The Onion comes through again…
Texas Pregnancy Mortality Rates Double Due to Bad UI Design
April 14th, 2018Here’s a cautionary tale.
Two years ago, you may have heard that Texas’ maternal mortality rate had just doubled. No one was quite sure why—some blamed a recent shuttering of family-planning services, others a lack of concern for women’s health generally—but it seemed most were confident Texas was a cautionary tale. The U.S. maternal mortality rate overall had been rising for years, even as nearly every other developed country saw declines. Surely, the new numbers out of Texas portended what could happen across the country if we didn’t change soon.
It turns out that the numbers in Texas were wrong. The extent to which they were incorrect was just published in Obstetrics & Gynecology, as investigated by several researchers who went back and double-checked the cause-of-death for 147 total deaths in Texas in 2012.
Though we only now realize how flawed the data were, this isn’t entirely a recent revelation. Experts suspected that something was wrong with the data, they just weren’t sure what. The authors of that original study noted that “in the absence of war, natural disaster, or severe economic upheaval, the doubling of a mortality rate within a 2-year period in a state with almost 400,000 annual births seems unlikely.” Their suspicions turned out to be right. Instead of roughly 36 deaths per 100,000 births, the mortality rate was more like 14.6 deaths per 100,000 births.
Texas is, in fact, a cautionary tale, just not in the way we all thought. It’s been collecting data poorly for years now, and they’re not alone—maternal mortality rates could be wrong all over the U.S. Ever since some states introduced a checkbox to their death certificates asking about pregnancy back in 2003, the stats on maternal mortality have been skewed. A 2017 study concluded that this addition “appears to be the main driver of the increases in [maternal mortality rates] during the last decade.” States with and without the checkbox differ so much in reported data that we haven’t published an official national maternal mortality rate since 2007. The data just haven’t been good enough.
But they have to be better. Maternal mortality rates are still high nationally by many estimates, and understanding the extent of the problem is crucial if America is going to save mothers’ lives.
When researchers found that twofold increase in maternal mortality in Texas two years ago, they suspected it was so extreme as to be an error. Texas was one of the states that implemented a new checkbox on death certificates that asked about the pregnancy status of the deceased, and as mentioned before it was already known that states with that checkbox tend to report higher maternal death rates. This is in part because asking about whether the deceased was pregnant increases the rate at which it’s reported—when you start looking for pregnancy-related deaths, you’ll tend to find more. But it’s also because people make mistakes.
The recent paper notes that it may be a simple design problem that’s contributed significantly to the apparent rise in maternal mortality: “Texas’ current electronic death registration system displays pregnancy status options as a dropdown list. The “pregnant at the time of death” option is directly below the “not pregnant within the past year” option; this could have led to erroneous selection and could explain why pregnancy at the time of death was reported for nearly 76% of the 74 obstetric-coded deaths with no evidence of pregnancy on review.”
The authors also note that the number of death certificates being submitted electronically in Texas jumped from 63 to 91 percent from 2010 to 2012. Having a bunch of new users entering information into death certificate software may have exacerbated the misreporting.
They suggest two main solutions: better training for workers who report death information, and instead of a drop-down menu, try buttons. Separate buttons for “pregnant” and “not pregnant” force the user to move the mouse to totally different areas to make a selection, rather than clicking in a small drop-down menu where it’s easy to make a mistake and not realize it before moving on to the next question.
Texas may have had a double-whammy situation, but the problems they ran into are true of all checkbox states.
Those states that chose to implement a pregnancy checkbox on their death certificates have seen a 149.8 percent in maternal mortality (as of 2012 data). But a study from last year estimated that a whopping 90.3 percent of that change was likely due to the checkbox issues alone.
“Because pregnancy-related deaths are so uncommon, the frequency of the box being checked in error can significantly impact the maternal mortality rate reported,” Elliott Main, medical director of the California Maternal Quality Care Collaborative, told the Washington Post.
If we assumed that the non-checkbox-adopting states showed the true rate, the study authors reasoned, the true rate would be 14.4 percent.
Lesson: Bad UI design kills! Or at least fools you into thinking someone’s been killed…
(Hat tip: Instapundit.)
U.S., France, UK Hit Syrian Chemical Sites
April 13th, 2018President Donald Trump orders U.S. military to attack Syrian chemical weapons sites, in coordination with France and the UK.
