On Healthcare and Insurance

by R. Passov

The economics of health insurance is of particular importance today. Health insurance has become a major issue of public policy. Some form of national health insurance is very likely to be enacted within the next few years. —Martin Feldstein 1

Fifty years ago, when healthcare expenditures were a mere 6% of US GDP, Martin Feldstein was afraid that the seemingly imminent adoption of some form of national health insurance would cause health care spending to grow unchecked.

Turns out, like many economists, he was half right. While a truly national health scheme is still in the making, health care spending is now 18% of GDP, and growing.

Feldstein, known to his friends as Marty, was an interesting guy. For outstanding contributions to economics by an economist under 40, he was awarded the Bates Medal. He was President Reagan’s chief economic advisor, a long-time teacher at his alma matter, Harvard, and managed to retain the presidency and CEO titles at the National Bureau of Economic Research (NBER) from 1977 until his passing in 2019. (He stepped aside from 1982 to 1984 to serve Reagan.)

The NBER describes itself as a private, non-profit research organization and then adds that it has been the source for most leaders of the Council of Economic Advisors. The Council is in fact a government entity, constituting the chief economic advisors to the Office of the President, while the National Bureau, which sounds like it is, is not.

Anyway, fifty years ago, Feldstein took his economics – the ‘markets solve everything’ kind – and reached the following conclusion: The problem with healthcare is Health Insurance. Eliminate insurance wrote Feldstein, and market forces would reign in the runaway price of health services. Read more »

Of ants and humans: Some principles of social organization

by Bill Benzon

Mark Moffett’s The Human Swarm: : How Our Societies Arise, Thrive, and Fall (Basic Books 2019) is nothing less than a comprehensive review and synthesis of the academic literature on social life in humans and a wide variety of animals, including, among many others, ants, whales, jays, wolves, and chimpanzees. While written for general readers, this book will repay academic specialists of various disciplines in the humanities and social sciences.

It is at heart a work of natural philosophy, an old term not in much use anymore. Moffett is interested in what constitutes society: how do we differentiate between insiders and outsiders? To do so he surveys the animal world and follows the distinction in the evolution of human societies from hunter-gatherer groups to the current day. Though Moffett has the skills and credentials of an academic specialist (he has a Harvard Ph. D.), he has written the kind of book specialists are discouraged from writing. That is all the more reason why those specialists must join interested “civilians” in reading The Human Swarm. For it is in books like this that many narrow specialized understandings are combined and synthesized into a more comprehensive understanding, in this case, understanding of the critically important issue of social identity. Read more »

On the Road: Ngorongoro Crater, Part 2

by Bill Murray

This is Part Two in a series. Read Part One here.

Sooner or later even the best laid plans come full stop at the bureaucrat’s desk. At the entrance to Ngorongoro crater, Tanzania, we pull up short at a moldy branch of officialdom, no less out of place than some forlorn Chinese outpost on the Tibetan steppe. This requires twenty minutes of perfunctory paperwork, at night.

Stamp pads come out, ledgers are opened, numbers and details are transcribed and we will not proceed until the clerks accede. Which finally they do.

Difficult to get our bearings, arriving in the dark. There is only the tiny new moon that heralded Eid-al-Fitr, the end of Ramadan, and there are no lights out there because there is nothing built in the crater. We gaze into the gaping chasm for a while and then go off to eat.

I don’t know about this place. The restaurant is thatch-roofed, and the sound of gentle rain is comfy, but it’s scary how big and full the dining room is.

“We have more than 140 guests,” The server beams. I stare into my rice.

You want to be the only ones, the wilderness, the animals – Africa! – all to yourself. But this place is not like that.

Still, the shower is hot and a candle is provided. Alongside the candle is a matchbox with two, count ’em, matches. “Cleanext” brand tissues. Power goes out sometimes. Then it’s so dark you can’t even begin to see a thing outside. Not one thing. Anywhere. Clouds cover the little moon. Just 100% dark. Totality. Read more »

Stuck, Ch. 9. Fame and Oblivion: Big Star, “My Life is Right”

by Akim Reinhardt

Stuck is a weekly serial appearing at 3QD every Monday through early April. The Prologue is here. The table of contents with links to previous chapters is here.

Image result for muteBack in 2014 I circled the country. It was a very long trip. From late August to early November I drove over 9,000 miles, all of it by myself. For many people, perhaps most, that kind of marathon driving day after day, particularly without someone to talk to, is only made bearable by listening to music. And given my own background, which has includes stints as a radio DJ, music critic, and rankly amateur musician, most everyone I know assumes I fall into that camp. Which is why they’re often shocked to find out that I don’t.

