Thursday, March 8, 2012

Slavoj Žižek at Labyrinth Books, NJ

http://home.sevenstories.com/index.php/events/slavoj-zizek-at-labyrinth-books-nj/

April 10, 2012 8:07pm

Hey, New Jersey!

Philosopher and author of God in Pain, Slavoj Zizek will be at Labyrinth Books in Princeton, NJ on Tuesday April 10 at

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Verso at Left Forum 2012

March 16-18
Pace University | One Pace Plaza
New York, NY 10038

A unique phenomenon in the U.S. and the world, Left Forum convenes the largest annual conference of a broad spectrum of left and progressive intellectuals, activists, academics, organizations and the interested public. This year, the opening plenary includes speakers Rose Anne De Moro, Marina Sitrin, William Strickland, and William Tabb. The closing plenary will include Elaine Bernard, Arun Gupta, Chris Hedges, and John Holloway.

Verso is proud to present the Left Forum panels below. You can register to attend online today or at Pace University starting Friday, March 16.

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Why an MRI costs $1,080 in America and $280 in France

http://www.washingtonpost.com/blogs/ezra-klein/post/why-an-mri-costs-1080-in-america-and-280-in-france/2011/08/25/gIQAVHztoR_blog.html

by Ezra Klein

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The question, of course, is why Americans pay such high prices — and why we haven’t done anything about it.

“Other countries negotiate very aggressively with the providers and set rates that are much lower than we do,” Anderson says. They do this in one of two ways. In countries such as Canada and Britain, prices are set by the government. In others, such as Germany and Japan, they’re set by providers and insurers sitting in a room and coming to an agreement, with the government stepping in to set prices if they fail.

In America, Medicare and Medicaid negotiate prices on behalf of their tens of millions of members and, not coincidentally, purchase care at a substantial markdown from the commercial average. But outside that, it’s a free-for-all. Providers largely charge what they can get away with, often offering different prices to different insurers, and an even higher price to the uninsured.

Health care is an unusual product in that it is difficult, and sometimes impossible, for the customer to say “no.” In certain cases, the customer is passed out, or otherwise incapable of making decisions about her care, and the decisions are made by providers whose mandate is, correctly, to save lives rather than money.

In other cases, there is more time for loved ones to consider costs, but little emotional space to do so — no one wants to think there was something more they could have done to save their parent or child. It is not like buying a television, where you can easily comparison shop and walk out of the store, and even forgo the purchase if it’s too expensive. And imagine what you would pay for a television if the salesmen at Best Buy knew that you couldn’t leave without making a purchase.

“In my view, health is a business in the United States in quite a different way than it is elsewhere,” says Tom Sackville, who served in Margaret Thatcher’s government and now directs the IFHP. “It’s very much something people make money out of. There isn’t too much embarrassment about that compared to Europe and elsewhere.”

The result is that, unlike in other countries, sellers of health-care services in America have considerable power to set prices, and so they set them quite high. Two of the five most profitable industries in the United States — the pharmaceuticals industry and the medical device industry — sell health care. With margins of almost 20 percent, they beat out even the financial sector for sheer profitability.
The players sitting across the table from them — the health insurers — are not so profitable. In 2009, their profit margins were a mere 2.2 percent. That’s a signal that the sellers have the upper hand over the buyers.

This is a good deal for residents of other countries, as our high spending makes medical innovations more profitable. “We end up with the benefits of your investment,” Sackville says. “You’re subsidizing the rest of the world by doing the front-end research.”

But many researchers are skeptical that this is an effective way to fund medical innovation. “We pay twice as much for brand-name drugs as most other industrialized countries,” Anderson says. “But the drug companies spend only 12 percent of their revenues on innovation. So yes, some of that money goes to innovation, but only 12 percent of it.”

And others point out that you also need to account for the innovations and investments that our spending on health care is squeezing out. “There are opportunity costs,” says Reinhardt, an economist at Princeton. “The money we spend on health care is money we don’t spend educating our children, or investing in infrastructure, scientific research and defense spending. So if what this means is we ultimately have overmedicalized, poorly educated Americans competing with China, that’s not a very good investment.”

But as simple an explanation as “the prices are higher” is, it is a devilishly difficult problem to fix. Those prices, for one thing, mean profits for a large number of powerful — and popular — industries. For another, centralized bargaining cuts across the grain of America’s skepticism of government solutions. In the Medicare Prescription Drug Benefit, for instance, Congress expressly barred Medicare from negotiating the prices of drugs that it was paying for.

The 2010 health-reform law does little to directly address prices. It includes provisions forcing hospitals to publish their prices, which would bring more transparency to this issue, and it gives lawmakers more tools and more information they could use to address prices at some future date. The hope is that by gathering more data to find out which treatments truly work, the federal government will eventually be able to set prices based on the value of treatments, which would be easier than simply setting lower prices across-the-board. But this is, for the most part, a fight the bill ducked, which is part of the reason that even its most committed defenders don’t think we’ll be paying anything like what they’re paying in other countries anytime soon.

