Showing posts with label universal health care. Show all posts
Showing posts with label universal health care. Show all posts

Never Say Die: The Myth and Marketing of the New Old Age by Susan Jacoby

First of all, I want to make it clear that it is sheer coincidence that I am criticizing another atheist today; this makes two-in-a-row, and I realize that looks bad. As I have said many times, I love the atheists for keeping us honest and forcing us (okay: me) to cut the perpetual starry-eyed routine. However, I have just read a very good book by an atheist, but I'm afraid her atheism has compromised the book, so I have to say so.



Susan Jacoby's fascinating NEVER SAY DIE: The Myth and Marketing of the New Old Age, is one of those books I have been waiting for, and didn't quite realize it until I found myself hungrily turning pages and consuming it all in one afternoon. Interestingly, I finished it right after my doctor-visit and a lecture (not the first) about my cholesterol.



Do I see the numbers? Yes.



My weight and glucose are way down... but that damn LDL number creeps up and up. "If diet and exercise are not enough..." echo those damn TV ads from evillll BigPharma. Yes, they mean ME, now.



My 35-40 lb weight loss over the past 18 months, coupled with my devoted Swamp Rabbit Trail hiking, was supposed to magically make my cholesterol number go down and... (stares uncomprehendingly at the printed lab results that announce my HDL/LDL) well, it didn't work. I am pleased I am no longer a diabetes risk, but... well, shit, it's always something.



And that is a very good description of aging, "it's always something"... in this hard-nosed book that debunks and deconstructs the various Hallmark-greeting-card myths of aging, Jacoby plows right in. As one of those dedicated atheist-rationalists that takes no prisoners, she decimates several of the major aging myths, and not a few of the minor ones. For example, if you are an asshole in your youth, there is no reason to think you will age gracefully into a nice person with appropriate old-age "wisdom" -- and vice versa. As evidence, she offers (on one hand) Henry Kissinger, who is ancient but still defending genocide with aplomb. On the other hand, she offers Jimmy Carter, who continues to contribute to and enrich our world in so many ways. Certainly, these are excellent examples, and she has no argument from me. My grandmother always said old age simply made you "more of what you are"--and Jacoby seems to agree.



Jacoby is careful to use the terms "young old" (which would be me) and "old old"--which are people in their 80s-90s. She believes the "young old" are used for propaganda purposes, so that (basically young and middle-aged) people can point to them/us with relieved sighs and reassure themselves they can "stay active" while growing old and spry. By contrast, nobody puts the "old old" in TV commercials and nobody seems very glad to see them. They are carefully segregated from the rest of us. She writes at length about the problem of loneliness in old people, as their friends and loved ones die off all around them.



One thing I found disturbing in Jacoby's book, is the casual way she accepts this. She does NOT accept other states-of-affairs as unchanging (in fact, she tells us she intends to go out as an "angry old lady"), without thorough questioning--so why is this particular fact just offered as a given? Perhaps because she simply states that she would not change her life for her aging mother, just as her mother had not changed her lifestyle for her aging mother. However, she does note that her grandmother DID take care of her great-grandmother. Somewhere along the way, "we" (there's that famous punchline: "Whatcha mean We?") stopped doing that. We did? (Did someone mention economic class?) Actually, lots of people didn't. The professional classes, the educated class to which Jacoby belongs, people who have book contracts and write regular columns for the Washington Post, did that first. People with important careers found that they could not (would not) be bothered with aging relatives. That was a deliberate choice that Jacoby made, but it is in no way a given.



"Old old" people are more segregated than ever, and that is because advanced capitalism demands total mobility from everyone, so we end up moving all over the world to get and keep jobs. Of course old people are warehoused, who else is going to look after them? (A possible good side effect of the economy tanking, might be that fewer people are forced to move around so much, and old people might actually be able to stay in real homes.)



