Indians skewer medicos on TV: "Physicians, Heal Thy Selves"

I am the son of doctor, my brother is a doctor so are many cousins, nephews and nieces. For a long time I had meant to write a blog on the state of medical education in Tamil Nadu but hesitated out of antagonizing some good people unnecessarily. Anyone who reads this further please understand that I know what I am talking about here and I do so with utmost honesty and in the larger public interest.

Aamir Khan is hosting a talk show and a recent episode was on the state of healthcare in India. The episode highlighted callous malpractices that resulted in loss of life, atrocious practices that fleeced patients, gross incompetence etc. The incidents cited have not been disputed till date, most comments were by the general public on live TV. Doctors flew into a rage and now an association demands that Aamir should apologize. Not one of them thought it fit to say "there is lot of anger out there we should do some soul searching" or "I feel sorry that a mother died due to a doctor we need to get better", or "it is outrageous that a doctor would tell a patient that liver transplant is needed when just an ordinary flatulence medicine would do". No. Not an ounce of empathy for the poor souls but buckets of outrage at Aamir. The worst remark was "a realtor gets 200% commission so why not a doctor get a marginal cut on tests" (referring to commissions to doctors from labs for tests ordered). And then doctors wonder why there is public anger and distrust.

This is not an isolated instance of public ire. Some years back Vijay TV in Chennai hosted a similar show and again the doctors came under withering criticism from the public. Across India there is ire towards doctors. I'd like to give a peek into stinking world of medical 'industry'. Like everything in India there are always exceptions, there will be honest to god good doctors but they are, as I said, 'exceptions'. The good is always an 'exception' in India.

So Many Ways to Earn Money

Very few professions afford so many ways to earn dishonest money as it does for a doctor, especially for a surgeon. Padding prescriptions with expensive drugs to earn cuts from drug reps and pharmacy owners. Cuts from laboratories for tests, again, not infrequently padding tests required. Cuts from scan centers, again many times ordering unnecessary scans. Sometimes a doctor might be a partner in all those centers too thus practically milking the unsuspecting patient from all corners. Most doctors do not even know the words "conflict of interest". Doctors in government hospitals take it a step further. 'Admission practice' is a term for a doctor soliciting bribes from patients to schedule surgeries in government hospitals. Government hospital doctors are also known to scoot out of hospitals to attend private practice. Surgeons scare patients into scheduling unnecessary surgeries, cuts from nursing homes for admitting patients. Again doctors do own nursing homes and admit patients only there even if their nursing home is unsuitable for a particular surgery. Even doctor owned nursing homes lack basic amenities like ambulances (let alone equipped ambulance), clean operation theaters. I am a capitalist, I love profits. Profits are what one makes after all necessary expenses are made NOT at the cost of essentials. MBBS doctors practicing is a stupidity possible only in India. It is a pathetic state that many villages are dependent on such doctors. Doctors prescribe medical devices like cardiac stents and hearing aids indiscriminately to milk cuts from device manufacturers.

Nursing homes and especially private hospitals specialize in fleecing patients than medical care. When a patient chooses to stay in a room rather than a general ward the patient pays room rent. Not content with that most hospitals charge the patient in a room higher prices for lab tests than what they charge a general ward patient. Note, this is not redistribution, the general ward patient is NOT subsidized by the richer patient, both pay full price and more. Nursing homes will not admit certain patients unless a substantial amount is deposited. Clean sterile environment etc are unknown commodities even in pricey hospitals at the center of the city.

Cavalier prescription of expensive drugs to boost bottom-lines of in house pharmacies is a common practice. When hundreds of students come out of private colleges paying tens of lakhs almost no one has the ability to empathize with a poor patient. Private university hospitals used to pay the doctors on their rolls a cut in black money. Its the same doctor who is also a professor teaching students. By the time one comes out of a nursing home one is out of pocket by tens of thousands. At the end of all this if the reader does not feel dizzy or like puking you have either resigned yourself to fate and have thick skin or ...I don't know what to say.All of the above is only scratching the surface.

Degrees Sold as 'Package Deal' and Incompetency

In a country like India the one area where is the government can play a legitimate role is in providing education. Speaking from observing Tamil Nadu, it is in that specific area where state governments have failed miserably. The doctor:population ratio is miserably low in India accentuated (or caused) by low number of colleges. In the 80's Tamil Nadu underwent a revolution in privatizing tertiary education in Engineering and Medicine yielding divergent results. Self-Financing, as they are called, engineering colleges sold seats for Rs 40,000 in the 80'-90's. While that was a large sum it was within the reach of many parents whose children, may not have scored good to enter the few government colleges or, as was the case mostly, sidelined by the brutal corrupt quota system. Private Medical colleges on the other hand collected Rs 10 lakhs in the early 90's, now running into Rs 50 lakhs. This prohibitive cost meant that only the stinking rich could afford it. That category of students usually fell, with minimal exception, into children who cared a damn about academics but had rich parents who wanted their children to have an M.B.B.S. Now it has reached a level where a candidate can do a package deal for Rs 1 crore+ for MBBS+Any PG degree. Do I expect a student who paid Rs 1 crore just to sit in MBBS to clear exams honestly before going to PG? No.

