Time to bring back amphetamines for weight loss?

“After ‘The Biggest Loser,’ Their Bodies Fought to Regain Weight” (nytimes) reports on a doctor who followed reality TV contestants and concluded that a slowed metabolism accounted for their inability to maintain weight loss.

I wonder if it should make us reconsider our notions of progress in medicine. In the 1950s an overweight person would have been diagnosed for $10 with a slow metabolism and given a $2/month amphetamine prescription to speed up said metabolism. Today the same person could be a $50,000/year customer for weight loss clinics, supplements, surgeries, etc.

Obviously being on amphetamine for years is harmful (see “America’s First Amphetamine Epidemic 1929–1971”), but is it as harmful as weighing 300 lbs?

Readers: What do you think? Should medicine concentrate on speeding up metabolism, possibly with new drugs, or is that also doomed due to the fact that people can just have a second donut?

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Obamacare for multi-millionaires

A friend told me how pleased he was with MassHealth, our state’s version of Medicaid. “It is much better than Blue Cross. There are no deductibles and dental care is included and free,” said the father of two. His wife said “the only thing that would be better is if we got divorced and then I could get all of the single mom stuff.”

The potentially interesting part of this story is that my friend’s mailing address is a suburban house on 2.6 acres of land with a Zestimate of $3.2 million and a price/tax history indicating that he purchased it for $2.1 million back in 2006. The health insurance ministry probably wouldn’t have been aware of the family’s 50-acre 8-bedroom (including guest house) vacation estate.

“Obamacare removed the asset test for Medicaid,” he explained. So they look only at income? “No. I actually had a good year in 2015 with a lot of capital gains.” [“A lot” of capital gains for this guy would be hundreds of thousands or single-digit millions of dollars.] What was the method for determining whether or not the taxpayers would pick up the tab for this family of four’s health and dental care? “They look only at W-2 income.”

Note that this makes collecting alimony and child support relatively more lucrative compared to working. Child support revenue, regardless of the amount, doesn’t count as “income” to qualify for this taxpayer-funded benefit. Alimony profits can be banked without a W-2 being issued. Jessica Kosow, the plaintiff in a typical higher-income Massachusetts case (see this chapter on Massachusetts family law), would qualify for free MassHealth despite having obtained, via litigation, triple the spending power of her Ivy League classmates with W-2 jobs:

In a June 22, 2011 status conference for this case [wife sued husband after four years of marriage when their daughter was two years old], Judge Maureen Monks explained her philosophy in setting child support for high income defendants: “when I look at how the current guidelines play out against most parties’ income it comes around between 20 and 25 percent, sometimes it’s a little higher. If there’s a big disparity it’s closer to 28 percent. Does that mean it makes sense is that what to assess up to a certain amount on his income. Maybe there is no limit right now…”

How did she do compared to her University of Pennsylvania classmates? payscale.com reported that in 2014 the median “mid-career” salary for a graduate of this Ivy League college was $112,200. If that graduate stayed in Pennsylvania, his or her earnings would be approximately $77,240 per year after taxes (ADP Paycheck Calculator). Kosow’s after-tax earnings, on the other hand would be approximately $132,786 in cash plus the free $1 million house (assume a rental value of $6000 per month), health insurance, and nanny services. Her total after-tax earnings from the Massachusetts divorce and child support system therefore would be about $250,000 per year, 3.2X what a Penn graduate working full-time would earn.

[Of course, this particular plaintiff might not take the time to fill out the forms for MassHealth due to the fact that she obtained a court order that her former husband pay her health insurance bill.]

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Robot to mute NPR stations during commercials?

How about this for an AI project: a computer system that takes the audio stream of a National Public Radio station and presents a commercial-free audio stream as an output, presumably with at least a one-minute delay.

It should be pretty easy for a classical music station. There isn’t too much talking and the non-commercial stuff is typically right before or after a piece. Even a program that simply muted humans talking and let through music would perhaps be sufficient (though watch out for Recitative!).

For an NPR talk/news station it would presumably be tougher because the same announcers present both content and commercials. However, that’s what makes it a great project for a Master’s student in AI if not a PhD.

What do readers think? Should a prize be established for the best programs that can do this? It seems like a useful application of AI and also something where it is easy to test and score programs (sum of minutes of content improperly muted and minutes of commercials improperly not muted, for example). Programmers around the world could compete for honors/money.

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The realistic litigator and the deposition video

I was recently scheduled to be deposed as an expert witness in a software patent case. The Stuffy Big Firm (founded in the 19th century; more than 1000 lawyers today; breathtaking office space) partner representing the defendant said that the deposition would be videotaped. I said “Oh, so I’ll need to wear a suit.” He said “Don’t bother. Nobody will ever look at it.”

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