Saturday, December 31, 2016

Bellevue by David Oshinsky

Hardcover, 384 pages Published Sept 20 2016 by Doubleday ISBN13: 9780385523363

Many Americans, even those who have never lived in New York City, have heard of Bellevue Hospital, certainly of some patients, and probably some of its doctors. Its storied history captures our imagination: it has fearlessly and insistently treated epidemics for centuries, as well as the widest range of disease in our nation’s largest city. For most of its history, Bellevue was a teaching hospital associated with two IV League medical schools, Columbia and Cornell, along with that of New York University. In 1966, Columbia and Cornell turned over their commitment to NYU, who produced distinguished physicians trained on some of the world's most difficult and unusual cases.

Land situated on the banks of the East River, about 3 miles from downtown Manhattan, called Bel-Vue, was leased in 1795 to serve as a hospital for those afflicted with yellow fever. It could be reached by boat, on horseback, or by carriage. It was meant to enjoy cooling breezes and yet be far enough away from the city to avoid spreading infection. Ever since that time, Bellevue has served as a public hospital open to handle the contagious cases for which there is no cure.
"I don’t think there is a disease in Osler’s Textbook of Medicine that I didn’t see," said Bellevue medical intern Dr. Connie Guion in 1916.
Bellevue was the center of the AIDS epidemic in New York beginning in the 1980 and in 1990 Bellevue’s Infectious Disease Specialist Dr. Fred Valentine was instrumental in finding a cocktail of drugs that would keep the infection from progressing. Most recently in 2014, Dr. Craig Spencer, a volunteer with Doctors without Borders, arrived in Bellevue to be treated for Ebola, New York’s only Ebola patient. Aggressive treatment and early diagnosis helped to assure his survival, and he was released three weeks later.

The story of Bellevue is in many ways the story of medicine in the United States, plagued by lack of understanding of the role of sanitation in perpetuating disease, and discovering how lack of family or opportunities might lead to poverty, madness, and despair. Almost from the start, Bellevue had patients unable to pay for their care or explain their malady, and yet they could not be turned away. It has always been a refuge for those who had no where else to go: the homeless, the indigent, the immigrant. Today Whites rank last in ‘patient race.’

Bellevue not only handles disease, but has always handled catastrophic injuries from the city and environs. Oshinsky describes the aftermath of the 1863 Conscription Act riots, riots which began because the poor were drafted to serve in the Union army: the city erupted in mob violence, poor on rich, white on black, native on immigrant, Catholic on Protestant. More than one hundred died, and injuries were grievous.
"This is war zone medicine," a Bellevue emergency room doctor observed in 1990. "You'll never go anywhere in the world and see something we haven't seen here."
In 2001 Bellevue ramped up to take victims of the World Trade Center attack, only to discover an unusual sense of helplessness when few treatable injuries resulted from the incident.

Oshinsky is careful not to whitewash Bellevue’s history. His descriptions can be shocking in what they tell us of conditions there throughout the years. Never particularly well-funded, this public hospital was at the mercy of state budgets and political jockeying, and yet it attracted outsized medical talent by dint of its size, location, and affiliation. The worst bits--doctors operating before antibiotics or anesthetics, or psychotic homeless camping in unused closets—cannot keep the reader from finishing this read in absolute awe of the place.

Bellevue has been rebuilt several times, the latest ribbon-cutting in 1973 after two decades of construction to the tune of $200 million. Twenty-five floors for patients, each an acre or more in size, with stunning views of the river or the Manhattan skyline. Twenty elevators service the space, and the 1200 patient beds. The I.M. Pei-designed (Pei Cobb & Fried) atrium completed in 2005 connects the old buildings with the new.

Bellevue has had famous patients (including exposé-writing journalist Nellie Bly), and famous doctors (Dr. Andre Frederic Cournand and Dr. Dickinson Richards won the 1956 Nobel Prize for their work on cardiac catheterization). The ambidextrous surgeon Dr. Valentine Mott "performed more of the great operations" at Bellevue "than any man living," in the words of Sir Ashley Cooper, England's leading surgeon at the end of the eighteenth century.

