Thursday, April 22, 2010

Economics and The Pill

The May issue of First Things has an interesting article that looks at the impact of birth control through the lens of economics ('Bitter Pill' by economist Timothy Reichert). The gist of the article is that the availability of the birth control pill starting in the 1960's dramatically changed the marriage 'market'. His contention is that prior to the pill there was essentially one market: a marriage market. After the arrival of the pill the market was splintered into 2 markets: a marriage market, and a sex market. The pill, he contends, reduced the incentives for marriage, especially among men, while siimultaneously putting more pressure on women to enter the sex market before marriage since it was now 'safe'.



Like most economic models, I find this one oversimplified but interesting nonetheless. It seems clear to me that there has always been 2 separate markets, else the 'world's oldest occupation' would not in fact be the world's oldest occupation. However, it does seems clear that there are now more incentives for sexual activity before marriage, though the rise of out of wedlock births make it clear that it is not necessarily 'safe'.



His contention in the article is that in fact it is not safe and this market shift has hurt women, not 'empowered' them. It is of course sold by both feminists and the playboy culture that the pill has 'liberated' women. In fact, we now have 40% of all births out of wedlock, and up to 70% in some ethnic groups, and it is well documented that being a single mom is the single most powerful predictor of poverty. By giving men fewer incentives to marry, this also keeps more women and their children in poverty. He supports his article with lots of charts and graphs, of course, as any good economist would. This includes fewer and later marriages, earlier sexual activity, more women in the workplace to support their kids, and declining rates of female happiness.



He does not talk about some of the additional factors that confound his data: legalized abortion coming near the same time, for instance, and declining church attendance. Still, I think he has a point. This technology that is touted as helping women has actually hurt them. However, in my opinion it has hurt them because they use the technology outside of marriage. He does not mention this either. Were it utilized only within marriage, it would be a very different story. There, too, is a message. The more freedom we have, the more important it is that the freedom be exercised by a virtuous people. When we lack virtue, our freedom comes back to bite us.

Tuesday, April 13, 2010

Remembering the Unthinkable

This past weekend we went to hear a survivor of the Holocaust, Rose Price. She will be 82 sometime this year, but she was 10 years old and an Orthodox Jew in Poland when the Nazis invaded her homeland. Like our veterans who fought in WWII, survivors of the Holocaust are getting fewer every year as they die off. I had heard Rose back about 6 or 7 years ago, and she had more trouble staying on topic and not wandering this time than last, which was sad since there was a much larger crowd this time and the power of her story did not really come through as well as it could have.

She and her older sister both survived the death camps. Her mother, father, and younger sister all died there. She was chosen to be shot on two occasions: on those days the 'chosen' would be forced to dig a ditch, then line up in front of it to be shot. They would hold hands usually in those last moments. She held on and fell into the ditch with her dead compatriots, but had not been shot. She would crawl out later, only to be recaptured and put back in the camps.

One particular guard seemed to enjoy humiliating her and her sister. On rainy days he would force them to lie in the mud so he could walk on them to avoid getting mud on his boots. On fair weather days he would simply beat them. Though she left Germany after the war having abandoned faith in God, she later met the Messiah and went back to Germany to tell her story, and she met that guard there at a crusade where she gave her testimony. It was there that she really learned about the power of forgiveness.

There is much more in her book, and the other atrocities in the death camps, including the 'medical' experiments, are well documented in many places. Yet, today not only do the Palestinians and Iranians want to deny that all this happened, there also seem to be many even in the U.S. who are either ignorant or simply unconcerned that all this happened. They seem to have forgotten that Israel exists not because they conquered the Palestinians: it exists as a U.N. mandate, a mandate of the world community as a result of the Holocaust. The Arab world tried to overturn that mandate, and lost. The West Bank had been a location for Syria to shell Israel with heavy artillery until they lost that as well. The current leadership of the U.S. seems to have forgotten all that, apparently thinking that Israel should just give the land back and live with daily artillery barrages from those who to this day deny Israel's right to exist.

We dare not forget either the holocaust and the stories of those like Rose Price or the history of Israel's fights with the Arab world. To forget is to guarantee another holocaust will happen, this time in Israel.

Sunday, April 11, 2010

The Church Arrogant

The April issue of First Things had an interesting article about how economic theory can be applied to church, and along the way it shed some light on some of the mythology surrounding early American church attendance. In researching their book The Churching of America, 1776-2005: Winners and Losers in Our Religious Economy, the authors (Roger Finke and Rodney Starke) found that less than one-fifth of the American population claimed church membership at the time of the American Revolution. The rate of church membership then rose after the revolution, to about one-third by the mid-1800's and on up to about half in the 20th century. This is what they are refering to by 'the churching of America'. During this same time, Europe was rebelling against the church and beginning its long decline to today. Contrary to the theory of skeptics, the spread of education and industrialization in America did not force a decline in church membership or attendance. The skeptics insist that increasing education and prosperity necessarily lead to a decline in religion; the authors offer an alternative view.

