The Only Healthcare Debate - The Numbers

I think this debate can be had by simply looking at the numbers. People keep referring to these "other" nationalized health care systems like Canada, the United Kingdom, Switzerland, and France as examples. Typically the right will demonize them as socialist-commie-bastards who give their elderly cyanide tablets and shoot their cancer patients with a $0.99 bullet. As a person who actually knows the numerical facts, this has really been getting on my nerves, especially since the left are too wimpy to actually stand up and defend these national health care systems. I thought it was about time to see just how "bad" Canada, et al are actually faring. I highly recommend you read this Krugman editorial from NYTimes on the debate.

Firstly, I will be looking at the United States, Canada, the UK, France, and Switzerland.

How much does each of these countries pay in health care per year?

United States of America - 15.3% of GDP (#2 of all countries), $7,439 per capita (2007), 27.8% of the population covered by gov't but pays ~44.7% of the total cost due to the uninsured, medicare, and medicaid, 15.3% of pop uninsured (2007)

Switzerland-11.6% of GDP, $4,629 per capita (2008 est), 25% funded by gov't, 0.5% uninsured

Canada- 10.6% of GDP, $5,170 per capita (2008), 71% funded by gov't, 0% uninsured

United Kingdom- 9.4% GDP (2006), $2,560 per capita (2007), too much work for the rest of the statistics, UK is broken down by providence so it was difficult to get straight answers

France - 11.2% of GDP, $3,926 per capita (2005), 77% funded by government, 0% uninsured

(from Wikipedia, and various sources in the interwebs)

Now lets ask about the quality of care. I mean if we are paying the most, and since all those other countries are shooting their old and sick, then we should have the best health right?

The two major indicators of health of a population are infant mortality rates and life expectancy, as the very young and very old are the most helped/hindered by good/bad health care systems.

Life Expectancy (from Wolfram Alpha):

1 Canada | 81.23  

2 France | 80.98 

3 Switzerland | 80.85  

4 United Kingdom | 79.01  

5 United States | 78.11 (in years)

Infant Mortality rate (under 5yrs old deaths/1000 people- Wolfram Alpha 2009):

1 | France | 3.33 

2 | Switzerland | 4.18 

3 | United Kingdom | 4.85 

4 | Canada | 5.04 

5 | United States | 6.26

So, now, I have to ask, what do you think of the people who vilify all of these country's health care systems? What is the debate? There is no debate! We spend the most, and get the least- this means that something has to change. Personally, I think we should look to Canada and Switzerland as role models because they still have private healthcare. I know that this sounds like a lie, but it is true, look it up, health care insurance is provided by private enterprises in those two countries. The only difference between theirs and ours is that tax payers pick up a portion of it, and well, their health care system actually works, based upon the numbers.

Tennessee Valley Hike

This is a really nice loop hike just north of SF in the Marin Headlands called Tennessee Valley. The loop (not complete in picture) is approximately 7 miles in total, with a 1000ft elevation gain/loss. We went with Becca, Bri, Dave, and their little bro Andrew (Drew).

Round My House

I haven't really been able to get any great pictures of the areas directly around my house, until now. This new wide-angle has really opened up the city-scape for me, and I thought I'd break it in by walking around my neighborhood at dusk. This is the typical time that Liz and I go for a walk to the corner market, LaLoma Market #13. It is on the far right of the picture at the top. We also hung out on the Richland Bridge for 10 minutes or so watching the traffic and trains go below.

Nihilism, Agnosticism, Angels, and Belief

I thought it was about time to revisit my discussions on various points of view. This time I would like to discuss belief. What do you believe in? This is a very important question, one which sheds a floodlight on who you are as a person. This question can be applied to small things like, do you think (believe) that it will rain today? It can be applied to the big things like, do you believe that the universe started in a massive outward explosion of particles? Or everything in between, do you believe girls fart (yes I do), or do you believe that people should be put to death by the state (no I don't), do you believe that there are guardian angels?

