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Javier E

How Hawkish Are Americans? | History News Network - 1 views

hnn.us/...how-hawkish-are-americans

americans survey foreign policy military diplomacy UN

shared by Javier E on 28 Sep 12 - No Cached
  • a nationwide opinion survey just released as a report (Foreign Policy in the New Millennium) by the highly-respected Chicago Council on Global Affairs. Conducted in late May and early June 2012, the survey resulted in some striking findings.
  • most Americans are quite disillusioned with the Iraq and Afghanistan wars of the past decade. Asked about these conflicts, 67 percent of respondents said they had not been worth fighting. Indeed, 69 percent said that, despite the war in Afghanistan, the United States was no safer from terrorism.
  • Eighty-two percent of those surveyed favored bringing U.S. troops home from Afghanistan by 2014 or by an earlier date. Majorities also opposed maintaining long-term military bases in either country. And 71 percent agreed that “the experience of the Iraq war should make nations more cautious about using military force to deal with rogue states.”
  • ...4 more annotations...
  • a small majority (53 percent) thought that maintaining superior military power was a “very important goal.” But this response was down by 14 points from 2002. Furthermore, to accomplish deficit reduction, 68 percent of respondents favored cutting U.S. spending on the military -- up 10 points from 2010.
  • “As they increasingly seek to cut back on foreign expenditures and avoid military entanglement whenever possible, Americans are broadly supportive of nonmilitary forms of international engagement and problem solving.” These range from “diplomacy, alliances, and international treaties to economic aid and decision making through the UN.”
  • 84 percent of respondents favored the comprehensive nuclear test ban treaty (still unratified by the U.S. Senate), 70 percent favored the International Criminal Court treaty (from which the United States was withdrawn by President George W. Bush), and 67 percent favored a treaty to cope with climate change by limiting greenhouse gas emissions. When asked about China, a nation frequently criticized by U.S. pundits and politicians alike, 69 percent of respondents believed that the United States should engage in friendly cooperation with that country.
  • The Chicago Council survey found that 56 percent of respondents agreed that, when dealing with international problems, the United States should be “more willing to make decisions within the United Nations,” even if that meant that the United States would not always get its way.
Maria Delzi

How One Historic Russian City Became a Target for Terrorists - Daisy Sindelar - The Atl... - 0 views

www.theatlantic.com/...282739

shared by Maria Delzi on 17 Jan 14 - No Cached
  • Volgograd was a relatively quiet Russian city, known best for its legacy as a World War II battlefield.
  • in October, when a female suicide bomber blew herself up on a city bus, killing six passengers, most of them teenagers.
  • two back-to-back suspected suicide attacks just ahead of New Year celebration
  • ...14 more annotations...
  • December 29 bombing at the city's main train station followed by a December 30 trolleybus blast—have claimed more than 30 additional lives and left many to wonder why Volgograd has become an unlikely insurgent target.
  • Winter Olympics less than six weeks away,
  • host city Sochi,
  • a Russian site dedicated to terrorism and intelligence, says the Volgograd attacks—which took place 400 miles northeast of Sochi—throw such planning into disarray.
  • "I think the goal was to distract security forces
  • they'll be forced to think not only about ensuring the safety of the major Russian cities as well as Sochi and the infrastructure around the Olympic facilities," Soldatov says. "On top of that, they'll also have to pay special attention to Volgograd. It's an effective tactic—diverting attention away from a place where the terrorists may be planning their next attack."
  • Russian authorities, citing similarities in the explosives and shrapnel used in the latest blasts, have acknowledged the two attacks may be linked.
  • slamic insurgents have frequently sought out high-profile Russian targets, most notably in Moscow.
  • Volgograd, an industrial city of 1 million, has no evident strategic value as a terrorist target, although its train station—the site of the December 29 blast—is a major transportation hub on the country's north-south rail links.
  • Volgograd Oblast, the site of a massive purge of 1980s-era communist authorities, is still viewed as one of Russia's most corrupt regions. It is unclear, however, what bearing that might have on its sudden terrorist appeal.
  • Writing on the website of the Carnegie Moscow Center, director Dmitry Trenin notes that the city, "a symbol of Russia's tragedy and triumph in World War II, h
  • "But the fact that there have been three attacks in a row in one region—excuse me, but it's a slap in the face of our authorities." 
  • Russian President Vladimir Putin has responded to the bombings by stepping up security measures across the country, with the Interior Ministry promising special scrutiny of transportation hubs. But inside Volgograd, where local streets were quickly choked with emergency vehicles, correspondents have reported a distinct shortage of police personnel.
  • "After the first attack, they were supposed to do a lot of work, do something to protect the population. That didn't happen. And the problem isn't where it took place—why it happened in Volgograd Oblast," he says. "The problem is where else other attacks might take place. If it happened in Volgograd, it means it could happen in any city in this part of Russia."
julia rhodes

An extraordinary turn against military intervention - 0 views

america.aljazeera.com/...ainstmilitaryintervention.html

US history politics crisis policy syria war 20th century liberal realism

shared by julia rhodes on 10 Sep 13 - No Cached
  • julia rhodes on 10 Sep 13
     
    An extraordinary turn against military intervention | Al Jazeera America The negative reaction in Congress and among the American people to President Obama's proposal of military intervention has been sharp U.S. receptiveness to Russia's proposal to sequester Syria's chemical weapons shows how eager Washington is to avoid a military response. It would, however, be something extraordinary - even historic. It would suggest that a substantial percentage of Americans believe that a proposed war is a bad idea. In the context of American history, this is almost unthinkable. War is woven into the fabric of American life, and Americans usually embrace it. "All the great masterful races have been fighting races," Roosevelt declared Advances in the technology of destruction and killing made it difficult to sustain belief in war's beauty or nobility. Because the U.S. possesses such overwhelming military force, it naturally seeks to use that force. This has led inexorably to the militarization of U.S. foreign policy. American leaders have always acted on the assumption that in the end, they have recourse to all the coercive power they need to achieve any geopolitical goal. They assumed, however, that whatever problems arose, the power of the United States was so overwhelming that it would be able to resolve them. This conviction now seems to be slipping away. Public opinion surveys show scant support for bombing. Never in modern history have Americans been so doubtful about the wisdom of bombing, invading or occupying another country. American reluctance to intervene in a faraway land suggests a retreat from hubris toward reality - a creeping fear that the United States, powerful as it is, may not be able to control the effects of its foreign adventures. Generations of Americans once grew up believing not only that their country was omnipotent, but that it was an essential force for good in the world. This is an e
Javier E

