Facebook Search Now Allows Users To Find Posts

facebook search new

Facebook today announced that it is improving the functionality of its search feature, making it more powerful than before. Now the search tool can be used not only for finding people, but also for finding specific posts. This feature has been added following the feedback that Facebook has received from users on the Graph Search beta and one of the things users said was most important was the ability to find specific posts.

That doesn’t mean users won’t be able to do with search what they previously could. It’s still possible to make queries like “my friends who live in New York” to bring up the appropriate people. Facebook does point out that search results are personalized and unique to each user, and each user can see specific posts only shared with them.

Facebook also heard from users that they wanted a better search experience on mobile, so today’s updates have been designed for mobile. The new search functionality will be available on Facebook for iPhone to start off, as well as the desktop. Other mobile platforms will have to wait a while for their turn.

The world’s largest social network says that these updates are rolling out this week in U.S. English on the iPhone and desktop. It hasn’t confirmed when other mobile platforms will receive the same update.

Facebook Search Now Allows Users To Find Posts

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These Two-in-One Coasters prevent party fouls

Two-in-One Coaster

Many people associate drinking bottled beverages with parties. Whatever your form of liquid courage may be, you’re going to need a way to access it. More often than not, you would expect the party host to have a bottle opener on hand. Of course, there’s always going to be at least one time where one is nowhere to be found.

If you always fear not being able to be the hostess with the mostess, then you’ll want to make sure you’ve got party essentials all over the place. Of course, with how ingenious the Two-in-One Wooden Coasters are, it makes sense to have them around just for personal use. The coaster aspect will prevent water rings from developing on your furniture, and the bottle opener makes sure you won’t have to rummage through a kitchen drawer to find one.

This set of four will cost you $24.95, and is handcrafted from a light wood. You can have it personalized with an initial, and can choose to have it engraved with a classic, university, script, or old English font. Seeing that these are going to be picked up quite often for their dual functionality, it will be pertinent to remember to put these back under a drink after use, or you’ll end up with water rings despite having coasters. Seeing that they likely don’t soak up water too well or dry out supberly on their own, you’ll want to give them hours in a dry area to prevent mold. For the DIYers out there, this is an easy project to make at home for quite a bit cheaper.

Available for purchase on homewetbar, found via thegreenhead

 
[ These Two-in-One Coasters prevent party fouls copyright by Coolest Gadgets ]

It's The End of the World As We Know It

A scene on Aaron Sorkin’s The Newsroom recently struck me, at first, as simply an astute and amusing commentary on global warming… until the real world chimed in with one of those life-imitating-art occasions suggesting that R.E.M.’s apocalyptic song is destined to be the soundtrack of our future.

First, the HBO moment: Anchor Will McAvoy (Jeff Daniels) interviews an EPA administrator (Paul Lieberstein, who will always be Toby Flenderson from The Office no matter what role he’s playing) about a report that carbon dioxide levels have hit extremely dangerous new highs.

McAvoy begins in the usual mode for this sort of story, poised to emphasize the urgent threat of climate change while reinforcing the conventional platitudes that people need to take this seriously and work hard to remediate the problem.

His conversation, though, quickly goes off the rails.

“If you were the doctor and we were the patient,” the anchor asks, “what’s your prognosis? A thousand years, two thousand years?” The scientist’s response takes him aback: “A person has already been born who will die due to catastrophic failure of the planet.”

McAvoy: You’re saying the situation is dire?

EPA guy: Not exactly. Your house is burning to the ground, the situation is dire. Your house has already burned to the ground, the situation is over.

McAvoy: So what can we do to reverse this?

EPA: Well there’s a lot we could do…

McAvoy (interrupts): Good…

EPA: …20 years ago, or even 10 years ago. But now, no.

McAvoy (becoming increasingly uncomfortable): Can you make an analogy that might help us understand?

EPA: Sure. It’s as if you’re sitting in your car, in your garage, with the engine running and the door closed, and you’ve slipped into unconsciousness. And that’s it.

McAvoy: What if someone comes and opens the door?

EPA: You’re already dead.

