Saturday, August 15, 2009

Peace Now -- Peace in Our Time

Mr. Neville Chamberlain (center), Pg. Joachim von Ribbentrop (left), Führer Adolf Hitler, Sept. 28, 1938



History has not been kind to Mr. Chamberlain. The agreement with Hitler that he so proudly displayed on his return to Britain proved to be worthless. In a way, mutatis mutandis, Chamberlain was the Barack Obama of his time: confrontation is noxious and dangerous, he believed, negotiation is the only reasonable way to go. Of course the situation then was not the situation today, and today's foes are not identical to the foes of 1938; Obama's path today may yet prove to be the wise one that his admirers hope it will be.

But there is something eerily similar between then and now. Hitler's Nazi movement made an appeal to dark human passions that sweet reason could not assuage. Sweet reason -- can't we all just get along ? -- does not solve all issues, pace Chamberlain, Obama, and the bien-pensant liberals of our day. Today, I fear, our (mostly liberal) chattering classes, so intent on getting on with negotiation and avoiding confrontation, simply fail to notice that Islamism, in this respect not unlike the Nazism of yore, appeals to passions that are not provided for by rational-man images of bourgeois society.

Today's New York Times tells us that "at least 6 die as Islamists clash with Hamas" in the Gaza territory. The story of bloody mayhem, members of one Islamicist faction killing those of another, is buried on page 7, with the front page taken up by more important news: "retailers see slowing sales in key season," "idle Iraqi date farms show decline in economy," a shooting in Harlem, etc. But the violence of Palestinian Islamicists against one another gets swept under a page-seven rug. And New York Times's readers are spared a confrontation with uncomfortable reality.

The sweet-reason, can't-we-all-just-get-along movement in Israel is called Peace Now, and is promoted by left-wing parties like Meretz. Peace Now was founded some thirty years ago with the proposition that if only Israel were nicer to the Arabs, the Arabs, in turn, would be nicer to Israel. If Peace Now has a guiding principle, it is that radical, uncompromising Islamicism is to be strictly ignored. But, alas, while Israel has tried to be as nice as possible to the Arabs (most notably at Camp David in 2000 and at Taba in 2001), more or less following Peace Now prescriptions, there have been no positive results, peace now being more elusive than ever. Consequently, as explained by Carlo Strenger in a recent issue of Haaretz, Peace Now has virtually disappeared from Israeli politics.



Update on the intra-Islamist violence in Gaza (Haaretz, 8/15/09):
Dr. Moaiya Hassanain of the Palestinian Health Ministry in Gaza said 24 people were killed, including six Hamas police officers and an 11-year-old girl. At least 150 people were wounded, he said.


Thursday, August 6, 2009

When Everything is Black or White: Caldwell's book on Islam in Europe

In the Photoshop program for editing photographs, there is a facility by which one can increase or decrease the contrast of an image. I took a black-and-white portrait of my youngest granddaughter, and then dialed up the contrast to a maximum. The result is a picture, interesting in itself, but lacking all nuance of shading. Everything is black or white.

I thought of this ability to rev up contrast, with its result of utter distortion, as I read the book "Reflections on the Revolution in Europe" by Christopher Caldwell. Caldwell is upset by the large Muslim populations in Europe, and, indeed, there are real enough problems. But Caldwell sees everything in black and white. The Muslim populations, he claims, have not assimilated, AT ALL, to European culture. Caldwell is not a scholar, and his use of statistics (and other data) is tendentious and naive. I think that he does point to things we need to worry about, but his highly contrasty portrait will not help us think about the problem intelligently.

I have reviewed this book for Amazon.

Wednesday, July 22, 2009

Sotomayor: My Mom Doesn't Get It

Celina Sotomayor (AP)

The Senate confirmation hearings of Judge Sonia Sotomayor for the Supreme Court were bland and brought little to surprise anyone. Certainly, if I were a US Senator I would vote to confirm. That said, I must report my unease at her response, which I heard on CSPAN, to comedian Al Franken's question: why do you want this job. I have so far been unable to obtain the transcript of her response, but the NY Times blog The Caucus gives an account very close to what I remember:

Franken and the Job | 12:16 p.m. Why does the judge want to join the Supreme Court? asks Senator Al Franken, Democrat of Minnesota.

This prompts a lengthy story from the judge, in which her mother, Celina, and her stepfather, Omar, play a role. As she tells it, her mother couldn’t understand why she would take a job that involved a sizable pay cut from her lawyer’s work in private practice, would limit her foreign travel and would prohibit her from having friends who might come before her in court. Her stepfather apparently, at the end, turned to his wife, and said in Spanish, “You know you daughter and her stuff with public service.”

And the judge continued: “That really has always been the answer given, who I am, my love of the law, my sense of importance about the rule of law, how central it is to the functioning of our society …” Those have always created a passion in her, she added. “I can’t think of any greater service I could give to the country.”

