Applebaum vs Drucker

In his book The Age of Discontinuity, Peter Drucker–an Austrian who earned his doctorate at the University of Frankfurt–contrasted the European and American systems of higher education. I was reminded of his remarks by a recent column by Anne Applebaum, in which she defends the Ivy League against charges of elitism.

Here’s what Drucker wrote, way back in 1969:

That so much of American education before Sputnik (and still today, I am afraid) was content with mediocrity and rather smug about it, is a real weakness of our knowledge base. By contrast, one strength of American education is the resistance to any elite monopoly. To be sure, we have institutions that enjoy (deservedly or not) high standing and prestige. But we do not, fortunately, discriminate against the men who receive their training elsewhere. The engineer whose degree is from North Idaho A and M does not regard himself as “inferior” or as “not really an engineer”…The Harvard Law School might like to be a Grande Ecole and to claim for its graduates a preferential position. But American society has never been willing to accept this claim.

and

It is almost impossible to explain to a European that the strength of American higher education lies in this absence of schools for leaders and schools for followers. It is almost impossible to explain to a European that the engineer with a degree from North Idaho A and M is an engineer and not a draftsman. Yet this is the flexibility that Europe needs in order to overcome the brain drain and to close the technology gap…the European who knows himself competent because he is not accepted as such–because he is not an “Oxbridge” man or because he did not graduate from one of the Grandes Ecoles and become an Inspecteur de Finance in the government service–will continue to emigrate where he will be used according to what he can do rather than according to what he has not done.

Read more

The Obama care runaway train.

There is talk of repealing Obamacare if the Republicans take over Congress on November 2. Of course, that is unlikely with President Obama ready to veto any repeal legislation. “OK, we will defund it,” is the response. I doubt anyone realizes how fast this is moving and how difficult it will be to alter the course of this program.

A week ago, I posted on my blog a set of new rules that are being implemented for physician reimbursement. I review workers compensation cases as a part time job. The company that employs me has now come out with a new line of business to review cases for Obamacare. I have been asked if I would be willing to review cases on a 24 hour timeline. This includes weekends. I have spent 40 years reviewing cases for Medicare and the state medical boards for poor care. Now, I am being solicited to do concurrent review on a 24 hour basis for healthcare. I do some concurrent review for workers comp cases but the timeline is usually 3-5 days. Why weekends ? Does this mean that care cannot be provided without approval ?

The pace of change is breathtaking. Today, the Wall Street Journal explains.

A wave of consolidation is washing over the health markets, and the result is going to be higher costs.

The turn toward consolidation among insurance companies is not new, and neither is it among doctors, hospitals and other providers. Yet the health bill has accelerated these trends, as all sides race to anticipate and manage political risk and regulatory uncertainty. This dynamic is leading to much larger hospital systems and physician groups, and fewer insurers dominated by a handful of national conglomerates. ObamaCare was sold using the language of choice and competition, but it is actually reducing both.

The first surge will come among the 1,200 insurers doing business in the U.S., given that a major goal of ObamaCare is to convert these companies into de facto public utilities. Those regulations are now being written—and once they’re up and running some medium-sized carriers will collapse under the new mandates and higher overhead. State insurance commissioners warned the Administration this month that “improper or overly strident application . . . could threaten the solvency of insurers or significantly reduce competition in some insurance markets.” They also implied that bankruptcies are likely.

With these headwinds, investors and Wall Street analysts are now predicting a lost decade for health insurance stocks. But it may be more accurate to say that there will be a lot of losers and some very big winners. Mergers and acquisitions will increase dramatically once companies get a better look at the regulation and figure out the valuation of M&A targets. Larger carriers will swallow smaller ones quietly before they fail.

The pace of change is far more rapid than is appreciated.

Across the country, providers are building giant hospital systems and much tighter doctor alliances like multispecialty groups to get out ahead of a concept known as “accountable care organizations,” or ACOs. To modernize the delivery of medical services, ACOs would encourage doctors to work in teams to use resources more efficiently, streamline treatment and improve quality. The model is the Mayo Clinic and other large integrated systems.

The Mayo Clinic has concluded that it cannot afford to treat Medicare patients. The Phoenix branch of the Clinic has already informed patients that they will accept no more Medicare. The model does not think it will work.

At the moment ACOs are only a gleam in some bureaucrat’s eye, and no one has a clue how they’ll operate in practice until the government releases a working regulatory definition next year. Yet the percussive effects are already being felt across medicine.

