Ignorance when buying won’t prevent the pony from biting.

Gary Schwitzer, an Associate Professor at the University of Minnesota School of Journalism & Mass Communication, provides the best explanation for why most reporting on health topics are irresponsibly incomplete. His critique reviews TIME’s year-end medical breakthrough list, which placed circumcision and its ability to “prevent” HIV at the top.

We believe that with any claim of “breakthrough’” the claimant should include some discussion of the quality of the evidence behind this claim. And for stories that discuss treatments, tests, products or procedures, we should be talking at least a little bit about how much these “breakthroughs” will cost.

Yes, we know that editors think these lists are cute, promotable features. But the cumulative effect of discussing breakthrough after breakthrough without any mention of cost or evidence leaves the reader waiting for Santa to arrive with the next one.

Any look at how (voluntary, adult) circumcision can reduce the risk of female-to-male HIV transmission must include the costs, risks, and ethical issues, with an honest contextual analysis of statistics. Without that, parents in America will irrationally apply findings to their own children and commend themselves for being so smart. It’s a national farce encouraged by sloppy journalism (among many problems).

Link via Kevin, M.D. The title of this entry refers to this commercial.

Claiming victory is not the same as earning victory.

I stumbled upon an interesting list today at a site claiming to offer “News and Information on all aspects involving
Male Circumcision”. I was already aware of the site and its irrational support for infant male circumcision, so I’m not particularly surprised by this new-to-me list. I will not link it directly, but feel free to peruse the stupidity (http://www.circumcisioninfo.com/circ_record.html#anchor13r) encompassed within the full list. It’s tilted “DEBUNKING THE MYTHS AND LIES MADE BY THE ANTI-CIRCUMCISION CULT”. Judge for yourself how well this pro-infant circumcision site debunks anything other than the pretense that its author is a credible sources of fact.

Allegation 13: Infant circumcision violates the (human) rights of the the [sic] child since it is done without his consent.

From the day that a child is born until it is old enough to make its own decisions, it is the responsibility of the parents to look after the welfare of their child. This means making decisions that they believe will be in their child´s best interest. If parents are convinced that circumcision will benefit their child, they have the legal and moral right to make this decision for him. … [emphasis in original]

Why refer to the child as “it”? “It” is clearly a “he” in this discussion. Do not disassociate the truth that the child is a person from the discussion of what will be done to him by others. Treating him like an independent person with his own opinions may lead to a different outcome. This is why many pro-circumcision advocates seek to circumcise infants. They know most males will opt against circumcision if they’re left with their choice. If advocates have to force an action onto someone for it to persist, the action is most likely illegitimate.

Of course his parents are responsible for his welfare. They can’t refrain from feeding him, or sheltering him, or any other standard of humane treatment. However, intervention outside of daily necessity requires that he have an underlying medical need. When circumcised, his foreskin is healthy. There is no medical need. Circumcision is beyond the realm of reasonable decisions parents may make for a healthy infant.

The troubling part of this attempted debunking is the final sentence I’ve excerpted. Look at the standard. There is nothing beyond parental intent. The parents merely need to be “convinced” about circumcision’s potential benefit to the child at some point in his unknowable future. This is a pathetic attempt at logic. This same unexamined trust in the wisdom of parents would permit female genital cutting, as well. Again, the parents only need to be convinced that it will succeed at achieving some nebulous outcome at some point in the future. Evidence – the standard for science – is absent.

This argument fails to surprise, of course. Parents determined to ignore the evidence of their child’s son’s healthy genitals will happily nod at an excuse that claims to validate their (illegitimate) legal and (alleged) moral rights. There is no regard for the boy’s natural human right to remain free from unnecessary harm. As long as he is healthy, circumcision is a violation. If his foreskin becomes a problem, circumcision is only valid if no less invasive solutions will work. Outside of that rare scenario, any surgical intervention on a child’s genitals is an unethical, immoral perversion of the parent-child hierarchy.

Parents are guardians, not owners. The child retains his rights.

Shouldn’t an obstetrician believe in evidence-based decisions?

