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Since this is going to be a story about sex and children, let's start
with a bit of groping in the priests' chamber.
I must have been 12. My confederates and I, all suited out in our little
Scout uniforms--demure blouse, ribbon tie, sash of merit badges across
the chest, jaunty tam-o'-shanter--were mustered in the rectory of St. John
Gualbert's, there to be investigated on our knowledge of and devotion to
the Blessed Virgin. This was the last step toward our achieving a
Catholic girl's honor called the Marian Award. I remember the word
"investigated." I remember, too, sitting on the long bench, looking at
the heavy draperies, the carved legs of the vast dining table, waiting
my turn in the half-dark, feeling the gaze of the stripped and suffering
painted Jesus behind me while, at the head of the table, our resolutely
unmortified investigator began asking first one girl then another such
questions as "Where do babies come from?" "What do you have between your
legs?" "What do you have here?" laying hand on breast, and so on like
that. Hmm, I thought, these were nothing like the sample questions in
the manual I'd been reviewing for days. And what was he doing
easing my friend up across his tumid belly and onto his lap? I'd never
liked this priest. He was florid and coarse, with piggy eyes, a bald
head and thick fingers that he'd run along the inside of the chalice
after Communion, smacking his lips on the last drops of the blood of
Christ. My mother didn't teach me about sex--I don't count the
menstruation talk--but, without quite saying so, she taught me to regard
authority figures as persons who had to earn respect. Obedience was
rarely free, never blind. Time has stolen what this priest asked me,
where, if anyplace, he touched me; I remember him stinking of drink is
all, and myself standing schoolmarm straight and reciting, with the
high-minded air I affected for such occasions, the statement I'd been
preparing: "Father, I fail to see what that question has to do with the
Marian Award. Girls, let's go." We escaped in a whirl of gasps and
secretive giggles, rushing to telephone our Scout leader. I had no
inclination to tell my mother, but most of the other girls told theirs,
and soon the priest was relieved of child-related duties. We got our
Marian medals without further investigation, and before too long the
priest dropped dead in the street of a heart attack. Even now, as
middle-aged men weep about the lifelong trauma inflicted by an uninvited
cleric's hand to their childish buttocks, I consider my own too-close
brush with the cloth as just another scene from Catholic school.
There were very different scenes, many more in fact, that I could just
as easily conjure forward now under the heading "sex and childhood,"
though at the time I no more thought they had anything to do with sex
than our encounter with the priest or, for that matter, my mother's
subtle lessons in self-possession. They contained, rather, the bits and
pieces of a sensual education that would be fit together in some
recognizable pattern only later. And because, at least in my school at
that time, official silence about sex meant we were also spared lectures
against abortion and homosexuality, onanism and promiscuity ("Thou shalt
not commit adultery"? who knew?), what was left to us was indulgence in
the high-blown romance of the church: Gregorian chants and incantatory
Polish litanies; the telling and retelling of the ecstasies of the
saints; the intoxicating aroma of incense, of hyacinths at Easter and
heaped peonies in June; the dazzling brocades of the priests' vestments
and the Infant of Prague's extravagant dresses, which we girls would paw
through when cleaning the church on Saturday; the stories of hellfire
and martyrdom; and the dark, spare aesthetic of the nuns.
There is a parallel in my ordering of childish memories here and the
public reaction to Judith Levine's Harmful to Minors. Levine
spends a large portion of the book advocating for candid, comprehensive
sex education in schools, something I and many of my generation never
had. But the spirit that animates the book is a less programmatic,
polymorphous appreciation of the sights and smells, the sounds and
language and tactile delights that make a person--adult or child--feel
alive in her skin. Levine's central preoccupation, running like a golden
thread throughout the book, is the pursuit of happiness, the idea that
kids have a right not just to safety and knowledge but to pleasure too.
And "pleasure" here is more than the sweet shudder of a kiss, the happy
exhaustion of climax; it is the panoply of large and small things that
figure under the heading joie de vivre, including the
satisfaction, quite apart from sex, of relating deeply with others in
the world. "Knowledge" is more than facts and technical skill; it is the
ability to understand the prompts of body and mind--to recognize "when
you can't not have it," as one woman quoted by Levine replied to her
daughter's "How do I know?" question--and the wherewithal to decide when
it's time to get out of the rectory.
In another age and country this might be called reasonable, everyday
stuff. Levine spends hardly any time talking about pedophiles, none on
priests. In dissecting the various sexual panics of the past couple of
decades, she marshals a catalogue of what, in the scheme of things,
should be reassuring studies and statistics to show that satanic ritual
abuse is a myth; child abduction, molestation and murder by strangers
(as opposed to family members) is rare and not rising; pedophilia (an
erotic preference of maybe 1 percent of the population) typically
expresses itself in such "hands-off" forms as voyeurism and
exhibitionism; child sex offenders have among the lowest rates of
recidivism; child porn, whether on the Net or the streets, is almost
nonexistent and then (less reassuring) its chief reproducers and
distributors are cops; sexual solicitations aimed at children over the
Net, while creepy, have not resulted in actual assaults; and "willing"
encounters between adults and minors do not ruin minors. Although Levine
has noted in interviews that, as a teenager, she had a sexual
relationship with an older man, she never mentions it in the book, nor
does she delve too far into this last taboo. She relegates to a footnote
the fascinating, difficult story of Mary Kay Letourneau, the 35-year-old
Seattle area teacher jailed for her affair with a 13-year-old student
who impregnated her twice and insisted to the press, "I'm fine."
Levine's most detailed discussion of age-of-consent laws involves the
more easily comprehended story of a precocious 13-year-old, who also
asserted her free will, and an emotionally immature 21-year-old,
currently locked up for statutory rape. More than once Levine states,
for anyone suspicious enough to wonder, her unswerving opposition to
every form of forced, coerced or violent sex, and to sex between adults
and young children. It shouldn't be necessary for her to assert that
just because kids have a far greater chance of dying in a car accident
than at the hands of a sex offender that doesn't mean the latter isn't a
problem, but she does. Yet, for all that, her book is being blasted by
the heavy guns and light artillery of the right-wing sex police as a
child molester's manifesto.
One reason is timing. The priest scandal, one of those things that
everyone knew but kept an unbothered or guilty silence about until the
court cases and daily headlines forced a response, has raised a hysteria
against which any rationality on youthful sexuality has about as much
chance as that student facing the tank in Tiananmen Square. Even without
that, nothing seems to make the blood boil like the suggestion that it's
possible for minors to emerge unscathed or even enriched from consensual
sexual relations with adults. I have had such conversations with
leftists who angrily reject the whole notion, even as I ask, What about
X, who says it was like an answered prayer when his parents'
30-something friend initiated him sexually at 13, when for months
afterward at the end of the school day he would politely kiss his
same-age girlfriend (now his wife of twenty-five years) and then rush to
this experienced woman's bed? What about Y, who seduced her married
teacher when she was 17 and he 45, and who, thirty years later, has with
this same man one of the most loving unions I have ever seen? What about
Z, who as a youth regularly sought out the company of older men because,
apart from a sexual education, they offered him a safe place for
expression, a cultural home, a real home? The priest scandal, which
forecloses any attempt to separate vicious crime from pervy nuisance
from consenting encounter, has further limited the possibilities for
thoughtful discussion on the real things people do and feel, the causes
and effects and complex power exchanges of a human activity that does
not, and will never, operate according to the precepts of a textbook or
Another reason is that Levine's most bombastic critics had not read
Harmful to Minors before damning it. Dr. Laura, who called
on the University of Minnesota Press to stop the book's release, took
her cues from Judith Reisman, who declared Levine an "academic
pedophile." A longtime zealot in the trenches of the antipornography
cause, Reisman told the New York Times, "It doesn't take a great
deal to understand the position of the writer. I didn't read Mein
Kampf for many years, but I knew the position of the author." Tim
Pawlenty, the Minnesota House majority leader and a Republican hopeful
for governor, also admitted to not having read the book before equating
the press's role in its publication with "state-sanctioned support for
illegal, indecent, harmful activity such as molesting children." Robert
Knight, a spokesman for Concerned Women for America who urged the
university regents to fire those responsible for publishing this "evil
tome," says he "thumbed through it." Knight, whose organization is
dedicated to bringing "Biblical principles into all levels of public
policy," might consider what, at a practical level, that might mean,
starting with Moses' commands to his warriors in the Book of Numbers:
"Kill every woman that hath known man by lying with him. But all the
women children, that have not known a man by lying with him, keep alive
Still, I think Levine would be pilloried by Dr. Laura and her ilk even
without the priest scandal and even if she had ignored the subject of
sex across the age divide. For the pleasure principle she enunciates
challenges the twenty-five-year-old organizing strategy of the right.
Ever since Anita Bryant first demonstrated that a power base could be
built by attacking homosexuals, the right has exploited real anxieties
about sex, love and family to constrain the liberatory spirit, whether
expressed by sexual preference, divorce, abortion, contraception,
women's freedom or teen sex. This has not managed to send queers back to
the closet, lower divorce rates or "protect the children." American
teenagers have about four times the pregnancy rate of teens in Western
Europe. Those in a program of "abstinence only" education still have sex
and are about half as likely to protect themselves than kids who've
received broad sex information. Even with abortion rights severely
curtailed, US teenagers have abortions at about the rate they did just
after Roe v. Wade. One in four has had a sexually transmitted
disease; one an hour is infected with HIV; and, not incidentally, among
American children one in six is poor. That notwithstanding, the sex
panic strategy has succeeded in the only way it had to: creating a
movement, with all the institutions, political power, lawmaking
capability, grassroots presence and funding that implies, to advance an
agenda for everything from global dominance to bedroom snooping.
