“Musicians and medicine”, by Dr. Adolfo Martínez Palomo

MEXICO CITY (proces.com.mx) .– When the bicentennial of Wolfang Amadeus Mozart’s death was commemorated in 1991, the Mexican doctor, scientist and academic Adolfo Martínez Palomo (1941) began the bibliographic search, writing and public presentation of the texts now published by El Colegio Nacional in fourteen double installments.

This new compact format series includes the biographies of: Monteverdi and Vivaldi, Bach and Handel, Haydn and Mozart, Beethoven and Paganini, Rossini and Schubert, Donizetti and Bellini, Berlioz and Mendelssohn, Chopin and Schumann, Liszt and Wagner, Verdi and Gounod , Clara Schumann and Brahms, Borodin and Bizet, Tchaikovski and Puccini, Mahler and Shostakovich.

Today we offer excerpts from the second volume entitled Musicians and medicine. Clinical histories of great composers. Bach and Handel (86 pages in 12 by 18 cm format, bibliography, illustrations and iconographic credits, www.colnal.mx), written by Martínez Palomo who has stood out for his research on the painful Herpes Zoster virus.

“Two colossi of classical music Johann Sebastian Bach (1685-1750) and Georg Frideric Handel (1685-1759), both born the same year in Germany and yet they did not get to know each other personally. Bach always remains in his country, where he has twenty children. Handel, on the other hand, makes fame and fortune in England, without getting married. Long and prolific lives both, united with a common end: blindness, caused by the clumsy intervention of the same apprentice eye surgeon. “

Creativity: inheritance or learning?

(…) With the forgiveness of the fans of the hereditary theory of creativity, I would like to insist that nothing indicates in Johann Sebastian’s childhood or early adolescence the existence of a genius, rather, it is appreciated, yes, an exceptional commitment to learn from your elders. (…)

At fifteen, our character eagerly copies compositions from others, at night, at an age when other musical geniuses have been writing music for a long time. At that age he has to leave his brother’s house, which is already insufficient due to the birth of four more nephews.

By the way, one of the physical attributes of Johann Sebastian that has caught the attention of his biographers has been… the strength of his legs! And is not for less. What a path he had to go in his youth to absorb the musical knowledge of the greats of his time! Nothing was too far away, nor was the weather so bad that it prevented him from making trips on foot in search of better knowledge. Thus, it traveled 40 km between Ohrdeuf and Eisenach and 360 km between Ohrdruf and Lüneburg. (…)

Bach, as we have said, had foolproof health throughout his life, well into his maturity. A neurologist has commented, when analyzing the portrait of Bach, the obvious obesity of the composer and the presence of a slight facial paralysis, perhaps due to a cerebral infarction. If anything, the only well-documented physical weakness was his eye problem.

For ophthalmologists who have reviewed his history, Bach was probably nearsighted, judging by the appearance of the eyes in the only true portrait that remains, taken at age sixty-one. [por Elias Gottlob Haussmann, en 1746, reproducido a colores en este libro de Martínez Palomo] which shows the composer “straining his eyes.” This myopia may have allowed him the hard work of reading and writing countless scores. (…)

On the advice of his friends, the composer consulted an English eye doctor, the gentleman John Taylor, who had operated, sometimes with some success, on many European personalities, including the contemporary Handel. Taylor was actually a great charlatan, dominating more of the art of advertising than of science (…)

In Bach’s time the usual medical treatment for cataracts ranged from esoteric diets, to bloodletting and the application of leeches. The surgical procedure was followed by eye washing with a mixture of Peruvian balsam and hot water. This was followed by poultices added with cassia pulp, camphorized fosters, bandages, a light diet, and drugs to evacuate without effort.

