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Any endocrinologist or other physician who rejects this approach is alleged to be endangering the health and even the life of his patients.

Research shows that some 80% of children with “gender dysphoria” eventually come to terms with their sex without surgical or pharmaceutical intervention

But are these patients really “transgender”

Multiple studies have found that most kids who are confused or distressed about their sex end up realizing they’re gay—nearly two-thirds in a 2021 study of boys

This makes sense: Gay kids often don’t conform to traditional sex roles. But gender ideology holds that feminine boys and masculine girls may be “born in the wrong body.”

In this light, “gender-affirming care” looks a lot like conversion therapy.

Now it takes the form of rendering teenagers sterile and sexually dysfunctional for life.

linicians from the main U.K. transgender service referred to prescribing puberty blockers as “transing the gay away”—a play on the description of old-fashioned conversion-therapy as “praying the gay away.” A clinician who resigned from the U.K. service accused it of “institutional homophobia.” Clinicians at the service had a “dark joke” that “there would be no gay people left at the rate Gids”—the Gender Identity Service—“was going.”

Consistent with conversion therapy, physicians are telling young gays and lesbians that something is wrong with them, based on a regressive view of what it is to be male or female

The resulting interventions often create lifelong medical problems, both physical and mental. Contrary to advocates’ claims, there’s no evidence that puberty blockers, cross-sex hormones, or surgeries reduce the risk of suicide.

Children who take this road face a lifetime of pain, infertility and anguish

society has been told that accepting transgender identity is the same as accepting gays and lesbians. But it isn’t. Even well-intentioned acceptance of transgender identity disproportionately harms them

To me, that letter wasn’t just an invitation to a fancy summer program—it was an invitation into an educational world that I thought would change my life.

it wasn’t the differences between us that posed the biggest challenge to our unity; it was the constant reminders from above of those differences, all the ways we were hierarchically organized or comparatively privileged or fundamentally limited in our views. We were challenged to transcend those limitations and build the foundations of a community, but for that you need good faith, which was in short supply.

The other problem was that TASP lacked all the mechanisms of a functioning democracy. We had been cherry-picked to represent diversity, but actually the point was for all of us to arrive at the same conclusions—men talked too much, the world was fraught with microaggressions, dodgeball was bad, and eggs were worse. There was no framework for disagreement, no space for ideological detours, no home for structural challenges to the so-called intentional community we lived in.

Nobody wanted to deal with the key annoyance of democracy—learning to tolerate our differences.

It’s only now that I recognize that the truth of this statement—after all, what 17-year-old knows what’s best for them—served to justify the anti-democratic reality of a space contemptuous of every experience except for those of “oppressed groups,” as determined by the factota. It is equally alarming to see that the so-called leaders of my teenage years are now actively remaking a space once devoted to self-exploration and communal understanding in their own intellectual self-image, as a place where questioning and self-determination are being eliminated in favor of received truth.

In 2022, the Telluride Association announced that they were discontinuing TASP and expanding TASS, the equivalent program for sophomores, into a program with two focus areas—“Critical Black Studies” and “Anti-Oppressive Studies.”

Students would no longer live all together, like we did, according to Nunn’s vision. Instead, the “Critical Black Studies” community would live and study separately, creating an entirely Black space. Afternoons and evenings were no longer reserved for things like Nerf wars or eating entire jars of sprinkles, which were the activities that allowed our diverse group to come together, and which I remember much more vividly than all my seminar readings combined. Instead, the students would participate in anti-racism workshops created by the factota. It was this new program that became the “anti-racist Hell” that Vincent Lloyd lamented in his article.

It was easy for me to sympathize with Lloyd, who spent his summer battling with one factota, Keisha, who found him “triggering” and his readings “insufficiently radical,” was frustrated by his insistence on unspooling complex racial ideas in the slow seminar format rather than holding straightforward lectures, and frequently intervened when his discussions caused TASPers “harm.”

By the end of his tenure, he was summoned into an empty classroom by the students, who read their allegations about his behavior—and demands that he change his teaching—from sheets of paper. Every word coming out of their mouths was clearly pulled from conversations with Keisha. A white girl referred to her factota in her remarks: “Keisha speaks for me. She says everything I think better than I ever could.”

I remember being an eager-to-please high schooler on the first day of TASP, sitting in a circle with big aspirations but very little knowledge of the world, wanting so badly to be accepted in an elite space I assumed would give me all the answers, if I could only absorb the guiding principle: You don’t know what’s best for you.

My mom dropped me off at the local Panera, where the interviewer was already sitting in a booth reading a novel when I arrived. He was an older professor who still conducted interviews because he’d had such a transformative experience at TASP. He explained that he came to the seminar as a committed far-left radical, but he struck up an unlikely friendship with a staunch conservative and William F. Buckley devotee, with whom he disagreed about, and argued fervently over, everything. Proudly, he told me that the two men remained friends to this day.

The final rule was relayed by Carlos. With a stern look on his face, he explained that while these rules might seem daunting, all the factota had done this before, and there was one mantra in particular that guided them through their time. The girl next to me opened a notebook and poised her pen eagerly over the page. “During your six weeks here, you should always remember … you don’t know what’s best for you.” He intoned this mantra with such gravitas that the room briefly fell into silence.

TASPers were tasked with governing ourselves through nightly house meetings, bylaw votes, and a complex web of committees regulating everything from kitchen duty to leisure. Our community would be “semi-monastic,” meaning that we were “strongly, strongly encouraged” to limit our contact with the outside world in favor of “turning inward” and “engaging in communal reflection.” To ensure that we learned as much as possible from our peers, there was a ban on “exclusive relationships” of all platonic shades, which would be enforced through assigned seating, periodic roommate switches, minimum group-outing sizes, and good-old-fashioned cockblocking.

Discerning observers will note that doing what “necessity indicates” is a mandate dependent entirely on the values and whims of its executioners. In the case of TASP, necessity apparently indicated living in accordance with not only the Nunnian ideals but also the standards of our factota, most of whom couldn’t yet legally drink but had absolute moral authority over who could take up space, who could express their politics, and who deserved to be there at all. TASP was their world; we were just figuring out how to live in it.

The factota had various tactics to combat these relationships, from sober one-on-one interventions to interrupting group hangs to, notably, a roommate-switch halfway through the program because people were getting too close. This switch was aimed in no small part at Mark, who had been paired with a fellow sporty private-school guy in a cavernous room on the second floor. They bonded instantly, and their room would house all kinds of semi-exclusive hangs, from playlist-making to the occasional horny game of “Never Have I Ever.”

Accordingly, the factota disapproved of our friendship. Kaitlyn felt strongest about limiting his presence in my life and often pulled me aside to warn me against Mark, deeming his influence to be restrictive. She’d accost me to relay a supposedly insufferable remark he’d made during seminar or shoot me pointed stares whenever someone mentioned male entitlement during a house meeting, ignoring my protests that I found it difficult to distance myself from a naturally occurring friendship, and in fact enjoyed chatting with someone so different from myself. Wasn’t that supposed to be the point of TASP, anyway?

Instead, she made it a personal project to interrupt our conversations, wedge herself in between us at dinner, and skew our committee assignments so we couldn’t so much as wash dishes at the same time.

As a white guy studying classics at a high school with a five-figure price tag, Mark regularly landed in the crosshairs of our Sunday night conversations, receiving frequent reminders to “check his privilege” when he cited too much rarefied literature in class conversations and to “cede his time” to minorities or women during house discussions.

This is triggering a U.S.-China cold war, mass migrations from south to north and an America that has become more unreliable than indispensable.

that’s not the half of it. Because now that advanced military technologies like drones are readily available, smaller players can wield much more power and project it more widely than ever before, enabling even their bad choices to shake the world

This is why I referred to Russia’s invasion of Ukraine as our first true world war, and why I feel that Hamas’s war with Israel is in some ways our second true world war.

