Group items tagged

The Black/white ratio of high school completion improved dramatically between the 1940s and the early 1970s, after which it slowed, never reaching parity.

Understanding how and why not only reveals why America is so fractured today, but illuminates the path forward, toward a more perfect union.

In measure after measure, positive change for Black Americans was actually faster in the decades before the civil rights revolution than in the decades after

The life expectancy gap between Black and white Americans narrowed most rapidly between about 1905 and 1947, after which the rate of improvement was much more modest

The racial gap in homeownership steadily narrowed between 1900 and 1970, then stagnated, then reversed

Racial integration in K-12 education at the national level began much earlier than is often believed

It accelerated sharply in the wake of the 1954 Supreme Court decision, Brown v. Board of Education. But this trend leveled off in the early 1970s, followed by a modest trend toward resegregation.

Income by race converged at the greatest rate between 1940 and 1970.

However, as of 2018, Black/white income disparities were almost exactly the same as they were in 1968

Black Americans on the whole have experienced flat or downward mobility in recent decades.

What’s more, after the passage of civil rights legislation, those trends toward racial parity slowed, stopped and even reversed.

Long-run data on national trends in voting by race is patchy, but the South saw a dramatic increase in Black voter registration between 1940 and 1970, followed by decline and stagnation

nearly all of the gains toward equality with white voter turnout occurred between 1952 and 1964, before the Voting Rights Act passed, then almost entirely halted for the rest of the century.

These data reveal a too-slow but unmistakable climb toward racial parity throughout most of the century that begins to flatline around 1970 — a picture quite unlike the hockey stick of historical shorthand.

It was Black Americans’ undaunted faith in the promise of the American “we,” and their willingness to claim their place in it, against all odds, that won them progress between the end of Reconstruction in the 1870s and the end of the civil rights movement in the 1970s. Collectively, these migrants and their children and grandchildren steadily narrowed the Black-white gap over those years.

Some six decades later all of those upward trends reversed, setting the United States on a downward course that has brought us to the multifaceted national crisis in which we find ourselves today, which bears a remarkable resemblance to the Gilded Age

Why was the last third of the 20th century characterized by a marked deceleration of progress, and in some cases even a reversal?

We have two answers to these questions.

Substantial progress toward white support for Black equality was made in the first half of the 20th century

The first is simple and familiar: White backlash

when push came to shove, many white Americans were reluctant to live up to those principles. Although clear majorities supported the 1964 Civil Rights Act, a national poll conducted shortly after its passage showed that 68 percent of Americans wanted moderation in its enforcement. In fact, many felt that the Johnson administration was moving too fast in implementing integration.

Lyndon B. Johnson’s rejection, in 1968, of the Kerner Commission’s recommendations of sweeping reforms to address racial inequality suggested that his fine-tuned political sensitivity had detected a sea change in white attitudes in the year since he — more than any previous president — had led the project of racial redress

as the century turned and the Gilded Age gave way to the Progressive Era, America experienced a remarkable moment of inflection that set the nation on an entirely new trajectory. A diverse group of reformers grabbed the reins of history and set a course toward greater economic equality, political bipartisanship, social cohesion and cultural communitarianism.

But if Black Americans’ advance toward parity with whites in many dimensions had been underway for decades before the Civil Rights revolution, why then, when the dam of legal exclusion finally broke, didn’t those trends accelerate toward full equality?

These interconnected phenomena can be summarized in a single meta-trend that we have come to call the “I-we-I” curve: An inverted U charting America’s gradual climb from self-centeredness to a sense of shared values, followed by a steep descent back into egoism over the next half century

The moment America took its foot off the gas in rectifying racial inequalities largely coincides with the moment America’s “we” decades gave way to the era of “I.”

hopes went unrealized as the whole nation shifted toward a less egalitarian ideal.

A central feature of America’s “I” decades has been a shift away from shared responsibilities toward individual rights and a culture of narcissism.

Contemporary identity politics characterizes an era that could well be described as a “War of the ‘We’s’.” This is a reality that predated the election of Donald Trump, though his presidency threw it into sharp relief.

It is difficult to say which came first — white backlash against racial realignment or the broader shift from “we” to “I.”

the fact that landmark civil rights legislation passed at the very peak of the I-we-I curve suggests that an expanding sense of “we” was a prerequisite for the dismantling of the color line. Without what the historian Bruce Schulman calls the “expansive, universalist vision” that America had been building toward in the preceding decades, it is hard to imagine that such watershed change — so long and so violently resisted — would have been possible.

By the late 1960s, though the work of widening was not nearly complete, America had come closer to an inclusive “we” than ever before. But just as that inclusion began to bear tangible fruit for Black Americans, much of that fruit began to die on the vine.

The lessons of America’s I-we-I century are thus twofold. First, we Americans have gotten ourselves out of a mess remarkably similar to the one we’re in now by rediscovering the spirit of community that has defined our nation from its inception

we” can be defined in more inclusive or exclusive terms. The “we” we were constructing in the first two-thirds of the last century was highly racialized, and thus contained the seeds of its own undoing. Any attempt we may make today to spark a new upswing must aim for a higher summit by being fully inclusive, fully egalitarian and genuinely accommodating of difference. Anything less will fall victim once again to its own internal inconsistencies.

populists have a lot to learn from the failures of the Trump administration. Despite his extremely aggressive use of the presidency’s bully pulpit, Mr. Trump had little success in marshaling popular or legislative majorities to drive major changes in policy.

Today, it seems that the more attention a populist (or any other) policy proposal receives, the less likely it is to be implemented.

Mass campaigns and institutions increasingly function as arenas where popular enthusiasms burn themselves out, not as avenues for ordinary people to influence policy.

. Influencing public opinion and organizing mass campaigns are now very expensive propositions; they largely rely on billionaire donors and large corporations or foundations that typically have little interest in structural changes to the status quo.

At the same time, social media and other popular media are largely controlled by, or at least consumed through, a handful of Big Tech platforms. For these and other reasons, technocratic bureaucracies — although they can certainly be captured — actually retain greater capacity for autonomous policymaking in the public interest than theoretically democratic institutions like legislatures.

the prospects for populist policy reforms will depend less on legislation or so-called grass-roots organizing than on the personnel and actions of technocratic executive agencies.

Traditionally, a scientist submits her paper to a journal, which sends it to a (surprisingly small) group of peers for (several rounds of usually anonymous) comments; if the paper passes this (typically months-long) peer-review gantlet, it is published (often behind an expensive paywall). Languid and opaque, this system is ill-suited to a fast-moving outbreak. But biomedical scientists can now upload preliminary versions of their papers, or “preprints,” to freely accessible websites, allowing others to immediately dissect and build upon their results. This practice had been slowly gaining popularity before 2020, but proved so vital for sharing information about COVID‑19 that it will likely become a mainstay of modern biomedical research. Preprints accelerate science, and the pandemic accelerated the use of preprints. At the start of the year, one repository, medRxiv (pronounced “med archive”), held about 1,000 preprints. By the end of October, it had more than 12,000.

The U.S. is now catching up. In April, the NIH launched a partnership called ACTIV, in which academic and industry scientists prioritized the most promising drugs and coordinated trial plans across the country. Since August, several such trials have started.

Researchers have begun to uncover how SARS‑CoV‑2 compares with other coronaviruses in wild bats, the likely reservoir; how it infiltrates and co-opts our cells; how the immune system overreacts to it, creating the symptoms of COVID‑19. “We’re learning about this virus faster than we’ve ever learned about any virus in history,” Sabeti said.

