Return to Haiti

haiti-001The flight from Boston to Miami was uneventful. I had my usual exit row window seat, 18F.  Next to me was a geeky young blond guy who nodded in greeting before donning headphones for the duration.

I boarded the flight to Port-au-Prince early; after so many trips here I’ve earned Priority Access. I settled into my same exit row seat.  A stocky guy with a trio of small bags dumped his stuff onto the middle seat and pointed to his boarding pass. I tried to explain the difference between seats D and E.  I suggested he use the overhead for some of his belongings, which prompted him to stand in the aisle and repack everything. An even bigger guy bumped behind him.  They jabbed their boarding passes at one another until deciding the bigger guy would take the middle. More housekeeping ensued as stuff got tossed in the aisle seat and the overhead with no apparent logic.

My neighbor settled in with a smile, a firm handshake and a litany of questions.  He seemed disappointed it was not my first trip to Haiti, he wanted to guide me into his native land, but accepted my seasoned traveller status when I explained my involvement with the orphanage and school in Grand Goave.  The guy builds tennis courts in Fort Lauderdale and returns to Haiti every month to visit his wife and young children.

The flight attendant stopped by to quiz us on the operation of the emergency door.  I half listened and nodded understanding.  But my neighbor engaged her. “ I can open that door but we will not have to, we will have no problems on this trip.”  She smiled, bemused, and moved on.  He turned to me and whispered, “Nothing can go wrong with you on the plane. God will watch over and bless us because of your good work.”

Before we are even off the ground in Miami Haiti’s chaos and magic shine through.

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Seeking a Relationship / Settling for a Transaction

usa-001I had my annual physical this week and am happy to report that my health is fine, as usual.  I’ve had the same doctor for twenty years. Marcus Welby has nothing on Mark Bauer, M.D. my internist at Harvard Vanguard. Dr. Bauer is conscientious, knowledgeable and compassionate.  Over time, our relationship has evolved in subtle ways.  At the start I trusted him intuitively, now I trust him empirically since we have a twenty-year history of excellent care.  In the early days he made notes as we talked, now he enters information on the computer, but either way he pays more attention to me than to his data entry.  He is more cautious about ordering tests than he used to be; Harvard Vanguard has clamped down as a cost savings measure.  But none of these changes have significantly altered my care. I have few medical challenges, but when I do Dr. Bauer responds immediately and I don’t second-guess his advice.  There is no need to – he knows me and has my best interests at heart.

I’ve been attending the Northeastern University Open Classroom this semester, ‘Policy for a Healthy America’.  The speakers are all informative, but last week’s session, “Is There a Doctor in the House, Maybe Not, but will it Matter?” helped me understand the conflicting dynamics of our healthcare system in a new, comprehensive light.  Tim Hoff discussed the demographics of our healthcare providers – not enough doctors, many retiring soon, not enough primary care docs, too many specialists, more demand for providers, more demands on providers, and high levels of job dissatisfaction among doctors, nurses, and pretty much everyone else in healthcare.  These folks may be well paid, but they are very unhappy.

Some aspects of our evolving healthcare landscape will improve this situation – more doctors are opting to be employees at the same time that integrated care and bundled payments make private practice increasingly irrelevant.  Some aspects of the healthcare landscape will exasperate the situation – medical schools’ focus on tertiary, specialized care are not providing the number or type of clinicians we need. Medical care will become increasingly centralized and team-based as fewer doctors are responsible for more patients, and nurses, PA’s nurse practitioners, and Medical Assistants pick up more and more direct care.

How this will play out is not entirely clear, but one thing is certain.  The relationship I have with Dr. Bauer will become history.  Except for the rich who pay for concierge care, our future will not include a personal relationship with our doctor; we may not have any single person who understands our health from ongoing face-to-face experience.

