We think of being in the hospital as enduring isolation in a clinical setting, cut off from normal life. But what if being hospitalized meant something different? What if you could be receive hospital-quality care in your own home? Helen Ouyang profiles a movement of health care providers who, propelled by a range of factors, not least among them the COVID-19 pandemic, are working to redefine what hospitalization in America might look like:
Other countries, including Australia, Canada and several in Europe, had already been experimenting with this practice, some of them extensively. In Australia, which has been running home-hospitals for decades, these services provided in Victoria alone are the equivalent of what a 500-bed facility could offer in one year. Overall, the patients treated in this way do just as well, if not better, in their homes.
The obstacles impeding Leff and other hospital-at-home advocates in the United States were bound up with America’s labyrinthine health care system and particular medical culture. The Centers for Medicare and Medicaid Services (C.M.S.), which is the largest payer of hospitalizations, has required that nurses must be on site 24 hours a day, seven days a week, effectively keeping patients within the hospital walls. This matches how American society has come to regard hospitalization, too — nurses at the bedside, doctors making their rounds, in elaborate facilities pulsating with machines.
But Americans didn’t always convalesce in hospitals. Before the 20th century, treatment at home was the norm. “Only the most crowded and filthy dwellings were inferior to the hospital’s impersonal ward,” the historian Charles E. Rosenberg writes in his 1987 book “The Care of Strangers: The Rise of America’s Hospital System.” “Ordinarily, home atmosphere and the nursing of family members provided the ideal conditions for restoring health.” As Rosenberg puts it, “Much of household medicine was, in fact, identical with hospital treatment.” As health care became more specialized and high-tech, however, diagnosis and treatment gradually moved into hospitals, and they evolved into institutions of science and technology.
“They’re a little eccentric” is a phrase I suspect most of us have heard used to describe a certain kind of memorable person. For me, it evokes my childhood dentist — an elderly man who favored colorful bow ties and humming loudly as he worked, and who once wagged his finger in my face and gravely advised, “never marry a woman who makes you chop wood.” I still don’t quite know what he was getting at.
But what do we really mean when we call someone eccentric? The word renders a verdict of harmlessness: A person’s style, conduct, or mannerisms may be memorable, but not concerning. And truthfully, we need people who are a bit of a character (to use an equally common euphemism). Their difference reinforces our sense of stability, their peculiarity a necessary splash of color in a landscape of conformity. We love to hear about them, to speculate why they are as they are — the odder, the better. Whether in documentaries like Grey Gardens or the five stories collected here, well-reported tales of quirkiness always invoke a small thrill, vaulting their subjects out of the realm of local gossip and into a wider imagination.
However, it’s no accident that every entry here concerns individuals who are, to varying degrees, rich or famous. The sad truth is that the lives of the everyday working class are seldom celebrated, and least of all those whose habits and personalities fall outside of the bounds of “normal.” To quote a character in Ellen Raskin’s novel The Westing Game, “the poor are crazy, the rich just eccentric.” Wealth affords many privileges in life, among them the indulgence of oddity, and such indulgence is only magnified in the face of celebrity. Behavior that would be considered problematic becomes acceptable, even admired as a natural by-product of genius. (See: Andy Kaufman; Bjork; and, at least up to a certain point, Kanye West).
Whatever your take on the meaning of “eccentric,” these stories — sad, inspiring, tragic, and incredible as they are — provide a fascinating glimpse into the minds of those whose lives are anything but conventional.
Every sport has its enigmatic geniuses, players of supreme natural talent whose volatile nature as often as not trips them up. Remarkably often, a pattern repeats: The young upstart appears as if they had ridden down on a lightning bolt, shakes up the landscape and transcends the limits of the sport, yet somehow never quite reaches the heights they could have, and should have, achieved. In boxing, “Prince” Naseem Hamed shot to fame on the back of extraordinary talent mixed with equally extraordinary theatrics, only to fall frustratingly short of all-time greatness, abruptly walking away from a sport he no longer loved. In soccer, mercurial French footballer-cum-poet Eric Cantona, an eccentric genius if ever there was one, lost the captaincy of his national team thanks to a bizarre display of temper. Basketball, of course, has Dennis Rodman, a player who eternally walked a tightrope between outrageous skill and self-implosion. Pick any sport you like and there will always be numerous examples; in chess, however, Bobby Fischer stands alone.
