Self-portraiture in the pandemic
From Ashley Pelletier’s show “Reflections,’’ at Periphery Space @ Paper Nautilus, Wayland Square, Providence. through Aug. 15.
The gallery says:
“Because of the coronavirus pandemic, we have all had to figure out how to deal with feelings of stress that isolation has caused. For many artists, time in the studio has been a way to cope. Pelletier found that creating work during this time has expanded her practice of self-portraiture. The 14 paintings in “Reflections’’ show her process as it starts with the exterior of the body and goes to the interior — from the representational to the abstract.’’
Sacrilege
Manhattan Clam Chowder — fake chowder
“There is a terrible pink mixture (with tomatoes in it and herbs) called Manhattan Clam Chowder that is only a vegetable soup, and not to be confused with New England Clam Chowder, nor spoken of in the same breath. Tomatoes and clams have no more affinity than ice cream and horse radish. It is a sacrilege to wed bivalves with bay leaves, and only a degraded cook would do such a thing.’’
— Eleanor Early, in A New England Sampler (1940)
New England Clam Chowder — a real chowder
'Too damn cold'
Old Orchard Beach in 1914
“{It’s) the only fault I have with Maine, the water is just too damn cold.’’
— Arthur Griffin, in New England: The Four Seasons (1980)
Editor’s Note: But the Gulf of Maine is now one of the world’s fastest-warming bodies of salt water. Still, the water on the south coast of New England (particularly Buzzards Bay) can be as much as 20 degrees warmer than the Gulf of Maine in the summer.
The absurdity of mowing
“Shoving such a machine
around a fairway of dandelions,
it is easy to feel absurd.
The average lawn, left alone
one hundred years, could become
a hardwood forest. ‘‘
—From “Mowing,’’ by Robert Wrigley
Treating ‘air hunger’
From The New England Council (newenglandcouncil.com):
“A new study published by Harvard University in conjunction with Beth Israel Deaconess Medical Center (BIDMC), in Boston, shows the importance of treating ‘air hunger,’ or severe breathlessness, in COVID-19 patients. The paper debunks the myth that sedation—such as that used for patients on ventilators—eliminates air hunger and offers solutions to truly relieve the often-traumatic feeling of severe breathlessness. Read more here.’’
“Massachusetts General Hospital (MGH) has launched a COVID-19 hotline for patients who have any questions regarding the virus, believe they may have been exposed, or need treatment. In addition to providing advice and offering telemedicine service, the hotline is available in several languages to accommodate non-English-speaking residents of Boston. Read more.’’
David Warsh: Democracy vs. autocracy -- what's ahead?
Dark green: Most democratic (closest to 10)
Red: Least democratic (closest to 0)
Democracy's de facto status in the world as of 2019, according to Democracy Index by The Economist.
SOMERVILLE, Mass.
The Decline and Rise of Democracy: A Global History from Antiquity to Today (Princeton, 2020), by David Stasavage, of New York University, gives the impression of being an easy read. Three hundred pages of text present a powerful narrative delivered with disarming clarity, with no showier claim to authority than the precision of its arguments.
But then come 37 pages of notes and a bibliography of 850 items, adding another hundred pages to the book. Stasavage has mastered so much history, and located it so deftly in recent controversies of social science, that he covers nearly everything that I have so much as glimpsed going on as an economic journalist these past 50 years, and a great deal more that I hadn’t. No wonder I missed on the couple of previous swings I took at it. I’ve got a bead on it now.
We won’t know for a while, but my hunch is that Decline and Rise will turn out to be the most compelling work on grand strategy since The End of History, by Francis Fukuyama, and The Clash of Civilizations and the Remaking of World Order, by Samuel Huntington, in the euphoria of the early ’90s. Since then there’s been Destined for War: Can America and China Escape Thucydides’ Trap? (2017), by Graham Allison, but that was somehow less helpful than the much earlier The Weary Titan: Britain and the Experience of Relative Decline 1895-1905 (1988), by Aaron Friedberg. Meanwhile, Decline and Rise is differently grounded from the agendas of realists such as John Mearsheimer (The Great Delusion: Liberal Dreams and International Realities, 2018) and Stephen Walt (The Hell of Good Intentions: America’s Foreign Policy Elite and the Decline of U.S. Primacy, 2018). The Narrow Corridor: States, Societies, and the Fate of Liberty (2019), by Daron Acemoglu and James Robinson, is somewhat similar to Decline and Rise.
Stasavage begins by rehearsing the narrative familiar to anyone who has taken a course in world history: how democracy was invented in Greece, and how it died out after a very short time – “about as much time as the American republic has existed.” Resurrected in such Italian city republics as Venice and Genoa, after more than a thousand years, thanks to the rediscovery of Aristotle; and in the England of Magna Carta, democracy then resumed its long slow evolution to the present day.
That takes no more than a paragraph. The “problem with this story,” Stasavage writes (a phrase that occurs many times in the book) is that it is highly misleading. When Europeans in the 16th Century began fanning out across the world they often found themselves dealing with systems of government in which consent of the governed played a greater role than the ones that prevailed at home. These included tribes like the Huron people, of southwest Ontario, whom Jesuit missionaries studied intently; and the Tlaxcala people, of Mesoamerica, whose government Hernan Cortez described as resembling that of Genoa or Pisa, because there was no king.
These early democracies, as Stasavage calls them, flourished wherever states were weak, which as recently as five hundred years ago, was most of the Earth. They involved tribal chiefs who ruled collectively with the aid of assemblies and councils that constrained their power. These bodies were in turn responsive to the ordinary people whom they led, at least a subset of them, and they were to be found all over the world in communities that shared three characteristics: small scale; leaders who lacked knowledge of what their subjects were producing; and an option for the disaffected to flee into the forest or otherwise “light out for the territory.” Fans of the saga of King John and Robin Hood will recognize the situation. Leaders who lacked dependable tax systems were more likely to govern consensually.
