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Javier E

Opinion | The Greatest Threat Posed by Trump - The New York Times - 0 views

  • the problem I’m most concerned about isn’t the political melee; it’s the ongoing cultural transformation of red America, a transformation that a second Trump term could well render unstoppable.
  • t the most enduring legacy of a second Trump term could well be the conviction on the part of millions of Americans that Trumpism isn’t just a temporary political expediency, but the model for Republican political success and — still worse — the way that God wants Christian believers to practice politics.
  • Already we can see the changes in individual character. In December, I wrote about the moral devolution of Rudy Giuliani and of the other MAGA men and women who have populated the highest echelons of the Trump movement
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  • what worries me even more is the change I see in ordinary Americans. I live in the heart of MAGA country, and Donald Trump is the single most culturally influential person here. It’s not close. He’s far more influential than any pastor, politician, coach or celebrity. He has changed people politically and also personally. It is common for those outside the Trump movement to describe their aunts or uncles or parents or grandparents as “lost.” They mean their relatives’ lives are utterly dominated by Trump, Trump’s media and Trump’s grievances.
  • never before have I seen extremism penetrate a vast American community so deeply, so completely and so comprehensively.
  • Polling data again and again backs up the reality that the right is abandoning decency, and doing so in the most alarming of ways. It began happening almost immediately with white evangelicals
  • In 2011, they were the American cohort least likely to agree that a politician could commit immoral acts in private yet “still behave ethically and fulfill their duties in their public and professional life.”
  • They went from least likely to most likely to excuse the immoral behavior of politicians.
  • An increasing percentage are now tempted to embrace political violence. Last October, a startling 33 percent of Republicans (and an even larger 41 percent of pro-Trump Americans) agreed with the statement that “because things have gotten so far off track, true American patriots may have to resort to violence in order to save our country.”
  • That percentage is far higher than the (still troubling) 22 percent of independents and 13 percent of Democrats who shared the same view.
  • As the Iowa caucuses approached, Trump escalated his language, going so far as to call his political opponents “vermin” and declaring that immigrants entering America illegally are “poisoning the blood of our country.” The statement was so indefensible and repugnant that many expected it to hurt Trump. Yet a Des Moines Register/NBC News/Mediacom Iowa Poll found that a 42 percent plurality of likely Iowa Republican caucusgoers said the statement would make them more likely to support Trump — a substantially greater percentage than the 28 percent who said it would make them less likely to support him.
  • While political violence is hardly exclusive to the right, the hostility and vitriol embedded in MAGA America is resulting in an escalating wave of threats and acts of intimidation.
  • The result is a religious movement steeped in fanaticism but stripped of virtue. The fruit of the spirit described in Galatians in the New Testament — “love, joy, peace, patience, kindness, goodness, faithfulness, gentleness, and self-control” — is absent from MAGA Christianity, replaced by the very “works of the flesh” the same passage warned against, including “hatreds, strife, jealousy, outbursts of anger, selfish ambitions, dissensions” and “factions.”
  • in the upside-down world of MAGA morality, vice is virtue and virtue is vice. My colleague Jane Coaston even coined a term, “vice signaling,” to describe how Trump’s core supporters convey their tribal allegiance. They’re often deliberately rude, transgressive or otherwise unpleasant, just to demonstrate how little they care about conventional moral norms.
  • For most of my life, conservative evangelicals (including me) have been fond of quoting John Adams’s 1798 letter to the Massachusetts Militia. It’s a critical founding document, one that forcefully argues that our Republic needs a virtuous citizenry to survive. “Our Constitution was made only for a moral and religious People,” he asserts. “It is wholly inadequate to the government of any other.”
  • I’ve appreciated that quote because it recognizes the obligations of a free people in a constitutional republic to exercise their liberty toward virtuous purposes.
  • Absent public virtue, a republic can fall. And a Trump win in 2024 would absolutely convince countless Americans that virtue is for suckers, and vice is the key to victory.
  • if he wins again, the equation will change and history may record that he was not the culmination of a short-lived reactionary moment, but rather the harbinger of a greater darkness to come.
Javier E

Opinion | Our Kids Are Living In a Different Digital World - The New York Times - 0 views