The World Chess Championships of 1972 were memorable for several reasons. Russia had dominated the competition for 24 years prior, and no American had won since the 19th century. The world was in the middle of a Cold War. The man who held the crown, 25-year-old Russian Boris Spassky, had learned how to play on a train while escaping Leningrad during World War II. Yet, Spassky’s opponent might have been the most memorable element. Bobby Fischer was the definition of a prodigy: At 14, he had won the U.S. Championship with the only recorded perfect score in the history of the tournament. Fifteen years later, he carried the hopes of a nation upon his shoulders. But which Bobby Fischer would turn up — the confident, happy young man, or the paranoid, furious recluse? Would he, in fact, turn up at all? Chess aficionados will already know this story, but Darrach writes with such insight and elegance, transporting us to a world of fantastic intrigue and unbelievable pressure, that even if you know the outcome, this article is a thrill from start to finish.
I was 2600 miles northeast of the Yale Club when the crisis broke. I was in Reykjavik, Iceland, waiting for Bobby to fly up for the match. Spassky was waiting, too—he had arrived eight days before—and so were 140–150 newspaper, magazine and television reporters from at least 32 countries. They were getting damn tired of waiting, in fact, and the stories out of Reykjavik were reflecting their irritation.
Those of us who grew up in England during the ’80s and ’90s will surely remember Frank Sidebottom, a bizarre character who appeared seemingly out of nowhere, lighting up various children’s TV shows and briefly enjoying his own series before disappearing back to the strange realm from which he had emerged. What made Sidebottom so singular was the fact that he wasn’t human. Rather, he was human, but his head wasn’t: Atop his shoulders sat an inflatable plastic oval, which Sidebottom never removed.
At the heart of this fantastical story, here recounted by firsthand witness Jon Ronson, lies an astonishing quote from George Bernard Shaw: “The reasonable man adapts himself to the world; the unreasonable one persists in trying to adapt the world to himself. Therefore all progress depends on the unreasonable man.” What begins as a tale about an eccentric, imaginative musician soon becomes one of identity, acceptance, and the blurring of the line between fiction and reality.
I never understood why Chris sometimes kept Frank’s head on for hours, even when it was only us in the van. Under the head Chris would wear a swimmer’s nose clip. Chris would be Frank for such long periods the clip had deformed him slightly, flattened his nose out of shape. When he’d remove the peg after a long stint I’d see him wince in pain.
The tech zillionaire class is a modern phenomenon that tends to divide opinion. Depending on which side you listen to, the likes of Elon Musk and Steve Jobs are either visionary gurus transforming our society into a better, more desirable model, or childlike narcissists who treat the world and everything in it as disposable playthings. As ever, the truth probably lies somewhere in between. The late John McAfee, who made a fortune from virus-protection software at a time when most had never even heard of the term, came to prominence in an era before the Tony Stark model of entrepreneur-as-hero entered the public imagination.
Again, we come to a crossroads. Was John McAfee a delusional paranoid or a tech-security messiah, hounded by government operatives and mysterious cartels desperate to protect their shadowy interests? Undeniably, he’s a fascinating figure, and the tales of guns, SWAT teams, wild flights, and deaths as recounted to journalist Stephen Rodrick are compelling, even as his readily apparent narcissism and deeply problematic trappings (such as his self-described “teenage harem”) are highly disturbing.
At dawn, we land in Atlanta, and the six-hour drive to Lexington passes in a haze. The Blazer fills up with cigarette smoke as Pool and McAfee check their arsenal: a Smith & Wesson .40, a .380 Ruger, and another three or four handguns in the front seat. “I like to have a small one in my waistband,” says McAfee. “Sitting on the toilet is a real vulnerable position.”
