An evening with John Dowd regarding Pete Rose

In this interesting piece, Will Young relates his evening with John Dowd, the Washington, D.C. lawyer who is the author of the report for the Commissioner of Major League Baseball that concluded that Pete Rose had bet on baseball games while managing the Cincinnati Reds. Nothing earth shattering here, but interesting reading nonetheless. Mr. Dowd’s opinion that Commissioner Selig is attempting to find a way to reinstate Rose is, if correct, highly troubling.

The intersection of drug policy and prison policy

This Brent Staples’ NY Times Review of Books article that reviews “Life on the Outside, The Prison Odyssey of Elaine Bartlett,” Jennifer Gonnerman’s new book about how the government’s criminalization of its drug policy has led to a large and growing portion of society that is chronically disenfranchised, at enormous societal cost. Ms. Gonnerman, who has wrote extensively about drug policy as a staff writer for the Village Voice, tells the story through the family of Elaine Bartlett, a young mother of four who received a sentence of 20 to life for her selling cocaine to an undercover cop in a motel near Albany, her first offense. As Ms. Gonnerman notes:

The United States is transforming itself into a nation of ex-convicts. This country imprisons people at 14 times the rate of Japan, eight times the rate of France and six times the rate of Canada. The American prison system disgorges 600,000 angry, unskilled people each year — more than the populations of Boston, Milwaukee or Washington . . .
Ex-cons are marooned in the poor inner-city neighborhoods where legitimate jobs do not exist and the enterprises that led them to prison in the first place are ever present. These men and women are further cut off from the mainstream by sanctions that are largely invisible to those of us who have never been to prison. They are commonly denied the right to vote, parental rights, drivers’ licenses, student loans and residency in public housing — the only housing that marginal, jobless people can afford. The most severe sanctions are reserved for former drug offenders, who have been treated worse than murderers since the start of the so-called war on drugs. The Welfare Reform Act of 1996, for example, imposed a lifetime ban on food stamp and welfare eligibility for people convicted of even a single drug felony. The states can opt out of the prohibition, but where it remains intact it cannot be lifted even for ex-prisoners who live model, crime-free lives.
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Mass imprisonment has not hindered the drug trade. Indeed, drugs are cheaper and more plentiful today than ever. In addition, many of the addicts who are held in jail for years at a cost of more than $20,000 per inmate per year could be more cheaply and effectively dealt with in treatment. What jumps out at you from ”Life on the Outside” is the extent to which imprisonment has been normalized, not just for adults from poor communities but for children who visit their parents in prison. Spending holidays and birthdays behind bars for years on end, these children come to think of prison as a natural next step in the process of growing up.

Although both major political parties share blame for failing to address America’s drug policy in a responsible manner, the Bush Administration’s failure in this area — coupled with its failure to address such major issues as health care finance reform, income tax reform, and environmental policy reform — provides a solid basis for the Democrats to attack the Bush Administration in the upcoming election. Although the Bush Administration has performed admirably under difficult circumstances in prosecuting the war against Islamic fascists, its performance on domestic issues such as those mentioned above has been abysmal. If President Bush loses the election this November, that lack of leadership on those key issues will likely be the reason why.

Rethinking how best to prevent heart attacks

This NY Times article reports on new studies that increasingly indicate that coronary bypass opearations and angioplasty procedures are not as effective in preventing heart attacks in high risk patients than non-invasive treatments such as giving up smoking and taking drugs to control blood pressure, reduce cholesterol levels, and prevent blood clotting. The research reflects that that just one of those treatments — lowering cholesterol to what guidelines suggest — can reduce the risk of heart attack by a third. However, only 20% of heart patients follow that approach. As the Times article notes:

But, researchers say, most heart attacks do not occur because an artery is narrowed by plaque. Instead, they say, heart attacks occur when an area of plaque bursts, a clot forms over the area and blood flow is abruptly blocked. In 75 to 80 percent of cases, the plaque that erupts was not obstructing an artery and would not be stented or bypassed. The dangerous plaque is soft and fragile, produces no symptoms and would not be seen as an obstruction to blood flow.
That is why, heart experts say, so many heart attacks are unexpected ? a person will be out jogging one day, feeling fine, and struck with a heart attack the next. If a narrowed artery were the culprit, exercise would have caused severe chest pain.
Heart patients may have hundreds of vulnerable plaques, so preventing heart attacks means going after all their arteries, not one narrowed section, by attacking the disease itself. That is what happens when patients take drugs to aggressively lower their cholesterol levels, to get their blood pressure under control and to prevent blood clots.
Yet, researchers say, old notions persist.
“There is just this embedded belief that fixing an artery is a good thing,” said Dr. Eric Topol, an interventional cardiologist at the Cleveland Clinic in Ohio.