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At a traffic light today, I found myself behind a car with a bumper sticker that my casual glance read as Eat Organic . Just as the light went green, my brain clicked on to inform me that it actually said Eat Origami . Now, the health benefits of consuming only folded paper figures aside, I wondered if the organic food movement had spread to the blogosphere. The answer is a resounding Yes. We have the Organic Lifestyle in New Zealand, the UK, and as a women's online magazine. Interesting that the last features—prominently—an advertisement for Aphrodite Chocolates. Conversely, Suw Charman at Chocolate and Vodka has her priorities in order. In fact, she tells us Today I realised—with a glass of orange juice, a bar of Green & Black's dark organic chocolate and a bag of champagne truffles on my desk—that I had sort of fallen off the sugar wagon. Well, less fallen off, more jumped off. Enthusiastically. This probably explains why I spent much of this afternoon either asleep or very nearly asleep. At her Organic Baby Farm , Utah blogger Wacky Hermit is "growing the World's Cutest Free-Range Milk-Fed Kids... and feeding them nothing but crap." Her recent post "Today At GotMilk Prison Camp" makes the point that "with enough rhetoric you can make anything sound like torture." (Plus, it's both satiric and cute!) At Milk Is Milk , on the other hand, a reprint of the Oct. 2004 treatise by The Scientist editor Richard Gallagher exposes the Organic Food Placebo. Gallagher quotes British peer Dick Taverne, "...the craze for organic food is built on myth. It starts with a scientific howler, has rules with neither rhyme nor reason. None of the claims made for it have ever been substantiated, and if it grows it will damage the nation's health." Taverne's complete remarks are available at another organic-debunking blog, Foreign Dispatches , in the post "You have to be green to swallow the organic food myth." Perhaps in response, the Accidental Hedonist chronicles the questionable organic nature of some organic dairies. The blog notes that "it's not surprising that once it had been determined that there was a market for such products, some corporate farms sought to get a piece of the pie." Unfortunately, they charge, at least one group of dairies operating in California, Idaho, and Colorado, is violating two of the standards that would make the milk organic. "According to reports, both the Idaho and California operations differ little from conventional confinement dairies other than having their high-producing cows fed certified organic feed," says Mark Kastel, Senior Farm Policy Analyst, at the Wisconsin-based Cornucopia Institute. Janet Roberts uses her FoodWords blog to steer us to a viral Flash video , "Obi Wan Cannoli Wants You!" Even if you're sick of Star Wars, you have to check out... the Organic Trade Association['s] "Store Wars." Starring Cuke Skywalker, Obi Wan Cannoli, Ham Solo and Darth Tater, it tells the tale of food adulteration and how to combat it. Spot-on parody of the earliest Star Wars chapters, obviously done by people who appreciate a good pun (Hey! Watch out for the Thai fighters!).    The sod sofa also produces oxygen. Greg Tate of Ready Made gives us the detailed instructions to create the only appropriate sofa for all organic couch potatoes. The brain-child of Bruce Main, this grass-upholstered lawn chair is the perfect back-yard accessory. Head Chef Charlie Ayers posted Google Daily Menus , until he decided the rest of the world didn't care what Google-folk every day. His recipes regularly featured organic greens. Meanwhile, the Treehugger touts organic catsup as a condiment preventive of cancer. The actual agent tested was "Lycopene, an antioxidant that for years has been known to have protective effects against breast, prostate, and pancreatic cancers... found in cooked tomato products like tomato sauce and, yes, ketchup." In May 2005, The Politic commented on a National Review item that posited organic farming is "simply not sustainable." The blogger used the item to drive the opinion: "There is way too much hype over how bad genetically modified (GM) food is. How small minded can these people be? The truth is that this propaganda was created simply to sell products in the over priced organic food industry." If the choice were limited to GMO vs. organic, we might agree with him that you can "Eat Organic If You Want People To Starve." Or you could eat organ meats, although as Roast Beef warns us from his GREP blog, this can have disturbing consequences. 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That’ll Be The Day “All I know is just what I read in the papers.” Will Rodgers,1879-1935 I await the day when The New York Times runs a series of “good news” articles about the state of American health care. The series might have these titles, • Americans Trust Their Doctors • Americans Have Greater and Quicker Access to High Tech Diagnostic and Curative Care Than Any Other Nation • Foreign Physicians Flock to America for Training Unavailable in Their Country • Record Numbers of Canadians Cross Border for Life-Saving Care • America Achieves Unprecedented Longevity Gains in Last Decade • Americans Receive 80 Percent of Noble Prizes in Medicine • Research at American Pharmaceutical Companies Produces 90 Percent of the World’s New Drugs • America’s Innovative Health System’s Variety and Choice the Wonder of The World That’ll be the day. The Times in 2005 and 2006 had a series of a dozen articles entitled “Being A Patient.” These focused largely on the perils of being a patient in America. Now The Times is embarked on a series on medicine and money, focusing on profit-mongering drug and medical device companies in league with greedy specialists to bilk the public. It all comes down to altitude and attitude. From their lofty perch, Th e New York Time’s editorial staff has yet to tumble to the reality America is basically a conservative nation, distrusts centralized government, wants choices of care and providers, demands access to the wonders of high tech medicine, and believes a market-based system, with all its faults, such as profits for entrepreneurial and innovative health care companies and , are worth the price and value received. It is almost as though The Times denies the existence of entrepreneurial capitalism in American health care. Our health system blends innovative large and small firms striving for economic growth. Such a system entails risk – workers who lose jobs and health insurance, widening of gaps between winners and losers, competition with some jobs going to skilled workers abroad who have increasing skills, occasional bankruptcies among those unable to pay health care bills. American capitalism is imperfect. It requires oversight to reduce risks without losing entrepreneurial vigor. Unremitting accusations of bad faith and constant “bad news” stories don’t strengthen health care. Read the The New York Times, and you’ll come away believing pervasive avaricious greed corrupts American health care and will break our already “broken” system. From May 9 through May 11, The Times ran 10 articles on how drug companies deceived the public and entered into unholy alliances with doctors to sell more drugs to produce more revenue for doctors, how doctors willingly entered into these alliances solely for material gain, and how lobbyist-tainted and incompetent FDA failed to monitor new drugs and harmed patient safety. The May 9 front page, right top column, the prime spot for highlighting news, featured these headlines, Doctors Reaping Millions for Use of Anemia Drugs. Payments from Industry. Concerns over Safety – Critics See Incentives for Higher Doses. The opening Section read: “T wo of the world’s largest drug companies are paying hundreds of millions of dollars to doctors every year in return for giving their patients anemia medicines, which regulators