Wisdom From an Atheist

David Foster Wallace, a writer, professor and committed atheist, died on Sept 12, 2008. He was perhaps best known for his book about John McCain’s 2000 presidential campaign. Wallace was a thoroughgoing postmodernist — and thereby solidly possessed of the notion that there is no capital-T Truth.

Recently, The Wall Street Journal published an essay, adapted from a commencement speech he delivered in 2005, upon which I stumbled by the usual spidery web of disconnected URL links (HT: Touchstone Magazine and Signs of the Times). It is in many ways a stunning piece in its insight and wit.

Consider:

A huge percentage of the stuff that I tend to be automatically certain of is, it turns out, totally wrong and deluded. Here’s one example of the utter wrongness of something I tend to be automatically sure of: Everything in my own immediate experience supports my deep belief that I am the absolute center of the universe, the realest, most vivid and important person in existence. We rarely talk about this sort of natural, basic self-centeredness, because it’s so socially repulsive, but it’s pretty much the same for all of us, deep down. It is our default-setting, hard-wired into our boards at birth.

And this:

Because here’s something else that’s true. In the day-to-day trenches of adult life, there is actually no such thing as atheism. There is no such thing as not worshipping. Everybody worships. The only choice we get is what to worship. And an outstanding reason for choosing some sort of God or spiritual-type thing to worship — be it J.C. or Allah, be it Yahweh or the Wiccan mother-goddess or the Four Noble Truths or some infrangible set of ethical principles — is that pretty much anything else you worship will eat you alive. If you worship money and things — if they are where you tap real meaning in life — then you will never have enough. Never feel you have enough. It’s the truth. Worship your own body and beauty and sexual allure and you will always feel ugly, and when time and age start showing, you will die a million deaths before they finally plant you. On one level, we all know this stuff already — it’s been codified as myths, proverbs, clichés, bromides, epigrams, parables: the skeleton of every great story. The trick is keeping the truth up-front in daily consciousness. Worship power — you will feel weak and afraid, and you will need ever more power over others to keep the fear at bay. Worship your intellect, being seen as smart — you will end up feeling stupid, a fraud, always on the verge of being found out. And so on.

Not bad for a postmodern atheist. And also tragically prophetic:

It is not the least bit coincidental that adults who commit suicide with firearms almost always shoot themselves in the head. And the truth is that most of these suicides are actually dead long before they pull the trigger.

He committed suicide, by hanging, at age 46.

Absolute Fools

A recent post on the worldview of contemporary postmodern liberalism was kindly linked by Gerard Vanderleun over at American Digest. In his link post, a commenter left the following missive:

The essay would have value if there were absolutes. Never have been, never shall be. Our standards of behavior are devised by us, and used or misused by us. We decide which is good and which is evil, and in every case we are right and wrong at one and the same time.

Each of our rules and regulations is enforced through agreement, and through coercion. The wise among us agree to follow the laws because it makes for a calmer, safer life. The fools among us must be made to follow those same laws because they haven’t the wisdom to see the necessity. And this speaks of those ordinances that do make sense.

Those that do not have to be enforced through coercion more often than not because they really don’t make any sense. And there are times when our rules make more or less sense than other times because circumstances differ.

We are responsible for our laws, and for our adherence to them. Our legislation being wise is to our credit. Our legislation being cruel is to our shame. Nobody else can remove that charge from our shoulders.

Now, I take no issue with this gentleman personally; he is doubtless a bright fellow, well-educated in our institutions of higher learning, where professors emeritus emote their postmodern erudition in the lofty ephemeral ethers, far removed from the dross of desperately-ignorant humanity. He is more to be pitied than censured; he has, after all, been taught not to think. But he serves herein a useful purpose, insofar as his comment exemplifies the mindset of those who eschew the idea of absolutes — which assertion is the very metaphysical mortar of secular postmodernism.

I find it interesting that most every argument rejecting absolutes contains within its very language and structure, not to mention its premises, a framework of absolute assertions. And our subject does not disappoint: tossing around terms like “wise” and “fools” and “shame” and “credit”, qualitative words without meaning when there is no transcendent standard against which to measure them. What is shame if not the humiliation of rejecting an absolute good? Who is wise, and who a fool, if there is no standard of enduring and unchangeable wisdom by which to categorize one thusly? The lines of their straightedge are random and irregularly spaced — if there are measuring lines at all — yet they carefully measure and mark off “progress”, confident they have measured accurately. There is, of course, the inevitable rejoinder to all such foolishness which asks, “Are you absolutely sure there are no absolutes?” But beyond this childish rebuttal — childish, not in the sense of silliness or immaturity, but rather of unvarnished simplicity — there lies an even more evident and profound incoherence which can be discerned — from which a not-so-evident proposition emerges from the heart of anti-absolutism.

