Thursday, December 29, 2016

GMO People: Something We Can All Get Behind

What's First (in the U.S.) When We Get to Optional Mods?

Fast on the heels of the mapping of the human genome, a breakthrough technology called CRISPR/Cas9 was discovered by scientists recently.  It allows the DNA strands to be cut in exact spots and edited by patching in a more desirable sequence (more inquisitive readers can click here).  It's gonna be Yuge.
First we'll do it on animals, of course
Based on the more novel treatments developed in the past, the United States will likely use DNA modifications for humans with incurable diseases first.  After a period of Humanitarian and/or Investigational Device Exemption (HDE/IDE) and suitable testing, other medical applications will be approved.  About that time, China, Russia and the Koreas will have their next generation of Olympic athletes in utero, side effects not withstanding.  

A whole team of Yao Mings
Swimming anyone?
The rich will foster some niche unregulated markets around the world, but it will be an expensive procedure and probably not a particularly safe one in the beginning.
Eventually, however, the practice of genetically modifying humans will become more commonplace and there will be a hue and cry for optional or "elective" applications.  That's not to say it won't be a controversial idea - one could expect discussions on the order of the abortion debate - but once it works safely for, say, cancer and severed spinal cords, we'll already be accelerating down that slippery slope. 

So, here's what I'm thinking:  Given that it may take a lot of early public funds to kick off the work at the NIH, let's develop a cure first for something we can all benefit from - not just those who undergo the procedure, but those around them.  Let's get rid of body odor.



Tuesday, December 20, 2016

Our Intemperate Russian Buddies

Russians are so desperate for alcohol that they are downing skin lotion clearly labeled hazardous for consumption

Apparently life in Russia promotes some mighty fine habits



Russia is quite literally drinking itself to death.**

“It’s difficult to overstate how serious Russia’s alcohol problem is.

More than 30% of all deaths in Russia in 2012 were attributable to alcohol, according to WHO data crunched by the OECD. That’s by far the highest among the nations it tracked.

Russian drinkers die a variety of deaths. Alcohol poisoning. Cirrhosis. Accidents. Suicide.”


Here's an idea
Russian and Syrian jets bombed Aleppo - at least 100 killed
Russian airmen in Syria
The next time Vladdy and his minions go after a country that happens to lack in natural resources vital to the U.S., instead of imposing another vicious round of sanctions on three Russian generals and their dogs, let's just give their soldiers FREE VODKA.
   

The rounds are on US - Mother Russia's favorite homegrown recipe, which we'll supply to all their ingressing soldiers and airmen.  We'll send in Relief Convoys with cases and cases of vodka (the moderately good stuff), which would likely not get bombed this time, and leave the bottles at strategic locations throughout the country.  We could even supply SKYY "Lotion," if that'll do the trick.

Let's face it, we don't have the stones to get involved just for humanity's sake, so we'll propose toasts to their glorious victory and let it slowly destroy their livers.  It'll cost less than weapons, and their inebriation on the way may lead to an early end to the conflict, or at least some good breaks for naps.





Sunday, December 18, 2016

There Oughta Be a Test

Government Worker IT IQ --- Got Any?


Is it too much to expect our highly compensated government workers, entrusted with all our personal information, to be savvy enough to avoid the simplest scams?



Yeah, if Fancy Bear is after the info, you may not see it coming.  But this?

"LOS ANGELES — After seven months, Los Angeles County has disclosed that it was a victim of a phishing email attack.
The cyber-security incident happened back in May, when authorities say over 100 employees responded to a phishing email allegedly sent by the suspect, described as a Nigerian national"

Just a simple test every quarter wherein IT sends out some outlandish internal (i.e. Safe) phishing bait and see who they catch.  

 "No, silly, this isn't some Nigerian Prince scam, I'm right here in LA.
So if you'd be kind enough to help me..."

If a current employee goes for it, they lose access and have to dress like this for a month while answering the phones (to improve the God-awful customer service).  


It’s not like this is something new....





Thursday, December 8, 2016

(Don't Stop) Looking at Me!

How Trump Might Keep the Focus on Him


As president, Trump will enjoy the constant limelight he craves, particularly during his first year:  The Year of Unexpectedness.  However, the everyday demands of the position will eventually cause interest to wane, and even his constant Tweeting, no matter how outrageous, will cease to ring the publicity bell.  What could he do then?



Issue a Calendar
 (Is this like Dog Years?) 

