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Congress needs to develop a way of better funding the F.D.A. review process. Perhaps a small excise tax could be levied on over-the-counter sales or fees assessed to makers of over-the-counter drugs to fund the F.D.A. review process or to fund studies into drugs that went on the market before 1962. Leaders need to suggest more options. There should also be a way to prioritize which drugs to look at first. The agency should review old drugs for which there are already many complaints about lack of effectiveness in the manner it did recently for phenylephrine.

Right now, Americans spend billions on drugs that contain ingredients that will not help them. That’s not just a waste of money — it could mean they are delaying appropriate treatment, which can lead to more severe illnesses. This is risky not only for health but also for trust. The American public deserves medicines that do what they are advertised to do.

Slowly and without fanfare, around the end of the aughts, social media took its place. The change was almost invisible, but it had enormous consequences. Instead of facilitating the modest use of existing connections—largely for offline life (to organize a birthday party, say)—social software turned those connections into a latent broadcast channel. All at once, billions of people saw themselves as celebrities, pundits, and tastemakers.

A global broadcast network where anyone can say anything to anyone else as often as possible, and where such people have come to think they deserve such a capacity, or even that withholding it amounts to censorship or suppression—that’s just a terrible idea from the outset. And it’s a terrible idea that is entirely and completely bound up with the concept of social media itself: systems erected and used exclusively to deliver an endless stream of content.

“social media,” a name so familiar that it has ceased to bear meaning. But two decades ago, that term didn’t exist

while labeling something parody might be bad for comedy, it can be essential for credibility. If people can’t tell whether an article was satirical or not, that chips away at trust that is essential for a news organization. But what’s good for comedy isn’t necessarily best practices for journalism or social media.

Even today when the lines between comedy and politics often blur — years after the press marveled that young people trusted Jon Stewart’s “The Daily Show” more than the news media, which now seems like a much darker development than it did back then — the idea that free speech might involve some trade-offs seems obvious.

But maybe not to Musk, who appears as naïve about comedy as he does about the economics of social media.

“Gen Z’s relationship with Instagram is much like millennials’ relationship with Facebook: Begrudgingly necessary,” Casey Lewis, a youth-culture consultant who writes the youth-culture newsletter After School, told me over email. “They don’t want to be on it, but they feel it’s weird if they’re not.”

a recent Piper Sandler survey found that, of 14,500 teens surveyed across 47 states, only 20 percent named Instagram their favorite social-media platform (TikTok came first, followed by Snapchat).

Simply being on Instagram is a very different thing from actively engaging with it. Participating means throwing pictures into a void, which is why it’s become kind of cringe. To do so earnestly suggests a blithe unawareness of your surroundings, like shouting into the phone in public.

Musk, Trump, and Ye are after something different: They are all obsessed with setting the rules of public spaces.

An understandable consensus began to form on the political left that large social networks, but especially Facebook, helped Trump rise to power. The reasons were multifaceted: algorithms that gave a natural advantage to the most shameless users, helpful marketing tools that the campaign made good use of, a confusing tangle of foreign interference (the efficacy of which has always been tough to suss out), and a basic attentional architecture that helps polarize and pit Americans against one another (no foreign help required).

The misinformation industrial complex—a loosely knit network of researchers, academics, journalists, and even government entities—coalesced around this moment. Different phases of the backlash homed in on bots, content moderation, and, after the Cambridge Analytica scandal, data privacy

Why would consumers look even somewhat favorably upon virtual influencers that make comments about real products?

. Virtual and human social-media influencers can be equally effective for certain types of posts, the research suggests.

The thinking is that virtual influencers can be fun and entertaining and make a brand seem innovative and tech savvy,

John Kenneth Galbraith assessed the trajectory of America’s increasingly “affluent society.” His outlook was not a happy one. The nation’s increasingly evident material prosperity was not making its citizens any more satisfied. Nor, at least in its existing form, was it likely to do so

One reason, Galbraith argued, was the glaring imbalance between the opulence in consumption of private goods and the poverty, often squalor, of public services like schools and parks

nother was that even the bountifully supplied private goods often satisfied no genuine need, or even desire; a vast advertising apparatus generated artificial demand for them, and satisfying this demand failed to provide meaningful or lasting satisfaction.

explaining the anger that Mr. Bezos and Oceanco, the maker of the three-masted, $500 million schooner, inspired after making what may have sounded like a fairly benign request. The company asked the local government to briefly dismantle the elevated middle span of the Hef, which is 230 feet tall at its highest point, allowing the vessel to sail down the King’s Harbor channel and out to sea.

The whole process would have taken a day or two and Oceanco would have covered the costs.AdvertisementContinue reading the main story

The bridge, a lattice of moss-green steel in the shape of a hulking “H,” is not actually used by anyone. It served as a railroad bridge for decades until it was replaced by a tunnel and decommissioned in the early 1990s. It’s been idle ever since.

major social platforms have grown less and less relevant in the past year. In response, some users have left for smaller competitors such as Bluesky or Mastodon. Some have simply left. The internet has never felt more dense, yet there seem to be fewer reliable avenues to find a signal in all the noise. One-stop information destinations such as Facebook or Twitter are a thing of the past. The global town square—once the aspirational destination that social-media platforms would offer to all of us—lies in ruins, its architecture choked by the vines and tangled vegetation of a wild informational jungle

Musk has turned X into a deepfake version of Twitter—a facsimile of the once-useful social network, altered just enough so as to be disorienting, even terrifying.

