Skip to main content

Home/ New Culture Library/ Group items tagged health care

Rss Feed Group items tagged

2More

The "Mental Illness" Paradigm: An "Illness" That is out of Control - Mad In America - 0 views

  • The “mental illness” paradigm—an insidious cancer:  I find it interesting to turn the “medical model” language of “mental illness” back onto itself and consider this entire “mental illness” paradigm as acting like an insidious cancer (the difference in my use of the term “cancer” here being that I’m readily acknowledging that this is just a metaphor). Cancer is essentially what occurs when a cell of an organism “forgets” its role as a member of a larger whole and turns against the organism, becoming consumed only with its own reproduction. Using this metaphor, we can say the “mental illness” paradigm fosters this turning one part of a whole against itself. We see this taking place interpersonally between members of our society as we develop ever increasing fear of those labelled “mentally ill,” and we see this taking place intrapersonally as we develop ever increasing fear and suspicion of our own “unusual” or “extreme” subjective experiences. We see signs of this cancer spreading throughout nearly every branch of contemporary Western society—our schools and education systems, our media, our government policies, our way of trying to make sense of ourselves and others’ experiences and behavior, and of course our health care systems. We also notice that this type of cancer thrives particularly well on a diet of greed, fear and ignorance—greed (enormous financial incentive to many in the pharmaceutical and mental health industries), fear (especially our fear of uncertainty, preferring an understanding that is clear although flawed to having to make some peace with mystery and the unknown), and ignorance (just think of the daily bombardment by massive amounts of misinformation coming at us from almost every angle).
  •  
    "The "mental illness" paradigm-an insidious cancer: I find it interesting to turn the "medical model" language of "mental illness" back onto itself and consider this entire "mental illness" paradigm as acting like an insidious cancer (the difference in my use of the term "cancer" here being that I'm readily acknowledging that this is just a metaphor). Cancer is essentially what occurs when a cell of an organism "forgets" its role as a member of a larger whole and turns against the organism, becoming consumed only with its own reproduction. Using this metaphor, we can say the "mental illness" paradigm fosters this turning one part of a whole against itself. We see this taking place interpersonally between members of our society as we develop ever increasing fear of those labelled "mentally ill," and we see this taking place intrapersonally as we develop ever increasing fear and suspicion of our own "unusual" or "extreme" subjective experiences. We see signs of this cancer spreading throughout nearly every branch of contemporary Western society-our schools and education systems, our media, our government policies, our way of trying to make sense of ourselves and others' experiences and behavior, and of course our health care systems."
1More

The physical reality of mental illness | The Incidental Economist - 0 views

  • So mental illness isn’t just about happiness: Mental illness kills. Sometimes by suicide, of which mental illness is a principal cause. But most of the excess deaths among the mentally ill are caused by diseases such as cardiovascular disease or cancer.  In a sense, mental illness amplifies the risk or lethality of physical health problems. This occurs for many reasons.  Mentally ill people are more likely to develop tobacco, alcohol, and substance abuse addictions. Mentally ill people also experience high levels of stress from the loss of jobs, marriages, and families. Chronic diseases such as diabetes require intensive daily self-care routines and mental illness undermines a patient’s ability to carry these out.
1More

Is Loneliness a Public Policy Problem? - Zach McDade - The Atlantic Cities - 0 views

