Category: Britain

Socialized Medicine “Mummifies Its Doctors in Spools of Red Tape”

(p. A17) One of the reasons patients find condescension from doctors especially loathsome is that it diminishes them — if you’re gravely ill, the last thing you need is further diminishment. But the desires of patients, Marsh notes, are often paradoxical. They also pine for supreme confidence in their physicians, surgeons especially, because they’ve left their futures — the very possibility of one at all, in some cases — in their doctors’ custody. “So we quickly learn to deceive,” Marsh writes, “to pretend to a greater level of competence and knowledge than we know to be the case, and try to shield our patients a little from the frightening reality they often face.”
Over time, Marsh writes, many doctors start to internalize the stories they tell themselves about their superior judgment and skill. But the best, he adds, unlearn their self-deceptions, and come to accept their fallibility and learn from their mistakes. “We always learn more from failure than from success,” he writes. “Success teaches us nothing.”
This was a prominent theme in Marsh’s last book, and readers may have a sense of déjà vu while reading this one. Like “Do No Harm,” “Admissions” is wandering and ruminative, an overland trek through the doctor’s anxieties and private shames. Once again, he recounts his miscalculations and surgical catastrophes, citing the French doctor René Leriche’s observation that all surgeons carry cemeteries within themselves of the patients whose lives they’ve lost. Once again, he rails against the constraints of an increasingly depersonalized British health care system, which mummifies its doctors in spools of red tape. Once again, he describes his operating theater in all of its Grand Guignol splendor, with brains swelling beyond their skulls and suction devices “slurping obscenely” as tumors evade his reach.

For the full review, see:
JENNIFER SENIOR. “Books of The Times; Surgical Catastrophes, Private Shames.” The New York Times (Sat., Oct. 7, 2017): A17.
(Note: the online version of the review has the date Oct. 5, 2017, and has the title “Books of The Times; A Surgeon Not Afraid to Face His Mistakes, In and Out of the Operating Room.)

The book under review, is:
Marsh, Henry. Admissions: Life as a Brain Surgeon. New York: Thomas Dunne Books/St. Martin’s Press, 2017.

Amateur Archaeologists Uncover Most Important Roman Site in Half Century

(p. A6) BOXFORD, England — Their ages range from 9 to about 80. They include a butcher and a builder. Some devoted vacation days to laboring on their hands and knees in an open field.
The group of amateur archaeologists — 55 in all, though only two dozen toiled on a typical day — were part of an excavation project near the village of Boxford, in southern England. They had to contend not just with days of backbreaking work, but also with a daunting, two-week deadline to complete the challenging dig.
Their commitment was handsomely repaid, though, in a few magical moments one Saturday last month. As a layer of soil was carefully scooped away, small, muddy pieces of red-colored tiling glinted in the sunlight, probably for the first time in more than one and a half millenniums.
The mosaic that slowly emerged from the earth is part of a Roman villa, thought to date from 380 A.D., toward the end of the period of Roman domination of England. The find is being described as the most important of its type in Britain in more than half a century, and in this picturesque, riverside village of thatched cottages, the scale of the discovery is still sinking in.
. . .
“It was down to the volunteers, it really was. I get quite emotional about it; it was something to see their drive,” added Mr. Nichol, project officer for Cotswold Archaeology, a company whose normal work includes helping real estate developers preserve archaeological finds.
. . .
So for the organizers, it was a relief, rather than a disappointment, when the earth was pushed back to conceal their discovery.
The night before that was done, Mr. Nichol decided to keep watch over the site from his S.U.V. with a supply of food, a sleeping bag and a bottle of red wine, all donated by volunteers.
The Roman owner of the villa would have invited guests to eat and drink on this spot, using the mosaic as a talking point, so a mildly bacchanalian vigil did not seem out of place.
“I was on my own in the field; it was incredible,” Mr. Nichol said. He described how, in the solitude, he felt drawn back across the centuries to experience a unique connection to the more-than-1,600-year-old archaeological site, and to the mythological images of its extraordinary, colorful mosaic.
“The wine did help,” he added.