They are being fought on both physical battlefields and digital ones, with huge global reach and implications.

Indeed, in today’s tightly wired world, it is possible that the war over the Gaza Strip — which is roughly twice the size of Washington, D.C. — could decide the next president in Washington, D.C., as some young Democrats abandon President Biden because of his support for Israel.

before we become too pessimistic, let us remember that these choices are just that: choices. There was nothing inevitable or foreordained about them

Gorbachev, Deng, Anwar el-Sadat, Menachem Begin, George H.W. Bush and Volodymyr Zelensky, to name but a few, faced excruciating choices, but they chose forks in the road that led to a safer and more prosperous world, at least for a time

What is the essential ingredient that Dubai has and Gaza lacks? Because both began, in one sense, as the convergence of sand and seawater at crucial intersections of the world.

The short answer is visionary leadership.Dubai has benefited from two generations of monarchs in the United Arab Emirates who had a powerful vision of how the U.A.E. in general and the emirate of Dubai in particular could choose to be Arab, modern, pluralistic, globalized and embracing of a moderate interpretation of Islam

Their formula incorporates a radical openness to the world, an emphasis on free markets and education, a ban on extremist political Islam, relatively little corruption, a strong rule of law promulgated from the top down and a relentless commitment to economic diversification, talent recruitment and development.

Any of Dubai’s neighbors — Kuwait, Qatar, Oman, Bahrain, Iran and Saudi Arabia — could have done the same with their similar coastlines, but it was the U.A.E. that pulled it off by making the choices it made.

Compare that with Gaza, where the role models today are Hamas martyrs in its endless war with Israel.

Among the most ignorant and vile things that have been said about this Gaza war is that Hamas had no choice — that its wars with Israel, culminating on Oct. 7 with a murderous rampage, the kidnappings of Israelis as young as 10 months and as old as 86 and the rape of Israeli women, could somehow be excused as a justifiable jailbreak by pent-up males.

Let’s go to the videotape: In September 2005, Ariel Sharon completed a unilateral withdrawal of all Israeli forces and settlements from Gaza, which Israel occupied in the 1967 war. In short order, Hamas began attacking the crossing points between Gaza and Israel to show that even if Israel was gone, the resistance movement wasn’t over; these crossing points were a lifeline for commerce and jobs, and Israel eventually reduced the number of crossings from six to two.

In January 2006, the Palestinians held elections hoping to give the Palestinian Authority legitimacy to run Gaza and the West Bank. There was a debate among Israeli, Palestinian and Bush administration officials over whether Hamas should be allowed to run in the elections — because it had rejected the Oslo peace accords with Israel.

Yossi Beilin, one of the Israeli architects of Oslo, told me that he and others argued that Hamas should not be allowed to run, as did many members of Fatah, Arafat’s group, who had embraced Oslo and recognized Israel. But the Bush team insisted that Hamas be permitted to run without embracing Oslo, hoping that it would lose and this would be its ultimate refutation.

Fatah ran unrealistically high numbers of candidates in many districts, dividing the vote, while the more disciplined Hamas ran carefully targeted slates and managed to win the parliamentary majority.

Hamas then faced a critical choice: Now that it controlled the Palestinian parliament, it could work within the Oslo Accords and the Paris protocol that governed economic ties between Israel, Gaza and the West Bank — or not.

Hamas chose not to — making a clash between Hamas and Fatah, which supported Oslo, inevitable

That led to the first Israeli economic blockade of Gaza — and what would be 22 years of on-and-off Hamas rocket attacks, Israeli checkpoint openings and closings, wars and cease-fires, all culminating on Oct. 7.

These were fateful choices. Once Sharon pulled Israel out of Gaza, Palestinians were left, for the first time ever, with total control over a piece of land. Yes, it was an impoverished slice of sand and coastal seawater, with some agricultural areas. And it was not the ancestral home of most of its residents. But it was theirs to build anything they wanted.

Hamas had a choice: to replicate Dubai in 2023 or replicate Hanoi in 1968. It chose to replicate Hanoi, whose Củ Chi tunnel network served as the launchpad for the ’68 Tet offensive.

Hamas is not simply engaged in some pure-as-the-driven-snow anticolonial struggle against Israel. Only Hamas’s useful idiots on U.S. college campuses would believe that.

Hamas is engaged in a raw power struggle with Fatah over who will control Gaza and the West Bank, and it’s engaged in a power struggle in the region — alongside other pro-Muslim Brotherhood parties and regimes (like Turkey and Qatar) — against pro-Western monarchies like Saudi Arabia, Jordan, Kuwait and the U.A.E. and military-led regimes like Egypt’s.

In that struggle, Hamas wanted Gaza isolated and in conflict with Israel because that allowed Hamas to maintain its iron-fisted political and Islamist grip over the strip, foregoing elections and controlling all the smuggling routes in and out, which funded its tunnels and war machine and the lifestyle of its leaders and loyalists

The only exit from this mutually assured destruction is to bring in some transformed version of the Palestinian Authority in the West Bank — or a whole new P.L.O.-appointed government of Palestinian technocrats — in partnership with moderate Arab states like Egypt, Jordan and Saudi Arabia. But when I raise that with many Israelis right now, they tell me, “Tom, it’s not the time. No one wants to hear it.”

please, spare me the Harvard Yard nonsense that this war is all about the innocent, colonized oppressed and the evil, colonizing oppressors; that Israel alone was responsible for the isolation of Gaza; and that the only choice Hamas had for years was to create an underground “skyline” of tunnels up to 230 feet deep (contra Dubai) and that its only choice on Oct. 7 was martyrdom.

But our story about agency and choices does not stop there. Benjamin Netanyahu, Israel’s longest-serving prime minister — 16 years — also made choices. And even before this war, he made terrible ones — for Israel and for Jews all over the world.

Before this war, Netanyahu actively worked to keep the Palestinians divided and weak by strengthening Hamas in Gaza with billions of dollars from Qatar, while simultaneously working to discredit and delegitimize the more moderate Palestinian Authority in Ramallah, committed to Oslo and nonviolence in the West Bank.

Netanyahu’s goal has always been to destroy the Oslo option once and for all. In that, Bibi and Hamas have always needed each other: Bibi to tell the United States and Israelis that he had no choice, and Hamas to tell Gazans and its new and naïve supporters around the world that the Palestinians’ only choice was armed struggle led by Hamas.

This is now a common strategy for consolidating and holding power forever by a single political faction and disguising it with an ideology of resistance. It’s no wonder they all support one another.

Don’t they get it? Netanyahu’s greatest political achievement has been to persuade Israelis and the world that it’s never the right time to talk about the morally corrosive occupation and how to help build a credible Palestinian partner to take it off Israel’s hands.

He and the settlers wore everyone down. When I covered the State Department in the early 1990s, West Bank settlements were routinely described by U.S. officials as “obstacles to peace.” But that phrase was gradually dropped. The Trump administration even decided to stop calling the West Bank “occupied” territory.

Israel is being surrounded by what I call Iran’s landcraft carriers (as opposed to our aircraft carriers): Hamas, Hezbollah, the Houthis and Shiite militias in Iraq. Iran is squeezing Israel into a multifront war with its proxies. I truly worry for Israel.

But Israel will have neither the sympathy of the world that it needs nor the multiple allies it needs to confront this Iranian octopus, nor the Palestinian partners it needs to govern any post-Hamas Gaza, nor the lasting support of its best friend in the world, Joe Biden, unless it is ready to choose a long-term pathway for separating from the Palestinians with an improved, legitimate Palestinian partner.

For all these reasons, if Netanyahu keeps refusing because, once again, politically, the time is not right for him, Biden will have to choose, too — between America’s interests and Netanyahu’s.