Early democracies existed in contradistinction to autocracies, which prevailed wherever a state could get a leg up on the citizenry, chiefly by knowing whom to tax and how much, in settlements from which there was no easy exit. China, with its fertile plateau of loess soil, was the first state. From at least the beginning of the second millennium BCE, dynasties in northwest China were able to support armies and build proto-bureaucracies by levying taxes on farmers whose productivity was more or less visible. Rulers were hereditary. Councils had no say in the matter. Other autocracies emerged out of similar geography: the Third Sumerian Dynasty of Ur, the Aztec Triple Alliance, the Incas, the Mississippian chiefdoms, the Azande kingdom in central Africa. Islam inherited a state when it burst out of Arabia to conquer the Sasanian Empire in the Fertile Crescent. Islam retained the local bureaucracy and converted it to its use.
Then came “the great divergence.” Everyone seems to agree that the different economic trajectory that Europe pursued began with representative government. But if the economic divergence has political origins, where did the politics come from? Representative government in Europe stemmed from the backwardness of its state bureaucracies, Stavasage argues. Rulers had no alternative but to seek consent from Europe’s growing towns. China and the Islamic world were far better off than Europe for five centuries or more; autocracy served development well. But at a certain point the Renaissance commenced, followed by the Enlightenment and the Industrial Revolution.
Modern democracies had their beginnings in England, not the Dutch Republic, as has often been argued, England borrowed many Dutch institutions, so what made England different? A new kind of parliamentary government, in which representatives could be bound by voter mandates, nor were they required to report back to their constituencies before making decisions. The Dutch retained institutions that permitted vested interests to forestall technological innovations; England sprinted ahead economically.
If the English went halfway to modern democracy, building a centralized state in which kings had powers as well as the newly-animated parliament, American colonists took the process to the next level, creating the broad suffrage for white males as a means of maintaining the consent of the governed necessary to the existence of a strong executive state. But the same conditions that produced democracy for European immigrants produced slavery for Africans and disaster for native American peoples. Stasavage is especially acute on the forces binding today’s Americans together – and those driving them apart.
The picture that emerges is of a world divided into two deep traditions, democracy and autocracy, the U.S., the European Union, India, Japan, on the one hand; China and Russia on the other, neither system innately superior to the other in all times and circumstances. A lengthy contest portends, not a cold war so much as an economic competition with values at its core.
A great deal has happened in the last 30 or 40 years that favors Stasavage’s cross-regional perspective. It may not be too much to speak of a second golden age of social science. The 19th Century was the first: We remember Smith, Tocqueville, Marx, Durkheim, Weber, and Freud, in particular. And the second? The departments of knowledge have become more complex and deepened considerably. A great many streams have begun to flow in parallel. Almost all have one thing in common: they began to flow after Darwin had a chance to sink in.
There are, of course, other pathways to thinking about America’s place in the world. One of the best is biography. As it happened, I spent part of last week reading The Inevitability of Tragedy: Henry Kissinger and His World (Norton, 2020) by Barry Gewen. Same questions, different methods, a high degree of skill applied in each case. Same answers. Social theory may point the way to peace, but the life of politics requires action. For a skeptical view, see Thomas Meaney .
David Warsh, an economic historian and veteran columnist, is proprietor of Somerville-based economicprincipals.com, where this column first ran.
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And crossing fingers
“Blessing the Fleet,’’ (oil on panel), by Philip Riesman (1904-1992) in the Collection of the Cape Ann Museum. Gloucester.
Llewellyn King: Requiem for men's fashion
It was ailing before; now in the age of the coronavirus, it’s at death’s door.
I write about men’s fashion. Long before we’d ever heard the dread word COVID-19, the decline in man’s way of dressing had begun.
Fans of old movies can marvel at how we once togged ourselves out: hats, suits with vests or double-breasted suits and, at night, black or white dinner jackets. In movies and real life, people smoked cigarettes as though the very act of lighting a cigarette was a fashion statement. Yes, good guys (and gals) smoked cigarettes, now it’s only bad guys.
We were never quite as dress-conscious as the British, but we had our standards: always a hat, a necktie and a jacket. You couldn’t get into a decent restaurant, club or social gathering without a tie and jacket. Restaurants and hotels maintained loner-jacket closets for patrons.
Church meant Sunday best: a suit, no matter how worn and bedraggled. These days men go to church dressed for the gym or the beach, wearing cutoff jeans, Hawaiian shirts, and sandals.
This dressing demise began, I’m afraid to say, with President John F. Kennedy. JFK had a fine head of hair and seemed to want us to know it, so he went bareheaded, everybody else followed. This must have thrown tens of thousands out of work: feltmakers, hat designers, milliners and shops that sold only headgear. Gone without even a shout in Congress, a mention on the stump or a bring-back-the-hat movement.
One could say baseball caps have taken over, but really! What is a baseball cap compared to a fine Homburg, a derby, or a sporty tweed cap? Not in the same league, you might aver. Brim up or brim down, hats counted, defined, identified, and introduced the wearer.
You lifted your hat to women, to superiors or older people and took it off and cradled it indoors. Hats had their own rules and standards. The place where you now put your rollaboard on planes started as a “hat rack.”
As to the tie, it died slowly at first and then fast. It was pop musicians who gave it a huge shove in the 1970s. They didn’t wear ties. Then high-tech honchos in the 1980s dressed down. Think Steve Jobs in those turtlenecks.
In the past year, ties have gone the way of hats. Only evening newscasters still wear them, and not all of those. Ties are out on most television shows and were going out in business before the lockdown.
Who decried that a man would be a fossil if he wore a tie? Who thought we’d look better without them? The shirts men wear are clearly designed to be worn with ties, so all those tieless men you see everywhere look robbed, incomplete, underdressed, as though they forgot something when they left the house in the morning. Or were disturbed doing something naughty.
Why make life so hard for those who love men? What are they to give us for birthdays, Christmas, anniversaries? The tie served magnificently. They were the perfect gift: easy to give, easy to receive, and nearly always welcome. They eased the social ritual of thanking dad, husband, or boyfriend for being there.
There is, I notice, some attempt to save the day because those who feel it's now old-fashioned to wear a tie are sporting showy pocket squares. Maybe this works. To me it just emphasizes the nakedness around the neck, where something is missing.
Of course, ties have no use whatsoever except to vary the sameness of suits and, for the odd philistine, to be pressed into service to wipe eyeglasses.
After the coronavirus what? Suits may not come back at all, we may all wear only those things that can go into the washing machine and be worn without pressing. Fashion for men seems to have been hanged by the neck.
