PHILADELPHIA REFLECTIONS
The musings of a Philadelphia Physician who has served the community for nearly six decades


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Sociology: Philadelphia and the Quaker Colonies

Customs, Culture and Traditions (2)

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Robert Barclay Justifies Quaker Meetings

{Robert Barclay}
Robert Barclay

As part of the dissidence, rebellion, reformation and Civil War of 17th Century England, Robert Barclay the Scotsman emerged with a point of view both structured and reasoned in detail, but capable of reduction to a handful of what we would now call "Sound Bites". Coupled with membership in a prominent family, of course, these abilities made him a particular friend of James, Duke of York, later King. Barclay became a Quaker at an early age.

While the whole point of the Reformation was revulsion against corrupt Catholic clergy, shielded behind some impossibly convoluted legalisms of doctrine, for the governing establishment anything was going too far if it might lead to anarchy and chaos. The establishment recognized that public revolt against universal micromanagement led to the scaffold for Kings who resisted the revolt, in their view the need for law and order still demanded some legitimacy, if not organized law. The Ranters, who paraded about stark naked and lived in ways resembling the hippies of the 1960s, were beyond the pale. Quakers, who professed no formal doctrine except the teachings of silent meditation, were possibly just as bad, because silent meditation could lead you anywhere including regicide.

George Fox the founder of Quakerism, had already provided some basis for containing such fear, by organizing local monthly meetings for worship within regional quarterly meetings, and quarterly meetings in turn within an overall framework of a yearly meeting. Occasional monthly meetings might develop a consensus for wild and antisocial behavior, indeed quite often did so, but would have to persuade the quarterly meetings which outnumbered them, or in the most extreme case, the whole religion assembled in a yearly meeting. The innate conservatism of the meek would-- and did -- usually silence the extremism of the truly rebellious few. Very few kings would deny they could go no further in despotism themselves, without the public behind them.

{Free Quaker Meeting House}
Free Quaker Meeting House

Barclay recognized and drove to the heart of this matter. Why have a Quaker meetinghouse at all? If the purpose is to meditate in silence, why not do it at home or in a cave? Essentially, the answer was that a religion which renounced a priesthood, and renounced an organized written doctrine, needed what we would now call an institutional memory. If every Quaker began with a clean slate, to develop his own organized set of moral principles, most of them would never get very far. Even if they did, they would have no time left over for milking the cows and weaving the cloth. Single silent meditation was an inefficient way to progress, particularly if you had the faith that eventually everyone would achieve the same message as the Sermon on the Mount. The founders of Quakerism were taking a chance, here. To assume the same outcome, you would have to assume everyone started with the same instincts and talents. Even 21st Century America would have private doubts about that one; and feudal England would have rejected it contemptuously. Carried to an extreme it was a claim that everyone was as good a philosopher as Jesus of Nazareth, or as good a person, or as much a Son of God. No, that was not the arrogant claim. The humble claim was that collectively, listening respectfully to one another in a gathered meeting, the whole world would, over time, reach the same truths as the Creator. If not, it would be as good as you were going to get.

Like all the early Quakers, Robert Barclay spent some time in jail. He did visit America in 1681, but it is doubtful if he spent any time here while he was Governor of East Jersey, from 1682 to 1688. The King insisted on his appointment.

http://www.philadelphia-reflections.com/blog/1706.htm


Plays and Players, Haddonfield Version

First, an anecdote from my own lurid past. When I went there, Yale was an all-male institution with one exception, the Drama School. It's true that Shakspere had boys play the part of women in his plays, but Yale evidently felt that was going unnecessarily far, and had thus let the nose of the female camel get under the all-male tent. Meanwhile, I had discovered that a course in Advanced Chemical Engineering was carrying my amateur interest in chemistry sets a long ways too far, and after two weeks, I wanted out of it. Out!

The Dean was sympathetic until I answered what I wanted to transfer into -- a course at the Drama School. Somehow, he felt that was immensely amusing, one he hadn't heard before. But, finding my grade average satisfactory, he gave a big wink and signed the paper. I didn't pretend to be offended, but I did pretend to be solemn. The experience subsequently served me very well, since that class of girls went down to Broadway at the same time I went down to New York to medical school. Almost none of my mostly all-male class of medical students knew any girls in New York, but by comparison I knew lots. It made me very popular with both groups.

It thus develops that I had the courage recently to accompany to a theater party in Haddonfield, a lady who had spent twenty-five years on the stage. The play was Cole Porter's Anything Goes, put on by the Haddonfield Plays and Players, a group celebrating its 75th year of productions. You seldom see musical comedies anymore, because the large cast and orchestra requirements are pushed by Union rules to huge expense which a professional group cannot safely risk, and amateur groups mostly cannot enlist a large enough audience to support. In addition to the orchestra, stage hands and administration, I counted thirty members of the cast up on the stage for the big chorus numbers. There might have been a hundred in the audience to pay the bills. This wasn't the only play of the season, there will be five I understand, so the performers have to be quick studies, which generally means considerable experience. Even with what therefore must have been a short time to rehearse, this group was good, really, really good. The lady by my side remarked these people must be semi-professionals, at least. I didn't think so, so she demanded a playbill to see. Sure enough, semi-pro.

All of which may seem a round-about way to get to an observation about the current theater revival in Philadelphia. There are at least fifty new amateur theater groups scattered throughout our region, filled with "kids" having a wonderful time playing Shakspere, Albee, Shaw and whatever. At cast parties, almost none of them expresses any interest in going to Broadway or Hollywood; they are mostly software engineers or similar. Since the Philadelphia revival of interest in performing arts is so striking, it has led to ruminations about why the theater similarly flowered in Elizabethan London, at a time when there were only two theaters in Paris, by comparison. Perhaps this parallel has something to teach us about the hidden social impact of Sir Thomas Gresham and dual coinage, or Sir Francis Drake and the Armada.

But maybe, I realize for the first time, there is a flight in our direction, from New York City.

http://www.philadelphia-reflections.com/blog/1707.htm


Molly Maguires of Pennsylvania (1)

IT seems likely the Molly Maguires of Donegal, a county along the border between Northern and Southern Ireland, were the source of those Molly Maguires who first made an Irish presence in Cass Township of Schuylkill County, Pennsylvania, around 1850. When Pinkerton agents were later hired to deal with labor violence in the hard coal region, their first step was to send an agent to Donegal to study Molly Maguire methods -- and surnames. A handful of families, perhaps only one extended family, were likely transatlantic transmitters. The secret society of men sometimes disguised in women's clothing, spread a tale of grievances to Irish neighbors and even further; eventually the whole industrial labor movement over-reacted, either adopting violence or vehemently opposing it. Most Mollies were proudly illiterate, making their appeals in local taverns through folk songs about ancient martyrs. Even today, a tourist who wanders into Irish taverns there senses hostility to strangers; the bartender may advise you to leave. Although rough behavior by new immigrants always was something to guard against, by 1850 the country was reasonably accustomed to experiencing it. Assimilation was the American way of life.

However, resistance to conscription during the Civil War gave newcomer clannishness more serious consequences. This was particularly true when it inserted a surprising pro-slavery (or at least anti-emancipation) protest into the very center of the Northern Union, around Pottsville, Pennsylvania. Whatever the South was fighting for, the North was primarily fighting to preserve the economic benefits of greater trade in larger markets -- a concept loosely described as "preserving the union". A second twist to anti-Mollie repression was later added after the war was over, when the 19th Century Industrial Revolution created another untamable tribe, the Robber Barons, for whom uncooperative behavior was a tendency not to be trifled with.

Basic behavior of the Molly Maguires in action followed a simple pattern. Males dressed as females in blackface made extortion threats against members of dominant society, protesting that their own subsequent violence was merely justice for heartlessness toward widows and orphans. Since the Mollies out of costume mingled cheerfully with those they secretly called oppressors, for actual assassinations they either called in the help of distant outsiders or drew lots to choose the assassin locally. The community would then unite to provide a vocal alibi, and profess to be offended by the accusation. To increase intimidation, death threats were pinned to the doors of many more potential than actual victims. Because the local industry was anthracite mining, and the original main goal was to increase wages, the targets selected were mine owners or supervisors, sometimes guards. Over a period of thirty years, perhaps thirty murders were actually committed. About the same number of conspirators were later hanged. Until Civil War conscription came along, the goal of this violence was not to close down the coal mines, but to shorten hours and increase pay in a dirty, dangerous occupation. When the wartime issue of the draft came up, however, there was an unfortunate switch to economic warfare, so Abraham Lincoln responded by stationing thousands of troops in the region to keep the mines running. More moderate labor leaders in the region were soon tarred by suspected collaboration with the now unpatriotic Mollies, and for a time the labor movement evaporated. The Catholic Church, which has always sternly opposed secret societies (Masons, Communists, Knights Templars, etc) also took a long step toward opposing labor union violence at this time, as Bishop Wood, the leader of the local church headquartered in Philadelphia, took an active role in exhorting Catholic resistance to the Molly Maguire secret society. To some extent, violence in the anthracite region was between Irish and more highly skilled Welsh coal miners. The rhetoric, however, was of oppressed Irish against English mine owners. To a considerable extent, it was actually a battle between peasant Irish and upper-class Irish, just as was once also true in Ireland. The Mollies attempted to project the image of representing all Irishmen against the hated English, who in their depiction had carried oppression to the extreme of forcing other groups to adopt the English language. One might say this immigrant group attempted to maintain its foreignness, to the point of resisting its own rise out of the peasant class.

This struggle to maintain a lower class within a nation that hoped to eliminate all classes, became a struggle between the violent labor movement and the moderate one, particularly after the Civil War to eliminate slavery the lowest class of all. Moderate labor representatives, led by Bannan the editor of a local newspaper, were a remnant of the former Whig party. On this level, the Molly Maguires did win an enduring victory. The general thesis of American Whigs was that labor and management were allies, both having a need to help local business thrive. Newly arrived immigrants would commonly be poor and start at the bottom, but would in time rise through the ranks of management to the point where they, too, could become owners and entrepreneurs. Whigs were baffled why anyone would wish harm to business; labor and management were merely different stages of national assimilation. Lincoln and the Republican Party had also evolved out of the remains of the collapsing Whig party, but they were now responsible for preserving the Union. Dissension over conscription, draft riots, and a peculiar Molly antipathy to emancipation of the slaves were to sour organized labor about the Republican party, although it took another sixty years for organized labor to migrate definitively into the Democratic party. Meanwhile, although many working-class Americans continuously enter the middle class, they mostly have to change their politics as they change their belief systems. Even today, some enduring remnant of Molly Maguire violence assures that the dominant rhetoric of the labor movement puzzlingly rejects the logic of Whig upward mobility. Labor resolutely maintains a class-oriented voice as it strives to better itself. For example, credence is given to stories of unsuspecting Irish immigrants -- right off the boat -- being offered citizenship only to be promptly conscripted into a war they never heard of; the rest of the community treats this as a refusal to acknowledge the duties of citizenship. Other depictions of the Civil War draft riots emphasize unfair ability of the upper classes to purchase draft substitutes, and the use of Irish soldiers as mere cannon fodder by the regular army. One can only marvel at the durability of these sentiments, generation after generation. Labor grievance in the coal fields would be more plausible if it concentrated less on national and religious enemies, and more on specific individuals who might justify outrage, even if that undermines an ethnic stereotype. One such is next described.

http://www.philadelphia-reflections.com/blog/1709.htm


Molly Maguires of Pennsylvania (2)

{the Mollie threat  in the coal regions}
the Mollie threat in the coal regions

IT was in their interest for both the Molly Maguires and their chief enemies to exaggerate the Mollie threat in the coal regions. Mollies hoped to achieve more pay for less work by intimidating employers, the more intimidation the better. The management of the mines and railroads more shrewdly hoped to mobilize public sympathy to their side, in the newspapers, courts and legislature, by exaggerating the undoubtedly real menace of lawless, unpatriotic behavior. There have since been great strides in the art of slanted propaganda, and it takes more finesse to mobilize modern opinion. Having watched Hitler and Stalin in action, and noticing our political parties going in the same direction, we would now regard the behavior of 1870 to be crude, and therefore less effective. But there was one very public rebuttal to what the Mollies were claiming. Although they portrayed themselves as oppressed Irish in an English dominated world, their main enemy was himself a well known Irishman.

{Franklin Benjamin Gowen}
Franklin Benjamin Gowen

Franklin Benjamin Gowen, President of the Reading Railroad from 1870-1886, was both Irish and definitely larger than life. As one illustration of his extraordinary energy, he died at the age of 53, but had risen from moderate circumstances to control what would become the largest railroad in America by age 34, ultimately being forced from office by J.P. Morgan while still only 50. By some measures, in those sixteen years he had made the Reading into the largest corporation in the world, even though he had comparatively little interest in and no training in railroading. Although born in Mt. Airy, he apprenticed himself to a lawyer in Pottsville, and at age 26 became District Attorney in the coal region during the first outbursts of Molly Maguire violence. Although he had never gone to law school, he seemed to love the courtroom, and continued to work as an independent trial lawyer all during the time he was president of the railroad. One commentator remarked that to read his speeches in cold type was still enough to jeopardize one's judgment. During his later battles for corporate dominance, he twice filled the Academy of Music with stockholders, holding them spellbound for three-hour speeches. On this evidence alone, one. supposes he had a lifelong tendency to stretch facts.

{J.P. Morgan}
J.P. Morgan

Following the Civil War, labor relations in this rough coal region became temporarily peaceful. The prosperity of a post-war boom was probably mainly responsible, but it was also true that the labor movement was pretty well smashed by response to patriotic feelings, slavery was no longer an issue, and huge casualties in the war had created labor shortages. However, these same factors made dominance of the coal and railroad industries more attractive. Franklin Gowen set about merging the small railroads in the coal region into an empire, and used his control of freight costs to force the coal distributors and the coal producers into subservience or forced sales. The charter of the Reading Railroad inconveniently prohibited the railroad from owing mines, but other competitors were legally permitted to do so. Using the fairness argument and probably both bribery and threats, he "persuaded" the legislature to permit a new corporation to own mines, and permitted railroads to own the new corporation. The Reading then promptly owned the mines in a two-step arrangement, couched in bewildering legal language. Gowen had no compunction about doubling freight rates, and then doubling them again, until he got what he wanted. Anthracite coal was the driving engine of America's Industrial Revolution, and Gowen controlled it. He was a wild and reckless spender, he thought big, and was ready to smash any opposition. His ambition set him to building a transcontinental trunk line which would compete with the Pennsylvania and New York Central lines, both under the control of J. P. Morgan or his allies. This venture failed and became the basis for the present Pennsylvania Turnpike . Ultimately, Gowen's ambitions were thwarted by his reckless spending putting him at the mercy of English bankers, allied to the Morgan interests. Underlying this was an economic fact: Henry Frick had found a way to make bituminous coal into coke, which was a cheaper fuel for steel making than anthracite. Financed by Morgan and organized by Andrew Carnegie, the steel industry moved to Pittsburgh.

{John Siney}
John Siney, founder WBA

Meanwhile, what happened to the Molly Maguires? The financial panic of 1873, started by the collapse of Jay Cooke's financial company, precipitated layoffs and cost cutting, and stimulated a new rise of labor unrest. The Mollies shot some mine managers, but most of labor organized under a fairly moderate union called the Workingmen's Benevolent Association. More moderate or not, they still threatened strikes and demanded concessions, and Gowen set about to wipe them out. As headstrong and impulsive as he was it's even possible he believed the Molly Maguire movement was stronger than it really was. But it would not have mattered. The Pinkerton agency was hired, detailed studies were prepared of the nature and leadership of the Molly movement, evidence of wrong-doing was collected, and some of the right people were hanged. Once more, the labor movement was crushed, largely by characterizing all labor unions as lengthened shadows of the Molly Maguires. And labor has never forgotten or forgiven. Even a century later, any sort of labor ruthlessness especially in Congress, is proclaimed justified since any capitalist, or even any Republican, is a covert Franklin B. Gowen. And quite possibly either English or protestant, as well, even though Gowen happened to be as Irish as any of the Mollies.

