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rachelramirez

Dying Infants and No Medicine: Inside Venezuela's Failing Hospitals - The New York Times - 0 views

  • Dying Infants and No Medicine: Inside Venezuela’s Failing Hospitals
  • “The death of a baby is our daily bread,” said Dr. Osleidy Camejo, a surgeon in the nation’s capital, Caracas, referring to the toll from Venezuela’s collapsing hospitals.
  • It is just part of a larger unraveling here that has become so severe it has prompted President Nicolás Maduro to impose a state of emergency and has raised fears of a government collapse.
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  • Gloves and soap have vanished from some hospitals. Often, cancer medicines are found only on the black market. There is so little electricity that the government works only two days a week to save what energy is left.
  • At the University of the Andes Hospital in the mountain city of Mérida, there was not enough water to wash blood from the operating table. Doctors preparing for surgery cleaned their hands with bottles of seltzer water.
  • The hospital has no fully functioning X-ray or kidney dialysis machines because they broke long ago. And because there are no open beds, some patients lie on the floor in pools of their blood.
  • This nation has the largest oil reserves in the world, yet the government saved little money for hard times when oil prices were high.
  • So without water, gloves, soap or antibiotics, a group of surgeons prepared to remove an appendix that was about to burst, even though the operating room was still covered in another patient’s blood.
  • Ms. Parucho, a diabetic, was unable to receive kidney dialysis because the machines were broken. An infection had spread to her feet, which were black that night. She was going into septic shock.
  • In a supply room, cockroaches fled as the door swung open.
  • In April, the authorities arrested its director, Aquiles Martínez, and removed him from his post. Local news reports said he was accused of stealing equipment meant for the hospital, including machines to treat people with respiratory illnesses, as well as intravenous solutions and 127 boxes of medicine.
  • A holiday had been declared by the government to save electricity, and the blood bank took donations only on workdays.
  • For the past two and a half months, the hospital has not had a way to print X-rays. So patients must use a smartphone to take a picture of their scans and take them to the proper doctor.
  • Near him, a handwritten sign read, “We sell antibiotics — negotiable.” A black-market seller’s number was listed.
  • The ninth floor of the hospital is the maternity ward, where the seven babies had died the day before. A room at the end of the hall was filled with broken incubators.
  • The day of the power blackout, Dr. Rodríguez said, the hospital staff tried turning on the generator, but it did not work.
katherineharron

The US secured 1 billion doses of Covid-19 vaccines. Medical ethicists say it should sh... - 0 views

  • The US has bought or contracted to buy more than 1 billion doses of coronavirus vaccines. That's enough to vaccinate the US population at least twice, with plenty left over.
  • Medical ethicists told CNN the US has a moral duty to share those doses with other countries.
  • he pandemic is relatively under control in the US while countries like India have been overwhelmed by the virus
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  • "I do believe that the US is obligated to share vaccines with other countries," said Keisha Ray, an assistant professor and bioethicist at UTHealth McGovern Medical School in Houston, "especially those countries we might consider poorer countries or what we call underdeveloped countries."
  • From an ethical perspective, everyone should have access to protection from Covid-19, Kathy Kinlaw, associate director for Emory University's Center for Ethics, told CNN.
  • many countries lack vaccine access because of the "diminished purchasing power for healthcare in general, but also for Covid-19 treatments and vaccin
  • "I think the United States is definitely in a position where we should be sharing, absolutely,"
  • The US is not simply obligated to share vaccines by virtue of its resources, Ray said. Wealthier countries like the US have historically benefited by hindering other countries, she said, whether through government relations or colonialism.
  • "Now we are in a position to give back, we are in a position to go there and help these countries," she said, like "paying our debt." All three agreed it was right for the US to control its virus outbreaks before sharing vaccines. The pandemic is still an issue in the US, Ray said, but conditions have improved greatly.
  • "You need to stabilize your own nation before you assist others," he said. "And I think we're there. I think we're getting there now."
  • The US needs to continue to address vaccine hesitancy at home and be responsive to peoples' concerns, Kinlaw said. "But certainly there could be a point where there are people who will not take the vaccine and we have extra vaccine in this country, in which case it should be used and shared."
  • "Once this happens," the report said, "efforts to encourage vaccination will become much harder, presenting a challenge to reaching the levels of herd immunity that are expected to be needed."
  • One factor in deciding to release extra vaccines is the issue of supply and demand -- specifically, that the former will soon outstrip the latter in the US, Kinlaw said. And that could mean it's time to start shipping spare doses overseas, she said.
  • Data from the US Centers for Disease Control and Prevention shows that 30% of the US population is fully vaccinated. Experts like Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, have estimated the US needs between 70% and 85% of the country to be immune -- either through vaccination or prior infection -- to reach herd immunity.
  • "The world's wealthiest nations have locked up much of the near-term supply," wrote Dr. Krishna Udayakumar and Dr. Mark McClellan, health experts at Duke. "At the current rate vaccines are being administered, 92 of the world's poorest countries won't vaccinate 60% of their populations until 2023 or later."
  • "That is an education, a public outreach and an access issue," she said. "We have other hurdles that are not supply hurdles. So we do have the supply to help other countries."
  • "Epidemiologically, we should be working to suppress the virus and to decrease transmission and decrease the continue evolution of the virus and the variants," she said. "That is going to be beneficial to every single person."
  • But vaccinations everywhere could also present economic benefits, Kinlaw said, allowing people to travel more freely and conduct business around the world.
  • "One of the ethical challenges is, are we going to insist on fair distribution within those countries? Or are we just going to give them vaccine and let them give it to the military and elite?" he said.
  • "It sounds nice to say we're going to aid others, but its simplistic, because some governments are corrupt," he said. "Some governments have no distribution plan other than to give it first to their own leaders, rather than to those in need."
Javier E

A Ray of Hope on Climate Change - NYTimes.com - 0 views

  • The United States is now enduring its warmest year on record, and the 13 warmest years for the entire planet have all occurred since 1998, according to data that stretches back to 1880.  No one day’s weather can be tied to global warming, of course, but more than a decade’s worth of changing weather surely can be, scientists say.
  • Over the last several years, the governments of the United States, Europe and China have spent hundreds of billions of dollars on clean-energy research and deployment. And despite some high-profile flops, like ethanol and Solyndra, the investments seem to be succeeding more than they are failing.
  • the clean-energy push has been successful enough to leave many climate advocates believing it is the single best hope for preventing even hotter summers, more droughts and bigger brush fires. “Carbon pricing is going to have an uphill climb in the U.S. for the foreseeable future,” says Robert N. Stavins, a Harvard economist who is a leading advocate for such pricing, “so it does make sense to think about other things.” Those others things, in the simplest terms, are policies intended to help find a breakthrough technology that can power the economy without heating the planet. “Our best hope,” says Benjamin H. Strauss, a scientist who is the chief operating officer of Climate Central, a research group, “is some kind of disruptive technology that takes off on its own, the way the Internet and the fax took off.”
anonymous

The Most Intimate Portrait Yet of a Black Hole - The New York Times - 0 views

  • The Event Horizon Telescope collaboration, an international team of radio astronomers that has been staring down the throat of a giant black hole for years, on Wednesday published what it called the most intimate portrait yet of the forces that give rise to quasars
  • The black hole in question is a monster 6.5 billion times as massive as the sun, and lies in the center of an enormous elliptical galaxy, Messier 87, about 55 million light-years away in the constellation Virgo.
  • Now, seen through the radio equivalent of polarized sunglasses, the M87 black hole appears as a finely whiskered vortex, like the spinning fan blades of a jet engine, pumping matter into the black hole and energy outward into space.
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  • “Now we can actually see the patterns of these fields in M87 and begin to study how the black hole is funneling material to its center,”
  • Janna Levin, an astrophysicist at Barnard College of Columbia University who studies black holes but was not part of the Event Horizon team, called the results “thrilling,” as they revealed details about how a black hole can create “a lethal, powerful, astronomical ray gun that extends thousands of light-years.”
  • The results were announced on Wednesday in two papers published in the Astrophysical Journal Letters by the Event Horizon Telescope Collaboration, and in a third paper, by Ciriaco Goddi of Radboud University in the Netherlands and a large international cast, that has been accepted by the same journal.
  • “The direction and intensity of the polarization in the image tells us about the magnetic fields near the event horizon of the black hole,” said Andrew Chael, an astrophysicist at Princeton University who is part of the Event Horizon team.
  • Most of that matter falls into the black hole, but some is pushed out, like toothpaste, by enormous pressures and magnetic fields. How all of this energy arises and is marshaled remains unknown to astronomers.
  • In 2009, eager to explore the underlying mechanisms and to verify Einstein’s predictions about black holes, Dr. Doeleman and his colleagues formed the Event Horizon Telescope, an international collaboration that now comprises some 300 astronomers from 13 institutions.
  • Black holes were first “heard” colliding in 2015, by the Laser Interferometer Gravitational-Wave Observatory. Now they could be seen, as an inky portal of nothingness framed by a swirling doughnut of radiant gas in the center of the galaxy Messier 87.
  • It took another two years for researchers to produce the polarized images released on Wednesday.Jets and lobes of radio, X-ray and other forms of energy extend more than 100,000 light-years from the black hole in M87.
  • Black holes are bottomless pits in space-time, where gravity is so powerful that not even light can escape; whatever enters essentially disappears from the universe. The cosmos is littered with black holes.
  • “The E.H.T. images also provide hints that the bright jet in M87 is actually powered from the rotational energy of the black hole, which twists the magnetic fields as it rotates,” said Michael Johnson another Event Horizon member from the Harvard-Smithsonian Center for Astrophysics.
  • Apparently it isn’t terribly hungry; the black hole is eating “a paltry” one-thousandth of the mass of the sun per year.“Yet it’s enough to launch powerful jets that stretch for thousands of light years, and it’s radiant enough for us to capture it with the E.H.T.,” he said.
saberal

Opinion | Policing Is Not Broken, It's 'Literally Designed to Work in This Way' - The N... - 0 views

  • Last week, an anxious America awaited the jury’s decision. Officer Derek Chauvin was convicted on all charges for the murder of George Floyd. But whatever feelings greeted such a rare outcome were short-lived for many. The next day, a Virginia man named Isaiah Brown was on the phone with 911 police dispatch when a sheriff’s deputy shot him 10 times, allegedly mistaking the phone for a gun.
  • Today, I’ve gathered three guests who approach reform differently to see where we agree and don’t. Rashawn Ray is a fellow at the Brookings Institute and a professor of sociology at the University of Maryland. Randy Shrewsberry is a former police officer. He’s now the executive director of the Institute for Criminal Justice Training Reform. And Ash-Lee Woodard Henderson is the first Black woman to serve as co-executive director of the Highlander Research and Education Center in Tennessee, a social justice training center where seminal figures like Rosa Parks trained.
  • Right, I think that we see so much of what policing has looked like, which is about the criminalization of poverty. I think it’s important to note here that this is something that I want to emphasize that police and justice impacts everyone with the cases of someone like Daniel Shaver, who was shot to death while crying on the floor, or Tony Timpa, who is held down by police while they laughed on body cam, and how much of this is the policing of poverty and the policing of what we think police are supposed to be doing is not what they’re doing. And so, Rashawn, I want to hear from you. You’ve done so much work on this. What are your top priorities when it comes to reforming policing?
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  • And I think we’ve seen that there is an expectation in this country of who is supposed to be policed and who is not supposed to be policed, that you’re supposed to go police those people over there, but if you order me to wear a mask, well, that’s just too much here. And we see time and time again that most killings by police start with traffic stops, mental health checks, domestic disturbances, low level offenses. We’ve seen with the cases of Philando Castile and others that traffic stops can be deadly. Randy, where does this come from? Why is the focus on low level offenses and not solving murders? I think a lot of people think that the police are focused on catching criminals, when that’s not really what they do.
  • Yeah. I mean, I think lovingly, I came to this position because we’ve been putting platinum bandaids and piecemeal reforms into place. And it hasn’t made policing any better for Black people or poor people or immigrant people, right? When we talk about defunding the police, we’re not just talking about the sheriff in your county or the P.D. in your inner city neighborhood. We’re talking about the state police. We’re talking about Capitol police who we literally watched hand-walk insurrectionists out of the Capitol on January 6. We’re talking about immigrant communities that are impacted by I.C.E., right? We’re talking about Customs and Border Patrol.
  • And the roots are embedded in white supremacy ideology that oftentimes we’re unwilling to admit. The other thing, good apples can’t simply override bad apples. Yes, overwhelmingly, officers get into it because they want to protect and serve. But we just heard from Randy what happens in that process. Good apples become poisoned. And they also can at times become rotten themselves. Because part of what happens is that they get swallowed up in the system. And due to qualified immunity, they are completely alleviated from any sort of financial culpability. And I think insurances can be a huge way to increase accountability.
  • So part of what we have to think through is better solutions. And what the research I’ve conducted suggests is that if we reallocate some of those calls for service, not only are there better people in the social service sector, such as mental health specialists or Department of Transportation better equipped to handle those things, but also police officers can then focus on the more violent crimes and increasing that clearance rate.
  • That’s how we got Ferguson, right? That’s how we ended up with the death of Michael Brown. So what all of this led me to is when you follow the money, just over the past five years, in the major 20 metropolitan areas in the United States, taxpayers have paid out over $2 billion with a B in settlements for police misconduct. Oftentimes, people are paying for their own brutality, so outside of police budgets, which have swelled over the past three decades. I mean, you have everything from over 40 percent in Oakland to well over 35 percent in cities like Chicago and Minneapolis, that these civilian payouts don’t even come from the police budget. And what it led me to is that if we had police department insurance policies, if we had more police officer malpractice individual liability insurance, we would see not only a shift in financial culpability, but also a shift in accountability.
  • How do we keep people safe if we defund the police? But I bet if I asked you, Jane or Rashawn or Randy, to close your eyes and tell me a time where you felt safe, what did it feel like, you wouldn’t tell me that there was a cop there. And if it was, it would probably be because that cop might have been your dad or your mom or your aunt or your uncle, right? Not because they were in their uniform in a cop car policing somebody else. So quite frankly, I think the only solution to policing in this country is abolition. And how do we get there through divestment and investment is really super clear.
  • Do I think that we can reform our way out of the crisis of policing in this country? I do not. And I don’t because I’ve seen so many times us try. I’ve seen us say that if we just trained them more, it would be different. I’ve seen us say, if we just banned no-knock warrants, it would be different. I’ve seen us say, if we just got body cams on these cops, which is more and more and more money going to policing, but what we’ve seen is that that hasn’t distracted or detracted them because they can continue to use reasonable force as their get out of jail and accountability-free card. So I just don’t believe that the data shows that reforming our way out of policing is keeping Black people free and alive.
  • But you know what? They did. But you know what also survived those historical periods? Law enforcement. You know why? Because law enforcement is the gatekeeper of legalized state sanctioned violence. Law enforcement abolition probably requires a revolution we haven’t seen before. Part of what abolitionists also want — because I think there are two main camps. There are some that are like, law enforcement shouldn’t exist. Prisons shouldn’t exist. There are others who are like, look, we need to reimagine it. Like those rotten trees, we need to cut it down. When you deal with a rotten tree or a rotten plant, simply cutting it down doesn’t make it go away. The roots come back, right? And oftentimes, the plant comes back stronger. And interestingly, it comes back in a different form, like it’s wrapped in a different package. And so, but there are some people who say, how about we address abolition from the standpoint of abolishing police departments as they currently stand and reimagining and rebuilding public safety in a way that’s different? See, even the terminology we use is really important — policing, law enforcement, public safety. Part of reimagining law enforcement is reimagining the terms we use for what safety means. And how I think about it is, who has the right to truly express their First Amendment right and be verbally and/or nonviolently expressive? It’s not illegal to be combative.
  • And one of my colleagues was reading a clip. And he was saying, yeah, we need more police surveillance. We need to make sure that we watch what they’re doing. We need more training. This clip was from the 1980s, almost around the same time where Ash was talking about she was born.
  • The United States taxpayer is essentially asked to foot this impossible and never-ending bill to maintain this failed system of policing, right? I want to pull a little bit on Randy’s last point and what Dr. Ray raised about guns as well. It’s like even Forbes, I think, last week mentioned that more than one mass shooting per day has occurred in 2021. And so if cops keep me safe from gun violence, this stat wouldn’t be real, right? So if police officers were keeping Black people safe from gun violence, the world will be a very different place. And I doubt we would be having this conversation in the first place. We’ve got to actually be innovative beyond the request for support for more money for more trainings, for more technology. And so, quite frankly, when we think about what’s happening on the federal level legislatively right now with the Justice and Policing Act, I think the movement for Black — well, not I think — I know the movement for Black Lives unequivocally doesn’t support it. Because, again, it’s an attempt at 1990 solutions to a 2021 problem
  • If you want to learn more about police reform, I recommend reading the text of the George Floyd Justice and Policing Act of 2021. I also recommend The New York Times Magazine piece that features a roundtable of experts and organizers. It’s called, “The message is clear: policing in America is broken and must change.
magnanma

