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Test Bank1 for Community Nutrition in Action 6e
Chapter 10 – Food Insecurity and the
Food Assistance Programs
Learning Objectives
10.1 Communicate the current status of food security in the United States.
10.2 Understand the complexity of domestic food insecurity.
10.3 Describe current food security and hunger policy initiatives.
10.4 Describe the purpose, status, and current issues related to the U.S. food assistance
programs.
10.5 Describe actions that individuals might take to eliminate food insecurity.
True/False2
1. People who live with chronic hunger might have food available to them, but they are lacking
in nutrients.
a. true
b. false
2. The official poverty guidelines define eligibility for many federal assistance programs,
including the food assistance programs.
a. true
b. false
3. A lower assessed score on the Food Security Module of the Current Population Survey
indicates higher food security.
a. true
b. false
4. Those living below the poverty threshold experience food insecurity and hunger at over 3
times the national average.
a. true
b. false
5. A job that pays the minimum wage lifts a family above the federal poverty threshold.
a. true
b. false
7. Food insecurity rates are higher than average in households with children that are headed
by a single mom.
a. true
b. false
8. Typically, the northeastern states have rates for food insecurity and hunger that are higher
than the national average.
a. true
b. false
9. Since 2000, there has been a gradual downward trend in the percentage of Americans living
in poverty.
a. true
b. false
10. Ultimately, the goal of food assistance programs is to improve the food security, nutritional
status, and health of Americans by providing free food to the masses.
a. true
b. false
11. Meals served under the Older Americans Act Nutrition Program, formerly known as the
Elderly Nutrition Program, must provide at least one-third of recommended intakes
established by the Food and Nutrition Board.
a. true
b. false
12. Currently, the benefit allotments for those participating in the Supplemental Nutrition
Assistance Program are sufficient to meet the nutritional needs of the family.
a. true
b. false
13. Private food assistance programs exist to supplement the federal programs.
a. true
b. false
15. Generally, food pantries and soup kitchens are federally funded programs.
a. true
b. false
16. The federal government is the only entity concerned with food insecurity.
a. true
b. false
Multiple Choice
1. The proportion of income spent on _____ by economically stressed families is used as the
basis for the current poverty thresholds.
a. housing
b. utilities
c. food
d. education
2. Households with no problems, or anxiety about, consistently accessing adequate foods are
experiencing
a. high food security.
b. marginal food security.
c. low food security.
d. very low food security.
3. Households in which the child’s portion size was lessened or one or more of the household
members did not eat regularly are categorized as having
a. high food security.
b. marginal food security.
c. low food security.
d. very low food security.
7. In 2010, approximately _____ percent of all Americans age 65 and over were living below the
poverty threshold.
a. 5
b. 7.5
c. 9
d. 12.5
10. Which of the following has not been identified as a cause of hunger in the United States?
a. Mental health issues
b. Lack of knowledge about the Supplemental Nutrition Assistance Program
c. Increase in the senior population
d. Substance abuse
12. Hunger diminished as a serious problem in this country during the _____ as a result of the
efforts of the food assistance programs.
a. 1960s
b. 1970s
c. 1980s
d. 1990s
13. In 2010, _____ percent of the people in the United States lived in poverty.
a. 5
b. 7.5
c. 11.3
d. 15.1
14. Which of the following is not a key provision(s) of the Personal Responsibility and Work
Opportunity Reconciliation Act?
a. It established the Temporary Assistance for Needy Families Program.
b. It requires states to enforce a strong child support program for collection of child
support payments.
c. It tightens national standards for SNAP benefits and commodity distribution.
d. It provides food assistance through the distribution of food commodities.
15. Which of the following programs is not administered by the Food and Nutrition Service of
the USDA?
a. Child and Adult Care Food Program
b. Older Americans Act Nutrition Program
c. Supplemental Nutrition Assistance Program
d. Commodity Supplemental Food Program
16. Approximately half of all participants in the Supplemental Nutrition Assistance Program are
a. children.
b. elderly.
c. women.
d. homeless.
18. Eligibility and allotments for the Supplemental Nutrition Assistance Program are based on
all of the following except
a. income.
b. household size.
c. assets.
d. age.
