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Opinion | On the Economics of Not Dying - The New York Times - 0 views

  • What, after all, is the economy’s purpose? If your answer is something like, “To generate incomes that let people buy things,” you’re getting it wrong — money isn’t the ultimate goal; it’s just a means to an end, namely, improving the quality of life.
  • A Columbia University study estimated that locking down just a week earlier would have saved 36,000 lives by early May, and a back-of-the-envelope calculation suggests that the benefits of that earlier lockdown would have been at least five times the cost in lost G.D.P.
  • why isn’t the Trump administration even trying to justify its push for reopening in terms of a rational analysis of costs and benefits? The answer, of course, is that rationality has a well-known liberal bias.
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  • After all, if they really cared about the economy, even ardent reopeners would want people to keep wearing face masks, which are a cheap way to limit viral spread. Instead, they’ve chosen to wage a culture war against this most reasonable of precautions.
  • And the White House has dealt with expert warnings about the risks of reopening by — surprise! — accusing the experts of conspiring against the president
  • The point is that the push to reopen doesn’t reflect any kind of considered judgment about risks versus rewards. It’s best seen, instead, as an exercise in magical thinking.
  • Trump and conservatives in general seem to believe that if they pretend that Covid-19 isn’t a continuing threat, it will somehow go away, or at least people will forget about it. Hence the war on face masks, which help limit the pandemic but remind people that the virus is still out there.
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We can't bear the truth of covid-19, so we've just decided to forget - The Washington Post - 0 views

  • The United States, it seems, has gotten over covid-19 and moved on to other things.
  • as the pandemic has worn on, and everyone has learned more, covid-19 no longer seems so threatening.
  • Yet that is a little too sunny; even as the initial spike in cases has receded, covid-19 is still the third-leading cause of death in the United States, behind only cancer and heart disease. And while 40 percent of victims had ties to nursing homes, 60 percent did not
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  • Moreover, there’s a strong possibility that the virus hit care facilities so hard not just because those elderly patients were so extra-vulnerable but because those elderly patients were in an institution, unable to isolate themselves
  • Another possibility is that we understand the risks but have collectively realized that long-term self-isolation is unsustainable, and that we’re all going to get it eventually, so we might as well start now.
  • If we’ve really decided to accept our own mortality with a certain cheerful fatalism, though, why go through the motions of carefully positioning those cafeteria chairs six feet apart?
  • a third possibility: Americans have neither the stoicism to actually bear the risk of dying from covid-19 nor the fortitude to embark on an indefinite period of rigorous self-isolation
  • Nor, even if we could muster those qualities, could we get a majority of our fellow countrymen to go along.
  • so, instead of deciding upon some basically rational course of action, we have collectively agreed to forget the things we could no longer bear to know.
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It's Time to Stop Rationalizing and Enabling Evangelical Vaccine Rejection - by David F... - 0 views

  • As we approach nine months of vaccine availability and nine months of flood-the-zone coverage of vaccine safety and efficacy, it is clear that much (though certainly not all) of our remaining refusal problem is not one of information but one of moral formation itself. The very moral framework of millions of our fellow citizens—the way in which they understand the balance between liberty and responsibility—is gravely skewed. 
  • To understand the skew, it’s first necessary to understand the proper balance, and while we have vaccine endorsements from Christian leaders from across the Catholic/Protestant spectrum, we also have guidance from church fathers—individuals who no one can claim have caved to some “establishment” or are motivated by supposed invites to mythical beltway “cocktail parties.” For example, read these famous words from Martin Luther, written during a plague in his own time:
  • Therefore I shall ask God mercifully to protect us. Then I shall fumigate, help purify the air, administer medicine, and take it. I shall avoid places and persons where my presence is not needed in order not to become contaminated and thus perchance infect and pollute others, and so cause their death as a result of my negligence. If God should wish to take me, he will surely find me and I have done what he has expected of me and so I am not responsible for either my own death or the death of others. If my neighbor needs me, however, I shall not avoid place or person but will go freely, as stated above. See, this is such a God-fearing faith because it is neither brash nor foolhardy and does not tempt God.
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  • Christian vaccine refusal not only rejects self-care, it enhances risks to innocent and vulnerable neighbors. Even vaccinated people can catch relatively rare breakthrough cases. And every person—regardless of vaccination status—is vulnerable to the strains placed on a region’s hospitals when COVID runs rampant. 
  • As a person created in the image of God, taking care of yourself is an independent good. Taking care of yourself so that you can care for others is an even nobler good. 
  • The balance is clear. It is incumbent on the Christian to take care of themselves, including by taking medicine “in order not to become contaminated” (a nice definition of a vaccine before vaccines were invented). To the extent that he or she takes risks, those risks should be on behalf of others
  • In addition, my liberty doesn’t extend to materially impairing your ability to pursue happiness.
  • The idea that liberty has limits is inherent in the American social compact
  • Through more than two centuries of controversy and progress, our classical liberal legal system is learning to harmonize these three unalienable rights.
  • I have liberty, yes, but my liberty does not extend to taking or endangering your life
  • I also fear that the relentless right-wing political focus on religious liberty has obscured two realities—that our liberties have limits when they collide with the rights of others, and that the exercise of our liberty carries with it profound moral responsibility. 
  • In March I wrote to warn that Christian vaccine hesitancy was a looming national problem. That which we have feared has come to pass. Indeed, as both the geographic concentrations of unvaxxed Americans and the survey data demonstrate, Christian vaccine refusal is helping sustain this pandemic:
  • Foremost among them are protections for life and health.
  • By contrast, what does the anti-vax Christian seek? The liberty to risk both the lives of others (through the physical danger of COVID and/or the danger of swamped medical facilities) and their pursuit of happiness (through the continued physical, economic, and social strains of a pandemic extended in part but the choices of anti-vax citizens). 
  • let’s be honest and clear. The majority of Christians seeking religious exemptions are using religion as a mere pretext for their real concern—be it fear of the shot or the simple desire to do what they want.
  • I’m quite concerned that long-standing, justified Christian concerns for religious liberty have inadvertently created a sense of religious entitlement that obscures the desperate need for religious responsibility.
  • For the Christian believer, the pursuit of freedom is inseparable from the pursuit of virtue. We do not seek liberty simply to satisfy our desires or to appease our fears. In fact, when we pursue the freedom to make our neighbors sick, we violate the social compact and undermine our moral standing in politics, law, and culture. Christian libertinism becomes a long-term threat to religious liberty itself. 
  • Our founders recognized the threat of libertinism to liberty. “Our Constitution,” John Adams wrote, “was made only for a moral and religious people. It is wholly inadequate to the governance of any other.” In fact, a sufficient degree of vice would, Adams argued, “break the strongest cords of our Constitution as a Whale goes through a Net.”
  • it is increasingly clear that many of the remaining holdouts need their hearts to change before their minds will change. It’s their moral framework that’s broken, and when that framework is broken, reason and virtue have difficulty penetrating a hardened heart.
  • The proper framework is easy to articulate, yet hard to create. Take prudent measures to protect yourself. When you choose to take risks, take risks for others. And always recognize that liberty isn’t license. Believers should seek freedom to pursue virtue, not to indulge their desires or appease their fears. 
  • In more prosaic legal terms, the state is able to regulate even the strongest of liberties when it possesses a “compelling governmental interest” and places those regulations in proper limits
  • Now is the time to take a clear stand. Not in a way that mocks or condescends, but one can be firm while also being respectful. As the Apostle Paul told Timothy, “God has not given us a spirit of fear, but one of power, love, and sound judgment.” The power is not political power, but the power of God over the fears of man. The love is for God and for our neighbor. And sound judgment should help us separate lies from truth and tell us that no argument for liberty should trump our responsibility to spare our nation and our neighbors and finally take the vaccine. 
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Climate Change Obsession Is a Real Mental Disorder - WSJ - 0 views

