When my primary care physician, a wonderful doctor, told me he was retiring, he said, “I just can’t practice medicine anymore the way I want to.” It wasn’t the government or malpractice lawyers. It was the insurance companies.

This was long before Obamacare.  It was back when President W was telling us that “America has the best health care system in the world”; back when “the best” meant spending twice as much as other developed countries and getting health outcomes that were no better and by some measures worse. (That’s still true).

Many critics then blamed the insurance companies, whose administrative costs were so much higher than those of public health care, including our own Medicare. Some of that money went to employees whose job it was to increase insurers’ profits by not paying claims.  Back then we learned the word “rescission”  — finding a pretext for cancelling the coverage of people whose medical bills were too high.   Insurance company executives, summoned to Congressional hearings, stood their ground and offered some misleading statistics. 

None of the Congressional representatives on the committee asked the execs how much they were getting paid. Maybe they should have.

Health care in the U.S. is a $2.7 trillion dollar business, and the New York Times has an article about who’s getting the big bucks.  Not the doctors, it turns out.  And certainly not the people who have the most contact with sick people — nurses, EMTs, and those further down the chain.  Here’s the chart from the article, with an inset showing those administrative costs.

As fine print at the top of the chart says, these are just salaries — walking-around money an exec gets for showing up.  The real money is in the options and incentives.

In a deal that is not unusual in the industry, Mark T. Bertolini, the chief executive of Aetna, earned a salary of about $977,000 in 2012 but a total compensation package of over $36 million, the bulk of it from stocks vested and options he exercised that year.

The anti-Obamacare rhetoric has railed against a “government takeover” of medicine. It is, of course, no such thing. Obama had to remove the “public option”; Republicans prevented the government from fielding a team and getting into the game. Instead, we have had an insurance company takeover of medicine. It’s not the government that’s coming between doctor and patient, it’s the insurance companies. Those dreaded “bureaucrats” aren’t working for the government of the people, by the people, and for the people. They’ve working for Aetna and Well-Point.

Even the doctors now sense that they too are merely working for The Man.

Doctors are beginning to push back: Last month, 75 doctors in northern Wisconsin [demanded] . . . health reforms . . . requiring that 95 percent of insurance premiums be used on medical care. The movement was ignited when a surgeon, Dr. Hans Rechsteiner, discovered that a brief outpatient appendectomy he had performed for a fee of $1,700 generated over $12,000 in hospital bills, including $6,500 for operating room and recovery room charges.

That $12,000 tab, for what it’s worth, is slightly under the U.S. average.

Cross-posted at Pacific Standard.

Jay Livingston is the chair of the Sociology Department at Montclair State University. You can follow him at Montclair SocioBlog or on Twitter.

In the wake of Elliot Rodger’s misogynistic killing spree, the media’s role in male entitlement and violence against women has brought commentators to virtual blows.  One right hook came from Ann Hornaday, who argues in the Washington Post that male entitlement fantasies are part of a climate in which women are displayed as objects for the sexual fulfillment of men.  This post is about how full frontal nudity in True Blood, Hung, and Game of Thrones contributes to this climate.

True Blood.

While there are dozens of examples of full frontal female nudity in True Blood’s six-season run, from lead actors to extras, there are only two instances of full frontal male nudity.

A striking example of the exploitation of women as sex objects is in the appearance and figure of Lillith, a vampire goddess who is featured rising from a pool of blood, walking around fully nude for extended scenes. Her minions do the same and are also shown full frontal.

When a male character drinks Lillith’s blood and effectively becomes her, he too rises out of the pool of blood. But unlike the actresses associated with Lilith before, the camera cuts away before reaching his waist. In another stark example, vampires hold several dozen humans captive. While all the humans are naked, men in one cage and women in another, it is only the women who are displayed fully frontally nude. When the werewolf packs in True Blood disrobe to turn into wolves, again it is only the females who are demonstrated fully frontal.

Hung.

Hung is a program about a down-on-his-luck teacher who, because of his large penis, became a prostitute. Though the entire show is about Ray Drecker’s member, we only get one brief glimpse of it — and not even the whole — yet his clients and sexual partners are often shown fully frontal.

