I must say that Katha Pollitt's exquisite and moving memorial to Pierre Bourdieu ["Subject to Debate," Feb. 18] brought a little warmth to this soul, calloused and made cynical by the current state of things in the world. As a sociologist/social activist whose venue for change has been healthcare and medical education, I have seen Bourdieu as one of my guiding lights, both intellectually and morally. In keeping with Bourdieu's central thesis, contemporary American medicine clearly qualifies as a "stratified social system of hierarchy and domination that persists and reproduces intergenerationally without powerful resistance and without the conscious recognition of [its] members."
His moral stance, regardless of his own stature in the academy, served as a source of reaffirmation for me in my relationship with my students, whose personal and professional development was nurtured through providing care to the disadvantaged in the inner city of Chicago or making themselves vulnerable to the needs of the disfranchised in Africa, southeastern Europe or Central America.
Regarding Richard Posner, that silly ass, besides his megalomania (a contagious virus that seems to have reached epidemic proportions in the law school and economics department at the University of Chicago), he is the prime example of the philosophical conservative who is willing to pay the price of other people's suffering for his own principles.
EDWARD J. ECKENFELS
ENRON RON-RON-RON , O ENRON-RON
I'm still scratching my head after reading Alexander Cockburn's attack on my support for Enron's merger with the Portland General Electric Company (PGE) almost five years ago ["Beat the Devil," Jan. 7/14]. His baffling conclusion that "the role of that green seal of approval [in Enron's collapse] should not be forgotten" is a non sequitur of the highest order.
Natural Resources Defense Council was part of a coalition of environmental and consumer groups that negotiated an agreement with the merging companies on future investment in energy efficiency, renewable energy, watershed restoration and low-income energy services. Cockburn is indignant that I said I trusted Enron to execute the agreement. But Cockburn, who never called me before publishing his diatribe, evidently didn't check to find out what actually happened. Enron and PGE did indeed meet their merger obligations, and environmental and consumer interests were among the winners. Enron left in place a hometown management group with a commitment to improved performance on both environmental and equity issues. Its subsequent decision to leave the utility business, long before its collapse, had no adverse environmental consequences at PGE or elsewhere.
There is no connection between Enron's current calamity and the merger that NRDC and many others supported conditionally nearly five years ago. Only Cockburn's overactive imagination could suggest otherwise.
Natural Resources Defense Council
Lest your readers believe that all Oregon environmental groups were bought off by Enron, none of my clients agreed to the contract ("memorandum") with Enron. In fact, the Utility Reform Project, Lloyd Marbet and Larry Tuttle appealed the Oregon Public Utility Commission's 1997 merger approval to the courts, where we eventually lost in December 2000.
As of October 1, 2001, Enron was granted a $400 million (41 percent) annual rate increase by the Oregon commission. Enron also squirmed out of its merger commitment to pay its Oregon ratepayers $105 million for the use of assets paid for by those ratepayers, after having paid only $32 million.
Former PGE executives Ken Harrison and Joseph Hirko cashed in more than $110 million in Enron stock options before the collapse, while hundreds of PGE employees lost their life savings while locked into a 401(k) plan that consisted of 58 percent Enron stock, now essentially worthless. The Enron bankruptcy now threatens to dismember PGE (with transmission and hydro assets sold out from under state regulation), which would cause massive additional rate hikes.
Thank you, Alexander Cockburn, for beginning an important dialogue about the harm done when environmental groups run interference for corporations. The Enron debacle in Portland, Oregon, is just one piece of the story about how certain organizations and their funders promoted utility deregulation in the name of protecting the environment. Some even lent their names to defeat a grassroots initiative movement in California to stop the nuclear bailout associated with the deregulation legislation in the state.
Early in the debate over deregulation, a small group of us working on energy issues argued with the funders and environmental proponents of deregulation. We pleaded with them to put their resources and leadership behind a grassroots movement against electricity deregulation, consolidation in the electricity industry and a bailout for the nuclear utilities. Our arguments fell on deaf ears. The dissenting organizations formed a coalition against deregulation called the Ratepayers for Green Electricity. Over the next several years we fought deregulation, but always on a shoestring because the prevailing wisdom was to "cooperate and deregulate."
Since then, with the blessing and help of some public-interest advocates, deregulation bills have passed in more than twenty states. The crumbs the environmental supporters of deregulation got in exchange for their support are not lasting or significant enough to protect consumers or the environment. We predict more trouble ahead as these deregulation bills are phased in. Fortunately, so far no federal legislation has been enacted, although the proponents of deregulation are still pushing for it.
Furthermore, as we predicted, deregulation has been a disaster for consumers and the environment. Prices are higher, and the promised increase in competition has not come to pass. Rather than creating a green market for renewable energy, deregulation has resulted in thousands of megawatts of new, nonrenewable electricity plants being built or planned. Energy-efficiency programs have lost ground, and the entire thrust is to use more electricity, since under deregulation there is no incentive to save it.
But what is more important than the hollow victory of saying we told you so or naming names is understanding the lessons of the deregulation battle. Deregulation and privatization of public services is about making a profit (just watch the coming industry efforts to privatize water), not about helping consumers or protecting the environment. When environmental groups sign off on these deals in hopes of good will from profit-hungry corporations, they are deluding themselves and betraying the public. Environmental organizations and the foundations that support them should take a hard look at the "market-based" strategy and start putting their resources into creating a broad-based grassroots movement to protect people and the environment.
Energy & Environment Program
Just to inject one tiny sliver of reality into Ralph Cavanagh's bland tissue of self-exculpation, which will be read with hilarity in Oregon. Portland General Electric sought and received $340 million in rate hikes on PGE customers for federal income taxes over the past three years. It shipped the money to Enron HQ in Houston. Over that period, Enron paid only $17 million in taxes in 1998, nothing in 1999 or in 2000. In fact, the company got a big tax rebate.
OUR LEADERS NEED TO HEAR THIS
In "And Darkness Covered the Land" [Dec. 24] Robert I. Friedman has given voice to what very few other US journalists have the guts to say--that people don't blow themselves up in crowded restaurants because their Coke doesn't have enough ice. It takes desperation to commit suicide for one's cause. America's role in the Palestinian apartheid is appalling and intensely hypocritical. Thank you to Friedman for having the cojones to point it out. If only our government would listen before our military support of Israel leads to more blood spilt on our or any other country's soil.
Yet another nauseatingly inaccurate and biased dispatch from Israel. Just to correct the (intentional?) inaccuracies would take almost as many pages as this article runs. Just one example: No one disputes that Arabs feel perfectly safe in Jewish towns in Israel. However, no Jew would venture into an Arab village, as brutal death awaits those who do, like the two Jewish kids lost on a hike who were stoned to death. By the time Truth has put on her shoes, Lie has run twice around the globe. It is tragic that The Nation supports Lie before an international audience.
EVA S. BELAVSKY
Robert Friedman's article makes clear the real tragedy for both the Israeli and Palestinian people. All Americans should read it. Our leaders should read it at least twice.
What can we do to get a movement going in this country to demand that the United States and/or the United Nations impose and enforce a peace settlement? Sharon, as Friedman points out, has no desire for a peace that would give a viable country to the Palestinians. Conditions in the West Bank and Gaza can only breed more hatred and consequently more suicide bombers. An imposed peace settlement, which could be altered as cooler heads emerge on both sides, would save face for Israel and Palestine.
Why, if the world can impose peace and peacekeepers between the Greeks and the Turks in Cyprus; between Albanians and Serbs in Kosovo; between Albanians and Slavs in Macedonia; and among the Croats, Serbs and Muslims in Bosnia, why not between Israelis and Palestinians? I am old enough to remember when Gdansk was Danzig, and now the Germans and Poles manage to live in peace. I would rather have my tax money supporting peacekeepers than supplying military equipment to Israel. And certainly a more even-handed US relationship with Israel and Palestine would have immense ramifications for a real peace between the West and the Muslim world.
MILDRED P. KATZ
AN INADVERTENT DECAPITATION
In last week's issue, we inadvertently lopped off the head of artist Jonathan Twingley's name, rendering him Jonathan Wingley. (His illustrations appear on pages 11, 16 and 18.) Our apologies.
In the wake of the terrorist attacks on September 11, China has undergone a dramatic makeover: from the most outspoken adversary of the United States to a highly appreciated ally. The bitter spy-plane episode is all but forgotten. Relations between the two countries continue to warm, and George W. Bush is scheduled to arrive in China for his first official visit on February 21--the thirtieth anniversary of Nixon's breakthrough visit. Though short (it ends February 22), Bush's visit promises to be long on symbolism and good will. President Jiang Zemin could not have asked for anything more.
