#actually working with abusive power structures producing rampant abuse

[l0vefreak]

The THING about utena “massive trigger warning + changed my life” posting is the secondary characteristic of irony being deep truth. Like girlhood is dominated by allusions to and obfuscations of rape and the threat of rape. The impropriety of exposing young children to the concept puts them in greater danger. It happens to them but they don’t understand it. And this runs so deep it becomes fantastical - without direct language, children pick up on the taboo of the unsaid and apply otherworldly power to it.

[xtruss]

Official Review Exposes How US Reconstruction of Afghanistan was Built on Death, Fraud and Lies

— 19 August, 2021 | RT

— By Kit Klarenberg, an investigative journalist exploring the role of intelligence services in shaping politics and perceptions. Follow him on Twitter @KitKlarenberg

FILE PHOTO. American soldiers from the 10th Mountain Division deploy to fight Taliban fighters as part of Operation Mountain Thrust to a U.S. base near the village of Deh Afghan in the Zabul province of Afghanistan. © Getty Images / John Moore

The shocking extent of America’s failure to build a safe and secure Afghanistan is laid bare in a newly published report. It spells out in explicit detail the mind-boggling corruption and incompetence that doomed the mission.

The Special Inspector General for Afghanistan Reconstruction has issued a withering review of American reconstruction efforts in Afghanistan, outlining several “lessons learned” from the calamity.

In all, Washington spent two decades and $145 billion attempting to westernize the country, while struggling to maintain a corrupt, unpopular and illegitimate government in power, and battling an ongoing insurgency against the Taliban and a constellation of armed militias. The report pulls absolutely no punches, finding that almost every US-bankrolled project in Afghanistan was subject to industrial scale grift, delivered wildly over budget, failed in its objectives, and strengthened the Taliban. In far too many cases, these efforts led to people being killed.

References to corruption run rampant throughout – yet, somewhat unbelievably, Washington was said to have “initially failed to recognize the existential threat that corruption posed to the reconstruction effort.” Planners reportedly assumed fraud could only ever be the “deviant criminal behavior of individual Afghan officials,” and concluded that extensive use of contractors would ensure reconstruction endeavors remained above board and on budget.

In reality, this reliance precipitated a veritable feeding frenzy of “virtually unchecked” waste and fraud, enabled in part by an almost total lack of oversight over how funds were spent. Numerous examples of rank incompetence on the part of contractors are also documented – a military compound constructed for $2.4 million being completely unusable as it was carelessly built outside the security perimeter of the base for which it was commissioned is perhaps the most farcical.

In another instance, bogus humanitarian agency USAID awarded a contract for the design and construction of two vast new hospitals, at a combined cost of $18.5 million, without consulting local officials, or considering whether the government could actually foot the annual operating and maintenance bills, which would be up to six times that of the hospitals they replaced. By the time the Afghan Ministry of Public Health learned of the project, construction had been ongoing for a year.

Despite such embarrassments, the dollars kept flowing in ever-greater volumes over the years. As it was the easiest thing to monitor, funds being spent on programs “perversely” became “the most important measure of success,” and the best, if not only, way of demonstrating to an increasingly skeptical US Congress, and the American public, that reconstruction wasn’t a total failure.

With a combination of “overoptimism, an institutional drive to produce good news stories, and the imperative to show progress in time to serve the ends of various political timetables,” producing a situation in which Washington was spending money “faster than it could be accounted for,” the primary goal of reconstruction became “producing good news…as quickly as possible,” and there was “little appetite for honest assessments of what worked and what did not.”

In turn, this created an incentive structure that greatly encouraged officials not to report abuse or fraud, while contractors benefiting from the gravy train were likewise unwilling to speak up about problems. Complicating the issue further, USAID officials were frequently “bulldozed” by the military into implementing projects in places “far too dangerous for them to have a stabilizing effect.”