Even when a show is about the sexual objectification of a man and his sexual organ, it’s still women who are the default sex objects.

Game of Thrones.

Game of Thrones has come under fire for its sexism, misogyny, gratuitous nudity, and violence against women.  As usual, women are portrayed fully frontally nude in most Game of Thrones episodes, even when their male sexual partners are not. This is especially striking in the many brothel scenes (unnecessarily) scattered about the seasons; even when there are both male and female prostitutes, only the women are shown full monty.

To date there has been only one full frontal male on Game of Thrones: Theon Greyjoy. Through a horrific series of events, Theon is tortured and castrated. In episode six of season four — “The Laws of Gods and Men” — we are offered once again a gratuitous display of naked women in a bathhouse. In the same episode Theon is also offered a bath and while his full frontal, for once, would have actually been part of the plot, we do not see it.

In episode eight — “The Mountain and the Viper” — we are given another bathing scene in which members of the Unsullied, an army of castrated men, bathe in the vicinity of women in the same convoy. Surprise, surprise, the women are fully frontal and the men are not. Even sans one particular physical marker of male sexuality, these castrated men are deemed unseeable.

Neil Marshall, who directed the Blackwater Bay siege episode in Game of Thrones‘ 2nd season, recently spoke about how he was urged by a producer to include more full frontal female nudity.  The producer explained that he was “not on the drama side of things,” meaning that he didn’t care about the story. Instead, he said, he was on the “perv side of the audience.”  This is concrete evidence that orders for the systematic sexual objectification of women comes from upper management.

***

Ultimately, nudity is rarely necessary to further a storyline.  Women’s nudity isn’t about plot, it’s about treating women as objects and men as human beings.  The problem is systemic. Women’s bodies exist in many of HBO’s varied worlds to serve men, circling us back to a culture of male entitlement that, in the case of Rodgers at least, led directly to violence.

Sezin Koehler is an informal ethnographer and novelist living in Florida. You can find her on Twitter and Facebook.

Cross-posted at Pacific Standard.

In Generation Me and The Narcissism Epidemic, psychologist Jean Twenge argues that we’re all becoming more individualistic.  One measure of this is our willingness to go against the crowd.  She offers many types of evidence, but I was particularly intrigued by her discussion of the afterlife of a famous experiment in psychology.

In 1951, social psychologist Solomon Asch placed eight male Swarthmore students around a table for an experiment in conformity.  They were asked to consider two cards, one with three lines of differing lengths and another with one line.  He asked each student, one by one, which line on the card of three was the same length as the lone line on the second card. Each group looked at 18 pairs of cards like this:

Asch was only interested in the last student’s response.  The first seven were confederates. In six trials, Asch instructed all the confederates to give the correct answer.  In twelve, however, the other seven would all choose the same obviously wrong answer.  Asch counted how often the eighth student would go against the crowd in these cases, breaking consensus and offering up a solitary, but correct answer.

He found that conformity was surprisingly common.  Three-quarters of the study subjects incorrectly went with the majority in at least one trial and a third did so half the time or more.  This was considered a stunning example of people’s willingness to lie about what they are seeing with their own eyes in order to avoid rocking the boat.

But then there was Vietnam and anti-war protesters, hippies and free love, the women’s and gay liberation movement, and civil rights victories.  By the 1960s, it was all about rejecting the establishment, saying no, and envisioning a more authentic life.  Things changed. And so did this experiment.

By the mid-1990s, there were 133 replications of Asch’s study.  Psychologists Rod Bond and Peter Smith decided to add them all up.  They found that the tendency for individuals to conform to the group fell over time.

One of the abstract take-away points from this is that our psychologies — indeed, even our personalities — are malleable.   In fact, the results of many studies, Twenge writes, suggest that “when you were born has more influence on your personality than the family who raised you.” When encountering claims of timeless and cultureless truths about human psychology, then, it is always good to ask ourselves what scientists might find a few decades later.

Cross-posted at Pacific Standard.

