Archive for the ‘Healthcare’ Category

I simply can’t keep up with all the reading, viewing, and listening in my queue. Waking hours are too few, and concentration dissipates long before sleep overtakes. Accordingly, it’s much easier to settle into couch-potato mode and watch some mindless drivel, such as the Netflix hit Bridgerton binged in two sittings. (Unlike cinema critics, I’m not bothered especially by continuity errors, plot holes, clunky dialogue, weak character motivation, gaps of logic, or glossy decadence of the fictional worlds. I am bothered by the Kafka trap sprung on anyone who notices casting decisions that defy time and place — an ill-advised but now commonplace historical revisionism like editing Mark Twain.) As a result, blog posts are less frequent than they might perhaps be as I pronounce upon American (or more broadly, Western) culture, trying vainly to absorb it as a continuously moving target. Calls to mind the phrase Après moi, le déluge, except that there is no need to wait. A deluge of entertainment, news, analysis, punditry, and trolling has buried everyone already. So rather than the more careful consideration I prefer to post, here are some hot takes.

The Irregular Aphorist. Caitlin Johnstone offers many trenchant observations in the form of aphorisms (some of which I’ve quoted before), all gathered under the subtitle Notes From The Edge Of The Narrative Matrix. The modifier irregular only means that aphorisms are a regular but not constant feature. Her site doesn’t have a tag to that effect but probably ought to. Here’s one in particular that caught my attention:

Everything our species has tried has led us to a dying world and a society that is stark raving mad, so nobody is in any position to tell you that you are wrong.

Twin truths here are (1) the dying world and (2) societal madness, both of which I’ve been describing for some time. Glad when others recognize them, too.

Piling on. Though few still are willing to admit it, nonpharmaceutical interventions (NPIs, e.g., distancing, masks, and lockdowns) to stall or reduce the spread of the virus failed to achieve their objectives according to this study. Instead, NPIs piled on suffering no one could forestall. I read somewhere (no link) that the world is approaching half of total, cumulative deaths/infections predicted had nothing been done to impede the pandemic running its course. Adding in deaths of despair (numbers not entirely up to date), we’re using the wrong tools to fight the wrong battle. Of course, interventions opened up giant opportunities for power grabs and vulture capitalism, so the cynic in me shrugs and wonders half aloud “what did you expect, really?”

Growth of the Managerial Bureaucracy. A blog called Easily Distracted by Timothy Burke (never on my blogroll) publishes only a few times per year, but his analysis is terrific — at least when it doesn’t wind up being overlong and inconclusive. Since a student debt jubilee is back in the news (plenty of arguments pro and con), unintended consequences are anticipated in this quote:

When you set out to create elaborate tiers that segregate the deserving poor from the comfortable middle-class and the truly wealthy, you create a system that requires a massive bureaucracy to administer and a process that forces people into petitionary humiliation in order to verify their eligibility. You create byzantine cutoff points that become business opportunities for predatory rentiers.

Something similar may well be occurring with stimulus checks being issued pro rata (has anyone actually gotten one?), but at least we’re spared any petitionary humiliations. We get whatever the algorithms (byzantine cutoff points) dictate. How those funds will be gamed and attached is not yet clear. Stay alert.

No Defense of Free Speech. Alan Jacobs often recommends deleting, unsubscribing, and/or ignoring social media accounts (after his own long love-hate relationship with them) considering how they have become wholly toxic to a balanced psyche as well as principal enablers of surveillance capitalism and narrative control. However, in an article about the manorial elite, he’s completely lost the plot that absolutism is required in defense of free speech. It’s not sufficient to be blasé or even relieved when 45 is kicked off Twitter permanently or when multiple parties conspire to kill Parler. Establishing your own turf beyond the reach of Silicon Valley censors is a nice idea but frankly impractical. Isn’t that what whoever ran Parler (or posted there) must have thought? And besides, fencing off the digital commons these very entities created has catapulted them into the unenviable position of undemocratic, unelected wielders of monopolistic power and co-conspirators to boot. That’s what needs to be curtailed, not free speech.

The Taxonomic Apocalypse. Although drawn from fiction and thus largely hypothetical, a new book (coming late 2021) by Adam Roberts called It’s the End of the World: But What Are We Really Afraid Of? surveys doomsday stories and categorizes different versions of how it all ends. Alan Jacobs (yeah, him again — must have an advance copy of the manuscript) recommends it as “a delightful and provocative little book” but fails to grok two things: (1) these stories are rehearsals-cum-preparations for the real thing, and (2) the real thing really is bearing down on us implacably and so is no longer a mere hypothetical to contemplate and categorize for shits and grins. Despite acceptance of the eventualities that await all of us, reading Roberts’ taxonomy is not something I would expect to find delightful. Skip.

Narrative Collapse. Ran Prier (no link) sometimes makes statements revealing an unexpected god’s-eye view:

[45] is a mean rich kid who figured out that if he does a good Archie Bunker impression, every lost soul with an authoritarian father will think he’s the messiah. We’re lucky that he cares only about himself, instead of having some crazy utopian agenda. But the power, and the agency, is with the disaffected citizens of a declining empire, tasting barbarism.