Any day at Bellevue is positively epic in scope, novelistic, operatic even. When Oshinsky talks about NYC's Office of Medical Examiner being headquartered at Bellevue in the early part of the twentieth century and managed by Bellevue's chief pathologist, the powerful combination of politics, criminality, medicine, and forensics feels explosive. This is Life writ large, in all its manifestations, and Death, likewise. It is a gigantic, voracious story.

For those interested in the history of medicine, this is a must-read. The heroic pieces of the story are difficult to resist. David Oshinsky won the 2006 Pulitzer Prize for History for Polio: An American Story and knows how to tell a big story. There can't be that many who could do what he has done with this magnificent effort.



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Thursday, December 29, 2016

Foreign Soil: And Other Stories by Maxine Beneba Clarke

Hardcover, 272 pages Jan 3rd 2017 by Atria / 37 INK (first published April 29th 2014) Orig Title Foreign Soil ISBN13: 9781501136368

The extraordinary sense of dislocation we experience in Maxine Beneba Clarke’s first short story collection is intentional. Every story describes a different type of “foreignness.” Clarke takes on the voice and persona of every nationality of yellow, brown, black, or white person, those with red hair, chestnut, or soft black curls. Each story describes a pain, an experience that is commonplace enough among the natives she describes to be recognizable. Clark makes us uncomfortable. Slipping on the cloak of “other” isn’t always convincing, but her work is always an interesting and effective challenge to readers.

Clarke writes from Australia, but from an Australia that feels unfamiliar even in its English. Her stories put us on the back foot, and make us query. We are constantly scouring the words she has given us to divine her meaning. It feels sometimes as though she left us clues, but the cultural markers are not the ones we are familiar using. We have the experience of being the “other.” I grew to admire the discomfort Clarke evoked in me, at how many unfamiliar incidents she forced me to look at closely. If she did an insufficient job of navigating and communicating that episode, why am I so sure and how would I do it? Oh yes, she’s a clever one.

The most absorbing and impelling, while still not entirely comforting, was the title story, “Foreign Soil.” An Australian hairdresser falls for a client and accompanies him back to Uganda. Cultural habits learned from childhood start seeping into his behaviors before he is even out of the airport. By the time she discovers she is pregnant, she knows she is not going to marry this man.

Many of Clarke’s stories could easily be turned into a classic horror stories. They have that feel. We grow afraid to peer around the next page, wondering what damage will be done to her characters in the meantime. Even in “Foreign Soil” we wonder if the wife won’t be walled up, literally and forever, inside the doctor’s quiet, lonely compound in Africa.

The story “Shu Yi” likewise has a horror pedigree reminiscent of Shirley Jackson, or other horror greats. An Asian immigrant without good language skills must navigate a white middle school which hosts one black adolescent. The black student is asked to interface the two groups, but is unwilling to risk her position of safety, an invisibility she feels she has earned. Observing, or putting ourselves in place of the black student—any road will get you there—deliver unto us the most vivid discomfiture.

Some of the stories are interlocking, or self-referencing. For instance, we may discover one of the stories being discussed later in the collection, as in “The Sukiyaki Book Club.” The emergence into metafiction is entirely consistent with the self-acknowledging feel of the whole work. Clearly no one author could have experienced, or even known people who experienced, all these different lives.

The stories, therefore, are a suggestion, a question-mark, an initial attempt to understand what others’ lives are. Readers are meant to take the fútbôl and run with it, changing what needs to be changed, adding flourishes and corrections until we finish up together, panting and laughing and sure we did our best, win or lose.

An example of an early story which put the wind up was “Harlem Jones,” about a young angry black man determined to make his mark in a London demonstration, even to the point of “cutting off his nose to spite his face.” This story did not seem to quite capture the mind of a young man: there was not enough fear and, at the same time, immortality, in it.

Dissatisfied, I moved on, only to discover this was a thread, a kind of authorial technique. Clarke wanders in over her head, and looks to us. I grew to like her relying on us to think, to add our own understanding and our own spices. I did, though, also see room for greater clarity in style. Writing as a profession presumes we have something to say, but also that we say it well, and clearly, so that it is not mistaken. There was room for greater clarity, even supposing Australian and American are two different languages.

Clarke is a slam poetry artist, Australian, of Afro-Caribbean descent. Her Australia is unlike any I have encountered before. She has three books of poetry published or shortly due out, has won awards for this story collection even before it was published, and has a memoir, The Hate Race, just published August 2016 in Australia. She has talent and plenty of room to run with it. Expect to hear more from her.



