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Allie Brosh’s Great Depression

Mother Jones

To peruse Allie Brosh’s crudely drawn comics, one would never guess she is a perfectionist. But the lack of sophistication is deliberate. When she’s not caring for rescued rats or playing Magic: The Gathering—”I’m a huge dork”—the 28-year-old blogger can be found holed up in her room scrutinizing and refining her drawings, which largely consist of a stick figure in a shapeless bright pink dress making odd facial expressions. “They look really simple and sort of shitty, but it takes a few hours trying to get it right,” Brosh told me. “I don’t have any reference material for this creature that I’ve made to represent myself, aside from what’s in my head.”

That creature is the star of Brosh’s new book, Hyperbole and a Half: Unfortunate Situations, Flawed Coping Mechanisms, Mayhem, and Other Things That Happened. Based on her popular comic blog, it chronicles her problem-child days (she once ate an entire cake intended for her grandfather’s birthday party), adventures with her dogs (one of which she suspects is mentally impaired), and musings on her character flaws. Procrastination, for instance—she actually started the blog as a way to avoid studying for a college physics final. “I sort of wondered if I could write something that people would like,” she says.

Four years, 383,000 Facebook likes, and some 72 million web visitors later, it’s clear that she could.

The book deal was a longtime dream: Brosh had resolved to become an author at age eight, filling three spiral-bound notebooks with a saga about a guy who fights various things. Her small-town upbringing—first in Auburn, California; later near Sandpoint, Idaho—gave her space to “be a little bit weirder” growing up. “I would get up at six o’clock in the morning and walk around the forest and try to find deer,” she says. “I was sort of a wild animal, forest child.”

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Allie Brosh’s Great Depression

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Just Look at These Great Old Photos of Glenn Gould, Aretha Franklin, Bob Dylan, Johnny Cash, and Billie Holiday

Mother Jones

I love words. Sling ’em with ’em all day, matter of fact. But when I pick up a photo book, I want the images to do the lifting. Or to put that in musical terms, I’d rather listen to the song than read the sheet music. Keeping Time: The Photographs of Don Hunstein, a wonderful new retrospective from Insight Editions, accomplishes exactly that. There’s a short foreword by Art Garfunkel (oh, great, now I’ve got “Mrs. Robinson” stuck in my head!) and a foreword and afterword by New York Times pop music critic Jon Pareles, but the rest of this coffee table must-have is all meat and potatoes, showcasing the mostly unseen and intimate images of Hunstein, who spent three decades as Columbia Records’ official photographer. From Pareles’ biopic foreword:

“There was nothing metaphysical about what I did,” he said in conversation with the music producer Leo Sacks who edited the collection. “I’d just like to think I had a good eye for detail, that I captured the moment at hand. But mostly, I just did my job.”

Lucky for Hunstein (who is still alive and kicking), that job involved being a fly on the wall as the musical geniuses of his generation went about their work. Being a label photographer as opposed to, you know, those unpredictable press hounds, he had the opportunity to be around when his subjects had their guards down, at ease in their creative element, laughing or hamming or frustrated or lost in thought. Hunstein’s M.O. was to pretty much vanish into the background.

“Discretion was the better part of valor. Shoot, then disappear. I never photographed during takes. I never wanted to be in the way, to be intrusive. I hope I never was.”

He did live photography, too, but preferred the recording studio setting, which was “less distracting”—never mind the rare portraits it enabled. And although he was limited to his label’s clients, there was no shortage of greatness there. As Pareles writes…

Hunstein photographed Miles Davis, Duke Ellington, Billie Holiday, Louis Armstrong, Charles Mingus, Thelonius Monk. He photographed Glenn Gould, Leonard Bernstein, Vladimir Horowitz, Pablo Casals, Igor Stravinsky, Philip Glass, Plácido Domingo, Yo-Yo Ma. He Photographed Barbra Streisand, Perry Como, Robert Goulet. He photographed Aretha Franklin, Mathalia Jackson, Janis Joplin, Sam Cooke, Labelle, Teddy Pendergrass, Minnie Riperton, Luther Vandross. He photographed Allen Ginsberg and Langston Hughes. He photographed Johnny Cash, George Jones, Charlie Daniels, the flying Burrito Brothers. He photographed Pete Seeger, Simon and Garfunkel, the Byrds, Joan Baez, Phoebe Snow; and, extensively, Bob Dylan, including Dylan’s first two album covers.

