Friday, July 11, 2008

So who wrote the serenity prayer

A few years ago, I decided to lose an argument with a few folks who contended that the "Serenity Prayer" made famous by Alcoholics Anonymous was originally written by St. Francis of Assisi. The real author of the prayer, I knew, was Reinhold Niebuhr, one of the greatest Protestant intellectuals of the 20th Century, but for the sake of the general stability in the room—Franciscans can be quite territorial—I kept quiet.

Now, apparently I was wrong, too, or at least, not quite right. A scholar has found several similar prayers that were actually published prior to the "official" publication date of Niebuhr's Serenity Prayer in 1943. The various candidates:
The original, canonical form attributed to Niebuhr in 1943: "God grant me the serenity to accept the things that I cannot change; courage to change the things I can; and wisdom to know the difference."

A prayer by Miss Mildred Pinkerton printed in the Syracuse Herald, January 16, 1936:
"O God, give us courage to change what must be altered, serenity to accept what cannot be helped, and insight to know the one from the other."

A prayer by Miss Constance Leigh, from the Hartford Courant, October 27, 1938:
"I would in closing this brief report voice the hope that we may have the courage to change what should be altered, an understanding and serenity to face what cannot be changed, and the wisdom to recognize one from the other."
I get the point of the critics, but I don't know whether this changes anything. Niebuhr can still be credited with the particular linguistic formation that we canonically understand as the Serenity Prayer. Neither of the two "originals" are the same as the Serenity Prayer that many today recognize. In fact, while they share a similar structure, they lack the simplicity, grace, and power of Niebuhr's particular formulation. In this regard, we can say that Niebuhr indeed "authored" the prayer, in the same way that Henry Ford "invented" the assembly line, even though he incorporated the techniques from meat packing plants.
“Reinhold Niebuhr was a very honest person who was very forthright and modest about his role in the Serenity Prayer," said Fred R. Shapiro, the Yale librarian who found the two earlier versons. "My interpretation would be that he probably unconsciously adapted it from something that he had heard or read.”
Niebuhr may have borrowed the basic sentiment behind the other two prayers—though we would have to establish that he knew these prayers to determine whether he was truly inspired by them—or his prayer may simply reflect the intellectual and spiritual climate of American mainline Protestantism during the Depression and Second World War. (The latter may be more accurate.) But we shouldn't be surprised by this. There is no such thing as a "new idea," only old ideas that are used and reformulated to meet the needs of a particular time. This is what Niebuhr was doing, and we still do the same today.

Thursday, July 10, 2008

Political update


An interesting slide show of updates of Norman Rockwell's famous "Four Freedoms" paintings.
Mr. McCain’s campaign also faced criticism last month when his new Web site carried the slogan, “A Leader We Can Believe In,” seen as similar to Mr. Obama’s “Change We Can Believe In.” And House Republicans were embarrassed in May when it turned out their new catchphrase, “The Change You Deserve,” had been used to market an antidepressant drug.
Nice. Going well.

Wednesday, July 09, 2008

Health care economics—and ethics

Both John McCain and Barack Obama have presented their health care plans, both of which emphasize variations on a market-based approach. McCain's plan seems to emphasize tax credits supplemented by assistance to help high-risk patients gain insurance, while Obama's plan seems to provide a more controlled market in which insurance providers are required to insure high-risk patients and there is a broader safety net, particularly for children. But in many ways, the language that they use and their basic ideas—"portability," "prevention," "reducing costs," "streamlining"—are the same.

Of course, neither knows exactly how they will pay for the plans. The New York Times suggests that McCain's program will most likely cost more than he says it will, though Obama's is probably not any better.

In a significant book, Charles Dougherty has noted the ways in which health care economics is an ethical issue as well. That is, we need not only to understand the efficiency of the health care market but also the unexamined, and perhaps more fundamentally disturbing, ethical question that the American health care system often presupposes: Is health care a fundamental human right, and if so, what does that mean for the delivery and access of health care in the United States?

Dougherty examines a variety of perspectives, not to choose the "best" but to survey the options:
  • Utilitarianism: Is health care a means for ensuring the greatest happiness for the greatest number of persons? If so, then the most aged and infirm must be allowed to die or perhaps euthanized.
  • Egalitarianism: Does the intrinsic value of human life require us to do absolutely everything to preserve and extend it? If so, then the health care system risks becoming bloated and unsustainable.
  • Libertarianism: Should people be allowed to exercise the maximum amount of freedom in making health care decisions through the development of a free market? If so, one should be prepared to live with inequalities in access that arise from mental deficiencies and economic disparities.
  • Contractarianism: Should the health care system emphasize a level of access to care that all reasonable persons believe to be "fair"? If so, one must commit oneself to an on-going discussion about what constitites "fair" in a pluralistic society that has shown itself to be unable to begin such a discussion on anything, let alone come to an agreement.