It is impossible to function as a human being in society without the concept of transcendent absolutes, even if this foundational principle is unrecognized or denied. We as humans do not simply move as pack animals, driven by instinct and primal drives, but are by our very nature creatures of judgment. We are constantly comparing, evaluating, appreciating or depreciating everyone and everything around us. The food is either tasty or awful; the woman is attractive or homely; the music is beautiful or grating; the weather is warm and pleasant or cold, wet, and miserable. Of course, some of these judgments are self-referential: the food tastes good to us, or bad to us; we prefer rock music to Rachmaninoff, while others may differ. Thus to some degree, we individually determine the standard against which we measure objects apart from ourselves. Yet even there it is possible to compare our preferences to a fixed standard: is slasher rock not discernibly different in quality from a Bach fugue?

But within the realm of human interactions, writ large as communities, societies, nations, and cultures, judgments about the outside world become collective, embodied in law and cultural and social strictures. Behavior which is objectionable to some is desirable to others; that which some find beneficial others find harmful. It is at this level of community and human interactions where some overarching determination or standard against which interpersonal behavior is measured becomes utterly necessary if we are to avoid a society capricious in its justice or cruel in its enforcement.

The anti-absolutist posits this standard in the consensus of the group, be it tribal, community, or society. The society at large, whatever its dimensions, determines that certain behavior is acceptable or unacceptable, and enforces the standard through collective coercion or force. While this seems plausible at first glance, it almost immediately runs into problems with the de facto use of absolutes. What standard will the collective mind of a society choose? Is it simply the standard of survival? Is it a collective self-gratification? Self-interest alone? And how can it be a standard at all without becoming, to greater or lesser degree, a transcendent absolute?

If, as our commenter suggests, we decide for ourselves what is good and what is evil, what is right and what is wrong, are these standards not infinitely malleable by their very nature? Such a philosophy of law is nothing more than the tyranny of the masses, the rule of the mob. For a society may agree by consensus that certain members of the society are inferior by nature, or should be exterminated, or have their possessions confiscated, their daughters raped, their members sold into slavery. Such societies are not mere abstract entities, but stark historical realities, evident in gulags, ethnic cleansings, and rape rooms to which even our most recent decades testify. Such a philosophy in its purest form is the will to power; those who gain dominance, either in number or by force, determine the standard against which all will be judged.

The notion that such a standard is invariably beneficial to a society or culture is ludicrous in the light of history. One need look no further than the 20th century, where the social consensus arising out of pathologies such as Nazism, Marxism, and the emperor worship and militarism of Japan, wrought horrors upon not only the world, but especially on the societies which themselves embraced these pathological standards. That German militarism and anti-Semitism was profoundly destructive to the very society which engendered these ideas and standards is self-evident; ask the citizens of Hiroshima how Japan’s imperialistic and fanatical militarism panned out.

Yet the world of the anti-absolutist one cannot form a judgment about any such self-evident evils. It cannot say that Nazism and the Holocaust were evil — they can only say that by their own standards, self-engendered and not universal, that such abominations are different. The inevitable moral indifference arising from such a philosophy runs counter to every fiber of the human spirit. We cannot say such things are evil if we cannot reference them against an absolute standard arising above, and transcending, any consensus formed only by a society.

Our very language is steeped in the vocabulary of absolutes — it is impossible to communicate without them. Good and evil, right and wrong, justice and injustice, wisdom and foolishness: these concepts are universal, ubiquitous, and unresectable from language and thought, across all cultures and civilizations.

The consequences of the rejection of absolutes, fully embraced, are nothing short of anarchy — or in its stead, tyranny. There can be no true justice, for justice appeals to a standard above the law, and thus judges not only behavior contrary to law, but the law itself. Absent a transcendent moral absolute, there is no limit to the granularity at which arbitrary determinations of good and evil, right and wrong, may occur. it is a recipe for tribalism at best, as competing groups determine their own rules, rejecting those of other groups, large or small, which run contrary to their perceived needs or desires. The inevitable conflict between tribal standards can bring nothing but perpetual conflict or isolation.

Those who claim to reject absolutes do not in reality reject all absolutes. There is never a quibble about the law of gravity, or the laws of nature, or those of nuclear physics or astronomy. Were they consistent in their philosophy, they would reject the term “law” (which implies an underlying transcendent; there is, after all, no laws without law-givers), and instead describe what their metaphysics mandates: that seemingly predictable behavior is no more than random coincidence; the electron may fall into the nucleus at any time, ending this existence as dramatically and as randomly as it came into being. As Chesterton said, “They feel that because one incomprehensible thing constantly follows another incomprehensible thing the two together somehow make up a comprehensible thing.”

