Friday, April 15
Hacking the Papal Election
"I'm sure there are negotiations and deals and influencing -- cardinals are mortal men, after all, and such things are part of how humans come to agreement.
What are the lessons here? First, open systems conducted within a known group make voting fraud much harder. Every step of the election process is observed by everyone, and everyone knows everyone, which makes it harder for someone to get away with anything. Second, small and simple elections are easier to secure. This kind of process works to elect a Pope or a club president, but quickly becomes unwieldy for a large-scale election. The only way manual systems work is through a pyramid-like scheme, with small groups reporting their manually obtained results up the chain to more central tabulating authorities.
And a third and final lesson: when an election process is left to develop over the course of a couple thousand years, you end up with something surprisingly good."
Why America pays so much for so little (health care)
The Medical Money Pit
| |
dozen years ago, everyone was talking about a health care crisis. But then the issue faded from view: a few years of good data led many people to conclude that H.M.O.'s and other innovations had ended the historic trend of rising medical costs.
But the pause in the growth of health care costs in the 1990's proved temporary. Medical costs are once again rising rapidly, and our health care system is once again in crisis. So now is a good time to ask why other advanced countries manage to spend so much less than we do, while getting better results.
Before I get to the numbers, let me deal with the usual problem one encounters when trying to draw lessons from foreign experience: somebody is sure to bring up the supposed horrors of Britain's government-run system, which historically had long waiting lists for elective surgery.
In fact, Britain's system isn't as bad as its reputation - especially for lower-paid workers, whose counterparts in the United States often have no health insurance at all. And the waiting lists have gotten shorter.
But in any case, Britain isn't the country we want to look at, because its health care system is run on the cheap, with total spending per person only 40 percent as high as ours.
The countries that have something to teach us are the nations that don't pinch pennies to the same extent - like France, Germany or Canada - but still spend far less than we do. (Yes, Canada also has waiting lists, but they're much shorter than Britain's - and Canadians overwhelmingly prefer their system to ours. France and Germany don't have a waiting list problem.)
Let me rattle off some numbers.
In 2002, the latest year for which comparable data are available, the United States spent $5,267 on health care for each man, woman and child in the population. Of this, $2,364, or 45 percent, was government spending, mainly on Medicare and Medicaid. Canada spent $2,931 per person, of which $2,048 came from the government. France spent $2,736 per person, of which $2,080 was government spending.
Amazing, isn't it? U.S. health care is so expensive that our government spends more on health care than the governments of other advanced countries, even though the private sector pays a far higher share of the bills than anywhere else.
What do we get for all that money? Not much.
Most Americans probably don't know that we have substantially lower life-expectancy and higher infant-mortality figures than other advanced countries. It would be wrong to jump to the conclusion that this poor performance is entirely the result of a defective health care system; social factors, notably America's high poverty rate, surely play a role. Still, it seems puzzling that we spend so much, with so little return.
A 2003 study published in Health Affairs (one of whose authors is my Princeton colleague Uwe Reinhardt) tried to resolve that puzzle by comparing a number of measures of health services across the advanced world. What the authors found was that the United States scores high on high-tech services - we have lots of M.R.I.'s - but on more prosaic measures, like the number of doctors' visits and number of days spent in hospitals, America is only average, or even below average. There's also direct evidence that identical procedures cost far more in the U.S. than in other advanced countries.
The authors concluded that Americans spend far more on health care than their counterparts abroad - but they don't actually receive more care. The title of their article? "It's the Prices, Stupid."
Why is the price of U.S. health care so high? One answer is doctors' salaries: although average wages in France and the United States are similar, American doctors are paid much more than their French counterparts. Another answer is that America's health care system drives a poor bargain with the pharmaceutical industry.
Above all, a large part of America's health care spending goes into paperwork. A 2003 study in The New England Journal of Medicine estimated that administrative costs took 31 cents out of every dollar the United States spent on health care, compared with only 17 cents in Canada.
In my next column in this series, I'll explain why the most privatized health care system in the advanced world is also the most bloated and bureaucratic.
Exploiting Religious Ferver in Government
Frist Set to Use Religious Stage on Judicial Issue
Published: April 15, 2005
ASHINGTON, April 14 - As the Senate heads toward a showdown over the rules governing judicial confirmations, Senator Bill Frist, the majority leader, has agreed to join a handful of prominent Christian conservatives in a telecast portraying Democrats as "against people of faith" for blocking President Bush's nominees.
Fliers for the telecast, organized by the Family Research Council and scheduled to originate at a Kentucky megachurch the evening of April 24, call the day "Justice Sunday" and depict a young man holding a Bible in one hand and a gavel in the other. The flier does not name participants, but under the heading "the filibuster against people of faith," it reads: "The filibuster was once abused to protect racial bias, and it is now being used against people of faith."
Organizers say they hope to reach more than a million people by distributing the telecast to churches around the country, over the Internet and over Christian television and radio networks and stations.