  • If heat waves were as deadly as the press proclaims, Homo sapiens couldn’t have survived thousands of years without air conditioning. Yet here we are
  • Humans have shown remarkable resilience and adaptation—at least until modern times, when half of society lost its cool over climate change.
  • it’s alarmist stories about bad weather that are fueling mental derangements worthy of the DSM-5—not the warm summer air itself.
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  • The Bloomberg article cites a July meta-analysis in the medical journal Lancet, which found a tenuous link between higher temperatures and suicides and mental illness. But the study deems the collective evidence of “low certainty” owing to inconsistent study findings, methodologies, measured variables and definitions.
  • “climate change might not necessarily increase mental health issues because people might adapt over time, meaning that higher temperatures could become normal and not be experienced as anomalous or extreme.”
  • yes. Before the media began reporting on putative temperature records—the scientific evidence for which is also weak—heat waves were treated as a normal part of summer. Uncomfortable, but figuratively nothing to sweat about.
  • according to a World Health Organization report last year, the very “awareness of climate change and extreme weather events and their impacts” may lead to a host of ills, including strained social relationships, anxiety, depression, intimate-partner violence, helplessness, suicidal behavior and alcohol and substance abuse.
  • A study in 2021 of 16- to 25-year-olds in 10 countries including the U.S. reported that 59% were very or extremely worried about climate change, and 84% were at least moderately worried
  • Forty-five percent claimed they were so worried that they struggled to function on a daily basis, the definition of an anxiety disorder.
  • “First and foremost, it is imperative that adults understand that youth climate anxiety (also referred to as eco-anxiety, solastalgia, eco-guilt or ecological grief) is an emotionally and cognitively functional response to real existential threats,” a May 10 editorial in the journal Nature explained. “Although feelings of powerlessness, grief and fear can be profoundly disruptive—particularly for young people unaccustomed to the depth and complexity of such feelings—it is important to acknowledge that this response is a rational one.”
  • These anxieties are no more rational than the threats from climate change are existential.
  • A more apt term for such fear is climate hypochondria.
  • The New Yorker magazine earlier this month published a 4,400-word piece titled “What to Do With Climate Emotions” by Jia Tolentino, a woman in the throes of such neurosis
  • Ms. Tolentino goes on to describe how climate therapists can help patients cope. “The goal is not to resolve the intrusive feeling and put it away” but, as one therapist advises her, “to aim for a middle ground of sustainable distress.” Even the climate left’s despair must be “sustainable.”
  • there’s nothing normal about climate anxiety, despite the left’s claims to the contrary.
  • Progressives may even use climate change to displace their other anxieties—for instance, about having children
  • Displacement is a maladaptive mechanism by which people redirect negative emotions from one thing to another
  • Climate hypochondriacs deserve to be treated with compassion, much like anyone who suffers from mental illness. They shouldn’t, however, expect everyone else to enable their neuroses.
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What Christopher Hitchens Knew - by Matt Johnson - 0 views

  • Hitchens’s style of left-wing radicalism is now out of fashion, but it has a long and venerable history: George Orwell’s unwavering opposition to totalitarianism and censorship, Bayard Rustin’s advocacy for universal civil rights without appealing to tribalism and identity politics, the post-communist anti-totalitarianism that emerged on the European left in the second half of the twentieth century.
  • Hitchens described himself as a “First Amendment absolutist,
  • Hitchens’ most fundamental political and moral conviction was universalism. He loathed nationalism and argued that the international system should be built around a “common standard for justice and ethics”
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  • Hitchens argued that unfettered free speech and inquiry would always make civil society stronger. When he wrote the introduction to his collection of essays For the Sake of Argument in 1993, he had a specific left-wing tradition in mind: the left of Orwell and Victor Serge and C.L.R. James, which simultaneously opposed Stalinism, fascism, and imperialism in the twentieth century, and which stood for “individual and collective emancipation, self-determination and internationalism.”
  • he argued that these values are for export. Hitchens believed in universal human rights. This is why, at a time when his comrades were still manning the barricades against the “imperial” West after the Cold War, he argued that the North Atlantic Treaty Organization should intervene to stop a genocidal assault on Bosnia. It’s why he argued that American power could be used to defend human rights and promote democracy.
  • He didn’t just despise religion because he regarded it as a form of totalitarianism—he also recognized that it’s an infinitely replenishable wellspring of tribal hatred.
  • He also opposed identity politics, because he didn’t think our social and civic lives should be reduced to rigid categories based on melanin, X chromosomes, and sexuality.
  • He recognized that the Enlightenment values of individual rights, freedom of expression and conscience, humanism, pluralism, and democracy are universal—they provide the most stable, just, and rational foundation for any civil society, whether they’re observed in America or Europe or Iraq.
  • As many on the Western left built their politics around incessant condemnations of their own societies as racist, exploitative, oligarchic, and imperialistic, Hitchens recognized the difference between self-criticism and self-flagellation.
  • Hitchens closes his book Why Orwell Matters with the following observation: “What he [Orwell] illustrates, by his commitment to language as the partner of truth, is that ‘views’ do not really count; that it matters not what you think, but how you think; and that politics are relatively unimportant, while principles have a way of enduring, as do the few irreducible individuals who maintain allegiance to them.”
  • One of the reasons Orwell accumulated many left-wing enemies in his time was the fact that his criticisms of his own “side” were grounded in authentic left-wing principles
  • he criticized the left-wing intellectuals who enjoy “seeing their own country humiliated” and “follow the principle that any faction backed by Britain must be in the wrong.” Among some of these intellectuals, Orwell wrote: “One finds that they do not by any means express impartial disapproval but are directed almost entirely against Britain and the United States. Moreover they do not as a rule condemn violence as such, but only violence used in defense of the Western countries.”
  • This is a predictable manifestation of what the American political theorist Michael Walzer calls the “default position” of the left: a purportedly “anti-imperialist and anti-militarist” position inclined toward the view that “everything that goes wrong in the world is America’s fault.”
  • the tendency to ignore and rationalize even the most egregious violence and authoritarianism abroad in favor of an obsessive emphasis on the crimes and blunders of Western governments has become a reflex.
  • Much of the left has been captured by a strange mix of sectarian and authoritarian impulses: a myopic emphasis on identitarianism and group rights over the individual; an orientation toward subjectivity and tribalism over objectivity and universalism; and demands for political orthodoxy enforced by repressive tactics like the suppression of speech.
  • These left-wing pathologies are particularly corrosive today because they give right-wing nationalists and populists on both sides of the Atlantic—whose rise over the past several years has been characterized by hostility to democratic norms and institutions, rampant xenophobia, and other forms of illiberalism—an opportunity to claim that those who oppose them are the true authoritarians.
  • He understood that the left could only defeat these noxious political forces by rediscovering its best traditions: support for free expression, pluralism, and universalism—the values of the Enlightenment.
  • He believed in the concept of global citizenship, which is why he firmly supported international institutions like the European Union
  • Despite the pervasive idea that Hitchens exchanged one set of convictions for another by the end of his life, his commitment to his core principles never wavered.
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Tyre Nichols's Death Raises Questions About Race and Policing - WSJ - 0 views

  • it mistakes justice for right. Justice is only ever retrospective. It is the redress of a wrong. It can never right a wrong. Even if, as we hope, it can help deter future crime, it doesn’t even purport to address the causes and conditions that lead to criminal acts. For that we have to examine individual, social and institutional characteristics—and, if we can, correct them.
  • There is still much room for uncertainty but I think the answer here is clearly yes.
  • The right question to ask is: Would the Memphis officers have behaved as they did if the man they were pursuing had been white?
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  • t we can frame the question differently: Is it less probable that a confrontation between these officers and a suspect would have resulted in his violent death if he had been, let’s say, a middle-aged white man rather than a 29-year-old black man?
  • Five black cops kill a black man and the left immediately insists it is racism at work. But you don’t have to believe that the black officers were somehow acting as unwitting agents of white supremacism, or subscribe to the canon of critical race theory, to ponder how the race of suspects affects how they are treated by police.
  • The problem, as well documented in studies of police shootings, is that young black men are disproportionately more likely to be involved in serious crime—and in encounters with police—than are other demographics. This inevitably results in a greater suspicion in the minds of police officers (and the rest of us) that a young black man may pose a greater risk.
  • This is rational and not primal bigotry. But at what point does this rational, inference-making blur into a set of unworthy assumptions about the behavior of all young black men, even—perhaps especially—among other black men?
  • Fixing the deep social problems that result in higher crime rates, and sometimes tragic encounters with police, among blacks is a continuing task for policy makers. But fixing in our own minds—of blacks and whites alike—lingering stereotypes of particular demographics is an urgent task for all of us.
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The Fog of War - Wikipedia - 0 views

