Author: Andrew Sullivan

A reader quotes a previous one:

You want to get serious about preventing rape? Single-sex dorms, no visitors after ten, doors ajar when there are visitors, room checks by RAs, consumption of alcohol banned, sexual contact beyond first base punished by warning, then formal reprimand, then suspension, then expulsion. Yeah, college will be less fun. But you’ll learn more, and there’s no chance that progressive, sensitive, feminist men will ever rape you in your dorm room.

Rarely has your otherwise insightful, eloquent and attractive readership been so completely full of shit. Have you just not been following the sexual abuse scandals at Pensacola Christian College? Or Bob Jones? Patrick Henry College? And others.

I went to a school like that:

single-sex dorms, no opposite-sex visitors except on specially designated Saturday afternoons (about three a semester, if memory serves), doors ajar during any such visit, no alcohol on campus, no DANCING on campus, PDA reprimanded, and excessive violations expelled.

(On a side note, the expulsion?  Only applied to girls.  Of course the poor kids coming to my college came from crazy-ass Red State “good Christian families” and had no idea about contraception, so of course pregnancy was a problem, and pregnancy would get you expelled.  This was an abortion incentive, plain and simple.)

But buddy you better believe we had a rape problem, and the expulsion policy that your reader touts was a powerful weapon in the hands of an administration determined to cover it up. If you admit to being assaulted, you get expelled for having sex. That is the ONLY reason we hear of fewer rapes from colleges with this sort of policy – because they’re covered up.

This regressive horseshit does nothing more than to promulgate the notion of sexuality as bad, dirty and something to be hushed up and swept out of sight – in other words, rape culture – and these notions of purity always always ALWAYS play right into the hands of straight-up, old-school misogyny, whereby women are a property belonging to men, either their fathers or their future husbands.  Shockingly, men who are trained to view women in this way are much more likely to rape.

Update from a reader:

Between the “hookup culture is rape culture” line and your reader’s response to “this regressive horseshit,” there is a middle road is screaming for attention. The first reader’s point should be well taken: empower emotionally under-developed people with the idea that they can make rational decisions about sex and have a bingey good time, and you will likely increase incidences of rape. It’s not blaming rape on sexual progress or chemical liberation; it’s acknowledging that with a benefit comes a cost.

Coming from an evangelical background, I have a lot of sympathy for your second reader; the wholesale application of evangelical university life won’t prevent rape (and it comes with a whole lot of other costs). But they miss the point when citing the Pensacola, Bob Jones, and other Christian college rape scandals. Those are scandals about brutal, systematic administrative cover-ups of rape, not sheer quantity or rates of sexual assault. There is no evidence indicating that the rate of sexual assault is higher or lower at sexually regressive Christian schools. Moreover, your reader concedes that they attended “a school like that.” It may be a question of the grass always growing greener, but “hookup culture” (i.e., a sexuality based on instant and emotionless gratification) is not something I would desire to replicate anywhere (okay, maybe at BJU).

Pascal-Emmanuel Gobry sticks up for the American preference for calling it “soccer” rather than “football”:

I’m writing this post as a public service to point out the actual fact, which is that the word “soccer” is basically as old as the sport itself, and has impeccable English bona fides. Here’s the real story, as Wikipedia notes: soccer came into existence at around the same time as other forms of football, in particular rugby football. The sport therefore became referred to as “association football”, to differentiate it from rugby football. With their talent for abbreviation and metonymy, “association football” quickly became “soccer”, from the word “association”.

Call soccer whatever you like. But now you know that the word soccer has impeccable historical and European bona fides, and is not some navel-gazing American invention. It is absolutely proper to call soccer soccer. If anything, calling it “football” is the navel-gazing form, since it ignores other forms of football, whether NFL football or rugby football.

Uri Friedman digs deeper into the history of the term:

If the word “soccer” originated in England, why did it fall into disuse there and become dominant in the States?

To answer that question, [sports economist Stefan] Szymanski counted the frequency with which the words “football” and soccer” appeared in American and British news outlets as far back as 1900. What he found is fascinating: “Soccer” was a recognized term in Britain in the first half of the twentieth century, but it wasn’t widely used until after World War II, when it was in vogue (and interchangeable with “football” and other phrases like “soccer football”) for a couple decades, perhaps because of the influence of American troops stationed in Britain during the war and the allure of American culture in its aftermath. In the 1980s, however, Brits began rejecting the term, as soccer became a more popular sport in the United States.

In recent decades, “The penetration of the game into American culture, measured by the use of the name ‘soccer,’ has led to backlash against the use of the word in Britain, where it was once considered an innocuous alternative to the word ‘football,'” Szymanski explains.

That’s roughly the question at the heart of a new First Amendment case the Supreme Court is taking up in its October term:

The case, Elonis v. United States, which we’ve previously covered in some detail, has reached the nation’s high court on appeal, after the Third Circuit Court of Appeals found that defendant Anthony Elonis’ 2010 Facebook rants mentioning attacks on an elementary school, his estranged wife, and even law enforcement, constituted a “true threat” under First Amendment precedent. As such, the court upheld Elonis’ sentence and conviction. In his petition to the Supreme Court, Elonis’ counsel said the issue boils down to “whether a person can be convicted of the felony ‘speech crime’ of making a threat only if he subjectively intended to threaten another person or whether instead he can be convicted if he negligently misjudges how his words will be construed and a ‘reasonable person’ would deem them a threat.”

For example, in one such Facebook posting, about which Elonis has since argued that he lacked criminal intent, he wrote: “Do you know that it’s illegal for me to say I want to kill my wife? It’s illegal. It’s indirect criminal contempt. It’s one of the only sentences that I’m not allowed to say.”

Lithwick’s take:

This case is not only crucially important in that it will force the court to clarify its own “true threats” doctrine and finally apply it to social media to determine whether—as Justice Stephen Breyer has suggested—the whole world is a crowded theater.

But perhaps it’s even more important in pushing the conversation about law enforcement, prosecution, and threats to include a much more sophisticated understanding of the ways in which the Internet is not just a rally or a letter. As Amanda Hess has explained so powerfully, women experience threats on social media in ways that can have crippling economic and psychological effects. At the margins, this is a case about the line between first amendment performance art, fantasy violence, real threats—and real fear. In a world in which men and women find it nearly impossible to agree on what’s an idle threat and what’s a legitimate one, it’s also a case about where that line lies, or whether there can be one.

Alex Goldman ponders how the Internet has changed the way we interpret threatening speech:

The internet has, in a strange way, diluted the power of the death threat. In more heated, less moderated corners of the internet, death threats are as natural as breathing. While threats against the President tend to be investigated seriously, and depending on the venue, they can land people in disproportionate trouble, death threats have sort of become part of internet parlance. Don’t like the my political views? I’ll kill you. Don’t like my favorite sports team? I’ll kill you. Don’t like the latest DLC for Fallout 3? I’ll kill you. For better or worse, the context of a death threat is often used to gauge how seriously it should be taken.

Senator David Vitter, who is running for governor in Louisiana, is flirting with Obamacare’s Medicaid expansion:

Republicans have found they have a good deal of leverage in using the Medicaid expansion to request state-based reforms, which require a federal waiver, from the expansion-supporting Obama administration. Arkansas pioneered the unique approach with a private option that uses Medicaid dollars to enroll people into private insurance plans through HealthCare.gov. Since then, Michigan, Iowa, Indiana, and New Hampshire have adopted their own reform-pegged expansions.

Whether Vitter actually becomes governor and manages to expand Medicaid is, of course, an open question. But at the very least his current support for a reform-based expansion shows the growing schism among Republicans about whether they should approve the Medicaid expansion

It’s worth noting that Vitter’s support of expansion is conditional:

In an email to The Wire a Vitter spokesperson wrote that any support of the expansion would depend on fixing the program: “The only way Senator Vitter would ever consider any expansion is if it fundamentally reformed the program, did not continue to drain state dollars way from higher ed, and did not provide additional disincentives for able-bodied folks to work, all factors he laid out clearly.”

Still, Igor Volsky sees Vitter’s maneuvering as part of a trend:

Vitter’s comments come as a growing number of Republicans are re-evaluating their opposition to Medicaid expansion. In May, Senate Minority Leader Mitch McConnnell (R-KY) expressed support for growing Medicaid by arguing that the process could be controlled by the state. Indiana Gov. Mike Pence (R), a possible 2016 presidential candidate, has also announced that he would apply for a waiver that would allow Indiana to provide private coverage to its residents using funding secured by the Affordable Care Act. In total, nine Republican governors have backed Medicaid expansion, and the provision is also being embraced by vulnerable Democrats up for re-election, including Louisiana’s Mary Landrieu (D) and North Carolina’s Kay Hagan (D).

Beutler makes similar points:

[Vitter is] no stranger to the scatter-rightward impulse. But he’s also seen Louisiana’s unpopular current governor Bobby Jindal struggle with the absolutist position on Obamacare, and wants to replace Jindal who’s up against a term limit in 2015. So Vitter’s is actually triangulating against the current governor—banking against the possibility that some other hardliner will outmaneuver him. Vitter still boasts of his efforts to repeal Obamacare on his Senate website. But running anti-Medicaid expansion isn’t good politics. Even in Louisiana.

This kind of doublespeak isn’t new. But as Affordable Care Act enrollment inches toward 9 million, skeptical carriers announce that they’ll enter the marketplaces next year, and others announce nominal premium hikes, it’s becoming common in more and more conservative states.

Ryan Jacobs reviews research that suggests kids know how to spot a liar:

Studies have already shown that kids work as incredibly precise detectors of straight-up lies. Outside the realm of bold-faced falsehoods, though, children perform quite brilliantly, too. Subtler and more elegant deceit—the kind where the truth is told but other important elements are shaded or concealed—doesn’t go unnoticed by six-year-olds either, according to a new study published in Cognition. Unbeknownst to their teachers and parents, young kids are apparently equipped with the perceptive powers of seasoned Cold War spies. The new paper suggests that they don’t appreciate when they’re being misled with lies of omission and even adjust their behavior based on a previous record of deceit.

Eliana Dockterman explains how the experiments worked:

Researchers at MIT studied how 42 six and seven-year-olds evaluated information. … [T]he children were separated into two groups: one group got a toy that had four buttons, each of which performed a different function—lights, a windup mechanism, etc.; the other group got a toy that looked the same but only had one button, which activated the windup mechanism.

After the two groups of children had played with their respective toys, the researchers put on a show: a teacher puppet taught a student puppet how to use the toy, but only showed the student puppet the windup function. For the kids playing with the one-button toy, this was all the information; but for the kids playing with the four-button toy, the teacher puppet had left out crucial information. The researchers then asked all the children to rate the teacher puppet in terms of how helpful it was on a scale from 1 to 20. The kids with the multi-functional toy noticed that the puppet hadn’t told them the whole story and gave it a lower score than the children with the single-function toys did.

A bill to reform the department, which passed the Senate in a nearly unanimous vote last week, would allow veterans facing long wait times at VA facilities to seek out care from private local doctors instead. However, it would also more than double the VA’s annual healthcare spending:

The analysis from the Committee for a Responsible Federal Budget suggests that providing VA-reimbursed private care to veterans, without setting budgetary caps and oversight, could explode the VA’s health-care budget with an additional $500 billion in spending over the next 10 years. … That’s more expensive than the entirety of Medicare Part D, which funds prescription drugs for seniors.

Patrick Brennan pans the reform as expensive and unnecessary:

The VA scandals demand an immediate response, of course, but the Senate bill isn’t necessary to execute it: President Obama has already ordered that the VA expand the coverage it offers outside the system for vets waiting for care. No program like this should be passed as an emergency measure.

Fixing the VA’s problems, such as they are, may require lots and lots of money — and maybe the Senate wasn’t voting to spend quite as much money as the CBO just said. But any congressman with any respect whatsoever for the concept of fiscal responsibility — not deficit hawks, just anyone concerned with how much we spend and on what — should want Congress to take time to study this issue (as, indeed, the House is planning to).

Danny Vinik calls it a “Trojan horse” for privatization:

The reason that clinics and hospitals—at both VA and non-VA facilities—have such long wait-times is a shortage of primary care doctors. This shortage has happened for a number of reasons: Medical students face financial incentives to choose a specialty field instead of becoming a primary care doctor. State occupational licensing laws prevent nurse practitioners from performing many straightforward medical tasks. Medical schools receive billions in federal funding with little oversight for how may primary care doctors they produce. The bills’ partial privatization scheme does nothing to ease these problems.

But Kevin Drum sees it as an opportunity to finally resolve the question of whether privatization actually works or not:

Maybe this is a good thing. Better access to health care means more people will sign up for health care, and they’ll do it via private providers. That’s the basic idea behind Obamacare, after all.

Of course, it’s also possible that this might be a bad thing. As Phil Longman points out, outsourced care lacks the very thing that makes VA care so effective: “an integrated, evidence-based, health care delivery system platform that is aligned with the interests of its patients.” …

So which is it? Beats me. That’s why I sure hope someone is authorizing some money to study this from the start. It’s a great opportunity to compare public and private health care on metrics of both quality and cost. It’s not a perfect RCT, but it’s fairly close, since the people who qualify for private care are a fairly random subsegment of the entire VA population. If we study their outcomes over the next few years, we could learn a lot.

Michael Cannon and Christopher Preble would prefer to do away with the separate VA health system entirely:

We propose a system of veterans’ benefits that would be funded by Congress in advance. It would allow veterans to purchase life, disability and health insurance from private insurers. Those policies would cover losses related to their term of service, and would pay benefits when they left active duty through the remainder of their lives. To cover the cost, military personnel would receive additional pay sufficient to purchase a statutorily defined package of benefits at actuarially fair rates. The precise amount would be determined with reference to premiums quoted by competing insurers, and would vary with the risks posed by particular military jobs.

Insurers and providers would be more responsive because veterans could fire them — something they cannot do to the Department of Veterans Affairs. Veterans’ insurance premiums would also reveal, and enable recruits and active-duty personnel to compare, the risks posed by various military jobs and career paths. Most important, under this system, when a military conflict increases the risk to life and limb, insurers would adjust veterans’ insurance premiums upward, and Congress would have to increase military pay immediately to enable military personnel to cover those added costs.