Rationing One Way Or Another, Ctd

Kevin Drum defends an explicitly political, rather than market, approach to healthcare rationing:

The fact that these debates are angry and heated is unsurprising, but it's also healthy. These tradeoffs should be explicit and difficult. The big difference here isn't in whether healthcare is rationed, but in how the rationing is done. Patients are rationing themselves in both systems, but a system that rations via taxes is relatively friendly to the poor while a system that rations on price is friendlier to the wealthy. Knowing that, you can take your pick.

I didn't mean to imply that "death panels" – to embrace the term positively – were not democratically accountable. Ultimately, they are. You can listen to raucous debates in the House of Commons about someone's need for an MRI, or the number of nurses in a local hospital, or the choice between a generic and a new drug with uncertain advantages. I guess I'm saying that what Kevin regards as healthy, I regard as an impossible, dismaying and gridlocking politicization of Sophie's choices. It's psychologically and socially easier to let the market take care of much of it above a certain level – because the market feels more neutral and, in America, almost a source of moral authority. So we do not have to decide another's life or death, we can let economics do it.

I know this sounds like a cop-out (and in some ways it is) but a core difference between conservatives and liberals is the way in which conservatives like their world as apolitical as possible (I use the term conservative here to describe classical conservatism, not the strange blend of Randianism and religious fundamentalism that is now gripping the GOP). What has happened with the issue of healthcare is that conservatives have had to accept – painfully – that we cannot quite duck this question entirely through the market any more, because the success of the market, in spawning more and more possibilities in healthcare, has forced us to be more callous than we really want to be and than we really are.

The View From Your Window Contest: Winner #45

Vfyw-contest_4-9

A reader writes:

The scene has a “developing country” look and feel. That, and the mountainous terrain, and the flags (Nepal’s flag has the most unique shape in the world, two triangles one below the other) indicate that this is Nepal. I’ll just go with Kathmandu, the capital.

Another writes:

The first thing I thought of when I saw the picture was the Casbah in Tangier, Morocco. I was just there a few months ago on a trip I took while studying in Madrid. The buildings don’t look quite the same, but I guess they could be from the newer part of the city. We spent most of our time getting lost in the historic city center, getting accosted by people wanting to be our “guide” for a couple hundred dirhams.

Another:

Charlotte Amalie, St. Thomas? That looks like Blackbeard’s castle on top of the hill, and the in need of repair apartment buildings look like many I saw when I visited there a couple of years ago. Every time I see a colorful hillside on what appears to be an island, I will continue to guess St. Thomas, even if I’m always wrong.

Another:

Tbilisi, Georgia? I’ve got Sarajevo and Tel Aviv right, and I only play when I think I’ve been to the location.  Some friends and I climbed up to the tower in the picture, and to the right, out of the frame, ought to be a large cross made from tin panels. It’s the land and tower that I think I recognize, the apartments could be anywhere from Tegulcigulpa to Bucharest.

Of all the Eastern Europe capitols I visited, Tbilisi was the most impoverished seeming. Politically, its government displays flags showing membership in the EU and NATO, yet their actual relationship with those organization seems not as strong as the displays would indicate. Booksellers and painters abound on the sidewalks, and my friend bought a book of poetry written in Georgian. Georgian has its own script which is quite attractive, yet illegible to those of use used to the script with which we write English. The poetry turned out to have been written by Stalin, who remains popular with the old folks scratching out a living on the sidewalks selling trinkets, nuts and poetry.

Another:

I’m racing to finish up my Master’s thesis, so I have no time to hunt on Google Maps or whatever else the savants who win this game week after week do to be so spectacularly accurate with their guesses. However, this looks exactly like Lebanon to me.  Part of me wants to say Batroun or somewhere up north, but i’m going with my gut and saying Beirut. If I’m wrong, I’ll trade you a copy of my soon-to-be finished thesis for a VFYW book.

