Dec 3, 2009

Google and the New Digital Future - NYRB

search inside books via Scriblio and Google Bo...Image by Scriblio via Flickr

by Robert Darnton

November 9 is one of those strange dates haunted by history. On November 9, 1989, the Berlin Wall fell, signaling the collapse of the Soviet empire. The Nazis organized Kristallnacht on November 9, 1938, beginning their all-out campaign against Jews. On November 9, 1923, Hitler's Beer Hall Putsch was crushed in Munich, and on November 9, 1918, Kaiser Wilhelm II abdicated and Germany was declared a republic. The date especially hovers over the history of Germany, but it marks great events in other countries as well: the Meiji Restoration in Japan, November 9, 1867; Bonaparte's coup effectively ending the French Revolution, November 9, 1799; and the first sighting of land by the Pilgrims on the Mayflower, November 9, 1620.

On November 9, 2009, in the district court for the Southern District of New York, the Authors Guild and the Association of American Publishers were scheduled to file a settlement to resolve their suit against Google for alleged breach of copyright in its program to digitize millions of books from research libraries and to make them available, for a fee, online. Not comparable to the fall of the Berlin Wall, you might say. True, but for several months, all eyes in the world of books—authors, publishers, librarians, and a great many readers—were trained on the court and its judge, Denny Chin, because this seemingly small-scale squabble over copyright looked likely to determine the digital future for all of us.

Google has by now digitized some ten million books. On what terms will it make those texts available to readers? That is the question before Judge Chin. If he construes the case narrowly, according to precedents in class-action suits, he could conclude that none of the parties had been slighted. That decision would remove all obstacles to Google's attempt to transform its digitizing of texts into the largest library and book-selling business the world has ever known. If Judge Chin were to take a broad view of the case, the settlement could be modified in ways that would protect the public against potential abuses of Google's monopolistic power.



That Google's enterprise (Google Book Search, or GBS) threatened to become an overweening monopoly became clear when the Department of Justice filed a memorandum with the court warning about the likelihood of a violation of antitrust legislation. More than four hundred other memorandums and amicus briefs also provided warnings about mounting opposition to GBS. In the face of this opposition, Google and the plaintiffs petitioned the court to delay a hearing that was scheduled for October 17 so that they could rework the settlement. Judge Chin set November 9 as the deadline when the new version of the settlement would be unveiled.

The great event turned out to be a dud, however. At the last minute, Google and the plaintiffs asked Judge Chin to grant another extension. He gave them four more days, so the witching hour finally took place not on November 9 but on a less auspicious date, Friday the 13th.

Why did the deadline look so monumental? The terms of the settlement will have a profound effect on the book industry for the foreseeable future. On the positive side, Google will make it possible for consumers to purchase access to millions of copyrighted books currently in print, and to read them on hand-held devices or computer screens, with payment going to authors and publishers as well as Google. Many millions more—books covered by copyright but out of print, at least seven million in all, including untold millions of "orphans" whose rightsholders have not been identified—will be available through subscriptions paid for by institutions such as universities. The database, along with books in the public domain that Google has already digitized, will constitute a gigantic digital library, and it will grow over time so that someday it could be larger than the Library of Congress (which now contains over 21 million catalogued books). By paying a moderate subscription fee, libraries, colleges, and educational institutions of all kinds could have instant access to a whole world of learning and literature.

But will the price be moderate? The negative arguments stress the danger that monopolies tend to charge monopoly prices. Equally important, they warn that Google's dominance of access to books will reinforce its power over access to other kinds of information, raising concerns about privacy (Google may be able to aggregate data about your reading, e-mail, consumption, housing, travel, employment, and many other activities). The same dominance also raises questions about both competition (the class-action character of the suit could make it impossible for another entrepreneur to digitize orphan works, because only Google will be protected from litigation by rightsholders) and commitment to the public good. As a commercial enterprise, Google's first duty is to provide a profit for its shareholders, and the settlement leaves no room for representation of libraries, readers, or the public in general.

An extensive argument about the pros and cons could turn Judge Chin's courtroom into a forum where the full range of literary questions would be dramatized by debate. No courtroom drama took place on November 13, because nothing happened other than the filing of the revised settlement (call it GBS 2.0 to distinguish it from the original version of the settlement, GBS 1.0). But the filing was important in itself, because it marked the denouement of years of hard bargaining over who would control a large stretch of the digital landscape that is just now coming into view.

To be sure, GBS 2.0 will certainly be challenged by groups and individuals who claim they were not fairly represented in the classes of authors and publishers. The case may take years to work its way through the courts. Meanwhile, Google will go on digitizing; and as the legal situation evolves, it may devise further revisions of the settlement (GBS 3.0, GBS 4.0, etc.). The public will have to study all the new versions of the settlement in order to stay informed about the rules of the game while the game is being played. Who ultimately wins is not simply a matter of competition among potential entrepreneurs but an issue of enormous importance to everyone who cares about books, even though the public is reduced to the role of spectator.

As the first step toward a resolution, the filing on November 13 suggested just how far Google is willing to go in modifying the original settlement. Google's spokesman hailed the revised version as providing all the benefits and none of the defects that one could expect. According to Dan Clancy, Google Books engineering director,

Google is still very excited about this agreement.... We look forward to continuing to work with rightsholders from around the world to fulfill our longstanding mission of increasing access to all the world's books.

But the arguments in favor of the reworked settlement came from Google and the plaintiffs who will become its collaborators if their deal is approved. To get a sense of the counterarguments, one can survey the memorandums and amicus briefs that were filed with the court before November 9.[*] The protests that came from Europe are the most revealing. Although they concentrate on issues of special importance to foreigners—above all, the incompatibility of American class-action suits with protection for copyright holders who are not Americans—they show how the settlement was seen from a distant perspective.

The governments of France and Germany sent memorandums urging the court to reject the settlement "in its entirety" or at least insofar as it applied to their own citizens. Far from seeing any potential public good in it, they condemned it for creating an "unchecked, concentrated power" over the digitization of a vast amount of literature (this according to the French memorandum) and for doing so (according to the Germans) by a "commercially driven" agreement negotiated "in secrecy...behind closed doors by three interested parties, the Authors Guild, the Association of American Publishers and Google, Inc."

In contrast to the commercial character of Google's enterprise, both governments stressed the higher values represented by their national literatures. The French began their memorandum by invoking Pascal, Descartes, Molière, Racine, and other writers through Camus and Sartre, while the Germans summoned up the line that led from Goethe and Schiller to Heinrich Böll and Günter Grass. Each country cited the number of its Nobel Prize winners in literature (France sixteen, Germany twelve), and each buttressed its case by other evidence of high-mindedness. The Germans insisted on Gutenberg and his contribution to "the spread of science and culture." The French cited the Declaration of the Rights of Man and of the Citizen from 1789 and the Universal Declaration of Human Rights of 1948 in order to uphold the principle of "free access to information" threatened by Google's "de facto monopoly."

It is an odd spectacle: foreign governments defending a European notion of culture against the capitalistic inroads of an American company, and submitting their case to Judge Denny Chin of the Southern District Court of New York. What Judge Chin, who grew up in Hell's Kitchen in a family of poor Chinese immigrants (and won a scholarship to Princeton University) made of it all is difficult to say. He did not tip his hand on November 13, nor did he say when a hearing would take place.

In playing the cultural card, the French emphasized the unique character of the book, "a product unlike other products"—its power to capture creativity, to enrich civilization, and to promote diversity, which, they claimed, would be compromised by Google's commitment to commercialization. The Germans spoke in the name of "the land of poets and thinkers," but they laid most stress on the right of privacy, which, they argued, Google could threaten by keeping data on who reads what. Both governments then listed a series of subsidiary arguments, which were nearly the same, word for word—unsurprisingly, as they engaged the same legal counsel:

1. The settlement gives Google a virtual monopoly over orphan works, even though it has no claim to their copyrights.
2. Its opt-out provision, which means that authors will be deemed to have accepted the settlement unless they notify Google to the contrary, violates the rights inherent in authorship.
3. It contains a most-favored- nation clause—i.e., a provision that prevents a potential competitor from obtaining better terms than Google in any new commercial uses of the digitized books. The terms of such future enterprises will be determined by a Books Rights Registry composed exclusively of representatives of the authors and publishers. The Registry will keep track of copyrights and cooperate with Google in setting prices.
4. It gives Google the power to censor its database by excluding up to 15 percent of the digitized works.
5. Its guidelines for pricing will promote Google's commercial interests, not the good of the public, through the use of algorithms created by Google according to Google's secret methods.
6. It favors secrecy in general, hiding audit procedures, preventing the public from attending meetings in which Google and the Registry will discuss library matters, and even requiring Google, the authors, and publishers to destroy all documents relevant to their agreement on the settlement.

