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A Book Report

On Tyranny: Twenty Lessons From The Twentieth Century

Timothy Snyder

I don’t believe I have written a book report since I was a freshman in college. This is a small book that I believe is well worth your time to read.  I mean small book quite literally. It’s about 4 1/2 inches by 6 1/2 inches and only about 126 pages of fairly wide spaced text. You can read the entire book in an afternoon and still have time left over.  The book is also available as an audiobook, and it’s combined with Twenty New Lessons From Russia’s War On Ukraine. I got the audio book and listened to it as well. That will take about eight hours to complete.

I’m calling this a book report rather than a book review because I want to tell you what’s in the book rather than what I think about it so that you can form your own opinion.  First, I’ll give you an overall impression. It’s thought provoking and raises issues of concern to us today. You may not agree with it. I don’t agree with everything that he said. I found some of his 20 lessons to be redundant because I thought he was stretching to get 20 lessons for the 20th century. I also found one or two of them to be painfully obvious.  What follows is just a summary of the book. Read it and e-mail me or call me if you’d like to discuss it.  I will send the book to the first person who asks for it, but only if you promise to pass it on when you’re finished.

Doctor Snyder is a professor of history at Yale University. He specializes in Central and Eastern Europe and has spent considerable time in Ukraine. He’s the author of 15 books and reads five European languages and can converse in ten.

Preface

The book begins with a preface in which Doctor Snyder establishes the importance of historical awareness. He describes the failure of some 20th century European democracies and their descent into authoritarian rule. He uses these examples to illustrate how democracy cannot be taken for granted. He makes the argument that democracy is fragile and must be defended.  He further argues that even in the United States, the continuation of our democracy is not a given and we must fight for freedom and maintain constant vigilance over our democratic processes.

Each of his twenty lessons is contained in a separate chapter, varying from a few pages to a single sentence. 

 The Twenty Lessons

  1. Do Not Obey In Advance: Many authoritarian regimes have achieved their power from the people’s willingness to conform without being forced. Do not comply with unjust policies that are not being actively enforced.
  2. Defend Institutions: Democratic institutions such as courts, the press, and unions are an important part of a free society. We must support and defend them against attacks and subversion.
  3. Beware The One-Party State:  A multiparty system is crucial for the survival of liberty. The rise of a one-party system often precedes the decline of democratic government.
  4. Take Responsibility For The Face Of The World: The use of symbols in public spaces matters. Authoritarian regimes can shape public perceptions by co-opting national symbols and using them to create division rather than unity. Be vigilant for and challenge symbols of hate and remove these symbols from our public spaces.
  5. Remember Professional Ethics: Professionals, especially those in law, medicine, education and government service must uphold ethical standards, even when pressured to conform to the aims of authoritarian regimes. Their integrity is vital for maintaining democracy.
  6. Be Wary of Paramilitaries: Resist the rise of unofficial armed groups that support authoritarian figures. Such groups may eventually take the place of the legally constituted police and military services.  “When the men with guns who have always claimed to be against the system start wearing uniforms and marching with torches and pictures of a leader, the end is nigh. When the pro-leader paramilitary and official police and military intermingle, the end has come.”
  7. Be Reflective If You Must Be Armed: If you are part of law enforcement or the military, refuse to participate in unjust actions or repressions of the population. Ensure that those who bear arms do so with a deep sense of responsibility and ethics and a great regard for the value of democracy.
  8. Stand Out: Authoritarian regimes thrive on compliance. Demonstrate opposition publicly and show visible descent and encourage others to show resistance whenever possible.
  9. Be Kind To Our Language: Be precise in your use of language and avoid repeating the phrases made popular by authoritarian leaders. Independent thinking is facilitated by the careful use of language. Manipulation of language is a powerful tool for the control of the population.
  10. Believe In Truth: Truth is the linchpin of justice and democracy. Uphold and defend objective truths. Reject the false narratives or “big lies” spread by authoritarian regimes. Make every attempt to shed light on their falsehoods regardless of how often or loudly they proclaim them.
  11. Investigate: Seek out reliable sources of information. Support independent journalism. Identify, evaluate and encourage trusted sources. Do not accept any claims by the authoritarian regime without your personal verification. Remember critical thinking is important to resisting manipulation.
  12. Make Eye Contact and Small Talk: Build personal connections within the community to foster solidarity and resilience. Visible civic involvement demonstrates unity and a commitment to democratic principles.
  13. Practice Corporal Politics: Participate in protests, marches, and public events. Physically demonstrating support and civic engagement shows a strong commitment to democratic principles.
  14. Establish A Private Life:  Protecting your privacy from surveillance is essential. Authoritarian regimes often invade personal spaces to control and manipulate individuals.
  15. Contribute To Good Causes: Support organizations and causes that defend democracy and human rights. Both financial and moral support will strengthen resistance.
  16. Learn From Peers In Other Countries:  Understand how some nations have succumbed to authoritarianism while other nations have resisted it. Learn from their experiences and strategies.
  17. Listen for Dangerous Words:  Be alert to the use of language that demonizes opponents or glorifies violence. Such rhetoric often precedes more severe actions against targeted groups. Be sensitive to efforts to convert the population to harmful ideologies through repeated derogatory speech.
  18. Be Calm When The Unthinkable Arrives: Stay composed in moments of crisis and resist the urge to act impulsively. Authoritarian leaders often attempt to exploit chaos to seize power. Be alert for such attempts and be ready to counter them.
  19. Be A Patriot: True patriotism involves defending democratic values and principles, not blind loyalty to a leader or party.  Waving flags and shouting slogans is not patriotism. Defending democracy is the true mark of a patriot. 
  20. Be As Courageous As You Can: If none of us is prepared to die for freedom, then all of us will die under tyranny.” (That is the total of this lesson; perhaps the most important one of all.)

