May 4, 2011
It is officially time to get a grip.
Over at writedit’s voluminous comment thread discussing NIH scores and paylines I ran across this gem:
rumor has it that NCI is limiting funding of new projects there, to prevent losing Institute dollars when that part of the portfolio moves to the new addiction institute
So if you’ve been following along, the NIH is planning to disband NIDA and NIAAA and launch a new Institute on Substance Abuse / Substance Use Disorders. Name is yet to be determined.
Also yet to be determined is the portfolio of such a new institute. It did not escape the attention of the sharp-eyed that there are substantial amounts of addictive-disorders related funding being handled by the NCI, a comparatively much larger Institute. So the present state of affairs appears to be an effort to take an accounting of various existing grant portfolios that are related to substance use and therefore might be best placed in the new Institute for all addiction-related science. This taskforce/working group accounting and proposing effort appears to be the latest kicking-the-ball-down-the-road strategy* for Francis Collins, Director of the NIH.
October 19, 2010
October 18, 2010
…and this is a story about political attitudes and behavior.
First, the bottom line from PalMD:
While many may cringe at the paternalistic nature of public health laws, few complain about the availability of clean water and the notable absence of open sewers.
I lived through the smoking ban enacted in bars and restaurants and I couldn’t be more delighted. Although I was never particularly bothered by the smoke, no more than most that is, I certainly noticed the lack after the bans went through. No more smelly hair and clothes. No more changing the pillowcases after a night out because the smoke smell went from hair to the pillow like clockwork.
Since I’m not a smoker there was no problem.
But oh, you should have heard the caterwauling. Personal liberty was being infringed! (Never mind the liberty of others to be free from annoyance of smoke, eh? Why do the libertarians always forget that?) Business will be AffEcTed! Bars will close. Nobody will buy alcohol anymore! Nobody will go out to dine.
Naturally this never came to pass in my region of the world. Nor did it in a myriad of other jurisdictions that passed smoking bans.
And here is a tale from a bartender who was practically on the ramparts to oppose the smoking ban. Changing. His. Mind. Based on the results of the policy as he personally experienced it.
And it was at that moment, silently of course, that I grudgingly had to thank old Mayor Bloomberg. For regardless of what his motivation was and regardless of the fact that he did it with an iron fist, the son-of-a-gun when it’s all said and done was right. The good, as it all turns out, outweighs the bad. And not just because of the major things, of which we are all aware, but the minor things of which you’re about to read…
Test out a policy change, evaluate the outcome. If you are originally opposed to the policy….what do you do? Do you leave your ego at the door and really look at the data? Or do you stick to your guns no matter what the evidence?
Scribbler is a standup guy for admitting he was wrong. May we all be able to do the same when public policies have results that are demonstrably better than our initial preferences.
April 14, 2010
As a bit of a followup to the poll we ran on whether or not cigarettes make you high, I offer context and my thoughts. As of this writing, btw, the votes are running 44% “Yes”, 47% “No”, the balance “other” with a fair bit of commentary to the effect that “high” is not exactly the right description for nicotine.
For the background, we might as well start with the comment from SurgPA:
This started with an email from PalMD asking why doctors react much more negatively to narcotics abusers than alcohol or nicotine abusers. I hypothesized that most people view acute use of the various drugs differently. Specifically I suspected that most doctors’ gut reactions when seeing someone light a cigarette are qualitatively (and vastly) different from seeing someone shoot heroin (or snort crushed oxycontin). In short that we don’t see the act of smoking as an acute intoxication by a neuroactive substance, even if we understand it intellectually.
April 13, 2010
Today’s question comes from a reader and occasional commenter.
I have the sneaking suspicion there will be a lot of people wanting to add caveats and modifications to these simple choices….have at it in the comments here because for some reason the polldaddy doesn’t seem to make the ‘other’ comments easily viewable.