Friday, February 17, 2006

When Trust in Doctors Erodes, Other Treatments Fill the Void

When Trust in Doctors Erodes, Other Treatments Fill the Void

By BENEDICT CAREY, New York Times, February 3, 2006

A few moments before boarding a plane from Los Angeles to New York in January, Charlene Solomon performed her usual preflight ritual: she chewed a small tablet that contained trace amounts of several herbs, including extracts from daisy and chamomile plants.

Ms. Solomon, 56, said she had no way to know whether the tablet, an herb-based remedy for jet lag, worked as advertised. Researchers have found no evidence that such preparations are effective, and Ms. Solomon knows that most doctors would scoff that she was wasting her money.

Yet she swears by the tablets, as well as other alternative remedies, for reasons she acknowledges are partly psychological.

"I guess I do believe in the power of simply paying attention to your health, which in a way is what I'm doing," said Ms. Solomon, who runs a Web consulting business in Los Angeles. "But I also believe there are simply a lot of unknowns when it comes to staying healthy, and if there's a possibility something will help I'm willing to try it."

Besides, she added, "whatever I'm doing is working, so I'm going to keep doing it."

The most telling evidence of Americans' dissatisfaction with traditional health care is the more than $27 billion they spend annually on alternative and complementary medicine, according to government estimates. In ways large and small, millions of people are taking active steps to venture outside the mainstream, whether by taking the herbal remedy echinacea for a cold or by placing their last hopes for cancer cure in alternative treatment, as did Coretta Scott King, who died this week at an alternative hospice clinic in Mexico.

They do not appear to care that there is little, if any, evidence that many of the therapies work. Nor do they seem to mind that alternative therapy practitioners have a fraction of the training mainstream doctors do or that vitamin and herb makers are as profit-driven as drug makers.

This straying from conventional medicine is often rooted in a sense of disappointment, even betrayal, many patients and experts say. When patients see conventional medicine's inadequacies up close — a misdiagnosis, an intolerable drug, failed surgery, even a dismissive doctor — many find the experience profoundly disillusioning, or at least eye-opening.

Haggles with insurance providers, conflicting findings from medical studies and news reports of drug makers' covering up product side effects all feed their disaffection, to the point where many people begin to question not only the health care system but also the science behind it. Soon, intuition and the personal experience of friends and family may seem as trustworthy as advice from a doctor in diagnosing an illness or judging a treatment.

Experts say that people with serious medical problems like diabetes or cancer are least likely to take their chances with natural medicine, unless their illness is terminal. Consumers generally know that quackery is widespread in alternative practices, that there is virtually no government oversight of so-called natural remedies and that some treatments, like enemas, can be dangerous.

Still, 48 percent of American adults used at least one alternative or complementary therapy in 2004, up from 42 percent a decade ago, a figure that includes students and retirees, soccer moms and truckers, New Age seekers and religious conservatives. The numbers continue to grow, experts say, for reasons that have as much to do with increasing distrust of mainstream medicine and the psychological appeal of nontraditional approaches as with the therapeutic properties of herbs or other supplements.

"I think there is a powerful element of nostalgia at work for many people, for home remedies — for what healing is supposed to be — combined with an idealized vision of what is natural and whole and good, " said Dr. Linda Barnes, a medical anthropologist at Boston University School of Medicine.

Dr. Barnes added, "People look around and feel that the conventional system does not measure up, and that something deeper about their well-being is not being addressed at all."

Healthy and Dabbling

Ms. Solomon's first small steps outside the mainstream came in 1991, after she watched her mother die of complications from a hysterectomy.

"I saw doctors struggling to save her," she said. "They were trying really hard, and I have great respect for what they do, but at that point I realized the doctors could only do so much."

She decided then that she needed to take more responsibility for her own health, by eating better, exercising more and seeking out health aids that she thought of as natural, meaning not prescribed by a doctor or developed by a pharmaceutical company.

"I usually stay away from drugs if I can, because the side effects even of cough and cold medicines can be pretty strong," she said.

The herbal preparations she uses, she said, "have no side effects, and the difference in my view is that they help support my own body's natural capability, to fight off disease" rather than treat symptoms.

If these sentiments are present in someone like Ms. Solomon, who regularly consults her internist and describes herself as "pretty mainstream," they run far deeper in millions of other people who use nontraditional therapies more often.