That’s merely a partial list.

So you’d like to actually see some of these images? I completely understand. Let’s put some vinyl on the phonograph and have a look, shall we? And, mind you, this is but a tiny sampling of the treasures you’ll find in this 200-plus page retrospective. (If you happen to live near Bethel, New York, you can catch a museum exhibition of Hunstein’s photos that runs through year’s end.)

Billie Holiday recording Lady in Satin, New York City, December 1957.
Don Hunstein © 2013 Sony Music Entertainment

Tony Bennett at a Miami nightclub, December 1957.
Don Hunstein © 2013 Sony Music Entertainment

Debuting songs from The Fabulous Johnny Cash at a Nashville press party, February 1959.
Don Hunstein © 2013 Sony Music Entertainment

Mahalia Jackson at a Rotary International Convention, New York City, June 1959.
Don Hunstein © 2013 Sony Music Entertainment

Johnny Cash during the recording of Ride This Train, October 1959.
Don Hunstein © 2013 Sony Music Entertainment

Aretha Franklin at her first Columbia recording sessions, New York City, August 1960.

Don Hunstein © 2013 Sony Music Entertainment

Boxer Cassius Clay with soul man Sam Cooke, New York City, March 1964.
Don Hunstein © 2013 Sony Music Entertainment

Bob Dylan, June 1965. Don Hunstein © 2013 Sony Music Entertainment

Paul Simon, left, and Art Garfunkel, London, October 1966.
Don Hunstein © 2013 Sony Music Entertainment

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Just Look at These Great Old Photos of Glenn Gould, Aretha Franklin, Bob Dylan, Johnny Cash, and Billie Holiday

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Books: Four Books Explore Humans’ Relationship With Water

New books dive into our planet’s dwindling supply of clean water, a resource that might often seem omnipresent. Jump to original – Books: Four Books Explore Humans’ Relationship With Water Related Articles Zoos Try to Ward Off a Penguin Killer Zoos Aim to Ward Off a Penguin Killer Dot Earth Blog: The Social Science Explaining Why More Climate Science Hasn’t Led to Greenhouse Action

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Books: Four Books Explore Humans’ Relationship With Water

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3 Ways the NFL Denied Football’s Concussion Crisis

Mother Jones

Both ESPN the Magazine and Sports Illustrated published excerpts today from Steve Fainaru and Mark Fainaru-Wada’s League of Denial, their much-anticipated investigation into the NFL’s efforts to downplay football’s link to devastating brain trauma. The book, which comes out next Tuesday, takes a look at the Big Tobacco-like tactics the league used over two decades to allay public concerns about concussions and long-term injury.

Here are three ways the Fainaru brothers argue that the NFL attempted to downplay the risks of the game:

1. Cherry-picking data in NFL-sponsored research: At a 2007 concussion summit meant to update new commissioner Roger Goodell, neuropsychologist Bill Barr, who had worked for the New York Jets, blasted the NFL’s Mild Traumatic Brain Injury (MTBI) committee for using only select data in a study that concluded that NFL players were quick to recover from concussions:

“I said that the data collection is all biased,” Barr said. “And I showed slides of that. Basically I pointed out that we had been obtaining baselines on players for 10 years, and when you look at the study it only included a small amount of data. My calculations were that their published studies only included 15 percent of the available data. Let’s put it this way: There were nearly 5,000 baseline studies that had been obtained in that 10-year period. And only 655 were published in the study.”