One of Jacoby's chapters is alarmingly titled, Women: Eventually the Only Sex. Women overwhemingly overpopulate the "old old" ... social and political concerns about aging are basically about the future of women and how we will live in our final decades; as we all know, the guys check out earlier. Jacoby echoes my own feelings in how modern feminism, profoundly uncomfortable with aging, does not see the economic debates over Social Security and Medicaid to be directly concerned with women, even though WE are primarily who these programs are about... young feminists are preoccupied with sex, reproduction and other youthful pursuits, and it is unlikely we will get them to understand that this is THEIR future too. And that reminds me of another thing I disliked in the book, Jacoby's request that we lay off older men who prefer younger women, using some half-baked pseudo-Darwinian excuse about how men are visual and require more and more to turn them on as they age. Excuse me, but so? It takes me more and more too. If I can refrain (as most women do) from pinching boys on the ass and/or asking them to get married, I think most older men can show some restraint as well. The fact that they don't is because men don't need to exercise restraint... RESTRAINT is not masculine, after all. I am not sure why feminist Jacoby found it necessary to cut men slack in this one area in which they decidedly DON'T NEED ANY, but ... (yeesh)



From Jacoby's website, a summary of the book:
The author offers powerful evidence that America has always been a “youth culture” and that the plight of the neglected old dates from the early years of the republic. Today, it is urgent to distinguish between marketing hype and realistic hope about what lies ahead for more than 70 million Americans who will be over 65 in just twenty years. This wide-ranging reappraisal examines the explosion of Alzheimer’s cases, the uncertain economic future of aging boomers in a shaky economy, the predicament of women who make up an overwhelming majority of the oldest—and poorest—old; and the absence of control over dying in a society that devotes a huge proportion of its health care resources to medical intervention in the last year of life—even when there is no hope that the person will ever recover.
One amazing fact she offers is that even among Catholics, a majority support assisted suicide.



Since I am giving this book a (mostly) good review, where do I think Jacoby got it wrong? Exactly where an atheist would get it wrong: In not covering the role of religion in the lives of very old people. ESPECIALLY when she discusses depression and loneliness and other negative emotional states. Does religion help with these? (they do in young people) She totally avoids the question. I realize the answer may well be "no"--but I would like to see an honest airing of the question, preferably accompanied by some stats (which I realize would be difficult to obtain; like a nice meal, religion is a subjective experience, pleasant for some and pure hell for others)... but I am intelligent and self-aware enough to know that *I* will become a religious fanatic of some sort in my old age. I am trying to work it out so that I will not be an annoying type of religious fanatic, but a benign presence or (at best) one that people might take some comfort from. But I know already, that religion is my opiate, and at the end of my life, I will be administering opiates (all kinds) in spades.



What does atheism offer? I think yall might consider "atheist congregations" of one kind or another, for the social needs of atheists. Sweet Mormon, Baptist and Catholic ladies will come to visit you when you are old... In fact, I visited the late Monsignor Baum myself, about a week before his death (he gave me a blessing in Latin, he seemed to have forgotten the words in English, which I actually found charming) --even though I barely had time to wipe my butt in those days. But I made visiting him a religious priority.



Question: Do the atheists have ladies with angel-food cakes standing ready to visit the old atheists? (If not, yall really need to get to work on that.)



And if the atheists say, fuck angel-food cakes, we don't need people to visit us when we're old, well, maybe that is the major difference between them and the rest of us. They expect us all to be as hard-assed as they are, and we just can't do it.



Does religion make old age better or worse? And I don't simply refer to the religious practices of the old person in question, I also refer to religion as a social force; do not underestimate the importance of hundreds of Sunday School classes going to visit the old people and sing them songs.



I know I'll just love seeing them, when it's my turn.

Odds and Sods: Old St Charles sing edition

Image at left is courtesy of YELLOWDOG GRANNY, thanks Jackie Sue... you always sum up my thoughts! :D



This installment of ODDS AND SODS starts with a major TRIGGER WARNING, as they say. Warning, this thread descends into some very disturbing transphobic nastiness, but that's my whole reason for recommending it. It's pretty educational; I think the "radical feminists" who have colonized that thread illustrate one of the biggest problems with Second Wave radical feminism: Mean Girls.

And yeah, I knew a few in my time.

There was something about Second Wave feminist theory that easily lent itself to weird 'female superiority' arguments (in many instances, not just concerning transgender politics). Note their roaring silence on the subject of F to M transgender people: trans men don't fit their little just-so story, so they don't seem to piss them off as much. It's a very strange victim-chic thing. There is only so much victimization to go around, and the trans women are trying to horn in on OURS, which is COPYRIGHTED. At least, that's how several of the most pedestrian comments sound (yes, looking at you Delphyne!)... it's funny in the way that white supremacist websites are funny: not funny haha, funny sad.

