What is the original yoga? It can be found basically in the first line of The Yoga Sutras of Patanjali. This one is translated by Mukunda Stiles: "Yoga is experienced in that mind which has ceased to identify itself with its vacillating waves of perception."

This reminds me of a verse from the Tao Te Ching, which I would paraphrase as: "When you lose touch with the Tao, there is nature; when you lose touch with nature, there is human morality; when you lose touch with human morality, there is law."

This is a challenge to the modern counterculture, which puts nature at the very center. I like the idea that there is something deeper, which even nature can only crudely approximate. You can also find this idea in sophisticated Judeo-Christianity, which defines "God" as something like the Tao, rather than a silly sky father.

I've been reading Masanobu Fukuoka's The One-Straw Revolution, and he has some great ideas, but I think he makes a mistake to put nature at the center and trust it absolutely. His philosophy is designed more to be inspirational than helpful, and in practice he makes exceptions, using diluted mineral oil to kill insects on his trees, and not letting a heavily controlled orchard suddenly go wild, but bringing it slowly through a transition.

My favorite idea in the book is that there's no such thing as progress or regression, only movement toward or away from the center. This is liberating because it disconnects human technological innovation from value, either positive or negative. In practice, what we call "progress" has mostly moved us away from the center, because we're trying new things and making mistakes. But it's equally possible for technological innovation to move us toward the center, if we learn how to do it right.

The only way out of the trap is to accept a steep cut in your standard of living before it becomes necessary, as a deliberate choice, and to use the resources freed up by that choice to get rid of any debts you have, get settled in a location that has a fair chance of keeping a viable degree of community life going, and get the tools and learn the skills that you will need to manage a decent life in an age of spiraling decline.

Second subject, same as the first. In Prime Age Men Crawling Back to Work, Stuart Staniford considers the cultural effects of long-term unemployment:

The importance of hard work and self-discipline has been a central value of western culture for many centuries. One in five working age men are no longer working and as far as I can see there is little or no hope of a fundamental reversion in this trend. We are going to have to either a) change the situation in the economy, or b) undergo a massive values shift to give honor and meaning to men who don't work, or c) experience a major crisis.

Third subject, different from the first. How Yoga Can Wreck Your Body. Yoga was developed by people in great physical shape who had enough body awareness to avoid injuring themselves. "Now urbanites who sit in chairs all day walk into a studio a couple of times a week and strain to twist themselves into ever-more-difficult postures despite their lack of flexibility and other physical problems." And teachers push students and themselves too hard because of ego.

Something the article doesn't mention is that every yoga pose was invented by someone whose body needed that particular stretch at that particular time. Ideally we would all have the skill and awareness to improvise our own exercises every day. Lacking that, we follow rigid and uniform routines that are inevitably wrong for us. This reminds me of how religion starts with direct experience of the divine, and then hardens into rules and memorized prayers. Or how learning starts with curiousity and self-directed exploration, and ends up in lifeless forced schooling.

I work in a busy emergency room. I had left ten years ago and just returned last May. At first I was amazed at how much sicker the patients were and how heavy the work had become. This weekend I realized that we do a lot more for the patients. It seems that almost everyone who comes in with anything more serious than a twisted ankle gets blood work and an EKG. It doesn't seem like a lot until you multiply it by hundreds of patients every day. When you have a very elderly person and/or a very sick patient, they amount of care they receive skyrockets unbelievably, even if that person isn't expected to live much longer. For example, I had a 90 year old woman with an extensive cancer history come in with difficulty breathing. Probably she had inhaled some food because she couldn't really feed herself any longer and developed pneumonia. Her family had made her a DNR (Do Not Resuscitate), so that if her heart stopped we wouldn't do CPR or stick a breathing tube in her mouth. But other than those caveats, she got numerous, costly tests and possibly will spend the remaining weeks of her life in a hospital, undergoing daily blood tests and CT scans and god knows what else.

Now, this isn't really news to me, as a nurse, that the US spends more on health care and has poorer outcomes than any other rich country. But it did occur to me that we might be at the peak of what we can provide. We take care of more and more baby boomers as they're getting older and they are not as healthy as the generation before them. Fifteen years ago I'd take care of a lot of 80 year olds who had never been really sick, had never taken any medication other than aspirin and had never been in a hospital. Now, I'm seeing 60 year olds with all kinds of health problems and we haven't even got to the baby boom bubble yet. I can't imagine that we're going to have enough staff, resources or even space to take care of these people in another ten years.

It's important to remember that the American medical system is predatory. Doctors and nurses may be trying to help people, but the system as a whole is just trying to suck as much money as possible into the giant black hole of private capital around which the whole economy orbits. This means that any procedure a hospital can bill insurance for, it will do, and it's very difficult for patients to refuse. Meanwhile insurance companies will raise rates, and governments will pretend to do good by throwing more money down the hole while cutting more valuable services.

My guess is that rich people will continue to get more medical care than is good for them, and middle class people will also get more care than is good for them while going deep in debt. This will drop most of them into the lower classes, who are already getting much less care than they need. It is not possible for medical providers to cut back services to what is actually helpful; it is only possible for them to cut back to what is profitable. Of all the issues facing us, health care is the only one where I can't see any non-catastrophic path to a better world. If you have comments, here's a subreddit link. I'll be spending today in the kitchen and tomorrow on the bus.