In fact, I do most of my long distance driving in silence. No mp3s, no CDs, no tapes, no radio, no singing outloud. Just the sounds of the road.

I love music as much as anyone I’ve ever known, but there is a time and a place for everything. And for me, the open road at 80 miles per hour is usually the time and place when I breath easily and clear my mind. I settle into the groove of the engine and the hum of the rubber rolling over the blacktop. I stare calmly at the world passing by. After a while, driving the contours of America becomes meditative. There’s no knowing what will pass in and out of my mind hour after hour. And when I finally pull over with a few hundred more miles on the odometer, I feel mentally refreshed and damn near at peace.

Often in my travels, there is no space for music roaring from the car speakers. Instead, I mostly crave the quiet, ambient sounds of the road and the magnificent machine that transports me over it.

When I tell people this, they often look at me in horror. Read more »

Do Trees Exist?

Justin E. H. Smith at his own website:

There are two very different essays I’ve been meaning to write, both of which equally merit the title of the present one.

The one would address the special meaning of ‘existence’ as distinct from ‘being’ in the Heideggerian tradition, and would ask whether that special meaning applies to trees. Heidegger had dismissed even animals as merely being rather than existing, to the extent that they are ‘poor-in-world’ and therefore do not have that special and rare power human beings supposedly have of standing outside of being, ex-isting as Heidegger the etymologist emphasises, and beholding being rather than simply being whisked along by it as everything else is. A fortiori, it is usually assumed, the world of plants must be even poorer, and thus trees are taken as exemplary instances of being without existing.

Looking at the hanging branches of Louisiana oaks though, as I am at present, reaching down to the bayou in search of something they want, I wonder if this is true, and it seems to me, at least fleetingly, that I can imagine what it is like to be a tree, that there is something it is like, and that it is weltreich indeed. If it is difficult to grasp this, this may only be because we are limited in our sympathy by the radical difference of time scale that separates their experience from ours. I am fairly certain that if this difference were removed, we would see that trees too have projects, and experience feelings of accomplishment, defeat, joy, pensiveness, and wistfulness.

But that’s not what I’m writing about here.

More here.

The Simple Truth about Physics

Abraham Loeb in Scientific American:

At a recent group meeting, my postdoc raised a question: “Should we make our theoretical model more complex so that our explanation of the data will not appear too trivial?” I was surprised by this suggestion and felt obligated to explain why. “Simplicity is a virtue,” I said, “not a deficiency. Excessive mathematical gymnastics is used to show off in branches of theoretical physics that have scarce experimental data. But as physicists, we should seek the simplest explanation for our data. This is the lifeblood of physics and the appropriate measure of success.”

For decades, it was believed that our simple model of the early universe, characterized by a small number of parameters, was naive and the result of scarce data. By the turn of the 21st century, we had collected enough to verify that the universe indeed started from the simplest possible initial state, being nearly homogeneous and isotropic with small fluctuations that developed into the complex structures we find in it today. This simple cosmological model, which has existed for a century, is the foundation for modern cosmology.

More here.

Studies in deterrence: Why killing Iran’s Qasem Soleimani doesn’t do it

John Krzyzaniak in the Bulletin of the Atomic Scientists:

Early Friday morning, Qasem Soleimani, the head of the Iranian Revolutionary Guards Corps Quds Force, was killed on the drive back from the international airport in Baghdad, Iraq, in a US drone strike authorized by President Trump.

Soleimani has been at the helm of the elite Quds Force since 1998, and it’s difficult to overstate his importance. In the Atlantic, Andrew Exum, former US deputy assistant secretary of defense for Middle East policy, wrote that “from a military and diplomatic perspective, Soleimani was Iran’s David Petraeus and Stan McChrystal and Brett McGurk all rolled into one”—referring to two former US military generals and a former special presidential envoy.

Some had speculated that Soleimani, given his popularity in Iran, might one day run for president. But that would have arguably been a demotion; as leader of the Quds Force, Soleimani reported directly to Iran’s Supreme Leader, commanded more than 10,000 troops, and essentially set Iran’s Middle East policy. Indeed, after the assassination, US Sen. Chris Murphy referred to Soleimani as the “second most powerful person in Iran.” In the Senator’s estimation, then, Soleimani ranked in power above the Iranian president, the speaker of the parliament, the head of the judiciary, and even the chief of staff of the armed forces in Iran.

More here.

