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Subject: Greg Brown's Weekend Reading and Other Things.... 05/25/2014
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DEAR FRIEND
The Great Society at 50
LBJ's unprecedented and ambitious domestic vision changed the nation. Half a century later, it continues
to define politics and power in America.
This week is the anniversary of The Great Society which was a set of domestic programs in the
United States first announced by U.S. President Lyndon B. Johnson at Ohio University, then at
University of Michigan, and subsequently promoted by him and fellow Democrats in Congress in the
196os. Two main goals of the Great Society social reforms were the elimination of poverty and racial
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injustices. New major spending programs that addressed education, medical care, urban problems,
and transportation were launched during this period. The Great Society in scope and sweep
resembled the New Deal domestic agenda of Franklin D. Roosevelt.
Some Great Society proposals were stalled initiatives from John F. Kennedy's New Frontier.
Johnson's success depended on his skills of persuasion, coupled with the Democratic landslide in the
1964 election that brought in many new liberals to Congress, making the House of Representatives in
1965 the most liberal House since 1938. At the same time it was Johnson who said, "We've got to use
the Kennedy program as a springboard to take on the Congress, summon the states to new heights,
create a Johnson program, different in tone,fighting and aggressive,"he said. "Hell, we've barely
begun to solve our problems. And we can do it all." In laying it out, LBJ even set out a specific time
frame for it to come to fruition — 5o years, a mark that will be reached on Thursday. Johnson
launched his program with a University of Michigan commencement address, delivered on the dear,
humid morning of May 22, 1964, in Ann Arbor. "I never thought I'd have the power,"Johnson told his
advisors Richard Goodwin and Bill Moyers. "I wanted power to use it. And I'm going to use it."
It is universally believed that the most important domestic achievement of the Great Society may have
been its success in translating some of the demands of the civil rights movement into law. Four civil
rights acts were passed, including three laws in the first two years of Johnson's presidency. The Civil
Rights Act of 1964 forbade job discrimination and the segregation of public accommodations. The
Voting Rights Act of 1965 assured minority registration and voting. It suspended use of literacy or
other voter-qualification tests that had sometimes served to keep African-Americans off voting lists
and provided for federal court lawsuits to stop discriminatory poll taxes. It also reinforced the Civil
Rights Act of 1964 by authorizing the appointment of federal voting examiners in areas that did not
meet voter-participation requirements. The Immigration and Nationality Services Act of 1965
abolished the national-origin quotas in immigration law. The Civil Rights Act of 1968 banned
housing discrimination and extended constitutional protections to Native Americans on reservations.
And having been a victim of housing discrimination growing up in New York, this law touched me
personally.
Unlike the old New Deal, which was a response to a severe financial and economic calamity, the Great
Society initiatives came just as the United States' post-World War II prosperity was starting to fade,
but before the coming decline was being felt by the middle and upper classes. President Kennedy
proposed an across-the-board tax cut lowering the top bracket marginal Income tax in the United
States by 20%, from 91% to 71%, which was enacted in February 1964 under President Johnson (three
months after Kennedy's assassination). The tax cut also significantly reduced marginal rates in the
lower brackets as well as for corporations. The gross national product rose io% in the first year of the
tax cut, and economic growth averaged a rate of 4.5% from 1961 to 1968.
On the economic front Johnson's tax cut measure triggered what one historian described as "the
greatest prosperity of the postwar years." GNP increased by 7% in 1964, 8% in 1965, and 9% in 1966.
The unemployment rate fell below 5%, and by 1966 the number of families with incomes of $7,000 a
year or more had reached 55%, compared with 22% in 1950. In 1968, when John Kenneth Galbraith
published a new edition of The Affluent Society, the average income of the American family stood
at $8,000, double what it had been a decade earlier. Disposable personal income rose 15% in 1966
alone. Federal revenues increased dramatically from $94 billion in 1961 to $1.5o billion in 1967. As the
Baby Boom generation aged, two and a half times more Americans would enter the labor force between
1965 and 1980 than had between 1950 and 1965.
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The most ambitious and controversial part of the Great Society was its initiative to end poverty. The
Kennedy Administration had been contemplating a federal effort against poverty. Johnson, who, as a
teacher had observed extreme poverty in Texas among Mexican-Americans, launched an
"unconditional war on poverty" in the first months of his presidency with the goal of eliminating
hunger and deprivation from American life. The centerpiece of the War on Poverty was the
Economic Opportunity Act of 1964, which created an Office of Economic Opportunity
(0E0) to oversee a variety of community-based antipoverty programs.
