The Road not Taken


Arjun Jayadev over at INET:

Can we theorize the economy as an entity that is growing, evolving, never in equilibrium? An economy passes through periods of intense instability and groping towards an uncertain future as a matter of course? How might one begin?

The pretense that we know the future probabilistically as a given set of probability distributions of every damn thing is, I think, a pretty dangerous delusion, but it’s also a comforting one to some people.

The year was 1967. Young Axel Leijonhufvud sat in front of a pile of papers, full of unfinished notes, half-worked through arguments and intellectual dead-ends that he had been at for nearly four years. Two years into a tenure track position in the economics department at the University of California Los Angeles, he seemed unable to fashion a coherent dissertation from the morass of ideas in the sprawl. This year was his last chance to do so if he wanted to remain in academic employment.

The Swedish émigré had rather immodestly and perhaps unwisely decided that his doctoral work should be on some of the deepest problems of macroeconomics: why was it that the capitalist economy sometimes fails calamitously, and why was it that the Great Depression (still very much in the public memory in the 1960s) had been so very different from ordinary recessions? In trying to understand that defining period of the 1930s he had undertaken a wide range of reading of earlier economists, including a closer reading of the ur-text of the discipline –the General Theory of Employment, Interest and Money by John Maynard Keynes.

One day, following yet another dead-end, and feeling like he was ready to give up and leave academic life, he began to look in desperation at his footnotes. For the first time, he began to see something in his scribblings — an electrifying theme emerged that laid the ground for what was to be a set of ideas that aimed directly at the heart of academic macroeconomics.

More here.

A Forum on Anne-Marie Slaughter’s Unfinished Business: Women, Men, Work, Family


Over at Signs's Short Takes, a forum on Slaughter's new book with Heather Boushey, Kimberly Freeman Brown, Stephanie Coontz, Nancy Folbre, Kathleen Geier, Tressie McMillan Cottom, Premilla Nadasen, Ai-jen Poo, and Joan C. Williams, with a response by Anne-Marie Slaughter. Nancy Folbre:

When the suit sitting next to me on an airplane saw me reading Anne-Marie Slaughter’sUnfinished Business (the subtitle, Women, Men, Work, Family, is not so easy to see), he cheerfully asked me what line of business I was in. When I said, “I’m in the feminist business,” he did a double take. “Yes,” I added, “and it’s expanding like mad.”

Fortunately he did not ask me about its profit margins.

Pondering the book’s title in the aftermath of this brief exchange, I registered the hidden pun. This is largely a book about busyness—tyrannical over-busyness. In this it succeeds as a thoughtful and therapeutic treatment.

Slaughter challenges the “women can do it all” norm that gives women so little permission to disappoint anyone’s expectations. She also sharply deplores the antifamily pressures of the modern workplace and the inadequacies of our public care infrastructure.

In some ways, she reverses Sheryl Sandberg’s Lean In (subtitled Women, Work, and the Will to Lead) by arguing that women need to lead men, as well as themselves, away from psychological subordination to paid employment. Lean in to your family, your friends, and your community, Slaughter urges. Lean in to make political change.

Unlike Sandberg, Slaughter almost manages to transform her privileged standpoint (as an academic and political superstar rather than an entrepreneur) into a political asset rather than a liability. After all, if a woman who can afford a full-time housekeeper still needs to take time out from the job of her dreams, the rest of us should not succumb to feelings of inadequacy when we do the same.

Unfortunately, her book, despite its attentiveness to economic differences among women, doesn’t quite preempt the “privilege” critique. In its cheerful exhortation to everyone to fight for changes that would, in principle, benefit everyone, it glosses over larger issues of income inequality.

More here.

