Sunday, May 30, 2021

Justice

By Michael Sandel

My thoughts: It is very interesting to read about the different types of theories on justice, especially as we enter into debates about social justice, what the government can and cannot do, and how certain actions should be punished. Ultimately, it seems like no single theory can cover everything - different ideas fit in different situations, because the world is too complex for one simple theory of justice.

    There are several theories of justice: utilitarianism, libertarianism, and ideas from various scholars including Aristotle, Kant, and Rawls - all of whom have differing ideas on what is just. In reality, all of them have flaws and cannot apply to every scenario, but the justifications are interesting.
    Utilitarianism puts the utility of the most amount of people first - that is, the majority of society must benefit, even if some individuals are disadvantaged. Of course, this raises the question of what rights individuals have, which is what libertarianism stands for.
    Libertarianism guarantees rights to all individuals. This is essentially what liberalists are trying to do - use government power to make sure everyone has equal access.
    Aristotle takes a slightly different approach. He believed that everything should be distributed fairly, and no one should have more than anyone else. But that would mean that certain people with lots of wealth would have to have their money taken away for redistribution. This doesn't seem very fair to these people, who probably got that wealth through hard work.
    Kant's idea had three components to it. Justice is only about external actions which one takes to influence others. Second, justice isn't about what people want - rather, there is a set just action, regardless of what people want. Third, the content of a transaction doesn't matter - it need only be voluntary. The biggest issue here is that if an action is voluntary, but the seller or another actor knows that the person is being scammed, is that just?
    Finally, Rawls claims that in a just society, everyone has as much freedom as possible without infringing on the rights of others, and inequality is only allowed if someone in a lower position is not disadvantaged.



In medieval times, philosophers and theologians believed that the exchange of goods should be governed by a “just price,” determined by tradition or the intrinsic value of things. But in market societies, the economists observed, prices are set by supply and demand. There is no such thing as a “just price.”

There is nothing unjust about these prices, Sowell explained; they simply reflect the value that buyers and sellers choose to place on the things they exchange.

Should the state prohibit price gouging, even if doing so interferes with the freedom of buyers and sellers to make whatever deals they choose?

The standard case for unfettered markets rests on two claims—one about welfare, the other about freedom.

How do defenders of price gouging laws respond? First, they argue that the welfare of society as whole is not really served by the exorbitant prices charged in hard times...Second, defenders of price-gouging laws maintain that, under certain conditions, the free market is not truly free.

Aristotle maintains that we can’t figure out what a just constitution is without first reflecting on the most desirable way of life. For him, law can’t be neutral on questions of the good life. By contrast, modern political philosophers—from Immanuel Kant in the eighteenth century to John Rawls in the twentieth century—argue that the principles of justice that define our rights should not rest on any particular conception of virtue, or of the best way to live. Instead, a just society respects each person’s freedom to choose his or her own conception of the good life.

At the heart of the disagreement are rival conceptions of moral character and military valor. Those who insist that only bleeding wounds should count believe that post-traumatic stress reflects a weakness of character unworthy of honor. Those who believe that psychological wounds should qualify argue that veterans suffering long-term trauma and severe depression have sacrificed for their country as surely, and as honorably, as those who’ve lost a limb.

One obvious difference is that bailout bonuses come from the taxpayer while the bonuses paid in good times come from company earnings. If the outrage is based on the conviction that the bonuses are undeserved, however, the source of the payment is not morally decisive. But it does provide a clue: the reason the bonuses are coming from the taxpayer is that the companies have failed. This takes us to the heart of the complaint. The American public’s real objection to the bonuses—and the bailout—is not that they reward greed but that they reward failure.

we’ve identified three ways of approaching the distribution of goods: welfare, freedom, and virtue. Each of these ideals suggests a different way of thinking about justice.

The answer is that moral reflection is not a solitary pursuit but a public endeavor. It requires an interlocutor—a friend, a neighbor, a comrade, a fellow citizen. Sometimes the interlocutor can be imagined rather than real, as when we argue with ourselves.

Is morality a matter of counting lives and weighing costs and benefits, or are certain moral duties and human rights so fundamental that they rise above such calculations? And if certain rights are fundamental in this way—be they natural, or sacred, or inalienable, or categorical—how can we identify them? And what makes them fundamental?

Utilitarians see our tendency to recoil at placing a monetary value on human life as an impulse we should overcome, a taboo that obstructs clear thinking and rational social choice.

The class composition of today's volunteer army bears out this objection, at least to some extent. Young people from low- to middle-income neighborhoods are disproportionately represented in the ranks of active-duty army recruits.