In sum, this war is so ugly, deadly and painful, it is no wonder that so many Palestinians and Israelis want to just focus on survival and not on any of the choices that got them here

The Haaretz writer Dahlia Scheindlin put it beautifully in a recent essay:The situation today is so terrible that people run from reality as they run from rockets — and hide in the shelter of their blind spots. It’s pointless to wag fingers. The only thing left to do is try and change that reality.

Universities have been ordered to emphasize the study of Marxism and the writings of China’s top leader, Xi Jinping. In 2015, Yuan Guiren, China’s education minister, ordered a closer examination of foreign textbooks and said that those that promote Western values should be banned from classrooms.

He called not just for corrections and apologies, but also for an investigation and for those responsible to be held accountable.

“Primary school textbooks are the foundation of the country and the nation, and an important guarantee for the formation of children’s outlook on life and values,” he wrote. “It is impossible to overstate their importance.”

The illustrations were approved in 2013 for students in first to sixth grades, the reports said. Just how the problematic drawings evaded scrutiny all these years is unclear. Some social media users highlighted the images last week, prompting parents and educators to voice their outrage.

Some of the drawings are odd or silly, like children sticking out their tongues. But others show children appearing to grope classmates on a playground. Another showed a schoolgirl with her underwear exposed as she played a game. Many critics said the drawings made the children look ugly, with wide-set, droopy eyes.

Others argued that the schoolbooks also had anti-China messages, such as an incorrectly rendered Chinese flag. Still some found allegedly pro-foreign images, like a boy flying in a biplane similar to Japanese and American planes. Some even pointed to images of children wearing clothes with what looked like stars and stripes in the colors of the American flag.

There is no small thing when it comes to children; it affects our future.”

“We have carried out serious reflection, and feel deep self-blame and guilt, and hereby express our deepest apologies,” it said, adding that it would find a new team of illustrators to redraw the math textbooks.

Angered, nearly 20 women appeared together this month in a TV studio for Mediapart, France’s leading investigative news site, with some recounting rapes or assaults that lasted minutes, carried out with barely a few words.

“He was called a Don Juan for years,” said Hélène Devynck, 55, a journalist who has accused Mr. Poivre d’Arvor of raping her at his home when she worked as one of his assistants in the early 1990s.

“His ego is destroying him,” said Cécile Delarue, 43, a journalist who has accused Mr. Poivre d’Arvor of engaging in sexual harassment when she worked with him two decades ago.

Mr. Poivre d’Arvor declined an interview request through Mr. Naepels, who said that at least one more woman could be included in the defamation suit.

According to the French news media, Mr. Poivre d’Arvor has been married for 50 years to the same woman, who has not commented publicly on the accusations.

On air, he appealed especially to a target audience of women under 50, Mr. Lévrier said.

He regularly invited young women to watch his live broadcasts before leading them to his private office, where several of the women say he assaulted them. He also pressed young female employees for sex, or sexually harassed them, according to former employees, including Ms. Devynck, the former assistant.

“I knew that, at the time, if I complained, he was the seducer and so I was the whore — I couldn’t say anything because of his power and the support he had,” said Ms. Devynck, who went on to a successful career at other channels.

“I’m of a generation that was raised with the idea that women and men were equal, and that it was through work that I would gain freedom — my mother told me often,” Ms. Delarue said. “But this man just saw me as a fresh piece of meat.”

A famous letter written by Catherine Deneuve and other prominent Frenchwomen denounced #MeToo as “puritanism” and defended “the freedom to importune” as part of French “gallantry.” Traditional French feminism — and its fierce rejection of #MeToo as an American aberration — was a “trap” that led women to believe that they could be free without worrying about sexual violence, Ms. Devynck said.

“His image was so powerful that people kept saying it’s not possible, he’s such a seducer, she should have been flattered,” Ms. de Blasi, 33, recalled. “I kept reading, ‘French charm, gallantry and seduction,’ when it wasn’t about that at all.”

“Little jokes about not wearing a décolleté, makeup or a skirt,” she recalled.

The great seducer is “such a part of our collective imagination,” she said. “And the problem is that part of French society still believes in it, or at least believed in it.”

Police later received information that the shooter may have left a bomb in a residence in Muskogee, Oklahoma, Muskogee police said Wednesday night. The home was searched by a bomb squad and no explosives were found, CBS Tulsa affiliate KOTV reported, citing Muskogee Police. Surrounding homes were either evacuated or residents were told to shelter in place.Muskogee is located about 50 miles southeast of Tulsa.Tulsa police asked family and friends of the victims and survivors to go to Memorial High School, a block from the hospital campus, to wait to learn the fate of the people at the shooting scene, KOTV said.  

Hodges said she was in lockdown for just under two hours.Another employee wondered out loud, "What's going on with the world these days?" A witness observed, "I mean, it's a doctor's office, like, you can't go nowhere no more without something happening. I's just crazy."

For centuries humans felt they were watched and judged by an all-seeing God who could condemn them to hell if they sinned heavily. The fear of divine punishment shaped private behaviour, applying a brake on some of our worst impulses.

it also seems sensible to assume that in the absence of an all-seeing deity threatening fire and brimstone, the brakes on devious or selfish behaviour in private will be eased, resulting in more “what’s the harm?” behaviour, more dabbling in the grey area between right and wrong, more secretive cruelty or casual selfishness.

Gradually, the fear of being watched by God and going to hell is being replaced by a fear of being recorded by technology and suffering the hell of public shame.

scandals might also act as a warning that in the age of the smartphone, the space for “getting away with it” has shrunk considerably.

a charge that could carry a sentence of up to 10 years in prison.

“Brittney has always handled herself with the utmost professionalism during her long tenure with USA Basketball,” U.S.A. Basketball said on Twitter.

The timing of the detention remains murky. Its political implications do, too.

“This follows a pattern of Russia wrongly detaining & imprisoning US citizens,” Representative Joaquin Castro, Democrat of Texas, wrote on Twitter on Saturday, citing the case of Trevor Reed, a former U.S. Marine whom a Russian court sentenced to nine years in prison in 2020 on charges of violence against police officers that his family and supporters described as fraudulent.

Ms. Griner was in Russia to play. Many W.N.B.A. stars rely on income from overseas leagues.

The financial incentives are compelling. W.N.B.A. players make a fraction of what their male counterparts do, with their maximum salary in 2022 at $228,094 while the top N.B.A. players are paid tens of millions of dollars.

Some observers criticized the gender pay gap in American basketball in connection to Ms. Griner’s detention.

“Whenever an American is detained anywhere in the world, we of course stand ready to provide every possible assistance,” Mr. Blinken said. “And that includes in Russia.”

Besides teenage girls, another new group was referred to us: young people from the inpatient psychiatric unit, or the emergency department, of St. Louis Children’s Hospital. The mental health of these kids was deeply concerning—there were diagnoses like schizophrenia, PTSD, bipolar disorder, and more. Often they were already on a fistful of pharmaceuticals.

Being put on powerful doses of testosterone or estrogen—enough to try to trick your body into mimicking the opposite sex—-affects the rest of the body. I doubt that any parent who's ever consented to give their kid testosterone (a lifelong treatment) knows that they’re also possibly signing their kid up for blood pressure medication, cholesterol medication, and perhaps sleep apnea and diabetes. 

There are rare conditions in which babies are born with atypical genitalia—cases that call for sophisticated care and compassion. But clinics like the one where I worked are creating a whole cohort of kids with atypical genitals—and most of these teens haven’t even had sex yet. They had no idea who they were going to be as adults. Yet all it took for them to permanently transform themselves was one or two short conversations with a therapist.

