WP_Post Object
(
    [ID] => 1225
    [post_author] => 2
    [post_date] => 2019-07-19 20:06:03
    [post_date_gmt] => 2019-07-19 20:06:03
    [post_content] => Is racist the new four-letter word?

On Wednesday night at a rally in North Carolina, President Trump falsely claimed that Congresswoman Ilhan Omar, a refugee from Somalia who became a U.S. citizen when she was a child, was a supporter of Al Qaeda. Then he stood and watched as his supporters chanted “Send her back! Send her back! Send her back..!” That rally capped several days of Trump’s well-publicized incitement against the four junior congresswomen known as the Squad — Rashida Tlaib, Alexandria Ocasio-Cortez, Ayanna Presley, and Ilhan Omar — who have been vociferously critical of President Trump and his policies.

“If they don’t love [America],” said the president, “tell them to leave it.”

In their coverage of this story, legacy media outlets ranging from The New York Times to CNN finally embraced the term “racist” to describe the president’s words. Their use of this word became a story in itself, with Trump supporters denying the president’s words were racist. “It’s not racist to say love it or leave it,” said Senator Lindsey Graham. He added: “A Somali refugee embracing Trump would not have been asked to go back.”

 



Even if one were to agree with Graham that “send her back” was not necessarily racist, one would be hard-pressed to reconcile the core right to freedom of expression in a democracy with the idea that an immigrant who exercised that right by criticizing the president's policies should be deported.

Other Republican representatives were clearly uncomfortable with the “send her back” chant, but they didn’t want to label the president a racist, so they split the difference: The crowd was wrong, said Representative Tom Emmer (R-MN), but the president “didn’t have a racist bone in his body.” Emmer did not comment on the fact that the president stood silently for 13 seconds as the crowd he’d been working into a frenzy for the previous quarter of an hour chanted rhythmically.

Trump is, of course, notorious for his misogyny. But besides their gender, the four Democratic representatives he attacked are also all people of color. Bernie Sanders shares the same political views, but Trump did not single him out. Sanders is, of course, a white man. Meanwhile, Nancy Pelosi — who has a testy relationship with the Squad — successfully pushed through a House resolution to condemn Trump for his racist comments, overriding Republican objections and a parliamentary ruling that deemed the term an insult and thus not allowed.

The partisan argument over what constitutes racism is the driving force behind the reluctance of legacy media outlets to use the term. Editors are afraid that if they label someone a racist, the media outlet will no longer be considered an objective source of information. There is a whole separate argument over whether or not objectivity is possible or desirable in these troubled times. When, for example, The New York Times published a controversial profile of a white supremacist that made him sound like an ordinary guy who loved his family but happened to hold some extremist views, critics charged that the paper had lent credibility to a Nazi by presenting a humanizing portrait in the pages of the country’s most prestigious newspaper.

One expert argued that using the term "racist" was counter-productive because it made the person accused of racism defensive, and that the ensuing argument over whether or not the term was appropriate deflected attention from meaningful and substantive policy discussions.

But as Trump engages increasingly in overt racist incitement, the legacy media are re-examining their editorial policy. Over the past two days, The New York Times, Washington Post, CNN, MSNBC, and other prominent reporting platforms have all used the term “racist,” to describe the president’s comments. As Maria Bustillos explains in the Columbia Journalism Review: “The language of distance and delicacy is based in good faith; where good faith is absent, delicate language does little more than normalize things like racism and cruelty.” In other words, sometimes going high when others are going low can be counter-productive.
    [post_title] => Why editors are so reluctant to label Donald Trump a racist
    [post_excerpt] => The use of the term "racist" became a story in itself, with Trump supporters denying the president’s words were racist. “It’s not racist to say love it or leave it,” said Senator Lindsey Graham. He added: “A Somali refugee embracing Trump would not have been asked to go back.”
    [post_status] => publish
    [comment_status] => open
    [ping_status] => open
    [post_password] => 
    [post_name] => why-editors-are-so-reluctant-to-label-donald-trump-a-racist
    [to_ping] => 
    [pinged] => 
    [post_modified] => 2024-08-28 21:15:14
    [post_modified_gmt] => 2024-08-28 21:15:14
    [post_content_filtered] => 
    [post_parent] => 0
    [guid] => https://conversationalist.org/?p=1225
    [menu_order] => 312
    [post_type] => post
    [post_mime_type] => 
    [comment_count] => 0
    [filter] => raw
)

Why editors are so reluctant to label Donald Trump a racist

WP_Post Object
(
    [ID] => 1218
    [post_author] => 2
    [post_date] => 2019-07-19 18:03:53
    [post_date_gmt] => 2019-07-19 18:03:53
    [post_content] => The current political climate seems disastrous for the Palestinians. But as recent history shows, the bleakest circumstances can yield great opportunities.

Alongside the dog whistle politics, much of Donald Trump’s public image is a throwback to 1980s New York City culture, with its gaudy society parties, unapologetic misogyny, and predatory real estate practices. His presidency jerks between rhetorical excess and emptiness. From negotiations with North Korea abroad to immigration policy at home, Trump’s actions have cycled between Twitter onslaughts devoid of meaningful content and the implementation of acutely retrograde executive orders. His administration’s recent effort to address conflict in the Middle East by convening the “Peace to Prosperity” conference in Manama, Bahrain, is a further case in point.

At the core of the Trump administration’s economic plans for the Palestinians is a glossy brochure released shortly before the summit itself. Notwithstanding the slick graphics and  the presentation, which makes it look like something a business consulting firm would publish, it is an astonishing study of hollowness and deception. The $50 billion dollar pitch book promotes all sorts of investments, including a desalination plant in Gaza and a transport corridor with the West Bank, but does not even mention the word “occupation” to describe Israel’s control over the occupied Palestinian territories. Particularly galling to Israeli and Palestinian civil society activists was the discovery that the photographs used to illustrate that glossy brochure were from promotional material for the very grassroots peace building initiatives — such as The Bereaved Parents Circle Forum and Olive Oil Without Borders — that the Trump administration had abruptly defunded in recent months.

Live-tweeting from the lobby of Manama’s Four Seasons hotel, where the workshop was held, journalist Jack Moore wrote that he was “was left speechless by the Davos-esque Conflab” he had witnessed during the two-day event. In a widely-circulated Twitter thread, he described a gathering of shady private sector grandees, all male panels, and patronizing U.S. flippancy toward absent Palestinian officials. In his opening speech, Jared Kushner described his vision for an economically vibrant West Bank and Gaza without broaching the political context in which such development might take place. Other participants had spent so little time on the ground in Palestine, that they mispronounced names of well-known places. Meanwhile, the head of FIFA touted the virtues of football as a means of “contribut[ing] to change” in the region. When the numbers were crunched, it was clear that the U.S. government was looking for a way to offload the major costs of economic investment to the Gulf states and private investors, shouldering even less of the paltry amount they now provide in the form of economic assistance in the occupied territories.

This opportunistic spirit of Manama fit with a broader pattern of pushing the Palestinians into a corner. During several interviews in the run up to the Bahrain Summit, Kushner reinforced the approach of excluding the PLO while dismissing fears of American imbalance. Asked if he understood why the Palestinians did not trust him, Kushner responded curtly, “I’m not here to be trusted.” As the Palestinian historian Rashid Khalidi has argued, this “neocolonial arrogance” of the U.S. administration is a throwback to the British Mandate and the notion that Palestinians are not quite ready to govern themselves.

Israeli leaders have also promoted this paternalistic view. The former Education Minister and leader of the right-wing Jewish Home party, Naftali Bennett, for example, called for the Palestinians to govern themselves “in all aspects barring two elements: overall security responsibility and not being able to allow the return of descents of Palestinian refugees.” When asked whether his vision would provide self-determination for Palestinians, Bennett demurred. “It’s unrealistic…the Stability Plan is only partial self-determination, but in the real world you have to make compromises.”

