Jun 082024
 

I’d say the ability to distinguish between appearances (and emotions) on the one hand and actual, truthful facts on the other belongs to the faculty of wisdom. So I’m once again asking Athena to help us.

The minor discernment here goes back 500 years to Niccolo Machiavelli, who is remembered as being a gaslighter. He was no such thing. He was as straightforward as he could possibly be in his knowledge and opinions (and yes, some of his work was opinion.) Yes, he did advise leaders that there were times they would need to lie. But he also put conditions on those times. He also warned competent leaders – and especially citizens of republics – to look out for gaslighters, as you will see in the article below. I know, after all these years, it’s likely impossible to fully rehabilitate his reputation. But there’s no harm in trying.
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500 years ago, Machiavelli warned the public not to get complacent in the face of self-interested charismatic figures

Julius Caesar was the first tyrant of Rome, after which Rome was never again free.
Steve Christo/Corbis via Getty Images

Vickie B. Sullivan, Tufts University

A United States president sought to remain in office after his term ended, maintains a worshipful following and has declared he will operate as a dictator only on “day one” if reelected. His cunning and manipulation of American politics and its legal system have, so far, blocked efforts to hold him accountable.

That sort of activity has been called “Machiavellian,” after Renaissance writer Niccolò Machiavelli, who lived from 1469 to 1527. He wrote a notorious little treatise called “The Prince,” in which he advises sole rulers – his phrase for authoritarians or dictators – as well as those who aspire to sole rule to use force and fraud to gain and maintain power.

But scholars of Machiavelli like me know there is much more to his analysis. His 16th-century writings discuss not only princely rule but also republican governments, in which citizens select leaders directly or indirectly for specified terms. He instructs republican citizens and leaders, including those of the United States, to recognize how vulnerable the governments they cherish are and to be vigilant against the threats of tyranny. Machiavelli’s advice is as relevant now as it was then.

Machiavelli’s republican experience

A portrait from the side of a man.
Cosimo de’ Medici was an autocratic ruler in Renaissance Florence, in what is now Italy.
Bildagentur-online/Universal Images Group via Getty Images

Machiavelli knew from experience and his extensive reading that there was a long history of nations with republican governments falling victim to ambitious individuals who sought to subvert their nations’ practices and institutions so they could rule alone and unchecked, with all others serving at their behest and on their authority.

For example, he was from the city-state of Florence in what is now Italy. Florence had had a republican tradition for centuries, but about 30 years before Machiavelli’s birth, banker and politician Cosimo de’ Medici had subverted that system. Cosimo had used his family’s wealth to propel himself to political power by exerting influence over officeholders so that he was the ultimate decision-maker.

Cosimo’s descendants inherited his political power. They briefly lost their grip on power just long enough for Machiavelli to participate for about a decade as an official and diplomat in a restored republic. Machiavelli was in office when the republic collapsed with the return of the Medici family to power.

Removed from office, Machiavelli wrote “The Prince.” He prefaced it with a dedicatory letter to the young member of the Medici whom the family had designated as the new ruler of Florence. Commentators have long disagreed about what Machiavelli sought by so obviously pandering to an autocratic ruler.

The ‘Discourses,’ Machiavelli’s republican writing

A portrait from the side of a man.
Niccolò Machiavelli was an Italian philosopher and writer.
Photo 12/Universal Images Group via Getty Images

That puzzle is all the more perplexing because elsewhere Machiavelli expresses his commitment to republican government. He wrote another book, less well known and much less pithy than “The Prince,” entitled “Discourses on Livy.” In the “Discourses,” Machiavelli uses the work of the ancient Roman historian Livy to examine how the Roman republic was overthrown by a single leader.

At its founding, Rome was a kingship, but when subsequent kings became tyrannical, the Roman people overthrew the monarchy and established a republic, which had a remarkable history and lasted almost 500 years.

The Roman republic collapsed in 44 BCE when Julius Caesar declared himself dictator for life. Machiavelli wrote that Julius Caesar was the first tyrant in Rome, with the result that Rome was never again free.

Julius’ immediate successor Octavius, who assumed the name Caesar Augustus, ruled as the first of a long line of emperors.

Lessons from the demise of the Roman republic

The key lesson of Machiavelli’s examination of Roman history in the “Discourses” is this: A republic is fragile. It requires constant vigilance on the part of both the citizens and their leaders.

That vigilance is difficult to maintain, however, because over generations, citizens and leaders alike become complacent to a key internal threat that haunts this form of government. Specifically, they fail to grasp early enough the anti-republican designs of exceptionally ambitious citizens among them who harbor the desire to rule alone.

Machiavelli provides instructive examples of how Rome failed to protect its republican practices and laws against such a threat. When the republic was young, Rome allowed candidates to nominate themselves for high offices. This practice worked well because only worthy candidates put themselves forward. Later, however, the practice of self-nomination allowed into office those who wanted to promote their own popularity rather than respond to the needs of their country.

Machiavelli said that leaders and citizens devoted to the republic should have closed off this easy route to power to such candidates. But Rome failed to act. Because of its complacency, Caesar was able to build on the popularity that his predecessors had amassed and to transform Rome into a tyranny.

Men in purple-edges togas grapple, as one wields a knife and another gapes in terror.
Actors recreate the assassination of Julius Caesar, which came too late to save the Roman republic from collapse into authoritarian rule.
Andreas Solaro/AFP via Getty Images

The point of no return

If republican citizens and leaders fail to be vigilant, they will eventually be confronted with a leader who has accumulated an extremely powerful and threatening following. At that point, Machiavelli says, it will be too late to save the republic.

Machiavelli uses the examples of Caesar’s assassination in Rome and Cosimo’s exile from Florence to underscore this lesson. In each case, the supporters of their respective republic, finally perceiving the danger of tyranny, initiated an attack on the people’s idol. In each case, that effort led not to a restoration of republican freedom but rather to its elimination.

In Rome, Augustus used the public’s sympathy and devotion for the martyred Caesar to seal the republic’s demise. In Florence, Cosimo himself was welcomed back from exile to become Florence’s leading man.

The fate of the American republic

For Americans, the question is whether, as a result of public complacency, the republic will be lost. Will the American republic fall to the same perils that Machiavelli identified in ancient Rome and Renaissance Florence?

Perhaps an opportunity exists to breathe new life into the nation’s republican practices and institutions. Perhaps there is still time to reject through elections those who seek office only to enhance their own power.

Or perhaps it is so late that even that approach will not work. Then, Americans would be left to mourn the demise of their republic and to affirm Machiavelli’s counsel that republics fail through complacency. Such an outcome for one of history’s most exemplary republics would stand as a wretched testament to Machiavelli’s political insight.The Conversation

Vickie B. Sullivan, Professor of Political Science, Tufts University

This article is republished from The Conversation under a Creative Commons license. Read the original article.

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Athena, I don’t suppose that, affter all these years, Niccolo cares any more that his name is used as a synonym for deliberate deception. And it is true that that was one tool in his leadership toolbox. But just because it is, let’s say, a hammer there, that does not mean that everything has to be treated as a nail. There are plenty of other tools there. Our current issue feels to me more like a stripped screw than a nail – and it usually takes an electric drill with a special bit to remove one of those.

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Apr 062024
 

When I saw this article (and particularly when I learned something else I’ll get to after the article). I figured I had to go right to the top – Athena, the goddess of wisdom. Athena is likely so intellectual because she wasn’t born as we understand it – she emerged fully formed and an adult from Zeus’s head (I assume without the helmet, although the size of the helmet does suggest a large brain.)

At a time when we are aware that Alzheimer’s disease exists, and that there is no cure, many of us are terrified of it – of having it ourselves, and of it happening to someone near and dear. I know my mother was terrified of it. (She was spared it – she was still expertly solving crossword puzzles until her final coma, caused by pneumonia, at age 93.) So I can’t imagine anyone willing to miss out on any opportunity to avoid it, or to slow its progress.
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New studies suggest millions with mild cognitive impairment go undiagnosed, often until it’s too late

Mild cognitive impairment can be an early sign of Alzheimer’s disease or other dementias.
ivanastar/iStock via Getty Images Plus

Soeren Mattke, University of Southern California and Ying Liu, USC Dornsife College of Letters, Arts and Sciences

Mild cognitive impairment – an early stage of dementia – is widely underdiagnosed in people 65 and older. That is the key takeaway of two recent studies from our team.

In the first study, we used Medicare data for about 40 million beneficiaries age 65 and older from 2015 to 2019 to estimate the prevalence of mild cognitive impairment in that population and to identify what proportion of them had actually been diagnosed.

Our finding was sobering: A mere 8% of the number of cases with mild cognitive impairment that we expected based on a statistical model had actually been diagnosed. Scaled up to the general population 65 and older, this means that approximately 7.4 million cases across the country remain undiagnosed.

In the second study, we analyzed data for 226,756 primary care clinicians and found that over 99% of them underdiagnosed mild cognitive impairment in this population.

Why it matters

Mild cognitive impairment is an early symptom of Alzheimer’s disease in about half of cases and progresses to dementia at a rate of 10% to 15% per year. It includes symptoms such as losing the ability to remember recent events and appointments, make sound decisions and master complex tasks. Failure to detect it might deprive patients of an opportunity to get treated and to slow down disease progression.

Mild cognitive impairment can sometimes be caused by easily addressable factors, such as medication side effects, thyroid dysfunction or vitamin B12 deficiency. Since mild cognitive impairment has the same risk factors as cardiovascular disease, such as high blood pressure and cholesterol, medication management of these risks combined with diet and exercise can reduce the risk of progression.

In 2023, the Food and Drug Administration approved the drug lecanemab as the first disease-modifying treatment for Alzheimer’s disease, the most common cause of mild cognitive impairment. In contrast to previous drugs, which can temporarily improve symptoms of the disease, such as memory loss and agitation, this new treatment addresses the underlying cause of the disease.

Lecanemab, a monoclonal antibody, reduces amyloid plaques in the brain, which are toxic protein clumps that are believed to contribute to the progression of the disease. In a large clinical trial, lecanemab was able to reduce the progression of early-stage Alzheimer’s disease. A similar drug, donanemab, also succeeded in a clinical trial and is expected to be approved sometime in 2024.

However, these drugs must be used in the early stages of Alzheimer’s disease, ideally when a patient has only mild cognitive impairment, as there is no evidence that they are effective in advanced stages.

An earlier diagnosis leads to early treatment and better outcomes.

What still isn’t known

Many factors contribute to the lack of timely detection. But researchers don’t have a good understanding of the relative importance of those individual factors or how to reduce the high rate of underdiagnosis.

While distinct, symptoms are subtle and their slow progression means that they can be overlooked or misinterpreted as normal aging. A neurologist in China told our research team that diagnosis rates spike in China after the New Year’s holiday, when children who haven’t seen their parents for a year notice changes that are harder to pick up when interacting with someone daily.

Doctors also commonly discount memory concerns as normal aging and doubt that much can be done about it. While cognitive tests to distinguish mild cognitive impairment from pathologic decline do exist, they take about 15 minutes, which can be hard to come by during the limited time of a doctor’s visit and may require a follow-up appointment.

What’s next

People, particularly those in their 60s and beyond, as well as their families and friends need to be vigilant about cognitive decline, bring it up during doctor’s appointments and insist on a formal assessment.

The Medicare yearly “wellness” visit is an opportunity to explore such concerns, but only about half of beneficiaries take advantage of it.

Just as physicians ask patients about unexplained weight loss and take those concerns seriously, we believe questions that explore a patient’s cognitive state need to become the norm.

The Research Brief is a short take on interesting academic work.The Conversation

Soeren Mattke, Director of the USC Dornsife Brain Health Observatory, University of Southern California and Ying Liu, Research Scientist, Center for Economic and Social Research, USC Dornsife College of Letters, Arts and Sciences

This article is republished from The Conversation under a Creative Commons license. Read the original article.

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Pat B, (who is celebrating her fiftieth wedding anniversary today) has graciously given me permission to share that this coming Friday she has an appointment with her Doctor to discuss her memory loss. While no one can prove it, I would not be surprised to learn this was inspired by Athena. I can’t imagine anything wiser than getting checked out for any possible signs of dementia, knowing that waiting will not make it any better but it could make it worse. Thank you, Athena, and may you inspire all of us who are 65 or older to be wise also.

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Dec 182020
 

It’s a painful exhausted day here in the CatBox.  After the hospital screwed me up so badly three weeks ago, they treated me like royalty yesterday to make sure everything went smoothly.  The got me infused and out early.  They increased my Fentanyl patch from 50 mg to 75 mg.  We stopped for take out pizza an the way home.  The notary came, and I got writers cramp with all the signing.  I commented that, if I had any idea how big a pain in the ass it is to die, I would have opted to live instead.  I was up from 5:00 AM until 4:30 PM, and that left me exhausted and in severe pain.  Today I have to do an online shop at Safeway.com as Store to Door is closed for the holidays.  I should be back in the saddle tomorrow.  TGIF!

Jig Zone Puzzle:

Today’s took me 3:16 (average 5:00).  To do it, click here.  How did you do?

Cartoon:

A Thought from Mitch (ours, not BBMM):

When I was 18, I lived in New York City in my first apartment,  I had this on a poster framed above my bed.  In an “Ah… the memories” moment, Mitch emailed it to me.

Desiderata

Go placidly amid the noise and the haste, and remember what peace there may be in silence. As far as possible, without surrender, be on good terms with all persons. Speak your truth quietly and clearly; and listen to others, even to the dull and the ignorant; they too have their story. Avoid loud and aggressive persons; they are vexatious to the spirit. If you compare yourself with others, you may become vain or bitter, for always there will be greater and lesser persons than yourself. Enjoy your achievements as well as your plans. Keep interested in your own career, however humble; it is a real possession in the changing fortunes of time. Exercise caution in your business affairs, for the world is full of trickery. But let this not blind you to what virtue there is; many persons strive for high ideals, and everywhere life is full of heroism. Be yourself. Especially do not feign affection. Neither be cynical about love; for in the face of all aridity and disenchantment it is as perennial as the grass. Take kindly the counsel of the years, gracefully surrendering the things of youth. Nurture strength of spirit to shield you in sudden misfortune. But do not distress yourself with dark imaginings. Many fears are born of fatigue and loneliness. Beyond a wholesome discipline, be gentle with yourself. You are a child of the universe no less than the trees and the stars; you have a right to be here. And whether or not it is clear to you, no doubt the universe is unfolding as it should. Therefore be at peace with God, whatever you conceive Him to be. And whatever your labors and aspirations, in the noisy confusion of life, keep peace in your soul. With all its sham, drudgery and broken dreams, it is still a beautiful world. Be cheerful. Strive to be happy.

Max Ehrmann, 1948

Short Take:

From YouTube (Parody Project Channel): THE TWELVE STAINS OF TRUMP’S MESS – A Christmas Parody

 

Wonderful Don! The cleaning crew comes on 1/20.  RESIST!!

32 Days Until the Big FLUSH!!

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