Other girls were disturbed by the effects of testosterone on their clitoris, which enlarges and grows into what looks like a microphallus, or a tiny penis. I counseled one patient whose enlarged clitoris now extended below her vulva, and it chafed and rubbed painfully in her jeans. I advised her to get the kind of compression undergarments worn by biological men who dress to pass as female. At the end of the call I thought to myself, “Wow, we hurt this kid.”

How little patients understood what they were getting into was illustrated by a call we received at the center in 2020 from a 17-year-old biological female patient who was on testosterone. She said she was bleeding from the vagina. In less than an hour she had soaked through an extra heavy pad, her jeans, and a towel she had wrapped around her waist. The nurse at the center told her to go to the emergency room right away.

We found out later this girl had had intercourse, and because testosterone thins the vaginal tissues, her vaginal canal had ripped open. She had to be sedated and given surgery to repair the damage. She wasn’t the only vaginal laceration case we heard about.

Bicalutamide is a medication used to treat metastatic prostate cancer, and one of its side effects is that it feminizes the bodies of men who take it, including the appearance of breasts. The center prescribed this cancer drug as a puberty blocker and feminizing agent for boys. As with most cancer drugs, bicalutamide has a long list of side effects, and this patient experienced one of them: liver toxicity. He was sent to another unit of the hospital for evaluation and immediately taken off the drug. Afterward, his mother sent an electronic message to the Transgender Center saying that we were lucky her family was not the type to sue.

Here’s an example. On Friday, May 1, 2020, a colleague emailed me about a 15-year-old male patient: “Oh dear. I am concerned that [the patient] does not understand what Bicalutamide does.” I responded: “I don’t think that we start anything honestly right now.”

There are no reliable studies showing this. Indeed, the experiences of many of the center’s patients prove how false these assertions are. 

Many encounters with patients emphasized to me how little these young people understood the profound impacts changing gender would have on their bodies and minds. But the center downplayed the negative consequences, and emphasized the need for transition. As the center’s website said, “Left untreated, gender dysphoria has any number of consequences, from self-harm to suicide. But when you take away the gender dysphoria by allowing a child to be who he or she is, we’re noticing that goes away. The studies we have show these kids often wind up functioning psychosocially as well as or better than their peers.” 

When a female takes testosterone, the profound and permanent effects of the hormone can be seen in a matter of months. Voices drop, beards sprout, body fat is redistributed. Sexual interest explodes, aggression increases, and mood can be unpredictable. Our patients were told about some side effects, including sterility. But after working at the center, I came to believe that teenagers are simply not capable of fully grasping what it means to make the decision to become infertile while still a minor.

To begin transitioning, the girls needed a letter of support from a therapist—usually one we recommended—who they had to see only once or twice for the green light. To make it more efficient for the therapists, we offered them a template for how to write a letter in support of transition. The next stop was a single visit to the endocrinologist for a testosterone prescription. 

The doctors privately recognized these false self-diagnoses as a manifestation of social contagion. They even acknowledged that suicide has an element of social contagion. But when I said the clusters of girls streaming into our service looked as if their gender issues might be a manifestation of social contagion, the doctors said gender identity reflected something innate.

Frequently, our patients declared they had disorders that no one believed they had. We had patients who said they had Tourette syndrome (but they didn’t); that they had tic disorders (but they didn’t); that they had multiple personalities (but they didn’t).

The girls who came to us had many comorbidities: depression, anxiety, ADHD, eating disorders, obesity. Many were diagnosed with autism, or had autism-like symptoms. A report last year on a British pediatric transgender center found that about one-third of the patients referred there were on the autism spectrum.

This concerned me, but didn’t feel I was in the position to sound some kind of alarm back then. There was a team of about eight of us, and only one other person brought up the kinds of questions I had. Anyone who raised doubts ran the risk of being called a transphobe. 

I certainly saw this at the center. One of my jobs was to do intake for new patients and their families. When I started there were probably 10 such calls a month. When I left there were 50, and about 70 percent of the new patients were girls. Sometimes clusters of girls arrived from the same high school. 

Until 2015 or so, a very small number of these boys comprised the population of pediatric gender dysphoria cases. Then, across the Western world, there began to be a dramatic increase in a new population: Teenage girls, many with no previous history of gender distress, suddenly declared they were transgender and demanded immediate treatment with testosterone. 

Soon after my arrival at the Transgender Center, I was struck by the lack of formal protocols for treatment. The center’s physician co-directors were essentially the sole authority.

At first, the patient population was tipped toward what used to be the “traditional” instance of a child with gender dysphoria: a boy, often quite young, who wanted to present as—who wanted to be—a girl. 

During the four years I worked at the clinic as a case manager—I was responsible for patient intake and oversight—around a thousand distressed young people came through our doors. The majority of them received hormone prescriptions that can have life-altering consequences—including sterility. 

I left the clinic in November of last year because I could no longer participate in what was happening there. By the time I departed, I was certain that the way the American medical system is treating these patients is the opposite of the promise we make to “do no harm.” Instead, we are permanently harming the vulnerable patients in our care.

Today I am speaking out. I am doing so knowing how toxic the public conversation is around this highly contentious issue—and the ways that my testimony might be misused. I am doing so knowing that I am putting myself at serious personal and professional risk.

Almost everyone in my life advised me to keep my head down. But I cannot in good conscience do so. Because what is happening to scores of children is far more important than my comfort. And what is happening to them is morally and medically appalling.

For almost four years, I worked at The Washington University School of Medicine Division of Infectious Diseases with teens and young adults who were HIV positive. Many of them were trans or otherwise gender nonconforming, and I could relate: Through childhood and adolescence, I did a lot of gender questioning myself. I’m now married to a transman, and together we are raising my two biological children from a previous marriage and three foster children we hope to adopt. 

The center’s working assumption was that the earlier you treat kids with gender dysphoria, the more anguish you can prevent later on. This premise was shared by the center’s doctors and therapists. Given their expertise, I assumed that abundant evidence backed this consensus. 

All that led me to a job in 2018 as a case manager at The Washington University Transgender Center at St. Louis Children's Hospital, which had been established a year earlier. 

“In a properly functioning education system, that’s giving them really robust messaging about what it means to be a man, they would have antibodies to fight off the sick messaging that Tate is giving. All they see is the guy who’s got a Bugatti and joking about telling women to make him a sandwich.

“When teachers try to explain why Tate isn’t someone to look up to, the teenage boys ask them, ‘Well, what colour is your Bugatti?’

“The premise needs to be attacked directly, which is that ‘no, money isn’t the main index of masculinity’. Otherwise, we would all just be looking up to gangsters and criminals.”

Knowland, who teaches English and has forged a career as an online tutor, was sacked in 2020 after refusing to take down a video he made for his students called The Patriarchy Paradox, which repeated claims that women would revert to a primitive life without men.

Knowland believes the issues he was seeking to address in the lecture, which is still on his YouTube channel and has had 255,000 views, have only increased since his sacking.

The Teaching Regulation Agency (TRA) decided to take no action against Knowland after an inquiry. Eton College has previously said that the ruling did not undermine its decision to dismiss him.

The school reported the lecture to the TRA, which considered charges of undermining tolerance and failing to safeguard students but closed the case with no further action. In a statement, the school said: “This does not mean that Mr Knowland did nothing wrong or that Eton was not entitled to dismiss him.”

He added: “I think the most interesting part about the lecture and what resonated with my supporters was my stress on chivalry and the idea that a man’s strength should be put to the service of the weak and his family.

“Chivalry is the thing that we’re missing today and it’s become deformed and turned into machismo, which is masculinity without any sense of humility or meekness. I think this is what we need to return to. Some of the problems that Tate is addressing, things like men should be assertive, men should be competitive, men should be strong, etcetera, chivalry agrees with.

“But chivalry says, ‘Why do they need to be those things? Because it’s to serve the weak, not themselves.”

