Saturday, December 24, 2016

Pie is the new Espresso

There is a trend in mid city LA towards hole in the wall cafes located in vintage 1920s buildings and offering one very expensive specialty.  Near Hollywood and Vine, there is a narrow, artisanly elegantly decorated cafe called Pie Hole.   There, you can get a $5 coffee ($6 latte) with a slice of one of six GMO free handmade pies with elaborately detailed names.   If you want an entire pie, it's about $35.   There is nowhere to park, but there is an impressive line of hipsters who have materialized by spontaneous generation.   This is perhaps a late end stage in the gentrification game, since the neighborhood was abandoned buildings, prostitutes, and tattoo parlors when I was first visiting LA in the late 1980s.   Across the street on Vine is a Trader Joe's, a block south one of the most elaborate Walgreens, and the ever-busy Arclight Cinemas at the revitalized 1950s landmark, the Cineramadome.

Nearer our house, in Larchmont Village, there is a narrow cafe with the trendily meaningless name Go Get Em Tiger, serving 8 kinds of coffee and 8 kinds of tea, at $5-7 per cup, and breakfast comfort foods like A Waffle for $9.50.  It is a yeast-raised waffle, thus distinguished from its unmentionable competitors (none, indeed, found locally on Larchmont Boulevard) who skim by with baking soda-raised waffles.   For those with a lighter appetite or a smaller budget, there is an artisanally lopsided small cinnamon roll for $6, carefully displayed in no more than pairs or triplets under glass, as if they were vintage collector's shot glasses.   Orange juice is not available, and there will be what might be a bemused pause if you ask, but not an actual smirk or gesture, which would be declasse'.   Mitigating or perhaps justifying the cost, there are six or seven staff for the four customers.  


Wednesday, December 14, 2016

New Coinage

As of December 14, 2016, there were no hits on Google for the term, "holokleptocracy."


Friday, December 9, 2016

From Failure to Success

Great quote by Stanford professor Euan Ashley (an expert on precision medicine) in opening his Lancet book review of Siddhartha Mukherjee's "The Gene, An Intimate History."  Here.

Probably the biggest take away from
Siddhartha Mukherjee’s The Gene: An
Intimate History is that we might all
have made a greater impact on the
world had we failed more exams. As
Mukherjee describes in this follow-up
to his Pulitzer Prize-winning Emperor
of All Maladies, Charles Darwin left
Edinburgh medical school unable to
stomach the blood and screaming,
tutors of Sir Ronald Fisher, the
forefather of statistical genetics, were
sorely disappointed in his abilities, and
John Gurdon, who later won a Nobel
Prize in Physiology or Medicine, once
came 250th out of a class of 250 in a
biology exam at Eton College.
For a 1968 expression of the same idea, here.

Tuesday, November 22, 2016

Uncorrected auto translation / Fog in August / 2016

German Holocaust era film "Fog in August " (2016)
Uncorrected auto translation

##


 :
Murderous Care
The drama "Nebel im August" narrates the cruel story of the young Ernst Lossa as impressively as the rest. In 1944 he was murdered in a "Heilanstanstalt".
By Christoph Schröder
September 28, 2016, 4:45 pm 17 comments
"Nebel im August": Ivo Pietzcker as Ernst Lossa and Sebastian Koch as a doctor in Kai Wessel's drama "Nebel im August"
Ivo Pietzcker as Ernst Lossa and Sebastian Koch as a doctor in Kai Wessel's drama "Nebel im August" © Studiocanal




In a moment when it is time again for a child to die, Sister Edith Kiefer (Henriette Confurius) takes 13-year-old Ernst Lossa (Ivo Pietzcker) aside and tells him the story of the deer that she shared at the time as a child With her father in the forest. The deer, says Sister Edith, had had two broken hind legs. She herself would take her home with her and take care of her, but the father had realized that the animal was no longer to be helped. That is why he had redeemed it on the spot. "Do you think," asks Edith, looking earnestly at Ernst, "that this was wrong?" It is just a scene in this oppressive film, in which the perverse rhetoric of an inhuman system flashes, which has given the painting of strict scientificity. They say redemption and my murder.

