The Washington Post has provided some data on medical costs across a selection of countries (Argentina, Canada, Chile, and India in grey; France, Germany, Switzerland, and Spain in blue; and the U.S. in red). The data reveal that American health care is very expensive compared to other countries.
No wonder the US spends twice as much as France on health care. In 2009, the U.S. average was $8000 per person; in France, $4000. (Canada came in at $4800). Why do we spend so much? Ezra Klein quotes the title of a 2003 paper by four health-care economists: “it’s the prices, stupid.”
And why are US prices higher? Prices in the other OECD countries are lower partly because of what U.S. conservatives would call socialism – the active participation of the government. In the U.K. and Canada, the government sets prices. In other countries, the government uses its Wal-Mart-like power as a huge buyer to negotiate lower prices from providers. (If it’s a good thing for Wal-Mart to bring lower prices for people who need to buy clothes, why is it a bad thing for the government to bring lower prices to people who need to buy, say, an appendectomy? I could never figure that out.)
There may also be cultural differences between the U.S. and other wealthy countries, differences about whether greed, for lack of a better word, is good. How much greed is good, and in what realms is it good? Klein quotes a man who served in the Thatcher government:
Health is a business in the United States in quite a different way than it is elsewhere. It’s very much something people make money out of. There isn’t too much embarrassment about that compared to Europe and elsewhere.
So we Americans roll along, paying several times what others pay for medical procedures, doctor visits, and drugs.
The International Society of Aesthetic Plastic Surgeons has released new data on the incidence of invasive and non-invasive cosmetic procedures. The U.S. leads in sheer numbers of procedures but, accounting for population, we fall into 4th place. South Korea leads for the number of procedures per person, followed by Greece and Italy.
By far the most common kinds of surgical cosmetic procedures are lipoplasty and breast augmentation. Along with fat, breasts seem to be a particular concern: breast lifts and breast reductions for both men and women are also in the top ten. Abdominoplasty, nose jobs, eyelid surgeries, and facelifts are as well.
Likewise, we’ve posted about surgeries that create an epithelial fold, a fold of skin in the eyelid more common in people with White than Asian ethnic backgrounds. This surgery is a trend among Asians and Asian-Americans, as colonization has left us with an association between Whiteness, attractiveness, and power.
Breast augmentation, the second biggest surgical procedure, is most commonly performed in America and Brazil. Buttock implants are also a Brazilian specialty, as is vaginal rejuvenation. Asia is keen on nose jobs: China, Japan and South Korea are among the top five nations for rhinoplasty.
More on where and how many procedures are being performed, but nothing on why, at the ISAPS report.
The first suggests that the belief that hard work pays off remains strong in only a few countries: Pakistan (81%), the U.S. (77%), Tunisia (73%), Brazil (69%), India (67%) and Mexico (65%). The low scores in China, Germany, and Japan are worth noting. This is not to say that people everywhere are not working hard, just that many no longer believe there is a strong connection between their effort and outcome.
The second chart highlights the fact that growing numbers of people are losing faith in free market capitalism. Despite mainstream claims that “there is no alternative,” a high percentage of people in many countries do not believe that the free market system makes people better off.
GlobeScan polled more than 12,000 adults across 23 countries about their attitudes towards economic inequality and, as the chart below reveals, the results were remarkably similar to those highlighted above. In fact, as GlobeScan noted, “In 12 countries over 50% of people said they did not believe that the rich deserved their wealth.
It certainly seems that large numbers of people in many different countries are open to new ways of organizing economic activity.
You can see a few other notable trends here that illustrate various national trajectories, as Phil McDermott at Cities Matter points out. For instance, notice that while Russia underwent rapid urbanization between 1950 and 1980, it has leveled off since then. Similarly, Indonesia’s urbanization slowed significantly in the late ’90s and has continued at a much slower pace since then. We also see quite different patterns between the world’s two most populous nations: While China’s urbanization rate sped up in the early ’90s (after urbanization actually dipped in the ’70s), India has experienced fairly slow urbanization.
Credit Suisse released a report on urbanization and emerging markets, if you’re interested in the impacts of urbanization on a wide array of economic development indicators, from electricity and steel consumption to projections of future housing needs to incomes and standards of living.
In our post devoted to vintage douche ads, we present a number of examples of such ads that warn women that if they do not take steps to control their smelly, disturbing girly parts, they risk permanently alienating their male partners. Such ads encourage women to feel shame and anxiety about their bodies, which require constant vigilance or they become offensive to men.
Jeff S., Saed A., and Yvette send in a Indian commercial for Clean and Dry Intimate Wash that includes the same theme. The commercial starts out with a despondent-looking woman who cannot get her male companion’s attention. But a quick shower is just the trick; Clean and Dry apparently lightens as it deodorizes, with the word “fairness” appearing as the darkish smudge on the cartoon image magically disappears. According to the product description,
To be used while showering, its special pH-balanced formula cleans and protects the affected area, and even makes the skin fairer. Life for women will now be fresher, cleaner, fairer!
