Group items tagged

Thus began the coddling of the populist mind

Disagreement on the right quickly came to be seen as synonymous with disrespect. If “we the people” (the term Trump partisans apply to what they call the “real America”) believe something, then the people deserve to have that view reflected right back to them by their politicians and pundits.

Repeatedly, Fox leaders and personalities who did not seem to believe the 2020 election was stolen referred to the need to “respect” their audience by telling them otherwise. For these Fox staffers, respecting the audience didn’t mean relaying the truth (a true act of respect). Instead, it meant feeding viewers’ insatiable hunger for confirmation of their conspiracy theories.

Politicians are always tempted to pander, but rarely do you see such a complete abdication of anything approaching true moral or political leadership as what transpired at the Waco rally

It’s common to critique the Trumpist movement as a Donald Trump cult, but that’s not quite right anymore. He’s still immensely influential, but do true cultists boo their leader when he deviates from the approved script? Yet that’s what happened in December 2021, when parts of a Dallas rally crowd booed Trump when he said he’d received a Covid vaccine booster. And does anyone think that Trump is a QAnon aficionado? Yet in 2022 he boosted explicit Q content on Truth Social, his social media platform of choice.

There may have been a time when Trump truly commanded his movement. That time is past. His movement now commands him. Fed by conspiracies, it is hungry for confrontation, and rallies like Waco demonstrate its dominance

That’s no accident. In the three decades since the end of the Soviet Union, those men have faced industrial collapse, the disappearance of millions of jobs and declining life expectancy. The war promises to change that downward trajectory, transforming the losers of the past three decades into new heroes

For many Russian men and their families, the war may be a horror. But it’s also the last opportunity to fix their lives.

First, there’s the money. The federal base salary for a soldier is about $2,500 a month, with payment of $39,000 for wounding and up to $65,000 in the case of death. Compared with a median monthly salary of $545, this is a handsome reward — even more so for the approximately 15.3 million Russians living below the poverty line.

there’s much more on offer, too. For those coming back from the front, the state promises fast-tracked entry into civil service jobs, health insurance, free public transportation, as well as free university education and free food at school for their children. And for those who were imprisoned and joined the Wagner private military company, the state grants freedom.

Today’s soldiers live in the shadows of the generation that won the war against Nazism. In Russian public culture, no honor is higher than to be a veteran of the “Great Patriotic War,” something the regime has capitalized on by framing today’s war as a kind of historical re-enactment of World War II.

As one soldier wrote on Telegram in February, the war confers “a sense of belonging to the great male deed, the deed of defending our Motherland.”

By allowing men to escape the difficulties of everyday life — with its low pay and routine frustrations — the war offers a restoration of male self-worth. These men, at last, matter.

Feelings of inferiority, too, are swept aside in the fraternal atmosphere of the front. “It doesn’t matter who you are, how you look,” as one soldier put it. In the communal life of conflict, many of the distinctions of civilian life dissolve. War is an equalizer.

Mistrust of the rich, belief that sanctions actually strengthen the economy and disdain for émigrés all attest to a class-based experience of the conflict. By participating in the war, millions of Russians at the bottom of the social ladder can emerge as the country’s true heroes, ready for the ultimate sacrifice. The risk may be grave and the financial reward uncertain. But the chance to rise in esteem and respect makes the effort worthwhile.

The longer the war drags on, bringing more casualties, loss and broken promises, the harder it may become to sustain such levels of acceptance

it may not. Collective emotional turmoil could deepen the feeling that the war must be won, no matter what. In the absence of an alternative vision of the future, Vladimir Putin and his war will continue to hold sway.

Medical staff say they could have avoided the medicine shortages that have forced some facilities to ration drugs. There also could have been more time to set up a more effective triage system to avoid overcrowding

ne of the fundamental problems with China’s health system is its overreliance on hospitals for even the most basic care.

“In the U.S. people have their own primary physicians, but there are few ways in China to get care from the medical system except to go to an E.R. at a big hospital,” said Dr. Qiao Renli, a pulmonary and critical care doctor at the University of Southern California, who has taught and practiced medicine in both China and the United States.

The deluge of Covid patients is not the only challenge hospitals are facing. One of the ripple effects of the outbreak has been a widespread shortage of blood for transfusions because of the shrinking pool of eligible donors.In the southwestern city of Kunming, a blood bank said in a statement that the city was getting a fraction of the 500 donors per day it needs to keep up with demand, and that the shortage had started to affect pregnant women and patients in intensive care units.

At the same time, the share of high school students who say they have had sexual intercourse has fallen 29 percent since 1991,

The share of female teens who did not use birth control the last time they had sex dropped by more than a third over the last decade, according to an analysis of government surveys by the Guttmacher Institute. The share using the most effective form, long-acting reversible contraception (delivered through an intrauterine device or arm implant), rose fivefold to 15 percent. The use of emergency contraception also rose.

“They’re going to school and seeing new career paths open,” said Melissa S. Kearney, an economist at the University of Maryland. “Whether they are excited about their own opportunities or feel that unreliable male partners leave them no choice, it leads them in the same direction — not becoming a young mother.”

Abortion does not appear to have driven the decline in teen births. As a share of teenage pregnancy, it has remained steady over the past decade,

If adolescent girls are more cautious with sex and birth control, what explains the caution? A common answer is that more feel they have something to lose. “There is just a greater confidence among young women that they have educational and professional opportunities,” Mr. Wilcox said.

t women in their mid-30s were nearly 25 percent more likely than men to have a four-year college degree, and at every educational level earnings had grown faster for women than men.