19. The largest single ethnic group participating in the Supplemental Nutrition Assistance
Program is
a. African Americans.
b. Hispanics.
c. Asians.
d. whites.
20. _____ is an optional program for states intended to improve the likelihood that program
participants will make healthful choices within a limited budget and choose active lifestyles
consistent with the Dietary Guidelines for Americans.
a. WIC
b. SNAP-ED
c. SNAP
d. Emergency Food Assistance Food Program
21. The Commodity Supplemental Food Program distributes foods to all of the following except
a. infants.
b. children up to age 6.
c. older people at least 60 years of age.
d. WIC participants.
22. Which program was designed to reduce the level of government-held surplus commodities
while supplementing the diets of low-income needy persons, including elderly people,
through provision of commodity foods to food banks?
a. Summer Food Service Program for Children
b. Commodity Supplemental Food Program
c. Emergency Food Assistance Program
d. WIC Farmers’ Market Nutrition Program
25. Of those children participating in the National School Lunch Program, approximately _____
receive their meal for free.
a. 29%
b. 37%
c. 56%
d. 69%
27. Examples of medically-based risks in determining eligibility for participation in the Special
Supplemental Nutrition Program for Women, Infants, and Children include all of the
following except
a. anemia.
b. overweight.
c. underweight.
d. maternal age.
28. Food vouchers for supplemental foods provided as part of the WIC program are designed to
provide all of the following specific nutrients except
a. riboflavin.
b. vitamin C.
c. calcium.
d. iron.
31. The Older Americans Act Nutrition Program provides all of the following except
a. low-cost, nutritious food.
b. opportunities for social interaction.
c. vouchers to use to purchase foods in the grocery store.
d. nutrition education.
32. It is estimated that on average, _____ of requests for emergency food assistance go unmet.
a. 8%
b. 12%
c. 14%
d. 27%
Matching
Match the year the food assistance program was enacted in the right column with the program
in the left column. Options may be used once, more than once, or not at all.
Matching key:
1. ANS: d REF: 347 OBJ: 10.4
2. ANS: d REF: 346 OBJ: 10.4
3. ANS: g REF: 346 OBJ: 10.4
4. ANS: l REF: 346 OBJ: 10.4
5. ANS: b REF: 345 OBJ: 10.4
6. ANS: k REF: 344 OBJ: 10.4
7. ANS: c REF: 344 OBJ: 10.4
8. ANS: a REF: 344 OBJ: 10.4
9. ANS: c REF: 343 OBJ: 10.4
10. ANS: j REF: 343 OBJ: 10.4
11. ANS: f REF: 343 OBJ: 10.4
12. ANS: i REF: 343 OBJ: 10.4
13. ANS: e REF: 346 OBJ: 10.4
14. ANS: a REF: 343 OBJ: 10.4
15. ANS: f REF: 347 OBJ: 10.4
16. ANS: d REF: 345 OBJ: 10.4
17. ANS: c REF: 345 OBJ: 10.4
18. ANS: g REF: 347 OBJ: 10.4
19. ANS: b REF: 344 OBJ: 10.4
20. ANS: h REF: 346 OBJ: 10.4
21. ANS: a REF: 343 OBJ: 10.4
22. ANS: f REF: 347 OBJ: 10.4
Essay Questions
ANS: The majority (85.5%) of households are food secure; however, of the remaining 14.5%,
9.1% experience low food security while 5.4% experience very low food security. Households
headed by single mothers experience a higher rate of food insecurity. Households with
children experience food insecurity at a higher rate than those without children. Overall,
non-Hispanic black and Mexican-American children are more likely than non-Hispanic
white children to be poor, food insufficient, and in poor health. A lower proportion of
households with older adults experience hunger and food insecurity than other groups. The
prevalence of food insecurity in households in inner-city and rural areas substantially
exceeded that in suburban and other metropolitan areas. States in the South have higher-
than-average food insecurity rates. The number of hungry farm families is increasing.
REF: 330-337
OBJ: 10.1
3. State the major cause of food insecurity in the United States and discuss other factors that
contribute to the U.S. hunger problem.