After Afghan defeat, West must realize that not everyone wants democracy with ‘Netflix & LGBT marches’ – senior Ukrainian official. 18 August, 2021

In these cases, USAID depended on contractors, who could visit locations too risky for US government employees to tread. This meant, though, that monitoring a project’s implementation was extremely difficult, with the agency’s staff “sometimes unable to establish with confidence even the most basic information.” On occasion, what could be verified was in fact bogus – the review records how a Kandahar-based business would for a fee provide contractors with generic photographs of completed projects, replete with fake geotags, to defraud USAID.

Over and over again, US officials completely misjudged whether particular initiatives would be remotely appropriate for the Afghan context. For instance, between 2003 and 2015, Washington spent over $1 billion on rule of law operations in the country, with around 90% invested in developing a formal, Western-style legal system.

The set-up was, however, alien to most Afghans, who favored “informal, community-level traditional dispute resolution mechanisms,” and believed the new system to be impractical and ineffective. In turn, the Taliban created a parallel structure along traditional lines, providing citizens with “a semblance of security and justice.” Their role in maintaining and managing this in turn “generated at least a modicum of legitimacy for the group” among locals, and reinforced the notion they were a credible governance actor.

Other security drives were similarly counter-productive. In 2000, the Taliban collaborated with the United Nations to eradicate opium production in Afghanistan, resulting in one of the most successful anti-drug campaigns in history, with a 99% reduction in poppy farming in areas controlled by the group, which had accounted for roughly three-quarters of the world’s supply of heroin. The US invasion ended this, and despite spending $9 billion on counternarcotics efforts since 2002, the cultivation of opium in Afghanistan has trended upward ever since.

The explosion of the opium trade funded the Taliban insurgency, meaning poppy fields were heavily defended, and many security services operatives, civilians, US Drug Enforcement Administration agents, and contractors were killed or severely wounded on counternarcotics missions. Even successful incursions were “often only possible under the protection of significant coalition and Afghan security forces,” who couldn’t stay indefinitely in target areas as a deterrent. As a result, these wins were “temporary and unsustainable,” and became ever-shorter lived as coalition forces began to retreat.

Then again, Afghan security forces were typically ill-equipped to deal with any serious security issue. After levels of insurgent violence “skyrocketed” in 2006, Washington attempted to fill the ranks of the Afghan army as quickly as possible, and duly reduced training to just 10 weeks.

This produced a largely inexperienced and unqualified military, with a huge level of turnover – by 2020, the need to replace roughly a quarter of the force each and every year was considered ‘normal’. Untold numbers of Afghan soldiers moreover went AWOL over the years, including hundreds who were being trained in the US.

Poor training likewise hampered development of the Afghan National Police, resulting in the force being “largely unaware of their responsibilities and defendants’ rights under the law,” and “routinely [engaging] in torture and abuse,” destroying their credibility with the public. Meanwhile, recruits for the Afghan Local Police, informal militias charged with keeping the peace in conflict-scarred areas that have likewise been accused of human rights violations, were often Taliban fighters, who’d been allowed to keep their weapons and join if they agreed to stop undermining the government.

This dire security situation only enriched militia groups, as private security firms paid to protect US government officials and projects resorted to spending a “substantial” portion of their budgets on bribing insurgents to “refrain from attacking convoys and project sites” – making them “in effect unofficial subcontractors” to Washington.

US government funds also reached the pockets of violent extremists “through a web of corruption that encompassed Afghan officials, drug traffickers, transnational criminals, and insurgent and terrorist groups.” However, “prosecuting these officials, or even removing them from office, proved extremely difficult,” since it would entail “dismantling major pillars of support for the government itself,” including its electoral institutions, in the process severely undermining its public legitimacy.

“When you look at how much we spent and what we got for it, it’s mind boggling,” a senior Department of Defense official is quoted as saying – and it’s just as mind boggling that the report makes repeated reference to “future reconstruction missions elsewhere around the world.”