This is really no surprise; it’s the logical extension of so many other aspects of our lives.  The family farm has given way to corporate agriculture; the neighborhood grocer has become Super Stop’n’Shop, the hardware store has become Home Depot, even the neighborhood newspaper boy, of which I was one, has morphed into a faceless adult who tosses the papers from his car before dawn. This transition is more difficult in healthcare since our health is an intimate concern. But the change is underway and it’s bigger than the Affordable Care Act or fewer private practices or shuttered community hospitals or the dichotomies between our massively expensive private healthcare and meager public health initiatives.

Healthcare evolved from a vocation to a profession, and now it’s a business.  It was based in relationships, but in the future it will be based on transactions.  Ideally each individual’s future health will reside in a comprehensive record that will allow all manner of generalists and specialists to accurately and efficiently assess our needs and then diagnosis, prescribe, and treat accordingly.  The dystopian view is willy-nilly data files with inadequate safeguards and little coordination that put us at the mercy of people making life-threatening decisions based on incomplete information.  Most likely each scenario will play out.  Well-educated and informed individuals will learn how to champion their own needs, while the poor and disenfranchised will get lost in the morass. Healthcare will no longer pair doctors with patients; we will be providers and consumers. Astute consumers will enjoy their choice and influence; passive consumers will live – or die – with what comes their way.

The Agency for Healthcare Research and Quality has determined that 64 million annual physicals at a cost of $7 billion are not cost-effective healthcare experiences.  The study is probably correct; my annual physicals never turn up much of anything.  But Dr. Bauer and Harvard Vanguard are bucking this study; I am still eligible for an annual physical. I accept that at some point in the future it will become a luxury I either do without or pay for out of pocket.  I value my relationship with Dr. Bauer and am sorry that my children will likely not enjoy such a trusting intimate relationship with their doctor.  But I am realistic in accepting that healthcare’s evolving business model is not Dr. Bauer’s doing or Harvard Vanguards or mine; it is the collective result of a society that puts undue value on economic cost until we’ve lost something valuable that cannot be economically measured. People bemoan dead downtowns even as they choose to shop at Wal-Mart. We pine for a life of meaningful relationships, but time and again, if there are a few bucks to be saved, we opt for a transaction instead and then wonder why we feel unsatisfied.

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The Pergola

vitruvian_man-001My neighbors use their back yard a lot; they have barbeques, they play games. I enjoy hearing their outdoor antics. This summer they built a pergola in the far corner of their lawn. Construction workers buzzed happy saws for a week erecting the folly. I expected that once finished they would spend even more time in their yard.  But they did not.  Instead, upon finishing their playful structure their house went quiet.

It’s a two-family house, a style common to Cambridge, and their family is quintessentially Cambridge. Ilsa is a near-retirement social worker with a lingering Eastern European accent. She lives upstairs with her younger daughter, who recently finished her own Master’s in Social Work and her daughter’s Haitian boyfriend. Ilsa’s son Sam lives downstairs with his Asian wife and their two tall and thin daughters.

I wondered about the quiet, but we are urban neighbors, which means we keep a respectful distance. One evening in late July I met Ilsa while gardening. Before I could even congratulate her on the pergola I realized something was not right.  Ilsa asked rapid questions about dampproofing and mold remediation and other unsavory aspects of construction she thought I, as an architect, might know. Finally she revealed that Sam’s oldest daughter had been diagnosed with leukemia, was in Boston Children’s Hospital on an experimental protocol, would be home within a month, but needed to return to a highly antiseptic environment.

Construction noise resumed, but there was nothing cheerful about the masonry drills and drainage pumps, vapor barriers and mechanical systems they installed to turn their creaky old house into a dust-free / low humidity environment for the fragile girl.  The work is complete, Sam’s daughter is home, and though they appreciate the brownies we bring, the family has grown understandably inward.

I have yet to see or hear anyone swing under the pergola.  Still, I’m glad they built it when they did; if they’d waited even another month it would have been deemed a frivolous excess. The pergola is an aspiration – it’s where they’ll go once the horror of devastating disease is behind them, and they can all emerge outdoors to play again.

131011 Pergola

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The Value of Suffering

vitruvian_man-001This essay by Pico Iyer was originally published in the NY TImes on 9/7/2013.  I find it beautiful and thought provoking.