Epilogue

The book concludes with an epilogue entitled History and Liberty. In the epilogue Doctor Snyder discusses his theories of the Politics of Inevitability and the Politics of Eternity.

The Politics of Inevitability is the belief that history naturally progresses in a linear forward direction typically towards a better future. It assumes that liberal democracy and capitalism will inevitably spread across the world leading to a more prosperous and freer global system. Human forces are seen as predictable and human activity is often downplayed. People who live under the politics of inevitability tend to believe that the current state of affairs will persist because it represents the end point of political and economic evolution.

The Politics of Eternity, on the other hand, rejects the linear progression of history and emphasizes a cyclical view. It supposes that nations are perpetually threatened by external forces. It glorifies a supposed golden age of the past that is idealized and mythologized. It views current politics as a struggle to return to that idealized past.

I found his discussions to be more theoretical than practical. I can see aspects of both in most current societies. I invite you to please read this and I would love to discuss it. I may be missing something in his presentation of inevitability and eternity.

In Conclusion

If you are concerned about the survival of democracy, read this book.

 

Dr. Google Will See You Now (Revised)

There are few words that cause more trepidation among doctors than having a patient start off a visit by saying, “I was reading on the internet”. It’s not that we don’t want our patients to be well informed; a knowledgeable patient is an important part of successful health care.  It is what we call the therapeutic alliance.

What we worry about is what they may have been reading on the Internet. There is a lot of good information available, and I always encourage my patients to learn as much as they can about their own health issues. There are many professionally researched and peer reviewed medical websites. They include such commercial sites as Medscape and WebMD. They also include patient advocacy sites such as the American Diabetes Association and the American Heart Association. And, of course, there are the government sites such as the Centers for Disease Control and the National Institutes of Health. All these present the best available science and benefit from rigorous research and review.

That is not to say that they won’t change. Science evolves and knowledge improves. What is our best knowledge now may at some point in the future be proven wrong.  However, your best chance of getting solid information is on these well documented sites.

What I worry about are the undocumented or unverified websites that provide what can best be called rumor or conspiracy.   Any time a patient tells me,” I was reading on the Facebook page “The Truth About….,” I cringe.  Any Facebook page entitled “The Truth About…” is unlikely to contain much truth.   

False information takes on a life of its own on the internet. The big lie almost always buries the truth. Long after the article that was the basis for a false claim linking the MMR vaccine with autism was withdrawn by the British medical journal The Lancet, and long after the physician who wrote the article was found by the British General Medical Council to have falsified the data and long after he lost his medical license, the study is still quoted by many anti-vaccine people as being a fundamental truth.

Even when the authors of such false information repudiate it, people still believe it. It becomes part of the legend that “they” forced the author to remove it. No one ever explains who “they” are or why “they” want to keep the public in ignorance. Of course, there is never any source documentation or research reference.

The websites espousing false medical information may be second in number only to those espousing false political information. At times it seems that the more outlandish the claim the more readily their adherents will believe it.  It doesn’t even seem to matter that this type of information is frequently published anonymously. You would think the readers would wonder why a person in possession of such great knowledge would refuse to take credit for it. They will frequently require you to make a purchase or enter a credit card number before you’re allowed in on the secret. Clear references from reliable sources are almost always absent. If they do refer to reliable sources, check and make sure their claims are actually backed up on the site they reference.

How do you evaluate reliable medical websites?  First, they should have clear authorship; the site should identify the author(s) and their credentials. There should be frequent updates. Health information should be current. You should look for a publication or review date. There should be clear citations as reliable sites will provide references for their information. The site should be objective in tone; the content should be balanced and should not be focused on selling you something. And finally, reputable sites will have clear privacy policies on how they handle user data.

In summary, I want all my patients to be well informed and take an active interest in their health care. I encourage you to Google any medical questions you have. Just be sure that what you are reading is accurate and verified and scientifically based. Are the authors, their qualifications, and their affiliations clearly identified? Are reliable references cited?  Has the article been peer reviewed by experts in the field? Is the article little more than a cleverly prepared sales pitch?  Don’t allow conspiracy theories and “crackpot science” to have a detrimental effect on your health.

If in doubt, ask your doctor. If you don’t trust your doctor to give you factual information and prefer to consult with anonymous pseudo medical websites, then perhaps it’s time to find a new doctor.  But please, think twice before disregarding the advice of someone whose entire professional life is dedicated to your good health.

Understanding Medical Care Guidelines

An important discussion to have with your physician.

Trivia question: What are medical guidelines?  Are they rules we must follow or are they simply suggestions or are they something in between?

As we get older and have more frequent visits to the doctor, we are bound to hear one of them say, “according to the guidelines”.   To understand how the guidelines apply to you, it is important to know how and why they are developed.   You also need to know if there are ever times when you shouldn’t follow them.

At the end of this article, I’ll tell you about my experience with one specific guideline, and how strictly following it possibly could have led to a bad outcome for me. But first, let’s learn a little more about medical guidelines.

Medical care guidelines, also called clinical guidelines, come in two general classes. There are guidelines for preventative care and guidelines for the management of disease processes.

Guidelines have several goals. They are intended to improve public health by recommending evidence-based preventive and treatment measures to help reduce the incidence and severity of disease and improve overall public wellbeing. They’re designed to optimize resource utilization by preventing unnecessary treatment and screening tests. They are also intended to reduce health care disparities by ensuring that all recommended treatments are widely available and are based on the most up-to-date evidence so that health care across the nation is at a uniformly high level of quality.

Sources of Guidelines

Preventative care guidelines have to do with such things as cancer screening, cardiovascular health, vaccinations and immunizations, and lifestyle improvement such as diet and exercise recommendations. Disease management guidelines are developed to ensure the best possible treatment for diseases such as hypertension, diabetes and pulmonary disease.

