But the “gold card” isn’t an investment. It’s a donation.
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Ultra-high-net individuals (2020) |
Last night I had the strangest dream I've ever had before: I dreamed the world had all agreed to put an end to war.
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Ultra-high-net individuals (2020) |
The US health care system* fails people of color on several metrics, including maternal and infant mortality, rates of chronic illness in youth and adulthood, and overall life expectancy.
Some of this is driven by poverty and lack of health insurance, which disproportionately affect Black Americans. Some is a result of decisions made by medical professionals, who are less likely to take seriously the symptoms of Black patients, especially Black women.
And some is attributable to the corrosive stress of dealing, day in and day out, with racism, in its individual and systemic manifestations.
Into the breach? “Do No Harm,” a lobbying group and think tank that’s been in the news lately for opposing gender-affirming care.
But only for trans people.
They have no beef with teenagers who get labioplasty, breast augmentation or reduction, tummy tucks and thigh lifts, chin and cheek implants, and botox: a quarter of a million procedures in 2023 (pdf: page 17). That’s in a year.
But trans teenagers, 13,994 of whom had gender-affirming care of any kind in the five years from January 2019 through December 2023 are the victims of “extreme gender ideology.”
As if the pressure to conform to gender norms isn’t ideology, or gendered.
“Do No Harm” was founded by a retired nephrologist, by the way. A kidney doctor. With an axe to grind, and no specialized training in psychology, social work, endocrinology, pediatrics, or any other profession devoted to the study of gender, or ideology, or young people.
Doctor Kidney’s mission: to drive “discrimination and division” out of health care — by opposing any initiatives to address gender and racial disparities in health care outcomes, clinical trials, medical school admissions, and hospital policies. Developing and supporting anti-trans legislation got added to the mix a year later.
Put another way: they want it to be illegal to think about including a diverse sample of the population in clinical studies. If women are excluded because “menstruation might mess up the results” or “they might be pregnant” — fine. If Black women are ignored in recruiting channels — fine.
Do No Harm claims its members “physicians, nurses, medical students, patients, and policymakers.” But the 21 members of the (all-white) team only include five with medical training, only one of whom is certified in psychiatry.
The director of outreach is an RN with a background in cardiac health, the gender ideology specialist is an oncology nurse, and the director of eliminating DEI is distinguished for getting fired when she refused to participate in bias training; her nursing experience includes home health care, hospice nursing, and emergency department work.
Just to be clear: diversity and inclusion efforts opened doors for women, Jews, African-Americans, Hispanics, and other members of the not-white-male majority to enter medical school.
They work to provide access to medical students from impoverished backgrounds: male or female, white or Black, and to make sure LGBTQ populations are comfortable accessing health care.
They push for including elderly people in clinical trials, so your grandpa won’t die from a medication that was only ever studied in young adults.
And they seek to analyze disparities in care that lead to dramatically distinct outcomes among different populations. Demographics, like those cited above, make clear the rationale for this. It’s not rocket science.
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Should you be tempted to check out the “Do No Harm” website, please note that it is full of misstatements and outright fabrications, including the claim that Europe limits gender-affirming care; their report doesn’t even mention Germany, which has explicit guidelines about caring for trans youth.
Also of interest: repeated warnings on the site that its contents “should not be interpreted as medical or professional advice.”
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*Health care in the US isn’t really a system; it’s a collection of often-competing, poorly integrated entities that individuals in need of care attempt to navigate at their peril. It’s three vulture capitalists in a trench coat fighting to extract every last penny from the business of selling drugs, diagnostic procedures, and doctors’ time.
I’ve had the Air Quality Index forecast and current reports open in a browser continuously for the past few days: Canada is on fire again and the smoke is blowing slowly across the continent toward the east coast. But the air quality reports from different organizations are so varied that it’s hard to know what you’re looking at.
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wunderground.com |
Catherine and I keep getting quite different numbers from Apple, which gets its data from Google via Breezometer, and Weather Underground (owned by the Weather Channel, in turn owned by … well, more on that another day).
At various websites shortly after noon today, I found readings ranging from 43 to 107: Weather Underground posted an AQI of 99, “moderate” per the EPA, while its parent company had 107, “unhealthy for sensitive groups.” IQAir similarly reported 104. Meanwhile, Weatherbug, part of the US-based nonprofit Ground Truth Project, posted a reading of 43 on a 100-point scale, corresponding to a rating of “moderate,” while AccuWeather reported 64 on a scale of zero to 250, and called it “poor.”
When I tried to figure out why, I learned that different governments, regional agencies, and commercial weather organizations measure different data, consider varying pollutant levels dangerous, and use different algorithms to set the air quality index. It was a long trawl through various kinds of documentation at different levels of specificity and clarity.
The EPA — which provides clear and detailed documentation not yet censored by the current administration — tracks ozone, particulate matter (both PM2.5 and PM10), carbon monoxide, sulfur dioxide, and nitrogen dioxide, and indexes them against a scale of zero to 500. Below 50 is good, more than 150 ranges from unhealthy to hazardous, and between 50 and 150 is moderate (“acceptable,” though potentially risky for “unusually sensitive” people) or “unhealthy for sensitive groups.” The AQI is based on the highest-level pollutant at any given time.
But neither Weatherbug nor AccuWeather uses the EPA scale.
AccuWeather uses data from Plume Labs, which has a lot to say about how scientific and accurate its weather forecasting is, but doesn’t provide much in the way of detail. Plume says its scale is based on World Health Organization recommendations about length of exposure:
Each category represents the amount of time it is safe to spend in that level of pollution. For example: one year (PAQI < 20), one day (PAQI <50), one hour (PAQI <100).
But the actual scale doesn’t mention time: instead stating that “sensitive groups” and “healthy individuals” are at risk at different levels of pollution.
It’s hard to know what substances Plume includes in its index: advertising for the company’s app mentions particulate matter smaller than 10 and 2.5 micrograms, ozone, and nitrogen dioxide. An article explaining Plume’s AQI refers to volatile organic compounds, but not ozone. Plume’s air quality sensor, according to promotional material, also measures particulate matter smaller than 1 microgram.
Meanwhile, different countries and regions consider widely different levels to pollutions to be a problem. More on that in a future post.
i have so many other stories like this. so many women have experienced so much worse. all these situations could have escalated, but i was unhurt. yet i write about them with my heart pounding. BELIEVE WOMEN.
This submission form is an outlet for students, parents, teachers, and the broader community to … identify potential areas for investigation.
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Executive Order, February 13, 2025 |
All the mammals in the world today weigh more than five times as much as ten thousand years ago.
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1greenblogger | ecologue |
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1greenblogger | visualcapitalist |