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Russia’s military predicament is going from bad to worse. Occupying a thousand-kilometer front and reliant on massed firepower, the Russian military depends on creaking supply lines that run parallel to the front and that are increasingly vulnerable to Ukrainian precision attacks.

Meanwhile, Russia’s military mobilization is a deeply unpopular botch, as more Russian men flee the country than can be inducted into an army that cannot equip them, cannot train them, and cannot lead them.

More disasters await. Ten thousand to 20,000 of Russia’s best remaining troops are bottled up in the city of Kherson, their backs against the Dnipro River and the bridges behind them unusable for heavy traffic.

Surovikin—his face set in the menacing scowl of most Russian generals—will not be able to create a unified command organization overnight. Nor is he likely to escape the micromanagement from the Kremlin that seems to have plagued Russia’s war effort. What he will do, however, is repeat the brutalities over which he presided in Syria, where the Russian military gained experience not in fighting but in butchering civilians

Putin may now face the unappetizing choice between picking a more effective, colorful, and (on the nationalist right) popular set of subordinates who could turn on him, or sticking with the loyal but failed mediocrities who have absorbed the obloquy associated with Putin’s system and the president himself.

Dictatorships built solely on fear and self-interest are brittle things, and in Russia the cracks are showing.

Running throughout the open conduits of opinion, primarily on Telegram, is boiling discontent with the military, the conduct of this war, the absurd insistence that it is not a war but a “special technical operation,” the incompetent mobilization, and, by implication, Putin himself.

At the same time, Russian paranoia about the West, a combination of grievance and thwarted desires to restore an imperial state, has created an atmosphere in which measured policy is impossible.

All of this suggests that predictions of stalemate are wrong, at least so far as the higher conduct of this war is concerned. The impulse of General Surovikin will be to destroy civilians, power plants, and hospitals, because he cannot beat the Ukrainian army.

“Great battles, won or lost, change the entire course of events, create new standards of values, new moods, new atmospheres, in armies and in nations, to which all must conform.”

A much larger psychological disaster for Russia will ensue if and when Kherson falls and the largest city that Russia has taken is lost to Ukraine, together with thousands of Russian prisoners. That would be the real inflection point, a great battle, and as Churchill also put it:

the money markets were not waiting for an act of faith in Laffer Curve fundamentalism after all. This was “Reaganism without the dollar.” Without the confidence afforded to the global reserve currency, the pound went into free fall.

Ms. Truss and Mr. Kwarteng seemed to have believed that by patching together all of the most radical policies of Thatcherism (while conveniently dropping the need for spending cuts), they would be incanting a kind of magic spell, an “Open sesame” for “global Britain.” This was their Reagan moment, their moment when, as their favorite metaphors put it, a primordial repressed force would be “unchained,” “unleashed” or “unshackled.”But as a leap of faith, it broke the diver’s neck.

As Thatcher herself put it, “Economics are the method; the object is to change the heart and soul.” Britain needed a leap of faith to restore itself.

While the Gen X Thatcherites didn’t scrimp on data, they also saw something ineffable at the root of British malaise. “Beyond the statistics and economic theories,” they wrote, “there remains a sense in which many of Britain’s problems lie in the sphere of cultural values and mind-set.”

“Britannia Unchained” expressed a desire to go back to the future by restoring Victorian values of hard work, self-improvement and bootstrapping.

They followed their idol not only in her antagonism to organized labor but also in her less-known fascination with Asian capitalism. In 2012’s “Britannia Unchained,” a book co-written by the group that remains a Rosetta Stone for the policy surprises of the last month, they slammed the Britons for their eroded work ethic and “culture of excuses” and the “cosseted” public sector unions. They praised China, South Korea, Singapore and Hong Kon

Thatcherites, known collectively as the ultras, gained fresh blood in the 2010s as a group of Gen Xers too young to experience Thatcherism in its insurgent early years — including the former home secretary Priti Patel, the former foreign secretary Dominic Raab, the former minister of state for universities Chris Skidmore, Mr. Kwarteng and Ms. Truss — attempted to reboot her ideology for the new millennium.

Over the subsequent four decades, Thatcherites at think tanks like the Institute of Economic Affairs and the Centre for Policy Studies (which Margaret Thatcher helped set up) described the struggle against both the Labour Party and the broader persistence of Socialism in the Communist and non-Communist world as a “war of ideas.”

Thatcherism began in the 1970s. Defined early as the belief in “the free economy and the strong state,” Thatcherism condemned the postwar British welfare economy and sought to replace it with virtues of individual enterprise and religious morality.

There’s something tragicomic, if not tragic, about capitalist revolutionaries Ms. Truss and Mr. Kwarteng laid low by the mechanisms of capitalism itself. Ms. Truss and Mr. Kwarteng may be the last of the Thatcherites, defeated by the very system they believed they were acting in fidelity to.

The world has just witnessed one of the most extraordinary political immolations of recent times. Animated by faith in a fantasy version of the free market, Prime Minister Liz Truss of Britain set off a sequence of events that has forced her to fire her chancellor of the Exchequer, Kwasi Kwarteng, and led her to the brink of being ousted by her own party.

Admiral Lee Hsi-ming, who was chief of Taiwan’s General Staff from 2017 to 2019, has championed the shift to asymmetric capabilities and has emerged as a Cassandra-like figure in his warnings that Taiwan is not preparing fast enough

You may not be able to stop an invasion, Lee says, but you can stop China from subjugating Taiwan. This entails denying China the ability to control the battle space. The Chinese haven’t fought a war in several decades, and Taiwan has geographic advantages—including ample mountains and few beaches suitable for amphibious operations

the first three section headings: “I. Taiwan Is Part of China—This Is an Indisputable Fact,” “II. Resolute Efforts of the CPC to Realize China’s Complete Reunification,” and “III. 2fChina’s Complete Reunification Is a Process That Cannot Be Halted.”

Lee points to two possible scenarios. The first is a coercive approach in which China encircles and pressures Taiwan—perhaps even seizing outlying islands and engaging in missile strikes. The second is a full-scale invasion.

Politically, Lee said, the message from China to the U.S. and Taiwan is simple: “I can do whatever I want in Taiwan, and there’s nothing the U.S. can do about it.” This message came across unequivocally in a white paper that Beijing released in August.

Anti-ship missiles, anti-tank weapons, shoulder-fired surface-to-air missiles, drones, long-range artillery, and small arms could wreak havoc on an invading force, and disrupt the supply chains necessary to sustain an occupation.

Lee also argues that Taiwan’s civilian population should be organized into a trained Territorial Defense Force, so that any attempted occupation would be met by the broadest possible resistance. “As long as China fails, Taiwan wins the war,”

“The purpose is to make China believe that if you want to invade Taiwan, you will suffer huge losses,” Lee said. “And if you still invade Taiwan, you will not be able to succeed.

as Lee sees it, the pace must quicken. “Taiwan needs a strategic paradigm shift,”

When Chiang fled to Taiwan—with roughly 2 million Chinese from the mainland—there were some 6 million people already living on an island that was just emerging from 50 years of Japanese rule. Most of the people living on the island when Chiang arrived could claim roots in Taiwan going back hundreds of years. They had their own languages and culture. So too did the island’s many Indigenous groups, such as the Amis, the Atayal, and the Paiwan.

To subjugate the island, Chiang killed and imprisoned tens of thousands over decades—a period known as the White Terror. He set up a military dictatorship under the leadership of his Chinese nationalist Kuomintang Party (KMT) and, from this offshore platform, vowed to reclaim mainland China.

After the election of President Ma Ying-jeou, in 2008, links of trade, investment, and travel helped reduce tensions with China. Ma was from the KMT, and the party’s Chinese heritage and its ties to Taiwan’s business elite eased the way to détente with Beijing.

But many Taiwanese, particularly the young, feared that forging too close a connection could ultimately give Beijing leverage over Taiwan. In 2014, in what became known as “the Sunflower Movement,” named for the flower that served as a symbol of hope, students occupied the Taiwan legislature to oppose a free-trade agreement with China. After a tense standoff, they succeeded in stopping the deal.

tus quo is really interesting, because in the American context that is what it mean

But the idea of it here is: There is no need to declare independence, because we are already independent. This country functions like an independent nation, but someone else says it is not.” Recent polling suggests that fewer than 5 percent of people in Taiwan identify as “only Chinese.”

n Chinese and KMT officials 30 years ago, an outcome

at represents anything but consensus. To the Chinese Communist Party, the consensus is that there is one China, and the government in Beijing is the sole legitimate authority. To the KMT, the consensus is that there is one China, but the Republic of China in Taiwan is the legitimate government. To the DPP, there is no consensus, only a fraught political reality to be managed

China proposes a “one country, two systems” regime, in which Taiwan becomes a formal part of China but maintains an autonomous political system. There is one big problem with this proposal: Hong Kong

in 2020, several “national-security laws” were passed giving the authorities broad powers to crush dissent. Activists were rounded up. Independent media were shut down. One country, two systems was dead. The fate of Hong Kong has had a profound impact on Taiwan.

