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Carlson was a key in answering the question; he helped drive the G.O.P. to be just as cruel, just as dishonest and sometimes even more populist than Donald Trump himself.

Initially, there were good reasons for confusion about Trump and the G.O.P. During the campaign, he was all over the map ideologically

And if personnel is policy, then it was difficult to define his early administration as well

Moreover, many of his early moves were straight out of the standard Republican playbook

When Trump was elected, friends and colleagues told me that his populism could be moderated and his cruelty and dishonesty were aberrations.

Trump could be contained. He could be channeled. His political appointees would keep him sane.

He helped mold the G.O.P. in his race-obsessed, conspiracy-addled image, helped perpetuate a culture of cruel and punitive Republican communication and helped build an infrastructure of new-right voices who copy his substance and style.

We knew Trump was more populist, more dishonest and more cruel than the typical Republican. But we did not know whether the G.O.P. would become more like the man or if the man would become more like the G.O.P.

In fact, Trumpism was never truly about ideas. It was a vague amalgam of Trump’s ethics, attitudes and grievances — and Carlson imitated them, adopted them and broadcast them to his millions of viewers.

Carlson put the lie to the idea that Trump’s cruelty was an aberration, that it was somehow alien to the Republican character, to be tolerated only because the greater good of defeating Clinton had demanded it. In Trump’s cruelty, there was again, opportunity. There were millions who would thrill to his most crude and personal attacks.

On Tucker’s program truth was optional, insults were mandatory, and racism was all but explicit.

The narrative was consistent: “They” were after “you.” “They” were lying to “you.” And “they” were terrible, horrible people.

it’s typical of both Trump and Tucker: invent a partisan grievance, mislead the audience and cap off the conversation with a direct insult.

Tucker’s influence went beyond substance and style. He gave a platform to a number of the Trump right’s most notorious and most fringe voices

He was known, however, as an opportunist. And for enterprising and dishonest members of the infotainment right, the Trump era was a cornucopia of opportunity. Trump’s ideological incoherence wasn’t a problem. It was a vacuum that could be filled with ideas that identified and fed his resentments.

If all that is true, then what could possibly be unimportant about Carlson? The fact is that at the end of the day, he was not bigger than Fox. The secret of Tucker’s fame is that it was always rooted far more in his Fox News time slot than in his (or his ideas’) inherent appea

while Carlson’s ratings were impressive, they were comparable to those of his predecessor Bill O’Reilly. Which raises the question: To what extent was Tucker popular and influential because of his distinct voice, and to what extent was it because he occupied the most coveted time slot on the most popular cable news channel in the United States?

I’ve written before about the network’s singular place in the culture of red America. Without the power of Fox, Carlson’s ability to influence the right will likely be permanently diminished.

Trump, by contrast, correctly perceived that the party was not — or was no longer — primarily an ideological party. It was more clearly defined by what it was against than what it was for.

the ideological definition of Trumpism became something else entirely: a full-spectrum political and cultural opposition to the left, however it might be defined.

This transformation was also tied to a change in the way that Republicans perceive government. Fusionists such as me read the Declaration of Independence and reaffirm that governments are instituted for the purpose of securing our “unalienable rights.” Thus, the protection of liberty is an indispensable aspect of American government.

whom DeSantis attacks is ultimately less important than how he does it. Republicans, after all, have long fought the left, but DeSantis does it differently, in part by abandoning fusionist commitments to free speech and limited government.

the obvious alarm. Any government strong enough to reward friends and punish enemies is also strong enough to do the reverse,

the nationalist conservative movement that Trump has helped bring center stage has different priorities. In its view, the right should — to cite the words of David Azerrad, a professor at Hillsdale College — use the power of government to “reward friends and punish enemies (within the confines of the rule of law).”

There’s at least one key difference. Trump fights for himself above all else. His political impulses are selfish, sub-ideological and subject to revision at a moment’s notice

DeSantis is likewise ambitious, but his political commitments have an underlying consistency that extends beyond that ambition: He fights the left. When you understand that distinction between the two men, you understand the course of the race so far and its likely shape going forward.

DeSantis, a keynote speaker at the 2022 National Conservatism Conference and the ultimate example of fight club conservatism. His primary victory would signal that the transformation of conservatism since 2016 wasn’t a mere interruption of Republican ideology — one in which Republicans would return to fusionism once Trump leaves the scene — but rather the harbinger of more permanent change.

Why the flip-flops? Because support for vaccines and for Ukraine are now seen in populist right circles as “coding left” or — equally unacceptable — as positions of the “regime” or the “uniparty” or the “establishment.”

, I disagree with DeSantis on many things, but I see Trump as an entirely different order of threat — one who is demonstrably willing to help precipitate mob violence to sustain his hold on power. So should someone like me quiet his critique of DeSantis in the interest of defeating Trump?

I say no. I believe we can walk and chew gum at the same time, opposing Trump while upholding a vision of state power that limits its ability to “reward friends and punish enemies” so that all Americans enjoy the same rights to speak, regardless of their view of the government.

Moreover, suspicion of state power should extend beyond the protection of civil liberties. Conservatives have long raised proper concerns about the ability of the government to achieve the economic or cultural outcomes it desires when it institutes sweeping, large-scale government programs. And this concern is not exclusive to conservatives.

With respect to crime, poverty and homelessness, Brown argued,One thing that may occur is that disinvestment in city downtowns will alter the spatial distribution of these elements in cities — i.e. in which neighborhoods or areas of a city is crime more likely, and homelessness more visible. Urban downtowns are often policed such that these visible elements of poverty are pushed to other parts of the city where they will not interfere with commercial activities. But absent these activities, there may be less political pressure to maintain these areas. This is not to say that the overall crime rate or homelessness levels will necessarily increase, but their spatial redistribution may further alter the trajectory of commercial downtowns — and the perception of city crime in the broader public.

“The more dramatic effects on urban geography,” Brown continued,may be how this changes cities in terms of economic and racial segregation. One urban trend from the last couple of decades is young white middle- and upper-class people living in cities at higher rates than previous generations. But if these groups become less likely to live in cities, leaving a poorer, more disproportionately minority population, this will make metropolitan regions more polarized by race/class.

the damage that even the perception of rising crime can inflict on Democrats in a Nov. 27 article, “Meet the Voters Who Fueled New York’s Seismic Tilt Toward the G.O.P.”: “From Long Island to the Lower Hudson Valley, Republicans running predominantly on crime swept five of six suburban congressional seats, including three that President Biden won handily that encompass some of the nation’s most affluent, well-educated commuter towns.

In big cities like New York and San Francisco we estimate large drops in retail spending because office workers are now coming into city centers typically 2.5 rather than 5 days a week. This is reducing business activity by billions of dollars — less lunches, drinks, dinners and shopping by office workers. This will reduce city hall tax revenues.

Public transit systems are facing massive permanent shortfalls as the surge in working from home cuts their revenues but has little impact on costs (as subway systems are mostly a fixed cost. This is leading to a permanent 30 percent drop in transit revenues on the New York Subway, San Francisco Bart, etc.

These difficulties for cities will not go away anytime soon. Bloom provided data showing strong economic incentives for both corporations and their employees to continue the work-from-home revolution if their jobs allow it:

First, “Saved commute time working from home averages about 70 minutes a day, of which about 40 percent (30 minutes) goes into extra work.” Second, “Research finds hybrid working from home increases average productivity around 5 percent and this is growing.” And third, “Employees also really value hybrid working from home, at about the same as an 8 percent pay increase on average.

three other experts in real estate economics, Arpit Gupta, of N.Y.U.’s Stern School of Business, Vrinda Mittal, both of the Columbia Business School, and Van Nieuwerburgh. They anticipate disaster in their September 2022 paper, “Work From Home and the Office Real Estate Apocalypse.”

“Our research,” Gupta wrote by email,emphasizes the possibility of an ‘urban doom loop’ by which decline of work in the center business district results in less foot traffic and consumption, which adversely affects the urban core in a variety of ways (less eyes on the street, so more crime; less consumption; less commuting) thereby lowering municipal revenues, and also making it more challenging to provide public goods and services absent tax increases. These challenges will predominantly hit blue cities in the coming years.

the three authors “revalue the stock of New York City commercial office buildings taking into account pandemic-induced cash flow and discount rate effects. We find a 45 percent decline in office values in 2020 and 39 percent in the longer run, the latter representing a $453 billion value destruction.”

Extrapolating to all properties in the United States, Gupta, Mittal and Van Nieuwerburgh write, the “total decline in commercial office valuation might be around $518.71 billion in the short-run and $453.64 billion in the long-run.”

the share of real estate taxes in N.Y.C.’s budget was 53 percent in 2020, 24 percent of which comes from office and retail property taxes. Given budget balance requirements, the fiscal hole left by declining central business district office and retail tax revenues would need to be plugged by raising tax rates or cutting government spending.

Since March 2020, Manhattan has lost 200,000 households, the most of any county in the U.S. Brooklyn (-88,000) and Queens (-51,000) also appear in the bottom 10. The cities of Chicago (-75,000), San Francisco (-67,000), Los Angeles (-64,000 for the city and -136,000 for the county), Washington DC (-33,000), Seattle (-31,500), Houston (-31,000), and Boston (-25,000) make up the rest of the bottom 10.