Levine's critics are all part of that project, and since she butts
against it almost from the opening pages of her book, they are striking
What is more telling is who isn't rushing to the defense. While a group
of free-speechers, pro-sex feminists and radical gay activists have
generated press releases, opinion pieces, e-mail alerts and letters of
support to Levine's publisher, there has been silence from mainstream
feminist organizations and the liberal sex-education and child-health
establishments. That may be partly because they, too, have felt the
sting of Levine's criticism. Rather than build a countermovement to
insist on sexual freedom, she writes, such heavyweights as Planned
Parenthood, the National Campaign to Prevent Teen Pregnancy, ETR
Associates (the largest US mainstream sex-ed publisher), the National
Education Association, the Health Information Network and a host of
progressive sex educators tried to appropriate the "family values"
rhetoric of the right, joining in "a contest to be best at preventing
"The Right won," she writes, but the mainstream let it. Comprehensive
sex educators had the upper hand in the 1970s, and starting in the
1980s, they allowed their enemies to seize more and more territory,
until the Right controlled the law, the language, and the cultural
consensus.... Commenting on its failure to defend explicit sexuality
education during an avalanche of new HIV infection among teenagers,
Sharon Thompson [author of the engrossing book on sex and love among
teenage girls, Going All the Way] said, "We will look back at
this time and indict the sex-education community as criminal. It's like
being in a nuclear power plant that has a leak, and not telling
Throughout the Clinton era those forces largely stood by as the most
sexually reckless President in memory signed a sheaf of repressive
legislation, acts with names like Defense of Marriage, Abstinence Only,
Personal Responsibility and Child Pornography Protection. The last on
that list, capping a legal trend that, as Levine says, "defined as
pornography pictures in which the subject is neither naked, nor doing
anything sexual, nor...is even an actual child," was recently struck
down by the Supreme Court. The second to last, also known as the welfare
bill, is up for reauthorization this year, along with its enhancements
of penalties for statutory rape and its policing of teen sex, motherhood
and marriage. As part of that bill the Clintonites fanned the notion
that minors were too young to consent to sex with an adult, while in
criminal law they eased the way for prosecuting children as adults and
jailing them as adults, in which circumstance consent usually isn't an
issue. To grasp the effect of liberal silence about Levine, it is
perhaps enough to recall one name: Dr. Joycelyn Elders, sacked by
Clinton as Surgeon General in 1994 for saying that masturbation is part
of childhood and it doesn't hurt to talk about it. Elders has written an
eloquent and sensible foreword to Harmful to Minors. Back when
Elders was twisting in the wind ABC's Cokie Roberts called her "a sort
of off-to-the-left, out-of-the-mainstream, embarrassing person"; now
the Washington Times insinuates she's soft on molestation. From
self-abuse to child abuse in eight years, one absurd charge prepares the
ground for the other.
That said, it's too easy to read the reception of Levine's book as
simply more evidence of right-wing lunacy and liberal retreat. What the
brouhaha also signals in its small way is a failure of the left. In
organizing around issues of sex, love and family, the right has surely
been cynical but at least it speaks to the deepest questions of intimate
life. Its answers are necessarily simplistic and straitened. The family
is falling apart? It's the homos. Marriage seems impossible? It's the
libbers. Sex brings suffering? Just say No. Love seems distant? Await
the Rapture. Except for a small group of queer radicals and pro-sex
feminists, to the extent that such questions are even entertained on the
left, the answers tend toward a mixture of social engineering and
denial: There's nothing wrong with the family that an equitable economy,
divorce or gay marriage won't fix. Marriage is possible; equality is the
key. If sex ed was better and condoms were free, teens wouldn't get
pregnant and wouldn't get AIDS. If abortion is painful, you've been
propagandized. If sex is painful, you're doing it wrong. If love is
painful, find a new lover.
Levine is too sensitive to the mysteries and complexities of human
relations to be characterized as advocating anything so pat as
happiness-through-policy in the area of childhood sexuality. But if her
putting children and sex together in the same sentence can be read by
the right as a call to licentiousness, her heavy emphasis on the
pleasure-enhancing possibilities of sex education may encourage readers
on the left to believe that kids can be protected from bad sex, mediocre
sex, regret, risk, danger, pain. And they can't, any more than adults
can. They can't because in matters of sex, desire is a trickster. What
you see isn't always what you get, much less what you want, though it
may be what you need. In matters of the heart, intimacy means
vulnerability means daring to bet against pain. As with all bets,
sometimes, often, you lose.
Levine actually makes this point but she so wants kids to have better
information, better experiences--and she argues so well and hard for
these--that somehow it gets lost. Citing a study showing that 72 percent
of teenage girls who'd had sex wished they had waited, Levine wonders
whether this regret isn't perhaps really about romantic disappointment
and asks, "Might real pleasure, in a sex-positive atmosphere, balance or
even outweigh regret over the loss of love?" Can we know pleasure
without pain? one might ask in return. Can regret over lost love, at any
age, be so easily balanced? Even sidestepping those twisting lines of
inquiry, isn't the promise of "real pleasure" as much a romantic ideal,
as much an invitation to disappointment, as the promise of true love,
especially for the young? However wished, it's not so easy to
disentangle sex from the hope for love, to revel in pure, transporting
sensuality without letting expectations, not to mention fumbling
technique, get in the way. It doesn't have to, and it doesn't always,
but sex can change everything between two people. We are weak,
after all, and life's little joke is that in that weakness lies the
potential for our ecstasy and our despair.
This isn't to discount the lifesaving value of open education about sex,
condoms, desire, freedom. (And because discussions like this always
force one to state the obvious, I'll also note that nothing in the
foregoing should suggest that I oppose equality, economic
redistribution, abortion rights, child safety, sexual liberation, the
search for love or, so long as heterosexuals insist on having the state
sanction their unions via the marriage contract, divorce and gay
marriage.) But rather than promise kids a world of good sex--like
promising a world of happy marriages, monogamous fulfillment,
self-sustaining nuclear families--maybe it's more helpful to explain sex
as the sea of clear water, giddy currents, riptides, sounding depths and
rocky shoals that it is. You navigate, find wonder in the journey,
scrape yourself up, press on anyway and survive. And sometimes,
sometimes, you experience a bliss beyond expression. The political job
is to expand the possibilities for such experience, to free people to
navigate, help them survive the hurt or not hurt so bad. Maybe if we
could be honest about sex, we could be honest about marriage and
monogamy and family. Maybe if so much didn't hinge on an outsized faith
in pleasure and fidelity and romantic love--if for people in couples or
families, everything didn't depend on the thin reed of love, and for
people alone, coupledom wasn't held out as the apex of happiness--all
the talk we hear about community might actually mean something. The
greatest virtue in Levine's book is its hope that children might learn
to find joy in the realm of the senses, the world of ideas and souls, so
that when sex disappoints and love fails, as they will, a teenager, a
grown-up, still has herself, and a universe of small delights and strong
hearts to fall back on.
Charles Wright and Charles Simic count among the best poets of their generation. Each career has unfolded with considerable excitement for serious readers of contemporary poetry, their latest work always building on previous work, always shifting in unexpected ways, challenging the reader to answer light with light, dark with dark. Their latest books are certainly as good, if not better, than those that preceded them, and that's saying a good deal.
In Wright's fifteenth volume, A Short History of the Shadow, he reaches back to earlier moments in his creative and spiritual life (which, in his case, are intimately connected), revisiting "old fires, old geographies," as he says in "Looking Around," which opens the volume. This and other poems in the collection resemble in form and texture those of his middle period, which began with The Other Side of the River, where the terse, imagistic lyrics of his earlier work gave way to long and languid meditations in the loose, associative format of a journal. As ever, Wright centered each poem in a particular landscape--Tennessee, Virginia, California, Italy--sometimes skipping blithely from landscape to landscape, season to season, assembling images that seemed miraculous in their originality and oddness. Ignoring the dogged domesticity that informs so much of contemporary poetry, he addressed large matters: the place of human intelligence in nature, the nature and role of memory and time in the life of the soul, the fate of language as a conduit between spirit and matter. Wright was, in a sense, adding apocryphal books to his own hermetic scripture with each poem.
He still is. Admitting to a "thirst for the divine" in "Lost Language," he catalogues his habits and desires:
I have a hankering for the dust-light, for all things illegible.
I want to settle myself
Where the river falls on hard rocks,
where no one can cross,
Where the star-shadowed, star-colored city lies, just out of reach.
A dark Emersonian, Wright reads the Book of Nature closely, consistently and fiercely, as in "Charlottesville Nocturne," where he concludes:
Leaning against the invisible, we bend and nod.
Evening arranges itself around the fallen leaves
Alphabetized across the back yard,
That braille us and sign us, leaning against the invisible.
Our dreams are luminous, a cast fire upon the world.
Morning arrives and that's it.
Sunlight darkens the earth.
