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Cottagecore and the Ethics of Retreat

photograph of a Texas homestead at dusk surrounded by wilflowers

Over the past few months, many Americans have turned to bread-making to stave off the boredom and helplessness of quarantine. The craze for bread-making eventually reached a point where flour mills were unable to keep up with the sharp increase in demand for their product, leaving grocery store shelves barren. But bread-making is just one strand of a much more intricate lifestyle movement which began taking shape about a year before coronavirus.

Cottagecore,” as the trend is called, is partly an aesthetic and partly a set of ideals for “the good life.” The word “cottage” references country living as embodied by the self-sufficient and aesthetically pleasing cottage, and the slang/suffix “core” indicates a genre or category. Much in the same way that people are dedicated to certain genres of music, online communities have sprung up around certain aesthetics; one popular example is the “academia” aesthetic, which celebrates elements from 19th-century fashion and architecture that have become associated with higher education (think old leather books, marble busts, and tweed blazers).

Cottagecore also has an online community, and a glance through the cottagecore tag on Tumblr or Pinterest will give you a good idea of its aesthetic interests: frolicking goats, woven baskets bursting with ripe tomatoes, rough-hewn wooden furniture, and of course, loaves of bread. Everything is bathed in a golden haze of sunlight, or at least in a sepia-toned filter. But cottagecore also encompasses fashion, art, and even entertainment. For example, a budding genre of video games has both capitalized on and helped further cement the aesthetic and philosophy of cottagecore. In smash-hits like Stardew Valley, Harvest Moon, and to a lesser extent, the Animal Crossing series, the player leaves behind a hollow life in the city to start over in a close-knit rural community. Gameplay elements include conversing with and sometimes even romancing the locals, operating a self-sufficient farm (often through a variety of cottage-industries, such as farming, fishing, baking, and raising animals), and basking in the pristine beauty of nature. There isn’t a way to win or lose these games, or a villain the player must defeat in order to advance the plot. The closest thing to an antagonist in Stardew Valley is a Walmart-esque corporation that the player is gently encouraged to drive out of business in favor of a mom-and-pop general store.

As the Stardew Valley example shows, cottagecore is at least partly rooted in anti-capitalist sentiment. It presents an escape from the drudgery of industrial urban life, a sort of reverse rural-flight of the imagination. As Shania O’Brien optimistically puts it,

“This budding aesthetic movement paints the picture of an idyllic landscape and prioritises the simple pleasures in one’s life. Cottagecore turns its nose up at sixteen-hour workdays, at the fast-paced anxieties of late-stage capitalism, at toxic masculinity. It rejects the connections we make under these systems, labelling them inauthentic facsimiles of genuine relationships.”

At first glance, it’s difficult to discern what might be morally objectionable about a pretty moodboard on Pinterest, or what is morally objectionable about the philosophy behind that moodboard. However, indigenous people have pointed out that cottagecore is overwhelmingly white, and often unknowingly perpetuates settler colonialism. Specifically, critics argue that the aesthetic idealizes the American homestead as a beacon of self-sufficiency rather than the legacy of brutal Westward expansion. It’s worth interrogating why so many are tempted to romanticize rural life, and whether or not retreating from the problems of capitalism is worthwhile or desirable.

While cottagecore is certainly a trend of the moment, idealizing the countryside has been a common practice throughout human history. In response to the industrial revolution, many 19th century artists, like Jean-François Millet, began taking peasant life seriously as an artistic subject. The genre of “rural naturalism,” which depicted an ideal version of farmers and laborers going about their daily lives, reflected the artists’ sense of alienation from nature as well as a growing urban market for sentimental depictions of peasant life. The late 19th-century Arts and Crafts movement, which was spearheaded by socialist artists, also celebrated individual craftsmanship over the products churned out by urban factories.

Rural idealism in art is perhaps best embodied through Thomas Cole’s five-painting series titled The Course of Empire, completed in 1836. The first painting depicts an untouched and frightening wilderness, which is transformed by human cultivation into a tranquil rural paradise in the second painting. This second painting is clearly meant to represent the ideal state of mankind, which is a sharp contrast to the next two paintings in the series. These depict a decadent and immoral urban environment, as well as its apocalyptic destruction. The final painting shows the ruins of the now-unpopulated city, suggesting that desolation is inevitable when humanity leaves rural Arcadia behind. Although Cole’s series depicts a pseudo-Roman city, it was created explicitly to critique 19th-century American capitalism, and clearly reflects growing fears about urbanization and the decadence of empire.

