Mar 16, 2010

What will the Supreme Court be like without Justice John Paul Stevens?


What will the Supreme Court be like without its liberal leader?

by Jeffrey Toobin


Stevens, asked if he regrets any recent Court decisions, says,

Stevens, asked if he regrets any recent Court decisions, says, “There are a lot I’m very unhappy with.” Photograph by Steve Pyke.


Supreme Court Justices are remembered for their opinions, but they are revealed by their questions. For many years, Sandra Day O’Connor chose to open the questioning in most cases, and thus show the lawyers—and her colleagues—which way she, as the Court’s swing vote, was leaning. Today, Antonin Scalia often jumps in first, signalling the intentions of the Court’s ascendant conservative wing, and sometimes Chief Justice John G. Roberts, Jr., makes his views, which are usually aligned with Scalia’s, equally clear. New Justices tend to defer to their senior colleagues, but Sonia Sotomayor, in her first year on the Court, has displayed little reluctance to test lawyers on the facts and the procedural posture of their cases; these kinds of questions had generally been the province of Ruth Bader Ginsburg, who, at times, has not seemed entirely pleased by the newcomer’s vigor. Samuel A. Alito, Jr., often says little; Clarence Thomas never says anything. (Thomas has not asked a question at an oral argument since 2006.)

John Paul Stevens, who will celebrate his ninetieth birthday on April 20th, generally bides his time. Stevens is the Court’s senior Justice, in every respect. He is thirteen years older than his closest colleague in age (Ginsburg) and has served eleven years longer than the next most experienced (Scalia). Appointed by President Gerald R. Ford, in 1975, Stevens is the fourth-longest-serving Justice in the Court’s history; the record holder is the man Stevens replaced, William O. Douglas, who retired after thirty-six and a half years on the bench. Stevens is a generation or two removed from most of his colleagues; when Roberts served as a law clerk to William H. Rehnquist, Stevens had already been a Justice for five years. He was the last nominee before the Reagan years, when confirmations became contested territory in the culture wars (and he was also, not coincidentally, the last whose confirmation hearings were not broadcast live on television). In some respects, Stevens comes from another world; in a recent opinion, he noted that contemporary views on marijuana laws were “reminiscent of the opinion that supported the nationwide ban on alcohol consumption when I was a student.”

Ever since last fall, when it emerged that Stevens had hired only one law clerk for the next year, instead of his customary four, there has been growing speculation that he will soon retire. Since 1994, Stevens has been the senior Associate Justice and so has been responsible for assigning opinions when the Chief Justice is not in the majority. He has used that power to build coalitions and has become the undisputed leader of the resistance against the conservatives on the Court. “For those fifteen years, John Stevens has essentially served as the Chief Justice of the Liberal Supreme Court,” Walter Dellinger, who was the acting Solicitor General in the Clinton Administration and is a frequent advocate before the Court, says. In Stevens’s absence, leadership of the Court’s liberals would fall, by seniority, to Ginsburg, but she is also elderly and has suffered from a range of health problems. Even if President Obama appointed a like-minded replacement for Stevens, that person, while taking his seat, would not fill his role.

Stevens is an unlikely liberal icon. When he was appointed, he told me recently, he thought of himself as a Republican and always had—“ever since my father voted for Coolidge and Harding.” He declined to say whether he still does. For many decades, there have been moderate Republicans on the Court—John M. Harlan II and Potter Stewart (appointed by Eisenhower), Lewis F. Powell and Harry Blackmun (Nixon), David H. Souter (Bush I). Stevens is the last of them, and his departure will mark a cultural milestone. The moderate-Republican tradition that he came out of “goes way back,” Stevens said. “But things have changed.”

So has Stevens. His positions have evolved on such issues as civil rights and the death penalty, and he has led the Court’s counteroffensive against the Bush Administration’s treatment of the detainees at Guantánamo Bay. And, as Stevens’s profile has risen, and his views have moved left, so, too, has criticism of him from conservatives reached a higher pitch. “From the beginning of his time as a Justice, you could see Stevens’s roots in the New Deal Court and his willingness to justify an expanding welfare state,” Richard Epstein, a libertarian-leaning law professor at New York University, said. “On these issues, he’s been consistent and consistently wrong about everything—and highly influential.”

Still, Stevens’s views suggest a sensibility more than a philosophy. Many great judicial legacies have a deep theoretical foundation—Oliver Wendell Holmes’s skeptical pragmatism, William J. Brennan’s aggressive liberalism, Scalia’s insistent originalism. Stevens’s lack of one raises questions about the durability of his influence on the Court.

But, more than anything, his career shows how the Court has become a partisan battlefield. In that spirit, Roberts last week denounced President Obama’s criticism of the Court in his State of the Union address, saying that the occasion had “degenerated to a political pep rally.” When Stevens leaves, the Supreme Court will be just another place where Democrats and Republicans fight.

Stevens tends to weigh in at oral argument at around the halfway point, and he does something that none of his colleagues do: he asks permission. “May I ask you a question?” or “May I ask you this?” Frequent advocates find this tic amusing and endearing, a little like the bow ties that he always wears. “However Justice Stevens is going to come out on an issue, he is going to do it in a way that is very friendly and avuncular and good-natured,” Paul Clement, who was George W. Bush’s Solicitor General from 2005 to 2008, says. “He’ll say something like ‘This is probably obvious, but I have this one question. Could you help me with this one point?’ An experienced advocate knows that you have to be on your guard, because he’s probably found the one issue that puts your case on the line.” Jeffrey Fisher, who clerked for Stevens in the 1998-99 term and is now a professor at Stanford, says, “The reason he very rarely speaks first is that he really listens to his colleagues and tries to figure out what is on their minds and tries to figure out what the swing votes care about in the case.”

On September 9th last year, Stevens engaged in a classic version of advocacy-by-interrogation during the argument of Citizens United v. Federal Election Commission. The Court was hearing the case before the first Monday in October, the traditional start of its year—an indication of how important some of the Justices thought it was. In 2008, Citizens United, a right-leaning nonprofit organization, had used some corporate contributions, along with money from individuals, to produce and promote a documentary critical of Hillary Clinton. (“She is steeped in controversy, steeped in sleaze,” the narrator says.) The group planned a video-on-demand broadcast on the eve of several Democratic primaries. But the Bipartisan Campaign Reform Act of 2002 (also known as McCain-Feingold, after its two chief sponsors) forbids political advertisements paid for by corporations in the weeks before a primary. Citizens United challenged the law, asserting that its right to freedom of speech was violated.

The Court had first heard arguments in the case in March, 2009, and the questions raised then were mostly narrow ones—whether McCain-Feingold pertained to video-on-demand technology, for example. Months passed without a decision. But, in June, the Court issued an unsigned order asking for the case to be reargued on new terms. Such an order, which requires a majority, had never been issued since Roberts became Chief Justice, in 2005, and only rarely in earlier years. The Court now told the lawyers to address much broader issues about the relationship of corporations to the First Amendment. Specifically, it asked whether two decisions, from 1990 and 2003, which upheld restrictions on corporate speech, should be overturned.

For a century, Congress and the Supreme Court had been restricting the participation of corporations, and individuals, in elections, mostly through limits on campaign contributions. The Court had come to see campaign spending as a form of speech, but one that clearly could be regulated, especially if the speaker was a business. The notion that corporations did not have the same free-speech rights as human beings had been practically a given of constitutional law for decades, and the 1990 and 2003 decisions (both joined by Stevens) reflected that consensus. Now the Court seemed open to what had been radical notions—that corporations had essentially the same rights as individuals, and could spend potentially unlimited amounts of money in elections.

Stevens never uses his questions to filibuster, and his first query was simple. “Does the First Amendment permit any distinction between corporate speakers and individual speakers?” he asked Theodore B. Olson, the lawyer for Citizens United and a Solicitor General in the second Bush Administration.

Olson hedged, saying, “I am not—I’m not aware of a case that just—”

“I am not asking you that,” Stevens persisted. “I meant in your view does it permit that distinction?”

Finally, Olson said, “I would not rule that out, Justice Stevens. I mean, there may be.”

Stevens was trying to alert his colleagues to the extreme shift in the law the case implied. But Roberts, Scalia, Thomas, and Alito had already made plain that they were seeking just such a change. As has often been the case, Stevens’s only hope appeared to be to get the vote of Anthony M. Kennedy, to make a majority with himself, Ginsburg, Stephen G. Breyer, and Sotomayor. (So far, Sotomayor seems to be voting much like Souter, an ally of Stevens, whom she replaced.) When Elena Kagan, the Solicitor General, rose to defend McCain-Feingold, Stevens had his chance.

Stevens asked Kagan if it would be possible for the Court to rule narrowly. There could, for example, be an exception for nonprofits like Citizens United, or for “ads that are financed exclusively by individuals even though they are sponsored by a corporation.” Kagan, grasping the lifeline that Stevens was throwing her, said, “Yes, that’s exactly right.”

“Nobody has explained why that wouldn’t be a proper solution, not nearly as drastic,” Stevens went on. “Why is that not the wisest narrow solution of the problem before us?”

His strategizing was for naught. In a decision announced on January 21st, Kennedy, joined by the four conservatives, wrote a breathtakingly broad opinion, overturning the 1990 decision and much of the 2003 decision, and establishing, for the first time, that corporations have rights to free speech comparable to those of individuals. In the 1990 case, the Court’s majority opinion cited “the corrosive and distorting effects of immense aggregations of wealth that are accumulated with the help of the corporate form and that have little or no correlation to the public’s support for the corporation’s political ideas.” Kennedy’s opinion simply asserted that “independent expenditures, including those made by corporations, do not give rise to corruption or the appearance of corruption.”

Stevens’s ninety-page dissenting opinion in Citizens United (the longest of his career) was joined in full by Ginsburg, Breyer, and Sotomayor, and was a slashing attack on the majority, laden with sarcastic asides. “Under the majority’s view, I suppose it may be a First Amendment problem that corporations are not permitted to vote, given that voting is, among other things, a form of speech,” he wrote.

To make his displeasure clear, Stevens read his dissent from the bench. Justices usually read pared-down versions of published opinions, but Stevens prepared a twenty-minute stem-winder. When the moment came, however, he stumbled frequently, skipped words, and, at times, was hard to understand. (As when he said, “As the corp, court has long resembled . . .”) For the first time in public, Stevens looked his age.