Prior to the pandemic, these ecosystems were designed to function based on huge surges in their daytime population from commuters and tourists. The shock of the sudden loss of a big chunk of this population caused a big disruption in the ecosystem.

Just as the pandemic has caused a surge in telework, Loh wrote, “it also caused a huge surge in unsheltered homelessness because of existing flaws in America’s housing system, the end of federally-funded relief measures, a mental health care crisis, and the failure of policies of isolation and confinement to solve the pre-existing homelessness crisis.”

The upshot, Loh continued,is that both the visibility and ratio of people in crisis relative to those engaged in commerce (whether working or shopping) has changed in a lot of U.S. downtowns, which has a big impact on how being downtown ‘feels’ and thus perceptions of downtown.

The nation, Glaeser continued, isat an unusual confluence of trends which poses dangers for cities similar to those experienced in the 1970s. Event#1 is the rise of Zoom, which makes relocation easier even if it doesn’t mean that face-to-face is going away. Event#2 is a hunger to deal with past injustices, including police brutality, mass incarceration, high housing costs and limited upward mobility for the children of the poor.

Progressive mayors, according to Glaeser,have a natural hunger to deal with these problems at the local level, but if they try to right injustices by imposing costs on businesses and the rich, then those taxpayers will just leave. I certainly remember New York and Detroit in the 1960s and 1970s, where the dreams of progressive mayors like John Lindsay and Jerome Patrick Cavanagh ran into fiscal realities.

Richard Florida, a professor of economic analysis and policy at the University of Toronto, stands out as one of the most resolutely optimistic urban scholars. In his August 2022 Bloomberg column, “Why Downtown Won’t Die,”

His answer:

Great downtowns are not reducible to offices. Even if the office were to go the way of the horse-drawn carriage, the neighborhoods we refer to today as downtowns would endure. Downtowns and the cities they anchor are the most adaptive and resilient of human creations; they have survived far worse. Continual works in progress, they have been rebuilt and remade in the aftermaths of all manner of crises and catastrophes — epidemics and plagues; great fires, floods and natural disasters; wars and terrorist attacks. They’ve also adapted to great economic transformations like deindustrialization a half century ago.

Florida wrote that many urban central business districts are “relics of the past, the last gasp of the industrial age organization of knowledge work the veritable packing and stacking of knowledge workers in giant office towers, made obsolete and unnecessary by new technologies.”

“Downtowns are evolving away from centers for work to actual neighborhoods. Jane Jacobs titled her seminal 1957 essay, which led in fact to ‘The Death and Life of Great American Cities,’ ‘Downtown Is for People’ — sounds about right to me.”

Despite his optimism, Florida acknowledged in his email thatAmerican cities are uniquely vulnerable to social disorder — a consequence of our policies toward guns and lack of a social safety net. Compounding this is our longstanding educational dilemma, where urban schools generally lack the quality of suburban schools. American cities are simply much less family-friendly than cities in most other parts of the advanced world. So when people have kids they are more or less forced to move out of America’s cities.

What worries me in all of this, in addition to the impact on cities, is the impact on the American economy — on innovation. and competitiveness. Our great cities are home to the great clusters of talent and innovation that power our economy. Remote work has many advantages and even leads to improvements in some kinds of knowledge work productivity. But America’s huge lead in innovation, finances, entertainment and culture industries comes largely from its great cities. Innovation and advance in. these industries come from the clustering of talent, ideas and knowledge. If that gives out, I worry about our longer-run economic future and living standards.

The risk that comes with fiscal distress is clear: If city governments face budget shortfalls and begin to cut back on funding for public transit, policing, and street outreach, for the maintenance of parks, playgrounds, community centers, and schools, and for services for homelessness, addiction, and mental illness, then conditions in central cities will begin to deteriorate.

There is reason for both apprehension and hope. Cities across time have proven remarkably resilient and have survived infectious diseases from bubonic plague to cholera to smallpox to polio. The world population, which stands today at eight billion people, is 57 percent urban, and because of the productivity, innovation and inventiveness that stems from the creativity of human beings in groups, the urbanization process is quite likely to continue into the foreseeable future. There appears to be no alternative, so we will have to make it work.

I had other doubts, too. It seemed hubristic, or worse, to make multitrillion-dollar policy bets based on computer models trying to forecast climate patterns decades into the future. Climate activists kept promoting policies based on technologies that were either far from mature (solar energy) or sometimes actively harmful (biofuels).

Expensive efforts to curb greenhouse gas emissions in Europe and North America seemed particularly fruitless when China, India and other developing countries weren’t about to curb their own appetite for fossil fuels

just how fast is Greenland’s ice melting right now? Is this an emergency for our time, or is it a problem for the future?

His pitch was simple: The coastline we have taken for granted for thousands of years of human history changed rapidly in the past on account of natural forces — and would soon be changing rapidly and disastrously by man-made ones. A trip to Greenland, which holds one-eighth of the world’s ice on land (most of the rest is in Antarctica) would show me just how drastic those changes have been. Would I join him?

Greenland is about the size of Alaska and California combined and, except at its coasts, is covered by ice that in places is nearly two miles thick. Even that’s only a fraction of the ice in Antarctica, which is more than six times as large

Greenland’s ice also poses a nearer-term risk because it is melting faster. If all its ice were to melt, global sea levels would rise by some 24 feet. That would be more than enough to inundate hundreds of coastal cities in scores of nations, from Jakarta and Bangkok to Copenhagen and Amsterdam to Miami and New Orleans.

There was also a millenarian fervor that bothered me about climate activism, with its apocalyptic imagery (the Statue of Liberty underwater) and threats of doom unless we were willing to live far more frugally.

“We haven’t had a good positive mass balance year since the late 1990s,” he told me in a follow-on email when I asked him to explain the data for me. The losses can vary sharply by year. The annualized average over the past 30 years, he added, is 170 gigatons per year. That’s the equivalent of about 5,400 tons of ice loss per second. That “suggests that Greenland ice loss has been tracking the I.P.P.C. worse-case, highest-carbon-emission scenario.

The data shows unmistakably that Greenland’s ice is not in balance. It is losing far more than it is gaining.

scientists have been drilling ice-core samples from Greenland for decades, giving them a very good idea of climatic changes stretching back thousands of years. Better yet, a pair of satellites that detect anomalies in Earth’s gravity fields have been taking measurements of the sheet regularly for nearly 20 years, giving scientists a much more precise idea of what is happening.

it’s hard to forecast with any precision what that means. “Anyone who says they know what the sea level is going to be in 2100 is giving you an educated guess,” said NASA’s Willis. “The fact is, we’re seeing these big ice sheets melt for the first time in history, and we don’t really know how fast they can go.”

His own educated guess: “By 2100, we are probably looking at more than a foot or two and hopefully less than seven or eight feet. But we are struggling to figure out just how fast the ice sheets can melt. So the upper end of range is still not well known.”

On the face of it, that sounds manageable. Even if sea levels rise by eight feet, won’t the world have nearly 80 years to come to grips with the problem, during which technologies that help us mitigate the effects of climate change while adapting to its consequences are likely to make dramatic advances?

Won’t the world — including countries that today are poor — become far richer and thus more capable of weathering the floods, surges and superstorms?

The average rate at which sea level is rising around the world, he estimates, has more than tripled over the past three decades, to five millimeters a year from 1.5 millimeters. That may still seem minute, yet as the world learned during the pandemic, exponential increases have a way of hitting hard.

“When something is on a straight line or a smooth curve, you can plot its trajectory,” Englander said. “But sea level, like earthquakes and mudslides, is something that happens irregularly and can change rather quickly and surprise us. The point is, you can no longer predict the future by the recent past.”

In The Wall Street Journal’s editorial pages, where I used to work, the theoretical physicist Steven Koonin, a former under secretary for science in the Obama administration’s Energy Department, cast doubt on the threat from Thwaites in a voice that could have once been mine. He also thinks the risks associated with Greenland’s melting are less a product of human-induced global warming than of natural cycles in North Atlantic currents and temperatures, which over time have a way of regressing to the mean.

Even the poorest countries, while still unacceptably vulnerable, are suffering far fewer human and economic losses to climate-related disasters.

Another climate nonalarmist is Roger Pielke Jr., a professor of environmental studies at the University of Colorado Boulder. I call Pielke a nonalarmist rather than a skeptic because he readily acknowledges that the challenges associated with climate change, including sea-level rise, are real, serious and probably unstoppable, at least for many decades.

“If we have to have a problem,” he told me when I reached him by phone, “we probably want one with a slow onset that we can see coming. It’s not like an asteroid coming from space.”

“Since the 1940s, the impact of floods as a proportion of U.S. gross domestic product has dropped by 70 percent-plus,” Pielke said. “We see this around the world, across phenomena. The story is that fewer people are dying and we are having less damage proportional to G.D.P.”

“Much climate reporting today highlights short-term changes when they fit the narrative of a broken climate but then ignores or plays down changes when they don’t, often dismissing them as ‘just weather,’” he wrote in February.