Less than four months after Bach’s death, the operating room was installed in the Tres Cisnes restaurant (…) Three months and three weeks after the operation, Bach presented cerebral palsy of vascular origin and was unconscious. He developed a fever, possibly pneumonia, and died on the night of July 28, 1750 at the age of sixty-five, despite the best Leipzig physicians. (…)

The dear Saxon

HAMBURG, DECEMBER 5, 1704.- During the performance of the opera Cleopatra by Johann Mattheson, a nineteen-year-old German musician who leads the singers from the harpsichord refuses to let the composer displace him from his instruments: the dispute escalates and the two heated musicians decide to settle it in a duel. Fortunately for mankind, the sword that struck the young performer’s chest only broke a metal button on his jacket, saving Handel’s life and leaving the work of one of the greatest and most prolific composers for posterity. of music. (…)

His fame reached Italy, where he was invited by a Medici prince (…) At the age of twenty-five Handel returned for a few weeks to Germany, to Hannover. Why did he receive the appointment of “master of the chapel” of the court there, with a very high salary (fifty times higher than he had received as an organist) and permission to be absent for a year, when in reality what that court was interested in was send it to London? For some, this appointment disguised the true task assigned to the composer: to insert him into the English court and receive from him information about the state of health of Queen Anne, already very ill. The interest was that the direct successor to the throne of England was precisely the Elector of Hannover, Georg Ludwig, so the sickly Queen Anne died, Hannover needed to be aware of the events in London. (…)

His contemporaries described him as impetuous, brusque and authoritarian, but completely devoid of malice and wickedness, despite the many enemies that success produced him in London. From time to time he had uncontrolled bouts of irritability and rage. For example, on one occasion he argued with the famous French Italian singer Cuzzoni and said “Oh, ma’am! I know well that you are a true devil, but I am going to show you that I am the boss of all devils.” He then took her by the waist and led her to the window, where he threatened to throw her into the street.

For much of his life Handel was physically healthy, endowed with a remarkable capacity for work. With a thick complexion like his father, he soon showed a frank tendency to obesity due to his irrepressible enthusiasm for food and his no less joyous fondness for alcohol, especially for Port and Madeira wines. His contemporaries called him “the Bear” for his corpulence and decomposed walk, but also for his tenacity, energy and strength. In it, several factors were combined that could well cause high blood pressure and hardening of the arteries in adulthood: being overweight, the habit of smoking tobacco (in the pipe), a sedentary life and economic and work stress.

Handel’s good health began to decline after the age of fifty, just at a time of great financial and administrative tension due to the difficulties of staging his operas; headaches, irritability, colic, rheumatic pain.

In 1737, after a period of great fatigue and disappointment, “the machine broke”: he suffered paralysis of the right arm that affected mainly the fingers of that hand, and consequently prevented him from playing the harpsichord and the organ. Along with the paralysis, he presented certain mental alterations, “which modified his understandings,” according to a written comment by a contemporary, perhaps referring to mental confusion or speech problems. (…)

.

Russia supplies medicine against covid-19 to Latin America without including Mexico

MEXICO CITY (apro) .- The Russian Direct Investment Fund (RDIF) and the ChemRar Group have agreed to supply 17 countries with Avifavir, Russia’s first drug approved for the treatment of covid-19. Among the nations that have the drug are 11 from Latin America, which is not included Mexico.

According to a statement posted on the RDIF website, Avifavir will be delivered to Argentina, Bulgaria, Brazil, Chile, Colombia, Ecuador, El Salvador, Honduras, Kuwait, Panama, Paraguay, Saudi Arabia, Serbia, Slovakia, South Africa, United Arab Emirates and Uruguay.

The drug has previously been delivered to Belarus, Bolivia, Kazakhstan, Kyrgyzstan, Turkmenistan and Uzbekistan, he added.

Russia approves Coronavir, the first drug against covid-19 for sale in pharmacies

Avifavir, the statement highlights, is the first drug registered in the world made based on the substance favipiravir against the coronavirus and the first in Russia approved for the treatment of covid-19.