At the very heart of a philosophy of deterministic, self-engendered moral standards stands the individual. The rejection of moral absolutes is nothing more than radical individualism broadcast across society — the notion that we are the sole arbiters of our behavior and morality, the we alone determine what is right and what is wrong. As a corollary, there is another assumption underlying this one: that others should bear the consequences, especially adverse consequences of our actions. Those who reject moral absolutes gravitate to a nihilistic narcissism, where there are rights but no responsibilities, demanding freedom to act as they please without thought for anyone else, all the while demanding that others rescue them from wreckage their behavior has wrought.

This battle of worldviews lies at the very heart of our culture wars, of the endless societal conflicts engendered over abortion, or religion in the public square, or the status of heterosexual marriage, or unrestricted sexual license, or any one a host of other seemingly irreconcilable culture clashes which saturate and sour our daily lives. It is a take-no-prisoners battle, for there is no middle ground, no comfortable compromise which will bring peace and harmony. It is a battle to the death, a battle not only of the mind but of the heart.

It is, above all, about bending the knee, a battle for the soul: we will submit to the absolute, or destroy ourselves in dark delusion denying it.

It’s long past time we choose which it will be.

Welcoming the Hypocrites

fishDonald Sensing has a good post about the all-too-common accusation against Christians, that they are hypocrites:

The hypocrisy excuse for staying away from church has got to be the oldest there is. Which only proves what Mark Twain observed, “When you don’t want to do something, any excuse will do.” And to borrow one of Yogi Berra’s malapropisms, If people don’t want to come to church, nobody’s going to stop them.
 
But I say, “Hooray for hypocrites!” If you’re a hypocrite, you’re just my guy or gal.

Yes, the accusation of hypocrisy is freely administered by those who, in their righteous indignation, would never darken the door of their nearest church. To be sure, there is no shortage of hypocrisy in Christianity; in fact, there seems to be a rather large supply well-distributed across the human race, religious or not. I’ve had a few thoughts of my own on the subject, contained in a long-winded riff on refrigerator magnets, here.

Sensing nails the issue beautifully:

Because hypocrisy requires the hypocrite to believe in something or someone outside himself. Hypocrisy requires an aspiration to something higher or better than oneself. That is the meaning of the folk saying, “Hypocrisy is the tribute vice pays to virtue.” Hypocrisy is an imperfect, deficient attempt to be better…

It is deceit that makes hypocrisy what it is. The true hypocrite wants others to think better of him/her than is actually justified. Absent this deceit, there is no hypocrisy, just error or human frailty. That’s what the hypocrisy-excuse people don’t understand – or pretend not to understand – about church people. What may appear to be church people’s hypocrisy is almost always just simple failure to meet the standards of our faith rather than deceit. Why? Because the standard is so high:

But I say to you that everyone who looks at a woman with lust has already committed adultery with her in his heart (Mt. 5:28).

But I say to you that anyone who divorces his wife, except on the ground of sexual transgression, causes her to commit adultery; and whoever marries a divorced woman commits adultery (Mt. 5:32).

There are many such examples. So I say that if our churches are filled with such “hypocrites,” then let’s have many more. Vice is easy, virtue is hard. It’s no hypocrisy to fall short of a very high standard and such an excellent goal. And I would suggest that the hypocrisy-excuse people have largely chosen the easy way over the hard way, and choose to call that virtue. So who are the hypocrites? Well, we always have room for one more.

The irony in this situation is that the accusation of hypocrisy often comes from someone incapable of hypocrisy — for the simple reason that you cannot fall short of a standard which you do not have:

Thankfully I have known very few non-hypocritical people. They were insufferable. They were entirely self centered, self directed, self oriented, self focused and just plain purely selfish. They recognized no cause, entity or belief higher than themselves, their own desires, wants or needs. You can see, I’m sure, that it is impossible for such people to act hypocritically because they are always looking out for No. 1 in every situation. They never pretend they are acting in someone else’s interests. They don’t seek others’ approval because they don’t fundamentally care about others or what they think.

So don’t be a hypocrite — Check it out.

A Meditation on Life, from a Dying Man

Tony SnowTony Snow , a journalist and White House press secretary under George W. Bush, passed away on July 12, 2008 from colon cancer. This was a meditation he wrote in his last days:

Blessings arrive in unexpected packages, – in my case, cancer. Those of us with potentially fatal diseases – and there are millions in America today – find ourselves in the odd position of coping with our mortality while trying to fathom God’s will. Although it would be the height of presumption to declare with confidence ‘What It All Means,’ Scripture provides powerful hints and consolations.