Here as elsewhere, Wright fetches the reader's attention with compelling aphorisms, with phrases arranged to create a subtle, alluring music. He could not be mistaken for any other poet, although one notices the remnants of his reading, thoroughly absorbed and transmogrified, in almost every line. It's often amusing to hear him toying with phrases and linguistic motions from the poets who have influenced him: Whitman, Eliot, Stevens, Pound, Montale (whom he has translated) and others. When he says, for example, "I like it out here," in "Why, It's as Pretty as a Picture," one can't help hearing Stevens's similar remark in "The Motive for Metaphor." Of course, poems often unfold from poems, and most good literature is a tissue of allusions. Wright knows this; indeed, he embraces it.
There is evidence of wit everywhere in this volume, more so than before. Wright sounds immensely self-confident and authoritative and can say anything, as in the above-mentioned poem, which disarmingly opens:
A shallow thinker, I'm tuned
to the music of things,
The conversation of birds in the dusk-damaged trees,
The just-cut grass in its chalky moans,
The disputations of dogs, night traffic, I'm all ears
To all this and half again.
Tell me about it. Wright is all ears, all eyes, sifting the world that falls before him with astonishing freshness, thinking shallowly so he can see and hear profoundly. His poems, like all good poetry, embody their meanings well before they are available for rational understanding, and they are only understood in a full way over time, in the context of his previous work and, indeed, the work to come.
Though rooted in the traditions of European and American Romanticism, Wright has kept an eye on the East, and in the new poems he alludes easily and often to Chinese poets and philosophers, who embrace the concept of emptiness in ways that complement Wright's aesthetic, as he suggests in the gorgeous "Body and Soul II," where he presents another in his series of poems in the ars poetica mode:
Every true poem is a spark,
and aspires to the condition of
the original fire
Arising out of the emptiness.
It is that same emptiness it wants to reignite.
It is that same engendering it wants to be re-engendered by.
In "Body and Soul" itself, Wright embraces his aesthetic more ardently than anywhere in his previous writing, if I'm not mistaken. He writes:
I used to think the power of words was inexhaustible,
That how we said the world
was how it
was, and how it would be.
I used to imagine that word-sway and
Would silence the Silence and all that,
That words were the Word,
That language could lead us inexplicably
As though it were geographical.
I used to think these things when I
I still do.
Movingly, Wright places his confidence in the gnostic way of knowledge, in the appropriation of Logos through language itself, in "word-sway and word-thunder," a formulation that recalls Hopkins, who sought the divine in language, wherein he discovered an "inscape"--his term for a distinct internal form--that embodied the mystery of grace.
Wright is a seer in the truest sense, a poet who stands out among contemporary poets as a lone figure, belonging to no recognizable school, inimitable. His vatic stance, though unpretentious because the manner of the poet is often quite offhanded and colloquial, remains central to the meaning of his poetry, and he falls smack in the line of American visionaries, who look always to Emerson as the source.
Wright and Charles Simic could not be more different in style, even substance, though Simic's work shares with Wright's an abiding interest in the realm of spirit in its worldly embodiments. Simic, though, is more likely to find "the proof of God's existence riding in a red nightgown." Simic's interlocutor in the title poem of the new volume, Night Picnic, asserts: "All things are imbued with God's being--." This God, however, is a dark and possibly demonic figure, defined as much by his absence as his presence.
A bitterness over this absence appears to haunt Simic, here as before, although humor blends with the bitterness to create his unique affect. His poetry locates itself in casual moments of sudden recognition, as in "We All Have Our Hunches," which follows in its entirety:
The child turning from his mother's breast
With a frightened look
To watch his grandfather raise a beer
And drink to his future happiness
In the kitchen full of unwashed plates
And busy women with quarrelsome voices,
The oldest of whom wields a rolled newspaper
With the smiling President's picture
Already speckled by the blood
Of warm-weather flies and mosquitoes.
In the somewhat claustrophobic hothouse of this poem, a rather typical one, Simic contrasts young and old, powerful and powerless--oppositions that have intrigued him from the outset. The shadow of violence falls across the room, emblematized by the oldest "quarrelsome" woman with the rolled newspaper and amplified by the blood-speckled picture of the President. The reflexive fear of this child is a fear that permeates Simic's verse, which often trembles on the edge of despair.
Born in Belgrade in 1938, Simic's early childhood was spent in the turmoil of war. His first language was Serbo-Croatian, and he brings an Eastern European sensibility to his poems, a feeling of almost lightheaded absurdity coupled with a wryly sardonic feeling of helplessness. For close ancestors, one might look to poets like Georg Trakl or Zbigniew Herbert--poets at home in the eerie dreamworld of surreal poetry.
In the unnamed country where most of his poems are set, war seems to hover in the background. The authorities in this country rule by violence, and ordinary souls shrink into the crevices of history, destined for oblivion. The poet's voice in this almost speakerless poetry emerges from an anonymous Mouth, that "old rathole/From which the words/Scurry after dark." Typically, Simic's poems gather their disparate parts in unexpected ways, hinting at "dark secrets still to be unveiled," the pieces falling miraculously into place in the final image, where the reader is often led to a huge metaphysical brink, which beckons from below.
A prolific poet--by my count this volume is his fifteenth--Simic revisits similar nightmares in book after book. He dreams about butcher shops, ominous city streets, prisons and dismal bedrooms, where the insomniac poet studies the flies on the ceiling and contemplates his own dim fate. But there have always been some bucolic poems, too, and they are usually set in deep country, under blue skies, as in "Summer in the Country," which opens:
One shows me how to lie down in a field of clover.
Another how to slip my hand under her Sunday skirt.
Another how to kiss with a mouth full of blackberries.
Another how to catch fireflies in a jar after dark.
That we never learn who, exactly, these instructors are doesn't matter. In Simic's surreal world, anything can happen; guide-ghosts can unexpectedly materialize to lead the characters in the poem into heaven or hell--or some combination of the two.
I've always relished Simic in his wry but happy moods, as in "The Secret of the Yellow Room," where he celebrates sloth and the "silky hush of a summer afternoon." But the weather of any given poetic mood can shift unexpectedly. "Roadside Stand," for example, begins with a sumptuous account of a kid's roadside vegetable and fruit stand:
In the watermelon and corn season,
The earth is a paradise, the morning
Is a ripe plum or a plump tomato
We bite into as if it were the mouth of a lover.
The kid, however, is bored. He doesn't understand the peculiar enthusiasm of his customers, who make such a fuss over his produce; wanly if not wisely, he surmises that "what makes people happy is a mystery." The gears shift quietly under the hood of Simic's poem as it widens in meaning.
Though Simic rarely mentions a specific historical situation, he refers often--and chillingly--to politics. "Sunday Papers," a remarkable lyric, begins: "The butchery of the innocent/Never stops." "Views from a Train" offers the depressing sight of "squatters' shacks,/Naked children and lean dogs running/On what looked like a town dump." "In the Courtroom" laments a world of injustice, where "ghastly errors" occur and "mistaken identities are the rule." But Simic sees no easy remedy for these problems, which seem eternally to plague humankind. If poetry makes nothing happen, as Auden suggested, then a poet's nightmares can't help much. In "New Red Sneakers," Simic notes with rueful candor: "A lifetime of sleepless nights/Cannot alter the course of events."
The "Wee-hour world" of his writing is haunted by twisted faces, tinhorn preachers and a variety of indigents who cannot reinvent their lives or take comfort in philosophical musings. Even art doesn't help much. "The true master," suggests one voice in an eerie poem called "The Lives of the Alchemists," "needs a hundred years to perfect his art."
Simic has been working for more than four decades at his art, and he's brushed up against perfection more than a few times. Indeed, American poetry would be desperately poorer without at least a dozen of his poems, and the work in Night Picnic is as lively, horrific, amusing and satisfying as anything he has yet published.
The Nation announces the winners of Discovery/ The Nation, the Joan
Leiman Jacobson Poetry Prize. Now in its twenty-eighth year, it is an
annual contest for poets whose work has not been published previously in
book form. The new winners are: Linda Jenkins, Gregory McDonald, Andrew
Varnon and Stefi Weisburd. This year's judges are Catherine Bowman,
Carolyn Forché and Paul Muldoon. As in the past, manuscripts are judged
anonymously. Distinguished former winners include Susan Mitchell, Katha
Pollitt, Mary Jo Salter, Sherod Santos, Arthur Smith and David St. John.
This year's winners will read their poems at Discovery/The Nation
'02 at 8:15 pm on Monday, May 6, at The Unterberg Poetry Center, 92nd
Street Y, 1395 Lexington Avenue (92nd Street and Lexington Avenue) in
New York City.
--Grace Schulman, poetry editor
The Lewis & Clark Snowglobe
There exists one, anti-gewgaw, memento
ingenuous as any wonder,
though I've never seen nor heard of it, and yet--
as is revolution of heavenly body, of colony--
all's a given. The only question being which scene
of scenes? Spring 1804: keelboat,
all fifty-five feet of it, curses
the Missouri's sawyers--
Shake it and snow that falls in summer
plagues unseen men--Clark's "misquetors."
Or Lewis gazes, dizzy with May and his first
"plain and satisfactory view" of the Rockies'
plastic expanse, its blue-lipped ardor soothing
words Northwest Passage forever.
In a roadside gift shop,
Sacagawea proves false
an old adage; Home again Home again, swirls
her first moments back
among the Shoshones; with a knick-knack's economy,
sixteen mounted warriors become
one or two; her lost brother has become chief,
and they embrace:
novelist's fantastical turn.
