Go Lean Commentary
“What a tangled web we weave when first we practice to deceive” – Novelist and Poet Sir Walter Scott.
The viral debate regarding some parents refusal to vaccinate their children is not one that can be simply reduced to bad parenting; there are some heavy issues surrounding this topic. This is not 1950, where there were only 3 vaccines; the number has now grown voluminously. Consider the US standards:
Vaccination of 14 diseases by two years of age…
U.S. children receive as many as 24 vaccine injections …
Then in the 1990’s, a new deterrent arose, the sudden rise in the cases of Autism among children; 1 in every 160.
No wonder a growing number of parents apply for exemptions from vaccinating their kids; (see Forbes Magazine article below). It almost seems logical.
Though there is no conclusive evidence that Autism may be linked to vaccinations, the occurrence rate is ungodly, 1 in 160. This alarming Autism rate seemed to exceed any risk of exposure to “wild” pathogens targeted by vaccinations – until the Disneyland outbreak recently. It was hard to ignore these numbers, thusly parents were trying to protect their children from the cure, not the disease, and refusing to vaccinate their children. Consider this story from Metropolitan Detroit:
VIDEO – Oakland County judge to decide if 4 kids need vaccines – http://www.clickondetroit.com/news/oakland-county-judge-to-decide-if-4-kids-need-vaccines/31099632
While this may appear to be an issue of Public Health policy, it can be argued that actually this is an issue of capitalism.
The vaccine, the medicine comes from Pharmaceutical companies. When new drugs are introduced and then compelled for the entire population, it is a boon for the drug company. This is the kinetics of capitalism at full hilt. The below encyclopedic reference (Appendix #1) help us to appreciate the background of the economic dynamics of this issue.
This consideration aligns with the book Go Lean…Caribbean; this book serves as a roadmap for the introduction and implementation of the technocratic Caribbean Union Trade Federation (CU). This empowerment effort represents a change for the region, calling on all 30 member-state governments in the region to confederate and provide their own solutions – together – in the areas of economics, security and governance. The book directly advocates for a Group Purchasing Organization to facilitate better pricing and delivery options for Public Health medications – the vaccines that must be administered. This issue therefore relates to all three areas (economics, security and governance). The CU/Go Lean roadmap defines these 3 prime directives as follows:
- Optimization of the economic engines in order to grow the regional economy.
- Establishment of a security apparatus to protect the resultant economic engines against “bad actors”.
- Improve Caribbean governance to support these engines.
The purpose of this commentary is to draw reference to the different governing bodies regulating these policies around the world, or at least in countries within scope of a Caribbean focus. The Center for Disease Control (CDC) in the US, European Medicines Agency (EMA) in Europe and the UN’s World Health Organization (WHO) hold sway over this issue.
Just what influence does the Pharmaceutical industry have in lobbying these agencies to steadily increase the vaccination requirements? This industry is pejoratively referred as Big Pharma. Why the negative reference?
More and more parents have not trusted Big Pharma’s assertions, motives and sponsored research into side-effects and repercussions of vaccinations. There is no doubt that this industry would have a profit motive to protect and deflect any criticism of their Public Health policies. The charges of Autism fit this mode. See Autism Reference in the Appendix #2 below.
Is there a conspiracy? While it would only be honorable to give Big Pharma the benefit of any doubt, odds like 1-in-160 is very hard to ignore. Besides, many sources, including this Go Lean book and accompanying blogs have reported on the “bad intent” in the American eco-system associated with crony-capitalism.
But vaccination is an honorable cause. Many of these “now” preventable diseases wreaked havoc on human society until the vaccines were developed and distributed. The sustainability of modern life has actually improved due to immunizations. This fact was re-affirmed with the recent Disneyland measles outbreak. See article here:
Title: Is The Disneyland Measles Outbreak A Turning Point In The Vaccine Wars?
By: Matthew Herper, Forbes Staff – February 4, 2015 Retrieved from: http://www.forbes.com/sites/matthewherper/2015/02/04/the-disneyland-measles-outbreak-is-a-turning-point-in-the-vaccine-wars/
“In an hour, she was unconscious. In twelve hours she was dead. The measles had turned into a terrible thing called measles encephalitis and there was nothing the doctors could do to save her.”
