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Javier E

E-Notes: Nightmares of an I.R. Professor - FPRI - 0 views

  • the British, during their late Victorian heyday, believed theirs was the exceptional Land of Hope and Glory, a vanguard of progress and model for all nations.[3] Can it be—O scary thought—that the same faith in Special Providence that inspires energy, ingenuity, resilience, and civic virtue in a nation, may also tempt a people into complacency, arrogance, self-indulgence, and civic vice?
  • what Americans believe about their past is always a powerful influence on their present behavior and future prospects. No wonder we have “culture wars” in which the representation of history is a principal stake.
  • my study of European international relations naturally inclined me to think about foreign policy in terms of Realpolitik, balance of power, geography, contingency, tragedy, irony, folly, unintended consequences, and systemic interaction—all of which are foreign if not repugnant to Americans.
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  • Times were certainly very good in the decade after the 1991 Soviet collapse ended the fifty year emergency that began with Pearl Harbor. So if one accepts my definition of a conservative as “someone who knows things could be worse than they are-period,” then conservatism was never more apt
  • the “third age” neoconservatives ensconced at The Weekly Standard, Commentary, and various think tanks thought Promised Land, Crusader State decidedly inconvenient. They wanted Americans to believe that the United States has always possessed the mission and duty to redeem the whole world by exertion as well as example, and that any American who shirks from that betrays the Founders themselves.[13] They were loudly decrying cuts in defense spending as unilateral disarmament, likening U.S. policies to Britain’s lethargy in the 1930s, and warning of new existential threats on the horizon.
  • what national assets must the United States husband, augment if possible, and take care not to squander? My list was as follows: (1) a strong economy susceptible only to mild recession; (2) robust armed forces boasting technical superiority and high morale designed for winning wars; (3) presidential leadership that is prudent, patriotic, and persuasive; (4) a bipartisan, internationalist consensus in Congress; (5) sturdy regional alliances; (6) engagement to promote balance of power in Europe, East Asia, and the Middle East; (7) strong Pan-American ties to secure of our southern border.
  • t the shock of the 9/11 attacks and the imperative duty to prevent their repetition caused the Bush administration to launch two wars for regime change that eventuated in costly, bloody occupations belatedly devoted to democratizing the whole Middle East. Thus did the United States squander in only five years all seven of the precious assets listed in my 1999 speech.
  • When the other shoe dropped—not another Al Qaeda attack but the 2008 sub-prime mortgage collapse—Americans wrestled anew with an inconvenient truth. Foreign enemies cannot harm the United States more than Americans harm themselves, over and over again, through strategic malpractice and financial malfeasance.
  • Unfortunately, in an era of interdependent globalization vexed by failed states, rogue regimes, ethnic cleansing, sectarian violence, famines, epidemics, transnational terrorism, and what William S. Lind dubbed asymmetrical “Fourth Generation Warfare,” the answer to questions about humanitarian or strategic interventions abroad can’t be “just say no!” For however often Americans rediscover how institutionally, culturally, and temperamentally ill-equipped they are to do nation-building, the United States will likely remain what I (and now Robert Merry) dubbed a Crusader State.
  • the urgent tasks for civilian and military planners are those of the penitent sinner called to confess, repent, and amend his ways. The tasks include refining procedures to coordinate planning for national security so that bureaucratic and interest-group rivalries do not produce “worst of both worlds” outcomes.[22] They include interpreting past counter-insurgencies and postwar occupations in light of their historical particularities lest facile overemphasis on their social scientific commonalities yield “one size fits all” field manuals
  • they include persuading politicians to cease playing the demagogue on national security and citizens to cease imagining every intervention a “crusade” or a “quagmire”
Javier E