Since Trump’s election the alignment between the U.S. and Israeli governments has yielded a series of transformative developments that in practice put an end to the two-state solution.

The most widely publicized of these developments was the relocation of the U.S. embassy from Tel Aviv to Jerusalem. With this move, the U.S. indicated that it no longer regarded as legitimate the Palestinians’ claim to East Jerusalem as the putative capital of their future state. The U.S. also closed its consulate in East Jerusalem, which had served Palestinian residents of the occupied territories; and it ordered the Palestinian mission in Washington D.C. to close, ending the official Palestinian diplomatic presence in the U.S. capital.

The U.S. withdrew its funding to UNWRA, the United Nations agency that provides essential services, like education and medical care, to over five million Palestinian refugees in Lebanon, Syria, Jordan, Gaza, and the West Bank. The State Department denied visas to prominent Palestinian figures who had been visiting the U.S. for years — including PLO executive committee member Hanan Ashrawi, who received her PhD from the University of Virginia. In addition to adopting a policy of complete indifference to Israel’s ever-expanding settlement expansion in the West Bank, the U.S. removed the word ‘occupied’ from government documents. When Netanyahu campaigned in the recent national election partly on a promise to annex the West Bank, which Israel has occupied for 52 years, the Trump administration did not even respond, even as it has chosen a permissive attitude towards the growing Israeli call for annexation of the West Bank. In all these ways, the conflict has returned to a pre-Oslo paradigm. The Palestinians are, as it were, stuck back in the 1980s.

Rather than simply lament the circus in Bahrain, the Palestinian leadership must look for a meaningful way to respond to this diplomatic farce. Some Palestinians have argued that since the Oslo Agreement has been fatally violated, the Palestinian Authority should formally be dismantled. Those who oppose this move say it would cause harm to the Palestinian population, and perhaps even lead to the outbreak of violence. Another historical parallel to consider is the PLO’s position following the 1978 Camp David Accords between Egypt and Israel. Abandoned by Egyptian President Anwar al-Sadat, sidelined in autonomy talks over their future without participation, surrounded by an expanding ring of Jewish settlements in the West Bank and Gaza, the Palestinians were forced to confront both political efforts at state prevention followed swiftly by the 1982 military intervention in Lebanon and Israeli attempts to defeat the PLO in its Beirut stronghold.

This moment of acute crisis was also an opportunity for Yasser Arafat and the Palestinian leadership to rethink the future of the national struggle. After the PLO was forced to retreat from Beirut in 1982, Palestinian political activists in Gaza and the West Bank forced a shift of power away from the exiled leaders, now based in Tunis, and a new reckoning with their demands, culminating in the outbreak of the first Intifada in December 1987. The mass grassroots protest against the then 20-year old occupation led to tangible results: the U.S. finally recognized the PLO; and by the early 1990s the Israelis began to engage with the Palestinian political movement. With that same occupation now extending over five decades, what new opportunities might be seized beyond the fulsome rejection of the Trump administration’s effort to impose what one Palestinian playwright has called a “slumlord’s peace”?

In the summer of 1986, the Palestinian political activist and intellectual Sari Nusseibeh toyed with an idea that might shake up the paradigms of political discussion. Writing in the newspaper Al-Mawqef, he posed a thought experiment about which situation was preferable: “autonomy or annexation with full equal rights [for Palestinians] in Israel?” In his view, freedom through the ballot box would give Palestinians joint control over their own lives and the lives of their Jewish neighbors. He soon appeared on a leading Israeli political talk show alongside one leader of the settler movement, who was startled by Nusseibeh’s argument. Either Palestinians would get a state of their own, or Israel would have a battle for equal rights on its hands. Suddenly, the left-wing Labor Party began invoking fears of a “demographic threat” as a means to accelerate negotiations, while the Israeli representative to the UN noted that “If Palestinians begin to think like this, then we’ve really got something to worry about."

These fears remain highly relevant today. What happens when the political conflict is framed as a conversation about equal rights, access, and citizenship? The government of Israeli Prime Minister Benjamin Netanyahu is acutely concerned about the rhetoric shifting in this direction, a fear underscored by the backlash against the movement for Boycott, Divestment, and Sanctions (BDS) as a means of pressuring Israel in economic, cultural and diplomatic realms. Recent efforts to criminalize BDS, and to label it anti-Semitic, underscore how far this battle of delegitimization can go.

In the face of these developments, advocates for an equitable solution to the Israeli-Palestinian conflict must continue to push for a values-centered approach where the language of rights and equality for Arabs and Jews remains at the center of political discourse. Trump himself was quick to dispose of the two-state paradigm in his first meeting with the Israeli Prime Minister, telling reporters he was not wedded to the idea of territorial partition. But rather than promote an equitable alterative, his administration has tipped the scales firmly in one direction. To reverse this sense of defeat, a reorientation of the parameters of debate is in order. Rather than haggle over the crumbs of economic peace, there needs to be a clear demand for meaningful sovereignty and citizenship—along with the means of leveraging that equitable future—in whatever political constellation might eventually emerge.

A return to the 1980s can evoke retrograde politics, but it is also an opportunity to interrogate the political imaginaries that took hold at the end of the Cold War, and to imagine alternative paths not taken. Could contemporary developments offer a chance to rethink the Palestinian future, moving away from territorial division and statist demands? Are there lessons to be learnt from Nusseibeh’s earlier calls for annexation alongside Netanyahu’s promise of implementing a more restrictive version? Might this crisis provide a viable way for Palestinians to firmly back out of the narrow Israeli and American corner? The current political landscape might appear calamitous, but Trump and Netanyahu will not last forever. Even as the foolhardy mandarins like Jared Kushner, Jason Greenblatt, and David Friedman demand Palestinian surrender, the threat of being vanquished can also be redirected in bracing new directions.

 

 

 

 

 

 
    [post_title] => Back to the future: How Palestine can pull itself out of the 1980s
    [post_excerpt] => Pushed into a corner by U.S. and Israeli policy and the indifference of Arab leaders, Palestinian leadership is in a moment of acute crisis. But the calamitous political landscape also presents an opportunity for creative new paradigms.
    [post_status] => publish
    [comment_status] => open
    [ping_status] => open
    [post_password] => 
    [post_name] => back-to-the-future-how-palestine-can-pull-itself-out-of-the-1980s
    [to_ping] => 
    [pinged] => 
    [post_modified] => 2024-08-28 21:15:14
    [post_modified_gmt] => 2024-08-28 21:15:14
    [post_content_filtered] => 
    [post_parent] => 0
    [guid] => https://conversationalist.org/?p=1218
    [menu_order] => 313
    [post_type] => post
    [post_mime_type] => 
    [comment_count] => 0
    [filter] => raw
)

Back to the future: How Palestine can pull itself out of the 1980s

WP_Post Object
(
    [ID] => 1191
    [post_author] => 2
    [post_date] => 2019-07-03 15:35:33
    [post_date_gmt] => 2019-07-03 15:35:33
    [post_content] => An unlikely partnership between politically opposed billionaires raises questions about the role money plays in ...  everything.

Perhaps the most surprising news this week is the unlikely partnership between two billionaires who represent opposite sides of the political spectrum. George Soros, the billionaire known for his liberalism, is partnering with the far-right Charles Koch to fund a Washington think tank that will promote a non-interventionist foreign policy. 

Stephen Kinzer, a senior fellow at the Watson Institute for International and Public Affairs at Brown University, describes his reaction to the announcement in  an op-ed for the Boston Globe:

"The depth of this heresy can only be appreciated by recognizing the meretricious power that nourishes Washington’s think-tank ecosystem… In foreign policy, all major Washington think tanks promote interventionist dogma: the United States faces threats everywhere, it must therefore be present everywhere, and “present” includes maintaining more than 800 foreign military bases and spending trillions of dollars on endless confrontations with foreign countries.” 