McAvoy: What if the person got there in time?

EPA: Then you’d be saved.

McAvoy: OK. So now what’s the CO2 equivalent of the getting there on time?

EPA: Shutting off the car 20 years ago.

McAvoy: You sound like you’re saying it’s hopeless.

EPA: Yeah.

McAvoy: Is that the administration’s position or yours?

EPA: There isn’t a position on this any more than there’s a position on the temperature at which water boils.

Then last week, an actual piece of journalism, the lead story in Monday’s New York Times, confirms that things are indeed pretty much as desperate as Sorkin depicted on his pretend newscast. As the latest UN summit on greenhouse gases convenes in Peru, climate scientists report that a 3.6 degree rise seems inevitable, which they believe is “the tipping point at which the world will be locked into a near-term future of drought, food and water shortages, melting ice sheets, shrinking glaciers, rising sea levels and widespread flooding.”

Flipping back to one last bit of patter from The Newsroom: The EPA administrator tells McAvoy, “The last time there was this much CO2 in the air the oceans were 80 feet higher than they are now. Two things you should know: Half the world’s population lives within 120 miles of an ocean.” “And the other?” “Humans can’t breathe under water.”

I propose that it is time for us to accept as a premise in whatever environmental discussions we have — or indeed, in any deliberations on anything taking place in the future — the fact that the world is coming to an end.

Well, not the world itself: The planet is actually pretty resilient, and will likely continue on its orbit unbothered by the warm spell; it’s just people, along with most other life forms, that will disappear. Geologically, there’s not so much to worry about; biologically, on the other hand, we have a situation.

Over the past decade — since Al Gore’s documentary An Inconvenient Truth brought global warming into the mainstream consciousness — the rhetoric has been dire, but at least minimally hopeful: If we start doing this and stop doing that now, we can perhaps just barely salvage what is left of our ecosystem.

For a while it made sense, as Will McAvoy was trying to do on his newscast, to cling to a thread of hope in order to motivate reform and prevent people from descending into a paralyzing sense of helplessness.

But now it’s time to accept our impending demise. Those are profoundly difficult words to write, but they are necessary: Our times demand a new rhetorical honesty. It is deceitful and irrelevant to sustain the charade that things may improve. Instead, it’s time to start talking about how we will die.

(Maxine Kumin has a poem called “Our Ground Time Here Will Be Brief.” It was.)

As depressing as this is, it has at least the virtue of being true, unlike the kick-the-can-down-the-road policies that pretend the solution for global warming lies in producing (someday!) cars that get 150 mpg and cities powered by wind farms. And expecting Westerners (the 12 percent of the world’s population who consume 60 percent of its resources) to use less stuff.

If there’s a silver lining, it is not a very satisfying one, but for what it’s worth: I think it may prove refreshing, even exhilarating, to develop a new trope, a new truth, that lets go of the pretense that things will turn out ok.

“The progress narrative” that has undergirded Western culture for millennia was nice while it lasted, but it’s also responsible for getting us where we are today, as it stoked the fantasy that we were invincibly moving ever forward, and that our rampantly voracious overdevelopment (exploration, imperialism, conquest, growth, “civilizing” nature) had no costs, no limits, no consequences.

As an English professor, I find it exciting to consider the possibilities for a new voice, a new style, a new writerly consciousness that may accompany and chronicle the winding down of our sound and fury.

Other cultures at similar points in their trajectory — past the zenith, clearly waning yet close enough to the glories of the past — have often produced keenly insightful literature and art. Being on the cusp of decline provokes incisive self-reflection — as the Greeks called it, anagnorisis: recognition.

Cervantes achieved this in Don Quixote toward the end of Spain’s Golden Age, as did T. S. Eliot in “The Waste Land,” his report from the front lines of the cultural disintegration that accompanied the collapse of European imperialism and the War to End All Wars: “These fragments I have shored against my ruins.”

On a personal level, we have lately begun to do a better job of dying, and of accepting death — writing “death plans,” forsaking heroic measures of resuscitation. So too as a species we may learn to accept the inescapability of our impending ecological fate. We can celebrate the bright spots from our past human heritage, acknowledge our follies, and finally, deal with it: It is what it is.