Above all, the French and Germans condemned the settlement for sanctioning the "uncontrolled, autocratic concentration of power in a single corporate entity," which threatened the "free exchange of ideas through literature." To drive the point home, they both noted that Google has taken in more revenue than many countries—$22 billion in 2008.

The same points were made in a hearing before the European Commission on September 7 by the three most important international library associations: the International Federation of Library Associations (IFLA), the European Bureau of Library, Information and Documentation Associates (EBLIDA), and the Ligue des Bibliothèques Européennes de Recherche (LIBER). In nearly identical testimony, all three stressed the danger that "a large proportion of the world's heritage of books in digital format will be under the control of a single corporate entity."

It was Google's sheer power that gave them pause. They summoned up the prospect of a digital library of 30 million books that would cost $750 million, and they concluded that Google would exercise something close to hegemony in the book world. Therefore, they appealed to the European Commission to defend the interests of the public by preventing Google from abusing its power.

Some of these associations submitted similar statements to the New York court. So did hundreds of other groups and individuals. After reading through them, one has the impression of a sense of alarm gathering force and rising to the surface of a collective consciousness. As November 9 approached, it did indeed promise to be a day of destiny, when we would begin to see into our digital future and to face the forces that might determine it.

Where was the Department of Justice in the pre-November debate? It, too, submitted a memorandum for the court's consideration. After months of investigating potential violations of antitrust law, the DOJ pointed to two serious difficulties: the possibility of horizontal agreements among authors and publishers to restrict price competition and the further restriction of competition by Google's de facto exclusive rights to the digital distribution of orphan works. Competitors would be denied access to millions of orphans, the memorandum argued, because they would not enjoy the immunity from suits for copyright infringement that the settlement reserves to Google. Moreover, the settlement's equivalent of a most-favored-nation clause would prevent all competitors from obtaining better terms than Google's even if they could put together an attractive database. Instead of expatiating in the European manner on the danger to the world's literary heritage, the DOJ warned about something concrete: the "risk of market foreclosure."

What to do? Far from sounding hostile to Google Book Search, the DOJ acknowledged its potential to promote the public good and announced, "The United States does not want the opportunity or momentum to be lost." The memorandum could therefore be read as a prescription for a way to save the settlement. It concentrated on the most hotly debated provisions—those concerning the approximately seven million out-of-print but in-copyright books, especially orphans—and it suggested the following changes:

1. Require rightsholders of out-of-print books to participate in the settlement by opting in instead of operating from the assumption that they had agreed to participate unless they opted out. The shift to an opt-out default would remove Google's control of books whose rightsholders cannot be identified or do not come forward.
2. Do not distribute the profits from the sale of orphan books to the parties of the settlement (Google and the authors and publishers) but rather use the money to fund a thorough search for the unknown rightsholders, and extend the search for a long period of time.
3. Appoint guardians to protect the interests of orphan rightsholders by serving on the registry.
4. Find some mechanism by which potential competitors to Google could gain access to orphan works without exposure to suits for infringement of copyright. Presumably this would require legislation by Congress.
5. Prevent Google from using out-of-print works in new commercial products without the owner's permission.

The DOJ said it would continue to investigate the potential violation of antitrust laws, and it concluded with an unambiguous imperative: "This Court should reject the Proposed Settlement in its current form...." But its recommendations for an improved settlement did not go far—not nearly as far as those suggested by the governments of France and Germany and many other critics. The DOJ said nothing about the need for monitoring prices, protecting privacy, preventing censorship, providing representation of the public on the registry, and requiring full disclosure of Google's secret data. If the DOJ encouraged Judge Chin to take a broad view of the settlement, it did not open the door wide.

The revised settlement, or GBS 2.0, released on November 13, reads as if Google and the plaintiffs took most of their cues from the DOJ's memorandum. In a clear concession to the DOJ's criticisms, GBS 2.0 provides that the Registry will include a court-appointed guardian to represent the rightsholders of unclaimed books. But it does not switch to an opt-out provision for such rightsholders—that is, according to GBS 2.0, any owner of a copyright of an out-of-print book would be deemed to accept the settlement unless he or she rejected it. Because millions of books, primarily orphans, fall into this category where the rightsholders are difficult to identify, Google alone would enjoy immunity from prosecution by any rightsholders who might turn up—and the exposure to litigation, which could easily reach $150,000 per title, would be enough to prevent any competitor from entering the field. Instead of providing a solution to the problem of orphan works, GBS 2.0 leaves Google in command of their commercialization, pending eventual legislation by Congress.

As to revenue from the sale of orphan books, GBS 2.0 complies with the DOJ's insistence that the money not go to Google and the plaintiffs. Instead it will be spent in efforts to search for the unidentified rightsholders; and after being held for ten years, the funds will be distributed to charities determined by court order.

GBS 2.0 also follows the DOJ's recommendation to abandon the most-favored-nation clause. Google's competitors would be able to license out-of-print books in retail enterprises —that is, in selling individual works to consumers—although Google would maintain exclusive control of the institutional subscriptions to its gigantic database.

How the price of those subscriptions will be set remains unclear. GBS 2.0 has some language explaining the way its pricing algorithm will work, but it contains no effective mechanism to prevent price gouging, no provision for an antitrust consent decree that would empower a public authority to monitor prices, and no way to protect the public from excessive pricing should Google be taken over in the future by rapacious speculators.

GBS 2.0 does not therefore differ in essentials from GBS 1.0. It largely ignores the objections of foreign governments, except in one crucial respect: it partly meets the objections by narrowing the scope of GBS to books published in the United States and to countries with similar legal systems—that is, the United Kingdom, Canada, and Australia. Google will not display books published in countries like France and Germany, and it will give them representation on the Registry to protect their interests. Just what proportion of unclaimed works will now be excluded from the settlement by this concession remains to be clarified.

Will these concessions be enough to mollify Google's critics outside the Department of Justice who are not parties to the settlement? Probably not, judging from a statement issued on November 13 by the Open Book Alliance, whose members include Microsoft, Amazon, and Yahoo:

By performing surgical nip and tuck, Google, the AAP [Association of American Publishers], and the AG [Authors Guild] are attempting to distract people from their continued efforts to establish a monopoly over digital content access and distribution; usurp Congress's role in setting copyright policy; lock writers into their unsought registry, stripping them of their individual contract rights; put library budgets and patron privacy at risk; and establish a dangerous precedent by abusing the class action process.

What then is the outlook for the future? No one can predict the fate of the settlement as it bounces from court to court; but if the public good should be taken into consideration, one can imagine two general solutions to the problems posed by GBS, one maximal, one minimal.

The most ambitious solution would transform Google's digital database into a truly public library. That, of course, would require an act of Congress, one that would make a decisive break with the American habit of determining public issues by private lawsuit. The legislation would have to settle ancillary problems—how to adjust copyright, deal with orphan books, and compensate Google for its investment in digitizing—but it would have the advantage of clearing up a messy legal landscape and of giving the American people what they deserve: a national digital library equal to the needs of the twenty-first century. But it is not clear how Google would react to such a buyout.

If state intervention is deemed to go too far against the American grain, a minimal solution could be devised for the private sector. Congress would have to intervene with legislation to protect the digitization of orphan works from lawsuits, but it would not need to appropriate funds. Instead, funding could come from a coalition of foundations. The digitizing, open-access distribution, and preservation of orphan works could be done by a nonprofit organization such as the Internet Archive, a nonprofit group that was built as a digital library of texts, images, and archived Web pages. In order to avoid conflict with interests in the current commercial market, the database would include only books in the public domain and orphan works. Its time span would increase as copyrights expired, and it could include an opt-in provision for rightsholders of books that are in copyright but out of print.

The work need not be done in haste. At the rate of a million books a year, we would have a great library, free and accessible to everyone, within a decade. And the job would be done right, with none of the missing pages, botched images, faulty editions, omitted artwork, censoring, and misconceived cataloging that mar Google's enterprise. Bibliographers—who appear to play little or no part in Google's enterprise—would direct operations along with computer engineers. Librarians would cooperate with both in order to assure the preservation of the books, another weak point in GBS, because Google is not committed to maintaining its corpus, and digitized texts easily degrade or become inaccessible.

This digitizing process could be subsidized as part of the Obama administration's economic stimulus, and the overall cost, spread out over ten to twenty years, would be manageable, perhaps $750 million in all. Meanwhile, Google and anyone else would be free to exploit the commercial sector. The national digital library could be composed from the holdings of the Library of Congress alone or, failing that, from research libraries that have not opened all their collections to Google.

Perhaps other solutions could be devised. If the court did not resolve the Google Book Search problem on November 13, at least it had the potential to concentrate minds and stimulate public debate. We are agreed that something must be done to improve the nation's health. Why not do something to enrich its culture?