The History of the Computer Keyboard - 1 views

  • The history of the modern computer keyboard begins with a direct inheritance from the invention of the typewriter. It was Christopher Latham Sholes who, in 1868, patented the first practical modern typewriter. Soon after, in 1877, the Remington Company began mass marketing the first typewriters.
  • In 1948, another computer called the Binac computer used an electro-mechanically controlled typewriter to input data directly onto magnetic tape in order to feed in computer data and print results
  • the original QWERTY layout, which remains the most popular keyboard layout on devices of many types throughout the English-speaking world. QWERTY's current acceptance has been attributed to the layout being "efficient enough" and "familiar enough" to hinder the commercial viability of competitors.
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  • One of the first breakthroughs in keyboard technology was the invention of the teletype machine. Also referred to as the teleprinter, the technology has been around since the mid-1800s and was improved by inventors such as Royal Earl House, David Edward Hughes, Emile Baudot, Donald Murray, Charles L. Krum, Edward Kleinschmidt, and Frederick G. Creed.
  • In the 1930s, new keyboard models were introduced that combined the input and printing technology of typewriters with the communications technology of the telegraph. Punch-card systems were also combined with typewriters to create what were known as keypunches. These systems became the basis of early adding machines (early calculators), which were hugely commercially successful. By 1931, IBM had registered more than $1 million in adding machine sales.
  • The most compelling explanation is that Sholes developed the layout to overcome the physical limitations of mechanical technology at the time. Early typists pressed a key which would, in turn, push a metal hammer that rose up in an arc, striking an inked ribbon to make a mark on a paper before returning to its original position. Separating common pairs of letters minimized the jamming of the mechanism.
  • The system encouraged the development of a new user interface called the video display terminal (VDT), which incorporated the technology of the cathode ray tube used in televisions into the design of the electric typewriter. This allowed computer users to see what text characters they were typing on their display screens for the first time, which made text assets easier to create, edit, and delete.
  • The first of handheld devices was the HP95LX, released in 1991 by Hewlett-Packard. It had a hinged clamshell format that was small enough to fit in the hand. Although not yet classified as such, the HP95LX was the first of the Personal Data Assistants (PDA). It had a small QWERTY keyboard for text entry, although touch typing was practically impossible due to its small size.
  • As PDAs began to add web and email access, word processing, spreadsheets, personal schedules, and other desktop applications, pen input was introduced. The first pen input devices were made in the early 1990s, but the technology to recognize handwriting was not robust enough to be effective.
  • One fairly popular method was the "soft keyboard." A soft keyboard is one that has a visual display with built-in touchscreen technology. Text entry is performed by tapping on keys with a stylus or finger. The soft keyboard disappears when not in use.
Javier E

The super-rich 'preppers' planning to save themselves from the apocalypse | The super-r... - 0 views

  • at least as far as these gentlemen were concerned, this was a talk about the future of technology.
  • Taking their cue from Tesla founder Elon Musk colonising Mars, Palantir’s Peter Thiel reversing the ageing process, or artificial intelligence developers Sam Altman and Ray Kurzweil uploading their minds into supercomputers, they were preparing for a digital future that had less to do with making the world a better place than it did with transcending the human condition altogether. Their extreme wealth and privilege served only to make them obsessed with insulating themselves from the very real and present danger of climate change, rising sea levels, mass migrations, global pandemics, nativist panic and resource depletion. For them, the future of technology is about only one thing: escape from the rest of us.
  • These people once showered the world with madly optimistic business plans for how technology might benefit human society. Now they’ve reduced technological progress to a video game that one of them wins by finding the escape hatch.
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  • these catastrophising billionaires are the presumptive winners of the digital economy – the supposed champions of the survival-of-the-fittest business landscape that’s fuelling most of this speculation to begin with.
  • What I came to realise was that these men are actually the losers. The billionaires who called me out to the desert to evaluate their bunker strategies are not the victors of the economic game so much as the victims of its perversely limited rules. More than anything, they have succumbed to a mindset where “winning” means earning enough money to insulate themselves from the damage they are creating by earning money in that way.
  • Never before have our society’s most powerful players assumed that the primary impact of their own conquests would be to render the world itself unliveable for everyone else
  • Nor have they ever before had the technologies through which to programme their sensibilities into the very fabric of our society. The landscape is alive with algorithms and intelligences actively encouraging these selfish and isolationist outlooks. Those sociopathic enough to embrace them are rewarded with cash and control over the rest of us. It’s a self-reinforcing feedback loop. This is new.
  • So far, JC Cole has been unable to convince anyone to invest in American Heritage Farms. That doesn’t mean no one is investing in such schemes. It’s just that the ones that attract more attention and cash don’t generally have these cooperative components. They’re more for people who want to go it alone
  • C is no hippy environmentalist but his business model is based in the same communitarian spirit I tried to convey to the billionaires: the way to keep the hungry hordes from storming the gates is by getting them food security now. So for $3m, investors not only get a maximum security compound in which to ride out the coming plague, solar storm, or electric grid collapse. They also get a stake in a potentially profitable network of local farm franchises that could reduce the probability of a catastrophic event in the first place. His business would do its best to ensure there are as few hungry children at the gate as possible when the time comes to lock down.
  • Most billionaire preppers don’t want to have to learn to get along with a community of farmers or, worse, spend their winnings funding a national food resilience programme. The mindset that requires safe havens is less concerned with preventing moral dilemmas than simply keeping them out of sight.
  • Rising S Company in Texas builds and installs bunkers and tornado shelters for as little as $40,000 for an 8ft by 12ft emergency hideout all the way up to the $8.3m luxury series “Aristocrat”, complete with pool and bowling lane. The enterprise originally catered to families seeking temporary storm shelters, before it went into the long-term apocalypse business. The company logo, complete with three crucifixes, suggests their services are geared more toward Christian evangelist preppers in red-state America than billionaire tech bros playing out sci-fi scenarios.
  • Ultra-elite shelters such as the Oppidum in the Czech Republic claim to cater to the billionaire class, and pay more attention to the long-term psychological health of residents. They provide imitation of natural light, such as a pool with a simulated sunlit garden area, a wine vault, and other amenities to make the wealthy feel at home.
  • On closer analysis, however, the probability of a fortified bunker actually protecting its occupants from the reality of, well, reality, is very slim. For one, the closed ecosystems of underground facilities are preposterously brittle. For example, an indoor, sealed hydroponic garden is vulnerable to contamination. Vertical farms with moisture sensors and computer-controlled irrigation systems look great in business plans and on the rooftops of Bay Area startups; when a palette of topsoil or a row of crops goes wrong, it can simply be pulled and replaced. The hermetically sealed apocalypse “grow room” doesn’t allow for such do-overs.
  • while a private island may be a good place to wait out a temporary plague, turning it into a self-sufficient, defensible ocean fortress is harder than it sounds. Small islands are utterly dependent on air and sea deliveries for basic staples. Solar panels and water filtration equipment need to be replaced and serviced at regular intervals. The billionaires who reside in such locales are more, not less, dependent on complex supply chains than those of us embedded in industrial civilisation.
  • If they wanted to test their bunker plans, they’d have hired a security expert from Blackwater or the Pentagon. They seemed to want something more. Their language went far beyond questions of disaster preparedness and verged on politics and philosophy: words such as individuality, sovereignty, governance and autonomy.
  • it wasn’t their actual bunker strategies I had been brought out to evaluate so much as the philosophy and mathematics they were using to justify their commitment to escape. They were working out what I’ve come to call the insulation equation: could they earn enough money to insulate themselves from the reality they were creating by earning money in this way? Was there any valid justification for striving to be so successful that they could simply leave the rest of us behind –apocalypse or not?
Javier E

No Rich Child Left Behind - NYTimes.com - 0 views

  • In the 1980s, on an 800-point SAT-type test scale, the average difference in test scores between two such children would have been about 90 points; today it is 125 points. This is almost twice as large as the 70-point test score gap between white and black children. Family income is now a better predictor of children’s success in school than race.
  • e proportion of students from upper-income families who earn a ba
  • chelor’s degree has increased by 18 percentage points over a 20-year period, while the completion rate of poor students has grown by only 4 points.
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  • new research by the Harvard political scientist Robert D. Putnam and his colleagues shows that the rich-poor gaps in student participation in sports, extracurricular activities, volunteer work and church attendance have grown sharply as well.
  • average test scores on the National Assessment of Educational Progress, the so-called Nation’s Report Card, have been rising — substantially in math and very slowly in reading — since the 1970s.
  • The most potent development over the past three decades is that the test scores of children from high-income families have increased very rapidly.
  • the rich now outperform the middle class by as much as the middle class outperform the poor. Just as the incomes of the affluent have grown much more rapidly than those of the middle class over the last few decades, so, too, have most of the gains in educational success accrued to the children of the rich.
  • For the past few years, alongside other scholars, I have been digging into historical data to understand
  • It’s not just that the rich have more money than they used to, it’s that they are using it differently. This is where things get really interesting.
  • The widening income disparity in academic achievement is not a result of widening racial gaps in achievement, either. The achievement gaps between blacks and whites, and Hispanic and non-Hispanic whites have been narrowing slowly over the last two decade
  • schools don’t seem to produce much of the disparity in test scores between high- and low-income students.
  • That isn’t to say that there aren’t important differences in quality between schools serving low- and high-income students — there certainly are — but they appear to do less to reinforce the trends than conventional wisdom would have us believe.
  • The academic gap is widening because rich students are increasingly entering kindergarten much better prepared to succeed in school than middle-class students. This difference in preparation persists through elementary and high school.
  • one part of the explanation for this is rising income inequality
  • the incomes of the rich have grown faster over the last 30 years than the incomes of the middle class and the poor. Money helps families provide cognitively stimulating experiences for their young children because it provides more stable home environments, more time for parents to read to their children, access to higher-quality child care and preschool
  • The average 9-year-old today has math skills equal to those her parents had at age 11, a two-year improvement in a single generation. The gains are not as large in reading and they are not as large for older students, but there is no evidence that average test scores have declined over the last three decades for any age or economic group.
  • High-income families are increasingly focusing their resources — their money, time and knowledge of what it takes to be successful in school — on their children’s cognitive development and educational success. They are doing this because educational success is much more important than it used to be, even for the rich.
  • even though middle-class and poor families are also increasing the time and money they invest in their children, they are not doing so as quickly or as deeply as the rich.
  • from 1972 to 2006 high-income families increased the amount they spent on enrichment activities for their children by 150 percent, while the spending of low-income families grew by 57 percent over the same time period
  • the amount of time parents spend with their children has grown twice as fast since 1975 among college-educated parents as it has among less-educated parents.
  • much of our public conversation about education is focused on the wrong culprits: we blame failing schools and the behavior of the poor for trends that are really the result of deepening income inequality and the behavior of the rich.
  • not only are the children of the rich doing better in school than even the children of the middle class, but the changing economy means that school success is increasingly necessary to future economic success, a worrisome mutual reinforcement of trends that is making our society more socially and economically immobile.
  • the rapid growth in the rich-poor educational gap provides a ray of hope: if the relationship between family income and educational success can change this rapidly, then it is not an immutable, inevitable pattern. What changed once can change again. Policy choices matter more than we have recently been taught to think.
  • how can we move toward a society in which educational success is not so strongly linked to family background? Maybe we should take a lesson from the rich and invest much more heavily as a society in our children’s educational opportunities from the day they are born. Investments in early-childhood education pay very high societal dividends. That means investing in developing high-quality child care and preschool that is available to poor and middle-class children. It also means recruiting and training a cadre of skilled preschool teachers and child care providers.
  • improving the quality of our parenting and of our children’s earliest environments may be even more important. Let’s invest in parents so they can better invest in their children.
  • Fundamentally, it means rethinking our still-persistent notion that educational problems should be solved by schools alone.
Javier E