Ernst Lossa is a historical figure. Lossa, born in Augsburg in 1929, belonged to the Jenish people, a heterogeneous population group of travelers who were designated and persecuted by the National Socialists as "gypsies". Lossa's mother is dead, the father without a permanent residence, and so the boy is passed from home to home, until finally, in May 1943, he is transferred to the hospital Irsee near Kaufbeuren, a former Benedictine monastery. There, Lossa died in August 1944 through a poison.


The director Kai Wessel has accepted the biography of the boy and made a film that can rely on the one hand on the penetrating effect of his consciously unspectacular images and on the other hand on the self-extinguishing power of the completely instrumentalized and transformed language. Drama does not need pedagogical pathos. The perversity of the euthanasia system reveals itself without explanation.
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0:00
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2:18

Kino - "Nebel im August" (Trailer)
© Foto: Studiocanal


Mist in August sets in with Lossas arrival in Irsee. It's nice here, at first sight. The chairman Dr. Veithausen (Sebastian Koch) makes a friendly, factual impression. No monster, on the contrary, a sympathetic man who appears as a paternal friend. It is only by degrees that Sister Edith alone, but above all Veithausen, is a diabolic actor in Irsee. At first he comes as a skeptic, who is only reluctant to carry out the instructions coming from Berlin.

Irsee is an institution in which mentally conspicuous people are accommodated. "I do not belong here," Ernst says on the first day to his bed neighbors. "Everyone says this," is the answer. At regular intervals, inmates from Irsee are transported by bus to the Hadamar killing facility. When this causes disquiet among the inhabitants, the route is changed: no more transports, instead the patients, as the staff calls them, are to be "redeemed" directly on the spot.

Courteous wall of cowardice and false diplomacy

For this purpose, Sister Edith Kiefer is transferred from Hadamar to Irsee, a "specialist", as Dr. Veithausen designates her against Sophia (Fritzi Haberlandt). The Sister-in-law, a nun, a relic of former times, is the antipod of Edith Kiefer, the beautiful Death Knight. While the one on the death list is given the toxic dose in raspberry juice, so that dying tastes sweet, ( "bronchopneumonia" will then write Dr. Veithausen in the death certificate, pneumonia), the other presents with her bishop - and encounters one Polite wall of cowardice and false diplomacy.

The contrast between the beautiful poison-bearer and the wily, gray upper-sister is possibly the only constellation in this film, in which she smells phishically for stereotype. However, this is at any time intercepted by the discreet, therefore, even more powerful pictures of Hagen Bogdanski's camera and, above all, by the precise performance of Ivo Pietzcker, which lends deep depth to Ernst Lossa, the "asocial plague". Lossa is a clever, bright boy with a tendency to subversive. And he is an accurate observer who has looked through the system and therefore, as the historians who have accepted the real case, had to die.

In the figure of the chief physician, Dr. Veithausen, the entire amorality of the euthanasia program reveals itself: During a meeting with colleagues and functionaries, he proudly presents his latest development: a delicious soup, which has been deprived of all nutrients and by means of which the patients within just one week nearly three Kilograms. Death by slow starvation, scientifically founded. A more subtle and less explanatory procedure than the frequent cases of sudden pulmonary inflammation. "Yes," says one of the round, "there must be more death." And so it happens so, even the terrible end of the film is staged with great restraint.


It was not clear who was Ernst Lossa, who had the injection syringe, whether the head physician or the nurse. Dr. Valentin Faltlhauser, as the head of Irsee was actually called, was sentenced to three years' imprisonment after the war, but the execution was repeatedly postponed until Faltlhauser was pardoned by the Bavarian Minister of Justice in 1954 for alleged imprisonment. The nurse Pauline Kneissler, real template for the jaw figure, is calculated in Irsee more than 200 kills. She was sentenced to four years in prison in 1948, released after a year - and then worked again as a pediatric nurse. German post-war relations.