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Wednesday, December 28, 2016

The Syrian Jihad by Charles R. Lister

Paperback, 500 pages Published February 1st 2016 by Oxford University Press, USA ISBN 0190462477 (ISBN13: 9780190462475)

Writing about a moving target is very difficult, but this is the most detailed look at the Syrian crisis that I have seen. Published in early 2016, this work discusses events from 2011 up to September of 2015. Charles Lister has fantastic access as scholar and advisor with Brookings Institute, and not all this material is easily available in innumerable newspaper reports. He spent four years researching and writing about the incredibly complex fighting environment in Syria:
"By early 2015 at least 150,000 insurgents within as many as 1,500 operationally distinct armed groups were involved in differing levels of fighting across Syria…"
Lister has a point of view—that is, he wished the West were more involved in offering opportunities for cooperation with groups resisting Assad, so that legitimate challenges to the regime might have had more thrust. He points out that, unfortunately, Western airstrikes beginning in 2014 had the effect of
"definitively creating a new international enemy in the eyes of IS and Jabhar al-Nusra—both of which had previously been focused solely on the local conflicts in Syria and Iraq."
True or not, it seems reasonable that ISIS in 2014 had no intention of taking on the entire Western world, but were forced into it regardless. It is hard to remember how much we knew at the time, but for perspective, consider that the Jordanian air pilot, Al-Kasasbeh, was murdered on film in January 2014, beginning an avalanche of responses from surrounding countries.

I skimmed parts of this; it is an extremely dense discussion with a huge amount of information. Unless one is intimately involved in making decisions about the area, it is probably too detailed, and not for the general reader. But events you may have heard about are often discussed here in great detail, with underlying imperatives and aftermaths. I was looking for Lister’s take on 2014-2015 events, and gleaned enough to know what to look for elsewhere in the future.

For years, and especially in the past 12 months I’d been hearing BBC World TV and radio hosts rant on about Obama’s lack of direct military intervention and I was wondering where this view was coming from. Lister is/was a strong advocate for the U.N. resolution “Responsibility to Protect” and felt Western countries were conveniently focusing on “terrorism” in Syria as a way to avoid staring at the real problem: Bashir al Assad. It appears Lister was of the opinion that Assad should have been neutralized, and then local resistance fighters could have protected Syria from ISIS. Obviously this is an argument that can go round and round, and we have so many recent examples of such interventions being the wrong thing.

Very interesting stuff here about Iran’s involvement protecting their strategic interests; Russia doing the same. In fact, as the fighting in the east dragged on in 2015, Iran was apparently negotiating directly with resistance fighters in some areas, with no Syrian government representatives at all. Resistance fighters at the same time felt abandoned by the West, will fight Assad to the death, and therefore are aligning or considering aligning with more radical elements, including ISIS-affiliates, to stay in the fight. Which is one reason why this book is called The Syrian Jihad, and not, say, The Syrian Insurgency or The Syrian War. Not a good development.

Lister doesn’t see the Syrian jihad collapsing any time soon, no matter what news is coming out of the U.S. military.



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Tuesday, December 27, 2016

Mincemeat by Leonardo Lucarelli

Hardcover, 352 pages Published December 6th 2016 by Other Press ISBN 1590517911 (ISBN13: 9781590517918)

Storytelling and cooking may have something in common—imagination—but they also have a similar way of feeding people, and doing it well can be positively inspiring. Leonardo Lucarelli reminds us that good chefs use very, very sharp knives in the mastery of their craft, and good writers learn the same skill. Lucarelli says repeatedly he did it all “for the money,” while we laugh uproariously as he waxes eloquent about that meal he prepared--alone--for 250 capoeira enthusiasts in the hull of a rusty old ship with no kitchen docked beside Rome in the Tiber…

There is some special delight in listening to a man at the top of his career as a chef in a country known for spectacular cuisine and flamboyant male displays tell us how, by bravado, native (naïve?) talent—but no training—he goes from zero to one thousand in a matter of years. And he continued to manage it, learning on the job, telescoping years of trial-and-error into moments of insight literally seared into his memory...and his hands.

