Questioning The Pill

Lauren O’Neal pans Holly Grigg-Spall’s forthcoming book, Sweetening the Pill: Or How We Got Hooked on Hormonal Birth Control, which insists that the pill is a tool of oppression that separates women from their natural state:

[Grigg-Spall’s] ideal birth-control method … is a secular update to the rhythm method, and we get pages of detail about taking temperatures, checking cervical mucus, observing cervical position, and charting this information every day. Honestly, this all sounds like a wonderful way to avoid pregnancy for women who have the time and inclination and who don’t experience certain menstrual, uterine, and ovarian disorders. For most people, though, it’s impractical. … [T]he book presents birth control as a simple issue. The only criterion a woman need involve in her decision is whether or not a given method is natural and therefore healthy. The demands a job and children make on her time are not factors. Rape, abuse, and coercion are not factors. There is only natural and unnatural.

Marcotte also criticizes the book’s focus on “naturalness”:

Grigg-Spall presents the rhythm method as more natural than the birth control pill, but it can easily be argued that the behavior of monitoring cervical mucus and using technologies like calendars and thermometers is also “unnatural”. Indeed, one of the more irritating problems with the naturalistic fallacy is the tendency to assume that technologies become more “natural” with time, but there was a time before humans were using calendars and the thermometers and clocks used to chart your menstrual cycle are even newer inventions. This tendency to think that technology x time = natural shows how intellectually vapid the entire argument from nature really is. Bizarrely, nothing is more natural than developing new technologies to make our lives easier, in the sense of “natural” meaning “inherent to humanity” or “hardwired”.

Kelly Bourdet’s bottom line on the book:

Sweetening the Pill will appeal to many people who believe in the power of collective menstruation, the rightness of our connection to moon phases, and the oppression of patriarchal capitalism. But it’s not going to convince many women who feel they “need” birth control to switch to other methods.

But Bourdet also highlights some constructive parts of Sweetening the Pill and the troubling aspects of hormonal contraception featured in the book:

The alteration of testosterone [by the pill] factors into women’s choice of sexual partners and mates. A study from last year revealed that women on hormonal birth control—which suppresses naturally occurring testosterone—were attracted to men with lower testosterone levels (usually the opposite is true). However when women go off of the pill, and their testosterone levels increase, their attraction to their partners decreased. This is a powerful, life-altering side effect to be sure. And it’s fair to wonder whether a drug that could alter our choice in long-term partners is too powerful for comfort. …

In a constructive suggestion on how women unhappy on their birth control can still control their fertility, Grigg-Spall quotes from Heather Corinna’s article, “Love the Glove”:

If we’re going to talk about condoms changing how sex feels, we need to remember that something like the pill does too, and unlike condoms, it changes how a woman feels all the time, both during and outside of sex. Condoms are the least intrusive and demanding of all methods of contraception.

Though less effective (given perfect adherence and use) than birth control, the essay brings up an excellent point. We frame access to hormonal contraception as a hard won right for women—and it is—but neglect to represent the idea that it has its consequences. The idea that condoms muffle sexual sensation in a burdensome way for men, and thus hormonal solutions are “better,” is an extension of a worldview that women are solely responsible for both providing sexual pleasure and for controlling their own fertility. While some women don’t experience uncomfortable side effects when taking the pill, some do, and it’s important to consider men equally capable in taking steps to prevent pregnancy.

From Amnesia To Armageddon

People underestimate the risk of catastrophic events when they can’t think of any recent ones:

Take the possibility of a major impact by an asteroid or other near-Earth object. The last impact that did serious damage was the Tunguska event over central Russia in 1908 (though there was no actual impact with the surface of the Earth—an asteroid or comet roughly 300 feet across apparently exploded in the air). Small wonder, then, that “20 years ago the near-Earth-object field practically didn’t exist,” says Don Yeomans, who heads NASA’s near-Earth-object program. … Back then, “we had ‘the giggle factor’ when it was mentioned that these objects could be dangerous and could be looked for,” Yeomans says. “People would laugh and say, ‘Yeah, when was the last time?’ Simply because we didn’t see them, they didn’t take the threat as seriously as we have come to.”

