Iowa Legislature Offering Cheese and Crackers on the Bill of Fare

I heard a song entitled “Cheese and Crackers” on the Big Mo Blues Show last night. I’ve heard a few times over the years, but I never looked up what it meant until today.

The song was originally written by a rockabilly singer named Hayden Thompson, although I’ve only heard it sung by blues artist Roscoe Gordon. According to a Reddit social media thread, “Cheese and Crackers” was the B side of a record by Thompson and the A side was “Shoobie Oobie.” Thompson couldn’t find anyone to arrange the “Cheese and Crackers” lyrics at a recording studio and left in a huff, leaving the lyrics on the piano.

Roscoe found it and put it in an R&B arrangement. Billboard magazine called it the strangest new release of the week. The song is about a guy repeatedly being offered cheese and crackers although he doesn’t like or want them. According to a Wikipedia article, the term “cheese and crackers” is a kind of mild swear word chilled down from “Jesus Christ.”

That’s funny, because that’s how I feel about all the anti-vaccine bills coming out of the Iowa Legislature this year. One of them is SF 2095, which seeks to penalize private postsecondary colleges and universities if they don’t accommodate students who want to be exempt from all vaccines for any reason and to find clinical training programs who will accept them. An excerpt from the bill:

“A postsecondary school offering a degree requiring a clinical rotation shall, upon request of a student enrolled in the degree program, identify a clinical rotation placement where the student will be permitted an exemption from any vaccination requirements imposed by the placement location during the duration of the student’s clinical rotation.

A postsecondary school not in compliance shall not qualify as an eligible institution for the purposes of Iowa tuition grant.”

The other punishment could be a fine. Unless I’m looking on the web in the wrong place, I don’t find any such facility anywhere in Iowa. That would mean the postsecondary private school would be punished for something it can’t control. I’m pretty sure that would be called unjust—or maybe tricky if the goal is to coerce clinical training program leaders to loosen up their vaccine exemption policies. Right now, the only exemptions are religion or medical.

This sounds like the Iowa legislature is offering us cheese and crackers. No thank you.

Update to the Anti-Vaccine Bills in Iowa Legislature

This is just a quick update to the Iowa legislature anti-vaccine bills as far as which ones have passed what is called the first funnel. Here’s a link to the definition of a funnel.

Which bills got past the first funnel:

SF 2095: This bill is about private colleges or universities that would be punished if they don’t make accommodations for students in health care education program who want to avoid getting vaccines.

HF 2171: This bill would remove the requirement for children in primary and secondary schools to get vaccinations. I think this bill is dangerous and unnecessarily puts children at risk for infectious diseases including diphtheria, pertussis, tetanus, poliomyelitis, rubeola, rubella, and varicella.

Which bill didn’t get past the first funnel:

HF 2287: This was the bill that sought to make vaccine manufacturers who want to sell their products in Iowa give up their immunity from lawsuits under the Childhood Vaccine Injury Act.

I couldn’t find out where the ivermectin over-the-counter bills (HF 2056 and HSB 694) were in the funnel as of today.

That make 5 bills in the Iowa legislature that are anti-vaccine-5 bills too many.

Iowa Legislature Bills I Could Live Without

I should stop reading the news. I’ve just found a couple of other Iowa Legislature bills that are anti-vaccine.

One of them is the HF 2287 I mentioned yesterday that would make vaccine manufacturers steer clear of Iowa altogether.

Another two I just discovered today:

HF 2171: This one which seeks to make vaccines for school age children voluntary. No child in elementary or secondary school in Iowa would have to be vaccinated against diphtheria, pertussis, tetanus, poliomyelitis, rubeola, rubella, and varicella. This is not safe for anyone.

SF 2095: This one seeks to exempt students from vaccines in medical, nursing, or other health care-related degree programs.

There’s a news article about SF 2095 which makes it clear what it is about. I don’t understand why a person studying medicine or any other health care-related degree program would not need to get vaccinated against communicable diseases. This bill would require private schools to provide some other alternative training program instead of those that require vaccinations. If they don’t, they’d be penalized, either by losing access to the Iowa Tuition Grant Program—or getting fined. None of that makes sense to me. If you’re in training to be a doctor, you should get vaccinated. If you don’t understand why vaccinations are vital to practicing medicine, you shouldn’t be in medicine.

If I sound like a curmudgeon about all this, so be it. I’m a retired doctor and I graduated from the University of Iowa College of Medicine in 1992. I spent my career practicing consultation-liaison psychiatry, so I was always at the interface between medicine and psychiatry. It was always a challenge for me to balance the art and science of medicine. And I didn’t always do it very well.