It's the day a horse takes badly a Bitterroots precipice, the group--
ravenous, anonymous, androgynous--proceeds,
one colt divided among thirty-plus bellies. It's Clark,
jubilant at the first
(if false) view of Pacific.
It's hermetic 1806 St. Louis,
its sluicy tempest of rounds and cheers.
And not famed, not at all likely
to be the scene, yet Washington's elite toasts Lewis
with a ball; outside, glitter falls--and Lewis, triumphant, drunk
off the New Year, raises his glass, voices
a toast of his own:
"May works be the test
of patriotism as they ought, of right, to be of religion,"
as they ought (redundant or no) to be of love.
It was in an Age of Such Incredible Secrets
It was in an age of such incredible secrets
that my mother began to paint her toenails
the color of eggshells, and my father
learned how to make love with his hands
at his side. I saw them practicing once,
but all I could think about was our icebox
full of fish and ketchup, and the small wooden bird
above my grandmother's bed, rocking back and forth,
dipping its red beak into a bowl of water.
What I Remember
I lift the bottle every time you catch me
looking at you. In all the apartment
complexes down Alafaya Trail,
I roll on the floor away from the wet nose
of a basset hound. Pennies spill
that I will forget; lips are moving but
I can't keep my footing in the mud.
Spanish moss hangs from a tree, there is a frog
and everybody throws water balloons.
A black dress with pink flowers
A storm over the gulf at sunrise
Empty beach chairs face turquoise
Traffic lights change without cars
I chase you with whiskey and chase
whiskey with beer and chase an armadillo
around the art gallery, muttering something
about "plasticity" or "negative space."
The search lights catch up with me. I walk
out the back door too easy, afraid of fists
that put holes in your wall. Mine
is the long walk home under streetlights
with only beat cops and that one Muddy Waters
song I know to keep me company, me and that
thirsty head full of wilderness I'm so afraid of.
Elegy For Two
A yowling pulls like tides at our blind ear
from down the hall. The sound of Baby's ire
at God knows what, the broken night, the leer
of suns, I said. The nurse spit out: Liar.
Eyes of fruit and cinder block conspire.
His cries would fever milk and wrench the bed.
A letter in my husband's hands perspires.
For the love of God, it's just a cat, my nurse said.
But cats don't antidote true love or shred
the film of sleep with shrill ballistic shrieks
or tick heart's tomb, slash the vagrant thread,
tear the doll to wipe the bloody streaks.
Cats don't rasp or beg with gnawing squall
on stairs to help the helpless totter, fall.
Alan Dershowitz prides himself on his credentials as a civil
libertarian, and to judge by most of the essays in his latest book,
Shouting Fire: Civil Liberties in a Turbulent Age, he has good
reason to do so. The Harvard law professor has built a considerable
reputation on his defense of free speech, due process and the separation
of church and state, to say nothing of his propensity for controversial
clients and clamorous talk shows. Shouting Fire is a pastiche of
fifty-four essays, some of them new, most of them not, the earliest
dating from 1963. The impetus for the collection appears to be at least
in part a desire to reassert the importance of civil liberties, even in
the face of such national security threats as those posed by the events
of September 11 and their aftermath. Moreover, Dershowitz admirably
offers what rights advocates rarely do: a philosophical grounding for
civil and political rights beyond the mere positivist assertion that
"that's the law."
If this were all Dershowitz had done in Shouting Fire, the book
might have received its share of kind reviews and headed off to
Remainderland. But in less than two of the book's 550 pages, he manages
to guarantee the collection a longer shelf life. For in an addendum to a
1989 article in the Israel Law Review, Alan Dershowitz, civil
libertarian, champion of progressive causes, counsel to human-rights
hero Anatoly Shcharansky, makes a case for torture or, more exactly, for
the creation of a new legal device that he dubs a "torture warrant." And
then, through a deft combination of newspaper editorials, public
appearances and an extended interview on 60 Minutes, Dershowitz
has expanded upon that proposition in a way designed to make talk of
torture routine and, not incidentally, banter about his book robust.
Dershowitz's proposal, therefore, deserves careful scrutiny, not only
because it comes from a respected voice but also because sources in the
FBI have floated the possibility that torture will be applied against
prisoners or detainees who refuse to tell what they know about
terrorists. Last October 45 percent of Americans approved of that.
Today, thanks to Dershowitz and others having lent the idea the patina
of respectability--Jonathan Alter writing in Newsweek, Bruce
Hoffman in The Atlantic--the number may be higher.
Dershowitz starts with the familiar scenario from every freshman
philosophy class, the case of the ticking bomb. Suppose the authorities
are holding a suspect who knows where a ticking bomb is located, a bomb
that will kill hundreds of people if it explodes. Would they be
justified in torturing the suspect to procure the information and
thereby save innocent lives?
Dershowitz contends that whether we like it or not, the officials would
inevitably resort to torture and, what's more, the vast majority of us
would want them to. But because any officer who did so might be subject
to prosecution, despite the availability of the common law defense that
a crime may be justified if it is necessary to prevent a greater evil,
the onus of responsibility should not be left on the individual
official. Instead the authorities should apply to a court for a "torture
warrant," similar to a search warrant, so that the courts must bear the
burden of authorizing torture or the consequences of failing to do so.
In another context Dershowitz has offered the reassurances that "the
suspect would be given immunity from prosecution based on information
elicited by torture" and that "the warrant would limit the torture to
nonlethal means, such as sterile needles being inserted beneath the
nails to cause excruciating pain without endangering life."
Despite these precautions, however, Dershowitz's proposal has not met
with universal acclaim, and in recent weeks he has appeared to be
distancing himself from it. In a February 17 letter to The New York
Times Book Review responding to a critical review of Shouting
Fire, Dershowitz claims that "the only compromises [with civil
liberties] I suggest we should consider, and not necessarily
adopt, relate directly to protecting civilians against imminent
terrorist attacks [emphasis added]." But there is no hint on the two
relevant pages of Shouting Fire that Dershowitz's "torture
warrant" proposal is merely hypothetical. Indeed, in commenting on the
decision by the Supreme Court of Israel that prompted the idea in the
first place, he chastises the court for leaving interrogating officers
vulnerable to prosecution if they use torture and says, "The Supreme
Court of Israel...or the legislature should take the...step of requiring
the judiciary to assume responsibility [for torture] in individual
cases." Dershowitz is stuck with his "torture warrants" just as surely
as Arthur Andersen is stuck with its Enron audits.
So what, after all, is wrong with that--other than the fact that torture
violates both the Convention Against Torture, which the United States
ratified in 1994, and the Constitution? The first thing that is wrong is
that the act of torture, unlike that of searching for something, is in
itself both universally condemned and inherently abhorrent. Under
international law, torturers are considered hostis humani
generis, enemies of all humanity, and that is why all countries have
jurisdiction to prosecute them, regardless of where the torture took
place. The fact that a US court or legislature might offer its approval
of the act does not abrogate that internationally recognized standard
any more than a court in Singapore that authorizes the jailing of a
dissident journalist makes Singapore any less guilty of violating the
rights of a free press. Tyrannical governments often try to cloak their
human rights violations in national statute. It is interesting, however,
that no country has ever legalized torture except, arguably, Israel,
until the Israeli Supreme Court struck down the provision for the use of
"moderate physical pressure," and even while that provision was on the
books, the Israeli government argued vehemently that such pressure was
not the equivalent of torture.
To see more clearly the shoals upon which the "torture warrant"
flounders, consider this. There is no doubt that despite official
efforts to eradicate it, police brutality is practiced in many US
jurisdictions and probably always will be. Some police officers will
claim, in their more candid moments, that the use of excessive force is
often the only way to protect the lives of officers and the general
public. Why ought the police not be able, therefore, to apply for
"brutality warrants" in specialized cases? Why ought police officers who
believe that a little shaving of the truth on the witness stand is worth
sending a bunch of drug pushers to prison, thus protecting hundreds of
youngsters from a life of drugs and crime, not be able to seek
"'testilying' warrants"? Why ought correctional officers who argue that
allowing dominant male prisoners to rape other prisoners helps preserve
order among thugs and thus protects the lives of guards not be allowed
to seek "warrants to tolerate prisoner rape" in particularly dangerous
situations? The answer in all cases is the same: because the act itself
(brutalizing citizens; committing perjury; facilitating rape) is itself
abhorrent and illegal. Dershowitz's analogy to search warrants fails
because, while a particular search may itself be illegal, the act of
searching is not ipso facto unethical or a crime. For a society
to start providing its imprimatur to criminal acts because they are
common or may appear to provide a shortcut to admirable ends is an
invitation to chaos.
But even if torture were a licit activity under some circumstances,
there are very good pragmatic reasons to reject its use. If the ticking
bomb scenario were designed only to establish the abstract moral
calculus that the death of X number of people constitutes a greater evil
than the torture of one, it would certainly be possible to make a
plausible utilitarian argument for torture. The problem is, however,
that the proponents of the ticking bomb scenario want it to serve as the
basis of public policy, and unfortunately reality rarely conforms to
scenarios and life doesn't stop where the scripts do. How strange that
though the ticking bomb scenario has been used for decades to justify
torture, its defenders are unable to cite the details of even one
verifiable case from real life that mirrors its conditions.
Perhaps, upon reflection, that is not so strange. For what the ticking
bomb case asks us to believe is that the authorities know that a bomb
has been planted somewhere; know it is about to go off; know that the
suspect in their custody has the information they need to stop it; know
that the suspect will yield that information accurately in a matter of
minutes if subjected to torture; and know that there is no other way to
obtain it. The scenario asks us to believe, in other words, that the
authorities have all the information that authorities dealing with a
crisis never have.