Life lessons from ancient Greece: the growing popularity of stoicism

Rowland Manthorpe in More Intelligent Life:

After Helen Rudd sustained traumatic injuries in a traffic accident, she lay in a coma for three weeks. “I had to learn everything again. I had to learn to read and write,” says Rudd. Her life had changed completely and she needed a different outlook. When she heard about an event in which people attempted to live like ancient stoics for a week, the idea struck a chord. In 2014, Rudd was one of almost 2,000 people to take part in Stoic Week. “Stoicism has helped me concentrate on the good things,” she says. Over two millennia after it first came to prominence, stoicism is having a moment. It’s on the internet, of course: the stoicism subreddit, the largest meeting place for stoics online, has over 28,000 subscribers, many times the number of erstwhile rival Epicureanism (around 4,000). But it is also infiltrating real life, even in its toughest forms. The Navy Seals teach stoic insights to new recruits; throughout the NFL, players and coaches are devouring Ryan Holiday’s guide to stoicism, “The Obstacle Is the Way”. Tim Ferriss, a start-up guru, extols the benefits of Stoicism at firms such as Google. “For entrepreneurs,” says Ferriss, “it’s a godsend.”

Even in antiquity, stoicism was noted for its practicality. Ancient Greek and Roman stoics wrote about theology, logic and metaphysics, but their focus was on the “hic et nunc”, the here and now. “Stoicism tells you what in life is worth having and gives you a way to get there,” says William Irvine, the author of the stoic handbook, “A Guide to the Good Life”. The key is learning to be satisfied with what you’ve got. “Some things are up to us and others are not,” taught Epictetus. “Up to us are opinion, impulse, desire…Not up to us are body, property, reputation, office, in a word, whatever is not our own action.” This indifference to everyday comforts has left stoicism with a reputation for coldness. In reality, its defenders argue, it is simply a rational approach to managing expectations. The central insight of stoicism is that life is tough and changeable, so prepare for difficulty.

More here.


Linda Lombardi in the Arena Stage Blog:

The most-produced play of the 2015/2016 theater season, Ayad Akhtar’s Pulitzer Prize winner, Disgraced, is inspiring a national dialogue about everything from cultural appropriation to identity politics to what it means to be an American. I met with Ayad recently to discuss his body of work, the themes in Disgraced, and his love of theater. Below is an excerpt of our conversation.

How did you come to theater? How did you start playwriting?

ScreenHunter_1884 Apr. 24 21.54My parents came over from Pakistan in 1968 and 1969. They were the first to leave Pakistan and come to America. My dad was the only son on his side of the family and my mom was the eldest. I was the first-born son. They were both doctors so, of course, I was going to be a doctor, right? My mom trained me — when the teacher asks what you want to do when you grow up, to say I want to be a neurologist. My kindergarten teachers were very impressed. I didn’t quite know what a neurologist was.

When I was fifteen I had a literature teacher who changed my life. She made me want to become a writer. It was certainly a great — perhaps the great —encounter in my life. Everything I do is an homage to her. I had her for class two hours a day, both semesters, junior and senior year. She introduced me to the theater via text. I was reading everything under the sun. She was really obsessed with European continental modernism, so I was reading a lot of very obscure modernist writers. I went to college to become a writer and my second year there a friend was directing David Mamet’s Sexual Perversity in Chicago and he thought I’d be good in it. I don’t know why he thought I’d be good in that play. But I loved acting, and I started to do more and more theater. When I graduated from Brown, I worked with Jerzy Grotowski for a year in Italy, and ended up as his assistant. I spent a lot of time with him towards the end of his life. Then I came to New York and worked with Andre Gregory and taught acting with him for many years. I had this weird, avant-garde training that was all about process. And now I write these overtly audience oriented, well-made, traditional plays. It’s really weird how life is.

More here.

A genetic technology that can kill off mosquito species could eradicate malaria, but is it too risky to ever use?

Antonio Regalado in the MIT Technology Review:

ScreenHunter_1883 Apr. 24 21.49Malaria kills half a million people each year, mostly children in tropical Africa. The price tag for eradicating the disease is estimated at more than $100 billion over 15 years. To do it, you’d need bed nets for everyone, tens of thousands of crates of antimalaria drugs, and millions of gallons of insecticides. But it would take more than stuff. You’d need things the poorest countries in the world don’t have, like strong governments, purchasing power, and functioning public health systems. So malaria keeps killing.