But I’m puzzled by what looks like an awkward imbalance in the view of medicine today. I’m a little cranky about it, and I like to think my age entitles me to react that way sometimes. I could add a quote from William Osler here, but I’m more prone to jokes as a I get older, probably because I know I’m no wiser than anyone else.

Did you hear Chuck Norris got the Covid vaccine? The vaccine is now immune to everything.

Iowa Vaccines and Legislature Proposed Bill Deja Vu

I see we have yet another bill introduced in the Iowa legislature seeking to make vaccine manufacturers liable for “design defects” resulting in injuries related to vaccines. This feels like déjà vu. Last year HF 712 targeted the Covid 19 vaccine. The bill died in the funnel. This year, the same sponsors introduced HF 2287—which is a similar bill that would target all vaccines.

One news story indicated that the sponsors were open to adding an amendment that would allow vaccine manufacturers to distribute vaccines in Iowa as long as patients sign a form that waives their right to sue the manufacturer as long as they are informed of the risks. I’m not sure how the forms would be made available to the public.

I thought patients, under the National Childhood Vaccine Injury Act of 1986, already have access to the Vaccine Injury Compensation Program (NVICP). Even if they don’t get compensated through that program, they can still sue the manufacturers.  I thought the “design defect” issue had been dealt with.

This new bill broadens the products in that it looks like it includes all vaccines, even those children typically get. There are already many parties have gone on record opposing HF 2287, including but not limited to:

Pharmaceutical Research and Manufacturers of America

Iowa Medical Society

Iowa Pharmacy Association

Iowa Association of Rural Health Clinics

Iowa Public Health Association

Iowa Chapter-American Academy of Pediatrics

I think vaccine manufacturers will avoid Iowa if this bill becomes law. It could lead to an uptick in the communicable diseases burden, as though we need any more of that.

Update to the Iowa Legislature Bill to Make Ivermectin Available Over the Counter

Pursuant to my previous post about the debate in the Iowa Legislature over a proposed bill to make Ivermectin available over-the-counter (OTC) in Iowa, it looks as though hydroxychloroquine was recently dropped from the bill. Although few people say it out loud, in my opinion, it’s no secret that the main reason for the bill is to make ivermectin available to those who want to use it to treat Covid-19, despite there being no convincing evidence that it’s effective for that.

However, yet another bill was introduced by the governor which has its own ivermectin promotion section; so, there are now two ivermectin bills. They look the same.

The Iowa Board of Pharmacy is opposed to them because the language obliges them to comply with dispensing ivermectin to patients even if it might potentially harm them.

Although the bill removes penalties for dispensing ivermectin, there seem to be no specific penalties to pharmacists for refusing to do so. About 3 years ago, a pharmacist refused to fill a prescription for ivermectin that was intended for treatment of Covid-19.

A similar bill in Utah was not passed about 4 days ago. Supporters of the bill appeared to be engaging in passing misinformation about ivermectin for Covid-19, claiming there was “plenty of data” supporting its effectiveness for it. In fact, the FDA has not approved its use for treatment of Covid-19.

I wonder if there might be a justification for a kind of civil disobedience by pharmacists by refusing to give OTC ivermectin to patients. The other question is what does the Iowa Board of Medicine think about this? Is it right to leave physicians out of the loop in this situation?

It seems ironic that a legislator who is an internist, Dr. Austin Baeth, is on the right side of this debate by opposing the bills, yet the state medical board seems to be silent. Would it be appropriate for the state medical board to take a public position about this issue as the pharmacy board has?

Groundhog Day Finally Explained

Well, by now everybody has heard the official news about what Punxsutawney Phil saw this morning since it’s Groundhog Day. On the other hand, the unofficial news is this: for some reason he saw extraterrestrials instead of his shadow. I know about it only because a drunken official calling me from the Pentagon spilled the beans to me and abruptly hung up just before he passed out.

Apparently, they were looking for a decent rib joint, which they’re always on the lookout for after traveling halfway across the galaxy.

You have to question the ETs preference for using so much fuel and creating missing time and hallucinations for thousands of people gathered for this time-honored and totally bogus event which the editors of The Old Farmer’s Almanac repeatedly try to debunk in a futile attempt to educate us about the seasons.

