Medical correctness

Anthony Daniels in The New Criterion:

Hippocrates-alexIn Russia in 1839, Custine wrote that Tsar Nicholas I was both eagle and insect: eagle because he soared over society surveying it with a sharp raptor’s eye from above, and insect because he bored himself into every tiny crack and crevice of society from below. Nothing was either too large or too small for his attention; and sometimes one feels that political correctness is rather like that. For the politically correct, nothing is too large or too small to escape their puritanical attention. As a consequence, we suspect that we are living an authoritarian prelude to a totalitarian future. Whether medical journals be large or small depends, of course, on the importance that you attach to them. As a doctor I am inclined to accord them more importance than the average citizen might; but what is indisputable is that they are not immune from political correctness, quite the reverse. Reading them, one has the impression of being buttonholed by a terrific bore at a cocktail party, who won’t let you go unless you agree with his assessment of the situation in Somalia.

At first sight, medicine might appear an unpromising subject for political correctness. You are ill, you go to the doctor, he tries to cure you, whoever you might be: what could be more straightforward than that? But in fact medicine is a field ripe for political correctness’s harvester. The arrangement by which health care is delivered is eminently a subject of politics; moreover we live in the golden age of epidemiology, in which the distribution of health and disease is studied more closely even than the distribution of income. Inequalities are usually presented as inequities (they have to be selected carefully, however: I have never seen the superior life expectancy of women, sometimes considerable and present almost everywhere, described as an inequity, even though the right to life is supposedly the most basic of all in the modern catechism of human rights). The decent man abominates unfairness or injustice: therefore the man who abominates unfairness or injustice is decent. Political correctness—linguistic and semantic reform as the first step to world domination—came comparatively late to medical journals. This is because, where intellectual fashions are concerned, doctors are usually in the rear, rather than the vanguard. Their patients plant their feet on the ground for them, whether they want them planted there or not; for there is nothing quite like contact with a cross-section of humanity for destroying utopian illusions.

More here.

What Drives Successful Crowdsourcing?

Michael Fitzgerald in Harvard Magazine:

CrowdKarim Lakhani says his work poses a provocative question: can a crowd of random people outsmart Harvard experts? Lakhani, professor of business administration, seeks the answer in his role at Harvard’s Institute for Quantitative Social Science, where he is principal investigator at the Crowd Innovation Lab and NASA Tournament Lab.

…His research got a real-world boost when he began teaching at Harvard Business School (HBS). After he presented a case study on crowdsourcing at an HBS executive-education program, one of the attendees—NASA’s chief medical officer—asked whether such a contest could help the agency. “Give me a test case,” Lakhani responded. NASA asked him to come up with an algorithm that would identify the ideal contents for a space emergency medical kit. Using Topcoder, a crowdsourcing company that brings random groups of developers and designers together to work on problems, and $25,000 in prize money, the contest led to a solution that worked better and faster than one NASA had developed internally. That led to the creation of the NASA Tournament Lab, which added economists to help design effective contests, as well as post-docs in physics and computer science to tackle the full range of problems NASA wanted to solve. In six years, the lab has run hundreds of competitions on Topcoder, addressing challenges ranging from solar-flare detection to the counting of asteroids. Almost all have produced effective code for the agency. The Tournament Lab also addresses a crucial problem with competitions: lack of empirical evidence for why they work. Lakhani notes that a crop of good textbooks explains how to design competitions and other theoretical aspects of competitions, but “What’s been missing is field evidence” of what—apart from sports or internal contests—motivates crowds to solve problems. The lab has provided answers. People form crowds to solve problems for three reasons, Lakhani says: extrinsic benefits (improved professional profile or rewards like cash); intrinsic benefits (it helps solve a problem, or it’s fun); and pro-social benefits (participants like being part of something bigger than themselves that makes the world a better place).

More here.

Sunday Poem

The Tip

Just days before the crash
that killed him, my father
lost the tip of his index finger
while working on the same vehicle
that would take him away.

I recall my mother’s scream
that brought me out of Mann’s
The Magic Mountain,
and to the concrete drive
now sprinkled in crimson.
His stunned look
is what has stayed with me.
Shock that part of him could take leave
without permission or warning?
He was a man who hated surprises,
who lined his clothes and shoes
like a platoon he inspected daily,
and taught us to suspect the future. His
was the stranger in a strange land’s fear
of not knowing, and not having.