  • You may have seen the tins that contain 15 little white rectangles that look like the desiccant packs labeled “Do Not Eat.” Zyns are filled with nicotine and are meant to be placed under your lip like tobacco dip. No spitting is required, so nicotine pouches are even less visible than vaping. Zyns come in two strengths in the United States, three and six milligrams. A single six-milligram pouch is a dose so high that first-time users on TikTok have said it caused them to vomit or pass out.
  • Greyson Imm, an 18-year-old high school student in Prairie Village, Kan., said he was 17 when Zyn videos started appearing on his TikTok feed. The videos multiplied through the spring, when they were appearing almost daily. “Nobody had heard about Zyn until very early 2023,” he said. Now, a “lot of high schoolers have been using Zyn. It’s really taken off, at least in our community.”
  • I was stunned by the vast forces that are influencing teenagers. These forces operate largely unhampered by a regulatory system that seems to always be a step behind when it comes to how children can and are being harmed on social media.
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  • Parents need to know that when children go online, they are entering a world of influencers, many of whom are hoping to make money by pushing dangerous products. It’s a world that’s invisible to us
  • when we log on to our social media, we don’t see what they see. Thanks to algorithms and ad targeting, I see videos about the best lawn fertilizer and wrinkle laser masks, while Ian is being fed reviews of flavored vape pens and beautiful women livestreaming themselves gambling crypto and urging him to gamble, too.
  • Smartphones are taking our kids to a different world
  • We worry about bad actors bullying, luring or indoctrinating them online
  • all of this is, unfortunately, only part of what makes social media dangerous.
  • The tobacco conglomerate Philip Morris International acquired the Zyn maker Swedish Match in 2022 as part of a strategic push into smokeless products, a category it projects could help drive an expected $2 billion in U.S. revenue in 2024.
  • P.M.I. is also a company that has long denied it markets tobacco products to minors despite decades of research accusing it of just that. One 2022 study alone found its brands advertising near schools and playgrounds around the globe.
  • the ’90s, when magazines ran full-page Absolut Vodka ads in different colors, which my friends and I collected and taped up on our walls next to pictures of a young Leonardo DiCaprio — until our parents tore them down. This was advertising that appealed to me as a teenager but was also visible to my parents, and — crucially — to regulators, who could point to billboards near schools or flavored vodka ads in fashion magazines and say, this is wrong.
  • Even the most committed parent today doesn’t have the same visibility into what her children are seeing online, so it is worth explaining how products like Zyn end up in social feeds
  • influencers. They aren’t traditional pitch people. Think of them more like the coolest kids on the block. They establish a following thanks to their personality, experience or expertise. They share how they’re feeling, they share what they’re thinking about, they share stuff they l
  • With ruthless efficiency, social media can deliver unlimited amounts of the content that influencers create or inspire. That makes the combination of influencers and social-media algorithms perhaps the most powerful form of advertising ever invented.
  • Videos like his operate like a meme: It’s unintelligible to the uninitiated, it’s a hilarious inside joke to those who know, and it encourages the audience to spread the message
  • Enter Tucker Carlson. Mr. Carlson, the former Fox News megastar who recently started his own subscription streaming service, has become a big Zyn influencer. He’s mentioned his love of Zyn in enough podcasts and interviews to earn the nickname Tucker CarlZyn.
  • was Max VanderAarde. You can glimpse him in a video from the event wearing a Santa hat and toasting Mr. Carlson as they each pop Zyns in their mouths. “You can call me king of Zynbabwe, or Tucker CarlZyn’s cousin,” he says in a recent TikTok. “Probably, what, moved 30 mil cans last year?”
  • Freezer Tarps, Mr. VanderAarde’s TikTok account, appears to have been removed after I asked the company about it. Left up are the large number of TikToks by the likes of @lifeofaZyn, @Zynfluencer1 and @Zyntakeover; those hashtagged to #Zynbabwe, one of Freezer Tarps’s favorite terms, have amassed more than 67 million views. So it’s worth breaking down Mr. VanderAarde’s videos.
  • All of these videos would just be jokes (in poor taste) if they were seen by adults only. They aren’t. But we can’t know for sure how many children follow the Nelk Boys or Freezer Tarps — social-media companies generally don’t release granular age-related data to the public. Mr. VanderAarde, who responded to a few of my questions via LinkedIn, said that nearly 95 percent of his followers are over the age of 18.
  • I turned to Influencity, a software program that estimates the ages of social media users by analyzing profile photos and selfies in recent posts. Influencity estimated that roughly 10 percent of the Nelk Boys’ followers on YouTube are ages 13 to 17. That’s more than 800,000 children.
  • The helicopter video has already been viewed more than one million times on YouTube, and iterations of it have circulated widely on TikTok.
  • YouTube said it eventually determined that four versions of the Carlson Zyn videos were not appropriate for viewers under age 18 under its community guidelines and restricted access to them by age
  • Mr. Carlson declined to comment on the record beyond his two-word statement. The Nelk Boys didn’t respond to requests for comment. Meta declined to comment on the record. TikTok said it does not allow content that promotes tobacco or its alternatives. The company said that it has over 40,000 trust and safety experts who work to keep the platform safe and that it prevented teenagers’ accounts from viewing over two million videos globally that show the consumption of tobacco products by adults. TikTok added that in the third quarter of 2023 it proactively removed 97 percent of videos that violated its alcohol, tobacco and drugs policy.
  • Greyson Imm, the high school student in Prairie Village, Kan., points to Mr. VanderAarde as having brought Zyn “more into the mainstream.” Mr. Imm believes his interest in independent comedy on TikTok perhaps made him a target for Mr. VanderAarde’s videos. “He would create all these funny phrases or things that would make it funny and joke about it and make it relevant to us.”
  • It wasn’t long before Mr. Imm noticed Zyn blowing up among his classmates — so much so that the student, now a senior at Shawnee Mission East High School, decided to write a piece in his school newspaper about it. He conducted an Instagram poll from the newspaper’s account and found that 23 percent of the students who responded used oral nicotine pouches during school.
  • “Upper-decky lip cushions, ferda!” Mr. VanderAarde coos in what was one of his popular TikTok videos, which had been liked more than 40,000 times. The singsong audio sounds like gibberish to most people, but it’s actually a call to action. “Lip cushion” is a nickname for a nicotine pouch, and “ferda” is slang for “the guys.”
  • “I have fun posting silly content that makes fun of pop culture,” Mr. VanderAarde said to me in our LinkedIn exchange.
  • They’re incentivized to increase their following and, in turn, often their bank accounts. Young people are particularly susceptible to this kind of promotion because their relationship with influencers is akin to the intimacy of a close friend.
  • I’ve spent the past three years studying media manipulation and memes, and what I see in Freezer Tarps’s silly content is strategy. The use of Zyn slang seems like a way to turn interest in Zyn into a meme that can be monetized through merchandise and other business opportunities.
  • Such as? Freezer Tarps sells his own pouch product, Upperdeckys, which delivers caffeine instead of nicotine and is available in flavors including cotton candy and orange creamsicle. In addition to jockeying for sponsorship, Mr. Carlson may also be trying to establish himself with a younger, more male, more online audience as his new media company begins building its subscriber base
  • This is the kind of viral word-of-mouth marketing that looks like entertainment, functions like culture and can increase sales
  • What’s particularly galling about all of this is that we as a society already agreed that peddling nicotine to kids is not OK. It is illegal to sell nicotine products to anyone under the age of 21 in all 50 states
  • numerous studies have shown that the younger people are when they try nicotine for the first time, the more likely they will become addicted to it. Nearly 90 percent of adults who smoke daily started smoking before they turned 18.
  • Decades later — even after Juul showed the power of influencers to help addict yet another generation of children — the courts, tech companies and regulators still haven’t adequately grappled with the complexities of the influencer economy.
  • Facebook, Instagram and TikTok all have guidelines that prohibit tobacco ads and sponsored, endorsed or partnership-based content that promotes tobacco products. Holding them accountable for maintaining those standards is a bigger question.
  • We need a new definition of advertising that takes into account how the internet actually works. I’d go so far as to propose that the courts broaden the definition of advertising to include all influencer promotion. For a product as dangerous as nicotine, I’d put the bar to be considered an influencer as low as 1,000 followers on a social-media account, and maybe if a video from someone with less of a following goes viral under certain legal definitions, it would become influencer promotion.
  • Laws should require tech companies to share data on what young people are seeing on social media and to prevent any content promoting age-gated products from reaching children’s feeds
  • hose efforts must go hand in hand with social media companies putting real teeth behind their efforts to verify the ages of their users. Government agencies should enforce the rules already on the books to protect children from exposure to addictive products,
  • I refuse to believe there aren’t ways to write laws and regulations that can address these difficult questions over tech company liability and free speech, that there aren’t ways to hold platforms more accountable for advertising that might endanger kids. Let’s stop treating the internet like a monster we can’t control. We built it. We foisted it upon our children. We had better try to protect them from its potential harms as best we can.
Javier E

AI fears are reaching the top levels of finance and law - The Washington Post - 0 views

  • In a report released last week, the forum said that its survey of 1,500 policymakers and industry leaders found that fake news and propaganda written and boosted by AI chatbots is the biggest short-term risk to the global economy. Around half of the world’s population is participating in elections this year in countries including the United States, Mexico, Indonesia and Pakistan and disinformation researchers are concerned AI will make it easier for people to spread false information and increase societal conflict.
  • AI also may be no better than humans at spotting unlikely dangers or “tail risks,” said Allen. Before 2008, few people on Wall Street foresaw the end of the housing bubble. One reason was that since housing prices had never declined nationwide before, Wall Street’s models assumed such a uniform decline would never occur. Even the best AI systems are only as good as the data they are based on, Allen said.
  • As AI grows more complex and capable, some experts worry about “black box” automation that is unable to explain how it arrived at a decision, leaving humans uncertain about its soundness. Poorly designed or managed systems could undermine the trust between buyer and seller that is required for any financial transaction
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  • Other pundits and entrepreneurs say concerns about the tech are overblown and risk pushing regulators to block innovations that could help people and boost tech company profits.
  • Last year, politicians and policymakers around the world also grappled to make sense of how AI will fit into society. Congress held multiple hearings. President Biden issued an executive order saying AI was the “most consequential technology of our time.” The United Kingdom convened a global AI forum where Prime Minister Rishi Sunak warned that “humanity could lose control of AI completely.” The concerns include the risk that “generative” AI — which can create text, video, images and audio — can be used to create misinformation, displace jobs or even help people create dangerous bioweapons.
Javier E

Ozempic or Bust - The Atlantic - 0 views

  • June 2024 Issue
  • Explore
  • it is impossible to know, in the first few years of any novel intervention, whether its success will last.
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  • 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.
Javier E