March

April


Orchestrate a Mysterious Absence


To Commemorate His First Year in Office
Augment & Rename the Washington Monument


Wednesday, June 1, 2016

Open Letter to the AIDS Healthcare Foundation

Lawsuits 'r Us
You Can't Sue Companies for Good Deeds Not Done

FIRST, SOME BACKGROUND
In line with its history of extensive legal actions, seven lawsuits since 2014, the AIDS Healthcare Foundation is calling for Congressional and FDA investigations of Gilead Sciences for failing to adhere to the AHF priority list.

“LOS ANGELES--(BUSINESS WIRE)--AIDS Healthcare Foundation (AHF) will host a Media Availability all day Tuesday, May 31st, to announce its call on both the Food and Drug Administration (FDA) and the United States Congress to open investigations of Gilead Sciences Inc., a maker of HIV/AIDS medications.

“AHF will call on Congress and the FDA to investigate the Bay Area drug company and its executives over allegations of drug patent manipulation and anti-trust claims regarding slightly different formulations of tenofovir, a key HIV/AIDS drug used by as many as 80% of American HIV/AIDS patients.

“A blistering front page Los Angeles Times article published Sunday (“A question of timing: A lawsuit claims Gilead Sciences could have developed a less-harmful version of its HIV treatment sooner” Melody Peterson, LA Times, 5/29/16)” **

Based on tenofovir, a chemical found by a Czech Academy researcher before AIDS began to ravish the planet, Gilead Sciences came up with an administerable formulation with less side effects and proved it to be a virus fighting drug for HIV and Hepatitis-B.  It was approved for HIV in 2001 and Hep-B in 2008.  In 2004 another version, TAF, showed some promise in preliminary trials at reducing bone loss and kidney effects, mainly because of its greater anti-viral activity (need to take less).  Development got put on hold until 2010 for any number of reasons.

You can find the “blistering” article here, should you want to see it.  A couple paragraphs of note:

“Looking back, Tim Horn of the Treatment Action Group, which advocates for AIDS patients, said: “That’s a decade of potentially avoidable kidney and bone toxicity.”

“Horn said Gilead’s decision to resume trials as the original drug’s patent was nearing expiration ‘suggest that this is much more about market dominance than it was about finite resources for research and development.’”

“Looking back”?  “Suggest”?

If I “look back,” not only could I have prevented thousands of healthcare crises, like the Black Death for instance (Fleas, man, fleas!), but I could advise every company about which charitable foundations to support with massive discounts, and which ones are going to stab you in the back.  And since when was a Congressional or FDA investigation justified because timing “suggests” a profit motive to a certain decision?  It's not like Gilead is financed on charitable donations, where profit motives might be more suspect.

Frankly, our market system is predicated on Gilead making a reasonable profit or it won't survive to develop more drugs.  And lately, the company stakeholders wouldn’t mind seeing some advancement on the money front.

Gilead Sciences 1-year stock performance

One Gilead response from the article:
“Gilead executives say the drug’s patent expiration had nothing to do with their decision to halt trials in 2004.

“’It’s simplistic to look back and say, well, TAF is a safer version and why didn’t you develop it sooner,’ said Norbert Bischofberger, the company’s chief scientific officer, using the shorthand name for the new drug.

“Bischofberger said Gilead stopped the project to shift money to looking for another type of HIV medicine, known as an integrase inhibitor. The company restarted the research years later, he said, after it saw a need for a less toxic drug for aging HIV patients, who are more susceptible to kidney and bone problems.”


NOW, TO ADDRESS AHF
Face it, if it wasn’t for discoveries or at least commercialization by drug companies, the AIDS Healthcare Foundation would largely be a condom distributor and AIDS hospice.  It’s time to get off your high horse.


“Blistering” LA Times article and altruistic Gilead statements aside, this issue is largely about AHF objecting to the way the patent system is set up.  There are a lot of improvements that could be made (previous post with my suggestions here, 3rd idea down).  Primarily, fixes would stop companies from being able to essentially make minor tweaks to extend patent protection, as well as speed up and more effectively protect truly innovative discoveries.  Operating within the existing system to turn a profit is not just a nice by-product of a business, it is their raison d’etre.  When the system allows the effective blockage of generics by legal means (e.g. endless lawsuits wasting time or costing too much to make it worth doing), or worse still, patent trolls that stop new discoveries in their tracks, or make them prohibitively expensive to the end customer, we all lose.