The first is that we shouldn’t spend too much time trying to answer the ‘why’ questions: Why me? Why must people suffer? Why can’t someone else get sick? We can’t answer such things, and the questions themselves often are designed more to express our anguish than to solicit an answer.

I don’t know why I have cancer, and I don’t much care. It is what it is, a plain and indisputable fact. Yet even while staring into a mirror darkly, great and stunning truths begin to take shape. Our maladies define a central feature of our existence: We are fallen. We are imperfect. Our bodies give out.

But despite this, – or because of it, – God offers the possibility of salvation and grace. We don’t know how the narrative of our lives will end, but we get to choose how to use the interval between now and the moment we meet our Creator face-to-face.

Second, we need to get past the anxiety. The mere thought of dying can send adrenaline flooding through your system. A dizzy, unfocused panic seizes you. Your heart thumps; your head swims. You think of nothingness and swoon. You fear partings; you worry about the impact on family and friends. You fidget and get nowhere.

To regain footing, remember that we were born not into death, but into life,- and that the journey continues after we have finished our days on this earth. We accept this on faith, but that faith is nourished by a conviction that stirs even within many non-believing hearts… an intuition that the gift of life, once given, cannot be taken away. Those who have been stricken enjoy the special privilege of being able to fight with their might, main, and faith to live fully, richly, exuberantly – no matter how their days may be numbered.

Third, we can open our eyes and hearts. God relishes surprise. We want lives of simple, predictable ease,- smooth, even trails as far as the eye can see…. but God likes to go off-road. He provokes us with twists and turns. He places us in predicaments that seem to defy our endurance; and comprehension – and yet don’t. By His love and grace, we persevere. The challenges that make our hearts leap and stomachs churn invariably strengthen our faith and grant measures of wisdom and joy we would not experience otherwise.

‘You Have Been Called’. Picture yourself in a hospital bed. The fog of anesthesia has begun to wear away. A doctor stands at your feet, a loved one holds your hand at the side. ‘It’s cancer,’ the healer announces.

The natural reaction is to turn to God and ask him to serve as a cosmic Santa. ‘Dear God, make it all go away. Make everything simpler.’ But another voice whispers: ‘You have been called.’ Your quandary has drawn you closer to God, closer to those you love, closer to the issues that matter… and has dragged into insignificance the banal concerns that occupy our ‘normal time.’

There’s another kind of response, although usually short-lived an inexplicable shudder of excitement, as if a clarifying moment of calamity has swept away everything trivial and tiny, and placed before us the challenge of important questions.

The moment you enter the Valley of the Shadow of Death, things change. You discover that Christianity is not something doughy, passive, pious, and soft. Faith may be the substance of things hoped for, the evidence of things not seen. But it also draws you into a world shorn of fearful caution. The life of belief teems with thrills, boldness, danger, shocks, reversals, triumphs, and epiphanies. Think of Paul, traipsing through the known world and contemplating trips to what must have seemed the antipodes ( Spain ), shaking the dust from his sandals, worrying not about the morrow, but only about the moment.

There’s nothing wilder than a life of humble virtue, – for it is through selflessness and service that God wrings from our bodies and spirits the most we ever could give, the most we ever could offer, and the most we ever could do.

Finally, we can let love change everything. When Jesus was faced with the prospect of crucifixion, he grieved not for himself, but for us. He cried for Jerusalem before entering the holy city. From the Cross, he took on the cumulative burden of human sin and weakness, and begged for forgiveness on our behalf.

We get repeated chances to learn that life is not about us, that we acquire purpose and satisfaction by sharing in God’s love for others. Sickness gets us part way there. It reminds us of our limitations and dependence. But it also gives us a chance to serve the healthy. A minister friend of mine observes that people suffering grave afflictions often acquire the faith of two people, while loved ones accept the burden of two peoples’ worries and fears.

‘Learning How to Live’. Most of us have watched friends as they drifted toward God’s arms, not with resignation, but with peace and hope. In so doing, they have taught us not how to die, but how to live. They have emulated Christ by transmitting the power and authority of love.

I sat by my best friend’s bedside a few years ago as a wasting cancer took him away. He kept at his table a worn Bible and a 1928 edition of the Book of Common Prayer. A shattering grief disabled his family, many of his old friends, and at least one priest. Here was an humble and very good guy, someone who apologized when he winced with pain because he thought it made his guest uncomfortable. He retained his equanimity and good humor literally until his last conscious moment. ‘I’m going to try to beat [this cancer],’ he told me several months before he died ‘But if I don’t, I’ll see you on the other side.’

His gift was to remind everyone around him that even though God doesn’t promise us tomorrow, he does promise us eternity, – filled with life and love we cannot comprehend, – and that one can in the throes of sickness point the rest of us toward timeless truths that will help us weather future storms.