Lisa Wade, PhD is an Associate Professor at Tulane University. She is the author of American Hookup, a book about college sexual culture; a textbook about gender; and a forthcoming introductory text: Terrible Magnificent Sociology. You can follow her on Twitter and Instagram.

At Sociological Images, we make research methods fun!

Not really.

But here we go!

Scholars testing a research hypothesis have to be worried about two kinds of errors. Type I is failing to reject a false hypothesis.  The hypothesis is wrong, but it looks right to you.  That’s a false positive.

Type II is rejecting a true hypothesis incorrectly.  In fact, your hypothesis is correct, but your data suggests that it’s false. That’s a false negative.

Test time!

Which one is which?

You’re welcome everybody!

Here’s as far back as I could trace the source. If anyone knows where this came from, please let me know. :)

Lisa Wade, PhD is an Associate Professor at Tulane University. She is the author of American Hookup, a book about college sexual culture; a textbook about gender; and a forthcoming introductory text: Terrible Magnificent Sociology. You can follow her on Twitter and Instagram.

According to data gathered from the Corpus of Contemporary American English by linguistics PhD student Nic Subtirelu, women are called “pushy” twice as often as men, while men are more likely to be described as “condescending.”

At his blog, Linguistic Pulse, Subtirelu argues:

Condescending seems to differ from pushy and bossy in an important way, namely that it seems to acknowledge the target’s authority and power even if it does not fully accept it.

Subtirelu has also ran the numbers for “bossy” and found that it was used to described women 1.5 times more often than men.

Lisa Wade, PhD is an Associate Professor at Tulane University. She is the author of American Hookup, a book about college sexual culture; a textbook about gender; and a forthcoming introductory text: Terrible Magnificent Sociology. You can follow her on Twitter and Instagram.

In the late 1800s, male Chinese immigrants were brought to the U.S. to work on the railroads and as agricultural labor on the West Coast; many also specialized in laundry services. Some came willingly, others were basically kidnapped and brought forcibly.

After the transcontinental railroad was completed, it occurred to white Americans that Chinese workers no longer had jobs. They worried that the Chinese  might compete with them for work. In response, a wave of anti-Chinese (and, eventually, anti-Japanese) sentiment swept the U.S.

Chinese men were stereotyped as degenerate heroin addicts whose presence encouraged prostitution, gambling, and other immoral activities.  A number of cities on the West Coast experienced riots in which Whites attacked Asians and destroyed Chinese sections of town. Riots in Seattle in 1886 resulted in practically the entire Chinese population being rounded up and forcibly sent to San Francisco. Similar situations in other towns encouraged Chinese workers scattered throughout the West to relocate, leading to the growth of Chinatowns in a few larger cities on the West Coast.

The anti-Asian movement led to the Chinese Exclusion Act of 1882 and the Gentlemen’s Agreement (with Japan) of 1907, both of which severely limited immigration from Asia.  Support was bolstered with propaganda.

Here is a vintage “Yellow Peril” poster. The white female victim at his feet references the fact that most Chinese in the U.S. were male–women were generally not allowed to immigrate–and this poster poses them as a threat to white women and white men’s entitlement to them:

“Why they can live on 40 cents a day…and they can’t,” this poster says, referring to the fact that white men can’t possibly compete with Chinese workers because they need to support their moral families.  The Chinese, of course, usually didn’t have families because there were almost no Chinese women in the U.S. and white women generally would not marry a Chinese man.

The following images were found at the The History Project at the University of California-Davis.

This is the cover for the song sheet “The Heathen Chinese”:

According to the History Project, this next image was accompanied by the following text:

A judge says to Miss Columbia, “You allowed that boy to come into your school, it would be inhuman to throw him out now — it will be sufficient in the future to keep his brothers out.” Note the ironing board and opium pipe carried by the Chinese. An Irish American holds up a slate with the slogan “Kick the Heathen Out; He’s Got No Vote.”

The following counter-propaganda pointed out how immigrants from other countries were now working to keep Chinese immigrants out. The bricks they’re carrying say things like “fear,” “competition,” “jealousy,” and “non-reciprocity.”

