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Similarly, Karl Hess wrote that "libertarianism wants to advance principles of property but that it in no way wishes to defend, willy nilly, all property which now is called private ... Much of that property is stolen. Much is of dubious title. All of it is deeply intertwined with an immoral, coercive state system".
Anarchists view capitalism as an inherently authoritarian and hierarchical system and seek the abolishment of private property. There is disagreement between anarchists and anarcho-capitalists as the former generally rejects anarcho-capitalism as a form of anarchism and considers "anarcho-capitalism" a contradiction in terms, while the latter holds that the abolishment of private property would require expropriation which is "counterproductive to order" and would require a state.
Common property.
As opposed to socialist anarchists, most anarcho-capitalists reject the commons. However, some of them propose that non-state public or community property can also exist in an anarcho-capitalist society. For anarcho-capitalists, what is important is that it is "acquired" and transferred without help or hindrance from what they call the "compulsory state". Deontological anarcho-capitalists believe that the only just and most economically beneficial way to acquire property is through voluntary trade, gift, or labor-based original appropriation, rather than through aggression or fraud.
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Anarcho-capitalists state that there could be cases where common property may develop in a Lockean natural rights framework. Anarcho-capitalists make the example of a number of private businesses which may arise in an area, each owning the land and buildings that they use, but they argue that the paths between them become cleared and trodden incrementally through customer and commercial movement. These thoroughfares may become valuable to the community, but according to them ownership cannot be attributed to any single person and original appropriation does not apply because many contributed the labor necessary to create them. In order to prevent it from falling to the "tragedy of the commons", anarcho-capitalists suggest transitioning from common to private property, wherein an individual would make a homesteading claim based on disuse, acquire title by the assent of the community consensus, form a corporation with other involved parties, or other means.
American economist Randall G. Holcombe sees challenges stemming from the idea of common property under anarcho-capitalism, such as whether an individual might claim fishing rights in the area of a major shipping lane and thereby forbid passage through it. In contrast, Hoppe's work on anarcho-capitalist theory is based on the assumption that all property is privately held, "including all streets, rivers, airports, and harbors" which forms the foundation of his views on immigration.
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Intellectual property.
Some anarcho-capitalists strongly oppose intellectual property (i.e., trademarks, patents, copyrights). Stephan N. Kinsella argues that ownership only relates to tangible assets.
Contractual society.
The society envisioned by anarcho-capitalists has been labelled by them as a "contractual society" which Rothbard described as "a society based purely on voluntary action, entirely unhampered by violence or threats of violence" The system relies on contracts between individuals as the legal framework which would be enforced by private police and security forces as well as private arbitrations.
Rothbard argues that limited liability for corporations could also exist through contract, arguing that "[c]orporations are not at all monopolistic privileges; they are free associations of individuals pooling their capital. On the purely free market, those men would simply announce to their creditors that their liability is limited to the capital specifically invested in the corporation".
There are limits to the right to contract under some interpretations of anarcho-capitalism. Rothbard believes that the right to contract is based in inalienable rights and because of this any contract that implicitly violates those rights can be voided at will, preventing a person from permanently selling himself or herself into unindentured slavery. That restriction aside, the right to contract under anarcho-capitalist order would be pretty broad. For example, Rothbard went as far as to justify stork markets, arguing that a market in guardianship rights would facilitate the transfer of guardianship from abusive or neglectful parents to those more interested or suited to raising children. Other anarcho-capitalists have also suggested the legalization of organ markets, as in Iran's renal market. Other interpretations conclude that banning such contracts would in itself be an unacceptably invasive interference in the right to contract.
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Included in the right of contract is "the right to contract oneself out for employment by others". While anarchists criticize wage labour describing it as wage slavery, anarcho-capitalists view it as a consensual contract. Some anarcho-capitalists prefer to see self-employment prevail over wage labor. David D. Friedman has expressed a preference for a society where "almost everyone is self-employed" and "instead of corporations there are large groups of entrepreneurs related by trade, not authority. Each sells not his time, but what his time produces".
Law and order and the use of violence.
Different anarcho-capitalists propose different forms of anarcho-capitalism and one area of disagreement is in the area of law. In "The Market for Liberty", Morris and Linda Tannehill object to any statutory law whatsoever. They argue that all one has to do is ask if one is aggressing against another in order to decide if an act is right or wrong. However, while also supporting a natural prohibition on force and fraud, Rothbard supports the establishment of a mutually agreed-upon centralized libertarian legal code which private courts would pledge to follow, as he presumes a high degree of convergence amongst individuals about what constitutes natural justice.
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Unlike both the Tannehills and Rothbard who see an ideological commonality of ethics and morality as a requirement, David D. Friedman proposes that "the systems of law will be produced for profit on the open market, just as books and bras are produced today. There could be competition among different brands of law, just as there is competition among different brands of cars". Friedman says whether this would lead to a libertarian society "remains to be proven". He says it is a possibility that very un-libertarian laws may result, such as laws against drugs, but he thinks this would be rare. He reasons that "if the value of a law to its supporters is less than its cost to its victims, that law ... will not survive in an anarcho-capitalist society".
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Rothbard stated that the American Revolutionary War and the American Civil War were the only two just wars in American military history. Some anarcho-capitalists such as Rothbard feel that violent revolution is counter-productive and prefer voluntary forms of economic secession to the extent possible. Retributive justice is often a component of the contracts imagined for an anarcho-capitalist society. According to Matthew O'Keefee, some anarcho-capitalists believe prisons or indentured servitude would be justifiable institutions to deal with those who violate anarcho-capitalist property relations while others believe exile or forced restitution are sufficient. Rothbard stressed the importance of restitution as the primary focus of a libertarian legal order and advocated for corporal punishment for petty vandals and the death penalty for murders.
American economist Bruce L. Benson argues that legal codes may impose punitive damages for intentional torts in the interest of deterring crime. Benson gives the example of a thief who breaks into a house by picking a lock. Even if caught before taking anything, Benson argues that the thief would still owe the victim for violating the sanctity of his property rights. Benson opines that despite the lack of objectively measurable losses in such cases, "standardized rules that are generally perceived to be fair by members of the community would, in all likelihood, be established through precedent, allowing judgments to specify payments that are reasonably appropriate for most criminal offenses".
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Morris and Linda Tannehill raise a similar example, saying that a bank robber who had an attack of conscience and returned the money would still owe reparations for endangering the employees' and customers' lives and safety, in addition to the costs of the defense agency answering the teller's call for help. However, they believe that the robber's loss of reputation would be even more damaging. They suggest that specialized companies would list aggressors so that anyone wishing to do business with a man could first check his record, provided they trust the veracity of the companies' records. They further theorise that the bank robber would find insurance companies listing him as a very poor risk and other firms would be reluctant to enter into contracts with him.
Influences.
Murray Rothbard has listed different ideologies of which his interpretations, he said, have influenced anarcho-capitalism. This includes his interpretation of anarchism, and more precisely individualist anarchism; classical liberalism and the Austrian School of economic thought. Scholars additionally associate anarcho-capitalism with neo-classical liberalism, radical neoliberalism and right-libertarianism.
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Anarchism.
In both its social and individualist forms, anarchism is usually considered an anti-capitalist and radical left-wing or far-left movement that promotes libertarian socialist economic theories such as collectivism, communism, individualism, mutualism and syndicalism. Because anarchism is usually described alongside libertarian Marxism as the libertarian wing of the socialist movement and as having a historical association with anti-capitalism and socialism, anarchists believe that capitalism is incompatible with social and economic equality and therefore do not recognize anarcho-capitalism as an anarchist school of thought. In particular, anarchists argue that capitalist transactions are not voluntary and that maintaining the class structure of a capitalist society requires coercion which is incompatible with an anarchist society. The usage of "libertarian" is also in dispute. While both anarchists and anarcho-capitalists have used it, "libertarian" was synonymous with "anarchist" until the mid-20th century, when anarcho-capitalist theory developed.
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Anarcho-capitalists are distinguished from the dominant anarchist tradition by their relation to property and capital. While both anarchism and anarcho-capitalism share general antipathy towards government authority, anarcho-capitalism favors free-market capitalism. Anarchists, including egoists such as Max Stirner, have supported the protection of an individual's freedom from powers of both government and private property owners. In contrast, while condemning governmental encroachment on personal liberties, anarcho-capitalists support freedoms based on private property rights. Anarcho-capitalist theorist Murray Rothbard argued that protesters should rent a street for protest from its owners. The abolition of public amenities is a common theme in some anarcho-capitalist writings.
As anarcho-capitalism puts "laissez-faire" economics before economic equality, it is commonly viewed as incompatible with the anti-capitalist and egalitarian tradition of anarchism. Although anarcho-capitalist theory implies the abolition of the state in favour of a fully "laissez-faire" economy, it lies outside the tradition of anarchism. While using the language of anarchism, anarcho-capitalism only shares anarchism's antipathy towards the state and not anarchism's antipathy towards hierarchy as theorists expect from anarcho-capitalist economic power relations. It follows a different paradigm from anarchism and has a fundamentally different approach and goals. In spite of the "anarcho-" in its title, anarcho-capitalism is more closely affiliated with capitalism, right-libertarianism, and liberalism than with anarchism. Some within this "laissez-faire" tradition reject the designation of "anarcho-capitalism", believing that "capitalism" may either refer to the "laissez-faire" market they support or the government-regulated system that they oppose.
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Rothbard argued that anarcho-capitalism is the only true form of anarchismthe only form of anarchism that could possibly exist in reality as he maintained that any other form presupposes authoritarian enforcement of a political ideology such as "redistribution of private property", which he attributed to anarchism. According to this argument, the capitalist free market is "the natural situation" that would result from people being free from state authority and entails the establishment of all voluntary associations in society such as cooperatives, non-profit organizations, businesses and so on. Moreover, anarcho-capitalists, as well as classical liberal minarchists, argue that the application of anarchist ideals as advocated by what they term "left-wing anarchists" would require an authoritarian body of some sort to impose it. Based on their understanding and interpretation of anarchism, in order to forcefully prevent people from accumulating capital, which they believe is a goal of anarchists, there would necessarily be a redistributive organization of some sort which would have the authority to in essence exact a tax and re-allocate the resulting resources to a larger group of people. They conclude that this theoretical body would inherently have political power and would be nothing short of a state. The difference between such an arrangement and an anarcho-capitalist system is what anarcho-capitalists see as the voluntary nature of organization within anarcho-capitalism contrasted with a "centralized ideology" and a "paired enforcement mechanism" which they believe would be necessary under what they describe as a "coercively" egalitarian-anarchist system.
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Rothbard also argued that the capitalist system of today is not properly anarchistic because it often colludes with the state. According to Rothbard, "what Marx and later writers have done is to lump together two extremely different and even contradictory concepts and actions under the same portmanteau term. These two contradictory concepts are what I would call 'free-market capitalism' on the one hand, and 'state capitalism' on the other". "The difference between free-market capitalism and state capitalism", writes Rothbard, "is precisely the difference between, on the one hand, peaceful, voluntary exchange, and on the other, violent expropriation". He continues: "State capitalism inevitably creates all sorts of problems which become insoluble".
Traditional anarchists reject the notion of capitalism, hierarchies and private property. Albert Meltzer argued that anarcho-capitalism simply cannot be anarchism because capitalism and the state are inextricably interlinked and because capitalism exhibits domineering hierarchical structures such as that between an employer and an employee. Anna Morgenstern approaches this topic from the opposite perspective, arguing that anarcho-capitalists are not really capitalists because "mass concentration of capital is impossible" without the state. According to Jeremy Jennings, "[i]t is hard not to conclude that these ideas," referring to anarcho-capitalism, have "roots deep in classical liberalism" and "are described as anarchist only on the basis of a misunderstanding of what anarchism is." For Jennings, "anarchism does not stand for the untrammelled freedom of the individual (as the 'anarcho-capitalists' appear to believe) but, as we have already seen, for the extension of individuality and community." Similarly, Barbara Goodwin, Emeritus Professor of Politics at the University of East Anglia, Norwich, argues that anarcho-capitalism's "true place is in the group of right-wing libertarians", not in anarchism.
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Some right-libertarian scholars like Michael Huemer, who identify with the ideology, describe anarcho-capitalism as a "variety of anarchism". British author Andrew Heywood also believes that "individualist anarchism overlaps with libertarianism and is usually linked to a strong belief in the market as a self-regulating mechanism, most obviously manifest in the form of anarcho-capitalism". Frank H. Brooks, author of "The Individualist Anarchists: An Anthology of Liberty (1881–1908)", believes that "anarchism has always included a significant strain of radical individualism, from the hyperrationalism of Godwin, to the egoism of Stirner, to the libertarians and anarcho-capitalists of today".
While both anarchism and anarcho-capitalism are in opposition to the state, they nevertheless interpret state-rejection differently. Austrian school economist David Prychitko, in the context of anarcho-capitalism says that "while society without a state is necessary for full-fledged anarchy, it is nevertheless insufficient". According to Ruth Kinna, anarcho-capitalists are anti-statists who draw more on right-wing liberal theory and the Austrian School than anarchist traditions. Kinna writes that "[i]n order to highlight the clear distinction between the two positions", anarchists describe anarcho-capitalists as "propertarians". Anarcho-capitalism is usually seen as part of the New Right.