2. Co-opting a reputable journal to publish questionable research: After the creation of the MTBI committee, the NFL used the influential medical journal Neurosurgery (whose editor in chief consulted for the New York Giants and whom “some people around the NFL also considered…something of a jock sniffer”) to publish its work:

The league used that journal, which some researchers would come to ridicule as the “Journal of No NFL Concussions,” to publish an unprecedented series of papers, several of which were rejected by peer reviewers and editors and later disavowed even by some of their own authors. The papers portrayed NFL players as superhuman and impervious to brain damage. They included such eye-popping assertions as “Professional football players do not sustain frequent repetitive blows to the brain on a regular basis.”

3. Blasting independent researchers: After neuropathologist Ann McKee (subject of a terrific 2012 Grantland profile) told reporters in 2009 that the brain of a dead 45-year-old ex-NFL player named Tom McHale looked like that of a 72-year-old former boxer—adding, “I have never seen this disease in the general population, only in these athletes”—she got a call from Ira Casson, co-chair of the MTBI committee, who wanted her to travel to the league’s New York City offices to present her work. The meeting was antagonistic:

To many in the room, Casson seemed especially combative. “Casson interrupted the most,” said Colonel Jaffee the national director of the Defense and Veterans Brain Injury Center. “He was…at times mocking. These were pretty compelling neuropathological findings, so to outright deny there could be a relationship, I didn’t think Casson was really making an honest assessment of the evidence.”

…McKee had experienced heated debate before, but this, she thought, was almost personal. “I felt like they weren’t really listening,” she said, “like they had their heads in the sand.” Casson, Pellman and others bombarded McKee and Perl with alternative theories: steroids, nutritional supplements, high blood pressure, diabetes. Finally McKee threw up her hands. “You are delusional,” she told them.

A PBS Frontline documentary, also called League of Denial, will air Tuesday at 8 p.m. EDT. (It is the result of a yearlong collaboration between ESPN, where the Fainaru brothers work, and Frontline—a joint project that ESPN recently pulled out of, allegedly due to NFL pressure.) Here’s the trailer:

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3 Ways the NFL Denied Football’s Concussion Crisis

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How The US Naval Institute Gave the Late Tom Clancy His First Big Break

Mother Jones

Tom Clancy, the American author famous for such thrillers as The Hunt for Red October and Clear and Present Danger, died Tuesday night at the age of 66. The Baltimore-born writer passed away at the Johns Hopkins Hospital following a “brief illness.”

Starting in the mid-1980s, Clancy built a one-man empire of books, film, and video games. His name has become synonymous with the spy and Cold War-era thriller genre of American popular fiction, earning him a net worth of around $300 million. His books were widely read, the movies adapted from his novels were often big hits, and his fame and ubiquity were enough for The Simpsons to feature him on the show twice (he even got to voice himself one time).

In a way, Clancy owed his great success to the United States Naval Institute. Years before The Hunt for Red October became a critically acclaimed, high-grossing film starring Sean Connery and Alec Baldwin, it was just another manuscript in search of a publisher. This was Clancy’s first novel, which he wrote in his 30s while working as an insurance salesman. After several rejections from mainstream publishing houses, the Naval Institute Press picked it up and paid Clancy a $5,000 advance in 1984. It was the first fictional work that the Institute had published, and it attracted the praise of President Ronald Reagan (one of Clancy’s political heroes), who called it, “my kind of yarn.” The success of this first novel propelled Clancy into the the stardom he enjoyed until his final days.

