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United States

Medical tourism to Mexico is on the rise, but it can come with risks

CNN

www.cnn.com › 2023 › 03 › 07 › health › medical-tourism-mexico-trend-wellness › index.html

One of the four Americans who were kidnapped in Mexico last week was traveling for medical tourism, a friend said. A growing number of US residents are traveling internationally to seek more affordable medical care, more timely care or access to certain treatments or procedures that are unapproved or unavailable in the United States.

Kelela Knows What Intimacy Sounds Like

The Atlantic

www.theatlantic.com › culture › archive › 2023 › 03 › kelela-interview-raven-album-review › 673296

On a Tuesday afternoon last month, I found refuge from the dreary chill of New York’s winter in the cardamom-scented warmth of Benyam Cuisine, a small Ethiopian restaurant in Harlem. The family-run establishment is normally only open for dinner Wednesday through Sunday. But that day, a co-owner trekked in from Jersey City to indulge two homesick Ethiopian American women: myself and Kelela, the enigmatic R&B singer whose fan base includes the likes of Beyoncé, Solange, Björk, and, not coincidentally, the Benyam host’s niece.

Kelela, who is 39, has cultivated a mystique that’s exceedingly rare in the modern music business. It’s been nearly 10 years since she released her 2013 mixtape, Cut 4 Me, which earned her an eclectic following of industry heavyweights, R&B purists, dance-music DJs, and indie obsessives. In 2017, she dropped her studio debut, Take Me Apart, which cemented her standing as one of modern R&B’s most inventive vocalists. Take Me Apart is by turns brooding, defiant, and haunting—and in each register, Kelela’s voice wraps itself around the melodies with hypnotic confidence. After that creative leap and the subsequent tour, she essentially vanished.

[Read: Björk is building a matriarchy]

Save for some remixes and the occasional social-media missive, Kelela has been all but silent in the five years that have passed since Take Me Apart. She hasn’t released any buzzy new singles or done one-off features on pop tracks to keep her name in headlines. By 2020, fans were lamenting her apparent disappearance with escalating levels of desperation, waxing poetic about her old music in her absence. Her lyrics and distinctive sonic landscapes had clearly embedded themselves in her fans’ most tender, intimate moments. “For me, that just hit so hard,” she told me as we talked over therapeutic mugs of spiced tea and a generous platter of injera.

When it came time to finally announce her new record, Raven, which was released last month, Kelela indulged her fans a little. The singer teased the album’s arrival with compilation videos highlighting some of their most amusing grievances:

@kelelam please come back I have problems at home

what is joe biden’s plan to get kelela back into a studio
            His silence is deafening

kelela can u pls release something we r sorry for whatever we did to u

Among Kelela’s most ardent admirers, the artist is beloved for operating as a conduit: If there’s a feeling you can’t access, at least one Kelela track will usher you toward it. Somewhere between honeyed vocals and eerie synths, her music creates a space for release. Whatever emotion you’ve been avoiding in your life will rise to the surface. “If you came to the club to dissociate, I’m ’bout to make you cry,” she said with a wry laugh. She also serves as a conduit for her collaborators: On “Scales,” a standout from Solange’s 2016 opus, A Seat at the Table, Kelela’s harmonizing somehow makes Solange sound more like herself.

To fans, the fact that Kelela’s absence coincided with the height of the pandemic deprived them of an alternative emotional language during an acutely difficult period. Even so, many of the tweets directed at her were as gentle and reassuring as they were pleading. We may be suffering without new music, they seemed to say, but take the time you need. Kelela choked up a bit thinking about it. “It’s so empathetic,” she said. “It’s so anti-capitalist, it’s so pro-Black, and that matters so much to me.”