But what if, instead, you needed only a bucket full of mosquitoes?

I saw such an invention at Imperial College London. A student led me through a steel door, under a powerful gust of air, and into a humid room heated to 83 °F. Behind glass, mosquitoes clung to the sides of small cages covered in white netting. A warning sign read, “THIS CUBICLE HOUSES GENE DRIVE GM MOSQUITOES.” It went on to caution that the insects’ DNA contains a genetic element that has “a capacity to spread” at a “disproportionately high” rate.

A gene drive is an artificial “selfish” gene capable of forcing itself into 99 percent of an organism’s offspring instead of the usual half. And because this particular gene causes female mosquitoes to become sterile, within about 11 generations—or in about one year—its spread would doom any population of mosquitoes. If released into the field, the technology could bring about the extinction of malaria mosquitoes and, possibly, cease transmission of the disease.

More here.

How the chili pepper got to China

Andrew Leonard in Nautilus:

ScreenHunter_1882 Apr. 24 21.40In 1932, the Soviet Union sent one of its best agents to China, a former schoolteacher and counter-espionage expert from Germany named Otto Braun. His mission was to serve as a military adviser to the Chinese Communists, who were engaged in a desperate battle for survival against Chiang Kai-shek’s Nationalists.

The full story of Braun’s misadventures in China’s Communist revolution is packed with enough twists and turns for a Hollywood thriller. But in the domain of culinary history, one anecdote from Braun’s autobiography stands out. Braun recalls his first impressions of Mao Zedong, the man who would go on to become China’s paramount leader.

The shrewd peasant organizer had a mean, even “spiteful” streak. “For example, for a long time I could not accustom myself to the strongly spiced food, such as hot fried peppers, which is traditional to southern China, especially in Hunan, Mao’s birthplace.” The Soviet agent’s tender taste buds invited Mao’s mockery. “The food of the true revolutionary is the red pepper,” declared Mao. “And he who cannot endure red peppers is also unable to fight.’ ”

Maoist revolution is probably not the first thing that comes to mind when your tongue is burning from a mouthful of Kung Pao chicken or Mapo Tofu at your favorite Chinese restaurant. But the unlikely connection underscores the remarkable history of the chili pepper.

More here.

Why liberal economists dish out despair

Gerald Friedman in Evonomics:

ScreenHunter_1881 Apr. 24 21.34When I conducted an assessment of Senator Bernie Sanders’ economic proposals and found that they could produce robust growth, the negative reaction among powerful liberal economists was swift and vehement. How much, I wondered, did this reflect personal disappointment being rationalized into a political economy of despair? Professional economists tend to embrace an economic theory that government can do little more than fuss around the edges. From that stance, what do they have to offer ordinary people for whom the economy is not working? Not a whole lot.

It has certainly been a rough seven years for the liberal economists in the Obama Administration. Economic recovery has been slow, the slowest in the post-World War II era. Ambitious programs for reform of social insurance programs (such as unemployment insurance) and for public investment have been scaled back, and back. Yes, there is much that these economists who served Obama can be proud of: more people have health insurance, and the economy did not collapse. But the constant slog must have taken a toll. Having experienced so many compromises and disappointments, perhaps it is easier to say to those who expect more that it just can’t happen. There is comfort in the Thatcherite phrase: There Is No Alternative (TINA).

More here.

Renowned Urdu author Joginder Paul passes away

From the Times of India:

13006546_10209530910612759_7295453378866852087_nRenowned Urdu litterateur and author Joginder Paul passed away on Friday after a prolonged illness. He was 90.

Paul had been suffering from age-related illness and was hospitalized for some weeks.

He is survived by his wife Krishna, sons Sudhir and Sunit, and daughter Sukrita.

A large number of relatives, friends and admirers attended the last rites here.

Born on September 5, 1925 in Sialkot in present day Pakistan, Paul migrated to India at the time of Partition. His mother tongue is Punjabi, but his primary and middle school education was in Urdu medium.

