advice from a fake consultant

out-of-the-box thinking about economics, politics, and more... 

Friday, July 24, 2009

On Respect, Or, How To Avoid Mispronounciation

For today’s story, we will travel far afield from the typical domains of politics or science or law that have so often provoked our thinking into an often overlooked area of human relations:

To which gender do you belong?

It’s a simple question, or so common sense would tell us—either you’re male, or you’re female.

As it turns out, things aren’t quite so simple, and in today’s conversation we’ll consider this issue in a larger way. By the time we’re done, not only will we learn a thing or two about sex and gender and sexuality, we’ll also learn how to offer a community of people a level of respect that they often find difficult to obtain.

Do you get off casting hexes?
Assuming forms of either sexes
And oh...are you a boy or a girl?

--Imperial Drag, “Boy Or A Girl?”


The best place to start today’s story, I suspect, is with a story.

Regular visitors to this space will recall the recent conversation we had regarding the life and times of Gladys Bentley. The kind folks at the Bilerico Project (“daily experiments in LGBTQ”) asked me to repost at the site, and it was there pointed out to me that I was confusing gender and sexuality at various times in the diary.

It occurred to me that education was the solution here; to that end I located Lifelines Rhode Island’s “TGI/Gender-Spectrum Terminology Guide” (which, unless indicated otherwise, will be the source for the material you see here today). Tobi Hill-Meyer, who also posts at the Bilerico Project, was able to confirm to me that the information here “covers a lot more than most terminology lists I’ve seen”…and with a confirming source in place, I think we’re ready to move forward.

Actually, before we do that…a caveat. Everything that will be presented today is “in flux”. Terminology and attitudes and thinking evolve rapidly in this area, and Ms. Hill-Meyer would tell you to worry less about exact terms and to pay more attention to the general concepts that this discussion incorporates.

The first thing you should know is that biological sex, gender, and sexuality are three completely different things, neither associated with the other. What I mean by that is that an individual might be male, or female, some combination of the two (intersex persons)…or none of the above—but that has no bearing on whether that same person might find themselves sexually attracted to males, or females, or intersex persons…or no one at all.

Let’s start with biological sex.

The human body expresses sex in four different ways, the first being genetic. Genetic males carry an X and a Y chromosome, genetic females two X chromosomes. Intersex persons might have a single X chromosome (known as XO) or some combination of three or more X and Y chromosomes.

“Gonadal” males possess testes, gonadal females possess ovaries; intersex persons might possess undescended testes or streak ovaries.

Those persons who possess testosterone or DHT in the body are “hormonal” males. Estrogen and progesterone are found in hormonal females, and intersex persons might have levels of any of these hormones that are either high or low…or they might not have the “receptors” that allow the body to recognize the hormones that are present.

Morphological sex is expressed by the presence, in males, of the Wolffian duct and a penis. Females will possess a Mullerian duct and a vagina. Intersex persons might possess both a Wolffian and a Mullerian duct or incomplete internal sexual organs—or none of the above—and an enlarged clitoris, a “micro-penis”, or a shallow and fused vagina.

Perception, the folks at Lifelines would tell you, exists in two parts: gender, which is derived from the perception of whether you appear to others to be male or female, and gender identity, which is based on your own perception of yourself as male, female, neither, both, or whatever other label you might choose to attach to your gender identity. The “take-away” from this line of thought is that people are entitled to make their own choices regarding gender identity.

Sexuality, or sexual orientation as it’s used by Lifelines, can be a bit tricky, but it works like this: start with an individual’s chosen gender identity, then proceed to whom they are attracted to. For example, if your gender identity is female, and you are attracted to females, you would be a lesbian. Options include straight, gay, lesbian, bisexual, asexual…and pansexual, a term used by those who see more than two sexes—and genders—within the rich tapestry of human existence.

I ought, therefore I am.

--From Immanuel Kant’s “Fundamental Principles of the Metaphysic of Morals”


Everyone still with me on all this?

Good, because now we get to the heart of the matter…the “how to show respect” part…and if you’ve been keeping up, what’s coming next will be fairly simple to grasp.

Mispronounciation is the act of referring to someone with the incorrect personal pronoun—in other words, incorrectly referring to a “he” as a “she”. To avoid this, all you need to do is refer to the individual using the pronouns that match that person’s appearance.

If the person to whom you are speaking is visually expressing their gender as female, that person is referred to as “she”, and vice versa. The fact that the person might not be “passing” in a manner that you find entirely convincing is irrelevant, as is the fact that the person may or may not have had sexual reassignment surgery.

If that same person were to express their gender, on another occasion, as a male, you would refer to the same person as “he”.

In keeping with the admonition to not worry so much about every single term, but instead to make an effort to grasp the concepts presented here, we will not endeavor to define everything on the list; instead touching on just a few terms and explaining why they are important.

“Tranny” is considered offensive and should be avoided.

A “crossdresser” is someone who does not associate their clothing choice with a desire to express as a different gender. In other words, when Rudy Giuliani dresses as a woman—even as he views himself as a man while doing it—that’s crossdressing.

Drag Kings and Drag Queens are entertainers who express themselves in an alternative gender. If the person with whom you are speaking is not on stage at the time…these terms are probably inappropriate.

Transsexual persons are taking hormones and have had sexual reassignment surgery…most of the time. (Some people use the term to describe themselves even though they have not had surgery.) This term is often used within the medical community.

There are some people who do not prefer this term, either because it implies that a mental illness is somehow involved, or because it implies a change of sexuality, as opposed to a change of gender. (You should know that the “Diagnostic and Statistical Manual of Mental Disorders”, also known as the “DSM-IV-TR”, does in fact describe Gender Identity Disorder as a mental illness.)

The word transgender, which has been in common use to describe people who are expressing any number of gender options, is considered offensive by some people because it is sometimes used to describe a person’s gender choice, instead of the preferred “he” or “she”.

Androgyne persons do not wish to express a single gender choice, instead choosing to present themselves in a way that blurs the line between male and female. Someone who expresses their gender in this manner might or might not also express their sexuality the same way.

Trans is the currently preferred term to describe people who are…well, trans.

Someone who fits into any of the categories we have described here would be considered a trans person. A trans man would be someone who was female at birth, but is now expressing the gender choice of male; obviously a trans woman would be someone who was designated male at birth and is now expressing the gender choice of female. (“Trans” is a prefix defined as “across, over, or beyond”)

If you fit into none of these categories, but instead are always expressing yourself in the same gender as your birth gender, the term cisgender or cissexual is in current use; this derived from the prefix “cis”, which is defined as “on this side of”.

So what have we learned today?

We learned that there is a community of people who do not find the two gender choices “man” and “woman” representative of all the options available…and we learned that, within that community, there are people who might wish, from time to time, to vary their gender role.

Beyond that, we found out that gender and sexuality are separate and not interrelated, and that a person can change one while not changing the other.

We learned that addressing someone using the gender they have chosen is the best way to show that person respect—and the other thing we should be taking away from this discussion is that terminology changes rapidly, but the larger concepts presented here have more permanence, and over the long term I would expect those concepts to change less than the terminology.