now say may be unsafe at commonly used doses. The payments are legal, but very few people outside of the doctors who receive them are aware of their size. Critics, including prominent cancer and kidney doctors, say the payments give physicians an incentive to prescribe the medicines at levels that might increase patients’ risks of heart attacks or strokes. Industry analysts estimate that such payments — to cancer doctors and the other big users of the drugs, kidney dialysis centers — total hundreds of millions of dollars a year and are an important source of profit for doctors and the centers. The payments have risen over the last several years, as the makers of the drugs, Amgen and Johnson & Johnson, compete for market share and try to expand the overall business.” The Times appears bent on publishing on its front pages “All the Bad News that’s Fit to Print about U.S. Health Care.” The May 9 article is part of a series of medicine and money, all decrying collusive relationships between big business and bad doctors. The Times series focus on the pharmaceutical industry and medical device industries , and how these industries reward specialists who overuse products for financial gain. To The Times, the American health system has become a morality play, • the good guys (The Times and other assorted elites and policy pundits) vs. the bad guys (profiteering health companies and doctors); • the greedy (well-healed executives and “rich” doctors) vs. the needy (poor patients in the throes of cancer or kidney dialysis); • the high brows (academics and journalists who know what’s right for the common good) vs. the low brow commercial types (who do almost everything wrong as long as it suits their own financial self-interest). I don’t wish to pick a fight with a media outlet who buys ink by the barrel. I know “bad news” sells better than “good news.” I know The Times considers itself the Watchdog and Whistle-Blower against mean-spirited, profiteering conservatives. I don’t question our capitalistic system needs oversight to reduce abuses. I’m simply seeking more balance in The Times reporting. For an example of this imbalance, in its May 9 piece, The Times dismisses America doctors’ overuse of anemia-correcting drugs for cancer and dialysis as a deliberate effort to make money. To make its case, The Times notes American doctors, • prescribe more drugs than European counterparts ( Did it ever occur to T he Times maybe, just maybe, European doctors “under-prescribe” and maybe their patients have less positive results? ) • conssciously endanger patients for profit when they know anemia drugs are unsafe (Has it occurred to The Times American physicians prescribing these drugs believe higher hemoglobin levels are “good” for improving health and alleviated distressing symptoms attributable to anemia.) • Continued to prescribe drugs even after studies indicated hemoglobin levels above 12 might endanger patients ( Did it ever occur to The Times the studies indicating “possible” risk studies were far from conclusive and only appeared in March?) Nor does The Times point out doctors themselves often criticize thenselves. For instance, on a May 11 blog, “The Doctors Weighs in on Cancer,” Dr. Dov Michaeli, an academic physician and biochemist who does cancer research takes the American Society of Clinical Oncologists (ASCO) to task for responding to the Times defensively (see epilogue to this blog for a reprint of ASCO letter to The Times). Of the ASCO letter to the times (reprinted in epilogue), Dr. Michaeli acidly comments “ASCO makes that same argument that professional people make when colleagues are caught with their hands in the cookie jar: most of us are conscientious, hardworking people. Granted, but it turns a blind eye to the corrosive influence of pharmaceutical companies on the use of drugs. This is denial of how our health system ‘works’ on a daily basis.” Michaeli concludes: “As the wheels are coming off our broken health system, more revelations of waste, abuse, greed and outright criminality are bound to surface. What are we going to do about it?” Good question. I suggest we start with a more balanced view of the system. • First, I reject the notion the system is “broken” – and constant reference by academic critics of greed by practitioners as a cause for this brokenness ( Michaeli, an academic researcher, shows some of this bias when he says, “ ASCO is led by academic clinicians and researchers, whose motivation and dedication is admirable. But many of the rank and file, community practitioners, are not beyond temptation.” I doubt medical academicians, who compete for pharmaceutical company grants and who run clinical trials, are beyond temptation. I’m unaware academic physicians wear halos and only practicing doctors are vulnerable to “temptation.” • Second, I believe critics ought to acknowledge health care is an innovate force in our economy, will soon represent 20 percent of the nation’s GNP, and is the nation’s largest employer. Professional managers, whose job is to maximize resources and revenues, run most health care enterprises - hospitals, medical practices, drug and device manufacturers. If overzealous pursuit of revenues and resources leads to excess, managers should be condemned, even fined and jailed, but it shouldn’t be assumed or taken for granted pharmaceutical and medical device companies and doctors are always seeking mutually beneficial arrangements are ipso facto evil doers. What the media in general, and The New York Times in particular, needs is a more balanced view. An occasional dollop of good news, such as more than 50 percent of cancer victims are now surviving, more than 10 million cancer victims are living with their disease, and genetically engineered cancer drugs are contributing significantly to cancer cures, would help achieve that balance. I’m pleased to report the May 12 issue of The Times contains a “good news” piece on Becton, Dickinson & Company. It’s buried on the third page of the business section. It’s titled “Medical Gear That Rarely Makes News.” It consists of an interview with Edward J. Ludwig, CEO of Becton and Dickenson, with revenues of $5.7 billion last year, on sales of syringes, diagnostic kits, lab equipment, and related gear. The unifying theme behind the company’s success is its emphasis on safety in its products to protect doctors, nurses, and patients with shields, sliding clasps, and needle retracting into the device. Its ambition is to make a significant dent in the 2 million infections each year from antibiotic resistant staphococci killing 90,000 Americans each year and costing $6 billion yearly to treat. Toward that end, B &D has acquired a diagnostic system allowing them to quickly identify the offending bacteria. Use of this system to screen every patient. entering Evanston Northwestern Hospital reduced infections by 60 percent. Ludwig contend s private innovation will help the “broken” health system to heal itself by attacking safety problems, and improving care. What the media needs is a new more flexible mindset allowing them to become more innovative in reporting the “good news” of our resourceful and responsive health system. Epilogue : In the interest of being “fair and balanced” (a term the mainstream media now considers anathema since Fox News adopted it as their slogan), I reprint six letters from the May 13, Sunday, New York Times. The Times deserves credit for publishing letters representing both points of view. Best Drug, or Best Money Maker? (6 Letters) 1) To the Editor: So two drug companies are paying hundreds of millions of dollars to doctors who prescribe anemia medicines that lack effectiveness and put a patient’s health at risk. This is not a surprise because it reflects our broken health system, a system driven by greed. Although drug companies say their intentions are not to promote the use of more medicine for profit, there will always be the