—November 18, 2009

Notes

[*]The texts of the documents can be consulted at dockets.justia.com/docket/court-nysdce/case_no-1:2005cv08136/case_id-273913.


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Dec 2, 2009

New Hopes on Health Care for American Indians

Entering the Fort Apache Indian Reservation, s...Image via Wikipedia


The meeting last month was a watershed: the leaders of 564 American Indian tribes were invited to Washington to talk with cabinet members and President Obama, who called it “the largest and most widely attended gathering of tribal leaders in our history.”
Topping the list of their needs was better health care.
“Native Americans die of illnesses like tuberculosis, alcoholism, diabetes, pneumonia and influenza at far higher rates,” Mr. Obama said. “We’re going to have to do more to address disparities in health care delivery.”
The health care overhaul now being debated in Congress appears poised to bring the most significant improvements to the Indian health system in decades. After months of negotiations, provisions under consideration could, over time, direct streams of money to the Indian health care system and give Indians more treatment options.
Some proposals, like exempting Indians from penalties for not obtaining insurance, may meet resistance from lawmakers opposed to expanding benefits for Indians, many of whom receive free medical care.
But advocates say the changes recognize Indians’ unique status and could ease what Senator Byron L. Dorgan, Democrat of North Dakota, calls “full-scale health care rationing going on on Indian reservations.”
“We’ve got the ‘first Americans’ living in third world conditions,” Mr. Dorgan said.
Mr. Obama has emphasized Indian issues more than most presidents. He campaigned on reservations, created a senior policy adviser for Native American affairs and appointed Kimberly Teehee, a Cherokee, to the post, and gave Indians other high-ranking positions.
He has proposed a budget increase of 13 percent for the federal Indian Health Service, which provides free care to 1.9 million Indians who belong to federally recognized tribes, most of whom live on tribally owned land. The service, which had a budget this year of $3.3 billion, has also received $500 million in stimulus money for construction, repairs and equipment.
“This new administration has been much more positive,” said W. Ron Allen, chairman of the Jamestown S’Klallam tribe in Washington State and treasurer of the National Congress of American Indians, adding that the Congressional proposals provide “a very impressive opportunity to close the gap in Indian health care.”
On Thursday, the Senate Indian Affairs Committee is scheduled to discuss other Indian health issues that could end up in the overhaul bill.
Indians could benefit from broader overhaul programs for low-income and uninsured citizens, but they do not want to relinquish the health care they claim as a historical right.
“Indian people have given up a lot,” said Dr. Yvette Roubideaux, director of the Indian Health Service. “They really feel like they have, in a sense, prepaid for this health care with loss of land, natural resources, loss of culture.”
‘List Goes On and On’
In the vast, varied territory called Indian Country, health care is stung with struggle.
Too few doctors. Too little equipment. Hospitals and clinics miles of hardscrabble road away.
In cities, where over half of the country’s roughly 3 million Indians now live (and nearly 5 million including part-Indians), only 34 programs get Indian Health Service funding, providing mostly basic care and arranging more advanced care and coverage elsewhere.
While some Indians have private insurance, often through employers or tribal businesses like casinos, a third are uninsured and a quarter live in poverty. By all accounts, the Indian Health Service is substantially underfunded.
Money shortages, bureaucracy and distance can delay treatment of even serious conditions for months, even years.
Many Indians face multiple roadblocks.
Joanna Quotskuyva’s breast cancer did not require a mastectomy, but she chose to have surgery because radiation would mean months of driving five hours round-trip from her home on the Hopi reservation in Kykotsmovi, Ariz.
Many make similar choices, because “unfortunately, we don’t have the capability,” said Dr. Joachim Chino, chief of surgery at the nearest hospital, the Tuba City Regional Health Care Corporation. Treating large swaths of the Hopi and Navajo reservations — the Navajo alone is the size of West Virginia — is inherently difficult.
Despite its dedicated medical staff, the hospital struggles “to bring, right here, appropriate state-of-the-art, specialty, critical-care medicine,” said Joseph Engelken, the hospital’s chief executive.
While the Indian health system has improved nationally and Indians are living longer, Dr. Roubideaux acknowledged problems, not all from underfunding, saying, “The list goes on and on in terms of areas that need improvement.”
Sometimes urgent “life or limb” cases get attention, while others, some serious, must wait.
Dr. David Yost, clinical director at the White Mountain Apache reservation in Arizona, cited “piles of care we have to put on the back burner,” including 150 cases this summer, some “waiting a year and a half.” This budget year, he said, 40 patients are still waiting, and about “10 people a month” are added to the list.
Ronnye Manuelito, 56, a Navajo in Naschitti, N.M., said he “almost felt like giving up” after waiting for brain surgery to quell blackouts, seizures and headaches experienced over three years from a shifting metal plate in his head from a childhood carousel injury.
One time he “left the stove on in the kitchen and passed out,” and another he had a seizure in a car, said his sister, Brenda. His Indian Health Service doctor “was trying to get him a referral to a specialist in Albuquerque, but they weren’t approving it because it wasn’t life-or-limb,” she said.
Ultimately, two surgical procedures helped him.
Dr. Roubideaux, speaking generally, said, “There are some places where funding is so short and there are so few health care providers, unfortunately people may have to wait quite a long time.”
A former reservation doctor herself, Dr. Roubideaux said she would see “someone who maybe had chronic knee pain and a little bit of surgery would help, yet the person was still walking,” making it non-life-threatening. “It’s really heartbreaking,” she said.
In cities, scarce Indian facilities and patchwork insurance can mean “a woman with a lump in her breast — we can’t guarantee we can get her into treatment in a reasonable period,” said Ralph Forquera, the executive director of the nonprofit Seattle Indian Health Board. “A cardiac problem? We can’t guarantee that person can get to see a specialist.”
Sometimes, Mr. Forquera said, when that woman is treated, “the lump has metastasized.” He added, “We’ve had people actually die on waiting lists.”
Jackie BirdChief, 46, a single mother with thyroid cancer, did not have to wait. She just had to move 200 miles from Phoenix to the Apache reservation she left in 1983, leaving her city, her job and, for months, her daughter, then 14. She moved because cost containment rules link coverage for care to establishing residency on reservations.
Ms. BirdChief, a secretary, was lucky because the Indian Health Service, her employer, “manipulated the system to make it work out for her,” Dr. Yost said. It found her jobs on the reservation, he said, “whereas someone working in a grocery store would have had to quit their job — or decide if they wanted to have the procedure.”
Still, Dr. Yost said, Ms. BirdChief “was a victim of our system, and ironically, she worked for the Indian health system.”
Living on a reservation, however, does not ensure accessible care.
Ruby Biakeddy’s six-sided hogan, a traditional Navajo home, without running water or a phone, is an hour’s drive on a dirt road from drinking water, and even farther from diabetes and blood pressure medication. Since her truck got swept away in a rain-swollen ditch five years ago, Ms. Biakeddy, 67, who tends sheep, must borrow her children’s vehicles.
“I recently ran out of the medicine I inject for a week,” she said in Navajo through a translator.
Serious cases, where getting care within the “golden hour” after problems start is critical, can also suffer. “For many of our patients,” said Dr. Anne Newland, acting clinical director of a clinic in Kayenta, Ariz., “that hour is gone by the time they get to us.”
Ciara Antone, 4, died on the Navajo reservation outside Tuba City from an apparent bowel obstruction. Her mother, Genita Yazzie, called 911, but said that with the distance and road conditions, the ambulance was two hours away.
“I kept telling the dispatcher, ‘My daughter’s coding, she’s not breathing,’ ” Ms. Yazzie said. Desperate, she drove to the closer Hopi reservation to get an ambulance, but by then, “they couldn’t bring her back.”
Whether a closer ambulance could have saved her daughter is unclear (the family has sued the non-Indian hospital that treated her). Henry Wallace, director of Navajo Emergency Medical Services, which Ms. Yazzie called first for an ambulance, declined to discuss the case, but said, “the geographic area is so large that the time factor is probably the biggest problem we have.”
“We really don’t have a golden hour,” he said. “Ours could be the golden three hours.”
Staffing shortages exacerbate things. Recently, Kayenta began closing its emergency room overnight, making Tuba City, at 90 minutes away, the closest hospital. At Indian hospitals and clinics nationally, a fifth of physician positions and a quarter of the nursing slots are unfilled.
Patients contribute to the frustrations. Nearly a third do not show up for scheduled surgery at Tuba City, often citing distance or cost.
Richard White, 61, acknowledged taking his medicine sporadically and drinking, aggravating his diabetes. He went blind, lost a toe and, during a Navajo medicine-man ceremony that he hoped would restore his vision, burned his other foot, which was then amputated.
“Stare at these incredible statistics, you become overwhelmed,” Dr. Yost said. “It’s like drinking out of a fire hydrant.”
Keeping a Promise
Congress’s goal, in using penalty and co-payment exemptions, is to encourage Indians to enroll in proposed programs like subsidized private insurance or expanded Medicaid, while respecting their sovereignty and the conviction that they are owed health care.
That conviction and bureaucratic hurdles have kept many eligible Indians from enrolling in Medicaid. But getting insurance allows Indians to receive care from more providers and allows the Indian system to get reimbursed from Medicaid or other insurers.
That would generate “an influx of capital,” said Jim Roberts, policy analyst for Northwest Portland Area Indian Health Board, that “you can use to improve Indian health care.”
Some disagree. Senator Tom Coburn, Republican of Oklahoma, said exemptions could discourage insurance enrollment, raise premiums for insured people and further stress the Indian health care system, which he called “poorly managed” and in need of billions of dollars to “keep the promise to Native Americans.”
Even if more Indians become insured, it will not end the problems, especially if providers and insurers, daunted by the alarming health problems, continue avoiding Indian Country.
Proposed legislation would not give Indians everything they want, but the overhaul does include grants for preventive care and research. And the Indian Health Care Improvement Act, which stands a good chance of being reauthorized by Congress for the first time since 2001, would enhance programs, physician recruitment and hospital construction. Although it approves no funding, advocates hope it will prompt additional money.
Representative Frank Pallone Jr., Democrat of New Jersey, said that with the current climate in Congress, and “particularly the president, it’s definitely going to be easier to get Indian provisions in the health care bills.”
Easier, but no sure thing.
With expansions in public coverage or subsidies to buy private coverage, some lawmakers may question whether Indian Country should “still be getting direct payments to run I.H.S. clinics,” said Stephen Zuckerman, a health economist at the Urban Institute, a research group.
“Some people are saying, ‘We can’t make all these adjustments for you guys,’ ” Mr. Allen said, adding that some Indians reply: “Make us pay for health care, then the deal is off. Give us the land back, and we’re good.”
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Afghan Plan Faces Sharp Questioning From Senators

