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Monopolies, Created Deserts, and Warren Buffets

Friday, July 9th, 2021

Monopolized; Life in the Age of Corporate Power, David Dayen, 2021

This book is one of the most depressing, even apocalyptic in recent memory. It is also well researched, organized, and important.
Each chapter addresses an industry segment that has fallen to monopoly: Airlines, Big Agriculture, Journalism and media, Broadband Internet, Opioid medication, Banks, Offshoring essential products, Amazon and Google, Hospitals Supply chains, Rental Housing after 2008, Prisons and Immigrant detention. The book is focused on monopolies in each of these segments. Warren Buffet is mentioned as a significant investor in monopolies in each chapter. Dayen estimates that twelve mega-billionaires like Warren Buffet effectively control the entire US economy today. What can these handful of men possibly do with the wealth they have accumulated? This is from Jeff Bezos, currently the wealthiest:

The only way I can see to deploy this much financial resource is by converting my Amazon winnings into space Travel

Tesla’s Elon Musk seems to share Bezos’ sentiment. Dayen — “Our overlords literally shoot money into space while millions around them suffer.” Here is Buffet;

We think in terms of that moat and the ability to keep its width and its impossibility of being crossed.


Dayen — “Morningstar offers an economic moat index fund of the twenty companies with the highest walls around their businesses.”

The average age of a farmer in America is fifty-eight. In Iowa, 60 percent of all farm owners are over the age of sixty-five; just 1 percent are thirty-four or younger. More than half of all Iowa farmland is rented out, and the startup costs of land, machinery, and other inputs are a huge barrier to entry. A substantial number of farm owners are elderly widows who inherited the land. As they pass on, Iowa could be transformed.

As Iowa and other agricultural states empty out and businesses close, the states turn into people less deserts. Mono culture (single crop) farming with huge chemical inputs are transforming formerly fertile land into barren deserts. Deserts can take many forms and empty farmland is only the first discussed here.

The news deserts created primarily by the dominance of Facebook and Google and by the crippling of the media business model have grave implications for democracy…it’s undeniable that corruption spreads, conspiracies are fostered, and truth is obscured where journalism is absent.

This is the curse of bigness in San Francisco, a city so teeming with money that nobody can afford to open a store to take it…But the truth is that the San Francisco Bay Area is the nation’s second-most dense…Big money has created a vicious spiral: a winner-take-all city keeps accumulating vacant lots, dead-eyed commuters drive for hours to their barely affordable homes, landords must keep rents astronomically high to cover their own astronomically high loans. The concentration of extreme wealth isn’t just bad for the losers in depressed counties and towns. It’s bad for the winners.

Urban deserts are not limited to Flint and Detroit Michigan, to Oakland California and Philadelphia and Baltimore. Try living in today’s San Francisco. Several of my son’s San Francisco old high school friends are living lives as nomads in the city, complete with vans.

In telecommunications including cellphone and broadband America is a disgrace with the highest prices and lowest quality and service anywhere in the world. At America’s founding, postal service was guaranteed to every American. FDR’s Tennessee Valley Authority (TVA) together with massive western dam projects guaranteed electrical power to every American. At one time every American was guaranteed phone service. Dayen describes Chattanooga, a big beneficiary of the TVA, and its TVA run utility the Electric Power Board (EPB) which decided to upgrade using fiber optics to improve the reliability of its electric grids. In 2007 EPB decided to offer fiber optics to every home in its service area paid for by a $219.8 million bond. Comcast sued to stop the plan alleging illegal cross-subsidy of electric rate payer funds. Comcast lost and residents of EPB’s service area have access to gigabit broadband access supporting phone and internet service. If you are not in EPB’s service area you are in the communications desert.
I live in the heart of Phoenix Arizona and have access to Centurylink’s (baby Bell) DSL “service” of 16MB sometimes at a cost of about $50 per month. I have a grandfathered T-Mobile prepaid phone that gets no signal at my home even after the T-Mobile Sprint merger. I can make phone calls from my home via Android wifi on my T-Mobile phone or via voice over IP (VOIP) through google voice.
I live five miles from Phoenix’s TV Towers but receive no over the air (OTA) signals for any major network on my TV. Using advanced rooftop antennas and signal amplifiers, I used to be able to receive 5 major networks 95 miles line-of-site to the towers on Mount Lemon near Tucson. Continued reduction in transmit power by network operators has reduced reception to 3 major networks today. Even these 3 are sensitive to weather. I tried to raise the issue of reduced OTA transmitter power over the publicly owned airwaves with newly elected Senator Mark Kelly and was blown off by staff members.
If you live in rural America chances are you have no access to broadband. Urban Americans may typically have two “options” for broadband, your baby bell or surviving phone company and one cable operator. Both will have atrocious customer service and questionable reliability and unconscionable low speeds. Somewhere in a streaming chain, maybe the local broadband supplier is able to restrict speeds or break a stream altogether. We could get better service almost anywhere in the world. Most Americans live in a communications desert.

Dayen talks about the mergers and acquisitions (M&A) banking business that came into it’s own in the 1960s. Today it is a huge industry dominated by the six too big to fail banks.

As of 2019, the six biggest banks–JP Morgan Chase, Bank of America, Citigroup, Wells Fargo, Goldman Sachs, and Morgan Stanley–control $10.5 trillion in financial assets. These banks also happen to be serial transnational criminal enterprises, paying $182 billion in (inadequate) penalties for rap sheets of incomparable length. Few of the violations even relate to the financial crisis’s run-up and aftermath, though those were significant. Incidents of debt collection fraud, market rigging, money laundering, misrepresentations to clients, kickback schemes, and unlawful securities sales all occurred after the crisis.

The media has focused on stock buyback after tax reductions and record profits but gives little attention to the bigger story; mergers of corporations into ever larger and more unaccountable monopolies. The six big banks are key players in these mergers pocketing huge fees for their services. Goldman Sachs, in one merger featured in the book involving United Natural Foods Inc. (UNFI), continued to change the terms of the merger to favor themselves and even created and sold derivatives for hedge funds wanting to bet against the merger.

Mergers in the health care industry, especially hospitals has created large healthcare deserts in America. Hedge funds often buy hospitals for their real estate value and close them after gutting their operations. Millions of Americans are left with few options and long travel distances and time to seek services.

