Of course Republicans can’t repeal ObamaCare. It’s because they’re conservative. – The Week Magazine

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"Conservative," "liberal," and "progressive" don't mean what you think they mean. But it's not your fault.

In common American parlance, we use "conservative" to refer to those who want a smaller government meaning lower taxes, less spending (especially domestic welfare spending), and a less active regulatory state. Of course, the term has implications for social and foreign policy, too, but the connection there isn't quite as strong. Consider that we use modifiers like "social conservatism" or "paleo-conservatism" or "neo-conservatism" to specify some of those positions, but no modifier is necessary to communicate the affection for small government.

"Liberal" and "progressive," meanwhile, are used almost interchangeably to designate those who want a bigger government meaning higher taxes (mainly on the rich, of course), more spending (again, principally on social programs), and a more active regulatory state.

These definitions are deeply misleading. They are holdovers from an earlier era of American politics that have become anachronistic, sowing confusion and frustration in the process.

Properly understood, all three of these approaches are fundamentally positional, which is to say each only exists in reference to the politics and culture of the present and recent past. None of them offers a static vision of the proper role of government and shape of society like what we get from non-positional views like socialism, libertarianism, or monarchism.

Properly understood, a progressive is someone who looks at their country and government as it is now and recently has been and offers ideas for how to advance, or progress, the human condition, significantly (though not entirely) through positive government action. A liberal is someone who, on making the same assessment, has suggestions for liberalizing, which is to increase individual choice, equality, and freedom. A conservative is someone who takes in the same view and attempts to conserve valued aspects of the status quo, whether by maintaining them or, if they have recently declined, reviving those traditions.

As you can see, the starting point for any of these views is of enormous importance. What is progressive in one context may be conservative in another. A program that is liberalizing in a very restrictive time and place might itself be restrictive in a more liberal society.

The contrast with content-based philosophies like socialism, libertarianism, or monarchism is evident: A socialist, for example, wants to move toward collective ownership of the means of production and distribution regardless of starting point. The path to that goal might vary depending on whether it begins with feudalism or anarchy or liberal democracy or what have you, but the socialist's ideal is not positional.

In American politics, we've come to define positional terms incorrectly because we've tied them to their referential location from about a century ago. To be conservative in the time of Calvin Coolidge meant conserving small government, because that was the position of the United States in the present and recent past of the 1920s. It is not the present and recent past of the United States today, saddled as she is, for better or worse, with a sprawling state bureaucracy whose scale and scope has long since grown past anything that might be reasonably called "small."

Thus, to be conservative today cannot mean to be an advocate of small government. That is a goal that can be sought and is sought by libertarians or those with some libertarian impulses but it is not a status quo that can be conserved.

And that brings me to the Republican government of President Trump, House Speaker Paul Ryan, and Senate Majority Leader Mitch McConnell. The GOP brands itself as America's conservative party, and that's true, but not in the way the GOP itself and the bulk of the American public believes. Republicans are conservative (as indeed are many Democrats, notably in the Hillary Clinton wing of the party), but only under the correct definition, which is to say they like to keep things mostly as they are. They seek to conserve what they value in the status quo and recent past.

You can see this truth writ large in the GOP's failure to repeal and replace ObamaCare despite promising to do exactly that and controlling both houses of Congress plus the White House. To get rid of ObamaCare, at this point, would mean making an enormous change to the status quo, which is not conservative in the proper sense of the word.

This equally explains why, for all the talk about reining in Washington, electing a Republican government does not produce any substantial cuts to the size and scope of the state. Republican administrations don't make government radically smaller because doing so is not conservative from the current starting point.

Republican conservatism also at once explains the GOP's lust for the great, big, beautiful border wall as well as its failure, so far, to actually build it. (I must pause here to note the too-ignored fact that border walls and fences already cover just about all the parts of our southern border where they realistically can be built.) The wall is intended to maintain the United States' cultural and political status quo, but actually building it, particularly with Mexico footing the bill, would be a new and therefore in this sense non-conservative thing.

This disparity between how the GOP's conservatism is broadly understood and how it functions in governance is at once fostered and concealed by our sloppy political language. I confess that I don't have much hope of that sloppiness going away; attempts to reclaim or redefine words in popular conception are almost never as effective as their advocates intend. Still, without some change to our public lexicon, or at least an update to the reference point of these positional terms, that confusing, frustrating disparity will only grow.

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Of course Republicans can't repeal ObamaCare. It's because they're conservative. - The Week Magazine

Dist. 16 election: Libertarian Jason Dubrow, in his own words – The Union Leader

By JASON DUBROW July 20. 2017 9:38PM Libertarian candidate Jason Dubrow takes a question during an interview at the New Hampshire Union Leader on June 28, 2017.(DAVID LANE/UNION LEADER) I am Jason Dubrow, a computer engineer living in Dunbarton with my wife, Rebecca, and two children Cassiopeia (7), and Callisto (15 months). Rebecca and I maintain a small farm with chickens, gardens, and a number of beehives. We installed solar panels many years ago to offset our carbon footprint.

New Hampshire has the fifth highest electric rate in the country, the highest in New England. Neighboring states with high electric subsidies, yield higher wholesale rates, in addition to higher property taxes on power generation plants are major culprits for our high electricity costs. I will address high property taxes, which are passed on to the rate payer to lower electric rates. The high cost of electricity is a deterrent to bring new businesses from out of state. If this does not change, our economic growth will stagnate.

Every child should have access to a diverse network of educational opportunities to meet the demands of the 21st century. We continue to educate our children with a one size fits all system. Without a competitive, diverse system of education, our children are left behind. We need more opportunities for our children in New Hampshire regardless of their socioeconomic class to meet the 21st century needs and challenges they face. I will work to open the doors to ensure all children, especially to ensure low income, are not limited to a single option for their education.

Concord uses the same tried and failed methods of solving the drug crisis. We are not winning this battle. We need to follow Portugals lead and decriminalize all drugs. I will work to ensure money targeted for rehabilitation of drug addicts is used for that purpose rather than failed policies such as policing or life support for addicts.

Our state needs new ideas, not a swinging pendulum of the old tired two-party system. And we wonder why government is unable to solve real problems? The Libertarian Party has a wide range of new ideas that will end the duopoly in Concord and force a tripartisan, innovative solution to the problems that face our state. I will work to ensure we keep New Hampshire TRI-partisanship alive with new ideas.

As John Adams once said, Government is instituted for the common good: for the protection, safety, prosperity and happiness of the people. And not to profit.

Yours in liberty.

Jason Dubrow of Dunbarton is the Libertarian nominee for state Senate District 16.

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Dist. 16 election: Libertarian Jason Dubrow, in his own words - The Union Leader

Author’s Claim That Calhoun Was Major Inspiration for Nobel-Winning Libertarian Is Absurd – The Chronicle of Higher Education (blog)

July 20, 2017

To the Editor:

Democracy in Chains author Nancy MacLean misrepresents my criticism of her connecting the work of my late colleague James Buchanan to that of John C. Calhoun (Nancy MacLean Responds to Her Critics, The Chronicle Review, July 19). My criticism is not that she drew a parallel between Buchanans political economy and that of John C. Calhoun. Instead, my criticism as I say plainly in the essay linked in your report is of her claim that the core ideas of Buchanan (and of others scholars who work in Buchanans tradition) come from John C. Calhoun. Had MacLean merely drawn a parallel between Buchanans efforts to study and compare different constitutional rules and Calhouns similar efforts, Id have raised no protest. But by asserting in her interview with the New Republic that Buchanans ideas trace back to John C. Calhoun andin her book describing Calhoun as the intellectual lodestar of Buchanan and others who work in the classical-liberal tradition she is demonstrably mistaken.