Through such trials, God bids us to choose: Do we believe, or do we not? Will we be bold enough to love, daring enough to serve, humble enough to submit, and strong enough to acknowledge our limitations? Can we surrender our concern in things that don’t matter so that we might devote our remaining days to things that do?

When our faith flags, he throws reminders in our way. Think of the prayer warriors in our midst. They change things, and those of us who have been on the receiving end of their petitions and intercessions know it. It is hard to describe, but there are times when suddenly the hairs on the back of your neck stand up, and you feel a surge of the Spirit. Somehow you just know: Others have chosen, when talking to the Author of all creation, to lift us up, – to speak of us!

This is love of a very special order. But so is the ability to sit back and appreciate the wonder of every created thing. The mere thought of death somehow makes every blessing vivid, every happiness more luminous and intense. We may not know how our contest with sickness will end, but we have felt the ineluctable touch of God.

What is man that Thou art mindful of him? We don’t know much, but we know this: No matter where we are, no matter what we do, no matter how bleak or frightening our prospects, each and every one of us who believe, each and every day, lies in the same safe and impregnable place, in the hollow of God’s hand.’

Tony Snow

Contrast this with the chatter of our age: the hollow arrogance of the neo-atheist; the mindless and irrational contradictions of the postmodern professor; the decadence devoid of dignity and grace in Hollywood’s finest; the flapping frivolity of the fawning and feckless media.

It is no small irony that the things of life grow clearest in the looming shadow of death; that for those who grasp these deeper things — glimpsed only in part, hoped for in faith rather than seen with the flesh — that the darkness of death casts sharp relief on the very essence and meaning of life.

Rest in peace, Tony. We will meet some day in the light, and our joy will be shared.

The Bounty Hunter


I’ve been feeling a bit remiss (but only a bit) about my light posting of late — but hey, it’s summertime, and if Vanderleun can take a vacation, well, why not me?

But of course there’s always something which comes up, which demands some comment — such as this little blurb in the Wall Street Journal today:

Medicare Auditors Recover $700 Million in Overpayments

 
Auditors have recovered nearly $700 million in Medicare overpayments to hospitals and other medical providers in a half-dozen states under a controversial program that pays the auditing firms a portion of amounts they identify.

The program has drawn fire from health-care providers, and hospitals in particular, who call it overly aggressive and too confrontational. But the federal Centers for Medicare and Medicaid Services has supported the move and is in the process of expanding it nationally.

In all, the agency’s recovery audit contractor program caught $1.03 billion of improper payments over about three years, primarily in New York, California and Florida, about $992.7 million of which was overpayments by Medicare. The audits also identified about $38 million that providers should have received but didn’t. (Three states were added toward the end of the trial program, but accounted for only a small part of the recoveries, Medicare officials said.)

The program’s expenses amounted to about 20 cents on the dollar, including $187.2 million paid to the audit firms, and medical providers successfully challenged about $60 million of overpayments identified by the auditors. In the end, about $694 million has been returned to the Medicare trust funds, the Medicare agency said. The auditors reviewed a total of $317 billion in claims.

“All in all, we’re very happy with the results,” said Tim Hill, the agency’s chief financial officer and director of its office of financial management. “It returned a lot of money to the trust fund, particularly when you think that we’re talking about three states.”

I’ll bet you’re very happy, Mr. Hill.

Now, at first glance, this would appear to one of Medicare’s already notorious fraud and abuse investigations, carried out by OIG, but no — there’s no accusation of fraud involved here, although the government is more than happy to let this implication stand.

What this involves is demanding refunds based on different interpretations of Medicare’s mind-boggling regulations. So you provide a health care service, and bill Medicare based on your best understanding of its Byzantine regulations, and get paid. Then, at some future date, a third-party auditor, hired by the Feds, reviews the claim and decides — with no input from clinicians or other health care experts — that you were paid in error. Out goes the notice, pay up or else. Of course, this is always a highly objective, impartial review — the fact that the auditor gets a hefty cut of the refund has absolutely no influence on their judgment, none whatsoever.

Of course, you have a right to appeal — on your own dime and time, hiring your lawyers and taking time off from your practice to prove to the bounty hunter that your interpretation of the regulations is the correct one, and his is wrong. If you win, you get to keep the cash you already earned — minus a small stipend for lost time and lawyers fees. So, on that disputed $35 you got for an office call, you might come out, oh, $20,000 short, give or take a few thousand. But hey: You won!! Ain’t it grand?

Of course the low rate of appeals, entirely predictable based on the above freakonomics, is seen as proof that the audits are finding real problems:

Mr. Hill pointed to the low appeal rate — about 14% of overcharges were appealed, and 4.6% of the total were overturned — as evidence that the audits succeeded. “We know that we got the right answer,” he said.