Guidelines are developed by physician groups such as the American College of Physicians and the American Academy of Pediatrics. They are also developed by advocacy groups such as the American Cancer Society and the American Diabetes Association. Government organizations such as the Centers for Disease Control and Prevention and the National Institutes of Health also develop and promulgate medical care guidelines.

The United States Preventative Services Task Force (USPSTF) is an independent panel of experts in prevention and evidence-based medicine. They issue recommendations on a wide range of preventive services including screenings, counseling and preventative medications. The USPSTF rates medical care recommendations from Grade A, those with a high certainty of substantial benefits, all the way to Grade D, those services that are not recommended due to having no benefit or having harm that outweighs benefits.  Their recommendations can be viewed at www.uspreventiveservicestaskforce.org.

Preventative care guidelines

 Preventive care guidelines are designed to help identify and mitigate potential health issues before they become significant problems.   They help to ensure adequate screening for significant disease processes. They are also designed to help avoid unnecessary screening which may lead to unnecessary treatment and cost.

Preventative care guidelines include such things as mammogram recommendations, colonoscopy recommendations, blood pressure and cholesterol screening, and prostate cancer screening.  Preventative care guidelines also include recommendations for vaccinations both for children and adults. Recommendations on diet and the use of vitamins and supplements are one area where the guidelines seem to change frequently.

Treatment guidelines

Treatment guidelines provide a roadmap for managing specific medical conditions. These recommendations encompass diagnostic procedures, therapeutic interventions, and follow-up care to ensure optimal patient outcomes.

Treatment guidelines include recommendations for such things as initiation of blood pressure management and diabetes managementThey provide recommendations for diagnostic modalities and specific medications and dosages.

For example, treatment guidelines include blood pressure levels at which medication should be started, the goal of treatment and specific medication, depending on what other medical conditions the patient may have.  Similarly, there are blood glucose management recommendations for diabetics that are tailored to specific patient populations.  The use of bronchodilators and pulmonary rehabilitation and oxygen therapy for lung diseases are also the subject of a series of guidelines.  Treatment guidelines continually evolve as new medications are developed and our understanding of disease processes improves.

Understanding the variability in guidelines.

While the guidelines developed by the various organizations share a common goal of improving patient care, their methodologies and focus areas can differ, reflecting diverse perspectives and priorities within the medical community. There’s not a single set of guidelines that are fixed across all specialties. While the various guidelines are generally in agreement, some may have slightly different recommendations for such things as the onset and aggressiveness in treating hypertension or diabetes. There may be variations in the guidelines for diagnostic testing such as mammograms or colonoscopies.  For example, the USPSTF recommends biennial mammograms for women aged 50 to 74, whereas the American College of Surgeons advises annual mammograms starting at age 45 and transitioning to biennial screening at 55. The discrepancy lies in differing interpretations of the balance between benefits and harms of more frequent screenings.

Some guidelines may also become outdated, not reflecting new medications or new treatment plans.  Even where there are variations, all guidelines strive to be evidence based, patient centered, and up to date.

Additionally, guidelines need to be individualized to meet the needs of each patient. The overall guidelines are based on the most effective health care for the population as a whole. Some patients may require specialized screening or treatment. For example, women who have a family history of early onset of breast cancer or of genetic mutations may require screening at an earlier age or more frequent screening. Men with a family history of prostate cancer at a young age or of a particularly aggressive prostate cancer may require earlier screening including biopsies or may need screening beyond the age that general guidelines recommend screening is no longer necessary.

My Experience

Several years ago, I received a diagnosis no one wants to hear. Cancer!  Prostate cancer to be specific. Thanks to two skilled urologists, I’ve been cancer free for five years.

But it might not have had a happy ending. Please indulge me and let me tell you my story. I think it will be worth your time.

It starts with the PSA, the prostate specific antigen.  This is something every man over 40 should know about and every man over 50 should consider getting checked.

So, what is the PSA? It is a protein that is produced by both cancerous and normal cells of the prostate gland. It can be elevated by prostate cancer but it can also be elevated by prostatitis (an infection of the prostate) or an enlarged prostate (benign prostatic hypertrophy). It is checked through a simple blood test your family doctor can order as part of your annual work up.

What are the recommendations for the PSA? The USPSTF has the following three recommendations: (1) consideration of annual screening for men aged 55 to 69 with no family history of prostate cancer; this should be a shared, informed decision between the patient and his physician; (2) for men who have a significant family history of prostate cancer consideration should be given to screening beginning at age 40; (3) for men over 70 years old they recommend against screening for prostate cancer.  Please note the phrase “consideration of screening”.  This is not a firm recommendation.

 A PSA test can have false positives that may lead to unnecessary biopsies or surgery. Only about 25% of men who have a prostate biopsy are found to have cancer.  Although, it is important to recognize that a prostate biopsy does not test the entire gland. It takes samples from several areas of the prostate. It is possible, though unusual, that a cancer could be missed in the biopsy process

Additionally, most prostate cancer is very slow growing. Most men who have prostate cancer later in life will generally die of something else before they would die of prostate cancer.  However, a small percentage of men will have a high-grade prostate cancer that can progress rapidly and cause their death.

I’m going to use my personal experience as a way of explaining why it is important to have a discussion with your physician about guidelines.  The week before my 70th birthday I went in to get my annual physical. In our clinic we have a “birthday panel”, a set of blood tests that we draw for people annually for their physical exam.  I had not planned to have my PSA checked since it was not recommended by either the USPSTF or the American Academy of Family Physicians for 70-year-olds. However, it had slipped my mind that a PSA was part of our “birthday panel”.