Global warming is real and getting worse, Pielke said, yet still it’s possible that humanity will be able to adapt to, and compensate for, its effects.

A few years ago, I would have found voices like Koonin’s and Pielke’s persuasive. Now I’m less sure. What intervened was a pandemic.

That’s what I thought until the spring of 2020, when, along with everyone else, I experienced how swiftly and implacably nature can overwhelm even the richest and most technologically advanced societies. It was a lesson in the sort of intellectual humility I recommended for others

It was also a lesson in thinking about risk, especially those in the category known as high-impact, low-probability events that seem to be hitting us with such regularity in this century: the attacks of Sept. 11, 2001; the tsunamis of 2004 and 2011, the mass upheavals in the Arab world

What if the past does nothing to predict the future? What if climate risks do not evolve gradually and relatively predictably but instead suddenly soar uncontrollably? How much lead time is required to deal with something like sea-level rise? How do we weigh the risks of underreacting to climate change against the risks of overreacting to it?

I called Seth Klarman, one of the world’s most successful hedge-fund managers, to think through questions of risk. While he’s not an expert on climate change, he has spent decades thinking deeply about every manner of risk

And we will almost certainly have to do it from sources other than Russia, China, the Democratic Republic of Congo and other places that pose unacceptable strategic, environmental or humanitarian risks

“If you face something that is potentially existential,” he explained, “existential for nations, even for life as we know it, even if you thought the risk is, say, 5 percent, you’d want to hedge against it.”

“One thing we try to do,” he said, “is we buy protection when it’s really inexpensive, even when we think we may well not need it.” The forces contributing to climate change, he noted, echoing Englander, “might be irreversible sooner than the damage from climate change has become fully apparent. You can’t say it’s far off and wait when, if you had acted sooner, you might have dealt with it better and at less cost. We have to act now.”

In other words, an ounce of prevention is worth a pound of cure. That’s particularly true if climate change is akin to cancer — manageable or curable in its earlier stages, disastrous in its later ones.

As I’ve always believed, knowing there is grave risk to future generations — and expecting current ones to make immediate sacrifices for it — defies most of what we know about human nature. So I began to think more deeply about that challenge, and others.

For the world to achieve the net-zero goal for carbon dioxide emissions by 2050, according to the International Energy Agency, we will have to mine, by 2040, six times the current amounts of critical minerals — nickel, cobalt, copper, lithium, manganese, graphite, chromium, rare earths and other minerals and elements — needed for electric vehicles, wind turbines and solar panels.

The poster child for this kind of magical thinking is Germany, which undertook a historic Energiewende — “energy revolution” — only to come up short. At the turn of the century, Germany got about 85 percent of its primary energy from fossil fuels. Now it gets about 78 percent, a puny reduction, considering that the country has spent massive sums on renewables to increase the share of electricity it generates from them.

As in everything else in life, so too with the environment: There is no such thing as a free lunch. Whether it’s nuclear, biofuels, natural gas, hydroelectric or, yes, wind and solar, there will always be serious environmental downsides to any form of energy when used on a massive scale. A single industrial-size wind turbine, for instance, typically requires about a ton of rare earth metals as well as three metric tons of copper, which is notoriously destructive and dirty to mine.

no “clean energy” solution will easily liberate us from our overwhelming and, for now, inescapable dependence on fossil fuels.

Nobody brings the point home better than Vaclav Smil, the Canadian polymath whose most recent book, “How the World Really Works,” should be required reading for policymakers and anyone else interested in a serious discussion about potential climate solutions.

“I’ve talked to so many experts and seen so much evidence,” he told me over Zoom, “I’m convinced the climate is changing, and addressing climate change has become a philanthropic priority of mine.”

Things could turn a corner once scientists finally figure out a technical solution to the energy storage problem. Or when governments and local actors get over their NIMBYism when it comes to permitting and building a large energy grid to move electricity from Germany’s windy north to its energy-hungry south. Or when thoughtful environmental activists finally come to grips with the necessity of nuclear energy

Till then, even as I’ve come to accept the danger we face, I think it’s worth extending the cancer metaphor a little further: Just as cancer treatments, when they work at all, can have terrible side effects, much the same can be said of climate treatments: The gap between an accurate diagnosis and effective treatment remains dismayingly wide

Only when countries like Vietnam and China turned to a different model, of largely bottom-up, market-driven development, did hundreds of millions of people get lifted out of destitution.

the most important transformation has come in agriculture, which uses about 70 percent of the world’s freshwater supply.

Farmers gradually adopted sprinkler and drip irrigation systems, rather than more wasteful flood irrigation, not to conserve water but because the technology provided higher crop yields and larger profit margins.

Water shortages “will spur a revolutionary, aggressive approach to getting rid of flood irrigation,” said Seth Siegel, the chief sustainability officer of the Israeli AgTech company N-Drip. “Most of this innovation will be driven by free-market capitalism, with important incentives from government and NGOs.

meaningful environmental progress has been made through market forces. In this century, America’s carbon dioxide emissions across fuel types have fallen to well below 5,000 million metric tons per year, from a peak of about 6,000 million in 2007, even as our inflation-adjusted G.D.P. has grown by over 50 percent and total population by about 17 percent.

1) Engagement with critics is vital. Insults and stridency are never good tools of persuasion, and trying to cow or censor climate skeptics into silence rarely works

the biggest single driver in emissions reductions from 2005 to 2017 was the switch from coal to natural gas for power generation, since gas produces roughly half the carbon dioxide as coal. This, in turn, was the result of a fracking revolution in the past decade, fiercely resisted by many environmental activists, that made the United States the world’s largest gas producer.

In the long run, we are likelier to make progress when we adopt partial solutions that work with the grain of human nature, not big ones that work against it

Renewables, particularly wind power, played a role. So did efficiency mandates.

The problem with our civilization isn’t overconfidence. It’s polarization, paralysis and a profound lack of trust in all institutions, including the scientific one

Devising effective climate policies begins with recognizing the reality of the social and political landscape in which all policy operates. Some thoughts on how we might do better:

They may not be directly related to climate change but can nonetheless have a positive impact on it. And they probably won’t come in the form of One Big Idea but in thousands of little ones whose cumulative impacts add up.

2) Separate facts from predictions and predictions from policy. Global warming is a fact. So is the human contribution to it. So are observed increases in temperature and sea levels. So are continued increases if we continue to do more of the same. But the rate of those increases is difficult to predict even with the most sophisticated computer modeling

3) Don’t allow climate to become a mainly left-of-center concern. One reason the topic of climate has become so anathema to many conservatives is that so many of the proposed solutions have the flavor, and often the price tag, of old-fashioned statism

4) Be honest about the nature of the challenge. Talk of an imminent climate catastrophe is probably misleading, at least in the way most people understand “imminent.”

A more accurate description of the challenge might be a “potentially imminent tipping point,” meaning the worst consequences of climate change can still be far off but our ability to reverse them is drawing near. Again, the metaphor of cancer — never safe to ignore and always better to deal with at Stage 2 than at Stage 4 — can be helpful.

5) Be humble about the nature of the solutions. The larger the political and financial investment in a “big fix” response to climate change on the scale of the Energiewende, the greater the loss in time, capital and (crucially) public trust when it doesn’t work as planned

6) Begin solving problems our great-grandchildren will face. Start with sea-level rise

We can also stop providing incentives for building in flood-prone areas by raising the price of federal flood insurance to reflect the increased risk more accurately.

7) Stop viewing economic growth as a problem. Industrialization may be the leading cause of climate change. But we cannot and will not reverse it through some form of deindustrialization, which would send the world into poverty and deprivation

8) Get serious about the environmental trade-offs that come with clean energy. You cannot support wind farms but hinder the transmission lines needed to bring their power to the markets where they are needed.

9) A problem for the future is, by its very nature, a moral one. A conservative movement that claims to care about what we owe the future has the twin responsibility of setting an example for its children and at the same time preparing for that future.

The diversion was, for Biden, part of a regular effort to use outside experts, in private White House meetings, to help him work through his approach to multiple crises facing his presidency

The historians Biden has invited to the White House generally take a longer view, placing his presidency in the context of America’s path since its founding.

“They really wanted outside-the-box thinking of, is there any way that this war, which will be horrible for everyone involved, can be stopped? Can we stop it? How can we stop it?” Bremmer said. “All of my interactions [with the White House] in the last few years have been uniformly open, constructive and really wanting to get my best sense of where they’re getting it right and where they’re not.”

McFaul was among a socially distanced group that met to discuss Ukraine in the East Room earlier this year, along with former diplomat Richard Haass, journalist Fareed Zakaria, analyst Ian Bremmer, former National Security Council adviser Fiona Hill and retired Adm. James G. Stavridis, a former Supreme Allied Commander of NATO.

the Aug. 4 gathering was distinguished by its relatively small size and the focus of the participants on the rise of totalitarianism around the world and the threat to democracy at home. They included Biden’s occasional speechwriter Jon Meacham, journalist Anne Applebaum, Princeton professor Sean Wilentz, University of Virginia historian Allida Black and presidential historian Michael Beschloss.