As I recall the Judge, she said "all this was in Spanish," wink wink, suggesting, when taken together with her verbiage here, an unpleasant condescension toward her mother --how cute, my old mom, but alas lacking in the sophistication of all those Eastern schools where I learned my selfless morality. There is no doubt that the judge has great affection for her mother, whom she has praised repeatedly in the public record. But condescension nevertheless.

As it happens, Celina Sotomayor achieved graduation from college in New York and became a Registered Nurse, passing her RN boards in English, so the Judge's condescension is doubly misplaced.

Doubly: even if her mother had not had American higher education, or English proficiency, it is a bit outrageous to suggest that our immigrant parents and grandparents cannot be trusted with making ethical decisions as good as ours.

Thursday, June 4, 2009

The Menace of "Alternative Medicine"

Daniel David Palmer (1845-1914), Father of Chiropractic

There was a time, some thirty or forty years ago, when the elite medical schools and hospitals warned patients away from self-styled healers who lacked medical training. Then as now, "chiropractic," "naturopathy," "acupuncture," and many others, were popular and offered their wares, but then they were rejected without equivocation by established medical authorities. But oh, how things have changed.

To give but one example, New York University's Langone Medical Center now offers naturopathy, acupuncture, and herbalism among its treatments for a long list of ailments, including, yes, cancer. Unbelievable ? Click here to see for yourself.

The gradual change in attitudes by leaders of the medical profession is documented in a 2005 article by the sociologist Terri Winnick, "From Quackery to 'Complementary' Medicine: The American Medical Profession Confronts Alternative Therapies." The article is as much a symptom of the change as a description of it, thereby offering some clues to attitudes that caused it.

To Winnick, changes in medical positions seem all to the good. Her narrative is mainly one of sordid political power plays by the AMA in the 1960's, replaced by more reasonable positions now. Some fifty years ago, she tells us, the medical establishment had more power and could therefore fight off the claims of the rival "modalities." Today organized medicine is constrained to be more reasonable, and, she suggests, has therefore come to see the light of cooperation with "CAM" ("complementary and alternative medicine").

The striking shortcoming in Winnick's article, and in the many similar books and articles on the subject, is absence any sort of hard-headed examination of the claims made by these "alternative" practitioners and of their scientific credentials.

As for the claims, the short answer is that, now as before, there simply is no evidence that any of these alternatives to scientific medicine have any merit whatever. This may seem a harsh and intolerant thing to say, but it is the conclusion reached, despite much pressure in opposite directions, by the very government agency set up to find any and every possible scrap of merit in these "alternatives," namely the National Center for Complementary and Alternative Medicine of the National Institutes of Health.

As for scientific credentials of the "alternative" practitioners, it is instructive to look at those of the man hired by NYU to cure cancer (among other ailments) by "alternative" methods. This is what we read

Dr. X, N.D., joins NYU Urology from the Center for Holistic Urology at Columbia University Medical Center.

Dr. X. holds a four-year naturopathic doctoral degree and a two-year acupuncture degree from the University of Bridgeport. His clinical practice and research focus on integrative, holistic appraches to urological conditions.

Readers should ask themselves how these credentials compare to those of Board-certified medical practitioners. And they should ask the people in charge of NYU and Columbia whether they themselves, personally, would entrust their health and that of their families to the man from Bridgeport.

To be sure, there still are clear voices of warning. Edzard Ernst has recently written a no-nonsense book, and then of course there is Quackwatch. But given the prevailing anything-goes attitudes of our elite medical institutions, these voices seem to be coming from the wilderness.

Monday, April 27, 2009

On dotty judges, doctors, professors ...

Humph, by Roger B.

There are two compelling reasons for the timely retirement of people in sensitive professions:

1) Institutions like courts, hospitals, and universities need new blood; they need those who have been trained in up-to-date science and technology to be in charge. True, the aged incumbents have experience (and, some would say, wisdom) that younger people may lack. This experience, where it exists, needs to be available to these institutions, but in advisory capacities. It is also a fact that the younger and more competent scientists and scholars receive lower salaries than their less competent seniors. So these seniors constitute not only an intellectual but also a fiscal drain on some of our most crucial institutions.

2) The diminution of human capacities in old age is very common indeed; it seems that by age 75 a majority of people have experienced some substantial drop in their mental acuity. When the very old still occupy positions of great power and influence, the decrepitude of the elders has proven to be a public menace. In response, and rather than rely on questionable tests of continued competence, many institutions have enforced mandatory retirement (but universities have been forbidden to do so by federal legislation). The oldest still-existing government in the world, the Roman Catholic Church, retires its priests at age 70, its bishops at 75, and forbids its Cardinals to vote in papal elections after age 75. The Supreme Court of Canada retires its justices at 75; the Israeli Supreme Court at 70. But there is no mandatory retirement at the U.S. Supreme Court.

The United States Supreme Court

The U.S. Supreme Court is one of the most powerful institutions in the world. Its membership is small but it enjoys tremendous public attention. We know more about its Justices than we know about almost any other group of human beings. And some of these Justices stayed in office until they were old, very old. From my observations in my last paragraph, I expected to find that more than a few of these Justices became mentally decrepit while in office, and this proved to be the case: dozing during arguments, not knowing which side of an issue they supported, sometimes not knowing the difference between appellant and respondent.

