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LGBT

New York Times ‘Ethicist’ Tells Transitioning Reader To Weigh Others’ Happiness When Coming Out

NYT 'Ethicist' Chuck Klosterman

The New York Times’ “Ethicist,” Chuck Klosterman, offered a disappointing response to a transgender reader on Friday. The reader wrote in to explain that she was beginning to transition to living as a woman, but she was struggling with how the transition might impact her wife and three children. Klosterman suggested that it was a question of happiness, and that perhaps the reader was better off not stressing her family with the news:

You believe you will “find happiness” only by being your true self — but that’s not exactly accurate. You describe your marriage as happy, you love your children, and your career is (at the very least) satisfying enough to make you worry about how a gender transition might complicate things. There is happiness in your life. Now, I realize what you’re referring to is a deeper, existential version of happiness that all people crave (and which goes far beyond having a good relationship or a good job). There are, however, many people who never experience that level of happiness, regardless of how they view their sexual identities. Even if you become someone else, you may never find it. So what we’re really weighing are the ethics of taking an irreversible gamble that will potentially improve your own interior life while significantly reinventing the lives of those around you. [...]

Is your psychological damage from gender dysphoria greater than the psychological damage that its restoration will inflict upon the lives of any (or all) of your children? If the answer is yes, proceed. If the answer is no, don’t do it. Your sadness is tragic, but at least it’s confined to yourself.

This unfortunate response does little to affirm the experience of this reader or transgender people in general. Ami Kaplan, a New York City Psychotherapist who works with trans patients, wrote this thoughtful response:

What is really happening?  As a therapist who has specialized in Transgenderism for the past 18 years I know that people of this age come to see me when they can no longer live with their Gender Dysphoria.  It’s not about happiness; it’s about no longer being able to continue as they have in the past.  Gender Dysphoria is an intense, psychologically painful and anxiety laden state which can intensify over time to the point of being intolerable.  Gender is our first and most intimate identity, and to have that be wrong in some way is deeply disturbing.  I have had many people say some form of:  “there is no choice, it’s either this or I kill myself”.  Furthermore, transitioning is a process of becoming who one authentically is.  I think that’s a pretty good lesson for kids.

The ‘problems’ inherent in all this is that there is significant stigma and discrimination around being transgender in our society.  The only way to combat this is for brave people to acknowledge and be who they are and try and maintains good relationships with those around them.   I think if we envision a person in other (and now less) stigmatized groups in Mr. Klosterman’s article, the issue becomes clearer.  For example – an African American man in, say 1940 wanting to marry a white woman, or a gay person of the same era wanting to be an “out” school teacher… all things that the individual’s family would have not been too happy about.  Transgenderism is at the point in its own unique history of discrimination evolution where these groups were 30 years ago.   Is it easy to have a family member who is a member of a stigmatized group?  No.  Is the answer to have that person disavow their membership and suffer in silence in order to not embarrass anyone?  I don’t think so.

Kaplan’s comparisons to past forms of stigma are compelling. Klosterman applies ethical implications to coming out as trans where there are none, merely because societal acceptance of the trans community continues to lag behind the gay community and other groups. What is unethical is when people condemn a trans person for simply identifying as they are. What is unethical is forcing people to live decades in secret shame while they deny their true identities. What is unethtical is blaming trans individuals for their own sadness and the pain they might cause others by choosing to finally be authentic.

Klosterman could not be more wrong that the reader’s tragic sadness is “confined” to herself. Indeed, she is the only person who is not responsible for her turmoil.

Politics

Congressman Slams Fellow Republicans’ Immigration Efforts As ‘A Shameless Political Ploy To Buy New Voters’

Rep. Kerry Bentivolio (R-MI)

As GOP leaders commit themselves to a serious overhaul of the nation’s immigration system, pundits have lauded the bipartisan group of eight senators spearheading a good-faith effort to find a comprehensive solution. But at least one Republican wants to put an end to that.