At home, however, he is enmeshed in a bitter power struggle leading up to next fall's passing of the baton from the current leadership to the next generation of China's Communist leaders, as mandated by the party's new service-limitation rule. Jiang Zemin is desperate to place his supporters in crucial posts, to insure his continued dominance as an insider, even when out of office. His maneuvering has led to open opposition. The radicals abhor his dictatorial style and lavish personal spending. There are rumors that the bugging of his $120 million Boeing 767, discovered in October, may have been carried out by his opponents in the military. Even the supporters of Zhu Rongji, his liberal ally, are accusing Jiang of arrogance and incompetence. The conservatives accuse him of being qin mei (a "US kisser").
It's true that his government seems suddenly eager to please. In preparation for the summit, it has released several imprisoned scholars with American ties. Foreign Minister Qian Qichen has welcomed members of Taiwan's governing Democratic Progressive Party to China and called for renewed dialogue, in a significant softening of policy undertaken with one eye toward Taiwan, the other toward Washington. Similarly calculated was the pledge of $150 million for the reconstruction of Afghanistan. And Chinese officials have made an effort to clear the United States of involvement in the bugging of Jiang's 767. No wonder a New York Times Op-Ed called Jiang "Our Man in Beijing."
On the other side, official Chinese media now fondly refer to W. as "Little Bush," in deference to his father. Little Bush has granted China permanent most-favored-nation trade status, calling it "a final step in normalizing US-China trade relations." Also, after years of resistance, US officials recently threw their support behind China's bid to host the Olympics in 2008.
So what's wrong with this picture? Hidden behind the new amiable facade are long-term problems--China's rapid economic growth and increasing political influence in Asia have placed it on a collision course with the United States, inspiring nationalistic posturing and encouraging military spending in both countries. Witness the US missile defense plan, aimed at limiting China's threat to Taiwan, and China's accelerated arms development program and massive purchase of Russian weapons in recent years. On the economic front, Chinese imports are creating a huge trade deficit for the United States--its largest with any trading partner, including Japan.
Meanwhile, things are far from well in China [see Jiang Xueqin, "Letter From China," page 23]. Its current leadership can hardly keep the lid on the boiling caldron of contradictions between the growing primitive capitalism and the rule of the Communist Party. An estimated 170 million people in China are currently unemployed or semi-employed, and millions more are expected to be added to the rolls as a result of China's joining the World Trade Organization, which will have a devastating impact on its agriculture. The corruption of the business and political elite has made the polarization between rich and poor more extreme than at any time since the establishment of the People's Republic. The malcontents are turning violent. Between November 25 and December 15, 2001, China was rocked by twenty-eight deliberate explosions and several assassinations of party officials, which prompted top national leaders to convene three consecutive meetings in Beijing. Targets of China's internal "terrorist" attacks include factories, housing facilities, train depots and police stations across the country.
Given these circumstances, it seems wise for Bush to steer clear of commitment to the troubled lame-duck Chinese leadership. He will be tempted to enjoy the photo-ops and allow Chinese leaders to get away with suppressing minority rights in China's border regions by invoking the goals of the new alliance against terrorism--especially in the Muslim province of Xinjiang. But if China is to become a stable and reliable long-term ally in the region, Americans will have to quit their cowboy swaggering, which has recently triggered strong anti-American sentiment among the Chinese, and use the lull in mutual antagonism to see to it that US corporate interests do not ignore labor and human rights abuses. Otherwise, there will be much more unrest to come.
As January turned into February, the most important people in the world gathered themselves together in midtown Manhattan for the annual World Economic Forum. Normally held in Davos--the Swiss ski resort previously famous for being the site of Thomas Mann's The Magic Mountain--the meeting was shifted to New York this year as an act of solidarity with a city wounded on September 11.
Healing, though, wasn't much in evidence. To protect the 3,000 delegates--businesspeople, academics, journalists and random celebrities--the area around the Waldorf-Astoria was sealed off with metal fences, dump trucks filled with sand and 4,000 members of the NYPD. Of course, the intention was to keep out the thousands of activists who'd come to protest them, not to mention terrorists who might dream of taking out a good chunk of the global elite in one deadly action.
Thankfully, no mad bombers showed up. And though the protesters were kept well away from what was dubbed the Walled-Off-Astoria, their influence was nonetheless clearly felt. One attendee, Bill Gates, the richest person on earth, actually welcomed them, saying: "It's a healthy thing there are demonstrators in the streets. We need a discussion about whether the rich world is giving back what it should in the developing world. I think there is a legitimate question whether we are."
That Gates said something like that--leaving aside for a moment just what it means--is one sign of how the political environment has changed over the past few years. Another is the evolution of the WEF itself. The forum was founded in 1971 by Klaus Schwab, a Swiss professor of business, policy entrepreneur and social climber. At first it was a quiet and mostly European affair, with executives and a few intellectuals discussing the challenges of what was not yet called "globalization." But it grew over time, gaining visitors from North America and Asia, and by the 1990s had emerged as a de rigueur gathering of a global elite. In fact, it's been one of the ways by which that elite has constituted itself, learning to think, feel and act in common.
Corporate and financial bigwigs--who pay some $25,000 to come--dominate the guest list, but they also invite people who think for them, entertain them and publicize them, for whom the entrance fee is waived. Star academic economists were also on the list of invitees (bizarrely marked "confidential," so I had to swipe a copy), alongside some unexpected names: cultural theorist Homi Bhabha, columnist Arianna Huffington and model Naomi Campbell. And lots of religious figures, NGO officials and union leaders--who, to judge from their press conferences, didn't feel very well listened to. It seems not much communication goes on across the vocational lines; Berkeley economist Brad DeLong, a first-timer, theorized that "one reason that the princes of the corporate and political worlds are where they are is that they are very good at staying quiet when baited by intellectuals."
And DeLong was in the same room with them. Most journalists covering the event weren't so lucky. The WEF designated a handful of clubbable correspondents from places like the New York Times and CNBC as "participating press" and allowed them to mingle with the delegates at the Waldorf. But several hundred others, dubbed "the reporting press," were penned up in a couple of cramped "media centres" in a neighboring hotel. The terms are fascinating. Clearly the participating press participates in the inner workings of power and helps create its mystique. But the reporting press couldn't really report at all: We got to watch some of the sessions on closed-circuit TV (only the big, more formal ones--the intimate brainstorming sessions were strictly private), to read sanitized summaries distributed by the WEF staff and to view a few dignitaries at press conferences, which were generally too short to allow more than a few perfunctory questions.
Not only were we barred from newsworthy events--we weren't even told they were happening. In one of them, Treasury Secretary Paul O'Neill explained bluntly that the Bush Administration let Argentina sink into total crisis rather than engineer a bailout because "they just didn't reform," apparently forgetting that the country was once praised as a model of economic orthodoxy. In another, Colin Powell asserted the right of the United States to go after "evil regimes" as it sees fit--harsh language from the Administration's resident dove. Neither speech went down well with a good bit of the audience; anxiety at Washington's unilateralism was one of the recurrent themes among non-US delegates.
The gathering's mood was clearly troubled. Back in the 1990s, when the US economy was booming, trade barriers were falling and the New Economy was still new, the temper of the gatherings was reportedly pretty giddy. Now, the headlines are full of bad news--Enron, Argentina, recession, terrorism, protest. And the conference reflected it.
Businesspeople and academics mused on how to deal with new risks--you can't hedge against bioterrorism in the futures markets. Economists debated which letter would best describe the US economy--a V (sharp fall followed by a quick recovery), a U with a saggy right tail (long stagnation, weak recovery) or, most appropriate, a W (false recovery followed by a fresh downdraft). The consensus leaned away from the V toward the saggy U, with the W not to be ruled out.
But there were things more profound than the business cycle to worry about. As the Washington Post noted with apparent surprise, "The titles of workshops read like headlines in The Nation: 'Understanding Global Anger,' 'Bridging the Digital Divide' and 'The Politics of Apology.'" Most prominent among those concerned with poverty were the duo of Gates and his new friend Bono, the lead singer of U2. Bono--who identified himself on opening day as a "spoiled-rotten rock star" who loves cake, champagne and the world's poor--hammered at the need for debt relief. (It's easy to make fun of him, but activists are quick to point out that his influence is much to the good.) Gates kept reminding everyone that about 2 billion people live in miserable poverty. Of course, no one was rude enough to point out that Gates's personal fortune alone could retire the debts of about ten African countries.