  • Lesson #1: Empathize with your enemy.
  • Lesson #2: Rationality alone will not save us.
  • McNamara emphasizes that it was luck that prevented nuclear war—rational individuals like Kennedy, Khrushchev, and Castro came close to destroying themselves and each other.
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  • Lesson #5: Proportionality should be a guideline in war.
  • McNamara talks about the proportions of cities destroyed in Japan by the US before the dropping of the nuclear bomb, comparing the destroyed Japanese cities to similarly-sized cities in the US: Tokyo, roughly the size of New York City, was 51% destroyed; Toyama, the size of Chattanooga, was 99% destroyed; Nagoya, the size of Los Angeles, was 40% destroyed; Osaka, the size of Chicago, was 35% destroyed; Kobe, the size of Baltimore, was 55% destroyed; etc. He says LeMay once said that, had the United States lost the war, they would have been tried for war crimes, and agrees with this assessment.
  • Lesson #7: Belief and seeing are both often wrong. McNamara affirms Morris' framing of lesson 7 in relation to the Gulf of Tonkin incident: "We see what we want to believe."
  • Lesson #8: Be prepared to reexamine your reasoning. McNamara says that, even though the United States is the strongest nation in the world, it should never use that power unilaterally: "if we can't persuade nations with comparable values of the merit of our cause, we better reexamine our reasoning."
  • we are not omniscient. If we cannot persuade other nations with similar interests and similar values of the merits of the proposed use of that power, we should not proceed unilaterally except in the unlikely requirement to defend directly the continental U.S., Alaska and Hawaii.
  • We, the richest nation in the world, have failed in our responsibility to our own poor and to the disadvantaged across the world to help them advance their welfare in the most fundamental terms of nutrition, literacy, health and employment.
  • War is a blunt instrument by which to settle disputes between or within nations, and economic sanctions are rarely effective. Therefore, we should build a system of jurisprudence based on the International Court—that the U.S. has refused to support—which would hold individuals responsible for crimes against humanity.
  • If we are to deal effectively with terrorists across the globe, we must develop a sense of empathy—I don't mean "sympathy," but rather "understanding"—to counter their attacks on us and the Western World.
  • We underestimated the power of nationalism to motivate a people to fight and die for their beliefs and values.
  • Our misjudgments of friend and foe, alike, reflected our profound ignorance of the history, culture, and politics of the people in the area, and the personalities and habits of their leaders.
  • We failed then—and have since—to recognize the limitations of modern, high-technology military equipment, forces, and doctrine. We failed, as well, to adapt our military tactics to the task of winning the hearts and minds of people from a totally different culture.
  • We did not recognize that neither our people nor our leaders are omniscient. Our judgment of what is in another people's or country's best interest should be put to the test of open discussion in international forums. We do not have the God-given right to shape every nation in our image or as we choose.
  • We did not hold to the principle that U.S. military action … should be carried out only in conjunction with multinational forces supported fully (and not merely cosmetically) by the international community.
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The juvenile viciousness of campus anti-Semitism - The Atlantic - 0 views

  • This behavior is all the more appalling because it comes disproportionately from a privileged class of young men and women who are rationalizing their moral destitution for the sake of a transitory sense of self-satisfaction
  • Some students will claim that their behavior is protected by freedom of speech. I agree: I would object to any agency of the United States government stopping these students from speaking their minds, and I defend the right of any American to speak without being subjected to threats of violence from bullies and brutes.
  • But speech, and how we express ourselves, carries deep social (and, one day, professional) consequences. In the long term,
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  • I am concerned that students who think they are merely engaging in an energizing campus protest do not realize the damage they are doing to their community—and the moral tumor they are implanting into their developing character.
  • Anti-Semitism, even if adopted stupidly or indirectly, is a moral rot that today’s students will one day have to either recant or endure. Many of them, I wager, will eventually feel shame about what they thought were righteous actions. And I worry that they (like many of today’s extreme right-wing voters and activists in America) will find themselves so far up the tree of rationalizations that they will never be able to climb back down. After enough time serving the insidious impulse to defend the indefensible, they will find themselves changed people.
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How Climate Change Is Changing Therapy - The New York Times - 0 views

