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HHS and "The Assault on Reason"

Snicklefritz

Senior Moderator
My daughter purchased a copy of Al Gore?s latest book, The Assault on Reason for me as a Father?s Day gift. Needing a break from my frequent monitoring of the Department of Health and Human Services blog, and from the flu community?s discussion of the same, I started reading Gore?s work this evening. As I read the Introduction, thoughts about the DHHS blog kept insinuating themselves into the interior dialogue I was having with Gore. Finally, I had to put the book down and just apply his thinking to the many conversations about the DHHS blog to see if Gore?s ideas had any relevance. They did. And now, I find myself once again face to face with my laptop searching for a way share my thoughts about the DHHS blog and why it felt so?well, awkward.

Many in the flu community have expressed the idea that DHHS was stunned by the response they received. The reasons given were that the decision makers at DHHS were na?ve with regard to the blogosphere, or that they were stunned by the articulate and sophisticated way that flubies communicated their considerable subject knowledge. According to Gore, the first reason may be closer to the truth, without obviating the second.

Gore says that democracy requires discourse, the free exchange of ideas in search of truth in order to make reasoned decisions that are best for the citizenry. Democracy is participatory and requires a response from citizens, to the actions of government in order to keep the government honest about what it is doing and why.

He goes on to say that printed media was the only mass communications media in the days of the founding fathers and that they could not have imagined the advent of modern communications technology. Reading the newspapers and periodicals of the day was the only access citizens had to ideas current at that time. But, representatives in government lived in their local jurisdictions, were available and public discourse was common. News media remained the predominant mass communications technology until it was usurped around 1963 by television.

Gore says the difference between receiving information via reading, and receiving it from watching television is important because each triggers a different part of the brain. Reading triggers that portion of our brain where abstract reasoning and imagination take place and requires mental effort to translate words into ideas, images and concepts. Television triggers a different portion of our brain that processes images rather than words and evokes emotional responses rather than reasoned ones. But, more than that, television is a totally passive media. One cannot have discourse with the TV. One cannot disagree, or offer alternative explanations or solutions. One cannot seek the truth. In fact, one cannot say much of anything to the TV without risking institutionalization.

For the last four decades government, politicians and businesses have become increasingly sophisticated at using the television media to craft exactly the messages they want us to receive. And we have sat in our respective living rooms and passively received what we were intended to receive without recourse to discourse. Now, our discourse has been reduced to poll results.

Government is simply no longer used to two-way communications between themselves and the citizenry, and when the citizens of Flublogia responded it was like an old ?Knock, Knock? joke gone wrong. DHHS said, ?Knock, knock!?, but when we said, ?Who?s there??, DHHS was so startled they forgot the punch line and sat there dumbfounded and unable to respond, so they said nothing at all. Instead of dialogue, we had simultaneous monologues. Eventually, they recovered their composure, but they can never recover their naivet?.

But, what of the flu community?s experience of the blog? For many it was difficult to maintain their composure as they dealt with months or years of frustration and pent up resentment and anger at not hearing from the government, or not being able to be heard. On the blog, the flu community did an admirable job of stating their case objectively, reasonably and powerfully. But, in the security of the forums that was not the case. As Mike Coston quipped, ?Hell knoweth no fury like that of a ?flubie? scorned.? The Admiral Agwunobi?s disconnected first blog was the proverbial last straw and ?flublogia? erupted. Why?

Gore sheds some light on that too. He uses ?Attachment Theory? as a metaphor for explaining the alienation, mistrust and outright anger many Americans feel toward the government. Attachment Theory is a developmental psychology theory that states, in part, that how a primary caregiver responds to an infant in the first months of life is a determinant in the ability of the child to emotionally engage their environment in later life. On one extreme (the good one) an infant who receives consistent and positive feedback from its primary caregiver will perceive itself as having power over its environment. The infant cries, the mother responds. The infant notices the response and connects it to its own actions. Toward the middle of the continuum an infant that receives an inconsistent response will develop a mistrust of both its own ability to influence the environment and the environment itself. At the far end, an infant that receives no response sees itself as powerless and as a victim. This invokes feelings of fear and rage and engenders sociopathic behavior.

Gore suggests that using a one-way communications media to send tailored message to a passive populace, while at the same time denying them a means of responding has the effect of evoking feels of powerlessness, mistrust and anger toward the government. Now, using this as a metaphor where the government is the caregiver and the flu community is the infant, and applying it to the DHHS blog, we can see that the government?s response, either inconsistent or non-existent, would produce the feelings of anger that have been expressed.

