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Javier E

Europe Said It Was Pandemic-Ready. Pride Was Its Downfall. - The New York Times - 0 views

  • From the Black Death of the 14th century to cholera in war-torn Yemen, it was a baleful history. But Professor Whitty, who had spent most of his career fighting infectious diseases in Africa, was reassuring. Britain, he said, had a special protection.
  • Wealth “massively hardens a society against epidemics,” he argued, and quality of life — food, housing, water and health care — was more effective than any medicine at stopping the diseases that ravaged the developing world.
  • Professor Whitty’s confidence was hardly unique. As recently as February, when European health ministers met in Brussels to discuss the novel coronavirus emerging in China, they commended their own health systems and promised to send aid to poor and developing countries.
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  • Officials once boastful about their preparedness were frantically trying to secure protective gear and materials for tests, as death rates soared in Britain, France, Spain, Italy and Belgium.
  • Many European leaders felt so secure after the last pandemic — the 2009 swine flu — that they scaled back stockpiles of equipment and faulted medical experts for overreacting.
  • But that confidence would prove their undoing. Their pandemic plans were built on a litany of miscalculations and false assumptions
  • European leaders boasted of the superiority of their world-class health systems but had weakened them with a decade of cutbacks. When Covid-19 arrived, those systems were unable to test widely enough to see the peak coming — or to guarantee the safety of health care workers after it hit.
  • Accountability mechanisms proved toothless. Thousands of pages of national pandemic planning turned out to be little more than exercises in bureaucratic busy work
  • Officials in some countries barely consulted their plans; in other countries, leaders ignored warnings about how quickly a virus could spread.
  • Mathematical models used to predict pandemic spreads — and to shape government policy — fed a false sense of security.
  • National stockpiles of medical supplies were revealed to exist mostly on paper, consisting in large part of “just in time” contracts with manufacturers in China. European planners overlooked the risk that a pandemic, by its global nature, could disrupt those supply chains
  • Now South Korea, with a death toll below 300, is a paragon of success against the pandemic. Many epidemiologists there are dumbfounded at the mess made by their mentors.
  • Europe is grappling with how a continent considered among the most advanced failed so miserably.
  • Dr. Whitty, 54, initially praised in British newspapers as the reassuring “geek-in-chief,” has declined to speak publicly about his role in those decisions. His friends say the government has set him up to take the blame.
  • Sir David King, a former British chief science officer, said, “The word ‘arrogance’ comes to mind, I am afraid.” He added: “What hubris.”
  • when swine flu emerged, British leaders again turned to Professor Ferguson and the large modeling department he had built at Imperial College. He projected that swine flu, in a reasonable worst case, could kill nearly 70,000.
  • But the modelers’ “reasonable worst case” was wildly off. Swine flu ended up killing fewer than 500 people in Britain, less than in a seasonal flu.
  • For Mr. Johnson, the swine flu episode reinforced instincts not to impose restrictions in the name of public health.
  • Some experts now say Europe learned the wrong lesson from the swine flu.
  • “It created some kind of complacency,” said Prof. Steven Van Gucht, a virologist involved in the Belgian response. “Oh, a pandemic again? We have a good health system. We can cope with this.”
  • It also coincided with Europe’s worst economic slump in decades. French legislators were furious at the cost of buying millions of doses of vaccines and faulted the government for needlessly stockpiling more than 1.7 billion protective masks.
  • The idea of a government warehousing medical supplies came to seem outdated,” said Francis Delattre, a French senator who raised alarms about dependence on China. “Our fate was put into the hands of a foreign dictatorship.”
  • “France has a superiority complex,” Mr. Delattre added, “especially when it comes to the health sector.”
  • “It’s pretty difficult to build a stockpile for something you’ve not seen before,” said Dr. Ben Killingley, an infectious disease expert who advises the government on what to stockpile. “It depends how much you want to spend on your insurance.”
  • National governments barred the European Centre for Disease Prevention and Control from setting benchmarks or pointing out deficiencies. So the agency’s public remarks were almost unfailingly positive
  • “We couldn’t say, ‘You should have this,’” said Arthur Bosman, a former agency trainer. “The advice and the assessment had to be phrased in an observation.”
  • the European Union in 2016 solicited bids to build a continent-wide repository. But the initiative fizzled because Britain, France and other large countries thought they had the situation covered
  • European and global health officials had thoroughly reviewed Belgium’s pandemic plan over the years. But when Covid-19 hit, Belgian officials did not even consult it.
  • “It has never been used,” said Dr. Emmanuel André, who was drafted to help lead the country’s coronavirus response
  • “I don’t understand why we were not prepared,” said Dr. Matthieu Lafaurie, of the Saint-Louis hospital in Paris. “It was very surprising that every country had to realize itself what was going on, as if they didn’t have the examples of other countries.
  • He insisted that he had warned privately in early March that Britain’s insufficient testing meant the scientists did not have enough information to track the epidemic.Across Europe, he said, more testing “would have been the single thing which would have made the biggest difference.”
  • there is another lesson to learn, said Dr. André, who spent years fighting epidemics in Africa before advising Belgium on the coronavirus.“They keep on telling countries what they should do, very clearly. But all these experts, when it happens in your own countries? There’s nothing,” he said.“One lesson to learn is humility.”
Javier E

He Was a Science Star. Then He Promoted a Questionable Cure for Covid-19. - The New Yor... - 0 views