Skeptics see limits in the data and note that the payoff to education is growing.“I strongly disagree with the argument that teen births have no effect on social mobility,” said Isabel V. Sawhill of the Brookings Institution. “It’s a lot easier to move out of poverty if you’re not responsible for a child in your teenage years.”

The debate is more than academic. Some progressives worry that a narrow focus on preventing teen births will undermine broader anti-poverty plans and risks blaming adolescents for their poverty. Other see reducing poverty and teen births as complementary causes meant not to blame young women but empower them.

The result is that less energy is being produced overall, and Germany is loath to buy it from France—where power is much cleaner, because it’s mostly nuclear.

So who absorbed the adjustment? Easy: industry, the old backbone of the German manufacturing state, which has been closing production facilities in significant numbers.

This does not, of course, reduce the overall atmospheric pollution generated in the world, as the old clients of German firms turn to alternatives in other locations that are, almost always, fueled with high carbon sources. The Indonesian, Brazilian, Indian and Chinese companies that will now manufacture the products that German workers used to make are largely run on fossil fuels.

Part of the problem is that there are inherent technical limitations to how high a country can drive wind and solar in its energy mix. State of the art lithium-ion batteries can only store energy in the range of megawatts, up to the low gigawatts. In order to store electricity to survive a German winter with next to no sunlight and long low-wind periods, the country would need to increase its storage capacity by orders of magnitude.

There are only three presently known energy sources that can be used at scale to balance a natural grid: hydroelectricity, nuclear and fossil fuels

hey decided to simply make do with less power: economic degrowth in action. Of course, people depended on those power sources for jobs: good, well-paid, stable union jobs that guys without university degrees could get. The government closed down the factories—can they really be surprised some of these people now want to vote for the far right?

Germany didn’t adopt degrowth by choice, but through a series of blunders. The comic edge of its misfortunes is that so many of them occurred because of miscalculation or just sheer bloody-mindedness on the part of the Greens and Social Democrats. First, a few months before becoming a Russian energy lobbyist in 2005, then-Chancellor Gerhard Schröder insisted on putting Russian natural gas at the core of Germany’s energy grid, continuing a Social Democratic tradition of entwining Germany’s future with Russia’s. Then, a Green Party with its roots in 1970s anti-nuclear weapons activism carried this atavistic policy into the 21st century when it entered government, insisting that Germany decommission the backbone of its zero-emission energy matrix. Then the war in Ukraine happened, and the pipelines were cut. Oooops. Guess who’s digging for coal now?

The 2024 election will not be the usual battle between parties, platforms and policies. It is a battle between those who fundamentally respect and abide by the ground rules of democracy and those who do not.

To underline his case most forcefully, Mr. Biden didn’t need to use his own words. He could rely on the words of his opponent: revenge, retribution, fight like hell, terminate the Constitution, suckers and losers, vermin, poisoning the blood of our country, dictator on Day 1, American carnage. There is no subtext here; it’s all text. As Mr. Biden put it, “We all know who Donald Trump is.”

And yet, apparently, we need to keep reminding ourselves. Otherwise, we fall into the trap of normalization that Mr. Trump laid from the start.

Today he can call for the execution of the chairman of the Joint Chiefs of Staff, or tell the Biden administration to “rot in hell,” or promote a video claiming he is literally a gift from God, and it gets less attention in both mainstream and social media than Mr. Biden tripping over a sandbag.

How did we end up here? Mr. Biden offered one compelling explanation: complacency. “We’ve been blessed so long with a strong, stable democracy, it’s easy to forget why so many before us risked their lives and strengthened democracy,

In that sense, democracy is like vaccines. Few people today have firsthand memories of the horrors of diseases that were rampant before vaccines largely eradicated them, which makes it easier for vaccine hesitancy to take root

Similarly, when a country has no history of living under a dictatorship, it can be easier to lose sight of what it means to live in a representative democracy, and to be caught flat-footed when a real authoritarian comes knocking.

it is not just that Europeans spend a few extra weeks on the beach. The typical working day in Britain, France and Germany is half an hour shorter than in America, according to the International Labour Organisation.

which is the better way of living—with more money or more free time? The reality is that it is difficult for people to choose

Those in America work according to American schedules; those in Europe conform to European norms.

the more fruitful question is why Americans put in longer hours

The answer leads to a curious new observation: that remote work is making America’s office drones a little more European, albeit with a puritanical twist.

A first guess suggests that culture might account for the variation in work hours. Maybe Europeans enjoy their leisure more. They are spoilt for choice about how to spend time off

As for Americans, surveys indicate that they view hard work as intrinsically worthwhile. “Rugged individualism” is, after all, what built the country.

the difficulty with chalking up the difference to culture is that until the early 1970s many Europeans worked more

American working hours are basically the same now as back then. The big change is that Europeans now toil less. Hours are down a whopping 30% in Germany over the past half-century. Something beyond culture—a slow-moving, ill-defined variable—is at play.

Edward Prescott, an American economist, came to a provocative conclusion, arguing that the key was taxation

Until the early 1970s tax levels were similar in America and Europe, and so were hours worked. By the early 1990s Europe’s taxes had become more burdensome and, in Prescott’s view, its employees less motivated

A substantial gap persists today: American tax revenue is 28% of GDP, compared with 40% or so in Europe.

A recent study by Jósef Sigurdsson of Stockholm University examined how Icelandic workers responded to a one-year income-tax holiday in 1987, when the country overhauled its tax system. Although people with more flexibility—especially younger ones in part-time jobs—did indeed put in more hours, the overall increase in work was modest relative to that implied by Prescott’s model.

Regulation seems to matter more.

European rules give workers power, from generous parental-leave policies to stricter laws on firing staff. Many European countries try to put caps on working tim

most research agrees that they have reduced work hours.