Kaiser Permanente Is Seen as Face of Future Health Care - NYTimes.com - 0 views

  • Kaiser has sophisticated electronic records and computer systems that — after 10 years and $30 billion in technology spending — have led to better-coordinated patient care, another goal of the president. And because the plan is paid a fixed amount for medical care per member, there is a strong financial incentive to keep people healthy and out of the hospital, the same goal of the hundreds of accountable care organizations now being created.
  • Kaiser has yet to achieve the holy grail of delivering that care at a low enough cost. He says he and other health systems must fundamentally rethink what they do or risk having cost controls imposed on them either by the government or by employers, who are absorbing the bulk of health insurance costs. “We think the future of health care is going to be rationing or re-engineering,”
  • the way to get costs lower is to move care farther and farther from the hospital setting — and even out of doctors’ offices. Kaiser is experimenting with ways to provide care at home or over the Internet, without the need for a physical office visit at all.
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  • lower costs are going to be about finding ways to get people to take more responsibility for their health — for losing weight, for example, or bringing their blood pressure down.
  • there are other concerns, such as whether an all-encompassing system like Kaiser’s can really be replicated and whether the limits it places on where patients can seek care will be accepted by enough people to make a difference.
  • Or whether, as the nation’s flirtation with health maintenance organizations, or H.M.O.’s, in the 1990s showed — people will balk at the concept of not being able to go to any doctor or hospital of their choice.
  • its integrated model is in favor again. Hospitals across the country are buying physician practices or partnering with doctors and health insurers to form accountable care organizations, or A. C.O.’s, as a way of controlling more aspects of patient care. Doctors are also creating so-called medical homes, where patient care is better coordinated.
  • The days when doctors, hospitals and other providers are paid separately for each procedure will disappear eventually, health experts say. Instead, providers will have financial incentives to encourage them to keep people healthy, including lump sums to care for patients or provide comprehensive care for a specific condition. “All of care is going to move down this path, and it has to,” Mr. Halvorson said. “Medical homes are doing it; the very best A. C.O’s are going to figure out how to do it.”
  • there are downsides to the creation of large health care systems that may be motivated by the desire to increase their clout in the market, making it easier to fill beds and charge the insurers more for care. “They become these huge local monopolies,”
  • “We have all the pieces,” said Philip Fasano, Kaiser’s chief information officer. “Anything a patient needs you get in the four walls of our offices,
  • its plans are typically at least 10 percent less expensive than others, especially where they control all the providers
  • Kaiser has also been using the information to identify those doctors or clinics that excel in certain areas, as well as those in need of improvement. The organization has also used the records to change how it delivers care, identifying patients at risk for developing bed sores in the hospital and then sending electronic alerts every two hours to remind the nurses to turn the patients. The percentage of patients with serious pressure ulcers, or bed sores, dropped to well under 1 percent from 3.5 percent.
grayton downing

For Obama's Global Vision, Daunting Problems - NYTimes.com - 0 views

  • President Obama, in one of his most significant speeches since taking office, did not simply declare an end to the post-9/11 era on Thursday. He also offered a vision of America’s role in the world that he hopes could be one of his lasting legacies.
  • there are a multitude of hurdles to Mr. Obama’s goal of taking America off “perpetual war footing.”
  • Of all these threats, Mr. Rhodes said the White House was most worried about a surge of extremism in the wake of the Arab Spring. And yet the bloodiest of those conflicts, in Syria, reveals the limits of Mr. Obama’s policy.
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  • At the same time, Mr. Obama put renewed emphasis on diplomacy and foreign aid
  • saying
  • In a White House “fact sheet” issued Thursday about new standards for lethal operations, the administration cautioned that “these new standards and procedures do not limit the president’s authority to take action in extraordinary circumstances when doing so is both lawful and necessary to protect the United States or its allies.”
  • sayin
  • What we’re trying to do with our strategy is turn it back over to the host country and local forces,”
  • Left unsaid in Mr. Obama’s speech was one of the biggest motivations for his new focus: a desire to extricate the United States from the Middle East so that it can focus on the faster-growing region of Asia. It is a dream that has tempted presidents for a generation.
  • “We’d like to leave office with a foreign policy that is not unnecessarily consumed with a militia controlling a piece of desert.”
Javier E

The Ghosts of Europe Past - NYTimes.com - 0 views

  • similarities with the Holy Roman Empire — which at its greatest extent encompassed almost all of Central Europe — exist at many levels.
  • Today’s European Council, at which the union’s member states gather, reminds one of the old Reichstag, where the representatives of the German cities and principalities met to deliberate matters of mutual concern.
  • like the European project, which originated in a determination to banish war after 1945, the “modern” Holy Roman Empire, which was reformed by the 1648 Treaty of Westphalia, was intended to defuse the domestic German antagonisms that had culminated in the traumatic Thirty Years’ War.
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  • Both the European Union and the empire are characterized by interminable and inconclusive debate.
  • the Holy Roman Empire proved too weak to contain over-mighty members like Prussia and Austria. Fears of partition and collapse abounded.
  • In the Federalist Papers, James Madison and Alexander Hamilton looked at the federal system of the Holy Roman Empire, but they found it to be “a nerveless body, incapable of regulating its own members, insecure against external dangers, and agitated with unceasing fermentations in its own bowels.”
  • Like the old empire, the union has become preoccupied with legality and procedure at the expense of participation and effectiveness. This renders the euro zone cumbersome in the face of competition from the east and causes the bond markets to doubt its creditworthiness
  • Rather than digging themselves into a deeper recession and democratic deficit through austerity measures, the states in the common currency need to form a full and mighty union on Anglo-American lines. They must create a strong executive presidency elected by popular vote across the euro zone, a truly empowered house of citizens elected according to population and a senate representing the regions.
  • The existing sovereign debts should be federalized through a “Union Bond,” with a strict subsequent debt ceiling for the member state governments. There will have to be a single European military and one language of government and politics: English.
Javier E