Opinion | China's Economy Is in Serious Trouble - The New York Times - 0 views

  • Some analysts expected the Chinese economy to boom after it lifted the draconian “zero Covid” measures it had adopted to contain the pandemic. Instead, China has underperformed by just about every economic indicator other than official G.D.P., which supposedly grew by 5.2 percent.
  • the Chinese economy seems to be stumbling. Even the official statistics say that China is experiencing Japan-style deflation and high youth unemployment. It’s not a full-blown crisis, at least not yet, but there’s reason to believe that China is entering an era of stagnation and disappointment.
  • Why is China’s economy, which only a few years ago seemed headed for world domination, in trouble?
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  • With consumers buying so little, at least relative to the Chinese economy’s productive capacity, how can the nation generate enough demand to keep that capacity in use? The main answer, as Michael Pettis points out, has been to promote extremely high rates of investment, more than 40 percent of G.D.P. The trouble is that it’s hard to invest that much money without running into severely diminishing returns.
  • financial repression — paying low interest on savings and making cheap loans to favored borrowers — that holds down household income and diverts it to government-controlled investment, a weak social safety net that causes families to accumulate savings to deal with possible emergencies, and more.
  • Part of the answer is bad leadership. President Xi Jinping is starting to look like a poor economic manager, whose propensity for arbitrary interventions — which is something autocrats tend to do — has stifled private initiative.
  • But China’s working-age population peaked around 2010 and has been declining ever since. While China has shown impressive technological capacity in some areas, its overall productivity also appears to be stagnating.
  • very high rates of investment may be sustainable if, like China in the early 2000s, you have a rapidly growing work force and high productivity growth as you catch up with Western economies
  • This, in short, isn’t a nation that can productively invest 40 percent of G.D.P. Something has to give.
  • the government was able to mask the problem of inadequate consumer spending for a number of years by promoting a gigantic real estate bubble. In fact, China’s real estate sector became insanely large by international standards.
  • what China must do seems straightforward: end financial repression and allow more of the economy’s income to flow through to households, and strengthen the social safety net so that consumers don’t feel the need to hoard cash. And as it does this it can ramp down its unsustainable investment spending.
  • But there are powerful players, especially state-owned enterprises, that benefit from financial repression
  • And when it comes to strengthening the safety net, the leader of this supposedly communist regime sounds a bit like the governor of Mississippi, denouncing “welfarism” that creates “lazy people.”
  • Japan ended up managing its downshifting well. It avoided mass unemployment, it never lost social and political cohesion, and real G.D.P. per working-age adult actually rose 50 percent over the next three decades, not far short of growth in the United States.
  • My great concern is that China may not respond nearly as well. How cohesive will China be in the face of economic trouble? Will it try to prop up its economy with an export surge that will run headlong into Western efforts to promote green technologies? Scariest of all, will it try to distract from domestic difficulties by engaging in military adventurism?
Javier E

Opinion | A Strongman President? These Voters Crave It. - The New York Times - 0 views

  • . I have studied and written about authoritarianism for years, and I think it’s important to pay attention to the views and motivations of voters who support authoritarian politicians, even when these politicians are seen by many as threats to the democratic order.
  • My curiosity isn’t merely intellectual. Around the world, these politicians are not just getting elected democratically; they are often retaining enough popular support after a term — or two or three — to get re-elected. Polls strongly suggest that Trump has a reasonable chance of winning another term in November.
  • Why Trump? Even if these voters were unhappy with President Biden, why not a less polarizing Republican, one without indictments and all that dictator talk? Why does Trump have so much enduring appeal?
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  • In my talks with more than 100 voters, no one mentioned the word “authoritarian.” But that was no surprise — many everyday people don’t think in those terms. Focusing solely on these labels can miss the point.
  • Authoritarian leaders project qualities that many voters — not just Trump voters — admire: strength, a sense of control, even an ends-justify-the-means leadership style
  • Our movie-hero presidents, Top Gun pilots and crusading lawyers often take matters into their own hands or break the rules in ways that we cheer.
  • they have something in common with Trump: They are seen as having special or singular strengths, an “I alone can fix it” power.
  • argued that it’s just Trump who’s strong and honest enough to say it out loud — for them, a sign that he’s honest.
  • also see him as an authentic strongman who is not a typical politician
  • during Trump’s presidency, “there weren’t any active wars going on except for Afghanistan, which he did not start. He started no new wars. Our economy was great. Our gas prices were under 2 bucks a gallon. It’s just common sense to me. If it ain’t broke, don’t fix it.”
  • Trump’s vulgar language, his penchant for insults (“Don’t call him a fat pig,” he said about Chris Christie) and his rhetoric about political opponents (promising to “root out the communists, Marxists, fascists and the radical left thugs that live like vermin within the confines of our country”) are seen as signs of authenticity and strength by his supporters
  • Jan. 6, 2021, at the Capitol. I didn’t encounter a single outright supporter of what happened, but many people explained the events away. Increasingly separate information environments and our fractured media ecology shape the way people view that day.
  • they think Biden is too weak and too old to be president. They talk about him with attack lines frequently used by Trump, saying that he’s senile, falling down stairs, losing his train of thought while talking and so on
  • What I heard from voters drawn to Trump was that he had a special strength in making the economy work better for them than Biden has, and that he was a tough, “don’t mess with me” absolutist, which they see as helping to prevent new wars.
  • Many Trump supporters told me that had Trump been president, the war in Ukraine wouldn’t have happened because he would have been strong enough to be feared by Vladimir Putin or smart enough to make a deal with him, if necessary
  • Neither would Hamas have dared attack Israel, a few added. Their proof was that during Trump’s presidency, these wars indeed did not happen.
  • Like many of these right-wing populists, Trump leans heavily on the message that he alone is strong enough to keep America peaceful and prosperous in a scary world
  • In Iowa, Trump praised Orban himself before telling a cheering crowd: “For four straight years, I kept America safe. I kept Israel safe. I kept Ukraine safe, and I kept the entire world safe.”
  • from Trump, these statements often resulted in the crowds leaping to their feet (actually, some rallygoers never sat down) and interrupting him with applause and cheering.
  • That’s charisma. Charisma is an underrated aspect of political success — and it’s not necessarily a function of political viewpoint. Bill Clinton and Barack Obama oozed it, for example, and so does Trump.
  • Charismatic leaders, Weber wrote, “have a certain quality of an individual personality, by virtue of which he is set apart from ordinary men,” and is sought as a leader, especially when people feel the times are troubled.
  • Polls also show that voters believe that Trump would do a better job than Biden on the economy, foreign policy and immigration. It was Trump’s perceived strength, in contrast with Biden’s perceived weakness, that was the common theme that tied it all together for his supporters.
  • “I’m not concerned with Jan. 6,” Finch said. “I don’t trust our government. I don’t trust anything they’re saying. They’ve been doing this to Black people for so long, railroading them, so they have zero credibility. So I don’t even care about it, and I don’t want to hear about Jan. 6.”
  • For her, biased mainstream media is misrepresenting him. “He was making the point that he’d use executive orders on Day 1, like the others do — executive orders bypass Congress, but that’s how it’s done these days,” she said. “He was being sarcastic, not saying he’d be a real dictator.”
  • What’s a bit of due process overstepped here, a trampled emoluments clause there, when all politicians are believed to be corrupt and fractured information sources pump very different messages about reality?
  • Politicians projecting strength at the expense of the rules of liberal democracy isn’t a new phenomenon in the United States, or the world. Thomas Jefferson worried about it. So did Plato. Perhaps acknowledging that Trump’s appeal isn’t that mysterious can help people grapple with its power.
Javier E

Even Elon Musk Wants More Power - WSJ - 0 views

  • the past few weeks might well live on as a business-school case study on the complexity of managing a superstar talent who has succeeded with maverick ways but also, for some, can go too far
  • Just as it isn’t easy for a manager to course-correct a star performer who gets out of line, a board can struggle to rein in a celebrity CEO, especially if everyone is enjoying the company’s stock performance that papers over troubling signs. 
  • At present, Musk directly holds 13% of Tesla shares, or about 21% if including unexercised options, according to the company’s most recent regulatory filing. That’s down from 21% directly held at the end of 2016. 
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  • Now, he’s publicly asking for 25%, to give him more voting power in corporate matters.  
  • That plan, which became subject to litigation, set numerous stretch goals, including the addition of $600 billion to the company’s market value. It offered him tranches of payouts along the way, giving him options in total to about 10% of the company’s stock, worth around $60 billion Friday after exercising costs. 
  • “If I allocate time to Tesla—if I overallocate time to Tesla at the expense of making humanity a space-faring civilization—then I’m not sure what would serve the greater good,” Musk said. “But if there were additional economic resources available that could then subsequently be applied to making life multiplanetary, then perhaps that would serve the greater good.” 
  • Musk surprised many by completing the final tranche of his plan in 2022—to his and investors’ benefit. 
  • His public airing of his demands were made even more unusual given that he and the board have plenty of reasons to make something work. His unexpected departure would hurt the stock’s value, which would be bad both for his own wealth and for the board responsible for ensuring shareholder value.  
  • “This is primarily about ensuring the right amount of voting influence at Tesla,” Musk tweeted. “If I have 25%, it means I am influential, but can be overridden if twice as many shareholders vote against me vs for me. At 15% or lower, the for/against ratio to override me makes a takeover by dubious interests too easy.” 
Javier E