President Obama's Interview With Jeffrey Goldberg on Syria and Foreign Policy - The Atl... - 0 views

  • The president believes that Churchillian rhetoric and, more to the point, Churchillian habits of thought, helped bring his predecessor, George W. Bush, to ruinous war in Iraq.
  • Obama entered the White House bent on getting out of Iraq and Afghanistan; he was not seeking new dragons to slay. And he was particularly mindful of promising victory in conflicts he believed to be unwinnable. “If you were to say, for instance, that we’re going to rid Afghanistan of the Taliban and build a prosperous democracy instead, the president is aware that someone, seven years later, is going to hold you to that promise,” Ben Rhodes, Obama’s deputy national-security adviser, and his foreign-policy amanuensis, told me not long ago.
  • Power is a partisan of the doctrine known as “responsibility to protect,” which holds that sovereignty should not be considered inviolate when a country is slaughtering its own citizens. She lobbied him to endorse this doctrine in the speech he delivered when he accepted the Nobel Peace Prize in 2009, but he declined. Obama generally does not believe a president should place American soldiers at great risk in order to prevent humanitarian disasters, unless those disasters pose a direct security threat to the United States.
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  • Obama’s resistance to direct intervention only grew. After several months of deliberation, he authorized the CIA to train and fund Syrian rebels, but he also shared the outlook of his former defense secretary, Robert Gates, who had routinely asked in meetings, “Shouldn’t we finish up the two wars we have before we look for another?”
  • In his first term, he came to believe that only a handful of threats in the Middle East conceivably warranted direct U.S. military intervention. These included the threat posed by al‑Qaeda; threats to the continued existence of Israel (“It would be a moral failing for me as president of the United States” not to defend Israel, he once told me); and, not unrelated to Israel’s security, the threat posed by a nuclear-armed Iran.
  • Bush and Scowcroft removed Saddam Hussein’s army from Kuwait in 1991, and they deftly managed the disintegration of the Soviet Union; Scowcroft also, on Bush’s behalf, toasted the leaders of China shortly after the slaughter in Tiananmen Square.
  • As Obama was writing his campaign manifesto, The Audacity of Hope, in 2006, Susan Rice, then an informal adviser, felt it necessary to remind him to include at least one line of praise for the foreign policy of President Bill Clinton, to partially balance the praise he showered on Bush and Scowcroft.
  • “When you have a professional army,” he once told me, “that is well armed and sponsored by two large states”—Iran and Russia—“who have huge stakes in this, and they are fighting against a farmer, a carpenter, an engineer who started out as protesters and suddenly now see themselves in the midst of a civil conflict …” He paused. “The notion that we could have—in a clean way that didn’t commit U.S. military forces—changed the equation on the ground there was never true.”
  • The message Obama telegraphed in speeches and interviews was clear: He would not end up like the second President Bush—a president who became tragically overextended in the Middle East, whose decisions filled the wards of Walter Reed with grievously wounded soldiers, who was helpless to stop the obliteration of his reputation, even when he recalibrated his policies in his second term. Obama would say privately that the first task of an American president in the post-Bush international arena was “Don’t do stupid shit.”
  • Hillary Clinton, when she was Obama’s secretary of state, argued for an early and assertive response to Assad’s violence. In 2014, after she left office, Clinton told me that “the failure to help build up a credible fighting force of the people who were the originators of the protests against Assad … left a big vacuum, which the jihadists have now filled.” When The Atlantic published this statement, and also published Clinton’s assessment that “great nations need organizing principles, and ‘Don’t do stupid stuff’ is not an organizing principle,” Obama became “rip-shit angry,” according to one of his senior advisers. The president did not understand how “Don’t do stupid shit” could be considered a controversial slogan.
  • The Iraq invasion, Obama believed, should have taught Democratic interventionists like Clinton, who had voted for its authorization, the dangers of doing stupid shit. (Clinton quickly apologized to Obama for her comments,
  • Obama, unlike liberal interventionists, is an admirer of the foreign-policy realism of President George H. W. Bush and, in particular, of Bush’s national-security adviser, Brent Scowcroft (“I love that guy,” Obama once told me).
  • The danger to the United States posed by the Assad regime did not rise to the level of these challenges.
  • Obama generally believes that the Washington foreign-policy establishment, which he secretly disdains, makes a fetish of “credibility”—particularly the sort of credibility purchased with force. The preservation of credibility, he says, led to Vietnam. Within the White House, Obama would argue that “dropping bombs on someone to prove that you’re willing to drop bombs on someone is just about the worst reason to use force.”
  • American national-security credibility, as it is conventionally understood in the Pentagon, the State Department, and the cluster of think tanks headquartered within walking distance of the White House, is an intangible yet potent force—one that, when properly nurtured, keeps America’s friends feeling secure and keeps the international order stable.
  • All week, White House officials had publicly built the case that Assad had committed a crime against humanity. Kerry’s speech would mark the culmination of this campaign.
  • But the president had grown queasy. In the days after the gassing of Ghouta, Obama would later tell me, he found himself recoiling from the idea of an attack unsanctioned by international law or by Congress. The American people seemed unenthusiastic about a Syria intervention; so too did one of the few foreign leaders Obama respects, Angela Merkel, the German chancellor. She told him that her country would not participate in a Syria campaign. And in a stunning development, on Thursday, August 29, the British Parliament denied David Cameron its blessing for an attack. John Kerry later told me that when he heard that, “internally, I went, Oops.”
  • Obama was also unsettled by a surprise visit early in the week from James Clapper, his director of national intelligence, who interrupted the President’s Daily Brief, the threat report Obama receives each morning from Clapper’s analysts, to make clear that the intelligence on Syria’s use of sarin gas, while robust, was not a “slam dunk.” He chose the term carefully. Clapper, the chief of an intelligence community traumatized by its failures in the run-up to the Iraq War, was not going to overpromise, in the manner of the onetime CIA director George Tenet, who famously guaranteed George W. Bush a “slam dunk” in Iraq.
  • While the Pentagon and the White House’s national-security apparatuses were still moving toward war (John Kerry told me he was expecting a strike the day after his speech), the president had come to believe that he was walking into a trap—one laid both by allies and by adversaries, and by conventional expectations of what an American president is supposed to do.
  • Late on Friday afternoon, Obama determined that he was simply not prepared to authorize a strike. He asked McDonough, his chief of staff, to take a walk with him on the South Lawn of the White House. Obama did not choose McDonough randomly: He is the Obama aide most averse to U.S. military intervention, and someone who, in the words of one of his colleagues, “thinks in terms of traps.” Obama, ordinarily a preternaturally confident man, was looking for validation, and trying to devise ways to explain his change of heart, both to his own aides and to the public
  • The third, and most important, factor, he told me, was “our assessment that while we could inflict some damage on Assad, we could not, through a missile strike, eliminate the chemical weapons themselves, and what I would then face was the prospect of Assad having survived the strike and claiming he had successfully defied the United States, that the United States had acted unlawfully in the absence of a UN mandate, and that that would have potentially strengthened his hand rather than weakened it.
  • Others had difficulty fathoming how the president could reverse himself the day before a planned strike. Obama, however, was completely calm. “If you’ve been around him, you know when he’s ambivalent about something, when it’s a 51–49 decision,” Ben Rhodes told me. “But he was completely at ease.”
  • Obama also shared with McDonough a long-standing resentment: He was tired of watching Washington unthinkingly drift toward war in Muslim countries. Four years earlier, the president believed, the Pentagon had “jammed” him on a troop surge for Afghanistan. Now, on Syria, he was beginning to feel jammed again.
  • The fourth factor, he said, was of deeper philosophical importance. “This falls in the category of something that I had been brooding on for some time,” he said. “I had come into office with the strong belief that the scope of executive power in national-security issues is very broad, but not limitless.”
  • Obama’s decision caused tremors across Washington as well. John McCain and Lindsey Graham, the two leading Republican hawks in the Senate, had met with Obama in the White House earlier in the week and had been promised an attack. They were angered by the about-face. Damage was done even inside the administration. Neither Chuck Hagel, then the secretary of defense, nor John Kerry was in the Oval Office when the president informed his team of his thinking. Kerry would not learn about the change until later that evening. “I just got fucked over,” he told a friend shortly after talking to the president that night. (When I asked Kerry recently about that tumultuous night, he said, “I didn’t stop to analyze it. I figured the president had a reason to make a decision and, honestly, I understood his notion.”)
  • The president asked Congress to authorize the use of force—the irrepressible Kerry served as chief lobbyist—and it quickly became apparent in the White House that Congress had little interest in a strike. When I spoke with Biden recently about the red-line decision, he made special note of this fact. “It matters to have Congress with you, in terms of your ability to sustain what you set out to do,” he said. Obama “didn’t go to Congress to get himself off the hook. He had his doubts at that point, but he knew that if he was going to do anything, he better damn well have the public with him, or it would be a very short ride.” Congress’s clear ambivalence convinced Biden that Obama was correct to fear the slippery slope. “What happens when we get a plane shot down? Do we not go in and rescue?,” Biden asked. “You need the support of the American people.”
  • At the G20 summit in St. Petersburg, which was held the week after the Syria reversal, Obama pulled Putin aside, he recalled to me, and told the Russian president “that if he forced Assad to get rid of the chemical weapons, that that would eliminate the need for us taking a military strike.” Within weeks, Kerry, working with his Russian counterpart, Sergey Lavrov, would engineer the removal of most of Syria’s chemical-weapons arsenal—a program whose existence Assad until then had refused to even acknowledge.
  • The arrangement won the president praise from, of all people, Benjamin Netanyahu, the Israeli prime minister, with whom he has had a consistently contentious relationship. The removal of Syria’s chemical-weapons stockpiles represented “the one ray of light in a very dark region,” Netanyahu told me not long after the deal was announced.
  • John Kerry today expresses no patience for those who argue, as he himself once did, that Obama should have bombed Assad-regime sites in order to buttress America’s deterrent capability. “You’d still have the weapons there, and you’d probably be fighting isil” for control of the weapons, he said, referring to the Islamic State, the terror group also known as isis. “It just doesn’t make sense. But I can’t deny to you that this notion about the red line being crossed and [Obama’s] not doing anything gained a life of its own.”
  • today that decision is a source of deep satisfaction for him.
  • “I’m very proud of this moment,” he told me. “The overwhelming weight of conventional wisdom and the machinery of our national-security apparatus had gone fairly far. The perception was that my credibility was at stake, that America’s credibility was at stake. And so for me to press the pause button at that moment, I knew, would cost me politically. And the fact that I was able to pull back from the immediate pressures and think through in my own mind what was in America’s interest, not only with respect to Syria but also with respect to our democracy, was as tough a decision as I’ve made—and I believe ultimately it was the right decision to make.”
  • By 2013, Obama’s resentments were well developed. He resented military leaders who believed they could fix any problem if the commander in chief would simply give them what they wanted, and he resented the foreign-policy think-tank complex. A widely held sentiment inside the White House is that many of the most prominent foreign-policy think tanks in Washington are doing the bidding of their Arab and pro-Israel funders. I’ve heard one administration official refer to Massachusetts Avenue, the home of many of these think tanks, as “Arab-occupied territory.”
  • over the past few months, I’ve spent several hours talking with him about the broadest themes of his “long game” foreign policy, including the themes he is most eager to discuss—namely, the ones that have nothing to do with the Middle East.
  • I have come to believe that, in Obama’s mind, August 30, 2013, was his liberation day, the day he defied not only the foreign-policy establishment and its cruise-missile playbook, but also the demands of America’s frustrating, high-maintenance allies in the Middle East—countries, he complains privately to friends and advisers, that seek to exploit American “muscle” for their own narrow and sectarian ends.
  • “Where am I controversial? When it comes to the use of military power,” he said. “That is the source of the controversy. There’s a playbook in Washington that presidents are supposed to follow. It’s a playbook that comes out of the foreign-policy establishment. And the playbook prescribes responses to different events, and these responses tend to be militarized responses. Where America is directly threatened, the playbook works. But the playbook can also be a trap that can lead to bad decisions. In the midst of an international challenge like Syria, you get judged harshly if you don’t follow the playbook, even if there are good reasons why it does not apply.”
  • For some foreign-policy experts, even within his own administration, Obama’s about-face on enforcing the red line was a dispiriting moment in which he displayed irresolution and naïveté, and did lasting damage to America’s standing in the world. “Once the commander in chief draws that red line,” Leon Panetta, who served as CIA director and then as secretary of defense in Obama’s first term, told me recently, “then I think the credibility of the commander in chief and this nation is at stake if he doesn’t enforce it.” Right after Obama’s reversal, Hillary Clinton said privately, “If you say you’re going to strike, you have to strike. There’s no choice.”
  • Obama’s defenders, however, argue that he did no damage to U.S. credibility, citing Assad’s subsequent agreement to have his chemical weapons removed. “The threat of force was credible enough for them to give up their chemical weapons,” Tim Kaine, a Democratic senator from Virginia, told me. “We threatened military action and they responded. That’s deterrent credibility.”
  • History may record August 30, 2013, as the day Obama prevented the U.S. from entering yet another disastrous Muslim civil war, and the day he removed the threat of a chemical attack on Israel, Turkey, or Jordan. Or it could be remembered as the day he let the Middle East slip from America’s grasp, into the hands of Russia, Iran, and isis
  • spoke with obama about foreign policy when he was a U.S. senator, in 2006. At the time, I was familiar mainly with the text of a speech he had delivered four years earlier, at a Chicago antiwar rally. It was an unusual speech for an antiwar rally in that it was not antiwar; Obama, who was then an Illinois state senator, argued only against one specific and, at the time, still theoretical, war. “I suffer no illusions about Saddam Hussein,” he said. “He is a brutal man. A ruthless man … But I also know that Saddam poses no imminent and direct threat to the United States or to his neighbors.” He added, “I know that an invasion of Iraq without a clear rationale and without strong international support will only fan the flames of the Middle East, and encourage the worst, rather than best, impulses of the Arab world, and strengthen the recruitment arm of al-Qaeda.”
  • This speech had made me curious about its author. I wanted to learn how an Illinois state senator, a part-time law professor who spent his days traveling between Chicago and Springfield, had come to a more prescient understanding of the coming quagmire than the most experienced foreign-policy thinkers of his party, including such figures as Hillary Clinton, Joe Biden, and John Kerry, not to mention, of course, most Republicans and many foreign-policy analysts and writers, including me.
  • This was the moment the president believes he finally broke with what he calls, derisively, the “Washington playbook.”
  • “isis is not an existential threat to the United States,” he told me in one of these conversations. “Climate change is a potential existential threat to the entire world if we don’t do something about it.” Obama explained that climate change worries him in particular because “it is a political problem perfectly designed to repel government intervention. It involves every single country, and it is a comparatively slow-moving emergency, so there is always something seemingly more urgent on the agenda.”
  • At the moment, of course, the most urgent of the “seemingly more urgent” issues is Syria. But at any given moment, Obama’s entire presidency could be upended by North Korean aggression, or an assault by Russia on a member of nato, or an isis-planned attack on U.S. soil. Few presidents have faced such diverse tests on the international stage as Obama has, and the challenge for him, as for all presidents, has been to distinguish the merely urgent from the truly important, and to focus on the important.
  • My goal in our recent conversations was to see the world through Obama’s eyes, and to understand what he believes America’s role in the world should be. This article is informed by our recent series of conversations, which took place in the Oval Office; over lunch in his dining room; aboard Air Force One; and in Kuala Lumpur during his most recent visit to Asia, in November. It is also informed by my previous interviews with him and by his speeches and prolific public ruminations, as well as by conversations with his top foreign-policy and national-security advisers, foreign leaders and their ambassadors in Washington, friends of the president and others who have spoken with him about his policies and decisions, and his adversaries and critics.
  • Over the course of our conversations, I came to see Obama as a president who has grown steadily more fatalistic about the constraints on America’s ability to direct global events, even as he has, late in his presidency, accumulated a set of potentially historic foreign-policy achievements—controversial, provisional achievements, to be sure, but achievements nonetheless: the opening to Cuba, the Paris climate-change accord, the Trans-Pacific Partnership trade agreement, and, of course, the Iran nuclear deal.
  • These he accomplished despite his growing sense that larger forces—the riptide of tribal feeling in a world that should have already shed its atavism; the resilience of small men who rule large countries in ways contrary to their own best interests; the persistence of fear as a governing human emotion—frequently conspire against the best of America’s intentions. But he also has come to learn, he told me, that very little is accomplished in international affairs without U.S. leadership.
  • Obama talked me through this apparent contradiction. “I want a president who has the sense that you can’t fix everything,” he said. But on the other hand, “if we don’t set the agenda, it doesn’t happen.” He explained what he meant. “The fact is, there is not a summit I’ve attended since I’ve been president where we are not setting the agenda, where we are not responsible for the key results,” he said. “That’s true whether you’re talking about nuclear security, whether you’re talking about saving the world financial system, whether you’re talking about climate.”
  • One day, over lunch in the Oval Office dining room, I asked the president how he thought his foreign policy might be understood by historians. He started by describing for me a four-box grid representing the main schools of American foreign-policy thought. One box he called isolationism, which he dismissed out of hand. “The world is ever-shrinking,” he said. “Withdrawal is untenable.” The other boxes he labeled realism, liberal interventionism, and internationalism. “I suppose you could call me a realist in believing we can’t, at any given moment, relieve all the world’s misery,” he said. “We have to choose where we can make a real impact.” He also noted that he was quite obviously an internationalist, devoted as he is to strengthening multilateral organizations and international norms.
  • If a crisis, or a humanitarian catastrophe, does not meet his stringent standard for what constitutes a direct national-security threat, Obama said, he doesn’t believe that he should be forced into silence. He is not so much the realist, he suggested, that he won’t pass judgment on other leaders.
  • Though he has so far ruled out the use of direct American power to depose Assad, he was not wrong, he argued, to call on Assad to go. “Oftentimes when you get critics of our Syria policy, one of the things that they’ll point out is ‘You called for Assad to go, but you didn’t force him to go. You did not invade.’ And the notion is that if you weren’t going to overthrow the regime, you shouldn’t have said anything. That’s a weird argument to me, the notion that if we use our moral authority to say ‘This is a brutal regime, and this is not how a leader should treat his people,’ once you do that, you are obliged to invade the country and install a government you prefer.”
  • “I am very much the internationalist,” Obama said in a later conversation. “And I am also an idealist insofar as I believe that we should be promoting values, like democracy and human rights and norms and values
  • “Having said that,” he continued, “I also believe that the world is a tough, complicated, messy, mean place, and full of hardship and tragedy. And in order to advance both our security interests and those ideals and values that we care about, we’ve got to be hardheaded at the same time as we’re bighearted, and pick and choose our spots, and recognize that there are going to be times where the best that we can do is to shine a spotlight on something that’s terrible, but not believe that we can automatically solve it. There are going to be times where our security interests conflict with our concerns about human rights. There are going to be times where we can do something about innocent people being killed, but there are going to be times where we can’t.”
