“We’re Not In Wonderland Anymore, Alice” (Charles Manson)

I’ve contributed to The Health Care Blog a couple of times and follow its posts to stay on top of issues relevant to health care. Dr. Al-Agba wrote this article recently in relation to the recent shooting at Bronx-Lebanon Hospital in the Bronx (see link here). I think Manson was wrong; I think we are, indeed, still in Wonderland as it pertains to mass killings.

Dr. Al-Agba makes the very good (and one might argue rather obvious) point that organizations we work for have an obligation to take threats to our personal safety seriously. Today, if an individual threatens suicide, most people know that such threats should be investigated. Lives have been saved as a result.

Still not so with homicidal threats despite the carnage (and I’ve been maintaining this to anyone who will listen since I studied school shooters in the late 1990s while a student at John Jay College of Criminal Justice; it has been discouraging to know that not many have listened). This is the most pertinent line from Dr. Al-Agba’s article: “After his resignation, Dr. Bello warned former colleagues he would return someday to kill them.” Bronx-Lebanon did what in response to this threat? It’s not clear but so far I have found no evidence to suggest they took any action (i.e., reporting it to police? Seems like that would have been a good place to start).

Dr. David Lazala, who worked with Dr. Bello, described him as “very aggressive, talking loudly, threatening people,” and said that he had been threatened by Dr. Bello via email after Dr. Bello had been terminated. I could not find out if Dr. Lazala told Bronx Lebanon about these threats. But even if he had, consider what Bronx Lebanon would have done after you read about my experiences working as a clinician in New York City since 2003. Continue reading

Humanity and Pliny the Younger

One of the many disappointing features of contemporary classical scholarship is its guarded detachment from the modes of engagement that lead people to love Greek and Latin literature in the first place. The ancient Mediterranean world holds many and diverse attractions, but ordinary readers of great classical authors such as Homer, Sophocles, Thucydides, Vergil, Horace, or Tacitus tend to enjoy their works because they appeal to the heart and the mind in distinctively rewarding ways, presenting us with visions of human life and action that are worth taking seriously even when they venture so far into the land of myth that there can be no question of whether to believe them. They’re also just extremely entertaining, even if only to somewhat refined and dorky tastes. Scholarship, however, frequently approaches these works not as products of thought and expression intended to engage our emotions and our intellects on matters of serious human concern, nor even as high-brow entertainment meant to amuse us, but as exercises in the ideological manipulation of appearances, moves in a discursive game whereby power relations are negotiated, typically in the service of the status quo and those whose interests it promotes — or so it often goes when literature is not seen instead as an ultimately frivolous indulgence in rhetorical artistry wherein authors compete for the number and complexity of erudite allusions they can cram into their works and scholars compete for the number and complexity of erudite allusions they can convince other scholars to talk about. Very little scholarly work on Greek or Latin literature these days approaches these texts as sources of potential insight into human life, as offering some perspective that might well be, if not exactly true, at least good to think with. In fact, many scholars scoff at this kind of approach and seem somewhat embarrassed when someone in the room seriously articulates it. They describe it condescendingly as ‘humanism,’ where being a ‘humanist’ correlates with being a naive simpleton who probably wears tweed jackets with elbow patches, smokes a pipe, and would definitely be more at home in 1917 than in 2017.

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Lies and Omissions of the “Opioid War”

I’ll be writing a series of little posts here about various articles in the media regarding the war on opioids, as I find that the news media often doesn’t tell the full story, and seems to be following (or promoting) a morality play or political narrative, rather than actually presenting the problem as it is.

This article from The Economist I found curious mainly because writers such as this almost always maintain — without any real attempt at argument– – that prescription opioids don’t “work” for chronic pain. As a someone who suffers from chronic pain, I can assure you that nothing could be further from the truth.

Prior to having spinal fusion in 2013, I was on a long-acting prescription opioid. Because I still had some pain, I thought the medicine wasn’t working, so I went off of it, only to become essentially nonfunctional for six weeks. I was in so much pain that I lost my wallet, my keys, my Kindle, my smart phone, and even my car all within a span of six weeks.

