Andrew Sullivan's Blog, page 86
November 21, 2014
Skilled But Excluded
Leonid Bershidsky regrets that that Obama’s executive order did little for skilled immigrants:
On the surface, there is little the president, without Congress’s help, can do for skilled migrants. The Immigration and Nationality Act allows only 65,000 people a year to receive H1B temporary skilled worker visas. (Exempt from this quota are 20,000 U.S. graduates of master’s degree programs, as well as an unlimited number of potential government and nonprofit employees.) Just 140,000 skilled workers and their family members are eligible for employment-based green cards each year. …
Perhaps the story of the lottery-losing programmer isn’t as poignant as that of Astrid Silva, who, according to Obama, came to America with just “a cross, her doll and the frilly dress she had on.” The programmer would, however, be more immediately useful to the U.S. economy than Silva, “a college student working on her third degree.” Not letting him in is at least as wrong as kicking out Silva would be.
Jim Manzi argues for more high-skilled immigrants generally:
All of the major Anglophone democracies have done a far better job of this than America and have reaped the benefits.
Australia, Canada, and New Zealand all have a higher foreign-born population than the U.S., and all three plus Britain have more new immigrants each year per capita than the U.S. They have all used some kind of points system to select for immigrants with relevant skills, such as English proficiency and educational attainment, and extra points for degrees or expertise in such fields as science, technology, and medicine. They are generally moving to a two-stage system in which foreign applicants who achieve at least some specificed target score under such a points system are put into a pool which prospective employers can browse, and are granted visas when specific employers offer them jobs. America should implement such a system.
Along the same lines, Philip Sopher thinks it should be easier for physicians to immigrate to the US:
The United States… has strict policies regarding medical licensing—a doctor is only allowed to practice in the U.S. once he has obtained a license in the state in which he intends to work. The person must acquire a visa, pass the first two steps of the United States Medical-Licensing Exam (USMLE), then become certified by the Education Commission for Foreign Medical Graduates (ECFMG), get into an accredited U.S. or Canadian residency program, and finally, go back and pass step three of the USMLE. Each of these steps could take multiple years, repelling doctors who are already able to practice in the country in which they were trained.
But is it really a good idea to deter them? By 2020, America’s doctor shortage is projected to reach 91,500 too few doctors, with nearly half of the burden falling on primary care. This means doctors will be overworked and citizens may have to wait longer and pay higher fees for an appointment. Without all of these barriers, many foreign doctors would find the prospect of migrating to the United States appealing.
Recent Dish on STEM-oriented immigration here.









Mental Health Break
Yes, Obama Is A Phony On Torture
The Obama administration, it is now beyond dispute, is in thrall to the CIA. The president, through his chief-of-staff, Denis McDonough, has been doing all he can to render the Senate Intelligence Committee Report on torture unintelligible, if he cannot prevent its publication entirely. And he is not giving an inch in his now two-years’ war against the transparency and accountability he once said he favored. Readers know I’ve almost given up on them, and am deeply concerned that next year, a Republican-run Senate will bury the report for ever. That’s clearly John Brennan’s strategy, as it has been from the start. It’s also, clearly, Obama’s.
I once saw Obama as a way out of our torture shame. If he was never going to investigate and prosecute, as is demanded of any signatory to Geneva, I never thought he would actively prevent even some small measure of accountability. How wrong I was.
Senator Rockefeller calls it like it is after yet another meeting with John Brennan’s best friend, Denis McDonough, a Catholic for some reason dedicated to ensuring that torturers not only face no punishment or reproach, but that their crimes are protected from public accountability for ever:
Sen. Jay Rockefeller (D-W.Va.), who served as intelligence committee chair before Feinstein, was furious after the meeting, and accused the administration of deliberately stalling the report. “It’s being slow-walked to death. They’re doing everything they can not to release it,” Rockefeller told HuffPost. “It makes a lot of people who did really bad things look really bad, which is the only way not to repeat those mistakes in the future,” he continued. “The public has to know about it. They don’t want the public to know about it.”
As negotiations continue, Rockefeller said Democrats were thinking creatively about how to resolve the dispute. “We have ideas,” he said, adding that reading the report’s executive summary into the record on the Senate floor would probably meet with only limited success. “The question would be how much you could read before they grabbed you and hauled you off.”
In this game of brinksmanship, it’s clear that Obama is prepared to risk the burial of the entire report. The Senators therefore need to come up with a way to bypass him and the rogue agency he refuses to hold to account. If they can’t read the report into the Congressional Record, there must be another way. To leave this rogue agency with the knowledge that it can do anything, commit any crime, violate any treaty, spy on its overseers, and never even face a public accounting, let alone punishment, of its crimes, is an invitation for these lawless agents to do anything they want in the future. And under a pro-torture, pro-war, pro-secrecy future Republican administration, we can only begin to wonder what they will get away with next.