The Collapse of Big Law: A Cautionary Tale for Big Med - Richard Gunderman and Mark Mut... - 0 views

www.theatlantic.com/...283736

law medical system profession economics

shared by Javier E on 12 Feb 14 - No Cached
  • he law is not well. US law school applications are down by nearly half from eight years ago, and 85% of graduates now carry at least $100,000 in debt. More than 180 of the 200 US law schools are able to find jobs for more than 80% of their graduates. Median starting salaries for those who do find work are down by 17%, and more than a third of graduates cannot find full-time employment. Tellingly, lawyers have higher rates of depression and alcoholism than the general population. 
  • more fundamental problems emerge. One is the increasing popularity of law school rankings. In order to compete for students and tuition dollars, law schools do what they can to improve their standing, which means in part encouraging as many students as possible to apply and to take jobs with high-paying firms when they graduate
  • An even more serious problem is the way law firms keep score. One prevalent measure is PPP, or profit per partner, introduced by The American Lawyer in 1985. When such statistics began to be published, firms that thought they were doing well suddenly discovered that they were being outperformed by peers.  Soon bidding wars ensued for top earners, who are sometimes referred to as “rainmakers.”
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  • as soon as law firms begin measuring their performance by the revenue each attorney generates, money begins to supplant all other means of assessing performance.
  • To professionals who choose careers in fields such as law, medicine, and teaching, it is demoralizing to be treated as a unit of production. Even some of the lawyers earning millions of dollars report that they find little or no fulfillment in the work they do.
  • by stoking the flames of competition between law firms and attorneys, the current system has engrained what economists call a “zero-sum” mentality. There is only a relatively fixed quantity of legal work to be done, and for one firm or attorney to command more of it, others must make due with less.
  • As a professional, a lawyer represents her clients in the courtroom, in her office and at the negotiating table. She operates with an appreciation for her role in the adversarial judicial process, the need to educate clients about the limits and purpose of the law, and the importance of helping clients create frameworks to work together to form organizations, build businesses, and plan for the future. Doing these things well provides a sense of meaning and value in work.
  • As a mere service provider, by contrast, her role is to provide a discrete technical service—usually assumed to be the same as any other lawyer would provide—for a fee. Her success is measured not in the professional insight and practical wisdom she offers but in the technical efficiency with which she provides services and her ability to attract other clients willing to pay her to do the same. The sense of professional fulfillment associated with the role of service provider is small at best. 
Javier E

How Technology Wrecks the Middle Class - NYTimes.com - 0 views

opinionator.blogs.nytimes.com/...nology-wrecks-the-middle-class

economics employment trends technology middle-class

shared by Javier E on 25 Aug 13 - No Cached
  • the productivity of American workers — those lucky enough to have jobs — has risen smartly
  • the United States still has two million fewer jobs than before the downturn, the unemployment rate is stuck at levels not seen since the early 1990s and the proportion of adults who are working is four percentage points off its peak in 2000.
  • Do “smart machines” threaten us with “long-term misery,” as the economists Jeffrey D. Sachs and Laurence J. Kotlikoff prophesied earlier this year?
  • ...17 more annotations...
  • Economists have historically rejected what we call the “lump of labor” fallacy: the supposition that an increase in labor productivity inevitably reduces employment because there is only a finite amount of work to do. While intuitively appealing, this idea is demonstrably false.
  • Labor-saving technological change necessarily displaces workers performing certain tasks — that’s where the gains in productivity come from — but over the long run, it generates new products and services that raise national income and increase the overall demand for labor.
  • The multi-trillionfold decline in the cost of computing since the 1970s has created enormous incentives for employers to substitute increasingly cheap and capable computers for expensive labor.
  • Computers excel at “routine” tasks: organizing, storing, retrieving and manipulating information, or executing exactly defined physical movements in production processes. These tasks are most pervasive in middle-skill jobs
  • Logically, computerization has reduced the demand for these jobs, but it has boosted demand for workers who perform “nonroutine” tasks that complement the automated activities
  • At one end are so-called abstract tasks that require problem-solving, intuition, persuasion and creativity.
  • On the other end are so-called manual tasks, which require situational adaptability, visual and language recognition, and in-person interaction.
  • Computerization has therefore fostered a polarization of employment, with job growth concentrated in both the highest- and lowest-paid occupations, while jobs in the middle have declined.
  • overall employment rates have largely been unaffected in states and cities undergoing this rapid polarization.
  • So computerization is not reducing the quantity of jobs, but rather degrading the quality of jobs for a significant subset of workers. Demand for highly educated workers who excel in abstract tasks is robust, but the middle of the labor market, where the routine task-intensive jobs lie, is sagging.
  • Spurred by growing demand for workers performing abstract job tasks, the payoff for college and professional degrees has soared; despite its formidable price tag, higher education has perhaps never been a better investment.
  • The good news, however, is that middle-education, middle-wage jobs are not slated to disappear completely. While many middle-skill jobs are susceptible to automation, others demand a mixture of tasks that take advantage of human flexibility
  • we predict that the middle-skill jobs that survive will combine routine technical tasks with abstract and manual tasks in which workers have a comparative advantage — interpersonal interaction, adaptability and problem-solving.
  • this category includes numerous jobs for people in the skilled trades and repair: plumbers; builders; electricians; heating, ventilation and air-conditioning installers; automotive technicians; customer-service representatives; and even clerical workers who are required to do more than type and file
  • Lawrence F. Katz, a labor economist at Harvard, memorably called those who fruitfully combine the foundational skills of a high school education with specific vocational skills the “new artisans.”
  • The outlook for workers who haven’t finished college is uncertain, but not devoid of hope. There will be job opportunities in middle-skill jobs, but not in the traditional blue-collar production and white-collar office jobs of the past
  • we expect to see growing employment among the ranks of the “new artisans”: licensed practical nurses and medical assistants; teachers, tutors and learning guides at all educational levels; kitchen designers, construction supervisors and skilled tradespeople of every variety; expert repair and support technicians; and the many people who offer personal training and assistance, like physical therapists, personal trainers, coaches and guides
Javier E

Milton Friedman, Unperson - NYTimes.com - 0 views

krugman.blogs.nytimes.com/...milton-friedman-unperson

friedman macroeconomics history monetary economics great depression

shared by Javier E on 09 Aug 13 - No Cached
  • Friedman was an avid free-market advocate, who insisted that the market, left to itself, could solve almost any problem. Yet he was also a macroeconomic realist, who recognized that the market definitely did not solve the problem of recessions and depressions.
  • At a fundamental level, however, this was an inconsistent position: if markets can go so wrong that they cause Great Depressions, how can you be a free-market true believer on everything except macro? And as American conservatism moved ever further right, it had no room for any kind of interventionism, not even the sterilized, clean-room interventionism of Friedman’s monetarism.
Javier E

The Blog : On Spiritual Truths : Sam Harris - 0 views

www.samharris.org/...on-spiritual-truths

spiritual meditation well-being western civilization

shared by Javier E on 09 Aug 13 - No Cached
  • Many of my fellow atheists consider all talk of “spirituality” or “mysticism” to be synonymous with mental illness, conscious fraud, or self-deception. I have argued elsewhere that this is a problem—because millions of people have had experiences for which “spiritual” and “mystical” seem the only terms available.
  • Osama bin Laden’s favorite philosopher. Qutb spent most of 1949 in Greeley, Colorado, and found, to his horror and satisfaction, that his American hosts were squandering their lives on gossip, trivial entertainments, and lawn maintenance.  From this Dark Night of Suburbia, he concluded that western civilization was so spiritually barren that it must be destroyed.
  • There is something degraded and degrading about many of our habits of attention.
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  • terms like “spiritual” and “mystical” are often used to make claims, not merely about the quality of certain experiences, but about the nature of the cosmos. The fact that one can lose one’s sense of self in an ocean of tranquility does not mean that one’s consciousness is immaterial or that it presided over the birth of the universe. This is the spurious linkage between contemplative experience and metaphysics that pseudo-scientists like Deepak Chopra find irresistible.
  • Perhaps I should just speak for myself on this point: It seems to me that I spend much of my waking life in a neurotic trance. My experiences in meditation suggest that there is an alternative to this,
  • But, as I argue in The Moral Landscape, a maturing science of the mind should help us to understand and access the heights of human well-being. To do this, however, we must first acknowledge that these heights exist.
julia rhodes

