Need good healthcare? Need it now? Short on cash? Be Icelandic.

Today on Facebook I posted a link to this article: "An American In Iceland Found A Lump On Her Body And Her Viral Twitter Thread Shows How Much Better Their Healthcare Is." If you've ever encountered the U.S. healthcare system, you might want to read the article too.

A reliably and sometimes knee-jerk conservative friend of mine left this comment on my post:

"Iceland has a population of 338,349, with practically no illegal (excuse me, undocumented) immigration. The Personal Income Tax Rate in Iceland stands at 46.30 percent. In addition, according to the Trip Savvy website, "VAT in Iceland is charged at two rates: the standard rate of 24 percent and the reduced rate of 11 percent on certain products. Since 2015, the 24-percent standard rate has been applied for almost all goods, whereas the 11-percent reduced rate is applied to things such as accommodations; books, newspapers, and magazines; and food and alcohol." One imagines it might be possible for the United States government to fund all sorts of things under a similar tax regime, not including state and local taxes. How much LIVING the average American would be able to do, however, is another question."

I'm not sure what he's saying there. If we had fewer immigrants, our healthcare system would be as good as Iceland's? If we paid more taxes, our lives would somehow be impoverished?

My friend is right, of course, that the U.S. has a much larger population than Iceland. He is also right that the U.S. has a higher percentage of immigrants: the U.S. population is 15.3% immigrant, whereas Iceland's is 12.5%. I don't know how many of those are undocumented; I do know that many economists have found that immigration (documented or un) is mostly beneficial. A report from the Wharton School (President Trump's alma mater) concludes, "Economists generally agree that the effects of immigration on the U.S. economy are broadly positive."

But let's look at some countries with a higher percentage of immigrants than the U.S. and see how they fare with regard to health and happiness. Here are seven. Ireland: 16.9%. Sweden: 17.6%. Austria, 19.0%. Canada, 21.5%. New Zealand, 22.7%. Australia, 28.8%. Switzerland, 29.6%. Golly, their healthcare costs must be enormous!

Well, no. The per capita yearly healthcare cost in those seven countries averaged $5,352 in 2017, or about half the per capita yearly healthcare cost in the United States, which was $10,209. The costs ranged from $3,683 (New Zealand) to $8,009 (Switzerland). (Iceland's cost was $4,581.)

Ah, but the U.S. has better healthcare, right? Maybe not. Interestingly, people in these seven countries have significantly longer lifespans than people in the United States. U.S. residents' average lifespan is 79.772 years. People in the other seven countries, on average, live three years longer, ranging from 81.884 years to 83.706 years (In Iceland, the average resident lives to 83.152 years). And if you think residents of those countries have to wait longer for healthcare, read the comments on the Iceland article.

But sheesh, those taxes! Yes, U.S. residents pay less tax and have more disposable income than residents of those other seven countries, on average. But the difference is not as great as it might appear, partly because those taxes pay for things that U.S. residents pay for out of pocket, and partly because the U.S. has much more inequality (multibillionaires have a way of skewing the averages). The Gini Index ranks 157 countries from #1--the most unequal--to #157, the most nearly equal. On their list, you want a high number. The U.S. is #39. The other seven countries range from #88 to #152 (Iceland is #141).

So how much LIVING can people in these seven countries do, compared with the average American? Well, with enormous healthcare costs and huge educational debt, life can be rough for average Americans. And when you and your neighbors are poor in a country run by obscenely rich people, you may not feel so good either. Maybe that's why Americans aren't as happy as people from those other seven countries. The U.S. took 19th place in the yearly happiness index. The other seven countries ranked at place 16 (Ireland), 11 (Australia), 10 (Austria), 9 (Canada), 8 (New Zealand), 7 (Sweden), and 6 (Switzerland). (Iceland came in at 4th place.)

Summary: Immigrants are not the reason for high healthcare costs. High costs are not a predictor of good care or good results. Low taxes are not a predictor of happiness.

If you want to terrify Europeans, just suggest replacing their healthcare system with one that resembles the U.S. system. President Trump didn't realize that a few days ago when he went to the U.K. and made comments that worried supporters of Britain's National Health System, but the strong blowback made him quickly change his tune.

America deserves a healthcare system that covers more people, costs less, and produces better results. I wonder why more Americans don't pay attention to systems that are already doing that.

Fact-Checking Only One of Trump's Lies This Week

From yesterday's interview on Fox News:

“I had one of the greatest election victories in history, wouldn’t you say that’s right?” [Trump] then asked host Maria Bartiromo, who nodded her head and responded “Yes, absolutely.”

I suppose that depends on how you define "great." Even Trump knows that he lost the popular vote. Let's compare his percentage of the Electoral College vote with those of all the other presidents in his lifetime, shall we?

Six of those presidents had a lower Electoral College percentage than Trump's (though five of them, unlike him, won the popular vote). Eleven of those presidents had a higher Electoral College percentage than Trump's (and they all won the popular vote).

The average Electoral College percentage of all seventeen of those presidents - those with lower as well as those with higher percentages than Trump's - is 71.87%. Trump's percentage, an unimpressive 57.25%, lowers the average.

Apparently Trump has only one possible definition of "one of the greatest election victories in history": He thinks it was great because he won. And his Fox News interviewer "absolutely" agrees with him. 

In related news this week, George Conway, referring to the diagnostic criteria for narcissistic personality disorder, nailed it.

5 favorites from my 2018 reading list

The dreaded question: "So, what are you reading?"

The panicked response: [totally blank mind, even if I put down a book just minutes before]

The workaround: Mentioning one of my favorite authors of detective fiction (Louise Penny, Michael Connelly, Donna Leon).

The somewhat more effective solution: Keeping a list of books read; reviewing it before social engagements where the dreaded question might be asked.

So for each of the last 22 years, I've kept such a list. At the end of each year, I look at the list, cringe at my lowbrow tastes, and marvel at how few of the books were memorable. In fact, some of the titles always look so unfamiliar that I have to google them to make sure there's no mistake.

But some books are outstanding, and here are my favorites of 2018 ... apart from those already mentioned detective series by Penny, Connelly, and Leon. And also Alexander McCall Smith, Martin Walker, Ian Rankin, Laura Lippman, Ann Cleeves, Peter Lovesey... 

As I look at my favorites, I realize that each one--in spite of their stories of pain, suffering, and downright evil--is ultimately hopeful.

Two favorite novels:

Stephen McCauley, My Ex-Life, 2018

A comedy of manners that is not Jane Austen, though I also adore Jane. Funny, wistful, compassionate.










Octavia E. Butler, Kindred, 2004

Two parallel stories, maybe 150 years apart, with some of the same characters. Suspend disbelief: it's worth it.








Three favorite books of nonfiction:

Kate Bowler, Everything Happens for a Reason: And Other Lies I've Loved, 2018

An excellent memoir by a youngish professor of religion who is living with stage 4 cancer. The book was published in February; she wrote this op-ed piece in the New York Times last week.

Isabel Wilkerson, The Warmth of Other Suns: The Epic Story of America's Great Migration, 2010

A classic. Big. Full of stories. So interesting you might not notice how much you're learning.

Michelle Obama, Becoming, 2018

Fascinating on so many levels, and not only because she's America's most admired woman this year. And hey, this is President Obama's favorite book of 2018!







Enjoy! There are still 362 reading days in 2019. 

THE WARMTH OF OTHER SUNS by Isabel Wilkerson - a book well-intentioned white people should read

I just finished reading a powerful book: Isabel Wilkerson's The Warmth of Other Suns. Wilkerson, a Pulitzer Prize-winning journalist, profiles three African Americans born in the South in the second decade of the 20th century. All three moved away: one to New York, one to Chicago, one to Los Angeles. The men died in the 1990s. The woman died in 2004. Unless you are very young, they all lived during your own lifetime. Unless you are a person of color, their experiences may startle you.

I am 70 years old. I was in third grade when Rosa Parks kept her seat in the bus, had just finished high school when LBJ signed the Civil Rights Act, was a college student when race riots broke out all across America, and had just gotten married when Martin Luther King was assassinated. I was appalled by racism without realizing I had spent my life in an extremely white bubble whose privileges were built on a racist past.

As a well-educated white woman, I wanted black people to be able to ride in the front of the bus and eat at lunch counters, of course; but I was completely unaware of the daily hardships, insults, and real dangers that provoked the civil rights movement, in both North and South. And I certainly didn't know the extent to which racism continues to exist.

Nearly five years ago I moved from a county that is 5% African American to a county that is 29% African American. I live walking distance from a city that is 63% African American. From new friends, I have learned something that should have been obvious all along: that as a white woman, I can't begin to imagine what it's like to be a woman of color. Things that happen to my black friends do not happen to me. It's been easy for me to assume they don't happen at all, or at least happen extremely rarely. I had no idea.

I've tried to educate myself by listening, watching, and reading. The more I learn, the more I realize I need to learn. Humility is painful: I will never know what it's like to be black in America. I do know, however, that I learned a lot from The Warmth of Other Suns. It's not a history book, though from it I learned parts of history that were somehow not covered in my undergrad history major. It's not a sociology book, though I couldn't miss seeing how the protagonists' social context affected their lives. It's not a political argument, though politicians show up in its pages from time to time. The book is a carefully researched story of three lives, told mostly in their own words. And it's not fiction.

REVIVING OPHELIA, Christine Blasey Ford, and what most women know

In 1994 Mary Pipher's book Reviving Ophelia: Saving the Selves of Adolescent Girls was published. On the New York Times bestseller list for three years, it is still selling well almost 25 years later. It's an excellent book, and painfully relevant to today's news.

In less than an hour the Senate Judiciary Committee will start questioning Brett Kavanaugh and Christine Blasey Ford. Whatever they determine and however they vote, I am convinced that any woman who thinks Dr. Ford's story could not possibly be true has lived a sheltered life indeed.

Actually, I lived an incredibly sheltered life myself, and yet something similar - though considerably milder - happened to me when I was 11 and the boy was 12. During the school day. In the teacher's office. When class was in session, but kids were working on projects and the teacher was distracted. And that was in the bucolic 1950s. By the way, I never told my parents, and I'm feeling really conflicted about mentioning it here, nearly 60 years later.

Most women know that these things happen.

Here's a story from Reviving Ophelia about a 15-year-old girl who was assaulted by a classmate in 1993. Her assault was worse than Dr. Ford's, but look at the parallels:

"She'd been invited to a party by a girl in her algebra class whose parents were out of town. The girl was supposed to stay with a friend, but she had worked out a way to be home. The kids could use her parents' hot tub and stereo system.

"Cassie didn't get invited to many parties, so she accepted the invitation. She planned to leave if things got out of control. She told her mother the truth about her plans, except she didn't mention that the parents were gone....

"The party was okay at first--lots of loud music and sick jokes but Cassie was glad to be at a party. A guy from her lunch period asked her to dance. A cheerleader she barely knew asked her to go to the movies that weekend. But by eleven she wanted to go home. The house was packed with crashers and everyone was drinking. Some kids were throwing up, others were having sex or getting rowdy. One boy had knocked a lamp off a desk and another had kicked a hole through a wall.

"Cassie slipped away to the upstairs bedroom for her coat. She didn't notice that a guy followed her into the room. He knew her name and asked for a kiss. She shook her head no and searched for her coat in the pile on the bed. He crept up behind her and put his hands under her shirt. She told him to quit and tried to push him away. Then things happened very fast. He grabbed her and called her a bitch. She struggled to break free, but he pinned her down and covered her mouth. She tried to fight but was not strong or aggressive enough. He was muscular and too drunk to feel pain when she flailed at him. Nobody downstairs heard anything over the music. In ten minutes it was over."

Cassie, unlike Dr. Ford, told her parents, who called the police. Here's why she might have wished she hadn't.

"The guy who sexually assaulted her had been suspended from the track team pending his trial. His friends were furious at her for getting him in trouble. Other kids thought she led him on, that she had asked for it by being at that party."

If you've ever been a high school girl, you know that rejection by your peers can be the unkindest cut of all.

Maybe you believe Judge Kavanaugh, or maybe you think he's lying, or maybe you think he was too drunk to know what he did. Maybe you believe Dr. Ford, or maybe you think she's lying, or maybe you think it was someone else who assaulted her.

But don't ever say the event couldn't have happened just as Dr. Ford describes it. It could have. Similar events often did. And very likely still do.

One way you can (maybe) help keep Brett Kavanaugh off the Supreme Court

[Collins & Kavanaugh, 8/21/2018]

Have you been keeping up with the campaign to persuade Maine Senator Susan Collins to vote against confirming Brett Kavanaugh? You pledge whatever amount you please--$20.20 is suggested--which will fund her Democratic opponent in 2020 if she votes for confirmation. If she votes against confirmation, you will be charged nothing at all.