It's hard to believe this is much more than talk, however. Addressing poverty and exclusion would require WEF attendees to surrender some of their wealth and power, and they're hardly prepared to do that. Stanley Fischer, formerly the second in command at the IMF and now a vice chairman of Citigroup, expressed "profound sympathy" for the people of Argentina but then worried about "political contagion"--the risk that other countries, seeing the crisis there, might reject economic orthodoxy.
Further insight into the WEF mindset was provided by Fischer's panelmate, South African Finance Minister Trevor Manuel. According to Manuel, during the (private) WEF discussions, "poverty was defined...as the absence of access to information," which would be news for anyone struggling to pay the rent. More urgently, he pointed out that "uprisings occur because ordinary people don't feel that they have voice and representation." To ward off that danger, policy-makers must worry about "equity"--which he carefully distinguished from "equality." When I asked him to expand on this distinction, Manuel said, "There are different conceptions of equality to start with. There's equality of opportunity and equality of outcome. But equity is about creating stakeholders. For example, both employers and employees have a stake in good labor practices." When I said that that sounded like it was more about changing perceptions rather than material reality, he said, "It's all those things. It's all those things." Manuel also revealed that the participants had "interesting, interesting debates on whether we should ask business, in the conduct of business, to act ethically or whether it's OK for business to be unethical in the conduct of business and then have some spare cash to do good with." No wonder people pay $25,000 to play this game.
And it's no wonder that on the closing day, a panel of union leaders--five out of some forty who were there, including AFL-CIO president John Sweeney--gave a very downbeat assessment of the forum's dedication to a real adjustment of policy. Sweeney, the most moderate of the group, said that the world economy doesn't have an image problem--its problems are structural. Others spoke of CEOs being "in denial," of hearing but not listening.
Unfortunately, though, there were very few union people--leaders or rank-and-filers--demonstrating in the streets that weekend. That would have made quite an impression on the great and good. But Gates's appreciation of the protesters points to what was doubtless the best thing about this year's forum: The 12,000 who marched through midtown Manhattan on February 2 proved that the so-called antiglobalization movement, a global movement if there ever was one, was not put out of business by September 11. It's alive and well--so alive and well that it set much of the WEF's agenda.
On page 8 you'll see a new monthly feature by Jim Hightower, "Going Down the Road." Jim's been called America's favorite populist. He's been editor of The Texas Observer, president of the Texas Consumer Association, Texas Agriculture Commissioner, host of a radio show. Nowadays he broadcasts daily radio commentaries, publishes a monthly newsletter, The Hightower Lowdown (jimhightower.com) and makes more than 100 speeches a year. With groups like ACORN and Public Citizen he's organizing the Rolling Thunder Chautauqua Tour, a series of political/cultural festivals around the country (rollingthundertour.org). He'll be traveling through America talking to people engaged in grassroots work and new political movements for working people.
Indian novelist Arundhati Roy faces a sentencing hearing in March for contempt of court. She's being prosecuted for language she used to defend herself against a bogus suit brought against her for speaking at a rally condemning the development of dams in India that will displace thousands of people. The suit was dismissed; Roy could draw up to six months in jail on the contempt charge.
The success of Michael Bloomberg's $69 million race for Mayor of New York against Mark Green was widely seen as a setback for campaign finance reform. But the Bloomberg campaign demonstrated the limits of campaign finance reform under the Supreme Court's interpretation of the Constitution, not its failure.
As the House of Representatives was about to begin debating a modest campaign finance reform bill, former Enron CEO Kenneth Lay was taking the Fifth before the Senate commerce committee. As the disgraced exec sat grim-faced at the witness table, Democratic Senator Fritz Hollings, chairman of the committee, used the nickname George W. Bush once conferred upon Lay, noting that there is "no better example than Kenny Boy of cash-and-carry government." Lay and Enron dumped millions of dollars into the political system--in hard-money contributions to candidates and soft-money donations to political parties--and spent millions more to hire politically wired lobbyists (including Republican Party chairman Marc Racicot) and to snag high-profile opinion leaders (like Bush economic adviser Lawrence Lindsey) as consultants. Executives were coerced to cut campaign checks to Bush and other politicians, Republican and Democrat. The goal was to game the system in Enron's favor--in regulatory agencies, in Congress, in state capitals, in the White House.
Enron, of course, was not unique in this regard. Why else would corporate executives invest millions in candidates and parties? If they're not receiving a return, shareholders should sue. (Enron may well have received favors from federal and state officials in the months and years before the company started collapsing and became too controversial to assist; the various Enron inquiries on Capitol Hill should be digging into this.) And the system seems to be working fine for most donors and the recipients, for the flow of money keeps increasing. In 2001 the two parties bagged $151 million in soft money--the large unlimited contributions given mainly by corporations, unions and millionaires--almost a 50 percent increase over 1999, the last nonelection year. The Republicans out-collected Democrats, $87.8 million to $63.1 million.
The Shays-Meehan bill, at the center of the latest House campaign finance debate, called for something of a ban on soft money for the national parties--a good move. But the legislation, similar to the McCain-Feingold bill in the Senate, still contained soft-money loopholes and, just as unfortunate, raised the limits on certain hard-money donations. If Shays-Meehan had been enacted years ago, it would have done little to slow down the Enron racketeers. That's why it's important for the debate to move beyond Shays-Meehan/McCain-Feingold. The long-term solution must be a system of public finance in which candidates can receive most of their campaign dollars in clean money, that is, funds that come from the no quid/no quo public till rather than the private pockets of the rent-a-politician crowd. The first run of clean-money systems in Maine and Arizona showed that such an alternative can work: There were more contested races, more women and minorities running and a more level playing field. The vast majority of both states' legislators and statewide officials will run "clean" this year, and it looks as though the Massachusetts Supreme Court will force the implementation of that state's clean election law for this year's election. Legislation is advancing in several other states.
In the past few years, the reform debate in Washington has been too modest. The authors of the reform bills deserve credit for pushing against a mighty tide of self-interest, but Enron shows how far special interests will go to rig the system. True reform has to go as far.
You have to hand it to George Bush the senior for hustle. Back in 1998, he took at least $80,000 in stock from Global Crossing in return for speaking for the company in Tokyo.
On East Capitol Street a few years ago, I was in a taxi when a car pulled suddenly and dangerously across our bow. My driver was white, with a hunter's cap and earmuffs and an indefinable rosy hue about his neck. The offending motorist was black. Both vehicles had to stop sharply. My driver did not, to my relief, say what I thought he might have been about to say.
It may look as if domestic politics no longer exists in the new America--the one in which there is no money for anything besides guns and prisons but we don't care because we are all bowling together against the Axis of Evil. But that's not true. As long as there is a fertilized egg somewhere in this great land of ours, there will be domestic politics. George Bush may not be able to bring about the Kingdom of Heaven on Earth for the religious right, who gave him one in four of his votes. He may even realize that a serious victory for religious conservatives--significantly restricting the legality of abortion, say--would hurt the Republican Party, because California has more people than Utah. But he is doing what he can to keep the fundamentalists happy.
It must be frustrating for him--just when we're all supposed to pretend to love our differently faithed neighbor even if we know he's bound for hell, Christians keep saying weird things. First there was Jerry Falwell's remark that God let terrorists blow up the World Trade Center because he was fed up with "the pagans, and the abortionists, and the feminists, and the gays and the lesbians...[and] the ACLU"; Falwell apologized, only to express the same thought a bit more obliquely on November 11 at a Florida church: "If the church had been awake and performing that duty"--proselytizing the ungodly--"I can tell you that we wouldn't be in the mess we're in today." God, says Falwell, "even loves the Taliban"--it's just liberals he can't stand.
And then there's Attorney General John Ashcroft, who burqaed the semi-nude statue of the Spirit of Justice because he felt upstaged by her perky breast at press conferences, and who thinks calico cats are emissaries of the devil, when everyone knows it's black cats. Ashcroft is in trouble with Arab-Americans for offering this proof of the superiority of Christianity to Islam as quoted by conservative columnist Cal Thomas on his radio show on November 9 (and belatedly denied by a Justice Department spokeswoman): "Islam is a religion in which God requires you to send your son to die for him. Christianity is a faith in which God sends his son to die for you." Not to get too wound up in theology here, but if the Christian God sent his own son to die doesn't that make him, according to Ashcroft's definition, a Muslim?
Fortunately, the fertilized egg can be rolled onstage to distract us from such knotty questions. In keeping with the strategy of rebranding antichoice as prochild, the Bush Administration plans to use the CHIP program for poor children to provide healthcare to children "from conception to age nineteen," a neat way of defining zygotes as kids. The women in whom these fine young people are temporarily ensconced will remain uninsured--perhaps they can apply for federal funds by redefining themselves as ambulances or seeing-eye dogs. After all, somebody has to get those fetuses to the doctor's office. As for the 8 million uninsured postbirth children, not to mention the 27 million uninsured adults, who told them to leave the womb?
