How American Health Care Killed My Father

After the needless death of his father, the author, a business executive, began a personal exploration of a health-care industry that for years has delivered poor service and irregular quality at astonishingly high cost. It is a system, he argues, that is not worth preserving in anything like its current form. And the health-care reform now being contemplated will not fix it. Here’s a radical solution to an agonizing problem.

David Goldhill in The Atlantic:

Goldhill-healthcare-200-3 Almost two years ago, my father was killed by a hospital-borne infection in the intensive-care unit of a well-regarded nonprofit hospital in New York City. Dad had just turned 83, and he had a variety of the ailments common to men of his age. But he was still working on the day he walked into the hospital with pneumonia. Within 36 hours, he had developed sepsis. Over the next five weeks in the ICU, a wave of secondary infections, also acquired in the hospital, overwhelmed his defenses. My dad became a statistic—merely one of the roughly 100,000 Americans whose deaths are caused or influenced by infections picked up in hospitals. One hundred thousand deaths: more than double the number of people killed in car crashes, five times the number killed in homicides, 20 times the total number of our armed forces killed in Iraq and Afghanistan. Another victim in a building American tragedy.

More here.

Tough times in the porn industry

Ben Fritz in the Los Angeles Times:

ScreenHunter_01 Aug. 11 21.21 The adult entertainment business, centered in the San Fernando Valley, has weathered several recessions since it took off with the advent of home video in the 1980s. But this time the industry is not dealing with just a weakened economy. A growing abundance of free content on the Internet is undercutting consumers' willingness to pay for porn, and with it the ability of many workers to earn a living in the business.

For Stern, 23, the rapid decline of job opportunities in the porn business over the last year has been dramatic. She has gone from working four or five days a week to one and now has employers pressuring her to do male-female sex scenes for $700, a 30% discount from the $1,000 fee that used to be the industry standard.

Less than two years ago, Stern earned close to $150,000 annually, sometimes turned down work and drove a Mercedes-Benz CLK 350. Now she's aggressively reaching out for jobs and making closer to $50,000 a year.

As for that Mercedes? She's replacing it with a used Chevy Trailblazer — from her parents.

More here.

Oh, Sting, Where Is Thy Death?

Richard Conniff in the New York Times:

11happydays190 Not long ago, I got stung by a yellow jacket, and after the usual ow-plus-obscenities moment, I found myself thinking about pain, happiness, and Justin O. Schmidt. He’s an Arizona entomologist and co-author of the standard text in the insect sting field, “Insect Defenses: Adaptive Mechanisms and Strategies of Prey and Predators.” But he’s more widely celebrated as the creator of the “Justin O. Schmidt Sting Pain Index,” a connoisseur’s guide to just how bad the ouch is, on a scale of one (“a tiny spark”) to four (“absolutely debilitating”).

Among connoisseurs of insect stings, it’s the equivalent of Robert Parker’s wine ratings. Schmidt has been stung by about 150 different species on six continents and seems to have opinions about all of them. In faux-Parker mode, he once described a bald-faced hornet sting as “Rich, hearty, slightly crunchy. Similar to getting your hand mashed in a revolving door.” Other researchers tend to regard his work with fascination. But hardly anyone tries to replicate his results.

More here.

brain map

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“The human brain has been terra incognita for as long as we’ve known it,” says Olaf Sporns, a professor of neuroscience at Indiana University. In 2005, Sporns co-authored a paper attributing the large-scale shortcomings of comprehensive neuroscience research to a lack of a foundational, anatomical description of the brain: In order to properly navigate this “unknown land,” he said, we must first draw a map. Sporns proposed calling this map the “connectome.” As a thorough atlas of the connections in the brain, the name deliberately conjures associations with the enormously successful human genome map that had been sequenced two years prior. Now, four years after Sporns’ initial paper, the National Institutes of Health Blueprint for Neuroscience Research is launching the $30 million Human Connectome Project (HCP) in hopes of creating a comprehensive map of a healthy adult brain by 2015.

more from Azeen Ghorayshi at Seed here.