There will be a limited future audience for this brave new art, since we’re hovering on the verge of extinction, but it will leave an interesting time capsule for whoever might come to recolonize the planet after we’re gone.

Anthropocene,” a recently coined term for our present epoch, reflects the unique phenomenon of human impact that has changed (disrupted, ruined) the earth. Complementing this scientific assessment, a parallel aesthetic movement must acknowledge, better late than never, that we have irreparably fouled our nest.

We might demarcate our cultural expressions of this period as “epitaphal”: our last words, as on a gravestone, inscribed with a solidity that will outlast our mortal frames and will announce for eternity (even in its conscribed scope) what kind of people we wanted to be and how we hoped we might be remembered.

Randy Malamud is Regents’ Professor of English and chair of the department at Georgia State University.

Raindrop Falling On Sand Looks Just Like A Tiny Asteroid

If you’ve ever wondered what an asteroid impact on the Earth would look like in slow motion, have a look at this incredible new video (above) from researchers at the University of Minnesota.

In the video, a raindrop stands in for the asteroid, and a layer of sand stands in for the surface of the Earth. As the drop falls onto the sand, the granular surface deforms into a crater. The researchers say it’s very similar, on a tiny scale, to what happens when a space rock smashes into our planet.

“Surprisingly, we found that liquid-drop impact cratering follows the same energy scaling and reproduces the same crater morphology as that of catastrophic asteroid impact cratering,” the researchers wrote in the video’s description.

The video won an American Physical Society Physics Fluid Motion Award this year, and was posted to the society’s YouTube account on Nov. 25.

As YouTube user Martin Mehawk commented on the video, it truly is “spectacular imagery.”

Or, as he could have said, “Smashing!”

Gabrielle Union: We Need More Women Of Color 'Over A Size 4, With Darker Skin Tones' In Starring Roles

Echoing the sentiment of her “Top Five” co-star Chris Rock, Gabrielle Union sees a glaring lack of parts for black women in film. But she also recognizes a force to be celebrated behind today’s more diverse television landscape, and that force’s name is Shonda Rhimes.

In a HuffPost Live interview on Thursday, Dec. 4 the actress praised the queen of ABC’s Thursday night programming and her commitment to featuring all types of women in prominent roles.

“Success breeds more opportunity,” she said, “so with the success of ‘Scandal,’ with the success of ‘How To Get Away With Murder,’ — basically Shonda has taken over the most important night of television with a very diverse cast of characters.”

Rhimes has featured “black women, [women of] all different sexual orientations, religions, [and] sizes,” Union described, a rare offering of diversity onscreen.

Both of the leads in Rhimes’ wildly popular Thursday night series are African-American women. Additionally, Rhimes writes for women of all ages: Viola Davis, the star of “How To Get Away With Murder,” captivates viewers weekly even as she approaches age 50.

But while this is undoubtedly progress, Union hopes for more diverse representations of women of color in the industry on a broader scale.

“It’s very limited, period,” the “Bring It On” star said, referring to exposure for black women on the whole. “And when you add in women of color or women of color over a size 4, women of color with darker skin tones, women of color who want to rock natural hair, it becomes more and more limited. I have not seen that change.”

Watch more from Gabrielle Union’s conversation with HuffPost Live here.

Sign up here for Live Today, HuffPost Live’s new morning email that will let you know the newsmakers, celebrities and politicians joining us that day and give you the best clips from the day before!

WATCH: Man Sets Rat Traps, Nabs Dog Instead

Dogs are so majestic: The way they sprint after balls, the way they protect their humans from danger, and the way they clomp around after stepping all over sticky rat traps.

That was the case for Joe Richardson’s dog, Sirius Black. In a video uploaded to YouTube Sunday, a clearly exasperated dog owner seems to question whether or not rats are smarter than his dog. He may not be the most graceful pooch, but gosh darnit, he’s trying.

“You are the dumbest creature alive,” Richardson finally mutters in defeat. He’s not wrong.