For the full story, see:
STEPHEN CASTLE. “BOXFORD JOURNAL; A Link to Roman Era Is Unearthed in the English Countryside.” The New York Times (Tues., SEPT. 19, 2017): A6.
(Note: ellipses added.)
(Note: the online version of the story has the date SEPT. 18, 2017, and has the title “BOXFORD JOURNAL; Amateur U.K. Archaeologists Stumble on a Roman Masterpiece.”)

Free-Market Capitalism Benefits “Ordinary Working People”

(p. A8) MANCHESTER, England–U. K. Treasury chief Philip Hammond on Monday offered a staunch defense of free-market capitalism in Britain, in a speech that underscores the disquiet in the ruling Conservative Party over the rise of the country’s left-wing opposition leader.
. . .
“By abandoning market economics, Corbyn’s Labour has abandoned the aspirations of ordinary working people,” Mr. Hammond said.
Mr. Hammond’s appeal comes amid signs voters in the U.K. are moving away from the embrace of free markets that was ushered in by Margaret Thatcher in the 1980s and broadly sustained by Labour under Tony Blair.
. . .
A survey of 2,000 adults published Friday [Sept. 29, 2017] by polling firm Populus for the Legatum Institute, a free-market think tank, found widespread public support for nationalizing railways, utilities and banks.

For the full story, see:
Jason Douglas. “U.K. Official Defends Free-Market Capitalism,” The Wall Street Journal (Tues., Oct. 3, 2017): A8.

(Note: ellipses, and bracketed date, added.)
(Note: the online version of the story has the date Oct. 2, 2017, and has the title “U.K. Treasury Chief Defends Free-Market Capitalism Against Resurgent Opposition,”)

“Authentic” Rees-Mogg Appeals to Texans Deep in the Heart of England

(p. A10) Among the most unlikely developments of this political season in Britain has been that Mr. Rees-Mogg — whose conservative views include a hard line on departure from the European Union and on abortion and gay marriage — is being talked up as a possible Conservative Party leader.
This unfurled in phases all summer. Youth activists coined the term “Moggmentum,” touting him as the only Tory, as Conservatives are also known, with the charisma to match the Labour leader, Jeremy Corbyn. A 24-year-old man from South Yorkshire had the phrase tattooed on his chest, sending the newspapers into transports of delight. Memes followed. There were online quizzes (“Name Your Child the Jacob Rees-Mogg Way”) and T-shirts (“This fellow is a Rees-Moggian teen”). Someone recorded electronic dance tracks called Moggwave.
. . .
An interview on a morning TV show highlighting Mr. Rees-Mogg’s position on abortion — he opposes it even in the case of rape or incest — was expected to put an end to the chatter. But it appeared, for many, to have the opposite effect.
Voters understood that his positions were to the right of his party, but they had found a quality in him that mattered more than positions. He was, they said, “authentic.”
A decade ago, many Conservative Party leaders wanted nothing to do with Mr. Rees-Mogg. He first attracted national attention in the late 1990s, when he ran unsuccessfully for a seat in a working-class Labour stronghold in Scotland and went out to shake voters’ hands in the company of his nanny. (It was reported that they had campaigned in a Bentley, but he later denied this charge; it was a Mercedes.)
. . .
In Parliament, Mr. Rees-Mogg fell to the far right of the Tory spectrum, opposing climate change legislation and increased spending on welfare benefits and supporting tax breaks for bankers and corporations. In an interview, he said the Tory party must win a “battle of ideas” between the forces of the free market and socialism, and that its message to voters, especially young ones, had been too timorous.
“I think that conservative principles have a broad appeal and you should state them boldly, and the point of a Conservative election is to do conservative things, not to do Labour things but slightly less damaging,” he said. Voters today, he said, were drawn to politicians with more pointed views, both on the left and right, “because the centrist approach didn’t succeed.”
. . .
Radstock was a mining town until the last pits closed down, in the 1970s. Among those waiting to see him was Scott Williams, a knife-maker with brawny forearms and the accent of a Hollywood pirate. Mr. Williams said he had always considered himself staunchly Labour, but was increasingly concerned about attacks on his personal liberties. He had fiercely supported Brexit.
“I belong in Texas,” he said. “That’s the type of person I am. I don’t fit in in England.”
Mr. Williams said he had paid little attention to Mr. Rees-Mogg’s voting record on taxes or welfare — “I don’t really keep count on politics” — but had been drawn to him in recent months, and was impressed when he stood by his hard-line view on abortion.
“Something I do like about Jacob, he’s a straight talker,” he said. “He is who he is. He may be blue blood, but at least you get a straight answer.”

