The Iron Law and The National Health Service

We haven’t talked about the Iron Law for a while so here’s an example of its action on steroids. This story is about Britain’s National Health Service and their contemplated betrayal of their patients’ privacy. I’m an American so I see this through American eyes but I can’t imagine that my British cousins see it much differently.

Here in the U.S., the doctor/patient relationship is sacrosanct and can’t be pierced—except under extraordinary, very narrow conditions—even by the courts. It is, in fact, a crime to divulge medical information (see the HIPPA act). The NHS, on the other hand, has a sordid history of trying to grab patient data and sell it to third parties including, incredibly, Google.

In their latest attempted grab, the NHS has directed the Kingdom’s GPs to provide all their patients’ data to the service so that it can be made available to third parties for research purposes. Although the service has downplayed the significance of the actions, many GPs are alarmed and have vowed to refuse to comply. Patients can opt out (until June 23) but the program has received little attention and most are unaware of it. The Labour Party has called for a delay until patients can be informed.

It’s classic iron law: if the data is collected, it will be abused. In this case it’s worse. The data had to be collected to provide good health care to the people providing it. It makes it even worse that others would like to grab and sell it.

The U.S. and Britain have very different healthcare systems and neither side can understand the other’s insistence on their system’s superiority but I’m pretty sure we can all agree that selling patient data—whatever the reason—is wrong. It’s not that the NHS is malevolent; they’re pursuing a noble goal but they’re pursuing it with other people’s property. If they want the data, the least they can do is ask.

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Tramp Mode with Zsh

Lennart Karssen has a tip for those of you who use tramp and zsh. He observed that if zsh was running on the remote machine and he tried to open a file with Ctrl+x Ctrl+f long timeouts would occur making tramp essentially unusable.

It turns out that the problem involved the shell prompt on the remote machine and that a simple one-liner to .zshrc completely resolved the timeouts. If you’re having this problem, take a look at Karssen’s blog to see how to fix it.

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Red Meat Friday: Another One Sees The Light

Oh no! Those pesky Minions are at it again and have snuck another Light-mode/Dark-mode post into the queue. This time, MICROIDEATION recounts his journey from avid dark mode fan to the realization that, as Irreal keeps telling you, light mode is better.

MICROIDEATION was a true believer in dark mode. He configured it wherever it was available and eagerly awaited its implementation where it wasn’t. He admits that it was mostly about making himself feel cool. After a while, he realized that all the supposed benefits of dark mode were either illusory or flat out wrong. In particular, he discovered that

  • Dark mode is not easier on the eyes
  • Dark mode does not appreciably save on battery power
  • It has usability problems like hard to read fonts and, really, it doesn’t look as good as light mode.

Of course, these things are a matter of taste and everyone should feel free to use whatever theme they like. Still, once the dark mode fad has run its course, the Minions are going to be insufferable. You might want to get on the right side of history.

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Molding Emacs

Jeremy Friesen has an interesting post on how he uses Emacs to blog. That’s easy, right? Just use Org-mode and some Org → Blog interface such as Hugo or org2blog and you’ve automated away almost everything except the actual writing of the posts.

Except Friesen isn’t using Org to blog. He has some custom code that acts sort of like Org capture that prompts him for a title and builds a port stub that he can expand into a post. The idea is to make it easy for him to capture an idea for a blog post when he has it and come back to the actual writing later. He’s molded Emacs to fit his workflow.

It’s not that Friesen is against Org. He envisions that his blogging workflow will eventually become Org based but for the time being his current solution is working for him and he doesn’t want to spend resources solving a problem he doesn’t have.

Take a look at his post for the code he uses and a few more details on his blogging workflow. He has a follow on post that expands his code so check that out too if you’re interested in his approach.

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COVID-19: How We Got Here

In a nice coda to yesterday’s post on origin of COVID-19, Erik Hoel has an excellent Substack essay on the lab leak hypothesis that isn’t a just rehash of the known evidence but instead considers the larger question of how we got here. In yesterday’s post I made the point that regardless of whether COVID-19 was the result of a lab leak or not, an accident of that type was bound occur. Hoel agrees but fleshes the argument out by explaining why such an accident was inevitable.

Hoel’s article, Publish and Perish, looks at the broken incentive structure behind almost all scientific research. It results, he says, in scientists playing the “science game” rather than doing science. The science game is the constant competition for funding and the publishing of studies of often dubious value.

He considers the matter generally but as applied to virology it boils down to this: There are a finite number of natural viruses to study but if you can make new ones, you can generate an infinite number of research projects. Except, of course, you’re playing with dynamite. When you engineer viruses to be more infectious to humans, you run the risk that the virus will escape. Despite being a trope in end-of-the-world novels, such accidents are actually quite common and have resulted in deaths.

The conclusion is immediate and obvious: we have no business doing gain of function experiments. The risks are existential and the putative benefits have proved to be illusory. The only thing they’ve accomplished is to generate funding and advance the careers of those doing it. The canonical man on the street might not think that’s such a good bargain.

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Another Look At COVID-19’s Origin

Over at Vanity Fair, Katherine Eban has a very well researched article on the lab leak hypothesis for the origin of COVID-19. She interviewed more than 40 people and reviewed hundreds of pages of government internal memos, meeting minutes, emails, and other documents. Whatever the origin of the virus, the article paints a damning picture of the US Government, the Chinese Government, and a large number of the scientists involved.