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Some anarcho-capitalists understand anarchism to mean something other than "opposition to hierarchy" and therefore consider the two traditions to be philosophically distinct. Therefore, the anarchist critique that anarcho-capitalist societies would necessarily contain hierarchies is not concerning to these anarcho-capitalists. Additionally, Rothbard discusses the difference between "government" and "governance" thus, proponents of anarcho-capitalism think the philosophy's common name is indeed consistent, as it promotes private governance, but is vehemently anti-government.
Classical liberalism.
Historian and libertarian Ralph Raico argued that what liberal philosophers "had come up with was a form of individualist anarchism, or, as it would be called today, anarcho-capitalism or market anarchism". He also said that Gustave de Molinari was proposing a doctrine of the private production of security, a position which was later taken up by Murray Rothbard. Some anarcho-capitalists consider Molinari to be the first proponent of anarcho-capitalism. In the preface to the 1977 English translation by Murray Rothbard called "The Production of Security" the "first presentation anywhere in human history of what is now called anarcho-capitalism", although admitting that "Molinari did not use the terminology, and probably would have balked at the name". Hans-Hermann Hoppe said that "the 1849 article 'The Production of Security' is probably the single most important contribution to the modern theory of anarcho-capitalism". According to Hans-Hermann Hoppe, one of the 19th century precursors of anarcho-capitalism were philosopher Herbert Spencer, classical liberal Auberon Herbert and liberal socialist Franz Oppenheimer.
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Ruth Kinna credits Murray Rothbard with coining the term "anarcho-capitalism", which is – Kinna proposes – to describe "a commitment to unregulated private property and laissez-faire economics, prioritizing the liberty-rights of individuals, unfettered by government regulation, to accumulate, consume and determine the patterns of their lives as they see fit". According to Kinna, anarcho-capitalists "will sometimes label themselves market anarchists because they recognize the negative connotations of 'capitalism'. But the literature of anarcho-capitalism draws on classical liberal theory, particularly the Austrian School – Friedrich von Hayek and Ludwig von Mises – rather than recognizable anarchist traditions. Ayn Rand's laissez-faire, anti-government, corporate philosophy – Objectivism – is sometimes associated with anarcho-capitalism". Other scholars similarly associate anarcho-capitalism with anti-state classical liberalism, neo-classical liberalism, radical neoliberalism and right-libertarianism.
Paul Dragos Aligica writes that there is a "foundational difference between the classical liberal and the anarcho-capitalist positions". Classical liberalism, while accepting critical arguments against collectivism, acknowledges a certain level of public ownership and collective governance as necessary to provide practical solutions to political problems. In contrast anarcho-capitalism, according to Aligica, denies any requirement for any form of public administration, and allows no meaningful role for the public sphere, which is seen as sub-optimal and illegitimate.
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Individualist anarchism.
Murray Rothbard, a student of Ludwig von Mises, stated that he was influenced by the work of the 19th-century American individualist anarchists. In the winter of 1949, Rothbard decided to reject minimal state "laissez-faire" and embrace his interpretation of individualist anarchism. In 1965, Rothbard wrote that "Lysander Spooner and Benjamin R. Tucker were unsurpassed as political philosophers and nothing is more needed today than a revival and development of the largely forgotten legacy they left to political philosophy". However, Rothbard thought that they had a faulty understanding of economics as the 19th-century individualist anarchists had a labor theory of value as influenced by the classical economists, while Rothbard was a student of Austrian School economics which does not agree with the labor theory of value.
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while Rothbard was a student of Austrian School economics which does not agree with the labor theory of value. Tucker thought that unregulated banking and money issuance would cause increases in the money supply so that interest rates would drop to zero or near to it. Peter Marshall states that "anarcho-capitalism overlooks the egalitarian implications of traditional individualist anarchists like Spooner and Tucker". Stephanie Silberstein states that "While Spooner was no free-market capitalist, nor an anarcho-capitalist, he was not as opposed to capitalism as most socialists were."
In "The Spooner-Tucker Doctrine: An Economist's View", Rothbard explained his disagreements. Rothbard disagreed with Tucker that it would cause the money supply to increase because he believed that the money supply in a free market would be self-regulating. If it were not, then Rothbard argued inflation would occur so it is not necessarily desirable to increase the money supply in the first place.
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If it were not, then Rothbard argued inflation would occur so it is not necessarily desirable to increase the money supply in the first place. Tucker held a labor theory of value and thought that in a free market people would be paid in proportion to how much labor they exerted and that exploitation or usury was taking place if they were not. As Tucker explained in "State Socialism and Anarchism", his theory was that unregulated banking would cause more money to be available and that this would allow the proliferation of new businesses which would, in turn, raise demand for labor. This led Tucker to believe that the labor theory of value would be vindicated and equal amounts of labor would receive equal pay. As an Austrian School economist, Rothbard did not agree with the labor theory and believed that prices of goods and services are proportional to marginal utility rather than to labor amounts in the free market. As opposed to Tucker he did not think that there was anything exploitative about people receiving an income according to how much "buyers of their services value their labor" or what that labor produces.
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Without the labor theory of value, some argue that 19th-century individualist anarchists approximate the modern movement of anarcho-capitalism, although this has been contested or rejected. As economic theory changed, the popularity of the labor theory of classical economics was superseded by the subjective theory of value of neoclassical economics and Rothbard combined Mises' Austrian School of economics with the absolutist views of human rights and rejection of the state he had absorbed from studying the individualist American anarchists of the 19th century such as Tucker and Spooner. In the mid-1950s, Rothbard wrote an unpublished article named "Are Libertarians 'Anarchists'?" under the pseudonym "Aubrey Herbert", concerned with differentiating himself from communist and socialistic economic views of anarchists, including the individualist anarchists of the 19th century, concluding that "we are "not" anarchists and that those who call us anarchists are not on firm etymological ground and are being completely unhistorical. On the other hand, it is clear that we are not archists either: we do not believe in establishing a tyrannical central authority that will coerce the noninvasive as well as the invasive. Perhaps, then, we could call ourselves by a new name: "non"archist." Joe Peacott, an American individualist anarchist in the mutualist tradition, criticizes anarcho-capitalists for trying to hegemonize the individualist anarchism label and make appear as if all individualist anarchists are in favor of capitalism. Peacott states that "individualists, both past and present, agree with the communist anarchists that present-day capitalism is based on economic coercion, not on voluntary contract. Rent and interest are the mainstays of modern capitalism and are protected and enforced by the state. Without these two unjust institutions, capitalism could not exist".
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Anarchist activists and scholars do not consider anarcho-capitalism as a part of the anarchist movement, arguing that anarchism has historically been an anti-capitalist movement and see it as incompatible with capitalist forms. Although some regard anarcho-capitalism as a form of individualist anarchism, many others disagree or contest the existence of an individualist–socialist divide. In coming to terms that anarchists mostly identified with socialism, Rothbard wrote that individualist anarchism is different from anarcho-capitalism and other capitalist theories due to the individualist anarchists retaining the labor theory of value and socialist doctrines. Similarly, many writers deny that anarcho-capitalism is a form of anarchism or that capitalism is compatible with anarchism.
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Davis writes that "Franks asserts without supporting evidence that most major forms of individualist anarchism have been largely anarcho-capitalist in content, and concludes from this premise that most forms of individualism are incompatible with anarchism". Davis argues that "the conclusion is unsustainable because the premise is false, depending as it does for any validity it might have on the further assumption that anarcho-capitalism is indeed a form of anarchism. If we reject this view, then we must also reject the individual anarchist versus the communal anarchist 'chasm' style of argument that follows from it". Davis maintains that "the ideological core of anarchism is the belief that society can and should be organised without hierarchy and domination.
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If we reject this view, then we must also reject the individual anarchist versus the communal anarchist 'chasm' style of argument that follows from it". Davis maintains that "the ideological core of anarchism is the belief that society can and should be organised without hierarchy and domination. Whether the individualist anarchists were "consistent" anarchists (and socialists) is another question entirely. ... McKay comments as follows: 'any individualist anarchism which supports wage labour is "inconsistent" anarchism. It "can" easily be made "consistent" anarchism by applying its own principles consistently. In contrast 'anarcho'-capitalism rejects so many of the basic, underlying, principles of anarchism ... that it cannot be made consistent with the ideals of anarchism.
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Historical precedents.
Several anarcho-capitalists and right-libertarians have discussed historical precedents of what they believe were examples of anarcho-capitalism.
Free cities of medieval Europe.
Economist and libertarian scholar Bryan Caplan considers the free cities of medieval Europe as examples of "anarchist" or "nearly anarchistic" societies, further arguing:
Medieval Iceland.
According to the libertarian theorist David D. Friedman, "[m]edieval Icelandic institutions have several peculiar and interesting characteristics; they might almost have been invented by a mad economist to test the lengths to which market systems could supplant government in its most fundamental functions". While not directly labeling it anarcho-capitalist, Friedman argues that the legal system of the Icelandic Commonwealth comes close to being a real-world anarcho-capitalist legal system. Although noting that there was a single legal system, Friedman argues that enforcement of the law was entirely private and highly capitalist, providing some evidence of how such a society would function. Friedman further wrote that "[e]ven where the Icelandic legal system recognized an essentially 'public' offense, it dealt with it by giving some individual (in some cases chosen by lot from those affected) the right to pursue the case and collect the resulting fine, thus fitting it into an essentially private system".
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Friedman and Bruce L. Benson argued that the Icelandic Commonwealth saw significant economic and social progress in the absence of systems of criminal law, an executive, or bureaucracy. This commonwealth was led by chieftains, whose position could be bought and sold like that of private property. Being a member of the chieftainship was also completely voluntary.
American Old West.
According to Terry L. Anderson and P. J. Hill, the Old West in the United States in the period of 1830 to 1900 was similar to anarcho-capitalism in that "private agencies provided the necessary basis for an orderly society in which property was protected and conflicts were resolved" and that the common popular perception that the Old West was chaotic with little respect for property rights is incorrect. Since squatters had no claim to western lands under federal law, extra-legal organizations formed to fill the void. Benson explains:
According to Anderson, "[d]efining anarcho-capitalist to mean minimal government with property rights developed from the bottom up, the western frontier was anarcho-capitalistic. People on the frontier invented institutions that fit the resource constraints they faced".
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Gaelic Ireland.
In his work "For a New Liberty", Murray Rothbard has claimed ancient Gaelic Ireland as an example of nearly anarcho-capitalist society. In his depiction, citing the work of Professor Joseph Peden, the basic political unit of ancient Ireland was the tuath, which is portrayed as "a body of persons voluntarily united for socially beneficial purposes" with its territorial claim being limited to "the sum total of the landed properties of its members". Civil disputes were settled by private arbiters called "brehons" and the compensation to be paid to the wronged party was insured through voluntary surety relationships. Commenting on the "kings" of tuaths, Rothbard stated:
Law merchant, admiralty law, and early common law.
Some libertarians have cited law merchant, admiralty law and early common law as examples of anarcho-capitalism.
In his work "Power and Market", Rothbard stated:
Somalia from 1991 to 2012.
Economist Alex Tabarrok argued that Somalia in its stateless period provided a "unique test of the theory of anarchy", in some aspects near of that espoused by anarcho-capitalists David D. Friedman and Murray Rothbard. Nonetheless, both anarchists and some anarcho-capitalists argue that Somalia was not an anarchist society.
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Analysis and criticism.
State, justice and defense.
Anarchists such as Brian Morris argue that anarcho-capitalism does not in fact get rid of the state. He says that anarcho-capitalists "simply replaced the state with private security firms, and can hardly be described as anarchists as the term is normally understood". In "Libertarianism: Bogus Anarchy", anarchist Peter Sabatini notes:
Similarly, Bob Black argues that an anarcho-capitalist wants to "abolish the state to his own satisfaction by calling it something else". He states that they do not denounce what the state does, they just "object to who's doing it".
Paul Birch argues that legal disputes involving several jurisdictions and different legal systems will be too complex and costly. He therefore argues that anarcho-capitalism is inherently unstable, and would evolve, entirely through the operation of free market forces, into either a single dominant private court with a natural monopoly of justice over the territory (a "de facto" state), a society of multiple city states, each with a territorial monopoly, or a 'pure anarchy' that would rapidly descend into chaos.
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Randall G. Holcombe argues that anarcho-capitalism turns justice into a commodity as private defense and court firms would favour those who pay more for their services. He argues that defense agencies could form cartels and oppress people without fear of competition. Philosopher Albert Meltzer argued that since anarcho-capitalism promotes the idea of private armies, it actually supports a "limited State". He contends that it "is only possible to conceive of Anarchism which is free, communistic and offering no economic necessity for repression of countering it".