Dr. Frist's spokesman said the senator's speech in the telecast would reflect his previous remarks on judicial appointments. In the past he has consistently balanced a determination "not to yield" on the president's nominees with appeals to the Democrats for compromise. He has distanced himself from the statements of others like the House majority leader, Tom DeLay, who have attacked the courts, saying they are too liberal, "run amok" or are hostile to Christianity.
The telecast, however, will put Dr. Frist in a very different context. Asked about Dr. Frist's participation in an event describing the filibuster "as against people of faith," his spokesman, Bob Stevenson, did not answer the question directly.
"Senator Frist is doing everything he can to ensure judicial nominees are treated fairly and that every senator has the opportunity to give the president their advice and consent through an up or down vote," Mr. Stevenson said, adding, "He has spoken to groups all across the nation to press that point, and as long as a minority of Democrats continue to block a vote, he will continue to do so."
Some of the nation's most influential evangelical Protestants are participating in the teleconference in Louisville, including Dr. James C. Dobson, founder of Focus on the Family; Chuck Colson, the born-again Watergate figure and founder of Prison Fellowship Ministries; and Dr. Al Mohler, president of the Southern Baptist Theological Seminary.
The event is taking place as Democrats and Republicans alike are escalating their public relations campaigns in anticipation of an imminent confrontation. The Democratic minority has blocked confirmation of 10 of President Bush's judicial nominees by preventing Republicans from gaining the 60 votes needed to close debate, using the filibuster tactic often used by political minorities and most notoriously employed by opponents of civil rights.
Dr. Frist has threatened that the Republican majority might change the rules to require only a majority vote on nominees, and Democrats have vowed to bring Senate business to a standstill if he does.
On Thursday, one wavering Republican, Senator John McCain of Arizona, told a television interviewer, Chris Matthews, that he would vote against the change.
"By the way, when Bill Clinton was president, we, effectively, in the Judiciary Committee blocked a number of his nominees," Mr. McCain said.
On Thursday the Judiciary Committee sent the nomination of Thomas B. Griffith for an appellate court post to the Senate floor. Democrats say they do not intend to block Mr. Griffith's nomination.
That cleared the way for the committee to approve several previously blocked judicial appointees in the next two weeks.
The telecast also signals an escalation of the campaign for the rule change by Christian conservatives who see the current court battle as the climax of a 30-year culture war, a chance to reverse decades of legal decisions about abortion, religion in public life, gay rights and marriage.
"As the liberal, anti-Christian dogma of the left has been repudiated in almost every recent election, the courts have become the last great bastion for liberalism," Tony Perkins, president of the Family Research Council and organizer of the telecast, wrote in a message on the group's Web site. "For years activist courts, aided by liberal interest groups like the A.C.L.U., have been quietly working under the veil of the judiciary, like thieves in the night, to rob us of our Christian heritage and our religious freedoms."
Democrats accused Dr. Frist of exploiting religious faith for political ends by joining the telecast. "No party has a monopoly on faith, and for Senator Frist to participate in this kind of telecast just throws more oil on the partisan flames," said Senator Charles E. Schumer, Democrat of New York.
But Mr. Perkins stood by the characterization of Democrats as hostile to faith. "What they have done is, they have targeted people for reasons of their faith or moral position," he said, referring to Democratic criticisms of nominees over their views of cases about abortion rights or public religious expressions.
"The issue of the judiciary is really something that has been veiled by this 'judicial mystique' so our folks don't really understand it, but they are beginning to connect the dots," Mr. Perkins said in an interview, reciting a string of court decisions about prayer or displays of religion.
"They were all brought about by the courts," he said.
Democrats, for their part, are already stepping up their efforts to link Dr. Frist and the rule change with conservatives statements about unaccountable judges hostile to faith.
On Thursday, Mr. Schumer released an open letter calling on Dr. Frist to denounce such attacks. "The last thing we need is inflammatory rhetoric which on its face encourages violence against judges," he wrote.
Tuesday, April 12
Citizen DV footage changes balance of power with police
Videos Challenge Accounts of Convention Unrest
New York Times, 4/11/05
| |
Dennis Kyne put up such a fight at a political protest last summer, the arresting officer recalled, it took four police officers to haul him down the steps of the New York Public Library and across Fifth Avenue.
"We picked him up and we carried him while he squirmed and screamed," the officer, Matthew Wohl, testified in December. "I had one of his legs because he was kicking and refusing to walk on his own."
Accused of inciting a riot and resisting arrest, Mr. Kyne was the first of the 1,806 people arrested in New York last summer during the Republican National Convention to take his case to a jury. But one day after Officer Wohl testified, and before the defense called a single witness, the prosecutor abruptly dropped all charges.
During a recess, the defense had brought new information to the prosecutor. A videotape shot by a documentary filmmaker showed Mr. Kyne agitated but plainly walking under his own power down the library steps, contradicting the vivid account of Officer Wohl, who was nowhere to be seen in the pictures. Nor was the officer seen taking part in the arrests of four other people at the library against whom he signed complaints.
