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Medicine

Ebola Does Not Require an "Ebola Czar," Nor Calling Up the National Guard 384

Lasrick writes: David Ropeik explores risk-perception psychology and Ebola in the U.S. "[O]fficials are up against the inherently emotional and instinctive nature of risk-perception psychology. Pioneering research on this subject by Paul Slovic, Baruch Fischhoff, and others, vast research on human cognition by Daniel Kahneman and colleagues, and research on the brain's fear response by neuroscientists Joseph LeDoux, Elizabeth Phelps, and others, all make abundantly clear that the perception of risk is not simply a matter of the facts, but more a matter of how those facts feel. ... People worry more about risks that are new and unfamiliar. People worry more about risks that cause greater pain and suffering. People worry more about threats against which we feel powerless, like a disease for which there is no vaccine and which has a high fatality rate if you get it. And people worry more about threats the more available they are to their consciousness—that is, the more aware people are of them."
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Ebola Does Not Require an "Ebola Czar," Nor Calling Up the National Guard

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  • Politics (Score:4, Insightful)

    by pubwvj ( 1045960 ) on Tuesday October 21, 2014 @06:48PM (#48199873)

    If having a Czar will concentrate more power in their hands then a Czar is what they'll create. We already have the CDC. If this were about solving disease problems then the President would give the CDC more funding if they needed it. This is not about solving problems but about power.

    • If having a Czar will concentrate more power in their hands then a Czar is what they'll create.

      Czar's are usually there to be completely ineffective and take the fall when side A politically leverages hindsight and/or the situation that they themselves have helped create against side B.

      Don't be a Czar, it won't end well for you.

      • I was thinking they set up a fall guy, just in case.

        It's going to be so obvious though, in hindsight, if it turns out they need a fall guy. It's kind of obvious now.

        But really, people are going to fall for that? Blame the shrub that Obama set there in front of us? Too obvious.

        • As soon as any government appoints a Czar, you know that they know bad things are going to happen.

          Usually:
          * The person has little actual power
          * They are allocated minimal resources
          * Decisions come from the people above
          * Blame falls upon the Czar's shoulders
          * Appointing a Czar makes it look like you're doing something, even though you don't actually have to know what you're doing
          * Almost inevitably the Czar resigns or is fired later for being ineffective - because they were never actually there to do anythin

          • by jd2112 ( 1535857 )

            As soon as any government appoints a Czar, you know that they know bad things are going to happen.

            Usually: * The person has little actual power * They are allocated minimal resources * Decisions come from the people above * Blame falls upon the Czar's shoulders * Appointing a Czar makes it look like you're doing something, even though you don't actually have to know what you're doing * Almost inevitably the Czar resigns or is fired later for being ineffective - because they were never actually there to do anything or even empowered to do anything

            When you see a Czar being appointed you should immediately think, "they know the outcome here has a high probability of being very damaging politically, likely because they either don't have the answers and they know it, or the answers they have point to a very unpopular outcome".

            That's not being cynical, it's just reality.

            Just look at what happened to the last Czar they appointed in Russia...
            (I think there's a 'In Soviet Russia' joke in there somewhere, but I'm not going to say it.)

      • I know!

        Let's declare war on Ebola!

      • Tsars are needed because they create the conditions necessary for Socialist revolution. Well, at least one of them, anyway,

    • by Zynder ( 2773551 ) on Tuesday October 21, 2014 @07:15PM (#48200109)
      Would all of this talk about a Czar be an end run around the current problem of the Repubs blocking all nominations for a Surgeon General? Maybe that's the only way the administration feels they can have a real working department head?
    • If this were about solving disease problems then the President would give the CDC more funding if they needed it.

      Did they change the Constitution last week and give the President the power to budget government money? Why wasn't I told about this?

      • The funny thing is it's the cut in NIH funding that means we don't have vaccines, not the cut in CDC funding, which only manages it after it spreads.

        CDC means Center for Disease Control

        NIH means National Institute for Health

        That and the cut for health care in Texas that increased the risk factors.

      • by AK Marc ( 707885 )
        No, you never understood it. Congress sets the budget. The Executive executes it. If the budget gives $10 to shoes and $100 to purses, then the executive can spend $10 on purses and $100 on shoes, and call the shoes purses, and the purses shoes. That's the way it works in the private sector, and that's where the government minions learned their tricks.
    • Re:Politics (Score:5, Informative)

      by tsotha ( 720379 ) on Tuesday October 21, 2014 @07:57PM (#48200369)

      First of all, we already have a "Czar" for this sort of thing. Her name is Dr. Nicole Lurie. That's the real reason we don't need a "Czar" - we already have one.

      Secondly, the president can't give the CDC more funding. That's Congress's job.

      Thirdly, in the last fifteen years the CDC budget has doubled, so they already have plenty of money. In fact, they have too much money, which has allowed them to ignore their primary mission and go off and do things like stump for gun control, study why lesbians get fat and gay men don't, and determine most monkeys are right handed.