Similar triumphs occurred last year—in other countries. In March, taking advantage of the United Kingdom’s nationalized health system, British researchers launched a nationwide study called Recovery, which has since enrolled more than 17,600 COVID‑19 patients across 176 institutions. Recovery offered conclusive answers about dexamethasone and hydroxychloroquine and is set to weigh in on several other treatments. No other study has done more to shape the treatment of COVID‑19.

SARS‑CoV‑2’s genome was decoded and shared by Chinese scientists just 10 days after the first cases were reported. By November, more than 197,000 SARS‑CoV‑2 genomes had been sequenced. About 90 years ago, no one had even seen an individual virus; today, scientists have reconstructed the shape of SARS‑CoV‑2 down to the position of individual atoms

Respiratory viruses, though extremely common, are often neglected. Respiratory syncytial virus, parainfluenza viruses, rhinoviruses, adenoviruses, bocaviruses, a quartet of other human coronaviruses—they mostly cause mild coldlike illnesses, but those can be severe. How often? Why? It’s hard to say, because, influenza aside, such viruses attract little funding or interest.

COVID‑19 has developed a terrifying mystique because it seems to behave in unusual ways. It causes mild symptoms in some but critical illness in others. It is a respiratory virus and yet seems to attack the heart, brain, kidneys, and other organs. It has reinfected a small number of people who had recently recovered. But many other viruses share similar abilities; they just don’t infect millions of people in a matter of months or grab the attention of the entire scientific community

Thanks to COVID‑19, more researchers are looking for these rarer sides of viral infections, and spotting them.

These factors pull researchers toward speed, short-termism, and hype at the expense of rigor—and the pandemic intensified that pull. With an anxious world crying out for information, any new paper could immediately draw international press coverage—and hundreds of citations.

“There’s a perception that they’re just colds and there’s nothing much to learn,” says Emily Martin of the University of Michigan, who has long struggled to get funding to study them. Such reasoning is shortsighted folly. Respiratory viruses are the pathogens most likely to cause pandemics, and those outbreaks could potentially be far worse than COVID‑19’s.

Their movements through the air have been poorly studied, too. “There’s this very entrenched idea,” says Linsey Marr at Virginia Tech, that viruses mostly spread through droplets (short-range globs of snot and spit) rather than aerosols (smaller, dustlike flecks that travel farther). That idea dates back to the 1930s, when scientists were upending outdated notions that disease was caused by “bad air,” or miasma. But the evidence that SARS‑CoV‑2 can spread through aerosols “is now overwhelming,”

Another pandemic is inevitable, but it will find a very different community of scientists than COVID‑19 did. They will immediately work to determine whether the pathogen—most likely another respiratory virus—moves through aerosols, and whether it spreads from infected people before causing symptoms. They might call for masks and better ventilation from the earliest moments, not after months of debate

They will anticipate the possibility of an imminent wave of long-haul symptoms, and hopefully discover ways of preventing them. They might set up research groups to prioritize the most promising drugs and coordinate large clinical trials. They might take vaccine platforms that worked best against COVID‑19, slot in the genetic material of the new pathogen, and have a vaccine ready within months

the single-minded focus on COVID‑19 will also leave a slew of negative legacies. Science is mostly a zero-sum game, and when one topic monopolizes attention and money, others lose out.

Long-term studies that monitored bird migrations or the changing climate will forever have holes in their data because field research had to be canceled.

negligence has left COVID‑19 long-haulers with few answers or options, and they initially endured the same dismissal as the larger ME community. But their sheer numbers have forced a degree of recognition. They started researching, cataloging their own symptoms. They gained audiences with the NIH and the World Health Organization. Patients who are themselves experts in infectious disease or public health published their stories in top journals. “Long COVID” is being taken seriously, and Brea hopes it might drag all post-infection illnesses into the spotlight. ME never experienced a pivot. COVID‑19 might inadvertently create one

Other epistemic trespassers spent their time reinventing the wheel. One new study, published in NEJM, used lasers to show that when people speak, they release aerosols. But as the authors themselves note, the same result—sans lasers—was published in 1946, Marr says. I asked her whether any papers from the 2020 batch had taught her something new. After an uncomfortably long pause, she mentioned just one.

The incentives to trespass are substantial. Academia is a pyramid scheme: Each biomedical professor trains an average of six doctoral students across her career, but only 16 percent of the students get tenure-track positions. Competition is ferocious, and success hinges on getting published

Conservationists who worked to protect monkeys and apes kept their distance for fear of passing COVID‑19 to already endangered species.

Among scientists, as in other fields, women do more child care, domestic work, and teaching than men, and are more often asked for emotional support by their students. These burdens increased as the pandemic took hold, leaving women scientists “less able to commit their time to learning about a new area of study, and less able to start a whole new research project,

published COVID‑19 papers had 19 percent fewer women as first authors compared with papers from the same journals in the previous year. Men led more than 80 percent of national COVID‑19 task forces in 87 countries. Male scientists were quoted four times as frequently as female scientists in American news stories about the pandemic.

American scientists of color also found it harder to pivot than their white peers, because of unique challenges that sapped their time and energy.

Science suffers from the so-called Matthew effect, whereby small successes snowball into ever greater advantages, irrespective of merit. Similarly, early hindrances linger. Young researchers who could not pivot because they were too busy caring or grieving for others might suffer lasting consequences from an unproductive year. COVID‑19 “has really put the clock back in terms of closing the gap for women and underrepresented minorities,”

In 1848, the Prussian government sent a young physician named Rudolf Virchow to investigate a typhus epidemic in Upper Silesia. Virchow didn’t know what caused the devastating disease, but he realized its spread was possible because of malnutrition, hazardous working conditions, crowded housing, poor sanitation, and the inattention of civil servants and aristocrats—problems that require social and political reforms. “Medicine is a social science,” Virchow said, “and politics is nothing but medicine in larger scale.”

entists discovered the microbes responsible for tuberculosis, plague, cholera, dysentery, and syphilis, most fixated on these newly identified nemeses. Societal factors were seen as overly political distractions for researchers who sought to “be as ‘objective’ as possible,” says Elaine Hernandez, a medical sociologist at Indiana University. In the U.S., medicine fractured.

New departments of sociology and cultural anthropology kept their eye on the societal side of health, while the nation’s first schools of public health focused instead on fights between germs and individuals. This rift widened as improvements in hygiene, living standards, nutrition, and sanitation lengthened life spans: The more social conditions improved, the more readily they could be ignored.

The ideological pivot away from social medicine began to reverse in the second half of the 20th century.

Politicians initially described COVID‑19 as a “great equalizer,” but when states began releasing demographic data, it was immediately clear that the disease was disproportionately infecting and killing people of color.

These disparities aren’t biological. They stem from decades of discrimination and segregation that left minority communities in poorer neighborhoods with low-paying jobs, more health problems, and less access to health care—the same kind of problems that Virchow identified more than 170 years ago.

In March, when the U.S. started shutting down, one of the biggest questions on the mind of Whitney Robinson of UNC at Chapel Hill was: Are our kids going to be out of school for two years? While biomedical scientists tend to focus on sickness and recovery, social epidemiologists like her “think about critical periods that can affect the trajectory of your life,” she told me. Disrupting a child’s schooling at the wrong time can affect their entire career, so scientists should have prioritized research to figure out whether and how schools could reopen safely. But most studies on the spread of COVID‑19 in schools were neither large in scope nor well-designed enough to be conclusive. No federal agency funded a large, nationwide study, even though the federal government had months to do so. The NIH received billions for COVID‑19 research, but the National Institute of Child Health and Human Development—one of its 27 constituent institutes and centers—got nothing.

