Overdosed America Paperback Edition Available

"Some of the nation's worst drug dealers aren't peddling on the street corners, they're occupying corporate suites. Overdosed America reveals the greed and corruption that drive health care costs skyward and now threatens the public health. Before you see a doctor, you should read this book." - Eric Schlosser, author of Fast Food Nation

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Excerpts: Introduction | Chapter 13 | Chapter 14

Soil - Climate Paper: Overview & Reduction Target Scenario

Soil - Climate Paper: Overview & Reduction Target Scenario


1) Introduction and framing the problem.


What do we want?

Perennial grasses returning to billions of acres of degraded land have the potential of reversing global warming.


Atmospheric
CO2 levels have reached 385 ppm leading to accelerating loss of polar
ice and other problems associated with global warming.  Reducing this
level by 75 ppm to a much safer 310 ppm would require the sequestering
of 150 billion tons (150 GT) of carbon.  There are at least 15 billion
acres of degraded land on the planet which have lost 50% to 75% of
their original soil carbon.  The potential carbon sink is at least 1000
GT in these soils if better land use decisions were made. (70 tons per
acre x 15 billion acres)  Fire is used as a tool to reduce vegetation
on much of this land which is counterproductive to the goal of stopping
global warming.  


 The
return of perennial grasses to these lands through the use of grazing
animals can sequester a ton or more of carbon per acre every year.
 Creating grazing plans to restore well timed animal impact to 80% of
these degraded lands could therefore absorb 12 GT of carbon from the
atmosphere every year.  This compares favorably with human fossil fuel
emissions of 8 GT of carbon per year.


Reducing
human fossil fuel burning 50% and replacing the tool of fire with
grazing and animal impact on 12 billion acres of degraded lands in the
next 40 years could reduce atmospheric CO2 levels to a rather benign
310 ppm by 2050.


Consequences
of this soil restoration activity include the capture of huge amounts
of fresh water in these new soils and the subsequent amelioration of
flood and drought cycles.  The improvement of water quality and supply
is reason by itself to begin this process.  Healthy perennial
grasslands with their grazing herds can be a rich source of food for
human communities and their management doesn't require expensive
technology.  Grass fed animals provide meat, milk, and eggs that are
rich in omega 3 oils and are healthier to eat than grain fed animals.  


Presently, there are 20 to 25 billion tons of
topsoil lost to the waterways and oceans every year.  The dead zones
created by this runoff are devastating to fisheries the world over.
 Soil erosion can be eliminated and reversed even on crop lands by
keeping the ground covered, eliminating chemical pesticides and
fertilizers, and using animal manures to maintain soil biodiversity. 



2) Scientific basis for estimates of sequestration potential in grasslands (Jim & Janice as main writers here?)


Rodale - Paul Hepperly
Australia - Christine Jones. 

Richardsons on Dung Beetles
Importance of animal impact, ground cover, and eliminating fire.
Mycelium and Glomalin - Need to study 


3) Argue that there is significant potential for net negative cost from this via brief case studies (Amanda, Jim, Seth,...??)


Abe Collins 

Joel Salatin 
Dubangombe, Zimbabwe 
Sudan - Sam Bingham

Australia
First Millimeter

4) Argue that there is a plausible set of offset activities under this rubric ("carbon farmers") (Anja, can you help with this?)



5) Construct an estimate of global/regional potential (basically, Jim's Panera notes much expanded) (Eric, Flavia, anyone else?)


To have any opportunity to reverse global warming, we must first have a goal to work toward.  

In
1949, the atmospheric CO2 concentration was 310 ppm ± 3 ppm.  Lake Erie
would freeze almost every winter making it possible to walk from Long
Point in Ontario to Presque Isle State Park in Pennsylvania on the ice.
 In 1988, the CO2 concentration passed 350 for the first time in 2
million years.  By that time, polar ice melting was accelerating to the
point that Jim Hansen, made a plea to Congress
to face up to the situation and take action to reduce fossil fuel
emissions.  Now, in 2009, we are approaching 390 ppm with with a yearly
increase at close to 2 ppm.  