  • In the 1990s, in an early repurposing experiment, he tested the effect of hydroxychloroquine on a frequently fatal condition known as Q fever, which is caused by an intracellular bacterium. Like viruses, intracellular bacteria multiply within the cells of their hosts; Raoult found that hydroxychloroquine, by reducing acidity within the host cells, slowed bacterial growth
  • He began treating Q fever with a combination of hydroxychloroquine and doxycycline and later used the same drugs for Whipple’s disease, another fatal condition caused by an intracellular bacterium. The combination is now considered to be a standard treatment for both diseases.
  • Chinese reports, however, appeared to confirm Raoult’s longstanding hopes for chloroquine. A deadly virus for which no treatment existed could evidently be stopped by an inexpensive, widely studied, pre-existing molecule, and one that Raoult knew well. A more heedful scientist might have surveyed the Chinese data and begun preparations for tests of his own. Raoult did this, but he also posted a brief, jubilant video on YouTube, under the title “Coronavirus: Game Over!”
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  • Chloroquine had produced what he called “spectacular improvements” in the Chinese patients. “It’s excellent news — this is probably the easiest respiratory infection to treat of all,” Raoult said. “The only thing I’ll tell you is, be careful: Soon the pharmacies won’t have any chloroquine left!”
  • Raoult wrote his first research paper, in 1979, on a tick-borne infection sometimes known as Marseille fever. The disease was also called “benign summer fever,” and more than 50 years of science said it was nonlethal. And yet one of the 41 patients in his data set had died.
  • Before submitting the paper, Raoult, who was then a young resident, gave it to a supervising professor for review. “And he takes it,” Raoult told me, “he doesn’t show it to me again, and he publishes it — and he’d taken out the death. Because he didn’t know how to make sense of the death.”
  • Raoult was disgusted, and the incident shaped his philosophy of scientific inquiry. “I learned that the people who wanted to follow the familiar path were prepared to cheat in order to do it,” he said.
  • In Raoult’s view, French science was a duchy of appearances, connections and self-reverence. “It was people saying” — he mimed the drone of an aristocrat — “ ‘Oh, him, yes, he’s very good.’ And this reputation, you don’t know what it’s based on, but it’s not the truth.”
  • “He was a ‘follower,’” Raoult said of the professor. “And these ‘followers’ are all cheaters. That’s what I thought. And it’s still what I think.”
  • He is, fundamentally, a contrarian. In Raoult’s view, little of consequence has been accomplished by researchers who endorse the habitual tools and theories of their age.
  • “I’ve spent my life being ‘against,’” he told me. “I tell young scientists: ‘You know, you don’t need a brain to agree. All you need is a spinal cord.’” He is thrilled by conflict. It is a matter both of philosophy — the influence, no doubt, of the thinker he refers to admiringly as “master Nietzsche” — and of temperament.
  • His peers shake their heads at this behavior but grant him a grudging respect. “You can’t knock him down,” said Mark Pallen, a professor of microbial genomics at the University of East Anglia. “In terms of his place in the canon, the sainthood of science, he’s pretty secure there.”
  • In 1985 and 1986, Raoult worked at the Naval Medical Research Institute in Bethesda, Md., where he discovered the Science Citation Index. The index, a tool that can be used to measure a scientist’s influence on the basis of his or her publication history, was relatively unknown in France. Raoult looked up the researchers reputed to be the best in Marseille. “It was really the emperor wears no clothes,” he said. “These people didn’t publish. There was one who hadn’t written a paper in 10 years.”
  • In subsequent work, he demonstrated that Marseille fever was indeed fatal in almost precisely one in every 41 cases.
  • Raoult’s name sits atop several thousand; in each of the past eight years, he has produced more than 100. In 2020, he has already published at least 54.
  • Like many doctors, Molina viewed Raoult’s study with skepticism, but he was also curious to see if his proposed treatment regimen might in fact work. He tested hydroxychloroquine and azithromycin in 11 of his own patients. “We had severe patients, and we wanted to try something,” Molina told me. Within five days, one had died, and two others had been transferred out of his service to intensive care. In another patient, the treatment was suspended after the onset of cardiac issues, a known side effect of the drugs. Eight of the 10 surviving patients still tested positive for SARS-CoV-2 at the conclusion of the study period
  • Raoult is reputed to be an indefatigable worker, but he also achieves his extreme rate of publication by attaching his name to nearly every paper that comes out of his institute.
  • In recent years, Raoult has amused himself, it seems, by staking out tendentious scientific claims, sometimes in territories that are well beyond the scope of his expertise.
  • He is skeptical, for instance, of the utility of mathematical modeling in the realm of epidemiology.
  • The same logic has led him to conclude that climate modelers are no more than “soothsayers” for our “scientistic era” and that their dire predictions are mostly just an attempt to expiate our intense but irrational feelings of guilt.
  • Raoult’s most recent book, “Epidemics: Real Dangers and False Alerts,” was published in late March, by which time the W.H.O. had reported more than 330,000 confirmed cases of Covid-19 worldwide and more than 14,500 deaths. “This anguish over epidemics,” he writes, “is completely untethered from the reality of deaths from infectious diseases.”
  • Testing had been scheduled to run for two weeks per patient, but after only six days, the results were so favorable that Raoult decided to end the trial and publish
  • Others might have proceeded with more caution or perhaps waited to confirm these results with a larger, more rigorous trial. Raoult likes to think of himself as a doctor first, however, with a moral obligation to treat his patients that supersedes any desire to produce reliable data.
  • For decades, Raoult has boasted of his prodigious rates of publication and citation, which, as objective statistics, he considers to be the best measure of his worth as a researcher.
  • This observation has come to be known as the parachute paradigm: We tend to accept the claim that parachutes reduce injury among people who leap from airplanes, but this effect has never been proved in a randomized study that compares an experimental parachute group to an unlucky parachuteless control.
  • “If you don’t have something that’s visible in 10 patients, or 30, it’s useless. It’s not of any consequence.” An effective treatment for a potentially lethal infectious disease will be visible to the naked eye.
  • There is much about Raoult that might make him, and by extension his proposed treatment, appealing to a man like Trump. He is an iconoclast with funny hair; he thinks almost everyone else is stupid, especially those who are typically regarded as smart; he is beloved by the angry and conspiracy-minded; his self-congratulation is more or less unceasing.
  • Raoult classified Trump’s psychology as that of an “entrepreneur,” by way of contrast with that of a “politician.” “Entrepreneurs are people who know how to decide, who know how to take risks,” he said. “And at a certain point, to decide is to take a risk. Every decision is a risk.”
  • The French waited far too long, in his estimation, to approve the use of hydroxychloroquine in Covid-19 patients. The authorization came only after Raoult announced in the press that he would continue, “in accordance with the Hippocratic oath” and effectively in defiance of the government, to treat patients with his combination therapy. “I’m convinced that in the end, everyone will be using this treatment,” Raoult told Le Parisien. “It’s just a matter of time before people agree to eat their hats.”
  • Raoult had already begun assembling data for a larger study, but he dismissed the need for anything particularly vast or lengthy. Like other critics of the R.C.T., he likes to point out that a number of self-evidently useful developments in the realm of human health have never been validated by such rigorous tests.
  • Raoult’s study had measured only viral load. It offered no data on clinical outcomes, and it was not clear if the patients’ actual symptoms had improved or indeed whether the patients lived or died. At the outset, 26 patients were assigned to receive hydroxychloroquine, six more than the 20 who appeared in the final results.
  • The six additional patients had been “lost in follow-up,” the authors wrote, “because of early cessation of treatment.” The reasons given were concerning. One patient stopped taking the drug after developing nausea. Three patients had to be transferred out of the institute to intensive care. One patient died. (Another patient elected to leave the hospital before the end of the treatment cycle.)
  • “So four of the 26 treated patients were actually not recovering at all,” noted Elisabeth Bik, a scientific consultant who wrote a widely circulated blog post on Raoult’s study. She paraphrased the sarcasm circulating on Twitter: “My results always look amazing if I leave out the patients who died.”
  • The report was also riddled with discrepancies and apparent errors.
  • This apparent sloppiness was unsurprising to many of those who have tracked Raoult’s work in the past. A prominent French microbiologist told me that, in terms of publication, Raoult’s reputation among scientists has been “long gone” for some time.
  • Beyond its apparent errors and omissions, the study’s design — its small size, its flawed control, the unrandomized assignment of patients to the treatment and control groups — was widely viewed to render its results meaningless. Fauci repeatedly called its results “anecdotal”;
  • Large, well-controlled randomized trials are by no means the only way to arrive at useful scientific insights. Their utility is that they enhance statistical signals such that, amid the noise of human variability and random chance, even the faint effect of some new treatment can be detected.
  • The results of his initial trial have yet to be replicated. “I think what he secretly hopes is that no one will ever be able to show anything,”
  • The prime statistical hurdle that any proposed treatment for Covid-19 will have to overcome — one that is delicate for even Raoult’s critics to make note of, amid the sorrow and fear of this pandemic — is that the signal is likely to be very faint, because the disease is, in the end, rarely fatal. Nearly everyone survives; an effective treatment will save the life of the one or so patients in every hundred who would not have lived without it.
  • “Alzheimer’s drugs, obesity drugs, cardiovascular drugs, osteoporosis drugs: Over and over, there have been what looked like positive results that evaporated on closer inspection. After you’ve experienced this a few times, you take the lesson to heart that the only way to be sure about these things is to run sufficiently powered controlled trials. No shortcuts, no gut feelings — just data.”
  • “I’ve invented 10 or so treatments in my life,” Raoult told me. “Half of them are prescribed all over the world. I’ve never done a double-blind study in my life, never. Never! Never done anything randomized, either.”
  • “When you tell the story, it’s extremely straightforward, no? It’s subject, verb, complement: You detect a disease; there’s a drug that’s cheap, whose safety we know all about because there’s two billion people who take it; we prescribe it, and it changes what it changes. It might not be a miracle product, but it’s better than doing nothing, no?”
  • Raoult had by then begun to lose his composure. He accused Lacombe of being a shill for the pharmaceutical industry; his fans sent her death threats. On Twitter, he called Bik, the consultant who wrote critically about the first study, a “witch hunter” and called a study that she tweeted — one of several published in April and May that seemed to suggest that Raoult’s treatment regimen was ineffectual or even harmful — “fake news.” The authors of another such study were accused of “scientific fraud.” “My detractors are children!” Raoult told an interviewer.
  • It is possible that hydroxychloroquine and azithromycin are an effective treatment for Covid-19. But Raoult’s study showed, at best, that 20 people who would almost certainly have survived without any treatment at all also survived for six days while taking the drugs Raoult prescribed.
  • In recent weeks, Raoult has in fact tempered his claims about the virtues of his treatment regimen. The published, peer-reviewed version of the final study noted that another two patients had died, bringing the total to 10. Where the earlier version called the drugs “safe and efficient,” they were now described merely as “safe.”
  • He has shown flickers of what appears to be doubt.
  • “I don’t trust popularity,” he told the interviewer. “When too many people think you’re wonderful, you should start to wonder.” His initial YouTube video, “Coronavirus: Game Over!” has also been renamed. The new language is more measured, and in place of the exclamation point there now stands a question mark.
Javier E