First, Buchanan never mentions Calhoun in any of his vast writings. Second, in an appendix to The Calculus of Consent his most famous book (co-authored with Gordon Tullock) Buchanan not only explicitly identifies several political thinkers as inspiration (nearly all of whom, by the way, pre-date Calhoun), he also explains in detail how their works influenced his own; these explicitly identified precursors to Buchanans political thought include Johannes Althusius, Thomas Hobbes, David Hume, Wilhelm von Humboldt, James Madison, and Baruch Spinoza. Again, they do not include Calhoun.

Somehow overlooking Buchanans own very clear mention of the thinkers whose ideas he found to be especially influential, MacLean contrary to all available evidence claimed in her book and in her interview that the major inspiration for Buchanans ideas is Calhoun. That claim is not only unsubstantiated, it is preposterous.

Donald J. Boudreaux Professor of Economics and Martha and Nelson Getchell Chair for the Study of Free Market Capitalism at the Mercatus Center George Mason University Fairfax, Va.

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Author's Claim That Calhoun Was Major Inspiration for Nobel-Winning Libertarian Is Absurd - The Chronicle of Higher Education (blog)

Quake damages buildings on Greek island; 2 killed, 120 hurt – ABC News

A powerful earthquake shook the Greek resort island of Kos overnight, damaging older buildings and the main port, killing at least two people and causing more than 120 injuries.

The 6.5-magnitude quake about 1:30 a.m. Friday rattled other islands and Turkey's Aegean coast as well, but Kos was nearest to the epicenter and appeared to be the worst-hit, with all of the deaths and injuries reported there. Fallen bricks and other debris coated many streets, and the island's seafront road and parts of the main town were flooded by a small tsunami.

Giorgos Hadjimarkos, regional governor, said four or five of the injuries were "worrying" and damaged buildings were being inspected, but the "main priority at the moment is saving lives." The Kos hospital said at least 20 of the injured had broken bones.

A wall collapsed on a building dating to the 1930s and it crushed people who were at the bar in the building's lower level, according to Kos Mayor Giorgos Kyritsis. "There are not many old buildings left on Kos. Nearly all the structures on the island have been built under the new codes to withstand earthquakes," the mayor said.

Kos's "old town" area, full of bars and other nighttime entertainment, was littered with broken stone in the streets. Hotels had shattered glass and other damage, leaving hundreds of tourists to spend the rest of the night outdoors, trying to sleep on beach loungers with blankets provided by staff.

"The instant reaction was to get ourselves out of the room," said Christopher Hackland of Edinburgh, Scotland, who is a scuba instructor on Kos. "There was banging. There was shaking. The light was swinging, banging on the ceiling, crockery falling out of the cupboards, and pans ...

"There was a lot of screaming and crying and hysterics coming from the hotel," he said, referring to the hotel next to his apartment building. "It felt like being at a theme park with one of the illusions, an optical illusion where you feel like you're upside down."

Authorities had warned of a localized tsunami, and witnesses described a "swelling" of the sea after the earthquake. A seafront road and parts of the island's main town were flooded, and the rising seawater even pushed a boat onto the main road and caused several cars to slam into each other. Ferry service was canceled until daylight because Kos's main port was damaged, and at least one ferry en route to the port was unable to dock.

Other buildings damaged included an old mosque where a minaret collapsed and a 14th-century fortress at the entrance to the main port. Minor damage cracks in buildings, smashed windows and trashed shops appeared widespread.

Rescuers were checking for trapped people inside houses after the quake struck in the middle of the night and were heading to outlying villages to check for damage.

Greek officials said the quake was 6.5-magnitude and the numerous aftershocks were weaker but still could put at risk the buildings that were already damaged. The epicenter was 6 miles (10 kilometers) south of Bodrum, Turkey, and 10 miles (16 kilometers) east-northeast of Kos with a depth of 6 miles (10 kilometers).

In Turkey, the ensuing panic caused minor injuries, according to Esengul Civelek, governor of Mugla province.

In Bitez, a resort town about 6 kilometers (4 miles) west of Bodrum, the quake sent frightened residents running into the streets.

Hotel guests briefly returned to their rooms to pick up their belongings but chose to spend the rest of the night outside, with some using sheets and cushions borrowed from nearby lounge chairs to build makeshift beds.

Greece and Turkey lie in an especially earthquake-prone zone.

Associated Press journalists Ayse Wieting in Bitez, Turkey; Elena Becatoros in Saranda, Albania; and Ron DePasquale in New York contributed to this report.

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Quake damages buildings on Greek island; 2 killed, 120 hurt - ABC News

10 Posh Private Islands You Could Buy Today – TheStreet.com

Climate change and rising seas may kill the dream of buying a private island someday, but today isn't that day.

Whether you're a Baby Boomer who grew up watching Gilligan's Island and thinking "I could go for shipwrecking the Minnow right about now" or a Millennial who sees DJ Khaled's video for "I'm The One" and thinks a private island may be the best way to get Quavo (or a lesser member of Migos) to your house, a private island is still an option for homebuyers.

Granted, the "private island" that comes to mind when you think of that phrase may be somewhat less attainable. If you want to live on a Great Lake, on an island in an intercoastal, somewhere in the Prince Edward Islands or just between Connecticut and Long Island on the Long Island Sound, that might be an attainable dream. If you'd rather have an archipelago all to yourself in the Caribbean or South Pacific, you'd best get cracking on the latest technological advance, or pop hit.

It takes a lot of cash just to have an island wired and plumbed enough for you to live there. It takes extraordinary amounts of money to get all of that infrastructure -- not to mention actual structures and the equipment needed to build them -- out to that island. If you want to hire enough labor to finish that project in enough time for you to enjoy the place, that's going to get costly as well.

The folks at luxury marketplace James Edition know this and keep private islands in a portfolio of some of the priciest real estate on the planet. The buy-in price of their private islands starts north of $1 million -- and that's if you like skating home from the mainland in Sweden. If you want an island that's somewhere warm, private and already teeming with amenities, get ready to spend seven figures.

With James Edition's help, we found 10 private islands just waiting for someone with the right temperament and net worth to call them home.

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10 Posh Private Islands You Could Buy Today - TheStreet.com

Bird islands important for wildlife, biologist test some for GenX – WWAY NewsChannel 3

Bird Island (Photo: Hannah Patrick)

NEW HANOVER COUNTY, NC (WWAY) Nine islands along the Cape Fear River are home to thousands of birds. No humans are allowed, but Thursday we got to ride along with one of the people who patrols and monitors the bird islands.

From Ferry Slip Island to South Pelican Island Coastal Biologist with Audubon Lindsay Addison saidthere are about twenty species of birds that inhabit the nine bird islands.

Its a very special place for birds, Addison said. Back in the 1960s 1970s, Dr. James Parnell of UNCW was really the first guy that kind of started to realize how important these islands were for birds.

It is a place that is off limits to you and me.

Even though we dont mean any harm and we might want to land on these islands because they are so amazing and were so curious, Addison said.

Addison said people cannot anchor or walk on the bird islands.

Were much bigger than they are, Addison said. We look like big scary pink monsters to them, so when we approach their nesting area, the adults tend to fly up leaving their eggs and chicks exposed to different types of threats which could cause adults to abandon the colony site all together.

Addison said the islands on the Cape Fear River are home to almost a third of the states bird population.

If you do see someone walking along one of the nine bird islands, it is probably Addison tagging birds, counting or monitoring them, or making sure no one else is walking around the island.

The islands are closed to landing from April first to August 31 and thats for protection of these birds as they raise their young, Addison said.

Addison said there are not many places like this in the country.

Although there are bird islands all along the coast, theres not a lot of places for them and so thats why its very important that we keep places that they can use that do have the right combination of characteristics that we keep them safe for the birds, Addison said.

Addison also said they have sent a couple of young birds that died of natural causes to a graduate student who is going to test them for GenX.

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Bird islands important for wildlife, biologist test some for GenX - WWAY NewsChannel 3

Fernanda, now in Central Pacific, expected to dissipate north of islands – Honolulu Star-Advertiser

Top News| Weather

By Star-Advertiser staff

Posted July 20, 2017

July 20, 2017

Updated July 20, 2017 6:15pm

COURTESY NATIONAL WEATHER SERVICE

Tropical Storm Fernandas forecast cone.