After the doctor snipped the ragged end
of joint and skin like a cigar
and stitched it closed, my father
stared transfixed at the decapitated
finger, as if it had a message for him.
As if he suspected this small betrayal
of his body was just the tip
of chaos rising.
.

by Judith Ortiz Cofer
from El Coro
University of Massachusetts Press, 1997
.

This is how the American republic ends

C8X4DM_Security

Ryan Cooper in The Week:

A recent review of studies convincingly argues that FBI Director James Comey's letter vaguely announcing a new chapter in the email investigation eroded Clinton's margins by enough to make her lose. It was a damning announcement, coming from a relatively respected institution, at about the worst possible time. There were also an unusually large number of undecided voters that late in the campaign, and the FBI's announcement got saturation coverage.

It's important to emphasize that in such a close election, there are dozens of things that could also have tipped the balance. The fact that it was close enough to tip in the first place shows that Clinton was a terribly weak candidate — it is a virtual certainty that had Obama been on the ballot, he would have weathered such a blow. But it's still highly alarming that without a single action taken by the head of the FBI, Donald Trump would not have been elected president.

And that's only the tip of the iceberg. As Glenn Greenwald demonstrates, much of the 2016 election played out as a proxy war between the pro-Clinton CIA and the pro-Trump FBI, with dueling op-eds, anonymous leaks, and accusations.

This kind of thing is perhaps the major reason to preserve due process and civil liberties in the security apparatus. One of the more shameful aspects of the Obama presidency was watching liberals reverse-engineer reasons for why Bush-era security policies were now good, as they became Obama-era security policies. The most common rationale they landed on was the usual one about there being a tradeoff between security and privacy, and in a dangerous world we've simply got to give the spooks greater latitude (read: break whatever laws they want).

This argument is trash for many reasons, but among them is that it presents an incomplete picture of what is being sacrificed. Individual privacy is harmed by dragnet surveillance and unaccountable security agencies, but so is the basic democratic nature of the political system.

More here.

What Happens When Algorithms Design a Concert Hall? The Stunning Elbphilharmonie

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Liz Stinson in Wired:

THE MOST INTERESTING thing about Herzog and De Meuron’s newly opened concert hall, the Elbphilharmonie, isn’t its wave-like facade, which rises above the city of Hamburg, Germany. It’s not the gently curved elevator at the base of the lobby that deposits you into the belly of the Swiss architects’ alien landscape. And it’s not the Escher-esque stairways that guide you from one floor to the next.

Though Hamburg’s $843 million philharmonic is filled with stunning architectural gems, its most interesting feature is the central auditorium, a gleaming ivory cave built from 10,000 unique acoustic panels that line the ceiling, walls, and balustrades. The room looks almost organic—like a rippling, monochromatic coral reef—but bringing it to life was a technological feat.

The auditorium—the largest of three concert halls in the Elbphilharmonie—is a product of parametric design, a process by which designers use algorithms to develop an object’s form. Algorithms have helped design bridges, motorcycle parts, typefaces—even chairs. In the case of the Elbphilharmonie, Herzog and De Meuron used algorithms to generate a unique shape for each of the 10,000 gypsum fiber acoustic panels that line the auditorium’s walls like the interlocking pieces of a giant, undulating puzzle.

More here.

An Experiment in Empathy

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Lisa Miller in New York Magazine:

In May, Underwood drew all kinds of flak for agreeing to let George Zimmerman sell the Kel-Tec PF9 that killed 17-year-old Trayvon Martin on his site. Underwood defends the decision still. Zimmerman was a “dipshit,” he concedes, but he was acquitted at trial, his gun was legally purchased, and he was licensed. Underwood was able to resell it for $250,000 (all of which, he says, went to Zimmerman). “What would you do?”

