Private Health Quotes

In a society in which nearly everybody is dominated by somebody else's mind or by a disembodied mind, it becomes increasingly difficult to learn the truth about the activities of governments and corporations, about the quality or value of products, or about the health of one's own place and economy. In such a society, also, our private economies will depend less and less upon the private ownership of real, usable property, and more and more upon property that is institutional and abstract, beyond individual control, such as money, insurance policies, certificates of deposit, stocks, and shares. And as our private economies become more abstract, the mutual, free helps and pleasures of family and community life will be supplanted by a kind of displaced or placeless citizenship and by commerce with impersonal and self-interested suppliers... Thus, although we are not slaves in name, and cannot be carried to market and sold as somebody else's legal chattels, we are free only within narrow limits. For all our talk about liberation and personal autonomy, there are few choices that we are free to make. What would be the point, for example, if a majority of our people decided to be self-employed? The great enemy of freedom is the alignment of political power with wealth. This alignment destroys the commonwealth - that is, the natural wealth of localities and the local economies of household, neighborhood, and community - and so destroys democracy, of which the commonwealth is the foundation and practical means.

When someone works for less pay than she can live on — when, for example, she goes hungry so that you can eat more cheaply and conveniently — then she has made a great sacrifice for you, she has made you a gift of some part of her abilities, her health, and her life. The 'working poor,' as they are approvingly termed, are in fact the major philanthropists of our society. They neglect their own children so that the children of others will be cared for; they live in substandard housing so that other homes will be shiny and perfect; they endure privation so that inflation will be low and stock prices high. To be a member of the working poor is to be an anonymous donor, a nameless benefactor, to everyone else.

Capitalist realism insists on treating mental health as if it were a natural fact, like weather (but, then again, weather is no longer a natural fact so much as a political-economic effect). In the 1960s and 1970s, radical theory and politics (Laing, Foucault, Deleuze and Guattari, etc.) coalesced around extreme mental conditions such as schizophrenia, arguing, for instance, that madness was not a natural, but a political, category. But what is needed now is a politicization of much more common disorders. Indeed, it is their very commonness which is the issue: in Britain, depression is now the condition that is most treated by the NHS. In his book The Selfish Capitalist, Oliver James has convincingly posited a correlation between rising rates of mental distress and the neoliberal mode of capitalism practiced in countries like Britain, the USA and Australia. In line with James’s claims, I want to argue that it is necessary to reframe the growing problem of stress (and distress) in capitalist societies. Instead of treating it as incumbent on individuals to resolve their own psychological distress, instead, that is, of accepting the vast privatization of stress that has taken place over the last thirty years, we need to ask: how has it become acceptable that so many people, and especially so many young people, are ill?

I was once asked if I had any ideas for a really scary reality TV show. I have one reality show that would really make your hair stand on end: "C-Students from Yale." George W. Bush has gathered around him upper-crust C-students who know no history or geography, plus not-so-closeted white supremacists, aka Christians, and plus, most frighteningly, psychopathic personalities, or PPs, the medical term for smart, personable people who have no consciences. To say somebody is a PP is to make a perfectly respectable diagnosis, like saying he or she has appendicitis or athlete's foot . . . PPs are presentable, they know full well the suffering their actions may cause others, but they do not care. They cannot care because they are nuts. They have a screw loose! . . . So many of these heartless PPs now hold big jobs in our federal government, as though they were leaders instead of sick. They have taken charge of communications and the schools, so we might as well be Poland under occupation. They might have felt that taking our country into an endless war was simply something decisive to do. What has allowed so many PPs to rise so high in corporations, and now in government, is that they are so decisive. They are going to do something every fuckin' day and they are not afraid. Unlike normal people, they are never filled with doubts, for the simple reasons that they don't give a fuck what happens next. Simply can't. Do this! Do that! Mobilize the reserves! Privatize the public schools! Attack Iraq! Cut health care! Tap everybody's telephone! Cut taxes on the rich! Build a trillion-dollar missile shield! Fuck habeas corpus and the Sierra Club and In These Times, and kiss my ass! There is a tragic flaw in our precious Constitution, and I don't know what can be done to fix it. This is it: Only nut cases want to be president.

Health, learning and virtue will ensure your happiness; they will give you a quiet conscience, private esteem and public honour.

If a potato can produce vitamin C, why can't we? Within the animal kingdom only humans and guinea pigs are unable to synthesize vitamin C in their own bodies. Why us and guinea pigs? No point asking. Nobody knows.

Instead of accepting the vast privatization of stress that has taken place over the last thirty years, we need to ask: how has it become acceptable that so many people, and especially so many young people, are ill? The ‘mental health plague’ in capitalist societies would suggest that, instead of being the only social system that works, capitalism is inherently dysfunctional, and that the cost of it appearing to work is very high.

It is not as if farming brought a great improvement in living standards either. A typical hunter-gatherer enjoyed a more varied diet and consumed more protein and calories than settled people, and took in five times as much viatmin C as the average person today.

Perhaps most trivial talk is a need to talk about oneself; hence, the never-ending subject of health and sickness, children, travel, successes, what one did, and the innumerable daily things that seem to be important. Since one cannot talk about oneself all the time without being thought a bore, one must exchange the privilege by a readiness to listen to others talking about themselves. Private social meetings between individuals (and often, also, meetings of all kinds of associations and groups) are little markets where one exchanges one’s need to talk about oneself and one’s desire to be listened to for the need of others who seek the same opportunity. Most people respect this arrangement of exchange; those who don’t, and want to talk more about themselves than they are willing to listen, are “cheaters,” and they are resented and have to choose inferior company in order to be tolerated.

To those who have neither public nor private affections, the excitements of life are much curtailed, and in any case dwindle in value as the time approaches when all selfish interests must be terminated by death: while those who leave after them objects of personal affection, and especially those who have also cultivated a fellow-feeling with the collective interests of mankind, retain as lively an interest in life on the eve of death as in the vigour of youth and health.

You cannot get rid of the positive and negative balance. If you try to put on a facade for the world about how positive and upbeat you are, there will be chaos in your private life or your personal health.

As we did every New Year's Eve we made ridiculous resolutions that no one would keep, and quietly we all wondered what the coming year would hold, each of us praying for our own private miracles. Good health. Better health. A marriage for this child, a good job for another. This hopefulness was something hardwired into our psyches, that a new year might mean some monumental something wonderful could happen to bring us happiness at a level we had never known. A new year was a chance to start over. Maybe even, just maybe, there would be peace on earth for one entire day.

Fascism talks ideology, but it is really just marketing—marketing for power. It is recognizable by its need to purge, by the strategies it uses to purge, and by its terror of truly democratic agendas. It is recognizable by its determination to convert all public services to private entrepreneurship, all nonprofit organizations to profit-making ones—so that the narrow but protective chasm between governance and business disappears. It changes citizens into taxpayers—so individuals become angry at even the notion of the public good. It changes neighbors into consumers—so the measure of our value as humans is not our humanity or our compassion or our generosity but what we own. It changes parenting into panicking—so that we vote against the interests of our own children; against their health care, their education, their safety from weapons. And in effecting these changes it produces the perfect capitalist, one who is willing to kill a human being for a product (a pair of sneakers, a jacket, a car) or kill generations for control of products (oil, drugs, fruit, gold).

Antidemocracy, executive predominance, and elite rule are basic elements of inverted totalitarianism. Antidemocracy does not take the form of overt attacks upon the idea of government by the people. Instead, politically it means encouraging what I have earlier dubbed “civic demobilization,” conditioning an electorate to being aroused for a brief spell, controlling its attention span, and then encouraging distraction or apathy. The intense pace of work and the extended working day, combined with job insecurity, is a formula for political demobilization, for privatizing the citizenry. It works indirectly. Citizens are encouraged to distrust their government and politicians; to concentrate upon their own interests; to begrudge their taxes; and to exchange active involvement for symbolic gratifications of patriotism, collective self-righteousness, and military prowess. Above all, depoliticization is promoted through society’s being enveloped in an atmosphere of collective fear and of individual powerlessness: fear of terrorists, loss of jobs, the uncertainties of pension plans, soaring health costs, and rising educational expenses.

Instead of treating it as incumbent on individuals to resolve their own psychological distress, instead, that is, of accepting the vast privatization of stress that has taken place over the last thirty years, we need to ask: how has it become acceptable that so many people, and especially so many young people, are ill? The ‘mental health plague’ in capitalist societies would suggest that, instead of being the only social system that works, capitalism is inherently dysfunctional, and that the cost of it appearing to work is very high. The

Women are interchangeable as sex objects; women are slightly less disposable as mothers. The only dignity and value women get is as mothers: it is a compromised dignity and a low value, but it is all that is offered to women as women. Having children is the best thing women can do to get respect and be assured a place. The fact that having children does not get women respect or a place is almost beside the point: poor women don’t get respect and live in dung heaps; black women don’t get respect and are jailed in decimated ghettos; just plain pregnant women don’t get respect and the place they have is a dangerous one—pregnancy is now considered a cause of battery (stress on the male, don’t you know): in perhaps 25 percent of families in which battery occurs, it is a pregnant woman who has been battered. In fact, having children may mean both increased violence and increased dependence; it may significantly worsen the economic circumstances of a woman or a family; it may hurt a woman’s health or jeopardize her in a host of other ways; but having children is the one social contribution credited to women—it is the bedrock of women’s social worth. Despite all the happy smiling public mommies, the private mommies have grim private recognitions. One perception is particularly chilling: without the children, I am not worth much. The recognition is actually more dramatic than that, much more chilling: without the children, I am not.

Although crack cocaine had not yet hit the streets when the War on Drugs was declared in 1982, its appearance a few years later created the perfect opportunity for the Reagan administration to build support for its new war. Drug use, once considered a private, public-health matter, was reframed through political rhetoric and media imagery as a grave threat to the national order.

I remember his face when my father said that he no longer had private health cover, how quickly he left the house, how he dropped his unctuous demeanor like a brick. He sent him straight to the hospital in an NHS ambulance and left without saying goodbye.

For I think we may look upon our little private war with death somewhat in this light. If a man knows he will sooner or later be robbed upon a journey, he will have a bottle of the best in every inn, and look upon all his extravagances as so much gained upon thieves....So every bit of brisk living, and above all when it is healthful, is just so much gained upon the wholesale filcher, death. We shall have the less in our pockets, the more in our stomachs, when he cries stand and deliver. --An Inland Voyage

When prisons are privatized, issues of crime and justice are taken out of the realm of ethics or morality and placed squarely within the culture and logic of the free market. In doing so, the mission of rehabilitating or even punishing people is trumped by the market-driven goal of maximizing shareholder wealth. Further, market-based notions of “efficiency” prompt prisons to divest from everything but the crudest institutional resources. Healthful foods, mental health resources, and educational programs all become fiscal fat that must be trimmed by the prison in order to maximize the bottom line. In simple terms, we have created a world where there is profit in incarcerating as many individuals as possible for as little money as necessary.

One: An end to cross-ownership in businesses. For example: weapons manufacturers cannot own TV stations, mining corporations cannot run newspapers, business houses cannot fund universities, drug companies cannot control public health funds. Two: Natural resources and essential infrastructure—water supply, electricity, health, and education—cannot be privatized. Three: Everybody must have the right to shelter, education, and health care. Four: The children of the rich cannot inherit their parents’ wealth.

If we’re going to be friends with benefits, I want private health and dental.” Dear

Hatred the only moving force, a petulant unhappy striving - childhood the only happiness, and that unknowing; then the continual battle that cannot ever possibly be won; a losing fight against ill-health - poverty for nearly all. Life is a long disease with only one termination and its last years are appalling: weak, racked by the stone, rheumatismal pains, senses going, friends, family, occupation gone, a man must pray for imbecility or a heart of stone. All under sentence of death, often ignominious,frequently agonizing: and then the unspeakable levity with which the faint chance of happiness is thrown away for some jealousy, tiff, sullenness, private vanity, mistaken sense of honour, that deadly, weak and silly notion.

It was Freud's ambition to discover the cause of hysteria, the archetypal female neurosis of his time. In his early investigations, he gained the trust and confidence of many women, who revealed their troubles to him.Time after time, Freud's patients, women from prosperous, conventional families, unburdened painful memories of childhood sexual encounters with men they had trusted: family friends, relatives, and fathers. Freud initially believed his patients and recognized the significance of their confessions. In 1896, with the publication of two works, The Aetiology of Hysteria and Studies on Hysteria, he announced that he had solved the mystery of the female neurosis. At the origin of every case of hysteria, Freud asserted, was a childhood sexual trauma. But Freud was never comfortable with this discovery, because of what it implied about the behavior of respectable family men. If his patients' reports were true, incest was not a rare abuse, confined to the poor and the mentally defective, but was endemic to the patriarchal family. Recognizing the implicit challenge to patriarchal values, Freud refused to identify fathers publicly as sexual aggressors. Though in his private correspondence he cited "seduction by the father" as the "essential point" in hysteria, he was never able to bring himself to make this statement in public. Scrupulously honest and courageous in other respects, Freud falsified his incest cases. In The Aetiology of Hysteria, Freud implausibly identified governessss, nurses, maids, and children of both sexes as the offenders. In Studies in Hysteria, he managed to name an uncle as the seducer in two cases. Many years later, Freud acknowledged that the "uncles" who had molested Rosaslia and Katharina were in fact their fathers. Though he had shown little reluctance to shock prudish sensibilities in other matters, Freud claimed that "discretion" had led him to suppress this essential information. Even though Freud had gone to such lengths to avoid publicly inculpating fathers, he remained so distressed by his seduction theory that within a year he repudiated it entirely. He concluded that his patients' numerous reports of sexual abuse were untrue. This conclusion was based not on any new evidence from patients, but rather on Freud's own growing unwillingness to believe that licentious behavior on the part of fathers could be so widespread. His correspondence of the period revealed that he was particularly troubled by awareness of his own incestuous wishes toward his daughter, and by suspicions of his father, who had died recently. p9-10

If one follows what is in one’s heart (let’s leave out mind for the moment), one ends up with what one truly values and loves in life—and one acts accordingly. One’s own private indulgent cyclic habitual reactive subjective transitory feelings are, hopefully, not at the head of that list.

Although a male physician could quite easily, and convincingly, assert that ovarian cancer was “silent,” if you were to really listen to women who have had ovarian cancer speak, you’d find that it wasn’t so much that the disease process was silent—but that they were. Conditions that seem to lurk unnoticed in a woman’s body go unnoticed by others because, for one thing, they are an assumed part of womanhood, and, for another, women are taught to keep those pains private. I’ve often found it curious that when a woman is suffering, her competence is questioned, but when a man is suffering, he’s humanized. It’s a gender stereotype that hurts both men and women, though it lends itself to the question of why there is a proclivity in health care, and in society, to deny female pain.

He has tried imagining her as a prostitute—he often plays this private mental game with various women he encounters—but he can’t picture any man actually paying for her services. It would be like paying to be run over by a wagon, and would be, like that experience, a distinct threat to the health.

The proof that the One Stone Solution is political lies in what women feel when they eat 'too much': guilt. Why should guilt be the operative emotion, and female fat be a moral issue articulated with words like good and bad? If our culture's fixation on female fatness of thinness were about sex, it would be a private issue between a woman and her lover; if it were about health, between a woman and herself. Public debate would be far more hysterically focused on male fat than on female, since more men [40 percent] are medically overweight than women [32 percent] and too much fat is far more dangerous for men than for women... ...But female fat is the subject of public passion, and women feel guilty about female fat, because we implicitly recognize that under the myth, women's bodies are not our own but society's, and that thinness is not a private aesthetic, but hunger a social concession exacted by the community.

As the liberal sees it, the task of the state consists solely and exclusively in guaranteeing the protection of life, health, liberty, and private property against violent attacks. Everything that goes beyond this is an evil. A government that, instead of fulfilling its task, sought to go so far as actually to infringe on personal security of life and health, freedom, and property would, of course, be altogether bad. Still, as Jacob Burckhardt says, power is evil in itself, no matter who exercises it. It tends to corrupt those who wield it and leads to abuse. Not only absolute sovereigns and aristocrats, but the masses also, in whose hands democracy entrusts the supreme power of government, are only too easily inclined to excesses.

The [carried-interest] loophole was in essence an accounting trick that enabled hedge fund and private equity managers to categorize huge portions of their income as ‘interest,’ which was taxed at the 15 percent rate then applied to long-term capital gains. This was less than half the income tax rate paid by other top-bracket wage earners. Critics called the loophole a gigantic subsidy to millionaires and billionaires at the expense of ordinary taxpayers. The Economic Policy Institute, a progressive think tank, estimated that the hedge fund loophole cost the government over $6 billion a year—the cost of providing health care to three million children. Of that total, it said, almost $2 billion a year from the tax break went to just twenty-five individuals.

My friendships are my privacy. My love life is my privacy. My health life is my privacy. My enemies are my privacy. My favourite is my privacy. My thinking is my privacy. If I show you what they're like then you're chosen.

On average, Medicare only reimburses hospitals 87 cents for every dollar spent.37 How do hospitals stay in business? By charging people with private health insurance significantly more for health care services to make up the difference.

First, never underestimate the power of inertia. Second, that power can be harnessed. If private companies or public officials think that one policy produces better outcomes, they can greatly influence the outcome by choosing it as the default.

In the United States I saw how the market liberates the individual and allows people to be free to make personal choices. But the biggest drawback was that the market always pushes things to the side of the powerful. I thought the poor should be able to take advantage of the system in order to improve their lot. Grameen is a private-sector self-help bank, and as its members gain personal wealth they acquire water-pumps, latrines, housing, education, access to health care, and so on. Another way to achieve this is to let abusiness earn profit that is then txed by the government, and the tax can be used to provide services to the poor. But in practice it never works that way. In real life, taxes only pay for a government bureaucracy that collects the tax and provides little or nothing to the poor. And since most government bureaucracies are not profit motivated, they have little incentive to increase their efficiency. In fact, they have a disincentive: governments often cannot cut social services without a public outcry, so the behemoth continues, blind and inefficient, year after year.

The "Hazeldean heart" was a proverbial boast in the family; the Hazeldeans privately considered it more distinguished than the Sillerton gout, and far more refined than the Wesson liver; and it had permitted most of them to survive, in valetudinarian ease, to a ripe old age, when they died of some quite other disorder. But Charles Hazeldean had defied it, and it took its revenge, and took it savagely.

During the course of the day, he said, each spouse had confessed independently to him to taking antidepressants but didn’t want the other to know. It turned out that they were hiding the same medication in the same house. No matter how open we as a society are about formerly private matters, the stigma around our emotional struggles remains formidable. We’ll talk with almost anyone about our physical health (can anyone imagine spouses hiding their reflux medication from each other?), even our sex lives, but bring up anxiety or depression or an intractable sense of grief, and the expression on the face looking back at you will probably read, Get me out of this conversation, pronto.

It was as if the press in America, for all its vaunted independence, were a great colonial animal, an animal made up of countless clustered organisms responding to a central nervous system. In the late 1950's (as in the late 1970's) the animal seemed determined that in all matters of national importance the proper emotion, the seemly sentiment, the fitting moral tone, should be established and should prevail; and all information that muddied the tone and weakened the feeling should simply be thrown down the memory hole. In a later period this impulse of the animal would take the form of blazing indignation about corruption, abuses of power, and even minor ethical lapses, among public officials; here, in April of 1959, it took the form of a blazing patriotic passion for the seven test pilots who had volunteered to go into space. In either case, the animal's fundamental concern remained the same: the public, the populace, the citizenry, must be provided with the correct feelings! One might regard this animal as the consummate hypocritical Victorian gent. Sentiments that one scarcely gives a second thought to in one's private life are nevertheless insisted upon in all public utterances. (And this grave gent lives on in excellent health.)