For the full story, see:
ELLEN BARRY. “The Saturday Profile; Latest Populist Craze in Britain: An Unabashed Elitist.” The New York Times (Sat., SEPT. 30, 2017): A10.
(Note: ellipses added.)
(Note: the online version of the story has the date SEPT. 29, 2017, and has the title “The Saturday Profile; The Latest Populist Craze in Britain: An Unabashed Elitist.”)


Britain’s Socialist National Health Service Failed to Update Old Software

(p. A4) LONDON — Martin Hardy was in his hospital gown, about to be wheeled into the operating room for knee surgery on Saturday morning [May 13, 2017] at Royal London Hospital in East London, when, he said, his operation was abruptly canceled.
Mr. Hardy, 52, a caregiver for his father, said his surgeon told him the operation could not be carried out because the hospital’s computer system was not working and his condition was not life-threatening.
“I was in my hospital robe literally about to go in,” he said, wincing as he stood on crutches outside the hospital, waiting for a taxi home. “How can anyone in their right mind do such a thing?” he added, referring to the people behind the devastating cyberattack that affected organizations in nearly 100 countries and sent tremors across Britain’s National Health Service.
A day after one of the largest “ransomware” attacks on record, which left thousands of computers at companies in Europe, universities in Asia and hospitals in Britain still crippled or shut down on Saturday, Amber Rudd, the British home secretary, told the BBC that the N.H.S. needed to learn from what had happened and upgrade its information technology system.
. . .
Ms. Rudd conceded that the N.H.S., where many computers had outdated software vulnerable to malware and ransomware, had been ill prepared, despite numerous warnings. “I would expect N.H.S. trusts to learn from this and to make sure that they do upgrade,” she said.
. . .
“You can’t blame the hospital, but surely the N.H.S. knew this could happen?” he said, his face reddening with anger. “And I don’t understand why their computers weren’t secure. We all pay into the N.H.S., and this is what we get. What on earth is going on in this country?”
. . .
Dr. Krishna Chinthapalli, a senior resident at the National Hospital for Neurology and Neurosurgery in London, who predicted a cyberattack on the N.H.S. in an article published in the British Medical Journal a few days before the attack, said it was disturbing.
“I had expected an attack,” he said in an interview. “But not on this scale.”
He had warned in the article that hospitals were especially vulnerable to ransomware attacks because they held vital data, and were probably more willing than others to pay a ransom to recover it. He said in the interview that many of the N.H.S. computers still ran Windows XP, an out-of-date software.

For the full story, see:
DAN BILEFSKY. “British Patients Suffer as Hospitals Race to Revive Computer Systems.” The New York Times, First Section (Sun., MAY 14, 2017): 11.
(Note: ellipses, and bracketed date, added.)
(Note: the online version of the story has the date MAY 13, 2017, and has the title “British Patients Reel as Hospitals Race to Revive Computer Systems.”)

Socialized Medicine Seeks to Ensure “No One Does Anything New or Interesting”

(p. A15) Heart surgeons are among the superstars of the medical profession, possessing finely tuned skills and a combination of detachment and sheer guts that enables them to carve open fellow human beings and hold the most vital human organ in their hands. In “Open Heart,” British cardiac surgeon Stephen Westaby shares often astonishing stories of his own operating-room experiences, illuminating the science and art of his specialty through the patients whose lives he has saved and, in some cases, lost.
. . .
One theme in “Open Heart” is Dr. Westaby’s frustration with Britain’s National Health Service, which, he says, values saving money over saving lives. He grows frustrated as he tries to get the reluctant government-run payer to cover the costs of advanced interventions. There are other problems too: Dire situations often get worse, he says, because of treatment delays and poor attention to best practices, like administering clot-busting drugs after a heart attack. Medical directors, he says, seem intent on ensuring that “no one does anything new or interesting.”

For the full review, see:
Laura Landro. “BOOKSHELF; Priming the Pump; One procedure involved implanting a turbine heart-pumping device and screwing a titanium plug, Frankenstein-like, into the skull.” The Wall Street Journal (Fri., July 14, 2017): A15.
(Note: ellipsis added.)
(Note: the online version of the review has the date July 13, 2017.)