Tropical Storm Fernanda, which crossed over into the Central Pacific today, is expected to continue weakening until it dissipates Monday north of the state.

At 5 p.m. today, Tropical Storm Fernanda was about 900 miles east of Hilo and packing maximum sustained winds of 50 mph, according to the Central Pacific Hurricane Center on Oahu. Fernanda is moving west at 12 mph. Tropical-storm-force winds extend outward up to 80 miles from the center.

The storm peaked as a Category 4 hurricane in the Eastern Pacific last weekend, but has been fading as it moves over cooler waters and faces wind shear.

The forecast calls for continued weakening with Fernanda becoming a remnant low during the next 24 to 36 hours, the hurricane centers 5 p.m. update said. Fernanda should dissipate by Monday.

Although impact to our state should remain minimal residents should be prepared for high surf and the potential for heavy rains and high humidity beginning this weekend, Honolulu city officials said earlier today. They said the approaching storm should serve as a reminder to residents to discuss their hurricane preparedness plans.

An east swell generated by Fernanda has led to a high surf advisory for eastern shores of the Big Island and Maui, with waves from 5 to 8 feet expected at least through 6 a.m. Friday. Forecasters with the National Weather Service in Honolulu said to expect choppy surf and strong rip currents that will make swimming dangerous.

The east swell is coinciding with expected arrival of the summers last bout of king tides, which are a combination of higher-that-usual tides and sea-level rise.

The weather service issued a king tides advisory for Hawaii for the next several days, saying the greatest potential for coastal flooding will be during the mid- to late-afternoon hours through this weekend.

The simultaneous Fernanda-inspired east swell and the king tides, may cause greater wave run-up along exposed windward coastlines, especially during high tide, forecaster said this morning in a special weather statement. Impacts of the king tides may include flooding of beaches that are normally dry, salt water inundation of typically vulnerable low-lying roads, docks, boat ramps and other coastal infrastructure.

Depending on the exact track of Fernanda, much of the state could see increased rain and thunderstorms by early next week. But maximum sustained winds are expected to be about 25 mph by that time.

The National Hurricane Center in Miami, which monitors the Eastern Pacific, is tracking another storm system.

Tropical Storm Greg, with maximum sustained winds of 50 mph, is expected to be a Category 1 hurricane by this weekend. It is forecast to weaken back to a tropical storm by early next week when it will be approaching the Central Pacific. At 5 p.m. Hawaii time today, Greg was 770 miles south-southwest of the southern tip of Baja California, moving west at 10 mph.

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Fernanda, now in Central Pacific, expected to dissipate north of islands - Honolulu Star-Advertiser

The Most Underrated Islands in the US – Cond Nast Traveler

11 Photos

Whether its colorful locals, or just that special element of nature that one finds on slices of isolated land, being on an islandeven one close bycan often feel like a completely different world. America has some truly world-class islands to visitMackinac, Catalina, and everything in Hawaiibut it also boasts some hidden gems that are worth visiting. Here are 11 islands you may never have heard of, but you definitely need to check out.

Whether its colorful locals, or just that special element of nature that one finds on slices of isolated land, being on an islandeven one close bycan often feel like a completely different world. America has some truly world-class islands to visitMackinac, Catalina, and everything in Hawaiibut it also boasts some hidden gems that are worth visiting. Here are 11 islands you may never have heard of, but you definitely need to check out.

By day, this quintessential New England beach island is a relaxing escape full of charming little cottages, staggering cliffs, a gothic-revival lighthouse, and beaches youll sometimes have all to yourself. But the nightlife here is also surprisingly boisterous, with Captain Nicks and Ballards always good for a fun evening.

Ask Floridians their favorite beach town, and many call out this little island near Sarasota, where the sunsets at the Sandbar restaurant are said to be the best in the state. The islands main thoroughfare, Pine Street, has also been named the greenest main street in America, and was recognized by the U.N. for its advancements in LEED construction.

This car-free historic island off Hilton Head was once considered the Marthas Vineyard of the South. Now its far more accessible, and you can stay right on one of its beautiful beaches in either a converted mansion or an old lighthouse. It's also an outpost of Gullah, a rare African-derived culture cultivated by emancipated slaves who moved to the remote barrier islands.

While St. Thomas gets every cruise on the planet and St. John gets accolades for its natural beauty, the Caribbean paradise of St. Croix often gets overlooked. Its every bit as beautiful the other Virgin Islands, but far less crowded, and gives visitors the best taste of Caribbean culture without leaving the U.S. Be sure to get some johnny cakes at Chicken Shack, then try the well-crafted cocktails at the BES Lounge.

The largest of Washingtons San Juan Islands is also the best to visit. Hike to the top of Mount Constitution for a spectacular view out over Puget Sound, then take a kayak out on the water and hope for a glimpse of one of the whales that gave the island its name. Or cycle the winding mountain roads, and stop at one of the many roadside art studios.

Culebra has the same turquoise-waters as its hotel-packed neighbors in San Juan and Vieques, plus funky old army tanks sitting on the beaches. Which, also, have considerably fewer people.

The Apostle Islands have some of the most unusual rock formations in America, where natural tunnels have been cut under massive cliffs, and the kayaking, diving, and hiking here are the best in Wisconsin. For those with a brave soul and a thick wetsuit, a short trip underwater will bring you to several ships that met their end in Lake Superior.

Maybe you know this place as the island where Blackbeard died. You may not know, however, that you can take a haunted tour of the island with an actual Blackbeard descendent, as well as stroll through a colonial British cemetery or see the oldest operating lighthouse in North Carolina. None of that matters a whole lot though, because the natural beauty of this underdeveloped island on the Outer Banks is colloquially said to put visitors into an ocracoma.

Put-In-Bay, the largest city on this island in Lake Erie, has been called The Key West of the North, and in the summer it has a definite Floridian vibe. Hotels with swim-up bars host daylong pool parties, while the curiously named Mojito Bay Tiki Bar keeps the festivities rolling long into the night. And for the more sophisticated, the Heineman Winery has inexpensive tastings and an underground cave tour.

The fishing and diving here are some of the best in America, and The Moorings boasts the best stretch of white sand beach in the Keys outside Bahia Honda. Cap the day off with sunset dinner at Pierres or The Beach Caf and youve got a perfect, tranquil Keys vacation.

The home of the fictional Bluths Frozen Banana Stand (Arrested Development) is quite reala little slice of East Coast boardwalk in sunny Orange County, complete with a midway, Ferris wheel, and soft serve ice cream. But unlike boardwalks in the northeast, Balboa Island is just as magical in December as it is in July.

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The Most Underrated Islands in the US - Cond Nast Traveler

Canada to study ship noise effects on orcas near San Juan Islands – KOMO News

FILE - Southern resident orcas (AP Photo/Elaine Thompson, File)

VANCOUVER, B.C. - A program led by the Vancouver Fraser Port Authority will examine how endangered southern resident killer whales respond to slower vessel speeds and reduced underwater noise in a key summer feeding area off southern British Columbia.

The port authority says 54 marine shipping companies have signed up to take part in the voluntary study between August and October in Haro Strait, the channel separating Vancouver Island from the San Juan Islands in Washington state.

The authority says in a news release that the ships represent a significant proportion of the large commercial vessels moving through Haro Strait.

During the research trial, vessel operators will be asked to travel over underwater listening stations at a speed of 11 knots, slower than the typical operating speeds, while the stations also monitor for the presence of whales.

About 900 deep sea vessels are expected to travel through Haro Strait during the study period.

The port authority says existing data on underwater vessel noise shows it can interfere with killer whale echolocation clicks, calls and whistles, affecting the ability to hunt, navigate and communicate.

