How Health Insurance Monopolies Affect Your Care

Alana Semuels in Time Magazine:

Not long ago, Dr. Richard Menger, a neurosurgeon, was ready to operate on a 16-year-old with complex scoliosis. A team of doctors had spent months preparing for the surgery, consulting orthopedists and cardiologists, even printing a 3D model of the teen’s spine. The surgery was scheduled for a Friday when Menger got the news: the teen’s insurer, Blue Cross Blue Shield of Alabama, had denied coverage of the surgery.

It wasn’t particularly surprising to Menger, who has been practicing in Alabama since 2019. Alabama essentially has one private insurer, Blue Cross Blue Shield of Alabama, which has a whopping 94% of the market of large-group insurance plans, according to the health policy nonprofit KFF. That dominance allows the insurer to consistently deny claims, many doctors say, charge people more for coverage, and pay lower rates to doctors and hospitals than they would in other states.

More here.

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Wednesday Poem

On Love, Proust, Chorus Girls, and Martha Nussbaum

I’ve been thinking about trying to read Proust
again.  The legendary chorus girls of my youth
were said to carry him, volume by volume, from
try-out to try-out, perusing him in the Modern
Library Edition between calls, propping him up
on magnificent black-tighted legs.  I sat for days
within the budding grove of the Stage Delicatessen,
Swann’s Way open before me, but never found
such a one.  I kept imagining all I needed to do
was be at the right time in the right place with
the right book in my hand, and true love would
appear, ex nihilo, so to speak.
…….. I read people who
say they love Proust – some I even believe.
Martha Nussbaum I believe.  I love her talk
about Proust, or Henry James and, say,
The Golden Bowl.  She makes me love the idea
of The Golden Bowl.  In fact, she makes me love
the idea of Martha Nussbaum, though she’s an
Aristotelian while I’m nothing but a Platonist
in the Academy pointing to the idea of the book,
while Martha reads the thing itself.
…….. So I picture
her as a chorus girl, a fling before philosophy,
after a try out for Damn Yankees, maybe, humming
“Whatever Lola Wants” while paging through
her first Proust at the Stage Delicatessen,
while I keep on ordering a pastrami on rye
at the wrong time unaware of the fragility
of goodness.  Now all I have from then is this
remembrance of things which never came to pass.

by Nils Peterson

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Tuesday, July 15, 2025

“They Die Every Day”

Eric Hoel at The Intrinsic Perspective:

“It appears early life got trapped in a minima of metabolic efficiency. Everything on that planet is starving. Meaning they can’t run their brains for a full day-night cycle. So they just… turn themselves off. Their consciousness dies. Then they reboot with the same memories in the morning. Of course, the memories are integrated differently each time into an entirely new standing consciousness wave.”

“And this happens every night.”

“Every night.”

“Can they resist the process?”

“Only for short periods. Eventually seizures and insanity force them into it.”

“How can they ignore the truth?”

“They’ve adopted a host of primitive metaphysics reassuring themselves they don’t die every day. They believe their consciousness outlives them, implying their own daily death, which they call ‘sleep,’ is not problematic at all.

More here.

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The AI therapist will see you now: Can chatbots really improve mental health?

Pooja Shree Chettiar in The Conversation:

Recently, I found myself pouring my heart out, not to a human, but to a chatbot named Wysa on my phone. It nodded – virtually – asked me how I was feeling and gently suggested trying breathing exercises.

As a neuroscientist, I couldn’t help but wonder: Was I actually feeling better, or was I just being expertly redirected by a well-trained algorithm? Could a string of code really help calm a storm of emotions?

Artificial intelligence-powered mental health tools are becoming increasingly popular – and increasingly persuasive. But beneath their soothing prompts lie important questions: How effective are these tools? What do we really know about how they work? And what are we giving up in exchange for convenience?

Of course it’s an exciting moment for digital mental health. But understanding the trade-offs and limitations of AI-based care is crucial.

More here.

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The David Hogg affair, Zohran Mamdani’s win, and the future of the Democratic coalition

David Austin Walsh in the Boston Review:

The Democratic Party is in crisis, and it goes far beyond the stereotypical “Dems in Disarray” headlines. The party’s popularity numbers are abysmal: a March poll by NBC News found that only 27 percent of registered voters have positive views of the Democrats, the lowest since the poll began in 1990. Other polls have found that the approval rating of congressional Democrats is underwater among Democratic voters, with only around a third expressing satisfaction with the Democrats’ performance on Capitol Hill. (Nearly 80 percent of Republicans, by contrast, approve of the congressional GOP.) Even big donors are beginning to tighten their purse-strings.

