Monday, April 9, 2007

The Fear of Aging in an Organic World

Being a bit of a libertarian I have a natural aversion to government programs. I suppose it is ancestral. My family did not come to Arizona 125 years ago because they are conformists. Nonetheless, there are some things that government must handle because the marketplace does not and cannot reflect the true costs. Take the environment for example. One cannot put an immediate, quantifiable value on clean air, clean water and clean land regardless of what hydrologists or the preeminent carbon trader Al Gore will tell you. Well, maybe land, but even that is inextricably linked to the air and water issues. Regulation is definitely called for.

Making our own decisions carries the burden of getting the right data. In our complex world this might seem impossible for the average person without the aid of government, but that is where any number of private sector organizations arise to fill in the technical and practical gaps in information; the American Consumers Union, the NAACP, Creative Commons, groups like that. To be sure, people are not going to self organize without some kind of ax to grind. But I would much rather get my info from a group with a clear, well-stated agenda than from the political process where data becomes forcemeat as it is grinds through the well-funded fists of platforms and political agendas.

What I have observed in my years inside and outside of the government is that just as sure as death and taxes any regulatory scheme is going to come complete with unintended consequences. And as a consequence, the more regulated an area becomes the less able we are to progress. Regulation stifles creativity and critical thinking and removes the aspect of practicality. This is evident in two distinct areas of which I became aware just this week: organic coffee and assisted living facilities.

The Food and Drug Administration is in charge of regulating the use of the word organic in connection with the sale of food items. Truth in labeling and that sort of thing--noble cause, right? It seems that the agency has recently proposed a rule change that will require every coffee producer world-wide to be subject to a certifying inspection by the FDA in order make the claim it is organic. Sounds sensible, right? Well, maybe if you are the FDA inspector who is going to get the boondoggle trips to exotic climes in order to make these inspections. How do I get that job?

The inspection and certification used to be accomplished by grower organizations who arose in the marketplace to self regulate and provide the consumer with the data they needed in order to make that organic coffee purchase. Suddenly, apparently, we don’t trust them so we need the reliable federal government to take on the task. Why? What horrors have occurred to justify this?

Instead of making the marketplace more reliable, this regulation will stifle commerce and put any number of coffee growers out of business. When you operate in a marginally profitable world such as agriculture (see government subsidies) any added expense can put you over the edge. I have seen this in action. As a former member of a CSA (community supported agriculture) I subscribed to a local farm and received a weekly share of the glorious fresh herbs, fruits and vegetables produced by the able hands of Charlie the farmer. I toured the place and knew for a fact that he used no chemicals and ably worked within the ecosystem to produce a wide range of seasonal produce. But Charlie could not use the word organic when he spoke about his product. You see organic now only has meaning if some government agent breathes life into it. Without that blessing, the word had to be deleted from every dictionary in Charlie’s farmhouse. You see Charlie simply could not afford to go through the lengthy and costly process of organic certification. Seems a bit Orwellian don’t you think? Imagine explaining this to a Sumatran coffee producer! Needless to say, Charlie eventually threw in the rake and moved on. I miss his handiwork desperately.

We also have a very specific system of regulating care in assisted living facilities. After all these people are out to make a profit off of the elderly who are unable to care for themselves. They cannot be trusted to do this in a safe and efficient manner unless we are there to tell them every step of the way just how to do their jobs. As a baby boomer I am completely traumatized by the thought of living like this which is enough to drive me to the gym 3 nights a week and to people like Charlie for my food. Now someone has come along with some innovative ideas on how to improve the nature of assisted living. But, they are so hampered by the existing regulatory system any creative suggestion for progress is limited by some generally enacted but specifically applied regulation. The example in the article was that some people can’t swallow pills but it takes a specific order from a doctor to allow smashing them into applesauce for ingestion. Is this a proper use of a doctor’s time? Not to mention the costs associated with making the appointment, providing the transportation, the copay and the loss of opportunity for the transporter, patient and doctor to be doing something actually useful.

Doctor Atul Gawande was extolling his new book Better: A Surgeon's Notes on Performance on the radio the other day. Inherent in his message about the reasons why 15% of the time doctors make erroneous diagnoses and why it took 45 years to find a way to truly reduce the spread of infection in hospitals via unclean hands, it dawned on me that his observations are examples of the regulatory sickness that has infected our society.

Just consider any number of the bills brought forth in the legislature every year. Do we really need more laws? Are we really incapable of doing anything properly without being given explicit instructions and then being watched over like children? And that presumes that government will ever have the actual budgets to adequately perform all these tasks.

You can’t call something organic unless someone lets you, even if you spell it without a capital O. No wonder so many seemingly intelligent people today cannot separate black and white. We have colored it all a very dismal shade of gray. And I live in fear that when my hair reaches that color and I am stuck in some regimented facility without enough resources to timely change my diaper I won’t really care if my coffee is organic or otherwise. Getting old is scary.

1 comment:

Dr. Leonid Gavrilov, Ph.D. said...

Thank you for your interesting post!
I thought perhaps you may find this related post about new article by Atul Gawande interesting to you:
Longevity Science: The Way We Age
http://longevity-science.blogspot.com/2007/04/way-we-age.html