If Gore is right, or rather, if my application of Gore is right it suggests that how the government communicates a message of pandemic preparation will depend a great deal on both the media and the way the different media are used. In other words, it questions whether we can use 30 second PSA messages, which are mostly images, to convey the content of a pandemic preparedness message when images are processed primarily at an emotional level? Will a televised one-way communication from a President whose popularity numbers are in the 20?s overcome feelings of mistrust, resentment and alienation?

I believe the answer to both of these questions is no. What is needed, it seems to me, is exactly what DHHS has started to do with the DHHS blog, however imperfectly they may be doing it. If anything needs to be ?advertised? on TV it is the existence of the dialogue occurring in the blogosphere. They will certainly have to be more responsive and provide more information for discussion, but once they have done that the dialogue will inform the participants of the threat and the appropriate response. It?s all in the dialogue.
 
Re: HHS and "The Assault on Reason"

Excellent post. Important take home message.
They will certainly have to be more responsive and provide more information for discussion, but once they have done that the dialogue will inform the participants of the threat and the appropriate response. It?s all in the dialogue.
 
Re: HHS and "The Assault on Reason"

Thank you Snicklefritz.
Well thought out and argued but it raises the question 'what effect does long-term habituation to monologue have on both parties and have they forgotten how to engage in dialogue'. I am not sure that many in government are very open to giving up the perceived power of controlling the scripted message and might view this deviation from the path as an opening of pandoras box.
 
Re: HHS and "The Assault on Reason"

JJackson said:

I am not sure that many in government are very open to giving up the perceived power of controlling the scripted message and might view this deviation from the path as an opening of pandoras box.

I think you're right JJ. So, I think it would be helpful if the whole exerience were eye-opening but not traumatic.

If it's any indication of the rest of the book, I barely got through the intro before my mind was racing. Gore is not entertaining, but his thinking is compelling, even if only to disagree with him in the end.

InKy - I saw your blog this morning and weighed in your side. Let the dialogue continue.
 
Re: HHS and "The Assault on Reason"

InKy - must be lunch time. It's only two sentences because you said it so well. I decide to be brief for a change - maybe that threw them off :D
 
Re: HHS and "The Assault on Reason"

If Gore is right, or rather, if my application of Gore is right it suggests that how the government communicates a message of pandemic preparation will depend a great deal on both the media and the way the different media are used. In other words, it questions whether we can use 30 second PSA messages, which are mostly images, to convey the content of a pandemic preparedness message when images are processed primarily at an emotional level? Will a televised one-way communication from a President whose popularity numbers are in the 20’s overcome feelings of mistrust, resentment and alienation?

I have to admit this was a problem my husband and I have discussed frequently. How does The Man convince a nation his motives are pure when he is seen as partisan and in need of a popularity boost? It would be a very tough sell by President Bush. Well something needs to be done and he is ultimately responsible for the safety and welfare of all Americans.

I still believe the President has a role to play. He has to take another shot at electrifying the nation. But, he needs to immediately step away from the podium once he has made an announcement. Then the inarguably non-partisan experts need to take the podium. That too is when we step in do our part. We need to as Emeril would say 'kick it up a notch'. There have to be people from most entertainment areas with a secret addiction to flublogia. Oprah, rock stars, business leaders, need to be asked to come out of obscurity and asked for their help. Each can make a 30 second spot with the same message, prepare for a possible pandemic. State that most will not be very expensive changes or additions but, rather will take a small adjustment in weekly grocery purchases. Put a graph of the number of cases and the case fatality rate along with a map of locations bf (and any other flus) have become endemic in every 30 second PSA. All of the spots would add the governments flu page with links to flublogia sites at the top of the page. Then we can take those church leaders and add their messages to Sunday sermons. We also must make absolutely certain that every states leadership 'gets it'. The Red Cross was another good place to sell the need for prepping. If that still doesn't work then we need to come together with a real dialogue between experts, the government and flublogia.


Edited to add, I thought your post was extremely well written Snicklefritz.
 
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Re: HHS and "The Assault on Reason"

Shannon, you have made some excellent suggestions. I like the Presidential news conference starting with the President and then being turned over to experts. I also consider the celebrity angle to be viable in part. The problem is that 30 spots are image driven (and the celebrity is the main image I suppose). Since, images have primarily an emotional appeal, what additional images would you suggest? Having some celebrities champion the cause on the talk show circuits where more information can be communicated might be more effective. Bono has no trouble getting air time, why not a 'closet flubie' like you suggested?

