The controversy reveals that we wrongly assume, with dangerous implications for public health, that women who get breast implants must be rich.
A Venezuelan woman sits next to the two PIP breast implants that she had removed. The yellow implant at left, made by Poly Implant Prothese, had broken. / AP
the past few months, the leak-prone breast
implants of French company Poly Implant Prothese has turned into an international furor. At issue
is the company's use of non-medical-grade silicone, which has an
increased risk of rupture. The gel inside the implant, once released,
can inflame the surrounding tissue. Though there's limited evidence for this, fears
persist about the irritation leading to an increased risk for
cancer. The scope of the potential impact is tremendous. As of last
week, the estimate cited by
the BBC was that "up to 400,000 women in 65 countries are believed to
have been given implants" from the company. PIP founder Jean-Claude Mas is now facing
charges of involuntary injury, while policy professionals, journalists,
and the public are asking how the implants could have made it past
safety inspectors to have reached so many women.
there were ever a time to move beyond our dangerously facile debate about
cosmetic surgery, it's now. European media have been hammering the point that it's time to take implant safety as seriously as
drug safety, and take cosmetic procedures as seriously as any other operations, which is what they
To answer the question of how the
implants could have made it to so many women, though, one has to ask how
and it is that so many women are getting breast implants at all. Paris-based plastic surgery and dermatologist
organization IMCAS recently released some new numbers that help explain. Cosmetic surgeries not only rose by 10.1 percent in 2011 but are expected to
rise by another 11.12 percent in 2012, despite the scare.
A significant portion of the debate touches on a longstanding theme of how people think about cosmetic surgery: who, if anyone, should help cover the costs for removing and replacing defective implants? Though insurance policies and national
governments have already declared themselves willing to foot the bill for the
faulty implants' removal, that doesn't come without caveats. The implicit moral question the responsible officials seem to be asking themselves is, Should governments compensate for losses in botched vanity
projects? And herein lies the need
for a more careful look at the phenomenon of plastic surgery.
France, the government will only pay for new implants if the originals
were for reconstructive surgery. Politicians in Germany have been urging
similar policies. Elizabeth Niejahr neatly summarized this thinking in Die Zeit as "one
shouldn't make cosmetic surgeries even more popular. ... Those who, out
of vanity, decide to undergo the knife, should be aware of the
consequences." SPD Carola Reimann, Niejahr pointed out, has also argued
that "It's about the beauty ideal and the pressure to conform."
These politicians have a point, namely about moral hazard. But behind these sentiments lies a deep confusion about plastic surgery that's worth
surfacing. The idea that implants are for "vanity" seems to imply selfishness and, with it, an exercise
of will. But the charge that implants are about a "pressure to conform" implies the opposite. Which is driving
the trend towards plastic surgery? A projected growth in surgeries,
despite the dire stories of the past year, begins to look like a
pathology not just in individual women and men, but in society itself;
if that's the case, how helpful is it to blame individuals for
succumbing to what appears to be a mass psychosis?
criticizing the French and potential German positions, makes an
important related point: many politicians are assuming that the women
paying for non-reconstructive implants must be rich, and are adjusting
their rhetoric accordingly. But a glance merely at "trash talk shows,"
Niejahr notes, suggests this is "a false picture." How? "There may be many
women who save for new breasts or with what little credit they have
choose a larger chest over a new car."
just an inaccurate image: the suggestion that women who get breast
implants must be rich is a dangerous misconception with real implications. The enormous black market in cosmetic surgery, as
well as the apparently flourishing cosmetic surgery tourism trade -- with
terrifying stories of incompetently executed, dangerous procedures -- should be
evidence enough, even without Niejahr's trashy TV.
This isn't to say that governments should pay
for implant replacements (though Niejahr does make that argument): it's
questionable fiscal policy to pay for implant replacements in the
current European economic climate, even before you get to the possible
moral hazard argument. But in the debate over the appropriate policy
position, European politicians do need to be careful about the
assumptions they convey in their rhetoric.
these few critics in the current Continental debate show, this may be the
perfect time to probe the dark undercurrents of plastic surgery trends.