It's a great pity that seemingly the last opportunity for a national adoption of the Whig philosophy of upward social mobility was exiled from American political discourse. Everybody is better off with peace, law and order; given time, our political system does offer everyone at the bottom of the heap a fair opportunity to rise to the top. After a couple of centuries it thus ought to be obvious that class warfare hurts everyone, helps no one. But at election time, both parties feel compelled to characterize each other as either a Franklin Gowen, or a Molly Maguire.

As a footnote, Frank Gowen died from gunshot in Washington DC in 1889. Extensive investigation was conducted, and there is almost complete certainty that no Molly Maguire was responsible. But the bullet came from a strange angle, there was no suicide note, and it remains possible that someone else, not suicide, was responsible. Gowen had plenty of other enemies.

http://www.philadelphia-reflections.com/blog/1710.htm


Tour of Duty in 'Nam

{Vietnam War}
Vietnam War

Col. Dan McCall talked to the Right Angle Club about wartime experiences in Vietnam recently. He really didn't want to, thought he was being asked to talk about retirement planning, or asset allocation, or something else he knew something about. But the Program Chairman this year is also a Colonel, and wasn't about to be talked out of it; he wanted Vietnam, sir, and nothing else. So, for the first time in forty years, he did. He hadn't talked about it with his family or, during a career rising from Lieutenant to Colonel, with his associates in the National Guard.

Perhaps a little slow and fumbling at first, we heard of going to a place where it's 120 degrees in the shade, every day. Where he fainted from a heat stroke on the first day off the plane in Saigon, and soon found that it happened to everyone. Within thirty days, every single person had dysentery. The plane that lands troops in Saigon doesn't turn off the engines, and takes off as soon as the last man deplanes. As well it might, because it attracts sniper fire as it takes off. Once there, the only form of transportation for anyone going anywhere is by helicopter; plenty of peasants with chickens in their laps are taken along, too.

{82nd Airbourne}
Ho Chin Minh Trail

His unit, the 82nd Airborne, was deployed to the west of Hue, the ancient capital. The country is near the border with North Vietnam, and the land is a fairly narrow strip between the ocean and the Laotian border. The Ho Chi Minh trail, where the enemy comes from, is just over the border inside Laos. Our troops never go there, but B-52 bombers go there plenty, leaving impressive craters in the ground. The unit was mortared every night, and rockets made an impressive noise as they went overhead toward Hue. The American forces almost never went out at night. Deployments in the jungle lasted 45 days, without baths or toilets; mostly, you walked into the enemy by accident on the trail. One of the prizes was a Chinese officer, carrying much better maps of the region than the American Army had. One night, sniper fire seemed to be coming from a small island in the river, and the response was to send thousands of shells back, filled with 3-inch steel darts. The next morning, every tree on the island was normal enough on the Laotian side, but nearly covered with steel darts on the Vietnam side. Although the command from headquarters was to report a body count, there were no bodies to count. At the end of one 45-day deployment, there had been no food or water for three days. When the "ships" came to take them out, there was a celebration with rice wine. You make rice wine by soaking stalks of rice in water, letting it ferment. The water is pretty murky to begin with, and gets worse as it ferments; you have a good time, anyway, with the villagers bringing in a pig to roast.

{82nd Airbourne}
82nd Airbourne

The CIA had its own private army, Rangers and Special Forces. There were local mercenaries, mostly from Thailand. The 82nd Airborne -- The All American Division -- had a tradition of parachute jumping in every military engagement since World War II, but in the jungle there was no place for, or point in, jumping. But at the end of their deployment, they jumped once, anyway. When you got home, the movies were kind of a joke, but Apocalypse Now came close to giving the right feeling. Although of course people asked what it was like, you didn't talk about it. No one did.

One member of the Right Angle Club who had spent a year there, muttered an answer. "And people didn't really want to hear about it, either."

http://www.philadelphia-reflections.com/blog/1717.htm


Country Auction Modernized

{Pa Turnpike}
Pa Turnpike

Only a decade ago, the Quakertown exit of the Pennsylvania Turnpike made possible a quick trip from the city to the country, letting you off in the cornfields between Sumneytown and Lansdale. Today, the rush hour traffic is as bad as anywhere else, even on the four-lane express highway known as Forty Foot Road. A comfortable two-lane highway would be about forty feet wide, so presumably the name denotes what was once a modern miracle of a two-lane highway, in this case until quite recently. It's all built up for miles, but almost all the commercial buildings are new. Exurban sprawl has positively lurched across the landscape, making prosperous people rich, and poor people prosperous. It won't be long before the housing subdivisions demand traffic signals to protect the school children, speed limits to reduce the collisions by teenagers, and other things destined to bring high-speed travel to a crawl, all day long. When that happens, it won't be called farm country any more.

{Alderfer Auction Company}
Alderfer Auction Company

On Fairground Road, where occasionally corn is still growing, a number of large new commercial enterprises have located, among them a moving and storage company with ten or so truck loading platforms in the back. Behind that is another large new building, also with a parking lot for fifty or so cars, the auction house. Different categories come up for auction on different days, so used furniture for example comes up every few weeks, and has to be stored as things accumulate for the big day. With a moment's thought, you can easily see why the auction is affiliated with or owned by a moving and storage company. As you go through the entrance, you are invited to sign up and identify how you plan to pay, just in case you buy something; the product of this registration is a card with a number in big colored letters. That's your number, your payment arrangement, and soon you will find no one cares anything about you except that number. The auction I was interested in was for used books, one of three or four auctions conducted in different rooms. Nearly a hundred people had numbers for used books, maybe a similar number for antique furniture and paintings. Obviously, one other purpose of the registration process is to create a mailing list of customers interested in various objects, possibly linked to a program which sends out flyers and announcements. Country auctions have always been a source of local entertainment, so non-buying spectators are able to come and watch if they wish. In fact, there seem to be few if any casual sight-seers; just about everybody is a buyer, or a potential buyer. Players, as they say.

{Auctioneer}
Auctioneer

Most of the customers probably set their alarm clocks for 5 AM or earlier; the auction is centrally located, but most everybody comes from a considerable distance. At 9 AM, very promptly, the auction begins, and from his manner you can tell the auctioneer is anxious to get started. The objects for sale have been on display for a day, but most people arrive around 7 AM to examine the goods, which are frequently sold in lots, meaning a boxful of thirty or forty books more or less on the same topic. At the stroke of nine, the auctioneer chanting begins, "Do I have ten dollars, yeh, ten, ten, ten, five, five, ten, fifteen, twenty, twenty, sold for fifteen. Your number, sir?" Two assistants take down the customer number, and the lot number, and the price; one of the two assistants records the transaction in a computer, the other on a list by hand. One gathers the man without a computer is on the look-out for shills, people trying to bid up the price without getting stuck for a purchase. The auctioneer repeatedly assured the audience that no one but a real bidder was allowed to bid, and cautioned the group they were supposed to know what they were doing. If you make a bid, you own it, and no excuses about being confused. When he reached the hundredth sale, this one stopped for a drink of water, and proudly noted the first hundred sales took thirty-seven minutes. It required four other assistants to fish out the lots next in line, holding them up for confirmation only, since inspecting them at a distance was out of the question. After each sale, the assistant dumped the prize in the new owner's lap.

{Auction Paddle}
Auction Paddle

By 1 PM on this particular day, seven hundred lots had been sold, at least five thousand books. After every hundred sales, our leader took a drink of water and made a pleasantry or two, but he was otherwise all business. About two hundred of the sales were handled by a substitute auctioneer, who looked to be twenty years old, but talked faster than any human being is supposed to talk, affecting a rasping quality of chant. As it came time for him to take over, he paced nervously near the microphone, and started chanting the moment it was decent to do so. Obviously, these people love what they are doing, and have remarkably retentive memories. On several occasions, a buyer had to fumble for his card number, and the auctioneer remembered what the number was before the card was found. New cards are issued every day. Although they were quite brusque about people who made bidding mistakes, on a couple of occasions the auctioneer had been slow in turning the lot number sign in front of him, so the bidding was repeated. The bidding stopped at the same price point, the second time around. It seems to confirm what libertarians praise so highly about the wisdom of the marketplace; the market price is as close to the "right" price as you are going to get.

You are nevertheless entitled to wonder a little at some of the unexplained market inefficiencies. The ordinary run of books thirty or forty years old will sell for between ten and twenty dollars. Books about golf, just about any old book about golf, "go" for about forty dollars. Children's books are about sixty dollars. And, to my own great surprise, boxes or albums of old photographs go for over a hundred dollars. A lady next to me excitedly brought an album of old photos back to her seat and thumbed through them. "Are you a dealer?" Yes. "Who buys this stuff?" I don't know, they come in my store and just buy it. Like the auctioneer, she had an acute feeling for what the retail price would be, made a calculation, and knew what she could afford to pay wholesale. What the stuff actually represented, why people wanted it, what was a good one and what was a bad one -- these people in the trade had very little idea, and could care less. But they know very precisely what a fair price would be. The auctioneer starts with a low price and tries to bid it up; the retailer starts with a maximum price in mind, and gradually lowers it until it sells; it is the community of buyers who set the price amongst themselves, and the seller has agreed to abide by it. Fun. Lots of fun. When a familiar insider makes a mistake and pays too much, the others laugh heartily at him. Why this funny system works so well has long been a mystery, but everyone except a socialist readily acknowledges it does work. At least it works better than any known substitute, except perhaps for the middle-man cost.

Although the ritual of the country auction has been essentially unchanged for centuries, it is just another transaction system. In the past fifty years, world economy has been transformed by computerized efficiencies in transaction systems, with vast prosperity resulting from small savings endlessly repeated. Banking and Wall Street have standardized most transactions, bundling them in perfectly astounding volume; lots and lots of people have become immensely rich for producing small efficiencies in high volume. Those of us who have not become immensely rich can easily appreciate trivial innovations which resulted in wealth, and so we easily sense the unfairness of old photos worth more than books of poetry. After all, the country auction is still grossly inefficient; the seller pays the auction company 20% of the price, and the buyer pays another 10%. There's 3% for the credit card company, and 7% for the sales tax. Forty percent of this transaction is going to the middle man, over and over and over again. The goal is to reduce transaction costs to the level of Wall Street, considerably less than one percent, which still buys lots of yachts for middle men. When you think about the whole process, it is not one of determining what is fair, or true value. It is to detect what is in the mind of the public as a market-clearing price. That somehow includes the middle-man cost, and adjusts for it, too.

As you walk out of the country auction, it doesn't take a mathematical genius to multiply thirty percent times the number of transactions, times a guess at the average sales price. No wonder these auction people are so cheerful, so much in love with their work. But two other parties are cheerful, too. That is, the willing buyer, and the willing seller.

http://www.philadelphia-reflections.com/blog/1719.htm


Time To Care

Dr. Norman Makous

It sometimes seems as though Medicare has been a standard part of the scene for so long it now needs major reform, but when a doctor has practiced Medicine for sixty years he has seen a lot of contrasts between the old way and the new way, not all of them favorable to the new -- which we are now tired of, and trying to repair. That's particularly true if the doctor practiced at America's first and oldest hospital, because it sustained many traditions from two centuries before, and was among the last to yield to the imperatives of newcomers for the last forty years, their hands grasping for the purse strings. Dr. Norman Makous must either have a remarkable memory or a thick, detailed diary. He tells three hundred pages of fast-reading anecdotes about sixty years of his own medical practice, before summing up in fifty pages of reflection. One by one, he describes the innovations in his field of cardiology and how they affected him and his patients. Thiomerin, one of the first of many easy ways to pump out excess body fluid accumulation, transformed the treatment of congestive heart failure. Synthetic digitalis claimed to but probably did not much improve things over dried digitalis leaves; it certainly raised the cost. Cardiac catheterization, electro-shock resuscitation, ultra sound diagnostics, MRI and CAT scans, cardiac surgery using the heart-lung machine, and finally cardiac transplants -- all started out as headline-news spectaculars, evolved into cutting-edge advances, and then settled down into the Standard of Care that you obtained a plaintiff lawyer to sue about. All in one medical lifetime, supposedly prepared for by one Medical School course, followed by one residency apprenticeship, the specialty of Cardiology was completely transformed at least six times.

{Time to Care}
Time to Care

Meanwhile, the leadership of the medical profession was tenaciously resisted by those who supposedly followed its direction. Hospital administrators, either trying to reduce costs or to maximize institutional reimbursement, and sometimes just trying to glamorize their corporate vehicle; million-dollar-a-year salaries for administrators probably held out some perverse inducements, as well. Nurses, cut loose from hospital training programs to invent a new profession of nursing administration within university campuses remote from the scene of sickness. Health insurance executives, trained in the art of income maximization by Business Schools, driven by the need to lobby and the need to accommodate quirky laws lobbied by others, pressured by corporate human resources departments who were in turn pressured by unions and corporate managements -- and constantly bothered by expensive new technologies invented by doctors "who needed new toys". University administrations, placed in charge of numerous recalcitrant medical staff physicians, applying the principles of the German research systems upon an intransigent profession that persisted in preferring the care of sick people to the chase for research grants. And politicians, elected for two-year terms in which they felt pressure to accommodate a hundred conflicting interest groups.

Against all this and more, Dr. Makous describes how the practicing physicians especially those trained in the traditional way, found only one sympathetic, kindred interest group -- the patients. During a period when everybody else seemed determined to snitch a piece of the health insurance money pie, the patient wanted one major thing from the doctor. He wanted to be helped through his illness. The patients loved their doctor, in what was known as the patient doctor relationship. But a strange thing was also true. The doctors loved their patients, the only group in society who seemed to care what the doctor was trying to do.

http://www.philadelphia-reflections.com/blog/1725.htm


Blood and Honor: The Philadelphia Mafia, Lately

{Blood and Honor}
Blood and Honor

After two decades of seemingly endless dominance of Philadelphia headlines by the Mafia, the underworld has been absent from the news in the first decade of the 21st century. That's very welcome to everybody including the Mafia itself, and there are three main popular explanations. First, after 27 informal mob executions and four dozen convictions with lengthy prison terms, perhaps the mob has been eradicated. Or, possibly the immigrant population has been assimilated, now looking to quieter occupations for a source of income. And finally, maybe the mob has just decided to lie low while tax-hungry politicians enact enabling legislation for legal gambling casinos for the gullible public, since the main argument against casinos is they attract crime. The histories of Atlantic City and Las Vegas certainly suggest organized crime has not yet abandoned casinos.

{George Anastasia}
George Anastasia

George Anastasia's book Blood and Honor relates twenty years following the assassination of Angelo Bruno in 1980, averaging a murder or a prison sentence every three pages and leaving the reader with the impression of constant warfare in South Philadelphia. The book is pretty hair-raising, but after all there is not much to talk about in a crime family except crime. To run through a brief overview of 27 assassinations and 36 major convictions is to leave a violent image of South Philadelphia. However, to say there were two to four assassinations per year plus three or four criminal trials, softens that impact. The violence is appalling because it went on for so long. To note that Philadelphia like all major American cities its size, averages about three hundred murders a year puts mob violence in perspective. To be serious about eliminating homicide, you ought first eliminate "domestic violence". After that, you should go after street gangs and their focus on distributing recreational drugs.

{Nicodemo Scarfo}
Nicodemo Scarfo

Whether it was a struggle for control of Atlantic City casinos, a policy dispute over whether to get involved in illegal drugs, or simply a matter of disputed succession to control of the mob, is not now clear to the law-abiding community. What seems accepted interpretation is that matters heated up a lot after Angelo Bruno was assassinated. Somebody wanted his job, and that somebody wanted to run the organization differently. it's a situation quite familiar to CEOs of corporations, Kings and Emperors, and even editors of newspapers. What distinguishes organized crime families is the violence of their methods for dealing with succession issues. What emerges in this particular little world is that Nicodemo Scarfo established himself as the new Don of the Philadelphia Mafia by 1988, and the bitterness of this succession struggle induced six or ten insider members of the mob to become police informants to get revenge. The murders and convictions which make up this twenty-year period of time can be roughly divided into the initial struggle for control, the revenge of the losers, and the subsequent assassination of traitors. Even after inactivating nearly a hundred insiders, at least twice that number of "made" members and associates were unaffected directly. It's anyone's guess whether a defeat of this magnitude is enough to eliminate the organization, or whether it merely imposed a truce, during which the mob will heal its wounds and then make a comeback.