Those words were written by Roald Dahl, the author of Charlie and The Chocolate Factory and James the Giant Peach, about his seven-year-old daughter who died in 1962. In 1986, when he wrote them in an entreaty to his fellow Britons to vaccinate their children so that his little girl would not have died in vain, Dahl followed up with a taunt that played on his readers’ sense of national pride. “In America,” he wrote, “where measles immunization is compulsory, measles like smallpox, has been virtually wiped out.”
I saw Dahl’s 621-word pamphlet shared dozens of times this weekend, on sites like Io9 and DailyKos and by friends on Facebook who are frustrated and upset that Dahl’s statement is no longer true – that America, which led the eradication of smallpox, has snatched defeat from the jaws of victory. As a result of the growing number of parents who are applying for exemptions from vaccinating their kids, an outbreak that started in Disneyland in California has now spread. There have been 102 cases of measles reported in 14 states since January 1, more than in all of 2012.
What’s different now – and this is a reason for hope, even celebration – is that people are angry. This was clear Monday when Chris Christie, the New Jersey governor and likely Republican presidential candidate, when he told an MSNBC reporter that he vaccinates his own kids, but that “I also understand that parents need to have some measure of choice in things as well, so that’s the balance that the government has to decide.” The backlash was so fast and fierce that an hour-and-a-half later Christie’s office was walking the statement back, saying that “with a disease like measles there is no question kids should be vaccinated.”
Turning Walt Disney’s Happiest Place on Earth into the measles kingdom flipped a switch in our collective brain. The thought that thousands of people could have been exposed to a virus that was declared eliminated in the U.S. a decade-and-a-half-ago is scary. And it drives home the reality that vaccines only fully protect us if almost everyone uses them.
Between CNN’s tale of an infant quarantined due to measles and NPR’s profile of a little boy named Rhett who’d battled leukemia and whose father was angrily campaigning to require schoolmates to be vaccinated, we remembered that even amazingly powerful vaccines aren’t perfect, and that people with measles can spread the disease for four days before symptoms occur, and that at least 5 out of 100 vaccinated people will still catch measles if exposed to it.
Up until now, politicians frequently at least gave lip service to the very small but very vocal group of parents who believe that vaccines are harmful and that they should be able to opt-out. California Governor Jerry Brown, a Democrat, did more than that in 2012, signing a law that loosened vaccine exemptions, allowing parents who claim a religious reason for not vaccinating to leave a doctor’s office without even mandatory counseling. The reaction was subdued.
Now a few Republicans, including Kentucky Senator Rand Paul and Wisconsin Representative Sean Duffy, are arguing that vaccines should be voluntary. The nine out of ten of American parents who vaccinate their children should let their elected officials know that this isn’t acceptable – that we want the rules about vaccine exemptions tightened. We don’t need draconian measures (I’ve seen arguments that parents who don’t vaccinate should be jailed or sued, which is impractical and harsh) just the same fair rules we’ve had for years. Want to send your kid to school? Make sure he gets his shots, or have a very, very, very good reason not to have.
Measles is still a small problem. Even if there are 1,000 cases this year, it remains so. The high vaccination rates through most of the country mean it will burn out. But we’re also likely to face 28,000 cases of whooping cough, another vaccine-preventable illness that has been on the rise not so much because of patients who don’t get vaccinated but also because the new vaccine adopted in the 1990s is less effective than the old one. And every year there are between 3,000 to 49,000 deaths due to influenza; even though the flu vaccine is one of the least effective we have, if everyone got it each year it would reduce that number.
In a Roald Dahl story, a big friendly giant could visit people who choose not to vaccinate and give them nightmares of measles encephalitis. But this is the real world. The way for people to keep vaccine rates up is to write their elected representatives, and to be very public about the benefits of vaccines. Mention in conversations the way that vaccines have changed the world. Or get your flu shot, and brag about it as if you just shaved a ten seconds off the time it takes you to run a mile. That’s the way to turn the anger that’s been produced by the news about Disneyland into a happier world for everyone.
The book Go Lean…Caribbean asserts that the Caribbean Public Health must be strenuously protected. Like Disneyland, the Caribbean economic engines are based on extending hospitality to visitors; so (preventable) infectious diseases undermine the attractiveness of the destination.