Ukraine inspired the Taiwanese society a lot, including how Zelensky told their story,” Chiang said. He was almost matter-of-fact when he told me, “I would say war between China and Taiwan will definitely happen. We want to win.”

In our conversation, Tsai talked about what she had learned from Ukraine. One lesson is simply the need for international support—to defend itself or, better, to avoid a war in the first place

Another lesson of Ukraine is the importance of national character. Outside support, Tsai emphasized, depends on qualities only Taiwan can provide. “You need to have good leadership,” she said, “but more important is the people’s determination to defend themselves, and the Ukrainian people showed that.

Hanging over all of this is the role of the United States. As one Taiwanese ex

ert pointedly asked me: “We can make ourselves a porcupine, but what are you going to do?”

Would the U.S. risk the biggest naval battle since World War II to break a Chinese blockade? Would the U.S. attack an invading Chinese force knowing that U.S. military personnel in Japan, Guam, and possibly Hawaii are within range of Chinese rockets? Would the American people really support a war with the world’s most populous country in order to defend Taiwan?

how the U.S. can help prepare Taiwan than on what the U.S. would do in a conflict.

small victories only point up the scale of the challenge. Wu himself has used the term cognitive warfare to describe the comprehensive nature of China’s pressure on Taiwan. “They use missiles, air, ships, disinformation, cyberattacks, and economic coercion,” he told me. As a warning sign, China has banned hundreds of exported products from Taiwan. “They claimed that our mangoes tested positive for COVID,”

. If China takes Taiwan, Wu suggested that the Chinese Communist Party’s ambitions could extend to the East China Sea, threatening Japan; to the South China Sea, where China has built militarized islands and claims an entire body of water bordering several nations; to the Indian Ocean, where China is expanding influence and could establish military bases; and to the Pacific Ocean, where China is working to establish security pacts with island nations

I sat there reading message after message, all posted in closed chat rooms, meant to bend Taiwanese minds to Beijing’s worldview. The meanings of buzzwords like cognitive warfare and resilience came into sharper focus. Facing the seemingly bottomless resources of a massive totalitarian state, here were two young people working for free on a Wednesday night, quietly insisting on the notion that there is indeed such a thing as objective reality.

to preserve this, Taiwan has to find some mix of the approaches that I’d heard about: preparing for a war while avoiding it; talking to China without being coerced by it; drawing closer to the U.S. without being reduced to a chess piece on the board of a great game; tending to a young democracy without letting divisions weaken it; asserting a unique identity without becoming an independent country.

if this is true, why do we hear so much about crime rates, opioids and gun violence in America, but so little from our elected leaders about the crisis of poverty? Why is there no “Surgeon General’s Warning” on low-wage jobs?

we as a people have become numb to the unnecessary deaths that are normalized by the ways we often think and talk about the economy in public life.

the United States is the leader in poverty among the rich countries of the world. As of 2019, the US had the worst poverty rate overall (17.8%) and in children specifically (20.9%) among the other 25 wealthy countries that are part of the Organization for Economic Co-operation and Development (OECD).

Seventy-five percent of all Americans between 20-75 years of age will be among the “current” poor or near poverty for at least one year of their lives.

Contrary to popular belief, poverty is hardly just the province of the inner city: only 10% of poor Americans live in high-poverty census tracts – most are spread out across the country. They are our neighbors. And although the rates of poverty are highest among communities of color, by sheer volume most people living in poverty are white.

poverty is a drag on our economy. Child poverty alone in the US presents an $800bn to $1.1tn price tag, based on reductions in adult productivity, criminal justice costs and the costs of healthcare for children from poor families.

Matthew Desmond, a sociologist at Princeton University, estimates that we could lift everyone within our borders above the poverty line for less than 1% of our national GDP – $177bn. Ending poverty is within our grasp. It is something we can accomplish together. So what’s stopping us?

As the economists Daron Acemoglu and James Robinson said in their 2012 book Why Nations Fail, “those who have power make choices that create poverty. They get it wrong not by mistake or ignorance but on purpose”.

recent book Poverty, By America: “Tens of millions of Americans do not end up poor by a mistake of history or personal conduct. Poverty persists because some wish and will it to.”

The incentives for maintaining the status quo, for keeping many Americans poor, rest on the fact that some people find considerable financial benefit from presiding over the misery of others

what a young Friedrich Engels – observing the deaths of factory-workers, the conditions of the slums, and the exploitation of children in Manchester, England in the mid-19th century – called “social murder”. Many were dying, while a few made a killing from their suffering. It was true then, and it is true now.

“Woe unto those who make unjust laws and rob the poor of their right.” But this prophetic challenge isn’t a condemnation. It is an invitation to life. Together, we can become the land of “liberty and justice for all” that has never yet bee

Nearly three quarters of the child and adolescent population in Pakistan experienced learning difficulties after widespread floods devastated the country in 2010.

For many young people, worry over threats of future climate change results in panic attacks, insomnia, obsessive thinking, and other symptoms

And those feelings are often amplified by a pervasive sense that older people aren’t doing enough to fix the climate problem. “There’s a feeling of intergenerational injustice,” says Lise Van Susteren, a general and forensic psychiatrist based in Washington, DC, who specializes in the mental health effects of climate change. “Many young people feel invalidated, betrayed, and abandoned.”

Research on effective interventions is virtually nonexistent, and parents and other people who want to help have little to go on. Professional organizations are only now beginning to provide needed resources.

News reports and researchers often refer to these feelings collectively as climate anxiety, or eco-anxiety, but Pinsky admits to having misgivings about the terms.

“Many people interpret anxiety as a pathological response that needs to be treated and solved,” she says. “But it’s also a constructive emotion that gives us time to react in the face of danger. And anxiety in the face of climate change is a healthy response to a real threat.”

others become progressively hyperaroused and panicky, Pinsky says, or else fall into a sort of emotional paralysis

Some people manage their climate-triggered emotions without spiraling into distress

These reactions can be especially debilitating for people who already struggle with underlying mental health disorders.

anxieties over climate change can interlace with broader feelings of instability over the pace of technological and cultural change,

“Technology is accelerating faster than culture can keep up, and humans in general are unmoored and struggling to adapt,” she says. “For some people, climate change is psychologically the last straw. You realize you can no longer count on the stability of your planet, your atmosphere — your very world.”

Van Susteren describes that anxiety as a type of pre-traumatic stress disorder, with few existing precedents in the United States apart from fears of nuclear annihilation and the decades-ago experience of living through classroom drills on how to survive an atom bomb attack.

Talk therapy for anxiety typically aims to help people identify and replace irrational thoughts, called cognitive distortions, with alternative thinking that isn’t so stressful. But since climate anxiety is based on rational fears, this particular approach risks alienating anyone who might feel their worries are being dismissed.

Younger people were increasingly arriving at Bryant’s office frightened, depressed, and confused about how to manage climate-triggered emotions. Some were even wondering if they should bring children into such a world.

“We’re not saying that anxiety is good or bad,” he says. “We just want to bring those feelings out into the open. It’s more about validating that climate concerns are reasonable given what we’re reading in the news every day.” Ann-Christine Duhaime

Emerging evidence suggests that young people do best by cultivating a sense of agency and hope despite their climate concerns.

getting to that point involves talking through feelings like despair, grief, or rage first. Without doing that, he says, many people get stuck in maladaptive coping strategies that can lead to burnout, frustration, or hopelessness. Bryant describes jumping into an urgent, problem-focused coping strategy as “going into action mode so you don’t have to feel any grief.”

Problem-focused coping has a societal benefit in that it leads to “pro-environmental behavior,” meaning that young people who engage in it typically spend a lot of time learning about climate change and focusing on what they can do personally to help solve the problem

But climate change is far beyond any one person’s control, and problem-focused coping can leave people frustrated by the limits of their own capacity and make them unable to rid themselves of resulting worry and negative emotions

she and her colleagues describe emotion-focused coping, whereby young people ignore or deny climate change as a means of avoiding feeling anxious about it. In an email, Ojala notes that people who gravitate toward emotional distancing typically come from families that communicate about social problems in “pessimistic doom-and-gloom ways.”