  •  
    Is Loneliness a Public Policy Problem? Zach McDade May 23, 2013 9 Comments Is Loneliness a Public Policy Problem? Shutterstock inShare3 Share Print Share on emailEmail Urban Institute MORE FROM THE URBAN INSTITUTE: The "Disconnected Youth" Paradigm Stemming the Tide of Federal Prison Growth The Continued Decline of North Korea Is a Case for Inclusive Politics A fascinating recent article in The New Republic reviewed a body of new science documenting the pernicious physiological effects of loneliness. Researchers have shown that loneliness-more formally, the want of intimacy-exacerbates a host of ailments, including Alzheimer's disease, obesity, diabetes, high blood pressure, heart disease, neurodegenerative diseases, and even cancer. The share of Americans who report "not feeling close to people" at any given time is 30 percent and growing, and deemed by some a social health crisis. Should public policy researchers and practitioners care about something as intangible and inaccessible as loneliness? I'll give you three reasons why I think we should. First, some background… Feeling lonely actually sends misleading hormonal signals that physically change the molecular structure of the brain. According to the article, this "wrenches a whole slew" of bodily systems out of whack, causing loneliness to be seen by some as a risk factor for death as great as smoking. Who tends to be affected by loneliness, according to this research? Women more than men, blacks more than whites, the less-educated, the unemployed, the retired, anyone different. In other words, many of the same people affected by today's long-term unemployment and wealth disparities, persistent poverty, and isolation. If loneliness exacerbates these ills, it will further diminish people's ability to engage in economically and socially valuable and productive activities, which in turn could exacerbate loneliness. Three reasons why loneliness should be a p
3More

The Nothing Cure | Whole Living - 0 views

  • Another way to enhance the body's response to cold-fighting remedies is to ensure that you feel loved: Social support reduces vulnerability to all types of illness, including colds and flu, by cutting stress. In fact, when exposed to a virus, parents are about half as likely to develop a cold as exposed non-parents. And the bigger a parent's brood, the stronger her resistance, a Psychosomatic Medicine report showed. (Scientists think that social support, not just increased immunity thanks to constant exposure, is behind the effect.) Even if you do succumb, feeling understood and cared for, either by your doctor or by family and friends, can reduce the severity of your symptoms. A study by Barrett and his colleagues found that people who felt that their physicians were more empathetic had slightly shorter, milder colds as well as greater immune responses.
  • "The kind of remedies and comfort measures your grandmother used -- in my family, it was honey and lemon juice in warm water -- has a big impact on cold symptoms," says Josephine Briggs, M.D., director of the National Center for Complementary and Alternative Medicine, in Bethesda, Maryland. Since these reassuring associations are built during childhood and are probably at least partly subconscious, it doesn't matter whether Mom or Grandma is actually there to administer the remedy. "Pills might help," she says, "but mind-body approaches are a critical tool in symptom management."
  •  
    "Another way to enhance the body's response to cold-fighting remedies is to ensure that you feel loved: Social support reduces vulnerability to all types of illness, including colds and flu, by cutting stress. In fact, when exposed to a virus, parents are about half as likely to develop a cold as exposed non-parents. And the bigger a parent's brood, the stronger her resistance, a Psychosomatic Medicine report showed. (Scientists think that social support, not just increased immunity thanks to constant exposure, is behind the effect.) Even if you do succumb, feeling understood and cared for, either by your doctor or by family and friends, can reduce the severity of your symptoms. A study by Barrett and his colleagues found that people who felt that their physicians were more empathetic had slightly shorter, milder colds as well as greater immune responses. "The kind of remedies and comfort measures your grandmother used -- in my family, it was honey and lemon juice in warm water -- has a big impact on cold symptoms," says Josephine Briggs, M.D., director of the National Center for Complementary and Alternative Medicine, in Bethesda, Maryland. Since these reassuring associations are built during childhood and are probably at least partly subconscious, it doesn't matter whether Mom or Grandma is actually there to administer the remedy. "Pills might help," she says, "but mind-body approaches are a critical tool in symptom management.""
3More

Charles Shaw: Chasing Amy: Prohibition & the Infantilization Of Addiction - 0 views