In interviews and surveys, these patients often described prescription drugs as poisons that mostly mask symptoms without improving their underlying cause.

Many extend their suspicions further. In a 2004 study, researchers at the University of Arizona conducted interviews with a group of men and women in Tucson who suffered from chronic arthritis, most of whom regularly used alternative therapies. Those who used alternative methods exclusively valued the treatments on the "rightness of fit" above other factors, and they were inherently skeptical of the health care system.

Distrust in the medical industrial complex, as some patients call it, stems in part from suspicions that insurers warp medical decision making, and in part from the belief that drug companies are out to sell as many drugs as possible, regardless of patients' needs, interviews show.

"I do partly blame the drug companies and the money they make" for the breakdown in trust in the medical system, said Joyce Newman, 74, of Lynnwood Wash., who sees a natural medicine specialist as her primary doctor. "The time when you would listen to your doctor and do whatever he said — that time is long gone, in my opinion. You have to learn to use your own head."

From here it is a small step to begin doubting medical science. If Western medicine is imperfect and sometimes corrupt, then mainstream doctors may not be the best judge of treatments after all, many patients conclude. People's actual experience — the personal testimony of friends and family, in particular — feels more truthful.

To best way to validate this, said Ms. Newman and many others who regularly use nontraditional therapies, is simply to try a remedy "and listen to your own body."

Opting Out

Cynthia Riley effectively opted out of mainstream medicine when it seemed that doctors were not listening to her.

During a nine-year period that ended in 2004, Ms. Riley, 47, visited almost 20 doctors, for a variety of intermittent and strange health complaints: blurred vision, urinary difficulties, balance problems so severe that at times she wobbled like a drunk.

She felt unwell most of the time, but doctors could not figure out what she had.

Each specialist ordered different tests, depending on the symptom, Ms. Riley said, but they were usually rushed and seemed to solicit her views only as a formality.

Undeterred, Ms. Riley, an event planner who lives near New London, Conn., typed out a four-page description of her ordeal, including her suspicion that she suffered from lead poisoning. One neurologist waved the report away as if insulted; another barely skimmed it, she said.

"I remember sitting in one doctor's office and realizing, 'He thinks I'm crazy,' " Ms. Riley said. "I was getting absolutely nowhere in conventional medicine, and I was determined to get to the root of my problems."

Through word of mouth, Ms. Riley heard about Deirdre O'Connor, a naturopath with a thriving practice in nearby Mystic, Conn., and made an appointment.

In recent years, people searching for something outside of conventional medicine have increasingly turned to naturopaths, herbal specialists who must complete a degree that includes some standard medical training in order to be licensed, experts say. Fourteen states, including California and Connecticut, now license naturopaths to practice medicine. Natural medicine groups are pushing for similar legislation in other states, including New York.

Licensed naturopaths can prescribe drugs from an approved list in some states, but have no prescribing rights in others.

Right away, Ms. Riley said, she noticed a difference in the level of service. Before even visiting the office, she received a fat envelope in the mail containing a four-page questionnaire, she said. In addition to asking detailed questions about medical history — standard information — it asked about energy level, foods she craved, sensitivity to weather and self-image: "Please list adjectives that describe you," read one item.

"It felt right, from the beginning," Ms. Riley said.

Her first visit lasted an hour and a half, and Ms. O'Connor, the naturopath, agreed that metal exposure was a possible cause of her symptoms. It emerged in their interview that Ms. Riley had worked in the steel industry, and tests of her hair and urine showed elevated levels of both lead and mercury, Ms. O'Connor said.

After taking a combination of herbs, vitamins and regular doses of a drug called dimercaptosuccinic acid, or DMSA, to treat lead poisoning, Ms. Riley said, she began to feel better, and the symptoms subsided.

Along the way, Ms. O'Connor explained the treatments to Ms. Riley, sometimes using drawings, and called her patient regularly to check in, especially during the first few months, Ms. Riley said.

Other doctors said they could not comment on Ms. Riley's case because they had not examined her. Researchers who specialize in lead poisoning say that it is rare in adults but that it can cause neurological symptoms and bladder problems and is often missed by primary care doctors.

Dr. Herbert Needleman, a psychiatrist who directs the lead research group at the University of Pittsburgh, said DMSA was the pharmaceutical treatment of choice for high blood lead levels.

