Showing posts with label Public practice. Show all posts
Showing posts with label Public practice. Show all posts

Sunday, June 8, 2025

The aliens among us - who is my neighbor?

Having this past week attended the annual conference of the Tennessee-Western Kentucky Conference of the UMC, I have questions about a resolution that was passed by overwhelming majority with no debate, "Welcoming the Migrant in our Midst." You may read the entire resolution here

I am impelled to ask some questions about exactly who the resolution is referring to. "Migrants" is a very inexact term. I would like the resolution's authors to explain who exactly is a migrant. I'll take it for granted that no US citizen is a migrant within the intent of the resolution. So:
  1. Is a migrant any foreign national (FN henceforth) presently inside the United States? For example, does migrant status include foreign nationals who are here as tourists? 
  2. Or, are there any categories of FNs in America who do not qualify as migrants, for example, FNs enrolled as students in US universities? Or FNs employed by a home country corporation and sent here for business purposes?
  3. Are FNs who enter the US across the southern or northern borders through established federal entry points, with proper identity documentation, but not as tourists or for other temporary purposes, included as migrants? 
  4. Are FNs who enter the US across the southern or northern borders by deliberately avoiding established federal entry points (hence, entering the US in violation of US law) included as migrants?
  5. The resolution's first paragraph states that migrants "have journeyed here seeking safety, security, and better financial opportunities..." Specifically, then, are FNs who enter into the US seeking other things, such as smuggling deadly drugs (i.e., fentanyl) or engaging in human trafficking, included or excluded in the resolution's understanding of migrants? 

Once I know the answers, I will have more to say. Of course, what I say will depend on what the answers are.

Saturday, March 15, 2025

Beware the compassion police

reposted from 2003
links were good at the time of original posting

Why compassion cannot be a basis for public policy

I recall a story in the Washington Post from the early 1990s, when I lived in northern Virginia, written by a Catholic nun. It told of a ministry in downtown DC that she was working, offering free lunches to the poor.

When she and her fellow charity workers had started this ministry they had decided not to require means tests of the people who came to eat. Means tests - requiring the recipients offer evidence they could not afford to pay for the meals - would be degrading, they concluded. The poor were beaten down by life enough without the church adding to it.

Yet after several weeks the sister had changed her mind. The soup kitchen initially attracted diners who were clearly homeless, near-indigent or working poor. But as time went on, she observed the diners were better and better dressed. They were cleaner, obviously more healthy. At first, a large number of diners had walked to the kitchen, but now most drove, and as more time passed, older cars parked outside gave way to newer cars, then expensive cars. The kind of person who first began eating there became rarer and rarer.

The nun concluded that they should have required means testing to protect the poor. It was clear to her that they were now running a kitchen serving free food to people of substantial means, not the poor they intended to serve.

"Which among you," asked Jesus, "when asked by your child for bread, would give him a stone?" Well, none of us, of course. And which of us, encountering someone who truly could not afford his next meal, would fail to buy it for him?

Personal charity and works of compassion are basic requirement of Christian ethics. But Christian people with best of intentions go awry when they attempt to make their personal ethics public policy. Compassion is bad public policy.

I table-talked once with several of my colleagues at a seminar, some of whom insisted that health care should be free for the poor, meaning, of course, that the government will pay for it - meaning of course, the non-poor will pay for it.

As one of the seminar’s presenters pointed out, the non-poor are already paying for the poor’s health care. Heath insurance premiums are padded to cover the costs of treating the uninsured. In 2003, wrote Ezekiel J. Emanuel and Victor R. Fuchs, "the average health insurance premium for a family of four is about $9,000." Make no mistake, the poor don’t receive high-quality care except for emergency-room visits, but that is where they tend to get almost all their health care. Our taxes also pay health care costs. Of the $1.4 trillion the United States now spends about on health care, the government pays about 45 percent. (link)

Individuals exercise compassion, defined by the Oxford dictionary as "sympathetic pity and concern for the sufferings and misfortunes of others." Governments and social arrangements exercise justice. Justice is only accidentally compassionate because justice, to be justice, must balance the valid, competing needs of persons and groups within society. Justice attempts to answer, "What is right, what is fair?" Justice is enforced against the will of at least one of the contending parties. Hence, justice is at its foundation coercive.

Compassion, though, seeks to alleviate shortcoming, suffering or pain, to heal in body, mind or soul. Compassion cannot be enforced. I could not compel a stranded motorist one day to accept my aid, because it would have been literally criminal to do so. In offering aid, I did not have to balance competing claims for my time and money because there were no claims and could not be any. The issue was not what was just or fair, but what was possible.

Compassion is self limiting; one is compassionate to whom one will to the extent of the resources one decides to donate. There are, say, 50 hungry people. You buy lunch for 15, maybe 25, 45 or all. You stop when you can afford to buy no more or simply when you decide you have spent enough and still want to have enough to buy a new DVD. There is no guilt on anyone’s part because no one has done anything wrong. You were under no legal obligation to buy anyone lunch in the first place, so choosing to feed some, not all, is your free choice. The others had no entitlement to your money.

But justice is only roughly self limiting. An employer who cheated his employees of some of their wages for a time, totaling $25,000, cannot plead for reduced judgment because he has only $10,000 in the bank. The court will hold still him liable for all of it, plus lost interest and punitive fines and perhaps prison. The employees have a rightful claim that the employer may not rightfully deny.

Justice attempts to make right or compensate wrongs done by persons or groups against others. Compassion attempts to make more level the relationships of resources or care between persons or groups of persons.