  • huff.use('threeup', function(t){ t.init({ frame: '#threeup_top_wrapper', content: '#threeup_content', node: '.threeup_entries', left: '#threeup_left_nav', right: '#threeup_right_nav', vertical: 'Culture', entry: '912044', version: '2' }); }) Charles Shaw Author, 'Exile Nation' GET UPDATES FROM Charles Shaw Like 5 Chasing Amy: Prohibition & the Infantilization Of Addiction Posted: 7/31/11 02:00 PM ET React HPFacebookVoteV2.init(912044, 'Chasing Amy: Prohibition & the Infantilization Of Addiction', 'I did not know Amy Winehouse. I never met her, never heard any of her music, and was not a \\\"fan.\\\" None of that seemed to matter when forming an opinion of her. What I did know about her was what I felt I was permitted to know, that she was a prodigious musical talent who, not surprisingly, had an even more prodigious penchant for substances, and her life was a 24-hour train wreck that was parsed out neatly in...', 'http://www.huffingtonpost.com/charles-shaw/chasing-amy-prohibition-t_b_912044.html', 'http:///images/icons/huffpostbigicon.jpg', 'Please join me at <a href="http://www.huffingtonpost.com/">Huffington Post</a>!', 'blog', ["Amazing","Inspiring","Funny","Scary","Hot","Crazy","Important","Weird"]); Amazing Inspiring Funny Scary Hot Crazy Important Weird Read more Amy Winehouse , Addiction , Prohibition , Culture News #news_entries #ad_sharebox_260x60 img {padding:0px;margin:0px} if(typeof ad_overrides == 'undefined' || ad_overrides.spots && jQuery.inArray('sharebox_260x60',ad_overrides.spots) > -1) { htmlAdWH("93315635", "260", "60","f"); var debugadcode = ''; document.write(debugadcode); } if(typeof social_campaign != 'undefined' && jQuery('.print-link')[0].href.indexOf(social_campaign) == -1 ) { var _print_href = jQuery('.print-link')[0].href; jQuery('.print-link').attr( 'href' , _print_href + '&comm_ref=' + social_campaign ) } share this story http://www.facebook.com/plugins/like.php?action=like&api_key=4d965afccc4d86c598dbf5d94fb34a7c&amp
  • This attitude, and paradigm, has got to change if we are ever to get to a saner, more compassionate (and yes, potentially profitable) Post-Prohibition society. The first step, as Amy's friend, the British actor Russell Brand, wrote in the Guardian, is to end the criminalization of use: We need to review the way society treats addicts, not as criminals but as sick people in need of care. We need to look at the way our government funds rehabilitation. It is cheaper to rehabilitate an addict than to send them to prison, so criminalisation doesn't even make economic sense. Not all of us know someone with the incredible talent that Amy had but we all know drunks and junkies and they all need help and the help is out there. All they have to do is pick up the phone and make the call. Or not. Either way, there will be a phone call. Addiction is not "a crime or a romantic affection," Brand concludes, "but a disease that will kill." Let's speak frankly here. Prohibition is as guilty for the death of Amy Winehouse as her addiction. Because when Amy used drugs she wasn't just indulging, she was breaking the law. There's a huge social stigma behind breaking the law, and it usually means unwanted attention, fear, hiding and lying. In The Exile Nation Project: An Oral History of the War on Drugs, Dr. Julie Holland, a psychatrist and emergency physician, explains that the hiding and lying of illegal and prohibited drug use leads to a pervasive feeling of shame, and that shame creates more of the intensely negative feelings and emotional states that lead to self-medication as a means of escape. This cycle is then reinfoirced over and over until it becomes hard-wired. "The way our drug policy is set up," she concludes, "it's turning us into addicts." Now imagine the pressure borne down upon a celebrity of Amy Winehouse's stature, struggling with a very public addiction. How can anyone in her position find the peace and solace, or simply the space, necessary to heal? Addiction takes years to overcome, you can't just stuff someone in rehab for 30 days, and then send them back out on tour, and expect them to be cured. Perhaps we still shove addicts into our collective shadow because we're afraid of addiction and we're afraid of losing control, and as a means of reinforcing control in ourselves, we project this fear onto those who we perceive as having lost control, and thus, are in violation of the social contract and deserving of punishment. We warehouse them so we don't have to look at them, and thus, don't have to look at ourselves.
  • We can stop this from happening. When those who are suffering are finally viewed with the compassion they deserve, rather than with the derision they receive. And when there is no longer any profit to be gained from their immiseration, then we will have taken that final necessary step to break the nefarious back of Prohibition, and move us slowly along into a saner, more rational world, one that would have helped Amy Winehouse and millions like her, instead of recklessly chasing her into her own grave.
5More