Stevens charged that the way the majority had handled the case was even worse than the legal outcome. “There were principled, narrower paths that a Court that was serious about judicial restraint could have taken,” he wrote. “Essentially, five justices were unhappy with the limited nature of the case before us, so they changed the case to give themselves an opportunity to change the law.” He added, referring to the Court, “The path it has taken to reach its outcome will, I fear, do damage to this institution.” It suggested that, after thirty-five years on the Supreme Court, John Paul Stevens was about to walk away from a place he no longer recognized.

Several weeks later, I sat with Stevens in his sun-streaked chambers at the Court. He had begun his day with a tennis game (singles), then showered and changed into a white dress shirt, suit, and bow tie at the Court. He wears a hearing aid, but walks at an athlete’s loping pace and shakes hands with a punishing grip; he keeps two well-used putters on hand to practice his short game on the office carpet.

For many years, Stevens, who grew up in Chicago, and his wife have divided their time between Washington and Fort Lauderdale, where they own a condominium. In the nineteen-eighties, Court insiders dubbed Stevens the FedEx Justice, because he spent so much time in Florida and corresponded with his chambers by overnight mail. Stevens still flees Washington at every opportunity, especially in the winter (though he now communicates electronically). He deals with his colleagues mostly by memorandum, occasionally by telephone, and rarely in person, except when the Court is in session. His law clerks report that months go by without another Justice visiting his chambers. Under Chief Justice Rehnquist, most of the Justices kept their distance from one another, and this has continued under Roberts, but Stevens in particular is, while cordial, remote.

Yet in person Stevens is as genial as he appears on the bench. He is ever hopeful about his home-town Cubs, and a devoted player, and fan, of golf—“though I have to confess, I miss Tiger.” His financial-disclosure form lists honorary memberships in four country clubs—near Chicago, near Indianapolis, near Washington, and in Florida. But when, in our conversation, the subject turned to the contemporary Supreme Court Stevens’s tone darkened.

I asked him if the center of gravity had moved to the right since he became a Justice. “There’s no doubt,” he said. “You don’t have to ask me that. Look at Citizens United.” He added, “If it is not necessary to decide a case on a very broad constitutional ground, when other grounds are available, then doesn’t that create the likelihood that people will think you’re not following the rules?”

Stevens doesn’t pretend that he’s more in tune with the Court than he is. When I asked him if there were any cases he especially regretted, he said, “Dozens. There are a lot I’m very unhappy with.” The first two that came to mind: District of Columbia v. Heller, in which the Court, in 2008, recognized an individual’s right to own weapons under the Second Amendment; and Bush v. Gore, halting the recount that the Florida Supreme Court had ordered in the 2000 Presidential race. He was in the minority in both.

On some subjects, his own views have shifted. Writing on affirmative action, in 1980, he noted, “If the National Government is to make a serious effort to define racial classes by criteria that can be administered objectively, it must study precedents such as the First Regulation to the Reich’s Citizenship Law of November 14, 1935”; yet in 2003 he engineered the preservation of racial preferences in admissions in a case involving the University of Michigan Law School. In 1976, he joined his colleagues in ending a moratorium on the death penalty; in 2008, he wrote that executions are “patently excessive and cruel and unusual punishment violative of the Eighth Amendment.” Stevens has always supported abortion rights and an expansive notion of freedom of speech.

In all areas, Stevens has favored gradual change over sudden lurches and precedent over dramatic overrulings. But, especially since Roberts took over as Chief Justice, Stevens has found himself confronting colleagues who have a very different approach—an aggressive, line-drawing conservatism that appears bent on remaking great swaths of Supreme Court precedent.

On a wall in Stevens’s chambers that is mostly covered with autographed photographs of Chicago sports heroes, from Ernie Banks to Michael Jordan, there is a box score from Game Three of the 1932 World Series, between the Yankees and the Cubs. When Babe Ruth came to bat in the fifth inning, at Wrigley Field, according to a much disputed baseball legend, he pointed to the center-field stands and then proceeded to hit a home run right to that spot. The event is known as “the called shot.”

“My dad took me to see the World Series, and we were sitting behind third base, not too far back,” Stevens, who was twelve years old at the time, told me. He recalled that the Cubs players had been hassling Ruth from the dugout earlier in the game. “Ruth did point to the center-field scoreboard,” Stevens said. “And he did hit the ball out of the park after he pointed with his bat. So it really happened.”

Stevens has a reverence for facts. He mentioned that he vividly recalled Ruth’s shot flying over the center-field scoreboard. But, at a recent conference, a man in the audience said that Ruth’s homer had landed right next to his grandfather, who was sitting far away from the scoreboard. “That makes me warn you that you should be careful about trusting the memory of elderly witnesses,” Stevens said. The box score was a gift from a friend; Stevens noticed that it listed the wrong pitchers for the game, so he crossed them out with a red pen, and wrote in the right names.

This meticulousness is evident in Stevens’s judicial writing. Most Supreme Court Justices, if they write first drafts of their opinions at all, concentrate on the legal analysis, which usually includes the flowery language that gets quoted in newspapers and textbooks; it is for their law clerks to write up the facts of the case, the driest part. Stevens always does the facts himself (and says he does all the other drafting, too). For many years, his was the only chambers to review individually the thousands of petitions for certiorari that come to the Court each year; the others pooled their efforts. (Alito also recently left the cert. pool.)

It was not a surprise that Ernest Stevens, the Justice’s father, got tickets to the World Series. The Stevenses were prominent citizens of Chicago. The Justice’s grandfather James Stevens had gone into the insurance business, and, with the profits, he and his sons Ernest and Raymond bought land on South Michigan Avenue and built what was then the biggest hotel in the world, with three thousand rooms. The Stevens Hotel opened in 1927, and featured a range of luxurious services, a bowling alley, and a pitch-and-putt golf course on the roof. There was a big, stylized “S” over the main entrance. “We stayed at the hotel sometimes, every now and then,” Stevens told me. “I have pleasant memories, and there are also some unpleasant aspects of it, too.”

The Depression hit the family hard. As chronicled in “John Paul Stevens: An Independent Life,” a biography by Bill Barnhart and Gene Schlickman, which will be published in May, questions arose about whether the Stevens family had embezzled funds from the insurance company to prop up the hotel. In January, 1933, three months after Ruth’s called shot, the Chicago Herald-Examiner reported, “The Stevens children were sent to bed so they could not see their father arrested.” After Ernest Stevens was released on bail, according to the new biography,



four men brandishing a submachine gun, two shotguns, and a revolver ransacked the Stevens home in search of cash. Ernest and Elizabeth and two of their children, William, age fifteen, and John, age twelve, as well as the family cook and two maids, were herded upstairs and held in a bedroom after one of the boys was forced to open a safe in the first-floor library.

It remains unclear whether the intruders were police officers or gangsters (or both), but they found no secret stash of cash.

Later in 1933, the patriarch, James, had a debilitating stroke. A few days afterward, John’s uncle, Raymond, committed suicide rather than endure the disgrace of a criminal prosecution. Ernest Stevens thus had to go to trial alone, and in the toxic environment of the Depression he was swiftly convicted. He faced ten years in state prison. Deliverance came in 1934, when his appeal reached the Illinois Supreme Court and the justices unanimously reversed his conviction. “In this whole record there is not a scintilla of evidence of any concealment or fraud attempted,” the decision said. Still, the family never recovered its former wealth, and lost control of the hotel. (It is now known as the Chicago Hilton and Towers; the “S” is still there.)

“It was a tough period, no doubt about it,” Stevens told me. Notably, what saved his father was an appellate court. Stevens dismisses the connection as a “coincidence,” adding, “Of course, I respected the decision, but I was pretty young at the time—though I remember the words ‘not a scintilla of evidence.’ ”

The influence may be greater than Stevens acknowledges. His jurisprudence is distinguished by his confidence in the ability of judges to resolve difficult issues. “Generally, he respects the heck out of the profession of which he’s a member,” Deborah Pearlstein, a research scholar at Princeton who clerked for Stevens in 1999-2000, said. “Whether you take the examples from his personal life, or the litany of cases he’s heard in decades on the bench, his reliance on and confidence in judges to find out the truth was pretty unswerving.” Writing for a unanimous Court in 1997, Stevens rejected Bill Clinton’s argument that the Paula Jones case should be postponed until after his Presidency so that it would not interfere with his duties: “If properly managed by the District Court, it appears to us highly unlikely to occupy any substantial amount of [Clinton’s] time.” (“I get razzed a lot for predicting there wouldn’t be anything to come out of the case,” Stevens told me, “because they were, in effect, saying that the opinion is what triggered the impeachment and all the rest of it.” But, he said, “the opinion really had absolutely nothing to do with what followed, because the only issue was when the trial was going to occur, not whether it would occur. And it was agreed by everybody that discovery would go forward. So we are not responsible for the fact that they took the deposition, and the deposition is what got the President in trouble.”)

In Bush v. Gore, Stevens framed his colleagues’ decision as an insult to the judicial role, one that could, he wrote, “only lend credence to the most cynical appraisal of the work of judges throughout the land.” In words that became better known than anything in the collectively written majority decision, he continued:



Although we may never know with complete certainty the identity of the winner of this year’s Presidential election, the identity of the loser is perfectly clear. It is the Nation’s confidence in the judge as an impartial guardian of the rule of law.

John Stevens rallied from the family trauma of his teen-age years and excelled at the Lab School of the University of Chicago. (Sasha and Malia Obama were students there; the Obamas lived about a mile away from where Stevens grew up, on the city’s South Side.) He enrolled at the university in 1937. He was the editor of the newspaper, a stalwart of the tennis team, the head class marshal, a member of Phi Beta Kappa. Toward the end of his undergraduate career, the dean of students, Leon P. Smith, rather mysteriously suggested that he take a correspondence course, and Stevens did. He later learned, he said, that Smith “was an undercover naval officer who had been asked to see if he could get people interested in cryptography. Somewhere toward the end of November of 1941, they sent me a letter that said you’ve completed enough of the assignment, so you’re now eligible to apply for a commission.” He enlisted on December 6, 1941. “The next day, the war started,” he said.