Knowland, 37, believes that Tate — who rose to infamy last year after videos of his diatribes led to him becoming the world’s most googled person — has tapped into a “malaise” among young men caused by the teaching of boys in schools.

As an example, last month Scotland had to pause movement of transgender prisoners after a row over whether a transgender female rapist should be imprisoned with biological women.

“For some, even saying that there are biological differences between men and women is offensive. That’s what my lecture said, that men are stronger,” Knowland added. “I don’t think that [women] should [compete in sport against transgender women]. I don’t think it’s safe.

The example I gave in the lecture [was] of the transgender fighter who fractured the woman’s skull, and could easily have killed her. I think there are good reasons why sporting bodies are moving towards and in some cases have already decided that there’s not going to be next events like that.”

During the Eton furore Simon Henderson, the head master of Eton, was criticised in some quarters for pursuing a “woke” culture at the school and his critics referred to him as “Trendy Hendy”. They pointed to pupils being asked to wear Black Lives Matter waistcoats and decolonising its curriculum as examples of the institution being captured by ideologues.

The content Knowland produces on his YouTube channel continues to be controversial. A recent video by the devout Catholic is entitled “Eight facts that killed evolution for me”.

“The lecture was addressing some very live issues at the time and it’s only got worse since then,” he said. “Women now feel that they haven’t got safe spaces to get undressed to go to a swimming pool. So those concepts in the lecture were hard hitting and provocative, because these are topics that are big ones that people have strong feelings about.”

While Knowland does not agree with the term transgender — “there are only two categories of sex, using the term transgender concedes too much ground” — he is alive to the issue of transphobic bullying. The issue has been in the spotlight this month after Brianna Ghey, a 16-year-old transgender girl, was stabbed to death in a park.

“People being subjected to transphobia is terrible,” he said. “People shouldn’t mistreat anybody just because they’ve got a mistaken idea that they are a woman. They need to be treated with compassion, not attacked or bullied.”

Knowland’s newfound career as an online tutor, as well as hosting a podcast, has eased some of the pressure he felt after his sacking. He said: “At Eton our family home was a benefit, so that was on my mind when I was leaving. I had to wait a couple of years after leaving to get a home because being self-employed, you have to get all the paperwork to get a mortgage.

“I’ve actually had parents get in touch because they supported me over what happened at Eton and wanted me to tutor their children.

“Losing my job was concerning but it gave me an insight into what it feels for someone to be cancelled. Fear is such a powerful weapon to stop people believing what they’re passionate about.

“People feel they can’t say anything, because consequences are going to be too severe, but now I’ve been through it I’ve actually found it freeing.”

They also died of covid at higher rates than other health-care workers, and they experience high rates of burnout, “an occupational syndrome characterized by a high degree of emotional exhaustion and depersonalization, and a low sense of personal accomplishment at work,” according to the World Health Organization

high stress and anxiety are the “antecedents” to burnout. But you know you’ve hit the nadir when you become emotionally detached from your work. “It’s almost like a loss of meaning,” she said.

In April 2020, Miller said the public was “exalting nurses as these superheroes and angels,” while nurses themselves were tweeting about “the horrible working conditions, enormous amount of death without any break … being mentally and completely worn down and exhausted.”

Miller said nurses are experiencing “collective trauma,” a conclusion she reached by studying their social media usage through the pandemic

Before the pandemic, between a third and half of nurses and physicians already reported symptoms of burnout. A covid impact study published in March 2022 by the American Nurses Foundation found this number had risen to 60 percent among acute-care nurses. “Reports of feeling betrayed, undervalued, and unsupported have risen,

Miller and Groves also found a fivefold increase in references to quitting between the 2020 study and the 2021 study. “Our profession will never be the same,” Miller told me. “If you talked to any nurse who worked bedside through the pandemic, that’s what they’ll tell you.” From this, she says, has grown a desire to be heard. “We feel emboldened. We’re not as willing to be silent anymore.”

then, in late February 2013, Duke was abruptly fired. She’d posted a photo on Instagram showing an ER where hospital staff had just saved the life of a man hit by a subway train. It looked like a hurricane had blown through. There were no people in the photo, but Duke titled the post, “Man vs. 6 train.” She told me she wanted to showcase “the amazing things doctors and nurses do to save lives … the f---ing real deal.”

Duke says her superiors called her an “amazing nurse and team member” before they told her that “it was time to move on.” Her director handed her a printout of the Instagram post. According to Duke, he acknowledged that she hadn’t violated HIPAA or any hospital policies but said she’d been insensitive and unprofessional. She was escorted out of the building by security. When the episode aired, it showed Duke crying on the sidewalk outside the hospital.

She’d reposted the photo, with permission, from a male doctor’s Instagram account. He faced no repercussions. She now admits her caption was rather “cold” — especially compared with the doctor’s, “After the trauma.” In hindsight, she said, she might have been more sensitive. Maybe not even posted the photo at all. And yet this frustrates her. Why shouldn’t the public see nursing culture for what it really is? Man vs. 6 Train. “That’s ER speak,” she told me. “We say ‘head injury in room five.’ We don’t say ‘Mr. Smith in room five. We talk and think by mechanism of injury.”

But this is at odds with the romanticized image of the nurturing nurse — which hospitals often want to project. In some cases, nurses are explicitly told not to be forthright with their patients. “I know nurses in oncology who are not allowed to say to a patient and their family, ‘This will be the fourth clinical trial, but we all know your family member is dying,”

“The most frequent question is, ‘Katie, I have to get out of the hospital, but I don’t know what else to do.’” Her advice: “You have to create your own definition of what being a nursing professional means to you.” She has a ready list of alternative jobs, including “med spa” owner, educational consultant and YouTuber.

Leaders in the deeply conservative Utah say they need the law to protect women's sports. As cultural shifts raise LGBTQ visibility, the lawmakers argue that, without their intervention, more transgender athletes with apparent physical advantages could eventually dominate the field and change the nature of women's sports.

he team is also partially owned by NBA all-star Dwyane Wade, who has a transgender daughter.

The looming threat of a lawsuit worries school districts and the Utah High School Athletic Association, which has said it lacks the funds to defend the policy in court. Later Friday, lawmakers are expected to change the bill so state money would cover legal fees.

The group Visit Salt Lake, which hosts conferences, shows and events, said the override could cost the state $50 million in lost revenue. The Utah-based DNA-testing genealogy giant Ancestry.com also urged the Legislature to find another way. The American Principles Project is confident that states with bans won't face boycotts like North Carolina did after limiting public restrooms transgender people could use. It focused on legislation in populous, economic juggernaut states like Texas and Florida that would be harder to boycott, Schilling said.

Friday's deliberations came after more than a year of debate and negotiation between social conservatives and LGBTQ advocates. Republican sponsor Rep. Kera Birkeland worked with Cox and civil rights activists at Equality Utah before introducing legislation that would require transgender student-athletes to go before a government-appointed commission.

The proposal, although framed as a compromise, failed to gain traction on either side. LGBTQ advocates took issue with Republican politicians appointing commission members and evaluation criteria that included body measurements such as hip-to-knee ratio.

But the ban won support from a vocal conservative base that has particular sway in Utah's state primary season. Even with primaries looming, however, some Republicans stood with Cox to reject the ban.

Ready for more bad infectious diseases news? There's an outbreak of bird flu making its way into U.S. poultry flocks. If the virus continues to spread, it could affect poultry prices — already higher amid widespread inflation. The price of chicken breasts this week averaged $3.63 per pound at U.S. supermarkets — up from $3.01 a week earlier and $2.42 at this time last year, the Agriculture Department says.

The latest data from the USDA show 59 confirmed sites of avian flu across commercial and backyard flocks in 17 states since the start of the year. That figure includes chickens, turkey and other poultry. The USDA identified a case of avian flu in a wild bird in mid-January, the first detection of the virus in wild birds in the U.S. since 2016. Wild birds can spread the virus to commercial and backyard flocks. By Feb. 9, the virus had been identified in a commercial flock in Indiana.