WASHINGTON — Defense secretary Robert M. Gates, Secretary of State Hillary Rodham Clinton and the nation’s top military officer laid out a muscular defense of President Obama’s decision to send 30,000 additional troops to Afghanistan on Captiol Hill on Wednesday, but members of Congress of both parties objected to major parts of the new strategy.

At a crowded hearing of the Senate Armed Services Committee, Senator John McCain, the Arizona Republican who last year ran against Mr. Obama for president, sharply questioned Mr. Obama’s plan to begin withdrawing the additional American forces by July 2011.

Senator McCain said it was “logically incoherent” to say that the withdrawal would begin that summer, “no matter what,” but also say, as the administration does, that the exit date would also depend on conditions on the ground.

The answer, after a sometimes tense back-and-forth with Mr. Gates and Adm. Mike Mullen, the chairman of the Joint Chiefs of Staff, was that the administration would review the situation in Afghanistan in December 2010 and then “evaluate,” as Mr. Gates put it, whether it would be possible for Mr. Obama to begin withdrawals in the summer of 2011.

“Then it makes no sense for him to announce the date,” Mr. McCain retorted. In short, he said, “that gives the wrong impression to our friends, it’s the wrong impression to give our enemies.”

Later in the session, Senator Jack Reed, Democrat of Rhode Island, said, “It strikes me as that the Taliban has been emboldened quite aggressively the last several years without any type of deadline.”

Senator Carl Levin, the Michigan Democrat who is chairman of the committee, questioned whether sending so many additional troops might keep the Afghans from building up their security forces on their own.

“Where I have questions is whether the rapid deployment of a large number of U.S. combat forces, without an adequate number of Afghan security forces for our troops to partner with, serves that mission,” Mr. Levin said.

Mr. Levin is recognized by members of both parties for his expertise in military matters. So is Mr. Reed, a West Point graduate who served 12 years in the Army, and another panel member, Senator Lindsey O. Graham, Republican of South Carolina.

Two committee members, Mr. McCain and Senator Jim Webb, Democrat of Virginia, fought in the Vietnam war. And another member, Senator Daniel K. Akaka, Democrat of Hawaii, is one of the few World War II veterans still in the Senate.

In his opening statement, Mr. Gates, who pushed for the 30,000 additional troops and was singled out by the White House as influential in Mr. Obama’s decision, sharply differed with some of Mr. Obama’s advisers who have argued that the United States should focus on rooting out Al Qaeda from Pakistan, and that the Taliban in Afghanistan do not present a serious long-term threat to the national security of the United States.

On the contrary, Mr. Gates said, Al Qaeda and the Taliban are inextricably linked.

“While al Qaeda is under great pressure now and dependent on the Taliban and other extremist groups, for sustainment, the success of the Taliban would vastly strengthen al Qaeda’s message, to the Muslim world, that violent extremists are on the winning side of history,” Mr. Gates said.

“Put simply, the Taliban and al Qaeda have become symbiotic, each benefiting from the success and mythology of the other. Al Qaeda leaders have stated this explicitly and repeatedly.”

Senator Joseph I. Lieberman, the Connecticut independent who heads the Senate’s homeland security committee, said he was convinced that “there is no substitute for victory over the Islamist extremists and terrorists in Afghanistan. A war of necessity must not just be fought; it must, of necessity, be won.”

Mr. Gates sought to dispel any notion that the United States is being dragged into a conflict without end, and that Washington is motivated by naïve idealism.

“This approach is not open-ended ‘nation building,’ ” he said. “It is neither necessary nor feasible to create a modern, centralized, Western-style Afghan nation-state — the likes of which has never been seen in that country. Nor does it entail pacifying every village and conducting textbook counterinsurgency from one end of Afghanistan to the other.

“It is, instead, a narrower focus tied more tightly to our core goal of disrupting, dismantling and eventually defeating Al Qaeda by building the capacity of the Afghans — capacity that will be measured by observable progress on clear objectives, and not simply by the passage of time.”

Mrs. Clinton said America’s military efforts in the region will be complemented by realistic and practical moves to improve the lives of Afghan civilians.

“It’s a cliche to say we have our best people in these jobs, but it happens to be true,” she said. “We will be delivering high-impact assistance and bolstering Afghanistan’s agricultural sector, the traditional core of the Afghan economy. This will create jobs, reduce the funding that the Taliban receives from poppy cultivation, and draw insurgents off of the battlefield.”

In response to a question from Mr. Webb, Admiral Mullen said his visits to Afghanistan as well as discussions with American military leaders had convinced him that the Afghan people as a whole are “very tired” of war, and not particularly loyal to the Taliban.

Mr. Levin said he was troubled by the numbers being floated. In the vitally important Helmand Province, in southern Afghanistan, he said, the current ratio of American to Afghan troops is 5 to 1. “Doubling the number of U.S. troops in the south will only worsen a ratio under which our forces are already matched up with fewer Afghan troops than they can and should partner with,” he said.

In general, the other senators set off few political fireworks, and the event had little of the drama that marked other Capitol Hill hearings on the war in Iraq. At one point Senator Evan Bayh, Democrat of Indiana, offered his congratulations to Mrs. Clinton on the recent engagement of her daughter, Chelsea.

There was more emotion later in the day when the three appeared before the House Foreign Affairs Committee, where Representative Dana Rohrabacher, a California Republican who opposes the war, asked: "What is different about what the president said? Even today, I don’t hear anything that different. Maybe it’s a different facade.”

In the Senate hearing, Mr. Gates offered a dire picture of Afghanistan, should the United States not succeed.

“Failure in Afghanistan would mean a Taliban takeover of much, if not most, of the country and likely a renewed civil war,” He told the committee. “Taliban-ruled areas could in short order become, once again, a sanctuary for Al Qaeda as well as a staging area for resurgent militant groups on the offensive in Pakistan.”

When pressed by Senator Susan Collins, Republican of Maine, why the United States had to invest so much military power and money in Afghanistan when Al Qaeda still had the ability to establish safe havens in other countries, Mr. Gates replied that Afghanistan was unique.

Not only was it the place where the 2001 attacks against the United States were launched, he said, it “is still the wellspring of inspiration for extremist jihadism everywhere.”

He said that the “guidance and strategic leadership” for Al Qaeda comes from the group’s leaders who are in the border area with Pakistan, and that there is an “unholy alliance” that has developed in the past year between Al Qaeda, the Taliban in Pakistan and the Taliban in Afghanistan.

“And these people work off of each other’s mythology, off of each other’s narrative, and the success of one contributes to the success of the other,” Mr. Gates said.

He added, “If anything, the situation, I think, is more serious today than it was a year ago because of the attacks of the Taliban in Pakistan on Pakistan, and the effort of al Qaeda in collusion with the Taliban in Pakistan to try and destabilize Pakistan itself.”

