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Javier E

Covid Study Finds 18 Million Deaths, Three Times Official Tally - Bloomberg - 0 views

  • “At the global level, this is quite the biggest mortality shock since the Spanish flu,” s
  • Covid drove a 17% jump in deaths worldwide, he said in an interview. The flu pandemic that began in 1918 killed at least 50 million people. 
  • The evidence suggests the mortality surge is a direct result of Covid-19, the researchers said. But some deaths may also have occurred indirectly, they said, caused by a lack of access to health care and other essential services during the pandemic, or from behavioral shifts that led to suicide or drug abuse. 
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  • Because of its large population, India alone accounted for an estimated 22% -- or 4.1 million -- of the global deaths. The U.S. and Russia were the next highest with 1.1 million each, followed by Mexico, Brazil and Indonesia.
  • In the end, the scientists estimated there was an excess of 120 deaths for every 100,000 people around the world. The study found 21 countries had estimated mortality rates higher than 300 per 100,000, led by Bolivia and Bulgaria
  • Places with the lowest estimated excess mortality rate were Iceland, Australia, Singapore and New Zealand.
  • Mask-wearing, physical distancing and other public health measures led to a decline in other communicable diseases, which reduced mortality in some countries
  • the prevalence of obesity and older age in a population were two of the biggest determinants of excess mortality, Murray said. 
Javier E

Mortality and its Discontents - NYTimes.com - 0 views

  • the real tragedy is not every click of the postpartum clock, but how we have come to see aging as a disease.
  • Gawande makes the point that we’ve got to get over the idea that aging is a disease. “People live longer and better than any time in history,” Gawande writes. “But scientific advances have turned the process of aging and dying into medical experiences.” And he concludes, “Death of course is not failure. Death is normal.”
Javier E

At the Existentialist Café: Freedom, Being, and Apricot Cocktails with Jean-P... - 0 views