The major takeaways from my first post on the matter were that

  • There are sound reasons to believe that a lab leak is a reasonable hypothesis that needs to be investigated.
  • No scientific argument against the lab leak hypothesis was adduced. Instead, those disparaging it settled for calling it ridiculous and a conspiracy theory. In other words, the objections were political not scientific.

Eban’s article provides further evidence for both those conclusions. There’s still no smoking gun to say that yes, the virus came from a lab leak but there’s overwhelming evidence that there was systematic obfuscation and covering up on the part of government officials and researchers.

When you look at those at the forefront of opposition to the lab leak hypothesis, they turn out to be either officials who supported the funding of gain of function research or the scientists doing the gain of function research. The fear on the part of these folks is neatly captured by a quote from Jamie Metzl:

“If the pandemic started as part of a lab leak, it had the potential to do to virology what Three Mile Island and Chernobyl did to nuclear science.”

The virologists and the bureaucrats whose careers were built on funding them were terrified about what would happen if the truth about what was going on got out. This is true whether or not COVID-19 was the inevitable accident that this type of research virtually guaranteed.

To me, the saddest thing about this is not that politicians lied—we expect that—but that scientists lied and did everything they could to short circuit research into what happened. Color me naive but I hold firm to be ideal that science is the search for truth. The heroes of this story are the scientists who risked their careers and public approbation to state the truth as they knew it. The same goes for those in the government who refused to be silenced and kept looking for that truth.

Eban’s article is long and packed with facts and some of the original documents but if you care about this story, it’s well worth your time.

Afterward

Today’s Wall Street Journal has an article that discusses a May 2020 classified report from the Lawrence Livermore National Laboratory that concluded the lab leak hypothesis was plausible and deserved further investigation. More evidence that the government always knew the origin of the virus was far from a settled question.

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Updating Emacs Packages from the Command Line

Tassilo Horn has a (very) short post on how he updates all his Emacs packages from the command line. It involves installing auto-package-update but after that it’s simply a matter of calling Emacs and running auto-package-update-now. It would be easy, for example, to set a cron job to update your packages at night when you’re not using the system.

His post is definitely worth a look if you have packages installed and like to update them regularly.

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An Org Setup

Over at Mt. Solitary, Clinton Boys has a post on his Org-mode setup. In it he describes how he uses Org-mode to manage all his writing and the rest of his life.

His basic layout is to divide his content into things that go into “normal” org folders and things that go into the folders associated with Org-roam. In addition to capturing tasks and events and adding them to his Agenda, he is meticulous about capturing his thoughts and observations and adding them to his Org-roam based Zettelkasten.

One unusual aspect of his workflow is that he publishes his blog and digital garden directly from Org-roam. Boys provided a link to his Emacs configuration so you can see exactly how he’s set things up if your interested.

As Boys says, he learned a lot from reading others peoples’ configurations and wrote his post in the hopes that others will benefit from seeing how he did things. He believes, as do I, that building your configuration from scratch by yourself rather than using an out-of-the-box configuration such as Doom or Spacemacs has the advantage of helping you learn and understand Emacs better.

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The EU’s Digital Wallet

Everyday I still forlornly check to see if Florida has gotten around to issuing their promised digital driver’s licenses but there’s still no joy. Instead, I just read that the EU is implementing a digital wallet that will hold all the official documents that an EU resident requires.

While the US can’t manage to get even a single state’s driver’s license implemented as a digital document, the EU s getting 27 countries to provide digital representations of a large number of necessary documents. To be fair, the EU digital wallet is still in the planning stage and is not expected to become available until at least 2022. And, of course, it’s much harder to do this sort of thing in the US. It was all we could do to standardize on Real ID and, as it is, there are still some holdouts.

To be sure, there are potential surveillance problems. This other article on the plan describes some of problems the EU digital wallet will have to solve. Florida’s Thales based digital license seems pretty good on privacy but good security hygiene demands constant vigilance. Still, digital IDs and documents are the future and there really isn’t any rational reason to drag our feet in getting them implemented. It’s nice that the EU is leading the way. Now if Florida would only start offering theirs.

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Some Workers Are Quitting Rather Than Go Back to the Office

There’s been a great deal of speculation during the pandemic about how the work environment will change as a result of the large scale working from home that COVID-19 required. Some pundits said that work would be changed forever; others said that at the end of the day, things would go back to the way they were before the pandemic.

Irreal’s feeling has always been that it’s a lot easier to deny people things they don’t have than to take away things they do. Remote work was probably always the future for so called “knowledge workers” but the micromanagers were able prevent it from gaining traction by refusing to let it start. Now—to use a cliché—the toothpaste is out of the tube and there’s no putting it back; Companies are going to find it hard to take away the option for remote work.

Supporting evidence is starting to emerge. According to a Bloomberg article, some workers are quitting rather than go back to the office. The statistics are startling: 39% of all workers said they would quit rather than give up working from home. Among younger workers it was 49%. Think about that. Half of young employees—the future of the workforce—will refuse to work for companies that insist they work in the office.

Not everyone likes remote work and those who don’t will need to be accommodated but trying to cram workers back in the office is appearing more and more like a fool’s errand. Managers are trotting out the same tired arguments they use for open offices: company culture, collaboration, … . No sensible person believes that silliness when it’s advanced it in support of employee-hostile open offices and they’re unlikely to believe it when managers use it to try to force them back into offices.

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