Llewellyn King is executive producer and host of White House Chronicle, on PBS. His email is llewellynking1@gmail.com and he’s based in Rhode Island and Washington, D.C.
Linda Gasparello
Co-host and Producer
"White House Chronicle" on PBS
Three steps in passing them
“The Fairman Rogers Four-in-Hand,’’ by Thomas Eakins, (1880)
“Between five o’clock and sunset, society drove up and down Bellevue Avenue and Ocean Drive….The two-way procession passed and repassed. It was said: The first time you met a friend, you make a ceremonious bow; the second time, you smiled; the third you look away.’’
— Bertram Lippincott, on Newport, R.I., in the early 20th Century, in Indians, Privateers and High Society (1961)
Karen Gross: How small private colleges can adapt to pandemic
The dining hall and Mather Building at Vermont’s Marlboro College, whose campus may be repurposed into a new kind of higher-education facility.
From The New England Journal of Higher Education, a service of The New England Board of Higher Education (nebhe.org)
Pre-pandemic, a good number of us lamented the demise of small colleges. Let’s define these here as non-elite colleges with enrollment of fewer than 1,500 full-time undergraduate students. For the most part, these institutions have few graduate programs, a handful at most.
Some of these colleges have closed; some have merged; some have partnered. Whatever the structure, it feels to me still like small colleges are failing and closing in droves. Just look at the recent debacle in Vermont concerning its fiscally fragile state college system.
For some small institutions, it certainly seemed like a premature and even unnecessary death. The four main causes for closure (or its equivalent) proffered publicly by campus personnel were straightforward: changing demographics with accompanying declining enrollment; high tuition costs leading to steep discounting and concerns regarding rising student debt loads; campus personnel costs (think tenure or long-term contracts) and accompanying retirement benefits; and absence of a large endowments to withstand and be buffered from shifting and changing tides.
Some of us saw other deficiencies that the colleges and their boards were less keen on referencing or addressing out loud: poor presidential leadership (as in really poor judgment and decision-making or failure to decide anything); lack of institutional vision and innovation, particularly in a fashion that anticipated trends and currents that were on the horizon; weak board oversight and failure to ask the tough questions; board fear of litigation (think Mount Ida College, in Newton, Mass.); and growth in administrative personnel leading to bloat and higher-than-needed costs.
Some folks are fighting back and some are wondering why others aren’t fighting harder to save colleges, not just for the students, faculty, staff and alums but for the local communities where these colleges are located and who depend on them for revenue. There’s been no shortage of suggestions for how to save the many small colleges that dot our landscape, especially in New England.
And we can and should continue these conversations about these failures and the wasted salvation efforts; they are instructive for future thinking and reflection. They offer clues and insights for the remaining small colleges.
Along came the pandemic
Then along came COVID-19 and with it, institutional closures due and a quick shift to online learning (which might be a misnomer in some instances in terms of whether learning actually occurred). The higher education landscape changed in a nanosecond. More closures are expected.
Admissions and retention for fall 2020 has become a guessing game as it remains unclear if existing students will return to campus and whether new students will enroll. Deposited new students can and might well melt in substantial numbers. We just don’t know.
And each passing month, using metrics from the past (as if they have continued applicability), we fail to reliably predict the future. For some small colleges, a loss of 10 or 20 students can make the difference between a balanced and unbalanced budget. And accreditors are watching fiscal stability like hawks. (The reasons for that need their own article.)
The debate has raged about reopening and if it happens, how it can be done safely, thoughtfully and wisely. New models and schedules are being considered; institutions are hedging their bets as if they foresee when a second “wave” (assuming we even characterize new cases as a wave) of the pandemic could hit. Scheduling courses of limited size and ensuring social distancing in residential halls, dining halls and activities are subjects for planning. The CDC has offered some guidance (quite generalized) as have others—individuals and organizations alike.
Despite these resources, everyone seemed to be fumbling around for reopening solutions for students, faculty and staff. What institutions are saying publicly and what they are feeling in privacy about the reality of reopening is not in concert. For example, some colleges still are running two-track planning: planning for online and planning for brick-and-mortar learning. And the idea here is that as the date for reopening approaches, both approaches will be ready to launch, depending on which is most suited to the moment.
And racial tensions ….
And then, racial tensions boiled over and as of this writing, have not ceased. Street protests—peaceful and non-peaceful—highlight anger, centuries in the making, at the lack of equality in our nation. With police gunning down or kneeing down minority men, police departments almost everywhere are coming under fire, including campus police forces. Folks are asking if we should even have police forces (on and off campus) as we knew them or should we defund and restart with new structures, new goals, new training, new personnel? All of these issues are boiling over as reopening plans are being crafted.
For some students, already worried about starting college online or in some newly designed format with no track record, a gap year seems like an idea with credibility. With the protests and racial tensions, the idea of using a gap year to focus on advocating for racial justice becomes increasingly appealing and, in fact, a worthy alternative to a bumpy college start. This happened in the 1960s too.
For colleges, the responses to racial tension are a critical issue for the fall, with or without brick-and-mortar reopening. Consider how campuses will need to adjust to and handle protests and ensure both freedom of speech and safety? What changes will campuses make to recognize their own histories of racism and some of their current approaches that fail to reflect the need for racial equality?
In this context, I am reminded of the disconcerting encounters (via email and then in person) of house masters at Yale and students residents about types of Halloween costumes that passed muster even if offensive to some. The net result was that the master and his wife ceased being house masters at the time and stopped teaching the next semester. We can debate how the story got such traction and how it ended; some of us still can’t quite believe that a valued and respected faculty member, with deep experience, behaved in such a disrespectful manner.
A salvation strategy
In reflecting on the myriad of issues just described in all their complexities, I read a recent tweet from Prof. Susan Dynarski, a well-respected professor who regularly comments insightfully on issues in higher education. In the context of her concerns about campuses reopening and the reasons higher education institutions may be so keen on brick-and-mortar courses (they want the money), she suggested that perhaps the only places where COVID safety and education can coexist are rural small college campuses.
Bells went off in my head. She is largely right and those of us who have spent time thinking about these campuses can attest to their ability, with innovative thinking and bold leadership, to respond to COVID and offer in-person education. Here are some concrete approaches, including references to the plans of Degrees of Freedom to open on the Marlboro (Vt.) College campus in September 2020. Yes, a new college opening during the pandemic.
