Friday, May 17, 2013

Cutter


The same woman has cut my hair for the last 21 years, since I arrived in Oregon and found her tiny shop and her brisk and friendly self, and we get to talking yesterday, as she edits my head in her usual brisk and friendly fashion, and she tells me about her craft. Well, men tip more than women, although women spend much more money than men, she says. In general a man wants you to cut his hair as quickly and efficiently as possible, ideally without overmuch chat, for which service he will tip generously, whereas women want me to spend a lot of time with them, and talk about everything, or more accurately listen to them talk about everything, for which privilege they generally will not tip generously, but they will buy all sorts of products, which the men never do. The women generally want me to be their friend, whereas the men want me to cut their hair. The more hair a man has the less time he wants you to spend on it, generally. Yes, we occasionally sell the hair we cut. If it’s longer than eight inches, and it is its original color, and it’s male hair, it’s eligible for wigs—men’s hair is thicker, and they don’t color it as much as women do. Occasionally we have had people come in and buy cut hair to put in their gardens to fend off deer and moles. No, I don’t know if that works or not. Yes, I cut my children’s hair and my husband’s and mine, too. That’s how I started as a cutter of hair. I was a teenager and my parents wanted us to have long hair and there came a day I didn’t want to so I cut it myself. Yes, that caused a ruckus. But it turned out I was good at it and rather liked it.

by Brian Doyle, American Scholar |  Read more:
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All Sex, All the Time

If there is one thing of which modern man is utterly convinced, it is that he has reached a state of sexual enlightenment. Gone forever are the days of unhealthy concealment, of absurd Victorian taboos that led to the application of cruel and cumbersome devices to children to prevent masturbation, to prudish circumlocutions about sexual matters, to the covering of piano legs to preserve the purity of the thoughts of men in the drawing room. We are at ease with our sexuality, and the poet Philip Larkin's famous ironic lines
Sexual intercourse began
In nineteen sixty-three . .
.
express for us an important truth: that for the first time in history we can now enjoy sexual relations without any of the unnecessary social and psychological accretions of the past that so complicated and diminished life. No more guilt, shame, jealousy, anxiety, frustration, hypocrisy, and confusion. Free at last, free at last, thank God Almighty, I'm free at last!

Yet, enlightened as we believe ourselves to be, a golden age of contentment has not dawned—very far from it. Relations between the sexes are as fraught as ever they were. The sexual revolution has not yielded peace of mind but confusion, contradiction, and conflict. There is certainty about nothing except the rightness, inevitability, and irrevocability of the path we have gone down.  (...)

Evidence of sexual chaos is everywhere. Not a day passes without several of my patients providing ample testimony of it. For example, yesterday I saw a woman who had tried to kill herself after her daughter, nearly 16 years old, moved out of her home with her eight-month-old child to live with her new 22-year-old boyfriend. It goes without saying that this boyfriend was not the father of her baby but a man she had met recently in a nightclub. The father of the baby was "off the scene," as the end of a liaison is invariably described: fathers round here having their exits and their entrances, their exits usually following their entrances with indecent haste.

The mother was 14 when the father, age 21, made his entrance. On discovering that she was pregnant, he did what many young men do nowadays in such a situation: he beat her up. This not only relieves the feelings but occasionally produces a miscarriage. In this case, however, it failed to do so; instead, the father was caught in flagrante delicto (that is to say, while beating her) by my patient, who promptly attacked him, managing to injure him so severely that he had to go to the hospital. While there, he and she did a little informal plea-bargaining: she would not inform on him for having had sex with an underage girl, if he did not press charges against her for having assaulted him.

My patient subsequently spent what little money she had upon her grandchild's clothes, stroller, crib, bedding, and so on, even going $1,500 into debt to fund its comfort. Then her daughter decided to move out, and my patient was mortified.