Before she became a singer so adored that fans Photoshop her face onto missing-persons posters, Kelela Mizanekristos was a student of sociology and of her parents’ record collections. The only child of two Ethiopian immigrants who came to the United States in the ’70s, Kelela was born in Washington, D.C., and raised speaking Amharic, the official national language of the country her parents left behind. (In Amharic, kelela loosely translates to “shelter.”) Her parents, who never married, lived in separate apartments in the same building until she reached school age and her mother moved the pair to Gaithersburg, a nearby suburb in Maryland.

Much of Kelela’s musical diet when she was a child was shaped by her parents’ transoceanic tastes. Like many second-generation kids, she grew up listening to a mix of American pop and R&B (Whitney Houston, Janet Jackson, Teddy Pendergrass) and so-called world music (Miriam Makeba, Aster Aweke). In her mother’s basement, which she dubbed the “Conservatory of Kelela,” she immersed herself in the discographies of jazz singers such as Ella Fitzgerald, Sarah Vaughan, and Betty Carter.

Of the R&B staples she was raised on, it’s Janet Jackson’s influence that comes through most clearly across Kelela’s oeuvre. The three-album arc from 1989’s Rhythm Nation 1814 to 1993’s Janet to 1997’s The Velvet Rope showed her how one artist can encompass an array of perspectives, feelings, and sonic backdrops. Before Kelela had the words to describe it, Jackson’s triad taught her about a specific musical and emotional agility that she’s come to associate chiefly with the work of shape-shifting Black artists. “That’s a very special thing, to reveal a lot of yourself and have it [feel] like such a range and fit a different mood each time,” she said. “From leading with the political to ‘I’m so sexy, I can’t contain it’ and then finally to … resistance … It’s a texture and a way of being that I just love so much.”

[Read: Janet Jackson’s overdue inclusion in the Rock and Roll Hall of Fame]

On car rides, Kelela’s dad threw in tapes that she credits with far more than her musical stylings. Tracy Chapman’s 1988 self-titled debut played a formative role in her understanding of what it could look like to be a Black woman in America, along an entire spectrum of gender presentation, long before she had the language to describe her own queerness. The experience of reading the liner notes for the first time was transformative. “My dad had a political project with that one,” she said with a laugh.

Kelela’s father wanted to ensure that his American-raised daughter would value not only her Ethiopian heritage but also a broader sense of Blackness. She says he stoked much of her curiosity about the world, especially her interest in forging stronger, more intentional ties across the African diaspora.

Since Kelela released Cut 4 Me, she’s been insistent that she makes Black music drawn from a deep R&B tradition. Like other artists who make “alt, left-of-center” music, the dance- or club-inflected tracks that draw from Black queer countercultures, she’s often asked to categorize her sound. R&B singers are known for their scale-spanning vocal runs, yet Kelela says that she has peers who resist that label, despite singing exclusively with runs. “If you ask them if their music is R&B, there’s a way that they feel like it’s reductive,” she said, which she attributes partly to anti-Blackness. In an industry climate that remains deeply racist, there can be serious economic consequences for Black artists who explicitly align themselves with the genre label first coined to replace the term race music. But for Kelela, the category is always R&B: “Obviously, we’re all complex here, but I make Black music. In no way, shape, or form am I confused.”

As we talk, Kelela excitedly mentions a nascent project she’s been thinking through since the early pandemic days. It has no real form yet, much less a cohesive format like an album, but whatever it ultimately becomes, she wants it to challenge people who are more interested in appearing to be connected with Black people than in actually doing any internal or community-focused work. As her father often puts it to her, it’s really easy to get Black solidarity wrong.

For a certain type of middle- or upper-middle-class Ethiopian kid living in the United States, getting Black solidarity wrong isn’t just easy—in a lot of instances, it’s tacitly encouraged. As a young person growing up in an area that has the largest Ethiopian population outside Africa, Kelela noticed the preferential treatment she and others like her would sometimes receive. Often, that played out in social settings, where the desire that some men expressed for Ethiopian women clearly resulted from anti-Blackness, internalized or otherwise. To put it crudely, it doesn’t feel like a coincidence that the features some people cite when praising Ethiopian women—loosely curled hair, small nose, light to medium skin tone—are usually the ones that are perceived as distinguishing Ethiopians from other Black people.

