RUTHFULLY YOURS

https://www.wsj.com/articles/the-attack-on-an-alzheimers-drug-11624314809?mod=opinion_lead_pos1

Public-health and media critics failed to stop federal approval of Aduhelm, Biogen’s new drug for Alzheimer’s. So now they’re mounting an assault on the drug’s cost to stop Medicare from paying for it. Their sudden and rare concern for the federal fisc is illuminating, and not in a good way.

“It’s unconscionable to ask seniors and taxpayers to pay $56,000 a year for a drug that has yet to be proven effective,” Oregon Sen. Ron Wyden tweeted after the Food and Drug Administration approved Aduhelm this month. “Medicare must be able to negotiate a fair price for prescription drugs.” He means impose price controls, while others want Medicare to restrict coverage of the drug.

The healthcare policy shop Altarum last week projected Aduhelm would increase prescription drug spending by more than 8% by mid-decade. The sages at Axios hype: “Biogen’s new Alzheimer’s treatment could be experts’ nightmare drug spending scenario: An extremely expensive product that millions of desperate patients could be eligible for—and it may not even work.” Note the bow to “experts.”

Nobody has said Aduhelm is a cure, but it is the first treatment following hundreds of failures that has shown evidence in clinical trials of removing amyloid plaque—a hallmark of the disease—and slowing cognitive decline.

https://www.city-journal.org/stand-up-for-police-and-for-new-york?wallit_nosession=1

During the mayoral tenures of Rudy Giuliani and Michael Bloomberg, crime in every form plummeted throughout New York City. The mandate to clean up the mess that Gotham had become worked, and cops were proud to play a key role in removing the decades-old image of “the ungovernable city.” By the time I was sworn in as a New York City police officer in 1997, the city’s revival was well underway.

That year—with the city’s murder rate reduced 66 percent since the start of the decade—businesses were investing in the Big Apple, parks were transforming into green respites amid the concrete panorama, and Disney had arrived in Times Square, all confirming that New York had become a family-friendly place. The NYPD’s improved technology in tracking crime and maintaining public-order statistics allowed the department to allocate police resources more effectively, despite some drawbacks. Less measurable were the sweat, toil, tears, and blood—too much blood—that had been spent by members of the NYPD in serving the city. In the face of this enormous effort and sacrifice, all who took the time to notice witnessed the tangible result: every community in the city was safer than it had been.

That all began to change in January 2014, when Bill de Blasio, who had run a campaign highly critical of the police, became mayor. Throughout most of his mayoralty, de Blasio benefited from the NYPD’s continued success in keeping crime down, especially in his first term, under the guidance of Commissioner William J. Bratton. But he gradually shifted the public narrative from highlighting the success of the NYPD to vilifying the department. By 2020, especially in the aftermath of riots in June, the city’s crime rate was accelerating upward, even as more public officials portrayed the NYPD as an institution that could not be trusted, staffed by badge-wearing rogues serving a systemically flawed government.

https://www.discoursemagazine.com/culture-and-society/2021/06/21/despite-vaccine-triumphs-sciences-performance-during-the-pandemic-has-been-decidedly-mixed

While Western labs hit a home run, the public health community made unforced errors, and China threw deadly bean balls.

For the health sciences, these are the best of times and the worst of times. The best have been dramatic achievements emerging from American and European labs. The worst have been lab practices in China and the secrecy surrounding them.

The powerful tools developed by Western scientists were consistently used to save lives, most dramatically with the development of vaccines that have succeeded in suppressing the pandemic in those places where their use has been widespread. The same tools, in the hands of Chinese virologists, were used to experiment with deadly pathogens. We don’t know if they were trying to develop biowarfare agents or tools to combat future pandemics, and we don’t know crucial information about the origins and early spread of the virus because Beijing is hiding it.

We do know the deadly toll. According to Johns Hopkins statistics, there have been 177 million known cases of COVID-19 worldwide and 3.8 million deaths. Beyond that is the devastating impact on mental health, schooling and economic activity worldwide.

A third group of scientists, public health specialists in the U.S., falls between the best and worst. Tasked with immense responsibility and under intense time pressure, they achieved mixed results, at best, in their primary task: protecting Americans’ health and safety.

As we emerge from our bunkers, people naturally want to assign responsibility for the high costs they incurred. Were all those costs necessary? Could we have done better? Who deserves blame—or praise? Some have piled that blame on “science,” when they really mean mistakes by public health officials. Those same officials, hoping to escape responsibility, have depicted themselves as the very embodiment of modern science and technical proficiency.