The horrors that Rudolf Virchow saw in Upper Silesia radicalized him, pushing the future “father of modern pathology” to advocate for social reforms. The current pandemic has affected scientists in the same way

COVID‑19 could be the catalyst that fully reunifies the social and biological sides of medicine, bridging disciplines that have been separated for too long.

“To study COVID‑19 is not only to study the disease itself as a biological entity,” says Alondra Nelson, the president of the Social Science Research Council. “What looks like a single problem is actually all things, all at once. So what we’re actually studying is literally everything in society, at every scale, from supply chains to individual relationships.”

The most dangerous threat in liberalism’s spiritual home comes from the Trumpian right. Populists denigrate liberal edifices such as science and the rule of law as façades for a plot by the deep state against the people. They subordinate facts and reason to tribal emotion. The enduring falsehood that the presidential election in 2020 was stolen points to where such impulses lead. If people cannot settle their differences using debate and trusted institutions, they resort to force.

The attack from the left is harder to grasp, partly because in America “liberal” has come to include an illiberal left

a new style of politics has recently spread from elite university departments. As young graduates have taken jobs in the upmarket media and in politics, business and education, they have brought with them a horror of feeling “unsafe” and an agenda obsessed with a narrow vision of obtaining justice for oppressed identity groups. They have also brought along tactics to enforce ideological purity, by no-platforming their enemies and cancelling allies who have transgressed—with echoes of the confessional state that dominated Europe before classical liberalism took root at the end of the 18th century.

Superficially, the illiberal left and classical liberals like The Economist want many of the same things. Both believe that people should be able to flourish whatever their sexuality or race. They share a suspicion of authority and entrenched interests. They believe in the desirability of change.

However, classical liberals and illiberal progressives could hardly disagree more over how to bring these things about

For classical liberals, the precise direction of progress is unknowable. It must be spontaneous and from the bottom up—and it depends on the separation of powers, so that nobody nor any group is able to exert lasting control.

By contrast the illiberal left put their own power at the centre of things, because they are sure real progress is possible only after they have first seen to it that racial, sexual and other hierarchies are dismantled.

Classical liberals believe in setting fair initial conditions and letting events unfold through competition—by, say, eliminating corporate monopolies, opening up guilds, radically reforming taxation and making education accessible with vouchers.

Progressives see laissez-faire as a pretence which powerful vested interests use to preserve the status quo. Instead, they believe in imposing “equity”—the outcomes that they deem just. For example, Ibram X. Kendi, a scholar-activist, asserts that any colour-blind policy, including the standardised testing of children, is racist if it ends up increasing average racial differentials, however enlightened the intentions behind it.

Mr Kendi is right to want an anti-racist policy that works. But his blunderbuss approach risks denying some disadvantaged children the help they need and others the chance to realise their talents.

Besides, society has many goals. People worry about economic growth, welfare, crime, the environment and national security, and policies cannot be judged simply on whether they advance a particular group.

Classical liberals use debate to hash out priorities and trade-offs in a pluralist society and then use elections to settle on a course.

The illiberal left believe that the marketplace of ideas is rigged just like all the others. What masquerades as evidence and argument, they say, is really yet another assertion of raw power by the elite.

Progressives of the old school remain champions of free speech. But illiberal progressives think that equity requires the field to be tilted against those who are privileged and reactionary

That means restricting their freedom of speech, using a caste system of victimhood in which those on top must defer to those with a greater claim to restorative justice

It also involves making an example of supposed reactionaries, by punishing them when they say something that is taken to make someone who is less privileged feel unsafe. The results are calling-out, cancellation and no-platforming.

Milton Friedman once said that the “society that puts equality before freedom will end up with neither”.

Illiberal progressives think they have a blueprint for freeing oppressed groups. In reality theirs is a formula for the oppression of individuals

it is not so very different from the plans of the populist right. In their different ways both extremes put power before process, ends before means and the interests of the group before the freedom of the individual.

Countries run by the strongmen whom populists admire, such as Hungary under Viktor Orban and Russia under Vladimir Putin, show that unchecked power is a bad foundation for good government. Utopias like Cuba and Venezuela show that ends do not justify means

And nowhere at all do individuals willingly conform to state-imposed racial and economic stereotypes.

When populists put partisanship before truth, they sabotage good government. When progressives divide people into competing castes, they turn the nation against itself. Both diminish institutions that resolve social conflict. Hence they often resort to coercion, however much they like to talk about justice.

populists and progressives feed off each other pathologically. The hatred each camp feels for the other inflames its own supporters—to the benefit of both. Criticising your own tribe’s excesses seems like treachery. Under these conditions, liberal debate is starved of oxygen

Aspects of liberalism go against the grain of human nature. It requires you to defend your opponents’ right to speak, even when you know they are wrong. You must be willing to question your deepest beliefs. Businesses must not be sheltered from the gales of creative destruction. Your loved ones must advance on merit alone, even if all your instincts are to bend the rules for them. You must accept the victory of your enemies at the ballot box, even if you think they will bring the country to ruin.

Too many left-leaning liberals focus on how they, too, want social justice. They comfort themselves with the thought that the most intolerant illiberalism belongs to a fringe. Don’t worry, they say, intolerance is part of the mechanism of change: by focusing on injustice, they shift the centre ground.

Yet it is precisely by countering the forces propelling people to the extremes that classical liberals prevent the extremes from strengthening. By applying liberal principles, they help solve society’s many problems without anyone resorting to coercion

Only liberals appreciate diversity in all its forms and understand how to make it a strength. Only they can deal fairly with everything from education to planning and foreign policy so as to release people’s creative energies.

Attempting to ease tensions with China to make cooperation on global public health possible won’t work, partly because Beijing cannot credibly commit to being more transparent and cooperative in the future.

Xi did not want to facilitate an international response to COVID-19 that could have attributed blame to China or isolated it through travel restrictions, either of which might have damaged the regime’s domestic legitimacy. Instead, Xi leveraged the pandemic to his advantage: China’s suppression of the virus became a matter of national pride, held up by Beijing in sharp contrast to the experience of the United States.

But in case cooperation fails, it must have a backup plan to rally allies and partners to provide a much greater share of global public goods, even if that means shouldering more of the costs.

as a number of U.S. embassy officials told the foreign policy analyst Colin Kahl and me for our book Aftershocks, this team’s cooperation with the Chinese government became more challenging as U.S.-Chinese rivalry intensified, largely because of China’s actions.

When COVID-19 hit, the Chinese Communist Party (CCP) maintained near-absolute secrecy. All channels of communication between Beijing and Washington went silent, as they did between Beijing and other governments. Chinese leaders sought to conceal vital information about the emerging epidemic in China from the rest of the world, even attempting to prevent Chinese scientists from sharing the genetic sequence of the virus with scientists in other countries.

It is impossible to say for certain why the Chinese government behaved the way it did, but secrecy and control make sense in light of what the vast majority of China experts believe to be Xi’s top priority: regime survival.

For China’s leaders, the pandemic revealed the inexorable decline of the West, confirmed Beijing’s power and capabilities, and created more latitude for the CCP to do as it wished.

according to the UN, the pandemic could force a total of 490 million people into poverty—defined as the loss of access to clean water, adequate food, or shelter—pushing the global poverty rate to around seven percent by 2030, compared with the pre-pandemic target of three percent. 

Contrary to popular belief, some senior Trump administration officials grasped the national security threat posed by the virus faster than their European counterparts did. Top officials in the National Security Council began focusing on the pandemic in early January, just days after news of the outbreak in Wuhan, China, became public.

ven though Pottinger and other NSC officials were wise to the danger, they ultimately failed to persuade Trump to make the necessary preparations to deal with the pandemic when it inevitably reached the United States. 