[Read: The fleeting promise of a peaceful Ethiopia]

In moments of frustration, especially in the face of postparty catcalls, a younger Kelela would sometimes prod men to admit this. Barely over 5 feet tall, she’s hardly the most intimidating figure, even now. But the force of her budding political convictions—and, crucially, the seeming invincibility of youth—made it easier to confront men who seemed content to use her as a cudgel against other Black women.

Ethiopians, like many African immigrant groups, are relative newcomers to the United States; it wasn’t until the 1950s that significant numbers of Ethiopians arrived in the country, and the biggest waves came in the decades that followed. (Kelela’s parents, who left Ethiopia amid the escalating political turmoil of the ’70s, were among the earlier groups.) Some white Americans are clearly more comfortable interacting with African immigrants than with Black Americans. Among upwardly mobile Ethiopians in the United States, that tokenization is sometimes further amplified by the East African country’s long, incredibly fraught history as a symbol of diasporic independence.

Since her early college days, Kelela has been preoccupied with what it means for second-generation African immigrants to actually show up for other Black people. Not only did Ethiopians never bear the brunt of North American slavery, but we also, by and large, weren’t the ones who desegregated public schools and lobbied for civil-rights legislation. Having matured into one of the most prominent second-generation African musicians in the United States, Kelela wants to use her platform to directly challenge fellow diaspora kids. To her, the fact that we’re able to forge creative careers after just one generation in the U.S. means “it’s our responsibility to be concerned for Black Americans’ safety, as people who are benefiting from the ways that they have paid it generation after generation.”

Kelela started working on the music that would become Raven when she was living in Berlin, in January 2020. She’d spent much of the past two years touring internationally—a physically and mentally exhausting gantlet that saw her in Brazil, Japan, Ireland, Norway, and festivals across the United States. Berlin needed to be a clean slate.

Kelela approached the DJ and producer Lsdxoxo, who was on her Take Me a_Part, the Remixes, about collaborating on new songs. She remembers thinking, “I just need a safe beginning right now, and I don’t even know what I’m doing.” Her week working with Lsdxoxo, and later with the Berlin duo OCA, was far more revelatory than she could have anticipated. Kelela started with nothing and ended the creative sprint with “the color and the whole thing”—13 of the 15 tracks that would ultimately become Raven. The title track came the following month in an ecstatic session with the producer AceMo.

But the album hadn’t yet coalesced into the thing she wanted it to be. Kelela needed her project to be a record that would calm her anxieties about the legitimacy of her work through the very process of creating it. “By not editing too much, by not going to an ‘expert white guy’ as an executive producer,” Kelela said, she set about trying to make the work itself feel more affirming. Raven was executive-produced by Kelela and co-executive-produced by her longtime collaborator, the Los Angeles–based DJ and producer Asmara. Over Zoom, the pair worked their way through the tracks Kelela had recorded in Berlin. Very few men were involved in the process, Asmara told me—one of the more rewarding aspects of the project. “We masculinize technical skills in the music industry,” Bambii, another collaborator, told me. Black women are often shut out of production roles.

Raven delivers on the sly teasing of its reveal. On one track, arguably the album’s most sensual, Kelela sings a line that registers as a winking nod to one of the most heavily circulated tweets from her hiatus: a joke about the role her music plays in queer intimacy. Taking a cue from its avian eponym, the album is dark and complex, at times feeling almost otherworldly. Beginning with its ethereal intro, “Washed Away,” Raven captures the listener’s yearning—for another person, perhaps, but also for another Kelela record—with eerie precision: “The hope, the longing, fade away, blurry-eyed.” By the album’s final track, “Far Away,” a reprise of “Washed Away,” the “dust that settles in the night” has been traded for “the rain that pours / And the floody nights.” With repetition comes release.