moral clarity

Neiman-Illustration

Why turn to the Enlightenment? There is no better option. Rejections of the Enlightenment result in premodern nostalgia or postmodern suspicion; where Enlightenment is at issue, modernity is at stake. A defence of the Enlightenment is a defence of the modern world, along with all its possibilities for self-criticism and transformation. If you’re committed to Enlightenment, you are committed to understanding the world in order to improve it. Twenty-first century Enlightenment must extend the work of the 18th by pointing out new dangers to freedom of thought within our own culture as well as without it, and extend social justice by expanding older attacks on injustice. These are crucial commitments, but they are also formal ones, like the tolerance and scepticism often cited as crucial to the Enlightenment core. Scepticism and tolerance will not take us very far; while it’s possible they may prevent harm, it’s unlikely that they can inspire anyone to do good. Reclaiming the Enlightenment must entail reexamining other values that derive from it, and these must include at least four. One of them is the idea that human beings have equal rights to happiness on earth. Earlier ages viewed disease as a sign of divine disfavour, or poverty a condition to be remedied in heaven; only Enlightenment thinking allowed us to view them as things human beings might overcome. A second Enlightenment value is the commitment to reason – not as opposed to passion, which was as riotous during the 18th century as at any other period, but as opposed to blind authority and superstition.

more from Susan Neiman at the New Humanist here.

you don’t know them

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A growing body of experimental evidence suggests that, on the whole, we know significantly less about our friends, colleagues, and even spouses than we think we do. This lack of knowledge extends far beyond embarrassing game-show fodder – we’re often completely wrong about their likes and dislikes, their political beliefs, their tastes, their cherished values. We lowball the ethics of our co-workers; we overestimate how happy our husbands or wives are. “Our friends will surprise us much more than we would imagine,” says David Dunning, a psychology professor at Cornell University who has done influential research on how we perceive ourselves and others. Although such blind spots might at first seem like a comment on the atomization of modern life, the shallowness of human connection in the age of bowling alone, psychologists say that these gaps might simply be an unavoidable product of the way human beings forge personal bonds. Even in close relationships, there are holes in what we know about each other, and we fill them with our own assumptions.

more from Drake Bennett at the Boston Globe here.

Why Neoconservative Pundits Love Jon Stewart

Jacob Gershman in New York Magazine:

20090809_stewart_250x375 Back in April, when the debate over torture was roaring, Jon Stewart invited Cliff May, a national-security hawk and former spokesman for the Republican Party, to come on The Daily Show and defend waterboarding. May was hesitant. He thought Stewart would paint him as a crazy extremist. The audience would jeer. It would be a disaster. “I was apprehensive about going on, even though I've been on TV for a dozen years,” says May. “A lot of my friends told me: 'Don't do it. You're meat going into the sausage factory.'”

But May had a change of heart after soliciting advice from his friend Bill Kristol, editor of the Weekly Standard. “Kristol told me: 'You'll be pleasantly surprised. He doesn't take cheap shots. Jon is smart. You'll do just fine.'” Kristol proved to be right. Stewart's interview of May — a crackling, lengthy debate about where to draw the line between freedom and security — produced one of the most clarifying discussions about torture on television. “Literally, this is the best conversation I've had on this subject anywhere,” May told Stewart.

“There is genuine intellectual curiosity,” May told New York. “He's a staunch liberal, but he's a thoughtful liberal, and I respect that.” May isn't the only conservative gushing about Stewart.

More here.

Mahmoud Darwish – a poet of peace in a time of conflict

Raja Shehadeh in The Guardian:

Darwish140130 For the last 12 years of his life, Mahmoud Darwish was my neighbour. He was a shy, private man who was rarely ever seen in public events unless he was reading his poetry. I served with him on the board of the literary magazine, Karmil, which he edited. Except for these work meetings, I rarely saw Darwish. Sometimes I would come across him taking a walk around the hills of Ramallah; sometimes at the house of mutual friends, but never in public places, restaurants or cafes. The opportunity to find out more about my neighbour came when we were both under curfew during the invasion of Ramallah by the Israeli army in 2002. It was then that I got a call from the aptly named Bomb magazine in the US to conduct an interview with Darwish. I readily accepted hoping that through an intimate one-to-one discussion I would get to know my famous neighbour better.

We just had a few hours in the morning when the Israeli army lifted the curfew to allow people to shop. I asked Mahmoud to come to my house for the interview and he agreed. As always, he was immaculately dressed but, like all of us, he looked tense and concerned that we finish on time so that he could make it back to his house. We ended up spending three hours together, where I was able to find out how he was managing to write under these conditions. He described to me his poem State of Siege, which he wrote in response to the Israeli invasion. It was “a poet's journal that deals with resisting the occupation through searching for beauty in poetics and beauty in nature. It was a way of resisting military violence through poetry. The victory of the permanent, the everlasting, the eternal, over the siege and the violence.” Hearing him speak, I realised how fortunate I was to have found a kindred soul who was struggling with the same difficult issues I was having in my attempts to write about the invasion.

He was adamant that Palestinians “cannot be defined by our relationship, positive or negative, to Israel. We have our own identity.” In his diaries, A River Dies of Thirst, just out from Saqi, under the entry entitled “If We Want” Darwish writes: “We will become a people when a writer can look up at the stars without saying, 'Our country is loftier and more beautiful.'”