Another:

Were it not for my girlfriend’s unabashed love for her parents’ native country, Brazil, I would have nothing to submit here. But with the elementary lessons in Brazilian culture and geography I’ve received from her, I can say with about 40 percent certainty that this is Rio. Or possibly Sao Paulo. I think. It is customary to hang laundry to dry in Brazil, so that was one hint. The steep, green hills that tower over the crusty old buildings resemble the outskirts of Rio, perhaps even the favelas. But I can’t identify that beige structure in the back … grrr.

Another:

Well, once again I see you’re chosen a devilishly difficult view this week.

I’m wondering what kind of deal you made with Google to have them scrub all images of the church and tower on the hill.  And you, no doubt, selected a community that does not have street view available, which really didn’t matter since I couldn’t find the church, or tower, or iglesia, or torre, or fort or …

The pink blouse, or is it long johns, hanging from the clothesline was perhaps a clue of where not to look rather than where to look.  The orange satellite dishes excited me though,and seemed to be a solid clue.  I believed they were from the company Televes.  If so, according to their website, that narrowed my search to Spain, Italy, France, the UK, Poland, Portugal, Germany, and Russia.  From that small bit of geography, I’m tempted to say the shot was taken somewhere in Spain.

However, there has been a sighting of an orange dish in the previous view from Dasmascus and for that reason alone, since I have nothing better, I’m guessing the Middle East somewhere.  Slightly more specifically, somewhere along your route as you slouch toward Bethlehem:

VFYW 4-9-11 (Slouching)

Another:

This one proved difficult, as usual, until I saw a sign on one of the apartments, saying “Vende” – “For sale” in Spanish. That obviously limited my option to Spanish-speaking countries, but that could have been anywhere. However, the other interesting clue was the orange satellite dish. After many many attempts on Google, I found a Spanish company, called Televes, which has exactly those dishes (a picture can be found in this link).

So, looking at the location of this company I found they are in Santiago de Compostela, La Coruña España, so that is my guess. Though I tried to find the amazing church/fortress up the hill in images from that area, I couldn’t find any that looked just like it. But I’m definitely sure another reader will …

Another:

Spain.  This has to be Spain.  My wife and I just took a train from Seville to Granada and those apartment buildings in the lower right-hand corner of the photo with the light orange/tan exteriors and white and red trim are a dead give-away regarding these parts.  Unfortunately, I also saw that paint scheme outside of Barcelona, so I can’t give a definite city with much confidence.  But I’m going with Granada because of the desert like hills in the background.

‘Tis Spain. Specifically:

Cullera, Spain. The landscape is unmistakably Mediterranean. And the “VENDE” sign is the Spanish equivalent for “FOR SALE,” so it’s most likely Spain. Since I’m not very familiar with Spain, I used the “terrain” view in Google Maps to look around Valencia since it faces the Mediterranean due east. The coastline is mostly flat in the area except for in one spot as you work your way south, in Cullera. The site of the town and the hill overlooking it looked like a match. Turning on the “photos” feature confirmed it.

With the help of Street View, I was able to get the general area of where the picture was taken. The attached screen cap of the Street View shows the apartment building with green accents in the VFYW photo, with the yellow building beyond:

Cullera

If I had to guess, I would say it’s taken from the building directly above the word “castellana” (lighter-colored roof). I’m being as specific as possible because I’ve barely lost a couple of these before by being less-specific!

Three other readers correctly guessed Cullera. One writes:

Thanks for so many clues! It’s embarrassing that I’ve never been able to map a US picture, but it may be more fun to armchair travel to other places. Lots of googling to narrow it down to the alley parallel to Calle Miguel Hernandez, just east. The cross street is Calle Caminas del Homens. I think the building that the picture was taken from was still being built when Google maps went through, so I’m sending a picture of the construction site and the building to be put there. You can see the hole where the building is being built and across the street the the green and pink building as well as the yellow one:

Blockpicture taken from copy

Another:

My guess is that the picture was taken from a window looking to the inside yard at the eight or ninth floor of either number 13 or number 15, at Calle Caminàs dels Homens, in Cullera, Valencia, Spain. The window looks north but the picture was taken towards the west, upwards to the Santuario de la Virgen del Castillo, a church built beside a XIIIth Century Castle.