A Plea for Caution From Russia - NYTimes.com - 0 views

www.nytimes.com/...tion-from-russia-on-syria.html

russia nytimes US history politics crisis economic policy economics obama putin syria intervention america

shared by julia rhodes on 12 Sep 13 - No Cached
  • By VLADIMIR V. PUTIN
  • The universal international organization — the United Nations — was then established to prevent such devastation from ever happening again.
  • The United Nations’ founders understood that decisions affecting war and peace should happen only by consensus, and with America’s consent the veto by Security Council permanent members was enshrined in the United Nations Charter. The profound wisdom of this has underpinned the stability of international relations for decades.
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  • ential strike by the United States against Syria, despite strong opposition from many countries and major political and religious leaders, including the pope, will result in more innocent victims and escalation, potentially spreading the conflict far beyond Syria’s borders. A strike would increase violence and unleash a new wave of terrorism. It could undermine multilateral efforts to resolve the Iranian nuclear problem and the Israeli-Palestinian conflict and further destabilize the Middle East and North Africa. It could throw the entire system of international law and order out of balance.
  • A strike would increase violence and unleash a new wave of terrorism. It could undermine multilateral efforts to resolve the Iranian nuclear problem and the Israeli-Palestinian conflict and further destabilize the Middle East and North Africa. It could throw the entire system of international law and order out of balance.
  • Syria is not witnessing a battle for democracy, but an armed conflict between government and opposition in a multireligious country.
  • We must stop using the language of force and return to the path of civilized diplomatic and political settlement.
  • From the outset, Russia has advocated peaceful dialogue enabling Syrians to develop a compromise plan for their own future. We are not protecting the Syrian government, but international law.
  • The law is still the law, and we must follow it whether we like it or not.
  • No one doubts that poison gas was used in Syria. But there is every reason to believe it was used not by the Syrian Army, but by opposition forces, to provoke intervention by their powerful foreign patrons, who would be siding with the fundamentalists.
  • But force has proved ineffective and pointless. Afghanistan is reeling, and no one can say what will happen after international forces withdraw. Libya is divided into tribes and clans. In Iraq the civil war continues, with dozens killed each day. In the United States, many draw an analogy between Iraq and Syria, and ask why their government would want to repeat recent mistakes.
  • Might they not return to our countries with experience acquired in Syria? After all, after fighting in Libya, extremists moved on to Mali. This threatens us all.
  • I welcome the president’s interest in continuing the dialogue with Russia on Syria.
  • If we can avoid force against Syria, this will improve the atmosphere in international affairs and strengthen mutual trust. It will be our shared success and open the door to cooperation on other critical issues.
  • And I would rather disagree with a case he made on American exceptionalism, stating that the United States’ policy is “what makes America different. It’s what makes us exceptional.”
  • t is extremely dangerous to encourage people to see themselves as exceptiona
  • julia rhodes on 12 Sep 13
     
    Written by Vladimir Putin
Javier E

Of Baguettes And Black Families - Ta-Nehisi Coates - The Atlantic - 0 views

www.theatlantic.com/...279678

African-American family history historiography

shared by Javier E on 14 Sep 13 - No Cached
  • how do you make the claim that racism is linked to the destruction of the black family when the black family was in fact strongest during time periods when racism was substantially more prevalent than today?
  • From 1880 through 1960, the percentage of black children with at least one absent parent was fairly stable and about two-and-one-half times greater than the percentage among whites. Recently, the percentages of both black children and white children with absent parents have risen dramatically
  • while it's true that you see a dramatic increase in single-family homes in 1960, the gap is about as old as our data. Ruggles was able to get ahold of census micro-data and basically concluded as much. If you look at the report you can see on Table 2 that as early as 1880 there were roughly double the percentage of black children born to single mothers as to whites (13.1 to 5.9.)
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  • let's look at some historiography courtesy of University of Minnesota professor Steven Ruggles and his article "The Origins of the African-American Family Structure."
  • What is the source of this distinctive African-American pattern of single parenthood? Recent economic changes can be invoked to explain the growing differential between black family structure and white family structure, but they cannot explain why blacks started from a higher base.
  • The change in marriage is not a "black" problem, and I am not even convinced that it is a "problem."
  • It is not simply a question of "Is marriage good for kids?" It's "Are shotgun marriages good for kids?" "Should marriage be valued at all costs, including enduring abuse or ill-treatment?"
grayton downing

BBC Sport - Jamaica doping scandals tip of iceberg, says senior drug tester - 0 views

www.bbc.co.uk/...24900565

sport jamaica scandals

shared by grayton downing on 11 Nov 13 - No Cached
  • Jamaica's most senior drug tester says the country's recent rash of failed tests might be the "tip of an iceberg".
  • Asafa Powell, the former 100m world record holder, was the biggest name to test positive, but four others including Powell's training partner - the Olympic relay gold medallist Sherone Simpson - also failed tests at the country's national trials in June.
  • Wada officials are due to discuss their visit to Jamaica at an executive board meeting in Johannesburg on Tuesday and could make a series of recommendations to improve the country's anti-doping policies.
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  • The problem is these people were tested positive in competition. What that means is months before you know the date of the test and the approximate time of the test.
  • So if you fail an in-competition test you haven't only failed a drugs test, you have failed an IQ test.
  • That funding - with the help of additional money from Wada - would be used to hire more senior executives to run the anti-doping programme and to hire and train additional drug testers.
  • Our athletes, as confirmed by the IAAF, were the most tested in the world of athletics, so to say your athletes weren't tested is not exactly true.
  • There is a problem worldwide with the use of supplements," said Fennell. "The whole world is induced to use supplements for one thing or another.
  • Athletes are no different. This is not with a view to cheating and I would put my head on the block and say our athletes do not set out to cheat.
  • We do have rigorous testing. If you look at the record for this year you will see our testing record is amazing. Those of our top athletes are on the registered international programmes.
  • "I understand why people pay more attention to Jamaica," said Carter, who won an individual bronze medal in the 100m in Moscow in August to add to his sprint relay gold from the London Olympics.
  • "It was the same when the US dominated. People said they were on drugs and should be tested. That's a part of the sport and we have to accept that. It's going to hurt fans and athletes because no-one wants to be associated with what's going on.
Javier E