California Criminology Professor Is Charged With Arson - The New York Times - 0 views

  • In California, the number of arson arrests jumped during the pandemic: 120 arson arrests were reported by Cal Fire in 2020 compared with 70 the year before. Arson offenses had been declining nationwide for the past few decades, but F.B.I. numbers show about 13 arson offenses per 100,000 people in 2020, about a 20 percent increase from the previous year.
  • more common are people frustrated with their jobs or family life or suffering mental health crises. “Most arsonists are just angry people,”
  • Mr. Nordskog, who has interviewed more than 300 arsonists in his career, says it is a crime that crosses race and gender lines. The Hollywood portrayal of serial arsonists excited by fire and doing it for a thrill applies to a small subset of arsonists, he said
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  • In interviews, former students described Mr. Maynard as anxious, troubled and, at times, inappropriate. One said he often taught his classes during the pandemic via Zoom from a darkened bedroom, revealing details about an ailing father, a lawsuit against his former landlord and his battles with his mental health.
  • Last year, his life appearing to unravel further, Mr. Maynard lived in his car, according to court documents. As he traversed Northern California, he sent messages to students that included rantings, as well as links to YouTube videos — meandering footage of trees and mountains — in which he ruminated on the state of the world. He also appeared fascinated by arson.
Javier E

What Oppenheimer really knew about an atomic bomb ending the world - The Washington Post - 0 views

  • In a chilling, existential, bizarrely comic moment, the new movie “Oppenheimer” revives an old question: Did Manhattan Project scientists think there was even a minute possibility that detonating the first atomic bomb on the remote plains of New Mexico could destroy the world?
  • physicists knew it wouldn’t, long before the Trinity test on July 16, 1945, at the Alamogordo Bombing Range, about 210 miles south of the secret Los Alamos, N.M., laboratory.
  • “This thing has been blown out of proportion over the years,” said Richard Rhodes, author of the Pulitzer Prize-winning book “The Making of the Atomic Bomb.” The question on the scientists’ minds before the test, he said, “wasn’t, ‘Is it going to blow up the world?’ It was, ‘Is it going to work at all?’”
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  • In the movie, one scene has J. Robert Oppenheimer, director of the laboratory, seeking to reassure his boss, Gen. Leslie Groves, on the eve of the test. Upon investigation, Oppenheimer tells him, physicists have concluded that the chances the test detonation will destroy the world are “near zero.” Realizing the news has alarmed, not reassured, the general, Oppenheimer asks, “What do you want from theory alone?”“Zero would be nice,” the general replies.
  • no physicists or historians interviewed for this story recalled coming across any mention of such a conversation between Oppenheimer and the general in the historical record.
  • Still, the discussions and calculations persisted long after the Trinity test. In 1946, three Manhattan project scientists, including Teller, who would later become known as the father of the hydrogen bomb, wrote a report concluding that the explosive force of the first atomic bomb wasn’t even close to what would be required to trigger a planet-destroying chain reaction in air. The report was not declassified until 1973.
  • At a conference in the summer of 1942, almost a full year before Los Alamos opened, physicist Edward Teller raised the possibility of atomic bombs igniting Earth’s oceans or atmosphere. According to Rhodes’s account, Hans Bethe, who headed the theoretical division at Los Alamos, “didn’t believe it from the first minute” but nonetheless performed the calculations convincing the other physicists that such a disaster was not a reasonable possibility.
  • “I don’t think any physicists seriously worried about it,” said John Preskill, a professor of theoretical physics at California Institute of Technology.
  • “Did the actual exchange happen at that moment? No, I don’t think so,” said Alex Wellerstein, an associate professor at Stevens Institute of Technology in Hoboken, N.J., and author of the 2021 book, “Restricted Data: The History of Nuclear Secrecy in the United States.”“But were there discussions like that? I believe so,” he added.
  • A 1979 study by scientists at the University of California’s Lawrence Livermore Laboratory examined the question of whether a nuclear explosion might trigger a runaway reaction in the atmosphere or oceans. In page after page of mathematical equations, the scientists described a complex set of factors that made atmospheric ignition effectively impossible.
  • As outlandish as the notion was to many scientists, the nuclear research organization CERN felt obliged to deal with the fear, noting on its website that “some theories suggest that the formation of tiny ‘quantum’ black holes may be possible. The observation of such an event would be thrilling in terms of our understanding of the Universe; and would be perfectly safe.”
  • Dudley’s essay also recounted a story that on the day of the test, “as zero hour approached” Gen. Groves was annoyed to find Manhattan Project physicist and Nobel Prize winner Enrico Fermi making bets with colleagues about whether the bomb would ignite the atmosphere, “and, if so, whether it would destroy only New Mexico ― or the entire world.” (Some experts have suggested Fermi’s actions may have been more of a joke, or an example of gallows humor.)
  • Fascination with this doomsday scenario may stem, at least in part, from a misunderstanding of what physicists mean when they say “near zero.” The branch of physics known as quantum mechanics, which deals with matter and light at the atomic and subatomic scale, does not rule out any possibilities.
  • For example, if a boy tosses a rubber ball at a brick wall, there is an exceedingly remote — but still valid — possibility that instead of watching the ball bounce back, he could see it pass through the wall.
  • Aditi Verma, an assistant professor of nuclear engineering and radiological sciences at the University of Michigan, put it this way: “What a physicist means by ‘near zero’ would be zero to an engineer.”
  • In the 2000s, scientists encountered a similar problem of terminology as they prepared to generate high-speed particle collisions at the Large Hadron Collider in Geneva. Talk surfaced that the activity might generate a black hole that would devour Earth.
  • Probably the easiest to grasp is the fact that, even under the harshest scenarios, far more energy would be lost in the explosion than gained, wiping out any chance to sustain a chain reaction.
  • In other words, any black hole created by the collider would be far too small to pose any risk to the planet.Scientists say such disaster scenarios are sometimes the price of crossing new thresholds of discovery.
  • “You don’t often talk in certainties,” he said. “You talk in probabilities. If you haven’t done the experiment, you are hesitant to say ‘This is impossible. It will never happen.’ … It was good to think it through.”
  • Rhodes added that he hopes the “Oppenheimer” movie will not lead people to doubt the scientists on the Manhattan Project.“They knew what they were doing,” he said. “They were not feeling around in the dark.”
Javier E

Climate crisis deniers target scientists for vicious abuse on Musk's Twitter | Climate ... - 0 views

  • “There’s been a massive change,” said Mark Maslin, professor of earth system science at University College London and the author of popular books including How to Save Our Planet. “I get so much abuse and rude comments now. It’s happening to all of us, but I challenge the climate deniers so I’ve been really targeted.”
  • Maslin says he used to have regular meetings with Sean Boyle, Twitter’s former head of sustainability, who was laid off in Musk’s mass cull of staff shortly after he took over in Aprll 2022. Maslin said Boyle discussed the platform’s work to develop ways of ensuring that trusted information was pushed to the top.“They were using climate change as a good test bed, because it was fairly clear who the good and bad actors were,” Maslin said. “But he was sacked and Twitter became the wild west.”
  • Maslin said he will stay on the platform and push back against conspiracy theories with scientific evidence. “I want people to understand there are solutions. There is a real need for us to be on social media defending the truth, however nasty the responses get.”
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  • “I spent years debating quite strongly with climate sceptics, including people I assume were paid,” he added. “But there can be a real personal cost interacting over a long time with people who are abusing you.”McNeall said it was hard for scientists to work out how to cut through the false information on Twitter. “I just can’t tell if people are seeing disinformation or getting good scientific information about what is happening,” he said. “That’s really worrying.”
  • Ed Hawkins, professor of climate science at Reading University, who has 94,000 Twitter followers, said he had seen a “huge increase” in tweets from climate-denier accounts, often involving conspiracy theories or long-debunked topics. “A larger fraction of the comments are personal and abusive,” he said. “Any mildly popular tweet from a climate scientist is now targeted for a barrage of replies.”
  • Hawkins has noticed that many denier accounts have paid subscriptions to Twitter and therefore appear higher up in the replies. “It appears to be a coordinated effort [by climate change deniers] to make it appear as though climate denial is more prevalent than it really is,” he said.
  • Professor Richard Betts, chair of climate impacts at Exeter University and head of climate impacts at the Hadley Centre, said: “Outright hostility has increased in recent weeks. It’s mostly just people saying you’re talking rubbish. They don’t want a conversation.”
  • A survey of 468 international climate scientists published by campaign group Global Witness last month found that prominent scientists were the most likely to face abuse, with half of those who had published at least 10 papers reporting they had suffered online harassment as a result of their climate work. One in eight female scientists who reported abuse had been threatened with sexual violence.
Javier E