Stevens spent most of 1942 in Washington, learning to analyze enemy transmissions, before being transferred to Pearl Harbor, where he served until 1945. “All of the intercepted Japanese traffic would come over the desk,” he said. “I was responsible for a twenty-four-hour period. The timing was such that when I came on, which would be eight o’clock in the morning, you know, that would correspond to a new day in Japan.” He went on, “I’d write up a report for Captain Layton, who was the intelligence officer for Admiral Nimitz. And we would give a summary of what we could learn from the day’s traffic.”

Like many veterans, Stevens will shed a customary reserve to share a war story. He tries to have lunch with the law clerks from the chambers of each of his colleagues in the course of a year. Thomas Lee, who clerked for Souter in 2001-02, during his lunch with Stevens mentioned that he, too, had been a Navy cryptologist. “I told him that I had served almost exactly fifty years after he did, and in the same place—in the Pacific,” Lee, who is now a professor at Fordham Law School, told me. “He asked me to stop by his chambers so we could continue talking about it.” Lee did, and the Justice told him about a moral dilemma that had haunted him for decades.

In April, 1943, a coded message came across Stevens’s desk—“one eagle and two sparrows, or something like that,” he said. Stevens knew the transmission meant that an operation based on intelligence from his station had been a success. American aviators had tracked and shot down the airplane of Admiral Isoroku Yamamoto, who was the architect of the Japanese attack on Pearl Harbor and the leader of Axis forces in Midway. Stevens was a twenty-three-year-old lieutenant, and the mission, essentially a targeted assassination, troubled him. “Even at the time, it seemed to me kind of strange that you had a mission that was intended to kill a particular individual,” he told me. “And it was an individual who was a friend of some of the Navy officers.” (Before the war, Yamamoto had trained with the U.S. Navy and studied at Harvard.) Ultimately, Stevens concluded that the operation, which was approved by President Roosevelt, was justified, but the moral complexity of such a killing, even in wartime, stayed with him. “It is a little different than your statistics about so many thousands of highway deaths—that doesn’t mean all that much,” he said. “But if somebody you know is killed, you have an entirely different reaction.” The morality of military action became a lifelong preoccupation.

Veterans of the Second World War dominated American public life for decades, but Stevens is practically the last one still holding a position of prominence. He is the only veteran of any kind on the Court. (Kennedy served briefly in the National Guard; Thomas received a student deferment and later failed a medical test during Vietnam.) “Somebody was saying that there ought to be at least one person on the Court who had military experience,” Stevens told me. “I sort of feel that it is important. I have to confess that.” The war helped shape his jurisprudence, and even today shapes his frame of reference. In his dissent in Citizens United, he questioned the majority’s insistence that the United States government could never discriminate on the basis of the identity of a speaker by saying, “Such an assumption would have accorded the propaganda broadcasts to our troops by ‘Tokyo Rose’ during World War II the same protection as speech by Allied commanders.” Since Tokyo Rose is not exactly a contemporary reference, Stevens told me, “my clerks didn’t particularly like that.”

Stevens’s Second World War experience also played a part in perhaps his most anomalous opinion as a Justice. In 1989, he dissented from the decision that protected the right to burn the American flag as a form of protest. “The ideas of liberty and equality have been an irresistible force in motivating leaders like Patrick Henry, Susan B. Anthony, and Abraham Lincoln, schoolteachers like Nathan Hale and Booker T. Washington, the Philippine Scouts who fought at Bataan, and the soldiers who scaled the bluff at Omaha Beach,” he wrote in an unusually lyrical dissent. “If those ideas are worth fighting for—and our history demonstrates that they are—it cannot be true that the flag that uniquely symbolizes their power is not itself worthy of protection.”

“The funny thing about that case is, the only consequence of it—nobody burns flags anymore,” Stevens told me. “It was an important symbolic form of protest at the time. But nobody does it anymore. As long as it’s legal, it’s not a big deal. You just don’t have flag burning.”

The war followed Stevens at the beginning of his legal career, too. After being discharged, in 1945, he raced through Northwestern Law School in two years, winning valedictorian honors. (He also acquired a new name, at least professionally. “I had a professor who said that every lawyer should have something unique about them,” he told me. “Some people sign their names in green ink, some people did other things. I had this very boring name. Who can remember ‘John Stevens’? So I added my middle name. I’ve used it ever since for work, but my friends have always called me John.”) Stevens earned a Supreme Court clerkship with Justice Wiley B. Rutledge, an F.D.R. appointee. In his year at the Court, Stevens worked on a case, Ahrens v. Clark, that had echoes sixty years later.

The matter grew out of the wartime detention of some hundred and twenty German-born U.S. residents, who were still being held at Ellis Island in 1948. The issue was whether these detainees had the right to challenge their incarceration in an American court. In a memo to Rutledge, Stevens wrote, “I should think that even an alien enemy ought to be entitled to a fair hearing on the question whether he is in fact dangerous.” Nevertheless, a six-to-three majority saw it the other way, so Rutledge and his twenty-eight-year-old clerk collaborated on a lengthy dissent, which said that the majority had torn at “the roots of individual freedom.”

Rutledge and Stevens were vindicated in 1973, when the Court effectively overruled its Ahrens precedent in a case involving the Kentucky legal system, but the issue of the rights of enemy aliens in wartime largely disappeared from the Court’s docket for many decades. It returned with a vengeance in the second Bush Administration. As Stevens said of the Ahrens dissent, with typical understatement, “It was relevant in the Guantánamo case.”

After his clerkship, Stevens returned to Chicago and took a job at one of the city’s first religiously integrated law firms. Abner Mikva clerked on the Supreme Court the year after Stevens, then returned to Chicago to start a career in public life. “Those were the days when there was such a thing as a moderate Republican, and that’s what he was,” Mikva said of Stevens. “He was a pretty conservative Republican on economic issues, but he was always a great progressive on civil rights and social rights.”

Stevens’s career resembled that of moderate Republicans like Harlan, Stewart, and Powell. All were successful corporate lawyers who leavened their private practice with periods of public service. Three years after joining the firm, Stevens did another short stint in Washington, this time as a lawyer on the Republican staff of the House Judiciary Committee, where he worked on antitrust issues. Back in Chicago, he became a widely renowned antitrust litigator while enjoying the life of a golf-playing suburban burgher. He and his wife, Betty, had four children, two of them adopted, and he took up flying a private plane as a hobby, which also enabled him to visit clients around the Midwest.

Robert H. Bork, the conservative scholar who was an unsuccessful nominee to the Supreme Court, was also an antitrust lawyer in Chicago in the late fifties, and in one case he and Stevens represented co-defendants. “I found him an amiable man, with conventional views for the time, and he gave no hint that he would become such a liberal in later years,” Bork told me.

Stevens likely would have lived out his life in prosperous obscurity if one of Chicago’s periodic corruption scandals hadn’t intervened. A local character, a wheelchair-bound frequent litigant named Sherman Skolnick, alleged that two justices on the Illinois Supreme Court had taken bribes to sway their votes in a political-corruption case. The court formed a committee to investigate, which appointed Stevens as its counsel. In a series of dramatic hearings in 1969, Stevens established that the two judges had indeed taken bribes. Both resigned, and Stevens became a public figure. The next year, Senator Charles Percy, an Illinois Republican, put Stevens up for a judgeship on the Court of Appeals for the Seventh Circuit. Richard Nixon followed Percy’s advice, and, in 1970, Stevens began his judicial career.

Gerald Ford, coming into office in 1974, sought to demonstrate a renewed commitment to ethics at the Justice Department by naming as Attorney General Edward H. Levi, the dean of the University of Chicago Law School. When, the following year, William O. Douglas left the Supreme Court, Levi pushed for Stevens, his fellow-Chicagoan, whose anti-corruption credentials looked especially desirable in that post-Watergate moment. “Ford’s purpose was not to make a big splash and change the world,” Jack Balkin, a professor at Yale Law School, said. “Ford was still smarting after the pardon of Nixon. He wanted to unite the country. There was no attempt to nominate a strong ideologue. That just wasn’t on the table. They wanted a straight-arrow, middle-of-the-road, normal guy, excellent lawyer—and that’s what they got in Stevens.” Ford nominated Stevens, who was then fifty-five, on November 28, 1975, and the Senate confirmed him just nineteen days later, by a vote of ninety-eight to zero.

Stevens’s corruption investigation had a profound effect on the kind of judge he became. One of the justices on the Illinois Supreme Court had written a draft dissenting opinion in the case in which his colleagues were paid off but at the last minute had decided to remain silent. (Dissents were rare in Illinois.) “If there is disagreement within an appellate court about how a case should be resolved, I firmly believe that the law will be best served by an open disclosure of that fact, not only to the litigants and their lawyers, but to the public as well,” Stevens wrote in the introduction to “Illinois Justice,” a 2001 book about the scandal. As a result, “I do clutter up the U.S. Reports with more separate writing than most lawyers have either time or inclination to read.”

This is true. Especially in his early years, Stevens wrote a lot of opinions, including many short dissents and concurrences. The point of all this writing has not always been clear—he’s not warning of corruption among his colleagues—and initially the number of opinions gave Stevens a reputation for eccentricity. “His early concurrences did not move the ball—they were personal statements,” Mikva said. “They were not stirring, Brandeis-type dissents. It used up a lot of his time.” (Also in his first few years in Washington, Stevens divorced and remarried. His second wife, Maryan Mulholland Simon, an old friend from Chicago, is a dietician, whose ministrations Stevens credits for his longevity.)

At first, Stevens settled into the ideological center of the Court, which at the time was bounded, on the left, by William Brennan and Thurgood Marshall, and, on the right, by Rehnquist, then an Associate Justice, and Chief Justice Warren E. Burger. The turning point came in 1994, when Blackmun retired and Stevens became the senior Associate Justice on the Court. Then, as now, the Court was closely divided between liberals and conservatives, so both sides had at least a chance of cobbling together majorities in important cases. This part of the job requires political deftness, which Stevens, in his Lone Ranger mode, had not often displayed. But he flourished in the role.