It was then that I discovered that my spine was essentially crumbling, that I had no disk left at L5, and that L4 wasn’t looking too much better. I needed major surgery on my lumbar (lower) spine.

If we restrict access to pain medications, the result will be more people in pain, more nonfunctional, and more on disability. Back pain is the most common cause of disability in the entire world. Restrict access to pain medications in the way that so many advocates demand, and we’ll essentially be denying needed relief to millions of people in serious pain. That relief allowed me to work. Was opioid use ideal in my case? No, it wasn’t, but it kept me working, and it’s hard to discount the importance of a paycheck.

It’s already challenging enough to get these medications, even with a prescription. In fact, I’d have to see my doctor monthly to get the relevant prescriptions in New York State, where I live. The fact that these visits are both costly and medically unnecessary seems irrelevant to politicians content to sacrifice people like me to their newfound compassion for addicts.

We can do little for addicts who refuse assistance. Some of them will die. But by indiscriminately trying to control the availability of these medications both to addicts and to those who genuinely need them, we would deprive millions of people access to the medications they need to avoid having to live a life completely in thrall to physical pain. In weighing the costs and benefits of any policy concerning pain medications, it might help to imagine what it’s like to live a lifetime in serious pain–with painkillers, and without.

Sadiq al Azm on Edward Said: Correspondence

Apropos of our recent discussion on Edward Said’s Orientalism: having held onto this letter some eleven years–and given the deaths of both principals–I thought I’d post it for whatever historical interest it may or may not have.  Sadiq al Azm passed away this past December (December 11, 2016). Edward Said died on September 25, 2003.  The letter, from Al Azm to me about Said, more or less speaks for itself. Continue reading

Hell Makes the News

A few days ago I posted some contrasting literary conceptions of hell. Today hell makes the news. Evidently Bernie Sanders (yes, the Bernie Sanders) thinks that the traditional Christian belief that salvation requires faith in Jesus disqualifies a person from holding public office. Such, at any rate, seems to be the reasoning behind his inferring that Russell Vought, Trump’s nominee for deputy director of the Office of Budget and Management, “is really not someone who this country is supposed to be about” from Vought’s refusal to deny that Muslims — or any other non-Christians, and probably, by Vought’s lights, many people who think of themselves as Christians — will be going to hell if they do not come to faith in Christ. There’s some dispute about the legality of Sanders’ questioning, but it seems likely that Sanders can vote however he wants for whatever reason he wants and that simply questioning Vought about his religious beliefs does not amount to a religious test for office. Legality aside, though, Sanders’ reasoning and behavior here seem monumentally stupid; refusing to vote for someone for holding this traditional view seems wrong in principle, and it seems especially moronic strategically.

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Hell

Jean-Paul Sartre:

GARCIN: Will night never come?

INEZ: Never.

GARCIN: You will always see me?

INEZ: Always.

GARCIN: This bronze. Yes, now’s the moment; I’m looking at this thing on the mantelpiece, and I understand that I’m in hell. I tell you, everything’s been thought out beforehand. They knew I’d stand at the fireplace stroking this thing of bronze, with all those eyes intent on me. Devouring me. What? Only two of you? I thought there were more; many more. So this is hell. I’d never have believed it. You remember all we were told about the torture-chambers, the fire and brimstone, the “burning marl.” Old wives’ tales! There’s no need for red-hot pokers. Hell is — other people!

(No Exit (Huis Clos), 1944)

T.S. Eliot:

There was a door
And I could not open it. I could not touch the handle.
Why could I not walk out of my prison?

What is hell? Hell is oneself,
Hell is alone, the other figures in it
Merely projections. There is nothing to escape from
And nothing to Escape to. One is always alone.