Politically, he was a hardened conservative. His earlier work was steeped in cold warrior mentality. For instance, here’s a map of international alliances in his 1986 World War III novel Red Storm Rising:

ClarkK1/Wikimedia Commons

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How The US Naval Institute Gave the Late Tom Clancy His First Big Break

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Elizabeth Gilbert: Eat, Pray, "Burn Everything Down and Run"

Mother Jones

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IF ANYONE CAN MAKE a story about a spinster who devotes her life to the study of mosses read like high adventure, it’s Elizabeth Gilbert, who published three critically acclaimed works of fiction and biography before she turned her own pizza-eating, meditating, soul-searching travel exploits into the 2006 bestseller Eat, Pray, Love. Next came Committed, a follow-up memoir that explores her ambivalence toward marriage, and At Home on the Range, a cookbook of her great-grandmother’s recipes.

In October, Gilbert will unveil The Signature of All Things, her first novel in 13 years. The book’s protagonist is Alma Whittaker, the homely, overeducated daughter of a wealthy Philadelphia plant trader who spends most of her life practicing bryology on her father’s estate before embarking, at 51, on a journey to unlock the mysteries of evolution.

For her own research, Gilbert delved into the writings of Charles Darwin, Asa Gray, and other great naturalists of the time—and, to get a sense of the common parlance, she pored over the correspondence of scientists who rattled off informal letters the way we send emails. Some of the novel’s wryest moments, though, come during flashes of modernity in which Alma expresses herself with a Liz Lemon-esque exasperation. I caught up with Gilbert, 44, to talk about her travel bug, 19th-century feminism, and the vexing tendency of creative women to sabotage their own work through the pursuit of perfection.

Mother Jones: Alma is a wonderful character. How long has she been kicking around in your head, studying botany, gathering mosses?

Elizabeth Gilbert: I did three years of research before I started writing. It was just like developing a photograph very slowly. I knew I wanted to write a woman’s story. I knew I wanted to write about 19th-century botanical exploration. I knew she was going to be an explorer of the mundane and the overlooked. I was struck by the idea of what they called “polite botanists” back then, women who for the most part were unable to travel. Darwin and Alfred R. Wallace and numberless other naturalists were able to climb mountains and explore valleys and go spelunking and do that sort of research in the jungles that leads to the taxonomical advances. But she was a woman and she was tied to her father and she couldn’t do that. I think the fundamental question I had was: What can you do as a woman with your tremendous intelligence and education when you can’t leave? Her work in the mosses is kind of like hyper-intellectualized needlepoint—the small domestic arts that women were able to do to keep themselves from going mad from boredom.

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Elizabeth Gilbert: Eat, Pray, "Burn Everything Down and Run"

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Eric Schlosser: If We Don’t Slash Our Nukes, "a Major City is Going to be Destroyed."

Mother Jones

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The term “wake-up call” is a tired cliché, but it is appropriate in the case of Command and Control, the frightening new exposé of America’s nuclear weapons mishaps by Fast Food Nation author Eric Schlosser. (Click here to read an excerpt and my detailed review.) In short, Schlosser delivers a book full of revelations that left me agape. While we still worry in the abstract about Iran and North Korea and Pakistan, it’s easy to forget that we still have thousands of our own ungodly devices on hair-trigger alert at this very moment. And even if we never drop or launch another nuke on purpose, these weapons are, in Schlosser’s words, “the most dangerous machines ever invented. And like every machine, sometimes they go wrong.”

That’s what the book is about. Through hard-fought documents and deep digging and extensive interviews, Schlosser reveals how close we’ve come, on numerous occasions, to a domestic nuclear detonation or an accidental war in which there are only losers. Command and Control will leave many readers with a deep unease about America’s ability to handle our nukes safely. Schlosser’s hope is that this unease will beget a long-neglected debate about “why we have them and when we use them and how many we need.” But his book is no screed. Schlosser delivers an engrossing page-turner. Would that it were fiction.

Mother Jones: The safety of America’s nuclear arsenal is far cry from fast food. What got you interested in this topic?

Eric Schlosser: I spent some time with the Air Force before Fast Food Nation came out. I was interested in the future of warfare in space: space weapons, particle-beam weapons, lasers, directed-energy devices. A lot of the people who were involved in it had started their careers as missile-crew officers. As I spent time with them, I became more interested in their stories from the Cold War about nuclear weapons than I did in the future of warfare in space.