The President's Exemption from Conflict of Interest Laws

By mid-November, 2016, numerous news sources and President-elect Trump had noted that the President is "exempt from conflict of interest laws."

For an article at Politifact, here:
http://www.politifact.com/truth-o-meter/statements/2016/nov/16/rudy-giuliani/giuliani-president-trump-will-be-exempt-conflict-i/


For a PDF of the 7 page, 1974 Department of Justice position paper:
http://fas.org/irp/agency/doj/olc/092074.pdf


For an article at Fortune,
http://fortune.com/2016/11/15/donald-trump-conflicts-interest-ethics/





Friday, September 23, 2016

Saturday, June 11, 2016

Eight Listicles That Are Eerily Real



  • Seven Easy Ways to Hold a Spoon
  • How To Turn On Your iPhone Fast
  • Four Ways to Earn Money While Brushing Your Teeth
  • How to Sell Illegal Things Without Breaking the Law
  • Five Ways to Look at Things and See Them
  • Why You Should Sharpen Dull Knives
  • Three New Ways to Sit Still
  • Why You Should Hold a Pen While You Write


Saturday, May 21, 2016

From Youtube to Nixon: Vienna, Berlin, and Hitler's T4 Program

Over a few years, and two trips to Europe, I ran across a chain of connections that started with a Youtube program on Vienna and ends with a connection to Leon Jaworski, the special prosecutor of the Watergate era when I was in junior high student back in a farm town in Iowa.

From Vienna Architecture to the T4 Euthanasia Program

In the summer of 2014, our family had a three night stopover in Vienna on the way home from a ten day vacation at the northern Greece beach village of Afitos.

Youtube has tour guides (whether professional or home movies) to nearly any city one can imagine, and I looked for video on Vienna.  This led me to a really incredible, 90 minute BBC documentary on Vienna called City of Dreams by Harvard professor (and now Dean of Arts and Sciences) Joseph Koerner.   City of Dreams skips back and forth in a history of the past century, but one of the several Viennese geniuses it focuses on is Otto Wagner, the fin-de-siecle Art Deco architect.   Koerner's documentary begins and ends at his Church on the Lemoniberg [alternately known as Kirche am Steinhof].

The church is on a hilltop four miles south of city center, but accessible by one direct bus.   But the one weekly English tour of the church fell outside of our trip.  However, there was a two hour German tour of the Otto Wagner hospital campus that the church is part of, and that did fit our schedule, so my 14 year old daughter and I made the excursion and she braved the German ;language tour (on which we joined about a dozen very dour, retired Austrians who were on excursion on that drizzly day.)

The Lemoniberg church, reflecting the Art Deco architecture of Otto Wagner, was as fantastic and memorable as promised.

But we learned something unexpected on the tour.

On the hospital campus, we also saw a small dwarf rose garden that was a symbolic memorial to the extermination/euthanasia of mentally handicapped children at the hospital in 1939/1940.   And there was a small museum room in one of the art deco hospital buildings on campus, dedicated to the memory of that event.

The genocide of mentally handicapped persons was the Nazi T4 program of 1939/1940.

What was the T4 Program?

 Ostensibly, a German officer had a severely handicapped baby in early 1939, and wrote Hitler that provisions for euthanasia of the baby were lacking.   By October 1939, the T4 law had been written and signed, allowing the direct mass euthanasia of "hereditarily deficient" persons in Germany and Austria.   The T4 program followed very active  prior involuntary sterilizations programs in Germany...as in the U.S., and elsewhere.  (In the U.S., legal involuntary sterilization on medical grounds was memorialized by a turn of the century Supreme Court case).

In Germany, the euthanasia and cremations that were explicitly the "T4" program exceeded 70,000 persons but the program was actually scaled down due to civil protest by 1941.   However, euthanasia of the disabled never stopped.  Some of the techniques learned were used in the concentration camp exterminations in 1942 and later.