President Obama, speaking on Tuesday before cadets and senior military officers at the United States Military Academy at West Point, announced that he would dispatch 30,000 additional troops to Afghanistan in the coming months, but he vowed to start bringing American forces home from Afghanistan in the middle of 2011, saying the United States could not afford and should not have to shoulder an open-ended commitment.

Promising that he could “bring this war to a successful conclusion,” Mr. Obama set out a strategy that would seek to reverse Taliban gains in large parts of Afghanistan, better protect the Afghan people, increase the pressure on Afghanistan to build its own military capacity and a more effective government and step up attacks on Al Qaeda in Pakistan.

Administration officials said that they were hoping to get a commitment for an additional 5,000 to 8,000 troops from NATO allies — perhaps as early as Friday at a foreign ministers’ meeting in Brussels — which would bring the number of additional troops in Afghanistan to close to the 40,000 that Gen. Stanley A. McChrystal, the American and NATO commander in Afghanistan, was seeking.

Sheryl Gay Stolberg reported from West Point, and Helene Cooper and Brian Knowlton from Washington. Reporting was contributed by Peter Baker, David E. Sanger, Mark Mazzetti, Carl Hulse and Mark Landler from Washington, and Carlotta Gall from Kabul, Afghanistan.

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Iraq Deadline Helped Elect Obama; On Afghanistan, It Could Hurt His Chances for Re-Election - Capital Journal - WSJ

peter_brown

Peter A. Brown, assistant director of the Quinnipiac University Polling Institute, is a former White House correspondent with two decades of experience covering Washington government and politics. Click here for Mr. Brown’s full bio.

The idea of a time limit for ending a war worked well for President Barack Obama when he ran for president the first time, but by adopting that strategy for Afghanistan, he may be betting his chances for success the second time.

By essentially pledging that American troops will be out of Afghanistan by the end of his current term, the president is throwing a bone to his core supporters, who for the most part are uncomfortable with an increased U.S. military effort there in what is now an eight-year-old war.

Let’s put aside the debate on the wisdom of the deadline policy, and look at the politics: Mr. Obama’s deadline pledge creates a benchmark against which his actions will be judged, for better or for worse.

In other words, the withdrawal timetable he and his aides outlined in December 2009 will be used to judge his actions regardless of what happens on the ground in Afghanistan. By taking such a firm stand, he makes himself politically vulnerable should events cause him to decide troops have to stay longer, or that the U.S. goals there have to go unmet in order to keep his original deadline.

Of course, the president may well be able to end the U.S. military involvement in Afghanistan by then and accomplish his goal of ridding the country of al Qaeda and Taliban forces who otherwise might use it as a safe haven to plot terrorist actions against the U.S.

But if things don’t go the way the president expects, his line in the sand could get kicked in his face in the give-and-take, to put it nicely, that will characterize the 2012 campaign when he is expected to seek a second term.

Coming Home in 18 Months

In his nationally televised speech Tuesday night from West Point, Mr. Obama explained why he was sending an additional 30,000 U.S. combat troops to Afghanistan. He said those troops would begin coming home in just 18 months, in the summer of 2011. Earlier in the day, CNN reported it had been told by senior Obama administration officials that their goal is to have “most U.S. service members” out of Afghanistan within three years.

Although his promise to begin pulling out troops in 18 months may soothe the worries of some in his own party about a military buildup now, the 2012 presidential election will be held in two years and 11 months and voter reaction then is what matters most to his political future.

Mr. Obama’s speech and his troop decision are unlikely to solve his political problem, however, since public opinion is split on the issue. He is trying to finesse the sizable gap between those who want the U.S. to get out of Afghanistan and those who wanted him to send the larger number of new troops that the Pentagon requested.

The political problem for the president is more complicated than other big issues filling his plate. On Afghanistan, liberals/Democrats who are usually with him on almost all issues are skeptical of the U.S. military involvement there. Conservatives/Republicans, who on issues like health care and the stimulus are almost unanimously against the president, are strongly in favor of a military buildup in Afghanistan.

For example, a Quinnipiac University national poll last month found that when voters were asked if they thought the U.S. was “doing the right thing by fighting the war in Afghanistan now,” 48% answered yes, 41% said no. But the split along partisan lines was dramatic. While 68% of Republicans and 51% of independents agreed it was the right thing, only 31% of Democrats felt that way.

A More Important War

When Mr. Obama ran in 2008, he made setting a firm date for the exit of U.S. combat troops from Iraq his prime foreign policy promise. At the time, he said the war in Afghanistan was more important and one that deserved a larger American commitment.

President George W. Bush and Sen. John McCain, the Republican presidential nominee against Mr. Obama last year, said Mr. Obama’s plan for a hard deadline for leaving Iraq was bad policy because the enemy would just wait until after the deadline to make their move. But Mr. Obama’s election was at least, in part, due to American voters’ exhaustion with Iraq.

Last spring, Mr. Obama approved sending another 22,000 U.S. combat troops to Afghanistan, less than the Pentagon wanted. In his speech Tuesday, he gave the generals three-quarts of the increase they wanted this time.

The analogy with the American involvement in Vietnam during the 1960s and early ’70s is on everyone’s mind at the White House, and Mr. Obama took time to explain why he did not think the situations are analogous.

But clearly, the president’s best and brightest want to avoid the same kind of open-ended commitment that President Lyndon Johnson made when he was willing to send as many troops as it took to keep South Vietnam from falling to North Vietnam.

While setting a deadline for withdrawal may allow Mr. Obama to avoid repeating the mistakes that led LBJ not to seek a second full term in 1968, it also creates a potential problem for Mr. Obama in 2012.


Write to Peter Brown at peter.brown@quinnipiac.edu.

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Fouad Ajami: The Arabs Have Stopped Applauding Obama - WSJ.com

A foreign policy of penance has won America no friends.

By FOUAD AJAMI

'He talks too much," a Saudi academic in Jeddah, who had once been smitten with Barack Obama, recently observed to me of America's 44th president. He has wearied of Mr. Obama and now does not bother with the Obama oratory.

He is hardly alone, this academic. In the endless chatter of this region, and in the commentaries offered by the press, the theme is one of disappointment. In the Arab-Islamic world, Barack Obama has come down to earth.

He has not made the world anew, history did not bend to his will, the Indians and Pakistanis have been told that the matter of Kashmir is theirs to resolve, the Israeli-Palestinian conflict is the same intractable clash of two irreconcilable nationalisms, and the theocrats in Iran have not "unclenched their fist," nor have they abandoned their nuclear quest.

There is little Mr. Obama can do about this disenchantment. He can't journey to Turkey to tell its Islamist leaders and political class that a decade of anti-American scapegoating is all forgiven and was the product of American policies—he has already done that. He can't journey to Cairo to tell the fabled "Arab street" that the Iraq war was a wasted war of choice, and that America earned the malice that came its way from Arab lands—he has already done that as well. He can't tell Muslims that America is not at war with Islam—he, like his predecessor, has said that time and again.

It was the norm for American liberalism during the Bush years to brandish the Pew Global Attitudes survey that told of America's decline in the eyes of foreign nations. Foreigners were saying what the liberals wanted said.

Now those surveys of 2009 bring findings from the world of Islam that confirm that the animus toward America has not been radically changed by the ascendancy of Mr. Obama. In the Palestinian territories, 15% have a favorable view of the U.S. while 82% have an unfavorable view. The Obama speech in Ankara didn't seem to help in Turkey, where the favorables are 14% and those unreconciled, 69%. In Egypt, a country that's reaped nearly 40 years of American aid, things stayed roughly the same: 27% have a favorable view of the U.S. while 70% do not. In Pakistan, a place of great consequence for American power, our standing has deteriorated: The unfavorables rose from 63% in 2008 to 68% this year.


ajami
Martin Kozlowski

Mr. Obama's election has not drained the swamps of anti-Americanism. That anti-Americanism is endemic to this region, an alibi and a scapegoat for nations, and their rulers, unwilling to break out of the grip of political autocracy and economic failure. It predated the presidency of George W. Bush and rages on during the Obama presidency.

We had once taken to the foreign world that quintessential American difference—the belief in liberty, a needed innocence to play off against the settled and complacent ways of older nations. The Obama approach is different.

Steeped in an overarching idea of American guilt, Mr. Obama and his lieutenants offered nothing less than a doctrine, and a policy, of American penance. No one told Mr. Obama that the Islamic world, where American power is engaged and so dangerously exposed, it is considered bad form, nay a great moral lapse, to speak ill of one's own tribe when in the midst, and in the lands, of others.

The crowd may have applauded the cavalier way the new steward of American power referred to his predecessor, but in the privacy of their own language they doubtless wondered about his character and his fidelity. "My brother and I against my cousin, my cousin and I against the stranger," goes one of the Arab world's most honored maxims. The stranger who came into their midst and spoke badly of his own was destined to become an object of suspicion.