Tighter regulations may reduce dangers within the European Union, but they don't
change the fact that these surgeries still carry risks -- and they're
definitely not going to help the women who head to Mexico. Double-D
millionaires aren't a public health problem -- but they are a disturbingly convenient fiction.
A new survey suggests the logistics of going to services can be the biggest barrier to participation—and Americans’ faith in religious institutions is declining.
The standard narrative of American religious decline goes something like this: A few hundred years ago, European and American intellectuals began doubting the validity of God as an explanatory mechanism for natural life. As science became a more widely accepted method for investigating and understanding the physical world, religion became a less viable way of thinking—not just about medicine and mechanics, but also culture and politics and economics and every other sphere of public life. As the United States became more secular, people slowly began drifting away from faith.
Of course, this tale is not just reductive—it’s arguably inaccurate, in that it seems to capture neither the reasons nor the reality behind contemporary American belief. For one thing, the U.S. is still overwhelmingly religious, despite years of predictions about religion’s demise. A significant number of people who don’t identify with any particular faith group still say they believe in God, and roughly 40 percent pray daily or weekly. While there have been changes in this kind of private belief and practice, the most significant shift has been in the way people publicly practice their faith: Americans, and particularly young Americans, are less likely to attend services or identify with a religious group than they have at any time in recent memory.
Poor white Americans’ current crisis shouldn’t have caught the rest of the country as off guard as it has.
Sometime during the past few years, the country started talking differently about white Americans of modest means. Early in the Obama era, the ennobling language of campaign pundits prevailed. There was much discussion of “white working-class voters,” with whom the Democrats, and especially Barack Obama, were having such trouble connecting. Never mind that this overbroad category of Americans—the exit pollsters’ definition was anyone without a four-year college degree, or more than a third of the electorate—obliterated major differences in geography, ethnicity, and culture. The label served to conjure a vast swath of salt-of-the-earth citizens living and working in the wide-open spaces between the coasts—Sarah Palin’s “real America”—who were dubious of the effete, hifalutin types increasingly dominating the party that had once purported to represent the common man. The “white working class” connoted virtue and integrity. A party losing touch with it was a party unmoored.
A hotly contested, supposedly ancient manuscript suggests Christ was married. But believing its origin story—a real-life Da Vinci Code, involving a Harvard professor, a onetime Florida pornographer, and an escape from East Germany—requires a big leap of faith.
On a humid afternoon this past November, I pulled off Interstate 75 into a stretch of Florida pine forest tangled with runaway vines. My GPS was homing in on the house of a man I thought might hold the master key to one of the strangest scholarly mysteries in recent decades: a 1,300-year-old scrap of papyrus that bore the phrase “Jesus said to them, My wife.” The fragment, written in the ancient language of Coptic, had set off shock waves when an eminent Harvard historian of early Christianity, Karen L. King, presented it in September 2012 at a conference in Rome.
Never before had an ancient manuscript alluded to Jesus’s being married. The papyrus’s lines were incomplete, but they seemed to describe a dialogue between Jesus and the apostles over whether his “wife”—possibly Mary Magdalene—was “worthy” of discipleship. Its main point, King argued, was that “women who are wives and mothers can be Jesus’s disciples.” She thought the passage likely figured into ancient debates over whether “marriage or celibacy [was] the ideal mode of Christian life” and, ultimately, whether a person could be both sexual and holy.
Two decades ago, Osama bin Laden officially launched al-Qaeda’s struggle against the United States. Neither side has won.
Exactly two decades ago, on August 23, 1996, Osama bin Laden declared war on the United States. At the time, few people paid much attention. But it was the start of what’s now the Twenty Years’ War between the United States and al-Qaeda—a conflict that both sides have ultimately lost.