Order and Calm Eased Evacuation from Burning Japan Airlines Jet - The New York Times - 0 views

  • While a number of factors aided what many have called a miracle at Haneda Airport — a well trained crew of 12; a veteran pilot with 12,000 hours of flight experience; advanced aircraft design and materials — the relative absence of panic onboard during the emergency procedure perhaps helped the most.
  • “Even though I heard screams, mostly people were calm and didn’t stand up from their seats but kept sitting and waiting,” said Aruto Iwama, a passenger who gave a video interview to the newspaper The Guardian. “That’s why I think we were able to escape smoothly.”
  • Experts said that while crews are trained — and passenger jets are tested — for cabin evacuations within 90 seconds in an emergency landing, technical specifications on the 2-year-old Airbus A350-900 most likely gave those on the flight a bit more time to escape.
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  • Firewalls around the engines, nitrogen pumps in fuel tanks that help prevent immediate burning, and fire-resistant materials on seats and flooring most likely helped to keep the rising flames at bay, said Sonya A. Brown, a senior lecturer in aerospace design at the University of New South Wales in Sydney, Australia.
  • “Really, the Japan Airlines crew in this case performed extremely well,” Dr. Brown said. The fact that passengers did not stop to retrieve carry-on luggage or otherwise slow down the exit was “really critical,” she added.
  • Tadayuki Tsutsumi, an official at Japan Airlines, said the most important component of crew performance during an emergency was “panic control” and determining which exit doors were safe to use.
  • Former flight attendants described the rigorous training and drills that crew members undergo to prepare for emergencies. “When training for evacuation procedures, we repeatedly used smoke/fire simulation to make sure we could be mentally ready when situations like those occurred in reality,” Yoko Chang, a former cabin attendant and an instructor of aspiring crew members, wrote in an Instagram message.
  • Ms. Chang, who did not work for JAL, added that airlines require cabin crew members to pass evacuation exams every six months.
Javier E

The New Luddites Aren't Backing Down - The Atlantic - 0 views

  • “Anyone who is critical of the tech industry always has someone yell at them ‘Luddite! Luddite!’ and I was no exception,” she told me. It was meant as an insult, but Crabapple embraced the term. Like many others, she came to self-identify as part of a new generation of Luddites. “Tech is not supposed to be a master tool to colonize every aspect of our being. We need to reevaluate how it serves us.”
  • on some key fronts, the Luddites are winning.
  • The government mobilized what was then the largest-ever domestic military occupation of England to crush the uprising—the Luddites had won the approval of the working class, and were celebrated in popular songs and poems—and then passed a law that made machine-breaking a capital offense. They painted Luddites as “deluded” and backward.
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  • ver since, Luddite has been a derogatory word—shorthand for one who blindly hates or doesn’t understand technology.
  • Now, with nearly half of Americans worried about how AI will affect jobs, Luddism has blossomed. The new Luddites—a growing contingent of workers, critics, academics, organizers, and writers—say that too much power has been concentrated in the hands of the tech titans, that tech is too often used to help corporations slash pay and squeeze workers, and that certain technologies must not merely be criticized but resisted outright.
  • what I’ve seen over the past 10 years—the rise of gig-app companies that have left workers precarious and even impoverished; the punishing, gamified productivity regimes put in place by giants such as Amazon; the conquering of public life by private tech platforms and the explosion of screen addiction; and the new epidemic of AI plagiarism—has left me sympathizing with tech’s discontents.
  • I consider myself a Luddite not because I want to halt progress or reject technology itself. But I believe, as the original Luddites argued in a particularly influential letter threatening the industrialists, that we must consider whether a technology is “hurtful to commonality”—whether it causes many to suffer for the benefit of a few—and oppose it when necessary.
  • “It’s not a primitivism: We don’t reject all technology, but we reject the technology that is foisted on us,” Jathan Sadowski, a social scientist at Monash University, in Australia, told me. He’s a co-host, with the journalist Ed Ongweso Jr., of This Machine Kills, an explicitly pro-Luddite podcast.
  • The science-fiction author Cory Doctorow has declared all of sci-fi a Luddite literature, writing that “Luddism and science fiction concern themselves with the same questions: not merely what the technology does, but who it does it for and who it does it to.
  • The New York Times has profiled a hip cadre of self-proclaimed “‘Luddite’ teens.” As the headline explained, they “don’t want your likes.”
  • By drawing a red line against letting studios control AI, the WGA essentially waged the first proxy battle between human workers and AI. It drew attention to the fight, resonated with the public, and, after a 148-day strike, helped the guild attain a contract that banned studios from dictating the use of AI.
Javier E