Federal funds were provided for special education schemes in slum areas, including help in paying for
books and transport, while financial aid was also provided for slum clearances and rebuilding city
areas. In addition, the Appalachian Regional Development Act of 1965 created jobs in one of
the most impoverished regions of the country. The Economic Opportunity Act of 1964 provided
various schemes in which young people from poor homes could receive job training and higher
education. The consensus among policymakers that the best way to deal with poverty was not simply
to raise the incomes of the poor but to help them better themselves through education, job training,
and community development. Central to its mission was the idea of "community action", the
participation of the poor in framing and administering the programs designed to help them.
The most important educational component of the Great Society was the Elementary and
Secondary Education Act of 1965, designed by Commissioner of Education Francis Keppel. It
was signed into law on April 11, 1965, less than three months after it was introduced. It ended a long-
standing political taboo by providing significant federal aid to public education, initially allotting more
than $1 billion to help schools purchase materials and start special education programs to schools with
a high concentration of low-income children. During its first year of operation, the Act authorized a
$1.1 billion program of grants to states, for allocations to school districts with large numbers of
children of low income families, funds to use community facilities for education within the entire
community, funds to improve educational research and to strengthen state departments of education,
and grants for purchase of books and library materials. The Act also established Head Start, which
had originally been started by the Office of Economic Opportunity as an eight-week summer
program, as a permanent program.
The Social Security Act of 1965 authorized Medicare and provided federal funding for many of
the medical costs of older Americans. In 1966 welfare recipients of all ages received medical care
through the Medicaid program. Medicaid was created on July 3o, 1965 under Title XIX of the Social
Security Act of 1965. Each state administers its own Medicaid program while the federal Centers
for Medicare and Medicaid Services (CMS) monitors the state-run programs and establishes
requirements for service delivery, quality, funding, and eligibility standards. A number of
improvements were made to the Social Security program in terms of both coverage and adequacy of
benefits.
The Food Stamp Act of 1964 made the program permanent, while the Social Security
Amendments of 1967 specified that at least 6% of monies for maternal and child health should be
spent on family planning. By 1967, the federal government began requiring state health departments
to make contraceptives available to all adults who were poor. Meal programs for low-income senior
citizens began in 1965, with the federal government providing funding for "congregate meals" and
"home-delivered meals." The Child Nutrition Act, passed in 1966, made improvements to
nutritional assistance to children such as in the introduction of the School Breakfast Program.
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In September 1965, Johnson signed the National Foundation on the Arts and Humanities Act
into law, creating both the National Endowment for the Arts and National Endowment for
the Humanities as separate, independent agencies. After the First National Conference on
Long-Range Financing of Educational Television Stations in December 1964 called for a study
of the role of noncommercial education television in society, the Carnegie Corporation agreed to
finance the work of a 15-member national commission. Its landmark report, Public Television: A
Programfor Action, published on January 26, 1967, popularized the phrase "public television" and
assisted the legislative campaign for federal aid. The Public Broadcasting Act of 1967, enacted less
than 10 months later, chartered the Corporation for Public Broadcasting as a private, non-profit
corporation.
Transportation initiatives started during President Johnson's term in office included the consolidation
of transportation agencies into a cabinet-level position under the Department of Transportation. The
department was authorized by Congress on October 15, 1966 and began operations on April 1, 1967.
Congress passed a variety of legislation to support improvements in transportation including The
Urban Mass Transportation Act of 1964 which provided $375 million for large-scale urban
public or private rail projects in the form of matching funds to cities and states and created the Urban
Mass Transit Administration (now the Federal Transit Administration), High Speed Ground
Transportation Act of 1965 which resulted in the creation of high-speed rail between New York
and Washington, and the National Traffic and Motor Vehicle Safety Act of 1966--a bill largely
taken credit for by Ralph Nader, whose book Unsafe at Any Speed he claims helped inspire the
legislation.
Often not remembered are the Great Society's consumer protection laws that included the Cigarette
Labeling and Advertising Act of 1965 required packages to carry warning labels. The Motor
Vehicle Safety Act of 1966 set standards through creation of the National Highway Traffic
Safety Administration. The Fair Packaging and Labeling Act requires products identify
manufacturer, address, dearly mark quantity and servings. The statute also authorizes HEW and
FTC to establish and define voluntary standard sizes.
The Great Society environmental initiatives focused on the fact that the air we breathe, our water, our
soil and wildlife, are being blighted by poisons and chemicals which are the by-products of technology
and industry. Johnson believed that the society that receives the rewards of technology, must, as a
cooperating whole, take responsibility for control. To deal with these new problems will required new
conservation. Clear Air, Water Quality and Clean Water Restoration Acts and Amendments: Clean
Air Act of 1963, Wilderness Act of 1964, Endangered Species Preservation Act of 1966,
National Trails System Act of 1968, Wild and Scenic Rivers Act of 1968, Land and Water
Conservation Fund Act of 1965, Solid Waste Disposal Act of 1965, Motor Vehicle Air
Pollution Control Act of 1965, National Historic Preservation Act of 1966, Aircraft Noise
Abatement Act of 1968 and the National Environmental Policy Act of 1969.