“Stevens controlled the assignment of opinions with great skill,” Walter Dellinger said. “Sometimes he has assigned the opinions to himself, but more important are the cases in which he gave up the privilege of writing the opinion in landmark cases in order to secure a shaky majority.” In 2003, Stevens asked O’Connor to write the opinion in Grutter v. Bollinger, the University of Michigan Law School case. The same year, Stevens bestowed on Kennedy the opportunity to write Lawrence v. Texas, the epochal gay-rights case invalidating bans on consensual sex between adults of the same gender.

Decisions like Lawrence, as well as abortion-rights cases, which are based on what are known as “unenumerated rights” in the Constitution, have long drawn the ire of conservatives. “It’s in recent years that Stevens has most become an activist judge, on issues like homosexual rights,” Bork told me. “He finds rights in the Constitution that no plausible reading could find there.”

But such cases also raised his standing with liberals. “It was particularly selfless for Stevens to assign Lawrence to Kennedy,” Dellinger said. “He could have chosen the honor of writing Lawrence for himself. But it seems he wanted to make sure that the tentative vote to strike down the Texas law held up, and assigning the opinion of the Court to Kennedy locked in the majority.”

Still, the summit of Stevens’s achievements on the bench came during the Bush Administration, in the series of decisions about the detention of prisoners at Guantánamo Bay, and he kept for himself the most important of these opinions. In the 2004 case of Rasul v. Bush, among the first major cases to arise from Bush’s war on terror—and the first time that a President ever lost a major civil-liberties case in the Supreme Court during wartime—Stevens wrote for a six-to-three majority that the detainees did have the right to challenge their incarceration in American courts. In his opinion, which was written in an especially understated tone, in notable contrast to the bombastic rhetoric that accompanied the war on terror, he cited Rutledge’s dissent in the Ahrens case—which he himself had helped write, fifty-six years earlier. One of Stevens’s law clerks, Joseph T. Thai, later wrote an article in the Virginia Law Review entitled “The Law Clerk Who Wrote Rasul v. Bush,” which concluded that “Stevens’s work on Ahrens as a law clerk exerted a remarkable influence over the Rasul decision.”

Two years after Rasul, Stevens wrote the opinion for the Court in Hamdan v. Rumsfeld, in which a five-to-three majority rejected the Bush Administration’s plans for military tribunals at Guantánamo, on the ground that they would violate both the Uniform Code of Military Justice and the Geneva conventions. (Roberts did not participate in that case, because as a judge on the D.C. Circuit he had joined the opinion that Stevens overruled.)

Stevens’s repudiation of the Bush Administration’s legal approach to the war on terror was total. First, in Rasul, he opened the door to American courtrooms for the detainees; then, in Hamdan, he rejected the procedures that the Bush Administration had drawn up in response to Rasul; finally, in 2008, in Boumediene v. Bush, Stevens assigned Kennedy to write the opinion vetoing the system that Congress had devised in response to Hamdan.

After the attacks of September 11, 2001, the Bush Administration conducted its war on terror with almost no formal resistance from other parts of the government, until Stevens’s opinions. He was among the first voices, and certainly the most important one, to announce, as he wrote in Hamdan, that “the Executive is bound to comply with the Rule of Law.”

“The Second World War was the defining experience of his life, and he is proud of being a veteran,” Cliff Sloan, a Washington lawyer who clerked for Stevens in the mid-eighties, said. “No one can challenge his patriotism, and that’s why he was the right guy to take on the Bush Administration’s position at that time and in that way.”

Stevens, throughout his years on the Court, has drawn not just on history and precedent but on contemporary values and even on his own experience as a judge. According to Stevens, that approach has its origins in his brief stint as a lawyer on the staff of the House Judiciary Committee. “That was probably one of the most important parts of my education,” Stevens told me. He recalled an incident involving an antitrust law: “I remember explaining one of the tricky problems in the statute to one of the members of the committee. I got all through it, and he said, ‘Well, you know, let’s let the judges figure that one out.’ ”

What that told him was that “the legislature really works with the judges—contrary to the suggestion that the statute is a statute all by itself,” Stevens said. “There is an understanding that there are areas of interpretation that are going to have to be filled in later on, and the legislators rely on that. It’s part of the whole process. And you realize that they’re not totally separate branches of government—they’re working together.”

Andrew Siegel, a Stevens clerk and now a law professor at Seattle University, said, “Stevens believes that constitutional decision-making is conducted through the interpretation of a mix of various sources—a complex balancing act.” He added, “The glue holding it all together is judicial judgment.”

This is the core of Stevens’s disagreement with his great intellectual adversary on the court, Antonin Scalia. When it comes to interpreting statutes, Scalia believes that the Court should be guided by the words of the law “all by itself,” as Stevens put it. Steven G. Calabresi, a law professor at Northwestern and a co-founder of the conservative Federalist Society, told me, “What makes Stevens a moderate liberal is that he is fundamentally a legal realist, which means that when the text and history of the Constitution point in one direction, and good results and good consequences point in the other, he’ll usually go with what he sees as the good results.” He added, “Scalia sees the role of the judge as to read the text and apply it—period. Stevens thinks the law is more of a living thing, and he takes text and history and applies it in a way that he thinks serves the purposes of the framers, not necessarily their exact words.“

Just about every year, Stevens and Scalia take each other on in one or more cases. These contests reflect the temperaments of the two men—Stevens’s cautious balancings against Scalia’s caustic certainties. One dramatic example came in 2008, in Baze v. Rees, which asked whether execution by lethal injection amounted to cruel and unusual punishment, in violation of the Eighth Amendment. Stevens and Scalia were both part of the seven-member majority, which said that lethal injections were permissible, but wrote separate concurring opinions. Stevens’s showed how his experience on the Court had soured him on the death penalty. “State-sanctioned killing is . . . becoming more and more anachronistic,” he wrote, and he proceeded to show that all of the purported justifications for the death penalty—deterrence, retribution—failed in practice. “I have relied on my own experience in reaching the conclusion that the imposition of the death penalty ‘represents the pointless and needless extinction of life with only marginal contributions to any discernible social or public purposes.’ ” Still, he felt bound by the precedents of the Court to uphold lethal injections.

Scalia wrote as a “needed response to Justice Stevens’s separate opinion.” He criticized Stevens’s assertions about the death penalty, but it was Stevens’s invocation of his own “experience” that really outraged Scalia. “Purer expression cannot be found of the principle of rule by judicial fiat. In the face of Justice Stevens’s experience, the experience of all others is, it appears, of little consequence,” Scalia wrote, adding, “It is Justice Stevens’s experience that reigns over all.”

Scalia’s mockery gets to the heart of his critique of Stevens’s jurisprudence—that his variability simply amounts to a judge’s whim. “That flexibility and malleability that Stevens talks about is really just a license for a judge to reach any result he wants,” M. Edward Whelan III, a former Scalia clerk who runs the conservative Ethics and Public Policy Center, said. “Scalia believes in rules.” According to Calabresi, “Stevens gives judges too much freewheeling power, and that’s not the way our system was supposed to work and not the way it works the best.”

True to form, Stevens dismisses doctrinaire originalism, but says that historical evidence does have its uses. “The original intent cannot be the final answer—the world changes,” Stevens told me. “But I think it’s always a part of your job to take a look at what you can find out about the original drafting and all the rest of it.” In Heller, the gun-control case, Scalia invoked his view of original intent to find that the Second Amendment gave individuals a personal right to possess weapons. In his dissent, Stevens looked exhaustively at the same historical evidence and reached an opposite conclusion: that the authors of the Second Amendment intended to create no such right. “I’ve written a lot of opinions in which I’ve looked at the history pretty carefully,” he said. For Stevens, then, original intent is one factor—but only one—that should tell a Justice what the Constitution means.

On September 29, 2005, Stevens administered the oath of office to Roberts in a ceremony at the White House. “I didn’t think that ceremony should have been at the White House,” Stevens told me. “I feel very strongly about that. I think the proper place for that ceremony is at the Court. It has great symbolic importance. After a nominee has been confirmed, he’s a member of the judiciary—he’s not primarily the person who was selected by the President for the Court.” Still, Stevens went ahead with the ceremony, because “I think he was a particularly fine appointment, and I didn’t want anyone to get the misimpression that I didn’t approve of him.”

During Roberts’s tenure, though, Stevens’s view of the Constitution—holistic, gradualist, inclusive, broadly sourced—has most often been on display in dissent in important cases. The replacement of Rehnquist and O’Connor by Roberts and Alito made not only a more conservative Court but also a more aggressive one, with far less regard for precedent. This is evident in areas from abortion law (where the Court upheld for the first time a total ban on a specific medical procedure) to antitrust (where the majority overturned a ninety-six-year-old line of cases). William Rehnquist was no liberal, but he did not lead an attack on the Court’s past.

Stevens believes that even the 1954 landmark, Brown v. Board of Education, which struck down the doctrine of “separate but equal” in education, is under assault. In 2007, when the Court, in an opinion by Roberts, struck down the Seattle school-integration plan, Stevens, in dissent, could only murmur in wonder: “It is my firm conviction that no Member of the Court that I joined in 1975 would have agreed with today’s decision.”

Even Stevens’s manners at oral argument are not entirely the result of Midwestern politeness. “You want to be sure to get it in,” he said. “The bench is a little more active than it was years ago. You’ve got four or five Justices who are very active.” Is that a good thing? “I’m not a Clarence Thomas, but I think a little more permission to the lawyers to develop their own argument would be better than the way it does develop.”

How long will Stevens remain on the Court? Good genes (one of his older brothers practiced law until he was ninety-one), a happy home, plenty of exercise, and even more luck could allow Stevens to keep up the fight into his tenth decade. Last December, he had lunch with Peter Isakoff, a Washington lawyer who was one of his early Supreme Court law clerks. “He had just played tennis that morning—singles!—and I was just kind of amazed,” Isakoff recalled. “And so I asked him, ‘Do you still run?’ And he looked at me and said, ‘Well, how else are you going to get to the ball?’ ”

With the election of Barack Obama, the question of Stevens’s retirement has become more pressing. Even though Stevens was appointed by a Republican President, many assume that he would never willingly have turned his seat over to George W. Bush. I asked Stevens about his plans.

“Well, I still have my options open,” he said. “When I decided to just hire one clerk, three of my four clerks last year said they’d work for me next year if I wanted them to. So I have my options still. And then I’ll have to decide soon.” On March 8th, he told me that he would make up his mind in about a month.