A sprawling body of visual evidence, made possible by inexpensive, lightweight cameras in the hands of private citizens, volunteer observers and the police themselves, has shifted the debate over precisely what happened on the streets during the week of the convention.
For Mr. Kyne and 400 others arrested that week, video recordings provided evidence that they had not committed a crime or that the charges against them could not be proved, according to defense lawyers and prosecutors.
Among them was Alexander Dunlop, who said he was arrested while going to pick up sushi.
Last week, he discovered that there were two versions of the same police tape: the one that was to be used as evidence in his trial had been edited at two spots, removing images that showed Mr. Dunlop behaving peacefully. When a volunteer film archivist found a more complete version of the tape and gave it to Mr. Dunlop's lawyer, prosecutors immediately dropped the charges and said that a technician had cut the material by mistake.
Seven months after the convention at Madison Square Garden, criminal charges have fallen against all but a handful of people arrested that week. Of the 1,670 cases that have run their full course, 91 percent ended with the charges dismissed or with a verdict of not guilty after trial. Many were dropped without any finding of wrongdoing, but also without any serious inquiry into the circumstances of the arrests, with the Manhattan district attorney's office agreeing that the cases should be "adjourned in contemplation of dismissal."
So far, 162 defendants have either pleaded guilty or were convicted after trial, and videotapes that bolstered the prosecution's case played a role in at least some of those cases, although prosecutors could not provide details.
Besides offering little support or actually undercutting the prosecution of most of the people arrested, the videotapes also highlight another substantial piece of the historical record: the Police Department's tactics in controlling the demonstrations, parades and rallies of hundreds of thousands of people were largely free of explicit violence.
Throughout the convention week and afterward, Mayor Michael R. Bloomberg said that the police issued clear warnings about blocking streets or sidewalks, and that officers moved to arrest only those who defied them. In the view of many activists - and of many people who maintain that they were passers-by and were swept into dragnets indiscriminately thrown over large groups - the police strategy appeared to be designed to sweep them off the streets on technical grounds as a show of force.
"The police develop a narrative, the defendant has a different story, and the question becomes, how do you resolve it?" said Eileen Clancy, a member of I-Witness Video, a project that assembled hundreds of videotapes shot during the convention by volunteers for use by defense lawyers.
Paul J. Browne, a police spokesman, said that videotapes often do not show the full sequence of events, and that the public should not rush to criticize officers simply because their recollections of events are not consistent with a single videotape. The Manhattan district attorney's office is reviewing the testimony of Officer Wohl at the request of Lewis B. Oliver Jr., the lawyer who represented Mr. Kyne in his arrest at the library.
The Police Department maintains that much of the videotape that has surfaced since the convention captured what Mr. Browne called the department's professional handling of the protests and parades. "My guess is that people who saw the police restraint admired it," he said.
Video is a useful source of evidence, but not an easy one to manage, because of the difficulties in finding a fleeting image in hundreds of hours of tape. Moreover, many of the tapes lack index and time markings, so cuts in the tape are not immediately apparent.
That was a problem in the case of Mr. Dunlop, who learned that his tape had been altered only after Ms. Clancy found another version of the same tape. Mr. Dunlop had been accused of pushing his bicycle into a line of police officers on the Lower East Side and of resisting arrest, but the deleted parts of the tape show him calmly approaching the police line, and later submitting to arrest without apparent incident.
A spokeswoman for the district attorney, Barbara Thompson, said the material had been cut by a technician in the prosecutor's office. "It was our mistake," she said. "The assistant district attorney wanted to include that portion" because she initially believed that it supported the charges against Mr. Dunlop. Later, however, the arresting officer, who does not appear on the video, was no longer sure of the specifics in the complaint against Mr. Dunlop.
In what appeared to be the most violent incident at the convention protests, video shot by news reporters captured the beating of a man on a motorcycle - a police officer in plainclothes - and led to the arrest of one of those involved, Jamal Holiday. After eight months in jail, he pleaded guilty last month to attempted assault, a low-level felony that will be further reduced if he completes probation. His lawyer, Elsie Chandler of the Neighborhood Defender Service of Harlem, said that videos had led to his arrest, but also provided support for his claim that he did not realize the man on the motorcycle was a police officer, reducing the severity of the offense.
Mr. Browne, the police spokesman, said that despite many civilians with cameras who were nearby when the officer was attacked, none of the material was turned over to police trying to identify the assailants. Footage from a freelance journalist led police to Mr. Holiday, he said.
In the bulk of the 400 cases that were dismissed based on videotapes, most involved arrests at three places - 16th Street near Union Square, 17th Street near Union Square and on Fulton Street - where police officers and civilians taped the gatherings, said Martin R. Stolar, the president of the New York City chapter of the National Lawyers Guild. Those tapes showed that the demonstrators had followed the instructions of senior officers to walk down those streets, only to have another official order their arrests.
Ms. Thompson of the district attorney's office said, "We looked at videos from a variety of sources, and in a number of cases, we have moved to dismiss."