Researchers say there is little or no evidence that vitamins or herbs can relieve symptoms like Ms. Riley's. Still, she said, "I look and feel better than I have in years."

Life and Death

Diane Paradise bet her life on the uncertain benefits of natural medicine, after being burned physically and emotionally by conventional doctors.

In 1995, doctors told Ms. Paradise, now 35, that she had Hodgkin's disease. After a six-month course of chemotherapy and radiation, she said, she was declared cancer free, and she remained healthy for five years.

But in 2001 the cancer reappeared, more advanced, and her doctors recommended a 10-month course of drugs and radiation, plus a marrow transplant, she said.

Ms. Paradise, a marketing consultant in Rochester, N.Y., balked.

"I was burned badly the first time around, third-degree burns, and now they were talking about 10 months," she said in an interview, "and they were giving me no guarantees; they said it was experimental. That's when I started looking around. I really had nothing to lose, and I was focused on quality of life at that point, not quantity."

When she told one of her doctors that she was considering an alternative treatment in Arizona, the man exploded, she said.

"His exact words were, 'That's not treatment, that's a vacation — you're wasting your time!' " she said.

And so ended the relationship. With help from friends, Ms. Paradise raised about $40,000 to pay for the Arizona clinic's treatment, plus living expenses while there.

"I had absolutely no scientific reason for choosing this route, none," she said. "I just think there are times in our life when we are asked to make decisions based on our intuition, on our gut instinct, not based on evidence put in front of us, and for me this was one of those moments."

Cancer researchers say that there is no evidence that vitamins, herbs or other alternative therapies can cure cancer, and they caution that some regimens may worsen the disease.

But Ms. Paradise said that her relationship with the natural medicine specialist in Arizona had been collaborative and that she had felt "more empowered, more involved" in the treatment plan, which included large doses of vitamins, as well as changes in diet and sleep routines. After four months on the regimen, she said, she felt much better.

But the cancer was not cured. It has resurfaced recently and spread, and this time Ms. Paradise has started an experimental treatment with an oncologist in New York.

She is complementing this treatment, she said, with another course of alternative therapy in Arizona. She moved in with friends near Phoenix and started the alternative regime in January.

"It's 79 degrees and beautiful here," she said by phone in mid-January. "Let's hope that's a good sign."

For all their suspicions and questions about conventional medicine, those who venture outside the mainstream tend to have one thing in abundance, experts say: hope. In a 1998 survey of more than 1,000 adults from around the country, researchers found that having an interest in "personal growth or spirituality" predicted alternative medicine use.

Nontraditional healers know this, and they often offer some spiritual element in their practice, if they think it is appropriate. David Wood, a naturopath who with his wife, Cheryl, runs a large, Christian-oriented practice in Lynnwood, Wash., said he treated patients of all faiths.

"We pray with patients, with their permission," said Mr. Wood, who also works with local medical doctors when necessary. "If patients would not like us to pray for them, we don't, but it's there if needed."

He added, "Our goal here is to help people get really well, not merely free of symptoms."

That is exactly the sentiment that many Americans say they feel is missing from conventional medicine. Whatever the benefits and risks of its many concoctions and methods, alternative medicine offers them at least the promise of affectionate care, unhurried service, freedom from prescription drug side effects and the potential for feeling not just better but also spiritually recharged.

"I don't hate doctors or anything," Ms. Newman said. "I just know they can make mistakes, and so often they refer you on to see another doctor, and another."

Seeing a naturopath, she said, "I feel I'm known, they see me as a whole person, they listen to what I say."

Read at the original source

Thursday, February 16, 2006

Help make awareness and prevention of global warming a priority in 2006.

Help make awareness and prevention of global warming a priority in 2006.

    1 Rank of 2005 as hottest year on record
     (tied with 1998), according to NASA.

    100% Increase in intensity and duration
    of hurricanes
    and tropical storms
    since the 1970's, according to a 2005 MIT study.

    $100 billionEstimate of damage caused by
    hurricanes
    hitting the U.S. coast in 2005 
    alone, according to the National Climatic Data Center.

    2030 Year by which Glacier National Park will have no glaciers left, according to the U.S. Geological Survey predictions.

    400,000 Square miles of Arctic sea ice that have melted in the last 30 years (roughly the size of Texas), threatening polar bear habitats and further accelerating global warming worldwide,  according to the Arctic Climate Impact Assessment.