Clearly, the most obvious lesson of the review – that never again should the US undertake nation building efforts in far-flung states its imperial interventions and meddling have comprehensively destroyed, of which its leaders know nothing – doesn’t feature on the syllabus. Citizens of countries the world over, particularly those living under US-mandated ‘enemy’ regimes, are surely desperately hoping they’re not next in the reconstruction firing line.

[titheguerrero]

And the Dander Keeps On Rising

This is número cinco in our series of attempts to shed some of this dander. But it keeps on rising. Here are two recent reports both relating to the life-on-the-ground of North American rank and file physicians, especially as that life increasingly revolves around data entry and digital madness over and above everything else. Are physicians suffering from acute, maybe by now chronic, PTSD? In the 20 March 2018 number of the important Boston Globe-affiliated newsfeed STAT, Elizabeth Métraux, a prolific staffer and author at the eminent organization Primary Care Progress, gives us another quite useful take on physician burnout. An Iraq War veteran herself, the author gives us a provocative title that pretty much says it all: "I experienced trauma working in Iraq. I see it now among America’s doctors." Her diagnosis is stark.

[A]s a health care advocate who has struggled with PTSD, it’s clear to me that many of our country’s health care providers are struggling with trauma, as well. And we’re doing little to support them.

Here's another snippet of conversation she recently had with a phyhsician colleague who'd also served in Iraq.

You know, I’d go back to the field any day. Beats practicing in my clinic. ... I didn’t become a doc to put up with billing codes and power struggles. I thought that PTSD would hit when I came home from Fallujah. It’s so much worse when I come home from the office. Truth is, I’ve lost my sense of purpose.

In what she terms "tiny betrayals of purpose," the death of 1000 tiny cuts, she outlines the extent to which the endless obsession by bosses with data entry and charge capture, the eight-minute patient encounter, the constant deflection of attention away from the patient all the while marketing and admin people are trumpeting "patient-centered everything" to their "customers," all of these have taken their toll. Unfortunately, the usual caveat applies: making the diagnosis is a lot more straightforward than establishing the right therapy for the PTSD viewed by every student who rotates through a preceptor's community office: rapidly driving the best and brightest young physicians away from primary care. The author suggests the patient turn around and ask the physician how she is doing. But much more structural reform will be needed to curb these excesses and reverse these trends. Higher pay would be a fabulous start, not to mention forgiveness of medical school loans. Less empathic but no less important: revenge of the EHR--more paper records than ever, revealing private information. A fascinating research letter published the same day in JAMA (behind paywall), out of several hospitals in Toronto, Ontario, reveals still more new--but actually, hardly new at all--issues raised by perverse effects of Electronic Health Records. More, not less, paper documents are being discarded because of the EHR. The investigators spent about half a year auditing all the recycling-bound paper from five hospitals. The results are arresting. Here are the key take-aways. Bear in mind the context: these institutions had Protected (Personal) Health Information (PHI) policies; they also had recycling bins and shredders where they needed to be.

Nearly a ton of paper was examined including nearly 3000 discrete documents.

The study was multi-institutional.

Every hospital contained examples--lots of examples--of PHI discarded in both in- and out-patient settings.

Over 2500 documents containing PHI were found, including over 1000 with highly sensitivbe information (defined as including both diagnoses and descriptions of patients' conditions).

The vast majority of these documents were found in out-patient settings.

The highest proportion of PHI-containing documents was found in physicina offices--not hospitals or institution-bound clinics.

Paper records were impossible--in distinction to electronic privacy breathes--to trace with respect to identifying responsible individuals.

The authors reported no actual harms accruing to the documents' discovery.

The biggest drawback of this study was its focus on recycling materials, as opposed to other random discards. But recycling does not means properly-disposed-of, so the data are important. Most important is the Revenge Effect, to quote from Edward Tenner's important analysis of technology's impact, of the EHR.