I ripped Ron Paul (in a footnote) because of his rejection of evolution. It seemed pretty obvious, although I didn’t note it, that the clip was edited. From Lew Rockwell, here’s a transcript of the unedited version:

“‘Well, at first I thought it was a very inappropriate question, you know, for the presidency to be decided on a scientific matter, and I think it’s a theory, a theory of evolution, and I don’t accept it, you know, as a theory, but I think [it probably doesn’t bother me. It’s not the most important issue for me to make the difference in my life to understand the exact origin. I think] the Creator that I know created us, everyone of us, and created the universe, and the precise time and manner, I just don’t think we’re at the point where anybody has absolute proof on either side. [So I just don’t…if that were the only issue, quite frankly, I would think it’s an interesting discussion, I think it’s a theological discussion, and I think it’s fine, and we can have our…if that were the issue of the day, I wouldn’t be running for public office.’]

To me that isn’t substantially different than the edited clip. The message is still the same. Rep. Paul accepts faith-based explanation with no evidence to support it and rejects evidence-based science with reams of evidence to demonstrate that the commonly offered story Rep. Paul accepts instead is a fairy tale. I don’t understand how so many libertarians are willing to defend this. Rejecting the evidence-based fact of Rep. Paul’s positions in favor of a preferred explanation is no less faith-based.

To the defense of Rep. Paul offered at Lew Rockwell, I already didn’t believe that Rep. Paul wants to put creationism at the front of the campaign. Some of his non-libertarian “libertarian” ideas (i.e., opposition to same-sex civil marriage) seem centered on religion, but one must extrapolate to argue that he’s pushing fully religious positions ahead of all other claims. I oppose Rep. Paul’s campaign, but I’m not willing to do that.

The basic problem remains. Not believing in the evidence-based truth of evolution demonstrates a mind willing to reject fact when it’s inconsistent with a preferred opinion. I think we’ve already had more than enough of that in the last seven years. I will not vote for another term of such irrationality.

Link via Andrew Sullivan.

**********

Given his recent anti-immigration ad, how Rep. Paul is anything more than a pandering politician? If you support Rep. Paul, defend this. Explain to me how this is the mark of a change in our political discourse. Rationalize how this is a libertarian stance.

We should value critical thinking skills more.

How do people get so stupid that this passes muster as an excuse to circumcise a child?

Ultimately, a friend who works in elder care made the difference, by describing some of the horrible foreskin infections she has had to treat in older patients.

When my grandfather was in his last days, several veins in his legs collapsed from the damage of smoking for too many years. His doctors had to address this and there were no pleasant options. Still, I would never think to use that as an excuse to perform intrusive procedures on the legs of a child. The logic is equally flawed.

The only lesson to be learned from “horrible foreskin infections” in men in elder care is that those facilities are horrible at caring for their patients. Removing a child’s healthy foreskin because it might become a problem if he ends up in incompetent elder care many decades later is irrational.

Wii have a disagreement, but only one side is correct.

In this Boing Boing story on successful efforts to hack the Nintendo Wii – allowing independent, non-sanctioned games to work on the Wii – Cory Doctorow writes:

Incredible as it may seem, there are still companies that think that they should have the right to tell you what you can and can’t do with your hardware after you pay for it.

They have such a right. It’s called a contract. The customer agrees to it, admittedly without negotiation, when he buys the hardware.

I agree that companies who insist on this are stupid. I wouldn’t run the business that way. But Nintendo’s executives run the company, not outsiders seeking to impose a different set of decisions. If the consumer doesn’t like the terms attached to the hardware, he should refrain from buying the product until the terms change. Anything else is insolent whining.

We want Dallas! We want Dallas!

It’s “Dallas Week” in Washington, which is a one-week celebration, twice each year when the Redskins play the Cowboys. I despise the Cowboys and everything about them. I don’t care who Tony Romo is dating this week. I don’t care how wonderful Terrell Owens¹ is. I don’t care how this season ranks in the history of seasons in Dallas history. There’s one story line for me: win and we’re in the playoffs.

Obviously there are multiple reasons why this is improbable. Sean Taylor’s death is the largest and longest lingering, of course. The franchise will never be the same. But there’s also the injuries, starting with half the offensive line, and concluding with the loss of quarterback Jason Campbell. Yet, we’re still in position to make the playoffs. For me, there’s one specific reason: Joe Gibbs.