Many people don't realize that a number of measures were introduced to improve socio-economic
conditions in rural areas. Under Title III of the 1964 Economic Opportunity Act, Special
Programs to Combat Rural Poverty, the Office for Economic Opportunity was authorized
to act as a lender of last resort for rural families who needed money to help them permanently increase
their earning capacity. Loans could be made to purchase land, improve the operation of family farms,
allow participation in cooperative ventures, and finance non-agricultural business enterprises, while
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local cooperatives which served low-income rural families could apply for another category of loans for
similar purposes.
The Public Works and Economic Development Act of 1965 reorganized the Areas
Redevelopment Administration (ARA) into the Economic Development Administration
(EDA), and authorized $3.3 billion over 5 years while specifying seven criteria for eligibility.
Wages: Amendments made to the 1931 Davis-Bacon Act in 1964 extended the prevailing wage
provisions to cover fringe benefits, while several increases were made to the federal minimum wage.
The Service Contract Act of 1965 provided for minimum wages and fringe benefits as well as other
conditions of work for contractors under certain types of service contracts. A comprehensive
minimum rate hike was also signed into law that extended the coverage of the Fair Labor
Standards Act to about 9.1 million additional workers.
Today, the laws enacted between 1964 and 1968 are woven into the fabric of American life, in ways big
and small. They have knocked down racial barriers, provided health care for the elderly and food for
the poor, sustained orchestras and museums in cities across the country, put seat belts and padded
dashboards in every automobile, garnished Connecticut Avenue in Northwest Washington with red
oaks. "We are living in Lyndon Johnson's America,"said Joseph A. Califano Jr., who was LBJ's top
domestic policy adviser from 1965 through the end of his presidency. "This country is more the
country of Lyndon Johnson than any other president." The backlash against the Great Society has
been as enduring as its successes.
Virtually every political battle that rages today has roots in the federal expansion and experimentation
that began in the 196os. It set terms of engagement for ideological warfare over how to grapple with
income inequality, whether to encourage a common curriculum in schools, affirmative action,
immigration, even whether to strip federal funding for National Public Radio. Many Great
Society programs are now so popular it is hard to imagine the country as we know it without them.
Others — including some of its more grandiose urban renewal efforts — are generally regarded as
failures. Poverty remains with us, with the two parties in deep disagreement over whether government
has alleviated it or made it harder to escape. LBJ's unprecedented and ambitious domestic vision
changed the nation. Half a century later, it continues to define politics and power in America.
Although not every initiative didn't work, many did. And its a shame that LBJ's support of the
Vietnam war has clouded the legacy of the many accomplishments of the Great Society. But what the
success of the Great Society has shown that there is a role for government with grit, vigor and vision to
achieve great things.
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Sometime in the 1990s I was introduced to the Wu-Tang Clan originally composed of East Coast
rappers RZA, GZA, Method Man, Raekwon, Ghostface Killah, Inspectah Deck, U-God, Masta Killa, and
the late O1' Dirty Bastard through my friend Cathy Jones and although their music wasn't my cup of
tea I found the individual members interesting as they navigated through their celebrity in search of
their personal goals outside of the collective of the group which was much bigger than any individual
members with the exception of RZA and the late O1' Dirty Bastard.
These guys mostly from the New York City boroughs of Staten Island and Brooklyn were worldwide
stars, revered by a generation of young people from Kansas to Shanghai to Oslo to Tokyo, yet from
some reason they seem overshadowed by many of the pier groups whom our MTV media driven
machine felt more comfortable. Wikipedia: The Clan had so many characters, each with his own
eccentricities. They were fearless in their approach. There's a good reason no group has been able to
successfully recreate their sound. The crew spawned countless loosely associated acts. Their classic
albums spawned classic albums." Kris Ex of Rolling Stone called Wu-Tang Clan "the best rap group
ever." In 2004, NME hailed them as one of the most influential groups of the last ten years.
But this story is not about Wu-Tang as much as it is how they have come up with a new way to market
their music. In the 187os when the piano began to find its way into more and more homes creating a
demand for sheet music that was then driven by Ragtime (the first popular music craze in the US) and
the technological development of the recording industry in 1877 when Thomas Edison conceived the
phonograph record machine that led to the development of 78s, 33s, 45s, LPs, 8 tracks, 4 tracks,
cassettes, CDs, DVDs and iTunes creating a music industry that enabled writers, musicians and artists
to easily profit from the sales of their efforts worldwide. But like most good things the paradigm
shifted as the current generation of young music enthusiast refuse to purchase records/CDs and
instead download freely whatever they want to the chagrin of record companies and artists.