Compassion makes a very poor guide for justice. Compassion can exist only when there is no right to receive it. A judge, for example, cannot be justly compassionate. For a judge to show compassion for one party to a case is to treat another party unjustly. Showing compassion to a burglar by an unwarranted light sentence is to rob the victim’s family of their rightful claim that the burglar will be fairly penalized. And it puts at risk larger society, which has the right to expect that burglars will not soon be turned loose to rob again.

Similarly, compassion for the victim’s family that leads to an overly harsh sentence - life in prison, for example, for a first offense when no one is injured - sets aside the rightful claim of the convict that his punishment will be consonant with the crime. Likewise, society has a rightful claim not to bear the burden of supporting him for a lifetime for commission of one, non-violent offense.

It is impossible for interactions with government to be compassionate because interactions with government are never between equals. Government is always coercive. Interactions with government are always based on unequal power relationships, not compassion.

The fact that different groups have different interests that must be sometimes balanced and sometimes found to be right or wrong is what seems to escape many churches’ proclamations about public policy. The pronouncements tend to be personal compassion writ large, into state policy, then to be coercively enforced.

Case in point: identification cards now being issued by the Mexican consulate in Tennessee, including last year in Shelbyville. Anyone care to guess how many card recipients are in the US illegally? Shelbyville is the center of Tennessee Walking Horses, a major equestrian industry. A man who was senior manager of a large Walking Horse ranch told me that the whole industry would "dry up" if its illegal-immigrant workers were taken away.

From compassion, some people say that illegal immigrants should be allowed to enter the US and work here unhindered. They come here only for economic opportunity, after all, having no prospects for personal advancement in their home country (Mexico, for most of them).

But this argument also exposes the emotional blindness of wishing to make compassion public policy. For when compassion is moved into the large-scale public arena, its focus is too narrow to promote the general welfare. Amnesty for illegal immigrants (whether by proclamation or non-enforcement, which is what we have today) means depriving others of something they to which they have a rightful claim.

I guarantee that the jobs the Walking Horse illegal aliens are working existed before they moved here. Ranchers had to mend fences and shovel barns and bale hay long before Mexicans moved here in numbers. But who was doing that labor before? Not business executives. Not otherwise idle, bon-bon eating housewives. The American working poor made the ranches go. That is who the illegals displaced. But those displaced have a rightful claim to such jobs over persons who are at-large criminals, which is literally what illegal aliens are.

There is a long list of other groups who have rightful claims adversely affected by the issue, but that’s not the point of this essay. My point is that compassion fails as policy because it is impossible to be fairly compassionate, except with one’s own resources. Making compassion into policy or law for society compels others to conform to your idea of compassion, trampling on their freedom to be compassionate according to their own lights or to be hard-hearted as they wish. And compassion that coerces is not compassion at all; it is tyranny.

Systems of justice may be tyrannical, too, of course. That is why Western political philosophy has promoted mercy to temper justice. Mercy is not the same as compassion, though as a personal quality mercy and compassion are closely related. William Shakespeare wrote in The Merchant of Venice,

The quality of mercy is not strain'd,
It droppeth as the gentle rain from heaven
Upon the place beneath. It is twice blest:
It blesseth him that gives and him that takes.
'T is mightiest in the mightiest: it becomes
The throned monarch better than his crown;
His sceptre shows the force of temporal power,
The attribute to awe and majesty,
Wherein doth sit the dread and fear of kings;
But mercy is above this sceptred sway,
It is enthroned in the hearts of kings,
It is an attribute to God himself;
And earthly power doth then show likest God’s,
When mercy seasons justice. Therefore, Jew,
Though justice be thy plea, consider this,
That in the course of justice none of us
Should see salvation: we do pray for mercy;
And that same prayer doth teach us all to render
The deeds of mercy. (Act iv, sc. 1.)

In terms of justice, though, "clemency" is probably a better word, indicating mercy shown toward one who has offended, but whose punishment or rehabilitation is either completed sooner than expected, or earned during the course thereof.

Not only mercy tempers justice. Religion has served that purpose in Western history also, as have Enlightenment philosophies of individual rights and the idea that the locus of state sovereignty lies in the people, not the state apparatus. But justice remains coercive at base, serving no one perfectly but (hopefully) all as fairly and unobtrusively as possible. However, this is what compassion cannot do.

I find, then, that I have arrived at the place theologian Reinhold Niebuhr arrived several decades ago.

Reinhold Niebuhr, a professor of Christian ethics, was one of the most influential theologians of the last century. In his work, Moral Man in Immoral Society, Niebuhr explained that while individual persons live generally moral lives, high morality is difficult, if not impossible, for human societies and social groups as a whole. Very rarely does a group of persons comport itself better than individuals do in personal relationships. When human beings engage in collective activity, Niebuhr said, they are overwhelmed by an inability to be moral. The larger the group, the greater this inability is.

Niebuhr was specifically addressing Just War theory in the works I cite here, but I think the same train of thought applies to issues of justice and compassion within societies.

Niebuhr concluded in "Must We Do Nothing?" in The Christian Century (3-30-1932), "The hope of attaining an ethical goal for society by purely ethical means, without coercion . . . is an illusion" of the "comfortable classes" of society. There never will be enough love and unselfishness among nations [or persons] to resolve the conflicts of history [or societies] only by ethical [or compassionate] means, even though there may be occasional successes now and then. It is part of humanity's "moral conceit" to think that human sin will not overwhelm individual morality [and compassion] when persons act collectively.

