Sunday, October 05, 2008

Yom HaDin

If there's one thing that troubles me about basic monotheistic theology is the idea of divine justice. Not that the idea is a bad one per se, but it just seems to fly so contrary to what I know about life and what goes on in the world that it makes it very hard for me to believe that justice reigns and that everyone gets it square in the end. When innocent children die painfully from genetic defects, murderous tyrants on the other side of the world live in luxury and at any time any regular shmo can die suddenly from a previously undiagnosed medical condition or a car accident or a stray bullet or a hurricane it certainly seems like what rules the roost in this world is mere chance rather than justice. At birth you're dealt a random hand and most of your life is played out with one roll of the dice after another. Sure, maybe you make some decisions on your own that set the course of your life, but there are larger forces in play that can wipe out all your plans in a moment.


Anyway, sure, this is an old old issue and there are always some stock answers that people pull out to reassure themselves. Maybe there's a Master Plan, maybe everything gets sorted out in the next life, maybe maybe maybe. Maybe not.


These were the thoughts that I had running through my mind all through davening on the first day of Rosh Hashana. See, my conception of God (in the abstract, non-anthropomorphic panentheist kinda way) certainly makes good sense of God as the almighty, as the creator, as the sustainer, as ruler, as awesome and fully worthy of reverence and praise. It also can make good sense of God being the source of an objective morality with schar and onesh following suit not as divine interventions, but as natural consequences of community behavior. I'll refrain from going into too much detail, but I see it in how moral action raises the net well being in a society and simultaneously betters the noble sense of self, whereas immoral behavior does the opposite. But still, how can I make account with the traditional conception of the Dayan Ha-emet given what I see of the world and my conception of a non-personal deity? In what sense does a panentheist God judge? And for that matter, in what sense can a panentheist God forgive?


So, as I was saying, I just could not get this out of my mind. What is the meaning of Rosh Hashana and Yom Kippur if not for the whole Yom HaDin thing?

To work my way through this dilemma I oriented myself to the idea that God doesn't judge per se, but that God is that moral standard against which we must judge ourselves. I think I went through this in a post last year about Yom Kippur, but whereas we might go easy on ourselves when considering our past actions, if we would imagine a perfectly reliable and righteous Judge considering our deeds we'd realize that we wouldn't get away with a fraction of what we'd permit ourselves. We then must judge ourselves to whether we are truly *worthy* of all the gifts given to us in our lives - and, yes, whether we deserve some comeuppance. Different people have different strengths - in this past year have you done all you could do to make this world a better place? I'm sorry to say it, but I know I haven't. Not that I'm a bad guy - or so I like to think of myself - but I've surely fallen short of what I could have done or what I could have been.

See, I believe in justice. I believe it is a characteristic set in the moral fabric of interpersonal relations. It is something we need to strive for, to struggle to achieve, rather than a fact of reality bestowed upon the universe. A common theme in Judaism is that humanity is co-creator with God. We have the potential to make justice have more impact on our existence than even chance. It is in our power and it is our duty.

So we're given a set time of some ten days at the start of the year to orient ourselves back to this basic task. And even if we were to judge ourselves unworthy we are given tools like teshuvah, tefilla and tzedaka to help change our mentality and to alter our behavior so that we can start the new year afresh with full potential. The purpose of these days is not to endlessly harp on our wrongdoings, but to do so only until we right what is wrong and become better people from that point on.

So with that conception in mind, an extended metaphor, I was able to finish davening with a clearer head - and I can look forward to a meaningful experience on Yom Kippur.

Sunday, September 14, 2008

Kannoim Strong-arm Twerski Off Molestation Panel

Top Doc Scared Off Panel On Rabbinic Sex Molesters
by Hella Winston

A prominent Orthodox rabbi and psychologist has been intimidated into quitting as head of a just-formed task force dealing with rabbinic sex abuse of minors, organized by Assemblyman Dov Hikind this week.

Dr. Benzion Twerski told The Jewish Week Wednesday that he was quitting the task force because “I was prosecuted in the street for daring to join such a venture.”

“To protect myself, my family, and reputation, I decided to withdraw from this project,” he wrote in an e-mail as the paper was going to press with a story announcing Hikind’s formation of the task force. “From this point, I am avoiding participation in any forms of public service. Public life is not for me.”

Hikind, a Brooklyn Democrat who represents Borough Park and Flatbush, deplored Twerski’s abrupt departure from his new panel.