Just announced, the Wu-Tang Clan upcoming album "Once Upon a Time In Shaolin" contained in a
silver box engraved by a British-Moroccan artist named Yahya much like a piece of art will soon make
appearances at museums around the world, where, after a security pat-down, fans and critics alike may
listen to it one at a time, before — and this is the important part — the only copy will be auctioned off,
secreted in the home of its super-wealthy new owner, and kept insulated from the prying ears of the
masses — and that the group has reportedly already received a bid of $5 million. Needless to say that
the concept of auctioning off a single copy of an album sounds bizarre (after all, don't they want people
to hear their music?), but that's what the Wu-Tang Clan is doing.
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A statement on the album's sleek website says the plan is patterned on a "400 year old Renaissance-
style approach to music," one in which a wealthy patron commissions a one-of-a-kind piece of private
artwork. The patronage model, of course, cuts a sizable (and sometimes entitled) group out of the
deal: fans. Already, two outraged yet committed Wu-Tang fans have launched a Kickstarter project to
match the bid of $5 million (they have not yet broken $20,000), in hopes that "the rest of us get to
enjoy an epic album instead of some uber-rich bastard keeping it to himself like a collector's item."
One man's patron, it seems, is another man's uber-rich bastard.
The (very) limited release of Shaolin has led to conversations about music's value in the digital era—
conversations, it should be noted, that masquerade as debates but really boil down to people uniformly
arguing that others should make a point of paying for music. Digital holdouts like Radiohead's Thom
Yorke have complained about the devaluation of music at the hands of streaming services like Spotify
and Rhapsody, and this album's single-unit sale is an attempt — however high-minded and quixotic it
may be — to restore music's lost import. "One leak," as the album's producer, Tarik Azzougarh (aka
Cilvaringz), puts it, "nullifies the entire concept." (Azzougarh recently hosted a Forbes reporter in
Morocco, allowing him to record and distribute 51 seconds of the album, which, theoretically, might
amount to about $50,000 worth of music.)
In the coverage of all this, though, Azzougarh's own background — he's studied music management
and entertainment law — has taken a back seat to the brazenness of the sales concept. Shaolin may
seem like some half-baked one-off, but in fact, Azzougarh claims on the album's website, its release
marks the launch of what he calls "the world'sfirst private music service." While such a service could
conceivably devolve into an Uber for music, allowing the wealthy to frivolously commission private
albums as they please, Azzougarh is hoping it might "save the music album from dying."
The question of whether the private-service model is at all sustainable remains to be answered. Syd
Schwartz, founder of the digital marketing and strategy firm Linchpin Digital, points out that this
concept is only available to well-established artists. "The Wu-Tang Clan has 2O-plus years of multi-
platinum success behind them/' he says. "Without that, this wouldn't even be a conversation."
Schwartz views the plan as an attempt to gin up the hype that used to accompany record releases. He
remembers when, in the 1990s, midnight sales of new releases from Garth Brooks and Pearl Jam
would force the Tower Records in Hollywood to hire extra security. "But you can't rally that kind of
hype around something that excludes thefans," Schwartz says.
Despite Azzougarh's claims to being "first," his ideas are not without modern precedent. "We already
see this type ofprivate musk service when we read about a big act doing a private gigfor a royal or
rich personfor a million dollars,"explains Catherine Moore, a professor of music business at New
York University. "That's not new." That model, of course, comes with its own host of potential
landmines: after years of soul-searching, singer Nelly Furtado decided in 2011 to donate to charity the
$1 million she received for a private show back in 2007 put on for the family of Muammar Qaddafi.
John Strohm, a music lawyer who advises artists such as Bon Iver and the Civil Wars, is equally
unconvinced that this is, at its core, a new idea. "What's new is the way this is beingframed,"he says.
Typically, a record label will purchase an artist's master recordings (and the distribution rights to
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them), which is different from The Wu-Tang Clan's model only in that the buyer is a company rather
than an individual. "It's almost exactly like the kind of deal they might make with Sony,"Strohm says.
Even if selling a master recording to a private buyer isn't entirely new, the idea has still produced
significant buzz, and will likely attract a supremely wealthy bidder that a Kickstarter campaign will
have no hope of matching. All is not lost for the everyman, though: In tandem with "Shaolin," the Wu-
Tang Clan is planning on releasing another album, "A Better Tomorrow," through traditional,
democratic avenues. It'll probably be available for $10 on iTunes—for the foreseeable future.
