Stephen Colbert on Social Inequality

As anyone fond of “truthiness,” humor, or television knows, long time Daily Show member Stephen Colbert has, since October 2005, had his own show: The Colbert Report.

Where Daily Show anchor John Stewart plays it in some ways more conservatively, holding to a tradition of fake news and riffing on the real news that’s been part of comedy for a long time, Colbert’s a bit further out there. He’s constructed an entire seamless persona, one he calls a “well-intentioned, poorly informed, high status idiot.” In other words, he’s only half a twist further along the spiral of self-parody from half a dozen talk show hosts who take themselves seriously (and don’t know they’re parodies of themselves).

On June 23, Colbert hosted Barbara Ehrenreich. You can watch the entire episode online here. (And if you just want the Ehrenreich segment, you could go here.)

Ehrenreich came on to promote her new book This Land is Their Land, an analysis of the extreme economic divide in America. Ehrenreich’s message is familiar to those who have read her work before. For years she has been advocating for greater social and economic equality, investigating circumstances that go underreported (often through living them), and analyzing the social forces at work.

Despite Ehrenreich’s practice skill and focus, it is Colbert’s willingness to play the fool during their exchange that exposes so many of the economic attitudes coursing through the American body politic. Most people express them in a shaded or hesitant form, coding them, or leaving them implied.

Colbert does not. He flatly asks what is wrong with a divided country, with massive inequality, and why the poor can’t work harder. He even suggests that the lottery be embraced as a way of tricking the poor into thinking they have a chance, so they’ll get back to work.

His bald satire is shocking. It made me wince. And yet, and yet, and yet…he’s only saying directly what a lot of other people are insinuating. He’s trotting out free market aphorisms at their most social Darwinist.

And, again, yet…for all that Ehrenreich was very clear about what she thought was wrong with the situation, the solutions she mentioned during this encounter were…dubious. Taxing the rich was the main one articulated, but that was suggested without much more context than Colbert’s satire.

Perhaps solutions are proposed in more detail in This Land is Their Land. Perhaps her sound bite solutions were the result of the sound bit situation. And perhaps the situation is so complex that identifying any working situation is simply very difficult.

Theater Attendance: Affected by the Economy or Are There Other Forces at Play?

When many people think of the arts and the economy, they would expect a pretty fairly coordinated response between a strong economy and strength in arts programs and, conversely, a struggling economy and weakened arts. It makes sense since funding for the arts is often the first to go in tight economic times, the wallet gets squeezed when the price of gas and food are steadily increasing and donations tend to head toward food banks and other social service organizations. However, the correlation between a pained economy and theater attendance is not so clear-cut.

Many organizations, of course, will feel the painful impact of the slumping economy. Touring companies may cut back on the number of stops. Tourist-based destinations may have fewer travelers. Nonprofits may have state and local funding cuts from municipalities. In Washington, D.C., the Helen Hayes Awards reported a decline of 1.9% in overall theater attendance, a decrease of nearly 37,000 attendees from a year ago. This makes the fifth year in a row attendance is down in D.C. area venues. Helen Hayes, the CEO and President of the organization who conducted the study, said, “In an uncertain economy, art is often among the first things to be eliminated from discretionary spending.”

In the academic theater realm, the University of Mississippi in Oxford has reported low attendance woes as well. The faculty believes a lack of funding for advertising is one of the most pressing issues. With a lack of money to get the word out, a self-perpetuating cycle is created. Since much of the program’s funding comes from ticket sales, poor attendance makes the situation worse, particularly when word of mouth is an important component. Free ads in local newspapers are the primary means of getting the message out. Students and faculty are exploring alternative methods of generating buzz, including enhancing publicity and increasing attendance among certain student groups, such as sororities and fraternities.

Other Factors

However, even with the expected economic pains affecting theater ticket sales, other factors are often at play as well. The Orlando Fringe Festival, a 12-day event held each May, reported a slight decline in ticket sales. The festival offers a variety of venues for a wide range of live performances and is attended by over 20,000 audience members. The 2008 festival did have a decline of ticket sales by about 7.5% over the 2007 numbers; however, the festival itself blames the lower sales on the lower number of venues and shows available this year rather than directly on fewer overall ticket sales.

In New York City, the theater hub of the U.S., Broadway itself has experienced a dip in sales, albeit relatively slight. The Broadway League has released its annual end of season numbers, which run from May of 2007 to May 2008; 12.27 million attendees saw shows, compared to 12.3 last year – a decrease of only .2%. In Broadway’s case, the Broadway League attributes the measly drop not to a shrinking economy but to a 19-day stagehand strike that occurred last fall.