“He was basically forced to resign,” said Hikind. “He was literally put against the wall, and he felt he had no choice. We’ll get somebody else who’s very respected. But that’s not the point. The point is they got to him, they threatened him.”

Twerski’s dramatic departure came just as Hikind was rolling out the new panel, planned as the next step in a personal crusade against child sex abuse in the Orthodox community that he has come to view as an epidemic.

Hikind said he had amassed a dossier with the cases of “hundreds” of individuals who say they have been sexually molested by rabbis and other Orthodox community members during their childhood. And he threatened to broadcast the names of their abusers if community leaders do not respond to his call for action against them.

“Let me tell you,” he said in an interview last week, “when there’s a person who we have confirmed through a variety of people has been doing terrible things” and those who know refuse to go to the authorities, “I am prepared to name names. I am prepared to be sued by those pedophiles. If they’re innocent, let them sue me.”

...
Neither man would specify the nature of the threats made against Twerski to force his departure. But Hikind called them “pathetic and sad.”

“My heart goes out to him,” he said. “I don’t know if I should laugh or cry. Things are opening up, people are coming forward, but we are still so far away.”




This story is absolutely pathetic. I really hate what those self-important holier-than-thou protectors of child molesters are doing. Friggin' Taliban Kannoim. Somehow in their screwed up little minds, they think making a serious attempt to put a stop to rabbinical child abuse is somehow a potential damage to their community. Their priorities are totally screwed up and each person who pressured Dr. Twerski - or frankly aided or abetted this apparent policy of secrecy and cover-up generally - is morally responsible for each and every child molested since their obstruction of justice. Make no mistake, that is what they are doing and by right they ought to have their own seats right next to the actual molesters when they have their day in court. Utterly disgusting.

On the bright side though, I'm very glad to see Dov Hikind stepping up to the plate on this one. I'm surprised to see it, since I've generally not been impressed with his public service to date, but I give credit where credit is due. Frankly, I'm glad to see people of some note making motions to control this festering disease deep in the underbelly of the Orthodox community.

Sunday, August 10, 2008

קָצַפְתָּ עָלֵינוּ עַד-מְאֹד

As I often do following the night's reading of Eicha, since my shul only has these ancient kinot booklets instead of real books, I looked it up in the English in order to get a better understanding of what was read. I have a passing understanding of Biblical Hebrew, but to really get at the little phrases and deeper meanings some further examination with a translation is helpful. Anyway, I found something interesting that I hadn't noticed before.

The final couple of pasukim from the megillah are as so:

כא: הֲשִׁיבֵנוּ יְהוָה אֵלֶיךָ ונשוב (וְנָשׁוּבָה) חַדֵּשׁ יָמֵינוּ כְּקֶדֶם. כב: כִּי אִם-מָאֹס מְאַסְתָּנוּ קָצַפְתָּ עָלֵינוּ עַד-מְאֹד

Which mean, according to my understanding, '21: Bring us back to you, God, and we shall return, renew our days as of old. 22: For even if you totally rejected us, you have exceedingly raged against us.' The point being - we've been punished enough and it's cold outside, let us back in and we'll be good.' The Artscroll translation basically agrees with this assessment - 'For even if You had utterly rejected us, You have already raged sufficiently against us.'

But what I had been reading initally was, I confess, not the Artscroll but rather the NIV, which goes:

21 Restore us to yourself, O LORD, that we may return; renew our days as of old 22 unless you have utterly rejected us and are angry with us beyond measure.

Now that certainly gives the whole thing a different flavor, doesn't it? UNLESS? Clearly, in the Christian mindset there's a distinct possibility that God may have rejected the Jewish people and thereby explaining the whole reason for their religion. God needs to outsource his message since his chosen company isn't being reliable.

This is even more clearly seen in the older King James Version which I subsequently reviewed out of curiousity:

21Turn thou us unto thee, O LORD, and we shall be turned; renew our days as of old. 22But thou hast utterly rejected us; thou art very wroth against us.

BUT? Here the Christian assessment is that hope is lost for the Jews. God has rejected them utterly.

Ok, so that's an interesting little tidbit about the basic historical Christian understanding of Jewish persecution, but let's hear a nice dvar about this whole fasting deal in the face of theological skepticism.

Sure. See, a great thing about these terrible days is that few skeptics doubt that what they describe actually happened - at least not in any foundational detail. The Temples were destroyed, many Israelites were killed, the people were exiled or enslaved and basically the Jews were on the losing side of overwhelming ancient conquests. All of this before the adoption of the Geneva conventions. But what about the theological implications traditionally employed? Did God really [literally] send Babylon and Rome as means of punishing the sinning Jews?