Even aficionados of ticking bomb torture agree that its use can only be
justified as a last resort applicable to those we know to a moral
certainty are guilty and possess the information we seek. That 45
percent of Americans who reported last October that they approved of
torture were approving of the "torture of known terrorists if they know
details about future terrorist attacks." But how do we know all that?
The reason torture is such a risky proposition is exactly because it is
so difficult to tell ahead of time who is a terrorist and who is not;
who has the information and who does not; who will give the information
accurately and who will deceive; who will respond to torture and who
will endure it as a religious discipline. The fact is that many people
suspected of being terrorists turn out not to be, as our experience
since September 11 has proven so well; that, historically, many of those
subjected to torture are genuinely ignorant of the details the
authorities seek; that the information protracted with torture is
notoriously unreliable; and that torture almost always takes a long
time--days and weeks, not hours and minutes--to produce results. Torture
is of course extraordinarily common. Almost three-fourths of the world's
countries practice it. But not to find ticking bombs. To punish
political opponents. To intimidate their allies. To cow a citizenry. The
ticking bomb scenario in its purest form is a fantasy of "moral" torture
all too easily appropriated by tyrants as an excuse to justify the more
And if the ticking bomb scenario is a fantasy, the Dershowitzian
addition of a "torture warrant" makes it into a chimera. Here is a
situation Dershowitz envisions for the warrant's use:
Had law enforcement officials arrested terrorists boarding one of the
[September 11] airplanes and learned that other planes, then airborne,
were headed toward unknown occupied buildings, there would have been an
understandable incentive to torture those terrorists in order to learn
the identity of the buildings and evacuate them.
This assumes that those law enforcement officials would have had time in
the hour and a half or so between the boarding of the planes and the
impact on their targets to (1) take the suspects into custody; (2)
ascertain with enough certainty to warrant torture that the suspects
were (a) terrorists who (b) had the needed information in their
possession; (3) apply to a judge for a torture warrant and make the case
for one; (4) inflict torture sufficient to retrieve the necessary facts;
(5) evaluate the validity of those facts in order to be assured that no
innocent plane would be identified and blown out of the sky; and (6)
take the steps required to stop or mitigate the terrorist act. Perhaps
after John Ashcroft has been Attorney General another three years, law
enforcement will have learned to cut enough corners of the legal
niceties to accomplish this feat. But at the moment, given the INS, Tom
Ridge, bureaucratic infighting and all, it seems unlikely.
Which leads to the question of whether, if the United States were to
become the first country in the world to adopt "torture warrants," they
would make us safer. That, after all, is presumably the only ultimate
rationale for their use. But here is another place where the traditional
ticking bomb case explodes in the face of reality. For it assumes that
there are no further detrimental consequences once the victims of the
bombing are saved--no retaliatory strikes, for example, by the torture
victim's comrades to pay back the inhumanity done to their brother. It
doesn't take much imagination to see how quickly officially authorized
torture would diminish the credibility of a struggle against terrorism
that is being fought in the name of defending American values and the
rule of law. How many people would need to be tortured before our allies
threw up their hands in disgust and our adversaries started celebrating
their moral victory? How many innocent people would have to be
brutalized before their resentment and that of their friends and family
would spill over into violence? In his book No Equal Justice law
professor David Cole has shown how mistreatment of the innocent by US
police can alienate entire communities and result in increases in crime.
Torture, similarly, is a sure-fire way to manufacture an embittered
opponent of the United States where there was none before. And make no
mistake that innocent people would be tortured, warrant or no, for,
after all, if close to 100 innocent people have been convicted of
capital crimes and sentenced to death in this country despite all the
protection our legal system offers, how much more likely is it that
miscarriages of justice will flow from the pen of a single judge?
Whatever leadership the United States can claim in the world is
intimately linked to our practice of values universally regarded as
fundamental to a civilized people.
So how could a distinguished human rights advocate like Alan Dershowitz
have strayed so far from the mark? Part of it may have to do with the
philosophical basis for rights that he sketches in the beginning of his
book. Wisely rejecting the notions that rights are derived from deity or
natural law and yet unconvinced that positivism alone provides
sufficient heft for rights claims, Dershowitz adopts what he calls the
"experiential-advocacy approach." In effect, he says, we should look to
history to identify prototypical instances of injustice (slavery, for
example) and then, based upon that human experience, construct a set of
rights--free speech, due process--that are most likely to bring about
the type of society in which we would want to live. So far, so good.
Human rights are assuredly derived from human experience.
But what if you disagree with my vision of the good society? The best we
can do, Dershowitz insists, is to try to argue you out of your myopia:
"That is all I can do," he says. "Defend my preference for [certain]
rights.... But I make no claim for these rights beyond my ability to
persuade you to agree with me that history--especially the history of
wrongs--has shown these rights to be important enough to be given a
special status in the hierarchy of preferences. It may surprise you to
learn that for me there is no sharp line...separating rights from
strongly held preferences." It is here that Dershowitz stumbles.
For while rights are, in a sense, preferences, they are also more than
that: They are norms, behavioral norms necessary to create and sustain a
good society. And they become norms not through argument alone but
through its conclusions, through an articulated consensus of the
international community. One of the most astonishing lacunas in the
philosophical section of Shouting Fire is the absence of even one
mention, if the index and my reading are to be believed, of the
Universal Declaration of Human Rights. For while the UDHR did not set
out to be a legally binding treaty (the State Department called it in
1948 "a hortatory statement of aspiration") and hence avoids the limits
of positivism, it does reflect--imperfectly, to be sure, but as well as
possible within the current limits of human endeavor--what St. Augustine
called our "overlapping loves," our common measures of a decent world.
To those who disagree with its vision of that world, we can offer much
more than a shouting contest, much more than any one person's reading of
history or any one nation's perception of its needs. We can offer the
collective wisdom of the human community as hammered out, written down
and, more and more frequently, enforced. And part of that wisdom is that
torture is wrong. Everywhere. In all circumstances. With or without
Alan Dershowitz may not like that. And he is certainly entitled to go on
arguing about it. He is a persuasive fellow and eventually he may even
succeed in helping erode the international prohibitions on torture. That
will be a sad day, no doubt, but how comforting it will be to know at
that point that, thanks to the professor, the needles will be
In this excerpt from his 2002 book, Studs Terkel recalls an encounter with Dennis Kucinich, "the boy-mayor of Cleveland," and follows his political odyssey.
To immerse oneself in Robert Caro's heroic biographies is to come face to face with a shocking but unavoidable realization: Much of what we think we know about money, power and politics is a fairy tale. Our newspapers, magazines, broadcast and cable newscasts are filled with comforting fictions. We embrace them because the truth is too messy, too frightening, simply too much.
In a 1997 speech on the topic, Ben Bradlee attributes our problem to official lying. "Even the very best newspapers have never learned how to handle public figures who lie with a straight face. No editor would dare print.... 'The Watergate break-in involved matters of national security, President Nixon told a national TV audience last night.... That is a lie.'"
But the problem is much larger than Bradlee allows. Caro demonstrates how this colossal structure of deceit clouds the historical record. The unelected Robert Moses exercised a dictatorial power over the lives of millions of New Yorkers for nearly half a century. He uprooted communities and destroyed neighborhoods using privately run but publicly funded entities called "public authorities," whose charters he personally wrote. Before the publication of The Power Broker in 1974 (1,246 pages, after having been cut by 40 percent to fit into a single volume), no book or major magazine article existed on the topic. Caro's obsessive exhumation of Moses's career transformed our understanding of the mechanics of urban politics. And yet even today the media proceed as if it's simply a matter of campaigns, elections and legislation.
The true face of our money-driven political system is buried so far beneath the surface of our public discourse that almost nobody has any incentive to uncover it. With a meager $2,500 advance to sustain him, Caro sold his house and nearly bankrupted his family; his wife, Ina--a medieval historian--went to work as his full-time researcher. When I asked why he did it, he got a little choked up about the sacrifice of Ina's career and how much she had loved their old house. Finally he said he had no idea. The Caros' combination of intellectual independence and professional dedication inspires comparisons with another great marital partnership: that of the late, great Izzy and Esther Stone. (Can anyone imagine what Izzy would have come up with if he had committed virtually his entire career to smoking out the truth about just two powerful men?)
Caro's new book, Master of the Senate, volume three of The Years of Lyndon Johnson, forces us not only to rewrite our national political history but to rethink it as well. What Caro is doing here is something we rarely see attempted in any medium: His aim, as he once explained to Kurt Vonnegut, "is to show not only how power works but the effect of power on those without power. How political power affects all our lives, every single day in ways we never think about."
Caro's been burrowing beneath the shadows of the substance of our politics for more than twenty-eight years, and what he finds is both fascinating and surprising. In many ways Johnson's personality--so outsized and contradictory as to be cognitively uncontainable--gets in the way of this compulsively readable story, which is about how power is exercised in this country.