So all stakeholders need to employ best-practices. Citizens need to embrace immunizations and Pharmaceutical companies need to “play nice” and not excessively pile on the vaccination formulas. The region must do better; we must not allow the US, or Big Pharma, to take the lead for our own nation-building. In America, capitalistic interest tends to hijack policies intended for the Greater Good. This assessment is logical considering the realities of so many of these Big Corporate Bullies, as follows, where public policy is set to benefit private parties:
|Big Oil||While lobbying for continuous tax subsidies, the industry have colluded to artificially keep prices high and garner rocket profits ($38+ Billion every quarter).|
|Big Box||Retail chains impoverish small merchants on Main Street with Antitrust-like tactics, thusly impacting community jobs.|
|Big Pharma||Chemo-therapy cost $20,000+/month; and the War against Cancer is imperiled due to industry profit insistence.|
|Big Tobacco||Cigarettes are not natural tobacco but rather latent with chemicals to spruce addiction.|
|Big Agra||Agribusiness concerns bully family farmers and crowd out the market; plus fight common sense food labeling efforts.|
|Big Data||Brokers for internet and demographic data clearly have no regards to privacy confines|
|Big Media||Hollywood insists on big tax breaks/subsidies for on-location shooting; cable companies conspire to keep rates high; textbook publishers practice price gouging.|
|Big Banks||Wall Street’s damage to housing and student loans in 2008 are incontrovertible.|
|Big Weather||Overblown hype of “Weather Forecasts” to dictate commercial transactions.|
The Go Lean book, and accompanying blog commentaries, go even deeper and hypothesize that American economic models are not always suitable for long-term Caribbean benefits. The American wheels of commerce stages the Caribbean in a “parasite” role; imperiling regional industrialization even further. The US foreign policy for the Caribbean is to incentivize consumption of American products, and serve as a playground for their leisure.
The book and blogs assert that this disposition of a “parasite” is not the only choice. Other communities have demonstrated how to forge a protégé relationship with the US. Japan and South Korea, despite American pressure and having a small population-size, are examples of countries having trade surpluses for the US. They are protégés, not parasites, and thusly provide a role model for the Caribbean to emulate.
The broken Pharma eco-system in the US does not have to be modeled in the Caribbean. Parents should not have to demand exemptions from mandatory immunizations, nor should corporations be allowed to bully Public Health demands. Change has now come to the region. The Go Lean book posits that the governmental administrations must be open to full disclosure and accountability. Any encroachment into bullying should be easily detected and censured. Plus the ubiquity of the internet allows whistleblowers to expose “shady” practices to the general public; (WikiLeaks and Edward Snowden provide great examples).
The Go Lean roadmap provides turn-by-turn directions for forging change to reboot Caribbean societal engines. This roadmap is thusly viewed as more than just planning; this is pronounced early in the Declaration of Interdependence (Page 11 – 12):
viii. Whereas the population size is too small to foster good negotiations for products and commodities from international vendors, the Federation must allow the unification of the region as one purchasing agent, thereby garnering better terms and discounts.
xvi. Whereas security of our homeland is inextricably linked to prosperity of the homeland, the economic and security interest of the region needs to be aligned under the same governance. Since economic crimes…can imperil the functioning of the wheels of commerce for all the citizenry, the accedence of this Federation must equip the security apparatus with the tools and techniques for predictive and proactive interdictions.