The argument that trans people "uphold the gender binary" is bizarre, since I don't know anyone who doesn't. (The fact that we are forced to CHOOSE A SIDE, in fact, is the whole point, isn't it?) Why do these anti-trans feminists think they do not ALSO "uphold the gender binary"? Because they do. I do, you do, everyone does: If someone looks at you and calls you he or she on sight, well, you've passed the gender-test and you ALSO uphold the gender binary. IS there anyone on earth who does not uphold the gender binary? Where IS this magical omnigendered person? (Glen or Glenda?)

The question is then: Why are you holding trans people to a standard you are not holding everyone to? Why are they expected to "opt out" of a system you have not (and can not) opt out of?

PS: If you've had enough of reading that sort of thing, I can certainly relate. Warning, warning, warning, once again, highly offensive, reactionary victim-chic at the link.

~*~

I have not written about the political upheaval in Egypt, since I am ignorant of specifics and haven't had the time to delve properly into the subject. Thus, I share what smarter people have written:

Mubarak departs – what next? (A Scottish Liberal)

Mubarak Finally Listens – “Let My People Go!” (FireDogLake)

Katrina Vanden Heuvel: Neocons Have a Hard Time With Democracies That Emerge From Within a Country (Crooks and Liars)

~*~

:: A picture is worth a thousand words! You gotta see this: A Children’s Treasury of CPAC Stupidity: the Final Chapter Subtitled: TRINKETS OF THE DEATH OF AMERICAN CIVILIZATION... I promise you will love it!

:: On a more wonky note, Ezra Klein explains things carefully, in this post titled Do Republicans really oppose making health-care insurance cheaper? Yes, I've wondered that, too. Excerpt:
[The] short version is this: If you make health-care insurance cheaper and make it harder for insurance companies to deny people coverage, then a certain number of people who would like to leave the labor force but can't afford or access health-care insurance without their job will stop working.

To understand why, imagine a 62-year-old woman who works for IBM and beat breast cancer 10 years ago. She wants to retire. She has the money to retire. But no one will sell her health care under the status quo. Under the health-reform law, she can buy health care in an exchange because insurers can't turn her away due to her history of breast cancer. So she'll retire. Or imagine a 50-year-old single mother who wants to home-school her developmentally disabled child but can't quit her job because they'll lose health care. The subsidies and the protections in the Affordable Care Act will give her the option to stop working for awhile, while under the old system she'd need to stick with her job to keep her family's health-care coverage. That's how health-care reform can reduce the labor supply. If either case counts as a destroyed job, then so does my winning the lottery and moving to Scotland in search of the perfect glass of whiskey.
:: By way of Onyx Lynx, I found Avedon Carol's post quite thoughtful:
But I think there's also a deeper game here, and it explains why the entire media - not just the Murdoch and Moonie media - stays so focused on the right-wing crazies. It's the circus that deflects attention from what's really going on while everyone is playing games like "Beck is crazy" and "Look - Sarah Palin!" Well, yes, they've pretty much consistently done that sort of thing for the last 20 years, but I mean going even deeper than that, to why it is so consistent - enough that even some of our best liberal, independent bloggers just can't seem to pull their eyes away sometimes. Somebody out there wants us to keep watching the clown show for an even bigger reason.
:: OPEN LEFT is shutting down. Which is not a good sign. :(

Bye yall! I'll miss you!

~*~

This week's especially merciless ear worms:

This first one contains the original language, "I don't give two fucks about you"--which was sanitized for US airplay and became the more neutral, "I don't give a damn about you"... punks were considered pretty scary and thus, properly de-fanged for stateside radio. I'd never give you a de-fanged version on DEAD AIR!

I am proud to say, I own both versions in various mixes and anthologies, or I wouldn't even know about the censorship.

The Modern World - The Jam (1977)



~*~

Trigger warning, probable suicide references (debatable ever since song recorded in 1967); Joan Didion famously started her Doors essay with this song.

Moonlight Drive - The Doors (1967)



~*~

TOO GREAT FOR WORDS, this first-class mystical acidhead music can't be beat. Question: Are they chanting "Stonehenge! Stonehenge!" at the end? I've always thought so. Not sure what St Charles had to do with Stonehenge but hey, why not?