If Take Me Apart was an undoing, Raven is a rebirth. On a few tracks, it gestures toward Kelela’s absence with a characteristic smirk. But more often, the record expands on both the emotional terrain and the dexterity of its predecessor. A soundtrack tailor-made for the singular intensity of finding yourself—or someone else—in the woozy glow of the club, Raven is a work of staggering, studied intimacy. In that, it’s a direct reflection of the years Kelela has spent digging deep into not just her musical craft but also Black feminist theory.

To the extent that Raven has a thesis, it’s a treatise on the marvel of Black interdependence. In a world that constantly threatens the survival of Black women and Black queer people, making art that articulates our emotional needs is its own liberatory wonder. “This record is meant to highlight and uplift the internal work that marginalized Black folks are doing that no one can see,” Kelela said. “And in this album, that’s being vulnerable in the face of being treated like shit—while also having boundaries.”

Part of what pulses through Raven is Kelela’s willingness to plumb fraught emotional territory so that the listener’s catharsis might prove less brutal. She wants to be the conduit her fans have come to rely on. “I do see myself as somebody who’s kind of dealing between worlds, helping translate what you’re feeling into something, giving you a space to be,” she said as we sat and talked after walking through the Africa Center’s “States of Becoming” exhibition, some 40 blocks away from Benyam at the northern end of New York’s Museum Mile. Her listeners, for their part, have responded to the new album with the same fervor that animated their half decade requesting it.

For all its bounce, Raven has a clear theoretical underpinning, an interest in exploring misogynoir and how we push back against it. Often, those small rebellions take place within the container of romantic relationships. “On the Run,” for example, is an expression of unmet needs: “I shouldn’t have to try / Not gonna read your mind / Give me a softer side / I won’t wait all night.” It’s one of several songs on the album that telegraph the classic Kelela combo: heaps of vulnerability garnished with an unequivocally expressed interest in self-preservation.

Part of what took Kelela so long to share this album was the work of settling into herself. She spent the height of the pandemic reading and theorizing with friends, inhaling books such as Sesali Bowen’s Bad Fat Black Girl and Cathy Park Hong’s Minor Feelings. “It’s giving bell hooks taught me,” she said with a laugh.

These works all made their way into the music, because they recalibrated her relationship to herself and to those around her. If Kelela had shared the tracks she’d had sitting around as singles back in early 2020, she said, it would have undercut the depth of what is now Raven. Put more plainly, she wasn’t yet scared enough of the risks she’d taken in the music. “My theory is that it’s very audible; those intentions are very audible,” Kelela said. “If I don’t feel on the edge, you ain’t gonna feel on the edge.”

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How Are Trump Supporters Still Doing This?

The Atlantic

www.theatlantic.com › newsletters › archive › 2023 › 03 › trump-supporters-cpac › 673300

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This is an edition of The Atlantic Daily, a newsletter that guides you through the biggest stories of the day, helps you discover new ideas, and recommends the best in culture. Sign up for it here.

Former President Donald Trump gave a long and deranged speech at the Conservative Political Action Conference this weekend. We need to stop treating support for Trump as if it’s just another political choice and instead work to isolate his renewed threat to our democracy and our national security.

But first, here are three new stories from The Atlantic.

Cover story: The new anarchy Special ed shouldn’t be separate. Pregnancy shouldn’t work like this.

A Test of Character

Donald Trump went to CPAC and gave a speech that was, even by his delusional standards, dark and violent. Much of it was hallucinatory. Amusing as it is to listen to President von Munchausen and his many “sir” stories, Trump is the former commander in chief of the U.S. armed forces and the current front-runner for the Republican nomination in 2024. He is as  dangerous as ever to our democracy and to our national security.

But I also want to turn attention from Trump’s evident emotional issues to consider a more unsettling question: How, in 2023, after all we know about this man and his attacks on our government and our Constitution, do we engage the people who heard that speech and support Donald Trump’s candidacy? How do we turn the discussion away from partisanship and toward good citizenship—and to the protection of our constitutional order?