In December, 2007 Dr. Hansen challenged the IPCC to
lower their goal to stabilize atmospheric CO2 at 450 ppm.  IPCC has
estimated that if the "carbon footprint" can be reduced by 50% by 2050,
we could peak at 450 ppm and then gradually reduce that level after
that.  During the pliocene, about two million years ago, sea level was
80 feet higher than today, and the CO2 levels never exceeded 425 ppm
during that time.  Hansen, aware of this information, called for a
reduction of CO2 levels to at least 350 ppm and preferably to 325 or
300 ppm.  It is important to reach a level where the ice will reform
and the permafrost will stabilize and reduce methane emissions.  A
level of 350 ppm might stop the melting but to reform ice would likely
require a much lower concentration.  Hansen is opposed to any new coal
plants and shutting down existing coal plants to reduce the carbon
footprint, but acknowledges that we must do much more to get the excess
carbon out of the air. 


 To do that, we must go beyond reducing emissions.
 We must become restorers of the photosynthesis process.  Planting
forests will help, but restoring perennial grasslands and their
associated deep soils can sequester huge amounts of carbon and on a
shorter timeline.  The consequences of this soil making approach would
reduce flood and drought cycles, feed people, and pay for itself
through agricultural productivity and recreational opportunities.



Reduction Target Scenario


Let's make a goal.  

Suppose
we want to return to 310 ppm atmospheric CO2 before 2050.  Reducing 80
ppm from the present 390 ppm to 310 ppm would require removing 160
billion tons (160 GT) of carbon from the air and sequester it in soils
and biomass.  (Since 1 ppm of atmospheric CO2 contains very close to 2
GT of carbon, it is rather easily calculated.)  There are at least 15
billion acres of degraded land in the world which could be managed in
ways that would sequester a ton or more of carbon on each acre every
year.  Better management decisions could therefore sequester 10 or more
GT of carbon into these soils every year.


So we have 4 decades to consider:  the 2010's,
2020's, 2030's, and 2040's.  I will make a chart to help us see a path
back to 310.

I initially drew this chart on a
napkin at a Panera Bread Restaurant in 2008.  It is an early attempt to
show the possibilities of a restorative approach.  I'm sure that there
will be many discussions, and emerging new ideas.  Many human beliefs
will be challenged  If we focus on our goal of 310, and humans can make
a fair living on these processes, we may just get there before 2050.
 Wouldn't that be COOL. 


(Seth will turn this into a proper table) Link to Table

                     Fossil        
         Land                Missing          Atmospheric          
Atmospheric            Atmospheric
                      Fuel
                   Use                 Carbon              Carbon      
         CO2 (ppm)                CO2 conc.

Year             Burning               (& Fire)            
 (Ocean?)            Change                Change                      
 ppm 


2010               8 GT  
              + 4 GT               - 8 GT       =       + 4 GT        
        + 2 ppm                       390


2020               7 GT                 + 0 GT    
          - 7 GT       =          0 GT                    0 ppm        
              400           (average CO2 gain of 1 ppm per year from
2010 to 2020)


2030               6 GT                  - 4 GT    
          - 6 GT       =        - 4 GT                  - 2 ppm        
              390           (average CO2 loss of 1 ppm per year from
2020 to 2030)


2040               5 GT                  - 8 GT    
          - 5 GT       =        - 8 GT                  - 4 ppm        
              360           (average CO2 loss of 3 ppm per year from
2030 to 2040)


2050               4 GT                - 12 GT    
          - 4 GT       =       - 12 GT                  - 6 ppm        
              310          (average CO2 loss of 5 ppm per year from
2040 to 2050) 

    

            (50% reduction                                  (50% less              (sum of 3             (1 ppm CO2         
                by 2050)                                         stress on              previous              equals 2 GT 

                                                                      oceans)               columns)                carbon)


The
second column reflects the IPCC goal to reduce the fossil fuel
footprint by 50% before 2050.  The carbon emitted by fossil fuel
burning would drop from 8 GT per year to 4 GT per year during that 40
year span.  If we can reduce by 80%, that would be great, but 50% would
still allow us to reach our goal.  