    • The President can't unilaterally increase CDC funding. He has extremely broad discretion in moving funds around (the check on his power to cut one program's budget and use it for his pet priorities is not that he can't do that shit; it's that Congress would freak out and zero out said pet priorities budget next year), but he can't just add a bunch of money to the CDC.

      The Republican House almost certainly claims that if they'd gotten Romney the CDC would have been adequately funded, but the tend to define "a

    • Simpsons Did It [wikipedia.org]. Anyone remember the Bear Patrol?

  • by Overzeetop ( 214511 ) on Tuesday October 21, 2014 @06:51PM (#48199895) Journal

    Look, every idiot out there wants to see a "response". Take anyone below the 90th percentile a they won't have the intellectual ability to process any probability less than 1 in 4. It's like the entire airline screening process - people feel safer if they see someone doing something. In reality it does little or no good, but until you figure out how to instantly make people smarter and less gullible you will get irrational panic and calls to "do something."

  • by peragrin ( 659227 ) on Tuesday October 21, 2014 @06:53PM (#48199913)

    More americans have married Kim Kardashian than have died from Ebola.

    And what is the land of the free creating more czar's for? a czar answers to no one. Instead how about we make the people in charge responsible for their actions. oh wait congress can never take responsibility for their failures.

    • Both Ted Kennedy and Tony Stewart have killed more Americans than Ebola.

  • by Attila Dimedici ( 1036002 ) on Tuesday October 21, 2014 @06:53PM (#48199919)
    The most effective counter to the epidemic of fear this article talks about is for the government to convince people that it is following an effective policy to address the dangers. Unfortunately, our politicians have gotten the idea that the best way to do that is to manage the "optics" of the situation. As a result, people are convinced that the government's responses to this danger are designed more to convince people that the government is doing the right thing that to actually DO the right thing.
  • Oh come on... (Score:3, Informative)

    by ErikTheRed ( 162431 ) on Tuesday October 21, 2014 @06:56PM (#48199943) Homepage

    The Obama Administration (and Bush / McCain / Romney would have been no better) looked around and were thinking ... hmmm... who could we appoint for this? An expert in epidemiology? Somebody with experience in coordinating the logistics of an emergency response? A useless public relations shill? Or an even more useless lawyer crony with connections to that epic success Solyndra?

    Yeah, that last one sounds about right. We'll go with that.

  • "Fear" (Score:5, Interesting)

    by Loopy ( 41728 ) on Tuesday October 21, 2014 @06:57PM (#48199947) Journal

    Fear is relatively easy to manage if you actually have, you know, the peoples' trust. Imagine that. Why, if the public was actually used to the government telling the truth (including telling them when something was actually potentially detrimental to national security, rather than using that as an excuse to obscure _everything_) I'll bet you could just be honest with them and people would be rather rational about the whole thing. Lie through your teeth and then blame it on your predecessors or people you have appointed and you get the current situation.

    Then again, who among us today has any experience in an environment where people were actually being honest, even a majority of the time, and especially in any governmental context? The closest you'd get to that today would be certain military units and small teams at companies.

    • If you don't want to believe what someone is saying is the truth, you will not trust them. Your opinion is set from sources you do trust, which does not necessarily have your best interests at heart. Politics- next election; news- next ad; military- next budget; church- blind following; nobody is impartial.

      What you can control is your own behaviors to ensure the people you trust have common goals that are important to you. A Talking Head can never be in that position. Seek out experts...

  • by chromaexcursion ( 2047080 ) on Tuesday October 21, 2014 @07:03PM (#48200007)
    The fools are yelling for an Ebola Czar.
    Perhaps filling the position of Surgeon General would be simpler. Controlling the spread of disease is one of the functions of that office.
    But, approving the the candidate for the office would require the Senate to actually do something.
    • Re: (Score:2, Informative)

      by Anonymous Coward

      The NRA won't approve Obama's candidate for office because he wants to add black box warnings to guns "WARNING: The Surgeon General reports that guns can kill you".

    • by Attila Dimedici ( 1036002 ) on Tuesday October 21, 2014 @07:30PM (#48200201)
      The only qualifications the man whom Obama has nominated for the post has for the post is that he has unwaveringly supported Obama. In doing so, he has advocated for politicizing a position which has traditionally been as non-political as possible (there have been Surgeon-Generals in the past who took political stances on public health issues, but everyone agreed that they were public health issues, this guy appears to want to use "public health" to advance his political agenda). As a result, the Democrats in the Senate are unwilling to support his nomination (the Republicans positions are irrelevant since they cannot stop the Democrats from confirming him no matter what they do).
    • by Tailhook ( 98486 ) on Tuesday October 21, 2014 @08:12PM (#48200427)

      Reid has 55 (D) votes and it only needs 51 to confirm, so put the blame where it belongs.