More here.

Reviving the Lost Art of Naming the World

From The New York Times:

Name One spring when I was a graduate student, I would go each Monday down into the bowels of the entomology building. There I would meet Prof. Jack Franclemont, an elderly gentleman always with little dog in tow, to be tutored in the ordering and naming of life — the science of taxonomy.

Professor Franclemont, a famed moth specialist, was perfectly old school, wearing coat and tie to give the day’s lecture even though I was the only member of the audience. Quaintly distracted, he never quite got my name right, sometimes calling me Miss Loon or Miss Voon. After the talk, I would identify moths using a guide written in 1923, in silence or listening to stories of his dog’s latest antics. I enjoyed the meditative pleasure of those hours, despite the fact that as the lone (and not terribly proficient) student of an aging teacher, I could not help feeling that taxonomy might be dying, which, in fact, it is.

Despite the field’s now blatant modernity, with practitioners using DNA sequences, sophisticated evolutionary theory and supercomputers to order and name all of life, jobs for taxonomists continue to be in steady decline. The natural history collections crucial to the work are closeted or tossed.

More here.

Monday, August 10, 2009

Unconscious Choreography: Literally moving stories

I.

When I fall asleep in a coffin posture, supine, with my feet tenting beneath the covers and my nose tracing a line up toward the wobbling ceiling fan, I frequently wake up a committed if unwilling Cartesian.

Sleep paralysis 2 Like anyone else in R.E.M. sleep, as soon I slip under my brain starts sending hormonal relaxants to my muscles that anesthetize and effectively paralyze them. Problem is, when I wake up from R.E.M. only a fraction of me pops awake sometimes. It’s not a split between the left and right sides of my body, like a stroke patient, nor a top-bottom paraplegic split. And it’s nothing like a foot or hand falling asleep, then dethawing with that achy tingle. Mine is an old-fashioned, cogito-ergo mind-body bifurcation. Mentally, “I” pop right awake, and as a natural course of being awake this “I” sends signals for my legs and arms and mouth and eyes to yawn, or stretch, or see what time it is and whether I have to go to the bathroom. Those signals echo, ignored. My mind casts the spell again, but it turns out I cannot twiddle a toe or even flex a nostril, no matter how much I strain. Within seconds of the failure, I’m agonizingly aware of the discrepancy. It’s not a dream (there’s nothing fantastical happening), more like a huge karmic blunder, what being reincarnated as a park statue would feel like.

This rigor mortis is actually easy to shrug off, as long as—and here’s the philosophically troubling bit—the outside world intervenes. I can still sense my environment, like some sort of amoeba or slug—that’s a passive act—but the universe must change somehow. I’m powerless to effect change myself and will remain locked up, alone. A sudden alarm clock will unchain me, but not any noises that were already mewing when I “woke” up. A dramatic unmasking of a window might do it, but not the slow creep of the sun. The slightest nudge from my girlfriend will budge me (I suppose it’s the opposite of those little jerks she makes whenever she falls asleep), but the heat of an arm already draped across me is useless.

Read more »

Sunday, August 9, 2009

School for Scoundrels

Krugman-190Paul Krugman in the NYT Book Review:

Last October, Alan Greenspan — who had spent years assuring investors that all was well with the American financial system — declared himself to be in a state of “shocked disbelief.” After all, the best and brightest had assured him our financial system was sound: “In recent decades, a vast risk management and pricing system has evolved, combining the best insights of mathematicians and finance experts supported by major advances in computer and communications technology. . . . The whole intellectual edifice, however, collapsed in the summer of last year.”

Justin Fox’s “Myth of the Rational Market” brilliantly tells the story of how that edifice was built — and why so few were willing to acknowledge that it was a house built on sand.

Do we really need yet another book about the financial crisis? Yes, we do — because this one is different. Instead of focusing on the errors and abuses of the bankers, Fox, the business and economics columnist for Time magazine, tells the story of the professors who enabled those abuses under the banner of the financial theory known as the efficient-market hypothesis. Fox’s book is not an idle exercise in intellectual history, which makes it a must-read for anyone who wants to understand the mess we’re in. Wall Street bought the ideas of the efficient-market theorists, in many cases literally: professors were lavishly paid to design complex financial strategies. And these strategies played a crucial role in the catastrophe that has now overtaken the world economy.

This journey to disaster began with a beautiful idea.