On Quijotismo

Leanne Ogasawara in the Dublin Review of Books:

The story of Don Quixote never gets old. First published (Book One, that is) in 1605, Cervantes’s novel continually makes the list of the greatest books of all time, being the second most translated after the Bible. In 2002, the Norwegian Academy of Science and Letters asked a hundred authors across the world to name their choice for “best novel” of all time: Cervantes won in a landslide. Considered by many people to be “the first modern novel”, it is a story of a man’s search for truth. It is also hilariously funny. I was not surprised to learn that it is one of the most requested books by the inmates at Guantánamo.

As if reading the Quixote is not enough, there is also a long list of works that have been created over the centuries in direct homage to it. Most famous are Flaubert’s Madame Bovary and Dostoevsky’s The Idiot, both being intentional retellings of the story. But there are also more indirect, but still consciously influenced, works, like Kafka’s story “The Truth about Sancho Panz”a and GK Chesterton’s The Return of Don Quixote, not to mention pretty much everything Milan Kundera ever wrote. There is Jorge Luis Borges’s short story “Pierre Menard, Author of the Quixote”. My own favorite is Graham Greene’s Monsignor Quixote, about a priest in a small town in La Mancha, who claims he is a descendant of the famous knight errant, never mind that all his friends remind him that Don Quixote was a fictional character. Beyond literature, we have Massenet’s opera Don Quichotte and Petipa’s ballet Don Quixote, as well as Telemann’s marvellous Don Quixote Suite.

Salman Rushdie’ s new novel, Quichotte, is only the latest in the four-hundred-year-long history of Quixote spin-offs.

More here.

Motherhood Makes You Obscene

Marguerite Duras in The Paris Review:

My mother had green eyes. Black hair. Her name was Marie Augustine Adeline Legrand. She was born a peasant, daughter of farmers, near Dunkirk. She had one sister and seven brothers. She went to teachers college, on a scholarship, and she taught in Dunkirk. The day after an inspection, the inspector who had visited her class asked for her hand in marriage. Love at first sight. They got married and left for Indochina. Between 1900 and 1903. A sort of commitment, adventure, a sort of desire, too, not for fortune but for success. They left like heroes, pioneers, they visited the schools in oxcarts, they brought everything, quills, paper, ink. They had succumbed to the posters of the era urging, as if they were soldiers: “Enlist.”

She was beautiful, my mother, she was very charming. Many men wanted her over the years, but as far as I know, nothing ever happened outside of her marriages. She was brilliant, and had an incredible way with words. I remember her being fought over at parties. She was one of a kind, very funny, often laughing, wholeheartedly. She was not coquettish, all she did was wash herself, she was always extremely clean. She had a sewing machine but she didn’t know what to have it make. I, too, until I was fourteen or fifteen, dressed like her, in sack dresses. When I started to become interested in men, I picked out my outfits more carefully. Then my mother had me sew incredible dresses, with frills, that made me look like a lampshade. I wore it all.

More here.

The Strangeness of Grief

V S Naipaul in The New Yorker:

Nadira was living in Bahawalpur, in Pakistan. One day, she saw a cat on the window ledge of her room. It was looking into the room in a disquieting way, and she told the servant to get rid of the cat. He misunderstood and killed the poor creature. Not long after this, in a laundry basket near the window, Nadira found a tiny kitten who was so young that its eyes were still closed. She understood then that the poor creature that had been so casually killed was the mother of the little kitten, who was probably the last of the litter. She thought she should adopt him. The kitten slept in her bed, with Nadira and her two children. He received every attention that Nadira could think of. She knew very little about animals, and almost nothing about cats. She must have made mistakes, but the kitten, later the cat, repaid the devotion with extraordinary love. The cat appeared to know when Nadira was going to come back to the house. It just turned up, and it was an infallible sign that in a day or two Nadira herself would return. This happy relationship lasted for seven or eight years. Nadira decided then to leave the city and go and live in the desert. She took the cat with her, not knowing that a cat cannot easily change where it lives: all the extraordinary knowledge in its head, of friends and enemies and hiding places, built up over time, has to do with a particular place. A cat in a new setting is half helpless. So it turned out here.

She came back one day to her desert village and found the people agitated. They had a terrible story. A pack of wild desert dogs had dragged away the unfortunate cat into a cane field. Nadira looked, fruitlessly, and was almost glad that she couldn’t find her cat. It would have been an awful sight: the wild dogs of the desert would have torn the cat to pieces. The cat was big, but the desert dogs were bigger, and the cat would have had no chance against a ravening pack. If it had got to know the area better, the cat might have known how to hide and protect itself. The dogs were later shot dead, but that revenge couldn’t bring back the cat whom she had known as the tiniest kitten, motherless, in the laundry basket. Grief for that particular cat, whose ways she knew so well, almost like the ways of a person, never left her.