Another important relationship is that, as people get richer, they typically want to work less

A recent paper by the IMF shows a remarkably strong link between GDP per person and hours worked in Europe. People in richer countries, such as the Netherlands, generally work less than those in poorer countries, such as Bulgaria.

Americans are wealthier than most Europeans, so why do they still work more?

Perhaps leisure is a collective-action problem. Americans may want to ask their bosses for longer holidays but are worried about being seen as slackers

A paper in 2005 by Alberto Alesina of Harvard University and colleagues argued that Europe’s stronger unions had in effect solved this collective-action problem by fighting for paid vacations, which ended up enshrined in law.

Europe’s well-regulated leisure time may then beget more leisure because it is more socially acceptable, and the market responds by supplying more good ways not to work. It is a virtuous cycle of lovely cafés.

One fascinating new development is a discrepancy in the rise of remote work

In 2023 the Global Survey of Working Arrangements found that full-time employees in America work from home 1.4 days a week, while those in Europe do so for 0.8 days

a striking result: Europeans and Americans now spend almost exactly the same amount of time in the office, with 1,320 hours a year for the former and 1,304 for the latter.

In other words, the extra 15% of work done by Americans annually is now from the comfort of their own homes—or occasionally on the beach, perhaps even one in Europe. Americans do still work harder, but rather more enjoyably than in the past

The ordinary fixes—the kind that draw on people’s will, and require eating less and moving more—rarely have a large or lasting effect. Indeed, America itself has suffered through a long, maddening history of failed attempts to change its habits on a national scale: a yo-yo diet of well-intentioned treatments, policies, and other social interventions that only ever lead us back to where we started

Through it all, obesity rates keep going up; the diabetes epidemic keeps worsening.

The most recent miracle, for Barb as well as for the nation, has come in the form of injectable drugs. In early 2021, the Danish pharmaceutical company Novo Nordisk published a clinical trial showing remarkable results for semaglutide, now sold under the trade names Wegovy and Ozempic.

Patients in the study who’d had injections of the drug lost, on average, close to 15 percent of their body weight—more than had ever been achieved with any other drug in a study of that size. Wadden knew immediately that this would be “an incredible revolution in the treatment of obesity.”

Many more drugs are now racing through development: survodutide, pemvidutide, retatrutide. (Among specialists, that last one has produced the most excitement: An early trial found an average weight loss of 24 percent in one group of participants.

In the United States, an estimated 189 million adults are classified as having obesity or being overweight

The drugs don’t work for everyone. Their major side effects—nausea, vomiting, and diarrhea—can be too intense for many patients. Others don’t end up losing any weight

For the time being, just 25 percent of private insurers offer the relevant coverage, and the cost of treatment—about $1,000 a month—has been prohibitive for many Americans.

The drugs have already been approved not just for people with diabetes or obesity, but for anyone who has a BMI of more than 27 and an associated health condition, such as high blood pressure or cholesterol. By those criteria, more than 140 million American adults already qualify

if this story goes the way it’s gone for other “risk factor” drugs such as statins and antihypertensives, then the threshold for prescriptions will be lowered over time, inching further toward the weight range we now describe as “normal.”

How you view that prospect will depend on your attitudes about obesity, and your tolerance for risk

The first GLP-1 drug to receive FDA approval, exenatide, has been used as a diabetes treatment for more than 20 years. No long-term harms have been identified—but then again, that drug’s long-term effects have been studied carefully only across a span of seven years

the data so far look very good. “These are now being used, literally, in hundreds of thousands of people across the world,” she told me, and although some studies have suggested that GLP-1 drugs may cause inflammation of the pancreas, or even tumor growth, these concerns have not borne out.

adolescents are injecting newer versions of these drugs, and may continue to do so every week for 50 years or more. What might happen over all that time?

“All of us, in the back of our minds, always wonder, Will something show up?  ” Although no serious problems have yet emerged, she said, “you wonder, and you worry.”

in light of what we’ve been through, it’s hard to see what other choices still remain. For 40 years, we’ve tried to curb the spread of obesity and its related ailments, and for 40 years, we’ve failed. We don’t know how to fix the problem. We don’t even understand what’s really causing it. Now, again, we have a new approach. This time around, the fix had better work.

The fen-phen revolution arrived at a crucial turning point for Wadden’s field, and indeed for his career. By then he’d spent almost 15 years at the leading edge of research into dietary interventions, seeing how much weight a person might lose through careful cutting of their calories.

But that sort of diet science—and the diet culture that it helped support—had lately come into a state of ruin. Americans were fatter than they’d ever been, and they were giving up on losing weight. According to one industry group, the total number of dieters in the country declined by more than 25 percent from 1986 to 1991.

Rejecting diet culture became something of a feminist cause. “A growing number of women are joining in an anti-diet movement,” The New York Times reported in 1992. “They are forming support groups and ceasing to diet with a resolve similar to that of secretaries who 20 years ago stopped getting coffee for their bosses.

Now Wadden and other obesity researchers were reaching a consensus that behavioral interventions might produce in the very best scenario an average lasting weight loss of just 5 to 10 percent

National surveys completed in 1994 showed that the adult obesity rate had surged by more than half since 1980, while the proportion of children classified as overweight had doubled. The need for weight control in America had never seemed so great, even as the chances of achieving it were never perceived to be so small.

Wadden wasn’t terribly concerned, because no one in his study had reported any heart symptoms. But ultrasounds revealed that nearly one-third of them had some degree of leakage in their heart valves. His “cure for obesity” was in fact a source of harm.

