risk

A climber on El Capitan. Photo by Naotake Murayama via Flickr.
A climber on El Capitan. Photo by Naotake Murayama via Flickr.

 

“You remind us that anything is possible,” President Obama tweeted at Tommy Caldwell and Kevin Jorgeson after they summited El Captain in Yosemite National Park. The pair “free climbed” the world’s largest block of granite, only using ropes and harnesses in the case of emergency. Many of the world’s best climbers are those who take the biggest risks—and most of them happen to be from the United States.

To kick off the “What It Means to Be American” event “Are Americans Risk-Takers?” TIME featured a roundtable discussion about why risk-taking seems unique to American culture. Zulema Valdez, sociologist and author of The New Entrepreneurs: How Race, Class, and Gender Shape American Enterprise, said that the risk-taking mentality in the United States comes from the common belief that America is the land of opportunity: “where anyone with a good idea, a positive attitude, and a willingness to work hard can own a business and succeed.” Indeed, the U.S. has the highest percentage of entrepreneurship among industrialized nations.

What the achievement ideology leaves out, however, is that the United States is highly stratified, and successful people rarely achieve the American dream through hard work alone. The most successful business owners tend to be white, middle-class men. While they surely worked hard and took risks, most were not risking total failure. Valdez told TIME:

The reality… is that risk-taking, while perhaps a necessary ingredient for entrepreneurship, is not sufficient in the absence of human capital (education and work experience), social capital (business networks), and financial capital (personal savings, wealth, access to credit or loans).

In other words, even if a person takes a risk, the right resources act as a safety net and diminish the consequences of failure. For Caldwell and Jorgeson, free climbing El Captain, back-up plans and high-tech gear lowered the risk of plummeting to their deaths—and enabled them to take more risks to proudly reach the summit. Those aiming to achieve the American Dream need human, social, and financial capital rather than ropes and harnesses.

Photo from Persephone's Birth by eyeliam on flickr.com
Photo from Persephone's Birth by eyeliam via flickr.com

The so-called “mommy wars” have apparently made it all the way to the delivery room, according to Jennifer Block, writing for Slate:

For a long time home birth was too fringe to get caught in this parenting no-fly zone, but lately it’s been fitting quite nicely into the mommy war media narrative: There are the stories about women giving birth at home because it’s fashionable, the idea that women are happy sacrificing their newborns for some “hedonistic” spa-like experience, or that moms-to-be (and their partners) are just dumb and gullible when it comes to risk management…

For many parents, home birth is a transcendent experience. …Yet as the number of such births grows, so does the number of tragedies—and those stories tend to be left out of soft-focus lifestyle features.

Debates about home birth have erupted in the media and the blogosphere in recent months, largely focused on the relative risks of home birth versus hospital birth. But at the heart of the issue is who, and what evidence, to trust.

I could list several recent large prospective studies… all comparing where and with whom healthy women gave birth, which found similar rates of baby loss—around 2 per 1,000—no matter the place or attendant. We could pick through those studies’ respective strengths and weaknesses, talk about why we’ll never have a “gold-standard” randomized controlled trial (because women will never participate in a study that makes birth choices for them), and I could quote a real epidemiologist on why determining the precise risk of home birth in the United States is nearly impossible. Actually, I will: “It’s all but impossible, certainly in the United States,” says Eugene Declercq, an epidemiologist and professor of public health at Boston University, and coauthor of the CDC study that found the number of U.S. home births has risen slightly, to still less than 1 percent of all births. One of the challenges is that “the outcomes tend to be pretty good,” Declercq says…But to really nail it down here in the U.S., he says, we’d need to study tens of thousands of home births, “to be able to find a difference in those rare outcomes.” With a mere 30,000 planned home births happening each year nationwide, “We don’t have enough cases.”

And, as sociologist Barbara Katz-Rothman notes, decisions about where to give birth are likely made more on the basis of perceived, rather than real, risk.

“What we’re talking about is felt risk rather than actual risk,” explains Barbara Katz-Rothman, professor of sociology at the City University of New York and author of much scholarship on birth, motherhood, and risk. Take our fear of flying. “Most people understand intellectually that on your standard vacation trip or business trip, the ride to and from the airport is more likely to result in your injury or death than the plane ride itself, but you never see anybody applaud when they reach the airport safely in the car.” The flight feels more risky. Similarly, we can look at data showing our risk of infection skyrockets the second we step in a hospital, “but there’s something about the sight of all those gloves and masks that makes you feel safe.”