Three important notes before turning to concrete ways small campuses can operate effectively and safely and with deep change:
First, some larger campuses can try some or even the majority of the ideas proffered here. And they may be able to do so with success but their efforts will not be easy or cheap or natural extensions of prior approaches. What small colleges offer is experience.
Second, the items identified are not in order of importance and there is some inevitable overlap in solutions and approaches. For many, starting with academics seems right. For me, focusing on land and what can be done on it and with it is a better starting point. And don’t misunderstand me; land is not more important than learning. Land (and its use) is what in a COVID-19 era makes real learning (broadly defined) possible.
Third, the ambiguity in the title to this article is intended: The pandemic will be a savior for small colleges because small colleges may be the only safe places in which quality in-person education can happen.
A sampling of how small rural colleges could adapt
Land. The pandemic has struck both urban and rural environments and the idea that rural communities are immune from COVID-19 is just not accurate. And the impact on rural places—with their lack of resources—can be worse for patients than urban sites. So just reopening in rural environments is not the answer.
To be sure, we seem to know less each day as new information and data surface. But rural small college campuses often sit on hundreds of acres, meaning there is a legitimate way to create a COVID-free bubble-like environment. Note that the NBA is trying a similar bubble approach in Orlando. It is too early to know whether this approach will create herd immunity.
To add to the benefits of new ways to use large plots of rural land, we now have community-by-community data on COVID-19 cases; and, when we plumb the data, there are small towns where the pandemic has not invaded or has invaded minimally. If you eliminate nursing homes from the calculations and people who were affected over the age of 75, there are communities with low incidence of COVID.
For this article, let’s focus on campuses with at least 25 acres of open land that is usable—land without buildings or sports fields or parking lots.
Access to healthcare. Now, an immediate reopening concern and question with the idea of remote/rural environments: Were the pandemic to come to campus, how would the students get healthcare? We need to focus, then, on reopening campuses that have hospitals within close proximity and ways nearby smaller hospitals connect to larger hospital networks. Take, for instance, a college in or near Bennington, Vermont. The town has an established hospital that has partnered with Dartmouth’s well-known medical facilities; there is even a helipad to transport ill patients from Bennington to Hanover in minutes. Literally.
Small colleges reopening in rural settings need a partnership with the nearest and best medical facility, ideally one with transport and easy access to larger health facilities. This will matter to the families of students who may think rural means absence of access to quality medical care. Based on conversations with Seth Andrew, the founder of Degrees of Freedom, this is the precise approach they are planning when they open on the Marlboro campus. And we are talking here not about reopening an existing college, but rather opening a new college in the era of COVID.
One critical and too often-ignored part of healthcare is mental health, a critically important topic in our COVID and race-tense world. Trauma and its symptomology abound and campuses need to become trauma responsive, something in which they have little or no training and experience. The social distancing, the omnipresence of death and dying, experienced discrimination and harassment, separation based on going off to college for the first time and in uncertain times—these are all tough issues.
We need to question whether our current campus mental health personnel are sufficient and how we can meet the inevitable needs of students. (Faculty and staff will have their own needs in this regard with respect to primary and secondary and vicarious trauma.)
Several solutions emerge: faculty and staff development in trauma responsiveness before students arrive on campus and thereafter; telemental health opportunities for all campus personnel; and added hiring of social workers or counselors. We need trauma-informed orientations for all returning and new students; these should not be one-off events but ongoing efforts to process the transition to college and the world around us.
These are not all cost-free solutions but they are critical to student academic and psychosocial success. It is not enough for students to survive; they need to thrive.
Activities. A rural environment also allows for a series of non-academic activities that can be done safely and provide important avenues for student engagement with social distancing well in place. Hikes in the woods, classes held outdoors (during certain seasons), activities on outdoor fields. Learning about nature, the environment, drawing and painting and writing outdoors could all happen with ease and social distancing.
Imagine an outdoor movie theater or outdoor concerts, with music blasting across the acreage. And picture an artistic way of creating social distancing that builds off the “wrapping” approaches of the recently deceased installation artist Christo. Picture many brightly colored mats, each 6 –8 feet apart, placed across a huge lawn. If one took a drone photo of the area, it would like painted spots on an enormous lawn—signaling color and festivity!
Then consider a return to “old-fashioned” games like bocce and croquet and even putting golf courses with 6 holes. Think about beanbag tosses done with teams. Picture single person ping-pong and tennis. These can all be done in wide-open spaces, created at little cost.
In terms of more “formal” and traditional sports (and one hopes the NCAA will see the light and allow for fewer official sports in DI, DII and DIII during this time without colleges risking eligibility), think about track and field, with staggered race starts. Think about golf. Think about tennis. In some rural communities, these resources are available and could be cleaned and dedicated to a college’s use.
Think about swimming or sailing or kayaking (instead of more expensive sculling) if a campus has access to water close by. Indeed, many rural campuses have their own ponds, often not used in the past for student activities. But they could be converted to student use. I am thinking about the pond at Smith College (to be sure, not a small rural college as defined here); the pond was once the place where Smith students got engaged. Now, it could be populated with small single person pedal boats.
Housing. Consider residential halls that can provide only single rooms with toilets shared among very small numbers of students. Yes, there is some risk in common areas (more on that in a minute) but small campuses can function with only single-room occupancy. For example, Southern Vermont College, were it still in existence, could have housed well over 300 students in single rooms.
An added option, well worthy of consideration, is building yurts to install on a campus for housing. Imagine small yurts dotting the campus landscape. And the creation of toilet facilities would come at a cost but not excessive (there are even portable toilet/shower trailers). And the facilities could be limited to small numbers of students accessing them. Some students would find living in a yurt or pod appealing and adventurous.
Another option to consider is motels that dot rural college communities and must currently be struggling with occupancy. These can be single-occupancy units with individual bathrooms, something that may appeal to parents and caregivers who think their students would be safer at home or in off-campus housing with one roommate. One can only assume that motels would be more than willing to partner for these purposes; indeed, Southern Vermont College partnered with such a motel close to campus during a short-term housing shortage.
One additional option to consider and one being used by Degrees of Freedom: short stints on a campus (say two weeks) several times a year rather than a semester-long session (even if compressed). The idea is that while on campus during these residential stays, no one goes on or off campus. Students would be tested pre-arrival and then “bubbled” thereafter. Others are pondering even shorter stays on campus with hybrid learning using the same faculty to do the in person and online learning—all options worth considering.