NARA, Japan — Hundreds of Syrians are apparently killed by chemical weapons, and the attempt to protect others from that fate threatens to kill many more. A child perishes with her mother in a tornado in Oklahoma, the month after an 8-year-old is slain by a bomb in Boston. Runaway trains claim dozens of lives in otherwise placid Canada and Spain. At least 46 people are killed in a string of coordinated bombings aimed at an ice cream shop, bus station and famous restaurant in Baghdad. Does the torrent of suffering ever abate — and can one possibly find any point in suffering?

Wise men in every tradition tell us that suffering brings clarity, illumination; for the Buddha, suffering is the first rule of life, and insofar as some of it arises from our own wrongheadedness — our cherishing of self — we have the cure for it within. Thus in certain cases, suffering may be an effect, as well as a cause, of taking ourselves too seriously. I once met a Zen-trained painter in Japan, in his 90s, who told me that suffering is a privilege, it moves us toward thinking about essential things and shakes us out of shortsighted complacency; when he was a boy, he said, it was believed you should pay for suffering, it proves such a hidden blessing.

Yet none of that begins to apply to a child gassed to death (or born with AIDS or hit by a “limited strike”). Philosophy cannot cure a toothache, and the person who starts going on about its long-term benefits may induce a headache, too. Anyone who’s been close to a loved one suffering from depression knows that the vicious cycle behind her condition means that, by definition, she can’t hear the logic or reassurances we extend to her; if she could, she wouldn’t be suffering from depression.

Occasionally, it’s true, I’ll meet someone — call him myself — who makes the same mistake again and again, heedless of what friends and sense tell him, unable even to listen to himself. Then he crashes his car, or suffers a heart attack, and suddenly calamity works on him like an alarm clock; by packing a punch that no gentler means can summon, suffering breaks him open and moves him to change his ways.

Occasionally, too, I’ll see that suffering can be in the eye of the beholder, our ignorant projection. The quadriplegic asks you not to extend sympathy to her; she’s happy, even if her form of pain is more visible than yours. The man on the street in Calcutta, India, or Port-au-Prince, Haiti, overturns all our simple notions about the relation of terrible conditions to cheerfulness and energy and asks whether we haven’t just brought our ideas of poverty with us.

But does that change all the many times when suffering leaves us with no seeming benefit at all, and only a resentment of those who tell us to look on the bright side and count our blessings and recall that time heals all wounds (when we know it doesn’t)? None of us expects life to be easy; Job merely wants an explanation for his constant unease. To live, as Nietzsche (and Roberta Flack) had it, is to suffer; to survive is to make sense of the suffering.

That’s why survival is never guaranteed.

Or put it as Kobayashi Issa, a haiku master in the 18th century, did: “This world of dew is a world of dew,” he wrote in a short poem. “And yet, and yet. …” Known for his words of constant affirmation, Issa had seen his mother die when he was 2, his first son die, his father contract typhoid fever, his next son and a beloved daughter die.

He knew that suffering was a fact of life, he might have been saying in his short verse; he knew that impermanence is our home and loss the law of the world. But how could he not wish, when his 1-year-old daughter contracted smallpox, and expired, that it be otherwise?

After his poem of reluctant grief, Issa saw another son die and his own body paralyzed. His wife died, giving birth to another child, and that child died, maybe because of a careless nurse. He married again and was separated within weeks. He married a third time and his house was destroyed by fire. Finally, his third wife bore him a healthy daughter — but Issa himself died, at 64, before he could see the little girl born.

My friend Richard, one of my closest pals in high school, upon receiving a diagnosis of prostate cancer three years ago, created a blog called “This world of dew.” I sent him some information about Issa — whose poems, till his death, express almost nothing but gratitude for the beauties of life — but Richard died quickly and in pain, barely able to walk the last time I saw him.

MY neighbors in Japan live in a culture that is based, at some invisible level, on the Buddhist precepts that Issa knew: that suffering is reality, even if unhappiness need not be our response to it. This makes for what comes across to us as uncomplaining hard work, stoicism and a constant sense of the ways difficulty binds us together — as Britain knew during the blitz, and other cultures at moments of stress, though doubly acute in a culture based on the idea of interdependence, whereby the suffering of one is the suffering of everyone.