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Singer and dancer Josephine Baker would have been just as big a star, if not bigger, in the modern age of social media. Her talent, unconventionality, lifestyle, and beauty brought her fame and fortune at a time when few Black women could even dream of such a thing. She was the first Black woman to star in a major motion picture, became a celebrated performer at the Folies Bergère in Paris, received a medal for her work assisting the French Resistance during World War II, and was rewarded by the NAACP for her activism.
Baker was also temperamental, unhappy, and the instigator of a bizarre and unethical plan to combat racism that almost defies belief. In this absorbing piece, we learn of a side to Baker’s character that is little known to many. It is, if we needed one, a sharp reminder that celebrities are just as flawed as the rest of us, that good intentions don’t always lead to good results, and that a life led with all limits removed rarely, if ever, turns out well.
In photos taken at the time, the chateau looks more like an orphanage than a real home. The children slept in a room in the attic, in eight small beds lined up in a row. Whenever Baker returned home, even if it happened to be at 3 a.m., she would wake the children and demand affection.
I suspect all parents find tales of unhappy childhoods difficult, even disturbing, to read. We want nothing but the best for our offspring, especially if we have not enjoyed a peaceful and stable upbringing ourselves. The saving grace of this piece is the beautiful prose with which poet Edith Sitwell recalls her formative years growing up in a famously eccentric and almost casually cruel household. The various characters and events as described by Sitwell resemble appalling fictions, their grotesquerie landing somewhere between Charles Dickens and H. P. Lovecraft.
During her adult life, Sitwell was divisive, controversial, flamboyant, gracious, and scornful. She possessed a heart capable of absorbing and displaying the most delicate beauty, hardened perhaps, by her upbringing in a family so well off that it was able to wallow in a pit of morbid peculiarity. Her poetry is wonderous; her literary analysis revelatory. Many thousands of words have been written concerning Edith and the Sitwells, but almost certainly none as moving and striking as those you will discover here, written by her own hand.
I remember little of Mr. Stout’s outward appearance, excepting that he looked like a statuette constructed of margarine, then frozen so stiff that no warmth, either from the outer world or human feeling, could begin to melt it. The statuette was then swaddled in padded wool, to give an impression of burliness.
Sometime in the 1990s, a small group of amateur historians in Liverpool, United Kingdom, made a startling discovery. Local rumors had long circulated concerning a network of tunnels, even an entire subterranean world, hidden beneath the streets of the city’s Edge Hill area. The group was able to verify that a number of underground entrances did indeed exist, on land previously owned by a mysterious recluse named Joseph Williamson. Excavating by hand, they could not possibly have imagined what they were about to discover.
Born in 1769, Williamson worked his way up through the ranks at a tobacco factory owned by the wealthy Tate family of sugar importers. Williamson married into that family, took ownership of the factory, and prospered. He retired when in his 40s, and here is where the story proper begins. For reasons that are still unclear (and still heavily debated), Williamson, utilizing a small army of employees, began carving out immense underground chambers beneath his homes. It must have taken a large amount of his fortune and a huge portion of his time. But why? When you’re rich, perhaps nobody asks. It’s known that Williamson was secretive about his tunneling activities, never revealing their true purpose. Fine arches led nowhere; certain passages were carved out and then filled in. All activity ceased with his death, and the labyrinth remained untouched until the locals whose voices you will hear in this excellent article rediscovered this giant conundrum.
“The whole place is so full of mysterious questions — an awful lot of questions that nobody will ever be able to answer,” Stapledon told The Post. “When you look at some of the structures underground, you think: How the hell did he create these? What the hell was he doing building all this stuff?”
Chris Wheatley is a writer and journalist based in Oxford, U.K. He has too many guitars, too many records, and not enough cats.