In December 1994, the Times ran an editorial on what was understood to be a pivotal discovery: A genetic basis for obesity had finally been found. Researchers at Rockefeller University were investigating a molecule, later named leptin, that gets secreted from fat cells and travels to the brain, and that causes feelings of satiety. Lab mice with mutations in the leptin gene—importantly, a gene also found in humans—overeat until they’re three times the size of other mice. “The finding holds out the dazzling hope,”

In April 1996, the doctors recommended yes: Dexfenfluramine was approved—and became an instant blockbuster. Patients received prescriptions by the hundreds of thousands every month. Sketchy wellness clinics—call toll-free, 1-888-4FEN-FEN—helped meet demand. Then, as now, experts voiced concerns about access. Then, as now, they worried that people who didn’t really need the drugs were lining up to take them. By the end of the year, sales of “fen” alone had surpassed $300 million.

It was nothing less than an awakening, for doctors and their patients alike. Now a patient could be treated for excess weight in the same way they might be treated for diabetes or hypertension—with a drug they’d have to take for the rest of their life.

the article heralded a “new understanding of obesity as a chronic disease rather than a failure of willpower.”

News had just come out that, at the Mayo Clinic in Minnesota, two dozen women taking fen-phen—including six who were, like Barb, in their 30s—had developed cardiac conditions. A few had needed surgery, and on the operating table, doctors discovered that their heart valves were covered with a waxy plaque.

Americans had been prescribed regular fenfluramine since 1973, and the newer drug, dexfenfluramine, had been available in France since 1985. Experts took comfort in this history. Using language that is familiar from today’s assurances regarding semaglutide and other GLP-1 drugs, they pointed out that millions were already on the medication. “It is highly unlikely that there is anything significant in toxicity to the drug that hasn’t been picked up with this kind of experience,” an FDA official named James Bilstad would later say in a Time cover story headlined “The Hot New Diet Pill.

“I know I can’t get any more,” she told Williams. “I have to use up what I have. And then I don’t know what I’m going to do after that. That’s the problem—and that is what scares me to death.” Telling people to lose weight the “natural way,” she told another guest, who was suggesting that people with obesity need only go on low-carb diets, is like “asking a person with a thyroid condition to just stop their medication.”

She’d gone off the fen-phen and had rapidly regained weight. “The voices returned and came back in a furor I’d never heard before,” Barb later wrote on her blog. “It was as if they were so angry at being silenced for so long, they were going to tell me 19 months’ worth of what they wanted me to hear. I was forced to listen. And I ate. And I ate. And ate.”

For Barb, rapid weight loss has brought on a different metaphysical confusion. When she looks in the mirror, she sometimes sees her shape as it was two years ago. In certain corners of the internet, this is known as “phantom fat syndrome,” but Barb dislikes that term. She thinks it should be called “body integration syndrome,” stemming from a disconnect between your “larger-body memory” and “smaller-body reality.

In 2003, the U.S. surgeon general declared obesity “the terror within, a threat that is every bit as real to America as the weapons of mass destruction”; a few months later, Eric Finkelstein, an economist who studies the social costs of obesity, put out an influential paper finding that excess weight was associated with up to $79 billion in health-care spending in 1998, of which roughly half was paid by Medicare and Medicaid. (Later he’d conclude that the number had nearly doubled in a decade.

In 2004, Finkelstein attended an Action on Obesity summit hosted by the Mayo Clinic, at which numerous social interventions were proposed, including calorie labeling in workplace cafeterias and mandatory gym class for children of all grades.

he message at their core, that soda was a form of poison like tobacco, spread. In San Francisco and New York, public-service campaigns showed images of soda bottles pouring out a stream of glistening, blood-streaked fat. Michelle Obama led an effort to depict water—plain old water—as something “cool” to drink.

Soon, the federal government took up many of the ideas that Brownell had helped popularize. Barack Obama had promised while campaigning for president that if America’s obesity trends could be reversed, the Medicare system alone would save “a trillion dollars.” By fighting fat, he implied, his ambitious plan for health-care reform would pay for itself. Once he was in office, his administration pulled every policy lever it could.

Michelle Obama helped guide these efforts, working with marketing experts to develop ways of nudging kids toward better diets and pledging to eliminate “food deserts,” or neighborhoods that lacked convenient access to healthy, affordable food. She was relentless in her public messaging; she planted an organic garden at the White House and promoted her signature “Let’s Move!” campaign around the country.

An all-out war on soda would come to stand in for these broad efforts. Nutrition studies found that half of all Americans were drinking sugar-sweetened beverages every day, and that consumption of these accounted for one-third of the added sugar in adults’ diets. Studies turned up links between people’s soft-drink consumption and their risks for type 2 diabetes and obesity. A new strand of research hinted that “liquid calories” in particular were dangerous to health.

when their field lost faith in low-calorie diets as a source of lasting weight loss, the two friends went in opposite directions. Wadden looked for ways to fix a person’s chemistry, so he turned to pharmaceuticals. Brownell had come to see obesity as a product of our toxic food environment: He meant to fix the world to which a person’s chemistry responded, so he started getting into policy.

The social engineering worked. Slowly but surely, Americans’ lamented lifestyle began to shift. From 2001 to 2018, added-sugar intake dropped by about one-fifth among children, teens, and young adults. From the late 1970s through the early 2000s, the obesity rate among American children had roughly tripled; then, suddenly, it flattened out.

although the obesity rate among adults was still increasing, its climb seemed slower than before. Americans’ long-standing tendency to eat ever-bigger portions also seemed to be abating.

sugary drinks—liquid candy, pretty much—were always going to be a soft target for the nanny state. Fixing the food environment in deeper ways proved much harder. “The tobacco playbook pretty much only works for soda, because that’s the closest analogy we have as a food item,

that tobacco playbook doesn’t work to increase consumption of fruits and vegetables, he said. It doesn’t work to increase consumption of beans. It doesn’t work to make people eat more nuts or seeds or extra-virgin olive oil.