Stevens needs a little more than two years to surpass Douglas for the longest tenure on the Court, and about one year to equal Oliver Wendell Holmes as the oldest serving Justice, but he said that those numbers were irrelevant. “I’ve never felt any interest in trying to break any records,” he said. He has had a closeup view of the complexities of retirement decisions for Supreme Court Justices. William Douglas, whom Stevens replaced, stayed on the Court after a series of strokes that incapacitated him; his colleagues awkwardly forced his resignation. On the other hand, O’Connor left the Court in good health, which continues, and has watched her successor, Alito, undo part of her legacy.

Did it matter which President named his replacement?

“I’d rather not answer that,” Stevens said. The Republican Party may have moved right since 1975, but Ford himself never displayed anything but pride in his choice of Stevens for the Court. In 2005, a year before his death, Ford wrote, in a tribute to Stevens, “For I am prepared to allow history’s judgment of my term in office to rest (if necessary, exclusively) on my nomination thirty years ago of John Paul Stevens to the U.S. Supreme Court.”

As for Obama, Stevens said, “I have a great admiration for him, and certainly think he’s capable of picking successfully, you know, doing a good job of filling vacancies.” He added, “You can say I will retire within the next three years. I’m sure of that.”

He will not be seen again, under any circumstances, at a State of the Union address. “I went to a few of them when I was first on the Court, but I stopped,” Stevens told me. “First, they are political occasions, where I don’t think our attendance is required. But also it comes when I am on a break in Florida. To be honest with you, I’d rather be in Florida than in Washington.”

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Yemen says militants died in raid

Map of Yemen

Two al-Qaeda militants killed in Yemen have been identified, government officials have said.

A third suspected senior militant has also reportedly been killed in two days of air raids by the Yemeni airforce.

The bombing raids were carried out Sunday and Monday on the southern province of Abyan.

Also on Tuesday, a series of small blasts reportedly went off in the southern city of Aden, which officials attributed to southern separatists.

Jamil Nasser Abdullah al-Ambari, 25, believed to be the leader of al-Qaeda in southern Abyan province, was one of two militants killed in the overnight raid, the security official told AFP.

The other militants were named as Smir Al-Sayari, and Ahmed Al-Zarba by local media.

The al-Qaeda operatives were connected to the failed bombing of a Detroit-bound airliner on Boxing Day, government officials told journalists.

It is not clear how many other people were killed in the airstrikes.

Separatist fight

The government of Yemen is facing three different militant groups, al-Qaeda, southern secessionists, and a rebel movement in the north - although it has it has called a truce with the later.

South and north Yemen were united in 1990 and fought a brief civil war in 1994, and grievances with separatists still remain.

The series of blasts in Aden were likely to be home-made firebombs or grenades belonging to southern separatists, government officials told the news agency Reuters.

There have been clashes between security services and separatists in a number of towns in the past month.

A truce with another rebel group, known as the Houthis, in northern Yemen has allowed the government in Sanaa to turn its attention to the secessionist movement and to the al-Qaeda cadre said to be hiding out in the same area.

But the truce between the government and the Houthis was reportedly under strain on Tuesday with government officials telling reporters the Houthis were not sticking to the agreements they made.

Al-Qaeda in the Arabian Peninsula, an offshoot of the al-Qaeda core around Osama bin Laden, have been using Yemen as a base since several militants broke out of a Saudi jail in 2008 and escaped over the border.

Umar Farouk Abdulmutallab, the Nigerian accused of trying to blow up an airliner with explosives hidden in his underpants reportedly had contact with the al-Qaeda group when he was studying in Yemen in the months before his alleged bombing attempt.

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Somali Sufi group joins government to fight al-Shabab

A powerful Sufi Muslim group has joined Somalia's government to tackle the al-Qaeda-inspired al-Shabab insurgents who control large parts of the country.

The deal, signed at the African Union headquarters in Ethiopia, is seen as a significant military boost for the beleaguered UN-backed government.

The Ahlu Sunna Wal Jamaa group controls several areas in central Somalia, where it has been fighting al-Shabab.

AU head Jean Ping welcomed the deal as a historic opportunity for peace.

He urged al-Shabab to lay down its weapons.

map

Al-Shabab and its allies control much of southern Somalia, while the government, backed by AU peacekeepers, controls only a few parts of the capital, Mogadishu.

"We have agreed to share power," said Somali Prime Minister Omar Abdirashid Ali Sharmarke at the signing ceremony.

Under the deal, Ahlu Sunna will be given five ministries and its forces will be incorporated into the government's security structures.

Ahlu Sunna and al-Shabab have very different interpretations of Islam.

However, some Ahlu Sunna factions have opposed the deal.

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Sahelian Foreign Ministers Discuss al-Qaida Threat

A general view of the Ministerial Conference of Sahara-Sahel  States in Algiers, 16 Mar 2010
Photo: AFP

A general view of the Ministerial Conference of Sahara-Sahel States in Algiers, 16 Mar 2010

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Foreign ministers from Africa's Sahelian countries are meeting in Algeria to better coordinate their response to al-Qaida-affiliated terrorists who are responsible for a series of bombings and kidnappings.

The meeting outside Algiers includes foreign ministers from Algeria, Burkina Faso, Chad, Libya, Mali, Mauritania, and Niger. They are working on a joint plan of action to confront the group al-Qaida in the Islamic Maghreb, which operates across parts of the Sahara kidnapping foreigners and bombing military posts.

The group claims responsibility for last week's bombing of an army barracks in western Niger. It is holding two Spanish aid workers and an Italian couple kidnapped in Mauritania.

Al-Qaida in the Islamic Maghreb last year killed a British hostage in Mali and shot dead a U.S. aid worker in Nouakchott before bombing the French Embassy there in August.

Map of Mauritania

Mauritania's state-run news agency says government officials are concerned the deserts of northern Mauritania and Mali will be the next battlefield as more Algerian terrorists cross the border to join the group.

While al-Qaida in the Islamic Maghreb is not large enough to topple a government, diplomats fear it could make the Sahara a safe haven for terrorists planning attacks elsewhere.

"I think there is a threat to stability in the sense that these are countries that are not terribly stable in the first place. This is not an organization that risks taking over a country," says Marina Ottaway, who directs the Middle East program at the Carnegie Endowment for International Peace.

The Sunni group began in Algeria in 1992 after military rulers canceled parliamentary elections when it appeared Islamist groups might take power. They have since aligned themselves with the broader al-Qaida terrorist network, but Ottaway says they remain a loosely-organized group.

"They have had their problems in the sense that they started out trying to present themselves as, 'We are it', essentially," said Marina Ottaway. "'We are controlling all of the operations in the area.' They have not succeeded in getting all groups to join them. The Libyans have not joined them."

The U.S. State Department says it hopes the meeting in Algeria consolidates collective action against groups seeking to exploit the region to attack civilians.

The top U.S. military commander for Africa met with Algeria's president last November to discuss joint anti-terrorism efforts. The head of U.S. Air Forces in Africa met with senior Algerian Air Force officers earlier this year.

Ottaway says too much U.S. involvement may be counter-productive.

"I think it is open to discussion to me whether it is really in the best interest of these governments to all come together, particularly to come together with the U.S. military, to try and work out a common front because in a sense, by doing that, they also encourage these various groups to come together," said Ottaway. "All the groups involved in terrorist activities, kidnappings and so on, also find more of a reason to centralize their activities. So that it may in fact lead to have some unintended consequences."

Regional diplomats say this meeting in Algeria is especially important given the fall-out over Mali's release of four suspected militants last month. Al-Qaida in the Islamic Maghreb demanded their release or said it would kill French hostage Pierre Camatte.

He was freed, but Algeria and Mauritania withdrew their ambassadors to Mali in protest as they intended to try their own nationals among the suspected terrorists. Algeria said Mali's actions played into the hands of the insurgents.

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Mar 13, 2010

This Won’t Hurt a Bit

Cover of "Overtreated: Why Too Much Medic...Cover via Amazon

How we can save billions by cutting out unnecessary procedures that kill tens of thousands a year.

Published Mar 5, 2010

From the magazine issue dated Mar 15, 2010

When the White House and Congress were struggling last year to keep the cost of health-care reform from exploding, they got most of the industry to ante up. Pharma agreed to give up $80 billion in revenue over the next decade, hospitals kicked in $155 billion in foregone Medicare and Medicaid payments, and medical-device makers grudgingly agreed to a $20 billion tax. But one big player refused to put any money on the table: doctors. The American Medical Association pledged to support health-care reform only if its members' incomes didn't take a hit.

That doctors demanded protection for their wallets strikes Howard Brody, a family physician at the University of Texas Medical Branch, as "ethically questionable," and not only because he thinks doctors have a moral obligation to help get the nation's health-care bill under control. The bigger problem is that "doctors rip off the system with inappropriate care," says Brody. An estimated one fifth to one third of U.S. health-care costs, at least $500 billion a year, goes toward tests and treatments that do not benefit patients—routine CT scans in the ER, antibiotics for colds, Pap tests for women who do not have a cervix, and …

What comes after the ellipsis is the question of the hour. Brody recently proposed, in The New England Journal of Medicine, that every medical specialty identify five procedures—diagnostic or therapeutic—that are done a lot and cost a lot but provide no benefits to some or all of the patients who receive them. Five is just a suggestion, high enough to be meaningful but low enough to exclude procedures in which the science is still open to debate, such as annual mammograms for women under 50. "I'm pretty convinced that each specialty could come up with 15 or 20, but in calling for five I think we can find uncontroversial ones," says Brody. It's not just about saving money, either. Any time a doctor performs a procedure, there is the risk of medical error and side effects, such as an elevated risk of cancer from CT scans. Unnecessary care kills 30,000 Americans every year, estimates Dr. Elliott Fisher of Dartmouth Medical School—and that figure includes only Medicare patients.

Medical groups have not exactly beaten a path to Brody's door, so NEWSWEEK contacted several to see if they would play along. Reactions ranged from "we do no unnecessary care" (dermatology) to "only five?!" (emergency medicine). Allen Lichter, CEO of the American Society of Clinical Oncology, nominates what he calls "nth-line therapy"—the third or fourth or fifth chemotherapy drug for a patient whose cancer has not been felled by the first or second. "I don't know what n should be," he says. "But at some point chemotherapy has an extremely low chance of extending life and a high chance of shortening life due to toxicity."