He did his M.A. in English literature, which he taught until he retired as the principal of a post-graduate college in Maharashtra. Paul chose to put his creative expression in Urdu language, as he believed that Urdu is “not a language but a culture” and for him writing is to be in the culture. He was part of the Progressive Urdu Writers' Movement.

More here. And many readings of his work here. And here is a video interview.

[Joginder Paul was the father-in-law of occasional 3QD writer and friend, Ruchira Paul.]

The Gun Control We Deserve


Patrick Blanchfield in n+1:

AMERICA ALREADY HAS GUN CONTROL—all kinds of gun control. Start with the guns themselves: sawed-off shotguns are legal for general public ownership in Indiana; take one into Ohio and you’re looking at a felony charge. A pistol magazine that holds eleven rounds is a matter of indifference to Rhode Island; carry it into Connecticut and you’ve committed a crime. Even the definition of what makes a gun “loaded” differs from state to state. Or consider the laws governing concealed carry, which dozens of states have dramatically liberalized since the 1990s. In many states you don’t need to take a written test, sit through a safety video, or even prove you know how to fire a gun, let alone reliably hit a target, to be licensed to carry a concealed weapon. In other localities, you must do all of the above—and still you might be denied, because the criteria are black-box, subject to the discretion of the issuing authorities. In still other states you need no license at all: if you can buy a gun, you can carry it concealed. Complicating things further is a baroque network of reciprocity laws whereby some states recognize permits issued by others and issue permits to nonresidents. This landscape changes so rapidly that gun carriers who travel across state borders often rely on smartphone apps to alert them to local regulations.

Against this complex backdrop, the temptation to focus obsessively on particular interest groups and pieces of legislation—namely, the National Rifle Association (NRA) and the Second Amendment—is understandable. Despite the endless talk about both, the history and role of each may be somewhat different than you think. For nearly a century, the NRA focused on hunting and the cultivation of marksmanship in patriotic rapprochement with the US military and supported firearms registration laws and gun bans. The NRA’s emphasis on guns as tools for self-defense only really arose during the turbulent political and demographic upheavals of the 1960s and ’70s—as did its vehement rhetorical focus on the Second Amendment. As for the Amendment itself, things are also more complicated: whatever the status of the individual right to bear arms in the nation’s Constitution, an overwhelming number of state constitutions guarantee it in no uncertain terms. If the Second Amendment were to disappear tomorrow, the on-the-ground legal reality in forty-four states would remain the same.

The fiery debates over guns that regularly suck the air out of American public discourse rarely acknowledge these realities. This is in part because reckoning with an endlessly complicated mess of technical particularities, local oddities, and regional differences makes for poor national political theater.

More here.

Political Philosophy


Richard Marshall interviews Jonathan Wolff in 3:AM Magazine:

3:AM: Poverty is a pressing concern and you’ve looked at the philosophical issues. Sen and Nussbaum want to change the conversation around poverty so we talk about ‘capability deprivation’ rather than low income. Do you agree with them? Won’t it make measuring poverty too vague to be useful in targeting its eradication – if that’s what we want?

JW: I am generally comfortable with the idea of talking about ‘capability deprivation’ although I do think there are complications with the notion of a ‘capability’ that many defenders of the capability approach brush under the carpet. Generally I do agree there is some case for trying to replace talk of poverty, understood as low income, with the more general idea of capability deprivation, because there are many ways in which people can be deprived of capabilities to function even if they are not poor on standard definitions (for example if they have a moderate income but are disabled, or victims of racial discrimination). But I don’t think it is a good idea to try to redefine poverty. First, poverty understood as low income is generally highly correlated with many forms of capability deprivation in any case; second, it is much more easy to measure; third, it provides a very easy to understand political target; and finally such a radical redefinition would cut the topic off from 100 years or more of excellent empirical research undertaken on the standard definition. So I would prefer to keep the concepts of “capability deprivation” and “poverty” apart.

3:AM: So what is poverty and does any definition pick out a distinct moral category that says that it is wrong?