Here’s President Trump’s announcement:
I’m on record as stating that the United States has no compelling national interest at stake in Syria after the destruction of the Islamic State. that said, anyone predicting that Russia is willing to risk World War III over Syria is having a case of the vapors.
It’s ironic that President Trump is the one actually enforcing Obama’s foolish “red lines”…
Edited to add: Tweet showing airstrikes in Damascus:
#BREAKING: Airstrikes continue to pound target in #Damascus, Syria.pic.twitter.com/i9yIdYaBKh
— Ryan Saavedra 🇺🇸 (@RealSaavedra) April 14, 2018
In the video it appears to have taken out the power grid.
Paul Ryan Retires
April 12th, 2018Republican Speaker of the House Paul Ryan has announced he’s retiring at the end of his term.
Being Speaker of the House of Representatives is a thankless job in the modern era, akin to herding 435 cats, about half of which hate you. It’s a difficult job, which is why I’m going to refrain from throwing the “Swamp Creature! RINO!” labels hurled at Ryan for not getting enough conservative legislature through the house. But there is this undeniable fact: In 1995, Newt Gingrich had 230 Republicans in the House, a narrow Republican Senate majority, and a Democrat in the White House, and got far more conservative legislature passed as Speaker than Paul Ryan has with 241 Republicans in the House, a narrow Republican Senate majority, and a Republican in the White House.
The unwillingness of the modern Republican Party to play hardball (like refusing to pass a debt limit hike unless linked with a complete repeal of ObamaCare) has crippled the ability of the party to make legislative gains commensurate with their majority status. It is hard to tell at this remove whether Ryan’s speakership is a cause, or a symptom, of that failure of nerve.
If I had to bet, I would guess that Louisiana Rep. Steve Scalise would be the most likely choice to replace Ryan as Speaker of the House (assuming Republicans retain control in November), based less on my deep understanding of House interpersonal dynamics than the fact that he literally took a bullet for the team.
Instead Of Actual Content, Enjoy Some Facebook/Mark Zuckerberg Congressional Hearing Memes and Links
April 11th, 2018Here is a long, thoughtful essay on Facebook founder Mark Zuckerberg’s appearance before congress.
Ha, just kidding! Work and taxes are sucking up all my time, so have a shotgun scatter of links, tweets and memes on the same subject:
Facebook Staffers Coach Mark Zuckerberg On Humanlike Behavior Ahead Of Congressional Testimony https://t.co/AmphKTyVXa pic.twitter.com/nkZlyG8tWK
— The Babylon Bee (@TheBabylonBee) April 9, 2018
According to sources from within Facebook headquarters, interns and staffers at the social network were training Mark Zuckerberg on how to act human ahead of his expected congressional testimony this week.
The team of employees instructed the Facebook CEO in disciplines like smiling without looking like a robot, laughing at the correct moment, and not calling everyone he meets a “pathetic meatsuit.”
“Try to blink every few seconds—no Mark, not that rapidly, that looks creepy,” one staffer said while teaching him how to respond to questions while appearing to be a real flesh-and-blood person with emotions and empathy. “Good, that’s—that’s almost passable, Mark. Great job. Now let’s work on getting rid of your vacant stare that’s obviously bent on world domination.”
Staffers also had to focus on the Facebook CEO’s vocabulary. Many of the interns present were forced to continually remind Zuckerberg not to use phrases like “you stupid dumb#$%^” and “flesh-covered weaklings” while addressing members of Congress.
“We didn’t have a lot to work with,” Facebook’s human behavior specialist told reporters. “He kept using terms like ‘assimilate all earthlings,’ ‘world conquest,’ and ‘everyone will die in a fiery death but I will go on.’ I think we’ve made a lot of progress, all things considered.”
There is a 100% chance Mark #Zuckerberg is a robot 😂 pic.twitter.com/KkXiInctXh
— Mike Tokes (@MikeTokes) April 11, 2018
Let us be clear; @facebook has NOT communicated directly with @DiamondandSilk. We haven't spoken to Mark Zuckerberg or any representative from Facebook. pic.twitter.com/GthvutECRa
— Diamond and Silk® (@DiamondandSilk) April 10, 2018
"Community" is such an amazing euphemism for "database."