He is arrogant, abrasive, acerbic…and that is just the A’s. Lucarelli began cooking as a teen, when meals his mother left at home for his brother and himself needed a little massaging to be exciting. He cooked for friends, and the first gift to his first real girlfriend was bread, wrapped in a napkin, four corners tied together. (It had been his fourth try, and was the only loaf not obviously wrong on the outside.) Taste and presentation: he knew it might have something to do with winning hearts. Though that early attempt failed, his gradual emergence as a rock-star in the kitchen gave him plenty of opportunities to bedazzle the ladies.

Drugs go along with sex & rock & roll, and there are hair-raising moments in this memoir when we are not entirely sure Lucarelli is going to escape with his faculties intact. The momentum he achieves in his writing contrasts with the stumbling advancement of his career as he tangles with the law, makes poor choices in work and in life, wrecks his motorbike…everything revolving about an important friendship with Matteo, the grounded center of who he really was. Matteo was an ‘on again-off again’ roommate in Rome, Lucarelli’s alter-ego. A reprinted email from Matteo late in the book shows us Matteo’s talent seeing, feeling, and speaking truth, and how important he was to Lucarelli’s sense of himself.

It always interests me when “bad boys” discover their inner homebodies. Lucarelli was no exception, and truthfully, the portion of the memoir devoted to his life after rockstar status was some of the most interesting and affecting of what he chose to share. Lucarelli shows us that everything we learn can be used in the next gig, and how teaching cooking skills may have rewards that equal or exceed chef-dom when the pros and cons of each are laid side-by-side.

It is not just food or cooking that is so interesting about this memoir, however. Lucarelli reveals insights into the economics of modern Italy from his earliest mention of anti-globalization demonstrations in Genoa in 2001, reminding us that discussions revolving around these issues are not new and have been viewed as critical for many years in countries other than the United States.

More striking even were his revelations about the fluid nature of restaurant employment: under-the-table payments to all restaurant staff, even chefs, to avoid tax; direct wage payments from the night’s take; lack of contracts or protections for staff; the precarious position of most owners when it comes to loan sharks or bank loans. It seems there is no safety. What a remarkably poor investment, one might conclude, unless owners know something investors do not.

Taxes. It is hard to discover from just one memoir how widespread the practice must be, but one cannot but note how commonplace avoidance appears to be for those making even small incomes in Italy. In the United States, poor and middle-class wage earners generally pay taxes while the wealthy exploit investment loopholes that result in little or no tax payments. Tax avoidance may, in the end, be most responsible for both the exuberant display of, and the eventual destruction of, western ‘values.’

The other discussion, worthy in Italy just as it is in the United States, is the importance of immigrant labor, even illegal immigrant labor, in keeping restaurants afloat. Lucarelli even gives a somewhat impassioned defense of the illegals he has known that is well worth reading and considering. What art would not have been produced but for the 'slave' labor of illegals? These very issues we must consider when addressing our own problem of illegals in America.

Economic issues were not discussed in the Wall Street Journal review of this title by food critic Moira Hodgson, but Hodgson does give you an exciting look at Lucarelli’s anecdotes. Take a look for yourselves.

P.S. One last thing that warmed my heart: When Lucarelli began working in restaurants and clubs in the early 2000's, it seems every menu contained several vegetarian options, and at least one vegan option. Mediterranean food is especially easy to 'veganize,' but more importantly, it wasn't odd, but obvious. Nearly twenty years later, American restaurants are limping half-heartedly (heart-attackedly?) into enlightenment.



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Saturday, December 24, 2016

China's Future by David Shambaugh

Paperback, 244 pages Published March 14th 2016 by Polity Press ISBN 1509507140 (ISBN13: 9781509507146)

This book was named among The Economist’s Best Books of the Year, but if you’ve ever heard that end-of-year podcast, you’d know that list is not exactly discriminating. However, I did not know that when I ordered this, and I also did not know that The Economist also named Shambaugh's 2013 China Goes Global as Best of the Year. Frankly, I am not impressed, either with this book or The Economist’s list.

This book was actually a speech that Shambaugh had been schlepping around various outlets for a couple of years until he discovered that, with a little tweaking, he could actually sell it as a book. It is, thankfully, brief. That is the best thing that can be said about it.

Shambaugh is an academic who, although he has been studying China for forty years, has never actually put himself in the leader’s place, and therefore cannot adequately convey the feeling Chinese leaders must have of sitting atop an active volcano, knowing changes are necessary, and handling some while stomping out flames as their pants catch on fire.