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Most Advanced, Yet Profitable Design

Pure incremental and breakthrough innovation is unsustainable so how does one balance managements’ risk-attitude with users’ taste preferences when designing innovative offerings?

In the 1930’s, Raymond Lowell, the father of American design, advocated MAYA – Most Advanced, Yet Acceptable, as a canon for industrial design. The bell-shaped model for customer acceptance showed that if design expressions / styling / aesthetics exceeded beyond a certain point on the curve, customers would become alienated causing sales and profit to plummet.

A paradigm shift is only profitable if the lead-time for acceptance is reasonable since, for management and users alike, embracing new ideas takes time. As an example, abstract art has been with us for over a century, yet only twenty percent of people in the UK appreciate this art form today. So one is still better off painting bright colored landscapes, flowers, nudes and marine pictures than exploring new expressions.

2014-12-08-maya.jpg

Geoffrey Moore proposed that an offering’s Life Cycle Adoption curve might include a chasm between the Early Adopters and the Early Majority. Sixteen percent of a population, Innovators and Early Adopters, are on the “wrong side” of the chasm, while eighty-four percent constituting the Early Majority, Late Majority and Laggards are on the “right side”. When crossing the chasm, the challenge is to identify and leverage specific members of the Early Majority’s trust in a group of Early Adopters, in combination with addressing their need for a flawless offering.

A study at Stanford Center for Design Research in 2005 revealed a one to two year adoption delay for highly innovative consumer products. The urban legend, at that time, was that winning an IDEA (Industrial Design Excellence Award) Bronze was a sign of success, while receiving the IDEA Gold Award was the kiss of death.

By observing Gold, Silver and bronze winners the years following the announcement, however, a different story appeared. IDEA Bronze winners were found to have success right away, while IDEA Gold winners, on average enjoyed success a couple of years further down the road.

There are always exceptions. The BMW Mini won IDEA Gold in 2003 and enjoyed success right away, while the Chevrolet Super Sport Roadster that won IDEA Gold in 2004, started as a miserable failure and was eventually discontinued.

Both the BMW Mini and the Chevrolet Super Sport Roadster happened to be “retro” designs, the popular style of that period. When one has a new unique product, it is probably best to play it safe when it comes to exterior styling and what is safe may differ between cultures.

Analyzing European, North American and Asians response to IDEA winners from the previous year showed that Europeans, North Americans as well as Asians were attracted to geometric and easily identifiable products, however Asians were also drawn to more sculptural products.

As the adage goes, if one develops a product that does not work, there may be a second chance offered but if one develop a product for which there is no market, one will be looking for a new job. With such an incentives in place, is it any wonder that business and design managers continue to play it safe?

How We Make Decisions on Issues Like Ferguson

It is interesting that in assessing the situation in Ferguson, individuals tend to retreat to their separate opinion corners. It appears you have to be either pro Mike Brown or pro Darren Wilson. More commonly opinions are expressed in terms of which team (or individual) is a demon and which is blameless. Why is this?

The reason, I think, is based on the science of decision-making. Most decisions and opinions are not arrived at thoughtfully, but through habit, group pressure or how much it conforms to a previously established world view.

Everyone makes decisions all day long, and every once in a great while we have to make a critically important decision. Generally, we are fairly confident about our logic in arriving at most decisions, even if we do not like the consequences. Surprisingly, behaviorists point out that most decisions are made without conscious thought. That’s right; we are mostly on automatic pilot!
Given the number and complexity of decisions confronting us, we tend to unconsciously utilize tools called heuristics. A heuristic is simply a rule of thumb or generalization that simplifies decisio- making. We rely on heuristics for expediency and because they do work for the most part. Over time you might have noticed that A usually occurs with B, that X means Y must have occurred, and so on.

Another common test: “How does my group (race, gender, political party, country, Facebook friends) feel about this issue?”

But, being generalizations, heuristics are rife with the potential for errors and biases. For one thing, heuristics are often developed from prior experience (actually, the memory of experiences). Some very important research by psychologist Dr. Elizabeth Loftus (Memory, surprising new insights into how we remember and why we forget) discovered that memory is not a mental bank to which objective experiences are deposited, then withdrawn in their original state at a later date.