Beschloss, a presidential historian who regularly appears on NBC and MSNBC, has recently become more outspoken about what he sees as the need for Biden to battle anti-democratic forces in the country.“I think he has got to talk tonight about the fact that we are all in existential danger of having our democracy and democracies around the world destroyed,”

Wilentz, prizewinning author of “The Rise of American Democracy: Jefferson to Lincoln,” has also voiced alarm in recent months about the state of the country. “We’re on the verge of what Hamilton in ‘The Federalist’ called government by brute force,” Wilentz told the Hill last month.

Biden has continued to bring up such themes in his public speeches, most recently in a July address to a law enforcement group, where he criticized Trump for taking no immediate action as the rioters he had inspired attacked the U.S. Capitol on Jan. 6, 2021

“You can’t be pro-insurrection and pro-democracy,” Biden told the National Organization of Black Law Enforcement Executives. “You can’t be pro-insurrection and pro-American.”

Putin may be possessed by neo-imperial dreams of Russia’s place in Europe, but he is presiding over a state of affairs that has steadily given Beijing more leverage over Moscow. Far removed from the days of the Cold War when the Kremlin viewed communist China as its “poorer cousin,” Russia — isolated and enfeebled — is sliding inexorably into the role of “junior partner” to the Asian giant.

The war in Ukraine has rendered Russia increasingly dependent on China: Sanctions have curtailed the global market for its exports and thinned out possible suppliers for its exports. Enter China, whose imports from Russia have surged, jumping 80 percent in May compared with last year, largely in the form of oil and other natural resources. The Russian market, left bereft of many European products, may get all the more flooded by Chinese goods and technology in the months and even years ahead.

Gabuev suggested that current trendlines could see China’s renminbi, which has already outperformed the euro on Moscow’s stock exchange, becoming “the de facto reserve currency for Russia even without being fully convertible,” and thereby “increasing Moscow’s dependence on Beijing.”

Imbalances that already existed between both countries are only amplifying. China is edging closer to Russia as a leading arms supplier to developing countries. Russia was compelled to significantly discount oil sales to China, while Chinese car manufacturers — recognizing the paucity of options now facing Russian consumers — have in some instances raised prices for their vehicles in Russia by 50 percent

Gabuev unpacked the geopolitical ramifications of Russia’s supplication to China. “To keep China happy, Russian leaders will have little choice but to accept unfavorable terms in commercial negotiations, to support Chinese positions in international forums such as the United Nations, and even to curtail Moscow’s relations with other countries, such as India and Vietnam,”

Even in the remote scenario where Putin himself falls, it’s hard to imagine the broader tectonic realignments taking place would shift all that much. “Russia is turning into a giant Eurasian Iran: fairly isolated, with a smaller and more technologically backward economy thanks to its hostilities to the West but still too big and too important to be considered irrelevant,

With China as Russia’s biggest external partner and major diplomatic ally, Gabuev concluded, “the aging ruling elite in the Kremlin, myopically fixated on Washington, will be even more eager to serve as China’s handmaidens as it rises to become the archrival of the United States.”

“The best way for the West to deal with the China-Russia alignment is to acknowledge that these bonds are strong and to improve its own resilience and deterrence capacities,” wrote Justyna Szczudlik, a China analyst at the Polish Institute of International Affairs.

its original – theological - English meaning as a lesser form of repentance that had a worldly instead of a spiritual motive, lacking the sincerity of true contrition

something second-best

Attrition was therefore established as a form of warfare to avoid, as second best to beating the enemy in a decisive battle. Exhausting an enemy through constant sniping, skirmishing and harassment took time, and increasingly made victory dependent less on the conduct of military operations and more on the underlying economic and social resilience of the nation. In addition, the process worked both ways. One’s own forces also faced attrition, turning war into a contest of endurance.

inflicting attrition on your opponent can be a sensible precursor to battle

Instead of rushing an attack, exploiting surprise, it might make more sense to opt for a more methodical approach, taking out enemy capabilities and undermining morale, before embarking on an offensive – what the Americans call ‘preparing the battlefield’.

The word ‘attrition’ derives from a Latin word for rubbing away which came to refer to repressing a vice

It is easy to understand why Ukraine feels that it has no choice but to carry on fighting and why it is now confident that it is slowly taking the initiative.

we can note some of this war’s fundamental asymmetries that continue to shape its conduct:

First Russia has identified Ukraine’s dependence on external support as its greatest vulnerability and has been looking for ways to undermine this support, largely by aggravating the economic crises facing the West

Two conclusions emerge from these asymmetries

The second conclusion is that conditions on the ground should increasingly favour Ukraine because of the quality of the systems now entering service and the effectiveness with which they are being used

Ukraine is having to follow a strategy that works round its weaknesses while exploiting those of Russia. This was dubbed back in May as ‘corrosion’ by General Mick Ryan. Ukraine, he noted, has sought to hollow out ‘the Russian physical, moral, and intellectual capacity to fight and win in Ukraine, both on the battlefield, and in the global information environment.’

The problem with attrition is that it does not force a decision on the enemy. It works by persuading enemy forces and their political leadership that their position is untenable and likely to get worse. So long as they believe that they are only facing temporary difficulties and can turn the situation around, or at least must show that they have put up a decent fight before folding, then the war will continue

Attrition is not just a question of which side is suffering most but also who is best able to regenerate their combat capabilities.

Moscow appears to wish to incorporate seized territory into Russia, for which they are preparing some dubious procedures that will impress nobody but themselves. Deep down for Moscow the war may now be all about denying NATO the satisfaction of a Ukrainian victory and saving Putin’s face

There is nonetheless something increasingly desperate about Russian rhetoric and behaviour. The Russian military position is deteriorating and the West’s backing for Ukraine has yet to slacken. The trends therefore favour Ukraine. At some Putin and his cronies will have to work out how long they can continue to pretend that they have a credible path to victory.

The result, Fred T. March noted in his 1934 review in The Times, “is addressed to the German people, who will not be allowed to read it, urging them to open their eyes. And it is addressed to the world outside bearing the message, ‘Wake up! The barbarians are upon us.’

“How do you know when to sound the alarm?” asked Cohen, who also wrote an introduction to the new edition, when I reached him by phone on book tour in Italy. It’s easy to slam someone for overreacting, he explained. But we would do well to remember the instances in which a strong reaction is justified: “There’s an enormous bravery that comes with writing about the present, an enormous risk and an enormous thrill. You have to ask yourself: ‘What if I’m wrong?’ And also: ‘What if I’m right?’”

the story follows the declining fortunes and trials of a family, the German Jewish Oppermanns, prosperous merchants and professionals, as they scramble to hold on while fascism takes hold of their country. It’s a book that fairly trembles with foreboding and almost aches with sorrow.

Populist ignorance cannot prevail in an enlightened world. Just as New Yorkers scoffed at the idea that Donald Trump, lead buffoon of the tabloid ’80s, could be taken seriously as a presidential candidate, so do the bourgeois intelligentsia of “The Oppermanns” chortle over “Mein Kampf,” a work they find impossible to reckon with in the land of Goethe: “A nation that had concerned itself for centuries so intensively with books, such as those they saw around them, could never allow itself to be deceived by the nonsense in the ‘Protocols’ and in ‘Mein Kampf.’”

Consider the misbegotten assumptions Feuchtwanger took on then that continue to threaten today:

Direct engagement confers legitimacy. When Edgar Oppermann, a doctor, faces antisemitic attacks in the newspapers, his boss advises silence. “The whole of politics is nothing but a pigsty. Unless one cannot help doing otherwise, one should simply ignore them. That’s what annoys the pigsty crowd most.” To confront the forces of illiberalism is only to sully oneself, Edgar believes. Those in the press who propagate such lies “ought to be put into an asylum, not brought before a court of law.”

Technology will out disinformation. At each turn, the Oppermanns and their milieu have trouble believing that propaganda will take hold. “How could they expect to get away with such a monstrous, clumsy lie?” Gustav Oppermann, the central figure in the novel, asks himself after the Nazis blame the burning of the Reichstag on communists. “Nero might have put over such cheap stuff in burning Rome. But things like that were impossible today, in the era of the telephone and printing press.” Of course, the era of Twitter and TikTok has shown that advances in technology still amplify falsehoods

If you ignore it, it will go away. In the novel, two bourgeois Germans foresee a grim future but fall back on complacency. One describes the first world war as “only a curtain-raiser” with “a century of destruction” to follow, predicting, as he puts it, “a military power beyond conception, a judiciary power with severe, restrictive laws and a school system to educate senseless brutes in the ecstasy of self-sacrifice.” His companion merely replies: “All right, if that’s your opinion. But perhaps you’ll have another cognac and a cigar before it happens.”

It’s up to the next generation. The novel’s most tragic figure is the teenage Berthold Oppermann, a student guilty only by ethnicity and familial association. Berated by a Nazi schoolteacher for delivering an allegedly anti-German paper, Berthold says he is “a good German” and refuses to apologize. “You are a good German, are you?” his Nazi teacher sneers. “Well, will you be so good as to leave it to others to decide who is a good German and who is not?”