Until the return of Christ, wrote Niebuhr, human societies will never be able to conform purely to the ethic of Christian love. In the interim, we must structure our world based on justice, as best we can, even though communities of justice are inferior to communities of love or compassion. The best justice human societies can attain will only roughly correspond to divine justice. Human justice will always involve contests of power because different groups make opposing claims that they consider rightful.

Niebuhr concluded that the ethical goals of human society must not be sacrificed "simply because we are afraid to use any but purely ethical means." Nor, I think, should they be sacrificed because an ethic of love cannot serve as the fundamental ordering of society.

Yet works of compassion can indeed take on orders of magnitude that project them into the arena of justice, just not judicial justice. When acts of compassion come to affect so many persons that the order of society is changed, so is the nature of the society’s justice. Justice is, after all, only the "right ordering of things" in human affairs (said Aristotle, as I recall).

I have in mind the work of Bangladeshi economist Muhammed Yunus. Banks in Bangladesh refused to loan impoverished women money so they could begin their own businesses. The average loan refused was 62 cents. Yunus reached into his own pocket and loaned 42 men and women in one village a grand total of $27.

Every borrower paid Yunus back with interest. The banks still refused to write loans. Reports "Vanderbilt Magazine," Fall 2003, p. 49:

Village by village, district by district, Yunus proved conventional bank lenders wrong. Twenty-seven years later, his pioneering approach to micro-lending has spawned nothing short of a credit revolution.

His Grameen Bank . . . has disbursed roughly $3 billion to more than 2 million borrowers in Bangladesh alone, allowing many thousands to lift themselves up from the most abject poverty. 

His bank has been imitated by more than 7,000 other organizations around the world, including some in America. This is compassion writ large and well. It is personal; Yunus used his own money, not someone else’s. Yet its effects are transforming the social order of societies.

As for me, though, whenever I hear a politician tell weepy anecdotes about some unfortunates, then declare that "America is better than that," I lock up my wallet. I know he wants to make his personal sense of compassion into public policy, by coercion, using my money.

As it turns out, US Congressman David Crockett had some things to say about this topic about 171 years ago.

I should also point out that some of my Christian friends will take offense at my claim that, "Compassion can exist only when there is no right to receive it." I say again: works of compassion are a duty of Christian disciples. But they are done in gratitude for and imitation of the saving work of Christ. Hence, they are unenforceable by human agency and are voluntary. Compelling others to perform one’s own idea of compassion is the very opposite of compassion, for compassion cannot coerce others and remain compassion. Even so, the Scriptures are clear that we will be judged by Christ according to our works of compassion.

Another thought by Neibuhr: In February 1941 Niebuhr wrote,

Love must be regarded as the final flower and fruit of justice. When it is substituted for justice it degenerates into sentimentality and may become the accomplice of tyranny. Looking at the tragic contemporary scene within this frame of reference, we feel that American Christianity is all too prone to disavow its responsibilities for the preservation of our civilization against the perils of totalitarian aggression. We are well aware of the sins of all the nations, including our own, which have contributed to the chaos of our era. We know to what degree totalitarianism represents false answers to our own unsolved problems - political, economic, spiritual. Yet we believe the task of defending the rich inheritance of our civilization to be an imperative one, however much we might desire that our social system were more worthy of defense. We believe that the possibility of correcting its faults and extending its gains may be annulled for centuries if this external peril is not resolutely faced.

This is a critical point. Niebuhr was saying that if Christians refrain from maintaining justice, even by force if necessary, because they substitute love for justice, then the love they wish to promote actually becomes the handmaiden of tyranny. And of course, that is no love at all.

Sunday, November 6, 2022

Christians and the State


Tuesday is, of course, election day. As citizens of the world’s largest representative democracy, each of us has the right to speak our minds about our nation’s national issues to those whom we have elected to make the decision. Moreover, in such serious matters as those before us now, I would say we are obligated to do so.

However, who to vote for is not my topic this morning. I am using the issue as a chance to explore what the Bible teaches Christians about living under secular law in relationship to government. For that is how you and I live each day in either times of turmoil or peace. 

In the apostles’ time about three hundred years afterward, how Christians should live under a government that was in no way Christian and was often actually lethal to Christians was a subject of great importance. It is still today a problem for many of our brothers and sisters in Christ around the world. But perhaps the fundamental problem Paul and the other apostles faced is not so different from ours if we think of the world as a larger community: On one hand, how do we live peaceably and godly in a world in which violence is seen by some as an answer to any question, and on the other, how do we live the fullness of Christ’s commandments under laws at home that are arguably sometimes repressive of doing so? 

Here is what I mean. A few years ago in Raleigh, NC, a church ministry called Love Wins was threatened with arrest. Reverend Hugh Howell explained: 

On the morning of Saturday, August 24, Love Wins Ministries, where I am pastor and director, showed up at Moore Square in Raleigh, North Carolina at 9:00 a.m., just like we have done virtually every Saturday and Sunday for the last six years. We provide, without cost or obligation, hot coffee and a breakfast sandwich to anyone who wants one. We keep this promise to our community in cooperation with five different, large suburban churches that help us with manpower and funding.

On that morning three officers from Raleigh Police Department prevented us from doing our work, for the first time ever. An officer said, quite bluntly, that if we attempted to distribute food, we would be arrested. …

When I asked the officer why, he said that he was not going to debate me. "I am just telling you what is. Now you pass out that food, you will go to jail."