Taking Europe's ulse
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THE European recovery remains intact but got off to a disappointing start in the first three months of
2014, when GDP rose by just o.3% across the 28-strong European Union and a still poorer o.2% across
the 18-state euro area, according to figures from Eurostat on May 15th. Forecasts in early May from
the European Commission had already suggested that the recovery would be modest this year but
gather momentum in 2015. GDP in the EU will expand by 1.6% this year and 2.0% in 2015. Euro-wide
GDP will rise by 1.2% in 2014 and 1.7% in 2015. This year's growth will be too feeble to counter
worryingly low inflation, prompting further monetary stimulus from the European Central Bank.
Easily the worst performer this year will be Cyprus, whose national output will continue to tumble, by
4.8%. All other countries in the euro zone are expected to expand, with Finland growing the slowest,
by only 0.2%. The only other country going backwards in the EU will be Croatia, whose entry to the
EU in the middle of last year has got off to a rocky economic start, with GDP contracting in 2013 by 1%
and expected to fall again this year, by 0.6%.
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In contrast with these sluggards, two small Baltic states, one inside the euro area and one outside it,
will come first and second in the EU league table in both years. Latvia, which adopted the single
currency at the start of this year, will grow by 3.8% in 2014 and 4.1% in 2015. Lithuania, which is
expected to join the euro area next year, will grow by 3.3% in 2014 and 3.7% in 2015. These forecasts
may turn out to be too rosy if the Ukraine crisis continues to intensify, which is likely to have
particularly adverse economic effects on the Baltic countries.
The main impetus behind the euro zone's recovery this year will be Germany, which makes up nearly
3o% of the currency club's collective output, and which is predicted to grow by 1.8%. The
strengthening of the upturn in 2015 comes as the other three big economies, France, Italy and Spain,
do better though growth in both France and Italy will still be below the euro-zone average of 1.7%.
Outside the euro area, Britain is now experiencing a robust recovery and GDP will expand by 2.7% in
2014 and 2.5% in 2015.
The euro-zone recovery will not be strong enough this year to make much of a dent on unemployment,
forecast to fall from 12.0% last year to 11.8% in 2014 though it will drop more in 2015, to 11.4%. That
labour-market slack will be one of several factors keeping inflation low though the euro area is
expected to dodge outright deflation. Instead inflation will fall from 1.3% in 2013 to o.8% this year,
rising to 1.2% in 2015. Still the economic signs today are much better than they were five years ago.
Bill Maher challenges Republicans: Impeach Obama
'so he can kick your ass a third time'
Web Link: http://voutu.be/v-Inien1JON's
Bill Maher closed Real Time a week ago Friday by throwing a serious — "Rob Ford in rehab"serious,
even — challenge to the Republican Party, daring conservatives to follow through on their threat to
impeach President Barack Obama over the fatal September 2012 U.S. consulate bombing in Benghazi,
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Libya. "If you really believe Benghazi is that serious and Obama is that big a crook, then you should
impeach him tomorrow." And, Maher said "When the Republicans impeached (Bill] Clinton, his
approval ratings shot up 10 [percentage]points, to 73,"Maher argued. "Obama's approval is at 41.
He could use a little of that impeachment mojo. So go ahead, haters. Make Benghazi your big issue,
please. Put Barack Obama back on the ballot in 2014, so he can kick your ass a third time."
The fact that Republicans are seizing on the attack as a talking point again, Maher said, meant that the
Affordable Care Act (commonly known as "Obamacare") was working. "Logic, however, not as much,"
Maher said. "Because if you ask [conservatives] to explain what the Benghazi crime is, they still
cant It's just some blather about `Don't you see? If it was terrorists, instead of what he said, act of
terror, then Obama is weak and Mitt Romney gets to be retroactive president.'" But logical
arguments don't matter in today's GOP, Maher explained, attributing their rhetoric to the party
catching syphilis in 1994, leaving it untreated and reducing it to "the drooling andfrothing stage
today." "It's like trying to relate to someone who's tripping when you're not,"Maher said. "Sorry, we
don't see the spiders." If you didn't see it, I invite you to view Bill Mather's challenge on the above link
One of the striking stories in the American economy over the last several decades is just how much the
incomes of the super-rich have grown, compared to the incomes of everyone else. But what if the focus
on those super-rich — the top 1 percent of all earners — has overshadowed a larger, more troubling
gap: the widening one between college graduates and workers whose education stopped after high
school? That's the argument MIT economist David Autor makes in a brief research paper out
Thursday — that "the growth of skill differentials among the 'other 99 percent' is arguably even more
consequential than the rise of the 196for the welfare of most citizens." By Autor's calculations, if you'd
taken all the income gains that flowed to the 1 percent over the last 35 years and redistributed them
evenly to everyone else in the economy that would have delivered an extra $7,100 a year to every
household in the bottom 99 percent. That's a lot of money. But it's not as much as the growing pay
differential between workers who went to college and those who didn't.