{Angelo Bruno}
Angelo Bruno

An underground organization, whether in PPhiladelphia orAfghanistan, cannot hide effectively without the cooperation of honest citizens in the neighborhood. For many years, toleration was secured by keeping the streets safe from marauders belonging to other immigrant groups, and by collecting whatever debts the courts would not honor. The gray area involved such illegal activities as bootlegging in which the rest of the community participated without much sense of guilt. The Mafia was effectively a private police force for unsanctioned activity, operating within a neighborhood not fully in accord with prevailing attitudes. It seems to have been the genius of Angelo Bruno to realize that loan-sharking was the only permanently profitable component of this formula, and that loan sharking largely depended on gambling to create desperate debtors. Just about every other criminal activity attracted too much police attention to survive, because the dominant society approved of suppression. Bruno's assassination seems to have been triggered by rebels who disagreed with his analysis. Perhaps they were right and the mob had been missing a big profit opportunity in the drug trade. Perhaps they were wrong, and turned the legitimate community against them to the point where extermination was provoked.

Keep tuned. The outcome of this little debate could emerge suddenly and spectacularly. Or more decades of peace will pass silently, in which case Angelo will eventually be deemed correct.

http://www.philadelphia-reflections.com/blog/1726.htm


Tales of the Troop

{Dennis Boylan}
Dennis Boylan

Dennis Boylan, the former commander of the First Troop, Philadelphia City Cavalry, has been poking around in the archives up at the Armory, and was invited to tell the Right Angle Club about it. In all its history, there have only been 2500 members of the troop, but they have been a colorful lot, leaving lots of history in bits and pieces. The troop boasts that it has seen active duty in every armed conflict of America, and means to continue to fight as a unit of the Pennsylvania National Guard. However, we have lately had so many actions, the troop has had to split off units to be able to go to the Sinai Peninsula, Bosnia, Kosovo, Iraq, Afghanistan and whatever is going to come next. An eighteen month tour of active duty takes a lot out of a citizen soldier's life, but no one is complaining, and there is no fall-off in volunteers.

{Philadelphia Armory}
Philadelphia Armory

Although most troopers are polite and taciturn, it is probably hard to remain unaffected by association with people like A.J. Drexel Biddle, a pioneer of bayonet and hand-to-hand fighting, much sought after for training other units of the military. Or George C.Thomas, who was a golf course architect, but also a seaplane expert, responsible for the seaplane ramps next to the Corinthian Yacht Club along the Delaware. Or Rodman Wannamaker, responsible for aeronautic development, also down in the marshes where the Schuylkill joins the Delaware. Robert Glendinning, who was notable for other adventures, was also an early pioneer in airplanes. As a matter of fact, Henry Watt had himself flown from Society Hill to Wall Street in a seaplane, when he was President of the New York Stock Exchange.

{Eadwaerd Muybridgehorse at a gallop}
Eadwaerd Muybridgehorse, at a Horse Gallop

It's hard to believe, but a former trooper named Eadweard Muybridge distinguished himself in the art world, as a result of a bet with Leland Stopford, that a horse at a gallop reaches a point where all four feet are simultaneously off the ground. The consequence was a famous set of rapid-sequence photographs which are quite famous at the Pennsylvania Academy of Fine Arts. There are elephants, horses, people in various states of undress which remain as interesting art works as well as scientific evidence that horses feet do indeed leave the ground. But in case anyone believes that Muybridge was some sort of sissy from the art world, there is the story that he caught his wife in an affair, and shot the other man dead. As one might expect, the jury found him not guilty, on the grounds of justifiable homicide. With a name like Eadwaerd, it's probably necessary to demonstrate your manliness.

{Thomas Leiper's house}
Thomas Leiper's house

Robert Glendinning, class of 1888 at Penn, became Governor of the New York Stock Exchange, founded Chestnut Hill Hospital and the Philadelphia School for the Deaf. And Thomas Leiper makes a pretty good claim for starting the first railroad in America. It was only 2 miles long, in Swarthmore, and built because he was not permitted to extend his canal for the purpose of transporting stone from upstate quarries. The railroad developed into the Pennsylvania Railroad; Leiper's house, "Strathaven" is still an important Delaware County landmark.

{Tank in Philadelphia}
Tank in Philadelphia

And then, there's the story of the salute to the QE2. When the liner made a tour up the Delaware, a search was made for cannons to provide a proper salute, and the call came to the Troop. Well, they had a tank, and they could fit a simulator on the tank's gun. So, the tank rumbled down Broad street to do its duty. South Philadelphia responded in character, too. Instead of stopping to admire the novelty of a moving tank, the drivers just honked their horns and drove around it.

http://www.philadelphia-reflections.com/blog/1735.htm


Children's Scholarship Fund

{Children's Scholarship Fund of Philadelphia}
Children's Scholarship Fund of Philadelphia

Ida Lipman recently visited the Right Angle Club, to acquaint members with the nature of its new charity, the Children's Scholarship Fund of Philadelphia. This fund is a response to a rising feeling that the nation's leading social problem lies in upgrading the educational strength of the new generation of poor people, who are increasingly at a disadvantage working in unskilled jobs against foreign competition in a globalized economy. Poor people will never rise out of poverty by taking jobs that foreign competitors are willing to perform at even lower wages. And while everyone hopes poor people can take on better-paying jobs, it requires better education to do it.

The educational problem of motivating children to higher attainments than their parents is a difficult social task in both urban and rural districts, but peer pressures to hold down their classmates seems stronger or at least different in the urban settings. In both environments, of course, the educational attainments of both the parents and the teachers have been aimed at a lower level than the task requires. It somehow proves unrealistic to shift expectations as rapidly as we need to, and we are lucky that philanthropic donors have been willing to test out some radical experiments in the whole educational experience, including students, teachers and parents.

Thus, the Children's Scholarship Fund has been willing to dispense several thousand scholarships to private schools in the Philadelphia region, purely by lottery, without regard to the traditional basis of merit. This policy would probably be disruptive if scholarships were universally available, undermining the spirit of meritocracy which is so central to our educational system. But since we are only partially addressing the failures of a system of universal free public education, a stronger argument can be made that changing the culture occasionally requires that we set aside the incentive of overtly rewarding the behavior we seek. The hope is that a demonstration project with such a radical change will set other motives into motion. Resources are limited; it is recognized that among the ninety percent of students who fail to receive the scholarship by lottery, there will be many who are more talented than the few who are lucky enough to get an award. The point is easily overlooked however that these scholarship students must apply for the lottery, and be supported for partial financial assistance by their parents. These parents must sincerely want to raise the educational goals of their children, and convey that motivation to the kids in whatever way they are able to convey it. The pressure of less lucky playmates and neighbors to hold them back, it is hoped, will be lessened by the simple recognition that a lottery gives everyone an equal chance, provided they step forward and pledge themselves to try to succeed.

{John Walton of the Wal-Mart family}
John Walton of the Wal-Mart family

It's a bold and imaginative approach, a highly counter-intutitive one. John Walton of the Wal-Mart family matches the contributions of other donors at fifty cents on the dollar through his family foundations, which was jointly founded with Ted Forstman of the Wall Street firm. Many longitudinal studies will eventually show how much this bold and charitable venture really helps the students and the community; since it is private money in use, criticism should be held back until the results begin to be apparent. To whatever degree and in whatever way the scholarship fund is a success, the public must be willing to praise both its spirit of generosity, and its willingness to take a chance. Let's all mark this down in our notebooks, to see how it all turns out in ten or so years.

http://www.philadelphia-reflections.com/blog/1746.htm


Christmas Reflections

My father in law, a prominent obstetrician in Binghamton, New York, regularly took his family to New York City sometime between Thanksgiving and Christmas. The three-day junket was described as a visit to do Christmas shopping. Another relative made similar trips from home in Tyler, Texas. Several of my patients made such visits to Philadelphia from their homes in West Virginia, stopping by to make a medical visit to me during the same trip. From the seasonal crowds in Penn Station and in the shops on Chestnut Street, it was clear that an annual visit to the big city was a common custom in the upper crust of small to medium-sized cities, for whom the more expensive shops of the bigger city provided big ticket items bought infrequently, and the distinctive luxuries which made them stand out from the socially less-enlightened back home.

These shopping visits were not confined to purchasing, although that was the main focus. It was a time to go to the theater, orchestra and opera, maybe an occasional ballet and art exhibit. The choice of large city might be related to returning to the University, or other period of professional training for a drop-in visit, because these associations made it possible to observe the latest trends and innovations, a useful issue in the smaller towns. The ladies could observe the trends in fashions, and everyone would have a chance to dress up in the better hotels and restaurants. This recirculation between the small towns and the big one at the hub unified the region, establishing hierarchy rather widely. And it hardened traditions in the big city, since auslanders tend to return to the same hotel, restaurants and social gathering spots even more than the local residents do; there isn't time in a brief visit to shop for new venues, unless the trip itself reveals that times and places have somehow changed in an important way.

{The pipe organ at Wannamakers}
Wannamakers Pipe Organ

That's all changed, today. The pipe organ at Wannamakers, the cluster of department stores around Eighth and Market, the theater district, Caldwell's and Bailey Banks and Biddle upscale jewelers, the fancy women's clothing shops on Walnut and Chestnut Streets, and the bespoke men's tailor shops -- have disappeared in a slough of retail despond. The excited crowds of upscale shoppers have dwindled, at least in the center city shopping area. Students of sociology point to the decline of the department store as a central commotion in the center of this phenomenon, blaming that in turn on the spread of national brand names by television and more electronic forms of advertising. The department store did your comparison shopping for you, putting its brand name on the product and placing its reputation behind the choice. If Wannamaker could determine that a Japanese radio was of high quality, it became Wanamaker's radio. Today, Samsung and Sony do their own advertising, sell their products through outlets in the suburban malls. Philadelphia residents enjoy as much retail choice and pricing as ever, they just shop in the malls located along the Interstate circumferential highway, just outside what used to be the outermost suburbs. So the volume of retail shopping among Philadelphians probably hasn't changed a great deal; it has merely shifted to the malls where there is parking for your car to transport goods which the department stores used to deliver. It is the annual visits from the subordinate small cities at moderate distance that has disappeared. Small cities now have their own shopping malls, carrying national brand name merchandise. Losing this source of business, the associated entertainment industry has declined to a point below sustainability for most of them -- in the center city hub. Along with the disappearance of this regional recirculation, small cities have lost their sense of affiliation with a bigger one. The small-town professional class which was the biggest participant in this annual migration, is professionally more isolated but so are their clients. The upper crust of the small town now must constrain its horizon to the smaller town professionals, with their lesser claim to distinction. For a while, the disparity can be overcome by specialization, but ultimately the distinction of the big-city specialist rests on assembling a richer experience from a wider drawing power. In Medicine at least, the insistence of Medicare on paying the same fee for the same service lessens the economic incentive for self-repair of the system.

{Wannamaker's Christmas Light Show}
Wannamaker's Christmas Light Show

Meanwhile, nature of Christmas itself is becoming standardized. Fewer people make their own Christmas presents, whether through knitting or baking. If the process of commercial gifts goes the full distance, eventually the joy of searching for exactly the right gift will seem more like paying your taxes. These things already cost too much, are worth too little, and neither the process of giving a gift nor the process of receiving a welcome gift will retain much joy. Or significance. What was until recently a Christian religious celebration has become diversified into a generic "Happy Holiday", presumably in order to avoid offense to other religious groups who themselves likely persist in their old traditions of ritual greeting. The assault on Christmas is however not primarily cultural, but commercial. The silent ostentation of elaborate outdoor lighting and the secular versions of Christmas carols, endlessly replayed over loudspeakers in stores, probably have more destructive effect on the community winter solstice ceremony than any competition for religious adherence.

The coming next step in the modification of the Christmas season is dimly visible in the assault of pocket telephones on the suburban shopping mall. After enjoying only a few years of victory over the center city department store, malls must now confront shoppers with portable telephones containing a camera and GPS geographical locator. Seeing something he likes, the shopper of the future can photograph its bar code in the shop display, and be immediately told of all the neighboring stores which sell the same product for a lower price. Electronics are thus about to turn Christmas shopping into an electronic auction, no doubt making it eventually easier to do the shopping from home.

What Christmastime means to me is a recollection of what it once was like at the nation's oldest hospital, and not so terribly long ago, at that. Before 1965, the Pennsylvania hospital had been staffed for centuries with unpaid student nurses, working under the direction of unpaid doctors in training, supervised by volunteer attending physicians. Of the five hundred beds, only forty were filled with paying patients and the rest were housed in long communal halls. On Christmas morning at 7 AM, the drowsy patients were astonished to be awakened by a procession of very pretty student nurses, led by Miss McClellan the grim-looking Directress of nursing, and followed by a handful of internes and residents, all singing Christmas carols and carrying lighted candles in the dark. Miss McClellan herself was never heard to utter a note, but the student nurses had been trained in four-part harmony, and the interne doctors were enthusiastic followers. The faces of the poor old indigents in the beds were filled with pure delight as we traipsed past, chanting of the travels of Orient kings, the pregnancy of virgins, and other miracles of the occasion.

http://www.philadelphia-reflections.com/blog/1757.htm


Puritan Boston & Quaker Philadelphia

{Digby Baltzell}
Professor Digby Baltzell

Digby Baltzell had something of the defiant rebel in him. He surely didn't imagine his employer, the University of Pennsylvania, was pleased to have him document that Harvard is a better college than Penn. Nor were fellow members of the Philadelphia Club pleased to confront scholarship that his city's gentry were too devoted to money-making to accept the ardors of public leadership. Nor would his relatives in the Society of Friends enjoy accusations their religion impaired the pursuit of excellence in all fields of the city's endeavor. Later articles will here take up some unfair assaults, and defend Quaker simplicity and Peace Testimony. Some blame must of course be shared, some mitigating circumstances acknowledged. And let it be said in Baltzell's support that it truly is remarkable how many cultural features do get passed down for ten or more generations. Or even longer; look at the persistence of ancient Chinese, Indian, Esquimo, Viking, Roman, Christian and other cultural heritages. The Quakers got to Pennsylvania early, they are now vastly outnumbered. Many Quaker ideas continue to influence present inhabitants, some ideas probably hold us back. Substitute "Puritans of Boston" for "Quakers" in the foregoing sentence, and conclude by saying "some of those ideas probably give Bostonians an edge". Those two rather unexceptional declarations summarize a controversial book, although they do not completely capture its overall censorious flavoring.

To a certain extent, Digby is his own worst enemy. While alive, he was one of the world's most charming raconteurs, a walking encyclopedia of local lore. Like a good docent in a museum, he could walk into a room hung with portraits, and charm any audience for an hour; presumably, his sociology lectures at Penn held the same magnetism for his classes. In a book for popular readers, however, it is overdone to go on about the same point for six hundred pages. He needed a better editor, or perhaps he needed to permit a better editor to make him restrain his tendency to multiply illustrations beyond the point where the reader loses the thread of the argument. Not all readers will agree with his argument; they can only be legitimately defeated by focused argument. That's perhaps unrequired of college professors holding the power of grade-point averages over nineteen year-olds, but it is expected of conversation with other adults. If an editor wants to sell books to a general bookstore audience, he should induce authors to overcome the take-it-or-leave-it habit.

{Society of Friends}
Society of Friends

As a general reaction to this book, Baltzell seems to think Quakers do not want to be rich and that consequently latecomers into the region tend to share this feeling. My own view is that Quakers see they can have almost all of the value of being moderately rich -- by disdaining the trivial luxuries of the middle classes. They do not exactly renounce fame and power, but are unwilling to gamble much, or sacrifice much, in order to enjoy the comparatively small exhilaration of being very rich. They are now no longer surrounded by junior versions of themselves, but by bank robbing Willie Suttons who readily attack Quakers for being where the money is, and appear to be pushovers at that. When Quakers then promptly demonstrate they are not pushovers at all, they are treated like outsiders in their own town. In many ways and at most times, the populist crowd gives up trying to understand Quakers and decides they must somehow always behave in ways that others would not. It's hard to achieve much deference in such an environment.

