, I don’t support privatization of Social Security, but Yes, the Medicare prescription benefit plan should be reformed so the government can negotiate lower drug prices with big pharmaceutical companies. (Good luck with that, government.)

Yes, the federal government would do well to provide more assistance to Americans who want to continue their education beyond high school. Cutting student loan interest rates, increasing college tuition tax deductions, increasing Pell grants – all sound good to me.

Weighted question next: How concerned are you about the environmental damage resulting from last-minute Bush Administration maneuvers to weaken laws like the Clean Air Act, Clean Water Act and Endangered Species Act. Well, since I happen to agree, pretty darned concerned.

Slightly different phraseology question: How serious a threat is global warming? Thanks for not asking, as the Republicans did, if I believe it’s real. I’ll go with Very Serious.

That’s about it for the Democrats. They do also provide a postage-paid envelope, and they also invite your contribution.

If the Independents have an Official Survey going, it will be duly reported in this space.

Get smarter before the New Year? Sure you can

Scientific proof is limited. But this space, in the interest of staving off dementia while smartening up the general population, has been investigating recent reports on benefits of brain exercise. (One recent report in this space said crossword puzzles aren’t any big brain deal, which is mildly contradicted by the report below, which proves one cannot believe everything one reads online. Still… evidence is coming in.)

Doing crossword puzzles, reading, and playing cards daily may delay the rapid memory decline that occurs if people develop dementia, according to a U.S. study.

Researchers from New York’s Albert Einstein College of Medicine spent five years following 488 people aged 75 to 85 who did not have dementia at the start of the study.

Participants were tracked for how often they engaged in six endeavors: reading, writing, doing crossword puzzles, playing board or card games, having group discussions and playing music. Almost 1/4 of them developed dementia (that’s the bad news) during the study period. But the more engagement, the slower the decline.

Denise Park, PhD, founder of the Center for Vital Longevity at the University of Texas and a panelist on the recent brain fitness segment of PBS’ Life (Part 2) series, argued against crossword puzzles in this space (Can You Beef Up Your Brain, 12-09-09.) The social component (think tackling a new dance step) of brain exercise, she and many others maintain, is critical. Or the multi-layered element involved in learning to play a musical instrument or taking up photography — Park believes those sorts of endeavors will always beat crossword puzzles and solitary computer games.

Now comes Kathryn Bresnik of ProProfs.com. Bresnik isn’t quite ready to assert that you can improve your cognitive function right this minute by playing online brain games, but she cites a recent report (by Mary Brophy Marcus in USA Today) that the movement is gaining traction:

Computer games have been inching their way into the medical world over the last few years and though your local hospital may not become a mini-arcade, experts say patients can expect to see more gaming in medical settings in the years to come, especially brain games.

That report covered a recent Games for Health Conference in Boston, which for the first time featured a day of sessions specifically focused on gaming and cognitive health, and presentations by researchers from such mildly disparate sites as Massachusetts Institute of Technology and Warner Brothers Interactive Entertainment. (Pick which to believe.)

For the past two days, since being alerted to ProProfs.com, I have been sneaking over to their game page, doing things like the Family Word Search or the Quick Calculate math one. Being an admitted novice to computer games, I found it pretty nifty to have that little voice telling me That. Is. Correct. when I did something right, and presenting instant tallies of time and scores.

So, okay, I haven’t made it into the top 50 for this week, and the games I chose are probably designed for 7th graders rather than 70-somethings. But here’s the thing: Every day, my scores are just a tiny bit better. This seems proof, albeit slightly anecdotal, that I am getting smarter. You may want to give it a try. If I can get smart enough to embed the game that the site tells me I can embed into a blog, it will be done at a later date, and perhaps we can poll True/Slant readers for increased cognitive function.

One caveat: While you are doing computer games, you cannot be doing dishes. Or writing blogs, for that matter. Smartness has its price.

via A crossword puzzle a day may delay dementia – Aging- msnbc.com.

Gay Rights, Abortion Lose – – Meanness Wins. Is this the 50s?