JW: It is common to make a distinction between absolute poverty and relative poverty. Absolute poverty can be defined in various ways, but in my view the core idea is that it means having such a low command of resources that one’s basic health is threatened. To illustrate, if you cannot afford nutritious food, adequate clothing, and dry, warm, smoke-free accommodation, you have a very high chance of developing an illness that will shorten your life. Of course, we are talking averages and probabilities as you can live in absolute poverty and never suffer illness, or become ill, of course, even if wealthy, but this, still is the core idea. It doesn’t take a lot of moral or political philosophy to think that if a significant number of people in a society are living in avoidable absolute poverty, then there is a moral case to be answered. On some, theories, of course, some poverty is ‘deserved’. For myself, I don’t agree with those theories, but in any case the burden of proof will always be to show why it is deserved, against a presumption that on grounds of basic humanity no one should live in absolute poverty if it is avoidable.

Relative poverty is a different idea. It is often illustrated with an example from Adam Smith: that in the England of his day an ordinary artisan would be ashamed to appear in public without leather shoes or a linen shirt. The point is not that wearing wooden clogs or a shirt of flax, or whatever the alternative was, would damage your health. Rather it would, or at least could, damage your self-respect. The basic idea of relative poverty is not having enough to ‘fit in’ with what is normally expected in your society.

More here.

I Am Your Conscious, I Am Love: A paean 2 Prince


Hilton Als in Harper's (2012):

Jamie Foxx, dressed in a blue shirt with a satin sheen and dark trousers, traverses the stage, a pin spot following him as he follows his thoughts. “I’m not no fag,” he continues, almost bashfully. “But uh. I mean, he’s cute, he pretty . . . I just ain’t never seen no man that look like that. Just dainty and shit.” Beat. Hangdog expression. “I couldn’t look at him in his eyes.” Because “this little pretty bitch . . . came out with a little ice-skating outfit on, you know? With the boots sewn into the shit. And I’m like, That’s nice . . . I’m not gay. I’m just saying that’s nice.” More existential shrugging of the shoulders, turning away from the audience, embarrassment and confusion as Foxx’s desire attaches itself to a different, or rather unexpected, form. This is America, after all, where for sex to be sex it needs to be shaming. He flashes his goofy overbite. “I know you thinking—you thinking I’m gay,” Foxx says, more to his own heart and mind, perhaps, than to anyone in the audience. “I’m just saying I challenge any dude in here not to look in his eyes and feel some kind of shit . . . ’Cause he was pretty. He looked like a deer or something, or a fawn . . . I shouldn’t even be telling you this shit.” More laughter from the audience, more abashment from Foxx.

Then Foxx recalls how Prince started “talking with that shit”—adding a little audio to his distinctive visuals. Prince’s speaking voice—which Foxx’s audience may or may not know from a thousand and one uncandid interviews on VH1 and the like, or an awards show, or something—belies his slight frame: it’s deep and steady with few inflections. In any case, Foxx is spot-on when he imitates it. Foxx as Prince, utterly cool: “So how’s everything going?” Foxx as himself, his eyes downcast: “You know . . .” As Prince: “I heard you and LL [Cool J, the rapper who co-starred with Foxx in Oliver Stone’s Any Given Sunday (1999)] got into it . . . What do you think Jesus would have done in that situation?” Foxx, again as himself: “I don’t know. Knuckle up.” Laughter. And then, shaking off his Prince impersonation: “I glanced in his eyes once.” After a while, defiantly: “Okay, yeah. Okay, I was a fag for two seconds. But I wasn’t on the bottom of the shit, I was on top, don’t get it twisted . . . I’d have fucked the shit out of that motherfucker. That troubled me though, man . . . When I left, the security guard knew something was wrong with me. He was like, ‘What’s up playa? . . . You looked in his eyes, didn’t you?’ ” Foxx admits, sheepishly, that he did. He is so confused. Freeing his mind—will his ass follow? And then what? Will he be a fag, forever desperate to stare up into Prince’s slightly-lighter-than-the-color-of-Mercurochrome prettiness? Then Foxx asks the security guard if he’s ever looked into Prince’s eyes.