    15-37% Amount of plant and animal species that global warming could wipe out by 2050.

    1 Rank of the United States as global warming polluter
     compared to other large nations.

    6 Number of former U.S. Environmental Protection Agency leaders who say the U.S. is not doing enough to fight global warming.

    0 Number of bills passed by Congress to cut global
    warming pollution.

    0 Number of times President Bush has mentioned the words "global warming," or "climate change" in previous State of the Union addresses.

Global warming is the most critical environmental challenge we face.

If you are unable to view this list, please visit our website.

Sources: NASA's Goddard Institute for Space Studies, Massachusetts Institute of Technology 2005 Study, Nature Magazine January 2004, National Climatic Data Center, U.S. Geological Survey, Arctic Climate Impact Assessment.

Thursday, January 26, 2006

Amory Lovins has a vision: The U.S. economy keeps going and going and going - without any oil

The Energizer - Amory Lovins

Amory Lovins has a vision: The U.S. economy keeps going and going and going - without any oil

By Cal Fussman
DISCOVER Vol. 27 No. 02 | February 2006 | Environment

AMORY LOVINS is a physicist, economist, inventor, automobile designer, consultant to 18 heads of state, author of 29 books, and cofounder of Rocky Mountain Institute, an environmental think tank. most of all, he's a man who takes pride in saving energy. The electricity bill at his 4,000-square-foot home in Old Snowmass, Colorado, is five dollars a month, and he's convinced he can do the same for all of us. His book winning the oil endgame shows how the United States can save as much oil as it gets from the Persian gulf by 2015 and how all oil imports can be eliminated by 2040. And that's just for starters.

As told to Cal Fussman

When I give talks about energy, the audience already knows about the problems. That's not what they've come to hear. So I don't talk about problems, only solutions. But after a while, during the question period, someone in the back will get up and give a long riff about all the bad things that are happening—most of which are basically true. There's only one way I've found to deal with that. After this person calms down, I gently ask whether feeling that way makes him more effective.

As René Dubos, the famous biologist, once said, "Despair is a sin."


ENERGY

I used to work for Edwin Land, the father of Polaroid photography. Land said that invention was the sudden cessation of stupidity. He also said that people who seem to have had a new idea often have just stopped having an old idea. So I suppose if I bring something unusual to this business, it's that maybe I find it easier to stop having old ideas.

I can't point to any one moment in particular from my past that made me who I am. It's been more like seeing the world through an evolving lens. Gradually, I've learned to ask different questions and look at problems from different angles than most people.

I'm probably best known for having redefined the energy problem in 1976 with a Foreign Affairs article titled "Energy Strategy: The Road Not Taken?"

Until then, the energy problem was generally considered to be: Where do we get more energy? People were preoccupied with where we could get more energy of any kind, from any sources, for any price—as if all our needs were the same. I started instead at the other end of the problem: What do we want the energy for?

You don't generally want lumps of coal or barrels of sticky black goo. You want comfort, illumination, mobility, baked bread, and so on. And for each of these end uses we should ask: How much energy, of what quality, at what scale, from what source will do the job in the cheapest way? That's now called the end-use/least-cost approach, and a lot of the work we do at Rocky Mountain Institute involves applying it to a wide range of situations.

End-use/least-cost analysis begins with a simple question: What are you really trying to do? If you go to the hardware store looking for a drill, chances are what you really want is not a drill but a hole. And then there's a reason you want the hole. If you ask enough layers of "Why?"—as Taiichi Ohno, the inventor of the Toyota production system, told us—you typically get to the root of the problem.


OIL

Let's start with one basic problem. Saudi Arabia has a quarter of the world's oil reserves. It is the sole swing producer with significant capacity to increase output, and therefore it controls the world price.

Two-thirds of Saudi oil flows through one processing plant and two terminals that are in the crosshairs of terrorists. That stuff could go down any day for a long time. And that would presumably crash both the House of Saud and the Western economy. So for the bad guys it's a twofer. They would love to do that, and they've already had a couple of cracks at it.

Now, this should make you uncomfortable. But we don't have to continue on our current path. We can go a different way.

Let's look at oil through a historic analogy. Around 1850, the biggest or second-biggest industry in America was whaling. Most buildings were lit with whale oil. But in the nine years before Edwin Drake struck oil in 1859 in Pennsylvania and made kerosene ubiquitous, at least five-sixths of the whale oil–lighting market had already been lost to competing products made from coal. This was elicited by the relatively high price of whale oil as the whales got shy and scarce.