In its statement, Russia’s sovereign wealth fund recalled that on May 29 Avifavir received a registration certificate from the Russian Ministry of Health and became the first favipiravir-based medicine in the world approved for the treatment of covid- 19.

He also highlighted that approximately five months after the Avifavir clinical trials in Russia, Fujifilm from Japan confirmed the efficacy of favipiravir against the novel coronavirus infection.

“Avifavir is now Russia’s leading anticovid drug in terms of exports. In particular, on September 21, the start of deliveries to Bolivia and other Latin American countries was announced as part of the agreement to deliver 150 thousand packages. Avifavir has also been approved by regulators in Europe, the Middle East and Asia ”, underlined the RDIF.

Russia will present its treatment against covid-19 to Latin America

“When we registered the world’s first favipiravir-based coronavirus drug, there was a lot of skepticism as people wondered how we could register it when Japan had not yet registered it,” said Kirill Dmitriev, executive director of Russia’s Direct Investment Fund.

“Now, five months after our clinical trials, we see that Japan has confirmed the clinical efficacy of favipiravir. Avifavir has been tested in more than 1,300 patients, including 408 patients in clinical trials and 940 patients during the post-registration observational clinical trial, ”he explained.

Dmitriev concluded in the release that Avifavir is also three to four times cheaper than Remdesivir, the drug approved by the United States for the treatment of Covid-19.

The price of remdesivir, a treatment for covid-19, outrages US consumers

.

students launch against UADY after suicide of medical intern

MERIDA, Yuc. (appro). – Students from the Faculty of Medicine once again attacked the authorities of the Autonomous University of Yucatán (UADY), this time due to the recent suicide of one of their colleagues at the Tahdziú clinic, where she was doing her residency.

For reasons presumably related to her career, the young intern, KJGK, 25 years old and originally from Mérida, took her own life on September 15 in her office at the Tahdziú medical center, a municipality that by the way is among the most impoverished of the continent.

The case unleashed the anger and indignation of the students who once again filled social networks with accusations and reproaches against the authorities of the UADY and its Faculty of Medicine for the lack of interest and lack of support towards their students.

Although the girl’s death was made public on September 15, it was not until the next day that the Faculty of Medicine issued a statement on the matter.

In a statement, the Faculty of Medicine expressed that it was “deeply moved by the death of the intern, KJGK, who was rendering her social service at the Tahdziú Medical Unit.”

EYE:

Interns and interns from the Faculty of Medicine will return to hospitals: UADY

He assured that university authorities in coordination with personnel from the Subdirectorate of Mental Health and Education of the Ministry of Health “are already taking the pertinent actions.”

“The irreparable loss of a young doctor fills us with consternation and mourns the entire community of the Faculty,” he reiterated.

He argued that “Medicine is an arduous, hard and demanding career that demands the maximum of our abilities”, and stated: “At the Faculty we understand it that way and that is why our psychopedagogical department provides support to our students every day to prevent moments crisis ”.

Finally, he endorsed his commitment “to the comprehensive, humanistic and responsible training of students”, for which he asked heads of teaching and teachers “to maintain close communication with students and make available to those who require it, the services of the professionals who work in the psycho-pedagogical department of our dependency ”.

We recommend you: The Yucatan stadium that will meet FIFA standards: these are the details

However, such a statement stirred the anger of the students, who questioned the sayings of their authorities who, with the campaign “UADY, I do not believe you anything”, reproached a string of situations suffered by students of that maximum house of studies.

The flow of complaints from medical students includes various types of human rights violations, exploitation, excessive pressure, mistreatment, harassment.

“The department of psychopedagogy is a joke, I say it from my own skin and I know it from that of many colleagues. ‘If you can’t unsubscribe’, this has been said over and over again to students, to all those who at some point have a crisis.

Where is the humanist side? Where was the empathy? Are you moved? What if they do something about it with those doctors who only humiliate their interns? Or how about those teachers who have different colored hair or tattoos that won’t turn you down? Why don’t they do something with all the staff who are sexist and misogynistic? ”, Refuted a student.