  • The phenomenologists’ leading thinker, Edmund Husserl, provided a rallying cry, ‘To the things themselves!’ It meant: don’t waste time on the interpretations that accrue upon things, and especially don’t waste time wondering whether the things are real. Just look at this that’s presenting itself to you, whatever this may be, and describe it as precisely as possible.
  • You might think you have defined me by some label, but you are wrong, for I am always a work in progress. I create myself constantly through action, and this is so fundamental to my human condition that, for Sartre, it is the human condition, from the moment of first consciousness to the moment when death wipes it out. I am my own freedom: no more, no less.
  • Sartre wrote like a novelist — not surprisingly, since he was one. In his novels, short stories and plays as well as in his philosophical treatises, he wrote about the physical sensations of the world and the structures and moods of human life. Above all, he wrote about one big subject: what it meant to be free. Freedom, for him, lay at the heart of all human experience, and this set humans apart from all other kinds of object.
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  • Sartre listened to his problem and said simply, ‘You are free, therefore choose — that is to say, invent.’ No signs are vouchsafed in this world, he said. None of the old authorities can relieve you of the burden of freedom. You can weigh up moral or practical considerations as carefully as you like, but ultimately you must take the plunge and do something, and it’s up to you what that something is.
  • Even if the situation is unbearable — perhaps you are facing execution, or sitting in a Gestapo prison, or about to fall off a cliff — you are still free to decide what to make of it in mind and deed. Starting from where you are now, you choose. And in choosing, you also choose who you will be.
  • The war had made people realise that they and their fellow humans were capable of departing entirely from civilised norms; no wonder the idea of a fixed human nature seemed questionable.
  • If this sounds difficult and unnerving, it’s because it is. Sartre does not deny that the need to keep making decisions brings constant anxiety. He heightens this anxiety by pointing out that what you do really matters. You should make your choices as though you were choosing on behalf of the whole of humanity, taking the entire burden of responsibility for how the human race behaves. If you avoid this responsibility by fooling yourself that you are the victim of circumstance or of someone else’s bad advice, you are failing to meet the demands of human life and choosing a fake existence, cut off from your own ‘authenticity’.
  • Along with the terrifying side of this comes a great promise: Sartre’s existentialism implies that it is possible to be authentic and free, as long as you keep up the effort.
  • almost all agreed that it was, as an article in Les nouvelles littéraires phrased it, a ‘sickening mixture of philosophic pretentiousness, equivocal dreams, physiological technicalities, morbid tastes and hesitant eroticism … an introspective embryo that one would take distinct pleasure in crushing’.
  • he offered a philosophy designed for a species that had just scared the hell out of itself, but that finally felt ready to grow up and take responsibility.
  • In this rebellious world, just as with the Parisian bohemians and Dadaists in earlier generations, everything that was dangerous and provocative was good, and everything that was nice or bourgeois was bad.
  • Such interweaving of ideas and life had a long pedigree, although the existentialists gave it a new twist. Stoic and Epicurean thinkers in the classical world had practised philosophy as a means of living well, rather than of seeking knowledge or wisdom for their own sake. By reflecting on life’s vagaries in philosophical ways, they believed they could become more resilient, more able to rise above circumstances, and better equipped to manage grief, fear, anger, disappointment or anxiety.
  • In the tradition they passed on, philosophy is neither a pure intellectual pursuit nor a collection of cheap self-help tricks, but a discipline for flourishing and living a fully human, responsible life.
  • For Kierkegaard, Descartes had things back to front. In his own view, human existence comes first: it is the starting point for everything we do, not the result of a logical deduction. My existence is active: I live it and choose it, and this precedes any statement I can make about myself.
  • Studying our own moral genealogy cannot help us to escape or transcend ourselves. But it can enable us to see our illusions more clearly and lead a more vital, assertive existence.
  • What was needed, he felt, was not high moral or theological ideals, but a deeply critical form of cultural history or ‘genealogy’ that would uncover the reasons why we humans are as we are, and how we came to be that way. For him, all philosophy could even be redefined as a form of psychology, or history.
  • For those oppressed on grounds of race or class, or for those fighting against colonialism, existentialism offered a change of perspective — literally, as Sartre proposed that all situations be judged according to how they appeared in the eyes of those most oppressed, or those whose suffering was greatest.
  • She observed that we need not expect moral philosophers to ‘live by’ their ideas in a simplistic way, as if they were following a set of rules. But we can expect them to show how their ideas are lived in. We should be able to look in through the windows of a philosophy, as it were, and see how people occupy it, how they move about and how they conduct themselves.
  • the existentialists inhabited their historical and personal world, as they inhabited their ideas. This notion of ‘inhabited philosophy’ is one I’ve borrowed from the English philosopher and novelist Iris Murdoch, who wrote the first full-length book on Sartre and was an early adopter of existentialism
  • What is existentialism anyway?
  • An existentialist who is also phenomenological provides no easy rules for dealing with this condition, but instead concentrates on describing lived experience as it presents itself. — By describing experience well, he or she hopes to understand this existence and awaken us to ways of living more authentic lives.
  • Existentialists concern themselves with individual, concrete human existence. — They consider human existence different from the kind of being other things have. Other entities are what they are, but as a human I am whatever I choose to make of myself at every moment. I am free — — and therefore I’m responsible for everything I do, a dizzying fact which causes — an anxiety inseparable from human existence itself.
  • On the other hand, I am only free within situations, which can include factors in my own biology and psychology as well as physical, historical and social variables of the world into which I have been thrown. — Despite the limitations, I always want more: I am passionately involved in personal projects of all kinds. — Human existence is thus ambiguous: at once boxed in by borders and yet transcendent and exhilarating. —
  • The first part of this is straightforward: a phenomenologist’s job is to describe. This is the activity that Husserl kept reminding his students to do. It meant stripping away distractions, habits, clichés of thought, presumptions and received ideas, in order to return our attention to what he called the ‘things themselves’. We must fix our beady gaze on them and capture them exactly as they appear, rather than as we think they are supposed to be.
  • Husserl therefore says that, to phenomenologically describe a cup of coffee, I should set aside both the abstract suppositions and any intrusive emotional associations. Then I can concentrate on the dark, fragrant, rich phenomenon in front of me now. This ‘setting aside’ or ‘bracketing out’ of speculative add-ons Husserl called epoché — a term borrowed from the ancient Sceptics,
  • The point about rigour is crucial; it brings us back to the first half of the command to describe phenomena. A phenomenologist cannot get away with listening to a piece of music and saying, ‘How lovely!’ He or she must ask: is it plaintive? is it dignified? is it colossal and sublime? The point is to keep coming back to the ‘things themselves’ — phenomena stripped of their conceptual baggage — so as to bail out weak or extraneous material and get to the heart of the experience.
  • Husserlian ‘bracketing out’ or epoché allows the phenomenologist to temporarily ignore the question ‘But is it real?’, in order to ask how a person experiences his or her world. Phenomenology gives a formal mode of access to human experience. It lets philosophers talk about life more or less as non-philosophers do, while still being able to tell themselves they are being methodical and rigorous.
  • Besides claiming to transform the way we think about reality, phenomenologists promised to change how we think about ourselves. They believed that we should not try to find out what the human mind is, as if it were some kind of substance. Instead, we should consider what it does, and how it grasps its experiences.
  • For Brentano, this reaching towards objects is what our minds do all the time. Our thoughts are invariably of or about something, he wrote: in love, something is loved, in hatred, something is hated, in judgement, something is affirmed or denied. Even when I imagine an object that isn’t there, my mental structure is still one of ‘about-ness’ or ‘of-ness’.
  • Except in deepest sleep, my mind is always engaged in this aboutness: it has ‘intentionality’. Having taken the germ of this from Brentano, Husserl made it central to his whole philosophy.
  • Husserl saw in the idea of intentionality a way to sidestep two great unsolved puzzles of philosophical history: the question of what objects ‘really’ are, and the question of what the mind ‘really’ is. By doing the epoché and bracketing out all consideration of reality from both topics, one is freed to concentrate on the relationship in the middle. One can apply one’s descriptive energies to the endless dance of intentionality that takes place in our lives: the whirl of our minds as they seize their intended phenomena one after the other and whisk them around the floor,
  • Understood in this way, the mind hardly is anything at all: it is its aboutness. This makes the human mind (and possibly some animal minds) different from any other naturally occurring entity. Nothing else can be as thoroughly about or of things as the mind is:
  • Some Eastern meditation techniques aim to still this scurrying creature, but the extreme difficulty of this shows how unnatural it is to be mentally inert. Left to itself, the mind reaches out in all directions as long as it is awake — and even carries on doing it in the dreaming phase of its sleep.
  • a mind that is experiencing nothing, imagining nothing, or speculating about nothing can hardly be said to be a mind at all.
  • Three simple ideas — description, phenomenon, intentionality — provided enough inspiration to keep roomfuls of Husserlian assistants busy in Freiburg for decades. With all of human existence awaiting their attention, how could they ever run out of things to do?
  • For Sartre, this gives the mind an immense freedom. If we are nothing but what we think about, then no predefined ‘inner nature’ can hold us back. We are protean.
  • way of this interpretation. Real, not real; inside, outside; what difference did it make? Reflecting on this, Husserl began turning his phenomenology into a branch of ‘idealism’ — the philosophical tradition which denied external reality and defined everything as a kind of private hallucination.
  • For Sartre, if we try to shut ourselves up inside our own minds, ‘in a nice warm room with the shutters closed’, we cease to exist. We have no cosy home: being out on the dusty road is the very definition of what we are.
  • One might think that, if Heidegger had anything worth saying, he could have communicated it in ordinary language. The fact is that he does not want to be ordinary, and he may not even want to communicate in the usual sense. He wants to make the familiar obscure, and to vex us. George Steiner thought that Heidegger’s purpose was less to be understood than to be experienced through a ‘felt strangeness’.
  • He takes Dasein in its most ordinary moments, then talks about it in the most innovative way he can. For Heidegger, Dasein’s everyday Being is right here: it is Being-in-the-world, or In-der-Welt-sein. The main feature of Dasein’s everyday Being-in-the-world right here is that it is usually busy doing something.
  • Thus, for Heidegger, all Being-in-the-world is also a ‘Being-with’ or Mitsein. We cohabit with others in a ‘with-world’, or Mitwelt. The old philosophical problem of how we prove the existence of other minds has now vanished. Dasein swims in the with-world long before it wonders about other minds.
  • Sometimes the best-educated people were those least inclined to take the Nazis seriously, dismissing them as too absurd to last. Karl Jaspers was one of those who made this mistake, as he later recalled, and Beauvoir observed similar dismissive attitudes among the French students in Berlin.
  • In any case, most of those who disagreed with Hitler’s ideology soon learned to keep their view to themselves. If a Nazi parade passed on the street, they would either slip out of view or give the obligatory salute like everyone else, telling themselves that the gesture meant nothing if they did not believe in it. As the psychologist Bruno Bettelheim later wrote of this period, few people will risk their life for such a small thing as raising an arm — yet that is how one’s powers of resistance are eroded away, and eventually one’s responsibility and integrity go with them.
  • for Arendt, if you do not respond adequately when the times demand it, you show a lack of imagination and attention that is as dangerous as deliberately committing an abuse. It amounts to disobeying the one command she had absorbed from Heidegger in those Marburg days: Think!
  • ‘Everything takes place under a kind of anaesthesia. Objectively dreadful events produce a thin, puny emotional response. Murders are committed like schoolboy pranks. Humiliation and moral decay are accepted like minor incidents.’ Haffner thought modernity itself was partly to blame: people had become yoked to their habits and to mass media, forgetting to stop and think, or to disrupt their routines long enough to question what was going on.
  • Heidegger’s former lover and student Hannah Arendt would argue, in her 1951 study The Origins of Totalitarianism, that totalitarian movements thrived at least partly because of this fragmentation in modern lives, which made people more vulnerable to being swept away by demagogues. Elsewhere, she coined the phrase ‘the banality of evil’ to describe the most extreme failures of personal moral awareness.
  • His communicative ideal fed into a whole theory of history: he traced all civilisation to an ‘Axial Period’ in the fifth century BC, during which philosophy and culture exploded simultaneously in Europe, the Middle East and Asia, as though a great bubble of minds had erupted from the earth’s surface. ‘True philosophy needs communion to come into existence,’ he wrote, and added, ‘Uncommunicativeness in a philosopher is virtually a criterion of the untruth of his thinking.’
  • The idea of being called to authenticity became a major theme in later existentialism, the call being interpreted as saying something like ‘Be yourself!’, as opposed to being phony. For Heidegger, the call is more fundamental than that. It is a call to take up a self that you didn’t know you had: to wake up to your Being. Moreover, it is a call to action. It requires you to do something: to take a decision of some sort.
  • Being and Time contained at least one big idea that should have been of use in resisting totalitarianism. Dasein, Heidegger wrote there, tends to fall under the sway of something called das Man or ‘the they’ — an impersonal entity that robs us of the freedom to think for ourselves. To live authentically requires resisting or outwitting this influence, but this is not easy because das Man is so nebulous. Man in German does not mean ‘man’ as in English (that’s der Mann), but a neutral abstraction, something like ‘one’ in the English phrase ‘one doesn’t do that’,
  • for Heidegger, das Man is me. It is everywhere and nowhere; it is nothing definite, but each of us is it. As with Being, it is so ubiquitous that it is difficult to see. If I am not careful, however, das Man takes over the important decisions that should be my own. It drains away my responsibility or ‘answerability’. As Arendt might put it, we slip into banality, failing to think.
  • Jaspers focused on what he called Grenzsituationen — border situations, or limit situations. These are the moments when one finds oneself constrained or boxed in by what is happening, but at the same time pushed by these events towards the limits or outer edge of normal experience. For example, you might have to make a life-or-death choice, or something might remind you suddenly of your mortality,
  • Jaspers’ interest in border situations probably had much to do with his own early confrontation with mortality. From childhood, he had suffered from a heart condition so severe that he always expected to die at any moment. He also had emphysema, which forced him to speak slowly, taking long pauses to catch his breath. Both illnesses meant that he had to budget his energies with care in order to get his work done without endangering his life.
  • If I am to resist das Man, I must become answerable to the call of my ‘voice of conscience’. This call does not come from God, as a traditional Christian definition of the voice of conscience might suppose. It comes from a truly existentialist source: my own authentic self. Alas, this voice is one I do not recognise and may not hear, because it is not the voice of my habitual ‘they-self’. It is an alien or uncanny version of my usual voice. I am familiar with my they-self, but not with my unalienated voice — so, in a weird twist, my real voice is the one that sounds strangest to me.
  • Marcel developed a strongly theological branch of existentialism. His faith distanced him from both Sartre and Heidegger, but he shared a sense of how history makes demands on individuals. In his essay ‘On the Ontological Mystery’, written in 1932 and published in the fateful year of 1933, Marcel wrote of the human tendency to become stuck in habits, received ideas, and a narrow-minded attachment to possessions and familiar scenes. Instead, he urged his readers to develop a capacity for remaining ‘available’ to situations as they arise. Similar ideas of disponibilité or availability had been explored by other writers,
  • Marcel made it his central existential imperative. He was aware of how rare and difficult it was. Most people fall into what he calls ‘crispation’: a tensed, encrusted shape in life — ‘as though each one of us secreted a kind of shell which gradually hardened and imprisoned him’.
  • Bettelheim later observed that, under Nazism, only a few people realised at once that life could not continue unaltered: these were the ones who got away quickly. Bettelheim himself was not among them. Caught in Austria when Hitler annexed it, he was sent first to Dachau and then to Buchenwald, but was then released in a mass amnesty to celebrate Hitler’s birthday in 1939 — an extraordinary reprieve, after which he left at once for America.
  • we are used to reading philosophy as offering a universal message for all times and places — or at least as aiming to do so. But Heidegger disliked the notion of universal truths or universal humanity, which he considered a fantasy. For him, Dasein is not defined by shared faculties of reason and understanding, as the Enlightenment philosophers thought. Still less is it defined by any kind of transcendent eternal soul, as in religious tradition. We do not exist on a higher, eternal plane at all. Dasein’s Being is local: it has a historical situation, and is constituted in time and place.