“Everything Is One. Can’t You See It?”
In the wake of yesterday’s video of weed-smoking grandmas, a reader associates to this remarkable video from the 1950s:
It’s hard to imagine seeing something like this on our screens today, isn’t it? But fascinating nonetheless, as our reader explains:
It was during the days when everyone was trying to figure out the range of psychotropic effects of this drug. It is quite moving. She is obviously a very nice person contentedly attached to the era. Once high, however, she says repeatedly to the doctor in attendance: “Everything is one. Can’t you see it? Can’t you feel it?” This, with a bobbed hairdo and wearing a smart cocktail dress. A prophetic peek into the near future.









Yglesias Award Nominee
“No person, or presidential administration, is perfect. Mistakes happen. But this steady stream of screw-ups means that “people are going to be more skeptical of HHS figures in the future, for understandable reasons,” Cohn writes. When the White House releases monthly enrollment numbers — figures that are expected to be higher than last year — the public will doubt them. And it’s just at the moment that Obamacare’s marketplaces are running better than ever that this series of sloppy mistakes make it look like worse than anyone thought,” – Sarah Kliff, Vox.









Faces Of The Day
Like some Doctor Who re-union, here’s Frank Foer, Mike Kinsley, Rick Hertzberg, and yours truly at Wednesday night’s 100th Anniversary dinner in honor of The New Republic. The NYT has a write-up of the event here. It was wonderful to see some old friend and former-friends and also a little unsettling to see so many once-deemed-eternal magazines and newspapers figuring out a way to survive in this new and unforgiving media economy. I really hope TNR endures. These institutions matter. And the web has yet to create their equivalents.









Where Are The Hawks For Immigration Reform?
Freddie asks:
[I]f you are a liberal internationalist, a humanitarian interventionist, you better be out there beating the drum for this reform every day. You better be going on cable news, spending all of your political capital trying to make this happen. You better take to the op/ed pages and Twitter and every other way you have to communicate. And when you do, you better use all of that same moralizing language you do when you’re making your constant calls for war. You better be just as aggressive in suggesting that people who oppose your preferred policy just don’t care about the lives of people who could be saved, as you do when you are advocating for cruise missile strikes. You better follow through.
Because one of the most straightforward, direct, achievable, and cheapest forms of humanitarian intervention is to welcome people with open arms into our country. The fact that this kind of humanitarianism is so rarely considered, when people are looking for ways to save the world with violence, tells you a lot about them and what they really care about.