What almost nobody knows is that recently declassified government documents obtained by Brer Rabbit has led to the discovery of yet another conspiracy to hoodwink the American people about the ETs preoccupation with finding the best BBQ rib joint in the galaxy, which is genetically linked to their inability to distinguish humans from woodland creatures whose only real purpose in life is to dig holes in the ground so they can secretly write books circulated only amongst groundhogs about how silly it is for humans to call them ridiculous names like “whistle pigs.”

The truth is groundhogs know perfectly well how the seasons change and it has nothing to do with them—it’s all about the tooth fairy. But…ETs can’t handle the truth, as Col. Jessup has repeatedly pointed out in countless memes and gifs over the years.

We can only hope this deplorable state of affairs will be rectified when scientists eventually back engineer and reverse the polarities of the device (which is, trust me, stored in a cardboard box in a garage in Area 51) ETs use to hypnotize the criminals amongst their own kind into endlessly flying around in their souped up Tic-Tac UFOs in the absolutely pointless search for the perfect rib joint—all because the ET leaders can’t come up with a better solution to close the gaps in their worthless criminal justice system.

I hope I have made all this clear. Happy Groundhog Day!

Observations on Jonathan Eig’s Martin Luther King Distinguished Lecture

I discovered that the University of Iowa made a video presentation of Jonathan Eig’s speech for the Martin Luther King Distinguished Lecture on January 21, 2026. Mr. Eig wrote the MLK biography, “King: A Life” which was published in 2023. We just got a copy of it along with “The Autobiography Of MLK. We’re reading them now. We both watched the one-hour long video, which is available only in Panopto format to University of Iowa employees who could not attend the event in person.

He’s an engaging, humorous, and humble guy who spoke without using notes and ad libbed the entire talk which covered the most important events and people in King’s life including his wife and several other famous people in the civil rights era of the 1960s.

He had an interesting anecdote about the young National Park Service ranger, Gordon, “Gunny” Gundrum who adjusted King’s microphone repeatedly while he was giving his “I Have a Dream” speech in Washington in 1963. It was caught on camera and interpreted by some as an effort to interfere with the speech. In fact, it was because King was only 5’7” tall and his face was obscured by the microphone. Eig questioned him about it (yes, he was still alive) and at first Gundrum didn’t even recall doing it.

Sena wondered why Eig didn’t mention Rosa Parks in his presentation. In his book, he describes her refusal to take a back seat on a city bus as the catalyst for the Montgomery bus boycott, and her role in considerable detail.

On the other hand, Eig pointed out that King’s wife, Coretta, was the one who taught King about activism in the first place since she had been involved doing that before they ever met.

Eig mentioned that King has attempted suicide twice in his adolescence. On the other hand, even though I’m only partway through his book, I recall these were described early and involved being upset about his grandmother on a couple of occasions. One when his brother slid down a banister, hit his grandmother in the head and knocked her out cold. The other was when she actually died. He was not seriously injured in either incident. Eig also shared that King was psychiatrically hospitalized several times. Some suggested he undergo regular outpatient psychiatric treatment, but he declined because of the stigma.

One of his more moving anecdotes was about what King said just before he was gunned down at the Lorraine Motel in Memphis in 1968. King had stepped outside to get some fresh air. It was a cold and one member of his group suggested he go inside and get a jacket. King replied, “Yes, I will.” As he turned to do so, he was shot and killed. The way Eig framed King’s last words made you think of that statement as an affirmation of how he’d responded to the many challenges and demands in his life.

Another Silly Bill in the Iowa Legislature

I saw a story in the Iowa Capital Dispatch by Robin Opsahl today that there’s a bill in the Iowa legislature which seeks to make the drugs ivermectin and hydroxychloroquine over-the-counter (OTC) in Iowa. It doesn’t actually specify the reason why but it’s probably because some Iowans want the drugs available to treat Covid-19. I think the motivation sounds similar to the bills introduced in March of 2025 which were designed to make it illegal to get mRNA vaccines for Covid-19 in Iowa. They both died in funnel week last year.

The bill was discussed yesterday and, while there were 3 commenters in favor of it, there are several reasons to be suspicious of whether it would be a good thing for Iowans. Both ivermectin and hydroxychloroquine were studied for evidence of efficacy for Covid-19 and the studies failed to show that.

The FDA has made it clear that it doesn’t recommend either ivermectin or hydroxychloroquine for treatment of Covid-19.

However, the Iowa bill HF 2056 seeks to make both available OTC and require pharmacies not only make it available but protect the pharmacist from legal or criminal liability for any harms that might result from its use.