But wait, there's more. In a highly unusual move, the Justice Department has weighed in on the side of Ohio's "partial-birth abortion" ban, which has been on ice thanks to a federal court ruling that found it did not make enough allowance for a woman's health, as required by the 2000 Supreme Court decision in Carhart v. Nebraska. The Ohio law would permit the operation only to save her life or avoid "serious risk of the substantial and irreversible impairment of a major bodily function." Gee, what about considerable risk of moderate and long-term impairment of a bodily function of only middling importance? Should the Ohio state legislature (seventy-five men, twenty-four women) decide how much damage a woman should suffer on behalf of a fetus? Shouldn't she have something to say about it?
To please fanatical antichoicer Representative Chris Smith of New Jersey, Bush is holding back $34 million from UN family planning programs. To return the favor, Congressional Republicans have revived the Child Custody Protection Act, which would bar anyone but a parent from taking a minor across state lines for an abortion. The parental-notification-and-consent laws of a pregnant teen's home state would follow her wherever she goes, like killer bees, or the Furies--and unlike any other law.
Bush is also stacking with social conservatives commissions that have nothing to do with abortion per se but raise issues of sex, gender and reproduction. The cloning commission, called the Council on Bioethics (fourteen men, four women), is headed by bioethicist Leon Kass, a former opponent of in vitro fertilization who's associated with the American Enterprise Institute. There's room around the table for antichoice columnist Charles Krauthammer; antichoice law professor Mary Ann Glendon, the Vatican's representative at the UN conference on women, in Beijing; and social theorist Francis Fukuyama, who wrote in a New York Times Op-Ed that the thirty-years-overdue introduction of the pill in Japan in 1999 spelled the downfall of the Japanese family, because now women will just run wild. But there are only four research scientists, and no advocates for patients with diseases that the cloning of stem cells might someday help cure. Similarly, the newly reconfigured AIDS commission is said to be stacked with religious conservatives and will be headed by former Representative Tom Coburn, whose claim to fame is his rejection of condoms, which sometimes fail, in favor of "monogamy," which never does.
Finally, there's the nomination of Charles Pickering for the Court of Appeals for the Fifth Circuit. Rated unqualified by the Magnolia Bar Association of Mississippi. Pickering, an ardent segregationist when it counted, opposed the ERA, has been a lifelong opponent of legal abortion and won't discuss his antichoice record in Senate hearings. The Fifth Circuit includes Texas, Louisiana and Mississippi, states where the right to abortion is already compromised by conservative legislatures; in l999 Texas tied with Michigan for most new antichoice laws enacted (seven). Traditionally the federal courts offer hope of redress for victims of state laws--in this case, some of the poorest women in the country. What are the chances that Pickering will champion their rights and their health?
My money's on the fertilized egg.
(A Houston version of the Irish folk song)
Oh, Kenny Boy, your friends are disappearing.
They don't know you, much less your kvetchy wife.
Yes, it's sad when pols that you've been shmeering
Now hope that you'll get twenty years to life.
They sang your song: They passed deregulation.
They passed your laws. They bent the regs your way.
But now they track your every obfuscation.
Old Kenny Boy, their Kenny Boy's now Mr. Lay.
The Federal Communications Commission is presently conducting an inquiry--a "rulemaking"--to determine whether to relax, or even to eliminate, the remaining few regulations that limit how many me
Barbara Coe is not your typical sixty-something silver-haired-senior-in-polyester.
It's one thing to have Somali groups protesting Black Hawk Down for what they say is an inaccurate and racist portrayal of Somalis.
The Texas company has been a scandal in other countries for a long time.
Enron, maker of big promises and big donations, stands revealed as a four-flusher.
While the elite embrace globalization, the anger of workers and peasants grows.
Frederick Wiseman has spent a lifetime piecing together sounds and images captured from the daily flow.
"I remind myself that much of television is now comic strip," Ralph Ellison told TV Guide in 1988. It is not surprising that the author of Invisible Man would be uncomfortable with the cool medium. After all, Ellison's only completed novel repeatedly attacks the vulgarity of literal representation to the point where even the novel's hero is famously nameless. Ellison directs us away from appearances and keeps his hero running, from white cops, black nationalists, hypocritical Communists and corrupt academics, only to find himself nestled in the Dostoyevskian underground of the written word. Regardless of much of its politics, the literary Modernism of Mann, Eliot, Joyce, Faulkner and others provided Ellison with an unlikely harbor from racism; representing that literary process on television is a little like disobeying Kafka's instructions and drawing the insect of The Metamorphosis.
Yet in that same TV Guide interview, Ellison acknowledged that television "while very fleeting, has its permanent side, too, which allows you to go back." Poised somewhere between comic strip, permanence and VH1's Behind the Music, writer-producer-director Avon Kirkland has served up Ellison for middlebrow America in Ralph Ellison: An American Journey. At its worst, Kirkland's documentary stages melodramatic depictions of Ellison's triumphant novel, reducing its hallucinatory nuance to earnest television. At its best, the documentary stages melodramatic depictions of Ellison's disappointing life, and it is this haunting story that makes for a compelling made-for-TV biopic.
Since there is still no published biography of Ellison (there are two in the works, by Lawrence Jackson and Arnold Rampersad), Kirkland has the advantage of telling a story that has never been told in public before, at least not in any sustained, ostensibly objective way. Ellison may have told the story of hopping a freight train to enroll in Tuskegee as a scholarship student in an essay; but until you've seen his bandaged student ID and heard the narration of the story with a montage of trains, hobos and predators to the strains of Howlin' Wolf, it's not quite real in the way that TV makes events seem real. And unless you've dug through his archives at the Library of Congress, happened to be watching when, say, he was being interrogated by Bryant Gumbel on the Today show or had the opportunity to actually speak with him in person, Ellison's TV persona--with his halting, Oklahoman elegance and stammering, reticent speech--may seem at first a great contrast to the defiant iconoclast you would find in his writing. Instead, whether you see him recount how he modestly resisted Richard Wright's suggestion that he try his hand at fiction writing, humbly insist why he thought T.S. Eliot and Louis Armstrong were similar in their approaches, or listen to his own readings of his unfinished second novel--looking simultaneously bewildered and amused by the cadences of his own voice and the eccentricity of his own prose--he is the image of a man haunted. One photograph shows him hunched over the typewriter, with whiskey decanter ominously prominent, as the narrator gives us Ellison's account of his lack of productivity in the 1960s. Referring to the mounting attacks on his integrationist vision from the kind of black nationalist voices he had already dreamed up in the figure of Invisible Man's Ras the Destroyer, Ellison said simply, "It's hard to write with a clenched fist."
Audiences have thrilled to rise-and-fall stories from Oedipus to VH1's Behind the Music. But unlike the self-destruction of kitschy pop stars, Ellison's supernova is a genuine tragedy; the stakes presented are nothing less than high art and racial understanding, and it is these stakes that are so at odds with a medium that favors sensationalism over sensation, and sentimentality over sentiment. "Why do I write, torturing myself to put it down?" asks the narrator of Invisible Man. Ellison answers with another question: "Who knows but that, on the lower frequencies, I speak for you?"
Ellison was particular about the way he did speak for us, and he made it clear that his own prose would be the only truly acceptable medium for this representation. The Modernist who retreated from the superficial expectations imposed by racism into the perfection of his own art would probably have been troubled to see key episodes in his novel--the grandfather's deathbed speech, the Battle Royal episode, the revelation at the Liberty Paints factory--transformed from literary phantasmagoria into searing teleplay, in which Ellison's ironies are turned into pieties and his jokes are transformed into obvious slogans. This is what television usually does, of course, but the very reason Ellison the documentary subject becomes a hero is that his achievement is in the less-than-telegenic activity of spending long hours in front of the typewriter.
But even if Kirkland's documentary reduces Ellison's novel to comic strip, the medium serves him well to provide the cultural context so crucial to Ellison's reading of America. The sights and sounds of Ellison's early life--complete with baby pictures, Tuskegee footage and Jimmy Rushing clips--are expertly captured, and anyone who wants to understand Ellison's world would have to confront this context. Kirkland also succeeds by producing useful soundbites from commentators, including Robert O'Meally, Morris Dickstein, Farah Griffin, R.W.B. Lewis and especially Cornel West--who delivers his riffs like a Baptist preacher with borscht-belt timing and a Marxist liturgy. A word that many of these commentators use repeatedly is "complexity," a favorite of Ellison's. Yet sometimes complexity can be sacrificed for storytelling, especially on television.