Shambaugh is dismissive and arch when contemplating the difficulties and constraints facing China’s leaders, while not for a moment considering that every country, even the “free market” democracies in the West, are facing enormous issues with crippling debt, infrastructure, wage-gap, health delivery systems, education and innovation. I really hate his smug attitude.

Now that I have gotten that off my chest, it’s a wonder that we still have under-innovating academics like Shambaugh still peddling their tired lectures at universities and think tanks when the world has actually changed in forty years, and we can sit around and discuss, with innovation and rationality, what one would do if one were facing China’s issues, without the attitude. Since the West clearly doesn’t have it all worked out perfectly, why couldn’t we try to imagine a system that uses some state control and unleashes the creativity of the populace without allowing the wide wage and wealth gaps that appear in, say, America?

I find it astonishing that Shambaugh is worried China’s universities are not good enough or that China doesn’t have enough innovation. China is going to eat our lunch in twenty-five years, as anyone who has spent any time there will be happy to tell you. The entire economy has enormous vitality because these folks have known scarcity, and are extremely cunning in knowing how to get by. More than I have ever seen anywhere, it is a nation of entrepreneurs. The leaders’ problem stems from trying to keep it all under control.

Which is the best thing to address first? Deregulating the banking and financial system will cause a vast economic unbalancing, but not doing so is also a problem. Corruption may be endemic, no matter whether leaders are appointed or elected, or how free or tight the central control of the business relationships. Addressing it straight on, and sharing its devastating impacts via a freer press may actually bring more social goods.

The dissidents? They clearly care enough to speak out and see things that the center is avoiding. Rather than jailing them, put them to work coming up with solutions with the brightest poli-sci students, giving them real-life constraints and limited scope, e.g., a province may privatize their largest glass factory. What are the political, social, economic implications, and can it be done discretely within one province? How can the enormous job of introducing needed changes be done piecemeal if moving one piece shifts an entire economy?

Yes, China has to deal with rising expectations. Don’t we all? Shambaugh raises all the moving pieces China must address, but he seems out of touch. His lecture is drowning in very old-fashioned platitudes and attitudes towards “the communists” and he has no apparent enthusiasm for the experiment China undertook in their revolution and since. This is exciting stuff, folks, but you’d never know it from Shambaugh.

The most interesting observations were made by other authors that Shambaugh was quoting:
"Thus, I see China as currently stagnating in what scholar Minxin Pei very astutely and presciently described in 2006 (!) as a ‘trapped transition.’ In this wishful and visionary book [Trapped Transition: The Limits of Developmental Autocracy], Pei…describes…economic foundation is inevitably constrained by its political superstructure. Without fundamental and far-reaching political reforms, China’s economy will stagnate and the regime may well collapse…I did not agree with his argument at the time, but have come around to agree with him now. The reason for my changed assessment is that China has changed in the interim."
Good god, folks. Just read Minxin Pei. I plan to. He has a new book just out, called China's Crony Capitalism.

The other legitimately interesting idea Shambaugh tells us about is a book published in 1989 (!) by Zbigniew Brzezinski, called The Grand Failure: The Birth and Death of Communism in the Twentieth Century. In it Brzezinski apparently discusses communist party-states in the “post-communist authoritarianism” stage:
"In this phase, the communist leadership loses confidence, evinces a deep insecurity, and tries to reassert control."
I don’t think China is in this stage, but just about anything Brzezinski writes about the Soviets is interesting, and this one sounds just about as relevant as you're going to get.

The NYT on 12/20/2106 featured a QUOTATION OF THE DAY which struck me as having quite a lot of understanding behind it:
"China is a dragon. America is an eagle. Britain is a lion. When the dragon wakes up, the others are all snacks."
JIN CANRONG, a professor of international relations at Renmin University in Beijing, at a forum discussing China's future and international relations. — Dec 20, 2016 06:52AM



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Reagan's War by Peter Schweizer

Steve Bannon, now a senior advisor to President-Elect Trump, has a film on his resume that excited some folks, called In the Face of Evil. The film was apparently based on a book by Peter Schweizer—this book in fact. It took some doing, but I managed to get my hands on a copy of the film and I was surprised. It didn’t seem particularly kind to Ronald Reagan, but painted him as a failed actor with a single obsession in his entire life: the destruction of the communist political system. Now, with echoes of Reagan resounding in Trump's tweets ("Let the arms race begin!"), I wonder if the film doesn't tell us what Bannon might be advising Trump to do.