'Childhood has been rewired': Professor Jonathan Haidt on how smartphones are damaging ... - 0 views

  • Something strange is happening with teenagers’ mental health. In Britain, the US, Australia and beyond, the same trend can be seen: around the middle of the last decade, the number of young people with anxiety, depression and even suicidal tendancies started to rise sharpl
  • He is working on a book, due out next year, and is ready to share his thesis.
  • his message is quite horrifying.
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  • He argues that the tools of social media are just too sharp for young minds. On digital platforms teens parade themselves, often to an audience of strangers, and this is leading to addiction, paranoia and despair
  • For girls, the effect is especially acute. ‘What we’re seeing is a very sharp, sudden change in girls’ mental health all around the Anglosphere and the Nordic countries,’ he says. A big change was evident from 2013, when physical friendship groups started to be supplanted by smartphones and online chat. ‘But you cannot grow up in networks. You have to grow up in communities.’
  • The first is that they are fragile and can be harmed by speech and words.
  • But if you’re a secular liberal girl, you’re probably more than twice as likely to have a mental health problem.’
  • a University of Michigan survey into ‘self-derogation’ – i.e., how likely teenagers are to say they are ‘no good’ or ‘can’t do anything right’. Figures had been stable for years but started rising sharply ten years ago – except for among boys who identified as conservative and said that religion was important to them.
  • irls simply use social media more. But Professor Haidt also thinks they are more likely to buy into what he calls the ‘three great untruths’ of social media
  • boys who have religion in their lives seem to be less susceptible. ‘If you’re a kid who’s a religious conservative, on average, your mental health is not really much worse than it was ten years ago
  • Next, that their emotions, and especially their anxieties, are reliable guides to reality.
  • And finally, that society is one big battle between victims and oppressors. All this, he says, is the subtext to social media discourse.
  • ‘It’s what I’ve been calling the phone-based child,’
  • So we had playdates in childhood, up until around 2010.’ In Britain, he says, the number of children who went on real-life playdates then fell sharply.
  • Social media is a bit of a misnomer, he says. It’s no longer about connecting people, but ‘performing on a platform’. Perhaps this is fine for grown-ups, but not for children, ‘where they can say things in public, including to strangers, and then be publicly shamed by potentially millions of people
  • Children should not be on social networks. They should be playing in person. Social media platforms should never be accessed by children until they’re 18. It’s just insane that we let kids do these things.’
  • I ask if he thinks all platforms are equally dangerous
  • if you get your news from social media (which many people do – in the UK, Instagram has overtaken all newspapers as a news source), this can change your view of the world, especially as the algorithms tend to promote the most provocative views.
  • ‘TikTok is probably the worst for their intellectual development. I think it literally reduces their ability to focus on anything while stuffing them with little bits of stuff that was selected by an algorithm for emotional arousal. Not for truth.’
  • If asked to choose whether they side more with Israel or Hamas, ‘the great majority of Americans side with Israel, except for Gen Z, which is split 50-50’,
  • ‘There was a Twitter thread recently showing how if you look at what people are saying on TikTok, you can understand why
  • TikTok and Twitter are incredibly dangerous for our democracy. I’d say they’re incompatible with the kind of liberal democracy that we’ve developed over the last few hundred years.’
  • Might it just be the case, I ask, that there’s less of a stigma around mental health now, so teenagers are far more likely to admit that they have problems?
  • why is it, then, that right around 2013 all these girls suddenly start checking into psychiatric inpatient units? Or suicide – they’re making many more suicide attempts. The level of self-harm goes up by 200 or 300 per cent, especially for the younger girls aged ten to 14
  • we see very much the same curves, at the same time, for behaviour. Suicide, certainly, is not a self-report variable. This is real. This is the biggest mental health crisis in all of known history for kids.’
  • he increased number of suicides since 2010 is so large that I suspect this is among the largest public health threats to children since the major diseases were wiped out
  • His third rule: no phones in schools.
  • What should parents do? They know that if they try to remove their teenager’s smartphone, their child will accuse them of destroying his or her social life. ‘That’s a perfect statement of what we call a collective action problem,’
  • ‘Any one person doing the right thing is in big trouble. But why do we ever let our kids on social media? It’s only down to the dynamic you just said.’ New norms are needed, he says. And his book will suggest four.
  • Rule one, he says: no smartphones before the age of 14.
  • ‘Give them a flip phone. Millennials had flip phones. They texted each other
  • Rule two: no social media before 16
  • In Britain, suicide rates started rising in 2014, up about 20 per cent for boys (to 420 a year) and 60 per cent for girls (to 160 a year).
  • finally: more unsupervised play. ‘Both of our countries freaked out in the 1990s, locked up our kids because we lost trust in each other. We thought everyone was a child molester or a rapist.’ Children and teens could do with six or seven hours each day out of contact with their parents, he argues. Keeping them inside risks more harm than the outside world would pose.
Javier E

Stanford Faculty Say Anonymous Student Bias Reports Threaten Free Speech - WSJ - 0 views

  • A group of Stanford University professors is pushing to end a system that allows students to anonymously report classmates for exhibiting discrimination or bias, saying it threatens free speech on campus.
  • The backlash began last month, when a student reading “Mein Kampf,” the autobiographical manifesto of Nazi Party leader Adolf Hitler, was reported through the school’s “Protected Identity Harm” system.
  • The reporting system has been in place since the summer of 2021, but faculty say they were unaware of it until the student newspaper wrote about the incident and the system, spurring a contentious campus debate.
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  • The system is designed to help students get along with one another, said Dee Mostofi, a Stanford spokeswoman. “The process aims to promote a climate of respect, helping build understanding that much speech is protected while also offering resources and support to students who believe they have experienced harm based on a protected identity,” she said.
  • The Stanford faculty’s effort is part of broader pushback against bias-reporting systems around the country. About half of college campuses have one—more than twice as many as five years ago—according to a 2022 survey by Speech First, a conservative nonprofit.
  • Prof. Santiago said he is wary that anonymous complaints could be exaggerated or used to attack someone. He helped collect 77 faculty signatures to petition the school to investigate free speech and academic freedom on campus, the first step to getting rid of the anonymous-reporting system. 
  • The system defaults to anonymous reporting and most students file that way. They use an online form to describe how the bias was demonstrated, which triggers an inquiry within 48 hours. Both parties are contacted.
  • Participation in the inquiry is voluntary. But it may not feel that way to accused students, said Juan Santiago, a professor of mechanical engineering who favors getting rid of the system.
  • “If you’re an 18-year-old freshman and you get contacted by an administrator and told you’ve been accused of some transgression, what are you going to do?” Prof. Santiago said. “They may not call that punitive but that can be very stressful.”
  • At Stanford, students can report a “Protected Identity Harm Incident,” which is defined as conduct targeting an individual or group on the basis of characteristics including race or sexual orientation. The system is meant to “build and maintain a better, safer, and more respectful campus community,” according to the school’s website.
  • Senior Christian Sanchez, executive vice president of the Associated Students of Stanford University, the student-government group, said the system is necessary and important. Mr. Sanchez, who describes himself as Chicano, said he has bristled in the past when another student has addressed him as “G,” short for gangster.
  • He has let it roll off his back, he said, but less thick-skinned students should have a path for redress.
  • he reports are stored in a platform operated by a third party called Maxient, a Charlottesville, Va.-based company that has contracts with 1,300 schools—mostly colleges and universities in the U.S
  • Only Maxient and a small number of people within the student affairs office have access to the records, said Ms. Mostofi. She declined to say how long they are stored.
  • A dashboard maintained by the school lists a few incidents students have reported using the anonymous system, including the removal of an Israeli flag and a racial slur written on a whiteboard hanging on a dorm-room door.
  • At the University of California, which includes 10 campuses, the reporting system collected 457 acts of “intolerance or hate” during the 2021-22 school year. Of those, 296 were defined as offensive speech. The UC said those incidents include “gestures, taunts, mockery, unwanted jokes or teasing, and derogatory or disparaging comments of a biased nature.”
  • Free-speech advocacy organizations including the Goldwater Institute, the Foundation for Individual Rights and Expression and Alumni Free Speech Alliance have advocated against bias-reporting mechanisms.
  • After Speech First challenged bias-response systems at the University of Texas, the University of Michigan and the University of Central Florida, all three schools changed or disbanded their systems.
  • Stanford Business School professor Ivan Marinovic said the bias-reporting system reminded him of the way citizens were encouraged to inform on one another by governments in the Soviet Union, East Germany and China. 
  • “It ignores the whole history,” he said. “You’re basically going to be reporting people who you find offensive, right? According to your own ideology.”
Javier E