  • For Marcel, learning to stay open to reality in this way is the philosopher’s prime job. Everyone can do it, but the philosopher is the one who is called on above all to stay awake, so as to be the first to sound the alarm if something seems wrong.
  • Second, it also means understanding that we are historical beings, and grasping the demands our particular historical situation is making on us. In what Heidegger calls ‘anticipatory resoluteness’, Dasein discovers ‘that its uttermost possibility lies in giving itself up’. At that moment, through Being-towards-death and resoluteness in facing up to one’s time, one is freed from the they-self and attains one’s true, authentic self.
  • If we are temporal beings by our very nature, then authentic existence means accepting, first, that we are finite and mortal. We will die: this all-important realisation is what Heidegger calls authentic ‘Being-towards-Death’, and it is fundamental to his philosophy.
  • Hannah Arendt, instead, left early on: she had the benefit of a powerful warning. Just after the Nazi takeover, in spring 1933, she had been arrested while researching materials on anti-Semitism for the German Zionist Organisation at Berlin’s Prussian State Library. Her apartment was searched; both she and her mother were locked up briefly, then released. They fled, without stopping to arrange travel documents. They crossed to Czechoslovakia (then still safe) by a method that sounds almost too fabulous to be true: a sympathetic German family on the border had a house with its front door in Germany and its back door in Czechoslovakia. The family would invite people for dinner, then let them leave through the back door at night.
  • As Sartre argued in his 1943 review of The Stranger, basic phenomenological principles show that experience comes to us already charged with significance. A piano sonata is a melancholy evocation of longing. If I watch a soccer match, I see it as a soccer match, not as a meaningless scene in which a number of people run around taking turns to apply their lower limbs to a spherical object. If the latter is what I’m seeing, then I am not watching some more essential, truer version of soccer; I am failing to watch it properly as soccer at all.
  • Much as they liked Camus personally, neither Sartre nor Beauvoir accepted his vision of absurdity. For them, life is not absurd, even when viewed on a cosmic scale, and nothing can be gained by saying it is. Life for them is full of real meaning, although that meaning emerges differently for each of us.
  • For Sartre, we show bad faith whenever we portray ourselves as passive creations of our race, class, job, history, nation, family, heredity, childhood influences, events, or even hidden drives in our subconscious which we claim are out of our control. It is not that such factors are unimportant: class and race, in particular, he acknowledged as powerful forces in people’s lives, and Simone de Beauvoir would soon add gender to that list.
  • Sartre takes his argument to an extreme point by asserting that even war, imprisonment or the prospect of imminent death cannot take away my existential freedom. They form part of my ‘situation’, and this may be an extreme and intolerable situation, but it still provides only a context for whatever I choose to do next. If I am about to die, I can decide how to face that death. Sartre here resurrects the ancient Stoic idea that I may not choose what happens to me, but I can choose what to make of it, spiritually speaking.
  • But the Stoics cultivated indifference in the face of terrible events, whereas Sartre thought we should remain passionately, even furiously engaged with what happens to us and with what we can achieve. We should not expect freedom to be anything less than fiendishly difficult.
  • Freedom does not mean entirely unconstrained movement, and it certainly does not mean acting randomly. We often mistake the very things that enable us to be free — context, meaning, facticity, situation, a general direction in our lives — for things that define us and take away our freedom. It is only with all of these that we can be free in a real sense.
  • Nor did he mean that privileged groups have the right to pontificate to the poor and downtrodden about the need to ‘take responsibility’ for themselves. That would be a grotesque misreading of Sartre’s point, since his sympathy in any encounter always lay with the more oppressed side. But for each of us — for me — to be in good faith means not making excuses for myself.
  • Camus’ novel gives us a deliberately understated vision of heroism and decisive action compared to those of Sartre and Beauvoir. One can only do so much. It can look like defeatism, but it shows a more realistic perception of what it takes to actually accomplish difficult tasks like liberating one’s country.
  • Camus just kept returning to his core principle: no torture, no killing — at least not with state approval. Beauvoir and Sartre believed they were taking a more subtle and more realistic view. If asked why a couple of innocuous philosophers had suddenly become so harsh, they would have said it was because the war had changed them in profound ways. It had shown them that one’s duties to humanity could be more complicated than they seemed. ‘The war really divided my life in two,’ Sartre said later.
  • Poets and artists ‘let things be’, but they also let things come out and show themselves. They help to ease things into ‘unconcealment’ (Unverborgenheit), which is Heidegger’s rendition of the Greek term alētheia, usually translated as ‘truth’. This is a deeper kind of truth than the mere correspondence of a statement to reality, as when we say ‘The cat is on the mat’ and point to a mat with a cat on it. Long before we can do this, both cat and mat must ‘stand forth out of concealedness’. They must un-hide themselves.
  • Heidegger does not use the word ‘consciousness’ here because — as with his earlier work — he is trying to make us think in a radically different way about ourselves. We are not to think of the mind as an empty cavern, or as a container filled with representations of things. We are not even supposed to think of it as firing off arrows of intentional ‘aboutness’, as in the earlier phenomenology of Brentano. Instead, Heidegger draws us into the depths of his Schwarzwald, and asks us to imagine a gap with sunlight filtering in. We remain in the forest, but we provide a relatively open spot where other beings can bask for a moment. If we did not do this, everything would remain in the thickets, hidden even to itself.
  • The astronomer Carl Sagan began his 1980 television series Cosmos by saying that human beings, though made of the same stuff as the stars, are conscious and are therefore ‘a way for the cosmos to know itself’. Merleau-Ponty similarly quoted his favourite painter Cézanne as saying, ‘The landscape thinks itself in me, and I am its consciousness.’ This is something like what Heidegger thinks humanity contributes to the earth. We are not made of spiritual nothingness; we are part of Being, but we also bring something unique with us. It is not much: a little open space, perhaps with a path and a bench like the one the young Heidegger used to sit on to do his homework. But through us, the miracle occurs.
  • Beauty aside, Heidegger’s late writing can also be troubling, with its increasingly mystical notion of what it is to be human. If one speaks of a human being mainly as an open space or a clearing, or a means of ‘letting beings be’ and dwelling poetically on the earth, then one doesn’t seem to be talking about any recognisable person. The old Dasein has become less human than ever. It is now a forestry feature.
  • Even today, Jaspers, the dedicated communicator, is far less widely read than Heidegger, who has influenced architects, social theorists, critics, psychologists, artists, film-makers, environmental activists, and innumerable students and enthusiasts — including the later deconstructionist and post-structuralist schools, which took their starting point from his late thinking. Having spent the late 1940s as an outsider and then been rehabilitated, Heidegger became the overwhelming presence in university philosophy all over the European continent from then on.
  • As Levinas reflected on this experience, it helped to lead him to a philosophy that was essentially ethical, rather than ontological like Heidegger’s. He developed his ideas from the work of Jewish theologian Martin Buber, whose I and Thou in 1923 had distinguished between my relationship with an impersonal ‘it’ or ‘them’, and the direct personal encounter I have with a ‘you’. Levinas took it further: when I encounter you, we normally meet face-to-face, and it is through your face that you, as another person, can make ethical demands on me. This is very different from Heidegger’s Mitsein or Being-with, which suggests a group of people standing alongside one another, shoulder to shoulder as if in solidarity — perhaps as a unified nation or Volk.
  • For Levinas, we literally face each other, one individual at a time, and that relationship becomes one of communication and moral expectation. We do not merge; we respond to one another. Instead of being co-opted into playing some role in my personal drama of authenticity, you look me in the eyes — and you remain Other. You remain you.
  • This relationship is more fundamental than the self, more fundamental than consciousness, more fundamental even than Being — and it brings an unavoidable ethical obligation. Ever since Husserl, phenomenologists and existentialists had being trying to stretch the definition of existence to incorporate our social lives and relationships. Levinas did more: he turned philosophy around entirely so that these relationships were the foundation of our existence, not an extension of it.
  • Her last work, The Need for Roots, argues, among other things, that none of us has rights, but each one of us has a near-infinite degree of duty and obligation to the other. Whatever the underlying cause of her death — and anorexia nervosa seems to have been involved — no one could deny that she lived out her philosophy with total commitment. Of all the lives touched on in this book, hers is surely the most profound and challenging application of Iris Murdoch’s notion that a philosophy can be ‘inhabited’.
  • Other thinkers took radical ethical turns during the war years. The most extreme was Simone Weil, who actually tried to live by the principle of putting other people’s ethical demands first. Having returned to France after her travels through Germany in 1932, she had worked in a factory so as to experience the degrading nature of such work for herself. When France fell in 1940, her family fled to Marseilles (against her protests), and later to the US and to Britain. Even in exile, Weil made extraordinary sacrifices. If there were people in the world who could not sleep in a bed, she would not do so either, so she slept on the floor.
  • The mystery tradition had roots in Kierkegaard’s ‘leap of faith’. It owed much to the other great nineteenth-century mystic of the impossible, Dostoevsky, and to older theological notions. But it also grew from the protracted trauma that was the first half of the twentieth century. Since 1914, and especially since 1939, people in Europe and elsewhere had come to the realisation that we cannot fully know or trust ourselves; that we have no excuses or explanations for what we do — and yet that we must ground our existence and relationships on something firm, because otherwise we cannot survive.
  • One striking link between these radical ethical thinkers, all on the fringes of our main story, is that they had religious faith. They also granted a special role to the notion of ‘mystery’ — that which cannot be known, calculated or understood, especially when it concerns our relationships with each other. Heidegger was different from them, since he rejected the religion he grew up with and had no real interest in ethics — probably as a consequence of his having no real interest in the human.
  • Meanwhile, the Christian existentialist Gabriel Marcel was also still arguing, as he had since the 1930s, that ethics trumps everything else in philosophy and that our duty to each other is so great as to play the role of a transcendent ‘mystery’. He too had been led to this position partly by a wartime experience: during the First World War he had worked for the Red Cross’ Information Service, with the unenviable job of answering relatives’ inquiries about missing soldiers. Whenever news came, he passed it on, and usually it was not good. As Marcel later said, this task permanently inoculated him against warmongering rhetoric of any kind, and it made him aware of the power of what is unknown in our lives.
  • As the play’s much-quoted and frequently misunderstood final line has it: ‘Hell is other people.’ Sartre later explained that he did not mean to say that other people were hellish in general. He meant that after death we become frozen in their view, unable any longer to fend off their interpretation. In life, we can still do something to manage the impression we make; in death, this freedom goes and we are left entombed in other’s people’s memories and perceptions.
  • We have to do two near-impossible things at once: understand ourselves as limited by circumstances, and yet continue to pursue our projects as though we are truly in control. In Beauvoir’s view, existentialism is the philosophy that best enables us to do this, because it concerns itself so deeply with both freedom and contingency. It acknowledges the radical and terrifying scope of our freedom in life, but also the concrete influences that other philosophies tend to ignore: history, the body, social relationships and the environment.
  • The aspects of our existence that limit us, Merleau-Ponty says, are the very same ones that bind us to the world and give us scope for action and perception. They make us what we are. Sartre acknowledged the need for this trade-off, but he found it more painful to accept. Everything in him longed to be free of bonds, of impediments and limitations
  • Of course we have to learn this skill of interpreting and anticipating the world, and this happens in early childhood, which is why Merleau-Ponty thought child psychology was essential to philosophy. This is an extraordinary insight. Apart from Rousseau, very few philosophers before him had taken childhood seriously; most wrote as though all human experience were that of a fully conscious, rational, verbal adult who has been dropped into this world from the sky — perhaps by a stork.
  • For Merleau-Ponty, we cannot understand our experience if we don’t think of ourselves in part as overgrown babies. We fall for optical illusions because we once learned to see the world in terms of shapes, objects and things relevant to our own interests. Our first perceptions came to us in tandem with our first active experiments in observing the world and reaching out to explore it, and are still linked with those experiences.
  • Another factor in all of this, for Merleau-Ponty, is our social existence: we cannot thrive without others, or not for long, and we need this especially in early life. This makes solipsistic speculation about the reality of others ridiculous; we could never engage in such speculation if we hadn’t already been formed by them.
  • As Descartes could have said (but didn’t), ‘I think, therefore other people exist.’ We grow up with people playing with us, pointing things out, talking, listening, and getting us used to reading emotions and movements; this is how we become capable, reflective, smoothly integrated beings.
  • In general, Merleau-Ponty thinks human experience only makes sense if we abandon philosophy’s time-honoured habit of starting with a solitary, capsule-like, immobile adult self, isolated from its body and world, which must then be connected up again — adding each element around it as though adding clothing to a doll. Instead, for him, we slide from the womb to the birth canal to an equally close and total immersion in the world. That immersion continues as long as we live, although we may also cultivate the art of partially withdrawing from time to time when we want to think or daydream.
  • When he looks for his own metaphor to describe how he sees consciousness, he comes up with a beautiful one: consciousness, he suggests, is like a ‘fold’ in the world, as though someone had crumpled a piece of cloth to make a little nest or hollow. It stays for a while, before eventually being unfolded and smoothed away. There is something seductive, even erotic, in this idea of my conscious self as an improvised pouch in the cloth of the world. I still have my privacy — my withdrawing room. But I am part of the world’s fabric, and I remain formed out of it for as long as I am here.
  • By the time of these works, Merleau-Ponty is taking his desire to describe experience to the outer limits of what language can convey. Just as with the late Husserl or Heidegger, or Sartre in his Flaubert book, we see a philosopher venturing so far from shore that we can barely follow. Emmanuel Levinas would head out to the fringes too, eventually becoming incomprehensible to all but his most patient initiates.
  • Sartre once remarked — speaking of a disagreement they had about Husserl in 1941 — that ‘we discovered, astounded, that our conflicts had, at times, stemmed from our childhood, or went back to the elementary differences of our two organisms’. Merleau-Ponty also said in an interview that Sartre’s work seemed strange to him, not because of philosophical differences, but because of a certain ‘register of feeling’, especially in Nausea, that he could not share. Their difference was one of temperament and of the whole way the world presented itself to them.
  • The two also differed in their purpose. When Sartre writes about the body or other aspects of experience, he generally does it in order to make a different point. He expertly evokes the grace of his café waiter, gliding between the tables, bending at an angle just so, steering the drink-laden tray through the air on the tips of his fingers — but he does it all in order to illustrate his ideas about bad faith. When Merleau-Ponty writes about skilled and graceful movement, the movement itself is his point. This is the thing he wants to understand.
  • We can never move definitively from ignorance to certainty, for the thread of the inquiry will constantly lead us back to ignorance again. This is the most attractive description of philosophy I’ve ever read, and the best argument for why it is worth doing, even (or especially) when it takes us no distance at all from our starting point.
  • By prioritising perception, the body, social life and childhood development, Merleau-Ponty gathered up philosophy’s far-flung outsider subjects and brought them in to occupy the centre of his thought.
  • In his inaugural lecture at the Collège de France on 15 January 1953, published as In Praise of Philosophy, he said that philosophers should concern themselves above all with whatever is ambiguous in our experience. At the same time, they should think clearly about these ambiguities, using reason and science. Thus, he said, ‘The philosopher is marked by the distinguishing trait that he possesses inseparably the taste for evidence and the feeling for ambiguity.’ A constant movement is required between these two
  • As Sartre wrote in response to Hiroshima, humanity had now gained the power to wipe itself out, and must decide every single day that it wanted to live. Camus also wrote that humanity faced the task of choosing between collective suicide and a more intelligent use of its technology — ‘between hell and reason’. After 1945, there seemed little reason to trust in humanity’s ability to choose well.
  • Merleau-Ponty observed in a lecture of 1951 that, more than any previous century, the twentieth century had reminded people how ‘contingent’ their lives were — how at the mercy of historical events and other changes that they could not control. This feeling went on long after the war ended. After the A-bombs were dropped on Hiroshima and Nagasaki, many feared that a Third World War would not be long in coming, this time between the Soviet Union and the United States.
katherineharron