And it was only when she came to live with me in Wiltshire—a domesticated landscape, the downs seemingly swept every day: no desert here, no wild dogs—that she thought she could risk having another cat, to undo the sorrow connected with the last. She went to the Battersea rescue home. In one cage she saw a very small black-and-white kitten, of no great beauty. Its nose was bruised and it was crying. It was being bullied by the bigger cats in the cage. It was the runt of its litter and had been found in a rubbish bin, where it had been thrown away. Everything about this kitten appealed to Nadira. And this was the kitten that, after the Battersea formalities, two friends, Nancy Sladek and Farrukh Dhondy, brought to us.

More here. (Note: This is what good writing is all about. A sublime piece!)

Lise Meitner: The Discovery of Nuclear Fission

Jeremy Bernstein in Inference:

MEITNER SPENT HER first Christmas in exile in Kungälv, a small town near Gothenburg. She was joined there by her nephew, Otto Frisch, a physicist who had taken refuge at the Niels Bohr Institute in Copenhagen. In his biography, Frisch described their famous walk in the woods and their discussion about the nature of nuclear fission. Before recounting this conversation, a few background details may prove useful.

In 1932, James Chadwick discovered the neutron. It was immediately clear that this new particle could penetrate and transform nuclei due to its electrical neutrality. Experimental studies were subsequently undertaken by Enrico Fermi and his group in Rome. They examined a number of elements before they turned their attention to uranium and began bombarding it with neutrons. But Fermi already knew what he was going to find before any experiments had taken place: neutron absorption would transform the uranium nuclei. As we now know, uranium becomes neptunium, which in turn becomes plutonium. Fermi was certain that his team had created these transuranic elements. Before she left Germany, Meitner, along with Hahn and a young collaborator named Fritz Strassmann, were engaged in repeating these experiments. After her departure, Hahn and Meitner had managed to maintain communication. It was Hahn and Strassmann’s latest experimental results that Meitner and Frisch were discussing when they took a walk in the woods.

More here.

A Recently-Discovered 44,000-Year-Old Cave Painting Tells the Oldest Known Story

Colin Marshall over at Open Culture:

Where did art begin? In a cave, most of us would say — especially those of us who’ve seen Werner Herzog’s Cave of Forgotten Dreams — and specifically on the walls of caves, where early humans drew the first representations of landscapes, animals, and themselves. But when did art begin? The answer to that question has proven more subject to revision. The well-known paintings of the Lascaux cave complex in France go back 17,000 years, but the paintings of that same country’s Chauvet cave, the ones Herzog captured in 3D, go back 32,000 years. And just two years ago, Griffith University researchers discovered artwork on a cave on the Indonesian island of Sulawesi that turns out to be about 44,000 years old.

Here on Open Culture we’ve featured the argument that ancient rock-wall art constitutes the earliest form of cinema, to the extent that its unknown painters sought to evoke movement. But cave paintings like the one in Sulawesi’s cave Leang Bulu’ Sipong 4, which you can see in the video above, also shed light on the nature of the earliest known forms of storytelling.

More here.

Driss Chraïbi & the Novel Morocco Had to Ban

Adam Shatz over at the NYRB:

When Driss Chraïbi’s The Simple Past (Le Passé simple) was published in 1954, it was as if an explosion had gone off in the small, old-fashioned mansion of North African literature. Everything that had been written about the Maghreb seemed to lie in ruins—not just exoticizing Western novels and travelers’ accounts, but also the few novels in French by North African writers. Even The Pillar of Salt (1953), Albert Memmi’s remarkable Bildungsroman about a Jewish boy growing up in Tunisia, looked quaint by comparison. Published two years before the end of France’s protectorate in Morocco, The Simple Past was a journey to the end of the colonial night, written with an intransigence and fury that Louis-Ferdinand Céline might have admired.

Chraïbi’s title was suggestive on several registers. The passé simple is a French verb tense used almost exclusively in formal writing, referring to actions that have been definitively completed, residing entirely in the past. In Chraïbi’s novel, the idea of a past entirely cut off from the present is held up to merciless critique. For Driss Ferdi, the young Moroccan who is the hero and narrator of the book, the past is an unbearable weight and an inescapable burden; it is a force of oppression and, sometimes, of evil.