The whalers were astounded that they ran out of customers before they ran out of whales. They didn't see this coming because they hadn't added up the competitors. Oil fields can be like this today.

The United States today wrings twice as much work from each barrel of oil as it did in 1975. With even more advanced technologies, we can double oil efficiency all over again at a cost averaging $12 a barrel. We can replace the rest of our oil needs with advanced biofuels and saved natural gas at a cost averaging $18 a barrel. Combined, these two approaches average out at a cost of $15 a barrel. That's a lot cheaper than the $61 per barrel oil was the other day or even the $26 that's officially forecast for the year 2025.

How much cheaper than $26 a barrel? Well, about $70 billion a year, plus a million jobs, mostly in rural and small-town America. Plus a million saved jobs now at risk, mainly in the automaking states.

We've got a choice: Either we're going to continue importing efficient cars to help replace foreign oil, or we're going to employ our own people to make efficient cars and import neither the oil nor the car—which sounds like a better idea.


WEIGHT

A modern car, after 120 years of devoted engineering effort since Gottlieb Daimler built the first gasoline-powered vehicle, uses less than 1 percent of its fuel to move the driver. How does that happen?

Well, only an eighth of the fuel energy reaches the wheels. The rest of it is lost in the engine, drivetrain, and accessories, or wasted while the car is idling. Of the one-eighth that reaches the wheels, over half heats the tires on the road or the air that the car pushes aside. So only 6 percent of the original fuel energy accelerates the car. But remember, about 95 percent of the mass being accelerated is the car—not the driver. Hence, less than 1 percent of the fuel energy moves the driver. This is not very gratifying.

Well, the solution is equally inherent in the basic physics I just described. Three-quarters of the fuel usage is caused by the car's weight. Every unit of energy you save at the wheels by making the car a lot lighter will save an additional seven units of fuel that you don't need to waste getting it to the wheels.

So you can get this roughly eightfold leverage (three- to fourfold in the case of a hybrid) from the wheels back to the fuel tank by starting with the physics of the car, making it lighter and with lower drag. And indeed you can make the car radically lighter. We've figured out a cost-effective way to do that so you can end up with a 66-mile-per-gallon uncompromised SUV that has half the normal weight, has a third the normal fuel use, is safer, and repays the extra cost that comes with being a hybrid in less than two years.


PLASTIC

Henry Ford said you don't need weight for strength. If you did need weight for strength, your bicycle helmet would be made of steel, not carbon fiber. And if you want to know how strong a very light material can be, try eating an Atlantic lobster with no tools.

The auto industry needs to move toward ultralight, ultrastrong carbon-fiber composites, almost certainly using thermoplastics that flow when heated and that can be easily molded—instead of the more brittle, expensive thermosets that need chemistry, baking, or some other change to set the resin into its final hard form. Thermoplastics are incredibly tough. They can absorb 12 times as much crash energy per pound as steel. So even though your car will be only half as heavy as it was before, it will still be safer when whacked by a heavier one.

With such materials, you can decouple size from weight. You can make the car big—protected and comfortable. But it won't be heavy—hostile and inefficient. This can save oil and lives at the same time, and it turns out you can greatly improve the economics of making the car because you might have in a carbon SUV only 14 body parts—instead of 140 to 280 in a steel auto body—each needing one low-pressure die set, instead of an average of four high-pressure steel-stamping die sets in the steel body. The parts snap together precisely in the right positions for gluing, like assembling a kid's toy, so you don't need all those jigs and robots. You basically get rid of the body shop this way, and then by laying color in the mold, you get rid of the paint shop too. There go the two hardest and costliest parts of making the car.

New jobs come partly by having a vibrantly competitive car industry rather than a failing one and partly due to the logical evolution of the auto industry toward computerization. Imagine the aftermarket for improved and customized software. The industry structure would be different, but we don't think there would be a net loss of jobs. The jobs would be safer, healthier, and better distributed. And the same revolution that's coming to automaking from advanced materials also applies to anything else that moves.


HYDROGEN

Many automakers are starting to understand that whoever goes ultralight first will take the lead in the hydrogen fuel-cell race.

The winning strategy will be improving the physics of the car. They still need to make a cheap, durable fuel cell. But if they can reduce the fuel cell and the hydrogen storage volume by three times, the cost reduces threefold.