The true cost of 9/11: Trillions and trillions wasted on wars, a fiscal catastrophe, an... - 0 views

  • The Sept. 11, 2001, terror attacks by al-Qaida were meant to harm the United States, and they did, but in ways that Osama Bin Laden probably never imagined. President George W. Bush's response to the attacks compromised America's basic principles, undermined its economy, and weakened its security.
  • The attack on Afghanistan that followed the 9/11 attacks was understandable, but the subsequent invasion of Iraq was entirely unconnected to al-Qaida—as much as Bush tried to establish a link. That war of choice quickly became very expensive—orders of magnitude beyond the $60 billion claimed at the beginning—as colossal incompetence met dishonest misrepresentation.
  • Today, America is focused on unemployment and the deficit. Both threats to America's future can, in no small measure, be traced to the wars in Afghanistan and Iraq. Increased defense spending, together with the Bush tax cuts, is a key reason why America went from a fiscal surplus of 2 percent of GDP when Bush was elected to its parlous deficit and debt position today. Direct government spending on those wars so far amounts to roughly $2 trillion—$17,000 for every U.S. household—with bills yet to be received increasing this amount by more than 50 percent.Moreover, as Bilmes and I argued in our book The Three Trillion Dollar War, the wars contributed to America's macroeconomic weaknesses, which exacerbated its deficits and debt burden. Then, as now, disruption in the Middle East led to higher oil prices, forcing Americans to spend money on oil imports that they otherwise could have spent buying goods produced in the U.S. The Federal Reserve hid these weaknesses by engineering a housing bubble that led to a consumption boom. It will take years to overcome the excessive indebtedness and real-estate overhang that resulted.
  • ...2 more annotations...
  • Indeed, when Linda Bilmes and I calculated America's war costs three years ago, the conservative tally was $3 trillion to $5 trillion. Since then, the costs have mounted further. With almost 50 percent of returning troops eligible to receive some level of disability payment, and more than 600,000 treated so far in veterans' medical facilities, we now estimate that future disability payments and health care costs will total $600 billion to $900 billion. The social costs, reflected in veteran suicides (which have topped 18 per day in recent years) and family breakups, are incalculable.AdvertisementEven if Bush could be forgiven for taking America, and much of the rest of the world, to war on false pretenses, and for misrepresenting the cost of the venture, there is no excuse for how he chose to finance it. His was the first war in history paid for entirely on credit. As America went into battle, with deficits already soaring from his 2001 tax cut, Bush decided to plunge ahead with yet another round of tax "relief" for the wealthy.
  • Ironically, the wars have undermined America's (and the world's) security, again in ways that Osama Bin Laden could not have imagined. An unpopular war would have made military recruitment difficult in any circumstances. But, as Bush tried to deceive America about the wars' costs, he underfunded the troops, refusing even basic expenditures—say, for armored and mine-resistant vehicles needed to protect American lives or for adequate health care for returning veteran
15More

Gabor Maté: Why We're a Culture of Addicts | Spirituality & Health Magazine - 0 views