The film used set-ups for shots that one will recognize from old film classics like Metropolis (dark, brooding, shots of creepy overlords), Citizen Kane (dark, brooding shots of politicians with creepy amounts of power), and a couple others, so it seemed like a weird montage by a newbie director who wanted to remind viewers of more important films than his own.

After watching the film, I then wondered about the book: was it as ambiguous about Reagan’s obsession as I felt the film was? Schweizer’s book reads like ad copy from the 1950s, not a book on political affairs published in 2002, and the book precisely illustrates my unease with supposed ‘histories:’
"Along with their children Michael and Maureen, Ron and Jane [Wyman] lived in a beautiful home with a pool on Cordell Drive. He owned a splendid ranch near Riverside, and when he and Jane weren’t at the studio lot, they could be found playing golf at the prestigious Hillcrest Country Club with Jack Benny and George Burns. At night they often dined at the trendy Beverly Club."
Reagan was an executive committee member of the Hollywood Independent Citizens Committee of Arts, Sciences, and Professions (HICCASP) which was accused in 1946 of being a communist front. Reagan instantly supported release of a statement denying support for communists which was opposed by the majority, leading to infighting and Reagan’s resignation. He was shortly elected to lead the Screen Actor’s Guild and became an FBI informant against his fellows in SAG. Wyman divorced him for “mental cruelty” when the two “engaged in continual arguments on his political views.”

Reagan became enamored of Arthur Koestler’s disillusionment with communism in 1948, when he read Koestler’s book, Darkness at Noon and gradually conceived of
”the opportunity to combine his love of movies with his newfound mission to undermine communism. Why not use Hollywood films to undermine the Soviets?”
Ah, the wheels turn, grinding out opportunities. From 1959 through 1963 Reagan honed and developed his anti-communist message, and by the time he gave his “rendezvous with destiny” speech [also called “A Time for Choosing”] in front of a national audience in support of Barry Goldwater at the Cocoanut [sic] Grove, Los Angeles in 1964, he’d been delivering versions of the speech for two years already.

What I take away from this book and my haphazard attempts to fact-check is that it is detailed, fluently-written--even absorbing if one is interested in Reagan's intellectual prowess--but also narrowly-focused, one-sided, un-nuanced propaganda supporting Reagan’s monomaniacal zeal for democracy’s strength in light of the encroachment of communist ideas. Certainly watching the film of the book would take less time, and you would have to ask yourself at the end of it…what kind of men are these that praise Reagan’s strength in defying Russia before, and praise Trump’s cozying up to Russia now?

Is it the clarity of a single motivating idea, and appreciation of strongman attitudes and propaganda techniques that captures Schweizer's and Bannon’s imagination and support? Perhaps communism was the real bugbear, not Russia, and now that Putin is clearly a world-class oligarch in the tradition of democracies and colonial empires the world over, Putin is no longer the threat, but the partner.

There is no doubt that Reagan's arms race and inflexibility 'broke' the less-strong Russian economy. Perhaps Trump hopes to push Russia, China, Iran, and North Korea to the wall in the same way, through the threat of weaponry escalation. A bloodless kind of war, played economically. The deep cynicism needed for this tack misreads our opponents and reflects how the conservative viewpoint in America has developed under Republicans and the Koch brothers' influence.

I’d love to see the insights of others about the book or on Bannon’s film, In the Face of Evil. I hesitate to recommend either one, however, not finding the central ideas sufficiently complicated enough to explain or deliver justice in today’s complex environment. I learned to think differently, growing up, and to seek less autocratic solutions.



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Thursday, December 22, 2016

The Undoing Project by Michael Lewis

This nonfiction is unlike others Michael Lewis has offered us. In this he tries the trick of explaining confusion by demonstrating confusion, but near the end of this work we appreciate again Lewis’ distinctive clarity and well-developed sense of irony as he addresses a very consequential collaboration in the history of ideas. Lewis did something else he’d not done before as well. By the end of this book I was bawling aloud, in total sync with what Lewis was trying to convey: why humans do what we do.