As the administration began to formulate its response, those who favored a more comprehensive public health approach both at home and abroad were excluded or marginalized at crucial moments. The result was that the Trump administration focused more on holding China responsible for the outbreak and reducing U.S. reliance on Beijing than on the minutiae of global public health policy or the hard work of rallying the world to tackle the pandemic.

the pandemic and China’s response to it helped unify the administration behind a more comprehensive strategy to push back against Beijing. Between March 2020 and the end of the year, the senior official said, the United States put in place more containment measures than it had in the previous three years, including restrictions on Chinese technology firms, sanctions on Chinese officials, looser regulations on diplomatic contacts with Taiwan, and recognition of the repression in Xinjiang as a genocide. In this sense, the pandemic was a pivotal moment in the U.S.-Chinese rivalry. 

Competition between the two countries overwhelmed everything else, including U.S. cooperation with allies on the pandemic, leaving a global leadership vacuum that no one could fill.

The EU tried to step up by increasing funding for the WHO and for COVAX, the global initiative to share vaccines, but it never came close to organizing a global response. China’s assertive foreign policy, and its attempts to use pandemic assistance to advance its interests, aggravated European leaders and convinced them to harden their positions toward China throughout the course of 2020. 

During this period, there was hardly any international cooperation on vaccine development or distribution, no coordination on travel restrictions or the distribution of medical supplies, and limited cooperation on achieving a cessation of hostilities in conflict zones

The economic disruption caused by COVID-19 devastated low-income countries, which received little in the way of international assistance. Especially hard hit were countries, such as Bangladesh, that had made significant development gains in the last two decades and were propelling themselves into the lower tier of middle-income economies.

The United States needs a strategy to address transnational threats under the conditions of great-power competition. It must aim to cooperate with rivals, especially China, to prepare for future pandemics and to tackle climate change

Pandemics are not the only transnational threat that promises to intensify great-power rivalry and diminish the prospects for much-needed cooperation. Climate change could do the same.

Rather than unite the world around a common purpose, climate change is likely to deepen competition between major powers, especially as the transition away from fossil fuels creates economic winners and losers.

Countries that aggressively decarbonize could place sanctions and other trade restrictions on countries that do not, leading to counterresponses and new trade wars.

the impediments to cooperation between Europe and China on climate change “are becoming higher” and warn that “decision-makers must not underestimate the highly competitive aspects of how China is changing its energy production and consumption.” 

The United States and Europe will both compete with China for access to raw materials and in developing the technology needed to make their economies carbon neutral: magnets, batteries, high-performance ceramics, and light-emitting diodes, among other things

even if the U.S. government remains broadly aligned with Europe on climate policy, the Europeans could still become disaffected if Congress blocks meaningful climate action, such as commitments to cut carbon emissions or invest in clean technology. This, in turn, could diminish Europe’s willingness to help uphold the U.S.-led international order.

If, on the one hand, they mean softening U.S. rhetoric without conceding much of substance to China, they would do well to look to Europe, where governments were much more inclined than the Trump administration to cooperate with China, but China did not take them up on the offer.

If, on the other hand, they mean unilaterally making major geopolitical concessions to China—on its territorial acquisitions in the South China Sea, for instance, or the status of Taiwan—the United States would not only pay an extremely high price but also likely embolden Beijing further without actually securing cooperation on pandemics or climate change beyond what Beijing has already offered.

There is no getting around strategic competition with Beijing: it is deeply embedded in the international order, mainly because China seeks to expand its sphere of influence in Asia at the expense of the United States and its allies, which are in turn committed to thwarting Beijing’s plans.

The United States and China are also engaged in what Jake Sullivan, Biden’s national security adviser, recently called “a competition of models.” China is seeking to make the world safe for the CCP and to demonstrate the effectiveness of its system. This entails pushing back against what it sees as pressure from liberal democratic countries that could thwart its objectives. For its part, the United States worries about the negative externalities of Chinese authoritarianism, such as censorship of international criticism of Beijing or the export of its tools of repression to other countries.

The United States also worries about what would happen to the military balance of power if China secured an enduring advantage in key technologies.

Even in diplomacy, friction will be endemic to the U.S.-Chinese relationship and will affect the broader international order for the foreseeable future. Outright confrontation can be avoided—but competition cannot. 

This competition places real limits on cooperation. Take the arena of global public health: many studies on how to improve pandemic preparedness call on world leaders to dramatically strengthen the WHO, including by giving it the same power to enforce international health regulations as the International Atomic Energy Agency enjoys with nuclear nonproliferation rules

The problem is getting every government to agree to a universally applicable mechanism for sanctions or some other enforcement mechanism. China will not agree to any reform that would involve intrusive inspections of its scientific research facilities.

The need for cooperation on transnational threats must change how the United States competes with China—not whether it competes.

U.S. officials should not give up on China entirely; instead, they should make a good-faith effort to work with Beijing, both bilaterally and in multilateral settings. Recognizing that there are strict limits on U.S.-Chinese cooperation is not the same as saying that no cooperation is possible.

the real challenge is determining what to do when cooperation with China and other rivals falls short of what is required. The United States needs a backup plan to tackle shared challenges through coalitions of the willing.

When it comes to pandemic preparedness, this means fully supporting the WHO (including by pressing for needed reforms) but also forging a coalition of like-minded states: a global alliance for pandemic preparedness that would regularly convene at the head-of-state level and work alongside nongovernmental organizations and the private sector.

Crucially, whenever the WHO declared an international public health emergency, alliance members would coordinate on travel and trade restrictions, as well as on public messaging and financial penalties and sanctions. Those penalties and sanctions would be aimed at those states that failed to provide sufficient access to or fully cooperate with the WHO. The alliance would support, not supplant, the WHO.

Sustained, managed competition with China could potentially help the United States build bipartisan support for investments in clean technology that would prevent Beijing from gaining an enduring advantage in this area.

ut the United States and the European Union will also need to build coalitions of the willing to deal with the international security consequences of accelerated climate change, such as extreme weather events that threaten large numbers of people, and to address the foreign policy dimensions of climate action, including managing the risk that a shift away from fossil fuels could destabilize countries and regions that are dependent on oil exports.

Cooperation across this divide should always be the first choice in times of shared crisis, but as the COVID-19 pandemic has demonstrated, the U.S.-led constellation must always have a backup plan. It did not have one in 2020. It needs one for the next crisis

When my administration started, in 1993, no one felt certain that a post–Cold War Europe would remain peaceful, stable, and democratic.

in my view, whether it happened depended less on NATO and more on whether Russia remained a democracy and how it defined its greatness in the 21st century. Would it build a modern economy based on its human talent in science, technology, and the arts, or seek to re-create a version of its 18th-century empire fueled by natural resources and characterized by a strong authoritarian government with a powerful military?

In 1994, Russia became the first country to join the Partnership for Peace, a program for practical bilateral cooperation, including joint training exercises between NATO and non-NATO European countries.

Beginning in 1995, after the Dayton Accords ended the Bosnian War, we made an agreement to add Russian troops to the peacekeeping forces that NATO had on the ground in Bosnia. In 1997, we supported the NATO-Russia Founding Act, which gave Russia a voice but not a veto in NATO affairs, and supported Russia’s entry to the G7, making it the G8. In 1999, at the end of the Kosovo conflict, Secretary of Defense Bill Cohen reached an agreement with the Russian defense minister under which Russian troops could join UN-sanctioned NATO peacekeeping forces.

Throughout it all, we left the door open for Russia’s eventual membership in NATO, something I made clear to Yeltsin and later confirmed to his successor, Vladimir Putin.

Yes, NATO expanded despite Russia’s objections, but expansion was about more than the U.S. relationship with Russia.