This complaint by AHF is akin to accusing all pharmaceutical companies of criminal negligence because they chose not to spend billions developing orphan drugs (for diseases affecting very few patients).  AHF judgment coming with the benefit of a decade of hindsight, of course.


Ah, must be the Hollywood life (see the sign?) for AHF President Weinstein
By the way, it appears AHF may not live in such a squeaky clean glass house.  Apart from the seven lawsuits AHF felt obliged to charitably provide its foes and some of its benefactors, Wikipedia states:

“In 2014, AHF was audited by Los Angeles county and billed $1.7 million for duplicated services. AHF filed suit, arguing that they were targeted on the basis of their political actions in the 2013 lawsuit. The lawsuit filed by AHF was thrown out by a judge.”

Apparently there’s a theme here.  In 2015 Charity Navigator reports both charge and AHF defense (indented portions):

On April 9th, 2015, The Chronicle of Philanthropy reported that "Three former managers with one of the nation's biggest providers of HIV and AIDS care have filed a whistle-blower complaint alleging the organization engaged in a $20 million scam to boost Medicare and Medicaid payments." The article goes on to say, "According to the federal lawsuit, the AIDS Healthcare Foundation paid kickbacks to employees and patients for referrals that would increase billings with the federal health-care programs."

Although AHF may have a beef with Gilead’s choosing to develop other drugs rather than a safer version of TAF, the entire tax and Medicare-paying population of the U.S. may have a beef with you.

AHF’s response:
"AHF states that it has done nothing wrong and that the lawsuit demonstrates the plaintiffs' ignorance of applicable laws. AHF strongly believes in its approach that offers financial incentives to patients who test HIV+ and receive subsequent medical care and treatment. As part of its program, AHF also compensates HIV testing counselors for successfully linking such patients to care. These practices are common incentives in public-health programs and are critical to stopping HIV in this country.”

Hmmm.  My thoughts:
·         It’s THREE former managers from AHF, not just one possibly disgruntled individual.  How many thousands of managers do you have in this incentivized pay scam that three is such a small portion as to be so easily dismissible?
·         Judging from Glassdoor reviews (a mere 2.7 out of 5.0 rating; average is 3.3), AHF executive management might be better off looking internally at what could be improved: 
o   “These people hired me and sent me to LA for training. No one in LA even knew I was coming. Michael Weinstein came in and demanded [to] know who hired me. I was hired for the Columbus Oh office. Mr Weinstein said ‘we dont have any money for a case manager in the Columbus office.’ So I was informed that the job didnt actually exist and I was sent back to Columbus, Oh.”
o   “You are thrown into a bucket full of interoffice politics that is comparable to being on Capital Hill.” – Ft. Lauderdale office
o   “I watched the first season of House of Cards and called a fellow ex-employee and said that was AHF.” – LA office
o   “The right hand has NO idea what the left hand is doing. WAAAY too many chiefs and not enough workers. Michael Weinstein will suddenly swoop in and bring more chaos and just as quickly disappear.” – Columbus, OH office
o   “Absolutely Unprofessional and Unethical management” – LA office
·         Why would THREE of your managers be so poorly educated and trained that they had such an “ignorance of applicable laws”?  How much responsibility for this falls on those who hired them, chose them, or promoted them to that position?
·         It may well be common practice to provide incentive pay to employees (Really?  Charitable foundation employees?) and patients to convince people to receive free healthcare already subsidized by donors, taxpayers and volunteers.  That doesn’t make it right.  Nor does it make it legal, even if it increases participation and legal agencies find it not worth bringing a case.

Just because you’re not prosecuted doesn’t mean you’re not a criminal.  For examples, look at Hillary Clinton and Lois Lerner.



And remember that view of the HOLLYWOOD sign non-profit President Weinstein was enjoying?  In 2016 AHF used its donations to file a

"Suit against the City of Los Angeles, alleging that a particular residential development is illegal. Said development is adjacent to the luxurious 24-story tower occupied by the headquarters of the AFC, and thus blocks the 'view' of the AFC."

  

AHF may not like what Gilead did in regards to TAF, but it’s action is not criminal.  Businesses don’t have the luxury of receiving your free funding, some significant portion of which apparently is better spent on frivolous lawsuits.  What you are essentially objecting to is a drug company choosing to pursue more lucrative opportunities that may or may not help people with HIV (based on an integrase inhibitor, as was stated) or a different disease (like an out-and-out cure for Hepatitis-C) - one that you at the AHF probably could care less about.