  • Andrew Bryant can still remember when he thought of climate change as primarily a problem of the future. When he heard or read about troubling impacts, he found himself setting them in 2080, a year that, not so coincidentally, would be a century after his own birth. The changing climate, and all the challenges it would bring, were “scary and sad,” he said recently, “but so far in the future that I’d be safe.”
  • That was back when things were different, in the long-ago world of 2014 or so. The Pacific Northwest, where Bryant is a clinical social worker and psychotherapist treating patients in private practice in Seattle, is a largely affluent place that was once considered a potential refuge from climate disruption
  • “We’re lucky to be buffered by wealth and location,” Bryant said. “We are lucky to have the opportunity to look away.”
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  • starting in the mid-2010s, those beloved blue skies began to disappear. First, the smoke came in occasional bursts, from wildfires in Canada or California or Siberia, and blew away when the wind changed direction. Within a few summers, though, it was coming in thicker, from more directions at once, and lasting longer.
  • Sometimes there were weeks when you were advised not to open your windows or exercise outside. Sometimes there were long stretches where you weren’t supposed to breathe the outside air at all.
  • Now lots of Bryant’s clients wanted to talk about climate change. They wanted to talk about how strange and disorienting and scary this new reality felt, about what the future might be like and how they might face it, about how to deal with all the strong feelings — helplessness, rage, depression, guilt — being stirred up inside them.
  • As a therapist, Bryant found himself unsure how to respond
  • while his clinical education offered lots of training in, say, substance abuse or family therapy, there was nothing about environmental crisis, or how to treat patients whose mental health was affected by it
  • Bryant immersed himself in the subject, joining and founding associations of climate-concerned therapists
  • eventually started a website, Climate & Mind, to serve as a sort of clearing house for other therapists searching for resources. Instead, the site became an unexpected window into the experience of would-be patients: Bryant found himself receiving messages from people around the world who stumbled across it while looking for help.
  • Over and over, he read the same story, of potential patients who’d gone looking for someone to talk to about climate change and other environmental crises, only to be told that they were overreacting — that their concern, and not the climate, was what was out of whack and in need of treatment.
  • “You come in and talk about how anxious you are that fossil-fuel companies continue to pump CO2 into the air, and your therapist says, ‘So, tell me about your mother.’”
  • In many of the messages, people asked Bryant for referrals to climate-focused therapists in Houston or Canada or Taiwan, wherever it was the writer lived.
  • his practice had shifted to reflect a new reality of climate psychology. His clients didn’t just bring up the changing climate incidentally, or during disconcerting local reminders; rather, many were activists or scientists or people who specifically sought out Bryant because of their concerns about the climate crisis.
  • could now turn to resources like the list maintained by the Climate Psychology Alliance North America, which contains more than 100 psychotherapists around the country who are what the organization calls “climate aware.”
  • But treating those fears also stirred up lots of complicated questions that no one was quite sure how to answer. The traditional focus of his field, Bryant said, could be oversimplified as “fixing the individual”: treating patients as separate entities working on their personal growth
  • It had been a challenging few years, Bryant told me when I first called to talk about his work. There were some ways in which climate fears were a natural fit in the therapy room, and he believed the field had coalesced around some answers that felt clear and useful
  • Climate change, by contrast, was a species-wide problem, a profound and constant reminder of how deeply intertwined we all are in complex systems — atmospheric, biospheric, economic — that are much bigger than us. It sometimes felt like a direct challenge to old therapeutic paradigms — and perhaps a chance to replace them with something better.
  • In one of climate psychology’s founding papers, published in 2011, Susan Clayton and Thomas J. Doherty posited that climate change would have “significant negative effects on mental health and well-being.” They described three broad types of possible impacts: the acute trauma of living through climate disasters; the corroding fear of a collapsing future; and the psychosocial decay that could damage the fabric of communities dealing with disruptive changes
  • All of these, they wrote, would make the climate crisis “as much a psychological and social phenomenon as a matter of biodiversity and geophysics.”
  • Many of these predictions have since been borne out
  • Studies have found rates of PTSD spiking in the wake of disasters, and in 2017 the American Psychological Association defined “ecoanxiety” as “a chronic fear of environmental doom.”
  • Climate-driven migration is on the rise, and so are stories of xenophobia and community mistrust.
  • According to a 2022 survey by Yale and George Mason University, a majority of Americans report that they spend time worrying about climate change.
  • Many say it has led to symptoms of depression or anxiety; more than a quarter make an active effort not to think about it.
  • There was little or no attention to the fact that living through, or helping to cause, a collapse of nature can also be mentally harmful.
  • In June, the Yale Journal of Biology and Medicine published a paper cautioning that the world at large was facing “a psychological condition of ‘systemic uncertainty,’” in which “difficult emotions arise not only from experiencing the ecological loss itself,” but also from the fact that our lives are inescapably embedded in systems that keep on making those losses worse.
  • Climate change, in other words, surrounds us with constant reminders of “ethical dilemmas and deep social criticism of modern society. In its essence, climate crisis questions the relationship of humans with nature and the meaning of being human in the Anthropocene.”
  • This is not an easy way to live.
  • Living within a context that is obviously unhealthful, he wrote, is painful: “a dimly intuited ‘fall’ from which we spend our lives trying to recover, a guilt we can never quite grasp or expiate” — a feeling of loss or dislocation whose true origins we look for, but often fail to see. This confusion leaves us feeling even worse.
  • When Barbara Easterlin first started studying environmental psychology 30 years ago, she told me, the focus of study was on ways in which cultivating a relationship with nature can be good for mental health
  • A poll by the American Psychiatric Association in the same year found that nearly half of Americans think climate change is already harming the nation’s mental health.
  • the field is still so new that it does not yet have evidence-tested treatments or standards of practice. Therapists sometimes feel as if they are finding the path as they go.
  • Rebecca Weston, a licensed clinical social worker practicing in New York and a co-president of the CPA-NA, told me that when she treats anxiety disorders, her goal is often to help the patient understand how much of their fear is internally produced — out of proportion to the reality they’re facing
  • climate anxiety is a different challenge, because people worried about climate change and environmental breakdown are often having the opposite experience: Their worries are rational and evidence-based, but they feel isolated and frustrated because they’re living in a society that tends to dismiss them.
  • One of the emerging tenets of climate psychology is that counselors should validate their clients’ climate-related emotions as reasonable, not pathological
  • it does mean validating that feelings like grief and fear and shame aren’t a form of sickness, but, as Weston put it, “are actually rational responses to a world that’s very scary and very uncertain and very dangerous for people
  • In the words of a handbook on climate psychology, “Paying heed to what is happening in our communities and across the globe is a healthier response than turning away in denial or disavowal.”
  • But this, too, raises difficult questions. “How much do we normalize people to the system we’re in?” Weston asked. “And is that the definition of health?
  • Or is the definition of health resisting the things that are making us so unhappy? That’s the profound tension within our field.”
  • “It seems to shift all the time, the sort of content and material that people are bringing in,” Alexandra Woollacott, a psychotherapist in Seattle, told the group. Sometimes it was a pervasive anxiety about the future, or trauma responses to fires or smoke or heat; other times, clients, especially young ones, wanted to vent their “sort of righteous anger and sense of betrayal” at the various powers that had built and maintained a society that was so destructive.
  • “I’m so glad that we have each other to process this,” she said, “because we’re humans living through this, too. I have my own trauma responses to it, I have my own grief process around it, I have my own fury at government and oil companies, and I think I don’t want to burden my clients with my own emotional response to it.”
  • In a field that has long emphasized boundaries, discouraging therapists from bringing their own issues or experiences into the therapy room, climate therapy offers a particular challenge: Separation can be harder when the problems at hand affect therapist and client alike
  • Some therapists I spoke to were worried about navigating the breakdown of barriers, while others had embraced it. “There is no place on the planet that won’t eventually be impacted, where client and therapist won’t be in it together,” a family therapist wrote in a CPA-NA newsletter. “Most therapists I know have become more vulnerable and self-disclosing in their practice.”
  • “If you look at or consider typical theoretical framings of something like post-traumatic growth, which is the understanding of this idea that people can sort of grow and become stronger and better after a traumatic event,” she said, then the climate crisis poses a dilemma because “there is no afterwards, right? There is no resolution anytime in our lifetimes to this crisis that we nonetheless have to build the capacities to face and to endure and to hopefully engage.”
  • many of her patients are also disconnected from the natural world, which means that they struggle to process or even recognize the grief and alienation that comes from living in a society that treats nature as other, a resource to be used and discarded.
  • “How,” she asked, “do you think about resilience apart from resolution?”
  • she believed this framing reflected and reinforced a bias inherent in a field that has long been most accessible to, and practiced by, the privileged. It was hardly new in the world, after all, to face the collapse of your entire way of life and still find ways to keep going.
  • Torres said that she sometimes takes her therapy sessions outside or asks patients to remember their earliest and deepest connections with animals or plants or places. She believes it will help if they learn to think of themselves “as rooted beings that aren’t just simply living in the human overlay on the environment.” It was valuable to recognize, she said, that “we are part of the land” and suffer when it suffers.
  • Torres described introducing her clients to methods — mindfulness, distress tolerance, emotion regulation — to help them manage acute feelings of stress or panic and to avoid the brittleness of burnout.
  • She also encourages them to narrativize the problem, including themselves as agents of change inside stories about how they came to be in this situation, and how they might make it different.
  • then she encourages them to find a community of other people who care about the same problems, with whom they could connect outside the therapy room. As Woollacott said earlier: “People who share your values. People who are committed to not looking away.”
  • Dwyer told the group that she had been thinking more about psychological adaptation as a form of climate mitigation
  • Therapy, she said, could be a way to steward human energy and creative capacities at a time when they’re most needed.
  • It was hard, Bryant told me when we first spoke, to do this sort of work without finding yourself asking bigger questions — namely, what was therapy actually about?
  • Many of the therapists I talked to spoke of their role not as “fixing” a patient’s problem or responding to a pathology, but simply giving their patients the tools to name and explore their most difficult emotions, to sit with painful feelings without instantly running away from them
  • many of the methods in their traditional tool kits continue to be useful in climate psychology. Anxiety and hopelessness and anger are all familiar territory, after all, with long histories of well-studied treatments.
  • They focused on trying to help patients develop coping skills and find meaning amid destabilization, to still see themselves as having agency and choice.
  • Weston, the therapist in New York, has had patients who struggle to be in a world that surrounds them with waste and trash, who experience panic because they can never find a place free of reminders of their society’s destruction
  • eston said, that she has trouble with the repeated refrain that therapist and patient experiencing the same losses and dreads at the same time constituted a major departure from traditional therapeutic practice
  • “I’m so excited by what you’re bringing in,” Woollacott replied. “I’m doing psychoanalytic training at the moment, and we study attachment theory” — how the stability of early emotional bonds affects future relationships and feelings of well-being. “But nowhere in the literature does it talk about our attachment to the land.”
  • Lately, Bryant told me, he’s been most excited about the work that happens outside the therapy room: places where groups of people gather to talk about their feelings and the future they’re facing
  • It was at such a meeting — a community event where people were brainstorming ways to adapt to climate chaos — that Weston, realizing she had concrete skills to offer, was inspired to rework her practice to focus on the challenge. She remembers finding the gathering empowering and energizing in a way she hadn’t experienced before. In such settings, it was automatic that people would feel embraced instead of isolated, natural that the conversation would start moving away from the individual and toward collective experiences and ideas.
  • There was no fully separate space, to be mended on its own. There was only a shared and broken world, and a community united in loving it.
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Opinion | Do You Live in a 'Tight' State or a 'Loose' One? Turns Out It Matters Quite a... - 0 views