Mortified, that is, by the absence of her grandchild, for whom she thought she had sacrificed so much. This was the first objection she had made in the whole affair. She had not considered the sexual conduct of her daughter, or that of either of the two men, to be in any way reprehensible. If the father of her grandchild had not turned violent, it would never have crossed her mind that he had done anything wrong in having sex with her daughter; and indeed, having done nothing to discourage the liaison, she in effect encouraged him. And her daughter had behaved only as she would have expected any girl of her age to behave.

It might be argued, of course, that such obviously wrongful behavior has occurred always: for when it comes to sexual misdemeanor there is nothing new under the sun, and history shows plentiful examples of almost any perversion or dishonorable conduct. But this is the first time in history there has been mass denial that sexual relations are a proper subject of moral reflection or need to be governed by moral restrictions. The result of this denial, not surprisingly, has been soaring divorce rates and mass illegitimacy, among other phenomena. The sexual revolution has been above all a change in moral sensibility, in the direction of a thorough coarsening of feeling, thought, and behavior. (...)

And yet at the same time—in the same audience—there are many young people yearning for precisely the certainties that they feel obliged to mock: young women who hope to find a man who will woo her, love her, respect her, stand by her, and be a father to her children, while there are many men with the reciprocal wish. How many times have I heard from my patients of their aching desire to settle down and live in a normal family, and yet who have no idea whatever how to achieve this goal that was once within the reach of almost everyone! (...)

Thanks to the sexual revolution, current confusions are manifold. In a society that forms sexual liaisons with scarcely a thought, a passing suggestive remark can result in a lawsuit; the use of explicit sexual language is de rigueur in literary circles, but medical journals fear to print the word "prostitute" and use the delicate euphemism "sex worker" instead; commentators use the word "transgressive," especially in connection with sex, as a term of automatic approbation when describing works of art, while such sex offenders as reach prison have to be protected from the murderous assaults of their fellow prisoners; anxiety about the sexual abuse of children subsists with an utter indifference to the age of consent; compulsory sex education and free contraception have proved not incompatible with the termination of a third of all pregnancies in Britain and with unprecedented numbers of teenage pregnancies; the effective elimination of the legal distinction between marriage and cohabitation is contemporary with the demand that homosexual couples be permitted to marry and enjoy the traditional legal rights of marriage; and while it has become ever more difficult for married but childless parents to adopt, homosexual couples now have the right to do so. The right of lesbians to artificially aided conception by the sperm of homosexual men has likewise been conceded on the principle of non-discrimination, and 60-year-old women naturally enough claim the same rights to in vitro fertilization. Sexual liberty has led to an increase, not to a diminution, in violence between the sexes, both by men and by women: for people rarely grant the object of their affection the freedom that they claim and practice for themselves, with a consequent rise in mistrust and jealousy—one of the great, age-old provokers of violence, as Othelloattests. Our era admires sexual athleticism but condemns predatory conduct. Boundaries between the sexes have melted away, as men become women by surgical means, and women men, while demands for tolerance and understanding grow ever more shrill and imperious. The only permissible judgment in polite society is that no judgment is permissible.

by Theodore Dalrymple, City Journal | Read more:
Image: City Journal

John Butler



David İnshaw
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Mortify Our Wolves


There comes a moan to the cancer clinic. There comes a sound so low and unvarying it seems hardly human, more a note the wind might strike off jags of rock and ice in some wasted place too remote for anyone to hear.

We hear, and look up as one at the two attendants hurriedly wheeling something so shrunken it seems merely another rumple in the blanket, tubes traveling in and out of its impalpability, its only life this lifeless cry.

The doors open soundlessly, and the pall of sorrow goes flowing off into the annihilating brightness beyond. Then the doors close, and we as one look down, not meeting each other’s eyes, and wait.