Throughout our recent struggles, many focused on Coach Gibbs’ mistakes. The complaints are valid. But no one is perfect. The point is not that the coach must do everything right. He must be the best person for the job. And Coach Gibbs’ leadership through adversity demonstrates why he’s a Hall of Famer and why he’s still the right man for his job. I will make no calls for his dismissal, now or in the future.

Former Redskin Doc Walker makes the case, via Michael Wilbon’s column:

“They lost the guys who were supposed to be the right side of the offensive line, Jon Jansen and Randy Thomas, essentially for the entire season. Shawn Springs’s father is in a coma and he’s traveling back and forth to see his dad. You’ve got a free agent rookie [Stephon Heyer] starting at right guard. You’ve got the whole team flying to a funeral and playing the Bears three days later. You’ve got your franchise quarterback going down in that very game, then you’ve got the backup quarterback’s wife giving birth . . . on the eve of his first start in 10 years, then coming out and going 0 for 8 but steadying himself to win the game. It’s a movie. We can’t imagine how difficult it is to manage all that. But Joe knows how to manage in the chaos. Go all the way back to his 0-5 start in his very first season as head coach. That was so chaotic. But he believed. Even if you don’t believe initially, he does. And he just doesn’t waver.”

I’ve always believed. Watching him coach through his first tenure made me understand how important it is to not waver in my trust in him. When he took over, the franchise was a mess. We couldn’t win, we had no stability, and the pride in being a Redskin had disappeared. We’re still struggling at times on the first count due to Campbell’s inexperience, although we’re going in the right direction. On the latter two points, there can be no debate that Coach Gibbs has brought those two back to Washington. I’d vote for him for president, if he ran. I’d write his name in next November, except his winning would mean he wouldn’t be head coach of the Redskins any longer. He could do both, though.

In the cruelest misfortune of the week, I had tickets to today’s game. I planned to take my younger brother to the game, his first NFL experience. But I’ve picked up some nasty cold that is not conducive to sitting in rainy 40-degree weather. This team is worth getting sicker for, but I want to be healthy for next week’s showdown with the Seahawks in the playoffs.

If we win, of course. Just win.

¹ He’s so wonderful that he needed to push off the defender – offensive pass interference – to score one of his touchdowns against the Redskins in Dallas. With a referee 10 feet away. That’s official deference to a storyline, not calling the game as it happens. He’s good, but not as good as he’s allowed to be through leaving the yellow flag in the waistband.

The post where I applaud Ron Paul.

Having hammered away at Ron Paul over the last three days, in the interest of fairness, I’ll comment on the non-story story that won’t die. Rep. Paul’s campaign accepted a $500 donation from a white supremacist. Some people, for irrational reasons, want him to give the money back as a repudiation of white supremacist ideas. Please. As if accepting $500 dollars is going to influence a campaign, or that the campaign could possibly screen every donations for ideological problems.

Yes, he could’ve returned the money after it was brought to his attention. But why should he? I agree with this logic:

“Dr. Paul stands for freedom, peace, prosperity and inalienable rights. If someone with small ideologies happens to contribute money to Ron, thinking he can influence Ron in any way, he’s wasted his money,” Paul spokesman Jesse Benton said. “Ron is going to take the money and try to spread the message of freedom.

“And that’s $500 less that this guy has to do whatever it is that he does,” Benton added.

There’s already too much credit given to irrational, feel-good nonsense in politics. Logic requires we always give credence to sanity alone, but sometimes, when reason fails, it must be delivered as a “suck it”. Kudos to Rep. Paul’s campaign for telling relentless opponents looking to score cheap points on a non-issue to suck it, even if it harms him.

Meet our next Treasury Secretary, Harry Potter.

Following on yesterday’s theme, Mike Huckabee is the only national candidate (that I know of) currently advocating the FairTax. With friends like him, who needs enemies?

Instead we will have the FairTax, a simple tax based on wealth. When the FairTax becomes law, it will be like waving a magic wand releasing us from pain and unfairness.

That quote is taken from Huckabee’s campaign site. I’m not about to claim that FairTax advocates and Huckabee supporters are the same group. Overlapping, yes. The same¹, no.