What will we do? Simple: we will feed people. I am, after all (however imperfectly), a follower of Jesus, who said himself that when we ignore hungry people, we ignore him.

That situation practically defines the tension Paul addressed in Romans 13:

Let everyone be subject to the governing authorities, for there is no authority except that which God has established. The authorities that exist have been established by God. 2 Consequently, whoever rebels against the authority is rebelling against what God has instituted, and those who do so will bring judgment on themselves. 3 For rulers hold no terror for those who do right, but for those who do wrong. Do you want to be free from fear of the one in authority? Then do what is right and you will be commended. 4 For the one in authority is God’s servant for your good. But if you do wrong, be afraid, for rulers do not bear the sword for no reason. They are God’s servants, agents of wrath to bring punishment on the wrongdoer. 5 Therefore, it is necessary to submit to the authorities, not only because of possible punishment but also as a matter of conscience. 

We may as well admit that Paul’s verses are difficult to swallow without reservations. Within the last century, "a century of unspeakable horror," says New Testament scholar N. T. Wright, “these verses have been [effectively] struck out of the canon, vilified, and blamed for untold miseries.” History poses no challenge to finding governments or government policies that ranged from unjust to evil to downright demonic, whether at home or abroad. 

Paul was not naïve. He knew well the evil that governments do – a main example being crucifying Jesus and persecuting his followers. It seems likely to me that Paul, a well-trained Pharisee, was thinking an old Jewish precept that God requires order in the world, not chaos. Hence, the principle of human governance is a divine principle. He is endorsing the necessity of government in general, but not any government in particular. 

Justice was a high virtue of Jewish thought. The prophets emphasized that one of the cardinal responsibilities of rulers was to preserve justice, the right ordering of the relationship between the state apparatus and the people.

If the rulers were responsible for maintaining justice, then the people had to obey the rules for justice to be served. One of Paul’s themes in Romans 12 and 13, says Wright, is that “justice is served not by private vengeance but by individuals trusting the authorities to keep wickedness in check. Knowledge that the authorities are there to look after such matters is a strong incentive to forswear freelance attempts at ‘justice'.”

Paul knew, of course, that no human system of justice is perfect; the best we can do is roughly correspond our affairs to divine justice. Yet Paul advises the Christians in Rome not to take justice into their own hands. Their identity as the only Christians in town did not give them permission for anarchy. Instead, their responsibility is to work for the Kingdom of God in proclaiming the Gospel until, Paul implicitly hopes, all rulers ultimately pledge their first allegiance to God rather than the state. The Roman Christians must not therefore try to establish themselves as a “para-state” organization but remain under Roman authority even while they work to bring forth the Kingdom of God. 

The Christians in Rome were a small minority. Paul did not think that they should become agents of chaos, attempting to live as if they had no relation to the political world at large. Paul did not desire them to replace the Roman government with a religious cult. The ultimate overthrow of unjust power comes by other means – which is to say, regime change of the ungodly is done by converting them, a theme Paul expounded back in Romans Five.

If we accept that we Christians are under at least a divine principle of obedience to civil authority, what are our obligations to obey specific laws in 21st-century America?  

Let’s look at this issue in a way that almost all of us face every day: driving a car. The government sets speed limits. The majority of Tennessee’s Christians think that the speed limits on our interstates are too low. My proof is daily at 7 a.m. on I-65 to Nashville. It cannot be only the unconverted heathen going 85 or more. Does the fact that “everybody is doing it” make it okay? 

Paul had no experience with a democratic form of government. Americans do not claim that God established our government; our Constitution states that “We the people of the United States . . . ordain and establish” the government. Our nation’s founders believed that the first imperative of government in the first place is to safeguard personal liberty. Liberty requires some degree of order to flourish, yet not too much order, lest it be crushed.

Liberty is not found in chaotic societies. Some places on the globe today fit that description; political analysts call them “failed states,” and life there is truly awful. Neither is freedom found in hyper-ordered societies of control, such as North Korea. 

Liberty is found at neither extreme, but between them. Community and justice require some rules for the common good, but as few rules as necessary, not as many as possible. 

One may argue that our driving environment is too chaotic and is not ordered enough. In Germany, where very high speeds are legal, the drivers are extremely self-disciplined compared to us and much more law abiding in their driving. 

So we might ask whether breaking the speed limit is unacceptably chaotic. That question I leave to each person’s conscience. But the relationship of obeying the speed limit to order or chaos is not the only consideration. Christians are enjoined by Christ to love one another. In fact, just after our passage, Paul says, “Let no debt remain outstanding, except the continuing debt to love one another, for whoever loves others has fulfilled the law. … those who love one another fulfill the law… . Love does no wrong to the neighbor; therefore, the fulfillment of the law is love.” 

Love by definition is directed toward the well-being of others. If breaking the law is justified, it can only be justified in Christian faith for the higher principle of love, and not from selfish interest. 

When my son Thomas was five years old, he suffered an accident in our back yard that gave him a deep cut barely above one eye. He was bleeding profusely. My wife wrapped a towel around the wound and we jumped into the car. Dale Earnhardt, Jr. could not have beat me to the emergency room. Love for my son certainly far outweighed Paul’s injunction to submit to the government during that drive. 

So there’s my answer: if civil disobedience is ever justified for Christian people, it is justified only for reasons of love and justice, not selfishness. “I like to drive fast” or “I’m late for a meeting” are selfish reasons, not loving ones, not just ones. In the meantime, let those who believe the speed limits are too low campaign within the political system to change them. That’s how America works. 