Food Service. Large dining halls and buffets are out. So are crowded dining tables. But on a small campus, especially one with several cooking facilities, there could be dining areas and shifts. Consider different eating times or outdoor eating or take out, just the way some restaurants are now doing now.
Imagine food service delivery carts driving around a campus. Add in an ice cream truck that goes from area to area within the campus boundaries.
There could be food cooking that is then shared consistent with social distancing. Several students could prepare a meal with a recipe from a particular culture and distribute the meals across campus. Then another group would cook something from another nationality. In some communities, different families make enough food to share on a designated weeknight; then, they talk about the different meals they are receiving and sharing online. Call it once-a-week dining together, so to speak. There could be baking contests and tastings of various sorts. There are many variations on these themes.
In the right environment, there could be food gardens. We have edible schools; why not create edible colleges? And unused grown food or food prepared in the just described manner could be distributed (safely) to low-income families to seniors who are housebound or unable to cook.
All of this can be boiled down to this notion: Campus Meals on Wheels.
One added idea to deal with seating that complies with social distancing, picture Adirondack chairs, perhaps painted in the college colors, that are linked together by rope that knots them at seven-foot intervals. Having abundant space makes this possible. Imagine 12 connected chairs. They could be configured into the circle or a “U” shape or a line. These Adirondack chairs could be brought inside when the weather shifts with dining in large open indoor spaces like gyms. See this image for a sense of the vitality of these chairs. This idea that can be used in academic settings as well.)
Academics. Small campuses regularly have small classes. Having class sizes under 15 is the norm. And it would be possible to break larger classes on a small campus into sections, perhaps with an online lecture/discussion and then breakout groups without any change. Classrooms are right-sized for this now without any adjustments.
Support services, if needed, could be provided with individualized online access to meet these needs. Think the support equivalent of telehealth appointments.
Materials used in courses could be open-access resources so students wouldn’t need to buy books in a store or online. As such, there would not be concerns about sharing materials and viral transmission on surfaces. Colleges would not need to run a bookstore (often not a money maker). Other course materials could all be purchased or available online for free through the web. Faculty assignments could be tailored to online free resources.
Faculty (since most small colleges do not use teaching assistants other than more advanced students to serve as tutors or mentors) could meet individually with students in open environments, not closed-in offices. These could be in open spaces with few people nearby. On a rural campus with huge open spaces and places, this approach is feasible.
Two added academic-related ideas to test out during this period.
First, students (and faculty and staff) could document the entire range of campus COVID responses. They could photograph activities and classes; they could tape interviews; they could write stories and reports. In other words, the COVID responsiveness would, in and of itself, be an academic activity. What is gathered could be used to help other campuses; it could document history; it could engage students in what is truly an extraordinary period in American history; students could get copies of some document/report/visual product that they could have for decades to come. Like the academic equivalent of a home run ball from Babe Ruth.
Second, efforts to help the local community could be front and center of a campus’s focus. Courses could be designed to provide assistance to those within the community, whether that is food or tutoring or conversation. Consider these empathy-generating courses. There could also be appropriate campus-community activities where the community virtually engages with students, say, a musical performance or a shared movie.
One final idea within the academic arena: What if faculty and students took a free online course together? Picture a course not offered by the small college but credit worthy and available from another institution and, critically, of considerable interest. Suppose it was a course on pandemics through time or public health approaches to disease spread and control or a course on the history of protest movements in the U.S. and abroad. (Yes, these could be offered on campus if there are experts in these fields with the courses ready for fall 2020.) Then faculty and students could do the work together; call it collaborative learning where the learners are teachers and the teachers are learners. In-person discussions would accompany the online course. On-campus faculty could design assignments and do grading.
Maintaining the bubble. Instead of cars on campuses (which would be disallowed), there could be daily runs by the college personnel to food stores, drug stores and Walmart-like places. Students could submit lists of what they want and need. Then, these items could arrive back on campus and students could retrieve (and pay for) what they ordered. This would work with privacy respected.
Picture a car lot off campus so that students could access in emergencies or at the end of short semesters. But the key is that the cars could not come to campus and students could not exit campus. In many rural communities, there is actually no place to go within easy walking distance. So the campus has to create the access to needed products (in addition to online resources) and the engagement options.
Students, faculty, staff and administrators would all be required to wear masks, even though some might question their necessity. The idea is that they are needed because faculty and staff and administrators likely live off campus and need health checks daily to return to campus. Or, for willing employees, there could be on-campus housing provided for them and their families.
The life outside the bubble of faculty, staff and administrators does present risk. They may have children or partners who become infected from schools and workplaces and other types of engagement. I think we have to rely here on responsibility and decency and the collective, shared effort to enable safety coupled with innovation and creative learning and engagement.
Input channels. This article is a sampling of the initiatives a rural small college could advance if it reopened in fall 2020 or January 2021. But there are critical ways to generate further ideas, namely getting input from faculty, staff, students and alums. These could be in response to particular COVID issues that arise or they could be ideas that individuals have. This is a call for innovation and creativity and engagement.
Ponder shared solutions to hygiene. Ponder germ lotion distribution at set locations in creatively designed stands. Ponder rules for what happens if students do not social distance (or faculty/staff and administrators for that matter). Ponder new ways to engage across campus. Ponder courses that would have new importance in this era of COVID.
Communications. If ever there were a time for quality, transparent, truthful communications, it would be when a college prepares for and then reopens and progresses through a semester. This communication would be directed to those on campus. It would also need to include outreach to alums, parents/caregivers and the community. Communication with other campuses, accreditors and employers would also be needed.
We need to use different channels: emails; social media; phone (as in talking); webinars and call-in numbers. A hotline makes sense too.
For this to work, the communicators need to wear a different headset from that to which they are accustomed. Words, tone, style, content matter more than ever. Trauma-responsive terminology, psychological sensitivity, cultural sensitivity are all critical components of a COVID-era communications plan.
When the world is filled with confusion and uncertainty and instability and frequent events that rattle even the most stable individuals, we need outreach that is calming, accurate and forthright. No dancing around issues; no avoidance of hard topics; no pretending all is as it was.