My PSA came back slightly elevated. Since it was a very minor elevation, I followed the guidelines and waited six months and repeated it. At that time, it increased only a small amount. The guidelines suggested repeating it again in six months. I have to admit though, I have never been a wait-and-see kind of guy. I scheduled an appointment with a urologist.

The urologist and I discussed the options. He told me that the elevation was slight, and we could wait and repeat it in 6 months or if I wished we could do a biopsy. I decided on a biopsy and then after receiving the biopsy results and having further discussions, I eventually decided on surgery.  It was my decision, as it should be, made in consultation with my physician and my family.

The post-operative pathology report said that there was a high-grade carcinoma that apparently had been missed by the biopsy. It had extended beyond the capsule of the prostate. Fortunately for me it had not metastasized and had not spread to the lymph nodes, nor had it extended beyond the fat layer surrounding the prostate. Had I followed the guidelines and waited another year or even six months for a repeat biopsy, it is possible that the outcome may have been different.

What’s the bottom line?

 Does my experience mean that the guidelines should be ignored?  Far from it, I made an informed decision, in conjunction with my physician, on what was best for me. Additionally, I have followed the guidelines in the management of my hypertension and high cholesterol.

Healthcare guidelines are essential in promoting preventive care and effective treatment and in helping clinicians provide high-quality, evidence-based care. But the guidelines are just that, guidelines they are not “set in stone” rules for healthcare. It’s important for you to discuss your health care with your physician.   Be an informed health care consumer. Ask how the guidelines are being used to manage your health care and how they may be affected by your family history or personal history. You and your physician should be involved in joint decision making. Your individual plan will generally follow the guidelines while having some variation based on what is the best care for you.  And that’s what the guidelines are all about, making sure we are able to provide the best possible health care for all of our citizens.

A Thought For Today

A lie doesn’t become truth, wrong doesn’t become right, and evil doesn’t become good, just because it’s accepted by a majority.

Booker T. Washington

More Than Just Fake News: The Pernicious Effect Of Modern Propaganda

Propaganda does not deceive people; it merely helps them to deceive themselves.  Eric Hoffer

What is propaganda?

Propaganda! The very word conjures up images of sinister people involved in nefarious activities meant to delude the innocent. But this has not always been the case. Propaganda has, through much of history, been view as information, though frequently of a biased or misleading nature, used to promote or publicize a particular political cause or point of view.

Propaganda has always involved exaggeration and omission in order to achieve a specific goal.  It was intended to shape beliefs and attitudes without actually lying to the listeners. At its core, there was a basis of truth.

We generally think of propaganda as the domain of governments.  But, in its broadest definition, advertising might be considered as propaganda. It’s intended to create the impression that specific products contribute real advantage to your life.  Drinking a specific beer will make you have a better time. Driving a certain car will show that you are more environmentally concerned. Wearing specific clothes will make you more popular.

It wasn’t until the 20th century that the incorporation of falsehoods, deception, and other activities intended to create a totally false impression and to promulgate untruths became the mainstay of propaganda.

Phillip Taylor in his book “Munitions of the Mind” presents an excellent history of propaganda from its origins in the early years of civilization through its rapid evolution in the 20th century, to its infiltration of all aspects of society in the 21st century.

Propaganda began as early as ancient Mesopotamia when the boastings of kings were inscribed on stone monuments. It continued, principally as a way of monarchs justifying their rule up through the 19th century.

The earliest use of the term propaganda was in the early 17th century when the Catholic Church, wishing to spread Catholic doctrine, support the faithful and counter the protestant reformation, established the Congregation for the Propagation of the Faith (Sacra Congregatio de Propaganda Fide).

World War I saw the beginnings of the disconnection of propaganda and truth. Both sides in that war created knowingly false narratives to bolster civilian morale and increase the fighting spirit of their soldiers. World War II took this process to a whole new level as false propaganda was used to justify mass murder and enslavement of an entire continent.  In the 21st century propaganda techniques have been raised to a new level of technical sophistication. Social media, artificial intelligence and modern psychological techniques can create images, sounds and documents completely unrelated to reality but almost impossible for the average person to recognize as false.

Elements of propaganda.

One of the classic elements of propaganda is repetition, the more a statement is repeated the more likely people are to believe it. There is a concept called “illusory truth effect” where the more you hear a statement, the more it feels true.

In past centuries, reference was made to respected people in authority to give credence to statements.  Over the years, this has evolved into celebrity endorsements and continues to expand with the recent emergence of instant celebrities in the form of social media influencers.  

Emotional appeals have always been a significant part of propaganda, emotions being more easily manipulated than facts. The audience is encouraged to react rather than think.

Simplification is also a central tenant of propaganda; complex ideas are reduced to simple slogans that can be repeated over and over again.  Slogans that are catchy and clever will encourage people to repeat them without considering their true meaning.

The repeated use of slogans contributes to the bandwagon effect, a critical propaganda technique for creating the impression of widespread acceptance. The more a person believes everyone else supports the program, the more likely they will be to support it without detailed personal analysis. 

Evolving propaganda.

In the early years of the 20th century, propaganda began to take a more malicious path. It began to lose a grounding in truth, except where necessary to sell the lie.  As propaganda evolved through the first few decades of the 20th century it became a specialized and highly effective weapon of statecraft.

It’s important to recognize that the ultimate goal of propaganda is not merely manipulating opinions and beliefs. It is a tool for obtaining and using political power.

The following quote, which I will leave unattributed, underlies the objective of propaganda from the mid-20th century on.

 “All propaganda has to be popular and has to accommodate itself to the comprehension of the least intelligent of those whom it seeks to reach. The great mass of the people will more easily fall victim to a big lie than to a small one. If you tell a lie that is big enough and tell it frequently enough, it will be believed.”

Propaganda in Action

A propaganda program that is designed to achieve political goals has several key elements.