  • Political biases are omnipresent, but what we don’t fully understand yet is how they come about in the first place.
  • In 2014, Michele J. Gelfand, a professor of psychology at the Stanford Graduate School of Business formerly at the University of Maryland, and Jesse R. Harrington, then a Ph.D. candidate, conducted a study designed to rank the 50 states on a scale of “tightness” and “looseness.”
  • Gelfand and Harrington predicted that “‘tight’ states would exhibit a higher incidence of natural disasters, greater environmental vulnerability, fewer natural resources, greater incidence of disease and higher mortality rates, higher population density, and greater degrees of external threat.”
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  • titled “Tightness-Looseness Across the 50 United States,” the study calculated a catalog of measures for each state, including the incidence of natural disasters, disease prevalence, residents’ levels of openness and conscientiousness, drug and alcohol use, homelessness and incarceration rates.
  • Gelfand said:Some groups have much stronger norms than others; they’re tight. Others have much weaker norms; they’re loose. Of course, all cultures have areas in which they are tight and loose — but cultures vary in the degree to which they emphasize norms and compliance with them.
  • states in New England and on the West Coast were the loosest: California, Oregon, Washington, Maine, Massachusetts, Connecticut, New Hampshire and Vermont.
  • In both 2016 and 2020, Donald Trump carried all 10 of the top “tight” states; Hillary Clinton and Joe Biden carried all 10 of the top “loose” states.
  • “Rule Makers, Rule Breakers: How Tight and Loose Cultures Wire the World” in 2018, in which she described the results of a 2016 pre-election survey she and two colleagues had commissioned
  • The results were telling: People who felt the country was facing greater threats desired greater tightness. This desire, in turn, correctly predicted their support for Trump. In fact, desired tightness predicted support for Trump far better than other measures. For example, a desire for tightness predicted a vote for Trump with 44 times more accuracy than other popular measures of authoritarianism.
  • The 2016 election, Gelfand continued, “turned largely on primal cultural reflexes — ones that had been conditioned not only by cultural forces, but by a candidate who was able to exploit them.”
  • Along the same lines, if liberals and conservatives hold differing moral visions, not just about what makes a good government but about what makes a good life, what turned the relationship between left and right from competitive to mutually destructive?
  • Cultural differences, Gelfand continued, “have a certain logic — a rationale that makes good sense,” noting that “cultures that have threats need rules to coordinate to survive (think about how incredibly coordinated Japan is in response to natural disasters).
  • cultures that don’t have a lot of threat can afford to be more permissive and loose.”
  • The tight-loose concept, Gelfand argued,is an important framework to understand the rise of President Donald Trump and other leaders in Poland, Hungary, Italy, and France,
  • The gist is this: when people perceive threat — whether real or imagined, they want strong rules and autocratic leaders to help them survive
  • My research has found that within minutes of exposing study participants to false information about terrorist incidents, overpopulation, pathogen outbreaks and natural disasters, their minds tightened. They wanted stronger rules and punishments.
  • The South dominated the tight states: Mississippi, Alabama Arkansas, Oklahoma, Tennessee, Texas, Louisiana, Kentucky, South Carolina and North Carolina
  • Looseness, Gelfand posits, fosters tolerance, creativity and adaptability, along with such liabilities as social disorder, a lack of coordination and impulsive behavior.
  • If liberalism and conservatism have historically played a complementary role, each checking the other to constrain extremism, why are the left and right so destructively hostile to each other now, and why is the contemporary political system so polarized?
  • Gelfand writes that tightness encourages conscientiousness, social order and self-control on the plus side, along with close-mindedness, conventional thinking and cultural inertia on the minus side.
  • Niemi contended that sensitivity to various types of threat is a key factor in driving differences between the far left and far right.
  • She cited research thatfound 47 percent of the most extreme conservatives strongly endorsed the view that “The world is becoming a more and more dangerous place,” compared to 19 percent of the most extreme liberals
  • Conservatives and liberals, Niemi continued,see different things as threats — the nature of the threat and how it happens to stir one’s moral values (and their associated emotions) is a better clue to why liberals and conservatives react differently.
  • Unlike liberals, conservatives strongly endorse the binding moral values aimed at protecting groups and relationships. They judge transgressions involving personal and national betrayal, disobedience to authority, and disgusting or impure acts such as sexually or spiritually unchaste behavior as morally relevant and wrong.
  • Underlying these differences are competing sets of liberal and conservative moral priorities, with liberals placing more stress than conservatives on caring, kindness, fairness and rights — known among scholars as “individualizing values
  • conservatives focus more on loyalty, hierarchy, deference to authority, sanctity and a higher standard of disgust, known as “binding values.”
  • As a set, Niemi wrote, conservative binding values encompassthe values oriented around group preservation, are associated with judgments, decisions, and interpersonal orientations that sacrifice the welfare of individuals
  • Just as ecological factors differing from region to region over the globe produced different cultural values, ecological factors differed throughout the U.S. historically and today, producing our regional and state-level dimensions of culture and political patterns.
  • Niemi cited a paper she and Liane Young, a professor of psychology at Boston College, published in 2016, “When and Why We See Victims as Responsible: The Impact of Ideology on Attitudes Toward Victims,” which tested responses of men and women to descriptions of crimes including sexual assaults and robberies.
  • We measured moral values associated with unconditionally prohibiting harm (“individualizing values”) versus moral values associated with prohibiting behavior that destabilizes groups and relationships (“binding values”: loyalty, obedience to authority, and purity)
  • Increased endorsement of binding values predicted increased ratings of victims as contaminated, increased blame and responsibility attributed to victims, increased perceptions of victims’ (versus perpetrators’) behaviors as contributing to the outcome, and decreased focus on perpetrators.
  • For example, binding values are associated with Machiavellianism (e.g., status-seeking and lying, getting ahead by any means, 2013); victim derogation, blame, and beliefs that victims were causal contributors for a variety of harmful acts (2016, 2020); and a tendency to excuse transgressions of ingroup members with attributions to the situation rather than the person (2023).
  • What happened to people ecologically affected social-political developments, including the content of the rules people made and how they enforced them
  • Numerous factors potentially influence the evolution of liberalism and conservatism and other social-cultural differences, including geography, topography, catastrophic events, and subsistence styles
  • Joshua Hartshorne, who is also a professor of psychology at Boston College, took issue with the binding versus individualizing values theory as an explanation for the tendency of conservatives to blame victims:
  • I would guess that the reason conservatives are more likely to blame the victim has less to do with binding values and more to do with the just-world bias (the belief that good things happen to good people and bad things happen to bad people, therefore if a bad thing happened to you, you must be a bad person).
  • Belief in a just world, Hartshorne argued, is crucial for those seeking to protect the status quo:It seems psychologically necessary for anyone who wants to advocate for keeping things the way they are that the haves should keep on having, and the have-nots have got as much as they deserve. I don’t see how you could advocate for such a position while simultaneously viewing yourself as moral (and almost everyone believes that they themselves are moral) without also believing in the just world
  • Conversely, if you generally believe the world is not just, and you view yourself as a moral person, then you are likely to feel like you have an obligation to change things.
  • I asked Lene Aaroe, a political scientist at Aarhus University in Denmark, why the contemporary American political system is as polarized as it is now, given that the liberal-conservative schism is longstanding. What has happened to produce such intense hostility between left and right?
  • There is variation across countries in hostility between left and right. The United States is a particularly polarized case which calls for a contextual explanatio
  • A central explanation typically offered for the current situation in American politics is that partisanship and political ideology have developed into strong social identities where the mass public is increasingly sorted — along social, partisan, and ideological lines.
  • I then asked Aaroe why surveys find that conservatives are happier than liberals. “Some research,” she replied, “suggests that experiences of inequality constitute a larger psychological burden to liberals because it is more difficult for liberals to rationalize inequality as a phenomenon with positive consequences.”
  • Steven Pinker, a professor of psychology at Harvard, elaborated in an email on the link between conservatism and happiness:
  • t’s a combination of factors. Conservatives are likelier to be married, patriotic, and religious, all of which make people happier
  • They may be less aggrieved by the status quo, whereas liberals take on society’s problems as part of their own personal burdens. Liberals also place politics closer to their identity and striving for meaning and purpose, which is a recipe for frustration.
  • Some features of the woke faction of liberalism may make people unhappier: as Jon Haidt and Greg Lukianoff have suggested, wokeism is Cognitive Behavioral Therapy in reverse, urging upon people maladaptive mental habits such as catastrophizing, feeling like a victim of forces beyond one’s control, prioritizing emotions of hurt and anger over rational analysis, and dividing the world into allies and villains.
  • Why, I asked Pinker, would liberals and conservatives react differently — often very differently — to messages that highlight threat?
  • It may be liberals (or at least the social-justice wing) who are more sensitive to threats, such as white supremacy, climate change, and patriarchy; who may be likelier to moralize, seeing racism and transphobia in messages that others perceive as neutral; and being likelier to surrender to emotions like “harm” and “hurt.”
  • The authors used neural imaging to follow changes in the dorsomedial prefrontal cortex (known as DMPFC) as conservatives and liberals watched videos presenting strong positions, left and right, on immigration.
  • there are ways to persuade conservatives to support liberal initiatives and to persuade liberals to back conservative proposals:
  • While liberals tend to be more concerned with protecting vulnerable groups from harm and more concerned with equality and social justice than conservatives, conservatives tend to be more concerned with moral issues like group loyalty, respect for authority, purity and religious sanctity than liberals are. Because of these different moral commitments, we find that liberals and conservatives can be persuaded by quite different moral arguments
  • For example, we find that conservatives are more persuaded by a same-sex marriage appeal articulated in terms of group loyalty and patriotism, rather than equality and social justice.
  • “political arguments reframed to appeal to the moral values of those holding the opposing political position are typically more effective
  • We find support for these claims across six studies involving diverse political issues, including same-sex marriage, universal health care, military spending, and adopting English as the nation’s official language.”
  • In one test of persuadability on the right, Feinberg and Willer assigned some conservatives to read an editorial supporting universal health care as a matter of “fairness (health coverage is a basic human right)” or to read an editorial supporting health care as a matter of “purity (uninsured people means more unclean, infected, and diseased Americans).”
  • Conservatives who read the purity argument were much more supportive of health care than those who read the fairness case.
  • Liberals who read the fairness argument were substantially more supportive of military spending than those who read the loyalty and authority argument.
  • In “Conservative and Liberal Attitudes Drive Polarized Neural Responses to Political Content,” Willer, Yuan Chang Leong of the University of Chicago, Janice Chen of Johns Hopkins and Jamil Zaki of Stanford address the question of how partisan biases are encoded in the brain:
  • society. How do such biases arise in the brain? We measured the neural activity of participants watching videos related to immigration policy. Despite watching the same videos, conservative and liberal participants exhibited divergent neural responses. This “neural polarization” between groups occurred in a brain area associated with the interpretation of narrative content and intensified in response to language associated with risk, emotion, and morality. Furthermore, polarized neural responses predicted attitude change in response to the videos.
  • The four authors argue that their “findings suggest that biased processing in the brain drives divergent interpretations of political information and subsequent attitude polarization.” These results, they continue, “shed light on the psychological and neural underpinnings of how identical information is interpreted differently by conservatives and liberals.”
  • While liberals and conservatives, guided by different sets of moral values, may make agreement on specific policies difficult, that does not necessarily preclude consensus.
  • or each video,” they write,participants with DMPFC activity time courses more similar to that of conservative-leaning participants became more likely to support the conservative positio
  • Conversely, those with DMPFC activity time courses more similar to that of liberal-leaning participants became more likely to support the liberal position. These results suggest that divergent interpretations of the same information are associated with increased attitude polarizatio
  • Together, our findings describe a neural basis for partisan biases in processing political information and their effects on attitude change.
  • Describing their neuroimaging method, the authors point out that theysearched for evidence of “neural polarization” activity in the brain that diverges between people who hold liberal versus conservative political attitudes. Neural polarization was observed in the dorsomedial prefrontal cortex (DMPFC), a brain region associated with the interpretation of narrative content.
  • The question is whether the political polarization that we are witnessing now proves to be a core, encoded aspect of the human mind, difficult to overcome — as Leong, Chen, Zaki and Willer sugges
  • — or whether, with our increased knowledge of the neural basis of partisan and other biases, we will find more effective ways to manage these most dangerous of human predispositions.
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Balanced Budget Fight Is Philosophical and Fiscal - NYTimes.com - 0 views