Rather, memory is reconstructed when needed, colored by subsequent experiences, influenced by current vested interests and tweaked by context. Think of the differences among various eyewitness testimonies in the Mike Brown-Darren Wilson incident.

Interestingly, memory is initially laid down with some personal biases to start with. Two individuals observing a single event from the same vantage point often have very different recollections. Selective memory and false memory are both powerful illusions often treated as valid and used as the basis for making current decisions.

Since heuristics, while convenient, are often based on erroneous memory and unexamined biases, why do we continue to use them? They are easy, comfortable, and serve us well for the most part, since they are readily available for access. In fact the most common type of heuristic is called the availability heuristic and is defined simply as overestimating the frequency of vivid, extreme or recent events and causes. There is a strong tendency to determine the frequency or likelihood of an event, or explain its cause by how easily something similar is available from memory.

Think how vivid some childhood experiences (good or bad) still are. Not only can you recall the details, but even when you make decisions as an adult, those memories can come to the forefront in an uncanny way, especially if you perceive that the current situation promises substantial stress or reward.

The representativeness heuristic reflects the tendency to predict or prejudge the likelihood of an event from limited prior experiences. This might be played out, for example, if we have an unfavorable experience with a policeman or a person of color. Each encounter represents a likely opportunity for another negative outcome. Even news coverage, by the way, is incorporated by many as a prior experience.

Differences can be threatening. As the demographics of the country change we are increasingly exposed to individuals of different cultures, for example. It is tempting to ascribe any individual difference in personality and behavior to a quality (often undesirable) inherent to an entire culture. We might even consider that lack of intellect or a poor work ethic or tendency to violence as representative of an entire group.

Remember also, a previous encounter, positive or negative, with a policeman or young black man, is not necessarily predictive or representative of subsequent experiences with other members of either group. While tempting, it can be erroneous and even dangerous to use lazy generalizations.

The anchoring and adjustment heuristic is the common tendency to make decisions based on adjustment from some initial base or anchor. Salesmen use this technique very effectively when they quote a retail price and bargain away from that price. The buyer automatically perceives any price below that as a “deal”, even though the sticker price might have been inflated to start with. You can probably think of countless examples of decisions you have made based on this rule. Giving disproportionate weight to the first information you receive is a classic mistake.

One form of fallacious reasoning is the trap. Just as it’s used in common parlance, a trap is very easy to fall into, and difficult to get out of. The confirming evidence trap leads us to seek out information which confirms our existing point of view, while ignoring contrary information: “my mind is made up, don’t confuse me with the facts.” This appears comical, but reflects the way the majority of us make decisions. It is common to predict both the outcome of interactions and to explain outcomes based on unfounded preconceptions.

Scan the social media sites for “black thug” and “unarmed black men.” Often the poster does not seek to understand the evidence but jumps to explaining the outcome based on a confirming evidence trap. Most come to a decision, then search for “proof” that confirms their position.

Sadly, confirming evidence traps are perpetuated because they are comforting, avoids the difficult work of critical thinking or evidence finding. Unfortunately and more significantly, in a metaphysical way, confirmation biases can be remarkably self-fulfilling. You observe what you expect, after all.

In most decision making situations, the key is to be more critically aware of our thoughts and actions. Once we decide to engage awareness, it is easier to discern if we are dealing with a unique situation; gathering evidence to make a logical, fair decision; or simply trying to prove our preconceptions.

Heuristics are not necessarily bad. But since both our thoughts and actions are often on automatic pilot we sometimes make even important decisions uncritically.

Three safe rules of thumb: commit to being more consciously aware of your decision making style, be willing to entertain different perspectives, be willing to change your mind if new evidence presents itself.

Oh, and own your daily contribution to societal stereotyping; as well as the consequences of the decisions you make on a daily basis.