While classrooms today are a far cry from those in Nazi-era Germany, one needn’t reach far for contemporary parallels, with students increasingly operating in an atmosphere of fear and conformity — of their peers, depending on location, on the right or the left — while the adults too often abdicate responsibility, whether out of complicity or fear.

The situation was inevitable. In the Oppermanns’ world, escalating problems are viewed as uniquely German, unique to their time and to a particular regime. “Our opponents have one tremendous advantage over us; their absolute lack of fairness,” explains a lawyer at one point. “That is the very reason why they are in power today. They have always employed such primitive methods that the rest of us simply did not believe them possible, for they would not have been possible in any other country.”

In any case, the fear of nuclear war has been around since the time of Hiroshima, but also, there are other fears. If we don’t get climate policy right, will we all be cooked? Or will climate-induced disruptions lead to great power war, nuclear conflict? Will changing technology — the AIs — take over? Whatever, we live in a time of existential fear, and foreign policy and all kinds of national policy questions get invested with these ultimate questions.

What makes democracy work under those circumstances tends to be senses of identification with elites, with different social-political groups. The glue that holds a democratic society — the cultural glue, intellectual glue, spiritual glue — becomes much more important

In terms of mass societies and democracies and large cultural groups, it’s profoundly destabilizing. You have that problem, that existential fear, which some people respond to by denial, some people fall into extremism — lots of responses, but you can see that.

Then the other thing is that, in a large democratic society like ours — 300-plus million people — if political power was divided equally among all 300 million Americans, it would mean that no one had any power.

Politics is less about, if we raise the sales tax half a percent, is that a good thing or a bad thing on balance? It’s more about, can we save the planet? Can we save human civilization? When people face those kinds of questions without some kind of grounding in some kind of religion, faith, it’s actually . . . There are individual people who can keep their psychological balance in the face of that. There are not many.

The American political-studies belief since World War II has essentially been, democracy is the only stable form of government. Everywhere democracy is inexorably rising, and every other form of government is incredibly unstable. This bears very, very little relationship to the facts outside of Western Europe, let’s say the world of NATO plus Japan and Australia.

to do foreign policy well

Which American president has best understood the Middle East, and then worst? MEAD: Interesting. Nobody’s gotten it totally. I’d say George H.W. Bush and Richard Nixon probably are the two, in my mind, who best understood what they were dealing with.

COWEN: What is it they had that maybe the others didn’t? MEAD: What they saw in the Middle East is that America has both hard-power goals and what you could call soft-power, idealistic goals in the Middle East, that our hard-power goals are vital, and they are achievable. Our soft-power goals are important but largely unachievable. What they did was, they set about dealing with what was essential, and they both did it pretty successfully.

The American academy is actually a terrible place for coming to understand how world politics works.

COWEN: Sorry. Is Germany still part of the Western Alliance? MEAD: Well, in the sense it’s been for some time. I remember that Kennan’s goal for Germany was to have a united, neutral, disarmed Germany at the heart of Europe. In some ways, [laughs] Kennan’s goal looks, maybe, closer than ever.

Look, I think Germany is a country whose basic economic model is now under question. The German model — and it’s very important in understanding that country — is based on the availability of cheap energy from Russia and large markets in China.

Again, let’s remember that the German establishment is more terrified of ordinary German public opinion than even the American liberal establishment is terrified of the Trumpists. You don’t have to look all that deeply into history to see why that would be the case. Providing stability, affluence, and employment for the mass of the German people is a key test of the legitimacy of the German state.

Really, ever since we failed to break up the large German corporations after World War II, that German establishment has been the motor of the astonishing success of postwar Germany. Now, suddenly, that engine is running out of fuel on the one hand, and its key customer, China, regardless of anything about human rights or geopolitics, the goal of the Chinese economic development strategy is to end its dependency on capital goods imported from countries like Germany by becoming an exporter of high-tech capital goods.

China’s development plans, much more than its Taiwan policy or its human rights, is a gun pointed at the head of German business. So, where do they go? It’s not clear where they go. I don’t think it’s clear to them where they go. That means that a fundamental element of the American alliance system is in a completely new place.

I think what we have to be doing in terms of analyzing where German foreign policy goes is to think a little bit less about ideology or things like the German anti-war sentiment or these kinds of things. Yes, these are all there, the Russian soul, all of that. It’s there, but really, how is Germany going to make a living? That’s the question that has to be answered, and that will drive Germany’s orientation in foreign policy.

I think, in our society, the ebbing of religion among some, certainly not all, Americans has tended to dissolve these bonds and leads, in all kinds of ways, both on the left and the right, to some of the sense of suspicion, of paranoia, a lack of trust, and declining support for democracy.

COWEN: How would you describe that advantage? MEAD: I don’t really believe in disciplines. I see connections between things. I start from reality. I’m not trying to be anti-intellectual here. You need ideas to help you organize your perceptions of reality. But I think there’s a tendency in a lot of social science disciplines — you start from a bunch of really smart, engaged people who have been thinking about a set of questions and say, “We’ll do a lot better if we stop randomly thinking about everything that pops up and try, in some systematic way, to organize our thinking of this.”

I think you do get some gains from that, but you see, over time, the focus of the discipline has this tendency to shift. The discipline tends to become more inward navel-gazing. “What’s the history of our efforts to systematize our thinking about this?” The discipline becomes more and more, in a sense, ideological and internally focused and less pragmatic.

I think that some of the problem, though, is not so much in the intellectual weaknesses of a lot of conventional postgrad education, but simply almost the crime against humanity of having whole generations of smart people spend the first 30, 35 years of their lives in a total bubble, where they’re in this academic setting, and the rule . . . They become socialized into the academy, just as much as prisoners get socialized into the routines of a prison.

COWEN: Do you think of it as an advantage that you don’t have a PhD? MEAD: Huge advantage.

COWEN: For our final segment, a few questions about the Walter Russell Mead production function. How much did growing up in South Carolina influence your views on foreign policy? MEAD: I think it’s affected my views of America, and that, in turn, affects my views. Growing up in the segregated South during the civil rights era, where, on the one hand, my father actually knew Martin Luther King and marched with him and was involved in a lot of things; but then I had relatives, older relatives who were very much on the other side. That gave me a certain sense of I could love my grandfather even though he voted for George Wallace.

MEAD: Yes. All right. The fact that I could love him while really disliking his politics helps me understand . . . I think it helps understand some of the divisions in America even today and gives you a more human rather than a strictly ideological look.

But there’s also this: that the South and the White South — which, of course, is where I come from — has had the experience of both being defeated and being wrong. That’s something that a lot of American political culture doesn’t have — your WASP Yankee patricians. I think neoconservatism reflected a sense of people who’ve never been wrong and never been beaten, at least in their own minds. There’s a hubris that comes with that.

Historically, one of the roles of Southern politics — think of William Fulbright during the Vietnam War — both for good and bad reasons, doubt that this American ideological project can be transferred, partly because they know America is bad at reconstruction. The failure of reconstruction, both in terms of the White South and the Black South after the Civil War, is a lesson that you get growing up in the South. And so you have an inherent sense of the limits of America’s ability to transform societies. That’s important.

COWEN: Your foreign policy understanding — what did it learn from going to Groton?

MEAD: Well, I learned a lot there. On the one hand, Groton is a place that prides itself on its tradition of producing foreign policy leaders: Dean Acheson, the Allsopp brothers, Averell Harriman, Franklin Roosevelt. That wonderful book, The Wise Men by David Halberstam — actually, my history teacher is in there. There’s a whole scene that could be from our fourth-form 10th-grade history class.

You got the sense of being part of a tradition, and you got the inside view. The way we were taught American history was in no way idealized. Just, say, reading something like the 1619 Project didn’t come to me as a shock. “Oh my gosh, there was slavery, there was injustice in America.”

In fact, one of the teachers at Groton used to take aside some of the boys — it was an all-boys school at the time — and explain to them how their family fortune was made. He might say, “Well, George, we’ve been reading a lot about war profiteers in World War I. You need to know that your grandfather . . .” Et cetera, et cetera. Unfortunately, none of my grandparents had participated in such things, so there was no need to explain to me the family fortune, as there wasn’t one.

More than that, though, I was at Groton ’65 to ’70. Those were the years of the Vietnam War. The national security adviser at the time, McGeorge Bundy, was the chair of the Groton Board of Trustees, so I had a close-up look at the aggressive self-confidence of the WASP establishment meeting the Vietnam War and beginning to come to grips with what was going wrong.

Those two visions of the inner workings of the American foreign policy elite, and then the ringside seat at the crisis of the old American foreign policy elite, have been profoundly important in my thinking about the world.

COWEN: You meet young people all the time. How do you spot the next Walter Russell Mead? What do you look for?

MEAD: Well, first of all, I’m hoping for somebody who’s a lot better than me. I’m looking for someone — what is it? Whose sandals I am unworthy to buckle. And I would say that I look for, first of all, curiosity, intense curiosity. I look for an understanding that the personal and the political are mixed, that character matters. You can learn about the world by coming to understand your own psychological flaws and distress, and vice versa.