The New York State Senate‘s rejection of a bill that would have allowed marriage between two people who love each other — but happen to be gay — is just the most recent in a string of set-backs in the area of gay rights. Other set-backs have been occurring, or are currently looming, in women’s rights, specifically reproductive rights. One wonders about the mood of this country.

This particular one wonders if anyone else is harking back, with more than a little sadness, to the 1950s. If you weren’t around then, I can tell you it was a strange decade. Great optimism for the future — well, there’s not much of that today — while simultaneously there was terrible meanness behind the McCarthy witch hunts and the denial of women’s rights, plus a certain amount of smugness embedded into a bland, national complacency.

At ladies’ bridge parties there were small china ashtrays on each corner of the table and the conversation usually drifted toward those lovely wonder drugs emerging to give instant relief for any problem. The conversation never drifted toward back-alley abortions, unless someone had recently died and the others knew how it had happened. Those of us who had jobs — running a house, entertaining for the husband’s business, raising children; those were not considered jobs — usually had male counterparts doing the exact same thing for twice the salary. One did not complain. If one were middle class white, and involved in any sort of civil rights work, one never brought that up at the bridge table.  It was a strange decade.

Today’s New York Times story quotes senators who voted against the same-sex marriage bill as saying “the public is gripped by economic anxiety and remain(s) uneasy about changing the state’s definition of marriage.” The San Francisco Chronicle article includes a comment from sponsoring Senator Thomas Duane, “I wasn’t expecting betrayal.” I’m sure those are both accurate reports. Whatever its underlying economic, political or social fears, the public seems also to harbor a degree of meanness in discounting the rights of others.

If you substitute a measure of cynicism or hopelessness about the future for the complacency of a half-century ago, and throw in the self-righteousness of those who for religious or political reasons justify the denial of rights to their fellow citizens, it’s easy to draw parallels between this decade and that one long ago.

In the fifties the groundwork was being laid for civil rights, for women’s liberation, for Roe v Wade and the upheavals that eventually led to progress, by courageous and energetic people of all sorts. I wish I could list myself in that number; I was at the bridge table trying to pretend normalcy in a life gone amok.  Today there are others working just as hard for the rights of their fellow men and women.

I hope they can keep the faith.

Menopausal Militia Mobilize for Choice

Bart Stupak is probably a nice, regular guy. It’s just that he belongs to a sub-species which cannot fully understand the need for a woman’s right to choose to have an abortion. As it turns out, a growing number of the other sub-species don’t fully understand it either. This is because that right has existed since before they were born. One person who does understand is Representative Louise Slaughter, for whom the right to choose is not just an abstract. The battle now being fought by Slaughter and others is detailed in a New York Times article by Sheryl Gay Stolberg:

In the early 1950s, a coal miner’s daughter from rural Kentucky named Louise McIntosh encountered the shadowy world of illegal abortion. A friend was pregnant, with no prospects for marriage, and Ms. McIntosh was keeper of a secret that, if spilled, could have led to family disgrace. The turmoil ended quietly in a doctor’s office, and the friend went on to marry and have four children.

Today, Louise McIntosh is Representative Louise M. Slaughter, Democrat of New York. At 80, she is co-chairwoman of the Congressional Pro-Choice Caucus — a member of what Nancy Keenan, president of Naral Pro-Choice America, calls “the menopausal militia.”

The militia was working overtime in Washington last week, plotting strategy for the coming debate over President Obama’s proposed health care overhaul. With the Senate set to take up its measure on Monday, a fight over federal funding for abortion is threatening to thwart the bill — a development that has both galvanized the abortion rights movement and forced its leaders to turn inward, raising questions about how to carry their agenda forward in a complex, 21st-century world.

Not all stories such as that of Louise McIntosh’s friend had happy endings. More of them ended in doctors offices only after botched abortions left women permanently scarred and frequently barren, although last-minute treatment led to survival. Still more of them ended in terrible pain, isolation and death. But because those stories slowly faded into abstractions, even the women who will write new ones when legal abortion is denied them have a hard time understanding how critical this fight for health and sanity is.