Careful research in the past decade has shown that many of the Obama-era social fixes did little to alter behavior or improve our health. Putting calorie labels on menus seemed to prompt at most a small decline in the amount of food people ate. Employer-based wellness programs (which are still offered by 80 percent of large companies) were shown to have zero tangible effects. Health-care spending, in general, kept going up.

From the mid-1990s to the mid-2000s, the proportion of adults who said they’d experienced discrimination on account of their height or weight increased by two-thirds, going up to 12 percent. Puhl and others started citing evidence that this form of discrimination wasn’t merely a source of psychic harm, but also of obesity itself. Studies found that the experience of weight discrimination is associated with overeating, and with the risk of weight gain over time.

obesity rates resumed their ascent. Today, 20 percent of American children have obesity. For all the policy nudges and the sensible revisions to nutrition standards, food companies remain as unfettered as they were in the 1990s, Kelly Brownell told me. “Is there anything the industry can’t do now that it was doing then?” he asked. “The answer really is no. And so we have a very predictable set of outcomes.”

she started to rebound. The openings into her gastric pouch—the section of her stomach that wasn’t bypassed—stretched back to something like their former size. And Barb found ways to “eat around” the surgery, as doctors say, by taking food throughout the day in smaller portions

Bariatric surgeries can be highly effective for some people and nearly useless for others. Long-term studies have found that 30 percent of those who receive the same procedure Barb did regain at least one-quarter of what they lost within two years of reaching their weight nadir; more than half regain that much within five years.

if the effects of Barb’s surgery were quickly wearing off, its side effects were not: She now had iron, calcium, and B12 deficiencies resulting from the changes to her gut. She looked into getting a revision of the surgery—a redo, more or less—but insurance wouldn’t cover it

She found that every health concern she brought to doctors might be taken as a referendum, in some way, on her body size. “If I stubbed my toe or whatever, they’d just say ‘Lose weight.’ ” She began to notice all the times she’d be in a waiting room and find that every chair had arms. She realized that if she was having a surgical procedure, she’d need to buy herself a plus-size gown—or else submit to being covered with a bedsheet when the nurses realized that nothing else would fit.

Barb grew angrier and more direct about her needs—You’ll have to find me a different chair, she started saying to receptionists. Many others shared her rage. Activists had long decried the cruel treatment of people with obesity: The National Association to Advance Fat Acceptance had existed, for example, in one form or another, since 1969; the Council on Size & Weight Discrimination had been incorporated in 1991. But in the early 2000s, the ideas behind this movement began to wend their way deeper into academia, and they soon gained some purchase with the public.

“Our public-health efforts to address obesity have failed,” Eric Finkelstein, the economist, told me.

Others attacked the very premise of a “healthy weight”: People do not have any fundamental need, they argued, morally or medically, to strive for smaller bodies as an end in itself. They called for resistance to the ideology of anti-fatness, with its profit-making arms in health care and consumer goods. The Association for Size Diversity and Health formed in 2003; a year later, dozens of scholars working on weight-related topics joined together to create the academic field of fat studies.

As the size-diversity movement grew, its values were taken up—or co-opted—by Big Business. Dove had recently launched its “Campaign for Real Beauty,” which included plus-size women. (Ad Age later named it the best ad campaign of the 21st century.) People started talking about “fat shaming” as something to avoid

By 2001, Bacon, who uses they/them pronouns, had received their Ph.D. and finished a rough draft of a book, Health at Every Size, which drew inspiration from a broader movement by that name among health-care practitioners

But something shifted in the ensuing years. In 2007, Bacon got a different response, and the book was published. Health at Every Size became a point of entry for a generation of young activists and, for a time, helped shape Americans’ understanding of obesity.

Some experts were rethinking their advice on food and diet. At UC Davis, a physiologist named Lindo Bacon who had struggled to overcome an eating disorder had been studying the effects of “intuitive eating,” which aims to promote healthy, sustainable behavior without fixating on what you weigh or how you look

The heightened sensitivity started showing up in survey data, too. In 2010, fewer than half of U.S. adults expressed support for giving people with obesity the same legal protections from discrimination offered to people with disabilities. In 2015, that rate had risen to three-quarters.

In Bacon’s view, the 2000s and 2010s were glory years. “People came together and they realized that they’re not alone, and they can start to be critical of the ideas that they’ve been taught,” Bacon told me. “We were on this marvelous path of gaining more credibility for the whole Health at Every Size movement, and more awareness.”

that sense of unity proved short-lived; the movement soon began to splinter. Black women have the highest rates of obesity, and disproportionately high rates of associated health conditions. Yet according to Fatima Cody Stanford, an obesity-medicine physician at Harvard Medical School, Black patients with obesity get lower-quality care than white patients with obesity.

That system was exactly what Bacon and the Health at Every Size movement had set out to reform. The problem, as they saw it, was not so much that Black people lacked access to obesity medicine, but that, as Bacon and the Black sociologist Sabrina Strings argued in a 2020 article, Black women have been “specifically targeted” for weight loss, which Bacon and Strings saw as a form of racism

But members of the fat-acceptance movement pointed out that their own most visible leaders, including Bacon, were overwhelmingly white. “White female dietitians have helped steal and monetize the body positive movement,” Marquisele Mercedes, a Black activist and public-health Ph.D. student, wrote in September 2020. “And I’m sick of it.”

