Bernard Levin: On Quoting Shakespeare:

The following is not about modern life or politics, or even Epicureanism. But read it and you will wonder at the genius of Shakespeare all over again:

“If you cannot understand my argument, and declare “It’s Greek to me”, you are quoting Shakespeare; if you claim to be more sinned against than sinning, you are quoting Shakespeare; if you recall your salad days, you are quoting Shakespeare; if you act more in sorrow than in anger; if your wish is farther to the thought; if your lost property has vanished into thin air, you are quoting Shakespeare; if you have ever refused to budge an inch or suffered from green-eyed jealousy, if you have played fast and loose, if you have been tongue-tied, a tower of strength, hoodwinked or in a pickle, if you have knitted your brows, made a virtue of necessity, insisted on fair play, slept not one wink, stood on ceremony, danced attendance (on your lord and master), laughed yourself into stitches, had short shrift, cold comfort or too much of a good thing, if you have seen better days or lived in a fool’s paradise – why, be that as it may, the more fool you, for it is a foregone conclusion that you are (as good luck would have it) quoting Shakespeare;

“If you think it is early days and clear out bag and baggage, if you think it is high time and that that is the long and short of it, if you believe that the game is up and that truth will out, even if it involves your own flesh and blood, if you lie low till the crack of doom because you suspect foul play, if you have your teeth set on edge (at one fell swoop) without rhyme or reason, then – to give the devil his due – if the truth were known (for surely you have a tongue in your head) you are quoting Shakespeare; even if you bid me good riddance and send me packing, if you wish I was dead as a door-nail, if you think I am an eyesore, a laughing stock, the devil incarnate, a stony-hearted villain, bloody-minded or a blinking idiot, then – by Jove! O Lord! Tut tut! For goodness’ sake! What the dickens! But give me no buts! – it is all one to me, for you are quoting Shakespeare”.

Death by medical error

The statistics on deaths caused by medical error in the United States are very troublesome:

Heart disease: 614,348
Cancer: 591,699
Medical error: 251,454
Respiratory disease: 147,101
Accidents: 136,053
Strokes: 133,103
Alzheimers: 93,541
Flu/pneumonia: 55,227
Kidney disease: 48,146
Suicide: 42,773
(Figures from John Hopkins University, National Center for Health Statistics amd BMJ, published in the Washington Post).

A quarter of a million (!) people went into hospital expecting first class treatment, and were killed accidentally by medical error. The figure speaks for itself. Of course, there are always going to be mistakes – to make mistakes is human. But the doctors are paid handsomely for their services, more handsomely than in any other advanced country. Surgeons and specialists can typically end up millionaires. In return the American health system does a poor job. Life expectancy is below most other advanced countries, and here we are, having to pay, say $56,000 for a knee joint replacement and quite possibly coming out in a wooden box.

What the answer is I don’t know, but I do think the culture of money and enrichment has a role in encouraging doctors – and hospitals – to rush procedures and push through more and more people, for the hospital if not for themselves. I can attest that it is quite usual to insist on CT scans and MRIs that help pay for the gear but are arguably unnecessary (nothing to do with deaths, but indicative of an attitude).

I have asked my wife to absolutely keep me out of hospitals, on the grounds that, even if they don’t kill you you get an infection. My trust level is low. I exclude the stellar job done by the doctor who gave me a new hip. This is the problem – there are really wonderful doctors among the careless. Sweeping statements are easy to make until you remember the good guys. But a quarter of a million accidental deaths…. Unacceptable.

Countering radicalization

From Liz Berry, Lydbrook, Gloucestershire, UK

Peter Byrne points out that no classic intervention strategy to combat radicalisation seems to work and that the UK parliament’s human rights committee reported that the nation’s Prevent strategy may actually make matters worse. Suggested countermeasures were to encourage community engagement; to break down stereotypes, rehumanising collaborators; and encouraging empathy and compassion through brain training. Those most susceptible to the propaganda were identified as being uncertain about their lives, or having psychiatric problems.

Then I read Graham Lawton’s interview with Robin Carhart-Harris. Carhart-Harris reports that subjects on psilocybin experience profound feelings of connectedness to others. Even a single dose can make the subject more politically liberal and more connected to other people.

Is it worth a try? (New Scientist, 16 Sept 2017)

I am in favour of extensive trials of psilocybin. I would start with the right wing of the British Conservative Party, the leading Brexiteers and advocates of neo-liberal government policies. I would then move across the Atlantic and try the drug on members of the Tea Party, workers in the White House and top government panjamdrums who are undoing all those humane policies in health, the environment and so on. At which point so many angry sociopaths would be taking the drug that it would have run out. But, on the other hand, the planet might possibly have been saved. Worth a try? You bet!

The future of China

N.B this isn’t a subject I know a huge amount about. But since I was recommended to write about it awhile ago, I’m going to give it my best shot. Also bear in mind that this is very much from a Western perspective. 