While you can find news stories saying simply that 4 states (Tennessee, Idaho, Arkansas, and Idaho) have adopted similar laws, there is at least one recent follow up news story indicating that the pharmacists still have some reservations.

A Boise, Idaho pharmacist says he’ll dispense ivermectin to callers—as long as they have a doctor’s note. Most callers don’t have a parasitic infection. The pharmacist points out that, while the Idaho law says he can dispense ivermectin without a prescription, the FDA hasn’t approved it to be used this way. “It’s not designed or packaged for retail sale,” according to the pharmacist. It’s not made for OTC use.

There’s also a hitch when it comes to health insurance coverage for OTC drugs, implying you might have to pay out of pocket. Arkansas and Tennessee pharmacists say that, despite the law change allowing OTC sale of ivermectin in their states, they won’t sell it that way.

I hope their example will be followed by the other states who seem to be going the same way as Iowa. On the other hand, I’m pretty sure there might be plenty of conscientious objectors in Iowa who might slow down the legal push to get either hydroxychloroquine or ivermectin OTC.

Just because lawmakers put in a lot of language in a bill in an effort to persuade pharmacists that they won’t get sued or go to jail if they always give the customers what they want doesn’t mean they’ll obey a law based on misinformation and which makes them disobey their principles. I don’t understand how the legislative machinery works but I’m hoping the fate for this bill will be the same as what happened to those from last year.

We Just Got MLK Jr Biographies Delivered Today

We just got both of the Martin Luther King Jr. biographies delivered today! They both have great photographs and we’ll get started reading them. We’ll keep you posted on what our impressions are.

We also saw a YouTube video of a 1963 TV program of civil rights leaders including MLK Jr posted a few years ago.

Thoughts on Martin Luther King, Jr. Day

Today being Martin Luther King Day, I’m reminiscing a little about my short time as a student at Huston-Tillotson College (one of this country’s HBCUs, Huston-Tillotson University since 2005) in Austin, Texas. It’s always a good idea to thank your teachers. I never took a degree there, choosing to transfer credit to Iowa State University toward my Bachelor’s, later earning my medical degree at The University of Iowa.

However, I was a reporter for the college newspaper, The Ramshorn Journal. That’s where the featured image comes from.

Although I didn’t come of age at HT, I can see that a few of my most enduring habits of thought and my goals spring from those two years at this small, mostly African-American enrollment college. I learned about tenacity to principle and practice from a visiting professor, Dr Melvin P. Sikes, in Sociology (from the University of Texas) who paced back and forth across the Agard-Lovinggood auditorium stage in a lemon-yellow leisure suit as he ranted about the importance of bringing about change.

He was a scholar yet decried the pursuit of the mere trappings of scholarship, exhorting us to work directly for change where it was needed most. He didn’t assign term papers, but sent me and another freshman to the Austin Police Department. The goal evidently was to make them nervous by our requests for the uniform police report, which our professor suspected might reveal a tendency to arrest blacks more frequently than whites.

He wasn’t satisfied with merely studying society’s institutions; he worked to change them for the better. Although I was probably just as nervous as the cops were, the lesson about the importance of applying principles of change directly to society eventually stuck. I remembered it every time I encountered push-back from change-resistant hospital administrations.

As a clinician-educator I have a passion for both science and humanistic approaches in the practice of psychiatry. Dr. James Means struggled to teach us mathematics, the language of science. He was a dyspeptic man, who once observed that he treated us better than we treated ourselves. Looking back on it, I can see he was right.


Dr. Lamar Kirven (or Major Kirven because he was in the military) also modeled passion. He taught black history and he was always excited about it. When he scrawled something on the blackboard, you couldn’t read it but you knew what he meant.

And there was Dr. Hector Grant, chaplain and professor of religious studies, and devoted to his native Jamaica. He once said to me, “Not everyone can be a Baptist preacher.” He tried to explain that my loss of a debate to someone who won simply by not allowing me a word in edgewise was sometimes an unavoidable result of competing with an opponent who is simply bombastic.

Dr. Porter taught English Literature and writing. She also tried to teach me about Rosicrucian philosophy for which she held a singular passion. Not everyone can be a Rosicrucian philosopher. But it prepared the way for me to accept the importance of spirituality in medicine.

I didn’t know it back in the seventies, but my teachers at HT would be my heroes. We need heroes like that in our medical schools, guiding the next generation of doctors. We need them in a variety of leadership roles in our society. Most of my former HT heroes are not living in the world now. But I can still hear their voices.