— Ian Bogost (@ibogost) April 10, 2018
FLASHBACK: Podesta emails reveal that Facebook COO Sheryl Sandberg wanted Hillary Clinton to win "badly", provided research to her in March 2015 and met privately with her on multiple occasions. #Zuckerberg pic.twitter.com/So6te7BUPw
— Ryan Saavedra 🇺🇸 (@RealSaavedra) April 10, 2018
Zuckerberg Loses Contact Lens During Senate Hearing Revealing Horrifying Lizard Eye https://t.co/jYhTrRViWK pic.twitter.com/Q2HAvqGrhz
— The Babylon Bee (@TheBabylonBee) April 10, 2018
#Zuckerberg Banned German Historian for Saying 'Islam Is Not Part of German History'https://t.co/rf40HolnHn
— Ryan Saavedra 🇺🇸 (@RealSaavedra) April 11, 2018
Same expression Jeffrey Dahmer had as he contemplated the taste of human flesh for the first time… pic.twitter.com/a6BiFcvKv4
— James Woods (@RealJamesWoods) April 11, 2018
And here’s Ted Cruz grilling Zuckerberg.
Viktor Orban Wins (Yet Again) in Hungary
April 10th, 2018Over the weekend, Hungary’s Prime Minister Viktor Orban, an outspoken opponent of unassimiliated Muslim immigration, won a third term in resounding fashion:
It was a landslide by the most exacting standards — which more or less destroys the arguments of his opponents and critics that his governing Fidesz party could win only through authoritarianism, gerrymandering, and the dominance of the media by Fidesz and its business allies. What made this landslide still more unexpected, even shocking, was that throughout yesterday the opposition parties had been growing more optimistic about their prospects of scoring an upset victory. The visiting media — to be on the safe side — were hesitating between the headlines “Opposition Wins” and “Democracy Dies.”
Yet when the smoke of battle was clearing last night, with 80 percent of the vote counted, Orban’s governing party had won 49 percent of the popular vote and 134 seats in the 199-seat parliament. It had an almost clean sweep of the single-member constituencies outside Budapest. And it seems likely to obtain a two-thirds parliamentary majority again and thus the continued right to amend the Hungarian constitution. (All the results cited here might change marginally when the final votes have been counted.) This is as clear an endorsement as any government has received from an electorate — and it was given in the teeth of disapproval from the dominant political and cultural elites in Europe.
That’s significant. It can no longer be plausibly argued that Orban is pushing through his “revolution” either by stealth or undemocratically. Voters knew exactly what both Orban and his opponents stood for, and they plumped strongly for him. Certain conclusions flow from that.
The first is that democracy is vital and active in Hungary. Turnout was the largest since 1998 (coincidentally the election that first brought Orban to power). There were long queues outside the polling booths, which in some cases stayed open to ensure that no one who joined the line by the official closing time was denied the chance to vote. And the result — one party winning half of the vote — was conclusive. It simply cannot be explained away as the result of gerrymandering, since a 49 percent share of the total vote would mean a landslide in seats under almost any multi-party electoral system.
Nor can it be attributed to the Right’s dominance of the media, which was anyway exaggerated — there were newspapers, magazines, television stations, websites, and hoardings putting across the slogans and arguments of both Left and Right opposition parties, and they were every bit as brutal as the Fidesz propaganda machine. They were not as numerous as those making Orban’s case, but enough to get the message through to the voters. It was simply that the voters preferred Orban’s message to that of his opponents.
The second is that though Orban’s campaign was very negative, it contained some important positive messages. Yesterday I gave four reasons why he would almost certainly win here: the broad economic success of the government, agreement with Orban’s opposition to mass migration, admiration for his personal leadership qualities, and a badly divided opposition. The results bear out that analysis, to which I would add one further point: a significant number of voters agree with Orban’s criticism of the European Union as an undemocratic and overly bureaucratic body and support his broad strategy of trying to return powers from Brussels to national capitals. A defense of democracy and the demand for more of it came from the Hungarian Right as well as from its opponents. So one significance of the landslide is that it marks a positive democratic shift among voters to the kind of “national conservatism” that Orban advocates.
Snip.