Children and Guns - The Hidden Toll - NYTimes.com - 0 views

www.nytimes.com/...-and-guns-the-hidden-toll.html

guns children research accidental

shared by Javier E on 29 Sep 13 - No Cached
  • A New York Times review of hundreds of child firearm deaths found that accidental shootings occurred roughly twice as often as the records indicate, because of idiosyncrasies in how such deaths are classified by the authorities.
  • The National Rifle Association cited the lower official numbers this year in a fact sheet opposing “safe storage” laws, saying children were more likely to be killed by falls, poisoning or environmental factors — an incorrect assertion if the actual number of accidental firearm deaths is significantly higher.
  • The rifle association’s lobbying arm recently posted on its Web site a claim that adult criminals who mishandle firearms — as opposed to law-abiding gun owners — are responsible for most fatal accidents involving children. But The Times’s review found that a vast majority of cases revolved around children’s access to firearms, with the shooting either self-inflicted or done by another child.
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  • In all but a handful of instances, the shooter was male. Boys also accounted for more than 80 percent of the victims.
  • The Times sought to identify every accidental firearm death of a child age 14 and under in Georgia, Minnesota, North Carolina and Ohio dating to 1999, and in California to 2007. Records were also obtained from several county medical examiners’ offices in Florida, Illinois and Texas.
  • In four of the five states — California, Georgia, North Carolina and Ohio — The Times identified roughly twice as many accidental killings as were tallied in the corresponding federal data.
  • Another important aspect of firearm accidents is that a vast majority of victims do not die. Tracking these injuries nationally, however, is arguably just as problematic as tallying fatalities, according to public health researchers. In fact, national figures often cited from the Centers for Disease Control and Prevention’s Web site are an estimate, projected from a sampling taken from hospital emergency departments. Nevertheless, in 2011, the most recent year with available data, the agency estimated that there were 847 unintentional nonfatal firearm injuries among children 14 and under.
  • More concrete are actual counts of emergency department visits, which are available in a small number of states. In North Carolina, for instance, there were more than 120 such visits for nonfatal gun accidents among children 17 and under in 2010, the most recent year for which data is available.
  • While about 60 percent of the accidental firearm deaths identified by The Times involved handguns as opposed to long guns, that number was much higher — more than 85 percent — when the victims were very young, under the age of 6. In fact, the average handgun victim was several years younger than long gun victims: between 7 and 8, compared with almost 11.
  • Over all, the largest number of deaths came at the upper end of the age range, with ages 13 and 14 being most common — not necessarily surprising, given that parents generally allow adolescents greater access to guns. But the third-most common age was 3 (tied with 12), a particularly vulnerable age, when children are curious and old enough to manipulate a firearm but ignorant of the dangers.
  • About half of the accidents took place inside the child’s home. A third, however, occurred at the house of a friend or a relative, pointing to a potential vulnerability if safe-storage laws apply only to households with children, as in North Carolina.
  • Even in accidental shootings where criminals were in some way involved, they usually were not the ones pulling the trigger. Rather, they — like many law-abiding adults in these cases — simply left a gun unsecured.
  • In state after state and often with considerable success, gun rights groups have cited the federal numbers as proof that the problem is nearly inconsequential and that storage laws are unnecessary. Gun Owners of America says on its Web site that children are “130 percent more likely to die from choking on their dinner” than from accidental shootings.
  • Under the Centers for Disease Control and Prevention figures, in fact, gun accidents were the ninth-leading cause of unintentional deaths among children ages 1 to 14 in 2010. (The agency reported 62 such killings that year.) If the actual numbers are, in fact, roughly double, however, gun accidents would rise into the top five or six.
  • The rifle association and its allies also often note that studies on the impact of safe-storage laws have found mixed results. But those studies are based on the flawed government statistics. “When we’re evaluating child access laws, we’re using total trash data,
  • A safe-storage bill was introduced in the Ohio legislature in February, prompted by a shooting that killed three students at a high school in suburban Cleveland. But the measure, which would prohibit storing a firearm in a residence in a place readily accessible to a child, has encountered skepticism from the Republicans who control the legislature. “The tenor was, somebody breaks in, do I have time enough to get to my gun?” said State Representative Bill Patmon, a Democrat who introduced the bill.
  • The N.R.A. has long argued that better education is the key to preventing gun accidents, citing its Eddie Eagle GunSafe program, which teaches children as young as 3 that if they see a gun, they should “stop, don’t touch, leave the area and tell an adult.” The association, which did not respond to a request for comment, says its program has reached more than 26 million children in all 50 states and should be credited for the deep decline in accidental gun deaths shown in federal statistics dating to the mid-1980s.
  • Beyond the unreliability of the federal data, public health experts have disputed the N.R.A.’s claims, pointing to other potential explanations for the decline, including improvements in emergency medical care, along with data showing fewer households with firearms. They also highlight research indicating that admonishing children to stay away from guns is often ineffective.
  • As part of Dr. Kellermann’s study, researchers watched through a one-way mirror as pairs of boys ages 8 to 12 were left alone in an examination room at a clinic in Atlanta. Unknown to the children, an inoperative .38-caliber handgun was concealed in a cabinet drawer.
  • Playing and exploring over the next 15 minutes, one boy after another — three-quarters of the 64 children — found the gun. Two-thirds handled it, and one-third actually pulled the trigger. Just one child went to tell an adult about the gun, and he was teased by his peers for it. More than 90 percent of the boys said they had had some gun safety instruction.
  • Other research has found that simply having a firearm in the household is correlated with an increased risk of accidental shooting death. In one study, published in 2003 in the journal Accident Analysis and Prevention, the risk was more than three times as high for one gun, and almost four times as high for more than one.
  • requiring, or even encouraging, efforts to introduce “smart gun” technology remains unpopular with the gun lobby, which has worked to undermine such research and attempts to regulate firearms as a dangerous consumer product.
  • But Taurus backed out within a few months, citing competing priorities, and the project fell apart. Charles Vehlow, Metal Storm’s chief executive at the time, said that while he did not know exactly what pressures Taurus faced, there was a general wariness of smart-gun efforts among manufacturers and pro-gun groups. “There was no question that the N.R.A. was very sensitive and was aware of what we were doing,” he said.
  • The Colt’s Manufacturing Company and Smith & Wesson experienced a backlash against their own smart-gun programs, which were abandoned amid financial problems caused, in part, by boycotts from gun groups and others in the industry. So unpopular was the whole smart-gun concept that Colt’s Manufacturing later could not even find a buyer for its patents, said Carlton Chen, a former lawyer for the company.
  • Gun rights lobbyists have also helped keep firearms and ammunition beyond the reach of the Consumer Product Safety Commission, which has the power to regulate other products that are dangerous to children. The N.R.A. argues that the commission would provide a back door for gun control advocates to restrict the manufacture of firearms. Proponents of regulation say guns pose too great a hazard to exclude them from scrutiny.
Javier E

Are We Hard-Wired for War? - NYTimes.com - 0 views

www.nytimes.com/...are-we-hard-wired-for-war.html

war origins anthropology

shared by Javier E on 29 Sep 13 - No Cached
  • The emerging popular consensus about our biological predisposition to warfare is troubling. It is not just scientifically weak; it is also morally unfortunate, as it fosters an unjustifiably limited vision of human potential.
  • Conflict avoidance, reconciliation and cooperative problem solving could also have been altogether “biological” and positively selected for.
  • Chimpanzees, we now know, engage in something distressingly akin to human warfare, but bonobos, whose evolutionary lineage makes them no more distant from us than chimps, are justly renowned for making love instead.
  • ...4 more annotations...
  • I seriously question the penchant of observers (scientific and lay alike) to generalize from small samples of our unquestionably diverse species, especially about something as complex as war.
  • peacemaking is, if anything, more pronounced and widely distributed, especially among groups of nomadic foragers who are probably closest in ecological circumstance to our hominin ancestors.
  • The problem with envisioning Homo sapiens as inherently and irrevocably warlike isn’t simply that it is wrong, but also that it threatens to constrain our sense of whether peacemaking is possible and, accordingly, worth trying.
  • There is a story, believed to be of Cherokee origin, in which a girl is troubled by a recurring dream in which two wolves fight viciously. Seeking an explanation, she goes to her grandfather, highly regarded for his wisdom, who explains that there are two forces within each of us, struggling for supremacy, one embodying peace and the other, war. At this, the girl is even more distressed, and asks her grandfather who wins. His answer: “The one you feed.”
Javier E