That said, superefficient cars need hydrogen a lot less than hydrogen needs superefficient cars. If you have, say, an ultralight hybrid SUV burning gasoline at 66 miles per gallon, that isn't so bad—at least not compared to a similar one getting 18.5 miles per gallon on the road today.

If you then combine that with E85 fuel, which is 15 percent gasoline and 85 percent ethanol, you just got a 320-mile-per-gallon SUV because the efficiency times the biofuel saving of oil multiplies.

For that matter, if every car or light truck on the road in 2025 is only as efficient as the best hybrid cars and SUVs now in the showrooms, that would save twice as much oil as we currently import from the Persian Gulf. So it's not a very ambitious goal—and it doesn't even involve making vehicles ultralight.

Very efficient vehicles can get most of the same benefits without hydrogen by using today's gasoline/hybrid propulsion. However, once you have such vehicles, there is a robust business case for running them on hydrogen. Until you have those efficient vehicles, that business case is not very convincing.

I think hydrogen will be an important if not dominant energy carrier by 2050. In Winning the Oil Endgame, the comprehensive strategy we've developed at Rocky Mountain Institute for ending oil dependence, we see hydrogen as an optional add-on. It would be the most profitable and efficient way to use and save natural gas. But it's not necessary to get the country off oil at a profit; it's just icing on the cake.


ELECTRICITY

A question I ask a lot is, What's the right size for the job? I have a book called Small Is Profitable: The Hidden Economic Benefits of Making Electrical Resources the Right Size. It points out 207 benefits of distributed resources, such as solar and wind power. When I begin to describe them, you'll find them really obvious:

Renewables, such as wind energy, have less financial risk from volatile fuel prices than fossil-fuel power plants because they don't need any fuel.

Small resources like solar cells or wind turbines have less financial risk than giant power plants that take many years to build.

Portable resources like solar panels have less financial risk than stationary power plants, because if the system evolves differently than you'd expected and you'd rather put it somewhere else, you simply stick it on a truck and move it.

This is all blindingly obvious, yet it hasn't been taken into account by the utility industry while buying its half trillion dollars' worth of assets.

Here's what happened: For the first century of the electricity business, the power plants were costlier and less reliable than the grid, so it made sense to build a bunch of big power plants backing each other up through the grid. Well—surprise—over the last 20 years, power plants have become cheaper and more reliable than the grid. Ninety-nine percent of our power failures originate in the grid—mostly in distribution. So now if you want to deliver reliable, affordable electricity, you need to make it at or near the customer's location.

Many people didn't notice this happening. But despite the market's not yet recognizing the benefits, the decentralized low- or no-carbon generators turn out to be greater in capacity and output than nuclear power worldwide. David already beat Goliath, but nobody noticed.

The nuclear advocates frequently state that only nuclear is big and fast enough to deal with global warming. Well, five years from now the official industry forecast suggests that decentralized low- and no-carbon generators will be adding 160 times as much capacity as nuclear will add up to that year. So those who think that the decentralized generators are small, slow, and futuristic or have an unacceptable risk of not being adopted at scale in the market have some serious explaining to do.


WIND

If I could do just one thing to solve our energy problems, I would allow energy to compete fairly at honest prices regardless of which kind it is, what technology it uses, how big it is, or who owns it. If we did that, we wouldn't have an oil problem, a climate problem, or a nuclear proliferation problem. Those are all artifacts of public policies that have distorted the market into buying things it wouldn't otherwise have bought because they were turkeys.

We have more than enough cost-effective wind power just on available land in the Dakotas to meet the United States' electricity needs. We wouldn't necessarily want to do it all in two states, and there are cheaper combinations of other technologies to do the whole job, but it's an enormous resource.

Germany and Spain each install over 2,000 megawatts of wind power every year. That figure exceeds the average global net addition of nuclear power every year in this decade. Denmark is now one-fifth wind powered; Germany, about a tenth.

Wind power is doubling every three years worldwide and solar power every two, and not because some countries subsidize it strongly. In fact, the subsidies are being phased out slowly in Germany and rapidly in Japan because they have achieved their purpose of creating world-class industries that will be able to make it on their own.