This disparity is certainly evident when Henry Wingate tells a famous story of Ellison's confrontation with a black nationalist at Grinnell College in 1967. According to Wingate's version, when Ellison was called an Uncle Tom, he "became unglued and began to cry, repeating, 'I'm not an Uncle Tom, I'm not an Uncle Tom.'" Wingate, a federal judge, should be taken at his word, but the late Willie Morris, in his memoir New York Days, allowed Ellison to retort, "What do you know about my life? It's easy for you. You're just a straw in the wind. Get on your motorcycle and go back to Chicago and throw some Molotov cocktails. That's all you'll ever know about." Kirkland's version, corroborated by Morris's son, paints Ellison as the kind of helpless victim his own work avoided depicting. Morris's version allows Ellison to fight back--perhaps a little less congenial to a PBS tearjerker.
Of course, even a tragic TV documentary needs an optimistic denouement, and Kirkland provides it with the 1999 publication of Juneteenth. Ellison's inability to produce a follow-up to Invisible Man was the bane of his existence, and perhaps the most frustrating literary waiting game in recent memory. We see Ellison lose more than 350 pages of the manuscript in a fire, retreat from public appearances at the horror of having to answer yet another question about the book, and become an alcoholic hermit, obsessively poring over manuscripts. What the documentary doesn't mention is the quite legitimate argument leveled by many scholars, including Louis Menand in the New York Times Book Review, that Juneteenth isn't really an Ellison novel at all but a dubiously edited and spuriously marketed attempt by Random House to collect on its advance. Instead, we are shown a mellifluous reading by Toni Morrison of a passage from the book, with Robert O'Meally asserting that the passage seemed, "for that day, the greatest thing that had ever been written." We also see GQ writer-at-large Terrence Rafferty acknowledging that while Juneteenth may not have achieved its vast ambitions, it is, "like America, forever a work in progress."
It is true that textual scholarship does not usually make for good television, but there might have been another way to end the show on a triumphant note without making inflated claims for a highly disputed book. What the documentary could have shown was the rise of overtly Ellisonian institutions like the W.E.B. Du Bois Institute at Harvard, where founder and chair Henry Louis Gates has done considerable work in restoring Ellison's reputation while using Ellisonian criteria as a curricular model, and Jazz at Lincoln Center, where Ellison's vision of jazz has been a guiding principle for his confidant Albert Murray and his disciples Stanley Crouch and Wynton Marsalis.
Fifty years ago, Ellison's notions that Louis Armstrong was an icon of artistic independence; that white and black culture were interdependent; and that there was more than a unicausal explanation for the rise of black American culture were the product of an original, idiosyncratic and routinely attacked individual. In the past few years alone, Ellison's afterlife has been more prolific than the last forty years of his life: Philip Roth's The Human Stain successfully used the theme of passing that Ellison struggled with throughout the writing of his unfinished novel. Spike Lee's Bamboozled, filled with overt references to Invisible Man, was also a perverse riff on Ellison's integrationism, portraying whites and blacks as equally complicit in a common cultural phenomenon. And Ken Burns's Jazz demonstrated how Ellison's reading of Louis Armstrong as a transcendent genius who could "bend a military instrument into a beam of lyrical sound" could provide a significant basis for another PBS program. The frequencies of that station may not have been able to pick up on the full range of Ralph Ellison, but a rereading of his prophetic writings will continually remind us that, on the lower frequencies, he speaks for us more than ever.
It's the largest profession in healthcare. It's the largest female profession in America. But despite its tremendous importance and impact, most people know very little about contemporary nursing. Public ignorance of the present-day profession, however, pales in comparison with ignorance of nursing's history. How many of us know that the development of nursing as the first secular profession for respectable women was a major feminist achievement? Or that Florence Nightingale was not, in fact, the "founder" of modern nursing? Or that nurses played a key role in developing the American hospital system, as nursing historian Sioban Nelson has documented in her recent book Say Little, Do Much? How many of us know about the role of nursing in the development of public health and care of the chronically ill and poor? Most important, how many of us recognize that society's persistent devaluation of nursing--reflected today in the prejudices of many newly liberated female physicians, health policy experts and journalists--is a legacy of longstanding, socially enforced subordination to medicine?
Katrin Schultheiss, an assistant professor of history and women's studies at the University of Illinois, Chicago, is one of a handful of non-nurses who understand what the profession has to teach us about the complex process of female emancipation, as well as about the development of modern healthcare systems. She recounts the tortuous history of how the "professionalization" of nursing in France coincided with anticlericalism and the secularization of the field. Although her story focuses on the forty-year period from 1880 to 1922 and takes place in one country, the gender dilemmas Schultheiss explores have hampered nurses' ability to care for patients in healthcare systems around the globe, including in the United States.
Her tale begins with the advent of France's Third Republic and follows political reformers who attacked clerical authority as they tried to modernize the healthcare system. Until that time, nursing outside the home was typically provided by convent-trained nuns. Modern hospital reformers recognized that nursing required more nurses with more systematic education, but therein lay the problem. Since knowledge is power, the acquisition of knowledge was inevitably a challenge to authority.
Physicians, as men, did not welcome women on their terrain. As members of a developing profession--one that did not then command the prestige it enjoys today--doctors were also adamant about defending their field "from irregular or illegal practitioners."
Even doctors who recognized the need for a more educated nursing work force and who wanted to laicize the care of the sick would not countenance the education of nurses if, in the process, nurses attained the kind of knowledge and stature that would allow them to demand greater authority and autonomy in both the workplace and society. So even lay nursing had to be constructed in altruistic terms that stressed not nurses' knowledge but their virtue. As Schultheiss writes, "As long as nursing was clearly understood to be a custodial, maternal, or charitable occupation, and as long as nurses were regarded as the social, economic, and educational peers of the patients, rather than the doctors, there would be no ambiguity about who held medical authority within the hospital."
In Paris, nursing nuns, while obedient and devoted, presented a problem to medical reformers. "The very existence of an autonomous community of women called into question the hierarchy of power within municipal institutions," Schultheiss notes. Happily, secular authorities found lay nurses, as one reformer commented, to be "infinitely more subordinate than the religious nurses and more scrupulous in the strict execution of doctors' orders."
While anticlerical reformers touted the benefit of lay nurses, the French public was attached to the nuns who had provided what out-of-home nursing care had existed since the seventeenth century, and even before. Of course, Schultheiss points out, even support for religious nurses was cast in gendered terms. Proponents of the nuns insisted that nursing should be left to a special group of religious women because it would corrupt lay women for their real work--which was mothering. "A woman is either a bad mother or a bad nurse," was their motto. To convince the public to support secularization, reformers had to "feminize nursing--to turn nursing into a general feminine virtue that all women could possess."
Schultheiss's story also introduces us to a peculiar hybrid form of religious nurse--the "hospitalières" of the Hospices Civils of Lyons. These women were secular nuns, congregationist sisters "who undertook a lifelong commitment to serve the sick and poor under harsh physical conditions and with virtually no monetary compensation, but who remained under the direct authority of the secular administration." According to Schultheiss, laicizers supported them because they were easily controllable and because their sense of devotion was easily manipulated by civil administrators who didn't want to pay the real cost of nursing care.
In this section of the book, class also enters the story: If civil administrators were to get nursing care for little or nothing, women's educational standards--and thus their salaries--had to be low. Whether they were secularizers or not, reformers recognized that more highly educated women of a better class would eventually demand more pay, and more say.
Finally, Schultheiss takes us to Bordeaux, where we meet Anna Hamilton, a reformer and devotee of Florence Nightingale. With connections to the international nursing reform movement, Hamilton wanted to open a nursing school that would produce a "new nurse," recruited from the so-called better classes. This new nurse, she insisted, would deliver better patient care than nursing nuns. Hamilton's critique of the nuns, Schultheiss explains, was not based on anticlericalism. Rather, Hamilton argued that the nuns had "distanced themselves from direct patient care" while creating obstacles to the creation of "a single medical hierarchy grounded on universal principles of hygiene and scientific health care."
Hamilton was able to gain support for her project from Paul-Louis Lande, a physician who became mayor of Bordeaux, because she firmly linked the "professionalization and feminization of nursing." Doctors in Bordeaux, Schultheiss writes, recognized "the need for improving the training of hospital nurses, but rejected all aspects of reform that expanded the nurses' autonomy or authority beyond the narrowest limits."
Hamilton accepted these limits, asserting that "it is extremely ridiculous for a nurse who possesses neither the knowledge nor the rights nor the sex of the doctor to try to imitate his way of interacting with the patient and to try to use his language." Thus, in France, as in England and the United States, the nurse-doctor game began with the acceptance of the notion that nurses could not--or should not--possess medical knowledge and that they therefore could not--and should not--use medical language.