There are countries in which the communal provision of housing, transport, education and health care is so inferior that inhabitants will naturally seek to escape involvement with the masses by barricading themselves behind solid walls. The desire for high status is never stronger than in situations where 'ordinary' life fails to answer a median need for dignity or comfort. Then there are communities—far fewer in number and typically imbued with a strong (often Protestant) Christian heritage—whose public realms exude respect in their principles and architecture, and whose citizens are therefore under less compulsion to retreat into a private domain. Indeed, we may find that some of our ambitions for personal glory fade when the public spaces and facilities to which we enjoy access are themselves glorious to behold; in such a context, ordinary citizenship may come to seem an adequate goal. In Switzerland's largest city, for instance, the need to own a car in order to avoid sharing a bus or train with strangers loses some of the urgency it has in Los Angeles or London, thanks to Zurich's superlative train network, which is clean, safe, warm and edifying in its punctuality and technical prowess. There is little reason to travel in an automotive cocoon when, for a fare of only a few francs, an efficient, stately tramway will provide transport from point A to point B at a level of comfort an emperor might have envied. One insight to be drawn from Christianity and applied to communal ethics is that, insofar as we can recover a sense of the preciousness of every human being and, even more important, legislate for spaces and manner that embody such a reverence in their makeup, then the notion of the ordinary will shed its darker associations, and, correspondingly, the desires to triumph and to be insulated will weaken, to the psychological benefit of all.

Necessary policemen, firemen, street cleaners, health officers, judges, legislators and executives perform productive services as important as those of anyone in private industry. They make it possible for private industry to function in an atmosphere of law, order, freedom and peace. But their justification consists in the utility of their services. It does not consist in the "purchasing power" they possess by virtue of being on the public payroll.

Unsettled by the sudden appearance of Captain Quire within her court, Gloriana resolved to forego all frivolous entertainments and shun the more unnecessary pleasures. Yet, the queen reasoned, this surely did not apply to healthful exercise, such as riding in the royal park. Nor could she refuse to spend the remainder of the afternoon in quiet seclusion, lying face down upon a cushioned bench in her private dressing room while gentle Lady Mary rubbed all the soreness from her muscles. Such occupations were safe, and harmless. It was only afterwards, when she was sleeping deeply, that Captain Quire came to her in a dream.

A society that fails to value communality — our need to belong, to care for one another, and to feel caring energy flowing toward us — is a society facing away from the essence of what it means to be human. Pathology cannot but ensue. To say so is not a moral assertion but an objective assessment. "When people start to lose a sense of meaning and get disconnected, that's where disease comes from, that's where breakdown in our health — mental, physical, social health — occurs," the psychiatrist and neuroscientist Bruce Perry told me. If a gene or virus were found that caused the same impacts on the population's well-being as disconnection does, news of it would bellow from front-page headlines. Because it transpires on so many levels and so pervasively, we almost take it for granted; it is the water we swim in. We are steeped in the normalized myth that we are, each of us, mere individuals striving to attain private goals. The more we define ourselves that way, the more estranged we become from vital aspects of who we are and what we need to be healthy. Among psychologists there is a wide-ranging consensus about what our core needs consist of. These have been variously listed as: - belonging, relatedness, or connectedness; - autonomy: a sense of control in one's life; - mastery or competence; - genuine self-esteem, not dependent on achievement, attainment, acquisition, or valuation by others; - trust: a sense of having the personal and social resources needed to sustain one through life; - purpose, meaning, transcendence: knowing oneself as part of something larger than isolated, self-centered concerns, whether that something is overtly spiritual or simply universal/humanistic, or, given our evolutionary origins, Nature. "The statement that the physical and mental life of man, and nature, are interdependent means simply that nature is interdependent with itself, for man is a part of nature." So wrote a twenty-six-year-old Karl Marx in 1844. None of this tells you anything you don't already know or intuit. You can check your own experience: What's it like when each of the above needs is met? What happens in your mind and body when it's lacking, denied, or withdrawn?

What infinite heart's-ease Must kings neglect, that private men enjoy! And what have kings, that privates have not too, Save ceremony, save general ceremony? And what art thou, thou idle ceremony? What kind of god art thou, that suffer'st more Of mortal griefs than do thy worshippers? What are thy rents? what are thy comings in? O ceremony, show me but thy worth! What is thy soul of adoration? Art thou aught else but place, degree and form, Creating awe and fear in other men? Wherein thou art less happy being fear'd Than they in fearing. What drink'st thou oft, instead of homage sweet, But poison'd flattery? O, be sick, great greatness, And bid thy ceremony give thee cure! Think'st thou the fiery fever will go out With titles blown from adulation? Will it give place to flexure and low bending? Canst thou, when thou command'st the beggar's knee, Command the health of it? No, thou proud dream, That play'st so subtly with a king's repose; I am a king that find thee, and I know 'Tis not the balm, the sceptre and the ball, The sword, the mace, the crown imperial, The intertissued robe of gold and pearl, The farced title running 'fore the king, The throne he sits on, nor the tide of pomp That beats upon the high shore of this world, No, not all these, thrice-gorgeous ceremony, Not all these, laid in bed majestical, Can sleep so soundly as the wretched slave, Who with a body fill'd and vacant mind Gets him to rest, cramm'd with distressful bread; Never sees horrid night, the child of hell, But, like a lackey, from the rise to set Sweats in the eye of Phoebus and all night Sleeps in Elysium; next day after dawn, Doth rise and help Hyperion to his horse, And follows so the ever-running year, With profitable labour, to his grave: And, but for ceremony, such a wretch, Winding up days with toil and nights with sleep, Had the fore-hand and vantage of a king. The slave, a member of the country's peace, Enjoys it; but in gross brain little wots What watch the king keeps to maintain the peace, Whose hours the peasant best advantages.

He doesn’t see private health insurance rebates or support for private school education as middle-class welfare. He sees it as backing family aspiration, sound public policy encouraging people to do more for themselves. And help should not be cut off simply because a family is earning a hundred thousand dollars or more a year.

As a journalist in Providence, I was particularly drawn toward stories about women's issues: I wrote about discrimination, abortion, violence against women. I wrote about women's health, sexism in the media, cultural imagery. I even wrote about women (other women) with eating disorders. And quietly, privately, I starved myself half to death. There you have it: intellectual belief without the correlary of emotional roots; feminist power understood in the mind but not known, somehow, in the body.

It is really a very risky, nay, a fatal thing, to be sociable; because it means contact with natures, the great majority of which are bad morally, and dull or perverse, intellectually. To be unsociable is not to care about such people; and to have enough in oneself to dispense with the necessity of their company is a great piece of good fortune; because almost all our sufferings spring from having to do with other people; and that destroys the peace of mind, which, as I have said, comes next after health in the elements of happiness. Peace of mind is impossible without a considerable amount of solitude. The Cynics renounced all private property in order to attain the bliss of having nothing to trouble them; and to renounce society with the same object is the wisest thing a man can do. Bernardin de Saint Pierre has the very excellent and pertinent remark that to be sparing in regard to food is a means of health; in regard to society, a means of tranquillity—la diète des ailmens nous rend la santé du corps, et celle des hommes la tranquillité de l'âme. To be soon on friendly, or even affectionate, terms with solitude is like winning a gold mine; but this is not something which everybody can do.

New Rule: Not everything in America has to make a profit. If conservatives get to call universal health care "socialized medicine," I get to call private, for-profit health care "soulless vampire bastards making money off human pain." Now, I know what you're thinking: "But, Bill, the profit motive is what sustains capitalism." Yes, and our sex drive is what sustains the human species, but we don't try to fuck everything. It wasn't that long ago when a kid in America broke his leg, his parents took him to the local Catholic hospital, the nun stuck a thermometer in his ass, the doctor slapped some plaster on his ankle, and you were done. The bill was $1.50; plus, you got to keep the thermometer. But like everything else that's good and noble in life, some bean counter decided that hospitals could be big business, so now they're not hospitals anymore; they're Jiffy Lubes with bedpans. The more people who get sick, and stay sick, the higher their profit margins, which is why they're always pushing the Jell-O. Did you know that the United States is ranked fiftieth in the world in life expectancy? And the forty-nine loser countries were they live longer than us? Oh, it's hardly worth it, they may live longer, but they live shackled to the tyranny of nonprofit health care. Here in America, you're not coughing up blood, little Bobby, you're coughing up freedom. The problem with President Obama's health-care plan isn't socialism. It's capitalism. When did the profit motive become the only reason to do anything? When did that become the new patriotism? Ask not what you could do for your country, ask what's in it for Blue Cross Blue Shield. And it's not just medicine--prisons also used to be a nonprofit business, and for good reason--who the hell wants to own a prison? By definition, you're going to have trouble with the tenants. It's not a coincidence that we outsourced running prisons to private corporations and then the number of prisoners in America skyrocketed. There used to be some things we just didn't do for money. Did you know, for example, there was a time when being called a "war profiteer" was a bad thing? FDR said he didn't want World War II to create one millionaire, but I'm guessing Iraq has made more than a few executives at Halliburton into millionaires. Halliburton sold soldiers soda for $7.50 a can. They were honoring 9/11 by charging like 7-Eleven. Which is wrong. We're Americans; we don't fight wars for money. We fight them for oil. And my final example of the profit motive screwing something up that used to be good when it was nonprofit: TV news. I heard all the news anchors this week talk about how much better the news coverage was back in Cronkite's day. And I thought, "Gee, if only you were in a position to do something about it.

The military government had decided public services should be in private hands. Health was not a right, but a consumer good to be bought and sold.

Some of the happiest people in public are the saddest people in private.

The market cannot and will not save us because market incentives are directly opposed to public health.

Liberalism is not anarchism, nor has it anything whatsoever to do with anarchism. The liberal understands quite clearly that without resort to compulsion, the existence of society would be endangered and that behind the rules of conduct whose observance is necessary to assure peaceful human cooperation must stand the threat of force if the whole edifice of society is not to be continually at the mercy of any one of its members. One must be in a position to compel the person who will not respect the lives, health, personal freedom, or private property of others to acquiesce in the rules of life in society. This is the function that the liberal doctrine assigns to the state: the protection of property, liberty, and peace.

You might also be wondering how the Obama administration thought they would get away with this disaster. I think their intention was simply to blame insurance companies when people started seeing their health insurance plans canceled. Liberals excel at vilifying the business sector, and the more they can demonize private-sector insurers, the more leverage they believe they will have for continuing to move toward the Holy Grail of the left that Ronald Reagan warned against in 1961—a single-payer, government-funded, socialized health-care system.

A troubling philosophical issue also loomed. He served on a panel that was compiling a study of studies for the National Academies of Sciences. The aim was to show that housing for homeless people improved their health and saved the public money, and yet no studies fully supported those widely held claims, none at least that met the standards of the academics on the committee. Some of Jim’s old allies refused to give up the cost-savings argument. He wrote me privately: “Housing homeless people is mandatory. A human right. But I have long been skeptical of the drive to show that it saves money, because that leaves housing dependent on whether it saves money. Ridiculous. Who would ever say that Mass General exists to save money?

Something about being in a hospital made anything personal impersonal. Bad breath, sexual partners, foot fungus, vaginal odor, gastrointestinal noises, even past relationships and bad habits were no longer private, they were health history. In a hospital, doctors were priests, and anything less than cleansing your soul was an act of aggression against your well-being.

The privatization of prison health care, prison commerce, and a range of services has made mass incarceration a money-making windfall for a few and a costly nightmare for the rest of us.

Add the sounds of silence to the list of emotional risks to health—and close emotional ties to the list of protective factors. Studies done over two decades involving more than thirty-seven thousand people show that social isolation—the sense that you have nobody with whom you can share your private feelings or have close contact—doubles the chances of sickness or death.37

If we put this whole progression in terms of our discussion of the possibilities of heroism, it goes like this: Man breaks through the bounds of merely cultural heroism; he destroys the character lie that had him perform as a hero in the everyday social scheme of things; and by doing so he opens himself up to infinity, to the possibility of cosmic heroism, to the very service of God. His life thereby acquires ultimate value in place of merely social and cultural, historical value. He links his secret inner self, his authentic talent, his deepest feelings of uniqueness, his inner yearning for absolute significance, to the very ground of creation. Out of the ruins of the broken cultural self there remains the mystery of the private, invisible, inner self which yearned for ultimate significance, for cosmic heroism. This invisible mystery at the heart of every creature now attains cosmic significance by affirming its connection with the invisible mystery at the heart of creation. This is the meaning of faith. At the same time it is the meaning of the merger of psychology and religion in Kierkegaard's thought. The truly open person, the one who has shed his character armor, the vital lie of his cultural conditioning, is beyond the help of any mere "science," of any merely social standard of health. He is absolutely alone and trembling on the bring of oblivion-which is at the same time the brink of infinity. To give him the new support that he needs, the "courage to renounce dread without any dread...only faith is capable of," says Kierkegaard. Not that this is an easy out for man, or a cure-all for the human condition-Kierkegaard is never facile. He gives a strikingly beautiful idea: not that [faith] annihilates dread, but remaining ever young, it is continually developing itself out of the death throe of dread. In other words, as long as man is an ambiguous creature he can never banish anxiety; what he can do instead is to use anxiety as an eternal spring for growth into new dimensions of thought and trust. Faith poses a new life task, the adventure in openness to a multi-dimensional reality.

When sleep came, I would dream bad dreams. Not the baby and the big man with a cigarette-lighter dream. Another dream. The castle dream. A little girl of about six who looks -like me, but isn’t me, is happy as she steps out of the car with her daddy. They enter the castle and go down the steps to the dungeon where people move like shadows in the glow of burning candles. There are carpets and funny pictures on the walls. Some of the people wear hoods and robes. Sometimes they chant in droning voices that make the little girl afraid. There are other children, some of them without any clothes on. There is an altar like the altar in nearby St Mildred’s Church. The children take turns lying on that altar so the people, mostly men, but a few women, can kiss and lick their private parts. The daddy holds the hand of the little girl tightly. She looks up at him and he smiles. The little girl likes going out with her daddy. I did want to tell Dr Purvis these dreams but I didn’t want her to think I was crazy, and so kept them to myself. The psychiatrist was wiser than I appreciated at the time; sixteen-year-olds imagine they are cleverer than they really are. Dr Purvis knew I had suffered psychological damage as a child, that’s why she kept making a fresh appointment week after week. But I was unable to give her the tools and clues to find out exactly what had happened.

As always when he worked with this much concentration he began to feel a sense of introverting pressure. There was no way out once he was in, no genuine rest, no one to talk to who was capable of understanding the complexity (simplicity) of the problem or the approaches to a tentative solution. There came a time in every prolonged effort when he had a moment of near panic, or "terror in a lonely place," the original semantic content of the word. The lonely place was his own mind. As a mathematician he was free from subjection to reality, free to impose his ideas and designs on his own test environment. The only valid standard for his work, its critical point (zero or infinity), was the beauty it possessed, the deft strength of his mathematical reasoning. THe work's ultimate value was simply what it revealed about the nature of his intellect. What was at stake, in effect, was his own principle of intelligence or individual consciousness; his identity, in short. This was the infalling trap, the source of art's private involvement with obsession and despair, neither more nor less than the artist's self-containment, a mental state that led to storms of overwork and extended stretches of depression, that brought on indifference to life and at times the need to regurgitate it, to seek the level of expelled matter. Of course, the sense at the end of a serious effort, if the end is reached successfully, is one of lyrical exhilaration. There is air to breathe and a place to stand. The work gradually reveals its attachment to the charged particles of other minds, men now historical, the rediscovered dead; to the main structure of mathematical thought; perhaps even to reality itself, the so-called sum of things. It is possible to stand in time's pinewood dust and admire one's own veronicas and pavanes.

I resolutely refuse to believe that the state of Edward's health had anything to do with this, and I don't say this only because I was once later accused of attacking him 'on his deathbed.' He was entirely lucid to the end, and the positions he took were easily recognizable by me as extensions or outgrowths of views he had expressed (and also declined to express) in the past. Alas, it is true that he was closer to the end than anybody knew when the thirtieth anniversary reissue of his Orientalism was published, but his long-precarious condition would hardly argue for giving him a lenient review, let alone denying him one altogether, which would have been the only alternatives. In the introduction he wrote for the new edition, he generally declined the opportunity to answer his scholarly critics, and instead gave the recent American arrival in Baghdad as a grand example of 'Orientalism' in action. The looting and destruction of the exhibits in the Iraq National Museum had, he wrote, been a deliberate piece of United States vandalism, perpetrated in order to shear the Iraqi people of their cultural patrimony and demonstrate to them their new servitude. Even at a time when anything at all could be said and believed so long as it was sufficiently and hysterically anti-Bush, this could be described as exceptionally mendacious. So when the Atlantic invited me to review Edward's revised edition, I decided I'd suspect myself more if I declined than if I agreed, and I wrote what I felt I had to. Not long afterward, an Iraqi comrade sent me without comment an article Edward had contributed to a magazine in London that was published by a princeling of the Saudi royal family. In it, Edward quoted some sentences about the Iraq war that he off-handedly described as 'racist.' The sentences in question had been written by me. I felt myself assailed by a reaction that was at once hot-eyed and frigidly cold. He had cited the words without naming their author, and this I briefly thought could be construed as a friendly hesitance. Or as cowardice... I can never quite act the stern role of Mr. Darcy with any conviction, but privately I sometimes resolve that that's 'it' as it were. I didn't say anything to Edward but then, I never said anything to him again, either. I believe that one or two charges simply must retain their face value and not become debauched or devalued. 'Racist' is one such. It is an accusation that must either be made good upon, or fully retracted. I would not have as a friend somebody whom I suspected of that prejudice, and I decided to presume that Edward was honest and serious enough to feel the same way. I feel misery stealing over me again as I set this down: I wrote the best tribute I could manage when he died not long afterward (and there was no strain in that, as I was relieved to find), but I didn't go to, and wasn't invited to, his funeral.

This historic general election, which showed that the British are well able to distinguish between patriotism and Toryism, brought Clement Attlee to the prime ministership. In the succeeding five years, Labor inaugurated the National Health Service, the first and boldest experiment in socialized medicine. It took into public ownership all the vital (and bankrupted) utilities of the coal, gas, electricity and railway industries. It even nibbled at the fiefdoms and baronies of private steel, air transport and trucking. It negotiated the long overdue independence of India. It did all this, in a country bled white by the World War and subject to all manner of unpopular rationing and controls, without losing a single midterm by-election (a standard not equaled by any government of any party since). And it was returned to office at the end of a crowded term.

That part of warcraft always appealed to me. Such things happen slowly . . . and then all at once. The ground must be carefully prepared, often for generations. Corporations had been chipping away at the authority of governments for a century before the Seed Wars. They experimented with company towns, and then outrageous benefits for employees. As health care became more expensive, one didn’t even have to offer private transport and free meals. Simply helping pay the cost to cure grandma’s cancer was enough to ensure blind obedience. That’s how you keep them loyal. Foster distrust in the democratic governments that are actually accountable to them.

It is never lost on me that the women in the waiting room have had to walk past these protesters, too. Even if they were escorted to the door by a cheerful young pro-choice activist with bright pink hair who carries a protective rainbow umbrella, they’ve heard the vitriol—different from the insults hurled at me, but no less offensive. “Think twice!” “Don’t murder your baby!” The antis shout these things, as if these women had not minds of their own. As if their decision fails to merit respect. As if they were not, as most of them are, adults exercising a legal right to make a private health-care decision for themselves. (Imagine, if you will, these verbal assaults being hurled at any other person for having made any other consequential health-care choice: the decision to pursue a potentially fatal course of chemotherapy, for example. “Don’t risk your life! Suicide!”)