“I’ll do my best!” and “I’ll stick it out!” and “It can’t be helped” are the phrases you hear every hour in Japan; when a tsunami claimed thousands of lives north of Tokyo two years ago, I heard much more lamentation and panic in California than among the people I know around Kyoto. My neighbors aren’t formal philosophers, but much in the texture of the lives they’re used to — the national worship of things falling away in autumn, the blaze of cherry blossoms followed by their very quick departure, the Issa-like poems on which they’re schooled — speaks for an old culture’s training in saying goodbye to things and putting delight and beauty within a frame. Death undoes us less, sometimes, than the hope that it will never come.

As a boy, I’d learned that it’s the Latin, and maybe a Greek, word for “suffering” that gives rise to our word “passion.” Etymologically, the opposite of “suffering” is, therefore, “apathy”; the Passion of the Christ, say, is a reminder, even a proof, that suffering is something that a few high souls embrace to try to lessen the pains of others. Passion with the plight of others makes for “compassion.”

Almost eight months after the Japanese tsunami, I accompanied the Dalai Lama to a fishing village, Ishinomaki, that had been laid waste by the natural disaster. Gravestones lay tilted at crazy angles when they had not collapsed altogether. What once, a year before, had been a thriving network of schools and homes was now just rubble. Three orphans barely out of kindergarten stood in their blue school uniforms to greet him, outside of a temple that had miraculously survived the catastrophe. Inside the wooden building, by its altar, were dozens of colored boxes containing the remains of those who had no surviving relatives to claim them, all lined up perfectly in a row, behind framed photographs, of young and old.

As the Dalai Lama got out of his car, he saw hundreds of citizens who had gathered on the street, behind ropes, to greet him. He went over and asked them how they were doing. Many collapsed into sobs. “Please change your hearts, be brave,” he said, while holding some and blessing others. “Please help everyone else and work hard; that is the best offering you can make to the dead.” When he turned round, however, I saw him brush away a tear himself.

Then he went into the temple and spoke to the crowds assembled on seats there. He couldn’t hope to give them anything other than his sympathy and presence, he said; as soon as he heard about the disaster, he knew he had to come here, if only to remind the people of Ishinomaki that they were not alone. He could understand a little of what they were feeling, he went on, because he, as a young man of 23 in his home in Lhasa had been told, one afternoon, to leave his homeland that evening, to try to prevent further fighting between Chinese troops and Tibetans around his palace.

He left his friends, his home, even one small dog, he said, and had never in 52 years been back. Two days after his departure, he heard that his friends were dead. He had tried to see loss as opportunity and to make many innovations in exile that would have been harder had he still been in old Tibet; for Buddhists like himself, he pointed out, inexplicable pains are the result of karma, sometimes incurred in previous lives, and for those who believe in God, everything is divinely ordained. And yet, his tear reminded me, we still live in Issa’s world of “And yet.”

The large Japanese audience listened silently and then turned, insofar as its members were able, to putting things back together again the next day. The only thing worse than assuming you could get the better of suffering, I began to think (though I’m no Buddhist), is imagining you could do nothing in its wake. And the tear I’d witnessed made me think that you could be strong enough to witness suffering, and yet human enough not to pretend to be master of it. Sometimes it’s those things we least understand that deserve our deepest trust. Isn’t that what love and wonder tell us, too?

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Where is Our Nation of Laws?

usa-001John Adams, the hard-nosed framer of the Massachusetts Constitution, which became the model for the U.S. Constitution, once heralded our achievement as creating a nation of laws rather than a nation of men. He envisioned a republic released from the tyranny of brute strength and the cult of personality in favor of one that gives all men a voice to shape the affairs of state and them abide by them.

His ideal was tarnished in his own lifetime; after George Washington stepped down the country descended into a carnival of politics to which he was ill suited. After a single term as President, Adams lost to his politically savvy nemesis, Thomas Jefferson.