Monday, April 11
On Not Mourning the Pope
By Christopher Hitchens
Posted Friday, April 8, 2005, at 9:10 AM PT
It seems only a year or so since every talk-show host and pundit in the country was telling us that Ronald Reagan had personally demolished communism in Eastern Europe. Now we come to the end of an entire week when the mass media behaved as if we all lived in a Catholic country and were united in mourning the Dear Leader, in which this historic achievement of freedom was credited to "the Polish Pope." That isn't necessarily a contradiction: The two men might possibly have shared the work. And it's perhaps thinkable, though not apparently mentionable, that the Polish workers and Warsaw's dissident intellectuals might have had some part in the victory. I can even remember visiting one or two of the latter, such as Jacek Kuron and Adam Michnik, who operated in a mainly secular and partly Jewish milieu, and who thought of Cardinal Glemp of Warsaw as one of their main enemies. But I'll have to postpone this reflection to another time, when we are less servile and less saturated with the notion of deliverance from on high.
What strikes one now is the similarity between the predicament of the Vatican and the predicament of the Kremlin about 45 years ago. Between the death of Stalin and the end of Khrushchev, the crucial question was: How much heresy and revisionism and autonomy can be permitted, without endangering the entire ideology of the regime? We know now how that issue was decided in the material world. Is the supposedly spiritual world immune from similar strains?
Without, it seems, quite noticing what they are saying, the partisans of the late pope have been praising him for his many apologies. He apologized to the Jewish people for the Vatican's glacial coldness during the Final Solution, and for historic filiations between the church and anti-Semitism. He apologized to the Eastern Orthodox Christians, and to the Muslims, for the appalling damage done to civilization by papal advocacy of the Crusades, and by forced conversion and massacre in the Balkans during the church's open alliance with fascism during World War II. He apologized to the world of science and reason by admitting that Galileo should not have been condemned by the Inquisition. These are not small climb-downs, and they do not apply just to the past. They are and were admissions that the Roman Catholic Church has been responsible for the retarding of human development on a colossal scale.
However, "be not afraid." The God-given right of the papacy to make and enforce absolute judgments is not at all at stake. Popes may have been wrong on everything, but they were right in general. By the time the church apologizes for saying that condoms are worse than AIDS, or admits that it was complicit at best in the mass murder in Rwanda, another few generations will have died out. This is almost exactly the sort of stuff with which Communists and their fellow travelers once had to content themselves. There had indeed been "spots on Stalin's sun," as one hack so prettily phrased it. But the leading role of the party was still a sure thing.
Sensing, perhaps, that so many admissions and confessions might sow doubt and unease, Pope John Paul threw himself into the sort of reinforcement that unifies and heartens the flock, or the base. The special sign of this was the mass production of saints and the removal of all obstacles to near-instant canonization and beatification. This is especially handy for beefing up the faith in outlying regions, where a local hero is considered good for morale. Alas for those who value consistency, some of those canonized were at odds with the larger purpose served by the famous apologies. Cardinal Stepinac of Croatia, for example, had been a clerical ally of the Nazi puppet regime of Ante Pavelic, and had known full well of the vile treatment of Orthodox Christians and Jews under this dispensation. Jose Maria Escriva de Balaguer, the creepy founder of Opus Dei, was celebrated for his closeness to Gen. Franco. To make saints of such riffraff is the most obvious form of opportunism.
Seeking to cloud a difficult situation with even more of the fragrance of obscurantism, the pope also resorted to an almost wholesale appropriation of the cult of the Virgin. He openly announced that the bullet that hit him was prevented from taking his life not because of the skill of his physicians, but because its trajectory had been guided by Our Lady. She let the assassin fire and hit, in other words, and only then took action. (This reminds me of Bertrand Russell's comment on the practice of placing covers on the baths in convents so as to avoid offending the sight of God. The creator can see through the roof of the convent, and down into the bathrooms in the basement, but is hopelessly baffled by a sheet of canvas.) Sites such as Fatima, which had been frowned upon by serious Catholics for some years, became objects of adoration and pilgrimage and hysteria. The veneration of the Virgin, and the endlessly repeated mantra of "Totus Tuus" ("Everything for Thee") seemed to many veteran believers to depose Jesus in favor of a Marian idolatry, and even to violate the commandment against graven images.
Finally, if the pope is to have so much credit for the liberation of Eastern Europe, he ought to accept his responsibility for the enslavement of the Middle East. He not only opposed the removal of Saddam Hussein in 2003, but the use of force to get him out of Kuwait in 1991. I have never read any deployment of Augustinian argument, in the latter case, that would not qualify it as a just war. Moreover, the pope made a visit to Damascus not long ago, and sat quietly outside the Grand Mosque while the Assad regime greeted him as one who understood that Muslims and Catholics had a common enemy—in the Jews who had killed Christ. (That he may already have been senescent at this point is not an answer: It is a problem, though, for those who believe that he was Christ's vicar on earth.)