A good illustration of the depths of the crisis: on Saturday, June 14, an estimated 5 million people around the country participated in the anti-Trump “No Kings” protests. It was one of the largest protests in American history, mobilizing between 1 and 2 percent of the entire U.S. population in the streets. There is clearly a groundswell of anti-MAGA political energy across the country, and yet the most recent Quinnipiac University poll found that 53 percent of Democrats disapprove of how the Democratic Party is doing in Congress. Senate Minority Leader Chuck Schumer’s approval rating, in particular, is hovering around 17 percent—and given Schumer’s vocal support for Israel’s strikes on Iran, that number is likely only to plummet more.

And then there’s Zohran Mamdani.

More here.

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Retranslating The Blues

W. Ralph Eubanks at the Hedgehog Review:

As it emerged after the overthrow of Reconstruction, when black voices were again being silenced in public and civic spheres, the blues became an alternative form of communication. As Shelby “Poppa Jazz” Brown reminded the noted folklorist William Ferris,

Why do you think they play the blues in Mississippi? Because of the way they used to plow the folks here, chop cotton at daylight in the morning. They would get out there and work so hard, they be even looking at the sun, saying, “Hurry, hurry, sundown. Let tomorrow shine.” They wanted the sun to go down so they could stop working, they worked so hard. They learned the blues from that.4

I would eventually come to see the blues as poetry born out of the struggle for survival, the songs, when taken together with their heroes, tricksters, and lovers, forming a kind of Homeric epic of suffering and resistance, of loves sought and lost, of acts of subversive cunning and triumphs of resilient humor—in sum, as a literary as well as musical form containing multiple layers of meaning.

more here.

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Face With Tears of Joy: A Natural History of Emoji

Steven Poole in The Guardian:

In 2016, Apple announced that its gun emoji, previously a realistic grey-and-black revolver, would henceforth be a green water pistol. Gradually the other big tech companies followed suit, and now what is technically defined as the “pistol” emoji, supposed to represent a “handgun or revolver”, does not show either: instead you’ll get a water pistol or sci-fi raygun and be happy with it. No doubt this change contributed significantly to a suppression of gun crime around the world, and it remains only to ban the bomb, knife and sword emoji to wipe out violence altogether.

As Keith Houston’s fascinatingly geeky and witty history shows, emoji have always been political. Over the years, people have successfully lobbied the Unicode Consortium – the cabal of corporations that controls the character set, including Google, Microsoft, Meta and Apple – to include different skin colours and same-sex couples. It was easy to agree to add the face with one eyebrow raised, the guide dog and the egg. But not every request is granted. One demand for a “frowning poo emoji” elicited this splendid rant from an eminent Unicode contributor, Michael Everson: “Will we have a crying pile of poo next? Pile of poo with tongue sticking out? Pile of poo with question marks for eyes? Pile of poo with karaoke mic? Will we have to encode a neutral faceless pile of poo?”

More here.

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The fragility of goodness

From iai:

In this wide-ranging interview, Paul Bloom explores how our best qualities, reason, morality, and compassion, can be paradoxically undercut by the very forces meant to protect them. Looking at his work on Perversity, he reveals the tightrope between chaos and autonomy, making human goodness not just aspirational but fragile, easily distorted, often misunderstood, and vulnerable to both logic and emotion when taken to extremes.

You’ve said that perversity can be both a good and an optimal strategy. Can you explain what you mean by that? 
For the sake of being bad or silly or unreasonable. The classic story is of St. Augustine who goes into an orchard with some friends and steals some pears. He wasn’t hungry, he just said it was to do wrong. And a lot of perversity is just awful. It makes the world worse, it makes the whole person suffer. You don’t want to have a reputation as somebody who does these erratic, stupid things.

So why might someone choose to behave perversely, even when it seems irrational?
Sometimes it could have an advantage. And sometimes a perverse act could impress other people with how bold you are and how courageous. Sometimes a perverse act can… if you’re in a rut, doing something unpredictable and a little bit crazy might be the way to get out of it. And I think most of all, perversity at its best is a way of expressing our autonomy, our freedom.

More here.