If an 800-pound gorilla wants to make love to you, it’s always best to fake an orgasm. And the luvin’ ain’t over ’till the gorilla says it’s over…

Of course, these auditors also expend large amounts of time and energy looking for cases where you were underpaid:

RACs [Recovery Audit Contracts] are authorized to review payments for the previous 4 years. The software they use is more capable of picking up overpayments than it is underpayments. This discrepancy is borne out by a CMS report showing that 97% of improper payments in fiscal year 2006 were overpayments, and only 3% were underpayments. No money has been reported as having been returned to physicians because of underpayment.

At this point, the program has been primarily focused on hospitals in a few states, but is being rolled out nationwide, and will quickly be auditing physicians and other health care providers.

I have spoken a considerable length about the maze which is our current reimbursement system. It makes perfect sense, in a way, for the Feds to do exactly this: use bounty hunters to exploit the system’s complexity and inscrutability. They will no doubt recover a bundle of money, keeping the band playing on the Titanic for a few more years.

But sooner or later there’ll be a price to be paid — and that price is access. Repeated pay cuts such as the currently stalled 10.4% Medicare fee reduction being bantered around Congress, combined with heavy-handed recovery audits such as these, will drive physicians to the exits in droves. It is already nearly impossible in our area to find a primary care physician who accepts Medicare patients; a few more years of this B.S. and you’ll likely get a pretty clean sweep: best of luck finding anyone who will see you if you have Medicare or any other Federal health insurance.

Happy hunting on your audits, Mr. Hill.

Crossing That Dark River

Often in the sturm und drang of a world gone mad, there comes, through the chaos and insanity, some brief moment of clarity. Such times pass by quickly, and are quickly forgotten — as this brief instance might have been, courtesy of my neighboring bell weather state of Oregon: (HT: Hot Air)

Last month her lung cancer, in remission for about two years, was back. After her oncologist prescribed a cancer drug that could slow the cancer growth and extend her life, [Barbara] Wagner was notified that the Oregon Health Plan wouldn’t cover it.

It would cover comfort and care, including, if she chose, doctor-assisted suicide.

… Treatment of advanced cancer meant to prolong life, or change the course of this disease, is not covered by the Oregon Health Plan, said the unsigned letter Wagner received from LIPA, the Eugene company that administers the plan in Lane County.

Officials of LIPA and the state policy-making Health Services Commission say they’ve not changed how they cover treatment of recurrent cancer.

But local oncologists say they’ve seen a change and that their Oregon Health Plan patients with advanced cancer no longer get coverage for chemotherapy if it is considered comfort care.

It doesn’t adhere to the standards of care set out in the oncology community, said Dr. John Caton, an oncologist at Willamette Valley Cancer Center.

Studies have found that chemotherapy can decrease pain and time spent in the hospital and increases quality of life, Caton said.

The Oregon Health Plan started out rationing health care in 1994.

We have, at last, arrived. The destination was never much in doubt — once the threshold of medical manslaughter had been breached, wrapped as always in comforting words of compassion and dignity, it was only a matter of time before our pragmatism trumped our principles. Once the absolute that physicians should be healers not hangmen was heaved overboard, it was inevitable that the relentless march of relativism would reach its logical port of call.

Death, after all, is expensive — the most expensive thing in life. It was not always so. In remote pasts, it was the very currency of life, short and brutal, with man’s primitive intellect sufficient solely to deal out death, not to defer it. There followed upon this time some glimmer of light and hope, wherein death’s timetable remained unfettered, but its stranglehold and certainty were tempered by a new hope and vision of humanity. We became in that time something more than mortal creatures, something extraordinary, an unspeakable treasure entombed within a fragile and decomposing frame. We became, something more than our mortal bodies; we became, something greater than our pain; we became, something whose beauty shown through even the ghastly horrors of the hour of our demise. Our prophets — then heeded — triumphantly thrust their swords through the dark heart of death: “Death, where is your victory? Death, where is your sting?” We became, in that moment, something more than the physical, something greater than our short and brutish mortality. We became, indeed, truly human, for the very first time.

That humanity transcended and transformed all that we were and were to become, making us unique among creation not only in the foreknowledge of our death, but our transcendence of death itself. Life had meaning beyond the grave — and therefore had far more weight at the threshold of the tomb. Suffering became more than mere fate, but rather sacrifice and purification, preparation and salvation. The wholeness of the soul trumped the health of the body; death was transformed from hopeless certainty to triumphant transition.