I think it might work, as a follow-up to the Presidential address, to have congressional hearings where leading experts are invited to address members of congress and respond to their questions. And then follow them with Leavitt, Chertoff, and Gerberding to explain what the governments response should be. If the HHS blog has been shut down, open it up again for people to respond to the hearings. I even think participation by the 'flu community' should be discouraged in some way to give others a chance to air their questions. Perhaps that could be a collaborative effort requested by this 'council' DemFromCt is talking about.

Follow this with the Sunday talk show circuit and you have one big news cycle where influenza pandemic is on the front burner. Then the celebrity PSA campaign to keep it in the forfront of people's minds.

But, what a dream that would be...who would by into it? Perhaps a President in search of a legacy, or a political candidate(s) looking for an issue no one else has latched on to yet - a chance to sieze the agenda and run with it.
 
Re: HHS and "The Assault on Reason"

Now this is dialogue. I like all of your added suggestions. With the exception of omitting flublogia. WE actually have a better handle on the danger, coping mechanisms, and also own the medium of the internet. We are far more familiar with how to take charge of the dialogue than most government experts. (Just think of the fiasco we just witnessed.) We aren't afraid of telling the truth whereas many in government still fear the panic response despite evidence to the contrary. We also have people who are willing to step into the publics eye if given a chance.

As for other images for those 30 second spots, how about seeing images of 1918? The first images need to be moderate in their visual impact, perhaps gravestones from 1918, or huge wards of sick enlisted. Reminders that things really haven't changed all that much with how a new flu can be treated. Ramp up the visuals occasionally with more powerful images of grieving parents holding a dying child with reminders that this flu is especially deadly to people under the age of 40. Visceral images that immediately grab every parent will wake some up. Eventually it will be the hip thing to do to be proactive in protecting our most important resource, our future - our children. These spots might be run immediately following a new cluster.
 
Re: HHS and "The Assault on Reason"

Shannon, I didn't use the term omitting, and that wasn't my intent. And I don't mean to make too much out of your use of the term either. But, I said 'discourage' and was trying to suggest a voluntary restraint on the part of 'flubies'. People need to be 'invited' into dialogue, especially on a topic they know nothing about, or in a brand new medium.

Of course, you are right that there are none better prepared to answer questions people may have, especially on the how-to's of preparing. I can see a knowledgeable 'flubie' saving many lives answering these questions. But, I can also people being intimidated by volumes of long posts by people who are clearly communicating to others who are already in the know. If it becomes like our present day forums, it will not be as effective for the intended purpose - in my opinion.

I like your images and the way they gradually escalate. I also think images can be selected different important aspects of a pandemic - like power outages (maybe something like a neighborhood as twilight deepens and night falls and there are no lights anywhere - Fade To Black, The Reality), people running out of gas, houses burning down with no firefighters present, exhaused HCWs, people in line for food, etc. Hey, maybe I a future with YouTube :D
 
Re: HHS and "The Assault on Reason"

More images -

Scene 1 - Hospital emergency room where doctors and nurses are frantically trying to save the life of the patient who is wearing scrubs and is obviously and HCW. Camera focuses on the face of someone like Dr. Greene from the ER TV series. He looks into the camera with a thousand yard stare and says something like 'You know, in a pandemic health care workers will be among the first victims". He continues to stare into the camera for a few seconds then averts his gaze down and away. Fade to black.

Scene 2 - the Parish Bulleting board where a priest is posting what is obvisouly a short list of the deceased. Fade and overlay to the same priest replacing the short list with an obviously longer list. Fade and overlay to a layperson posting a picture of the priest over the list. Cut to a well respected religious leader like Billy Graham who says 'No one... no one is immune to a pandemic virus...' Fade to black.

Scene 3 - remember the pictures of loved ones left at ground zero? Scene is a local elementary school bulletin board where where a teacher is pining up pictures of her students. The number of pictures begins to grow in time, and soon whole family photos begin to appear. Voice over saying, 'During a pandemic, the young and healthy will be the hardest hit.'

Now, I'm brain dead and going to bed.

Peace and Health - Snick
 
Re: HHS and "The Assault on Reason"

I appreciate the discussions in this thread.

It certainly will be easy to provide a dramatic 30 second spot with captivating images and a sound bite that hits home about the dangers of a pandemic. But that only identifies the problem.

How are we going to promote a solution or send a preparedness message in a 30 second time slot?
 
Re: HHS and "The Assault on Reason"

can someone recommend a short summary or review of
Gore's thoughts ?
 
Re: HHS and "The Assault on Reason"

Precisely, LaidbackAl, the spots are not sufficient in and of themselves. You could put a message at the bottom that says something ilke "For more information visits www.pandemicgov.com", but that is also insufficient.