But in 1993, astronomers Carolyn and Gene Shoemaker and David Levy spotted a comet (now called Shoemaker-Levy 9) on a collision course with Jupiter.

Millions saw the incredible video of the massive explosions. There were 21 separate impacts, the largest of which was 600 times more powerful than the entire world’s nuclear weapons arsenal. The crater it left was 7,500 miles across, almost big enough to reach from the North Pole to Rio de Janeiro. A single impact like that would have wiped out life on Earth. The movies Armageddon and Deep Impact followed in the next few years, along with a couple of ultimately false alerts from the astronomy community about possible near-Earth objects headed our way that got huge press coverage. In the past 10 years, funding for NASA’s work to spot objects that might collide with Earth has gone from practically nothing to more than $20 million a year, and we’ve located more than 90 percent of the big ones that could do serious damage.

When Do Sit-Ins Succeed?

Erica Chenoweth predicted that the pro-Morsi encampments would fail. What successful protest movements look like:

One of the most dangerous misconceptions about civil resistance is that several weeks of street demonstrations or sit-ins can bring about major systemic change. On the contrary, the average civil resistance campaign takes nearly three years to run its course. Although three years might sound like an eternity, the average violent campaign takes three times longer and is twice as likely to end in failure. History shows that civil resistance campaigns tend to succeed when they build the quantity and quality of participants, select tactics that provoke loyalty shifts among ruling elites, prepare enough to maintain nonviolent discipline, and skillfully change course under fire to minimize the damage to participants. All of this takes time, organization, preparation, and a good deal of strategic imagination.

(Hat tip: Joshua Tucker)

Ask Kate Bolick Anything: Marriage Envy?

In today’s video, Kate explains what effect being a proponent of singlehood has had on her dating life, as well as what she envies about the lives of her married friends and family:

Kate is currently working on her first book, Among the Suitors: On Being a Woman, Alone, to be published next year by Crown/Random House. She is also a contributing editor for The Atlantic and writes regularly for ElleThe New York TimesThe Wall Street Journal, and Slate. Her 2011 Atlantic cover story, “All the Single Ladies”, addressed why more and more women are choosing, as she has, not to get married. The Dish debated the piece here and here. A reader responds to the first AA video we aired of Kate:

In my experience, Bolick is completely wrong.  The idea that friends will fill in the gaps where a spouse or family used to be is nonsense.

Outside of spouses and children, who are most likely to feel a bond and an obligation, there are very, very few relationships that oblige someone to go through the sorrow and exhaustion of caregiving that often goes on for years, with no end in sight.  And if Kate believes that home healthcare workers and aides work well without constant family supervision, then she’s clearly got no experience related to this topic. Anyone who has put a loved one in a home or been their healthcare proxy while in the hospital knows damn well the system doesn’t work well when no one is watching out for the patient besides those in the system.  It requires constant strategizing and supervision.

The caregiving that is needed isn’t anywhere on its way to materializing for the single people among us. I just went through the wringer as the primary caregiver for my sister who passed away in April. She was 50 and unmarried. If not for me, there would have been no one to look after her and she would have been warehoused in a nursing home until she passed away. Maybe she would have gotten the same level of care without someone looking out for her (which I do doubt), but who would have held her hand and sat by her side?

I am also not married, but I’m terrified about what will happen to me later in life without children to look after me.

An HIV Test For Everyone

Daniel Engber notes that “at least 18 percent of HIV-positive Americans don’t realize they’re infected, and in developing nations, that rate is almost three times higher.” He advocates for near universal testing:

The therapies we have are already good enough to win the war on AIDS, but they can only score that victory if we reach more infected people quickly. To catch cases while they’re still developing, we’ll need a much bigger net—a way to screen for HIV that’s close to universal, and a means of starting treatment right away. It used to be that we needed better drugs. Now we need better diagnoses.

What this could accomplish in the US:

A group at Stanford has figured that screening all Americans for HIV at least one time in their lives (along with yearly tests for those at higher risk of contracting the disease) could prevent 212,000 new infections over the next 20 years. Such a program would not be cheap, of course, but the researchers estimate that it would buy the equivalent of an extra year of healthy living for every $25,000 spent. That rate of return matches up with those achieved from screening for breast cancer or type 2 diabetes.

Dissents Of The Day, Ctd

The first dissenter follows up:

Thank you for publishing my email. I just wanted to clarify a couple things. First, my point was not that you had argued a discussion of male physiology should be substituted for one of rape culture. Rather, it was that this substitution was a likely rhetorical effect of your response to Bruni. I don’t think that effect was intended. But rape culture is reinforced as much by such Testosterone-3D-stickseffects as it is by explicit arguments.

To take a more obviously egregious example, when someone asks a woman who’s been raped, “Why didn’t you fight back?”, the intention of the question could be a whole range of things – curiosity, trying to elicit whether the rapist had a weapon or whether she was drugged, etc. But the effect of the question, when asked within a culture that tends to disbelieve and shame women who’ve been raped (unless the rape was committed by the near-mythical stranger in the bushes with a knife), is to dissuade her from reporting or talking about the rape.

Second, I’m increasingly unclear on the grounds of your criticism of Bruni’s op-ed. How is your call for a culture of male virtue fundamentally different from Bruni’s call for a culture of masculinity that’s not centered around the denigration and sexual conquest of women?

Both, unless I’m misunderstanding you, would make it socially unacceptable to treat women as objects for domination and violence and, as a result, would make it much harder for rapists, who rely on a culture that tacitly okays treating women that way, to get away with their crimes. So how, then, does testosterone fit it in to all this? Are you actually suggesting that not making rape jokes or calling out other men who let slip that they try to have sex with women who are too drunk to consent goes against the grain of the male psyche? If so, I suspect a lot of your male readers would take personal offense. If not, why worry about how to make this change in a way that’s compatible with testosterone – especially since scientists still know very little about how testosterone interacts with culture.

Given what a red herring male physiology has been (and often still is) among people who think men just can’t help themselves around a women who is too attractive, too drunk, etc., why not just keep the focus on telling men not to rape – and not to valorize those who do?

First point: As a writer I have long believed that my job is to express what I believe is true, and worrying about how such an argument could affect or be used by others is a very secondary mission. I cannot control what others will do with my arguments; I can only really control my own words. When you see previous controversies – race and IQ, the end of plagues, the differences between men and women, the rights of bigots to free speech – you can see where I’m coming from. I cannot write while looking over my shoulder – and won’t start now.

Second: yes, I wrote that I agreed with much of what Frank proposed. I’m just under no illusion that will “solve” the problem because cultural change can only do so much against the violence associated with testosterone. And I think it will be more successful if it comes at this issue with a positive vision of masculinity rather than an assumption that masculinity is only a social construct, and is itself the problem. The other dissenter also writes back:

I’m writing to thank you for taking my argument seriously, and for addressing it publicly. You rightly call my argument out as a liberal one. Indeed it is. My fundamental problem with the conservatism you admire is that it too often overlooks past injustices in its desire to hold on to (often worthy) older values.

While I still strongly disagree with you, I have great respect for your willingness to be open to critique, and to engage in civil discussion of difficult issues. These virtues render your blog a public asset, particularly at a time when shrieking extremism too often passes for debate. And it’s why I plan to continue reading the Dish for years to come.

I also am grateful for the sharp input and pushback from such intelligent, probing readers. It’s this civil interaction that this blog aspires to – not a final word, but a continuing conversation.

The American Response To Egypt

https://twitter.com/attackerman/status/368022051614773248

https://twitter.com/minafayek/status/368021211823226880

Max Fisher doubts the cancellation of the US-Egyptian military exercises this year will give us any leverage over the junta:

[The Generals] surely understood that they would pay a high price for this violence. If the generals are willing to accept 500-plus civilians deaths and the strong possibility of sectarian violence, maybe even a return to the Islamist insurgencies of the 1990s, then it’s hard to imagine they’ll be fussed by missing out on some military exercises with the United States.