Libertarian Robert Nozick argues that a competitive legal system would evolve toward a monopoly governmenteven without violating individuals' rights in the process. In "Anarchy, State, and Utopia", Nozick defends minarchism and argues that an anarcho-capitalist society would inevitably transform into a minarchist state through the eventual emergence of a monopolistic private defense and judicial agency that no longer faces competition. He argues that anarcho-capitalism results in an unstable system that would not endure in the real world. While anarcho-capitalists such as Roy Childs and Murray Rothbard have rejected Nozick's arguments, with Rothbard arguing that the process described by Nozick, with the dominant protection agency outlawing its competitors, in fact violates its own clients' rights, John Jefferson actually advocates Nozick's argument and states that such events would best operate in "laissez-faire". Robert Ellickson presented a Hayekian case against anarcho-capitalism, calling it a "pipe-dream" and stating that anarcho-capitalists "by imagining a stable system of competing private associations, ignore both the inevitability of territorial monopolists in governance, and the importance of institutions to constrain those monopolists' abuses".
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Some libertarians argue that anarcho-capitalism would result in different standards of justice and law due to relying too much on the market. Friedman responded to this criticism by arguing that it assumes the state is controlled by a majority group that has similar legal ideals. If the populace is diverse, different legal standards would therefore be appropriate.
Rights and freedom.
Negative and positive rights are rights that oblige either action (positive rights) or inaction (negative rights). Anarcho-capitalists believe that negative rights should be recognized as legitimate, but positive rights should be rejected as an intrusion. Some critics reject the distinction between positive and negative rights. Peter Marshall also states that the anarcho-capitalist definition of freedom is entirely negative and that it cannot guarantee the positive freedom of individual autonomy and independence.
About anarcho-capitalism, anarcho-syndicalist and anti-capitalist intellectual Noam Chomsky says:
Economics and property.
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Social anarchists argue that anarcho-capitalism allows individuals to accumulate significant power through free markets and private property. Friedman responded by arguing that the Icelandic Commonwealth was able to prevent the wealthy from abusing the poor by requiring individuals who engaged in acts of violence to compensate their victims financially.
Anarchists argue that certain capitalist transactions are not voluntary and that maintaining the class structure of a capitalist society requires coercion which violates anarchist principles. Anthropologist David Graeber noted his skepticism about anarcho-capitalism along the same lines, arguing:
Some critics argue that the anarcho-capitalist concept of voluntary choice ignores constraints due to both human and non-human factors such as the need for food and shelter as well as active restriction of both used and unused resources by those enforcing property claims. If a person requires employment in order to feed and house himself, the employer-employee relationship could be considered involuntary. Another criticism is that employment is involuntary because the economic system that makes it necessary for some individuals to serve others is supported by the enforcement of coercive private property relations. Some philosophies view any ownership claims on land and natural resources as immoral and illegitimate. Objectivist philosopher Harry Binswanger criticizes anarcho-capitalism by arguing that "capitalism requires government", questioning who or what would enforce treaties and contracts.
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Some right-libertarian critics of anarcho-capitalism who support the full privatization of capital such as geolibertarians argue that land and the raw materials of nature remain a distinct factor of production and cannot be justly converted to private property because they are not products of human labor. Some socialists, including market anarchists and mutualists, adamantly oppose absentee ownership. Anarcho-capitalists have strong abandonment criteria, namely that one maintains ownership until one agrees to trade or gift it. Anti-state critics of this view posit comparatively weak abandonment criteria, arguing that one loses ownership when one stops personally occupying and using it as well as the idea of perpetually binding original appropriation is anathema to traditional schools of anarchism.
Propertarianism.
Critics charge that the Propertarianist perspective prevents freedom from making sense as an independent value in anarcho-capitalist theory:
Literature.
The following is a partial list of notable nonfiction works discussing anarcho-capitalism.
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Aristophanes
Aristophanes (; ; ) was an Ancient Greek comic playwright from Athens. He wrote in total forty plays, of which eleven survive virtually complete today. The majority of his surviving plays belong to the genre of comic drama known as Old Comedy and are considered its most valuable examples. Aristophanes' plays were performed at the religious festivals of Athens, mostly the City Dionysia and the Lenaia, and several of them won the first prize in their respective competitions.
Also known as "The Father of Comedy" and "the Prince of Ancient Comedy", Aristophanes wrote plays that often dealt with real-life figures, including Euripides and Alcibiades, and contemporary events, such as the Peloponnesian War. He has been said to recreate the life of ancient Athens more convincingly than any other author. His plays are characterized by preposterous premises, explicit language, wordplays, and political satire. His powers of ridicule were feared and acknowledged by influential contemporaries; Plato singled out Aristophanes' play "The Clouds" as slander that contributed to the trial and subsequent condemning to death of Socrates, although other satirical playwrights had also caricatured the philosopher.
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Aristophanes' second play, "The Babylonians" (now lost), was denounced by Cleon as a slander against the Athenian "polis". It is possible that the case was argued in court, but details of the trial are not recorded and Aristophanes caricatured Cleon mercilessly in his subsequent plays, especially "The Knights", the first of many plays that he directed himself. "In my opinion," he says through that play's Chorus, "the author-director of comedies has the hardest job of all."
Biography.
An Athenian citizen, Aristophanes came from the deme of Kydathenaion, which was part of the Attic tribe ("phyle") of Pandionis. His father was Philippus and his mother was Zenodora. In antiquity, his family was assumed to have connections with the island of Aegina. Little is known about Aristophanes' life, his plays being the main source of biographical information. It was conventional in Old Comedy for the chorus to speak on behalf of the author during an address called the "parabasis", where some biographical facts can usually be found. These facts, however, relate almost entirely to his career as a dramatist and the plays contain few clear and unambiguous clues about his personal beliefs or his private life. He was a comic poet in an age when it was conventional for the playwright to also serve as the play's director ("didaskalos"). The term literally means "teacher," referring primarily to his role in training the chorus in rehearsal, but perhaps also covered his relationship with the audience as a commentator on significant issues.
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Aristophanes claimed to be writing for a clever and discerning audience, yet he also declared that "other times" would judge the audience according to its reception of his plays. He sometimes boasts of his originality as a dramatist yet his plays consistently espouse opposition to radical new influences in Athenian society. He caricatured leading figures in the arts (notably Euripides, whose influence on his own work however he once grudgingly acknowledged), in politics (especially the populist Cleon), and in philosophy/religion (where Socrates was the most obvious target). Such caricatures seem to imply that Aristophanes was an old-fashioned conservative, yet that view of him leads to contradictions.
It has been argued that Aristophanes produced plays mainly to entertain the audience and to win prestigious competitions. His plays were written for production at the great dramatic festivals of Athens, the Lenaia and City Dionysia, where they were judged and awarded prizes in competition with the works of other comic dramatists. An elaborate series of lotteries, designed to prevent prejudice and corruption, reduced the voting judges at the City Dionysia to just five. These judges probably reflected the mood of the audiences yet there is much uncertainty about the composition of those audiences. The theatres were certainly huge, with seating for at least 10,000 at the Theatre of Dionysus. The day's program at the City Dionysia for example was crowded, with three tragedies and a satyr play ahead of a comedy, but it is possible that many of the poorer citizens (typically the main supporters of demagogues like Cleon) occupied the festival holiday with other pursuits. The conservative views expressed in the plays might therefore reflect the attitudes of the dominant group in an unrepresentative audience.
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The production process might also have influenced the views expressed in the plays. Throughout most of Aristophanes' career, the Chorus was essential to a play's success and it was recruited and funded by a "choregus", a wealthy citizen appointed to the task by one of the archons. A choregus could regard his personal expenditure on the Chorus as a civic duty and a public honour, but Aristophanes showed in "The Knights" that wealthy citizens might regard civic responsibilities as punishment imposed on them by demagogues and populists like Cleon. Thus the political conservatism of the plays may reflect the views of the wealthiest section of Athenian society, on whose generosity all dramatists depended for putting on their plays.
When Aristophanes' first play "The Banqueters" was produced, Athens was an ambitious, imperial power and the Peloponnesian War was only in its fourth year. His plays often express pride in the achievement of the older generation (the victors at Marathon) yet they are not jingoistic, and they are staunchly opposed to the war with Sparta. The plays are particularly scathing in criticism of war profiteers, among whom populists such as Cleon figure prominently. By the time his last play was produced (around 386 BC) Athens had been defeated in war, its empire had been dismantled and it had undergone a transformation from being the political to the intellectual centre of Greece. Aristophanes was part of this transformation and he shared in the intellectual fashions of the period—the structure of his plays evolves from Old Comedy until, in his last surviving play, "Wealth II", it more closely resembles New Comedy. However it is uncertain whether he led or merely responded to changes in audience expectations.
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Aristophanes won second prize at the City Dionysia in 427 BC with his first play "The Banqueters" (now lost). He won first prize there with his next play, "The Babylonians" (also now lost). It was usual for foreign dignitaries to attend the City Dionysia, and "The Babylonians" caused some embarrassment for the Athenian authorities since it depicted the cities of the Delian League as slaves grinding at a mill. Some influential citizens, notably Cleon, reviled the play as slander against the "polis" and possibly took legal action against the author. The details of the trial are unrecorded but, speaking through the hero of his third play "The Acharnians" (staged at the Lenaia, where there were few or no foreign dignitaries), the poet carefully distinguishes between the "polis" and the real targets of his acerbic wit:
Aristophanes repeatedly savages Cleon in his later plays. But these satirical diatribes appear to have had no effect on Cleon's political career—a few weeks after the performance of "The Knights"—a play full of anti-Cleon jokes—Cleon was elected to the prestigious board of ten generals. Cleon also seems to have had no real power to limit or control Aristophanes: the caricatures of him continued up to and even beyond his death.
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In the absence of clear biographical facts about Aristophanes, scholars make educated guesses based on interpretation of the language in the plays. Inscriptions and summaries or comments by Hellenistic and Byzantine scholars can also provide useful clues. We know from a combination of these sources, and especially from comments in "The Knights" and "The Clouds", that Aristophanes' first three plays were not directed by him; they were instead directed by Callistratus and Philoneides, an arrangement that seemed to suit Aristophanes since he appears to have used these same directors in many later plays as well (Philoneides for example later directed "The Frogs" and he was also credited, perhaps wrongly, with directing "The Wasps"). Aristophanes's use of directors complicates our reliance on the plays as sources of biographical information, because apparent self-references might have been made with reference to his directors instead. Thus, for example, a statement by the chorus in "The Acharnians" seems to indicate that the "poet" had a close, personal association with the island of Aegina. Similarly, the hero in "The Acharnians" complains about Cleon "dragging me into court" over "last year's play."
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Comments made by the Chorus referring to Aristophanes in "The Clouds" have been interpreted as evidence that he can hardly have been more than 18 years old when his first play "The Banqueters" was produced. The second parabasis in "Wasps" appears to indicate that he reached some kind of temporary accommodation with Cleon following either the controversy over "The Babylonians" or a subsequent controversy over "The Knights". It has been inferred from statements in "The Clouds" and "Peace" that Aristophanes was prematurely bald.
Aristophanes was probably victorious at least once at the City Dionysia, with "Babylonians" in 427, and at least three times at the Lenaia, with "The Acharnians" in 425, "Knights" in 424, and "Frogs" in 405. "Frogs" in fact won the unique distinction of a repeat performance at a subsequent festival. A son of Aristophanes, Araros, was also a comic poet and he could have been heavily involved in the production of his father's play "Wealth II" in 388. Araros is also thought to have been responsible for the posthumous performances of the now lost plays "Aeolosicon II" and "Cocalus", and it is possible that the last of these won the prize at the City Dionysia in 387. It appears that a second son, Philippus, was twice victorious at the Lenaia and he could have directed some of Eubulus' comedies. A third son was called either Nicostratus or Philetaerus, and a man by the latter name appears in the catalogue of Lenaia victors with two victories, the first probably in the late 370s.
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Aristophanes survived The Peloponnesian War, two oligarchic revolutions and two democratic restorations; this has been interpreted as evidence that he was not actively involved in politics, despite his highly political plays. He was probably appointed to the Council of Five Hundred for a year at the beginning of the fourth century, but such appointments were very common in democratic Athens.
Plato's "Symposion".
Plato's "The Symposium" appears to be a useful source of biographical information about Aristophanes, but its reliability is open to doubt. It purports to be a record of conversations at a dinner party at which both Aristophanes and Socrates are guests, held some seven years after the performance of "The Clouds", the play in which Socrates was cruelly caricatured. One of the guests, Alcibiades, even quotes from the play when teasing Socrates over his appearance and yet there is no indication of any ill-feeling between Socrates and Aristophanes.
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One of the guests, Alcibiades, even quotes from the play when teasing Socrates over his appearance and yet there is no indication of any ill-feeling between Socrates and Aristophanes. For example, conversation among the guests turns to the subject of Love and Aristophanes explains his notion of it in terms of an amusing allegory, a device he often uses in his plays. He is represented as suffering an attack of hiccups and this might be a humorous reference to the crude physical jokes in his plays. He tells the other guests that he is quite happy to be thought amusing but he is wary of appearing ridiculous. This fear of being ridiculed is consistent with his declaration in "The Knights" that he embarked on the career of comic playwright warily after witnessing the public contempt and ridicule that other dramatists had incurred.
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Use of language.
The language of Aristophanes' plays, and in Old Comedy generally, was valued by ancient commentators as a model of the Attic dialect. The orator Quintilian believed that the charm and grandeur of the Attic dialect made Old Comedy an example for orators to study and follow, and he considered it inferior in these respects only to the works of Homer. A revival of interest in the Attic dialect may have been responsible for the recovery and circulation of Aristophanes' plays during the fourth and fifth centuries AD, resulting in their survival today. In Aristophanes' plays, the Attic dialect is couched in verse and his plays can be appreciated for their poetic qualities.