Ojala

Ojala and other experts favor a third coping strategy that balances negative feelings about climate change with faith in the power of social forces working to overcome it. Called meaning-focused coping, this approach takes strength from individual actions and climate beliefs, while “trusting th

her societal actors are also doing their part,”

since meaning-focused coping allows negative and positive climate emotions to coexist, young people who adopt it have an easier time maintaining hope for the future.

The overall goal, she says, is for young people to achieve more resilience in the face of climate change, so they can function in spite of their environmental concerns

When people find meaning in what they do, she says, they have a greater sense of their own agency and self-efficacy. “You’re more empowered to take action, and that can be a powerful way to deal with strong negative emotions,”

Duhaime cautions that anyone taking action against climate change should know they shouldn’t expect a quick payback

The brain’s reward system, which forms a core of human decision-making, evolved over eons of history to strengthen neural associations between actions and outcomes that promote short-term survival. And that system, she says, responds to the immediate consequences of what we do. One problem with climate change, Duhaime says, is that because it’s so vast and complex, people can’t assume that any single act will lead to a discernible effect on its trajectory

young people may benefit from seeking the rewards that come from being part of a group or a movement working to advance an agenda that furthers actions that protect the planet’s climate. “Social rewards are really powerful in the climate change battle, especially for young people,

Recognizing the mismatch between how the brain processes reward and the novel challenges of the climate crisis may help people persist when it feels frustrating and ineffective compared to causes with more immediately visible effects. Even if you don’t see climate improvements or policy changes right away, she says, “that won’t diminish the importance of engaging in these efforts.”

Malits adds that she wasn’t overly burdened by her emotions. “I’m an optimist by nature and feel that society does have the capacity to make needed changes,” she says. “And what also helps me avoid climate anxiety on a daily basis is the community that I’ve been lucky enough to connect with here at Harvard. It helps to surround yourself with people who are similarly worried about these issues and are also engaging with you on solutions, in whatever capacity is meaningful to you.”

“Climate anxiety is an important catalyst for the work I do,” Malits says. “I think you need avenues to channel it and talk about it with loved ones and peers, and have communities through which you can process those feelings and come up with remedies.” Collaborative activism dampens the anxiety, Malits says, and gives young people a sense of renewed hope for the future. “That’s why it’s important to roll up your sleeves and think about how you’d like to tackle the problem,”

Malits says she worries most about how climate change is affecting marginalized communities, singling out those who live in urban heat islands, where inadequate green space intensifies extreme heat.

nearly 30 percent of Honduras’s population works for the agricultural sector, where rising temperatures and drought are contributing to a mass exodus, as documented that year by PBS NewsHour.

Researchers are finding that young people with the most extreme fears over climate change live predominantly in the developing world. The Philippines and India, for instance, are near the top of a list of recently surveyed countries where young people report climate-driven feelings that “humanity is doomed” and “the future is frightening.”

Nearly a year after Hurricane Andrew struck South Florida in 1992, 18 percent of children living in the area were still struggling with PTSD-like symptoms, and nearly 30 percent of those who lived through Hurricane Katrina in 2005 wound up with complicated grief, in which strong feelings of loss linger for a long time.

Even when people are not uprooted by disaster, a variety of climate-related mechanisms can affect their mental health or the safety of their mental health treatment. High heat and humidity worsen irritability and cognition, he points out, and they can also exacerbate side effects from some common psychiatric medications

Levels of lithium — a mood stabilizer used for treating bipolar disorder and major depression — can rise to potentially toxic concentrations in a person who is perspiring heavily; they can become dehydrated and  may develop impaired kidney funtion, potentially causing tremor, slurred speech, confusion and other dangerous effects

“I believe the fundamental and best treatment for youth climate distress is a rapid and just transition from fossil fuels,” Pinsky says. “I genuinely consider all that work to be in the area of mitigating climate anxiety.”    

Insha Rahman, the vice president for advocacy and partnerships at the Vera Institute of Justice, a nonprofit focused on criminal justice reform, agrees, up to a point. Mr. McBride and the others are raising “unfortunately a fact of life for over two million Americans who are behind bars,” said Ms. Rahman, who has visited the D.C. jail several times and concurs that its conditions are inhumane, though no worse, she said, than detention facilities in Chicago, Los Angeles and Houston.

Still, she said, the privileges afforded the Jan. 6 pretrial detainees in their particular wing — individual cells, a library, contact visits, the ability to participate in podcasts — “are not at all typical.

“But I don’t want to call that special treatment,” Ms. Rahman said. “That’s the floor for what every incarcerated person in America should have a right to expect.”

As the Tesla plug becomes dominant, people with cars designed to use the C.C.S. plug will become increasingly dependent on adapters that, for safety, are limited in how much voltage they can handle and will charge more slowly.

The decision by other automakers to ally with Tesla, and generate revenue for a competitor, is an acknowledgment that Mr. Musk’s company has the most experience operating a charging network.

Tesla’s proprietary charging system, which it recently began calling the North American Charging Standard, is not overseen by an independent organization as other technical standards are. The company has said it intends to hand off control to such a body, though some competitors are skeptical of how much control Tesla will surrender.

Tesla has 19,700 charging ports across the United States at about 1,800 stations, according to the Energy Department, while there are 10,500 C.C.S. ports at 5,300 stations. Only 12,000 Tesla chargers will be open to Ford, G.M. and Rivian vehicles.

But one reason Tesla’s system performs well is that the company designs and manufactures the whole system — the car, the software and the charging hardware. Tesla will lose absolute control once other automakers join its network.

it’s not clear who will ensure that the charging equipment is safe and works as well with Tesla rivals as it does with Tesla itself, and referee any disputes between the company and other automakers.

Competitors are betting that government regulators would step in if Tesla tried to create a charging monopoly. Some are glad that someone is taking the lead to remove a major impediment to sales of electric vehicles.

But the federal rules do not dictate how poor a patient needs to be to qualify for free care

In exchange, the Internal Revenue Service requires Allina and thousands of other nonprofit hospital systems to benefit their local communities, including by providing free or reduced-cost care to patients with low incomes.

In 2020, thanks to its nonprofit status, Allina avoided roughly $266 million in state, local and federal taxes, according to the Lown Institute, a think tank that studies health care.

Doctors and patients described being unable to complete medical forms that children needed to enroll in day care or show proof of vaccination for school.

Allina is one of Minnesota’s largest health systems, having largely grown through acquisitions. Since 2013, its annual profits have ranged from $30 million to $380 million. Last year was the first in the past decade when it lost money, largely owing to investment losses.

The financial success has paid dividends. Allina’s president earned $3.5 million in 2021, the most recent year for which data is available. The health system recently built a $12 million conference center.

Allina sometimes plays hardball with patients. Doctors have become accustomed to seeing messages in the electronic medical record notifying them that a patient “will no longer be eligible to receive care” because of “unpaid medical balances.”

In 2020, Allina spent less than half of 1 percent of its expenses on charity care, well below the nationwide average of about 2 percent for nonprofit hospitals

Serena Gragert, who worked as a scheduler at an Allina clinic in Minneapolis until 2021, said the computer system simply wouldn’t let her book future appointments for some patients with outstanding balances.

Ms. Gragert and other Allina employees said some of the patients who were kicked out had incomes low enough to qualify for Medicaid, the federal-state insurance program for poor people. That also means those patients would be eligible for free care under Allina’s own financial assistance policy — something many patients are unaware exists when they seek treatment.

Allina says the policy applies only to debts related to care provided by its clinics, not its hospitals. But patients said in interviews that they got cut off after falling into debt for services they received at Allina’s hospitals.

Jennifer Blaido lives in Isanti, a small town outside Minneapolis, and Allina owns the only hospital there. Ms. Blaido, a mechanic, said she racked up nearly $200,000 in bills from a two-week stay at Allina’s Mercy Hospital in 2009 for complications from pneumonia, along with several visits to the emergency department for asthma flare-ups

Ms. Blaido, a mother of four, said most of the hospital stay was not covered by her health insurance and she was unable to scrounge together enough money to make a dent in the debt.

Last year, Ms. Blaido had a cancer scare and said she couldn’t get an appointment with a doctor at Mercy Hospital. She had to drive more than an hour to get examined at a health system unconnected to Allina

In court filings, the couple described how Allina canceled Ms. Anderson’s appointments and told her that she could not book new ones until she had set up three separate payment plans — one with the health system and two with its debt collectors.Even after setting up those payment plans, which totaled $580 a month, the canceled appointments were never restored. Allina allows patients to come back only after they have paid the entire debt.