It has been nearly 37 years since Roe v. Wade, the landmark Supreme Court decision that established a right to abortion, and in that time, an entire generation — including Mr. Obama, who was 11 when Roe was decided — has grown up without memories like those Ms. Slaughter says are “seared into my mind.” The result is a generational divide — not because younger women are any less supportive of abortion rights than their elders, but because their frame of reference is different.

“Here is a generation that has never known a time when abortion has been illegal,” said Anna Greenberg, a Democratic pollster who studies attitudes toward abortion. “For many of them, the daily experience is: It’s legal and if you really need one you can probably figure out how to get one. So when we send out e-mail alerts saying, ‘Oh my God, write to your senator,’ it’s hard for young people to have that same sense of urgency.”

Polls over the last two decades have shown that a clear majority of Americans support the right to abortion, and there’s little evidence of a difference between those over 30 and under 30, but the vocabulary of the debate has shifted with the political culture. Ms. Keenan, who is 57, says women like her, who came of age when abortion was illegal, tend to view it in stark political terms — as a right to be defended, like freedom of speech or freedom of religion. But younger people tend to view abortion as a personal issue, and their interests are different.

The 30- to 40-somethings — “middle-school moms and dads,” Ms. Keenan calls them — are more concerned with educating their children about sex, and generally too busy to be bothered with political causes. The 25-and-under crowd, animated by activism, sees a deeper threat in climate change or banning gay marriage or the Darfur genocide than in any rollback of reproductive rights. Naral is running focus groups with these “millennials” to better learn how they think.

“The language and values, if you are older, is around the right to control your own body, reproductive freedom, sexual liberation as empowerment,” said Ms. Greenberg, the pollster. “That is a baby-boom generation way of thinking. If you look at people under 30, that is not their touchstone, it is not wrapped up around feminism and women’s rights.”

Abortion opponents are reveling in the shift and hope to capitalize. “Not only is this the post-Roe generation, I’d also call it the post-sonogram generation,” said Charmaine Yoest, president of Americans United for Life, who notes that baby’s first video now occurs in the womb, often accompanied by music. “They can take the video and do the music and send it to the grandmother. We don’t even talk anymore about the hypothesis that having an abortion is like having an appendectomy. All of this informs the political pressures on Capitol Hill.”

Well, I am the grandmother. Those videos are not the baby. They are images of an embryo in the body of a sentient human being whose life does not belong to Bart Stupak.

The women who will suffer and die if the right to choose a legal abortion is denied, though, are not women who get pretty little sonogram videos made for their grandmothers and their scrapbooks. They are the very young, the desperate, the poor. They deserve respect. They have rights.

The pressures relating to abortion had seemed, for a time, to go dormant. Mr. Obama, who campaigned on a vow to transcend “the culture wars,” even managed to win confirmation of a new Supreme Court justice, Sonia Sotomayor, without the usual Washington abortion uproar. Most of his political energy around abortion has been spent trying to forge consensus on ways to reduce unintended pregnancies.

The quiet was shattered this month, when the House — with surprising support from 64 Democrats — amended its health care bill to include language by Representative Bart Stupak, Democrat of Michigan, barring the use of federal subsidies for insurance plans that cover abortion. Lawmakers like Ms. Slaughter, who advocate for abortion rights, found themselves in the uncomfortable position of voting for the larger health bill even though the Stupak language was in it.

Proponents of the Stupak language say they are simply following existing federal law, which already bars taxpayer financing for abortions. Democratic leaders want a less restrictive provision that would require insurance companies to segregate federal money from private premiums, which could be used to purchase plans that cover abortion.

Representative Debbie Wasserman Schultz, Democrat of Florida and chief deputy whip of the House, blames what she calls the complacency of her own generation for the political climate that allowed Mr. Stupak to prevail. At 43, the mother of three children, she has taken up the abortion rights cause in Congress, as she did as a state legislator.

