Saturday, August 14, 2010

Just Be Ordinary (Buddhism: A Series, Part 6)

In Nothing To Do: Nowhere To Go, Thich Nhat Hanh presents and comments on the teachings of Master Linji, a 9th century Zen master. Linji's teachings are profound in that they are so relevant to the harried lives we live today.

One section that particularly resonated with me highlights a teaching where Master Linji relates stories of two people who are trapped. The first stands on the peak of a lone mountain with no other peaks to leap to. The second stands at a crossroads, confused about which direction to take. The teachings highlight that if we can't succeed in such a moment, we won't succeed in the next. That if we can't be happy on that lone peak, we won't be happy were we to reach the valley below.

Another section that really rang true for me focused on being happy with being ordinary. Linji spoke of being a "businessless" person who strives to be only what they are -- living in a joyful and relaxed way, content with yourself. Instead of wishing we were wealthy, famous, or respected, we should focus on being content with the present moment. Much of what we do is in hopes of some sort of recognition, approval, or effect. For Master Linji this would be a mistake. Instead, it would be better to dwell in the present moment and not get caught up in the desire to leave your mark or receive the praise of others.

Saturday, July 31, 2010

The Social Determinants of Health

I am nearly finished reading Successful Societies: How Institutions and Culture Affect Health and couldn't be happier with the state of research on the social determinants of health. While my work focuses more on health care, I am pleased to see this field progressing so quickly. Public policy which references the social determinants of health is likely years away in the U.S. (though it is beginning to gain traction in some European countries). However, I am definitely beginning to see it filter through discussions of health care policy. Most people recognize that the recent health reform law signed into law by President Obama is really more of a health insurance reform. The law creates a system where more Americans will be insured but it doesn't constrain the excesses of the insurance industry other than to prevent them from doing particularly deplorable things, like refusing to pay for cancer treatment because someone underestimated their weight when they first applied for coverage.

A recent post highlights the continuing danger the insurance industry poses as the law begins to be implemented. Not surprisingly, insurance companies are working to purchase legislators who will be favorable to their profiteering. This was one of the reasons that many people felt that any health reform should further limit the power of these insurers. In some other high-income countries you still have insurance companies through which care is rendered. Such a system can work as it has in the Netherlands and Germany. However, when these companies are singularly focused on profit and not on providing the best care for their clients, it is difficult to not wish for further regulations.

Also, the Commonwealth Fund recently released a fascinating (if not surprising) report which highlights how the U.S. health and health care system is doing in relation to other high income countries for which comparable data is available. The results are not good. The U.S. is in the bottom 2-3 (out of 7 countries) for nearly all of the measures and only on two does it make the top 4. All of this despite the U.S. having the most expensive health care system in the world. However, the authors of the report are optimistic that some of the measures in the recent health reform bill may give the U.S. better results over time.

Friday, July 9, 2010

Bibliophilia

There is a fun site called Lookshelves that has people present a photo of some part of their bookshelf and then answer five simple questions about their collection. Instead of a picture, here is a link to my Shelfari, a site that allows you to put books on a virtual shelf to keep track. My shelf on Shelfary contains about 1/3 of our current collection.

1) Who are you and where are you?
My name is Eagan and I am in Washington, D.C. (well technically Silver Spring, MD -- which is just outside the DC border, but most people have no idea where that is)

2) What do you do for work?
I am a health care analyst for an arm of Congress which provides oversight of the federal government and publicly spent funds.

3) What do you do for fun?

Spending time with Heather. This often includes hanging out at bookstores, seeing new exhibits at D.C.'s many museums and galleries, trying new restaurants, watching movies, and discussing politics.

4) Tell me something about your bookshelves.
Our bookshelves are currently the largest and cheapest that Ikea had to offer. We have four of them and they each fit around 200 books. However, they are all completely full and we have had to resort to stacking books on top of the books on the shelf. We also have one bookshelf from my Mom's old toy store.

5) Tell me something about ONE of the books on your shelf.
The most bookmarked book I own is Development as Freedom by Amartya Sen. In grad school it was my bible but I haven't gone back to it much since then. I am sure I will read it again soon and the ideas in it still influence my work greatly. It comforts me to know it is always there.