ANS: Poverty is the major cause of food insecurity. As identified by the U.S. Conference of
Mayors-Sodexho Hunger and Homelessness Survey 2010, the causes of hunger include
poverty, high housing costs, unemployment, medical or health costs, and low wages. Other
factors may include utility costs, lack of education, transportation costs, mental health
problems, and substance abuse.
REF: 332-333|337-338
OBJ: 10.2
ANS: The need within households with food insecurity is to maximize caloric intake.
Without adequate resources for food, families must make decisions to stretch their food
money as far as possible and maximize the number of calories they can buy so that their
members do not suffer from frequent hunger. Low-income families therefore may consume
lower-cost foods with relatively higher levels of calories per dollar to stave off hunger when
they lack the money or other resources to purchase a more healthful balance of more
nutritious foods. Additionally, overeating when food is available is common. Over time, this
practice can lead to weight gain.
REF: 339
OBJ: 10.2
5. Describe three of the government’s five largest food assistance programs, including
eligibility requirements and services provided.
ANS: The five largest food assistance programs, accounting for 95% of all federal dollars
spent, are the Supplemental Nutrition Assistance Program; the National School Lunch
Program; the Special Supplemental Nutrition Program for Women, Infants, and Children;
the School Breakfast Program; and the Child and Adult Care Food Program.
See Table 10-4 for the specifics of the various programs (pp. 343-347).
REF: 338-352|354-356
OBJ: 10.4
6. Of the different hunger policy initiatives, which one do you believe is the most beneficial
and why?
8. Discuss the background and goals of the Community Food Security Initiative.
ANS: In an effort to reduce hunger, the USDA partnered with states, local municipalities,
nonprofit groups, and the public sector to create this initiative. The goals of the Community
Food Security Initiative include:
• Building and enhancing local infrastructures to reduce hunger and food insecurity in
communities.
• Increasing economic and job security for low-income people by helping people locate
living-wage jobs and achieve self-sufficiency.
• Strengthening the federal food and nutrition assistance safety net.
• Bolstering supplemental food provided by nonprofit groups by assisting or developing
local food recovery, gleaning, and donation efforts.
• Improving community food production and marketing by aiding community projects
that grow, process, and distribute food locally.
• Boosting education and raising awareness about nutrition, food safety, and food
security among community residents.
• Improving research, monitoring, and evaluation efforts to help communities assess and
strengthen food security.
REF: 360
OBJ: 10.3|10.4
9. Identify ways that you can become involved in ending hunger in the United States.
ANS: Answers will vary, but could include some of following:
• Assist in food assistance programs as a volunteer.
• Help develop means of informing low-income people about food-related federal and local
services and programs for which they are eligible.
• Help increase the accessibility of existing programs and services.
• Document the hunger-related needs that exist in your own community.
• Support local food production.
• Conduct or participate in research to document the effectiveness of food assistance
programs.
• Follow food security legislation; call and write legislators about food insecurity issues.
• Be aware of the magnitude of the problem.
REF: 362-363
OBJ: 10.5
10. Explain the significance and relevance of food security to dietetic professionals.
ANS: Answers will vary, but could include referring clients to various nutrition assistance
programs, participating in legislative activities related to food security issues, participating
in or conducting research related to food security, and/or developing nutrition education
interventions for the food insecure.
REF: 362-363
OBJ: 10.5
Short Answer
ANS: The housing wage is the hourly wage that must be earned for a 40-hour work week in
order to afford a two-bedroom housing unit. The hourly wage is the employee compensation
for the work done. The current housing wage is $18.25/hour, while the federal minimum
wage is $7.25/hour.
REF: 333|337
OBJ: 10.1|10.2
2. What are some of the problems that arise when children are hungry?
ANS: Research shows that children living in food-insufficient households have poorer
health, even after controlling for poverty. A child’s growth, cognitive development, academic
achievement, and physical and emotional health are negatively affected by living in a family
that does not have enough food to eat.