America has always had a unique and explicitly political version of rural idealism. Thomas Jefferson, a foundational proponent of agrarianism, wrote in 1785 that “Cultivators of the earth are the most valuable citizens. They are the most vigorous, the most independent, the most virtuous, and they are tied to their country & wedded to its liberty and interests by the most lasting bands.” This statement was echoed by prominent American naturalist A.J. Downing, who succinctly explained in A Treatise on the Theory and Practice of Landscape Gardening in 1841 that “There is a moral influence in a country home.” Living in the country simply made you a better person, because you stood at a remove from the vulgar commercialism and social mixing of the city.

As Jefferson saw it, rural life isn’t isolated from the nation, but integral to it. Country, after all, can mean either a tract of rural land or a state, and thinkers like Jefferson sought to collapse the distinction between the two. In that sense, one could argue that modern rural escapism isn’t so much about retreating from reality as it is about taking part more fully in political society. However, this example also reveals a paradox of self-sufficient rural living. Jefferson’s farmer is both self-sufficient and tied down by civic responsibilities, both in society and outside of it. Also, of course, Jefferson has conveniently ignored the existence of the slaves who did the actual planting and tilling on his plantations, and the indigenous populations who lived there before him. Much like European artists of the 19th century, Jefferson is clearly promoting a certain kind of rural living as ideal with a self-serving political agenda. For artists and politicians alike, rural people were considered the “true” citizens of the state, the stable and honest antithesis to the cultural confusion of modernity.

20th-century escapees to the countryside certainly saw their rural retreat as political. The 1960s saw droves of educated middle-class city-dwellers retreating to rural communes with hopes of creating socialist utopias, as Jenny Odell touches on in her book How to Do Nothing. However, Odell found that the communes of the 1960s “exemplify the problems with imagined escape from the media and effects of capitalist society, including the role of privilege.” She explains that these communes, though ostensibly committed to egalitarianism and the rejection of privilege, often replicated the very structures they sought to escape. Women ended up doing all the dishes and menial housework, and because communes were primarily white, very few people of color were able to take part in the utopian project. Once again, it becomes apparent how difficult it is to truly escape society by returning to “the simpler things.” Furthermore, only those with privilege are able to enact their fantasies of escape. One famous historical example of this is Marie Antoinette’s Hameau de la Reine, a highly aestheticized mock peasant village built on the grounds of Versailles where the queen (who could be considered an early proponent of cottagecore) would pretend to milk cows and grow cabbages. Rural escapism almost always involves some element of privilege, evidently. Ironically enough, shots of the queen running through meadows and playing shepherdess in her hamlet, as depicted in Sophia Coppola’s 2006 Marie Antoinette film, are very popular in the cottagecore community.

The cottagecore movement borrows a vague moral sensibility from 19th-century agrarianism and marries it with socialist idealism, embodied especially by the communes of the 1960s. Much like those communes, cottagecore isn’t especially interested in those who already live in rural communities, unless they’re romanceable options in a video game. The “noble peasant,” an invention that was problematic to begin with, has disappeared from this configuration, because cottagecore is more about the desires of citydwellers than the needs of the communities they yearn to join. Cottagecore is political in that it is a response to alienation, an attempt at mapping out possibilities for a life without capitalism. But it still has a ways to go before it can truly live up to O’Brien’s description.

It’s unlikely that the damage of colonialism will be significantly worsened by Pinterest mood boards and jars of sourdough starter. There is also no evidence that young people are actually acting out their fantasies of rural retreat, so clearly cottagecore is more of a sensibility than an actual spur to change. As Odell argues, the impulse to mentally retreat from capitalism is both admirable and deserving of skepticism. As she says, “Some hybrid reaction is needed. We have to be able to do both: to contemplate and participate, to leave and always come back, where we are needed . . . To stand apart is to take the view of the outsider without leaving, always orientated toward what is is you would have left.” Much in the same vein, O’Brien suggests that “You can aesthetically participate in cottagecore, but more importantly, you can also incorporate its sentiment into your praxis by engaging in mutual aid, in environmental politics, in feminist activism. It is pointless to dream about wildflowers and serenity when you are doing nothing to bring that world closer.” Escapist fantasies can be an impetus to change, so long as they allow us to find new and more authentic forms of connection with others.