The rise of China is a very contentious subject in the West, particularly in the United States; Americans largely see China as a threat to their world power status. On the one hand, Chinese manufacturing has raised our standard of living considerably, by allowing us to buy their cheap products instead of our own expensive ones. The growth of Chinese consumer demand is a much-needed market for our own manufacturing sector. Chinese tourists have been a boon to our cities and historical sites. Chinese foreign students have lavished our universities with cash, subsidising costs for domestic students and providing investment for new research.

However, Chinese success has to an extent, come at the expense of the developed world. Partly through direct intellectual property theft; the most notorious example being the stealing of Japanese high speed rail technology. China has disregarded WTO rules on issues like steel dumping. Their manufacturing costs have been lowered by paying their workers poverty wages and disregarding environmental standards. On the whole, Chinese prosperity has been enabled by prioritising economic growth over individual wellbeing. Working hours are long, health and safety is scant, and workplace deaths are all too common.

Anti-Chinese sentiment contributed to the success of Donald Trump, who has promised to enact tariffs on Chinese made products. So far, he has yet to keep his word, mostly because his advisors have warned of the damage a trade war would do to the US economy. Trump’s anti-Chinese rhetoric was at times xenophobic, with no appreciation for the nuances of the debate, like the legitimate desire of the Chinese to prosper in the global economy. He critique of Chinese protectionism was obviously hypocritical. And his overall view of the world order as a zero-sum game, with Chinese (or Mexican) growth necessitating American decline, is an inaccurate view of a world where generally speaking, living standards have gone up for everyone.

The consensus amongst economists is that China’s rapid economic expansion will come to an end, sooner or later. The debate is how that will happen. There are two views: the hard-landing view, where China experiences a sudden crash, causing a global recession, and the soft-landing view, where GDP growth gradually slows as the population ages, welfare costs rise, and a renaissance in American manufacturing brings some jobs back to the US. My personal view is that the soft landing scenario is more likely. If there is a sudden crash, it could threaten the power of the Chinese Communist Party, so they won’t allow it to happen. The Communist Party is determined not to go the way of the Soviet Communists, where economic malaise and a lack of dedication to socialist ideals brought the regime down.

Given that Chinese growth will inevitably slow, there’s no need for a Trump-style adversarial relationship with the country. We should lower tariffs on Chinese goods, on the condition that they lower tariffs on ours. As the Chinese economy becomes more dependent on consumer demand, we should use this to get the Communist Party to open up the country further, which I believe will be beneficial for both us and them.  But if we appear hostile to China, the Communist Party will insulate the country, a move which we will ultimately pay for.

The left wing objection to China is the country’s woeful record on human rights, mostly notably the occupation of Tibet. Lesser known abuses include their criminal justice system with its frequent executions, as well as its persecution of other ethnic minorities, especially Muslims living in the west of the country. China’s Christians are hardly in a good position; the recent rapid expansion of Christianity has rattled the Communist Party, which officially adheres to a doctrine of state atheism. All of this is true, but it doesn’t warrant any acts of anti-Chinese hostility or protectionism. If we didn’t trade with any countries with poor human rights records, we couldn’t buy any oil from the Middle East or gas from Russia. The reality is we must buy from those we don’t necessarily approve of. Retaliation against the Chinese would only be viable if the country actively threatened us militarily. But that probably won’t happen, so relations with China ought to remain cordial for now.

 

The majority doesn’t rule on guns

The US is now a non-majoritarian democracy, that is, it vastly over-represents rural areas and small states, leaving city dwellers with limited influence over issues such as gun control. Large majorities want universal background checks, a ban on assault-style weapons and measures to prevent the mentally-ill and those on no-fly lists from buying guns. Ponder these points:

– In 1960 63% of Americans lived in metro areas; by 2010 84% did. It has been calculated that by 2040 70% of Americans will live in only 15 states, and be represented by only 30 of the 100 senators. And you call this a democracy? (please stop calling it that!)

– Add to this disturbing statistic the gerrymandering, which gave Republicans 16 seats they wouldn’t have won in the last election had gerrymandering not been rife.

– The voter-suppression efforts (rules about what documents you need to vote etc) and the disenfranchisement of former felons have skew election results, particularly in the South.

– and the above doesn’t even begin to take into account the anti-democratic waves of big money that buy Representatives and Senators. You thus have a system that is totally broken, in which one party pants like a load of puppies in appreciation of the super-rich, and ignores everyone else, unless they are fundamentalist christians. Russian interference in elections is just a blip on the screen, just another set of disagreeable and divisive voices among the home-grown variety.

The system is illegitimate, but where are the patriots with the integrity to reform it?
(statistics from an article in Washington Post by E.J.Dionne, Norman J. Ornstein and Thomas E Mann, October 4th 2017)