During World War II, attitudes toward the Chinese shifted as they became the “good” Asians as opposed to the “bad” Japanese. However, it wasn’t until the drastic change in immigration policy that occurred in 1965, with the passage of the Immigration and Nationality Act, that Asia (and particularly China) re-became a major sending region for immigrants to the U.S.

This post originally appeared in 2008.

Gwen Sharp is an associate professor of sociology at Nevada State College. You can follow her on Twitter at @gwensharpnv.

A new study of 10,000 Americans by the Pew Research Center finds that political polarization is more extreme than it’s been anytime in the last 20 years.  The median (or middle) Democrat and Republican are farther away from each other politically than in 2004 or 1994.  “Today,” reports Pew, “92% of Republicans are to the right of the median Democrat, and 94% of Democrats are to the left of the median Republican.”

Animosity has grown as well.  Over a quarter of Democrats and a third of Republicans see the other side as a “threat to the nation’s well being.”  In total, 38% of Democrats and 43% of Republicans judge the other side to be “very unfavorable.”

Even more dramatically, it is the people at the extremes who are most likely to vote in elections and contribute to candidates.  Today’s America is highly polarized, then, but the voting booth is even more so.

Pew concludes by noting that, even given this polarization, the majority of Americans are in the middle and are open to compromise between parties.  These individuals, however, are less politically active, whether out of disinterest or distaste for the rancor, leaving politics to the most extreme among us.

Cross-posted at Pacific Standard.

Lisa Wade, PhD is an Associate Professor at Tulane University. She is the author of American Hookup, a book about college sexual culture; a textbook about gender; and a forthcoming introductory text: Terrible Magnificent Sociology. You can follow her on Twitter and Instagram.

Earlier this year, Barbie posed for Sports Illustrated, triggering a round of eye-rolling and exasperation among those who care about the self-esteem and overall mental health of girls and women.

Barbie replied with the hashtag #unapologetic, arguing in an — I’m gonna guess, ghostwritten — essay that posing in the notoriously sexist swimsuit issue was her way of proving that girls could do anything they wanted to do.  It was a bizarre appropriation of feminist logic alongside a skewering of a feminist strawwoman that went something along the lines of “don’t hate me ’cause I’m beautiful.”

Barbie is so often condemned as the problem and Mattel, perhaps tired of playing her endless defender, finally just went with: “How dare you judge her.”  It was a bold and bizarre marketing move.  The company had her embrace her villain persona, while simultaneously shaming the feminists who judged her.  It gave us all a little bit of whiplash and I thought it quite obnoxious.

But then I came across Tiffany Gholar’s new illustrated book, The Doll Project.  Gholar’s work suggests that perhaps we’ve been too quick to portray Barbie as simply a source of young women’s self-esteem issues and disordered eating.  We imagine, after all, that she gleefully flaunts her physical perfection in the face of us lesser women.  In this way, Mattel may be onto something; it isn’t just her appearance, but her seemingly endless confidence and, yes, failure to apologize, that sets us off.

But, maybe we’re wrong about Barbie?

What if Barbie is just as insecure as the rest of us?  This is the possibility explored in The Doll Project.  Using a mini diet book and scale actually sold by Mattel in the 1960s, Gholar re-imagines fashion dolls as victims of the media imperative to be thin.  What if  Barbie is a victim, too?

Excerpted with permission:

Forgive me for joining Mattel and Gholar in personifying this doll, but I enjoyed thinking through this reimagining of Barbie. It reminded me that even those among us who are privileged to be able to conform to conventions of attractiveness are often suffering.  Sometimes even the most “perfect” of us look in the mirror and see nothing but imperfection.  We’re all in this together.

Cross-posted at Pacific Standard and Adios Barbie.

Lisa Wade, PhD is an Associate Professor at Tulane University. She is the author of American Hookup, a book about college sexual culture; a textbook about gender; and a forthcoming introductory text: Terrible Magnificent Sociology. You can follow her on Twitter and Instagram.