In a fundraising email to supporters, Rep. Kerry Bentivolio (R-MI) — a freshman congressman who won his seat after Rep. Thad McCotter (R-MI) abruptly resigned — bashed his own party’s support of immigration reform. Bentivolio called out Republicans in the Senate’s support as “a shameless political ploy to buy new voters” and proclaimed that he is one of the few conservatives who can stop the effort to “virtually dissolv[e] our border”:

What you’re seeing here is a shameless political ploy to buy new voters. Democrats want the votes and Republicans the cheap labor … unfortunately the status quo will be maintained,” Bentivolio writes in the fundraising email. “Immigration reform shouldn’t be about buying off lawbreakers so they’ll consider becoming Republican. It’s about letting in people who want to become Americans and obey American laws. What kind of country will we be if we reward people for breaking the law?”[...]

“The Senate is already caving to grant amnesty to millions of illegal immigrants and congressmen like myself in the House will be the only thing between maintaing [sic.] the rule of law and virtually dissolving our border,” he wrote.

Whether or not it’s their stated effort, Republicans have been relatively up front about their desire to win over Latino and new immigrant voters. Just two weeks ago, on ABC’s “This Week,” Sen. John McCain (R-AZ) made the case for including a path to citizenship in comprehensive immigration reform by saying, “We are losing dramatically the Hispanic vote, which we think should be ours for a variety of reasons, and we’ve got to understand that.”

But leaving aside the intentions of the Republican party, Bentovolio makes a good point in saying that only a few Republicans stand in the way of an immigration overhaul. Many members of Congress have expressed a desire to undertake such an effort, and a path to citizenship for undocumented immigrants is favored by 51 percent of Americans.

Bentovolio previously made headlines for his career as a Santa Claus impersonator. As he stated in a court deposition, “I have a problem figuring out which one I really am, Santa Claus or Kerry Bentivolio,” he said. “All my life I have been told I’m Kerry Bentivolio, and now, I am a Santa Claus, so now I prefer to be Santa Claus.”

Economy

Continuing LIBOR Scandal Reveals The Farce Of ‘Light-Touch’ Regulation

London became one of the globe’s primary financial hubs partly through its so-called “light touch” regulatory approach — effectively trusting some of the world’s largest and most powerful banking enterprises to manage their own affairs without much government intervention. As a result, the U.K. central bank alternately ignored the burgeoning business of LIBOR-rigging and actively colluded in it at some level, advising banks to raise or lower their estimates in order to create an illusion of stability in the system.

For those not versed in the acronym-littered world of international lending, LIBOR stands for the “London Inter-Bank Offered Rate.” It represents the interest rate banks pay to borrow from each other for a short-term period in ten different currencies and 15 separate durations.

The strange bit comes in during the creation and publication of the rate — a survey of various banks’ estimates of the rate they think they would pay to borrow, for instance, 10 million yen for a one-week period. Those estimates are aggregated, the lowest and highest are knocked out, and the rest are averaged and published each day by the British Bankers’ Association, a private trade organization.

It wouldn’t take a financial mastermind to see how traders could abuse this system. The LIBOR represents a benchmark for derivatives and securities with a nominal value of $350 trillion or more. Skewing the rate by a single point could generate hundreds of thousands of dollars in paper profits, as Bloomberg News showed last week:

There were no rules at RBS and other banks prohibiting derivatives traders, who stood to benefit from where Libor was set, from submitting the rate — a flaw exploited by some traders to boost their bonuses.

The next morning, RBS said it would have to pay 0.97 percent to borrow in yen for three months, up from 0.94 percent the previous day. The Edinburgh-based bank was the only one of 16 surveyed to raise its submission that day, inflating that day’s rate by one-fifth of a basis point, or 0.002 percent. On a $50 billion portfolio of interest-rate swaps, RBS could have gained as much as $250,000.

Of course, it’s not as if the banks are getting away scot-free — Barclays Bank coughed up more than $400 million in fines last summer for its part in the scam, Swiss giant UBS paid over $1.5 billion to regulators on both sides of the Atlantic, and RBS will probably pay close to $800 million in settlements, Reuters reports.

