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Tag: New York City

Where “Little Flowers” Bloom – Two by Two

By MIKE MAGEE

What are the chances that citizens of New York, the largest city in the nation, would vote in a majority to oppose a formerly corrupt politician with a party machine behind him, and instead favor a little known candidate – the son of immigrant parents with “swarthy skin and belligerent independence,” from a suspect minority and religious heritage, who actively mixed music and politics, who seemed to come out of nowhere but be everywhere at once, and was ultra focused on “efficiency and honesty in municipal government?”

And what if that had occurred not once, but twice in the last century?

Certainly by now, the name Zohran Mamdani is already ringing in your ears. More on him in a moment. But let’s first travel back a century to introduce another candidate for mayor whose life and career presaged the modern day version.

His name was Fiorello La Guardia, and his remains were laid to rest on September 21, 1947 in Woodland Cemetery, a short distance from his home at 5020 Woodbridge Avenue in the Riverdale section of the Bronx. He died at age 64 from pancreatic cancer.

“The Little Flower” (a nickname that derived from his first name Fiore – Italian for flower) described his stature (5 foot 2 inches) but not necessarily his personality. The New York Times obituary described him “as much a part (of New York) as any of its public buildings” and “a little firebrand.”

By any measure, he was one of New York’s own, earning the morning of his death in 1947 the Fire Department’s 5-5-5-5 signal, a traditional bell code used to honor firefighters who have died in the line of duty.

An Italian immigrant, his father was raised a Catholic in Foggia, Italy, and his mother (from Trieste on the Italian/Croatian border) was Jewish.  Fiorello was born on the East Side of Manhattan on December 11, 1882, two years after his parents’ marriage in Italy. His father was a skilled musician and became the bandmaster for the U.S. Army. As a result, Fiorello was raised on multiple Army bases, and graduated from high school in Prescott, Arizona, a stone’s throw from Fort Whipple. Along the way, the father taught the son to play the banjo, cornet, and trumpet, and taught his sister, Gemma, to play violin, mandolin, and piano.

Skilled in languages (Yiddish, German, French, Italian), by the age of 20 Fiorello was employed by the US Consulate in Europe, and on return to the U.S. served as an interpreter on Ellis Island. Within a few years, he managed a Law Degree from NYU in 1910, and in 1914, at age 32 ran for U.S. Congress as a Republican, losing to the Tammany Hall’s Democratic candidate. Two years later, he won the seat even though Republicans initially supported another candidate. By 2018, he was re-elected but this time with Democratic support and declaring himself a “socialist.”

By 1933, Tammany Hall and its leader, NYC Mayor Jimmy Walker, were out, clearing the way for Fiorello. He ran with the support of a complex coalition of German American Republicans, Democratic reformers, Socialists, middle-class Jews, and Italians who in the past had aligned with Tammany Hall.

He came into the Mayor’s office in 1934 good to go. He had promised work relief for the unemployed, merit-based civil service, efficiency over corruption, and a focus on infrastructure including expanded housing, transportation and parks. Robert Moses was the head of his Parks department, a post he held until 1960. His vocal support during the election for FDR paid off handsomely. Fully 20% of the entire national Civil Works Administration (CPA) budget was allocated by FDR to New York City. In return, he delivered his Labor Party’s (which he helped organize) support to FDR in his Presidential elections in 1936, 1940 and 1944.

One of his main achievements was the maintenance of the Office of Price Administration which placed limits on pricing of food, rents, and other necessities. By the time he stepped down on December 31, 1945, “Tammany Hall had been reduced to a shadow.”

Eight decades later, an independent minded, gifted politician, also occasionally self-defined a “socialist” bucked his own political establishment and soundly defeated the modern version of a Democratic Tammany candidate, Andrew Cuomo, surprising many, but not all political pundits. His name is Zohran Mamdani.

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We’re All In The Hot Seat Now.

BY MIKE MAGEE

It’s not that easy living in the “Big Easy” these days and co-existing with a world dominated by water concerns. When Times-Picayune gossip columnist Betty Guillaud (as the folklore goes) “coined New Orleans’ undisputed nickname” in the 1960’s, it was a lifestyle eponym meant to favorably contrast life in “The Big Easy” with hard living in “The Big Apple.”

That was well before August 23, 2004, when the levies failed to hold back the Gulf waters, and 1,392 souls perished leaving two names to last in infamy – Katrina and Brownie, of “Brownie, you’re doing a heck of a job” fame.

Now it’s not as if it’s been all smooth sailing for New York City and water. I mean, look at the history. When the British overran the Dutch in 1667, one of the first priorities was to dig the first public well and include a marvelous technologic attachment – a hand pump. That was in front of an old fort at Bowling Green, near Battery Park.

But by the early 1700s, the absence of a sewage system and saltwater intrusion from the Hudson and East Rivers, plus a crushing population explosion, had foiled the clean water supply. The solution – temporary at best – haul in fresh groundwater, in limited quantities, from Brooklyn.

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Why I’m Starting a Radically Different Kind of Medical Practice

Screen Shot 2014-12-29 at 11.03.12 AMWe hear a lot about how US medicine is broken, from how much we spend annually ($4 trillion) for unimpressive outcomes, to the growing epidemic of obesity and diabetes, to problematic financial models, to the growing malaise amongst doctors.