risk that some doctors will prescribe higher doses to gain that extra dollar. As patients, we should work to eliminate the incentives to doctors and to raise patient awareness about them. We deserve the right to know the benefits of a medicine, both for us and for the doctors. Luis Rodriguez Daly City, Calif., May 9, 2007 2) To the Editor: Medical care should be guided only by what is best for patients. But throughout the medical system, rebates and volume discounts are common and can create the perception of improper incentives. Our organization has long advocated evidence-based guidelines, including those we produced in 2002 with the American Society of Hematology on erythropoietin use for chemotherapy-related anemia. With the appropriate use of erythropoietin, many thousands of patients have avoided potentially dangerous blood transfusions. Oncologists care deeply about their patients, and the overwhelming majority treat them based on the best available evidence. In the case of erythropoietin, recent studies prompted the Food and Drug Administration to issue a “black box” warning in March about the potential dangers of using erythropoietin to boost hemoglobin to levels higher than guidelines recommend. Early evidence suggests that doctors factored this new data into their prescribing decisions and have reduced erythropoietin use. As a whole, the medical community needs to better determine the impact financial incentives may have on prescribing patterns and patient care, to ensure that patient needs continue to be at the forefront of medical decisions. Allen S. Lichter, M.D. Exec. V.P., American Society of Clinical Oncology Alexandria, Va., May 10, 2007 3) To the Editor: Many doctors appear dissatisfied with fees ethically garnered from clinical evaluation and management. They can and will prescribe for personal profit, and will readily reshape and expand diseases to suit the available reimbursement. Without disclosure, patients are typically the last to know there might be a problem. The investigation of anemia drugs no doubt could expose the self-serving logic, unethical inducements and poor administrative surveillance that permit exploitation of the public’s soft financial underbelly. Unfortunately, there are plenty of other specialties of medicine where such professional betrayals occur. And adequate regulation is not likely to occur in the financial free-for-all of private medicine. James H. Lampman, M.D. Bismarck, N.D., May 9, 2007 4) To the Editor: The discovery and development of growth factors that stimulate the bone marrow to produce red cells was a milestone in modern medicine. In the appropriate setting, these growth factors can improve blood counts and quality of life and spare patients time-consuming, expensive, short-lasting and risky transfusions. In our practice the increasing use of these medicines is driven by the fact that they work so well. As with any new therapy, these medicines need to be used within established and developing guidelines to avoid serious side effects. Since there are two competing and equally effective drugs, the drug makers are offering incentives for preferential use — the natural outcome of a free-market economy. Deciding how regulators might control drug makers is an important undertaking, but it should not detract from the tremendous benefits of these drugs when used in the right situation. Birjis Akhund, M.D. Chief of Medical Oncology Huntington Hospital Huntington, N.Y., May 9, 2007 5) To the Editor: America has the best medical care in the world. It is the most advanced and expensive. The first two qualifications are debatable, but the third is difficult to refute. The great expense is complicated by the high cost of drugs and procedures of dubious benefit. The likelihood of being prescribed drugs of dubious benefit is obviously increased by kickbacks to doctors. The kickbacks may be legal, but should they really be allowed? The cost of medicine is increased by this practice, and the quality is sure to suffer. Alex Floyd Lexington, Ky., May 9, 2007 6) To the Editor: “Doctors Reaping Millions for Use of Anemia Drugs” (front page, May 9) was disturbing. I found it equally disturbing that the continuation of the article was in Business Day. In the past two decades, I have observed that news of important medical advances increasingly appears in, or is continued in, the business section. This practice advances the thinking that health care is primarily a business in which providers reap riches, rather than a humane social endeavor in which providers earn their living. Ira D. Feirstein, M.D. New York, May 9, 2007

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(corrected version) Dear Friends, At the end I had to rush the essay. Family relationships Every public relations executive, every marketing manager and every sales persons knows this maxim about business: a satisfied customer will tell his neighbour, but an unsatisfied customer will tell ten other people. The same goes for families. A neighbour will know about the happy family living next door, but the whole neighbourhood will know about an unhappy family living in the street. But there is more to family relationships then unhappy families. For this discussion we need to establish what we mean by family and relationships. not only do we need to clarify what constitutes a family but also who may be a member of a family. moreover, does membership to a family confer any privileges? Relationships itself is a rather open ended concept. How should we understand this concept? Are there duties and obligations involved? Does this imply social relationships as well? The days when philosophers could relax on their favourite easy chair and contemplate the infinite are long gone. Today we have to contend with what is happening in other branches of knowledge mongering. To be fair it has always been like that; more or less. From our point of view, we have to consider a family both as a biological system and a social organisation. And each aspect has its own set of philosophical issues. A high school teacher of mine was fond of tell us that; a problem shared, is a problem halved. Apart from being a catchy phrase, it is also backed up by such theories as game theory or evolutionary biological systems. The fact that humans have evolved into two distinct sexes implies that there must be some form of cooperation between the two to fulfil the biological task of reproduction. Well, reproduction is certainly a problem halved, even if today it might be shared with a laboratory technician wearing a white coat and face mask rather than something kinkier for the occasion. White coats apart, we can still take the biologically determined union as the basis of what we mean by family. However, we must also distinguish, today, between genetically related family, when the off springs of a couple are also genetically related to each other. Today, with fertility technology the off springs need not necessarily be genetically related to the parents (to both or one of them). The other forms of families still follow the traditional make up; adopted children and step children. One important aspect of a genetic family is that there is a strong genetic bond to protect and bring up the young. Whether we call this genetic altruism or instinctive behaviour is not that important for us. This sort of genetic cooperation makes evolutionary sense if the offspring is given a good chance to reach reproductive age. A great deal of generic families follow this strategy. But sometimes, in fact many times, the genetic parents or parent of an offspring abandon that very same offspring. Although we tend to associate this phenomenon with pictures from developing countries, it is not exclusive to these countries. How should we read and understand this sort of family relationship? We can look at this as confirmation that if life in our environment becomes seriously dangerous to