The next column refers to Land Use & Fire.
 Right now, this is a positive number and harder to accurately quantify
than fossil fuel emissions which are fairly well documented.  Some
estimates of biomass burning are lower at about 2.5 GT per year.  This
number comes largely from the tragedy of forest burning, but
underestimates the amount of fire used on grasslands.  Oxidation from
cropland soils exposed to sunlight is another carbon source going to
the atmosphere.  As you look down the column, you will notice that in
each decade it is reduced by 4 GT.  By 2050 the Land Use column is
sucking 12 GT of carbon out of the air every year.  This is a very big
number, but then consider that photosynthesis on the planet is
sequestering about 100 GT of carbon every year, even with the present
desertification and poor land use decisions in many areas.
 (Photosynthesis is roughly balanced by respiration flows of about 100
GT per year.)  I propose that increasing the photosynthetic flow by 12
GT or about 12% in 40 years by working with nature's processes is quite
reasonable.  Also, another 4 GT can be saved by phasing out fire as a
land management tool.  While there is debate about fire's role in the
past, we can ill afford to use it at anywhere near its present scale in
a greenhouse world.  Grazing and animal impact are better tools to
reduce excess vegetation in grasslands and they can rapidly increase
soil carbon at the same time.  How we get to a sequestration rate of 12
GT per year by creating soils is discussed elsewhere in this paper. 


The "Missing Carbon (Ocean?)" column is used as a
fudge factor.  The oceans are absorbing a lot of CO2.  We know this
because the ocean acidity is increasing and this is becoming a huge
problem for many critical plankton species.  We also know that if the
oceans begin to warm significantly, they may not be able to absorb as
much CO2.  So, I have reduce the carbon flow into the ocean by 50% in
the next 40 years.  If that is what happens, it may mean reduced stress
on the oceans to keep up as atmospheric CO2 levels begin to drop.  This
could ameliorate the ocean acidity increase or possibly reverse it in
that time.  If the oceans continue to absorb CO2 at the present rates,
then our atmospheric CO2 levels may drop even faster and the planet can
begin to cool sooner.  


Adding these 3 columns gives the atmospheric carbon
change for that year.  In the last few years, the increase in
atmospheric CO2 has been close to 2 ppm per year.  Remember, that 2 ppm
of CO2 contains 4 GT of carbon.  In each decade, our better management
decisions are reducing this number by about 2 ppm.  The notes to the
right give and average annual CO2 change for the decade.  If you
multiply by 10 years, you get the change in CO2 during that decade.
 (This assumes that the changes are fairly linear.)  The first two
decades are a wash and the CO2 levels don't change very much.  By 2030,
however, there are about 6 billion acres of previously degraded lands
being restored as they are producing crops, animals, and wildlife
habitat.  In the final two decades the CO2 drop begins to accelerate.
 In 2040, CO2 drops 4 ppm in one year.  In 2050, it drops by 6 ppm.
 The average for that decade is about 5 ppm per year or a total of 50
ppm, reducing the atmospheric CO2 from 360 ppm in 2040 to our goal of
310 ppm in 2050. 


This will be the biggest human accomplishment ever.
 We have the possibility of reversing global warming and
desertification in our lifetimes.  It need not require expensive new
technologies.  Our allies in this venture are the innumerable natural
systems that will do most of the work.  We must nurture and provide
habitat for the many species that we depend on for a future.  


Maybe in 2049, we will be able to walk across Lake Erie again on a cooler planet. See you at Long Point?