Rural Health Disparities and Telemedicine

photograph of surgery performed with help of teleprescence robot

Rural America has been struggling from a lack of hospitals and physicians at an alarming rate. In the past decade, ER patients in rural communities have increased by 60% and hospitals in those locations have decreased by 15%. A potential solution to the lack of health care providers is to consider telemedicine as an option for these rural locations. Telemedicine is a remote care center which provides hospitals, clinics, or even individuals with direct access to a physician. One such company that provides this service is Avera eCARE. At Avera eCARE, doctors work out of high-tech cubicles, dressed in scrubs to look the part, but never actually physically touching or seeing their patients. Instead, they use a high-resolution camera and microphone to work with their patients and nurses or healthcare professionals at remote locations.

Dr. Brian Skow is an example of a physician who works from one of the Avera eCARE centers that provides remote emergency care for 179 hospitals across the nation. Skow was called in when a comatose, unresponsive patient came into the emergency room in rural Montana with only nurses on staff. Skow remotely instructed the nurse how to incubate the patient – inserting a tube into the patient’s throat in order to get her onto a ventilator. Without his help, this patient would have most likely died from lack of oxygen.

“If anything defines the growing health gap between rural and urban America,” The Washington Post claims, “it’s the rise of emergency telemedicine in the poorest, sickest, and most remote parts of the country, where the choice is increasingly to have a doctor on screen or no doctor at all.” And Dr. Skow’s situation is a perfect example. He watched as 5 people performed the procedure, all with careful instruction and encouragement from his remote location. To compare this to his hospital at Sioux Falls, he has to compete with an emergency physician, trauma surgeon, cardiologist, anesthesiologist, a team of 20 residents, ER nurses, and paramedics to be at the bedside. This has meant that each month telemedicine can help cardiac episodes, traumatic injuries, overdoses, and burns at a rate that is much higher than before.

There are a number of benefits generated by the move to such a system. Telemedicine helps hospitals retain doctors and recruit them because it allows for time off- and on-site support. Many critical-access hospitals are struggling to find even a single doctor or can’t keep physicians long. This technology offers the option for the nurses and physician assistants to call in for immediate health care suggestions. Another benefit is that hospitals are able to treat more patients with more intense conditions than before, as the technology allows hospitals to treat patients without needing to immediately transfer them. These transfers increase the time in which the patient suffers, and for most of these cases, every second counts. Apart from pain and outcome, transferring also greatly increase billing charges for patients. Even hospitals benefit by treating more cases and thus generating more profit.

Despite these advantages, there are still many limitations. Telemedicine costs approximately $70,000 monthly and $170,000 to install. Hospitals have to face a difficult decision in choosing between installing this technology or investing money on other life-saving machines like MRI and CAT scans.

Critics also worry that telemedicine takes the humanity out of patient-physician relationship. Instead of physically being with the patient, that crucial interaction is separated by a screen and thousands of miles. This reality can affect treatment in ways that are unexpected. Especially in remote communities, it is very common for the nursing staff to know the patient personally, but for the virtual doctor, the patient can become “less human.” Doctor Kelly Rhone, describes this phenomenon as she watched nurses from North Dakota perform CPR on a patient for over 10 minutes. One of the worst things that the remote doctor can do, Rhone argues, is withdraw care too quickly. Even when a patient has passed, it’s important for the medical staff in the room to acknowledge the situation in their own time. This obligation may even extend to being present with grieving family members.

It is important to consider then, if remote care is an adequate substitute and can offer sufficient support for the human element to medicine. Perception can play a major role in diagnosis, and if doctors aren’t seeing their patients in the same way, they will treat them differently. It may be more likely for doctors to withdraw care or save resources, compared to situations where they are with them in person.

There are also some challenges when it comes to telemedicine being used directly in people’s homes. There are apps which can help patients connect with a doctor via Facetime, text messages, and phone calls. There are some benefits to this option. For busy parents and working folk, this is a quick and easy solution to getting better fast. Some people live an hour or more from the nearest health clinic, and so to be able to describe their symptoms over the phone and get their medicine prescribed within minutes is a great benefit. However, there is also the increased risk of misdiagnosis. It can be easy to miss symptoms of larger health problems – when chest discomfort isn’t just a strained muscle, but an early sign of a heart attack, for example. In this way, reliance on telemedicine can increase risk to patients.

There is a clear injustice in our health care services in the United States for rural areas and urban locations. Telemedicine is one option for those who are suffering from lack of adequate healthcare. It increases virtual staff and gives current staff direct access to help for their situations. With the rising trend toward virtual telemedicine, we must consider what cost to patient health we are willing to accept for increased efficiency.