Turns out that approximately 55% of Americans DO in fact believe that they have their very own personal guardian angel watching over them and protecting them (according to this Washington Times article from almost 1 year ago):

"Half of all Americans believe they are protected by guardian angels, one-fifth say they've heard God speak to them, one-quarter say they have witnessed miraculous healings, 16 percent say they've received one and 8 percent say they pray in tongues, according to a survey released Thursday by Baylor University."

Now, that's fine with me, sure a little on this side of delusional, but hey, to each their own. I've said this before, but I happen to be agnostic. This basically means that I think the verdict is still out on the whole God thing (which, in my book includes angels at the very least). The question that I'd like to pose is, does that mean that I believe in something? I mean who's verdict am I waiting for while sitting on the fence? Is it the scientists? If that's the case then I believe and have faith in science, logic, and reasoning (I'm cool with that). Or am I waiting for God to show me a sign of her existence, in which case I will believe fully in that God? If that's the case then I believe and have faith in God (something that is not independently verifiable- which leads to existentialism- something I'm not so cool with). Or do I not believe in anything and am just sitting on the fence for the shits and giggles...

That leads me to Nihilism which according to Wikipedia:

Nihilism (from the Latin nihil, nothing) is the philosophical doctrine suggesting that values do not exist but rather are falsely invented. Most commonly, nihilism is presented in the form of existential nihilism which argues that life^[1] is without meaning, purpose, or intrinsic value. Moral nihilists assert that morality does not exist, and subsequently there are no moral values with which to uphold a rule or to logically prefer one action over another.

How is this position possible? To me it seems like circular logic, I don't believe in anything except for a firm belief in nothing. I mean think about it, how can you believe in nothing (We believe in nothing Lebowski!) when the statement of the belief in the absence of belief is belief itself. Not to mention the conundrum of the fact that there seem to be some absolute moral truths; don't rape children, don't murder if possible, genocide is bad, hugs are good, sex is good, sure I'm leaving a bunch out but those are some moral truths that I certainly believe in right now. To believe that morality does not exist on some level just seems to be naive and hopeless. Maybe I just don't want to live in the same lonely dark filled world that nihilists and existentialists believe in living. I really don't think that what I believe or what anyone believes is just as good as any other view point. There are somethings that we can all agree upon and that is where we can start, on what we all can agree to be true.

In the Belly of the Beast

I have now been working at my new job for about one month now and my first impressions are along the lines of, Whoa...

This company is much larger than my previous employer and I am finding the sheer scale of operations to be a bit daunting. I now realize that previously I was performing the tasks of people who fill 5 or 6 (more like 10ish) positions at this new place. I now can focus more directly on my own role in the lab, rather than on keeping track of all the different responsibilities I had before. This has its pros and cons. I am able to get more done and in a faster fashion, but at the same time, I'm not juggling as many balls, which had it's own invigorating merits. I have to say that I am lucky for my previous multi-faceted work experience because it gave me a good overview of how a company is run internally through many different departments and will be a huge asset moving forward. Not to mention that now I am mainly dealing with ICs (integrated circuits), where as before I was dealing with everything high tech, across all sectors and fields. This too will really allow me to remain broad within the narrow field of Failure Analysis (though not too narrow to be fair).

My second major revealation comes from how I as an individual am being treated here- like a Grownup of all things! I mean I know that 28 is still rather young, but not having to take competancy tests, not needing to fill out a time card, and having my opinions honestly considered really makes me feel like a professional adult. I guess what it really boils down to is trust. I am being trusted to be intelligent and not waste time. Before, I was being trusted to not screw up the lab while my boss was out, but not trusted to be intelligent and not waste time. I always found that juxtaposition to be rather daunting.

Finally, THE DRAMA! It is amazing how the amount of drama goes like the number of people cubed, well, acutally I think it's more like n! b/c it probably scales with the number of relationships that are possible and I think that is n! in math terms. You go from 24 possible relationships with 4 people (ie groupings of people who can talk and generate drama) up to 120 possible relationships when there are 5 people involved. I am working with approximately 6 people who directly affect my life which is approximately 360 possible relationships, mmm drama. There isn't even that much drama, just a few conflicts of personality (by others around me, but not actually me btw, I love everyone!) that affect my life, but it is still very stark in comparision to zero drama (well, near zero drama).