The Quincy Institute for Responsible Statecraft, as it will be known, will be led by a number of critics of American foreign policy, including Trita Parsi, the former president of the National Iranian American Council. Parsi said:

“It shows how important ending endless war is if they’re willing to put aside their differences and get together on this project. We are going to challenge the basis of American foreign policy in a way that has not been done in at least the last quarter-century.”

One of the loudest critics of billionaires bearing liberal gifts is Anand Giridharadas. In his book Winners Take All: the elite charade of changing the world, the former McKinsey consultant turned social critic attempts to answer the question: “What is the relationship between the extraordinary elite generosity of our time, which is real, and the extraordinary elite hoarding of our time?” Giridharadas’s conclusion: that elite generosity is a partner of elite hoarding. The billionaires’ partnership raises the issue of the role of money in, well, just about everything, explains Kelsey Piper in an article for Vox.  Institutional pushback against “endless war” feels like a relief and a welcome change in Washington, D.C., but one should temper one’s reaction with a healthy skepticism of billionaires who want to shape the world.  [post_title] => The problem with billionaires bearing liberal gifts [post_excerpt] => George Soros and Charles Koch would seem to be the most unlikely of partners, but the two billionaires have found synergy in their newly launched think tank. [post_status] => publish [comment_status] => open [ping_status] => open [post_password] => [post_name] => the-problem-with-billionaires-bearing-liberal-gifts [to_ping] => [pinged] => [post_modified] => 2024-08-28 21:15:14 [post_modified_gmt] => 2024-08-28 21:15:14 [post_content_filtered] => [post_parent] => 0 [guid] => https://conversationalist.org/?p=1191 [menu_order] => 316 [post_type] => post [post_mime_type] => [comment_count] => 0 [filter] => raw )

The problem with billionaires bearing liberal gifts

WP_Post Object
(
    [ID] => 1173
    [post_author] => 2
    [post_date] => 2019-06-27 15:09:19
    [post_date_gmt] => 2019-06-27 15:09:19
    [post_content] => Two of the leading candidates for the Democratic party's nomination unveiled plans to deal with the student debt crisis — and were met with a chorus of critics.

On Monday, Senator Bernie Sanders proposed eliminating all student debt, to the tune of $1.6 trillion. Sanders also wants to make public universities, community colleges, and trade schools all tuition-free. With his proposal, Sanders has one-upped Elizabeth Warren, his main opponent for the Democratic party nomination. Warren’s proposal is for a tiered loan forgiveness plan — up to $50,000 based on household income.

But while student debt is an enormous burden for both individuals and the economy, critics have nonetheless objected to the plans put forward by both Sanders and Warren. Kevin Carey, who directs the education policy program at New America, the Washington, D.C. think tank, writes in the New York Times that the plans fail to account for the largest cause of student debt in the United States — i.e., graduate and professional school programs. Adam Looney, a Brookings fellow cited in The Wall Street Journal, says that Warren’s plan would benefit higher earners. Matt Bruenig, a policy analyst who founded the People’s Policy Project, grapples with some of the inconsistencies in the plans; but he does not see any potential benefits.

However, as author and documentary filmmaker Astra Taylor reminds us in The Guardian, the call for student debt forgiveness began with grassroots organizing. The Debt Collective, an organization she co-founded, organized student strikes that resulted in the cancellation of more than $1 billion in debt acquired by people who attended fraudulent for-profit colleges. Nor is the Brookings Institute’s analysis the last word on “fairness”: Taylor cites research by sociologist Tressie McMillan Cottom and economist Darrick Hamilton, which shows that student debt disproportionately affects women and people of color. Debt forgiveness could help close the racial wealth gap.

Meanwhile, more than 150,000 victims of deceptive practices by for-profit colleges are suing the Department of Education for failing to deliver on debt relief that is already guaranteed by existing laws.

In other news:

Is your vacation ethical? Writing in Yes Magazine, travel writer Bani Amor asks how we can decolonize vacations. Read more. Why is a 40-year veteran of the environmental movement feeling hopeful? Read the op-ed. Meet the big-name brands that want to buy back your old clothing to reuse and recycle. Read more. [post_title] => Searching for a way to rescue the American dream [post_excerpt] => Senators Warren and Sanders, both candidates for the Democratic party nomination, have unveiled concrete plans that would address the prohibitive financial burden of higher education [post_status] => publish [comment_status] => open [ping_status] => open [post_password] => [post_name] => searching-for-a-way-to-rescue-the-american-dream [to_ping] => [pinged] => [post_modified] => 2024-08-28 21:15:14 [post_modified_gmt] => 2024-08-28 21:15:14 [post_content_filtered] => [post_parent] => 0 [guid] => https://conversationalist.org/?p=1173 [menu_order] => 318 [post_type] => post [post_mime_type] => [comment_count] => 0 [filter] => raw )

Searching for a way to rescue the American dream

WP_Post Object
(
    [ID] => 1159
    [post_author] => 2
    [post_date] => 2019-06-26 16:59:51
    [post_date_gmt] => 2019-06-26 16:59:51
    [post_content] => We've changed our name and expanded our mission, but our ethos remains the same

In 2017 a group of journalists and academics with expertise in authoritarianism launched a Medium blog called The Anti-Nihilist Institute. Over the ensuing months they wrote sharp analysis about the historical and social context of anti-democratic forces, and published thought provoking interviews with experts in the field. With a rapidly growing readership of thoughtful people seeking new thinking about critical issues, the founders decided to migrate the Medium blog to its own, dedicated website.

We are delighted to announce that the launch of our new website comes with a new name — The Conversationalist.

The name reflects our expanded mission, which is to bring together thoughtful writers who are experts in a variety of fields to provide new insights into critical issues. Over the past half year we have published thought provoking articles on diverse topics that range from the role of art in times of political despair to a new way of thinking about how to treat opioid addicts. The thread that links these many ideas together is one of creative new approaches to the urgent issues of our times, from social inequality to the stale thinking that underlies political stagnation. We invite you, our readers, to contribute to this conversation: share our articles on social media, comment on our Facebook, Twitter, and Instagram accounts, and send us your ideas for new topics to write about here.

We look forward to playing a role in supporting an ongoing conversation about how to make our society  more inclusive, healthy, environmentally sustainable, and thoughtful.
    [post_title] => The Conversationalist: a new name and an expanded mission
    [post_excerpt] => The thread that links these many ideas together is the intention to inspire creative new approaches to the urgent issues of our times, from social inequality to the stale thinking that underlies political stagnation. 
    [post_status] => publish
    [comment_status] => open
    [ping_status] => open
    [post_password] => 
    [post_name] => the-conversationalist-a-new-name-and-an-expanded-mission
    [to_ping] => 
    [pinged] => 
    [post_modified] => 2024-08-28 21:15:14
    [post_modified_gmt] => 2024-08-28 21:15:14
    [post_content_filtered] => 
    [post_parent] => 0
    [guid] => https://conversationalist.org/?p=1159
    [menu_order] => 319
    [post_type] => post
    [post_mime_type] => 
    [comment_count] => 0
    [filter] => raw
)

The Conversationalist: a new name and an expanded mission

WP_Post Object
(
    [ID] => 1133
    [post_author] => 5
    [post_date] => 2019-06-20 16:00:09
    [post_date_gmt] => 2019-06-20 16:00:09
    [post_content] => With leading publications having phased out their public editors, external watchdogs have stepped in, holding the media to account in an age of declining public trust.

The Columbia Journalism Review (CJR) has decided to fill the vacuum left by the near disappearance of public editors from major newspapers by appointing a few of its own: Gabriel Snyder will take on The New York Times; Ana Marie Cox will monitor The Washington Post; Maria Bustillos will keep an eye on MSNBC; and Emily Tamkin will oversee CNN. Whether or not the news organizations will engage with these outsiders much (if at all) remains to be seen, but the Columbia Journalism Review is counting on having enough organizational clout so their efforts are not in vain.