For Aristophanes' contemporaries the works of Homer and Hesiod formed the cornerstones of Hellenic history and culture. Thus poetry had a moral and social significance that made it an inevitable topic of comic satire. Aristophanes was very conscious of literary fashions and traditions and his plays feature numerous references to other poets. These include not only rival comic dramatists such as Eupolis and Hermippus and predecessors such as Magnes, Crates and Cratinus, but also tragedians, notably Aeschylus, Sophocles and Euripides, all three of whom are mentioned in e.g. "The Frogs". Aristophanes was the equal of these great tragedians in his subtle use of lyrics. He appears to have modelled his approach to language on that of Euripides in particular, so much so that the comic dramatist Cratinus labelled him a 'Euripidaristophanist' addicted to hair-splitting niceties.
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A full appreciation of Aristophanes' plays requires an understanding of the poetic forms he employed with virtuoso skill, and of their different rhythms and associations. There were three broad poetic forms: iambic dialogue, tetrameter verses and lyrics:
The rhythm begins at a typical anapestic gallop, slows down to consider the revered poets Hesiod and Homer, then gallops off again to its comic conclusion at the expense of the unfortunate Pantocles. Such subtle variations in rhythm are common in the plays, allowing for serious points to be made while still whetting the audience's appetite for the next joke.
<poem style="margin-left:2em">
Though to myself I often seem
None comes close to Amynias,
Clan, a man I once saw
Now as poor as Antiphon,
Yet he got himself appointed
Way up there in Thessaly,
Happy to be where everyone
It can be argued that the most important feature of the language of the plays is imagery, particularly the use of similes, metaphors and pictorial expressions. In "The Knights", for example, the ears of a character with selective hearing are represented as parasols that open and close. In "The Frogs", Aeschylus is said to compose verses in the manner of a horse rolling in a sandpit. Some plays feature revelations of human perfectibility that are poetic rather than religious in character, such as the marriage of the hero Pisthetairos to Zeus's paramour in "The Birds" and the "recreation" of old Athens, crowned with roses, at the end of "The Knights".
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Aristophanes and Old Comedy.
The plays of Aristophanes are the only full-length examples of the genre of Old Comedy to have survived from antiquity. This makes them centrally important to modern understandings of the genre. The themes of Old Comedy included:
Dramatic structure of Aristophanes' plots.
The structural elements of a typical Aristophanic plot can be summarized as follows:
The rules of competition did not prevent a playwright arranging and adjusting these elements to suit his particular needs. In "The Acharnians" and "Peace", for example, there is no formal agon whereas in "The Clouds" there are two agons.
Parabasis.
The parabasis is an address to the audience by the chorus or chorus leader while the actors leave or have left the stage. In this role, the chorus is sometimes out of character, as the author's voice, and sometimes in character, although these capacities are often difficult to distinguish. Generally the parabasis occurs somewhere in the middle of a play and often there is a second parabasis towards the end. The elements of a parabasis have been defined and named by scholars but it is probable that Aristophanes' own understanding was less formal. The selection of elements can vary from play to play and it varies considerably within plays between first and second parabasis. The early plays ("The Acharnians" to "The Birds") are fairly uniform in their approach however and the following elements of a parabasis can be found within them.
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"The Wasps" is thought to offer the best example of a conventional approach and the elements of a parabasis can be identified and located in that play as follows.
Textual corruption is probably the reason for the absence of the antistrophe in the second parabasis.
However, there are several variations from the ideal even within the early plays. For example, the parabasis proper in "The Clouds" (lines 518–562) is composed in eupolidean meter rather than in anapests and the second parabasis includes a kommation but it lacks strophe, antistrophe and antepirrhema ("The Clouds" lines 1113–1130). The second parabasis in "The Acharnians" lines 971–999 can be considered a hybrid parabasis/song (i.e. the declaimed sections are merely continuations of the strophe and antistrophe) and, unlike the typical parabasis, it seems to comment on actions that occur on stage during the address. An understanding of Old Comedy conventions such as the parabasis is necessary for a proper understanding of Aristophanes' plays; on the other hand, a sensitive appreciation of the plays is necessary for a proper understanding of the conventions.
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Influence and legacy.
The tragic dramatists Sophocles and Euripides died near the end of the Peloponnesian War, and the art of tragedy thereafter ceased to develop, yet comedy continued to evolve after the defeat of Athens, and it is possible that it did so because, in Aristophanes, it had a master craftsman who lived long enough to help usher it into a new age. Indeed, according to one ancient source (Platonius, 9th century AD), one of Aristophanes's last plays, "Aioliskon", had neither a parabasis nor any choral lyrics (making it a type of Middle Comedy), while "Kolakos" anticipated all the elements of New Comedy, including a rape and a recognition scene. Aristophanes seems to have had some appreciation of his formative role in the development of comedy, as indicated by his comment in "Clouds" that his audience would be judged by other times according to its reception of his plays. "Clouds" was awarded third (i.e. last) place after its original performance and the text that has come down to the modern age was a subsequent draft that Aristophanes intended to be read rather than acted. The circulation of his plays in manuscript extended their influence beyond the original audience, over whom in fact they seem to have had little or no practical influence: they did not affect the career of Cleon, they failed to persuade the Athenians to pursue an honourable peace with Sparta and it is not clear that they were instrumental in the trial and execution of Socrates, whose death probably resulted from public animosity towards the philosopher's disgraced associates (such as Alcibiades), exacerbated of course by his own intransigence during the trial. The plays, in manuscript form, have been put to some surprising uses—as indicated earlier, they were used in the study of rhetoric on the recommendation of Quintilian and by students of the Attic dialect in the Fourth and Fifth Centuries AD. It is possible that Plato sent copies of the plays to Dionysius of Syracuse so that he might learn about Athenian life and government.
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Latin translations of the plays by Andreas Divus (Venice 1528) were circulated widely throughout Europe in the Renaissance and these were soon followed by translations and adaptations in modern languages. Racine, for example, drew "Les Plaideurs" (1668) from "The Wasps". Goethe (who turned to Aristophanes for a warmer and more vivid form of comedy than he could derive from readings of Terence and Plautus) adapted a short play "Die Vögel" from "The Birds" for performance in Weimar. Aristophanes has appealed to both conservatives and radicals in the nineteenth and twentieth centuries—Anatoly Lunacharsky, first Commissar of Enlightenment for the USSR in 1917, declared that the ancient dramatist would have a permanent place in proletarian theatre and yet conservative, Prussian intellectuals interpreted Aristophanes as a satirical opponent of social reform. The avant-gardist stage-director Karolos Koun directed a version of "The Birds" under the Acropolis in 1959 that established a trend in modern Greek history of breaking taboos through the voice of Aristophanes.
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The plays have a significance that goes beyond their artistic function, as historical documents that open the window on life and politics in classical Athens, in which respect they are perhaps as important as the writings of Thucydides. The artistic influence of the plays is immeasurable. They have contributed to the history of European theatre and that history in turn shapes our understanding of the plays. Thus for example the operettas of Gilbert and Sullivan can give us insights into Aristophanes' plays and similarly the plays can give us insights into the operettas. The plays are a source of famous sayings, such as "By words the mind is winged."
Listed below are some of the many works influenced (more or less) by Aristophanes.
Translation of Aristophanes.
Alan H. Sommerstein believes that although there are good translations of Aristophanes' comedies, none could be flawless, "for there is much truth in the paradox that the only really perfect translation is the original." Nevertheless, there are competent, respectable translations in many languages. Despite the fact that translations of Aristophanes may not be perfect, "the reception of Aristophanes has gained extraordinary momentum as a topic of academic interest in the last few years."
Works.
Surviving plays.
Most of these are traditionally referred to by abbreviations of their "Latin" titles; Latin remains a customary language of scholarship in classical studies.
Datable non-surviving (lost) plays.
The standard modern edition of the fragments is Rudolf Kassel and Colin François Lloyd Austin's, "Poetae Comici Graeci" III.2.
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Albert Schweitzer
Ludwig Philipp Albert Schweitzer (; 14 January 1875 – 4 September 1965) was a German and French polymath from Alsace. He was a theologian, organist, musicologist, writer, humanitarian, philosopher, and physician. As a Lutheran minister, Schweitzer challenged both the secular view of the historical Jesus as depicted by the historical-critical method current at this time, as well as the traditional Christian view. His contributions to the interpretation of Pauline Christianity concern the role of Paul's mysticism of "being in Christ" as primary and the doctrine of justification by faith as secondary.
He received the 1952 Nobel Peace Prize for his philosophy of "Reverence for Life", becoming the eighth Frenchman to be awarded that prize. His philosophy was expressed in many ways, but most famously in founding and sustaining the Hôpital Albert Schweitzer in Lambaréné, French Equatorial Africa (now Gabon). As a music scholar and organist, he studied the music of German composer Johann Sebastian Bach and influenced the Organ Reform Movement ("Orgelbewegung").
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Early years.
Schweitzer was born on 14 January 1875 in Kaysersberg in Alsace, in what had less than four years previously become the Imperial Territory of Alsace-Lorraine in the German Empire; he later became a citizen of France after World War I, when Alsace became French territory again. He was the son of Adèle (née Schillinger) and Louis Théophile Schweitzer. He spent his childhood in Gunsbach, also in Alsace, where his father, the local Lutheran-Evangelical pastor of the EPCAAL, taught him how to play music. The tiny village would become home to the Association Internationale Albert Schweitzer (AIAS). The medieval parish church of Gunsbach was shared by the Protestant and Catholic congregations, which held their prayers in different areas at different times on Sundays. This compromise arose after the Protestant Reformation and the Thirty Years' War. Schweitzer, the pastor's son, grew up in this exceptional environment of religious tolerance, and developed the belief that true Christianity should always work towards a unity of faith and purpose.
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Schweitzer's first language was the Alsatian dialect of German. At the Mulhouse gymnasium he received his "Abitur" (the certificate at the end of secondary education) in 1893. He studied organ in Mulhouse from 1885 to 1893 with Eugène Munch, organist at the Protestant cathedral, who inspired Schweitzer with his enthusiasm for the music of German composer Richard Wagner. In 1893, he played for the French organist Charles-Marie Widor (at Saint-Sulpice, Paris), for whom Johann Sebastian Bach's organ music contained a mystic sense of the eternal. Widor, deeply impressed, agreed to teach Schweitzer without fee, and a great and influential friendship thus began.
From 1893 Schweitzer studied Protestant theology at the Kaiser Wilhelm University in Strasbourg. There he also received instruction in piano and counterpoint from professor Gustav Jacobsthal, and associated closely with Ernest Munch, the brother of his former teacher, organist of St William church, who was also a passionate admirer of J. S. Bach's music. Schweitzer served his one-year compulsory military service in 1894. Schweitzer saw many operas of Richard Wagner in Strasbourg (under Otto Lohse) and in 1896 he managed to afford a visit to the Bayreuth Festival to see Wagner's and "Parsifal", both of which impressed him. In 1898, he returned to Paris to write a PhD dissertation on "The Religious Philosophy of Kant" at the Sorbonne, and to study in earnest with Widor. Here he often met with the elderly Aristide Cavaillé-Coll. He also studied piano at that time with Marie Jaëll. In 1899, Schweitzer spent the summer semester at the University of Berlin and eventually obtained his theology degree at the University of Strasbourg. He published his PhD thesis at the University of Tübingen in 1899.
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In 1905, Schweitzer began his study of medicine at the University of Strasbourg, culminating in the degree of M.D. in 1913.
Music.
Schweitzer rapidly gained prominence as a musical scholar and organist, dedicated also to the rescue, restoration and study of historic pipe organs. With theological insight, he interpreted the use of pictorial and symbolical representation in J. S. Bach's religious music. In 1899, he astonished Widor by explaining figures and motifs in Bach's Chorale Preludes as painter-like tonal and rhythmic imagery illustrating themes from the words of the hymns on which they were based. They were works of devotional contemplation in which the musical design corresponded to literary ideas, conceived visually. Widor had not grown up with knowledge of the old Lutheran hymns.
The exposition of these ideas, encouraged by Widor and Munch, became Schweitzer's last task, and appeared in the masterly study "J. S. Bach: Le Musicien-Poète", written in French and published in 1905. There was great demand for a German edition, but, instead of translating it, he decided to rewrite it. The result was two volumes ("J. S. Bach"), which were published in 1908 and translated into English by Ernest Newman in 1911. Ernst Cassirer, a contemporaneous German philosopher, called it "one of the best interpretations" of Bach. During its preparation Schweitzer became a friend of Cosima Wagner, then resident in Strasbourg, with whom he had many theological and musical conversations, exploring his view of Bach's descriptive music, and playing the major Chorale Preludes for her at the Temple Neuf. Schweitzer's interpretative approach greatly influenced the modern understanding of Bach's music. He became a welcome guest at the Wagners' home, Wahnfried. He also corresponded with composer Clara Faisst, who became a good friend.
