Hey @JoeZickafoose, I started Neiman’s “Learning From the Germans”, and it is already a fascinating read on several levels by page 9
The above link is an interview with Neiman (fascinatingly contentious at places, not to the interviewers credit)

Here is her essay version of her book:

“Evil is what others do” -Neiman
“The descendants of the Wehrmacht made the same claims as the descendants of the Confederate Army”

“Surely they knew—at least when they opened the camps—that what they’d done was pure evil?
“They did not.”

- Neiman
“if everyone cleans up her own mess, we won’t have to worry about anyone else’s… A German who talks about the singularity of the Holocaust is taking responsibility; a German who talks of its universiality is denying it.”
- Neiman
“We all benefit from inheritances we did not choose and cannot change. Growing up involves sifting through all the things you couldn’t help inheriting and figuring out what you want to claim as your own”
- Neiman
Neiman on when Jaspers needed to teach recent Nazis about #FalseEquivalence
Neiman: “Arendt… simply could not grasp the idea that thinking people could consciously do evil, or fail to repent when confronted with the extent of their crimes.”
Neiman on Reemtsma “with trust we can, as a society, refuse to accept violence”

Arguing that protests against far right violence were effective
“Who are you to tell us anything about morals?… There’s just one answer: I am not one of the murderers”

Neiman, Reemstma, Arendt
Neiman’s how to “work off a nation’s criminal past”

1/ coherent honest national narrative

2/ honor consistently heroes + victims, not criminals

3/ embed narrative in public education

4/ put it to new music

5/ criminals pay, victims restituted
One of the fascinating things about Neiman’s book is the way she gives voice to those Germans who say her project — “Learning from the Germans” — is misguided
To reflect on my own Catholic school education: I was taught in a high school founded by dissident Catholic priests who escaped Hungary’s communist jails

Yet somehow I always learned that anti-fascism was the absolute bedrock, though those priests were devoutly anti-communist
Neiman’s chapter on East Germany reflects her commitment to understanding gradients of evil — even to “there’s a world of difference between a person who began by fighting for equality in solidarity and one who began from a racist worldview”
It would be easy to get distracted on this point, as the interviewer at the top of thread did, but in context it is worth mulling
As someone who started reading the book to think about de-nazification, it is astounding how much that was not done — the West German equivalent of the FBI, 3/4 of whose executive employees had been Nazis, with more than half of those belonging to the [all volunteer] SS”
Oh, this is a great + highly generalizable point

“Stanley Cavell divided thinkers into those whose main categories are political and those whose categories are primarily psychological”
Now Neiman in conversation w Schorlemmer “we are all capable of asking for forgiveness, and giving it as well—without denying what happened”

“Unexamined pasts eventually seep into the quiet lives people try to lead. ‘Human beings need more than bread and circuses.’

“‘Of course they do. The question is whether they want it.’”
Neiman’s core warning: “being on the right side of history at one time is no guarantee that you’ll be on the right side of history at another”
Neiman’s pivot to the South where she grew up is brisk

“The line from Southern hatred of Reconstruction to Southern opposition to government programs is a straight one”

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More from @iwashyna

29 Dec 20
In the midst of all the grief + chaos of 2020, it's hard to remember there were good things

For me, an incredible group of young scholars doing highly relevant science was the #Bestof2020. Here are my favorite 2020 paper by each of several young scholars with whom I get to work
To see where some of these folks were last year see this thread

let's start this #BestOfResp2020 with @UM_IHPI K-awardees

.@msjoding changed the way I look at pulse oximetry in @nejm, rethinking my bedside care

This paper has rightly gotten a lot of attention

Read 37 tweets
26 Dec 20
#TeamNightShift @umichmedicine tonight

Stay safe, everybody

#COVIDsucks Image
Midnight teaching rounds led by @EmilyAHarlan (in chair, her back to me) of @MichiganPulmCC have interns + residents rapt

The time of night sucks. The need to learn + responsibility to teach are still there. I am proud of how our fellows consistently rise to meet the challenge Image
Love + respect to all you working tonight
Read 4 tweets
19 Aug 20
@MattWhite_95 @WesElyMD @DrDaleNeedham @SapnaKmd @tmprowell @HUMANIZALAUCI @A_MacLullich @Krockdoc @geri_doc @drdangayach @NidaQadirMD This is another one of those things harder to discuss over twitter than in-person
@MattWhite_95 @WesElyMD @DrDaleNeedham @SapnaKmd @tmprowell @HUMANIZALAUCI @A_MacLullich @Krockdoc @geri_doc @drdangayach @NidaQadirMD When we ask "is race associated with mortality?", we want to be clear what we are asking. Dr @RheaBoydMD has written about this better than I will, so I just refer you to her article

@MattWhite_95 @WesElyMD @DrDaleNeedham @SapnaKmd @tmprowell @HUMANIZALAUCI @A_MacLullich @Krockdoc @geri_doc @drdangayach @NidaQadirMD @RheaBoydMD Bottomline: we rarely think the melanin content of the skin is directly leading to mortality. most of the time we really mean "is likely exposure to racism leading to mortality?"
Read 10 tweets
5 May 20
#ICUreadings -- we're back!

Senior residents, so 2 articles per day at 2 pm

Effect of Pressure Support vs Unassisted Breathing Through a Tracheostomy Collar on Weaning Duration in Patients Requiring Prolonged Mechanical Ventilation via @JAMA_current

#ICUreadings -- we're back! (2/2)

Effective Care Practices in Patients Receiving Prolonged Mechanical Ventilation. An Ethnographic Study via @ATSBlueEditor

Gotta love the clarity with which the Jubran paper describe the two methods of weaning, and of respiratory failure. I wish everybody was this clear

Trach collar was faster ImageImageImage
Read 16 tweets
19 Apr 20
This proposed “do + report back” is literally the definition of research — changing care of a patient to create generalizable knowledge rather than focused on that specific patient—and is frankly unethical and probably illegal

#HardPass unless there is informed consent involved
Because this involves me being in a twitter fight with someone I deeply respect, let me be a little clearer
If the tweet were merely “optimize each of your patients’ care”, I would love it, and indeed I try to do that everyday
Read 11 tweets
28 Mar 20
The initial logic behind using a single #ventilator to support #multiple #patients is compelling, and speaks to our most basic urge to rescue.

A long thread, to outline challenges that must be solved for it to work in #COVID19
There are certain situations in which it would work well – in patients with fundamentally normal lungs, whose compliance can be easily matched and kept matched, who can be deeply neuromuscularly paralyzed, and ...
for whom there is a plan for individualized ventilators to become available soon to make vent weaning/liberation possible.

(This is important: you can NOT wean multiple patients from a single ventilator, and there has to be a plan for eventual extubation)
Read 22 tweets

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