Daniel Kahneman is a psychologist who won the 2002 Nobel Prize in Economics. What is remarkable about that statement is also what is remarkable about Lewis’ attempt to explain it. Lewis made us feel the chaos and the unlikelihood of such a success, in this case, of ever finding that one person who complements another so perfectly that the two literally spur one another to greater accomplishment. From a vast array of possible choices, opportunities, and directions come two psychologists, Daniel Kahneman and Amos Tversky, who together add up to more than the sum of their parts.

One thing became clear about the groundbreaking work done by Kahneman and Tversky: despite the curiosity, drive, and iconoclastic talent each possessed, their moments of greatest crossover relevance came as a result of the involvement of the other. This could push the discussion into an examination of the importance of pairs in creativity, but Lewis resists that thread to follow what he calls a “love story” to the end, to the breakup of the two men. Once the closest of friends and collaborators, the reason for their breakup is as instructive as anything else Lewis could have chosen to focus on, and it makes a helluva story, full of poignancy.

Kahneman was an idea man, throwing up new psychological insights constantly, beginning with his early work recruiting and training Israeli soldiers for the front line. Tversky was a widely admired mathematical psychologist, iconoclast, and skeptic who challenged accepted thinking and in so doing, provided new ways to look at old problems. Just by asking questions he could lead others to find innovative answers. Both Israelis were teaching at the University of Michigan in the 1960s but their paths didn’t overlap until later, back in Israel. In one of the classes he taught at Hebrew University Kahneman challenged guest lecturer Tversky’s discussion on how people make decisions in conditions of uncertainty.

In this instance Kahneman became the iconoclast, the skeptic, pulling the rug from underneath Tversky. The challenge got under Tversky’s skin, but instead of falling prey to anger, Tversky was galvanized. Colleagues who saw him at this time recall his unusually intense period of questioning. Again, after a period of time, the men came together again, and thus began one of the richest and most rewarding periods of intellectual collaboration in modern times.

Together, both men were able to isolate some important pieces in the thinking sequences of humans who were presumed to maximize utility in rational, logical decision trees. It took many years to isolate what struck them as incomplete or incorrect in the accepted thinking of others, but what they concluded revolutionized the thinking in several disciplines, including economics (and baseball).

Lewis’s earlier book Moneyball: The Art of Winning an Unfair Game discussed how an algorithm assigning different weights to individual characteristics of baseball draft picks could by-pass the errors human tend to make when looking over a list of potential players. This is related, in a distant way, to the illogic discovered in the decision trees Kahneman and Tversky discussed, and unfortunately Lewis decides to revisit the breakthrough in his own understanding at the beginning of this book. Describing that tangential result of the men’s essential discovery unnecessarily complicates and obfuscates Lewis’ central thrust in this book—the relationship between two men who supercharge their achievements when they are together. Once Lewis settles into the real subject of his book, his writing becomes familiarly crystalline, filled with science and emotion, describing a singularly fascinating tale.

Particularly interesting is Lewis’ attention to how ideas develop. Lewis tries in several instances to get to the moment of insight, and then to the moments of greater insight which might lead finally to upturning accepted beliefs about how one thinks the world must work. Happiness and regret both came under the microscopes of these men and it was hugely insightful for them to discover that regret was the more impelling emotion. People often made decisions to minimize regret rather than maximize happiness. This led to the ‘discovery’ that the value of positive ‘goods’ decreased after a certain level of attainment, while the value of negative ‘bads’ never lost their bite. Which could be another way of describing the apparently supreme need to minimize loss rather than maximize gain. Which led to the discovery that people often gamble against what had been perceived as their own interests.

The two men were opposites of one another, Kahneman a heavy smoker whose office was messy and disordered, and Tversky, who hated smoking, had an office so well-organized it looked empty. For a period of almost twenty years, during the years of their greatest output, they could often be found together, talking, or writing one another if apart. They published hugely influential papers and became the toast of several continents. The closeness of the two men appeared to have no discrepancy until gradually over time, Tversky became better known and more popular in scientific and academic circles. The equilibrium of the relationship was thus unbalanced and a period of estrangement led the men in different directions.

The entire story, in Lewis’ hands, is wonderfully moving. If you can thrash your way through the thicket of ideas at the entrance to the main repository of ideas in this book, prepare yourselves to be utterly delighted.




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