Schultheiss ends her story after the First World War. The war produced such a huge need for nurses that the debate over the virtues of lay versus religious nurses effectively ended. When more than 100,000 nurses culled from every social class enlisted to serve "la Patrie," this "demonstrated that women's special aptitudes could be attached fruitfully to the state." However, even during this period and afterward, nursing was valued not for its knowledge but for its virtue. It had become, the author concludes, "a twentieth-century version of republican motherhood."
French nursing carries that legacy to this day. Last year, when I was strolling down the Boulevard St. Germaine in Paris, a book displayed in the window of a children's bookstore caught my eye. It was called Je Sais Qui Me Soigne ("I Know Who Takes Care of Me") and is part of a series on citizenship and the professions. Nurses make a brief appearance in the book--as doctors' servants who have, as the text reads, "just enough schooling to follow doctors' orders."
For nurses struggling to put their education to use for patients, rather than for physicians, the ability to escape, at least temporarily, medical domination has always made home care attractive. Which brings us to Karen Buhler-Wilkerson's part of the story. In No Place Like Home, Buhler-Wilkerson, a professor of community health and director of the Center for the Study of the History of Nursing at the University of Pennsylvania School of Nursing, traces the development of home care from the opening of the first US home-care agency--the Ladies Benevolent Society, founded in 1813 in Charleston, South Carolina--through the present.
In Charleston, as elsewhere, respectable society ladies started home-care agencies because they felt "obligated to improve the conditions of and provide for the comfort of the poor," who were, in turn, "expected to manifest their gratitude to the rich," who established these agencies. But they did not deliver the care. Nurses did.
No Place Like Home does a great service to these ordinary nurses who are often dismissed as know-nothings by some nursing elites today. Buhler-Wilkerson details the complexity of caring for victims of tuberculosis or managing patients during typhoid epidemics. She also documents the persistence of the issues with which home-care agencies still struggle today: how to navigate doctor-nurse relationships; how to choose appropriate patients for home-care services; how to deal with gender, race and class prejudice; and how to secure long-term services for the chronically ill.
From the early days of home care, doctors were concerned about nurses invading their territory. In Boston, for example, doctors "confided to lady managers that 'the constant danger with trained nurses is that they shall usurp the doctors' position and prescribe for patients.'"
At the turn of the twentieth century, with the founding of the Henry Street Settlement on the Lower East Side of Manhattan, Lillian Wald and her colleagues developed public health nursing--"to improve standards of living" of the poor. One of the great innovations of the Henry Street Settlement was the establishment of a "First Aid Room." This was a kind of community clinic where immigrants could gain easy access to nursing care for routine health problems. Doctors, however, soon complained that "nurses were carrying ointments and even giving pills outside the strict control of physicians." Even outspoken nurses like Wald's colleague, socialist Lavinia Dock, feared a confrontation with powerful physicians. By 1911 questionable cases were no longer treated in the First Aid Room. "Later publications," Buhler-Wilkerson writes, assured the public that "the real Henry Street Settlement nurse will make the doctor feel that she is exerting every effort to have his treatment, not hers, intelligently followed."
An equally fascinating subject tackled by Buhler-Wilkerson is the impact of racial prejudice on nurse-patient and nurse-doctor relationships. In both the North and the South, lady managers as well as nurses fretted about whether it was appropriate for white nurses to care for black patients or black nurses for white patients. When insurers, notably Metropolitan Life, entered the field at the turn of the last century, managers considered the same imponderables. Race invariably trumped the needs of care and even of doctor domination of the nurse-physician relationship. For example, Buhler-Wilkerson tells us that the respectable ladies of Richmond, Virginia, who ran home care in that city, decided it was "'eminently' satisfactory for white nurses to care for black patients on the 'same footing' as white patients--but drew the line at white nurses 'taking orders from colored physicians.'"
The advent of health insurance also had a critical impact on the home-care agencies. Wald convinced Metropolitan Life to cover home-care services in 1909. Met Life wanted to reduce the high mortality rate of black life insurance subscribers--thus delaying payments on their life insurance policies. Home-care nursing's preventive approach initially seemed to make good business sense. By the 1950s, public health nursing and medical advances had paid off: Fewer people were dying of infectious diseases, and more acute illnesses were treated in the hospital. This meant that the bulk of home-care patients were chronically ill. To reward public health nursing for its success, Met Life curtailed its home-care program. "Providing care for those who failed to recover quickly was, from an insurance perspective, a poor investment," Buhler-Wilkerson states bluntly.
Since the fate of nursing is tied to the fate of the patients nurses serve, the situation has not improved much, as first Medicare and Medicaid and now managed care have "rediscovered" home care. Indeed, today the promise of the home as a place where nurses and their patients can escape the negative consequences of medical paternalism and give or receive higher-quality care has remained largely unfulfilled.
In Devices & Desires, Margarete Sandelowski uses a different lens--the world of medical technology--to explore the issue of gender and nursing. This brilliant book shows just how much the "charitable, devotional and altruistic" image of the nurse conceals. From the discovery of the thermometer to the development of intensive heart and fetal monitoring, Sandelowski documents doctors' dependence on nurses for their reputation for scientific and technical mastery. As Sandelowski shows, nurses have been critical in administering medical technology, monitoring the information it provides and interpreting that information to physicians, not to mention "educating patients about new devices, getting patients to accept and comply with their use, and alleviating patients' fears about them."
An eye-opening segment describes the use of the first thermometer, rather than the hand, as a diagnostic tool in the mid-nineteenth century. In it, we learn that the thermometer we take for granted today was originally an unwieldy, dangerous instrument that had to be carefully manipulated so as not to injure the patient. Because diagnosis and treatment involved taking the patient's temperature numerous times a day, busy physicians assigned the task to nurses. This involved, however, far more than simply recording data. The nurse, Sandelowski writes, "had to know what caused various temperatures to occur and the nursing measures that would lower or raise temperature to normal levels."
While physicians were the ones to insert the first unwieldy and equally dangerous intravenous devices, nurses were the ones to make sure the patient's arm remained immobile and that the patient could tolerate the discomfort of IV therapy. Nurses are the ones who developed the intensive-care unit--to provide intensive nursing care--and who track and interpret data from fetal monitors. As the primary users of much medical machinery, nurses are often more knowledgeable about equipment than doctors. Indeed, "the benefits of machine monitoring could not be fully harnessed without nurses who understood and could act immediately on the information monitors generated." While the public does not recognize this fact, the author tells us that medical equipment manufacturers certainly do. This is why nurses continually work with physicians and manufacturers to create design improvements and to insure that "expensive machinery [is] fully utilized."
What is amazing about this story is how little nurses have benefited from their technological mastery. Sandelowski shrewdly diagnoses a classic Catch-22. While it is true that nurses' status is somewhat enhanced by their technical proficiency, the recognition they receive does not match their actual accomplishments. That's because physicians quickly label the technical activities nurses engage in as "simple enough" for a nurse to perform.
No matter how much nurses participate in the diagnostic process, of course, physicians have maintained a legal and linguistic stranglehold on "medical" diagnosis. Even as "physicians were increasingly expecting them to perform de facto acts of diagnosis," Sandelowski writes, "nurses were in the bizarre position of having to be mindful of symptoms without speaking their mind about them."
Nurses were supposed to be able to distinguish between normal and abnormal conditions and to look for reasons for any abnormal findings. But nurses were never to use the words "normal" or "abnormal" in reporting or recording patient conditions, and they were to refrain from offering their opinions on etiology or diagnosis.... Nurses were to say (report and record) only what they saw, unlike physicians, who maintained the right to say what they knew.
This has produced the peculiar phenomenon--even today--of the nurse who recognizes that a cancer patient has diarrhea or a mentally ill patient is hallucinating, but who is not allowed to use the actual medical word because that would suggest that she, or he, is making a "medical diagnosis."
As she describes these phenomena, Sandelowski never paints nurses as innocent victims of nasty, overbearing physicians. In their perennial attempt to find "a socially valued place and distinctive identity," Sandelowski argues, many members of the profession have, albeit unwittingly, adopted common gender stereotypes that perpetuate the oppression of nurses.
One segment of the profession, Sandelowski contends, has bought into the notion that the complex practical, technical work that ordinary nurses perform is indeed simple and know-nothing.
Typically conceived of as nothing more than the physician's hand, and persistently caught in the Western cultural dichotomy between merely manual and highly prized mental, or intellectual, work, nurses have struggled to show that nursing is largely brain work. In the process, however, they have inadvertently complied with the prevailing cultural practice of denigrating the very "body-knowledge" that is the forte of the nurse.
