We Can't Do Anything

Conservatives say that government is the problem, and then they go out and prove it. Today's examples include women's health:

For the first time since the Spanish influenza of 1918, life expectancy is falling for a significant number of American women.

In nearly 1,000 counties that together are home to about 12 percent of the nation's women, life expectancy is now shorter than it was in the early 1980s, according to a study published today.

The downward trend is evident in places in the Deep South, Appalachia, the lower Midwest and in one county in Maine. It is not limited to one race or ethnicity but it is more common in rural and low-income areas. The most dramatic change occurred in two areas in southwestern Virginia (Radford City and Pulaski County), where women's life expectancy has decreased by more than five years since 1983.

The trend appears to be driven by increases in death from diabetes, lung cancer, emphysema and kidney failure. It reflects the long-term consequences of smoking, a habit that women took up in large numbers decades after men did, and the slowing of the historic decline in heart disease deaths.

There's an effort to cast this as a consequence of personal responsibility, but the geographic locations here say to me it's a problem of access. There are plenty of low-income areas in the cities where people eat like crap and lead unhealthy lifestyles, but there are support systems for the poor that have been built up out of necessity over the years. Some of those heath facilities are melting away, but in the rural areas, they never had them to begin with.

The example of how these guys have no idea how to start from scratch can be seen in Iraq, five years after the initial invasion, where basic services STILL aren't up to snuff:

BAGHDAD — Even as American and Iraqi troops are fighting to establish control of the Sadr City section of this capital, the Iraqi government’s program to restore basic services like electricity, sewage and trash collection is lagging, jeopardizing the effort to win over the area’s wary residents.

For weeks, there have been reports that Prime Minister Nuri Kamal al-Maliki is preparing to move ahead with a multimillion-dollar program to rebuild the southern swath of Sadr City, which is currently occupied by Iraqi and American troops.

But almost a month after American and Iraqi forces pushed into the area, there are no signs of reconstruction. Instead, the streets are filled with mounds of trash and bubbling pools of sewage. Many neighborhoods are still without electricity, and many residents are too afraid to brave the cross-fire to seek medical care. Iraqi public works officials, apparently fearful of the fighting, rarely seem to show up at work, and the Iraqi government insists the area is not safe enough for repairs to begin.

This isn't a situation where you can call for patience. We're talking about five years now. The Administration set up the economic and reconstruction model in Iraq as a kind of libertarian fantasy where the market spontaneously works; and the results were about what you'd expect.

By the way, when this laissez-faire attitude doesn't work, the immediate effort is to cover it up.

Yesterday marked the opening day of a class action lawsuit brought by Iraq and Afghanistan veterans against the Department of Veterans Affairs (VA), arguing “that failure to provide care is manifesting itself in an epidemic of suicides” among veterans. The VA denies the charges, pointing to increased resources devoted to mental health.

Today, CBS News reports that the VA apparently concealed veteran suicide statistics, and fed the news organization faulty data for a story on the issue. The VA told CBS that there were 790 attempted suicides in all of 2007. Yet shortly after, the VA’s head of Mental Health, Dr. Ira Katz, wrote in an e-mail to the VA’s top media adviser that there were “about 1,000 suicide attempts per month among veterans we see in our medical facilities.”

The e-mail exchange shows that the VA hoped to keep the statistics out of CBS’s hands:

From: Katz, Ira R.
Sent: Wednesday, February 13, 2008 11:27 AM
To: Chasen, Ev
Subject: FW: Not for the CBS News Interview Request

Shh!

Our suicide prevention coordinators are identifying about 1000 suicide attempts per month among the veterans we see at our medical facilities. Is this something we should (carefully) address ourselves in some sort of release before someone stumbles on it?

From: Chasen, Ev
Sent: Wednesday, February 13, 2008 11:40 AM
To: Katz, Ira R.

I think this is something we should discuss among ourselves, before issuing a release. Is the fact that we’re stooping them good news, or is the sheer number bad news? […]

I'll tell you, I don't know that this is fixable until conservatism is seen as the exact cause of these failures and gets totally discredited.