Sir Adam Roberts rebuffs the view that the West is principally responsible for the cris... - 0 views

  • e prone to manage their mutual relations with deep rivalry and a high risk of war
  • One conclusion that follows from his world-view is that states are bound to take seriously the concept of “spheres of influence”, an old-fashioned term for a phenomenon that is still very much alive. However much spheres of influence may challenge the idea of the sovereign equality of states, they have by no means disappeared in international relations.
  • Take the 1962 Cuban missile crisis. In demanding the withdrawal of Soviet nuclear-armed missiles from Cuba, America was, in effect, defending the Monroe Doctrine of 1823.
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  • There is no dispute now that Mr Putin wants to defend Russia’s sphere of influence. Right at the start of his speech on February 24th, as his forces invaded Ukraine, he criticised the “expansion of the NATO bloc to the east, bringing its military infrastructure closer to Russian borders”
  • However, for Professor Mearsheimer to reduce the causes of Russia's invasion to the Bucharest declaration is simplistic and wrong.
  • For a start, there were some obvious frustrations, fears and mistakes.
  • The continuing American strategic partnership with Ukraine, which Professor Mearsheimer mentions, may indeed have played a part
  • Ukrainian defiance in response to Russia’s huge military exercise on its border last year would have been hard for Mr Putin to tolerate. A successful and democratic Ukraine undermines the Russian leader’s own authoritarianism at home.
  • there was a faulty understanding of the situation on the ground: both America in Iraq and Russia in Ukraine have launched wars on terrible “intelligence”.
  • there are three other factors that help to explain the current crisis in Ukraine.
  • the break-up of empires is often messy and traumatic. Often foreign military intervention of some kind follows. The end of European colonial empires, and the collapse of the Soviet and Yugoslav empires in the 1990s, forced new or re-constituted states to make fateful decisions. Is citizenship based on ethnicity or simply residence? Should kin living outside the state have a right to citizenship? What frontiers does the state have? What friends and allies? What constitution? What language
  • Both Georgia and Ukraine faced many if not all of these quandaries in the 1990s—and faced them long before the question of NATO membership arose.
  • Second, the existence of nuclear weapons outside of Russia necessitated a degree of Western involvement in security matters. An array of nuclear weapons remained in Ukraine
  • The breakdown of the Budapest Memorandum left Ukraine in an awkward situation. It was unable to trust Russia’s word, but also had reason to doubt Western security guarantees. The idea of full-blooded membership of NATO appeared increasingly attractive but not necessarily more attainable.
  • The third factor is colour revolutions—the popular revolutions that occurred in many countries in the former Soviet Union in recent decades. They must have reminded Mr Putin of the movements in eastern Europe in 1989 that precipitated the collapse of one communist regime after another.
  • It suits Mr Putin to treat civil resistance movements as parts of a grand international conspiracy. I have been studying such movements for more than 50 years. In that time all kinds of accusations have been made that such movements are the pawns of outside forces. There is little evidence to support such theories.
  • Throughout his analysis Professor Mearsheimer pays remarkably little attention to the ideals and political desires of people in countries that have experienced “people power” revolutions.
  • These factors suggest that the 2008 proposal to expand NATO to include Georgia and Ukraine is just one among many developments that have made the current crisis so acute
  • It is arguable, indeed likely, that the NATO expansion proposal made matters worse, as may some other Western actions, but to assert that “the West is principally responsible for the Ukrainian crisis” goes too far.
Javier E

A Black Professor Trapped in Anti-Racist Hell | Compact Mag - 0 views

  • . In 2014, participants in the two seminar groups lived their lives together seamlessly outside of the seminar, exploring Ithaca and the Cornell campus, eating and laughing together, and setting up a system to govern their community togethe
  • In 2022, however, I was told that the “Critical Black Studies” students would live and learn separately, creating a fully “black space.” My “Anti-Oppressive Studies” students were separated from them. Instead of participating in a summer community of 32 high-school students, my group was to be a community of 12 (that would dwindle to nine by the time of the mutiny).
  • in the 2022 community, afternoons and evenings would no longer be spent having fun and doing homework. Two college-age students called “factotums” (led by one I will call “Keisha”) were assigned to create anti-racism workshops to fill the afternoons. There were workshops on white supremacy, on privilege, on African independence movements, on the thought and activism of Angela Davis, and more, all of which followed an initial, day-long workshop on “transformative justice.” Students described the workshops as emotionally draining
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  • the Telluride workshops were being organized by two college-age students, filled with the spirit of the times
  • From what I gleaned, they involved crudely conveying certain dogmatic assertions, no matter what topic the workshops were ostensibly about:Experiencing hardship conveys authority. There is no hierarchy of oppressions—except for anti-black oppression, which is in a class of its own. Trust black women.Prison is never the answer.Black people need black space.Allyship is usually performative.All non-black people, and many black people, are guilty of anti-blackness.There is no way out of anti-blackness.
  • It is tempting to add: Such is life. Such is democratic life. We each have different, partial knowledge. We each get things wrong, over and over. At our best, we enter the fray by listening to each other and complementing and challenging the insights of our fellows. In the process, over years, decades, we are oriented toward justice and truth.
  • Specific words, phrases, arguments, and images from a text offer essential friction for conversation, holding seminar participants accountable to something concrete.
  • The seminar assumes that each student has innate intelligence, even as we come from different backgrounds, have different amounts and sorts of knowledge, and different skills. We can each be formed best if we take advantage of our differing insights to push each other, over time, again and again. When this practice is occasioned by carefully curated texts—not exclusively “great books,” but texts that challenge each other and us as they probe issues of essential importance—a seminar succeeds.
  • Each intervention in a seminar is incomplete, and gets things wrong. Each subsequent intervention is also incomplete, and also gets things wrong. But there are plenty of insights and surprises, for each participant looks at a text with different eyes
  • By its nature, a seminar requires patience. Day by day, one intervention builds on another, as one student notices what another student overlooked, and as the professor guides the discussion toward the most important questions
  • The effects on the seminar were quick and dramatic. During the first week, participation was as you would expect: There were two or three shy students who only spoke in partner or small-group work, two or three outspoken students, and the rest in the middle. One of the black students was outspoken, one was in the middle, and one was shy. By the second week of the seminar, the two white students were effectively silent. Two of the Asian-American students remained active (the ones who would soon be expelled), but the vast majority of interventions were from the three black students. The two queer students, one Asian and one white, were entirely silent
  • “Two of the Asian-American students would be expelled from the program.”In the 2022 anti-racism workshops, the non-black students learned that they needed to center black voices—and to shut up.
  • If the seminar is slow food, the anti-racist workshop put on by college-age students is a sugar rush. All the hashtags are there, condensed, packaged, and delivered from a place of authority. The worst sort of anti-racist workshop simply offers a new language for participants to echo—to retweet out loud.
  • In their “transformative-justice” workshop, my students learned to name “harms.”
  • In the language of the anti-racism workshop, a harm becomes anything that makes you feel not quite right. For a 17-year-old at a highly selective, all-expenses-paid summer program, newly empowered with the language of harm, there are relatively few sites at which to use this framework. My seminar became the site at which to try out—and weaponize—this language.
  • John McWhorter asserts that anti-racism is a new religion. It was an idea I quickly dismissed. Last summer, I found anti-racism to be a perversion of religion: I found a cult
  • the features of cults have become familiar in popular culture. There is sleep deprivation. Ties to the outside world are severed. The sense of time collapses, with everything cult-related feeling extremely urgent. Participants are emotionally battered. In this weakened state, participants learn about and cling to dogmatic beliefs. Any outsider becomes a threat.
  • The feature of a cult that seems to be missing from this story is a charismatic leader, enforcing the separation of followers from the world, creating emotional vulnerability, and implanting dogma. Enter Keisha
  • Pushing anti-racism to its limits, what we reach isn’t just hollow doctrine, but abuse: Pathological relationships that cut us off from the world, from the give-and-take of reasons and feelings unfolding over time that makes up life in the world.
  • We see this crystal clear in the paradoxes that I encountered
  • The experience was supposed to be organized around a “transformative justice,” rather than a punitive model, yet the community managed to expel two of its members.
  • Students continually voiced their desire to find practical actions to help change the world, but after four weeks, they had learned to say that anti-blackness is so foundational, the world could never change
  • The students wanted freedom, for themselves and for all, but they started to say that the only route to freedom is indoctrination: having me tell them what to think.
  • Saddest of all, for me, was hearing what the black students said. They needed extra help, they were struggling to understand anything from the readings, and they couldn’t even know what questions to ask unless they had guidance—first Keisha said this, then the black students said it, then their “allies” repeated it in solidarity with them
Javier E