This is particularly evident in the nurse-practitioner movement, which so many elite nurses now promote. "The key factor differentiating nurse practitioners from other nurses," she writes, "is both the use of medical instruments and the use of instruments in ways previously denied nurses." But, she points out, in our bottom-line-driven healthcare system "the role emerges as largely economically and 'medically-driven'.... The traditional image is maintained of nurses as the extra hands and eyes of physicians willingly and cheaply filling voids and bridging gaps in health care."
Other segments of the profession, Sandelowski argues, have opposed nurses' emotional and social work to their technological activities, arguing that technology is somehow an inauthentic nursing activity, while "caring" is both authentic and an essential "antidote to technology." Sandelowski shrewdly insists that in opposing "nursing/touch and technology," the profession has been "identified both with and against technology and thus, in an ironic way, with and against itself."
While it is not the purpose of these books to offer advice about dealing with the many problems nursing confronts, they implicitly point to one incontrovertible solution: We can appreciate what nurses do in the present only if we understand how their work has been constructed in the past and what they have contributed--and can contribute--to our healthcare system.
Understanding and analyzing nursing's decades-long struggle for "a socially valued place and distinctive identity" is not an academic exercise. It is central to reversing the chronic underfunding of the nursing services most of us will eventually depend on in hospitals and other healthcare institutions, and also the undereducation of the nursing work force at almost all levels of practice. And it is critical to any solution to the severe nursing shortage, which, if not quickly and effectively addressed, will have disastrous consequences as the population grows older and sicker.
"Did you hear the one about the theft of the American presidency?" teases The Nation's Washington correspondent, John Nichols, at the start of his entertaining recounting of the 2000 election, Jews for Buchanan. But humor is just comic relief--the election, while perhaps ridiculous, was no joke at all. Still, Nichols writes, "if we are to believe that George W. Bush was elected president of the United States...we must suspend disbelief and accept that there were indeed Jews for Buchanan."
"Jews for Buchanan"? That's a joke, right? Buchanan himself thinks so. When Nichols asked the former presidential candidate to explain how one of his best vote totals came from the "overwhelmingly Democratic, heavily Jewish and Haitian-American" Palm Beach County, Buchanan himself drawled, "C'mon. It was the butterfly ballot. Everyone knows that now."
Of course, Nichols's detailed recap ventures beyond the "Buchanan stronghold in Florida," as Ari Fleischer spun Palm Beach County, and into the shady workings of the Bushes, the impolitics of Katherine Harris, the secret workings of Tom DeLay and the partiality of the Supreme Court. Along the way we are treated to memorable political cartoons; samples of discarded "overvote" ballots, where voter-intent could not be more clear; and choice quotes from right, left and center.
Nichols ends his book with a battle cry for reform. "We can point to the evidence of racial disparity, systemic failure, official wrongdoing and judicial conflicts of interest and say, 'Fix this broken system!' We can point to George W. Bush and say, 'You were not elected!' We can point to the 'Jews for Buchanan' votes and tell the defenders of the 2000 result, 'Your claims of legitimacy are a joke.'" And we must. As Nichols wraps up: "If we do not act on what we know about the corruptions and the compromises of the 2000 election, then the joke is on us."
Sauk Centre's Finest
"Everyone ought to have a home to get away from," said Sinclair Lewis--and Nation senior editor Richard Lingeman demonstrates how amply Lewis followed his own advice. Ever restless, the author of such classics as Main Street, Babbitt and Elmer Gantry is shown in Lingeman's biography to have led an itinerant life, moving ceaselessly about the United States and occasionally Europe.
"Red" Lewis grew up in Sauk Centre, Minnesota, and attended Yale after high school but dropped out before eventually completing his studies--he shuttled around the country, working for a time at the San Francisco Bulletin and AP before moving to Greenwich Village. Lingeman sketches out the ferment there early in the century, where Lewis joined the intellectuals' wing of the New York Socialist Party (other members included Walter Lippmann, the novelist Ernest Poole and Ashcan School painter John Sloan), where his politics seemed inspired more by Shaw, H.G. Wells and Wilde (The Soul of Man Under Socialism) than Marx, we are told. It sparked a lasting interest, though, evident in the political satire of much of his work.
That cutting satire got Lewis in trouble with the era's moralizers--though hardly the public; Main Street earned Lewis in the vicinity of $3 million--and Lingeman chronicles many celebrated literary spats arising from this. Archibald MacLeish scored Lewis and others in a prominent essay for having "not praised democracy as lustily as it deserved to be praised, instead devoting themselves to negativity, thus placing America in spiritual peril." Sound familiar? He was echoed by the noted historian Bernard DeVoto in public lectures. But Lewis always believed that "chronic scolds were the true patriots," Lingeman tells us, and quotes his response: that those "who so loved their country that they were willing to report its transient dangers and stupidities, have been as valuable an influence as America has ever known."
The turmoil of the artist is all here in Lingeman's engaging account: the uncertainties, the drunkenness, the divorces, the splits with friends, but also the successes--the development of those wonderful novels and, of course, the Nobel Prize.
"When I write, I bid farewell to myself," Jimmy Santiago Baca said in 1992. "I leave most of what I know behind and wander through the landscape of language." This is a memorable quote from a poet whose voice, brutal yet tender, is unique in America. The landscape of language is what redeemed Baca in 1973 when, at 21, illiterate and jailed in a maximum-security prison on charges of selling drugs, he discovered the power of words. And then he let himself loose, reading anything and everything that touched his hands, writing frantically, even magically, a set of autobiographical poems that spoke of injustice and alienation. His characters were young males handcuffed by poverty, with "nothing to do, nowhere to go." Denise Levertov once talked of them as fully formed people with engaged imaginations, of the type that witness brutality and degradation yet retain "an innocent eye--a wild creature's eye--and deep and loving respect for the earth."
Baca made his name in the late 1970s when Immigrants in Our Own Land & Selected Early Poems was published. After that, he steadily developed an oeuvre, endorsed by small presses, about the tortured experience of Chicanos. The reader sensed a poet ready to denounce, and to do so angrily, but careful not to turn poetry into an organ of propaganda: "I Am with Those/Whose blood has spilled on the streets too often,/Surprising bypassers in hushed fear," he wrote in one poem. "I am dangerous. I am a fool to you all./Yes, but I stand as I am,/I am food for the future."
These poems came in the aftermath of the Chicano movement, as the country moved away from such activism. Change had been fought for by César Chávez and Dolores Huerta, and by the Crusade for Justice, but its fruits remained intangible. Baca's anger spoke to the unredeemed and nonaffiliated on the fringes and also to a mainstream audience aware of the social limitations that remained after the civil rights era. He refused to give up denunciation, exposing the tension between whites and Mexicans in the Southwest. But then came an age in which complacency was accentuated and activism was institutionalized. Poetry left the trenches to enter the classroom: It wasn't what you had done, but the expository strategies you had used, that mattered. The Chicano middle class saw this as an occasion to reject outspokenness and endorse consent. Even the term "Chicano" came under fire and was replaced by "Mexican-American."
Around this time, Baca's pathos was acquired by Hollywood. He began to write screenplays, one of which, about gang wars in California's prisons, became Bound by Honor (1993), an epic directed by Taylor Hackford, with Benjamin Bratt, Damián Chapa and Jesse Borrego. On occasion he would surface with a pugnacious reflection, and eventually he assembled these reflections into a volume with a symbolic title: Working in the Dark (1992). But silence impregnated his poetic journey, silence and detachment. That, at least, was the view of his readership. Was Baca the poet still active, or was he going mute?
Black Mesa Poems, published a decade after Immigrants in Our Own Land, showed a shift in Baca's concerns--from the roughness of crime and conflict to depictions of barrio and rustic life. There are some existential poems in that collection, but a significant number of them deal with community--in particular, with his second home in a New Mexico rancho. These poems are about the redemptive power of love, about birth and death, about motherhood--and about rivers and pinyon trees.
The move from the individual to the family, from confrontation to introspection, is apparently what has occupied Baca in all the years since Black Mesa Poems, and his resurfacing comes with a vengeance in the form of two interrelated books: a hefty series of lyrical poems, Healing Earthquakes, billed by the publisher as a love story; and a poignant memoir, A Place to Stand, that is at once brave and heartbreaking. One feels a gravitas in the poet's voice that was absent before. Impetuosity has apparently given way to fortitude. Baca seems more patient, attentive to the passing of seasons, in tune with the smiles of children and the wisdom of elders.