 In fact, Paul’s passage strongly implies that political activity by Christian persons is affirmed and validated. Paul never indicated that Christian faith and political activity by Christians were antithetical to one another. Christians can be involved in the political life of society by voting, campaigning, or holding office without ceasing to be Christians, and may see all such things as part of their Christian service.

Reverend Howell in Raleigh ended his article by listing the email addresses and phone numbers of the Mayor and of the City Council members, then continued,

We encourage you to continue to call and voice your concern. We spoke with the Mayor yesterday, and while she did say that no one will be arrested for feeding hungry people in the park, it's important to continue to make your voice heard. The status quo is not acceptable.

No matter how temporal authority rules, it is God who over-rules. All governments and their ministers, everyone who wields political power, whether Christian or not, are under God’s judgment whether they realize it or not. They are to rule justly and fairly so that freedom of the people may flourish, constraining the conduct of the people only enough to keep chaos at bay. The people are obliged to obey civil laws unless doing so plainly would violate our high duties of divine love in service to God’s kingdom. 

I’ll give Rev. Howell the last word: “Keep in mind that … Anger does not cast out fear -- only love can do that.”


Saturday, January 16, 2021

"The Staggering, Heartless Cruelty Toward the Elderly"

That is a headline in The Atlantic, which sub-heads the piece by Rabbi Shai Held, "A global pandemic doesn’t give us cause to treat the aged callously." 

As someone tweeted at me earlier today, “To be perfectly honest, and this is awful, but to the young, watching as the elderly over and over and over choose their own interests ahead of Climate policy kind of feels like they’re wishing us to a death they won’t have to experience. It’s a sad bit of fair play.”

Notice how the all-too-familiar rhetoric of dehumanization works: “The elderly” are bunched together as a faceless mass, all of them considered culprits and thus effectively deserving of the suffering the pandemic will inflict upon them. Lost entirely is the fact that the elderly are individual human beings, each with a distinctive face and voice, each with hopes and dreams, memories and regrets, friendships and marriages, loves lost and loves sustained. But they deserve to die—and as for us, we can just go about our business.

And that point of view may well become federal policy: "Ezekiel Emanuel, tapped for Biden’s coronavirus task force, has controversial views on aging."

Emanuel’s role on the board has garnered controversy due to a 2014 article he penned in the Atlantic. In it, Emanuel wrote that he hopes to die at the age of 75, as he believed that life past that point “renders many of us, if not disabled, then faltering and declining, a state that may not be worse than death but is nonetheless deprived.”

In the article, he strongly implied, though did not outright state, that as a matter of policy, life-extending medical treatments should be withheld from anyone age 75 or older. Here is the article

What Rabbi Held has not grasped (or maybe he really has) is that "the elderly" are being classified the same way as the non-elderly: by class identity. After all, why should they not be "bunched together as a faceless mass" when that is the only acceptable way to identify people in this age of identity politics? You are not you, singular, you are you, plural. You are not defined by yourself but by people who share mostly-superficial characteristics with you. And you have no choice to opt out of this identity-political classification. 

The reason is that today, rights belong to groups, not individuals. Actually, rights do not "belong" to anyone or any group. Right are conferred upon us by those have gained social and political power to decide. That means that some groups have more rights or stronger rights than others. Which group enjoys more rights than others is simply a matter of which is strongest at any given time. 

And that means that American politics is primarily concerned with gaining power. 

The slide into power-politics began decades ago, but accelerated in the 1990s. But it was forecast long before then by President Dwight D. Eisenhower.

If a political party does not have its foundation in the determination to advance a cause that is right and that is moral, then it is not a political party; it is merely a conspiracy to seize power. 
President Eisenhower at the Fourth Annual Republican Women’s National Conference on 6 March 1956.

No longer can we include American politics within a moral universe. American politics today does not seek to find and strengthen the things that unites Americans into common cause and shared citizenship. It dismisses that such things exist anyway, for in identity-power politics, there is only class struggle, not unity. To speak of "unity" among disparate identity groups is merely to adopt the supremacist, and therefore oppressive, language of the dominant ancestor group that invented the term to begin with. In America, of course, that means whites. 

The need to cleanly distinguish between transgressors and innocents means that in identity politics, everyone must have an unequivocal group affiliation. My father's family emigrated from Lebanon; my mother's family emigrated from Wales, Holland, and Germany. I am Protestant, rather than Catholic. None of these descriptors – over which wars in Europe, the Mediterranean region, and America have been fought for several thousand years – matter to identity politics. Until and unless the category of MENA is given sanction by the US government, I am white – and therefore a transgressor. Nothing more. 

Joshua Mitchell, professor of political theory at Georgetown University in his book, American Awakening: Identity Politics and Other Afflictions of Our Time, Kindle p. 72

"Unity," then, means one thing to the Right and an altogether different thing to the Left. But at bottom, Right and left agree (unwittingly) on this: They each think the other side promotes "unity" as shorthand for "do what we demand." But there is no reason to make such demands of other people unless power is what the demander is really after. 

An illustration from the looming inauguration of Joe Biden as president will serve. The Biden transition team announced to fanfare that "America United" will be his inauguration theme. Well and good, who could argue that disunity should be the theme? Besides, as the AP points out, "Unity has long been a theme, and anxiety, for new presidents."

Maybe pursuing unity is why Mr. Biden decided to savagely compare Republican Senators Ted Cruz and Josh Hawley to Adolf Hitler’s top propagandist Joseph Goebbels. Why? Because the two senators, along with about half the electorate (according to nonpartisan polls) still think there are too many unanswered questions about the integrity of the presidential vote. So they are Nazis, Biden wants us to think. Now there's a call for unity! 