If everything competed solely on merit, wind energy in the United States would be a lot better off. It gets subsidized less than its competitors, and its subsidies are temporary, while its competitors' are permanent. In other words, the fossil and nuclear subsidies—nuclear being the biggest—are permanent, while renewable subsidies are temporary.

Congress's brief and irregular renewals of the tax credit for wind power have several times bankrupted wind-turbine manufacturers in the United States. Similar misguided policies have diminished the solar-cell industry. Half of the solar cells sold in the United States a decade ago were domestically made. Now that figure is only 8 percent.


DEFENSE

A major player in our energy future will be the Pentagon. Here's why: Trailing behind every half-mile-a-gallon Abrams tank—a peerless fighting machine if you can get it there—are two unarmored fuel trucks. Guess what the bad guys shoot at?

This is a very teachable moment—when the Pentagon becomes acutely aware of the cost and the risk of delivering fuel on the battlefield. They obviously need much lighter, more agile, radically more fuel-efficient forces.

A military transformation will have a much bigger payoff, in exactly the same way the Pentagon's research and development created the Internet, global positioning systems, the modern microchip industry, and advanced aero engines.

If you align military science and technology investments to capture this enormous improvement at a tactical, operational, and strategic level, guess what? You thereby transform the car, truck, and plane industries to get the country off oil, so we won't need to fight over the oil because we won't be using it. Mission unnecessary.


BANANAS

When we designed the research facilities at Rocky Mountain Institute, we didn't plan on having a banana farm inside. We're up 7,100 feet in the Rockies, and it has gotten as low as –47 degrees in the winter.

We planned about 900 square feet of jungle space with five different kinds of energy collection: heat, hot air, hot water, light, and photosynthesis. The arch that holds it up has 12 different functions, but I paid for it only once. The whole building exemplifies design integration: getting multiple benefits from single expenditures. It saves about 99 percent of the normal need for space- and water-heating energy, about 90 percent of the household electricity, and half the water. All that efficiency paid for itself in 10 months—and that's with 1983 technology! Now we can do a lot better.

Anyway, we weren't planning on growing bananas here, but somebody who owed me something gave me a banana tree to settle the obligation. He said it would grow to six feet and never fruit—but he forgot to tell the tree. When it got 12-year-old horse manure, it went bananas, grew to 25 feet, put out nine crops in the first year and a half, and tried to go through the roof. Then it tried to eat the fishpond.

I was afraid of a hydraulic disaster, so we chopped it down, dug it up, and put a steel fence between what was left of the root-ball and the fishpond. But it grew back and put out another 18 crops. Eventually, a few years ago, it wore out at twice its designed life, so we took it out for good and put in a variety of young banana trees. We've also done mangoes, grapes, papayas, and passion fruit—here in the Rocky Mountains.

The tangled tale of the banana tree offers a very simple lesson: Be open to possibilities.

Read at the original source

Wednesday, January 11, 2006

TV may turn four-year-olds into bullies

TV may turn four-year-olds into bullies

TV may turn four-year-olds into bullies
12:54 05 April 2005
NewScientist.com news service
Maggie McKee

Young children who watch a lot of television are more likely to become bullies, a new study reveals. The authors suggest the increasingly violent nature of children's cartoons may be to blame.

The study showed that four-year-olds who watched the average amount of television - 3.5 hours per day - were 25% more likely to become bullies than those who watched none. And children who watched eight hours of television a day were 200% more likely to become bullies.

Read the entire article

Tuesday, January 10, 2006

Focus on global education

We All Have A Lot to Learn

We All Have A Lot to Learn
By Fareed Zakaria, Newsweek, January 9, 2006

"Traveling around Asia for most of the past month, I have been struck by the relentless focus on education. It makes sense. Many of these countries have no natural resources, other than their people; making them smarter is the only path for development. China, as always, appears to be moving fastest. When officials\ there talk about their plans for future growth, they point out that they have increased spending on colleges and universities almost tenfold in the past 10 years.
Yale's president, Richard Levin, notes that\ Peking University's two state-of-the-art semiconductor fabrication lines�each employing a different technology�outshine anything in the United States. East Asian countries top virtually every global ranking of students in science and mathematics.
But one thing puzzles me about these oft-made comparisons. I talked to Tharman Shanmugaratnam to understand it better. He's the minister of Education of Singapore, the country that is No. 1 in the global science and math rankings for schoolchildren. I asked the minister how to explain the fact that even though Singapore's students do so brilliantly on these tests, when you look at these same students 10 or 20 years later, few of them are worldbeaters anymore. Singapore has few truly top-ranked scientists, entrepreneurs, inventors, business executives or academics. American kids, by contrast, test much worse in the fourth and eighth grades but seem to do better later in life and in the real world. Why? 'We both have meritocracies,' Shanmugaratnam said. 'Yours is a talent meritocracy, ours is an exam meritocracy. There are some parts of the intellect that we are not able to test well - like creativity, curiosity, a sense of adventure, ambition. Most of all, America has a culture of learning that challenges conventional wisdom, even if it means challenging authority. These are the areas where Singapore must learn from America."