Port authority chief executive officer Robin Silvester says the industry's commitment to the study shows that shipping companies are focused on ensuring a healthy marine environment.

"We know that impacts to vessel schedules can be costly ... but we also know the more vessels that participate in the trial, the more robust the scientific analysis will be, and the greater the opportunity for ... evidence-based decision making about future vessel noise management measures," Silvester says in the news release.

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Canada to study ship noise effects on orcas near San Juan Islands - KOMO News

This is how humans have evolved to fight the bugs that make us ill – Eyewitness News

Its the ability of our immune system to remember past infections and pass this memory on to our kids, that allows us to survive infectious diseases.

Picture: Freeimages.com

Its easy to feel our survival is under threat from new and emerging infectious diseases that are going to wipe out the human race, or at least end our current way of life. The recent outbreaks of Ebola in West Africa re-ignited our interest in pandemics and reminded us of our potential frailty in the face of an overwhelming enemy.

With so many microbes capable of hijacking and destroying us, how are we as a species still enduring?

Humans are unique in the world. We are avid collectors of infectious diseases acquired from our environment throughout our evolution.

We all just want to survive and procreate

We share with our invaders a need to survive and propagate our genes. Infectious pathogens, such as bacteria and viruses, are parasitic they have to find and infect a susceptible host in order to maintain themselves and propagate. Therefore, its not really in their best interests to kill us. Our relationship with pathogens is shaped by our capacity to evolve genetically, to modify our behaviour, or to force the pathogens to evolve so that we all survive.

Viruses such as influenza replicate and spread to new hosts before the original host gets sick (with influenza symptoms such as a sore throat and sneezing), meaning the parasite can survive and thrive in new hosts.

On rare occasions, the death of the host is necessary for the pathogen to reproduce. One example is trichinellosis (also known as trichinosis), which is caused by eating undercooked or raw meat from animals (usually carnivores and omnivores) infected with a worm (nematode).

To survive in the host, the worm constructs a capsule around itself to avoid the immune system. The immature worms in the meat cause muscle weakness and paralysis, and eventually death, in the host. This means the victim is defenceless to predators that may come and gobble it up, thus giving the worm a new host to infect.

This is an old disease that we tackle either by avoiding eating meat (possibly the reason some religions avoid eating pork) or through cultural adaptation such as overcooking.

How weve adapted to win the fight

Evolutionary pressures through Darwinian selection, survival of the fittest, constantly shape life on Earth. This innate ability to adapt has enabled humans to develop defence mechanisms to counter some of the most devastating pathogens.

Malaria is a parasite of red blood cells that is estimated to have caused 429,000 deaths in 2015. When malaria became a human disease (it is thought to originate in primates) is unclear. One thing that is clear is that it emerged long enough ago for humans to evolve innate defences.

Sickle cell mutation is a potentially fatal blood disorder seen mainly in Africa. This mutation in a haemoglobin gene (responsible for red pigment in blood cells) is one of a number of genetic traits that actually protect against malaria. People who have this genetic mutation are protected against malaria and thus likely to reproduce and pass on their evolutionary advantage.

A second genetic mutation that protects humans against malaria affects an essential enzyme for red blood cell function. But individuals with this mutation may also develop life-threatening anaemia (deficiency in the number or quality of red blood cells) due to the destruction of red blood cells as a side effect of treatment with some modern anti-malarial drugs.

Perhaps the most significant and wondrous part of the evolutionary machinery that enables the human race to keep one step ahead of the pathogens is the major histocompatibility complex (MHC). The MHC proteins on the surface of our white blood cells evolved along with the vertebrates (animals with a spine), which makes them our oldest defence mechanism.

We have different types of white cells: mobile ones in the blood (lymphocytes) and resident ones in lymph nodes (macrophages). When there is an infection the macrophages gobble up the bugs and present proteins from the organism on their surface like signals.

The lymphocytes containing MHC molecules that recognise this protein bind on. (Our immune system has memory cells that are produced after vaccination or past infections so we can remember how to fight them next time.) The lymphocytes then produce chemicals that recruit more lymphocytes to help. These multiply and you end up with a swollen gland.

Our bodys ability to remember past infections is one of the reasons the entire population of London didnt perish during the Black Death. MHC molecules are passed on to our offspring, which explains why we have such a wide variety of these molecules. When a disease enters a population for the first time it always more lethal than subsequent introductions because some people are now immune, and people have been born to the survivors.

Not all pathogens make us stronger

Not all co-evolution leads to changes in human genetics, especially if there is no impact on our ability to procreate. Human tuberculosis is a chronic disease that continues to plague the world with little evidence that humans have developed any ability to resist infection. This is interesting because it is likely to have co-evolved with us from Neolithic times.

We will continue to face new and emerging diseases. So far, our capacity to adapt and respond has served us well. But some scientists believe humans are no longer evolving due to the removal of many selection pressures, most important things that cause premature death.

The question is whether we are up to the challenges posed by what comes next. Perhaps the most pressing issue facing us now is that bugs seem to be evolving faster than we can create things to kill them known as antimicrobial resistance.

The spectre of life without antibiotics is terrifying given we never did overcome bacterial infections through evolution. Instead, we used our ingenuity. Our future will reflect how well we exercise our collective intellect and will to dodge this bullet.

Written by Simon Reid, Associate Professor, Communicable Disease Control, The University of Queensland.

This article was republished courtesy of the World Economic Forum.

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This is how humans have evolved to fight the bugs that make us ill - Eyewitness News

Poll: Shift to political left seen on health care – The Denver Post

By Ricardo Alonso-zaldivar and Laurie Kellman, The Associated Press

WASHINGTON Americans were never too thrilled with Obamacare and they definitely disapprove of Republican alternatives in Congress, so what does the public want to do on health care?

A new poll suggests the country may be shifting left on this core issue, with 62 percent saying its the federal governments responsibility to make sure that all Americans have health care coverage, while 37 percent say it is not.

The survey findings from the Associated Press-NORC Center for Public Affairs Research indicate a change in public attitudes over the past few months, as concerns mounted about GOP legislation estimated to leave tens of millions without coverage.

Nobody should be without insurance, said Louise Prieto of Fort Lee, New Jersey, a retiree covered by Medicare. She said shes most concerned about seniors, children and people with pre-existing medical conditions.

As recently as March, the AP-NORC poll had found Americans more ambivalent about the federal governments role, with a slim 52 percent majority saying health coverage is a federal responsibility, and 47 percent saying it is not.

The survey didnt specify how the government might make sure that people have coverage, but a true guarantee entails something like the Medicare for all plan that was a rallying cry for Vermont Sen. Bernie Sanders presidential campaign last year. And that would involve hard-to-swallow tax increases.

There is a significant increase in people who support universal coverage, said Robert Blendon of the Harvard T.H. Chan School of Public Health, who tracks opinion trends on health care. The impact of the debate over dropping coverage looks like it has moved (more) people to feel that the government is responsible for making sure that people have coverage.

Currently the U.S. has a hybrid system of paying for medical care, with employers, federal and state governments, and individuals sharing responsibility. Government at all levels pays close to half the annual $3 trillion cost, and federal tax breaks support employer-provided coverage.

Employers cover more than 170 million workers, dependents, and retirees. Medicare, the federal governments flagship health care program, covers about 56 million retirees and disabled people. Medicaid, a federal-state Medicaid partnership, covers more than 70 million low-income people, from newborns, to severely disabled people, to many elderly nursing home residents. About 28 million people remain without coverage although former President Barack Obamas health care law has brought the uninsured rate to a historic low of about 9 percent.

The latest AP-NORC poll found a familiar partisan split: more than 8 in 10 Democrats said health care is a federal responsibility, compared with 3 in 10 Republicans. Political independents were more closely divided, with 54 percent saying coverage is a federal responsibility and 44 percent saying it is not.

In the poll, Americans didnt find much to like about the Republican legislation offered in Congress. Overall, only 17 percent thought they and their families would be better off; 37 percent thought they would be worse off.

