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.
He lives near San Francisco, makes more than $50,000 per year, and is voting for the billionaire to fight against political correctness.
For several days, I’ve been corresponding with a 22-year-old Donald Trump supporter. He is white, has a bachelor’s degree, and earns $50,000 to $60,000 per year.
He lives near San Francisco.
“I recently became engaged to my Asian fiancée who is making roughly 3 times what I make, and I am completely supportive of her and proud she is doing so well,” he wrote. “We’ve both benefitted a lot from globalization. We are young, urban, and have a happy future planned. We seem molded to be perfect young Hillary supporters,” he observed, “but we're not. In 2016, we're both going for Trump.”
At first, we discussed Bill Clinton.
Last week, I wrote an article asking why Trump supporters aren’t bothered that their candidate called Clinton a shameful abuser of women who may well be a rapist. After all, Trump used to insist that Clinton was a victim of unfair treatment during his sex scandals. Either Trump spent years defending a man that he believed to be a sexual predator, even welcoming him as a guest at his wedding, or Trump is now cynically exploiting a rape allegation that he believes to be false.
A 1979 book on presidential selection inadvertently predicted the rise of Trump—and the weakness of a popular primary system.
Predictions are dangerous business, especially in the hall of mirrors that American politics has become. Suffice it to say, no one called this U.S. presidential election cycle—not Trump, not Sanders, not any of it.
Except, perhaps, in a round-about way, a 1979 book about the presidential-primary system. James Ceaser, a University of Virginia professor, outlined the history and potential weaknesses of various nomination processes, including one that largely relies on popular primaries. Starting in the early 1970s, Democrats and Republicans began reforming their primary-election processes, transferring influence over nominations away from party leaders to voters. This kind of system is theoretically more democratic, but it also has weaknesses—some of which have been on display in 2016. When I spoke with a couple of conservative political-science professors about their field last month, one of them remarked, with just a hint of jealousy, “I expect Jim Ceaser to take a victory lap around the country saying I told you so.”
A conversation about how Game of Thrones’s latest twist fits in with George R.R. Martin’s typically cliché-busting portrayal of disability
In 2014, a few media outlets ran stories diagnosing Game of Thrones’s Hodor as having expressive aphasia, a neurological condition restricting speech. Some aphasia experts pushed back, saying that while Hodor has often been described as “simple-minded” or “slow of wits,” aphasia only affects linguistic communication—not intelligence.
Finally, an explanation for Bitchy Resting Face Nation
Here’s something that has always puzzled me, growing up in the U.S. as a child of Russian parents. Whenever I or my friends were having our photos taken, we were told to say “cheese” and smile. But if my parents also happened to be in the photo, they were stone-faced. So were my Russian relatives, in their vacation photos. My parents’ high-school graduation pictures show them frolicking about in bellbottoms with their young classmates, looking absolutely crestfallen.
It’s not just photos: Russian women do not have to worry about being instructed by random men to “smile.” It is Bitchy Resting Face Nation, seemingly forever responding “um, I guess?” to any question the universe might pose.
This does not mean we are all unhappy! Quite the opposite: The virile ruler, the vodka, the endless mounds of sour cream—they are pleasing to some. It’s just that grinning without cause is not a skill Russians possess or feel compelled to cultivate. There’s even a Russian proverb that translates, roughly, to “laughing for no reason is a sign of stupidity.”
A real-time chronicle of Donald Trump’s unpresidential statements.
People will look back on this era in our history, to see what was known about Donald Trump while Americans were deciding whether to choose him as president. Here’s a running chronicle from James Fallows on the ways in which Trump has been unpresidential in an unprecedented way. (If you’d like to flag examples to include, please let us know.)
In the 1990s, A.J. Benza learned first hand how the real-estate developer got his name––and his net worth––in all the New York City papers.
Earlier this month, I heard A.J. Benza, the host of the celebrity-scandal show “Case Closed with A.J. Benza,” tell the podcast host Adam Carolla about his younger days as a gossip reporter in New York City. He hung out with celebrities until the wee hours of the morning, reported out sensational rumors, and constantly traded favors in order to get juicy tidbits for columns at Newsday and the New York Daily News. Most trades involved information he wanted about a particular person at a particular moment––and he would then owe his source a favor in the future.
“Donald Trump was the biggest guy in the world with that,” he said. “Trump spent every morning on the phone with me, with Page 6––he loved to get his name in the paper. As a result, he would drop dimes on other people in every industry he knew dirt on. You put the story in the paper, and then, three days later, you say, ‘Donald Trump was at a Knicks game with this supermodel.’ And he’s happy. That’s all it took.”
Our peshmerga are the best fighting force against ISIS in Iraq. But we cannot force Sunni and Shia Arabs to live together in peace.
This week marked the start of offensives ultimately aimed at retaking two of ISIS’s last major urban strongholds—Raqqa, the group’s de facto capital in Syria, and Fallujah, the first major Iraqi city to fall to ISIS some two years ago. The final prize, Mosul, seems to remain out of reach for the foreseeable future, despite indications a year ago that a battle to retake the city could come any day. An Iraqi army offensive launched in late March stalled quickly.
Mosul is Iraq’s second-largest city. ISIS wrested it from Iraqi government control in 2014 in its first major show of strength, and it is where Islamic State leader Abu Bakr al-Baghdadi declared a “caliphate” and demanded the allegiance of the world’s Muslims. Taking it back will be essential to winning the war against ISIS. But as fighters opposed to ISIS try to advance elsewhere on the battlefield, little is being done to promote the reconciliation between Shia and Sunni Arabs that Iraq really needs—both to construct a force capable of beating ISIS, in Mosul and beyond, and to create the political conditions to prevent its return.
A rock structure, built deep underground, is one of the earliest hominin constructions ever found.
In February 1990, thanks to a 15-year-old boy named Bruno Kowalsczewski, footsteps echoed through the chambers of Bruniquel Cave for the first time in tens of thousands of years.
The cave sits in France’s scenic Aveyron Valley, but its entrance had long been sealed by an ancient rockslide. Kowalsczewski’s father had detected faint wisps of air emerging from the scree, and the boy spent three years clearing away the rubble. He eventually dug out a tight, thirty-meter-long passage that the thinnest members of the local caving club could squeeze through. They found themselves in a large, roomy corridor. There were animal bones and signs of bear activity, but nothing recent. The floor was pockmarked with pools of water. The walls were punctuated by stalactites (the ones that hang down) and stalagmites (the ones that stick up).
The presumptive Republican nominee harshly criticized the judge presiding over a Trump University lawsuit.
Gonzalo Curiel is a federal judge in southern California and a former federal prosecutor. He is also, according to Donald Trump, “a hater of Donald Trump.”
The presumptive Republican nominee for president devoted almost a quarter of his hour-long rally in San Diego on Friday night to criticizing Curiel, who is currently presiding over a class-action lawsuit against the real-estate businessman for his role in Trump University.
During his disjoined remarks at the rally, Trump invoked Curiel’s ethnicity, said the judge should recuse himself from the trial, called for an investigation into him, described him as “negative” and a “hater,” insisted on a summary dismissal of the case, complained about being “railroaded by a legal system,” and asserted he would win the trial.