But if she had to round up her own friends “to go down to the courthouse steps and rally for choice,” she said, she is not certain she could. When older women have warned that reproductive rights are being eroded, she said, “basically my generation and younger have looked at them as crying wolf.”

Unfortunately, reproductive rights have already been eroded, and it’s about to get worse.

The question now is whether the Stop Stupak coalition can succeed. Ms. Wasserman Schultz sees the debate as a chance to rouse women of all generations, and Ms. Slaughter warns that if Mr. Obama signs a bill including the amendment, it will be challenged in court. She says she has worried for years about what would happen “when my generation was gone.”

At the moment, her concern has diminished. “Right now, I’ve never seen women so angry,” Ms. Slaughter said. “And the people that were angriest with me were my three daughters.”

Being a member of Ms. Slaughter’s generation myself, my concern is still pretty high. My concern is for those women who don’t have the education, access and opportunities of our own daughters and granddaughters, those women who will suffer and die if their rights are taken away. If we have to cave to the likes of Bart Stupak — and the ultra-conservatives, and the U.S. Conference of Catholic Bishops — in order to get a health bill, then so be it. But once we get a bill, the Menopausal Militia will continue to fight for those women threatened with suffering and death. Because we remember the stories, and they are terrible stories.

In Support of Abortion, It’s Personal vs. Political – NYTimes.com.

Mr. & Mrs. Salahi vs Emily Post

Tired of the party crashers who won’t disappear? Aren’t we all. But since they are now accepting bids for TV appearances or something, they are clearly going to need a lot more high-priced agents and lawyers and publicists, and the least we can do in this space is offer a few more lines of coverage to help out.

One thing seems to be missing in all this. We are obsessing about security, and celebrity status or lack thereof, and too much or too little media coverage, and the excesses of reality TV which I have to admit to never having seen. But what about decorum? Could we sit the Salahis down with Letitia Baldrige? Preferably in a small, closed room? Lock them up in there (just Mr. and Mrs. Salahi, that is) until they finish Miss Manners’ Guide to Excrutiatingly Correct Behavior, every last word?

I grew up on Emily Post myself. Extend a hand contrary to the way Emily instructed (Ms. Salahi’s casual finger-work on Vice President Biden’s chest? Good grief) and one would suffer terrible, unrelenting embarrassment.

I think these people don’t know how to spell embarrassment. And as my Emily Post Book of Etiquette-bearing mother would say, “More’s the pity.”

The after-Thanksgiving 9-inch plate diet

At a very special holiday feast yesterday, one super-health-conscious guest chose a small plate for his buffet serving rather than the elegant-size plates of the rest of us. It was, he maintained, a matter of not having seen the table around the corner where the elegant-sizes were laid out, but he did manage to mention something about smaller portions being sufficient…

So. Now that you are, perhaps, stuffed with stuffed turkey, this space is pleased to pass along a novel idea passed along several days ago by Washington Post writer Jennifer LaRue Huget:

The holiday season brings with it an overabundance of advice on how to avoid gaining weight in the face of all those festive meals, cocktail parties and plates of cookies brought in by co-workers. Depending on whose advice you’re inclined to heed, you can cut back on carbs, mind the glycemic index of the foods before you, fill up on fat or count every calorie.

Or maybe you could just use smaller plates.

That’s the premise of “The 9-Inch ‘Diet’ ” (PowerHouse), a book published last November by a pair of advertising executives that makes a strong visual and verbal argument that much of America’s weight problem stems not from eating the wrong foods but from eating too much.

Alex Bogusky, who wrote the book with Chuck Porter, is best known for his work on the “Truth” anti-tobacco ad campaign. He starts the book with a simple tale. Having just bought a lakeside cottage built in the 1940s, he and his wife went out to stock up on dinnerware. But the plates they bought (regular ones from somewhere like Target) didn’t fit, no matter which way he tried to jam them in the cupboards. Slowly it dawned on him that those cupboards had been built with much smaller plates in mind. Further research revealed that while most dinner plates today measure 12 inches, in the middle of the past century the standard was nine inches.