The spots must be used in conjunction with something much more comprehensive similar to what I suggested earlier. The spots are the easier of the two to accomplish. The spots are a one shot deal, once their produced all you have to do is air them. Other efforts will be ongoing.

Perhaps 'flubies' would be willing to man a 'hot line' telephone number to answer questions and direct people to other internet sites or have articles and other information they could email to the caller if they were willing to provide an email address. There might even be a 'fllubie' out there with a customer support background willing to provide some kind of training for the 'flubies' manning the line.
 
Re: HHS and "The Assault on Reason"

Snicklefritz
Shannon, I didn't use the term omitting, and that wasn't my intent. And I don't mean to make too much out of your use of the term either. But, I said 'discourage' and was trying to suggest a voluntary restraint on the part of 'flubies'. People need to be 'invited' into dialogue, especially on a topic they know nothing about, or in a brand new medium.

Of course, you are right that there are none better prepared to answer questions people may have, especially on the how-to's of preparing. I can see a knowledgeable 'flubie' saving many lives answering these questions. But, I can also people being intimidated by volumes of long posts by people who are clearly communicating to others who are already in the know. If it becomes like our present day forums, it will not be as effective for the intended purpose - in my opinion.


Forgive me for my use of the word omission. It remains however a bone of contention between us. For one, I do not see any way to ask flubies not to participate that would actually result in their silence. We might be able to reign in some of our own posters to a limited degree but would have zero impact on others. Neither do I see a real need for it. Let me explain. This isn't the first time a significant number of non-flubies have interacted with us. The other time was a result of the Oprah pan-flu awareness program with Dr. Osterholm as guest. We made almost no dent in their stubborn refusal to acknowledge even the possibility of pandemic. Because the number of naysayers was vastly superior to flubloggers, we were relegated to being a nutty fringe who had been duped by so-called experts who saw disaster behind every bush. No one spoke of Katrina; all spoke of Y2K. That is not all.

The other reason I have grave reserves about not participating is because of the messages I know they are going to hear from the government. The most egregious of which is the deliberately misleading suggestion of a two-week food supply. Your arguments that anyone who gets involved will quickly see the error of the plan simply do not hold water. How many are going to do further investigating? It is also unwise on the government's part because it is a deliberate lie. Do not mistake me in this. The health and welfare of Americans citizens is being jeopardized. If the PTB want to call it something more innocuous like sugar-coating the message rather than a deliberate lie, it means the suffering of millions and the deaths of only God knows how many. It isn't a fib; it is a death sentence. For those who do see beyond the lie, it will result in even more distrust. If the government is lying about something as important as this, then who will believe anything else they say? The government's veracity is impeached beyond any possible redemption.

For those who do not spend the time verifying the government's position, the result is being unprepared for what will be forced quarantine and inevitable long interruptions in the supply chain with no way to restock. Anyone who is in a position of authority and espouses this as unnecessary does not understand just in time delivery systems in conjunction with simultaneous countrywide infections. Look back on Katrina and remember the scenes of hungry people breaking into stores for food and water. The same thing will happen again for those who have not prepared. And two weeks into a pandemic would be prime time for infections to be shared. This in turn will mean even longer quarantines for the rest of the community.

Deliberate misinformation for whatever reason is completely unacceptable to me, and I suspect to others in flublogia. I just never was very good at laying down and playing dead and my mother instilled in me a mindset that demanded I question authority. I am saddened that this one area could come between a marriage between government and flublogia. Perhaps this is a good reminder that while I/we want to work in synergy with government and I/we do appreciate the invitation, I/we will remain independent. This is the only way to ensure a semblance of the truth.






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Re: HHS and "The Assault on Reason"

Shannon, I am not behind you, and I am not leading you. I am standing shoulder to shoulder with you and every other person on this planet who needs assistance in this matter. Although I am not sure what assistance I can offer, the offer is there nontheless.

I also have no illusions about what the current administration is capable of. (This is not a partisan attack, the current administration could well be in office when the balloon goes up.) But, I'm not willing write off everyone in government service under the perjorative label of 'government'.

Having said all that, I have never suggested that 'flubies' not participate at all. I have only suggested that participation be 'voluntarily' restrained to allow others who are less knowledgeable to participate and learn. Clearly, I don't see the danger you do. But, let me offer that after the recent experience with 'flubies' on the HHS blog, it may suffice for officials participating to simply know that 'flubies' are waiting in the wings to 'correct' any misinformation. We all need someone, hopefully a trusted friend, to keep us honest about who we are. But, it doesn't have to be a friend.