Underwood was coming to New York to meet Carolyn Tuft, though neither one of them knew it yet. Tuft, who lives in Salt Lake City, is a survivor of the 2007 Trolley Square shooting, the massacre that seriously injured four people and left five dead — including Tuft’s 15-year-old daughter, Kirsten, the youngest of her four children. Tuft herself was shot three times, in the arm and point blank in the lower back. The 54-year-old has so much buckshot in her body that she suffers from lead poisoning, and she wakes up each day nauseated and in pain. Her manner is both assured and halting — the result, she explains, of constant painkiller use.

Underwood, Tuft, and more than a dozen others on both sides of the gun debate — a hunter; two Baltimore cops; a criminal-court judge from New Orleans; a couple of high-schoolers who grew up in the ganglands of Chicago’s South Side — had agreed to meet face-to-face, tell each other their stories, and try to understand one another’s points of view, in an experiment in radical empathy organized by New York Magazine in partnership with a nonprofit group called Narrative 4. Each traveler carried a personal story about guns: Lauren Green, a divorced mother from Connecticut, was raped at gunpoint as a child; Michelle Rehwinkel Vasilinda, a former Florida state legislator and proponent of campus-carry laws, had fended off an assailant, a former boyfriend, with a gun.

More here.

The American Action Auteur

Isaac Butler in the LA Review o Thieff Books:

THE CLIMAX OF THIEF, Michael Mann’s first feature film, is the kind of sequence it feels like only he can pull off. In it, expert safecracker Frank (James Caan) breaks into a vault to steal some diamonds for the mob. He’s been preparing for the job for much of the film’s second act — it’s the venerable last big score he needs to retire and finally get his personal life in order for good. He’s in the room; the alarms are hacked; it’s showtime.

We’re never in suspense, watching this scene. At no point do we worry that Frank will get caught. Frank doesn’t seem too worried either: just focused, determined, no-nonsense, something out of a Jules Dassin or Jean-Pierre Melville film. The thrill doesn’t come from narrative tension; it instead comes from what Mann is able to do with light, sound, and texture — the way he composes them all in a breathtaking dance. Breaking into the vault entails melting a hole in it with a thermal lance, a long metal rod pumping compressed oxygen, heated to thousands of degrees Fahrenheit. One of his crew must stand beside the rod with a fire extinguisher, putting out the sparks of steel, aluminum, and titanium that fly off of it. Soon the frame is all fog, fireworks, and silhouettes — molten metal turned into lava floes. The scene is nearly wordless, aside from Frank declaring, early on, that his team “owns” the room. Just as the images reduce down to iconic flares of light and molten steel, the screenplay focuses on ownership, what ownership entails, and how you can own and be owned, one of the film’s dominant concerns.

More here.

Coretta Scott King: A Posthumous Memoir

15Williams-blog427Patricia J. Williams at The New York Times:

Nearly every image of Coretta Scott King since her husband’s death has seemed suffused with preternatural stillness, her face fixed with the brave solitude of timeless interior bereavement. For all of her accomplishment and vivacity in real life, she has remained frozen in the collective imagination, among that sad pantheon of civil-rights-era icons: the political widow in a pillbox hat. King describes the weight of that identity in “My Life, My Love, My Legacy,” her posthumous memoir, as told to the journalist Barbara Reynolds over a period of 30 years. “There is a Mrs. King. There is also Coretta. How one became detached from the other remains a mystery to me,” King says.

This book is distinctly Coretta’s story. While there is nothing to radically challenge the impression of her as carefully restrained, what makes “My Life” particularly absorbing is its quiet account of a brutal historical era, as experienced by a very particular kind of African-American woman: well educated, cautious, a prototypically 1950s-style wife and mother. The book’s cover features a picture of King, young and smiling, but still radiating that unmistakable aura of church-lady reserve.

more here.