Monopolies create highly vulnerable supply chains often with sole source and offshore production. Dayen talks about an acute shortage of saline drip bags (cost $1) because production in sole source Puerto Rico was disrupted. This failure disrupted services in hospitals across the country. Covid19 protective equipment like masks, shields, gowns, etc. were simply not available for months. Then there are sole source parts like faulty batteries for the F-35 $100 million fighter jets that made them unable to escape Hurricane Michael in 2018. All current US Weapons systems are dependent on parts from China! Supply deserts are disruptive and dangerous and we are inundated in them.

Ten million American homes were lost to foreclosure as a result the 2008 financial subprime disaster. Dayen has an earlier book Chain of Title focusing on the struggle of American’s being illegal foreclosed on as a result of the massive production of fake documents purporting to support the existence of loans. Aaron Glantz in 2019 published Homewreckers, showing the macro side of how all these illegally foreclosed homes ended up in the hands of hedge funds and other bottom feeders and were removed permanently from the American supply of individually owned homes. Dayen here talks about how these new owners, without experience in real estate rentals and without any regard for the law or people converted these homes into badly or unmaintained rentals and profited from illegal fees, penalties, evictions, and extortion while the huge inventory of once livable single family homes are turned into slums. These few corporations make the Trumps and Kushners of the world look like petty thugs. Meantime, Americans looking to buy homes find limited options and soaring prices. Welcome to the housing desert.

We know how to handle monopolies. You restore the interpretation of the antitrust laws to cover the full spectrum of harms, beyond just consumer welfare. Then you break up dangerous concentrations of economic power, block mergers that would excessively consolidate markets, regulate natural monopolies as public utilities, structurally separate functions where necessary, intervene in the public interest so citizens are protected and empowered, and vigilantly examine markets to prepare for monopolies to emerge again. Maybe that sounds impossible in the abstract. But it is entirely possible under existing law that either hasn’t been enforced in decades or has been misinterpreted for decades. We have over a century of experience with both successfully preventing unnecessary concentrations and failing to do so. The mechanisms are clear; getting the political class to enforce them is the stumbling block.

Securitized Mortgage Meltdown; the Homeowner Victim’s Perspective

Friday, June 5th, 2020

Chain of Title; How Three Ordinary Americans Uncovered Wall Street’s Great Foreclosure Fraud, David Dayen, 2016

Amid the suffering of the 1930’s, communities banded together to fight foreclosures…Sustained action led to several foreclosure moratorium throughout the Midwest…To stop foreclosures, the Home Owner’s Loan Corporation (HOLC) bought defaulted mortgages from financial institutions at a discount and sold them back to homeowners. Beginning in 1933, HOLC acquire one million mortgages–one out of five in the country at that time. Eighty percent of HOLC clients saved their homes when they might have lost them…HOLC gave borrowers a twenty year mortgage with a fixed interest rate allowing them to gradually pay off the principal over the life of the loan…

Thus the New Deal gave birth to the modern mortgage industry.

No such governmental efforts were made during the subprime mortgage crisis of 2008. While campaigning, Obama favored cramdowns, where judges in bankruptcy can modify the terms of the mortgage, but Obama’s economic team opposed cramdowns and 10 senate Democrats voted against its use. HAMP, Obama’s loan modification program appealed to the banks primarily for the additional fees HAMP might generate. In this book, banks usually accepted HAMP applications at the same time they moved forward with foreclosure. Treasury claims (with no evidence) that 5 million loans were modified by HAMP (and other programs). This book estimates that 6 million homes were lost to foreclosure. A later book, Homewreckers puts the number of homes lost to foreclosure at 10 million. Homewreckers presents the macro view as millions of homes were sold by the banks with Obama government assistance to vulture funds. Most of these home remain off the market, empty, without repairs.

Lisa and Michael Researching fraudulent documents

This book features three Floridian victims of the great foreclosure banking fraud; Lisa Epstein, a nurse, Michael Redman, selling cars on the internet, and Lynn Szymoniak, a lawyer. They each discovered that their foreclosure cases were filled with fraudulent documents showing the wrong dates, the wrong plaintiffs, wrong amounts owed, wrong fees. They quickly uncovered a whole industry created to support mortgage securitization and its array of derivatives moving so fast that producing legally required documents would only be done after the fact, such as a need to foreclose on a single mortgage. Original documentation was usually destroyed by the originators. The Mortgage Electronic Registration System (MERS) was substituted for keeping track of securitized loans and they were never up to the task. County Recorders around the country are the keepers of the official legal filings for all mortgage documents and the mortgage industry went into overdrive to try to file postdated assignments, etc. regarding particular mortgages. The resulting chaos of documents creates broken chain of titles for millions of properties, meaning that no title company can insure the title and the property cannot be sold or transferred. There is no way to guarantee that a title or note claimant will not emerge in the future.

The three victims discovered the widespread practice of robo-signing, where unqualified people were signing massive numbers of documents (thousands a day) without examination and these signatures were often notarized at different times and locations and sometimes with expired on not yet valid notary licenses. A single person might sign as VP for many different banks and institutions. Some signers were dead or in prison at the time of signing.

One service company DocX created after the fact documents for banks. Lynn uncovered a document filed in Florida with BOGUS ASSIGNEE whose address is xxxxxxx. Whether intended as a joke or someone failed to replace the name is unknown but BOGUS ASSIGNEE documents started showing up in other states in official public records.

Michael received an anonymous document:

DocX printed a catalog for foreclosure mills and mortgage servicers , with an online order form called GetNet for missing documents. Curing a defective mortgage would cost you $12.95. Lost note affidavits and allonges were also $12.95. Creating a “missing intervening assignment?” $35.00. “Re-creating the entire collateral file”–that means the note, mortgage, securitization agreement, everything? It’s yours for the low,low price of $95.00.

The documents needed were often produced in foreign countries, some even in Panama.

Lynn Szymoniak

From 2009-2011 documenting the massive bank fraud, creating a grass roots movement with blogs, and chat rooms, in addition to fighting their own foreclosure cases became a full time occupation for all three featured activists. The robo-signing for a time got some national attention. In 2011, CBS’s 60 minutes came to Lynn’s house to film a segment. On April 3,2011 60 minutes aired two segments; one the interview with Lynn and a second on children of foreclosed homes living in Orlando vans and motels. 60 minutes received a award for the story. For a brief time some banks called a moratorium on foreclosure activity. The three believed that criminal indictments were imminent. In the Obama administration with Eric Holder as AG, none of this would happen on a national level.