“There is so much inefficiency in our system, that there’s a lot of low-hanging fruit we can deal with before we get into regulating people’s prices.” says Len Nichols, director of the Center for Health Policy Research and Ethics at George Mason University. “Maybe, after we’ve cut waste for 10 years, we’ll be ready to have a discussion over prices.”

And some economists warn that though high prices help explain why America spends so much more on health care than other countries, cutting prices is no cure-all if it doesn’t also cut the rate of growth. After all, if you drop prices by 20 percent, but health-care spending still grows by seven percent a year, you’ve wiped out the savings in three years.

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Ayn Rand and the new right

http://www.guardian.co.uk/commentisfree/2012/mar/05/new-right-ayn-rand-marx

Her psychopathic ideas made billionaires feel like victims and turned millions of followers into their doormats

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It is not hard to see why Rand appeals to billionaires. She offers them something that is crucial to every successful political movement: a sense of victimhood. She tells them that they are parasitised by the ungrateful poor and oppressed by intrusive, controlling governments.

It is harder to see what it gives the ordinary teabaggers, who would suffer grievously from a withdrawal of government. But such is the degree of misinformation which saturates this movement and so prevalent in the US is Willy Loman syndrome (the gulf between reality and expectations) that millions blithely volunteer themselves as billionaires' doormats. I wonder how many would continue to worship at the shrine of Ayn Rand if they knew that towards the end of her life she signed on for both Medicare and social security. She had railed furiously against both programmes, as they represented everything she despised about the intrusive state. Her belief system was no match for the realities of age and ill health.

But they have a still more powerful reason to reject her philosophy: as Adam Curtis's BBC documentary showed last year, the most devoted member of her inner circle was Alan Greenspan, former head of the US Federal Reserve. Among the essays he wrote for Rand were those published in a book he co-edited with her called Capitalism: the Unknown Ideal. Here, starkly explained, you'll find the philosophy he brought into government. There is no need for the regulation of business – even builders or Big Pharma – he argued, as "the 'greed' of the businessman or, more appropriately, his profit-seeking … is the unexcelled protector of the consumer". As for bankers, their need to win the trust of their clients guarantees that they will act with honour and integrity. Unregulated capitalism, he maintains, is a "superlatively moral system".

Once in government, Greenspan applied his guru's philosophy to the letter, cutting taxes for the rich, repealing the laws constraining banks, refusing to regulate the predatory lending and the derivatives trading which eventually brought the system down. Much of this is already documented, but Weiss shows that in the US, Greenspan has successfully airbrushed history.

Despite the many years he spent at her side, despite his previous admission that it was Rand who persuaded him that "capitalism is not only efficient and practical but also moral", he mentioned her in his memoirs only to suggest that it was a youthful indiscretion – and this, it seems, is now the official version. Weiss presents powerful evidence that even today Greenspan remains her loyal disciple, having renounced his partial admission of failure to Congress.

Saturated in her philosophy, the new right on both sides of the Atlantic continues to demand the rollback of the state, even as the wreckage of that policy lies all around. The poor go down, the ultra-rich survive and prosper. Ayn Rand would have approved.

Best Reason for the Very Rich to Pay a Lot More in Taxes

http://blog.buzzflash.com/node/13363

BuzzFlash on Tue, 03/06/2012

PAUL BUCHHEIT FOR BUZZFLASH AT TRUTHOUT

Before getting into the best reason, here are some of the usual - and always good -- reasons. First of all, for every dollar the richest 1% earned in 1980, they've added three more dollars. The poorest 90% have added ONE CENT.

The richest million families have not worked three times (let alone 300 times) harder than the other 99 million families.

The richest 10% own 80% of the stock market, providing billions in "unearned income" that is taxed at less than half the rate of income earned through real work. The richest million families may have actually worked LESS than the other 99 million families.

A number of individuals have had one-year incomes over a billion dollars, enough to pay the salaries of 25,000 teachers or health care workers or emergency responders. It's questionable whether a guy who makes a billion betting on a mortgage collapse is worth even one teacher or health care worker or emergency responder.

Next is the woeful state of tax collections on the people making most of the money. Mitt Romney pays 15%, Warren Buffett 17.4%. The richest 400 Americans paid 16.6%.

The whole top 1% (a million families) paid less than 23% in 2006.

Average Americans pay more than that. Studies show that when state and local taxes, payroll taxes, property taxes, sales taxes, and excise taxes are tallied up, low-income people can be paying a higher percentage of taxes than the rich, perhaps up to 40% of their incomes.

Average Americans are also paying more than corporations. For every dollar of workers' payroll tax paid in the 1950s, corporations paid three dollars. Now it's 16 cents.

Whew. A lot of good reasons for the rich to be paying a lot more in taxes.

But here's the BEST REASON. The super-rich like to believe their own initiative and creativity have been the primary drivers of growth in technology and science and business and medicine. Some innovative business leaders deserve credit for putting the pieces together on specific initiatives. But the pieces themselves were put together over many years by thousands of less conspicuous people. As Elizabeth Warren said, "There is nobody in this country who got rich on his own. Nobody."
Consider just a simple communications device. The pieces were put together by a procession of chemists, physicists, chip designers, programmers, engineers, production-line workers, market analysts, testers, troubleshooters, etc., etc. They, in turn, couldn't have succeeded without another layer of people providing sustenance and medical support and security and administrative assistance and transportation and office maintenance for the technologists. ALL of them contributed to the final product.