So go forth and have some summer fun…and should the occasion arise, apply these principles, and summer will be more fun for those you meet up with as well.

And who doesn’t love that?

Tuesday, July 21, 2009

On Aerodynamics, Or, Space: The Budget Frontier

Forty years ago this week an event occurred that changed the history of mankind forever.

An event so monumental that the memory lingers on, even though the venue where the event took place has been, shall we say, “repurposed”.

But we’re not here to talk about the time that Minnesota Twins Manager Billy Martin appeared on the cover of Sports Illustrated.

Instead, let’s talk space.

NASA is forever trying to interest the world in space exploration...and forever struggling to come up with the money to get things done.

Well, I’m not a scientist, nor an engineer, and I don’t assemble rocket vehicles...but I am a fake consultant, and if NASA took my advice, I’d bet my fake paycheck that money would be a lot less of a problem.

“You know what really makes your rocket ships go up?”

“The aerodynamics alone are so complicated—“

“Funding. That's what makes your ships go up.
I'll tell you something, and you guys, too.
No bucks, no Buck Rogers.”

--From Philip Kaufman’s movie version of “The Right Stuff”


So here’s the thing: there was a time when spaceflight was the ultimate exploit...but not any more...or at least not at NASA.

These days, NASA views spaceflight as a job—and the International Space Station has become a workspace.

There is no...adventure...in the process any more. Instead, it’s all about launching a payload to a platform where an anonymous Mission Specialist will conduct Fluid Merging Viscosity Measurements.

Even NASA TV, the Agency’s effort to make what they do more accessible to a wider audience, doesn’t seem to understand the basic elements of storytelling.

I mean, think about it for a minute: “Star Wars”, “Star Trek”, “Battlestar Galactica”...“Spaceballs”...every single one of them, with all the imitation space footage that money can buy (even the bad ones), are a thousand times more fun to watch than the real footage of the STS-127 Rendezvous Pitch Maneuver.

How is it possible that the one organization that has more film featuring genuine, no-kidding, space heroism than any other on the face of the Earth can’t make a space movie as interesting as “Killer Klowns From Outer Space”?

Why was “Apollo 13” actually more compelling to watch...than the actual Apollo 13?

To find an answer, we need to take a short detour—to Alaska.

Have you ever seen “Ice Road Truckers”? If you haven’t, well, let’s just say that it’s a master class in how to tell a story. In the series, the producers actually make something that potentially could be incredibly boring—watching people drive trucks—into fascinating television, and they do it by applying the three most basic principles of how to tell a tale:

Create one or more interesting “heroes”, a “protagonist” over whom the heroes must somehow triumph, and an interesting situation within which the triumph can either occur...or not occur.

And that’s exactly what happens on the show: the plot revolves around a group of “recurring characters” who face two protagonists: the Arctic, and each other, as they compete to see who will earn the most money. The interesting situations? Trying to get the trucks, and their cargoes, across the Arctic terrain; creating a variety of new “subplots” every episode.

“Say Captain, I’m sick; how far is it to land?”

“About three miles”

“Which way”

“Straight down”

--From “10,000 Jokes, Toasts, and Stories”, Lewis and Faye Copeland


So how might NASA TV apply this principle?

The obvious first show: “Astronaut Candidate”. There is a huge amount of human drama in the candidate selection process...and with this show you can “humanize” both NASA and the people they send into space. The protagonists and the interesting situations? The other candidates and the tests required to make it through the process. (NASA does highlight their selection process...in the form of a webpage that links to bios and headshots, and “b-roll” segments on NASA TV’s “Video File”.)

And why not humanize science as well? After all, an experiment doesn’t have to be just a “science payload”...it can also be a human asking a question about the nature of human existence. “Send My Experiment Into Space” would do the trick nicely; the idea being that you would follow the successful—and unsuccessful—experiments, and the people behind them, from inception to what happens at the Space Station to the “analysis phase” that follows (and at the same time creating interest in science and engineering among students exactly when we need more students interested in science and engineering).

“Rocket Builders” could focus on the activities that take place as the vehicles that transport astronauts and experiments are fabricated and assembled. People have to test rocket motors, transport components, and assemble the vehicles...and all of this has to be done in an extraordinarily hazardous environment under severe time pressures.

The images would be great, and the pressures on the people involved create story after story—and again, we get the chance to learn that space is a people business as much as it is a hardware business.

The final links in the chain, of course, are the flight crews in orbit...and in this regard, NASA has never quite been able to figure it out. We get to see a lot of welcoming ceremonies and farewell ceremonies, usually from a single “lockdown” camera—but we see very little about the actual lives of the crew.

Did you know that in May astronauts performed a series of spacewalks to repair the Hubble telescope? That the work was so risky that a second Space Shuttle was waiting to be launched in case an emergency rescue was required? If you either sort of remember these events—or weren’t aware of them at all—NASA has failed to tell their story.

“In Flight” could be blockbuster programming—and educational to boot—if the right people were behind the camera and doing the editing.

So that’s the story: NASA actually goes to space, and they take cameras with them, but they can’t seem to make space exploration as interesting to the public as driving a truck. They have an entire cable channel full of high drama and big adventure...and yet the ratings are death.

In just the past few days we have been told that NASA is indeed the victim of chronic underfunding that has left the agency “in a terrible position”—and when you can’t tell your story effectively, funding becomes a problem.

On the other hand, if you put the stories of the people who are trying every day to advance the boundaries of science and human knowledge into a format that captures the imagination of that same public...well, bucks, my friends, equals Buck Rogers.

And as Walter Cronkite would have said: “That’s the way it is...”

Wednesday, July 15, 2009

A Fake Consultant Exclusive: Political Robots Fail In Operational Service

It has been quite some time, Gentle Reader, since we addressed the issue of political robot design, but recent events have forced us to return to the subject once again.

As you undoubtedly are aware, three high profile ‘bots from Robotican™ Labs have recently experienced major failures.

It was originally thought that the problems were isolated to the Robotican™.1 Congressional Series of Devices...but it is now known that the failures also extend to the.2 Gubernatorial Series as well.

In today’s story we will examine what is known about these failures, how they may impact other devices in Political Service, and what solutions might be available to address these issues.

First, a bit of background: In 2007 we examined the state of the robotic art in considerable detail, and there is some information from that analysis which should be brought to the table today:

In putting today’s “non-optimal behavior modalities” into a proper context, it’s important to remember that Robotican™ Labs devices are not designed for fully autonomous operation—instead, they depend on central management of operating parameters and onboard software updates that are “pushed” out to the devices on a daily basis.

The reason for this design choice is to enable all Robotican™ devices to create a more consistent “ideological display” output: in other words, to allow the .1 Congressional Series, the .2 Gubernatorial Series, the .3 Presidential Series, the Murdoch Series of Media Robots (and the Murdoch’s derivative, the Atwater SpokesBot Series) to all deliver the same messages simultaneously, and to provide the ability to immediately revise that ideological output should operators determine the need for such change exists.