Read more

Our guest blogger is Daniel Pereira, Managing Editor at Brafton Inc.

Health

How Obamacare Is Transforming The Way Medical Schools Teach America’s Doctors

Obamacare has already begun making big changes to the way that insurers and hospitals do business — and now, it’s changing the very way that medical schools train doctors. As Modern Healthcare reports, medical colleges are expanding programs to teach doctors how to coordinate care with other health care workers, focus on patients’ comprehensive, long-term care, and encouraging more general practitioners and primary care providers in anticipation of a changing medical landscape under Obamacare.

One of the most significant ways that Obamacare hopes to transform the American medical industry is by shifting it from an expensive system of private practices to a coordinated care model in which hospitals, nurses, general practitioners, and physicians work together to provide centralized and patient-focused care — what some in the industry refer to as a “medical home” — to lower costs and improve health outcomes. But this strategy’s success depends entirely on a medical workforce that understands how to coordinate care and work in teams — and medical colleges understand that:

Those trends [towards group practices] are gathering speed under Obamacare as government spurs the creation of new health care models like medical homes and accountable-care organizations, which make doctors responsible for soup-to-nuts care and patients’ health over the long term.

Schools like Weill Cornell are teaching would-be doctors how to work more effectively with other health professionals so that they may lead the changes rather than get swept up in them. They are putting a heavy premium on teamwork among doctors, nurses, nurse practitioners, social workers, health aides and physician assistants. Doctors prescribe the medicine, but it may be the nurse, the social worker or the home health aide who makes sure it gets taken. [...]

“If care is to be transformed, that can’t happen unless we transform the process of training physicians,” said Carol Aschenbrener, chief medical education officer of the American Association of Medical Colleges.

Teaching hospitals such as NYU Langone are also expanding programs for alternative degrees in public health and hospital administration in an effort to get ahead of the coordinated care curve. Weill Cornell has programs that offer students financial incentives to go into primary care, as well as classes that train doctors to get used to following patients’ treatment regimens and care over the long-term.

That’s especially good news considering the primary doctor shortage that America is potentially facing, and in light of the fact that wasteful Medicare spending is largely spurred by patients not following their treatment regimens. Coordinated, bundled care that streamlines the fragmented health care system will simplify Americans’ care and help them properly follow their treatments, lead healthier lifestyles, and thereby lower health care spending.

Taken together, recent changes in medical school training curricula are very promising for the future of American health care, and a stark reminder that Obamacare doesn’t just aim to reform private insurance — it also contains bold ideas for reforming the very way that health care is delivered in America.

Climate Progress

Senator Carper Calls Out Climate, Economic Benefits of Offshore Wind Energy

Senator Tom Carper (D-DE)

By Michael Conathan

During an hour-long conversation about offshore wind energy hosted by the Center for American Progress Action Fund, Sen. Tom Carper (D-DE) repeatedly channeled Stephen Stills and his Buffalo Springfield bandmates when talking about climate change.

There’s something happenin’ here,” Carper quoted, before paraphrasing in reference to his climate-denier colleagues on the Senate Committee on Environment and Public Works. “To some people, maybe it ain’t exactly clear,” he said. “To me it is.”

Carper has long been a proponent of offshore wind, in part for the economic opportunity it represents for his home state of Delaware, but more pressingly for the role he believes the technology can play in reducing greenhouse gas emissions. And he’s backed up that support with action.

In the last Congress, he introduced legislation cosponsored by now-retired Sen. Olympia Snowe (R-ME) that would make the first 3,000 megawatts of offshore wind generation capacity eligible for the investment tax credit, or ITC. This would effectively provide a 30 percent tax credit for money invested in construction of these facilities. Yesterday, Carper said he would reintroduce that bill later this year, even though he successfully included language in the fiscal cliff deal making offshore wind projects eligible for the ITC through the end of this year.