That history matters a lot, and that you can’t know too much history. Now, you have to digest it, but you can’t know too much history. A hunger for travel. I think too many foreign policy types don’t actually get out into the field nearly as much as they should. Curiosity about other cultures. A strong grounding in a faith of your own, which can be a secular ideology, perhaps, in some cases, but more often is likely to be a great religious tradition of some kind.

I’m a Christian. I could wish that everyone was, but my friend Shadi Hamid is a Muslim, and I think his Muslim faith actually helps him navigate and understand the world, and I certainly have lots of Jewish friends in the same circumstance. Again, we’re ending up where we started, maybe, but a religious faith, connected to one of the great historical traditions, gives you a degree of insight and potential for self-criticism that are absolutely crucial to foreign affairs.

But the diagnoses had a lucrative side effect: They let the insurers collect more money from the federal government’s Medicare Advantage program.

Medicare Advantage, a private-sector alternative to traditional Medicare, was designed by Congress two decades ago to encourage health insurers to find innovative ways to provide better care at lower cost.

by next year, more than half of Medicare recipients will be in a private plan.

a New York Times review of dozens of fraud lawsuits, inspector general audits and investigations by watchdogs shows how major health insurers exploited the program to inflate their profits by billions of dollars.

The government pays Medicare Advantage insurers a set amount for each person who enrolls, with higher rates for sicker patients. And the insurers, among the largest and most prosperous American companies, have developed elaborate systems to make their patients appear as sick as possible, often without providing additional treatment, according to the lawsuits.

As a result, a program devised to help lower health care spending has instead become substantially more costly than the traditional government program it was meant to improve.

Eight of the 10 biggest Medicare Advantage insurers — representing more than two-thirds of the market — have submitted inflated bills, according to the federal audits. And four of the five largest players — UnitedHealth, Humana, Elevance and Kaiser — have faced federal lawsuits alleging that efforts to overdiagnose their customers crossed the line into fraud.

The government now spends nearly as much on Medicare Advantage’s 29 million beneficiaries as on the Army and Navy combined. It’s enough money that even a small increase in the average patient’s bill adds up: The additional diagnoses led to $12 billion in overpayments in 2020, according to an estimate from the group that advises Medicare on payment policies — enough to cover hearing and vision care for every American over 65.

Another estimate, from a former top government health official, suggested the overpayments in 2020 were double that, more than $25 billion.

The increased privatization has come as Medicare’s finances have been strained by the aging of baby boomers

Medicare Advantage plans can limit patients’ choice of doctors, and sometimes require jumping through more hoops before getting certain types of expensive care.

At conferences, companies pitched digital services to analyze insurers’ medical records and suggest additional codes. Such consultants were often paid on commission; the more money the analysis turned up, the more the companies kept.

they often have lower premiums or perks like dental benefits — extras that draw beneficiaries to the programs. The more the plans are overpaid by Medicare, the more generous to customers they can afford to be.

Many of the fraud lawsuits were initially brought by former employees under a federal whistle-blower law that allows them to get a percentage of any money repaid to the government if their suits prevail. But most have been joined by the Justice Department, a step the government takes only if it believes the fraud allegations have merit. Last year, the department’s civil division listed Medicare Advantage as one of its top areas of fraud recovery.

In contrast, regulators overseeing the plans at the Centers for Medicare and Medicaid Services, or C.M.S., have been less aggressive, even as the overpayments have been described in inspector general investigations, academic research, Government Accountability Office studies, MedPAC reports and numerous news articles,

Congress gave the agency the power to reduce the insurers’ rates in response to evidence of systematic overbilling, but C.M.S. has never chosen to do so. A regulation proposed in the Trump administration to force the plans to refund the government for more of the incorrect payments has not been finalized four years later. Several top officials have swapped jobs between the industry and the agency.

The popularity of Medicare Advantage plans has helped them avoid legislative reforms. The plans have become popular in urban areas, and have been increasingly embraced by Democrats as well as Republicans.

“You have a powerful insurance lobby, and their lobbyists have built strong support for this in Congress,”

Some critics say the lack of oversight has encouraged the industry to compete over who can most effectively game the system rather than who can provide the best care.

“Even when they’re playing the game legally, we are lining the pockets of very wealthy corporations that are not improving patient care,”

In theory, if the insurers could do better than traditional Medicare — by better managing patients’ care, or otherwise improving their health — their patients would cost less and the insurers would make more money.

But some insurers engaged in strategies — like locating their enrollment offices upstairs, or offering gym memberships — to entice only the healthiest seniors, who would require less care, to join. To deter such tactics, Congress decided to pay more for sicker patients.

Almost immediately, companies saw ways to exploit that system. The traditional Medicare program provided no financial incentive to doctors to document every diagnosis, so many records were incomplete

Under the new program, insurers began rigorously documenting all of a patient’s health conditions — say depression, or a long-ago stroke — even when they had nothing to do with the patient’s current medical care.

But for insurers that already dominate health care for workers, the program is strikingly lucrative: A study from the Kaiser Family Foundation, a research group unaffiliated with the insurer Kaiser, found the companies typically earn twice as much gross profit from their Medicare Advantage plans as from other types of insurance.

The insurers also began hiring agencies that sent doctors or nurses to patients’ homes, where they could diagnose them with more diseases.

Cigna hired firms to perform similar at-home assessments that generated billions in extra payments, according to a 2017 whistle-blower lawsuit, which was recently joined by the Justice Department. The firms told nurses to document new diagnoses without adjusting medications, treating patients or sending them to a specialist

Nurses were told to especially look for patients with a history of diabetes because it was not “curable,” even if the patient now had normal lab findings or had undergone surgery to treat the condition.

Adding the code for a single diagnosis could yield a substantial payoff. In a 2020 lawsuit, the government said Anthem instructed programmers to scour patient charts for “revenue-generating” codes. One patient was diagnosed with bipolar disorder, although no other doctor reported the condition, and Anthem received an additional $2,693.27, the lawsuit said. Another patient was said to have been coded for “active lung cancer,” despite no evidence of the disease in other records; Anthem was paid an additional $7,080.74. The case is continuing.

The most common allegation against the companies was that they did not correct potentially invalid diagnoses after becoming aware of them. At Anthem, for example, the Justice Department said “thousands” of inaccurate diagnoses were not deleted. According to the lawsuit, a finance executive calculated that eliminating the inaccurate diagnoses would reduce the company’s 2017 earnings from reviewing medical charts by $86 million, or 72 percent.

Some of the companies took steps to ensure the extra diagnoses didn’t lead to expensive care. In an October 2021 lawsuit, the Justice Department estimated that Kaiser earned $1 billion between 2009 and 2018 from additional diagnoses, including roughly 100,000 findings of aortic atherosclerosis, or hardening of the arteries. But the plan stopped automatically enrolling those patients in a heart attack prevention program because doctors would be forced to follow up on too many people, the lawsuit said.

Kaiser, which both runs a health plan and provides medical care, is often seen as a model system. But its control over providers gave it additional leverage to demand additional diagnoses from the doctors themselves, according to the lawsuit.

At meetings with supervisors, he was instructed to find additional conditions worth tens of millions of dollars. “It was an actual agenda item and how could we get this,” Dr. Taylor said.

Last year, the inspector general’s office noted that one company “stood out” for collecting 40 percent of all Medicare Advantage’s payments from chart reviews and home assessments despite serving only 22 percent of the program’s beneficiaries. It recommended Medicare pay extra attention to the company, which it did not name, but the enrollment figure matched UnitedHealth’s.

Even before the first lawsuits were filed, regulators and government watchdogs could see the number of profitable diagnoses escalating. But Medicare has done little to tamp down overcharging.

Several experts, including Medicare’s advisory commission, have recommended reducing all the plans’ payments.

Congress has ordered several rounds of cuts and gave C.M.S. the power to make additional reductions if the plans continued to overbill. The agency has not exercised that power.

The agency does periodically audit insurers by looking at a few hundred of their customers’ cases. But insurers are fined for billing mistakes found only in those specific patients. A rule proposed during the Trump administration to extrapolate the fines to the rest of the plan’s customers has not been finalized.

Ted Doolittle, who served as a senior official for the agency’s Center for Program Integrity from 2011 to 2014, said officials at Medicare seemed uninterested in confronting the industry over these practices. “It was clear that there was some resistance coming from inside” the agency, he said. “There was foot dragging.”

few analysts expect major legislative or regulatory changes to the program.

“Medicare Advantage overpayments are a political third rail,” said Dr. Richard Gilfillan, a former hospital and insurance executive and a former top regulator at Medicare, in an email. “The big health care plans know it’s wrong, and they know how to fix it, but they’re making too much money to stop. Their C.E.O.s should come to the table with Medicare as they did for the Affordable Care Act, end the coding frenzy, and let providers focus on better care, not more dollars for plans.”

As the historian Michael Beschloss said on MSNBC last night after the hearing, Trump “probably wanted to declare martial law.”

the insurrection was a close-run thing, noting that if “Trump and those rioters had been a little bit faster, we might be living in a country of unbelievable darkness and cruelty.”

But who cares? After all, inflation is too high, and gas is still too expensive, and that’s a bigger problem than the overthrow of the government, isn’t it?