I do not have any particular story about Cullera, where I have never been, so I will only tell you about my search, which was quite easy because the buildings in the picture have a very strong Spanish feeling to them. Combined with the vegetation in the hill, this was cryng out “Spanish Mediterranean”. So it took me only a couple of minutes to type (in 800px-Santuario_de_la_Mare_de_Deu_d'Agres Spanish) “church fortress Spanish Mediterranean” in Google Images, and there it was, fifth result: the Virgen del Castillo Sanctuary in Cullera, Valencia.

It was much more difficult to find the exact place where it was taken from. The tower below the church gave a good reference point to calculate the area, to the SE from the church, with a similar view of the hill. But I was fooled by the balcony with a sign of “Se vende”, which made me think that those balconies belonged to a façade over a street. They had to be on the west side of a north-south street, lookin to the east. I could not find anything like that in Google Street View, until after a long while I finally discovered the building, looking the wrong way, to the West. Then a little “walk” to the East allowed me to see that interior façade (towards the yard) looked like the one to the street. So this must be it.

When I saw “Pensión Castellana” in number 13 I imagined some young American with a tight budget spending some days there, but I think the Pensión only occupies the first and second floor of the building, so it must not be there.

Anyway, I hope I am right.

One more:

VFYW April 9

I think I was lucky to find the castle/church on a quick Google search (that it might be Spain was a guess). The exact window, however, is a lot more difficult … I make this as somewhere on the Avenida Veinticinco de Abril, around about no. 101. The water tank or whatnot partway down the slope lines up with our window, wherever it is, so I’ve drawn a line through that; it strikes a series of buildings on the Avenida. The viewpoint also seems to take in the buildings on the right, and those buildings in the foreground, which gives me some pause about my exact placement. I’m sure with better satellite pictures I could get closer, but I think I’m pretty close.

This is the third one I think I’ve cracked, though unlike the two previous (Paris, Barcelona), I don’t have an exact window. I’m also beginning to worry that I can only get Western European answers. I should get those, studying European History in the UK, but the many from other parts of the world that I can’t get close to has made clear to me how little I know about the rest of the world. The Dish, providing yet another form of perspective!

Of those four correct guessers, two have correctly guessed a difficult window view in the past without winning (the other two will now be added to that short-list).  However, we have yet to hear back from the reader who submitted the photo, so we don’t have a precise location in Cullera with which to determine the winner this week. As soon as we hear back, we will send him or her the prize.

See everyone else on Saturday for the next contest!

Update from the submitter of the photo:

The address is 15 Avenida Caminas del Homens, out my kitchen window on the tenth floor (one of the first things I see).  The second-to-last emailer you posted had it closest, though the dude who guessed that it was Bethlehem, but taken at the Sphinx, made me snort my coffee.  Dish readers really are an amazing lot.

One such reader wrote after the results were posted:

I just thought I’d point out that aside from the VENDE sign and the presence of the orange satellite dishes, there is another revealing clue (or should I say clues) in this picture. That would be the angle of the satellite dishes. Since TV satellites are necessarily in geosynchronous orbits, and these orbits are also equatorial, satellite dishes always have to point toward to equator. From this you can easily deduce that this picture was taken facing WNW. Since the slopes of the distant mountain are vegetated and cut by an ancient stream (or creek), it would not be hard to deduce that said stream or creek would be flowing east toward the sea (which would be the case in Mediterranean Spain). Taken together these clues could rapidly narrow down a search for the exact location and orientation of the window, in addition to the time of day the photo was taken.

(Archive)

Married Without Children, Ctd

A reader writes:

My husband and I are childless by choice. What struck me about your post was the quote that childless-by-choice couples have certain personality traits of being introspective, who think before they act. It never occurred to me that this is maybe another influence on my choice. 

My reasons for not having kids are many, some of which are ideology-based; I believe in slowing down global population growth, and I also believe that if I wanted a kid there are lots of unwanted ones already on the planet who need parents. But the real reasons – and I think this is true for couples who want children – are emotional and experiential. Ever since I was a little girl, I didn't want kids. I just didn't. I didn't have the happiest childhood and became aware in my early 20s that I didn't want to perpetuate the dysfunctionality that I grew up with.

