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[OP-ED]: Amid Trump’s chaos, a post-American world emerges

 08/01/2017 - 09:10
In 2008, I wrote a book about the emerging “Post-American World,” which was, I noted at the start, not about the decline of America but rather the rise of the rest. Amid the parochialism, ineptitude and sheer disarray of the Trump presidency, the post-American world is coming to fruition much faster than I ever expected.

 In London last week, I met a Nigerian man who succinctly expressed the reaction of much of the world to America these days. “Your country has gone crazy,” he said, with a mixture of outrage and amusement. “I’m from Africa. I know crazy, but I didn’t ever think I would see this in America!”

[OP-ED]: Can we die in peace?

 07/28/2017 - 08:38
Just whether the persistence of high-cost care reflects good medicine, a deep human craving to cling to life, or both is unclear. But the rhetoric about “end-of-life” care has changed more than the reality. To the question -- Can we die in peace and with dignity? -- the answer is “not yet.”

For those of us who had hoped that American attitudes toward death were shifting in ways that would promote a wider reconstruction of the health care system, there’s discouraging news from Health Affairs, the pre-eminent journal of health policy. It devotes its latest issue to “end-of-life” care and finds that -- at least so far -- the power to make health care more compassionate and cost-effective is limited.

[OP-ED]: Growing disgust with the ethos of college campuses does not mean a rejection of higher education

 07/18/2017 - 15:00
According to the National Student Clearinghouse, which tracks college enrollments, the number of students in colleges and universities has now dropped for five straight years, and this year 81,000 fewer high school graduates nationwide are heading to higher-education institutions. 

A recent survey on the public’s view of national institutions elicited headlines that suggested a tale of backwardness and ignorance. One example: “Majority of Republicans Think Higher Education is Bad for America.” 

The reality is more complex.