“Don’t become a School of Medicine. Nobody puts a Civil Engineer intern to supervise ONLY the construction of a bridge. No career puts an intern to be 24 HOURS X 6 DAYS A WEEK AWAY FROM ALL SOCIAL CONTACT OTHER THAN HIS JOB “, reproached another of the nonconformists.

And he assured that the deceased doctor asked for help and “they told him to stay.”

Last April, the Faculty of Medicine came into conflict with its interns after seven of them filed a claim for protection for having been dropped from the school for refusing to return to the institutions to which they had been assigned due to the lack of security guarantees to reduce the risk of contracting covid-19.

.

Medicine intern commits suicide in a Yucatan clinic

TAHDZIÚ, Yuc. (apro) .- The State Secretary of Health (SSY) confirmed the suicide of a young medical intern at the Medical Unit of this town.

The victim, identified with the initials KJGK, 25 years old, was originally from Mérida, and for about a month she was assigned by the Institute of Health and Wellbeing (Insabi) to the clinic in this municipality, one of the poorest from the continent, where until yesterday he was seen working.

This morning, employees of the health center found the young woman dead, suspended from the ventilator in her office, for which they gave notice to the authorities of the Ministry of Health and the State Attorney General’s Office (FGE).

In a bulletin, the SSY regretted the fact and pointed out that, with the support of Mental Health professionals from the dependency, they carry out comprehensive actions to support family members, “who will be given the necessary help to carry out the procedures corresponding to the State Attorney General’s Office, where the rigorous legal procedure will be given.

So far the reasons for the suicide are unknown.

Note of interest: The plane raffle showcases AMLO’s talent for the show: NYT

Note of interest: Teacher accused of sexual abuse against a minor with Down syndrome linked

.

Rheumatoid arthritis drug could help treat covid-19

MEXICO CITY (apro) .- The pharmaceutical company Eli Lilly announced that the combination of its rheumatoid arthritis treatment baricitinib with remdesivir reduced the recovery time in hospitalized patients with covid-19.

Eli Lilly explained that during the Covid-19 Adaptive Treatment Trial (ACTT-2), researchers observed a reduction of approximately one day in the mean recovery time of patients treated with baricitinib combined with the substance remdesivir, compared to those who were only treated with remdesivir, therefore they rated the finding as statistically significant.

White House epidemiologist predicts that the US will return to normal by the end of 2021

The study, sponsored by the National Institute of Allergy and Infectious Diseases (NIAID), part of the US National Institute of Health (NIH), included more than 1,000 patients and began on May 8 to evaluate the efficacy and safety of a dose. of 4 mg baricitinib plus remdesivir versus remdesivir in hospitalized patients with COVID-19.

According to Eli Lilly, the combination met the primary endpoint of reduced recovery time, which was defined as that the participant was well enough for hospital discharge, meaning that they no longer needed supplemental oxygen or care continued in the hospital, or was no longer hospitalized on the 29th.

A German vaccine against covid-19 will be tested in Nuevo León

Eli Lilly reported that additional analysis is underway to understand other clinical outcome data, including mortality and safety data, and that NIAID is expected to publish full study details in a peer-reviewed journal.

Eli Lilly also indicated that he plans to discuss the emergency use authorization of the combination with the US Food and Drug Administration (FDA) and explore similar measures with other regulatory agencies for baricitinib as a treatment. of hospitalized patients with covid-19. If authorized, the company will propose make baricitinib available through commercial channels and will work with hospitals and governments to ensure patient access.

The WHO urges not to greet elbow by covid-19 and proposes another alternative

.

First and second grade patients

The pandemic has shown us the excruciating reality that we live as a country in terms of health, warns Dr. Andrés Castañeda Prado. With updated figures, the specialist shows that the highest incidence of patients dying from covid occurs in public hospitals, in some of which there are even first and second beds for the sick. To these deaths, which mainly affect indigenous communities and the most precarious sectors of the cities, is added the prolonged confinement, which many cannot save due to lack of economic capacity.