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In the last 35 years, he calculates, the so-called college premium — the boost in your paycheck from
earning a diploma — increased by $28,000, adjusted for inflation. So if you took that entire increase
and redistributed it to non-college workers, you'd be giving them a raise four times the size of the 1
percent redistribution.
As he described it in an interview:
Imagine two people, average people, four people who go to the same high school, two men, two
women. One of the men and one of the women decide to go to college, and one of the men and one of
the women decide to call it off in high school. Let's say that happens in 1979... at the time, they could
have expected the college graduate family would earn about $30,000 more a year than the high school
grad family...
Now, roll the tape forward 23, 24 years, and that annual gap has expanded from $30,000 to $58,000.
So, almost doubled. So what might have looked reasonable in 1979 now looks like a bad bet.
Contrasting that increase with the growing income share of the 1 percent isn't exactly apples to apples.
But Autor says it should be sufficient to challenge Americans' perceptions of inequality — and push
policymakers toward more efforts to lift lower-skill workers up. "I don't mean to say the 1 percent
thing is not a big deal. It is," he said. But the "real reason to worry about inequality," he added, is
"because of thefalling bottom."
Autor has spent much of his career tracking the forces that have hurt workers and incomes at the
bottom, most notably outsourcing and automation trends that have reduced the value of physical labor
and increased the value of brainpower. (In this paper, he notes that workers have also suffered
because of steadily reduced power to bargain for better wages.) Workers have been relatively slow to
catch on, he says — but there's hope. "Prior cohorts of U.S. students, particularly males, were slow
to react to the rising return to education during the 198os and 1990s," he writes in the paper, "but the
message appears to havefinally gotten through. During thefirst decade of the 21st century, the U.S.
high school graduation rate rose sharply after having been essentially stagnant since the late 1960s.
This unanticipated rise wasfollowed just a few years later by a surge in college completions." As
such. there is a case that a college education may be the biggest reason for social and economic
inequality in America.
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The Republicans have wanted a scandal since the first day of President Obama's Administration and
now they have one, except you/they can't just blame it on Obama. The scandal that I am talking about
is actually a scandal within a scandal, as it started out when a whistleblower exposed that the Veterans
Affairs hospitals in Arizona were cooking the books to hide the fact that our returning veterans from
Afghanistan and Iraq had to wait up to one and a half years before seeing a doctor. And although that
in itself is egregious, the deeper and potentially more dangerous problem (and potential scandal), is
the way veterans are being treated for PTSD. One of the residual/after effects of any war is PTSD. In
the Civil War we called it solider's heart. In World War I it was changed to shell-shocked. And
then in World War I I battle-fatigue. Now we have soldiers coming back from the wars in
Afghanistan and Iraq suffering from a condition called Post Traumatic Stress Disorder.
In 2001, the General Accounting Office issued a report warning that wait times for medical services at
VA clinics were excessive — and dangerous. Since that time, wars in Afghanistan and Iraq have
created a whole new generation of veterans. Advances in battlefield medicine have allowed more
fighters to survive serious injuries, but that has also meant more returning home with wounds and
disabilities, both physical and mental. Even though the total number of veterans has been declining, as
the World War II generation passes on, the number of veterans seeking care has been increasing —
placing further strains on the system. Lawmakers screamingly most loudly right now seem blissfully
unaware that the need for VA services is a direct by-product of wars they supported even more
enthusiastically.
But demand alone doesn't explain the VA's problems. Antiquated, sclerotic bureaucracies are also part
of the story. Veterans who wish to use VA health services must first apply. They also must get
determinations about what kinds of disabilities they have—and how they got them. Those
determinations are important: Veterans who lost limbs in battle, for example, get priority for services
over those who served stateside without injury. The application files are still on paper, creating a huge
backlog. The process also inflates wait times for actual medical services, since the disability
determinations frequently require tests and checkups at VA medical facilities.
It has estimated that more than a quarter of a million vets have sought treated for PTSD and 22
veterans a day take their own life. As such, we have an urgent health crisis facing our recently returned
veterans and the story is ugly with tens, if not hundreds of thousands returning vets struggling for
reentry into civilian life. Many are estranged from their families, unable to get jobs, homeless and
addicted to drugs, prescription and otherwise. They are broken and unable to connect to family,
friends and the lives that they had before going to war. Human beings are used to living in a certain
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environment. If you introduce anything into that environment that is very thematic, very different
from what they are exposed to, they are going to experience Post Traumatic Stress afterwards.