I really love this. NOTE: Acid flashback warning for at least half of my regular readers. :P

St Charles - Jefferson Starship (1976)

Nikki Haley begins terrorizing the poor and disabled of South Carolina

The mainstream press can't stay away from the story of the first woman governor of a deep-south state, born to immigrants. Nikki Haley is the lady of the hour, much as she was during the summer, when she won the primary and made the cover of Newsweek.

Needless to say, all this press-adulation undoubtedly translates into political capital:
COLUMBIA, S.C. (AP) — South Carolina Gov. Nikki Haley says she won a huge victory as the budget board unanimously accepted her choice to run the agency that oversees the state's finances and bureacracy.

The five-member Budget and Control Board on Thursday approved Eleanor Kitzman as executive director.

Unanimous votes are rare on the board led by the governor. For eight years, former Gov. Mark Sanford fought with the board's legislative leaders.

Haley says she hopes the vote is a sign of things to come.
I'm sure it is.

It is notable that Haley is appointing a lot of women to state positions. Not my favorite women, but women nonetheless. (It's a mama grizzly thing, I wouldn't understand). From WIS-TV:
Haley nominated attorney and former prosecutor Lillian Koller to take over as head of South Carolina's Department of Social Services. "She brings a true amount of experience in a time where South Carolina needs it," said Governor Haley, "She brings a lot of reform and conservatism at a time where South Carolina wants it."
Koller promises to cut more services.

Which services are those? I wasn't aware we had any social services left, but I'm sure they'll find something to take away from us.

And guess what? LET THE GAMES BEGIN! Lawsuits Follow New DSS Director Lillian Koller To SC:
In November of 2010, a lawsuit was filed claiming the state of Hawaii was falling behind on handing out food stamps to families in need. Federal guidelines require food stamp applications to be processed within 30 days.

Documents in the suit filed against the state of Hawaii and director Koller say that only 78 percent of applications were processed on time. During that same time, the departments staff was cut and the state lowered the eligibility requirements for food stamps, encouraging more to apply.

If the federal government finds that states don't distribute 80 percent of the benefits in a month there could be fines. So far, Hawaii hasn't been fined.
South Carolina gets Hawaii's cast-offs! Oh goodie.

And today, Haley outlines cuts of just more than $110 million:
Gov. Nikki Haley will propose cutting payments to doctors and hospitals for treating poor patients in a state-run health care program; requiring the use of generic cancer, HIV/AIDS and mental health drugs; and eliminating state funding of South Carolina ETV and the state Arts Commission in her State of the State speech tonight, according to an Associated Press interview.
...
The largest savings would come from reducing what doctors and hospitals are paid to treat patients in Medicaid, the state-run health insurance program for the poor and disabled. For each percentage point reduction, according to the state Department of Health and Human Services, the state could save about $10 million. Lawmakers previously have barred the agency from cutting the rates that the state pays doctors and hospitals.

Allen Stalvey, vice president of advocacy and communications for the S.C. Hospital Association, said hospitals have been preparing for this news.
...
Hospitals are working on alternatives to a rate cut, Stalvey said, including increasing the $264 million in taxes that they pay to the state each year.

Still, Stalvey said, health care providers will be impacted.

“The small rural hospitals,” he said, “it could be disastrous for them.”

Ken May, executive director of the S.C. Arts Commission, said losing $2 million in state funding would shutter that commission's doors.

The commission, formed in 1967, supports South Carolina's arts community through arts education programs that bring authors, artists and dancers into schools, grants to individual artists, and operating money given to local arts organizations.

Much of the commission's state funding is matched by federal dollars.

"Cutting our funding means leaving federal dollars on the table and doing serious damage to the arts statewide," May said, adding a thriving arts community helps attract new industry and an educated workforce to the state.

"Everybody who talks about the world economy realizes that, if we are going to succeed, it must be through creativity and innovation. It's not going to be through blue-collar jobs or cheap labor. That's all gone overseas. If we're going to attract the people who work in those emerging industries, we have to offer a quality of life that attracts them," he said.

Eliminating the state portion of ETV’s budget would save $9.5 million.

Requiring poor patients on Medicaid and mental health patients to use generic cancer, HIV/AIDS and other drugs would save $991,000 a year, Department of Health and Human Services spokesman Jeff Stensland said.
Good thing I can get North Carolina public TV from here. Good thing I have medical insurance.

And those are the only good things I can think of in response to this horrific bullshit right now.