  • While economists generally agree that narrowing the government’s deficit and limiting the size of the debt are necessary in the long run, most argue that balancing the budget would not restore the nation’s still-weak economy to health in the near term. Indeed, rushing to do so with unemployment still elevated and the economy growing at only a sluggish pace could even set back the effort to reduce the deficit.
  • “The really important thing is to keep the debt from growing faster than the economy.”
  • Mr. Ryan, whose previous budget proposals did not bring spending below revenue for decades, vowed this time to do so by 2023, in part to satisfy the demands of the more conservative members of the Republican Caucus.
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  • “This is an invitation. Show us how to balance the budget,” Mr. Ryan said. “If you don’t like the way we’re proposing to balance our budget, how do you propose to balance the budget?”
  • Jay Carney, the White House press secretary, said Tuesday. “It is important to bring our deficits down and to reduce our deficit-to-G.D.P. But they are part of — those goals are part of the broader purpose here, which is to grow the economy and strengthen the middle class.”
  • Economists offered more nuanced views. Closing the budget gap over the longer term could be vital to sustaining economic health, some stressed, by ensuring that the government did not crowd out private investment and by helping to keep interest rates low. But that does not make it an immediate necessity.
  • you suffer some short-run pain, and you don’t want to inflict that when the unemployment rate is already high, the economy is still recovering from the legacy of the Great Recession, and the Federal Reserve has used up most of what’s in its quiver.”
  • Other goals — including stabilizing debt as a proportion of economic output, rationalizing the tax code and tackling the long-term fiscal challenge posed by entitlement programs — might prove more important in the coming years, several experts said.
  • As sensible as a balanced budget might sound — much like a balanced checkbook for a family — countries are generally able to run modest deficits for years on end while still keeping debt stable as a share of economic output. One year’s deficit is effectively paid off by later economic growth,
  • The Senate Democratic proposal does not balance the budget, but it does reduce deficits to below 3 percent of economic output — a level that would stabilize the debt, economists said. During the 10-year budget window, the debt would start to shrink as a proportion of the economy.
  • A broader question, economists said, is the long-term effect the country’s debt load might impose on the economy. In the past few years, a number of broad-based studies have suggested that having government debt equivalent to or greater than about 85 or 90 percent of economic output might eventually cut into growth. Currently, public debt in the United States is about 76 percent of the size of the economy. Including debts the government owes itself, like in the Social Security Trust Fund, the total load is in fact bigger than a whole year’s economic output.
  • “The people who say the debt is irrelevant — that’s going too far,” said Mr. Rogoff, who along with Carmen Reinhart of Harvard produced a study of the interplay between debt and growth. “It’s a very rarefied air that we’re in already. And it could be a problem. You can’t turn your debt around in a year, and you cannot reduce debt quickly and easily.”
  • Now, how and whether to get back to a balanced budget seems to be a new fight between Democrats and Republicans. “It will generate a debate over the appropriate goal of long-term fiscal policy,” wrote William A. Galston of the Brookings Institution in an analysis of Mr. Ryan’s budget plan. “Is it to eliminate the deficit and the debt, to ensure that the debt does not rise as a share of G.D.P., or something in between?”
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Kaiser Permanente Is Seen as Face of Future Health Care - NYTimes.com - 0 views