This can have its disadvantages, and there are many who have noted a “parroting” effect over the years; a problem now rendered more acute with the expanded use of YouTube as a campaign analysis tool by both opposition and independent researchers.

(Systems fielded by the Democrobot Device Program are far more autonomous, which reduces the “parroting” effect. Of course, this also makes it much more difficult to get the ‘bots to operate in unison; an effect that has been noted frequently by observers since at least 1968.)

The failure that is the easiest to explain, I’m told, is the recent breakdown of Robotican™ Lab’s Revo-Ensign v1994.1. The Revo-Ensign ‘bot is one of the many Revolution®-Class v199x.1 Devices that were introduced into service during the 1994, ’96, and ‘98 election cycles. Several of those devices have failed in spectacular manner, most notably the Revo-Vitter v1998.1, the Revo-Greene-Waldholtz v1994.1, and the Revo-Foley v1994.1.

Since the 1994 electoral cycle all Robotican™ Devices (including Murdoch Series Media Robots) have come with the Moral Majority snap-in pre-installed as an Operating System enhancement.

The problem seems to be an incompatibility issue between this snap-in and the Human.exe program’s RealityEmulatorProcess, which is one of the core processes that is allowed direct access to the Operating System Kernel.

In order to avoid “Uncanny Valley” problems, Robotican™ software engineers of the 1980s programmed for a certain number of “moral failures” in the robot fleet, but they could not anticipate the data errors that would result when Human.exe, the snap-in, and the OS Kernel interacted.

The most obvious sign of non-optimal behavior was seen in the Media.exe program. When the program is initialized it calls the MediaModulatorProcess (the second of three core processes that can access the OS Kernel). Software engineers now know that in failure mode the output from that Process can become severely garbled.

In some instances so many “unrecoverable errors” occurred that over the years since the snap-in was introduced several Revolution©-Class Devices have required “unscheduled withdrawal” from Political Service.

The repair appears to be fairly simple, and Robotican™ software engineers have, on several occasions, asked for permission to remove or modify the Moral Majority snap-in, but in every instance the requests have been denied by Corporate Management.

(It is not known if Fundraising.exe is impacted by the presence of the snap-in. The third “core” process, AcceptDonationsProcess, is called by the program, but considerable research conducted in the runup to the 2000 campaign cycle suggested the Process remains unaffected, even when the Operating System is in failure mode. More recent research, however, contradicts those conclusions.)

Now here’s where the story turns weird.

During 1998 and 1999 Robotican™ design teams were preparing to field test the Operating System Release Candidate for the Compassionate©-Class Devices that would be introduced into Political Service for the 2000 cycle and beyond.

Instead of removing the Moral Majority snap-in from the new OS, Corporate Management ordered engineers to create a new program, Faith.exe, as its replacement; the theory being that a closer association between Faith Factors and the OS Kernel would yield a more robust design that would be less likely to fail. Associated with the program are two new core processes, MoralObjectionProcess and JustifyActionProcess.

At the same time, a Revolution©-Class ‘bot was transferred from .1 Congressional Service to .2 Gubernatorial Service: the Revo-Sanford v1994.1. Normally, this would involve the installation of new OS components...but in this case, the Robotican™ design team was ordered to implement a retrofit of the Revo-Sanford to a Compassionate©-Class Device.

The result was the Compasi_Sanford v2000.2...and the problems began almost immediately...and strangely enough, on several occasions animals seem to be associated with the bizarre behaviors noted by engineers and technicians working on the project.

Examples? At one point in 2004 the Device was confusing pigs with humans, and in 2005 the Compasi_Sanford held a news conference to announce his intention to appoint a horse as his Legislative Liaison.

This was hardly a unique situation: an effort to retrofit a Revolution©-Class Device from .2 Gubernatorial Service to a Compassionate©-Class .3 Presidential Service Device resulted in the release of the GWBmatic 3000 v2000.3 and its own upgrade, the v2004.3—Devices that many say set the “gold standard” for political robot failure.

(There are some who would say the gold standard was not set by the GWBmatic 3000, however, pointing to the Evangi-Haggard v.1984.SB, which imploded in a most spectacular manner in 2006.)

Experts will tell you that you will encounter more problems with any retrofit project than you will in a “new build” project; the Robotican™ engineers I have been in consultation with are suggesting that the same effect is in play here.

It should be noted, however, that others feel the Faith.exe program and its MoralObjectionProcess and JustifyActionProcess are the real source of the problem, and that any effort to apply software of this type to ‘bots working in Political Service will inevitably result in disaster.

The third Device we will we discuss today is not part of a Series of Robotican™ Labs ‘bots, but is instead a “one-off” experimental design: the SarahCuda v2006.Xa.

For more or less a decade Corporate Management had been pressing design engineers to develop a system that could effectively function in a “consistent ideological output” environment while avoiding the “parroting” problem...and for those in the Robotican™ “Skunk Works” engineering group, this task now had the highest priority.

One possible solution, designers thought, would be to create disassociation between the SaraCuda and the Compassionate© Series of ‘bots.

With very little in the way of time or resources, Skunk Works engineers decided to attempt deployment of the still unproven “Maverick II” software suite, and by 2006 the Device was being field-tested in the remote and friendly environment of Alaska.

The software suite does have its limitations, however: because of the lack of resources available, there was no effort to develop a fully-functional QueryResponseProcess. Instead, the designers installed “call and response” and “predictive algorithm” technologies that were based on “sampling” responses into the Device’s onboard data storage facility for recall later.

Although the Device was experiencing anomalies during its experimental phase of Alaska Gubernatorial Service, Corporate Management was so desperate in the runup to the 2008 election that they rushed the SaraCuda into full operation, despite the concerns of test engineers.

“No Device can successfully function in a hostile media environment running call and response software, and they knew it when they sent her out there, and they did it anyway. I couldn’t believe they would be so willing to accept the risk, even after we warned them what might happen...”

--Harry Paratestes, Robotican™ design engineer


Although initial results were encouraging, it soon became clear that the limitations of the software were going to lead to the very disaster predicted by the design and test team. After the 2008 election, there was hope that the Device could be repaired and returned to Gubernatorial Service, but a cascading series of failures within the Operating System and the MediaModulatorProcess have now caused Corporate Management to initiate an “unscheduled withdrawal” of the Device from Service.

As of today it appears that the Device has been returned to Experimental Service, and it also appears that the call and response software is still running, suggesting that extensive development effort lies ahead before a successful redeployment can occur—or that the Device may be converted into a Murdoch Series Media Robot.

It’s time to bring this story home, so let’s see where we’ve been:

Robotican™ engineers are dealing with three different failures in three different types of ‘bots—and in two of those failures, there are crippling incompatibilities that appear to be beyond the ability of the engineering team to resolve. Corporate Management appears to be unwilling to acknowledge that an incompatibility exists...and unwilling to allow removal of the software that is at the heart of the failures.

In the third case, desperation compounded by lack of time and resources led to the massive failure of the still-experimental SaraCuda, and it now appears that an effort may be underway to “repurpose” the Device for Media Service.