Their alternative takes a more economic viewpoint, looking at both religious 'firms' (churches) and religious 'consumers' (members). In Europe, they maintain, the church was always a state church with a monopoly. Every nation had an established church so they did not have to compete for members, did not have to compete for funds, and did not have to be concerned about 'quality' or 'customer satisfaction', so the church could easily become focused on its own tradition and the desires of the clergy themselves. Since the 'consumers' had no other choice, they could either participate or stay home. This was also the case in the American colonies, each colony having its own established church and often persecuting dissenters. I well remember visiting Colonial Williamsburg some years back, and part of their living history drama on one of our visits included an intinerant Baptist evangelist being arrested and jailed for breaking the church laws of Anglican Virginia. No dissent allowed!

When the Constitution was approved, some states held on to their established churches for a while, but most of them were done away with in a few years. At this point, the churches had to raise their game to a higher level. Suddenly they had to give parishoners a reason to show up or they could go somewhere else. When that happened, membership began to grow.

This is not all sweetness and light, of course. This kind of religious competition also gave us Mormonism, Christian Science, Scientology, Jehovah's Witnesses and various other aberrations. Still, it does point out to me that established churches have other problems even beyond the very serious problem of tying the church to a political establishment. It also makes for a very self-centered, non-ministering church.

The history, though, also sheds light on our 'Christian founders'. 20% of the population as church members is less than most of those shouting about our religious roots would want to hear about. While no doubt some non-members were dissenters who would have been members if their church had been allowed, most of those would have moved to a different colony I would think. While the rural nature of the colonies resulted in many folks not being near a church, that held true much longer and into the period of fast growth of members and attendance.

In any case, the article shed some interesting light on American Exceptionalism in religion: it may have been the arrogance of the church more than education and progress that brought down religion in Europe.

Sunday, April 4, 2010

This God is Different

I just finished reading Walking the Bible by Bruce Feiler, which I had borrowed from my daughter. There is also a PBS mini-series based on the book, and my interest was piqued by seeing part of that a while back. The book is part travelogue, part history, and part personal introspection by a secular Jew trying to find his roots in the Holy Land. It is an easy read and it gives a nice view of many of the sites in Israel, Sinai, the Negev, and Egypt that are found in the Pentateuch as the author attempts to re-trace the path of Abraham, Isaac, Jacob, Joseph, and the Exodus. He is basically examining the path that led from one man and his family (Abraham) to a nation that God used to reveal Himself to show His work of redemption, which we Christians view as the start of a path that inexorably led to the Savior.



It was quite interesting to see how the author and his archaeologist-travel-partner-and-guide visited many of the sites mentioned in the Bible, as best they could find them (many are not known for sure) and would then read and discuss the Bible passages about that site as they experienced the place for themselves. I like to do similar things when I travel, such as reading Jefferson's biography when visiting Monticello. The book would be a nice prologue to a visit to Israel by providing an overview of the history and archaeology of many of the sites that pilgrims to the Holy Land visit. It is somewhat sad, though, that while the author does find in himself a strong emotional response to the Promised Land and biblical stories, he never quite gets to the point of seeing God as personal and knowable. He becomes convinced that the biblical stories that led to the creation of Israel as a nation are believable in a general way, but he does not fully resolve his own doubts about faith though he does reach some sort of peace with himself.



One question that recurs in the book has to do with the question of life after death. On the one hand the Torah makes it clear that God is eternal and His people are to somehow be with Him, these books of Moses do not say a lot about life after death. Job, which pre-dates the Pentateuch, does make mention of seeing God in person after death, and so do the prophets and psalms which come later. Moses says little, although when Moses dies it seems to imply that God took him (and also buried him in secret lest his tomb be worshipped). The author seems to think that this means that the Jews saw God as only the God of this life, and that there was nothing beyond this life.



This was a matter of debate among the Jews in Jesus' time as well, with the Pharisees believing in life after death and the Saducees not. Christians see this debate as being settled by Jesus' resurrection and promise of our resurrection as a result. So why the lack of discussion by Moses?