The offshore wind industry has identified the ITC as the policy most integral to its future development, and Carper spoke persuasively of the need to ensure potential investors have the “predictability and certainty” that the credit will be available to them:

Carper also talked at length about the need to “level the playing field” for offshore wind and other renewable energy technologies. He cited both the need to eliminate existing subsidies to the mature and highly profitable fossil fuel industries — Exxon Mobil alone made $45 billion in 2012 — and the need to account for the externalities of fossil fuel pollution. To bolster his latter point, he spoke of his time as Governor of Delaware and his experience fighting against Midwestern coal plants whose pollution fell not in the Midwest, but along the eastern seaboard, saying:

I could [have] literally shut down my state – our economy – in order to meet clean air requirements, and we couldn’t have met them. And it wasn’t our fault. It was all this stuff blowing on to us from other places.

Read more

Alyssa

Alex Gibney On ‘Mea Maxima Culpa’ And How The Catholic Church Is Like Enron

The sexual abuse of parishioners—particularly children—by members of the clergy has become a defining scandal for the Catholic Church, changing the dynamics between priests and their flocks as lay Catholics demand accountability from Rome. But before crises in Boston and other American cities, a group of brave, deaf men in Milwaukee began speaking out in the 1970s about a priest, Father Lawrence Murphy, who abused as many as 200 of them. Mea Maxima Culpa, a new documentary about their experiences and their courage, premieres on HBO at 9PM tonight.

I spoke to Alex Gibney, the Academy Award-winning director of Mea Maxima Culpa about how to record interviews with deaf subjects, the need for transparency in Catholicism, and how the Catholic Church functions like Enron. This interview has been edited for clarity and length.

I grew up in the Boston area, so I’m familiar with the breadth of the Catholic Church’s sexual abuse issues. But I was curious, how did you come to this particular story about clergy sexual abuse when there are so many?

Well, I mean, I grew up in Boston too, for that matter. But actually I came to this story because I read it in the New York Times. What impressed me about it were two things. One was the connection between the Milwaukee story and the policies of the Vatican. That was a revelation that hadn’t been properly known at this point. And two was the heroes at the heart of the story, who I didn’t think had been properly celebrated. We hear a lot about victims. We don’t hear a lot about heroes…

They were protesting forcefully despite their handicap, and despite rather major prejudices towards the deaf. There’s a deposition, as you saw in the film, in which Archbishop William Cousins is asked “Why didn’t you reach out to ascertain whether these allegations of abuse were true for the victims?” And he was like, “The victims were deaf. What would they have to say?”

Do you think that Father Murphy decided to work in the deaf community because he would have access to children who were doubly vulnerable?

There’s a dstinction to be drawn in this film between the pedophiles and the coverup. I regard him as the classic predator. A compulsive sexual deviant who was a predator in the way he went after children. Predators tend to look at places where they can go after their prey as easily as possible. Predators tend to hide in plain sight, in a place where they can have access to a lot of victims. He was the interlocutor between their parents and the kids. That was really terrifying. On the part of Murphy, anyway, I think it was a lot of predatory behavior. But he used the church, and he used his skills. You can’t look at this situation and say Murphy became powerful in the deaf community in order to be able to prey on children. I think he also very much cared about the deaf community and a lot of people in the deaf community supported him because he had raised so much money. I think we have to see this as part and parcel of how predators hide in plain sight.

What do you think that Catholic reformers can learn from this protest about how to change the church and hold it accountable?

The only way to extricate is to expose. Any institution that claims that the only way to protect itself is to cover up crimes isn’t protecting itself, it’s just digging deeper into a culture of criminality. If you’re a company and you discover a culture of criminality in your company, say, Enron, do you cover it up, or do you bring it forward and say our reputation is important, but rooting out crime is even more important, and therefore convincing everyone that your reputation as an upstanding company should be upheld?
Read more

Justice

Study: Law Firm Partners Are Overwhelmingly White Men

A study by NALP, a legal employment group previously known as the National Association for Law Placement, finds that the overwhelming majority of partners in law firms are white men. Moreover, an even larger disparity exists among equity partners — lawyers who own a stake in their firm’s profits and who tend to be the most well-compensated attorneys within that firm — where a massive 85 percent are male and over 95 percent are white:

Overall, based on those offices that provided information, 64% of male partners were equity partners as of February 2012, while somewhat less than half (46-47%) of both women partners and minority partners were equity partners, a differential of 17-18 percentage points. . . .