Will the current Robotican™ fleet of Compassionate©- and Revolution©-Class Devices be capable of leading the charge back to victory, or will Corporate Management be forced to place a new generation of ‘bots into operation?

Can a Robotican™ Operating System be fielded that does not require the Faith.exe program or its derivatives?

And finally, has the reliance on a consistent ideological output—and the resultant “parroting” effect—become more of a detriment than an advantage in the effort to garner votes at election time?

These are the questions for the future...and the next time we address this subject, maybe we’ll have more answers.

WARNING—Self-Promotion ahead: I am competing for a Netroots Nation Scholarship, and I was not selected in either the first or second rounds. There is one more chance...and today is the last day of voting...and while I’m not normally inclined to use the “hard sell”...I guess I will today.

If you like what you’re seeing here, and you’d like to help me make these stories even better, swing by the Democracy for America site (even if you have before...) and express your support.

All of us here thank you for your kind attention, and we now return you to your regular programming (which, in keeping with the “hard sell”, is rated PG, instead of the usual G).

Tuesday, July 7, 2009

On Gay History, Or, This Is Not A Stonewall Story

Pride Month has come and gone, Gentle Reader, with no comment from this desk.

It’s not that I’m in some way insensitive to the subject; instead it’s more of a desire, once again, to stay off the beaten path.

And in that spirit, I do indeed have a story of Gay History...but it’s not from the Summer of ’69...instead, this story was already well underway before the Summer of ’29.

So put on something très chic and let’s head on over to Harlem...at the time of the Renaissance...because it’s time to meet Gladys Bentley.

As so often happens, I had no idea I would be writing a Gay History (HerStory?) story—and the funny thing is, it’s all Groucho Marx’s fault.

For those not aware, Groucho starred in what is now an ancient television game show, “You Bet Your Life”. The basic concept was that the guest would come on and demonstrate a talent, do a little comedic banter with Groucho, and then answer questions for money.

There is a newly released DVD set of episodes from the show, and I was watching the very first episode of the set...and along comes this woman who introduces herself as Gladys Bentley. After a few words, she sits down at the portable piano that was provided, and much to my amazement she proceeds to pound out some of the most amazing boogie-woogie it has ever been my pleasure to watch.

Naturally, a Google search ensued...and that’s when it got interesting.

You see, Gladys Bentley, in 1920s and 1930s Harlem, was the most famous Drag King of her time (yes, Virginia, there are Drag Kings, just as there are Drag Queens)...and all of a sudden, it was time to write a “couple days after Pride Month” story.

The history of early 20th Century Harlem is associated with two notable trends: black migration caused by the gradual desegregation of the neighborhood and the introduction of Prohibition and the speakeasy culture.

“...a costume ball can be a very tame thing, but when all the exquisitely gowned women on the floor are men and a number of the smartest men are women, ah then, we have something over which to thrill and grow round-eyed.”

--“Lady Nicotine”, Geraldyn Dismond Major, describing the “Faggot’s Ball” in her “Between Puffs” column for “The Inter-State Tattler”, February 1929


For those unaware, 1920s Harlem was the home of an active gay community, and it was apparently the perfect place for a black woman who once wrote that “even as I was toddling, I never wanted a man to touch me....”. By the end of the decade she had worked herself up from playing rent parties to stardom on “Jungle Alley”: appearing at The Cotton Club and eventually becoming the “headliner-in-residence” at the predominantly lesbian The Clam House (the entendre being entirely intentional).

It is reported that there was a surprising amount of integration on Jungle Alley—of multiple kinds—which helped Gladys Bentley soon became the darling of the white, black, gay, and straight social sets. (Langston Hughes even modeled a character in the play “Little Ham” after her.) Her ability to write and perform some of the bawdiest lyrics ever while “working the room”—especially the ladies--kept The Clam House packed...and it set her up for an even bigger gig to come.

Connie’s Inn, another famous speakeasy, had closed, and in its place was the Ubangi Club. To “kick things up a notch”, as it were, the new management not only hired Bentley, but provided for her an entire chorus line of “pansies”; the combination of the effeminate male chorus line and the female butch headliner forming a sort of gender-bending fugue that that came together in elaborate stage shows produced by the likes of Leonard Harper.

Eventually she moved over to the Mad House, performing under the stage name of Barbara “Bobbie” Minton...which, before long, caused the club to change its own “stage” name to Barbara’s Exclusive Club in her honor.

She recorded music as well, first in the late 1920s, for OKEH records; some of that music can be heard today by visiting just the right websites.

Eventually...Miss Bentley became a Mrs....more than once.

“A friend, visiting her, pointed inquiringly at two pictures on Miss Bentley’s dresser...

“Who are they?” the visitor inquired innocently.

“Oh” Miss Bentley replied “That’s my husband (pointing to the male) and that’s my wife.”

--From “The Third Sex” By Albert Duckett, in “The Chicago Defender”, March 2, 1957


Bentley’s first marriage—to a white woman, in Atlantic City—was reportedly covered in the society pages of the New York papers. Bentley also reports that there were two marriages to men, in later years, both ending in divorce—a topic to which we will return later.

All of this came to an end as the Depression deepened, and in 1937, less than five years after she had moved into a Park Avenue apartment she moved out to Los Angeles to live with her mother.

World War II revived the gay scene on the West Coast, and Bentley was able to find work at bars such as the San Bernardino Club and Joaquin’s El Rancho in Los Angeles and Mona’s Club 440 in San Francisco (“Where Girls Will Be Boys!”), along with other artists such as Miss Jimmy Reynard and Miss Beverly Shaw.

(Fun Fact: Some sort of club has occupied the same location as the old Mona’s right up to this very day, and if you find yourself in San Francisco you can visit Apartment 24, the current occupant of the spot (the website tells us to “think of classic age rock star David Bowie's over the top apartment in the 1960s....”).)

In 1945 World War II came to an end...and not long after that, so did the “gender-bending” phase of Gladys Bentley’s life.

“I thought that nought is worth a thought,
And I’m a fool for thinking.”

--From ”The Chant of the Brazen Head”, Winthrop Mackworth Praed


Before we proceed further, a few words about the public ”presentation” of homosexuality.

If you read media accounts from the 1930s—and later--that deal with gay issues, one thing that will become quickly apparent is the way the gay lifestyle is presented as an aberrant condition. You will likely also note the admonitions that a gay person must be suffering from internal torment, and unable to live a happy life.

Here are a couple quick examples:

“...Dr. Berger reasons that 99 out of any 100 Lesbians are successful in hiding their strange sex habit...

...Since it is easier for a woman to hide the fact that she is sexually cold than for a man to hide the fact that he cannot satisfactorily perform functions expected of a normal husband...

--From “The Third Sex” by Albert Duckett, in “The Chicago Defender”, March 2, 1957


“...still, in my secret heart I was weeping and wounded because I was traveling the wrong road to real love and true happiness. I could not find them in the cruel, unusual world of my strange private life.”


That second example is from an August 1952 “Ebony” Magazine article written by Gladys Bentley, “I Am A Woman Again”.