An amusing, if rather pathetic, case study in miracles is the Great Prayer Experiment: does praying for patients help them recover? Prayers are commonly offered for sick people, both privately and in formal places of worship. Darwin’s cousin Francis Galton was the first to analyse scientifically whether praying for people is efficacious. He noted that every Sunday, in churches throughout Britain, entire congregations prayed publicly for the health of the royal family. Shouldn’t they, therefore, be unusually fit, compared with the rest of us, who are prayed for only by our nearest and dearest?* Galton looked into it, and found no statistical difference.

Family came first. Always first. We took care of each other and relied on each other. Without the family and without Christian, everything else would be worthless. Fortune came next. It almost seemed shallow to have fortune before future, but we realized that fortune was more than wealth. It was health, goals, and maintaining what we had in the work we wanted to contribute to the world. Our fortune was the things for which we were thankful and the things we had to give. Future came last. Private ambitions, plans for the years down the road, and other goals that could possibly take our attention away from each other and our jobs would be considered only if everything else was strong.

She lived in her virtual room—her own private fantasy universe. That room could take her anywhere, so why should she ever come out? She was getting fat and losing her physical and mental health, but her v-room was all she cared about.

The private decisions we make about where we want to raise our families, the agreement we make with other parties, and the amount of work we decide to do, are all choices that have an effect on our personal health, wealth, and happiness.

I knew better than that. Like throwing away well-intentioned phone numbers, I knew better than to ask for things I clearly couldn’t have. “Can this one camera be disabled without another one going up in its place?” I asked promptly, and watched shock pass across his shadowed face. “No cameras, no mics?” "That’s it?” “It would be nice to have one place that’s genuinely private,” I explained with a shrug. It almost felt strange to have my hair shifting across my back and shoulders with the gesture. “You can see us everywhere else we go, even watch us on the toilet if you had a wish to. Having just a single place devoid of cameras would be beneficial. A mental-health exercise, in a way.” He watched me for a long time before answering. “Something that benefits all of you.” “Yes.” “I tell you to ask for anything, and you ask for something that benefits all of you.” “It benefits me too.” He laughed again and reached for me, pulling me against his chest so he could kiss me. His hands moved over the fastenings of my dress, and as he lowered me to the mist-damp stone, I closed my eyes and let my thoughts drift off to Annabel Lee and her grave in the kingdom by the sea. I didn’t think angels would ever be jealous of me.

We are dealing, then, with an absurdity that is not a quirk or an accident, but is fundamental to our character as people. The split between what we think and what we do is profound. It is not just possible, it is altogether to be expected, that our society would produce conservationists who invest in strip-mining companies, just as it must inevitably produce asthmatic executives whose industries pollute the air and vice-presidents of pesticide corporations whose children are dying of cancer. And these people will tell you that this is the way the "real world" works. The will pride themselves on their sacrifices for "our standard of living." They will call themselves "practical men" and "hardheaded realists." And they will have their justifications in abundance from intellectuals, college professors, clergymen, politicians. The viciousness of a mentality that can look complacently upon disease as "part of the cost" would be obvious to any child. But this is the "realism" of millions of modern adults. There is no use pretending that the contradiction between what we think or say and what we do is a limited phenomenon. There is no group of the extra-intelligent or extra-concerned or extra-virtuous that is exempt. I cannot think of any American whom I know or have heard of, who is not contributing in some way to destruction. The reason is simple: to live undestructively in an economy that is overwhelmingly destructive would require of any one of us, or of any small group of us, a great deal more work than we have yet been able to do. How could we divorce ourselves completely and yet responsibly from the technologies and powers that are destroying our planet? The answer is not yet thinkable, and it will not be thinkable for some time -- even though there are now groups and families and persons everywhere in the country who have begun the labor of thinking it. And so we are by no means divided, or readily divisible, into environmental saints and sinners. But there are legitimate distinctions that need to be made. These are distinctions of degree and of consciousness. Some people are less destructive than others, and some are more conscious of their destructiveness than others. For some, their involvement in pollution, soil depletion, strip-mining, deforestation, industrial and commercial waste is simply a "practical" compromise, a necessary "reality," the price of modern comfort and convenience. For others, this list of involvements is an agenda for thought and work that will produce remedies. People who thus set their lives against destruction have necessarily confronted in themselves the absurdity that they have recognized in their society. They have first observed the tendency of modern organizations to perform in opposition to their stated purposes. They have seen governments that exploit and oppress the people they are sworn to serve and protect, medical procedures that produce ill health, schools that preserve ignorance, methods of transportation that, as Ivan Illich says, have 'created more distances than they... bridge.' And they have seen that these public absurdities are, and can be, no more than the aggregate result of private absurdities; the corruption of community has its source in the corruption of character. This realization has become the typical moral crisis of our time. Once our personal connection to what is wrong becomes clear, then we have to choose: we can go on as before, recognizing our dishonesty and living with it the best we can, or we can begin the effort to change the way we think and live.

New Rule: Republicans must stop pitting the American people against the government. Last week, we heard a speech from Republican leader Bobby Jindal--and he began it with the story that every immigrant tells about going to an American grocery store for the first time and being overwhelmed with the "endless variety on the shelves." And this was just a 7-Eleven--wait till he sees a Safeway. The thing is, that "endless variety"exists only because Americans pay taxes to a government, which maintains roads, irrigates fields, oversees the electrical grid, and everything else that enables the modern American supermarket to carry forty-seven varieties of frozen breakfast pastry.Of course, it's easy to tear government down--Ronald Reagan used to say the nine most terrifying words in the Englishlanguage were "I'm from the government and I'm here to help." But that was before "I'm Sarah Palin, now show me the launch codes."The stimulus package was attacked as typical "tax and spend"--like repairing bridges is left-wing stuff. "There the liberals go again, always wanting to get across the river." Folks, the people are the government--the first responders who put out fires--that's your government. The ranger who shoos pedophiles out of the park restroom, the postman who delivers your porn.How stupid is it when people say, "That's all we need: the federal government telling Detroit how to make cars or Wells Fargo how to run a bank. You want them to look like the post office?"You mean the place that takes a note that's in my hand in L.A. on Monday and gives it to my sister in New Jersey on Wednesday, for 44 cents? Let me be the first to say, I would be thrilled if America's health-care system was anywhere near as functional as the post office.Truth is, recent years have made me much more wary of government stepping aside and letting unregulated private enterprise run things it plainly is too greedy to trust with. Like Wall Street. Like rebuilding Iraq.Like the way Republicans always frame the health-care debate by saying, "Health-care decisions should be made by doctors and patients, not government bureaucrats," leaving out the fact that health-care decisions aren't made by doctors, patients, or bureaucrats; they're made by insurance companies. Which are a lot like hospital gowns--chances are your gas isn't covered.

Democratic, and most Republican, health-care plans don’t call for expropriating the private property of doctors and pharmaceutical companies or even for the cessation of employer-provided health care. Rather, they want to use corporations for government by proxy.

It wasn’t the Society’s fault, Libby had argued in response, that capitalism prevented medeian health care from being available to mortals. If medeian methods were priced according to empathy, then yes, fine, perhaps one could blame the research for existing privately

There is little doubt, Denmark is becoming a two-tier country. More and more Danes who can afford it are turning to private health care—850,000 at the latest count—and poll after poll shows that, though they have the largest per capita public sector in the world, the Danes’ satisfaction levels with their welfare state are in rapid decline. It is probably true that they have especially high expectations given the amount of money they contribute to it, but in one survey by management consultants Accenture only 22 percent of Danes thought their public sector did a good job.

Imagine if U.S. health care coverage was based not on how much you can pay but instead on your health needs. The purpose of the system would be to maximize good health care outcomes rather than maximizing profits. That, in itself, would be revolutionary. Getting sick would no longer mean risking bankruptcy. Employers would no longer have to spend so much to provide health insurance to their employees. And the system itself would run far more efficiently, as we see when we compare the high administrative costs of private health insurance companies with the lower costs of Medicare.

If the change be not from outward circumstances, it must be from within; it must be nature, man’s nature, which has done the business for Captain Benwick.’ ‘No, no, it is not man’s nature. I will not allow it to be more man’s nature than woman’s to be inconstant and forget those they do love, or have loved. I believe the reverse. I believe in a true analogy between our bodily frames and our mental; and that as our bodies are the strongest, so are our feelings; capable of bearing most rough usage, and riding out the heaviest weather.’ ‘Your feelings may be the strongest,’ replied Anne, ‘but the same spirit of analogy will authorise me to assert that ours are the most tender. Man is more robust than woman, but he is not longer-lived; which exactly explains my view of the nature of their attachments. Nay, it would be too hard upon you, if it were otherwise. You have difficulties, and privations, and dangers enough to struggle with. You are always labouring and toiling, exposed to every risk and hardship. Your home, country, friends, all quitted. Neither time, nor health, nor life, to be called your own. It would be to hard indeed if woman’s feelings were to be added to all this…

G4S represents the growing insistence on what is called "security" under the neoliberal state and ideologies of security that bolster not only the privatization of security but the privatization of imprisonment, the privatization of warfare, as well as the privatization of health care and education.

In this universe, even what is called evil, when it is rightly ordered and kept in its place, commends the good more eminently, since good things yield greater pleasure and praise when compared to the bad things. For the Omnipotent God, whom even the heathen acknowledge as the Supreme Power over all, would not allow any evil in his works, unless in his omnipotence and goodness, as the Supreme Good, he is able to bring forth good out of evil. What, after all, is anything we call evil except the privation of good? In animal bodies, for instance, sickness and wounds are nothing but the privation of health. When a cure is effected, the evils which were present (i.e., the sickness and the wounds) do not retreat and go elsewhere. Rather, they simply do not exist any more. For such evil is not a substance; the wound or the disease is a defect of the bodily substance which, as a substance, is good. Evil, then, is an accident, i.e., a privation of that good which is called health. Thus, whatever defects there are in a soul are privations of a natural good. When a cure takes place, they are not transferred elsewhere but, since they are no longer present in the state of health, they no longer exist at all.

National and regional governments were committing vast resources into combating the biosphere breakdown. Social welfare, infrastructure administration, health care, and security — the fields government used to devote its efforts to — were all slowly being starved of tax money and sold off to private industry. It

I did not trap myself inside my walls this time. I've torn down the walls that trapped me from exiting. This time, I put up a protective wall to keep you out instead. You cannot enter. I am inside, in a private, exclusive and intimate therapy session. So yes, there is a wall. But this time it's effectively serving its purpose

Mussolini envisioned a powerful centralized state directing the institutions of the private sector, forcing their private welfare into line with the national welfare. Isn’t this precisely how progressives view the federal government’s control of banks, finance companies, insurance companies, health care, energy, and education?

Clinton had a universe of faults but under her administration we likely wouldn't have seen married people being picked up and separated by border patrol. Health care, including Planned Parenthood, which is the only access to prenatal and gynecological health care many poor women have at all, wouldn't be at risk. The Paris Climate Accord wouldn't have been tossed out. We wouldn't be going the other way on mass incarceration, prison privatization and the drug war. We wouldn't be facing the rebirth of the old Jim Crow. Which is not to say that a Clinton presidency would have meant peace and justice for all. It wouldn't have. She would have pushed an agenda that elevated the American Empire in terrible ways. But the loss of even the most compromising of agreements, accords and legislation means that we are starting from negative numbers. It means that we can't focus on pushing for something far better than the ACA -- like single-payer health care -- but that we have to fight for even the most basic of rights.

The teeth are made from stern stuff. They can withstand floods, fires, even centuries in the grave. But the teeth are no match for the slow-motion catastrophe that is a life of poverty: its burdens, distractions, diseases, privations, low expectations, transience, the addictive antidotes that offer temporary relief at usurious rates. Others

Drug use, once considered a private, public-health matter, was reframed through political rhetoric and media imagery as a grave threat to the national order. Jimmie Reeves and Richard Campbell show in their research how the media imagery surrounding cocaine changed as the practice of smoking cocaine came to be associated with poor blacks.35

Husband and wife should come together to craft a shared life, procreating children, seeing all things as shared between them-with nothing withheld or private to one another-not even their bodies. The birth of a human being which results from this union is, to be sure, something wonderful-but it isn't yet enough to account for the relationship of husband and wife-since even outside marriage it could result from any other sexual union ( just as in the case of animals). So, in marriage there must be, above all, perfect companionship and mutual love - both in sickness, health and under all conditions-it should be with desire for this (and children) that both entered upon marriage.

Because by definition they lack any such sense of mutuality or wholeness, our specializations subsist on conflict with one another. The rule is never to cooperate, but rather to follow one's own interest as far as possible. Checks and balances are all applied externally, by opposition, never by self-restraint. Labor, management, the military, the government, etc., never forbear until their excesses arouse enough opposition to force them to do so. The good of the whole of Creation, the world and all its creatures together, is never a consideration because it is never thought of; our culture now simply lacks the means for thinking of it. It is for this reason that none of our basic problems is ever solved. Indeed, it is for this reason that our basic problems are getting worse. The specialists are profiting too well from the symptoms, evidently, to be concerned about cures -- just as the myth of imminent cure (by some 'breakthrough' of science or technology) is so lucrative and all-justifying as to foreclose any possibility of an interest in prevention. The problems thus become the stock in trade of specialists. The so-called professions survive by endlessly "processing" and talking about problems that they have neither the will nor the competence to solve. The doctor who is interested in disease but not in health is clearly in the same category with the conservationist who invests in the destruction of what he otherwise intends to preserve. The both have the comfort of 'job security,' but at the cost of ultimate futility. ... This has become, to some extent at least, an argument against institutional solutions. Such solutions necessarily fail to solve the problems to which they are addressed because, by definition, the cannot consider the real causes. The only real, practical, hope-giving way to remedy the fragmentation that is the disease of the modern spirit is a small and humble way -- a way that a government or agency or organization or institution will never think of, though a person may think of it: one must begin in one's own life the private solutions that can only in turn become public solutions.

Thatcher began the privatization of the most precious part of Britain’s social commons, the National Health Service, through what her economic advisers called the ‘micro-politics of privatization’. The idea was that the government should gradually cut resources for a popular service so as to undermine faith in its capacity to deliver, leading to acceptance of

The results of that mistake are everywhere. In 1950, the median home price was 2.2 times the average annual income; by 2020, it was 6 times the average annual income.5 Between 1999 and 2023, the average premium for employer-based family health insurance rose from $5,791 to $23,968—an increase of more than 300 percent—and the worker contribution to that premium more than quadrupled.6 In 1970, the average annual cost of tuition and fees was $394 at public colleges and $1,706 at private colleges. In 2023, it was $11,310 at public colleges for in-state students and $41,740 at private colleges.7 Child care for an infant and a four-year-old costs, on average, $36,008 in Massachusetts, $28,420 in California, and $28,338 in Minnesota.

Numerous patients with eating disorders refuse to eat with their families and friends, even insisting on eating only in private. Many of the practices that are seen as essential for creating and sustaining relatedness - the sharing of food, living together, sexual relationships, and even reproduction - are consistently negated by anorexic and other eating disordered practices.

The result, as the journalist Elizabeth Drew noted in the Atlantic Monthly, was “an unabashed act to protect private industry from government regulation.” Politicians were far more protective of the narrow interests of tobacco than of the broad interest of public health. Tobacco makers need not have bothered inventing protective filters, Drew wrote drily: Congress had turned out to be “the best filter yet.

Not everyone had, alas. When she met Michael Sullivan’s family, she realized they didn’t have remedies or languages they spoke only in private. Everything the Sullivans ate came from a can or a frozen bag. They didn’t use salt on anything, except a pinch in their food. They didn’t suck the marrow from their chicken bones for health. They didn’t have stories of ghosts or duendes or cucos hiding underneath the bed.

Indeed, social spending in the United States is even higher than it appears, because many Americans are forced to pay for health, retirement, and disability benefits through their employers rather than the government. When this privately administered social spending is added to the public portion, the United States vaults from twenty-fourth into second place among the thirty-five OECD countries, just behind France.

To get things going he dispatched a man named Edwin Drake—always referred to in history books as “Colonel” Edwin Drake—to Titusville with instructions to drill. Drake had no expertise in drilling and was not a colonel. He was a railroad conductor who had lately been forced to retire through ill health. His sole advantage to the enterprise was that he still possessed a railroad pass and could travel to Pennsylvania for free.

Wives, children, and goods must be had, and especially health, by him that can get it; but we are not so to set our hearts upon them that our happiness must have its dependence upon them; we must reserve a backshop, wholly our own and entirely free, wherein to settle our true liberty, our principal solitude and retreat. And in this we must for the most part entertain ourselves with ourselves, and so privately that no exotic knowledge or communication be admitted there; there to laugh and to talk, as if without wife, children, goods, train, or attendance, to the end that when it shall so fall out that we must lose any or all of these, it may be no new thing to be without them. We have a mind pliable in itself, that will be company; that has wherewithal to attack and to defend, to receive and to give: let us not then fear in this solitude to languish under an uncomfortable vacuity.

Although the terminology implies scientific endorsement, false memory syndrome is not currently an accepted diagnostic label by the APA and is not included in the Diagnostic and Statistical Manual of Mental Disorders (4th ed.; American Psychiatric Association, 1994). Seventeen researchers (Carstensen et al., 1993) noted that this syndrome is a "non-psychological term originated by a private foundation whose stated purpose is to support accused parents" (p.23). Those authors urged professionals to forgo use of this pseudoscientific terminology. Terminology implies acceptance of this pseudodiagnostic label may leave readers with the mistaken impression that false memory syndrome is a bona fide clinical disorder supported by concomitant empirical evidence.(85)... ... it may be easier to imagine women forming false memories given biases against women's mental and cognitive abilities (e.g., Coltrane & Adams, 1996). 86

What all Greek philosophers, no matter how opposed to polis life, took for granted is that freedom is exclusively located in the political realm, that necessity is primarily a prepolitical phenomenon, characteristic of the private household organization, and that force and violence are justified in this sphere because they are the only means to master necessity—for instance, by ruling over slaves—and to become free. Because all human beings are subject to necessity, they are entitled to violence toward others; violence is the prepolitical act of liberating oneself from the necessity of life for the freedom of world. This freedom is the essential condition of what the Greeks called felicity, eudaimonia, which was an objective status depending first of all upon wealth and health. To be poor or to be in ill health meant to be subject to physical necessity, and to be a slave meant to be subject, in addition, to man-made violence.

We have no obligation to endure or enable certain types of certain toxic relationships. The Christian ethic muddies these waters because we attach the concept of long-suffering to these damaging connections. We prioritize proximity over health, neglecting good boundaries and adopting a Savior role for which we are ill-equipped. Who else we'll deal with her?, we say. Meanwhile, neither of you moves towards spiritual growth. She continues toxic patterns and you spiral in frustration, resentment and fatigue. Come near, dear one, and listen. You are not responsible for the spiritual health of everyone around you. Nor must you weather the recalcitrant behavior of others. It is neither kind nor gracious to enable. We do no favors for an unhealthy friend by silently enduring forever. Watching someone create chaos without accountability is not noble. You won't answer for the destructive habits of an unsafe person. You have a limited amount of time and energy and must steward it well. There is a time to stay the course and a time to walk away. There's a tipping point when the effort becomes useless, exhausting beyond measure. You can't pour antidote into poison forever and expect it to transform into something safe, something healthy. In some cases, poison is poison and the only sane response is to quit drinking it. This requires honest self evaluation, wise counselors, the close leadership of the Holy Spirit, and a sober assessment of reality. Ask, is the juice worth the squeeze here. And, sometimes, it is. You might discover signs of possibility through the efforts, or there may be necessary work left and it's too soon to assess. But when an endless amount of blood, sweat and tears leaves a relationship unhealthy, when there is virtually no redemption, when red flags are frantically waved for too long, sometimes the healthiest response is to walk away. When we are locked in a toxic relationship, spiritual pollution can murder everything tender and Christ-like in us. And a watching world doesn't always witness those private kill shots. Unhealthy relationships can destroy our hope, optimism, gentleness. We can lose our heart and lose our way while pouring endless energy into an abyss that has no bottom. There is a time to put redemption in the hands of God and walk away before destroying your spirit with futile diligence.

