No one has a better first-hand view of the problems with this country’s health care system than the doctors who work in it, a vantage point that has made some of them “mad as hell” about it.

As a strong advocate for a single payer health care system, Dr. Paul Hochfeld had hopes that the federal health care reform debate this year would lead to some major improvements. When the final bill was passed, however, he was deeply disappointed. From his position inside the current system, Dr. Hochfeld recognizes the power of the fiscal incentives to provide maximized, specialized care during the final few weeks or days of a patient's life. Yet he argues, it is widely acknowledged that this approach is both highly expensive, and often contrary to the comfort and well-being of the patient.

You can find out more about Dr. Hochfeld and his film at his website.

Small businesses have a disproportionately big impact on the local economy, especially when it comes to creating jobs. But public policy has been slow to recognize that. The need for changes was a central theme at Monday's Smart Growth Symposium, presented the Leadership Institute for Ecology and the Economy.

On the global economic playing field, the ongoing tug-of-war between local business and corporate giants can be distilled into competing views of how capitalism should work, explains Mike Shuman, Director for Research and Economic Development for the Business Alliance for Local Living Economies (BALLE). He likes to think of them as two quite different women.

Many consumers are already aware of and acting on the desirability of directing their spending toward local businesses. But few give much thought to taking the same approach with their retirement accounts and other investments. Shuman explains how some of the long-standing obstacles to doing that are beginning to go away.

 How about using the heat from the Earth’s core to power your home? Guess what: you already are. Solar, wind and water power are the big three natural and sustainable sources for electric power, but the North Bay also benefits from a fourth—geothermal energy.

The geological conditions that allow access to geothermal heat and steam are scattered in just a few areas around the world, almost always where the subterranean slabs of planetary rock known as tectonic plates are moving against each other. Bruce Carlsen, Calpine’s Director of Environmental Health and Safety at The Geysers, explains the underlying forces.

The same conditions often create numerous hot springs and can be a source of seismic activity—as is also the case in the North Bay. But while earthquakes can alter the flows that feed hot springs, Carlsen explains that the deeper strata that feed geothermal steam fields are not affected.

The Geysers is by far the biggest geothermal generating facility in California, but Carlsen says there are some other locations that could be developed to make a smaller contribution to the state’s energy needs.

Bruce Carlsen talks about geothermal energy in Sonoma County at an informal potluck gathering at the Glaser Center in Santa Rosa on Aug. 31, 5:30-7:30 p,m, co-hosted by the Climate Protection Campaign.