The last major avian flu outbreak in the U.S. was from December 2014 to June 2015, when more than 50 million chickens and turkeys either died from highly pathogenic avian influenza (HPAI) or were destroyed to stop its spread.

Whether the 2022 avian flu will affect the price of eggs and poultry depends on how widespread it becomes, says Ron Kean, a poultry science expert at the University of Wisconsin-Madison Department of Animal and Dairy Sciences. "In 2015, we did see quite an increase in egg prices," Kean told Wisconsin Public Radio. "The chicken meat wasn't severely affected at that time. We did see quite a loss in turkeys, so turkey prices went up. So, we'll see. If a lot of farms contract this, then we could see some real increases in price."

For producers who suspect their flock may be affected by avian flu, the USDA has a guide to the warning signs, including a sudden increase in bird deaths, lack of energy and appetite, and a decrease in egg production. If a flock is found to be infected by bird flu, the USDA moves quickly — within 24 hours — to assist producers to destroy the flock and prevent the virus from spreading.

A new Virginia state law prohibiting mask mandates in public schools does not apply to 12 students with disabilities whose parents challenged the law, a federal judge has ruled. Last month, the parents of 12 students across Virginia asked the court to halt enforcement of the law, saying it violated their rights under the federal American with Disabilities Act. The law, signed by newly elected Republican Gov. Glenn Youngkin, went into effect March 1; it gives parents a say over whether their children should wear masks in school.

The group of parents have children whose health conditions range from cystic fibrosis to asthma that put them at heightened risk for COVID-19.

The American Civil Liberties Union, which was one of several legal organizations that filed on behalf of the plaintiffs, said the injunction served as a "blueprint."

In a statement, Virginia Attorney General Jason Miyares said the ruling affirms that "parents have the right to make choices for their children."

When Judge Katanji Brown Jackson entered the Senate chamber this week to face questions on her readiness to join the Supreme Court, she did so as the first Black woman in the nation's history to be nominated to that position. For many Black law students and professionals, including a group of 150 who traveled from across the country to watch the historic hearing, Jackson's rise to likely associate justice gives a message of profound hope for what they too might one day be able to accomplish.

Dudley was one of 100 law students selected nationwide to attend a series of events and watch parties for Jackson's nomination, hosted by the progressive organization, Demand Justice. The group also included 50 public defenders — a nod to Jackson's own background in that field. "I see a lot of myself in her. I see a lot of my friends in her, and I wanted to be there to support," Dudley said, calling Jackson "overly qualified to sit on the Supreme Court."

The cohort of legal professionals cheered on Jackson as she faced questions from Republicans about her past cases, particularly those relating to child sex abuse, and on what school of thought she would bring to determining the constitutionality of high-profile cases. Republicans had vowed to oppose President Joe Biden's nominees to the court, and when news of Justice Stephen Breyer's imminent retirement broke, the GOP quickly mobilized to attack potential nominees who might replace the longtime liberal justice on the bench.

Particularly, some sentencing decisions in child pornography cases drew GOP fire. But Jackson's measured responses throughout the three days of questioning solidified the support of many onlookers, who reveled in what it would mean to have a Black woman sit on the bench for the first time in the court's 233-year history. "The fact of the matter is that I'm the father of three black girls, right? And to be able to tell them that finally, someone who is Black — female nonetheless — is finally on the precipice of a mountain that has never been climbed before by any other Black woman, is huge," said Edrius Stagg, a third-year law student at Southern University Law Center in Baton Rouge.

Sen. Joe Manchin of West Virginia — whose break from Democrats on a number of politically fraught votes had worried some as to whether he would support Biden's nominee — announced on Friday he would vote in favor of Jackson's confirmation, all but assuring her path to join the bench.

For some, the optics of seeing Jackson — a Black woman — defend her credentials to a group of largely white, predominantly male detractors, was a familiar scene. It has played out, students said, in workplaces the world over and across the socioeconomic spectrum.

Booker called the attacks on Jackson's record "dangerous" and "disingenuous," noting the complexities of cases that had been boiled down to their basest points in order to damage Jackson's image.

"I'm not gonna let my joy be stolen," he continued. "Because I know, you and I, we appreciate something that we get that a lot of my colleagues don't." And while Jackson's opponents peppered her with politically polarizing questions, her supporters grew even more convinced that Jackson was qualified for the job. "To see her hold her composure and just answer the questions just to the best of her capabilities was just really great to see," said Jasmine McMillion, a third-year law student at Florida Agricultural and Mechanical University College of Law.

President Putin retaliated by taking over Crimea, a former Soviet republic that had been part of Ukraine since 1954. That same year, pro-Russian militants established a stronghold in the Donbas region of eastern Ukraine. The Ukrainian government gave the separatists self-rule in the region to end the conflict. However, the militants did not get the complete independence they wanted and sporadic fighting between Ukrainians and the Russian separatists continues to this day

Meanwhile, Switzerland, which has historically remained neutral during conflicts, announced it was freezing all assets owned by Russian individuals and companies.

giants BP and Shell, global bank HSBC, and the world's biggest aircraft leasing firm AerCap are among a growing list of companies that recently announced plans to exit Russia.

The conflict has been extremely hard for Ukrainians. At the president's request, all male citizens between 18 to 60 have stayed behind to defend their country. Meanwhile, the women, children, and the elderly are fleeing to safety in large numbers. The UN High Commissioner of Refugees estimates that about half a million Ukrainians have crossed into the neighboring countries since the start of the war. More than half of them have gone to Poland, while the rest have crossed over into Moldova, Slovakia, Romania, and Hungary.

The Swahili Coast is a narrow strip of land that stretches some 2,000 miles along the Eastern African seaboard — from modern-day Mozambique, Comoros and Madagascar in the south, to Somalia in the north

In its medieval heyday, the region was home to hundreds of port towns, each ruled independently, but with a common religion (Islam), language (Kiswahili) and culture.

Many towns grew immensely wealthy thanks to a vibrant trading network with merchants who sailed across the Indian Ocean on the monsoon winds. Middle Eastern pottery, Asian cloths 0c 0c and other luxury goods came in. African gold, ivory and timber 0c 0c went out — along with a steady flow of enslaved people, who were shipped off and sold across the Arabian Peninsula and Persian Gulf. (Slave trading later took place between the Swahili coast and Europe as well.)

A unique cosmopolitan society emerged that blended African customs and beliefs with those of the foreign traders, some of whom stuck around and assimilated.

Islam, for example, arrived from the Middle East and became an integral part of the Swahili social fabric, but with coral-stone mosques built and decorated in a local, East African style

Or consider the Kiswahili language, which is Bantu in origin but borrows heavily from Indian and Middle Eastern tongues

The arrival of Europeans, beginning around 1500, followed by Omani sailors some 200 years later, changed the character of the region

over the past 40 years, archaeologists, linguists and historians have come to see Swahili society as predominantly homegrown — with outside elements adopted over time that had only a marginal impact.

That African-centric version of Swahili roots never sat well with the Swahili people themselves, though

They generally preferred their own origin story, one in which princes from present-day Iran (then known as Persia) sailed across the Indian Ocean, married local women and enmeshed themselves into East African society. Depending on the narrative source, that story dates to around 850 or 1000 — the same period during which genetic mixing was underway, according to the DNA analysis.

“It’s remarkably spot on,” said Mark Horton, an archaeologist at the Royal Agricultural University of England

“This oral tradition was always maligned,”

“Now, with this DNA study, we see there was some truth to it.”

The ancient DNA study is the largest of its kind from Africa, involving 135 skeletons dating to late-medieval and early-modern times, 80 of which have yielded analyzable DNA.