Experts in internal medicine are already well along in identifying items for Brody's list. "I hate to say it, but it's true: doctors sometimes do things that do not benefit patients and can even be harmful," says Stephen Smith of Brown University medical school, who is spearheading the effort. Nominations, all from physicians, include antibiotics for upper-respiratory infections (the drugs kill bacteria, not the viruses that cause colds), Pap tests for women under 21 ("solid research shows that they find things that lead to unnecessary interventions but would clear up on their own," says Smith), and me-too drugs that are no more effective than older versions (anything other than diuretics for first-line treatment of high blood pressure).

High-tech tests are also in Smith's crosshairs. For coronary calcium scans, he says, "there is no evidence they lead to better outcomes. In low-risk patients, high coronary-artery calcification still means the patient is at low risk for heart disease and nothing needs to be done other than the usual 'heart healthy' behaviors. In a high-risk patient, aggressive efforts at reducing risk factors need to be undertaken regardless of the coronary-artery calcification." Similarly, thyroid testing in a patient with no symptoms "rarely yields an abnormal result," Smith says, and so "is not worth doing" on a symptom-free patient. Smith's team will "field test" these and other nominees this spring by asking hundreds of doctors if they agree. Eventually, docs who pledge to avoid unhelpful procedures might display some sort of emblem.

Smith's group is also considering nixing X-rays and MRIs for lower-back pain: the scans often spot something that is unrelated to the pain. About 80 percent of adults over 40 have a bulge or other deformation in their lower back that makes surgeons think "operate"—but no pain. So when such an "abnormality" shows up on a CT or MRI, attributing a patient's pain to it is probably nonsense. In fact, the vast majority of lower-back pain is caused by muscle sprains and strains that don't show up on scans, and for which surgery is no more effective (and is more dangerous) than over-the-counter pain meds, time, rest, and exercise. Although lower-back pain typically resolves within six weeks, many patients refuse to wait, and surgeons and radiologists have financial incentives to see that they don't. A 2009 study found that Americans spent $85.9 billion for imaging, surgery, drugs, and doctors' visits for lower-back pain—most of it for no benefit. "The use of MRI within six weeks of the start of lower-back pain is not only not useful, but it increases the number of surgeries, treatments, and costs," says anesthesiologist Ray Baker, president of the North American Spine Society, whose members do those very things.

Baker, who "applauds" Brody's call to arms, believes there are enough data to "draw a circle around" other procedures that are his members' bread and butter. For instance, at least 351,000 spinal fusions were performed in 2007, reports the Agency for Healthcare Research and Quality, at a cost of $26.2 billion. Yet except in the tiny fraction of cases in which the pain is caused by fracture or tumor, they're useless—but financially irresistible, points out Shannon Brownlee in her 2007 book Overtreated: Why Too Much Medicine Is Making Us Sicker and Poorer. At $75,000 per spinal-fusion procedure, medical-device makers, hospitals, and surgeons have every reason to keep the gravy train rolling. "We doctors are extremely good at rationalizing," says Brody. "Somehow we manage to figure out how the very best care just happens to be the care that brings us the most money."

Doctors who want to eliminate unhelpful procedures have their scalpels aimed at several other surgeries. Brody nominates arthroscopic surgery for osteoarthritis of the knee. A 2004 study showed that it is no more effective at restoring mobility and reducing pain than sham surgery. In other words, all the benefits reflect a placebo response on the part of patients, who think, "Docs in surgical scrubs, high-tech surgery, gleaming OR—this will certainly help me." But orthopedic surgeons still do the surgeries, which cost about $6,000.

They are not the only physicians who ignore the findings of clinical trials. Two studies last year in the NEJM showed that vertebroplasty, in which cement is inserted through a needle into the spine to stabilize vertebrae, is no more effective at reducing pain and disability than fake surgery (anesthesia, small incision for the needle, no cement). That suggests it is the hope and expectations of patients, not the procedure, that help. Yet about 170,000 vertebroplasties are done every year, at a typical cost of $5,000. Surgeons protest that their vertebroplasty patients hug them in relief that their pain has vanished. But "we saw 'miracle cures' in the sham-surgery group, too," says David Kallmes of the Mayo Clinic, who led one of the studies.

Every year cardiac surgeons perform bypasses on thousands of patients who have one or two blocked arteries, and cardiologists do angioplasty (with and without stenting) on thousands more. But five large clinical trials have shown that, except in an emergency, inserting a stent (to prop open a clogged artery) does not reduce the risk of heart attack or death any better than treating with drugs first (and stenting only if the pain persists). Interventional cardiology nevertheless carries on to the tune of about 500,000 elective angioplasties a year, at $51,000 each, including in patients who should get drugs instead. Hospitals can get $20,000 from private insurers for angioplasty, Brownlee found, almost half of which is pure profit. "Advocates say, 'We do it differently' or 'The clinical trials focused only on particular populations of patients, and we do these surgeries only where appropriate,'?" says Nortin Hadler, professor of medicine at the University of North Carolina and author of the 2009 book Stabbed in the Back: Confronting Back Pain in an Overtreated Society. "These arguments walk a fine line between hubris and quackery."

No one is saying cutting back on unnecessary medicine will be easy. There is a reason for every procedure doctors perform. The fact that the reasons are sometimes financial or legal (protecting against malpractice claims) makes them no less powerful. Few doctors have the training in statistics and trial design to understand what the science says about various therapies. And many honestly believe their patients are different from those in a study that found no benefit from some procedure. But if they're right about that, points out Baker of the spine society, it means there are no data that the procedure benefits those patients.

Consumers, too, are a powerful force for unnecessary medical care. Parents insist the ER do a CT scan on a child who bumped her head; runny-nose patients won't leave their internist without a prescription for antibiotics. "In a busy practice, it's sometimes easier to write the prescription than to talk the mom out of it," says pediatrician Beth Pletcher of the University of Medicine and Dentistry of New Jersey. And the heart patient who doesn't believe that pills could possibly be as effective as surgery? "Angioplasties, stents, and bypass have attained 'entitlement' status," notes Hadler.

Why do insurers pay for unnecessary care? Partly because they're battle-weary, having been successfully sued for refusing to cover, for instance, high-dose chemo plus bone-marrow transplants for breast cancer—which turned out to be not just useless but, for thousands of patients, deadly. "The abrasion that would result from even more intervention by health-care plans becomes problematic," says Joe Singer, vice president for medical affairs at HealthCore, a subsidiary of the insurance giant WellPoint. Translation: insurers have had it with trying to refuse coverage for useless procedures, since they can simply raise premiums—yours and mine—to cover the cost.

Perhaps, since so much useless care reflects financial incentives, financial disincentives might reduce it. In a paper last month in PLoS Medicine, R. Scott Braithwaite of the New York University School of Medicine and colleagues suggested that insurance cover 100 percent of effective diagnostic tests and treatments, but little to nothing for less effective ones. You really think you need an MRI for the back pain that started last week? It's on your nickel.

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The Next Al Qaeda?

Terror LeT looseImage by com4tablydumb via Flickr

Terror group Lashkar-e-Taiba is now focusing on foreigners and the West.

Published Feb 26, 2010

From the magazine issue dated Mar 8, 2010

While the U.S. remains focused on hunting down Al Qaeda's original leadership along the Afghanistan-Pakistan border, a lesser-known Islamic militant group has emerged as potentially the most dangerous terrorist outfit on the planet. For more than 15 years Lashkar-e-Taiba, known widely as LeT, has been targeting Indian interests, particularly in the disputed territory of Kashmir. But Western and Indian intelligence experts say LeT now has a growing interest in attacking foreigners and expanding its reach on a global scale—and that the group has the capability to carry out devastating attacks beyond India. At a U.S. Senate intelligence--committee hearing in February, Dennis Blair, the director of national intelligence, said LeT is now "becoming more of a direct threat," and "placing Western targets in Europe in its sights." Its "willingness to attack Jewish interests and locations visited by Westerners," he said, "raise[s] concerns that either the group itself or individual members will more actively embrace an anti-Western agenda."

To some analysts, LeT may be an even greater threat than Al Qaeda because of its technological sophistication, its broader global recruiting and fundraising network, its close ties to protectors within the Pakistani government, and the fact that it is still a less high-profile target of Western intelligence. Since about 2003 its fingerprints have been found on anti-Western attacks and plots from Afghanistan to Iraq, Dhaka to Copenhagen. And the choice of targets in LeT's most spectacular operation to date—the carefully choreographed November 2008 assault on Mumbai, including luxury hotels popular with Western travelers and a Jewish center—have been cited by Blair and other top U.S. officials as a sign of LeT's increasing interest in attacking the West. "In Mumbai the targets they went after were the targets of the global jihad," says terrorism expert and former CIA officer Bruce Riedel. Shortly after Mumbai, Pakistani authorities arrested alleged LeT communications specialist Zarar Shah and reportedly discovered on his laptop a list of 320 potential targets, most of them outside India. They included sites in Europe, says a Western intelligence official.

As further evidence of LeT's increasingly global agenda, U.S. authorities point to the case of David Coleman Headley, a Pakistani-American living in Chicago who was arrested in October for allegedly conducting surveillance on behalf of LeT for the Mumbai attacks. (He has pleaded not guilty.) Investigators say he and LeT had another plan as well: attacking the offices of the Danish newspaper that had run a cartoon of the Prophet Muhammad in 2005. Reportedly acting on information provided to the FBI following his arrest, authorities in Bangladesh late last year picked up a number of LeT operatives whom they believe were preparing to attack the American and British embassies in Dhaka. "Very few things worry me as much as the strength and ambition of LeT, a truly malign presence in South Asia," Ambassador Daniel Benjamin, the U.S. State Department's top counterterrorism official, told reporters in January, after the Dhaka plot was uncovered. To Riedel, the plot against the U.S. Embassy in Dhaka shows that "we are now at war with Lashkar-e-Taiba." And in February a previously unknown faction of LeT claimed responsibility for the bombing of a café in Pune, India, that was popular with foreign tourists and expats. Before Mumbai, Western intelligence officials say, LeT had seemed careful to avoid killing foreigners in India. Now, as in Mumbai and Pune, the group seems committed to "internationalizing" even its Indian attacks.