Who's Afraid of Early Cancer Detection? - WSJ - 0 views

  • A diagnosis of pancreatic cancer usually means a quick death—but not for Roger Royse, who was in Stage II of the disease when he got the bad news in July 2022. The five-year relative survival rate for late-stage metastatic pancreatic cancer is 3%—which means that patients are 3% as likely to live five years after their diagnosis as other cancer-free individuals. But if pancreatic cancer is caught before it has spread to other organs, the survival rate is 44%.
  • some public-health experts think that’s just as well. They fret that widespread use of multicancer early-detection tests would cause healthcare spending to explode. Those fears have snarled Galleri and similar tests in a web of red tape.
  • Early diagnosis is the best defense against most cancers,
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  • But only a handful of cancers—of the breast, lung, colon and cervix—have screening tests recommended by the U.S. Preventive Services Task Force
  • Many companies are developing blood tests that can detect cancer signals before symptoms occur, and Grail’s is the most advanced. A study found it can identify more than 50 types of cancer 52% of the time and the 12 deadliest cancers in Stages I through III 68% of the time.
  • There’s a hitch. The test costs $949 and isn’t covered by Medicare or most private insurance.
  • The trouble is that this cancer is almost never caught early. There’s no routine screening for it, and symptoms don’t develop until it is advanced. Mr. Royse, 64, had no idea he was sick until he took a blood test called Galleri, produced by the Menlo Park, Calif., startup Grail. He had surgery and chemotherapy and is now cancer-free.
  • Mr. Royse visited Grail’s website, which referred him to a telemedicine provider who ordered a test. Another telemedicine doctor walked him through his results, which showed a cancer signal likely emanating from the pancreas, gallbladder, stomach or esophagus.
  • An MRI revealed a suspicious mass on his pancreas, which a biopsy confirmed was cancerous. Mr. Royse had three months of chemotherapy, surgery and another three months of chemotherapy, which ended last February. Because pancreatic cancer often recurs, he gets CT and MRI scans every three months. In addition, he has signed up for startup Natera’s Signatera customized blood test, which checks DNA specific to the patient’s cancer and can signal its return before signs are visible on the scans
  • Grail’s test likewise looks for DNA shed by cancer cells, which is tagged by molecules called methyl groups that are specific to a cancer’s origin. Grail uses genetic sequencing and machine learning to recognize links between DNA methyl groups and particular cancers
  • The test “is based on how much DNA is being shed by tumor,” Grail’s president, Josh Ofman, says. “Some tumors shed a lot of DNA. Some shed almost none.
  • ut slow-growing tumors typically aren’t shedding a lot of DNA.” That reduces the probability that Grail’s test will identify indolent cancers that pose no immediate danger.
  • Grail’s test has a roughly 0.5% false-positive rate, meaning 1 in 200 patients who don’t have cancer will get a positive signal
  • Its positive predictive value is 43%, so that of every 100 patients with a positive signal, 43 actually have cancer
  • the legislation’s price tag could reduce political support. According to one private company’s estimate, the test could cost the government $39 billion to $145 billion over a decade. Mr. Goldman counters that analysts usually overestimate the costs and underestimate the benefits of medical interventions.
  • Because Grail uses machine learning to detect DNA-methylation cancer linkages, the Grail test’s accuracy should improve as more tests and patient data are collected
  • regulators may balk at approving the test, and insurers at covering it, until it becomes cheaper and more reliable.
  • How would the FDA weigh the risk that a false positive on a test like Grail’s could require invasive follow-up testing against the dire but hard-to-quantify risk that a deadly cancer wouldn’t be caught until it’s much harder to treat? It’s unclear.
  • some experts urge the FDA to require large randomized controlled trials before approving blood cancer tests. “Multicancer screening would entail tremendous costs and potentially substantial harms,” H. Gilbert Welch and Tanujit Dey of Brigham and Women’s Hospital wrote
  • Dr. Welch and Mr. Dey also suggested that companies should be required to prove their tests reduce overall mortality, even though the FDA doesn’t require drugmakers to prove their products reduce deaths or extend life. Clinical trials for the mRNA Covid vaccines didn’t show they reduced deaths.
  • One alternative is to rely on real-world studies, which Grail is already doing. One study of patients 50 and older without signs of cancer showed that the test doubled the number of cancers detected.
  • One recurring problem he has seen: “Epidemiologists are always getting cancer wrong,” he says. “Epidemiologists a decade ago said U.S. overtreats cancers. Well, no, the EU undertreats cancer.”
  • A 2012 study that he co-authored found that the higher U.S. spending on cancer care relative to Europe between 1983 and 1999 resulted in significantly higher survival rates for American patients than for those in Europe
  • By his study’s calculation, U.S. spending on cancer treatments during that period resulted in $556 billion in net benefits owing to reduced mortality.
  • He expects Galleri and other multicancer early-detection tests to reduce deaths and produce public-health and economic benefits that exceed their monetary costs
  • Expanding access to multicancer early-detection tests could also help solve the chicken-and-egg problem of drug development. Because few patients are diagnosed at early stages of some cancers, it’s hard to develop treatments for them
  • the positive predictive value for some recommended cancer screenings is far lower. Fewer than 1 in 10 women with an abnormal finding on a mammogram are diagnosed with breast cancer.
  • Mr. Royse makes the same point with personal force. “I would be dead right now if not for multicancer early-detection testing,” Mr. Royse told an FDA advisory committee last fall. “The longer the FDA waits, the more people are going to die. It’s that simple.”
Javier E

There's Probably Nothing We Can Do About This Awful Deepfake Porn Problem - 0 views

  • we can’t (as in, are unable to in real-world terms) censor far-right content online because of the basic reality of modern communications technology. The internet makes the transmission of information, no matter how ugly or shocking or secret, functionally impossible to stop. Digital infrastructure is spread out across the globe, including in regimes that do not play ball with American legal or corporate mandates, and there’s plenty of server racks out there in the world buzzing along that are inaccessible to even the most dedicated hall monitors
  • , it happens that I am one of those free speech absolutists, yes, but that is very explicitly not what the piece argues - it’s precisely an argument that whether we should censor is entirely moot, because we can’t. The technological impediments to cutting off the flow of information (at least that which is not tightly controlled at the supply-side) are now existential.
  • This is a reality people have to accept, even if - especially if - they think that reality is corrosive and ugly. I suspect it’s a similar story with all of this horrible AI “deepfake” celebrity porn.
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  • The trouble is that, as I’ve seen again and again, in this era of entitlement people think saying “we can’t do this” necessarily means “I don’t want to.”
Javier E

I Always Knew I Was Different. I Just Didn't Know I Was a Sociopath. - WSJ - 0 views

  • I wasn’t a kleptomaniac. A kleptomaniac is a person with a persistent and irresistible urge to take things that don’t belong to them. I suffered from a different type of urge, a compulsion brought about by the discomfort of apathy, the nearly indescribable absence of common social emotions like shame and empathy.
  • I didn’t understand any of this back then. All I knew was that I didn’t feel things the way other kids did. I didn’t feel guilt when I lied. I didn’t feel compassion when classmates got hurt on the playground. For the most part, I felt nothing, and I didn’t like the way that “nothing” felt. So I did things to replace the nothingness with…something.
  • This impulse felt like an unrelenting pressure that expanded to permeate my entire self. The longer I tried to ignore it, the worse it got.
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  • Stealing wasn’t something I necessarily wanted to do. It just happened to be the easiest way to stop the tension.
  • The first time I made this connection was in first grade, sitting behind a girl named Clancy. The pressure had been building for days. Without knowing exactly why, I was overcome with frustration and had the urge to do something violent.
  • I liked Clancy and I didn’t want to steal from her. But I wanted my brain to stop pulsing, and some part of me knew it would help. So, carefully, I reached forward and unclipped the bow. Once it was in my hand, I felt better, as if some air had been released from an overinflated balloon. I didn’t know why, but I didn’t care. I’d found a solution. It was a relief.
  • Together we went through the box. I explained what everything was and where it had come from. Once the box was empty, she stood and said we were going to return every item to its rightful owner, which was fine with me. I didn’t fear consequences and I didn’t suffer remorse, two more things I’d already figured out weren’t “normal.” Returning the stuff actually served my purpose. The box was full, and emptying it would give me a fresh space to store things I had yet to steal.
  • “Why did you take these things?” Mom asked me.I thought of the pressure in my head and the sense that I needed to do bad things sometimes. “I don’t know,” I said.“Well… Are you sorry?” she asked.“Yes,” I said. I was sorry. But I was sorry I had to steal to stop fantasizing about violence, not because I had hurt anyone.
  • Empathy, like remorse, never came naturally to me. I was raised in the Baptist church. I knew we were supposed to feel bad about committing sins. My teachers talked about “honor systems” and something called “shame,” which I understood intellectually, but it wasn’t something I felt. My inability to grasp core emotional skills made the process of making and keeping friends somewhat of a challenge. It wasn’t that I was mean or anything. I was simply different.
  • Now that I’m an adult, I can tell you why I behaved this way. I can point to research examining the relationship between anxiety and apathy, and how stress associated with inner conflict is believed to subconsciously compel people to behave destructively. I believe that my urge to act out was most likely my brain’s way of trying to jolt itself into some semblance of “normal.” But none of this information was easy to find. I had to hunt for it. I am still hunting.
  • For more than a century, society has deemed sociopathy untreatable and unredeemable. The afflicted have been maligned and shunned by mental health professionals who either don’t understand or choose to ignore the fact that sociopathy—like many personality disorders—exists on a spectrum.
  • After years of study, intensive therapy and earning a Ph.D. in psychology, I can say that sociopaths aren’t “bad” or “evil” or “crazy.” We simply have a harder time with feelings. We act out to fill a void. When I understood this about myself, I was able to control it.
  • It is a tragic misconception that all sociopaths are doomed to hopeless, loveless lives. The truth is that I share a personality type with millions of others, many of whom have good jobs, close-knit families and real friends. We represent a truth that’s hard to believe: There’s nothing inherently immoral about having limited access to emotion. I offer my story because I know I’m not alone.
Javier E

Opinion | 'Civil War' and Its Terrifying Premonition of American Collapse - The New Yor... - 0 views