MJ: How long did it take to research the book?

ES: A lot longer than I thought it would. I originally was going to write a relatively short book about this accident in Damascus, Arkansas, which was an extraordinary story. But the deeper I got, the more I realized that the subject of nuclear weapons accidents hadn’t really been written about, and that the threat was much greater than I thought it was. So what started out as a two-year project turned into six—and an extraordinary amount of digging around in strange places.

Eric Schlosser Photo: Kodiak Greenwood

MJ: My general takeaway is that, given our history of near misses, it’s essentially dumb luck that we haven’t had an accidental nuclear detonation on American soil, or an accidental launch.

ES: If we don’t greatly reduce the number of nuclear weapons in the world, or completely eliminate them, a major city is going to be destroyed by a nuclear weapon. It’s remarkable—it’s incredible!—that a major city hasn’t been destroyed since Nagasaki. We can confront this problem or we can accept that hundreds of thousands or more will be killed. And I don’t think that’s inevitable. The book was really written with a notion of trying to prevent that.

MJ: But is you suppose it’s inevitable if we maintain our current course?

ES: My background, academically, is history. I hate the word “inevitable” because I feel like things don’t have to be the way they are. But we really need to change our policies. I think Obama has done a terrific job of trying to raise awareness about nuclear weapons. But we really need to sit down with Russia, China, England, France, India, Pakistan, and think about how to greatly reduce, if not eliminate, these weapons. And that may sound totally absurd and unrealistic, but when I was in my 20s, if someone had said that the Soviet Union would vanish without a nuclear war and the Berlin Wall would come down and all this would happen without tens of thousands, or millions, of deaths, people would have thought that was absurd.

MJ: What do you think might befall our society were an accidental detonation to occur? I mean, suppose that H-bomb had exploded in North Carolina?

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Eric Schlosser: If We Don’t Slash Our Nukes, "a Major City is Going to be Destroyed."

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A Sneak Peek at Eric Schlosser’s Terrifying New Book on Nuclear Weapons

Mother Jones

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On January 23, 1961, a B-52 packing a pair of Mark 39 hydrogen bombs suffered a refueling snafu and went into an uncontrolled spin over North Carolina. In the cockpit of the rapidly disintegrating bomber (only one crew member bailed out safely) was a lanyard attached to the bomb-release mechanism. Intense G-forces tugged hard at it and unleashed the nukes, which, at four megatons, were 250 times more powerful than the weapon that leveled Hiroshima. One of them “failed safe” and plummeted to the ground unarmed. The other weapon’s failsafe mechanisms—the devices designed to prevent an accidental detonation—were subverted one by one, as Eric Schlosser recounts in his new book, Command and Control:

When the lanyard was pulled, the locking pins were removed from one of the bombs. The Mark 39 fell from the plane. The arming wires were yanked out, and the bomb responded as though it had been deliberately released by the crew above a target. The pulse generator activated the low-voltage thermal batteries. The drogue parachute opened, and then the main chute. The barometric switches closed. The timer ran out, activating the high-voltage thermal batteries. The bomb hit the ground, and the piezoelectric crystals inside the nose crushed. They sent a firing signal…

Unable to deny that two of its bombs had fallen from the sky—one in a swampy meadow, the other in a field near Faro, North Carolina—the Air Force insisted that there had never been any danger of a nuclear detonation. This was a lie.

Here’s the truth: Just days after JFK was sworn in as president, one of the most terrifying weapons in our arsenal was a hair’s breadth from detonating on American soil. It would have pulverized North Carolina and, depending on wind conditions, blanketed East Coast cities (including New York and Washington, DC) in lethal fallout. The only thing standing between us and an explosion so catastrophic that it would have radically altered the course of history was a simple electronic toggle switch in the cockpit, a part that probably cost a couple of bucks to manufacture and easily could have been undermined by a short circuit—hardly a far-fetched scenario in an electronics-laden airplane that’s breaking apart.