You say a lot of them DID get paid? Well, then, something's wrong, because few of the profits over the last 30 years went to this "middle class" of people to keep them financially secure, and to keep them educated in all the new technologies that are replacing their jobs.

The long-term dependency on the supporting members of society is the best reason for the most fortunate among us to care about everyone else. Sadly, research suggests that wealthy people have less empathy for people unlike themselves, because they no longer have reason to associate with them.

This psychological gap between the rich and the rest of us naturally diminishes the incentive for the 1% to support anyone beneath their economic class. Thus less tax revenue and more cutbacks. Cuts in federal spending have been accompanied by an onslaught of social ills, including the highest poverty and homicide and incarceration and obesity and mental illness rates, an increasing child mortality rate, the highest health care costs, low global rankings in math and science scores. We continue to cut the programs that support a stable society.

The most fortunate among us have succeeded because all of America has supported them for 60 years. Yet they've somehow come to believe that they did it all on their own. Nothing could be further from the truth. They should be thanking all the people who contributed to their success.

Thanking them by paying taxes.

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Paul Buchheit teaches Economic Inequality at DePaul University. He is the founder and developer of social justice and educational websites (UsAgainstGreed.org, PayUpNow.org, RappingHistory.org), and the editor and main author of "American Wars: Illusions and Realities" (Clarity Press). He can be reached at paul@UsAgainstGreed.org.

Sunday, March 4, 2012

Žižek: April in L.A.

Los Angeles Times

Spring preview: Books

http://www.latimes.com/entertainment/news/la-ca-spring-books-20120304,0,3980522.story

Coming to the ALOUD lecture series at the L.A. Public Library in April is the intellectual provocateur Slavoj Žižek, a jovial Slovenian philosopher with a worldwide fan base. He'll be talking about his new book, "God In Pain: Inversions of Apocalypse," which looks at Christianity, Islam and Judaism through the lens of Hegel and Lacan.

Thursday, March 1, 2012

Fetish versus Symptom

Cabinet Magazine
Issue 2 Mapping Conversations Spring 2001

“From Western Marxism to Western Buddhism”
Slavoj Žižek

http://www.cabinetmagazine.org/issues/2/western.php

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The fetish is effectively a kind of symptom in reverse. That is to say, the symptom is the exception which disturbs the surface of the false appearance, the point at which the repressed Other Scene erupts, while the fetish is the embodiment of the Lie which enables us to sustain the unbearable truth. Let us take the case of the death of a beloved person. In the case of a symptom, I "repress" this death and try not to think about it, but the repressed trauma returns in the symptom. In the case of a fetish, on the contrary, I "rationally" fully accept this death, and yet I cling to the fetish, to some feature that embodies for me the disavowal of this death. In this sense, a fetish can play a very constructive role in allowing us to cope with the harsh reality. Fetishists are not dreamers lost in their private worlds. They are thorough "realists" capable of accepting the way things effectively are, given that they have their fetish to which they can cling in order to cancel the full impact of reality. In Nevil Shute's melodramatic World War II novel Requiem for a WREN, the heroine survives her lover's death without any visible traumas. She goes on with her life and is even able to talk rationally about her lover's death because she still has the dog that was the lover's favored pet. When, some time after, the dog is accidentally run over by a truck, she collapses and her entire world disintegrates.3

Sometimes, the line between fetish and symptom is almost indiscernible. An object can function as the symptom (of a repressed desire) and almost simultaneously as a fetish (embodying the belief which we officially renounce). A leftover of the dead person, a piece of his/her clothes, can function both as a fetish (insofar as the dead person magically continues to live in it) and as a symptom (functioning as the disturbing detail that brings to mind his/her death). Is this ambiguous tension not homologous to that between the phobic and the fetishist object? The structural role is in both cases the same: If this exceptional element is disturbed, the whole system collapses. Not only does the subject's false universe collapse if he is forced to confront the meaning of his symptom; the opposite also holds, insofar as the subject's "rational" acceptance of the way things are dissolves when his fetish is taken away from him.

So, when we are bombarded by claims that in our post-ideological cynical era nobody believes in the proclaimed ideals, when we encounter a person who claims he is cured of any beliefs and accepts social reality the way it really is, one should always counter such claims with the question "OK, but where is the fetish that enables you to (pretend to) accept reality 'the way it is'?" "Western Buddhism" is such a fetish. It enables you to fully participate in the frantic pace of the capitalist game while sustaining the perception that you are not really in it; that you are well aware of how worthless this spectacle is; and that what really matters to you is the peace of the inner Self to which you know you can always with-draw. In a further specification, one should note that the fetish can function in two opposite ways: either its role remains unconscious—as in the case of Shute's heroine who was unaware of the fetish-role of the dog—or you think that the fetish is that which really matters, as in the case of a Western Buddhist unaware that the "truth" of his existence is in fact the social involvement which he tends to dismiss as a mere game.

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