The Go Lean book purports that the Caribbean can – and must – do better. The vision of the CU is a confederation of the 30 member-states of the Caribbean doing the heavy-lifting of optimizing economic-security-governing engines. We can weld more power and influence collaborating and consolidating Public Health acquisitions. The Go Lean book details the policies and other community ethos to adopt, plus the executions of the following strategies, tactics, implementations and advocacies to elevate Caribbean society, and make it a better place to live, work, play and heal:
|Community Ethos – Deferred Gratification||Page 21|
|Community Ethos – Economic Principles – People Choose||Page 21|
|Community Ethos – Economic Principles – Choices Involve Costs:||Page 21|
|Community Ethos – Economic Principles – People Respond to Incentives||Page 21|
|Community Ethos – Economic Principles – Economic Systems Influence Individual Choices||Page 21|
|Community Ethos – Economic Principles – Consequences of Choices Lie in the Future||Page 21|
|Community Ethos – Privacy versus Public Protection||Page 23|
|Community Ethos – Whistleblower Protection||Page 23|
|Community Ethos – Witness Security & Protection||Page 23|
|Community Ethos – Anti-Bullying and Mitigation||Page 23|
|Community Ethos – Intelligence Gathering||Page 23|
|Community Ethos – Lean Operations – Group Purchasing Organization||Page 24|
|Community Ethos – Ways to Manage Reconciliations||Page 34|
|Community Ethos – Ways to Improve Sharing||Page 35|
|Community Ethos – Ways to Impact the Greater Good||Page 37|
|Strategy – Agents of Change – Technology||Page 57|
|Strategy – Agents of Change – Globalization||Page 57|
|Tactical – Separation of Powers – Emergency Management||Page 76|
|Tactical – Separation of Powers – Justice Department – Trade/Antitrust||Page 77|
|Tactical – Separation of Powers – Health Department – Disease Control||Page 86|
|Tactical – Separation of Powers – Health Department – Drug Administration||Page 86|
|Implementation – Ways to Pay for Change – GPO Logistic Fees||Page 101|
|Implementation – Security Initiatives at Start-up – Big Data Analysis||Page 103|
|Implementation – Ways to Benefit from Globalization||Page 119|
|Planning – Ways to Improve Failed-State Indices||Page 134|
|Planning – Lessons Learned from 2008||Page 136|
|Advocacy – Ways to Measure Progress||Page 147|
|Advocacy – Ways to Grow the Economy||Page 151|
|Advocacy – Ways to Create Jobs||Page 152|
|Advocacy – Ways to Improve Healthcare – Public Health Extension||Page 156|
|Advocacy – Ways to Improve Governance||Page 169|
|Advocacy – Ways to Better Manage the Social Contract||Page 171|
|Advocacy – Ways to Impact Justice – Truth & Reconciliation Commissions||Page 177|
|Advocacy – Ways to Improve Homeland Security||Page 180|
|Advocacy – Ways to Improve Intelligence Gathering & Analysis||Page 182|
|Advocacy – Ways to Ways to Protect Human Rights||Page 220|
The foregoing article/VIDEO relates to topics that are of serious concern, even for Caribbean communities. While the US is the world’s largest Single Market economy, we want to only model some of the American example. Instead we would rather foster a business climate to benefit the Greater Good, not just some special interest group.
There are many Go Lean blog commentaries that have echoed this point, addressing the subject of the Caribbean avoiding American crony-capitalism consequences. See sample here:
|http://www.goleancaribbean.com/blog/?p=3760||Concerns about ‘Citizenship By Investment Programs’|
|http://www.goleancaribbean.com/blog/?p=3397||A Christmas Present for the Banks from the Omnibus Bill|
|http://www.goleancaribbean.com/blog/?p=3326||Detroit’s M-1 Rail – Finally avoiding Plutocratic Auto Industry Solutions|
|http://www.goleancaribbean.com/blog/?p=2887||Caribbean must work together to address rum subsidies|
|http://www.goleancaribbean.com/blog/?p=2522||The Cost of Cancer Drugs|
|http://www.goleancaribbean.com/blog/?p=2465||Book Review: ‘This Changes Everything: Capitalism vs. the Climate’|
|http://www.goleancaribbean.com/blog/?p=2435||Korea’s Model – A dream for Latin America and the Caribbean|
|http://www.goleancaribbean.com/blog/?p=2338||How Caribbean can Mitigate the Dreaded ‘Plutocracy’|
|http://www.goleancaribbean.com/blog/?p=2259||The Criminalization of American Business|
|http://www.goleancaribbean.com/blog/?p=2183||A Textbook Case of Industry Price-gouging|
|http://www.goleancaribbean.com/blog/?p=1309||5 Steps to a Bubble|
|http://www.goleancaribbean.com/blog/?p=1256||Traditional 4-year Colleges – Terrible Investment for Region and Jobs|
|http://www.goleancaribbean.com/blog/?p=1143||Health-care fraud in America; Criminals take $272 billion a year|
|http://www.goleancaribbean.com/blog/?p=798||Lessons Learned from the American Airlines merger|
|http://www.goleancaribbean.com/blog/?p=709||Student debt holds back many would-be home buyers|
|http://www.goleancaribbean.com/blog/?p=658||Indian Reservation Advocates Push for Junk-Food Tax|
|http://www.goleancaribbean.com/blog/?p=353||Book Review: ‘Wrong – Nine Economic Policy Disasters and What We Can Learn…’|
|http://www.goleancaribbean.com/blog/?p=273||10 Things We Don’t Want from the US – American Self-Interest Policies|
“Measles” is a serious, painful disease; death can result as well. This disease does not make an inviting call for our guests to visit the Caribbean destination for vacations and festivals. Not just the manifestation of measles but also any unsubstantiated rumors can curtail economic activity in the CU regional area.