I have every confidence that just about any serious 'flubie' could 'Agwunobi-ize' anyone who started uttering pandering and patronizing untruths in the name of authority. The only common authority 'flubies' acknowledge is the Truth. And, I have no problem with a 'flubie' pointing out the facts that would suggest two-weeks is not sufficient. But, even this can be done in about two paragraphs and a link to the DHS recommended 90 days.

In a sense 'flubies' would be acting much like a 'Friend of the Court'.

So, we don't agree about this issue. There is much we do agree on. When situations become polarized sometimes the place to start is what you agree on, and work on the more difficult issues of contention.
 
Re: HHS and "The Assault on Reason"

LOL I do agree with 95% of your opening post. I wonder if I shouldn't take the time to redefine the issue standing between us. It isn't you that is the problem, it is how we were treated and the antiquated suggestions by those in charge of the blog. I saw paternalism and I also saw misconceptions. We truly are far better informed than were some of the experts. We were asked to participate but active dialogue was not expected. If you think about it for a minute this is not surprising. Both for the reasons you stated and because we really are extremely well connected and informed. Some of us had some flu experience before ever joining the flu blogosphere. There are some here who hold higher degrees or, have some other special knowledge and they have been freely sharing whatever it is they have to teach. We are dedicated, passionate and avid learners. We are also insistent on verifying all incoming information to the best of our abilities. In many ways we are like an open university. The final pages of the blog were all about defending positions and holding feet to the flames. An admission of consternation is not an agreement to change. For these reasons I remain hesitant of an overnight conversion in the the attitudes of those in charge of the experiment. If/when we do this again I am certain that some of the rules will either be changed, or the invitations to participate will differ. I really do want to be a part of the movement but I cannot do it the way it was proposed with us listening and obeying without question. Just as neither can we do this without more public leadership. We have 'been there and done that' already . Our efforts to fire the imagination of our fellow souls thus far have made a very small impact.

With that in mind, I would like to remind you of who was not invited to participate. Everyday citizenry was not included. There were no big campaigns to enlist the cooperation of anyone who was not already engaged in flublogs. The dialogue was to be between flublogia and those within the government who are wanting to better prepare our people. This was facilitated by a public relations company. If they do indeed change the rules of engagement to include Joe and Jane Smith (which is where your argument for voluntarily remaining in the background comes in, I assume) then I am even more sceptical dialogue can or will be achieved. I say this both from past experience and from the latest experiment. I have no reason to think the message will change nor that the communication methods will differ. Granted I could be wrong but given history thus far I doubt it.

We are all operating with hope we can work together to open some minds and perhaps a few doors. No doubt my past experience with 'some' government flu spokespeople is negatively tainting my response. Even the most deceitful are doing so for what they perceive as good reasons. Whether their rationale for suggesting a 14 day supply of food is because of the fear more cannot be achieved or, for some other reason, we still need to insist on giving the citizenry the truth other experts have clearly stated as an expected result of pandemic. What I cannot ever agree too is that more than that is not really needed. How we go about changing the minds of current policy makers regarding the woefully lacking supply is what we need to address. I must also add so too is some kind of proclamation from the highest authority clearly stating that pandemic flu is a real threat and we, all of us need to prepare. So what can we do?

If Latter Day Saint (Mormon) families can do it with a host of children and mom typically at home, then so too can most of the rest of us. The difference is strong support from the community and the church. Beans are cheap, wheat is cheap, oatmeal is cheap, and so too are most other staples. We don't have to buy generators and a half a side of beef. What we do need is to help guide people into making the commitment to prepare with whatever financial tools they have. Long lists of essentials can be intimidating. Perhaps we could start the list with those things that can be stocked at little cost then go on from there. I remember reading a post from a mom who said she couldn't afford to purchase enough food to supply her family for a week let alone three months, then added she wasn't willing to give up her latte every morning at the local coffee shop. Obviously there was some discretionary monies that could be spent but her priorities were topsy-turvy. I suspect her idea of prepping for three months meant eating the same meals they sat down to every day. That is something we need to clarify and hopefully simplify.

I love the suggestion of PSAs. Links to us and other flublogs are an obvious choice in the announcements. While the government makes the PSA's using famous people and sharing images, we can be used to interact on a one-to-one basis. The PSA cannot be made in a vacuum as you already stated. We need people like Larry King, Oprah, someone from FOX , MSNBC, and any and all other well know persons who will interview the real doctors who are engaged in the battle. Leave politics out of the equation. Invite Osterholm, Taubenberger, Margaret Chan, perhaps Levitt and Julie Gerberding when the publics opinion has been peaked.
 
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