  • Addiction, says Maté, is nothing more than an attempt to self-medicate emotional pain.
  • The only difference between the identified addict and the rest of us is a matter of degrees.
  • Maté points to a host of studies that clearly show how neural circuitry is developed in early childhood. Human babies, more than any other mammals, do most of their maturing outside the womb, which means that their environment plays a larger role in brain development than in any other species. Factor in an abusive, or  at least  stressful, childhood environment and you’ve produced impaired brain circuitry – a brain that seeks the feel-good endorphins  and stimulating dopamine that it is unable or poorly able to produce on its own. A brain that experiences the first rush of heroin as a “warm, soft hug,” as a 27-year-old sex trade worker described it to Maté.
  • ...12 more annotations...
  • It’s the adversity that creates this impaired development, says Maté, not the genetics emphasized by the medical community.
  • And our response to addicts – criminalization, marginalization, ostracism – piles on that adversity, fueling the addictive behavior.
  • “[Prevention] needs to begin in the crib, and even before then,” Maté writes in Hungry Ghosts, “in the social recognition that nothing is more important for the future of our culture than the way children develop.”
  • What’s more, Maté, unlike many of his medical counterparts, factors into our potential for recovery – even transformation – “something else in us and about us: it is called by many names, ‘spirit’ being the most democratic and least denominational.”
  • The Illusion of choice We’d like to think that addicts have a choice, that they can just choose to stop—even if it’s hard. But Maté insists that the ability to choose is limited by the addict’s physiology and personal history.
  • “The more you’re driven by unconscious mechanisms, because of earlier defensive reaction to trauma, the less choice you actually have,” he says. “Most people have much less choice in things than we actually recognize.”
  • But, he writes, “I’ve come to see addiction not as a discrete, solid entity – a case of Either you’ve got it or you don’t got it – but as a subtle and extensive continuum.” Unless we become fully aware of the drivers of our addiction, he says, we’ll continue to live a life in which “choice” is an illusion.
  • “All addictions, whether to drugs or to behaviors such as compulsive sexual acting out, involve the same brain circuits, the same brain chemicals and evoke the same emotional dynamics,” he says. “Behavior addictions trigger substances internally. So (behavior addicts) are substance addicts.”
  • Or, as he writes in Hungry Ghosts, “Passion creates, addiction consumes.”
  • Compassion for the addict — and ourselves Responding to addiction requires us not only to care for the body and mind but also the soul, Maté says. The spiritual element of his practice is critical, he says, not only to understand the  hard-core street addict but also our own struggle.
  • “We lack compassion for the addict precisely because we are addicted ourselves in ways we don’t want to accept and because we lack self-compassion,” he says. And so we treat the addict as an “other” – this criminal, this person making poor choices – to whom we can feel superior.
  • “Compassion is understanding,” he says. “And to understand is to forgive.” We need, he says, to turn compassion into policy. “To . . . point the finger at that street-corner drug addict who’s in that position because of that early trauma is blind to say the very least,” Maté said in a 2010 talk at Reed College. “I think that if we developed a more compassionate view of addiction and a more deep understanding of the addict and if we recognized the similarities between the ostracized addict at the social periphery and the rest of society and if we did so with compassion both for them and for the rest of us we would not only have more efficient, more successful drugtreatment programs, we would also have a better society.”
2More

The High Cost of Poverty: Why the Poor Pay More - 0 views

  • Put it another way: The poorer you are, the more things cost. More in money, time, hassle, exhaustion, menace. This is a fact of life that reality television and magazines don't often explain.
  • "The poor pay more for a gallon of milk; they pay more on a capital basis for inferior housing," says Rep. Earl Blumenauer (D-Ore.). "The poor and 100 million who are struggling for the middle class actually end up paying more for transportation, for housing, for health care, for mortgages. They get steered to subprime lending. . . . The poor pay more for things middle-class America takes for granted."
1More

Is America Crazy? Ten Reasons it Might Be : The New Yorker - 0 views

  • 1. Gun laws and gun deaths are unconnected. 2. Private enterprise is good; public enterprise is bad. 3. God created America and gave it a special purpose. 4. Our health-care system is the best there is. 5. The Founding Fathers were saintly figures who established liberty and democracy for everyone. 6. America is the greatest country in the world. 7. Tax rates are too high. 8. America is a peace-loving nation: the reason it gets involved in so many wars is that foreigners keep attacking us. 9. Cheap energy, gasoline especially, is our birthright. 10. Everybody else wishes they were American.
11More