On specifics, 73 percent opposed giving states the option to let insurers charge some people higher premiums because of their medical history. And 57 percent opposed allowing states to reduce the types of benefits that federal law now requires insurers to cover. Similarly, 64 percent opposed allowing states to permit some health plans to omit coverage for mental health and drug addiction treatment. There was also solid opposition to Medicaid cuts (62 percent) and overwhelming disapproval (78 percent) for allowing insurers to raise premiums for older adults beyond what is currently permitted.

Republicans have argued that allowing states to loosen such insurance rules, particularly for people who let their coverage lapse, would result in lower premiums all around. The poll also found that Americans disapprove of various strategies that the Obama law and the GOP bills rely on to nudge healthy people to buy coverage, from the current tax penalties for those who dont have insurance, to waiting periods and premium penalties proposed by Republicans.

The poll was conducted as the GOP repeal and replace plan floundered in the Senate during the past week. With the seven-year Republican campaign against the Affordable Care Act now verging on collapse, a strong majority said lawmakers should try to negotiate on health care.

In the poll, 8 in 10 said Republicans should approach Democrats with an offer to negotiate if the current GOP overhaul effort fails, rather than sticking with their own repeal and replace campaign of the past seven years. And nearly 9 in 10 said Democrats should take Republicans up on such an offer.

A foundation for common ground seems to be this: Nearly everyone wants changes to the Obama law, while hardly anyone wants to see it abolished without a substitute in place.

Among Democrats, only 22 percent actually want the ACA kept just as it is; 64 percent want it kept but with changes. Among Republicans, 27 percent want immediate repeal, while 54 percent favor repealing the law when a replacement is ready.

The AP-NORC poll of 1,019 adults was conducted July 13-17 using a sample drawn from NORCs probability-based AmeriSpeak panel, which is designed to be representative of the U.S. population. The margin of sampling error for all respondents is plus or minus 4.1 percentage points.

___

Associated Press polling editor Emily Swanson contributed to this report.

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Poll: Shift to political left seen on health care - The Denver Post

Newest Senate Health Care Overhaul Would Increase Uninsured By 22 Million, CBO Says – NPR

Senate Majority Leader Mitch McConnell, R-Ky. (center), speaks to members of the media with Senate Majority Whip John Cornyn, R-Texas, (left) and Sen. John Thune, R-S.D., outside the West Wing of the White House after a lunch meeting with President Trump on Wednesday. Alex Wong/Getty Images hide caption

Senate Majority Leader Mitch McConnell, R-Ky. (center), speaks to members of the media with Senate Majority Whip John Cornyn, R-Texas, (left) and Sen. John Thune, R-S.D., outside the West Wing of the White House after a lunch meeting with President Trump on Wednesday.

The Republican scramble to repeal and replace the Affordable Care Act has yielded yet another version of a health care overhaul bill, along with yet another score from the Congressional Budget Office the second analysis from the nonpartisan agency in two days.

The CBO released its Thursday analysis hours after Senate Republicans posted a new draft, but the updated budget report had a familiar ring to it. The agency found that, like a prior Senate version, the latest bill would increase the number of uninsured Americans by 22 million by 2026. Not only that, but as with all other things health care-related these days, it is likely to change in the near future.

Aside from increasing the number of uninsured compared to Obamacare, Thursday's version would also lower premiums and reduce the deficit. The latest draft would reduce the deficits to greater degrees than the older draft: $420 billion, compared to $321 billion in the previously scored version. It would also reduce average premiums in the Obamacare exchanges by 25 percent in 2026, as opposed to the last version's 20 percent.

The provisions in the latest version of the Senate bill are much like the version scored at the end of June: It would end the individual and employer mandates, it would roll back the Affordable Care Act's Medicaid expansion and cut spending to that program by hundreds of millions of dollars, and roll back some taxes. However, this bill would not roll back Obamacare investment income taxes and payroll taxes that hit higher-income Americans.

Notably, Thursday's bill does not have a provision known as the Cruz amendment, pushed by Sen. Ted Cruz of Texas. That amendment, included in a version of the bill released on July 13, said that as long as an insurer offers an Obamacare-compliant plan, it can also offer noncompliant, less-comprehensive plans.

Two large health insurance industry groups, America's Health Insurance Plans and the Blue Cross Blue Shield Association, called the provision "simply unworkable in any form" and said that it would mean prices go up and millions of people who buy on the individual market will lose insurance.

That's because it could lead to a bifurcated market, in which sick people gravitate to the more comprehensive plans and healthy people choose the skimpier coverage. That could create expensive insurance in the sicker pool, meaning some people would get priced out of that pool, which could drive prices even higher. And that would mean more government spending on premium subsidies, as the Kaiser Family Foundation's Larry Levitt noted on Thursday (meaning the CBO's latest deficit-reduction estimate could see a sizable change with a Cruz amendment).

That amendment could still be added to this bill later, and it would likely change these latest headline numbers potentially in a big way. A Senate Republican aide told Bloomberg news that the bill didn't include the Cruz amendment because the CBO isn't scoring it yet.

In a call on Thursday, CBO staff said they would evaluate the Cruz amendment, but had no information on when that estimate might be available.

The latest analysis comes just a day after the CBO estimated that a repeal-only bill without an immediate plan for what would replace the current health law would increase the uninsured population by 32 million by 2026.

That repeal-only bill is one option Senate Majority Leader Mitch McConnell has placed on the table as a possibility for senators to consider next week.

To proceed on any health plan, McConnell must get 50 senators to vote "yes" on a "motion to proceed" (Vice President Pence would provide the 51st vote needed). That would allow senators to begin debating whatever health care legislation they present.

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Newest Senate Health Care Overhaul Would Increase Uninsured By 22 Million, CBO Says - NPR

GOP reverses course on healthcare – The Hill

Senate Republican leaders are desperately searching for the 50 votes they need to open a debate on ObamaCare repeal-and-replace legislation after a Wednesday scolding at the White House from President Trump.

Leaders have reopened negotiations on their previous bill, reversing course from their plans to move to a vote on a straight repeal of ObamaCare.

But its not clear if they will have any more luck this time in corralling enough centrist and conservative Republicans to move the bill forward.

Senate Majority Leader Mitch McConnellMitch McConnellOvernight Regulation: Trump administration reveals first regulatory agenda | GOP lawmakers introduce measures to repeal arbitration rule | Exxon gets M fine for sanctions violation Overnight Healthcare: CBO predicts 22M would lose coverage under Senate ObamaCare replacement OPINION | GOP healthcare attack is a vendetta against President Obama MORE (R-Ky.) needs to win 50 votes to proceed and has faced opposition from conservatives, who believe the previous bill kept too much of ObamaCare, and centrists, who think it would leave too many people without affordable insurance.

GOP leaders havent closed the door on bringing a straight repeal of ObamaCare, with a two-year delay, to the floor.

But Trump, who has given mixed messages on whether he wants to just repeal or simultaneously repeal and replace ObamaCare, on Wednesday told Republican senators at a White House lunch that repealing ObamaCare without a replacement was not an option.

We can repeal it, but we should repeal it and replace, and we shouldnt leave town until this is complete, until this bill is on my desk, Trump said.

McConnell appears to believe that if he can get the Senate to agree to open debate on an ObamaCare measure, hell have an opportunity to clear legislation by grinding away at his members. As the pressure intensifies, he clearly hopes that opposition will fall away.

But he first must get past the motion to proceed.

Next week, well be voting on the motion to proceed, and I have every expectation that well be able to get on the bill, McConnell told reporters Wednesday at the White House.

McConnell has failed three times so far to win the support that he needs.

A mix of conservative and centrist senators said they would oppose a procedural motion to begin work on an initial repeal-and-replace bill.

That led to a new round of negotiations and a second repeal-and-replace measure largely similar to the first bill.

On Monday, it became clear that the new bill also lacked the support to advance in the Senate.

