Now you know what modernity is. It’s the idea that poverty causes ruin, and so the primary job of a modern society is to eliminate poverty, of all kinds, to give people decent lives at a bare minimum — and a social contract which does all that. Hence, Europe became a place rich in public goods, like healthcare, media, finance, transport, safety nets, etcetera, things which all people enjoy, which secure the basics of a good life — all the very same things you intuitively think of when you think of a “modern society” — but America didn’t.
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Numerical results show that school closure alone would have limited benefit in reducing the peak incidence (less than 10% reduction with 8-week school closure for regions in the early phase of the epidemic). When coupled with 25% adults teleworking, 8-week school closure would be enough to delay the peak by almost 2 months with an approximately 40% reduction of the case incidence at the peak. This is critical to reduce the burden on the healthcare system in the weeks of highest demand. Moderate overall reduction of the final attack rate (15%) would also be achieved. Results across regions are qualitatively similar, with differences
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Given constant emergence of new infectious threats, Infectious Diseases (ID) should be one of the most attractive medical specialties to students and trainees. Yet, ID Fellowship programs continue to not fill in the match, and ID remains among the lowest paid specialties. Nearly 35 years after Dr. Petersdorf first asked the question, we find ourselves once again wondering, "Whither Infectious Diseases?" To answer this question, and align with predominant US market forces, ID experts should push for: 1) restrictions regarding utilization of ID diagnostics and antimicrobial agents; 2) pay-for-performance measures regarding antimicrobial prescribing rates; and 3) healthcare reform as called for by the American College of Physicians to move away from fee-for-service medicine. Einstein said, "Continuing to do the same thing over and over and expecting a different result is the definition of insanity." We must move towards alignment with market forces, to benefit our patients, society, and our colleagues.
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So in America, poverty wasn’t seen as a social bad or ill — it was seen as a necessary way to discipline, punish, and control those with a lack of virtue, a deficit of strength, to, by hitting them with its stick, to inculcate the virtues of hard work, temperance, industriousness, and above all, self-reliance. The problem, of course, was that the great lesson of history was that none of this was true — poverty didn’t lead to virtue. It only led to ruin.
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So here America is. Modernity’s first failed state. The rich nation which never cared to join the modern world, too busy believing that poverty would lead to virtue, not ruin. Now life is a perpetual, crushing, bruising battle, in which the stakes are life or death — and so people take out their bitter despair and rage by putting infants on trial. History is teaching us the same lesson, all over again. Americans might not even learn it the second time around. But the world, laughing in horror, in astonishment, in bewilderment, should.