Carlos Moreno Wanted to Improve Cities. Conspiracy Theorists Are Coming for Him. - The ... - 0 views

  • For most of his 40-year career, Carlos Moreno, a scientist and business professor in Paris, worked in relative peace.Many cities around the world embraced a concept he started to develop in 2010. Called the 15-minute city, the idea is that everyday destinations such as schools, stores and offices should be only a short walk or bike ride away from home. A group of nearly 100 mayors worldwide embraced it as a way to help recover from the pandemic.
  • In recent weeks, a deluge of rumors and distortions have taken aim at Mr. Moreno’s proposal. Driven in part by climate change deniers and backers of the QAnon conspiracy theory, false claims have circulated online, at protests and even in government hearings that 15-minute cities were a precursor to “climate change lockdowns” — urban “prison camps” in which residents’ movements would be surveilled and heavily restricted.
  • Many attacked Mr. Moreno, 63, directly. The professor, who teaches at the University of Paris 1 Panthéon-Sorbonne, faced harassment in online forums and over email. He was accused without evidence of being an agent of an invisible totalitarian world government. He was likened to criminals and dictators.
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  • he started receiving death threats. People said they wished he and his family had been killed by drug lords, told him that “sooner or later your punishment will arrive” and proposed that he be nailed into a coffin or run over by a cement roller.
  • Mr. Moreno, who grew up in Colombia, began working as a researcher in a computer science and robotics lab in Paris in 1983; the career that followed involved creating a start-up, meeting the Dalai Lama and being named a knight of the Légion d’Honneur. His work has won several awards and spanned many fields — automotive, medical, nuclear, military, even home goods.
  • Many of the recent threats have been directed at scientists studying Covid-19. In a survey of 321 such scientists who had given media interviews, the journal Nature found that 22 percent had received threats of physical or sexual violence and 15 percent had received death threats
  • Last year, an Austrian doctor who was a vocal supporter of vaccines and a repeated target of threats died by suicide.
  • increasingly, even professors and researchers without much of a public persona have faced intimidation from extremists and conspiracy theorists.
  • Around 2010, he started thinking about how technology could help create sustainable cities. Eventually, he refined his ideas about “human smart cities” and “living cities” into his 2016 proposal for 15-minute cities.
  • The idea owes much to its many predecessors: “neighborhood units” and “garden cities” in the early 1900s, the community-focused urban planning pioneered by the activist Jane Jacobs in the 1960s, even support for “new urbanism” and walkable cities in the 1990s. So-called low-traffic neighborhoods, or LTNs, have been set up in several British cities over the past few decades.
  • Critics of 15-minute cities have been outspoken, arguing that a concept developed in Europe may not translate well to highly segregated American cities. A Harvard economist wrote in a blog post for the London School of Economics and Political Science in 2021 that the concept was a “dead end” that would exacerbate “enormous inequalities in cities” by subdividing without connecting them.
  • Jordan Peterson, a Canadian psychologist with four million Twitter followers, suggested that 15-minute cities were “perhaps the worst imaginable perversion” of the idea of walkable neighborhoods. He linked to a post about the “Great Reset,” an economic recovery plan proposed by the World Economic Forum that has spawned hordes of rumors about a pandemic-fueled plot to destroy capitalism.
  • A member of Britain’s Parliament said that 15-minute cities were “an international socialist concept” that would “cost us our personal freedoms.” QAnon supporters said the derailment of a train carrying hazardous chemicals in Ohio was an intentional move meant to push rural residents into 15-minute cities.
  • “Conspiracy-mongers have built a complete story: climate denialism, Covid-19, anti-vax, 5G controlling the brains of citizens, and the 15-minute city for introducing a perimeter for day-to-day life,” Mr. Moreno said. “This storytelling is totally insane, totally irrational for us, but it makes sense for them.”
  • The multipronged conspiracy theory quickly became “turbocharged” after the Oxford protest, said Jennie King, head of climate research and policy at the Institute for Strategic Dialogue, a think tank that studies online platforms.
  • “You have this snowball effect of a policy, which in principle was only going to affect a small urban population, getting extrapolated and becoming this crucible where far-right groups, industry-sponsored lobbying groups, conspiracist movements, anti-lockdown groups and more saw an opportunity to insert their worldview into the mainstream and to piggyback on the news cycle,”
  • The vitriol currently directed at Mr. Moreno and researchers like him mirrors “the broader erosion of trust in experts and institutions,”
  • Modern conspiracy theorists and extremists turn the people they disagree with into scapegoats for a vast array of societal ills, blaming them personally for causing the high cost of living or various health crises and creating an “us-versus-them” environment, she said.
  • “I am not a politician, I am not a candidate for anything — as a researcher, my duty is to explore and deepen my ideas with scientific methodology,” he said. “It is totally unbelievable that we could receive a death threat just for working as scientists.”
Javier E

Colleges Are Lying to Their Students - The Atlantic - 0 views

  • Can anyone teach you how to think? Aren’t we all thinking all the time; isn’t the proof of our existence found in our think-think-thinking, one banal thought at a time?
  • The truth of the matter is that no one can teach you how to think; but what they can do is teach you how to think for yourself.
  • my father would say—gently, because there was zero need to say it any other way: “And what is the best argument of the other side?”
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  • The best argument of the other side! Jesus Christ—the other side? The whole point of the argument was to destroy the other side! I was there to illuminate and then devastate the other side by engaging deeply with the worst it had to offer.
  • I had learned the style and the rhetorical turns of making a great case, but I didn’t know the first thing about fortifying it with facts, reason, logic—or the best argument of the side I was treating in such a cavalier way.
  • Most of the time, the subjects we talk about are—for all of their flattening by cable news and internet wormholes and all the rest of it—extremely complicated.
  • Is there anything more satisfying than watching a debate in which the sophist gets defenestrated by someone smarter, better prepared, and obviously right?
  • Many college professors don’t want to do that today. They don’t want to “platform” a writer they think is wrong; they don’t want to participate in “both sides-ism.”
  • A teacher should never do your thinking for you. She should give you texts to read and guide you along the path of making sense of them for yourself. She should introduce you to the books and essays of writers who disagree with one another and ask you to determine whose case is better.
  • In the broadest possible sense, “what’s wrong” with the modern American university is that although it still understands itself to operate under the model established by the 19th-century German university—which emphasized academic freedom, seminars, and laboratories as means of allowing students to discover the truth for themselves—it’s becoming a parody of that model
  • The professors are going to tell you what to think, and you’re going to backfill that “truth” with research of your own.
  • “What’s different about College X,” she’ll say confidently, “is that our professors don’t teach you what to think. They teach you how to think.”
Thomas Connelly

Why Failing Med Students Don't Get Failing Grades - 0 views

  •  
    Over 40% of Med School professors admit that they have passed students that should have failed! These are the doctors responsible for the well-being of our country that are being "passed" into the real-world simply because their professors do not want to "deal with students who could become angry, upset or even turn litigious over grades." Frightening!
Javier E