Just imagine the inverse of communications now and one can get a sense of what is needed.
Creativity, innovation and risk modulation
For those of us who care about education, small colleges and student success, the pandemic may be the needed opening for enabling these institutions to remain a part of the educational landscape.
We are living in times where the old ways can’t and don’t and won’t work. Being small, with quality leadership, enables fast, nimble and creative approaches. The risk of reopening for small colleges isn’t all that great given that their very livelihood is in question.
Change in education is notoriously slow. We are wed to what we have done and what has gone on for decades or centuries before the world changed. It would be absurd to suggest that small colleges needed the pandemic and racial tensions to survive. But it is fair to say that we shouldn’t let a crisis (actually many crises) go to waste. They may just be a way to save some of our small colleges and enable in-person education to proceed in fall 2020. It might be a way to enable student success and implement changes that actually stick because they work.
The risk is in not doing anything. We can’t afford that now. In a world of uncertainty, of this I am sure: Education needs to change, and small colleges can be a big part of the solution.
Karen Gross is former president of Southern Vermont College and senior policy advisor to the U.S. Department of Education. She specializes in student success and trauma across the educational landscape. Her new book, Trauma Doesn’t Stop at the School Door: Solutions and Strategies for Educators, PreK-College, was just released in June 2020 by Columbia Teachers College Press.
Avoid niceties
Three deckers in Boston’s Jamaica Plain neighborhood
“I hate the grass and mosquitos—
in the Midwest, it’s never polite
to tell the truth, but I’m back East
now, where niceties waste everyone’s
time….’’
— From “Housesitting, Boston,’’ by Ting Triglio, about, among other things, seeing a deer amidst three-deckers a couple of blocks from the subway.
Trout still there?
“Trout Pool,’’ by Bill Hall
Can I go back
to the life I’ve known
to think of those
who now are gone.
Will empty pastures
and tired farms
bring a flood of visions
where I seek calm.
Or will the summer pool
at Stevens Brook
still hold the trout
no one took.
— “Vermont,’’ by Bill Hall
David Warsh: We were warned that things would go wrong
Lancaster, Ohio, devastated by the effects of the new forms of corporate financial manipulation that took off in the 1980s.
SOMERVILLE, Mass.
The appearance of a new edition of America: What Went Wrong?, a 1992 best-seller by Donald Barlett and James Steele, prize-winning reporters for The Philadelphia Inquirer, is an opportunity for those of us still in the news business to reflect. I have no problem with the subtitle they have added, The Crisis Deepens. But what was I thinking when the book was published?
What Went Wrong appeared in the spring of 1992, based on a series that had appeared in the newspaper the autumn before. Already there was plenty of carnage to fill chapters titled “Dismantling the Middle Class,” “Shifting Taxes – from Them to You” and “The Chaos of Health Care.” H. Ross Perot was warning about the “giant sucking sound” that would accompany passage of the North American Free Trade Act, as American manufacturing jobs were shifted to Mexico. Reagan had made the idea of NAFTA part of his 1980 presidential campaign. George H.W. Bush had signed the Canadian portion of the measure in 1988. Bill Clinton defeated Bush in November, while Perot received 19 percent of the popular vote. The overall treaty was ratified by the Democratic-led Senate in December the following year.
The U.S. was deep in the political/cultural mood-swing I have come to think of as “the market turn” – away from the propensity to regulate, towards enthusiasm for the promise of technological and financial innovation, with a predisposition toward globalization and reliance on market processes to sort it all out.
My prior beliefs about America’s foreign trade at the time were informed mainly by a little conference volume from 1986, Strategic Trade Policy and the New International Economics, edited by Paul Krugman, of MIT. Twenty-two years later, Krugman would be recognized with a Nobel Prize in economics for the work he had done in those years about competition among what we had recently begun calling “high-tech” products. “Industrial policy” had been a somewhat daring taste, but now it was coming out of the closet.
The fast growth of Japan in the 1970s and ’80s had been a false alarm; you couldn’t conclude that America has “gone wrong” from Toyota’s success; only that it had received a clarion wake-up call. By 1990 Japan’s economy was mired in recession. But things were definitely changing.
The first leveraged-buyout book I read was When the Machine Stopped (1989), by Max Holland, about a disastrous Kohlberg, Kravis & Roberts buyout 10 years before of toolmaker Houdaille Corp. I reviewed American Steel: The Metal Men and the Resurrection of the Rust Belt (1991), by Richard Preston, about the new scrap mill industry, then read with special care the brilliant Making Steel: Sparrows Point and the Rise and Ruin of American Industrial Might (1988), by Baltimore Sun reporter Mark Reutter. By then I was reading books about Wall Street, of which Highly Confident: The Crime and Punishment of Michael Milken (1992), by Jesse Kornbluth, seemed the most damning.
But the eyes-wide-open moment for me arrived with IBM’s decision in 1994 to sell its personal-computer business to China’s Lenovo. I had reviewed Big Blues: The Unmaking of IBM (1993), by Paul Carroll, of The Wall Street Journal. So I knew something about how Bill Gates had snookered IBM out of the far more profitable than hardware personal-computer software industry. The question was, could a Chinese company continue to make a success of a high-gloss American manufacturing business?
Ten years later, the answer was in: They had, and then some. By then, Harvard economist Dani Rodrik had published his heretical Has Globalization Gone Too Far? (1997). The 1999 Seattle protests as China prepared to join the World Trade Organization had made it clear there was trouble on the horizon. William Overholt had been prescient in The Rise of China: How Economic Reform Is Creating a New Superpower (1993), but not until James Kynge, of the Financial Times, published China Shakes the World: A Titan’s Rise and Troubled Future (2006) were the dimensions clear.
By the time that David Autor, David Dorn and Gordon Hanson published “The China Shock Learning from Labor Market Adjustments to Large Changes in Trade’’ in the Annual Review of Economics, in 2016, Donald Trump has become the Republican Party’s presidential nominee. “The China Shock” and the work that’s come after may warrant another Nobel Prize 20 years hence; and an avalanche of books about American job losses has roared through in recent years, including the best-selling Hillbilly Elegy: A Memoir of Family and Culture in Crisis (2016), by the many-faceted J.D. Vance. My favorite was Glass House: The 1% Economy and the Shattering of an American Town (2017), by Brian Alexander, about Lancaster, Ohio, his hometown.