H-Net Reviews, Harlow: Longman, 2002. xvi + 297 pp. $25.00 (cloth), - 0 views

www.h-net.org/...showrev.php

Italy unification risorgimento history historiography

shared by Javier E on 25 Nov 13 - Cached
  • The new edition, co-written with Eugenio F. Biagini, Reader in Modern British and European History at the University of Cambridge, covers a much wider range of relevant issues for the unification of Italy. New chapters have been devoted to questions such as the Italian language and the role of women in the process of unification, as well as to a series of relevant issues after 1861, such as the Venetian situation from 1862, and the problem of brigandage in the south once the Kingdom of the Two Sicilies had been annexed by the Kingdom of Sardinia. This much enforces the original project, as a complete unification of Italy had, of course, not yet been reached in 1861. Moreover, Beales's original chapters have been completely overhauled to include recent historical scholarship on the subject. The original set-up of the Historical Problems series has been maintained in this new edition. All the original primary material is reprinted, while the new topics are illustrated by further documents, which now grow from sixteen to twenty-three. A brief chronology of events between 1748 and 1876 has also been added.
Roth johnson

The Singular Waste of America's Healthcare System in 1 Remarkable Chart - Matthew O'Bri... - 0 views

www.theatlantic.com/...281782

shared by Roth johnson on 26 Nov 13 - No Cached
  • Roth johnson on 26 Nov 13
     
    This is an interesting graph. It shows how big of a problem healthcare is in our country,
James Flanagan

Enrollment In Obamacare's Federal Exchange, So Far, May Only Be In 'Single Digits' - Fo... - 0 views

www.forbes.com/...so-far-is-in-the-single-digits

shared by James Flanagan on 04 Oct 13 - No Cached
  • On October 1, Obamacare’s subsidized insurance exchanges went live. Most of the exchange websites crashed on the first day, a development that led some of the law’s supporters to conclude that there was overwhelming demand for Obamacare’s insurance products.
  • . “Very, very few people that we’re aware of have enrolled in the federal exchange,” said one anonymous insurance industry official to the Washington Post. “We are talking single digits.”
  • Covered California, that state’s subsidized insurance exchange, initially claimed that its website had received 5 million hits on October 1. They later had to revise that number down 87 percent, to 645,000. KUSI-TV in San Diego is reporting that not one policy has yet been sold on the California exchange.
  • ...3 more annotations...
  • . For example, the drop-down boxes for security questions aren’t working, which shouldn’t be a traffic-related problem
  • A new study from the American Action Forum that looks at healthy 30-year-old men finds that underlying premiums for those individuals will increase by an average of 260 percent
  • In a sense, the AAF study is more relevant to the problem at hand. Obamacare makes healthy people pay more for insurance in order to subsidize sicker people. It makes younger people pay more to subsidize older people. It makes men pay more to subsidize women. It makes everyone pay more to cover benefits, taxes, and fees that consumers might not ordinarily want.
Roth johnson

How a Tiny Island Chain Explains the China-Japan Dispute - Matt Schiavenza - The Atlantic - 0 views

www.theatlantic.com/...281995

shared by Roth johnson on 05 Dec 13 - No Cached
  • Roth johnson on 05 Dec 13
     
    Some intriguing parallels can be drawn here between Manchurian Crisis and problems with the League of Nations to Chinese-Japanese-American relations today.
grayton downing

Nelson Mandela - NYTimes.com - 0 views

www.nytimes.com/...nelson-mandela.html

nelson

shared by grayton downing on 06 Dec 13 - No Cached
  • He was one of the most extraordinary liberation leaders Africa, or any other continent, ever produced. Not only did he lead his people to triumph over the deeply entrenched system of apartheid that enforced racial segregation in every area of South African life; he achieved this victory without the blood bath so many had predicted and feared.
  • And as South Africa’s first president elected by the full democratic franchise of all its people, he presided over a landmark Truth and Reconciliation
  • strength of character steeled him for his long struggle and ultimate victory over apartheid.
  • ...2 more annotations...
  • His successors, even those he personally supported, have, sadly, not been his equals. South Africa today faces many challenging problems. Scandalous mismanagement of the H.I.V./AIDS epidemic by Thabo Mbeki brought widespread, unnecessary suffering.
  • It will be up to a new generation of South African leaders to resolve these problems. All of them will owe a historic debt to Nelson Mandela.
Javier E

Can American Conservatism Be Saved? « The Dish - 0 views

dish.andrewsullivan.com/...r-he-would-be-a-counterpuncher

conservatism oakeshott culture civility conversation transcendent university

shared by Javier E on 31 Oct 13 - No Cached
  • conservatism in its best sense is about the constant situating of the individual within a cultural and historical context.
  • Individualism can never therefore be an ideology. “I built that” is an excrescent simplification, a form of contempt for tradition and society.
  • the key to a more productively conservative defense of tradition is, it seems to me, a civility in making the case and an alertness to the occasional, contingent need for genuine reform, as social problems emerge in a changing society.
  • ...9 more annotations...
  • what is it that American conservatives want to conserve?
  • To translate: civility in public discourse, maximal federalism and subsidiarity, a sense of transcendence to overcome the delusions of materialism and individualism, and a relentless defense of universities as the core places where our society learns to breathe and grow in the light of knowledge and understanding.
  • Here’s what McClay gleans from Oakeshott’s writing that could help the cause of conservative reform: First, the idea of conversation as the model for civilized life. Second, the need to create and preserve appropriate scale in our communities, for the sake of fostering just such conversation. Third, the profound human need for release from the burden of purposefulness, which is perhaps another way of expressing the enduring need for transcendence, an avenue that Rationalism tends to foreclose to us. And fourth, the irreplaceable mission of liberal learning.
  • Today’s Republicanism is, in contrast, absolutist, ideological, fundamentalist and angry. It has ceased to be a voice among others in a genuine conversation about our country and become a rigid, absolutist ideology fueled by the worst aspects of the right – from racism to Randian indifference to the many others who made – and make – our lives possible. A lot of the time, it is quite simply philistine.
  • Is this an agenda? Not in any sense of the word. And that is the point. There is no fixed set of policies that an Oakeshottian conservative will embrace. It will all depend on the time and the place and the problem. He will question change and reform as a constant necessity
  • But he will also try and judge when reform is necessary to preserve the coherence of a society.
  • The issue, in the end, is one of prudential judgment about all these questions, a skill and virtue that can never be reduced to an ideology or “ism”.
  • Understanding the limits of one’s own understanding makes a political conversation natural.
  • It’s a way of thinking. And until we revive that manner of thinking, American conservatism will remain defined by its ugliest and dumbest protagonists.
Javier E