our own survival, it would make sense to abandon any offsprings that might prejudice the chances of survival. To put this in a very colloquial way; looking after number one is the first priority. Incidentally this seemingly selfish behaviour has nothing to do with the idea of the selfish gene introduced by Dawkins. Some might object to this idea of looking after number one first. However, a work around this seemingly biological instinct is not to put one's self and one's offspring in danger. Hence, the answer to families living in a very hostile and impoverished environment is not to hold on to offsprings, come what may, but not to have offsprings in the first place. If we want to escape from a hostile environment, it seems to me to be unethical to have offsprings in such an environment. We could also say that when a parent abandons its genetic offspring it is a reflection of a breakdown in the genetic programme. A sort of malfunction of the genetic survival system. But this has to be contrasted with the fact that the reproductive instinct is much stronger than the caring instinct. Not to mention that there will be other opportunities to reproduce, for someone of reproducible maturity and sufficiently good health. Another interpretation is what we might call the cuckoo phenomenon. Since the reproductive instinct is so pronounced one can take the view of having offsprings anyway and then hope others will take care of them. Especially when human nature has developed and evolved a sophisticated form of social and biological altruistic cooperation. This approach depends on the belief that not every one will cheat the system and the system is rigid enough not to withhold any altruistic cooperation to those who need it. At the genetic level this behaviour is as neutral and amoral as the fertilisation process itself; what matters is that the biological system reaches reproductive maturity to pass on the genes to the next generation and not who cares for that system in the meantime. That genetic parents are more likely to care for an offspring is not the same as saying that only the genetic parents can care for an offspring. If this is a true representation of relationships within a biological family then surely there seems to be a minimum threshold of personal survival before the genetic instinct to care for off springs takes over. Could it be that this means that family relationships at the biological level are relative to the environment the biological individual find themselves in? Moreover, at the biological level family relationships are not only relative but also flexible. Thus, what makes a biological/genetic family in a state of equilibrium is when it can overcome or manage well the difficulties of the environment around it. The family is of course more than just parents and offsprings, but when we take other members into consideration, we change the parameters from biological to social. Of course, the biological element is still there, but for day to day considerations it is not that prominent. I will call this the social family. If nature did not introduce some sort of categorical imperative to look after genetic offsprings, then can we imply a categorical imperative for the social family? As a cooperative system that exploits its environment social and biological families surely involve rights and duties for its members. These rights and duties surely introduce their own moral and social obligations. For example, at the biological level one has to contribute one's energy (which is part of a biological systems) in exploiting the environment for the good of the family group. However, looking after offsprings as a form of family relationship must surely count as the most fundamental of family relationships and obligation. After all, they are one's offsprings; what can be more basic than that? Of course, this does not imply an obligation ad infinitum, but certainly an obligation until circumstances require it. Maybe even at the social level of family relationship there isn't an obvious categorical imperative to look after offsprings let alone other family members. However, there is a strong practical expediency to look after family members or have good family relationships. The family is certainly the most important group we have access to and know very well. Thus, having good family relationships makes good sense. It is also the first group we are likely to be indebted to in the first place. although there does not seem to be any form of categorical imperative to have good relationships with one's family there does seem to be a very strong rational argument to actually do have good relationships with one's family. This changes the moral standing of the family from "have to" to "want to." And this principle seems to be taken very seriously by some families. Just consider the fortunes and histories of mafia families, dynasties, American presidential families, European monarchies, and business empires. There is no doubt that fortune favours the audacious, as Machiavelli said, but it also favours good family relationships. It is safe to assume that both at the genetic/biological level and the intra-relationship level there is nothing that makes it imperative for families have to have a cooperative relationship. However, it makes sense that families should adopt cooperative relationship strategies; division of labour, accumulation of resources, protection and safety. The evidence does seem to point in this direction. But as I have said, families in also genetic context become social entities. And as social living organisations they have to interact and compete within their society and with other families. Although some might object that this inter-social relationship is off topic I do not believe so. Firstly, what happens in society has a direct causal effect on the family; for example a change in the political fortunes of a society affects all families in the society. Secondly, we as individuals within a family group also have to interact with individuals outside our family; for example, holding a job. This directly or indirectly has an effect on the family. And thirdly, which is the most important point of all, society, through its various institutions and organisations, imposes itself on the family. It is this third point that I want discuss next. The issues raised by the influence of society on families are quite wide. I therefore want to submit just a flavour of what I am thinking about. I will refer to two extreme cases of the spectrum. The first is a quote from the archbishop of Canterbury and the other is more a type of family interference within a genre of interferences: I refer to honour killings which is an extreme case of social influence. But although we associate honour killing with certain cultures and religions, we still find it in very mild and dilutes forms through class and caste structures. The archbishop is quoted* as saying, “.....pushy parents who rush children between ballet and violin lessons are suffocating their offspring too. Children live crowded lives, we're not making their lives easy by pressurising them, whether it's the claustrophobia of gang culture or the claustrophobia of intense achievement in middle-class areas." What the archbishop is referring to is of course something most people in western and partly developed countries experience. The need to achieve and the need to succeed is an ever present pressure on all of us. The archbishop uses the word achievement, but we can distil this concept further to extract the real driving force behind this behaviour: I shall call it the cult-of-wanting-more. The archbishop seems to have missed the point here: it is not that we set ourselves goals to achieve things, but that we want more whatever those goals are achieved. Achievement is a signal to want more. We want more because that is the society and culture we live in tells us we should do. We want a