Tensions over who had the standing to speak, and on which topics, boiled over. In 2022, following allegations that Bacon had been exploitative and condescending toward Black colleagues, the Association for Size Diversity and Health expelled them from its ranks and barred them from attending its events.

As the movement succumbed to in-fighting, its momentum with the public stalled. If attitudes about fatness among the general public had changed during the 2000s and 2010s, it was only to a point. The idea that some people can indeed be “fit but fat,” though backed up by research, has always been a tough sell.

Although Americans had become less inclined to say they valued thinness, measures of their implicit attitudes seemed fairly stable. Outside of a few cities such as San Francisco and Madison, Wisconsin, new body-size-discrimination laws were never passed.

In the meantime, thinness was coming back into fashion

In the spring of 2022, Kim Kardashian—whose “curvy” physique has been a media and popular obsession—boasted about crash-dieting in advance of the Met Gala. A year later, the model and influencer Felicity Hayward warned Vogue Business that “plus-size representation has gone backwards.” In March of this year, the singer Lizzo, whose body pride has long been central to her public persona, told The New York Times that she’s been trying to lose weight. “I’m not going to lie and say I love my body every day,” she said.

Among the many other dramatic effects of the GLP-1 drugs, they may well have released a store of pent-up social pressure to lose weight.

If ever there was a time to debate that impulse, and to question its origins and effects, it would be now. But Puhl told me that no one can even agree on which words are inoffensive. The medical field still uses obesity, as a description of a diagnosable disease. But many activists despise that phrase—some spell it with an asterisk in place of the e—and propose instead to reclaim fat.

Everyone seems to agree on the most important, central fact: that we should be doing everything we can to limit weight stigma. But that hasn’t been enough to stop the arguing.

Things feel surreal these days to just about anyone who has spent years thinking about obesity. At 71, after more than four decades in the field, Thomas Wadden now works part-time, seeing patients just a few days a week. But the arrival of the GLP-1 drugs has kept him hanging on for a few more years, he said. “It’s too much of an exciting period to leave obesity research right now.”

When everyone is on semaglutide or tirzepatide, will the soft-drink companies—Brownell’s nemeses for so many years—feel as if a burden has been lifted? “My guess is the food industry is probably really happy to see these drugs come along,” he said. They’ll find a way to reach the people who are taking GLP‑1s, with foods and beverages in smaller portions, maybe. At the same time, the pressures to cut back on where and how they sell their products will abate.

the triumph in obesity treatment only highlights the abiding mystery of why Americans are still getting fatter, even now

Perhaps one can lay the blame on “ultraprocessed” foods, he said. Maybe it’s a related problem with our microbiomes. Or it could be that obesity, once it takes hold within a population, tends to reproduce itself through interactions between a mother and a fetus. Others have pointed to increasing screen time, how much sleep we get, which chemicals are in the products that we use, and which pills we happen to take for our many other maladies.

“The GLP-1s are just a perfect example of how poorly we understand obesity,” Mozaffarian told me. “Any explanation of why they cause weight loss is all post-hoc hand-waving now, because we have no idea. We have no idea why they really work and people are losing weight.”

The new drugs—and the “new understanding of obesity” that they have supposedly occasioned—could end up changing people’s attitudes toward body size. But in what ways

When the American Medical Association declared obesity a disease in 2013, Rebecca Puhl told me, some thought “it might reduce stigma, because it was putting more emphasis on the uncontrollable factors that contribute to obesity.” Others guessed that it would do the opposite, because no one likes to be “diseased.”

why wasn’t there another kind of nagging voice that wouldn’t stop—a sense of worry over what the future holds? And if she wasn’t worried for herself, then what about for Meghann or for Tristan, who are barely in their 40s? Wouldn’t they be on these drugs for another 40 years, or even longer? But Barb said she wasn’t worried—not at all. “The technology is so much better now.” If any problems come up, the scientists will find solutions.

But the legal wrangling to just get the courts to treat crypto as a set of speculative instruments regulated under securities law made the law moot

In May of 2022, a year after Gensler began trying to do something about Terra/Luna, Kwon’s scheme blew up. In a comically-too-late-to-matter gesture, an appeals court then said that the SEC had the right to compel information from Kwon’s now-bankrupt scheme. It is absolute lunacy that well-settled law, like the ability for the SEC to investigate those in the securities business, is now being re-litigated.

many crypto ‘enthusiasts’ watching Gensler discuss regulation with his predecessor “called for their incarceration or worse.”

it wasn’t just the courts who were an impediment. Gensler wasn’t the only cop on the beat. Other regulators, like those at the Commodities Futures Trading Commission, the Federal Reserve, or the Office of Comptroller of the Currency, not only refused to take action, but actively defended their regulatory turf against an attempt from the SEC to stop the scams.

Behind this was the fist of political power. Everyone saw the incentives the Senate laid down when every single Republican, plus a smattering of Democrats, defeated the nomination of crypto-skeptic Saule Omarova in becoming the powerful bank regulator at the Comptroller of the Currency

Instead of strong figures like Omarova, we had a weakling acting Comptroller Michael Hsu at the OCC, put there by the excessively cautious Treasury Secretary Janet Yellen. Hsu refused to stop bank interactions with crypto or fintech because, as he told Congress in 2021, “These trends cannot be stopped.”

It’s not just these regulators; everyone wanted a piece of the bureaucratic pie. In March of 2022, before it all unraveled, the Biden administration issued an executive order on crypto. In it, Biden said that virtually every single government agency would have a hand in the space.

That’s… insane. If everyone’s in charge, no one is.

