Recently in Science, Technology & Health Category
Thanks to the shoddy drafting of the Obamacare law the DC federal appeals court has ruled that it's illegal to subsidize healthcare plans bought through the federal exchange. The law only authorizes subsidies for plans bought through state exchanges, not through the federal exchange that was created for states that decided not to create exchanges of their own. Obviously this was not the intent of the law, and under normal circumstances Congress would simply pass an update to the law to remove any grounds for controversy. Of course that's impossible due to the politics surrounding Obamacare, and now the whole scheme may be doomed unless the courts decide to apply the law as intended rather than as written. Which these judges, at least, have refused to do.
The 2-1 ruling said such subsidies can be granted only to people who bought insurance in an Obamacare exchange run by an individual state or the District of Columbia--not on the federally run exchange HealthCare.gov. The ruling relied on a close reading of language in the Affordable Care Act.
"Section 36B plainly makes subsidies available in the Exchanges established by states," wrote Senior Circuit Judge Raymond Randolph in his majority opinion in the case known as Halbig v. Burwell, where he was joined by Judge Thomas Griffith.
"We reach this conclusion, frankly, with reluctance. At least until states that wish to can set up their own Exchanges, our ruling will likely have significant consequences both for millions of individuals receiving tax credits through federal Exchanges and for health insurance markets more broadly."
Obviously I think it would be best for the country for the whole law to collapse. The impossibility of properly fixing this "technical error" in the law is yet another example of how badly things can go when one party forces a bill into law against the will of the citizenry and with no support from the other party. Congress can't patch this mistake, and the courts shouldn't clean up Congress' mess.
It looks like an audacious plan to recover use of a 36-year-old satellite has ultimately failed as ISEE-3's thrusters have stopped responding to commands. Still, it's awesome that the attempt was made, and even cooler than it was done by a group of enthusiasts rather than a government team.
A team of space enthusiasts recently got permission from NASA to reconnect with the old spacecraft as it approached Earth. The idea was to put it on a new course so that it wouldn't just fly past. Instead, it would be commanded to go to a new orbit and join younger satellites in monitoring space weather.
On Tuesday, and then again Wednesday, the volunteer group sent commands to fire ISEE-3's engines again and again.
"And our first series of burns, we thought went OK," says Keith Cowing, a former NASA guy who is one of the leaders of the volunteer group -- the ISEE-3 Reboot Project. "And then when we went to the second set, pretty much nothing happened. And we tried it again, and nothing happened."
Jean-Baptiste Quéru describes the depth and complexity of what happens when you visit a website -- there's a lot more going on that most people realize. I'll quote the very first bit, but read the rest if you're interested in getting a glimpse of the magic behind our technology. As Quéru writes, no one person or company can fully comprehend it.
You just went to the Google home page.
Simple, isn't it?
What just actually happened?
Well, when you know a bit of about how browsers work, it's not quite that simple. You've just put into play HTTP, HTML, CSS, ECMAscript, and more. Those are actually such incredibly complex technologies that they'll make any engineer dizzy if they think about them too much, and such that no single company can deal with that entire complexity.
Roll Call has broken the news that the CBO has announced that it can no longer project the costs of Obamacare. All the CBO estimates for Obamacare over the past five years have turned out to be nonsense. Short version: President Obama has made so many unilateral modifications to the law that no one can figure out what the heck is going on anymore.
In its latest report on the law, the Congressional Budget Office said it is no longer possible to assess the overall fiscal impact of the law. That conclusion came as a surprise to some fiscal experts in Washington and is drawing concern. And without a clear picture of the law's overall financing, it could make it politically easier to continue delaying pieces of it, including revenue raisers, because any resulting cost increases might be hidden.
Charles Blahous, a senior research fellow at George Mason University's free market-oriented Mercatus Center, calls the CBO's inability to estimate the net effect of the law "a real problem."
"The ACA's financing provisions were assumed to be effective so as to get a favorable score out of CBO upon enactment, but no one is keeping track of whether they're being enforced," says Blahous, a public trustee for Social Security and Medicare. "We receive occasional updates on the gross costs of the law, but none on whether the previously projected savings provisions are producing what was originally projected."
As a result, Blahous says, "there's no barrier to continually rolling back the financing mechanisms without the effect on the ACA's finances ever being fully disclosed."
I asked Buser where he thinks things stand now. "The number of studies carried out so far is simply too small to come to a conclusive answer, especially because there are so many dimensions to multitasking," he replied. "It is entirely possible that women are better at some kinds of multitasking but not at others, but so far there is very little evidence for any gender differences."
Ann Althouse asks why people like to believe that women are better than men at multitasking, and offers a few suggestions.
Who benefits? Is it female ego-boosting? Is it another trick of the patriarchy that hoodwinks women into doing the housework and child-rearing?
I think she's on to something. Other possibilities:
- Perhaps women excel at tasks that are more commonly performed in parallel due to the nature of the tasks themselves.
- Perhaps women excel at multitasking some highly visible tasks, and this observation bias leads people to believe that women excel at multitasking in general.
- Perhaps women exert greater effort while multitasking in a real environment, while men only exert themselves while multitasking in an experimental environment.
Popular Science has a fantastic article about robot ethics, with a focus on robotic cars. The whole thing is worth reading, but here's a taste.
It happens quickly--more quickly than you, being human, can fully process.
A front tire blows, and your autonomous SUV swerves. But rather than veering left, into the opposing lane of traffic, the robotic vehicle steers right. Brakes engage, the system tries to correct itself, but there's too much momentum. Like a cornball stunt in a bad action movie, you are over the cliff, in free fall.
Your robot, the one you paid good money for, has chosen to kill you. Better that, its collision-response algorithms decided, than a high-speed, head-on collision with a smaller, non-robotic compact. There were two people in that car, to your one. The math couldn't be simpler.
In my opinion, your robotic car should has customizable ethics options that let you, the owner, choose your priorities. If you want to protect your family above all else, then you should be able to select that and bear the legal consequences.
"Buy our car," jokes Michael Cahill, a law professor and vice dean at Brooklyn Law School, "but be aware that it might drive over a cliff rather than hit a car with two people."
Okay, so that was Cahill's tossed-out hypothetical, not mine. But as difficult as it would be to convince automakers to throw their own customers under the proverbial bus, or to force their hand with regulations, it might be the only option that shields them from widespread litigation. Because whatever they choose to do--kill the couple, or the driver, or randomly pick a target--these are ethical decisions being made ahead of time. As such, they could be far more vulnerable to lawsuits, says Cahill, as victims and their family members dissect and indict decisions that weren't made in the spur of the moment, "but far in advance, in the comfort of corporate offices."
In the absence of a universal standard for built-in, pre-collision ethics, superhuman cars could start to resemble supervillains, aiming for the elderly driver rather than the younger investment banker--the latter's family could potentially sue for considerably more lost wages. Or, less ghoulishly, the vehicle's designers could pick targets based solely on make and model of car. "Don't steer towards the Lexus," says Cahill. "If you have to hit something, you could program it hit a cheaper car, since the driver is more likely to have less money."
These questions seem futuristic, but our robots will be making a lot of split-second decisions for us based on the rules we set up in advance. We need to think about what those rules should be.
Once the leader in cybersecurity, Symantec has declared that "antivirus is dead", at least as a business model. This is obviously true, considering the proliferation of excellent free antivirus software. Antivirus is also pretty stale as a technology:
Ted Schlein, who helped create Symantec's first antivirus product, describes such software as "necessary but insufficient." As a partner at venture-capital firm Kleiner Perkins Caufield & Byers, Mr. Schlein invests in new cybersecurity companies that compete with Symantec.
Using antivirus software is like locking the door of your house. It's a smart thing to do, but it won't protect you if you expose yourself to danger in other ways.
Is the Golden Age of antibiotics drawing to a close? Will our children grow up in a world where minor infections that have been easily curable for decades are once again life-threatening? This is a huge public health concern with far greater impact than the availability of health insurance. Developing new antibiotics and preventing a return to bacteria-dominated health environment should be a top priority of the federal government.
The spread of deadly superbugs that evade even the most powerful antibiotics is no longer a prediction but is happening right now across the world, United Nations officials said on Wednesday.
Antibiotic resistance has the potential to affect anyone, of any age, in any country, the U.N.'s World Health Organisation (WHO) said in a report. It is now a major threat to public health, of which "the implications will be devastating".
"The world is headed for a post-antibiotic era, in which common infections and minor injuries which have been treatable for decades can once again kill," said Keiji Fukuda, the WHO's assistant director-general for health security.
Finally someone has improved on the millennia-old axe for splitting wood by hand! Behold: The Vipukirves, or Leveraxe.
So what makes a lever different than a wedge in this scenario? The Vipukirves still has a sharpened blade at the end, but it has a projection coming off the side that shifts the center of gravity away from the middle. At the point of impact, the edge is driven into the wood and slows down, but the kinetic energy contained in the 1.9 kilogram axe head continues down and to the side (because of the odd center of gravity). The rotational energy actually pushes the wood apart like a lever. A single strike can open an 8 cm gap in a log, which is more than enough to separate it.
Simple and brilliant. Also easy to mechanize.
Three million Californians are newly insured thanks to Obamacare, but they can't find any doctors willing to take them. One of the big philosophical problems with Obamacare is that it makes the assumption that getting someone health insurance will inevitably lead to that person getting health care. That isn't true.
Thinn Ong was thrilled to qualify for a subsidy on the health care exchange. She is paying $200 a month in premiums. But the single mother of two is asking, what for?
"Yeah, I sign it. I got it. But where's my doctor? Who's my doctor? I don't know," said a frustrated Ong.
Nguyen said the newly insured patients checked the physicians' lists they were provided and were told they weren't accepting new patients or they did not participate in the plan.
Dr. Kevin Grumbach of UCSF called the phenomenon "medical homelessness," where patients are caught adrift in a system woefully short of primary care doctors.
"Insurance coverage is a necessary but not a sufficient condition to assure that people get access to care when they need it," Grumbach said.
Those who can't find a doctor are supposed to lodge a complaint with state regulators, who have been denying the existence of a doctor shortage for months.
The NYT has a great piece about direct primary care: doctors who have stopped taking insurance and instead work for cash. Like a normal business. Surprise! It works pretty well.
Lee Spangler, vice president of medical economics with the medical association, said Texas was seeing an increase in practices like these because they gave doctors more flexibility to determine the services they provide and to cut costs for their practices.
"A physician has very little ability to negotiate all policies and procedures that come with insurance contracts," Mr. Spangler said, adding that some insurance companies can even dictate the business hours during which doctors can be paid. "Basically you get rid of all those shackles in terms of having a carrier dictate to the practice how to deliver medical services."
It is the direct primary care business model that proves most attractive, Mr. Spangler said, adding that doctors "want to get out from under what has been stacked up on them."
Bizarrely, "some people" seem to be more worried about health insurance than actual health care. Could it be that these "some people" make their livings as middlemen who don't want patients to go straight to doctors?
Some health care specialists worry that if too many practitioners choose this path, the state could be left struggling to find doctors to accommodate patients with insurance as the federal health care overhaul is making such coverage mandatory for most Texans. So far, efforts to enroll Texans in the federal insurance marketplace -- crucial to the success of the Affordable Care Act -- have made a small dent in the state's uninsured population, which has reached 6 million, according to United States Census Bureau data. The federal Department of Health and Human Services reported that 295,000 Texans had signed up for insurance coverage in the federal marketplace as of March 1.
"We have to find ways of stretching the current number of primary care doctors to meet that demand," said Dr. Clare Hawkins, president of the Texas Academy of Family Physicians. "Direct primary care goes in the other direction."
What if you passed a law mandating insurance, but no doctors showed up?
"The Schmidt Sting Pain Index rates the painfulness of 78 Hymenoptera species, using the honey bee as a reference point. However, the question of how sting painfulness varies depending on body location remains unanswered. This study rated the painfulness of honey bee stings over 25 body locations in one subject (the author). Pain was rated on a 1-10 scale, relative to an internal standard, the forearm. In the single subject, pain ratings were consistent over three repetitions. Sting location was a significant predictor of the pain rating in a linear model (p < 0.0001, DF = 25, 94, F = 27.4). The three least painful locations were the skull, middle toe tip, and upper arm (all scoring a 2.3). The three most painful locations were the nostril, upper lip, and penis shaft (9.0, 8.7, and 7.3, respectively). This study provides an index of how the painfulness of a honey bee sting varies depending on body location."
Ok, so I'm estimating the number of bee-stings... the actual number could be as few as 75 if the author didn't test all 78 species. But still.
Everyone has heard about BitCoin by now, but did you know that crypto-currencies are just a subset of Distributed Autonomous Corporations?
Distributed Autonomous Corporations (DAC) run without any human involvement under the control of an incorruptible set of business rules. (That's why they must be distributed and autonomous.) These rules are implemented as publicly auditable open source software distributed across the computers of their stakeholders. You become a stakeholder by buying "stock" in the company or being paid in that stock to provide services for the company. This stock may entitle you to a share of its "profits", participation in its growth, and/or a say in how it is run.
After installing Windows 8.1 on my wife's laptop it would not connect to wifi or the internet. The computer kept saying "limited" connectivity and none of the built-in troubleshooters could fix the problem. I reset the router numerous times, rebooted the computer, updated everything, reset the TCP/IP stack, etc. In the end, the problem was that while installing 8.1 Microsoft removed my wireless adapter drivers and replaced them with a new Microsoft version! Argh!!!! What the hell?
Reverting back to the manufacturer's drivers solved the problem.
A downward revision from the non-partisan Congressional Budget Office on the effect of Obamacare on employment. If you think think this number is unlikely to be revised further downward in future years, you haven't been paying attention to all the "unexpected" bad news recently.
The agency previously estimated that the economy would have 800,000 fewer jobs in 2021 as a result of the law. In that analysis, the CBO looked primarily at how employers would respond to a new penalty for failing to offer insurance to employees who work more than 30 hours a week. That response would include cutting people's hours, hiring fewer workers and lowering wages for new jobs.
On Tuesday, the agency released a more detailed estimate that includes how ordinary Americans would react to those changes by employers. Some would choose to keep Medicaid rather than take a job at reduced wages. Others, who typically do not work full-time, would delay returning to work in order to keep subsidies for private insurance that are provided under the law.
As a result, by 2021, the number of full-time positions would be reduced by 2.3 million, the report said.
The CBO also predicts that compensation will also suffer:
The CBO is now estimating the law will reduce labor force compensation by 1 percent from 2017-2024 -- twice the reduction it previously had projected.
So net neutrality is over, at least for now. What is net neutrality anyway? It's simple to explain, but the implications are murky. Short explanation: net neutrality means that your internet service provider has to treat all your internet data the same. ISPs can't throttle some kinds of data, or charge you extra for other data, or block data from competitors.
On the surface net neutrality sounds good, right? However, it also prevents ISPs from experimenting with new business models and pricing structures. For example, at peak times Netflix accounts for something like 30% of internet traffic in America. Netflix makes a ton of money from this, but they don't pay anything for the bandwidth. ISP subscribers pay for all that capacity as a part of their monthly service fees. This is fine if you use Netflix, but if you don't (as I don't) then you're paying for someone else's Netflix bandwidth. Why shouldn't Netflix kick in some money to pay for the bandwidth their subscribers are using?
Ok, so now you're convinced that net neutrality is bad! Those big internet content companies should pay for the bandwidth they use! Right?
Well, what happens when your ISP signs a contract with Netflix? Netflix pays some money to your ISP to get super-fast data to your livingroom during peak TV-watching hours, and maybe your internet bill goes down. However, Amazon doesn't want to pay for access, or maybe they're just outbid by Netflix. So if you prefer Amazon Prime's movie selection to Netflix, you either can't get it at all or your bandwidth is throttled. Lame! (Not to mention start-up companies that won't be able to afford to buy access.)
It's not really clear if net neutrality is all-good, but the internet has managed to thrive with the philosophy in place. I can understand some theoretical advantages to removing net neutrality, but considering how good things have been for the past 20 years I'm not willing to take the risk.
Absolutely amazing to see the confluence of all these technologies more than 45 years ago. The video is quite long, but you can skip around to see early incarnations of technology that is now ubiquitous.
"The Mother of All Demos is a name given retrospectively to Douglas Engelbart's December 9, 1968, demonstration of experimental computer technologies that are now commonplace. The live demonstration featured the introduction of the computer mouse, video conferencing, teleconferencing, hypertext, word processing, hypermedia, object addressing and dynamic file linking, bootstrapping, and a collaborative real-time editor."
Here's an Orwellian use of the word "demand". Does Sebelius remember that the law requires people to buy this product? The "demand" is entirely on the government side.
"The numbers show that there is a very strong national demand for affordable healthcare made possible by the Affordable Care Act," said U.S. Health and Human Services Secretary Kathleen Sebelius.
79% of Obamacare enrollees are received subsidies from taxpayers. I hope that's not sustainable.
Most of the people who bought coverage on the exchanges this fall got subsidies to help them afford the premiums. That's in contrast to the first month of the program, when less than one-third of buyers were subsidized. People earning up to four times the poverty rate--as much as $96,000 a year for a family of four--can get help buying coverage.
As 2014 dawns there are fewer people with health insurance thanks to Obamacare. Considering that the goal of Obamacare was to increase coverage even with increased costs, this is a sad state of affairs -- because costs have certainly gone up. Americans are unquestionably worse off as a group thanks to Obamacare, and only two questions remain: how bad will it get? and when will it end?
America deserves better.
The White House used a Sunday morning statement to admit that only 1.1 million people have used the federal Obamacare website to sign up for the president's healthcare network by Christmas Day.
News reports and advocacy websites say roughly 1 million people have enrolled with health-benefit companies via state websites, including 400,000 in California and 157,000 in New York, by the Dec. 24 deadline, which allows coverage starting Jan. 1.
The 2 million federal and state signups are roughly two-thirds the planned goal of 3.3 million enrollments by Dec. 31. They're also only one-third of the 7 million customers sought by March 31.
The total reported signups are at least 3 million fewer than the 5 million people whose health-insurance policies were cancelled prior to Christmas by President Barack Obama's ambitious tax-and-healthcare scheme.
The minus-3-million score is only partially offset by the extension of Medicaid coverage to perhaps 2 million other people, few of whom earn enough to afford commercial insurance.
Of critical note, the administration is using a deceptive definition for the word "enrolled": it is not known how many of the "enrolled" participants have actually paid for their plans.