The Target

The first step is to decide on the target population. These are the people you wish to cultivate as supporters and whom you wish to manipulate into specific actions. It’s important to understand what they consider to be their critical concerns. Whether you share those concerns or not isn’t important if you are able to convince the target population that you care about them and that you will meet their needs. Once you have analyzed the concerns of your target population you can develop your message to best appeal to and manage their opinions.

The Leader

The second element is to create a cult of personality around the leader. Generally, the leader will be a charismatic and effective speaker. On other occasions, he simply may be someone they would “like to have a beer with”. If a bond can be created it doesn’t matter how. The leader doesn’t have to have a true concern for the target group as long as they believe he does.  Once the leader and the target group have bonded, he will have an easier time manipulating them.  The stronger they are connected to him personally, the less scrutiny they will give to his ideas.

The Others

The next element is to identify the “other” group that will be the focus of attacks. The first step is to create fear of this group. Once your target population has developed a significant fear of whatever this group may be accused of, be it crime, immorality, or “unAmericanism”, a program is put in place to demonize them. The purpose of the early program is to generate a high level of unreasoning fear of this group within the target population. Fear is difficult to control, so once this stage has been reached, the fear must be converted to hate through repeated attacks blaming the “others” for every grievance the target group has experienced. Hate is easier to focus and to direct.  People can be more easily rallied to action, even violence, in response to hate.

Action

Once hate of the “other” group has been raised to a significant level, your target population can be moved to action. Be that unquestioning acceptance of ideas, voting for whatever candidates you identify, or even resorting to violence to suppress the “others”. 

This is the stage where real political power begins to flow from your propaganda program.  Your supporters have given up all efforts at critical thinking and blindly accept whatever orders you give in the misguided thought that you are concerned about them and their needs and are doing what is best for them and the country.  They have become the weapon for implementing your agenda.

Conclusion

For those of you with an appreciation of history, this should resonate not only with the 20th century but with current events. If you would like to know the source of the quote I gave at the beginning of this section, contact me. 

Having seen the effects of modern propaganda on our society, I am left in great despair.  In a future post I’m going to be discussing how social media has significantly increased the rate of spread and the effectiveness of propaganda and other disinformation programs.

The Agony of Presidental Elections

Over the past several months I have become increasingly discouraged as I watch the sad spectacle of the presidential election play out in the newspapers and on the electronic media. It seems the candidates are more interested in serving themselves than in serving the people. Each is convinced that he is the only one who can save the country. While one is obsessed with regaining the power of the president, the other is reluctant to relinquish it.

This has left me wondering if there’s not a better way to elect the president. As everyone knows we elect a president for four years and then they can be reelected for an additional four years. But this was not always the way our electoral process has been structured.

A brief history of presidential terms

Perhaps second only to slavery, the office of president was one of the most controversial subjects at the 1787 Constitutional Convention. There were extensive debates about the structure of the office, the power of the chief executive, and even if it should be a single person.  There was a proposal put forward by Edmund Randolph of Virginia for a three-person executive committee to head the government. 

There were proposals for a short-term presidency of one or two years, arguing that more frequent elections would ensure the chief executive was more responsible to the people. There were also proposals for longer terms such as 7 or even 15 years. The intent of longer terms was to provide the president with independence from the influence of special interests and provide for more stable government.

There is a popular misconception that Alexander Hamilton favored a president for life. While he advocated for a strong presidency with certain aspects of a monarch, he also recognized the importance of a fixed term and the provision for impeachment to safeguard the country against abuse of power.

After it became clear to most delegates that George Washington would become the first president, the convention decided on a four-year term for the president. The constitution as originally adopted did not explicitly state that the president can be reelected, nor did it prohibit reelection.  Not all delegates were in favor of allowing the president to be reelected because they felt it would result in too much power being consolidated the hands of the single person.  As often happens in politics, no decision was made, and the Constitution as adopted was silent on reelection.

The issue of term length did not end with the ratification of the constitution. The first proposed constitutional amendment to change the length of the presidential term was introduced in 1808. Since then, multiple amendments have been proposed to extend the term to five, six, seven or even eight years. By the early 1900s the single six-year term had become the dominant idea being proposed. Amendments to change the term of the presidential office were introduced as late as the 1990s. Although persistent in their reappearance, none have ever had any realistic chance of being approved.

 George Washington set the precedent of serving only two terms by retiring to Mount Vernon at the end of eight years in office. This pattern was followed until Franklin Roosevelt ran for a third and then a fourth term.  After Roosevelt’s death, the 22nd Amendment to the Constitution was passed by Congress in 1947, and ratified in 1951, limiting the president to two total terms in office. 

Other countries have different patterns for their chief executive’s term of office. Parliamentary countries have no set term. Elections can be called, and the chief executive removed from office whenever confidence in the government has fallen, and the public demands a change.  Other countries such as Mexico, the Philippines and Chile have a single six-year term for president.

If we were to consider a single six-year term for the US president how would that change things. Let’s look at a few of the pros and cons.

The arguments in favor of a single six-year term

The president would be relieved of the burden of an almost constant reelection campaign. With a single term, a president can focus on policy and governance without being distracted by the next election cycle. This may lead to bolder, more decisive leadership, unencumbered by the need to cater to special interest groups. Those groups may be less inclined to make large political contributions knowing that they hold no future sway over the actions of the president.

There may be potential for greater continuity in policymaking. Presidents could be more inclined to tackle unpopular long-term challenges head-on, rather than deferring them to a second term or even to their successor. The president may be more likely to engage in bipartisan programs knowing that there is no need to appease party radicals during a reelection process.  The president could be more likely to engage in long term planning rather than worry about what will look good in the polls in the short term. This may result in fewer political decisions made just to improve reelection chances.