Hospitals are now on a buying spree of private physician practices in the rush to build something that will qualify as an ACO. Some 65% of doctors who changed jobs in 2009 moved into a hospital-owned practice, while 49% of doctors out of residency were hired by hospitals, according to the Medical Group Management Association. In its 2010 census, the American College of Cardiology reports that nearly 40% of private cardiology groups are currently integrating with hospitals or merging with other practices.

I spent a few minutes researching the doctors who appeared in white coats to support Obamacare last spring. Those who really were doctors were all hospital employees. Most of them had been hired right out of residency.

Doctors are selling because complying with the ever-growing list of mandates has become more cumbersome; and while staff physicians on salary do gain predictability, they also lose the autonomy of independent practice. The other problem is price controls in Medicare, which are about 20% below private payments for doctors and 30% lower for hospitals. Hospitals are also scooping up practices to lock in referral sources and make up for ObamaCare’s Medicare cuts. As it is, two-thirds of hospitals lose money today on Medicare inpatient services, according to Medicare.

This is an impossible situation and the Medicare patient will become indistinguishable from the Medicaid patient, a burden on the system to be treated by “physician extenders.”

The changes are coming like a runaway train and they will change American medicine irreversibly. Private medicine cannot afford to care for the discounted Medicare patients. Obamacare will convert private care to Medicare. Every one will be a charity case except for the gentry class that votes for Obama. University Hospital physicians may feel that they are immune to these changes but it has been known for 50 years that the value of salaried university physicians is directly related to the income of private physicians. In fact, the university physician has no overhead but they can always tell the administration that they can leave and earn as much, if not more, and this has given them a lot of power.

When I was in training, my surgical training program had three full time faculty members. Now, the same program has 90 full time members. In the same interval, their success in having graduates pass the American Board of Surgery has declined. That may or may not be significant but the culture of medicine is changing rapidly. Many physicians no longer recommend medicine as a career for their children. What this all means, I don’t know. What I do know is that it is coming very fast and few people realize it.

Tax Policy Killing Our Manufacturing Base

Business Week is a venerable magazine that I was only minutes away from canceling because their content was the typical irrelevant journalistic crap when recently they were taken over by Bloomberg.  All the sudden I would say now that Bloomberg / BusinessWeek is the single most useful magazine I subscribe to, more valuable than Forbes, Fortune, or Barron’s.

Their articles are in-depth and hard hitting.  Rather than assume that you are a “lay” or “casual” reader, Bloomberg does actual research and writes for sophisticated readers wanting to learn more about a topic that they have some familiarity with.  Also rarely do they use the journalistic old-hat trick of trying to link every story to some sort of “man on the street”.

Bloomberg wrote an excellent article titled “Google 2.4% Rate Shows How $60 billion Lost to Tax Loopholes“.  While the US corporate income tax rate is the highest in the developed world at 35% (we are neck-in-neck with Japan, but they have proposals to reduce their rate) certain industries in particular can use loopholes to avoid paying virtually any tax at all.

Read more

United States of Islam video: I

[ the first in a series ]

Let’s take a closer look at the United States of Islam video which I mentioned in my post Of Weaponry and Flags.

USI Films

The video announces itself as “an USI Films production”. It then opens with the words “since 911 the world has changed” in white type against black, followed immediately by news clips of the WTC attacks and of President Bush describing them as “evil acts” and declaring “I have directed the full resources of our intelligence and law enforcement communities to find those responsible, and to bring them to justice.”

What we shall be seeing, then, is a time-oriented video, presenting a historical context for the present moment with implications for the near future.

From here we cut by way of another white on black typed message — “they started this war in afghanistan” – via clips of war footage to another – “but their agenda is much bigger and brutal than that” – and then to another clip of Pres. Bush: “Our war on terror begins with al-Qaida but it does not end there. It will not end until every terrorist group of global reach has been found, stopped, and defeated.”

By this point, the background music, which is taken (for reasons both political and musical?) from Vangelis’ 1492 – Conquest of Paradise soundtrack, is swelling. A global map appears, showing much of north Africa, the middle east, Indonesia and Malaysia in green, with Pres. Bush in voice over speaking of the establishment of “a violent political utopia across the middle east which they call a Caliphate where all will be ruled according to their hateful ideology.”

USI world map

The map is titled United States of Islam.

The words “they have done this before” are then followed by a series of film clips showing “the fall of the Khilafa 1828 -1924” and maps showing the slow spread of the British and French flags across north Africa and the middle east, with glimpses of Lawrence of Arabia, the Balfour declaration, and General Allenby, accompanied by the voice-over of someone I’d tentatively identify as Sheikh Imran Nazar Hosein, declaring:

The Khilafa was destroyed. Who destroyed it? Why did they destroy it? How did they destroy it? When did they destroy it? What did they replace it with? With what was it replaced? And what is its destiny? These are awesomely important questions which very few can answer today.

Caliphate divided

The text then states that (the west) “divided us into 54 states” and the map begins to show the various flags of the Islamic states into which the region was more recently divided…

Carved up

ending up in 2006. And what do we want now? You might be forgiven if you haven’t already guessed:

Total Annihilation

Clips then show the toppling of Saddam’s statue in Baghdad, the Israeli army in Gaza with casualties, the October 2009 Pishin attack on the Revolutionary Guard in Iran (which was claimed by Jundullah), and a first mention of the Christmas bomber, Al Qaida and Yemen… a quick mention of Nigeria and Somalia… and “Pakistan from which they fear the most”.

A newscaster from, presumably, Pakistan intones “this is called the fourth generation warfare.”

That essentially brings us up to the present moment.

*

We have arrived at the half way point in the 10 minute video and seen the global historical context, laid out in maps and flags. We have focused in on the present from a two-hundred year sweep, and on Pakistan from the distributed ummah.

What follows will expound and expand on this present moment, bringing Afghanistan into the picture alongside Pakistan, emphasizing the spiritual significance of Khorasan, and taking the battle variously to India and Jerusalem…

[ to be continued ]

Connecting the dots: light on Light

[ cross-posted from Zenpundit ]

In a recent blog-post on MahdiWatch, Timothy Furnish draws our attention to an Islamic think tank named Grande Strategy.

1.

Their page of further readings on a future Islamic state includes works by an eclectic bunch – including Sir Muhammad Iqbal, recognized after his death and the foundation of the State as the national poet of Pakistan; Sheikh Taqiuddin An-Nabhani, the founder of the Hizb-ut-tahrir movement; Ali Shariati, the Marx-influenced Shi’ite radical intellectual viewed by some as the ideological force behind the Iranian revolution; Abul A’ala Maududi, Sunni writer and founder of Jamaat-e-Islam; Harun Yahya, also known as Adnan Oktar, a major Islamic creationist writer who holds that “Alawites, Wahabbites, Jafarites, they are all pure Muslims; harboring enmity against them is by no means acceptable”; Sayyid Qutb, Sunni author and Muslim Brotherhood member; and Ayatollah Ruhollah Khomeini, father of the Iranian Revolution.

Let’s just say that if the books of all these worthies were placed on a single bookshelf and given voices, the ensuing hubbub would resemble the House of Commons at Question Time.

2.

One article on the Grande Strategy site – the one that caught Timothy Furnish’s attention – is titled To the Unknown Mujahid, May We Never Forget You. It is interesting, as Furnish notes, because it is yet another sign of Mahdist thinking in the region of Afghanistan / Pakistan. It describes a man seen teaching in a mosque in the Faisal Masjid (presumably in Islamabad):

I have never seen a human spirit glow in this manner. I did not think this was even possible. I checked myself by discretely asking a few other brothers (perhaps it was some deficiency in me), and they too confirmed. Let me intimately describe you this man, he was tall, bearded wore a military camo jacket and in all his manners was as if he had walked out of the 1st century Hijri. He spoke English well enough that you could tell he was well-educated and belonged to a noble family. He was from Kashmir, in fact an elected member of the local government (back then Musharaf was all about devolution of power to press the national parties). Some close relatives of his were also senior officers in the Pakistan Army. He was obviously a mujahid, although in my opinion one that was fighting against India and in Kashmir and had nothing to do with the Afghanistan war.

The writer recounts his experience of this man because, as he puts it…

Because I believe (and Allah knows best) that if he is not the Mahdi himself or one of his men, at the least he is the precursor to the kind of men that would make up the army of the Mahdi. Or for those who do not believe in the Mahdi, he is the category of men that can save us from our present circumstances. A prototype to our success. And Allah knows best. Disclaimer: I don’t want to claim that he is the Mahdi.

3.

There’s also an article on the site about the Black Banners from Khurasan — another marker for Mahdist expectation — that includes quite a mix of sources and resources: commentary, for instance, on the Scofield Reference Bible (a major source of “dispensationalist” end times beliefs) and the “Project for New American Century”, together with some conspiracism about 9/11 specifically and US policy in general:

The US’s War on Terror is a deceptive game and a mind boggling riddle. The term terrorism is itself vague and un-defined and built on repetitive lies upon lies as evident in the case of 9/11. It is almost always blindly used against Muslims. The unilateral, pre-emptive extra-judicial violence by the western powers is always named as wars of democracy and freedom.