Therefore 99% of people who go into combat come back with post thematic stress, as it is a normal
reaction to being in an abnormal environment. And with the Department of Veterans Affairs medical
budget of $58 billion at an all-time high you would think that we would be moving to more
sophisticated care but the results are going in the wrong direction. Between 2009 and 2011 (the most
recent years to the date it is available) the number of veterans under the age of 3o who committed
suicide increased by 44%.
Making a transition from the military world back into the civilian world is very difficult causing stress.
And if you really want to interfere with that transition, medicate them. Which is exactly what the VA is
doing. Between 2008 and 2013 there was a l00% increase in the number of psychotropic drugs
prescriptions issued to active duty soldiers changing the brain chemistry which will interfere with the
normalizing of them moving back to the civilian world. The after effects of these drugs are anger,
hostility, poor judgment, depression and suicide making reintegration back into civilian life extremely
difficult for many returning vets. Still these vets are chemically shackled to these psychotropic drugs,
as it is almost impossible for them to wean themselves of them without a lot of support and
professional supervision. The scandal is that veteran's narcotics prescriptions are being renewed
month after month, months on end, sometimes for one to two years without any examination to assess
the underlying cause. And whistleblowers are saying that this is endemic throughout the entire VA,
"where quick and cheap is rewarded of a good and through."
Forget this being the VA, the first rule of medicine is "to do no harm." And when copious amounts
of large doses of opiates are being prescribed inappropriately for PTSD serious harm is being done.
What is recommended is psychotherapy, SSRIs (Selective serotonin reuptake inhibitors),
antidepressants and multiple other opioids. While narcotics are very cheap, enabling doctors to see
high numbers of patients in a short amount of time for relatively little or no cost. This has led to a
prescription meds addiction for tens of thousands if not more for these PTSD patients with some
receiving thousands of prescribed opioids in multiple combinations on a monthly basis. Therefore it is
hard to understand how any medical institution in good conscience can perpetuate a therapy that is
this harmful to the people they are supposed to serve. Let's remember that the VA serves the people
that served us. The VA motto: TO CARE FOR HIM WHO SHALL HAVE BORNE THE
BATTLE AND FOR HIS WIDOW, AND HIS ORPHAN. Abraham Lincoln.
Obviously there are times when patients need medication but the VA should put a stronger emphasis
on counseling and therapy.... timely, right away with psychiatrist evaluating patients prior to their
return to civilian life and a revaluation of all other vets to make sure that they are receiving the
treatment and support that they need. The current system needs to be overall as too many veterans
are falling through the cracks because what is happening today is unacceptable. Today in a major city,
when a vet files a disability benefits claim they can wait 600 days. Currently 900,000 people are
waiting for the VA, and of those 600,000 have been waiting for more than 125 days for a simple
answer and that's bullshit. It is a shame that twelve years ago people in the U.S. didn't understand the
cost of war because they had plenty of money for tanks, they have plenty of money for bombs but
somehow today there is not enough money for counselors and for the treatment that is going to be
necessary for our returning veterans, who many could be addicted to drugs for the rest of their lives,
unable to hold jobs and sustain relationships. This is a real scandal and my outrage of the
week.
WEEK's READINGS
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As someone who is of the age where dementia is becoming an increasing concern I took a special
interest in an article by Shelley Emling in the Huffmgton Post - Antidepressant May Slow
Alzheimer's Disease, Study Finds. With the number of people living with dementia expected to
double to 65.7 million by 2030, any breakthrough in the Alzheimer's arena is a welcome one --
especially if it leads to a method for slowing the disease. One such breakthrough happened this week,
when researchers announced that a commonly prescribed antidepressant may be able to reduce
production of the main ingredient in Alzheimer's brain plaques.
Brain plaques are closely connected to memory problems and other cognitive difficulties caused by
Alzheimer's. If researchers can stop the plaque buildup, they may be able to stop the horrific mental
decline caused by the disease. Scientists found that the antidepressant citalopram stopped the growth
of plaques in a mouse model of Alzheimer's. What was even better is that a single dose of the
antidepressant lowered production of amyloid beta -- the primary ingredient in plaques -- by 37
percent in young healthy adults.
Even so, researchers urged caution. "Antidepressants appear to be significantly reducing amyloid
beta production, and that's exciting," said senior author Dr. John Cirrito, assistant professor of
neurology at Washington University School of Medicine, in a written release. "But while
antidepressants generally are well tolerated, they have risks and side effects. Until we can more
definitively prove that these drugs help slow or stop Alzheimer's in humans, the risks aren't worth it.
