New York Times: Drug Treatment May Not Work

The single most important thing I learned in Family Court is that drug treatment doesn't work, as suggested by this recent New York Times article...

The Evidence Gap - Drug Rehabilitation or Revolving Door? (12/22/08)

Everyone wants it to work, and many governmental systems depend on it working, but statistics show that treatment, per se, is ineffective in the long run. This includes both "talking cures" like Alcoholics Anonymous and chemical treatments, like Nicorette gum.

There are only two things that can change addiction: (1) Changing the environment in which it occurs, such as taking a child away from his drug-addicted family, (2) The person suffering so much pain from the real effects of his addiction that he decides on his own to change. Any other "treatment" is ineffective in the long term.

Treatment can appear to be effective in the short term. For example, an addict in drug court will clean up his act knowing that a judge is watching him and he will be thrown in jail if he tests dirty. But as soon as the supervision ends, his relapse rates are no different that if he had never gone through the program.

The implications of this are huge. It means that vast sums of goverment money are being wasted on ineffective programs. It also means that if you have a drug addicted friend or relative, there isn't a lot you can do to help them. No third party treatment program is going to fix the problem for you. There are things you can do, but they are often radical or unpleasant: change the environment, or let the addict fall on his face.

This was the general topic of my Family Court newsletter in March 2008: Words Don't Work.

Coyote Springs Update: No Change

Another traveler passed by Coyote Springs recently and posted some new photos....

Southeast Nevada

Coyote Springs is the new community an hour north of Las Vegas that has an Arnold Palmer-designed golf course and nothing more. This supplements my own photos of Coyote Springs.

Within the past week, the Clark County Commision approved a zoning change to allow a casino to be build here, but that won't change anything. The community is destined for ghost town status even before the first house is built.

New York Times: Wall Street Bonuses

From today's New York Times:

The Reckoning: On Wall Street, Bonuses, Not Profits, Were Real

As regulators and shareholders sift through the rubble of the financial crisis, questions are being asked about what role lavish bonuses played in the debacle. Scrutiny over pay is intensifying as banks like Merrill prepare to dole out bonuses even after they have had to be propped up with billions of dollars of taxpayers’ money. While bonuses are expected to be half of what they were a year ago, some bankers could still collect millions of dollars.

Critics say bonuses never should have been so big in the first place, because they were based on ephemeral earnings. These people contend that Wall Street’s pay structure, in which bonuses are based on short-term profits, encouraged employees to act like gamblers at a casino — and let them collect their winnings while the roulette wheel was still spinning.

Fortune: Why a $1 Trillion Deficit is a Good Thing

From Fortune magazine (12/12/08)...

Why a $1 trillion deficit is a good thing (for now)

All of the above forces represent an inescapable reality. Neither the recession nor the financial crisis were developments that could have been brushed aside. ...

Although specific aspects of how the bailout funds have been used so far can be open to question, not undertaking a massive program of stabilizing the financial system in the last few months was never really an option, as it would have exposed the entire U.S. economy to a potentially catastrophic outcome.

L.A. Times: Paul Volcker is Back

From today's Los Angeles Times...

Paul Volcker is back, and he warns of tough times ahead

His concerns go to the very core of how America lives and how Wall Street operates. A child of the Great Depression and a man of legendary personal thrift, Volcker thinks Americans have been living above their means for too long.

"It is the United States as a whole that became addicted to spending and consuming beyond its capacity to produce," Volcker lectured the Economic Club of New York in April. "It all seemed so comfortable."

Bringing consumption back in line with income would not only crimp individuals and families, but also require major readjustments in the global economy, which has relied on the U.S. as consumer of last resort.

Airlines No Longer at Risk

It looks like the domestic airlines are not at risk even in an economic downturn, especially now that the price of oil has crashed....

Airlines ready for fewer travelers in 2009
(Philadelphia Inquirer, 12/5)

This is significant to me (as a furloughed airline employee) since my free flight benefits are only good if my airline survives. I want my airline to do well, but not so well that they hire me back.

New York Times: Triage at Work

New York Times, 12/3:

British Balance Gain Against the Cost of the Latest Drugs

If the Hardys lived in the United States or just about any European country other than Britain, Mr. Hardy would most likely get the drug, although he might have to pay part of the cost. A clinical trial showed that the pill, called Sutent, delays cancer progression for six months at an estimated treatment cost of $54,000.


But at that price, Mr. Hardy’s life is not worth prolonging, according to a British government agency, the National Institute for Health and Clinical Excellence. The institute, known as NICE, has decided that Britain, except in rare cases, can afford only £15,000, or about $22,750, to save six months of a citizen’s life.

Yes, there has to be a price on anything. The delusion in America is that the price of a few months of life is unlimited -- part of the reason our healthcare is in such dire straits.