LeT's roots date back to the guerrilla war against the Soviets in Afghanistan during the 1980s. Among its founders was Abdullah Azzam, a Palestinian who, along with Osama bin Laden, formed the influential Afghan Services Bureau, a precursor to Al Qaeda. Following the Soviet withdrawal from Afghanistan, LeT sent its militants to fight in the Tajik civil war as well as in Bosnia. But it found its first real calling in the violent uprising against Indian rule in Kashmir. Pakistan's formidable spy agency, the Directorate of Inter-Services Intelligence, eagerly backed LeT, among other proxies in Kashmir, with money, weapons, and training. LeT headquarters in Muridke was set up on 77 hectares of land donated by the Pakistani government. Its construction was funded by many of the same Saudi moneymen who financed Al Qaeda. To this day, analysts say, some in the Pakistani military regard LeT as an important reserve force that could be unleashed in the event of a conflict with India.

It's not clear when LeT began plotting against Western targets, but its grudge against the West is longstanding. LeT's philosophy is similar to other Pan-Islamic jihadi groups, including Al Qaeda, but with a uniquely Pakistani twist. It wants to establish a Muslim caliphate across South Asia, re-creating the dominance of the 17th-century Mughal empire. In addition to being virulently anti-Jewish, LeT is rabidly anti-Hindu. It blames British imperialism and the West for what it perceives as the weakness of Pakistan, and Muslims in South Asia generally. In its official literature, the group has called for the "reconquest" of Europe, which it claims was once in Muslim hands but was stolen away by Christian Crusaders. Hafiz Muhammad Saeed, one of LeT's founders and its top spiritual leader, has repeatedly proclaimed that the Western world "is terrorizing Muslims." "We are being invaded, humiliated, manipulated, and looted," he told a Pakistani newspaper in 2003. "How else can we respond but through jihad?" He has urged his fellow Muslims to "fight against the evil trio: America, Israel, and India." As recently as this past spring, his son, Hafiz Talha Saeed, had publicly preached that it is the duty of every Muslim to wage jihad against Jews and Christians wherever they are.

In practice, however, LeT restricted its attacks to targets in India until recently. In the wake of 9/11, unlike other jihadi organizations, LeT steadfastly refused to send fighters to battle U.S. and NATO forces in Afghanistan and publicly claimed it was interested only in liberating Kashmir from Indian control, in order to avoid antagonizing its protectors in Islamabad or drawing scrutiny from Western intelligence. But as long ago as 1998, Dilshad Ahmed, a top Lashkar military commander, argued that LeT should expand its operations beyond India. And in 2003 Lashkar sent militants to fight in Iraq, including Ahmed, who was captured there by British forces. That same year, a Lashkar-orchestrated plot to launch a major terrorist attack in Australia was thwarted by French and Australian authorities. As anti-American sentiment has grown in Pakistan over U.S. drone strikes on Pakistani soil, Lashkar's anti-Western rhetoric has become more heated, according to Stephen Tankel, a visiting scholar at the Carnegie Endowment for International Peace and author of a forthcoming book about LeT. Though LeT still denies any role in Afghanistan, U.S. security experts say LeT began sending fighters to battle U.S. troops there in 2006, and by 2008 they were among the mixed group of 200 militants who overran a U.S. outpost in Wanat, killing nine U.S. soldiers, which at the time was one of the single worst U.S. combat losses in Afghanistan.

There is evidence that LeT began plotting attacks against Western targets in India around the same time the group decided to get involved in Afghanistan. In 2007 it sent an Indian operative it had trained, Riyazuddin Nasir, to plot attacks against Western and Israeli targets at beach resorts in Goa, India, but Nasir was arrested by chance before he could carry out any attack. That did not stop LeT from targeting Westerners and Jews. Ajmal Kasab, the sole surviving Mumbai terrorist, told police interrogators that attackers had been instructed to single out Americans, Britons, and Israelis "because they have done injustice to the Muslims."

What worries many Indian and Western intelligence officials now is LeT's extensive international network. For starters, LeT's relationship with Al Qaeda is increasingly close. In 2002 Abu Zubaydah, alleged Qaeda mastermind of the 1998 bombings on the U.S. embassies in Africa, was arrested at an LeT safe house in the Pakistani city of Fai-sa-la-bad. Tawfiq bin Attas, a suspected Qaeda operative arrested by the Pakistanis in 2003, allegedly told interrogators he had recruited at least a dozen men to carry out attacks against U.S. targets from LeT camps. More recently, at least one of the perpetrators of the 2005 London Underground bombings, later claimed by Al Qaeda, had attended LeT training camps. LeT also provided funding to alleged Qaeda terrorists arrested in 2006 for plotting to blow up 10 airliners en route from London to the United States. In March 2009 a British parliamentary committee concluded that Al Qaeda and LeT had reached a "merge point" and were coordinating their activities closely. LeT leaders "have now aligned themselves in practice and operationally with the goals of Al Qaeda and the global Islamic jihad," says Riedel.

LeT's network is even broader than Osama bin Laden's, some analysts say. Unlike Al Qaeda, which is on the run and largely confined to the isolated AfPak border, LeT operates terrorist training camps more or less in the open, preparing thousands of young men for jihad every year (although a far smaller number are actually selected for terrorist missions). As many as 200,000 people have attended these camps over the past 20 years, by some estimates, including several hundred from Europe and North America. Some trainees returned home, where they may continue to work clandestinely for LeT. In a recent briefing paper for the Washington Institute for Near East Policy, Tankel writes that the group uses the Persian Gulf for fundraising purposes and as a logistical and recruiting hub. Authorities investigating "shoe bomber" Richard Reid's support networks in Paris "uncovered channels used to send volunteers from France to Lashkar camps in Pakistan." The group "also deployed a French convert named Willie Brigitte to Australia in 2003 to support attacks there." Riedel says LeT has "cells in the U.K., throughout the Persian Gulf, Nepal, and Bangladesh, and probably in the U.S. and Canada." Most of these cells are currently limited to providing logistics—ranging from recruiting and fundraising to procuring SIM cards and providing reconnaissance—for attacks against India, as was the cell in Bangladesh before it began plotting against the U.S. and British embassies in Dhaka.

Last spring, FBI Director Robert Mueller voiced concern about the number of LeT operatives from so-called visa-waiver countries, such as Britain and France, whose citizens are allowed to enter the U.S. with only a cursory background check. Still others, like Headley, may have U.S. passports. Since 2003 nearly a dozen members of the so-called Virginia jihad network, based outside Washington, were found guilty of terrorism-related charges for providing support to LeT and seeking to attend its training camps. Members of the group helped an LeT operative buy night-vision equipment, bulletproof vests, wireless video cameras, and even an unmanned aerial vehicle in the United States and then ship them to Pakistan. One consequence of this global reach is that LeT has already "become the replacement infrastructure" for the Qaeda network, says Juan Carlos Zarate, a former deputy national-security adviser for counterterrorism under President George W. Bush. Even if LeT itself did not orchestrate a strike in Europe or the U.S., he says, it might lend its international operatives to Al Qaeda for such an attack.

That's worrisome, many analysts say, because of LeT's technological sophistication. The Mumbai assaults took an exceptional degree of planning. The terrorists hijacked an Indian fishing boat on the open sea, navigated it to Mumbai with help from a GPS device, transferred to an inflatable dinghy, which they landed in Mumbai harbor after dark, and fanned out to hit multiple targets almost simultaneously. The attacking teams carried GPS devices to locate targets and had studied Google map images, Styrofoam mock-ups, and videos of the interiors of their targets. The terrorists stayed in constant contact with LeT handlers over mobile phones. The handlers, in turn, employed an Internet-based telephone service to conceal their location, and used live international TV images to help direct the assault. They also knew how to amp up worldwide media attention. "I can't think of any other group that has done anything on that scale of sophistication," says Nigel Inkster, the former director of intelligence and operations for Britain's Secret Intelligence Service. Benjamin, the top State Department counterterrorism official, has said that the only group that can even compare to LeT in terms of its size, sophistication, global capability, and ambition is Hizbullah, the Iranian-backed terrorist group.

Taking on LeT may be even tougher than countering Al Qaeda. If Pakistan is reluctant to go after (or allow the U.S. to go after) Al Qaeda in the border regions, it is less eager to go after LeT's base in the Pakistani heartland. Unlike Al Qaeda, LeT has a large charity arm that is popular in both Punjab and Kashmir, where it runs schools, an ambulance service, mobile clinics, and blood banks. It earned tremendous good will in Kashmir for providing humanitarian assistance after a devastating earthquake in 2005. Moving against it could provoke serious civil unrest—or even civil war. LeT and the Pakistani Army draw many recruits from the same poor Punjabi areas, often from the same families. LeT's humanitarian wing worked alongside the Pakistani military to help civilians displaced during the Army's campaign to retake the Swat Valley from the Taliban. Zarate describes Is-lama-bad as being in "a delicate dance with a Frank-enstein of their own making" when it comes to LeT. He says that many Islamabad officials realize that the group has become a liability, but want to avoid provoking LeT into turning on the state.

Even without direct attacks on the West, LeT could deal a severe blow to Western interests. Few believe New Delhi would allow another major attack from a Pakistani-based group to pass without a military response. And any conflict between nuclear-armed India and Pakistan has the potential to spiral out of control. Even a limited Indo-Pak conflict could have severe effects on the U.S. war effort in Afghanistan. Nearly 80 percent of supplies for NATO forces in Afghanistan are offloaded in the Pakistani port of Karachi. An Indo-Pak war would also distract Pakistan from pursuing the Taliban. One solution, then, is for the U.S. and its allies to move more aggressively to ferret out and dismantle LeT cells located throughout the Pakistani diaspora. The other is to do everything possible to support peace efforts between India and Pakistan, including resolution of their dispute over Kashmir. Just last week New Delhi and Islamabad resumed direct peace talks for the first time since the Mumbai attacks, although no immediate breakthroughs were expected. It is likely that Islamabad will be willing to wipe out LeT only when it perceives less of a threat from India. But worryingly, some analysts say, Western intelligence agencies are still not focusing enough of their resources on LeT. And that means the next time the group makes headlines, it might be with a devastating attack—not in Mumbai, but in Manhattan or Miami.