It was when I read An Extraordinary Time: The End of the Post-war Boom and the Return of the Ordinary Economy (2015), by economic journalist Marc Levinson, that my sense of the overall narrative crystalized. Those first 30 years after World War II had indeed seen a period of remarkable economic growth in the United States and Europe – les trente glorieuse in France; a “golden age” in Britain; the Wirtschaftswunder in West Germany, il Miracolo in Italy. But those first 30 years were a phenomenon of the Atlantic World. The next miracles of growth occurred around the Pacific. It was U.S. power and America’s commitment to principles of free trade that facilitated the growth that brought down communism, and created a vastly richer and more equal world – equal, at least, among nations. Does that make it safer, too? The world certainly has become dangerously warmer. There is nothing “ordinary” about the global economy of today.
I didn’t vote for Ross Perot in 1992. Nor did I believe America had “gone wrong” then, at least not in a general way, though abuses were beginning to pile up. Barlett and Steel were definitely on to something, along with other center-left journalists, in particular Thomas Edsall, then of The Washington Post, and David Cay Johnson, then of The New York Times. Only in 2016 did America’s elected government decisively break bad, at least for a time. Thanks to Perot and Barlett and Steele and all the others, including young Paul Krugman, we can’t say we were not warned.
David Warsh, an economic historian and veteran columnist, is proprietor of Somerville-based economicprincipals.com, where this column first appeared.
Transformative disruption
"Levitate," by Sara Fine-Wilson, in the group show “Growth and Disruption,’’ at Fountain Street Fine Art, Boston, through July 5.
The gallery says:
“Disruption can transform us. Jogged out of our usual paths, we reexamine what is around us and within us. Taking time for inner stillness, we reflect on what we value. We try new ways of operating in the world and come to know ourselves anew.’’
Ms. Fine-Wilson works in her studio in the old mill town of Millbury, Mass., on the Blackstone River, famous as the heartland of the start of the American Industrial Revolution.
The Torrey House in Millbury, where the future President William Howard Taft spent summers with relatives in his boyhood.
Dorothy Pond in Millbury
Julie Appleby: Whither hospital-at-home services after pandemic?
After seven days as an inpatient for complications related to heart problems, Glenn Shanoski was initially hesitant when doctors suggested in early April that he could cut his hospital stay short and recover at home — with high-tech 24-hour monitoring and daily visits from medical teams.
But Shanoski, a 52-year-old electrician in Salem, Mass., decided to give it a try. He’d felt increasingly lonely in a hospital where the COVID-19 pandemic meant no visitors. Also, Boston’s Tufts Medical Center wanted to free up beds for a possible surge of the coronavirus.
With a push from COVID-19, such “hospital-at-home” programs and other remote technologies — from online visits with doctors to virtual physical therapy to home oxygen monitoring — have been rapidly rolled out and, often, embraced.
As remote visits quickly ramped up, Medicare and many private insurers, which previously had limited telehealth coverage, temporarily relaxed payment rules, allowing what has been an organic experiment to proceed.
“This is a once-in-a-lifetime thing,” said Preeti Raghavan, an associate professor of physical medicine and rehabilitation and neurology at Johns Hopkins University School of Medicine, in Baltimore. “It usually takes a long time — 17 years — for an idea to become accepted and deployed and reimbursed in medical practice.”
Physical therapists traded some hands-on care for video-game-like rehabilitation programs patients can do on home computer screens. And hospitals like Tufts, where Shanoski was a patient, sped up preexisting plans for hospital-at-home initiatives. Doctors and patients were often enthusiastic about the results.
“It’s a great program,” said Shanoski, now fully recovered after 11 days of receiving this care. At home, he could talk with his fiancée “and walk around and be with my dogs.”
But what will remain of these innovations in the post-COVID era is now the million-dollar question. There is a need to assess what is gained — or lost — when a service is delivered remotely. Another variable is whether insurers, which currently reimburse virtual visits at the same rate as if they were in person, will continue to do so. If not, what is a proper amount?
It remains to be seen what types of novel remote care will persist from this born-of-necessity experiment.
Said Glenn Melnick, a health-care economist at the University of Southern California who studies hospital systems: “Pieces of it will, but we have to figure out which ones.”
Hospital At Home
Long established in parts of Australia, England, Italy and Spain, such remote programs for hospital care have not caught on here, in large part because U.S. hospitals make money by filling beds.
Hospital-at-home initiatives are offered to stable patients with common diagnoses — like heart failure, pneumonia and kidney infections — who need hospital services that can now be delivered and managed at a distance.
Patients’ homes are temporarily equipped with the necessities, including monitors and communication equipment as well as backup internet and power sources. Care is overseen by health professionals in remote “command centers.”
Medically Home, the private company providing the service for Tufts, sent its own nurses, paramedics and other employees to handle Shanoski’s daily medical care — such as blood tests or consultations via camera with doctors. They inserted an IV and made sure it was working properly during their visits, which often totaled three a day. Even when Medically Home employees were not there, devices monitored Shanoski’s blood pressure and oxygen levels.
For patients transferred from the hospital, like Shanoski, Tufts pays Medically Home a portion of what the hospital receives in payment. For transfers from an emergency room, Medically Home is paid directly by insurers with which it has contracts.
Before the pandemic, at least 20 U.S. health systems had some form of hospital-at-home setup, said Bruce Leff, a professor at Johns Hopkins University School of Medicine who has studied such programs. He said that, for the right patients, they’re just as safe as in-hospital care and can cost 20% to 30% less.
Tele-Rehab?
Glenn Shanoski, a 52-year-old electrician, spent 11 days with hospital-level care at home —– offered by Tufts Medical Center in Boston. Tufts provides daily visits from medical teams to closely monitor patients in their homes. (Courtesy of Glenn Shanoski)
When the coronavirus shut down elective procedures, many physical-therapy offices had to close, too. But a number of patients who had recently had surgery or injuries were at a crucial point in recovery.
Therapists scrambled to set up video capability, while their trade association called insurers and regulators to convince them that remote physical therapy should be covered.
At the end of April, the Centers for Medicare & Medicaid Services added remote physical, speech and occupational therapy to the list of medical services it would cover during the pandemic. Just as it had done for other services, the agency said payment would be the same as for an in-person visit.