— plus for good measure some information about the Jewish origins of the Pashtun / Pathan peoples, and this intriguing statement:

According to Syed Saleem Shehzad of Asia Times Online, Al Qaeda shares this belief with the Taliban that Afghanistan is the promised land of Bilad-e-Khurasan.

— which would mark both as apocalyptic movements (see here and here).

4

On the other hand, one comment from a Shi’ite reader suggests that President Ahmadinejad will be the one who recognizes the Mahdi and brings the victorious army to meet him:

When Shuayb Ibn Saleh (Pres. Ahmedinejad) learns of Al Mehdi (as) emergence he will head towards Syria under three banners each of which has 4,000-5,000 men. It is these banners that are of gaudiance that Allah’s Messenger (saas) spoke of when he mentioned that ‘ when you see this army coming from Khursan, then go and join that army even if you have to crawl over snow, because in that army is the Caliph Al Mehdi[as]’. This holds true because it is Shuayb Ibn Saleh who will consolidate the government of Al Mehdi (as) in Jerusalem within 6yrs (72months).

and:

The Black Flags Coming from Khurasan is not of the Taliban … These Black Flags Belongs To Only Shuayb Ibn Saleh (Pres. Ahmedinejad)

5

But let’s get back to that business about the “Unknown Mujahid”. According to the report Furnish quotes from:

This particular class was being taught by a man, the like of whom I had never seen before, nor since have ever seen again. When you reach a certain level of spiritual enlightenment… sometimes you can “see” or “feel”… the “noor” or “aura” or “spiritual light” of another… This man did not have a glow – it was like a 1000 watt halogen lamp…

I have to say I find that report particularly interesting because, as Dr. Furnish notes, it offers a Sunni parallel to the self-description given by Iran’s Shi’ite President Ahmadinejad — who claimed on video that he’d been told by someone who was there, “When you began with the words ‘in the name of God,’ I saw that you became surrounded by a light until the end [of the speech]”, and commented, “I felt it myself, too. I felt that all of a sudden the atmosphere changed there, and for 27-28 minutes all the leaders did not blink.”

The thing is, this sort of report can also be found on both sides of the Iranian / Israeli aisle.

Gershon Salomon – who as leader of the Temple Mountain Faithful has the twin goals of “the liberation of the Temple Mount from Arab (Islamic) occupation” and “the building of the Third Temple on the Temple Mount in Jerusalem in our lifetime” – wrote a revealing memoir in which he recounted:

I had the privilege to experience the appearance of the G–d of Israel and His angels in one of the critical battles of Israel when I served in the Israeli Army as a young officer and my small unit was attacked by thousands of Syrian Arab soldiers. … It was night but I could see a light covering me from all sides and lighting the dark night. At the same moment, I could see the Syrian soldiers not shooting me but turning and running very fast back to the mountains. I again lost consciousness. I was told later that the Israeli soldiers looking for me in the darkness were only successful in locating me when they saw the light.

6

For what it’s worth, such stories can also be found about the divine or saintly figures of many religions.

Martin Buber tells a legend of the great Hassidic rabbi the Baal Shem Tov, in which a visiting rabbi saw that “the head of the master stood entirely in the white light … The rabbi saw that the master stood entirely in white light.

The Bhagavad Gita describes a moment when Krishna shows his divine form to Arjuna, who describes it thus: “If a thousand suns were to light up the sky all at once, that radiance would equal the radiance of my Lord.”

In the New Testament, Matthew describes how “Jesus taketh Peter, James, and John his brother, and bringeth them up into an high mountain apart, And was transfigured before them: and his face did shine as the sun, and his raiment was white as the light.” (Matt. 17:1-2).

7

If I have points to make, there are several of them:

  • That religious motivations can be powerful drivers at the level of popular morale.
  • That we frequently overlook religious motivations.
  • That reports of apocalyptic signs and miracles are potent amplifiers of religious motives.
  • That when we study religions, we frequently overlook the miraculous and the apocalyptic.
  • That comparative religious studies give context to events that seem extraordinary and affirming within a single religious tradition.
  • That when we study religions, we frequently overlook its comparative aspects.

Oh – and that depth psychology (Freud, Brown, Jung, Hillman) and cultural anthropology (Bateson, Turner, Lansing) also have much to teach us.

8

Connecting dots is not so hard once you can see them — but how do you connect your blind spots?