There are few people more adept at navigating America’s labyrinthine medical system than Robert Pearl. Yale medical degree, Stanford University professor, best-selling author, former CEO of the Californian insurance network Kaiser Permanente, Pearl has explored this byzantine confusion of private enterprise monopoly and government supported bureaucracy from almost every angle. And now Dr Pearl has a way of curing its profound dysfunctionality and shoving the archaic system into the 21st century. As Robbie argues in his new book, ChatGPT, MD (which he claims he “co-authored” with ChatGPT), Robb ..read more

Dr Judy Ho has a new book entitled The New Rules of Attachment: How to Heal Your Relationships, Reparent Your Inner Child, and Secure Your Life Vision. It’s one of those books which explain to us, in our therapeutic age of intense anxiety, how to stop f*****g ourselves up. Yeah, I know. These kinds of books, by “clinical and forensic neuropsychologists” like the telegenic Judy Ho, can be intensely annoying. But, as an proven expert in f*****g up one’s life, I rather liked Dr Judy’s arguments about “reparenting our inner child” and securing our “life vision”. And I was particularly intrigued by ..read more

The suburbs haven’t got a great press recently on KEEN ON. First there was Benjamin Herold, author of Disillusioned, who found the dead body of the American Dream in the American suburb. And then David Masciotra, author of Exurbia Now, discovered political lethargy and reaction in the outer suburbs of American “exurbia”. Matt Hern, however, disagrees, finding in the suburbs the very political energy and engagement that he believes have been lost from the gentrified inner cities of London, Vancouver and San Francisco. Indeed, Hern, a Canadian urban activist and author of the new Outside the Out ..read more

In his early opposition to the Iraq war and other overseas misadventures in Bosnia, Haiti and El Salvador, Mark Danner is one of the most respected observers of American foreign policy. So it was a real honor to sit down with him and talk about his life both as an American and as a critic of America’s increasingly frayed relations with the rest of the world. Given his peripatetic life as a correspondent of overseas conflict, there’s a Homeric quality to Mark Danner, both as a man and as a writer. And so it wasn’t surprising that we began our conversation with Danner’s memories of how the Illia ..read more

Harper’s has a great cover story this month entitled “The Life and Death of Hollywood” by the intellectual historian, podcast and general muckraker Daniel Bessner. Film & tv writers face an existential threat, Bessner told me, from a Hollywood now controlled by four financialized mega-companies operated by MBA touting execs. But is this really new, I asked him, or is today’s dismal story just another rerun of the standard anti-capitalist narrative of creatives getting screwed by the money men? Yes, it is new, Bessner insists, because today’s existential crisis of Hollywood’s film & tv ..read more

Elliot Ackerman has an intriguing essay in this issue of Liberties Quarterly on the use and abuse of mercenaries throughout history. Linking the history of the British in India, the US in Afghanistan and Russia in contemporary Ukraine, he ask what it means when mercenaries replace regular soldiers to fight supposedly “national” wars? It’s not usually good news, he suggests, arguing that for America to remain both a militarily and morally great power in the 21st century, it should consider reestablishing national service for all citizens, irrespective of gender, class or race. ELLIOT ACKERMAN i ..read more

I have to admit I absolutely HATED Alex Garland’s new movie Civil War. I found it annoyingly trite, self-evidently packaged for an ahistorical cinematic audience addicted to the amnesia of mindless violence. That’s fine, of course, for most Hollywood productions, but not for a supposedly serious movie about the American future by a highly talented filmmaker. However, my Canadian friend, Stephen Marche, author of the much acclaimed The Next Civil War, clearly disagrees with my own (elitist) critique of Garland’s movie and I tried to keep my own views out of our conversation. As Marche also note ..read more

Part of the purpose of our new KEEN ON AMERICA series is to (re)discover what it means to be an American. Many of the wisest observers of American life - from De Tocqueville in the 19th Century to Max Weber and Alistair Cooke in the 20th - saw the uniqueness of the American character in its can-do quality, in its hunger to fix the fixable. Christopher Schroeder is an archetype of this type of practical wisdom. As a media executive, tech investor, political insider, start-up entrepreneur and writer, the Washington DC based Schroeder has lived many lives over the last fifty years. What ties toge ..read more

Like yesterday’s KEEN ON guest, Batya Ungar-Sargon, Dale Maharidge believes that liberals are “equally to blame” for what he calls, in his new collection of essays, America’s Doom Loop. Maharidge, whose Pulitzer prize winning writing about the gutting of the industrial midwest, inspired Springsteen’s iconic 1995 song “Youngstown”, barely recognizes the America of the 2020s. It was a different reality in 1980, he says, arguing that Americans of both left and right have written off the center of the country over the last half century. This is the tragic story of our age and there are few America ..read more

Behind all the partisan hysteria, a dramatic political realignment is taking place in America. As SECOND CLASS author Batya Ungar-Sargon told me, the Democrats have become the party of a mostly coastal global knowledge elite and the Republicans the party of the old (most white) working class. This new elite, Ungar-Sargon argues, have broken its contract with the working people by pursuing internationalist policies that hurt most working Americans. There’s obviously some Trumpian hyperbole here, but there is also more than an element of truth, especially in the context of the immigration “debat ..read more