Emily Tamkin has already been on CJR's podcast to take CNN to task for filling the airwaves with “underqualified pundits.” An article in the Washingtonian provides more information on CJR’s project, reporting that staffers for various media platforms have already been in touch with editor Kyle Pope to suggest issues for the attention of the public editors.

Something those public editors should consider: Joshua Benton reports for Nieman Lab on the “new avoidance” phenomenon, which is unfortunately becoming more common globally, and especially in the United States. The report is dismaying, but also illuminating. Some of the comments from readers explaining why they sometimes or always avoid the news demonstrate real demand and hunger for more positive coverage of things that are working—problems that are being solved—which is part of our goal here at The Conversationalist.

In other news:

New York Governor Andrew Cuomo has signed a new law that permits undocumented immigrants to apply for driver’s licenses. Read more. An argument for targeting the world’s 2.4 billion gamers with messaging about environmental issues and sustainability. Learn more. How is participatory budgeting enlivening democracy in New York? Read the op-ed. [post_title] => The important work of keeping the media honest [post_excerpt] => Journalists passionate about keeping the media relevant have taken on the job of shadow ombudsman [post_status] => publish [comment_status] => open [ping_status] => open [post_password] => [post_name] => the-important-work-of-keeping-the-media-honest [to_ping] => [pinged] => https://conversationalist.org/?p=1133&preview=true [post_modified] => 2024-08-28 21:15:14 [post_modified_gmt] => 2024-08-28 21:15:14 [post_content_filtered] => [post_parent] => 0 [guid] => https://conversationalist.org/?p=1133 [menu_order] => 321 [post_type] => post [post_mime_type] => [comment_count] => 0 [filter] => raw )

The important work of keeping the media honest

WP_Post Object
(
    [ID] => 1108
    [post_author] => 2
    [post_date] => 2019-06-13 15:06:55
    [post_date_gmt] => 2019-06-13 15:06:55
    [post_content] => Social media platforms and authoritarian populists have a troubled, tangled, symbiotic relationship

Evgeny Morozov, a prominent culture critic and social media expert, argues in a recent opinion piece for The Guardian that the global right-wing populist movement is divided over Big Tech companies. Globally, populists see the platforms as a way to subvert mainstream media, but in the United States the right wing sees it as a target to attack.  Morozov's analysis overlooks, however, the fact that American extremists have been having it both ways: they capitalize off the opportunity to radicalize individuals on social media, while cynically complaining about “far-left” ideologues, as demonstrated by recent events.

Last week, YouTube initially declined to sanction the right-wing comedian Stephen Crowder for posting videos filled with racist and homophobic attacks against a Vox journalist. As HuffPo reporter Andy Campbell observes, this is a really bad sign for the company’s new anti-hate policy.

Then the company proceeded to prove, as Will Oremus describes it, “The One Rule of Content Moderation”: Namely, if a decision is too controversial, reverse it. YouTube’s decision to take away Crowder’s ability to make money off his videos is neither a “hard-won victory” nor “mob rule,” but merely more evidence that the tech companies have no idea what they’re doing.

As this story by New York Times reporter Kevin Roose demonstrates, the recommendation engines that power platforms like YouTube are as influential as content moderation — if less visible. Roose reports that a series of tweaks to the recommendation system on YouTube made it even easier for white supremacists and other right-wing populists to radicalize their audiences.

However, Roose also reports that some left-wing YouTubers are hacking the system by mimicking the video style, lingo, and subject matter of right-wing populists, and then debunking their messages. These activists are modeling their tactics on successful de-radicalization by co-opting the medium, meme by meme. While this community-driven strategy is promising, its creators are ultimately at the mercy of the same algorithms as their far-right colleagues: if YouTube switches things up again, who knows whether they can still get their videos in front of the people who need them.

In other news:

States race to ban styrofoam in the latest skirmish of the much-needed war on plastic. Read more. How an “innovation team” is ending blight in Mobile, Alabama. Learn more. The small Hawaiian island of Moloka‘i is modeling a post-carbon future for us all. Here’s how. [post_title] => How the far right games social media platforms [post_excerpt] => [post_status] => publish [comment_status] => open [ping_status] => open [post_password] => [post_name] => how-the-far-right-games-social-media-platforms [to_ping] => [pinged] => [post_modified] => 2024-08-28 21:15:14 [post_modified_gmt] => 2024-08-28 21:15:14 [post_content_filtered] => [post_parent] => 0 [guid] => https://conversationalist.org/?p=1108 [menu_order] => 323 [post_type] => post [post_mime_type] => [comment_count] => 0 [filter] => raw )

How the far right games social media platforms

WP_Post Object
(
    [ID] => 1076
    [post_author] => 2
    [post_date] => 2019-05-31 16:43:38
    [post_date_gmt] => 2019-05-31 16:43:38
    [post_content] => The decline in international news coverage over the past two years has worrying implications

My friend used to chain smoke cigarettes as he reported from the front lines of Libya’s civil war and from Cairo’s Tahrir Square during the tumultuous 2011 Arab Spring. Today, he lives in Washington, D.C., where he has an exciting job covering U.S. news as well as a dog, and a new baby. My friend belongs to a wave of American journalists who were once foreign correspondents but have over the past couple of years shifted back to the United States. Now he reports from a different front line — the Trump White House. This shift of reporters from foreign beats to the domestic one reflects a worrying decline in rigorous international news coverage.

In 2018, six out of 10 of the top stories published by the Washington Post were Trump-related. This could be because readers are looking for Trump news; or it could be that most of the stories their favorite media outlets publish are about the president.

Foreign news coverage has, to be sure, been on the decline for quite some time. According to a 2014 Pew report 20 media companies eliminated their foreign bureaus over the past two decades. Furthermore, 64% of 250 newspapers surveyed said that over the past three years they decreased the space allotted to international news.

Declining interest

Rick Edmonds, a media analyst at the Poynter Institute, says that coverage of foreign news, especially among the big three American networks, has been declining “for a long time.” Those who seek international news coverage now rely on the New York Times and the BBC, or specialist publications and sites. Trump's attempts to monopolize the news cycle, Edmonds observes, has accelerated and exacerbated the decline in international news coverage. Freelancers are feeling the pinch. Rebecca Collard, who freelances for various Canadian media outlets, confirms that since Trump was elected, she has found it increasingly difficult to find a home for stories that are not about the U.S. president or about the so-called Islamic State. A couple of years ago, Collard said, “there was constant demand” for reporting across print, radio, and television. She was filing four stories per day from northern Iraq, plus television and radio reports. Today she finds it difficult to pitch stories that lack an American angle. The appetite for foreign news had dried up, she said. Elisa Lees Munoz heads the International Women’s Media Fund (IWMF), which disburses grants to female journalists for investigative and underreported international stories. She confirms that the organization’s grantees are having a hard time pitching and placing foreign stories that had nothing to do with Trump or the elections. Media outlets will publish foreign news pieces “grudgingly” if a media non-profit like the IWMF pays the reporter’s expenses, she said, but they will rarely commission international stories with money from their own budget. Shaheen Pasha, a professor of international news at Amherst College, sees the freelancers she teaches struggle to pitch their foreign stories to American editors. “These reporters make no money, risk their lives to do stories about people being brutalized around the world and an editor will say, what is the interest, where is Trump?” Pasha said. The lack of appetite for foreign news has, according to Pasha, created a generation of college students who are poorly informed about international affairs, because the media outlets they read have shifted away from foreign coverage. Pasha believes that the absence of rigorous reporting on important issues like the global refugee crisis and climate change narrows the breadth of voices we hear in journalism and contributes to “othering,” or a decrease in identification with and compassion for people who speak different languages and observe different religions.