Last Look at Hillary's Book

Clues To Her Future Foreign Policy, and How She Will Govern

Hillary Clinton could not have known (could she?) when writing Hard Choices that in the summer and fall of 2014 the world would be in virtual meltdown, with extremists of various stripes on the rise seemingly everywhere. Internationally, there is the dangerous nationalism and ambition for empire-rebuilding being carried out by Vladimir Putin, in ways both coherent and otherwise. Even more frightening — because we understand it less well — are religious zealots and their state sponsors running amok across the Middle East. Meanwhile on the domestic front, extreme elements of one of our two principal national parties have caused dysfunction and the near-breakdown of our polity at a time of unique and pressing challenges: health care, immigration and the nation’s basic infrastructure, to name just three. On top of all this, the emergence of Ebola was a pile-on that, while hardly man-made, appeared as a metaphor for a world gone mad.

Against this backdrop stands the former secretary’s book and, with the arrival of the Holiday Season (and, if we are lucky, a quieter time of introspection and actual book reading), the chance to assess the strengths of extreme competence and steady-as-she goes perseverance that the author brings to once, and perhaps future, national challenges.

Here’s what you need to know about Hard Choices, including some tips on how to address this worthy tome.

First of all, this reviewer discovered that the book is very engaging and, indeed, revealing — more so than might be expected from this particular Memoir. While there is plenty here for policy wonks, there are also gripping tales that have the quality of a page-turner. The lead-up to Osama Bin Laden’s death in Pakistan, the rescue of Chinese dissident Chen Guangcheng in Beijing, that famous first flight from Malta into Tripoli, Libya (immortalized by a Hillary-as-commando meme that went viral), the president and secretary literally crashing a private meeting of dissenting world leaders at the 2009 climate change conference in Copenhagen — these are all here.

Even beyond these events, this is a genuinely accessible book. Clinton’s prose is simple and matter-of-fact, with complex issues explained in (mostly) plain language. While many Beltway-insiders may roll their eyes at facts and policy arguments they already know by heart, Clinton didn’t write this book only for them; rather it was written for Jane Q. Citizen, who reads to learn of recent history, and to gain insights into a future that may yet be. What Jane Q. will also find in Hard Choices are lesser known, but no less fascinating, foreign policy efforts and events that make equally riveting reading — like the secret U.S. effort to negotiate peace with the Taliban, the secretary’s heart-rending visit with women and children in Eastern Congo, and the extraordinary tale told to her by President Putin about how he came to be born(!)

On the “wonk” side there are real serious, cogent explanations of things you may not have quite understood before. This is an evidence-based book, so facts and statistics often come fast: like the fact that the United States spends less than 1 percent of its annual budget on foreign assistance (rather than the “28 percent” that resides in the popular imagination) or that “Secretary of State” is the addressee on each and every one of the millions of cables that come in to Washington from over 270 U.S. embassies and consulates around the world every year — and that only a tiny, tiny fraction of these ever reach the secretary’s own desk (therefore debunking the misinformation spread by political opponents that the secretary was directly apprised of the Libyan security situation, pre-Benghazi). Among many other subjects, Clinton explains the pragmatism that lay behind the Russian “reset” and, in detail, why the reset did not mean capitulation — far from it.

While it’s notable that Clinton abstains from using this book to settle old scores, she includes careful explanations of events and decisions that may have caused confusion at the time they occurred. For example, instead of squarely laying at least some responsibility for Benghazi’s inadequate security at Congress’ doorstep, Clinton merely alludes rather softly to her “four years making the case to Congress that adequately funding our diplomats and development experts was a national security priority” at a time of shrinking Congressional appropriations. That a heartier Congressional embrace of Clinton’s signature smart power doctrine, including more security funding to better enable our development and diplomacy professionals to do their difficult work on many levels, might also have helped avoid Benghazi and other security incidents is implied, if not directly stated.

Clinton also acknowledges her mistake — in the plainest language possible — on the subject of her 2002 vote authorizing President Bush to wage war in Iraq, yet also lets us fully understand the context of that vote: one in which a strong majority of then-sitting senators voted “yes” with Clinton on a bill that, by its terms, instructed the president (not yet known, in 2002, for waging preemptive wars) to ‘use diplomacy before using force’ and ‘not to wage war unless U.S. national security is at stake.’