What is the connection with vaccinations and Autism? Currently, a connection is not definitive; more research is needed. Autism must be monitored, tracked and catalogued. There is no cure; but the conditions can be managed as an chronic ailment…
The book Go Lean…Caribbean posits that many problems of the region are too big for any one member-state to solve alone; there is the need for the technocracy of the Caribbean Union Trade Federation. The purpose of this Go Lean/CU roadmap is to elevate the Caribbean homeland; and improve the lives for Caribbean citizens. We want our people to prosper where they are planted in the Caribbean.
The Go Lean roadmap calls for integration of the regional member-states drug acquisition and regulatory oversight. Further, the roadmap posits that to succeed as a society, the Caribbean region must not only consume, but also create, produce, and distribute intellectual property products (like medical innovations) to the rest of the world. We need our own Caribbean solutions.
Now is the time for all of the Caribbean, the people and governing institutions, to lean-in for the changes/empowerments described in the book Go Lean … Caribbean.
1. Appendix – Vaccination Schedule (http://en.wikipedia.org/wiki/Vaccination_schedule)
(Click Photo to Enlarge)
A vaccination schedule is a series of vaccinations, including the timing of all doses, which may be either recommended or compulsory, depending on the country of residence.
A vaccine is an antigenic preparation used to produce active immunity to a disease, in order to prevent or reduce the effects of infection by any natural or “wild” pathogen. Many vaccines require multiple doses for maximum effectiveness, either to produce sufficient initial immune response or to boost response that fades over time. For example, tetanus vaccine boosters are often recommended every 10 years. Vaccine schedules are developed by governmental agencies or physicians groups to achieve maximum effectiveness using required and recommended vaccines for a locality while minimizing the number of health care system interactions. Over the past two decades, the recommended vaccination schedule has grown rapidly and become more complicated as many new vaccines have been developed.
Some vaccines are recommended only in certain areas (countries, subnational areas, or at-risk populations) where a disease is common. For instance, yellow fever vaccination is on the routine vaccine schedule of French Guiana, is recommended in certain regions of Brazil but in the United States is only given to travelers heading to countries with a history of the disease. In developing countries, vaccine recommendations also take into account the level of health care access, the cost of vaccines and issues with vaccine availability and storage. Sample vaccinations schedules discussed by the World Health Organization show a developed country using a schedule which extends over the first five years of a child’s life and uses vaccines which cost over $700 including administration costs while a developing country uses a schedule providing vaccines in the first 9 months of life and costing only $25. This difference is due to the lower cost of health care, the lower cost of many vaccines provided to developing nations, and that more expensive vaccines, often for less common diseases, are not utilized.
In 1900, the smallpox vaccine was the only one administered to children. By the early 1950s, children routinely received three vaccines, for protection against (diphtheria, pertussis, tetanus and smallpox), and as many as five shots by two years of age. Since the mid-1980s, many vaccines have been added to the schedule. As of 2009[update], the US Centers for Disease Control and Prevention (CDC) now recommends vaccination against at least fourteen diseases. By two years of age, U.S. children receive as many as 24 vaccine injections, and might receive up to five shots during one visit to the doctor. The use of combination vaccine products means that, as of 2013[update], the United Kingdom’s immunization program consists of 10 injections by the age of two, rather than 25 if vaccination for each disease was given as a separate injection.
Autism is a neurodevelopmental disorder characterized by impaired social interaction, verbal and non-verbal communication, and restricted and repetitive behavior. Parents usually notice signs in the first two years of their child’s life. The signs typically develop gradually, but some children with autism will reach their developmental milestones at a normal pace and then regress.
It has long been presumed that the cause of Autism is genetic. But now environmental factors that have been claimed to contribute to or exacerbate autism, or may be important in future research, include certain foods, air pollution, infectious diseases, solvents, diesel exhaust, PCBs, phthalates and phenols used in plastic products, pesticides, brominated flame retardants, alcohol, smoking, illicit drugs, and … vaccines .
Controversies surround many of these environmental causes; for example, medical stakeholders posit that the vaccine hypotheses are biologically implausible and have been disproven in scientific studies.