MEXICO CITY (process) .- Six months after the first contagion of coronavirus in Mexico, on February 28, the pandemic has shown the social inequality that exists in the country: a huge gap separates rich and poor regarding access to medical care. And in this scenario, the second ones have been the most affected by the contagion.

Stratification in the health sector has shown that there is a lower mortality rate among those infected who can pay for private hospitals or who are beneficiaries of a government institution, compared to the marginalized classes without social security, among which are the lowest. isolated indigenous communities in the country.

We suggest: Lethal figures in half a year of pandemic

The doctor Andrés Castañeda Prado, coordinator of the Causes of Health and Well-being of the Nosotrxs por la Democracia association, assures: “We have always known that in Mexico there is inequality everywhere. This is nothing new. But in this case, the pandemic has made it very clear to us that there is a huge gap between rich and poor in access to health, and that the latter are the most affected by the covid.

“Not all Mexicans infected by the coronavirus are treated equally: some receive first-world care, but the vast majority receive medical care that leaves much to be desired.”

This contrast is reflected in the statistics of the health sector itself: for example, until Sunday 16 the private hospitals identified as positive and treated 15,991 patients in their facilities, of which 691 (4.3%) died; In turn, IMSS hospitals treated 166,538, of which 31,883 (19.1%) of their patients with covid died.

We recommend you: AMLO gives the Army the operation of 10 hospitals to attend Covid-19

Thus, the death toll is more than four times higher in IMSS hospitals than in private ones.

Castañeda points out that, in this stratification, those treated at the IMSS have an even lower mortality rate than those who attend institutions with fewer medical resources.

And it details: “Around 46% of the patients who have social security and are admitted to IMSS or ISSSTE hospitals, among others, are dying. On the other hand, the percentage rises to 53.4% ​​of deaths among patients who enter institutions with fewer resources, such as Insabi (Institute of Health for Well-being) or IMSS Well-being ”.

–The fewer resources of the hospital institutions, the greater the number of deaths? –Asks the reporter.

–Of course, since the resources have an impact on the quality of medical equipment, medicines, the number of health professionals, and hospital facilities. And in Mexico, the institutions with the fewest resources serve the poorest. Thats the reality.

Fragment of report published in the 2287 edition of the weekly Proceso, whose digital version you can purchase here

.

Digital Health for All – Process

We embrace technology because it allows us to do things better and easier, faster and cheaper. To be more productive and have more free time to do other activities. Information and Communication Technologies (ICT) do not appear as a priority in the Health Sector Program 2020-2024 of the Fourth Transformation, because it does not contemplate its intensive and productive use to guarantee universal access to health.

The Program says that a Health Intelligence Center to increase human and infrastructure capacity in the institutions that make up the National Health System (SNS). For care that allows access to specialty consultation, hospitalization and surgery, a “new model of care is contemplated through the implementation of information technologies.”

It seeks to modernize the information and communication system to guarantee reliable and timely information that facilitates public policy decisions and anticipates the needs of the population. The specific action is consolidate the evaluation and management of ICT in health to improve the capacity and quality of services, digitization of records and inter-institutional interoperability between the different levels of care in the SNS.

YOU SHOULD READ:

The (former) Undersecretariat of Communications: the little girl and the ugly

To strengthen the promotion and research on healthy habits and lifestyles, the Program proposes the use of interactive and mobile technologies to inform, sensitize and guide responsible decisions of the population regarding their habits, healthy lifestyle and formal and informal care in mental health and addictions.

Public health institutions in Mexico they don’t use technology to facilitate paperwork, procedures and inquiries. With this they maintain a system of authoritarian control over the right holders. In 2009, the IMSS won the award for more cumbersome and useless procedure. Waiting time for consultation in 2016 was 71 minutes compared to 58 minutes in 2012, according to the National Survey of Health and Nutrition Midway 2016 that has not been done again.