The terrible thing—it could perhaps be a glorious thing; always the ill are meant to see it as such, are reproached if they don’t (carpe fucking diem)—the terrible thing about feeling the inevitability of your own early death is the way it colors every single scene: at some friends’ house I am moved by the beauty and antics of their two-year-old daughter—moved, and then saddened to think of the daughter D. and I might have, for whom my death will be some deep, lightless hole, which for the rest of her life she will walk around, grief the very ground of her being. What is this world that we are so at odds with, this beauty by which we are so wounded, and into which God has so utterly gone?

Into which, rather than from which: in a grain of grammar, a world of hope.

That conversions often happen after or during intense life experiences, especially traumatic experiences, is sometimes used as evidence against them. The sufferer isn’t in his right mind. The mind, tottering at the abyss of despair or death, shudders back toward any simplicity, any coherency it can grasp, and the man calls out to God. Never mind that the God who comes at such moments may not be simple at all, but arises out of and includes the very abyss the man would flee. Never mind that in traumatic experience many people lose their faith—or what looked like faith?—rather than find it. It is the flinch from life—which, the healthy are always quick to remind us, includes death—and the flight to God that cannot be trusted.

But how could it be otherwise? It takes a real jolt to get us to change our jobs, our relationships, our daily coffee consumption, for goodness sake—or, if we are wired that way, to change our addiction to change. How much more urgency is needed, how much more primal fear, to startle the heart out of its ruts and ruins. It’s true that God comes to the prophet Elijah not in the whirlwind, and not in the earthquake, and not in the fire that follows, but in the “still, small voice” that these ravages make plain. But the very wording of that passage makes it clear that the voice, though finally more powerful than the ravages it follows, is not altogether apart from them. That voice is always there, and for everyone. For some of us, unfortunately, it takes terror and pain to make us capable of hearing it. (...)

Though I have in my life experienced gout, bladder stones, a botched bone marrow biopsy, and various other screamable insults, until recently I had no idea what pain was. It islands you. You sit there in your little skeletal constriction of self—of disappearing self—watching everyone you love, however steadfastly they may remain by your side, drift farther and farther away. There is too much cancer packed into my bone marrow, which is inflamed and expanding, creating pressure outward on the bones. “Bones don’t like to stretch,” a doctor tells me. Indeed. It is in my legs mostly, but also up in one shoulder and in my face. It is a dull devouring pain, as if the earth were already—but slowly—eating me. And then, with a wrong move or simply a shift in breath, it is a lightning strike of absolute feeling and absolute oblivion fused in one flash. Mornings I make my way out of bed very early and, after taking all of the pain medicine I can take without dying, sit on the couch and try to make myself small by bending over and holding my ankles. And I pray. Not to God, who also seems to have abandoned this island, but to the pain. That it ease up ever so little, that it let me breathe. That it not—though I know it will—get worse.

by Christian Wiman, American Scholar |  Read more:
Image: uncredited. Amiens Cathedral

Georges Rouault - Petit écuyère IV, 1931-1939
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New Jersey Hospital Is the Costliest in the Nation


The most expensive hospital in America is not set amid the swaying palm trees of Beverly Hills or the luxury townhouses of New York’s Upper East Side.

It is in a faded blue-collar town 11 miles from Midtown Manhattan.

Based on the bills it submits to Medicare, the Bayonne Medical Center charged the highest amounts in the country for nearly one-quarter of the most common hospital treatments, according to a New York Times analysis of 2011 data, the most recent available. No other hospital was at the top of the price list more often.

Bayonne Medical typically charged $99,689 for treating each case of chronic lung disease, five times as much as other hospitals and 17 times as much as Medicare paid in reimbursement. The hospital also charged on average of $120,040 to treat transient ischemia, a type of small stroke that has no lasting effect. That was six times the national average and 24 times what Medicare paid.

For those prices, the quality of care at Bayonne Medical is no better — or worse — than that at most other New Jersey hospitals. In a 2011 state hospital quality report, Bayonne Medical scored only in the top 50 percent. But profits at the hospital, which was bankrupt in 2007, have soared in recent years, in part because it has found a way to turn some of those high billings into payments.