And the Name..."T4"

The T4 program was named for an administrative building located in Berlin... "T4" stood for Tiergartenstrasse 4, building's street address.   This locaiton is a few blocks south of the Reichstag/Brandenburg Gate; is near Postdam Place; is near the present outdoor Memorial to the Murdered Jews of Europe; and is near the Sony Center shopping complex.   Most directly, the present day 1963 Berlin Philharmonic concert hall was later built on the nazi building's site.

The Tiergatenstrasse 4 Memorial to the T4 Program

Today, at the address and next to the Berlin Philharmonic Hall, there is an abstract memorial plaza consisting of a blue glass wall on a concrete plaza.   Also, there is a very detailed series of information plaques, running like a desk 30 feet long.

From T4 to Leon Jaworski

Some of the senior leaders of the T4 program were prosecuted for crimes against humanity and executed in 1948.  Brock, the head of the program, was executed as part of the main Nurenberg Trials.

In a separate prosecution of T4 staff at Hadamar, a hospital north of Frankfurt, of the prosecutors was a young U.S. attorney named Leon Jaworski.  

Then 40 years old, he was  a Texan whose parents were German speaking immigrants.   In the Watergate era, Jaworski would be named the Special Prosecutor - only twenty five years later..  Remarkable to remember that Nixon's election in 1968 was only two decades later than Jaworski's trials in Allied courts amid the ruins of WW2.

The Nurenberg and Harmadan trials in the ruins of Germany were only as distant in time from the Watergate era, as the interval between Obama's and Clinton's second terms.

____

From T4 to Bonhoeffer to Washington

In Berlin, in addition to the Tiergarten Memorial, there is a museum about the T4 program at the Karl Bonhoeffer Nervenklink, which is at the Karl Bonhoeffer U Bahn station on the north side of Berlin.   Karl Bonhoeffer was head of Psychiatry at the Charite' hospital in the 1920s/1930s.  His son Dietrich Bonhoeffer was a minister, a pacificist executed by the Nazis.  There is a memorial to Dietrich Bonhoeffer in the Berlin section of Prenzlauerberg at Zionskirche, where he worked in the 1930s.

In September 2013 in Washington DC, I heard a book reading at the Politics and Prose bookstore by Fritz Stern, a German born Columbia University historian who wrote a biography of Bonhoeffer with his wife Elizabeth Sifton.  Sifton, in turn, was the daughter of Reinhold Neibuhr, an American theologian under whom Bonhoeffer studied on a six month stay in New York City in the mid 1930s.   Fritz Stern died in May 2016 at age 90.  Sifton had a career as a well known book editor.

The Bonhoeffer family house is a ecumenical Peace Institute; it is located in an upper middle class 1920s neighborhood on the West side of Berlin, not far from the 1936 Olympic Stadium.

Other Memorials to the T4 Program

As noted above, there is (1) the outdoor blue-glass-wall T4 memorial in central Berlin.  About ten miles north, (2)  there is the museum rooms at the 1880s-built psychiatric hospital campus, Karl-Bonhoeffer-Nervenklinik.   There are also memorials at (3) the Hadamar center about an hour north of Frankfurt, and (4) a Brandenburg Gedenkstaette (memorial) near Berlin.

There are also two concrete buses that are artworks that memorialize the transport of patients to euthanasia centers.  One is permanently installed at Ravensbruck, southwest of Munich, and an identical concrete bus has been transported to various locations in Germany associated with the T4 program.   At one time the mobile concrete artwork bus was located near the Berlin Philharmonic, where the blue glass wall memorial now is found.  

As shown in these memorials and museums, the T4 program was supported by propaganda, such as posters showing a disabled purpose and saying "Citizen! Such a person costs our society 70,000 Marks in his Lifetime!"

Movie

In Fall 2016, the German big screen drama Nebel im August (Fog in August), a movie about the T4 program, was released, here.  Youtube trailer, here.  Uncorrected autotranslation of German review, here.   The film is set at the children's hospital Irsee, a former Benedictine monastery near Kaufbeuren south of Munich (here).  In what could be a record for adaptive reuse, the monastery-turned-hospital has become a hotel and conference center.

