I realize most of you come here not for the money or the politics (or the recipes) but for the fashion. Click here. And if you like the clothes, click through to SAKS to order on line. And/or come to SAKS Fifth Avenue New York – 4th floor – for a drink and a fashion show Thursday, September 15 at six o’clock.


BiDil has now been added to Public Citizen’s website. Their main beef seems to be that it is overpriced. They recommend taking BiDil’s generic components instead.

Prescriptions for the week ended August 26 came in at 315, up from 257 the week before. If 100% of those prescriptions are filled with full-price BiDil, then the company would appear by now to have around 1,500 customers at $1800 or so a year each.

Part of our bet in owning puts on Nitromed is that 100% of the prescriptions won’t be filled at full price, because (we think) a lot of insurers will decline to cover this pill, steering people to its generic components instead.

And part of our bet is that, even if insurers all do cover it, the eventual sales volume will not be enough to cover the $125 million or so that the company has budgeted to spend next year. (Not to mention the $115 million it expects to have spent in 2005.)

To break even, the company would need about 70,000 full-price customers. If the rate of weekly patient acquisitions rises from 315 to 1,000 and sustains that for a full year – by which time most candidates for this medication would probably have been in to see their doctor – that would be a better showing than my guru expects . . . but still leave the company well short of breakeven. Yet it currently sports a market cap of $600 million.


Thanks to Andrew Sullivan for pointing out this lengthy conservative blog entry, which concludes:

The collapsed levees of New Orleans will have consequences for neoconservatism just as long and deep as the collapse of the Wall in East Berlin had on Soviet Communism; for when hacks and fulminators like John Podhoretz are openly criticizing the president, the Great Leader, the ideology is on the way out. And hopefully all of those who urged the ideology on, myself included, will have a long time to consider the error of our ways.


Read the passage below.

1. Do you think the U.S. news media should have more widely reported this offer?

2. Do you think our government was wise to ignore it? If so, why? If not, why not?


Castro, addressing 1,586 doctors assembled to offer assistance to victims of Katrina. Havana Convention Center, September 4, 2005

Hardly 48 hours ago I . . . once again explicitly offered the United States to send a medical force with the necessary means to offer emergency assistance to the tens of thousands of Americans trapped in the flooded areas and the ruins Katrina left behind after lashing Louisiana and other southern states.

It was clear to us that those who faced the greatest danger were these huge numbers of poor, desperate people, many elderly citizens with health situations, pregnant women, mothers and children among them, all in urgent need of medical care.

In such a situation, regardless of how rich a country may be, the number of scientists it has or how great its technical breakthroughs have been, what it needs are young, well-trained and experienced professionals, who have done medical work in anomalous circumstances, and that, with a minimum of resources, can be immediately transported by air or any other available means to specific facilities or sites where the lives of human beings are in danger.

Cuba, a short distance away from Louisiana, Mississippi and Alabama, was in a position to offer assistance to the American people. At that moment, the billions of dollars the United States could receive from countries all over the world would not have saved a single life in New Orleans and other critical areas where people were in mortal danger. Cuba would be completely powerless to help the crew of a spaceship or a nuclear submarine in distress, but it could offer the victims of hurricane Katrina, facing imminent death, substantial and crucial assistance. And this is what it’s been doing since Tuesday, August 30, at 12:45 pm, when the winds and downpours had barely ceased. We don’t regret it in the least, even if Cuba was not mentioned in the long list of countries that offered their solidarity to the US people.

Knowing that I could rely on men and women like you, I took the liberty of reiterating our offer three days later, promising that in less than 12 hours the first 100 doctors, carrying the necessary medical resources in their backpacks, could be in Houston; that an additional 500 could be there 10 hours later and that, within the next 36 hours, 500 more, for a total of 1100, could join them to save at least one of the many lives at risk from such dramatic events.

Perhaps those unaware of our people’s sense of honor and spirit of solidarity thought this was some kind of bluff or a ridiculous exaggeration. But our country never toys with matters as serious as this, and it has never dishonored itself with demagogy or deceit. That is why we proudly gather in this hall, at Havana’s Convention Center where only three days ago we observed a minute of silence for the victims of the hurricane which battered the United States, and from where our heartfelt condolences were extended to that brotherly people.

Here we are, and not 1100 but 1586 doctors, including 300 additional doctors, in response to the increasingly alarming news that keep coming in. In fact, another 300 doctors, approximately, have joined this group at the last minute. They were called in and we’ve already announced that we are willing to send thousands more if it were necessary. But these 300 doctors are in other halls of the Convention Center, taking part in this function. In just 24 hours, all of the doctors summoned to carry out this mission, coming from all parts of the country, met in the capital. We have shown the utmost punctuality and precision.

. . .

Our doctors’ backpacks contain precisely those resources needed to address in the field problems relating to dehydration, high blood pressure, diabetes Mellitus and infections in all parts of the body -lungs, bones, skin, ears, urinary tract, reproductive system- as they arise. They also carry medicine to suppress vomiting; painkillers and drugs to lower fever; medication for the immediate treatment of heart conditions, for allergies of any kind; for treating bronchial asthma and other similar complications, about forty products of proven efficiency in emergencies such as this one.