  • If Obama ever questioned whether America really is the world’s one indispensable nation, he no longer does so. But he is the rare president who seems at times to resent indispensability, rather than embrace it.
  • “Free riders aggravate me,” he told me. Recently, Obama warned that Great Britain would no longer be able to claim a “special relationship” with the United States if it did not commit to spending at least 2 percent of its GDP on defense. “You have to pay your fair share,” Obama told David Cameron, who subsequently met the 2 percent threshold.
  • Part of his mission as president, Obama explained, is to spur other countries to take action for themselves, rather than wait for the U.S. to lead. The defense of the liberal international order against jihadist terror, Russian adventurism, and Chinese bullying depends in part, he believes, on the willingness of other nations to share the burden with the U.S
  • This is why the controversy surrounding the assertion—made by an anonymous administration official to The New Yorker during the Libya crisis of 2011—that his policy consisted of “leading from behind” perturbed him. “We don’t have to always be the ones who are up front,” he told me. “Sometimes we’re going to get what we want precisely because we are sharing in the agenda.
  • The president also seems to believe that sharing leadership with other countries is a way to check America’s more unruly impulses. “One of the reasons I am so focused on taking action multilaterally where our direct interests are not at stake is that multilateralism regulates hubris,”
  • He consistently invokes what he understands to be America’s past failures overseas as a means of checking American self-righteousness. “We have history,” he said. “We have history in Iran, we have history in Indonesia and Central America. So we have to be mindful of our history when we start talking about intervening, and understand the source of other people’s suspicions.”
  • In his efforts to off-load some of America’s foreign-policy responsibilities to its allies, Obama appears to be a classic retrenchment president in the manner of Dwight D. Eisenhower and Richard Nixon. Retrenchment, in this context, is defined as “pulling back, spending less, cutting risk, and shifting burdens to allies
  • One difference between Eisenhower and Nixon, on the one hand, and Obama, on the other, Sestanovich said, is that Obama “appears to have had a personal, ideological commitment to the idea that foreign policy had consumed too much of the nation’s attention and resources.”
  • But once he decides that a particular challenge represents a direct national-security threat, he has shown a willingness to act unilaterally. This is one of the larger ironies of the Obama presidency: He has relentlessly questioned the efficacy of force, but he has also become the most successful terrorist-hunter in the history of the presidency, one who will hand to his successor a set of tools an accomplished assassin would envy
  • “He applies different standards to direct threats to the U.S.,” Ben Rhodes says. “For instance, despite his misgivings about Syria, he has not had a second thought about drones.” Some critics argue he should have had a few second thoughts about what they see as the overuse of drones. But John Brennan, Obama’s CIA director, told me recently that he and the president “have similar views. One of them is that sometimes you have to take a life to save even more lives. We have a similar view of just-war theory. The president requires near-certainty of no collateral damage. But if he believes it is necessary to act, he doesn’t hesitate.”
  • Those who speak with Obama about jihadist thought say that he possesses a no-illusions understanding of the forces that drive apocalyptic violence among radical Muslims, but he has been careful about articulating that publicly, out of concern that he will exacerbate anti-Muslim xenophobia
  • He has a tragic realist’s understanding of sin, cowardice, and corruption, and a Hobbesian appreciation of how fear shapes human behavior. And yet he consistently, and with apparent sincerity, professes optimism that the world is bending toward justice. He is, in a way, a Hobbesian optimist.
  • The contradictions do not end there. Though he has a reputation for prudence, he has also been eager to question some of the long-standing assumptions undergirding traditional U.S. foreign-policy thinking. To a remarkable degree, he is willing to question why America’s enemies are its enemies, or why some of its friends are its friends.
  • It is assumed, at least among his critics, that Obama sought the Iran deal because he has a vision of a historic American-Persian rapprochement. But his desire for the nuclear agreement was born of pessimism as much as it was of optimism. “The Iran deal was never primarily about trying to open a new era of relations between the U.S. and Iran,” Susan Rice told me. “It was far more pragmatic and minimalist. The aim was very simply to make a dangerous country substantially less dangerous. No one had any expectation that Iran would be a more benign actor.”
  • once mentioned to obama a scene from The Godfather: Part III, in which Michael Corleone complains angrily about his failure to escape the grasp of organized crime. I told Obama that the Middle East is to his presidency what the Mob is to Corleone, and I started to quote the Al Pacino line: “Just when I thought I was out—”“It pulls you back in,” Obama said, completing the thought
  • When I asked Obama recently what he had hoped to accomplish with his Cairo reset speech, he said that he had been trying—unsuccessfully, he acknowledged—to persuade Muslims to more closely examine the roots of their unhappiness.“My argument was this: Let’s all stop pretending that the cause of the Middle East’s problems is Israel,” he told me. “We want to work to help achieve statehood and dignity for the Palestinians, but I was hoping that my speech could trigger a discussion, could create space for Muslims to address the real problems they are confronting—problems of governance, and the fact that some currents of Islam have not gone through a reformation that would help people adapt their religious doctrines to modernity. My thought was, I would communicate that the U.S. is not standing in the way of this progress, that we would help, in whatever way possible, to advance the goals of a practical, successful Arab agenda that provided a better life for ordinary people.”
  • But over the next three years, as the Arab Spring gave up its early promise, and brutality and dysfunction overwhelmed the Middle East, the president grew disillusioned. Some of his deepest disappointments concern Middle Eastern leaders themselves. Benjamin Netanyahu is in his own category: Obama has long believed that Netanyahu could bring about a two-state solution that would protect Israel’s status as a Jewish-majority democracy, but is too fearful and politically paralyzed to do so
  • Obama has also not had much patience for Netanyahu and other Middle Eastern leaders who question his understanding of the region. In one of Netanyahu’s meetings with the president, the Israeli prime minister launched into something of a lecture about the dangers of the brutal region in which he lives, and Obama felt that Netanyahu was behaving in a condescending fashion, and was also avoiding the subject at hand: peace negotiations. Finally, the president interrupted the prime minister: “Bibi, you have to understand something,” he said. “I’m the African American son of a single mother, and I live here, in this house. I live in the White House. I managed to get elected president of the United States. You think I don’t understand what you’re talking about, but I do.”
  • Other leaders also frustrate him immensely. Early on, Obama saw Recep Tayyip Erdoğan, the president of Turkey, as the sort of moderate Muslim leader who would bridge the divide between East and West—but Obama now considers him a failure and an authoritarian, one who refuses to use his enormous army to bring stability to Syria
  • In recent days, the president has taken to joking privately, “All I need in the Middle East is a few smart autocrats.” Obama has always had a fondness for pragmatic, emotionally contained technocrats, telling aides, “If only everyone could be like the Scandinavians, this would all be easy.”
  • The unraveling of the Arab Spring darkened the president’s view of what the U.S. could achieve in the Middle East, and made him realize how much the chaos there was distracting from other priorities. “The president recognized during the course of the Arab Spring that the Middle East was consuming us,”
  • But what sealed Obama’s fatalistic view was the failure of his administration’s intervention in Libya, in 2011
  • Obama says today of the intervention, “It didn’t work.” The U.S., he believes, planned the Libya operation carefully—and yet the country is still a disaster.
  • “So we actually executed this plan as well as I could have expected: We got a UN mandate, we built a coalition, it cost us $1 billion—which, when it comes to military operations, is very cheap. We averted large-scale civilian casualties, we prevented what almost surely would have been a prolonged and bloody civil conflict. And despite all that, Libya is a mess.”
  • Mess is the president’s diplomatic term; privately, he calls Libya a “shit show,” in part because it’s subsequently become an isis haven—one that he has already targeted with air strikes. It became a shit show, Obama believes, for reasons that had less to do with American incompetence than with the passivity of America’s allies and with the obdurate power of tribalism.
  • Of France, he said, “Sarkozy wanted to trumpet the flights he was taking in the air campaign, despite the fact that we had wiped out all the air defenses and essentially set up the entire infrastructure” for the intervention. This sort of bragging was fine, Obama said, because it allowed the U.S. to “purchase France’s involvement in a way that made it less expensive for us and less risky for us.” In other words, giving France extra credit in exchange for less risk and cost to the United States was a useful trade-off—except that “from the perspective of a lot of the folks in the foreign-policy establishment, well, that was terrible. If we’re going to do something, obviously we’ve got to be up front, and nobody else is sharing in the spotlight.”
  • Obama also blamed internal Libyan dynamics. “The degree of tribal division in Libya was greater than our analysts had expected. And our ability to have any kind of structure there that we could interact with and start training and start providing resources broke down very quickly.”
  • Libya proved to him that the Middle East was best avoided. “There is no way we should commit to governing the Middle East and North Africa,” he recently told a former colleague from the Senate. “That would be a basic, fundamental mistake.”
  • Obama did not come into office preoccupied by the Middle East. He is the first child of the Pacific to become president—born in Hawaii, raised there and, for four years, in Indonesia—and he is fixated on turning America’s attention to Asia
  • For Obama, Asia represents the future. Africa and Latin America, in his view, deserve far more U.S. attention than they receive. Europe, about which he is unromantic, is a source of global stability that requires, to his occasional annoyance, American hand-holding. And the Middle East is a region to be avoided—one that, thanks to America’s energy revolution, will soon be of negligible relevance to the U.S. economy.
  • Advisers recall that Obama would cite a pivotal moment in The Dark Knight, the 2008 Batman movie, to help explain not only how he understood the role of isis, but how he understood the larger ecosystem in which it grew. “There’s a scene in the beginning in which the gang leaders of Gotham are meeting,” the president would say. “These are men who had the city divided up. They were thugs, but there was a kind of order. Everyone had his turf. And then the Joker comes in and lights the whole city on fire. isil is the Joker. It has the capacity to set the whole region on fire. That’s why we have to fight it.”
  • The rise of the Islamic State deepened Obama’s conviction that the Middle East could not be fixed—not on his watch, and not for a generation to come.
  • The traveling White House press corps was unrelenting: “Isn’t it time for your strategy to change?” one reporter asked. This was followed by “Could I ask you to address your critics who say that your reluctance to enter another Middle East war, and your preference of diplomacy over using the military, makes the United States weaker and emboldens our enemies?” And then came this imperishable question, from a CNN reporter: “If you’ll forgive the language—why can’t we take out these bastards?” Which was followed by “Do you think you really understand this enemy well enough to defeat them and to protect the homeland?”
  • This rhetoric appeared to frustrate Obama immensely. “When I hear folks say that, well, maybe we should just admit the Christians but not the Muslims; when I hear political leaders suggesting that there would be a religious test for which person who’s fleeing from a war-torn country is admitted,” Obama told the assembled reporters, “that’s not American. That’s not who we are. We don’t have religious tests to our compassion.”
  • he has never believed that terrorism poses a threat to America commensurate with the fear it generates. Even during the period in 2014 when isis was executing its American captives in Syria, his emotions were in check. Valerie Jarrett, Obama’s closest adviser, told him people were worried that the group would soon take its beheading campaign to the U.S. “They’re not coming here to chop our heads off,” he reassured her.
  • Obama frequently reminds his staff that terrorism takes far fewer lives in America than handguns, car accidents, and falls in bathtubs do
  • Several years ago, he expressed to me his admiration for Israelis’ “resilience” in the face of constant terrorism, and it is clear that he would like to see resilience replace panic in American society. Nevertheless, his advisers are fighting a constant rearguard action to keep Obama from placing terrorism in what he considers its “proper” perspective, out of concern that he will seem insensitive to the fears of the American people.
  • When I noted to Kerry that the president’s rhetoric doesn’t match his, he said, “President Obama sees all of this, but he doesn’t gin it up into this kind of—he thinks we are on track. He has escalated his efforts. But he’s not trying to create hysteria … I think the president is always inclined to try to keep things on an appropriate equilibrium. I respect that.”
  • Obama modulates his discussion of terrorism for several reasons: He is, by nature, Spockian. And he believes that a misplaced word, or a frightened look, or an ill-considered hyperbolic claim, could tip the country into panic. The sort of panic he worries about most is the type that would manifest itself in anti-Muslim xenophobia or in a challenge to American openness and to the constitutional order.
  • The president also gets frustrated that terrorism keeps swamping his larger agenda, particularly as it relates to rebalancing America’s global priorities. For years, the “pivot to Asia” has been a paramount priority of his. America’s economic future lies in Asia, he believes, and the challenge posed by China’s rise requires constant attention. From his earliest days in office, Obama has been focused on rebuilding the sometimes-threadbare ties between the U.S. and its Asian treaty partners, and he is perpetually on the hunt for opportunities to draw other Asian nations into the U.S. orbit. His dramatic opening to Burma was one such opportunity; Vietnam and the entire constellation of Southeast Asian countries fearful of Chinese domination presented others.
  • Obama believes, Carter said, that Asia “is the part of the world of greatest consequence to the American future, and that no president can take his eye off of this.” He added, “He consistently asks, even in the midst of everything else that’s going on, ‘Where are we in the Asia-Pacific rebalance? Where are we in terms of resources?’ He’s been extremely consistent about that, even in times of Middle East tension.”
  • “Right now, I don’t think that anybody can be feeling good about the situation in the Middle East,” he said. “You have countries that are failing to provide prosperity and opportunity for their people. You’ve got a violent, extremist ideology, or ideologies, that are turbocharged through social media. You’ve got countries that have very few civic traditions, so that as autocratic regimes start fraying, the only organizing principles are sectarian.”
  • He went on, “Contrast that with Southeast Asia, which still has huge problems—enormous poverty, corruption—but is filled with striving, ambitious, energetic people who are every single day scratching and clawing to build businesses and get education and find jobs and build infrastructure. The contrast is pretty stark.”
  • In Asia, as well as in Latin America and Africa, Obama says, he sees young people yearning for self-improvement, modernity, education, and material wealth.“They are not thinking about how to kill Americans,” he says. “What they’re thinking about is How do I get a better education? How do I create something of value?”
  • He then made an observation that I came to realize was representative of his bleakest, most visceral understanding of the Middle East today—not the sort of understanding that a White House still oriented around themes of hope and change might choose to advertise. “If we’re not talking to them,” he said, referring to young Asians and Africans and Latin Americans, “because the only thing we’re doing is figuring out how to destroy or cordon off or control the malicious, nihilistic, violent parts of humanity, then we’re missing the boat.
  • He does resist refracting radical Islam through the “clash of civilizations” prism popularized by the late political scientist Samuel Huntington. But this is because, he and his advisers argue, he does not want to enlarge the ranks of the enemy. “The goal is not to force a Huntington template onto this conflict,” said John Brennan, the CIA director.
  • “It is very clear what I mean,” he told me, “which is that there is a violent, radical, fanatical, nihilistic interpretation of Islam by a faction—a tiny faction—within the Muslim community that is our enemy, and that has to be defeated.”
  • “There is also the need for Islam as a whole to challenge that interpretation of Islam, to isolate it, and to undergo a vigorous discussion within their community about how Islam works as part of a peaceful, modern society,” he said. But he added, “I do not persuade peaceful, tolerant Muslims to engage in that debate if I’m not sensitive to their concern that they are being tagged with a broad brush.”
  • In private encounters with other world leaders, Obama has argued that there will be no comprehensive solution to Islamist terrorism until Islam reconciles itself to modernity and undergoes some of the reforms that have changed Christianity.
  • , Obama described how he has watched Indonesia gradually move from a relaxed, syncretistic Islam to a more fundamentalist, unforgiving interpretation; large numbers of Indonesian women, he observed, have now adopted the hijab, the Muslim head covering.
  • Why, Turnbull asked, was this happening?Because, Obama answered, the Saudis and other Gulf Arabs have funneled money, and large numbers of imams and teachers, into the country. In the 1990s, the Saudis heavily funded Wahhabist madrassas, seminaries that teach the fundamentalist version of Islam favored by the Saudi ruling family, Obama told Turnbull. Today, Islam in Indonesia is much more Arab in orientation than it was when he lived there, he said.
  • “Aren’t the Saudis your friends?,” Turnbull asked.Obama smiled. “It’s complicated,” he said.
  • But he went on to say that the Saudis need to “share” the Middle East with their Iranian foes. “The competition between the Saudis and the Iranians—which has helped to feed proxy wars and chaos in Syria and Iraq and Yemen—requires us to say to our friends as well as to the Iranians that they need to find an effective way to share the neighborhood and institute some sort of cold peace,”
  • “An approach that said to our friends ‘You are right, Iran is the source of all problems, and we will support you in dealing with Iran’ would essentially mean that as these sectarian conflicts continue to rage and our Gulf partners, our traditional friends, do not have the ability to put out the flames on their own or decisively win on their own, and would mean that we have to start coming in and using our military power to settle scores. And that would be in the interest neither of the United States nor of the Middle East.”
  • One of the most destructive forces in the Middle East, Obama believes, is tribalism—a force no president can neutralize. Tribalism, made manifest in the reversion to sect, creed, clan, and village by the desperate citizens of failing states, is the source of much of the Muslim Middle East’s problems, and it is another source of his fatalism. Obama has deep respect for the destructive resilience of tribalism—part of his memoir, Dreams From My Father, concerns the way in which tribalism in post-colonial Kenya helped ruin his father’s life—which goes some distance in explaining why he is so fastidious about avoiding entanglements in tribal conflicts.
  • “It is literally in my DNA to be suspicious of tribalism,” he told me. “I understand the tribal impulse, and acknowledge the power of tribal division. I’ve been navigating tribal divisions my whole life. In the end, it’s the source of a lot of destructive acts.”
  • “Look, I am not of the view that human beings are inherently evil,” he said. “I believe that there’s more good than bad in humanity. And if you look at the trajectory of history, I am optimistic.
  • “I believe that overall, humanity has become less violent, more tolerant, healthier, better fed, more empathetic, more able to manage difference. But it’s hugely uneven. And what has been clear throughout the 20th and 21st centuries is that the progress we make in social order and taming our baser impulses and steadying our fears can be reversed very quickly. Social order starts breaking down if people are under profound stress. Then the default position is tribe—us/them, a hostility toward the unfamiliar or the unknown.”
  • He continued, “Right now, across the globe, you’re seeing places that are undergoing severe stress because of globalization, because of the collision of cultures brought about by the Internet and social media, because of scarcities—some of which will be attributable to climate change over the next several decades—because of population growth. And in those places, the Middle East being Exhibit A, the default position for a lot of folks is to organize tightly in the tribe and to push back or strike out against those who are different.
  • “A group like isil is the distillation of every worst impulse along these lines. The notion that we are a small group that defines ourselves primarily by the degree to which we can kill others who are not like us, and attempting to impose a rigid orthodoxy that produces nothing, that celebrates nothing, that really is contrary to every bit of human progress—it indicates the degree to which that kind of mentality can still take root and gain adherents in the 21st century.”
