by Samia Altaf
Mandra health center, outside Islamabad, on this spring morning, without the cacophony and confusion of health centers in the city, was the picture of serenity. An emaciated woman of indeterminate age sits coughing in the corridor, in a chair that bears the logo of the United States Agency for International Development, next to a little girl with dry shoulder length hair and yellow eyes, one bare foot resting upon the other. I make a provisional diagnosis—pulmonary tuberculosis for the woman, viral hepatitis for the girl, both diseases endemic in Pakistan.
In a room cluttered with furniture and people, its walls lined with the ubiquitous portrait of the Quaid-e-Azam, a map of district Gujjar Khan and a couple of framed certificates whose writing is mostly illegible except for the USAID logo, the Medical Officer is examining patients. He nods to me while still attached to his stethoscope the other end of which rests on the chest of a skinny young man sitting on a stool holding up his shirt to expose his protruding Christ-like ribs. A man and a woman stand waiting calmly for their turn on the stool.
Mandra center, part of the government’s health service system that caters to the medical needs of almost 75 percent of Pakistan’s population, is one of the 32 hospitals upgraded by USAID for a total of $92 million to improve emergency maternal neonatal and child health services under a project called PAIMAN (Pakistan Initiative for Mothers and Newborns). John Snow Inc. implemented it from 2005 to 2011.

USAID funded repairs, provided surgical equipment, trained staff, and built a vaccination room with refrigerator to store vaccines. It provided benches and white boards for the meeting room where visiting US CODELS (Congressional Delegations) and USAID officials were briefed about the project. Mrs. Munter, the US ambassador’s wife, “sat here” said the medical officer pointing to a chair. “That was such a good time,” he remarks as we walk around. “See this corridor,“ he says, pointing up and down, “renovated by USAID. The walls, the floor, the tiles , the furniture, these chairs. They also equipped the operating room for C-sections and other obstetrical surgeries.” He begins to count off the equipment on his fingers—“special operating table, shadow-less lights, sonogram, sterilizer…and a special vaccination room. Come I will show you.” Read more »

Academics have a privileged epistemic position in society. They deserve to be listened to, their claims believed, and their recommendations considered seriously. What they say about their subject of expertise is more likely to be true than what anyone else has to say about it.
Edward Said’s
When I was seven, my parents bought me and my brother an Atari 2600, the first mass game console. The game it came with was “Asteroids.” We played that game an awful lot. One night, we snuck down in the middle of the night only to discover my Dad already playing.
Thomas Piketty, the French economist whose 2013 bestseller
On 17 January 1803, a young man named George Forster was hanged for murder at Newgate prison in London. After his execution, as often happened, his body was carried ceremoniously across the city to the Royal College of Surgeons, where it would be publicly dissected. What actually happened was rather more shocking than simple dissection though. Forster was going to be electrified. The experiments were to be carried out by the Italian natural philosopher Giovanni Aldini, the nephew of Luigi Galvani, who discovered “animal electricity” in 1780, and for whom the field of galvanism is named. With Forster on the slab before him, Aldini and his assistants started to experiment. The Timesnewspaper reported: “On the first application of the process to the face, the jaw of the deceased criminal began to quiver, the adjoining muscles were horribly contorted, and one eye was actually opened. In the subsequent part of the process, the right hand was raised and clenched, and the legs and thighs were set in motion.”
He scanned my medical history, and the answer was there in black and white: a body mass index of 24, blood pressure a shade lower than the normal range, total cholesterol below 120, and no chronic disorders or ailments to speak of. There was just one outlier in this picture of good health: I recently turned 67. Which is why, when I saw a new doctor for my annual checkup, he had a hard time believing I wasn’t taking an arsenal of drugs simply to remain upright. There is plenty of alarm about the unprecedented aging of humanity. Since 1950, the median age in developed countries has jumped from 28 to 40, and is expected to reach 44 by mid-century. The percentage of citizens age 65 and older is expanding accordingly, from less than 10 percent in 1950 in the United States, Western Europe, and Japan to a respective 20, 30, and 40 percent by 2050. The fear is that, as baby boomers like me march lockstep into “retirement age” (the first of us crested that hill in 2011), there will be fewer young workers to support us old folk, which will curb spending, strain the healthcare system, and drain Social Security and Medicare benefits.
Can we, after all these months, find it within ourselves to manage a teeny-tiny, eensie-weensie, little itty-bitty smidgen of sympathy for Donald Trump? It doesn’t have to be much. Something about the size of the period at the end of this sentence would do. I mean, all the man did was run for president and accidentally win, and now it’s all over Twitter and everywhere else that he could end up in jail! C’mon folks, just look at the guy. It all started out so innocently back in the summer of 2015. He started out the only way he knew how: by running a reality TV show of a campaign. Remember that so-called “rally” in the lobby of Trump Tower when he announced? I mean, he and Melania coming down that escalator like a political Gloria Swanson descending the staircase of her mansion in “Sunset Boulevard.” He may as well have turned to the camera and said, “I’m ready for my close-up.” Even the crowd was mostly extras hired from an open casting call.
I. GARY SNYDER SAID that we know our minds are wild because of the difficulty of making ourselves think what we think we ought to think.
‘I am glad,’ wrote the acclaimed American philosopher Susan Wolf, ‘that neither I nor those about whom I care most’ are ‘moral saints’. This declaration is one of the opening remarks of a landmark essay in which Wolf imagines what it would be like to be morally perfect. If you engage with Wolf’s thought experiment, and the conclusions she draws from it, then you will find that it offers liberation from the trap of moral perfection.
David Duvenaud was collaborating on a project involving medical data when he ran up against a major shortcoming in AI.
When the Soviet Union collapsed in 1991, pundits offered a variety of reasons for its failure: economic, political, military. Few thought to add a fourth, more elusive cause: the regime’s total loss of credibility.
Gorey has here and there been described as ‘Dr Seuss for Tim Burton fans’ and ‘the Charles Schulz of the macabre’, but he was in every way more wayward and interesting than that. He wrote almost impossible to classify little books — crunched-down Victorian novels — that seemed to belong in the children’s sections of bookshops but were quite unsuited to children, in whom he took little or no interest. He found a public only very slowly, and over many years — thanks, in large part, to till-point placement and Hello-Kitty-scale merchandising efforts by the Gotham Book Mart in New York.
E
Minutes before stepping out into the spotlight on a stage – totally naked – I am wondering whether to wear socks. “It’s cold,” shivers another performer. A friend counsels, “If you’re going out naked, do it in full.” The matter of the sock is a distraction from the fact that we’re about to show our willies to the masses. This might not be Wembley Arena, but the trendy basement bar in east London I’m performing in is packed with people – mainly men. Anticipation crackles among them. They giggle about picking seats with a good view of the stage. There are twice as many eyeballs as people. And each one of them is about to see all I have.
Brain conditions such as schizophrenia and autism spectrum disorder have long been known to have an inherited component, but pinpointing