In the past, reporters have approached such questions gingerly, poking their head into coffee shops, asking for comments at rallies, and claiming to overhear conversations at gas stations, all in the service of trying to understand Trump voters. (Only The Daily Show’s Jordan Klepper has ever managed to get anywhere in such interviews, and the answers he elicits are often terrifyingly dumb.) These respectful conversations with Trump voters have produced almost nothing useful beyond failed theories about “economic anxiety” and other rationalizations that capture little about why Trump voters continue to support a posse of authoritarian goons.

In 2016, Trump supporters could lean on a slew of hopeful arguments: Trump is just acting; he’ll hire professional staff; the “good” Republicans will keep him in line; the job will sober him up. All of these would be disproved over time. (It didn’t help that the alternative at the time was Hillary Clinton, for whom I voted but whose campaign was a tough sell to many people.) But by 2020, Trump, along with his enablers at Fox and other right-wing outlets, had created a kind of impermeable anti-reality field around the GOP base. This shell of pure denial defeated almost any argument about anything.

Media, flummoxed by having a sociopathic narcissist in the Oval Office, treated Trump like a normal political leader, and soon we all—even me—became accustomed to the fact that the president of the United States routinely sounded like the guy at the end of the bar who makes you decide to take your drink over to a table or a booth. When Joe Biden won, I hoped that this strange fever gripping so many Americans would finally pass. But the fever did not break, not even after January 6, 2021, and the many hearings that showed Trump’s responsibility for the events of that black day.

And now Trump has kicked off his attempt to regain office with a litany of lunacy. His speech at CPAC has been recounted by my Atlantic colleagues; John Hendrickson notes Trump’s return to the classics of grievance, and McKay Coppins describes how Trump has managed to become part of the typically boring CPAC kitsch.

But we shouldn’t mistake Trump’s gibbering for harmless political glossolalia. As Charlie Sykes said this morning, CPAC is “a serious threat masquerading as a cultic circus cum clown car,” and revealed “what a Trump 2.0 would look like.” This is a former president whose pitch included “I am your retribution.” Retribution for what, exactly, was left unsaid, but revenge for being turned out of office is likely high on the list. The Trumpian millennium turned into a tawdry four years of grubby incompetence and an ignominious loss. If Trump wins again, there will be a flurry of pardons, the same cast of miscreants will return to Pennsylvania Avenue, and, this time, they won’t even pretend to care about the Constitution or the rule of law.

Imagine an administration where we’ll all be nostalgic for the high-mindedness of Bill Barr.

Trump also reminded us that he is an existential menace to our national security. He reveled in a story he first told last spring—almost certainly a fiction—about how he informed a meeting of NATO leaders that he would let the Russians roll over them if they weren’t paid up. (Trump still thinks NATO is a protection racket.) He then fantasized about how easily a Russian attack could destroy NATO’s headquarters.

We’ve all cataloged this kind of Trumpian weirdness many times, and I still feel pity for the fact-checkers who try to keep up with him. But I wonder if there is any point. By now it should be clear that the people listening to Trump don’t care about facts, or even about policy or politics. They enjoy the show, and they want it back on TV for another four years. And this is a problem not with Trump but with the voters.

It is long past time to admit that support for Trump, after all that we now know, is a moral failing. As I wrote in a recent book, there is such a thing as being a bad citizen in a democracy, and we should cease the pretend arguments about policy—remember, the 2020 GOP convention didn’t even bother with a platform. Instead, anyone who cares about the health of American democracy, of any party or political belief, should say clearly that to applaud Trump’s fantasies and threats at CPAC is to show an utter lack of civic character. (I might say that it is no better than applauding David Duke, but why invoke the former KKK leader when Trump has already had dinner with Nick Fuentes, a white supremacist who he seems to think is a swell guy?)