Well, here's my take on it. While I wouldn't say that God plotted out the rise of those nations to pour out his wrath in such and such a way, but that to a certain extent a society's welfare is bound directly to the moral standards of its people and its leaders. When corruption abounds, when the rich abuse the poor, when brother cannot trust brother and the whole edifice of civilized society is on the brink then that decadent society has become weak at its heart and can be easily overcome by outside pressures - especially by foreign invasion. Isaiah, as related in this past haftorah, particularly remarks on the failings of the corrupt leadership and we are all familiar with the classic sinat chinam before the fall of the Second Temple. These things are cancers of society.

So with that, we have the traditional Jewish approach of following a tragedy with mussar. We look into ourselves to see what we can improve to perhaps prevent anything like it from happening again. I think this is a great approach. Producing something morally constructive out of something terrible. But we shouldn't be thinking of it in terms of satisfying a metaphysical Umpire (though perhaps metaphorically), rather it should be seen as a proactive effort to strengthen our moral ties to each other and to society at large. We can prevent the threat of moral decadence and the dangers it poses to society in general.

Wednesday, July 30, 2008

Informed Consent for HIV Testing

This is a topic that's bothered me for some time. In most US states it is state law that HIV testing first requires the patient's (often written) informed consent - this is STUPID. See, even while you would think most people suspected for HIV would eagerly want to know if they were infected and then change their behavior to help their own health and protect the people around them there remains a significant population who frankly prefer to remain ignorant - or at least maintain their denial. The fact is that the population of people who tend to get HIV are those who are not very health conscious and engage in risky behavior like having unprotected sex with multiple casual partners, especially men who have sex with men, and share needles for their drug habits. These are people who prefer living life as if there are no consequences and I don't think medical ethics demands that we kowtow to their preferences and permit them to remain nominally ignorant as they remain a public health threat.

As far as I know, for every other infectious disease it is standard policy in America to assume presumed consent by the patient and test at will unless the patient proactively refuses. You don't need informed consent to test for hepatitis or Lyme disease or syphilis, so why HIV? Now I know why HIV has been put in this special legal bubble. It was once upon a time an incredibly scary disease, poorly understood with severe social stigma and no real treatment, so it made sense to protect a population which had little interest in finding out they had a death sentence. Few of them would seek medical care generally if they knew they'd be forced to face the horrible truth.

Fair enough, but that was decades ago and now with proper treatement HIV is more of a chronic disease. Infected individuals can lead a fairly normal life. What was once sensible medical policy is now obstructive to getting this life saving treatment to people and is a real threat to the public. People should be routinely tested if they are suspected of HIV, need to be told sooner rather than later and face their fears so they can get the treatment they need. (Whether they ought to be penalized if they don't subsequently change their behavior vis-a-vis public health concerns is another question. After all, STDs are essentially behavioral disorders more than anything else.)

As some have noted, I haven't been doing much blogging this past little while and the reason for this is that I just started doing my clinical rotations at med school and as you may imagine that tends to take up some time. For the past six weeks or so, I've been working at a hospital in the Bronx where HIV is more prevalent than the common cold in the inpatient population. Zero exaggeration. There were times when easily more than half the patients on our service were known to be HIV positive. And if not HIV then you can be sure as the ever hopeful Obamanicks that the patient has got hepatitis. Maybe I'm getting a poor cross section, but it seems like you can hardly throw a rock in the Bronx without hitting a person with a severe, chronic infectious disease.

Anyway, while I had been thinking that way about HIV for a good while, what really hit the point home was a patient I've been following. Guy came in for some difficulty breathing over the course of several weeks and was found to have an AIDS defining pneumonia that only the immunocompromised can get and a CD4 count in the single digits. Patient refused HIV testing. His wife communicates with the doctors by telephone about his condition and she's casually complaining about how she used to be such a healthy person but lately she's been feeling sick. Hum...

So normally, with a positive HIV test, you can break with normative patient/doctor confidentiality and inform the spouse that their sexual partner has HIV if you have reason to believe the spouse won't do the informing on their own. But because this guy is refusing testing, the doctors can't legally label the patient as HIV+ even while he's being treated with a clinically AIDS-defining pneumonia and therefore cannot tell the wife. Welcome to the world of medico-legal meshugas. Anyway, what we ended up doing was telling the wife to tell her family doctor that her husband is being treated for a pneumonia with this and that drug regimen, which any astute physician would immediately understand to be HIV related and have her follow up with him. Hopefully that'll work out as best it can.