  • Kaiser has sophisticated electronic records and computer systems that — after 10 years and $30 billion in technology spending — have led to better-coordinated patient care, another goal of the president. And because the plan is paid a fixed amount for medical care per member, there is a strong financial incentive to keep people healthy and out of the hospital, the same goal of the hundreds of accountable care organizations now being created.
  • Kaiser has yet to achieve the holy grail of delivering that care at a low enough cost. He says he and other health systems must fundamentally rethink what they do or risk having cost controls imposed on them either by the government or by employers, who are absorbing the bulk of health insurance costs. “We think the future of health care is going to be rationing or re-engineering,”
  • the way to get costs lower is to move care farther and farther from the hospital setting — and even out of doctors’ offices. Kaiser is experimenting with ways to provide care at home or over the Internet, without the need for a physical office visit at all.
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  • lower costs are going to be about finding ways to get people to take more responsibility for their health — for losing weight, for example, or bringing their blood pressure down.
  • there are other concerns, such as whether an all-encompassing system like Kaiser’s can really be replicated and whether the limits it places on where patients can seek care will be accepted by enough people to make a difference.
  • Or whether, as the nation’s flirtation with health maintenance organizations, or H.M.O.’s, in the 1990s showed — people will balk at the concept of not being able to go to any doctor or hospital of their choice.
  • its integrated model is in favor again. Hospitals across the country are buying physician practices or partnering with doctors and health insurers to form accountable care organizations, or A. C.O.’s, as a way of controlling more aspects of patient care. Doctors are also creating so-called medical homes, where patient care is better coordinated.
  • The days when doctors, hospitals and other providers are paid separately for each procedure will disappear eventually, health experts say. Instead, providers will have financial incentives to encourage them to keep people healthy, including lump sums to care for patients or provide comprehensive care for a specific condition. “All of care is going to move down this path, and it has to,” Mr. Halvorson said. “Medical homes are doing it; the very best A. C.O’s are going to figure out how to do it.”
  • there are downsides to the creation of large health care systems that may be motivated by the desire to increase their clout in the market, making it easier to fill beds and charge the insurers more for care. “They become these huge local monopolies,”
  • “We have all the pieces,” said Philip Fasano, Kaiser’s chief information officer. “Anything a patient needs you get in the four walls of our offices,
  • its plans are typically at least 10 percent less expensive than others, especially where they control all the providers
  • Kaiser has also been using the information to identify those doctors or clinics that excel in certain areas, as well as those in need of improvement. The organization has also used the records to change how it delivers care, identifying patients at risk for developing bed sores in the hospital and then sending electronic alerts every two hours to remind the nurses to turn the patients. The percentage of patients with serious pressure ulcers, or bed sores, dropped to well under 1 percent from 3.5 percent.
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In History Departments, It's Up With Capitalism - NYTimes.com - 0 views

  • The dominant question in American politics today, scholars say, is the relationship between democracy and the capitalist economy. “And to understand capitalism,” said Jonathan Levy, an assistant professor of history at Princeton University and the author of “Freaks of Fortune: The Emerging World of Capitalism and Risk in America,” “you’ve got to understand capitalists.”
  • The new work marries hardheaded economic analysis with the insights of social and cultural history, integrating the bosses’-eye view with that of the office drones — and consumers — who power the system.
  • I like to call it ‘history from below, all the way to the top,’
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  • The new history of capitalism is less a movement than what proponents call a “cohort”: a loosely linked group of scholars who came of age after the end of the cold war cleared some ideological ground, inspired by work that came before but unbeholden to the questions — like, why didn’t socialism take root in America? — that animated previous generations of labor historians.
  • the crisis hit, and people started asking, ‘Oh my God, what has Wall Street been doing for the last 100 years?’ ”
  • While most scholars in the field reject the purely oppositional stance of earlier Marxist history, they also take a distinctly critical view of neoclassical economics, with its tidy mathematical models and crisp axioms about rational actors.
  • The history of capitalism has also benefited from a surge of new, economically minded scholarship on slavery, with scholars increasingly arguing that Northern factories and Southern plantations were not opposing economic systems, as the old narrative has it, but deeply entwined.
  • In a paper called “Toxic Debt, Liar Loans and Securitized Human Beings: The Panic of 1837 and the Fate of Slavery,” Edward Baptist, a historian at Cornell, looked at the way small investors across America and Europe snapped up exotic financial instruments based on slave holdings, much as people over the past decade went wild for mortgage-backed securities and collateralized debt obligations — with a similarly disastrous outcome.
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The Outrageous Cost of a Gene Test - NYTimes.com - 0 views

  • Unlike routine tests for diabetes or high cholesterol, however, the BRCA gene evaluation — performed by only one company in the United States, Myriad Genetics — is phenomenally expensive, with a “list price” close to $4,000
  • if this is the model for the future — when testing for genetic markers is certain to become a far greater part of health care than it is now — we’re all in trouble.
  • Without competition, Myriad can effectively charge whatever it wants. Later this year, the company said it would begin incorporating the BRCA test into a 25-gene cancer-risk evaluation and phase out the à la carte BRCA test by 2015. For that broader test, it projects a gross profit margin of 87 percent.
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  • We’re paying this lofty price in large part because Myriad owns broad patents on these two BRCA genes, which it acquired in 1997 and 1998, respectively — and refuses to license the test to any other American company.
  • we need legislative action for rational and appropriate pricing. We don’t make vaccines prohibitively expensive so only the rich can protect themselves. Nor should we let other preventive measures that can save thousands of lives be priced at levels far above what normal “market conditions” would suggest.
  • In the case of a diagnostic test like that for the BRCA genes, for example, insurance companies could pay for the intellectual property, buy a license on behalf of their insured customers (you and me), and then make sure as many at-risk individuals as possible were tested.
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Is the Ivy League Fair to Asian Americans? - Conor Friedersdorf - The Atlantic - 1 views

  • according to official statistics, the percentage of Asian-Americans enrolled at Harvard fell by more than 50 percent over the last two decades, while the percentage of whites changed little. This decline in relative Asian-American enrollment was actually larger than the impact of Harvard's 1925 Jewish quota, which reduced Jewish freshmen from 27.6 percent to 15 percent."
  • The last 20 years have brought a huge rise in the number of Asians winning top academic awards in our high schools or being named National Merit Scholarship semifinalists. It seems quite suspicious that none of trends have been reflected in their increased enrollment at Harvard and other top Ivy League universities.
  • As I see it, we know that even well-intentioned people regularly rationalize discriminatory behavior, that society as a whole is often horrified at its own bygone race-based policies, and that race is so fluid in our multi-ethnic society that no one can adequately conceive of all the ways it is changing; knowing these things, prudence dictates acceptance of the fact that humans aren't equipped to fairly take race into consideration. At various times in history, doing so has nevertheless been a necessity. We're lucky that it isn't a necessity now, and that class-based affirmative action would effectively target the most needy racial minorities in a race-blind way. 
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Frum On Pot - The Dish | By Andrew Sullivan - The Daily Beast - 0 views