To make matters worse, learning about health care is inherently difficult not only for the poor, but for everyone.33 If patients are somehow convinced that they need shots to get better, there is little chance that they could ever learn they are wrong. Because most diseases that prompt visits to the doctor are self-limiting (i.e., they will disappear no matter what), there is a good chance that patients will feel better after a single shot of antibiotics. This naturally encourages spurious causal associations: Even if the antibiotics did nothing to cure the ailment, it is normal to attribute any improvement to them. By contrast, it is not natural to attribute causal force to inaction: If a person with the flu goes to the doctor, and the doctor does nothing, and the patient then feels better, the patient will correctly infer that it was not the doctor who was responsible for the cure. And rather than thanking the doctor for his forbearance, the patient will be tempted to think that it was lucky that everything worked out this time but that a different doctor should be seen for future problems.This reaction creates a natural tendency to overmedicate in a private, unregulated market. This is compounded by the fact that, in many cases, the prescriber and the provider are the same person, either because people turn to their pharmacists for medical advice, or because private doctors also stock and sell medicine. It

Could it have come for me, too, the time to 'save my honor'? How many men leave an 'overly demanding' woman to duck the moment of truth when their inadequacy can no longer be disguised? [...] 'She doesn’t excite me anymore' neatly passes the buck by leaving the woman feeling she is to blame, that she has somehow lost her attraction, her sex appeal, whatever; it is a ploy typical of the aging cock-of-the-walk whose strutting and preening are meant to conceal his private failings.

In one well-known case, a woman named Martha Robinson was for years beaten and physically misused by a cruel and unstable husband. Eventually, he infected her with gonorrhea and then poisoned her almost to the point of death by slipping antivenereal powders into her food without her knowledge. Her health and spirit broken, she sued for divorce. The judge listened carefully to the arguments, then dismissed the case and sent Mrs. Robinson home with instructions to try to be more patient.

Northern European societies are among the few where people sleep alone or with a partner in a private room, and that may have significant implications for mental health in general and for PTSD in particular. Virtually all mammals seem to benefit from companionship; even lab rats recover more quickly from trauma if they are caged with other rats rather than alone. In humans, lack of social support has been found to be twice as reliable at predicting PTSD as the severity of the trauma itself.

New Rule: Conservatives have to stop rolling their eyes every time they hear the word "France." Like just calling something French is the ultimate argument winner. As if to say, "What can you say about a country that was too stupid to get on board with our wonderfully conceived and brilliantly executed war in Iraq?" And yet an American politician could not survive if he uttered the simple, true statement: "France has a better health-care system than we do, and we should steal it." Because here, simply dismissing an idea as French passes for an argument. John Kerry? Couldn't vote for him--he looked French. Yeah, as a opposed to the other guy, who just looked stupid. Last week, France had an election, and people over there approach an election differently. They vote. Eighty-five percent turned out. You couldn't get eighty-five percent of Americans to get off the couch if there was an election between tits and bigger tits and they were giving out free samples. Maybe the high turnout has something to do with the fact that the French candidates are never asked where they stand on evolution, prayer in school, abortion, stem cell research, or gay marriage. And if the candidate knows about a character in a book other than Jesus, it's not a drawback. The electorate doesn't vote for the guy they want to have a croissant with. Nor do they care about private lives. In the current race, Madame Royal has four kids, but she never got married. And she's a socialist. In America, if a Democrat even thinks you're calling him "liberal," he grabs an orange vest and a rifle and heads into the woods to kill something. Royal's opponent is married, but they live apart and lead separate lives. And the people are okay with that, for the same reason they're okay with nude beaches: because they're not a nation of six-year-olds who scream and giggle if they see pee-pee parts. They have weird ideas about privacy. They think it should be private. In France, even mistresses have mistresses. To not have a lady on the side says to the voters, "I'm no good at multitasking." Like any country, France has its faults, like all that ridiculous accordion music--but their health care is the best in the industrialized world, as is their poverty rate. And they're completely independent of Mid-East oil. And they're the greenest country. And they're not fat. They have public intellectuals in France. We have Dr. Phil. They invented sex during the day, lingerie, and the tongue. Can't we admit we could learn something from them?

It is a fact of life on our beleaguered little planet that widespread torture, famine and governmental criminal irresponsibility are much more likely to be found in tyrannical than in democratic governments. Why? Because the rulers of the former are much less likely to be thrown out of office for their misdeeds than the rulers of the latter. This is error-correcting machinery in politics. The methods of science, with all its imperfections, can be used to improve social, political and economic systems, and this is, I think, true no matter what criterion of improvement is adopted. How is this possible if science is based on experiment? Humans are not electrons or laboratory rats. But every act of Congress, every Supreme Court decision, every Presidential National Security Directive, every change in the Prime Rate is an experiment. Every shift in economic policy, every increase or decrease in funding for Head Start, every toughening of criminal sentences is an experiment. Exchanging needles, making condoms freely available, or decriminalizing marijuana are all experiments. Doing nothing to help Abyssinia against Italy, or to prevent Nazi Germany from invading the Rhineland was an experiment. Communism in Eastern Europe, the Soviet Union and China was an experiment. Privatizing mental health care or prisons is an experiment. Japan and West Germany investing a great deal in science and technology and next to nothing on defense - and finding that their economies boomed - was an experiment. Handguns are available for self-protection in Seattle, but not in nearby Vancouver, Canada; handgun killings are five times more common in Seattle and the handgun suicide rate is ten times greater in Seattle. Guns make impulsive killing easy. This is also an experiment. In almost all of these cases, adequate control experiments are not performed, or variables are insufficiently separated. Nevertheless, to a certain and often useful degree, such ideas can be tested. The great waste would be to ignore the results of social experiments because they seem to be ideologically unpalatable.

the welfare states of western Europe were not politically divisive. They were socially re-distributive in general intent (some more than others) but not at all revolutionary—they did not ‘soak the rich’. On the contrary: although the greatest immediate advantage was felt by the poor, the real long-term beneficiaries were the professional and commercial middle class. In many cases they had not previously been eligible for work-related health, unemployment or retirement benefits and had been obliged, before the war, to purchase such services and benefits from the private sector. Now they had full access to them, either free or at low cost. Taken with the state provision of free or subsidized secondary and higher education for their children, this left the salaried professional and white-collar classes with both a better quality of life and more disposable income. Far from dividing the social classes against each other, the European welfare state bound them closer together than ever before, with a common interest in its preservation and defense.

My legs are not quite properly operating and I’m having physiotherapy every Tuesday,” Michael said after Emma had beaten him to the phone. I accompanied him on one of these sessions, where he had to wait like anyone else for his turn. I was amazed that he did not have someone come to the house and that the therapy was not more frequent. He could barely walk now. But he was loyal to the National Health Service, the creation of his hero Nye Bevan and avoided any appearance of seeking special treatment or assistance outside the NHS.

Suicide prohibitions have not succeeded in preventing suicides but have succeeded in preventing people from having an honest, private conversation about life and death. Those persons who trust mental health professionals with their innermost thoughts may quickly find themselves punished with a “seventy-two-hour hold” or worse. Suicidal persons and their would-be helpers alike are paralyzed by prohibitionist censorship, deception, and legislation requiring the betrayal of trust. The first and major victim of the war on suicide, as in all wars, is loss of liberty.

There would be but one article in the constitution of a State Socialistic country: "The right of the majority is absolute." The claim of the State Socialists, however, that this right would not be exercised in matters pertaining to the individual in the more intimate and private relations of his life is not borne out by the history of governments. It has ever been the tendency of power to add to itself, to enlarge its sphere, to encroach beyond the limits set for it; and where the habit of resisting such encroachment is not fostered, and the individual is not taught to be jealous of his rights, individuality gradually disappears and the government or State becomes the all-in-all. Control naturally accompanies responsibility. Under the system of State Socialism, therefore, which holds the community responsible for the health, wealth, and wisdom of the individual, it is evident that the community, through its majority expression, will insist more and more in prescribing the conditions of health, wealth, and wisdom, thus impairing and finally destroying individual independence and with it all sense of individual responsibility.

Sula was smiling. “I mean, I don’t know what the fuss is about. I mean, everything in the world loves you. White men love you. They spend so much time worrying about your penis they forget their own. The only thing they want to do is cut off a nigger’s privates. And if that ain’t love and respect I don’t know what is. And white women? They chase you all to every corner of the earth, feel for you under every bed. I knew a white woman wouldn’t leave the house after 6 o’clock for fear one of you would snatch her. Now ain’t that love? They think rape soon’s they see you, and if they don’t get the rape they looking for, they scream it anyway just so the search won’t be in vain. Colored women worry themselves into bad health just trying to hang on to your cuffs. Even little children—white and black, boys and girls—spend all their childhood eating their hearts out ’cause they think you don’t love them. And if that ain’t enough, you love yourselves. Nothing in this world loves a black man more than another black man. You hear of solitary white men, but niggers? Can’t stay away from one another a whole day. So. It looks to me like you the envy of the world.

It wasn’t until nearly 400 years later [since capitalist privatizations at home in Britain, i.e. the Enclosures starting in 1500s] that life expectancies in Britain finally began to rise. […] It happened slightly later in the rest of Europe, while in the colonised world longevity didn’t begin to improve until the early 1900s [decolonization]. So if [capitalist economic] growth itself does not have an automatic relationship with life expectancy and human welfare, what could possibly explain this trend? Historians today point out that it began with a startlingly simple intervention […]: [public] sanitation. In the middle of the 1800s, public health researchers had discovered that health outcomes could be improved by introducing simple sanitation measures, such as separating sewage from drinking water. All it required was a bit of public plumbing. But public plumbing requires public works, and public money. You have to appropriate private land for things like public water pumps and public baths. And you have to be able to dig on private property in order to connect tenements and factories to the system. This is where the problems began. For decades, progress towards the goal of public sanitation was opposed, not enabled, by the capitalist class. Libertarian-minded landowners refused to allow officials to use their property [note: the Enclosures required state violence to privatize land], and refused to pay the taxes required to get it done. The resistance of these elites was broken only once commoners won the right to vote and workers organised into unions. Over the following decades these movements, which in Britain began with the Chartists and the Municipal Socialists, leveraged the state to intervene against the capitalist class. They fought for a new vision: that cities should be managed for the good of everyone, not just for the few. These movements delivered not only public sanitation systems but also, in the years that followed, public healthcare, vaccination coverage, public education, public housing, better wages and safer working conditions. According to research by the historian Simon Szreter, access to these public goods – which were, in a way, a new kind of commons – had a significant positive impact on human health, and spurred soaring life expectancy through the twentieth century.

This is the apotheosis of capitalism, the divine sanction of the free market, of unhindered profit and the most rapacious cruelties of globalization. Corporations, rapidly turning America into an oligarchy, have little interest in Christian ethics, or anybody’s ethics. They know what they have to do, as the titans of the industry remind us, for their stockholders. They are content to increase profit at the expense of those who demand fair wages, health benefits, safe working conditions and pensions. This new oligarchic class is creating a global marketplace where all workers, to compete, will have to become like workers in dictatorships such as China: denied rights, their wages dictated to them by the state, and forbidden from organizing or striking. America once attempted to pull workers abroad up to American levels, to foster the building of foreign labor unions, to challenge the abuse of workers in factories that flood the American market with cheap goods. But this new class seeks to reduce the American working class to the levels of this global serfdom. After all, anything that drains corporate coffers is a loss of freedom—the God-given American freedom to exploit other human beings to make money. The marriage of this gospel of prosperity with raw, global capitalism, and the flaunting of the wealth and privilege it brings, are supposedly blessed and championed by Jesus Christ. Compassion is relegated to private, individual acts of charity or left to churches. The callousness of the ideology, the notion that it in any way reflects the message of the gospels, which were preoccupied with the poor and the outcasts, illustrates how the new class has twisted Christian scripture to serve America’s god of capitalism and discredited the Enlightenment values we once prized. The

Addicts should not be coerced into treatment, since in the long term coercion creates more problems than it solves. On the other hand, for those addicts who opt for treatment, there must be a system of publicly funded recovery facilities with clean rooms, nutritious food, and access to outdoors and nature. Well-trained professional staff need to provide medical care, counseling, skills training, and emotional support. Our current nonsystem is utterly inadequate, with its patchwork of recovery homes run on private contracts and, here and there, a few upscale addiction treatment spas for the wealthy. No matter how committed their staff and how helpful their services may be, they are a drop in comparison to the ocean of vast need. In the absence of a coordinated rehabilitation system, the efforts of individual recovery homes are limited and occur in a vacuum, with no follow-up. It may be thought that the cost of such a drug rehabilitation and treatment system would be exorbitant. No doubt the financial expenses would be great — but surely less than the funds now freely squandered on the War on Drugs, to say nothing of the savings from the cessation of drug-related criminal activity and the diminished burden on the health care system.

The proof that the One Stone Solution is political lies in what women feel when they eat "too much": guilt. Why should guilt be the operative emotion, and female fat be a moral issue articulated with words like good and bad? If our culture's fixation on female fatness or thinness were about sex, it would be a private issue between and her lover; if it were about health, between a woman and herself. Public debate would be far more hysterically focused on male fat than on female, since more more men (40 percent) are medically overweight than women (32 percent) and too much fat is far more dangerous for men than for women.

Propaganda must seek to blame others like public sector workers with their fat salaries and their exorbitant pensions. All fantasy. In the model of Raganite imagery of black mothers being driven in their limos to pick up welfare checks, and other models which need not be mentioned. We all must tighten our belts. Almost all, that is. Teachers are a particularly good target, as part of the deliberate effort to destroy the public education system from Kindergarten through the universities by privatization. Again, a policy that is good for the wealthy but a disaster for the population, as well as the longterm health of the economy.

Most every other industrial nation in the world has pursued "free trade" policies similar to those enacted by the United States since its farm crisis, some combination of outsourcing, privatization, and financial liberalization. But no other wealthy nation has experienced the kind of alienation, inequality, public health crises, and violence that have become routine in the United States. That's because, as part of the post-Vietnam restoration, the United States didn't just restructure but also launched an assault on the social institutions—especially public services and unions—that might have moderated the effects of the restructuring.

For the most part, we share the desire to live our lives in peace, to pursue our private yearnings and creative impulses, to contribute in meaningful ways to a larger purpose, to fit in and belong and be valued for who we are, to flourish as individuals and as families, and as societies of purpose and of mutual regard, to live in individual dynamic balance, which is health, and in a collective dynamic balance, what used to be called the “commonweal,” which honors our differences and optimizes our mutual creativity and the possibility for a future free from wanton harm and from that which threatens what is most vital to our well-being and our very being.

Trump also said out loud what he had made abundantly clear in private, that his main concern was not the health of Americans at risk but what their illnesses would mean for him politically. Asked whether he would allow people to disembark from a cruise ship idling off the coast of San Francisco where nineteen crew members and two passengers had tested positive for the virus, Trump said he would rather not, since their cases would be added to the total number of infections in the United States. And that would make him look bad. “I like the numbers being where they are,” he said. “I don’t need to have the numbers double because of one ship that wasn’t our fault.”[3]

Well, “maybe it is,” Chotiner wrote, “but the Republican Party must do something more than point out the evils of the administration’s plan—it must show that it is ready to meet the needs of Tom Jones when illness strikes.” And so Congressman Nixon joined with other Republican moderates to introduce a national health insurance plan in which the states and federal governments would subsidize the purchase of insurance from private companies. “Our bill involves neither socialized medicine nor medicine for indigents only,” the announcement said. “It recognizes that the problem of medical care for the people is urgent and that government should participate in its solution.

My short-term goals are to defend and even strengthen elements of state authority which, though illegitimate in fundamental ways, are critically necessary right now to impede the dedicated efforts to "roll back" the progress that has been achieved in extending democracy and human rights. State authority is now under severe attack in the more democratic societies, but not because it conflicts with the libertarian vision. Rather the opposite: because it offers (weak) protection to some aspects of that vision. Governments have a fatal flaw: unlike the private tyrannies, the institutions of state power and authority offer to the despised public an opportunity to play some role, however limited, in managing their own affairs. That defect is intolerable to the masters, who now feel, with some justification, that changes in the international economic and political order offer the prospects of creating a kind of "utopia for the masters," with dismal prospects for most of the rest. It should be unnecessary to spell out here what I mean. The effects are all too obvious even in the rich societies, from the corridors of power to the streets, countryside, and prisons. For reasons that merit attention but that lie beyond the scope of these remarks, the rollback campaign is currently spearheaded by dominant sectors of societies in which the values under attack have been realized in some of their most advanced forms, the English-speaking world; no small irony, but no contradiction either.

. . . as a businessman, he thought the idea of having a centralized Health Service made a lot of sense, because ultimately it could be run as a business, with shareholders and a board of directors, and a chief executive, and that was the way to make sure it was efficient, to run it along business lines, i.e. with a view to making a profit. . . . in fact the Health Service, if properly managed, could turn out to be the most profitable business of all time, because health care was like prostitution, it was something for which the demand could never dry up; it was inexhaustible. He said that if someone could get himself appointed manager of a privatized Health Service, he would soon be just about the richest and most powerful man in the country.

She was too narcoleptic to speak. Or move. How long had this been going on? Was she like this yesterday? Had I missed her illness in my quest to prove to my brain that my dick wasn’t the one behind this train wreck’s wheel? I touched her forehead again. It sizzled. “Sweetheart.” “Please get out.” The words clawed past her throat. “Someone needs to take care of you.” “That someone definitely isn’t you. You made that clear these past couple days.” I said nothing. She was right. I hadn’t bothered to check on her. Perhaps I’d wished she’d check on me. In truth, she’d already gone beyond any expectations in trying to make whatever it was between us work. Meanwhile, I’d shut her down. Repeatedly. “Shortbread, let me get you some medicine and tea.” “I don’t want you to nurse me to health. Do you hear me?” She must have hated that I’d seen her like this. Weak and ill. “Call Momma and Frankie. It’s them I want by my side.” I swallowed but didn’t argue. I understood she didn’t want to feel humiliated. To be taken care of by the man who ensured she understood her insignificance to him. How did her bullshit meter not fry? How could she think I really felt nothing toward her? “First, I’ll get you medicine, tea, and water. Then I’ll call for Hettie to stay with you. Then I’ll notify your mother.” I tugged her comforter up to her chin. “No arguments.” She tried to wave me out, groaning at the slightest movement. “Whatever. Just go. I don’t want to see your face.” I gave her what she wanted, though as always, not in the way she expected. The sequence of actions didn’t proceed as promised. First, I contacted Cara to dispatch the private jet to Georgia. Then I called my mother-in-law and Franklin—separately—demanding their presence. Only then did I enter the kitchen to grab water, tea, and ibuprofen for Shortbread’s fever. Naturally, like the chronic idler he often proved to be, Oliver still sat at the island, now enjoying an extra-large slice of red velvet cake I was pretty sure was meant to be consumed by Dallas. “What are you still doing here?” I demanded, collecting the things I needed for her. He scratched his temple with the handle of his fork, brows pulled together. “You invited me here. You wanted to watch a soccer game, remember?” I did not remember. I didn’t even remember my own address right now. “Get out.” “What about the—” I snatched the plate from his fingers, admitting to myself that I’d treaded into feral grounds. “This cake wasn’t for you to eat.” “You’ve gone insane in the ten minutes you were gone.” Oliver gawked at me, wide-eyed. “What happened to you? Did Durban not get her hands on the latest Henry Plotkin book and take her anger out on you?” Shit. The Henry Plotkin book. I shoved Oliver out with a fork still clutched in his grimy fist, dialing Hettie with my free hand. She half-yawned, half-spoke. “Yes?” “Dallas is ill. You need to come here and take care of her until my in-laws arrive in about two hours.” “Oh, yeah?” Her energy returned tenfold. “And what the hell are you gonna do during this time?” “Freeze my balls off.”(Chapter 58)

Government surveillance, with its invasive reach into the private lives of citizens, is an egregious violation of the principles that underpin a free and just society. The emotional toll is staggering, as the constant awareness of being monitored erodes the sense of autonomy and security essential for individual well-being. Trust, a cornerstone of any healthy democracy, is shattered, breeding an environment of suspicion and fear. The historical resonance of unlawful surveillance, from oppressive regimes to modern controversies, serves as a stark reminder of the perilous consequences when the state oversteps its bounds. The unlawfulness of such surveillance is not just a legal matter but a moral imperative to safeguard the sanctity of private lives and preserve the emotional health of a free society.