In a country that still had a functional moral compass, citizens would watch the January 6 hearings, band together regardless of party or region, and refuse to vote for anyone remotely associated with Donald Trump, whom the committee has proved, I think, to be an enemy of the Constitution of the United States

His party, as an institution, supports him virtually unconditionally, and several GOP candidates around the country have already vowed to join Trump in his continuing attack on our democracy. To vote for any of these people is to vote against our constitutional order.

It’s that simple.

Lake is one of the most extreme election deniers and Trump sycophants in the GOP, but the Journal thinks she’d be great on the issue of school choice, as though the funding of education would be the big issue if Lake conspires with other Trump cultists across the United States to deliver the final blow to the notion of the peaceful and constitutional transfer of power.

To vote for anyone still loyal to a party led by the narcissistic sociopath who put our elected officials and our political system itself in peril is to abandon any pretense of caring whether the United States remains a constitutional democracy. The question is whether enough of us will care, in little more than three weeks from now, to make a difference.

what the plan offered on paper is essentially what Putin — on the dangerous defensive after a raft of strategic miscalculations and mounting battlefield losses — is now trying to seize through sham referendums and illegal annexation. And Mariupol is shorthand for the horrors of his war, an occupied city in ruins after months of siege, its hulking steelworks spectral and silenced, countless citizens buried in mass graves.

Putin’s assault on Ukraine and his attack on American democracy have until now been treated largely as two distinct story lines.

Yet those two narratives came together that summer night at the Grand Havana Room. And the lesson of that meeting is that Putin’s American adventure might be best understood as advance payment for a geopolitical grail closer to home: a vassal Ukrainian state.

Even now, some influential voices in American politics, mostly but not entirely on the right, are suggesting that Ukraine make concessions of sovereignty similar to those contained in Kilimnik’s plan, which the nation’s leaders categorically reject.

This second draft of history emerges from a review of the hundreds of pages of documents produced by investigators for the special counsel, Robert S. Mueller III, and for the Republican-led Senate Select Committee on Intelligence; from impeachment-hearing transcripts and the recent crop of Russiagate memoirs; and from interviews with nearly 50 people in the United States and Ukraine, including four hourlong conversations with Manafort himself.

the persistent, surreptitious effort to bring the Mariupol plan to life. The plan was hardly the only effort to trade peace in Ukraine for concessions to Putin; many obstacles stood in its way. And its provenance remains unclear: Was it part of a Putin long game or an attempt by his ally, Yanukovych, to claw back power? Either way, the prosecutors who uncovered the plan would come to view it as potential payoff for the Russian president’s election meddling.

The examination also brings into sharper relief the tricks of Putin’s trade as he pressed his revanchist mission to cement his power by restoring the Russian empire and weakening democracy globally. He pursued that goal through the cunning co-optation of oligarchs and power brokers in the countries in his sights, while applying ever-evolving disinformation techniques to play to the fears and hatreds of their people.

Manafort, a political operative known for treating democracy as a tool as much as an idea.

he had achieved great riches by putting his political acumen to work for the country’s Kremlin-aligned oligarchs, helping install a government that would prove pliant in the face of Putin’s demand

Then he helped elect an American president whose open admiration of the Russian strongman muddied more than a half-century of policy promoting democracy.

In the end, Putin would not get out of a Trump presidency what he thought he had paid for, and democracy would bend but not yet break in both the United States and Ukraine. But that, as much as anything, would set the Russian leader on his march to war.

he firm specialized in covering over the bloody records of dictators like Mobutu Sese Seko of Zaire and Ferdinand Marcos of the Philippines with copious coats of high-gloss spin, presenting them as freedom-loving democrats.

Together with Roger Stone, Manafort helped develop the slashing style of conservative politics, pushing “hot buttons” to rile up base voters and tar opponents.

Long before the Trump-era investigations, Manafort had established himself in Washington and abroad as a grand master of the political dark arts

the position of white Evangelicals, in particular, has totally transformed on the matter. Between 2011 and 2016, white Evangelicals went from the American demographic least likely to agree that “an elected official who commits an immoral act in their personal life can still behave ethically and fulfill their duties” to the group most likely to agree with that statement.

As a wise retired federal judge once told me, when someone says “Yes, but” the only words that matter come after the “but.” The “yes” is appeasement; the “but” is belief.

We live in a time of partisan animosity so great that an October NBC News poll found that 80 percent of Democrats and Republicans “believe the political opposition poses a threat that, if not stopped, will destroy America as we know it.”

In those circumstances, the quest for character becomes a form of luxury belief. It’s what you cling to in safer, more secure times

That same poll found that “two-thirds of reliable Democratic and Republican voters say they’d still support their party’s political candidate, even if that person had a moral failing that wasn’t consistent with their own values.”

This transformation made Donald Trump’s presidency possible, and it is a grave mistake. Good character should never be optional in leaders, and strength of character is more important in difficult times.

Competence is quite often a key by-product of good character. Indeed, I’d say it’s an aspect of good character.

But it’s now wrong to simply assert that truth as self-evident. Millions of Americans disagree

Why are they wrong? The evidence is everywhere, if you know where to look. While bad policy can be extraordinarily consequential, our current political dysfunctions are mainly due to bad character.

Negative partisanship is now a central fact of American politics. Millions of Americans now support their political party not because they love its politicians or its policies, but because they hate and fear the other side.

Consider the challenge of mutual hatred

partisan Americans consistently misjudge their ideological adversaries. They rate them as far more extreme than they really are.

How many politicians raise money and gain power by stoking as much hatred as possible? How often are they exaggerating the threat of their opponents? How often are they engaged in outright lies?

Or consider the distrust of American institutions.

This is the political assertion that meets with perhaps the ultimate “yes, but” response. “Yes, but so does policy.” “Yes, but no one is perfect.” “Yes, but we need to fight fire with fire.”

the best lawyers, the best doctors, the best military officers, and the best corporate leaders combine a set of skills that include not just self-discipline and an inquisitive mind, but also an innate curiosity and openness that allows them to understand and absorb new information and competing ideas.

The instant a person becomes so convinced of their own excellence that they lose those qualities is the instant that their hubris can destroy their competence.

American institutions lose trust not just because they’re corrupt (an obvious sign of bad character), but also because they’re sloppy or inefficient, or just can’t accomplish the most necessary tasks.

Or think of the challenges to democracy itself.

The conspiracies that culminated in the violent attempted coup on January 6 were entirely the product of one of the most colossal character failures in the history of the United States. Donald Trump’s malicious lies and will to power were the obvious first causes of the riot

consider the cascading character failures that led to the attack.

Most of Trump’s staff folded

when they crack, all their policy ideas are but dust in the wind. On January 6, for example, America was only one more crack away—a Mike Pence “yes” to Trump’s scheme—from the worst constitutional crisis since 1861.

Almost the entire right-wing infotainment industry gave in

What ultimately stopped Trump? Character. It was the character of judges—including Federalist Society judges—who turned back dozens of election challenges

It was the character of members of Congress, including both Democratic and Republican leaders, who decided they would return to the House chamber and finish counting the electoral votes that would secure Joe Biden’s lawful electoral victory.

While I disagreed with Pence on countless occasions before January 6, he was at the eye of that hurricane, and he stood firm.

Bad character is a long-term threat. The smoking analogy is valid. But January 6 taught me that bad character can function as an immediate threat as well. Like a gun to the head.

Most of the Republicans in Congress followed suit

“The modern Republican Party is essentially a hostage crisis in which each wing could kill the party by bolting the coalition but only one wing is willing to do it and both sides know it.”

The MAGA wing will stay home if its demands aren’t met. The establishment, by contrast, dutifully marches to the polls, no matter who has the “R” by their name.

This has to change. It is not the case, for example, that a Republican Senate candidate is running “only” to be a vote, and not a leader. There is no such thing as “only” voting.

When you distrust or despise your enemy enough, character is often the first casualty of political combat. But if we kill character, we risk killing our country. We cannot survive the complete corruption of our political class.

In the Black Lives Matter protests of 2020, Teixeira told friends that he saw a storm gathering. “He was afraid they would target White people,” his friend said. “He had told me quite a few times he thought they need to be prepared for a revolution.” The friend said Teixeira spoke approvingly of Kyle Rittenhouse, a teenager who shot three people, two fatally, during protests that summer in Kenosha, Wis., claiming that he had acted in self-defense

Teixeira wanted his online companions, many of them teenage boys, to “be prepared for things the government might do, reinforcing to them that the government was lying to them,”

Teixeira asserted that “lots of FBI agents were found to have sympathized with the Jan 6 rioters,” and he said naive members of the intelligence community, of which he was technically a part, had been “cucked.” He referred to mainstream press as “zogshit,” appropriating a popular white-supremacist slur for the “Zionist Occupied Government.” Friends said that during live video chats, Teixeira expounded on baseless accusations of shadowy, sinister control by Jewish and liberal elites, as well as corrupt law enforcement authorities.

Already united by their love of guns and their Orthodox Christian faith, two members of Thug Shaker Central said their nascent political beliefs became hardened and more polarized during the isolation of the pandemic. Unable to see their local friends in person, the young members spent their entire days in front of screens and came under the influence of outsize online figures like Teixeira. Some on the server saw him as an older brother — others, friends said, like a father figure.