He might do well to consider Prof. Mitchell's warning, "Unity achieved by scapegoating another person or group is a cheap imitation of the genuine communion for which we long. Identity politics chooses the cheap imitation as a shortcut to the real thing. Always." 

Thursday, June 8, 2017

Why college grads don't know how to think

This does not mean what you probably think it does. Not any longer.
Many Colleges Fail to Improve Critical-Thinking Skills -- Results of a standardized measure of reasoning ability show many students fail to improve over four years—even at some flagship schools, according to a Wall Street Journal analysis of nonpublic results.
Freshmen and seniors at about 200 colleges across the U.S. take a little-known test every year to measure how much better they get at learning to think. The results are discouraging.

At more than half of schools, at least a third of seniors were unable to make a cohesive argument, assess the quality of evidence in a document or interpret data in a table, The Wall Street Journal found after reviewing the latest results from dozens of public colleges and universities that gave the exam between 2013 and 2016. (See full results.)

At some of the most prestigious flagship universities, test results indicate the average graduate shows little or no improvement in critical thinking over four years.
That's because the test the freshmen and seniors take are not designed to test the critical thinking that is taught them in high school and college. Nor is this result the least surprising.

Why College Graduates Still Can’t Think.
Traditionally, the “critical” part of the term “critical thinking” has referred not to the act of criticizing, or finding fault, but rather to the ability to be objective. “Critical,” in this context, means “open-minded,” seeking out, evaluating and weighing all the available evidence. It means being “analytical,” breaking an issue down into its component parts and examining each in relation to the whole. 
Above  all, it means “dispassionate,” recognizing when and how emotions influence judgment and having the mental discipline to distinguish between subjective feelings and objective reason—then prioritizing the latter over the former.

I wrote about all this in a recent post on The Chronicle of Higher Education’s Vitae website, mostly as background for a larger point I was trying to make. I assumed that virtually all the readers would agree with this definition of critical thinking—the definition I was taught as a student in the 1980s and which I continue to use with my own students.

To my surprise, that turned out not to be the case. Several readers took me to task for being “cold” and “emotionless,” suggesting that my understanding of critical thinking, which I had always taken to be almost universal, was mistaken.

I found that puzzling, until one helpful reader clued me in: “I share your view of what critical thinking should mean,” he wrote. “But a quite different operative definition has a strong hold in academia. In this view, the key characteristic of critical thinking is opposition to the existing ‘system,’ encompassing political, economic, and social orders, deemed to privilege some and penalize others. In essence, critical thinking is equated with political, economic, and social critique.”
Boldface added. What is the result? Where to begin? Well, how about where the overwhelming majority of American kids get their education, the public schools system. Education journalist Bruce Deitrick Price explains what happened when a parent had an unplanned, frank conversation with her child's principal:
Finally the principal, aggravated and arrogant, told me schools no longer believe in academic excellence because demanding subjects no longer appeal to the mainstream student or to his parents.

He proclaimed that his program, his syllabus, his teachers were all fully in compliance with local, state, and federal standards, and he wasn't going to change a single thing to accommodate me or my daughter.

He said proudly he is a "Progressive," he has a Ph.D., and he had "helped" develop and design many of those standards, and he believed in them.  He said any kid who wants a higher-level education for a professional career will have to get it somewhere else. 
And then they go college. Notre Dame Prof. Patrick Daneen writes,
My students are know-nothings. They are exceedingly nice, pleasant, trustworthy, mostly honest, well-intentioned, and utterly decent. But their brains are largely empty, devoid of any substantial knowledge that might be the fruits of an education in an inheritance and a gift of a previous generation. They are the culmination of western civilization, a civilization that has forgotten nearly everything about itself, and as a result, has achieved near-perfect indifference to its own culture. ...

At best, they possess accidental knowledge, but otherwise are masters of systematic ignorance. It is not their “fault” for pervasive ignorance of western and American history, civilization, politics, art and literature. They have learned exactly what we have asked of them – to be like mayflies, alive by happenstance in a fleeting present.

Our students’ ignorance is not a failing of the educational system – it is its crowning achievement. Efforts by several generations of philosophers and reformers and public policy experts — whom our students (and most of us) know nothing about — have combined to produce a generation of know-nothings. The pervasive ignorance of our students is not a mere accident or unfortunate but correctible outcome, if only we hire better teachers or tweak the reading lists in high school. It is the consequence of a civilizational commitment to civilizational suicide. The end of history for our students signals the End of History for the West.
Providence College Prof. Anthony Esolen describes what he and his peers are up against in “Exercises in Unreality: The Decline of Teaching Western Civilization.”
I now regularly meet students who have never heard the names of most English authors who lived before 1900. That includes Milton, Chaucer, Pope, Wordsworth, Byron, Keats, Tennyson, and Yeats. Poetry has been largely abandoned. Their knowledge of English grammar is spotty at best and often nonexistent. That is because grammar, as its own subject worthy of systematic study, has been abandoned. Those of my students who know some grammar took Latin in high school or were taught at home. The writing of most students is irreparable in the way that aphasia is. You cannot point to a sentence and say, simply, ‘Your verb here does not agree with your subject.’ That is not only because they do not understand the terms of the comment. It is also because many of their sentences will have no clear subject or verb to begin with. The students make grammatical errors for which there are no names. Their experience of the written language has been formed by junk fiction in school, text messages, blog posts, blather on the airwaves, and the bureaucratic sludge that they are taught for ‘formal’ writing, and that George Orwell identified and skewered seventy years ago. The best of them are bad writers of English; the others write no language known to man.
Wall Street Journal editorialist Bret Stephens wrote in 2012,
A few months ago, I interviewed a young man with an astonishingly high GPA from an Ivy League university and aspirations to write about Middle East politics. We got on the subject of the Suez Crisis of 1956. He was vaguely familiar with it. But he didn't know who was president of the United States in 1956. And he didn't know who succeeded that president. ...