In the article Bentley renounces her entire life...and in doing so she paints a portrait of a woman who would have been a whole lot happier if she would have had the freedom to just be herself.

She describes a childhood that was spent mostly alone, parents who tried to “fix” her gender confusion by making her dress in something other than her brothers’ suits...an attraction to her teacher that she did not understand...and what she herself portrays as “extreme social maladjustment”.

Even then there was a feeling that you could cure “Teh Gay”, and as a child Bentley’s mother “began to take me from doctor to doctor...”; an effort to which Bentley herself would eventually return.

Fast forward again to post-1945...and the time she married a sailor.

“Don” was a friend-of-a-friend from San Diego via San Francisco who was told to introduce himself to Ms. Bentley if he should happen to find himself in Los Angeles...which eventually happened.

Despite the fact that “I hated sailors at the time” because of their aggressive nature they began to spend a great deal of time together—so much so that she began to introduce him as her brother.

“One day, I told Don all about my life. I admitted to him that he had me very confused because I couldn’t understand what I was doing letting a normal man pay attention to me.”


In the midst of tremendous anxiety about the future of their relationship (what with Don being the accepting type and all, they had decided to marry), she decided to visit another physician, to whom she announced the news of her impending marriage.

““That’s just what I wanted to hear” the doctor told me. “Now I can tell you what I’ve known for a long time. Your sex organs are infantile. They haven’t progressed past the stage of those of a fourteen-year-old-child.””


The solution? Injections of female hormones, three times weekly.

(There are those, notably Eric Garber, who question this account.)

“The treatment was expensive but it was worth every penny it cost.”


Fast forward to two lines later in the story:

“Even though our marriage did not last...”


Eventually Bentley began to study religion seriously, and she was in the process of becoming an ordained minister at the time of her 1958 appearance on the episode of “You Bet Your Life” that was the genesis for this story in the first place.

(Another Fun Fact: An 11-year-old Candice Bergen appears as a contestant in the second half of that same episode.)

In one way, Gladys Bentley’s story came to an untimely end just two years later, in 1960, when she died from influenza...but in another, more profound way, the story remains unresolved to this day.

It is, after all, still impossible for most same-sex couples to marry—and the Federal Government has yet to acknowledge the legal marriages that have occurred.

And those who do choose to carve out a different gender rĂ´le for themselves, as well as those who are merely “committing the crime” of being gay are still ostracized by many in the larger society, even to the point that “God Hates Fags” has become the rallying cry for a weird and twisted church.

That said, the story is moving in the right direction...Prop 8 notwithstanding...with several states now granting to same-sex couples the right to marry—and the LBGT community gaining more and more political power all the time (can you say gAyTM?).

The remainder of the Obama Administration promises to be an exercise in...well, we’re not sure: will the Administration live up to the Candidate’s promises—or will the LBGT community find itself feeling the same way vis Ă  vis the Democrats as the “teabag” community (not that one...the other one...) feels about the Republicans: taken for granted while at the same time lacking better options.

So how’s that for a “not Pride Month” story?

History that stretches back more than 40 years before Stonewall...great music...a bawdy personal life...repression, regret, and recriminations...and in the end, an Administration that is having to face up to the demands of those who seek more equal treatment.

And all of that...because of Groucho Marx.

WARNING—Self-Promotion ahead: I am competing for a Netroots Nation Scholarship, and I was not selected in either the first or second rounds. There is one more chance...and while I’m not inclined to use the “hard sell”...I guess I will today.

If you like what you’re seeing here, and you’d like to help me make these stories even better, swing by the Democracy for America site (even if you have before...) and express your support.

All of us here thank you for your kind attention, and we now return you to your regular programming (which, in keeping with the “hard sell”, is rated PG, instead of the usual G).

Friday, June 26, 2009

On Death And Justice, Or, What If The Death Penalty Could Be Fair?`

Those who support Progressive causes are in an odd position these days: we’re often in the majority on issues that matter; and we’re seriously talking about how to turn what, just a few years ago, was a wish list...into a “reality list”.

Staying in the majority, however, requires the assistance of centrist voters--and that means, from time to time, finding philosophical compromise with voters we’d like to keep “in the fold”.

In years past, the issue of the death penalty has created a considerable chasm between Progressives and centrists; with the one side concerned about the misapplication of capital punishment, and the other convinced that, for the most heinous of crimes, the only way to achieve a truly just outcome is for the guilty party to face the most severe of punishments.

What if we could bridge that gap?

In today’s discussion we propose to do exactly that: to create a death penalty process that only executes those who are truly guilty and excludes those who might not deserve to be put to death...in fact, those who might not be guilty of any crime at all.

Before we proceed further, a bit of “full disclosure”: I am personally inclined to end the death penalty. The reason for this change in personal philosophy is related to the work of The Innocence Project, who would want you to know that as of the date of this writing 240 people convicted of various crimes were later exonerated in the United States through the use of DNA testing (17 of those being inmates who were on various Death Rows at the time).

It occurs to me that the only acceptable level of error in executions is zero, which has also led me to support the option of life without the possibility of parole as an effective death penalty substitute; the thinking here being that a wrongly convicted individual can always be released from life without parole...but until Dr. McCoy returns from his five year mission, the odds that an accidental execution can be reversed are quite low indeed.

“On the other hand, the worst nightmare of a death penalty supporter and of everyone who believes in our criminal justice system is to execute an innocent man.”

--From “A Charge to Keep”, George W. Bush


As you are no doubt aware, in order to obtain a criminal conviction in the United States a prosecutor must prove “guilt beyond a reasonable doubt”.

This standard, however, does not guarantee that only the guilty are convicted.

Improper convictions can be obtained for a variety of reasons, which can include eyewitnesses who make mistakes, situations that involve false confessions, the inappropriate use of informants, or even the occasional governmental misconduct.

To reduce the potential for these sorts of failures, I’m proposing that after conviction, and during the “penalty phase” of a trial involving capital crimes, we determine if the evidence presented can meet a higher “burden of proof” than what is required to merely convict a defendant of the crime for which they are facing trial.

That higher burden of proof:

“Guilt beyond any doubt.”

In other words, if, during the penalty phase, the defense could create any doubt at all as to whether the defendant is guilty, or that the conviction is appropriate, that defendant would no longer be death penalty eligible, and a sentence of life without the possibility of parole would be imposed.

This is a good start to reduce the number of improper capital convictions...but there is another important reason the innocent are convicted that this proposal cannot address: incompetent lawyers.

However, there is a way to get at a resolution for this problem: a requirement that all defendants in capital cases be represented by Federally-accredited “death penalty” attorneys, combined with a requirement that each State maintain a staff of accredited attorneys that would be available to defend those individuals who are facing capital crimes and cannot afford private accredited counsel.

All of this could be imposed by Congress with statute law; and an Act defining “cruel and unusual punishment” in part as a failure, in capital cases, to provide the “guilt beyond any doubt review” and accredited attorneys should do the trick just nicely.