When the Andersons asked in court for a copy of Allina’s policy of barring patients with unpaid bills, the hospital’s lawyers responded: “Allina does not have a written policy regarding the canceling of services or termination of scheduled and/or physician referral services or appointments for unpaid debts.”In fact, Allina’s policy, which was created in 2006, instructs employees on how to do exactly that. Among other things, it tells staff to “cancel any future appointments the patient has scheduled at any clinic.”

It does provide a few ways for patients to continue being seen despite their unpaid bills. One is by getting approved for a loan through the hospital. Another is by filing for bankruptcy.

economist J. Bradford DeLong ’82, Ph.D. ’87, looking back on the twentieth century two decades after its end, comes to a similar conclusion but on different grounds.

DeLong, professor of economics at Berkeley, looks to matters of “contingency” and “choice”: at key junctures the economy suffered “bad luck,” and the actions taken by the responsible policymakers were “incompetent.”

these were “the most consequential years of all humanity’s centuries.” The changes they saw, while in the first instance economic, also “shaped and transformed nearly everything sociological, political, and cultural.”

DeLong’s look back over the twentieth century energetically encompasses political and social trends as well; nor is his scope limited to the United States. The result is a work of strikingly expansive breadth and scope

labeling the book an economic history fails to convey its sweeping frame.

The century that is DeLong’s focus is what he calls the “long twentieth century,” running from just after the Civil War to the end of the 2000s when a series of events, including the biggest financial crisis since the 1930s followed by likewise the most severe business downturn, finally rendered the advanced Western economies “unable to resume economic growth at anything near the average pace that had been the rule since 1870.

d behind those missteps in policy stood not just failures of economic thinking but a voting public that reacted perversely, even if understandably, to the frustrations poor economic outcomes had brought them.

Within this 140-year span, DeLong identifies two eras of “El Dorado” economic growth, each facilitated by expanding globalization, and each driven by rapid advances in technology and changes in business organization for applying technology to economic ends

from 1870 to World War I, and again from World War II to 197

fellow economist Robert J. Gordon ’62, who in his monumental treatise on The Rise and Fall of American Economic Growth (reviewed in “How America Grew,” May-June 2016, page 68) hailed 1870-1970 as a “special century” in this regard (interrupted midway by the disaster of the 1930s).

Gordon highlighted the role of a cluster of once-for-all-time technological advances—the steam engine, railroads, electrification, the internal combustion engine, radio and television, powered flight

Pessimistic that future technological advances (most obviously, the computer and electronics revolutions) will generate productivity gains to match those of the special century, Gordon therefore saw little prospect of a return to the rapid growth of those halcyon days.

DeLong instead points to a series of noneconomic (and non-technological) events that slowed growth, followed by a perverse turn in economic policy triggered in part by public frustration: In 1973 the OPEC cartel tripled the price of oil, and then quadrupled it yet again six years later.

For all too many Americans (and citizens of other countries too), the combination of high inflation and sluggish growth meant that “social democracy was no longer delivering the rapid progress toward utopia that it had delivered in the first post-World War II generation.”

Frustration over these and other ills in turn spawned what DeLong calls the “neoliberal turn” in public attitudes and economic policy. The new economic policies introduced under this rubric “did not end the slowdown in productivity growth but reinforced it.

the tax and regulatory changes enacted in this new climate channeled most of what economic gains there were to people already at the top of the income scale

Meanwhile, progressive “inclusion” of women and African Americans in the economy (and in American society more broadly) meant that middle- and lower-income white men saw even smaller gains—and, perversely, reacted by providing still greater support for policies like tax cuts for those with far higher incomes than their own.

Daniel Bell’s argument in his 1976 classic The Cultural Contradictions of Capitalism. Bell famously suggested that the very success of a capitalist economy would eventually undermine a society’s commitment to the values and institutions that made capitalism possible in the first plac

In DeLong’s view, the “greatest cause” of the neoliberal turn was “the extraordinary pace of rising prosperity during the Thirty Glorious Years, which raised the bar that a political-economic order had to surpass in order to generate broad acceptance.” At the same time, “the fading memory of the Great Depression led to the fading of the belief, or rather recognition, by the middle class that they, as well as the working class, needed social insurance.”

what the economy delivered to “hard-working white men” no longer matched what they saw as their just deserts: in their eyes, “the rich got richer, the unworthy and minority poor got handouts.”

As Bell would have put it, the politics of entitlement, bred by years of economic success that so many people had come to take for granted, squeezed out the politics of opportunity and ambition, giving rise to the politics of resentment.

The new era therefore became “a time to question the bourgeois virtues of hard, regular work and thrift in pursuit of material abundance.”

DeLong’s unspoken agenda would surely include rolling back many of the changes made in the U.S. tax code over the past half-century, as well as reinvigorating antitrust policy to blunt the dominance, and therefore outsize profits, of the mega-firms that now tower over key sectors of the economy

He would also surely reverse the recent trend moving away from free trade. Central bankers should certainly behave like Paul Volcker (appointed by President Carter), whose decisive action finally broke the 1970s inflation even at considerable economic cost

Not only Galbraith’s main themes but many of his more specific observations as well seem as pertinent, and important, today as they did then.

What will future readers of Slouching Towards Utopia conclude?

If anything, DeLong’s narratives will become more valuable as those events fade into the past. Alas, his description of fascism as having at its center “a contempt for limits, especially those implied by reason-based arguments; a belief that reality could be altered by the will; and an exaltation of the violent assertion of that will as the ultimate argument” will likely strike a nerve with many Americans not just today but in years to come.

what about DeLong’s core explanation of what went wrong in the latter third of his, and our, “long century”? I predict that it too will still look right, and important.

If anything, the reverse has been the case: responses to the pandemic sharply diverged, even within entities like the European Union, ostensibly committed to common policies.

Mercifully, it has not all been a zero-sum game. In late March 2021, 25 world leaders, including Emmanuel Macron, Johnson, Mario Draghi, Angela Merkel, Cyril Ramaphosa, Volodymyr Zelenskiy and the head of the European Council, Charles Michel, as well as the prime ministers of South Korea, Fiji, Thailand, Chile, Senegal and Tunisia – but, depressingly, missing the leaders of the US, Japan, Russia and China – issued a statement explicitly acknowledging the chain linking human and non-human lives and destinies. Invoking the multilateralist idealism of the years following the second world war that sought a reconnected world through the United Nations and agencies like the WHO, they proposed a legally binding international treaty to deal with future pandemics. Such a treaty would embody “an approach that connects the health of humans, animals and our planet”

To some extent, the raising of walls, psychological and institutional, is understandable. The instinctive reaction to contagion breaking out somewhere distant is to erect barriers against its importation

Before long, any possibility of a clear and honest understanding of the common worldwide conditions that allowed such disasters to happen, not least the biological consequences of environmental degradation, became swallowed up by this default vocabulary of competitive nationalism.

two years’ experience of the pandemic, in particular the unpredictable incidence of recurring outbreaks and viral mutations, has made the locking off of discrete zones of exclusion all but impossible. The need for an alternative, transnational approach to containment, mitigation and protection, coordinated by the WHO, has never been more urgent

This moment in world history is no less fraught for being so depressingly familiar: the immemorial conflict between “is” and “ought”; between short-term power plays and long-term security; between the habits of immediate gratification and the prospering of future generations; between the cult of individualism and the urgencies of common interest; between the drum beat of national tribalism and the bugle call of global peril; between native instinct and hard-earned knowledge

If it is a happy answer you want to the question as to which will prevail, it is probably best not to ask a historian. For history’s findings are more often than not tragic, and its boneyard littered with the remains of high-minded internationalist projects.

The appeals of idealists fill whole-page declarations in earnest broadsheets and win funds from far-sighted philanthropic foundations. But the plans and the planners are demonised by the tribunes of gut instinct as suspiciously alien, hatched by cosmopolitan elites: the work of foreign bodies.

In the Court’s majority opinion, Chief Justice John Roberts held that “eliminating racial discrimination means eliminating all of it”—a new version of his old affront that “the way to stop discrimination on the basis of race is to stop discriminating on the basis of race.”

This glib framing, and the school of thinking it represents, established a pernicious, false moral equivalence. Those who preserved and protected Jim Crow — the institution that defended America’s old racial hierarchy — were and are something altogether different from those who fought and who continue fighting for a more just America.