There is still much more work to do."
Amyloid beta is a protein produced by normal brain activity. When a person has Alzheimer's, levels of
this protein go up in the brain, causing pieces of it to clump together to form plaques. The researchers
have studied the impact of antidepressants on Alzheimer's before. In 2011, the researchers tested
several antidepressants in young mice genetically altered to develop Alzheimer's disease as they aged.
In these mice, which had not yet developed brain plaques, antidepressants reduced amyloid beta
production by an average of 25 percent after 24 hours. For the new study, the team gave citalopram to
older mice with brain plaques. Giving the mice the antidepressant stopped the growth of existing
plaques and reduced the formation of new plaques by 78 percent.
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In a second experiment, the scientists gave a single dose of citalopram to 23 people aged i8 to 50 who
were not cognitively impaired or depressed. Samples of spinal fluid taken from the participants over
the next 24 hours revealed a 37 percent decline in amyloid beta production. Researchers say they next
plan to study older adults who will be treated for two weeks with antidepressants to find out if the
beneficial reduction in amyloid beta is sustainable. The findings were published May 14 in Science
Translational Medicine.
In other Alzheimer's-related research this year, scientists found that chronic sleep disturbances may
speed up the onset of dementias. The good news is that you can improve your quality of sleep with
breathing techniques and other simple moves. And in a study from last year, scientists discovered new
genes linked to late-onset Alzheimer's, giving them clues on how to create better drugs to fight the
disease. If you are like me, suffering from chronic sleep disturbances, I recommend that you do a sleep
study with a specialist to address this disorder as every expert in the field now believes that it speeds
up dementia just in case a cure isn't found by the time we need it.
Why I fled libertarianism and became
a liberal
I was a Ron Paul delegate back in 2008 -- now I'm a Democrat. Here's my personal tale of
disgust and self-discovery
SALON Magazine: EDWIN LYNGAR — DEC 28, 2013
The night before the 2008 Nevada Republican convention, the Ron Paul delegates all met at a Reno
high school. Although I'd called myself a libertarian for almost my entire adult life, it was my first
exposure to the wider movement. And boy, was it a circus. Many members of the group were obsessed
with the gold standard, the Kennedy assassination and the Fed. Although Libertarians believe
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government is incompetent, many of them subscribe to the most fringe conspiracy theories
imaginable. Airplanes are poisoning America with chemicals (chemtrails) or the moon landings were
faked. Nothing was too far out. A great many of them really think that 9-11 was an inside job. Even
while basking in the electoral mainstream, the movement was overflowing with obvious hokum.
During the meeting, a Ron Paul staffer, a smart and charismatic young woman, gave a tip to the group
for the upcoming convention. "Dress normal," she said. "Wear suits, and don't bring signs orflags.
Don't talk about conspiracy theories. Justfit in." Her advice was the kind you might hear given to an
insane uncle at Thanksgiving. Then next day, I ran into that same operative at the convention, and I
complimented her because Ron Paul delegates were being accepted into the crowd. I added, "We're
going to win this thing." "Bring in the clownstshe said, and smiled before I lost her in the mass of
people.
I will never forget that moment: Bring in the clowns. At the time, I considered myself a thoughtful
person, yet I could hardly claim to be one if you judged me by the company I kept. The young lady
knew something I had not yet learned: most of our supporters were totally flicking nuts. I came by my
own libertarian sensibilities honestly. I grew up in a mining town that produced gold, silver and
copper; but above all, Battle Mountain, Nev. made libertarians. Raised on 40-acre square of brown
sage brush and dead earth, we burned our own garbage and fired guns in the back yard.
After leaving my small town upbringing, I learned that libertarians are made for lots of reasons, like
reading the bad fiction of Ayn Rand or perhaps the passable writing of Robert Heinlein. In my
experience, most seemed to be poor, white and undereducated. They were contortionists, justifying the
excesses of the capitalist elite, despite being victims if libertarian politics succeed. If you think that
selfishness and cruelty are fantastic personal traits, you might be a libertarian. In the movement no
one will ever call you an asshole, but rather, say you believe in radical individualism.
11 heinous lies conservatives are teaching
America's schoolchildren
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The right has a new plan to capture the country's youth vote: Take over public school
curriculums
If recent elections have taught us anything, it's that young Americans have taken a decided turn to the
left. Young voters delivered Obama the election: the under-44 set voted Obama and the over-45 set
broke for Romney. The youngest voters, age 18-29, gave Obama a whopping 6o percent of their vote.
Now Republicans have a plan to try to recapture the youngest voters out there: Take over the
curriculum in public schools, replace education with a bunch of conservative propaganda, and reap the
benefits of having a new generation that ca
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