A US Medical aspirant goes through a 4 year degree and THEN sits for a grueling 7 hour MCATS exam. Tamil Nadu students shiver in their slippers to sit for an entrance exam and enter MBBS after +2. For instance, in first year MBBS,  students write two separate exams like Anatomy -1 and Anatomy 2 for a single subject. The University declared, to raise standards, that they need to pass each paper individually as against a 'combined pass' as in past years. Scared students recently took out a rally asking that they should be declared "pass" based on "combined" basis. So before you go under the knife of a doctor in TN ask "did you pass both theory papers separately". Tamil Nadu PG exams are even more ridiculous. If a student served in the government after MBBS he/she gets 1 mark per year of service, they were labeled, "service candidates". So if you warmed a seat for 5 years  you get 5 marks, often times most do not even report to duty. Then there is 69% quota. SC/ST candidates are exempt from eligibility criterion of 50% marks. One reason why FC's shy away from MBBS is that the torture of quota does not end. Quota for MBBS, quota for PG, quota for getting a government posting (thereby becoming a service candidate), quota for government hospital after graduation. Heck one would forget walking on ones own leg after being on crutches for long.

Private colleges have mushroomed so much that getting qualified teachers is difficult. Every retired doctor is now wooed to be a professor. That also serves to satisfy MCI (Medical Council of India) requirements for 'experienced' professors. Most doctors, like most other Indian professionals, think that reading and learning ends on the day of graduation. Result is now private colleges have as teachers old retired people who have not touched a reading material barring a vernacular newspaper.

Are all private colleges bad. Of course not. Some private colleges, in order to earn more money, reach for a higher bar. Now, NRI's are a market to be tapped. Rather than spend close to $300,000 for a medical degree in USA many parents send their kids to India. This market pays higher than TN people but they also expect better facilities and slightly better teaching. Some private medical colleges are now tapping into this and is re-inventing itself. Note, that such NRI students would return to USA after MBBS so the PG degree is still catering mostly to local students.

Private colleges (and government colleges too) are notorious for hiring professors for a day to meet MCI requirements on the day of inspection. MCI chairman was recently arrested by CBI for bribery. He had several thousand crores.

UK's much vaunted NHS stipulates that doctors applying for medical teaching centers have to meet higher standards. That is not so in Tamil Nadu for clinical specialties. 'Teaching' is not considered as requiring separate skill set from being a practicing doctor. The logic being 'if you can do it, you can teach it'. Bollocks, to use a British expression. That's how we have doctors examining students across decades without ever having read any book or journal after their graduation.

To Be Fair, Doctor's Grievances

The medical association that asked Aamir to apologize said "doctors are not aliens and are part of the same corrupt society, do not hold them to a higher standard". That is very sadly true too. Lost in a quagmire of corruption where the fruit we eat, the water we drink, the driving license we renew, the school teacher, the electrician, the land registrar, the jeweler are ALL corrupt can we expect one set of professionals alone to be different. However convincing that argument is it is a cop out. No other profession holds in its hand the ultimate question of life and death. I've seen patients prostrate themselves before a doctor, see a parent swell up with gratitude when a doctor saves his child, see a child go home with a cured mother no other profession, especially in India, begets such gratitude. No other profession holds a critical imbalance in knowledge between the provider and the requester. In no other profession is knowledge or its lack can have such immediate impact. 

How can we expect teachers in medical colleges to be like Lewis Thomas while the government enshrines mediocrity with policy and sometimes with lack of policy. 

My biggest anguish is that the medical community instead of trying to do soul searching is throwing brickbats in self-righteous indignation. It is sad, but it is not surprising. That is India.

UK Road Trip: York, Betty's Tea Room, York Museum

Taking a break from politics I'll continue my travelogue. From Edinburgh we proceeded to York. "Quaint" is a word that often comes to mind in Europe and especially in the fabled English countryside. York  is no exception and is superseded only by the picturesque Lake District which we visited next. New York and New York City derive their name from York.

Breakfast was unappetizing with fried bread and moist egg scramble. The bread was indeed just fried, deep fried, in oil. Our first stop was York Minster Cathedral.

The cathedral has a history dating back to 7th century. It is the main draw of the city. Our guide pointed to a small alcove and said "here is where Bishop John Sentamu sat down in fast protesting against the war situation in the middle east in 2006". She was referring to Israel's war (or battle) against Hezbollah in Lebanon in 2006. I asked her "was he protesting against Israel". She replied "he was protesting against the war situation". Now my brother got jittery and I let it go telling my brother "I'd bet that the good bishop did not protest against the 'war situation' when Arafat declared the Second Intifada after walking out of the famous Camp David talks". I later googled and was vindicated.

York is the site of a gruesome anti-semitic violence. In 1190 AD nearly 200 Jewish men, women and children took refuge in Clifford Tower. Many committed suicide fearing torture and forced conversions, those alive, including children were killed in most heinous manner. Jews were later expelled from UK in 1290 AD. Sentamu is York's first Afro-American bishop and is rumored to be popular enough to become the next Arch Bishop of Canterbury. The Afro-American community in USA has a fractured relationship with Jews and Israel. Given this backdrop it is interesting to put Sentamu's fast into perspective.

We then got on to an usual ride on a hop-on hop-off. Our first stop was the famous Shambles shopping street. UK is famous for its 'tea-room's and York had the best, the world famous Betty's Tea Room

We actually just stumbled into Betty's. Once inside we knew we were at a really classy place. Cell phones should be switched off. The pastries, the cake, the silver ware and every thing was just how it should be. It was simply out of the world. We loved it so much that we went back for dinner too.

York's history is blood stained going back to the Viking invasion of what the Viking's referred to as 'Jorvik'. The Vikings and their famed (or notorious) long ships invaded York in 867 AD. A "Jorvik Museum" is very instructive and unique. They had discovered archeological remains dating back by 1000 years in York and the museum in a very innovative manner displays those in a city like miniature setting encased by a glass floor on which we can walk and ponder. A unique mono-rail chair car whisked us through a re-creation of Nordic village.