Fact Check: Trump wildly exaggerates Spanish Flu mortality rate - CNNPolitics - 0 views

  • As the tally of coronavirus cases and deaths in the US continues to rise, President Donald Trump and members of his coronavirus task force addressed questions Tuesday during a virtual town hall hosted by Fox News.
  • Facts First: Trump is exaggerating. Though estimates of the mortality rate for the 1918 flu pandemic vary widely since records from that period are incomplete, there are not any credible estimates as high as 50%. Scholars estimate the mortality rate is between about 2% and 20%. The Centers for Disease Control and Prevention estimates that at least 50 million people worldwide died from the H1N1 virus in 1918 and 1919, out of the approximately 500 million people who were infected.
  • "Net, net you can find credible death rate estimates from 2-10 percent," Dr. Brilliant said. "Either way that is a far cry from 50 percent."
blythewallick

With 250 babies born each minute, how many people can the Earth sustain? | Lucy Lamble ... - 0 views

  • but UN data suggests there were about a billion people in 1800, 2 billion in 1927, 5 billion in 1987 and just over 7.5 billion today.
  • Since the 1960s, more boys than girls have been born every year. About 117 million women are believed to be “missing” in Asia and eastern Europe – due to discriminatory son preference and gender-biased sex selection.
  • Over the last 30 years, some regions have seen up to 25% more male births than female births, reflecting the persistent low status of women and girls.
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  • Experts like Paul Ehrlich argue that the population of the world has long since surpassed optimal levels, though critics counter that consumption is as important as population levels.
  • one-third of all people – almost 4 billion – will be African.
  • By that year, there will be more Nigerians than Americans.
  • The level of education in a society – of women in particular – is one of the most important predictors for the number of children families have.
  • In the pre-modern era, fertility rates of 4.5 to 7 children per woman were common. At that time, high mortality rates of young people kept population growth low.
  • If birthrates have fallen so far, why is the population still rising fast?
  • People are living longer
  • which means that one child in 13 die before their fifth birthday.
  • This compares with six for every 1,000 in Europe and northern America and four for every 1,000 in Australia and New Zealand.
  • A consequence of falling child mortality but continuing high fertility is a “youth bulge” – a high population of young people.
  • But ageing populations can be a cause for celebration. It means development has taken place.
  • What next?
  • Family planning organisations are learning that to survive political shifts and budget cuts, they need to diversify their sources of funding. This means seeing family planning as not just a public health concern but also about development and a clear return on investment.
Javier E