Big questions remained about East Germany’s integration with West Germany, whether old conflicts would explode across the continent as they did in the Balkans, and how former Warsaw Pact nations and newly independent Soviet republics would seek security, not just against the threat of Russian invasion, but from one another and from conflicts within their borders.

Now Russia’s unprovoked and unjustified invasion of Ukraine, far from casting the wisdom of NATO expansion into doubt, proves that this policy was necessary

The possibility of EU and NATO membership provided the greatest incentives for Central and Eastern European states to invest in political and economic reforms and abandon a go-it-alone strategy of militarization.

Neither the EU nor NATO could stay within the borders Stalin had imposed in 1945. Many countries that had been behind the Iron Curtain were seeking greater freedom, prosperity, and security with the EU and NATO

As Carl Bildt, the former Swedish prime minister and foreign minister, tweeted in December 2021, “It wasn’t NATO seeking to go East, it was former Soviet satellites and republics wishing to go West.”

Or as Havel said in 2008: “Europe is no longer, and must never again be, divided over the heads of its people and against their will into any spheres of interest or influence.” To reject Central and Eastern European countries’ membership into NATO simply because of Russian objections would have been doing just that.

Enlarging NATO required unanimous consent of the alliance’s then-16 members; two-thirds consent of a sometimes skeptical U.S. Senate; close consultation with prospective members to ensure that their military, economic, and political reforms met NATO’s high standards; and near-constant reassurance to Russia.

Madeleine Albright excelled at every step. Indeed, few diplomats have ever been so perfectly suited for the times they served as Madeleine

She understood that the end of the Cold War provided the chance to build a Europe free, united, prosperous, and secure for the first time since nation-states arose on the continent. As UN ambassador and secretary of state, she worked to realize that vision and to beat back the religious, ethnic, and other tribal divisions that threatened it. She used every item in her famed diplomat’s toolkit and her domestic political savvy to help clear the way for the Czech Republic, Hungary, and Poland to join NATO in 1999.

The result has been more than two decades of peace and prosperity for an ever-larger portion of Europe and a strengthening of our collective security.

At the time I proposed NATO expansion, however, there was a lot of respected opinion on the other side.

Russia under Putin clearly would not have been a content status quo power in the absence of expansion. It wasn’t an immediate likelihood of Ukraine joining NATO that led Putin to invade Ukraine twice—in 2014 and in February—but rather the country’s shift toward democracy that threatened his autocratic power at home, and a desire to control the valuable assets beneath the Ukrainian soil.

And it is the strength of the NATO alliance, and its credible threat of defensive force, that has prevented Putin from menacing members from the Baltics to Eastern Europe.

Anne Applebaum said recently, “The expansion of NATO was the most successful, if not the only truly successful, piece of American foreign policy of the last 30 years … We would be having this fight in East Germany right now if we hadn’t done it.”

The failure of Russian democracy, and its turn to revanchism, was not catalyzed in Brussels at NATO headquarters. It was decided in Moscow by Putin.

crowd as a dangerous fringe. When “your side” has 60 percent or more of the public behind it, you should talk about it — a lot.

Second, because we have millions of people who are receptive to calls for violence, we need a serious and visible law-enforcement and national-security response.

Third, we lack a serious whole-of-society response to the threat of domestic extremism. A proper one should address inroads it has made into the military, and it must include White evangelicals’ recognition of the growing connection between Christian nationalism and violence.

actors in civil society and philanthropy should start working to anticipate and prevent violence, reset public leaders’ conduct, strengthen social cohesion and bolster democratic reforms.

In sum, we have treated the problem of violent extremism too broadly (causing politicians to cower in fear of a political minority), and too narrowly (focusing too much on legal and political reforms)

We need to start acting as though we are under threat from a pernicious, anti-democratic and violent minority — because we are.

Taliban officials have said they need time to create gender-segregated arrangements in schools and work places that meet their severe interpretation of Islam.

When they first ruled from 1996-2001, the Taliban shocked the world by barring girls and women from schools and jobs, banning most entertainment and sports and occasionally carrying out executions in front of large crowds in sports stadiums.But Muttaqi said the Taliban have changed since they last ruled. “We have have made progress in administration and in politics ... in interaction with the nation and the world. With each passing day we will gain more experience and make more progress,” he said.

Muttaqi said that under the new Taliban government, girls are going to school through to Grade 12 in 10 of the country’s 34 provinces, private schools and universities are operating unhindered and 100% of women who had previously worked in the health sector are back on the job. “This shows that we are committed in principle to women participation,” he said.

He claimed that the Taliban have not targeted their opponents, instead having announced a general amnesty and providing some protection. Leaders of the previous government live without threat in Kabul, he said, though the majority have fled.

He said the Taliban have made mistakes in their first months in power and that “we will work for more reforms which can benefit the nation.” He did not elaborate on the mistakes or possible reforms.

Meanwhile, Islamic State militants have stepped up attacks on Taliban patrols and religious minorities in the past four months. The IS affiliate in Afghanistan has targeted Shiite mosques in the provincial capitals of Kunduz and Kandahar, and carried out frequent attacks on Taliban vehicles.

“My last point is to America, to the American nation: You are a great and big nation and you must have enough patience and have a big heart to dare to make policies on Afghanistan based on international rules and relegation, and to end the differences and make the distance between us shorter and choose good relations with Afghanistan.”

Voters in some major cities, in addition to choosing their next mayor, will also have the opportunity to weigh in on an important issue that has been heavily debated in their communities.

Proposition 6 would codify the right for long-term care residents to designate an essential caregiver for in-person visitation.

Texas -- Proposition 3 Read MoreWritten in response to Covid-19 restrictions, Texans will consider a constitutional amendment that would prohibit the state or a political subdivision, such as an elected official, from "prohibiting or limiting religious services of religious organizations."

Like Proposition 3, Proposition 6 was also influenced by the Covid-19 restrictions enforced during the height of the pandemic.

Texas -- Proposition 3 Read MoreWritten in response to Covid-19 restrictions, Texans will consider a constitutional amendment that would prohibit the state or a political subdivision, such as an elected official, from "prohibiting or limiting religious services of religious organizations." Enter your email or view the Vault By CNN webpage to own a piece of CNN History with blockchain technology.close dialogExplore Vault by CNN . Presidential elections, space discoveries, CNN exclusives and more.Explore NowGet UpdatesBe the first to know about upcoming releases from our Vault, with updates delivered right to your inbox.Please enter aboveSign Me UpBy subscribing, you agree to our privacy policy.Success!See you in your inbox.close dialog/* effects for .bx-campaign-1426699 *//* custom css .bx-campaign-1426699 *//* custom css from creative 60682 *//* V Text Alignment Fix */ .bx-custom.bx-campaign-1426699 .bx-row-input + .bx-row-submit { vertical-align: top;}/* custom css from creative 60872 *//************************************ CREATIVE STRUCTURE Do not remove or edit unless non applicable to creative set.************************************//* rendered styles .bx-campaign-1426699 */.bxc.bx-campaign-1426699.bx-active-step-1 .bx-creative:before {min-height: 185px;}.bxc.bx-campaign-1426699.bx-active-step-1 .bx-creative {bo

Cleveland -- Issue 24 Ballot initiative Issue 24 would establish a new civilian commission, called the Community Police Commission, whose members will have final authority over the police department's policy and procedures, hiring and training, and disciplinary action.

Question 2 would replace Minneapolis Police Department with a new "Department of Public Safety" overseen by the mayor and city council.

Proposal 7, also known as Local Law J, asks city residents whether to expand a civilian police review board's authority to conduct investigations and "to exercise oversight, review, and resolution of community complaints alleging abuse of police authority."