Still, the antics John Adams persevered are nothing compared to the wanton disregard for our nations principles now on display.  This morning’s NY Times had complementary headlines that each tarnished our nation’s principles, and together highlight the magnitude of our fall from reason.  Apparently a group of conservatives (read rich, old, white men) have plotted for months to shutdown the government if they could not get their way with Obamacare.  Forget that Obamacare is official law, forget that the Supreme Court upheld it’s major provisions, forget that the people reelected the President who made it the cornerstone of his first term.  Forget even that funding for Obamacare is independent of the budget that shut us down.  A bunch of rich old guys don’t like it and so 800,000 people get furloughed as a result.

The second headline is about two raids we made in foreign countries during a week when, in theory, we are out of business. This makes me realize that the definition of ‘essential personal’ is really, do you carry a gun. The people who provide social service, food, housing, and education are non-essential while pretty much everyone with a weapon is still roaming the earth, further diminishing our nation’s principles.

Every one of has to deal with laws we don’t like.  Many of us don’t like Obamacare. But like it or not it’s the law, and the way to change the law is not by shutting our government down.  Since Obamacare haters have been unable to overturn it through legislation, the courts, or an election cycle, they have taken the law into their own hands and shut us down. Shame on them.  And shame on any elected official who capitulates the their shenanigans. (Are you listening Mr. Boehner?) Open our government back up for business again.

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CorePower Yoga

awkward_pose_3-001It turns out my addiction to yoga is fickle.  My annual membership to Bikram came to a close in early September.  After 1,046 classes I’d been feeling diminishing returns.  Some days the heat seemed as formidable a foe as on my first day, some days I lost focus, other days I simply didn’t have the energy to complete all the postures.

Coincidently a new CorePower Yoga studio opened a mile from my house. CorePower originated in Denver; I’d been to their studios when vacationing there.  They offered a free week of yoga and I figured I needed a change.

Bikram yoga has been belittled as McYoga because of its uniformity – the exact same sequence of the exact same postures every class regardless where you are in the world.  I can understand the logic behind the label, but it’s misleading. McDonald’s offers lame food while Bikram offers excellent yoga.  Not all yoga devotees are Bikram fans, but none deny its validity.

CorePower is the Whole Foods of yoga, a carefully conceived experience of health and goodness that disguises the corporate backbone beneath the surface.  CorePower has studios all over the United States; the one in my neighborhood is the first in Massachusetts. Unlike yoga studios that provide little more than a barren room with an attached toilet, or Bikram, which offers at least rudimentary shower and changing places, CorePower Yoga is a well-appointed spa.  The lobby is gracious and tall, littered with expensive accessories for sale. There are comfortable sofas arranged in front of the endlessly burning fireplace. The locker rooms are clean and large, the showers have custom heads, there’s soap and lotion galore.

CorePower plays music during class.  I had never done yoga to music and found it distracting.  In my first class Adele interfered with my concentration during sun salutations; Sting was annoying during my Warrior II. I thought I might not even finish out my free week. But CorePower’s forte’s – like Whole Foods – is variety and over the course of my week I attended two C2 intermediate yoga classes plus four Sculpt classes (aerobics with a yoga flair) and one Hot Power Fusion, a less intense version of Bikram. Although CorePower is full of amenities that don’t resonate with me – who wants a burning fireplace on a brilliant late summer day – I decided that CorePower had more to offer than flash and, needing a sustained break from Bikram, I signed on as a regular member.

Three weeks later I am a CorePower convert.  I tune out the music whenever it bothers me, but there are times when it truly complements my effort, especially in Sculpt, where the beat sustains the aerobic speed. Sculpt has become my primary class, but after doing it for two or three days in a row, I intersperse a C2 or Hot Power Fusion and enjoy the changeup. CorePower is more energetic than Bikram, but less sustained. Each class provides plenty of physical challenge for me. I figured all the peripherals would obscure the mental bliss Bikram often provided, but to my pleasure, I captured some of that today. In the middle of Sculpt, between the cross-training antics of performing military presses from warrior pose and arm extensions from horse position, I became hyper aware of my surroundings. Every part of my body moved through space with a distinctive grace and ease.  It was exhilarating.