‘VASELINE BUDDHA’ BY JUNG YOUNG MOON

Vaseline-buddhaJack Saebyok Jung at The Quarterly Conversation:

Translating one of the most experimental novels to come out from South Korea in recent memory is no easy task, and Yewon Jung’s translation dutifully recreates Jung Young Moon’s sustained deconstruction of sentences and narratives. Still, there are certain basic differences between English and Korean grammar that have yet to be conveyed successfully by any English translator of Korean language. The hallmark of Jung Young Moon’s style in Korean is that his words are almost always plain spoken, and the repetitions feel natural and quick to grasp. The real difficulty in translating Jung Young Moon is in how he uses the built-in ambiguity of pronouns and tense in Korean syntax. Korean allows the syntactic subject to be omitted from the sentence, especially when that subject is obvious. There is no “it is raining” in Korean, there is only “raining.” Thus, pronouns are hardly ever used unless they are there to stress or embellish a certain point. In the case of Vaseline Buddha in which the narrator and the author are two distinct entities, the natural ambiguity of Korean sentences suddenly becomes a key component in creating uncertainty as to the identity of the speaker at any given moment. Korean grammar leads the reader to subconsciously fill in the blanks so to speak, and by foregrounding this subconscious mechanic in his prose, Jung forces the reader to confront the oddness of the narrator’s shifting identity. This is possible not simply because the narrator is saying that he is many different things but because the very language he uses keeps his identity ambiguous.

more here.

Jane Austen at 200

Jane-austen_in_blue_dress_e5noLucy Worsley at The Guardian:

Downright nonsense” was the verdict of Mrs Augusta Bramston, a Hampshire friend and neighbour of the Austen family, on reading Pride and Prejudice. In 1814, Jane Austen published Mansfield Park, a sophisticated study of love and family life. Mrs Bramston nevertheless thought she ought to give it go, and having struggled through volume one, “flattered herself she had got through the worst”.

Jane Austen recorded this and other hilarious remarks from friends in a list of opinions on Mansfield Park. The document, in Austen’s own neat handwriting, is just one of the funny and sad items in the British Library’s new exhibition, Jane Austen Among Family and Friends, which opened on Tuesday.

Austen surely recorded the comments in a spirit of malicious mockery rather than regret. Even if only a small number of readers appreciated her at the time of her death in 1817, she hopefully knew just how brilliant a writer she was. Two hundred years later, everyone knows it. Her face is to appear on £10 notes and £2 coins, and the bicentenary of her death will see a slew of exhibitions showcasing her writing and world.

more here.

Saturday Poem

(Not so) random selections from Jim Harrison’s Returning to Earth,
(a section of a larger collection-1982) which, when I read them
this morning occasionally glancing out the window at a new day’s
emerging shadows, were shaded beautifully but sadly by Now.
.

Returning to Earth

She
pulls the sheet of the dance
across me
then runs, staking
the corners far out at sea

***

So curious in the middle America, the only “locus”
I know, to live and love at great distance. (Growing
up, everyone is willing to drive seventy miles to see
a really big grain elevator, ninety miles for a dance,
two hundred to look over a pair of Belgian mares
returning the next day for the purchase, three hundred
miles to see Hal Newhouser pitch in Detroit, eight
hundred miles to take the mongoloid kid to a Georgia faith healer.)
I hitched two thousand for my first glimpse of the Pacific.
When she first saw the Atlantic she said near Key Largo
“I thought it would be bigger.”

***

I widowed my small
collection of magic
until it poisoned itself with longing.
I have learned nothing.
I give orders to the rain.
I tried to catch the tempest in a gill net.
The stars seem a little closer lately.
I’m no longer afraid to die
but is this a guidepost of lunacy?
I intend to see the 10 hundred million worlds Manjusri
passed through before he failed to awaken the maiden.
Taking off and landing are the dangerous times.
I was commanded in a dream to dance.

***

O Faustus talks to himself,
talks to himself, talks to himself,
talks to himself, talks to himself,
Faustus talks to himself,
talks to himself.

***

O I’m lucky
got a car that starts almost every day
tho’ I want a new yellow Chevy pickup
got two letters today
and I’d rather have three
have a lovely wife
but want all the pretty ones
got three white hawks in the barn
but want a Himalayan eagle
have s planet in the basement
but would prefer the moon in the granary
have the northern lights
but want the southern cross

***

The stillness of this earth
which we pass through
with the precise speed of our dreams

.
Jim Harrison
from, Selected & New Poems
Delacorte Press, 1982
.