And behind all of these fights was the money and political prestige of some most powerful people in Silicon Valley, who were funding a large political fight to write the rules for crypto, with everyone from former Treasury Secretary Larry Summers to former SEC Chair Mary Jo White on the payroll.

(Even now, even after it was all revealed as a Ponzi scheme, Congress is still trying to write rules favorable to the industry. It’s like, guys, stop it. There’s no more bribe money!)

Moreover, the institution Gensler took over was deeply weakened. Since the Reagan administration, wave after wave of political leader at the SEC has gutted the place and dumbed down the enforcers. Courts have tied up the commission in knots, and Congress has defanged it

Under Trump crypto exploded, because his SEC chair Jay Clayton had no real policy on crypto (and then immediately went into the industry after leaving.) The SEC was so dormant that when Gensler came into office, some senior lawyers actually revolted over his attempt to make them do work.

In other words, the regulators were tied up in the courts, they were against an immensely powerful set of venture capitalists who have poured money into Congress and D.C., they had feeble legal levers, and they had to deal with ‘crypto enthusiasts' who thought they should be jailed or harmed for trying to impose basic rules around market manipulation.

The bottom line is, Gensler is just one regulator, up against a lot of massed power, money, and bad institutional habits. And we as a society simply made the choice through our elected leaders to have little meaningful law enforcement in financial markets, which first became blindingly obvious in 2008 during the financial crisis, and then became comical ten years later when a sector whose only real use cases were money laundering

, Ponzi scheming or buying drugs on the internet, managed to rack up enough political power to bring Tony Blair and Bill Clinton to a conference held in a tax haven billed as ‘the future.’

It took a few years, but New Dealers finally implemented a workable set of securities rules, with the courts agreeing on basic definitions of what was a security. By the 1950s, SEC investigators could raise an eyebrow and change market behavior, and the amount of cheating in finance had dropped dramatically.

By 1935, the New Dealers had set up a new agency, the Securities and Exchange Commission, and cleaned out the FTC. Yet there was still immense concern that Roosevelt had not been able to tame Wall Street. The Supreme Court didn’t really ratify the SEC as a constitutional body until 1938, and nearly struck it down in 1935 when a conservative Supreme Court made it harder for the SEC to investigate cases.

Institutional change, in other words, takes time.

It’s a lesson to remember as we watch the crypto space melt down, with ex-billionaire Sam Bankman-Fried

It’s not like perfidy in crypto was some hidden secret. At the top of the market, back in December 2021, I wrote a piece very explicitly saying that crypto was a set of Ponzi schemes. It went viral, and I got a huge amount of hate mail from crypto types

one of the more bizarre aspects of the crypto meltdown is the deep anger not just at those who perpetrated it, but at those who were trying to stop the scam from going on. For instance, here’s crypto exchange Coinbase CEO Brian Armstrong, who just a year ago was fighting regulators vehemently, blaming the cops for allowing gambling in the casino he helps run.

FTX.com was an offshore exchange not regulated by the SEC. The problem is that the SEC failed to create regulatory clarity here in the US, so many American investors (and 95% of trading activity) went offshore. Punishing US companies for this makes no sense.

Trump and Leo, a prominent conservative lawyer influential in his first term, have not spoken since 2020, according to people familiar with the matter. Their relationship ended over a heated fight in 2020 at Mar-a-Lago, where Trump accused Leo of picking Rod J. Rosenstein to be deputy attorney general, a person familiar with the matter said. Trump’s anger around Rosenstein centered on his decision to appoint special counsel Robert S. Mueller III to oversee the Justice Department’s probe of Russian interference in the 2016 election

Trump has signaled that he wants the Justice Department to go after his political opponents, and his associates have drafted plans to invoke the Insurrection Act on his first day in office, which would allow him to send the military against civil demonstrations. Near the end of his time in the White House, he repeatedly complained that his White House Counsel’s Office wasn’t doing enough to help him overturn the election results. His attorney general resigned after he would not back up his claims.

“He’s the leading candidate, so I don’t know that it matters what I think,” said Brent O. Hatch, a lawyer who is on the board of the Federalist Society.

Although Trump reshaped the Supreme Court while in office, leading to the overturning of Roe, he has sometimes told others that the decision is a political albatross for Republicans. And he has complained recently at rallies about the Supreme Court and the decisions the judges make, saying without evidence they rule too often against Republicans to show “independence.”

Trump is running on a campaign focused, at least in part, on vengeance and retribution. The former president has made it clear that loyalty would be a key criteria in how he makes decisions if returned to office.

Most members of the Federalist Society board of directors declined to comment on the record or did not respond to a request for comment. Interviews with a dozen other prominent lawyers suggested most had serious misgivings about Trump returning to power but were resigned to the high likelihood he will be the nominee, and many expressed openness to working for another Trump administration.

There is a heated debate underway in conservative legal circles about how GOP lawyers should interact with what increasingly appears to be the likely nominee, according to conservative lawyers who described the private talks on the condition of anonymity. The discussions include whether they would return to work for Trump.

One prominent lawyer described a November dinner he attended where almost all the attorneys in the room said they would prefer another nominee — but were split on whether to back Trump if he wins

Leo, McConnell and McGahn have expressed reservations about what another Trump term would look like, though they have largely stayed away from a public fight.

Some of the informal conversations and debates underway in conservative legal circles about a second Trump term include Project 2025, a coalition of right-wing groups that has outlined plans for the next Republican administration. Clark, who is working on the Insurrection Act for Project 2025, has been charged with violating Georgia’s anti-racketeering law, in the case alleging Trump and co-conspirators of interfering in the 2020 election. Clark pleaded guilty.

The involvement of Clark with that effort has alarmed some other conservative lawyers who view him as a potentially disastrous choice to take a senior leadership role at the department because of his past activities around the 2020 election.