Examinations of Health Care Overlook Mergers - NYTimes.com - 0 views

  • What is missing from the stampede of policy innovation is something to tackle one of the best-known causes of high costs in the book: excessive market concentration.
  • The share of metropolitan areas with highly concentrated hospital markets, by the standards of antitrust enforcers at the Justice Department and the Federal Trade Commission, rose to 77 percent from 63 percent over the period.
  • And consolidation is continuing. Professor Gaynor counts more than 1,000 hospital system mergers since the mid-1990s, often involving dozens of hospitals. In 2002 doctors owned about three in four physician practices. By 2008 more than half were owned by hospitals.
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  • If there is one thing that economists know, it is that market concentration drives prices up — and quality and innovation down.
  • hospitals raise prices by about 40 percent after the merger of nearby rivals.
  • Other studies have found that hospital mergers increase the number of uninsured in the vicinity. Still others even suggest that market concentration may hurt the quality of care.
  • recent evidence suggests that health care costs are not being driven by intensive use of high-tech procedures as much as by rising prices for even the most humdrum treatments, which are today among the most expensive in the world.
  • the rising health care spending of Americans under 65 in the last two years has been driven entirely by rising prices; not by more use. The unit price of inpatient care jumped 5.9 percent last year, while the price for outpatient services increased 9.6 percent.
  • Corporate America could help more. Large companies, like Wal-Mart Stores, Lowe’s and PepsiCo, have cut deals with hospitals like the Mayo Clinic or the Cleveland Clinic to provide specialized care, including cardiac care or spinal surgery, for all their workers across the nation. This will allow them to get around the market power of local hospitals. Others could follow their example.
  • The Affordable Care Act could help reduce prices too. Forced to compete on price, plans in the new health insurance exchanges will pressure medical providers to limit costs, much as H.M.O.’s did briefly in the 1990s. The “Cadillac tax” on high-end health plans will also encourage some companies to drop high-priced policies.
  • Merger activity has jumped in anticipation of the law’s coming fully into effect. “Hospitals want to maintain their revenue streams and enhance their bargaining leverage,” said Professor Gaynor. “This is a way to do so.”
Javier E

Richard Rorty's 1998 Book Suggested Election 2016 Was Coming - The New York Times - 0 views

  • Three days after the presidential election, an astute law professor tweeted a picture of three paragraphs, very slightly condensed, from Richard Rorty’s “Achieving Our Country,” published in 1998. It was retweeted thousands of times, generating a run on the book
  • It’s worth rereading those tweeted paragraphs:[M]embers of labor unions, and unorganized unskilled workers, will sooner or later realize that their government is not even trying to prevent wages from sinking or to prevent jobs from being exported. Around the same time, they will realize that suburban white-collar workers — themselves desperately afraid of being downsized — are not going to let themselves be taxed to provide social benefits for anyone else. At that point, something will crack. The nonsuburban electorate will decide that the system has failed and start looking around for a strongman to vote for — someone willing to assure them that, once he is elected, the smug bureaucrats, tricky lawyers, overpaid bond salesmen, and postmodernist professors will no longer be calling the shots. … One thing that is very likely to happen is that the gains made in the past 40 years by black and brown Americans, and by homosexuals, will be wiped out. Jocular contempt for women will come back into fashion. … All the resentment which badly educated Americans feel about having their manners dictated to them by college graduates will find an outlet.
  • His basic contention is that the left once upon a time believed that our country, for all its flaws, was both perfectible and worth perfecting.
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  • But during the 1960s, shame — over Vietnam, over the serial humiliation of African-Americans — transformed a good portion of the left, at least the academic left, into a disaffected gang of spectators, rather than agitators for change
  • . A formalized despair became its philosophy. The system was beyond reform. The best one could do was focus on its victims.
  • The result was disastrous. The alliance between the unions and intellectuals, so vital to passing legislation in the Progressive Era, broke down. In universities, cultural and identity politics replaced the politics of change and economic justice.
  • at the very moment “socially accepted sadism” — good phrase, that — was diminishing, economic instability and inequality were increasing, thanks to globalization.
  • “This world economy will soon be owned by a cosmopolitan upper class which has no more sense of community with any workers anywhere than the great American capitalists of the year 1900.”
  • People are furiously arguing about what played a key role in this election — whether it was white working-class despair, a racist backlash or terror about the pace of cultural change. It seems reasonable to think that all three played a part.
  • Which left the white working-class guy and gal up for grabs — open to right-wing populists, maybe even strongmen.
  • “Outside the academy,” he wrote, “Americans still want to feel patriotic. They still want to feel part of a nation which can take control of its destiny and make itself a better place.”
  • “Why could not the left,” he asked, “channel the mounting rage of the newly dispossessed?”
  • Right through the ’90s and into the 2000s, we had left-of-center politicians singing the praises of hope, rather than the hopelessness that Mr. Rorty decries. Bill Clinton explicitly campaigned as the “man from Hope,” and Barack Obama would later campaign on a platform of “hope” and “change.” In passing health care reform, Mr. Obama genuinely did something for the immiserated underclass, and both men, in their ways, rejected identity politics.
  • But it wasn’t enough, obviously. “Under Presidents Carter and Clinton,” Mr. Rorty wrote, “the Democratic Party has survived by distancing itself from the unions and from any mention of redistribution.” Mr. Clinton was particularly guilty of this charge, passing Nafta, appointing Robert Rubin as his Treasury secretary and enthusiastically embracing financial deregulation. Mr. Obama pushed the Trans-Pacific Partnership. And he was one of those fancy elites.
  • This group included intellectuals, by the way, who, he wrote, are “ourselves quite well insulated, at least in the short run, from the effects of globalization.”
  • What’s so striking about “Achieving Our Country” is that it blends these theories into a common argument: The left, both cultural and political, eventually abandoned economic justice in favor of identity politics, leaving too many people feeling freaked out or ignored.
  • “It is as if the American Left could not handle more than one initiative at a time,” Mr. Rorty wrote. “As if it either had to ignore stigma in order to concentrate on money, or vice versa.”
Javier E

History News Network | What's Wrong with the Way We Have Been Defending the Humanities - 0 views

  • In truth, no one wants to get rid of history or philosophy or communications or English; it’s the college professors teaching those subjects who strike our interlocutors as wasteful and unnecessary
  • our opponents don’t view the humanities as ever-expanding sites of intellectual inquiry. Rather, they believe the humanities are already dead: essential bodies of knowledge, but essentially complete in their present form.
  • Our critics readily concede that knowledge of the humanities is an important part of citizenship; indeed, their devotion to history, literature, and philosophy often rivals our own. Yet they view our fields as museums of past knowledge for which we serve merely as curators. They imagine us in the classroom, like Harry Potter’s ghostly Professor Binns, monotonously reciting stale facts from yellowed, centuries-old notes.
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  • Unlike the STEM fields, where the creation of new knowledge is evident for all to see, the humanities appear to them a book that has long since closed – and which consequently requires no special training or ability to master.
  • Our job, first and foremost, is to make sure that the intellectual landscape of the twenty-first century is as fresh and relevant as were those of the twentieth and the nineteenth. 
  • The idea that conservatives are monolithically anti-intellectual betrays a lack of understanding of conservative thinkers, who not only value new ideas, but who believe fervently that their own interpretations are superior to those on the left
  • We must demonstrate to the public that humanities scholars are idea generators and knowledge creators, detectives and imagineers – the modern equivalents of the great historical thinkers so many revere.  We conduct original research on important topics and create new, sophisticated analyses that enhance existing knowledge
  • The real divide isn’t between liberals and conservatives, but between those who view the humanities as dead and those who realize they are very much alive. Our role as advocates, then, is to argue for the humanities as living, breathing disciplines teeming with new ideas, and to tie the creation of those ideas to the perpetuation of our role in the academy.
  • If you want more Federalists and more Platos, we must argue – if you want more Shakespeares and more Angelous – you need us and our work.  If you disagree with our interpretations, come pit your ideas against ours in a rigorous scholarly setting; learn from us, and we'll learn from you. 
  • Our contributions can't be replaced by amateurs who lack the disciplinary training we've acquired, or by think tanks which lack the scholarly rigor we embrace, or by underpaid, overworked adjuncts who lack the time, security, and support we enjoy. 
Javier E