Austin, Texas -- Proposition A Voters in Austin, Texas are being asked whether to bulk up the city's police department with Proposition A, as its supporters argue that the city is in the midst of a "crime wave" and a shortage of police officers.Proposition A would require that the Austin police department employs at least two police officers for every 1,000 residents.

Detroit -- Proposal R A "yes" vote on Proposal R would be in favor of the Detroit City Council establishing a task force that would recommend housing and economic programs that "address historical discrimination against the Black community in Detroit."

New Jersey -- Question No. 1 Question No. 1 asks New Jersey voters whether to allow betting on college sports. Currently, sports betting on college events in the state and on college events in which New Jersey teams participate is prohibited.

Richmond, Virginia -- Local ReferendumResidents of Virginia's capital city will decide whether to approve the construction of a new casino and 250-room luxury hotel in south Richmond along the I-95 highway.

New York -- Ballot Proposal 1New Yorkers are being reminded to flip over their ballots to answer five statewide ballot proposals.

New York -- Ballot Proposal 3New York currently requires that its residents register to vote at least 10 days before an election. Ballot Proposal 3 would remove that requirement, clearing the way for state lawmakers to enact new laws that would allow a resident to register to vote in less than 10 days -- such as same-day voter registration.

New York -- Ballot Proposal 4As it stands now, New York voters may vote by absentee ballot if they are unable to appear at their polling place due to illness or physical disability or expect to be absent from their county of residence, or New York City if they're residents, on Election Day.Ballot Proposal 4 asks whether to eliminate the requirement that a voter provide a reason if they wish to vote by absentee ballot.

Philadelphia -- Question #1: Asks whether to amend the city charter so it urges the Pennsylvania legislature and governor to legalize cannabis for recreational use in the state.

In that mission, it has proved remarkably successful.

Tellingly, the scale of U.S. military aid — $47 billion over the first year of the conflict — is more than double that offered by European Union countries combined.

Coinciding with the global war on terrorism, the “big bang” expansion of 2004 — in which seven countries acceded — saw counterterrorism supersede democracy and human rights in alliance rhetoric. Stress on the need for liberalization and public sector reforms remained a constant.

In the realm of defense, the alliance was not as advertised. For decades, the United States has been the chief provider of weapons, logistics, air bases and battle plans

The organization pushed would-be partners to adhere to a liberal, pro-market creed, according to which — as President Bill Clinton’s national security adviser put it — “the pursuit of democratic institutions, the expansion of free markets” and “the promotion of collective security” marched in lock step. European military professionals and reform-minded elites formed a willing constituency, their campaigns boosted by NATO’s information apparatus.

By forbidding duplication of existing capabilities and prodding allies to accept niche roles, NATO has stymied the emergence of any semiautonomous European force capable of independent action. As for defense procurement, common standards for interoperability, coupled with the sheer size of the U.S. military-industrial sector and bureaucratic impediments in Brussels, favor American firms at the expense of their European competitors. The alliance, paradoxically, appears to have weakened allies’ ability to defend themselves.

Yet the paradox is only superficial. In fact, NATO is working exactly as it was designed by postwar U.S. planners, drawing Europe into a dependency on American power that reduces its room for maneuver. Far from a costly charity program, NATO secures American influence in Europe on the cheap

U.S. contributions to NATO and other security assistance programs in Europe account for a tiny fraction of the Pentagon’s annual budget — less than 6 percent by a recent estimate.

Surging demand has exacerbated this tendency as buyers rush to acquire tanks, combat aircraft and other weapons systems, locking into costly, multiyear contracts. Europe may be remilitarizing, but America is reaping the rewards.

In Ukraine, the pattern is clear. Washington will provide the military security, and its corporations will benefit from a bonanza of European armament orders, while Europeans will shoulder the cost of postwar reconstruction — something Germany is better poised to accomplish than the buildup of its military

The war also serves as a dress rehearsal for U.S. confrontation with China, in which European support cannot be so easily counted on. Limiting Beijing’s access to strategic technologies and promoting American industry are hardly European priorities, and severing European and Chinese trade is still difficult to imagine. Yet already there are signs that NATO is making headway in getting Europe to follow its lead in the theater

No matter their ascendance, Atlanticists fret over support for the organization being undermined by disinformation and cybermeddling.

Today, dissent is less audible than ever before.

Left parties in Europe, historically critical of militarism and American power, have overwhelmingly enlisted in the defense of the West: The trajectory of the German Greens, from fierce opponents of nuclear weapons to a party seemingly willing to risk atomic war, is a particularly vivid illustration

When I asked about Australia’s rather impressive health outcomes, he said that while “Australia’s mortality that is amenable to, or influenced by, the health care system specifically is good, it’s not fundamentally better than that seen in peer O.E.C.D. countries, the U.S. excepted. Rather, Australia’s public health, social policy and living standards are more responsible for outcomes.”

Addressing these issues in the United States would require significant investment, to the tune of hundreds of billions or even trillions of dollars a year. That seems impossible until you remember that we spent more than $4.4 trillion on health care in 2022. We just don’t think of social policies like housing, food and education as health care.

Other countries, on the other hand, recognize that these issues are just as important, if not more so, than hospitals, drugs and doctors. Our narrow view too often defines health care as what you get when you’re sick, not what you might need to remain well.

When other countries choose to spend less on their health care systems (and it is a choice), they take the money they save and invest it in programs that benefit their citizens by improving social determinants of health

In the United States, conversely, we argue that the much less resourced programs we already have need to be cut further. The recent debt limit compromise reduces discretionary spending and makes it harder for people to access government programs like food stamps.

When I asked experts in each of these countries what might improve the areas where they are deficient (for instance, the N.H.S. has been struggling quite a bit as of late), they all replied the same way: more money. Some of them lack the political will to allocate those funds. Others can’t make major investments without drawing from other priorities.

Singapore will need to spend more, it’s very unlikely to go above the 8 percent to 10 percent of G.D.P. that pretty much all developed countries have historically spent.

That is, all of them except the United States. We currently spend about 18 percent of G.D.P. on health care. That’s almost $12,000 per American. It’s about twice what other countries currently spend.

We cannot seem to do what other countries think is easy, while we’ve happily decided to do what other countries think is impossible.But this is also what gives me hope. We’ve already decided to spend the money; we just need to spend it better.

he continued to follow key elements of the game plan outlined in “Transformative Politics.” When Mr. Obama scolded pundits for slicing America into red states and blue states, it wasn’t a dopey celebration of national harmony. It was a strategic attempt to drain the venom out of the culture wars, allowing Democrats to win back working-class voters who had been polarized into the G.O.P. And it elected him president, twice.

he warned against retreating in the battle for civil rights. Moderates scrambling for the middle ground were just as misguided, he argued, as anti-racists implicitly pinning their hopes on a collective racial epiphany.

bringing the conversation back to economics was the best way to beat the right. Instead of trimming their ambitions to court affluent suburbanites, Democrats had to embrace “long-term, structural change, change that might break the zero-sum equation that pits powerless blacks [against] only slightly less powerless whites.”

All the pieces of Mr. Obama’s plan fit together: an electoral strategy designed to make Democrats the party of working people; a policy agenda oriented around comprehensive economic reform; and a faith that American democracy could deliver real change. By mixing political calculation with moral vision, Democrats could resurrect the March on Washington coalition and — finally — transform politics.

Economics were a safer bet. Blue-collar workers of all races, Mr. Obama and Mr. Fisher wrote, “understood in concrete ways the fact that America’s individualist mythology covers up a game that is fixed against them.