Of interest, it seems like the CDC recently came closer to my way of thinking and as of 2006 their recommendations are:

-HIV screening (another term for broad-based testing) for patients ages 13 to 64 in all healthcare settings after the patient is notified that testing will be performed unless the patient declines (opt-out screening).
-HIV testing of people at high risk for HIV infection at least once a year.
-Screening should be incorporated into the general consent for medical care; separate written consent is not recommended.


Now, I'm for the total normalization of HIV testing to be like other infectious diseases. If the patient is in the hospital then you can just test their blood for whatever without special notification. We don't tell patients that we're testing for hepatitis - which we do test for regularly. HIV should not be treated like a legally special condition and it's time for the state legislatures to get on the ball with this one.

Sunday, June 29, 2008

An Atheist Questionnaire

I was tagged by Da'as Hedyot, so I guess I'll do my blogging duty.

Q1. How would you define "atheism"?

Strictly as simply the lack of belief in gods. But in general, practically for those who take the title, it subsumes a whole series of assumptions about humanity and our relationship with the rest of reality. The basic worldview asserts that the universe was an accident without consequence or meaning. Humans exist purely by luck and our interaction with the rest of reality doesn't go beyond it being merely the otherwise irrelevant backdrop for the navel-gazing human drama to play out. Morality is subjective (and therefore is without any means of authority to orient right from wrong).

That, in the end, we are all nothing (ala Hawking) but the chemical scum placed on a moderate-size planet, orbiting around a very average star in the outer suburb of one among a hundred billion galaxies.

Q2. Was your upbringing religious? If so, what tradition?

Blah, blah. Everyone knows about this already. Modern OJ, relatively chilled.

Q3. How would you describe "Intelligent Design", using only one word?

Pseudoscience.

Q4. What scientific endeavor(s) really excites you?

Space exploration. Biological systems. Deep-time evolution.

Q5. If you could change one thing about the "atheist community", what would it be and why?

To stop defining themselves by what they are not. It's terrible when the only way they seem to be able to progress their cause is by attacking the alternatives. Not that the method doesn't have its place, but the "atheist community" seems far too sure of its worldview which it only reached by denying the views of others.

Q6. If your child came up to you and said "I'm joining the clergy", what would be your first response?

Alright, just make sure you don't get so frum that you won't eat in my house anymore.

Q7. What's your favorite theistic argument, and how do you usually refute it?

Meh. I'm so bored with that endless debate. Generally it's a matter of someone asserting something about God and I just say, "Oh, how do you know that impossible to know thing?"

Q8. What's your most "controversial" (as far as general attitudes amongst other atheists goes) viewpoint?

I'm not an atheist. That tends to get 'em riled up and remarkably few seem to comprehend the significant gradations between I and some Biblical literalist.

Q9. Of the "Four Horsemen" (Dawkins, Dennett, Hitchens and Harris) who is your favorite, and why?

I like Dawkins. Actually I liked him before he became a militant atheist performer since I appreciate his contributions to evolution, but even so he's great with the turn of phrase and he makes his points with excellent clarity. Harris though seems to be the most reasonable-sounding of the bunch.

Q10. If you could convince just one theistic person to abandon their beliefs, who would it be?

Hmm. I really don't care all that much. How about the next virgin-addled pro-murderer before he completes his massacre?

Hoc est Pocus

I found this absolute gem when I was reading "When They Severed Earth from Sky" (y'know, the book that describes the mentality of mythmaking and how the seemingly strange stories were actually invested with good data in the absence of a literate public).

Page 135: "Hocus Pocus is a mutilation(!) of the Eucharistic phrase Hoc est corpus [meum], "This is [my] body."

I don't know if this is true or not, but it's a brilliant little insight for a common subversive streak of a society dutifully unimpressed by the Church's magic of transubstantiation.

I just had to share.

Tuesday, June 24, 2008

Anim Zemirot

Think about it:

Sweet hymns shall be my chant and woven songs,
For Thou art all for which my spirit longs--
To be within the shadow of Thy hand
And all Thy mystery to understand.
The while Thy glory is upon my tongue,
My inmost heart with love of thee is wrung,
So though Thy mighty marvels I proclaim,
'Tis songs of love wherewith I greet Thy name.

I have not seen Thee, yet I tell Thy praise,
Nor known Thee, yet I image forth Thy ways.
For by Thy seers' and servants' mystic speech
Thou didst Thy sov'ran splendour darkly teach,
And from the grandeur of Thy work they drew
The measure of Thy inner greatness, too.
They told of Thee, but not as Thou must be,
Since from Thy work they tried to body Thee.
To countless visions did their pictures run,
Behold through all the visions Thou art one.