The book under review, is:
Westaby, Stephen. Open Heart: A Cardiac Surgeon’s Stories of Life and Death on the Operating Table. New York: Basic Books, 2017.

Brits Saw America “as a Place to Dump Their Human Waste”

(p. 11) . . . , Isenberg — a historian at Louisiana State University whose previous books include a ­biography of Aaron Burr — provides a cultural ­history of changing concepts of class and inferiority. She argues that British colonizers saw their North American empire as a place to dump their human waste: the idle, indigent and criminal. Richard Hakluyt the younger, one of the many colorful characters who fill these pages, saw the continent as “one giant workhouse,” in ­Isenberg’s phrase, where the feckless poor could be turned into industrious drudges.

For the full review, see:
THOMAS J. SUGRUE. “‘Hicks’ and ‘Hayseeds’.” The New York Times Book Review (Sun., JUNE 26, 2016): 11.
(Note: ellipsis added.)
(Note: the online version of the review has the date JUNE 24, 2016, and has the title “A Look at America’s Long and Troubled History of White Poverty.”)

The book under review, is:
Isenberg, Nancy. White Trash: The 400-Year Untold History of Class in America. New York: Viking, 2016.

British Government Environmentalists Increase London Air Pollution

(p. A4) London is choking from record levels of pollution, much of it caused by diesel cars and trucks, as well as wood-burning fires in private homes, a growing trend.
. . .
London’s air pollution today is different from seven decades ago, and more insidious. No longer thick as “pea soup,” as it was traditionally described, the city’s air is now laced with nitrogen dioxide — a toxic gas mostly produced by vehicles with diesel engines.
. . .
The current problem is, in part, an unintended consequence of previous efforts to aid the environment.
The British government provided financial incentives to encourage a shift to diesel engines because laboratory tests suggested that would cut harmful emissions and combat climate change. Yet, it turned out that diesel cars emit on average five times as much emissions in real-world driving conditions as in the tests, according to a British Department for Transport study.
“No one at the time thought of the consequences of increased nitrogen dioxide emissions from diesel, and the policy of incentivizing diesel was so successful that an awful lot of people bought diesel cars,” said Anna Heslop, a lawyer at ClientEarth, an environmental law firm that last year forced the British government to produce a better plan to improve air quality.
. . .
Bob Miller, 69, a cabdriver who has crisscrossed London for 30 years, wasn’t convinced. He has lost faith in recommendations by policy makers and experts, he said.
“We were told how wonderful diesel is, how they were supposed to be cleaner than petrol,” Mr. Miller said, idling his cab in heavy traffic with the window open.
“The experts make the rules, then they’re wrong,” he said, shaking his head. “I give up.”

For the full story, see:
KIMIKO de FREYTAS-TAMURA. “A Push for Diesel Leaves London Gasping Amid Record Pollution.” The New York Times (Sat., FEB. 18, 2017): A4.
(Note: ellipses added.)
(Note: the online version of the story has the date FEB. 17, 2017.)

Brexit “as a Cry for Liberty” from EU “Edicts and Regulations”

(p. C1) The Brexit campaign started as a cry for liberty, perhaps articulated most clearly by Michael Gove, the British justice secretary (and, on this issue, the most prominent dissenter in Mr. Cameron’s cabinet). Mr. Gove offered practical examples of the problems of EU membership. As a minister, he said, he deals constantly with edicts and regulations framed at the European level–rules that he doesn’t want and can’t change. These were rules that no one in Britain asked for, rules promulgated by officials whose names Brits don’t know, people whom they never elected and cannot remove from office. Yet they become the law of the land. Much of what we think of as British democracy, Mr. Gove argued, is now no such thing.
Instead of grumbling about the things we can’t change, Mr. Gove said, it was time to follow “the Americans who declared their independence and never looked back” and “become an exemplar of what an inclusive, open and innovative democracy can achieve.” Many of the Brexiteers think that Britain voted this week to follow a template set in 1776 on the other side of the Atlantic.
. . .
(p. C2) Mr. Gove has taken to borrowing the 18th-century politician William Pitt’s dictum about how England can “save herself by her exertions and Europe by her example.” After Mr. Cameron departs and new British leadership arrives, it will be keen to strike new alliances based on the principles of democracy, sovereignty and freedom. You never know: That might just catch on.

