Patients don’t know how to navigate the US health system — and it’s costing them

Dylan Scott in Vox:

Of all the culprits that make it harder for Americans to afford and access health care, the sheer confusion many patients experience when trying to select an insurance plan or when faced with an expensive medical bill may be the most overlooked. That’s according to a recent survey from research firm Perry Undem, which reveals the deep confusion Americans feel when receiving health care — confusion that could put them on the hook for higher costs.

US health care costs are dire enough as-is, and it’s easy to look at the data on US prices for common procedures compared to the prices in other countries, or to compare the out-of-pocket costs Americans typically must pay for medical services under their insurance plan compared to their peers elsewhere and see the issue. It’s the prices, stupid, as some of the country’s leading health care economists once described the problem. And the prices are indeed a big part of the US health system’s shortcomings: Research has shown that people will skip necessary care if they have even a small cost to pay, and recent surveys find one in three Americans say they have postponed medical treatment in the last year due to the cost.

More here.



Tuesday, November 7, 2023

The Fog of Art

Nina Power in Compact:

For someone working in the culture industries, the only thing worse than having the wrong position on a political controversy is having no position at all. Today’s artists are the high priests of the secular middle classes, with cathedrals (art galleries) in every major city. In recent years, rather than defend free expression and the exploration of beauty, the passé concerns of previous centuries, the art world has become the moral directorate of the social order. Malevich’s 1915 “Black Square” became 2020’s Instagram BLM square—and woe betide anyone who failed to correctly perform the ritual. As Guy Debord put it in his 1988 “Comments on the Society of the Spectacle,” “since art is dead, it has evidently become extremely easy to disguise police as artists.”

The growing tendency of artists to pronounce on everything from microaggressions to macropolitics shows that we need a fundamentally different understanding of the role played by artists and their institutions.

More here.

Review of “Determined: Life Without Free Will” by Robert Sapolsky

Oliver Burkeman in The Guardian:

Robert Sapolsky

Into this bewildering terrain [the philosophical issue of free will] steps the celebrated behavioural scientist Robert Sapolsky, who sets out in Determined to banish free will once and for all – and to show that confronting its nonexistence needn’t condemn us to amorality or despair. It’s only one aspect of the book’s strangeness that he does this in a style that often calls to mind a hugely knowledgable yet stoned west coast slacker. (I’m still recovering from his reaction, in a book crammed with footnotes and diagrams of motor neurons, to the conclusion that we don’t control our lives: “Fuck. That really blows.”)

His strategy is an ambitious one: to track every link of the causal chain that culminates in human behaviour, starting with what’s happening in the brain in the final few milliseconds before we act, all the way back to how our brains are shaped by early experiences, and even before that, all mostly at the fine-grained level of neurotransmitters and genes.

More here.

In the Middle East, as in Greek tragedy, justice must prevail over moral absolutism

Kenan Malik in The Guardian:

Watching the tragedy unfold in Israel and Palestine has sometimes felt like reading the Oresteia backwards. A trilogy of plays by Aeschylus, written in the fifth century BC, the Oresteia tells of the transformation of ancient Greece from a society rooted in blood and revenge into one shaped by justice.

The Oresteia begins with the return home from the Trojan war of Agamemnon, the leader of the triumphant Greeks. He is brutally murdered by his wife, Clytemnestra, in furious revenge for his having ritually sacrificed their daughter Iphigenia on the eve of conflict to placate the gods.

To avenge his father, Agamemnon’s son, Orestes, kills Clytemnestra. Pursued by the Furies, ancient deities whose role is to exact vengeance for major sins, he seeks refuge in Athens. The goddess of wisdom, Athena, convenes a jury to try Orestes. With the jury split, Athena votes in favour of acquittal, and in so doing opens up the possibilities of a world beyond that governed by the Furies.

The Oresteia is a complex work engaging in issues from patriarchy to democracy. The human condition, for Aeschylus, was tragic, with Agamemnon, Clytemnestra and Orestes all facing impossible choices. Part of the process by which humans civilise themselves and learn to live with the tragedy of their condition is, he suggests, in forging the distinction between vengeance and justice. Justice brings us into the sphere of politics and allows for the possibility of reasoned change and redemption.