Tuesday, June 8, 2010

Only in Theory

A recent editorial in the WSJ lays out the overly simplistic rhetoric that some economists use to criticize those with a more complex world-view.

The piece claims to highlight that "liberals" and "progressives" are woefully ignorant of basic economic principles. The article highlights the eight measures used in the survey:
The other questions were: 1) Mandatory licensing of professional services increases the prices of those services (unenlightened answer: disagree). 2) Overall, the standard of living is higher today than it was 30 years ago (unenlightened answer: disagree). 3) Rent control leads to housing shortages (unenlightened answer: disagree). 4) A company with the largest market share is a monopoly (unenlightened answer: agree). 5) Third World workers working for American companies overseas are being exploited (unenlightened answer: agree). 6) Free trade leads to unemployment (unenlightened answer: agree). 7) Minimum wage laws raise unemployment (unenlightened answer: disagree). 8) Restrictions on housing development make housing less affordable (unenlightened answer: disagree)
What the author clearly fails to understand is how overly simplistic these examples are. His use of the term "unenlightened" further shows the author's inability to comprehend that someone may not simply agree with these supposed truisms from Economics 101. However, the true story behind many of these statements is more come complex when you look at them empirically (as opposed to pretending that theoretical understanding plays out perfectly in the real world). Those familiar with the actual empirical literature on minimum wages know that the simple assertion of #7 is simply unfounded. Unemployment is a complex issue and to pretend that it is so largely affected by one factor just highlights how out of touch many in the field of economics are with reality.

Also, anyone familiar with survey methodology can identify poor question design and vague wording in many of the suppositions posed to the interviewees. The question don't ask whether these assertions are "correct according to economic theory." Were that the case, it is likely that many would answer differently (I know I would); and then you could only say that progressives and liberals didn't understand economic theory (something very different from economic reality). The survey questions also make widely unfounded suppositions -- for example, that there is something called "free trade" that exists outside of the minds of economists.

Finally, the questions fail to highlight that the benefits of many of these measures outweigh the theoretical negatives highlighted in the statements. Were it always true that mandatory licensing of professional services increases the prices of those services, then such an increase is a minor problem in comparison to having various unlicensed pseudo-professionals posing as actual professionals in a given field. To claim that simply disagreeing with such a simplistic statement in any way impugns the intervieweree is absurd to say the least.

Wednesday, June 2, 2010

Never Enough Time (Buddhism: A Series, Part 5)

As I got more and more comfortable in my job, time began to fly by. Weeks felt like they were passing in days, and months would end before I had time to flip my calendar. There is a lot to do in DC and it has kept us pleasantly busy. But I felt a nagging feeling: Where was the time going?

Each Moment is the Universe by Dainin Katagiri highlights the teachings of impermanence and inter-being and how our ignorance of them causes us to suffer. This was the first book I read that delved deeply into Zen practice and ideas. The book focuses on being aware and mindful in each moment.

As human beings, we always base our thoughts on this misunderstanding [that we are separate from everything else in the universe]. We always feel that something is missing from our lives. We think that to live a peaceful life we must get something that is outside ourselves. Then we try to get it. But actions based on thirsty desire just become the cause of more suffering. That is why Buddha's teaching that suffering arises from desire based on ignorance is the second Noble Truth.

This teaching, for me, highlighted the importance of being aware each day. I began to focus more on taking time to just be aware of what I was doing at that moment. This would often meant little more than taking time throughout the day to keep level and focused. I found the practice rewarding and came to take pleasure in these instants of awareness.

One aspect of the book I found intriguing was the emphasis on the congruence of time and space. Here the book explores an idea similar to some from physics.

Time seems to be separate from beings, but actually there is no separation. From moment to moment, all sentient beings exist together as a completely independent moment of time. When the moment begins, all sentient beings temporarily appear as particular beings in the stream of time and seem to have their own separate existences. When the moment ceases, all sentient beings disappear, but they do not go away: they are interconnected smoothly and quietly in timelessness.

In physics, there is the notion that time and space are not separate. That they are tied together. This notion, for me, highlights that while we can say we are in the same place, are lives continue moving. Even at times when we feel stuck or lazy, that which we depend on and which depends on us continues to change.