Those uprooting affirmative action seem content to leave intact systems that compound privilege, exacerbating inequality — like legacy admissions policies that disproportionately favor wealthy, white applicants — resulting in lower-income students and families of all races losing out.

I find it regrettable that, over 40 years ago, Justice Lewis Powell introduced the American public to the imperative of diversity in the shallow manner that he did.

I was a freshman in college when his seminal opinion in Regents of the University of California v. Bakke (1978) invited some to equate the benefits of diversity with unfairness

the idea that necessary diversity initiatives are somehow reverse discrimination or that they correlate with lower standards or lesser outcomes.

The data suggests exactly the opposite. Study after study demonstrates that, across organizations, diversity enhances critical thinking, creativity and collaboration, as well as productivity, profitability and performance.

we should tell the truth about why diversity is now controversial: Opponents of diversity are opponents of any racial consciousness. They want to prevent us from understanding the ways that the past informs the present, from wrestling with the fullness and richness and complexity of our history.

The oldest of the books of the Hebrew Bible date to roughly 3,000 years ago; the pyramids of Egypt go back about 5,000 years. These were not prehumans or near relatives. They were like us: complex, organized, alive to meaning and living at a time beyond reckoning.

Ruth Tringham of the University of California, Berkeley, who has devoted years to humanizing the remnants of this city of the dim past by focusing on one skeleton, of a woman she has dubbed Dido. Dido replastered her walls regularly, kept her home swept clean, covered the floor in reed mats and decorated the place with art: clay figures of animals and stylized human females. In other words: much like us.

Catalhoyuk was founded by pioneers of urban living. “When the earliest construction began,” Newitz writes, “many people coming to live at Catalhoyuk were only a generation or two removed from nomadism.” It was brand-new, this fixed settlement thing, but it proved remarkably successful. By the time Dido was born, the city was about 600 years old

A thousand years ago, meanwhile, East St. Louis, Ill., was the site of an urban sanctuary that archaeologists today call Cahokia. With a population of 30,000, it was larger than Paris was at the time. Like Paris, with its Eiffel Tower and Notre-Dame, it had distinguishing physical landmarks in the form of black earthen pyramids. It sprawled across both sides of the Mississippi River, beckoning visitors from all over the present-day Southern United States.

Cahokia seems to have been a place of spiritual pilgrimage, which drew diverse groups of Native American peoples, who spoke different languages and worshiped in various ways but came to share a reverence for this city and its ceremonial customs, which included human sacrifice. Its multiethnic, year-round population apparently serviced the religious pilgrims and, in the off-season, went about their own affairs.

Cahokia died not as a result of sudden catastrophe, like Pompeii, but seemingly because it lost its spiritual significance over time. Its people didn’t perish. The pilgrims just stopped coming; the local residents merged with other tribes. There is linguistic and other evidence that the Sioux are their descendants.

Newitz devotes space to debunking the popular notion that civilizations of the past “collapse” and become “lost,” pointing instead to indications of gradual change.

The operative lesson from the past, at least from this curated offering of former metropolises, seems to be that human culture is a plastic thing. Rather than lamenting the fragility of our current urban structures, we might do better figuring out how to bend and shape society for the future.

the effect of reading “Four Lost Cities” was more meditative. This is a long, long, long ride we are on. Much is beyond our control. Humanity trundles on.

Thanks to social-science research, we now know that children’s life chances are profoundly affected by their context—not only income and family circumstances but also their community—more so than by their genetic profile or the medical care they receive.

With this in mind, we created what we call the Index of Deep Disadvantage, which reflects two traditional measures of income (the poverty rate and the “deep poverty rate,” meaning those with incomes below half the poverty line), two markers of health (birth weight and life expectancy), and the rate of social mobility for children who grow up in low-income families. We used this index to rank the roughly 3,100 counties in the United States along with the 500 most populous cities.

Immediately, the rankings revealed a stark geographical pattern.

the most disadvantaged places on our index were primarily rural

Though some of these were majority white, most were majority Black or Hispanic.

these places resembled, well, colonies—internal colonies within the U.S.

Considerable poverty exists in Chicago, Los Angeles, and New York. But in our apples-to-apples comparison, none of those cities ranked among even the 600 most disadvantaged places in the nation

The only cities on that list were a relatively small number of industrial municipalities such as Cleveland, Detroit, and Rochester.

Those living in the 200 most disadvantaged places on our index were just as likely to have major difficulties paying for housing as those in America’s 500 largest cities.

The places that our index identified as the 200 most disadvantaged are concentrated in three regions—Appalachia, South Texas, and the southern Cotton Belt.

hese places share a history of intensive resource extraction and human exploitation not seen to the same degree elsewhere in the United States

In each place, this economic pattern emerged (or, in the case of the Cotton Belt, fully flourished) in the late 19th or early 20th century. In each place, one industry came to dominate the economy, a pattern that held, broadly, until the 1960s, when King Cotton, King Tobacco, King Coal, and South Texas agriculture, would bow to the twin forces of automation and global competition.

many places with large Native American populations ranked among the most disadvantaged in the nation

While visiting many of the nation’s most disadvantaged places, we set out to build on this work through historical research, ethnographic observations, and in-depth interviews.

For generations, the appearance of towns in South Texas followed a pattern of social hierarchy: sturdy wood-frame houses, paved streets, and enclosed sewers in the white neighborhoods; shacks, dirt roads, and privies in the Mexican parts of town. Forced to migrate to find work during the off-season, generations of Mexican American children lost their right to a decent education. Even today, adult-illiteracy rates in these places are among the highest in the nation.

in Leflore County, Mississippi, for example, Black residents told us that violence was the No. 1 problem they face. The rate of death due to interpersonal violence there was nearly four times the national average, and well above that of Cook County, Illinois, home to Chicago

Throughout these regions, we saw the same themes emerge again and again—unequal schooling, the collapse of social infrastructure, violence, entrenched public corruption, and structural racism embedded in government programs.

Overall, poverty rates in these places are very low, babies are born healthy, people live to a ripe old age, and a low-income child usually has a similar chance of making it into the middle class as any other kid.

er they were forcibly relocated onto land mostly inhospitable to human habit

hey have enjoyed the lowest rates of violent crime, income inequality, and public corruption in the nation. These counties are unusually rich in social capital: Residents are connected to one another through volunteerism, membership in civic organizations, and participation in other community activities.

Counties that rank among those of greatest advantage began as agricultural communities with modestly sized farms, many originally secured through the 1862 Homestead Act that made landownership widely available. Many of these places have built on this history of broad-based wealth by making significant investments in schools, which has contributed to high graduation and college enrollment rates over generations.

One cannot fully understand the benefits enjoyed in America’s most advantaged places without considering the historic (and ongoing) exploitation of migrant labor that has gone on in them, mostly drawn from the U.S. border regions.

these communities have been more successful than most in preventing poverty, promoting health, and ensuring a level playing field for their children.

The upper Midwest is also overwhelmingly white. When we examined the relationship between whiteness and rank on the index, we found that a higher percentage of white residents is a significant predictor of a place’s rank, which is not at all surprising when one considers that the good schools and the good jobs have long been bestowed liberally on whites while being denied to Hispanic and Black Americans.

What makes the communities that are most advantaged unique is their histories as places of broad-based wealth. How different would conditions be in other parts of the country had they followed a similar, equitable course?

The lesson is that people seem to thrive—not always in high salaries but in health and life chances—when inequality is low; when landownership is widespread; when social connection is high; and when corruption and violence are rare.

The social leveling that is characteristic of communities in the upper Midwest is more than just a quaint cultural feature. It is the foundation of a community’s well-being. Until these regions’ virtues are shared nationwide, poverty and disadvantage will continue to haunt America.

But, OK - let’s accept the conflation of the Israeli state with the Jewish people for now. The immediate question is, on what planet does Israel stand alone?

There is such a powerful urge among Israel’s defenders to make the country out to be an underdog, but there is absolutely no rational basis for doing so. Israel enjoys one of the most powerful and advanced militaries on earth. Despite the conflict, Israeli citizens are actually remarkably safe from violence compared to most of the countries on the globe

All of that would be jeopardized if Israel did in fact stand alone. But it doesn’t! Indeed, it’s hard to name nation states that enjoy more diplomatic protection than Israel.

The subhead of this piece for the Free Press (which is proving itself to be, let’s say, not particularly free when it comes to this issue) reads “after the worldwide celebration of our people’s slaughter, my hope for peace is dead.” What? Worldwide celebration? Because a few dozen dopey college kids held a few small rallies? As of four days ago, at least forty-four countries expressed support for Israel in this conflict. How many will officially express support for the people dying by the droves in Gaza? Even the establishment governments of the greater Middle East (almost universally corrupt, theocratic, or both) don’t offer any real support to Palestinians. How much more support do you need, exactly, before you stop pretending like everyone is out to get you?