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His pamphlet "The Art of Organ Building and Organ Playing in Germany and France" (1906, republished with an appendix on the state of the organ-building industry in 1927) effectively launched the 20th-century "Orgelbewegung", which turned away from romantic extremes and rediscovered baroque principles—although this sweeping reform movement in organ building eventually went further than Schweitzer had intended. In 1909, he addressed the "Third Congress of the International Society of Music" at Vienna on the subject. Having circulated a questionnaire among players and organ-builders in several European countries, he produced a very considered report. This provided the basis for the "International Regulations for Organ Building". He envisaged instruments in which the French late-romantic full-organ sound should work integrally with the English and German romantic reed pipes, and with the classical Alsace Silbermann organ resources and baroque flue pipes, all in registers regulated (by stops) to access distinct voices in fugue or counterpoint capable of combination without loss of distinctness: different voices singing the same music together.
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Schweitzer also studied piano under Isidor Philipp, head of the piano department at the Paris Conservatory.
In 1905, Widor and Schweitzer were among the six musicians who founded the Paris Bach Society, a choir dedicated to performing J. S. Bach's music, for whose concerts Schweitzer took the organ part regularly until 1913. He was also appointed organist for the Bach Concerts of the Orféo Català at Barcelona, Spain, and often travelled there for that purpose. He and Widor collaborated on a new edition of Bach's organ works, with detailed analysis of each work in three languages (English, French, German). Schweitzer, who insisted that the score should show Bach's notation with no additional markings, wrote the commentaries for the Preludes and Fugues, and Widor those for the Sonatas and Concertos: six volumes were published in 1912–14. Three more, to contain the Chorale Preludes with Schweitzer's analyses, were to be worked on in Africa, but these were never completed, perhaps because for him they were inseparable from his evolving theological thought.
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On departure for Lambaréné in 1913, he was presented with a pedal piano, a piano with pedal attachments to operate like an organ pedal-keyboard. Built especially for the tropics, it was delivered by river in a huge dug-out canoe to Lambaréné, packed in a zinc-lined case. At first, he regarded his new life as a renunciation of his art, and fell out of practice, but after some time he resolved to study and learn by heart the works of Bach, Mendelssohn, Widor, César Franck, and Max Reger systematically. It became his custom to play during the lunch hour and on Sunday afternoons. Schweitzer's pedal piano was still in use at Lambaréné in 1946. According to a visitor, Dr. Gaine Cannon, of Balsam Grove, N.C., the old, dilapidated piano-organ was still being played by Dr. Schweitzer in 1962, and stories told that "his fingers were still lively" on the old instrument at 88 years of age.
Sir Donald Tovey dedicated his conjectural completion of Bach's "The Art of Fugue" to Schweitzer.
Schweitzer's recordings of organ music, and his innovative recording technique, are described below.
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One of his pupils was conductor and composer Hans Münch.
Theology.
In 1899, Schweitzer became a deacon at the church of Saint Nicholas in Strasbourg. In 1900, with the completion of his licentiate in theology, he was ordained as curate, and that year he witnessed the Oberammergau Passion Play. In the following year, he became provisional Principal of the Theological College of Saint Thomas, from which he had just graduated, and in 1903 his appointment was made permanent.
In 1906, he published "Geschichte der Leben-Jesu-Forschung" [History of Life-of-Jesus research]. This book, which established his reputation, was first published in English in 1910 as "The Quest of the Historical Jesus". Under this title the book became famous in the English-speaking world. A second German edition was published in 1913, containing theologically significant revisions and expansions: this revised edition did not appear in English until 2001. In 1931, he published "Mystik des Apostels Paulus" ("The Mysticism of Paul the Apostle"); a second edition was published in 1953.
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"The Quest of the Historical Jesus" (1906).
In "The Quest", Schweitzer criticised the liberal view put forward by liberal and romantic scholars during the first quest for the historical Jesus. Schweitzer maintained that the life of Jesus must be interpreted in the light of Jesus' own convictions, which reflected late Jewish eschatology and apocalypticism. Schweitzer writes:
Instead of these liberal and romantic views, Schweitzer wrote that Jesus and his followers expected the imminent end of the world.
Schweitzer cross-referenced the many New Testament verses declaring imminent fulfilment of the promise of the World's ending within the lifetime of Jesus's original followers. He wrote that in his view, in the Gospel of Mark, Jesus speaks of a "tribulation", with his "coming in the clouds with great power and glory." In Mark 13:30
Jesus says "This generation will not pass away until all these things have taken place." In Matthew 16:28 Jesus says “Truly I tell you, some who are standing here will not taste death before they see the Son of Man coming in his kingdom.” Obviously, Jesus and his followers truly believed that he would return within the disciples lifetime and specifically states the timeframe that it will happen, but it has not! "This generation shall not pass, till all these things be fulfilled" (Matthew, 24:34) or, "have taken place" (Luke 21:32). Similarly, in 1st Peter 1:20, "Christ, who verily was foreordained before the foundation of the world but was manifest in these last times for you", as well as "But the end of all things is at hand" (1 Peter 4:7) and "Surely, I come quickly." (Revelation 22:20). Either Jesus, his disciples and/or the noted chapter authors were and remain seriously mistaken; the promised second return timeframe has long ago passed.
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Schweitzer concluded his treatment of Jesus with what has been called the most famous words of twentieth-century theology:
"The Mysticism of Paul the Apostle" (1931).
In "The Mysticism of Paul the Apostle", Schweitzer first distinguishes between two categories of mysticism: primitive and developed. Primitive mysticism "has not yet risen to a conception of the universal, and is still confined to naive views of earthly and super-earthly, temporal and eternal". Additionally, he argues that this view of a "union with the divinity, brought about by efficacious ceremonies, is found even in quite primitive religions".
On the other hand, a more developed form of mysticism can be found in the Greek mystery-cults that were popular in first-century A.D. society. These included the cults of Attis, Osiris, and Mithras. A developed form of mysticism is attained when the "conception of the universal is reached and a man reflects upon his relation to the totality of being and to Being in itself". Schweitzer claims that this form of mysticism is more intellectual and can be found "among the Brahmans and in the Buddha, in Platonism, in Stoicism, in Spinoza, Schopenhauer, and Hegel".
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Next, Schweitzer poses the question: "Of what precise kind then is the mysticism of Paul?" He locates Paul between the two extremes of primitive mysticism and developed mysticism. Paul stands high above primitive mysticism, due to his intellectual writings, but never speaks of being one with God or being in God. Instead, he conceives of sonship to God as "mediated and effected by means of the mystical union with Christ". He summarizes Pauline mysticism as "being in Christ" rather than "being in God".
Paul's imminent eschatology (from his background in Jewish eschatology) causes him to believe that the kingdom of God has not yet come and that Christians are now living in the time of Christ. Christ-mysticism holds the field until God-mysticism becomes possible, which is in the near future. Therefore, Schweitzer argues that Paul is the only theologian who does not claim that Christians can have an experience of "being-in-God". Rather, Paul uses the phrase "being-in-Christ" to illustrate how Jesus is a mediator between the Christian community and God. Additionally, Schweitzer explains how the experience of "being-in-Christ" is not a "static partaking in the spiritual being of Christ, but as the real co-experiencing of His dying and rising again". The "realistic" partaking in the mystery of Jesus is only possible within the solidarity of the Christian community.
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One of Schweitzer's major arguments in "The Mysticism of Paul the Apostle" is that Paul's mysticism, marked by his phrase "being in Christ", gives the clue to the whole of Pauline theology. Rather than reading justification by faith as the main topic of Pauline thought, which has been the most popular argument set forward by Martin Luther, Schweitzer argues that Paul's emphasis was on the mystical union with God by "being in Christ". Jaroslav Pelikan, in his foreword to "The Mysticism of Paul the Apostle", points out that:
Paul's "realism" versus Hellenistic "symbolism".
Schweitzer contrasts Paul's "realistic" dying and rising with Christ to the "symbolism" of Hellenism. Although Paul is widely influenced by Hellenistic thought, he is not controlled by it. Schweitzer explains that Paul focused on the idea of fellowship with the divine being through the "realistic" dying and rising with Christ rather than the "symbolic" Hellenistic act of becoming like Christ through deification. After baptism, Christians are continually renewed throughout their lifetimes due to participation in the dying and rising with Christ (most notably through the Sacraments). On the other hand, the Hellenist "lives on the store of experience which he acquired in the initiation" and is not continually affected by a shared communal experience.
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Another major difference between Paul's "realism" and Hellenistic "symbolism" is the exclusive nature of the former and the inclusive nature of the latter. Schweitzer unabashedly emphasizes the fact that "Paul's thought follows predestinarian lines". He explains, "only the man who is elected thereto can enter into relation with God". Although every human being is invited to become a Christian, only those who have undergone the initiation into the Christian community through baptism can share in the "realistic" dying and rising with Christ.
Medicine.
At the age of 30, in 1905, Schweitzer answered the call of The Society of the Evangelist Missions of Paris, which was looking for a physician. The committee of this missionary society was not ready to accept his offer, considering his Lutheran theology to be "incorrect". He could easily have obtained a place in a German evangelical mission, but wished to follow the original call despite the doctrinal difficulties. Amid a hail of protests from his friends, family and colleagues, he resigned from his post and re-entered the university as a student in a three-year course towards the degree of Doctorate in Medicine, a subject in which he had little knowledge or previous aptitude. He planned to spread the Gospel by the example of his Christian labour of healing, rather than through the verbal process of preaching, and believed that this service should be acceptable within any branch of Christian teaching.
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Even in his study of medicine, and through his clinical course, Schweitzer pursued the ideal of the philosopher-scientist. By extreme application and hard work, he completed his studies successfully at the end of 1911. His medical degree dissertation was another work on the historical Jesus, "Die psychiatrische Beurteilung Jesu. Darstellung und Kritik" [The psychiatric evaluation of Jesus. Description and criticism] (published in English in 1948 as "The Psychiatric Study of Jesus. Exposition and Criticism"). He defended Jesus' mental health in it. In June 1912, he married Helene Bresslau, municipal inspector for orphans and daughter of the Jewish pan-Germanist historian Harry Bresslau.
In 1912, now armed with a medical degree, Schweitzer made a definite proposal to go as a physician to work at his own expense in the Paris Missionary Society's mission at Lambaréné on the Ogooué river, in what is now Gabon, in Africa (then a French colony). He refused to attend a committee to inquire into his doctrine, but met each committee member personally and was at last accepted. Through concerts and other fund-raising, he was ready to equip a small hospital. In early 1913, he and his wife set off to establish a hospital (the Hôpital Albert Schweitzer) near an existing mission post. The site was nearly 200 miles (14 days by raft) upstream from the mouth of the Ogooué at Port Gentil (Cape Lopez) (and so accessible to external communications), but downstream of most tributaries, so that internal communications within Gabon converged towards Lambaréné.
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In the first nine months, he and his wife had about 2,000 patients to examine, some travelling many days and hundreds of kilometres to reach him. In addition to injuries, he was often treating severe sandflea and crawcraw infections, "yaws", tropical eating sores, heart disease, tropical dysentery, tropical malaria, sleeping sickness, leprosy, fevers, strangulated hernias, necrosis, abdominal tumours and chronic constipation and nicotine poisoning, while also attempting to deal with deliberate poisonings, fetishism and fear of cannibalism among the Mbahouin.
Schweitzer's wife, Helene Schweitzer, served as an anaesthetist for surgical operations. After briefly occupying a shed formerly used as a chicken hut, in late 1913 they built their first hospital of corrugated iron, with a consulting room and operating theatre and with a dispensary and sterilising room. The waiting room and dormitory were built, like native huts, of unhewn logs along a path leading to the boat landing. The Schweitzers had their own bungalow and employed as their assistant Joseph, a French-speaking Mpongwe, who first came to Lambaréné as a patient.
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After World War I broke out in July 1914, Schweitzer and his wife, German citizens in a French colony when the countries were at war, were put under supervision by the French military at Lambaréné, where Schweitzer continued his work. In 1917, exhausted by over four years' work and by tropical anaemia, they were taken to Bordeaux and interned first in Garaison and then from March 1918 in Saint-Rémy-de-Provence. In July 1918, after being transferred to his home in Alsace, he was a free man again. At this time Schweitzer, born a German citizen, had his parents' former (pre-1871) French citizenship reinstated and became a French citizen. Then, working as a medical assistant and assistant-pastor in Strasbourg, he advanced his project on the philosophy of civilization, which had occupied his mind since 1900. By 1920, his health recovering, he was giving organ recitals and doing other fund-raising work to repay borrowings and raise funds for returning to Gabon. In 1922, he delivered the Dale Memorial Lectures in the University of Oxford, and from these in the following year appeared Volumes I and II of his great work, "The Decay and Restoration of Civilization" and "Civilization and Ethics". The two remaining volumes, on "The World-View of Reverence for Life " and a fourth on the Civilized State, were never completed.