Dimitri: I was talking to Zeus the other day, and he thinks you’re a bad influence on me.
Tasso: That’s interesting, because I think he’s a bad influence on you.
Dimitri: In what way?
Tasso: He makes you think the voices in your head are real.

--From "Plato and a Platypus Walk Into A Bar...", Thomas Cathcart and Daniel Klein


There are two counterarguments that might quickly occur to the reader, and I will attempt to address them both here.

First, it is indeed true that this will not absolutely guarantee that there will be no further improper executions...and it is also true that the only way to make such an absolute guarantee is to end the use of the death penalty altogether.

However, this is a great compromise, in that is reduces the odds of such an execution to near zero while still leaving open the potential for executions in cases where no doubt of any kind can be established by the defense.

Secondly, there will be concerns that this proposal will only allow the death penalty to be imposed under the most extreme and unusual circumstances, to which I would reply: that’s exactly correct.

The idea here is that virtually everyone who is accused of a capital crime would end up sentenced to life without the possibility of parole...except in those most rare of circumstances where there can be no doubt whatever as to the guilt of the accused.

This is also a great compromise—after all, does even the most conservative Christian voter amongst us really want to take the chance that innocent people are executed?

To help this process along, I would further propose that Congress enact legislation that allows anyone facing Federal crimes or capital crimes, in any State, the right to obtain and introduce, post-conviction, evidence that could absolutely prove the innocence of a convicted person...and I would encourage Congress or the State Legislatures to pass legislation that would apply this protection to those convicted of all crimes in all States.

We might consider creating “Review Magistrates” to conduct an initial, less formal, review of such claims, with claims deemed appropriately credible advancing to a more formal Court setting for final disposition.

This will also cause some to object to the added burden imposed on the legal system...but the goal of the Constitution’s due process and equal protection clauses is not to round up a few of the innocent in order to get all the guilty incarcerated...instead, it’s just the opposite: to let a few of the guilty go free in order to ensure that the odds of the innocent being convicted remain as low as possible.

And with all that said, let’s wrap this thing up:

In order to find a way to compromise between the philosophies of those who seek to end capital punishment and those who support its application, I’m proposing that we review the evidence after conviction in capital cases, as part of the “penalty phase” of such trials, and if the defendant can create any doubt at all, of any kind, as to the propriety of that conviction, that defendant shall be sentenced to life without parole.

I’m also proposing that all defendants facing capital crimes be represented by accredited “death penalty” attorneys, and that defendants have the opportunity, post-conviction, to present exculpatory evidence if it should become available.

The use of the death penalty, not unlike the issue of abortion, has pulled people of good conscience to diametrically opposite sides of a national debate that is not easily resolved.

This set of proposals tries to find the compromise between those two sides, and in doing that we hope to convince centrist voters that Progressives are more than just wild-eyed dreamers—that, instead, they’re realists who seek solutions that represent the interests of all Americans, even those with whom they might not always agree.

In a political world where one side seeks fairness and compromise and inclusion and the other side seeks a ever-crazier brand of moral purity...which they can’t quite seem to live up to...it seems to me that the side seeking compromise is hugely advantaged in elections...and that, as far as I’m concerned, sounds pretty good.

Special Note: We have become aware of concerns related to the health of Walter Cronkite, and we hope he is as hale and hearty as he would want to be.

WARNING—Self-Promotion ahead: I am competing for a Netroots Nation Scholarship, and I was not selected in either the first or second rounds. There is one more chance...and while I’m not inclined to use the “hard sell”...I guess I will today.

If you like what you’re seeing here, and you’d like to help me make these stories even better, swing by the Democracy for America site (even if you have before...) and express your support.

All of us here thank you for your kind attention, and we now return you to your regular programming (which, in keeping with the “hard sell”, is rated PG, instead of the usual G).

Tuesday, June 23, 2009

On Looking Deeper, Or, Things About Iran You Might Not Know

It has been an amazing week in Iran, and you are no doubt seeing images that would have been unimaginable just a few weeks ago.

For most of us, Iran has been a country about which we know very little…which, obviously, makes it tough to put the limited news we’re getting into a proper context.

The goal of today’s conversation is to give you a bit more of an “insider look” at today’s news; and to do that we’ll describe some of the risks Iranian bloggers face as they go about their business, we’ll meet a blogging Iranian cleric, we’ll address the issue of what tools the Iranians use for Internet censorship and the companies that could potentially be helping it along, and then we’ll examine Internet traffic patterns into and out of Iran.

Finally, a few words about, of all things, how certain computer games might be useful as tools of revolution.

The first task for today…let’s talk about blogging:

It turns out that bloggers in Iran risk running afoul of the Press Law of 1986, which, in addition to requiring the licensing of media outlets, reads in part:

Article 6: The print media are permitted to publish news items except in cases when they violate Islamic principles and codes and public rights as outlined in this chapter…

…5. Encouraging and instigating individuals and groups to act against the security, dignity and interests of the Islamic Republic of Iran within or outside the country…
…7. Insulting Islam and its sanctities, or, offending the Leader of the Revolution and recognized religious authorities (senior Islamic jurisprudents);
8. Publishing libel against officials, institutions, organizations and individuals in the country or insulting legal or real persons who are lawfully respected, even by means of pictures or caricatures; and
9. Committing plagiarism or quoting articles from the deviant press, parties and groups which oppose Islam (inside and outside the country) in such a manner as to propagate such ideas (the limits of such offenses shall be defined by the executive by-law)…

… Article 25: If a person, through the press, expressly and overtly instigates and encourages people to commit crimes against the domestic security or foreign policies of the state, as specified in the public penal code, and should his/her action bear adverse consequences, he/she shall be prosecuted and condemned as an accomplice in that crime. However, if no evidence is found on such consequences he/she shall be subject to a decision of the religious judge according to Islamic penal code.

Article 26: Whoever insults Islam and its sanctities through the press and his/her guilt amounts to apostasy, shall be sentenced as an apostate and should his/her offense fall short of apostasy he/she shall be subject to the Islamic penal code.

Article 27: Should a publication insult the Leader or Council of Leadership of the Islamic Republic of Iran or senior religious authorities (top Islamic jurisprudents), the license of the publication shall be revoked and its managing director and the writer of the insulting article shall be referred to competent courts for punishment.


(In Iran, the penalty for apostasy is death.)

Those bloggers who are not licensed can still be prosecuted under the Penal Code, as the OpenNet Initiative reports in an excellent article they’ve just posted on the subject.

In 2008 the Iranian parliament passed a law which provides for the death penalty for bloggers who engage in non-permitted activities, a situation faced today by Yaghub Mehrnahad, who publishes the “Mehrnahad” blog.

(Interestingly, this blog can be reached in Persian, but an attempt to access the same URL with Google Translate returns this message:

“You are not authorized to view this page

The Web server you are attempting to reach has a list of IP addresses that are not allowed to access the Web site, and the IP address of your browsing computer is on this list.”


More about that later.)

There is also the risk of torture: a problem noted by the BBC at least as far back as 2005.