The increasingly contentious issue of hospital charges drew renewed attention last week when the federal government released Medicare data showing that facilities nationwide submitted widely divergent bills for the same treatments. And while the unassuming, six-story brick hospital here holds a notable place in those rankings, others stand out as well.

The midsize Crozer-Chester Medical Center in Upland, Pa., was the top biller in the country for urinary tract infections, while one prestigious Manhattan hospital, NYU Langone Medical Center, charged twice as much as the equally high-end NewYork-Presbyterian to implant a cardiac pacemaker. But Medicare considers the two New York hospitals so similar it pays them both about $20,000 for the procedure. The hospital industry is quick to say that the charges are irrelevant because virtually no one — private insurers, Medicare or even the uninsured — pays anywhere near those amounts. Medicare sets standard rates for treatments and insurers negotiate with hospitals. But experts add that the charges reflect decades of maneuvering by hospitals to gain an edge over insurers and provide themselves with tax advantages.

Until a recent ruling by the Internal Revenue Service, for instance, a hospital could use the higher prices when calculating the amount of charity care it was providing, said Gerard Anderson, director of the Center for Hospital Finance and Management at Johns Hopkins. “There is a method to the madness, though it is still madness,” Mr. Anderson said.

A close look at the finances of Bayonne Medical Center sheds light on how hospital pricing at the extremes may financially benefit an institution. The practices at Bayonne Medical also highlight a new financial strategy used by a small number of hospitals to increase their profits by “going out of network” — severing ties, and hence contractual agreements that limit reimbursement rates, with large private insurers.

by Julie Creswell, Barry Meier and Jo Craven McGinty, NY Times |  Read more:
Image: Nadav Neuhaus for The New York Times

Thursday, May 16, 2013

The 'Other' IRS Scandal

The burgeoning “scandal” over how the IRS chose for review 75 applicants for tax-exempt status puts on full display an unfortunate tendency in journalism—to quote people accurately without explaining the underlying context. Yes, it is as wrong for IRS employees to select groups to scrutinize based on their names as it is for police to stop and frisk young people based on the color of their skin. Still, the facts here are not so black-and-white as with racial profiling.

There is a scandal in all of this—several, actually, and some are more significant than the one that is getting all the attention. As the story unfolds, here are some important points to keep in mind:

• Missing from much coverage is the relevant recent history—the role of the Supreme Court’s 2010 Citizens United decision and how it prompted a deluge of requests from new organizations seeking tax-exempt status under tax code Section 501(c)(4) as “social welfare” organizations—despite the fact that many of these are blatantly political operations.

• Congress requires the IRS to review every application for tax-exempt status to weed out organizations that are partisan, political, or that generate private gain. Congress has imposed this requirement on the IRS, and its predecessor agencies, since 1913.

• When it comes to 501(c)(4) organizations, what the IRS is supposed to do is draw a distinction between groups that are “primarily engaged” in politics and groups that really are primarily engaged in “social welfare”—somehow “promoting the common good and social welfare of the community.” It’s kind of mushy. Brad Plumer has a good explainerabout this on The Washington Post’s Wonkblog.

• The first scandal here, meanwhile, is that the social welfare tax exemption is being used by existing 501(c)(4) organizations, including some very large ones, to promote partisan political interests—the very activity Congress has explicitly prohibited for a century. The New York Times, after a weak political piece on Saturday, had a clear and useful explainer about this on Tuesday.

• Also worth pointing out: None of the organizations that the IRS scrutinized as a result of the ill-considered screening-by-name regime was denied tax exempt status.

• The second—and widely ignored—scandal in this unfolding story is that the IRS is drowning. Congress is demanding that the agency do more and more with less and less, as we have reported here and elsewhere. As David Levinthal reported Tuesday at the Center for Public Integrity:
The IRS’ Exempt Organizations Division, which finds itself at the scandal’s epicenter, processed significantly more tax exemption applications in fiscal year 2012 by so-called 501(c)(4) “social welfare” organizations — 2,774 — than it has since at least the late 1990s.
That compares to 1,777 applications in 2011 and 1,741 in 2010, he reported.