To figure out where these people came from, the researchers compared genetic signatures from the dug-up bones with cheek swabs or saliva samples taken from modern-day individuals living in Africa, the Middle East and around the world.

The burial-site DNA traced back to two primary sources: Africans and present-day Iranians. Smaller contributions came from South Asians and Arabs as well, with foreign DNA representing about half of the skeletons’ genealogy

“It’s surprising that the genetic signature is so strong

Gene sequences from tiny power factories inside the cell, known as mitochondria, were overwhelmingly African in origin. Since children inherit these bits of DNA only from their mothers, the researchers inferred that the maternal forbearers of the Swahili people were mostly of African descent.

By comparison, the Y chromosome, passed from father to son, was chock-full of Asian DNA that the researchers found was common in modern-day Iran. So, a large fraction of Swahili ancestry presumably came from Persian men

Dr. Reich initially assumed that conquering men settled the region by force, displacing the local males in the process. “My hypothesis was that this was a genetic signature of inequality and exploitation,”

hat turned out to be a “naïve expectation,” Dr. Reich said, because “it didn’t take into account the cultural context in this particular case.”

In East Africa, Persian customs never came to dominate. Instead, most foreign influences — language, architecture, fashion, arts — were incorporated into a way of life that remained predominantly African in character, with social strictures, kinship systems and agricultural practices that reflected Indigenous traditions.

“Swahili was an absorbing society,” said Adria LaViolette, an archaeologist at the University of Virginia who has worked on the East African coast for over 35 years. Even as the Persians who arrived influenced the culture, “they became Swahili,”

One major caveat to the study: Nearly all the bones and teeth came from ornamental tombs that were located near grand mosques, sites where only the upper class would have been laid to rest.

the results might not be representative of the general populace.

Protocols for disinterring, sampling and reburying human remains were established in consultation with local religious leaders and community stakeholders. Under Islamic law, exhumations are permitted if they serve a public interest, including that of determining ancestry,

To the uninitiated, the fact that Bankman-Fried saw a special urgency in preventing killer robots from taking over the world might sound too outlandish to seem particularly effective or altruistic. But it turns out that some of the most influential E.A. literature happens to be preoccupied with killer robots too.

Holden Karnofsky, a former hedge funder and a founder of GiveWell, an organization that assesses the cost-effectiveness of charities, has spoken about the need for “worldview diversification” — recognizing that there might be multiple ways of doing measurable good in a world filled with suffering and uncertainty

The books, however, are another matter. Considerations of immediate need pale next to speculations about existential risk — not just earthly concerns about climate change and pandemics but also (and perhaps most appealingly for some tech entrepreneurs) more extravagant theorizing about space colonization and A.I.

there’s a remarkable intellectual homogeneity; the dominant voices belong to white male philosophers at Oxford.

Among his E.A. innovations has been the career research organization known as 80,000 Hours, which promotes “earning to give” — the idea that altruistic people should pursue careers that will earn them oodles of money, which they can then donate to E.A. causes.

each of those terse sentences glosses over a host of additional questions, and it takes MacAskill an entire book to address them. Take the notion that “future people count.” Leaving aside the possibility that the very contemplation of a hypothetical person may not, for some real people, be “intuitive” at all, another question remains: Do future people count for more or less than existing people count for right now?

MacAskill cites the philosopher Derek Parfit, whose ideas about population ethics in his 1984 book “Reasons and Persons” have been influential in E.A. Parfit argued that an extinction-level event that destroyed 100 percent of the population should worry us much more than a near-extinction event that spared a minuscule population (which would presumably go on to procreate), because the number of potential lives dwarfs the number of existing ones.

If you’re a utilitarian committed to “the greatest good for the greatest number,” the arithmetic looks irrefutable. The Times’s Ezra Klein has written about his support for effective altruism while also thoughtfully critiquing longtermism’s more fanatical expressions of “mathematical blackmail.”

In 2015, MacAskill published “Doing Good Better,” which is also about the virtues of effective altruism. His concerns in that book (blindness, deworming) seem downright quaint when compared with the astral-plane conjectures (A.I., building an “interstellar civilization”) that he would go on to pursue in “What We Owe the Future.”

In both books he emphasizes the desirability of seeking out “neglectedness” — problems that haven’t attracted enough attention so that you, as an effective altruist, can be more “impactful.” So climate change, MacAskill says, isn’t really where it’s at anymore; readers would do better to focus on “the issues around A.I. development,” which are “radically more neglected.

In his recent best seller, “What We Owe the Future” (2022), MacAskill says that the case for effective altruism giving priority to the longtermist view can be distilled into three simple sentences: “Future people count. There could be a lot of them. We can make their lives go better.”

“Earning to give” has its roots in the work of the radical utilitarian philosopher Peter Singer, whose 1972 essay “Famine, Affluence and Morality” has been a foundational E.A. text. It contains his parable of the drowning child: If you’re walking past a shallow pond and see a child drowning, you should wade in and save the child, even if it means muddying your clothes

Extrapolating from that principle suggests that if you can save a life by donating an amount of money that won’t pose any significant problems for you, a decision not to donate that money would be not only uncharitable or ungenerous but morally wrong.

Singer has also written his own book about effective altruism, “The Most Good You Can Do” (2015), in which he argues that going into finance would be an excellent career choice for the aspiring effective altruist. He acknowledges the risks for harm, but he deems them worth it

Chances are, if you don’t become a charity worker, someone else will ably do the job; whereas if you don’t become a financier who gives his money away, who’s to say that the person who does become a financier won’t hoard all his riches for himself?

On Nov. 11, when FTX filed for bankruptcy amid allegations of financial impropriety, MacAskill wrote a long Twitter thread expressing his shock and his anguish, as he wrestled in real time with what Bankman-Fried had wrought.

“If those involved deceived others and engaged in fraud (whether illegal or not) that may cost many thousands of people their savings, they entirely abandoned the principles of the effective altruism community,” MacAskill wrote in a Tweet, followed by screenshots from “What We Owe the Future” and Ord’s “The Precipice” that emphasized the importance of honesty and integrity.

I’m guessing that Bankman-Fried may not have read the pertinent parts of those books — if, that is, he read any parts of those books at all. “I would never read a book,” Bankman-Fried said earlier this year. “I’m very skeptical of books. I don’t want to say no book is ever worth reading, but I actually do believe something pretty close to that.”

Avoiding books is an efficient method for absorbing the crudest version of effective altruism while gliding past the caveats

For all of MacAskill’s galaxy-brain disquisitions on “A.I. takeover” and the “moral case for space settlement,” perhaps the E.A. fixation on “neglectedness” and existential risks made him less attentive to more familiar risks — human, banal and closer to home.

Cambridge Students’ Union recently published a guide titled ‘How to spot Terf ideology’. It suggests that sex is neither natural nor binary, but rather a social construct and a ‘colonial fiction created to oppress trans people’

The guide goes on to claim, falsely, that ‘Terfs spend a lot of time working with the far-right.’  The Union’s Women’s Officer proudly announces in her manifesto that ‘Terfs aren’t welcome here’.

It is not uncommon for students to comb through a classmate’s social media and bully them in private messages. This can progress to more threatening behaviour. 

A gender-critical student at Cambridge was traumatised after her peers discovered an online article in which she expressed her views on sex. It cited her sexual assault as a reason for her reservations about allowing males into women’s spaces. For holding these views, she was publicly shamed and harassed. In the first year of what should have been a rewarding university experience, she became a pariah within her college

Helen Joyce, author of the best-selling book Trans: When Ideology Meets Reality, was recently invited to speak at Gonville and Caius College by Professor Arif Ahmed. This event sparked a furore. In an email to Caius students, the college’s Master and another academic described Joyce’s views as ‘hateful’ and wrote that: ‘Individuals should be able to speak freely within the law…However, on some issues which affect our community we cannot stay neutral’. Ahmed was blocked from using the college’s intranet to publicise the event.