I have child-free friends who feel the same way, but I also have friends who had kids because they had a shitty upbringing and were determined to raise kids who would be happier than they were growing up.

As a woman, there is a pretty strong assumption that you want kids. When my husband and I started dating, he was 10 years younger than me, and I was in my supposed "ticking biological clock'"phase of mid-thirties. So I initiated a pretty uncomfortable conversation rather early on in our relationship to hash out the whole kids thing.

All that said, one of my most satisfying and amazing experiences as an adult is that of Auntie. We have five nieces between us, and we are the "fun" Auntie and Uncle, and we treasure all of the perks that this entails. You get to feel the attachment and the love from amazing tiny humans, plan fun things with them, let them eat junk food, and yes, give them back. 

I've always been a huge fan of Auntie Mame, and though we may never live in a NYC penthouse with parties and bathtub gin, as a girl I knew that Mame was my kind of lady.

Me too. It's great to be the uncle with the American accent whose name is printed in the Sunday paper. One of my nephews and my niece have come and visited me and Aaron in Ptown. I love the fact that, aside from a trip to Boston, Provincetown is what they think of as America. If they had been my own kids, that kind of magic – and illusion – would not be possible. They'd know me too well.

Which is not to say that their relationship with their parents isn't infinitely deeper. Just that there is a place in the world for the childless – and uncling and aunting is one of its perks.

“A Second Coming Of Perot”?

Donald Trump is threatening to run as an independent if he doesn't win the GOP nomination. Ed Morrissey covers his eyes:

Trump has the money (at least for now) to mount a vanity campaign as a third-party alternative to the two major-party nominees.  This would end up splitting the anti-Obama vote and set the President up for an easy re-election through a popular-vote plurality that would translate into an overwhelming Electoral College majority.  Liberals are not going to flock to Trump’s side for any reason, which means whatever Trump draws will come directly from those who were already inclined to vote against Obama.  It would be a nightmare scenario for Republicans in this cycle, a sort of Charlie Crist on steroids and junk bonds but with a viable Democratic opponent in the mix.

Growing Up Objectivist, Ctd

It's time for a qualified defense of Rand. A reader writes:

Ayn Rand was Russian.  Her family lost everything in the revolution.  She was well aware of what happened under forced collectivism.  So I think that those experiences freaked her out a bit.  She was a very determined, confident woman who probably wasn't nearly as bright or well educated as she believed herself to be.  But I think she came by her nutty opinions honestly.

That's right; and why, like many popular but misguided thinkers, she endures. I grew up in a culture where socialistic values were endemic. Personal achievements, success, wealth … were all regarded by the ruling elites – socialist, liberal and high Tory – as vulgar or products of luck or things to be quietly ashamed of or embarrassed by. Rand is a kind of gut-level response to this, an assertion that some people are actually better at some things than others, and need not feel ashamed or guilty when their own abilities and talents are rewarded. There is a little Rand in my referring to the income-rich as the "successful" rather than as the wealthy – because I don't hold that personal achievement is morally suspect.

It is a form of injustice to deny individuals this success, or to denigrate and disdain it. But for me, the drop shadow to this truth is Christianity. And so I see no reason why someone should feel guilty for being talented or hard-working, but still believe that this kind of success is not the highest value. I do not mistake material worth for moral achievement. And it is that philosophical move – to give worldly success and achievement ultimate moral standing – that leads Rand astray.

Which is why, of course, Rand held religion and Christianity in such contempt. Which is why the current Republican coalition – between self-described Christians and Randian objectivists – is so inherently unstable and incoherent. It seems clear to me that objectivism got the better of the deal. You had to transform Christianity into Christianism or American exceptionalism to make sense of this fusionism at all.