Many of Baltzell's important insights grew out of his position as a Philadelphia and academic insider; he personally knew many of the people he described. However, such an infiltrator runs constant risk of being viewed as a tattle-tale, so cover is required. Batzell's technique involved frequent use of quotations from others, not so much to prove a point as to rephrase it. This is another feature of the book which might have benefited from a hard-nosed editor. However this is how he wanted it, and in a post-publication revision, here is a condensation of how he summarizes his argument:

{Irving Babbbitt}
Irving Babbbitt

When studied with any degree of thoroughness, the economic problem will be found to run into the political problem, the political problem in turn run into the philosophical problem, and the philosophical problem itself to be almost indissolubly bound up at last with the religious problem.

--Irving Babbitt

{William James}
William James

In the South, ....left-wing Quakers came to the fore in the pine barrens of North Carolina-- to this day, North Carolinians speak of their state as "a valley of humilities between two mountains of conceit."

The world is only beginning to see that the wealth of a nation consists more than anything else in the number of superior men it harbours.

-- William James

{Alexis de  Tocqueville}
Alexis de Tocqueville

I believe that ambitious men in democracies are less engrossed than any other with the interests and judgments of posterity; the present moment alone engages and absorbs them...and they care much more for success than for fame. What appears to me most to be dreaded, that in the midst of the small, incessant demands of private life, ambition should lose its vigor and its greatness.

-- Alexis de Tocqueville

{Walter Lippmann}
Walter Lippmann

Our rulers today consist of a a random collection of successful men and their wives. ....They have been educated to achieve success, but few of them have been educated to exercise power. Nor do they count with any confidence upon retaining their power, nor of handing it on to their sons. They live therefore from day to day, they govern by ear. Their impromptu statements of policy may be obeyed, but nobody seriously regards them as having authority.

--Walter Lippmann

Equalitarians holding...extreme views have tended to believe that men of great leadership capacities, great energies or greatly superior aptitudes are more trouble than they are worth.

--John W. Gardiner

{Merle Curti}
Merle Curti

In the Jacksonian era in this country, equalitarianism reached such heights that trained personnel in the public service were considered unnecessary...Thus, in the West, even licensing of physicians was lax, because not to be lax was apt to be thought undemocratic.

--Merle Curti

In the late eighteenth century we produced out of a small population a truly extraordinary group of leaders-- Washington, Adams, Jefferson, Franklin, Madison, Monroe, and others. Why is it so difficult today, out of a vastly greater population, to produce men of that character?

--John W. Gardiner

It is nevertheless certain that the high quality of Virginia's political leadership in the years when the United States was being established was due in large measure to those very things which are now detested. Washington and Jefferson, Madison and Monroe, Mason, Marshall and Peyton Randolph, were products of the system which sought out and raised to high office men of superior family and social status, of good education, or personal force, of experience in management: they were placed in power by a semi-aristrocratic political system.

--Charles S. Syndor

{H. Richard Niehbur}
H. Richard Niehbur

Another clue to the relationship between hierarchy and leadership is suggested by Gardner's list of the Founding Fathers. All of these men were raeared in Massachusetts or Virginia; none was reared in the colonly of Pennsylvania, though Philadelphia was the largest city in the new nation and contained perhaps the wealthiest, most successful, gayest, and most brilliant elite in the land. Not only hhad Pennsylvanians little to do with taking the lead in our lnation's founding, but the state has produced very few distinguished Americans throughout our history...I shall concentrate here on the commercial cities of Boston and Philadelphia, whose great differences in leadership and authority were far more likely to reflect differences in ideas and values.

Whatever else ...America came to be, it was also an experiment in constructive Protestantism.

--H. Richard Niehbur

All this is only to say that man is a product of his history, where nothing is entirely lost and little is entirely new.

For the wine of New England is ...more like the mother-wine in those great casks of port and sherry that one sees in the bodegas of Portugal and Spain, from which a certain amount is drawn off each year, and replaced by an equal volume of the new. Thus the change is gradual, and the mother wine of 1656 still gives bouquet and flavor to what is drawn in 1956.

--S.E. Morison

New Englanders, ambitious beyond reason to excell.

--Henry Adams

{Henry Adams}
Henry Adams

Pennsylvania became the ideal state, easy, tolerant and contented. If its soil bred little genius, it bred less treason. ... To politics the Pennsylvanians did not take kindly. Perhaps their democracy was so deep an instinct that they knew not what do to with political power when they gained it; as though political power was aristocratic in its nature, and democratic power a contradiction in terms.

--Henry Adams

The reproach I address to the principles of equality, is that it leads men to a kind of virtual materialism, which would not corrupt, but would enervate the soul, and noiselessly unbend its springs of action.

--Alexis de Tocqueville

In our egalitarian age of mistrust, trustworthy men of great ability are increasingly refusing to run for public office or to serve in positions of authority and leadership in our society....In the rest of this book, I shall try to show how and why the Quaker city of Philadelphia, in contrast to Puritan Boston, has suffered from that virus of virtuous materialism for almost three centuries and how its best men, on the whole, have seldom sought public office or positions of societal authority and leadership outside business.

http://www.philadelphia-reflections.com/blog/1759.htm


The Republican Court

{Ann Willing Bingham}
Ann Willing Bingham

A popular legend of our founding fathers depicts a sudden 18th Century flowering of talent, even genius, establishing a new nation. More recently, historians have searched for personal material about the individual founders, humanizing them with warts, so to speak. A question nevertheless arises how a nation with the present population of Detroit could produce such outstanding leadership in what was then a scattered colonial frontier region. Men, that is. In our legends, the founders were all men.

Long before the feminist movement gathered momentum, historians like Rufus Wilmot Griswold and Abigail Adams Smith had chronicled the impact of the high society of George Washington's term of office as president, which was in part a conscious effort by Washington to show the new republic to the world, cutting just as fine a figure as the nations of old Europe. Martha Washington, soon called Lady Washington, was an uncomfortable central figure in the new social scene, and her dismay at being the President's wife, her anxiousness to retire from prominence as soon as his term was over, suggest the idea for a Republican Court was probably not hers. Elizabeth Schuyler Hamilton, Alexander Hamilton's wife, might be more likely but the real originator is not known. A plausible theory is that soldier George Washington and bachelor James Madison had the concept but couldn't pull it off; and then some determined ladies of the court soon showed them all, what was what.

George Washington began the process by instituting formal receptions for visiting males, and Martha cooperated by holding Friday evening receptions, at which she was introduced to the wives of important political figures. The regular weekly events of the Presidency soon consisted of a reception by George Washington for new foreign ambassadors and other important foreign visitors, with a formal state dinner with a politically balanced invitation list on Thursday evening, and Lady Washington's reception on Friday with primarily a social purpose, leaning somewhat in the direction of letting the wives of important politicians shine in the social limelight. The effect was to unite the elites of wealth and power, coming to Philadelphia from all thirteen colonies, now risen to statehood. Plantation owners from the South, ship owners and merchants from the North met the daughters of socially prominent families, and quite frequently married them. A courteous and civilized environment unified the new nation at its pinacle by having local leaders mixing with other local leaders, becoming national leaders in the process. A politician in this new nation could rise to being someone of consequence socially. To be skillful in the social graces, particularly if there was wealth associated, was to advance in politics; to be boorish or loutish was to drop down somewhat in the scale of political influence, slowly but surely losing power to those who did have such graces. Put a backwoods politician into new formal clothes, force him to behave in an unaccustomed way in the midst of those more skillful at it, enlist the fearsome pressure of his ambitious wife to shine in the spotlight; and the fear of looking foolish soon enough pushes him toward conformity.

After the first year, the new capital moved in 1790 from New York to Philadelphia, and Philadelphia hostesses who owned mansions soon developed a heavy advantage within the developing Republican Court. Martha Washington of course had her own mansion at Mount Vernon, but Anne Bingham had one within easy walking distance of Independence Hall. The wife of the richest man in America, Anne Willing Bingham was the daughter of Thomas Willing the head of the most prominent merchant family in Philadelphia. Her husband William Bingham had achieved richest-man status at the age of 28 (by running a large privateer fleet in the Caribbean) and was not only able to build a splendid mansion patterned after that of a London aristocrat at 3rd and Spruce Streets, but had taken his young and beautiful wife on an extensive tour of the royal courts of Europe which lasted several years. It is said that Robert Morris later contributed to his own bankruptcy by attempting to match the Bingham mansion with a Morris mansion at 7th and Market, which had to be torn down for lack of money before it was completed. Since most of the wealthy hostesses attempting to achieve prominence in the newly forming Court had never been to Europe, there was no choice but to accept the judgment of Mrs. Bingham in such matters, especially since she had the biggest showplace in town. While the truth of a story about her is uncertain, it accurately illustrates the flavor of the social atmosphere that it could be said that the Dauphin, heir to the throne of France, once went to her father to request her hand in marriage. The young prince was then living in exile at 4th and Locust, in temporarily impoverished circumstances. Old Tom Willing, as the story goes, said No. "If you do not become the King of France, you will be no match for her. And if you do become the King, she will be no match for you."

It does seem to be true that almost every prominent lady in the Republican Court was described by contemporaries as astonishingly beautiful, but at least in the case of Anne Willing Bingham, her surviving portraits support this description. John Adams, who had Abigail for comparison, was overwhelmed by Mrs. Bingham's ability to hold her own on political subjects at the dinner table. And George Washington, who loved to dance with the prettiest lady available, greatly favored Anne as a partner. In time, she asserted herself to the extent of pestering Washington into having his portrait painted by Gilbert Stuart when the painter was in town. Washington seems to have disliked having his picture painted, and avoided it when he could. There are nevertheless a great many pictures of Washington on display, crossing the Delaware and whatnot, all showing the same grim face. After his death, it became necessary for most of the many new pictures of him to attach the same Gilbert Stuart head to a variety of imaginary depictions. Benjamin Franklin, by contrast, seemed to enjoy the experience of being a sitter and there are many more portraits of him completely drawn from life. Add to Washington's social indebtedness an almost unlimited budget for parties, and Anne Bingham quickly established herself as the reigning queen of the court without even provoking Martha Washington's hostility. This was a busy ladies' world; one new arrival in Philadelphia described herself as exhausted by having to return the courtesy visits of ninety different ladies during her early weeks in town. The expense of such competition emerges from brief reflection on the variety of clothes needed to keep up with changing styles, and the elegance of carriages, footmen, etc.

Anne Willing Bingham was soon joined at the center of things by two Chew sisters, naturally referred to as astonishingly beautiful, who not only had their own mansions, but also Cliveden the summer place in Germantown as available venues for parties. It was commonly stated to be "social suicide, not to be home when the Chew sisters came to call." Delicious gossip was of course a strong undercurrent in such a social whirl, and Harriet Chew Carroll made a significant contribution. This daughter of Benjamin Chew the former Chief Justice had married the son of very rich Charles Carroll of Carrollton, Maryland, but had to drop out of society because of notoriety associated with her abusively alcoholic husband. Similarly, Catherine Alexander Duer, who had married the son of the New Jersey patriot Lord Stirling, lost her social standing when her husband got deeply into debt in ventures with Robert Morris to the tune of today's equivalent of $40 million. As a Treasury official, there was a question of his using public money to speculate privately, although he died in debtors prison before matters were completely clarified. His wife, who was known for having fifteen different wines on the dinner table, ended up her days running a boarding home to support herself. No doubt other transgressions were suppressed or covered up, while the political process was sufficiently advanced even in the early days of the Republic, to introduce some deliberate falsehood into the gossip mill. No doubt, one of the strongest drinks at the receptions was the bubbly wine of knowing all the inside scoop. And meanwhile, the potential disgrace of falling from favor was immensely powerful in enforcing conformity among those who might otherwise think themselves immune to it.

Some people were left out for various reasons, even if they could keep up financially or politically. It's always a little hard to identify why some people are social duds. Abigail Adams Smith seems to have been one of these, a constant source of adverse commentary about the extravagance, hypocrisy, etc., etc. English literature at this time had Jane Austen and William Makepeace Thackery, Pope, Swift and Dr. Johnson to satirize and constrain the social whirl, but America seems to have produced little more than correspondence and hushed remarks. The feeling of resentment was constantly growing in Republican circles, however, feeding a growing undercurrent of hostility undermining something so elitist and therefore somehow UnAmerican. After ten years in Philadelphia elegance, the District of Columbia was discovered to be scarcely more than a dismal swamp when the capital moved there, a place quite unsuited to high society. Dolley Madison revived things somewhat while acting as hostess for the widower Thomas Jefferson, and when her husband became the next President, opened her receptions to the general public. One can easily imagine the intense hostility of Andrew Jackson to any of this, however. Washington DC has since evolved a pallid political social whirl, because America still has politically ambitious rich folks, and plenty of money for indirect lobbying. But it hasn't ever been the same as the glory days in Philadelphia, and probably never will be. Those members of the financial/political elite who now live in Washington are in a great hurry to leave town every weekend, abandoning its empty office buildings to the tourists and the civil servants.

The Republican Court served an important role in helping America unify thirteen colonies into a single nation. Because Philadelphia was for a time the center of the country, economically, socially and politically, all people of prominence in each state and local community wanted to be there, wanted to know each other. Variations of wealth and breeding stratified the women somewhat differently from the variations of wealth and power of their husbands, and constant mixing of the two strata unified the leadership of the new nation in ways that would have developed more slowly without it. The forced conventions of the receptions, dinners and balls quickly made it clear that the public and private sectors stratified independently, but helped all the newcomers to the scene to adapt to the realities more comfortably. Each group, private and public, watched a constant parade of aggressive climbers sort themselves out and searched for how they had made out; wealth got you to the top in one group, power got you there in the other. But in both groups the cruelties of social striving made the iron rule clear that such things as wit, gracefulness, physical attractiveness, education and breeding were qualities that floated you to the top of a soup of any flavor. When you are forming a new nation, perceptions of that sort are important to acknowledge. The American aristocracy could be circumvented among the many ways to the top, could be sneered at by those who lacked its unattainable features, and could be sniggered at by real aristocrats of real aristocracies of Old Europe. But it served well enough as a role model for a constant stream of new immigrants, and set a pattern for new communities of the interior, also seeking a sense of cultural direction. Like the breeding of horses and dogs that is such a constant upper class avocation, there is a genetic message, too. Rich men marry beautiful women, so their children or grandchildren tend to be handsome. Handsome or not, gracefulness in social circles is learned at home. Darwin teaches you one thing, Adam Smith's hidden hand teaches another; both are worth attending to. Given eight or ten generations, this sort of evolutionary pressure forms a community, then a nation. It has certainly left major imprint on Philadelphia.

As well as on the rest of the nation, but in different ways. Along the East Coast, first families tend to persist, and went to school so to speak in Philadelphia during Washington's presidency. Mary Ann Goodrich was a witty and wealthy wife of a Connecticut political leader. Elizabeth Schuyler Hamilton was the famously vivacious wife of Alexander Hamilton of New York. Alice De Lancey Izard was the toast of Charleston, South Carolina. Patsy Jefferson married Thomas Randolph of Virginia. Mary White Morris of Philadelphia had a bumpy trip as the wife of Robert Morris. In East Coast high society, all the ladies have middle names.

Over three centuries, three main streams of immigrants plodded their way across the continent to the West, and then merged. There were westward pioneers from north of Philadelphia with a certain kind of accent, from south of Philadelphia with another, and from Philadelphia with the normal way of talking. Each of them was following role models within its own cultural pattern, but the significance of middle names is now only a tip-off to insiders. There are patches of country, like Appalachia and Texas, which brush off any allegiance to distant origins. But to the degree we are unified, the mixing bowl of the Social Scene is big part of how we got that way.

http://www.philadelphia-reflections.com/blog/1763.htm


TOAST TO E. DIGBY BALTZELL (1915-1996)

A TOAST TO E. DIGBY BALTZELL (1915-1996)

The Franklin Inn Club, Philadelphia

Annual Dinner, 15 January 2010

{E. Digby Baltzell}
E. Digby Baltzell

I am grateful that our President, Deborah Goldstein, and the Board have given me this opportunity to make precedent -- tonight to strengthen the tradition of the Franklin Inn Club by raising a new toast, following our 18th century icon, Benjamin Franklin, and the 19th century men who founded the Inn, with a 20th century member. We are, after all well into the 21st century. It is my original privilege to honor a member and author who contributed strongly to American social thinking: E. Digby Baltzell.