More dramatically perhaps, among equity partners, about 85% were men, 15% were women, and just under 5% were racial/ethnic minorities. (The minority figures include both men and women, so the three figures add to more than 100%.) Among non-equity partners, the respective figures were 73% men, 27% women, and 8% racial/ethnic minorities. . . .

Finally, among all partners, the equity/non-equity split is about 61%/39%. Just over half of partners were male equity partners; just over 9% were women equity partners; and almost 3% were minority equity partners (Again, minorities are also included in the counts by gender.)

Law firm partners, of course, are not just the most well-compensated members of their firms, they are also the ones with the most authority over the firm’s activities and the most control over the arguments the firm will present to judges in legal briefs. As judges rely on briefing in order to familiarize themselves with the best arguments for each position in a case, the fact that senior law firm attorneys are overwhelmingly white men means that judges are overwhelmingly more likely to be confronted with legal arguments presented from a white man’s perspective.

Economy

During Drilling Boom, Americans Spend More On Gas Than They Have In Nearly 30 Years

The Energy Information Administration reports household spending on gasoline hit nearly a three-decade high in 2012, accounting for almost 4 percent of income. That averages to roughly $2,900 per person a year.

Gas consumption has decreased — largely because of fuel-efficient cars — but even these gains were not enough to offset 2012′s record gas prices:

U.S. gasoline consumption fell in 2011 to 134.2 billion gallons, its lowest level since 2001. However, at the same time, EIA’s average city retail gasoline price rose 26.1% in 2011, and another 3.3% in 2012, when it reached $3.70 per gallon. The effect of the higher prices in 2011 and 2012 outweighed the effect of reduced consumption.

The Atlantic’s Jordan Weissmann notes the increase in gas prices between 2009 and 2012 is “about the same as the payroll tax hike that economists believe could shave as much as 0.6 percent off of GDP growth this year.”

By the American Petroleum Institute’s admission, U.S. oil production increased 13.8 percent last year — the largest ever for the industry. Yet that boom clearly did not bring down gas prices. So far, four Big Oil companies have reported earnings of more than $100 billion in profits last year, including $45 billion for ExxonMobil.

Alyssa

Beyoncé’s Super Bowl Performance Inspires Conservative Freakout

Beyoncé Knowles rocked the Super Bowl halftime show last night, and, pearls clenched firmly in fist, Kathryn Jean Lopez is on it, and the national cultural decline Ms. Knowles apparently represents:

I don’t want to linger on this, but last night’s Super Bowl half-time show was ridiculous — and gratuitously so. Watching Twitter, it was really no surprise that men made comments about stripper poles and putting dollar bills through their TV sets, was it? Why can’t we have a national entertainment moment that does not include a mother gyrating in a black teddy? The priceless moment was Destiny’s Child reuniting to ask that someone “put a ring on it.” As I mentioned on Twitter last night, perhaps that case might be best made in another outfit, perhaps without the crotch grabbing. It seems quite disappointing that Michelle Obama would feel the need to tweet about how “proud” she is of Beyoncé. The woman is talented, has a beautiful voice, and could be a role model. And she is on some levels — on others she is an example of cultural surrender, rather than leadership.

I’d venture that there’s more dignity in Beyoncé’s marvelously controlled, rigorously choreographed performance than in Bruce Springsteen’s sloppy slide and camera crotch-bump of a few years back. And as much as her very much post-baby body was on display, Beyoncé’s performance was less allusively sexual than Prince’s silhouetted guitar. In fact, almost everything about Beyoncé’s off-stage life pretty much seems to meet Lopez’s criteria, from her long courtship with Jay-Z, to the child the two of them had once they were firmly ensconced in wedlock. If I were Lopez, I might actually think about striking the Knowles-Carters a medal for defying the Hollywood trend of shotgun or infinitely-delayed post-baby weddings.