Not having to run for reelection would also give the president more time to work for the country and the citizens. The time and the effort put into planning campaigns, making speeches, and attending reelection events could be spent improving the government and the country. If the president has more time to work closely with Congress, then there could be less gridlock in Washington.  In sum, the single six-year term may allow the president to be the statesman they all claim to be.

The arguments against a single six-year term

A single six-year term could diminish the accountability of the president to the electorate. In a traditional two-term system, presidents are incentivized to deliver on their promises and perform effectively to secure re-election. With only one term to serve, there may be less pressure for a president to maintain high levels of performance throughout their tenure. This could result in complacency or a lack of motivation to pursue ambitious reforms, knowing there won’t be a chance for the electorate to hold them accountable.

A single six-year term could disrupt the balance of power between the executive and legislative branches. With the absence of a potential second term, presidents may become more inclined to bypass Congress and govern through executive orders and unilateral actions. This could lead to increased polarization and gridlock, as Congress may resist executive overreach, exacerbating tensions between branches of government.

If the president proves to be inept or not acting in the best interests of the people and the nation, six years is a long time for that person to be in office. The only option would be impeachment and we know from recent experience that impeachment is a long and painful process frequently generating more ill will than good results.

And in conclusion…

So, would a single six-year presidential term be a good thing or a bad thing?  Would it help us get out of our current political mess?

Perhaps it would have no impact at all. Perhaps it’s not the length of the presidential term, the number of terms the president serves, or even how we elect the president. Perhaps the real problem lies with us. It doesn’t matter how we elect our president if we don’t do a better job deciding who the candidates will be. It’s been said many times that people get the government they deserve. We all complain about it and yet we continue voting for the same type of people year after year. 

Of all the people to blame for the current political situation, the one in the mirror is the one to whom we should look first.  Because, after all, that’s the only person we can control.

And that is my grumpy opinion.

Even More Fun With AI

Since I’m easily amused, I’m still playing with the AI image generator DALL-E. I wanted to take some time to show you just how easy this is to use. All these images were generated on the requests shown below. The only ones I’ve modified or edited are the ones in the series to demonstrate an edit. You will usually get two versions with each request. You can save either one or both. You can generate up to 50 images a day. I’ve hit my limit more than once.

I generated the image above using the following command. In a cartoon style, generate images of a man dressed as an artist, wearing a beret and a smock, and holding an artist palette and brush. On the easel, have a computer screen with a picture of the same man.

It only takes a little bit of change to get a completely different feel to your pictures. I created the image below basically by saying in a realistic style as opposed to in a cartoon style.

Generate an image in a realistic style of a man dressed as an artist with a smock and beret, holding a palette and a paintbrush and standing in front of an easel with a computer screen in a messy studio.

Now, let your imagination soar and see what you can come up with. I’m going to make up a few commands now and see what develops.

In a surrealistic style generate images of a young boy with pale green skin and feathers on his arms soaring with fantastical eagles over a fantasy landscape of canyons and forests.

In a realistic style, generate images of an African American woman in a sophisticated business suit and carrying a briefcase. Place her in a whimsical background with fantasy creatures, such as elves, fairies, and unicorns.

In a steampunk style, generate images of a doctor examining a patient with a stethoscope. Have the patient have a third eye in the middle of his forehead.

In an abstract style, generate images of a man and a woman sitting in chairs facing each other. Have the man smoking a cigar and have the woman with purple hair.

In a style reminiscent of the French impressionists, generate images of young people in colorful outfits, dancing on an outside patio.

In a cubist style generate images of baseball players.

DALL-E offers the capability to edit your pictures. However, as you’ll see from the series below it actually generates new pictures with slight variations based on your requests for edit.

In a cartoon style generate images of a young man walking down a sidewalk on a sunny day. Have him in a suburban neighborhood with trees and flowers and well tended lawns and houses.

Change the neighborhood to urban with cars parked on the street and the sky overcast.

So far, the changes seem to be fairly consistent and go along with the general style we requested. Let’s make a couple of big changes and see what happens.

Have him look disheveled and scruffy. Make the neighborhood run down with trash in the streets. Have him carry a whiskey bottle and a cigarette.

I think it’s right on with this one.  It got the feel I was looking for.

Now for my last picture, I’m going to let my imagination run wild and try to come up with these strangest and most bizarre images I can imagine and see if DALL-E matches or exceeds my ideas.

In a dystopian style with a post-apocalyptic background, generate images of an emaciated Santa Claus jumping rope while talking to an Easter Bunny with vampire fangs and a leprechaun with claws. Add any other menacing characters you think may be appropriate.

I couldn’t decide which one I liked best, so I decided to use them both.  I’m not sure what it says about me that I like these images.

I couldn’t resist trying one more edit.  I asked DALL-E to generate the above image in cartoon style.  It sent me this response: I encountered some issues while trying to generate the cartoon-style images. Please let me know if you would like to try a different request or if there’s anything else I can assist you with.  Perhaps it thought cartoon style would attract children and the subject matter was a little too ghoulish for kids.  After tweaking the prompt a couple of times, I got the following image:

Maybe they were right the first time.

Give it a try.  I think you’ll have as much fun as I do.

Doctor’s orders!

New Myths Arise

So why should we consider myths as anything but an anachronistic curiosity since we consider ourselves a rational and scientific society? Because the willingness to believe in myths is as strong today as it has ever been. While belief in Olympian gods, elves, and fairies has faded away new myths have arisen. Since the late 1800s, at least two new myths have spread in the United States.

The Golden Age of America

Our political situation today has much to do with belief in the Myth of the Golden Age of America. I strongly believe that the United States has been and continues to be the best hope for personal freedom in the world today. But the idea that at some time in the recent past everything was wonderful for everyone is a myth. In this “Golden Age” to which some people wish to return, women, minorities, gays, and the disabled were clearly discriminated against.

