To publish or not to publish?

Do we have a right to see the dead body Osama Bin Laden? I think that there is even a debate about this is worrying...

Showing the pictures should be the last thing on Obama's to do list. To those that feel the need to see them, they probably won't be enough. For those that don't - well, they don't so that's a done deal

The risk of giving in to the more lunatic aspects of our press and the American Right (See Palin [@SarahPalinUSA]: "Show photo as warning to others seeking America's destruction. No pussy-footing around, no politicking...) are many.

For a start, there is, of course the moral issue - to show the pictures is clearly another way of celebrating the death of another - its about power, revenge and gloating - akin to the medeval practice of putting the heads of enemies on spikes to warn off others. Haven't we got past this repugnant part of our past.

Secondly, we have the issue of martyrdom - displaying the images and expecting others to tremble in fear is to completely misunderstand human nature. Sure, some will, but others will use it to justify further acts of violence - a spiral we could all do without.

Thirdly, how exactly do we feel when we see pictures of terrorists holding hostages and threatening them with beheading - and sometimes actually doing it on video. If we glorify what happened to Bin Laden by publishing the pictures we are no better then the terrorists. We must rise above this. This is why it's so heartening that Obama has dispatched of Bin Laden quietly at sea and promised not to publish the pictures. A leader in the face of pressure and it's gratifying to see. I hope our own politicians would react the same way in the face of pressure from the Sun.

 

The pictures of the al Qaeda leader reportedly show an open gunshot wound to his head, part of the skull missing and visible brain matter.

One of bin Laden's eyes is reportedly open in the images, while the other is "completely gone".

But the US President told American TV network CBS he has concluded the pictures should not be made public.

"That's not who we are," he said.

"We don't trot out this stuff as trophies.

"The fact of the matter is that you won't see bin Laden walking on this earth again."

 

Celebration or sober reflection?

I've just listened on @bbcfivelive breakfast to the celebrations in the US following the #OBL death - really chilling to hear so much unbridled joy at a man's death, regardless of how despicable that man may have been... Doesn't speak well of Western Civilisation...

http://www.bbc.co.uk/news/world-us-canada-13257628

Our press have not been noticeably better. Thank god for broadcast media (mostly).

Surely this is the West's opportunity to rewrite the 'war on terrorism' narrative - if it wanted. Doesn't look likely though.

#BA from premium to economy... #worstflightever

Last thursday I flew BA from Heathrow to Denver. It was probably somewhere around my 100th+ flight with BA over the last 4 years. And, sad to say, it epitomised the company's fall from grace.

I've always had a soft spot for BA. It used to represent quality, whether you flew economy, business for first. You paid for it, sure, but you got the benefit of doing so. Generous luggage allowance, bookable seating, meals and drink all included... The price seemed like a fair deal.

Now it's different. BA seem to have lost their way. They price like a premium airline but treat their customers like an economy one. This has to be a significant strategic failure... Can't they just decide what they want to be and stick with it?

Let's take my flight to Denver as an example...

Once you get over the niggle you feel at having to pay an extra charge...each way... to take my snowboard, and the slightly more irritating fact that you now have the opportunity to check in early, but only if you pay (something easyjet lets you do for free) you get to your flight.

Now, I'm not sure what everyone else's experience was, but mine left me fuming. First thing i noticed was that Jen's inflight entertainment system didn't work. At all. The steward was less than helpless. Three resets and an hour of waiting and we got nothing. No real apology. No offer to move us. Fine. It's only 9 hours, reading an sleep beckoned.

Next was food. There was more than an hour between Jen being served her meal and me getting mine. By the time I was served, people several seats forward were bussing their own trays because they had finished their food such a long time ago and no one had cleared anything away.

After food had finally been and gone, everyone's entertainment systems went off line for half an hour or so.

So sleep time.

About seven hours into the flight I was thirsty... It had been some 6 hours since anyone had been round offering water or juice. Jen had to get up and ask.

An hour before landing we were offered a dry sandwich. 30 minutes before landing we were given boarding cards. 10
Inured later we were told to stop writing and prepare for landing.

All in all, it was a long, poorly served, poorly organised flight. Had I been on a budget airline I wouldn't have minded because I'd have know. What I was paying for. For this flight, I was so disappointed because BA do believe they are better than their competitors. The problem is, they aren't. They treat their customers like we should be grateful go fly with them. The honest truth is, they should be grateful they have any cusomers at all.

Fly premium, fly budget... I doesn't matter as long as you know what you are paying for. But, don't fly BA as you'll end up paying for one and getting the other.

Mandelson's Memoirs...I can't wait

I'm that much of a political geek that I'm actually excited about this and can't wait to read the book...

Labour holds its breath for the Dark Lord's memoir

James Forsyth 10:17am

Peter Mandelson’s memoirs are out in just over a week. Despite being one of the last off the stage, Mandelson has beaten his colleagues to the first full account of the Blair Brown era. Tony Blair’s ‘The Journey’ is not out until September. Indeed, some Blair allies think that Mandelson should have had the good manners to let the former Prime Minister publish first.

There’ll be some people who dismiss any Mandelson book as old news. But from what I’m hearing these memoirs could be more interesting than people are expecting. Apparently, many of Mandelson’s political friends have not heard from him recently and fear they could be painfully frank.

The media will be looking to see what Mandelson says about Blair and Brown. But also look out for his comments on the Labour leadership contenders. Seeing as the book reportedly goes all the way up to the last election, it is bound to have plenty to say about the Milibands and Ed Balls.

hat tip The Coffee House

The most damning biography of a Prime Minister ever written

Heath 

Robert Harris has written a brilliant review of what sounds like a brilliant book - Philip Ziegler's official biography of Edward Heath.