faster bigger car, a more expensive house, a more exotic holiday, and so on. And from this we get the pressure on families and its members. Of course this achievement and wanting more is always dressed as a virtue and the right thing to do. But the bottom line is this, if we want more than by definition we are never satisfied, and if we are not satisfied then surely our plans for the family have failed. And if we or our partner fails this is seen as having failed the family. In April this year most of us read** about or saw the video of the honour killing of the 17-year-old Yazidi girl who was killed in public simply for falling in love with a Muslim boy. Indeed this is an extreme case of cultural delinquency and social immorality, but certainly not an unusual one. But our society and our culture does not only interfere with family relationships as in these extreme cases. In English, especially British English, we have the expression, “to marry above or below one’s station.” Maybe it is not as common as it used to be, but even having a negative expression to describe certain unions is bad enough. Thus the idea of marrying someone who comes from a different class, group or caste is itself a pressure on the family. Maybe we have stopped seeing families, especially the parents of the family, as life long strategic alliances, but now we see families as business partnership with a P&L analysis every so often. Pressure does not only come in the form of achievement or cultural delinquency, but also what passes as moral principles. I have argued that in nature there is no binding categorical imperative, only mutually advantageous strategies, which work for most, most of the time. Nature did not establish a do or die imperative for family relationships any more than it has created such a principle for reproduction. But societies and most religions do try to impose such imperatives. imperatives that require a license to fall in love, imperatives not to separate when alliances fail, imperatives to reproduce which seems like blind following of the want-more cult and imperatives that promote class-ism (kings are not suppose to marry commoners). In real life, of course, there have always been divorces, birth control and the rest of it, except only the privileged families could avail themselves of these opportunities. Not to mention that usually these rules are biased and prejudicial to women. Are men ever victims of honour killings? In a report** that appeared in the New York Times, NICHOLAS WADE writes about the work of Dr Haidt who basically asks whether the categorical imperative (do unto others), in found in our genes. Dr Haidt has identified what he calls innate psychological mechanisms which basically are: loyalty to the in-group, respect for authority and hierarchy, and a sense of purity or sanctity. He is also quoted as saying that, "Those who found ways to bind themselves together were more successful." Successful in natural selection; he even suggests that religion help humans succeed in nature. Not everyone agrees. Dr Frans B. M. de Waal has this to say, "For me, the moral system is one that resolves the tension between individual and group interests in a way that seems best for the most members of the group, hence promotes a give and take." Of course this is a modern version of an age old problem. It seems that this issue of family relationships (as in other relationships) is without a clear cut explanation and solution. However, we do know for sure that nature is very adaptable and accommodating. After all that is the secret of success of natural selection. I do not think that the categorical imperative applies here. Take care Lawrence *'Is our society broken? Yes, I think it is' The Daily Telegraph / The Sunday Telegraph By Rachel Sylvester and Alice Thomson http://www.telegraph.co.uk/news/main.jhtml?xml=/news/2007/09/15/nbishop215.xml **Is ‘Do Unto Others’ Written Into Our Genes? The New York Times September 18, 2007 http://www.nytimes.com/2007/09/18/science/18mora.html?_r=1&ref=science&pagewanted=print&oref=slogin *************************************************** **********HOLIDAY FLATS********** Mayte; Almer

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Daily Kos: Propound of the Nation: \"Democratic MO AG Jay Nixon is getting an early mount for 2008: Missouri Attorney Authoritative Jay Nixon filed the paperwork Thursday to start a 2008 movement as governor, resolving share questions over his miss to replace Gov. Matt Blunt. 'Surrounded by this notch, my adjust is Along the society of Missouri again our incumbent governor,' Nixon said bounded by an interview with Post-Dispatch editorial writers together with reporters. 'I demanded bargain for that the year is deserved.' Nixon, a Democrat, offered a scathing wholesale everywhere Blunt, a Republican who has been interpolated maintenance declined than a life. 'It's a harder besides along difficult resolution since me to sense chiefly what they've depleted strict than what they've ancient history wrong,' Nixon said, referring to Blunt's arena. Blunt has the third lowest check of side governor interpolated the US, bringing gone the concoct with unit Republicans Taft (OH), One-Term-Inator (CA), Fletcher (KY), more Murkowski (AK). \"

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The daily workout A lot of people have been asking me what I have been doing to lose so much weight. I thought I would post it here since I can’t think of a better way to explain it. About six months ago I decided I was going to loose the overweight programmer look and attempt to get back in shape. I started working out by running on a treadmill each day for about an hour. After two months of consistent working out I had nothing to show for it. I had lost no weight, I was not any smaller, and I was getting sick and tired of working out. At a family gathering, my brother-in-law gave me what I now call “The Man Diet”. I call it that because Men do not want to read long books about what you can and can’t eat. Men don’t want complicated diet programs that require you to measure points. Men want a very simple set of rules to follow and he gave me only three. 1. Don’t eat anything that starts with the letter “C” (except Fruit, Veggies, and Meat) 2. Don’t eat anything white (except Fruit, Veggies, and Meat) 3. Only drink water Don’t ask a lot of questions, just follow the simple rules. At the same time I got this advice, Brady Anderson (from the iFolder team) mentioned that he measured his heart rate using a monitor like those made by Polar. I purchased a Polar F11. On November 8th, 2005 I started on my new “Man Diet” and my Polar exercise program. I work out six times a week and my exercises vary in length and difficulty each day. I’m not going to attempt to explain heart rate zones here, visit Polar or some other fitness site on the web and read up on it. Basically I have four 45 minute workouts in the 60-80% zone, one 35 minute workout in the 80-90% zone, and one hour and 10 minute workout in the 60-70% zone. My exercises consist of riding a stationary bike (in photo), running on a treadmill, running outside, swimming laps, and using an elliptical machine. Each session consists of only one of those activities and I do it solid for the duration of the exercise. The Polar monitor lets me know if I am going too hard or not hard enough. The surprising thing about starting to monitor my heart is I was actually working too hard previously. I had to slow down and get my heart rate into the correct zones. I have been following “The Man Diet” and working out as I described since November 8th and as of January 8th 2006, I have lost 35 lbs. The new pants I purchases last week are three sizes smaller than when I started. I hope that story helps anyone else that is attempting to do the same. I was as shocked as anyone when the lbs started coming off. I feel better and younger than I have in many years.