REF: 334-335
OBJ: 10.2
ANS:
• 48% are children
• 29% of households with children are headed by a single parent
• 8% are age 60 or older
• 50% of all benefits go to households with children and 17% go to households with
disabled persons
• 32% of participants are white, 23% are African-American, 16% are Hispanic, 3% are
Asian, 4% are Native American
• Eligibility is based on income, household size, assets, housing costs, work
requirements, and other factors
REF: 350
OBJ: 10.4
4. Describe the eligibility requirements to participate in the Older Americans Act Nutrition
Program.
ANS: Participants (or their spouse) must be 60 years or older, regardless of income level;
however, priority is given to those who are economically and socially needy.
REF: 357
OBJ: 10.3|10.4
ANS: The Thrifty Food Plan serves as a food guide for a nutritious diet at a minimal cost, is
used as the basis for SNAP allotments, and is maintained by the USDA’s Center for
Nutrition Policy and Promotion.
REF: 351|352
OBJ: 10.3|10.4
Use the following case scenario to answer short answer items 6-9.
Sally is a mother of 4 young children. She is divorced, and works full-time at a minimum-wage
job. She participates in the Supplemental Nutrition Assistance Program, receiving the benefits
electronically at the beginning of the month. Many times, by the end of the month, Sally goes
without food.
6. When grocery shopping she purchases energy-dense foods instead of nutrient-dense foods,
and bypasses the legumes and fresh vegetables and fruits. Why might she make these
choices?
ANS: Sally might make these choices for a number of reasons. Possible reasons could
include: lack of food preparation knowledge, lack of basic kitchen equipment, lack of
nutritional knowledge, and the need to provide as many calories for as little money as
possible.
REF: 336|339|351
OBJ: 10.2|10.4
7. How would Sally’s choices at the grocery affect her children’s nutritional intake over time?
ANS: If the choices were to continue as they are, the children might gain weight, and be
lacking in fiber and several key vitamins and minerals. Malnutrition, in terms of over- and
under-nutrition, might become evident. In time, these might also become the purchasing
selections of the children.
REF: 335|338|339
OBJ: 10.2
8. What is the “food insecurity and obesity paradox”? Are Sally’s behaviors indicative of
someone who exhibits the food insecurity and obesity paradox?
ANS: The food insecurity and obesity paradox is seen when low-income, food-insecure
women are overweight. Reasons for this paradox include the need to maximize caloric
intake, the tradeoff between food quantity and quality, and overeating when food is
available. As we don’t know Sally’s weight, it is difficult to determine if Sally is
representative of this paradox. However, we do know that Sally experiences times of hunger
towards the end of the month and that she purchases the energy-dense foods instead of the
nutrient-dense foods.
REF: 339
OBJ: 10.2
9. List two other non-public assistance programs that might be appropriate for Sally to
consider.
ANS:
• Farmers’ markets
• Community-supported agriculture programs
• Community gardens
• Food recovery and gleaning programs
• Food-buying cooperatives
• Directory of supply and demand for community food surplus
REF: 360
OBJ: 10.3|10.4
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philosophy that he himself drew inspiration from any of such
sources.
If James has drawn to himself the greatest reading public of all
American philosophers, it is because in him each man can find the
sanction for himself. Without dogmatism or pedantry, James is the
voice of all individual human experiences. In him, each man can find
a sympathetic auditor, and words vivid with the language of the
street, encouraging his endeavours or at least pointing out the
significance of his experiences for the great business of living.
Sometimes James listens to human confessions with a suppressed
cry of pain and recalls wistfully “A Certain Blindness in Human
Beings,” or asks “Is Life Worth Living?” Once with indignation at “the
delicate intellectualities and subtleties and scrupulosities” of
philosophy he confronts “the host of guileless thoroughfed thinkers”
with the radical realities of Morrison I. Swift, only to partially retract a
few pages later with the admission, for him grudgingly given, that the
Absolute may afford its believers a certain comfort and is “in so far
forth” true. We live after all in an open universe, the lid is off and time
relentlessly operates for the production of novelties. No empiricist
can give a decision until the evidence is all in, and in the nature of
the case this can never happen.
Such openness of interest forefends the possibility of James’
founding a school of philosophy. It also renders all his younger
contemporaries in some measure his disciples. Popularly he is the
refuge of the mystics and heterodox, the spiritualists and the cranks
who seek the sanction of academic scholarship and certified dignity.