Digby and WASPS Let me right away make two statements about Digby and WASPS. His name is associated with that acronym because it appeared in his book of 1964, THE PROTESTANT ESTABLISHMENT; ARISTOCRACY AND CASTE IN AMERICA. But contrary to a popular misconception, Digby did not invent the term WASP. I know, because a Jewish girl friend from New York City used that term on me critically ("That's what we call people like you") in 1952. And there is good evidence that the term was in use as a put-down, like other American ethno-religious slurs, two decades before Digby gave his term for White Anglo-Saxon Protestants scholarly standing in his book.

Secondly: however dear his idea was to him, Baltzell gave up on WASP aristocracy before his death. His subtitle had contained his aim: "Aristocracy and Caste in America." He was inspired by Tocqueville's attempt to save the French aristocracy from its own destruction by writing "Democracy in America" during the presidency of Andrew Jackson. Baltzell was concerned about his own aristocratic class. These were prep school and Ivy League educated people with family lineage, trust funds, and above all, what might be called Rooseveltian motivation. Either TR, Republican, or FDR, Democrat, party did not matter. Both Roosevelts had the aristocratic drive to excel: not only to lead, but to assimilate other talents into leadership. That was the key to the matter: for a responsible aristocracy perpetuates itself by absorbing into ruling power new immigrant energy and multi-class talents, such as, in the 1930s, Fiorello LaGuardia, mayor of New York City, and Sidney Weinberg of Goldman Sachs.

An aristocracy is irresponsible, however, when it merely replicates its own ethnic and religious features. By protecting itself with clubbishness it ceases to be an aristocracy, and rigidifies into a caste. Baltzell, 1964, feared that WASPS in the USA would let that happen, and wrote in the strong hope that they would not. But it was already happening. Looking back, we can see that the game was almost over.

Digby and Me Who was Digby Baltzell? He was born in Rittenhouse Square and grew up in Chestnut Hill to what he called an "impecuniously genteel" family. They sent him off to St. Paul's School in New Hampshire, an exclusive Episcopalian* boarding school formed in an English tradition. In his senior year, his alcoholic father was fired from his insurance company, and soon after died of a heart attack. For college, Digby could not afford Harvard, Yale, or Princeton, where all his classmates went, but settled for the University of Pennsylvania. There he got himself through on scholarship, with various jobs such as ticket-taker, usher, and parking lot attendant at Franklin Field. He went on to get a Ph.D. at Columbia, and came back to Penn, where he taught for the rest of his employed career.

I never met Digby personally because he died in 1996, the year that I joined the Inn. Yet I identify with the man I just described in some distinct ways. My own alcoholic father, a mellow, dear, and vulnerable man, lost his job as a stock broker while I was in college. There, at Williams, I was a member of the same hard-drinking fraternity, St. Anthony Hall, as Baltzell had been at Penn. I'm not Episcopalian, but being a Scotch-Irish Presbyterian makes me categorically WASP. I feel like Digby did, that I have been a marginal member of the elite. I became an academic to try to figure out what the hell was going on around me. I have, like him, "an insider's heart and an outsider's mind." That has qualified me not to make a fortune, but to write books.

Digby and Us We all live in a time of social phenomena Digby never reckoned with -- of Bill Clinton as a white trash national leader; of John Kerry, a Catholic agnostic from St. Paul's School who lost the election of 2004 to G.W. Bush, a retrograde pseudo-Texan who had renounced his father's waspismo. Personalities that Baltzell might barely have imagined: Oprah Winfrey, a multicultural pop icon who is incidentally black; and the Afro-Saxon lawyer-intellectual whom we have chosen President of the United States, Barack Obama.

Baltzell finally gave up the attempt to invigorate his idea of a responsible ethno-religious elite. He realized, and said, that "what the Jews have done since World War II is the great untold story." And when he died he was preparing to undertake a book on the end of the Protestant establishment. He recognized that it had been replaced by a meritocracy based on professional performance, which, I think, is far more congruent to American social dynamics. I conclude that Baltzell's last and never completed project was an admission that his three books on the WASP establishment were a failed effort to firm up a transient power structure. I believe that Baltzell had been trying to implant in America a British notion of ruling class flavored with Tocquevillean nostalgia for a lost French aristocracy. Our nation has wholly different components from those; and he was bound to fail. Even as he struggled to make the point, he acknowledged the multi-cultural society around him, while expressing a vivid fear that multi-culturalism enshrined meant moral relativism, which would in turn mean an unworkable political system. On that last he may yet prove correct. And he was surely astute in recognizing the importance in America of a professional meritocracy. If any of us, nonetheless, still yearns for an aristocracy of some kind, I would recommend Jefferson's idea of "a natural aristocracy based on talent and virtue."

Digby, although a connoisseur of clubs noted in the Social Register, never joined one, although often invited to do so. He criticized, among others, the Duquesne Club in Pittsburgh, the Links Club in New York, and the Philadelphia Club here for their obtuse and pointless exclusiveness.** But he chose to be a member of The Franklin Inn Club, and in his later years often came from home on Delancey Street to lunch among members. Our cultural, artistic, and literary atmosphere, we may dare feel, was comfortable for him. What he found here was perhaps an aristocracy without power, but a natural one in its components of talent and virtue. Sisters and brothers: let us toast Digby Baltzell -- an exemplar of our values, and an inspiration to us in the Twenty-First Century. Theodore Friend

{Theodore Friend Sr.}
Theodore Friend Sr.

*To the rumor that Baltzell became a Roman Catholic before he died, a close living relative says no: he very much respected the Catholic Church, was interested in healing the breach with Episcopalians, and may have attended some Catholic services. But nothing more.

**A Jewish friend, responding to my inquiries, tells me that he was admitted to The Union League in 1967, and about twenty years later became chair of the Admissions Committee. What percentage of members now are Jewish? He estimates five per cent.

Sources:

Baltzell, THE PROTESTANT ESTABLISHMENT: ARISTOCRACY AND CASTE IN AMERICA , (1964)

PURITAN BOSTON AND QUAKER PHILADELPHIA, (1979)

THE PROTESTANT ESTABLISHMENT REVISITED, (1991)

Brief conversations with members of the Franklin Inn:

Daniel Hoffman, Nathan Sivin, and Arthur Solmssen.

http://www.philadelphia-reflections.com/blog/1767.htm


Paying for College I

It's almost a platitude that America once changed from a largely agricultural economy to a largely industrial one. And currently, that we are going on from an industrial economy toward a service economy. This latest transformation is one of the main causes of soaring tuition costs; demand for first-class college education exceeds its supply.

{College Cost}
College Cost

Tuition costs at the top of the educational pecking order have now reached $52,000 annually, with room and board and other costs sometimes adding another fifteen thousand. This is well in excess of the average after-tax income of working Americans, perhaps even in excess of the average income of college graduates. It clearly often exceeds the income of undergraduates' parents and must be subsidized. It creates a treadmill effect. But after graduating, average incomes of college graduates do exceed the average income of those who only finish high school. That extra income is said to justify the investment in going to college, even after taking into account the loss of 4 years of income, and perhaps a trailing six-figure indebtedness. However, a meaningful judgment can only be made in retrospect, after inflation and taxes work their way into a net-net appraisal. Faith in some postulated answer to this accounting question colors the truth of various belief systems, like: How much should we worry about the widening income gap between the quartiles of income, What is the societal value of income redistribution between those who pay full tuition and those who receive financial aid. And there could be legitimate questions about many other values throughout the whole system. During the Vietnam War, many uncomfortable questions were raised about the educational system, even leading to riots on college campuses. It was often implied that many students were in college merely to escape the military draft. While that may have been precisely what was in many minds, the scramble for elite college admissions has intensified since the end of the draft, seemingly proving a college education has other merits. Steadily rising tuition costs are rapidly narrowing the income advantage, so one supposes the intrinsic merits of higher education can soon be measured by whatever enthusiasm for admission survives the bursar's bite. There are many reasons for doubt.

{College Cost Graph}
College Cost Graph

In the first place, these undergraduate tuition charges are not tightly related to the underlying instructional cost. It is natural to expect some markup for any product on sale, and some cushion for the unexpected. However, the difference between the tuition for night school and day school is pretty disconcerting. Comparatively few universities offer the same undergraduate courses as night-school courses, but a number of them do. The tuition for regular undergraduate courses is about average, somewhere around $5000 per course, but the tuition for night school is around $1200 per course -- same teacher, same textbook, same exam. Without access to the accounting data, one is led to suppose the tuition for night school comes pretty close to the true instructional cost of these courses. And therefore led to the supposition that the 300% markup for undergraduates implies that this type of student, blue jeans and all, supports a great deal of unrelated activity throughout the university. This sort of discovery does little to enhance the image of justice in academia.

In the second place, colleges are in a position to have the surplus over non-operating costs flow on into the endowment fund, breaking the linkage to underlying costs entirely. Not flowing directly, of course, but money from the endowment which might have been spent on operations can be conserved by rising tuition income, hence ultimately increasing the size of the endowment. Such forced savings might even be defended as a wise precaution, based on observation of the way Great Britain has made Oxford and Cambridge dependent on government subsidy, and subsequently allowed class warfare antagonisms to degrade the government contributions; these prestigious universities are now much humbled. From the American college president's viewpoint, it might be prudent to put on some fat for the coming winter. Considering merely the economics however, an essentially unlimited ability to divert tuition surpluses reduces the pressure to hold down prices, and may even inhibit incentives to enlarge class size, or to tolerate new institutions. There is thus reason to question whether rising prices will self-correct by expanding supply. The equilibrium of college supply may, or may not, eventually come into balance with nonfinancial reasons for seeking the experience. At the moment however, supply is clearly too small but it is also difficult to envision important restraints on eventual oversupply, except for the nation running out of money. It is a perplexity which to fear more, a construction bubble or an antitrust violation.

America is almost unique in its large proportion of small liberal arts colleges. No doubt, many of them would prefer to remain as they are, but it seems attractive to encourage thirty to fifty of them to become universities. When asked the differences, one college president replied the main difference is the presence of graduate students. Judging from the competitiveness of admission, the demand for graduate students is much closer to supply than at undergraduate levels; some of the tuition distortion may reflect efforts to increase the supply of college teachers. Income prospects after graduation are probably an influence, but since the main occupational opportunity for graduate students is to teach undergraduates, increasing the openings for college graduates in a service economy must also imply increasing the number of people to train them. However, only a minority of university undergraduates go on to become graduate students, so creating fifty universities also rebalances the system at a new level. There are observers who advocate replacing teachers colleges with universities, for various controversial reasons, but that argument leads the conversation into high school education, involving a somewhat different set of issues. It is here worth mentioning that improving the quality of secondary education also enhances the service economy, reducing pressures for enlarged college admission.

Mention of secondary education must be made, however, in order to grapple with the issue of automating education. It must be obvious that one distinguished Shakespearean scholar could replace thousands of lesser teachers of the same subject by issuing video recordings of the distinguished lecturer at work. Face to face interaction is essential at every level of education, but one lecture about Hamlet on DVD could extend the reach of the very best teachers at a cost of a tenth of a cent per student. The extent to which improved lecture quality overbalances reduced face to face interaction is a matter of testing and experience; it probably varies considerably with the situation. Developing experience should concentrate on testing the approach at several levels of education, and adjusting appropriately. The education industry needs to make much more strenuous efforts to reduce its costs through greater adaptation to information technology, if only to improve its ability to teach such adaptations to entrants into other industries. Shortening the school year, wider expansion of the Junior year abroad, and employing graduate students to teach, are debatable methods for reducing the cost of education; but enthusiastic embrace of the computer revolution could improve educational quality before other nations leave us in their dust.

And finally, a caution must be mentioned. Some degree of specialized focus of college courses is inevitable; we cannot develop scientists and engineers without it. But we must not be too quick to eliminate the liberal arts, carelessly calling them a luxury in a busy age. To a probably excessive degree, universities have replaced religions as a place to examine and teach young people how to live and behave. In little more than a generation, universities have determined (long) hair style and (blue jeans) dress style, sexual morals and political belief systems, mostly in a libertarian direction. That is not why we have colleges, or at least not why we must pay a quarter of a million dollars for them. There is another layer of intangible value in a liberal education, perhaps only perceived by personal experience. As I look back on a great many decades, I realize that almost every important step upward in my life was unexpected. Someone came out of the blue and offered it to me. People were watching and judging, themselves unseen. By contrast, almost every advancement that was strived for mightily, perhaps even a little too competitively, was to some degree gratuitously thwarted by others. Unobserved headhunters are watching for many qualities. Spending some extended time learning what our society is all about through liberal education is a technique for self-advancement, too; universities would impair their customers' main chances in life by not imparting it.

http://www.philadelphia-reflections.com/blog/1782.htm


What's Different About Kosher ?

{Kosher Foods}
Kosher Foods

About half of the labeled food products in a typical supermarket are designated Kosher, displaying a "K". That seems remarkable, when only about 1 million American Jews are observant or Orthodox, thus eating only Kosher food for religious reasons. So, the Chemical Heritage Foundation recently decided it would be interesting to examine the definition and details of the Kosher designation, which presumably has some chemical basis. The CHF was right about the interest in the topic; attendance at the auditorium was packed. The following is entirely derived from what was discussed there.

{Rabbi}
Rabbi

One might have carelessly supposed that a religious designation of food products would have an exclusively religious basis, probably related to preparing the product according to a religiously defined method or ceremony. That's essentially true, but what is unexpected is that the choice of food to be included or excluded must obey a strict and extensive set of rules. The basis for the rules is found in the Old Testament, but specifics have been evolved by designated Rabbis, rather like the way the interpretation of the U. S. Constitution is left to the U.S. Supreme Court, and has considerably evolved in the process. An examination of these evolved rules is what leads other denominations of Jews to avoid the issue, or even to decline to endorse it. That makes it rather awkward for chemists to understand the Kosher process in strictly chemical terms. For a perhaps extreme example, hard cheese but not soft cheese, is strictly forbidden within Kosher rules. That's because the rules state that eating meat is fine, eating cheese is fine, but six hours must elapse between eating either one. What's forbidden, then, is mixture of meat and dairy. Hard cheese is produced by exposing soft cheese to rennin, or rennit. Rennin is produced from the stomach of cows, so the interaction is deemed to be simultaneous rather than separated by more than six hours. It certainly is true that a chemical reaction between two ingredients is difficult to imagine if it is anything but a simultaneous contact between the two. So, chemists would have to agree that hard cheese involves less than a six-hour separation between meat and dairy. But most chemists would regard this interpretation to be somewhat strained; to punish people for disregarding it seems excessive. Whatever disagreement there may be is not based on the facts, but on the importance to be attached to them.

Similarly, most chemists would resist the idea that a chemical product derived from two different sources differs in any way at all. The most important example of this issue is glycerine, a common food additive. A fat consists of three fatty acids attached to glycerin; pure glycerin is produced by separating the fatty acids from it, and in any event the fatty acids of pigs and cows are also chemically identical, at least in the view of chemists. Glycerin derived from pig fat thus seems to chemists to differ in no meaningful way at all from glycerine derived from cow fat. To those in charge of Kosher rule making, however, the difference in source is vital, needing to be searched out in minute detail. Since Coca-Cola contains traces of glycerin, and the Coca-Cola manufacturer wished to have a Kosher label, the company somehow had to satisfy the Rabbinical demand that the sources and processing steps of the glycerin be identified in minute detail. Coca-Cola contains a secret ingredient which some believe is essential for the true Coke taste; the company was not going to reveal its processes. Somehow, this quarrel was resolved privately, although it is not easy for outsiders to imagine how it could be.

And so on. There may of course exist many Kosher rules which make perfect sense; the speakers did not go into that. What remains of general interest is the question why so many non-Orthodox Jews, in fact so many people who are not Jewish in any sense, insist on eating only food with a Kosher label. At the conference, it was explained that many people who have been told they are lactose-intolerant, or allergic to some protein, become fanatic in their fear of contact with such chemicals. That is, as a matter of fact, a common observation in many doctors' offices. These people seem to have developed the idea that they can trust the Orthodox rabbis to be even more fanatic than they are, if anything more rigid, and unyielding in their pursuit of particular exclusions. While that has driven many Jews away from Orthodoxy into other religious directions, it has served to reassure the health fanatics. The food manufacturers don't particularly care about the social features; if that "K" sells product, they want to have it.