Meanwhile, in real terms the IRS budget has been cut 17 percent per capita since 2002, even as Congress has piled on other new duties, such as hunting for offshore accounts, dealing with the complexities of the Affordable Care Act, and other expanded obligations.

by David Kay Johnson, Columbia Journalism Review |  Read more:

Ingo Maurer, Broken Egg.
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Brion Gysin, Untitled, 1961
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Billionaires Unchained

The Supreme Court's 2010 Citizens United decision is often blamed -- or hailed -- for creating super PACs. In fact, it was a lesser-known case, SpeechNow.org vs. Federal Election Commission, decided by the D.C. Circuit Court of Appeals two months later, that did the trick. At the heart of SpeechNow was the central tension in all campaign money fights: the balance between stopping corruption or the appearance of corruption, and protecting the right to free speech. In this instance, the D.C. appeals court, influenced by the Citizens United decision, landed on the side of free speech, ruling that limits to giving and spending when it came to any group -- and here's the kicker -- acting independently of candidates and campaigns violated the First Amendment.

Wonky as that may sound, SpeechNow reconfigured the political landscape and unchained big donors after decades of restrictions. The lawyers who argued the case, the academics and legal eagles whose expertise is campaign finance, and the beat reporters like Carney Newlin soon grasped what SpeechNow had wrought: a new, turbocharged political outfit that had no precedent in American politics.

Super PACs can raise unlimited amounts of money from pretty much anyone -- individuals, corporations, labor unions -- and there is no limit on how much they can spend. Every so often, they must reveal their donors and show how they spent their money. And they can't directly coordinate with candidates or their campaigns. For instance, Restore Our Future, the super PAC that spent $142 million to elect Mitt Romney, couldn't tell his campaign when or where it was running TV ads, couldn't share scripts, couldn't trade messaging ideas. Nor could Restore Our Future -- yes, even its founders wince at the name -- sit down with Romney and tape an interview for a TV ad.

It's far easier, in other words, for a super PAC to attack the other guy, which helps explain all the hostility on the airwaves in 2012. Sixty-four percent of all ads aired during the presidential race were negative, up from 51% in 2008, 44% in 2004, and 29% in 2000. Much of that negativity can be blamed on super PACs and their arsenal of attack ads, according to a recent analysis by Wesleyan University's Erika Franklin Fowler and Washington State University's Travis Ridout. They found that a staggering 85% of all ads aired by “outside groups” were negative, while only 5% were positive.

And it will only get worse. "It's going to be the case that the more super PACs invest in elections, the more negative those elections will be," Michael Franz, a co-director of the Wesleyan Media Project, told me. "They're the ones doing the dirty work." Think of them as the attack dogs of a candidate's campaign -- and the growling packs of super PACs are growing fast.

The savviest political operatives quickly realized how potentially powerful such outfits could be when it came to setting agendas and influencing the political system. In March 2010, Karl Rove, George W. Bush's erstwhile political guru, launched American Crossroads, a super PAC aimed at influencing the 2010 midterms. As consultants like Rove and the wealthy donors they courted saw the advantages of having their own super PACs -- no legal headaches, no giving or spending limits -- the groups grew in popularity.

By November 2010, 83 of them had spent $63 million on the midterm elections. Nearly $6 of every $10 they put out supported conservative candidates, and it showed: buoyed by the Tea Party, Republicans ran roughshod over the Democrats, retaking control of the House and winnowing their majority in the Senate. It was a "shellacking," as President Obama put it, powered by rich donors and the new organizations that went with them.