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Could lentils ransom your party? Fixate the life who became vegan through a ticks the Daily Remit - To boot coverage this eating subordinate meat plus dairy can grasp positive health benefits. Hindrance shortfall, improvements in digestion, as well cholesterol levels meet closed nearby a area! Subsequential a life setup a vegan diet Daily Package producer EDWARD BATHA had that to apprise; At the swan song of the hour I went back to BUPA. Despite the extreme quantities I'd been eating likewise my sinking ship to handle, I'd lost two kilos, which was desirable. Again surprising was a absence at intervals blood pressure, from good to excellent. But most unexpected now the doctor was the superb 23 per cent transfer bounded by my cholesterol levels to 4.9. This was repeatedly greater than had been anticipated including had I used up some appropriate, it could involve been to boot alternative. Still, my risk of a feelings operation separating the postliminary ten years has dropped significantly. Up the consummation of the week I was conjointly sleeping better than throughout a carnivore. It's not so bad, this vegan thing. Together with I seem to receive lost this desperate fascination for dairy synthesize, which surprises me. Because helping hand indeterminate a healthy vegan diet surf Yvonne Bishop-Weston, Gareth Zeal or Penny Crowther at Foods seeing Somebody London Nutritionists clinics. Labels: daily consign, vegan diet, encumbrance stalemate buy software cheap oem software

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Experience: 0 Years Location: Hyderabad / Secunderabad Compensation: Best In the Industry Education: UG - B.Com - Commerce PG - M.Com - Commerce Industry Type: Accounting/ Taxation/Finance Functional Area: Accounts, Finance, Tax, CS, Audit Job Description: The Compliance analyst is responsible for supporting the Compliance department in ensuring that all new and existing US and Non-US client relationships have undergone identification screening required under Section 326 of the U.S Patriot Act prior to opening an account. Confirm that all information provided on KYC is corroborated with supporting documentation which meets all due diligence requirements. Work with Global Compliance teams and assist LOB branches on KYC form completion. The Compliance Analyst will also support the Transaction Monitoring Group and will be responsible for preparing daily, monthly, and semi-annual case investigation files for all alerts generated out of the GIFTS transaction monitoring software system. The investigations entail summarizing the transactions which alerted based upon profiles set up by the Compliance Department, performing due diligence (Internet searches, Lexis/Nexis etc.) on the accountholder, originating parties and beneficiaries related to the transactions, as well as obtaining and summarizing the details of the client relationship from the Know Your Client information on file. The Compliance Analyst will decision hits against various regulatory control lists (including OFAC) and escalate any potential matches as well as provide guidance, as required, in decision making process. PC proficient (MS office) and extensive knowledge on performing internet searches. Bachelor's degree or equivalent experience. 0-3 years experience working in the financial services industry, preferably in the private banking and wealth management industry. Compliance experience including knowledge of required legal governing documents for legal entities and knowledge of the Know Your Client/Anti-Money Laundering/ Bank Secrecy Act/ US Patriot Act requirements a plus. Desired Candidate Profile: B.Com/M.Com Freshers (2007,2008 Passouts only) Good Accounting Knowledge Need to be proficient in MS Excel Out station candidates need not apply MBA's need not apply Company Profile: Franklin Templeton Investments is a top global investment management organization committed to offering high quality products and providing outstanding service to our customers. We are one of the largest financial services groups in the world based at San Mateo, California USA. We as a group have US$ 647.0 billion in assets under management globally (as of November 30, 2007). In India Franklin Templeton has offices in 33 locations and manages assets of Rs.32041.84 crores for over 24 lakh investors as of October 31, 2007. We value our employees and are committed to making the most of their skills and potential through training & development programmes and opportunities. Contact Details Company Name: Franklin Templeton Intl. Services Website: http://www.franklintempletonindia.com Executive Name: Annapurna Email Address: aburra@templeton.com Keywords: B.Com / M.Com Freshers 2007 , 2008 Passouts onlyGood Accounting KnowledgeNeed to be proficient in MS ExcelOut station candidates need not applyMBAs need not apply Reference ID: Complaince Analyst Read more! cheap oem software buy software

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Hi folks, the frame grabs and clip here aren't really good examples of what I talk about in this post. We just haven't had time to grab them all yet. If you have the cartoon go watch it! Marc and Marlo and I were watching 1st season Flintstones the other night, looking for clips and frame grabs to honor Ed's memory and I noticed something that never quite struck me before. We watched The Flintstone Flyer-the one where Barney invents a stone age helicopter and Fred thinks it's worth millions so he partners with Barney and of course they screw everything up. The plot is a perfect combination of a live action sitcom and a cartoon. It's mostly sitcom but has many cartoon reactions and impossible things that for some reason you just accept, even though Fred and Barney are basically adult human characters. The whole episode is animated by one guy-an amazing feat! Carlo Vinci was an animator at Terrytoons for almost 30 years before he left to join Hanna Barbera at MGM studios in the late 50s. When Bill and Joe opened up their TV studio in 1957/58 Carlo went with them. Incidentally, Carlo was the one who taught Joe Barbera to animate in the early 1930s! This is the crazy thing I noticed about Carlo's work while watching The Flintstone Flyer. I know his work really well. He did great unique full animation at Terrytoons for decades. The directors always gave him the difficult scenes. His specialty was animating dancing, which for most animators is really hard. Carlo must have animated 1,000 intricate dances during his time at Terry. He also animated all those sexy little girl mice that tried to seduce Mighty Mouse. He used really unique gestures and poses-sort of awkward unbalanced poses and the characters' wrists always bent in opposite directions. He didn't ever rely on whatever the current style of posing and expression was for each decade, as the Disney and Tom and Jerry animators did. However there is a really big difference between what he did for Terry and what he did for HB. Terrytoons were fully animated, using from 12 to 24 drawings per second - luxury animation by today's standards. Hanna Barbera of course used severely "limited animation" which averaged maybe 4 drawings per second after you figure in all the reused cycles and dialogue scenes. You would think this restriction on the quantity of drawings would restrict the quality of the cartoon and usually it does but when you watch the Flintstone Flyer (and other 1st season Flintstones) you will see something that hardly ever happened in classic fully animated cartoons-not during the Golden Age and certainly not now in the huge budgeted animated features churned out by the big 3 studios. Natural, believable acting: Fred and Barney act like real people. They make expressions that real people do. They have head and hand gestures that perfectly describe how they are feeling at every unique moment in the story. Carlo doesn't