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Why We Must Fire Bad Teachers

A diagram of the education system in the Unite...Image via Wikipedia

In no other profession are workers so insulated from accountability.

Published Mar 6, 2010

From the magazine issue dated Mar 15, 2010

The relative decline of American education at the elementary- and high-school levels has long been a national embarrassment as well as a threat to the nation's future. Once upon a time, American students tested better than any other students in the world. Now, ranked against European schoolchildren, America does about as well as Lithuania, behind at least 10 other nations. Within the United States, the achievement gap between white students and poor and minority students stubbornly persists—and as the population of disadvantaged students grows, overall scores continue to sag.

For much of this time—roughly the last half century—professional educators believed that if they could only find the right pedagogy, the right method of instruction, all would be well. They tried New Math, open classrooms, Whole Language—but nothing seemed to achieve significant or lasting improvements.

Yet in recent years researchers have discovered something that may seem obvious, but for many reasons was overlooked or denied. What really makes a difference, what matters more than the class size or the textbook, the teaching method or the technology, or even the curriculum, is the quality of the teacher. Much of the ability to teach is innate—an ability to inspire young minds as well as control unruly classrooms that some people instinctively possess (and some people definitely do not). Teaching can be taught, to some degree, but not the way many graduate schools of education do it, with a lot of insipid or marginally relevant theorizing and pedagogy. In any case the research shows that within about five years, you can generally tell who is a good teacher and who is not.

It is also true and unfortunate that often the weakest teachers are relegated to teaching the neediest students, poor minority kids in inner-city schools. For these children, teachers can be make or break. "The research shows that kids who have two, three, four strong teachers in a row will eventually excel, no matter what their background, while kids who have even two weak teachers in a row will never recover," says Kati Haycock of the Education Trust and coauthor of the 2006 study "Teaching Inequality: How Poor and Minority Students Are Shortchanged on Teacher Quality."

Nothing, then, is more important than hiring good teachers and firing bad ones. But here is the rub. Although many teachers are caring and selfless, teaching in public schools has not always attracted the best and the brightest. There once was a time when teaching (along with nursing) was one of the few jobs not denied to women and minorities. But with social progress, many talented women and minorities chose other and more highly compensated fields. One recent review of the evidence by McKinsey & Co., the management consulting firm, showed that most schoolteachers are recruited from the bottom third of college-bound high-school students. (Finland takes the top 10 percent.)

At the same time, the teachers' unions have become more and more powerful. In most states, after two or three years, teachers are given lifetime tenure. It is almost impossible to fire them. In New York City in 2008, three out of 30,000 tenured teachers were dismissed for cause. The statistics are just as eye-popping in other cities. The percentage of teachers dismissed for poor performance in Chicago between 2005 and 2008 (the most recent figures available) was 0.1 percent. In Akron, Ohio, zero percent. In Toledo, 0.01 percent. In Denver, zero percent. In no other socially significant profession are the workers so insulated from accountability. The responsibility does not just fall on the unions. Many principals don't even try to weed out the poor performers (or they transfer them to other schools in what's been dubbed the "dance of the lemons"). Year after year, about 99 percent of all teachers in the United States are rated "satisfactory" by their school systems; firing a teacher invites a costly court battle with the local union.

Over time, inner-city schools, in particular, succumbed to a defeatist mindset. The problem is not the teachers, went the thinking—it's the parents (or absence of parents); it's society with all its distractions and pathologies; it's the kids themselves. Not much can be done, really, except to keep the assembly line moving through "social promotion," regardless of academic performance, and hope the students graduate (only about 60 percent of blacks and Hispanics finish high school). Or so went the conventional wisdom in school superintendents' offices from Newark to L.A. By 1992, "there was such a dramatic achievement gap in the United States, far larger than in other countries, between socioeconomic classes and races," says Kate Walsh, president of the National Council on Teacher Quality. "It was a scandal of monumental proportions, that there were two distinct school systems in the U.S., one for the middle class and one for the poor."

In the past two decades, some schools have sprung up that defy and refute what former president George W. Bush memorably called "the soft bigotry of low expectations." Generally operating outside of school bureaucracies as charter schools, programs like KIPP (Knowledge Is Power Program) have produced inner-city schools with high graduation rates (85 percent). KIPP schools don't cherry-pick—they take anyone who will sign a contract to play by the rules, which require some parental involvement. And they are not one-shot wonders. There are now 82 KIPP schools in 19 states and the District of Columbia, and, routinely, they far outperform the local public schools. KIPP schools are mercifully free of red tape and bureaucratic rules (their motto is "Work hard. Be nice," which about sums up the classroom requirements). KIPP schools require longer school days and a longer school year, but their greatest advantage is better teaching.

It takes a certain kind of teacher to succeed at a KIPP school or at other successful charter programs, like YES Prep. KIPP teachers carry cell phones so students can call them at any time. The dedication required makes for high burnout rates. It may be that teaching in an inner-city school is a little like going into the Special Forces in the military, a calling for only the chosen few.

Yet those few are multiplying. About 20 years ago, a Princeton senior named Wendy Kopp wrote her senior thesis proposing an organization to draw graduates from elite schools into teaching poor kids. Her idea was to hire them for just a couple of years, and then let them move on to Wall Street or wherever. Today, Teach for America sends about 4,100 grads, many from Ivy League colleges, into inner-city schools every year. Some (about 8 percent) can't hack it, but most (about 61 percent) stay in teaching after their demanding two-year tours. Two thirds of TFA's 17,000 alumni are still involved in education and have become the core of a reform movement that is having real impact. The founders of KIPP, Mike Feinberg and Dave Levin, are TFA products. So is the most aggressive reformer in education today, Michelle Rhee, the education chancellor of the District of Columbia, who is trying to loosen the hold of the teachers' union on a school system that for years had the highest costs and worst results in the nation. (See following story.)

It is difficult to dislodge the educational establishment. In New Orleans, a hurricane was required: since Katrina, New Orleans has made more educational progress than any other city, largely because the public-school system was wiped out. Using nonunion charter schools, New Orleans has been able to measure teacher performance in ways that the teachers' unions have long and bitterly resisted. Under a new Louisiana law, New Orleans can track which ed schools produce the best teachers, forcing long-needed changes in ed-school curricula. (The school system of Detroit is just as broken as New Orleans's was before the storm—but stuck with largely the same administrators, the same unions, and the same number of kids, and it has been unable to make any progress.)

The teachers' unions—the National Education Association (3.2 million members) and the American Federation of Teachers (1.4 million members)—are major players in the Democratic Party at the national and local levels. So it is extremely significant—a sign of the changing times—that the Obama administration has taken them on. Education Secretary Arne Duncan is dangling money as an incentive for state legislatures to weaken the grip of the teachers' unions. To compete for $4.3 billion in federal aid under the Race to the Top program, states get extra points for getting rid of caps on the number of charter schools (a union favorite, since charter schools are often nonunion) and allowing student scores to be used in teacher evaluations. Measuring teacher performance based in part on the test scores of their pupils would seem to be a no-brainer. New Orleans uses student scores to measure teacher effectiveness. But it's prohibited by law for tenure decisions in states like New York, where the teachers' union has long been powerful.

It will take a quiet revolution to improve American schools. Some educational experts have noticed an uptick in the academic quality of new teachers, at least at the high-school level, possibly because the recession has limited other job opportunities. One of the unions, the AFT under Randi Weingarten, seems to realize that sheer obstructionism won't work. "One of the most hopeful things I've seen is that the union people don't want to spend so much time defending the not-so-good teachers anymore. I think the pressure of accountability is paying off," says Haycock of the Education Trust. "They know they will be held responsible if they are defending teachers who aren't any good."

Some teachers resent the reform movement as a bunch of elitists denigrating loyal and hardworking teachers—of whom, of course, there are many. But others welcome a boost in status that would come with higher standards. "You know, the Marine Corps never has any problem meeting its enlistment goals, because it's an elite corps, and people want to be part of something that is seen as the best," says Daniel Weisberg, general counsel of The New Teacher Project and coauthor of "The Widget Effect," a critique of teacher-evaluation programs. In Europe, where teachers enjoy more social prestige and higher salaries, schools have no trouble attracting new teachers with strong academic records.

Before the American public-education system can regain its lost crown as the envy of the world, local politicians and school administrators will have to step up. At Central Falls High School in Rhode Island, half the students drop out of school, and proficiency in math measured by state exams stands at a pitiful 7 percent among 11th graders. Under state pressure, the local superintendent, Frances Gallo, tried to improve scores by requiring teachers to work 25 minutes longer each a day, eat lunch with students once a week, and agree to be evaluated by a third party. The teachers, who make about $75,000 a year, far more than average in this depressed town, balked. They wanted another $90 an hour. So Gallo took a brave and astonishing step: she recommended firing all 74 teachers. Her boldness was praised by Education Secretary Duncan—and supported by President Obama. The teachers' union initially squawked that everyone was unfairly "blaming the teachers," but then last week backed off under a storm of media pressure and accepted the new rules requiring teachers to spend more time with the students.

The Central Falls High story was a notable breakthrough, but there is a long way to go. The media are beginning to root out the more outrageous examples: last year the Los Angeles Times ran a long series documenting the unwillingness of the education bureaucracy to fire bad teachers (like the one who told a student who attempted suicide to "carve deeper next time" and another who kept a stash of pornography and cocaine at school; both are still teaching). The Indianapolis Star reported how Lawrence Township schools had quietly laid off—with generous cash settlements and secrecy agreements—a teacher accused of sexually assaulting a student; another accused of touching students and taking photos of female students; another accused of kissing a high-school student; and a fourth with a 20-year history of complaints about injuring and harassing students, including a 1992 rape allegation. At the time the story ran last summer, all four teachers still held active teaching licenses. While these horror stories are sensational, what's also disturbing is the immunity enjoyed by the thousands of teachers who let down their students in more ordinary ways. Many more teachers are overworked, underpaid, and underappreciated. Maybe they'd get more respect if the truly bad teachers were let go.

With Eve Conant and Sam Register

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