The cost of not knowing

Another consequence of the vacuum in international news coverage is that it distorts the lens through which we view the world, depicting it in simplistic, binary terms and as a place full of violence and chaos. Elisa Lees Munoz of the IWMF gave the Democratic Republic of Congo (DRC) as an example of distorted coverage.  The few media reports one reads about the DRC, she pointed out, were about “war and rape and rape survivors.” So the average American news consumer has no idea that “there are really interesting stories about entrepreneurship and environmental issues” in the DRC. Editors don’t commission those stories, so reporters don’t pitch them. There are serious consequences to being uninformed about international events. Not understanding how ordinary Iranians experience sanctions for example, makes it harder for Americans to empathize with their situation or to understand the implications of the U.S. government’s foreign policy not only for Iranians – but for Americans, too. So they continue to vote for hawkish lawmakers who make often misleading, saber-rattling statements about Iran, instead of advocating diplomatic solutions. A lack of rigorous reporting about the effects of climate change has also had catastrophic consequences, with poorly informed voters choosing representatives who ignore environmental issues — or, worse, support policies that further contribute to the depleting of natural resources and the dangerous warming of the planet. The cost of being uninformed about the world is too high to ignore. There are remedies, but they require a commitment to journalism as a crucial pillar of democracy, rather than as a type of money-making entertainment. Journalism schools, said Pasha, must create courses like the one on media literacy and international reporting that she teaches at Amherst, which is available as an elective to students not majoring in journalism. Lee Keath, a Middle East editor at the Associated Press, said that because the media was so Trump-obsessed, Americans had the impression that the war in Syria was over. The fighting is in fact still raging, but the media’s spotlight has turned away. Afghanistan, too, has slipped off the news cycle despite ongoing flareups in fighting. Keath said that while plenty of editors are looking for a Trump angle to nearly every story, he also knows many journalists who are determined to cover stories rigorously, without reference to the person currently occupying the White House.

How to change

“For me, the question to editors is, why are you passing up on these stories,” said Lees Munoz. She wants to know what evidence or criteria are being used to publish more stories that are only about Trump and the election – if the editorial decisions are based on real data or just on perceptions. One systemic problem is that the vast majority of senior media jobs are still held by straight, white, men who make editorial decisions based on their own interests and worldview. But there is no single institution or factor that bears all the responsibility for this state of affairs.  Media outlets are obsessed with making a profit and editors are obsessed with the page views upon which their jobs depend. Publishers struggle to keep their newspapers afloat as the revenue from advertising continues to decline. Readers, meanwhile, increasingly fail to engage with anything longer than a 280-character tweet or a 30-second video. Miriam Elder, World News editor at BuzzFeed, cautions against blaming readers. The news cycle has accelerated to an unprecedented pace, she said, with so much happening all at once that readers are overwhelmed. It’s up to journalists, she says, to do their jobs by reporting and explaining the news clearly, engaging their target audience so that they want to read about what’s going on in the world. “And that,” she said, “Means making it more relatable to their lives.” Perhaps we all need to remind the editors who commission stories that making the news relatable is a crucial part of their jobs. While Trump and the U.S. elections must and should be covered rigorously, so should stories about what it means for a woman to be pregnant in El Salvador, or why infanticide is a problem in Senegal, or how Indians who oppose the authoritarianism of Narendra Modi are fighting for their democracy, or the real experiences and struggles of queer refugees in Europe and Canada. These are the stories that connect us on an emotional level. When they are told well and reported sensitively, we feel connected to the rest of the world — instead of isolated in a fear-filled fortress of our own making. [post_title] => The corrosive effect of the 'Trump bump' [post_excerpt] => The lack of rigorous reporting on important issues like the global refugee crisis and climate change contributes to “othering,” or a decrease in identification with and compassion for people who speak different languages and observe different religions. [post_status] => publish [comment_status] => open [ping_status] => open [post_password] => [post_name] => trump-obsessed-media-is-increasingly-neglecting-foreign-news [to_ping] => [pinged] => https://conversationalist.org/2019/02/22/media-outlets-are-still-not-amplifying-female-experts-and-this-means-we-really-dont-know-whats-going-on-in-the-world/ [post_modified] => 2024-08-28 21:15:14 [post_modified_gmt] => 2024-08-28 21:15:14 [post_content_filtered] => [post_parent] => 0 [guid] => https://conversationalist.org/?p=1076 [menu_order] => 326 [post_type] => post [post_mime_type] => [comment_count] => 0 [filter] => raw )

The corrosive effect of the ‘Trump bump’

WP_Post Object
(
    [ID] => 1064
    [post_author] => 2
    [post_date] => 2019-05-30 14:56:40
    [post_date_gmt] => 2019-05-30 14:56:40
    [post_content] => In the age of increasing government surveillance and declining privacy, can citizens take back their right to live an unwatched life?

This weekend I had the dubious honor of coming face-to-face with one of the robots being rolled out by the supermarket chain Stop & Shop. The purpose of the tower of cameras and lasers is purportedly to keep an eye on spills and litter in the aisles, as the Boston Globe credulously reported, but presumably it could also watch customers and employees. The encounter got me thinking about the many forms of surveillance takes in this day and age, and how individuals and governments can push back.

One of the most extreme examples of a surveillance state is the province of Kashgar in northwest China. New York Times reporters created this audio-visual essay in an attempt to convey the extent of perpetual, all-consuming surveillance and its restrictive effect on residents. There are cameras, everywhere; and checkpoints, everywhere. Residents are required to install software on devices so the state can monitor their calls and other movements; and they are subject to random, unannounced visits by police and other monitors at any hour of the day or night. As the Times points out, the effect is as much about “intimidation as monitoring.”

Should you worry about facial recognition technology? Technologist Shelly Palmer says we should not be, arguing that “we live in a post-privacy world of our own creation, and there’s no going back.” Essentially, he says, things are already bad, so there’s no reason to try to fix it.

But people aren’t buying what Palmer and others are selling. As the New York Times recently reported, shareholders have taken an activist role in pressuring Amazon to stop selling its facial recognition technology to government agencies, and to conduct an independent investigation into potential violations of civil, human and privacy rights. In many ways, the perpetual surveillance Palmer describes as normal and everyday has raised awareness of how the technology can be abused. Since facial recognition is not-yet-ubiquitous, now is the time for individuals, governments and organizations to take a stand against it.

In another example of this anti-surveillance trend, CNET reports that cities across the United States are passing or considering legislation that would require public approval for new surveillance technologies that police departments are considering purchasing. Voters are asserting their right to decide whether surveillance systems are reasonable and acceptable.

In other news:

Infant mortality rates have dropped in states that expanded Medicaid access, according to a new study from the Georgetown University Center of Health Policy. Read more. Fully one-half of retirement-age Americans can’t afford to stop working, but there are bills and other proposals on deck that could alleviate the crisis. Learn more. The daughter of the man who coined the term “regenerative agriculture” wants to rethink the way we treat poop (specifically animal poop) in agriculture. Our food systems and health may depend on it. Read more. [post_title] => Reclaiming their privacy [post_excerpt] => While some shrug off perpetual surveillance as the new normal, others are taking action to prevent government abuse [post_status] => publish [comment_status] => open [ping_status] => open [post_password] => [post_name] => ordinary-citizens-are-challenging-big-brother [to_ping] => [pinged] => [post_modified] => 2024-08-28 21:15:14 [post_modified_gmt] => 2024-08-28 21:15:14 [post_content_filtered] => [post_parent] => 0 [guid] => https://conversationalist.org/?p=1064 [menu_order] => 327 [post_type] => post [post_mime_type] => [comment_count] => 0 [filter] => raw )

Reclaiming their privacy

WP_Post Object
(
    [ID] => 1041
    [post_author] => 2
    [post_date] => 2019-05-24 16:42:49
    [post_date_gmt] => 2019-05-24 16:42:49
    [post_content] => "The past is never dead. It is not even past."
—William Faulkner

Did you ever wonder why the American education system only gets serious about foreign languages in high school, while the rest of the world seems to start sometime before kindergarten? It’s not by accident, of course. In America, the attitude toward bilingualism has historically been uneasy at best. The tremendous cultural pressure on immigrants to assimilate and to speak English, presents a problem for ethnic and national groups committed to maintaining their own languages and cultural identity beyond the first and second generations.