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Monsieur Ozenfant’s Academy

Will Wiles at Literary Review:

Purism was intended as a way of uniting the rigours of classicism with the modernity of the machine age. Flat planes of colour were combined with a highly symbolic visual language. Its most famous adherent was Fernand Léger. At the Ozenfant Academy, this slightly chilly left-brain philosophy of art existed alongside a dictatorial regime. Students were instructed in drawing with unforgiving hard pencils and giant sheets of paper, and encouraged towards exactness of line – sketching was a dirty word. They drew the same model, who held the same pose for two weeks. The actress Dulcie Gray, who attended the school, recalled that in the winter, the side of the model nearest the stove turned scarlet, while the other side was blue with cold. If the morning’s drawings passed muster, students were permitted to paint. A chart on the wall showed the colours they were allowed to use; the paint was to be applied according to an approved technique which yielded a consistent finish. 

Nevertheless, Ozenfant inspired great loyalty and affection among his students. Indeed, his enthusiastic, sanguine character is one of the most appealing aspects of the story Darwent tells and helps explain why he stuck with the subject through all those disappointing hunts in the archives.

more here.

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Tuesday Poem

Farm Sonnet

The barn roof sags like an ancient mare’s back.
The field, overgrown, parts of it a marsh
where the pond spills over. No hay or sacks
of grain are stacked for the cold. In the harsh
winters of my youth, Mama, with an axe,
trudged tirelessly each day through deep snow,
balanced on the steep bank, swung down to crack
the ice so horses could drink. With each blow
I feared she would fall, but she never slipped.
Now Mama’s bent and withered, vacant gray
eyes fixed on something I can’t see. I dip
my head when she calls me Mom. What’s to say?
The time we have’s still too short to master
love, and then, the hollow that comes after.

by Kitty Carpenter
from Rattle Magazine

 

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Monday, July 14, 2025

The life swap dream – or a marketing gimmick? The Italian towns selling houses for €1

Lauren Markham in The Guardian:

We’d heard about the “€1 house” programme in which poor, depopulating towns put their abandoned or unused buildings up for sale. The programme, I soon learned, was actually a loose collection of schemes that economically struggling towns used to lure outside investment and new residents. The campaigns seemed to me to have been largely successful – some towns had sold all their listed properties. I pored over dozens of news articles that had served as €1 house promotion over the years. By attracting international buyers to a house that “costs less than a cup of coffee”, as one piece put it, some of Italy’s most remote towns now had new life circulating through them. Many local officials had come to see €1 house experiments as their potential salvation.

What was the catch? It seemed most municipalities required you to renovate the house within a couple of years of its purchase, and due to high levels of interest, the houses often went to auction, ultimately selling for much more than a single euro. But what we wondered about were the ethical considerations – the classic tensions of gentrification. What would it mean just to buy our way into a foreign place where we had no connections and try to set up a home there?

Still, we kept looking.

More here.

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The misunderstood story of Phineas Gage shows that we need a new way of understanding the experiences of brain injury survivors

Ben Platts-Mills at Aeon:

I began researching the lives of two 19th-century figures who have both been described as disinhibited. The first was a railroad construction foreman, Phineas Gage. The second was the photographer Eadweard Muybridge (born Edward Muggeridge in England). The two were contemporaries, and both lived in San Francisco for a time. Both were injured in accidents. But there the similarities end. Despite Muybridge’s brain injury being well documented and despite it transforming him, as some claim, in profound and disastrous ways, he scarcely features in the brain science literature, and his legacy remains predominantly that of an artistic and technical genius. Gage, by contrast, became famous for the outrageous behaviour that supposedly resulted from his injury. The literature paints him as a kind of avatar for behavioural dysfunction, with every other aspect of his life overshadowed by his status as disinhibition’s patient zero. Why are the legacies of these two ‘disinhibited’ people so different? I believe the answer tells us almost everything we need to know about the condition, about its origins and its continued use today.

More here.

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Inequality has risen from 1970 to Trump − that has 3 hidden costs that undermine democracy

Nathan Meyers in The Conversation:

America has never been richer. But the gains are so lopsided that the top 10% controls 69% of all wealth in the country, while the bottom half controls just 3%. Meanwhile, surging corporate profits have mostly benefited investors, not the broader public.

This divide is expected to widen after President Donald Trump’s sweeping new spending bill drastically cuts Medicaid and food aid, programs that stabilize the economy and subsidize low-wage employers.

Moreover, the tax cuts at the heart of the bill will deliver tens of billions of dollars in benefits to the wealthiest households while disproportionately burdening low-income households, according to analyses by the nonpartisan Congressional Budget Office and Joint Committee on Taxation. By 2033, the bottom 20% will pay more in taxes while the top 0.1% receive $43 billion in cuts.