Another reader defends Rand:

It really bothers me when people call Objectivism a cult (or compare it to Scientology), or disparage its ideas on the simple basis of its most ardent practitioners, as if every other system of thought is devoid of the same.  That Muslims are separated from Islamists, Christians from Christianists, as a means of justifying the more moderate (and sensible) practitioners' sense of faith and grounding in reality, while all Objectivists are lumped together as emotionally stunted, seems to me rather unfair. For example, this quote from one of your links strikes me as particularly idiotic:

Our objectivist education, however, was not confined to lectures and books. One time, at dinner, I complained that my brother was hogging all the food. “He’s being selfish!” I whined to my father. “Being selfish is a good thing,” he said. “To be selfless is to deny one’s self. To be selfish is to embrace the self, and accept your wants and needs.

This is idiotic not only on the part of the father, but of the author for citing it.  In Objectivism, all things are earned through one's work.  We get no sense that either the daughter or son earned any part of that meal, so what the father is teaching is that his son is being rightfully selfish for hoarding unearned goods, which is exactly the opposite of Objectivism. 

These are the Islamists of Objectivism, who cling most dearly to their "faith" while understanding the heart of it the least, and who are unfortunately cited the most.

Being Honest With Your Doctor

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Maggie Koerth-Baker highlights a rarely discussed benefit of marijuana legalization:

Cases of marijuana allergy are rare in the medical literature, but a recent study suggests that they're a lot more common in real life. Reactions range from the annoying (runny noses) to dangerous (anaphylactic shock), but if patients and doctors can't speak freely to one another then patients miss out on treatment and medicine loses valuable information.

I see marijuana legalization as a core matter of human freedom, but it's definitely a plus to be able to have scientists, doctors, and patients honestly and without fear figure out how best to use the plant for various medical needs. When something is hidden and suppressed, it's impossible to know its true costs and benefits. And there are obviously some costs for some. Right now, we can't address them. Some day soon, we will.

(Photo by Flickr user themadpothead)

Can Obama Balance The Budget?

Keith Hennessey isn't sure. Jon Cohn gulps. Pete Davis weighs the risks:

Normally, presidents don't take on such risks going into a tough reelection fight .  Even if Mr. Obama is secure, there are plenty of Senate Democrats who fear losing their seats and their majority to the Republicans next year.  The last thing vulnerable Senate Democrats want to do is to cut Medicare benefits, or cut defense, or raise taxes. … I can assure you that raising the debt limit is going to be a lot harder than keeping the government from shutting down. Pushing big deficit reduction now is very risky politically, but if this effort gets traction, the market will like it a lot.

This in many ways is what Obama was made for. And by refusing to take the bait to demagogue the issue, he has more support in the center from which to negotiate.

Is Palin Done?

SARAH-PALIN-UNIVERSAL-NIGHTMARE

Steve Kornacki thinks conservative elites have caused Palin's polling decline:

Conservative voters, it seems, began to get the message: It was OK to like Palin and to believe she was a victim of the left and its allies and to still conclude that she wasn't presidential material. By the end of December, polls began registering a marked uptick in Palin's unfavorable scores, even among Republicans.

I really don't think that's the real cause, although it would flatter many in Washington to think so. My own view is that the reality show did real damage. It put Palin in a different context than politics, and revealed her phoniness in ways even she couldn't spin. Weigel sees how that led up to the coup de grace:

When does the unfavorable number spike? Right after January 8, 2011 — the day Jared Loughner went on his shooting spree. Palin was unfairly dragged into that story because Rep. Gabrielle Giffords, shot by Loughner, was on Palin's "target map." (There's no evidence that Loughner cared about this.) But she made the story worse for her by recording a video, right when interest in the Palin/political rhetoric was starting to wane, attacking the media for the "blood libel" it had engaged in. That may have been it for Palin.

I still think her raw political talent shouldn't be under-estimated given the truly underwhelming character of the current GOP race. But on this question, I truly would love to be proven wrong. My entire issue with Palin from the get-go has not been that she is somehow nuttier than many others (though she is). It is that no one that nuts should ever be able to get so close to such power at such short notice. Mercifully, we escaped that. But it was touch-and-go there for a while.

(The "definitely real" screenshot via HuffPo)