I can accept a claim that a plan is better than what we have. I want evidence, of course, and I’ve stated that evidence from the FairTax leaves me against the plan. But to pretend that anything short of eliminating taxes completely will be “like waving a magic wand releasing us from pain and unfairness”? Huh? No thanks. Even if I supported the FairTax, that kind of lie would turn me off of Huckabee².

¹ First, obligatory dig at Rep. Ron Paul. Why do people claim that Ron Paul is a libertarian because many of his supporters are libertarians? Overlapping, yes maybe. The same, no.

² Second Obligatory dig at Rep. Paul. There are other issues that disqualified him from my vote long before I got to this issue. But like Mike Huckabee, Ron Paul does not believe in evolution. I think Rep. Paul is leaving himself wiggle room in there as a politician, but I will not accept the pandering of wiggle room. Rejecting evolution despite clear evidence is irrational. Neither Paul or Huckabee could earn my vote based on that (among many objections).

The FairTax is a bad idea.

Remaining from a September debate, I owe regular commenter Scott my analysis and opinion of a national sales tax. To be upfront, I began my search against the idea. Not because I wanted to hate it, although I do hate it. Yet, as I’ve thought about my 15-year support for a flat tax plan – and I acknowledge that it has its problems – I’ve considered some of the basics of a national sales/consumption tax. The economics and politics of a national sales tax fail miserably.

From Americans for Fair Taxation, I roamed through some of the finer points of what is now under consideration. I used this recent editorial to focus mostly on the ideas. For example:

What emerged from this research is that a national retail sales tax is a preferred method of taxation among most Americans surveyed.

A majority of Americans supported slavery at our nation’s beginning. Segregation was hunky-dory for most well into the 20th century. Even today, a majority of Americans believe that surgically altering the healthy genitals of their male children is reasonable. Of course income versus sales tax is not comparable to those sorts of oppression, but forgive me if I fail to be swayed by such arguments in favor of any position. Mob desire is irrelevant because good intentions do not guarantee good outcomes. The details matter.

Research on the price of consumer goods reveals that up to 20% of all prices today represent hidden income taxes and payroll taxes. Once these taxes are repealed and replaced with the FairTax, it is likely that market pressure would force retail prices to fall.

This is either ignorant or dishonest. The FairTax will not eliminate embedded taxes; it will merely change the source of which businesses collect taxes from individuals. Even something as simple as an apple will have embedded taxes.

The apple will require a seed to create an apple tree. That seed will have a sales tax. The tree will require fertilizer to make grow. That fertilizer will face a sales tax. The fertilizer will need to be transported from producer to apple grower. That fuel will face a sales tax. The distributor needs a truck to haul the fertilizer. That truck will face a sales tax. The truck will require gas to operate from A to B. That fuel will face a sales tax. And so on, all the way to my cupboard.

Now, imagine something more complicated, with multiple ingredient raw materials. Think that iPod that Americans love doesn’t consist of parts purchased from vendors with an “s” for plural who all require inputs to make their products? The disappearance of embedded taxes is a myth, unless we assume that someone who currently fails to absorb hidden costs will suddenly absorb non-hidden costs. I will not assume something quite that silly.

Which leads to this, perhaps the boldest claim:

The FairTax would collect revenue from the underground economy.

How, exactly, when basic logic suggests the FairTax would push more of the U.S. economy underground, not less? There would be evasion everywhere. Need to get your hair cut? Here’s $20 cash. Need your lawn mowed? Here’s $40 cash. Never doubt the human capacity to subvert rules. Simplicity is important, but reducing the burden of complying is much more effective. Absent that, reducing the ability to bypass the system is important. I don’t have to believe that taxes are good to push the idea that collecting as close to the assumed amount is wise. Otherwise, reality will be destroyed by the theoretical estimate and actual receipts. The rate would increase more the greater those two figures differ.

As the FairTax advocates own figures indicate, the sales tax is not 23 percent. That’s only the tax-inclusive rate offered because it looks better² than the tax-exclusive – the common metric – rate of 30%. Dividing 30¢ sales tax by the final price of $1 and 30¢ gives a 23% tax-inclusive rate. But in Virginia, if I go into the store and buy a bottle of water, I see the price of the water as 99¢ and the final price as $1.01 after the 2% sales tax is added. No one pretends that the rate is 1.98%.