My opinion is that much of the first 5 books of the Bible has to do with demonstrating how different the God of Abraham, Isaac, and Jacob(Israel) is from the other gods of that time. While other pagan gods demanded child sacrifice, this God demanded the same level of devotion but intervened to prevent the sacrifice of Isaac and provided his own sacrifice. While other gods are unpredictable and unknowable, this God provided his Law to make clear what behavior He expected and what he abhorred. While the Egyptian gods in particular, where Moses was leading them out, were obsessed with death and so built the pyramids and other enormous burial 'cities', this God was more focused on holy living. In other words, I think God was intentionally pointing out the difference between Himself and the Egyptian gods, after having His people live there for 400 years in the midst of their 'culture of death'. It was not to imply that there is nothing after this life; it was to say that the Egyptian obsession with death was minimizing the reality of this life, creating a very bizarre and off-balance culture.



We have our own 'culture of death' today, comprised of the combination of abortion and euthansia. Though quite different from the Egyptian distortions of reality, it bears its own consequences in minimizing the importance of holy living. Today is Easter, our annual reminder that there is One whose Life will overcome. He is Risen!

Wednesday, March 24, 2010

What defines Quality in Health Care?

In the furor over the health care legislation there have been comments about 'destroying the world's best health care system' by some pundits, while others say America as fallen behind in health care as shown by longevity statistics in countries with government health care. Is longevity the best measure? Is short waiting time for procedures the best measure? Those 2 measures would give opposite rankings when comparing America and western Europe.

I was discussing this with a colleague at work who related his story. In 1989 he tore a tendon in his leg and had surgeons describe to him the incision that would be made from his knee to his ankle to repair it and the resulting 3 months on crutches. Not liking this, he found out that there was a new surgical group here and the founder used to play on the rugby team he was playing for when injuring his leg. This surgeon provided tendon repairs to the Atlanta Falcons and Braves with a then brand new procedure, an arthroscopic method with a very small incision and ability to walk without crutches in a day or two. He contacted him, and the surgeon was willing to take him on because of the rugby team connection. In 1993, the other leg was injured. This time, all the surgeons in town were using the new procedure. In 1999, he was Denmark on business and met a man on crutches who had been injured playing soccer, and there the surgeons were still using the old procedure. They were only 10 years behind. And he had to wait 3 months to have it done, so he 3 months to wait before the surgery then 3 more on crutches.

I have heard similar tales from folks that have moved here from Canada. These kinds of new procedures typically are developed in America and spread from here, though they apparently spread slowly to some countries. Why? Because here there is a payback for new procedures that are less painful, faster, and that return you to full productivity both without a long wait and with faster recovery. Yet none of this would show up in longevity. Is it better?

I don't think we have the right measures to evaluate it. The European approach appears to cost less, but doesn't the loss of 6 months of full productivity have a cost, in this example? The newer method may cost more at first, but does the improved quality of life have a value as well as the improved productivity by less lost time from the job, etc?

Someone has said (Churchill maybe?)that capitalism is the unequal sharing of prosperity and socialism is the equal sharing of misery. That comes close. In this case I think there is also something to be said about freedom having costs as well as benefits. Freedom is risky: this was true in the Garden of Eden, but God considered freedom to be worth the risk, even knowing it would result in the crucifixion of His Son. Freedom is highly valued in the U.S. despite its risk and its cost. In this example, when my friend returned home from Europe he met another athlete in a leg brace with crutches. The arthroscopic surgery was available, but he had no insurance and did not have the funds available just then to pay for it.

My opinion is that the U.S. has the best procedures in the world available, and with the least wait. That does not affect longevity outcomes for a variety of reasons, most of them having to do with diet, obesity, and overall sedentary lifestyles. The U.S. also has the most expensive healthcare in the world, pricing some folks out of the market. A better balance is needed: neither a move to be like Europe and abandon innovation and short waits, nor keeping the current situation. I don't think the current legislation does what is needed; I hope it can cause enough debate to get us on a better path.

Thursday, March 11, 2010

The Virtues of Spittle

I recently read Pagan Christianity by Barna (the pollster) and Viola, and while I was generally unimpressed by their arguments about the pagan origins of many church traditions, along the way there was some discussion of how Jesus intentionally confronted many of the traditions and practices of His day. One example of this is when He healed the man born blind by making clay with spittle and rubbing it on the man's eyes (John 9). A few days later, our pastor preached on this same passage. Both the book and the sermon pointed out that this healing was done on the Sabbath, which confronted the Jewish traditional teachings from the Mishnah that prohibited work on the Sabbath, including healing. In the book, however, they noted in a footnote that the Mishnah, which is the rabbinic interpretation of the Torah, includes a passage in the section about the Sabbath (Sabbath 108:20) in which spitting to make clay to anoint eyes (as well as pouring wine into the eyes) are specifically prohibited. How weird is that?