Of course, in light of the rise of ISIS and America’s recent re-entry into Iraq, the Secretary’s 2002 vote — considered in the proper context — doesn’t now appear quite the error it was long considered to be.

Perhaps most importantly for this book, there is heart, soul and emotion. Clinton saves some of the most expansive, lofty language for her worldwide, and life-spanning, efforts on behalf of women and girls, and this reviewer was especially heartened by all the space she devotes to perhaps the final frontier of international human rights: the plight of LGBT people in the developing world, starting with her description of the first time she uttered the words, at a State Department Pride event, “human rights are gay rights and gay rights are human rights, once and for all.”

A couple of parting tips on how to read Hard Choices, especially if you find its telephone book size to be daunting: you don’t have to read it cover to cover. The book is organized like a marvelous worldwide travelogue, so while you should begin by reading “Part One: A Fresh Start” (which contains its own share of riveting stories of the Obama-Clinton 2008 rapprochement that are new or newly told), proceed from there by dipping into the parts of the world — or towards the end, the international challenges — that tickle your fancy, and come back to the rest later on.

And, oh yes, about those last questions you have for Hillary Clinton: when will she announce her run for the presidency, and how will she run? Many have quoted the following language from the book’s last chapter as a sign: “Never rest on your laurels. Never quit. Never stop working to make the world a better place. That’s our unfinished business.”

This reviewer prefers the following, from the epilogue:

In the coming years, Americans will have to decide whether we are prepared to learn from and call on the lessons of history and rise once more to defend our values and interests. This is not a summons to confrontation or to a new Cold War — we’ve learned painfully that force should be our last resort, never our first. Instead, it’s an appeal to stand firmly and united in pursuit of a more just, free and peaceful world. Only Americans can decide this.

Clinton then goes on to devote a long paragraph to America’s domestic challenges, addressing rising income inequality, deepening poverty in many quarters and Washington’s increasing dysfunction — and thereby offers important clues to how she will run in the primaries and beyond. And finally this: “In the end, our strength abroad depends on our resolve and resilience at home.”

The past six months since publication of Clinton’s book have been a time when a commercial airliner was shot out of the sky over Ukraine (the deadliest such incident in human history), at least four separate wars raged across the Middle East and South Asia, and heinous, barbaric executions of Americans took place for all the world to see. Unfortunately, we can expect to look forward to more rather than fewer such periods. To battle feckless extremism wherever it arises, we need feral competence and discipline and perseverance at our helm. Whether by accident or by design, Hard Choices doggedly makes the case for the person to lead us who is best placed to deliver more democracy, more freedom and more peacefulness the world over — and it doesn’t hurt that she has the biggest, most diverse rolodex on the planet.

Why Some Doctors Struggle With the End of Life

Recently an increased awareness of the end of life has been dawning in the U.S., as evidenced by some relatively new grassroots movements spreading across the country: Green Burial, Home Funeral, Death Midwifery, Death Café, Death Salon, Death Over Dinner, The Conversation Project, Death Expo and other internet sensations, such as the “Ask a Mortician” video series and “Confessions of a Funeral Director” blog.

Yes it seems that everywhere we look today new conversations about death and dying are occurring — everywhere, that is, except between doctors and their patients. Studies demonstrate that doctors’ willingness to talk about this difficult subject lags behind the societal trend toward more openness about the end-of-life.

For example, the Nebraska End-of-Life Survey showed that even though “70 percent of patients surveyed want their doctors to discuss their end-of-life care options, only 21 percent … had heard about hospice care from a doctor.” And according to an article published in JAMA, while 86 percent of doctors agreed that they themselves would enroll in hospice if terminally ill, only 27 percent would discuss hospice as an option with a terminal patient who had 4-6 months to live.

How can this disconnect between patients and their doctors be explained? In order to answer this question, I have informally surveyed many of my fellow physicians to understand their attitudes toward the subject of death and dying. Here are the most common responses I’ve gathered and the changes in mindset that I’d like to see happen:

“It’s not my job. My passion is for saving lives.”