One key contributor to the Golden Age Myth was the economic boom that followed World War II. The United States was a global industrial leader and the economy showed significant gains in jobs, wages, and consumer goods. The middle class was expanded, college education rose due to the GI Bill, and home ownership reached new levels. However, these advantages did not reach all members of our society.

Racial minorities continued to be actively discriminated against. Segregation, particularly under the Jim Crow laws in the South, limited economic, social, and political opportunities for our Black citizens.
Women’s roles and opportunities similarly were significantly constrained. Women were expected to take a domestic role over professional or personal aspirations. Even women who obtained advanced college degrees were expected to stay at home and raise their family or to take “appropriate” jobs such as secretaries, teachers, or nurses.

Reaction to the Golden Age Myth led to movements such as women’s liberation and the civil rights movement, both followed shortly by gay rights and the advocacy for the disabled. The Golden Age seems to have existed principally in popular television shows such as Ozzie and Harriet or Father Knows Best. In short, this “Golden Age” was not golden for everyone.

The Lost Cause

This myth arose in the South in the late 19th and early 20th centuries though it had its origins while the war still raged. According to the Myth of the Lost Cause, the Civil War had nothing to do with slavery. It had to do with the southern states fighting for their individual state rights and their prerogatives of self-government. They were fighting against northern aggression that was trying to destroy the southern way of life. Most Confederate soldiers were poor farmers who neither owned nor could afford slaves. They had to be convinced that they were fighting for their way of life against a malicious union army that was intent on invading their homes and forcing “northern ways” on them. The soldiers had to be distracted from the fact that they were fighting, suffering, and dying to protect the way of life of the wealthy slave owning aristocracy.

The evolution of legend was also involved in the creation of this myth. Robert E. Lee and Stonewall Jackson were idealized as true southern gentlemen struggling in a glorious but doomed battle against overwhelming odds.

Of course, it completely ignores the fact that the southern way of life and those state rights were predominantly based on slavery. A critical element in this myth is that slavery was good for the slaves. We continue to hear this stunning falsehood from politicians today as they try to describe slavery as a little more than job training.

Many historians today agree this myth is an intentional distortion of historical facts. The Lost Cause Myth reached its fully developed form in the years surrounding the turning of the 20th century and was intended to change the historical narrative of the South’s role in the Civil War by minimizing the central role of slavery in the origin of the conflict. This revisionism was part on the broader social effort used to justify segregation, Jim Crow laws, and white supremacy.

The Lost Cause is a compelling example of history being reshaped by myth and legend. It shows how over time people can come to accept those things that most support their personal beliefs despite evidence to the contrary. It continues to dominate much of our current debate about race relations, voting rights and social welfare policies. However, today open advocacy of the Lost Cause Myth is in the background and it is seldom mentioned by name though its tenents are reflected in the opinions and statements of many .

Why believe in myths?

So why do we have a widespread belief in these myths? There are several reasons people persist in a false belief even after it has been largely disproven.

The most obvious reason is that myths meet emotional needs. They can be deeply ingrained in a person’s identity, beliefs, and values. When the myth is tied to political or religious beliefs people will be resistant to change even in the face of contradictory evidence. Admitting a previous error of belief is, in some ways, viewed as a form of weakness.

There is also a condition called confirmation bias. People are inclined to seek out and accept without question things that confirm their pre-existing beliefs and opinions. They ignore anything that is not consistent with an already held position.

When presented with information that conflicts with previously held opinions, people can experience what is known as cognitive dissonance. This is the emotional distress that people feel when attempting to hold two contradictory ideas or when trying to reconcile new information that challenges their behaviors or previously held ideas. To reduce this distress people either ignore or in some cases violently reject anything that conflicts with what they previously believed.

Critical thinking skills involve objectively evaluating evidence, identifing inconsistencies, and appling reasoning skills. Critical thinking isn’t always a natural process. When I was in high school, we were expected to memorize facts and then duplicate them on tests. I don’t remember even hearing the term critical thinking until I was in graduate school. Even then, I’m not really sure I understood how important it is to develop a personal understanding of facts and events and how difficult it would be to aquire those skills.

Teachers now make an effort to teach critical thinking skills. But it can be difficult for students to translate those skills into their life outside the classroom. Perhaps many of them may think of critical thinking the way they think of algebra, something they must do in school but won’t ever use in their everyday life. A well-informed citizenship requires all of us to encourage critical thinking practices. We need to ensure that our young people are reading and listening and using those skills outside the classroom. It’s easy to say, but venturing out of our comfort zone can take strength and purpose for all of us.

We can quickly fall into the habit of listening to or reading only a narrow range of opinions from a limited number of sources. It is particularly easy when those sources don’t challenge us to think or to analyze. It is too easy to reject new information rather than trying to evaluate and reconcile it with our previously held beliefs.

Obviously, these reasons are not mutually exclusive and are melded into a continuum of reasons for the rejection of fact in favor of myth.

Both the Lost Cause Myth and the Golden Age Myth arose much quicker and for a more limited purpose than did the classic myths. In this way the evolution of these myths has much in common with the concepts of propaganda. In my next post I will be looking at the difference between lies and myths and how both relate to propaganda and how it has evolved in modern times.

The Power of Myth and Legend

A brief history of myths and legends

This is the first in a series of posts on myths, legends, lies, and propaganda. Above are illustrated Thor, Paul Bunyon, and Zeus. Instinctively we know Thor and Zeus are myths and Paul Bunyan is a legend. But how do we know that?

Let’s start with the Merriam-Webster definitions.
Myth: “a usually traditional story of ostensibly historical events that serves to unfold part of the world view of a people or explain a practice, belief, or natural phenomenon”. Legend: “a story that comes from the past, especially one that is popularly regarded as historical but not verifiable. Legends are also traditional but unfounded stories that explain the reason for a current custom, belief, or fact of nature.”