Unbelievers are more merciful and understanding than believers, as well as more rational. We do not believe that the pope will face judgment or eternal punishment for the millions who will die needlessly from AIDS, or for his excusing and sheltering of those who committed the unpardonable sin of raping and torturing children, or for the countless people whose sex lives have been ruined by guilt and shame and who are taught to respect the body only when it is a lifeless cadaver like that of Terri Schiavo. For us, this day is only the interment of an elderly and querulous celibate, who came too late and who stayed too long, and whose primitive ideology did not permit him the true self-criticism that could have saved him, and others less innocent, from so many errors and crimes.
Friday, April 8
Festival for Art on Film, April 9 Akron, Ohio
The festival is hosted by the College of Fine and Applied Arts at The University of Akron. Selections from the Festival for Art on Film are also showcased at the Subtropics Experimental Music and Sound Art Festival in Miami, Florida.
festival goals
* To promote art on film and documentaries on art through public screenings;
* To increase public awareness and appreciation of art;
* To promote art, artists and cultural understanding;
* To create a forum for contacts, dialogue and exchange of experience. "
Thursday, March 24
Wooster Collective : Stickers / Posters / Graf / Culture Jamming
This is funny and marvelous--a 'british pensioner' hangs his work in NY museums. Like, all of them.
More Schiavo nonsense, or Theocrats going nowhere
As Christopher Shays, one of five House Republicans who voted against the bill to allow the Terri Schiavo case to be snatched from Florida state jurisdiction and moved to federal court, put it: "This Republican Party of Lincoln has become a party of theocracy. There are going to be repercussions from this vote." A CBS News poll yesterday found that 82 percent of the public was opposed to Congress and the president intervening in this case. 82 percent. That number makes Reagan's victory over Dukakis look humble.
As one disgusted Times reader suggested in an e-mail: "Americans ought to send Bill Frist their requests: 'Dear Dr. Frist: Please watch the enclosed video and tell us if that mole on my mother's cheek is cancer. Does she need surgery?'"
A lawyer for the state told the judge that the three branches of the government are equal.
"That is indeed true," Judge Greer replied, "but the executive is certainly not superior.
We must wait for the court's ruling on whether the relics of a Hollywood relic breach the separation of church and state. Either way, it's clear that one principle, so firmly upheld by DeMille, has remained inviolate no matter what the courts have to say: American moguls, snake-oil salesmen and politicians looking to score riches or power will stop at little if they feel it is in their interests to exploit God to achieve those ends. While sometimes God racketeers are guilty of the relatively minor sin of bad taste - witness the crucifixion-nail jewelry licensed by Mel Gibson - sometimes we get the demagoguery of Father Coughlin or the big-time cons of Jimmy Swaggart and Jim Bakker.
The religio-hucksterism surrounding the Schiavo case makes DeMille's Hollywood crusades look like amateur night. This circus is the latest and most egregious in a series of cultural shocks that have followed Election Day 2004, when a fateful exit poll question on "moral values" ignited a take-no-prisoners political grab by moral zealots. During the commercial interruptions on "The Ten Commandments" last weekend, viewers could surf over to the cable news networks and find a Bible-thumping show as only Washington could conceive it. Congress was floating such scenarios as staging a meeting in Ms. Schiavo's hospital room or, alternatively, subpoenaing her, her husband and her doctors to a hearing in Washington. All in the name of faith.
The same Mr. Bush who couldn't be bothered to interrupt his vacation during the darkening summer of 2001, not even when he received a briefing titled "Bin Laden Determined to Strike in U.S.," flew from his Crawford ranch to Washington to sign Congress's Schiavo bill into law. All this is happening while polls consistently show that at most a fifth of the country subscribes to the religious views of those in the Republican base whom even George Will, speaking last Sunday on ABC's "This Week," acknowledged may be considered "extremists."Tuesday, March 22
Activist Legislators, or, The Separation of Powers Run Amok
Whether Terri Schiavo will live or die in the coming days has come down to this: Can federal district judge James Whittemore set aside virtually every bedrock constitutional principle on which this nation was founded, just so members of the United States Congress may constitutionalize the nowhere-to-be-found legal principle that a "culture of life" is a good thing?
This morning's decision by Congress and President Bush—to authorize new federal legislation that will obliterate years of state court litigation, and justify re-inserting a feeding tube into Terri Schiavo, based on new and illusory federal constitutional claims—is not about law. It is congressional activism, plain and simple; legislative overreaching and hubris taken to absurd extremes.
Let's be clear: The piece of legislation passed late last night, the so-called "Palm Sunday Compromise," has nothing whatever to do with the rule of law. The rule of law in this country holds that this is a federalist system—in which private domestic matters are litigated in state, not federal courts. The rule of law has long provided that such domestic decisions are generally made by competent spouses, as opposed to parents, elected officials, popular referendum, or the demands of Randall Terry. The rule of law also requires a fundamental separation of powers—in which legislatures do not override final, binding court decisions solely because the outcome is not the one they like. The rule of law requires comity between state and federal courts—wherein each respects and upholds the jurisdiction and authority of the other. The rule of law requires that we look skeptically at legislation aimed at mucking around with just one life to the exclusion of any and all similarly situated individuals.