Ironically, Mohammad Ali Abtabi, a cleric and former Vice-President of Iran whom you may have recently seen on “The Daily Show” maintains a blog in which he does criticize Iranian society on a regular basis, including his assessment of the recent election as “a huge swindling”…which has now caused the authorities to place him under arrest.

So how does Iran manage to control Internet access?

What they aren’t doing is employing the simplest method possible: cutting off all access. This is presumably because of the negative impact on the Iranian economy that would be caused by business being unable to do what they need to do online.

There are several methods being employed, including a requirement that all Internet Service Providers in the country connect to the state-owned Data communication Company of Iran (DCI) for international access, that all ISPs put in place “filtering” and monitoring technologies, and that households be blocked from having access to high-speed Internet connections.

As of this writing the fastest Internet connection now available for an Iranian household is 128k, about double the speed of a dial-up connection…and as you might guess, not fast enough to allow Iranians to use such services as YouTube. A 6MB cable Internet connection, not uncommon in the US, would be roughly 50 times faster. Because of this the total capacity of Iran’s international Internet connections are roughly 12GB per second. Normal traffic is about 5GB per second, which, we are told, is about the same as a mid-size American city.

OpenNet reports that after an initial period of reliance upon foreign monitoring software, the government decided to create an “in-house” capability, and as a result there are locally developed software packages designed to allow access to the actual data packets in messages—meaning that authorities can read such things as e-mails and instant messages after they are sent and before they pass through the DCI “gateway”.

There has been a conversation regarding the role of Western equipment suppliers in all of this; and it is alleged that a Nokia/Siemens joint venture (Nokia/Siemens Networks) has sold to the Iranians equipment that is used to monitor the Internet use of Iranian citizens. The company denies this, however.

They also want you to know that the joint venture has been sold to a third party, and that, as their press release tells us: “providing people, wherever they are, with the ability to communicate ultimately benefits societies and brings greater prosperity”.

Another method of blocking access is to deny connections to certain sets of IP addresses, and this is why, presumably, I could not access the translated version of the “Mehrnahad” blog. This method would also allow the Iranians to block access to and from inside the country to sites like the BBC, Google, and Blogspot.

There is a way around “address blocking” which involves setting up “relays” and “bridges” that can be accessed by people in Iran—and this is something you yourself can do that can be of considerable benefit to Iranians trying to reach out to the rest of us.

The Iranian Government is also trying to locate and isolate those with Twitter accounts that are set to the Tehran time zone…and you can help make that process tougher by either setting up a Twitter account and setting the time zone to Tehran, or changing your existing account’s time zone.

The next few minutes are going to get a bit geeky, and for this I apologize in advance.

In order for your computer to use certain services that involve communicating with other computers the operating system utilizes a series of “ports” (this is all in the software, so don’t bother looking at the back of the machine to find them).

Some quick examples: the TCP/IP connection your computer is using to access the Internet is through Port 80 and the FTP service runs on Port 21.

There are two kinds of ports—TCP and UDP—and there is no reason to explain here why or how they differ.

There are thousands of ports, the ports used are usually specific to a particular service, and there are giant lists of assigned ports that everyone can access. A service can (and usually does) use more than one port for two-way communication with a computer, which is why the Federal Emergency Management Agency Information System uses TCP Port 1777 and UDP Port 1777.

The routing data that packets of information display as they travel through the Internet includes the port that the packet is seeking to access…and that data is accessible to all routers…and if you controlled the gateway through which all inbound and outbound Internet traffic was passing through you could block packets that seek to utilize certain ports.

Experts are suggesting that this is exactly what is happening today in Iran, with more than 80% of traffic bound for ports using the Adobe Flash Player being blocked, nearly 75% of the POP Service (e-mail) traffic being blocked, and roughly 70% of traffic bound for ports used by “proxy servers” being intercepted. (Proxy servers, by the way, are the same type of connections we discussed earlier that you can set up at home to help Iranians trying to reach the Internet.)

Voice over IP (VoIP), the Internet “telephone” service, is proving to be a troublesome issue for censors, as it has legitimate business purposes and is difficult to censor without either having someone listening on the other end of the line or installing a monitoring system worthy of the National Security Agency.

Interestingly, with the exception of the few hours immediately following the vote, the amount of Internet blockage, overall, seems to be fairly close to what it was just before the voting. However, the amount of “instability” has been highly variable, suggesting that certain blocks of IP addresses have been temporarily “withdrawn” from the Internet’s address structure, for want of a better term, and then once again made known to that same addressing infrastructure.

It is suggested that this may be because the Iranian Government has been able to institute a sufficient level of monitoring on those address blocks so as to make them comfortable with again allowing the users of those addresses access to the Internet.

In one of the oddest developments I’ve heard so far, there are reports that certain communications protocols used by some games are not being blocked. We will not go into specifics here, but it seems strange indeed that the video game your mother didn’t want you playing all day might actually be a tool for surreptitious communication.

And with all that said, let’s wrap it up for today.

Here’s what we’ve learned: it is indeed hazardous to be a blogger in Iran.

Despite the fact that it can get you tortured or get you the death penalty, there are those who take the risk—including a former Vice-President who now finds himself under arrest.

We can help Iranian citizens by installing software on our own computers that helps them obtain uncensored Internet access, and about 1/3 of that traffic is getting through.

The regime is not attempting to permanently shut down all Internet traffic—and in fact, that would be a cure that might be as bad as the disease.

The Iranian Government, instead, is developing and operating a sophisticated system of Internet blocking, but it is not perfect…and there are odd connections that could be used that most people would never think of as useful for the purpose.

Finally, a Western company is accused of selling equipment to Iran that could be used for Internet monitoring, but the company in question denies that the gear they sold Iran can perform the tasks the accusers say it can.

It is rare indeed to be able to see two revolutions taking place at the same time--but as you’re watching the news from the newest Iranian Revolution…keep an eye on the news of the Internet Revolution as well.

WARNING—Self-promotion ahead: I am competing for a Netroots Nation scholarship, and I was not selected in the first round of voting. There are two more chances to be selected…with an announcement due this week...so even if you’ve done so before, I still have to ask you to stop by the Democracy for America site and click on the “Add your support” link to offer your support for me again. Thanks for your patience, and we now return you to your regular programming.

Saturday, June 13, 2009

On The Costs Of Care, Or, You Don’t Want Every Item On This Menu

I don’t know if you’ve been thinking about it, but the costs of long-term care have been on the mind of some friends of mine lately.

For reasons that we won’t go into here, they are in the process of pricing long-term care at care facilities…and yesterday afternoon, we had a chance to have a look at the “menu” of services (the facility's term) that can be purchased at this particular location.

If you are facing this issue in your own family, if you are a taxpayer thinking about how we plan to fund long-term care in the future…or if, one day, you expect to be old yourself…this conversation will surely matter.

To protect the innocent, I won’t be mentioning names today, but here’s what you need to know:

The location in question is an “assisted living facility” located near Seattle, it is somewhat upscale, but by no means ”posh”, and it is a residence of substantial size, with dozens of clients living there. It is not a “mom and pop” business run out of a house, but instead a more corporate operation.