At the same time, Facebook’s user base began to erode, and the company’s transparency reports revealed that the most popular content circulating on the platform was little more than viral garbage—a vast wasteland of CBD promotional content and foreign tabloid clickbait.

Social scientists have identified at least three major forces that collectively bind together successful democracies: social capital (extensive social networks with high levels of trust), strong institutions, and shared stories.

Social media has weakened all three.

gradually, social-media users became more comfortable sharing intimate details of their lives with strangers and corporations. As I wrote in a 2019 Atlantic article with Tobias Rose-Stockwell, they became more adept at putting on performances and managing their personal brand—activities that might impress others but that do not deepen friendships in the way that a private phone conversation will.

The companies touting new chat-based artificial-intelligence systems are running a massive experiment—and we are the test subjects.

In this experiment, Microsoft, MSFT -2.18% OpenAI and others are rolling out on the internet an alien intelligence that no one really understands, which has been granted the ability to influence our assessment of what’s true in the world. 

Companies have been cautious in the past about unleashing this technology on the world. In 2019, OpenAI decided not to release an earlier version of the underlying model that powers both ChatGPT and the new Bing because the company’s leaders deemed it too dangerous to do so, they said at the time.

GPT-4, in contrast, is a state-of-the-art system capable of creating not just words but describing images in response to a person’s simple written commands.

When shown a photo of a boxing glove hanging over a wooden seesaw with a ball on one side, for instance, a person can ask what will happen if the glove drops, and GPT-4 will respond that it would hit the seesaw and cause the ball to fly up.

an AI program, known as a large language model, that early testers had claimed was remarkably advanced in its ability to reason and learn new things

, the Twitter Files do what technology critics have long done: point out a mostly intractable problem that is at the heart of our societal decision to outsource broad swaths of our political discourse and news consumption to corporate platforms whose infrastructure and design were made for viral advertising.

The trolling is paramount. When former Facebook CSO and Stanford Internet Observatory leader Alex Stamos asked whether Musk would consider implementing his detailed plan for “a trustworthy, neutral platform for political conversations around the world,” Musk responded, “You operate a propaganda platform.” Musk doesn’t appear to want to substantively engage on policy issues: He wants to be aggrieved.

it’s possible that a shred of good could come from this ordeal. Musk says Twitter is working on a feature that will allow users to see if they’ve been de-amplified, and appeal. If it comes to pass, perhaps such an initiative could give users a better understanding of their place in the moderation process. Great!

Functional Medicine is the alternative medicine Bill Clinton credits with giving him his life back after his 2004 quadruple heart by-pass surgery. Its ideology is embraced by Oprah and regularly features on Gwyneth Paltrow's Goop.

Developed in 1990 by Dr Jeffrey Bland, who in 1991 set up the Institute of Functional Medicine with his wife Susan, today the field is spearheaded by US best-selling author Dr Mark Hyman, adviser to the Clintons and co-director of the controversial Cleveland Clinic for Functional Medicine.

"Functional Medicine is not about a test or a supplement or a particular protocol," he adds. "It's really a new paradigm of disease and how it arises and how to restore health. Within it there are many approaches that are effective, it's not exclusive, it doesn't exclude traditional medications, it includes all modalities depending on what's right for that patient."

In the old days—and here I mean even as recently as 2000 or 2004—audiences were built around media institutions. The New York Times had an audience. The New Yorker had an audience. The Weekly Standard had an audience.

If you were a writer, you got access to these audiences by contributing to the institutions. No one cared if you, John Smith, wrote a piece about Al Gore. But if your piece about Al Gore appeared in Washington Monthly, then suddenly you had an audience.

There were a handful of star writers for whom this wasn’t true: Maureen Dowd, Tom Wolfe, Joan Didion. Readers would follow these stars wherever they appeared. But they were the exceptions to the rule. And the only way to ascend to such exalted status was by writing a lot of great pieces for established institutions and slowly assembling your audience from theirs.

by approaching universality, Instagram Face actually secured its role as an instrument of class distinction—a mark of a certain kind of woman. The women who don’t mind looking like others, or the conspicuousness of the work they’ve had done

Instagram Face goes with implants, middle-aged dates and nails too long to pick up the check. Batting false eyelashes, there in the restaurant it orders for dinner all the food groups of nouveau riche Dubai: caviar, truffle, fillers, foie gras, Botox, bottle service, bodycon silhouettes. The look, in that restaurant and everywhere, has reached a definite status. It’s the girlfriend, not the wife.

Does cosmetic work have a particular class? It has a price tag, which can amount to the same thing, unless that price drops low enough.

Jenn, however, has complicated things by adding an unexpected topic to her repertoire: the dangers of social media. She recently spoke about disengaging from it for her well-being; she also posted an Instagram Story about the risks of ChatGPT

and, in none other than a YouTube video, recommended Neil Postman’s Amusing Ourselves to Death, a seminal piece of media critique from 1985 that denounces television’s reduction of life to entertainment.