In the end of the editorial, this:

Significantly, the FairTax eliminates all loopholes, gimmicks, exemptions and deductions from the federal tax system.

The “prebate” is certainly an exemption, and given the details, I’d call it a gimmick. The details:

Another benefit of the FairTax is that, unlike other sales taxes, it would not hit the poorest Americans the hardest. The FairTax proposal calls for sending every American a “prebate” check to offset the cost of the national sales taxes paid by those living in poverty. This feature would effectively exempt those living below the poverty line from paying taxes to the federal government, and provide all taxpayers with a reimbursement of a portion of taxes paid.

Who’s administering this “prebate”? How are differences in regional cost of living factored into the “prebate”? Are the differences factored in? According to the following document, “The Prebate Explained” (pdf):

Poverty level spending represents what it costs families of varying household size and composition to buy their necessities.

All consumers are alike. Every central planner believes that and the “prebate” requires the adoption of central planning. You need four chickens, two gallons of milk, one dozen eggs, and eight ounces of cheese. That’s normal. Except it’s not, because the government can’t know everyone. It can only assume and expect you to fit that mold. Some people will receive a larger “prebate” than they should and some will not receive enough. It’s inevitable.

And what about those people who spend their “prebate” on lottery tickets, for example? I’m not offering that as an expectation of what “the poor” will spend their “prebate” on or as a judgment on lottery tickets. I think people should be able to spend their money on whatever they want. But this plan specifically relies on government-managed handouts, in advance and tied to no actual spending, to make the plan plausible and not regressive. How do we prevent such wastefulness among citizens when it leads to further reliance on the government to pay for necessities? There will be people who waste their “prebate”, just as there are now millions of Americans who believe that their tax refund is found money rather than an interest-free repayment of excess taxes paid as many as 16 months prior. There will be a call to further assist these people through government resources. The loopholes, gimmicks, exemptions, and deductions aren’t going anywhere.

Neither is the intrusion of government into each person’s privacy. To get the “prebate”, Americans must do the following (according to the pdf above):

The registration form requires only the following information:

  1. The name of each family member who shares the residence;
  2. the Social Security number of each family member;
  3. the family member to whom the monthly prebate check should be paid;
  4. a sworn statement that all listed family members are lawful residents, that all family members sharing the common residence are listed, and that no listed family members are incarcerated;
  5. the address of the shared residence; and
  6. the signature of all family members 21 years of age and older.

Failure (unwillingness) to adhere to those instructions results in no “prebate”. And again, who will be managing this information and
distributing monthly checks to millions of households? Maybe the IRS goes away, but why should I believe its replacement will be any better? (Who validates that my claim of 6 children is correct? Fraud and waste, anyone?)

The effect of eliminating regressive payroll taxes is commonly overlooked when analyzing the FairTax, but it would have a very significant impact, as these taxes represent the single largest tax burden on these income earners.

I agree with fixing the burden of payroll taxes. It is inherently regressive. Making it “fair” would be a huge tax increase on higher earners, but it wouldn’t help our economy. So what to do?

Eliminating the tax is a great idea, but the FairTax only seeks to fund the underlying flawed entitlement through a sales tax without addressing the fundamental flaw in seeking to be revenue neutral to maintain ineffective programs. And since when has Congress been expenditure-neutral? Why should I believe it will suddenly find fiscal responsibility? Taxes are bad¹ and should be lowered as much and as soon as possible, but we need to cut expenditures first. Without that measure, we’re engaging in diversionary games³.

Finally, and most damning from a practical path, how do we transition from an income tax to a sales tax? The Y2K nonsense was overblown. Flipping the switch from Income Tax on December 31, 20xx to Sales Tax on January 1, 20xx would be a realized nightmare, but I’ve seen nothing other than that simplistic transition implied. That’s foolish.

I also used this chain of entries from Kip at A Stitch in Haste as research.

¹ We have a $9,124,016,501,555.91 national debt, as of today. That has to be repaid.

² For another example of this sleight-of-hand marketing, read this.

³ There is one final caveat looming large. We’d have to repeal the 16th Amendment.