Rebuilding the March on Washington coalition requires an all-out war against polarization. That larger project begins with a simple message: Democrats exist because the country belongs to all of us, not just the 1 percent. With this guiding principle in mind, everything else becomes easier — picking fights that focus the media spotlight on a game that’s rigged in favor of the rich; calling the bluff of right-wing populists who can’t stomach a capital-gains-tax hike; corralling activists in support of the needs of working people; and, ultimately, putting power back in the hands of ordinary Americans.

The party’s record in the midterms has been even shakier. Democrats held unified control of Congress for all of Mr. Roosevelt’s presidency. In the Obama era, divided government has been the norm. And no, that’s not just because of gerrymandering. House Republicans won the national popular vote three times in the past 12 years — 2010, 2014 and 2016 — and there’s a good chance they’ll do it again this November.

the party is facing the same basic problem that has bedeviled Democrats since the breakdown of the New Deal coalition in the 1960s. An electorate divided by culture isn’t going to deliver the votes that Democrats need to build a lasting majority.

The crisis of democracy, then, is really a problem of the Democratic coalition. So long as elections keep being decided by wafer-thin margins, the odds of a divergence between the popular vote and the Electoral College will stay high, voters in small rural states will continue to hold the balance of power in the Senate, and Republican election deniers will get new grist for conspiracy theorizing. Even if Democrats manage to take office, they won’t have the numbers to push through reforms that might break this electoral stalemate.

What’s missing from all this is a vision for transcending the divide between the party’s rival sects, a plan for both winning elections and securing lasting change — in short, a program for transforming politics.

Mr. Rustin’s vision — the same vision that once upon a time drew a young Barack Obama into politics — remains the best starting point for coming up with a truly democratic solution to the crisis of democracy. Only 27 percent of registered voters identify as liberal. But 62 percent of Americans want to raise taxes on millionaires. An even greater number — 71 percent — approve of labor unions. And 83 percent support raising the federal minimum wage.

Today we are living in the world the Obama coalition has made. Yes, Democrats have won the popular vote in each of the past four presidential elections. But thanks to continued losses among blue-collar voters — including Latinos and a smaller but significant number of African Americans — the Obama coalition has remained a pipsqueak by historical standards. Under Franklin Roosevelt, the average Democratic margin of victory was 14.9 percentage points. Since 2008, it’s been 4.4 percentage points.

the road to freedom that Bayard Rustin dreamed of still goes through a majority movement — a coalition rooted in the working class, bound together by shared economic interests and committed to drawing out the best in the American political tradition.

But that changes for publicly-funded universities when speech veers into targeted harassment that is “so severe, pervasive, and objectively offensive that it effectively bars the victim’s access to an educational opportunity or benefit.”

The legal commentator David Lat explained further, writing: “If I repeatedly send antisemitic emails and texts to a single Jewish student, that is far more likely to constitute harassment than if I set up an antisemitic website available to the entire world.”

As a result, what we’ve seen on campus is a mixture of protected antisemitic (as well as anti-Islamic) speech and prohibited harassment.

So if the university presidents were largely (though clumsily) correct about the legal balance, why the outrage?

For decades now, we’ve watched as campus administrators from coast to coast have constructed a comprehensive web of policies and practices intended to suppress so-called hate speech and to support students who find themselves distressed by speech they find offensive.

The result has been a network of speech codes, bias response teams, safe spaces and glossaries of microaggressions that are all designed to protect students from alleged emotional harm. But not all students

Moreover, each of the schools represented at the hearing has its own checkered past on free speech. Harvard is the worst-rated school for free expression in America

So even if the presidents’ lawyerly answers were correct, it’s more than fair to ask, where was this commitment to free expression in the past?

That said, some of the responses to campus outrages have been just as distressing as the hypocrisy shown by the school presidents

Universities have censored conservatives? Then censor progressives too. Declare the extreme slogans of pro-Palestinian protesters to be harassment, and pursue them vigorously. Give them the same treatment you’ve given other groups who hold offensive views

But that’s the wrong answer. It’s doubling down on the problem.

At the same time, however, it would be wrong to carry on as if there isn’t a need for fundamental change. The rule cannot be that Jews must endure free speech at its most painful, while favored campus constituencies enjoy the warmth of college administrators and the protection of campus speech codes. The status quo is intolerable.

The best, clearest plan for reform I’ve seen comes from Harvard’s own Steven Pinker, a psychologis

He writes that campuses should enact “clear and coherent” free speech policies. They should adopt a posture of “institutional neutrality” on public controversy. (“Universities are forums, not protagonists.”) They should end “heckler’s vetoes, building takeovers, classroom invasions, intimidations, blockades, assaults.”

But reform can’t be confined to policies. It also has to apply to cultures. As Pinker notes, that means disempowering a diversity, equity and inclusion apparatus that is itself all too often an engine of censorship and extreme political bias

Most importantly, universities need to take affirmative steps to embrace greater viewpoint diversity. Ideological monocultures breed groupthink, intolerance and oppression.

Universities must absorb the fundamental truth that the best answer to bad speech is better speech, not censorship

do not protect students from speech. Let them grow up and engage with even the most vile of ideas. The answer to campus hypocrisy isn’t more censorship. It’s true liberty. Without that liberty, the hypocrisy will reign for decades more.

One side of American politics considers the modern welfare state — a private-enterprise economy, but one in which society’s winners are taxed to pay for a social safety net — morally superior to the capitalism red in tooth and claw we had before the New Deal. It’s only right, this side believes, for the affluent to help the less fortunate.

This deep divide in American political morality — for that’s what it amounts to — is a relatively recent development. Commentators who pine for the days of civility and bipartisanship are, whether they realize it or not, pining for the days when the Republican Party accepted the legitimacy of the welfare state, and was even willing to contemplate expanding it.

we have, for the most part, managed to agree on certain ground rules in the abortion controversy: it’s acceptable to express your opinion and to criticize the other side, but it’s not acceptable either to engage in violence or to encourage others to do so. What we need now is an extension of those ground rules to the wider national debate.

When people talk about partisan differences, they often seem to be implying that these differences are petty, matters that could be resolved with a bit of good will. But what we’re talking about here is a fundamental disagreement about the proper role of government.

Today’s G.O.P. sees much of what the modern federal government does as illegitimate; today’s Democratic Party does not

This deep divide in American political morality — for that’s what it amounts to — is a relatively recent development.

There’s no middle ground between these views. One side saw health reform, with its subsidized extension of coverage to the uninsured, as fulfilling a moral imperative: wealthy nations, it believed, have an obligation to provide all their citizens with essential care

The other side saw the same reform as a moral outrage, an assault on the right of Americans to spend their money as they choose.

We need to have leaders of both parties — or Mr. Obama alone if necessary — declare that both violence and any language hinting at the acceptability of violence are out of bounds. We all want reconciliation, but the road to that goal begins with an agreement that our differences will be settled by the rule of law.

"China has really been at the forefront of success in conversion of all vehicles to electric vehicles, especially buses," says Heather Thompson, chief executive officer of the Institute for Transportation and Development Policy (ITDP), a non-profit focusing on sustainable transport solutions. "The rest of the world is trying to do the same, but I think China is really out ahead."

At the time of China's 2001 entry into the World Trade Organisation, the international automotive industry was dominated by European, US and Japanese brands. These companies had spent decades perfecting internal combustion engine technology. To compete, Beijing decided to find a new track for its auto industry: making cars that did not use conventional engines.

That same year, the central government launched the so-called "863 plan" for EV research and development. There were numerous practical challenges, however, in the way of mass electrification. Not many manufacturers were making new energy vehicles, buyers were few and there was a lack of charging infrastructure in existence. The answer? Buses.