Across US health care, a lot of smart people are crafting solutions to these problems, but in my view the reality is that many of them are generating efficiencies on top of a broken product.

The real problem is that conventional primary care as it’s practiced today no longer serves the needs of most people, be they wealthy or under-served, be they patient or provider.

I am starting Parsley Health, a new kind of medical practice that directly addresses these problems, first by providing something called Functional Medicine rather than traditional primary care, and second by providing functional medicine in a tech driven, modern and affordable way.

What is Functional Medicine?

I became a functional medicine doctor because early on I recognized two major limitations of the conventional medicine.

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Is It Possible to Catch Ebola From the Media?

flying cadeuciiThat pesky Ebola bug is not done with us yet.

Apparently not satisfied with inflicting havoc in Texas for two weeks and causing a major panic, the publicity-hungry Ebola virus set its sights on the media capital of the world on Thursday.

The latest Ebola case is a New York City Doctor. A specialist in international medicine at New York Presbyterian Hospital, Dr. Craig Spencer had been working with Ebola patients for the French relief agency Doctors Without Borders.

New York City health officials are conducting contact tracing to find people who may have had contact with Dr. Spencer.

The bad news?

New York City being New York City,  Spencer took the the subway from his apartment on West 143th street in Harlem to a Brooklyn bowling alley the night before his fever spiked.  That’s led to speculation that he may have inadvertently exposed a lot of people. Public health health officials are now tracing Spencer’s contacts to find potential “high risk” cases.

Our talking points:

Is It Possible to Catch Ebola on the Subway? 

No. Yes. Maybe.

Unfortunately,  in reality we don’t know, although we’re pretty sure we do.  Current CDC guidelines are based on the assumption that Ebola only becomes contagious when symptoms present and the patient enters the high fever stage.

Via Controversies at Hospital Infection Prevention:

Those at risk for Ebola are healthcare workers who have cared for Ebola patients (whether here or in West Africa). Not mall-goers, bowlers, subway riders, or those who might have been in an airport terminal on the same day as an asymptomatic Ebola patient. The greatest transmission risk is borne by those who provide direct care for Ebola patients during severe illness, when viral shedding is very high.

There’s a lot of evidence to support this argument. There have been cases of symptomatic Ebola patients traveling by airplane, bus and other modes of transportation without spreading the disease.  That’s somewhat reassuring.

On the other hand, it is not exactly compelling statistical evidence of anything other than that some people travelled with an Ebola patient and did not develop Ebola.

We need to work with  much larger numbers before we know for sure.  The good news?

Now that Ebola has arrived in a city of eight million people, we’re now going to have them.

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An AIDS-Free Future Requires More Than Medicine

Ruth MessingerIn 1985, during the height of the AIDS crisis in New York City, I was elected to the New York City Council. Time and again, I felt heartbroken as my friends and constituents lost their lives to a deadly disease without a cure. Too frequently, they suffered the effects of ignorance, fear and hate.

Now, nearly 30 years later, advances in biomedical treatment have been stunning in their power to achieve an AIDS-free future. But the truth is that prejudice and fear are as persistent as HIV. Medicine alone cannot deliver the future we seek. Even as we celebrate the scientific discoveries and treatments that dramatically reduce HIV transmission and death, we should not delude ourselves into thinking that a biomedical solution can overcome the devastating effects of bigotry. If, as the United Nations agency UNAIDS urges, we wish to get to zero—zero discrimination, zero new infections, and zero deaths—we must take an integrated approach that combines biomedical treatment and an enduring commitment to human rights.

Without a doubt, medicine is working. As of September 30, 2013, the United States’ program, PEPFAR, is currently supporting life-saving antiretroviral treatment for 6.7 million men, women, and children worldwide. This exceeds President Obama’s 2011 World AIDS Day goal of 6 million people on treatment—a four-fold increase (from 1.7 million in 2008) since he took office. But, unfortunately, the World Health Organization predicts that 50 million people will need treatment for HIV by 2030. This means we face a tremendous uphill climb and must somehow identify between $22 and $24 billion—a truly ambitious financial target.

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Mayor Bloomberg’s Soda Ban Proposal Hits the Wall

Yesterday, New York City Mayor Michael Bloomberg announced a ban on sales of sugary drinks larger than 16 ounces in restaurants, delis, sports arenas, and movie theaters.

The reactions have been ferocious, and not only from the soda industry, which placed an ad in the Times (see below).

The New York Times also weighed in with an editorial arguing that the mayor has now gone too far and should be sticking to educational strategies.

Alas.  If only educational strategies worked.  But they do not.

We know this from what it took to discourage people from smoking cigarettes.  We also know this from research on eating behavior.  This shows that it doesn’t take much to get people to eat too much.

Just barrage us with advertising, put food within arm’s reach, make food available 24/7, make it cheap, and serve it in enormous portions.

Faced with this kind of food environment, education doesn’t stand a chance.

That’s the point the Mayor’s proposal is trying to address, however clumsily.  After all, a 16-ounce soda is two servings.

Sugary drinks—especially large ones—make sense as a target for a portion size intervention.

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