When you say no one stands with Israel, what the fuck are you talking about? I cannot fathom how anyone, even the most dedicated Zionist and supporter of the Netanyahu government, could believe that Israel is the vulnerable party in this exchange.

If we define the left as broadly and loosely as possible, we can say that one thing the left has certainly accomplished this past half-century is to associate moral superiority with the underdog. This is by turns both deeply misguided and an expression of an essential truth

this folk morality, maybe righteous, maybe misguided, most likely both, has become the default ethical firmament of modern politics. Sometimes Israel’s defenders argue that being the more powerful force does not make you wrong; that’s true, but their hearts never appear to be in it. They seem to feel the tug of powerlessness, the desire to wear the sad but comfortable cloak of a refugee people, a natural and sympathetic impulse for a people still defined by the diaspora.

Every time the Israel-Palestine conflict heats up again, certain elements within the pro-Israel coalition use creepy rhetoric to insist that everyone must be fully committed to Israel, that siding against Israel should not be within the sphere of legitimate debate. This takes place against a backdrop where principled supporters of the Palestinians argue that there’s a chilling effect created by pro-Israel hardliners which squelches legitimate debate, and where anti-Semitic conspiracy theorists claim that Jews pull the strings behind the scenes. All this loose talk about what we must do and must say does nothing to rebut the former and just plays into the propaganda of the latter. I wish people would stop doing it.

I need make no grand loyalty statements because my views on this conflict have been plain for many years: the moral imperative is that we create total legal and political equality for all people in the land between the Mediterranean and the Jordan River, as basic democratic principles demand, and that all people in that land enjoy safety and prosperity

The fact remains, though - and it is a fact, an objective fact, an empirical fact, no matter how mad it makes people - that Hamas has always been empowered by Israel’s violence and oppression. I’m sorry if this is hard to accept, but Palestine is a Chinese finger trap; the more Israel pulls away, the more tightly the conflict will grip the country.

Permanent statelessness and dispossession for the Palestinians will ensure violence for generations. Only freedom for Palestinians can bring peace, and that’s the most hardheaded, ruthlessly pragmatic point anyone can make about this horrid crisis.

And if Israel’s defenders feel put upon, othered, alone, it’s because Israel and Israel alone has the power to make Palestinians free. I’m sorry, but it’s not a moral principle that says that Israel must bear responsibility for achieving peace and freedom. It’s a purely pragmatic statement of the reality of Israel’s overwhelming power in the region. Choosing sides has nothing do with it.

Or, I suppose, you could go through with the ethnic cleansing of Gaza, as a disturbing number of people are calling for. I doubt the world would stop you; that’s the upside of being Goliath. But that would destroy whatever hope there is left for Israel as a democratic state, a symbol of human rights. And I think that if you love Israel, the idea of Israel, you should fight like hell to stop that from happening. Because afterwards you’ll never be the same again.

The only way out is through de-escalation and the only permanent de-escalation is through formal legal recognition of Palestinians in the territories as full citizens in a democratic system. This might come from the establishment of a Palestinian state, or it might come with the absorption of the territories into a secular state of Israel-Palestine that extends perfectly equal legal and political rights to all people within it, as liberal values require

Serwer is a guy who constantly demands that he and his allies be allowed to do politics on easy mode, but he’s just part of a broader communal rejection of basic self-definition and comprehensible terms for this political tendency.

If you ask these people, are you part of a social revolution?, they’ll loudly tell you yes! Yes they are! They’re going to shake society at its very foundations. Well, OK then -what do I call your movement? You reject every name that organically develops! I’ll use the name you pick, but you have to actually pick one.

The basic stance of the social justice set, for a long time now, has been that they are 100% exempt from ordinary politics. BlackLivesMatter proponents have spent a year and a half acting as though their demand for justice is so transcendently, obviously correct that they don’t have to care about politics.

Well, sooner or later, guys, you have to actually give a shit about what people who aren’t a part of your movement think. Sorry. That’s life. The universe is indifferent to your demand for justice, and will remain so until you bother to try to change minds.

Do politics. Think and speak strategically. Be disciplined. Work harder. And for fuck’s sake, give me a simple term to use to address you. Please? Because right now it sure looks like you don’t want to be named because you don’t want to be criticized.

Edit: I might not have underlined this point enough - I sincerely am asking for a better term and would happily use one if offered. If woke, political correctness, identity politics, etc, are inflammatory terms, I'd be happy to substitute something that's not. But surely something is happening in our politics, and we have to be able to talk about it. So I'm asking for a name.

Whichever way you cut it, global warming is already happening too fast to generously support life, which our prior climate did quite well. As a feebly supportive climate devolves into an unsupportive one, it won’t matter who forecasted the timing right, only that we missed our chance at the good version of Earth.

The scientist James Hansen, famous for his early warnings about climate change, suggested in a paper released last week with a suite of high-level colleagues that warming is accelerating more rapidly than is presently understood: In their view, that the Earth could exceed 1.5 degrees of warming this decade is practically assured, and 2 degrees by 2050 is likely unless the world eliminates fossil-fuel use far faster than planned.

One expert who worked on the UN report called this “insanity,” a “climate disaster of our own making.” The climate math is not adding up.

Previous studies have warned of the ice sheet’s collapse if emissions were not drawn down; hers now suggests that we’ve passed the point of no return, that even significant emissions cuts would be too late for this particular ice sheet. (The East Antarctic ice sheet, she said, is far more stable—and good thing, because it contains enough frozen water for 10 times the amount of sea-level rise as its western counterpart.

by one estimate, the West Antarctic ice sheet contains enough water to raise sea level globally by just over five meters, or 17 feet. At the very least, Naughten told me, she thinks it would be wise to plan for two to three meters of sea-level rise, or six to ten feet, in the next couple of centuries

I shudder to think what would happen if everyone living within two meters of sea level would be displaced,” she added. That “everyone” is projected to include some 410 million by 2100.

the loss of much of West Antarctica’s ice sheet is now virtually inevitable. Even if future emissions are drastically curtailed, enough warming is probably locked in to wash the bulk of the sheet away. At best, she says, we are on the brink of its total loss becoming assured

France, Ireland, Kenya, Spain, and 12 other countries have called for a global accord to phase out fossil-fuel production. There is little doubt that this is necessary; adding more fossil fuels to the pipeline is quite obviously counterproductive to slowing, then stopping, climate change.

Yet in the U.S. alone, a country responsible for at least 20 percent of historical emissions, the current buildout of liquified-natural-gas infrastructure, intended to export the country’s plentiful gas, is the largest fossil-fuel expansion proposed in the world—and it’s happening under a president who recently passed the most impactful climate legislation the country has ever seen

China, which is responsible for about 12 percent of historical emissions according to Alex Wang, who studies Chinese environmental governance at UCLA, has one of the largest clean-power programs in the world. But the country is at the same time dramatically expanding its coal production.

the difference between the world we have and the one we could have is buried in two contrasting modeling reports by two of the world’s most important energy-information organizations.

Whereas the International Energy Agency projected that we’d hit peak fossil-fuel use in 2030, the U.S. Energy Information Administration came to a very different conclusion: It saw demand for fossil fuels rising through at least 2050

If a policy is set to expire, the U.S. EIA treats it as expiring. It doesn’t take into account policies that countries have talked about but have had yet to implement. The international agency’s analysis, in contrast, assumes countries will follow through with more climate-friendly policies and renew the ones they already have on the books. “Look how different things could be,” Bowman said. The difference is night and day, despair and hope.

Policy, and only policy, appears to make that difference. It represents the choices that our leaders make about when to finally change course.

“climate is a spectrum; it isn’t an on/off switch.” Whenever we do make a different set of decisions, ones that make the math properly compute, we will be saving what we have left, preventing some layer of livability from being irrecoverably sloughed off and swept away.

Friedman’s thought, she argues, is more complex and subtle than has been understood: He raised pressing questions about the market, individualism, and the role of the state that will be with us for as long as capitalism endures.

Just as important, his time at Chicago taught Friedman about the intertwining of political, intellectual, and personal loyalties. He became a regular in an informal group of graduate students and junior faculty trying to consolidate the department as a center of free-market thought

by the 1930s, the leading figures at the University of Chicago were deeply committed to what had become known as price theory, which analyzed economic behavior in terms of the incentives and information reflected in prices. The economists who left their mark on Friedman sought to create predictive models of economic decision making, and they were politically invested in the ideal of an unencumbered marketplace.