And presto! She’s confident, sassy, and suddenly has her boyfriend’s full attention; all is right with the world:
Norton Sociology recently posted an image that illustrate differences in rates of imprisonment in a number of countries. Imprisonment rates are influenced by a number of factors — what is made illegal, how intense law enforcement efforts are, preference for prison time over other options, etc. The U.S. does not compare favorably, with 74.3 per 100,000 10,000 of our population behind bars (click here for a version you can zoom in on, and sorry for the earlier typo!):
Here’s a close-up of the breakdown of the U.S. prison population:
I’m still trying to work my way through my discomfort and analyze exactly where my discomfort of this Sociological Images post is coming from, so if this critique seems a bit scattered, it’s because my thoughts about it, at the moment, are that way.
First: I agree with where the post is coming from, in that the disenfranchised rarely ever have a voice of their own in mainstream Western culture, are always portrayed as the Other, which is defined as everything that said mainstream Western culture isn’t (at best as something that props it up and provides an aesthetically pleasing contrast, at worst as something that must be exterminated). And this leads to remarkably similar cycles of dehumanization and disenfranchisement. As so many minority thinkers/activists have noted, manufactured binaries between the privileged West and everyone else, even seemingly positive ones, ultimately end up reinforcing destructive hierarchies.
Where I disagree with the poster is the framing, which I feel makes the post, in some ways, as reductive as what it’s critiquing. Because there are different contexts in which the above cycle/process of exotification occurs, and those contexts matter and shouldn’t be handwaved, even (and I would say especially) if you’re taking the pov of the white outsider and attempting to deconstruct it. Social justice discourse loses its meaning when it becomes divorced from one of power relations.
In this specific example, while making its comparison of India as a magical negro, the post fails to both note and appreciate the following bits of context:
That both the main white actress and the main desi actor in the film are British, with Dev Patel adopting an Indian accent and playing the part of a “native”. That all the featured Indian characters are coded as middle/upper class (the dress, able to speak fluent English, etc) and light skinned. That in many ways this is how India is actively marketed by its tourism sector (and also its government. Did a project once which involved collecting promo material from the Indian consul — I think in Chicago? — and it was quite hilariously illuminating), because they’ve judged that this type of pandering will bring in the tourist dollars.
And this exotification of India in the West has been happening since before the time of Columbus, and reducing said things to a “phenomenon in which a white character in a tv show or movie finds enlightenment…” seems rather glib. (Just because it appears in tvtropes does not mean TV created it!) And that’s not even getting into how most isms seem to inevitably become just like the racism that blacks (had) face(d) in the US.
I also thought it was telling how none of the links elaborating on the “magical negro” trope went to one of the many black writers who’ve done the major work of deconstructing and dissecting it, much less linking to desi writers talking about colonialism and othering.
So what my disagreement boils down to, I think, is this: that this is a discussion about the Othering/exotification of India in mainstream Western culture that succeeds in further marginalizing/disenfranchising desis and other minorities. It doesn’t consider that we might be among the audience for this post (much less making room in the conversation for us, much less acknowledging all the times we’ve already discussed this), and in the way it takes something that rose out of certain contexts, misidentifies said contexts while applying it to different ones with no mention of the consequences of the differences, makes it, again, similar to what it’s aiming to critique.
And it brings home the point that, for all its social justice aims, this is a blog for a specific group of white people, by a specific group of white people, with all the marginalizations that entails.
Another note: it is interesting to read the comments, to see all the places East/West binaries crop up. For example, this comment (which thankfully was critiqued):
So, this is probably why you’ll never find a movie about a Westerner in Latvia trying to find himself- “finding oneself” usually requires immersing oneself in a setting completely different from the everyday humdrum norm.
I do find India humdrum normy, actually. And infrastructure specifically designed to ape the west is increasingly common in cities, and you can always find people in the touristy parts who speak English and cater to Western tastes in a thousand and one ways. (Actually, you won’t need to find them, if you are white they will find you and you will not be able to escape them!) Latvia, I am assuming not so much?
I feel as if the manufactured differences that so many Westerners create for India, while completely missing the deeper and more significant ones, are part of the same binary that Fanon was talking about when he said: “The settler is all that is good and of value. The native is the negation of the settler’s value”. And a lot of the appeal of India, the reason for it not being “everyday humdrum normy”, is that it still gives middle class white Westerners who go there chances to personally experience the colonial British sahib lifestyle.
The phrase “Magical Negro” refers to the phenomenon in which a white character in a tv show or movie finds enlightenment through the wisdom of a Black character. It is widely considered an offensive trope in which Black people — imbued with special spiritual, religious, or primitive powers of insight, often ostensibly due to some disadvantage like poverty — serve only to support a white person’s transformation. The white person, and their ultimate redemption, remains the central story.
I couldn’t help but think of this when I watched the trailer for The Best Exotic Marigold Hotel, sent in by Katrin. In this trailer, the Magical Negro isn’t a Black person; it’s not even a person. It’s the entire country of India.