In fact, tourism officials in New York City expect the wounded economy to potentially bolster theater and tourism in the Big Apple. Why? In the first quarter of 2008, the number of visitors to New York was up by a million people compared to 2007, with an attending $700 million more in money spent. According to a CBS News report, George Fertitta, head of the NYC tourism office, said, “Faced with an expensive euro and tighter budgets, Americans who might usually choose a trip to Europe are more likely to take a shorter trip to New York.”

Theater attendance is also highly influenced by local forces. In Bloomington, Illinois, the Bloomington Arts Center has seen a boom in attendance. The Bloomington Center for the Performing Arts (BCPA) has recently undergone a $15 million renovation; as a result, live performances in a variety of genres are available nearly all week long. Furthermore, the center has created a partnership with local schools, resulting in over 10,000 student attendees this year.

European Arts

Across the pond, theater attendance is mixed as well. In London, a wave of reality TV shows has generated a flurry of interest in live theater. The concept of choosing the next musical theater star through a televised competition has created a large interest in seeing the final staged product. Shows such as Andrew Lloyd Weber’s productions of Grease and Joseph and the Amazing Technicolor Dreamcoat have drawn in television viewers from the living room to the theater, with musical theater attendance up a startling 10%.

On the flip side, the Vienna Opera has had its own troubles. Not affected by the euro or other economic forces per se, the Opera has had to contend with a force all its own – soccer. The Euro 2008 soccer matches were held in Vienna at the same time as the famed opera house staged a Verdi production; the opera believes its fans were avoiding the stampedes of crowds in the city and have taken steps to avoid future conflicts.

While an economy in recession may have a direct impact on some arts organizations, it is clear that many will not suffer deeply. Local forces and other outside factors play into the way a theater and its audiences respond to economic changes. Both in the U.S. and Europe, pop culture, local facilities, venue changes and publicity factor into ticket sales; it is not just a tightening wallet.

How Telemedicine Will Replace the Once-Sacred Doctor’s Exam

Despite the advances of “Going Live” that I wrote about previously, there are some areas of the health system where a computer cannot replace the presence of a human doctor. In medicine the sacred territory of the doctor is the “physical exam” – the physical examination of a patient. This is the Holy Grail of medicine – the most powerful thing that allows doctors to be doctors – the diagnostic intuition that impresses upon them after they examine a patient. From this exam, the physician with his wealth of knowledge and years of experience can get a sense of exactly what is going on with a patient. Nothing can substitute for a good physical exam.

Despite the “physical exam” being the secret magic that allows doctors to be doctors, it is also the main hindrance to the one advance that would truly make the healthcare system more efficient. If you don’t know what I am talking about, I am referring to medicine in which the doctor does not actually have to be in the room. Telemedicine is where the doctor is actually not physically in the room but is seeing the patient through a video screen. Another variation of this is robotic medicine in which a robot with a live video camera cruises around the hospital floor going from room to room visiting patients. On the other end is a physician seeing the patient through his video monitor.

Why is this so important? If you think about all of the possible areas to improve efficiency in medicine, the actual practice of medicine – the seeing of patients to diagnose and treat them – is the most time consuming and thus the most costly for the healthcare system. Have you ever wondered what doctors do all day? Well, they go around and visit their patients in the hospital – they “round on their patients.” They also see patients in clinic. The remainder of time is usually spent discussing patient care issues or continuing their education through lectures or talks. Thus making this more efficient of a practice would save enormous amounts of time and money.

Imagine being able to see patients and diagnose their diseases from a different place. Expert physicians could do consultations from across the globe. Physicians could efficiently see more patients. Video files would document all examinations. The physician would not actually need to go to each and every hospital location. How great this would be!

There are many layers of resistance to this movement. Patients, in their state of need, actually want to see a doctor face to face if they have the means to do so and if there is someone available not too far way. Physicians, with their intuitive minds, have gotten the sense that if they could be replaced by computers then they would not be in high demand. If any patient could see another doctor by logging on a computer with video camera and clicking on a button then many doctors would go out of business. Perhaps most importantly, healthcare systems and their prudent risk managers worry about liability issues with telemedicine.

As information technology continues to transform the healthcare system, it will undoubtedly continue to transform the way we practice medicine. Someday probably not too far off, we will be able to do a physical exam via telemedicine. Some of us can’t wait to be accessible to the vast worldwide patient population that awaits.