When a growing Yiddish after school program asked the Milwaukee public school system for use of one of its buildings, it was a local rabbi who went on the record to protest the Yiddish program. “There is altogether too much hyphenism in our present Americanism…” said Rabbi Samuel Hirschberg. He added that foreign language education was wrong because “A foreign language as a household language tends to perpetuate foreignism…” Hirschberg insisted that foreign languages were so corrosive to the American national spirit that no foreign language should be taught before high school.

That was in 1916. Rabbi Hirschberg’s curious campaign to discourage Jewish literacy points to two important facts that tend to be in tension. First, bi- and even tri-lingualism has always been tied to American Jewish identity, both as an immigrant group and a diasporic people. Second, the discourse around bilingualism in America is in large part a function of attitudes toward immigrants. Between 1881 and 1924 some 2.5 million Jews immigrated from Eastern and Central Europe. By the time Rabbi Hirschberg went on the record, the popular conversation around immigrants, especially Jews, had reached unprecedented heights of ugly xenophobia. Less than a decade later, in 1924, Congress passed legislation that would essentially cut off all immigration from Europe, including Jewish immigration.

The persistence of bilingual culture

The case of Rabbi Hirschberg shows that the question of bilingualism was a complicated one, and that the conversations happening in the mainstream were also happening within the Jewish community. But bilingual (Yiddish-English) Jewish communal life did persist in the United States, and well past its expected life span. In 1933, on the occasion of his fiftieth birthday, Hillel Rogoff, the managing editor of the most widely-read Yiddish newspaper in the United States, the Jewish Daily Forward, was asked about the future of the Yiddish press in America. Despite widely-held views that Yiddish was a dying language, Rogoff was optimistic. “There is no reason,” he said, “why the Yiddish press in America should not go on for many, many years…” Today, at 122 years of continuous publishing, the Yiddish language Forverts newspaper has already outlived the traditional Yiddish blessing, “may you live until 120.” The history of Forverts reflects a mixture of enormous communal investment, dumb luck and, in the end, the overwhelming power of monolingualism. In that sense, for newer diasporic groups hoping to maintain an identity tied to a heritage language, the Forverts provides an important case study. In the United States, maintaining an immigrant language and cultural tradition requires an act of tremendous will and coordinated community action. What’s so unique about the persistence of Forverts — which is still published to this day, albeit in a very diminished format — is not just that it defied the two-generation life span for immigrant media, but that it did so in spite of itself. The Forverts was itself a force for Americanization. Established in 1897 at the peak of mass Jewish migration from Eastern Europe, Forverts’s most famous sections were aimed at helping new immigrants assimilate. A Bintl Brif (A Bundle of Letters) was one of the first American newspaper advice columns. It provided guidance on many of the dilemmas of Americanization, including, most poignantly, the cultural gap that inevitably arose between Yiddish speaking parents and bilingual American children, many of whom were ashamed of their foreign parents. The Yiddish of Forverts was also highly ‘Americanized,’ employing many transliterated English words. Perhaps most importantly, given American political attitudes, while The Forverts was a proudly socialist publication, it was vigorously anti-Communist. The Yiddish paper of record managed to thread the needle of politically acceptable cultural autonomy. The Forverts was always more than a newspaper. It was part of a wide-ranging, interconnected network of Yiddish flavored, socialist and labor oriented institutions that included WEVD radio, Amalgamated Bank, the Amalgamated Housing Cooperative in the Bronx, a mutual aid society called the Workmen’s Circle, and a summer camp and after school education system that still exist today. At its height, the Forverts parent entity, the Forward Association, was a political machine, an organization with a constitution that spelled out expectations for members to vote along party lines, or risk disciplinary action that included expulsion. Taken together, the Forverts was a symbol of an urban, all-encompassing model of Jewish life in America. It was explicitly built by and for its members and readers, and that sense of ownership continued to reverberate through later generations, even if in a diminished, distanced way.  

Xenophobia redux

Coordinated anti-immigrant hysteria brought an end to the great era of Jewish mass migration, with the passing of the 1924 Immigration Restriction Act. Unfortunately, we are now seeing a resurgence of the ugly xenophobia that was such a salient feature of American life during the 1920s and 1930s. According to a recent Pew Foundation survey, almost one third of Americans feel uncomfortable merely hearing a language other than English in public. The irony is, for all the outrage about immigrants and their supposed resistance to assimilation, the process of Americanization is absolutely relentless and no group is immune to the inevitability of language loss.   First generation immigrants to the United States generally learn English slowly. They depend on media in their native language, which they continue to speak at home. Second generation Americans are bilingual and may or may not be attached to the immigrant language and its institutions. Third generation Americans are, almost without exception, monolingual. Many of the institutions created by the first generation of Yiddish-speaking immigrants still exist. While the WEVD radio station was sold to Disney, Amalgamated Bank and the Amalgamated Houses still stand. The Workmen’s Circle has created a new identity for itself in the twenty-first century, one that is different from its origins as a mutual aid society, but still centered on an understanding of American Jews as immigrants and descendants of immigrants. But those institutions, for all their longevity, did not create a legacy of contemporary Yiddish speakers. While the Workmen’s Circle offers superb and innovative Yiddish language classes for adults, it faces nearly insurmountable challenges in monolingual America. Providing systematic Yiddish language education for children was an exceedingly difficult proposition, given both the financial cost and the pull of assimilation. The Holocaust decimated Yiddish culture in Europe, reducing its native-speaking population by 85%. Today, outside of the Hasidic communities, Yiddish is spoken by only a small number of Jewish Americans. Many of them are people like me and my friends, residents of what we affectionately call Yiddishland.

The will to preserve a culture

So what are the twenty-first century strategies for creating fluent second and third generation heritage language speakers? According to my Yiddishland friends who are now parents, supplementary and all-day schools (which also exist for Russian, Chinese and Hungarian) have proven highly effective — if extremely expensive — for language transmission, especially where a first generation parent speaks the language at home. But it remains to be seen whether those schools alone can inspire the second generation to transmit to the third, the true challenge in monolingual America. On this question of the third generation I turned to a young friend of mine, Shifra Whiteman. As a child in the 1990s, Whiteman was part of a small Yiddish-language playgroup called Pripetshik.  The group was created by a dedicated group of second-generation parents invested in Yiddish continuity. Pripetshik met in the Workmen’s Circle building in New York and lasted for years, morphing into a Yiddish chorus and producing lifelong friendships. As adults Whiteman, and the other members of the playgroup, have gone on to become activists and leaders in the Yiddish world. The playgroup wasn’t just about teaching a language. It included cooking sessions, movies and history lessons. Pripetshik was about transmitting a very specific diasporic Jewish identity. Its location in the Workmen’s Circle building, a few floors down from the Forverts, was an important part of the lesson, showing the kids that they existed within an ongoing cultural project.   In addition to her Yiddish playgroup, Whiteman also received a conventional Jewish day school education as well as many summers at Zionist summer camp. She recently started teaching Yiddish classes in cooperation with her city’s YIVO and Workmen’s Circle branches. Her students are almost entirely young people hungry for connection to an alternative kind of Jewish identity, one that is not rooted in nationalism or political ideology. At 30, she is ready to start thinking about children of her own, and plans to speak Yiddish with them, just as her parents spoke to her. As she put it to me, among the many Jewish worlds she inhabited as a young person, “the Yiddish stuck.”   There are no easy answers to the question of how to preserve immigrant cultures and languages in the face of America’s fierce devotion to monolingualism. However, it’s clear that the success of multi-generational cultural transmission will depend on the durability of institutions, and whether the language and culture express values that the following generations find useful, and essential, to their sense of self. The Forverts was a newspaper for immigrants who wanted to become American. Today, many of its readers are the grandchildren and great-grandchildren of immigrants, people who want to expand the definition of American and once again redefine Jewish life in the diaspora. [post_title] => Make bilingualism great [post_excerpt] => What are the twenty-first century strategies for creating fluent second and third generation heritage language speakers in a pervasively unilingual and often xenophobic culture? [post_status] => publish [comment_status] => open [ping_status] => open [post_password] => [post_name] => make-bilingualism-great [to_ping] => [pinged] => [post_modified] => 2024-08-28 21:15:14 [post_modified_gmt] => 2024-08-28 21:15:14 [post_content_filtered] => [post_parent] => 0 [guid] => https://conversationalist.org/?p=1041 [menu_order] => 328 [post_type] => post [post_mime_type] => [comment_count] => 0 [filter] => raw )

Make bilingualism great

WP_Post Object
(
    [ID] => 974
    [post_author] => 2
    [post_date] => 2019-05-03 16:55:51
    [post_date_gmt] => 2019-05-03 16:55:51
    [post_content] => Healthcare professionals have found a treatment that could help end the opioid crisis, but their efforts to treat addicts are severely hampered by an arcane government regulation

Over the past two years, a team of medical scientists have been working on a project that could play a role in ending the opioid crisis. We are investigators on a National Institute on Drug Abuse (NIDA) project that seeks to revolutionize the treatment for opioid addiction available at hospital emergency departments by providing medical care providers with effective new tools. One of us is a health economist and health services researcher at the Mayo Clinic; the other is a health IT physician-scientist at Yale. The tools we have helped create work within hospital computer systems to help healthcare practitioners provide immediate treatment and link patients up with longer term follow-up to treat their addiction. In the next phase of the work, we will test these tools in five large healthcare systems across the country. We believe they will change the way hospitals treat opioid-addicted patients.

But these tools, combined with short-term treatment in the emergency department, are an incomplete solution to a national crisis. Throughout this year of work, we have been surprised and, frankly, baffled by the regulatory barriers around treatment of opioid addiction. Perhaps the most shocking (and heartbreaking) thing we’ve learned is that people addicted to opioids are resorting to the black market to treat themselves, because they are facing so many obstacles in obtaining treatment from their doctors and clinics in their communities.

Bureaucratic obstacles

There is a little known but extremely powerful regulatory deterrent to treating patients with opioid use disorder. It’s called the X-Waiver — it’s a legal requirement imposed on physicians to apply for a waiver in order to prescribe medicine that has been shown to be an effective treatment for opioid addiction. Following recent media coverage of this issue in several prominent professional publications (JAMA, STAT, NAM) and in the New York Times, the medical community is pushing to end the X-waiver. On April 8, the Departments of Health in 22 states signed a letter to the Secretary of Health and Human Services proposing that it be discontinued, asserting that the law is severely hampering the ability of physicians to fight the opioid crisis. We’d like to share with you details on this movement, in order to raise public awareness as part of the campaign to have the law changed. The X-Waiver is a remnant of an earlier opioid epidemic in the United States. Just like today, headlines from the popular press 100 years ago lamented the high rates of opioid use in the U.S. — higher than any other country in the world — and the large number of people addicted to narcotic drugs. Many blamed physicians, pharmacists, and patent medication manufacturers, for getting and keeping patients hooked on these drugs. In response, and as part of the same temperance movement that supported alcohol Prohibition during the 1920s, laws were passed to criminalize manufacture, sales, and use of opioids except as part of “legitimate” medical practice. Policy makers were certain that prohibiting the use of opioids (and alcohol) would cause addiction to disappear. They were so certain of this, that they started closing treatment programs in anticipation. Their mistaken belief was that addiction was a moral disorder — a failure of self-control that could be cured by taking away access to drugs and alcohol. Today, we know better. We understand that, just as diabetics cannot will their pancreas to start working and people with depression cannot will their brain to produce more serotonin, people who struggle with addiction cannot will themselves better. Fortunately, we have very effective treatments for opioid use disorder that help people to live normal lives, free of disabling withdrawal symptoms. Medications to treat opioid use disorder include methadone, buprenorphine, and naltrexone. Naltrexone blocks the feeling of being high, reducing the incentive to take opioids. However, it requires that a person abstain from opioids for seven to 10 days, making it more difficult to start treatment. By contrast, methadone and buprenorphine — when properly dosed — prevent the symptoms of withdrawal and allow people to feel normal, without experiencing either the feeling of being high or the distress of withdrawing. Unfortunately, the laws and stigmas held over from the last opioid epidemic more than 100 years ago are still preventing people from accessing these lifesaving treatments. Though the original law — the Harrison Narcotics Act of 1914— is no longer in force, today’s laws regulating the use of methadone and buprenorphine for the long-term treatment of opioid use disorder are its direct descendants. They focus on punishment, distrust of physicians’ motives, and bureaucratic intrusion into the physician-patient relationship. Today, any physician with a DEA license (i.e., pretty much all of them) can prescribe buprenorphine or methadone to any of their patients in any amount, for dispensing in any pharmacy — as long as that medication is intended to treat pain. But in order to use buprenorphine to treat opioid use disorder, clinicians must obtain a special DATA 2000 Waiver. That means they must take a special training course, apply to the federal government for a waiver, and agree to open their practice and records to unscheduled in-person audits during the working day by DEA agents. We have never cheated on our taxes, but we still don’t want to be audited by the IRS. After meeting all these requirements a physician, nurse practitioner, or physician assistant applies for a DATA 2000 waiver, and gets a new DEA number that starts with an X — which is why these waivers are often called X-waivers. With an X-waiver in hand, the healthcare professional now has the right to prescribe any schedule III through V controlled substance (for now, only buprenorphine meets the criteria) for treating opioid use disorder, but only to 30 patients at a time. If a thirty-first patient shows up needing treatment, he or she must be turned away or another patient has to be discontinued. After a year, the medical care provider can apply for an increase to treat 100 patients at a time. And a year after increasing to 100 patients, the clinician can apply for an increase to treat 275 patients at a time as long as he or she either 1) has additional certification in addiction medicine or 2) practices in a “qualified practice setting”, which means, among other requirements, accepting insurance for some services—not necessarily addiction treatment, just some services.

A need for urgency

These are all worthy, wonderful things, and we agree that they are ideal, but we are in the grips of a national crisis. A person born in 2017 faces a greater risk of death from opioid overdose than car crash, for the first time in history. There aren’t enough X-waivered providers available to treat everyone who wants medical help in overcoming opioid addiction. There is no evidence to suggest that clinicians who accept insurance are safer or better at the practice of addiction medicine. Nor is there any evidence to support the claim that limiting physicians to 30, 100, or 275 patients improves safety or outcomes. In fact, quite the opposite. And we have ample evidence that buprenorphine saves lives. Of the estimated 2 million Americans with opioid use disorder, only 11% are receiving any treatment: that’s 1.8 million people who might be helped if treatment were easier to access. It’s time to end these bureaucratic barriers that are discouraging physicians from providing safe, effective treatment to people who need it. That’s why healthcare professionals across the country are pushing to “X the X-waiver”: drop the restrictions on providing buprenorphine treatment for opioid use disorder. We need to increase treatment availability so that everyone who wants help can get it in a timely way. This will require clinicians from many specialties to work together: in the ED, clinicians can help people start on buprenorphine treatment, then refer them to a local community provider of medication for opioid use disorder who can provide long-term follow-up care. Our project is designed to help facilitate that process. And follow-up care doesn’t have to be with a specialist in addiction medicine--there aren’t enough of them to treat everyone who needs treatment. But just as primary care physicians provide long-term medication for diabetes or depression, they can also provide long-term buprenorphine treatment for opioid use disorder. Proponents of the current system argue that buprenorphine prescribed for opioid use disorder can be diverted for abuse. But the evidence shows that when buprenorphine is diverted –that is, when it is sold or given away by the person for whom it was prescribed—the most common use is for self-treatment for opioid use disorder or withdrawal. How heartbreaking is that? People are having so much trouble getting treatment that they go to the black market to treat themselves. Improving access to care should help to prevent this kind of diversion. But from a harm reduction perspective, buprenorphine is less likely to cause an overdose (it’s almost impossible for an experienced user of opioids to overdose on buprenorphine unless it is combined with other depressants, like alcohol or benzodiazepines), less attractive for recreational use (it’s harder to get high on), and it can’t be misused by injection because it’s formulated with a drug that will precipitate withdrawal when not taken orally. We have to do better with this opioid epidemic than we did the last time. The bureaucracy surrounding provision of the safe, effective treatment for opioid addiction has the effect of pointlessly rationing care for people who need and want it. Get rid of it: X the X-waiver. [post_title] => Doctors could alleviate the opioid crisis — if the government would let them [post_excerpt] => The X-waiver is a little known but extremely powerful regulatory deterrent imposed on physicians. It requires them to apply for a waiver in order to prescribe medicine that has been shown to be an effective treatment for opioid addiction. [post_status] => publish [comment_status] => open [ping_status] => open [post_password] => [post_name] => doctors-could-alleviate-the-opioid-crisis-if-the-government-would-let-them [to_ping] => [pinged] => [post_modified] => 2024-08-28 21:15:14 [post_modified_gmt] => 2024-08-28 21:15:14 [post_content_filtered] => [post_parent] => 0 [guid] => https://conversationalist.org/?p=974 [menu_order] => 334 [post_type] => post [post_mime_type] => [comment_count] => 0 [filter] => raw )