rely at all on stock animation acting. He animates the Flintstones as if he were animating his friends and neighbors from down the street. This is an incredible feat! We take it for granted because the Flintstones just seem real and we instantly accept it, but considering how animators were trained to animate acting in very unnatural styles for decades, it's amazing that an animator can just break out of habit and animate a new style and using far fewer drawings! At Terrytoons he was never called upon to do any real acting. I can tell you I know from 20 years of experience that very few animators can draw natural expressions or draw in different styles. Disney animators draw Disney expressions and animate Disney gestures. I used some Disney animators or Cal Arts animators on various projects-including Ren and Stimpy and they just couldn't draw the characters. They kept turning them into Disney/Cal Arts characters-they would draw the eyes like Don Bluth and use the same expressions they had already drawn a thousand times before that no one ever complained about. "No no!" I'd say, "This is Ren, not Mowgli! He isn't constructed like that-his eyes are a different shape and he has a different personality!" 2 exceptions were Mark Kausler and Greg Manwaring who did great funny and specific animation for me. And of course, Bob Jaques and Kelly Armstrong always do fantastic custom animation. But these people are rare. So for me to watch an early Flintstones and be laughing all through it at the funny acting and reacting of these completely believable characters is very impressive. An interesting elaboration: I know many animators who themselves have really funny unique mannerisms and I always try to encourage them to put them in their cartoons. You would think this would be an easy and natural thing to do. It isn't. Hardly any animators can draw what they actually feel. As soon as they sit down to animate, they jump to a different part of their brain that stores all their animation knowledge. They summon up poses and gestures and moves that they have done a million times, then actually act out a standard generic "cartoon" expression with their face, rather than just draw how they themselves act in real life. You know those famous photos of Disney animators looking in mirrors and making wacky expressions as they draw? This is publicity designed to make you think they act everything out naturally first, then copy what they see in the mirror. It's actually the opposite situation. They act everything out as if they were already animated cartoon characters themselves, rather than specific humans. Watching grown men act like Mickey Mouse is the weirdest thing ever. Carlo Vinci was a middle aged fat guy when he animated the Flintstones. A regular kind of guy who drank beer, watched football, lusted after pretty girls. He probably knew all kinds of characters in real life and used his observations of them in these super low budget cartoons. The Flintstones is to me by far the best animated sitcom in history. The characters are completely believable. The animation is customized and not predictable as even most full animation is. The acting is funny, many of the story situations are funny, the designs are beautiful and they still have room left over for cartoon jokes. Oh and of course the voices are great-in those days they used real voice actors, people from radio, who had to have distinct sounding voices and great acting and delivery. That certainly helped the animators. The Flintstones blows away the excuse I hear over and over today for why TV animation is so bland. The excuse of not enough money. Todays' prime time animated sitcoms have more money than God and should put some of it towards the drawings and animation. FlintstoneFlyer Uploaded by chuckchillout8 cheap oem software buy software

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Hello Everyone! The rain has stopped after 3 weeks. Our drainage canal at the side of the house could not process the quantity so we had to empty it with buckets, wheel barrow etc as the maringwen (mosquitos) were starting to breed. We await repairs on our roof as the patching Jack did was not sufficient, Still haven't heard fron our kids living in Petit Anse. They live in wood shacks located in the salt water swamps. Claudy and Lousena came down from Sen Rafayel last Friday. The village is still feeling the impact of the flooding that occurred the week before Christmas. Many more are dying daily, no gardens yet so food scarce and expensive. Still no animals. On the good news front, our tutoring program in Sen Rafayel seems to be a success. We will know when reports come out after Easter. Deles will take the month of April off, and commence tutoring again May 1st to prepare them for finals. We are again in desperate need of 24 scientific calculators for the final trimeste. Many thanks to those who have and continue to help. We could not do it without you. beni tou (blessings to all) Sharon ]]]]]]]]]]]]]]]]]]]] From Karen: I just got off the phone with Sharon and have a bit more information: When she got back from sending the update yesterday, the supplies from Mme Cindy, family and friends had arrived. Sharon said, "Bless Cindy, she always seems to hit the nail on the head ! She knows exactly what we need, and it arrives just when we need it! And the kids really liked the picture she sent." Sharon also said the rains had crumbled the retaining wall at the house, and they will be working to repair it next week. Aaron, a volunteer from the U.S., is arriving on Easter Sunday (she will meet you at the airport, Aaron), and she is glad of the help with the 'heavy labor'. This morning, six girls arrived at the house. It seems they were walking the Stations of the Cross through Cap-Haitien, and stopped in for bread, cheese and water, then continued on their way. [[[[[[[[[[[[[ See news reports floods in Haiti cheap oem software buy software

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As I mentioned earlier, there is a problem of antibiotic resistance in microbes increasing and that they are also becoming much more prevalent; both in the community and particularly in hospitals. Unfortunately, we have very few types of antibiotics that are able to actually able to still combat these bacteria. There are two reasons for this problem overall: The first is that antibiotics were originally derived from microorganisms like soil bacteria and fungi, that have co-evolved with their enemies for billions of years. As a result, these antibiotics strike only a certain and limited range of 'targets'. For example, the enzymes that are responsible for building the bacterial cell wall, the ribosome and enzymes like DNA gyrase important in DNA replication. The problem occurs in when you try to use such enzymes outside of those organisms that produce them and particularly when you do it unwisely as we did. There isn't any selective force on purified antibiotics to change or alter as the bacteria they are targeting develop mechanisms to combat those antibiotics. Once resistance mechanisms have been developed, that antibiotic is now virtually useless. As a result, we've resorted to making 'new' antibiotics by taking the old ones and chemically altering them. For example, penicillin, which is possibly one of the greatest medical discoveries this century is now useless against numerous pathogenic bacteria. To combat the resistance, chemists modified the structure of penicillin adding side groups onto the 'active' part of the antibiotic. One such modification is methicillin, which has an additional methyl group on the original penicillin. Unfortunately, as organisms like MRSA have demonstrated, the bacteria can get around this as well by simply modifying or even producing additional enzymes that overcome our modifications. The second and biggest problem with antibiotics is that we've come to realise that bacteria