These professionals carry two backpacks containing these products; each backpack weighs 12 kilograms. Actually, this was determined when all of the backpacks were procured, since although they are quite large, only half of the supplies would fit in; it was then necessary to give each doctor two backpacks, and the small briefcase which carries diagnostic kits. These doctors have much clinical experience, this is one of their most outstanding characteristic, as they are used to offering their services in places where there isn’t even one X-ray machine, ultrasound equipment or instruments for analyzing fecal samples, blood, etc. With the increase in the number of doctors, the medications weigh a total of 36 tons. The initial figure was smaller.

Cuba has the moral authority to express its opinion on this matter and to make this offer. Today, it is the country with the highest number of doctors per capita in the world, and no other country cooperates with other nations in the field of healthcare as extensively as it does.

Of over 130 thousand healthcare professionals with a university education, 25,845 today serve in international missions in 66 different countries. They offer medical services to 85,154,748 people; 34,700,000 in Latin America and the Caribbean and 50,400,000 in Africa and Asia. Of these, 17,651 are doctors, 3,069 are dentists and 3,117 are healthcare technicians who work in optic services and other areas.

Today, more than 12 thousand young people from around the world, chiefly from Latin America and the Caribbean, are studying medicine in Cuba completely free of charge, and their numbers will continue to grow rapidly. Scores of young people from the United States study in the Latin American School of Medicine, whose doors have been opened, since the institution’s inception, to students from that country.

. . .

When our first war of independence broke out in 1868, a group of Americans joined the ranks of Cuba’s independence forces. One of them, a very young man, stood out for his exceptional courage and wrote pages of admirable heroism in Cuba’s history. It was Henry Reeve. His unforgettable name is forever etched in the heart of our people, and next to that of Lincoln and other illustrious Americans it is carved on the pillars of the Plaza built in the days of the struggle for the return of little Elián González, when the noble people of the United States played a decisive role so that justice would finally be done.

Henry Reeve, almost crippled by the wounds sustained in the course of 7 years of war, fell in combat on August 4, 1876, near Yaguaramas, today the province of Cienfuegos.

I propose that this force of Cuban doctors who have volunteered to help save the lives of Americans bear the glorious name of “Henry Reeve”.

These doctors, I mean you, could already be there, offering their services. 48 hours have passed and we have not received any response to our reiterated offer. We shall patiently await a reply, for as many days as necessary. In the meantime, our doctors shall use the time to take intensive epidemiology courses and improving their English. If, ultimately, we do not receive any reply or our cooperation —your cooperation— is not needed, we shall not be demoralized, not you, not us, not any Cuban. On the contrary, we shall feel satisfied for having complied with our duty and extremely happy knowing that no other American, of the many that suffered the painful and perfidious scourge of hurricane Katrina, shall perish from lack of medical care, if that were the reason our  doctors were not there.

The “Henry Reeve” Brigade has been created, and whatever tasks you undertake in any part of the world or our own homeland, you shall always bear the glorious distinction of having responded to the call to assistance our brothers and sisters in the United States, and that nation’s humblest children especially, with courage and dignity . . .


Click here to read a transcript of the latest Jeffrey Sachs telephone press briefing, the gist of which is that John Bolton has ridden in to blow up the United Nations at a pivotal time.

A small sampling of the phone call:

The UN Summit, which will take place in a couple of weeks, is not really on the American radar screen yet, but it will be the largest gathering of world leaders in history. There are more than 180 world leaders signed on to come here. They’re taking this very seriously. There has been a tremendous amount of work, for many years in fact, leading up to this meeting and that’s why virtually every leader in the world will be coming for the UN session. It is a make-or-break session in a lot of ways for global poverty.  Five years ago the world agreed to the Millennium Development Goals and five years later we know that we are suffering from pandemic diseases, a hunger crisis all over Africa, continuing massive loss of life, eight million people a year dying of their poverty. And the world, and particularly the United States and some other donor countries, have not lived up to the commitments that they made to the world’s poorest people five years ago. . . .

Now the world had worked on a document — up until a few days ago — that was winning virtually global consensus and I have met with probably 50 or 60 heads of state in the last few months to discuss this global consensus, which is very widespread. The United States came in a few days ago, essentially to try to gut this document. . . .

I believe that the U.S. government sees the worldwide political momentum behind these goals and it’s doing its best to try to stop it. I think that’s tragic for the world and for the United States and for U.S. security, because when the U.S. says, “We don’t buy into partnership with you” somehow it still expects the world to buy into partnership with the United States. . . .

Finally, the United States is trying to say that it is living up to its commitments. This is false, and I would also like to say, as I visited more than a dozen impoverished countries in Africa and many in Asia, U.S. diplomats all over the world are wringing their hands in private at the lack of attention that the United States is paying to development, because they know that with that lack of attention there are multiple dangers of instability, havens of terror, disease, conflict, violence, drug trafficking, that are running rampant without a U.S. response. And our diplomats, ambassadors and officials in our embassies know these things, but of course U.S. policy is to say we’re doing everything we can do. . . .

I want to end by saying that I believe that the global consensus for the Millennium Development Goals will hold. I actually believe that the United States will live up to its commitments. I believe that because I think that these commitments are enormously in the U.S. interest and enormously in the spirit of Americans. I do not believe what’s happened in the last few days reflect either the interests of our country or the beliefs of Americans, and I think Americans want to stand up, to not only be counted, but to help lead the fight against extreme poverty, both because they know it’s right and also because they know that it is in their enormous interest as well. And so I am optimistic that what is in the interests of America and in the interests of the world will be reflected in a global consensus and with America’s part in it. I think this is just a confused misstep that will be corrected.

☞ To help correct it, click here.  You are asked to call, fax or email the White House before five today.


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