The argument for upholding the surrogacy contract draws on the two theories of justice we've considered so far - libertarianism and utilitarianism. The libertarian case for contracts is that they reflect freedom of choice...The utilitarian case for contracts is that they promote the general welfare...

Friday, May 28, 2021

GHLC at JHU: Dr. Richard Cash


Dr. Richard Cash, MD, MPH, Senior Lecturer on Global Health at the Harvard T.H. Chan School of Public Health Department of Global Health and Population, is one of the primary developers of Oral Rehydration Therapy

Science to the People: The Development and Dissemination of ORT to the Community

- 50 years ago, dehydration used to be a leading cause of death for young children (30%, 4 million)
- Dehydration was caused by diseases like cholera, which caused diarrhea --> loss of fluids
- People couldn't get IV's in developing countries --> lots of deaths
- Solution had to be:
    Cheap
    Easy to use
    Effective
    Acceptable
- A mix of isotonic salt and glucose maintained hydration
- A mix called Oral Rehydration Therapy
    It consisted of a mix of water and various salts, sugars, and minerals

-The problem was the administration of ORT
    There weren't enough doctors or nurses to do it, so mothers had to learn it
    No one had a standard measuring cup or tool in rural Bangladesh

- Instructors went around to villages measuring out sizes for the mothers and teaching them how much solution to mix
- Instructors were paid based on how much the people learned
- It worked

- It is key to make change at the local level

Thursday, May 27, 2021

When Breath Becomes Air

By Paul Kalanithi

My thoughts: Even though as a teen, I feel like I have a lot of time left, I don't know when I might die, or what might happen, and it is very important to be able to accept whatever happens. I also saw how difficult the life of a surgeon can be, with all the stresses of life and death on the line.

    In the last two years of his life, Dr. Paul Kalanithi, a neurosurgeon, dedicated his life to documenting what he had learned about death and how we cope with it.
    He had been working to become a neurosurgeon for years and was in the culmination of his residency when the back pains first began. When he went in to get a scan, it was confirmed. He had Stage IV cancer, and one of the most deadly types, too.
    When he is diagnosed, everything he ever worked for is suddenly rearranged. Should he have a child? What about a job? And how long of a life should I plan for? Ultimately, the first round of drugs that he tries holds the cancer cells back, allowing him to opt for a child - but only after ensuring that his wife, Lucy, is okay with the probable burden of becoming a single mother. He even gets a lucrative job offer, which he turns down due to its distance from his oncologist and family.
    Unfortunately, while his oncologist is away, he suffers a relapse when a resident fails to give him the drugs that he needs, and neither of the other two solutions works for long, bringing him to the brink of death just months after his daughter is born. He grapples with the question that he has been considering since his diagnosis one last time: What kind of life is worth living? His answer, that life should have a purpose, led him to try therapy methods that would enable him to work as much as possible, and finally took him to his death, when he decided to end life support because a life like that would not be useful.
    His story of striving, trying to live, then coming to terms with death, is eloquently told, and just relatable enough that a reader can understand. "It's just tragic enough and just imaginable enough".

"The problem wasn’t really a scientific one. The fact of death is unsettling. Yet there is no other way to live."

Tuesday, May 18, 2021

GHLC at JHU: Dr. Roopa Dhatt


Dr. Roopa Dhatt is the Executive Director and co-founder of Women in Global Health, an organization that works to give women more opportunities in global health.

Women in Global Health
Objectives:
- Summarize challenges and barriers
- Provide examples of transformative leadership
- Highlight approaches to becoming more equitable

WGH brings a power and privilege lens
- Reach out to those usually put last
- Drive change at all levels

Gender Transformative approach
5 ways of viewing gender:

- Power & Privilege
- Intersectionality
- Inclusive
- Leadership
- Individuals & Organizations


It will take an estimated 135.6 years to achieve gender equality

Much of the global health workforce is women, but the sector is led by men.
Only 23% of the delegations to the 73rd World Health Assembly were led by women.
Very few receive awards.

Making Change:
Global agencies set standards --> individual countries create and are accountable for change --> organizations like WGH advocate on a local and global level.





Sunday, May 16, 2021

CNN 10 5/10/2021 ~ 5/14/2021


Go to cnn.com/cnn10 for the latest video

Monday, May 10, 2021

Tuesday, May 11, 2021
The price of fuel this time of year is higher than last year since people weren't traveling as much then. And it could get higher. The Colonial Pipeline company recently found out that it had been the target of a cyber attack. The virus in its system was a type of ransomware, which encrypts important data until a user pays a ransom, which can go into the hundreds of millions. The US government says the attack was carried out by a Russian group, and Colonial can choose whether or not it will pay the ransom, as it is a private company. Colonial has said that it shut down its systems quickly enough to prevent damage to its physical sites, and will have everything up and running again in the coming days. There is currently no impact on the gas supply, but there could be one if Colonial stays closed for a long time. Schools across the country are in a variety of reopening conditions. Some are almost 100% in person, while others are still mostly virtual. Many parents are anxious for their kids to go back to school, as students' wellness, as well as learning, are impacted by distanced learning. The winner of this year's Kentucky Derby, the first leg of the three prestigious horse races that constitute the Triple Crown, is Medina Spirit. But the horse's trainer has been accused of using an anti-inflammatory drug to assist the win, which may invalidate the Derby results and prevent the horse from racing at the remaining tournaments. More testing is still being conducted.

Wednesday, May 12, 2021
The COVID-19 vaccine by Pfizer-BioNTech is now approved for emergency use in teens ages 12-15. The FDA gave emergency authorization after clinical trials showed that the vaccine was just as effective in teens as adults, with similar side effects like some pain and mild illness. Some 40% of the US population has received at least one dose of a vaccine, and vaccinating children will go a long way. In Japan, which still plans to hold the summer games as planned, vaccine hesitancy has led to just 1% of the population being vaccinated. In addition, the country is dealing with yet another outbreak, leading to an extension of its state of emergency. The IOC has determined that the games must go on, likely because it makes almost all of its revenue from the Olympics. China has a population problem. Although it has the largest one in the world, its growth rate is slowing. Chinese laws meant to deter the population from growing too fast have been too effective, and urban families have shied away from children in recent years. This poses a problem for China because it means that it will lack workers for the next generation of the labor form, stagnating its economic growth.

Thursday, May 13, 2021
The West Bank is an important religious site for Muslims and Jews, which has sparked new violence in an area known as Gaza. Both the Palestinians and Israelis have fired rockets and launched airstrikes against each other in the region killing dozens, and both say they will stop once the other side does so. International leaders are calling for both parties to cease the violence immediately. The cyberattack on the Colonial pipeline last week is causing gas shortages in several states. The company serves almost half of the East Coast, and it won't reopen for at least another few days. Miniwiz is a Taiwanese company trying to create buildings and products with recycled materials. It recently launched a new mobile recycling truck and fully mobile hospital wards with the onset of the COVID-19 pandemic.

Friday, May 14, 2021
The Israeli-Palestinian conflict in Gaza has a long history. The two sides have been locked in battle ever since Israel took over the West Bank territory in the 1960s under the premise that it was a security hole. The area is significant because it contains the holy city of Jerusalem and the burial sites of important religious figures. There have been several skirmishes and attempts at peace in the past, all of which have failed. The most recent conflict reportedly started with Palestinian missiles being shot into Israeli settlements, which they responded to with airstrikes, resulting in dozens of casualties. Colonial Pipeline is reportedly back up and running, but there are conflicting reports about whether or not the hackers were paid to return the data that they locked. Colonial says it was able to recover the most important data without paying the ransom, while another report says that it paid $5 million.

Saturday, May 1, 2021

The Cuckoo's Egg

By Clifford Stoll

My thoughts: Many parts of this book are still very relevant today. Computers often seem secure, and we are frequently assured by manufacturers that they are, but small things, like guest accounts, easy to guess passwords, and other things can easily bring down a system. Clearly, cybersecurity still doesn't have very many safety nets; the field is evolving faster than the law, and it is the end user's burden to keep their systems secure.

    Back in the early days of electronics and the Internet, there weren't very many safety nets in the event of a hacking. In fact, the very word hacker originally meant "someone good and creative on a computer". So when Clifford Stoll, astronomer turned computer scientist noticed a 75 cent imbalance in the supercomputer accounts at Lawrence Berkeley Labs, he starting digging into it himself. He realized it wasn't just a simple accounting error by the software; no, a hacker was stealing supercomputer time and had inadvertently left behind a trail. For the next year, Stoll would follow this hacker through phone lines, computer bills, and all the way to Germany before he got to the bottom of the case.

    LBL labs isn't classified, but contains lots of information about various scientific topics. The hacker, though, is more interested in accessing the military's MILNET from LBL. From there, he worms his way through military computers, guessing obvious passwords like "guest" and gaining access to unprotected computers. He thinks nobody is noticing, but Clifford is silently tracking him, reporting to various government agencies. Unfortunately, there is no centralized system, and everyone tells him, we want information, but enforcement isn't in our jurisdicttion. When the hacker finally gets to stealing important information, the FBI steps in, and they are able to trace the phone lines from Oakland Tymnet, across the country, then the ocean, all the way to Hannover, Germany.