Having visited Amsterdam then UK and seeing the Nordic history one wonders at how world supremacy had risen and fallen. The Dutch, the British, the Nords were all great powers not too long ago. The sun set on the British empire only recently. I was reminded of Will Durant writing in "Story of Civilization" that each civilization must renew itself to stay relevant. America, the last remaining super power is at the cross-roads of history. When I traveled in European cities I've always wondered at the lack of diversity in demographics. Whether it is Paris or Amsterdam or London or York or Zurich or Edinburgh nothing comes close to the vibrant, vigorous diversity of New York City, Washington DC, San Francisco, Los Angeles, Orlando. THAT is the key of America's dynamism and its secret of constant self-renewal.

Obama's College Loan and Student Loan Bubble

President Obama is visiting three universities, all are incidentally situated in states critical for his re-elections, asking Congress to extend a subsidized low interest rate for Federal student loans (called 'Stafford Loans'). The speech was very well received with tons of applause. 'Stafford Loans' are Federally guaranteed loans (no credit check etc) for student at an interest rate of 3.4% for the subsidized Stafford Loans. The subsidized loan rates (not unsubsidized Stafford Loans) of 3.4% expire on July 1st 2012 and rates would double to 6.8%. This is financial disaster for many parents. Presumptive Republican nominee Mitt Romney too has come out in support of extending the lower rates though it would add to the deficit. I too agree. An educated workforce is an economic asset in the long run. Beside health care cost the other major area of cost increase in USA is college tuition fee. College tuition is a runaway nightmare with college costs projected for a private college is set to rise from $119,000 (2010) to $340,000 (2028, when my daughter goes to college). This is the prime driver for families scrounging to save and gargantuan loans that are now approaching debt loads that sap the entire working life of a graduate.

Economist in an article, "Student Loans in America: The next bubble" identified that federally backed loans given to students pursuing any course, regardless of economic utility, is a prime reason for inflating college costs. It is simple economics. Here is the government stepping in to guaranteeing a loan regardless of what returns a student can earn for a degree he/she pursues this skews market pricing. This is inflationary. Naturally the seller who sees a cash influx keeps raising the price without any corresponding change in productivity or efficiency. New York Fed, Economist says, puts the total student debt at $500 Billion with an asterisk that the figure may be under reported. LBJ, Economist cites, started the loan to help students get education that would bring gainful employment but (as with any Government program) was immediately altered to cover all courses.

In 2011 I met an Occupy Wall Street protester at the famous Zuccotti park. He was a student who railed against banks, Wall Street, 1% etc. His main grouse was that he could not get a job 4 years after graduating. He had graduated in "visual communications". He is now facing debt that he has no way to repay. Of course that means tax payer is waiting for payment. Even in the super heated Clinton economy he would not have found a job that easily. Why in God's earth should I pay for somebody pursuing his 'passion' knowing fully well that that 'passion' has very meagre returns?

The much respected "The Atlantic" ran a piece on college debt and argued that free borrowing inflates costs, "colleges have embraced a host of extraneous activities - from obscure sports to overseas centers - and tacked most or all of their tabs onto students' bills. Unlike businesses, which cut losing operations, colleges simply hike their tuition". Availability of loans makes parents complacent about saving for their children's education, "Only half of entering freshmen say their parents had put anything aside; and of those who did, half had banked less than $20,000". Yeah sure why not sock the rich while I go holidaying. Colleges pad costs recklessly says Atlantic, "Bowdoin's menu features vegetable polenta and butternut soup, while Penn State provides legal downloads of music numbering two million songs a week. But let's be clear. It's not the colleges which are paying for these and similar amenities. It's the students, mainly by borrowing, which the colleges actively encourage. " Sure why not, some poor soul will pay for it with taxes. Bring it on, pass the soup please.


Added to the above are salaries paid to Football coaches and Professors. Joe Paterno, legendary Football coach at University of Pennsylvania (U.Penn) was a million, $200,000 MORE than the salary of the University President and way above the average salary of a professor. Dodd-Frank compels financial institutions to report on the ratio of CEO pay to average salary of the rest. Of course its an obvious attempt to incite envy (a CEO salary is any way publicly reported). Would Obama ask why should a football coach be paid so much more than possibly the best Physics professor on campus? What is the prime objective of an University, to churn out footballers or physicists? Jack Welch's contract with GE post-retirement spilled out during his divorce proceeding and caused, well deserved, consternation at the outrageous perks he got. Joe Paterno, though dead, got $5 million in final settlement from U.Penn. This, to a guy who left in a cloud of shame for not dealing firmly with his subordinate who abused children. 


Robert H. Frank, economics professor at Cornell, wrote an op-ed in NYT suggesting that students flock to Ivy League's only because they are tempted by what they could potentially earn with an Ivy League degree which makes the Ivy League universities or any prestigious university to hike fees. His remedy is simple, hike the taxes on the high earners taking away the incentive for an Ivy League university. This, my friends, is truly what he calls, remedy. If this is logic from Cornell, I am now convinced that Ivy Leagues are just a mythical aura of excellence. 


 Frank, author of "Winner take all society: why the few at the top get so much more than the rest" (the title says it all) cites "Baumol's cost disease" as the reason for high professor salaries. Really!!!! Baumol, Princeton Economist, studied the rise of salaries in NY Philharmonic and came up with that theory which said that though a musicians productivity in playing a symphony can never change (a symphony takes however long to play in 2012 as it took in 1700's for Mozart to play that piece) his salary could increase in order to match corresponding increases in other industries where salaries rise due to productivity increase. Frank reasons that Professors are highly compensated to match salaries in other industries and is subject to Baumol's disease.