But we knew better. We pursued the good, only to destroy the best. We set our minds to conquer death, to destroy disease, to end all pain, to become pure and perfect and permanent. We succeeded beyond our wildest dreams. The diseases which slaughtered us were themselves slayed; the illnesses which tortured and tormented us fell before us. Our lives grew long, and healthier, more comfortable, and more productive. Our newfound longevity and greater health gave rise to ever more miracles, allowing us to pour out our intemperate and precipitous riches with drunken abandon upon dreams of death defeated.

Yet on the flanks of our salient there lay waiting the forces which would strangle and surround our triumphant advance. Our supply lines grew thin; the very lifeblood of our armies of science and medicine, that which made our soldiers not machines but men, grew emaciated and hoary, flaccid and frail. We neglected the soul which sustained our science; the spirit which brought healing to medicine grew cachectic and cold.

So here we stand. We have squandered great wealth to defeat death — only to find ourselves impoverished, and turning to death itself for our answers. The succubus we sought to defeat now dominates us, for she is a lusty and insatiable whore. We have sacrificed our humanity, our compassion, our empathy, our humility in the face of a force far greater than ourselves, while forgetting the power and grace and the vision which first led us and empowered us on this grand crusade. Our weapons are now turned upon us; let the slaughter begin.

We will, no doubt, congratulate ourselves on the wealth we save. We will no doubt develop ever more ingenious and efficient means to facilitate our self-immolation while comforting ourselves with our vast knowledge and perceived compassion. Those who treasure life at its end, who find in and through its suffering and debilitation the joy of relationships, and meaning, and mercy, and grace, will become our enemies, for they will siphon off mammon much needed to mitigate the consequences of our madness.

It has been said, once, that where our treasure is, there will our heart be also. We have poured our treasure in untold measure into conquering death — finding succor in our victories, while forgetting how to die. The boatman now awaits us to carry us across that dark river — and we have insufficient moral currency to ignore his call.

Two Sides of the Same Coin


The trial several years ago of Mark Steyn by the British Columbia Human Rights Commission brought up the issue of the standards by which we judge good and evil. To wit,,

Is there a fundamental definition of evil? Are there things which objectively possess this property independent of the perception of man?

Drawing upon C.S Lewis, who as an atheist struggled with this dilemma:

My argument against God was that the universe seemed so cruel and unjust. But how had I got this idea of just and unjust? A man does not call a line crooked unless he has some idea of a straight line. … Of course I could have given up my idea of justice by saying it was nothing but a private idea of my own. But if I did that, then my argument against God collapsed too — for the argument depended on saying that the world was really unjust, not simply that it did not happen to please my fancies. Thus in the very act of trying to prove that God did not exist — in other words, that the whole of reality was senseless — I found I was forced to assume that one part of reality — namely my idea of justice — was full of sense. Consequently atheism turns out to be too simple. If the whole universe has no meaning, we should never have found out that it has no meaning: just as, if there were no light in the universe and therefore no creatures with eyes, we should never know it was dark. Dark would be a word without meaning.

C.S. Lewis found the soft underbelly of atheism, its irreconcilable logical flaw: it judges belief in God to be foolish, even evil, and life thereby accidental and meaningless — but does so by referencing a transcendent standard outside of itself against which good and evil, or meaning and meaninglessness, are measured. It judges transcendence to be non-existent by appealing to — transcendence.

Lewis’ logic is then brilliantly applied to our current multicultural “human rights” jihad, by zeroing in on the heart of human freedom, choice:

The inescapability of having to choose a standard or axioms — even provisionally — is the fracture line at the base of moral relativism and multiculturalism. … [If] it is true that no one can judge “who’s right or wrong” then who can judge the truth of that assertion itself?

It is this illusory attempt to escape from the need to believe in something — even provisionally — that explains why all attempts to enforce an equivalency among all ideas and cultures inevitably creates a fascistic kind of monoculture itself. Belief, denied the front entrance as principle, often smuggles itself in via the back door as fascism ….

The brotherhood of atheism and multiculturalism are often portrayed as the route to true human freedom, bringing the promise of deliverance from superstition and judgmentalism, thus leading to the fulfillment of true human potential. But the harsh reality is that they are two sides of the same coin, both leading down the path to totalitarianism and fascism. There are no absolutes — except the absolute hatred of those who believe in them. All things are tolerated — except those judged “intolerant” for believing and acting on moral absolutes. We see this trend everywhere, from the exclusion of religion from the public square, to the PC speech codes and suppression of “hate speech” (i.e., conservative or religious thought and opinion) on college campuses, to the Kafka-esque absurdity of the British Columbia Human Rights Commission’s show trials, protecting human rights by suppressing them.