And so a “diet” was born. (Bogusky notes that it’s not a diet at all — and thank goodness, as most diets don’t work in the long run, he observes.) Bogusky replaced his plates with vintage nine-inchers, and he and his family adjusted their serving sizes accordingly. “Research has proven,” Bogusky told me in an e-mail, “the mind is a much bigger trigger for how and when we feel satisfied and full than anybody had formerly realized. More so than the stomach.” As a result, he says, he’s eating considerably less food at every meal.

And you can, too.

“The 9-Inch ‘Diet’ ” is a fun read, chock-full of images that show how the continual super-sizing of American food-serving vessels has led to our consuming ever-increasing portions. Obviously, the diet is just a way of exercising portion control. But it’s an elegant and adaptable way.

Huget explains the subtleties of this system: you take smaller portions, which means you select and cook foods that will work (forget the 12-oz steaks and indivisible barbecued ribs…), and explains why, as the book in question has been around for a year, she is now bringing it up:

…I know it works, and I knew so even before reading the book. Last Thanksgiving, feeling sentimental, I dug out of my attic my Grandma LaRue’s 1950s-era dinnerware, including her nine-inch plates, in a pattern my husband and I have long referred to as “Hideousware.” They looked kind of Thanksgiving-y, so we used them at our celebration. The plates were indeed tiny. And we all ate less than usual — without really noticing.

I have to admit, I noticed what my very fit and healthy friend was consuming on his 9-inch plate.  Maybe a little bit less than I had on my elegant one. But if one were also to pass on the offering of seconds, and then not sneak extra bites when helping clean up, or pick friends whose dinners aren’t as delicious as my friend Liz’ …  There may be another diet book here.

Meanwhile, you might want to stimulate the economy by getting a new set of 9-inch plates before the next holiday season.

Jennifer LaRue Huget – Eat, Drink and Be Healthy: 9-inch plates are key to diet success – washingtonpost.com.

God, Thanksgiving & Mother Theresa

Former San Francisco Mayor Art Agnos spoke briefly, and with holiday hilarity, this morning to several hundred Christians, Muslims, Jews, Buddhists and assorted other believers at the annual San Francisco Interfaith Thanksgiving Breakfast — “the biggest crowd I ever addressed at seven in the morning.” The event highlighted some of the work the SFIC does in the city: an annual winter shelter for homeless men, a citywide disaster preparedness program, a variety of ongoing efforts to promote understanding, cooperation and general interfaith goodwill. Agnos told a tale of encountering Mother Theresa which is condensed and paraphrased below as a Thanksgiving present from this space.

Coming home one Sunday night during his tenure, the mayor got a message (this was in the late 1980s, pre-cellphones) from his wife saying Mother Theresa was at their door. (“What should I do?” “Let her in.”)  When he walked into the living room, sure enough, there was the diminutive nun in her blue and white habit, seated on the Agnos’ sofa with another nun on each side. She wanted the mayor, she explained, to secure a particular piece of property for her good works. It was after 9 PM.

“I’ll get right on it, first thing in the morning,” Mayor Agnos said.

“No,” said the tiny nun in her quiet voice. “God’s work does not wait until morning.”

The property in question was in an area of town into which few ventured after dark. When that factor was mentioned as cause for caution, however, Mother Theresa would have none of it. “God,” she said in her still-quiet voice, “will protect us.”

So the mayor, the three nuns, the mayor’s wife (who wasn’t about to miss this experience) and a police bodyguard Mayor Agnos invited along just in case God wasn’t paying attention, climbed into a police car and drove to the building in question. Working their way through a fence which had long before been erected around the property, they walked around the back to find a small group of homeless men gathered around a fire. It was not only getting later all the time, it was mid-winter.