On hearing of these issues, one of my Jewish friends suggested an extension to Jewish kitchens. It was his view that if a real estate agent shows you a house with two or more ovens, two or more stoves, or even two or more kitchens, it probably had a Jewish owner at some time in the past. Multiple kitchen arrangements are much less likely to reflect an owner who likes to entertain a lot, than an owner who has been told of the six-hour mandatory wait between eating both meat and dairy, and has persuaded himself this rule extends to separation of stoves. There's no great harm in any of these beliefs, of course, unless it is somehow represented that they improve the health of the believer, which would drag a highly reluctant Food and Drug Commissioner into a dispute he can't win, no matter how he rules.

Whatever the complete truth of all these suppositions, they lead the casual reader to let his thoughts meander. There's a similarity here, to a great many other prohibitions and adherences, tenaciously adhered to, resulting in elections won and lost, provoking scorn heaped on non believers. And even, totally unrelated legislation getting derailed because legislative representatives were unwise enough to take a stand on this one, pro or con.

http://www.philadelphia-reflections.com/blog/1789.htm


Pets For all Seasons

{Professor James Serpell}
Professor James Serpell

People who have had a chance to talk with Queen Elizabeth report she is so fond of her Korgi dog pets that she scarcely talks about anything else. Perhaps because he is British, then, Professor James Serpell has been selected as the chairman of a new department at the University of Pennsylvania Veterinary School, devoted to the study of Human-Animal Interactions. In any event, he made an interesting presentation to the Right Angle Club recently, reviewing the history of acquiring pets. A domesticated animal is not necessarily a pet; chickens and cows raised for food purposes are not considered real pets. A pet is domesticated purely for the purpose of companionship and love. Study of cave paintings and fossils seems to show that pets were maintained for many years before animals were domesticated for food purposes, although hunting dogs might have utility beyond providing love and companionship. The ancient nature of pets does seem to suggest that purposes other than utility have been prized for a very long time, and not necessarily by people who are affluent.

Pets are steadily increasing in number, however, and are estimated as approaching 160 milllion, a number growing faster than the human population of the earth. The human residents of the earth are just about the only species known to make pets of other species, although monkeys will occasionally treat marmosets in a pet-like way. There might still be some utilitarian purposes in keeping pets, however; a goat companion is observed to have a calming effect on wild horses. For something whose utility is marginal, pets are a pretty expensive hobby. It is estimated that $45 billion is annually spent on them. A non-pet lover was once heard to remark that a cat is a domesticated parasite. Apparently, you either love pets or you don't.

{Queen Elizabeth II}
Queen Elizabeth II

It probably hasn't much to do with the motives of pet-lovers, but research does seem to show that those who maintain pets live longer than those who do not, whether the pet is a cat, dog, or rabbit. Pet owners have a lower average blood pressure, and score better on tests which reflect the prevailing stress level. In spite of snide remarks sometimes heard about people who love pets better than their neighbors, tests of interpersonal relationships seem to favor pet lovers.

In recent decades, there has been a growing tendency to confer rights, animal rights, on animals in general, and pets in particular. Remarkably, animal rights advocates seem to be more common in urban environments, than in rural ones. Perhaps the experience of wringing a chicken by the neck in order to prepare dinner hardens the heart. Next thing you know, the Tea Party phenomenon will start getting blamed on observations like this, so watch your language, please.

http://www.philadelphia-reflections.com/blog/1794.htm


Willow Grove Park

{Richard Karschner}
Richard Karschner

The Right Angle Club was recently highly entertained by a talk by Richard Karschner about the hay day of Willow Grove Park. Mr. Karschner appeared before the club in full uniform of the Marine Marching Band with medals, and quickly demonstrated an immersion in this topic that must have taken a lifetime to perfect. He put on a virtuoso performance, a prepared speech perfectly timed to an automated slideshow, which was in turn in perfect synchrony with an automated musical background, exactly tailored to fit the momentary subjects. He concluded with a brilliant brief solo on the cornet (trumpet), using double and triple tongue-ing. To some of us who remember some futile struggling with the trumpet in our high school marching bands, the skill demonstrated was certainly impressive.

{Music Pavilion}
Music Pavilion

To go back a moment in time, the trolleycar was the main method of public transportation in the last half of the 19th Century, blanketing the cities of America and their suburbs, and connecting to the trolley lines of other cities through an interurban network. Somewhere the idea developed of building Amusement Parks out at the far end of suburbs, to attract riders into using the trolleys for more than just commuting; there may have been as many as seventy or eighty such permanent circus grounds in America at one time, with more elaborate attractions than could be managed by traveling circuses. Philadelphia had several such trolley parks, notably Woodside Park in Fairmount Park, serviced by the "Park Trolley". But in 1896 Willow Grove was created on the edge of Abington, far more elaborate than any others, at the intersection of Old York Road and Easton Pike (Rte 611). Its terminal could hold as many as a hundred trolleys at once; the ride from Center City Philadelphia took 70 minutes and cost 15 cents. The area had mineral springs, and had long been a favored vacation spot. Horace Trumbauer designed four or five of the buildings, and the Park eventually included a lake with rental boat rides, an arboretum, amusement rides, restaurants, a fun house, silent movie theaters, rodeos, roller coasters, a picnic park, and even an artificial mountain with a slow scenic ride up but a rip roaring fast descent. By far the most central feature of Willow Grove was the 4000-seat music center, dominated by John Philip Sousa and his band giving four performances a day. Other musical performers were Victor Herbert, Walter Damrosch, Arthur Pryor ("The Whistler and His Dog"). Many of the ideas of Willow Grove are now to be found in modernized form at Disneyland, but for twenty-five years music under the direction of John Philip Sousa was really the central unifying feature.

{John Philip Sousa}
John Philip Sousa

It's generally held the arrival of radio broadcasting caused the decline of Willow Grove, although "The March King's" immense energy declined toward the end, as he began to enjoy being a multimillionaire. The composition of marches was in fact only a minor part of his product, which included among other things 16 full-length Broadway musicals. He was a national champion trap-shooter, and a horseman of some note. One arm became nearly useless to him after a fall from his horse. Meyer Davis took over in the last few years, but a major fire pretty well finished the place off just in time to be buffeted by the 1929 crash. There was an attempted resurgence in 1933, but circumstances which made Willow Grove a successful "Virtuoso Solo" just couldn't withstand the competition of the automobile and television, and the land was finally broken up and sold for $3 million in 1976. Remnants of the gilded past are now scattered around the Willow Grove Shopping Mall, for those who wish to renew fond memories from their childhood. Or perhaps their grandparent's childhood.

http://www.philadelphia-reflections.com/blog/1807.htm


Wood Turning

{The Wood Turning Center}
The Wood Turning Center

A lot of people are named Turner, probably reflecting an ancestry of wood turners. That's an ancient skill, using wood lathes. In Colonial days, commercial wood turning had a focus on bannisters of houses, flag poles, and even toothpicks. At the present time, it is mostly a hobby conducted in garages by people who are mechanically inclined; but when a skilled artist takes it up, the products can be exquisite works of art. Because this is America, there is a national club of artisans and admirers, called the Furniture Society, and a local Philadelphia club called the Wood Turning Center. It's located at 501 Vine Street and because of one-way streets, you are advised to get a map if you plan to drive there, on the north edge of the Ben Franklin Bridge, rather near the Constitution Center. Ron Humbertson, the curator of the museum, recently visited the Right Angle Club, and talked about the subject.

{Contemporary Wood Art}
Contemporary Wood Art

The average skilled amateur takes ten or more hours to produce a wooden bowl on a wood lathe, but the professionals manage to do it in about five hours. If you start with a knarled tree trunk, the product has many interesting lines and whorls, but then the artisan has to contend with knot holes, unexpected holes of wood rot, and the likelihood of cracking the piece in the process of carving it. By far the majority of a piece of raw wood is carved away and discarded, something that bothers real tree lovers.

{Hand Crafted Treasures}
Hand Crafted Treasures

Because of all these unexpected features of the wood, the thinner the final piece, the more likely it is to crack and experience other mishaps, perhaps even leading to discards and starting all over. Even just drying the raw wood can lead to cracks, even before the carving begins, so real artists gently dry the wood themselves as part of the whole process of producing art. Even if it doesn't crack, the usual finishing process involves five or more layers of clear epoxy finish, to reduce scratching and to hold it together to prevent cracks. Those bowls which are intended to hold salads had better be crack-free if salad oil is to be poured on the food. Like any other piece of art, the really outstanding pieces are not intended to go on dining tables.

http://www.philadelphia-reflections.com/blog/1808.htm


Original Intent and the Miranda Decision

{Ernesto Arturo Miranda}
Ernesto Arturo Miranda

At the lunch table of the Franklin Inn Club recently, the Monday Morning Quarterbacks listened to a debate about Guantanamo Bay, prisoner torture and police brutality; all of which centered on the Supreme Court decision known as Miranda v Arizona. Ernesto Arturo Miranda was convicted without being warned of his right to remain silent, sentenced to 20 to 30 years in prison in 1966. Eventually, the U.S. Supreme Court, with Chief Justice Earl Warren writing a 5-4 decision, overturned the conviction, because Miranda had not been officially warned of his right to remain silent. The case was retried and Miranda was convicted and imprisoned on the basis of other evidence that included no confession.

An important fact about this case was that Congress soon wrote legislation making the reading of "Miranda Rights" unnecessary, but the Supreme Court then declared in the Dickerson case that Congress had no right to overturn a Constitutional right. Some of the subsequent fury about the Miranda case concerned the legal box it came in, with empowering the Supreme Court to create a new right that is not found in the written Constitution. Worse still, declaring it was not even subject to any other challenge by the other branches of government. In the view of some, this was a judicial power grab in a class with Marbury v Madison.

Several lawyers were at the lunch table on Camac Street, seemingly in agreement that Miranda was a good thing because the core of it was not to forbid unwarned interrogation, but rather a desirable refinement of court procedure to prohibit the introduction of such evidence into a trial. The lawyers pointed out the majority of criminal cases simply skirt this sort of evidence, use other sorts of evidence, and the criminals are routinely sent or not sent to jail without much influence from the Miranda issue. Indeed, Miranda himself was subsequently imprisoned on the basis of evidence which excluded his confession. What's all the fuss about?

And then, the agitated non-lawyers at the lunch table proceeded to display how deeper issues have overtaken this little rule of procedure. This Miranda principle prevents police brutality. Answer: It does not; it only prevents the use of testimony obtained by brutality from being introduced at trial. Secondly, Miranda contains an exception for issues of immediate public safety. Answer: What difference does that make, as long as the authorities refrain from using the confession in court? The chances are good that a person visibly endangering public safety is going to be punished without a confession. Further, the detailed procedures within Miranda encourage fugitives to discard evidence before they are officially arrested in the prescribed way. Answer: If the police officer sees guns or illicit drugs being thrown on the ground, do you think he needs a confession? Well, what about Guantanamo Bay? Answer: What about it? We understand the prisoners are there mainly to obtain information about the conspiracy abroad and to keep them from rejoining it. The alternative would likely be their execution, either by our capturing troops, or by vengeful co-conspirators they had incriminated.

Somehow, this cross-fire seemed unsatisfying. The Miranda decision was made by a 5-4 majority, meaning a switch of a single vote would have reversed the outcome. The private discussions of the justices are secret, but it seems likely that some Justices were swayed by this edict viewed as a simple improvement in court procedure rather than a constitutional upheaval; Justices with that viewpoint feel they know the original intent and approve of it. Others are apprehensive the decision has already migrated from original intent, in an alarming way. Everyone who watches much crime television, and even many police officials feel that Miranda intends for all suspects to be tried on the basis of total isolation from interrogation from start to finish. More reasoned observers are alarmed that the process of discrediting all interrogation will lead to an ongoing disregard of the opinion of lawyers about court procedure, essentially the process of allowing public misunderstanding to overturn legal standards. Chief Justice William Renquist, no less, poured gasoline on this anxiety by declaring that Miranda has "become part of our culture".

What seems to be on display is the mechanism by which Constitutional interpretation drifts from original intent. Not so much a matter of "Judicial Activism" which is "legislating from the bench", it is becoming a matter of non-lawyers confusing and stirring up the crowds until the Justices simply give up the argument. Drift is one thing; virtual bonfires and virtual torch-light parades are quite another.

http://www.philadelphia-reflections.com/blog/1817.htm


Atlantic City, Brigantine and the N.I.H.

{Steel Pier}
Dr. William Osler

It would be only honest to say that Atlantic City was a rundown mess after World War II, cheap, sleasey and dispirited. But for academic medicine, for thirty or forty years one small nook of it was the most exciting place in the whole world, but only during several days at the beginning of May. And the reason it was so attractive to scientists was that beach hotels were cheap and dilapidated in the spring, Atlantic City probably the worst on the East Coast or nearly so. The Haddon Hall was an exception, rather elegant and far too expensive for most physicians in training; research is a young doctor's game. But the annual beauty contest for medical research was headquartered next door to the Steel Pier, and surrounded by hundreds of cheap lesser hotels. Resident physicians from Philadelphia mostly found it cheaper to commute from home for ninety minutes than to stay overnight, but residents and fellows from farther away stayed in the dumpy places. Nobody had much money to spend, so the commuting Philadelphians didn't feel they missed out on much night life at the shore.

{Atlantic City Skyline}
New Atlantic City Skyline

In the front parlor of the Haddon Hall, assembled the hundred members of the most elite society of academic research professors from the East Coast, all of them quite able to afford to stay in the headquarters hotel. This had been going on since William Osler founded it in 1885, at first in Washington, and then migrating to Atlantic City. As medical research began to flourish, the society grew a little, but at a pace too slow to keep up with the growth of medical scientists, so a second group of "Young Turks" formed a society which met the next day, and ultimately a third group, the "Young Squirts" felt excluded by the old has-beens, and met on the third day of what turned into a week-long parade of scientific presentations, ten or twelve minutes long, starting before normal breakfast time, and lasting until 10 PM, with occasional breaks. That is to say, the medical papers that everybody wanted to hear grew from thirty or forty to nearly a thousand. If a young fellow did well, the older professors would notice, and he would get employment offers. That kept the eminent older doctors around for the whole session, and provided an informal ranking of the worth of the program. Everybody wanted to advance up the ranks of prestige, and this system roughly sorted them out. However, it was an exhausting experience just to sit through all that and listen; the old professors tended to drop out and go home a little early. It was strictly forbidden to present a paper which had been published or presented anywhere else, so it was usually difficult to guess in advance whether a paper was likely to be exciting. The younger wise-apples had a formula, that if one paper in three was outstanding, you were having a good meeting; you just had to grit your teeth and try to stay awake during the other two-thirds. Still, that got to mean that the reward for pursuing this grinding ordeal was to go home after learning about three hundred unquestionably outstanding scientific advances; knowing three hundred cutting-edge things that other doctors didn't know really did put you ahead of the pack. Keep it up for ten or twenty years, and notable differences among colleagues would relentlessly emerge.

{Steel Pier}
Old Steel Pier

From the lounge of the Haddon Hall, with non-members forced to stand in the back, the meeting moved to the 2000-seat movie theater in the Steel Pier. Things came to an equilibrium; the movie theater was never completely full. We were told there were seven or eight even larger auditoriums on the Steel Pier, but it was never necessary to move to them. The first four years I attended these sessions I was being paid no salary at all, and most of my contemporaries were only getting token amounts beyond room and board. The eminent professors who were real members of the top society would find their way to front-row seats where they could ask questions, having had a chat with colleagues at breakfast in the Haddon Hall. But they had once been impecunious, too, and wore their brand-new Ivy League plaid jackets rather uncomfortably. Doctors who (gasp) worked for drug companies also gave signs of affluence, but they tended to drift over to the barber shop and have a shoeshine, where they picked up the gossip for their employers. Over a period of fifty years,I can recall first hearing of the wonders of several new antibiotics, a strange chemical called cortisone which seemed to cure rheumatoid arthritis, the introduction of the birth-control pill, the introduction of polio vaccine, the first drugs in the treatment of tuberculosis, and a vast array of novel explanations for disease phenomena that had seemed mysterious for centuries. A year without a new medical miracle was a very lean year, indeed. During this interval, the basis for curing at least thirty common diseases was first presented at the Spring Meetings in A.C., and medical practice looks nothing like it did in 1947.