I'd heard about the campaign, but I was startled this morning when I learned how much has been raised. Less than a month ago, the organizers were talking about kick-starting an opponent's campaign with, say, $50,000. Last I looked, over $700,000 had been pledged. You can check current totals, read about why a lot of people in Maine oppose BK's nomination, and make your own pledge, if you like, at Crowdpac.

A few things to add, in case you think this is a wonderful or a terrible idea:

• Remember that she's not up for re-election this year. In 2020 she'll be almost 68. Maybe she won't care if she doesn't get to stay in the Senate until she's 74, who knows? If she does care, maybe she'll think that however much this campaign brings in is a drop in the bucket compared to the more than $6 million she raised to get elected in 2014. Or maybe she'll be so offended by all this pressure that she'll vote for confirmation just to show her independence.
• On the other hand, this may worry her. She might not want a Democrat to win her seat. If you're a Republican, you might not want that either. But if you're a Democrat, you might think it's a great idea.
• The media gives a lot of attention to the future of Roe v. Wade. BK might well cast the vote that would reverse that decision. If you think women should choose for themselves, you're no doubt hoping Collins will vote against BK. If you are opposed to legal abortion, you might want BK to be confirmed. 
• On the other hand, you might realize that BK's nomination is about a lot more than abortion.There are other important reasons to hope BK is not confirmed. Today's New York Times editorial,  "Confirmed: Brett Kavanaugh Can't Be Trusted," gives quite a few. Be sure to scroll past the "Related: More on Brett Kavanaugh" interruption and read the latter half of the article, where several serious concerns are raised. Most damning, in my opinion, is this: "He misstates facts under oath, and Republicans cover for him by making it hard, if not impossible, to get the documents proving it."
• Susan Collins's vote could make the difference. 

A man who can't be trusted is not a man I want on the Supreme Court, even if he's a really nice guy. Especially since he'd often have the tie-breaking vote. There are already enough people in Washington, DC, who can't be trusted. We don't need their accomplices on the Supreme Court; we need justices who will hold them accountable. That's what separation of powers is all about. And that's why I contributed to the Crowdpac campaign today.

Click this link to make your provisional contribution.

America's Would-Be Sun King

[Louis XIV. Check out amusing parodies
of this painting here and here.]

"Is it treason? ... It's treason," the president said at the Montana rally last night.

He was talking about the New York Times op-ed piece in which an unnamed White House insider criticized the president for his amorality, the basis for at least a dozen other of his listed failings. If you've only read about the op-ed, but haven't read the actual article, you really need to read it now. It's short. And if you're a Republican, never fear: so is the writer of the op-ed piece.

Interestingly, treason is specifically defined in the Constitution, Article III, Section 3:

Treason against the United States, 

shall consist only in levying War against them, 

or in adhering to their Enemies, giving them Aid and Comfort. 

Criticizing the president is not treason. The president is not the United States. France's King Louis XIV may have said "L'État, c'est moi" (I am the state), but divine right kingship, at least so far, has not been popular here. As a New York Times editorial reminds us, "Twenty months into the job, Mr. Trump has yet to grasp that the highest law of this land is the Constitution, not whoever occupies the Oval Office at any given moment."

In fact, this president seems to be waging war on the Constitution, not preserving, protecting, and defending it as he solemnly swore to do when he took the oath of office (which you can read, if you like: it's in the Constitution, Article II, Section 1). He seems particularly upset with the First Amendment.

"There oughta be a law," he frequently grumbles - not only against people who criticize him, but also against newspapers that publish stories he doesn't like, protesters who oppose him, and religious groups he doesn't like. The First Amendment explicitly disagrees:

Congress shall make no law 

respecting an establishment of religion, 

or prohibiting the free exercise thereof; 

or abridging the freedom of speech, 

or of the press; 

or the right of the people peaceably to assemble, 

and to petition the Government for a redress of grievances.

Christian Trump supporters would be wise to consider that a president who attacks every clause in the First Amendment is not protecting freedom of religion, even if he helps some Christians achieve their current pet goals. Evangelicals' "dream president" (according to Jerry Falwell, Jr.) may well turn out to be their worst nightmare.

The First Amendment protects the nation against tyrants. It may seem nice to have a would-be tyrant on your side right now, but beware. White evangelicals are in serious decline - from 23% to 15% of the population in just 11 years. With a weakened First Amendment, a future tyrant  (or even this one) could easily turn on you.