  • In one 2022 poll, 43 percent of Americans said they thought a civil war within the next decade was at least somewhat likely. I wouldn’t go that far, but I won’t be surprised if political violence spikes after the upcoming election and eventually spirals out of control.
  • now that I’ve seen “Civil War,” which is neither glib nor cynical, Garland’s decision to keep the film’s politics a little ambiguous seems like a source of its power. The emphasis here should be on “a little” because, contrary to some of what I’d read, its values aren’t inscrutable, just lightly worn
  • Part of what makes it so searing, though, is that aside from its unlikely California-Texas alliance, its story doesn’t require too much explanation to make sense.
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  • it’s not a stretch to interpret the film as a premonition of how a seething, entropic country could collapse under the weight of Donald Trump’s return.
  • In America, you need less signposting on the route from our uneasy present to an imagined implosion. The movie’s refugee camps don’t look all that different from the tent encampments in many American cities. The paramilitary guy, in his fatigues and goofy red sunglasses, could easily be a Boogaloo Boi or an Oath Keeper. The culminating battle in the capital is a more intense version of scenes we witnessed on Jan. 6.
  • Early in the movie Lee says, “Every time I survived a war zone and got the photo, I thought I was sending a warning home: Don’t do this.” “Civil War” works as a similar sort of warning. It’s close enough to where America is right now that we don’t need Garland to fill in all the blanks.
Javier E

New York Times Bosses Seek to Quash Rebellion in the Newsroom - WSJ - 0 views

  • The internal probe was meant to find out who leaked information related to a planned podcast episode about that article. But its intensity and scope suggests the Times’s leadership, after years of fights with its workforce over a variety of issues involving journalistic integrity, is sending a signal: Enough.
  • “The idea that someone dips into that process in the middle, and finds something that they considered might be interesting or damaging to the story under way, and then provides that to people outside, felt to me and my colleagues like a breakdown in the sort of trust and collaboration that’s necessary in the editorial process,” Executive Editor Joe Kahn said in an interview. “I haven’t seen that happen before.”
  • while its business hums along, the Times’s culture has been under strain.
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  • Newsroom leaders, concerned that some Times journalists are compromising their neutrality and applying ideological purity tests to coverage decisions, are seeking to draw a line. 
  • Kahn noted that the organization has added a lot of digital-savvy workers who are skilled in areas like data analytics, design and product engineering but who weren’t trained in independent journalism. He also suggested that colleges aren’t preparing new hires to be tolerant of dissenting views
  • International editor Philip Pan later intervened, saying the WhatsApp thread—at its worst a “tense forum where the questions and comments can feel accusatory”—should be for sharing information, not for hosting debates, according to messages reviewed by the Journal. 
  • Coverage of the Israel-Hamas war has become particularly fraught at the Times, with some reporters saying the Times’s work is tilting in favor of Israel and others pushing back forcefully, say people familiar with the situation. That has led to dueling charges of bias and journalistic malpractice among reporters and editors, forcing management to referee disputes.
  • “Just like our readers at the moment, there are really really strong passions about that issue and not that much willingness to really explore the perspectives of people who are on the other side of that divide,” Kahn said, adding that it’s hard work for staffers “to put their commitment to the journalism often ahead of their own personal views.”
  • Last fall, Times staffers covering the war got into a heated dispute in a WhatsApp group chat over the publication’s reporting on Al-Shifa hospital in Gaza, which Israel alleged was a command-and-control center for Hamas.
  • While the Guild represents staffers across many major U.S. news outlets, its members also include employees from non-news advocacy organizations such as pro-Palestinian group Jewish Voice For Peace, Democratic Socialists of America and divisions of the ACLU. 
  • “Young adults who are coming up through the education system are less accustomed to this sort of open debate, this sort of robust exchange of views around issues they feel strongly about than may have been the case in the past,” he said, adding that the onus is on the Times to instill values like independence in its employees.
  • The publisher of the Times, 43-year-old A.G. Sulzberger, says readers’ trust is at risk, however. Some journalists, including at the Times, are criticizing journalistic traditions like impartiality, while embracing “a different model of journalism, one guided by personal perspective and animated by personal conviction,” Sulzberger wrote in a 12,000-word essay last year in Columbia Journalism Review. 
  • Despite such moves, NewsGuard, an organization that rates credibility of news sites, in February reduced the Times’s score from the maximum of 100 to 87.5, saying it doesn’t have a clear enough delineation between news and opinion.
  • Emboldened by their show of strength on Bennet, employees would flex their muscles again on multiple occasions, pushing to oust colleagues they felt had engaged in journalistic or workplace misconduct. 
  • One thing Powell noticed, he said, was that coverage that challenged popular political and cultural beliefs was being neglected. Powell’s work includes a story on MIT’s canceling of a lecture by an academic who had criticized affirmative action, and another examining whether the ACLU is more willing to defend the First Amendment rights of progressives than far-right groups.
  • Kahn, who succeeded Baquet as executive editor in June 2022, and Opinion Editor Kathleen Kingsbury said in a letter to staff that they wouldn’t tolerate participation by Times journalists in protests or attacks on colleagues.
  • Divisions have formed in the newsroom over the role of the union that represents Times staffers, the NewsGuild-CWA. Some staffers say it has inappropriately inserted itself into debates with management, including over coverage of the trans community and the war. 
  • The Times isn’t the only news organization where employees have become more vocal in complaints about coverage and workplace practices. War coverage has also fueled tensions at The Wall Street Journal, with some reporters in meetings and internal chat groups complaining that coverage is skewed—either favoring Israel or Palestinians.  
  • When Times staffers logged on to a union virtual meeting last fall to discuss whether to call for a cease-fire in Gaza, some attendees from other organizations had virtual backgrounds displaying Palestinian flags. The meeting, where a variety of members were given around two minutes to share their views on the matter, felt like the kind of rally the Times’ policy prohibits, according to attendees. 
  • In January, Sulzberger shared his thoughts on covering Trump during a visit to the Washington bureau. It was imperative to keep Trump coverage emotion-free, he told staffers, according to people who attended. He referenced the Times story, “Why a Second Trump Presidency May Be More Radical Than His First,” by Charlie Savage, Jonathan Swan and Maggie Haberman, as a good example of fact-based and fair coverage. 
Javier E

Opinion | America's Irrational Macreconomic Freak Out - The New York Times - 0 views

  • The same inflationary forces that pushed these prices higher have also pushed wages to be 22 percent higher than on the eve of the pandemic. Official statistics show that the stuff that a typical American buys now costs 20 percent more over the same period. Some prices rose a little more, some a little less, but they all roughly rose in parallel.
  • It follows that the typical worker can now afford two percent more stuff. That doesn’t sound like a lot, but it’s a faster rate of improvement than the average rate of real wage growth over the past few decades.
  • many folks feel that they’re falling behind, even when a careful analysis of the numbers suggests they’re not.
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  • That’s because real people — and yes, even professional economists — tend to process the parallel rise of prices and wages in quite different ways.
  • In brief, researchers have found that we tend to internalize the gains due to inflation and externalize the losses. These different processes yield different emotional responses.
  • Let’s start with higher prices. Sticker shock hurts. Even as someone who closely studies the inflation statistics, I’m still often surprised by higher prices. They feel unfair. They undermine my spending power, and my sense of control and order.
  • younger folks — anyone under 60 — had never experienced sustained inflation rates greater than 5 percent in their adult lives. And I think this explains why they’re so angry about today’s inflation.
  • Even though wages tend to rise hand-in-hand with prices, we tell ourselves a different story, in which the wage rises we get have nothing to do with price rises that cause them.
  • But then my economist brain took over, and slowly it sunk in that my raise wasn’t a reward for hard work, but rather a cost-of-living adjustment
  • Internalizing the gain and externalizing the cost of inflation protects you from this deflating realization. But it also distorts your sense of reality.
  • The reason so many Americans feel that inflation is stealing their purchasing power is that they give themselves unearned credit for the offsetting wage rises that actually restore it.
  • in reality, higher prices are only the first act of the inflationary play. It’s a play that economists have seen before. In episode after episode, surges in prices have led to — or been preceded by — a proportional surge in wages.
  • While older Americans understood that the pain of inflation is transitory, younger folks aren’t so sure. Inflation is a lot scarier when you fear that today’s price rises will permanently undermine your ability to make ends meet.
  • Perhaps this explains why the recent moderate burst of inflation has created seemingly more anxiety than previous inflationary episodes.
  • More generally, being an economist makes me an optimist. Social media is awash with (false) claims that we’re in a “silent depression,” and those who want to make American great again are certain it was once so much better.
  • in reality, our economy this year is larger, more productive and will yield higher average incomes than in any prior year on record in American history
  • And because the United States is the world’s richest major economy, we can now say that we are almost certainly part of the richest large society in its richest year in the history of humanity.
  • The income of the average American will double approximately every 39 years. And so when my kids are my age, average income will be roughly double what it is today. Far from being fearful for my kids, I’m envious of the extraordinary riches their generation will enjoy.
  • Psychologists describe anxiety disorders as occurring when the panic you feel is out of proportion to the danger you face. By this definition, we’re in the midst of a macroeconomic anxiety attack.
Javier E