Many of you have been reared on the cliché that the purpose of education isn't to stuff your head with facts but to teach you how to think. Wrong. I routinely interview college students, mostly from top schools, and I notice that their brains are like old maps, with lots of blank spaces for the uncharted terrain. It's not that they lack for motivation or IQ. It's that they can't connect the dots when they don't know where the dots are in the first place.
Then there is Lucia Martinez, an English professor at Reed College who identifies as gay and mixed-race. She wrote, “I am intimidated by these students.”
Prof. Martinez
“I am scared to teach courses on race, gender, or sexuality, or even texts that bring these issues  up in any way—and I am a gay mixed-race woman,” she wrote. “There is a serious problem here… and I’m at a loss as to how to begin to address it, especially since many of these students don’t believe in either historicity or objective facts.” (link)
Noted British philosopher Roger Scruton explains one result:
Young people today are very reluctant to assume that anything is certain, and this reluctance is revealed in their language. In any matter where there might be disagreement, they will put a question mark at the end of the sentence. And to reinforce the posture of neutrality they will insert words that function as disclaimers, among which the favourite is ‘like’. You might be adamant that the Earth is spherical, but they will suggest instead that the Earth is, ‘like, spherical?’

Whence came this ubiquitous hesitation? As I understand the matter, it has much to do with the new ideology of non-discrimination. Modern education aims to be ‘inclusive’, and that means not sounding too certain about anything in case you make people who don’t share your beliefs feel uncomfortable. Indeed, even calling them ‘beliefs’ is slightly suspect. The correct word is ‘opinions’. If you try to express your certainties in a classroom today you are apt to be looked at askance, not because you are wrong, but because of the strangeness of being certain about anything and the even greater strangeness of wanting to impart your certainties to others. The person with certainties is the excluder, the one who disrespects the right we all have to form our own ‘opinions’ about what matters.

However, as soon as inclusiveness itself is questioned, freedom is cast aside. Students seem to be as prepared as they ever were to demand that ‘no platform’ be given to people who speak or think in the wrong way. Speaking or thinking in the wrong way does not mean disagreeing with the beliefs of the students — for they have no beliefs. It means thinking as though there really is something to think — as though there really is a truth that we are trying to reach, and that it is right, having reached it, to speak with certainty. What we might have taken to be open-mindedness turns out to be no-mindedness: the absence of beliefs, and a negative reaction to all those who have them. The greatest sin is a refusal to end each sentence with a question mark.
Ah, yes: it is objectively true that there is no such thing as objective truth. And critical thinking means you know how to denounce the system in proper Marxist terms.

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Wednesday, September 16, 2009

Doctor shortages and health-care price controls


Last September, Paul Howard reported in in City Journal of "a 2006 survey finding that as many as half of all physicians have either stopped accepting new Medicaid patients or limited the number they’ll see because reimbursements are so low."

And today Investor's Business Daily reports the results of a new survey of physicians: "45% Of Doctors Would Consider Quitting If Congress Passes Health Care Overhaul."

The reason for both these phenomena - one actual, one potential - is the direct result of price control.

The fundamental rule of economics is that someone is able to buy only if someone else is both able and willing to well. This is true no matter what kind of economic system is at work, from command-economy totalitarianism such as the old Soviet Union's or to a full free-market economy such as America's used to be.

However one might describe the economic system of American health care, "full free market" ain't it. Probably the best description of how we get medical care is that it is brokered to us: "Health care does not equal health insurance."
The costliness of health care rests largely on the fact that its provision became brokered long ago by insurance companies. We buy "coverage" from insurance companies instead of medical care from providers. The insurance company is intermediate between the consumer and the provider. Unlike say, stock brokerages, which have to compete with each other for consumers and so lower both costs and price, health insurance companies operate in monopolistic fashion. The competition between health-insurance companies is so low that there are no competitive pressures to reduce price, only internal costs. The result? Lower reimbursements to providers and higher premiums to consumers.
We have almost a doubling effect of price controls in play here. First, the government, command rations medical care by controlling the prices its insurance programs will pay, especially Medicaid but also Medicare. Then we have health-insurance companies effectively price controlling medical care because they often, if not usually, tell doctors that they won't pay more (or much more) than the Medicare rate. As Healthsymphony.com puts it, Medicare is such an important part of the health-care economy "because of the precedence set by its claims payment practices."

The inevitable result of price controls, no matter by what mechanism implemented, is shortage of the price-controlled good or service. That doesn't mean that the service is scarcer, that is, physically rarer. Medicaid's low payments schedules have not reduced the total number of doctors. It has produced a shortage of medical care available to patients by halving the number of doctors who will accept Medicaid payments.

The distinction between scarcity and shortage is crucial to think through reforming health care. Presently, we have shortages of care (not uniform shortages across the country or across all medical disciplines) because of:

  • price controls by Medicare and Medicaid and
  • second-level price controls by health-insurance companies that follows the precedence set by Medicare.
Shortages are phenomena of prices. When prices paid by consumers (and insurance programs are the actual consumers in America, not you and me) are not synchronized with costs of providers, then you get things like a shortage of Medicaid-providing doctors even though there is no scarcity of doctors.