In 2012, no one, it seemed, could afford to sit on the sidelines. Having decried super PACs as "a threat to democracy," Obama and his advisers flip-flopped and blessed the creation of one devoted specifically to reelecting the president. Soon, they were everywhere, at the local, state, and federal levels. A mom started one to back her daughter's congressional campaign in Washington State. Aunts and uncles bankrolled their nephew's super PAC in North Carolina. Super PACs spent big on abortion, same-sex marriage, and other major issues.

In all, the number of super PACs shot up to 1,310 during the 2012 campaign, a 15-fold increase from two years earlier. Fundraising and spending similarly exploded: these outfits raised $828 million and spent $609 million.

But what's most striking about these groups is who funds them. An analysis by the liberal think tank Demos found that out of every $10 raised by super PACs in 2012, $9 came from just 3,318 people giving $10,000 or more. That small club of donors is equivalent to 0.0011% of the U.S. population.

by Andy Kroll, Tomdispatch.com |  Read more:
Image: Reinhard Hunger for The New York Times. Model by Katrin Rodegast

Wednesday, May 15, 2013

Pat Metheny: Secret Story



Above the Treetops and Finding and Believing.

[ed. Repost. This still blows me away. When I first heard the album I thought there might be a Chinese children's chorus involved, then I saw the videos.]

Wilhelm Sasnal, Untitled 2009.
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How the Case for Austerity Has Crumbled

In normal times, an arithmetic mistake in an economics paper would be a complete nonevent as far as the wider world was concerned. But in April 2013, the discovery of such a mistake—actually, a coding error in a spreadsheet, coupled with several other flaws in the analysis—not only became the talk of the economics profession, but made headlines. Looking back, we might even conclude that it changed the course of policy.

Why? Because the paper in question, “Growth in a Time of Debt,” by the Harvard economists Carmen Reinhart and Kenneth Rogoff, had acquired touchstone status in the debate over economic policy. Ever since the paper was first circulated, austerians—advocates of fiscal austerity, of immediate sharp cuts in government spending—had cited its alleged findings to defend their position and attack their critics. Again and again, suggestions that, as John Maynard Keynes once argued, “the boom, not the slump, is the right time for austerity”—that cuts should wait until economies were stronger—were met with declarations that Reinhart and Rogoff had shown that waiting would be disastrous, that economies fall off a cliff once government debt exceeds 90 percent of GDP.

Indeed, Reinhart-Rogoff may have had more immediate influence on public debate than any previous paper in the history of economics. The 90 percent claim was cited as the decisive argument for austerity by figures ranging from Paul Ryan, the former vice-presidential candidate who chairs the House budget committee, to Olli Rehn, the top economic official at the European Commission, to the editorial board of The Washington Post. So the revelation that the supposed 90 percent threshold was an artifact of programming mistakes, data omissions, and peculiar statistical techniques suddenly made a remarkable number of prominent people look foolish.

The real mystery, however, was why Reinhart-Rogoff was ever taken seriously, let alone canonized, in the first place. Right from the beginning, critics raised strong concerns about the paper’s methodology and conclusions, concerns that should have been enough to give everyone pause. Moreover, Reinhart-Rogoff was actually the second example of a paper seized on as decisive evidence in favor of austerity economics, only to fall apart on careful scrutiny. Much the same thing happened, albeit less spectacularly, after austerians became infatuated with a paper by Alberto Alesina and Silvia Ardagna purporting to show that slashing government spending would have little adverse impact on economic growth and might even be expansionary. Surely that experience should have inspired some caution.

So why wasn’t there more caution? The answer, as documented by some of the books reviewed here and unintentionally illustrated by others, lies in both politics and psychology: the case for austerity was and is one that many powerful people want to believe, leading them to seize on anything that looks like a justification. I’ll talk about that will to believe later in this article. First, however, it’s useful to trace the recent history of austerity both as a doctrine and as a policy experiment.

by Paul Krugman, New York Review of Books |  Read more:
Image: Pete Souza/White House