During the 1980s, bin Laden fought alongside the mujahideen in Afghanistan against the Soviet Union. After the Soviets withdrew, he went home to Saudi Arabia, then moved to Sudan before being expelled and returning to Afghanistan in 1996 to live under Taliban protection. Within a few months of his arrival, he issued a 30-page fatwa, “Declaration of War Against the Americans Occupying the Land of the Two Holy Places,” which was published in a London-based newspaper, Al-Quds Al-Arabi, and faxed to supporters around the world. It was bin Laden’s first public call for a global jihad against the United States. In a rambling text, bin Laden opined on Islamic history, celebrated recent attacks against U.S. forces in Lebanon and Somalia, and recounted a multitude of grievances against the United States, Israel, and their allies. “The people of Islam had suffered from aggression, iniquity and injustice imposed on them by the Jewish-Christian alliance and their collaborators,” he wrote.
The many obstacles trans men and other transmasculine people run into when feeding infants
When Trevor MacDonald started chestfeeding about five years ago, he didn't know anyone who had attempted it, nor had any of his doctors ever encountered someone who had. In fact, he was shocked that his body could even produce milk. As a trans man—someone who was assigned female at birth but has transitioned to identifying as male—he was born with the mammary glands and milk ducts required for lactation, but he'd had his breasts removed. Once he had his baby, his care providers supported his desire to nurse, but it was up to him figure out how.
MacDonald began blogging about chestfeeding from his home in Winnipeg, Manitoba, and soon discovered a whole community of transmasculine people around the world in the same boat, looking for guidance. For trans men and transmasculine folks, putting a baby to their chest to suckle can lead to complicated feelings about their gender. Many lactation support services are available for “nursing mothers,” which sounds unwelcoming to men and non-binary individuals. And many trans people say doctors don’t understand their bodies or experiences.
Most corporations try to make a profit by limiting costs. Movies corporations manage to record a loss by maximizing fees to their studios
Here is an amazing glimpse into the dark side of the force that is Hollywood economics. The actor who played Darth Vader still has not received residuals from the 1983 film "Return of the Jedi" because the movie, which ranks 15th in U.S. box office history, still has no technical profits to distribute.
How can a movie that grossed $475 million on a $32 million budget not turn a profit? It comes down to Tinseltown accounting. As Planet Money explained in an interview with Edward Jay Epstein in 2010, studios typically set up a separate "corporation" for each movie they produce. Like any company, it calculates profits by subtracting expenses from revenues. Erase any possible profit, the studio charges this "movie corporation" a big fee that overshadows the film's revenue. For accounting purposes, the movie is a
money "loser" and there are no profits to distribute.
We’ve been flying around the country for the last three years, visiting dozens of towns that are reinventing themselves after some kind of big economic or demographic change. I have also, in a way, matched those flights stroke by stroke in America’s public swimming pools. On our first day on the ground in any town, I search for a public pool. I started swimming around the country as a way to maintain some sense of normal in my physical activity after all that flying. And then I came to appreciate it as another window into the culture and spirit of the towns we visited. I wish Ryan Lochte could share some of my experience.
Like much of America—and I’m betting most of the many hundreds of kids I have seen swimming in pools around the nation, too—I was glued to the Olympic swimming events. Katie Ledecky, Maya DiRado, Michael Phelps, truth-teller Lilly King. And then, enter Ryan Lochte.
Polling within the margin of error among African Americans, the Republican tries new outreach—but his approach seems doomed to failure.
Although Donald Trump has long claimed to “have a great relationship with the blacks,” the polls tell a different story, with Trump frequently polling in the single digits among black voters. Over the last few days, the Republican nominee has added a new passage to his stump speech, reaching out to the African American community.
Our government has totally failed our African American friends, our Hispanic friends and the people of our country. Period. The Democrats have failed completely in the inner cities. For those hurting the most who have been failed and failed by their politicians—year after year, failure after failure, worse numbers after worse numbers. Poverty. Rejection. Horrible education. No housing, no homes, no ownership. Crime at levels that nobody has seen. You can go to war zones in countries that we are fighting and it's safer than living in some of our inner cities that are run by the Democrats. And I ask you this, I ask you this—crime, all of the problems—to the African Americans, who I employ so many, so many people, to the Hispanics, tremendous people: What the hell do you have to lose? Give me a chance. I'll straighten it out. I'll straighten it out. What do you have to lose?