The most complete accounting of this Supreme Scandal is now nine years old: Professor David J. Garrow, "Mental Decrepitude on the U.S. Supreme Court: The Historical Case for a 28th Amendment." Writing in 2000, Garrow finds evidence of decrepitude in twenty justices (roughly 20% of all) since the beginning of the republic. (We do not know how many more he would have needed to list had he written today.) In the more modern history of the Court, Garrow lists the following Justices as among those who showed signs of mental decrepitude while sitting on the Court: William Howard Taft, Oliver Wendell Holmes, Frank Murphy, Sherman Minton, Charles E. Whittaker, Hugo Black, William O. Douglas, William H. Rehnquist, Lewis F. Powell, William Jr. Brennan, and Thurgood Marshall. (Again: would he have had to add any names from the Court of today ?) Quite reasonably, Garrow supports a constitutional amendment to control the open-ended tenure that obtains now.

The Medical Profession

Once a physician obtains a license to practice, it is extraordinarily difficult to withdraw this privilege from him, no matter what his age. It is not uncommon to see practicing physicians who went to medical school more than half a century ago. How much do they know about modern medicine ? Very few jurisdictions, if any, have procedures for re-examining the holders of medical licenses at regular intervals.

There is a general problem about licensing a person to perform a potentially dangerous act. Driver's licenses, among others, tend to be valid indefinitely, with very few restrictions. The person who performed well at age twenty at a driver's test is, for all intents and purposes, presumed to have his youthful driving abilities intact at age ninety.

If this is a problem in dotty drivers, so much more in dotty doctors. They can do a great deal of harm, but, unlike Supreme Court Justices, their cases do not enjoy great notoriety. In December of 2007 I reported on the famous inter-war German Doctor Ferdinand Sauerbruch whose great prestige among his peers as a young man prevented the German medical establishment from coping with his senility when he continued to practice, and endanger his patients, as an old man. While the aged Justice Thurgood Marshall didn't know who was appellant and who was respondent, the aged Doctor Sauerbruch didn't know, in the operating room, which organ needed surgery. Since then, my family has had a number of sad experiences with dotty doctors, some of which endangered the health and even the life of the patient.

No physician should be allowed to practice (other than, perhaps, in a consultative capacity) at an age at which a substantial number of persons have been found to be impaired in their judgment. The self-policing by the profession, through voluntary referrals, etc., seems to have fallen far short of preventing substantial abuses. I think that the unlimited license to practice should expire at a reasonable age, say seventy, with perhaps some limited privileges allowed after that.

The Universities

Dotty professors are less conspicuous in the harm they do than their fellow-dotties behind the wheel, on the bench, or in the operating room. But even consider the not-dotty over-70's, do we really need so many elderly gentlemen teaching the students of today from a perspective, largely, of their own graduate studies in the 1950's ?

Some six years ago history professor Henry Huttenbach of City College in New York was seventy-three years old, and he explained for the Chronicle of Higher Education why he does not at all feel like retiring:

As long as one has something vital to contribute -- half a century of classroom experience, decades of research still filled with unexpressed ideas in as yet unwritten articles and books -- why stop? Why abandon the satisfaction of the daily give-and-takes with students and colleagues? For golf? For Florida? For full-time grandchildren-sitting?

And frankly, he also says, the money is better if you don't retire. He does not mention any need for new blood in the academy. Nor does he mention any new facts, or insights, or techniques that the graduate schools of today may have to offer to younger scholars that were not available in his graduate training. Nor the fact that, with his full professor's salary, his college could hire more of these younger people. But, by all means, read what he himself has to say by clicking here.

Where is the burden of proof ?

The argument against mandatory retirement is often phrased roughly as follows: If a person attains a certain chronological age, say sixty-five or seventy, or whatever, that fact alone does not prove that he is no longer competent to perform in his profession. He or she should be allowed to continue unless he is proven incompetent.

My argument is the opposite. Given the fact that society has a strong interest in competent judges, doctors, professors, etc., and given the fact that a substantial number among the aged suffer from at least some degree of mental diminution, the burden of proof should be on the elderly individual to prove his continuing capacity. If the eighty-year old physician can pass the equivalent of his specialty board once again, and can prove his mental competence, by all means, be my guest, keep practicing. But for all the others, for all those elderly doctors and judges and professors, etc., unwilling or unable to pass the tests that their younger colleagues need to pass, I say, please, it's time to move over, to make room for the young, to protect the patients and the litigants and the students.

Monday, March 16, 2009

Khalidi: At it Once Again

www.daylife.com

Khalidi's new book, "Sowing Crisis," once again uses propaganda instead of history, and, worse, trickery in the guise of documentation. All this, at least, according to a review in the New York Times Book Review, dated March 15. Click here to read the review.