The anecdote above is just one of many “holy shit!” revelations readers will discover in the latest book from the best-selling author of Fast Food Nation. Easily the most unsettling work of nonfiction I’ve ever read, Schlosser’s six-year investigation of America’s “broken arrows” (nuclear weapons mishaps) is by and large historical—this stuff is top secret, after all—but the book is beyond relevant. It’s critical reading in a nation with thousands of nukes still on hair-trigger alert.

In sections, Command and Control reads like a character-driven thriller as Schlosser draws on his deep reporting, extensive interviews, and documents obtained via the Freedom of Information Act to demonstrate how human error, computer glitches, dilution of authority, poor communications, occasional incompetence, and the routine hoarding of crucial information have nearly brought about our worst nightmare on numerous occasions.

While casual readers will learn a great deal about the history and geopolitics of our nuclear arsenal, Schlosser’s central narrative is built around a deadly 1980 explosion at a missile silo in Damascus, Arkansas, where our most powerful weapon, a W-53 thermonuclear warhead, sat atop a Titan II missile. He puts us on site as the catastrophe unfolds, offering an intimate window on the perspectives and personalities of those involved. It’s a gripping yarn that shows how the military concept of “command and control”—the process that governs how decisions are made and orders are executed—functions in practice, and how it can unravel in a crisis.

Absent the Soviet threat, it’s easy to forget that these ungodly devices are still all around us. An entire generation, as Schlosser told me recently, is blissfully unaware of the specter of nuclear devastation. But Command and Control will leave readers of any age with a deep unease about our ability—to say nothing of, say, Pakistan’s—to handle these weapons safely. Schlosser wrote the book in the hope of reviving America’s long-dormant debate about “the most dangerous machines ever invented.” Fortunately, he delivers a page-turner, not a doorstop.

So below you’ll find the first chapter. It’s just a tease, but it’ll give you a taste of what’s in store. The book is available September 17. Buy it. Read it. Make noise about it. And don’t miss my chat with Schlosser about his epic project, and why he believes “it’s remarkable—it’s incredible!—that a major city hasn’t been destroyed since Nagasaki.”

*******

The following excerpt is reprinted by arrangement with The Penguin Press, a member of Penguin Group (USA) LLC, a Penguin Random House Company. Copyright © Eric Schlosser, 2013.


Not Good

On September 18, 1980, at about 6:30 in the evening, Senior Airman David Powell and Airman Jeffrey Plumb walked into the silo at Launch Complex 374-7, a few miles north of Damascus, Arkansas. They were planning to do a routine maintenance procedure on a Titan II missile.

They’d spent countless hours underground at complexes like this one. But no matter how many times they entered the silo, the Titan II always looked impressive. It was the largest intercontinental ballistic missile ever built by the United States: 10 feet in diameter and 103 feet tall, roughly the height of a nine-story building. It had an aluminum skin with a matte finish and U.S. AIR FORCE painted in big letters down the side. The nose cone on top of the Titan II was deep black, and inside it sat a W-53 thermonuclear warhead, the most powerful weapon ever carried by an American missile. The warhead had a yield of nine megatons—about three times the explosive force of all the bombs dropped during the Second World War, including both atomic bombs.

Day or night, winter or spring, the silo always felt the same. It was eerily quiet, and mercury vapor lights on the walls bathed the missile in a bright white glow. When you opened the door on a lower level and stepped into the launch duct, the Titan II loomed above you like an immense black-tipped silver bullet, loaded in a concrete gun barrel, primed, cocked, ready to go, and pointed at the sky.