Inertia, Not Progress Defines the Decade After 9/11 : The New Yorker - 0 views

  • But the main reason that 9/11 didn’t become a source of jobs, or of ideas for revitalizing the economy, was that the country wasn’t thinking about its own weaknesses. President George W. Bush defined his era in terms of war, and the public largely saw it the same way. September 11th was a tragedy that, in the years that followed, tragically consumed the nation’s attention.The attacks were supposed to have signalled one of the great transformations in the country’s history. Bush talked about ridding the world of evil, columnists wrote of “World War Three,” and almost all Americans felt that, in their private lives and in the national life, nothing would ever be the same. But the decade that followed did not live up to expectations. In most of the ways that mattered, 9/11 changed nothing.
  • The Second World War brought a truce in the American class war that had raged throughout the thirties, and it unified a bitterly divided country. By the time of the Japanese surrender, the Great Depression was over and America had been transformed. This isn’t to deny that there were fierce arguments, at the time and ever since, about the causes and goals of both the Civil War and the Second World War. But 1861 and 1941 each created a common national narrative (which happened to be the victors’ narrative): both wars were about the country’s survival and the expansion of the freedoms on which it was founded. Nothing like this consensus has formed around September 11th. On the interstate south of Mount Airy, there’s a recruiting billboard with the famous image of marines raising the flag at Iwo Jima, and the slogan “For Our Nation. For Us All.” In recent years, “For Us All” has been a fantasy. Indeed, the decade since the attacks has destroyed the very possibility of a common national narrative in this country.
  • “We are at war against terror.” Those were fateful words. Defining the enemy by its tactic was a strange conceptual diversion that immediately made the focus too narrow (what about the ideology behind the terror?) and too broad (were we at war with all terrorists and their supporters everywhere?). The President could have said, “We are at war against Al Qaeda,” but he didn’t. Instead, he escalated his rhetoric, in an attempt to overpower any ambiguities. Freedom was at war with fear, he told the country, and he would not rest until the final victory. In short, the new world of 2001 looked very much like the bygone worlds of 1861 and 1941. The President took inspiration from a painting, in the White House Treaty Room, depicting Lincoln on board a steamship with Generals Grant and Sherman: it reminded Bush of Lincoln’s “clarity of purpose.” The size of the undertaking seemed to give Bush a new comfort. His entire sense of the job came to depend on being a war President.
  • ...8 more annotations...
  • What were the American people to do in this vast new war? In his address to Congress on September 20, 2001—the speech that gave his most eloquent account of the meaning of September 11th—the President told Americans to live their lives, hug their children, uphold their values, participate in the economy, and pray for the victims. These quiet continuities were supposed to be reassuring, but instead they revealed the unreality that lay beneath his call to arms. Wasn’t there anything else? Should Americans enlist in the armed forces, join the foreign service, pay more taxes, do volunteer work, study foreign languages, travel to Muslim countries? No—just go on using their credit cards. Bush’s Presidency would emulate Woodrow Wilson’s and Warren G. Harding’s simultaneously. Never was the mismatch between the idea of the war and the war itself more apparent. Everything had changed, Bush announced, but not to worry—nothing would change.
  • At the time of the attacks, few educated Americans born after 1950 had any direct experience of war or persecution or cataclysmic failure. After 9/11, this gap in the résumés of intellectuals gave them both a sense of inadequacy—an outbreak of envy for the Greatest Generation—and a compensatory tendency to inflate the drama of the war on terror and their own role in it. This took place at a level of abstraction that is made possible when the fighting is eight thousand miles away. As a result, a number of the country’s best minds mistook the post-September 11th era for a new American golden age.
  • After the attacks, Americans asked, “Why do they hate us?” This turned out to be the wrong line of inquiry. The most pressing questions were about us, not them: our leaders, our institutions, our ability to act as a cohesive nation and make rational decisions, our power to take action abroad in a way that would not be a self-defeating waste. Starting with the intelligence failures that did not foresee the attacks, every major American institution flunked the test of the September 11th decade. The media got the W.M.D.s wrong. The military failed to plan for chaos in postwar Iraq. Congress neglected its oversight duties. The political system produced no statesmen. C.E.O.s and financiers couldn’t see past short-term profits. The Bush Administration had one major success: it succeeded in staving off another terrorist attack in America. It botched almost everything else.