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Forbes Article - Eat Your Statins

Matthew Herper with Robert Langreth 11.16.08, 6:00 AM ET

Want to avoid a heart attack? Stop taking your vitamins and switch to a cholesterol-lowering statin drug instead.
...
One statin critic not backing down is John Abramson, author of Overdosed America. He points out that patients on Crestor had the same rate of serious illnesses requiring hospitalization as those on placebo. "You haven't improved their net health," says Abramson. Instead, he argues, you're trading heart attacks and strokes for other serious illnesses. And he contends that not offering weight-loss counseling to an overweight population created an "artificial situation" that exaggerated the benefits of the drug. He's not alone. Stephen Colbert of Comedy Central's fake news show The Colbert Report joked the study was "a great breakthrough in the battle to find things to prescribe to people who don't need them."

http://www.forbes.com/2008/11/15/statins-crestor-jupiter-biz-healthcare-cx_mh_rl_1116statins.html


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Newsweek Interview: Pfizer's Headache

Pfizer's Headache
Lawsuit charges drugmaker was deceptive about Neurontin.
Mary Carmichael
NEWSWEEK, Oct 8, 2008
http://www.newsweek.com/id/162906/
...
In the meantime, Abramson—who wrote about many similar cases in the 2004 book "Overdosed America"—said in an interview that the new charges are just one more example of corruption in the pharmaceutical industry. "There was just a wanton manipulation of what physicians believed to be true," he said. "Physicians have to be able trust certain sources. They can't analyze all the data on all the drugs they prescribe themselves; if they did, the medical system would grind to a halt. So the question is, how do doctors typically receive knowledge? Pfizer knew how that happens—through articles, through continuing medical education, through reviews. And they knew how to jam those airwaves."
...
http://www.newsweek.com/id/162906

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Dose of bias is unhealthy


By John Abramson / As You Were Saying | Saturday, May 31, 2008 | Boston Herald | Op-Ed

Though the pharmaceutical industry does an excellent job of convincing doctors and the public that its mission is to improve our health, don’t be fooled - its real job is to sell drugs for the highest price.

I recently testified at a hearing in federal court concerning alleged illegal marketing activities that resulted in overpayment of several billion dollars for the drug in question. The judge opened the hearing by quoting the highly respected American Law Institute’s statement that the fundamental purpose of a corporation is to maximize profits and return those profits to its shareholders.

Though the pharmaceutical industry does an excellent job of convincing doctors and the public that its fundamental mission is to improve our health, don’t be fooled - its real job is to sell the most drugs for the highest price. And they do so by capitalizing on every opportunity to influence our beliefs about the need for and benefit of their products.

Providing gifts to physicians and financial support to hospitals for continuing medical education are an integral part of the drug industry’s strategy to achieve this goal. If these were the only sources of bias in what doctors believe is the best way to treat their patients, the legislation to ban these activities - courageously passed by the state Senate and pending in the House - would still be vital, but not of such critical urgency.

Unfortunately, they are just the tip of the iceberg. It’s what’s beneath the surface that is the real problem.

Over the past 30 years, the funding of clinical trials has been largely removed from the National Institutes of Health and taken over by the drug and medical device industries. Consistent with their fundamental mission, these industries design their research to maximize their return on investment. Medical knowledge itself has become a commodity, produced for its business value rather than its health value.

It’s not just the commercially biased “educational moments” that are the quid pro quo that come with the gifts to doctors. No, the problem starts with the “scientific evidence” that we doctors read in our most respected journals.

More than two-thirds of the clinical trials that are published in our most trusted medical journals are commercially sponsored. And the odds are five times greater that the commercially sponsored studies will conclude that the sponsor’s drug is the treatment of choice compared to non-commercially funded studies of exactly the same drug. (Wouldn’t it be nice to take those odds to the casino?)

In other words, what we naively think of as objective science is more often than not an extension of marketing - an infomercial.

This is an enormous problem and goes a long way toward explaining why Americans pay twice as much for health care as the citizens of the next 21 wealthiest countries, but actually live two and a half fewer years in good health than the citizens of those countries.

The drug industry has so much money and power that even raising these issues is a third rail for American politicians. The head of U.S. operations for drug maker GlaxoSmithKline recently attempted to wield some of that power when he threatened decreased investment in Massachusetts if the proposed ban on gifts is passed.