This is all about people wanting to be part of a group that’s part of a story. Lately, some of the big group-stories have been dying: sky father religion, American supremacy, the conquest of nature, the virtue of wealth-seeking. In their place, young and clumsy group-stories struggle and rise.

Collapse of certain fundamental stories that animate our thinking is at the core of The Spiral Staircase (see About Brutus at top), though it’s often couched in terms of consciousness in transition. Getting through the transition (only temporarily, see previous item in list) probably means completion of the Counter-Enlightenment historical arc, which necessarily includes further descent into barbarism.

Hail Mary for Individualism. I always take special notice when someone cites Allan Bloom. Alan Jacobs (um, yeah, he’s prolific and I’m using his ideas again — sue me) cites Bloom to argue that individualism or the sovereign self, a product of the Enlightenment, is already dead. No doubt, the thought-world described so ably by Bloom no longer exists, but individualism has not yet died out by attrition or been fully dissolved in nonduality. Many of us born before the advent of the Internet retain selfhood and authenticity not yet coopted by or incorporated into mass mind. Moreover, ongoing struggles over identity (e.g., gender, sexual orientation, and race that are often used improperly to define the self) result from an inchoate sense that individualism is eroding precipitously, not that it’s already passé. Defiant attempts to (re)establish an authentic self (contravening all logic and becoming critical theory of one sort or another) in the face of this loss may well be a last-ditch effort to save the self, but it’s failing.

I’ve never before gone straight back with a redux treatment of a blog post. More typically, it takes more than a year before revisiting a given topic, sometimes several years. This time, supplemental information came immediately, though I’ve delayed writing about it. To wit, a Danish study published November 18, 2020, in the Annals of Internal Medicine indicates our face mask precautions against the Coronavirus may be ineffective:

Our results suggest that the recommendation to wear a surgical mask when outside the home among others did not reduce, at conventional levels of statistical significance, the incidence of SARS-CoV-2 infection in mask wearers in a setting where social distancing and other public health measures were in effect, mask recommendations were not among those measures, and community use of masks was uncommon. Yet, the findings were inconclusive and cannot definitively exclude a 46% reduction to a 23% increase in infection of mask wearers in such a setting. It is important to emphasize that this trial did not address the effects of masks as source control or as protection in settings where social distancing and other public health measures are not in effect.

The important phrase there is “did not reduce, at conventional levels of statistical significance,” which is followed by the caveat that the study was partial and so is inconclusive. To say something is statistically insignificant means that results do not exceed the calculated margin of error or randomness. A fair bit of commentary follows the published study, which I have not reviewed.

We’re largely resorting to conventional wisdom with respect to mask wearing. Most businesses and public venues (if open at all) have adopted the mask mandate out of conformity and despite wildly conflicting reports of their utility. Compared to locking down all nonessential social and economic activity, however, I remain resigned to their adoption even though I’m suspicious (as any cynic or skeptic should be) that they don’t work — at least not after the virus is running loose. There is, however, another component worth considering, namely, the need to been seen doing something, not nothing, to address the pandemic. Some rather bluntly call that virtue signalling, such as the pathologist at this link.

In the week since publication of the Danish study and the pathologist’s opinion (note the entirely misleading title), there has been a deluge of additional information, editorials, and protests (no more links, sorry) calling into question recommendations from health organizations and responses by politicians. Principled and unprincipled dissent was already underway since May 2020, which is growing with each month hardship persists. Of particular note is the Supreme Court’s 5-4 decision against New York Gov. Andrew Cuomo’s mandate that religious services be restricted to no more than 10 people in red zones and no more than 25 in orange zones. Score one for the Bill of Rights being upheld even in a time of crisis.

Only the most jaded cynic could fail to be dumbfounded at recent and extraordinarily vehement criticisms of Barack Obama. All U.S. presidents have been magnets for detractors, as something is always going wrong somewhere. However, it’s also pretty amazing that very little of the criticism seems to stick. Ronald Reagan earned the sobriquet The Teflon President for his ability to avoid any lasting judgment, but the effect has outlasted old Ronny. Clinton survived two terms of the worst partisanship, damning criticism, and an impeachment; George W. Bush survived two terms of crowning stupidity, a major terrorist attack, two preemptive wars, and nonstop calls for impeachment; and now Obama appears to be able to withstand even the most vengeful attacks, even gathering an international prize despite the most meager accomplishments thus far. It’s not that Obama’s approval rating hasn’t suffered; it has. Rather, no change of policy (those in effect, not those promised) or alteration of course results from every new revelation of corruption, ineffectualness, or abandonment of principles. Nothing seems to penetrate the cocoon of advisers surrounding the president, who must be counseling what is politically possible rather than telling the truth about what must be done. Yet the charges from the media and the blogosphere continue to mount, and every analysis ends up suggesting Obama must have a hidden endgame. How else can one account for the president’s actions? The avalanche of criticism demonstrates that one can say the worst things about another person or the president short of libel or slander. It’s a free country, after all. That one notable feature of Western democracy remains despite rollbacks of all sorts of other civil liberties.

So what are some people saying about Obama? (more…)