For conservatives, the ideal of colorblindness is linked to a commitment to individualism. In their view, society should be concerned with individuals, not groups. Gross racial disparities in health, wealth, education, and opportunity should be of no interest to our government, and racial identity should be a private matter, something best kept to ourselves. For liberals, the ideal of colorblindness is linked to the dream of racial equality. The hope is that one day we will no longer see race because race will lose all of its significance. In this fantasy, eventually race will no longer be a factor in mortality rates, the spread of disease, educational or economic opportunity, or the distribution of wealth. Race will correlate with nothing; it will mean nothing; we won’t even notice it anymore. Those

The United States is famously resistant to anything smacking of redistribution. Yet it allocates 19 percent of its GDP to social services, and despite the best efforts of conservatives and libertarians the spending has continued to grow. The most recent expansions are a prescription drug benefit introduced by George W. Bush and the eponymous health insurance plan known as Obamacare introduced by his successor. Indeed, social spending in the United States is even higher than it appears, because many Americans are forced to pay for health, retirement, and disability benefits through their employers rather than the government. When this privately administered social spending is added to the public portion, the United States vaults from twenty-fourth into second place among the thirty-five OECD countries, just behind France.

For I think we may look upon our little private war with death somewhat in this light. If a man knows he will sooner or later be robbed upon a journey, he will have a bottle of the best in every inn, and look upon all his extravagances as so much gained upon the thieves. And above all, where instead of simply spending, he makes a profitable investment for some of his money, when it will be out of risk of loss. So every bit of brisk living, and above all when it is healthful, is just so much gained upon the wholesale filcher, death. We shall have the less in our pockets, the more in our stomach, when he cries stand and deliver. A swift stream is a favourite artifice of his, and one that brings him in a comfortable thing per annum; but when he and I come to settle our accounts, I shall whistle in his face for these hours upon the upper Oise.

Ambiguous tasks are a good place to observe how personality traits bubble to the surface. Although few of us are elite soldiers, we’ve all experienced the kind of psychological distress these trainees encounter on their training run: managing unclear expectations, struggling with self-motivation, and balancing the use of social support with private reflection. These issues are endemic not only to the workplace, but also to relationships, health, and every aspect of life in which we seek to thrive and succeed. Not surprisingly, the leading predictor of success in elite military training programs is the same quality that distinguishes those best equipped to resolve marital conflict, to achieve favorable deal terms in business negotiations, and to bestow the gifts of good parenting on their children: the ability to tolerate psychological discomfort.

Consider almost any public issue. Today’s Democratic Party and its legislators, with a few notable individual exceptions, is well to the right of counterparts from the New Deal and Great Society eras. In the time of Lyndon Johnson, the average Democrat in Congress was for single-payer national health insurance. In 1971, Congress overwhelmingly passed the Comprehensive Child Development Act, for universal, public, tax-supported, high-quality day care and prekindergarten. Nixon vetoed the bill in 1972, but even Nixon was for a guaranteed annual income, and his version of health reform, “play or pay,” in which employers would have to provide good health insurance or pay a tax to purchase it, was well to the left of either Bill or Hillary Clinton’s version, or Barack Obama’s. The Medicare and Medicaid laws of 1965 were not byzantine mash-ups of public and private like Obamacare. They were public. Infrastructure investments were also public. There was no bipartisan drive for either privatization or deregulation. The late 1960s and early 1970s (with Nixon in the White House!) were the heyday of landmark health, safety, environmental, and financial regulation. To name just three out of several dozen, Nixon signed the 1970 Clean Air Act, the 1970 Occupational Safety and Health Act, and the 1973 Consumer Product Safety Act. Why did Democrats move toward the center and Republicans to the far right? Several things occurred. Money became more important in politics. The Democratic Leadership Council, formed by business-friendly and Southern Democrats after Walter Mondale’s epic 1984 defeat, believed that in order to be more competitive electorally, Democrats had to be more centrist on both economic and social issues.

how tens of thousands of African Americans were arbitrarily arrested during this period, many of them hit with court costs and fines, which had to be worked off in order to secure their release.18 With no means to pay off their “debts,” prisoners were sold as forced laborers to lumber camps, brickyards, railroads, farms, plantations, and dozens of corporations throughout the South. Death rates were shockingly high, for the private contractors had no interest in the health and well-being of their laborers, unlike the earlier slave-owners who needed their slaves, at a minimum, to be healthy enough to survive hard labor. Laborers were subject to almost continual lashing by long horse whips, and those who collapsed due to injuries or exhaustion were often left to die. Convicts had no meaningful legal rights at this time and no effective redress. They were understood, quite literally, to be slaves of the state.

Loneliness A recent study showed that 13.5 percent of college students are severely lonely. Overall, they felt that they were to blame for their loneliness. Characteristics of social anxiety, such as shyness, fear of rejection, and lack of social knowledge and experience, often were listed as reasons. Loneliness is not the same thing as being alone. Many people enjoy solitude and find it a good time to be creative. They use time alone to write, read, listen to music, work on a hobby, or exercise. Often, sensitive people feel recharged after spending time alone. They make private time part of their schedules. Loneliness is a problem when you find it unpleasant and distressing. Social bonds are considered necessary to psychological well-being. When it is difficult to develop and maintain relationships, you may find yourself vulnerable to increased stress, depression, other emotional disorders, and impaired physical health.

We should be alert to oppose the potential significance of the fact that some government officials and public policy advocates are describing the First Amendment guarantee of the “free exercise” of religion as merely “freedom of worship.” But the guarantee of “free exercise” protects the right to come out of our private settings, including churches, synagogues and mosques, to act upon our beliefs, subject only to the legitimate government powers necessary to protect public health, safety and welfare. Free exercise surely protects religious citizens in acting upon their beliefs in public policy debates and in votes cast as citizens or as lawmakers. . . . We must affirm our religious faiths, unite to insist upon our constitutional right to the free exercise of our religions and honor their vital roles in establishing and preserving and prospering this nation. . . . We are the “salt of the earth.” We must retain our savour by living our religion and by asserting ourselves as witnesses of God. [BYU-I Devotional, Feb. 25, 2014]

What are the health effects of the choice between austerity and stimulus? Today there is a vast natural experiment being conducted on the body economic. It is similar to the policy experiments that occurred in the Great Depression, the post-communist crisis in eastern Europe, and the East Asian Financial Crisis. As in those prior trials, health statistics from the Great Recession reveal the deadly price of austerity—a price that can be calculated not just in the ticks to economic growth rates, but in the number of years of life lost and avoidable deaths. Had the austerity experiments been governed by the same rigorous standards as clinical trials, they would have been discontinued long ago by a board of medical ethics. The side effects of the austerity treatment have been severe and often deadly. The benefits of the treatment have failed to materialize. Instead of austerity, we should enact evidence-based policies to protect health during hard times. Social protection saves lives. If administered correctly, these programs don’t bust the budget, but—as we have shown throughout this book—they boost economic growth and improve public health. Austerity’s advocates have ignored evidence of the health and economic consequences of their recommendations. They ignore it even though—as with the International Monetary Fund—the evidence often comes from their own data. Austerity’s proponents, such as British Prime Minister David Cameron, continue to write prescriptions of austerity for the body economic, in spite of evidence that it has failed. Ultimately austerity has failed because it is unsupported by sound logic or data. It is an economic ideology. It stems from the belief that small government and free markets are always better than state intervention. It is a socially constructed myth—a convenient belief among politicians taken advantage of by those who have a vested interest in shrinking the role of the state, in privatizing social welfare systems for personal gain. It does great harm—punishing the most vulnerable, rather than those who caused this recession.

Each one of these decisions, even when they were ultimately reversed, set recovery efforts back further. Is this all a masterful conspiracy to make sure Puerto Ricans are too desperate, distracted, and despairing to resist Wall Street’s bitter economic medicine? I don’t believe it’s anything that coordinated. Much of this is simply what happens when you bleed the public sphere for decades, laying off competent workers and neglecting basic maintenance. Run-of-the-mill corruption and cronyism are no doubt at work as well. But it’s also true that many governments have deployed a starve-then-sell strategy when it comes to public services: cut health care/transit/education to the bone until people are so disillusioned and desperate that they are willing to try anything, including selling off those services altogether. And if Rosselló and the Trump administration have seemed remarkably unconcerned about the nonstop relief and reconstruction screw-ups, the attitude may be at least partly informed by an understanding that the worse things get, the stronger the case for privatization becomes.

Antidemocracy, executive predominance, and elite rule are basic elements of inverted totalitarianism. Antidemocracy does not take the form of overt attacks upon the idea of government by the people. Instead, politically it means encouraging what I have earlier dubbed “civic demobilization,” conditioning an electorate to being aroused for a brief spell, controlling its attention span, and then encouraging distraction or apathy. The intense pace of work and the extended working day, combined with job insecurity, is a formula for political demobilization, for privatizing the citizenry. It works indirectly. Citizens are encouraged to distrust their government and politicians; to concentrate upon their own interests; to begrudge their taxes; and to exchange active involvement for symbolic gratifications of patriotism, collective self-righteousness, and military prowess. Above all, depoliticization is promoted through society’s being enveloped in an atmosphere of collective fear and of individual powerlessness: fear of terrorists, loss of jobs, the uncertainties of pension plans, soaring health costs, and rising educational expenses.

Finally, as I’ve emphasized, there is the level of conscious public policy. A Soviet official issuing a planning document, or an American politician calling for job creation, might not be entirely aware of the likely effects of their action. Still, once a situation is created, even as an unintended side effect, politicians can be expected to size up the larger political implications of that situation when they make up their minds what—if anything—to do about it. Does this mean that members of the political class might actually collude in the maintenance of useless employment? If that seems a daring claim, even conspiracy talk, consider the following quote, from an interview with then US president Barack Obama about some of the reasons why he bucked the preferences of the electorate and insisted on maintaining a private, for-profit health insurance system in America: “I don’t think in ideological terms. I never have,” Obama said, continuing on the health care theme. “Everybody who supports single-payer health care says, ‘Look at all this money we would be saving from insurance and paperwork.’ That represents one million, two million, three million jobs [filled by] people who are working at Blue Cross Blue Shield or Kaiser or other places. What are we doing with them? Where are we employing them?”9 I would encourage the reader to reflect on this passage because it might be considered a smoking gun. What is the president saying here? He acknowledges that millions of jobs in medical insurance companies like Kaiser or Blue Cross are unnecessary. He even acknowledges that a socialized health system would be more efficient than the current market-based system, since it would reduce unnecessary paperwork and reduplication of effort by dozens of competing private firms. But he’s also saying it would be undesirable for that very reason. One motive, he insists, for maintaining the existing market-based system is precisely its inefficiency, since it is better to maintain those millions of basically useless office jobs than to cast about trying to find something else for the paper pushers to do.10 So here is the most powerful man in the world at the time publicly reflecting on his signature legislative achievement—and he is insisting that a major factor in the form that legislature took is the preservation of bullshit jobs.

To the infra-human specimens of this benighted scientific age the ritual and worship connected with the art of healing as practiced at Epidaurus seems like sheer buncombe. In our world the blind lead the blind and the sick go to the sick to be cured. We are making constant progress, but it is a progress which leads to the operating table, to the poor house, to the insane asylum, to the trenches. We have no healers – we have only butchers whose knowledge of anatomy entitles them to a diploma, which in turn entitles them to carve out or amputate our illnesses so that we may carry on in cripple fashion until such time as we are fit for the slaughterhouse. We announce the discovery of this cure and that but make no mention of the new diseases which we have created en route. The medical cult operates very much like the war office – the triumphs which they broadcast are sops thrown out to conceal death and disaster. The medicos, like the military authorities, are helpless; they are waging a hopeless fight from the start. What man wants is peace in order that he may live. Defeating our neighbor doesn’t give peace any more than curing cancer brings health. Man doesn’t begin to live through triumphing over his enemy nor does he begin to acquire health through endless cures. The joy of life comes through peace, which is not static but dynamic. No man can really say that he knows what joy is until he has experienced peace. And without joy there is no life, even if you have a dozen cars, six butlers, a castle, a private chapel and a bomb-proof vault. Our diseases are our attachments, be they habits, ideologies, ideals, principles, possessions, phobias, gods, cults, religions, what you please. Good wages can be a disease just as much as bad wages. Leisure can be just as great a disease as work. Whatever we cling to, even if it be hope or faith, can be the disease which carries us off. Surrender is absolute: if you cling to even the tiniest crumb you nourish the germ which will devour you. As for clinging to God, God long ago abandoned us in order that we might realize the joy of attaining godhood through our own efforts. All this whimpering that is going on in the dark, this insistent, piteous plea for peace which will grow bigger as the pain and the misery increase, where is it to be found? Peace, do people imagine that it is something to cornered, like corn or wheat? Is it something which can be pounded upon and devoured, as with wolves fighting over a carcass? I hear people talking about peace and their faces are clouded with anger or with hatred or with scorn and disdain, with pride and arrogance. There are people who want to fight to bring about peace- the most deluded souls of all. There will be no peace until murder is eliminated from the heart and mind. Murder is the apex of the broad pyramid whose base is the self. That which stands will have to fall. Everything which man has fought for will have to be relinquished before he can begin to live as man. Up till now he has been a sick beast and even his divinity stinks. He is master of many worlds and in his own he is a slave. What rules the world is the heart, not the brain, in every realm our conquests bring only death. We have turned our backs on the one realm wherein freedom lies. At Epidaurus, in the stillness, in the great peace that came over me, I heard the heart of the world beat. I know what the cure is: it is to give up, to relinquish, to surrender, so that our little hearts may beat in unison with the great heart of the world.

Upon the King! Let us our lives, our souls, Our debts, our careful wives, Our children, and our sins, lay on the King! We must bear all. O hard condition, Twin-born with greatness, subject to the breath Of every fool, whose sense no more can feel But his own wringing! What infinite heart's ease Must kings neglect that private men enjoy! And what have kings that privates have not too, Save ceremony- save general ceremony? And what art thou, thou idol Ceremony? What kind of god art thou, that suffer'st more Of mortal griefs than do thy worshippers? What are thy rents? What are thy comings-in? O Ceremony, show me but thy worth! What is thy soul of adoration? Art thou aught else but place, degree, and form, Creating awe and fear in other men? Wherein thou art less happy being fear'd Than they in fearing. What drink'st thou oft, instead of homage sweet, But poison'd flattery? O, be sick, great greatness, And bid thy ceremony give thee cure! Thinks thou the fiery fever will go out With titles blown from adulation? Will it give place to flexure and low bending? Canst thou, when thou command'st the beggar's knee, Command the health of it? No, thou proud dream, That play'st so subtly with a king's repose. I am a king that find thee; and I know 'Tis not the balm, the sceptre, and the ball, The sword, the mace, the crown imperial, The intertissued robe of gold and pearl, The farced tide running fore the king, The throne he sits on, nor the tide of pomp That beats upon the high shore of this world- No, not all these, thrice gorgeous ceremony, Not all these, laid in bed majestical, Can sleep so soundly as the wretched slave Who, with a body fill'd and vacant mind, Gets him to rest, cramm'd with distressful bread; Never sees horrid night, the child of hell; But, like a lackey, from the rise to set Sweats in the eye of Pheebus, and all night Sleeps in Elysium; next day, after dawn, Doth rise and help Hyperion to his horse; And follows so the ever-running year With profitable labour, to his grave. And but for ceremony, such a wretch, Winding up days with toil and nights with sleep, Had the fore-hand and vantage of a king. The slave, a member of the country's peace, Enjoys it; but in gross brain little wots What watch the king keeps to maintain the peace Whose hours the peasant best advantages.

In the world of mental health, the lowest-functioning clients and the highest-functioning clients receive the worst care. The lowest-functioning clients typically struggle with serious mental illnesses that are maintained more than cured. And, because of downward drift that draws a disproportionate number of such patients into the lower income brackets, these clients often do not have access to top-notch care. The highest-functioning clients, on the other hand, usually have a lot going for them, including family or schools that connect them with private therapists when needed. These high-functioning clients are what therapists call YAVIS—young, attractive, verbal, intelligent, and successful—and these qualities bestow all sorts of social and psychological advantages. Being young means, as a colleague once put it, “that you haven’t completely screwed up your life yet.” Being verbal allows you to easily exchange a common currency with friends and bosses as you parlay being talkative into social status. Intelligence aids achievement and problem-solving, and even leadership. Successful people are generally brimming with confidence. And, as Aristotle said, “beauty is a greater recommendation than any letter of introduction.” So, YAVIS clients are well received nearly everywhere they go, and many therapists light up when one comes walking in the door. Still, there are two paths to being smart and charming when you are young: Life has been good or life has been bad. When life has been good, maybe someone goes to see a therapist for a while because some isolated thing is not currently going well. Most likely, the difficulty will be resolved quickly and the client will be on his way. When life has been bad, someone goes to see a therapist because even though things look pretty on the outside the person feels horrible on the inside, and this is a discrepancy that even many therapists cannot hold. Sometimes it is just too jarring to imagine that someone who seems so perfect has lived a life that has been so imperfect. What results is a therapy where the client’s image gets in the way of the help that he or she needs. The client has come to focus on what has not gone well, but the therapist is blinded by what has. Too often, being successful when you are young is about survival. Some people are good at hiding their troubles. They are good at “falling up.

The Libertarian Party platform on which Koch ran in 1980 was unambiguous. It included the following: • We favor the abolition of Medicare and Medicaid programs. • We oppose any compulsory insurance or tax-supported plan to provide health services. . . . • We favor the repeal of the . . . Social Security system. . . . • We oppose all personal and corporate income taxation, including capital gains taxes. • We support the eventual repeal of all taxation. • As an interim measure, all criminal and civil sanctions against tax evasion should be terminated immediately. • We support repeal of all . . . minimum wage laws. . . . • Government ownership, operation, regulation, and subsidy of schools and colleges should be ended. . . . • We support the abolition of the Environmental Protection Agency. . . . • We call for the privatization of the public roads and national highway system. . . . • We advocate the abolition of the Food and Drug Administration. . . . • We oppose all government welfare, relief projects, and “aid to the poor” programs.44 The list went on from there, including ending government oversight of abusive banking practices by ending all usury laws; privatizing our airports, the FAA, Amtrak, and all of our rivers; and shutting down the Post Office.

