“The problem is that our leadership class no longer views Americans as adult constituents capable of making our own decisions: the [sic] view us the way parents view their preschool children.”

A commenter at the Guardian (!) on the recently passed Senate Health Care bill. The entire thread is worth reading, particularly for her comments:

Maybe I’ll cash in by starting my own insurance company. “Jennifer’s House of Health Insurance and Vintage Clothing.” The premium will be a flat $100 per person per year, with a five-million-dollar deductible. “But Jennifer!” you might protest. “If I have enough money to pay five million dollars a year in health costs, what the hell use is your insurance company to me?”

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“One of Irina’s grandsons, nicknamed Riri, was sent to her at Christmas.”

“One of Irina’s grandsons, nicknamed Riri, was sent to her at Christmas. His mother was going into hospital, but nobody told him that. The real cause of his visit was that since Irina had become a widow her children worried about her being alone. The children, as Irina would call them forever, were married and in their thirties and forties. They did not think they were like other people, because their father had been a powerful old man. He was a Swiss writer, Richard Notte. They carried his reputation and the memory of his puritan equity like an immense jar filled with water of which they had been told not to spill a drop.” – from the short story Irina, by Mavis Gallant (Paris Stories collection)

Paris Stories is a beautiful collection. The short story Irina has the most vivid sense of place – it’s all a feeling of hushed, chilled, snowy air outside, and the quiet of an apartment unused to children inside:

“At half past four, when the windows were as black as the sky in the painting of tulips and began to reflect the lamps in a disturbing sort of way, they drew the curtains and had tea around the table. They pushed Riri’s books and belongings to one side and spread a cross-stitched tablecloth. Riri had hot chocolate, a croissant left from breakfast and warmed in the oven….”

And now, Urban Sketchers:

gamexmas

The above drawing – by Cathy Gatland – is from the website, Urban Sketchers. Urban Sketchers is one of the most interesting sites I have encountered this year. It’s a group blog for people who draw, and they draw, charmingly, what they see: The city life around them! It’s dizzying, the talent on display.

“I love teaching lecture courses, but then, when I was a student, I loved taking lecture courses.”

I love teaching lecture courses, but then, when I was a student, I loved taking lecture courses. I was a sucker for lectures from my first day of college, because I was already infatuated with the beauty of words, and a good lecture is nothing if not an art form. Efficient communication it may be, but a lecture can no more be reduced to the delivery of information than a Ferrari can be reduced to fuel injection. A lecture aims at imparting not just what is true but what is beautiful.

….

But, when it comes to craft and polish, seminars cannot compete with lectures. Nor can they compete with the challenge of keeping an audience’s attention. Meet them halfway, and today’s students will turn off their iPhones and pay attention. Minding the Campus (via Arts and Letters Daily)

I agree: a well-delivered lecture is a beautiful thing. It’s still a useful tool for disseminating information. Old-fashioned person that I am (and, quite frankly, as a ham that loves to perform) I don’t understand the beating the form takes in educational circles. So faddish, sometimes.

Update: I should have been more clear in my original post. I don’t think lectures superior to seminars, or labs, or on-line courses, or whatever. My introduction to medical school pedagogy – which is very, very recent – has confused me, a bit. Lectures seem a reasonable way to teach groups of students in certain circumstances. I don’t understand the need to make everything everywhere the same because of the latest paper. I am, however, new to the area and may be misunderstanding an awful lot. Pile on in comments if you think that I am!

Wait, what?

The Obama administration and congressional Democrats long ago gave up any pretense of working to rationally reform American health care. The exercise now underway in the Senate is a mad dash to get to 60 votes, and nothing more. That’s why some Democratic senators who had no idea exactly what is in the “breakthrough deal” announced by majority leader Harry Reid last week immediately hailed it as a milestone. They’re for anything that creates a sense of “momentum” and “inevitability.” – The Weekly Standard

I’ve given up trying to understand what is going on with the Health Care Bills. The complexity is a feature not a bug for some….

Update: As the commenters remind me, rightly, the sausage-making is never pleasant to watch. I guess I’m expressing frustration. I am trying to be a good citizen and doctor. I just don’t understand the stuff even as I try. Ugh.

Another Update: Commenter Marty writes, “All the talk about mandated coverage, community rating, Medicare buy-in, ‘is it a tax?’ and all the rest is just the topic du jour as the Dems try to glue wings on this dead bird and then pretend it can fly.” (I edited, for clarity, the first update above).