And one thinks, Looking into Prince’s eyes must be like looking at the world. Or, more specifically, the world of one black man loving another. How freaky is that? And who’s on top in that kind of mind fuck?

More here.

Janna Levin’s ‘Black Hole Blues’

0424-BKS-Cover-master315Maria Popova at The New York Times:

Central to LIGO’s success are its three original architects, known as the Troika: Rainer Weiss, the brilliant ruffian who invented the apparatus at the heart of LIGO; Kip Thorne, the revered astrophysicist and relativist with the wildly speculative yet mathematically precise mind, whose charisma saved the project from going under; and Ron Drever, the prickly Scottish genius considered a scientific Mozart — “a childlike spirit attached to a wondrous mind that just seemed to emanate astonishing compositions.” People, Levin intimates, are fragmentary but indivisible — they bring their aptitudes and their flaws to the work. Rigor and self-­righteousness often go in tandem, as do idealism and egotism. These scientists all contain multitudes.

Levin harmonizes science and life with remarkable virtuosity. As a boy, Drever made gadgets from bits of rubber tubing and sealing wax and built an entire television — possibly the only one in his Scottish village — on which locals watched the queen’s coronation. He carried this hacker spirit of zeal and frugality into his ingenious prototypes for LIGO. Thorne’s Mormon mother found her feminism incompatible with their faith, and the family broke with the church — the seedbed of the rebelliousness that made him a visionary scientist. Weiss’s youth in the golden age of high fidelity and his romance with a pianist catalyzed his obsession with making music easier to hear; he later envisioned an instrument to make the sound of space discernible. “LIGO covers the same frequency range as the piano,” he tells Levin.

These aren’t coincidences, Levin suggests as she dismantles the eureka convention of science, exposing the invisible, incremental processes that produce the final spark we call genius.

more here.

The luck factor: fortune’s role in our lives

K10663Jonathan Derbyshire at the Financial Times:

Frank’s argument in Success and Luck is easily summarised: the idea of meritocracy and the assumption that successful people get where they are solely by dint of their own efforts disguise the extent to which “success and failure often hinge decisively on events completely beyond any individual’s control”.

Take the case of Al Pacino. He has been at the top of his chosen field for so long that it’s hard to imagine an alternative history in which he did not succeed as an actor. Yet, Frank observes, Pacino owes his dazzling career to a “highly improbable early casting decision”: Francis Ford Coppola’s insistence, against the wishes of studio executives, that Pacino play Michael Corleone in the film adaptation of Mario Puzo’s novel The Godfather. The studio wanted Warren Beatty or Ryan O’Neal in the role, and only gave in when Coppola threatened to abandon the project. You might say that Pacino would have succeeded eventually anyway, but, as Frank notes, there are thousands of talented actors who simply never got the kind of break he owed to a tyro director in charge of his first big-budget film.

It is hard to think clearly about luck and success (although Frank makes a pretty good fist of doing so). This difficulty stems partly from the fact that we all share some very deep-rooted intuitions about concepts such as talent and entitlement or desert, which tend to collide with claims about the role that luck plays in our lives. Frank suggests, for instance, that it is “perfectly intelligible that most of us feel entitled to credit for possessing skills we did nothing to earn” — or at least for putting those skills to good use.

more here.


MontaukJeff Waxman at The Quarterly Conversation:

There’s nothing terribly new about the confessional as a literary form. It can just as easily appear as swagger as it can an act of contrition, and this book has the flavor of both. And as a form, often in the guise of a personal essay, the confessional is having quite a moment. In the wake of the successful autoerotic exposures of Karl Ove Knausgaard’s multivolumeStruggles and the critically gorgeous self-scrutiny of Maggie Nelson’s more slenderArgonauts, there’s a contemporary appetite for the personal essay that has hardly been sated. And in the act of confession, there’s as much to be proud of in a debauched or dissolute life as there is to regret or repent. Lest the reader of this review fall into the trap most common for first-time encounterers of Frisch, this isn’t some kind of Swiss-intellectual misogynist rant, an I Hope They Serve Beer in Hell for the pretentious. It is very honestly self-interested and self-critical. It’s messy in the way that psychotherapy is messy, or that our unvarnished motives would be if the world could see them. It’s loving, in its way, and sadly aware of how much time has passed and how badly.