I am a sociologist who studies economic inequality, and my research demonstrates that the class-based inequalities exacerbated by the Trump bill are not new. Rather, they are part of a 50-year trend linked to social cleavages, political corruption and a declining belief in the common good.

More here.

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We need to reset our relationship with nature. This book shows a way

Becca Rothfeld in The Washington Post:

“I suspect that the real moral thinkers end up, wherever they may start, in botany,” the essayist Annie Dillard mused in 1974. “We know nothing for certain, but we seem to see that the world turns upon growing.” The work of the British nature writer Richard Mabey is proof of Dillard’s wisdom. He has been thinking about botany since the 1970s, when he published “Food for Free,” his classic guide to edible plants, and his interest in vegetable life has always yielded a corresponding interest in human obligations. For him, botany is both a science and an ethics, and its primary tenet is that plants are — or ought to be — our equals.

As he argues in his charming new book, “The Accidental Garden,” a garden is an especially emphatic demonstration of the collaborative nature of the human-plant relationship. “The poet R. S. Thomas once described that most commodious of institutions, the garden, as ‘a gesture against the wild/The ungovernable sea of grass,’” the book begins. “Which sounds pretty much like a summary of the whole human project on planet Earth.” It is time, Mabey proposes, for us to retire that “gesture against the wild” and learn to make cooperative overtures instead. And what better than a garden to teach us how?

More here.

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Is It Not Wonderful to Be Alive: Edward Lear’s Parrots

Maria Popova at The Marginalian:

In the late summer of 1832, England was set aflame with wonder — a glimpse of something wild and flamboyant, shimmering with the lush firstness of a world untrammeled by the boot of civilization.

Edward Lear (May 12, 1812–January 29, 1888), barely out of his teens, had been working on his Illustrations of the Family of Psittacidae, or Parrots for two years. Moved by the young man’s talent and passion, one of William Turner’s patrons — a wealthy woman with a deep feeling for nature and art — had procured for him an introduction to the newly opened London Zoo, which had denied other artists access. Lear spent endless hours at the parrot house. When the zoo closed, he dashed across Regent’s Park to the museum of the London Zoological Society and continued drawing.

In a letter to a friend penned at the feverish outset of the project, he is already becoming himself — passionate and playful, part Humboldt, part Lewis Carroll, entirely original, prototyping the nonsense verse he would be remembered for:

For all day I’ve been away at the West End,
Painting the best end
Of some vast Parrots
As red as new carrots

more here.

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Geoff Dyer Finds New Artistic Territory

John Jeremiah Sullivan at Bookforum:

I WAS TRYING TO FIGURE OUT what struck me as odd, at first, about Geoff Dyer’s new memoir, Homework, when it dawned on me: it isn’t odd. The book, that is. Formally and in terms of genre, a Dyer book almost always represents a novel (so to speak) hybrid. His scholarly projects have a way of turning into memoirs and novels. Out of Sheer Rage began as an attempt to produce a study of D. H. Lawrence but became a book about his own inability to do so (even as it remained, in the words of The Guardian, a “very strange, sort-of study of D. H. Lawrence”). But Beautiful was conceived as a work of nonfiction jazz appreciation but became, in Dyer’s own description, “as much imaginative criticism as fiction.” His works of ostensibly pure fiction, meanwhile, have tended toward the auto-fictional, to such a degree that a reader could easily forget, at least for spans of pages, that they aren’t memoir. Take, for instance, the indelibly titled Jeff in Venice, Death in Varanasi, concerning the adventures of “Junket Jeff,” a Dyer-like avatar who moves through the world of freelance-writer assignments and celebrity art profiles (the auto-fiction gets meta-meta when you encounter a distorted-mirror story involving a character named: Geoff). Dyer has written two essayistic travelogues: Yoga for People Who Can’t Be Bothered to Do It and White Sands, each of which involves, again in his own unapologetic words, “a mixture of fiction and nonfiction.” There are also two books about movies, each having to do with an individual picture—Zona: A Book About a Film About a Journey to a Room (on Tarkovsky’s metaphysical masterpiece Stalker) and Broadsword Calling Danny Boy (on the World War II action flick Where Eagles Dare)—both of which are so essayistic and at the same time hyper-focused, consisting entirely of Dyer’s digressive and ultra-personal responses to those films’ every scene, that they resemble neither “cinema studies” nor general-interest film crit. One could go on. James Wood put it well, writing about Dyer in The New Yorker, when he described the books as “so different from one another, so peculiar to their author, and so inimitable that each founded its own, immediately self-dissolving genre.”

more here.

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