Lyndon Johnson did not invent the form of legislative power he exercised through the Senate in the 1950s, but Caro has almost had to invent a new history to describe it. People have told pieces of it here and there, but who's got the time, the motivation or the patience to really nail down not only what happened but what it meant to the nation? Here's a tiny example, of which this new book has almost one a page. Listen to longtime Senate staffer Howard Shuman: "William S. White, [whom Caro terms the Senate's "most prominent chronicler"] wrote that the way to get into the Club was to be courteous and courtly. Well, that's nonsense." Johnson mocked and humiliated liberal New York Senator Herbert Lehman at every opportunity: "It didn't have anything to do with courtly. It had to do with how you voted--with whether or not you voted as Lyndon Johnson wanted you to vote." Neil MacNeil, veteran Time correspondent adds, "The Senate was run by courtesy, all right--like a longshoreman's union."
Now don't go looking in old Time magazines for any hint of this. Caro spends more than 300 of his 1,167 pages on the incredible story of Johnson's navigation of the 1957 Civil Rights Act through Congress, something that hardly anyone thought possible until he pulled it off. With the singular exception of Tom Wicker, then a green (and largely ignored) young reporter for the Winston-Salem Journal, no one covering the story had an inkling of how it happened.
One indisputable conclusion that Caro offers is pretty tough to swallow. The advances in civil rights legislation that helped end centuries of legal apartheid in this country could never have occurred had they not been planned and executed by a man who turns out to have been a thoroughgoing racist. Caro was much criticized for downplaying Johnson's 1948 support for Truman, considering the fact that his lionized opponent, Coke Stevenson, stood with the racist Strom Thurmond Dixiecrat campaign. But Johnson, it turns out, attacked Truman's civil rights policies no less virulently. He gave a campaign speech in May 1948 in which he compared civil rights legislation to the creation of "a police state in the guise of liberty." Caro found the speech in a White House file with the following admonition stapled on top. "DO NOT RELEASE THIS SPEECH-speech--not even to staff...this is not EVER TO BE RELEASED." Thanks to Caro, this story, and with it a big chunk of our history, has been released as well.
Addendum: George W. Bush's Executive Order 13233, which effectively eviscerates the Presidential Records Act of 1978 by fiat, is designed to insure that no historian can ever provide this kind of public service again. Twenty Democrats and three Republicans are co-sponsors of a bill to restore it. Write your representatives and tell them to get on board.
The buildings' wounds are what I can't forget;
though nothing could absorb my sense of loss,
I stared into their blackness, what was not
supposed to be there, billowing of soot
and ragged maw of splintered steel, glass.
The buildings' wounds are what I can't forget,
the people dropping past them, fleeting spots
approaching death as if concerned with grace.
I stared into the blackness, what was not
inhuman, since by men's hands they were wrought;
reflected on the TV's screen, my face
upon the building's wounds. I can't forget
this rage, I don't know what to do with it--
it's in my nightmares, towers, plumes of dust,
a staring in the blackness. What was not
conceivable is now our every thought:
We fear the enemy is all of us.
The buildings' wounds are what I can't forget.
I stared into their blackness, what was not.
Late in the evening in back-road America you tend to pick the motels with a few cars parked in front of the rooms. There's nothing less appealing than an empty courtyard, with maybe Jeffrey Dahmer or Norman Bates waiting to greet you in the reception office. The all-night clerk at the Lincoln motel (three cars out front) in Austin, Nevada, who checked me in around 11:30 pm last week told me she was 81, and putting in two part-time jobs, the other at the library, to help her pay her heating bills since she couldn't make it on her Social Security.
She imparted this info without self-pity as she took my $29.50, saying that business in Austin last fall had been brisk and that the fifty-seven motel beds available in the old mining town had been filled by crews laying fiber optic cable along the side of the road, which in the case of Austin meant putting it twenty feet under the graveyard that skirts the road just west of town.
Earlier that day, driving from Utah through the Great Basin along US 50, famed as "the loneliest road," I'd seen these cables, blue and green and maybe two inches in diameter, sticking out of the ground on the outskirts of Ely, as if despairing at the prospect of the Great Salt Lake desert stretching ahead.
So we can run fiber optic cable through the Western deserts but not put enough money in the hands of 81-year-olds so they don't have to pull all-night shifts clerking in motels. What else is new?
People who drive or lecture their way through the American interior usually notice the same thing, which is that you can have rational conversations with people about the Middle East, about George W. Bush and other topics certain to arouse unreasoning passion among sophisticates on either coast. Robert Fisk describes exactly this experience in a recent piece for The Independent, for which he works as a renowned reporter and commentator on mostly Middle Eastern affairs.
Fisk claims on the basis of a sympathetic hearing for his analysis--unsparing of Sharon's current rampages--on campuses in Iowa and elsewhere in the Midwest that things are now changing in Middle America. After twenty-five years of zigzagging my way across the states I can't say I agree. It's always been like that, and even though polls purport to establish that a high percentage of all Middle Americans claim to have had personal exchanges with Jesus and reckon George W. to be the reincarnation of Abe Lincoln, the reality is otherwise. Twenty years ago Fisk would have met with lucid views in Iowa on the Palestinian question, plus objective assessments of the man billed at that time as Lincoln's reincarnation, Ronald Reagan.
Some attitudes do change. White people are more afraid of cops than they used to be. A good old boy in South Carolina I've bought classic cars from for a quarter of a century was a proud special constable back in the early eighties. These days if a police cruiser passes him on the highway, he'll turn off at the next intersection and take another road. Reason: A few years ago a couple of state cops stopped him late at night, frisked him, accused him of being drunk. This profoundly religious Baptist told them truthfully he'd never consumed alcohol in his life. Then they said he must be a drug dealer. He reckons the only reason they didn't plant some cocaine in his car was that he told them to check him out with the local police chief, an old friend.
I know from the stats that a lot of Americans are poor, so how come I'm often the only fellow on the road, or in town, in an old car aside from some of the Mexican fieldworkers in California for whom such cars are home? Most everyone seems to be in a late-model pickup or at least a nice new Honda Civic. I know, I know. The poor are out there, lots of them, but the whole place just doesn't seem to feel as poor as it often did in the early eighties recession. Then, day after day you could drive through towns that felt like graveyards, with no prospect of fiber optic cable.
Take Grants on I-40 in New Mexico, west of Albuquerque, which became the nation's self-proclaimed "uranium capital" in the fifties after Paddy Martinez heard descriptions of what uranium ore looked like and led the mining prospectors to the yellow rocks he'd been looking at down the years. The mines closed, and I recall from the early 1980s Grants looking sadly becalmed, with its Uranium Café and souvenir motels from the great days of Route 66. The audio in the Mining Museum still speaks plaintively about radiation's bad rep, despite the fact that in modest amounts it's good for you and there was much more of it around when the world was young.
Well, 66 nostalgia is still strong in Grants, but aside from the Lee Ranch coal mine the juice in Grants's economy now comes in large part from three prisons--one fed, one state and one private.
No wonder people are nervous of cops. There are so many prisons for the cops to send you to. So many roads where a sign suddenly comes into view, advertising correctional facility and warning against hitchhikers. I was driving through Lake Valley in eastern Nevada along US 93, with Mount Wheeler looking to the east. Listening to the radio and Powell's grotesque meanderings I was thinking, Why not just relocate the whole West Bank to this bit of Nevada where the Palestinians could have their state at last, financed by a modest tax on the gambling industry? The spaces are so vast you wouldn't even need a fence. Then reality returned in the form of the usual sign heralding a prison round the next bend.
West along US 50 from Austin I came to Grimes Point, site of fine petroglyphs. A sign informed me that "The act of making a petroglyph was a ritual performed by a group leader. Evidence suggests that there existed a powerful taboo against doodling." The graffiti problem. Some things never change. On the other hand, some things do. Many thousands of years ago those rocks were on the edge of a vast sea, maybe 700 feet deep. The petroglyph ridge was once beachfront property. The world was warmer then, and we're heading that way once more, from natural causes. To leave you on an upbeat note: At least natural radiation is on the wane.
More than the much-reviled products of Big Tobacco, big helpings and Big Food constitute the number-one threat to America's children, especially when the fare is helpings of fats, sugars and salt. Yet the nation so concerned about protecting kids from nefarious images on library computers also
allows its schools to bombard them with food and snack ads on Channel One and to sign exclusive deals with purveyors of habit-forming, tooth-rotting, waist-swelling soft drinks.
Foreigners who arrive in the United States often remark on the national obsessions about food and money. It is perhaps not surprising that a gluttonous mammon would rule the federal regulators of our food chain, but Marion Nestle, professor of nutrition at New York University, confesses that she has heard few of her nutritionist colleagues discuss the cardinal point: "Food companies will make and market any product that sells, regardless of its nutritional value or its effect on health."
Nestle goes on to demonstrate that not only do food companies use traditional corporate checkbook clout with Congress to insure their unfettered right to make money; they also co-opt much of the scientific and nutritional establishment to aid in their efforts. For example, the omnipresent "milk mustache" advertisements often show blacks and Asians--precisely those who are most likely to be lactose-intolerant. But then "science" rides to the rescue: There are a lot more research dollars shunted to those arguing that lactose intolerance is not a problem than there are for those who think otherwise. In fact, the Physicians' Committee for Responsible Medicine sued to annul the federal dietary guidelines, which recommended two to three servings of milk products daily; six of the eleven people on the voting committee had received research grants, lectureships or other support from the food industry.