Shanmugaratnam also pointed out that American universities are unrivaled globally—and are getting better.

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Muhammad Yunus: Microcredit Missionary

Muhammad Yunus: Microcredit Missionary

By Jeffrey Gangemi, BusinessWeek, DECEMBER 26, 2005

VOICES OF INNOVATION

Muhammad Yunus: Microcredit Missionary

The economics professor wasn't afraid to turn the rules of banking upside down
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As a young economics professor at Chittagong University in Bangladesh in 1976, Muhammad Yunus lent $27 out of his own pocket to a group of poor craftsmen in the nearby town of Jobra. To boost the impact of that small sum, Yunus volunteered to serve as guarantor on a larger loan from a traditional bank, kindling the idea for a village-based enterprise called the Grameen Project. It never occurred to the professor that his gesture would inspire a whole category of lending and propel him to the top of a powerful financial institution.

Today, Yunus runs Bangladesh's Grameen Bank, a leading advocate for the world's poor that has lent more than $5.1 billion to 5.3 million people. The bank is built on Yunus' conviction that poor people can be both reliable borrowers and avid entrepreneurs. It even includes a project called Struggling Members Program that serves 55,000 beggars. Under Yunus, Grameen has spread the idea of microcredit throughout Bangladesh, Southern Asia, and the rest of the developing world.

"At first I didn't think that what I did had any significance in a broader context," he explains. But the mission keeps expanding in scale, and in the meantime, Yunus has grown intimately familiar with the unbearable dimensions of global poverty. As many as 1.2 billion people around the planet lack access to basic necessities, he explains, and microfinance could be their pathway out of despair. "Yunus and Grameen have taken a first step, which has inspired others to take a look at [microfinance] as a business," says John Tucker, deputy director of the microfinance unit at the U.N. Capital Development Fund.

Yunus' innovation has broad appeal. In 1997 only about 7.6 million families had been served by microcredit worldwide, according to the 2005 State of the Microcredit Summit Campaign Report. As of Dec. 31, 2004, some 3,200 microcredit institutions reported reaching more than 92 million clients, according to the report. Almost 73% of them were living in dire poverty at the time of their first loan.

When Yunus started Grameen, he wanted to turn traditional banking on its head. One of his first moves was to focus on women because they are most likely to think of the family's needs. This was a radical step in a traditional Muslim society, and it took Yunus six years to reach his initial goal of a 50-50 gender distribution among borrowers. Today, 96% of Grameen's borrowers are women. "If banks made large loans, he made small loans. If banks required paperwork, his loans were for the illiterate. Whatever banks did, he did the opposite," marvels Sam Daley-Harris, director of the Microcredit Summit Campaign. "He's a genius."

In some cases, Yunus has been able to attract private capital to fund socially driven businesses. GrameenPhone, a for-profit telecom outfit, is 51% owned by Norway's Telenor. It works with the not-for-profit Grameen Telecom to provide bulk airtime for so-called village phones. Funded by loans to individual women, these systems -- built from simple handsets and solar chargers -- function as pay phones in many rural areas. Now the idea of a "village phone lady" is catching on, along with other low-cost, high-tech systems, in other parts of Asia and Africa. An energy enterprise, Grameen Shakti, sells around 1,500 home solar-panel systems per month throughout rural Bangladesh and is growing 15% a year without subsidies, says Yunus.

The professor's most recent innovation is still an experiment: Grameen Danone Food Co. is a proposed partnership between Grameen and France's Group Danone to make a nutritious and inexpensive baby formula. Next on his list are low-cost eye care and rural hospitals with video-conferencing between villagers and doctors in Dhaka. "In Bangladesh, where nothing works and there's no electricity," Yunus says, "microcredit works like clockwork."

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