The man who bellowed and sweated his way through almost two hours of authoritarian madness is still the same man who instigated an attack on our Capitol (and on his own vice president), the man who would hand our allies to Russia if they’re behind on the vig, the man who thinks a free press is his enemy, the man who tried to wave away a pandemic as thousands and thousands of Americans died.

Stigma and judgment have a place in politics. There was a time when we forced people out of public life for offenses far less than Donald Trump’s violent and seditious corruption. We were a better country for it, and returning to that better time starts with media outlets holding elected Republicans to account for Trump’s statements—but also with each of us refusing to accept rationalizations and equivocation from even our friends and family. I said in 2016 that the Trump campaign was a test of character, and that millions of us were failing it. The stakes are even clearer and steeper now; we cannot fail this test again.

Related:

The martyr at CPAC Trump has become the thing he never wanted to be.

Today’s News

The Biden administration is reportedly considering a mass-vaccination campaign for poultry as an outbreak of bird flu continues to kill millions of chickens. Former Maryland Governor Larry Hogan announced yesterday that he would not be seeking the Republican presidential nomination in 2024. A stampede at a GloRilla concert in Rochester, New York, on Sunday night killed one person and injured nine more. Two of the injured are in critical condition.

Dispatches

Up for Debate: Conor Friedersdorf rounds up more reader responses about organized religion.

Explore all of our newsletters here.

Evening Read

Teresa Kopec / Getty

A Bird’s-Eye View

By Elaine Godfrey

Have you ever looked at a duck? I mean really looked at one.

If you have, then you’ve probably noticed how a duck somehow manages to appear graceful and goofy at the same time, with her rounded head nestled perfectly into her body and her rubbery feet flapping beneath the water. Sometimes she’ll twist her elegant neck around to peck and pull at her wings, preening—which actually involves gathering oil from glands near her tail and combing it through her feathers to keep them waterproof.

This is important work for a duck. And it can be nice to watch, pondering how else she occupies her time and letting your mind wander back to childhood memories of Beatrix Potter’s Jemima Puddle-Duck and Robert McCloskey’s Make Way for Ducklings. I indulged in this for a while this week during a tour of the National Zoo’s Bird House, in Northwest Washington, D.C. After six years of renovation, the exhibit will finally reopen on March 13.

Read the full article.

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Culture Break

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Read. Wolfish, Erica Berry’s debut book, explores what we perceive as threats—and teaches us to live with our fears.

Watch. If blockbuster-level gore is what you’re after, our critic writes, Cocaine Bear (in theaters) delivers.

Play our daily crossword.

P.S.

Some folks on social media recently pointed me to a documentary on Amazon Prime titled The Sound of 007. I am a sucker for all things James Bond (and I have been known to have some controversial views on casting the role), but I especially love the music. The brassy horns and electric guitars, the cheesy lyrics, the overwrought performances—all of it makes me wish I were playing baccarat in London or Hong Kong in 1967 while smoking and saying things like “banco.”

There’s a lot in the special about John Barry, the king of 007 scores, and especially about the origins of Monty Norman’s instantly recognizable theme. (Weird factoid: It was originally meant for a musical that Norman was writing based on a V. S. Naipaul novel set among the East Indian community of Trinidad, and so it had a kind of bouncy, sitar-influenced sound. Barry jazzed it up.) The documentary includes many interviews and archival clips, and some of the stories behind these songs are amazing: Dame Shirley Bassey had to take off her bustier to hit the notes in “Goldfinger,” and Tom Jones says he nearly passed out trying to finish off “Thunderball.” There’s also some honest talk about the not-great themes: Dame Shirley detested “Moonraker,” and no one much liked “All Time High,” from Octopussy. The producer Harry Saltzman apparently tried to veto one of the true classics, “Diamonds Are Forever,” because it was too risqué. (No, really.) I admit I yawned a bit at the later contributions from Sam Smith and Billie Eilish, but The Sound of 007 is an engrossing musical tour through the Bond movies.

— Tom

Isabel Fattal contributed to this newsletter.