To any of those of us who've lived this scenario, it all sounds drearily familiar. EHR allows managerialism to run rampant in terms of up-coding and adherent to more often than not perverse incentives around Meaningful Use of EHRs. Not to mention outright abuse. But it actually produces all sorts of other perverse effects. One near and dear to our hearts is the "credit" for printed "Clinical Summaries cited as "performed" in EHR databases, but actually abandoned on printers. And, when retried, lacking any information on the clinical plan--essentially only listing medication lists that are often dangerously erroneous.

Now, from Toronto, but we already knew this, we're reminded that EHR didn't do away with paper. Because so much paper comes in and gets scanned to EHR, it is rather more pervasive--but now discarded in the wrong palce--than ever.

Article source:Health Care Renewal

[radthursdays]

#RadThursdays Roundup 08/24/2017

ABC News anchor Frank Reynolds reports on the solar eclipse in 1979, signing off by saying, "So that's it. The last solar eclipse to be seen on this continent in this century. And as I said, not until August 21, 2017, will another eclipse be visible from North America. That's 38 years from now. May the shadow of the moon fall on a world in peace." Source.

Issues

Love Needs Fury To Defeat Hate: "The problem here is not love itself but its debasement. The 'love' presented here has been vacated of meaning to the point that it signifies little else than what Dr. Martin Luther King Jr. referred to in 1963 as a 'negative peace which is really the absence of tension.' When weaponized to silence discussions of white supremacy and criminalize anti-racist and anti-fascist direct action, these calls for “love” sublimate into a hate that only exists to serve the powerful. This reduction of love to mere sentiment betrays its very nature. Love that is not grounded in the humanity of those it claims to love is anything but. Love is not a mandate; love is a choice."

People Who Have Never Lived In Poverty Should Stop Telling Poor People What To Do: "In the U.S., we have become so accepting of the fact that poverty is not a symptom of a grossly unequal economy, or the result of numerous systemic failures, or the product of years of trickle-down economics, but instead, that the only thing standing between a poor person and the life of their dreams is their own decisions, their own choices, and their own failures."

The Harmful History of "Gypsy": "Outside of a Stevie Nicks song, the Romani people are an oppressed ethnic minority whose diasporic roots date back to 10th-century India and are currently in the midst of a centuries-long human rights crisis—one that is, in part, perpetuated by the stereotypes of the Gypsy. Yet almost no one but the Roma themselves are pushing back on the series’ title slur, the writing to the network and producers, or creating a petition to change the show’s title. Along with simple ignorance, anti-Romani sentiment is so normalized that in 2017, a premier streaming service can release a show that takes an actual racial slur as its title and no one bats an eyelash."

A screenshot of an article titled “‘I’m not a bigot’ Meet the U of T prof who refuses to use genderless pronouns”. The text of the article is an interview with the professor, Jordan Peterson, and someone has circled in red all zir uses of the word “they”, which is often used as a gender-neutral pronoun. Source.

Queerness

Queering the Rural: “Part of what has always been so compelling about queerness is the potential it offers to create alternatives modes of being, doing and living. There is such unprecedented joy to sidestepping the seemingly binding structures that you have simply been given and not asked for. Believing that the city is the only place of queer self-intelligibility upholds the fact that I am somehow in the closet in my rural home. I spent a long time allowing this idea to sediment. When many cultural and social representations of coming-out tales portray the urban as the only platform for queer visibility, it is easy to allow this to become the dominant narrative.”

Top or Bottom: How do we desire?: Three great minds consider what queer memes of a top shortage reveal about the racialized orders of desire and new directions for gay critique. "Is there actually a top shortage? If there isn’t a top shortage, why do queers talk about it? What do capitalism, racial capitalism in particular, and colonialism have to do with sexual roles and orders of desire?"

Against the backdrop of a cloudless blue sky, a swarm of security cameras is mounted on a pole. All are aimed approximately at the viewer, giving the impression of a nest of aggressive surveillance-hornets. A work by artist Jakub Geltner. Source.

Gender

The Legion Lonely: "For the outsider looking in, then, and even for the man himself, it may appear that nothing’s amiss. But to paraphrase University of Missouri researchers Barbara Bank and Suzanne Hansford, men have power, but are not well. In the UK, suicide rates among men are steadily rising. In the US, so is unemployment among men, often coupled with opioid abuse. In a 2006 paper addressed to psychiatric practitioners, William S. Pollack of Harvard Medical School wrote, 'present socialization systems are dangerous to boys’ physical and mental health and to those around them, leading to increased school failure, depression, suicide, lonely isolation, and, in extremis, violence.'"

[CW: descriptions of sexual harassment] Sexual harassment and the sharing economy: the dark side of working for strangers: Women working for companies like Uber and DoorDash say they have been groped, threatened and harassed by customers. Their stories highlight how technology connects strangers – and opens the door for abuse. "In recent months, Silicon Valley has faced widespread backlash surrounding the sexual misconduct and discrimination that some say is rampant in the male-dominated tech industry. But almost entirely overlooked amid the public outrage is the massive pool of low-wage workers – especially in the sharing economy – who are vulnerable to a wide range of abuses on the job because they lack basic labor rights."

Sick Woman Theory, Part Two

In Defence of De-persons: "The concept of the 'person' that has been defined, deployed, policed, and immured by universality is one that promises self-determined completeness, wholeness, and power. In other words, that which can be both mastered and the master. A defence of a de-person could be said to be an embodiment of incompleteness, a demonstration of bad thinking, a performance of un-comprehension, a refusal of mastery at all. […] The aporia of Sick Woman Theory is that it requires a cruelly optimistic humanism: to construct and nurture a version of a human against a version of the human—and it still relies upon the master’s tools of enforcing discrete selfhood and self-possession. This universalizing move is what Ahmed would call a 'melancholic universalism': 'the requirement to identify with the universal that repudiates you.'"

Sick Woman Theory: An Interview: "The instinct to identify with the universal is a common one because every infrastructure of belonging in our world is pointed toward it as the ultimate and only goal, and relies upon it as the core organizing principle. But I'm starting to realize it's an instinct that can't withstand critical consciousness, by which I mean, once you start to understand how oppression and domination work, you start to understand that the universal is a bankrupt subject position. Not only is it violent, and the instrument that is used by oppression and domination, but it is also a fantasy. The universal promises entry into a sacrosanct humanism, but that is an empty promise toward an empty place."

An image of the August 28, 2017 cover of The New Yorker. Trump is sitting alone in a sailboat with a white sail reminiscent of a Ku Klux Klan hood. Trump is blowing hard into the sail, though it’s unclear whether he’s managing to propel himself. Source.

Activism

How to Make Fun of Nazis: “For decades, Wunsiedel, a German town near the Czech border, has struggled with a parade of unwanted visitors. It was the original burial place of one of Adolf Hitler’s deputies, a man named Rudolf Hess. And every year, to residents’ chagrin, neo-Nazis marched to his grave site. [...] So in 2014, the town tried a different tactic: humorous subversion. The campaign, called Rechts Gegen Rechts — the Right Against the Right — turned the march into Germany’s 'most involuntary walkathon.' For every meter the neo-Nazis marched, local residents and businesses pledged to donate 10 euros (then equivalent to about $12.50) to a program that helps people leave right-wing extremist groups, called EXIT Deutschland.”

Direct Action Item

Do you enjoy making art, of any kind? Make some radical art and share it with us :)

If there’s something you’d like to see in next week’s #RT, please send us a message.

In solidarity!

What is direct action? Direct action means doing things yourself instead of petitioning authorities or relying on external institutions. It means taking matters into your own hands and not waiting to be empowered, because you are already powerful. A “direct action item” is a way to put your beliefs into practice every week.

[soydebarriocom]

Ahora en SoyDeBarrio | Descarga Tu Musica

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