  • “We have to determine the best tools to roll back those kinds of attitudes,” he said. “There are going to be times where either because it’s not a direct threat to us or because we just don’t have the tools in our toolkit to have a huge impact that, tragically, we have to refrain from jumping in with both feet.”
  • I asked Obama whether he would have sent the Marines to Rwanda in 1994 to stop the genocide as it was happening, had he been president at the time. “Given the speed with which the killing took place, and how long it takes to crank up the machinery of the U.S. government, I understand why we did not act fast enough,” he said. “Now, we should learn from tha
  • I actually think that Rwanda is an interesting test case because it’s possible—not guaranteed, but it’s possible—that this was a situation where the quick application of force might have been enough.
  • “Ironically, it’s probably easier to make an argument that a relatively small force inserted quickly with international support would have resulted in averting genocide [more successfully in Rwanda] than in Syria right now, where the degree to which the various groups are armed and hardened fighters and are supported by a whole host of external actors with a lot of resources requires a much larger commitment of forces.”
  • The Turkey press conference, I told him, “was a moment for you as a politician to say, ‘Yeah, I hate the bastards too, and by the way, I am taking out the bastards.’ ” The easy thing to do would have been to reassure Americans in visceral terms that he will kill the people who want to kill them. Does he fear a knee-jerk reaction in the direction of another Middle East invasion? Or is he just inalterably Spockian?
  • “Every president has strengths and weaknesses,” he answered. “And there is no doubt that there are times where I have not been attentive enough to feelings and emotions and politics in communicating what we’re doing and how we’re doing it.”
  • But for America to be successful in leading the world, he continued, “I believe that we have to avoid being simplistic. I think we have to build resilience and make sure that our political debates are grounded in reality. It’s not that I don’t appreciate the value of theater in political communications; it’s that the habits we—the media, politicians—have gotten into, and how we talk about these issues, are so detached so often from what we need to be doing that for me to satisfy the cable news hype-fest would lead to us making worse and worse decisions over time.”
  • “During the couple of months in which everybody was sure Ebola was going to destroy the Earth and there was 24/7 coverage of Ebola, if I had fed the panic or in any way strayed from ‘Here are the facts, here’s what needs to be done, here’s how we’re handling it, the likelihood of you getting Ebola is very slim, and here’s what we need to do both domestically and overseas to stamp out this epidemic,’ ” then “maybe people would have said ‘Obama is taking this as seriously as he needs to be.’ ” But feeding the panic by overreacting could have shut down travel to and from three African countries that were already cripplingly poor, in ways that might have destroyed their economies—which would likely have meant, among other things, a recurrence of Ebola. He added, “It would have also meant that we might have wasted a huge amount of resources in our public-health systems that need to be devoted to flu vaccinations and other things that actually kill people” in large numbers in America
  • “I have friends who have kids in Paris right now,” he said. “And you and I and a whole bunch of people who are writing about what happened in Paris have strolled along the same streets where people were gunned down. And it’s right to feel fearful. And it’s important for us not to ever get complacent. There’s a difference between resilience and complacency.” He went on to describe another difference—between making considered decisions and making rash, emotional ones. “What it means, actually, is that you care so much that you want to get it right and you’re not going to indulge in either impetuous or, in some cases, manufactured responses that make good sound bites but don’t produce results. The stakes are too high to play those games.”
  • The other meeting took place two months later, in the Oval Office, between Obama and the general secretary of the Vietnamese Communist Party, Nguyen Phu Trong. This meeting took place only because John Kerry had pushed the White House to violate protocol, since the general secretary was not a head of state. But the goals trumped decorum: Obama wanted to lobby the Vietnamese on the Trans-Pacific Partnership—his negotiators soon extracted a promise from the Vietnamese that they would legalize independent labor unions—and he wanted to deepen cooperation on strategic issues. Administration officials have repeatedly hinted to me that Vietnam may one day soon host a permanent U.S. military presence, to check the ambitions of the country it now fears most, China. The U.S. Navy’s return to Cam Ranh Bay would count as one of the more improbable developments in recent American history. “We just moved the Vietnamese Communist Party to recognize labor rights in a way that we could never do by bullying them or scaring them,” Obama told me, calling this a key victory in his campaign to replace stick-waving with diplomatic persuasion.
  • I noted that the 200 or so young Southeast Asians in the room earlier that day—including citizens of Communist-ruled countries—seemed to love America. “They do,” Obama said. “In Vietnam right now, America polls at 80 percent.”
  • The resurgent popularity of America throughout Southeast Asia means that “we can do really big, important stuff—which, by the way, then has ramifications across the board,” he said, “because when Malaysia joins the anti-isil campaign, that helps us leverage resources and credibility in our fight against terrorism. When we have strong relations with Indonesia, that helps us when we are going to Paris and trying to negotiate a climate treaty, where the temptation of a Russia or some of these other countries may be to skew the deal in a way that is unhelpful.
  • Obama then cited America’s increased influence in Latin America—increased, he said, in part by his removal of a region-wide stumbling block when he reestablished ties with Cuba—as proof that his deliberate, nonthreatening, diplomacy-centered approach to foreign relations is working. The alba movement, a group of Latin American governments oriented around anti-Americanism, has significantly weakened during his time as president. “When I came into office, at the first Summit of the Americas that I attended, Hugo Chávez”—the late anti-American Venezuelan dictator—“was still the dominant figure in the conversation,” he said. “We made a very strategic decision early on, which was, rather than blow him up as this 10-foot giant adversary, to right-size the problem and say, ‘We don’t like what’s going on in Venezuela, but it’s not a threat to the United States.’
  • Obama said that to achieve this rebalancing, the U.S. had to absorb the diatribes and insults of superannuated Castro manqués. “When I saw Chávez, I shook his hand and he handed me a Marxist critique of the U.S.–Latin America relationship,” Obama recalled. “And I had to sit there and listen to Ortega”—Daniel Ortega, the radical leftist president of Nicaragua—“make an hour-long rant against the United States. But us being there, not taking all that stuff seriously—because it really wasn’t a threat to us”—helped neutralize the region’s anti-Americanism.
  • “The truth is, actually, Putin, in all of our meetings, is scrupulously polite, very frank. Our meetings are very businesslike. He never keeps me waiting two hours like he does a bunch of these other folks.” Obama said that Putin believes his relationship with the U.S. is more important than Americans tend to think. “He’s constantly interested in being seen as our peer and as working with us, because he’s not completely stupid. He understands that Russia’s overall position in the world is significantly diminished. And the fact that he invades Crimea or is trying to prop up Assad doesn’t suddenly make him a player.
  • “The argument is made,” I said, “that Vladimir Putin watched you in Syria and thought, He’s too logical, he’s too rational, he’s too into retrenchment. I’m going to push him a little bit further in Ukraine.”
  • “Look, this theory is so easily disposed of that I’m always puzzled by how people make the argument. I don’t think anybody thought that George W. Bush was overly rational or cautious in his use of military force. And as I recall, because apparently nobody in this town does, Putin went into Georgia on Bush’s watch, right smack dab in the middle of us having over 100,000 troops deployed in Iraq.” Obama was referring to Putin’s 2008 invasion of Georgia, a former Soviet republic, which was undertaken for many of the same reasons Putin later invaded Ukraine—to keep an ex–Soviet republic in Russia’s sphere of influence.
  • “Putin acted in Ukraine in response to a client state that was about to slip out of his grasp. And he improvised in a way to hang on to his control there,” he said. “He’s done the exact same thing in Syria, at enormous cost to the well-being of his own country. And the notion that somehow Russia is in a stronger position now, in Syria or in Ukraine, than they were before they invaded Ukraine or before he had to deploy military forces to Syria is to fundamentally misunderstand the nature of power in foreign affairs or in the world generally. Real power means you can get what you want without having to exert violence. Russia was much more powerful when Ukraine looked like an independent country but was a kleptocracy that he could pull the strings on.”
  • Obama’s theory here is simple: Ukraine is a core Russian interest but not an American one, so Russia will always be able to maintain escalatory dominance there.“The fact is that Ukraine, which is a non-nato country, is going to be vulnerable to military domination by Russia no matter what we do,” he said.
  • “I think that the best argument you can make on the side of those who are critics of my foreign policy is that the president doesn’t exploit ambiguity enough. He doesn’t maybe react in ways that might cause people to think, Wow, this guy might be a little crazy.”“The ‘crazy Nixon’ approach,” I said: Confuse and frighten your enemies by making them think you’re capable of committing irrational acts.
  • “But let’s examine the Nixon theory,” he said. “So we dropped more ordnance on Cambodia and Laos than on Europe in World War II, and yet, ultimately, Nixon withdrew, Kissinger went to Paris, and all we left behind was chaos, slaughter, and authoritarian governments
  • “There is no evidence in modern American foreign policy that that’s how people respond. People respond based on what their imperatives are, and if it’s really important to somebody, and it’s not that important to us, they know that, and we know that,” he said. “There are ways to deter, but it requires you to be very clear ahead of time about what is worth going to war for and what is not.
  • Now, if there is somebody in this town that would claim that we would consider going to war with Russia over Crimea and eastern Ukraine, they should speak up and be very clear about it. The idea that talking tough or engaging in some military action that is tangential to that particular area is somehow going to influence the decision making of Russia or China is contrary to all the evidence we have seen over the last 50 years.”
  • “If you think about, let’s say, the Iran hostage crisis, there is a narrative that has been promoted today by some of the Republican candidates that the day Reagan was elected, because he looked tough, the Iranians decided, ‘We better turn over these hostages,’ ” he said. “In fact what had happened was that there was a long negotiation with the Iranians and because they so disliked Carter—even though the negotiations had been completed—they held those hostages until the day Reagan got elected
  • When you think of the military actions that Reagan took, you have Grenada—which is hard to argue helped our ability to shape world events, although it was good politics for him back home. You have the Iran-Contra affair, in which we supported right-wing paramilitaries and did nothing to enhance our image in Central America, and it wasn’t successful at all.” He reminded me that Reagan’s great foe, Daniel Ortega, is today the unrepentant president of Nicaragua.
  • Obama also cited Reagan’s decision to almost immediately pull U.S. forces from Lebanon after 241 servicemen were killed in a Hezbollah attack in 1983. “Apparently all these things really helped us gain credibility with the Russians and the Chinese,” because “that’s the narrative that is told,” he said sarcastically.
  • “Now, I actually think that Ronald Reagan had a great success in foreign policy, which was to recognize the opportunity that Gorbachev presented and to engage in extensive diplomacy—which was roundly criticized by some of the same people who now use Ronald Reagan to promote the notion that we should go around bombing people.”
  • “As I survey the next 20 years, climate change worries me profoundly because of the effects that it has on all the other problems that we face,” he said. “If you start seeing more severe drought; more significant famine; more displacement from the Indian subcontinent and coastal regions in Africa and Asia; the continuing problems of scarcity, refugees, poverty, disease—this makes every other problem we’ve got worse. That’s above and beyond just the existential issues of a planet that starts getting into a bad feedback loop.”
  • Terrorism, he said, is also a long-term problem “when combined with the problem of failed states.”
  • What country does he consider the greatest challenge to America in the coming decades? “In terms of traditional great-state relations, I do believe that the relationship between the United States and China is going to be the most critical,” he said. “If we get that right and China continues on a peaceful rise, then we have a partner that is growing in capability and sharing with us the burdens and responsibilities of maintaining an international order. If China fails; if it is not able to maintain a trajectory that satisfies its population and has to resort to nationalism as an organizing principle; if it feels so overwhelmed that it never takes on the responsibilities of a country its size in maintaining the international order; if it views the world only in terms of regional spheres of influence—then not only do we see the potential for conflict with China, but we will find ourselves having more difficulty dealing with these other challenges that are going to come.”
  • I’ve been very explicit in saying that we have more to fear from a weakened, threatened China than a successful, rising China,” Obama said. “I think we have to be firm where China’s actions are undermining international interests, and if you look at how we’ve operated in the South China Sea, we have been able to mobilize most of Asia to isolate China in ways that have surprised China, frankly, and have very much served our interest in strengthening our alliances.”
  • A weak, flailing Russia constitutes a threat as well, though not quite a top-tier threat. “Unlike China, they have demographic problems, economic structural problems, that would require not only vision but a generation to overcome,” Obama said. “The path that Putin is taking is not going to help them overcome those challenges. But in that environment, the temptation to project military force to show greatness is strong, and that’s what Putin’s inclination is. So I don’t underestimate the dangers there.”
  • “You know, the notion that diplomacy and technocrats and bureaucrats somehow are helping to keep America safe and secure, most people think, Eh, that’s nonsense. But it’s true. And by the way, it’s the element of American power that the rest of the world appreciates unambiguously
  • When we deploy troops, there’s always a sense on the part of other countries that, even where necessary, sovereignty is being violated.”
  • Administration officials have told me that Vice President Biden, too, has become frustrated with Kerry’s demands for action. He has said privately to the secretary of state, “John, remember Vietnam? Remember how that started?” At a National Security Council meeting held at the Pentagon in December, Obama announced that no one except the secretary of defense should bring him proposals for military action. Pentagon officials understood Obama’s announcement to be a brushback pitch directed at Kerry.
  • Obama’s caution on Syria has vexed those in the administration who have seen opportunities, at different moments over the past four years, to tilt the battlefield against Assad. Some thought that Putin’s decision to fight on behalf of Assad would prompt Obama to intensify American efforts to help anti-regime rebels. But Obama, at least as of this writing, would not be moved, in part because he believed that it was not his business to stop Russia from making what he thought was a terrible mistake. “They are overextended. They’re bleeding,” he told me. “And their economy has contracted for three years in a row, drastically.
  • Obama’s strategy was occasionally referred to as the “Tom Sawyer approach.” Obama’s view was that if Putin wanted to expend his regime’s resources by painting the fence in Syria, the U.S. should let him.
  • By late winter, though, when it appeared that Russia was making advances in its campaign to solidify Assad’s rule, the White House began discussing ways to deepen support for the rebels, though the president’s ambivalence about more-extensive engagement remained. In conversations I had with National Security Council officials over the past couple of months, I sensed a foreboding that an event—another San Bernardino–style attack, for instance—would compel the United States to take new and direct action in Syria. For Obama, this would be a nightmare.
  • If there had been no Iraq, no Afghanistan, and no Libya, Obama told me, he might be more apt to take risks in Syria. “A president does not make decisions in a vacuum. He does not have a blank slate. Any president who was thoughtful, I believe, would recognize that after over a decade of war, with obligations that are still to this day requiring great amounts of resources and attention in Afghanistan, with the experience of Iraq, with the strains that it’s placed on our military—any thoughtful president would hesitate about making a renewed commitment in the exact same region of the world with some of the exact same dynamics and the same probability of an unsatisfactory outcome.”
  • What has struck me is that, even as his secretary of state warns about a dire, Syria-fueled European apocalypse, Obama has not recategorized the country’s civil war as a top-tier security threat.
  • This critique frustrates the president. “Nobody remembers bin Laden anymore,” he says. “Nobody talks about me ordering 30,000 more troops into Afghanistan.” The red-line crisis, he said, “is the point of the inverted pyramid upon which all other theories rest.
  • “Was it a bluff?” I told him that few people now believe he actually would have attacked Iran to keep it from getting a nuclear weapon.“That’s interesting,” he said, noncommittally.I started to talk: “Do you—”He interrupted. “I actually would have,” he said, meaning that he would have struck Iran’s nuclear facilities. “If I saw them break out.”
  • “You were right to believe it,” the president said. And then he made his key point. “This was in the category of an American interest.”
  • I was reminded then of something Derek Chollet, a former National Security Council official, told me: “Obama is a gambler, not a bluffer.”
  • The president has placed some huge bets. Last May, as he was trying to move the Iran nuclear deal through Congress, I told him that the agreement was making me nervous. His response was telling. “Look, 20 years from now, I’m still going to be around, God willing. If Iran has a nuclear weapon, it’s my name on this,” he said. “I think it’s fair to say that in addition to our profound national-security interests, I have a personal interest in locking this down.”
  • In the matter of the Syrian regime and its Iranian and Russian sponsors, Obama has bet, and seems prepared to continue betting, that the price of direct U.S. action would be higher than the price of inaction. And he is sanguine enough to live with the perilous ambiguities of his decisions
  • Though in his Nobel Peace Prize speech in 2009, Obama said, “Inaction tears at our conscience and can lead to more costly intervention later,” today the opinions of humanitarian interventionists do not seem to move him, at least not publicly
  • As he comes to the end of his presidency, Obama believes he has done his country a large favor by keeping it out of the maelstrom—and he believes, I suspect, that historians will one day judge him wise for having done so
  • Inside the West Wing, officials say that Obama, as a president who inherited a financial crisis and two active wars from his predecessor, is keen to leave “a clean barn” to whoever succeeds him. This is why the fight against isis, a group he considers to be a direct, though not existential, threat to the U.S., is his most urgent priority for the remainder of his presidency; killing the so-called caliph of the Islamic State, Abu Bakr al-Baghdadi, is one of the top goals of the American national-security apparatus in Obama’s last year.
  • This is what is so controversial about the president’s approach, and what will be controversial for years to come—the standard he has used to define what, exactly, constitutes a direct threat.
  • Obama has come to a number of dovetailing conclusions about the world, and about America’s role in it. The first is that the Middle East is no longer terribly important to American interests. The second is that even if the Middle East were surpassingly important, there would still be little an American president could do to make it a better place. The third is that the innate American desire to fix the sorts of problems that manifest themselves most drastically in the Middle East inevitably leads to warfare, to the deaths of U.S. soldiers, and to the eventual hemorrhaging of U.S. credibility and power. The fourth is that the world cannot afford to see the diminishment of U.S. power. Just as the leaders of several American allies have found Obama’s leadership inadequate to the tasks before him, he himself has found world leadership wanting: global partners who often lack the vision and the will to spend political capital in pursuit of broad, progressive goals, and adversaries who are not, in his mind, as rational as he is. Obama believes that history has sides, and that America’s adversaries—and some of its putative allies—have situated themselves on the wrong one, a place where tribalism, fundamentalism, sectarianism, and militarism still flourish. What they don’t understand is that history is bending in his direction.
  • “The central argument is that by keeping America from immersing itself in the crises of the Middle East, the foreign-policy establishment believes that the president is precipitating our decline,” Ben Rhodes told me. “But the president himself takes the opposite view, which is that overextension in the Middle East will ultimately harm our economy, harm our ability to look for other opportunities and to deal with other challenges, and, most important, endanger the lives of American service members for reasons that are not in the direct American national-security interest.
  • George W. Bush was also a gambler, not a bluffer. He will be remembered harshly for the things he did in the Middle East. Barack Obama is gambling that he will be judged well for the things he didn’t do.
Javier E

