Star Trek and the Future State of Health Care

Space ships are like submarines in space. A typical nuclear submarine has a crew of over 80. Okay, in Star Trek's optimistic vision of the future, space ships have their luxuries and aren't the cramp, pressure capsules that submarines are. Since, these starfarers are not just explorers but military, one forgets the nature of medicine in the field. Submarines don't typically have room on board for medical centers and doctors and resort to using super-medics (this is a bit of an assumption as my limited research on the matter turned up no actually compelling statistics). But as stated Star Trek presents an optimistic vision of the future, and while getting in the occasional skirmish, there is typically always a doctor stationed.

Now one of the defining statistics for a high quality of life is the ratio of doctors to patients. According to the WHO, Cuba has a doctor for every 170 residents. Data as recent as 1999, suggested Cuba has a doctor to patient ratio of 58.2 to 10 000. Of course, Cuba's ratio is exceptionally high, but is a fair point of comparison because an optimistic future should have an exceptionally high ratio of something positive.


So I propose to look at the ratio of Doctors/Crew Members:

The USS Enterprise (NCC-1701) (a constitution-class ship) of The Original Series had a crew of 430. This Enterprise had a one Dr. Leonard McCoy (as well as at least two nurses, however rarely seen/mentioned).

The USS Enterprise (NCC-1701-D) (a galaxy-class ship) of The Next Generation had a crew of 1014, not including dolphins. This Enterprise had Dr. Crusher as its Chief Medical Officer which implies subordinates although the size of her sickbay is unclear.

The USS Voyager (NC-74656) (an intrepid-class ship) of Voyager has a crew of 150-200. To be fair, any doctors seemed to die when the ship became lost in space and they had to resort to a single emergency hologram doctor.


I'm not exactly sure what conclusions can be drawn from this. Will a doctor-to-patient ratio be important in the future or will its influence on the quality of life be superseded by the advance of technology. Can technology ever truly replace doctors? Or does the fact that it could make a doctor's job easier increase the number of patients that doctor could effectively serve?

These are the questions I think good/interesting sci-fi asks and I'd be more interested in people exploring those answers than how Kirk is going to avoid the giant styrofoam rock thrown by that giant lizard man. Sure, that's an important moral question, but let's not forget the more sociological questions too.

(Space Ship Data Source: Memory Alpha)

J.G. Ballard Death Watch

As regular readers well know, I contemplated buying J.G. Ballard's The Atrocity Exhibition back in April.

Now comes word that Ballard has written his last book: his autobiography Miracles of Life, published in this year of our Lord two thousand and eight. However, all of his work has been vaguely autobiographical. This is what makes him such a fascinating figure, for me at least. The idea that one could draw a line from Jamie Graham of the 1940s Japanese-occupied Shanghai of Empire of the Sun to the automotive paraphiliac James Ballard of the transgressive new wave sf Crash. Either that, or its all one big joke.

Miracles of Life is Ballard's last book because frankly, he is dying. Terminally. Of advanced prostate cancer.

I still hope to get my hands on Ballard's The Atrocity Exhibition. And Crash. And The Drowned World. And Empire of the Sun. And High-Rise. And anything else, and there is plenty else.

The Atrocity Exhibition famously, or infamously, includes the short story "Why I Want to Fuck Ronald Reagan." Reagan at the time of writing and publication in 1967-8 was, of course, still just Governor of California and a politician-to-watch. Here best to remember the man, a living memoriam, is an excerpt:

THE CONCEPTUAL ROLE OF REAGAN. Fragments of Reagan’s cinetized postures were used in the construction of model psychodramas in which the Reagan-figure played the role of husband, doctor, insurance salesman, marriage counselor, etc.

The failure of these roles to express any meaning reveals the nonfunctional character of Reagan. Reagan’s success therefore indicates society’s periodic need to re-conceptualize its political leaders. Reagan thus appears as a series of posture concepts, basic equations which reformulate the roles of aggression and anality. Reagan’s personality. The profound anality of the Presidential contender may be expected to dominate the United States in the coming years. By contrast the late JFK remained the prototype of the oral subject, usually conceived in pre-pubertal terms. In further studies sadistic psychopaths were given the task of devising sex fantasies involving Reagan. Results confirm the probability of Presidential figures being perceived primarily in genital terms; the face of LB Johnson is clearly genital in significant appearance--the nasal prepuce, scrotal jaw, etc. Faces were seen as either circumcised (JFK, Khrushchev) or uncircumcised (LBJ, Adenauer). In assembly-kit tests Reagan’s face was uniformly perceived as a penile erection. Patients were encouraged to devise the optimum sex-death of Ronald Reagan.

Twelve minutes to midnight.

Bonus Memoriam: A shot from the David Cronenberg's film adaptation of Crash. Here we see the vulva-like scar on the back thigh, an automobile accident-caused leg wound, of a character before the main character penetrates it sexually, liberating-ly so. These cars, this "perverse technology," this reshaping of the human body by modern technology," all brought to the forefront, the new flesh:


Bon appétit.

Copyright and the Superman

So there was a pretty big ruling concern the ownership of Superman (i.e. the copyright to the character). A Court of Law has reverted half of the copyright to Action Comics #1 and the character of Superman as defined therein. This to the heirs of Jerry Siegel according to a piece of copyright reform. Artist and co-creator Joe Shuster's estate (Shuster having no heirs) will have its chance at its half of the copyright according to a separate piece of copyright reform come 2013. This applies only to the U.S. DC Comics maintains its international interests.

Some thoughts:

1) I'm going to be pissed if this adversely affects All-Star Superman (it'll likely be finished before DC Comics' appeal on the ruling is even processed).

2) Copyright reform is going in the wrong direction.

3) Superman should be in the public domain.

4) Copyright should last no longer than 25 years. Even that's being generous, I think.

The origins of copyright lie in not creating a continuous cashcow for your life, and the lives of your children and their children, but to let you profit for an extended period from successful work as way of inspiring creativity and continuation thereof. Copyright has lost its way. It'd be best to scrap the whole system and start anew, except for the massive Media Conglomerate Lobbies that have already ruined copyright would still be at the forefront. As can be seen in the case of the Music Industry v. the Internet and the Advancement of Technology, copyright should be the benefit of Artists and not Record Labels.

Weekly Wikipedia Find: Technological Singularity

Finally, we address the elephant in the room. Singularity. The singularity. The Singularity. It's coming. Time is fluid. It's already here. Maybe not temporally, but spatially.

You just shit your pants, right? That's alright. For when the Singularity comes, we'll all be shitting our pants. (But who'll be the one to change us all?)

"Comes"-- that's almost not the right word. Almost not even in the realm of being in the same sentence as the right word. "Happens", maybe. More simply, "is". The Singularity is. The Singularity bes.

The singularity is the hypothesized point in time, when technology, computers, artificial intelligence, surpasses human intelligence through rapid technological progress to the point of becoming a self-improving intelligence. It will be able to build its own successors, humans will be out of the picture. We having built our own successors, the Singularity. It's coming. If? When. It's here.

Wikipedia by Week

Week Fourteen: Numbers Station
Week Thirteen: Culper Ring
Week Twelve: Mary Sue
Week Eleven: Byford dolphin diving bell accident
Week Ten: Deep-sea gigantism
Week Nine: Bloop
Week Eight: Rat king
Week Seven: Gustave Doré
Week Six: Tomorrow
Week Five: Borscht Belt
Week Four: Swampman
Week Three: Chinese room
Week Two: Ambrose Burnside
Week One: Lolita fashion