Hundreds of students vehemently protested Joyce’s speech. Yet, in their report of the event, the student newspaper, Varsity muddled up what Joyce actually stood for. The paper suggested Joyce believes that ‘gender is not a social construct and is immutably linked to sex’, the very opposite of her thesis.

At one of this country’s most prestigious universities, women who hold perfectly reasonable views are terrorised into silence. Gender-critical students and academics are ostracised. A university that prides itself on academic rigour is letting down its students.

a “builder class”—a brains trust of youngish idealists, which includes Patrick Collison, co-founder of Stripe, a payments firm valued at $74bn, and other (mostly white and male) techies, who are posing questions that go far beyond the usual interests of Silicon Valley’s titans. They include the future of man and machine, the constraints on economic growth, and the nature of government.

They share other similarities. Business provided them with their clout, but doesn’t seem to satisfy their ambition

The number of techno-billionaires in America (Mr Collison included) has more than doubled in a decade.

ome of them, like the Medicis in medieval Florence, are keen to use their money to bankroll the intellectual ferment

The other is Paul Graham, co-founder of Y Combinator, a startup accelerator, whose essays on everything from cities to politics are considered required reading on tech campuses.

Mr Altman puts it more optimistically: “The iPhone and cloud computing enabled a Cambrian explosion of new technology. Some things went right and some went wrong. But one thing that went weirdly right is a lot of people got rich and said ‘OK, now what?’”

A belief that with money and brains they can reboot social progress is the essence of this new mindset, making it resolutely upbeat

The question is: are the rest of them further evidence of the tech industry’s hubristic decadence? Or do they reflect the start of a welcome capacity for renewal?

Two well-known entrepreneurs from that era provided the intellectual seed capital for some of today’s techno nerds.

Mr Thiel, a would-be libertarian philosopher and investor

This cohort of eggheads starts from common ground: frustration with what they see as sluggish progress in the world around them.

Yet the impact could ultimately be positive. Frustrations with a sluggish society have encouraged them to put their money and brains to work on problems from science funding and the redistribution of wealth to entirely new universities. Their exaltation of science may encourage a greater focus on hard tech

the rationalist movement has hit the mainstream. The result is a fascination with big ideas that its advocates believe goes beyond simply rose-tinted tech utopianism

A burgeoning example of this is “progress studies”, a movement that Mr Collison and Tyler Cowen, an economist and seer of the tech set, advocated for in an article in the Atlantic in 2019

Progress, they think, is a combination of economic, technological and cultural advancement—and deserves its own field of study

There are other examples of this expansive worldview. In an essay in 2021 Mr Altman set out a vision that he called “Moore’s Law for Everything”, based on similar logic to the semiconductor revolution. In it, he predicted that smart machines, building ever smarter replacements, would in the coming decades outcompete humans for work. This would create phenomenal wealth for some, obliterate wages for others, and require a vast overhaul of taxation and redistribution

His two bets, on OpenAI and nuclear fusion, have become fashionable of late—the former’s chatbot, ChatGPT, is all the rage. He has invested $375m in Helion, a company that aims to build a fusion reactor.

Mr Lonsdale, who shares a libertarian streak with Mr Thiel, has focused attention on trying to fix the shortcomings of society and government. In an essay this year called “In Defence of Us”, he argues against “historical nihilism”, or an excessive focus on the failures of the West.

With a soft spot for Roman philosophy, he has created the Cicero Institute in Austin that aims to inject free-market principles such as competition and transparency into public policy.

He is also bringing the startup culture to academia, backing a new place of learning called the University of Austin, which emphasises free speech.

All three have business ties to their mentors. As a teen, Mr Altman was part of the first cohort of founders in Mr Graham’s Y Combinator, which went on to back successes such as Airbnb and Dropbox. In 2014 he replaced him as its president, and for a while counted Mr Thiel as a partner (Mr Altman keeps an original manuscript of Mr Thiel’s book “Zero to One” in his library). Mr Thiel was also an early backer of Stripe, founded by Mr Collison and his brother, John. Mr Graham saw promise in Patrick Collison while the latter was still at school. He was soon invited to join Y Combinator. Mr Graham remains a fan: “If you dropped Patrick on a desert island, he would figure out how to reproduce the Industrial Revolution,”

While at university, Mr Lonsdale edited the Stanford Review, a contrarian publication co-founded by Mr Thiel. He went on to work for his mentor and the two men eventually helped found Palantir. He still calls Mr Thiel “a genius”—though he claims these days to be less “cynical” than his guru.

“The tech industry has always told these grand stories about itself,” says Adrian Daub of Stanford University and author of the book, “What Tech Calls Thinking”. Mr Daub sees it as a way of convincing recruits and investors to bet on their risky projects. “It’s incredibly convenient for their business models.”

In the 2000s Mr Thiel supported the emergence of a small community of online bloggers, self-named the “rationalists”, who were focused on removing cognitive biases from thinking (Mr Thiel has since distanced himself). That intellectual heritage dates even further back, to “cypherpunks”, who noodled about cryptography, as well as “extropians”, who believed in improving the human condition through life extensions

Silicon Valley has shown an uncanny ability to reinvent itself in the past.

lthough the concept of equality may seem intuitive, it is surprisingly difficult to pin down with any precision.

“When people speak of equality,” McMahon stresses, “they invariably speak of the equality of something.” The central question is the one so famously and pithily posed by the economist Amartya Sen in his landmark 1979 lecture of the same name: “Equality of what?”

McMahon surmises that our foraging forebears were probably staunch egalitarians, at least when it came to the division of labor within their communities.

even in the idyllic days of prehistory, there was a catch. Early humans probably adhered to what the anthropologist Christopher Boehm called an “egalitarian hierarchy,” in which, in McMahon’s words, “the many combine to dominate the few,” exiling those who challenged the pecking order (or so those cave paintings seem to suggest)

And even though hunter-gatherers probably treated suitably compliant members of their own clans equitably, in-group/out-group rivalries “undoubtedly played a role in the cohesion” that each group achieved internally

our ancestors maintained order within by sewing discord without, vying violently with competing clans and expelling (or even killing) upstarts who threatened to distinguish themselves too dramatically from the pack.

The very concept of equality, which requires both difference and sameness, generates comparable tensions in almost every society in which some version of it is promoted.

, the temptation to maintain harmony within a group by degrading those outside it has been irresistible for centuries — and remains so to this day.

But if the monotheistic religions “proclaimed fellowship among the children of God,” McMahon wryly clarifies, they were also “quick to banish from the family those who rejected the faith.

John Calvin himself minced no words on this point. “All are not created … equal,” he wrote.

Everyone was equal in post-revolution France — except for those who were not.

Many of the most prominent thinkers of the period considered women and people of color too irrational to merit legal recognition

in the 1700s, French revolutionaries inspired by the Enlightenment maintained that equality was a right bestowed on every man by virtue of his intrinsically rational nature

“We want to be treated with fairness and on equal terms, accorded recognition and respect,” McMahon writes. “But at the same time we seek distinction, aiming to set ourselves apart.

If equality so ineluctably contains the seeds of its own undoing, the moral arc of the universe cannot be trusted to bend toward justice. On the contrary, McMahon argues, equality is not an inevitability but a hard-earned improbability.

it is not equality but its opposite that is always encroaching, dogging every attempt at progress, stalking its rival like a shadow, patiently waiting to strike.

In his ambitious new book, “Equality: The History of an Elusive Idea,” Dartmouth history professor Darrin M. McMahon proposes that the “elusive idea” in question is expansive enough to vindicate both accounts. His wide-ranging survey of equality throughout the ages demonstrates that progress toward achieving it is almost never linear.