In the final six months of the Trump presidency, the federal government executed 13 people. In January 2021, the same month he incited an insurrection at the Capitol, Trump oversaw three executions in just four days. There’s really no other way to put it: Trump was eager for the state to kill people on his watch. Two Rolling Stone reporters detail the unprecedented stretch of executions:
It was Sessions’ successor, Barr, who took the concrete step in July 2019 of ordering the Federal Bureau of Prisons to resume executions.
Barr wrote proudly of the decision in his book One Damn Thing After Another: Memoirs of an Attorney General, published about a year after the Trump presidency ended, devoting a whole chapter — “Bringing Justice to Violent Predators” — to the blitz of federal executions. Not a shocking move from a man who, while George H.W. Bush’s attorney general in the early 1990s, praised the death penalty in a series of official recommendations, claiming that it works as a deterrent, “permanently incapacitate[s] extremely violent offenders,” and “serves the important societal goal of just retribution.” (Without a hint of irony, he added, “It reaffirms society’s moral outrage at the wanton destruction of innocent human life.”)
Trump, of course, was not so keen to engage with the subject intellectually. The sum total of his discussions of the death penalty with his top law-enforcement officer, Barr says, was a single, offhand conversation. After an unrelated White House meeting, Barr was preparing to leave the Oval Office when, he says, he gave Trump a “heads-up” that “we would be resuming the death penalty.” Trump — apparently unaware of his own AG’s longstanding philosophy on capital punishment — asked Barr if he personally supported the death penalty and why.
Trump’s lack of interest in the details had grave repercussions for the people whose fates were in his hands. According to multiple sources inside the administration, Trump completely disregarded the advice of the Office of the Pardon Attorney, an administrative body designed to administer impartial pleas for clemency in death-penalty cases and other, lower-level offenses. And Barr says he does not recall discussing any of the 13 inmates who were eventually killed with the president who sent them to the death chamber.
That means Trump never talked with Barr about Lisa Montgomery, a deeply mentally ill and traumatized person who became the first woman executed by the federal government since 1953. Or Wesley Ira Purkey, whose execution was delayed a day by a judge who ruled that his advancing Alzheimer’s disease had left Purkey unaware of why he was being executed. (The Supreme Court reversed that ruling the next day.) Or Daniel Lewis Lee, Dustin Lee Honken, Lezmond Charles Mitchell, Keith Dwayne Nelson, William Emmett LeCroy Jr., Christopher Andre Vialva, Orlando Cordia Hall, Alfred Bourgeois, Corey Johnson, and Dustin John Higgs.
And it means Trump never spoke with Barr about Brandon Bernard.
If you enjoy a decent nonalcoholic beer from time to time, you can thank Bill Shufelt. Back in 2012, wanting to train for an ultramarathon, Bill went sober, and surveying the sea of so-so nonalcoholic brews available from Big Brewing, decided to fill that market gap. At Punch, Jordan Michelman writes on the rise of nonalcoholic beer that actually tastes good.
But Shufelt was onto something. He linked up with an experienced brewer named John Walker, and together they tested and tinkered, brewing batch after batch in an attempt to create nonalcoholic beer from scratch—no boiling or osmosis or dealcoholization required. It took them years to get the recipe right, and its exact steps remain a closely guarded secret. But in 2018, Shufelt and Walker canned the first commercial shipment from their new nonalcoholic beer brand, dubbed Athletic Brewing Company—an aspirational bit of naming that speaks to the brand’s ongoing remit within the world of high-performance athletes.
Rarely in American consumer history are we given such a clear-cut case of a mono-brand industry disruption of measurable scale and influence. In less than five years, Athletic—no doubt aided by the fiduciary acumen and connections of its co-founder—has been able to raise $226 million and counting in venture capital, according to Crunch Base, including recent rounds from Keurig Dr Pepper ($50 million in 2022) and celebrity investors including David Chang, J.J. Watt and Toms Shoes founder Blake Mycoskie. (Shufelt disputes those numbers, noting that, to date, the brand has only raised $173.5 million across five rounds.) Athletic is, according to Inc. magazine, the 26th fastest growing company in America—that’s any company, not just beer—with an eye-popping three-year revenue growth metric in the neighborhood of 13,000 percent.