'Social Order Could Collapse' in AI Era, Two Top Japan Companies Say - WSJ - 0 views

  • Japan’s largest telecommunications company and the country’s biggest newspaper called for speedy legislation to restrain generative artificial intelligence, saying democracy and social order could collapse if AI is left unchecked.
  • the manifesto points to rising concern among American allies about the AI programs U.S.-based companies have been at the forefront of developing.
  • The Japanese companies’ manifesto, while pointing to the potential benefits of generative AI in improving productivity, took a generally skeptical view of the technology
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  • Without giving specifics, it said AI tools have already begun to damage human dignity because the tools are sometimes designed to seize users’ attention without regard to morals or accuracy.
  • Unless AI is restrained, “in the worst-case scenario, democracy and social order could collapse, resulting in wars,” the manifesto said.
  • It said Japan should take measures immediately in response, including laws to protect elections and national security from abuse of generative AI.
  • The Biden administration is also stepping up oversight, invoking emergency federal powers last October to compel major AI companies to notify the government when developing systems that pose a serious risk to national security. The U.S., U.K. and Japan have each set up government-led AI safety institutes to help develop AI guidelines.
  • NTT and Yomiuri said their manifesto was motivated by concern over public discourse. The two companies are among Japan’s most influential in policy. The government still owns about one-third of NTT, formerly the state-controlled phone monopoly.
  • Yomiuri Shimbun, which has a morning circulation of about six million copies according to industry figures, is Japan’s most widely-read newspaper. Under the late Prime Minister Shinzo Abe and his successors, the newspaper’s conservative editorial line has been influential in pushing the ruling Liberal Democratic Party to expand military spending and deepen the nation’s alliance with the U.S.
  • The Yomiuri’s news pages and editorials frequently highlight concerns about artificial intelligence. An editorial in December, noting the rush of new AI products coming from U.S. tech companies, said “AI models could teach people how to make weapons or spread discriminatory ideas.” It cited risks from sophisticated fake videos purporting to show politicians speaking.
  • NTT is active in AI research, and its units offer generative AI products to business customers. In March, it started offering these customers a large-language model it calls “tsuzumi” which is akin to OpenAI’s ChatGPT but is designed to use less computing power and work better in Japanese-language contexts.
Javier E

I tried out an Apple Vision Pro. It frightened me | Arwa Mahdawi | The Guardian - 0 views

  • Despite all the marketed use cases, the most impressive aspect of it is the immersive video
  • Watching a movie, however, feels like you’ve been transported into the content.
  • that raises serious questions about how we perceive the world and what we consider reality. Big tech companies are desperate to rush this technology out but it’s not clear how much they’ve been worrying about the consequences.
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  • it is clear that its widespread adoption is a matter of when, not if. There is no debate that we are moving towards a world where “real life” and digital technology seamlessly blur
  • Researchers from Stanford and Michigan University recently undertook a study on the Vision Pro and other “passthrough” headsets (that’s the technical term for the feature which brings VR content into your real-world surrounding so you see what’s around you while using the device) and emerged with some stark warnings about how this tech might rewire our brains and “interfere with social connection”.
  • more broadly, spatial computing is going to alter what we consider reality
  • Over the years there have been multiple reports of people being harassed and even “raped” in the metaverse: an experience that feels scarily real because of how immersive virtual reality is. As the lines between real life and the digital world blur to a point that they are almost indistinguishable, will there be a meaningful difference between online assault and an attack in real life?
  • These headsets essentially give us all our private worlds and rewrite the idea of a shared reality. The cameras through which you see the world can edit your environment – you can walk to the shops wearing it, for example, and it might delete all the homeless people from your view and make the sky brighter.
  • “What we’re about to experience is, using these headsets in public, common ground disappears,”
  • “People will be in the same physical place, experiencing simultaneous, visually different versions of the world. We’re going to lose common ground.”
  • It’s not just the fact that our perception of reality might be altered that’s scary: it’s the fact that a small number of companies will have so much control over how we see the world. Think about how much influence big tech already has when it comes to content we see, and then multiply that a million times over. You think deepfakes are scary? Wait until they seem even more realistic.
  • We’re seeing a global rise of authoritarianism. If we’re not careful this sort of technology is going to massively accelerate it.
  • Being able to suck people into an alternate universe, numb them with entertainment, and dictate how they see reality? That’s an authoritarian’s dream. We’re entering an age where people can be mollified and manipulated like never before
Javier E

Trump's anger at courts, frayed alliances could upend approach to judicial issues - The... - 0 views

  • Under the Trump administration, the GOP-controlled Senate confirmed 174 district court judges, 54 circuit court judges and three Supreme Court justices — shifting the balance of the highest court to a 6-3 conservative majority. During his campaign rallies and events, Trump often likes to highlight the total, though he has exaggerated it.
  • In a 2022 interview with The Washington Post, McConnell recalled that Trump’s first candidacy had worried many conservatives at the time but that his Supreme Court list and picks had calmed their nerves and that his bargain with Trump had moved the country “right of center.”
  • McConnell and Trump have not spoken since late 2020, and Trump has repeatedly called for McConnell to be removed as the GOP leader of the Senate.
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  • 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.
Javier E