As Health Care Shifts, U.S. Doctors Switch to Salaried Jobs - NYTimes.com - 0 views

  • Health economists are nearly unanimous that the United States should move away from fee-for-service payments to doctors, the traditional system where private physicians are paid for each procedure and test, because it drives up the nation’s $2.7 trillion health care bill by rewarding overuse
  • “In many places, the trend will almost certainly lead to more expensive care in the short run,”
  • When hospitals gather the right mix of salaried front-line doctors and specialists under one roof, it can yield cost-efficient and coordinated patient care, like the Kaiser system in California
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  • many of the new salaried arrangements have evolved from hospitals looking for new revenues, and could have the opposite effect. For example, when doctors’ practices are bought by a hospital, a colonoscopy or stress test performed in the office can suddenly cost far more because a hospital “facility fee” is tacked on. Likewise, Mr. Smith said, many doctors on salary are offered bonuses tied to how much billing they generate, which could encourage physicians to order more X-rays and tests.
  • “From the hospital end there’s a big feeding frenzy, a lot of bidding going on to bring in doctors,” Mr. Mechanic said. “And physicians are going in so they don’t have to worry
  • The base salaries of physicians who become employees are still related to the income they can generate, ranging from under $200,000 for primary care doctors to $575,000 in cardiology to $663,000 in neurosurgery,
  • Dr. Jacowitz said that the economics drove the choice and that the only other option would have been to bring in more revenue by practicing bad medicine — ordering more heart tests on patients who did not need them
  • “The question now is how to shift the compensation from a focus on volume to a focus on quality,” said Mr. Smith of Merritt Hawkins. He said that 35 percent of the jobs he recruits for currently have such incentives, “but it’s pennies, not enough to really influence behavior.”
Javier E