Michael searched Illinois public records and found the Obama satisfactions of mortgage on their condo signed in 2005 by Chase robo-signer Marshe Caine. Michael posted this on his blog and hits soured after a Dutch blog linked to it. The next day Michael found a second robo-signed Obama document. Michael wrote on his blog; “Feel free to call or email me to discuss this further, Mr. President.” Three weeks later Bank of America resumed foreclosures.

On Feb 9, 2012, state and federal regulators announced the National Mortgage Settlement with the five largest mortgage servicers: Bank of America, JP Morgan Chase, Citigroup, Wells Fargo, and GMAC. Victims of the fraud would receive $2,000. Noone at the bank’s personnel would be fired or go to jail. The only silver lining; Lynn was awarded $18 million for her whistle blower case. After expenses and legal fees, she netted $5.5 million. Foreclosures would move forward at even more accelerated rates with Florida’s “rocket-docket” executing summary decisions in just 20 seconds per case. Public records may never be free of all the fraudulent Recorded documents.

Crooked banks rely on isolation and shame. The Isolation renders the prospect of individual homeowners fighting big banks impossible; the shame makes no level of misconduct from Wall Street as critical as missing a mortgage payment. The foreclosure fighters created community spaces to disarm isolation and shame, giving struggling homeowners a voice and a chance. Without the foreclosure fraud movement there is no Occupy Wall Street; there is no Elizabeth Warren wind of the Democratic Party; this is no student debt movement, or low-wage worker movement, or movement to transfer money to credit unions and community banks. Lisa and Michael and Lynn, and all the bloggers and lawyers and activists who put their heart into this issue, raised public consciousness so that mega-banks have lost just a hint of their aura of invincibility.

For more on Obama’s administration see Scamming the President.

Shattering the Mythical basis of Anthropology and Archeology – Imagining Alternate Futures and Recovering our Freedom

Tuesday, February 8th, 2022

The Dawn of Everything; A New History of Humanity, David Graeber & David Wengrow, 2021

Father Lallemant:”From the beginning of the world to the coming of the French, the Savages have never known what it was so solemnly to forbid anything to their people, under any penalty, however slight. They are free people, each of whom considers himself of as much consequence as the others; and they submit to their chiefs only in as far as it pleases them.”

The democratic governance of the Wendat and Five Nations of the Haudenosaunee, which so impressed later European readers, was an expression of the same principal; if no compulsion was allowed, then obviously such social coherence as did exist had to be created through reasoned debate, persuasive arguments, and the establishment of social consensus.

An impoverished French aristocrat known as Lahonstan recorded his conversions with a Wendat statesman named Kandiaronk; “In short, they neither quarrel, nor fight, nor slander one another…They brand us for slaves, and call us miserable souls, whose life is not worth having, alleging that we degrade ourselves in subjecting ourselves to one man [the king] who possesses all the power, and is bound by no law but his own will.”

If human beings, through most of our history, have moved back and forth fluidly between different social arrangements, assembling and dismantling hierarchies on a regular basis, maybe the real question should be ‘how did we get stuck?’. How did we end up on one single mode? How did we lose that political self-consciousness, once so typical of our species? How did we come to treat eminence and subservience not as temporary expedients, or even the pomp and circumstance of some kind of grand seasonal theatre, but as inescapable elements of the human condition? If we started out just playing games, at what point did we forget that we were playing?

As indigenous legal scholars have been pointing out for years, the ‘Agriculture Argument’ makes no sense, even on its own terms. There are many ways, other than European style farming, in which to care for and improve the productivity of land. What to a settler’s eye seemed savage, untouched wilderness usually turns out to be landscapes actively managed by indigenous populations for thousands of years through controlled burning, weeding, coppicing, fertilizing and pruning, terracing estuarine plots to extend the habitat of particular wild flora, building clam gardens in intertidal zones to enhance the reproduction of shellfish, creating weirs to catch salmon, bass, and sturgeon, and so on. Such procedures were often labour intensive, and regulated by indigenous laws governing who could access groves, swamps, root beds, grasslands and fishing grounds, and who was entitled to exploit what species at any given time of year.

In fact land ownership illustrates perfectly what Rudolf von Ihering called the state’s monopoly of violence within a territory — just within a much smaller territory than a nation state.

Just as access to violence, information, and charisma defines the very possibilities of social domination, so the modern state is defined as a combination of sovereignty, bureaucracy and a competitive political field.

…in all parts of the world small communities formed civilizations in that true sense of extended moral communities. Without permanent kings, bureaucrats or standing armies they fostered the growth of mathematical and calendrical knowledge. In some regions they pioneered metallurgy, the cultivation of olives, vines and date palms, or the invention of leavened bread and wheat beer; in others they domesticated maize and learned to extract poisons, medicines and mind-altering substances from plants. Civilization, in this true sense, developed the major textile technologies applied to fabrics and basketry, the potter’s wheel, stone industries and beadwork, the sail and maritime navigation, and so on. A moments reflection shows that women, their work, their concerns and innovations are at the core of this more accurate understanding of civilization.

It was precisely this combination of such conflicting ideological possibilities — and of course, the Iroquoian penchant for prolonged political argument — that lay behind what we have called the indigenous critique of European society. It would be impossible to understand the origins of its particular emphasis on individual liberty, for instance, outside that context. Those ideas about liberty had a profound impact on the world. In other words, not only did indigenous North Americans manage almost entirely to sidestep the evolutionary trap that we assume must always lead, eventually, from agriculture to the rise of some all-powerful state or empire; but in doing so they developed political sensibilities that were ultimately to have a deep influence on Enlightenment thinkers and, through them, are still with us today.