As in other recent elections across Europe, the Left has suffered major losses and is now on the verge of ceasing to function as a standalone political force. Only eight years ago the Hungarian Socialists, supported by a left-liberal coalition partner, were the main governing party. On this occasion the Socialists won 12 percent of the popular vote and 20 seats, and the Democratic Coalition (an imperfect successor to the left-liberal party that has since disbanded) won less than 5 per cent and nine seats. Neither party has much of a presence outside the capital. They won only three of the single-member constituencies outside Budapest. (Fidesz won 81.)
Naturally the Eurocrats are not pleased, and the usual idiots are throwing around words like “fascist.”
For an example of the usual idiots, here’s Howard Dean:
Orban's win in Hungary is a huge threat to the existence of the EU. They can not ignore a fascist with a popular mandate. The EU will have to act or die. Poland will be next if they fail.
— Howard Dean (@GovHowardDean) April 9, 2018
“He’s going to go to Poland! And Bulgaria! And Romania! And Austria! And Italy! And France! And Germany! And then he’s going to go Brussels and take back the EU! YEAAAAHHH!”
Sorry.
Lefty EU types have accused Orban of antisemitism, but when you research their claims, it turns that Orban’s “antisemitism” consists of fiercely criticizing George Soros. In fact, Orban has explicitly condemned antisemitism. And Orban is so antisemitic that Israel’s Prime Minister congratulated him for his win and thanked him for support of Israel:
I spoke with Hungarian Prime Minister Viktor Orban, congratulated him on his election victory, and invited him to visit Israel. Thank you, Prime Minister Orban, for Hungary's support for Israel in international forums! pic.twitter.com/UoXbBLyyOv
— Benjamin Netanyahu (@netanyahu) April 9, 2018
If you’re wondering what Orban’s views are, this piece of his in National Review from last year should help clarify his positions:
The main threat to the future of Europe is not those who want to come here to live but our own political, economic, and intellectual elites bent on transforming Europe against the clear will of the European people.
Indeed, it is plain to see that on this issue, the European Union is divided into two camps: unionists and sovereignists. The unionists call for a United States of Europe and mandatory quotas, while the sovereignists desire a Europe of free and sovereign nations and will not hear of quotas of any kind. That is how the mandatory migrant quota has come to encapsulate and symbolize our era. It is an important issue in and of itself, but it also possesses symbolic significance as the distilled essence of everything we find undesirable and disruptive among the nations of Europe. We cannot allow Brussels to put itself above the law. We cannot allow it to shift the consequences of its own policy onto those who have abided (as we have) by each and every treaty and piece of legislation.
Snip.
In Western Europe, the center Right (the Christian Democrats) and the center Left have taken turns at the helm of Europe for the past 50 to 60 years. But increasingly, they have offered the same programs and thus a diminishing arena of political choice. The leaders of Europe always seem to emerge from the same elite, the same general frame of mind, the same schools, and the same institutions that rear generation after generation of politicians to this day. They take turns implementing the same policies. Now that their assurance has been called into question by the economic meltdown, however, an economic crisis has quickly turned into the crisis of the elite.
More important, this crisis of the elite — sprouted from the economic crisis — has now become a crisis of democracy itself. Large masses of people today want something radically different from what traditional elites want. This is the deep cause of the restlessness, anxiety, and tension erupting on the surface time and again in the wake of a terrorist attack or some other act of violence, or when we confront a seemingly unstoppable tidal wave of migration. We grow ever more apprehensive, because we feel that what happens today in Nice, Munich, or Berlin can happen in virtually any other corner of Europe tomorrow.
EU globalists are upset because Orban is throwing more sand into the gears of their neoliberal superstate dreams. Like Brexit and Donald Trump’s election, his ascension is a direct affront to their agenda, and thus the shrill nature of their attacks.
Israel (Probably) Bombed Syria Last Night
April 9th, 2018Somebody hit a Syrian airbase near Homs last night; we’re denying it was us, and both Syria and Russia are pointing the finger at Israel:
The Syrian government and its ally Russia have blamed Israel for a deadly attack on a Syrian military airport.
Monday’s attack hit the Tiyas airbase, known as T4, near the city of Homs. Observers say 14 people were killed.
Israel, which has previously hit Syrian targets, has not commented. Syria initially blamed the US for the strike.