This response touches my heart deeply as it echoes my own inspiration for choosing to become a doctor, when I was just 12 years old, so that I could “help people and save lives.” Not only do most doctors embrace this mission of saving their patients from death, but our society, as well, holds an expectation that doctors will do everything in their power to support and spare life.

We physicians take this expectation seriously and carry it as our mandate and our motivator. On many occasions I have witnessed my colleagues sacrificing their own comfort, health and personal wellbeing in order to do whatever was necessary to save the life of another human being, such as toiling in the OR all night — without sleep, food or a bathroom break — to repair a patient’s badly lacerated liver, an injury that would have claimed that person’s life had the doctor not been so dedicated and persistent.

Ideally, we doctors must maintain that passion for life, but we must also make room for death, since every patient we treat will ultimately die from one cause or another. Doctors need to cultivate a view of life that includes the reality of death.

“I don’t have enough time, and the end of life is less important
than other issues I’m expected to discuss with patients.”

Time is a premium commodity for nearly every doctor and there is precious little of it available. The average primary care office visit with an elderly patient lasts 15.7 minutes and covers six topics, according to a study by Health Services Research. Understandably, doctors must prioritize the information they discuss with patients and if the end of life isn’t perceived as a necessary topic then it most likely won’t be addressed.

Here the required mindset shift for doctors is to view the end of life as the final stage of life, a stage that has equal importance to all other stages. In fact, the end of life can be a time of great transformation and healing for patients and their families when there is time to prepare and do the important emotional and spiritual work required. Doctors can play a significant role in this process by helping patients identify when they have entered this final stage and when it is time to shift their focus away from treatment and toward inner work.

“Death represents failure.”

When doctors carry within them the expectation that they are here to save their patients’ lives, then every death is, indeed, a failure. In fact, many of my colleagues are quietly bearing unhealed grief over every life that has been lost under their watch. This burden of grief and guilt can cause doctors to avoid the subject of death and distance themselves from patients who are dying because the pain has become unbearable, as was shown in a study of oncologists in Canada.

But since death is inevitable and will be the outcome for each of us, we must find a way to accept it as a natural and necessary occurrence. In nature, physical life cannot exist without death, so we can only truly promote life if we include death as part of the process. Doctors must widen their view of the stages of life and expand their mission to incorporate dying as a necessary path for each patient, not a failure.

“I don’t want to take away my patient’s hope.”

I often see doctors struggle with the concept of hope and its role in patients’ recovery and healing. There is a belief that if hope can be kept alive, the patient can be kept alive, as well, and many doctors hold themselves responsible for generating that life-sustaining hope, even if it is unrealistic. So it is no wonder that those doctors fear introducing a conversation about the end of life, since that topic seems to be the antithesis of hope.

But in reality, patients hope for many things throughout the course of an illness, among them being relief from physical discomfort, time with loved ones and a sense of meaning in their lives. Even when a cure is not possible there is still much to hope for during the final days of life, so looking at the end of life realistically does not mean the end of hope — just a shift in the focus of that hope. Doctors must recognize that genuine hope cannot be destroyed by the truth, but can actually be enhanced for patients when they face the future with realistic expectations and have time to plan for their final days.

Ultimately doctors will become more open to discussions about the end of life because they will be required to do so — by the demands of their patients and the medical system, and also by the very fact that they themselves will be confronted with death in their own lives. Medical care for patients at all stages of life will improve when the providers of that care can hold the sanctity of both life and death in their awareness.

Until then we must continue our end-of-life conversations, shining light on this subject that can no longer be relegated to the darkness. Join the discussion at End-of-Life University where you can listen to informative talks on all aspects of death and dying.


Dr. Karen Wyatt is a hospice and family physician and the author of the award-winning book “What Really Matters: 7 Lessons for Living from the Stories of the Dying.” She is a frequent keynote speaker and radio show guest whose profound teachings have helped many find their way through the difficult times of life. Learn more about her work at www.karenwyattmd.com.