McConnell then signaled hed abandon repeal-and-replace, saying the Senate would seek to advance legislation repealing ObamaCare with no guarantee on any replacement.

Centrists then came out against that plan, too.

After the Trump meeting, GOP leaders changed course and signaled a third effort to win support for a repeal-and-replace bill.

Senate Majority Whip John CornynJohn CornynOvernight Healthcare: CBO predicts 22M would lose coverage under Senate ObamaCare replacement Rand Paul opens door to backing healthcare bill on key hurdle Cornyn: Knowing health plan ahead of vote is 'luxury we don't have' MORE (R-Texas) told reporters after the lunch that while the repeal-only bill might come to the floor, he preferred to negotiate a version of the repeal-and-replace bill, known as the Better Care Reconciliation Act (BCRA).

If we can get an agreement here, my preference would be to start with the BCRA, agree to language and I think were getting closer, he said.

Senators were expected to meetWednesdayevening in Sen. John BarrassoJohn BarrassoGOP reverses course on healthcare McCain diagnosis looms over GOP healthcare talks Source: Senate leaders to offer 0 billion to win over moderates MOREs (R-Wyo.) office with Vice President Pence, Health and Human Services Secretary Tom Price and Seema Verma, administrator for the Centers for Medicare and Medicaid Services, to discuss the bill. At press time it was not clear which senators would attend the meeting.

There are going to be some meetingstonightup here with people who still have outstanding issues, and I think the question will be, yeah, can we find a way to get to yes? said Sen. John ThuneJohn ThuneCornyn: Knowing health plan ahead of vote is 'luxury we don't have' Sen. Thune: McCain a hero' to millions GOP signals infrastructure bill must wait MORE (S.D.), the Senates No. 3 Republican.

Leaders face the same problem that has bedeviled them since the beginning. If the bill is moved to the right, moderate senators are lost. If the bill moves to the center, conservative senators defect.

The bills treatment of Medicaid is a major sticking point for moderates.

The latest attempt to win over members is being called a Medicaid wraparound.

This would allow states to take money allocated to them through Medicaid and use the money to cover healthcare expenses for people who no longer qualify for Medicaid because the programs expansion ended.

The idea is to make up for the reduction of federal funding for ObamaCares Medicaid expansion, which would be curtailed by the Senate bill. Under the previous bill, states are given federal tax credits to help people who would no longer quality for Medicaid, but senators have expressed fears that this will not be a big enough pool particularly considering the nations opioid epidemic.

But the plan would actually involve taking more money away from Medicaid, which would already see its federal funding reduced under the Senate bill.

Verma discussed the proposal at the White House lunch.

She explained very briefly, very, very briefly some of the parameters of what theyre calling this wraparound for Medicaid, said Sen. Lisa Murkowksi (R-Alaska), one of the moderates who has threatened to vote against a motion to proceed to the bill.

Despite all the problems theyve had with their ObamaCare effort, a number of Senate Republicans said they believe they are close to getting enough votes on a repeal-and-replace bill.

McConnells move to bring a repeal-only bill to the floor brought it to a head, and he offered one way forward, Sen. Mike Rounds (R-S.D.) toldThe Hill after the lunch at the White House. A lot of us went back in and talked with leadership and said, Look, were close enough on this, we put a lot of work into this, we dont want to go that route.

They are also facing increasing pressure from groups warning of political repercussions if they fail.

The conservative group FreedomWorks said they will hand out traitor awards to Republicans who oppose a healthcare procedural vote next week.

And the conservative Club for Growth said it will track the motion to proceed leading to a vote on a repeal-only bill as a key vote, warning that voting against it would be tantamount to supporting ObamaCare.

Alex Bolton contributed.

Excerpt from:

GOP reverses course on healthcare - The Hill

Trump Doesn’t Have to Worry About Health CareHis Genes Are Incredible – Newsweek

Donald Trump's push to replace the Affordable Care Act was effectively halted after the Republican-held Senate was unable to moveits version of a more conservative health care bill to a vote.

A full repeal of his predecessors landmark achievement, without any sort of replacement to current lawwhich the president said would be sufficient enough in the wake of the GOPs failurealso appears unlikely to happen, as multiple Republican senators have come out in opposition to the idea.

Related:Here's how Donald Trump could actually be impeached

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Both events would have stripped millions of Americans from their access to quality and affordable health care, but for Trump, having insurance or not shouldnt be much of a concern: The president has long said his family possesses great genes. In fact, they might just be some of the best in the nation.

Trump invited The New York Times to the White House for an exclusive interview Wednesday, discussing his first six months in office and all of the controversies that have followed. His 5-year-old granddaughter Arabella Kushner provided a singular moment of levity throughout the lengthy conversation, showing off her knowledge of the Chinese language while telling the president she loved him in Mandarin.

"Shes unbelievable, huh?"Trump said. "Good, smart genes."

Trump's healthas well as Hillary Clinton'sbecame a contentious talking point along the 2016 campaign trail, as the real estate mogul's doctor released bizarre statements claiming he was in "extraordinary"health, despite his weight, love for Diet Coke and tendency to eat fast food like KFC.

His strength and physical stamina are extraordinary,Manhattan gastroenterologist Harold Bornstein wrote about Trump in August 2016. Mr. Trump has had a complete medical examination that showed only positive results. Actually, his blood pressure and lab results were astonishingly excellent.

That statement, which was analyzed by the medical community and critiqued for not providing any real, tangible evidence of Trump's health, followed years of similarly strange comments on the presidents genes, as well as his mental and physical health, from Trump himself.

"I consider my health, stamina and strength one of my greatest assets,"Trump tweeted in December 2015. "The world has watched me for many years and can so testifygreat genes!"

The president has also fielded several questions via Twitter from users asking about his energy and family, repeatedly pointing to his genes as the basis for his success. "Youre up at 5am and youre awake at 1am. How do you have so much energy? Seriously!?"

"Good genes!"Trump replied.

He also seemed to apparently miss a thinly veiled dig in June 2013, when @YoungBasedGod_g wrote to him, "@realDonaldTrump your dad gives good brain?? Damn."

"Its called genes!" Trump tweeted back.

"Dr. John Trump, uncle, for many years at M.I.T.,"he also wrote in May 2013. "Good genes, I get it!"

Trumps apparent obsession with his own genes could be due to his familys alleged belief in the theory of eugenics, the presidents biographer Michael DAntonio said in 2016.

"The [Trump] family subscribes to a racehorse theory of human development,"DAntonio said in his PBS documentary, The Choice."They believe that there are superior people and that if you put together the genes of a superior woman and a superior man, you get a superior offspring."

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Trump Doesn't Have to Worry About Health CareHis Genes Are Incredible - Newsweek

The GOP cannot fix itself let alone American health care – Washington Post

The Senate GOP's effort to overhaul the health-care system collapsed this week when multiple Republican senators came out against both the revamped bill and the idea of repealing Obamacare and letting the markets "fail" before replacing it. (Jenny Starrs/The Washington Post)

The inability of a Republican Congress and a Republican president to repeal Obamacare, or even just dial it back, is yet the latest demonstration that Republicans simply arent ready to govern.

The facile explanation for this is the unresolved division, within the party, between its radical Tea Party populist wing and its more moderate, business-friendly establishment wing. But the bigger issue is that the partys elected politicians are unwilling to make the trade-offs that are the essence of what governing is about.

On health care, for example, they promised to lower premiums but refused to embrace any of the three approaches that could accomplish that: increase co-payments and deductibles; squeeze the incomes of doctors, hospitals and drug companies; or finance more of the countrys health care through higher taxes.

[Is it inequality of income we care about or inequality of opportunity?]

They wanted to give everyone the freedom not to buy any health insurance but also the freedom to show up at hospital emergency rooms and demand free care, or to buy insurance the moment they got sick.

Republicans vowed to eliminate all the Obamacare taxes but not the healthy insurance subsidies for working families that those taxes were meant to pay for.