More here.

A Cultural History Of Anti-Masturbation

Aya Labanieh at the LARB:

If you’ve spent time on the internet, you’ve undoubtedly heard of “No Nut November” (NNN)—an annual Reddit-based challenge that dares young men to abstain from ejaculating (or “nutting”) for the full 30 days of the month. While NNN has gone viral as a tongue-in-cheek meme in its own right since 2017, its anti-ejaculatory ethos can be traced to the online “NoFap” community, whose adherents—almost entirely cisgender, heterosexual men—tout its near-magical self-help benefits. There, abstaining from masturbation is presented as a tool not only for quitting addictions to pornography but also for curing depression, finding a girlfriend, succeeding in one’s career, and generally regaining confidence, autonomy, and masculine power.

The movement was founded in 2011 by web developer Alexander Rhodes, who was inspired by a 2003 study claiming that men who did not masturbate for seven days experienced a 145.7 percent spike in testosterone levels.

more here.

The Secret Life of John le Carré

Suleika Dawson at Literary Review:

Adam Sisman presents this new book on John le Carré as a ‘secret annexe’ to his earlier biography of the author. Its subject is the women in le Carré’s life – the ones the novelist didn’t marry, that is, but to whom he repeatedly offered the secret parts of himself, which the ones he did marry almost never got to see. It’s only a slim volume, but, as we are so often told, size doesn’t matter if a fellow knows what he is doing. As one of le Carré’s women myself, I feel in a position to take a view.

The reason why Sisman had to keep his annexe secret is that le Carré (real name David Cornwell), whom Sisman initially believed had given him a free hand to write a ‘warts and all’ biography, ultimately forbade him from including details of these previously hidden affairs. Given that equally able writers – Robert Harris, Graham Lord, Jeffrey Meyers and others – had previously fallen at this Becher’s Brook of biography, variously deterred and outmanoeuvred by the ever wily and always wary novelist, Sisman should perhaps have seen the volte-face coming.

more here.

‘I’m trying to move further left because that’s the only way that we’re gonna achieve change’

Bim Adewumni in The Guardian:

Before the pandemic, Roxane Gay was constantly on the road. When the lockdowns of early 2020 came into effect, she realised something startling. “That was the longest I had been in one place since 2014.”

She and her now wife, the writer and designer Debbie Millman, had just decided to live together between LA and New York when the pandemic hit. But Gay’s mother has stage 4 lung cancer, and “you know, lung cancer and Covid don’t go well together”, Gay says. So they formed a pod, or bubble. “I was like, ‘I’m not going a year without seeing my parents when we don’t know how much longer she has.’ But she’s a marvel. Turns out she’s got a lot more time.” Her smile as she says this is sweet, almost private. “It was great to be able to keep our eyes on them. It was fun to hang out. I like my parents. They’re just funny. And they’re amazing people to live with as adults.”

Meanwhile, amid the horror of a global catastrophe, Gay and Millman eked out quality time together. They got a puppy, played badminton and went on neighbourhood bike rides. Later that summer, Gay revealed the pair had eloped. “I didn’t get much writing done, but I did enjoy the step back,” she says.

More here.

Tuesday Poem

Zero Gravity

You leave Earth looking for perspective.
How you long to see it, the blue marble,

from outer space. The overview
changes everything astronauts say

and you are looking for change,
to not take life so seriously. So much

energy required to get off the planet to
break with gravity, the bond with Earth,

the ship violent with propulsion’s inferno
shaking you loose from the known world.

But maybe your friend is right, maybe Earth’s best
hope is mass conversions to religions that

teach reincarnation, then people might care
about the future of the planet? You unbuckle,

let yourself float free, wanting the thrill
before this once-in-a-lifetime trip ends,

even a few minutes of giddy weightlessness
so close to death, a tangible peril right

outside the window, Earth passing there
below you now, alone in the darkness.

by Sally Ashton
from
The Ecotheo Review

‘ChatGPT detector’ catches AI-generated papers with unprecedented accuracy

McKenzie Prillaman in Nature:

Desaire and her colleagues first described their ChatGPT detector in June, when they applied it to Perspective articles from the journal Science2. Using machine learning, the detector examines 20 features of writing style, including variation in sentence lengths, and the frequency of certain words and punctuation marks, to determine whether an academic scientist or ChatGPT wrote a piece of text. The findings show that “you could use a small set of features to get a high level of accuracy”, Desaire says.

