What I Am Reading January 23rd

By Chuck Dinerstein, MD, MBA — Jan 23, 2025
Ever wondered why carbon dioxide is the reigning champ of global warming? Turns out, it’s all about how it wiggles—literally. Meanwhile, in the realm of human folly, we’re still trying to figure out how to vote without making a mess of it. The Borda Count voting method claims to be the best, but let’s be honest—when was the last time we agreed on anything in politics? Speaking of good intentions gone awry, consider the Ocean Safety Directorate, where saving lives might just sink the entire shipping industry. And finally, a trip down memory lane—once upon a time, you just became a doctor; now, it's a whole production complete with pledges to humility and self-awareness. What’s next? Participation trophies for diagnosing the flu?
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What is the science behind the global warming produced by CO2?

“This spring, a team led by Robin Wordsworth of Harvard University figured out why the CO2 molecule is so good at trapping heat in the first place. The researchers identified a strange quirk of the molecule’s quantum structure that explains why it’s such a powerful greenhouse gas — and why pumping more carbon into the sky drives climate change. … global warming is tied to a numerical coincidence involving two different ways that CO2 can wiggle.”

From Quanta, Physicists Pinpoint the Quantum Origin of the Greenhouse Effect

 

With the election in the rearview mirror, perhaps now is a good time to reconsider how we vote.

“The debates over which is the best voting system will probably never end. Indeed, voting theory itself tells us that multi-dimensional choice is always subject to some infirmities and people may differ on which infirmities they are willing to accept. Nevertheless, we can conclude that plurality rule is a very undesirable voting system and the case for the Borda Count is strong.”

What is the Borda Count? From Marginal Revolution, The Borda Count is the Best Method of Voting

 

Can the road to hell be paved with good intentions? What if the intention was to save lives?

“Society has decreed that the death of a seaman is intolerable. So we have set up the Ocean Safety Directorate (OSD). The OSD's job is seaman safety. The OSD gets no credit for all the economic benefits associated with cheap ocean transportation. But if a single crew member is lost at sea, the OSD will have failed at its job, and its employees will suffer the consequences.”

From the Gordian Knot, What if tanker crew deaths are intolerable?

 

I finished my medical training long ago, before White Coat ceremonies and all the other pomp and circumstance – graduating was enough. But today, medical schools feel a need to celebrate crossing some liminal threshold between citizen and physician as described here.

“We pledge to ourselves to commit to integrity, humility, and wonder in both our learning and in our service of patients, to have the courage to be vulnerable and acknowledge our innate privileges, and to continuously address our implicit biases,” the Class of 2028 began their oath among their medical and dental peers last year. They wore their new white coats presented days earlier in a ceremony with family and friends.”

What is that all about? From Medscape, Lost in Modern Medicine: What Happened to the Hippocratic Oath?

Chuck Dinerstein, MD, MBA

Director of Medicine

Dr. Charles Dinerstein, M.D., MBA, FACS is Director of Medicine at the American Council on Science and Health. He has over 25 years of experience as a vascular surgeon.

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