{Jitney}
Ten Passenger Jitney

Gradually the audience changed, too. At first, the people presenting papers came from at most ten medical schools, and mutterings of discrimination could be heard. In fact, it was plainly true, because only about ten schools had the extra money to fund research. When this news reached the U.S. Senators from the Mid and Far West, federal research money began to be spread around more evenly, just like the distribution of Senators. It was the appointment of one of the members of this nest of clubs to the Directorship of the N.I.H., the National Institutes of Health in Bethesda, Maryland, which got the research spigot to flow. That was James Shannon, who knew what was what, and he sat there in the audience making up his mind who was who. For all the time of his directorship and for long afterwards, he enforced, really enforced, the rule of "no political influence in research grants". Lots of congressmen came to the N.I.H. with the news that their relatives had such-and-such a disease, and they thought more money should be diverted to research in that area. Nothing doing. Shannon held the keys to the kingdom, and he knew it. He had a deft feel for how much money the research industry could usefully absorb, and then he went to Congress and demanded it. The purity of this process has frayed at the edges somewhat as the amounts of money grew to what is now thirty billions of dollars a year. Most experiments fumble or fail, so a lot of money gets spent on blind alleys before someone really gets it right. It takes a tough-as-nails idealist like Jim Shannon to survive the temptations of an N.I.H. Director, and among the temptations is just to give up and give out money indiscriminately. On the other hand, the estimation of overhead costs is something other mortals can take a stab at. Shannon demanded and got about a third of the grant money to be given to the medical school administrations. That was barely enough in a research establishment emerging from the Depression of the 30s, and the World War. However, now that the pipeline is filled, it is increasingly doubtful that ten billion a year needs to go to administrators. After all, after someone finds a cheap cure for cancer, the disadvantages of perpetuating an aging retiree population may begin to outweigh the arguments for spending quite so much doing it. That may well be what President Obama is obliquely hinting at, but for now the example of his nose in the hornet's nest of favoring research for certain population groups will restrain others who were inclined to agree. After cancer is cured, perhaps then it will seem different.

{Diving Horse}
Dr. James Augustine Shannon

Well, let's tell one story out of many that could be told. Around 1965 there were two competitive polio vaccines rumored to be in the pipeline. Jonas Salk had an injection method, and Albert Sabin had an oral vaccine. Anyone who had watched children run shrieking from a needle knew that Sabin had the preferred method, but Salk got to Atlantic City two years earlier than Sabin. The auditorium was filled with rumors of very dubious precision to the effect that Salk had used unfair methods to get to the stage of public announcement. For example, it was growled he gave the vaccine to the Russians to test, but they were afraid of it and gave it to the Poles. Regardless of such scurrilous gossip, which is here repeated only to show how hysteria can occasionally agitate even scientists, when Salk gave his paper at the Steel Pier, the standing ovation was thunderous. And so, as the meeting broke for dinner the crowds migrated over to a huge seafood restaurant named Hackney's and watched the new scientific hero get a little tipsy in public. That seemed to revive the rumors which became even less factual. But there is no doubt that by the time Sabin stood at the same podium and gave his presentation of the oral vaccine, the crowd had switched to his side, the ovations were unlike anything the scientists had ever heard. Anyway, as emotions now settle down in retrospection, we are all pretty happy that polio is nearly eradicated from all but a few corners of the earth, and these two men are both responsible for it. But so is Jim Shannon responsible for it, and he never got the ovations he deserved.

{Mr. Peanut}
Mr. Peanut

When the gambling casinos came to A.C. the cheap boarding houses were swept away, doctors in research were incidentally better paid, and the Spring Meetings migrated back to Washington. The dumps on the beach have been replaced by gleaming multistory hotels, the place looks much more prosperous. Doctors are in a position to know about the drug and alcohol addiction, the venereal disease and crime among the casino employees, and the personal tragedies among the gamblers. But anybody can see the new buildings and the clean streets. When a group of eight of us took a nostalgic trip to revisit the place, no doctor even mentioned the idea of going in to drink and gamble -- even the suggestion was preposterous. So we wandered over to Brigantine where there appears to be a large retirement community, where gambling and drinking seem equally unlikely. The elementary school in which we heard a talk about the old days was splendid beyond anything I remember in an elementary school. Among the audience the questions revealed there were many former employees of the old A.C., people who ran shops to sell salt water taffy, fudge and the like to crowds on the boardwalk. Some of them may have once driven Jitney buses, or pushed sightseeing wheelchairs. But not one of them showed the slightest sign of recognizing that on the first weekend in May, every year, a crowd of nerdy-looking serious fellows would move into familiar boarding houses for a few days, remaining mostly invisible during daylight hours. That was the academic doctor crowd, if anyone had bothered to ask, pouring into the Steel Pier movie theater, having the time of their lives listening to medical history being made. After a week they all went home, and nobody in A.C., later Brigantine, paid any attention to any of it.

http://www.philadelphia-reflections.com/blog/1818.htm


New Roles For Grandparents

Like everyone else, I had two grandfathers and two grandmothers. However, I can only remember seeing one grandmother on a single occasion when I was three or four years old, and the other three died before I gathered any recollection of them at all. Essentially, I never knew my grandparents. If they ever knew me, it was as a puking infant, don't he look sweet.

{Grandpa and Grandson}
Grandpa and Grandson

One of the many unexpected consequences of the introduction of penicillin, polio vaccine and the like, is that my generation has had to invent the role of grandparent, without any models to follow. My grandchildren are all in college or beyond, with reasonable expectations of getting married and starting careers while I watch. I already have two great-grandchildren, and with luck will have lots more. To my knowledge, I never met anyone who had great-grandchildren until ten or so years ago, so I'm not entirely certain what I'm expected to do with them. I could ask others, but they don't know much about it, either. Society has evolved a huge database of experience about how parents are supposed to relate to their children, and children have evolved a whole literature about how they are expected to cope with their reflex hostility to their parents. Sigmund Freud made up a huge mythology about these conflicts and emotions, and while we are shaking off a good deal of it, he did help define the general rules of behavior between parents and children. All of us believe we are exceptions to such rules, of course, but they do make up a road map of the land mines to avoid. Furthermore, most of us formed some firm opinions during the Vietnam conflict, or the Summer of Love; presumably, most of our children feel a little silly about it now. The folk songs record the mythology of that experience; even with guitar accompaniment, these songs all sound a little wry. Sorry about that. Wouldn't have missed it for the world, but sorry about that. Are ya gonna need me, are ya gonna feed me, when I'm sixty four. Sixty-four? That was twenty years ago.

By this time, the sassy generation has had a chance to learn how sharper than a serpent's tooth it is, as a reminder that there have always been a few who lived King Lear's experiences, but now it could happen to anyone. The two generations, my children's and my own, have now lived a common experience from start to end, not just half of it as Freud depicted. But there's a twist; the two generations think they have a role with the third generation. Both generations are unclear about what the grandparents role should be with the new generation of young adults. I know what I think, you know what your think. Neither of us knows what the world thinks.

A thousand years of experience teaches how unwise it is to allow any relationship to revolve around gifts and the expectation of gifts.Two hundred years of experience make it plain to almost everyone how easy it is to ruin a child by making life too easy for them. What does one do, then, with savings large or small, when grandchildren seem to combine aloofness with expectations? Does our society really expect us to favor our personal genome into eons of astronomical time periods? As one wanders occasionally through graveyards, it is very clear that our nostalgia for great grandparents born in 1814 is small indeed. Should we make an effort to create a lasting impression on such visitors from another planet, or should the whole misty idea of consanguinity be abandoned as a delusion. Should we take the wry advice of those who test our reactions with cynical descriptions. Should we, in a word, attempt to live out our lives with the perfect timing of spending our last dollar during our last hour? Come back in fifty years and there will be shelves of novels, plays and poetry which tell the sad tales of those who made one choice or the other. Future generations of grandparents will still have to make their own decisions, but at least they will know how the world will view them. One generation will likely cling to the viewpoint of their contemporaries, another generation will reject such viewpoints as nonsense. Our generation will never be quite sure.

Among the funny things about this situation is the curious inversion of the social classes. Everyone notices how domestic servants hang around observing the behavior Upstairs; no matter how firmly it is rejected Below Stairs, it is marveled at and imitated to some degree. But in the past, those social groups who had their children at sixteen, their grandchildren at thirty-two, their great-grandchildren at forty-eight, knew something that those who defer their gratifications might now wish they knew. The experience is raw and basic, and all the more important for that reason. Some budding novelist, hoping to cloak predictions as folk lore, might give that one a try.

http://www.philadelphia-reflections.com/blog/1823.htm


Frank Furness (2) Rittenhouse Square

{1804 Rittenhouse Sq}
1804 Rittenhouse Sq

George Washington had two hundred slaves, Benjamin Chew had five hundred. It wasn't lack of wealth that restrained the size and opulence of their mansions, particularly the ones in the center of town. The lack of central heating forced even the richest of them to keep the windows small, the fireplaces drafty and numerous, the ceilings low. Small windows in a big room make it a dark cave, even with a lot of candles; a low ceiling in a big room is oppressive. Sweeping staircases are grand, but a lot of heat goes up that opening; sweeping staircases are for Natchez and Atlanta perhaps, but up north around here they aren't terribly practical. Building a stone house near a quarry has always been practical, but if there is insufficient local stone, you need railroads to transport the rocks.

{Victorian}
Victorian

So to a certain extent, the advent of central heating, large plates of window glass, and transportation for heavy stone and girders amounted to an emancipation from the cramped little houses of the Founding Fathers. Lead paint, now much scorned for its effect on premature babies, emancipated the color schemes of the Victorian house. Many of the war profiteers of the Civil War were indeed tasteless parvenu, but it is a narrow view of the Victorian middle class to assume that the overdone features of Victorian architecture can be mainly attributed to the personalities of the Robber Barons. This is not the first nor the only generation to believe that a big house is better than a small one. The architects were at work here, too. It was their job to learn of new building techniques and materials, and they were richly rewarded for showing the public what was newly possible. Frank Furness was as flamboyant as they come, a winner of the Congressional Medal of Honor for heroism, a man who wore a revolver in Victorian Philadelphia and took pot-shots at stuffed animal heads in his office. He affected the manners of a genius, and his later decline in public esteem was not so much disillusion with him as with the cost of heating (later air-conditioning), cleaning, and maintenance which soon exceeded provable utility. The simultaneous arrival of the 1929 financial crash and inexpensive automobile commuting to the suburbs stranded square miles of these overbuilt structures. It was the custom to build a big house on Locust, Spruce or Pine Streets, with a small servant's house on the back alley. During the Depression of the 1930s there were many families who sold the big house and moved into the small one. Real estate values declined faster than property taxes and maintenance costs; incomes declined even faster.

{Delancey Street}
Delancey Street

It thus comes about that large numbers of very large houses have been sold for very modest prices, and the urban pioneers have gentrified them. You can buy a lot of house for comparatively little, if you are willing or able to restore the building. We thus come back to Frank Furness, who was the idolized architect of the Rittenhouse Square area, in addition to the massive banks and museums for which he is perhaps better known. Unfortunately, most of the Furness mansions on the square have been replaced by apartment buildings, but one outstanding example remains. It's sort of dwarfed by the neighboring high-rises, but it was originally the home of a railroad magnate, a few houses west of the Barclay Hotel, and it holds its own, defiantly. Inside, Furness made clever use of floor-to-ceiling mirrors to diffuse interior light and make the corridors seem wider. Although electric lighting made these windowless row houses bearable, modern lighting dispels what must have been originally a dark cave-like interior on several floors, held up by poured concrete floors. Furness liked to put in steel beams, heavy woodwork and stonework, in the battleship school of architecture. If you were thinking of tearing down one of his buildings, you had to pause and consider the cost of demolition before you went ahead.

{Baywindow}
Baywindow

There are several others of his buildings around the corner on the way to Delancey Street, one of them set back from the street with a garden in front. That's what you expect in the suburbs, but land is too expensive in center city for very many of them; this is the last one Furness built before rising real estate costs drove even him back to the row-house concept. On Delancey Street there is a house which he improved upon by adding an 18-inch bay window in front. The uproar it caused among the neighbors is still remembered.

{Dr.s Home (?)}
Dr.s Home (?)

A block away on the part of 19th Street facing down the street, Furness buit another reddish brownstone house to glare back at the neighbors. The facings of the front suggest three row houses, and it was indeed the home of a physician who had his offices on one side, entrance in the middle, and living room on the right. The resulting staircase in the middle is used to good effect by opening a balcony on the landing overlooking the parlor below. As befits the Furness style, the wall are thick, the wooden beams heavy. And, in a gesture to the lady of the house, the room adjoining the living parlor is a modern modern kitchen, so the kids can play while mama cooks, or guests can wander by as she gets dinner ready. Times have changed, the servants quarters once were plain and undecorated. The lady of the house never set foot in the kitchen, so she could care less what it looked like.

{Window View In}
Window View In

As a matter of fact, that's the remaining problem for these places, the rate-limiting factor as chemists say. Automatic washers, microwaves, electric sweepers, spray-on cleaning fluids and similar advances are the new industrial revolution which makes these hulking mansions almost practical. What's still lacking is the social structure of Upstairs and Downstairs, the servant community overseen by the lady of the house, who once was sort of the Mayor of a town. The lady of the house is now a partner in a big law firm, or similar.It simply is not wise to leave a big expensive place unattended by someone constantly supervising the domestic help. It is never entirely safe to leave the financial affairs of the household in the hands of someone who is not a central member of the owning family. Perhaps the father of the family can be brow-beaten into spending some quality time with the children once in a while.

{Window View Out}
Window View Out
Perhaps an accountant can for a fee be trusted with the finances; perhaps a butler can be found who will whack the staff when they get out of line. But the plain fact is these monster houses were built around the assumption that the lady of the house would run them, and the old style of manorial life cannot return unless the house is completely redesigned for it. Some day, perhaps a genius of the Frank Furness sort will make an appearance, change everything, and make everybody want to have it. But it is asking for something else when you insist on this happening in an old stone fortress that was designed to house a different style of life.

http://www.philadelphia-reflections.com/blog/1827.htm


Gum

{Gum Bubble}
Gum Bubble

The ancient Greeks and Romans are said to have enjoyed a sort of chewing gum. The ingredients are uncertain but unlikely to have been chicle, the sap of a variant rubber tree, which was taken up by the Mayans in the First century. The vision thus ensues that Mexican soldiers might well have been chomping when they set out to conquer Texas and devastate the Alamo. Conceivably Santa Ana himself was popping bubbles when Sam Houston found him crawling through the tall grass when he should have been dying like a man.

{General Santa Anna}
General Santa Anna

What is not so fanciful is that Santa Ana did go into exile in the United States, seeking refuge on Staten Island. Taking along a large supply of chicle, he was hoping to find a way to change it into rubber and thus restore his fortunes. His New York landlord, a photographer named Adams, struggled unsuccessfully for months to change the gum into rubber, but eventually switched over to chewing gum of chicle. This Mexican rubber variant is chewy only within a narrow temperature range, getting brittle when cold, and sticky when hot. The outcome of this bizarre episode was the Adams company, a dominant feature of our culture until 1922 when William Wrigley, Jr. of Chicago added a mint flavor and made a great fortune selling the hope that minty taste would clean your teeth, sweeten your breath, and improve attractiveness to the opposite sex. Wrigley must have been a great businessman, since the Wrigley Building still dominates central Chicago, while everyone knows about Wrigley baseball field, and his descendants even run a private railroad through the Copper Canyon south of Tucson into Mexico. Wrigley's winter mansion sits on top of a small mountain outside of Phoenix, once affording a grand view of the surrounding desert for many miles. But subprime mortgages helped build up the desert; so at night there is now a sparkling view of the lights of Phoenix suburbs, longingly gazing up at Wrigley's mountain fastness filled with pictures of relatives who got themselves great notoriety, mostly related to unfortunate escapades with love.

Well, whatever. By 1960 a cheaper synthetic chemical came to replace chicle in Chiclets without distressing the customers, and seemingly making it commercially practical to spread this central feature of American culture to Asia, Europe and beyond, with the notable exception of France which makes cultural superiority a point of national pride. On further reflection, if they prefer vintage chicle to the present chemically improved synthetic, the French may have an important insight. Just look at our filthy sidewalks.