In 2004 the National Evaluation Center for Technological Excellence in health (Cenetec) that, among other attributions, leads the application, adoption and use of telehealth services within the SNS.

The Mexicans are interested in health issues. In 2019, 46% of Internet users accessed health sites, 30 million users (Comscore), a growth of 22 percentage points with compared to 2013 (24.4%). 59% were women and 62% did so through a mobile device. The IMSS portal was the most consulted with five million monthly visitors, half of them through the smartphone a tablet. Psychology, physical care, personal aesthetics, diet and nutrition are some areas that interest netizens.

Since 2005 the World Health Assembly, in its resolution WHA58.28 on e-health, urged Member States to develop a long-term strategic plan to conceive and implement e-health services; to develop infrastructures to apply ICT to health; for vulnerable groups to enjoy e-health services adapted to their needs, and to promote the universal, equitable and affordable enjoyment of the benefits of telehealth.

WE RECOMMEND YOU:

Money for private broadcasters, cuts for public media

The United Nations General Assembly has recognized advances in the provision of health care thanks to technology, expanding to more people access to services and data that were previously unavailable or unaffordable.

According to him Draft global strategy on digital health 2020-2024 of the World Health Organization (WHO), “there is a growing consensus in the global health community that the strategic and innovative use of digital technologies will be a essential facilitating factor to ensure that one billion more people benefit from universal health coverage and are better protected against health emergencies. “

The digital transformation of health meets strong resistance because it gives people freedom and greater control about your health. Doctors do not always explain ailments. The calligraphy of doctors is famous for being incomprehensible. Medical records are believed to be the property of institutions when the information contained in them belongs to patients. Bureaucrats prefer difficult and face-to-face procedures because that way “They retain control” and corruption is encouraged.

A study of PricewaterhouseCoopers Health Research Institute estimated that in the United States due to inefficiency and waste more than half of health spending each year.

Digital health is disruptive because institutions and doctors lose the information monopoly. Digital health devices allow data on heart rate, moods, sleep, menstrual cycles, physical activity, blood oxygenation and can detect and prevent diseases. There are smart watches with electrocardiograms installed and they warn about falls in older adults.

IT MAY INTEREST YOU: National Cybersecurity Strategy

Digital health does not replace the doctor nor does it replace the face-to-face auscultation that you must perform to make an accurate diagnosis. But it does allow people have access to services through mobile platforms.

It is not that the data and devices are totally accurate, reliable or replace the health specialist, but for the first time we can know more about our health than public institutions. This is noticed by the companies in the sector, which is why they see in the increasingly deteriorating health of the population a business opportunity. Private clinics and laboratories store and make better use of our data. They send the clinical results to e-mail and at the IMSS we have to train.

Innovative technologies such as the Internet of Things, Artificial Intelligence, Big Data Analytics, Blockchain and Robotics have the ability to improve medical diagnosis, data-driven treatment decisions and autoatención. They also generate metrics for the design of public policies. Those who became infected with COVID-19 could receive adequate monitoring and treatment thanks to information systems. Of course, telehealth risks are data theft, hacking and cyber attacks.

When an institution does not use technology to make people’s lives easier, it takes away opportunities, quality of life, time, resources and affects their dignity. In his book Decent society, the philosopher Avishai Margalit states that “Decent societies do not humiliate their members. Respect for oneself is such when the individual makes others, including governments and institutions, respect him for what he is: a person ”. ICTs can help health… also institutions so that they do not humiliate the inhabitants.

Twitter: @beltmondi

The author of this text is president of the Mexican Association for the Right to Information (Amedi)

.

Panama Papers: How US Firms Save Taxes in Delaware – Politics

In some US states, companies can be founded anonymously without anyone standing behind them.