"The Chinese government adopted a very smart strategy," says Liu Daizong, ITDP's East Asia director. "They realised quite early on that they should drive [the EV industry] through electric buses," he notes, since their public service status meant Beijing "could have a strong hand on their electrification".

"Bus routes were fixed. This means when an electric bus finished a round, it could return to the depot to recharge," explains Xue Lulu, a mobility manager at the World Resources Institute (WRI) China. The typical daily mileage of a Chinese bus ­– 200km (120 miles) – was a realistic range for battery makers to meet.

The following year, the country began its large-scale rollout of new energy buses, with the "Ten Cities and Thousand Vehicles" programme. Over three years, the programme aimed to provide 10 cities with financial subsidies to promote 1,000 public-sector new energy vehicles in each, annually. Its goal was to have 10% new energy vehicles in the country by the end of 2012.

Strong policy support from both central and regional governments "gave manufacturers confidence in setting up production lines and stepping up research efforts," says Liu.

Together, these strong and consistent government signals encouraged Chinese manufacturers to expand their EV production capacity, bring down costs and improve their technologies. One such company was Build Your Dream, better known as BYD. The Shenzhen-based firm, the world's largest EV maker in 2022, ballooned its business a decade before by supplying electric buses and taxis for China's EV pilot cities.

"Back then, most buses used diesel, which was a main source of nitrogen oxides (NOx) emissions," says Xue, referring to the air pollution that smothered Beijing and other Chinese cities in the early 2010s. Yet in 2013, a new plan from central government cited tackling air pollution as one of the reasons for rolling out EVs.

This addition proved to be critical: it not only connected EV uptake with people's health, it also indirectly tied the e-bus campaign to local officials' political performance, as the central government would soon hand air-quality targets to all provinces.

The years 2013 and 2014 proved to be important for China's EV push. For the first time, the central government made EV purchase subsidies available to individual consumers, not just the public sector, opening the floodgate to private ownership. Additionally, it offered discounted electricity tariffs to bus operators to make sure the cost of running electric buses would be "significantly lower than" that of their oil or gas-powered equivalents.

The new economic push, plus local government's determination to battle air pollution, generated great enthusiasm for e-buses. By the end of 2015, the number of EV pilot cities rocketed from 25 to 88. In the same year, the central government set a target of 200,000 new energy buses on the road by 2020 and announced a plan to phase out its subsidies for fossil-fuel-powered buses.

To further stimulate the market, many cities devised various local policies on top of national incentives. For example, Shenzhen, a southern city with a population of more than 17 million, encouraged government agencies to work with private companies to create a full range of renting mechanisms for bus operators

Different cities' bus operators also designed different charging strategies. "Buses in Shenzhen had bigger batteries, so they normally charged overnight," says Xue, of WRI China. Between 2016 and 2020, Shanghai, another electric bus hub, subsidised the electricity e-buses used -- regardless of the hours of the day -- to give them more flexibility in charging.

Generous financial support did lead to problems. In 2016, an EV subsidy fraud shook China, with some bus operators found to have exaggerated the number of e-buses they had purchased. So that same year Beijing shifted its EV subsidy rules so bus operators could only receive financial support when a bus's mileage reached 30,000km (19,000 miles).

one year later, the government announced the so-called "dual-credit" policy. This allowed new energy vehicle makers to rake up credits which they could sell for cash to those needing to offset "negative credits" generated from making conventional cars.

it wasn't only China's buses that had benefitted.China's e-bus campaign helped create a big and stable market for its wider EV industry, brought down the costs and created economies of scale. In 2009, the year the e-bus campaign was rolled out, the total number of new energy vehicles sold stood at 2,300; by 2022, it was 6.9 million, analysis by Huang Zheng,

By 2022, the country had also built the world's largest EV charging network, with 1.8 million public charging stations – or two-thirds of the global total – and 3.4 million private equivalents. This means that on average, there is one charging pillar for every 2.5 of China's 13.1 million new energy vehicles.

Cold weather is a problem, too, as it can make a battery's charging time longer and its range shorter. The reason China has not achieved 100% electrification for its buses is its northern regions, which have harsh winters, says Xue.

To make e-buses truly "green", they should also be charged with renewable power, Wang says. But last year coal power still accounted for 58.4% of China's energy mix, according to the China Electricity Council, a trade body..

Globally, however, China is now in a league of its own in uptake of e-buses. By 2018, about 421,000 of the world's 425,000 electric buses were located in China; Europe had about 2,250 and the US owned around 300. A

But earlier this year, the European Commission announced a zero-emission target for all new city buses by 2030. And some countries are increasing their overall funding for the transition.

In 2020, the European Commission approved Germany's plan to double its aid for e-buses to €650m (£558m/$707m), then again in 2021 to €1.25 billion euros (£1.07m/$1.3bn). And the UK, which last year had the largest electric bus fleet in Europe with 2,226 pure electric and hybrid buses, has announced another £129m ($164m) to help bus operators buy zero-emissions fleets.

Countries have thus responded to China's manufacturing lead in divergent ways. "While the US has opted for a more competitive angle by fostering its own e-bus production, regions like Latin America are more open to trade with China due to a more friendly trading setup through [China's] Belt and Road Initiative,"

In order to avoid direct competition from Chinese manufacturers, the US has come up with a "school-bus strategy", says Liu. The Chinese don't make the iconic yellow vehicles, so this could ignite American e-bus manufacturing and create a local industry chain, he suggests. Backed by the US Environmental Protection Agency's $5bn (£3.9bn) Clean School Bus Programme, the national effort has so far committed to providing 5,982 buses.

In contrast, many Latin American cities, such as the Colombian capital of Bogota and the Chilean capital of Santiago, are greening their traditional bus sectors with the help of Chinese manufacturers, who are the largest providers to the region. In 2020, Chile became the country that had the most Chinese e-buses outside of China, and this year Santiago's public transport operator announced it has ordered 1,022 e-buses from Beijing-based Foton Motor, the biggest overseas deal the firm had received.

Chinese manufacturers are likely to receive a lot more orders from Chile and its neighbours in this decade. According to latest research by the global C40 Cities network, the number of electric buses in 32 Latin American cities is expected to increase by more than seven times by 2030, representing an investment opportunity of over $11.3bn (£8.9bn)

In June 2023, BloombergNEF forecast half of the world's buses to be entirely battery-powered by 2032, a decade ahead of cars. And by 2026, 36% and 24% of municipal bus sales in Europe and the US, respectively, are expected to be EVs as they begin to catch up with China

To meet the global climate goals set by the Paris Agreement, simply switching the world's existing bus fleets might not be enough. According to ITDP, the cumulative greenhouse gas emissions from urban passenger transport globally must stay below the equivalent of 66 gigatonnes CO2 between 2020 and 2050 for the world to meet the 1.5C temperature goal. This emissions limit will only be possible when the world not only adopts electric buses, but goes through a broader shift away from private transport

"We can't just focus on [replacing] the buses that exist, we need to actually get many, many more buses on the streets," Thompson adds. She and her team estimate that the world would need about 10 million more buses through 2030, and 46 million more buses cumulatively through 2050, to make public transport good enough to have a shot at achieving the Paris Agreement. And all those buses will need to be electric.

In China therefore, even though EVs are being sold faster than ever, its central government has instructed cities to encourage public transport use, as well as walking and riding bikes.

In Wang's hometown, meanwhile, which has just over three million residents, the local government has gone one step further and made all bus rides free. All citizens need to do is to swipe an app, with no charge, to get onto the bus. "My aunt loves taking buses now," says Wang. "She says it is so convenient."

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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