As January draws to a close, our favorite stories this week included a stirring critical essay, a paean to the world’s greatest boxed meal, a rethinking of psychedelics’ impact on the planet, a profile of a craftsperson at his peak, and an eye-opener about how humpback whales use air in some unexpected ways.
After Corky Lee passed last year, the photographer and community organizer was memorialized in his hometown’s most conventionally prestigious outlets: The Timesoffered a sizable obituary, as did Hua Hsu in The New Yorker. This week, on the first anniversary of Lee’s death, Ken Chen rendered an altogether different kind of portrait in n+1. Much of the same biographical information is included, as are a number of Lee’s iconic photographs of Asian Americans in New York throughout the last six decades. Yet, when Chen writes about his encounters with Lee, and about the 14 photographs he selects to represent Lee’s work, the grief that suffuses his words isn’t solely about Lee, but about the many atrocities visited upon the Asian American community, up to and after Lee’s death. Chen’s critical acumen here is reason enough to read: “His images lack a charismatic subject,” he writes of Lee. “Those whom capital dismissed as surplus, he saw as beautiful. He commemorated the multitude, the striking waiters and seamstresses whose unruly abundance crowded away any beatific composition.” But he brings a similar understated poetry to the social conditions Lee’s work served to illuminate — and with violence against Asian American elders and others seemingly unending (including a horrifying recent attack in my own hometown), that juxtaposition makes Chen’s piece nearly as indelible as the images it contains. —PR
Ivana Rihter | Catapult | January 19, 2023 | 2,261 words
I only discovered Kraft dinners later in life after moving to North America revealed the cult of Kraft to me. A stable lurking in every cupboard; I admired the respect that something so impossibly orange had managed to garner. When Ivana Rihter finds KDs, though, they are much more; cooked for her by her baba, they are inextricably linked to her immigration story. She describes the process of boiling the pasta and adding the sauce with reverence, the memory mixed in with her love for her baba and appreciation for the economic hardships her family struggled through to start their new life. Her baba teaches her to put feta on top, and with this “secret little piece of the home country mixed in with all-American shelf-stable cheese” it remains a food for life, and — consistently sitting at about a dollar a box — one that carries on seeing her through hard times. I found this an unexpectedly beautiful essay, more about memory and belonging than cheesy pasta. Food can transport you back in time, especially if, as Rihter describes it, it “is soaked with memories of [an] origin story.” —CW
Amber X. Chen | Atmos | January 16, 2023 | 3,196 words
In this piece, Chen explores what the current psychedelic renaissance means for environmental activism, and how synthetic drugs like LSD and MDMA and psychoactive plants like ayahuasca and peyote can stir change within individuals — and ultimately galvanize social movements. This all sounds incredibly positive on the surface, but not everyone who dabbles in such mind-altering journeys is transformed for the better; psychedelics also fuel right-wing movements, too. (See: “QAnon Shaman.“) The decriminalization of psychedelics is a step toward making their therapeutic benefits accessible to more people, yes, but as Chen notes, it increases the threat of deforestation, and — with today’s psychedelic movement being largely white — it also takes power away from Indigenous people, who have harnessed the healing power of these sacred plants for thousands of years. (See also a Top 5 essay I picked last year: “The Gentrification of Consciousness.”) I appreciate Chen’s exploration here, and the questions posed that I haven’t stopped thinking about, like: “How broken is Western society that we think we need drugs in order to facilitate mass climate action?” —CLR
Elly Fishman | Chicago Magazine | January 17, 2023 | 4,177 words