As with many dictionary definitions, these are broad and give the general concept without developing any detail. One important element is included in the definition of both; they are based on traditional stories that have evolved through shared historical experiences and understandings. They are generally not created as a single fully developed narrative. Almost all cultures have a tradition of myth and legend. For example, the “creation” myth is surprisingly similar among diverse societies.

So, how do we differentiate between the two?

Myths are primarily religious or spiritual in nature and evolve to help people understand the mysteries of the physical universe. They typically involve supernatural beings represented as “gods”. For example, early people did not understand that the rotation of the earth caused night and day. As a way of dealing with this they created the myth of a god driving a flaming chariot across the sky.

Legends, on the other hand, are usually based on a historical person or are, perhaps, a synthesis of several people into a single legendary figure. They are less about the supernatural or divine but more about human heroes who accomplished extraordinary deeds. Legends evolve over time with the hero frequently accomplishing great feats that reflect the concerns of the population at the time. The legends are intended to inspire and to contribute to societal cohesion. The legend can have variations in many areas over many years. The classic example of this is the King Arthur legend which comes in many forms in different countries spanning several centuries. Daniel Boone and Davy Crockett are examples of historic Americans who have evolved into near legendary status.

As you might expect, myths and legends can overlap and can even melt into one another. They can also be incorporated into propaganda and can be used to support false narratives of history and society. For the rest of this post, I’m going to principally look at myths because of their similarity to legends and because sometimes it may be less clear that the origins of some belief may be steeped in mythology or legend.

More About Myths

Myths serve a variety of purposes. They are used to explain natural events that are not well understood. A variety of “gods” were created to help people feel they had a sense of control in a world that seemed very dangerous to them. They helped people feel there is a purpose to existence.

Myths also help shape cultural and social identities. They give people a sense of shared history and reflect community values and customs. The myths frequently contain ethical and moral lessons. Myths help create unity in times of difficulty and can be a source of inspiration. Myths can also be used as an object lesson about what could happen to those who don’t respect community values.

In preliterate societies, myths performed a service of historical or cultural preservation, particularly as it relates to behavior and beliefs. Myths frequently use symbolic language and narrative to enhance societal cohesion. They reinforce a feeling of belonging within the group.

Myths can have an emotional appeal and are more engaging than a dry listing of facts. They can often provide a simple answer to complex problems. Societies find comfort in the stability that an underlying myth can provide even if there is no empirical evidence to support it. Myths can become so embedded in a society’s religion, art, and literature that some people often have trouble separating the myth from the reality of the world around them.

The belief in myths is not always consistent among groups and cultures. In some societies, myths are taken literally while in others they are taken allegorically. The belief in myths has changed over time as societies have evolved knowledge and scientific understanding. But they all share an attempt to transform the metaphysical to the literal.

While the evolution and perpetuation of myths was of great value to early societies, continued reliance on myths as a source of knowledge often hampered scientific development. Throughout history, there have been persecutions of people who proposed new scientific knowledge or philosophical opinions that varied from society’s foundational myths.

We tend to think of myths as having arisen in the mystic past. We think of them as entertaining stories with little relation to our lives. However, myths continue to evolve, and new myths are continually created. In my next post, New Myths Arise, I’ll talk about two myths particular to the United States that have risen within the last 150 years and still have a continuing impact on our society.

It’s Time For National Service

The performance of our active-duty military, national guard, and reserves was commendable during the wars in Iraq and Afghanistan. These young men and women continue providing exemplary service to our country. The public has rallied behind them to support them and to thank them for their efforts. This old Vietnam veteran is thrilled to see the public response to our young service people.

There is one thing that concerns me though. The ranks of our armed forces continue to be drawn from an ever-smaller percentage of our population. I cannot adequately express how proud I am of the young people who have chosen to voluntarily serve our country. Unfortunately, these patriotic young people do not represent our population as a whole and recruiting goals frequently are unmet. One of the few exceptions is the Marine Corps, in which most of you know I proudly served. But it is small and has high Esprit de Corps and appeals to those looking for a challenge.

Personally, I feel it was the greatest privilege of my life to serve as a member of our Armed Services and protect our country and our way of life. I firmly believe those who now serve share this conviction.

However, most of our citizens now are not directly impacted either by personal military service, other types of public service, or by the service of family members. I would like to see the benefits of public service extended to all members of our population, even those for whom military service may not be appropriate.

Perhaps we should consider a program of universal national service. Such a program might begin with a two-year national service obligation that would begin at age 18 but could be delayed for education or other appropriate reasons.

Universal national service could include not only the military, but also such existing programs as the Peace Corps and AmeriCorps/Vista. We might also consider bringing back older programs such as the Civilian Conservation Corps to work on infrastructure. There could be options for service in teaching, law enforcement, firefighting, or emergency medical services. This type of public service could not only help fill nation-wide shortages but could also lead to long-term careers in these fields as well. Delay of service obligations could be available for those in training to serve as military officers, or in training to be teachers or in medical fields that require advanced education and who agree to work in underserved areas following completion of their training.

I don’t pretend to know the details of putting such a program in place. I’m sure it would be very complex and expensive to initiate. But I think there would be many benefits ranging from reduced unemployment to job training to education. But most importantly it would enhance a sense of pride in being Americans, give personal satisfaction in improving the lives of our fellow citizens and strength our of our sense of community. All of this while contributing to the common good.

There’s an old saying, “Freedom is not free”. We now have only a small part of our population that pays the price of freedom for the rest of us. We owe them a debt that cannot be repaid. Isn’t time for everyone to help share the burden and enjoy the pride of protecting and maintaining our freedom, keeping our nation strong and providing for those who need our help?

And that is my grumpy opinion.

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