Understanding Syria: From Pre-Civil War to Post-Assad - William R. Polk - The Atlantic - 0 views

www.theatlantic.com/...281989

syria war history

shared by Javier E on 15 Dec 13 - No Cached
  • Syria is a small, poor, and crowded country. On the map, it appears about the size of Washington state or Spain, but only about a quarter of its 185,000 square kilometers is arable land. That is, “economic Syria” is about as large as a combination of Maryland and Connecticut or Switzerland.
  • Except for a narrow belt along the Mediterranean, the whole country is subject to extreme temperatures that cause frequent dust storms and periodic droughts. Four years of devastating drought from 2006 to 2011 turned Syria into a land like the American “dust bowl” of the 1930s.
  • The most important physical aspect of these storms, as was the experience in America in the 1930s, was the removal of the topsoil. Politically, they triggered the civil war.
  • ...61 more annotations...
  • Even the relatively favored areas had rainfall of just 20 to 40 centimeters (8 to 15 inches)—where 20 centimeters (8 inches) is regarded as the absolute minimum to sustain agriculture—and the national average was less than 10 centimeters (4 inches)
  • Considering only “agricultural Syria,” the population is about five times as dense as Ohio or Belgium, but it does not have Ohio’s or Belgium’s other means of generating income.
  • Syria is not just a piece of land; it is densely populated. When I first visited Syria in 1946, the total population was less than 3 million. In 2010, it reached nearly 24 million.
  • The bottom line is that the population/resource ratio is out of balance. While there has been a marginal increase of agricultural land and more efficient cropping with better seed, neither has kept up with population growth.
  • During Ottoman rule the population was organized in two overlapping ways. First, there was no “Syria” in the sense of a nation-state, but rather provinces (Turkish: pashaliqs) that were centered on the ancient cities. The most important of these were Damascus, which may be the oldest permanently settled city in the world today, and Aleppo.
  • throughout its centuries of rule, the Ottoman Empire generally was content to have its subjects live by their own codes of behavior. It did not have the means or the incentive to intrude into their daily lives. Muslims, whether Turk or Arab or Kurd, shared with the imperial government Islamic mores and law. Other ethnic/religious “nations” (Turkish: millet) were self-governing except in military and foreign affairs.
  • the same groups also moved into mainly Muslim cities and towns, where they tended to live in more or less segregated neighborhoods that resembled medieval European urban ghettos or modern American “Little Italys” or “Chinatowns.”
  • Since this system was spelled out in the Quran and the Traditions (Hadiths) of the Prophet, respecting it was legally obligatory for Muslims. Consequently, when the Syrian state took shape, it inherited a rich, diverse, and tolerant social tradition.
  • the French created a “Greater” Lebanon from the former autonomous adjunct provinces (Turkish: sanjaqs) of Mount Lebanon and Beirut. To make it their anchor in an otherwise hostile Levant, they aimed both to make it Christian-dominated and big enough to exist as a state. But these aims were incompatible: the populations they added, taken from the pashaliq of Damascus, were mainly Muslim, so the French doomed Lebanon to be a precariously unbalanced society.
  • the French reversed course. They united the country as defined in the mandate but attempted to change its social and cultural orientation. Their new policy aimed to supplant the common language, Arabic, with French, to make French customs and law the exemplar, to promote Catholicism as a means to undercut Islam, and to favor the minorities as a means to control the Muslim majority. It was inevitable that the native reaction to these intrusions would be first the rise of xenophobia and then the spread of what gradually became a European style of nationalism.
  • When French policies did not work and nationalism began to offer an alternate vision of political life, the French colonial administration fell back on violence. Indeed throughout the French period—in contrast to the relatively laissez-faire rule of the Ottoman Empire—violence was never far below the outward face of French rule.
  • the “peace” the French achieved was little more than a sullen and frustrated quiescence; while they did not create dissension among the religious and ethnic communities, the French certainly magnified it and while they did not create hostility to foreigners, they gave the native population a target that fostered the growth of nationalism. These developments have lingered throughout the last 70 years and remain powerful forces today.
  • in the years after the French were forced out, coup leader after military dictator spoke in nationalist rhetoric but failed to lead his followers toward “the good life.”
  • for three and a half years, Syria became a part of the United Arab Republic.
  • Union did not work, so in 1961 Syrians were thrown back on their own resources. A fundamental problem they faced was what it meant to be a Syrian.
  • The more conservative, affluent, and Westernized nationalists believed that nationhood had to be built not on a religious but on a territorial base. That is, single-state nationalism (Arabic: wataniyah) was the focus of Syria’s statehood.
  • Their program, however, did not lead to success; its failure opened the way for a redefinition of nationalism as pan-Arab or folk nationalism (Arabic: qawmiyah). As it was codified by the Baath Party, it required that Syria be considered not a separate nation-state but a part of the whole Arab world and be domestically organized as a unified, secular, and at least partly Westernized state. This was a particularly difficult task because the dominant Muslim community, initially as a result of French rule and later as a result of domestic turbulence and foreign interference, regarded the members of the minority communities, particularly the Jewish community, as actual or potential turncoats.
  • as Syrians struggled for a sense of identity and came to suspect social difference and to fear the cooperation of minorities with foreigners, being an Alawi or a Christian or a Jew put people under a cloud. So, for Hafez al-Assad, the secular, nationalist Baath Party was a natural choice
  • Their answer was to try to bridge the gaps between rich and poor through a modified version of socialism, and between Muslims and minorities through a modified concept of Islam. Islam, in their view, needed to be considered politically not as a religion but as a manifestation of the Arab nation. Thus, the society they wished to create, they proclaimed, should be modern (with, among other things, equality for women), secular (with faith relegated to personal affairs), and defined by a culture of “Arabism” overriding the traditional concepts of ethnicity.
  • The “Resurrection” (Arabic: Baath) Party had its origins, like the nationalist-communist Vietnamese movement, in France. Two young Syrians, one a Christian and the other a Sunni Muslim, who were then studying in Paris were both attracted to the grandeur of France and appalled by the weakness of Syria. Like Ho Chi Minh, they wanted to both become like France and get the French out of their nation. Both believed that the future lay in unity and socialism. For Michel Aflaq and Salah Bitar, the forces to be defeated were “French oppression, Syrian backwardness, a political class unable to measure up to the challenge of the times,”
  • After Assad’s assault in 1982, the Syrian city of Hama looked like the Iraqi city of Fallujah after the American assault in 2004. Acres of the city were submerged under piles of rubble. But then, like Stalingrad after the German attack or Berlin after the Russian siege, reconstruction began. In a remarkable series of moves, Hafez al-Assad ordered the rubble cleared away, built new highways, constructed new schools and hospitals, opened new parks, and even, in a wholly unexpected conciliatory gesture, erected two huge new mosques. He thus made evident what had been his philosophy of government since he first took power: help the Syrian people to live better provided only that they not challenge his rule. In his thought and actions, his stern and often-brutal monopoly of power, he may be compared to the ruling men, families, parties, and establishments of Chinese, Iranian, Russian, Saudi Arabian, Vietnamese, and numerous other regimes.
  • Hafez al-Assad did not need to wait for leaks of documents: his intelligence services and international journalists turned up dozens of attempts by conservative, oil-rich Arab countries, the United States, and Israel to subvert his government. Most engaged in “dirty tricks,” propaganda, or infusions of money, but it was noteworthy that in the 1982 Hama uprising, more than 15,000 foreign-supplied machine guns were captured, along with prisoners including Jordanian- and CIA-trained paramilitary forces (much like the jihadists who appear so much in media accounts of 2013 Syria). And what he saw in Syria was confirmed by what he learned about Western regime-changing elsewhere.
  • As Iraq “imploded” in coups beginning in 1958 and morphed into Saddam Husain’s regime, the Syrians came to regard it as an enemy second only to Israel.
  • During the rule of the two Assads, Syria made considerable progress. By the eve of the civil war, Syrians enjoyed an income (GDP) of about $5,000 per capita. That was nearly the same as Jordan’s, roughly double the income per capita of Pakistan and Yemen, and five times the income of Afghanistan, but it is only a third that of Lebanon, Turkey, or Iran
  • In 2010, savaged by the great drought, GDP per capita had fallen to about $2,900, according to UN data. Before the civil war—and except in 2008 at the bottom of the drought, when it was zero—Syria’s growth rate hovered around 2 percent,
  • In social affairs, nearly 90 percent of Syrian children attended primary or secondary schools and between eight and nine in 10 Syrians had achieved literacy. On these measures, Syria was comparable to Iran, Saudi Arabia, and Libya despite having far fewer resources to employ.
  • Like his father, Bashar sought to legitimize his regime through elections, but apparently he never intended, and certainly did not find, a way satisfactory (to the public) and acceptable (to his regime) of enlarged political participation.
  • The lack of political participation, fear of public demands, and severe police measures made the regime appear to be a tyranny