Here Nestle wobbles a little in her argument, however. She waves the standard of science on behalf of the Food and Drug Administration when it comes to food supplements and herbal medicines, but devalues the "science" as well by revealing the conflicts of interest among researchers and regulators. Science is often up for sale. Researchers go to the food corporations for the same reason that bandits rob banks: That's where the money is, not least since the FDA's own research funding is controlled by Congressional committees in charge of agriculture, whose primary aim is hardly to promote dieting--it is the force-feeding of agribusiness with federal funds. Indeed, Nestle concedes, "USDA officials believe that really encouraging people to follow dietary guidelines would be so expensive and disruptive to the agricultural economy as to create impossible political barriers."
The dietary guidelines Nestle is referring to were monumentalized in the famous "food pyramid" familiar to every primary school student. But the pharaohs finished theirs in less time than it took the FDA to pilot its version past the army of lobbyists who resented the hierarchical implication that some foods were healthier than others. As a whistleblower on the FDA advisory committee that was drawing up the guidelines, Nestle is well qualified to recount the obstacles it faced.
In fact, many people did become more health-conscious as a result of such guidelines, but as Nation readers know, practice does not always match theory. Much of Food Politics reveals how the food industry has seized upon the marketing possibilities of consumers' safety concerns and perverted them by adding supplements to junk foods and then making health claims for the products.
Food is an elemental subject, on a par with sex and religion for the strength of people's beliefs about it. Otherwise rational people have no difficulty believing the impossible during breakfast, where their stomachs are concerned. Big Food relies on that snake-oil factor, the scientific illiteracy of most consumers. For example, marketers are happy with the advice to eat less saturated fat, since most buyers won't recognize it when it's drizzled across their salad. But advice to eat less of anything recognizable stirs up serious political opposition.
Federal dietary guidelines recommending that we "eat less" were thinned down to suggesting that we "avoid too much," which metabolized into "choose a diet low in..." And so on. For example, Nestle relates how in 1977 the National Cattlemen's Association jumped on Bob Dole's compromise wording on reducing red meat in the diet and increasing lean meat consumption: "Decrease is a bad word, Senator," the cattlemen warned him. The cowboys effectively corralled the McGovern committee on dietary guidelines: "Decrease consumption of meat" was fattened into "choose meats, poultry and fish which will reduce saturated fat intake."
Sometimes the more potential for harm, the more it seems likely that a product's positive--or putative--health benefits will be touted. We get vitamin-supplemented Gummi Bears and, what provokes Nestle's justifiable ire most, Froot Loops. This marshmallow blasted "cereal...contains no fruit and no fiber" and "53% of the calories come from added sugar," she inveighs. The perfect breakfast complement to a twenty-ounce bottle of cola that will be downed in school? Such pseudo-foods occupy the very top of the food pyramid, which characterizes them as to be used sparingly, or rather, only use if you have good dental insurance.
As Nestle points out, health warnings on alcohol and tobacco have done little to stop consumers. But picture a tobacco company allowed to sell cigarettes as "healthier" or "with added vitamins." (Indeed, she details a campaign by the alcohol companies to get Congress to allow them to market their products as healthy elixirs until Strom Thurmond's religious principles outweighed his conservatism enough for him to help shoot down the proposal.)
I was mildly surprised that Nestle does not comment on the imprecise use of "serving" information on food packaging. As a longtime student of labels, I find that the unhealthiest foods seem to have incredibly small "servings" compared with what consumers actually eat or drink. For the USDA, one slice of white bread or one ounce of breakfast cereal is a "serving" of grain, and nutritional data such as caloric content are rendered "per serving." A cinema-size actual serving of soda may contain 800 calories in sugar, before you get down to the buttered popcorn, not to mention the Big Mac before or after.
Food marketers are hardly breaking people's arms to persuade them to eat this stuff, of course. It is, after all, a great American principle that you can have your cake, eat it and slim down at the same time. What Nestle calls "techno-foods"--those labeled "healthier," "less fat," "lite," "more fiber"--pander to the health consciousness of a generation that will do anything to lose weight and live longer, except eat less.
The ultimate example of food marketing has to be Olestra, the cooking fat that passes through the gut undigested. Its maker, Proctor & Gamble, has spent up to $500 million on it, and spent twenty-seven years of the FDA's time getting various approvals, while it kept trying to remove the mandated health warning that the product could cause cramping, loose stools and block the absorption of fat-soluble vitamins. P&G should count its blessings. A Center for Science in the Public Interest report says: "Olestra sometimes causes underwear staining. That phenomenon may be caused most commonly by greasy, hard-to-wipe-off fecal matter, but occasionally also from anal leakage (leakage of liquid Olestra through the anal sphincter)."
By 1998 Proctor & Gamble disingenuously claimed that 250 tons, or four railcarfuls, of fat had not been added to American waistlines. No one claimed it had--what the company meant was that was how much Olestra had been used to fry chips. The public expectations were quite high, though; Nestle says that "people also were disappointed that the chips did not help them lose weight." Indeed, she reports that some ended up with more calories from eating Olestra-fried chips than they would have from other kinds, because they consumed a higher volume, convinced that they were calorie-free, though of course they were not.
But given the amount of money involved and the way food-industry/scientific-community connections are structured, "it is virtually impossible for any nutritionist interested in the benefits and risks of Olestra to avoid some sort of financial relationship with P&G unless one systematically refuses all speaking invitations, travel reimbursements, honoraria and meals from outside parties," Nestle observes.
In yet another case of Big Food getting its way, Nestle chronicles how the State Department came to declare that signing the World Health Organization/UNICEF international code on marketing of baby formula would flout the Constitution. "Inasmuch as this explanation strains credulity," Nestle suggests, the real reason was lobbying by US formula companies. The formula makers are fighting a war of attrition against mother's milk, in other words, not just here but internationally.
A more recent case involves the coalition that forced the FDA to allow claims of benefits from untested herbal supplements. I wish Nestle had gone into more detail about the sociology of this mélange of New Age alternative-medicine users, libertarian types and those who mistrust the medical establishment. Groups like Citizens for Health and the Corporate Alliance for Integrative Medicine rallied behind the rapidly growing corporations to ram a suppository up the FDA and its power to control sales of what on occasion have proven to be fatally flawed "alternative" remedies for everything from impotence to Alzheimer's. As she quotes an FDA commissioner, "[We] are literally back at the turn of the century, when snake oil salesmen made claims for their products that could not be substantiated." She reports claims that 12 percent of users of herbal medicines, or about 12 million people, suffer from some kind of adverse effect.
People may feel better when they take supplements, but should health officials use "feelings" as a basis for regulatory measures, she asks? Or should the FDA instead "take the lead in reenergizing a crucial phase of its basic mission to promote honest, rational scientific medicine by vigorously combating its opposite"?
Many people may want to know what "science" is. Is it corporate-sponsored research, or the AMA defending its professional turf with the same vigor with which it has traditionally fought "socialized medicine"? Nestle shows how the American Academy of Pediatrics tried to insure that highly profitable baby formula flowed through its hands and rallied against direct sales to mothers. Was that concern for the "client" or concern for professional prerogatives?
Perhaps Nestle should have been more polemical. The food supplement row raised the question of "whether irreparable damage has been done to the ability of our federal regulatory system to ensure the safety of foods and supplements and to balance public health interests against the economic interests of corporations," she writes. But her own reporting suggests that the barbarians are already inside the gates and forcing their wares on the gullible.
Nestle sees no magic bullet to retrieve the situation. She wants "some federal system to guarantee that all those products on the shelves are safe and effective," and she asks, "Shouldn't there be some regulatory framework to control patently absurd or misleading claims?" To answer that in the affirmative is not necessarily the same as agreeing that the FDA is the best agency, certainly in its present form, nor that the AMA and similar organizations are in the corner of good science. The FDA's record does not inspire confidence, which is one of the reasons the herbalists' revolt was so successful in Congress. Its arrogance often matches its ignorance. While reading this book I went to a small British-owned cholesterol shop in Manhattan (pork pies, etc.). Its owner can't import kippers because the FDA does not recognize them as food. His first shipment of a brand of British Band-Aids was held on suspicion of being a soup, and when that confusion was finally cleared up, the FDA demanded of him a medical-goods import license.
I would like to hear more about how the FDA could be made more responsive and more efficient. It seems that in their present form, the regulatory bodies need some means of democratic oversight to check bureaucracy and to weigh problems of undue influence from the producing industries. Nestle details problems we've come to see elsewhere: the revolving door between civil servants, Congressional staff and industry. She also suggests rules--"a higher and stronger 'firewall'" between regulatory agencies and industry to inhibit the easy career glide from poaching to gamekeeping and back again--and she is entirely correct that the last bodies that should be overlooking FDA funding are the Congressional agriculture committees, which are dedicated to the prosperity of agribusiness.
Otherwise, Nestle's wish list ranges from sensible to Mission Impossible: tighter labeling rules so people can see exactly what they are consuming. A ban on advertising of junk foods in schools, especially candies and soft drinks with high sugar content. Sumptuary taxes on soft drinks as well--sure to be opposed bitterly by the lobbyists. If alcohol and tobacco advertisements cannot be allowed on children's TV, why allow advertising of foods that promote obesity and future health ills on a par with them?
At first glance, Nestle's call for an ethical standard for food choices for nutritionists and the industry seems highly idealistic; but ten years ago, who would have foreseen Philip Morris's berating of state governments for not spending their tobacco settlement money on the pledged anti-child-smoking campaigns? Already, more and more scientific journals are demanding disclosure of conflicts of interest for papers submitted.