The next book I read was Becoming Enlightened by His Holiness the Dalai Lama. I was interesting in understanding more about this fabled figure in Buddhism.

Monday, May 3, 2010

Walking the Path (Buddhism: A Series, Part 4)

I have never been one to shy away from self-reflection, and Buddhism's emphasis on doing so appealed to me. I began reading Heart of the Buddha's Teachings by Thich Nhat Hanh to get a better idea of some of the more specific tenets of Buddhist beliefs. I had a vague sense of the overall structure and some of the core values, but I had yet to dive in too deeply. This book highlighted many of the fundamental ideas attributed to the historical Buddha, Siddhartha Gautama. Some of these ideas included lists of attributes that are incorporated in anyone attempting to achieve bodhichitta, or an awakened mind.

While concretizing these ideas seemed on some level more prescriptive than necessary, I could understand the need for many to have a guide in their lives and in their practice of Buddhism. It was around this time that I made the conscious effort to begin experimenting with many of these ideas. I began reflecting more often on my own actions and views. I tried to identify what purpose they were serving. The biggest change was thinking about how my words and behaviors could be serving to create suffering, even unintentionally. I tried to think before speaking, particularly when I was angry or prideful (not terribly often for the former, more often than I would like to admit for the latter). Thay (a nickname given to Thich Nhat Hanh, meaning teacher) emphasized that by speaking to someone in a way that causes them to suffer, we are making things worse for them and others they interact with.

These changes made me think back to being in high school and early college. In those days I often found myself in heated political, religious, and social arguments in classes. I often would deliver biting critiques of other students' arguments. While these arguments took place in the context of a classroom, the tense feelings could last far beyond. I relished the sense of fear I put into some students as they came to realize they had little chance of coming out on top in any argument. Looking back now, I shake my head at my behavior then. My pride and arrogance likely impeded their learning and my own as well. I failed to see how it was likely their upbringing that led them to believe the way they did. My lashing out could never serve to rearrange their thinking and lived experiences in the course of a classroom discussion.

Now, to be clear, speaking up against injustice is something that everyone is responsible for. Silence is often confused with consent and letting injustices go unchallenged hurts us all. However, I know I could have been a more compassionate and, therefore, more convincing interlocutor if I had tried to understand why they believed what they did, instead of just cutting off the head of their argument.

This practice began to reap dividends as I found myself less stressed, slower to anger, and I was content in that I had made progress. When I found myself in interactions that would have previously caused anxiety, I was able to navigate them with a cooler head which often led to a more positive outcome than I would have expected. You would be surprised how appreciated a kind word or a smile can be, even to someone you don't know who is experiencing pain or anger.

I was surprised at how much I enjoyed grappling with the minutia of specific Buddhist ideas and was interested in diving deeper into more complex books. The next book I read was Each Moment is the Universe by Dainin Katagiri, which focused on Buddhist perspectives on time. As weeks flew by, I was beginning to see the value of my time more than ever before. I next plan to discuss the insights from that book and also some areas where I was beginning to see my prior ideas were matching up well with Buddhist beliefs.

Saturday, April 24, 2010

A Modern Day Jim Crow

The recent noxious immigration law in Arizona highlights many of the problems of the immigration debate. The measure, as has been the case for measures like it, will not serve to reduce crime or improve living conditions in Arizona. It will simply serve to further marginalize undocumented workers, making it even easier for coyotes and unethical companies to exploit them.

Further, by requiring ALL immigrants to carry around their papers, it strikes an eerily similar tone to precursors to violence in other countries which have marked certain populations as dangerous and attempted to create a parallel system for their treatment. Police are emboldened to stop anyone perceived as being an undocumented immigrant and demanding to see their paperwork. As you can imagine, there are clear racial and ethical undertones in such a law.

A more sane and just approach to immigration is needed, and the Obama administration must be pushed into taking the lead. It is a positive development that the Justice Department has promised to be vigilant as this law begins to be enforced over the next few months.

Anyone interested in the causes of this controversy and workable solutions would be advised to check out one or all of the following:
"They Take Our Jobs!" and 20 Other Myths About Immigration by Aviva Chomsky
Ex-Mex: From Migrants to Immigrants by Jorge Casteñeda
The Children of NAFTA: Labor Wars on the U.S./Mexico Border by David Bacon