And I like the tendency in this kind of narrative to self-correct, to DAMN! oneself as Frisch does. To understand that the mistakes that we make are not just interpersonal, but a matter of style and substance. Frisch writes:

The morning sea beneath the deep clouds is the color of mother-of-pearl, the waves lifeless, the sun obscured. He finds it better to take off his shoes and walk barefoot, shoes in hand. Gulls over the empty beach, louder than any feeling, louder than the waves.

more here.


At times … I wish
I could meet in a duel
the man who killed my father
and razed our home,
expelling me
a narrow country.
And if he killed me,
I'd rest at last,
and if I were ready—
I would take my revenge!

But if it came to light,
when my rival appeared,
that he had a mother
waiting for him,
or a father who'd put
his right hand over
the heart's place in his chest
whenever his son was late
even by just a quarter-hour
for a meeting they'd set—
then I would not kill him,
even if I could.

Likewise … I
would not murder him
if it were soon made clear
that he had a brother or sisters
who loved him and constantly longed to see him.
Or if he had a wife to greet him
and children who
couldn't bear his absence
and whom his gifts would thrill.
Or if he had
friends or companions,
neighbours he knew
or allies from prison
or a hospital room,
or classmates from his school …
asking about him
and sending him regards.

But if he turned
out to be on his own—
cut off like a branch from a tree—
without a mother or father,
with neither a brother nor sister,
wifeless, without a child,
and without kin or neighbours or friends,
colleagues or companions,
then I'd add not a thing to his pain
within that aloneness—
not the torment of death,
and not the sorrow of passing away.
Instead I'd be content
to ignore him when I passed him by
on the street—as I
convinced myself
that paying him no attention
in itself was a kind of revenge.

by Taha Muhammad Ali,
translated by Peter Cole, Yahya Hijazi and Gabriel Levin

Literature about medicine may be all that can save us

Andrew Solomon in The Guardian:

UntitledIt would seem to make sense that doctors start off with youthful emotion and then graduate to a self-protective distancing, but in his award-winning The Emperor of All Maladies: A Biography of Cancer, New York-based oncologist Mukherjee likewise speaks of being propelled willy-nilly into humanism: “I had never expected medicine to be such a lawless, uncertain world. I wondered if the compulsive naming of parts, diseases and chemical reactions – frenulum, otitis, glycolysis – was a mechanism invented by doctors to defend themselves against a largely unknowable sphere of knowledge.” Writing is a means to fight back against that defence. A doctor needs defences – but not too many. “It is an old complaint about the practice of medicine that it inures you to the idea of death,” Mukherjee writes. “But when medicine inures you to the idea of life, to survival, then it has failed utterly.” And elsewhere he observes: “Good physicians are rarely dispassionate. They agonise and self-doubt over patients.” He adds: “An efficient, thrumming, technically accomplished laboratory is like a robot orchestra that produces perfectly pitched tunes but no music.” Mukherjee chronicles his gradual revelation that while benevolence without discipline is an ineffective cure, precision without empathy is tone-deaf; his books, including the forthcoming The Gene: An Intimate History, can feel like overcompensation for the efficiency of his life as a physician.

How to bridge this gap? Part of it had to come from a study of what had gone before, but Mukherjee “had a novice’s hunger for history, but also a novice’s inability to envision it”. His books chronicle the emergence of that envisioning as he learned to reveal the vulnerability he shares with his patients. “Medicine … begins with storytelling,” he concludes. “Patients tell stories to describe illness; doctors tell stories to understand it. Science tells its own story to explain diseases.” In other words, explaining what is going on is part of the treatment itself.

More here.