      Why is there no surgeon general? [washingtonexaminer.com]

      Short answer: Obama's nominee is a political disaster; a highly partisan anti-gun obamacare cheerleader that the Dems know better than to expose to the confirmation process in an election year.

  • by CaptainDork ( 3678879 ) on Tuesday October 21, 2014 @07:06PM (#48200043)

    You don't have to be a risk-perception psychologist to get what's going on.

    Nutty people said, "Do something!!!!"

    So we have a czar.

    FTFY

  • Yes, it's the fear of Ebola that's the bigger practical problem. However, the remedy for that fear is precisely doing things like declaring an Ebola 'Czar' and promising to deploy the National guard 'if necessary'. Note they didn't actually call up the national guard, just promised the obvious, if the national guard is warranted (it won't be) it will be called up. The nomination of a 'Czar' is pretty much free and convening ' a two-hour emergency meeting with every top federal official involved in public

  • It would go a long way if the US refused direct commercial flights to and from the countries with outbreaks, and refused entry to anyone that has been in one of those countries in the past 3 weeks. The exception would be for US citizens and they should go through quarantine.

    • by MightyYar ( 622222 ) on Tuesday October 21, 2014 @08:56PM (#48200603)

      I was just arguing that this is pointless. When I traveled to Israel, I requested that my visa be stamped on a removable sheet of paper to be stapled into my passport. I did this because I didn't want evidence of a trip to Israel when one of my next stops was Malaysia. If someone is trying to get from Liberia to the US, they will do so with no evidence of recently having been in Liberia.

      It's not as if there are huge numbers of flights to and from Liberia.

  • by onkelonkel ( 560274 ) on Tuesday October 21, 2014 @07:20PM (#48200165)

    We assumed we could easily handle Ebola if it came our way, because we are the most powerful and richest country on Earth. What we should have done is asked, "What are our weaknesses? Where is our medical system likely to fail?" Unfortunately we tend to suck at this kind of introspection. If we had asked, the most glaring weakness in our system, "Not everybody has medical coverage", might have been considered. Then when a sick black man recently arrived from West Africa came to the hospital without medical insurance we might have thought "EBOLA" and treated him right away, instead of thinking "poor Nigger, not gonna pay his bills" and sent him home with some Tylenol.

    • Indeed. Here's a breakdown of all the problems:

      1. Hubris. US government agencies (policymakers, public health officers, and elected officials) and private healthcare providers (hospitals) assumed that a substantial driving force for the spread of Ebola in West Africa is due to their lack of a developed healthcare system. In other words, these agencies thought that Ebola could be easily contained were it to occur in the US simply by taking appropriate precautions. That, as we have seen, is incorrect: t

  • by AaronW ( 33736 ) on Tuesday October 21, 2014 @08:19PM (#48200455) Homepage

    I wish they'd focus more on things like MRSA [cdc.gov] and KPC [wikipedia.org] which kills far more people in this country and are far more deadly. These diseases are easily spread and there is no cure for them. While not trying to diminish the cause to fight Ebola, frankly there are a lot of things far deadlier in this country that people should be worried about.

    The cases in Texas I think can be squarely blamed on incompetence from the Dallas hospital.

    In the case of KPC, Congress has basically put their head in the sand and handtied the CDC and FDA from effectively studying and fighting it, thanks to the livestock lobbies Frontline [pbs.org] has a good episode on this. It doesn't help that congress has cut the budget of the CDC significantly over the last decade and played politics to make it difficult to study and fight the causes.

    As it is, the CDC had to cut back on their research on Ebola due to the budget cuts and the delays in the worldwide community for fighting and funding the fighting of Ebola aren't helping matters either. If the Dallas hospital wasn't so incompetent, there's a good chance Thomas might have survived and nobody else would have become infected.

    • by the eric conspiracy ( 20178 ) on Tuesday October 21, 2014 @10:34PM (#48201013)

      Part of the problem with the recent agency flubs is lack of focus on the part of the agency, something that is the responsibility of Congress.

      For example the Secret Service was once a part of the Treasury Department, and had a relatively narrow set of missions. However with the creation of the monumental cluster fuck known as the DHS, the Secret Service was uprooted and badly placed under the DHS, then saddled with all sorts of diversions.

      Similarly the CDC has been loaded up with all sorts of ridiculous crap like being made responsible for bicycle lane safety and policing of farmers markets. This is a world leading organization that must function at the highest level possible. Loading it up with cruft will destroy it.

      Recently I've seen a lot of yammering about some of the people that are seen on TV including Freidman and Fauci, to the effect that they are incompetent and should be shown the door.

      I'm sorry but this makes me want to throw up. Anthony Fauci is one of the greatest Americans of this age. His work on HIV/AIDS has saved millions of lives. He is one of the most cited scientists in the world. It is disgusting that he should be subjected to the hysterical politics of the moment.

  • For those interested, I made a timeline of Ron Klain's life. [newslines.org]

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