We are not talking just about dollars and cents. We are talking about lives. Consider one chilling example: drug-resistant infections. As America’s breakthroughs in antibiotics recede into the past, bacteria are evolving to defeat current antibiotics. For more and more infections, we are plunging back into the pre-antibiotic era. In the United States alone, two million people are sickened and tens of thousands die each year from drug-resistant infections—mostly because private companies see little incentive to invest in the necessary research, and the federal government has failed to step in.87 Though federal funding for the National Institutes of Health ramped up in the mid-1990s, it has fallen precipitously since, cutting the share of young scientists with NIH grants in half in roughly six years.88 As one medical professor lamented recently: “In my daily work in both a university medical school and a public hospital, it’s a rare month that some bright young person doesn’t tell me they are quitting science because it’s too hard to get funded. . . . A decade or two from now, when an antibiotic-resistant bacteria or new strain of bird flu is ravaging humanity, that generation will no longer be around to lead the scientific charge on humanity’s behalf.”89

This isn't just Flint's fight. We built all our cities out of lead. We were sure we could make this metal work for us. History revealed a pattern of poisoning, but we were certain that we could contain it, control it. Progress came when we acknowledged how terribly harmful lead is and instituted anti-lead laws that reduced our exposure to one of the world's best-known neurotoxins. But the next great challenge - a tremendously difficult one - is reckoning with the lead that is still in our environment. Individual solutions, from purchasing bottled water and investing in private purification devices, isn't enough. As the nineteenth-century water wars revealed, a community is not safe and certainly will not thrive if only some have access to clean water and others do not. Infrastructure, the ties that literally bind us, one to another, requires our consistent care and attention. At a certain point, 'doing more with less' no longer functions as a mandate. Sometimes less is just less. Public health historians Gerald Markowitz and David Rosner put it this way: 'If the history of lead poisoning has taught us anything, it is that the worlds we as a society construct, or at least allow to be built in our name, to a large extent determine how we live and how we die.

And in the universe, even that which is called evil, when it is regulated and put in its own place, only enhances our admiration of the good; for we enjoy and value the good more when we compare it with the evil. For the Almighty God, who, as even the heathen acknowledge, has supreme power over all things, being Himself supremely good, would never permit the existence of anything evil among His works, if He were not so omnipotent and good that He can bring good even out of evil. For what is that which we call evil but the absence of good? In the bodies of animals, disease and wounds mean nothing but the absence of health; for when a cure is effected, that does not mean that the evils which were present—namely, the diseases and wounds—go away from the body and dwell elsewhere: they altogether cease to exist; for the wound or disease is not a substance, but a defect in the fleshly substance,—the flesh itself being a substance, and therefore something good, of which those evils—that is, privations of the good which we call health—are accidents. Just in the same way, what are called vices in the soul are nothing but privations of natural good. And when they are cured, they are not transferred elsewhere: when they cease to exist in the healthy soul, they cannot exist anywhere else.

This was a talk to an anarchist conference, and in my view the libertarian movements have been very shortsighted in pursuing doctrine in a rigid fashion without being concerned about the human consequences. So it's perfectly proper… I mean, in my view, and that of a few others, the state is an illegitimate institution. But it does not follow from that that you should not support the state. Sometimes there is a more illegitimate institution which will take over if you do not support this illegitimate institution. So, if you're concerned with the people, let's be concrete, let's take the United States. There is a state sector that does awful things, but it also happens to do some good things. As a result of centuries of extensive popular struggle there is a minimal welfare system that provides support for poor mothers and children. That's under attack in an effort to minimize the state. Well, anarchists can't seem to understand that they are to support that. So they join with the ultra-right in saying "Yes, we've got to minimize the state," meaning put more power into the hands of private tyrannies which are completely unaccountable to the public and purely totalitarian. It's kind of reminiscent of an old Communist Party slogan back in the early thirties "The worse, the better." So there was a period when the Communist Party was refusing to combat fascism on the theory that if you combat fascism, you join the social democrats and they are not good guys, so "the worse, the better." That was the slogan I remember from childhood. Well, they got the worse: Hitler. If you care about the question of whether seven-year-old children have food to eat, you'll support the state sector at this point, recognizing that in the long term it's illegitimate. I know that a lot of people find that hard to deal with and personally I'm under constant critique from the left for not being principled. Principle to them means opposing the state sector, even though opposing the state sector at this conjuncture means placing power into the hands of private totalitarian organizations who would be delighted to see children starve. I think we have to be able to keep those ideas in our heads if we want to think constructively about the problems of the future. In fact, protecting the state sector today is a step towards abolishing the state because it maintains a public arena in which people can participate, and organize, and affect policy, and so on, though in limited ways. If that's removed, we'd go back to a [...] dictatorship or say a private dictatorship, but that's hardly a step towards liberation.

Neoliberal economics, the logic of which is tending today to win out throughout the world thanks to international bodies like the World Bank or the International Monetary Fund and the governments to whom they, directly or indirectly, dictate their principles of ‘governance’,10 owes a certain number of its allegedly universal characteristics to the fact that it is immersed or embedded in a particular society, that is to say, rooted in a system of beliefs and values, an ethos and a moral view of the world, in short, an economic common sense, linked, as such, to the social and cognitive structures of a particular social order. It is from this particular economy that neoclassical economic theory borrows its fundamental assumptions, which it formalizes and rationalizes, thereby establishing them as the foundations of a universal model. That model rests on two postulates (which their advocates regard as proven propositions): the economy is a separate domain governed by natural and universal laws with which governments must not interfere by inappropriate intervention; the market is the optimum means for organizing production and trade efficiently and equitably in democratic societies. It is the universalization of a particular case, that of the United States of America, characterized fundamentally by the weakness of the state which, though already reduced to a bare minimum, has been further weakened by the ultra-liberal conservative revolution, giving rise as a consequence to various typical characteristics: a policy oriented towards withdrawal or abstention by the state in economic matters; the shifting into the private sector (or the contracting out) of ‘public services’ and the conversion of public goods such as health, housing, safety, education and culture – books, films, television and radio – into commercial goods and the users of those services into clients; a renunciation (linked to the reduction in the capacity to intervene in the economy) of the power to equalize opportunities and reduce inequality (which is tending to increase excessively) in the name of the old liberal ‘self-help’ tradition (a legacy of the Calvinist belief that God helps those who help themselves) and of the conservative glorification of individual responsibility (which leads, for example, to ascribing responsibility for unemployment or economic failure primarily to individuals, not to the social order, and encourages the delegation of functions of social assistance to lower levels of authority, such as the region or city); the withering away of the Hegelian–Durkheimian view of the state as a collective authority with a responsibility to act as the collective will and consciousness, and a duty to make decisions in keeping with the general interest and contribute to promoting greater solidarity. Moreover,

For those who worked at the reactor or in close proximity to it, what was most seriously affected – and this is very similar to the problems of those who work with missiles – was the genito-urinary system. Their masculinity. But Slavs just do not talk about these things. It’s unacceptable. I once accompanied an English journalist who had prepared some interesting questions on this very topic. He wanted to investigate the human dimension of the problem. When it’s all over, what happens to the human being when he goes back home, to his everyday life, to his sex life? He could find no one prepared to talk openly about it. For instance, he asked to meet the helicopter crews, to talk man-to-man. They duly came, some already retired at thirty-five or forty. One was brought along who had a broken leg caused by senile osteoporosis, because exposure to radiation causes bones to become brittle. The Englishman asked them how they were getting on in their families, with their young wives? The helicopter crews fell silent. They had come to talk about how they had flown five sorties a day, and here someone was asking them about their wives? About … He decided to try talking to them individually, in private. They all replied that their health was fine, the state valued them, and they had loving families. Not one of them would speak frankly. They left, and I could see he was distraught. ‘Now you see,’ he said to me, ‘why nobody trusts you. You deceive even yourselves.

In March 2002, the National Academy of Sciences, a private, nonprofit society of scholars, released a high-profile report documenting the unequivocal existence of racial bias in medical care, which many thought would mark a real turning point. Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care was so brutal and damning that it would seem impossible to turn away. The report, authored by a committee of mostly white medical educators, nurses, behavioral scientists, economists, health lawyers, sociologists, and policy experts, took an exhaustive plunge into more than 480 previous studies. Because of the knee-jerk tendency to assume that health disparities were the end result of differences in class, not race, they were careful to compare subjects with similar income and insurance coverage. The report found rampant, widespread racial bias, including that people of color were less likely to be given appropriate heart medications or to undergo bypass surgery or receive kidney dialysis or transplants. Several studies revealed significant racial differences in who receives appropriate cancer diagnostic tests and treatments, and people of color were also less likely to receive the most sophisticated treatments for HIV/AIDS. These inequities, the report concluded, contribute to higher death rates overall for Black people and other people of color and lower survival rates compared with whites suffering from comparable illnesses of similar severity.

The proof that the One Stone Solution is political lies in what women feel when they eat “too much”: guilt. Why should guilt be the operative emotion, and female fat be a moral issue articulated with words like good and bad? If our culture’s fixation on female fatness or thinness were about sex, it would be a private issue between a woman and her lover; if it were about health, between a woman and herself. Public debate would be far more hysterically focused on male fat than on female, since more men (40 percent) are medically overweight than women (32 percent) and too much fat is far more dangerous for men than for women. In fact, “there is very little evidence to support the claim that fatness causes poor health among women…. The results of recent studies have suggested that women may in fact live longer and be generally healthier if they weigh ten to fifteen percent above the life-insurance figures and they refrain from dieting,” asserts Radiance; when poor health is correlated to fatness in women, it is due to chronic dieting and the emotional stress of self-hatred. The National Institutes of Health studies that linked obesity to heart disease and stroke were based on male subjects; when a study of females was finally published in 1990, it showed that weight made only a fraction of the difference for women that it made for men. The film The Famine Within cites a sixteen-country study that fails to correlate fatness to ill health. Female fat is not in itself unhealthy.

In order to grasp the meaning of this liberal program we need to imagine a world order in which liberalism is supreme. Either all the states in it are liberal, or enough are so that when united they are able to repulse an attack of militarist aggressors. In this liberal world, or liberal part of the world, there is private property in the means of production. The working of the market is not hampered by government interference. There are no trade barriers; men can live and work where they want. Frontiers are drawn on the maps but they do not hinder the migrations of men and shipping of commodities. Natives do not enjoy rights that are denied to aliens. Governments and their servants restrict their activities to the protection of life, health, and property against fraudulent or violent aggression. They do not discriminate against foreigners. The courts are independent and effectively protect everybody against the encroachments of officialdom. Everyone is permitted to say, to write, and to print what he likes. Education is not subject to government interference. Governments are like night-watchmen whom the citizens have entrusted with the task of handling the police power. The men in office are regarded as mortal men, not as superhuman beings or as paternal authorities who have the right and duty to hold the people in tutelage. Governments do not have the power to dictate to the citizens what language they must use in their daily speech or in what language they must bring up and educate their children. Administrative organs and tribunals are bound to use each man’s language in dealing with him, provided this language is spoken in the district by a reasonable number of residents. In such a world it makes no difference where the frontiers of a country are drawn. Nobody has a special material interest in enlarging the territory of the state in which he lives; nobody suffers loss if a part of this area is separated from the state. It is also immaterial whether all parts of the state’s territory are in direct geographical connection, or whether they are separated by a piece of land belonging to another state. It is of no economic importance whether the country has a frontage on the ocean or not. In such a world the people of every village or district could decide by plebiscite to which state they wanted to belong. There would be no more wars because there would be no incentive for aggression. War would not pay. Armies and navies would be superfluous. Policemen would suffice for the fight against crime. In such a world the state is not a metaphysical entity but simply the producer of security and peace. It is the night-watchman, as Lassalle contemptuously dubbed it. But it fulfills this task in a satisfactory way. The citizen’s sleep is not disturbed, bombs do not destroy his home, and if somebody knocks at his door late at night it is certainly neither the Gestapo nor the O.G.P.U. The reality in which we have to live differs very much from this perfect world of ideal liberalism. But this is due only to the fact that men have rejected liberalism for etatism.

In times of distress everyone calls for help; in times of toothache, and earache, in doubt, fear and insecurity. In secret everyone calls out hoping that One will hear and grant their requests. Privately, secretly, people perform good deeds to ward off weakness and restore their strength, trusting that Life will accept their gifts and efforts. When they are restored to health and peace of mind, then suddenly their faith leaves, and the phantom of anxiety soon returns. “O God,” they cry again, “we were in such a terrible state when, with all sincerity, we called upon you from our prison corner. For a hundred prayers you granted our requests. Now, freed of the prison, we are still as much in need. Bring us out of this world of darkness into that world of the prophets, the world of light. Why can freedom not come without prisons and pain? A thousand desires fill us, both good and deceitful, and the conflict of these phantoms brings a thousand tortures that leave us weary. Where is that sure faith that burns up all phantoms?” God answers, “The seeker of pleasure in you is your enemy and My enemy. When your pleasure-seeking self is imprisoned, filled with trouble and pain, then your freedom arrives and gathers strength. A thousand times you have proved that freedom comes to you out of toothache, headache and fear. Why then are you chained to bodily comfort? Why are you always occupied with tending the flesh? Do not forget the end of that thread: unravel those bodily passions till you have attained your eternal passion, and find freedom from the prison of darkness.

Most countries that make great economic and social progress are not democracies. South Korea moved from Level 1 to Level 3 faster than any country had ever done (without finding oil), all the time as a military dictatorship. Of the ten countries with the fastest economic growth in 2016, nine of them score low on democracy. Anyone who claims that democracy is a necessity for economic growth and health improvements will risk getting contradicted by reality. It’s better to argue for democracy as a goal in itself instead of as a superior means to other goals we like. There is no single measure—not GDP per capita, not child mortality (as in Cuba), not individual freedom (as in the United States), not even democracy—whose improvement will guarantee improvements in all the others. There is no single indicator through which we can measure the progress of a nation. Reality is just more complicated than that. The world cannot be understood without numbers, nor through numbers alone. A country cannot function without a government, but the government cannot solve every problem. Neither the public sector nor the private sector is always the answer. No single measure of a good society can drive every other aspect of its development. It’s not either/or. It’s both and it’s case-by-case. Factfulness Factfulness is … recognizing that a single perspective can limit your imagination, and remembering that it is better to look at problems from many angles to get a more accurate understanding and find practical solutions. To control the single perspective instinct, get a toolbox, not a hammer.

But as Bill Gates said to us when Mark and I met with him in his Seattle-area office, “People invest in high-probability scenarios: the markets that are there. And these low-probability things that maybe you should buy an insurance policy for by investing in capacity up front, don’t get done. Society allocates resources primarily in this capitalistic way. The irony is that there’s really no reward for being the one who anticipates the challenge.” Every time there is a new, serious viral outbreak, such as Ebola in 2012 and Zika in 2016, there is a public outcry, a demand to know why a vaccine wasn’t available to combat this latest threat. Next a public health official predicts a vaccine will be available in x number of months. These predictions almost always turn out to be wrong. And even if they’re right, there are problems in getting the vaccine production scaled up to meet the size and location of the threat, or the virus has receded to where it came from and there is no longer a demand for prevention or treatment. Here is Bill Gates again: Unfortunately, the message from the private sector has been quite negative, like H1N1 [the 2009 epidemic influenza strain]: A lot of vaccine was procured because people thought it would spread. Then, after it was all over, they sort of persecuted the WHO people and claimed GSK [GlaxoSmithKline] sold this stuff and they should have known the thing would end and it was a waste of money. That was bad. Even with Ebola, these guys—Merck, GSK, and J & J [Johnson & Johnson]—all spent a bunch of money and it’s not clear they won’t have wasted their money. They’re not break-even at this stage for the things they went and did, even though at the time everyone was saying, “Of course you’ll get paid. Just go and do all this stuff.” So it does attenuate the responsiveness. This model will never work or serve our worldwide needs. Yet if we don’t change the model, the outcome will not change, either.

When the time comes, & I hope it comes soon, to bury this era of moral rot & the defiling of our communal, social, & democratic norms, the perfect epitaph for the gravestone of this age of unreason should be Iowa Senator Chuck Grassley's already infamous quote: "I think not having the estate tax recognizes the people that are investing... as opposed to those that are just spending every darn penny they have, whether it’s on booze or women or movies.” Grassley's vision of America, quite frankly, is one I do not recognize. I thought the heart of this great nation was not limited to the ranks of the plutocrats who are whisked through life in chauffeured cars & private jets, whose often inherited riches are passed along to children, many of whom no sacrifice or service is asked. I do not begrudge wealth, but it must come with a humility that money never is completely free of luck. And more importantly, wealth can never be a measure of worth. I have seen the waitress working the overnight shift at a diner to give her children a better life, & yes maybe even take them to a movie once in awhile - and in her, I see America. I have seen the public school teachers spending extra time with students who need help & who get no extra pay for their efforts, & in them I see America. I have seen parents sitting around kitchen tables with stacks of pressing bills & wondering if they can afford a Christmas gift for their children, & in them I see America. I have seen the young diplomat in a distant foreign capital & the young soldier in a battlefield foxhole, & in them I see America. I have seen the brilliant graduates of the best law schools who forgo the riches of a corporate firm for the often thankless slog of a district attorney or public defender's office, & in them I see America. I have seen the librarian reshelving books, the firefighter, police officer, & paramedic in service in trying times, the social worker helping the elderly & infirm, the youth sports coaches, the PTA presidents, & in them I see America. I have seen the immigrants working a cash register at a gas station or trimming hedges in the frost of an early fall morning, or driving a cab through rush hour traffic to make better lives for their families, & in them I see America. I have seen the science students unlocking the mysteries of life late at night in university laboratories for little or no pay, & in them I see America. I have seen the families struggling with a cancer diagnosis, or dementia in a parent or spouse. Amid the struggles of mortality & dignity, in them I see America. These, & so many other Americans, have every bit as much claim to a government working for them as the lobbyists & moneyed classes. And yet, the power brokers in Washington today seem deaf to these voices. It is a national disgrace of historic proportions. And finally, what is so wrong about those who must worry about the cost of a drink with friends, or a date, or a little entertainment, to rephrase Senator Grassley's demeaning phrasings? Those who can't afford not to worry about food, shelter, healthcare, education for their children, & all the other costs of modern life, surely they too deserve to be able to spend some of their “darn pennies” on the simple joys of life. Never mind that almost every reputable economist has called this tax bill a sham of handouts for the rich at the expense of the vast majority of Americans & the future economic health of this nation. Never mind that it is filled with loopholes written by lobbyists. Never mind that the wealthiest already speak with the loudest voices in Washington, & always have. Grassley’s comments open a window to the soul of the current national Republican Party & it it is not pretty. This is not a view of America that I think President Ronald Reagan let alone President Dwight Eisenhower or Teddy Roosevelt would have recognized. This is unadulterated cynicism & a version of top-down class warfare run amok. ~Facebook 12/4/17

Prisons are racism incarnate. As Michelle Alexander points out, they constitute the new Jim Crow. But also much more, as the lynchpins of the prison-industrial complex, they represent the increasing profitability of punishment. They represent the increasingly global strategy of dealing with populations of people of color and immigrant populations from the countries of the Global South as surplus populations, as disposable populations. Put them all in a vast garbage bin, add some sophisticated electronic technology to control them, and let them languish there. And in the meantime, create the ideological illusion that the surrounding society is safer and more free because the dangerous Black people and Latinos, and the Native Americans, and the dangerous Asians and the dangerous White people, and of course the dangerous Muslims, are locked up! And in the meantime, corporations profit and poor communities suffer! Public education suffers! Public education suffers because it is not profitable according to corporate measures. Public health care suffers. If punishment can be profitable, then certainly health care should be profitable, too. This is absolutely outrageous! It is outrageous. It is also outrageous that the state of Israel uses the carceral technologies developed in relation to US prisons not only to control the more than eight thousand Palestinian political prisoners in Israel but also to control the broader Palestinian population. These carceral technologies, for example, the separation wall, which reminds us of the US-Mexico border wall, and other carceral technologies are the material constructs of Israeli apartheid. G4S, the organization, the corporation G4S, which profits from the incarceration and the torturing of Palestinian prisoners, has a subsidiary called G4S Secure Solutions, which was formerly known as Wackenhut. And just recently a subsidiary of that just have one more page of notes corporation, GEO Group, which is a private prison company, attempted to claim naming rights at Florida Atlantic University by donating something like $6 million, right? And, the students rose up. They said that our football stadium will not bear the name of a private prison corporation! And the students won. The students won; the name came down from the marquee.