{Gum on the sidewalk}
Gum on the sidewalk

Other cities may be more diligent in scrubbing their sidewalks, but at least in Philadelphia, the new synthetic chewing gum is leaving its mark. The realization gradually creeps up on you that sidewalks near popular corners of center city are spotted with round black spots, slightly larger than a silver dollar, but uniformly black. Just what the sidewalks around high schools look like, I tremble to consider. But those city corners where a sidewalk vendor parks his cart are particularly peppered, representing the disgusting habit of spitting the chew-gum on the sidewalk before eating the hot dog. The detritus is flattened out by someone's shoe, and the result is quite distinctive. As I was contemplating a particularly loathsome street corner, a passing Philadelphia Grand Dame shared her insight with me that the gum attracts dirt and gets black. I somehow doubt that because it is such a uniform blackness. It seems more likely that the trade secret chemical deteriorates in the sunlight, and being less sticky than the traditional goo, sticks to the sidewalk instead of the shoe which squashes it.

So think this over. Someone was recently chewing that stuff; would you kiss that person? If it's fresh enough, it might transmit the flu virus to your shoe; ye Gods, maybe the HIV virus, perish the thought. There's a great absence of evidence about the disease transmissibility of this unknown material. Maybe our congressmen should take a recess from blaming Wall Street for the decline of Greece and Portugal. And make chew-gum scoopers just as mandatory as pooper scoopers.

Footnote: A fellow member of the Right Angle Club recently revealed he had once worked for the Philadelphia Chewing Gum Company in Havertown, which was closed by new owners in 2003. While he didn't know anything about the ingredients of gum, he could report that this company used trainloads of old rubber tires for some purpose. On further checking, it is stated in the literature that at the present time, no chewing gum doesn't use rubber, so apparently Santa Ana's dream has finally come true in a round-about way.

http://www.philadelphia-reflections.com/blog/1837.htm


Serpentine Rock From Serpentine Barrens

{Barrens}
Barrens

Even in pre-revolutionary Colonial days, it was recognized that patchy areas of Chester and Lancaster counties were covered with twenty-foot stunted evergreens instead of two-hundred foot oaks. They were "barrens", resembling the pine barrens of central New Jersey. In time, these barrens were particularized as Serpentine barrens, out of recognition that this stunting of vegetation was somehow associated with greenish stone in the bedrock. So, the serpentine barrens in time became serpentine rock quarries, but they seem somehow less barren now that surrounding deciduous forests have been cut down to make nice farmland. The greenish stone was a novelty, especially because it was usually (but not invariably) soft sandstone and easy to quarry, and the bedrock was only an inch or so under the topsoil, or even appeared on the ground surface as outcropping. These qualities made serpentine a popular building material, but in retrospect it should have been more apparent that sandstone crumbles easily, and what can stunt tree growth probably wasn't very good for you.

{Serpentine Rock}
Serpentine Rock

Well, the green color comes from chromium salts. Sometimes the greenish color is diffused throughout volcanic rock, but more commonly concentrated in green veins "snaking" through sandstone. Diffuse is better for building, because the greenish intrusions create fracture lines in response to acid rain. In modern times, we mostly think of chromium as imparting a shiny look to plated auto bumpers. Some auto maker was once quoted as saying he sold more cars using $10 worth of chrome than with $100 worth of engineering. That's metallic chrome, because central to the definition of a metal is that it looks shiny. Most high school chemistry scholars can proudly tell you it is a "salt" of chromium, the chromic ion, which imparts a greenish tinge when dissolved in water. So, chromic salts dissolved in the local water are what dwarf the vegetation of a serpentine barren, not chromate (which is yellow), and not metallic chromium (as in auto trim). So, although one might suppose otherwise, a few years ago when local builders started up modern quarries of the serpentine rock, the environmentalists of Chester County were up in arms. Demonstrations were held, editorials written, politicians hectored. The Serpentine Barrens were a local treasure, requiring legal protection; protective ordinances were demanded.

{House}

Although building construction with serpentine rock had a considerable flurry in the late 19th Century, the crumbly nature of sandstone caused the disappearance of all but a few examples. A building in boathouse row on the Schuylkill, a pre-revolutionary house on the Brandywine battlefield, College Hall on the campus of the University of Pennsylvania, pretty much comprise the notable surviving examples. But in a certain way, the Serpentine buildings do sort of define Victorian Philadelphia.

California is not within the intended scope of Philadelphia Reflections. However, it probably should be mentioned that Serpentinite is the official California rock, as would be natural for a substance which composes about 2000 square miles of its bedrock. It's green in color, but has a high magnesium content, and seems to originate with the grinding of techtonic plates as they throw up mountain ranges, with attendant earthquakes. California also has serpentine barrens, but local geologists blame that harmful vegetation effect on magnesium competing with soil calcium (rather than the less notable chromic ions in West Coast serpentine). We're getting into some pretty fine distinctions, here. Pennsylvanians will probably be content to know we found ours first, that it had a flurry in Victorian architecture, and it's just a bit quaint. And, that it doesn't pose a significant risk for asbestos poisoning. A California geologist, in defending their state rock honor, recently maintained there was greater statistical risk of dying from their state animal (the grizzly bear) than from their state rock.

http://www.philadelphia-reflections.com/blog/1834.htm


Chester County, Pennsylvania

Chester County was one of the four original counties of Pennsylvania, as first laid out by its owner, William Penn. Although several parts of it have since been cut away, what's left of it still quite large, even after Lancaster County was separated in 1729, and in 1785 Dauphin County was separated from that. In 1789, Delaware County was separated. If you stand in the horse country of Chester County, you might find it hard to believe anything much has happened in three hundred years. In fact, the present population residing within Penn's original boundaries would make it the most populous county in the state, and growing steadily. Since Philadelphia is steadily shrinking in population, that would strike most residents of Chester County as quite remarkable. Horses, that's what Chester County wants to be all about. The mushroom growers of Kennett Square sort of count as part of the horse industry, because mushrooms are grown on horse manure, in the dark. But electronics and steel mills are not exactly traditional. As a small footnote, the Lukens Steel Company was recently purchased by an investor named Ross, who lumped it with several other steel mills, and then sold it to an owner in India. The consequence is that Chester has part of the largest steel company in the world, or the largest steel company in India, whichever way you wish to style it. Nevertheless, it still looks like horse country.

Nevertheless, it is an invisible fact that southern Chester County is socially part of the state of Delaware, and western Chester County is thoroughly Pennsylvania Dutch. Up north, the Philadelphia Main Line is building mansions as fast as their mortgage originators will allow, and many of them end up paying Chester County taxes. And all along Route 202 in the Great Valley, stretches a burgeoning electronics industry, within which is found Vanguard, the largest investment company in America, or possibly the second largest, depending on the mysteries of mark-to-market pricing. Chester County presently has the highest average personal income of any county in America, and it is far from true that everybody has a horse farm or a trust fund.

In an emotional sense, the horse culture is geographically far larger than the even the historic outlines of Chester County. The boundaries of southeastern Pennsylvania were laid out with David Rittenhouse's compass, so the rolling hills suitable for horse farming extend into the states of Delaware and Maryland, and of course out into Lancaster and Dauphin counties, without much visible sign of changing states or counties. In Europe, by contrast, almost all boundaries are set by rivers and mountain ranges, so physical appearance of the countryside is apt to change sharply when crossing borders. In fact, it is possible to say it in reverse: the State of Delaware is mostly Chester County extended, in its upper third, below which lies urban and suburban Wilmington, and below that is "south of the canal" loamy flat farm country, formerly slave country. Maryland divides similarly; an upper third of rolling hillsides of Maryland (otherwise known as Chester County extended), followed by tidewater Maryland, in turn followed by the suburbs of Washington, DC. The remnants of Baltimore are in there, somewhere, too. When you drive through miles of silent prosperous farms, regardless of the highway signs, it is natural to think of yourself in the heart of America.

The one thing Chester County never much warmed to was Universities. It may shock residents of New York City to hear that Chester County never thought much of art museums, classical music, theater performances or opera. Chester County doesn't share the typical urban dislikes, either. The Appalachian hill billies and the Pennsylvania Dutch L'il Abners are just like us, only not so rich. We all like horses, dogs and guns; and can't imagine why everyone else doesn't like them, too. Chester County has more history than almost anybody; it just doesn't talk about it much.

George Washington fought the largest battle of the American Revolution in Chester County, the Paoli Massacre was the second nastiest event of that war. Josiah Harlan (1799-1871) did what the Tsars and Dictators of Russia and the Kings and Queens of England couldn't do; he conquered Afghanistan, and did it single-handed, making himself King. The first intern of the first hospital in America (Jacob Ehrenzeller) spent his long life practicing in Chester County. The only President of the United States to come from Pennsylvania (James Buchanan) haled from Lancaster, not terribly long after it split off from Chester County. Harrisburg, the capital of the state, was once part of Chester. Major portions of both General Howe's and General Washington's armies left the Brandywine battlefield and swept up the Great Valley of Chester County to Philadelphia and Valley Forge, respectively. Conestoga Creek was once part of Chester County, and the Conestoga wagons took many generations of settlers westward to build the new nation. But drive through miles of Chester County today, usually alone through the silent stone barns and rolling grasslands, and nothing much seems to have happened except that real estate is more expensive.

And then, just drive up Route 202 from Wilmington to King of Prussia, at rush hour. This is the Great Valley where Washington retreated to Valley Forge, and where employees of the electronics industry are ferrying children to get to school, in order to get them into the Ivy League, and maybe to shop at fancy stores in King of Prussia. With time out for a recession, it will be wall-to-wall McMansions in a generation. It's sort of a pity, it is a great economic opportunity, and it seems -- inevitable.

http://www.philadelphia-reflections.com/blog/1931.htm


Cataracts and Deference to Seniors

Last week I had a cataract extraction; it went well. I now see like an eagle, there was no pain at any time, and it only interrupted my life for about six hours, total. While I suppose there is a chance of complications during the next month after surgery, I'm an optimist and statistics are on my side. As they say in South Philadelphia, fageddabout it.

{Cataract Extraction}
Cataract Extraction

Those were of course not the serene thoughts I had in advance of the surgery, which carries certain risks. Persons with myopia like me often have a mismatch in the size of their eyeball and the size of the retina inside, so the retina can tear or detach during the first few days after the eyeball's integrity has been pierced. The lens can get stuck and break apart as it is being removed, hemorrhage can occur. The surgeon's hand can slip; he can sneeze at the wrong moment. So, bad things could have happened to me, making my twinge of anxiety entirely justified. But that's all behind me now; I even forgot to ask the surgeon what type of lens he intended to implant, so I could argue with him. Let the Captain run the ship. I was surrendering my fate to the largest eye hospital in the country. They perform between fifty and a hundred of these procedures every day, and my surgeon is the chief of the cataract department.

And yet, and yet, I have a few grumbles, leading to some generalizations about health care for the elderly. In the first place, I was told by an administrator who sounded terribly fierce that I had to be there at 8:15 AM, in the company of the person who would drive me home, or they wouldn't do my surgery. I told her I doubted that very much, so we got off to a poor start. The procedure ought to take less than ten minutes to perform, perhaps twenty if you count the formalities. Furthermore, I was a consultant to that hospital once, and still had a certain amount of standing in the Philadelphia medical community, having once been a trustee of almost everything you can be a trustee of. Sure enough, when my driver and I arrived at 8:15, there were more than fifty others waiting. They finally called my name at 1:30 in the afternoon, and by roughly 2 o'clock I was out of there. I was by no means the last one waiting to be called, and it sort of felt as though we were all treated like logs of wood. While I was inside the operating room, a couple of nurses were chattering, and one said she much preferred to work on weekends, because there were no administrators around. I could see what she meant.

To keep this essay from sounding like constant whining, let me tell a little of the history of this operation. Until perhaps twenty years ago, a cataract extraction involved keeping the patient in the hospital after the operation with the head in sandbags, for two full weeks. Now, it takes ten or twenty minutes, and you are free to have lunch with a friend in an hour, unless you give in to your driver who has been waiting five hours and wants to go home.The results are far superior, and you don't have to wear glasses that look like the bottom of Coke bottles afterwards; in fact, I already see pretty well without any glasses before a week is up. In the past, the great fear was a complication known as sympathetic ophthalmitis, in which disturbing the lens of one eye would set up a sort of allergy which could also make you blind in the other, good, eye.

{Spitfire}
Spitfire

In the famous Battle of Britain in the Second World War, the British pilots to whom so many owe so much were covered with a plexiglass canopy in a fighter plane called the Spitfire. Enemy machine gun fire would often shatter this canopy, and among a lot of other damages, shards of plexiglass got lodged in the eyeballs of the pilots. For the most part it was left in place because other injuries needed tending more urgently. Long after the Battle, it finally dawned on a British ophthalmologist that this wasn't supposed to happen, it was supposed to cause sympathetic ophthalmitis and the pilots were supposed to go blind. From this it was finally deduced that plexiglass was safe to use as a lens implant, a so-called "hard implant". You can still see people walking about with these lenses, recognizable because their eyes seem to glow when the light shines into them, like crocodiles along the Amazon at night.

The second step in the migration to modern cataract surgery was the insight that soft pliable forms of plastic retain a memory of the shape they were moulded into. So, the old lens can be scooped, lasered or sucked out of place, and a squeezed-down soft lens can be shoved into the vacated space. Retaining its shape-memory, it springs back into the correct shape for a lens, and you are all set.

And finally, there was the stitch. If you cut into the side of the cornea, you have to stitch it up after you are through. And then later you have to remove the stitch. An eye surgeon who should be more famous if he were more popular then invented a form of curved incision which did not requite a stitch because the pressure within the eye held it closed. It was a simple and brilliant idea, which took scarcely a few extra seconds but eliminated one of those sources of complications which dogged the statistics. There was only one problem. This surgeon decided to apply for a patent for his invention, and the medical world had a fit; not only did he patent the curved incision, he sent bills for royalties to every eye surgeon he could prove was using it. I happened to be seated the the House of Delegates of the American Medical Association when this matter came up, and the uproar was considerable, including some ribald limericks which were read the House "as a matter of personal privilege". Shortly afterwards the courts did the right thing and disallowed the patent.

So that pretty well summarizes how cataract surgery became a modern miracle, with a great many elderly people now playing demon bridge when they would otherwise be fed with a spoon. Somehow, the national gratitude is not quite equal to its obligations, and we hear people grumble that eye surgeons make too much money. When the achievements of politicians match those of the average eye surgeon, perhaps they will have a point. But not sooner.

But I'm allowed to complain, and perhaps obliged to issue a warning to my fellow elders about the true source of our discontent. It seems to start with eye drops, but it's more than that. There's a simple technique for instilling eye drops, which involves pulling down the lower lid, creating a pocket, and putting the drop in the pocket, after which the subject blinks his eye and spreads the drop around. Works slick, takes no extra time, and little trouble. And while a half-dozen nurses put drops in my eye, and must put fifty drops in fifty eyes every day, not one of them did it right. The drops were spattered on the eyelids and eyelashes, much of them running down my cheek. One extra-large nurse with an attitude put her thumb on my upper eyelid and spread the lids so painfully apart that I cried out in protest. It's supposed to hurt, was the unwelcome answer. I resolved then, and soon carried out the threat to scold the surgeon and the Physician-in-Chief about the responsibilities of supervision, but there are two other more serious issues behind this indignity.

In the first place, the reimbursement mechanisms were modified so that hospitals were no longer paid for maintaining a school of nursing. Within a few years, all hospitals had trimmed this expense, and nurses went to college to be trained in nursing, miles away from the nearest hospital, and eventually trained by other nurses who had themselves had scant experience with patients. Although it is boasted that they now have batchelors's degrees instead of mere diplomas, their skill with patient care is far inferior to that of the generations which went before them. Instead of being well trained, they are rule ridden.

The other underlying issue lies with us, the patients. In France people retire at fifty I hear, and in this country we retire at sixty-five. But we sit around, essentially quite healthy, until eighty-five or later. Everybody knows we have nothing important to do, so they waste our time. Or rather, whenever there is a choice of wasting a minute of working-person's time, or an hour of a retired person's, it is the retired person who is dumped on, and it's only going to get much worse with time. Hey, folks, it's degrading to be so useless. Go to work and accomplish something. Don't let the younger generation treat you like logs of wood.

http://www.philadelphia-reflections.com/blog/1967.htm



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