For the full commentary, see:
FRASER NELSON. “A Very British Revolution; The vote to leave the EU began as a cry for liberty and ended as a rebuke to the establishment.” The Wall Street Journal (Sat., June 24, 2016): C1-C2.
(Note: ellipsis added.)
(Note: the online version of the commentary has the date June 24, 2016, and has the title “Brexit: A Very British Revolution; The vote to leave the EU began as a cry for liberty and ended as a rebuke to the establishment.”)

British Socialized Medicine Refused to Save Life of Critic Who Loved America

(p. A29) A. A. Gill, an essayist and cultural critic whose stylishly malicious restaurant reviews for The Sunday Times made him one of Britain’s most celebrated journalists, died on Saturday [December 7, 2016] in London. He was 62.
Martin Ivens, the editor of The Sunday Times, announced the death, calling Mr. Gill “the heart and soul of the paper.” The cause was lung cancer.
. . .
In a long article published Sunday [December 8, 2016], after his death, Mr. Gill wrote, without rancor, that Britain’s National Health Service had refused to pay for immunotherapy that he said might have extended his life.
. . .
As a contributing editor at Vanity Fair, he dismissed the pâté at the beloved Paris bistro L’Ami Louis as tasting like “pressed liposuction.” The shrimp and foie gras dumplings at Jean-Georges Vongerichten’s Asian restaurant 66, in Manhattan, were “fishy liver-filled condoms,” he wrote, “with a savor that lingered like a lovelorn drunk and tasted as if your mouth had been used as the swab bin in an animal hospital.”
Vituperation was not his only mode. He could praise. He could turn an elegant phrase and toss off a pithy bon mot. “America’s genius has always been to take something old, familiar and wrinkled and repackage it as new, exciting and smooth,” he wrote in “The Golden Door: Letters to America” (2012), published in the United States in 2013 as “To America With Love.”
. . .
“When people fatuously ask me why I don’t write constructive criticism, I tell them there is no such thing,” he wrote in his memoir. “Critics do deconstructive criticism. If you want compliments, phone your mother.”

For the full obituary, see:
WILLIAM GRIMES. “A. A. Gill Dies at 62; Skewered Britain’s Restaurants.” The New York Times (Tues., DEC. 13, 2016): A29.
(Note: ellipses, and bracketed dates, added.)
(Note: the online version of the obituary has the date DEC. 12, 2016, and has the title “A. A. Gill, Who Gleefully Skewered Britain’s Restaurants, Dies at 62.”)

Gill’s book praising America, is:
Gill, A.A. To America with Love. Reprint ed. New York: Simon & Schuster, 2013.

British Government Ignored Scurvy Cure

(p. C14) Scurvy, we know today, has a single and simple cause: lack of vitamin C. But between the years 1500 and 1800, when an estimated two million sailors died from the disease, it seemed to defy all logic.
. . .
The conventional medical narrative holds that the mystery was solved by James Lind’s announcement, in his “Treatise of the Scurvy” (1753), that it could be cured by drinking lemon juice. But in “Scurvy: The Disease of Discovery,” Jonathan Lamb, a professor at Vanderbilt University, shows that the story is nowhere near so simple and that scurvy was a much stranger condition than we imagine, with effects on the mind that neuroscience is only now beginning to elucidate. The result is a book that renders a familiar subject as exotic and uncanny as the tropical shores that confronted sailors in the grip of scurvy’s delirium.
James Lind was not the first person to recommend the lemon-juice cure. Contemporaries of Francis Drake had discovered it 150 years before, but the secret was lost and found again many times over the centuries. Some citrus juices were much more effective than others, and their efficacy was reduced considerably when they were preserved by boiling. The British admiralty ignored Lind’s researches, . . .

For the full review, see:
MIKE JAY. “The Disease of the Enlightenment.” The Wall Street Journal (Sat., December 10, 2016): C14.
(Note: ellipses added.)
(Note: the online version of the review has the date Dec. 9, 2016, and has the title “Scurvy: The Disease of the Enlightenment.”)

The book under review, is:
Lamb, Jonathan. Scurvy: The Disease of Discovery. Princeton, NJ: Princeton University Press, 2017.