Fortunately Lewis’ framework for making sense of a universe populated by both good and evil can shed light on our more limited problem of figuring out the relationship between freedom and anti-freedom within the framework of freedom itself. The key concept Lewis introduces is one of choice. Not the notion of choice as the fictional ability to do anything without paying a price or suffering the consequences: that is a counterfeit idea of choice composed of the shadows of multiculturalism. But of choice as inherent human ability to select between right and wrong and face the consequences…

It’s not necessary to dwell on Lewis’ idea of good and evil as a kind of broken symmetry to arrive at the counterintuitive idea that freedom is the outcome of a willingness to assume the consequences for choices. This relationship between consequence and choice is at the kernel of the commonplace expression that “eternal vigilance is the price of liberty”. Western society is free to allow every manner of expression only for so long as it is willing to pay the price of doing so …

Consider for a moment why Mark Steyn is now a “free” man. It is only partly because he is a citizen of Canada, but mostly due to his willingness to write without fear; or perhaps more accurately, in spite of it. Anyone who has struggled against tyranny understands this relationship intuitively. Whether you are in the Warsaw Ghetto, the French underground, or in safe house in Sampaloc district in Manila, freedom is always within your reach, if you are willing to pay the price.

The Death of Hell

hell pitchforkOn a recent post about grace and Karma, a commenter posed a challenging question:

I’d like to ask you a question because you strike me as an intelligent man of faith. I was taught that hell is a place of eternal conscious torment, a nice euphemism for a torture chamber. Do you believe that those of us who fail to accept grace will be tortured? If not, why not? Augustine and Calvin seemed to believe it.

Sometimes people ask the damnedest things…

I been sitting on this one for several weeks, because, well, the subject of eternal damnation is not exactly the most delightful topic on which to expound. But, hey, anyone can tackle the easy ones, so what the hell…

The topic of hell has never been a popular subject — for reasons not terribly difficult to discern. Yet belief in hell is both ancient and widespread, comprising an important doctrine in some form or other of most of the world’s great religions, especially Christianity, Judaism, and Islam, each manifested by belief in a personal God. In our secular, postmodern age, however, it has become something of a quaint superstition, widely perceived to be a tool for manipulation of the ignorant and gullible by the religious patriarchy. It has long faded from the lexicon of contemporary culture and conversation, and is rarely even mentioned in religious contexts, much less in secular. The death of hell has been quiet, almost unnoticed, like the slow starvation of some hideous child left in the wilderness to die.

Yet the death of damnation has left a vacuum into which far more diabolical spirits have swarmed. Perhaps the most unsettling of these is our growing sense of helplessness against a pervasiveness of evil which seems ever more prevalent, ever more senseless, ever more violent and hideous. The gunman, some hitherto lonesome loser with a heightened sense of victimization and a laundry list of petty grievances, lays waste to a school in an orgy of carnage — and then, having drunk his fill of slaughtered blood, ends his own life by his own hand, leaving naught but a narcissistic video hungrily devoured by a bloodthirsty media, who wish only to “understand.” Other than his final instant of presumed pain, the killer receives no justice, no retribution for his murderous rage — and more perversely, carves out his place, albeit briefly, in history and notoriety.

While such cases are the extreme, unrequited evils of a lesser sort could be multiplied without end. The child molester, who gets out of jail in 3 years on good behavior; the murderer whose high-priced attorneys sway feeble-minded juries to garner his acquittal; the corporate executive who steals billions from the retirement plan of his underpaid employees, getting off with a wrist slap fingering someone higher in the food chain; the tyrant who tortures and murders millions, escaping to live in opulence, dying in a safe secure asylum provided by others of his ilk. Even at the most personal level, much evil goes unpunished, from the undetected adultery, to the undiscovered lie, to the drunk driver not arrested, to the fraudulent tax return which escapes the scrutiny of the IRS.

There is in human nature something which rebels at such injustice, which cries out for punishment proportionate to the crime. We hunger for some restraint upon such evils unleashed, some effective deterrent, knowing our imperfect legal system often fails to deliver its promised justice. Yet, paradoxically, we justify and rationalize our own evil, not merely hoping for leniency if caught but expecting, even demanding it.

If hell does not exist, men would be wise to invent it. If it does exist, we are fools to deny it.

Yet our technologically advanced, psychologically sophisticated, scientifically saturated society can in all its knowledge find no such restraint upon evil. For we arrogate with confident assurance that there is no God; no transcendent moral absolutes; no spiritual or immaterial reality beyond the tangible and measurable. We hunger for justice but have no standard against by which to calibrate it, save our volatile emotions and ever-changing subjective values. We attempt to constrain evil through law and societal coercion, while having no coherent metaphysics upon which such constraints must be grounded. Our GPS satellites are not fixed, but wander through the sky; our maps are detailed, but bear no relation to the geography through which they purport to guide us.
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