The Atheist's Belief In Medicine « The Dish - 1 views

  • Hitchens’s beliefs about his advanced cancer and its treatment were, for a man whose fame rested on his scepticism, uncharacteristically optimistic. I hesitate to use the word delusional, as he admitted that he would be very lucky to survive, but he clearly steadfastly hoped, right to the end, that his particular case of advanced cancer might lie on the sparsely populated right side of the bell-shaped curve of outcome statistics.
  • I wonder if all that medicine – which was, in fact, a form of poison – was worth it. David got ten more years, and two young children. But he also endured a disfiguring, disabling, brutal physical battering from the surgeries and chemo-sessions that tackling a tough brain tumor allow for. I say “allow for” because “required” is not the right word. What the chemo did to Christopher was beyond description – and what’s left of your body, even if the chemo works, can be extremely vulnerable to infections and diseases that can be worse than the cancer.
  • It seems odder to me for Christians to be as exercized by life-extension as the atheist. Put that down to the strange extremism of Ratzinger’s innovations on the question of “life”.
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  • No one should seek to die or give in to a disease they can legitimately fight. God knows how many pills I take a day to keep the virus – and all its and their side-effects at bay. But I get to live healthily and meaningfully. The way some elaborate and cutting edge treatments all but kill the patient in order to save her troubles me. It’s a loss of perspective as well as immensely expensive for the entire system.
  • our culture’s gradual alienation from the fact of our deaths – our distancing ourselves even from the old and infirm in ways previous cultures didn’t and couldn’t – is not, in my view a healthy thing.
  • these sophisticated treatments are taking healthcare money away from the young, taking up more and more of our collective healthcare resources, and extending lives only be perpetuating continuous agony and nausea and pain for the patient and devastating consequences for families and friends.
  • We will all die. We should not seek it. But we should not flee from it for ever.
  • at some point what seems to me to matter more is not the length of our lives but the content of them and the manner of our deaths.
  • At some point, medicine is a function of a social disease of modernity: the flight from our own mortality. But fleeing it does not defuse it. Only facing it does.
dicindioha

What's at Stake in a Health Bill That Slashes the Safety Net - The New York Times - 0 views

  • It is startling to realize just how much the social safety net expanded during Barack Obama’s presidency. In 2016, means-tested entitlements like Medicaid and food stamps absorbed 3.8 percent of the nation’s gross domestic product, almost a full percentage point more than in 2008
  • Public social spending writ large — including health care, pensions, unemployment insurance, poverty alleviation and the like — reached 19.3 percent of G.D.P.
  • Government in the United States still spends less than most of its peers across the industrialized world to support the general welfare of its citizens.
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  • Last week, President Trump’s sketch of a budget underscored how little interest he has in the nation’s social insurance programs — proposing to shift $54 billion next year to the military
  • Republicans in the House plan to vote this week to undo the Affordable Care Act. That law was Mr. Obama’s singular contribution toward an American welfare state, the biggest expansion of the nation’s safety net in half a century.
  • Welfare reform did hurt many poor people by converting antipoverty funds into block grants to the states. But it was accompanied by a big increase in the earned-income tax credit, the nation’s most effective antipoverty tool today.
  • “No other Congress or administration has ever put forward a plan with the intention of having fewer people covered.”
  • Who knows where this retrenchment takes the country? Maybe attaching a work requirement to Medicaid, as conservatives propose, will prod the poor to get a job. Or perhaps it will just cut more people from Medicaid’s rolls. Further up the income ladder, losing a job will become more costly when it means losing health insurance, too.
  • Millions of Americans — poor ones, mainly — will use much less health care. They will make fewer outpatient visits, have fewer mammograms and cholesterol checks.
  • In any event, public health insurance will take a big hit.
  • Under the House Republican plan, 24 million more Americans will lack health insurance by 2026, according to the nonpartisan Congressional Budget Office.
  • Might depression and mental health problems destabilize families, feeding down into the health, education and well-being of the next generation?
  • Yet it is worth remembering that among advanced nations, the United States is a laggard in life expectancy and has one of the highest infant mortality rates.
  • If American history provides any sort of guidance, it is that continuing to shred the social safety net will definitely make things worse.
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    Directing spending away from American people and their access to healthcare is a definite possibility for Trump. It will be interesting to see the effect this has on the healthcare market and the American people. This article says it will probably hurt many poor people and decrease their health.
Javier E

What Would Plato Tweet? - NYTimes.com - 1 views

  • In a mere couple of centuries, Greek speakers went from anomie and illiteracy, lacking even an alphabet, to Aeschylus and Aristotle. They invented not only the discipline of philosophy, but also science, mathematics, the study of history (as opposed to mere chronicles) and that special form of government they called democracy — literally rule of the people (though it goes without saying that “the people” didn’t include women and slaves). They also produced timeless art, architecture, poetry and drama.
  • The more outstanding you were, the more mental replication of you there would be, and the more replication, the more you mattered.
  • Kleos lay very near the core of the Greek value system. Their value system was at least partly motivated, as perhaps all value systems are partly motivated, by the human need to feel as if our lives matter
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  • what they wanted was the attention of other mortals. All that we can do to enlarge our lives, they concluded, is to strive to make of them things worth the telling
  • Greek philosophy also represented a departure from its own culture. Mattering wasn’t acquired by gathering attention of any kind, mortal or immortal. Acquiring mattering was something people had to do for themselves, cultivating such virtuous qualities of character as justice and wisdom. They had to put their own souls in order.
  • the Ivrim, the Hebrews, apparently from their word for “over,” since they were over on the other side of the Jordan
  • the one and only God, the Master of the Universe, providing the foundation for both the physical world without and the moral world within. From his position of remotest transcendence, this god nevertheless maintains a rapt interest in human concerns, harboring many intentions directed at us, his creations, who embody nothing less than his reasons for going to the trouble of creating the world ex nihilo
  • what the Greeks had called kleos. The word comes from the old Homeric word for “I hear,” and it meant a kind of auditory renown. Vulgarly speaking, it was fame. But it also could mean the glorious deed that merited the fame, as well as the poem that sang of the deed and so produced the fame.
  • Over the centuries, philosophy, perhaps aided by religion, learned to abandon entirely the flawed Greek presumption that only extraordinary lives matter. This was progress of the philosophical variety, subtler than the dazzling triumphs of science, but nevertheless real. Philosophy has laboriously put forth arguments that have ever widened the sphere of mattering.
  • We’ve come a long way from the kleos of Greeks, with its unexamined presumption that mattering is inequitably distributed among us, with the multireplicated among us mattering more.
  • our culture has, with the dwindling of theism, returned to the answer to the problem of mattering that Socrates and Plato judged woefully inadequate.
johnsonel7

Doubting death: how our brains shield us from mortal truth | Science | The Guardian - 0 views

  • That’s because, researchers say, our brains do their best to keep us from dwelling on our inevitable demise.
  • Being shielded from thoughts of our future death could be crucial for us to live in the present. The protection may switch on in early life as our minds develop and we realise death comes to us all.
  • Various words appeared above the faces on screen. Half of the time these were death-related words such as “funeral” or “burial”. The scientists found that if a person’s own face flashed up next to deathly words, their brain shut down its prediction system. It refused to link the self with death and no surprise signals were recorded.
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  • “We cannot rationally deny that we will die, but we think of it more as something that happens to other people.”
  • Arnaud Wisman, a psychologist at the University of Kent, said people put up numerous defences to stave off thoughts of death. The young in particular may see it as a problem for other people, he said
Javier E