Doctors could alleviate the opioid crisis — if the government would let them

WP_Post Object
(
    [ID] => 939
    [post_author] => 13
    [post_date] => 2019-04-26 11:42:00
    [post_date_gmt] => 2019-04-26 11:42:00
    [post_content] => Smart Cities are controversial because they are sponsored by Big Tech, which is offering 'free services' in exchange for detailed private information. But there is a way to overhaul the concept so that it serves ordinary citizens. The real issue is finding the political will to tackle those necessary changes

From Toronto to Singapore, and New York City to Malta, municipalities flying the “smart city” flag are on the rise across the globe, promising to improve the quality of life for urban residents. Using artificial intelligence to analyze data collected from Internet-connected cameras, sensors, license plate readers, drones, digital identification cards, personal electronic devices, and mobile crowd sourcing, smart cities can, advocates say, eliminate traffic jams, improve energy conservation, assist in crime detection, better respond to weather conditions, and provide faster and better citizen services.

But the massive amount of data needed for smart cities to work has given the concept a bad name among those concerned about personal privacy. Tech companies supplying software and hardware to smart cities are hungry for citizens’ data, which they want to monetize and share with partners. For law enforcement agencies and municipal governments, data collected for smart cities represent a treasure trove of information about people’s movements, preferences, associations, and habits. Suddenly smart cities are starting to sound more like surveillance cities with less traffic jams. And there are plenty of people who’d prefer the traffic jams to the loss of control over their privacy.

Smart cities for the people?

Whether smart cities can truly benefit people in a meaningful way without handing over their private information to AT&T, Google, Amazon, and other corporations is unclear. We need to rethink the smart city concept to offer smart services to people without allowing corporations to exploit and profit off their data in the process. At present, cities that want to become “smart” rely heavily on vendors that can supply the technical know-how about networking systems, AI algorithms, data optimization, cloud storage, infrastructure technologies, risk management, high-speed broadband, and security, just to name a few. City officials and municipal information technology departments don’t have the technical expertise to build and manage smart cities on their own. That’s where companies like Google come in. The city of Toronto contracted with Sidewalk Labs in October 2017 to design a neighborhood on the city’s waterfront “from the Internet up." Sidewalk Labs is owned by Alphabet, which is Google’s parent company. According to the plan for this smart city initiative, a network of sensors will collect real-time data about the environment, while it also gathers location-based information about buildings and infrastructure. Citizens would access services through a personalized portal. The project will be a “global testbed where people can use data about how the neighbourhood works to make it work better,” Sidewalk said. Almost immediately, Toronto's residents began asking questions about data collection and privacy. Who would own the data, and how would it be protected? A privacy expert hired by Sidewalk to assist with these issues resigned a year after project launch, telling the Global News newspaper that she couldn’t support the project after learning that third parties might have access to identifiable data collected. Another technologist resigned her post on the project’s digital strategy advisory panel, saying it had disregarded residents’ concern about data. Sidewalk CEO Dan Doctoroff said earlier this month that the company has no interest in monetizing personal information, just as a citizens’ group in Toronto launched #BlockSidewalk.

Citizens should be involved

There are more than a few lessons to be learned from Toronto. People are rightly concerned about their personal data being used without their knowledge and permission, and being tracked online. Recent privacy scandals at Facebook, numerous data breaches, and online misinformation campaigns have heightened those concerns.  Cities going “smart” should be prepared to respond with specifics about whether they or their technology partners, or those partners’ partners, will have access to identifiable data. And they should expect a public backlash if the answer is yes, or “we don’t know yet.” Citizens should be involved in the planning and development of data collection efforts from Day One. They should have a strong say in how and where they are being surveilled rather than be told that Vendor X’s cameras will be installed on every corner filming 24 hours a day, and the feed will go into a massive data base to be kept indefinitely. Cities need experts who can defend citizens’ privacy and challenge inadequate safeguards over private information. They must incoluate themselves before signing contracts or entering into agreements with vendors, by engaging with top-notch security and privacy experts who can match the tech smarts of Google engineers and demand a privacy and human rights framework for smart city projects. To accomplish this, cities would have to make big investments in their IT departments, hiring cryptography and experts in data anonymization. Smart city projects should start with the fewest privacy invasive methods of data collection, instead of using the most invasive and then winnowing that down. Vendors and developers would have to think creatively, in order to come up with ways to obtain data for smart city applications without defaulting to facial scans and license plate readers. Municipal governments need to get tough about rules regarding data privacy. The effective way to do this is as follows:
  • Pass ordinances or establish regulations that prohibit vendors from sharing citizens’ information
  • Place strict limitations on turning data over to law enforcement or ICE
  • Require vendors to anonymize personal data and purge it soon after use;
  • Allow citizens to opt out of the collection of their locations, images, biometric data, and other personal information;
  • Appoint executive level privacy and security czars to oversee data handling and storage and enforce data privacy practices.
We have become accustomed to “free” technology — email, social media accounts, instant messaging and photo sharing platform — but of course we are paying for it with our personal information. It's a high price to pay. Data collection for smart city implementation presents the same uneven exchange, but on a much larger scale. Your commute home becomes faster because cameras are capturing, analyzing, and storing scans of your license plates and the plates of the drivers around you, which are used to predict congestion and trigger modifications to traffic lights and lane closures to avoid jam ups. You get a seat on the bus because facial scans of you and your fellow riders are stored in the cloud indefinitely to help city transportation departments predict when to deploy more buses during periods of peak ridership. We have become convinced that a high quality of life is predicated on convenience. Perhaps it is time to question that assumption — to ask whether the price for all this convenience is just a bit too high. [post_title] => Who's benefitting from Smart Cities? [post_excerpt] => Smart city projects should start with the fewest privacy invasive methods of data collection, instead of using the most invasive and then winnowing that down. Vendors and developers would have to think creatively, in order to come up with ways to obtain data for smart city applications without defaulting to facial scans and license plate readers. [post_status] => publish [comment_status] => open [ping_status] => open [post_password] => [post_name] => how-to-have-smart-cities-and-privacy-too [to_ping] => [pinged] => [post_modified] => 2024-08-28 21:15:14 [post_modified_gmt] => 2024-08-28 21:15:14 [post_content_filtered] => [post_parent] => 0 [guid] => https://conversationalist.org/?p=939 [menu_order] => 336 [post_type] => post [post_mime_type] => [comment_count] => 0 [filter] => raw )

Who’s benefitting from Smart Cities?