They wanted to allow insurance companies to lower premiums for the young and healthy while denying that the inevitable consequence would be higher premiums for the old and the sick.

They wanted to shift more of the responsibility to the states for providing health care to the poor without shifting additional resources to go with it.

They wanted to give more power to state insurance commissioners to regulate policies while also offering insurers the freedom to ignore state regulation by selling across state lines.

[The Republicans Obamacare repeal is one big lie]

Republicans wanted to give every American a new tax credit to help them pay for health care or health insurance while refusing to curtail the current subsidy, the tax exclusion for employer-provided health benefits.

They promise to solve the opioid crisis while eliminating the requirement that insurance policies cover substance abuse treatment.

This same inability to make trade-offs has also prevented action on a host of other Republican priorities.

They want to increase investment in infrastructure but dont want to raise taxes or user fees to pay for it.

Republicans want to cut corporate tax rates nearly in half but cant identify even a single corporate tax loophole they would close to prevent the deficit from ballooning out of control.

They are hellbent on dramatically increasing defense spending but wont vote to authorize current operations in Iraq and Afghanistan.

They think they can deport every undocumented immigrant without raising labor costs for businesses and prices for consumers.

They complain about the slow pace of getting the presidents appointments confirmed but refuse to give up their three-day workweeks and four months of politicking and fund-raising.

Republicans complain of a lack of bipartisan cooperation from Democrats while insisting on drafting all important legislation at meetings and luncheons of the Republican caucus.

Since gaining control of Congress and the White House in January, Republicans have been on a frantic and futile search for the political and economic free lunch. It would be overly charitable to say that, when it comes to governance, they are rusty and out of practice. In fact, they have now exposed themselves to be rank amateurs and incompetents who dont have a clue about getting important things done.

As a group, they have demonstrated a breathtaking lack of policy knowledge and sophistication, a stubborn disregard for intellectual honesty, lousy political instincts and a broken moral compass. Their leaders have forgotten what it means to lead, if they ever knew, while their backbenchers dont have a clue of what it takes to be constructive followers. If there were a bankruptcy code for politics, its safe to say the Republicans would be in Chapter 11.

This complete abdication of governing responsibility was confirmed Tuesday when the partys nominal leader, President Trump, announced to the country, I think we are probably in that position where we will just let Obamare fail. I can tell you the Republicans are not going to own it.

Even Sen. Shelly Caputo, the reliably party-line toting Republican from West Virginia, was moved to distance herself from that cynical win-at-any-cost strategy. I did not come to Washington to hurt people, she said.

Its almost an embarrassment being an American citizen traveling around the world listening to the stupid s we have to deal with in this country, Jamie Dimon, the chairman of JPMorgan Chase, said in an unguarded moment last week. Dimon was quick to add, reflexively, that it wasnt a Republican or a Democratic issue, but he knows better than that. Republicans were handed a golden opportunity to govern and they have blown it. This one is on them.

Read more:

Now is the time for business leaders to dump Trump, for the good of the country

When it comes to corporate tax reform, the GOP may be on to something. Really.

The business lobby's hypocritical, one-size-fits-all answer to regulation: No

Trump is putting the wolves of Wall Street in charge of America's economy

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The GOP cannot fix itself let alone American health care - Washington Post

Kennedy hasn’t paid for staff health carebut touts coverage for all – Chicago Sun-Times

Chris Kennedy touted health care coverage as a vital part of the American dream this week yet newly filed campaign expenditures show the Democratic gubernatorial candidate hasnt paid health insurance costs for his own campaign employees.

The Democrats campaign officials says they offered coverage, but no one took them up on it.

That puts Kennedy at odds with at least four other gubernatorial campaigns.

Democrats J.B. Pritzker, state Sen. Daniel Biss and Ald. Ameya Pawar, and Republican Gov. Bruce Rauner, all listed health insurance payments on campaign disclosure reports due on Monday.

But Kennedys health insurance payments are missing.

Its something youd expect to see, said Sarah Brune, executive director for the Illinois Campaign for Political Reform.

Kennedy campaign spokeswoman Hanah Jubeh on Thursday said there were no health insurance payments because many on staff are young and are still covered under their parents insurance, while others opted out. She said staff members that have been recently hired will get health insurance, and it will be reflected on the next required filing. Jubeh, spokesman Mark Bergman and campaign manager Brendan OSullivan were already covered through other employers and opted out of coverage through the campaign, she said.

Recently weve had some new staffers who have expressed an interest and were in the process of actually executing on that, Jubeh said. Itll be on the next report.

On Wednesday at a candidate forum in Little Village, Kennedy touted the importance of health care and its connection to the American dream.

I believe that the American dream, therefore, is a civil right. If it is a civil right, then healthcare has to be part of it, Kennedy said to applause. Because if it is not, every family, every individual is just one bad diagnosis away from bankruptcy, from losing everything that theyve made in this country. We need to make sure that the American dream is the dream for all Americans. And to do that, we need to make sure that everybody in America is covered by healthcare.

Kennedys campaign filing this week showed he took in $703,767.10 in campaign contributions but spent $652,523.79. The quarterly report filed with the Illinois State of Elections offered a deeper glance into Kennedys campaign spending, since many items were missing from his previous report.

In the April filing, Kennedy didnt list some traditional campaign expenditures, includingpayments forwell-known consultants, rented office space, campaign T-shirts and stickers and travel expenses.

The latest filing shows Kennedy spent $16,755 on rent, with monthly payments of $5,273. Kennedys campaign headquarters are in the Merchandise Mart the building he once managed.

He spent $122,600 on payroll for at least 11 staffers. The first report didnt list salaries for key staffers such as OSullivan and finance director Emma Pieper.

Kennedy spent more than $100,000 on consultants, $90,000 on digital consulting and more than $110,000 on research. Consultant pay was also missing from the first report.

The first report also failed to mention how much Kennedy spent on expenses such as campaign stickers and T-shirts, some of which were evident in the Chicago St. Patricks Day Parade Kennedy attended in March. The latest filing shows he spent $2,646 for a printing company, and another $4,968.90 for a print and digital company.

Kennedy, the son of the late Robert F. Kennedy, announced his candidacy via a video sent to supporters on Feb. 8. While this is Kennedys first campaign, he has been touted as a candidate for Congress, U.S. Senate and governor since the turn of the 21stcentury.

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Kennedy hasn't paid for staff health carebut touts coverage for all - Chicago Sun-Times

Crisis pregnancy centers must post disclaimers stating ‘Not a health care facility’ under King County rule – Seattle Times

After an emotional public hearing, and a debate about font size, the King County Board of Health imposed a new rule on crisis pregnancy centers, many of which are faith-based, requiring them to post signs saying theyre not health care facilities.

Facilities commonly referred to as crisis pregnancy centers, many of which are faith-based, will be required to post a sign telling patients they are not health-care facilities, under a new rule approved Thursday by the King County Board of Health.

After emotional public testimony, mostly against the signs, nine of 10 board members voted for the rule saying their action was meant to bring transparency and accurate information to pregnant women. Only Metropolitan King County Councilmember Kathy Lambert dissented.

I believe women who are pregnant deserve complete, accurate and timely information about their health care and options, said board Chairman Rod Dembowski, a King County Council member. These centers are unregulated and are often staffed by volunteers and employees who lack medical training or licensure.

At least eight of the pregnancy centers operate in King County, according to the feminist group Legal Voice.

A report by Legal Voice, included in the Board of Health records for the regulation, said the centers give medically inaccurate information about abortion and some dont tell patients that they dont provide abortions or make referrals involving abortion and contraception. The groups report was based on visits to the centers by trained volunteer college and law students.

Employees and supporters of the centers strongly disagreed.

That report was an absolute lie, said Kim Triller, executive director of Care Net of Puget Sound.