David Levy, educationist, ripped into professors for high  prices in a stinging oped "Do professors really work hard" in Washington Post. He points out that purely teaching only universities pay their professors similar to what a research university pays its professors. Then he lists the meager hours professors work compared to general workforce etc. Note, college professors also enjoy very generous perks and they are virtually impossible to fire once they get 'tenure'. 'Tenure' was a tool used to give security to professors to teach freely any idea without fearing dismissal but it is now purely a shield from being fired for incompetency.


Elizabeth Warren, Harvard Professor and Consumer advocate in Obama administration, is a poster child for salary excess amongst professors. Warren, now running for Massachusetts Senate, is a heroine for liberals for her speech railing against the rich that went viral. Warren drew a salary of $430,000 for PART-TIME work while drawing a salary of $170,000 from the tax payer for working on Consumer protection in Obama's administration. The guy who came up with the greatest scientific theory worked in a patent office. What is Ms Warren's earth shaking revolutionary idea that warrants a half million dollar salary for part time work. No wonder Harvard is now becoming so expensive that only Mitt Romney's son can afford it.


Cornel West, a much celebrated Afro-American sociologist, drawing a high six figure salary from Harvard neglected classes and went to campaign for a democratic Presidential nominee (and acting in the 'Matrix trilogy'). When Harvard dean Larry Summers called him out West huffed and puffed and off he went to Princeton.


With all these to contend with Obama offers platitudes on student loan. He affably jokes, taking a characteristically unsubtle swipe at his opponent Romney, that he understands students' difficulties since he (Columbia+Harvard) and Michelle (Princeton+Harvard) experienced that and did not read it in a policy note to speak (unlike the Rich Romney being the implication). Obama went on to say, to applause, that he could repay his loan only 8 years before his Presidency. The Ivy League students cheered. The President forgot to mention a few facts.


Obama finished his BA for Columbia (1983, age 22, Political science and international relations) and went on to work, by his choice, as community organizer. After 5 years, he went to Harvard to complete Law (1991, age 30). By age 30 he had become famous too thanks to his historic election as President of Harvard  Law Review. He even signed a book contract. Then he became a law professor. He was always focused on elected office and ran for state congressman (unsuccessfully), state senator (1997), US senator (2004), US President (2008). In this stellar hurried rise to become US President at 47 he did not go after jobs that would have maximized his earnings his targets were always at the ultimate prize. When he complains of not being able to pay his loans earlier it is completely facetious and misleading.


Michelle Obama, graduated from Harvard in 1988 and started earning $273,000 in 2008. They were a power couple who made conscious choices on careers to suit their long term political ambitions rather than short term economic gains. Mark my words, Obama as ex-President will open the cash spigot with memoirs and speeches making Bill Clinton look underpaid.


UNC Chapel Hill senior Domonique Garland introduced Obama and said in her remarks that if the interest rates rise then she would have to "worry about paying of her loan and focus more on that rather than enjoying the college experience. I'd have to do some part time work cutting into my extra curricular activities". Her mother, Pamela Hampton Garland, a PhD, posted a comment on a town online newspaper of how she is struggling to get a job commensurate to her PhD and her family's sacrifice to educate their children. Pamela had spent time working on now disgraced candidate John Edwards's campaign. GIVE ME A BREAK. WHY should I foot her bill? Why should I pay for her loans for doing a PhD that probably has no scope for a decent job? Why should I pay for her daughter who is loath to doing any part-time work lest her 'extra curricular activities' are curbed? 


Moulshri Mohan, rejected by Delhi University was accepted at Dartmouth (with scholarship), caused quite a stir meriting an article in New York Times. While Dartmouth does provide for her tuition fee, Mohan's very lower middle class family has to scrounge to pay for all other expenses. I can bet that Moulshri is NOT thinking of extra curricular activities but of the numerous loans that her family is taking that she would have to repay. I am all for supporting weaker sections especially on education however some effort on their part is actually a good character that would go a long way in instilling a zeal to succeed and surpass those with a silver spoon in their mouth. Every university and school will have rich and poor kids. A decent society MUST help poor students BUT not to the level where a student can fool herself into thinking she is entitled to relaxation. Note, these loans are very generous when it comes to the conditions for repayment and that is relaxation enough.


I am all for keeping the low interest rate but this is unsustainable. College costs must be reined in. I am not one for wage controls but there are other ways of compelling colleges to rein in salaries. Obama has indeed told colleges that Federal subsidies will be cut if costs are not reined in. Students also must understand that a loan is to be repaid and career choices should reflect that responsibility.


Politico reports that Obama, as senator, missed two key votes on similar bills to give low interest rates to students. He was busy campaigning with students swooning at his rallies while being absent on bills related to their chief concern. Today Obama is calling on students to campaign on twitter #dontdoublemyrate. What a guy?

An Evening With "Occupy Princeton"

Last fall a rash of protests across America, especially New York City, called "Occupy Wall Street" exploded on the political scene. Every liberal and left wing sympathizer felt their cockles warmed and day dreamed about the Marxian moment, "revolt by the working class in capitalist countries". I met with a group of protesters for 2 hours at the famous location, Zuccotti Park, near Wall Street. It was very entertaining and I need to blog about that separately. Once townships, that spent hundreds of thousands of dollars amidst budget crises in each city lost their patience, especially after the protesters started acting like ruffians committing acts of public indecency, called it enough most locations were closed down. The onset of winter too added to the dampening. Now it is spring and they are back.

Almost every weekend I go to Princeton to take a stroll and spend time in what is probably the only remaining 'true' book store in all of NJ. I simply love "Labrynth bookstore" which, though not owned by Princeton University, caters primarily to the University students. The selection of books is amazing and it is possibly one of the very few mainstream book stores in USA to stock an entire shelf of Marxist writings including authors like Rosa Luxemborg, Emma Goldman, Antonio Gramsci and of course Marx himself. This being Princeton there is no dearth of left wing enthusiasm. On a warm Sunday in April a group calling itself "Occupy Princeton" decided to hold a meeting in the open space in front of a public library (made possible by the astronomical taxes collected from well heeled Princetonians). Given the curious cat that I am I paid a visit. Life is charming only when we step out of our comfort zones and try to actively engage with ideological opposites.

The meeting started with 5 people, including a couple of Princeton University students. Apparently the group is trying to organize a march in NYC on May 1st to observe May Day (which actually originated in USA, just like the 8 hour work day and profit sharing for employees at assembly line). For 20 minutes the group lazily conversed about the march just repeating a few sentences, no active agenda, no focus, not even active rambling. The organizer, of sorts, mentioned about a picnic at Princeton on the might before May Day, "we are having a picnic, just come over". A woman asked "do we have to bring anything", the organizer replied "no, just food for yourself and one other person, just come over and do whatever you want". Yeah, the agenda was "do whatever".

A lead guy then narrated how Princeton University was trying to move the Princeton 'dinky station' (a small train station that connects Princeton to another main train junction 5 minutes away). That guy, warmly seconded by Princeton University students, spoke about how Princeton University is trying to muscle its idea through the township against the wishes of the people. I was wondering what connection does a very local issue have to the Occupy crowd that is going to congregate in NYC to protest against what they claim as inequities in America, particularly against the financial industry.

Another guy helpfully passed around leaflets that asked "is Princeton supporting sex trafficking", "is Princeton supporting apartheid" etc. His contention was that the Princeton Endowment fund is invested in Wall Street firms, particularly Goldman Sachs, which, in his opinion, aided all those unspeakable horrors of life. The speaker then freely added "we really do not know where Princeton University invests but we think they invest with those firms and Goldman Sachs". I used to have respect for Ivy League students and the American method of education that lays stress on critical thinking etc. I am not sure how this guy aced SAT's. His rationale for those flyers is a complete mockery of anything called "logic". He does not know for sure where Princeton University invests, he makes an assumption and then shamefully accuses the firms of indulging in activities that are basically illegal.

He had one fair question though. He wanted Princeton University to be transparent about how its endowment is invested. As a student who pays tuition he could be told. The only point I interceded was to tell the crowd (10 people) that one of USA's largest union, AFSCME, is an institutional investor in GS. WSJ in an article had said that AFSCME is moving a stock holder vote to force Goldman to separate its CEO and Chairman roles, both currently held by Lloyd Blankfein. It's a responsible request by the union. I asked the crowd that would they hold a leaflet asking for AFSCME, active supporter and mobilizer for these protests, to disinvest from Goldman Sachs. Its a sweet irony that the Union members, wearing union garb, march decrying the institution while entrusting the same institution to handle its pension funds, the most sacrosanct of all monies a Union can have.

A woman who until then was speaking about the dinky station and May day rally chimed in "is it true? I think you should start an online petition" and glibly passed on. The rest who were all emphatically designing posters accusing Princeton University of abetting illegal activities by investing in Goldman Sachs (while conceding that they did not know if the University invested) acted as if they did not hear anything and moved on.

Then another guy, an Afro-American, got up and said "we are also organizing marchers as 'occupy the hood', and we are getting some tea-partiers too". 'Occupy the hood' is a reference to a killing in Florida of a Afro-American teenager Trayvon Martin, by a Hispanic neighborhood watch guy who suspected Martin of acting "suspiciously". Martin,  wearing a hoodie, had a sachet of skittles and a soda in his hands, he was unarmed. The killing has enraged the nation re-opening racial wounds. The more surprising mention was saying that tea-partiers would join. Tea Party, another rag tag amorphous group, arose in the days Obama's healthcare was debated. This self-styled group assumed a name that rang a familiar echo of another group that challenged an overseas government. Tea Partiers used to organize marches and meetings that simmered with rage against Obama and sometimes overtly racist cartoons of Obama were carried. Tea Party (not a registered party) was accused of racism. It was puzzling for the group to be involved with the Occupy group which is all for regulations and bigger government roles but what is stunning is an Afro-American inviting them.

Tea party and Occupy groups are tied at the hip only by their complete distrust of government. Tea party believes government can do nothing right. Occupy group believes that the government has been bought out by the 1% rich. John Lewis, a civil rights icon who has sustained severe beating in that struggle, was spat upon, allegedly, by a tea partier as Lewis was entering the congress to vote for Obama's health reform bill. Tea Party had assailed the bill socialism. Later when the Occupy protests sprouted John Lewis went to the protesters at Atlanta to show solidarity. In a stunning rebuke the Occupy protesters declined permission for John Lewis to speak saying that "as part of the Government he too is part of the problem".

Having spent 30 minutes I left amused. Here is a group that is protesting against a train station change, accusing an University (a liberal icon at that) of abetting illegal acts, inviting a group with who they have nothing in common except mistrust of government, blind to acts of their own supporters, adding an agenda covering a shootout that has racial overtones. POT POURRI anyone.

PS: Is it a sweet coincidence that May Day is also used to connote a 'sinking ship' or a 'flight in danger'.

UK Road Trip: Edinburgh Castle, Scotch Whiskey and Walter Scott.

My brother and I left for Edinburgh (pronounced more like Edinbra or Edinborough) around 6 PM from Oxford. Our road trip started. Its a 6 hour drive from Oxford to Edinburgh.

I am not sure how England started with the right hand side driving unlike US and rest of Europe. Other than that orientation problem driving around England would be easy with a GPS. I travel frequently between New Jersey and Virginia (Fairfax, VA) on I-95 which is very well punctuated by 'rest areas', most of them are open 24 hours including the restaurants inside not just the toilets. Many of those rest areas are well constructed and even pleasant to spend some time. I was eager to see what UK had to offer motorists. No such luck. The rest areas, called service areas, were innovatively built overlooking the highway like a bridge other than that nothing remarkable. Most service areas were dirty, the Burger King or KFC outlets close at 9PM, only the toilets are open. If one took an exit and went into the town that too would not help. The only thing that always irritated me about Europe was that they shutdown by 9 PM. Having been used to TGI friday's open until 1 AM, 24 Hour McDonalds (especially near highways), a city that never sleeps Europe irks me on this.

We reached Edinburgh around 1 AM and checked into a very nice Marriott. Breakfast was just wonderful and, I was told, typical of Scottish breakfast. The silverware was nice. Off we went to Edinburgh castle.

This trip was mostly to spend time with my brother and have a taste of what a 'road trip' be like for 5 days going around UK. Thanks to my brother I did not have to bother about driving. Also he had lived in Scotland for 2 years and knows it pretty well so we went only to the best spots. The castle if 400-500 years old depending on how you look at its history. Its an architectural marvel in that it is constructed atop a hill (atop a volcano). A view of Edinburgh from the castle is stunningly picturesque. A nice cafe with an overlook is added bonus. Cafes in Europe are very tasteful compared to anything, except the pricey ones, in USA. The way they serve coffee in a nice cup with a good clean strong but smooth spoon alongside a toffee is charming. Then add the sing song lilt of British English accent from a waitress. Whether it is Zurich, or Paris, or London or Edinburgh even the ordinary cafes have a certain charm. Having been used to paper cups and plastic stirrers (or wooden) in Starbucks this is welcome change.

The most striking place of the castle was the prison. The progress of civilization is marked by how prisoners are treated. Across the ages we have progressed from treating prisoners as worse than animals to conferring certain human rights to them. Prisoners from America's war of independence were lodged here and one such prisoner had carved the US flag on a door which is showcased for exhibition. As always the castle has its share of blood as it is with any European historical place.

After the castle visit we went to a Scotch whiskey distillery. A very entertaining tour of how whiskey is made followed by a short lecture on the various flavors of whiskey from parts of Scotland were very interesting. I was reminded of the movie "Sideways" where two friends go on a wine tasting tour in California. Whiskey burnt my throat that was salved only by a grand lunch in an adjoining restaurant. A nice "Aberdeen Angus Beef" with some wine to wash it down and a tasty chocolate cake to round off was good.

Our next stop was the Scottish Parliament. To me it appeared like a grotesque monstrosity of bamboo madness, check the picture below:

The interior was very modern and contemporary, in fact spartan one could say.

We bypassed the Holyrood castle wanting to have a taste of Edinburgh's famous shopping strip. We went to Princes Street for some shopping. I stopped by "House of Frasers". Food, clothing and perfumes are what Europeans excel at. Most brands I saw at Frasers are available in Nordstrom or other upscale department stores in USA. However the kinds of clothes I saw there were very different and trendy. Brand like Polo and Tommy though were priced higher for similar clothing seen in USA. I bought a nice Valentino ladies perfume. I later learned that Nordstrom in New Jersey just got that perfume for sale while it had been selling for several months in UK. A Chanel men's perfume I saw at a Harrod's outlet in Heathrow is yet to arrive in USA. My stop in a Birmingham mall emphasized this further.

As we walked along Princes Street a monument caught my attention, it was the Walter Scott monument.

I remembered Scott's famous poem "breathes there a man with soul so dead" from my school days. Seeing a fantastic monument for a literary persona made me envious of that culture. As an Indian one can only sigh how men of arts and letters are celebrated in the west. Tamils might hurry to point out the gargantuan Thiruvalluvar statue. That is a monstrosity because it was erected purely out of chauvinism and is a monument of jingoism run amuck. We do not know for certain who was the genius who wrote those immortal verses, we know too little or nothing of Valluvar's life, even his name is open for speculation let alone his appearance. That statue, if one wants to be charitable, is a monument to a literature and not a man.

I did not have much time to visit other places or memorials associated with Scottish Enlightenment. Most notable of others are Adam Smith, author of capitalism's bible 'Wealth of Nations, famous classical biographer James Boswell etc. Britain has honored Adam Smith by placing his picture on the 20  pound note. Thankfully they did not desecrate their currency with a picture of England's most famous political philosopher, Karl Marx. One could say that England put Adam Smith on the currency to pay for its almost Marxian welfare state.

Later in the evening we left for York.

UK Road Trip: Blenheim Palace and Churchill

I left Amsterdam at 7 AM and arrived in Heathrow Terminal 5. My brother, being UK citizen, zipped through immigration. I, holding an American passport, was clubbed with all others including many Indians in an interminably long queue. Luckily for me a Texan Republican and small business owner stood in front for the next hour. We chatted away about the primary elections, Obama etc. He had come as chaperone for his daughter's school tour to Europe. I wish the Brits had separated out US passport holders along with at least theEU passport holders thus avoiding an hour+ wait. In any airport in any country the aged and disabled have a tough time in these queues.