Though some patient care cannot be done virtually, such as hands-on manipulation of tight muscles, the doctors discovered many advantages: “When you see them in their home, you can see exactly their situation. Rugs lying around on the floor. What hazards are in the environment, what support systems they have,” said Raghavan, the rehabilitation physician at Johns Hopkins. “We can understand their context.”
Using video links, therapists can assess how a patient moves or walks, for example, or demonstrate home exercises. There are also specially designed video-game programs — similar to Nintendo Wii — that utilize motion sensors to help rehabilitation patients improve balance or specific skills.
“Tele-rehab was very much in the research phase and wasn’t deployed on a wide scale,” Raghavan said. Her department now does 9 out of 10 visits remotely, up from zero before March.
Pneumonia Monitoring
Even before the coronavirus emergency, some patients with mild pneumonia were treated as outpatients.
Now, with hospitals busy with COVID-19 cases and patients eager to minimize unneeded exposure, more physicians are considering this option and for sicker patients. The key is using a small device called a pulse oximeter, which clips onto the end of a finger and measures heart rate, while also estimating the proportion of oxygen in the blood. Costing at most a few hundred dollars, and long common in doctors’ offices, clinics and emergency rooms, the tiny machine can be sent home with patients or purchased online.
“We do it on a case-by-case basis,” said Dr. Gary LeRoy, president of the American Academy of Family Physicians. It’s a good option for relatively healthy patients but is not appropriate for those with underlying conditions that could lead them to deteriorate rapidly, such as heart or lung disease or diabetes, he said.
A pulse oximeter reading of 95% to 100% is considered normal. Generally, LeRoy tells patients to call his office if their readings fall below 90%, or if they have symptoms like fever, chills, confusion, increasing cough or fatigue and their levels are in the 91-to-94 range. That could signal a deterioration that requires further assessment and possibly hospitalization.
“Having a personal physician involved in the process is critically important because you need to know the nuances” of the patient’s history, he said.
What It All Looks Like In The Future
Virtual therapy requires patients or their caregivers to accept more responsibility for maintaining the treatment regimen, and also for activities like bathing and taking medicines. In return, patients get the convenience of being at home.
But the biggest wild card in whether current innovations persist may be how generously insurers decide to cover them. If insurers decide to reimburse telehealth at far less than an in-person visit, that “will have a huge impact on continued use,” said Mike Seel, vice president of the consulting firm Freed Associates in California. A related issue is whether insurers will allow patients’ primary caregivers to deliver treatment remotely or require outsourcing to a distant telehealth service, which might leave patients feeling less satisfied.
The industry’s lobbying group, America’s Health Insurance Plans, said the ongoing crisis has shown that telehealth works. But it offered no specifics on future reimbursement, other than encouraging insurers to “closely collaborate” with local care providers.
Whether virtual therapy is cost-effective “remains to be seen,” said USC’s Melnick. And it depends on perspective: It may be cheaper for a hospital to do a virtual physical therapy session, but the patient might not see any savings if insurance doesn’t reduce the out-of-pocket cost.
Julie Appleby is a Kaiser Health News reporter.jappleby@kff.org, @Julie_Appleby
In remote places
— From Химки ТВ
From Robert Whitcomb’s “Digital Diary,’’ in GoLocal24.com:
“Remote learning” is a chaotic disaster (and often an oxymoron) for many students, and COVID-19 cases among those under 20 are minuscule. The disease is overwhelmingly that of older adults. The flu is the biggest threat to children.
To reopen the physical schools, measures can be taken to protect everyone, such as rearranging/staggering classes and using big screens so that one teacher can teach in more than one classroom at a time, allowing fewer students in a room. And maybe the kids should continue to wear masks some of the time. But continuing to block in-person teaching would have very bad academic/intellectual, social and economic effects, especially for the socio-economically disadvantaged.
And so while this will be a work in progress, in response to changing health data, it was good to hear Rhode Island Gov. Gina Raimondo announce that the state’s public schools will open Aug. 31, but with these provisions, among others:
- Fewer kids on buses
- Masks likely to be mandated.
- Desks further apart
- More controls to prevent kids (and others) from going to school sick
So soon?
Largest self-reported ancestry groups in New England.
—From Thesouthernhistorian45
“New England is a finished place….It is the first American civilization to be finished, to achieve stability in the conditions of its life. It is the first old civilIzation, the first permanent civilization in America.’’
Historian and essayist Bernard DeVoto (1897-1955) in the March 1932 Harper’s Magazine.
Worn down to beauty
Beach grass
“The houses
of so many mussels and periwinkles
have been abandoned here, it's hopeless
to know which to salvage. Instead
I keep a lookout for beach glass--
amber of Budweiser, chrysoprase
of Almadén and Gallo, lapis
by way of (no getting around it,
I'm afraid) Phillips'
Milk of Magnesia….’’
— From “Beach Glass,’’ by Amy Clampitt (1920-1994), an American poet who spent much time on the Maine Coast.
UMass researcher gets prize for ‘green electronics’ work
From The New England Council (newenglandcouncil.com):
“Dr. Derek Lovley of the University of Massachusetts at Amherst has been awarded the Mahoney Life Science Prize for his work on ‘green’ electronics. {Green, aka sustainable, electronics are electronic products made with no toxic chemicals, recyclable parts and reduced carbon emissions during production.}
“The Mahoney Life Science Prize is awarded to one researcher at UMass who enhances the connection between life science research and industry development. Dr. Lovley’s research focuses on protein nanowires, electronic material made using bacteria. In addition to being biodegradable, the wires contain the potential to be used in a variety of devices, from storage devices to biomedical sensors. The prize is funded by UMass alumnus Richard Mahoney, former chairman and CEO of Mansanto Company, and his brother, who is also an alumnus.
“‘We are proud to support the expert research being carried out by UMass researchers through the Mahoney Life Sciences Prize,’ said Richard Mahoney. ‘Dr. Lovley’s research is representative of those efforts, and he leads the state, nation and world in his area of microbiological research. The incredible breakthroughs that happen locally at UMass Amherst continue to place UMass at the forefront of research institutions everywhere.”’
The New England Council commends Dr. Lovley and UMass for their commitment to sustainable solutions to address pressing problems. MassLive reports.