When you contribute to a safer world for the truth, contribute to help stop violence and help end impunity: be vigilant, be alert, stay safe, protect your emotions and health from aggressive troublemakers and manipulators, and have a strong, diplomatic, clear and firm boundaries. Be honest, be factual, and have an indestructible firm coping mechanism ways while you could experience waves of digital aggression as they would like to silence you, discredit you, and they try to ruin your integrity, persona, reputation and credibility. The deceptive, evil manipulators plant lies and create intrigues, polemics mongering, gossip-mongering, and calumny committed by abusive political harridans, bitches and assholes who can shame you privately and publicly. Group cyber lynching, group cyberbullying, defamatory libellous slander is committed by these cyber aggressors who are also financial-political abusive parasites, pathological liar cyberbullies toxic manipulators, and repetitive abusers. Usually when the stakes are high, these manipulative, deceptive, dishonest, unscrupulous aggressive and vindictive, abusive toxic people would resort to any forms of aggression/abuse: digital or cyber aggression, verbal abuse, emotional abuse, and psychological abuse, financial/economic abuse, and/or physical aggression. When a group of habitual, deceptive, toxic netizens, digital aggressors send you threats, disturb your family member with their concocted destructive lies, and they took hold a copy of your passport or ID - change it immediately. Document the threats, the libellous slander, done by these aggressive and abusive people who took advantage of you, used you, and abused you, and do not hesitate to report them to the right authorities. You have to learn how to handle these scammers, habitual offensive abusive offenders/perpetrators, manipulators, bullies, digital aggressors/aggression, cyber lynchers, coward, pathological liars, opportunistic users, economic/financial abusers, emotional, psychological and verbal abusers, and repetitive abusers without breaking the law. Even if they dehumanised you, shamed you and abused you for several years, do not and never dehumanise them. Always remember the three Rs of life: 1. Respect for self 2. Respect for others 3. Responsibility for all your actions ~ Angelica Hopes, an excerpt from The S. Trilogy

told my people that I wanted only the best, whatever it took, wherever they came from, whatever it cost. We assembled thirty people, the brightest cybersecurity minds we have. A few are on loan, pursuant to strict confidentiality agreements, from the private sector—software companies, telecommunications giants, cybersecurity firms, military contractors. Two are former hackers themselves, one of them currently serving a thirteen-year sentence in a federal penitentiary. Most are from various agencies of the federal government—Homeland Security, CIA, FBI, NSA. Half our team is devoted to threat mitigation—how to limit the damage to our systems and infrastructure after the virus hits. But right now, I’m concerned with the other half, the threat-response team that Devin and Casey are running. They’re devoted to stopping the virus, something they’ve been unable to do for the last two weeks. “Good morning, Mr. President,” says Devin Wittmer. He comes from NSA. After graduating from Berkeley, he started designing cyberdefense software for clients like Apple before the NSA recruited him away. He has developed federal cybersecurity assessment tools to help industries and governments understand their preparedness against cyberattacks. When the major health-care systems in France were hit with a ransomware virus three years ago, we lent them Devin, who was able to locate and disable it. Nobody in America, I’ve been assured, is better at finding holes in cyberdefense systems or at plugging them. “Mr. President,” says Casey Alvarez. Casey is the daughter of Mexican immigrants who settled in Arizona to start a family and built up a fleet of grocery stores in the Southwest along the way. Casey showed no interest in the business, taking quickly to computers and wanting to join law enforcement. When she was a grad student at Penn, she got turned down for a position at the Department of Justice. So Casey got on her computer and managed to do what state and federal authorities had been unable to do for years—she hacked into an underground child-pornography website and disclosed the identities of all the website’s patrons, basically gift-wrapping a federal prosecution for Justice and shutting down an operation that was believed to be the largest purveyor of kiddie porn in the country. DOJ hired her on the spot, and she stayed there until she went to work for the CIA. She’s been most recently deployed in the Middle East with US Central Command, where she intercepts, decodes, and disrupts cybercommunications among terrorist groups. I’ve been assured that these two are, by far, the best we have. And they are about to meet the person who, so far, has been better. There is a hint of reverence in their expressions as I introduce them to Augie. The Sons of Jihad is the all-star team of cyberterrorists, mythical figures in that world. But I sense some competitive fire, too, which will be a good thing.

As the liberal sees it, the task of the state consists solely and exclusively in guaranteeing the protection of life, health, liberty, and private property against violent attacks. Everything that goes beyond this is an evil. A government that, instead of fulfilling its task, sought to go so far as actually to infringe on personal security of life and health, freedom, and property would, of course, be altogether bad. Still, as Jacob Burckhardt says, power is evil in itself, no matter who exercises it. It tends to corrupt those who wield it and leads to abuse. Not only absolute sovereigns and aristocrats, but the masses also, in whose hands democracy entrusts the supreme power of government, are only too easily inclined to excesses. In the United States, the manufacture and sale of alcoholic beverages are prohibited. Other countries do not go so far, but nearly everywhere some restrictions are imposed on the sale of opium, cocaine, and similar narcotics. It is universally deemed one of the tasks of legislation and government to protect the individual from himself. Even those who otherwise generally have misgivings about extending the area of governmental activity consider it quite proper that the freedom of the individual should be curtailed in this respect, and they think that only a benighted doctrinairism could oppose such prohibitions. Indeed, so general is the acceptance of this kind of interference by the authorities in the life of the individual that those who, are opposed to liberalism on principle are prone to base their argument on the ostensibly undisputed acknowledgment of the necessity of such prohibitions and to draw from it the conclusion that complete freedom is an evil and that some measure of restriction must be imposed upon the freedom of the individual by the governmental authorities in their capacity as guardians of his welfare. The question cannot be whether the authorities ought to impose restrictions upon the freedom of the individual, but only how far they ought to go in this respect. No words need be wasted over the fact that all these narcotics are harmful. The question whether even a small quantity of alcohol is harmful or whether the harm results only from the abuse of alcoholic beverages is not at issue here. It is an established fact that alcoholism, cocainism, and morphinism are deadly enemies of life, of health, and of the capacity for work and enjoyment; and a utilitarian must therefore consider them as vices. But this is far from demonstrating that the authorities must interpose to suppress these vices by commercial prohibitions, nor is it by any means evident that such intervention on the part of the government is really capable of suppressing them or that, even if this end could be attained, it might not therewith open up a Pandora's box of other dangers, no less mischievous than alcoholism and morphinism. Whoever is convinced that indulgence or excessive indulgence in these poisons is pernicious is not hindered from living abstemiously or temperately. This question cannot be treated exclusively in reference to alcoholism, morphinism, cocainism, etc., which all reasonable men acknowledge to be evils. For if the majority of citizens is, in principle, conceded the right to impose its way of life upon a minority, it is impossible to stop at prohibitions against indulgence in alcohol, morphine, cocaine, and similar poisons. Why should not what is valid for these poisons be valid also for nicotine, caffeine, and the like? Why should not the state generally prescribe which foods may be indulged in and which must be avoided because they are injurious? In sports too, many people are prone to carry their indulgence further than their strength will allow. Why should not the state interfere here as well? Few men know how to be temperate in their sexual life, and it seems especially difficult for aging persons to understand that they should cease entirel

• No matter how open we as a society are about formerly private matters, the stigma around our emotional struggles remains formidable. We will talk about almost anyone about our physical health, even our sex lives, but bring depression, anxiety or grief , and the expression on the other person would probably be "get me out of this conversation" • We can distract our feelings with too much wine, food or surfing the internet, • Therapy is far from one-sided; it happens in a parallel process. Everyday patients are opening up questions that we have to think about for ourselves, • "The only way out is through" the only way to get out of the tunnel is to go through, not around it • Study after study shows that the most important factor in the success of your treatment is your relationship with the therapist, your experience of "feeling felt" • Attachment styles are formed early in childhood based on our interactions with our caregivers. Attachment styles are significant because they play out in peoples relationships too, influencing the kind of partners they pick, (stable or less stable), how they behave in a relationship (needy, distant, or volatile) and how the relationship tend to end (wistfully, amiably, or with an explosion) • The presenting problem, the issue somebody comes with, is often just one aspect of a larger problem, if not a red herring entirely. • "Help me understand more about the relationship" Here, here's trying to establish what’s known as a therapeutic alliance, trust that has to develop before any work can get done. • In early sessions is always more important for patients to feel understood than it is for them to gain any insight or make changes. • We can complain for free with a friend or family member, People make faulty narratives to make themselves feel better or look better in the moment, even thought it makes them feel worse over time, and that sometimes they need somebody else to read between the lines. • Here-and-now, it is when we work on what’s happening in the room, rather than focusing on patient's stories. • She didn't call him on his bullshit, which this makes patients feel unsafe, like children's whose parent's don’t hold them accountable • What is this going to feel like to the person I’m speaking to? • Neuroscientists discovered that humans have brain cells called mirror neurons, that cause them to mimic others, and when people are in a heightened state of emotion, a soothing voice can calm their nervous system and help them stay present • Don’t judge your feelings; notice them. Use them as your map. Don’t be afraid of the truth. • The things we protest against the most are often the very things we need to look at • How easy it is, I thought, to break someone’s heart, even when you take great care not to. • The purpose on inquiring about people's parent s is not to join them in blaming, judging or criticizing their parents. In fact it is not about their parents at all. It is solely about understanding how their early experiences informed who they are as adults so that they can separate the past from the present (and not wear psychological clothing that no longer fits) • But personality disorders lie on a spectrum. People with borderline personality disorder are terrified of abandonment, but for some that might mean feeling anxious when their partners don’t respond to texts right away; for others that may mean choosing to stay in volatile, dysfunctional relationships rather than being alone. • In therapy we aim for self compassion (am I a human?) versus self esteem (Am I good or bad: a judgment) • The techniques we use are a bit like the type of brain surgery in which the patient remains awake throughout the procedure, as the surgeons operate, they keep checking in with the patient: can you feel this? can you say this words? They are constantly calibrating how close they are to sensitive regions of the brain, and if they hit one, they back up so as not to damage it.

As David Hume explained, “The mind of man is subject to certain unaccountable terrors and apprehensions, proceeding from the unhappy situation of private or public affairs, from ill health, from a gloomy and melancholy disposition. In such a state of mind, where real objects of terror are wanting, the soul … finds imaginary ones, to whose power and malevolence it sets no limits.

A recent survey of private US health care facilities estimated that the support staff of hospital physicians spends nineteen hours a week interacting with insurance providers in prior authorizations, while clerical staff spend thirty-six hours a week filing claims. The cost of interactions between private health care providers and private insurance providers was estimated to be $68,000 per physician per year, totaling a whopping $31 billion per year—equivalent to the GDP of the Dominican Republic in 2005.22 The interaction costs in 1999 for the entire health care system, including private and public, were estimated on the low end to be $31 billion and on the high end to be $294 billion—which is comparable to the present day GDP of Singapore or Chile.

The health-care system in the United States is also suffering from the single-perspective mind-set: the seemingly reasonable but actually bizarre idea that the market can solve all a nation’s problems. I can understand why people looking at the United States and its inequalities and health-care outcomes would decide that private markets and competition should never be allowed anywhere near the delivery of public goods.

I remember hearing the writer Andrew Solomon tell a story about a married couple he’d met at a conference. During the course of the day, he said, each spouse had confessed independently to him to taking antidepressants but didn’t want the other to know. It turned out that they were hiding the same medication in the same house. No matter how open we as a society are about formerly private matters, the stigma around our emotional struggles remains formidable. We’ll talk with almost anyone about our physical health (can anyone imagine spouses hiding their reflux medication from each other?), even our sex lives, but bring up anxiety or depression or an intractable sense of grief, and the expression on the face looking back at you will probably read, Get me out of this conversation, pronto.

Depression is endemic. It is the condition most dealt with by the National Health Service, and is afflicting people at increasingly younger ages. The number of students who have some variant of dyslexia is astonishing. It is not an exaggeration to say that being a teenager in late capitalist Britain is now close to being reclassified as a sickness. This pathologization already forecloses any possibility of politicization. By privatizing these problems – treating them as if they were caused only by chemical imbalances in the individual’s neurology and/or by their family background – any question of social systemic causation is ruled out.

When we feel embodied, we can take up space, move freely in public and private, and challenge external appearance standards. We can connect to the needs and rights of others while simultaneously experiencing and expressing our individuality. We can experience emotion as anchored in the body, care for and protect our body, and use our body as a source of wisdom when interacting with the world. This matters for our health as a whole person and for our individuality as well as our interconnectedness.

The Great Stink (or How a Crisis Can Kickstart Radical Planning) Picture London in the 1850s. In fact, don’t picture it—smell it. Since medieval times, the city’s human waste had been deposited in cesspools—stinking holes in the ground full of rotting sludge, often in the basements of houses—or flushed directly into the River Thames. While thousands of cesspools had been removed since the 1830s, the Thames itself remained a giant cesspool that also happened to be the city’s main source of drinking water: Londoners were drinking their own raw sewage. The result was mass outbreaks of cholera, with over 14,000 people dying in 1848 and a further 10,000 in 1854.20 And yet city authorities did almost nothing to resolve this ongoing public health disaster. They were hampered not just by a lack of funds and the prevalent belief that cholera was spread through the air rather than through water, but also by the pressure of private water companies who insisted that the drinking water they pumped from the river was wonderfully pure. The crisis came to a head in the stiflingly hot summer of 1858. That year had already seen three cholera outbreaks, and now the lack of rainfall had exposed sewage deposits six feet deep on the sloping banks of the Thames. The putrid fumes spread throughout the city. But it wasn’t just the laboring poor who had to bear it: The smell also wafted straight from the river into the recently rebuilt Houses of Parliament and the new ventilation system conspired to pump the rank odor throughout the building. The smell was so vile that debates in the Commons and Lords had to be abandoned, and parliamentarians fled from the committee rooms with cloths over their faces. What became known as the “Great Stink” was finally enough to prompt the government to act.

With the barriers between home and work life increasingly fragile, and with the new electronic technology putting increasingly great stress on workers’ physical and mental health, protection of workers’ private time is of increasing importance.

You have a breakup, but you didn’t lose a spouse. So friends assume that you’ll move on relatively quickly, and things like these concert tickets become an almost welcome external acknowledgement of your loss—not only of the person but of the time and company and daily routines, of the private jokes and references, and of the shared memories that now are yours alone to carry.

My wife has a sweet tooth but is also very health conscious. Over more than two decades, she has followed a simple yet powerful way of avoiding the enticement of desserts. Our fridge just doesn’t have any. In my view, the best way to avoid investing in bad businesses is to ignore them and their stock prices. We never discuss what we consider bad companies or industries in our team meetings. Never. It doesn’t matter if an airline has declared spectacular results recently or if every analyst recommends buying airline shares. We are indifferent to a public sector bank that has hired a new CEO from the private sector and has pushed its stock price to an all-time high. We ignore an infrastructure business that has been awarded a new multibillion-dollar contract and a gold loan business that has announced 30 percent ROE in its latest quarterly result and is touted by the bulls to be the next billion-dollar opportunity. No one on our team is allowed to utter the famous last words of many investors: “This time, it’s different.” If we never discuss a business, how will we ever buy it? No sweets in the fridge: no snacking possible.

Failing well, perhaps even living well, requires us to become vigorously humble and curious—a state that does not come naturally to adults. Psychologists and neuroscientists have discovered that, far too often for our health and success, a kind of automatic sense that we’re right blinds us—the confirmation bias again. We literally fail to see disconfirming evidence. Other times, we’re privately aware that we’ve failed but reluctant to admit it.

What American Healthcare Can Learn from Italy: Three Lessons It’s easy. First, learn to live like Italians. Eat their famous Mediterranean diet, drink alcohol regularly but in moderation, use feet instead of cars, stop packing pistols and dropping drugs. Second, flatten out the class structure. Shrink the gap between high and low incomes, raise pensions and minimum wages to subsistence level, fix the tax structure to favor the ninety-nine percent. And why not redistribute lifestyle too? Give working stiffs the same freedom to have kids (maternity leave), convalesce (sick leave), and relax (proper vacations) as the rich. Finally, give everybody access to health care. Not just insurance, but actual doctors, medications, and hospitals. As I write, the future of the Affordable Care Act is uncertain, but surely the country will not fall into the abyss that came before. Once they’ve had a taste of what it’s like not to be one heart attack away from bankruptcy, Americans won’t turn back the clock. Even what is lately being called Medicare for All, considered to be on the fringe left a decade ago and slammed as “socialized medicine,” is now supported by a majority of Americans, according to some polls. In practice, there’s little hope for Italian lessons one and two—the United States is making only baby steps toward improving its lifestyle, and its income inequality is worse every year. But the third lesson is more feasible. Like Italy, we can provide universal access to treatment and medications with minimal point-of-service payments and with prices kept down by government negotiation. Financial arrangements could be single-payer like Medicare or use private insurance companies as intermediaries like Switzerland, without copying the full Italian model of doctors on government salaries. Despite the death by a thousand cuts currently being inflicted on the Affordable Care Act, I am convinced that Americans will no longer stand for leaving vast numbers of the population uninsured, or denying medical coverage to people whose only sin is to be sick. The health care genie can’t be put back in the bottle.

At the time, few people had or felt the need for private health insurance. Most Americans paid their doctors visit by visit, but the field of medicine was quickly growing more sophisticated, and as more diagnostic tests and surgeries became available, the attendant costs began to rise, tying health more explicitly to wealth. Both the United Kingdom and Germany had addressed similar issues by instituting national health insurance systems, and other European nations would eventually follow suit.

labour? The elite cared not that education standards were falling in the state sector, because by and large they had no connection with the state sector. For the most part they had private health insurance too. And in a sense the economic shibboleths of the 1980s paid for these people to live the less dirigiste social lives made possible by the new freedoms of divorce and separation. The poor, as we have seen, still cannot afford to divorce. When they do, the misery – economic and social – is boundless. I do not want to kill

When people who are tolerably fortunate in their outward lot do not find in life sufficient enjoyment to make it valuable to them, the cause, generally is, caring for nobody but themselves. To those who have neither public nor private affections, the excitements of life are much curtailed, and in any case dwindle in value as time approaches when all selfish interests must be terminated by death: while those who leave after them objects of personal affection, and especially those who have also cultivated a fellow-felling with the collective interests of mankind, retain as lively an interest in life on the eve of death as in the vigour of youth and health. Next to selfishness, the principal cause which makes life unsatisfactory, is want of mental cultivation.

In business studies, value is understood as being created inside the company by bringing together managerial expertise, strategic thinking and a dynamic (changing with circumstances) division of labour between workers.3 All this ignores the massive role of government in creating value, and taking risk in the process. In The Entrepreneurial State I argued that Silicon Valley itself is an outcome of such high-risk investments by the state, willing to take risks in the early stages of development of high-risk technologies which the private sector usually shies away from.4 This is the case with the investments that led to the internet, where a critical role was played by DARPA, the Defence Advanced Research Projects Agency inside the US Department of Defense – and also by CERN in Europe with its invention of the World Wide Web. Indeed, not only the internet but nearly every other technology that makes our smart products smart was funded by public actors, such as GPS (funded by the US Navy), Siri (also funded by DARPA) and touch-screen display (funded initially by the CIA). It is also true of the high-risk, early-stage investments made in the pharmaceutical industry by public actors like the National Institutes of Health (NIH) – without which most blockbuster drugs would not have been developed. And the renewable energy industry has been greatly aided by investments made by public banks like the European Investment Bank or the KfW in Germany, with private finance often too risk-averse and focused on short-term returns.

There was a watered-down version in the Senate Health and Education Committee bill, requiring any government-run insurer to charge the same rates as private insurers, but of course that would have defeated the whole purpose of a public option. My team and I thought a possible compromise might involve offering a public option only in those parts of the country where there were too few insurers to provide real competition and a public entity could help drive down premium prices overall. But even that was too much for the more conservative members of the Democratic caucus to swallow, including Joe Lieberman of Connecticut, who announced shortly before Thanksgiving that under no circumstances would he vote for a package that contained a public option. When word got out that the public option had been removed from the Senate bill, activists on the left went ballistic.

