Gardasil

Yesterday, I got the my third and final vaccination against the human papillomavirus (HPV). Some strains of this wart-causing virus also cause cancer. The vaccine I bought – Merck’s Gardasil – protects against HPV types 16, 18, 6, and 11. About 70% of cervical cancers are thought to be caused by types 16 and 18, along with most HPV-induced anal, vulvar, vaginal, and penile cancers. About 90% of cases of genital warts are caused by types 6 and 11.

The vaccine isn’t cheap, but I think it would make a huge amount of sense to vaccinate all children with it, or with an improved version that covers even more HPV types. Giving it to all children makes sense because they are relatively unlikely to have already been exposed to HPV, unlike me. Still, even though there is a chance I have already been exposed to one or more types, I think getting the vaccine makes a lot of personal sense. A study of 4,065 males ages 16 to 26 found that over 30 months three men who were vaccinated developed genital warts, compared to 28 cases in a control group given a placebo, and that none of the vaccinated men were found to have pre-cancerous growths linked to HPV, compared with three cases in the placebo group.

The four doctors who were involved in this procedure were all aware that Gardasil can be used to prevent HPV in men as well as a means of protecting future sexual partners (one doctor prescribed the vaccine and three who gave injections over the course of six months). The vaccine is covered by some health plans.

Previously: Getting the HPV vaccine

Accelerating in the wrong direction

In terms of its actions, Canada continues to deeply misunderstand the nature, seriousness, and implications of climate change.

What we know about the history of the climate and the nature of greenhouse gases strongly suggests that the continuing build-up of greenhouse gas pollution in the atmosphere is highly dangerous.

Since burning fossil fuels is the major source of that pollution, both Canada and the world as a whole need to be talking about how to phase out fossil fuels.

Instead, we are talking about how to massively increase our production and exports of these dangerous substances. We should be winding down production of coal, oil, and gas – not continuing to dig and drill more and more, or building thick new export corridors for hydrocarbons that really ought to remain underground.

The government that hammers tent pegs up our noses

A pattern seems to have developed in the legislative politics of a certain northern country.

The people in power boast that they are going to do something dramatic but somewhat foolhardy: “Watch! I am going to hammer this tent peg up your nose!” or “Let’s make the census optional!” or “Let’s throw people in jail for harmless marijuana offenses!” or “Let’s allow the police and spies to watch everybody’s internet use!”.

After this declaration is made, both the political opposition and experts in the field bring up some of the very reasonable objections to the proposal: “What about my brain?” or “The whole point of a census is that everyone completes it” or “That’s pointless vindictiveness for a non-offence to society” or “That’s an insanely over-reaching way to catch only the stupidest criminal web users”.

But the issue has already become a matter of pride and honour for the government of the day, so they cannot back down or change plans. Occasionally, public and political opposition to the proposal are strong enough to stop it, at which point the government becomes bitter and petulant, stressing how everyone will need to live with the terrible consequences of not following the government’s plan. Often, however, they are able to circle up successfully around their bad idea and turn it into law.

This pattern of behaviour is likely to persist for as long as the opposition is leaderless and split.

Even those who favour the party in power probably realize that the political system only works properly when there is a credible opposition. If there is nobody else who looks capable of forming a government, there are few real checks on the power of the people in charge. That leads to them expressing their own psychological excesses and frustrations in ill-conceived legislation, which is bad for everybody.

Internet surveillance in Canada

The Conservative government is proposing a new law that would require internet service providers to monitor and record what Canadians do online, and to provide that information to the authorities without a warrant.

As well as being an obvious violation of the Charter of Rights and Freedoms (§8 “Everyone has the right to be secure against unreasonable search or seizure.”), I think this is an example of thinking badly about security. Obviously, having the government monitor everything that happens online could prevent some bad things from happening. At the same time, it is virtually certain that the capability would be abused or that security breaches will allow it to be hijacked by those with nefarious purposes. The abuse could happen at the governmental level – say, with discreet inquiries being made into the private correspondence of members of competing political parties. It could be done within the police and intelligence services – say, a jilted ex tracking the emails of their former partner. It could be done within internet service providers – say, some low-paid tech at Bell or Telus deciding to earn a bit of extra cash by blackmailing customers.

The archives of internet use would be an irresistible target for malefactors of every type, from nosy bosses and spouses to spammers and rogue political operatives. Maintaining and trying to secure these archives would also be a major burden for internet service providers. Instead of being in the business of helping their clients communicate, they will be forced into the business of keeping tabs on their clients on behalf of the government.

The security risks created by internet surveillance are greater than the risks that it might help reduce. Furthermore, allowing the creation of internet surveillance systems violates the Charter-protected rights of Canadians. What Canadians do online is their private business. It is not something that governments have the right to monitor, just because doing so will occasionally allow them to catch people committing crimes. Hopefully, this proposal will never become law.

Canada’s coinage

The way you treat different denominations of currency probably says something about both your temperament and about the relative values of different currency units.

When I get pennies, for example, I discard them at the first opportunity. Pennies just aren’t worth carrying around.

Dimes and nickels, I put in a big glass jar. In times of extreme cash need, I may pick out a bunch to buy some ramen noodles.

Quarters and loonies I save for laundry.

Twonies (Toonies?) I save for coffee.

I am pretty happy about the relative sizes of Canada’s denominations. It’s good that the more valuable coins are generally larger. I feel a bit like pennies are a waste at this point. I suppose how you feel about them depends on how many small cash transactions you undertake each day.

350.org oil sands petition

As usual, Bill McKibben is saying sensible things and calling for appropriate actions. He is a non-Canadian who is concerned about the ethics of digging up and burning the oil sands, in a world where the climate is changing at a frightening pace.

He is asking Canadians to sign a petition:

“As a Canadian, I stand with people all over the world who are opposed to burning the oil sands, and demand that our leaders stop their campaign to discredit the movement to stop the pipeline.”

Please consider signing. He is hoping to get 10,000 signatures before he visits Vancouver in March.

Demonstrating British Columbia’s beauty

One of the big reasons for opposing the Enbridge Northern Gateway pipeline is because of how 200 oil tankers a year would threaten the coast of British Columbia.

I think everyone who has seen that coastline understands its beauty and ecological importance. At the same time, I suspect the idea can be made more salient for people by showing them photos and video of the areas that could be affected if the pipeline goes through.

It’s not clear what the most effective approach would be for reminding people about what is at stake. Really there is a spectrum of possibility, ranging from fantastic shots taken by talented photographers on top-notch gear and shown in magazines and galleries to amateur shots taken by visitors and ordinary British Columbians and uploaded to Facebook or Flickr.

In all likelihood, many approaches will be tried simultaneously. For my own part, I have been thinking about a potential photo show that would incorporate photos of the B.C. coast as well as photos from the successful protests against the Keystone XL pipeline, which took place in Washington D.C.. Toronto may not be the most appropriate venue for that, since people here don’t have much of a personal emotional stake in the integrity of west coast ecosystems.

Perhaps I should try and find the time to set up yet another website, where people could contribute photos from B.C. and explain why they oppose the Northern Gateway pipeline…

SOPA blackout

Many websites in the United States, Canada, and around the world are joining together to protest SOPA – the Stop Online Piracy Act.

The bill, which could become law in the United States, would have unfortunate consequences for the internet as a whole. I agree with Michael Geist that Canadians should be concerned.

I remember the exciting beginning of the internet, where people thought it was a medium that effectively could not be censored and which would allow people to freely and honestly share information. Some of the sites that still do that most successfully – sites like Wikipedia – are threatened by laws that make them excessively liable for copyright violations and by imposing other restrictions.

As Wikipedia puts it:

The United States Congress is currently considering striking out major rights of free speech and other laws which make Wikipedia possible, forcing us to censor our editor discussions and the information we show you for the benefit of lobbyists. If passed, it would destroy the freedom of individuals to write without censorship, on every website we have, in any language, anywhere in the world.

Here’s hoping this show of opposition from some of the most important sites on the web will help kill this legislation.

Ironic liberal / big government libertarian

When I think about how to characterize my political views, it seems as though there are philosophical positions that I find appealing, but which need to be tempered in response to the strong counterarguments against them.

Ironic liberalism

I can see the sense in what Richard Rorty calls ‘ironic liberalism’. All that old-fashioned stuff about the rights of human beings deriving from god is woefully out of date. All the evidence we have suggests that there is no god (or, if there is, that it is a malicious or indifferent entity). Furthermore, the conversation in political philosophy has largely abandoned theological justifications. Now, we don’t have a terribly convincing story about where rights come from. That being said, I think it is clear that treating people as bearers of rights is a good way of ordering the world. As I understand it, ironic liberalism is about taking that observation and running with it. We have no fundamental reason for believing that people have rights, but the world seems to work better when we act as though they do – so let’s act that way, and let the feelings and consequences follow. Let’s take it seriously when someone asserts that they have a right to do something or have something provided for them (though, upon reflection, we may disagree with their claim). Similarly, we should take it seriously when someone asserts that their rights have been violated.

Rights are not an inherent property of the universe, but they are a good concept that allows us to evaluate the rightness or wrongness of different kinds of human interaction.

Big-government libertarianism

In my experience, libertarians say two kinds of things: rather convincing ones, and exceptionally stupid ones.

A good example of the first case is: “People should have the right to do what they wish with their bodies”. I don’t think it’s an absolute right, necessarily, and I realize that there are situations where people can be pressured into acting against their own best interests. That being said, the general principle that people have a greater interest in their bodies than anybody else – and that our bodies can realistically be thought about as our own property – seems convincing to me.

This general libertarian strand, which asserts that we should be free to make choices as we like so long as they do not harm other is both convincing and politically pertinent. It is connected to debates on topics like drug policy and legislating morality.

A good example of a stupid thing libertarians say is: “We don’t need to regulate health or the environment, because the market will handle it”. Without government regulation, I am sure the abuses committed by corporations and individuals agains their fellow citizens would be hugely more severe. Nuclear power plants would probably routinely dump radioactive waste directly into rivers; sugar pills would get sold as essential medications; the most awful stuff would end up in the meat people buy; and problems like climate change and ozone depletion would be totally ignored, at least until they became incredibly extreme.

Libertarians simply fail to understand how willing people are to act in a selfish way that is harmful to their fellow human beings. The allure of the quick buck at somebody else’s expense is considerable, as demonstrated by much of human history.

We need government to act as a fair dealer, and as an entity that thinks about the long term. Government needs to do things like recognize when dangerous excesses are building up in the economy – whether they take the form of frothy stockmarket conditions, bubbles in property values, or overly rapid inflation. We need a government that acts as an effective intermediary between individuals and large, powerful entities like corporations. We also need a government that keeps itself honest, by having mechanisms to prevent the capture of politicians or civil servants by the industries that they are meant to regulate.

We also need government to provide things that are good for society as a whole, but which individuals are usually unwilling to provide. This includes assistance to the sick, mentally ill, homeless, and so on. It includes education for everybody and fair access to the legal system. We need to have a government with the resources to perform these tasks well. That is partly because it is good for everybody when these kinds of public goods are provided. It is also because the provision of such goods is necessary to respect the rights of individuals (even if those rights are just a highly convenient fiction).

To summarize, we should take rights seriously even if we cannot say with an entirely straight face that they even exist. At the same time, we should be libertarians who truly recognize the essential and unique role played by government and who are happy to make the contributions in terms of time, taxes, and political participation that it takes to keep an effective government operating.