Reasons for COVID-19 Optimism on T-Cells and Herd Immunity - 0 views

  • It may well be the case that some amount of community protection kicks in below 60 percent exposure, and possibly quite a bit below that threshold, and that those who exhibit a cross-reactive T-cell immune response, while still susceptible to infection, may also have some meaningful amount of protection against severe disease.
  • early returns suggest that while the maximalist interpretation of each hypothesis is not very credible — herd immunity has probably not been reached in many places, and cross-reactive T-cell response almost certainly does not functionally immunize those who have it — more modest interpretations appear quite plausible.
  • Friston suggested that the truly susceptible portion of the population was certainly not 100 percent, as most modelers and conventional wisdom had it, but a much smaller share — surely below 50 percent, he said, and likely closer to about 20 percent. The analysis was ongoing, he said, but, “I suspect, once this has been done, it will look like the effective non-susceptible portion of the population will be about 80 percent. I think that’s what’s going to happen.”
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  • one of the leading modelers, Gabriela Gomes, suggested the entire area of research was being effectively blackballed out of fear it might encourage a relaxation of pandemic vigilance. “This is the very sad reason for the absence of more optimistic projections on the development of this pandemic in the scientific literature,” she wrote on Twitter. “Our analysis suggests that herd-immunity thresholds are being achieved despite strict social-distancing measures.”
  • Gomes suggested, herd immunity could happen with as little as one quarter of the population of a community exposed — or perhaps just 20 percent. “We just keep running the models, and it keeps coming back at less than 20 percent,” she told Hamblin. “It’s very striking.” Such findings, if they held up, would be very instructive, as Hamblin writes: “It would mean, for instance, that at 25 percent antibody prevalence, New York City could continue its careful reopening without fear of another major surge in cases.”
  • But for those hoping that 25 percent represents a true ceiling for pandemic spread in a given community, well, it almost certainly does not, considering that recent serological surveys have shown that perhaps 93 percent of the population of Iquitos, Peru, has contracted the disease; as have more than half of those living in Indian slums; and as many as 68 percent in particular neighborhoods of New York City
  • overshoot of that scale would seem unlikely if the “true” threshold were as low as 20 or 25 percent.
  • But, of course, that threshold may not be the same in all places, across all populations, and is surely affected, to some degree, by the social behavior taken to protect against the spread of the disease.
  • we probably err when we conceive of group immunity in simplistically binary terms. While herd immunity is a technical term referring to a particular threshold at which point the disease can no longer spread, some amount of community protection against that spread begins almost as soon as the first people are exposed, with each case reducing the number of unexposed and vulnerable potential cases in the community by one
  • you would not expect a disease to spread in a purely exponential way until the point of herd immunity, at which time the spread would suddenly stop. Instead, you would expect that growth to slow as more people in the community were exposed to the disease, with most of them emerging relatively quickly with some immune response. Add to that the effects of even modest, commonplace protections — intuitive social distancing, some amount of mask-wearing — and you could expect to get an infection curve that tapers off well shy of 60 percent exposure.
  • Looking at the data, we see that transmissions in many severely impacted states began to slow down in July, despite limited interventions. This is especially notable in states like Arizona, Florida, and Texas. While we believe that changes in human behavior and changes in policy (such as mask mandates and closing of bars/nightclubs) certainly contributed to the decrease in transmission, it seems unlikely that these were the primary drivers behind the decrease. We believe that many regions obtained a certain degree of temporary herd immunity after reaching 10-35 percent prevalence under the current conditions. We call this 10-35 percent threshold the effective herd immunity threshold.
  • Indeed, that is more or less what was recently found by Youyang Gu, to date the best modeler of pandemic spread in the U.S
  • he cautioned again that he did not mean to imply that the natural herd-immunity level was as low as 10 percent, or even 35 percent. Instead, he suggested it was a plateau determined in part by better collective understanding of the disease and what precautions to take
  • Gu estimates national prevalence as just below 20 percent (i.e., right in the middle of his range of effective herd immunity), it still counts, I think, as encouraging — even if people in hard-hit communities won’t truly breathe a sigh of relief until vaccines arrive.
  • If you can get real protection starting at 35 percent, it means that even a mediocre vaccine, administered much more haphazardly to a population with some meaningful share of vaccination skeptics, could still achieve community protection pretty quickly. And that is really significant — making both the total lack of national coordination on rollout and the likely “vaccine wars” much less consequential.
  • At least 20 percent of the public, and perhaps 50 percent, had some preexisting, cross-protective T-cell response to SARS-CoV-2, according to one much-discussed recent paper. An earlier paper had put the figure at between 40 and 60 percent. And a third had found an even higher prevalence: 81 percent.
  • The T-cell story is similarly encouraging in its big-picture implications without being necessarily paradigm-changing
  • These numbers suggest their own heterogeneity — that different populations, with different demographics, would likely exhibit different levels of cross-reactive T-cell immune response
  • The most optimistic interpretation of the data was given to me by Francois Balloux, a somewhat contrarian disease geneticist and the director of the University College of London’s Genetics Institute
  • According to him, a cross-reactive T-cell response wouldn’t prevent infection, but would probably mean a faster immune response, a shorter period of infection, and a “massively” reduced risk of severe illness — meaning, he guessed, that somewhere between a third and three-quarters of the population carried into the epidemic significant protection against its scariest outcomes
  • the distribution of this T-cell response could explain at least some, and perhaps quite a lot, of COVID-19’s age skew when it comes to disease severity and mortality, since the young are the most exposed to other coronaviruses, and the protection tapers as you get older and spend less time in environments, like schools, where these viruses spread so promiscuously.
  • Balloux told me he believed it was also possible that the heterogeneous distribution of T-cell protection also explains some amount of the apparent decline in disease severity over time within countries on different pandemic timelines — a phenomenon that is more conventionally attributed to infection spreading more among the young, better treatment, and more effective protection of the most vulnerable (especially the old).
  • Going back to Youyang Gu’s analysis, what he calls the “implied infection fatality rate” — essentially an estimated ratio based on his modeling of untested cases — has fallen for the country as a whole from about one percent in March to about 0.8 percent in mid-April, 0.6 percent in May, and down to about 0.25 percent today.
  • even as we have seemed to reach a second peak of coronavirus deaths, the rate of death from COVID-19 infection has continued to decline — total deaths have gone up, but much less than the number of cases
  • In other words, at the population level, the lethality of the disease in America has fallen by about three-quarters since its peak. This is, despite everything that is genuinely horrible about the pandemic and the American response to it, rather fantastic.
  • there may be some possible “mortality displacement,” whereby the most severe cases show up first, in the most susceptible people, leaving behind a relatively protected population whose experience overall would be more mild, and that T-cell response may play a significant role in determining that susceptibility.
  • That, again, is Balloux’s interpretation — the most expansive assessment of the T-cell data offered to me
  • The most conservative assessment came from Sarah Fortune, the chair of Harvard’s Department of Immunology
  • Fortune cautioned not to assume that cross-protection was playing a significant role in determining severity of illness in a given patient. Those with such a T-cell response, she told me, would likely see a faster onset of robust response, yes, but that may or may not yield a shorter period of infection and viral shedding
  • Most of the scientists, doctors, epidemiologists, and immunologists I spoke to fell between those two poles, suggesting the T-cell cross-immunity findings were significant without necessarily being determinative — that they may help explain some of the shape of pandemic spread through particular populations, but only some of the dynamics of that spread.
  • he told me he believed, in the absence of that data, that T-cell cross-immunity from exposure to previous coronaviruses “might explain different disease severity in different people,” and “could certainly be part of the explanation for the age skew, especially for why the very young fare so well.”
  • the headline finding was quite clear and explicitly stated: that preexisting T-cell response came primarily via the variety of T-cells called CD4 T-cells, and that this dynamic was consistent with the hypothesis that the mechanism was inherited from previous exposure to a few different “common cold” coronaviruses
  • “This potential preexisting cross-reactive T-cell immunity to SARS-CoV-2 has broad implications,” the authors wrote, “as it could explain aspects of differential COVID-19 clinical outcomes, influence epidemiological models of herd immunity, or affect the performance of COVID-19 candidate vaccines.”
  • “This is at present highly speculative,” they cautioned.
Javier E

On the Shortness of Life 2.0 - by Peter Juul - The Liberal Patriot - 0 views

  • Four Thousand Weeks: Time Management for Mortals, writer and regular Guardian columnist Oliver Burkeman faithfully carries the spirit of Seneca’s classic essay forward
  • It’s a deft and eclectic synthesis of ancient and modern thinking about how humanity can come to terms with our limited time on Earth – the title derives from the length of the average human lifespan – ranging intellectually from ancient Greek and Roman philosophers like Seneca to modern-day Buddhist and existentialist thinkers.
  • he only touches on politics briefly and sporadically throughout the book’s 245 pages. But those of us in politics and policy – whatever capacity we find ourselves in – can learn quite a bit
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  • defined by Burkeman as “a machine for misusing your life.” Social media platforms like Twitter and Facebook don’t just distract us from more important matters, he argues, “they change how we’re defining ‘important matters’ in the first place.”
  • Social media also amounts to “a machine for getting you to care about too many things, even if they’re each indisputably worthwhile.” Hence the urge to depict every policy problem as an urgent if not existential crisis
  • social media has turned all of us into “angrier, less empathetic, more anxious or more numbed out” versions of ourselves.
  • our political and policy debates tend towards what Burkeman calls “paralyzing grandiosity” – the false notion that in the face of problems like climate change, economic inequality, and ongoing threats to democracy “only the most revolutionary, world-transforming causes are worth fighting for.” It’s a sentiment that derives from and reinforces catastrophism and absolutism
  • Four Thousand Weeks is filled to the brim with practical advice that we can easily adapt
  • Embrace “radical incrementalism.
  • we lack the patience to tolerate the fact that most of the things we want to happen won’t occur in one fell swoop.
  • We’ve got to resist the need for speed and desire for rapid resolution of problems, letting them instead take the time they take. In part, that means accepting even limited progress rather than giving up and growing cynical
  • Take a break
  • Burkeman’s advice to rest for rest’s sake, “to spend some of our time, that is, on activities in which the only thing we’re trying to get from them is the doing itself.”
  • Burkeman suggests we find some hobby we enjoy for its own sake, not because there’s some benefit we think we can derive from it.
  • When we somewhat sheepishly admit to a hobby, he writes, “that’s a sign you’re doing it for its own sake, rather than some socially sanctioned outcome.”
  • he joy we find in our hobbies can bleed into other parts of our lives as well, and if they’re more social in nature that can help build relationships unrelated to politics and policy that are necessary to make democracy work.
  • “Consolidate your caring” and think small. “To make a difference,” Burkeman argues, “you must focus your finite capacity for care.”
  • What matters is that we make things slightly better with our contributions and actions, not that we solve all the world’s at once.
Emily Horwitz

Could A 'Brain Pacemaker' Someday Treat Severe Anorexia? : Shots - Health News : NPR - 0 views

  • Many people who get anorexia recover after therapy and counseling. But in about 20 to 30 percent of cases, the disease becomes a chronic condition that gets tougher and tougher to treat.
  • Neurosurgeons from the University of Toronto tried a technique called deep brain stimulation to see if it might help patients with severe anorexia.
  • The results didn't meet the statistical tests for significance.
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  • "But since we don't have anything that works well for these individuals — that have a high risk of mortality – it warrants cautious optimism and further study."
  • doctors implant tiny electrodes next to a region of the brain thought to be dysfunctional. A device, similar to a heart pacemaker, then sends waves of electricity through a wire to the electrodes.
  • In the latest study, neurosurgeons in Toronto implanted the electrodes in the brains of six women with chronic anorexia. Five of them had been struggling with the disease for over a decade. All of them had experienced serious health problems from it, including heart attacks in some cases.
  • "My symptoms were so severe. I would wake up in the middle of night and run up and down the stairs for hours or go for a five-hour run," she tells Shots. "I became very isolated. I didn't want to be around anyone because they kept me from exercising."
  • "It was brain surgery! But I had had a heart attack at 28 and two strokes, " she says. "My mom was in the midst of planning my funeral. If I didn't take this chance, I knew my path would probably lead to death."
  • Rollins admits that the deep brain stimulation wasn't a magic bullet. She's had to continue her anorexia treatment to get where she is. "I still see a psychiatrist regularly and a dietitian. It [the deep brain stimulation] enables me to do the work that I need to do a lot easy."
  • Deep brain stimulation can cause serious side effects, Lipsman says, like seizures, and more milder ones, like pain and nausea. "This is a brain surgery – there's no sugarcoating that," he says. "The primary objective of this study was to establish that this a safe procedure for these patients who have been quite ill before the surgery. That's all we can say right now."
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    an interesting article that seems to pose the question: can our habits/perceptions be changed by brain stimulation?
Emily Horwitz

U.S. Stockpiles Smallpox Drug in Case of Bioterror Attack - NYTimes.com - 0 views

  • The United States government is buying enough of a new smallpox medicine to treat two million people in the event of a bioterrorism attack, and took delivery of the first shipment of it last week. But the purchase has set off a debate about the lucrative contract, with some experts saying the government is buying too much of the drug at too high a price.
  • Smallpox was eradicated by 1980, and the only known remaining virus is in government laboratories in the United States and Russia
  • Experts say the virus could also be re-engineered into existence in a sophisticated genetics lab.
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  • the government is paying more than $200 for each course of treatment.
  • But when stockpiling a smallpox drug was first proposed in 2001 after the Sept. 11 and anthrax attacks, it was expected to cost only $5 to $10 per course, said Dr. Donald A. Henderson, who led a government advisory panel on biodefense in the wake of those attacks. Dr. Henderson was a leader in the eradication of smallpox in the 1960s and is now at the Center for Biosecurity at the University of Pittsburgh Medical Center.
  • Smallpox has such a long incubation period that the vaccine can prevent disease even if it is given as late as three days after infection. Arestvyr may also prevent infection if given early enough, but that has not been proven.
  • the price being charged for a patented drug was a bargain compared with AIDS antiretrovirals that cost $20,000 a year and cancer drugs that cost more than $100,000 a year.
  • “There are 80 million courses of Tamiflu in the strategic national stockpile,” he said. “Smallpox is just as contagious and has 30 times the mortality. By measures like that, I’d say 2 million is on the low end.”
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    After reading this article, I thought about how much fear and the perceived threat of terrorism can be used quite effectively as manipulative tools. The article seemed to suggest that, because the US is so afraid/wary of a bioterrorism attack involving smallpox, we were willing to pay an excessive amount of money for emergency-use vaccines.
Javier E

Gamblers, Scientists and the Mysterious Hot Hand - The New York Times - 0 views

  • Psychologists who study how the human mind responds to randomness call this the gambler’s fallacy — the belief that on some cosmic plane a run of bad luck creates an imbalance that must ultimately be corrected, a pressure that must be relieved
  • The opposite of that is the hot-hand fallacy — the belief that winning streaks, whether in basketball or coin tossing, have a tendency to continue
  • Both misconceptions are reflections of the brain’s wired-in rejection of the power that randomness holds over our lives. Look deep enough, we instinctively believe, and we may uncover a hidden order.
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  • A working paper published this summer has caused a stir by proposing that a classic body of research disproving the existence of the hot hand in basketball is flawed by a subtle misperception about randomness. If the analysis is correct, the possibility remains that the hot hand is real.
  • We mortals can benefit, at least in theory, from islands of predictability — a barely perceptible tilt of a roulette table that makes the ball slightly more likely to land on one side of the wheel than the other
  • The same is true for the random walk of the stock market. Becoming aware of information before it has propagated worldwide can give a speculator a tiny, temporary edge. Some traders pay a premium to locate their computer servers as close as possible to Lower Manhattan, gaining advantages measured in microseconds.
  • Taken to extremes, seeing connections that don’t exist can be a symptom of a psychiatric condition called apophenia. In less pathological forms, the brain’s hunger for pattern gives rise to superstitions (astrology, numerology) and is a driving factor in what has been called a replication crisis in science
  • I know it sounds crazy but when you average the scores together the answer is not 50-50, as most people would expect, but about 40-60 in favor of tails.
  • There is not, as Guildenstern might imagine, a tear in the fabric of space-time. It remains as true as ever that each flip is independent, with even odds that the coin will land one way or the other. But by concentrating on only some of the data — the flips that follow heads — a gambler falls prey to a selection bias.
  • basketball is no streakier than a coin toss. For a 50 percent shooter, for example, the odds of making a basket are supposed to be no better after a hit — still 50-50. But in a purely random situation, according to the new analysis, a hit would be expected to be followed by another hit less than half the time. Finding 50 percent would actually be evidence in favor of the hot hand
  • Dr. Gilovich is withholding judgment. “The larger the sample of data for a given player, the less of an issue this is,” he wrote in an email. “Because our samples were fairly large, I don’t believe this changes the original conclusions about the hot hand. ”
  • Take a fair coin — one as likely to land on heads as tails — and flip it four times. How often was heads followed by another head?
  • For all their care to be objective, scientists are as prone as anyone to valuing data that support their hypothesis over those that contradict it. Sometimes this results in experiments that succeed only under very refined conditions, in certain labs with special reagents and performed by a scientist with a hot hand.
  • We’re all in the same boat. We evolved with this uncanny ability to find patterns. The difficulty lies in separating what really exists from what is only in our minds.
kushnerha

The rise of the 'gentleman's A' and the GPA arms race - The Washington Post - 2 views

  • A’s — once reserved for recognizing excellence and distinction — are today the most commonly awarded grades in America.
  • That’s true at both Ivy League institutions and community colleges, at huge flagship publics and tiny liberal arts schools, and in English, ethnic studies and engineering departments alike. Across the country, wherever and whatever they study, mediocre students are increasingly likely to receive supposedly superlative grades.
  • Analyzing 70 years of transcript records from more than 400 schools, the researchers found that the share of A grades has tripled, from just 15 percent of grades in 1940 to 45 percent in 2013. At private schools, A’s account for nearly a majority of grades awarded.
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  • Students sometimes argue that their talents have improved so dramatically that they are deserving of higher grades. Past studies, however, have found little evidence of this.
  • While it’s true that top schools have become more selective, the overall universe of students attending college has gotten broader, reflecting a wider distribution of abilities and levels of preparation, especially at the bottom. College students today also study less and do not appear to be more literate than their predecessors were.
  • Plus, of course, even if students have gotten smarter, or at least more efficient at studying (hey, computers do help), grades are arguably also supposed to measure relative achievement among classmates.
  • Affirmative action also sometimes gets blamed for rising grades; supposedly, professors have been loath to hurt the feelings of underprepared minority students. Rojstaczer and Healy note, however, that much of the increase in minority enrollment occurred from the mid-1970s to mid-’80s, the only period in recent decades when average GPAs fell.
  • That first era, the researchers say, can be explained by changes in pedagogical philosophy (some professors began seeing grades as overly authoritarian and ineffective at motivating students) and mortal exigencies (male students needed higher grades to avoid the Vietnam draft).
  • The authors attribute today’s inflation to the consumerization of higher education. That is, students pay more in tuition, and expect more in return — better service, better facilities and better grades. Or at least a leg up in employment and graduate school admissions through stronger transcripts.
  • some universities have explicitly lifted their grading curves (sometimes retroactively) to make graduates more competitive in the job market, leading to a sort of grade inflation arms race
  • But rising tuition may not be the sole driver of students’ expectations for better grades, given that high school grades have also risen in recent decades. And rather than some top-down directive from administrators, grade inflation also seems related to a steady creep of pressure on professors to give higher grades in exchange for better teaching evaluations.
  • It’s unclear how the clustering of grades near the top is affecting student effort. But it certainly makes it harder to accurately measure how much students have learned. It also makes it more challenging for grad schools and employers to sort the superstars from the also-rans
  • Lax or at least inconsistent grading standards can also distort what students — especially women — choose to study, pushing them away from more stingily graded science, technology, engineering and math fields and into humanities, where high grades are easier to come by.
  • Without collective action — which means both standing up to students and publicly shaming other schools into adopting higher standards — the arms race will continue.
Ellie McGinnis