But all of this is beside the point. What Lopez appears to object to, and what overrides for her any other consideration of ways in which Beyoncé might be a role model—including her financial success and careful control of her image— is the sight of a woman living in and very much enjoying her body, without needing to secure anyone else’s approval or ensure anyone else’s enjoyment. One of the hallmarks of Beyoncé’s lyrics, both with Destiny’s Child, and as a solo artist, is that no one is entitled to access to her. “Move, groove, prove you can hang with me / By the looks I got you shook up and scared of me,” she sang in “Bootylicious,” with its famous chorus. She warned a loutish boyfriend “Don’t you ever for a second get to thinking you’re irreplaceable.” In “Countdown,” she describes a relationship of equals, where she’ll “Do whatever that it takes, he got a winner’s mind / Give it all to him, meet him at the finish line,” and where “Yup, I buy my own, if he deserve it, buy his shit too.” And in “Independent Women,” Beyoncé and Destiny’s Child warned women “If you’re gonna brag make sure it’s your money you flaunt / Depend on no one else to give you what you want.”

And I think that’s really what makes Lopez twitchy. In the 1994 script for Little Women, Robin Swicord wrote that “nothing provokes speculation more than the sight of a woman enjoying herself.” And in 2013, few things get conservatives twitchier than a woman who will take a ring from the right man—and in fact already has—but will do it because she wants it, not because she needs it.

Health

Ohio Governor Is The Fifth GOP Leader To Support Obamacare’s Medicaid Expansion

Ohio Gov. John Kasich (R) announced on Monday that he will expand his state’s Medicaid program to extend health coverage to an estimated 600,000 low-income Ohioans. The governor noted that accepting Obamacare’s optional Medicaid expansion will strengthen Ohio’s safety net for its poorest residents, allow state programs to focus their resources on providing care for the mentally ill, and ultimately save the state $13 million dollars over the next seven years.

Ohio is the fifth GOP-led state to indicate support for expanding the Medicaid program, joining Nevada, New Mexico, Arizona, and North Dakota. In a press conference to unveil his budget priorities for this legislative session, Kasich explained that although he “is not a supporter of Obamacare,” he recognizes that expanding Medicaid “makes great sense” for the people in his state:

We’re doing this for a variety of reasons. Number one, many of these people who are below the $14,000 in income — some of the poorest Ohioans — they get their primary care in an emergency room. Now that is not the best way to get people primary care. Not only is it not good for them, because it doesn’t allow them to get healthy, but secondly, it drives up the cost of everybody’s health care. [...]

If we were to reject extending Medicaid, I believe that we would create financial chaos, particularly across our rural hospitals…because they would no longer be able to get reimbursed for the care that they provide. It would create, in my judgement, a financial mess. In addition to this, many of you know that I have really wanted to work hard to restore the safety net for the mentally ill and the addicted. The fact is, extending Medicaid is going to significantly allow our local providers — of both mental health services and addictive services — with some space and some opportunity to begin to rebuild that safety net, so we don’t find as many of our mentally ill in our jails today because they receive no care. [...]

I am not a supporter of Obamacare. I don’t believe in the individual mandate…and I decided to move forward with the federal exchange rather than the state exchange, where I believe we would have lost control. But I believe this makes great sense for the state of Ohio.

Watch it:

Kasich echoed the sentiments of the other GOP governors who have also agreed to expand Medicaid in their states. Gov. Jan Brewer (R-AZ), another vocal opponent of President Obama’s health care reform law, conceded last month that expanding the eligibility level for Arizona’s Medicaid program will “secure a federal revenue stream to cover the costs of the uninsured who already show up in our doctors’ offices and emergency rooms” and “protect rural and safety-net hospitals from being pushed to the brink.”

Nonetheless, other Republican leaders across the country are still refusing to accept Obamacare’s Medicaid expansion, stubbornly resisting health care reform at the expense of their poorest residents. The ten states that have rejected the Medicaid expansion — some of which have the highest rates of uninsurance in the nation — are all led by GOP governors.

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