The KHIT Blog: On the 10th anniversary of the Golden Escalator

Monday, June 16, 2025

On the 10th anniversary of the Golden Escalator

In the wake of Donald Trump's June 14th, 2025 DC military parade.

America is not the country of perfectly synced swinging arms. It’s the country of “It Don’t Mean a Thing (If It Ain’t Got That Swing).” That song, by the legendary Duke Ellington, belongs to a genre of music that could only have been invented in America — jazz. As the documentarian Ken Burns explained, jazz was born in New Orleans when and because people from so many heritages were jammed together — the sounds of Africa and the sounds of Appalachia and the sounds of Germany and the sounds of indigenous people colliding to make something new. It was never scripted, always improvisational. Ellington himself made the connection to democracy:

"Put it this way: Jazz is a good barometer of freedom…In its beginnings, the United States of America spawned certain ideals of freedom and independence through which, eventually, jazz was evolved, and the music is so free that many people say it is the only unhampered, unhindered expression of complete freedom yet produced in this country."

I may be wrong, but I would wager that societies that have first-rate matchy-matchy uniform aesthetics may look good but fight wars mediocrely, and societies that allow for variety and diversity may give less pleasant aerial shots during parades but fight wars better.

Today is ten years to the day since Trump came down the escalator and changed the course of the country and, in so many ways, changed us. It is a moment to think back and think of how much coarser, uglier, crueler the nation has become in the hands of an unwell man. The daily drumbeat of abductions and cuts and eviscerations and illegal actions and sadistic policy ideas slowly corrodes the heart. We are being remade in Trump’s sickness.

And yet. And yet what the parade reminded me is that Trump, in one regard, at least, faces steep odds. His project depends on turning Americans into something we are deeply not: uniform, cohesive, disciplined, in lockstep.

But we are more hotsteppers than locksteppers. We are more improvised solo than phalanx. We are more unruly than rule-following. Trump has a lot working in his favor as he seeks to build a dictatorship for his self-enrichment. But what will always push against him is this deep inner nature that has stood through time: the chaotic, colorful spontaneity of the American soul. We don’t march shoulder to shoulder. We shimmy.

—Anand Giridharadas

Perfectly put. That comes from his Substack. While I'm not a big Substack platform fan, I do have a number of subscriptions. Anand's is among the best I've encountered.

UPDATE

Donald is apparently going into the mobile phone business.

TRUMP and the associated design are registered trademarks and/or trademarks of DTTM Operations LLC. Trump Mobile, its products and services are not designed, developed, manufactured, distributed or sold by The Trump Organization or any of their respective affiliates or principals. T1 Mobile LLC uses the "Trump" name and trademark pursuant to the terms of a limited license agreement which may be terminated or revoked according to its terms.. T1 Mobile LLC uses the "Trump" name pursuant to the terms of a limited license agreement which may be terminated or revoked according to its terms. © DTTM Operations LLC

Okeee Dokeee, then. Dig around briefly:

The entity which manages US President Donald Trump’s trademarks filed two new applications with the United States Patent and Trademark Office recently to use his name for telecom services.

Josh Gerben, a trademark attorney and founder of Gerben IP law firm, wrote in a blog post last week DTTM Operations LLC filed to use the trademarks TRUMP and T1.

The requests cover retail stores “featuring mobile phones, cases for mobile phones and battery chargers for mobile phones”.

Gerben explained the applications are filed under an intent to use basis, which means Trump’s company currently is not offering any of the products but intends to do so.

“While a trademark filing doesn’t guarantee a product launch, the specificity of the applications points to serious consideration,” Gerben stated. “It would mark a significant expansion for Trump’s private business, which has historically focused on real estate, hospitality, and branded merchandise.”

He noted if the plans materialise, Trump’s telecom venture “could deliver a MAGA-branded alternative in the mobile space—offering loyal supporters not just red hats, but possibly red phones for their pockets”.

The Trump telecom service or branded phones will compete against US heavyweights Verizon, AT&T and T-Mobile US, along with a wide range of MVNO-based services and budget brands.

Gerben noted as of 13 June, a total of 27 trademark filings have been made by companies affiliated with Trump since he took office in January.

27 trademark filings across the past 147 days since his 2nd inauguration? All while Presidentin' and golfing.

TRUMP IN CANADA FOR THE G7 CONFERENCE

Trump could simply not resist making a fool of himself, going off to gargle inappropriately via his formulaic meandering MAGA grievance rant. Canada’s PM, chairing the conference, had to step in and shut down the Presser.

WORLD NEWS SUMMARY

ERRATUM

Don't even get me started on this murderous Minnesota nutcase.

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Brave New Health

Commonwell Health Alliance

Another important read (pdf)

I love this kind of stuff. It sustains and humbles me. "As politicians, advertisers, salesmen, and propagandists for various political, economic, moral, religious, psychic, environmental, dietary, and artistic doctrinaire positions know only too well, fallible human minds are easily tricked, by clever verbiage... Common language—or at least, the English language—has an almost universal tendency to disguise epistemological statements by putting them into a grammatical form which suggests to the unwary an ontological statement. A major source of error in current probability theory arises from an unthinking failure to perceive this."

Quotes

"An economist is a person who sees something that works in practice and tries to figure out whether it will work in theory."

- J.D. Kleinke, medical economist
___

"The only person who enjoys change is a baby with a wet diaper."

"Every misspent dollar in our health care system is part of somebody's paycheck.