We started out by observing that to inquire after the origins of inequality necessarily means creating a myth, a fall from grace, a technological transposition of the first chapters of the Book of Genesis — which, in most contemporary versions, takes the form of a mythical narrative stripped of any prospect of redemption. In these accounts, the best we humans can hope for is some modest tinkering with our inherently squalid condition — and hopefully, dramatic action to prevent any looming, absolute disaster. The only other theory on offer to date has been to assume that there were no origins of inequality, because humans are naturally somewhat thuggish creatures and our beginnings were a miserable, violent affair; in which case ‘progress’ or ‘civilization’ — driven forward largely, by our own selfish and competitive nature — was itself redemptive. This view is extremely popular among billionaires but holds little appeal to any else, including scientists, who are keenly aware that it isn’t in accord with the facts…The more rosy, optimistic narrative — whereby the progress of Western civilization inevitably makes everyone happier, wealthier and more secure — has at least one obvious disadvantage. It fails to explain why that civilization did not simply spread of its own accord; that is, why European powers should have been obliged to spend the last 500 or so years aiming guns at people’s heads in order to force them to adopt it.

…innovation in Neolithic societies was based on a collective body of knowledge accumulated over centuries, largely by women, in an endless series of apparently humble but in fact enormously significant discoveries. Many of those Neolithic discoveries had the cumulative effect of reshaping everyday life every bit as profoundly as the automatic loom or lightbulb.

Over the course of these chapters we have instead talked about the basic forms of social liberty which one might actually put into practice; (1) the freedom to move away or relocate from one’s surroundings; (2) the freedom to ignore or disobey commands issued by others; and (3) the freedom to shape entirely new social realities, or shift back and forth between different ones…It is clear that something about human societies really has changed here, and quite profoundly. These three basic freedoms have gradually receded, to the point where a majority of people living today can hardly comprehend what it might be like to live in a social order based on them.

There is nothing particularly primordial about such arrangements (murder of entire populations); certainly there is no reason to believe they are in any sense hardwired into the human psyche. On the contrary, it’s almost invariably necessary to employ some combination of ritual, drugs and psychological techniques to convince people, even adolescent males, to kill and injure each other in such systematic yet indiscriminate ways.

Time and again we found ourselves confronted with writing which simply assumes that the larger and more densely populated the social group, the more complex the system needed to keep it organized. Complexity in turn, is still often used as a euphemism for chains of command, which means that as soon as large numbers of people decided to live in one place or join a common project they must necessarily abandon the second freedom — to refuse orders–and replace it with legal mechanisms for, say, beating or locking up those who don’t do as they’re told. As we’ve seen, none of these assumptions are theoretically essential, and history tends not to bear them out…complex systems don’t have to be organized top-down, either in the natural world or in the social world.

What is the purpose of all this new knowledge, if not to reshape our conceptions of who we are and what we might become? if not, in other words, to rediscover the meaning of our third basic freedom: the freedom to create new and different forms of social reality?…We know, now, that we are in the presence of myths.

Patent Follies

Wednesday, November 30th, 2011

Deadly Monopolies, Harriet A. Washington,2011

Washington is a medical ethicist and bioethicist whose attitude seems to be summed up in this quote from Thomas Browne;
“No one should approach the temple of science with the soul of a money changer.”


The Real Henrietta Lacks, unsung hero of Polio vaccine

Who owns our bodies? Apparently not us judging from consistent court rulings. In 1951 tumor cells were extracted without consent from cancer patient Henrietta Lacks for further study. These cells, known as Hela were propagated and sold over and over and are still available for research today. They have generated millions of dollars in fees and have underpinned research breakthroughs and treatments too numerous to mention although their contribution to the development of Salk’s polio vaccine stands out for special mention. Henrietta’s husband had refused to consent to the cell extraction and the family only learned that the Hela line was world famous in 1994 when a son was approached to provide his cells for additional study.


Alistair Cooke’s Body Snatched

Appropriation of body parts without permission continues unabated and is a huge business worth billions today. Among those appropriated without permission were Alistair Cooke, long time host of PBS’ Masterpiece Theater. Some of these bodies including children have found themselves used in auto manufacturers crash tests.


Burroughs Ginsberg writings overturned plant patent

Then in 1980 the Bayh-Dole act was passed to allow the commercialization of patents resulting from government sponsored research. In that same year, 1980, the supreme court ruled that life can be patented leading to a gold rush of patents in plant and animal life. Traditional remedies and medicines known for hundreds or even thousands of years have been patented. Few have been overturned by the courts. A 1980’s patent on a Brazilian psychedelic plant was overturned not because of the plant’s traditional and sacred meaning to a Brazilian tribe but to the 30 year prior writings of Alan Ginsburg and William S. Burroughs. Bio-colonialism is OK but prior documented western “discovery” can be used to invalidate a patent.

While the human genome project itself and its discoveries were placed in the public domain, subsequent work to isolate individual genes responsible for certain diseases were allowed to be patented. That’s right, Alzheimer’s, cancers, and many other deadly diseases are owned and controlled by patent holders. More than 50,000, almost a fifth of all human genes are now patented, more than 36,000 by a single French company, Genset. Many genes were allowed to be patented even though researchers don’t know the gene’s function. These genes patents more than any single cause have stymied, slowed down, or even blocked outright research into tests and treatments of many deadly diseases. At the very least they have dramatically increased the cost of doing research as huge patent licensing fees must be paid.

The pharmaceutical industry was once the most profitable industry ever to exist on the planet. It has now fallen to the third most profitable and profits are in free fall off the cliff. Why? Because drug companies no longer develop important life saving blockbuster drugs like the statins (Zocor is off patent and Lipitor’s patent is expiring), but put their efforts into “me too” drugs and life enhancing drugs like Viagra or cosmetics.

They also pour enormous efforts and resources into defending through litigation and extending their patents with such tricks as combining two drugs whose patents are expiring into a “new” patentable drug, or re-branding a drug for a new purpose such as patenting an existing drug under a new name with FDA approval for use by black people (whatever that means genetically) exclusively. Remember thalidomide the drug that caused all those birth defects back in the 1950s and 1960s. Guess what, thalidomide is back as a relabeled newly patented drug for the treatment of lepers.

It costs upward of $1 million to fight a patent infringement case involving drugs. To prevent “me too” drugs, companies file not only the drug they want to market, but every near derivative they can imagine. One drug patent was surrounded by 1300 similar drug patents to make “me too” drugs virtually impossible to produce. Adding to the mess, some drug patents are 400,000 pages long (not a typo) and the company requesting the patent pays most of the patent office costs. Sounds a lot like the relationship between the ratings agencies and the financial companies who pay them. Imagine litigating over a patent that no one can possibly read or understand.

What can happen once a patent is granted for a drug? One drug capable of eliminating sleeping sickness was never marketed for that purpose but was re-branded as a facial creme to remove women’s facial hair. Not enough money in sleeping sickness? Several effective cancer drugs were not marketed because of low projected revenues and the university inventors were unable to override the company decision. Those drugs sit on the shelf useless.

Available cancer drugs have been singularly disappointing resulting in an overall extension of average American lifespans a mere four months. Yet a single course of cancer drug treatment can cost $200,000 to $300,000 each. In one case, the Canadian health system, unable to reach an acceptable price agreement with the manufacturer, paid $218,000 for one Canadian patient to travel across the border for treatment in the US. We now learn that speculators often corner the market and horde these expensive drugs in order to hold doctors-patients-hospitals hostage for incredible additional markups. Oh the wonders of unfettered capitalism.

Unable to get American consents for drug studies, companies increasingly are testing drugs in Africa and Asia where they ignore consent requirements and feel free to use placebos where they would be required to use the best available treatments for their comparisons. That’s OK, their test subjects won’t be able to get the test drug anyway after the study ends. This is The Constant Gardener on steroids. See also The Body Hunters. And if the patients or their families sue with government help as in a case in Nigeria where 11 children died during a test and many other were disabled for life, the drug company “lost” all its records yet once a settlement was negotiated was able to identify its test subjects through DNA tests. Very mysterious record disappearance. The drug was never FDA approved fortunately.

But avoiding the need for consent is not limited to poor countries but is practiced domestically as well. One company had developed a blood hemoglobin substitute whose early tests showed up bad side effects. Needing another large clinical study to proceed the company came up with a novel idea. They kept supplies of the “blood” in EMT vehicles operating in whose areas contained mostly poor, primarily black and Hispanic populations. Whenever the EMT team picked up a patient who had lost blood they administered the artificial hemoglobin rather than the usual saline solution on the trip to the hospital. The company’s thin justification for avoiding the need for consent was that the subject was unconscious (sometimes), that no family members were present (sometimes) and that treatment was urgently required. (No, saline would have stabilized the subject til arrival at the hospital.) Once in the hospital, the company extracted blood samples three times a day for the study. If a subject asked why they were told it was a normal part of their treatment. In other words the subjects were never informed that they were in the study, of the known risks and side effects of their treatment, they were lied to throughout. The FDA did not approve the hemoglobin substitute.

For those that think the horrors of the Tuskegee syphilis experiments on black soldiers is ancient history, think again. After the military grade anthrax samples were mailed to important congressmen and newsrooms, a drug company rushed to develop a vaccine for anthrax. While the vaccine was in testing and after significant problems such as loss of vision and hearing and miscarriages had already surfaced, the DOD determined to vaccinate more than 100,000 troops with the non-FDA approved drug. Thousands of soldiers refused and were dishonorably discharged from service at great cost to themselves and the military. A pregnant soldier asked to be transferred but her commanding officer not only denied the transfer but forcibly had her vaccinated as an example. She miscarried. The FDA never approved the vaccination but the soldiers learned they had no legal recourse either against the military or the drug company. Today thousands of former soldiers suffer from the side effects.

Also on the subject of bio-colonialism, researchers are increasingly descending on isolated groups of people whose isolation give them a limited gene pool and therefore makes them useful for isolating particular disease’s genetic causes. Thus Easter Island, Hawaiians, a 2000 year old group of Jews in India are recruited for studies for which they are unlikely to benefit. An interesting example is Iceland where an Icelandic researcher formed his own company and set out to collect samples and information promising financial rewards and medical breakthroughs beneficial to Icelanders. Icelanders love genealogy and can track their ancestry often back to a Viking. They also keep extensive medical records tracing back for generations. Thus the researcher was able to put together a uniquely valuable data base with cell samples. Unfortunately breakthroughs and profits eluded him and the company fell into bankruptcy where control of the valuable data was lost. The information has now been sold to drug companies and insurance companies (Did you know your disqualifying pre-condition originated with some ancient viking?) The possible horrors are hard to contemplate.

While government grants still fund the vast majority of research on disease and treatment, the drug companies have dominated the control and marketing of the resulting breakthroughs. Drug companies also include the government subsidies when justifying high drug prices. A Pharma sponsored study put the average cost per drug at $800 million which they round to a billion in talking points. Ralph Nader’s group, using Pharma’s own numbers puts the actual cost at about $100 million, still serious money.

The patenting mess has drawn the universities and other institutions into a dependency on marketing their patents and research that has totally compromised their role as independent investigators. One researcher assembled the worlds most valuable collection of cells and materials to study Alzheimer’s only to see his University of Washington sell the collection to Pfizer. He and his subjects were unable to reverse the sale. In one court case, Duke argued that their university researchers should be protected in their investigations only to have the court rule that since Duke patents research and sells licenses they are indistinguishable from any other corporation and their employees cannot be expected to have special privileges. Universities are no longer special. Further, virtually all researchers whether in the University or elsewhere are on the take from the drug companies.

Professional journals such as JAMA and the New England Journal of Medicine have been compromised to the point they are little more than paid drug ads. Journal articles are ghost written by drug employees with the named authors having no access to the underlying research numbers. Because everyone qualified is on the take, independent peer review of articles is no longer possible. The big danger in all this is that drug companies are able to hide and lie about the actual clinical trial results and cover over or minimize side effects. Thus doctors who rely on journals to keep up with medical advances are mislead as to the true risks of the drugs they prescribe.

Even worse, doctors are on the take to the tune of $6 billion a year with an additional $2 billion in junkets. How can a patient rely on a corrupted doctor’s recommendations for treatment?

Drug companies also contribute financially to the FDA’s operating costs. This gives them the power to remove FDA officials who may oppose approval. The FDA has moved from denying approval of questionable new drugs to requiring larger warning labels as if this will prevent or limit the drug’s inappropriate use. When a drug is pulled by the FDA it often is re targeted and relabeled and reintroduced with FDA approval such as the infamous thalidomide.


Lula da Silva announces Brazil’s HIV march-in

Governments all have the ability to require “compulsory licenses” for critical drugs like those for HIV. Brazil shocked Pharma in 2007 by announcing a compulsory license for Merck’s HIV efavirenz. India has long ignored drug patents and have become proficient as reverse engineering patented drugs. Brazil’s action has set off a chain reaction among other governments causing the drug industry to start to rethink its pricing policies for poor countries. In the last 20 years only 4 drugs have been developed for diseases unique to poor countries. One of those is sold only as a vaccine for visitors to those poor areas not for the residents themselves.

The Gates Foundation, WHO, and other groups are experimenting with a new model where entire governments in poor countries guarantee a market for a drug to treat diseases like sleeping sickness or malaria. It is hoped the guarantee will finally induce drug companies into manufacturing drugs for these diseases. International organizations are also encouraging drug companies to think of pricing tiers for poor countries and are helping to police the illegal re-importation of the cheap drugs. The actions of Brazil and India are encouraging this trend but counter pressures come from WTO attempts to enforce intellectual property rights, i.e. patents.

There have also been a few cases where gene patents have been overturned, most famously for the seven ovarian cancer patents on the genes BRAC1 and BRAC2. This case has been appealed and will likely end before the supreme court. Still this temporary limited victory gives Washington hope that things might be reversing and ever optimistic, she looks forward to the day when Bayh-Dole will be eliminated and the plant and animal and gene patent rulings reversed. Dream on. At least patents expire after twenty years unless companies figure cleaver ways to extend them so research and development may be able to resume after this wasteful interregnum.

Greg goes to Afghanistan – Kashmir

Friday, March 19th, 2010

Stones into Schools, Greg Mortenson, 2009

Update June 21, 2013. In 2011 allegations of fabrication and misconduct were made against Mortenson and CAI. For a comprehensive summary of his book “Three Cups of Tea”, the 60 minutes expose, and Jon Krakauer’s findings see Wikipedia‘s entry.
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Here is an update on the activities of Mortenson, the Central Asia Institute (CAI) and his self selecting “Dirty Dozen” following up on his previous Three Cups of Tea. Greg begins with an event from 1999 while he was visiting the Charpurson Valley. He had just met Sarfraz Khan, former mujahedin fighter with a disfigured hand who is making his living trading across the mountains into the Wakhan Corridor of Afghanistan (“no much success”) when they spot a group of 14 Kirghiz (nomadic Afghan) horsemen straight out of the 13th Century riding toward them. Their leader is the young son of the Kirghiz headman and he has heard that Mortenson is in the area and has ridden across the mountains to meet him and see if he would be willing to build a school for their children. Greg is so moved that he impulsively promises their school knowing full well he can’t go into Taliban controlled Afghanistan. It takes him ten years to keep his promise.


Video by Sarfraz Khan

Greg is so impressed with Sarfraz, who speaks seven languages and whose ancestors are Waki from the Corridor, that he hires him as his remote areas project manager. Thus begins what Greg calls the closest friendship of his life.

The promise of the school and the hiring of Sarfraz are the sort of impulsive decision making that make the CAI unique among NGOs. The other unique feature is their “last place first” philosophy, probably owing its origin to the first school Greg built in Korphe Pakistan a village so remote he first had to raise more money so he could build a bridge across a river in order to transport building materials to the village. Korphe was the village that rescued and nursed Greg after his failed attempt to climb nearby K2 and its headman Haji Ali is credited with Greg’s first and best education in the area (“After 3 cups of tea you will be friends forever.”). Haji Ali wanted a school for his grandaughter Jahan Ali, who became CAIs first high school graduate. The emphasis on girl’s education Greg acquired while growing up in Africa (where his father ran a hospital near Mount Kilimanjaro) and where he learned the expression “educate a boy and you educate an individual, educate a girl and you educate a community”. Greg has observed his girl students teaching their mothers to read and write proving to him the truth of this saying.

CAI offers scholarships to the smartest girls to continue their eduction. Once offered, these scholarships can be accepted at any time in the future. One girl was unable to accept a scholarship to become a health worker because of the opposition of the local headman. She married, raised children, and ten years later, the new headman asked her to accept her scholarship. She did, received her education, and returned to her village to help pregnant woman and their babies. Childbirth and infant mortality rates in her village fell to zero. She thinks that her own experiences as a wife and mother have helped her become a better trained health worker and she is grateful for the delay. This type of patience both by CAI and the students is one of the important lessons Greg has learned from his experience.

wakhan corridor
Wakhan Corridor

After 9/11 and the US displacement of the Taliban, Greg and Safran entered the Wakhan Corridor of Afghanistan and Safran began his education of Greg into Afghan “style“. Safran not only speaks the various languages of the area, but he adapts his accent to the specific region, speaking a fast, clipped Dari in Kabul, and slowing, softening, and rounding the language as he travels further into the Corridor until he morphs seamlessly into the next language of the region. He also adjusts his dress according to region and teaches Greg to follow him. Greg must have felt a little like Sir Richard Burton, the master of disguises. Safran also taught Greg about identifying the real decision makers during a Jirga (meeting of elders) just from their subtle gestures and body language. They develop close friendships with the leaders of the Waki and Tajik groups of the Corridor as well as the border security commander, Wohid Khan, who comes to their aid time after time. They build a series of more than 20 schools in the area. Safran also taught Greg the skills of avoiding kidnapping by never revealing your destination and changing transport frequently. This also assures that the driver is familiar with local conditions. They are constantly moving large sums of money from the Kabul bank to their remote schools to pay teachers, buy supplies and pay for construction. They are never robbed.

In 2005 the report that Americans had put a Koran down the toilet in an Iraqi prison set off riots throughout the Islamic world. NGO workers fled to Kabul and their offices and abandoned vehicles were destroyed. Greg stayed put as a guest in a house where he met for the first time the headman of the Kirghiz, Abdul Rashid Khan the father of horseman Greg and Safran had met in 1999. Abdul Rashid is returning empty handed from several months in Kabul where he had hoped to get help for his isolated people. Hamid Karzi made some half hearted promises which he had no intention of keeping. Abdul Radhid had spent much of his remaining capital to finance the trip. The government eventually sent one rusted out van to the Kirghiz who have no roads. Greg is able to again promise that CAI will build a school in Kirghiz so the old man can return home with some hope. The next day Greg traveled through scenes of destruction (the NGO offices) on his way to determine the fate of his nearby school. The school stood untouched because the village elders had stood in front of it explaining that the school belongs to the village. The rioters departed elsewhere. Greg credits the CAI strategy of making sure the local community takes full pride and ownership of their own schools with saving this school in the riots. The school was not viewed as international by the elders. Again on the NGOs, Greg comments that they insist on dressing in western clothes, drive the latest SUVs complete with nine foot satellite antennas, and generally just scream rich foreigners to the impoverished Afghanis. No wonder they find themselves targets of violence and resentment.

Greg is constantly approached by people wanting schools for their villages. Among those was the desk clerk at the Kabul guest house where Safran and Greg stay when in town. The clerk is a young Pashtun, Wakil Karimi, who grew up in Pakistani refugee camps and speaks several languages including English which is how he got the guest house job. Wakil persists about his school in visit after visit and Safran and Greg get to like him for his intelligence, energy, and persistence. They offer him a job as Afghan project manager and Safran begins Wakil’s boot camp training in Afghan “style“. Wakil’s village is in Taliban country but they visit and decide to let Wakil build his school once they see that the village elders really want it.

azad kashmir
Azad Kashmir

Then, in 2005, a massive earthquake devastates much of Pakistani controlled Kashmir. The CAI rushes to the area to see what they can do. Most schools in the area have collapsed and many students have died. The CAI manage to get some tents for temporary schools and start traveling among their tent schools to give aid and pay the teachers. They can’t rebuild schools because people are on the move, farming terraces and drinking water springs have disappeared, the students are afraid to be inside buildings, and their usual stone construction would just collapse in the next earthquake. The CAI scrounged some PVC piping and found itself restoring water supplies so the girls could stop carrying water and return to school. This infuriated some NGOs who had lucrative contracts to restore water but CAI could care less. They just wanted to get their schools functioning again and the NGOs would probably never get the job done.

Greg is always emphasizing the importance of listening. His daughter asked him one day how the earthquake victim children played. Greg thought maybe they didn’t play at all so his young daughter launched a personal effort to round up jump ropes. Mothers joined in and soon he returned to Pakistan carrying hundreds of jump ropes. They were a big success in Kashmir and soon CAI is buying jump ropes locally. Greg starts thinking that while a couple of school have play fields (for soccer), none have a playground with slides, swings, and see-saws. CAI starts adding these to their schools. He relates a story on Bill Moyer’s Journal and in this book about a group of pro Taliban elders who come to see one of CAIs schools. They spend 30 minutes playing on the playground equipment and then started to leave. Greg asked them if they don’t want to see the school. They say no, they already decided they want CAI to build them a school like this one but they insist it must have a playground.

In another instance of listening carefully, Greg finally got one traumatized girl to relate the experience of the earthquake in her tent class. When Greg asked her why so few students had returned to class she said it was because there were no desks and it didn’t seem like a school. The students somehow associated having a desk with the learning and security of school. Greg immediately set villagers to work finding salvageable desks in the school’s rubble and building new ones. The students returned to school, some even without tents sitting under a tree once the desks were available.

Greg returned home to Montana to raise more money but Safran meanwhile uncovered some Chinese engineers in Pakistan who have experience building earthquake resistant structures in Xinjiang Province China. He arranges for the Chinese to design and fabricate three schools in Xinjiang, arranges transport for the materials from Xinjiang, and sets the logistics in place to compete the schools on site in Kashmir in only one month. Lastly, (after already committing CAI to the schools without authorization) he faxes Greg in Montana for the $54k needed for the schools catching Greg by total surprise. Greg takes the schematics for the buildings which are prefabricated from wood and designed to move in a quake to a civil engineering professor in Bozeman. they are to be assembled on a floating concrete pad which can also move in the quake. They are designed to withstand a magnitude 8.2 earthquake. The professor declares the designs sound and Greg gets CAI board approval, as always, to proceed. The schools are ready for occupation in 19 days. Just another typical CAI project.

The following link shows a video with one of these earthquake resistant schools, the Balseri Girls School, Patika, Azad Kashmir, Pakistan in the background.

Greg comments that they encountered very few NGOs in remote Kashmir but the extremists groups including the one that later bombed Mumbai were very effective at reaching the remotest villages and setting up madrasas, extremist Islamic schools often led by illiterate teachers who have memorized a little of the Koran. They feed most effectively on remote and ignorant villagers.

Greg and Safran are terrible at dealing with bureaucracies and are busy building schools throughout the outer regions of Afghanistan without any license or sanction from the central government. They initially tried to register CAI as a NGO with the government but quickly gave up. One official contradictorily claimed 1) there are already hundreds of schools in the Wakhan (there were none); 2) the Corridor is actually a part of China (never); and 3) no one lives in the Wakhan (there are three distinct ethnic groups in the Corridor, each with several thousand members).

Wakil took upon himself the task of getting CAI an NGO license. He spent a full month in the process, finally yelling and shaming the bureaucrats into stamping his final document. Unstated but implied is the refusal of CAI ever to pay a bribe to a government official even when it is clear all other NGOs have paid bribes to get their paperwork approved. CAI stretches their dollars and can construct a typical school and fund it for five years for about $40k. In this context, the cost of even a modest bribe would be intolerable to them.

Greg knows that some of the elders that support his schools make much of their income from poppies and the drug trade. He acknowledges that there are few other opportunities to make money in Afghanistan and praises those that give most of the proceeds back to the people in the form of low cost loans, seed, and other assistance. He regrets the some Afghanis become opium addicts, the cost of which further impoverishes them.

Greg discusses his strange relationship with the US military. He was initially opposed to the US military actions in Afghanistan while welcoming the removal of the Taliban from power, allowing CAI to operate to build schools in the country. As he saw it, a single US missile costing $850k could be used instead to build 20 schools which is a far more productive use of resources.

Then the earthquake struck in Kashmir and the US military loaned a number of Chinook helicopters from Afghanistan to transport supplies in and wounded earthquake victims out and Greg came to see the now popular crews in a new humanitarian light. The crews themselves, after Iraq and Afghanistan also came to see themselves in this new popular humanitarian light and liked it.