  • check this section out from the study he cites: Marijuana intoxication can cause distorted perceptions, impaired coordination, difficulty with thinking and problem solving, and problems with learning and memory. Research has shown that, in chronic users, marijuana's adverse impact on learning and memory can last for days or weeks after the acute effects of the drug wear off. As a result, someone who smokes marijuana every day may be functioning at a suboptimal intellectual level all of the time.
  • At what point could this not be said of alcohol as well? And yet alcohol is far more addictive, far more related to social problems and violence, and daily drinking of large amounts can be dreadful for the liver (see graph above).
  • There's also what the study does not analyze: the whole point of marijuana use is to disrupt settled ways of thinking and feeling, to offer a respite, like alcohol, from the deadliness of doing. But for  reasons we don't quite yet understand, marijuana, like other essentially harmless drugs in moderation, can prompt imaginative breakthroughs, creative serendipity, deeper personal understanding, and greater social empathy and connection.
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  • Some of our greatest music was written under the influence: would David stop that? Jazz might not exist without it. All of our recent presidents were stoners at some point - and the current president in his teens was an enthusiast even by Hawaii standards in the 1970s. Does David think that the man who wrote Dreams From My Father suffered from impaired memory? Does he believe that Michael Phelps who smoked pot and became the most decorated Olympian of all time didn't do one of those two things? Can we not discuss drugs rationally, rather than with this vast super-structure of boomer-era culture-war synapses attached to it?
  • Here's the "drug abuse" site's description of how dreadful canabis dependency can be: Long-term marijuana abusers trying to quit report withdrawal symptoms including: irritability, sleeplessness, decreased appetite, anxiety, and drug craving, all of which can make it difficult to remain abstinent. These symptoms begin within about 1 day following abstinence, peak at 2-3 days, and subside within 1 or 2 weeks following drug cessation. How many alcoholics would kill for a two-week readjustment period after using a drug for a lifetime?
  • In saying his core point is to protect the vulnerable and poor, he also fails inexplicably to note how enforcement of petty marijuana possession laws in urban centers needlessly ruins countless lives, and does so with a racial disparity that is simply staggering. The first thing you'd do to improve the prospects of the young black men David rightly cares about is to stop incarcerating the black pot-smokers at rates white kids and their parents would not tolerate for a milli-second.
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Let's Give Up on the Constitution - NYTimes.com - 0 views

  • observers are reaching the conclusion that the American system of government is broken. But almost no one blames the culprit: our insistence on obedience to the Constitution, with all its archaic, idiosyncratic and downright evil provisions.
  • As someone who has taught constitutional law for almost 40 years, I am ashamed it took me so long to see how bizarre all this is. Imagine that after careful study a government official — say, the president or one of the party leaders in Congress — reaches a considered judgment that a particular course of action is best for the country. Suddenly, someone bursts into the room with new information: a group of white propertied men who have been dead for two centuries, knew nothing of our present situation, acted illegally under existing law and thought it was fine to own slaves might have disagreed with this course of action. Is it even remotely rational that the official should change his or her mind because of this divination?
  • Constitutional disobedience may seem radical, but it is as old as the Republic. In fact, the Constitution itself was born of constitutional disobedience.
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  • No sooner was the Constitution in place than our leaders began ignoring it. John Adams supported the Alien and Sedition Acts, which violated the First Amendment’s guarantee of freedom of speech. Thomas Jefferson thought every constitution should expire after a single generation. He believed the most consequential act of his presidency — the purchase of the Louisiana Territory — exceeded his constitutional powers.
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Pilot Plant in the Works for Carbon Dioxide Cleansing - NYTimes.com - 0 views

  • “There is a lot of speculation of how much it will actually cost,” he said, with estimates from $20 a ton to as much as $2,000. “We won’t know for sure until someone builds a pilot plant.” (An average passenger vehicle generates about five tons of carbon dioxide a year.)
  • Dr. Keith says he thinks it may be possible to lower the cost of capture toward $100 a ton as the company grows.
  • Gas capture would be extremely important in developing a rational price for carbon emissions, said Dr. Fox of the British mechanical engineering society. “Whatever it costs to take it out of the air and store it away,” Dr. Fox said, “that’s the price polluters would pay if they want to put carbon into the air.”
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The Decline and Fall of the English Major - NYTimes.com - 0 views

  • In 1991, 165 students graduated from Yale with a B.A. in English literature. By 2012, that number was 62. In 1991, the top two majors at Yale were history and English. In 2013, they were economics and political science. At Pomona this year, they were economics and mathematics.
  • It often leaves undergraduates wondering, as I know from my conversations with them, just what they’ve been studying and why.
  • it is a real answer, one that reflects the versatility of thought and language that comes from studying literature. Former English majors turn up almost anywhere, in almost any career, and they n
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  • the canon has always been shifting, and it is now vastly more inclusive than it was 40 years ago. That’s a good thing. What’s less clear now is what we study the canon for and why we choose the tools we employ in doing so.
  • A technical narrowness, the kind of specialization and theoretical emphasis you might find in a graduate course, has crept into the undergraduate curriculum.
  • What is an English major good for? In a way, the best answer has always been, wait and see
  • how valuable the most fundamental gift of the humanities will turn out to be. That gift is clear thinking, clear writing and a lifelong engagement with literature.
  • it takes some living to find out this truth. Whenever I teach older students, whether they’re undergraduates, graduate students or junior faculty, I find a vivid, pressing sense of how much they need the skill they didn’t acquire earlier in life. They don’t call that skill the humanities. They don’t call it literature. They call it writing
  • writing well isn’t merely a utilitarian skill. It is about developing a rational grace and energy in your conversation with the world around you.
  • everyone who possesses it — no matter how or when it was acquired — knows that it is a rare and precious inheritance.
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How Trump got his party to love Russia - The Washington Post - 0 views

  • In July 2014, four months after Putin annexed Crimea, only 10 percent of Republicans held a favorable opinion of Russia’s president, according to an Economist/YouGov poll. Today, that figure is 37 percent.
  • A recent poll by the Chicago Council on Global Affairs found that, while 65 percent of Americans support a congressional inquiry into Russian election interference, a narrow majority (51 percent ) of Republicans oppose it.
  • 82 percent of Hillary Clinton voters want to maintain sanctions imposed on Moscow in response to its meddling, while only 16 percent of Trump voters do.
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  • Now that Russia has dropped its official atheism and anti-capitalism, claiming to be the protector of traditional values and Christendom, a growing number of American conservatives are receptive to Trump’s Russian rapprochement.
  • Though the opportunists outnumber the ideologues, it’s the true believers who could pose the greatest damage to U.S. foreign policy over the long term. Their proposed strategic realignment with Moscow, predicated upon shared opposition to vaguely defined “Islamic terrorism,” is seductive but wrong: Far from being a potential partner in the fight against Islamic terrorism, Russia does much to stoke it.
  • last summer, while rationalizing Trump’s unprecedented vow not to defend NATO allies unless they “pay us,” Gingrich said of tiny, vulnerable Estonia (one of the few NATO members to meet the alliance’s recommended defense budget threshold) that he was “not sure I would risk a nuclear war over some place which is the suburbs of St. Petersburg.
  • The need to defend Trump’s victory at any cost has induced conservatives to praise a virulently anti-American anarchist, who is probably in cahoots with Russian intelligence, and whose head they once called for.
  • Pro-Russian converts on the American right appear to take two forms. The opportunists simply want power and are willing to sacrifice principles in pursuit of it. The ideologues, meanwhile, see Russia as nothing worse than an occasional nuisance, if not a potential ally in the fight against Islamic extremism.
  • In an interview recorded more than 30 years ago, Russian defector Yuri Bezmenov revealed the KGB’s counterintuitive approach to recruiting. “This was my instruction: Try to get into large-circulation, established conservative media. Reach . . . cynical, egocentric people who can look into your eyes with angelic expression and tell you a lie. These are the most recruit-able people, people who lack moral principles, who are either too greedy or suffer from self-importance.” Say this for Bezmenov: He knew his mark.
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