Our bus ride from Heathrow to Oxford was made lively by a young, attractive North Indian girl. This girl, out of the blue, turned to my brother and asked about visiting the Oxford university to gather details for her sister. My brother who until then was listening to my lecture (yawn) on American politics jumped at the escape route and engaged in animated discussion, in British accent, about how Oxford is actually a collection of colleges, how there is no central information center, how she could check out another University (for which he helpfully suggested he could drop her at) and on it went. I spent the rest of the journey staring at English countryside. When we got down at Oxford park and ride the girl joined us and eagerly took the front seat. My brother just glanced sideways at me and I settled in the rear. Well after all everything has to come to an end so it did in 15 minutes. I was surprised though that this girl would hitch a ride with two guys just because we were Indians. Lucky for her we were gentlemen.

I am a big fan of Winston Churchill. Relating to Churchill as an Indian is a bit tricky. Here is a man who called history's greatest liberator a 'half-naked fakir'. While all of England, including the King, were eager to meet Gandhi Churchill refused to meet him. FDR's insistence of freeing India after the war irritated Churchill who thundered in the house of commons "I've not become his majesty's first minister to preside over the liquidation of the British Empire". To a citizen of British colony hearing Churchill describe how potentates shiver at free speech is quite an experience in bald faced hypocrisy. Churchill's aphorisms and clairvoyance on not just Hitler but Communism remain his enduring legacy outweighing the imperialist. Speaking in USA he saw that  "from Trieste in the Adriatic to Stettin in the Baltic an iron curtain has descended across the continent".

In our home in Tanjore we had two books one, a collection of Churchill's famous war speeches to ravaged Britain and another was "My Darling Clementine". Like any man who was a hero to the world he too was docile with his wife. Churchill first Clementine at a ball dance. Churchill and his friend stood at the entrance and played a game taking Marlowe's classic line describing Helen of Troy's beauty, "the face that launched a thousand ships". Churchill and his friend ranked each lady as they passed by,  "a canoe", "one battleship" so on. When Clementine came Churchill's friend looked to see what he would say but Churchill was not to be found he had gone behind Clementine.

Churchill was born in Blenheim Palace, quite by accident. Though descended from the family tree of the Duke of Marlborough Churchill's birth at Blenheim was not by design. Blenheim is 45 minutes drive from Oxford. The day we went we could purchase tickets for visiting even the private apartments of the current Duke. The current Duke earns money for upkeep of palace by letting the commoners see where he sleeps!!! 

The Palace now draws visitors by proudly proclaiming itself as "birth place of Winston Churchill". Churchill did not live there. Churchill was a true renaissance man of many talents. He was avid painter. Hallmark Cards, USA, used Churchill paintings on its cards with his permission. An entire wall was devoted to such paintings.

The state rooms were opulent and grand as one would expect from European castles. Gold plated cavernous roofs, ornate chairs, delicately hand crafted French furnitures. French influences and French imported furniture surprised me given that England and France were perpetually at war in every possible place across centuries and England had defeated and imprisoned Napoleon. 

The current Duke's living room was well appointed. The table and magazine racks had some books, few magazines neatly stacked. Neither the books nor the magazines were anything close to intellectual and showed a man interested in knowing nothing beyond horses. This despite a large library in the famed long hall (the longest room in UK with the largest pipe organ, picture below). That library was neatly and securely closed. The books appear untouched for ages except by curators.

The 9th Duke of Marlborough facing financial ruin married a very rich American, Consuelo Vanderbilt, a descendant Cornelius Vanderbilt. Anderson Cooper, TV host, is a Vanderbilt descendant too. Consuelo brought $67 Million dollars in dowry. Later the Duke told her that he did not love "anything that is not British", apparently the money she brought was loved though. They later divorced. Much later the Duke's descendant Winston Churchill would plead FDR to help save his empire. FDR launched the famous 'lend-lease' program which was in reality nothing but US taxpayer doles. Churchill had nothing to be loaned against. He would, with relish, declare "give us the tools and we will finish the job". Thanks to Japan US would enter the war and truly finish the job.

As we strolled through the living quarter our guide pointed with some pride that the Duke's child went to Harrow "as was customary". Little did she know that an Indian, Nehru, too went there. Nehru went on his father's hard earned money and not on doles from the crown. I asked the guide if the Duke's son is judged on merit for entrance to Harrow. She laughed gaily and said "no". I sensed a tinge of pride in her voice that the Duke's son need not score as high as the commoners. The British are indeed strange when it comes to their reverence to the monarchy. Only the Ecole Nationale in France has a 100% merit based admission. Even the Ivy League's of USA fail on that score. I am referring to the 'legacy based admission' where a student gets an advantage if his/her parent had been an alumnus. In the contentious affirmative action debate afro-American commentators refer to that drily as "white man's affirmative action".

The gift shop had a smattering of books on and by Churchill. Amongst the many books by Churchill only his World War-II memoirs were there. Churchill won the Nobel prize for literature for his "History of the English speaking peoples". The prize was more a sign of gratitude to Churchill than an indicator of literary merit. Churchill could not attend the ceremony and in a departure from custom his wife Clementine, in recognition of her stature, received the prize in his behalf. Usually the ambassador to Norway of the country from which the awardee hails gets the prize if the awardee is absent. Surprisingly I could not find either that collection or even Churchill's biography "Duke of Marlborough".

With all his failings regarding India, including the Bengal famine that he did nothing to mitigate, the world and Indians remain indebted to Churchill. We all are better off for Churchill was the only man standing between Hitler and the civilized world. After France fell for two years while USA dithered and Stalin cut deals with HItler to plunder Eastern Europe Churchill stood alone facing, what he aptly described, "a long ordeal of the most grievous kind". 