  • This and its hostility to Israel led to large-scale, if covert, attempts at regime change by outside powers including the United States. These acts of subversion became particularly pronounced during the second Bush administration.
  • between 2 and 3 million of Syria’s 10 million rural inhabitants were reduced to “extreme poverty.”  
  • Four years of devastating drought beginning in 2006 caused at least 800,000 farmers to lose their entire livelihood and about 200,000 simply abandoned their lands, according to the Center for Climate & Security. In some areas, all agriculture ceased. In others, crop failures reached 75 percent. And generally as much as 85 percent of livestock died of thirst or hunger. Hundreds of thousands of Syria’s farmers gave up, abandoned their farms, and fled to the cities and towns
  • Syria was already a refuge for a quarter of a million Palestinians and about 100,000 Iraqis who had fled the war and occupation. Formerly prosperous farmers were lucky to get jobs as hawkers or street sweepers. And in the desperation of the times, hostilities erupted among groups that were competing just to survive.
  • And so tens of thousands of frightened, angry, hungry, and impoverished former farmers were jammed into Syria’s towns and cities, where they constituted tinder ready to catch fire.
  • Instead of meeting with the protesters and at least hearing their complaints, the government saw them as subversives. The lesson of Hama must have been at the front of the mind of every member of the Assad regime. Failure to act decisively, Hama had shown, inevitably led to insurrection. Compromise could come only after order was assured. So Bashar followed the lead of his father. He ordered a crackdown. And the army, long frustrated by inaction and humiliated by its successive defeats in confrontation with Israel, responded violently. Its action backfired. Riots broke out all over the country. As they did, the government attempted to quell them with military force. It failed. So, during the next two years, what had begun as a food and water issue gradually turned into a political and religious cause.
  • we don’t know much about the rebels. Hundreds of groups and factions—called “brigades” even when they are just a dozen or so people—have been identified. Some observes believe that there are actually over 1,000 brigades. A reasonable guess is that, including both part-time and full-time insurgents, they number about 100,000 fighters.
  • In Syria, quite different causes of splits among the brigades are evident. To understand the insurgency there, we must look carefully at the causes. The basis is religion
  • During the course of the Assad regime, the interpretation of Islam was undergoing a profound change. This was true not only of Syria but also of understanding, practice, and action in many other areas of the world.
  • tens of thousands of young foreigners flocked to Syria to fight for what they see as a religious obligation (Arabic: fi sabili’llah).
  • in Syria, while many Muslims found the Assad regime acceptable and many even joined its senior ranks, others saw its Alawi and Christian affiliations, and even its secularism and openness to Muslim participation, insupportable.
  • The foreign jihadists, like the more recent nationalists, put their emphasis on a larger-than-Syria range. For them, it is a folk nationalism not only to the Arab world but also to the wider world of Islam, affecting a billion people across the globe. What they seek is a restored Islamic world, a Dar ul-Islam, or a new caliphate.
  • the aims of the two broad groups—the Syrians and the foreigners—have grown apart in a way similar to the split that occurred in Arab nationalism. The Syrians focus on Syria and seek the overthrow of the Assad regime much as their fathers and grandfathers focused on the task of getting the French out of their country—their watan. Their nationalism is single-country oriented
  • all the rebels regard the conflict in Syria as fundamentally a religious issue. Particularly for the native rebels, as I have pointed out, the religious issue is overlaid by ethnic complexities.
  • It would be a mistake to regard the Syrian war, as some outside observers have done, as a fight between the forces of freedom and tyranny. If the opponents of the regime are fighting for some form of democracy, they have yet to make their voices heard.
  • as in Afghanistan, they have fought one another over territory, access to arms, leadership, and division of spoils as bitterly as they have fought their proclaimed enemy. This fracturing has made them impossible to defeat—as the Russians experienced in Afghanistan—but also, so far at least, incapable of governing on a national scale. But they are moving in that direction.
  • All observers agree that the foreign-controlled and foreign-constituted insurgent groups are the most coherent, organized, and effective. This is little short of astonishing as they share no common language and come from a wide variety of cultures.
  • Paradoxically, governments that would have imprisoned the same activists in their own countries have poured money, arms, and other forms of aid into their coffers. The list is long and surprising in its makeup: it includes Turkey; the conservative Arab states, particularly Qatar and Saudi Arabia; the EU member states; and the U.S.
  • The United States has a long history of covertly aiding insurgents in Syria, and has engaged in propaganda, espionage, and various sorts of dirty tricks. The rebels, naturally, have regarded the aid they’ve received as insufficient, while the government has regarded it as a virtual act of war. Both are right: it has not been on a scale that has enabled the rebels to win, but it is a form of action that, had another country engaged in it, seeking to overthrow the government, any American or European administration would have regarded as an act of war under international law.
  • Such covert intervention, and indeed overt intervention, is being justified on two grounds, the first being that the Syrian government is a tyranny. By Western standards, it is undoubtedly an authoritarian regime
  • However, the standards Western nations proclaim have been applied in a highly selective way. The EU and the U.S. enjoy cordial and mutually beneficial relations with dozens of tyrannical governments including most of the countries now attempting to regime-change Syria.              
  • Senior rebels have publicly threatened to carry out a genocide of the country’s main ethnic/religious minority, the Alawis. Scenes being enacted in Syria today recall the massacres and tortures of the wars of religion in 16th- and 17th-century Europe.
  • Most urgent in the minds of the EU and the U.S. is the second justification for intervention: the Syrian government is charged with using illegal chemical weapons. This is a very serious charge. However, doubts remain about who actually used the weapons. And, more importantly, even though the weapons are indeed horrible and are now generally considered illegal, several other states (the U.S., Israel, Egypt, and Iraq) have used them. Terrible as they are, they are only a small part of the Syrian problem—more than 99 percent of the casualties and all of the property damage in the war have been the result of conventional weapons. Getting rid of chemical weapons will neither in and of itself stop the war nor create conditions favorable to a settlement.
  • the cost of the war has been immense. And, of course, it is not over. We have only guesses on the total so far. One estimate is that the war has cost Syria upwards of $150 billion. Whole cities now resemble Stalingrad or Berlin in World War II. More than 2 million people have fled abroad while more than 4 million are internal refugees, remaining in Syria.
  • Lebanon. Even though there is little fighting there, the conflict in Syria is estimated to have cost that little country about $7.5 billion and doubled unemployment to 20 percent. About 1 million Lebanese were already judged by the World Bank as “poor,” and an additional 170,000 are now thought to have been pushed into poverty. The Syrian refugee population in the country has reached at least 1 million, making Syrians now almost a third of the total Lebanese population.
  • In Jordan, the story is similar. Half a million refugees are camped out there. One refugee encampment in the country houses over 100,000 people and has become Jordan’s fifth-largest city
  • However reprehensible the Syrian government may be in terms of democracy, it has not only given refugees and minorities protection but also maintained the part of Syria that it controls as a secular and religiously ecumenical state.
  • Tragic as these numbers are—the worst for nearly a century—factored into them is that Syria has lost the most precious assets of poor countries: most of the doctors and other professionals who had been painstakingly and expensively educated during the last century
  • Even more “costly” are the psychological traumas: a whole generation of Syrians have been subjected to either or both the loss of their homes and their trust in fellow human beings. Others will eventually suffer from the memory of what they, themselves, have done during the fighting. Comparisons are trivial and probably meaningless, but what has been enacted—is being enacted—in Syria resembles the horror of the Japanese butchery of Nanjing in World War II and the massacres in the 1994 Hutu-Tutsi conflict in Rwanda.
  • How the victims and the perpetrators can be returned to a “normal life” will be the lingering but urgent question of coming generations in Syria and elsewhere.
  • one in four or five people in the world today are Muslim: roughly 1.4 billion men, women, and children. That whole portion of the world’s population has its eyes on Syria. What happens there is likely to have a ripple effect across Asia and Africa. Thus, even though it is a small and poor country, Syria is in a sense a focal point of world affairs.
  • Unlike the Iraq and Afghan wars, the Syrian conflict will also have a “blowback” effect on the countries from which the Muslim fundamentalist insurgents come. It is in recognition of this fact that Russian President Vladimir Putin decided to intervene in the Syrian war.
  • Even if fighting dies down, “lasting and bitter war,” like the wars in Iraq and Afghanistan—regardless of what American and European politicians say or even hope—will necessarily involve “boots on the ground.” That is, it will be fought with guerrilla and terrorist tactics on the rebel side against the now-typical counterinsurgency methods on the other side.
  • Javier E on 15 Dec 13
     