More here.

Charlize Theron Knows a Monster When She Sees One

Abby Aguirre in The Atlantic:

Charlize theron received the script for Bombshell, the new drama about the women who exposed sexual harassment at Fox News and brought down Roger Ailes, in the summer of 2017. Two months later, the first Harvey Weinstein story broke. In certain Hollywood circles, people had been aware that a Weinstein investigation might finally make it into print, but nobody could have foreseen the magnitude of the fallout or the movement it would ignite. “There was something in the air,” Theron recalled one morning in October, tucked into a corner table at a Hollywood restaurant. “I didn’t have an inkling of how big it was going to be or how long it was going to last.”

Among the things that ultimately drew Theron to the Ailes story—what led her to sign on to star and produce Bombshell—were the women at the center of it: the formidable blond protagonists of Fox News. There was Gretchen Carlson (played by Nicole Kidman), the former Miss America and longtime anchor who filed the initial lawsuit against Ailes, accusing the Fox News chairman of making sexual advances and then retaliating against her after she rebuffed them. There was Megyn Kelly (Theron), the network’s biggest star, who came forward with allegations against Ailes in the weeks that followed. And there was a young female producer (a composite character played by Margot Robbie) who seeks out Ailes in hopes of landing an on-air position, only to be cowed into showing him her underwear during a one-on-one meeting, among other indignities.

“Nothing is black-and-white in this,” Theron said of the film, which was directed by Jay Roach and written by Charles Randolph. She noted that Kelly had moved past her uncomfortable encounters with Ailes and managed to have a professional relationship with him for a decade. What’s more, Theron pointed out, Kelly knew Carlson’s allegations were likely true, because Ailes had harassed her, too. The gray area includes Ailes’s secretary, played by Holland Taylor, who ferries young women in and out of Ailes’s office and presumably notices his habit of locking the door behind him.

More here.

Noise: How to Overcome the High, Hidden Cost of Inconsistent Decision Making

Daniel Kahneman et al in Harvard Business Review (2016):

At a global financial services firm we worked with, a longtime customer accidentally submitted the same application file to two offices. Though the employees who reviewed the file were supposed to follow the same guidelines—and thus arrive at similar outcomes—the separate offices returned very different quotes. Taken aback, the customer gave the business to a competitor. From the point of view of the firm, employees in the same role should have been interchangeable, but in this case they were not. Unfortunately, this is a common problem.

Professionals in many organizations are assigned arbitrarily to cases: appraisers in credit-rating agencies, physicians in emergency rooms, underwriters of loans and insurance, and others. Organizations expect consistency from these professionals: Identical cases should be treated similarly, if not identically. The problem is that humans are unreliable decision makers; their judgments are strongly influenced by irrelevant factors, such as their current mood, the time since their last meal, and the weather. We call the chance variability of judgments noise. It is an invisible tax on the bottom line of many companies.

Some jobs are noise-free. Clerks at a bank or a post office perform complex tasks, but they must follow strict rules that limit subjective judgment and guarantee, by design, that identical cases will be treated identically. In contrast, medical professionals, loan officers, project managers, judges, and executives all make judgment calls, which are guided by informal experience and general principles rather than by rigid rules. And if they don’t reach precisely the same answer that every other person in their role would, that’s acceptable; this is what we mean when we say that a decision is “a matter of judgment.” A firm whose employees exercise judgment does not expect decisions to be entirely free of noise. But often noise is far above the level that executives would consider tolerable—and they are completely unaware of it.

More here.

Riot acts

Antonia Malchik in Aeon:

One evening in 1992, my parents, younger sister and I sat on the fold-out futon on the living room floor, petting our cats and watching fires consume buildings in Los Angeles. The images that spilled from the screen are only vague memories now: a dark night, broken windows, police sirens echoing, people rampaging across the city and leaving destruction in their wake. I was 16 years old. Having mostly grown up in small-town Montana without access to cable television, this was one of my first experiences watching a national news story on live TV.

The event we were watching, often called the LA riots, was triggered by the acquittal of police officers who had been filmed beating a construction worker named Rodney King. The eruption took its place in a long line of other violent uprisings against racial and gender injustice – the Watts riots, the Stonewall riots, and the 12th Street riot in Detroit. In my little hometown, TV viewers were prompted to view such riots through the lens of irrational ‘crowd contagion’ – a long-debunked perspective that nonetheless pervaded the media coverage in the first days of the LA event, until deeper analysis reflected on the searing racial tensions, inequality and poverty that triggered the uprising.

More here.