My shift from Bikram to CorePower has taught me a few things.  First I am a fickle lover. Not only did I go cold turkey from daily Bikram to daily CorePower, I did it without looking back for an instant.  Second, I realize that CorePower is not really yoga.  If you think about the name carefully, yoga is only about one third of the experience.  Every class has a core component, and every class has a power focus. Perhaps I needed to pull myself out of such a pure yoga pursuit.  Third, I realize how much I like the variety.  Within the three types of classes they offer, every instructor inserts his or her own modifications. I don’t now exactly what I am going to do each day and I like the balance between overall structure and internal variety.

My four years of Bikram contribute every class I do at CorePower.  Bikram has a culture of improvement – the teachers correct our postures and over time my poses have become very accurate.  CorePower is a culture of encouragement.  Teachers never offer anything but superlatives to individuals or the class; their hands-on corrections are simply gentle massages.  I am not sure whether CorePower’s approach can help people improve their form, but what I learned in Bikram apply.

Perhaps I will return to Bikram in time, perhaps I will wander in another direction.  For now I am content to sweat through CorePower’s offerings.  They make me feel healthy and fit with a more generous spirit than Bikram offers. And, at least for now, it’s a lot more fun.

corepower fireplace

Fireplace at CorePower Yoga

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Thomas L. Friedman and Me

 usa-001Thomas L. Friedman and I are pretty much alike.  Okay, okay, he is Pulitzer Prize winning columnist for the New York Times while I write a blog followed a handful of people. Farrar Straus Giroux publishes his oeuvre while they send me exquisite rejections. But besides that, we are very much alike. In our worldview; in our attempt to take complex realities and distill their essence; in our belief that no matter how labyrinthine a situation may appear, there is always some way to resolve it with dignity and respect for all parties.

The World is Flat is a seminal book; it frames the twenty-first century in a way that fundamentally changed my perspective. Not all of his writing is as good, not all of his vignettes so compelling, but Mr. Friedman consistently has important things to say, and says them well. Proportionate to our readership, I try to do the same.

Sometimes I am actually ahead of his curve.  In the NY Times Sunday Review of August 25, 2013 he wrote an incredible article, Foreign Policy by Whisper and Nudge that recast my understanding of why American foreign policy is so off track. He articulates the differences between cold war foreign policy (jockeying for external favors among nations) and our current challenges, which repeatedly get us entangled in the internal affairs of other countries. With regard to the Middle East he states a position that readers of The Awkward Pose may recall from my bicycle trip (Oklahoma: Energy for the Taking, 12/18/2011) that the United States cannot have a viable foreign policy in the Middle East until we become energy independent of that region.

The Awkward Pose recently surpassed 20,000 readers. Thank you to all my regular followers. I doubt Thomas Friedman is one of them, or that he got this ideas about energy independence from me, and it doesn’t matter.  It is still gratifying to know that things I am concerned about, and write about, enter the public conversation at the level that Thomas Friedman writes.  That is the way that change happens in today’s world.  People like me toss ideas out there, people like you read them, conversations start, discussions ensue, ideas evolve, and consensus builds. The democracy of the Internet is less straightforward than a dictatorship, less orderly than a bureaucracy. It’s messy and exciting, which is how sharing a planet with seven billion people ought to be.

 

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All The Way

usa-001The A.R.T. pulses this September with the electricity of a powerful hit. The energy of the full house crowd at last night’s preview of All the Way was palpable; it surged when the cast took their places on the stately set, hit a crescendo when Bryan Cranston strutted to his center spot on the oval carpet, and then kept right on climbing through three hours of complex, dense, fascinating historical drama.

The A.R.T. under Diane Paulus knows a few things about making a hit.  Two years ago her restaged Porgy and Bess starring Audra MacDonald captivated Cambridge and went on to Broadway and multiple Tony awards.  Ditto last year’s Pippin. All the Way is not cut from the same cloth – it is a drama rather than a musical, imported from the 2012 Oregon Shakespeare Festival – but the A.R.T production has the same excitement that flows from witnessing a Broadway blockbuster in the making.