Friedman was also shaped by older traditions of economic thought, in particular the vision of political economy advanced by thinkers such as Adam Smith and Alfred Marshall. For them, as for him, economics was not a narrow social science, concerned with increasing productivity and efficiency. It was closely linked to a broader set of political ideas and values, and it necessarily dealt with basic questions of justice, freedom, and the best way to organize society.

His libertarian ethos helped seed the far more openly hierarchical social and political conservatism that fuels much of our present-day political dysfunction.

But his fundamental commitments were consistent. In his early work on consumption habits, Friedman sought to puncture the arrogance of the postwar Keynesian economists, who claimed to be able to manipulate the economy from above, using taxes and spending to turn investment, consumption, and demand on and off like so many spigots

Instead, he believed that consumption patterns were dependent on local conditions and on lifetime expectations of income. The federal government, he argued, could do much less to affect economic demand—­and hence to fight recessions—­than the Keynesian consensus suggested.

In 1946, Friedman was hired by the University of Chicago, where he shut down efforts to recruit economists who didn’t subscribe to free-market views.

He was also legendary for his brutal classroom culture. One departmental memo, trying to rectify the situation, went so far as to remind faculty to please not treat a university student “like a dog.” What had started as a freewheeling, rebellious culture among the economists in Room Seven wound up as doctrinal rigidity.

Evidence leads her to argue more pointedly that Rose (credited only with providing “assistance”) essentially co-wrote Capitalism and Freedom (1962).

Burns implicitly exposes some of the limitations of Friedman’s focus on the economic benefits of innate individual talent. He had more than nature to thank for producing associates of such high caliber, ready to benefit him in his career. Culture and institutions clearly played a large role, and sexual discrimination during the 1930s, ’40s, and ’50s ensured that professional paths were anything but fair.

The state, he acknowledged, would have to take some responsibility for managing economic life—­and thus economists would be thrust into a public role. The question was what they would do with this new prominence.

Almost as soon as the Second World War ended, Friedman began to stake out a distinctive rhetorical position, arguing that the policy goals of the welfare state could be better accomplished by the free market

in Capitalism and Freedom, Friedman made the case that the real problem lay in the methods liberals employed, which involved interfering with the competitive price mechanism of the free market. Liberals weren’t morally wrong, just foolish, despite the vaunted expertise of their economic advisers.

In a rhetorical move that seemed designed to portray liberal political leaders as incompetent, he emphasized efficiency and the importance of the price system as a tool for social policy

For Friedman, the competitive market was the realm of innovation, creativity, and freedom. In constructing his arguments, he envisioned workers and consumers as individuals in a position to exert decisive economic power, always able to seek a higher wage, a better price, an improved product

The limits of this notion emerged starkly in his contorted attempts to apply economic reasoning to the problem of racism, which he described as merely a matter of taste that should be free from the “coercive power” of the law:

Although he personally rejected racial prejudice, he considered the question of whether Black children could attend good schools—and whether, given the “taste” for prejudice in the South, Black adults could find remunerative jobs—less important than the “right” of white southerners to make economic decisions that reflected their individual preferences. In fact, Friedman compared fair-employment laws to the Nuremberg Race Laws of Nazi Germany. Not only was this tone-deaf in the context of the surging 1960s civil-rights movement; it was a sign of how restricted his idea of freedom really was.

s the conservative movement started to make electoral gains in the ’70s, Friedman emerged as a full-throated challenger of liberal goals, not just methods

He campaigned for “tax limitation” amendments that would have restricted the ability of state governments to tax or spend

n a famous New York Times Magazine essay, he suggested that corporations had no “social responsibility” at all; they were accountable only for increasing their own profit

Friedman’s free-market certainties went on to win over neoliberals. By the time he and Rose published their 1998 memoir, Two Lucky People, their ideas, once on the margin of society, had become the reigning consensus.

That consensus is now in surprising disarray in the Republican Party that was once its stronghold. The startling rise in economic inequality and the continued erosion of middle-class living standards have called into question the idea that downsizing the welfare state, ending regulations, and expanding the reach of the market really do lead to greater economic well-being—let alone freedom.

Friedman—despite being caricatured as a key intellectual architect of anti-government politics—had actually internalized an underlying assumption of the New Deal era: that government policy should be the key focus of political action. Using market theory to reshape state and federal policy was a constant theme of his career.

Still, Friedman—­and the libertarian economic tradition he advanced—­bears more responsibility for the rise of a far right in the United States than Burns’s biography would suggest. His strategy of goading the left, fully on display in the various provocations of Free to Choose and even Capitalism and Freedom, has been a staple for conservatives ever since

He zealously promoted the kind of relentless individualism that undergirds parts of today’s right, most notably the gun lobby. The hostile spirit that he brought to civil-rights laws surfaces now in the idea that reliance on court decisions and legislation to address racial hierarchy itself hems in freedom

The opposition to centralized government that he championed informs a political culture that venerates local authority and private power, even when they are oppressive

his insistence (to quote Capitalism and Freedom) that “any … use of government is fraught with danger” has nurtured a deep pessimism that democratic politics can offer any route to redressing social and economic inequalities.

Experts compare the moment to the early days of social media, a technology offering tantalizing new tools for politics — and unforeseen threats.

For years, those fears had largely been speculative because the technology to produce such fakes was too complicated, expensive and unsophisticated.

His spokesman later stressed that the post was in jest and clearly labeled A.I.-generated. His campaign said in a statement that its use of A.I. is to entertain and make political points, not deceive.

Researchers have long worried about the impact of A.I. on elections. The technology can deceive and confuse voters, casting doubt over what is real, adding to the disinformation that can be spread by social networks.

Much of the content has been clearly fake. But a few creations have toed the line of disinformation. The Massa campaign produced one “deepfake” video in which Mr. Milei explains how a market for human organs would work, something he has said philosophically fits in with his libertarian views.

So far, the A.I.-generated content shared by the campaigns in Argentina has either been labeled A.I. generated or is so clearly fabricated that it is unlikely it would deceive even the most credulous voters. Instead, the technology has supercharged the ability to create viral content that previously would have taken teams of graphic designers days or weeks to complete.

To do so, campaign engineers and artists fed photos of Argentina’s various political players into an open-source software called Stable Diffusion to train their own A.I. system so that it could create fake images of those real people. They can now quickly produce an image or video of more than a dozen top political players in Argentina doing almost anything they ask.

For Halloween, the Massa campaign told its A.I. to create a series of cartoonish images of Mr. Milei and his allies as zombies. The campaign also used A.I. to create a dramatic movie trailer, featuring Buenos Aires, Argentina’s capital, burning, Mr. Milei as an evil villain in a straitjacket and Mr. Massa as the hero who will save the country.

And to set out to practice Christianity because you love the civilization that sprang from it and feel some kind of spiritual response to its teachings seems much more reasonable than hovering forever in agnosticism while you wait to achieve perfect theological certainty about the divinity of Christ.

the Hirsi Ali path as she describes it is actually unusually legible to atheists, in the sense that it matches well with how a lot of smart secular analysts assume that religions take shape and sustain themselve

In these assumptions, the personal need for religion reflects the fear of death or the desire for cosmic meaning (illustrated by Hirsi Ali’s yearning for “solace”), while the rise of organized religion mostly reflects the societal need for a unifying moral-metaphysical structure, a shared narrative, a glue to bind a complex society together (illustrated by her desire for a religious system to undergird her political worldview)

For instance, in Ara Norenzayan’s 2015 book “Big Gods: How Religion Transformed Cooperation and Conflict,” the great world religions are portrayed as technologies of social trust, encouraging pro-social behavior (“Watched people are nice people” is one of Norenzayan’s formulations, with moralistic gods as the ultimate guarantor of good behavior) as societies scale up from hunter-gatherer bands to urbanized states

it would make sense, on Norenzayan’s premises, that when a developed society seems to be destabilizing, threatened by enemies outside and increasingly divided within, the need for a “Big God” would return — and so people would reach back, like Hirsi Ali, to the traditions that gave rise to the social order in the first place.

What’s missing from this account, though, is an explanation of how you get from the desire for meaning or the fear of death to the specific content of religious belief

One of the strongest attempts to explain the substance and content of supernatural belief comes from psychological theorists like Pascal Boyer and Paul Bloom, who argue that humans naturally believe in invisible minds and impossible beings because of the same cognitive features that let us understand other human minds and their intentions

Such understanding is essential to human socialization, but as Bloom puts it, our theory of mind also “overshoots”: Because “we perceive the world of objects as essentially separate from the world of minds,” it’s easy for us “to envision soulless bodies and bodiless souls. This helps explain why we believe in gods and an afterlife.