The style of Healing Earthquakes is at times flat, even repetitive, and the book's plot insinuates itself with the accumulation of insights. But overall the work is stunning, the product of a poet in control of his craft, one worth paying attention to. Divided into five solid, asymmetrical sections that range from adulthood to rebirth and back, the series is shaped as a quest--again, semiautobiographical--for balance in an eminently unbalanced universe. But this is no redraft of Pilgrim's Progress, from earth to hell and up to heaven. Instead, it is a downpour of passion, which leads the narrator astray as he lusts for women, tangible and chimerical, and explores myths and archetypes that come from Mesoamerican civilization. He reflects on his imperfections, runs into trouble with others and wonders: where to find dignity? Not in religion, it seems, but in morality. It is through others and through their vision that one might find a sense of self. (This reminds me of the late Pablo Neruda, ready to turn himself into a Boswell of the heart's disasters: burning with life, agitated by the confusion around, yet eager to make poetry into his metronome.)
The poems include an explanation of silence that readers should welcome. The series uses the emphatic "I" that is a sine qua non of minority letters and that is ubiquitous in Baca's poetry, a device employed as an affirmation of the self in spite of all odds. "Here I am," it announces. "You better pay attention to me, because I will not go away." But this older Baca has become philosophical with age, and his "I" is now more contemplative:
I used to party a lot, but now I study landscapes
and wonder a lot,
listen to people and wonder a lot,
take a sip of good wine and wonder more,
until my wondering has filled five or six years
and literary critics and fans
and fellow writers ask
why haven't you written anything in six years?
and I wonder about that--
I don't reveal to them
that I have boxes of unpublished poems
and that I rise at six-thirty each morning
and read books, jot down notes,
compose a poem,
throwing what I've written or wondered on notepads in a stack in a box
in a closet.
To my mind Baca's most concentrated, lucid effort is "Martín," a forty-five-page exploration about a young Chicano abandoned by his parents, whose travels from Santa Fe to Albuquerque and across states force him to confront his own limitations. After "Martín" appeared in 1987, Baca ran into trouble with Chicano critics for his portrait of Mexican adolescence--a portrait that didn't shy away from such negative attributes as alcoholism, violence and narcotic escapes. They accused him of pushing his people down by stressing the ugly and not the beautiful. His reaction, in an essay titled "Q-Vo," collected in Working in the Dark, was a welcome respite in an atmosphere of cheap ethnic pride. (The title is a phonetic redraw of ¿Qué hubo?, "Wassup?")
[In the critics' view] Chicanos never have betrayed each other, we never have fought each other, never sold out; nor have we ever experienced poverty or suffering, wept, made mistakes. I never responded to these absurdities. Such narrowness and stupidity is its own curse.... Because I am a Chicano, it doesn't mean that I am immune from the flaws and the suffering that make us all human.
The incident recalls a comment I once heard from an aspiring Chicano critic, whose teachers reiterated to him that to write a bad review of a fellow Chicano author is to be an Uncle Tom: un traidor. "Why add to the stereotypes?" he was told. Baca responded to such nearsightedness with courage. And it is that type of unremitting courage that colors A Place to Stand, his memoir, subtitled The Making of a Poet. It is, once again, a thunderous artifact. (Readers of "Martín" especially will find it a box of resonances.) It follows a straightforward, chronological pattern with an occasional detour into the realm of the fantastic, in which the author offers dreams and imaginary visions of the past. This fantastic element isn't atypical. For instance, in a chapbook of 1981 that included the poem "Walking Down to Town and Back," about rural New Mexico, a widow lights her adobe house on fire after she believes it has been taken over by snakes, and from the flames emerges the image of the Virgin Mary. The tale is delivered in a voice that once belonged to a child, and makes use of what Freud called "the uncanny": real incidents twisted by memory into supernatural anecdotes. "Miracle, miracle," the townspeople announce. Is it all in the widow's mind?
Figuratively speaking, Baca's memoir only partially takes place in his mind, as he ponders the loss of his father, mother and brother. A few passages push the narration to a more surreal level, but these are far between. Most of the memoir is not about miracles but about the summons of a life on the verge.
I was born [in 1952], and it was about this time that Father's drinking and his absences first became an issue.... The whites looked down on Mexicans. Mother's frustration began to show. La Casita, with its two tar-papered cardboard rooms, one bed where we all slept, woodstove, and cold water spigot, wasn't the white picket-fenced house in the tree-lined city suburb she'd dreamed of.
A Place to Stand begins here, with Baca's Indian father leaving the family and his Chicano mother having a romance with a man who persuades her to leave her children behind, mask her Mexican ancestry and begin a WASP family in California. Baca went to his grandparents first, then to an orphanage. He soon found himself destitute on the street, afraid of the deceitful manners of adults. By then he was already a school dropout. His race, obviously, reinforced his status as pariah--Mexican was synonymous with slime. Perennially harassed by the police, he was adrift, disoriented, a stranger in his own land; eventually, he was incarcerated on murder charges for a crime he did not commit.
Upon his release, Baca sought to find his center, to turn himself into an honorable man. But he stumbled, and in flight he sold drugs, rambling without direction through San Diego and Arizona. The narcos' and the FBI's tête-à-tête in a bullet-infested crash the scene is vividly described in the memoir. Arraigned again, he ended up in solitary confinement, and after defying the system that purportedly sought to reform him ("prison did not rehabilitate me. Love for people did"), he learned to read. From that moment on he read, and read, and read, and then turned ink to paper, at which point he surprised himself a poet--and he surprised others too: His gifts were pristine, unadulterated from the start.
I was often overwhelmed by the sorrow and commiseration conveyed in Baca's memoir. It is a luminous book, honest to a fault. Every so often the author indulges in epiphanies that sound like clichés: for instance, "I didn't know what I'd done to deserve my life, but I'd done the best I could with what I had." But those platitudes are what people less interested in literature and more in the rough-and-tumbleness of life are likely to respond to fully. A Place to Stand is about place in the largest, most flexible sense of the term: as home, but also as the soil of one's roots and as the literary pantheon in which one fits. In that sense the book belongs to the subgenre of prison tales for which the twentieth century was fertile ground. From The Autobiography of Malcolm X to Vaclav Havel's diaries, the central paradigm doesn't change: involuntary confinement as a ticket to enlightenment--and even messianic revelation. In the Americas, this subgenre is obviously substantial, filled with names like Graciliano Ramos and Reinaldo Arenas; north of the Rio Grande, figures like Piri Thomas, Miguel Piñero and Luis J. Rodríguez have also heard the sound of their voice behind bars. Baca too enters jail as a lost soul and leaves it empowered; in the early fragments of the book he is a vato loco, a crazy dude. But after the imprisonment he is an unapologetic, ideologically defined Chicano. "Most people might assume that cons spend their time thinking about what they're going to do when their time is up, fantasizing about the women they're going to fuck and scams they're going to run, or planning how they're going to go straight and everything will be different," Baca writes. "I did think about the future sometimes, but more and more it was the past my mind began to turn to, especially during those first days and nights in solitary." Those nights led Baca to a debacle with his own phantoms, and to the conviction that life has a purpose only when one devises one for it. The epilogue of A Place to Stand is especially moving: In it Baca's mother returns to her Mexican identity, but her second husband stops her short with five bullets in her face from a .45--a mesmerizing image of defeat, which Baca successfully turns around in his telling.
Maturity... For years I've been looking for an accurate definition of the word. What does it really mean? "Fullness or perfection of growth or development," announces, tentatively, the Oxford English Dictionary, but this is an unsatisfactory explication. The purpose of any artist who takes himself seriously is to make the best of his talents fit the condition in which he finds himself. Is maturity the capacity to change and still remain loyal to one's own vision? Earlier in this review I referred to Baca's work as an oeuvre, which isn't the same as work. Oeuvre implies mutation, the desire to change from one mode to another, the willingness to comprehend nature and society from contrasted stands. Baca's poetry is monochromatic, but the same might be said of any poet of stature: A set of motifs and anecdotes reappears under different facades. But every time, the reader reaches a depth unlike the previous one.
Baca's latest books are about anger, but he seems to be less angry than before. Time has allowed him to zoom in on his mission: to travel outward and inward as a Chicano in America, with all the complications that the identity entails; and to use language to bid farewell to his many selves. In Healing Earthquakes he describes his search as
leading me back across the wasteland of my life
to marvel at my own experience and those around me
whose own humbled lives graced me with assurance
that if I stayed on the path of love, of seeking the good in people,
of trying to be an honorable man,
that I too would one day have the love of family and friends
and be part of life as it spun like a star in the dark
radiating light on its journey--.
This search, it is clear now, is a towering legacy.