Anywho, I just thought I'd share some of my first impressions on going from a small company to a medium company. It has been an interesting experience and I am still learning loads everyday about business, failure analysis, engineering, and myself. (The above image is an x-ray image of the cross-sectional view of a wire bonding to a lead.)

What Does Jesse DO?

People ask me what do you do? It's often a hard question because there is so much to this industry, that when I say, well I work in high tech, it doesn't quite capture it. It's really more like, I try to figure out whether/why a high tech thing is breaking, broken, or otherwise messed up in various ways. There is a number of techniques that can be used. At my lab we can use optical microscopy, x-ray transmission microscopy, and acoustic microscopy to look at something without messing with it. However, to get a more complete picture of what's going on, you have to mess with it. This is done by removing parts to directly inspect what is left with things like an optical microscope, or a scanning electron microscope (which will be coming soon). Basically I'm making pretty pictures, so I thought I'd show some of them to illustrate what it is that I do.

These are all optical images:

This is a typical BGA (Ball Grid Array) package. From the top down you have the copper heat sink, followed mold compound (plasticy stuff) with filler particles (SiO2 particles), and that's followed by the brains of the operation- the leads connecting to the silicon die. The bottom of the die is attached to the ground though the "die attach" which also dissipates heat.

Here is a closer view of the leads, silicon die, die attach, and the via (metal filled with plastic) that grounds the die. However, in this image you can see that there is a "void" in the plastic filling the via.

This is what's called a "dark field" image. Basically instead of looking at the direct reflections of the light, which makes all of the metal bits very bright, this looks at the sides of the beam rather than the center of the beam. Here you can really see that void.

This is the higher magnifications of the leads connecting to the active side of the silicon die. If you look close you can see the transistors and the pad that the lead frame.

Here you can see the individual transistors (or whatever it may be) which here which look to be about 5um thick. There is an empty pad, or something, off to the far left. You can see the boxed in area on the right is something like 20 um2, and is the pad has now become an intermetalic mixture or alloy.

Trolls Live Under the Bridges

This is our bridge, the Richland Ave bridge over San Jose Ave (which becomes Guerrero St a few hundred yards up). It is a nice bridge and I think it looks cool. However, there is more here than the eye can see. Notice the area between the hillside and the bridge abutment? Trolls live there. I'm serious. Real-life honest-to-goodness, trolls.

Here is a slightly better shot of the space to which I am referring. They don't exactly extract a toll from crossers, but there is an unusually high rate of car vandalisation and break-ins on the bridge. I had both of my locks messed with, the driver's side no longer works ($200 to fix), you often see broken windows and glass in the parking areas, and even Liz's old school 1984 Accord was broken into (they didn't get anything but left the door open and the battery went dead).

One hole in the fence means a troll infestation on the order of dozens. Liz has counted between 10 and 20 people going in and out of this space under the bridge during a typical day. During the nights you can hear them yell and shout and scream, sometimes they will throw glass bottles down into the abutment for 5 or 10 minutes creating quite a racket. The sounds that echo up from these spaces makes me think of how it will sound when civilization comes apart at the seams. But who knows...

What do they do under here? Drugs? Sex? A little of both? You can see in this picture that they have made a bit of a nest under there for themselves. The other day we saw a perfectly normal looking red head skulking around our Troll hole. What did she need? She kept darting up and down from below. Was she waiting for her dealer, her hookup, a hookup, to hookup, or what?

Are they just poor sad homeless people who need some shelter from the wind and fog? I have spoken to a couple of them, typical immigrants from Mexico or Central America, down on their luck. I truly feel for these poor folks, but that doesn't change the facts, they are our very own, modern day- Trolls.

Ray's First Show

Great job Ray!

The Desolation Crew

Brian in true form.

Liz soaking up the last rays.

Anne reading on a split rock.

Desolation Wilderness

This weekend I went away with Liz, Brian and Anne to do some backpacking in Desolation Wilderness. This was my second time going, but it was just as beautiful as I remember. Here's what the hike looked/felt like. I will be posting some pictures later.