    "How drought, foreign meddling, and long-festering religious tensions created the tragically splintered Syria we know today. "
Javier E

What American Healthcare Can Learn From Germany - Olga Khazan - The Atlantic - 0 views

www.theatlantic.com/...360133

germany health-care system us comparative

shared by Javier E on 09 Apr 14 - No Cached
  • Every German resident must belong to a sickness fund, and in turn the funds must insure all comers. They’re also mandated to cover a standard set of benefits, which includes most procedures and medications. Workers pay half the cost of their sickness fund insurance, and employers pay the rest. The German government foots the bill for the unemployed and for children. There are also limits on out-of-pocket expenses, so it’s rare for a German to go into debt because of medical bills.
  • this is very similar to the health-insurance regime that Americans are now living under, now that the Affordable Care Act is four years old and a few days past its first enrollment deadline.
  • There are, of course, a few key differences. Co-pays in the German system are minuscule, about 10 euros per visit. Even those for hospital stays are laughably small by American standards: Sam payed 40 euro for a three-day stay for a minor operation a few years ago
  • ...24 more annotations...
  • nearly five million Americans fall into what’s called the “Medicaid gap”
  • In Germany, employees' premiums are a percentage of their incomes, so low-wage workers simply pay rock-bottom insurance rates.
  • You can think of this setup as the Goldilocks option among all of the possible ways governments can insure health. It's not as radical as single-payer models like the U.K.’s, where the government covers everyone. And it's also not as brutal as the less-regulated version of the insurance market we had before the ACA.
  • Germany actually pioneered this type of insurance—it all started when Otto von Bismarck signed his Health Insurance Bill of 1883 into law. (It’s still known as the “Bismarck model” because of his legacy, and other parts of Europe and Asia have adopted it over the years.)
  • Since there are no provider networks in Germany, doctors don’t know what other providers patients have seen, so there are few ways to limit repeat procedures.
  • All things considered, it’s good to be a sick German. There are no network limitations, so people can see any doctor they want. There are no deductibles, so Germans have no fear of spending hundreds before their insurance ever kicks in.
  • There’s also no money that changes hands during a medical appointment. Patients show their insurance card at the doctor’s office, and the doctors' association pays the doctor using money from the sickness funds. "You don’t have to sit at home and sort through invoices or wonder if you overlooked fine print,”
  • That insurance card, by the way, is good for hospital visits anywhere in Europe.
  • of all of the countries studied, Germans were the most likely to be able to get a same-day or next-day appointment and to hear back from a doctor quickly if they had a question. They rarely use emergency rooms, and they can access doctors after-hours with ease.
  • And Germany manages to put its health-care dollars to relatively good use: For each $100 it spends on healthcare, it extends life by about four months, according to a recent analysis in the American Journal of Public Health. In the U.S., one of the worst-performing nations in the ranking, each $100 spent on healthcare resulted in only a couple of extra weeks of longevity.
  • those differences aside, it’s fair to say the U.S. is moving in the direction of systems like Germany’s—multi-payer, compulsory, employer-based, highly regulated, and fee-for-service.
  • The German government is similarly trying to push more people into “family physician” programs, in which just one doctor would serve as a gatekeeper.
  • like the U.S., Germany may see a shortage of primary-care doctors in the near future, both because primary-care doctors there don’t get paid as much as specialists, and because entrenched norms have prevented physician assistants from shouldering more responsibility
  • With limitations on how much they can charge, German doctors and hospitals instead try to pump up their earnings by performing as many procedures as possible, just like American providers do.
  • With few resource constraints, healthcare systems like America's and Germany's tend to go with the most expensive treatment option possible. An American might find himself in an MRI machine for a headache that a British doctor would have treated with an aspirin and a smile.
  • Similarly, “In Germany, it will always be an operation,” Göpffarth said. “Meanwhile, France and the U.K. tend to try drugs first and operations later.”
  • Perhaps the biggest difference between our two approaches is the extent to which Germany has managed to rein in the cost of healthcare for consumers. Prices for procedures there are lower and more uniform because doctors’ associations negotiate their fees directly with all of the sickness funds in each state. That's part of the reason why an appendectomy costs $3,093 in Germany, but $13,000 in the U.S.
  • “In Germany, there is a uniform fee schedule for all physicians that work under the social code,” Schlette said. “There’s a huge catalogue where they determine meticulously how much is billed for each procedure. That’s like the Bible.”
  • certain U.S. states have tried a more German strategy, attempting to keep costs low by setting prices across the board. Maryland, for example, has been regulating how much all of the state’s hospitals can charge since 1977. A 2009 study published in Health Affairs found that we would have saved $2 trillion if the entire country’s health costs had grown at the same rate as Maryland’s over the past three decades.
  • Now, Maryland is going a step further still, having just launched a plan to cap the amount each hospital can spend, total, each year. The state's hospital spending growth will be limited to 3.58 percent for the next five years. “We know that right now, the more [doctors] do, the more they get paid,” John Colmers, executive director of Maryland’s Health Services Cost Review Commission, told me. “We want to say, ‘The better you do, the better you get paid.’”
  • “The red states are unlikely to follow their lead. The notion that government may be a big part of the solution, instead of the problem, is anathema, and Republican controlled legislatures, and their governors, would find it too substantial a conflict to pursue with any vigor.”
  • no other state has Maryland’s uniform, German-style payment system in place, “so Maryland starts the race nine paces ahead of the other 46 states,” McDonough said.
  • the unique spirit of each country is what ultimately gets in its way. Germany’s more orderly system can be too rigid for experimentation. And America’s free-for-all, where hospitals and doctors all charge different amounts, is great for innovation but too chaotic to make payment reforms stick.
  • rising health costs will continue to be the main problem for Americans as we launch into our more Bismarckian system. “The main challenge you’ll have is price control,” he said. “You have subsidies in health exchanges now, so for the first time, the federal budget is really involved in health expenditure increases in the commercial market. In order to keep your federal budget under control, you’ll have to control prices.”
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