Paradise is sandwiched between two chunky parking garages, it has yellowish-brown brick walls and dark metal window frames, and a curved awning groans in light green above the narrow entrance door. Cameras hang on the walls, the windows in the basement are taped shut, only up on the first floor, just below the flat roof, has someone attached colorful pictures to a window with “Happy Birthday” on it. It looks like a child’s birthday.

Behind the entrance there are a few steps up to the next door, then you are at the reception, which looks like a bank counter: a disk with holes in it for speaking, below, towards the counter, a wide slot through which you can push envelopes. The whole floor is a single, dreary open-plan office with a dozen, maybe more desks, you can’t see that exactly because of the gray partition walls. No, says the receptionist with a sour, stern expression through the speaking holes, you basically don’t talk to journalists here.

For ordinary viewers, not even the blooming trees along North Orange Street can turn this sadness into paradise – and yet the small Corporation Trust Center in Wilmington is exactly that for more than 250,000 companies from all over the world: a place of longing that is urgently needed Postal address to “optimize” the tax burden and beautify balance sheets without a single employee in the state of Delaware. The United States – they do not need Caribbean atolls, they have their own oases, except Delaware, Wyoming and Nevada.

In Delaware alone, over half of all listed US companies and many thousands of foreign corporations are based, including Apple, Google, General Motors, VW and Daimler. Florian von Eyb, lawyer at the New York firm Phillips Nizer, emphasizes that the state is not a classic tax haven like the Cayman Islands, “because the tax rates in Delaware are not lower than elsewhere in the USA”. He is right about that. However, you can save money – and save a lot.

The other 49 states are suffering

Delaware does not charge taxes on some types of income. This applies to profits from patents, licenses, copyrights and trademark rights as well as to surpluses that were not achieved on site. The state is thus opening the door to intra-group money transfers – something like this: A group establishes a holding company in Wilmington and transfers the rights to all of the group’s brand names to it. Every time a subsidiary wants to use its own brand name, it has to pay a fee. In this way, some of its profits flow to the holding company, which it declares as income from trademark rights and saves the state tax of just under nine percent.

Instead, the holdings have to pay the so-called franchise tax. It is $ 175 for small and up to $ 180,000 for large companies – and can often be paid from the coffee machine. This still pays off for Delaware, because due to the large number of registered companies – in total there are more than one million – a huge sum comes together. The second smallest US state can therefore afford to keep income taxes low for its citizens and to forego VAT altogether. The other 49 states are suffering, with billions of dollars in revenue slipping away.

But Delaware offers more than generous tax laws: The state has a very liberal, business-friendly corporate law that largely protects managers and shareholders from being held liable for their company’s debts. Legal disputes are not decided by lay juries, but by specially trained, generally company-friendly judges. In addition, a single person can assume all management positions within a company.

All of this is just as little illegal as a company is suspicious simply because it is located in Delaware. But it is also clear: the conglomerate of state-sponsored profit optimization, extensive liability exemption for entrepreneurs and tolerated non-transparency is not only magically attractive to legal tax optimizers, but also to shady company founders of every streak and provenance.

This applies to Delaware – but even more so to Wyoming and Nevada, where the Panama law firm Mossack Fonseca, which has just been blown up, according to the newspaper’s research USA Today registered more than 1000 companies. Those who want to hide the backers of a company from the world are spot on in the two states, because, according to Heather Lowe from the Washington research institute Global Financial Integrity, they demand “no information from the founders about who owns the company, who controls it and works for him “. The owners, even the managers, of a company don’t even have to be flesh and blood. Instead, other companies like to be registered, often those based in Anguilla, the Seychelles or other questionable locations.

Criticism of the oases in their own country is seldom heard in the United States – the government in Washington, which likes to put pressure or blacklist other countries, is surprisingly quiet. When asked why this is so, a spokeswoman for the Treasury Department said that the reports on the Panama Papers had been noted and that all violations of US law would be punished. And the tax tricksters at home, like those on North Orange Street in Wilmington? Just silence.

.