American Universities in a Gulf of Hypocrisy - The New York Times - 0 views

  • In college at New York University, in 2013, I had spent a semester of study abroad in the United Arab Emirates; I am now a master’s candidate at Georgetown University’s School of Foreign Service, and at the time of Wahedk87’s email I was a week away from traveling to Qatar. My “dirty mission” was my thesis research, and the “confidential information” I sought was about the labor conditions of migrant workers in the capital, Doha.
  • When I landed in Qatar in June, Wahedk87’s threat became clear. I was denied entry and detained at the airport in Doha. Qatari immigration officers informed me that my name appeared on a “blacklist” maintained by member states of the Gulf Cooperation Council because I had “made trouble” in the U.A.E. Later, Emirati officials told the State Department that they had placed me on the blacklist for unspecified “security-related reasons.”
  • From this, I suspect that it was the U.A.E., an ally of the American government, that hacked my email and shared its intelligence about my research plans with the Qatari authorities
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  • In 2013, while studying at New York University Abu Dhabi, I condemned the treatment of migrant workers who were building my university’s new campus on Saadiyat Island, an estimated $1 billion enterprise.
  • Georgetown’s response to my ban was troubling, stating that “access to study and residence visas varies across individuals and over time.” The administration stressed that they take academic freedom very seriously, even as the university is expanding “to work in increasingly difficult places.”
  • N.Y.U., my alma mater, had made similar statements after the Emirati authorities denied access to one of its professors, Andrew Ross, in March 2015
lenaurick

Your Hitler analogy is wrong, and other complaints from a history professor - Vox - 0 views

  • Recently, writers and pundits have been on a quest to find historical analogs for people, parties, and movements in our own times. Trump is like Hitler, Mussolini, and Napoleon; the imploding GOP getting rid of one ill-suited candidate after another is like Robespierre in the French Revolution, who stuck the executioner in the guillotine because there was no one left to behead. The late Supreme Court Justice Antonin Scalia was like Robert E. Lee.
  • Oh, and how Obama was like Hitler? But that's so 2015.
  • Really? Trump is like Hitler? The egotistical buffoon who sees himself as his own primary foreign adviser and changes his views on abortion three times in one day is like the despicable human being who oversaw the death of 6 million Jews? Hitler comparison has become so common over the years that it has its own probability factor known as Godwin's Law.
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  • History is alive, and she has a lot to teach us. I quote William Faulkner (what history professor hasn't?) who famously declared: "The past is never dead. It is not even past."
  • In fact, presidential hopeful Ben Carson's comparisons to slavery were so common that he was parodied as suggesting that even buying a Megabus ticket is like slavery (which, sadly, is almost believable).
  • People aren't always sure what to do with history. But the laziest use is to make facile comparisons between then and now, this person and that.
  • Mostly these comparisons are shallow and not rooted in any depth of meaningful knowledge of the past. They rely on caricatures and selective historical tidbits in a way that, indeed, just about anyone can be compared to anyone else.
  • These comparisons tend to come in two forms: those meant to elevate, and those meant to denigrate. Both use historical comparisons to accomplish their goals
  • By associating their 21st-century political agendas with the 18th-century American rebels, modern Tea Partiers collapse the distance between then and now in order to legitimize their cause.
  • Slavery is another popular go-to comparison. But ... sorry, Kesha: Recording contracts are not like slavery. And Republicans: ”Neither is the national debt, Obamacare, income tax, or gun control. Or the TSA, global warming, or Affirmative Action.
  • History is not a deck of cards from which to randomly draw for comparative purposes. It is an immense repository of human thinking, doing, and being that can and should help us be slightly less narrow-minded and shortsighted than our forefathers and foremothers sometimes were. Good uses of history require more substance, unpacking, and analysis than a few quick sound bites can provide.
  • History as critique, honest assessment, and self-examination. Thinking long and hard about the treatment of Native Americans, past and present. American imperialism. Slavery, and its intertwining with the rise of modern capitalism. Xenophobia. Suppression of women's rights. These stories need to be told and retold, painful as they may be.
  • People who make historical comparisons don't actually believe that Ted Cruz is like Robespierre. But then why bother? The reason there aren't longer expositions of how exactly Trump is like Hitler is because, well, very quickly the analogy would break down. Male ... popular ... racist ... oh, never mind. These analogies are usually politically motivated, shallow, and intended to shock or damn. It's just lazy, and more politics as usual.
  • When we say that Trump or Obama is like Hitler, we slowly water down our actual knowledge of the very historical things we are using for comparison. When people link their frustration with the Affordable Care Act or gun control to slavery, they greatly diminish the historical magnitude and importance of a horrific historical reality that irreversibly altered the lives of 10 to 12 million enslaved Africans who were forced across the Atlantic to the Americas between the 15th and 19th centuries. Scholars speak of a "social death" that came from the incredible violence, emotional damage, and physical dislocation that took place during the Middle Passage and beyond.
  • Flippant comparisons also belittle and ignore the way that historical trauma creates immense ongoing psychological pain and tangible collective struggle that continues through generations, even up through the present.
  • One charitable reading of why people make these comparisons is that they fear we will end up in unpleasant and unfortunate situations that are like past circumstances. Behind the charge of Trump being a fascist is the fear that Trump, if elected president, will rule unilaterally in a way that oppresses certain segments of the population.
  • The only problem is that history really doesn't repeat itself. If anything, it remixes themes, reprises melodies, and borrows nasty racist ideologies. There are no exact historical analogs to today's politicians — jackasses or saviors.
  • "History doesn't repeat itself. But it rhymes." And it is in the rhyming that history still plays an important role.
  • Historian William Bouwsma once noted that the past is not the "private preserve of professional historians." Rather, he argued that history is a public utility, like water and electricity. If Bouwsma is right, the kind of history most people want is like water: clear, available at the turn of a knob, and easily controllable. But really, history is more like electricity shooting down the string of Franklin's fabled kite: wild, with alternating currents and unexpected twists, offshoots, and end results.
  • Voting for Trump won't bring about an American Holocaust, but it could usher in a new yet rhyming phase of history in which US citizens and immigrants from certain backgrounds are targeted and legally discriminated against, have their civil liberties curtailed, and even get forcibly relocated into "safe" areas. Hard to imagine?
  • American history, as Jon Stewart brilliantly reminded us, is at its core a series of events in which the current dominant group (no matter how recently established) dumps on the newest immigrant group. Catholics. Jews. Irish. Asians. They've all been in the crosshairs. All of them have been viewed as just as dangerous as the current out-group: Muslims.
  • The GOP's current crisis mirrors the French Revolution? Ted Cruz is like Robespierre? Please. You are granting way too much historical importance to the self-implosion of a political movement that rose to power over the past 30 years on a platform of moralistic piety, militarism, anti-abortion, and xenophobia.
  • If simplistic comparisons cheapen the past and dumb down our public discourse, using the past to understand how we got to where we are today is actually productive. It increases knowledge, broadens our perspective, and helps connect dots over time.
  • If Americans truly want to understand this GOP moment, we need not look to revolutionary France, but to the circa-1970s US, when the modern Republican Party was born. I know, Republican pundits like to call themselves the "party of Lincoln," but that is mostly nonsense
  • To compare Trump to Napoleon or Hitler is to make a vacuous historical comparison that obscures more than it reveals. But it is actually constructive to try to understand Trump as a fairly logical outcome of some of the cultural impulses that drove the moral majority and the religious right in the late 1970s and early 1980s. It tells us how we got here and, potentially, how to move forward.
  • Done well, history gives us perspective; it helps us gain a longer view of things. Through an understanding of the past we come to see trends over time, outcomes, causes, effects. We understand that stories and individual lives are embedded in larger processes. We learn of the boundless resilience of the human spirit, along with the depressing capacity for evil — even the banal variety — of humankind.
  • The past warns us against cruelty, begs us to be compassionate, asks that we simply stop and look our fellow human beings in the eyes.
  • Why, then, is Obama-Washington still on my office wall? Mostly to remind me of the irony of history. Of its complexity. That the past might not be past but is also not the present. It is a warning against mistaking progression in years with progress on issues. It is a reminder that each one of us plays an important part in the unfolding of history.
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