While Roosevelt ultimately lost the 1912 election, his party’s progressive ideals planted a seed that accessible and affordable medical care might be viewed as a right more than a privilege. It wasn’t long, however, before doctors and southern politicians vocally opposed any type of government involvement in healthcare, branding it as a form of bolshevism. After FDR imposed a nationwide wage freeze meant to stem inflation during World War II, many companies began offering private health insurance and pension benefits as a way to compete for the limited number of workers not deployed overseas. Once the war ended, this employer-based system continued, in no small part because labor unions liked the arrangement, since it enabled them to use the more generous benefit packages negotiated under collective bargaining agreements as a selling point to recruit new members. The downside was that it left those unions unmotivated to push for government-sponsored health programs that might help everybody else.

Doc never pictured herself as a private physician with one patient. Generally, she hated people and getting to know anyone too well only affirmed her prejudices. She often questioned why she became a doctor in the first place, but she enjoyed the feeling of power that came with the tools she knew how to wield and the complete control of emotions her words had. “You’re dying,” could shift a mood or change the course of a life. “You need this surgery or you will die,” was all she needed to convince her patients to line her pockets.

Now the Democrat Party has tilted so far left that it threatens to collapse any day. Just look at what remains of the party’s presidential hopefuls. Elizabeth Warren wants to arm the IRS (not literally but with more pencils) to punish the wealthiest people in the country. It doesn’t matter to her if they made their money by working hard, then creating jobs. She believes that the money belongs to the government. Of course, that didn’t stop her from making almost $500,000 a year from teaching one class at Harvard. It’s no wonder why college tuition is through the roof! Kamala Harris wants to get rid of all private health care and replace it with a single-payer government-issued model. The fact that the US government owes $122 trillion in unfunded liabilities such as Social Security and Medicare doesn’t even faze her. Just dump more debt on the pile, and let our children figure out how to pay for it.

After another forty-five minutes, the train reached the station at Heron's Point, a seaside town located in the sunniest region in England. Even now in autumn, the weather was mild and clear, the air humid with healthful sea breezes. Heron's Point was sheltered by a high cliff that jutted far out into the sea and helped to create the town's own small climate. It was an ideal refuge for convalescents and the elderly, with a local medical community and an assortment of clinics and therapeutic baths. It was also a fashionable resort, featuring shops, drives and promenades, a theatre, and recreations such as golf and boating. The Marsdens had often come here to stay with the duke's family, the Challons, especially in summer. The children had splashed and swum in the private sandy cove, and sailed near the shore in little skiffs. On hot days they had gone to shop in town for ices and sweets. In the evenings, they had relaxed and played on the Challons' back veranda, while music from the town band floated up from the concert pavilion. Merritt was glad to bring Keir to a familiar place where so many happy memories had been created. The seaside house, airy and calm and gracious, would be a perfect place for him to convalesce.

To be clear, the beneficiaries of Truman’s universal coverage would have been overwhelmingly white, as white people at the time made up 90 percent of the U.S. population. Few Americans, Black or white, had private insurance plans, and the recent notion that employers would provide it had yet to solidify into a nationwide expectation. The pool of national health insurance would have been mainly for white Americans, but the threat of sharing it with even a small number of Black and brown Americans helped to doom the entire plan from the start.

Much has been made of the youth and inexperience of the US political appointees in the CPA - the fact that a handful of twentysomething Republicans were given key roles overseeing Iraq's $13 billion budget. While there is no question that the members of the so-called brat pack were alarmingly young, that was not their greatest liability. These were not just any political cronies; they were frontline warriors from America's counterrevolution against all relics of Keynesianism, many of them linked to the Heritage Foundation, ground zero of Friedmanism since it was launched in 1973. So whether they were twenty-two-year-old Dick Cheney interns of sixtysomething university presidents, they shared a cultural antipathy to government and governing that, while invaluable for the dismantling of social security and the public education system back home, had little use when the job was actually to build up public institutions that had been destroyed. In fact, many seemed to believe that the process was unnecessary. James Haveman, in charge of rebuilding Iraq's health care system, was so ideologically opposed to free, public health care that, in a country where 70% of child deaths are caused by treatable illnesses such as diarrhea, and incubators are held together with duct tape, he decided that an overarching priority was to privatize the drug distribution system.

The Rockefeller Foundation launched a “public-private partnership” with pharmaceutical companies called the International Health Commission, which set about feverishly inoculating the hapless populations of the colonized tropics with a yellow fever jab.56 The vaccine killed its beneficiaries in droves and failed to prevent yellow fever. The Rockefeller Foundation quietly dropped the useless vaccine after the foundation’s star researcher, the yellow fever vaccine’s inventor, Hideyo Noguchi, succumbed to the disease, likely contracted through careless laboratory exposure.

Fascism talks ideology, but it is really just marketing—marketing for power. It is recognizable by its need to purge, by the strategies it uses to purge, and by its terror of truly democratic agendas. It is recognizable by its determination to convert all public services to private entrepreneurship, all nonprofit organizations to profit-making ones—so that the narrow but protective chasm between governance and business disappears. It changes citizens into taxpayers—so individuals become angry at even the notion of the public good. It changes neighbors into consumers—so the measure of our value as humans is not our humanity or our compassion or our generosity but what we own. It changes parenting into panicking—so that we vote against the interests of our own children; against their health care, their education, their safety from weapons. And in effecting these changes it produces the perfect capitalist, one who is willing to kill a human being for a product (a pair of sneakers, a jacket, a car) or kill generations for control of products (oil, drugs, fruit, gold).

The potential profit upside was impressive. Remdesivir cost Gilead $10 per dose to manufacture.18,19 But by granting Gilead an EUA, regulators could force private insurers, Medicare, and Medicaid to fork over around $3,120.00 per treatment—hundreds of times the cost of the drug.

Undervaccinated children are likely to be children whose parents want them to receive health care but cannot afford it, whereas unvaccinated children are likely to be children of parents with vaccine doubt. Indeed, the strongest predictors of vaccine exemptions in California are median household income, higher percentage of white race in the population, and private schools.

In the drive for homeschooling and the privatization of public education; in the providential history of Christian nation mythologizers; in their insistence that public officials be guided by a “biblical worldview”; in the unabashed commitment to the subordination of women, part of the order and structure of the universe as God intended; in the fusion of the Bible with libertarian economics—even in their arguments for gun rights and against universal health care—today’s Christian nationalists follow the logic, if not necessarily the theology, laid down by Rushdoony.

Here in this country often chastised for its lack of mental health services, for its lack of a language to discuss suffering and depression, we were out in the open, ringing bells, writing down the names of the people we missed, praying for them, and planning on spending several days in their company because we missed them. There was nothing private about our grief.

Global health has been analysed by some observers as marking the end of sovereign states replaced by NGOs, international organisations (WHO, OIE, FAO), and private foundations (such as the Gates Foundation) in the funding of public health interventions.

Many in the proudly working-class city of Liverpool were pleased to find that the Swabian’s convictions echoed their own. ‘I wouldn’t call myself very political but I’m on the left, of course. More left than the middle,’ Klopp told taz in 2009. ‘I believe in the welfare state, I don’t mind paying for health insurance. I’m not privately insured, I would never vote for a party because they promised to lower the top tax rate. My political understanding is this: if I’m doing well, I want others to do well, too. If there’s something I’ll never do in my life it’s voting for the right.

Enthusiasm is bad. Calm and resolution constitute the strength of virtue. “That is the state of health in moral life, whereas the affect, even when it is excited by the idea of the good, is a momentarily lustrous phenomenon which leaves behind lassitude.”25 Juliette’s friend Clairwil makes exactly the same observation with regard to vice.26 “My soul is hardened, and I am far from preferring sensibility to the happy indifference I now enjoy. Oh Juliette . . . perhaps you are deceiving yourself about the dangerous sensibility prized by so many fools.” Apathy arises at the turning points in bourgeois history, as in the history of antiquity, when the pauci beati become aware of their powerlessness in face of the overwhelming historical tendency. It marks the retreat of the individual’s spontaneity into the private sphere, which is thus established as the truly bourgeois form of existence. Stoicism—which is the bourgeois philosophy—makes it easier for the privileged to look what threatens them in the eye by dwelling on the suffering of others. It affirms the general by elevating private existence, as protection from it, to the status of a principle. The private sphere of the bourgeois* is an upper-class cultural asset which has come down in the world.

I had some idea of what had to be done, thanks to all we had been learning during the previous six years—from breaking Fair Trade on imported wine, developing private label California wine, and busting the price of health foods and cheeses. But to an extent we were just like a little kid running around while being kept from harm by a kiddie-keeper. We were “protected” by price controls on almost 50 percent of what we sold. Now we were ready to throw off the leash.

massive transitions to something entirely “new” were always defined in terms of a response to a violent external shock or the threat of one to come. World War II, for example, led to the introduction of cradle-to-grave state welfare systems in most of Europe. So did the Cold War: governments in capitalist countries were so worried by an internal communist rebellion that they put into place a state-led model to forestall it. This system, in which state bureaucrats managed large chunks of the economy, ranging from transportation to energy, stayed in place well into the 1970s. Today the situation is fundamentally different; in the intervening decades (in the Western world) the role of the state has shrunk considerably. This is a situation that is set to change because it is hard to imagine how an exogenous shock of such magnitude as the one inflicted by COVID-19 could be addressed with purely market-based solutions. Already and almost overnight, the coronavirus succeeded in altering perceptions about the complex and delicate balance between the private and public realms in favour of the latter. It has revealed that social insurance is efficient and that offloading an ever-greater deal of responsibilities (like health and education) to individuals and the markets may not be in the best interest of society.

Netherlands, which has a restrictive immigration policy compared to the United States. Most European nations, including the Netherlands, after all, have universal health insurance coverage, which makes drug treatment and psychiatric treatment more available, and the Dutch government subsidizes more housing. Finally, the Netherlands’ big success was with heroin, which has effective pharmacological substitutes, methadone and Suboxone, not with meth, which lacks anything similar. But there may be fewer obstacles than appear. The Netherlands has a private health-care insurance system similar to that of the United States and covered the people who needed health care in ways similar to Medicaid and the Affordable Care Act, which significantly expanded access to drug treatment, including medically assisted treatment, in the United States.4 San Francisco subsidizes a significant quantity of housing, as we have seen. While California is larger than the Netherlands, the population of Amsterdam (872,000) is nearly identical to San Francisco’s (882,000).5 And while California’s population and geographic area are larger and more difficult to manage than those of the Netherlands, California also has significantly greater wealth and resources, constituting in 2019 the fifth-largest economy in the world.6 And the approach to breaking up open drug scenes, treating addiction, and providing psychiatric care is fundamentally the same whether in five European cities, Philadelphia, New York, or Phoenix.

Let religion be personal let religion be private Every religion is worthy of appreciation be neutral if you can't relate It's doesn't determine character or personality trait In it alone we can meditate with it individually let's celebrate! Let every religion get specialised, Mankind #Mivkeymized

I mean, I don't know what the fuss is about. I mean, everything in the world loves you. White men love you. They spend so much time worrying about your penis they forget their own. The only thing they want to do is cut off a nigger's privates. And if that ain't love and respect I don't know what is. And white women? They chase you all to every corner of the earth, feel for you under every bed. I knew a white woman wouldn't leave the house after 6 o'clock for fear one of you would snatch her. Now ain't that love? They think rape soon's they see you, and if they don't get the rape they looking for, they scream it anyway just so the search won't be in vain. Colored women worry themselves into bad health just trying to hang on to your cuffs. Even little children -- white and black, boys and girls -- spend all their childhood eating their hearts out 'cause they think you don't love them. And if that ain't enough, you love yourselves. Nothing in this world loves a black man more than another black man. You hear of solitary white men, but niggers? Can't stay away from one another a whole day. So. It looks to me like you the envy of the world.

That trifecta—humanities, technology, business—is what has made him one of our era’s most successful and influential innovators. Like Steve Jobs, Bezos has transformed multiple industries. Amazon, the world’s largest online retailer, has changed how we shop and what we expect of shipping and deliveries. More than half of US households are members of Amazon Prime, and Amazon delivered ten billion packages in 2018, which is two billion more than the number of people on this planet. Amazon Web Services (AWS) provides cloud computing services and applications that enable start-ups and established companies to easily create new products and services, just as the iPhone App Store opened whole new pathways for business. Amazon’s Echo has created a new market for smart home speakers, and Amazon Studios is making hit TV shows and movies. Amazon is also poised to disrupt the health and pharmacy industries. At first its purchase of the Whole Foods Market chain was confounding, until it became apparent that the move could be a brilliant way to tie together the strands of a new Bezos business model, which involves retailing, online ordering, and superfast delivery, combined with physical outposts. Bezos is also building a private space company with the long-term goal of moving heavy industry to space, and he has become the owner of the Washington Post.

Mark, at dinner, said he’d been re-reading “Anna Karenina”. Found it good, as novels go. But complained of the profound untruthfulness of even the best imaginative literature. And he began to catalogue its omissions. Almost total neglect of those small physiological events that decide whether day-to-day living shall have a pleasant or unpleasant tone. Excretion, for example, with its power to make or mar the day. Digestion. And, for the heroines of novel and drama, menstruation. Then the small illnesses—catarrh, rheumatism, headache, eyestrain. The chronic physical disabilities—ramifying out (as in the case of deformity or impotence) into luxuriant insanities. And conversely the sudden accessions, from unknown visceral and muscular sources, of more than ordinary health. No mention, next, of the part played by mere sensations in producing happiness. Hot bath, for example, taste of bacon, feel of fur, smell of freesias. In life, an empty cigarette-case may cause more distress than the absence of a lover; never in books. Almost equally complete omission of the small distractions that fill the greater part of human lives. Reading the papers; looking into shops; exchanging gossip; with all the varieties of day-dreaming, from lying in bed, imagining what one would do if one had the right lover, income, face, social position, to sitting at the picture palace passively accepting ready-made day-dreams from Hollywood Lying by omission turns inevitably into positive lying. The implications of literature are that human beings are controlled, if not by reason, at least by comprehensible, well-organized, avowable sentiments. Whereas the facts are quite different. Sometimes the sentiments come in, sometimes they don’t. All for love, or the world well lost; but love may be the title of nobility given to an inordinate liking for a particular person’s smell or texture, a lunatic desire for the repetition of a sensation produced by some particular dexterity. Or consider those cases (seldom published, but how numerous, as anyone in a position to know can tell!), those cases of the eminent statesmen, churchmen, lawyers, captains of industry—seemingly so sane, demonstrably so intelligent, publicly so high-principled; but, in private, under irresistible compulsion towards brandy, towards young men, towards little girls in trains, towards exhibitionism, towards gambling or hoarding, towards bullying, towards being whipped, towards all the innumerable, crazy perversions of the lust for money and power and position on the one hand, for sexual pleasure on the other. Mere tics and tropisms, lunatic and unavowable cravings—these play as much part in human life as the organized and recognized sentiments. And imaginative literature suppresses the fact. Propagates an enormous lie about the nature of men and women.

Knowing when to say no to certain deals, knowing which relationships to maintain and which to discard, knowing when your health is affected by your work; company and when to start over are all important as an entrepreneur

No matter how open we as a society are about formerly private matters, the stigma around our emotional struggles remains formidable. We'll talk with almost anyone about our physical health (can anyone imagine spouses hiding their reflux medication from each other?), even our sex lives, but bring up anxiety or depression or an intractable sense of grief, and the expression on the face looking back at you will probably read, 'Get me out of this conversation, pronto.' But what are we so afraid of? It's not as if we're going to peer in those darker corners, flip on the light, and find a bunch of cockroaches. Fireflies love the dark too. There's beauty in those places. But we have to look in there to see it.

critics would complain if he spent billions on vaccines and nothing on therapeutics. However, any licensed, repurposed antiviral that was effective against COVID for prevention or early treatment (like IVM or HCQ) could kill his entire vaccine program because FDA wouldn’t be able to grant his jabs Emergency Use Authorization. Remdesivir, however, was an IV remedy, appropriate only for use on hospitalized patients in the late stages of illness. It would therefore not compete with vaccines, allowing Dr. Fauci to support it without compromising his core business. Furthermore, while HCQ and IVM were off-patent and available generically, remdesivir was in the sweet spot of still being on patent. The potential profit upside was impressive. Remdesivir cost Gilead $10 per dose to manufacture.18,19 But by granting Gilead an EUA, regulators could force private insurers, Medicare, and Medicaid to fork over around $3,120.00 per treatment—hundreds of times the cost of the drug.20,21 Gilead predicted remdesivir would bring in $3.5 billion in 2020 alone.

A resurgent climate movement could use those warnings to light a fire under the call to kick corporate money out of politics—not just fossil fuel money, but money from all the deep-pocketed barriers to progress from the National Rifle Association to the fast food industry to the private-prison complex. Such a rallying cry could bring together all of the various constituencies that would benefit from reducing corporate power over politics—from health care workers to parents worried about their children’s safety at school.

Think of a positive sexual experience from your past. Describe it here, with as many relevant details as you can recall: Now consider what aspects of that experience made it positive: Category Description Mental and physical wellbeing Physical health Body image Mood Anxiety Distractibility Worry about sexual functioning Other Partner characteristics Physical appearance Physical health Smell Mental state Other Relationship characteristics Trust Power dynamic Emotional connection Feeling desired Frequency of sex Setting Private/public (at home, work, vacation, etc.) Distance sex (phone, chat, etc.) See partner do something positive, like interact with family or do work Other life circumstances Work-related stress Family-related stress Holiday, anniversary, “occasion” Ludic factors/play Self-guided fantasy Partner-guided fantasy (“talking dirty”) Body parts that were touched or not Oral sex on you/on partner

Though many of us experience sensory issues, anxiety, meltdowns, and debilitating mental health symptoms, we push as much of that misery into the private realm as possible. Our elaborate veils of coping mechanisms and camouflaging can create the illusion we don’t need help. Often this comes at the expense of giving up on the areas of life where we might need assistance. We may eschew relationships, drop out of grueling academic programs, avoid working in fields that require networking and socializing, or completely disengage from activities that involve using our bodies, because we feel so detached and uncoordinated in them. Most of us are haunted by the sense there’s something “wrong” or “missing” in our lives—that we’re sacrificing far more of ourselves than other people in order to get by and receiving far less in return.

Universal healthcare ensures that all individuals have access to necessary medical services regardless of their ability to pay. This policy addresses the gaps and inequities in the current healthcare system, where millions of Americans remain uninsured or underinsured. Countries such as Canada and the United Kingdom provide successful examples of universal healthcare systems that deliver better health outcomes at lower costs compared to the U.S. system. Education policy is another area where progressive alternatives can counteract Project 2025’s agenda. Investing in public education, increasing funding for schools in underserved communities, and promoting inclusive curricula that reflect the diversity of American society are essential steps toward achieving educational equity. Progressive education policies prioritize the needs of students and educators over privatization efforts and standardized testing, ensuring that all children have access to a high-quality education.

Most schools fulfill this legal obligation by providing services that won’t involve a perpetrator, such as academic accommodations or healing resources. At Western University, victim advocates would broker agreements between survivors and their professors to get extensions on assignments or excused absences. They would also help survivors submit paperwork to receive refunds for classes they dropped or failed due to the strains of their traumatic symptoms. To improve survivors’ mental health, the Counseling Center hosted group therapy for sexual assault survivors and offered one-on-one counseling at a cheaper rate than the insurance co-pay at most private practices. Advocates also had a small fund available to cover survivors’ trauma-related expenses. Overwhelmingly, survivors who received these resources benefited from them. Some called them life-changing. However, few survivors felt comfortable actually using them. Especially more than once.