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Random surgeon bloviating

@gorskon

A not-so-humble, sometimes pseudonymous surgeon and skeptic.
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I have to talk about Chester Arthur. His story makes me go crazy. A mediocre president from the 1880s who's completely forgotten today has one of the best redemption stories I've ever heard and I need to make people understand just how cool his story is.

So, like, he starts out as this idealist, okay? He's the son of an abolitionist minister and becomes famous as a New York lawyer who defends the North's version of Rosa Parks whose story desegregates New York City's trolley system.

Then he starts getting pulled into politics and becomes one of the grimiest pieces of the political machine. He wants money, power, prestige, and he gets it. He becomes the right-hand man of Roscoe Conkling, the most feared political boss in the nation, a guy who will throw his weight around and do the most ruthless things imaginable to keep his friends in power and destroy his enemies.

Because Arthur's this guy's top lackey, he gets to be Controller of the Port of New York--the best-paying political appointment in the country, because that port brings in, like, 70% of the federal government's funds in tariffs. He gets a huge salary plus a percentage of all the fines they levy on lawbreakers, and because he's not afraid to make up infractions to fine people over, he is absolutely raking in the dough. Making the rough equivalent of $1.3 million a year--absolutely insane amounts of money for a government position. He's spending ridiculous sums on clothes, buying huge amounts of alcohol and cigars to share with people as part of his job recruiting supporters to the party, going out nearly every night to wine and dine people as part of his work in the political machine. He's living the high life. Even when President Hayes pulls him from his position on suspicions of fraud, he's still living a great life of wealth, power, and prestige.

Then in 1880, his beloved wife dies. While he's out of town working for a political campaign. And he can't get back in time to say goodbye before she dies. Because he's a guy who has big emotions, it absolutely tears him up inside, especially because Nell resented how much his political work kept him away from home. He has huge regrets, but he just moves in with Roscoe Conkling and keeps working for the political machine.

And then he gets a chance to be vice president. The Republican Party has nominated James Garfield, a dark horse candidate who wants to reform the spoils system that has given Conking his power and gave Arthur his position as Port Controller. Conkling is pissed, and he controls New York, and since the party's not going to win the election without New York, they think that appointing Conkling's top lackey as vice-president will pacify him.

They're wrong--Conkling orders Arthur to refuse--but Arthur thinks this sounds like a great opportunity. The only political position he's ever held is Port Controller--a job he wasn't elected to and that he was pulled from in disgrace. Vice President is way more than he could ever have hoped for. It's a position with a lot of political pull and zero actual responsibilities. He'll get to spend four years living in up in Washington high society. It's the perfect job! Of course he accepts, and Conkling comes around when he figures out that he can use this to his advantage.

When Garfield becomes president, Arthur does everything he can to undermine him. He uses every dirty political trick he can think of to block everything that Garfield wants to do. He refuses to let the Senate elect a president pro tempore so he can stay there and influence every bill that comes through. He all but openly boasts of buying votes in the election. He's so much Conkling's lackey that he may as well be the henchman of a cartoon supervillain. On Conkling's orders, he drags one of Garfield's Cabinet members out of bed in the middle of the night--while the guy is ill--to drag him to Conkling's house so he can be forced to resign. He's just absolutely a thorn in the president's side, a henchman doing everything he can to maintain the corrupt spoils system.

Then in July 1881, when Arthur's in New York helping Conkling's campaign, the president gets shot. By a guy who shouts, "Now Arthur will be president!" just after he fires the gun. Arthur has just spent the past four months fighting the president tooth and nail. Everyone thinks he's behind the assassination. There are lynch mobs looking to take out him and Conkling. The papers are tearing him apart.

Arthur is absolutely distraught. He rushes to Washington to speak with the president and assure him of his innocence, but the doctors won't let him in the room. He gets choked up when talking to the First Lady. Reporters find him weeping in his house in Washington. Once again, death has torn his world apart and he's not getting a chance to make amends.

Arthur goes to New York while the president is getting medical treatment, and he refuses to come to Washington and take charge because he doesn't dare to give the impression that he's looking to take over. No one wants Arthur to be president and he doesn't want to be president, and the possibility that this corrupt political lackey is about to ascend to the highest office in the land is absolutely terrifying to everyone.

Then in August, when it's becoming clear that the president is unlikely to recover, he gets a letter. From a 31-year-old invalid from New York named Julia Sand. A woman from a very politically-minded family who has been following Arthur's career for years. And she writes him this astounding letter that takes him to task for his corrupt, conniving ways, and the obsession with worldly power and prestige that has brought him wealth and fame at the cost of his own soul--and she tells him that he can do better. In the midst of a nationwide press that's tearing him apart, this one woman writes to tell him that she believes he has the capacity to be a good president and a good man if he changes his ways.

And then he does. After Garfield dies, people come to Arthur's house and find servants who tell them that Arthur is in his room weeping like a child (I told you he had big emotions), but he takes the oath of office and ascends to the presidency. And he becomes a completely different man. His first speech as president mentions that one of his top priorities is reforming the spoils system so that people will be appointed based on merit rather than getting appointed as political favors with each change in the administration. Even though this system made him president. When Conkling comes to Arthur's office telling him to appoint his people to important government positions, Arthur calls his demands outrageous, throws him out, and keeps Garfield's appointees in the positions. "He's not Chet Arthur anymore," one of his former political friends laments. "He's the president."

He loses all his former political friends. He's never trusted by the other side. Yet he sticks to his guns and continues to support spoils system reform. He prosecutes a postal service corruption case that everyone thought he would drop. He's the one who signs into law the first civil service reform bill, even though presidents have been trying to do this for more than ten years, and he's the person who's gained all his power through the spoils system. He immediately takes action to enforce this bill when he could have just dropped it. He becomes a champion of this issue even though it's the last thing anyone would have expected of him.

He oversees naval reform. He oversees a renovation of the White House. He still prefers the social duties of the presidency, but he's respectable in a way that no one expected. Possibly because Julia Sand keeps sending him letters of encouragement and advice over the next two years. But also because he's dying.

Not long after ascending to the presidency, he learns he's suffering from a terminal kidney disease. And he tells no one. He keeps going about his daily life, fulfilling his duties as president, and keeps his health problems hidden. Once again, death is upending his life, and this time it's his own death. He's lived a life he's ashamed of, and he doesn't have much time left to change. He enters the presidency as an example of the absolute worst of the political system, and leaves it as a respectable man.

He makes a token effort to seek re-election, but because of his health problems, he doesn't mind at all when someone else gets the nomination. He dies a couple of years after leaving office. The day before his death, he orders most of his papers burned, because he's ashamed of his old life--but among the things that are saved are the letters from Julia Sand, the woman who encouraged him to change his ways.

This is an astounding story full of so many twists and turns and dramatic moments. A man who falls from idealism into the worst kind of corruption and then claws his way back up to decency because of a series of devastating personal losses and unexpected opportunities to do more than he could have ever hoped to do. I just go crazy thinking about it and I need you all to understand just how amazing this story is.

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So we have another group of puppies to foster. It’s just three this time, and they’re eight weeks old. That means they’re ready to adopt and we probably won’t have them long. But, damn, they’re cute. https://www.instagram.com/p/Cc3X1fqrhI4/?igshid=NGJjMDIxMWI=

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A risible attack on "scientific gatekeeping"

A risible attack on “scientific gatekeeping”

Longtime readers might remember a humorous (I hope) shtick that I used to employ from time to time when I encountered a fellow physician—or, worse, a fellow surgeon—spewing science denial. The vast majority of the time, back in those early heady days of this blog, what provoked this shtick was seeing a surgeon spew creationist nonsense denying the theory of evolution. So what was this shtick? In…
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Bioethics recycles old antivax tropes about COVID vaccines for children

Bioethics recycles old antivax tropes about COVID vaccines for children

Regular readers might be getting tired of my pointing out how there’s nothing new under the antivax sun in terms of deceptive arguments, conspiracy theories, and tropes designed to argue against vaccinating. However, the COVID-19 pandemic introduced these talking points to a much large audience than had ever seen them before so I considered it my duty to educate our readers and to point out that…

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Yet another negative ivermectin study, this time in the NEJM

Yet another negative ivermectin study, this time in the NEJM

When last I wrote about ivermectin, the antihelminthic (anti-worm) medication that COVID-19 conspiracy theorists have been portraying (and some selling) as a miracle cure for COVID-19, I compared the drug to acupuncture. Specifically, I noted how, now that large quantities of high quality clinical evidence from various studies has failed to find even a whiff of a hint of a signal that it works,…

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These days, ivermectin reminds me of acupuncture

These days, ivermectin reminds me of acupuncture

I’m getting tired of writing about ivermectin as a “miracle cure” for COVID-19, just as in 2020 I got tired of writing about hydroxychloroquine as a miracle cure for COVID-19. Oddly enough, as high-quality evidence accumulated that hydroxychloroquine doesn’t work, it faded in importance such that by early 2021 it was no longer the preferred wonder drug among COVID-19 conspiracy theorists.…

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Gov. Ron DeSantis further embraces the Great Barrington Declaration by appointing Dr. Joseph Ladapo as Florida Surgeon General

Yesterday, @GovRonDeSantis appointed Dr. Joseph Ladapo, an apostle of the @gbdeclaration's eugenics lite "focused protection" approach to #COVID19, as Florida Surgeon General. This is a disaster for Florida and a triumph of "COVID contrarian" physicians.

I’ve written several times about the Great Barrington Declaration (GBD), a statement released by three COVID-19-minimizing scientists, Dr. Sunetra Gupta (University of Oxford), Dr. Martin Kulldorff (Harvard University) and Dr. Jay Bhattacharya (Stanford University). Named after the Massachusetts town where the American Institute of Economic Research (AIER, the libertarian “free market” think tank…

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The Centner Academy: A private school run by wealthy COVID-19 conspiracy theorists

David and Leila Centner run an expensive private school in Miami that shows what happens when antivaxxers and #COVID19 conspiracy theorists educate children. Its health teachings are dominated by quacks like Sayer Ji and Kelly Brogan.

Last week, there was a story that, one would think, would be custom made for a heaping helping of not-so-Respectful Insolence. Unfortunately, life being life and with all the other affronts to science going on at the time, somehow I never got around to looking into the story, other than a brief mention in another post in my not-so-secret other blog. I must admit that it bothered me. Then a reader…

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ICAN's disingenuous legalistic war on state departments of health over COVID-19 vaccination messaging

Antivaccine propagandist @delbigtree's @ICANdecide is waging a legalistic war on efforts by @MichiganHHS and @NYStateofHealth to promote #CovidVaccine based on attacking them for "false advertising." State departments of health need to be careful.

Regular readers are no doubt familiar with the Informed Consent Action Network (ICAN), the legal and propaganda arm of Del Bigtree‘s antivaccine empire. It just so turns out that I’m on ICAN’s email list, because I’m on a lot of quack and antivaccine email lists, the better to monitor what the disinformation peddlers are doing every day in their relentless effort to degrade public health,…

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CCDH report shows that antivaxxers coordinate COVID-19 vaccine fear mongering

The Center for Countering Digital Hate has published a report showing antivaxxers have been coordinating their #CovidVaccine messages. All of these messages are old antivax messages repurposed and updated for the pandemic.

Earlier this week, I wrote about how an investigation by the Center for Countering Digital Hate (CCDH) had revealed how antivaccine groups, including the most prominent ones like Robert F. Kennedy, Jr.’s Children’s Health Defense and Barbara Loe Fisher’s National Vaccine Information Center (NVIC), had received hundreds of thousands of dollars from the federal government through the Paycheck…

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RFK Jr. doesn't like being called antivacine and antimask

Poor, poor pitiful @RobertKennedyJr. He's angry—so very, very angry—because Terry Gross had @PeterHotez on @nprfreshair, who correctly called him #antivaccine and #antimask.

RFK Jr. (a.k.a. Robert F. Kennedy, Jr.) has long been antivaccine. Indeed, he rapidly became a prominent figure in the antivaccine movement in 2005. That was when when his publication of Deadly Immunity simultaneously in Salon.com and Rolling Stone (to their eternal shame, a shame I will never stop reminding them of) popularized the Simpsonwood conspiracy theory, which posited that in 2000 the…

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Even in a deadly pandemic germ theory denial persists

As hard as it is to believe, in the middle of a global pandemic that’s claimed so many lives and so thoroughly disrupted society, there are people who still deny germ theory. How can this be?