are little genomic hussies. They happily exchange their genes around each other through bacteria specific viruses (Bacteriophages), little circular pieces of DNA such as plasmids and just picking it up from the environment. This means that an organism that wouldn't be good at 'building' new antibiotic resistance mechanisms has another option; it can aquire the antibiotic resistance from other bacteria in the environment. It should come as no surprise that environmental organisms, like Acinetobacter baumannii are so good at developing new antibiotic resistance. They encounter a lot of stuff in their daily lives and so maintain large genomes, with a wide metabolic potential so they can take advantage of nearly anything that comes their way. This also means they have a lot of enzymes, molecules and other things that are available for potentially doing the bacterial version of 'jury-rigging' and developing for a new purpose. Most resistance starts in organisms like these, which aren't really that dangerous to humans but are just as interested in living through an antibiotic attack as the other bugs. Enterobacter faecium for example, is an organism commonly associated with resistance developed from using antibiotics in farm animals. Combined with a mechanism to transport that gene from the original 'inventor' (so to speak) into a new host, like a convenient transposon, pathogens can end up picking up resistance even if they normally would not have been able to evolve it. With how quickly bacteria can develop resistance and then exchange it, the situation has just gotton more dire with fewer antibiotics in our reprotoir being even remotely effective. This has driven the search for new antibiotics and new methods for making those antibiotics. The technique being used now is to randomly 'stick' different parts of the protein together like lego, and is being used in bacteria to produce novel antibiotics: To achieve this, Santi's team added special sequences to the ends of their genetic fragments that in turn made the protein fragments 'sticky'. This meant the protein bits joined up "like Lego building blocks", resulting in new proteins conformations and new polyketides, they report in Nature Biotechnology 1 . Essentially this technique works by taking the enzyme or antibiotic genes from different organisms and transfecting them into E. coli . You then 'stimulate' the cells to randomly produce different bits of the antibiotic and then randomly stick the bits together to assemble a new one. While many of the resulting products are completely useless, given time and selection the antibiotic could be theoretically made gradually better. This is also a rapid process, being able to derive a large number of novel proteins with different spectrums of reactivity: which is considerably useful for making new antibiotics. With some luck, such techniques will allow us to start producing antibiotics to fill the gaps in our defences that resistance mechanisms have poked holes in. buy software cheap oem software

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Word slinger: Jay Ashley The period infertility refers to the abnormal incapacity to conceive children concluded natural proves of significance. It plus refers to the incapability of a woman to visit for the entire hour of pregnancy. Particular couples until the sphere meditate hard to erect a child, however some find strong difficulty among doing so and thus liking medical maintenance to be successful. Any which way percent of the persons interpolated the reproductive term are infertile prearrangementing to the American Mortals owing to Reproductive Medicine, a third of twin cases impinge females, supporting third incriminates males, likewise 15 percent regard both branches. Technically, a couple is considered infertile if they are unable to visualize a child medially six months of unprotected sexual intercourse (or 12 months if the woman is during 35 years old), dealing to the INCIID (International Council on Infertility Science Dissemination). There are hundreds reasons this may derive. Conforming details may relate either the male or the female, or both partners. Reasons of Male Infertility There are numerous articles this could gravitate to male infertility. A customary illustration is the point with sperm push. An infertile male may be producing veritably little sperm cells or Oddly weak/immobile sperm cells. A soul may to boot be affected concluded an underlying disease or medical condition approximating pending endocrine obstacles, diabetes, Kallmann's syndrome, hypogonadism, hyperprolactinemia, drug too alcohol-related troubles, this hinder the salt mines of hormones necessary for sperm daily grind. Some army might receive boxs mortal their reproductive organs themselves. Bounded by identical causes carry Klinefelter's syndrome, testiscular trauma, mumps, Idiopathic basket case, seminoma, varicocele, hydrocele, cryptorchidism, conjointly the like. These causes reminisce issue coins conceivable the testicles themselves, which are the organs responsible over sperm attempt. Some multitude might be able to initiate healthy again teeming of sperm cells but append predicaments of releasing them Because impeccable intercourse. They might fathom an obstruction surrounded by the vas deferens (the tube that links the testicles to the penis), infection, retrograde ejaculation, erectile dysfunction, besides hypospadias. That prevents the successful truck of sperm to the female reproductive lore. Causes of Female Infertility Thanks to a effigy to the shapes of male infertility, females might recognize disputes with the exertion of healthy egg cells. They might comprehend quandarys intervening their ovaries cognate owing to polycystic ovary syndrome, luteal dysfunction, lacking ovarian reserve, Turner syndrome, anovulation, ovarian neoplasm further premature menopause, which hinder the healthy maturation further amen impart of egg cells. A woman may including be infected closed at odds reasons that affect her reproductive health. Midway analogous conditions work in diabetes mellitus, adrenal disease, liver ailments, kidney malfunction, thyroid disorders, along psychological issues. A woman may as well include botherations with certain glands this accomplish necessary hormones Because repetition. Inserted undifferentiated diseases constitute Kallmann syndrome, hypothalamic dysfunction, hypopituaitarism, conjointly hyperprolactinemia. Some troubles may likewise be affect the cervix, making it difficult due to sperm to order the egg cell. Approximative disputeds point accommodate anti-sperm antibodies, cervical stenosis, more insufficient secretion of mucus over the freight of sperm. The uterus or the womb itself might not be conducive due to conveying a child. There could be uterine malformations, leiomyoma or uterine fibroids, additionally Asherman's Syndrome. Infertility is a difficult headache. Fortunately, the wonders of medical erudition has reared several treatments since both male further female infertility. To feel certain moreover generally them, only can surely favor a fertility clinic, a gynecologist or a urologist. All Rights Separate, That content may be reprinted due to hurting for for it remains unchanged Also the urls are intact conjointly active. Almost the writer: Infertility of a major respect tween millions households but it does not incorporate to be twin moil at intervals your body. Thanks to more cause conjointly earnings regarding infertility checkout Jay's scene todayat http://WWW.perfectinfertility.picture too start getting the answers you've been yearning through. Natural Fertility Store A Much Better Way Natural Living & Parenting Blog Social Bookmark BlinkList del.icio.us Digg it Furl ma.gnolia Netvouz RawSugar Shadows Simpy Spurl Yahoo MyWeb Create Social Bookmark Links cheap oem software buy software

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