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In 1924, Schweitzer returned to Africa without his wife, but with an Oxford undergraduate, Noel Gillespie, as his assistant. Everything was heavily decayed, and building and doctoring progressed together for months. He now had salvarsan for treating syphilitic ulcers and framboesia. Additional medical staff, nurse (Miss) Kottmann and Dr. Victor Nessmann, joined him in 1924, and Dr. Mark Lauterberg in 1925; the growing hospital was staffed by native orderlies. Later Dr. Trensz replaced Nessmann, and Martha Lauterberg and Hans Muggenstorm joined them. Joseph also returned. In 1925–6, new hospital buildings were constructed, and also a ward for white patients, so that the site became like a village. The onset of famine and a dysentery epidemic created fresh problems. Much of the building work was carried out with the help of local people and patients. Drug advances for sleeping sickness included Germanin and . Trensz conducted experiments showing that the non-amoebic strain of dysentery was caused by a paracholera vibrion (facultative anaerobic bacteria). With the new hospital built and the medical team established, Schweitzer returned to Europe in 1927, this time leaving a functioning hospital at work.
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He was there again from 1929 to 1932. Gradually his opinions and concepts became acknowledged, not only in Europe, but worldwide. There was a further period of work in 1935. In January 1937, he returned again to Lambaréné and continued working there throughout World War II.
Hospital conditions.
The journalist James Cameron visited Lambaréné in 1953 (when Schweitzer was 78) and found significant flaws in the practices and attitudes of Schweitzer and his staff. The hospital suffered from squalor and was without modern amenities, and Schweitzer had little contact with the local people. Cameron did not make public what he had seen at the time: according to a BBC dramatisation, he made the unusual journalistic decision to withhold the story, and resisted the expressed wish of his employers to publish an exposé.
The poor conditions of the hospital in Lambaréné were also famously criticized by Nigerian professor and novelist Chinua Achebe in his essay on Joseph Conrad's novel "Heart of Darkness": "In a comment which has often been quoted Schweitzer says: 'The African is indeed my brother but my junior brother.' And so he proceeded to build a hospital appropriate to the needs of junior brothers with standards of hygiene reminiscent of medical practice in the days before the germ theory of disease came into being."
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Schweitzer's biographer Edgar Berman, who was a volunteer surgeon at Lambarene for several months and had extended conversations with Schweitzer, has a different perspective. Schweitzer felt that patients were better off, and the hospital functioned better given the severe lack of funding, if patients' families lived on the hospital grounds during treatment. Surgical survival rates were, Berman asserts, as high as in many fully-equipped western hospitals. The volume of patients needing care, the difficulty of obtaining materials and supplies, and the scarcity of trained medical staff willing to work long hours in the remote setting for almost no pay all argued for a spartan setting with an emphasis on high medical standards nevertheless.
Schweitzer's views.
Colonialism.
Schweitzer considered his work as a medical missionary in Africa to be his response to Jesus' call to become "fishers of men".
Schweitzer was one of colonialism's harshest critics. In a sermon that he preached on 6 January 1905, before he had told anyone of his plans to dedicate the rest of his life to work as a physician in Africa, he said:
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Paternalism.
Schweitzer was nonetheless still sometimes accused of being paternalistic in his attitude towards Africans. For instance, he thought that Gabonese independence came too early, without adequate education or accommodation to local circumstances. Edgar Berman quotes Schweitzer as having said in 1960, "No society can go from the primeval directly to an industrial state without losing the leavening that time and an agricultural period allow." Schweitzer believed dignity and respect must be extended to blacks, while also sometimes characterizing them as children. He summarized his views on European-African relations by saying "With regard to the negroes, then, I have coined the formula: 'I am your brother, it is true, but your elder brother.'" Chinua Achebe has criticized him for this characterization, though Achebe acknowledges that Schweitzer's use of the word "brother" at all was, for a European of the early 20th century, an unusual expression of human solidarity between Europeans and Africans. Schweitzer eventually emended and complicated this notion with his later statement that "The time for speaking of older and younger brothers has passed".
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American journalist John Gunther visited Lambaréné in the 1950s and reported Schweitzer's patronizing attitude towards Africans. He also noted the lack of Africans trained to be skilled workers. By comparison, his English contemporary Albert Ruskin Cook in Uganda had been training nurses and midwives since the 1910s, and had published a manual of midwifery in the local language of Luganda. After three decades in Africa, Schweitzer still depended on Europe for nurses.
Reverence for life.
The keynote of Schweitzer's personal philosophy (which he considered to be his greatest contribution to mankind) was the idea of "Reverence for Life" (). He thought that Western civilization was decaying because it had abandoned affirmation of life as its ethical foundation.
In the Preface to "Civilization and Ethics" (1923) he argued that Western philosophy from Descartes to Kant had set out to explain the objective world expecting that humanity would be found to have a special meaning within it. But no such meaning was found, and the rational, life-affirming optimism of the Age of Enlightenment began to evaporate. A rift opened between this world-view, as material knowledge, and the life-view, understood as Will, expressed in the pessimist philosophies from Schopenhauer onward. Scientific materialism (advanced by Herbert Spencer and Charles Darwin) portrayed an objective world process devoid of ethics, entirely an expression of the will-to-live.
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Schweitzer wrote, "True philosophy must start from the most immediate and comprehensive fact of consciousness, and this may be formulated as follows: 'I am life which wills to live, and I exist in the midst of life which wills to live. In nature one form of life must always prey upon another. However, human consciousness holds an awareness of, and sympathy for, the will of other beings to live. An ethical human strives to escape from this contradiction so far as possible.
Though we cannot perfect the endeavour we should strive for it: the will-to-live constantly renews itself, for it is both an evolutionary necessity and a spiritual phenomenon. Life and love are rooted in this same principle, in a personal spiritual relationship to the universe. Ethics themselves proceed from the need to respect the wish of other beings to exist as one does towards oneself. Even so, Schweitzer found many instances in world religions and philosophies in which the principle was denied, not least in the European Middle Ages, and in the Indian Brahminic philosophy.
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For Schweitzer, mankind had to accept that objective reality is ethically neutral. It could then affirm a new Enlightenment through spiritual rationalism, by giving priority to volition or ethical will as the primary meaning of life. Mankind had to choose to create the moral structures of civilization: the worldview must derive from the life-view, not vice versa. Respect for life, overcoming coarser impulses and hollow doctrines, leads the individual to live in the service of other people and of every living creature. In contemplation of the will-to-life, respect for the life of others becomes the highest principle and the defining purpose of humanity.
Such was the theory which Schweitzer sought to put into practice in his own life. According to some authors, Schweitzer's thought, and specifically his development of reverence for life, was influenced by Indian religious thought and in particular the Jain principle of ahimsa, or non-violence. Albert Schweitzer noted the contribution of Indian influence in his book "Indian Thought and Its Development":
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Further on ahimsa and the reverence for life in the same book, he elaborates on the ancient Indian didactic work of the Tirukkural, which he observed that, like the Buddha and the Bhagavad Gita, "stands for the commandment not to kill and not to damage". Translating several couplets from the work, he remarked that the Kural insists on the idea that "good must be done for its own sake" and said, "There hardly exists in the literature of the world a collection of maxims in which we find so much lofty wisdom."
Dr. Schweitzer had a great love of cats. "There are two means of refuge from the miseries of life: music and cats" he stated.
Later life.
After the birth of their daughter (Rhena Schweitzer Miller), Albert's wife, Helene Schweitzer was no longer able to live in Lambaréné due to her health. In 1923, the family moved to Königsfeld im Schwarzwald, Baden-Württemberg, where he was building a house for the family. This house is now maintained as a Schweitzer museum.
From 1939 to 1948, he stayed in Lambaréné, unable to return to Europe because of the war. Three years after the end of World War II, in 1948, he returned for the first time to Europe and kept travelling back and forth (and once to the US) as long as he was able. During his return visits to his home village of Gunsbach, Schweitzer continued to use the family house, which after his death became an archive and museum of his life and work. His life was portrayed in the 1952 movie "Il est minuit, Docteur Schweitzer", starring Pierre Fresnay as Albert Schweitzer and Jeanne Moreau as his nurse Marie. Schweitzer inspired actor Hugh O'Brian when O'Brian visited in Africa. O'Brian returned to the United States and founded the Hugh O'Brian Youth Leadership Foundation (HOBY).
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Schweitzer was awarded the Nobel Peace Prize of 1952, accepting the prize with the speech, "The Problem of Peace". With the $33,000 prize money, he started the leprosarium at Lambaréné. From 1952 until his death he worked against nuclear tests and nuclear weapons with Albert Einstein, Otto Hahn and Bertrand Russell. In 1957 and 1958, he broadcast four speeches over Radio Oslo, which were published in "Peace or Atomic War". In 1957, Schweitzer was one of the founders of The Committee for a Sane Nuclear Policy. On 23 April 1957, Schweitzer made his "Declaration of Conscience" speech; it was broadcast to the world over Radio Oslo, pleading for the abolition of nuclear weapons. His speech ended, "The end of further experiments with atom bombs would be like the early sunrays of hope which suffering humanity is longing for."
Weeks prior to his death, an American film crew was allowed to visit Schweitzer and Drs. Muntz and Friedman, both Holocaust survivors, to record his work and daily life at the hospital. The film "The Legacy of Albert Schweitzer", narrated by Henry Fonda, was produced by Warner Brothers and aired once. It resides in their vault today in deteriorating condition. Although several attempts have been made to restore and re-air the film, all access has been denied.
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In 1955, he was made an honorary member of the Order of Merit (OM) by Queen Elizabeth II. He was also a chevalier of the Military and Hospitaller Order of Saint Lazarus of Jerusalem.
Schweitzer died on 4 September 1965 at his beloved hospital in Lambaréné, now in independent Gabon. His grave, on the banks of the Ogooué River, is marked by a cross he made himself.
His cousin Anne-Marie Schweitzer Sartre was the mother of Jean-Paul Sartre. Her father, Charles Schweitzer, was the older brother of Albert Schweitzer's father, Louis Théophile.
Schweitzer is often cited in vegetarian literature as being an advocate of vegetarianism in his later years. Schweitzer was not a vegetarian in his earlier life. For example, in 1950, biographer Magnus C. Ratter commented that Schweitzer never "commit[ted] himself to the anti-vivisection, vegetarian, or pacifist positions, though his thought leads in this direction". Biographer James Bentley has written that Schweitzer became a vegetarian after his wife's death in 1957 and he was "living almost entirely on lentil soup". In contrast to this, historian David N. Stamos has written that Schweitzer was not a vegetarian in his personal life nor imposed it on his missionary hospital but he did help animals and was opposed to hunting. Stamos noted that Schweitzer held the view that evolution ingrained humans with an instinct for meat so it was useless in trying to deny it.
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The Albert Schweitzer Fellowship was founded in 1940 by Schweitzer to unite US supporters in filling the gap in support for his Hospital when his European supply lines were cut off by war, and continues to support the Lambaréné Hospital today. Schweitzer considered his ethic of Reverence for Life, not his hospital, his most important legacy, saying that his Lambaréné Hospital was just "my own improvisation on the theme of Reverence for Life. Everyone can have their own Lambaréné". Today ASF helps large numbers of young Americans in health-related professional fields find or create "their own Lambaréné" in the US or internationally. ASF selects and supports nearly 250 new US and Africa Schweitzer Fellows each year from over 100 of the leading US schools of medicine, nursing, public health, and every other field with some relation to health (including music, law, and divinity). The peer-supporting lifelong network of "Schweitzer Fellows for Life" numbered over 2,000 members in 2008, and is growing by nearly 1,000 every four years. Nearly 150 of these Schweitzer Fellows have served at the Hospital in Lambaréné, for three-month periods during their last year of medical school.
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Schweitzer's writings and life are often quoted, resulting in a number of eponyms, such as the 'Schweitzer technique' (discussed below), and the 'Schweitzer effect'. The 'Schweitzer effect' refers to his statement that 'Example is not the main thing in influencing others; it is the only thing'. This eponym is used in medical education to highlight the relationship between lived experience/example and medical students' opinions on professional behaviours.
International Albert Schweitzer Prize.
The prize was first awarded on 29 May 2011 to Eugen Drewermann and the physician couple Rolf and Raphaela Maibach in Königsfeld im Schwarzwald, where Schweitzer's former residence now houses the Albert Schweitzer Museum.
Sound recordings.
Recordings of Schweitzer playing the music of Bach are available on CD. During 1934 and 1935 he resided in Britain, delivering the Gifford Lectures at Edinburgh University, and those on "Religion in Modern Civilization" at Oxford and London. He had originally conducted trials for recordings for His Master's Voice on the organ of the old Queen's Hall in London. These records did not satisfy him, the instrument being too harsh. In mid-December 1935 he began to record for Columbia Records on the organ of All Hallows, Barking-by-the-Tower, London. Then at his suggestion the sessions were transferred to the church of Ste Aurélie in Strasbourg, on a mid-18th-century organ by Johann Andreas Silbermann (brother of Gottfried), an organ-builder greatly revered by Bach, which had been restored by the Lorraine organ-builder Frédéric Härpfer shortly before the First World War. These recordings were made in the course of a fortnight in October 1936.
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Schweitzer Technique.
Schweitzer developed a technique for recording the performances of Bach's music. Known as the "Schweitzer Technique", it is a slight improvement on what is commonly known as mid-side. The mid-side sees a figure-8 microphone pointed off-axis, perpendicular to the sound source. Then a single cardioid microphone is placed on axis, bisecting the figure-8 pattern. The signal from the figure-8 is muted, panned hard left and right, one of the signals being flipped out of polarity. In the Schweitzer method, the figure-8 is replaced by two small diaphragm condenser microphones pointed directly away from each other. The information that each capsule collects is unique, unlike the identical out-of-polarity information generated from the figure-8 in a regular mid-side. The on-axis microphone is often a large diaphragm condenser. The technique has since been used to record many modern instruments.