In the latest study, the detector was trained on the introductory sections of papers from ten chemistry journals published by the American Chemical Society (ACS). The team chose the introduction because this section of a paper is fairly easy for ChatGPT to write if it has access to background literature, Desaire says. The researchers trained their tool on 100 published introductions to serve as human-written text, and then asked ChatGPT-3.5 to write 200 introductions in ACS journal style. For 100 of these, the tool was provided with the papers’ titles, and for the other 100, it was given their abstracts.

When tested on introductions written by people and those generated by AI from the same journals, the tool identified ChatGPT-3.5-written sections based on titles with 100% accuracy.

More here.

Sunday, November 5, 2023

The divide between art and science is a mistake

Ann C. Thresher at IAI News:

There is an outdated idea that science and art are polar opposites. That science, associated with the left brain hemisphere, is logical, structured, whereas art, the domain of the right hemisphere is soft, intuitive, creative, guided by practiced judgement and innate skill. Of course, any neuro-scientist will tell you that the distinction between “right and left brain thinking” is a myth, that both sides are equally important in thinking through a math problem and painting a picture.

Similarly, it is time to give up the myth that science and art are fundamentally different. Good science is an art-form, and scientists draw on highly trained, creative intuition and judgements, just as much as artists do. Scientists rely on the sort of soft skills we usually exclusively attribute to artists throughout their work, from conceptualising research projects, to designing experiments, to interpreting and presenting data, to conceiving of new theories and models. Science isn’t an exact science, in the sense that there is no one formula or methodology or approach that scientists just follow.  Science is a practice,  not unlike art – a messy mosaic of judgements and creativity, aiming to capture a complex external world that almost always defies simple description or measure.

More here.

Consciousness: what it is, where it comes from — and whether machines can have it

Liad Mudrik in Nature:

These are good times to be a thinking, conscious creature, despite events in the world that might make us doubt that. These are even better times to be a creature who thinks about consciousness: the scientific debate is livelier than ever, and technological advances and political controversies are making the practical and philosophical questions surrounding consciousness ever more pressing. Will artificial intelligence (AI) become conscious? (Or maybe it already is…? Well, no, I would say, but we’ll get to that later.) Can state-of-the-art algorithms manipulate our consciousness to change our view of the world? Which animals, besides humans, are conscious? What about fetuses? Or artificial neural organoids?

It is becoming clearer that real-life implications will be drawn from the answers that this field generates to such questions. That means we must vastly improve our fundamental understanding of consciousness and related phenomena, such as agency, free will and sense of self. With so much at stake, we had better get things right. This sense of gravity hovers above three books that, in one way or another, tackle these thorny questions.

More here.

Sean Carroll’s Mindscape Podcast: Michael Muthukrishna on Developing a Theory of Everyone

Sean Carroll at Preposterous Universe:

A “Theory of Everything” is physicists’ somewhat tongue-in-cheek phrase for a hypothetical model of all the fundamental physical interactions. Of course, even if we had such a theory, it would tell us nothing new about higher-level emergent phenomena, all the way up to human behavior and society. Can we even imagine a “Theory of Everyone,” providing basic organizing principles for society? Michael Muthukrishna believes we can, and indeed that we can see the outlines of such a theory emerging, based on the relationships of people to each other and to the physical resources available.

More here.

On the Hidden Language of Cats

Sarah Brown at Literary Hub:

In a cat’s world, where smells are paramount, it must be a bewildering experience when they first hear a person speak. So many different, unfamiliar sounds directed either at another person or, even more perplexingly, at the cat. Humans are very preoccupied with the spoken word, babbling away at everyone and everything we meet. Intrigued as to what their “spoken” sounds mean, we have developed something of a fascination with the vocalizations of cats too. Nestled deep in the history books, a diary entry by the Abbé Galiani of Naples, dated March 21, 1772, offers some of the earliest recorded insights into cat vocalizations.