It begins like this:

This is the most damning official biography of a British prime minister ever written. Whereas the previous holder of that title, GM Young’s 1952 life of Stanley Baldwin, was famously short and unsympathetic, Philip Ziegler’s deconstruction of Edward Heath is long and all the more deadly because the author plainly strives to be fair.

But Heath’s character was so chilly, his behaviour often so astonishingly rude, and his premiership so disastrous, that even Ziegler cannot rescue him.

Harris concludes that Heath was "a monster" and intriguingly (but not unconvincingly) hints that he may have been personally corrupt.

But while I agree fully with Harris's damning assessment of Heath's personality and behaviour, I think there was another reason for his failure in office which was equally important.

In an article after his death I argued this:

Like General de Gaulle, Heath had “a certain idea of France”. The difference was that he was Prime Minister of Britain.

Heath didn’t fail because he accepted a declining Britain as it was and worked with its grain, he failed for precisely the opposite reason. He tried to impose institutions, policies and ways of working that rebelled against basic British instincts and traditions. They didn’t work and they weren’t wanted.

Margaret Thatcher’s policies appeared strikingly original, but they went with the grain of the country and took advantage of changing middle-class opinion. If events hadn’t changed Middle Britain there would have been no Thatcher revolution.

Heath is often seen as the ultimate centrist. I believe he was a true - but disastrous - radical. This, as much as his personality, perhaps more than his personality, doomed him.

 

- via Feeddler RSS Reader [Link] http://timesonline.typepad.com/comment/2010/06/robert-harris-has-written-a-brilliant-review-of-what-sounds-like-a-brilliant-book---philip-zieglers-official-biography-of-edw.html

To those who think they can see anti englishness in Obama's BP rhetoric

It's not anti englishness, it's a reflection of US public opinion:

 

In a new USA Today/Gallup poll, 71 percent of Americans say that President Obama “has not been tough enough in his dealings with BP.” Fifty-nine percent say that BP “should pay for all financial losses resulting from the Gulf Coast oil spill, including wages of workers put out of work, even if those payments ultimately drive the company out of business.”

If Cameron was faced with the same figures on an issue with an American company at fault you can be sure he'd react as strongly... That's politics! 

Patient power is powerful medicine

Why are we as health care consumers, who collectively spend trillions of dollars each year on health care, likely to ask more questions about a $15 dinner than a doctor’s diagnosis?

Toni Bigby on KevinMD poses this fantastic question and it got me thinking.

Shortly after, I was at the ABPI Annual Conference and one of the speakers said that patients in the UK generally are disinterested in the medicines their Doctors prescribe because to the patient they cost very little and so often appear unimportant.

The two issues are linked.

Healthcare costs money - doctors, nurses, buildings and treatments all need to be paid for - and good healthcare costs a lot of money.

But, for a number of reasons, patients don't look too closely at this(particularly in the NHS, where most care is free). For example, it's clear that many people, on being prescribed a new drug take it until they feel better, then stop (whether or not they have finished the course) or stop if they suffer side effects, even if the condition itself may be more serious.

So here is the issue: if the patient is prompted to ask the right questions about the treatment they are receiving then perhaps they will be able to grasp the importance of it, so attaching a value to it that acts as a proxy for its cost.

Asking questions can be a simple thing, and if it leads to patients learning more about the treatments a doctor is recommending More's the better.

If this then leads to patients attaching a greater value to the treatments they are receiving, then perhaps it will lead to a better doctor/patient partnership that in turn will lead to better compliance and concordance with treatment recommendations and consequently better outcomes... Just a thought!

 

What's wrong with a right to healthcare?

I can't recall how this article by Theodore Levy (someone I've never heard of) in The Freeman (an organisation I've never come across) appeared in my news stream, but nonetheless it attracted my attention as it asks some difficult questions...
Media_httpwwwthefreem_ewdaw

The Right to Healthcare is something the UK are proud of.  But, as anyone who has spend any time interacting with the NHS can tell you, having a right to healthcare is not the same as receiving treatment.  Or, as Mr Levy puts it:

Just because something is a right doesn’t mean in practice it can’t be restricted. 
Traditionally in the UK this has been done under cover, by using waiting lists as a proxy for demand management.  For a lot of treatments, if you could wait long enough you could have it.  Supply was restricted and so people waited - way back in 1988, according to a Parliamentary research paper 876,000 people were waiting for Hosptial based treatment and 23% of them were waiting for over a year!.

Today, of course waiting lists are much much shorter and rationing of the supply of healthcare is done much much more explicitly - via technology assessments produced by NICE and the SMC.

Both organisations assess new drugs and devices to see if they are worthy of being supplied by the NHS.  This means that although everyone has a right to healthcare in the UK, what they actually have is a right to the healthcare someone else deems appropriate, not necessarily what is best for that individual.

Levy makes an interesting comparison with education in the US:

while the government provides something it calls “education,” it is not particularly successful at educating students. 

So, in answer to this questions - what's wrong with a right to healthcare, the answer is clear and obvious - nothing as long as you suffer from a topical disease / ailment that is currently attracting funding or if your body chemistry means that you respond to generic treatments. However, if you suffer from 'niche' conditions you may find the treatments hard to come by as they benefit so few people they are not deemed 'cost effective', even though they may mean a lot to you... Discuss!

Posterous theme by Cory Watilo