So what is with this fixation on spitting? How could spitting be important enough to anyone that the rabbis would make a specific rule about it regarding the keeping of the Sabbath? In searching around the internet to find out about this I came across some information that surprised me. It turns out that both Jews and others in ancient times considered that saliva could have healing properties (see JewishEncyclopedia.com under 'saliva'). This is recorded by the Roman historian Pliny as well, and Tacitus ascribes to the emperor Vespasian the healing of eye diseases with his saliva. The Greeks also held this view. The Jews held that a man who kept the law and had just been fasting as well could have special power in his saliva. In some contexts spittle was considered unclean, but for the most part it was not and was even viewed as having special powers. In this context, for Jesus to spit and anoint eyes would have been very much expected for a healer. While this passage strikes my modern sensibilities as very weird, Jesus was doing exactly what a healer would be expected to do in that time.



There are 3 passages that involve Jesus spitting to heal: this one in John 9, plus Mark 7:33 and Mark 8:23. It was not a 'one off' event. The gospels report these without comment, just as if it is behavior that one would expect, and such it is. Once again I was reminded of how separated our habits of mind are from that time and place, and how much more we would understand the subtleties of the gospel if we better understood the culture of that time and place.



As I discussed this with my daughter, she brought up a related case around baptism. Here is an interesting link discussing the Jewish mikvah (or mikveh): www.myjewishlearning.com/life/Life_Events/Conversion/Conversion_Process/Mikveh for reference. Mikvah is the cleansing by immersion that is used for several purposes in Judaism, but it is notably used as part of the process for a Gentile to convert to Judaism. It must be complete immersion so that every part and every hair is immersed. It is to be done in specified water, 'living' water, not stagnant or impure water. The comparison to being re-born is explicit, as one enters the water a Gentile and emerges a Jew, just as one born a Jew. So when Jesus confronted a devout Jew like Nicodemus in John 3 and tells him that he, too, must be 'born again' He was referring to something Nicodemus already knew about. However, Nicodemus would not have thought that what was required for a Gentile was needed for himself. He had already been born a Jew. But Jesus confronted him that a major, life altering change of heart was needed for the Jews to be truly God's people, just as is required for a Gentile to become a Jew in seeking the true God. This is not the sprinkling of babies that eventually emerged in the West at all. How much else do we misinterpret by westernizing the gospel teaching?

Monday, March 1, 2010

Call Me Ichabod

I don't remember when I first read or heard Washington Irving's 'Legend of Sleepy Hollow' but it is a story I have always enjoyed, especially in the fall. When we moved to Lee, MA, to start up the first Hydroknit(r) machine we moved at Labor Day and it was a glorious New England fall that year. We were living just a few miles from the Hudson valley where the story takes place, so of course I dragged out an American Lit book from college and re-read it that fall. The description of Ichabod Crane is one of the memorable parts of the story, and his nose is among his many exagerated features. It is described as 'a long snipe nose, so that it looked like a weather-cock, perched upon his spindle neck, to tell which way the wind blew. To see him striding along the profile of a hill on a windy day, with his clothes bagging and fluttering about him, one might have mistaken him for the genius of famine descending upon the earth, or some scarecrow eloped from the cornfield.' With my ongoing nose problems of this past week, I was of course reminded of him with such a famous nose!

Ichabod is a biblical name, and its meaning in the Bible contributes all the more to the description in Irving's story. In I Samuel 4, the ark of the covenant is taken from Israel by the Philistines, and the battle included the death of the high priest Eli's 2 sons as well as Eli's death from shock at the loss of the ark and his sons. His daughter-in-law then dies in childbirth upon hearing of her husband's death and the loss of the ark but before she dies she names the child Ichabod, which means 'the glory has departed' or 'no glory'. Ichabod Crane's nose was just one contributor to his appearance having 'no glory'!

I suspect my colleagues at work and my family who have seen me the past few days with various things stuffed in my nose, hanging out of my nose, and taped to my nose would certainly be thinking that 'Ichabod' sounds about right! I flatter myself , no doubt, to think that my nose was not all that weather-vane like otherwise. A little crooked maybe, but not quite up to Ichabod Crane's standards, at least until the last few days. The extra adornment the past few days has put me 'over the top', though.

Having gone 4 of the past 5 days to see the Ear/Nose/Throat doctor (we took Sunday off), and 2 more days before that getting urgent care to try to stop the nosebleeds, I have a newfound respect for the poor nose. My deviated (deviant?) septum is now a matter of more thoughtful consideration. And poor Ichabod Crane gets more sympathy from me than I ever gave him before.