Inside the porn industry, AI looms large - The Washington Post - 0 views

  • Since the first AVN “expo” in 1998, adult entertainment has been overtaken by two business models: Pornhub, a free site supported by ads, and OnlyFans, a subscription platform where individual actors control their businesses and their fate.
  • Now, a new shift is on the horizon: Artificial intelligence models that spin up photorealistic images and videos that put viewers in the director’s chair, letting them create whatever porn they like.
  • Some site owners think it’s a privilege people will pay for, and they are racing to build custom AI models that — unlike the sanitized content on OpenAI’s video engine Sora — draw on a vast repository of porn images and videos.
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  • he trickiest question may be how to prevent abuse. AI generators have technological boundaries, but not morals, and it’s relatively easy for users to trick them into creating content that depicts violence, rape, sex with children or a celebrity — or even a crush from work who never consented to appear
  • In some cases, the engines themselves are trained on porn images whose subjects didn’t explicitly agree to the new use. Currently, no federal laws protect the victims of nonconsensual deepfakes.
  • Adult entertainment is a giant industry accounting for a substantial chunk of all internet traffic: Major porn sites get more monthly visitors and page views than Amazon, Netflix, TikTok or Zoom
  • The industry is a habitual early adopter of new technology, from VHS to DVD to dot com. In the mid-2000s, porn companies set up massive sites where users upload and watch free videos, and ad sales foot the bills.
  • At last year’s AVN conference, Steven Jones said his peers looked at him “like he was crazy” when he talked about AI opportunities: “Nobody was interested.” This year, Jones said, he’s been “the belle of the ball.”
  • He called up his old business partner, and the two immediately spent about $550,000 securing the web domains for porn dot ai, deepfake dot com and deepfakes dot com, Jones said. “Lightspeed” was back.
  • One major model, Stable Diffusion, shares its code publicly, and some technologists have figured out how to edit the code to allow for sexual images
  • What keeps Jones up at night is people trying to use his company’s tools to generate images of abuse, he said. The models have some technological guardrails that make it difficult for users to render children, celebrities or acts of violence. But people are constantly looking for workarounds.
  • So with help from an angel investor he will not name, Jones hired five employees and a handful of offshore contractors and started building an image engine trained on bundles of freely available pornographic images, as well as thousands of nude photos from Jones’s own collection
  • Users create what Jones calls a “dream girl,” prompting the AI with descriptions of the character’s appearance, pose and setting. The nudes don’t portray real people, he said. Rather, the goal is to re-create a fantasy from the user’s imagination.
  • The AI-generated images got better, their computerized sheen growing steadily less noticeable. Jones grew his user base to 500,000 people, many of whom pay to generate more images than the five per day allotted to free accounts, he said. The site’s “power users” generate AI porn for 10 hours a day, he said.
  • Jones described the site as an “artists’ community” where people can explore their sexualities and fantasies in a safe space. Unlike some corners of the traditional adult industry, no performers are being pressured, underpaid or placed in harm’s way
  • And critically, consumers don’t have to wait for their favorite OnlyFans performer to come online or trawl through Pornhub to find the content they like.
  • Next comes AI-generated video — “porn’s holy grail,” Jones said. Eventually, he sees the technology becoming interactive, with users giving instructions to lifelike automated “performers.” Within two years, he said, there will be “fully AI cam girls,” a reference to creators who make solo sex content.
  • It costs $12 per day to rent a server from Amazon Web Services, he said, and generating a single picture requires users to have access to a corresponding server. His users have so far generated more than 1.6 million images.
  • Copyright holders including newspapers, photographers and artists have filed a slew of lawsuits against AI companies, claiming the companies trained their models on copyrighted content. If plaintiffs win, it could cut off the free-for-all that benefits entrepreneurs such as Jones.
  • But Jones’s plan to create consumer-friendly AI porn engines faced significant obstacles. The companies behind major image-generation models used technical boundaries to block “not safe for work” content and, without racy images to learn from, the models weren’t good at re-creating nude bodies or scenes.
  • Jones said his team takes down images that other users flag as abusive. Their list of blocked prompts currently contains 1,000 terms including “high school.”
  • “I see certain things people type in, and I just hope to God they’re trying to test the model, like we are. I hope they don’t actually want to see the things they’re typing in.
  • Peter Acworth, the owner of kink dot com, is trying to teach an AI porn generator to understand even subtler concepts, such as the difference between torture and consensual sexual bondage. For decades Acworth has pushed for spaces — in the real world and online — for consenting adults to explore nonconventional sexual interests. In 2006, he bought the San Francisco Armory, a castle-like building in the city’s Mission neighborhood, and turned it into a studio where his company filmed fetish porn until shuttering in 2017.
  • Now, Acworth is working with engineers to train an image-generation model on pictures of BDSM, an acronym for bondage and discipline, dominance and submission, sadism and masochism.
  • Others alluded to a porn apocalypse, with AI wiping out existing models of adult entertainment.“Look around,” said Christian Burke, head of engineering at the adult-industry payment app Melon, gesturing at performers huddled, laughing and hugging across the show floor. “This could look entirely different in a few years.”
  • But the age of AI brings few guarantees for the people, largely women, who appear in porn. Many have signed broad contracts granting companies the rights to reproduce their likeness in any medium for the rest of time
  • Not only could performers lose income, Walters said, they could find themselves in offensive or abusive scenes they never consented to.
  • Lana Smalls, a 23-year-old performer whose videos have been viewed 20 million times on Pornhub, said she’s had colleagues show up to shoots with major studios only to be surprised by sweeping AI clauses in their contracts.
  • “This industry is too fragmented for collective bargaining,” Spiegler said. “Plus, this industry doesn’t like rules.”
Javier E

Opinion | A.I. Is Endangering Our History - The New York Times - 0 views

  • Fortunately, there are numerous reasons for optimism about society’s ability to identify fake media and maintain a shared understanding of current events
  • While we have reason to believe the future may be safe, we worry that the past is not.
  • History can be a powerful tool for manipulation and malfeasance. The same generative A.I. that can fake current events can also fake past ones
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  • there is a world of content out there that has not been watermarked, which is done by adding imperceptible information to a digital file so that its provenance can be traced. Once watermarking at creation becomes widespread, and people adapt to distrust content that is not watermarked, then everything produced before that point in time can be much more easily called into question.
  • countering them is much harder when the cost of creating near-perfect fakes has been radically reduced.
  • There are many examples of how economic and political powers manipulated the historical record to their own ends. Stalin purged disloyal comrades from history by executing them — and then altering photographic records to make it appear as if they never existed
  • Slovenia, upon becoming an independent country in 1992, “erased” over 18,000 people from the registry of residents — mainly members of the Roma minority and other ethnic non-Slovenes. In many cases, the government destroyed their physical records, leading to their loss of homes, pensions, and access to other services, according to a 2003 report by the Council of Europe Commissioner for Human Rights.
  • The infamous Protocols of the Elders of Zion, first published in a Russian newspaper in 1903, purported to be meeting minutes from a Jewish conspiracy to control the world. First discredited in August 1921, as a forgery plagiarized from multiple unrelated sources, the Protocols featured prominently in Nazi propaganda, and have long been used to justify antisemitic violence, including a citation in Article 32 of Hamas’s 1988 founding Covenant.
  • In 1924, the Zinoviev Letter, said to be a secret communiqué from the head of the Communist International in Moscow to the Communist Party of Great Britain to mobilize support for normalizing relations with the Soviet Union, was published by The Daily Mail four days before a general election. The resulting scandal may have cost Labour the election.
  • Decades later Operation Infektion — a Soviet disinformation campaign — used forged documents to spread the idea that the United States had invented H.I.V., the virus that causes AIDS, as a biological weapon.
  • As it becomes easier to generate historical disinformation, and as the sheer volume of digital fakes explodes, the opportunity will become available to reshape history, or at least to call our current understanding of it into question.
  • Fortunately, a path forward has been laid by the same companies that created the risk.
  • In indexing a large share of the world’s digital media to train their models, the A.I. companies have effectively created systems and databases that will soon contain all of humankind’s digitally recorded content, or at least a meaningful approximation of it.
  • They could start work today to record watermarked versions of these primary documents, which include newspaper archives and a wide range of other sources, so that subsequent forgeries are instantly detectable.
  • many of the intellectual property concerns around providing a searchable online archive do not apply to creating watermarked and time-stamped versions of documents, because those versions need not be made publicly available to serve their purpose. One can compare a claimed document to the recorded archive by using a mathematical transformation of the document known as a “hash,” the same technique the Global Internet Forum to Counter Terrorism, uses to help companies screen for known terrorist content.
  • creating verified records of historical documents can be valuable for the large A.I. companies. New research suggests that when A.I. models are trained on A.I.-generated data, their performance quickly degrades. Thus separating what is actually part of the historical record from newly created “facts” may be critical.
  • Preserving the past will also mean preserving the training data, the associated tools that operate on it and even the environment that the tools were run in.
  • Such a vellum will be a powerful tool. It can help companies to build better models, by enabling them to analyze what data to include to get the best content, and help regulators to audit bias and harmful content in the models
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