If there’s one thing that those of us who have been struggling to counter medical misinformation, quackery, and antivaccine pseudoscience frequently encounter, it’s people, particularly medical professionals and scientists, who have a hard time believing us when we describe just how unscientific, pseudoscientific, and just plain conspiracy-addled various beliefs underlying alternative medicine…

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Andrew Wakefield spews nonsense about how the COVID-19 vaccine will "permanently alter your DNA"

Andrew Wakefield's back, and—surprise! surprise!—he's a #COVID19 conspiracy theorist who doesn't understand biology. He thinks RNA vaccines are "genetic engineering" that will "permanently alter your DNA."

As 2021 dawned, my first post of the year was about how many of my fellow physicians behaved very badly last year with respect to the COVID-19 pandemic. While many physicians, nurses, and other health care professionals bravely risked their lives to care for COVID-19 patients (and some even died of COVID-19), a small but disturbing and impossible-to-ignore number of doctors denied or minimized…

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Looking back on 2020: Too many physicians behaving badly

If there's one thing that the COVID-19 pandemic has taught us, it's that crises reveal character. Unfortunately, even as many physicians risked their lives caring for #COVID19 patients, other physicians spread misinformation about the pandemic.

As I sat down yesterday to write this post, it suddenly occurred to me: This will be my first post of 2021. Out of curiosity about the year that just ended, I scrolled back to my very first (substantive) post in 2020 and noticed that it was a about crowdfunding cancer quackery through GoFundMe, with the second post being about the goop lab on Netflix and the third being about a bogus attempt by…

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Bell's palsy, syncope, and death: The impending antivax tsunami of fake COVID-19 vaccine "adverse reactions"

Reports of Bell's palsy and syncopy after vaccination with #mRNA-based #COVID19 vaccines remind us how antivaxxers will weaponize anything bad happening after vaccination. Sadly, I predict an impending tsunami of confusing correlation with causation.

[Orac note: Orac has (mostly) decided to take this week off, having finally learned that taking a week off every now and then is good for me and for the blog, particularly when there’s so much harmful pseudoscience about the pandemic being spread. So if this post about Bell’s palsy and other COVID-19 “adverse reactions” looks familiar, you’ll know why—but also know that I did revise the post a…

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Antivaxxers, COVID-19 vaccines, and "fetal cells": Everything old is new again

Antivaxxers are raising the specter of "fetal cells" being used in #COVID19 vaccines to use religious objection to #abortion to demonize them. In the age of the pandemic, everything old is new again!

Somehow, some way, my ambitious plans for finishing out the week before Christmas with a catalogue of appropriate “insolence” directed at pseudoscience have come to naught, and I find myself on Christmas Eve morning with only one post this week, and even that was a repackaged post from my not-so-super-secret other blog. I suppose I could blame the COVID-19 vaccine the first dose of which I was…

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COVID-19 vaccines and female infertility: Another antivax lie resurrected

Antivaxxers have been claiming that vaccines cause female infertility for as long as I can remember. So it’s not surprising that they are now making the false claim that COVID-19 vaccines will render women unable to complete a pregnancy.

One of the most common false claims made by the antivaccine movement is that a vaccine (or vaccines in general) somehow result in female infertility. Sure, antivaxxers will sometimes promote the idea that vaccines cause sudden infant death syndrome (SIDS) or simply kill older children, but not nearly as often as they like to spread the persistent myth that vaccines somehow “sterilize” females.…

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Four hours ago, I got my first dose of the COVID-19 vaccine. So far, it hasn’t altered my DNA or even turned me into a newt. It has, however, started to protect me against coronavirus. Thanks to @karmanoscancer, @mclarenhealthcare, and @walgreens for being so organized in getting its medical staff the #covidvaccine. (at Wayne State University) https://www.instagram.com/p/CI9We5EAG8F/?igshid=ekj9y33v8xqy