Examinations of Health Care Overlook Mergers - NYTimes.com - 0 views

  • What is missing from the stampede of policy innovation is something to tackle one of the best-known causes of high costs in the book: excessive market concentration.
  • The share of metropolitan areas with highly concentrated hospital markets, by the standards of antitrust enforcers at the Justice Department and the Federal Trade Commission, rose to 77 percent from 63 percent over the period.
  • And consolidation is continuing. Professor Gaynor counts more than 1,000 hospital system mergers since the mid-1990s, often involving dozens of hospitals. In 2002 doctors owned about three in four physician practices. By 2008 more than half were owned by hospitals.
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  • If there is one thing that economists know, it is that market concentration drives prices up — and quality and innovation down.
  • hospitals raise prices by about 40 percent after the merger of nearby rivals.
  • Other studies have found that hospital mergers increase the number of uninsured in the vicinity. Still others even suggest that market concentration may hurt the quality of care.
  • recent evidence suggests that health care costs are not being driven by intensive use of high-tech procedures as much as by rising prices for even the most humdrum treatments, which are today among the most expensive in the world.
  • the rising health care spending of Americans under 65 in the last two years has been driven entirely by rising prices; not by more use. The unit price of inpatient care jumped 5.9 percent last year, while the price for outpatient services increased 9.6 percent.
  • Corporate America could help more. Large companies, like Wal-Mart Stores, Lowe’s and PepsiCo, have cut deals with hospitals like the Mayo Clinic or the Cleveland Clinic to provide specialized care, including cardiac care or spinal surgery, for all their workers across the nation. This will allow them to get around the market power of local hospitals. Others could follow their example.
  • The Affordable Care Act could help reduce prices too. Forced to compete on price, plans in the new health insurance exchanges will pressure medical providers to limit costs, much as H.M.O.’s did briefly in the 1990s. The “Cadillac tax” on high-end health plans will also encourage some companies to drop high-priced policies.
  • Merger activity has jumped in anticipation of the law’s coming fully into effect. “Hospitals want to maintain their revenue streams and enhance their bargaining leverage,” said Professor Gaynor. “This is a way to do so.”
Javier E

The Solitary Leaker - NYTimes.com - 0 views

  • If you live a life unshaped by the mediating institutions of civil society, perhaps it makes sense to see the world a certain way: Life is not embedded in a series of gently gradated authoritative structures: family, neighborhood, religious group, state, nation and world. Instead, it’s just the solitary naked individual and the gigantic and menacing state.
  • This lens makes you more likely to share the distinct strands of libertarianism that are blossoming in this fragmenting age: the deep suspicion of authority, the strong belief that hierarchies and organizations are suspect, the fervent devotion to transparency, the assumption that individual preference should be supreme.
  • Big Brother is not the only danger facing the country. Another is the rising tide of distrust, the corrosive spread of cynicism, the fraying of the social fabric and the rise of people who are so individualistic in their outlook that they have no real understanding of how to knit others together and look after the common good.
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  • For society to function well, there have to be basic levels of trust and cooperation, a respect for institutions and deference to common procedures. By deciding to unilaterally leak secret N.S.A. documents, Snowden has betrayed all of these things.
Javier E

We Have To End Republican Nihilism - The Dish | By Andrew Sullivan - The Daily Beast - 1 views

  • There are two procedural issues on which, it seems to me, true conservatives should be outraged at Republicans. The first is the massive, unprecedented, destructive and radical use of a non-filibuster filibuster to make the Senate unable to pass anything significant without 60 votes, rather than 51 (or 50 with the veep). This is not conservative. It's a blatant attack on tradition in defense of pure partisanship.
  • Most Americans aren't fully aware that a filibuster today doesn't need even a few minutes of what we always thought of as filibustering. The filibusterers barely have to speak at all. They just have to signal their intent to, and the entire legislative process grinds to a halt. This gives a minority party a near-veto that should be solely the preserve of the president. That's an attack on our Constitution. Expose them, Mr President, as the revolutionaries they are. Mock them. Expose their laziness and obstructionism at a time when a huge majority wants compromise; and the country and the world need it.
  • The second is the outrageous ploy to threaten to destroy the country's credit rating every time there is a conflict over debt. This is a form of legislative terrorism. It is an attack on the entire country in defense of a single fanatical faction.
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  • we should be clear what using the debt ceiling as blackmail really is; it is not an attempt to cut spending, which is accomplished through budget legislation. It is a refusal to make good on the very decisions the Congress has already made on spending and taxation. It is the equivalent of not paying your rent as a way to protest the price you already signed up for. It's grotesquely irresponsible, and after the last election, reflects a near delusional amnesia and contempt for the voters.
  • When you see a political party that openly flaunts these attacks on the American constitutional balance and the country's credit for purely partisan reasons, you begin to see how deep the rot has gone. This is not a party worthy of any role in government. It's a destructive, self-interested faction, threatening the stability of this country's constitution and economy. Obama is absolutely right not to yield on this. This anti-conservative radicalism is anti-American, uncivil and unpatriotic.
Javier E

Senate Votes to Extend Electronic Surveillance Authority - NYTimes.com - 0 views

  • Congress gave final approval on Friday to a bill extending the government’s power to intercept electronic communications of spy and terrorism suspects, after the Senate voted down proposals from several Democrats and Republicans to increase protections of civil liberties and privacy.
  • clearing it for approval by President Obama, who strongly supports it. Intelligence agencies said the bill was their highest legislative priority.
  • Congressional critics of the bill said that they suspected that intelligence agencies were picking up the communications of many Americans, but that they could not be sure because the agencies would not provide even rough estimates of how many people inside the United States had had communications collected under authority of the surveillance law, known as the Foreign Intelligence Surveillance Act.
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  • The Foreign Intelligence Surveillance Act was adopted in 1978 and amended in 2008, with the addition of new surveillance authority and procedures, which are continued by the bill approved on Friday. The 2008 law was passed after the disclosure that President George W. Bush had authorized eavesdropping inside the United States, to search for evidence of terrorist activity, without the court-approved warrants ordinarily required for domestic spying.
  • By a vote of 52 to 43, the Senate on Friday rejected a proposal by Mr. Wyden to require the national intelligence director to tell Congress if the government had collected any domestic e-mail or telephone conversations under the surveillance law. The Senate also rejected, 54 to 37, an amendment that would have required disclosure of information about significant decisions by a special federal court that reviews applications for electronic surveillance in foreign intelligence cases.
  • The No. 2 Senate Democrat, Richard J. Durbin of Illinois, said the surveillance law “does not have adequate checks and balances to protect the constitutional rights of innocent American citizens.” “It is supposed to focus on foreign intelligence,” Mr. Durbin said, “but the reality is that this legislation permits targeting an innocent American in the United States as long as an additional purpose of the surveillance is targeting a person outside the United States.”
  • Mr. Merkley said the administration should provide at least unclassified summaries of major decisions by the Foreign Intelligence Surveillance Court. “An open and democratic society such as ours should not be governed by secret laws,” Mr. Merkley said, “and judicial interpretations are as much a part of the law as the words that make up our statute.”
  • Mr. Wyden said these writs reminded him of the “general warrants that so upset the colonists” more than 200 years ago. “The founding fathers could never have envisioned tweeting and Twitter and the Internet,” Mr. Wyden said. “Advances in technology gave government officials the power to invade individual privacy in a host of new ways.”
katyshannon

The Assassination Complex - 0 views

  • DRONES ARE A TOOL, not a policy. The policy is assassination. While every president since Gerald Ford has upheld an executive order banning assassinations by U.S. personnel, Congress has avoided legislating the issue or even defining the word “assassination.” This has allowed proponents of the drone wars to rebrand assassinations with more palatable characterizations, such as the term du jour, targeted killings.”
  • When the Obama administration has discussed drone strikes publicly, it has offered assurances that such operations are a more precise alternative to boots on the ground and are authorized only when an “imminent” threat is present and there is “near certainty” that the intended target will be eliminated. Those terms, however, appear to have been bluntly redefined to bear almost no resemblance to their commonly understood meanings.
  • Additional documents on high-value kill/capture operations in Afghanistan buttress previous accounts of how the Obama administration masks the true number of civilians killed in drone strikes by categorizing unidentified people killed in a strike as enemies, even if they were not the intended targets. The slides also paint a picture of a campaign in Afghanistan aimed not only at eliminating al Qaeda and Taliban operatives, but also at taking out members of other local armed groups.
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  • The Intercept has obtained a cache of secret slides that provides a window into the inner workings of the U.S. military’s kill/capture operations at a key time in the evolution of the drone wars — between 2011 and 2013. The documents, which also outline the internal views of special operations forces on the shortcomings and flaws of the drone program, were provided by a source within the intelligence community who worked on the types of operations and programs described in the slides.
  • The source said he decided to provide these documents to The Intercept because he believes the public has a right to understand the process by which people are placed on kill lists and ultimately assassinated on orders from the highest echelons of the U.S. government. “This outrageous explosion of watchlisting — of monitoring people and racking and stacking them on lists, assigning them numbers, assigning them ‘baseball cards,’ assigning them death sentences without notice, on a worldwide battlefield — it was, from the very first instance, wrong,” the source said.
  • Two sets of slides focus on the military’s high-value targeting campaign in Somalia and Yemen as it existed between 2011 and 2013, specifically the operations of a secretive unit, Task Force 48-4.
  • The first drone strike outside of a declared war zone was conducted more than 12 years ago, yet it was not until May 2013 that the White House released a set of standards and procedures for conducting such strikes. Those guidelines offered little specificity, asserting that the U.S. would only conduct a lethal strike outside of an “area of active hostilities” if a target represents a continuing, imminent threat to U.S. persons,” without providing any sense of the internal process used to determine whether a suspect should be killed without being indicted or tried.
  • One top-secret document shows how the terror “watchlist” appears in the terminals of personnel conducting drone operations, linking unique codes associated with cellphone SIM cards and handsets to specific individuals in order to geolocate them.
  • The ISR study also reveals new details about the case of a British citizen, Bilal el-Berjawi, who was stripped of his citizenship before being killed in a U.S. drone strike in 2012. British and American intelligence had Berjawi under surveillance for several years as he traveled back and forth between the U.K. and East Africa, yet did not capture him. Instead, the U.S. hunted him down and killed him in Somalia.
  • Taken together, the secret documents lead to the conclusion that Washington’s 14-year high-value targeting campaign suffers from an overreliance on signals intelligence, an apparently incalculable civilian toll, and — due to a preference for assassination rather than capture — an inability to extract potentially valuable intelligence from terror suspects.
  • They also highlight the futility of the war in Afghanistan by showing how the U.S. has poured vast resources into killing local insurgents, in the process exacerbating the very threat the U.S. is seeking to confront.
  • These secret slides help provide historical context to Washington’s ongoing wars, and are especially relevant today as the U.S. military intensifies its drone strikes and covert actions against ISIS in Syria and Iraq. Those campaigns, like the ones detailed in these documents, are unconventional wars that employ special operations forces at the tip of the spear.
  • Whether through the use of drones, night raids, or new platforms yet to be unleashed, these documents lay bare the normalization of assassination as a central component of U.S. counterterrorism policy.
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    The Intercept's release of top-secret government documents detailing U.S. drone strikes in the Middle East and Africa.
abbykleman

After Senate tribute, Joe Biden jokes about 2020 run. Or maybe he wasn't joking. - 0 views

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    Vice President Biden made an emotional return to the Senate Monday evening to preside over a key procedural vote on a sweeping medical research bill that includes $1.8 billion for the "cancer moonshot" he launched after his son, Beau, died of a brain tumor last year.
davisem

Senate Takes Major Step Toward Repealing Health Care Law - 0 views

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    The action by the Senate is essentially procedural, setting the stage for a special kind of legislation called a reconciliation bill. Such a bill can be used to repeal significant parts of the health law and, critically, is immune from being filibustered. Congress appears to be at least weeks away from voting on legislation repealing the law.
lindsayweber1

Obama warns Trump must improve relations with intel community - POLITICO - 0 views

  • Trump will need to alter his improvisational style and develop a better relationship with the intelligence community, Obama told CBS’s "60 Minutes."
  • “You're not going to be able to make good decisions without building some relationship of trust between yourself and that community,” Obama said. That’s “not yet” happening, he said while noting that Trump “hasn’t gotten sworn into office yet.”
  • Obama acknowledged that Trump may not be inclined to follow traditional procedures, given his success with his “improvisational candidacy.” But Obama said he didn’t think one could run an improvisational presidency.
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  • “The one thing I've said to him directly, and I would advise my Republican friends in Congress and supporters around the country, is just make sure that, as we go forward, certain norms, certain institutional traditions, don't get eroded, because there's a reason they're in place.”
  • Obama is also clearly still frustrated with how Republicans handled his Supreme Court nominee. “The fact that Mitch McConnell--the leader of the Republicans--was able to just stop a nomination almost a year before the next election and really not pay a political price for it,” Obama said. “That's a sign that the incentives for politicians in this town to be so sharply partisan have gotten so out of hand that we're weakening ourselves.”
  • What “disturbed me the most,” Obama said, about the intelligence finding that Russia tried to undermine the U.S. election was the response by some Republicans and, implicitly, Trump.
  • “In some circles, you've seen people suggest that Vladimir Putin has more credibility than the U.S. government. I think that's something new,” Obama said. “And I think it's a measure of how the partisan divide has gotten so severe that people forget we're on the same team.”
  • “Don't underestimate the guy,” Obama said. “Because he's going to be 45th president of the United States.”
cjlee29

U.S. Struggles With Goal of Admitting 10,000 Syrians - The New York Times - 0 views

  • eight months into an effort to resettle 10,000 Syrian refugees in the United States, Mr. Obama’s administration has admitted just over 2,500.
  • facing intense criticism from allies in Congress and advocacy groups about his administration’s treatment of migrants.
  • warn that the president, who will host a summit meeting on refugees in September during the United Nations General Assembly session, risks undercutting his influence on the issue at a time when American leadership is needed to counteract a backlash against refugees.
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  • Donald J. Trump
  • The delay is frustrating for Mr. Obama, who has made a point of speaking out against anti-immigrant sentiment both in the United States and abroad
  • resettled so few refugees and we’re employing a deterrence strategy to refugees on our Southern border, I wouldn’t think we’d be giving advice to any other nations about doing better
  • The Central American migrants pouring across the Southern border pose a different but no less challenging problem
  • White House officials concede that the challenging election-year politics surrounding the issue — 47 House Democrats joined Republicans in November in voting for legislation to further tighten the screening process
  • — make it impossible to quickly take in substantially more Syrians by removing any of the tough vetting procedures.
  • must not fall short of meeting his goal to admit 10,000 Syrian refugees to the United States by the fall.
  • do not necessarily qualify as refugees
  • One method has been to deport those whose asylum claims have been rejected.
  • “We have to control the border, that’s our job
  • Humanitarian groups have denounced the administration’s approach
  • “The Syrian situation is the most pressing humanitarian crisis of our time,”
  • Departments of State and Homeland Security sent a surge of personnel to Jordan this year to interview about 12,000 refugee applicants referred by the Office of the United Nations High Commissioner for Refugees
  • Germany has not said how many refugees it might accept. In 2015, it registered 447,336 new applicants for asylum, about 25 percent of them Syrians.
  • Administration officials argue that Mr. Obama is doing more than most — the United States admits more refugees over all than any other country and is the largest contributor to humanitarian relief.
sarahbalick

'Dentist of horror' Jacobus van Nierop jailed in France - BBC News - 0 views

  • Dentist of horror' Jacobus van Nierop jailed in France
  • Jacobus van Nierop, 51, "took pleasure" in causing horrific injuries to patients in the small central town of Chateau-Chinon, prosecutors said.
  • He was banned from practising dentistry and fined €10,500 (£8,140; $11,900).
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  • Prosecutor Lucile Jaillon-Bru said van Nierop had carried out "useless and painful procedures".
  • One 65-year-old victim said van Nierop had pulled out eight of her teeth in one sitting, telling judges she was "gushing blood for three days... and had no teeth for a year and a half".
  • His defence argued he was suffering "psychological problems". One expert said Van Nierop's "narcissistic tendencies" had stripped him of any moral judgment but another said the defendant was "perfectly aware of what he was doing", AFP news agency reports.
  • Like many parts of rural France, Chateau-Chinon is badly served for medical provision, our correspondent says, adding that locals initially seemed delighted by the hard-working and smiley dentist, a larger-than-life character who witnesses said was rarely seen without his "big 4x4, a big dog and a big cigar".
Javier E

'Hamilton' and 'This Is For My Girls': Examples of How the Obamas Have Used Fame Wisely... - 0 views

  • Gopnik argued that Miranda had completed a long-brewing transition in historical interpretation among liberals from aligning themselves with Thomas Jefferson to aligning themselves with Hamilton:
  • ... a Hamiltonian liberal is an ex-revolutionary who believes that the small, detailed procedural efforts of the federal government to seed and promote prosperity are the ideal use of the executive role. Triumphs of this kind, as the show demonstrates, are so subtle and manifold as to often be largely invisible—and are most often as baffling and infuriating to those whom the change is designed to serve as they are to those whom the compromises are meant to placate.
  • Gopnik suggested that Miranda ended up offering this Obama-friendly message less by design than by intuition
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  • If you look around at the major politically themed works of culture in the past seven years, you often find a similar focus on process, competence, and incremental change for the common good. Steven Spielberg’s Lincoln showed one of the most idealized presidents in bargaining mode; Zero Dark Thirty portrayed the defeat of Osama bin Laden as the result of scut work; even the cynical House of Cards has fun imagining a Democratic president murdering ideology in pursuit of concrete policy achievements.
  • If there’s anything that underlines the idea of hip-hop as a newly universal language, it’s Hamilton—both the musical itself and its conquest of the Great White Way and the White House. To say Obama is responsible for the wider shift in America that has enabled Hamilton’s success would be incorrect, of course. He is a beneficiary of that shift, and he has in turn, subtly, helped it progress further.
Javier E

How Populism Stumbles - The New York Times - 1 views

  • why the weekend frenzy, the screaming headlines, the surge of protest? Because of several features inherent to populism, which tend to undermine its attempts to govern no matter the on-paper popularity of its ideas.
  • First, populism finds its voice by pushing against the boundaries of acceptable opinion. But in the process it often embraces bigotries and extremisms that in turn color the reception of its policies.
  • Second, having campaigned against elites and experts and all their pomps and works, populists imagine that their zeal can carry all before it, that proceduralism and institutional knowledge are for losers and toadies
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  • The great fear among Trump-fearers is that he will deal with this elite opposition by effectively crushing it — purging the deep state, taming the media, remaking the judiciary as his pawn, and routing or co-opting the Democrats. This is the scenario where a surging populism, its progress balked through normal channels, turns authoritarian and dictatorial, ending in the sort of American Putinism that David Frum describes darkly in the latest issue of The Atlantic.
  • Meanwhile, on the other side of the divide, the ascent of populism also creates an unusual level of solidarity among elites, who feel moved to resist
  • finally, because populism thrives on its willingness to shatter norms, it tends to treat this chaos and blowback as a kind of vindication — a sign that it’s on the right track, that its boldness is meeting inevitable resistance from the failed orthodoxies of the past, and so on through a self-comforting litany. That makes it hard for populists to course correct
  • But nothing about Trumpian populism to date suggests that it has either the political skill or the popularity required to grind its opposition down.
  • In which case, instead of Putin, the more relevant case study might be former President Mohamed Morsi of Egypt, the Muslim Brotherhood leader whose brief tenure was defined both by chronic self-sabotage and by the active resistance of the Egyptian bureaucracy and intelligentsia, which rendered governance effectively impossible.
  • what we’ve watched unfold with refugee policy suggests that chaos and incompetence are much more likely to define this administration than any kind of ruthless strength.
lenaurick

How some European countries are tightening their refugee policies - CNN.com - 0 views

  • At least 12,472 refugees and migrants have arrived on Europe's shores since the beginning of 2017, according to the UN refugee agency -- only slightly less than the 12,587 Syrian refugees admitted by the US in all of last year.
  • The UK government recently announced it was halting a program to resettle lone refugee children, after 350 had been brought to Britain. Campaigners had hoped that 3,000 children would benefit from the scheme, introduced last year.
  • In November 2016, the Home Office issued new guidance barring unaccompanied refugees from Afghanistan, Yemen and Eritrea older than 12, who were living in the now-demolished "Jungle" camp at Calais in northern France, from entering the UK if they have no family there.
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  • More than 250,000 people were given refugee status in Germany in 2016, many of whom had arrived the previous year when Chancellor Angela Merkel threw the country's doors open to refugees, but there are signs that attitudes are hardening.
  • This month, Germany also deported a second tranche of asylum seekers to Afghanistan, despite the UNHCR's insistence that "the entire state ... is affected by an armed conflict." The European Council on Refugees and Exiles (ECRE) argues that "by carrying out these deportations, the Federal Ministry of the Interior is completely ignoring the security situation in Afghanistan."
  • A recent report by Amnesty International highlighted the "dire conditions" in Greek camps, citing "overcrowding, freezing temperatures, lack of hot water and heating, poor hygiene, bad nutrition, inadequate medical care, violence and hate-motivated attacks."
  • from March, Germany will begin returning asylum seekers to Greece, if that was the first safe country in which they arrived, a spokeswoman for the German Ministry for the Interior told CNN. This process was halted in 2011 due to "systemic deficiencies in the Greek asylum system."
  • If Europe cannot reliably protect its external borders, De Maiziere said in a speech, Germany will implement "appropriate national border controls against illegal immigration."
  • Italy's chief of police, Franco Gabrielli, has called for the detention and deportation of migrants, who he blames for "instability and threats" in the country. Gabrielli's comments, published in a circular on December 30, 2016, align closely with the government's position.
  • Dutch Prime Minister Mark Rutte has adopted a zero-tolerance approach to immigrants who are unwilling to sign up to the country's way of life, telling those who "refuse to adapt and criticize our values" to "behave normally or go away."
  • The party pledges to invest in caring for refugees in the Middle East in order to reduce the number traveling to Europe.
  • The Hungarian parliament introduced a bill on February 14 that requires the police to deport any person who is in Hungary illegally, without allowing any access to an asylum procedure, according to a written statement by the NGO The Hungarian Helsinki Committee.The bill also requires all asylum applications to be automatically held in detention until their claim is processed, according to the NGO.The NGO describes the proposed changes as "extreme and flagrant violations of European Union asylum law.
Javier E

Can Islamists Be Liberals? - NYTimes.com - 0 views

  • In Tunisia and Egypt, Islamists, who were long perceived as opponents of the democratic system, are now promoting and joyfully participating in it. Even the ultra-Orthodox Salafis now have deputies sitting in the Egyptian Parliament, thanks to the ballots that they, until very recently, denounced as heresy.
  • It was the exclusion and suppression of Islamists by secular tyrants that originally bred extremism.
  • as Fareed Zakaria warned in his 2003 book “The Future of Freedom,” there are illiberal democracies, too, where the majority’s power isn’t checked by constitutional liberalism, and the rights and freedoms of all citizens are not secured. This is a risk for the post-Arab Spring countries, and even for post-Kemalist Turkey. The real debate, therefore, is whether Islam is compatible with liberalism.
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  • The main bone of contention is whether Islamic injunctions are legal or moral categories. When Muslims say Islam commands daily prayers or bans alcohol, are they talking about public obligations that will be enforced by the state or personal ones that will be judged by God?
  • For those who believe the former, Saudi Arabia might look like the ideal state. Its religious police ensure that every Saudi observes every rule that is deemed Islamic
  • By contrast, rather than imposing Islamic practices, the ultra-secular Turkish Republic has for decades aggressively discouraged them
  • there are reasons to worry that illiberal democracy could emerge. For Turkey still suffers from a paranoid nationalism that abhors minority rights, a heavy-handed judiciary designed to protect the state rather than its citizens, and an intolerant political culture that regards any criticism as an attack and sees provocative ideas as criminal.
  • If Turkey succeeds in that liberal experiment, and drafts its new constitution-in-the-making accordingly, it can set a promising example for Islamist-led governments in Tunisia, Egypt and elsewhere. All of these countries desperately need not only procedural democracy, but also liberalism. And there is an Islamic rationale for it as well: Imposed religiosity leads to hypocrisy. Those who hope to nurture genuine religiosity should first establish liberty.
Javier E

The Court Affirms Our Social Contract - The Atlantic - 0 views

  • the federal courts are the guardians of our Constitution. That is certainly true, but it not the whole story. In fact, the most important function of the federal courts is to legitimate state building by the political branches.
  • What is "state building?" Throughout our country's history, government has taken on many new functions. The early 19th century American state actually didn't do very much more than national defense and customs collection. The executive branch was tiny. Over the years, the federal government took on more and more obligations, offering new protections and new services for its citizens. After the Civil War, Congress passed a series of civil rights laws, it created the Interstate Commerce Commission to regulate railroads, it passed an income tax, and early in the twentieth century it created a central bank. State building really took off after the New Deal, which established the modern administrative and regulatory state and added a host of labor and consumer protection regulations, investments in infrastructure, and Social Security. The National Security State was born after World War II, and the 1960s brought new civil rights laws and new social welfare programs through the Great Society. At the turn of the 21st century, the federal government expanded its national security infrastructure even further, implementing vast new surveillance programs and strategies for dealing with terrorism
  • Whenever the federal government expands its capabilities, it changes the nature of the social compact. Sometimes the changes are small, but sometimes, as in the New Deal or the civil rights era, the changes are big. And when the changes are big, courts are called on to legitimate the changes and ensure that they are consistent with our ancient Constitution.
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  • The words "legitmate" and "ratify," however, are ambiguous terms. Courts do not simply rubber stamp what the political branches do. Rather, they set new ground rules. The government may do this as long as it doesn't do that. Legitimation is Janus-faced: it establishes what government can do by establishing what the government cannot do.
  • The real constitutional struggle begins in 1968, when Richard Nixon appointed four new conservative justices to the Court in his first term. These new justices accepted and ratified the changes of the 1960s, but also limited them in important ways. They made clear that the welfare state was constitutionally permissible but not constitutionally required, held that education was not a fundamental right, limited the use of busing to achieve racial integration, and halted the Warren Court's revolution in criminal procedure. The changes in social contract were ratified, but on more conservative terms.
  • Roberts held that the individual mandate could not be justified by Congress's power to regulate interstate commerce. If it was constitutional, it was only as a tax, which gave people a choice to purchase health insurance or pay a small penalty. As I have argued for many years, this is, in fact, the correct interpretation of what the mandate does. Once this point is accepted, the argument for the mandate's constitutionality is straightforward, and Roberts quickly showed why this was true.
  • Roberts' reasoning captures the dual nature of judicial legitimation. He has said to Congress: "You may compel people to enter into commercial transactions like the insurance mandate, but you may not do so as a direct order under the commerce power. Instead, you must do it through the taxing power, always giving people the choice to pay a tax instead. And as long as you structure the mandate as a tax, the people's rights are protected because they always have the right to throw their elected representatives out of office if they don't like the tax." Roberts' opinion thus harks back to a basic source of legitimacy enshrined in the American Revolution: "No taxation without representation."
  • the Medicaid extension. He argued that Congress may create new social programs that expand protection for the poor. But Congress may not tell states that they must accept the new programs or else lose all federal contributions to existing social programs of long standing. The federal government may, if it wants, totally fund the Medicaid extension out of its own pocket without any help from the states. It may abolish the old version of Medicaid and create a new version in its place identical to the expanded version. What it may not do, Roberts argued, is to leverage States' dependence on federal money in established social welfare programs to compel States to participate in new social welfare programs.
Javier E

Geneticist's Research Finds His Own Diabetes - NYTimes.com - 0 views

  • The research team monitored the molecular changes closely as the disease developed. The illness was treated successfully while in its early stages, long before it might have been if Dr. Snyder had relied on a conventional visit to the doctor.
  • Currently, the price of human genome sequencing is typically about $4,000, said George M. Church, a genetics professor at Harvard Medical School. But within a year, he said, it could be down to $1,000 or even less.
  • because he typically schedules checkups with his doctor only once every two or three years, the disease would have long remained undiagnosed had it not been for the case study. “Probably no one would have caught my glucose shooting up for at least 18 to 20 months,” he said. “By then, I could have had damage.”
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  • Dr. Church looks forward to the day when current research becomes a routine clinical procedure that combines inherited genomic information with analyses of RNA, proteins, metabolites and microbes in our bodies.
  • the cost to collect molecular data from each blood sample was about $2,500 — which did not include the cost of analysis. But the price for tests similar to Dr. Snyder’s will also decline in the future
  • Dr. Snyder is a co-founder of a company, Personalis, in Palo Alto, Calif., that is developing software and other tools to interpret genomes after sequencing
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