Chile Hunt for Justice Winds Up as Enigma - NYTimes.com - 0 views

  • SANTIAGO, Chile — The Chilean courts have long been after Ray E. Davis, a former American Navy captain, accusing him of being involved in the murder of two Americans decades ago that inspired the award-winning 1982 film “Missing.”
  • But it turns out Mr. Davis may have been right under their noses all along, living in a nursing home in an upscale part of the Chilean capital. Any attempts to haul him into court may now be too late; documents show that he recently died here as well.
  • The death of Mr. Davis, former commander of the United States Military Group at the embassy in Santiago, would leave many unanswered questions about the possible roles played by United States officials in the killings of the Americans Charles Horman, 31, and Frank Teruggi, 24, while in military custody shortly after the 1973 military coup led by Gen. Augusto Pinochet. It was the Horman case that is depicted in the film “Missing” by the director Costa-Gavras.
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  • Judge Jorge Zepeda indicted Mr. Davis on accusations that he provided Chilean intelligence officers with information on the two men. As commander of the military group, the ruling said, Mr. Davis directed a secret investigation into the political activities of American citizens in Chile and did not prevent their murders, “although he was in a position to do so, given his coordination with Chilean agents.”
Javier E

Republicans Don't Understand the Lessons of the Iraq War - The Atlantic - 0 views

  • As George W. Bush’s administration drew to an end, the brand of ambitious, expensive, Manichaean, militaristic foreign policy commonly dubbed “neoconservative” seemed on the verge of collapse.
  • Today, hawkishness is the hottest thing on the American right. With the exception of Rand Paul, the GOP presidential contenders are vying to take the most aggressive stance against Iran and the Islamic State, or ISIS. The most celebrated freshman Republican senator is Tom Cotton, who gained fame with a letter to Iran’s leaders warning that the United States might not abide by a nuclear deal. According to recent polls, GOP voters now see national security as more important than either cultural issues or the economy. More than three-quarters of Republicans want American ground troops to fight ISIS in Iraq, and a plurality says that stopping Iran’s nuclear program requires an immediate military strike.
  • What explains the change? Above all, it’s the legend of the surge. The legend goes something like this: By sending more troops to Iraq in 2007, George W. Bush finally won the Iraq War. Then Barack Obama, by withdrawing U.S. troops, lost it. Because of Obama’s troop withdrawal, and his general refusal to exercise American power, Iraq collapsed, ISIS rose, and the Middle East fell apart. “We had it won, thanks to the surge,” Senator John McCain declared last September. “The problems we face in Iraq today,” Louisiana Governor Bobby Jindal argued in May, “I don’t think were because of President Bush’s strength, but rather have come about because of President Obama’s weakness.”
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  • The legend of the surge has become this era’s equivalent of the legend that America was winning in Vietnam until, in the words of Richard Nixon’s former defense secretary Melvin Laird, “Congress snatched defeat from the jaws of victory by cutting off funding for our ally in 1975.”
  • In the late 1970s, the legend of the congressional cutoff—and it was a legend; Congress reduced but never cut off South Vietnam’s aid—spurred the hawkish revival that helped elect Ronald Reagan. As we approach 2016, the legend of the surge is playing a similar role. Which is why it’s so important to understand that the legend is wrong.
  • The surge was not intended merely to reduce violence. Reducing violence was a means to a larger goal: political reconciliation. Only when Iraq’s Sunni and Shia Arabs and its Kurds all felt represented by the government would the country be safe from civil war. As a senior administration official told journalists the day Bush announced the surge, “The purpose of all this is to get the violence in Baghdad down, get control of the situation and the sectarian violence, because now, without it, the reconciliation that everybody knows in the long term is the key to getting security in the country—the reconciliation will not happen.”
  • But although the violence went down, the reconciliation never occurred. According to the legend of the surge, Iraq’s collapse stems from Obama’s decision to withdraw all U.S. troops at the end of 2011. “If we’d had a residual force of 10,000 to 12,000,” Senator Lindsey Graham said last year, “I am totally convinced there would not have been a rise of al-Qaeda.” In reality, the prime minister of Iraq, Nouri al-Maliki, began persecuting the Sunnis—thus laying the groundwork for their embrace of ISIS—long before American troops departed the country. As early as 2007, writes Emma Sky, who advised both Petraeus and his successor, General Ray Odierno, “the U.S. military was frustrated by what they viewed as the schemes of Maliki and his inner circle to actively sabotage our efforts to draw Sunnis out of the insurgency.”
  • The tragedy of post-surge Iraq has its roots in America’s failure to make the Iraqi government more inclusive—a failure that began under Bush and deepened under Obama
  • These errors came well before Obama’s decision to remove American troops at the end of 2011. The fact is, the U.S. failed to stop Maliki’s slide into sectarian tyranny even when it still had 100,000 troops patrolling Iraqi soil. That’s because America had already lost much of its leverage. Once the surge succeeded in reducing violence, Maliki no longer needed American troops to keep him in power
  • The problem with the legend of the surge is that it reproduces the very hubris that led America into Iraq in the first place. In 2003, the Bush administration believed it could shatter the Iraqi state and then quickly and cheaply construct a new one that was stable, liberal, democratic, and loyal to the United States. By 2006, many conservatives had realized that was a fantasy
  • in 2007 and 2008, through a series of bold innovations, the United States military bribed, cajoled, and bludgeoned Iraqis into multiple cease-fires. The Iraqi state was still broken; its new ruling elite showed little of the political magnanimity necessary to reconstruct it in an inclusive fashion. And the Band-Aids that Petraeus and his troops had courageously affixed began peeling off almost immediately. Nonetheless, Republicans today say the Iraq War was won, and would have remained won, had the U.S. left 10,000 troops in the country after 2011.
  • the same wild overestimation of American power that fueled the war in Iraq now fuels the right’s opposition to the nuclear deal with Iran. To hear hawks tell it, the United States can scuttle the current deal, intensify sanctions, threaten war, and—presto—Tehran will capitulate. But Iranians have been living under the threat of attacks from America or Israel for more than a decade now. And British and German diplomats have warned that if the U.S. Congress torpedoes the agreement, sanctions pressure on Iran will go not up but down, as countries that have lost billions by limiting their trade with Tehran stop doing so.
  • One day, Republicans will resume the painful work they began in 2006—the work of reconciling conservative attitudes with the limits of American power. Let’s hope they don’t do too much damage before that day comes.
  • Senator Gordon Smith of Oregon called the president’s Iraq policy “absurd” if not “criminal.” George Will, the dean of conservative columnists, deemed neoconservatism a “spectacularly misnamed radicalism” that true conservatives should disdain.
Javier E

Harper Lee and Truman Capote: A Collaboration in Mischief - The New York Times - 0 views

  • One summer about 85 years ago in a small Alabama town, a scrappy tomboy named Nelle met her new next door neighbor, Tru, a bookish, dapper dresser with a high-pitched voice and a mischievous streak.They made an unlikely pair. She often went barefoot in overalls while he dressed so fastidiously that a teacher said he stood out like a bird of paradise in a flock of crows. But both were oddballs who took refuge in detective novels, and they quickly bonded over their mutual love of Sherlock Holmes and the Rover Boys, spending long afternoons reading mysteries in their treehouse sanctuary. To entertain themselves, they started writing their own stories on her father’s Underwood typewriter, taking turns as one of them narrated while the other typed.
  • They grew up to be two of the South’s greatest writers — Harper Lee and Truman Capote — and their lives and work were intertwined long after that first summer. Ms. Lee drew on their friendship in her portrait of the characters Scout and Dill in “To Kill a Mockingbird” and in her newly released novel, “Go Set a Watchman.”
  • Their broken friendship has been restored — in fiction, at least — in a forthcoming middle-grade novel, “Tru & Nelle,” by Greg Neri. Though Ms. Lee and Mr. Capote have each individually been the subject of numerous biographies, documentaries and feature films, “Tru & Nelle” is the first book to focus primarily on their childhood bond.
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  • “It was just kind of sitting there, and I couldn’t believe no one had taken it on,” said Mr. Neri, author of six books for teenagers, including “Ghetto Cowboy.” “Both she and Truman used their real lives as fodder for their fiction, and I figured if they did it, maybe I could do it too.”
  • “Go Set a Watchman,” which takes place 20 years after “Mockingbird” when Scout is an adult, is punctuated by flashbacks to her childhood adventures with her brother, Jem, and her best friend, Dill, the Capote figure: “He was a short, square-built, cotton-headed individual with the face of an angel and the cunning of a stoat,” Ms. Lee wrote. “He was a year older than she, but she was a head taller.”
  • In one scene of “Watchman” that parallels an actual childhood incident, Dill, Scout and Jem put on a mock Baptist revival, culminating with a baptism in the fish pond. To their mortification, their antics are interrupted by dinner guests, the minister and his wife. In reality, Nelle, Truman and his cousin put on a mock carnival sideshow on a similar occasion, shocking the visitors, an episode woven into Mr. Neri’s book.
  • Born a year and a half apart, the young Harper and Truman both had active imaginations and distant mothers. Neither of them fit in especially well in a small Southern community.“Nelle was too rough for the girls, and Truman was scared of the boys, so he just tagged on to her and she was his protector,” a family friend, Charles Ray Skinner, recalled in “Mockingbird,” Charles J. Shields’s biography of Ms. Lee. When schoolyard bullies ganged up on Truman, who was small for his age, Nelle, who was younger, got in fistfights to protect him.
  • Ms. Lee, who stopped giving formal interviews in the 1960s, once described feeling bound to Mr. Capote by “a common anguish” and said of her childhood, “We lived in our imagination most of the time.” Mr. Capote recalled in an interview that the two often felt like “apart people.”
Maria Delzi

BBC News - Syria crisis: Ships return as chemical removal slips - 0 views

  • Norwegian and Danish ships waiting to remove Syria's chemical weapons are returning to port in Cyprus, signalling a key deadline will not be met.
  • Bad weather, shifting battle lines and road closures are being blamed for the delay.
  • The international mission is waiting for Syria's most dangerous chemicals to be transported to the port in Latak
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  • The deadline is the first milestone of a deal to rid Syria of its chemical weapons arsenal by the middle of 2014.
  • Western powers said only Syrian government forces could have carried out the attack, but President Bashar al-Assad blamed rebel fighters.
  • Under the international disarmament plan, US satellites and Chinese surveillance cameras are to track the progress of Russian armoured lorries as they carry the chemical weapons from 12 storage sites in Syria to Latakia, on Syria's Mediterranean coast.
  • Danish and Norwegian cargo ships will then transport the chemicals to a port in Italy, where they will be loaded on to the US Maritime Administration vessel MV Cape Ray and taken out into international waters before being destroyed by hydrolysis.
  • reports that the European ships are docked in Limassol, Cyprus on the day they are supposed to be escorting Syria's most dangerous chemicals out of the country.
  • The vessels left Limassol on Saturday but turned back on Tuesday after the hazardous containers failed to arrive for collection in Latakia. Now the plan is to refuel in Limassol before returning to sea in the coming days.
  • Co-operation on the chemical weapons removal programme was seen by many of those involved as a potential catalyst for broader peace negotiations in Syria.
  • Failing to meet this ambitious target, our correspondent adds, will demonstrate the difficulties involved in operating in a country with constantly changing frontlines - even with an international mandate and co-operation from President Assad.
  • "A number of external factors have impacted upon timelines, not least the continuing volatility in overall security conditions, which have constrained planned movements," a statement said.
  • The joint mission also noted that the Syrian government had met the 1 November deadline to destroy critical chemical weapons production equipment, which meant it could no longer weaponise the chemical agents at its storage facilities.
  • But deputy spokeswoman Marie Harf also acknowledged that it was a "complicated process", adding: "As long as we see forward progress, that what's most important here."
  • activists said a missile fired by government forces hit a bus in Aleppo, killing at least 10 people.
  • The UK-based Syrian Observatory for Human Rights reported that the dead included two children and that the missile was fired from a plane.
Javier E

Will You Lose Your Job to a Robot? Silicon Valley Is Split - NYTimes.com - 0 views

  • The question for Silicon Valley is whether we’re heading toward a robot-led coup or a leisure-filled utopia.
  • nterviews with 2,551 people who make, research and analyze new technology. Most agreed that robotics and artificial intelligence would transform daily life by 2025, but respondents were almost evenly split about what that might mean for the economy and employment.
  • techno-optimists. They believe that even though machines will displace many jobs in a decade, technology and human ingenuity will produce many more, as happened after the agricultural and industrial revolutions. The meaning of “job” might change, too, if people find themselves with hours of free time because the mundane tasks that fill our days are automated.
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  • The other half agree that some jobs will disappear, but they are not convinced that new ones will take their place, even for some highly skilled workers. They fear a future of widespread unemployment, deep inequality and violent uprisings — particularly if policy makers and educational institutions don’t step in.
  • We’re going to have to come to grips with a long-term employment crisis and the fact that — strictly from an economic point of view, not a moral point of view — there are more and more ‘surplus humans.'  ”
  • “The degree of integration of A.I. into daily life will depend very much, as it does now, on wealth. The people whose personal digital devices are day-trading for them, and doing the grocery shopping and sending greeting cards on their behalf, are people who are living a different life than those who are worried about missing a day at one of their three jobs due to being sick, and losing the job and being unable to feed their children.”
  • “Only the best-educated humans will compete with machines. And education systems in the U.S. and much of the rest of the world are still sitting students in rows and columns, teaching them to keep quiet and memorize what is told to them, preparing them for life in a 20th century factory.”
  • “We hardly dwell on the fact that someone trying to pick a career path that is not likely to be automated will have a very hard time making that choice. X-ray technician? Outsourced already, and automation in progress. The race between automation and human work is won by automation.”
  • “Robotic sex partners will be commonplace. … The central question of 2025 will be: What are people for in a world that does not need their labor, and where only a minority are needed to guide the ‘bot-based economy?'  ”
  • “Employment will be mostly very skilled labor — and even those jobs will be continuously whittled away by increasingly sophisticated machines. Live, human salespeople, nurses, doctors, actors will be symbols of luxury, the silk of human interaction as opposed to the polyester of simulated human contact.”
  • The biggest exception will be jobs that depend upon empathy as a core capacity — schoolteacher, personal service worker, nurse. These jobs are often those traditionally performed by women. One of the bigger social questions of the mid-late 2020s will be the role of men in this world.”
Javier E

Race Is On to Profit From Rise of Urgent Care - NYTimes.com - 0 views

  • The business model is simple: Treat many patients as quickly as possible. Urgent care is a low-margin, high-volume proposition. At PhysicianOne here, most people are in and out in about 30 minutes. The national average charge runs about $155 per patient visit. Do 30 or 35 exams a day, and the money starts to add up.
  • Urgent care clinics also have a crucial business advantage over traditional hospital emergency rooms in that they can cherry-pick patients. Most of these centers do not accept Medicaid and turn away the uninsured unless they pay upfront.
  • While convenience is one factor, so is cost. The average charge to treat acute bronchitis at an urgent care center in 2012 was $122, compared with $814 at an emergency room, according to data on the website of CareFirst Blue Cross Blue Shield, which operates in Maryland, Northern Virginia and the District of Columbia. The price of treating a middle-ear infection was $100 versus nearly $500 in an E.R. Such cost differences matter not only to commercial insurers, but also to consumers with high-deductible health plans.
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  • “Just because a physician’s office extended its hours doesn’t make it urgent care,” Mr. Charland said. “To me, urgent care means you can do X-rays, that you can do sutures, maybe you’re open one weekend day, plus one or two evenings.”
Javier E

The Schumer Consensus, Ctd « The Dish - 0 views

  • Who is health care reform supposed to benefit if not working-class people on the way up? These are EXACTLY the people who lacked insurance, who were at risk from even small hospital bills, and so forth.
  • What were the elements of Schumer‘s extended economic package that Obama never took up? There never were any.
  • Pre-election polls showed the GOP with a large edge over Dems in trust over handling the economy, in sharp contrast to Ray Fair’s economic model, which said Dems should get 52% of the House vote. That’s absurd, a political failure the likes of which we’ve never seen
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  • The economic policies didn’t fail. The politicians did. All Dems had to do was draw the charts: Stocks crashed under them, went up under us. Jobs crashed under them, came all the way back under us. And so forth.
  • In 1982, Reagan spun much worse short-term economic facts than these into his Stay the Course speech, which effectively fought that midterm to a draw. In 2014, the argument for Staying the Course was much stronger. And it’s on Chuck Schumer, as much as anyone else, that it never got made.
Javier E

The unhappy states of America: Despite an improving economy, Americans are glum - The W... - 0 views

  • Americans are more glum now than they were during the Great Recession
  • 2017 turned out to be the worst year for well-being on record. The overall index score was even lower than during the financial crisis, and, for the first time in the decade that Gallup has done this poll, no state in the country showed a statistically significant increase in well-being.
  • In 2009, a year when 15 states showed declines in well-being, money and financial worries were at the top of the list. Today, emotional and psychological factors dominate. People are not content in their jobs and relationships, and depression diagnoses are at an all-time high in the United States.
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  • Some blame politics and polarization for causing people to feel more anxiety and bitterness toward work colleagues and family. There's a constant narrative of division in the country between Republicans and Democrats, gun-rights supporters and gun-control advocates, the religious and the nonreligious, and so on. And there are near daily headlines about chaos in the White House.
  • “We don’t know what is going to happen next. There’s no clear path toward stabilizing either the country or the world.”
  • Almost every demographic group dropped in well-being in 2017 — except for wealthy white men. Women, African Americans, Hispanics and lower-income households (those earning less than $48,000 a year) all saw substantial drops in their perception of their well-being.
  • Democrats also showed far bigger declines than Republicans or independents. “Switching out the person in the Oval Office can and does have an effect on well-being,”
  • While consumer confidence is at the highest level since 2004, polls that look at broader issues than income and spending power don't appear as rosy.
  • Forty percent of American adults now say they are lonely, double the share of people who said that in the 1980s, according to AARP. Some people are even struggling to feel connected to their work colleagues
  • In 2017, the No. 1 fear was corrupt government officials followed by the overall state of health care and worries about pollution. There was also a significant jump last year in fears about the United States getting into another world war.
  • In 2017, half of Americans said one of their top fears was “not having enough money for the future,” a reminder that even if people have jobs now, they remain anxious because they aren't sure how long that will last.
  • “People are feeling more economically insecure, even if they have a job and a salary,” said Rachel Schneider, co-author of “The Financial Diaries: How American Families Cope in a World of Uncertainty.” “I think it's a combination of knowing you're responsible for your own retirement, knowing you're responsible for your own health care and knowing that you don't have any significant job security.”
  • There's a growing push from academics and even Wall Street bankers, such as hedge fund billionaire Ray Dalio, to get politicians to look beyond the national statistics on jobs and economic. Those numbers aren't painting the full picture of how Americans are doing, let alone feeling, experts say.
  • Despite the improving economy, the fear of running out of money down the road jumped nearly 10 points from the year before, and it was followed closely by fears of “high medical bills.”
Javier E

How trashy TV made children dumber and enabled a wave of populist leaders - The Washing... - 0 views

  • more exposure to Mediaset’s vapid programming was followed by an enduring boost in support for populist candidates peddling simple messages and easy answers.
  • the researchers go to great lengths to prove this isn’t just a Berlusconi effect. For starters, the bump extends to his populist competitors, particularly the Five Star Movement. Founded on a comedian’s blog a decade ago, the anti-establishment movement became the biggest single party in Italy’s Parliament after last year’s election.
  • Television’s role in populist success apparently lies in entertainment, not in political messaging.
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  • The researchers digitized years of old newspaper television listings to show that Mediaset offered almost three times as many hours of movies and entertainment as RAI and avoided almost all news and educational programming.
  • the research added to evidence that “TV that’s not explicitly about politics can have an effect on politics.”
  • greater access to broadcast media corresponded with lower civic participation and lower levels of trust.
  • On an international test conducted in 2012, Italian adults from places where they first would have been exposed to Mediaset under the age of 10 had math and reading scores that were significantly worse than those of their peers. They were also less civically minded and less politically active.
  • They found that lowbrow television’s electoral effect came with a bump of almost 10 percentage points between the two groups that watched it most: those under age 10 and those 55 and older. As they aged, the two groups would both come to support populists
  • Young people who watched Mediaset during their formative years would, Durante said, grow up to be “less cognitively sophisticated and less civically minded” than their peers who only had access to public broadcasting and local stations during that period.
  • Durante describes it as a matter of opportunity cost: Every hour you spend watching TV is an hour you aren’t reading, playing outside or socializing with other kids. “I’m sorry,” he said, “but that may have long-term effects on what kind of person you will become.”
  • On a battery of psychological and cognitive tests administered to military conscripts, young men from areas with more Mediaset exposure were between 8 percent and 25 percent more likely to earn the lowest scores
  • In Italy, the economists also used critics’ reviews, as well as ratings from the Motion Picture Association of America, to show Mediaset’s programming was of lower quality and less suitable for a general audience.
  • these men and women were attracted to Berlusconi and later the Five Star Movement, both of whom were more likely to use simple language in their speeches and platforms, the researchers show.
  • By the time Mediaset offered regular news programming, in the early 90s, many older viewers had been hooked on the channel’s cheap entertainment and were much more likely to watch news offered by Mediaset than by other broadcasters.
  • This result echoes a 2017 analysis in the same academic journal by a separate team that used variation in channel listings to calculate that Fox News gave Republicans a half-point boost in 2000, building up to a six-percentage-point advantage in 2008 compared with a baseline scenario in which the channel didn’t exist.
  • In Italy, it’s not that television made voters more conservative. Instead, Durante said, it seems to have made them more vulnerable to the anti-establishment stances favored by the country’s populist leaders of all persuasions.
  • In the ’90s and early 2000s, Berlusconi was “well positioned to benefit from the decline in cognitive skills and civic engagement,” they write, but by 2013, he was outflanked by the insurgent Five Star Movement, whose strong rhetoric won over the Mediaset-affected voters who had once broken for Berlusconi.
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