There are more things in the philosophies of these who call him
master than are dreamed of in his philosophy. In academic
philosophy there is a dual descent of the James tradition. As a
principle of negative criticism, it may be turned into its opposite, as
with Hocking, who enunciates the extreme form of the pragmatic
principle, If a theory is not interesting, it is false—and utilizes it for his
realistic, mystic, idealistic absolutism. The philosophy of Henri
Bergson, that has been widely read in this country, reinforces this
mystical spiritual side, but American mysticism has popularly tended
to degenerate into the occultisms of second-rate credulous minds.
On the other hand, for those in whom the conflict of science and
religion is settling itself on the side of science, the principle of
pragmatism lends itself to the interpretation originally intended by
Charles Peirce, the author of the term, as an experimentalism, a
search for verifiable hypotheses after the manner of the sciences.
But this side of the doctrine is the one that has been developed by
John Dewey.
Professor Dewey is without question the leading American
philosopher, both from the thoroughness of his analyses and the
vigour of his appeal to the American public. In discarding the
Hegelian Idealism in which he was trained, he is thoroughly aligned
with the New America. In him science has wholly won, and although
of New England, Vermont, ancestry, there remains not a trace of the
New Englander’s romantic spiritual longings for contact with a vast
unknown. His dogmatic faiths, and no man is without such faiths,
relate to evolution, democracy, and the all-decisive authority of
experience.
For Dewey, as for the Realists, psychology is the study of human
behaviour. For him mind is the instrument by which we overcome
obstacles and thinking takes place only when action is checked.
Hence in the conventional sense there are no abstractions. Our
concepts are instruments by which we take hold of reality. If we need
instruments to manufacture instruments, or to facilitate their use,
these instruments are also concepts. We may call them abstract, but
they are not thereby removed from the realm of experienced fact.
Since, therefore, our real interest is not in things as they are in
themselves, but in what we can do with them, our judgments are
judgments of value, and value is determined by practice. Such
judgments imply an incomplete physical situation and look toward its
completion. But the will to believe is gone. There is no shadow of
James’ faith in the practicality of emotional satisfactions, or in his
voluntaristic psychology. Our “sensations are not the elements out of
which perceptions are composed, constituted, or constructed; they
are the finest, most carefully discriminated objects of perception.”
Early critics, particularly among the realists, have accused Dewey of
subjectivism, but except in the sense that an individual must be
recognized as one term in the reaction to a situation, and the realists
themselves do this, there is no ground for the charge.
Such a philosophy as Dewey’s is nothing if it is not put to work.
And here is his greatest hold on American life. Like most Americans,
he has no sympathy for the lazy, and even the over-reflective may
suffer from the contamination of sloth; the true American wants to
see results, and here is a philosophy in which results are the
supreme end. Reform is, for America, a sort of sport and this
philosophy involves nothing but reform. Metaphysical subtleties and
visions leave the busy man cold; here they are taboo.
Professor Dewey puts his philosophy to work in the fields of
ethics and education. Perhaps his ethics is the least satisfactory,
howsoever promising its beginnings. Moral codes become the
expression of group-approval. But they easily pass into tradition, get
out of touch with fact, are superannuated. The highest virtue is
intelligence and with intelligence one can recognize the uniqueness
of every moral situation and develop from it its own criteria of
judgment. Progress in morals consists in raising the general level of
intelligence and extending the group whose approvals are significant
from a social class to the nation, a notion of highest appeal to
Democracy, with its faith in the individual man. But with Dewey the
limit of group expansion is humanity, and this may verge on
dangerous (unfortunately) radicalism. Dewey’s weapon against
conventional ethics is two-edged. For the intelligent man perhaps
there is no better actual moral standard than that springing from
intelligent specific judgments, but for the uneducated, it is only too
easy to identify intelligence with sentimental opinion and to let
practice degenerate into legislative repression.
After all, judgments of practice do face incomplete situations and
the problem is not only to complete but also to determine the manner
in which the completion shall be brought about. What men transform
is not merely the world, but themselves, and the ethics is incomplete
without some further consideration of such questions as what are
human natures, and what do we want them to become. But perhaps
such questions are too dangerously near metaphysics to have
appealed to Dewey’s powers of analysis. At any rate, the general
effectiveness of his ethics is weakened by his neglect of attention to
principles in some sense at least ultimate.