The Divided States: Trump’s inauguration and how democracy has failed

Pankaj Mishra in The Guardian:

UntitledNever in human history have so many diverse peoples lived together as in our time. Nor has the appeal of democracy ever been so widespread. The promise of equal rights and citizenship held out by modern society has been universally embraced, especially keenly by people long deprived of them. But, as Donald Trump, the favoured candidate of white supremacists, becomes president of the United States, the quintessential multicultural democracy, the long arc of the moral universe, as Martin Luther King called it, does not seem to be bending to justice. Trump came into political prominence accusing the first black president of the United States of being foreign born; he rose to supreme power stigmatising Mexicans as rapists and Muslims as terrorists. His election victory was engineered by Steve Bannon, the executive chairman of Breitbart News, an online site notorious for its antisemitism, racism, misogyny and xenophobia. The joint arrival of Trump and Bannon in the White House, where they will enjoy nearly unlimited power, completes a comprehensive recent rout of the founding principle of the modern world: that, as the revolutionary phrases of 1776 had it, “all men are created equal”, entitled to the “unalienable rights” of “life, liberty, and the pursuit of happiness”.

…The African American thinker WEB Du Bois had diagnosed the built-in contradictions of democracy and liberalism as early as the 19th century. In his view slavery had violently coerced Africans into a world economic system, and then global capitalism, binding together more people of different social and historical backgrounds, had piled new economic inequalities on to older racial prejudices and discrimination. Both forms of degradation were vital to the making of prosperous democracies in the Atlantic west; and they made it arduous, if not impossible, for the degraded to realise the modern promise of freedom and equality. “The problem of the 20th century,” Du Bois predicted in 1903, would be “the problem of the colour-line.”

More here.

Big Sugar’s Secret Ally? Nutritionists

Gary Taube in The New York Times:

SugarThe first time the sugar industry felt compelled to “knock down reports that sugar is fattening,” as this newspaper put it, it was 1956. Papers had run a photograph of President Dwight D. Eisenhower sweetening his coffee with saccharin, with the news that his doctor had advised him to avoid sugar if he wanted to remain thin. The industry responded with a national advertising campaign based on what it believed to be solid science. The ads explained that there was no such thing as a “fattening food”: “All foods supply calories and there is no difference between the calories that come from sugar or steak or grapefruit or ice cream.”

More than 60 years later, the sugar industry is still making the same argument, or at least paying researchers to do it for them. The stakes have changed, however, with a near tripling of the prevalence of obesity in the intervening decades and what the Centers for Disease Control and Prevention figures reveal to be an almost unimaginable 655 percent increase in the percentage of Americans with diabetes diagnoses. When it comes to weight gain, the sugar industry and purveyors of sugary beverages still insist, a calorie is a calorie, regardless of its source, so guidelines that single out sugar as a dietary evil are not evidence-based. Surprisingly, the scientific consensus is technically in agreement. It holds that obesity is caused “by a lack of energy balance,” as the National Institutes of Health website explains — in other words, by our taking in more calories than we expend. Hence, the primary, if not the only, way that foods can influence our body weight is through their caloric content.

More here.

The Real Story About Fake News Is Partisanship

Amanda Taub in the New York Times:

ScreenHunter_2510 Jan. 13 23.29In his farewell address as president Tuesday, Barack Obama warned of the dangers of uncontrolled partisanship. American democracy, he said, is weakened “when we allow our political dialogue to become so corrosive that people of good character are turned off from public service, so coarse with rancor that Americans with whom we disagree are not just misguided, but somehow malevolent.”

That seems a well-founded worry. Partisan bias now operates more like racism than mere political disagreement, academic research on the subject shows. And this widespread prejudice could have serious consequences for American democracy.

The partisan divide is easy to detect if you know where to look. Consider the thinly disguised sneer in most articles and editorials about so-called fake news. The very phrase implies that the people who read and spread the kind of false political stories that swirled online during the election campaign must either be too dumb to realize they’re being duped or too dishonest to care that they’re spreading lies.

But the fake-news phenomenon is not the result of personal failings. And it is not limited to one end of the political spectrum. Rather, Americans’ deep bias against the political party they oppose is so strong that it acts as a kind of partisan prism for facts, refracting a different reality to Republicans than to Democrats.

More here.

The Phineas Gage effect

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Kevin Tobia in Aeon:

What does it take to be the same person over time? This question has vexed philosophers for millennia. If an individual’s character changes enough, can this disrupt identity to such an extent that it no longer makes sense to say that we are dealing with the same person? That seems a reasonable conclusion to draw when the change is extreme. But I wanted to explore whether there might be more going on than this, and specifically whether the direction of change, not just the magnitude of change, might be a key factor.

In order to explore this question, I presented participants (Aeon readers who responded to a survey) with one of two different scenarios. The two scenarios expressed different versions of a classic thought experiment. They were based on the well-known story of Phineas Gage: a 19th-century railroad worker who had an unfortunate accident in which a tamping rod went right through his skull; he survived, but underwent a major character transformation as a result of brain damage – or so the story goes. Consider a vignette based on the myth of Gage:

Phineas is extremely kind; he really enjoys helping people. He is also employed as a railroad worker. One day at work, a railroad explosion causes a large iron spike to fly out and into his head, and he is immediately taken for emergency surgery. The doctors manage to remove the iron spike and their patient is fortunate to survive. However, in some ways this man after the accident is remarkably different from Phineas before the accident. Phineas before the accident was extremely kind and enjoyed helping people, but the man after the accident is now extremely cruel; he even enjoys harming people.

Gage’s friends and family were inclined to regard the man after the accident as ‘no longer Gage’. This case study is often taken to show that some substantial changes of character can disrupt personal identity to the extent that it seems reasonable to say that this is a different person in an important sense. However, in this case, the accident involved not just a large change, but specifically a deterioration: the man after the accident is seen as worse than Gage before the accident. The typical interpretation of this case is that sufficient magnitude of character transformation disrupts identity. But might this other feature, the direction of change (‘improvement’ or ‘deterioration’) be partly responsible for judgments about identity?

More here.

Where Life Is Seized

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Adam Shatz in the LRB:

Author of the anti-racist jeremiad Black Skin, White Masks; spokesman for the Algerian Revolution and author of The Wretched of the Earth, the ‘bible’ of decolonisation; inspiration to Third World revolutionaries from the refugee camps of Palestine to the back streets of Tehran and Beirut, Harlem and Oakland; founder, avant la lettre, of post-colonialism; hero to the alienated banlieusards of France, who feel as if the Battle of Algiers never ended, but simply moved to the cités: Frantz Fanon has been remembered in a lot of ways, but almost all of them have foregrounded his advocacy of resistance, especially violent resistance.

Fanon was not a pacifist, but the emphasis on his belief in violence – or ‘terrorism’, as his adversaries would say – has obscured the radical humanism that lies at the heart of his work. In her 1970 study, On Violence, addressed in part to Fanon’s student admirers, Hannah Arendt pointed out that both his followers and his detractors seemed to have read only the first chapter – also entitled ‘On Violence’ – of The Wretched of the Earth. There Fanon described how violence could serve as a ‘cleansing force’ for the colonised, liberating them not only from their colonial masters, but from their inferiority complex. Decolonisation, he suggested, was nothing less than the ‘creation of new men’ – a notion much in vogue among 1960s revolutionaries, from Che Guevara to Malcolm X. The Wretched of the Earth has few of the autobiographical, elegiac cadences of his first book, Black Skin, White Masks, but explores the same relationship between racism, colonialism, mental illness and freedom. Crucially, it ends with a harrowing account of the mental disorders Fanon encountered as a psychiatrist during the Algerian War of Independence. The argumentative force of this closing chapter, and its position in the book, throw doubt on the first chapter. Violence was never Fanon’s remedy for the Third World; it was a rite of passage for colonised communities and individuals who had become mentally ill, in his view, as a result of the settler-colonial project, itself saturated with violence and racism. Like Walter Benjamin, Fanon believed that for the oppressed, the ‘“state of emergency” in which we live is not the exception but the rule’, and that his revolutionary duty was to help ‘bring about a real state of emergency’. Fanon’s clinical work was the practice that underpinned his political thought. He was only slightly exaggerating when he estimated that there were ‘more than ten million men to treat’ in Algeria. For Fanon, colonialism was a perversity. The coloniser and the colonised were locked together – and constructed – by a fatal dialectic. There could be no reciprocity, only war between the two, until the latter achieved freedom.

More here.