More here.

How the women’s movement transformed society

Barbara Spindel in The Christian Science Monitor:

After Betty Friedan got her Smith College classmates to complete a questionnaire about their lives at their 15th reunion in 1957, she immediately grasped the significance of their responses. Many of the highly educated women felt trapped by midcentury America’s constrictive domestic ideals, unfulfilled by the roles of housewife and mother. Friedan, a freelance writer and a wife and mother herself, was unable to interest any magazines in publishing her findings. She instead embarked on writing “The Feminine Mystique,” the explosive and groundbreaking book whose 1963 publication turned its author into a celebrity and, more significantly, is credited with igniting the second wave of the feminist movement.

Women’s rights as human rights

Rachel Shteir’s brisk, compelling biography, “Betty Friedan: Magnificent Disrupter,” conveys the enduring importance of her subject’s signature work, which excavated the quiet desperation of a primarily white and middle-class subset of American women. In describing what she famously called the “problem that had no name,” Friedan, according to Shteir, “laid the groundwork for women’s rights to be regarded as a civil right,” a notion that while taken for granted today was hardly obvious at the time.

More here.

Institutions and individuals don’t have to take a political stand

Nina Power in Compact:

For someone working in the culture industries, the only thing worse than having the wrong position on a political controversy is having no position at all. Today’s artists are the high priests of the secular middle classes, with cathedrals (art galleries) in every major city. In recent years, rather than defend free expression and the exploration of beauty, the passé concerns of previous centuries, the art world has become the moral directorate of the social order. Malevich’s 1915 “Black Square” became 2020’s Instagram BLM square—and woe betide anyone who failed to correctly perform the ritual. As Guy Debord put it in his 1988 “Comments on the Society of the Spectacle,” “since art is dead, it has evidently become extremely easy to disguise police as artists.”

The growing tendency of artists to pronounce on everything from microaggressions to macropolitics shows that we need a fundamentally different understanding of the role played by artists and their institutions. The trend reached an apex last week, as a whole spate of open letters about Israel and Gaza were furiously signed and published. The frenzy culminated in the sacking on Thursday of David Velasco, editor in chief of Artforum, the prestigious contemporary-art monthly. Since then, several other Artforum editors—Chloe Wyma, Zack Hatfield, and Kate Sutton—have resigned. The hashtag #BoycottArtforum is circulating on social media, asking people to refuse to open or share links to Artforum content or to participate in any Artforum interviews or events. As the critic Adam Lehrer acerbically commented on X, “I haven’t opened an Artforum link in years, so I’ve been doing hella activism.”

More here.

Sunday Poem

In Her Name

No one, not even God, was fully souled
before being Named. The oldest name was
breath: aah first, then breathed back
in, through her ears, her name
speckled through the breezing,
sounding the depths, no longer deaf
to soul and self.
So in and out and in and out again
the name begat The Names.
But after seven days or billions of years,
after 40 days, 40 years,
two temples, many prophets, and one carpenter,
after empires and bloodbaths and plagues
and a litany of everyday complaints, everyone forgot,
even God.

We are not truly known or touched or reached
until someone calls us by our name.
Say my name, God pleads, say my name.
What is it like to lose your name? God knows.

Like my great-grandmother
whom no one had called Rebecca for decades before she died.
She answered to Mrs. Newman or Mom or Grandma.
How did she think of herself?
“Rebecca” slowly faded. The aah, first to come,
was also the last to go, like the wicked witch
in the Wizard of Oz. That’s why witches need familiars:
no family or friends to remember their name.

Not invoked or evoked, not provocative, not vocative at all,
not even the old bozhe moi, bozhe moi,
their voices, souls, breath, names, stolen by time.
Golosa, dushy, dykhaniya, imeni, vremya ukralo.

by Deborah Ketai
from Rattle #79, Spring 2023