And what is the overwhelming constitutional value that supersedes each of these centuries-old legal notions? Evidently, Congress has a secret, super-textual constitutional role as the nation's caped crusaders—its members authorized to leap into phone booths around the world and fly back to Washington in a single bound whenever the "culture of life" is in peril. Republicans acknowledged this weekend that their views on "the sanctity of life" trump even their convictions about federalism. Or, as Tom DeLay put it, when asked how he reconciles this bill with conservative calls to keep the federal government out of state matters, "We, as Congress, have every right to make sure that the constitutional rights of Terri Schiavo are protected, and that's what we're doing."
This congressional authority to simply override years of state court fact-finding brings with it other superpowers, including the power of gratuitous name-calling: Members of Congress unable to pronounce Schiavo's name just last week are denouncing her husband as an adulterer and common law bigamist who withheld proper medical care from her. I wonder what they'd say about my parenting—or yours—if they decided to make a federal case out of every domestic-custody dispute currently resolved in state court proceedings.
Members of Congress have apparently also had super-analytical powers conferred upon them, as well. Senate Majority Leader, and heart surgeon, Bill Frist felt confident last week—after reviewing an hour of videotape—in offering a medical diagnosis of Schiavo's condition, blithely second-guessing the court-appointed neurologists who evaluated her for days and weeks. His colleagues are similarly self-appointed neurological experts. Years of painstaking litigation, assessment, and evaluation by state courts are dismissed by Tom DeLay as the activist doings of a "little judge sitting in a state district court in Florida." Only the most extraordinary levels of congressional hubris could allow a group of elected citizens to substitute their personal medical, legal, and ethical judgments for those of the doctors, judges, and guardians who have been intimately involved with this heartbreakingly sad case for years.
And shouldn't we worry—just a bit—when in the name of a "culture of life" Congress enacts legislation that singles out just one Florida family for special legal standing? Frist calls this "a unique bill" that "should not serve as a precedent for future legislation." Yet Schiavo is just one of up to 35,000 people in this country in a persistent vegetative state as the result of trauma, drug overdose, or other medical complications. Remember what happened to Élián Gonzáles when the federal government decided to embroil itself—just this once—in a custody dispute? Why does Terri Schiavo alone warrant the legislative intercession of these self-appointed crusaders? (Not because this is a "great political issue" that would appeal to the base and defeat a Florida Democrat, according to a one-page memo distributed to Republican senators last week.) The last time Florida had to contend with a good-for-one-ride-only legal intervention of this sort was in Bush v. Gore.
Take a peek into any chat room (or this Fray in 15 minutes) and you will find hundreds of individuals who personally know that Terri Schiavo is—despite voluminous testimony by her doctors and her guardians ad litem and the findings of multiple judges—capable of laughter and responsiveness and a full recovery. How do they know these things? The same way their elected representatives do: They watched a video clip. And because anyone who disagrees with the video is a murderer and torturer, the state court judge in this case requires constant police protection: The standard-bearers of the "culture of life" keep threatening to kill him.
The reason we have courts, the reason we traditionally assign these brutal fact-finding responsibilities to those courts, is that intimate legal custody and life-or-death decisions should not be determined based on popular referenda. They need to be rooted, as much as possible, in rock-solid legal rules.
This is not a slippery-slope case, where it's a short hop from "executing" those in persistent vegetative conditions to killing anyone with a disability. This is a case in which an established right-to-refuse-treatment claim, litigated for years up and down through the appeals courts, is being thwarted by parents with no custodial claim to their child. By stepping in merely to sow doubt as to whom Terri Schiavo's proper custodian might be, rather than creating some new constitutional right to a "culture of life," Congress has simply called the existing legal regime into doubt without establishing a new one. This new law offers no clarity about what the new federal claims might be. It just forum-shops for a more tractable judge.
You can put aside the doctrine of federalism for Terri Schiavo, and the principles of separation of powers, and comity, and of deference to finality and the rule of law. But you'd want to be certain, on the day you do so, that what you're sacrificing them for some concrete legal value that matters a whole lot more. Subordinating a centuries-old culture of law to an amorphous, legally meaningless "culture of life," is not a decision to be taken over a weekend.
Dahlia Lithwick is a Slate senior editor.----------------------------
Conservatives class over Shavio Case, NYTIMES
"This is a clash between the social conservatives and the process conservatives, and I would count myself a process conservative," said David Davenport of the Hoover Institute, a conservative research organization. "When a case like this has been heard by 19 judges in six courts and it's been appealed to the Supreme Court three times, the process has worked - even if it hasn't given the result that the social conservatives want. For Congress to step in really is a violation of federalism."
"My party is demonstrating that they are for states' rights unless they don't like what states are doing," said Representative Christopher Shays of Connecticut, one of five House Republicans who voted against the bill. "This couldn't be a more classic case of a state responsibility."