The first thing you are charged for is the “apartment” in which you reside and some basic services to go with it. Those services include “finishing the place” with blinds and appliances, weekly housekeeping and linen, and the power and the water and the cable (“Basic Extended”).

You’re also paying for the 24-hour staff presence, “recreation” services, and scheduled transportation.

Also included: two meals daily, but not breakfast.

Telephone charges are not included.

The cost, for a single person: $1900 per month for a studio, $2300 for a one bedroom, and $2800 for a two-bedroom. There are nicer “views” available, which add about $400 to each price. Adding a second person costs $600 extra every month.

You will note that this price does not include medical and “personal” services…and for that, we will turn to the actual “menu”.

"Old wood to burn! Old wine to drink! Old friends to trust! Old authors to read!"

--Francis Bacon, Apothegms. No. 97.


Start with the basics: a daily wake-up call is $50/month; having a load of personal laundry washed every week or having a staff member make the bed daily adds $70 monthly. Housekeeping is $30/hour…so hopefully the resident can clean their own apartment.

Breakfast is $95 each month.

To determine what additional needs you might have, a nursing assessment is conducted at the time of admission.

If it’s determined that the resident needs bathing assistance, costs work like this:

If the resident can wash themselves, but need to be watched during the shower, that service, once a week, is $165 monthly. If the resident needs a staff member to help them shower, add $60 (If two staff members are required, that’s an extra $140 monthly).

Can the resident dress themselves?

A daily reminder to change clothes costs $100/month. If a staff member needs to spend under 10 minutes a day to help the resident dress, that’s $175/month, if 15 – 20 minutes of assistance is required, that’s $250 monthly.

Can the resident take care of their own personal grooming? If they can’t, that adds $150 to the monthly charges.

There are also “toileting programs”.

Having the staff remind you to go to the bathroom costs $200/month (this also covers the occasional incontinence event), and having a staff member monitor you in the bathroom raises the rate to $275 (this also covers the occasional “bowel accident”).

A “structured toileting program” runs $350…and if you need to be checked for bowel accidents regularly, or need someone to wipe for you, or have regular accidents requiring changes of clothing, that’s $425 a month added to the bill.

Some people have had surgical procedures that require them to use a bag attached to their colon for waste removal. The site where the bag is attached is called a “stoma site”, and the service associated with stoma care is at least $250 monthly at this facility. Supplies (such as colostomy bags) are not included in this price.

Can the resident walk to meals on his or her own?

If yes, but they need a verbal reminder to go to meals, that’s $175/month. If the resident requires assistance to get to the dining room, that’s $225 monthly…and if it takes longer than 5 minutes on average to assist the resident, that adds $275 to the bill each month.

Special diets, prescribed by a physician, add $500 to the monthly bill.

Can the resident take their own medications?

If not, the minimum charge is $230 monthly, which covers up to 5 medications daily, “served” two times a day.

If the client takes more than five meds daily (or takes meds more than twice daily) that cost could potentially increase by another $165/ month.

Oxygen service: add another $150 monthly.

While all that seems expensive…we haven’t come to the big-ticket item yet.

There will be residents who will require “memory support”.

The simplest form of this service provides “redirecting, reassurance, orientation to surroundings, responding to questions/concerns that arise from diminished short term memory” and several checks daily to ensure the resident is on the property. Those who receive this level of service are also physically escorted to meals. The service costs $300 per month.

For $400 the resident is walked back from meals, and a staff member provides verbal cues to get the resident dressed. The resident will also be “convinced” to bathe, if need be.

If the resident requires physical cues to perform the same tasks, the cost jumps to $550 (and at this stage the resident might require two staff members to get them to perform personal hygiene).

The highest level of care also provides someone to check on the resident every two hours, and costs $800 monthly.

This is hardly a complete list: for example, there are charges for making appointments and other “clerical” services, for “concierge” service, and for other incidentals.

However, there’s one other significant charge about which you should be aware, and that’s the cost for nursing services.

Wound care that involves changing a dressing, and takes less than 5 minutes, is $15 for each occurrence. This service must be provided by a licensed nurse…and if you add it up, it works out to $180/hour that the facility is charging you for the services of an LPN/LVN (depends on where you live) who is not likely to be making above $25/hour. (Each dressing change that lasts from 5 – 10 minutes costs $20; meaning at least $120/hour.)

Add it all up, and the chances that you’ll be paying at least $3000 a month are (in the words of Johnny Mathis) awfully good.

"If Mr. Selwyn calls again, shew him up; if I am alive I shall be delighted to see him; and if I am dead he would like to see me."

--Henry Fox, the First Baron Holland


So how is all this relevant to politics, you might ask?

How about this: we are about to enter an age where millions of Americans will require this sort of long-term care…and many of us do not have $3000 per month available to pay for this kind of care.

How many? It is estimated that 70 million Americans will be 65 or over by 2030, and if the numbers from 1999 continue to be valid, roughly 30% of those people will be living in an institutional setting.

20 million people, at $3000 a month, equals $60 billion that will be required to cover the cost of long-term care for this group—each and every month. That’s $720 billion a year.

So how do we deal with the problem when it hits us?

I don’t know…but consider this: it is going to be tough to reduce these costs, if only because these are tasks that are not well suited for automation. These are services, for the most part, that require one-on-one care (or even two-on-one care)…and those who provide the care will want pay raises…which we will want to provide, in order to help keep the quality of care at a high level.

You should also know that there are substantial costs associated with “fixing broken workers”. The fact that workers are often required to assist clients that are physically large or physically awkward puts a lot of these workers out on injury leave…and the unhappy fact is that understaffing is a common way to try to control labor costs in nursing facilities, adding to the injury problem these workers face.

How bad is the healthcare injury problem? Ironically, the Bureau of Labor Statistics tells us health care facilities are the most dangerous work environment in the United States.

“General medical and surgical hospitals (NAICS 6221) reported more injuries and illnesses than any other industry in 2007—more than 253,500 cases.”

To put it another way, there are basically two kinds of healthcare workers: the ones with back injuries…and the ones who don’t yet have back injuries.

As we wrap this thing up, let’s ask that question we ask almost every time: what have we learned today?

If you hadn’t already been thinking about it, it is fantastically expensive to have to receive care at an assisted-living facility, and soon there may be as many as 20 million Americans who will be in that situation…or something even more expensive, such as “skilled nursing facilities” (more commonly referred to as “nursing homes”).

We could be looking at having to find $720 billion (in today’s dollars) to cover the annual cost of that care.

It is going to be very tough to reduce those costs, unless you can develop ways to deliver the same care in a less-expensive environment…or you can find a way to reduce the number of people who will require such care.

Considering the cost of “memory care”, money invested in Alzheimer’s mitigation today might pay huge dividends later.

So that’s the deal: there is a giant bill that’s coming due, we better be thinking about it now…and one way or another, this will become one of the biggest fights in American politics as we move into the middle third of this century—so we can either get ready for it now, or we can all act surprised later.

Of course, if enough of us require “memory care”…then I guess that surprised look on our faces won’t be an act, eh?