The other strange thing that happened was that military wives came across the Parade magazine article about the CAI and started reading “Three Cups of Tea” and discussing the book at their women’s clubs. Their enthusiasm spilled over and soon their husbands, serving or having served in Afghanistan started reading the book, particularly, counter insurgence soldiers. Pretty soon, “Three Cups of Tea” was required reading in counter insurgence academies. Greg discovered all this when forward base commander Christopher Kolenda asked if CAI could build a school near his base in Kunar Province. Kunar Province certainly fits the description of an “end place” but it is also Taliban country. Nevertheless, Wakil and Safran visit Kolenda then sat down with the village elders and decided to build the school.

kunar province
Soldier Invites CAI to build school in Kunar Province

Thus began a major effort by CAI to build schools across the heart of Taliban country including Kunar Province and Nangarhar Province, the location of several Al Qaeda camps that includes the now famous Tora Bora caves where Bin Laden was thought to have hidden before slipping across the border into Pakistan. For one particularly vulnerable school they convinced a respected local Mullah to be headmaster. When warnings started appearing on the school, the Mullah went directly to Taliban leaders and convinced them to leave the school alone. They did. While CAI has had a little violence and threats at their schools, none have been damaged or closed unlike many other new schools that have been closed, students and teachers killed, and girls attacked with acid. Greg attributes the difference to the strong support the schools have had from the local elders and leaders. Even though CAIs schools are secular, they receive strong support from the local Mullahs.

CAI has by now received widespread recognition. Great Britain’s Prince Charles and his wife, Camilla, visited one of the Kashmir earthquake resistant schools; Greg became the recipient of the Star of Pakistan the highest civilian award in Pakistan; Admiral Mike Mullen, chairman of the Joint Chiefs of Staff, opened one of the Panjshir Valley schools; and Gen. David Petraeus and Gen. Stanley McCrystal are both Mortenson fans.

mullen mortenson
Admiral Mullen with Mortenson

Greg quotes Mike Mullen to show how far the military has come:

The Muslim community is a subtle world we don’t fully – and don’t always – attempt to understand. Only through a shared appreciation of the people’s culture, needs, and hopes for the future can we hope to supplant the extremist narrative. We cannot capture hearts and minds. We must engage them; we must listen to them, one heart, and one mind at a time.

Quite a contrast to the usual nightly news Neanderthal general spouting nonsense about getting the bad guys like he’s playing some kind of video game, which incidentally, is how young military minds are recruited these days – through video games.

porting school
Kirghiz porting their school

In late 2009 the nomadic Kirghiz finally got their school built on the very roof of the world at 12,500 feet. The logistics of getting materials and workers to the site required some miracle planning and an approach from three sides. Money and lighter materials like the door and window frames traveled across the Wakhan Corridor to the end of road where they were loaded onto Yaks for the three day journey to the site. Trained masons hiked over the mountain passes from the Charpurson Valley in Pakistan. A truck laden with cement, roof beams and other heavy construction material drove across Tajikistan to an old Soviet tank trail leading south toward a lake in Kirghiz. To get permission for the truck to cross Tajikistan, border commander Wohid Khan agreed to personally accompany the truck. From the lake, more Yaks and men transported the heavy materials the final 15 miles to the building site. Greg considers this his last best school even though illness has prevented him from seeing it. In fact fate has twice prevented Greg from entering Kirghiz. But after 10 long years, he has finally kept his promise.

For those wanting a good introduction of this region this book is one of the best. Greg furnishes a series of maps but it is hard to grasp the impact of all those massive mountain ranges. For a while Safran shuttled overland between Kashmir and the Wakhan Corridor to supervise his various building projects. Although the bird flight distance is only 200 miles. Safran needed to cross three different mountain ranges. For two he could drive CAIs 28 year old Land Cruiser across but for the third, into the Wakhan, he used his horse. His first horse died of exhaustion in 2006 and he acquired a new horse which is pictured in the book (They mistakenly identify the horse in the picture as the one who died, probably in the rush to publish. There are a few nonsense sentences in the book as well.). The most startling of the maps shows the ethnic distribution of the area (Pakistan and Afghanistan). There are 18 distinct ethnic groups shown here, one of which is “other” which implies there are even more groups. With the mountains and the ethnic diversity no wonder everyone is confused.

For an account of how the boundaries defining the various countries, including Afghanistan and Pakistan came to be and why Kashmir ended up in India (none of which has very much to do with ethnic boundaries) read the untold story of India’s Partition the tragedy that set off the chain of events leading to our current state. The “Great Game” between Russia and England, which contributed to the partition and boundaries predates the Cold War by a hundred years.

For a recent history of Afghanistan, the Soviet occupation, the CIA (Charlie Wilson’s War) and Pakistani intelligence backing of the Afghan mujahedin, followed by the abandonment of Afghanistan after the Soviet pullout giving rise to the Taliban read Steve Coll’s Ghost Wars.

New Hampshire Redo

Thursday, February 7th, 2008

What the Media isn’t telling you but you need to know

Dennis Kucinich kucinich.jpeg Albert Howard howard.jpeg

To revisit the New Hampshire Digression – How many of you know there is a New Hampshire vote recount taking place right now? Do a google search and try to find out what is going on. You would think there are nothing but wacko conspiracy theorist postings so complete is the absence of coverage. Dennis Kucinich’s presidential campaign requested and has paid for a Democratic recount. Republican candidate Albert Howard also requested a recount of Republican ballots. What are they finding in New Hampshire four weeks after the election?

State officials were required to audit each voting machine during the election but most failed to do so.

Many Optical ballots were not counted – 550 in one town alone.

Some ballots were not read because voters used the wrong markers.

Memory cards which store the counts from each optical reader for transmission to the central tally machine are missing.

Optical paper ballots themselves, needed for the recount, are missing.

Problems with Diebold voting machines were reported in 21 towns on election night. Details are unknown.

The state is withholding “uncounted” and “spoiled” ballots from the recount against Kucinich’s express request that they be included.

Republican and Democratic ballots are all mixed up slowing down the recount.

Many towns have not send their paper ballots for recounting more than four weeks after the election.

The chain of custody of ballots is so flawed there is no way to verify that the ballots being recounted by hand are the same as those actually counted by the machines in the election. It is easy to imagine a bunch of folk in a back room busily marking ballots today trying to generate a set to match those machine counts.

Counters are slow, leading to speculation that they intentionally exhausted the money provided before finishing.

Counting was suspended in the Democratic recount when the initial funding ran out in the first week of the recount after the first two towns showed up 4% to 10% errors (In favor of Hillary).

This somehow all seems worthy of coverage and something all citizens need to and are entitled to know.
Rich Holt has introduced a national bill required paper ballots but as New Hampshire is showing very clearly, paper ballots alone will not fix the problems in voting.