Rob Kelner, a prominent conservative lawyer, said more conservative lawyers should have spoken up against Trump, but that it would cost them business and relationships.

“There were so many positions he took and so many statements that he made that flatly contradicted the foundational principles of the conservative movement and the Federalist Society, and yet it was so rare to hear conservative lawyers speak out against Trump,” Kelner said.

This finding is the latest example of how tough it is to vet products we buy online. Buggy software in off-brand smart devices is a recurring problem

digital marketplaces such as Amazon have done little to rein in offending manufacturers. Combine that with sponsored search results and opaque labeling — Amazon repeatedly called the Eken doorbells an “Amazon’s Choice: Overall Pick” — and shoppers have little recourse to figure out which devices are safe.

Smaller brands churn out smart lightbulbs and speakers to compete with bigger companies, often cutting corners on security. Big brands, meanwhile, do a better job with security but create new privacy concerns — do we really want Amazon peeking into every corner of our homes? Efforts to label consumer tech with simple security facts have languished.

Meanwhile, large online marketplaces put unvetted gadgets in front of millions of shoppers. In January alone, Amazon sold 4,200 Eken doorbells under 11 product listings, according to Consumer Reports. Whether you’re shopping for smart home tech or a simple tank top, having to navigate a sea of unfamiliar brands and dubious product reviews is now common

Linker’s description of Bushnell’s options and actions is measured and not without some respect:

Damon hops off the bus at the same point I do: Bushnell displayed a tremendous amount of courage, yes. But this was mated to an absolute moral certainty.

Every society needs both, because that is how we conserve our achievements while still working toward a more perfect order.

[Bushnell’s] choice of that word to describe Israel means he followed the “anti-colonial left” in viewing the interminable conflict in and around the Jewish state through the lens of Western imperialism across the “global south.” Viewed in this way, Israelis are rapacious oppressors, exploiters, unjustly stealing from the Palestinians, occupying their land, not just in the territories of the West Bank that are occupied under international law but likely in its entirety. That’s certainly how Hamas views the situation, with an added overlay of Islamist theofascism.

What would it be like, I wonder, to live in a world so morally simple, so neat and tidy, so devoid of tragic clashes, so orderly, with its heroes and villains, its Children of Light and its Children of Darkness? I really wouldn’t know. Because the world I inhabit is one permeated by ambiguity and people with mixed motives who are often (usually?) torn between competing moral considerations and imperatives, not a world divided between the absolutely good and the absolutely evil. The line between good and evil doesn’t run between East and West, or North and South, or white and black, or Israel and Palestine. It runs right through every human heart. Or at least most hearts.

This is where liberalism and conservatism meet, in the most elemental sense. The conservative impulse is to be suspicious of change because you are aware that things can always get worse, that systems are often too complex to be understood, that tail risk rules the world. The liberal impulse is to believe that agency is precious, that the world can be improved, that progress is both possible and desirable.

Linker notes that Bushnell referred to Israelis as “colonizers”:

Every governing system needs both, because that is how we channel passions out of the street and into political institutions.

And every person needs both, because that is how we avoid the epistemic certainty that can drive us to extremes of exuberance or despair.

The war in Gaza is a textbook example of the dangers of epistemic certainty, because it is too complicated, freighted with too much history, and too full of horrors to fit neatly on one side of the ledger or the other.

The 10/7 attack was an act of unconstrained barbarism that made it impossible for Israel to coexist with Hamas. Or at least: I am not aware of any proposed remedy that would have made coexistence possible without Israel becoming a fully militarized, illiberal state.

The Israeli response has at times violated the rules of war—sometimes of its own volition and sometimes because Hamas’s strategy has been to position assets in such a manner as to result in the deaths of as many Palestinian civilians as possible.

The suffering of the Palestinian people is real and of a magnitude that is almost impossible to comprehend.

And yet, the war continues because Hamas has no interest in a ceasefire. “We are not interested in engaging with what’s been floated, because it does not fulfill our demands,” one Hamas official told the media yesterday.

The world is messy. Life is messy. Often in ways which break the human heart. The project of liberal society, which requires equal measures of liberalism and conservatism, is to manage this messiness as well as possible.

Even as India has expanded defense ties with the United States and doubled bilateral trade over the past decade, to about $130 billion in goods alone, it has resisted American pressure to reconsider its strong relations with Russia. India has deepened connections with Europe and the Middle East, too; trade with the United Arab Emirates alone has reached $85 billion.

While India remains wary of becoming a pawn in the West’s fight with Beijing, and has not forgotten its frosty history with the United States, China has become an unavoidable focus after being a secondary threat for much of modern Indian history.

India’s socialist founding prime minister was accommodating of Communist China, but the bonhomie was shattered by a monthlong war in 1962 that left thousands dead. The relationship began to normalize in the 1980s even as incursions continued, and open channels of communication kept tensions down and elevated trade.

The situation changed in the years before Mr. Modi took office, she said. As its economy soared, China began flexing its muscles — investing heavily in its Belt and Road infrastructure initiative, which India saw as threatening its security and spheres of influence, and moving more aggressively on its borders and in the Indian Ocean.

As prime minister, he did not allow the embarrassment of the Chinese incursion in 2014 to dampen his red-carpet welcome to Mr. Xi. His subtle message — a warning that “a little toothache can paralyze the entire body” — carried the hope that Mr. Xi would come around.

That hope ended with the deadly 2020 clash in Eastern Ladakh. Now, it is clear that New Delhi is resigned to a long-term threat from China, a shift evident in Mr. Modi’s push for road and tunnel construction in border areas to support a large troop presence.