The incident comes amid international alarm over an alleged chemical attack on a Syrian rebel-held town. The US and France had threatened to respond.
US President Donald Trump said there would be a “big price to pay” for the alleged chemical attack in Douma, in the Eastern Ghouta region, near the capital Damascus. He branded Syria’s President Bashar al-Assad an “animal”.
Snip.
Syrian state news agency Sana, quoting a military source, reported that air defences had repelled an Israeli missile attack on T4, saying the missiles were fired by Israeli F15 jets in Lebanese airspace.
If true, these would likely be F-15I Strike Eagles firing Israeli Popeye missiles.
Russia’s defence ministry said that, of eight missiles, five were shot down and three reached the western part of the aerodrome.
I would take any sort of Russian claims about Israel missiles being shot down with several grains of salt. Maybe they were, and maybe they weren’t. Either way, Russian air defense systems have not exactly covered themselves in glory in the Syrian conflict.
Israel rarely acknowledges carrying out strikes, but has admitted attacking targets in Syria dozens of times since 2012. Its heaviest air strike on Syria, in February this year, included targeting the T4 air base.
That followed an incursion by an Iranian drone into Israel and the shooting down by Syrian air defences of an Israeli F16 fighter jet.
Israel has said it will not allow Iran, its arch-foe, to set up bases in Syria or operate from there, something Israel considers a major threat.
The Israeli military said Iran and its Revolutionary Guards had long been active in the T4 base, and were using it to transfer weapons, including to Lebanese Shia militant group Hezbollah, an enemy of Israel.
Israel also hit a Hamas military compound in Gaza.
One interesting aspect to the strike was that all the major new services seemed asleep at the switch while reports of the strike from sources on the ground in Lebanon and Syria went out in real time. So if you want to launch a military strike in the Middle East, Sunday night seems to be the time to do it…
Texas Democratic Lawyer Mark Benavides Sentenced to 80 Years in Prison for Sex Trafficking
April 8th, 2018Democratic Lawyer Mark Benavides may be a small fish (he lost his only district court race), but his crimes stand out for their sheer depravity:
A Wilson County jury on Friday sentenced a former San Antonio attorney to 80 years in prison on each of the six counts he faced for coercing clients into sex.
Mark Henry Benavides will have to serve at least 30 years before he is eligible for parole.
Snip.
“This is human trafficking,” Chacon said. “He transported, coerced, threatened and made them feel they had no choice. This jury understood that.”
Benavides was convicted Tuesday of continuous trafficking of persons and faces 25 to 99 years or life in prison. Six women he had represented in prostitution or drug cases testified he coerced them into having sex to keep them out of jail or lessen their legal troubles, and videotaped the encounters, which were shown to the jury.
Investigators seized 246 mini DVDs that contained hundreds of videos of Benavides and the former clients engaged in various sex acts, in which he could be heard directing the women and telling them what to do and say.
During the trial, San Antonio Police Department detective Manual Morales testified that police found a filing cabinet at Benavides’ home containing 246 of what the detective called “pornographic DVDs” that showed Benavides having sex with women who police said were Benavides’ clients.
Some of the graphic and sexually explicit videos were played for jurors. A video was so graphic that a female juror fainted as the panel left the courtroom last Tuesday.
The women testified that in addition to recordings made in a motel, Benavides also had sex with them in jury and witness rooms at the courthouse.
At least one of the victims in the indictment was a minor.
I’m seeing various reports that Benavides’ coerced sex acts involved torture, but I am unable to find any mainstream media reports confirming those allegations, despite the fainting juror. Might have to wait for the official trial transcript…
What Germany Needs…
April 7th, 2018…is stricter van control:
A German police spokesman said Saturday that 4 people have been killed and 20 have been injured – some seriously – after a delivery van rammed into a crowd of people in the center of Munster.
The incident unfolded near the Kiepenkerl statue in Munster’s old town, a popular tourist area. It’s believed the van rammed into diners who were seated outside at the Kiepenkerl, a restaurant that is popular with tourists.
AFP reported that six of the injured are in critical condition.
I wonder what ethnic/religious group the perpetrator is a member of?
Cue up the “We may never know the reasons for this senseless act.”
And when will Germany have a serious national conversation on van control?
(Shtick stolen from Dwight.)