  • After 9/11, life in America changed in a few palpable ways: you needed I.D. to get into an office building, and boarding an airplane became an ordeal. But all the structural trends stayed on course: the stock market, after a setback, maintained its relentless upward climb; inequality soared, as Wall Street fortunes reached unimaginable new heights, while average wages began to decline; just about every remaining textile job in Surry County disappeared; Americans sank deeper into debt and depended more on their houses for wealth; the iMac progressed to the iPad; CBS News continued its descent into irrelevance and Fox News its corrosive rise, while newspapers kept cutting back or closing shop. The political division of America into red and blue hardened into the mutually hostile and unintelligible universes in which we live today. Bush, already viewed as illegitimate by many Democrats, became one of the most hated Presidents in American history; the writer Nicholson Baker even published a novella about the merits of assassinating him. Meanwhile, the Republican Party fell completely under the control of its most extreme elements, and “traitor” became a routine term for its opponents. For all the talk of national unity and a new sense of purpose, the terror attacks did nothing to bring together the country. America after September 11th was like a couch potato who survives a heart attack, vows to start a strict regimen of diet and exercise, and after a few weeks still finds himself camped out in the living room.
  • The Bush Administration collapsed in the late summer of 2005—not in Falluja or Kandahar but in the submerged neighborhoods of New Orleans. The response to Hurricane Katrina gave Americans such a devastating picture of official failure that it suggested something fatally wrong with an entire approach to governing. Iraq, of course, had provided evidence of high-level arrogance, incompetence, and neglect for two years, and Afghanistan for even longer than that, but, because these places were far away and American troops were risking their lives to serve the nation, the public wasn’t ready to withdraw its support. When the footage came out of the Gulf Coast—when, for the second time in four years, a great American city looked like Kabul or Kinshasa—it was Iraq in fast motion, and right around the corner. Government at all levels, but especially in Washington, had failed to plan for the worst outcome, even when the entire country saw it coming. An Administration staffed by cronies neglected to take care of citizens for whom it had the greatest responsibility. Katrina made brutally clear that the White House had substituted passive, self-congratulatory bravado for serious organized effort. Like Iraq, New Orleans represented a failure of individual leaders, but also of national institutions.
  • After Katrina, support for the Iraq war evaporated. Having been asked for very little ever since September 11th, other than to take the Administration’s way on faith, Americans had little trouble reframing their allegiances. This was the price of a foreign policy based on assertion rather than on persuasion. The war on terror had been a kind of confidence game: it depended on a belief in American virtue and ability that had proved unwarranted. With the exception of his advocacy of the surge, in 2007, Bush became an increasingly irrelevant figure, and his foreign policy crawled away from grand projects for “world order.” When Vice-President Cheney called for new wars with Iran and Syria, there were no takers.
  • In the years after Katrina, Americans began to see that the same unstable combination of hoopla and neglect that had characterized the war on terror also characterized the decade’s supposed economic boom. While the media were riveted by the spectacle of celebrity wealth, large areas of the country were—like Surry County—left to rot. The boom had been built on sand: housing speculation, overvalued stocks, reckless deregulation, irresponsible deficits. When the foundation started to crumble with the first wave of mortgage defaults, in 2007, the scale of the destruction became the latest of the decade’s surprises. Hardly anyone foresaw how far the economy would fall; hardly anyone imagined how many people it would take on the way down. Even the economic advisers of the next Administration badly misjudged the crisis. The trillions of dollars spent and, often, misspent on wars and domestic bureaucracies were no longer available to fill the hole left by the implosion of the private economy. Reborn champions of austerity pointed to the deficits in order to make the case that the country couldn’t afford to spend its way back to health. And, like the attacks that were supposed to change everything, the recession—which was given the epithet “Great” and was constantly compared with the Depression of the nineteen-thirties—inspired very little change in economic policy. Without effective leadership, the country blindly reverted to the status quo ante, with the same few people making a lot of money, if a little less than before, and the same people doing badly, if a little worse.
  • This malignant persistence since September 11th is the biggest surprise of all. In previous decades, sneak attacks, stock-market crashes, and other great crises became hinges on which American history swung in dramatically new directions. But events on the same scale, or nearly so, no longer seem to have that power; moneyed interests may have become too entrenched, élites too self-seeking, institutions too feeble, and the public too polarized and passive for the country to be shocked into fundamental change.
1 - 12 of 12
Showing 20 items per page