Better than Artscroll.

Thursday, June 12, 2008

Confucius say "Follow Halacha"

Yen Yuan asked about benevolence. The Master [Confucius] said, 'To return to the observance of the rites through overcoming the self constitutes benevolence. If for a single day a man could return to the observance of the rites through overcoming himself, then the whole Empire would consider benevolence to be his. However, the practice of benevolence depends on oneself alone, and not on others.'

Yen Yuan said, 'I should like you to list the items.'

The Master said, 'Do not look unless it is in accordance with the rites; do not listen unless it is in accordance with the rites; do not speak unless it is in accordance with the rites; do not move unless it is in accordance with the rites.'

-Lun Yu (The Analects), 12:1


Interesting: this symbol of Confucianism means "total harmony, righteousness, in your own life and in your relations with your neighbor." Reminiscent of a couple of familiar tablets, eh?

Wednesday, May 21, 2008

Twain

Amusing:

"Speaking of concentration, Dr. Herzl has a clear insight into the value of that. Have you heard of his plan? He wishes to gather the Jews of the world together in Palestine, with a government of their own -- under the suzerainty of the Sultan, I suppose. At the convention of Berne, last year, there were delegates from everywhere, and the proposal was received with decided favor. I am not the Sultan, and I am not objecting; but if that concentration of the cunningest brains in the world was going to be made in a free country (bar Scotland), I think it would be politic to stop it. It will not be well to let that race find out its strength. If the horses knew theirs, we should not ride any more."

Ironic:

"Will the persecution of the Jews ever come to an end?"
On the score of religion, I think it has already come to an end. On the score of race prejudice and trade, I have the idea that it will continue. That is, here and there in spots about the world, where a barbarous ignorance and a sort of mere animal civilization prevail; but I do not think that elsewhere the Jew need now stand in any fear of being robbed and raided. Among the high civilizations he seems to be very comfortably situated indeed, and to have more than his proportionate share of the prosperities going. It has that look in Vienna. I suppose the race prejudice cannot be removed; but he can stand that; it is no particular matter."


Profound:

"If the statistics are right, the Jews constitute but one percent of the human race. It suggests a nebulous dim puff of star dust lost in the blaze of the Milky Way. Properly the Jew ought hardly to be heard of; but he is heard of, has always been heard of. He is as prominent on the planet as any other people, and his commercial importance is extravagantly out of proportion to the smallness of his bulk. His contributions to the world`s list of great names in literature, science, art, music, finance, medicine, and abstruse learning are also away out of proportion to the weakness of his numbers. He has made a marvelous fight in this world, in all the ages; and has done it with his hands tied behind him. He could be vain of himself, and be excused for it. The Egyptian, the Babylonian, and the Persian rose, filled the planet with sound and splendor, then faded to dream-stuff and passed away; the Greek and the Roman followed, and made a vast noise, and they are gone; other peoples have sprung up and held their torch high for a time, but it burned out, and they sit in twilight now, or have vanished. The Jew saw them all, beat them all, and is now what he always was, exhibiting no decadence, no infirmities of age, no weakening of his parts, no slowing of his energies, no dulling of his alert and aggressive mind. All things are mortal but the Jew; all other forces pass, but he remains. What is the secret of his immortality?"

-All from "Concerning the Jews"



Relevant:

"I will set down a tale as it was told to me by one who had it of his father, which latter had it of his father, this last having in like manner had it of his father- and so on, back and still back, three hundred years and more, the fathers transmitting it to the sons and so preserving it. It may be history, it may be only legend, a tradition. It may have happened, it may not have happened: but it could have happened. It may be that the wise and the learned believed it in the old days; it may be that only the unlearned and the simple loved it and credited it."

- Intro,"The Prince and the Pauper"

Monday, May 19, 2008

Passover at the Finkelsteins

"I am a great believer in a total separation between tradition and research. I myself have a warm spot in my heart for the Bible and its splendid stories. During our Pesach seder, my two girls, who are 11 and 7, didn't hear a word about the fact that there was no exodus from Egypt. When they are 25, we will tell them a different story. Belief, tradition and research are three parallel lines that can exist simultaneously. I don't see that as a gross contradiction."

-Israel Finkelstein


How about that. The arch-skeptic Biblical minimalist has a traditional Pesach seder. Interesting how there are so many others who refuse to do so based significantly on his work.