Hathos Alert
When Faith Falters
The essayist and critic George Scialabba has produced an absorbing account of his long struggle with severe depression – simply by reproducing selected intake reports and treatment notes from four decades of therapy and medication, adorned only with a very short introduction. It’s a granular, intimate look at what it is like to live with depression, made all the more notable by the place of religious faith in his story. As one psychologist put it, after Scialabba lost his faith as a young man, “the pieces of his life never came back together.” Here’s an excerpt from a 1987 entry from the document:
Mr. Scialabba dates his psychiatric symptoms back to age 17 when he developed incapacitating anxiety when he had any sexual impulse and he would have guilty ruminations that disrupted his usual activities.
He went to a priest who told him he would be responsible to God for the patient’s sexual impulses, and the anxiety episodes stopped. Mr. Scialabba also joined a very devout all-male Catholic organization called Opus Dei, and he became very involved in that organization during his undergraduate years at Harvard. He felt a missionary zeal about converting others and involving them in Opus Dei. Mr. Scialabba describes his commitment as “intense, demanding, and lifelong.” After four years of college he “lost all belief in Catholicism.”
Mr. Scialabba describes his leaving the church and Opus Dei as extremely difficult, and he described an episode of confusion and perhaps of depersonalization in which he didn’t know what he was going to do, but he went into a meeting of Opus Dei and tried to speak about his loss of faith. Instead he became agitated and had to be led from the room. Mr. Scialabba feels he has never recovered from this emotional upset. He describes the time leading up to his departure from Opus Dei as the most intensely meaningful, exciting time in his life, when he felt that all of life and intellectual and philosophical pursuits were open to him.
Damon Linker riffs on Scialabba’s story, thinking through what faith can mean for a person – and what happens when that faith is lost. The despair Scialabba endures seems to complicate our secular-religious divide, drawing attention to those “who are unceasingly restless for God, whose deepest and highest hopes point toward transcendence of the merely mortal world, but who either never manage to acquire faith — or, perhaps even worse, enjoy it for time but then lose it”:
For someone like that, unable to reconcile himself to the disenchantment of his own world, faith — its promise, its withdrawal, its absence — can become a source of the purest misery. Even a curse.
Worse, a curse backed up by a taunt, echoing continually in the former believer’s mind: “You’ve seen the Truth. If you now reject it and turn your back on God, the fault is yours alone, and you will suffer for your sins. Indeed, your depression is merely a finite taste of the agony you will reap in a hellish afterlife of eternal punishment.”
Against these existential-spiritual agonies, modern medicine deploys talk therapy and Prozac. No wonder the results are mixed.
As for the rest of us, secularists seemingly so much more content than George Scialabba with our lack of faith, we are left with a puzzle worth pondering: Was Augustine deluded about the ultimate source and aim of our unceasing, anxious restlessness?
Or are we?









The Strangeness Of Our Love Of Our Pets
Virginia Hughes looks at the science on why people have pets:
If pet-keeping were a purely (or even largely) biologically driven trait, it would be difficult to
explain why its popularity has spiked in the last 200 years, and particularly since World War II — a tiny blip on the timeline of human evolution. As a rough marker of this change [psychology professor Harold] Herzog turns to Google Ngram, a tool that tracks the frequency of words published in books. If you put the word “pet” into Google Ngram, you’ll see a sharp rise since about 1960.
Similarly, if pet-keeping were biological you’d expect all human cultures to do it. While it’s true that most human cultures have pets in their home, the way they interact with them is remarkably variable. Herzog cites a study published in 2011 comparing pet-keeping practices in 60 societies around the world. The study found a large variety of species of pets, including some that seem quite odd from a Western perspective: ostriches, tortoises, bears, bats. The most common pet species is the dog, but even then, people are very different in the way they keep dogs.
Of the 60 cultures surveyed, 53 have dogs, but only 22 consider dogs to be pets. Even then, pet dogs are usually used for specific purposes such as hunting or herding. Just seven cultures regularly feed their dogs and let them live inside the house, and only three cultures play with dogs. The study’s general conclusion, as Herzog puts it: “The affection and resources lavished upon pets in the United States and Europe today is a cultural anomaly.”
Meanwhile, Kaleigh Rogers flags research on the role of animals in helping humans overcome addiction:
Animal-assisted therapy (AAT) is not a new concept. Most of us can imagine how having a therapy dog wagging around a group session helps chill people out and enables them to open up (and there’s plenty of research to back that up). But do we really think that Lassie can help us kick a crack addiction? And when expensive, in-patient treatment facilities are upgrading from a golden retriever to a tank full of dolphins, is it based on research evidence or just a marketing gimmick to stand out from the pack?
Research on the effects of AAT specifically in the treatment of substance dependency is limited, but there is a bit of scientific evidence to back up the claims addiction centers make. In 2009, Dr. Martin Wesley, dean of the School of Counseling at the University of the Cumberlands in Kentucky, was inspired to study the effects of animals on addiction therapy while working at a residential treatment center. He noticed how much his patients took an interest in the critters around the facility. “I would see how the clients would respond to squirrels outside and the cats that would come by and even raccoons,” he said in a recent phone chat. “Someone would bring their dog and these hardened individuals would melt.”
I have to say I understand. My dogs do one thing for me every day: they break my spell of narcissism; they take me out of an exclusively human sphere and force me to see the world, even briefly, from the point of view of another species – which seems, as each day goes by, vastly superior to my own. For this, they trip us out of our ruts of thought as surely as meditation does. Because they are themselves a kind of permanent, living form of meditation: that the universe is about far more than us, if we look up a little, and if, occasionally, we also look down.









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