So if you want your doctor to be as independent of commercial influence as possible when deciding the best treatment for you and your loved ones, the gift ban is a necessary first step.

But we citizens also must be ready to exercise our power as consumers. The drug and medical device companies should know that blocking this legislation or not participating in a voluntary ban on gifts to doctors could result in a consumer boycott of their drugs and devices that have me-too therapeutic equivalents made by companies that are honoring the ban. This is the way to help the medical industry serve its shareholders by better serving the public interest.

Article URL: http://www.bostonherald.com/news/opinion/op_ed/view.bg?articleid=1097650

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deeply concerned at the rate of prescription drug abuse in my city

I am a twenty year old college student attending the University of Louisville. I am deeply concerned at the rate of prescription drug abuse in my city. It seems that a very high rate of my friends are either prescribed to Alprazolam (primarily in the medication known as Xanax). I am wondering about the true negative effects of this chemical on the brain.


I have noticed that my friends who are abusing these type of anti-anxiety drugs seem like completely different people than they were before they started the abuse. I know (as was cited by you on Coast to Coast last night and as is general fact here in the old Kentucky home) that my general geographical area is a hot spot for the abuse of prescription medications. I have heard that Xanax can actually alter brain chemistry in the long term is this true? I am deeply concerned. Really enjoyed the show last night and I await an answer from someone who seems to actually know what they are talking about. Please email me back.
W.S.

Dear W.S.,
I share your concern about the overmedication of college students. I think the real danger is not so much the biochemical effect on the brain as the way people learn not to deal with the real sources of their anxiety when they take a drug that simply covers up the symptoms. Besides education, the most important pychological task of college years is to leave behind the ways of childhood and emotional dependence on one's family of origin and learn how to become an independent productive and fulfilled adult in this complex world. This is far from an easy task and highs and lows are an inevitable part of the process. To "medicalize" these psychological growing pains can slow down the rate at which people make progress in adopting constructive adults behaviors. Of course, there are times when the subjective discomfort is just too great, but for the most part engaging in talking therapy, I believe, is more constructive than just drugging the symptoms.
Al the best,
Dr. A


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Dr. Abramson on Coast To Coast


Listen to Dr. Abramson on Coast to Coast, Sat night 10 pm-1 am Pacific Time / Sun 2 am to 5 am Eastern Time

Click here for info.

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I was put on simvastatin, 40mg

Feedback:

I was put on simvastatin, 40mg, by my cardiologist for a total cholestrol level of 220. My side effects included muscle aches, severe neck and elbow pain, and alopecia areata in two large patches on my head.

I read the article called "Lipitor" in Business Week and subsequently purchased your book, "Overdo$ed America". After reading the magazine article, I decided to stop taking the drug (I took it for only 3.5 months). After reading the book, I decided not to see the cardiologist again since my cholestrol level was the only reason I was seeing him. I realize that this man is completely influenced by the drug companies, and is probably unable to have an intelligent discussion about other cholestrol reducing options. I walk between 8 and 12 miles per week and do some resistance training. My weight is 225 lbs. and I am 6' 4" tall. I lost 30 lbs slowly since retiring about 6 years ago, and I am still trying to reduce even more. I eat oatmeal 4-5 times per week. I am 62 years old.

Facts in your book are particular disturbing to me. The fact that the FDA is in bed with the drug companies indicates the depth of the health care crisis in America. When you combine this with the political arena where corporations are literally buying congressmen, senators and the executive, as well as a supreme court that has time and again voted to limit liability from lawsuits for corporations, one wonders if there is any hope for the people.

The only power we have is to vote. However, it seems that one party is almost as bad as the other. Couple this fact with the fact that the vast majority of Americans are in-curious, it seems to me that it will take a total collapse of the economy to wake enough people up.
I just don't see enough resolve on the part of people or politicians to make the necessary changes. I hope I'm wrong, but I can only see more of the same. Money talks!

God help us all!

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