The Meaning of Unicorns

The-Lady-and-the-Unicorn-001Germaine Greer in the Guardian:

At Camp Quest, the five-day “atheist summer camp” for children that ended on Friday, campers were challenged to prove that unicorns do not exist. It is to be hoped that the children did not spend too much time on a logical impossibility. It is much easier to prove that God cannot exist because He is a contradiction in terms. However, both God and the unicorn exist as ideas, and ideas, whether muddled or not, are real. The imagination of a child who was utterly unfamiliar with either God or the unicorn would be cruelly impoverished.

A clever child might argue that the unicorn could exist because it is no more absurd than the narwhal whale. The twisted tusk of the narwhal is what was supposed to grow from the head of the horse known as the unicorn. The centrepiece of a 15th-century Flemish mille-fleurs tapestry in the Victoria and Albert Museum is a unicorn, with a horn exactly like that: a narwhal tusk projects from its forehead, and a heavy tail with flukes, like a whale’s, flourishes above its back. The background is studded with symmetrically placed flowering plants, plus the odd exotic game bird. I would give much to know what the tapestried picture means. Are all the featured creatures imaginary? Is the invented world of human fantasy here presented as superior to reality? Without knowing more about the idea of the unicorn, there is no way I can know what I am looking at.

Inherent Vice

Cover00Paul La Farge in Bookforum:

What seemed like tragedy in The Crying of Lot 49 returns here as farce, and there’s something tragic about the transformation. You could say Pynchon is losing his edge, that his paranoid sensibility is not so keen at seventy-two (his present age) as it was in 1969, when he was only thirty-two, living in the LA area, and working on his magnum opus, Gravity’s Rainbow (1973). You could even suspect him of nostalgia. But the other possibility—with Pynchon, there’s always another possibility—is that he has written a book about losing it, about memory and, more to the point, forgetting. Beneath Inherent Vice’s riffs and twists and red (or are they green?) herrings, there’s a deep sadness, a despair of ever making anything out clearly. Here’s Sportello looking at some photographs:

“Doc got out his lens and gazed into each image till one by one they began to float apart into little blobs of color. It was as if whatever had happened had reached some kind of limit. It was like finding the gateway to the past unguarded, unforbidden because it didn’t have to be. Built into the act of return finally was this glittering mosaic of doubt. Something like what Sauncho’s colleagues in marine insurance liked to call inherent vice.”

If there’s a secret shimmering in the novel’s fog, it’s that the limit of what can be known is imposed not by any nefarious organization, but by memory itself.

Sunday Poem

The Right Words

After months in the far north
they return, like snow buntings,
in a blizzard of wings. I did not
think they could thrive in icy climes
but here they are, searching the wrackline
for drifted seed. When they turned pale,
fell between a rock

and a barren place, they lay
deep in a corrie in a nest lined
with sheep’s wool, fur
from a mountain hare.
And down from a ptarmigan
conferring resilience
its chameleon gift.


by Kathryn Daszkiewicz

Dark Night of the Soul: Photographs by David Lynch

From Lensculture:

Lynch_2 David Lynch is endlessly creative, and his artistic output is usually quite bizarre and surreal. Lynch's latest project is as a photographer and collaborator with musician, artist and producer Danger Mouse. Together, they've created a multimedia installation that is now on display in Los Angeles.

Fifty of Lynch’s photographs are mounted on aluminum panels that seem to float on the gallery walls, converging with the moody rhythms of the music from Danger Mouse's latest album, Dark Night of the Soul.

The collaboration began when Danger Mouse, who has been a fan of Lynch’s for many years, approached the filmmaker about a possible project. The artists worked together and were inspired by each other— Lynch making photographs influenced by the original songs that Danger Mouse and Sparklehorse were creating.

More here.

Wild Randomness

From The City Journal:

Fin In the summer of 2008, wheat and corn prices shot up across the globe. Pundits provided seemingly convincing explanations: grain was becoming scarce and thus more expensive because mainland Chinese were changing their eating habits and needed lots of it to feed their cattle—or perhaps because fear of oil shortages, combined with ecological fads, was leading consumers to adopt corn-based ethanol. Yet one year later, the Chinese are eating basically the same food as last year (feeding habits change very slowly), ethanol production is more or less at the same level, but the price of grain and corn on the Chicago market is back down again. How to explain the volatility of prices when production levels remain essentially the same?

The reason: grain or corn prices may at any point in time be driven more by speculation than by actual harvests. The rule applies to all transactions on financial markets, including oil, stocks, and derivatives. This is one of many examples that Rama Cont offers to describe how the real economy and the financial markets follow different rationales. In the short term—which can mean several years, in practice—the connection can be tenuous at best and difficult to model. If the connection were closer, Cont would know: he is at the forefront of the new science of financial modeling.

More here.