Well, there may be no supply-scarcity doctors who could treat Medicaid patients but that doesn't mean that there's not an overall scarcity of doctors. The NYT's John Tierney reports,

The A.M.A. may be one of the most trusted voices by the public in the health-care debate, but some economists argue that it helps perpetuates one of the largest problems with the American system: a cartel that limits the number of doctors. Mark J. Perry, an economist at the University of Michigan, argues that “we would probably go a long way to solving our ‘health care crisis’” if the “medical cartel” hadn’t prevented medical schools from expanding to meet students’ demands for more places. ... whereas medical schools shrunk instead. As a result, their rejection rates rose, frustrating students who wanted to be doctors. The result was fewer doctors to care for the growing population... .

Ms. [Shikha] Dalmia, a senior analyst at the libertarian Reason Foundation, says “that the net effect of A.M.A.-type restrictions hasn’t been to make better quality doctors available to more people, but to reduce existing options, especially in rural and other under-served areas.” She concludes: 

Obama and his fellow Democrats blame the current health care mess on the free market. But a free market can’t exist when a cartel with the ear of the government is allowed to control a key input for its own self-aggrandizement. If the president is serious about lowering health care costs instead of advancing an ideologically driven government takeover of the industry, he should be doing everything in his power to disband it–not cozy up to it.
The link to Ms. Dalmi's article is here.

So on the one hand we have price controls mandated by the government. Price controls always create shortages even if there is no actual scarcity of supply. But on the other hand we have an actual supply scarcity of medical-care providers (see Ms. Dalmia's article for more). 

What is the effect? MSNBC tells it straight:

As Massachusetts' experience shows, extending health care to 50 million uninsured Americans will only further stress the system and could force many of those newly insured back into costly emergency rooms for routine care if they can't find a primary care doctor, health care observers said.
Massachusetts, home of the nation's most ambitious health care law, has seen the need for primary care doctors shoot up with the addition of 428,000 people to the ranks of the insured under a 2006 law that mandates health care for nearly all residents.
To keep up with the demand for primary care doctors, the country will need to add another 40,000 to the existing 100,000 doctors over the next decade or face a soaring backlog, according to Dr. Ted Epperly, president of the Kansas-based American Academy of Family Physicians.
"It's like giving everyone free bus passes, but there are only two buses," he said.
The need for more primary care doctors comes as the country's shortage of all doctors is expected to worsen, according to a study by the Association of American Medical Colleges, which found the rate of first-year enrollees in U.S. medical schools has declined steadily since 1980.
If current patterns persist, the study shows the country will have about 159,000 fewer doctors than it needs by 2025.
That last prediction should have read, "the country will have about 159,000 fewer doctors than it needs by 2025 unless adjustments are made to the way that doctors are paid." The presumed supply scarcity of physicians does not have to occur. It is not inevitable.

But that's not all - we also have a supply scarcity of private health-insurance companies, even though there are more than 1,000 such companies operating in the country today. The reason is that health-insurance companies are restricted from operating across state lines. So there is a supply scarcity of insurance put into effect by law. 

The upshot of this hodgepodge is:

  • patients are not the real medical-care consumers, insurance companies are.
  • market corrections relative to supply, demand, price and costs simply do not occur. Instead, we have rationing by government price mandates, amplified by private insurors.
  • Non-competition by insurance companies for premium-paying patients means that patients are basically  caught in monopoly markets and have no recourse to rising premiums except to pay them or reduce coverage.
  • Supply scarcity means that doctors don't compete, either. Instead patients have reduced choices of doctors except in a small number of locations. The number one question patients have to ask before selecting a doctor is neither how good the doctor is nor what are his prices, but whether s/he accepts the patient's insurance plan.
  • Supply scarcity also means that patients pay non-financial prices for medical care. Stories are legion of lengthy waiting times in doctors' offices for scheduled appointments and long waiting time to get an appointment in the first place. (For some reason, though, I rarely have waited more than 15 minutes past my appointment time to see my own doctor. Seems to be a very competently-run office.)
So, a thought experiment - suppose these things all happened reasonably close together (ain't gonna happen, that's why it's a thought experiment rather than a proposal):
  1. Insurance companies could compete across state lines. Remember what Karl Marx (no friend of free-market capitalism he) said, that when greater competition becomes possible, it quickly becomes necessary.
  2. Medicare lifted payment limits to doctors, but with these provisions: First, doctors must post in their offices their price schedules for the medical services they provide. Second, patient co-pays cannot be waived by the doctors.
I am not an economist, but my understanding of the dismal science makes me conclude that the first option would result in greater coverage choices of insurance by consumers at lower costs. The second would buttress patients, not insurance companies, as consumers and result in a leveling of price, demand and costs. Doctors would have to answer first to patients for prices rather than simply accept whatever payment schedule the insurance companies laid down. This would be even stronger if medical savings accounts programs were expanded so that all Americans could take advantage of them.

As for the supply of medical-care providers (who might not necessarily be actual M.D.s) I think that these two influences would cause the supply to be increased.

Update: See also, "Understanding the Causes of Health care Inflation."

When Jesus forced the issue

The eleventh chapter of the Gospel of John begins with Jesus learning that his friend, Lazarus of Bethany, had fallen ill. Despite the news,...