In education Dewey’s philosophy has its most complete vitality,
for here he is dealing with concrete needs and the means of
satisfying them. The problem of education is to integrate knowledge
and life. He finds no joy in information for information’s sake.
Curiosity may be the gift of the child, but it must be utilized to equip
the man to hold his own in a world of industrialism and democracy.
Yet Dewey’s sympathies are with spontaneity. He is a Rousseau with
a new methodology. Connected with the Laboratory School at
Chicago from 1896 to 1903, he has since followed with sympathetic
interest all radical experimentation from the methods of Madame
Montessori to those of the Gary Schools. The vast erudition
amassed in this field, and his careful and unprejudiced study of
children, has made him competent above all men to speak critically
of methods and results.
In regard to education, he has given a fuller consideration of the
ends to be attained than in the case of ethics. The end is seen as
continued growth, springing from the existing conditions, freeing
activity, and flexible in its adaptation to circumstances. The
educational result is social efficiency and culture. This efficiency
does not, however, imply accepting existing economic conditions as
final, and its cultural aspect, good citizenship, includes with the more
specific positive virtues, those characteristics that make a man a
good companion. Culture is a complete ripening of the personality.
“What is termed spiritual culture has usually been futile, with
something rotten about it, just because it has been conceived as a
thing which a man might have internally—and therefore exclusively.”
The antithesis between sacrificing oneself for others, or others for
oneself, is an unreal figment of the imagination, a tragic product of
certain spiritual and religious thinking.
Professor Dewey well understands the dangers that lurk behind
such terms as social efficiency and good citizenship. To him
sympathy is much more than a mere feeling: it is, as he says it
should be, “a cultivated imagination for what men have in common
and a rebellion at whatever unnecessarily divides them.” But his very
gift of clear vision, his penetration of the shams of dogma, economic
and social, leads him to treat these things with scant respect. In
consequence his fellow-philosophers, the educators over whom his
influence is profound, and the public suspect him of radicalism. Only
too often, to avoid suspicion of themselves, they turn his doctrine to
the very uses that he condemns: industrial efficiency for them
becomes identical with business expedience; the school, a trade
school; culture, a detached æstheticism to be condemned; and
democracy, the privilege of thinking and acting like everybody else.
The greatest weakness of Dewey’s philosophy, and it is serious,
for Dewey as no other American philosopher grasps principles
through which American civilization might be transformed for the
better—lies in its lack of a metaphysics. Not, of course, a
transcendentalism or a religious mysticism, but above all an
interpretation of human nature. Emotionality represents a phase of
the behaviour process too real to deny, yet it has no place in
Dewey’s philosophy of man. Human longings and aspirations are
facts as real as the materials of industry. Most men remain religious.
Must they rest with quack mystics or unintelligent dogmatists? What
is religion giving them that they crave? Is it a form of art, an attitude
toward the ideal, or some interpretation of the forces of nature that
they seek to grasp? Professor Dewey is himself a lover of art, but
what place has art in his philosophy? If it is an instrument of
education, what end does it serve, and how is it to be utilized? The
pragmatic ethics gives no guarantee that the moral criteria
developed by specific situations will always be the same even for
two men equally intelligent. Perhaps, in spite of the paradox, there
may be several best solutions. If so, this fact has some significance
rooted in man’s nature and his relations to the world that philosophy
should disclose. Such supplementation need not change the
character of the results, but it might forefend them from
misinterpretation and abuse.
With all its incompleteness, Dewey’s philosophy is undeniably
that of the America of to-day. What shall we say of the future? No
nation in the world has more abused its philosophies than ours. The
inspirational elements of our idealisms have become the panderings
of sentimentalists. The vitalizing forces of our pragmatisms threaten
to congeal into the dogmata of cash-success. The war has
intensified our national self-satisfaction. We tend to condemn all
vision as radical, hence unsound, hence evil, hence to be put down.
Philosophy thrives in the atmosphere of the Bacchæ: