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Javier E

'Oppenheimer,' 'The Maniac' and Our Terrifying Prometheus Moment - The New York Times - 0 views

  • Prometheus was the Titan who stole fire from the gods of Olympus and gave it to human beings, setting us on a path of glory and disaster and incurring the jealous wrath of Zeus. In the modern world, especially since the beginning of the Industrial Revolution, he has served as a symbol of progress and peril, an avatar of both the liberating power of knowledge and the dangers of technological overreach.
  • More than 200 years after the Shelleys, Prometheus is having another moment, one closer in spirit to Mary’s terrifying ambivalence than to Percy’s fulsome gratitude. As technological optimism curdles in the face of cyber-capitalist villainy, climate disaster and what even some of its proponents warn is the existential threat of A.I., that ancient fire looks less like an ember of divine ingenuity than the start of a conflagration. Prometheus is what we call our capacity for self-destruction.
  • Annie Dorsen’s theater piece “Prometheus Firebringer,” which was performed at Theater for a New Audience in September, updates the Greek myth for the age of artificial intelligence, using A.I. to weave a cautionary tale that my colleague Laura Collins-Hughes called “forcefully beneficial as an examination of our obeisance to technology.”
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  • Something similar might be said about “The Maniac,” Benjamín Labatut’s new novel, whose designated Prometheus is the Hungarian-born polymath John von Neumann, a pioneer of A.I. as well as an originator of game theory.
  • both narratives are grounded in fact, using the lives and ideas of real people as fodder for allegory and attempting to write a new mythology of the modern world.
  • Oppenheimer wasn’t a principal author of that theory. Those scientists, among them Niels Bohr, Erwin Schrödinger and Werner Heisenberg, were characters in Labatut’s previous novel, “When We Cease to Understand the World.” That book provides harrowing illumination of a zone where scientific insight becomes indistinguishable from madness or, perhaps, divine inspiration. The basic truths of the new science seem to explode all common sense: A particle is also a wave; one thing can be in many places at once; “scientific method and its object could no longer be prised apart.”
  • More than most intellectual bastions, the institute is a house of theory. The Promethean mad scientists of the 19th century were creatures of the laboratory, tinkering away at their infernal machines and homemade monsters. Their 20th-century counterparts were more likely to be found at the chalkboard, scratching out our future in charts, equations and lines of code.
  • The consequences are real enough, of course. The bombs dropped on Hiroshima and Nagasaki killed at least 100,000 people. Their successor weapons, which Oppenheimer opposed, threatened to kill everybody els
  • on Neumann and Oppenheimer were close contemporaries, born a year apart to prosperous, assimilated Jewish families in Budapest and New York. Von Neumann, conversant in theoretical physics, mathematics and analytic philosophy, worked for Oppenheimer at Los Alamos during the Manhattan Project. He spent most of his career at the Institute for Advanced Study, where Oppenheimer served as director after the war.
  • the intellectual drama of “Oppenheimer” — as distinct from the dramas of his personal life and his political fate — is about how abstraction becomes reality. The atomic bomb may be, for the soldiers and politicians, a powerful strategic tool in war and diplomacy. For the scientists, it’s something else: a proof of concept, a concrete manifestation of quantum theory.
  • . Oppenheimer’s designation as Prometheus is precise. He snatched a spark of quantum insight from those divinities and handed it to Harry S. Truman and the U.S. Army Air Forces.
  • Labatut’s account of von Neumann is, if anything, more unsettling than “Oppenheimer.” We had decades to get used to the specter of nuclear annihilation, and since the end of the Cold War it has been overshadowed by other terrors. A.I., on the other hand, seems newly sprung from science fiction, and especially terrifying because we can’t quite grasp what it will become.
  • Von Neumann, who died in 1957, did not teach machines to play Go. But when asked “what it would take for a computer, or some other mechanical entity, to begin to think and behave like a human being,” he replied that “it would have to play, like a child.”
  • MANIAC. The name was an acronym for “Mathematical Analyzer, Numerical Integrator and Computer,” which doesn’t sound like much of a threat. But von Neumann saw no limit to its potential. “If you tell me precisely what it is a machine cannot do,” he declared, “then I can always make a machine which will do just that.” MANIAC didn’t just represent a powerful new kind of machine, but “a new type of life.”
  • If Oppenheimer took hold of the sacred fire of atomic power, von Neumann’s theft was bolder and perhaps more insidious: He stole a piece of the human essence. He’s not only a modern Prometheus; he’s a second Frankenstein, creator of an all but human, potentially more than human monster.
  • “Technological power as such is always an ambivalent achievement,” Labatut’s von Neumann writes toward the end of his life, “and science is neutral all through, providing only means of control applicable to any purpose, and indifferent to all. It is not the particularly perverse destructiveness of one specific invention that creates danger. The danger is intrinsic. For progress there is no cure.”
Javier E

(1) Mimetic Collapse, Our Destiny - Freddie deBoer - 0 views

  • this recent piece from The New York Times Magazine, which argues that the artistic obsession with novelty and experimentation, the primary obsession of modernism and so something like the default goal of artists for more than a century, has recently run aground. This turn from the primacy of the new does not stem from a choice to reject it, but because culture is truly spent, and can produce nothing original
  • the condition that Farago describes is ultimately the same condition that leads Rolling Stone to publish an anti-Infinite Jest piece in twenty goddamn twenty-three - discursive exhaustion, the inevitable dark side of meme culture, the sputtering firehose of human expression that is the internet running dry. CT Jones wrote that piece because it’s a thing people write, Rolling Stone published it because it’s a thing publications publish, and people read it because it’s a thing people are known to think. These are not ideas so much as they are the impressions of where ideas once were, like the lines you find on your face the morning after you sleep on the wrong pillow.
  • The litbro, in other words, is a simulacra, a symbol that has eaten what it was meant to symbolize, a representation of something that has never existed. The idea is Jean Baudrillard’s, expressed in several texts but most famously in Simulacra & Sign, published in 1981
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  • In it, Baudrillard argues that there are four phases of the image - a faithful depiction of that which really is, an unfaithful depiction of that which really is, a depiction that covers up for the fact that there is nothing which is actually being depicted, and the simulacra, which exists in a human culture of such universal equivalency that no one has the grounding necessary to know what “reality” might even be outside of equivalencies, outside of depiction
  • at this stage, the litbro really exists precisely within Baudrillard’s concepts - it is a representation of someone else’s representation, a second-hand depiction, an archetype that is now developed fully through reference to itself rather than to some underlying reality. Baudrillard said that the development of simulacra is “a question of substituting the signs of the real for the real.”
  • Another example you often hear is the 1950s diner, the joint that has the neon signs and the art deco styling and the mini jukeboxes at the tables. This classic bit of Americana is not, in fact, based on what diners were like in the 1950s; it’s someone’s idea of what 1950s diners were like, which then spread mimetically from the actual physical 1950s diners that had been built to films and television, which then acted as “proof” that the imaginary diners were real, creating a social expectation of what a diner looks like that diner owners then felt pressure to fulfill…. Eventually most people came to believe that this is what diners were like in the 1950s. The point, though, is not that this is an act of deception. The point is that the consumerist reality in which these restaurants exists obliterates any belief in a true or false depiction. (No one cares whether the classic 1950s diner actually depicts a historical truth, really
Javier E

George Orwell: The Prevention of Literature - The Atlantic - 0 views

  • the much more tenable and dangerous proposition that freedom is undesirable and that intellectual honesty is a form of antisocial selfishness
  • the controversy over freedom of speech and of the press is at bottom a controversy over the desirability, or otherwise, of telling lies.
  • What is really at issue is the right to report contemporary events truthfully, or as truthfully as is consistent with the ignorance, bias, and self-deception from which every observer necessarily suffers
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  • it is necessary to strip away the irrelevancies in which this controversy is usually wrapped up.
  • The enemies of intellectual liberty always try to present their case as a plea for discipline versus individualism.
  • The issue truth-versus-untruth is as far as possible kept in the background.
  • the writer who refuses to sell his opinions is always branded as a mere egoist, He is accused, that is, either of wanting to shut himself up in an ivory tower, or of making an exhibitionist display of his own personality, or of resisting the inevitable current, of history in an attempt to cling to unjustified privileges.
  • Each of them tacitly claims that “the truth” has already been revealed, and that the heretic, if he is not simply a fool, is secretly aware of “the truth” and merely resists it out of selfish motives.
  • Freedom of the intellect means the freedom to report what one has seen, heard, and fell, and not to be obliged to fabricate imaginary facts and feelings.
  • known facts are suppressed and distorted to such an extent as to make it doubtful whether a true history of our times can ever be written.
  • A totalitarian state is in effect a theocracy, and its ruling caste, in order to keep its position, has to be thought of as infallible. But since, in practice, no one is infallible, it is frequently necessary to rearrange past events in order to show that this or that mistake was not made, or that this or that imaginary triumph actually happened
  • Then, again, every major change in policy demands a corresponding change of doctrine and a revaluation of prominent historical figures. This kind of thing happens everywhere, but clearly it is likelier to lead to outright falsification in societies where only one opinion is permissible at any given moment.
  • The friends of totalitarianism in England usually tend to argue that since absolute truth is not attainable, a big lie is no worse than a little lie. It is pointed out that all historical records are biased and inaccurate, or, on the other hand, that modem physics has proved that what seems to us the real world is an illusion, so that to believe in the evidence of one’s senses is simply vulgar philistinism.
Javier E

His Job Was to Make Instagram Safe for Teens. His 14-Year-Old Showed Him What the App Was Really Like. - WSJ - 0 views

  • The experience of young users on Meta’s Instagram—where Bejar had spent the previous two years working as a consultant—was especially acute. In a subsequent email to Instagram head Adam Mosseri, one statistic stood out: One in eight users under the age of 16 said they had experienced unwanted sexual advances on the platform over the previous seven days.
  • For Bejar, that finding was hardly a surprise. His daughter and her friends had been receiving unsolicited penis pictures and other forms of harassment on the platform since the age of 14, he wrote, and Meta’s systems generally ignored their reports—or responded by saying that the harassment didn’t violate platform rules.
  • “I asked her why boys keep doing that,” Bejar wrote to Zuckerberg and his top lieutenants. “She said if the only thing that happens is they get blocked, why wouldn’t they?”
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  • For the well-being of its users, Bejar argued, Meta needed to change course, focusing less on a flawed system of rules-based policing and more on addressing such bad experiences
  • The company would need to collect data on what upset users and then work to combat the source of it, nudging those who made others uncomfortable to improve their behavior and isolating communities of users who deliberately sought to harm others.
  • “I am appealing to you because I believe that working this way will require a culture shift,” Bejar wrote to Zuckerberg—the company would have to acknowledge that its existing approach to governing Facebook and Instagram wasn’t working.
  • During and after Bejar’s time as a consultant, Meta spokesman Andy Stone said, the company has rolled out several product features meant to address some of the Well-Being Team’s findings. Those features include warnings to users before they post comments that Meta’s automated systems flag as potentially offensive, and reminders to be kind when sending direct messages to users like content creators who receive a large volume of messages. 
  • Meta’s classifiers were reliable enough to remove only a low single-digit percentage of hate speech with any degree of precision.
  • Bejar was floored—all the more so when he learned that virtually all of his daughter’s friends had been subjected to similar harassment. “DTF?” a user they’d never met would ask, using shorthand for a vulgar proposition. Instagram acted so rarely on reports of such behavior that the girls no longer bothered reporting them. 
  • Meta’s own statistics suggested that big problems didn’t exist. 
  • Meta had come to approach governing user behavior as an overwhelmingly automated process. Engineers would compile data sets of unacceptable content—things like terrorism, pornography, bullying or “excessive gore”—and then train machine-learning models to screen future content for similar material.
  • While users could still flag things that upset them, Meta shifted resources away from reviewing them. To discourage users from filing reports, internal documents from 2019 show, Meta added steps to the reporting process. Meta said the changes were meant to discourage frivolous reports and educate users about platform rules. 
  • The outperformance of Meta’s automated enforcement relied on what Bejar considered two sleights of hand. The systems didn’t catch anywhere near the majority of banned content—only the majority of what the company ultimately removed
  • “Please don’t talk about my underage tits,” Bejar’s daughter shot back before reporting his comment to Instagram. A few days later, the platform got back to her: The insult didn’t violate its community guidelines.
  • Also buttressing Meta’s statistics were rules written narrowly enough to ban only unambiguously vile material. Meta’s rules didn’t clearly prohibit adults from flooding the comments section on a teenager’s posts with kiss emojis or posting pictures of kids in their underwear, inviting their followers to “see more” in a private Facebook Messenger group. 
  • “Mark personally values freedom of expression first and foremost and would say this is a feature and not a bug,” Rosen responded
  • Narrow rules and unreliable automated enforcement systems left a lot of room for bad behavior—but they made the company’s child-safety statistics look pretty good according to Meta’s metric of choice: prevalence.
  • Defined as the percentage of content viewed worldwide that explicitly violates a Meta rule, prevalence was the company’s preferred measuring stick for the problems users experienced.
  • According to prevalence, child exploitation was so rare on the platform that it couldn’t be reliably estimated, less than 0.05%, the threshold for functional measurement. Content deemed to encourage self-harm, such as eating disorders, was just as minimal, and rule violations for bullying and harassment occurred in just eight of 10,000 views. 
  • “There’s a grading-your-own-homework problem,”
  • Meta defines what constitutes harmful content, so it shapes the discussion of how successful it is at dealing with it.”
  • It could reconsider its AI-generated “beauty filters,” which internal research suggested made both the people who used them and those who viewed the images more self-critical
  • the team built a new questionnaire called BEEF, short for “Bad Emotional Experience Feedback.
  • A recurring survey of issues 238,000 users had experienced over the past seven days, the effort identified problems with prevalence from the start: Users were 100 times more likely to tell Instagram they’d witnessed bullying in the last week than Meta’s bullying-prevalence statistics indicated they should.
  • “People feel like they’re having a bad experience or they don’t,” one presentation on BEEF noted. “Their perception isn’t constrained by policy.
  • they seemed particularly common among teens on Instagram.
  • Among users under the age of 16, 26% recalled having a bad experience in the last week due to witnessing hostility against someone based on their race, religion or identity
  • More than a fifth felt worse about themselves after viewing others’ posts, and 13% had experienced unwanted sexual advances in the past seven days. 
  • The vast gap between the low prevalence of content deemed problematic in the company’s own statistics and what users told the company they experienced suggested that Meta’s definitions were off, Bejar argued
  • To minimize content that teenagers told researchers made them feel bad about themselves, Instagram could cap how much beauty- and fashion-influencer content users saw.
  • Proving to Meta’s leadership that the company’s prevalence metrics were missing the point was going to require data the company didn’t have. So Bejar and a group of staffers from the Well-Being Team started collecting it
  • And it could build ways for users to report unwanted contacts, the first step to figuring out how to discourage them.
  • One experiment run in response to BEEF data showed that when users were notified that their comment or post had upset people who saw it, they often deleted it of their own accord. “Even if you don’t mandate behaviors,” said Krieger, “you can at least send signals about what behaviors aren’t welcome.”
  • But among the ranks of Meta’s senior middle management, Bejar and Krieger said, BEEF hit a wall. Managers who had made their careers on incrementally improving prevalence statistics weren’t receptive to the suggestion that the approach wasn’t working. 
  • After three decades in Silicon Valley, he understood that members of the company’s C-Suite might not appreciate a damning appraisal of the safety risks young users faced from its product—especially one citing the company’s own data. 
  • “This was the email that my entire career in tech trained me not to send,” he says. “But a part of me was still hoping they just didn’t know.”
  • “Policy enforcement is analogous to the police,” he wrote in the email Oct. 5, 2021—arguing that it’s essential to respond to crime, but that it’s not what makes a community safe. Meta had an opportunity to do right by its users and take on a problem that Bejar believed was almost certainly industrywide.
  • fter Haugen’s airing of internal research, Meta had cracked down on the distribution of anything that would, if leaked, cause further reputational damage. With executives privately asserting that the company’s research division harbored a fifth column of detractors, Meta was formalizing a raft of new rules for employees’ internal communication.
  • Among the mandates for achieving “Narrative Excellence,” as the company called it, was to keep research data tight and never assert a moral or legal duty to fix a problem.
  • “I had to write about it as a hypothetical,” Bejar said. Rather than acknowledging that Instagram’s survey data showed that teens regularly faced unwanted sexual advances, the memo merely suggested how Instagram might help teens if they faced such a problem.
  • The hope that the team’s work would continue didn’t last. The company stopped conducting the specific survey behind BEEF, then laid off most everyone who’d worked on it as part of what Zuckerberg called Meta’s “year of efficiency.
  • If Meta was to change, Bejar told the Journal, the effort would have to come from the outside. He began consulting with a coalition of state attorneys general who filed suit against the company late last month, alleging that the company had built its products to maximize engagement at the expense of young users’ physical and mental health. Bejar also got in touch with members of Congress about where he believes the company’s user-safety efforts fell short. 
Javier E

How will humanity endure the climate crisis? I asked an acclaimed sci-fi writer | Daniel Aldana Cohen | The Guardian - 0 views

  • To really grasp the present, we need to imagine the future – then look back from it to better see the now. The angry climate kids do this naturally. The rest of us need to read good science fiction. A great place to start is Kim Stanley Robinson.
  • read 11 of his books, culminating in his instant classic The Ministry for the Future, which imagines several decades of climate politics starting this decade.
  • The first lesson of his books is obvious: climate is the story.
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  • What Ministry and other Robinson books do is make us slow down the apocalyptic highlight reel, letting the story play in human time for years, decades, centuries.
  • he wants leftists to set aside their differences, and put a “time stamp on [their] political view” that recognizes how urgent things are. Looking back from 2050 leaves little room for abstract idealism. Progressives need to form “a united front,” he told me. “It’s an all-hands-on-deck situation; species are going extinct and biomes are dying. The catastrophes are here and now, so we need to make political coalitions.”
  • he does want leftists – and everyone else – to take the climate emergency more seriously. He thinks every big decision, every technological option, every political opportunity, warrants climate-oriented scientific scrutiny. Global justice demands nothing less.
  • He wants to legitimize geoengineering, even in forms as radical as blasting limestone dust into the atmosphere for a few years to temporarily dim the heat of the sun
  • Robinson believes that once progressives internalize the insight that the economy is a social construct just like anything else, they can determine – based on the contemporary balance of political forces, ecological needs, and available tools – the most efficient methods for bringing carbon and capital into closer alignment.
  • We live in a world where capitalist states and giant companies largely control science.
  • Yes, we need to consider technologies with an open mind. That includes a frank assessment of how the interests of the powerful will shape how technologies develop
  • Robinson’s imagined future suggests a short-term solution that fits his dreams of a democratic, scientific politics: planning, of both the economy and planet.
  • it’s borrowed from Robinson’s reading of ecological economics. That field’s premise is that the economy is embedded in nature – that its fundamental rules aren’t supply and demand, but the laws of physics, chemistry, biology.
  • The upshot of Robinson’s science fiction is understanding that grand ecologies and human economies are always interdependent.
  • Robinson seems to be urging all of us to treat every possible technological intervention – from expanding nuclear energy, to pumping meltwater out from under glaciers, to dumping iron filings in the ocean – from a strictly scientific perspective: reject dogma, evaluate the evidence, ignore the profit motive.
  • Robinson’s elegant solution, as rendered in Ministry, is carbon quantitative easing. The idea is that central banks invent a new currency; to earn the carbon coins, institutions must show that they’re sucking excess carbon down from the sky. In his novel, this happens thanks to a series of meetings between United Nations technocrats and central bankers. But the technocrats only win the arguments because there’s enough rage, protest and organizing in the streets to force the bankers’ hand.
  • Seen from Mars, then, the problem of 21st-century climate economics is to sync public and private systems of capital with the ecological system of carbon.
  • Success will snowball; we’ll democratically plan more and more of the eco-economy.
  • Robinson thus gets that climate politics are fundamentally the politics of investment – extremely big investments. As he put it to me, carbon quantitative easing isn’t the “silver bullet solution,” just one of several green investment mechanisms we need to experiment with.
  • Robinson shares the great anarchist dream. “Everybody on the planet has an equal amount of power, and comfort, and wealth,” he said. “It’s an obvious goal” but there’s no shortcut.
  • In his political economy, like his imagined settling of Mars, Robinson tries to think like a bench scientist – an experimentalist, wary of unifying theories, eager for many groups to try many things.
  • there’s something liberating about Robinson’s commitment to the scientific method: reasonable people can shed their prejudices, consider all the options and act strategically.
  • The years ahead will be brutal. In Ministry, tens of millions of people die in disasters – and that’s in a scenario that Robinson portrays as relatively optimistic
  • when things get that bad, people take up arms. In Ministry’s imagined future, the rise of weaponized drones allows shadowy environmentalists to attack and kill fossil capitalists. Many – including myself – have used the phrase “eco-terrorism” to describe that violence. Robinson pushed back when we talked. “What if you call that resistance to capitalism realism?” he asked. “What if you call that, well, ‘Freedom fighters’?”
  • Robinson insists that he doesn’t condone the violence depicted in his book; he simply can’t imagine a realistic account of 21st century climate politics in which it doesn’t occur.
  • Malm writes that it’s shocking how little political violence there has been around climate change so far, given how brutally the harms will be felt in communities of color, especially in the global south, who bear no responsibility for the cataclysm, and where political violence has been historically effective in anticolonial struggles.
  • In Ministry, there’s a lot of violence, but mostly off-stage. We see enough to appreciate Robinson’s consistent vision of most people as basically thoughtful: the armed struggle is vicious, but its leaders are reasonable, strategic.
  • the implications are straightforward: there will be escalating violence, escalating state repression and increasing political instability. We must plan for that too.
  • maybe that’s the tension that is Ministry’s greatest lesson for climate politics today. No document that could win consensus at a UN climate summit will be anywhere near enough to prevent catastrophic warming. We can only keep up with history, and clearly see what needs to be done, by tearing our minds out of the present and imagining more radical future vantage points
  • If millions of people around the world can do that, in an increasingly violent era of climate disasters, those people could generate enough good projects to add up to something like a rational plan – and buy us enough time to stabilize the climate, while wresting power from the 1%.
  • Robinson’s optimistic view is that human nature is fundamentally thoughtful, and that it will save us – that the social process of arguing and politicking, with minds as open as we can manage, is a project older than capitalism, and one that will eventually outlive it
  • It’s a perspective worth thinking about – so long as we’re also organizing.
  • Daniel Aldana Cohen is assistant professor of sociology at the University of California, Berkeley, where he directs the Socio-Spatial Climate Collaborative. He is the co-author of A Planet to Win: Why We Need a Green New Deal
Javier E

Opinion | Jeff Zucker Was Right to Resign. But I Can't Judge Him. - The New York Times - 0 views

  • As animals, we are not physically well designed to sit at a desk for a minimum of 40 hours a week staring at screens. That so many of our waking hours are devoted to work in the first place is a very modern development that can easily erode our mental health and sense of self. We are a higher species capable of observing restraint, but we are also ambulatory clusters of needs and desires, with which evolution has both protected and sabotaged us.
  • Professional life, especially in a culture as work-obsessed as America’s, forces us into a lot of unnatural postures
  • it’s no surprise, when work occupies so much of our attention, that people sometimes find deep human connections there, even when they don’t intend to, and even when it’s inappropriate.
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  • it’s worth acknowledging that adhering to these necessary rules cuts against some core aspects of human nature. I’m of the opinion that people should not bring their “whole self” to work — no one owes an employer that — but it’s also impossible to bring none of your personal self to work.
  • There are good reasons that both formal and informal boundaries are a necessity in the workplace and academia
Javier E

If We Knew Then What We Know Now About Covid, What Would We Have Done Differently? - WSJ - 0 views

  • For much of 2020, doctors and public-health officials thought the virus was transmitted through droplets emitted from one person’s mouth and touched or inhaled by another person nearby. We were advised to stay at least 6 feet away from each other to avoid the droplets
  • A small cadre of aerosol scientists had a different theory. They suspected that Covid-19 was transmitted not so much by droplets but by smaller infectious aerosol particles that could travel on air currents way farther than 6 feet and linger in the air for hours. Some of the aerosol particles, they believed, were small enough to penetrate the cloth masks widely used at the time.
  • The group had a hard time getting public-health officials to embrace their theory. For one thing, many of them were engineers, not doctors.
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  • “My first and biggest wish is that we had known early that Covid-19 was airborne,”
  • , “Once you’ve realized that, it informs an entirely different strategy for protection.” Masking, ventilation and air cleaning become key, as well as avoiding high-risk encounters with strangers, he says.
  • Instead of washing our produce and wearing hand-sewn cloth masks, we could have made sure to avoid superspreader events and worn more-effective N95 masks or their equivalent. “We could have made more of an effort to develop and distribute N95s to everyone,” says Dr. Volckens. “We could have had an Operation Warp Speed for masks.”
  • We didn’t realize how important clear, straight talk would be to maintaining public trust. If we had, we could have explained the biological nature of a virus and warned that Covid-19 would change in unpredictable ways.  
  • We didn’t know how difficult it would be to get the basic data needed to make good public-health and medical decisions. If we’d had the data, we could have more effectively allocated scarce resources
  • In the face of a pandemic, he says, the public needs an early basic and blunt lesson in virology
  • and mutates, and since we’ve never seen this particular virus before, we will need to take unprecedented actions and we will make mistakes, he says.
  • Since the public wasn’t prepared, “people weren’t able to pivot when the knowledge changed,”
  • By the time the vaccines became available, public trust had been eroded by myriad contradictory messages—about the usefulness of masks, the ways in which the virus could be spread, and whether the virus would have an end date.
  • , the absence of a single, trusted source of clear information meant that many people gave up on trying to stay current or dismissed the different points of advice as partisan and untrustworthy.
  • “The science is really important, but if you don’t get the trust and communication right, it can only take you so far,”
  • people didn’t know whether it was OK to visit elderly relatives or go to a dinner party.
  • Doctors didn’t know what medicines worked. Governors and mayors didn’t have the information they needed to know whether to require masks. School officials lacked the information needed to know whether it was safe to open schools.
  • Had we known that even a mild case of Covid-19 could result in long Covid and other serious chronic health problems, we might have calculated our own personal risk differently and taken more care.
  • just months before the outbreak of the pandemic, the Council of State and Territorial Epidemiologists released a white paper detailing the urgent need to modernize the nation’s public-health system still reliant on manual data collection methods—paper records, phone calls, spreadsheets and faxes.
  • While the U.K. and Israel were collecting and disseminating Covid case data promptly, in the U.S. the CDC couldn’t. It didn’t have a centralized health-data collection system like those countries did, but rather relied on voluntary reporting by underfunded state and local public-health systems and hospitals.
  • doctors and scientists say they had to depend on information from Israel, the U.K. and South Africa to understand the nature of new variants and the effectiveness of treatments and vaccines. They relied heavily on private data collection efforts such as a dashboard at Johns Hopkins University’s Coronavirus Resource Center that tallied cases, deaths and vaccine rates globally.
  • For much of the pandemic, doctors, epidemiologists, and state and local governments had no way to find out in real time how many people were contracting Covid-19, getting hospitalized and dying
  • To solve the data problem, Dr. Ranney says, we need to build a public-health system that can collect and disseminate data and acts like an electrical grid. The power company sees a storm coming and lines up repair crews.
  • If we’d known how damaging lockdowns would be to mental health, physical health and the economy, we could have taken a more strategic approach to closing businesses and keeping people at home.
  • t many doctors say they were crucial at the start of the pandemic to give doctors and hospitals a chance to figure out how to accommodate and treat the avalanche of very sick patients.
  • The measures reduced deaths, according to many studies—but at a steep cost.
  • The lockdowns didn’t have to be so harmful, some scientists say. They could have been more carefully tailored to protect the most vulnerable, such as those in nursing homes and retirement communities, and to minimize widespread disruption.
  • Lockdowns could, during Covid-19 surges, close places such as bars and restaurants where the virus is most likely to spread, while allowing other businesses to stay open with safety precautions like masking and ventilation in place.  
  • The key isn’t to have the lockdowns last a long time, but that they are deployed earlier,
  • If England’s March 23, 2020, lockdown had begun one week earlier, the measure would have nearly halved the estimated 48,600 deaths in the first wave of England’s pandemic
  • If the lockdown had begun a week later, deaths in the same period would have more than doubled
  • It is possible to avoid lockdowns altogether. Taiwan, South Korea and Hong Kong—all countries experienced at handling disease outbreaks such as SARS in 2003 and MERS—avoided lockdowns by widespread masking, tracking the spread of the virus through testing and contact tracing and quarantining infected individuals.
  • With good data, Dr. Ranney says, she could have better managed staffing and taken steps to alleviate the strain on doctors and nurses by arranging child care for them.
  • Early in the pandemic, public-health officials were clear: The people at increased risk for severe Covid-19 illness were older, immunocompromised, had chronic kidney disease, Type 2 diabetes or serious heart conditions
  • t had the unfortunate effect of giving a false sense of security to people who weren’t in those high-risk categories. Once case rates dropped, vaccines became available and fear of the virus wore off, many people let their guard down, ditching masks, spending time in crowded indoor places.
  • it has become clear that even people with mild cases of Covid-19 can develop long-term serious and debilitating diseases. Long Covid, whose symptoms include months of persistent fatigue, shortness of breath, muscle aches and brain fog, hasn’t been the virus’s only nasty surprise
  • In February 2022, a study found that, for at least a year, people who had Covid-19 had a substantially increased risk of heart disease—even people who were younger and had not been hospitalized
  • respiratory conditions.
  • Some scientists now suspect that Covid-19 might be capable of affecting nearly every organ system in the body. It may play a role in the activation of dormant viruses and latent autoimmune conditions people didn’t know they had
  •  A blood test, he says, would tell people if they are at higher risk of long Covid and whether they should have antivirals on hand to take right away should they contract Covid-19.
  • If the risks of long Covid had been known, would people have reacted differently, especially given the confusion over masks and lockdowns and variants? Perhaps. At the least, many people might not have assumed they were out of the woods just because they didn’t have any of the risk factors.
Javier E

Are we in the Anthropocene? Geologists could define new epoch for Earth - 0 views

  • If the nearly two dozen voting members of the Anthropocene Working Group (AWG), a committee of scientists formed by the International Commission on Stratigraphy (ICS), agree on a site, the decision could usher in the end of the roughly 12,000-year-old Holocene epoch. And it would officially acknowledge that humans have had a profound influence on Earth.
  • Scientists coined the term Anthropocene in 2000, and researchers from several fields now use it informally to refer to the current geological time interval, in which human activity is driving Earth’s conditions and processes.
  • Formalizing the Anthropocene would unite efforts to study people’s influence on Earth’s systems, in fields including climatology and geology, researchers say. Transitioning to a new epoch might also coax policymakers to take into account the impact of humans on the environment during decision-making.
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  • Defining the Anthropocene: nine sites are in the running to be given the ‘golden spike’ designation
  • Mentioning the Jurassic period, for instance, helps scientists to picture plants and animals that were alive during that time
  • “The Anthropocene represents an umbrella for all of these different changes that humans have made to the planet,”
  • Typically, researchers will agree that a specific change in Earth’s geology must be captured in the official timeline. The ICS will then determine which set of rock layers, called strata, best illustrates that change, and it will choose which layer marks its lower boundary
  • This is called the Global Stratotype Section and Point (GSSP), and it is defined by a signal, such as the first appearance of a fossil species, trapped in the rock, mud or other material. One location is chosen to represent the boundary, and researchers mark this site physically with a golden spike, to commemorate it.
  • “It’s a label,” says Colin Waters, who chairs the AWG and is a geologist at the University of Leicester, UK. “It’s a great way of summarizing a lot of concepts into one word.”
  • But the Anthropocene has posed problems. Geologists want to capture it in the timeline, but its beginning isn’t obvious in Earth’s strata, and signs of human activity have never before been part of the defining process.
  • “We had a vague idea about what it might be, [but] we didn’t know what kind of hard evidence would go into it.”
  • Years of debate among the group’s multidisciplinary members led them to identify a host of signals — radioactive isotopes from nuclear-bomb tests, ash from fossil-fuel combustion, microplastics, pesticides — that would be trapped in the strata of an Anthropocene-defining site. These began to appear in the early 1950s, when a booming human population started consuming materials and creating new ones faster than ever.
  • Why do some geologists oppose the Anthropocene as a new epoch?“It misrepresents what we do” in the ICS, says Stanley Finney, a stratigrapher at California State University, Long Beach, and secretary-general for the International Union of Geological Sciences (IUGS). The AWG is working backwards, Finney says: normally, geologists identify strata that should enter the geological timescale before considering a golden spike; in this case, they’re seeking out the lower boundary of an undefined set of geological layers.
  • Lucy Edwards, a palaeontologist who retired in 2008 from the Florence Bascom Geoscience Center in Reston, Virginia, agrees. For her, the strata that might define the Anthropocene do not yet exist because the proposed epoch is so young. “There is no geologic record of tomorrow,”
  • Edwards, Finney and other researchers have instead proposed calling the Anthropocene a geological ‘event’, a flexible term that can stretch in time, depending on human impact. “It’s all-encompassing,” Edwards says.
  • Zalasiewicz disagrees. “The word ‘event’ has been used and stretched to mean all kinds of things,” he says. “So simply calling something an event doesn’t give it any wider meaning.”
Javier E

The Six Forces That Fuel Friendship - The Atlantic - 0 views

  • I’ve done my best to pull out the recurring themes I’ve observed from these 100 conversations.
  • I have come to believe that there are six forces that help form friendships and maintain them through the years: accumulation, attention, intention, ritual, imagination, and grace.
  • The simplest and most obvious force that forms and sustains friendships is time spent together. One study estimates that it takes spending 40 to 60 hours together within the first six weeks of meeting to turn an acquaintance into a casual friend, and about 80 to 100 hours to become more than that.
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  • Making friends can be hard—but there may be more opportunities than we think. Doing these interviews has taught me that connection can come from anywhere, at any time, if both parties are open to it.
  • “You have to look for friendship in places you would never expect it.”
  • Paying attention goes a long way when forging these unexpected friendships—noticing when you click with someone, being open to chance encounters.
  • as much as we may feel like our social networks are set and settled, it’s never too late to meet someone who will be important to you for the rest of your life. I spoke with more than one group who was surprised and grateful to have found one another in middle age, a period when work and family responsibilities tend to peak and keeping up with friends is not always easy.
  • I’m inspired by the people I’ve spoken with who imagined something different for themselves: the friends who bought a house together, who went to therapy together, who have raised their children together, who committed to an “arranged friendship,” whose friendship has fueled their fight for justice.
  • they won’t grow without intention. This is the hardest part of friendship. It takes energy and thought, and our mental and physical resources are often spread thin. In other words, friendships take work. But I have never liked framing our friendships as labor. Showing up for our friends takes effort, yes, but it shouldn’t be drudgery. It should be a joy.
  • One thing that seems to make keeping up with friends easier is ritual. I personally find that the effort of coordinating hangs (or even phone calls) is the biggest barrier to seeing my friends. It’s much easier when something is baked into my schedule, and all I have to do is show up.
  • Some have organized a book club, a monthly hike, or a regular dinner party. Others have committed to a group chat that runs all day every day, or a Dungeons & Dragons campaign that’s lasted for 30 years. In addition to keeping groups close, these traditions can fuel a friendship and give it a shared culture.
  • Imagination
  • Society has a place for friendships, and it’s on the sidelines. They’re supposed to play a supporting role to work, family, and romance. It takes imagination not to default to this norm, and to design your life so that friendship plays the role you really want it to.
  • Attention only gets you so far without action. When opportunity arises, you have to put yourself out there, and that requires courage, vulnerability, and a willingness to let things be awkward.
  • The man who gave his friend a kidney and the woman who gave birth to her best friend’s quadruplets remind me that there are friends who choose to love each other radically every day. Their love does not stand on the sidelines.
  • The beauty and the challenge of friendship is its diversity. A friendship can be whatever you want it to. Each one is a canvas whose only limit is our imagination.
  • Grace
  • All of the forces I’ve mentioned so far—accumulation, attention, intention, ritual, and imagination—are ideals. They’re impossible to fully live up to. Life often gets in the way.
  • I do love the concept of grace, of a gift so profound that it could never be earned or deserved. And so when I cite grace here as the final and most important force in friendships, I mean it in two ways. One is the forgiveness that we offer each other when we fall short. The other is the space that creates for connections—and reconnections—that feel nothing short of miraculous.
  • Many of the people I spoke with—who, in many cases, love each other so much that they nominated themselves to be interviewed about their friendship—told me that they don’t see each other that often, or that they don’t talk as much as they would like. I’ve come to believe that friendship doesn’t always have to be about presence; it can also be about love that can weather absence.
  • Sometimes, people have assumed that I must be a really great friend, given how much time I’ve spent thinking about this. And I’m not. I try to be, but I tend to retreat too much into myself and my romantic relationship and don’t prioritize my friends as much as I’d like to.
  • But absence doesn’t have to last forever. “The Friendship Files” includes many stories of second chances and rekindlings.
  • Accumulation
  • Attention
  • Intention
  • Ritual
Javier E

How to Navigate a 'Quarterlife' Crisis - The New York Times - 0 views

  • Satya Doyle Byock, a 39-year-old therapist, noticed a shift in tone over the past few years in the young people who streamed into her office: frenetic, frazzled clients in their late teens, 20s and 30s. They were unnerved and unmoored, constantly feeling like something was wrong with them.
  • “Crippling anxiety, depression, anguish, and disorientation are effectively the norm,”
  • her new book, “Quarterlife: The Search for Self in Early Adulthood.” The book uses anecdotes from Ms. Byock’s practice to outline obstacles faced by today’s young adults — roughly between the ages of 16 and 36 — and how to deal with them.
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  • Just like midlife, quarterlife can bring its own crisis — trying to separate from your parents or caregivers and forge a sense of self is a struggle. But the generation entering adulthood now faces novel, sometimes debilitating, challenges.
  • Many find themselves so mired in day-to-day monetary concerns, from the relentless crush of student debt to the swelling costs of everything, that they feel unable to consider what they want for themselves long term
  • “We’ve been constrained by this myth that you graduate from college and you start your life,” she said. Without the social script previous generations followed — graduate college, marry, raise a family — Ms. Byock said her young clients often flailed around in a state of extended adolescence.
  • nearly one-third of Gen Z adults are living with their parents or other relatives and plan to stay there.
  • Many young people today struggle to afford college or decide not to attend, and the “existential crisis” that used to hit after graduation descends earlier and earlier
  • Ms. Byock said to pay attention to what you’re naturally curious about, and not to dismiss your interests as stupid or futile.
  • Experts said those entering adulthood need clear guidance for how to make it out of the muddle. Here are their top pieces of advice on how to navigate a quarterlife crisis today.
  • She recommends scheduling reminders to check in with yourself, roughly every three months, to examine where you are in your life and whether you feel stuck or dissatisfied
  • From there, she said, you can start to identify aspects of your life that you want to change.
  • “Start to give your own inner life the respect that it’s due,”
  • But quarterlife is about becoming a whole person, Ms. Byock said, and both groups need to absorb each other’s characteristics to balance themselves out
  • However, there is a difference between self-interest and self-indulgence, Ms. Byock said. Investigating and interrogating who you are takes work. “It’s not just about choosing your labels and being done,” she said.
  • Be patient.
  • Quarterlifers may feel pressure to race through each step of their lives, Ms. Byock said, craving the sense of achievement that comes with completing a task.
  • But learning to listen to oneself is a lifelong process.
  • Instead of searching for quick fixes, she said, young adults should think about longer-term goals: starting therapy that stretches beyond a handful of sessions, building healthy nutrition and exercise habits, working toward self-reliance.
  • “I know that seems sort of absurdly large and huge in scope,” she said. “But it’s allowing ourselves to meander and move through life, versus just ‘Check the boxes and get it right.’”
  • take stock of your day-to-day life and notice where things are missing. She groups quarterlifers into two categories: “stability types” and “meaning types.”
  • “Stability types” are seen by others as solid and stable. They prioritize a sense of security, succeed in their careers and may pursue building a family.
  • “But there’s a sense of emptiness and a sense of faking it,” she said. “They think this couldn’t possibly be all that life is about.”
  • On the other end of the spectrum, there are “meaning types” who are typically artists; they have intense creative passions but have a hard time dealing with day-to-day tasks
  • “These are folks for whom doing what society expects of you is so overwhelming and so discordant with their own sense of self that they seem to constantly be floundering,” she said. “They can’t quite figure it out.”
  • That paralysis is often exacerbated by mounting climate anxiety and the slog of a multiyear pandemic that has left many young people mourning family and friends, or smaller losses like a conventional college experience or the traditions of starting a first job.
  • Stability types need to think about how to give their lives a sense of passion and purpose. And meaning types need to find security, perhaps by starting with a consistent routine that can both anchor and unlock creativity.
  • perhaps the prototypical inspiration for staying calm in chaos: Yoda. The Jedi master is “one of the few images we have of what feeling quiet amid extreme pain and apocalypse can look like,
  • Even when there seems to be little stability externally, she said, quarterlifers can try to create their own steadiness.
  • establishing habits that help you ground yourself as a young adult is critical because transitional periods make us more susceptible to burnout
  • He suggests building a practical tool kit of self-care practices, like regularly taking stock of what you’re grateful for, taking controlled breaths and maintaining healthy nutrition and exercise routines. “These are techniques that can help you find clarity,”
  • Don’t be afraid to make a big change.
  • It’s important to identify what aspects of your life you have the power to alter, Dr. Brown said. “You can’t change an annoying boss,” he said, “but you might be able to plan a career change.”
  • That’s easier said than done, he acknowledged, and young adults should weigh the risks of continuing to live in their status quo — staying in their hometown, or lingering in a career that doesn’t excite them — with the potential benefits of trying something new.
  • quarterlife is typically “the freest stage of the whole life span,
  • Young adults may have an easier time moving to a new city or starting a new job than their older counterparts would.
  • Know when to call your parents — and when to call on yourself.
  • Quarterlife is about the journey from dependence to independence, Ms. Byock said — learning to rely on ourselves, after, for some, growing up in a culture of helicopter parenting and hands-on family dynamics.
  • there are ways your relationship with your parents can evolve, helping you carve out more independence
  • That can involve talking about family history and past memories or asking questions about your parents’ upbringing
  • “You’re transitioning the relationship from one of hierarchy to one of friendship,” she said. “It isn’t just about moving away or getting physical distance.”
  • Every quarterlifer typically has a moment when they know they need to step away from their parents and to face obstacles on their own
  • That doesn’t mean you can’t, or shouldn’t, still depend on your parents in moments of crisis, she said. “I don’t think it’s just about never needing one’s parents again,” she said. “But it’s about doing the subtle work within oneself to know: This is a time I need to stand on my own.”
Javier E

Jonathan Haidt on the 'National Crisis' of Gen Z - WSJ - 0 views

  • he has in mind the younger cohort, Generation Z, usually defined as those born between 1997 and 2012. “When you look at Americans born after 1995,” Mr. Haidt says, “what you find is that they have extraordinarily high rates of anxiety, depression, self-harm, suicide and fragility.” There has “never been a generation this depressed, anxious and fragile.”
  • He attributes this to the combination of social media and a culture that emphasizes victimhood
  • Social media is Mr. Haidt’s present obsession. He’s working on two books that address its harmful impact on American society: “Kids in Space: Why Teen Mental Health Is Collapsing” and “Life After Babel: Adapting to a World We Can No Longer Share.
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  • What happened in 2012, when the oldest Gen-Z babies were in their middle teens? That was the year Facebook acquired Instagram and young people flocked to the latter site. It was also “the beginning of the selfie era.”
  • Mr. Haidt’s research, confirmed by that of others, shows that depression rates started to rise “all of a sudden” around 2013, “especially for teen girls,” but “it’s only Gen Z, not the older generations.” If you’d stopped collecting data in 2011, he says, you’d see little change from previous years. “By 2015 it’s an epidemic.” (His data are available in an open-source document.)
  • Mr. Haidt imagines “literally launching our children into outer space” and letting their bodies grow there: “They would come out deformed and broken. Their limbs wouldn’t be right. You can’t physically grow up in outer space. Human bodies can’t do that.” Yet “we basically do that to them socially. We launched them into outer space around the year 2012,” he says, “and then we expect that they will grow up normally without having normal human experiences.”
  • He calls this phenomenon “compare and despair” and says: “It seems social because you’re communicating with people. But it’s performative. You don’t actually get social relationships. You get weak, fake social links.”
  • That meant the first social-media generation was one of “weakened kids” who “hadn’t practiced the skills of adulthood in a low-stakes environment” with other children. They were deprived of “the normal toughening, the normal strengthening, the normal anti-fragility.
  • Now, their childhood “is largely just through the phone. They no longer even hang out together.” Teenagers even drive less than earlier generations did.
  • Mr. Haidt especially worries about girls. By 2020 more than 25% of female teenagers had “a major depression.” The comparable number for boys was just under 9%.
  • The comparable numbers for millennials at the same age registered at half the Gen-Z rate: about 13% for girls and 5% for boys. “Kids are on their devices all the time,”
  • Most girls, by contrast, are drawn to “visual platforms,” Instagram and TikTok in particular. “Those are about display and performance. You post your perfect life, and then you flip through the photos of other girls who have a more perfect life, and you feel depressed.
  • Mr. Haidt says he has no antipathy toward the young, and he calls millennials “amazing.”
  • “Social media is incompatible with liberal democracy because it has moved conversation, and interaction, into the center of the Colosseum. We’re not there to talk to each other. We’re there to perform” before spectators who “want blood.”
  • To illustrate his point about Gen Z, Mr. Haidt challenges people to name young people today who are “really changing the world, who are doing big things that have an impact beyond their closed ecosystem.”
  • He can think of only two, neither of them American: Greta Thunberg, 19, the Swedish climate militant, and Malala Yousafzai, 25, the Pakistani advocate for female education
  • I’m predicting that they will be less effective, less impactful, than previous generations.” Why? “You should always keep your eye on whether people are in ‘discover mode’ or ‘defend mode.’ ” In the former mode, you seize opportunities to be creative. In the latter, “you’re not creative, you’re not future-thinking, you’re focused on threats in the present.”
  • University students who matriculated starting in 2014 or so have arrived on campus in defend mode: “Here they are in the safest, most welcoming, most inclusive, most antiracist places on the planet, but many of them were acting like they were entering some sort of dystopian, threatening, immoral world.”
  • 56% of liberal women 18 to 29 responded affirmatively to the question: Has a doctor or other healthcare provider ever told you that you have a mental health condition? “Some of that,” Mr. Haidt says, “has to be just self-presentational,” meaning imagined.
  • This new ideology . . . valorizes victimhood. And if your sub-community motivates you to say you have an anxiety disorder, how is this going to affect you for the rest of your life?” He answers his own question: “You’re not going to take chances, you’re going to ask for accommodations, you’re going to play it safe, you’re not going to swing for the fences, you’re not going to start your own company.”
  • Whereas millennial women are doing well, “Gen-Z women, because they’re so anxious, are going to be less successful than Gen-Z men—and that’s saying a lot, because Gen-Z men are messed up, too.”
  • The problem, he says, is distinct to the U.S. and other English-speaking developed countries: “You don’t find it as much in Europe, and hardly at all in Asia.” Ideas that are “nurtured around American issues of race and gender spread instantly to the U.K. and Canada. But they don’t necessarily spread to France and Germany, China and Japan.”
  • something I hear from a lot of managers, that it’s very difficult to supervise their Gen-Z employees, that it’s very difficult to give them feedback.” That makes it hard for them to advance professionally by learning to do their jobs better.
  • “this could severely damage American capitalism.” When managers are “afraid to speak up honestly because they’ll be shamed on Twitter or Slack, then that organization becomes stupid.” Mr. Haidt says he’s “seen a lot of this, beginning in American universities in 2015. They all got stupid in the same way. They all implemented policies that backfire.”
  • Mr. Haidt, who describes himself as “a classical liberal like John Stuart Mill,” also laments the impact of social media on political discourse
  • Social media and selfies hit a generation that had led an overprotected childhood, in which the age at which children were allowed outside on their own by parents had risen from the norm of previous generations, 7 or 8, to between 10 and 12.
  • Is there a solution? “I’d raise the age of Internet adulthood to 16,” he says—“and enforce it.”
  • By contrast, “life went onto phone-based apps 10 years ago, and the protections we have for children are zero, absolutely zero.” The damage to Generation Z from social media “so vastly exceeds the damage from Covid that we’re going to have to act.”
  • Gen Z, he says, “is not in denial. They recognize that this app-based life is really bad for them.” He reports that they wish they had childhoods more like those of their parents, in which they could play outside and have adventur
Javier E

Synthetic Thinking | Jerome Groopman | The New York Review of Books - 0 views

  • Did you hope to combine chemistry and political philosophy in some way in your medical career?
  • Chemistry requires synthetic thinking. You have to bring disparate pieces of knowledge together in order to look for a chemical structure. Political philosophy, to some degree, also involves disparate aspects of knowledge: economics, sociology, history, pure philosophy
  • I found that in medicine, you don’t have an answer when you start out. You’re looking for clues that are often distributed in different places: family history, as there might be a genetic predisposition; social history, because the person smoked or was exposed to a toxin; the physical examination, where you find that an organ might be disordered. Add to that the blood test, the CAT scan, all of it, but most importantly, the person, the psychology of the person you’re dealing with. It’s the same kind of synthetic process as political philosophy, but in a different dimension.
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  • Writing, especially the kind of writing that I do, brings together narrative, science, sometimes history, and an appreciation for the person who might be at the center of the narrative.
  • The greatest influence on me was Oliver Sacks, because he could capture people as people, and he always integrated serious science into his pieces.
  • The two subjects that were most prominent for him, as I once wrote for you, were identity and adaptation: Who is this person, despite their illness? How does that illness interface with their behavior and their decisions, how do people perceive them from the outside, and how do they try to find meaning and adapt to what looks like a disability, but sometimes—not always, but sometimes—gives them hidden strength?
  • I’ve gone from witnessing the depths of disability and death, like with AIDS: I saw some of the first people with AIDS in California, in 1982 or so. The average lifespan was six months. They were mostly young gay men, and it was devastating, the infections they got, the cancers they got. Now, with all the new drugs that have been developed, someone who gets HIV is projected to have a normal lifespan. From six months to fifty years: it’s miraculous
  • that’s part of what keeps you going: the belief that things can advance in a meaningful way.
  • Are there any major or interesting medical stories that the public doesn’t know enough about? 
  • The idea of genetic treatments. Often when people hear the words “genetics” or “DNA” or “RNA,” they shut down. The challenge is how to make it accessible.
  • There’s a wonderful line in the Talmud that says, “Whoever saves a single life saves the whole world.” There might be only a few hundred people in the whole country who have a particular genetic disorder. I
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