In interviews, some of the members struggled to explain worldviews that had developed largely online, and expressed remorse. Several admitted they had become radicalized during the pandemic and were influenced by Teixeira, whose own politics seemed animated by social grievances and an obsession with guns.

The members may have sensed they were treading into dangerous political waters, even before leaked classified documents started circulating. During video chats, some hid their faces behind masks, fearful of being publicly identified with a group of self-professed bigots, Teixeira’s close friend said.

The interest in video games and conservative politics was accompanied by an acute obsession with violence, the friend said. “He would send me a video of someone getting killed, ISIS executions, mass shootings, war videos. People would screen-share it, and he would laugh very loudly and be very happy to watch these things with everyone else. He absolutely enjoyed gore.”

After he enlisted in the U.S. Air National Guard in September 2019, Teixeira also feared that his own racist and violent statements would jeopardize his chances of getting a security clearance. “He was worried something from Discord would come up during his interview,” said the friend, who met him when the application was still pending. Teixeira changed his online handle to an innocuous version of his surname and became “less active” in the community for a time, the friend added, in an effort not to create more incriminating evidence.

But Teixeira already had an offline record that arguably should have raised concerns for the officials who approved his security clearance. In March 2018, Teixeira was suspended from his high school “when a classmate overheard him make remarks about weapons, including Molotov cocktails, guns at the school, and racial threats,” according to a Justice Department filing last month that argued Teixeira should remain in jail while he faces charges under the Espionage Act stemming from his alleged leaks.

Teixeira’s close friend, who knew him after he had graduated high school, said he had confessed to wanting to take a gun to school and carry out a shooting.

“He had told me multiple times about when he was younger, his desire to shoot up his school,” the friend said. “He hated his school.”

“To my knowledge, he never hurt anyone physically, but he absolutely talked about it pretty often,” the friend added. Other friends confirmed Teixeira talked about attacking his school, but they said they didn’t take his threats seriously.

The YouTuber added that Discord deleted the civil-discussion channel on April 24 after “multiple members” received notices from the company.

Teixeira’s gaming and political cultures overlapped, the friend observed. “Once you start getting into the more niche video games, a lot of those communities are much more conservative. I think he found a small place where his views got echoed back to him and made them worse.”

The Post obtained previously unpublished screenshots from the server and recordings of members playing games together. Racist and antisemitic language flowed through the community, as did hostility for gay and transgender people, whom Teixeira deemed “degenerate.” The line between sarcasm and genuine belief became increasingly blurred. On video calls, users held up a finger, jokingly imitating members of ISIS. In their rooms were flags associated with Christian nationalism and white power.

Friends may not have taken seriously Teixeira’s threats against his high school. But he voiced approval of some shooters, particularly when they targeted people of different races and faiths. Teixeira was especially impressed by a gunman’s rampage at two mosques in Christchurch, New Zealand, in 2019, which left 51 people dead and 4o injured. “He was very happy that those people died,” the friend said, because they were Muslim. The shooter live-streamed his massacre as though he were in a video game.

“He was very against gun control. And so he would talk about wanting to kill ATF agents or when ATF agents would show up to his house, like theoretically preparing your house so that they would die in some strange trap.”

In arguing that Teixeira should remain in jail while he faces charges, federal prosecutors pointed to his threats of violence in high school. But among online communities whose members hold “more extremist conservative views,” the friend said, “it’s really common to joke about killing government agents like that, so it never seemed worrying to me.”

But Putin tried to sustain his monopoly on truth even as he demonopolized violence, allowing Prigozhin’s Wagner group to fight in Ukraine as an autonomous unit along with the fighters of Chechen warlord Ramzan Kadyrov

“The Ministry of Defense is trying to deceive the public and the president and spin the story that there were insane levels of aggression from the Ukrainian side and that they were going to attack us together with the whole NATO bloc,” he said. “The special operation was started for a completely different reason.”

There’s something bracing and refreshing about hearing the truth — even if it comes from the mouth of a self-interested thug. There’s also something terrifying about it.

To know the truth about the war is to see the awfulness of Russia’s options: a humiliating defeat, a bloody stalemate or escalation that risks a much wider war. There is an additional terror, too, though probably one that runs in a buried vein: the terror of self-indictment, when the apathy or jingoism of ordinary Russians must face the atrocities committed in their name.

Monday’s rampage in Illinois marked the 15th time this year that four or more people were killed in a shootin

Of the 90,498 gun deaths in 2020 and 2021, 38,796 were homicides. Nearly 21,000 of those victims were Black men.

In 2020, while the overall crime rate nationwide fell, “that was not true for shootings,” Cook said. That year, he said, there was an “unparalleled” surge in people killed by firearms compared with 2019.

Solving more shootings, particularly nonfatal ones, “would interrupt the cycle of retaliation,” Cook said, and might improve local trust in the police. “That would be a productive use of money,” he said.

Police nationwide in 2020 “cleared” about half of all homicides, according to the FBI, which usually means that someone was arrested and charged or the case was closed another way, including the death of the attacker.

But three decades of research has established that people with mental illness are responsible for just a small percentage of interpersonal and gun violence.

“Anybody who shoots somebody else has a mental health challenge. Period,” Texas Gov. Greg Abbott (R) said shortly after the Uvalde shooting in May.

It’s clear that many other factors are more closely associated with gun violence than mental illness. They include experiencing trauma and violence during childhood, being young and male, living in neighborhoods where violence is more prevalent, poor impulse control, poor anger control, and perhaps most of all, easy access to a firearm.

There is one major, well-established connection between mental illness and gun violence: suicide.

officials must help create environments where there is less trauma in the home, support families and strengthen services for children in schools.

In 1994, Duke University gun violence researcher Jeffrey W. Swanson calculated that if all active psychotic and mood disorders were eliminated overnight, interpersonal violence would be reduced by just 4 percent

“We don’t have gun control as much as we have people control,” he said. “We try to figure out the people who are so dangerous that we have to limit their access to guns.”

In many other countries, guns are tightly restricted, but the United States has taken a different route, he said.

people in Florida with serious mental illnesses, including some who were committed to a psychiatric facility involuntarily or for a short-term emergency hold, 0.9 percent were arrested for a violent crime involving a gun within seven years — about the same rate as the general population.

The 1998 MacArthur Violence Risk Assessment Study, which followed 951 people who had been released from three psychiatric facilities, found that 23 committed 67 acts of interpersonal gun violence — a rate of 2 percent — in the next year. Just 19 of those acts, committed by nine people, were against strangers.

The consistent invocations of mental health after massacres such as those in Buffalo, Uvalde and Highland Park are ways for officials to distance themselves from the horror of the event, to explain the unfathomable,

“It’s a tragedy that demands explanation, and the stigma of mental illness is something that fuels pseudo-explanations,” she said. “It’s a fake explanation. Why has this man done this terrible thing? The answer is because he’s mentally ill. How do you know he’s mentally ill? Because he’s done this terrible thing.”

“Security and privacy have long been top companywide priorities at Twitter,” said Twitter spokeswoman Rebecca Hahn. She said that Zatko’s allegations appeared to be “riddled with inaccuracies” and that Zatko “now appears to be opportunistically seeking to inflict harm on Twitter, its customers, and its shareholders.” Hahn said that Twitter fired Zatko after 15 months “for poor performance and leadership.” Attorneys for Zatko confirmed he was fired but denied it was for performance or leadership.

the whistleblower document alleges the company prioritized user growth over reducing spam, though unwanted content made the user experience worse. Executives stood to win individual bonuses of as much as $10 million tied to increases in daily users, the complaint asserts, and nothing explicitly for cutting spam.

Chief executive Parag Agrawal was “lying” when he tweeted in May that the company was “strongly incentivized to detect and remove as much spam as we possibly can,” the complaint alleges.

Zatko described his decision to go public as an extension of his previous work exposing flaws in specific pieces of software and broader systemic failings in cybersecurity. He was hired at Twitter by former CEO Jack Dorsey in late 2020 after a major hack of the company’s systems.

“I felt ethically bound. This is not a light step to take,” said Zatko, who was fired by Agrawal in January. He declined to discuss what happened at Twitter, except to stand by the formal complaint. Under SEC whistleblower rules, he is entitled to legal protection against retaliation, as well as potential monetary rewards.

A person familiar with Zatko’s tenure said the company investigated Zatko’s security claims during his time there and concluded they were sensationalistic and without merit. Four people familiar with Twitter’s efforts to fight spam said the company deploys extensive manual and automated tools to both measure the extent of spam across the service and reduce it.

In 1998, Zatko had testified to Congress that the internet was so fragile that he and others could take it down with a half-hour of concentrated effort. He later served as the head of cyber grants at the Defense Advanced Research Projects Agency, the Pentagon innovation unit that had backed the internet’s invention.

Overall, Zatko wrote in a February analysis for the company attached as an exhibit to the SEC complaint, “Twitter is grossly negligent in several areas of information security. If these problems are not corrected, regulators, media and users of the platform will be shocked when they inevitably learn about Twitter’s severe lack of security basics.”