Columbia recordings.
Altogether his early Columbia discs included 25 records of Bach and eight of César Franck. The Bach titles were mainly distributed as follows:
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Later recordings were made at Parish church, Günsbach: These recordings were made by C. Robert Fine during the time Dr. Schweitzer was being filmed in Günsbach for the documentary "Albert Schweitzer". Fine originally self-released the recordings but later licensed the masters to Columbia.
The above were released in the United States as Columbia Masterworks boxed set SL-175.
Portrayals and dedication.
Dramatisations of Schweitzer's life include:
The Greek author Nikos Kazantzakis dedicated his novel The Poor Man of Assisi to him.
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Austrian school of economics
The Austrian school is a heterodox school of economic thought that advocates strict adherence to methodological individualism, the concept that social phenomena result primarily from the motivations and actions of individuals along with their self interest. Austrian-school theorists hold that economic theory should be exclusively derived from basic principles of human action.
The Austrian school originated in 1871 in Vienna with the work of Carl Menger, Eugen von Böhm-Bawerk, Friedrich von Wieser, and others. It was methodologically opposed to the Historical school, in a dispute known as "Methodenstreit", or methodology quarrel. Current-day economists working in this tradition are located in many countries, but their work is still referred to as Austrian economics. Among the theoretical contributions of the early years of the Austrian school are the subjective theory of value, marginalism in price theory and the formulation of the economic calculation problem.
In the 1970s, the Austrian school attracted some renewed interest after Friedrich August von Hayek shared the 1974 Nobel Memorial Prize in Economic Sciences with Gunnar Myrdal.
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History.
Etymology.
The Austrian school owes its name to members of the German historical school of economics, who argued against the Austrians during the late 19th-century "Methodenstreit" ("methodology struggle"), in which the Austrians defended the role of theory in economics as distinct from the study or compilation of historical circumstance. In 1883, Menger published "Investigations into the Method of the Social Sciences with Special Reference to Economics", which attacked the methods of the historical school. Gustav von Schmoller, a leader of the historical school, responded with an unfavorable review, coining the term "Austrian school" in an attempt to characterize the school as outcast and provincial. The label endured and was adopted by the adherents themselves.
School of Salamanca.
The Salamanca School of economic thought, emerging in 16th-century Spain, is often regarded as an early precursor to the Austrian School of Economics due to its development of the subjective theory of value and its advocacy for free-market principles. Scholars from the University of Salamanca, such as Francisco de Vitoria and Luis de Molina, argued that the value of goods was determined by individual preferences rather than intrinsic factors, foreshadowing later Austrian ideas. They also emphasized the importance of supply and demand in setting prices and maintaining sound money, laying the groundwork for modern economic concepts that the Austrian School would later refine and expand upon.
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First wave.
The school originated in Vienna in Austria-Hungary. Carl Menger's 1871 book "Principles of Economics" is generally considered the founding of the Austrian school. The book was one of the first modern treatises to advance the theory of marginal utility. The Austrian school was one of three founding currents of the marginalist revolution of the 1870s, with its major contribution being the introduction of the subjectivist approach in economics.
Despite such claim, John Stuart Mill had used "value in use" in this sense in 1848 in "Principles of Political Economy", where he wrote: "Value in use, or as Mr. De Quincey calls it, "teleologic" value, is the extreme limit of value in exchange. The exchange value of a thing may fall short, to any amount, of its value in use; but that it can ever exceed the value in use, implies a contradiction; it supposes that persons will give, to possess a thing, more than the utmost value which they themselves put upon it as a means of gratifying their inclinations."
While marginalism was generally influential, there was also a more specific school that began to coalesce around Menger's work, which came to be known as the "psychological school", "Vienna school", or "Austrian school". Menger's contributions to economic theory were closely followed by those of Eugen von Böhm-Bawerk and Friedrich von Wieser. These three economists became what is known as the "first wave" of the Austrian school. Böhm-Bawerk wrote extensive critiques of Karl Marx in the 1880s and 1890s and was part of the Austrians' participation in the late 19th-century , during which they attacked the Hegelian doctrines of the historical school.
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Early 20th century.
Frank Albert Fetter (1863–1949) was a leader in the United States of Austrian thought. He obtained his PhD in 1894 from the University of Halle and then was made Professor of Political Economy and Finance at Cornell University in 1901. Several important Austrian economists trained at the University of Vienna in the 1920s and later participated in private seminars held by Ludwig von Mises. These included Gottfried Haberler, Friedrich Hayek, Fritz Machlup, Karl Menger (son of Carl Menger), Oskar Morgenstern, Paul Rosenstein-Rodan, Abraham Wald, and Michael A. Heilperin, among others, as well as the sociologist Alfred Schütz.
Later 20th century.
By the mid-1930s, most economists had embraced what they considered the important contributions of the early Austrians. Fritz Machlup quoted Hayek's statement that "the greatest success of a school is that it stops existing because its fundamental teachings have become parts of the general body of commonly accepted thought". Sometime during the middle of the 20th century, Austrian economics became disregarded or derided by mainstream economists because it rejected model building and mathematical and statistical methods in the study of economics. Mises' student Israel Kirzner recalled that in 1954, when Kirzner was pursuing his PhD, there was no separate Austrian school as such. When Kirzner was deciding which graduate school to attend, Mises had advised him to accept an offer of admission at Johns Hopkins because it was a prestigious university and Fritz Machlup taught there.
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After the 1940s, Austrian economics can be divided into two schools of economic thought and the school split to some degree in the late 20th century. One camp of Austrians, exemplified by Mises, regards neoclassical methodology to be irredeemably flawed; the other camp, exemplified by Friedrich Hayek, accepts a large part of neoclassical methodology and is more accepting of government intervention in the economy. Henry Hazlitt wrote economics columns and editorials for a number of publications and wrote many books on the topic of Austrian economics from the 1930s to the 1980s. Hazlitt's thinking was influenced by Mises. His book "Economics in One Lesson" (1946) sold over a million copies and he is also known for "The Failure of the "New Economics"" (1959), a line-by-line critique of John Maynard Keynes's "General Theory".
The reputation of the Austrian school rose in the late 20th century due in part to the work of Israel Kirzner and Ludwig Lachmann at New York University and to renewed public awareness of the work of Hayek after he won the 1974 Nobel Memorial Prize in Economic Sciences. Hayek's work was influential in the revival of "laissez-faire" thought in the 20th century.
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Split among contemporary Austrians.
Economist Leland Yeager discussed the late 20th-century rift and referred to a discussion written by Murray Rothbard, Hans-Hermann Hoppe, Joseph Salerno and others in which they attack and disparage Hayek. Yeager stated: "To try to drive a wedge between Mises and Hayek on [the role of knowledge in economic calculation], especially to the disparagement of Hayek, is unfair to these two great men, unfaithful to the history of economic thought". He went on to call the rift subversive to economic analysis and the historical understanding of the fall of Eastern European communism.
In a 1999 book published by the Ludwig von Mises Institute, Hoppe asserted that Rothbard was the leader of the "mainstream within Austrian Economics" and contrasted Rothbard with Nobel Laureate Friedrich Hayek, whom he identified as a British empiricist and an opponent of the thought of Mises and Rothbard. Hoppe acknowledged that Hayek was the most prominent Austrian economist within academia, but stated that Hayek was an opponent of the Austrian tradition which led from Carl Menger and Böhm-Bawerk through Mises to Rothbard. Austrian economist Walter Block says that the Austrian school can be distinguished from other schools of economic thought through two categories—economic theory and political theory. According to Block, while Hayek can be considered an Austrian economist, his views on political theory clash with the libertarian political theory which Block sees as an integral part of the Austrian school.
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Both criticism from Hoppe and Block to Hayek apply to Carl Menger, the founder of the Austrian school. Hoppe emphasizes that Hayek, which for him is from the English empirical tradition, is an opponent of the supposed rationalist tradition of the Austrian school; Menger made strong critiques to rationalism in his works in similar vein as Hayek's. He emphasized the idea that there are several institutions which were not deliberately created, have a kind of "superior wisdom" and serve important functions to society. He also talked about Edmund Burke and the English tradition to sustain these positions.
When saying that the libertarian political theory is an integral part of the Austrian school and supposing Hayek is not a libertarian, Block excludes Menger from the Austrian school, too, since Menger seems to defend broader state activity than Hayek—for example, progressive taxation and extensive labour legislation.
Economists of the Hayekian view are affiliated with the Cato Institute, George Mason University (GMU) and New York University, among other institutions. They include Peter Boettke, Roger Garrison, Steven Horwitz, Peter Leeson and George Reisman. Economists of the Mises–Rothbard view include Walter Block, Hans-Hermann Hoppe, Jesús Huerta de Soto and Robert P. Murphy, each of whom is associated with the Mises Institute and some of them also with academic institutions. According to Murphy, a "truce between (for lack of better terms) the GMU Austro-libertarians and the Auburn Austro-libertarians" was signed around 2011.
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Influence.
Many theories developed by "first wave" Austrian economists have long been absorbed into mainstream economics. These include Carl Menger's theories on marginal utility, Friedrich von Wieser's theories on opportunity cost and Eugen von Böhm-Bawerk's theories on time preference, as well as Menger and Böhm-Bawerk's criticisms of Marxian economics.
Former American Federal Reserve Chairman Alan Greenspan said that the founders of the Austrian school "reached far into the future from when most of them practiced and have had a profound and, in my judgment, probably an irreversible effect on how most mainstream economists think in this country". In 1987, Nobel Laureate James M. Buchanan told an interviewer: "I have no objections to being called an Austrian. Hayek and Mises might consider me an Austrian but, surely some of the others would not".
Currently, universities with a significant Austrian presence are George Mason University, New York University, Grove City College, Loyola University New Orleans, Monmouth College, and Auburn University in the United States; King Juan Carlos University in Spain; and Universidad Francisco Marroquín in Guatemala. Austrian economic ideas are also promoted by privately funded organizations such as the Mises Institute and the Cato Institute.
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Theory.
The Austrian school theorizes that the subjective choices of individuals including individual knowledge, time, expectation and other subjective factors cause all economic phenomena. Austrians seek to understand the economy by examining the social ramifications of individual choice, an approach called methodological individualism. It differs from other schools of economic thought, which have focused on aggregate variables, equilibrium analysis, and societal groups rather than individuals.
In the 20th and 21st centuries, economists with a methodological lineage to the early Austrian school developed many diverse approaches and theoretical orientations. Ludwig von Mises organized his version of the subjectivist approach, which he called "praxeology", in a book published in English as "Human Action" in 1949. In it, Mises stated that praxeology could be used to deduce "a priori" theoretical economic truths and that deductive economic thought experiments could yield conclusions which follow irrefutably from the underlying assumptions. He wrote that conclusions could not be inferred from empirical observation or statistical analysis and argued against the use of probabilities in economic models.
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Since Mises' time, some Austrian thinkers have accepted his praxeological approach while others have adopted alternative methodologies. For example, Fritz Machlup, Friedrich Hayek and others did not take Mises' strong "a priori" approach to economics. Ludwig Lachmann, a radical subjectivist, also largely rejected Mises' formulation of Praxeology in favor of the "verstehende Methode" ("interpretive method") articulated by Max Weber.
In the 20th century, various Austrians incorporated models and mathematics into their analysis. Austrian economist Steven Horwitz argued in 2000 that Austrian methodology is consistent with macroeconomics and that Austrian macroeconomics can be expressed in terms of microeconomic foundations. Austrian economist Roger Garrison writes that Austrian macroeconomic theory can be correctly expressed in terms of diagrammatic models. In 1944, Austrian economist Oskar Morgenstern presented a rigorous schematization of an ordinal utility function (the Von Neumann–Morgenstern utility theorem) in "Theory of Games and Economic Behavior".
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Fundamental tenets.
In 1981, Fritz Machlup listed the typical views of Austrian economic thinking as such:
He included two additional tenets held by the Mises branch of Austrian economics:
Contributions to economic thought.
Opportunity cost.
The opportunity cost doctrine was first explicitly formulated by the Austrian economist Friedrich von Wieser in the late 19th century. Opportunity cost is the cost of any activity measured in terms of the value of the next best alternative foregone (that is not chosen). It is the sacrifice related to the second best choice available to someone, or group, who has picked among several mutually exclusive choices. Although a more ephemeral scarcity, expectations of the future must also be considered. Quantified as time preference, opportunity cost must also be valued with respect to one's preference for present versus future investments.
Opportunity cost is a key concept in mainstream economics and has been described as expressing "the basic relationship between scarcity and choice". The notion of opportunity cost plays a crucial part in ensuring that resources are used efficiently.
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Capital and interest.
The Austrian theory of capital and interest was first developed by Eugen von Böhm-Bawerk. He stated that interest rates and profits are determined by two factors, namely supply and demand in the market for final goods and time preference.