It is fitting that the story of LBJ’s first year in office, with a focus on passing the Civil Rights Bill of 1964, premiered in a Shakespeare festival; Robert Schenkkan’s play is epic tragedy. Seventeen actors play forty-four roles; each one deeply human and ultimately flawed.   The play’s end, LBJ’s landslide victory over Goldwater in 1964, is clouded by LBJ’s understanding that the best of his presidency is already behind him and that in winning the nation he lost the South. The presentiment of disaster eclipses the momentary triumph.

The play is not perfect.  The bedside scene between LBJ and his long-time aide Walter rings false; the audience already has enough foreshadowing of how Walter will stumble; LBJ does not need to give him a bedside pat.  The subsequent banter between LBJ and J. Edgar Hoover is too broad; it buys a few laughs based on our contemporary understanding of Hoover’s twisted homosexuality at the expense of lifting the audience out of the story’s time and place. The beginning, with all the phone conversations, may be an unavoidable way to introduce the complex story, but it feels like a Washington D.C version of Bye Bye Birdie, while the final scene is simply too long.  The audience is already overwhelmed by the immensity of this effort; we don’t need to climb so many false peaks before applauding the final bows.

Those problems are, at most, fifteen minutes of the total endeavor. The other 165 minutes are riveting. As a subscriber I landed fourth row center seats. Watching Bryan Cranston face down every powerful person who populated the evening news during my youth with spitting vehemence, deep distrust, and a huge need for their love, is astounding.  Mr. Cranston is phenomenal. He is so hoarse by the end of the evening I fear for his voice over the long-term, but every inflection last night was perfect.  Equally impressive is his counterpart, Reed Birney, who is such milquetoast as Hubert Humphrey one is almost glad Humphrey never achieved the presidency (until you recall who beat him).  The cast is uniformly fine; Dan Butler as George Wallace and Betsy Aidern and Susannah Schulman as various political wives and D.C. accessories all bring depth to small roles.  One fascinating aspect of the multiple casting is how actor’s play across the political spectrum.  Birney is Strom Thurmond as well as Humphrey; Schulman is both Muriel Humphrey and Lurleen Wallace.

There are actually 47 characters in the play. John F. and Jacqueline Kennedy are often present in spirit, while Bobby Kennedy is a ubiquitous, unseen force. LBJ fears and loathes Bobby so much that he despairs Bobby winning the senate seat from New York, even as it consolidates LBJ’s majority in the Senate.

Walking home after the show my head swam in the permutations of intrigue, blackmail, and double-crossing LBJ and his contemporaries went through to pass the Civil Rights Act of 1964 and launch The Great Society.  Lyndon relished the political game so much that his machinations supersede his purpose.  In the frantic, heady days after JFK’s assassination, the accidental president states a commitment to civil rights, but it is secondary to his passion for political chess.  The play jumps well beyond the old question of whether the end justifies the means. The end appears to be nothing more than a distant marker selected because it will ensure a convoluted means.  Almost fifty years later LBJ’s means are little more than historical footnotes and fodder for excellent theater, while the actual product of his effort transformed American society forever.

All the Way

 

All the Way plays at the A.R.T. in Cambridge, MA through October 12, 2013, but don’t bother trying to get tickets – it is sold out.

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With Less Aid, a Stronger Haiti will Emerge

haiti-001This is an article by Tate Watkins that was originally published in The Globe and Mail on September 5, 2013

Earlier this year, Haitian filmmaker Raoul Peck released Fatal Assistance, a documentary that eviscerated the international response to the January, 2010, earthquake that struck his home country. The gist of Mr. Peck´s argument is that most of the $11-billion in pledged aid went to foreign contractors who, along with international diplomats and celebrities, tripped over themselves to undermine local authority and capacity.