"This Republican Party of Lincoln has become a party of theocracy," Mr. Shays said. "There are going to be repercussions from this vote. There are a number of people who feel that the government is getting involved in their personal lives in a way that scares them."
The Republican Party has long associated itself with limiting the power of the federal government over the states, though this is not the only time that party leaders have veered from that position. Most famously, in 2000, it persuaded the Supreme Court to overturn a Florida court ruling ordering a recount of the vote in the presidential election between Al Gore and George Bush.
But now the Schiavo case is illustrating splinters in the conservative movement that Mr. Bush managed to bridge in his last campaign, and the challenges Mr. Bush and Republicans face in trying to govern over the next two years, even though they control Congress as well as the White House.
------------------------------------------------------------------------------------------------------------------------
Schiavo Recovery Impossible, Experts Say
Mon Mar 21, 2005 01:05 PM ET
WASHINGTON (Reuters) - Terri Schiavo, at the center of an emotional and political storm over whether she should be allowed to die, will almost certainly never recover from her unconscious condition, neurologists agree.
She is in a permanent vegetative state, and no one has ever come back from such a condition, according to the American Academy of Neurology.
"Approximately 10,000 to 25,000 adults and 6,000 to 10,000 children in the United States are diagnosed as being in the persistent vegetative state," the Multi-Society Task Force on Persistent Vegetative State says in its 1995 guidelines on the condition, the latest available.
"Survival beyond 10 years is unusual. The chance for survival of greater than 15 years is approximately 1 in 15,000 to 1 in 75,000," it adds.
While most neurologists agree that recovery is almost impossible, the decision on whether and how long to keep such a patient alive is usually left to the individual doctor and the patient's guardian.
Schiavo has been in the condition, which is far more severe than a coma, since she had a heart attack in 1990 that deprived her brain of oxygen. Under the medical definition, that became a permanent state after a month.
Her husband and legal guardian, Michael Schiavo, has fought to allow her to die and courts have supported him.
The tube was removed on Friday after Florida courts rejected numerous last-ditch legal attempts by the parents, Bob and Mary Schindler, to keep their daughter alive. But early in the hours of Monday morning President Bush signed a bill allowing federal courts to again intervene in the matter.
The Schindlers believe their daughter responds to them and her condition could improve with treatment. Tennessee Sen. Bill Frist, a surgeon and Senate majority leader, has viewed videotapes and agrees.
But Dr. Ronald Cranford, a neurologist and bioethicist at the University of Minnesota Medical School, said reflexes can fool non-specialists.
"To the families and loved ones, and to inexperienced health care professionals, PVS patients often look fairly 'normal,"' Cranford said in a statement.
"Their eyes are open and moving about during the periods of wakefulness that alternate with periods of sleep; there may be spontaneous movements of the arms and legs, and at times these patients appear to smile, grimace, laugh, utter guttural sounds, groan and moan, and manifest other facial expressions and sounds that appear to reflect cognitive functions and emotions, especially in the eyes of the family."
Such patients can even squeeze a hand in response to a caress, Swedish Covenant Hospital in Chicago says in guidance posted on its Internet Web site.
"Sadly, these actions often appear meaningful to hopeful families but are all automatic reflexes -- not movements with a purpose," it reads.
"There are no confirmed reports of anyone fully recovering from a permanent vegetative state lasting more than three months."
This is because in such patients, the cerebral cortex has been destroyed, said Dr. Lawrence Schneiderman, a physician and bioethicist at the University of California, San Diego.
"Four to six minutes of anoxia, lack of oxygen, destroys that completely," Schneiderman wrote in comments posted on the Internet at http://seeingthedifference.berkeley.edu/schneiderman.html.
"The rest of your brain, particularly the brain stem, can survive for fifteen or twenty minutes without oxygen," added Schneiderman, who signed a friend of the court brief in July of last year supporting Michael Schiavo.
"What happens is that that part of the brain, the cerebral cortex, which is us, our personality, who we are, how we think -- our capacity to experience, see, hear, think, emote -- that may be permanently destroyed."
Experts say Terri Schiavo would experience no discomfort if allowed to die, as the part of her brain that experiences pain is unlikely to be functioning.
----
from the Washington Post---
The Bush administration and the current Congressional leadership like to wax eloquent about states' rights. But they dropped those principles in their rush to stampede over the Florida courts and Legislature. The new law doesn't miss a chance to trample on the state's autonomy and dignity. There are a variety of technical legal doctrines the federal courts use to show deference to state courts, like "abstention" and "exhaustion of remedies." The new law decrees that in Ms. Schiavo's case, these well-established doctrines simply will not apply.
Republicans have traditionally championed respect for the delicate balance the founders created. But in the Schiavo case, and in the battle to stop the Democratic filibusters of judicial nominations, President Bush and his Congressional allies have begun to enunciate a new principle: the rules of government are worth respecting only if they produce the result we want. It may be a formula for short-term political success, but it is no way to preserve and protect a great republic.