And because we look for intentionality in human beings and human systems, we slide easily into “inferring goals and desires where none exist. This makes us animists and creationists.”

Boyer, for his part, argues that our theories about these imagined invisible beings tend to fall into their own cognitively convenient categories. We love supernatural beings and scenarios that combine something familiar and something alien, from ghosts (what if there were a mind — but without a body!)

With these arguments you can close the circle. People want meaning, societies need order, our minds naturally invent invisible beings, and that’s why the intelligent, rational, liberal Ayaan Hirsi Ali is suddenly and strangely joining a religion

here’s what this closed circle leaves out: The nature of actual religious experience, which is just much weirder, unexpected and destabilizing than psychological and evolutionary arguments for its utility would suggest, while also clearly being a generative force behind the religious traditions that these theories are trying to explain.

another path, which I’ve been following lately, is to read about U.F.O. encounters — because clearly the Pentagon wants us to! — and consider them as a form of religious experience, even as the basis for a new half-formed 21st-century religio

when you go deeper into the narratives, many of their details and consequences resemble not some “Star Trek”-style first contact, but the supernatural experiences of early modern and pre-modern societies, from fairy abductions to saintly and demonic encounters to brushes with the gods.

it’s a landscape of destabilized agnosticism, filled with competing theories about what’s actually going on, half-formed theologies and metaphysical pictures blurring together with scientific and pseudoscientific narratives, with would-be gurus rushing to embrace specific visions and skeptics cautioning about the potentially malign intentions of the visitors, whatever or whoever they may be.

Far from being a landscape created by the human desire for sense-making, by our tendency to impose purpose and intentionality where none exists, the realm of U.F.O. experience is a landscape waiting for someone to make sense of it, filled with people who wish they had a simple, cognitively convenient explanation for what’s going on.

the U.F.O. phenomenon may be revealing some of the raw material of religion, the real place where all the ladders start — which is with revelation crying out for interpretation, personal encounter awaiting a coherent intellectual response.

if that is where religion really comes from, all the evolutionary and sociological explanations are likely to remain interesting but insufficient, covering aspects of why particular religions take the shape they do, but missing the heart of the matter.

why were we given Christianity in the first place? Why are we being given whatever we’re being given in the U.F.O. phenomenon?

The only definite answer is that the world is much stranger than the secular imagination thinks.

But I was constantly confronted by the contradictions embedded in American leadership, the knowledge that our government arms autocrats while its rhetoric appeals to the dissidents trying to overthrow them or that our nation enforces rules — for the conduct of war, the resolution of disputes and the flow of commerce — while insisting that America be excused from following them when they become inconvenient.

He helped extend the war in Vietnam and expand it to Cambodia and Laos, where the United States rained down more bombs than it dropped on Germany and Japan in World War II. That bombing — often indiscriminately massacring civilians — did nothing to improve the terms on which the Vietnam War ended; if anything, it just indicated the lengths to which the United States would go to express its displeasure at losing.

For decades, he was a coveted guest at gatherings of statesmen and tycoons, perhaps because he could always provide an intellectual framework for why some people are powerful and justified in wielding power

Mr. Kissinger was fixated on credibility, the idea that America must impose a price on those who ignore our demands to shape the decisions of others in the future. It’s hard to see how the bombing of Laos, the coup in Chile or the killings in East Pakistan (now Bangladesh) contributed to the outcome of the Cold War.

But Mr. Kissinger’s unsentimental view of global affairs allowed him to achieve consequential breakthroughs with autocratic countries closer to America’s weight class — a détente with the Soviet Union that reduced the escalatory momentum of the arms race and an opening to China that deepened the Sino-Soviet split, integrated the People’s Republic of China into the global order and prefaced Chinese reforms that lifted hundreds of millions of people out of poverty.

From a strategic standpoint, Mr. Kissinger surely knew, being a superpower carried with it a cavernous margin of error that can be forgiven by history

Now history has come full circle. Around the world, we see a resurgence of autocracy and ethnonationalism, most acutely in Russia’s war against Ukraine

Just a few decades after the end of the Vietnam War, the same countries we’d bombed were seeking expanded trade with the United States. Bangladesh and East Timor are now independent nations that receive American assistance. Chile is governed by a millennial socialist whose minister of defense is Mr. Allende’s granddaughter.

Superpowers do what they must. The wheel of history turns. When and where you live determines whether you get crushed or lifted by it

But that worldview mistakes cynicism — or realism — for wisdom. The story, what it’s all about, matters. Ultimately, the Berlin Wall came down not because of chess moves made on the board of a great game but rather because people in the East wanted to live like the people in the West.

Economics, popular culture and social movements mattered. Despite all our flaws, we had a better system and story.

Credibility, after all, is not just about whether you punish an adversary to send a message to another; it’s also about whether you are what you say you are. No one can expect perfection in the affairs of state any more than in relations among human beings.

But the United States has paid a price for its hypocrisy, though it’s harder to measure than the outcome of a war or negotiation. Over the decades, our story about democracy has come to ring hollow to a growing number of people who can point to the places where our actions drained our words of meaning and “democracy” just sounded like an extension of American interests.

Similarly, our insistence on a rules-based international order has been ignored by strongmen who point to America’s sins to justify their own.

The generous defense is that Mr. Kissinger represented an ethos that saw the ends (the defeat of the Soviet Union and revolutionary Communism) as justifying the means. But for huge swaths of the world, this mind-set carried a brutal message that America has often conveyed to its own marginalized populations: We care about democracy for us, not for them.

In Gaza the United States has supported an Israeli military operation that has killed civilians at a pace that has once again suggested to much of the world that we are selective in our embrace of international laws and norms.

Meanwhile, at home, we see how democracy has become subordinate to the pursuit of power within a chunk of the Republican Party.

This is where cynicism can lead. Because when there is no higher aspiration, no story to give meaning to our actions, politics and geopolitics become merely a zero-sum game. In that kind of world, might makes right.

his is also a cautionary tale. As imperfect as we are, the United States needs our story to survive. It’s what holds together a multiracial democracy at home and differentiates us from Russia and China abroad.

That story insists that a child in Laos is equal in dignity and worth to our children and that the people of Chile have the same right of self-determination as we do. For the United States, that must be a part of national security. We forget that at our peril.

Now, after the Peronista government of Alberto Fernández and Cristina Fernández de Kirchner has failed to halt the country’s economic decline, a new force among Argentina’s Generation Z is rising.

This time, it’s young men who are at the forefront. Milei is speaking for them.

An admirer of Donald Trump and former Brazilian president Jair Bolsonaro, Milei is campaigning on an Argentine version of “Drain the Swamp.” His aggressive style, outlandish comments and unusual presentation — he claims he hasn’t brushed that hair in years — have drawn millions of viewers to his videos and disrupted traditional politics

He has branded Pope Francis — the Argentine former Archbishop of Buenos Aires Jorge Bergoglio, the first South American pontiff — an “evil” leftist. Climate change, he says, is a “socialist lie.” He would hold a referendum to undo the three-year-old law that legalized abortion. He has called for creating a market for the sale of organs.

But he has also offered frustrated Argentines a break from the status quo: He has proposed shutting down the central bank, dollarizing the economy and taking a “chain saw” to government spending.

His attacks on the peso are already shocking the Argentine economy; the currency has taken a nose dive in the widely traded black market in recent weeks. The inflation rate has skyrocketed.

If Milei wins, it will likely be on the strength of the country’s young. Voters aged 18 to 29 account for a quarter of the electorate, and polls show they’re overwhelmingly inclined to vote for the iconoclast. That’s especially true for young men.

Coronel grew up watching the North American right-wing provocateurs Jordan Peterson, Ben Shapiro and Milo Yiannopoulos on a YouTube channel that translated their words into Spanish. “They were a fundamental part of my ideological awakening,” he said. But his greatest inspiration was Trump.

“We stopped listening to the intellectuals to listen to the politicians,” Coronel said.

“While everyone was focused on feminist demands and gay rights, there was a generation slowly starting to pay attention to Javier Milei.”

He decided to become an economist in 1989 during the early days of hyperinflation in Argentina. He worked as a risk analyst for Corporacion America, owned by one of Argentina’s billionaires, before leaping into television as a regular guest on shows.