The missile was designed to launch within a minute and hit a target as far as 6,000 miles away. In order to do that, the Titan II relied upon a pair of liquid propellants—a rocket fuel and an oxidizer—that were “hypergolic.” The moment they came into contact with each other, they’d instantly and forcefully ignite. The missile had two stages, and inside both of them, an oxidizer tank rested on top of a fuel tank, with pipes leading down to an engine. Stage 1, which extended about 70 feet upward from the bottom of the missile, contained about 85,000 pounds of fuel and 163,000 pounds of oxidizer.

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A Sneak Peek at Eric Schlosser’s Terrifying New Book on Nuclear Weapons

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The Happy-Sad Tales of Tom Barbash

Mother Jones

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“If this was only the start of the darkest part of his life, Timkin marveled at what he’d already been able to make of it.”

Thus concludes Balloon Night, one of the sad yet joyous stories in Stay Up With Me, a new collection out this week from Tom Barbash, former small town reporter turned fiction writer.

Timkin, the protagonist of Balloon Night, faces an onslaught of holiday revelers streaming into his Manhattan apartment for the Thanksgiving blowout party he hosts with his wife every year. Except she left him for good two days ago, with no way to cancel the festivities on such short notice. So he endeavors to drown her absence in booze and friends until, at the climax of the night, the desperate realization that she isn’t coming back sets in with an inexplicable wave of euphoria. “To Amy!” he calls out, toasting the poignancy of his pain.

The characters that populate Barbash’s stories are all hurting—some of them quite badly. But it doesn’t diminish their capacity for wonder. They collide with life, losing siblings and spouses, parents and children. They suffer bad stepfathers and endure the exploits of their sexually active offspring. The magic of the stories comes in the small, transcendent moments when the world crushing in doesn’t seem so bad.

Barbash has published two books previously: the award-winning novel The Last Good Chance, based on the years he spent reporting in upstate New York, and the New York Times bestseller On Top of the World: Cantor Fitzgerald, Howard Lutnick, and 9/11, a nonfiction account of the revival of the financial services firm after it lost nearly seven hundred employees in the Twin Towers. He teaches in the MFA program at California College of the Arts and lives in Marin County, Calif.

I caught up with Barbash to ask about class, clueless New Yorkers, and JD Salinger’s lost works.

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The Happy-Sad Tales of Tom Barbash

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Why Americans Can’t Die With Dignity

Mother Jones

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As recently as the 1960s, “medicine did not routinely stave off death among the very old,” journalist Katy Butler points out in Knocking On Heaven’s Door, her new book about modern medicine’s tendency to overtreat, particularly at the end of people’s lives. Butler chronicles the deaths of her parents—her father’s slow decline after a debilitating stroke and her mother’s refusal to succumb to “Hail Mary” surgeries—and in so doing offers an unflinching look at the “perverse economic incentives” that reward doctors for procedures over humane care.

An expansion of Butler’s 2010 New York Times Magazine piece about her family’s attempts to get her father’s pacemaker turned off after a stroke leaves him increasingly incapacitated, the book deftly toggles between her family’s relationships and end-of-life struggles, and the history of our shifting attitudes towards death and rise of technologies that are meant to extend life but often lead to suffering. Butler also offers an antidote of sorts—a Slow Medicine movement that emphasizes “care over cure.” I caught up with the author to talk about her daughterly regrets and tackling a subject that most of us would rather to avoid.

Mother Jones: People are often told they should have these conversations about how they want to die before they are medically incapacitated. But what if they change their minds after the fact?

Katy Butler: I don’t think people ever were free of fear of death, but clinging to life and being so unprepared for it is a modern experience. Our ancestors actually read books about how to prepare for death. It was considered your moral obligation to be prepared for your deathbed and to able to face it with equanimity. We offer such false hopes to people that every medical problem can be fixed even when you’re starting to deal with an 80- or a 90-year-old body that is breaking down in multiple ways and doesn’t have that resilience. And so it doesn’t surprise me that someone who is completely unprepared for death may say, “Doc, do everything.”

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Why Americans Can’t Die With Dignity

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