Rethinking Our 'Rights' to Dangerous Behaviors - NYTimes.com - 0 views

  • All of these industries work hard to defend our “right” — to smoke, feed our children junk, carry handguns and so on — as matters of choice, freedom and responsibility.
  • The food industry has created combinations that most appeal to our brains’ instinctual and learned responses, although we were eating those foods long before we realized that.
  • Knowing full well that S.U.V.’s were less safe and more environmentally damaging than standard cars, manufacturers nevertheless marketed them as safer, appealing to our “unconscious ‘reptilian instincts’ for survival and reproduction and to advertise S.U.V.’s as both protection against crime and unsafe drivers and as a means to escape from civilization.”
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  • “The right to be healthy trumps the right of corporations to promote choices that lead to premature death and preventable illnesses.
  • The issues of auto and gun safety, of drug, alcohol and tobacco addiction, and of hyperconsumption of unhealthy food are not as distinct as we’ve long believed; really, they’re quite similar.
  • the argument for protecting people against marketers of junk food relies in part on the fact that antismoking regulations and seatbelt laws were initially attacked as robbing us of choice; now we know they’re lifesavers.
  • Protecting public health is a fundamental government responsibility; a decent society should not allow food companies to convince children to buy food that’s bad for them or to encourage a lifetime of unhealthy eating.”
  • But aren’t they less “un-American” than allowing a company to maximize its return on investment by looking to sell to children or healthy adults in ways that will cause premature mortality?
  • “Shouldn’t science and technology be used to improve human well-being, not to advance business goals that harm health?” Two other questions that can be answered “yes.”
carolinewren

'It Is Climate Change': India's Heat Wave Now The 5th Deadliest In World History | Thin... - 0 views

  • searing and continuing heat wave in India has so far killed more than 2,300 people, making it the 5th deadliest in recorded world history.
  • As temperatures soared up to 113.7 degrees Fahrenheit and needed monsoon rains failed to materialize, the country’s minister of earth sciences did not mince words about what he says is causing the disaster.
  • “Let us not fool ourselves that there is no connection between the unusual number of deaths from the ongoing heat wave and the certainty of another failed monsoon,” Harsh Vardhan said, according to Reuters. “It’s not just an unusually hot summer, it is climate change.”
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  • India is getting hotter as humans continue to pump carbon dioxide into the atmosphere. With these increases in heat, the report — produced by 1,250 international experts and approved by every major government in the world — said with high confidence that the risk of heat-related mortality would rise due to climate change and population increases, along with greater risk of drought-related water and food shortages.
  • “Attribution of events to climate change is still emerging as a science, but recent and numerous studies continue to speak to heat waves having strong links to warming climate,”
  • extreme heat events “have become as much as 10 times more likely due to the current cumulative effects of human-induced climate change.”
  • Mann said that as climate change threatens to worsen as more carbon is emitted into the atmosphere, heat events once considered extreme would become relatively common. He noted that India’s nearly unprecedented deadly heat wave is occurring at current global warming levels of just 1.5 degrees Fahrenheit — so heat waves occurring under the “business as usual” global warming scenario that sees average temperatures rise 7 to 9 degrees by the end of the century would be much, much worse
  • The impacts of climate change are widely expected to be more harmful in poor countries than in their fully developed counterparts.
Javier E

Narcissus Regards a Book - The Chronicle Review - The Chronicle of Higher Education - 0 views

  • Common readers—which is to say the great majority of people who continue to read—read for one purpose and one purpose only. They read for pleasure. They read to be entertained. They read to be diverted, assuaged, comforted, and tickled.
  • Reading, where it exists at all, has largely become an unprofitable wing of the diversion industry.
  • it's not only the division of experience between hard labor and empty leisure that now makes reading for something like mortal stakes a very remote possibility.
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  • when life is not work, it is play. That's not hard to understand. People are tired, stressed, drained: They want to kick back a little.
  • Now the kids who were kids when the Western canon went on trial and received summary justice are working the levers of culture. They are the editors and the reviewers and the arts writers and the ones who interview the novelists and the poets
  • Though the arts interest them, though they read this and they read that—there is one thing that makes them very nervous indeed about what they do. They are not comfortable with judgments of quality. They are not at ease with "the whole evaluation thing."
  • They may sense that Blake's Songs of Innocence and Experience are in some manner more valuable, more worth pondering, more worth preserving than The Simpsons. They may sense as much. But they do not have the terminology to explain why. They never heard the arguments. The professors who should have been providing the arguments when the No More Western Culture marches were going on never made a significant peep.
  • But entertainment culture suffers no such difficulty. Its rationale is simple, clear, potent: The products of the culture industry are good because they make you feel good.
  • So the arbiters of culture—our former students—went the logical way. They said: If it makes you feel good, it must be good. If Stephen King and John Grisham bring pleasure, why then, let us applaud them.
  • What's not asked in the review and the interview and the profile is whether a King book is worth writing or worth reading. It seems that no one anymore has the wherewithal to say that reading a King novel is a major waste of time.
  • Media no longer seek to shape taste. They do not try to educate the public. And this is so in part because no one seems to know what literary and cultural education would consist of. What does make a book great, anyway? And the media have another reason for not trying to shape taste: It pisses off the readers. They feel insulted, condescended to; they feel dumb.
  • Even the most august publications and broadcasts no longer attempt to shape taste. They merely seek to reflect it. They hold the cultural mirror up to the reader—what the reader likes, the writer and the editor like. They hold the mirror up and the reader and—what else can he do?—the reader falls in love. The common reader today is someone who has fallen in love, with himself.
  • Reading in pursuit of influence—that, I think, is the desired thing. It takes a strange mixture of humility and confidence to do as much.
  • The desire to be influenced is always bound up with some measure of self-dislike, or at least with a dose of discontent. While the culture tells us to love ourselves as we are—or as we will be after we've acquired the proper products and services—the true common reader does not find himself adequate at all.
johnsonma23

What 'White Privilege' Really Means - NYTimes.com - 0 views

  • Critical philosophy of race, like critical race theory in legal studies, seeks to understand the disadvantages of nonwhite racial groups in society (blacks especially) by understanding social customs, laws, and legal practices.
  • What’s happening in Ferguson is the result of several recent historical factors and deeply entrenched racial attitudes, as well as a breakdown in participatory democracy.
  • It’s too soon to tell, but “Don’t Shoot” could become a real political movement — or it could peter out as the morally outraged self-expression of the moment, like Occupy Wall Street.
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  • people in such circumstances would vote for political representatives on all levels of government who would be their advocates.
  • Middle-class and poor blacks in the United States do less well than whites with the same income on many measures of human well-being: educational attainment, family wealth, employment, health, longevity, infant mortality.
  • But the value of money pales in contrast to the tragedy this country is now forced to deal with. A tragedy is the result of a mistake, of an error in judgment that is based on habit and character, which brings ruin
  • People are now stopped by the police for suspicion of misdemeanor offenses and those encounters quickly escalate. The death of Michael Brown, like the death of Trayvon Martin before him and the death of Oscar Grant before him, may be but the tip of an iceberg.
  • Exactly why unarmed young black men are the target of choice, as opposed to unarmed young white women, or unarmed old black women, or even unarmed middle-aged college professors, is an expression of a long American tradition of suspicion and terrorization of members of those groups who have the lowest status in our societ
Emilio Ergueta

Searching For Santa | Issue 70 | Philosophy Now - 0 views

  • I brace myself against the freezing air and remind myself that I’m here on a mission – to try and find an answer to a question which causes massive conflict to this day. Debate about it has reached fever pitch in recent years, with schoolteachers even being fired for teaching belief in him.
  • Certainly not! In fact, science disproves the existence of Santa. We know he couldn’t possibly visit all those children in a single evening, because his sleigh would explode at those speeds! We also know that he couldn’t fit down the chimney…
  • Not at all. A lot of people assume that because you don’t believe in Santa you must not get any presents, but that just isn’t the case. I get lots of presents, and I enjoy buying presents for my friends.
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  • es, I’ve come here looking for Father Christmas.
  • Elder Kringle and his community are self-described ‘Santa Fundamentalists’. They believe the Santa legend exactly the way it’s told. Now I’m going to be the first person ever to be granted an interview by this strange and reclusive community.
  • And so my first interview ended. I confess to finding the anti-Santa position somewhat unnerving, but it certainly addresses some very poignant questions. Next I decided to interview Reverend William Ronald, a believer and Santa apologist, to see if I could get the other side of the story.
  • Now I was more than a little apprehensive. It seemed that he wanted to take me out of the country that very night, that very moment even, to meet a community of True Believers. Normally when bearded strangers decked out in red and green with bells make this kind of offer, the alarm bells start jingling in my mind. But I was enthralled. I couldn’t resist the opportunity to get this new angle on my story, and so I consented…
  • Well Sam, there are a lot of misunderstandings out there. You see, not all Santa believers reject the theories of parents placing the gifts, or even claims that the toys are made by people in factories and bought in shops.
  • If other people won’t lead their children in the ways of Santa then we’ll need to do it for them. Also, we would close all the toy stores; people shouldn’t be allowed to choose what toys they have. It isn’t the place of mortals to ‘Play Santa’ with the universe.
  • f we don’t need Santa in order to receive presents, then why believe in him at all? Wasn’t it Voltaire who said: “As long as people believe in absurdities they will continue to commit atrocities”? Does belief in Santa open up unnecessary doors for extremists? Can’t we just accept that sometimes we get crappy presents and just be grateful for getting any presents at all?
  • Maybe people only believe in Santa because it boosts their ego to think that their actions and lives are worthy of 24-hour observation. I don’t know, and I can’t claim to have all the answers. But my search for Santa has certainly given me some food for thought.
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