Second Movie

There is also a 2017 documentary, Action T4: Doctor Under the Nazis, which is half the story of T4 and half the biography of Julius Hallervorden, a German neurologist who studied the brains of the euthanized children.   As of early 2019 it streams on Amazon or for free on Youtube.


From Youtube to Nixon: Vienna, Berlin, and Hitler's T4 Program

Over a few years, and two trips to Europe, I ran across a chain of connections that started with a Youtube program on Vienna and ends with a connection to Leon Jaworski, the special prosecutor of the Watergate era when I was in junior high student back in a farm town in Iowa.

From Vienna Architecture to the T4 Euthanasia Program

In the summer of 2014, our family had a three night stopover in Vienna on the way home from a ten day vacation at the northern Greece beach village of Afitos.

Youtube has tour guides (whether professional or home movies) to nearly any city one can imagine, and I looked for video on Vienna.  This led me to a really incredible, 90 minute BBC documentary on Vienna called City of Dreams by Harvard professor (and now Dean of Arts and Sciences) Joseph Koerner.   City of Dreams skips back and forth in a history of the past century, but one of the several Viennese geniuses it focuses on is Otto Wagner, the fin-de-siecle Art Deco architect.   Koerner's documentary begins and ends at his Church on the Lemoniberg [alternately known as Kirche am Steinhof].

The church is on a hilltop four miles south of city center, but accessible by one direct bus.   But the one weekly English tour of the church fell outside of our trip.  However, there was a two hour German tour of the Otto Wagner hospital campus that the church is part of, and that did fit our schedule, so my 14 year old daughter and I made the excursion and she braved the German ;language tour (on which we joined about a dozen very dour, retired Austrians who were on excursion on that drizzly day.)

The Lemoniberg church, reflecting the Art Deco architecture of Otto Wagner, was as fantastic and memorable as promised.

But we learned something unexpected on the tour.

On the hospital campus, we also saw a small dwarf rose garden that was a symbolic memorial to the extermination/euthanasia of mentally handicapped children at the hospital in 1939/1940.   And there was a small museum room in one of the art deco hospital buildings on campus, dedicated to the memory of that event.

The genocide of mentally handicapped persons was the Nazi T4 program of 1939/1940.

What was the T4 Program?

 Ostensibly, a German officer had a severely handicapped baby in early 1939, and wrote Hitler that provisions for euthanasia of the baby were lacking.   By October 1939, the T4 law had been written and signed, allowing the direct mass euthanasia of "hereditarily deficient" persons in Germany and Austria.   The T4 program followed very active  prior involuntary sterilizations programs in Germany...as in the U.S., and elsewhere.  (In the U.S., legal involuntary sterilization on medical grounds was memorialized by a turn of the century Supreme Court case).

In Germany, the euthanasia and cremations that were explicitly the "T4" program exceeded 70,000 persons but the program was actually scaled down due to civil protest by 1941.   However, euthanasia of the disabled never stopped.  Some of the techniques learned were used in the concentration camp exterminations in 1942 and later.

And the Name..."T4"

The T4 program was named for an administrative building located in Berlin... "T4" stood for Tiergartenstrasse 4, building's street address.   This locaiton is a few blocks south of the Reichstag/Brandenburg Gate; is near Postdam Place; is near the present outdoor Memorial to the Murdered Jews of Europe; and is near the Sony Center shopping complex.   Most directly, the present day 1963 Berlin Philharmonic concert hall was later built on the nazi building's site.

The Tiergatenstrasse 4 Memorial to the T4 Program

Today, at the address and next to the Berlin Philharmonic Hall, there is an abstract memorial plaza consisting of a blue glass wall on a concrete plaza.   Also, there is a very detailed series of information plaques, running like a desk 30 feet long.

From T4 to Leon Jaworski

Some of the senior leaders of the T4 program were prosecuted for crimes against humanity and executed in 1948.  Brock, the head of the program, was executed as part of the main Nurenberg Trials.