----
Douglas W. Kmiec, a conservative law professor at Pepperdine University, said the legislation had left him anguished.
"I would be naturally inclined to Terri Schiavo's part in this enterprise," Professor Kmiec said. "This is, however, a benignly intended but tragically mistaken law. It contravenes almost every principle known to constitutional jurisprudence."
A Congressional call for a do-over by legislators unhappy with the result in a single case could, however, raise issues under the Constitution's equal protection clause.
"It is a basic principle of our legal system," said Laurence H. Tribe, a law professor at Harvard, "that no legislature may intervene in the most personal and intimate choices that individuals and families make except pursuant to neutral and general laws, laws that draw lines capable of justification in principled terms."
The lawsuit Ms. Schiavo's parents filed early yesterday made five arguments, and legal scholars said they found them largely unpersuasive.
http://www.nytimes.com/2005/03/22/national/22legal.html
----
Or William Saletan, Slate's Chief Political Correspondant:
...once people like you, me, and Tom DeLay start second-guessing the judges, doctors, and families who know a case firsthand, it never ends. The "culture of life" becomes a regime of ham-fisted political reinvestigation that does for ethics what medieval barbers did for health.
If Congress makes such decisions, here's the kind of judgment you'll get. At a press conference Saturday, one Republican congressman said his colleagues were intervening in the case "so that this young woman can continue to make her parents as happy as she has"—as though that were the purpose of her existence. DeLay accused Democrats of starving Schiavo to death. He called it "medical terrorism." One day DeLay said she'd die slowly of starvation; the next, he said Congress had to move fast because she'd die quickly of dehydration. Frist, who has asserted special credibility "as a physician," claimed that "neurologists who have examined her insist today that she is not in a persistent vegetative state"—neglecting to mention that neurologists who testified in court concluded the opposite. On the Senate floor, Frist claimed to have "been in a situation such as this many, many times," when in fact he had never made such an evaluation. On the basis of the family videos, he challenged the assessment made by doctors who had examined Schiavo in person.
...And here's the culture you'll get. Schiavo's parents have filed a motion to divorce her from her husband. Protesters at the hospice have suggested that the husband should be starved and the judge should be beaten.
Monday, March 21
What Deep Division? On Right to Die, America Decided
In attempt to appear "fair and balanced" to the radical right, media ignore or cover up popular opinion polls that clearly demonstrate it is in the radical minority.
Recent polling data, in outlets from Fox News to the Washington Post, shows that an overwhelming majority of Americans back the position of Michael Schiavo, Terri's husband, that he, and not his wife's parents, should have the final say about removing the feeding tube of his wife, who has been severely brain-damaged and incapacitated for the past 15 years. The polling data seriously undercuts the notion that Americans are deeply divided on the Schiavo case. Yet ever since March 18, when Republicans began their unprecedented push to intervene legislatively in a state court case that had already been heard by 19 judges, the press has all but disregarded the polls.
The Schiavo episode highlights not only how far to the right the GOP-controlled Congress has lunged -- a 2003 Fox News poll found just 2 percent of Americans think the government should decide this type of right-to-die issue -- but also how paralyzed the mainstream press has become in pointing out the obvious: that the GOP leadership often operates well outside the mainstream of America. The press's timidity is important because publicizing the poll results might extend the debate from one that focuses exclusively on a complicated moral and ethical dilemma to one that also examines just how far a radical and powerful group of religious conservatives are willing to go to push their political beliefs on the public.
Imagine how differently the televised debate would have unfolded over the past few days if journalists had simply done their job and asked Terri Schiavo's pro-life proponents why an overwhelming percentage of Americans disagree with them about this case. Indeed, polls taken over the past two years show that Americans are adamant that the spouse, and not the parents, should decide on a loved one's right to die. And in the past week, an overwhelming majority -- 87 percent -- of Americans polled by ABC News and the Washington Post said that if they were in the same state as Terri Schiavo, they too would want their feeding tube removed.
...
"Baffling" is also the only word to describe the Atlanta Journal-Constitution article this past Sunday that reported Americans are "split about 60 percent to 40 percent in favor of letting Schiavo die" (emphasis added). The paper then referred to a Fox News poll from "last year" that was "typical," in which 61 percent of registered voters said they would remove the tube and let her die; [and] 22 percent would leave it in place." If that poll was typical, why did the paper contradict itself by reporting that Americans are actually split 60-40 on the issue?
Television coverage was even more barren. NBC's "Meet the Press" on Sunday featured its weekly roundtable of journalists, who discussed the Schiavo issue. Yet neither host Tim Russert nor guests Ron Brownstein (Los Angeles Times), David Broder (Washington Post), John Harwood (Wall Street Journal) or Gwen Ifill (PBS) ever mentioned any polls on the Schiavo case. That show was the model, across the dial, for television coverage over the weekend: Avoid the polls and -- indirectly -- any suggestion that Congress was acting in an radical manner.