Nestle does not touch the subject directly, but who knows, maybe campaign finance reform really will cut indirectly the pork in the political diet and the crap in the school lunches. However, it will be a hard push. Educating the public is a start, and Food Politics is an excellent introduction to how decisions are made in Washington--and their effects on consumers. Let's hope people take more notice of it than they do of the dietary guidelines.
The third-year medical student held the intravenous catheter, poised to insert it into a patient's vein. Suddenly the patient asked, "Have you done this before?" As the student later recounted to me, a long period of silence fell upon the room. Finally, the student's supervising resident, who was also present, said, "Don't worry. If she misses, I'll do it." Apparently satisfied, the patient let the student proceed.
Breaking this type of uncomfortable silence is the goal of Complications: A Surgeon's Notes on an Imperfect Science by Atul Gawande, a surgical resident and a columnist on medicine for The New Yorker. As Gawande's collection of stories reveals, fallibility, mystery and uncertainty pervade modern medicine. Such issues, Gawande believes, should be discussed openly rather than behind the closed doors of hospital conference rooms.
Complications is surely well timed. In 2000, the Institute of Medicine published "To Err Is Human," a highly charged report claiming that as many as 98,000 Americans die annually as a result of medical mistakes. In the wake of this study, research into the problem of medical error has exploded and politicians, including then-President Bill Clinton, have proposed possible solutions. The message was clear: The silence that has too long characterized medical mistakes is no longer acceptable. Yet while Gawande's book provides great insights into the problem of medical error, it also demonstrates how there can be no quick fix.
What may be most remarkable about the recent obsession with medical error is just how old the problem is. For decades, sociologists have conducted studies on hospital wards, perceptively noting the pervasiveness of errors and the strategies of the medical profession for dealing with them. As sociologist Charles Bosk has shown, doctors have largely policed themselves, deciding what transgressions are significant and how those responsible should be reprimanded. Within the profession, then, there is much discussion. Yet the public was rarely told about operations that went wrong or medications that were given in error. Residents joining the medical fraternity quickly learned to keep quiet.
Indeed, when one of those young physicians decided to go public, he used a pseudonym, "Doctor X." In Intern, published in 1965, the author presented a diary of his internship year, replete with overworked residents, arrogant senior physicians and not a few medical errors. In one instance, a surgeon mistakenly tied off a woman's artery instead of her vein, leading to gangrene and eventual amputation of her leg. Doctor X pondered informing the woman about the error, wondering "just exactly where medical ethics come into a picture like this." But his colleagues convinced him to remain quiet.
One whistleblower willing to use his own name and that of his hospital, New York's Bellevue, was William Nolen. In The Making of a Surgeon, published in 1970, surgeons swagger around the hospital, making derisive comments about patients and flirting relentlessly with nurses. (Not the least of reasons for being nice to nurses was the expectation that they would help cover up young doctors' mistakes.) Interestingly, Nolen was subsequently excoriated both by surgeons, who believed he had betrayed the profession's secrets, and by the lay public, who felt he was celebrating the "callousness and prejudice" of surgeons toward vulnerable patients.
Perhaps the peak of this genre of scandalous tell-all accounts occurred in 1978, with the publication of The House of God, written by the pseudonymous Samuel Shem. Although fictional, the book draws on the author's raucous and racy experiences as a medical intern at Boston's Beth Israel Hospital. To Shem, medicine's whole approach to patient care was misguided. The book's hero, the Fat Man, teaches his trainees a vital lesson: "The delivery of medical care is to do as much nothing as possible."
Today it has become more fashionable than rebellious for physicians to describe the trials and tribulations of their training. Dozens of doctors (and some nurses) have published such accounts. Gawande is a prime example of this more mainstream type of physician-author. Even though he describes very disturbing events in his articles for The New Yorker (some of which have been reprinted in Complications), he uses his real name and that of his institution: Boston's Brigham and Women's Hospital.
Gawande, however, has taken the art of physician narrative to a new level. He is a deft writer, telling compelling stories that weave together medical events, his personal feelings and answers to questions that readers are surely pondering. Most important, Gawande paints with a decidedly gray brush. There are few heroes or villains in Complications, just folks doing their jobs. Although some readers, perhaps those who have felt victimized by the medical system, may find Gawande's explanations too exculpatory of doctors, he has documented well the uncertainties and ambiguities that characterize medical practice.
Take, for example, his chapter "When Doctors Make Mistakes." With great flair, Gawande describes a case in which he mistakenly did not call for help when treating a woman severely injured in a car accident. Although Gawande could not successfully place a breathing tube in her lungs, he stubbornly kept trying rather than paging an available senior colleague. Eventually, Gawande clumsily attempted an emergency procedure with which he had little experience, of cutting a hole in her windpipe and attempting to breathe for her. It was only through good fortune that the patient did not die or wind up with brain damage. An anesthesiologist, called in very late in the game, managed to sneak a child-size breathing tube into her windpipe, enabling the patient to obtain adequate oxygen.
With typical candor, Gawande lists the possible reasons that he did the wrong thing: "hubris, inattention, wishful thinking, hesitation, or the uncertainty of the moment." All doctors, he is arguing, experience these very human feelings as they tend to their craft. The fact that lives are at stake may make physicians--as compared with other professionals--even more prone to such emotions.
Gawande also details how the surgery department addressed his error. The case was presented at the weekly morbidity and mortality (M & M) conference, where physicians discuss deaths and other bad outcomes. "The successful M & M presentation," Gawande perceptively notes, "inevitably involves a certain elision of detail and a lot of passive verbs." This clearly occurred during the discussion of Gawande's case, where, remarkably, no one ever asked him why he did not call for help sooner. Rather, his blunder was later addressed through another ritual, a private discussion between Gawande and the senior attendant he had not called. Games with language and secret conversations: These are the reasons Gawande has written his book.
In another chapter, Gawande provides a more provocative explanation for the type of mistake he made. Gaffes, he argues in "Education of a Knife," are part of how surgeons--and other physicians--must learn their craft. (After all, physicians don't perform medicine, they practice it.) In an anecdote resembling that of my third-year student, Gawande describes how he routinely caused complications when learning to place dangerous central-line catheters into the necks of seriously ill patients. Expertise, he explains, does not just happen. Physicians in training must victimize a certain percentage of patients to acquire the skills they will need to become competent doctors. Should we consider these events to be mistakes or business as usual? Deciding how to define a medical error is not the least problem.
In such learning situations, the necessary experience is best attained by keeping quiet. Using the "physician's dodge," patients are told "You need a central line" but not "I am still learning to do this." One ramification of this type of learning, Gawande notes, is the victimization of poor, less educated patients, who are often incapable of questioning doctors. Medicine's inclination to learn on "the humblest of patients" becomes especially apparent with Gawande's candid admission that he himself chose a more senior physician--rather than a more attentive cardiology fellow--to care for his son's heart problem.
Mistakes may be made not only by physicians but by patients. In the chapter "Whose Body Is It, Anyway?" Gawande asks what physicians should do when patients seem to make bad decisions. One especially compelling story, which I often use to teach medical students, involves a man who absolutely refused to go on a breathing machine after experiencing a complication of gall bladder surgery. Although the doctors explained that artificial ventilation would only be temporary and would likely save his life, the patient continued to object.
When the man passed out due to lack of oxygen, Gawande was faced with a devastating quandary. Does he abide by the man's wishes, which is what doctors are supposed to do, or immediately put him on the ventilator? Gawande chose the latter. I love to ask students what they think the man said when, a few days later, Gawande triumphantly took him off the machine. Invariably, half of the students predict that the man said, "Call my lawyer." But the other half, who guess that he said "Thank you," are correct. Gawande had surely averted a mistake in this case, but he was left without clear guideposts for approaching similar cases in the future.
Complications is filled with other stories demonstrating the capriciousness of medicine. For example, Gawande once detected a case of the rare, often fatal infection necrotizing fasciitis (flesh-eating bacteria) because he happened to have seen a case a few weeks before. He ultimately saved the patient's life, not through hard, scientific evidence but through a gut feeling and a willingness to submit a patient to possibly unnecessary surgery. "Medicine's ground state," he concludes, "is uncertainty." Other chapters examine why the medical profession so often hides the mistakes of impairedphysicians, and the questionable use of an operation to help morbidly obese patients lose weight.
In the wake of the Institute of Medicine report, experts have proposed numerous remedies for the problem of error. Most attention has focused on a "systems approach," which would produce a "culture of safety" similar to that of the airline industry. In such a scheme, sophisticated computerized systems would be put in place to detect impending errors, such as wrong medication doses, sloppily written prescriptions and dangerous drug interactions. This emphasis aims to revamp the current approach to medical error, which encourages finger-pointing and malpractice lawsuits.
Gawande's book demonstrates both the advantages and limits of such a systems model. On the one hand, by discouraging the stigmatization of medical mistakes, physicians may be more willing to reveal their own errors and those of their peers. The notion that the case of the obstructed airway could be discussed in an open and nonjudgmental environment, rather than couched in secrecy, is altogether welcome.
On the other hand, there is a reason decades of exposés like Complications have not led to significant change. Defining errors and ascertaining their causes is a tricky business.
So is dealing with the issue of blame. Gawande is willing to admit that he screwed up when he did not call for immediate help for his deteriorating trauma patient. "Good doctoring is all about making the most of the hand you're dealt," he writes, "and I failed to do so." But many physicians remain reluctant to come quite so clean.