Mr. Obama could not make up his mind: He was at one with "the people" and with the rulers who held them in subjugation. The people of Iran who took to the streets this past summer were betrayed by this hapless diplomacy—Mr. Obama was out to "engage" the terrible rulers that millions of Iranians were determined to be rid of.

On Nov. 4, on the 30th anniversary of the seizure of the American embassy in Tehran, the embattled reformers, again in the streets, posed an embarrassing dilemma for American diplomacy: "Obama, Obama, you are either with us or with them," they chanted. By not responding to these cries and continuing to "engage" Tehran's murderous regime, his choice was made clear. It wasn't one of American diplomacy's finest moments.


Rove
Associated Press

Mr. Obama has himself to blame for the disarray of his foreign policy. American arms had won a decent outcome in Iraq, but Mr. Obama would not claim it—it was his predecessor's war. Vigilance had kept the American homeland safe from terrorist attacks for seven long years under his predecessors, but he could never grant Bush policies the honor and credit they deserved. He had declared Afghanistan a war of necessity, but he seems to have his eye on the road out even as he is set to announce a troop increase in an address to be delivered tomorrow.

He was quick to assert, in the course of his exuberant campaign for president last year, that his diplomacy in South Asia would start with the standoff in Kashmir. In truth India had no interest in an international adjudication of Kashmir. What was settled during the partition in 1947 was there to stay. In recent days, Mr. Obama walked away from earlier ambitions. "Obviously, there are historic conflicts between India and Pakistan," he said. "It's not the place of the United States to try to, from the outside, resolve those conflicts."

Nor was he swayed by the fate of so many "peace plans" that have been floated over so many decades to resolve the fight between Arab and Jew over the land between the River Jordan and the Mediterranean. Where George W. Bush offered the Palestinians the gift of clarity—statehood but only after the renunciation of terror and the break with maximalism—Mr. Obama signaled a return to the dead ways of the past: a peace process where America itself is broker and arbiter.

The Obama diplomacy had made a settlement freeze its starting point, when this was precisely the wrong place to begin. Israel has given up settlements before at the altar of peace—recall the historical accommodation with Egypt a quarter century ago. The right course would have set the question of settlements aside as it took up the broader challenge of radicalism in the region—the menace and swagger of Iran, the arsenal of Hamas and Hezbollah, the refusal of the Arab order of power to embrace in broad daylight the cause of peace with Israel.

The laws of gravity, the weight of history and of precedent, have caught up with the Obama presidency. We are beyond stirring speeches. The novelty of the Obama approach, and the Obama persona, has worn off. There is a whole American diplomatic tradition to draw upon—engagements made, wisdom acquired in the course of decades, and, yes, accounts to be settled with rogues and tyrannies. They might yet help this administration find its way out of a labyrinth of its own making.

Mr. Ajami, a professor at Johns Hopkins School of Advanced International Studies and a senior fellow at Stanford University's Hoover Institution, is the author of "The Foreigner's Gift" (Free Press, 2007).

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Seeing History Through Arab-American Eyes - VOA

Photo: Mohamed Elshinnawi

Author Alia Malek says she wrote "A Country Called Amreeka" to put a "human face" on the Arab-American community, and to counter the public fear and misunderstanding fueled by the 9/11 terrorist attacks

In the aftermath of the terrorist attacks of Sept. 11, 2001, Alia Malek, a successful Syrian-American civil rights attorney, was shocked by what she saw as a dangerous and misguided public backlash against Arab-Americans. Malek was confident that somebody would write a book that would put a human face on the Arab-American community and educate Americans about a culture that was so poorly understood.

"People seemed to think that Arabs only existed 'over there,' that there weren't actually Arab-Americans who had been part of the United States since the late 1800s. And I sort of went about my life practicing law, thinking that inevitably, somebody was going to write a book like this. And by the time I decided to do a career switch and go to journalism school at Colombia University four years later, nobody had yet written the book that I thought was so inevitable. So that is why I decided to write the book," Malek says.



Her new book is titled, "A Country Called Amreeka: Arab Roots, American Stories." It is a collection of narratives about some of the 3.5 million people of Arab descent who live in the United States - individuals with roots in Lebanon, Egypt, Iraq, Yemen, the Palestinian territories and Syria. Set against the backdrop of the past 40 years of American history and international developments, Malek's subjects share their stories and demonstrate that, even as they play football, work assembly lines and hold public office, they have remained largely shut out of the national conversation.

Malek, who began her legal career as a civil rights attorney at the U.S. Department of Justice, contends that U.S immigration laws before 1965 were racially biased. And she says they hindered the naturalization of Arab immigrants to such an extent that most Americans were unaware there was an Arab-American community.

"I think that is why they assimilated and became almost invisible. And then, in that post-1965- immigration pop culture, [in] the media, Arab-Americans were not part of their discourse, it was not a part of the American consciousness. You did not have a TV show of Arab-Americans; there was something that remained very foreign about 'Arabs'," she says.

Stories mark historic moments in past 40 years

Each chapter of "A Country Called Amreeka" focuses on a major historical event as seen through the eyes of an Arab-American, allowing readers to relive the moment in that person's skin. In the chapter exploring how the Israeli-Palestinian conflict played out for Arabs living in the United States, Malek tells the story of Luba, the wife of a Palestinian refugee who yearns for her hometown of Ramallah after it is occupied by Israel during the 1967 Arab-Israeli war.

In one passage from the book, Luba struggles to explain her heartache to her young American-born daughter, Mona, whose puzzlement at her mother's distress highlights the gap between Arab heritage and life in Amreeka:

"Now all Jerusalem is with the Jews and now it is Ramallah's turn to be taken," Luba explained. "And that is why I am crying and that is why I want you to shut up and stop asking questions!"

But Mona continued: "The Jews, aren't they human beings? Aren't they people?"

"Yes, of course they are human beings," Luba responded. "They are people like us."

"Then why can't they be in Ramallah?" Mona demanded.

"Mona, this is your house. Do you want your neighbors to come and tell you to get out and take your home and they live here? Is this right?" (Malek, 2009).

In another chapter, the reader sees the 1963 burning of a black church in segregated Birmingham, Alabama, through the eyes of a dark-skinned Lebanese-American. There's a Palestinian-American surrounded by anti-Arab violence during the Iran hostage crisis in 1979 and a homosexual Arab-American who was afraid to be gay in the Middle East and is now afraid to be an Arab in America.

And there is Lance Corporal Abraham, a Yemeni-American Marine who is deployed to Iraq in the 2003 U.S. invasion. Because he is an Arab, Abraham is rebuked as a traitor by an Iraqi mother, whose two young daughters had been killed during a U.S. military operation.

Malek says,"I hope people sort of sympathize with Abraham and the difficulties he was going through, both as a young married father with a wife half-way across the world, and also the concerns he has as he and his Marine brothers come back alive from the war, as well as just seeing 'the good, the bad and the ugly' of the American invasion of Iraq."

Book mentions earlier immigrants

The author also recalls the Lebanese, Syrian and Palestinian Christians who were part of America's first great wave of immigration starting in the 1880s, and who found work in the mines and opened grocery stores. She examines the impact of the 1965 immigration reform legislation that allowed Arabs to escape political upheaval in their own countries and settle in Detroit, Michigan, where many found work Ford Motor Company assembly lines. Malek hopes her American readers will come to know these people in a new and more positive light.

"I hope they can see that the history of Arab-Americans is basically as old as the history of a lot of immigrant groups that we easily accept as part of the American mosaic. And that they see that we are in American society; we are voters and consumers and producers and teachers, and husbands and wives and neighbors and everything else that we think that other fellow Americans are. I mean, there needs to be rightful re-insertion into the American imagination of the place of Arab-Americans," she says.

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Dec 1, 2009

Obama’s Afghanistan dilemma - The New Yorker

by Hendrik Hertzberg

November 30, 2009


In the sixty-four years since V-J Day, the United States has fought five wars big enough to be styled “major.” Two of these, Vietnam (1962-75, by the most common reckoning) and Iraq (2003-11, with any luck), were conceived in sin. Their beginnings were fatally compromised by deceptions that congealed into lies, abetted by profound geostrategic misjudgments. In Vietnam, illusions piled on illusions. The Tonkin Gulf incident was not even an incident, since an incident, to be an incident, has to occur. The fear that Communism would spread throughout Asia and beyond if it was not stopped in Vietnam turned out to be groundless; so did the belief that the other side was motivated more by totalitarian ideology than by national feeling. The Iraq War, too, was midwifed by falsehoods and follies: the falsehoods that the Baghdad regime possessed “weapons of mass destruction” and that Saddam Hussein’s was a hidden hand behind Al Qaeda and the attacks of September 11, 2001; the follies that the war would be a “cakewalk” and, most seductively, that it would “transform” the Middle East. In both wars, our enemy was only sometimes a conventional army; as often, if not more so, it was an elusive guerrilla force that was frequently indistinguishable from the civilian population.

Another two of our five big-scale wars, Korea (1950-53) and the Gulf War (1991), were legitimate in their origins and (by the standards of mechanized slaughter) scrupulous in their execution. The Korean “police action”—a euphemism, but one that carried real meaning at a time when hopes for a global order of international law were fresh and high—was fought with the sanction (and partly under the flag) of the United Nations. The Gulf War, too, had the sanction of the U.N. and its Security Council. Four decades apart, the two wars shared many features, starting with the moral and temporal clarity of their beginnings. Both were fought in response to armed aggression across international borders. In both, the American Administration resisted powerful political pressures to expand its objective to include the destruction and conquest of the regime responsible for the original aggression. And, after both, the cessation of hostilities along the restored borders has held, even if its form does not quite deserve the name of peace.

The war in Afghanistan scrambles the familiar categories so thoroughly that the customary rubrics for making judgments don’t fit. As in Korea and the Gulf, we went to war to punish an unmistakable act of aggression—this time on our own soil. But the aggressor was not a state; it was a band of freelance fanatics protected by a state. The goals of our response were as clear as the morning of September 11th: to call to account those who sent the murderers and the government that harbored them. Our action had the backing of NATO, which, for the first time in its history, activated the provision of its charter that declares an attack against one an attack against all. The support of the “international community” was nearly unanimous. Even Iran lent a hand.

During the election campaign, Barack Obama and the Democrats put forth a story—a “narrative,” as political reporters now like to say—about two wars. According to the story, the “good” war was the war in Afghanistan. But it failed to fully achieve its principal goal because at the crucial moment the Bush Administration, in its obsession with Saddam, diverted resources and attention to Iraq—a “bad” war. The diversion allowed Bin Laden, Al Qaeda, and the Taliban leadership to slip the noose at Tora Bora—a guerrilla Dunkirk. “I don’t oppose all wars,” an Illinois state senator had famously told a rally on the very afternoon in October, 2002, that the Iraq War Resolution was introduced in Congress. “I’m opposed to dumb wars.” Iraq was a dumb war; Afghanistan was, or could be, a smart one.

There was considerable truth in the narrative. But it contained an almost subliminal suggestion that somehow the clock could be turned back—that the events of the Afghanistan war’s first months could be replayed, this time with a better outcome. When Obama moved into the White House, he brought the narrative with him. In August, at a Veterans of Foreign Wars convention, he said of the conflict, “This is not a war of choice. This is a war of necessity.” By October, he had ordered in thirty-four thousand more troops, doubling the overall American deployment in Afghanistan. But he had also begun an intensive review of the entire policy.

On Armistice Day, at a full-scale meeting of his national-security team, Obama was presented with four options. According to what little has leaked out from under the closed doors, all four options called for more American troops, from ten thousand at the lower end to forty thousand at the upper. Though some in the Administration favor a smaller military footprint instead of a larger one, that was not among the choices offered to the President. For this fifth war, there was no fifth option.

The President rejected all four. He has apparently decided against anything like a quick drawdown, but he wants a map that plots an eventual way out, not just an abundance of ways further in. As he told an interviewer, there can be no “indefinite stay,” no “permanent protectorate.” And he has questions he would like answered.

So do the rest of us. Does it make sense, for example, to spend lives and treasure trying to eradicate “safe havens” in Afghanistan when Al Qaeda has so many other—well, options, from Sudan to Hamburg? Will a bigger, longer, and presumably bloodier occupation advance or retard the ultimate aim of discouraging Islamist terrorism? Will adding American troops—at a million dollars a year per soldier—encourage Afghans to fight for themselves or prompt them to leave the fighting to us? Can Afghanistan’s nominal government, with its President elected by fraud and its recent rating as the second most corrupt on earth, be finessed or somehow remade?

The sum we are already spending annually on Afghanistan is greater than its gross domestic product. Are there nonmilitary ways we could deploy that sum which would advance our goals as efficaciously? Would even forty thousand additional troops suffice for anything resembling the ambitious nation-building program that General Stanley McChrystal, the top military commander in Afghanistan, has proposed? (Counterinsurgency theory suggests that it would take more than ten times that many; would forty—or ten, or twenty—thousand be only a first installment?) Any counterinsurgency campaign, we’re told, requires a very long commitment. Is the voluntary association of democracies called NATO, organized to deter war more than to wage it, capable of sustaining a twenty or thirty years’ war? For that matter, does the United States—a decentralized populist democracy struggling with economic decline and political gridlock—have that capacity? And what about Pakistan?

The President has come under heavy criticism for taking the time to ponder the imponderables. “The urgent necessity,” a respected Washington columnist wrote the other day, “is to make a decision—whether or not it is right.” Really? Does the columnist suppose that a country unable to find the patience for weeks (even months) of thinking could summon the stamina for years (even decades) of killing and dying? What Obama seems to have discovered is that this is no longer the war that began eight years ago. That war was an act of retribution and prevention. But now who are we punishing? What are we preventing? The old narrative is broken. The fifth war is becoming a sixth

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Op-Ed Contributor - The Call From the Swiss Minaret - NYTimes.com

Amnesty International has campaigned for the r...Image via Wikipedia

The stunning success of the popular initiative to ban minarets in Switzerland has turned heads around the world. But what does it really mean for Swiss Muslims, and what are the implications and lessons for other European countries?

From a strictly legal point of view, the construction of minarets is now prohibited in Switzerland. No further legislation is required to implement this constitutional provision and there is nothing that federal or cantonal authorities can do to challenge it.

The only avenue for Swiss Muslims to overturn the ban is through the courts the next time an application to construct a mosque is rejected because of it. Such a challenge will no doubt not be long in coming. It should also be successful.

As a great many Swiss and international legal experts have said, the ban is clearly inconsistent with Switzerland’s obligations under international law to respect the freedom of religion and not to discriminate on the grounds of religious belief. Even if the Swiss Federal Supreme Court does not reject the law, the European Court of Human Rights in Strasbourg almost certainly will.

In the meantime, however, the ban will remain in force. And much harm will already have been done. The popularity of the ban — even more than the measure itself — will damage relations between Switzerland’s small Muslim minority and the rest of the population. Extremists on all sides will take encouragement. The integration of Swiss Muslims, the necessary two-way process of respect and adaptation, will inevitably suffer.

The success of the referendum brings with it some long, hard lessons for the Swiss authorities that other European countries and political leaders would also do well to heed.

First, xenophobic and, specifically, Islamophobic sentiment is much more widespread than even the most pessimistic observers had thought. Opinion polls in the run-up to the referendum consistently showed a majority of voters to be opposed to the ban.

How wrong they were. In the privacy of the voting booth, silent prejudices found their voice. The situation is probably similar across Europe; the success of far-right parties in the recent European Parliament elections certainly suggests so. Indeed, the only surprise in Switzerland was how surprised we were.

Second, the failure of civil society and the leading mainstream political parties to campaign aggressively against the referendum was clearly a big mistake.

With lower levels of popular prejudice, the reluctance to engage and give air-time to xenophobic views by debating and challenging them might have worked.

It did not in Switzerland. The absence of vocal, united and consistent opposition to the initiative clearly left the terrain free for the fear-mongering and exaggeration that Islamophobic ideologues thrive on. Other countries should not make the same mistake.

Already, calls are being made for similar policies in other European countries. The success of Swiss referendum must, therefore, serve as a wake up call not just for Switzerland, but for the rest of Europe too.

Much more comprehensive measures are needed, across Europe, to combat discrimination and promote the integration of Muslim and immigrant communities. A much greater commitment is needed from political leaders, from civil society — from all moderate, tolerant voices — to expose, confront and counter xenophobic views. Complacence is complicity.

The cost of failure is huge. Intolerance lies at the heart of Europe’s most ubiquitous human rights violation — discrimination. Discrimination tears societies apart. Of all continents, Europe should know a thing or two about this.

Claudio Cordone is senior director of Amnesty International.
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Inside Indonesia - Locating culture in the church

Minahasan Christians reinterpret their cultural history and identity through religion

Kelli A. Swazey
minahasa1.jpg
Members of the cultural committee perform a contextual liturgy in Tombulu during Sunday service at
GMIM El-Fatah church in Lolah village
Kelli A. Swazey

The waxing moon takes central position in the sky above us as the calendar turns to 7 July 2009 in Minahasa, North Sulawesi. An eerie chant cuts through the chatter of the musicians who have been jocularly testing each other’s knowledge of local songs played on the guitar, tambour and ‘ting-ting’, a small metal xylophone. Pastor Paul Richard Renwarin from the local Catholic seminary school stands facing a crowd of thirty or so attendees as he inaugurates the evening’s multi-denominational Christian service with sounds drawn from the Minahasan past.