In a separate prosecution of T4 staff at Hadamar, a hospital north of Frankfurt, of the prosecutors was a young U.S. attorney named Leon Jaworski.  

Then 40 years old, he was  a Texan whose parents were German speaking immigrants.   In the Watergate era, Jaworski would be named the Special Prosecutor - only twenty five years later..  Remarkable to remember that Nixon's election in 1968 was only two decades later than Jaworski's trials in Allied courts amid the ruins of WW2.

The Nurenberg and Harmadan trials in the ruins of Germany were only as distant in time from the Watergate era, as the interval between Obama's and Clinton's second terms.

____

From T4 to Bonhoeffer to Washington

In Berlin, in addition to the Tiergarten Memorial, there is a museum about the T4 program at the Karl Bonhoeffer Nervenklink, which is at the Karl Bonhoeffer U Bahn station on the north side of Berlin.   Karl Bonhoeffer was head of Psychiatry at the Charite' hospital in the 1920s/1930s.  His son Dietrich Bonhoeffer was a minister, a pacificist executed by the Nazis.  There is a memorial to Dietrich Bonhoeffer in the Berlin section of Prenzlauerberg at Zionskirche, where he worked in the 1930s.

In September 2013 in Washington DC, I heard a book reading at the Politics and Prose bookstore by Fritz Stern, a German born Columbia University historian who wrote a biography of Bonhoeffer with his wife Elizabeth Sifton.  Sifton, in turn, was the daughter of Reinhold Neibuhr, an American theologian under whom Bonhoeffer studied on a six month stay in New York City in the mid 1930s.   Fritz Stern died in May 2016 at age 90.  Sifton had a career as a well known book editor.

The Bonhoeffer family house is a ecumenical Peace Institute; it is located in an upper middle class 1920s neighborhood on the West side of Berlin, not far from the 1936 Olympic Stadium.

Other Memorials to the T4 Program

As noted above, there is (1) the outdoor blue-glass-wall T4 memorial in central Berlin.  About ten miles north, (2)  there is the museum rooms at the 1880s-built psychiatric hospital campus, Karl-Bonhoeffer-Nervenklinik.   There are also memorials at (3) the Hadamar center about an hour north of Frankfurt, and (4) a Brandenburg Gedenkstaette (memorial) near Berlin.

There are also two concrete buses that are artworks that memorialize the transport of patients to euthanasia centers.  One is permanently installed at Ravensbruck, southwest of Munich, and an identical concrete bus has been transported to various locations in Germany associated with the T4 program.   At one time the mobile concrete artwork bus was located near the Berlin Philharmonic, where the blue glass wall memorial now is found.  

As shown in these memorials and museums, the T4 program was supported by propaganda, such as posters showing a disabled purpose and saying "Citizen! Such a person costs our society 70,000 Marks in his Lifetime!"

Movie

In Fall 2016, the German big screen drama Nebel im August (Fog in August), a movie about the T4 program, was released, here.  Youtube trailer, here. Review, Die Zeit, German, here.




Tuesday, March 15, 2016

McKinsey's Six Factor Framework for Digital Disruption

In March 2016, McKinsey published a free article that explains a six-factor framework for understanding and evaluating digital disruption (here).   I like it.

The paper is not long; over 12 pages it explains the model captured in the key exhibit:


Disruption can affect supply (right two sectors) or demand (left two sectors.)  In affecting supply, you can "uncover latent supply" or change the supply business operations and cost structure.  OK.   Disruption can affect demand; by addressing unmet needs or creating new value propositions for customers.  OK too.   That makes four of the six factors.   Between supply and demand, at top, is a factor for making new markets.  That's in the right place.   At the bottom, there is a space they've chosen to fill with "hyperscale platforms" which is probably only one way that digital might connect new business systems on the supply side with new value propositions on the demand side.  To some extent the "six factors" existed before "digital" did, but the focus here is how the six factors are specifically impacted by digital evolution.

How this applies best to health care and digital disruption...would make a good follow up paper.