- Brent James, M.D., M.Stat

“We could do healthcare, at markedly higher quality, for everyone in this country, without rationing or denying anybody the care that they need, without having the government dictate how doctors practice or whether hospitals could expand, at half the cost we do it now.”

- Health Care Futurist Joe Flower

Most of the sciences, unlike parts of medical science, are not concerned with the impossible. There is not complementary and alternative physics, or chemistry, or biochemistry, or engineering. These disciplines compare their ideas against reality, and, if the ideas are found wanting, abandoned."

- Mark A. Crislip, MD

"Q: How much alcohol is too much?
A: More than your doctor drinks."

- a physician I once heard speak during a CME presentation

“Just because science doesn’t know everything, doesn’t mean you get to fill in the gaps with whatever fairy tale most appeals to you.”

- Dara O’Briain

'[I]t is one small step from using the computer for "helping" doctors to monitoring them, judging them, dictating to them what to do, and withdrawing payment for computer non-compliance. The use of computer data is a multi-edged sword. It can be used for the "good," facilitating diagnosis and treatment and making it more accurate and up-to-date, and for “evil,” invading privacy, inviting security breechs, and making decisions based on the opinions of remote authorities rather than those present at the patient-doctor encounter.'

- Richard Reece, MD

“[T]here ARE statistics which are non-political. Just because The Washington Post/Fox News reports the temperature is 75 degrees doesn’t mean it’s really snowing and sunscreen is a liberal/conservative plot. Even if you earn a living being ideological.”

- Michael L. Millenson

"It is a generally a fairly convincing argument that people shouldn’t have to be subsidized to undertake a change which is in their best interest.

The reconciliation seems to be that EHR is not supposed to make a doctor’s practice more efficient and higher quality. It is supposed to make the system of care more efficient and higher quality, which is not the same thing. Those of you who took calc recall that maximizing the total of variables is not achieved by maximizing any one variable and this is a perfect example of that.

Those of you have served in combat certainly noticed that too — if everyone works as a team the unit takes fewer casualties. If you try to save your own hide, you might, but at the expense of more casualties overall."

- Al Lewis

"There are two ideas to keep in mind about Bayesian reasoning and how we tend to mess it up. The first is that base rates matter, even in the presence of evidence about the case at hand. This is often not intuitively obvious. The second is that intuitive impressions of the diagnosticity of evidence are often exaggerated."

- Daniel Kahneman, "Thinking, Fast and Slow"

"Physicians apply advanced scientific knowledge, but they must do so without the favorable conditions that experimental scientists create for themselves. Multitasking is forced on physicians, often in chaotic environments and under severe time and resource constraints."

- Lawrence and Lincoln Weed, "Medicine in Denial"

"It’s time to stop the whining about Obama care and acknowledge we already have universal health care. We just pay for it in the stupidest way possible that ensures problems are that much more disastrous and complicated when they’re finally treated."

- Mark Hoofnagle, MD, PhD

"Every act of conscious learning requires the willingness to suffer an injury to one's self-esteem. That is why young children, before they are aware of their own self-importance, learn so easily."

- Thomas Szasz, MD
___

"Of course, one reason that process metrics* are so popular is that processes are much easier to define and measure than outcomes."

- The Skeptical Scalpel
___

"There is an “illusion of validity” for any random data point, a seductive sense that is colored by what we hope will be true. Mountains of pharmaceutical claims are often made from mere molehills of data."

- Danielle Ofri, MD
___

"Joy empowers people. It is a source of energy that enables people to hope and plan and change their lives for the better. Spend some time around someone who is relentlessly negative and how do you feel–drained, right? More and more research shows that joy is not something that just happens to you, like a bolt of lightening out of the blue. Joy is, instead, a habit to cultivate. Negative thinking and despair are the crabgrass of our souls–weeds that take root and spread, sometimes to all areas of life. Joy, in contrast, is a soul’s rose–hardy when cared for, able to put down roots over time and withstand disease and extremes. Like a rose, however, your joy can become blighted from neglect or harsh conditions. We all need to tend to our joy–to prune away the badness, and to know that, even though it may look like a prickly bare root, if you invest time in a joyous outlook, gorgeous things will bloom, even in the harshest conditions."

- Dr. Jan Gurley
___

"'Solutions' exist only in mathematics."

- Karen Martin
___

"The issue of how to regulate clinical software is, in the long run, indistinguishable from the issue of how to regulate medicine. The only difference is that medicine is practiced in the open, without secrecy, subject to peer review, and under a merit-based state license."

- Adrian Gropper, MD
___

"Economist, rope, tree: some assembly required."

- Source unknown

DISCLAIMER:

I write this blog wholly on my own time and my own dime. The views proffered are expressly my own as a concerned and active citizen/taxpayer (in addition to being the result of my substantive experience in the various IT fields), and in no way reflect any policy views of my former employer, notwithstanding that some of the thinking has indeed obviously been spurred by the implications of the work with which I have been doing for them.

FAIR USE POLICY
I cite a ton of news and web sources spanning the breadth of relevant technical and policy domains, sometimes at substantial length. I believe I remain well within the bounds of "Fair Use," as [1] I am not doing any of this for profit, [2] I always provide attribution and links -- which, [3] far from negatively impacting any copyright holders' commercial interests, might actually increase traffic to and interest in their offerings.

Nonetheless, should I post anything of yours regarding which you have any objection, just let me know and I will remove it forthwith.

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Monday, June 16, 2025

On the 10th anniversary of the Golden Escalator

—Anand Giridharadas

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