“Oh,” the men said in unison, “it’s Mother Theresa.” She blessed them. Then the mayor asked if the building did indeed belong to the city. “Well, yes,” they said, “but we’ve been living here for several years and nobody’s bothered us.” So the mayor assured the nun that he would get to work on her request first thing in the morning.

She was not finished. Next, she wanted to see about another piece of property, this one necessitating a trip to San Francisco General, the City/County hospital of last resort for citizens in need. By now it was getting on towards midnight.

At that hour at San Francisco General, Mayor Agnos explained, most of the people on site are the cleaning crews and base-level helpers — all of whom immediately recognized Mother Theresa. “When we got ready to leave,” said Agnos, “it was like a football huddle. Everybody in the area gathered around this tiny nun you couldn’t even see in the middle of the crowd.”

“When you die and go to heaven,” said Mother Theresa to her fellow laborers, “you will meet God. And God will bless you for your good work.”

“So,” concluded the Mayor as he opened his arms to indicate those around the room, “when you die and go to heaven, you will meet God. And he or she, whomever, will bless you for your good work.”

Makes you thankful to be in the presence of so many people doing good work.

Skip mammograms, quit breast self-exams, and maybe lighten up on 'defensive medicine' while we're at it

All those mammograms, self-exams and dutiful attention to catching breast cancer at the very first sign? Forget it. Might even do more harm than good.

As summarized by Associated Press writers Stephanie Nano and Marilynn Machione late Monday,
Most women don’t need a mammogram in their 40s and should get one every two years starting at 50, a government task forcesaid Monday. It’s a major reversal that conflicts with the American Cancer Society‘s long-standing position.

Also, the task force said breast self-exams do no good and women shouldn’t be taught to do them.

For most of the past two decades, the cancer society has been recommending annual mammograms beginning at 40.

But the government panel of doctors and scientists concluded that getting screened for breast cancer so early and so often leads to too many false alarms and unneeded biopsies without substantially improving women’s odds of survival.

“The benefits are less and the harms are greater when screening starts in the 40s,” said Dr. Diana Petitti, vice chair of the panel.

The new guidelines were issued by the U.S. Preventive Services Task Force, whose stance influences coverage of screening tests by Medicare and many insurance companies.

But Susan Pisano, a spokeswoman for America’s Health Insurance Plans, an industry group, said insurance coverage isn’t likely to change because of the new guidelines. No changes are planned in Medicare coverage either, said Dori Salcido, spokeswoman for the Health and Human Services department.

Maybe, just maybe, a clearer look at breast cancer screening could be accompanied by a good look at a little of the other possibly unnecessary and extraordinarily pricey “defensive medicine” going on around the country. What a fine way that would be to hold down costs and save a lot of time and angst. In another recent article (November 5) published in the San Francisco Chronicle, Associated Press reporter Steve LeBlanc wrote of how the costs of “defensive medicine,” along with malpractice insurance and lawsuit awards, are adding significantly to the soaring costs of health care.

LeBlanc illustrates the issue with a story that rings sadly true:

Dr. James Wang says he tries to tell his patients when medical procedures aren’t necessary. If they insist, though, he will do it – not so much to protect their health as his own practice.

After being sued for allegedly failing to diagnose a case of appendicitis, Wang says he turned to what’s known as “defensive medicine,” ordering extra tests, scans, consultations and even hospitalization to protect against malpractice suits.

“You are thinking about what can I do to prevent this from happening again,” he said, adding that he did nothing wrong but agreed to a minor settlement to avoid a trial.

We have, LeBlanc explains, doctors battling malpractice premiums and lawyers saying malpractice suits discourage bad medicine — meanwhile, the costs of it all add up to some ten percent of health care expenditures.

We the public, healthy and sickly alike, are caught in the middle. Could we not somehow declare a truce? We’ll quit rushing to sue, lawyers back off from chasing ambulances, doctors go about the business of practicing medicine according to patient need rather than fear of consequences. Seems like a good idea to me, but I’m not holding my breath.

I’m also not having any more mammograms any time soon.

New advice: Skip mammograms in 40s, start at 50 – Yahoo! News.

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