(The Cocktail Party, 1949)

A Tale of Two Citizens (and Two Citizenries)

Donald J. Trump on the recent terrorist attack in Britain:

@realDonaldTrump  

  1. Do you notice we are not having a gun debate right now? That’s because they used knives and a truck!

  2. At least 7 dead and 48 wounded in terror attack and Mayor of London says there is “no reason to be alarmed!”

  3. We must stop being politically correct and get down to the business of security for our people. If we don’t get smart it will only get worse

  4. Whatever the United States can do to help out in London and the U. K., we will be there – WE ARE WITH YOU. GOD BLESS!

  5. We need to be smart, vigilant and tough. We need the courts to give us back our rights. We need the Travel Ban as an extra level of safety!

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Mill on Public Education (and its alternatives)

Comments on my previous post reporting Mill’s comments on the American Civil War led to some discussion of education. I’ve been teaching for ten years, and so I’ve given a good amount of thought to education, but much of that thought has been about the peculiarities of the subjects I teach: classical languages, literature, and philosophy, with a bit of writing and rhetoric thrown in. I’ve thought less, though still quite a bit, about broader questions in education. Probably the most politically divisive issue in education concerns public education: should we have it, what is it for, how should it be done, and how should we regard various alternatives to it? As often, mainstream political opinion seems to split into two rival camps, neither of which strikes me as satisfying. Though people disagree about details, there’s a discernible trend: progressives tend to be fans of public education and want to increase its funding massively, conservatives tend to be severe critics of public education and prefer some sort of alternative. Rather, many and perhaps most people don’t have strong views about this topic, but when someone does, the severe critics tend to be conservative and the fierce supporters tend to be progressives. As usual, I do not have a firm, settled view on these matters. But insofar as I have any views on the matter, they tend somewhat in the conservative direction in one respect and in the progressive direction in another: we ought to have a much greater variety of schools to choose from, with much greater local autonomy on the part of the schools (the ‘conservative’ part), and we ought to have a lot more funding of a far more equitable sort (the ‘progressive’ part).

I don’t find anything odd about this combination, but it seems to be an unpopular one. Support for ‘school choice’ in general and for charter schools in particular tends to be seen as a right-wing view, while support for vastly increasing public spending on education tends to be seen as a left-wing view. Of course, there’s a reason for this: conservatives hate taxes, while the mantra of ‘school choice’ stands not only for an increase in the diversity and autonomy of schools, but for efforts to have taxpayers fund fully private and religious schools. Debates about charter schools are also complicated by differences among charter schools and the kind of oversight to which they’re subjected in different states; while the best charter schools are non-profit organizations that seek to admit students from a variety of socio-economic backgrounds, some prominent charter schools are in reality for-profit businesses that effectively price out lower-income families through fees and related expenses. So, as so often, the issues here are complex, but our political discourse tends to reduce them to two bad package deals. On the level of general principle, though, I wonder just what is wrong with John Stuart Mill’s take in On Liberty (I promise that the Mill posts will stop soon!):

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Mill on the American Civil War

In nearly four decades of life as an American, I’ve heard a whole lot of conflicting things about the Civil War. Probably the most contentious point is about what slavery had to do with it. My own elementary education made clear that the principal issue in the war was slavery, but that this issue was mixed up with more general disputes about states’ rights and federal authority. That same education made it clear that the North fought the war primarily in order to end slavery, but also to “preserve the Union.” It was only in early adulthood that I learned that this is apparently not how the Civil War is presented to many young Americans and that there is a lot of disagreement about it. Evidently many, maybe most, kids are taught that the war was primarily about states’ rights and that slavery was a secondary issue. People — including historians who actually have some claim to know what they’re talking about — disagree about exactly what combination of factors motivated the North to fight. But a fair number of people I’ve encountered, mainly people without any historical credentials but a few with some, have barked at me about how the Civil War wasn’t really about slavery at all, but was entirely about economics; slaves mattered for that reason, but for that reason only.

I’m not about to enter into this dispute. I do, however, find it worth noting what J.S. Mill — yep, him again — thought about the war and his report of English opinion about it. No doubt historical causation is complicated, but it is interesting that, to an outside observer at least, this war was very definitely about slavery, and immensely important.

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