State of the Union: Obama seizes his second term by the horns

Gun control was a clear priority in the President's speech.

It is traditional at a State of the Union address for one member of the president’s cabinet, in this case, Stephen Chu, the outgoing Energy Secretary, to watch the address not from the Capitol Building, where the president speaks to a joint session of congress, but from a bunker deep below Washington DC in case the unthinkable happens.

Chu is a scholarly man, an eminent scientist who won a Nobel prize in physics for his work in atomic cooling and trapping, and he is only the second Chinese-American to serve in the cabinet. From his bunker, he watched a State of the Union that was workmanlike and policy-heavy, one that laid down a heavy gauntlet to an often-recalcitrant Republican-dominated congress.

First Obama took a swipe at his opponents in the debt reduction negotiations, damning Republicans for asking “senior citizens and working families to shoulder the entire burden of deficit reduction while asking nothing more from the wealthiest and most powerful.” Throughout this John Boehner, Obama’s political opposite, who this morning described the president as a man who "simply did not have what it takes" to get a bipartisan deal on debt reduction, glowered into the middle distance over Obama’s shoulder.

Then Obama did some more Delingpole-baiting, urging congress to pursue “a bipartisan, market-based solution to climate change, like the one John McCain and Joe Lieberman worked on a few years ago.” The president had made a special point of singling out and shaking McCain’s hand on his way onto the capitol floor.

This was a workmanlike, policy-heavy speech. Immigration reform, education reform, sexual equality, cyber warfare, the Middle East and the Afghanistan drawdown were outlined with wonkish detail. No one, not Boehner or Stephen Chu underground awaiting catastrophe, were in any doubt – if any doubt were possible after his brash inaugural address – that this was a President looking to take his second term by the horns.

There were notable absences from the speech, however. Down in the bunker Stephen Chu, a proponent of nuclear power, was probably disappointed that nuclear got no mention as part of the president’s renewable energy plan. And gay rights advocates, flush from an inaugural address that promised real action on gay marriage, will be sorely disappointed that the issue received only the barest of oblique references.

Unlike the inaugural, where gay marriage took the headline role, Obama was yesterday back to what will become his defining topic: gun control. He spoke of Hadiya Pendleton, the young girl who performed at his inauguration and who was tragically shot and killed in Chicago just a week later. Her mother, Cleopatra Pendleton, sat at Michele Obama’s right hand.

“Hadiya's parents, Nate and Cleo, are in this chamber tonight, along with more than two dozen Americans whose lives have been torn apart by gun violence. They deserve a vote,” Obama told congress, and his words and his tone echoed the heartbreaking speech he gave at the memorial service in Newtown, Conecticut. “Gabby Giffords deserves a vote. The families of Newtown deserve a vote. The families of Aurora deserve a vote. The families of Oak Creek, and Tucson, and Blacksburg, and the countless other communities ripped open by gun violence – they deserve a simple vote.”

That vote, on the gun control measures he laid out with Joe Biden earlier this year, is this president’s singular priority. Even Stephen Chu, in his bunker, could see that.

Barack Obama delivering the State of the Union speech. Photograph: Getty Images

Nicky Woolf is a freelance writer based in the US who has formerly worked for the Guardian and the New Statesman. He tweets @NickyWoolf.

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A swimming pool and a bleeding toe put my medical competency in doubt

Doctors are used to contending with Google. Sometimes the search engine wins. 

The brutal heatwave affecting southern Europe this summer has become known among locals as “Lucifer”. Having just returned from Italy, I fully understand the nickname. An early excursion caused the beginnings of sunstroke, so we abandoned plans to explore the cultural heritage of the Amalfi region and strayed no further than five metres from the hotel pool for the rest of the week.

The children were delighted, particularly my 12-year-old stepdaughter, Gracie, who proceeded to spend hours at a time playing in the water. Towelling herself after one long session, she noticed something odd.

“What’s happened there?” she asked, holding her foot aloft in front of my face.

I inspected the proffered appendage: on the underside of her big toe was an oblong area of glistening red flesh that looked like a chunk of raw steak.

“Did you injure it?”

She shook her head. “It doesn’t hurt at all.”

I shrugged and said she must have grazed it. She wasn’t convinced, pointing out that she would remember if she had done that. She has great faith in plasters, though, and once it was dressed she forgot all about it. I dismissed it, too, assuming it was one of those things.

By the end of the next day, the pulp on the underside of all of her toes looked the same. As the doctor in the family, I felt under some pressure to come up with an explanation. I made up something about burns from the hot paving slabs around the pool. Gracie didn’t say as much, but her look suggested a dawning scepticism over my claims to hold a medical degree.

The next day, Gracie and her new-found holiday playmate, Eve, abruptly terminated a marathon piggy-in-the-middle session in the pool with Eve’s dad. “Our feet are bleeding,” they announced, somewhat incredulously. Sure enough, bright-red blood was flowing, apparently painlessly, from the bottoms of their big toes.

Doctors are used to contending with Google. Often, what patients discover on the internet causes them undue alarm, and our role is to provide context and reassurance. But not infrequently, people come across information that outstrips our knowledge. On my return from our room with fresh supplies of plasters, my wife looked up from her sun lounger with an air of quiet amusement.

“It’s called ‘pool toe’,” she said, handing me her iPhone. The page she had tracked down described the girls’ situation exactly: friction burns, most commonly seen in children, caused by repetitive hopping about on the abrasive floors of swimming pools. Doctors practising in hot countries must see it all the time. I doubt it presents often to British GPs.

I remained puzzled about the lack of pain. The injuries looked bad, but neither Gracie nor Eve was particularly bothered. Here the internet drew a blank, but I suspect it has to do with the “pruning” of our skin that we’re all familiar with after a soak in the bath. This only occurs over the pulps of our fingers and toes. It was once thought to be caused by water diffusing into skin cells, making them swell, but the truth is far more fascinating.

The wrinkling is an active process, triggered by immersion, in which the blood supply to the pulp regions is switched off, causing the skin there to shrink and pucker. This creates the biological equivalent of tyre treads on our fingers and toes and markedly improves our grip – of great evolutionary advantage when grasping slippery fish in a river, or if trying to maintain balance on slick wet rocks.

The flip side of this is much greater friction, leading to abrasion of the skin through repeated micro-trauma. And the lack of blood flow causes nerves to shut down, depriving us of the pain that would otherwise alert us to the ongoing tissue damage. An adaptation that helped our ancestors hunt in rivers proves considerably less use on a modern summer holiday.

I may not have seen much of the local heritage, but the trip to Italy taught me something new all the same. 

This article first appeared in the 17 August 2017 issue of the New Statesman, Trump goes nuclear