For many in the hushed crowd, the Tombulu language he uses is familiar, and for some a mother tongue. Although the language is old, the concept behind this service marks the beginnings of a new kind of Christian practice. Instead of standard Catholic liturgy, the focal point for this service is a section of a traditional poem relating the mythical origins of the Minahasan people. Described by the pastor as a local version of the Biblical creation story found in Genesis, the verses have been set to new music and are delivered in the call-and-response style familiar to anyone who has ever attended a Catholic mass.

This is the third year that a mixed group of Protestants and Catholics has gathered to participate in a midnight worship service at Watu Pinewetengan, the stone of division. As the central physical representation of local identity, this large, pictograph-covered stone located in the heart of Minahasa is said to record the division of the region into separate tribal groups during the pre-Christian era. Today, those tribal borders are roughly analogous to the surviving language groups in North Sulawesi. This tangible symbol of divided parts united in one unshakable whole is a fitting representation of both the people and the land called Minahasa, a name that means ‘to unite’ or ‘to become one’.

Protestant Christianity is one cultural commonality that the majority of Minahasans share, whether their first language is Tombulu, Tonsea or Tondano. Almost 90 per cent of the colonial region of Minahasa had converted to Christianity by the late seventeenth century, and contemporary Christian practices are as much a part of local tradition as more recognisable aspects of pre-colonial life such as dances used to celebrate the annual harvest. The line between religion and tradition is not easily defined in a region where Christianity has been part of everyday life for well over 100 years, and is complicated by historical rivalries between denominations that have different approaches to the inclusion of traditional practice in the church environment.

Including tradition

The Catholic Church in Indonesia has historically been more open to including traditional dances and other ritual practices as part of regular worship. In Minahasa Catholicism has played an important role in the preservation of ritual knowledge that was deemed inappropriate and subsequently suppressed by Protestant missionaries. Collaboration between the two denominations has been limited since colonial-era restrictions on Catholic missionaries sparked discord between Catholics and Protestants in the late nineteenth century. However, a new spirit of ecumenism is emerging between the region’s two oldest religious identities. Driven in part by changing ethnic and religious demographics that throw the link between Christianity and Minahasan identity into question, greater cooperation between Catholics and Protestants is also a result of inter-denominational competition and the growing popularity of newer Christian denominations such as the Pentecostal and Seventh Day Adventist Churches.

The appropriateness and meaning of traditional practices has long been a subject of debate among members of the largest Christian denomination in the region

Today in this northernmost province of Sulawesi, the process of deciding how pre-Christian practices and beliefs should fit within the lives of Christian people is an important aspect of the continuing definition of what it means to be Minahasan.

Questions about the appropriateness and meaning of traditional practices for Christians have long been a subject of debate for members of the largest Christian denomination in the region, the Evangelical Church of Minahasa (Gereja Masehi Injili di Minahasa, GMIM).

Over 800 GMIM churches in Minahasa are part of a standardised system, with everything from the salary of religious clergy to the contents of the hymnal book dictated by a central authority. This has left less room for GMIM members to use the church as a vehicle to preserve the various pre-Christian practices that continue to define who they are at the village level. However, decentralisation policies have changed the face of politics in North Sulawesi, creating an opening for public discussion and debate about local identity. As important centres of social life that are intimately connected to the flow of local politics, GMIM churches are also drawn into new discussions about what constitutes regional identity and what it means to be Minahasan in Indonesia today.

Rediscovering the past

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Dancers from Rurukan, a village practicing contextual liturgy, perform the Maengket harvest dance
at Woloan Amphitheatre
Kelli A. Swazey

A small but determined group of academics from various Christian denominations has renewed efforts to reconnect with a regional past, to unearth traditions that may have been left behind or driven underground by Minahasan Christians trying to be modern, educated Indonesian citizens. These academics have put denominational divisiveness aside in order to gather pockets of knowledge about Minahasan history, ritual practice, and the evolution of contemporary religious terminology with roots in the pre-Christian era. Their goal is not to return to a purer, pre-Christian past, but to engage the question of how to understand and preserve the past as part of a Christian present.

Yet, these new alliances also bring cultural differences to the forefront. Just as the symbol of Watu Pinewetengan acknowledges the self-conscious unity of several sub-ethnic groups within an overarching ‘brotherhood’, contemporary Minahasans must actively work to smooth over the discrepancies that emerge in discussions about regional history and ritual practice. Part of the process of unearthing the past is to decide on what, exactly, should constitute the shared history of the Minahasan people.

For Pastor Renwarin, including local traditions in religious practice is an opportunity to ‘make people fall in love with adat (tradition or customary law)’ and gain better awareness of their own cultural heritage. Furthermore, he sees the development of new liturgies that combine aspects of pre-Christian belief with contemporary theology as a means to enrich contemporary Catholic practice. Over the past few years he has conducted traditional marriage rituals alongside standard Catholic weddings. Unlike the orthodox Catholic ceremony, he explained, local marriage rituals focus attention on the parents of the bride and groom, and the effect that their union will have on the extended family and larger community.

Pastor Roeroe, known for delivering fiery sermons in Tombulu in Protestant churches around the region, argues that older, pre-colonial patterns of leadership have made Minahasans into exemplary Christians

Pastor Renwarin’s contemporary, Wilhelmus Absalom Roeroe, a GMIM pastor and professor at the Christian University in Tomohon has a similar perspective. Pastor Roeroe has been an outspoken advocate for the inclusion of Minahasan cultural practices in the GMIM church. Known for delivering fiery sermons in Tombulu in Protestant churches around the region, he argues that the influence of older, pre-colonial patterns of leadership have made Minahasans into exemplary Christians. For these leaders, the value of returning to the ‘traditional’ practices of the past lies in their ability to improve and distinguish those Christian traditions that punctuate contemporary life in the region.

It is not only academics and religious practitioners who are interested in using the church as a vehicle of cultural preservation. Grassroots efforts by youth groups, Christian cultural organisations and individual churches attest to the fact that changing attitudes about the boundary between church and culture are not necessarily restricted to one particular sector of society. At the El-Fatah GMIM church in Lolah village, Tombariri district, a cultural committee composed of church members and clergy has been preparing ‘contextual liturgies’ to use during regular Sunday services. These liturgies are conducted in Tombulu and use repetitive melodies taken from pre-colonial harvest rituals. The original goal of the committee, according to founding member Hendrik Paat, was to preserve the Tombulu language and ensure its transmission to the younger generation.

In this case, including cultural practice in the church is less about participating in a regional identity than about maintaining the distinctive traditions and stories that make ‘Tou Lolah’, the Lolah people, distinctive within Minahasa. For some Lolah residents, there is little difference between preserving a Christian history and preserving Lolah’s local history. As one villager in his eighties told me, ‘The people of Minahasa in the past already knew God or Empung before Christianity arrived – but they had yet to know Jesus.’ Just as the Indonesian word for God has come to be used interchangeably in Lolah with the Tombulu term indicating a higher power, the boundary between the beliefs of the past and the religion of the present continues to be redrawn as Minahasan Christians reinterpret their history.

Making minorities?

Making the church a centre for cultural renaissance does raise the issue of how non-Christians will continue to fit within the frame of reference used to identify a person as Minahasan. Within the small but highly integrated Muslim population in North Sulawesi, there are many families who consider themselves to be Minahasan. They base this identification on ties of descent from the pre-colonial period when Muslim merchants immigrated and intermarried with local populations, or simply on the shared ethnic characteristics that make Minahasans or urban ‘Manadonese’ recognisable amongst other ethnic groups in Indonesia. One local Muslim, whose family members refer to themselves as ‘fourth generation Minahasans’, related how Muslims from other regions of Indonesia have questioned her religious identity due to the enduring association between ‘Minahasa’ and Christianity.

Locating the essence of Minahasa in the church risks making the boundaries of cultural identity coterminous with religious ones

In this region, where people take great pride in a history of openness and adaptability, where locals brag about their multi-religious extended families and Muslim and Christian neighbours celebrate important life events together, locating the essence of Minahasa in the church risks making the boundaries of cultural identity coterminous with religious ones. The extent to which religion will come to define local identity in a rapidly changing Indonesia is an important question not only for Minahasan Christians, but for the future of Minahasa itself. ii

Kelli A. Swazey (swazey@hawaii.edu) is a PhD Candidate in Anthropology from the University of Hawai’i Manoa and a Graduate Fellow at the East West Center. Currently conducting dissertation research in Manado, North Sulawesi, funded by a Fulbright grant, she has documented the lives of Minahasan Christians in Indonesia and the United States.

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