I live in an age when the vacuous bromides of Barack Obama is hailed as oratory. Let Obama and his starry eyed American worshippers learn from Churchill what it is to stand up to Hitler and rally a nation when no sane man saw hope. Here, below, are those immortal words that defended an island and a civilization so we might be here today:

"I would say to the House, as I said to those who have joined this government: "I have nothing to offer but blood, toil, tears and sweat."

We have before us an ordeal of the most grievous kind. We have before us many, many long months of struggle and of suffering. You ask, what is our policy? I can say: It is to wage war, by sea, land and air, with all our might and with all the strength that God can give us; to wage war against a monstrous tyranny, never surpassed in the dark, lamentable catalogue of human crime. That is our policy. You ask, what is our aim? I can answer in one word: It is victory, victory at all costs, victory in spite of all terror, victory, however long and hard the road may be; for without victory, there is no survival. Let that be realised; no survival for the British Empire, no survival for all that the British Empire has stood for, no survival for the urge and impulse of the ages, that mankind will move forward towards its goal. But I take up my task with buoyancy and hope. I feel sure that our cause will not be suffered to fail among men. At this time I feel entitled to claim the aid of all, and I say, "come then, let us go forward together with our united strength." 

Amsterdam: Anne Frank's home and Torture Museum

Tragedy struck a Jewish school in South France today when an unidentified gunman killed four an adult, 13 year old girl,a 7 year old and a 3 year old, six others were wounded. They had been shot at close quarters. They were shot because they were Jews and the school was a Jewish school. In 2008 Pakistani terrorist thugs who terrorized Mumbai specifically targeted a Jewish chabad for their killing spree. I shall reserve my comment on Israel's critics for a following blog but this provides a backdrop for my visit to the home of Holocaust's most famous victim, Anne Frank. Before that a brief on the Torture Museum.

A museum focusing on torture was very inviting. Though I am broadly familiar with the themes of torture, especially the use of torture by the Christian Church seeing the instruments of torture along with helpful notes was chilling. The Spanish Inquisition made a name for itself with Torquemada and the inquisition chair (below)

The accused has to sit on that chair and the screws would be tightened to maximize pain. This was mostly used on women accused of being witches. The rack pictured below (http://www.torturemuseum.nl/instruments-of-torture/) is another instrument the very sight of which is painful.

Religious minorities (mostly Jews), dissenters, minorities, gays, political prisoners and lots of women bore the brunt of these punishments. The museum, in European tradition, had the usual US bashing. Fleeting mention was made of Guantanamo. Guantanamo is picnic compared to the above.

As a deep admirer of Israel and Jewish history the holocaust remains an obsessive topic for me. In 2010 when I toured Amsterdam for a few hours I glimpsed the home of Anne Frank during a canal cruise. This year I made what can be called a pilgrimage to her home. Anne Frank's family and another family of 3, 8 Jews totally, hid in a secret annexe in a factory for 2 years during the war fearing deportation to extermination camps. The families were betrayed on 8th August 1944 and were deported first to Auschwitz. Anne Frank and her sister were later deported to Bergen Belsen. One has to really pause and digest this. Jews arrested in Amsterdam were transported to Auschwitz in Poland. Then two of them get transported halfway back into Bergen-Belsen in Germany. I visited a Gestapo jail in Cologne where a prisoner from Ukraine (!!!) had scrawled on the walls. Imagine the logistics needed for all these transports that had no strategic goal except hate. By the time the family was arrested Hitler's Third Reich was crumbling and his army was being beaten back by the equally murderous Red Army to the East and by the American and British forces from the West.

Anne and her sister Margot perished in the typhus epidemic that swept Bergen-Belsen. The sisters died a few days apart next to each other sometime in March 1945. Allied armies liberated Bergen-Belsen in April 1945. Only Otto Frank, Anne's father, survived from Auschwitz. Anne's mother had died too. Otto made his way back to Amsterdam and searched for his darling children. Finally he learnt that they were dead.

When the Frank family went into hiding Anne was 13. Anne received a diary as gift. While in hiding this girl, just entering her teens, wrote a journal of all that happened for two years. The last entry is on 1st August 1944. She has interest in movies, the helpers who hid the family get her movie magazines, Otto marks the growth of his daughters with a pencil mark (it is still there), a map is stuck to follow the progress of Allied army since Normandy landings, a radio keeps them connected, Margot still takes Latin lessons and sends her work for correction pretending  to be somebody else, a 16 year old boy (from the other family) kindles love in Anne, Anne has her first kiss, she writes of Gandhi too hearing from radio reports.

Otto Frank discovers the diary and publishes it to universal acclaim. The diary has been translated into tens of languages and has sold millions. Otto, with help, converted the annexe into a museum. A very touching photo is below. Here is Otto Frank, just before the museum is opened to public, looking alone and pensive at the floor where his children played and his wife walked. The pain is palpable and sorrow engulfs the viewer in an emotional embrace across time and space.

The photographer Arnold Newman who took the photo reminisced, "how could I ask this man to pose? I couldn't. Instead I just waited and Otto went into a deeply pensive mood. It was then I took the photograph". They cried and embraced after the photo shoot ended.

Anne Frank wrote in her diary, "One day this terrible war will be over. The time will come when will be people again and not just Jews!".

Whether it is Jeremiah Wright or Al Sharpton spewing explicit and implicit anti-semitism or this madman today today who killed children just because they are Jews the sad answer is Anne Frank's hope only lives on as hope.

I'll take this opportunity to answer in my next blog a few questions on Israel, Holocaust and Jews. Anne Frank was 15 when she died. And she died because she was a Jew. And only because she was a Jew did she and her family die.