Chotiner comes down hard on Obama’s announcement:

[T]he problem is not that Obama looks weak per se; it’s the policy behind the weakness. He hasn’t tried to use aid as leverage (and still refuses to use the word “coup”), he hasn’t (one assumes) put much pressure on American allies who are backing the Egyptian military, and he hasn’t even attempted to lay out the reasons that military rule in Egypt might, in the long term, play against American interests. One need only look to the Middle East and Pakistan to see how military repression can lead to extremism, and rampant anti-Americanism. It was notable that Obama took time to mention that Morsi’s undemocratic actions undermined his case for rule, but not that the military’s much more violent and undemocratic actions did the same.

Heilbrunn nods:

Obama further tried to console Egyptians by making it clear that the “United States strongly condemns” what is taking place. Big deal. It is Obama’s passivity that deserves condemnation. A forceful move would have been to suspend aid to Egypt’s military. So far, Washington appears to have derived zero leverage from continuing aid. Until Obama acts, Egypt’s military will interpret his inaction as acquiesence to its brutal measures.

Earlier Dish on the cancellation of military exercises here.

It’s Getting Worse

dish_octophant

To recap some of the latest developments. We have watched the possibility of Republican support for immigration reform rise and then dramatically fall, as Tom Edsall explains here in charting the decline in the fortunes of Marco Rubio as soon as he stood up for a path to citizenship. Christianists are seeking to end the ban on tax-exempt churches’ endorsing candidates. The recent Pew report found the following among regular Republican primary voters (in Edsall’s words):

Republicans who say that they always vote in primaries (and whose views consequently carry more weight) are much more in favor of their party’s turning in a more conservative direction. Data provided to the Times by Pew shows that 58 percent of Republicans who always vote in primaries advocate more conservative stands, while 37 percent call for moderation, a 21-point split. Republicans who do not always vote in primaries are more evenly divided, 50-44.

Insofar as support or opposition to immigration reform is a proxy for more or less positive attitudes toward Hispanics, the Pew study shows a decided tilt among Republicans. Thirty-six percent of Republican voters say that the party’s stance toward immigration is not conservative enough, compared with 17 percent who say it is too conservative. Crucially, among Republicans who always vote in primaries, the division shifts further to the right, 41-14.

In North Carolina, the state GOP has launched a brazen attempt to disenfranchise minority voters, acting more like Egypt’s Muslim Brotherhood when they came to power rather than a moderate Western political party. And in Washington, Robert Costa is reporting that the House GOP won’t force a government shutdown this fall but that they will “instead use the debt limit and sequester fights as areas for potential legislative trades.” They are going to hold America’s credit-worthiness hostage again – even though such a debt limit crisis would be far more damaging to the economy than even a shutdown, as Chait notes here. But perhaps damaging the economy is the point. The GOP has to minimize any economic growth that might redound to Obama’s benefit – in order to discredit the policies that have obviously worked for the past five years in favor of policies that have been proven failures elsewhere.

And when you look at presidential prospects, you find most of the GOP energy on the far right. And a strategy to keep it that way by ditching the whole notion of impartial debate moderators in favor of far-right talk-show hosts – Limbaugh, Levin and Hannity, for Pete’s sake – as the arbiter of primary slugfests.

We now have pretty solid evidence that the GOP will respond to Obama’s second term exactly as they did his first: total opposition to everything and anything the president supports, sabotage of the economy, and brutal gerry-mandering and voter suppression to give their white base one last chance at a majority. Actual policies? It’s hard to disagree with Newt Gingrich – and not just on healthcare.

I predicted it would get worse before it got better; what we now learn is that it will get worse before it gets worse before it gets better. And the real beneficiaries of this will likely not be the GOP – but Roger Ailes and Hillary Clinton.

(Image of Alexis Diaz‘s work via Colossal)

Hewitt Award Nominee

“Where will [Obama] get his ‘national police’? The NaPo will be recruited from “young out-of-work urban men” and it will be hailed as a cure for the economic malaise of the inner cities. In other words, Obama will put a thin veneer of training and military structure on urban gangs, and send them out to channel their violence against Obama’s enemies. Instead of doing drive-by shootings in their own neighborhoods, these young thugs will do beatings and murders of people “trying to escape” — people who all seem to be leaders and members of groups that oppose Obama,” – Orson Scott Card, in an “experiment in fictional thinking” that “sure sounds plausible.” Award glossary here.