The scene sums up a dilemma about foreign aid just as the Canadian
government considers significant cuts in funding to Haiti. Countries
deliver aid to meet pressing needs today, but they might be undercutting
chances for a recipient to stand on its own two feet tomorrow. In one scene,
Haitian officials complain to then-president René Préval about bottled
water donations that had come into the country and undercut local water
producers. Mr. Préval says that while he´d love to stand up to the
unenlightened foreigners who had descended upon the country, Haiti is a
weak state. Sometimes it has to sit by and let outsiders call the shots, he
says, or else it might scare them – and their funding – off for good.

Haitian officials have bemoaned its “Republic of NGOs” label for years, and
since his inauguration speech in May, 2011, President Michel Martelly has
preached “trade, not aid.” His administration´s mantra: “Haiti is open for
business.”

But the “open for business” cliché is openly mocked in a country with
exorbitant energy costs, a regulatory environment and judicial system
perceived as inefficient and corrupt, and one of the worst reputations for
ease of doing business in the world. And while the administration shouts
about its preference for trade, it hasn´t turned down the billions in
offered aid. As long as the aid flow remains on full blast, there´s little
incentive for the Haitian state to effect fundamental change required for
progress.

Foreign aid helps thousands of Haitians – especially funding that provides
access to health care – and cutting it would hurt in the short term. In
recent years, aid from Canada has focused on providing health care for
women and children, feeding schoolchildren and increasing economic
opportunities for Haitians through financial services such as microcredit.

But whether it´s from Canada or any other donor, aid hasn´t led to the kind
of economic development that would allow multitudes of poor Haitians to
help themselves. As economist Michael Clemens of the Center for Global
Development has noted, 82 per cent of Haitians who have escaped poverty
have done so not by receiving direct aid but by migrating to the United
States. And it´s conceivable that donors can curtail aid gradually and
prioritize cuts in ways that avoid disastrous shocks for the Haitian
families who, for better or worse, rely on aid for subsistence.

Because external funding remains more important than internal revenues –
foreign aid has accounted for more than half of the country´s budget in
recent years – Haitian officials continue to be more concerned with wining
and dining the likes of Bill Clinton than providing the institutions that
will help Haiti´s people flourish. One manifestation of the misguided
priorities is the manner in which the government raises the small amount of
revenue it does collect itself: Tax revenues come mainly from consumption,
not income, a regressive system that punishes low-income Haitians, who wind
up handing over much larger portions of their earnings than the well-off.

Haitian officials say that by 2030, they want the country to be known as an
emerging market, rather than as the hemisphere´s top aid recipient. If
Haiti truly wants to transform from the weak state Mr. Préval described
into one that has a strong and productive economy in 20 years, someone has
to take the first step in turning down the pressure from the aid hose.

 

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Uruguay Leads the Way

vitruvian_man-001What do I know about Uruguay?  Very little.  But a short but glowing, article in August 25, 2013 NY Times Sunday Review described the South American country on the move with lots of foreign investment and progressive social attitudes.  They are about to ratchet that reputation up one notch as the first country in the world to take their pot trade, a $40 million per year illegal operation, and turn it into a government sanctioned and operated entity.

There is a lot of resistance; justifiable fears that a state-sponsored marijuana trade will boost drug use and a lot of hashing about the details. But the baseline argument, that drug use is here, that the illegal markets flourish, and the government has not been able to do anything to effectively counter them, resonates with President Jose Mujica, who is popular enough to try something new rather than let the corrupt status-quo continue.

What I loved about this article was how well it resonated with my own observations (published here 2/18/2013) of how we fail so miserably in the war on drugs because of drugs illegal status. We hold greater control over two much more serious threats to American health, alcohol and tobacco, by regulating them rather than banning them. Making drugs illegal does not take them out of society, it only diverts them from a world of criminal behavior to one we can influence directly (as well as one that supports society through taxes rather than drains it with enforcement expense).  People are going to take drugs, and even abuse them. We can control that reality much better if we acknowledge that and not pretend it away.

I like when a place like Uruguay, hardly a dominant world power, explores ways to address challenges that all countries face, and at present, all fail at address with any logic.

130908 UruguayWay to go, Uruguay!

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