Böhm-Bawerk's theory equates capital intensity with the degree of roundaboutness of production processes. Böhm-Bawerk also argued that the law of marginal utility necessarily implies the classical law of costs. However, many Austrian economists such as Ludwig von Mises, Israel Kirzner, Ludwig Lachmann, and Jesús Huerta de Soto entirely reject a productivity explanation for interest rates, viewing the average period of production as an unfortunate remnant of damaged classical economic thought on Böhm-Bawerk.
Inflation.
In Mises's definition, inflation is an increase in the supply of money:
Hayek claimed that inflationary stimulation exploits the lag between an increase in money supply and the consequent increase in the prices of goods and services:
Even prominent Austrian economists have been confused since Austrians define inflation as 'increase in money supply' while most people including most economists define inflation as 'rising prices'.
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Economic calculation problem.
The economic calculation problem refers to a criticism of planned economies which was first stated by Max Weber in 1920. Mises subsequently discussed Weber's idea with his student Friedrich Hayek, who developed it in various works including "The Road to Serfdom". What the calculation problem essentially states is that without price signals, the factors of production cannot be allocated in the most efficient way possible, rendering planned economies inefficacious.
Austrian theory emphasizes the organizing power of markets. Hayek stated that market prices reflect information, the totality of which is not known to any single individual, which determines the allocation of resources in an economy. Because socialist systems lack the individual incentives and price discovery processes by which individuals act on their personal information, Hayek argued that socialist economic planners lack all of the knowledge required to make optimal decisions. Those who agree with this criticism view it as a refutation of socialism, showing that socialism is not a viable or sustainable form of economic organization. The debate rose to prominence in the 1920s and 1930s and that specific period of the debate has come to be known by historians of economic thought as the socialist calculation debate.
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Mises argued in a 1920 essay "Economic Calculation in the Socialist Commonwealth" that the pricing systems in socialist economies were necessarily deficient because if the government owned the means of production, then no prices could be obtained for capital goods as they were merely internal transfers of goods in a socialist system and not "objects of exchange", unlike final goods. Therefore, they were unpriced and hence the system would be necessarily inefficient since the central planners would not know how to allocate the available resources efficiently. This led him to write "that rational economic activity is impossible in a socialist commonwealth".
Business cycles.
The Austrian theory of the business cycle (ABCT) focuses on banks' issuance of credit as the cause of economic fluctuations. Although later elaborated by Hayek and others, the theory was first set forth by Mises, who posited that fractional reserve banks extend credit at artificially low interest rates, causing businesses to invest in relatively roundabout production processes which leads to an artificial "boom". Mises stated that this artificial "boom" then led to a misallocation of resources which he called "malinvestment" – which eventually must end in a "bust".
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Mises surmised that government manipulation of money and credit in the banking system throws savings and investment out of balance, resulting in misdirected investment projects that are eventually found to be unsustainable, at which point the economy has to rebalance itself through a period of corrective recession. Austrian economist Fritz Machlup summarized the Austrian view by stating, "monetary factors cause the cycle but real phenomena constitute it." This may be unrealistic since successful entrepreneurs will realise that interest rates are artificially low and will adjust their investment decisions based on projected long term interest rates.
For Austrians, the only prudent strategy for government is to leave money and the financial system to the free market's competitive forces to eradicate the business cycle's inflationary booms and recessionary busts, allowing markets to keep people's saving and investment decisions in place for well-coordinated economic stability and growth.
A Keynesian would suggest government intervention during a recession to inject spending into the economy when people will not. However, the heart of Austrian macroeconomic theory assumes the government "fine tuning" through expansions and contractions in the money supply orchestrated by the government are actually the cause of business cycles because of the differing impact of the resulting interest rate changes on different stages in the structure of production. Austrian economist Thomas Woods further supports this view by arguing it is not consumption, but rather production that should be emphasized. A country cannot become rich by consuming, and therefore, by using up all their resources. Instead, production is what enables consumption as a possibility in the first place, since a producer would be working for nothing, if not for the desire to consume.
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Central banks.
According to Ludwig von Mises, central banks enable the commercial banks to fund loans at artificially low interest rates, thereby inducing an unsustainable expansion of bank credit and impeding any subsequent contraction and argued for a gold standard to constrain growth in fiduciary media. Friedrich Hayek took a different perspective not focusing on gold but focusing on regulation of the banking sector via strong central banking.
Some economists argue money is endogenous, and argue that this refutes the Austrian Business Cycle Theory. However, this would simply shift the brunt of the blame from central banks to private banks when it comes to credit expansion; the fundamental underlying issue would be the same, and a free-market full-reserve system would still be the fix.
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Abscess
An abscess is a collection of pus that has built up within the tissue of the body, usually caused by bacterial infection. Signs and symptoms of abscesses include redness, pain, warmth, and swelling. The swelling may feel fluid-filled when pressed. The area of redness often extends beyond the swelling. Carbuncles and boils are types of abscess that often involve hair follicles, with carbuncles being larger. A cyst is related to an abscess, but it contains a material other than pus, and a cyst has a clearly defined wall. Abscesses can also form internally on internal organs and after surgery.
They are usually caused by a bacterial infection. Often many different types of bacteria are involved in a single infection. In many areas of the world, the most common bacteria present is "methicillin-resistant Staphylococcus aureus". Rarely, parasites can cause abscesses; this is more common in the developing world. Diagnosis of a skin abscess is usually made based on what it looks like and is confirmed by cutting it open. Ultrasound imaging may be useful in cases in which the diagnosis is not clear. In abscesses around the anus, computer tomography (CT) may be important to look for deeper infection.
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Standard treatment for most skin or soft tissue abscesses is cutting it open and drainage. There appears to be some benefit from also using antibiotics. A small amount of evidence supports not packing the cavity that remains with gauze after drainage. Closing this cavity right after draining it rather than leaving it open may speed healing without increasing the risk of the abscess returning. Sucking out the pus with a needle is often not sufficient.
Skin abscesses are common and have become more common in recent years. Risk factors include intravenous drug use, with rates reported as high as 65% among users. In 2005, 3.2 million people went to American emergency departments for abscesses. In Australia, around 13,000 people were hospitalized in 2008 with the condition.
Signs and symptoms.
Abscesses may occur in any kind of tissue but most frequently within the skin surface (where they may be superficial pustules known as boils or deep skin abscesses), in the lungs, brain, teeth, kidneys, and tonsils. Major complications may include spreading of the abscess material to adjacent or remote tissues, and extensive regional tissue death (gangrene).
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The main symptoms and signs of a skin abscess are redness, heat, swelling, pain, and loss of function. There may also be high temperature (fever) and chills. If superficial, abscesses may be fluctuant when palpated; this wave-like motion is caused by movement of the pus inside the abscess.
An internal abscess is more difficult to identify and depend on the location of the abscess and the type of infection. General signs include pain in the affected area, a high temperature, and generally feeling unwell.
Internal abscesses rarely heal themselves, so prompt medical attention is indicated if such an abscess is suspected. An abscess can potentially be fatal depending on where it is located.
Causes.
Risk factors for abscess formation include intravenous drug use. Another possible risk factor is a prior history of disc herniation or other spinal abnormality, though this has not been proven.
Abscesses are caused by bacterial infection, parasites, or foreign substances.
Bacterial infection is the most common cause, particularly Staphylococcus aureus. The more invasive "methicillin-resistant Staphylococcus aureus" (MRSA) may also be a source of infection, though is much rarer. Among spinal subdural abscesses, methicillin-sensitive "Staphylococcus aureus" is the most common organism involved.
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Rarely parasites can cause abscesses and this is more common in the developing world. Specific parasites known to do this include dracunculiasis and myiasis.
Anorectal abscess.
Anorectal abscesses can be caused by non-specific obstruction and ensuing infection of the glandular crypts inside of the anus or rectum. Other causes include cancer, trauma, or inflammatory bowel diseases.
Incisional abscess.
An "incisional abscess" is one that develops as a complication secondary to a surgical incision. It presents as redness and warmth at the margins of the incision with purulent drainage from it. If the diagnosis is uncertain, the wound should be aspirated with a needle, with aspiration of pus confirming the diagnosis and availing for Gram stain and bacterial culture.
Internal abscess.
Abscesses can form inside the body. The cause can be from trauma, surgery, an infection, or a pre-existing condition.
Pathophysiology.
An abscess is a defensive reaction of the tissue to prevent the spread of infectious materials to other parts of the body.
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Organisms or foreign materials destroy the local cells, which results in the release of cytokines. The cytokines trigger an inflammatory response, which draws large numbers of white blood cells to the area and increases the regional blood flow.
The final structure of the abscess is an abscess wall, or capsule, that is formed by the adjacent healthy cells in an attempt to keep the pus from infecting neighboring structures. However, such encapsulation tends to prevent immune cells from attacking bacteria in the pus, or from reaching the causative organism or foreign object.
Diagnosis.
An abscess is a localized collection of pus (purulent inflammatory tissue) caused by suppuration buried in a tissue, an organ, or a confined space, lined by the pyogenic membrane. Ultrasound imaging can help in a diagnosis.
Classification.
Abscesses may be classified as either "skin abscesses" or "internal abscesses". Skin abscesses are common; internal abscesses tend to be harder to diagnose, and more serious. Skin abscesses are also called cutaneous or subcutaneous abscesses.
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IV drug use.
For those with a history of intravenous drug use, an X-ray is recommended before treatment to verify that no needle fragments are present. If there is also a fever present in this population, infectious endocarditis should be considered.
Differential.
Abscesses should be differentiated from empyemas, which are accumulations of pus in a preexisting, rather than a newly formed, anatomical cavity.
Other conditions that can cause similar symptoms include: cellulitis, a sebaceous cyst, and necrotising fasciitis. Cellulitis typically also has an erythematous reaction, but does not confer any purulent drainage.
Treatment.
The standard treatment for an uncomplicated skin or soft tissue abscess is the act of opening and draining. There does not appear to be any benefit from also using antibiotics in most cases. A small amount of evidence did not find a benefit from packing the abscess with gauze.
Incision and drainage.
The abscess should be inspected to identify if foreign objects are a cause, which may require their removal. If foreign objects are not the cause, incising and draining the abscess is standard treatment.
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Antibiotics.
Most people who have an uncomplicated skin abscess should not use antibiotics. Antibiotics in addition to standard incision and drainage is recommended in persons with severe abscesses, many sites of infection, rapid disease progression, the presence of cellulitis, symptoms indicating bacterial illness throughout the body, or a health condition causing immunosuppression. People who are very young or very old may also need antibiotics. If the abscess does not heal only with incision and drainage, or if the abscess is in a place that is difficult to drain such as the face, hands, or genitals, then antibiotics may be indicated.
In those cases of abscess which do require antibiotic treatment, "Staphylococcus aureus" bacteria is a common cause and an anti-staphylococcus antibiotic such as flucloxacillin or dicloxacillin is used. The Infectious Diseases Society of America advises that the draining of an abscess is not enough to address community-acquired methicillin-resistant "Staphylococcus aureus" (MRSA), and in those cases, traditional antibiotics may be ineffective. Alternative antibiotics effective against community-acquired MRSA often include clindamycin, doxycycline, minocycline, and trimethoprim-sulfamethoxazole. The American College of Emergency Physicians advises that typical cases of abscess from MRSA get no benefit from having antibiotic treatment in addition to the standard treatment.
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Culturing the wound is not needed if standard follow-up care can be provided after the incision and drainage. Performing a wound culture is unnecessary because it rarely gives information which can be used to guide treatment.
Packing.
In North America, after drainage, an abscess cavity is usually packed, often with special iodoform-treated cloth. This is done to absorb and neutralize any remaining exudate as well as to promote draining and prevent premature closure. Prolonged draining is thought to promote healing. The hypothesis is that though the heart's pumping action can deliver immune and regenerative cells to the edge of an injury, an abscess is by definition a void in which no blood vessels are present. Packing is thought to provide a wicking action that continuously draws beneficial factors and cells from the body into the void that must be healed. Discharge is then absorbed by cutaneous bandages and further wicking promoted by changing these bandages regularly. However, evidence from emergency medicine literature reports that packing wounds after draining, especially smaller wounds, causes pain to the person and does not decrease the rate of recurrence, nor bring faster healing, or fewer physician visits.
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Loop drainage.
More recently, several North American hospitals have opted for less-invasive loop drainage over standard drainage and wound packing. In one study of 143 pediatric outcomes, a failure rate of 1.4% was reported in the loop group versus 10.5% in the packing group (P<.030), while a separate study reported a 5.5% failure rate among the loop group.
Primary closure.
Closing an abscess immediately after draining it appears to speed healing without increasing the risk of recurrence. This may not apply to anorectal abscesses as while they may heal faster, there may be a higher rate of recurrence than those left open.
Appendiceal abscess.
Appendiceal abscess are complications of appendicitis where there is an infected mass on the appendix. This condition is estimated to occur in 2–10% of appendicitis cases and is usually treated by surgical removal of the appendix (appendicectomy).
Prognosis.
Even without treatment, skin abscesses rarely result in death, as they will naturally break through the skin. Other types of abscess are more dangerous. Brain abscesses may be fatal if untreated. When treated, the mortality rate reduces to 5–10%, but is higher if the abscess ruptures.
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