Recently, in his late 60s, my dad decided to learn how to play the violin. I respect the choice to try the impossible, especially something as delicate and timeless as bowing a stringed instrument. (My parents’ cats, who endure the scratching out of notes from beneath the couch or bed, seem to have a different opinion.) After reading this lovely profile, I think perhaps my dad, a skilled carpenter, should also try apprenticing as a luthier. I, someone with zero skills at playing an instrument besides an egg shaker, who curses putting IKEA furniture together, was mesmerized by the descriptions of how John Becker, perhaps the best violin restorer on earth, practices his craft. Elly Fishman’s profile has a musical quality: It sweeps readers through chapters of Becker’s personal story and dwells in long, lyrical moments when, with the surest of hands, Becker repairs some of the most revered instruments on the planet — namely, Stradivari. There are just 650 of the violins left. What makes them so extraordinary? Musicians and scientists may puzzle over that question forever. In the meantime, Becker works — quietly, meticulously, instinctively. “We are caretakers of these instruments,” one of his clients tells him. “We move on, but these instruments continue to the next generation.” —SD
Doug Perrine | Hakai Magazine | December 20, 2022 | 1,500 words
It’s well known that many animals use tools to aid feeding and other tasks of life. Think: otters floating on their backs, cracking shells with rocks. You’d think it would be hard for whales to use tools, but as Doug Perrine reports at Hakai Magazine, humpbacks use what’s available to them — air and water — to form bubbles for a variety of activities. “I’m tempted to describe the air in a humpback’s lungs as a Swiss army knife because I’ve seen whales do so many different things with it,” he wrote. “It is not actually a tool collection though, but a storehouse of raw construction material with which the whale can fashion a variety of tools. Lacking free fingers and opposable thumbs, whales are unable to create and use tools in the same way as humans, but reveal their intelligence through the manner in which they utilize other body parts for tool production and use.” —KS
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The human fascination with psychedelics is nothing new. The earliest use of psychoactive plants dates back to 11,000 B.C. in Israel, with the brewing of beer, while some people theorize that the eating of magic mushrooms 20,000 years ago fostered the intellectual evolution of early humans (see: “stoned ape theory“). For Atmos, Amber X. Chen explores the current psychedelic renaissance’s effects on environmental activism, and how hallucinogenic drugs like LSD and psilocybin, and ancient plant medicine like ayahuasca, can stir change within individuals — and ultimately galvanize social movements.
It sounds incredibly positive on the surface, but not everyone who dabbles in such mind-altering journeys comes out the other side positively transformed. As research shows, psychedelics have enormous therapeutic potential, sure, but they also fuel right-wing movements, too (see: “‘QAnon Shaman“).
The use of psychedelic plants has its roots with Indigenous tribes, who’ve used them for healing and cultural practices for thousands of years. Before we push for the decriminalization of psychedelics and encourage their use to help stir climate activism, reports Chen, there are steps that need to be taken for these powerful, sacred plants to play a positive role in the environmental movement.
In a 2022 study that surveyed 240 people, mostly from Australia, the U.S., and the U.K., who had prior experience with psychedelics, researchers found more pro-environmental behaviors among participants who reported having had a previous mystical experience than those who had not. The researchers measured these behaviors based on a wide range of behaviors—anything from adopting a vegetarian diet and purchasing eco-friendly products to turning off your lights more regularly.
Before adding psychedelics to the climate action toolkit, we need to first plan for their conservation, prioritize Indigenous cultures, and place Indigenous peoples into leadership positions. This means respecting the wishes of Indigenous peoples: if a tribe or nation doesn’t want its plant medicines commercialized, we should not interfere. For those willing to share, we must not appropriate. Ultimately, we have to listen.
This is a surprisingly poignant essay about growing up with Kraft dinners. Ivana Rihter manages to make a cheap pasta dish sound beautiful, but it’s not about the food, it’s about the memories of family and heritage that it conjures up.
More than twenty years later, the sound of dried pasta tubes sliding across cardboard soothes me like a rain stick. Kraft was the first meal I ever truly loved, the first one I attempted to cook on my own, and the first food I could not live without. There are four boxes tucked into my pantry as I write this.