They did tell me about all options available, said Jessica Johnson of Seattle, who said when she was pregnant more than a year ago, Care Net provided her an ultrasound and parenting classes at no cost. Everyone knows where you can go if you want an abortion, Johnson said.

Lambert offered similar reasoning for her dissent, saying an internet search will provide options for contraception and abortions.

Jonny Nicoli, a supporter of the centers, scoffed at the idea that the rule just required signs. Thats the same way a powerful government oppressed the Jewish population, by putting up signs, he said.

Board members Deborah Juarez and M. Lorena Gonzlez, both Seattle City Council members, said the new requirement wouldnt close the facilities down.

When a woman walks in she should know Im not in a clinic, or Im in a facility where wonderful people are offering faith-based services, Juarez said.

Gonzlez said the rule aims to ensure that women are not deceived by health care information given by people who are not qualified to dispense it.

The new rule requires that the pregnancy centers, also known as limited-service pregnancy centers, post a sign saying, This facility is not a health care facility. That sentence must be posted in 10 languages, including English, with all of the languages in 48-point type size.

Board members said they intended for the sign to be posted in entry ways or waiting areas, so that its readable to people.

The exact size of the sign led to debate and votes on amendments. Lambert proposed that signs should be 8.5 by 11 inches. Only Sally Bagshaw, a Seattle City Councilmember supported that amendment. Were fooling ourselves to think we can do it on 8-and-half by eleven, said Dr. Bill Daniell, a board member.

The board voted that the sign should be at least 11 by 17 inches.

Failure to post a sign could lead to fines of $100 per day. Violations would be complaint-based, Dembowski said. A staff report said enforcement would cost be roughly $40,000 a year.

Pro-choice groups have been pressing for more disclosure from the pregnancy centers for years. Legal Voice and Planned Parenthood Votes Washington published a report in 2011 based on volunteer visits to several local centers in 2008 and 2009. Legal Voice said it updated the report with visits in 2016 and this year.

Dembowski said the board has been dealing with the issue for more than year, mostly on the legal aspects about the government compelling speech by the centers.

He said the rule has been reviewed and refined with attorneys considering case law and similar regulations, including one in California upheld by the Ninth Circuit Court of Appeals.

Im comfortable weve narrowly tailored the regulation to achieve a legitimate public health interest, he said.

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Crisis pregnancy centers must post disclaimers stating 'Not a health care facility' under King County rule - Seattle Times

Edmond geneticist earns National Mentorship Award – Edmond Sun

The American Society of Human Genetics has awarded OU Childrens Physicians Geneticist John J. Mulvihill, M.D., of Edmond, its 2017 Mentorship Award. Mulvihill holds the Childrens Hospital Foundations Kimberly V. Talley Chair in Genetics and is also a professor of Pediatrics at the University of Oklahoma College of Medicine.

He is also a senior consultant to the division of Genomic Medicine in the National Human Genome Research Institute, part of the National Institutes of Health.

The ASHG Mentorship Award recognizes members who have significant records of accomplishment as mentors. It is open to individuals at all academic ranks who have shown a sustained pattern of exemplary mentorship at the graduate, postdoctoral, residency or fellowship level. The award presentation, which includes a plaque and $10,000 prize, will take place on Friday, Oct. 20, during the organizations 67th Annual Meeting in Orlando, Fla.

Its an incredible honor for me to accept this recognition from my colleagues and outstanding mentees, whose careers and lives Ive been privileged to touch, Mulvihill said. Mentorship in genetics, science and medicine is a life-long duty and joy.

Over the years, Mulvihill has founded multiple successful genetics training programs across the country, and has personally mentored trainees across fields and career stages through these programs. In 1983, while serving as clinical genetics section chief in the National Cancer Institutes Clinical Epidemiology Branch, he helped launch the NIH Interinstitute Medical Genetics Training Program, which he directed until 1989. He then founded the department of Human Genetics at the University of Pittsburgh, where he served as professor and co-director of the Pittsburgh Genetics Institute until 1998.

That same year, he founded the section of Pediatric Genetics at the OU College of Medicine, where he later established the Medical Genetics Residency Program and the masters program in Genetic Counseling. His research has focused on the genetics of human cancer, particularly late genetic and reproductive effects in cancer survivors and germ cell mutagenesis.

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Edmond geneticist earns National Mentorship Award - Edmond Sun

Genetic Susceptibility to Alzheimer’s May Increase Sleep-Disordered Breathing Cognitive Impairment – Newswise (press release)

Newswise July 18, 2017People who carry a genetic susceptibility to Alzheimers disease appear to be at greater risk of diminished cognition from sleep-disordered breathing than those without the susceptibility, according to new research published online, ahead of print in the Annals of the American Thoracic Society.

In Greater Cognitive Deficits with Sleep-Disordered Breathing among Individuals with Genetic Susceptibility to Alzheimers Disease: The Multi-Ethnic Study of Atherosclerosis, researchers report that study participants carrying the apolipoprotein -4 (APOE-4) allele showed greater cognitive deficits with the various indices of sleep-disordered breathing compared to those without the allele.

APOE is a major cholesterol carrier that supports injury repair in the brain. Other studies have shown that those carrying the alternate form of the gene, 4 allele, are at increased risk of Alzheimers disease. Estimates are that 20 percent of the population carries the 4 allele.

Previous studies have shown inconsistent findings between sleep-disordered breathing and cognition, which may be due to the different tests used, said lead study author Dayna A. Johnson, PhD, MPH, MS, MSW, instructor of medicine at Brigham and Womens Hospital and Harvard Medical School. Dr. Johnson and colleagues investigated the association in a diverse sample using several indicators of sleep-disordered breathing and cognition. They also evaluated whether the presence of the APOE-4 allele, which is known to increase risk of Alzheimers disease, influenced the link between sleep-disordered breathing and cognition.

The authors analyzed data from 1,752 participants (average age 68) in the Multi-Ethnic Study of Atherosclerosis (MESA) who underwent an in-home polysomnography (sleep) study, completed standardized sleep questions, and a battery of tests to measure their cognition. The authors defined sleep-disordered breathing as an apnea-hypopnea index (AHI), which measures the number of stopped or shallow breaths per hour, as AHI > 15, and sleep apnea syndrome as AHI > 5 (below 5 is normal) plus self-reported sleepiness (based on a standardized scale).

The study found:

The researchers adjusted for race, age, body mass index, education level, smoking status, hypertension, diabetes, benzodiazepine use, and depressive symptoms.

Dr. Johnson said that, overall, the effects of the various sleep factors they measured on cognition were small, but in the range previously reported for several other lifestyle and health risk factors for dementia. Screening and treating sleep-disordered breathing, she added, may help reduce a persons risk of dementia, especially if that individual carries APOE-4.

Our study provides further evidence that sleep-disordered breathing negatively affects attention, processing speed and memory, which are robust predictors of cognitive decline, said senior study author Susan Redline, MD, MPH, Peter C. Farrell Professor of Sleep Medicine, Harvard Medical School. Given the lack of effective treatment for Alzheimers disease, our results support the potential for sleep-disordered breathing screening and treatment as part of a strategy to reduce dementia risk.

The Multi-Ethnic Study of Atherosclerosis was funded by the National Heart, Lung, and Blood Institute, which also funded various aspects of the current study.

Contact for Article

Dayna A. Johnson PhD, MPH, MS, MSW

Email: djohnson@research.bwh.harvard.edu

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The AnnalsATS is a peer-reviewed journal published by the American Thoracic Society. The journal delivers up-to-date and authoritative coverage of adult and pediatric pulmonary and respiratory sleep medicine and adult critical care. The scope of the journal encompasses content that is applicable to clinical practice, the formative and continuing education of clinical specialists and the advancement of public health. Editor: David Lederer, M.D., M.S., associate professor of medicine and epidemiology and associate division chief for clinical and translational research at Columbia University.

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Pathologist Expert: Precision Medicine Could Still Deliver Good News for Sen. McCain - Newswise (press release)